12105 SW NORTH DAKOTA STREET Y
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INSP$CTION NOTICE
C4tF of Tigard Building Department
13125 SW Ball Blvd. T Ard, Oregon 97223
Inspect'.on Line (Rec-•C-Phone): 639 4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underel VACh. Rough-in ( Appr/Sdwlk
Found. Plbg. Top Out Gas Lin" `FINALe �
Post/Beam Strict. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Hoch.
Date Requested:_ 3 Time: �11 PH
Address:_ �.. J 5 r Permit Of
Builiers
rRE tOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ natal___S_-
V APPROVED DISAPPROVED APPROVED SnBJECP TO ABOVE
Call For Reinsp.
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City of Tigard Building Departnent
13125 SIN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Ho-igh-in Appr/Sdwlk
Found. Plbg. Top Out Cat Line FINALt
Post/Beam 8truct. gin. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
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' Plbg. Underfloor Nater Line Gyp. Bd. -Mec.
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Date Requested: .L, Time: AM PM ,
Addreser rmit 1: �
Builders z'
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i� TES FOLIAWING OORAS4TION3 ARE REQUIRED:
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: APPROVED -----, DISAPPROVED APPROVED 9UBJsOr TO ABOVE
_call For Reinnp.
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_ INSPECTION NOTIrE �-
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City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line l.Rec-O-Phone: 639-4175 Business Phone: 639-4171
lnspectiont9 --
foottn Plbg. Underalab Mach. )ugh-in Appr/Sdwlk
` found. Plbg. Top Out Gas Line FINAL: �
Yost/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Orrir Ineulati.on -Plumb
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Plbg. Underfloor Wacer LLne Gyp. Bd. -Mach.
Tunas AM PM
Date R9giiested:
Addrosn• _ -
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Builder:_ —
THE FOLLOWING CORRECTIONS ARE REQU?RF.D:
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spector [J'// •�� p rl �
In : �'� -- - Datet-'!-+� _s?�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE .y
call For Reinap. '
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INSPECTION NOTICE
city of Tigard Building Department w
13125 Sill Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
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Inspection:
Footing Plbg. Undcral-b Much. Rough-in Appr/Sdwlk _
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Frami.ng -Bldg.
Poet/Ream Meeh. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Water Line Gyp. Bd. -Much.
Date Requested: _ Time: AN — PM
Permit t:
Address: ,I C =. " /, '1n T
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Builder: t+t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: t i Iff►►I -, _ nate:_ r
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INSPECTION NOTICE
City of Tigard Building Deparkaent
...............: ra.:.., ...s : 13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4171
Inspections_ f- --
Footing Plbg. Underslab Mac . Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Piumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: �C'l __Time: AN PM
Addroas:���-C permit !: ((
Builder-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IIIeFct_or: — --- date•
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
yy Call For Reinap.
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INSPECTION NOTICE
city of Tigard Building Department
13125 SW Ball Blvci. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Buniness Phone: 639-4171 6
Inspection: —
i
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. (Ban. SeW91-1, y"'teaming -Bldg.
Post/Beam Mach. Rain Drain j ( Insulation j -Plumb.
Plbq. UnderfloorCWatar LIn4'
� \a3�p' -Mech.
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Date Requnated: fn� --
Add so- s' L✓ �, Permit #s
Builder.• if ---THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ - _ _— Dates a r
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_ Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departzbe+t �.
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mach. Rough-in _A
S PPt/Sdwlk �..
Found. Plbg. Top Out Gas Line FINAL:
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Post/Beam St.ruct. San. Sewer Framing -Bl.dg.
^c :, poet/Beam Mech. Rain Drain Insula -Plumb.
Plbg.. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requestedt-- ' Timet AM
—PM
Address: `� ermit It� U/�✓�✓ _
� Builder:
THE FOLLOWING CORRELMONS ARE REQUIRED:
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Inepectors� C-' Dater/ 'y
APPROVEDy DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPECTION NOTICE
City of Tigard Building Derartment a
1317.5 Sp Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)! 639-4175 Business Phone: 639-4171
Inspection'—
Footing Plbg. Underalab Me-h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L!ne FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. {
Poet/Beam Hoch. Rain Drain Inaulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date AequeetWs - -�--- _Timet AH PH
Addroso: -� Permit ti
Builder:��
THE FOLLOWING CORRECTIONS ARE REQUIRED: �taf"p
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Inupector•!�_�_
_APPROVED DISAPPROVED —` APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departaent
/fir fr
13125 Bit Ball Blvd. Tigard, Oregon 97223 o-
Inspection Lis (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspections
Footing Plbg. Underslab Mpch. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out ; Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg. I
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Poet/Beam Mach. Rain Drain Insulation -Plumb. j
Plbg. Underfloor Water Line Gyp.
Gyp. Bd. -Mach. •
Date Req•iesteds�f % Time: —AM PM S I
Address: d, Permit �: _.% j e
Builders
THE FOLLOWING CORRECTIONS ARE RBQUIRED:
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Inspectors— _ Date: �'
_ .PPROVED DISAPPROVED APPROVED SUB.7SCT TO ABOVE
Call
`_ For Rpinsp.
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INSPECTION NOTICE h ��
City of Tigard Building Department
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. I Plbg_ Top Out Gas Line FINAL:
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Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
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Gyp. Bd. -Mech.
Plbg. Underfloor Water Line
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Date Requested: Time: AM _PM
Address:
Permit #1
Builder.:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:= �'— __.�—...-- --- — -- Date:
i APPROVED —_- DISAPPROVED A APPROVF,D SUFJECT TO ABOVE
_Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department
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13125 9W Ball Blvd. Tigard, Oregon 97223 w
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•_
Footing P'bg. Underalab Mech. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL: )
P•'�t/Beam Street. 1 San. Sewer Framing -Bldg.
/Boom Mech. ll Rain Drain Insulation -Plumb. •
Plbg. Underfloor water Line Gyp. Dd. -Mech.
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Date Requested: /� Jam' {Tyimes / _AM _ / / PM
Address: /r )�ei �2. 11/-�"'�=471 ��ltd'it ti�` —���4
Builder:_ C" _i l; v
THE FOLLOWING CORRECTIONS ARE REQUIRED:
PPP{
Inspectors — _ _ Dates
APPROVED DTSAPPROVED APPROVED SUBJF.(JT TO ABOVE,
_Gall For Reinap.
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INSPECTION NOTICE /
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainess Phone: 639-4171
Inspection:_ —
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. fop Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. •
Poet/Beam Mech. Rain Drain Insulation -Plumb. '
�P`lbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Reguestodt O y J /� Time: C1�� AM PM
Addresst U 5 K �' i Permit
Builder: �ell —
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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✓l/�✓v t'it�
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InspeT-APPROVED
— bate: "
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DISAPPROVED APPROVED SUBJECT TO ABOVE
__.._Call For Reinap.
INSPECiNOTICE
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City of Tigard Building Department
13125 SM Ball Blvd. 'Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: - -
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rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL:
•
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Wat r Lin Gyp. Bd.
-Rech.
- Time: AM -X—PH
Date Requested: ._-��-��-1L-- T�
dPermit !
Address: s _-.
Builder:
THE FOLLOWING 00 IONS ARE REQUIRED:
Date-
Inspecto
APPROVED DISAPPROVED __. APPROVED SUBJECT TO ABOVE +:
^call For Reinnp. 4
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CITYOFTWARD
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COMMUNRY DEVELOPMENT DEPARTMENT 011640" MASTER PERMIT
13126 BW w1 Bad.P.O.Box 23397,Tipnd,Oregon arm(603)8*4176 PERMIT #. . . . . . . .. MST 91-016 6
i 639-4171 .)Fd'E ISS!QED: 07/01/92
S T TE ADDRESS. . . 12105 SW NORTH DAKOTA ST PARCEL.: 1 S 134CLQ-100017)
91AA )IVISION. . . . s ANTON PARK ZONING: R-7
SLOC;K. . . . . . . . . . e LOT. . . . . . . . . . . . . ..62 4
i ----------.------------------------- BUILDING --__--__-_-____-_----------_-•____---.-...
RE_I SS)UE:: DWELLING 'UNITS: 1 BASEMENT. . . . . . . . :0 S f
(.;LASS OF WORK. :NEW BEDRMSo3 BATHSa2 GARAGE. . . . . . . . . . a400 sf
TYPE OF- U15E. FLOOR ARCAS_.__..___w.--- REQUIRED
TYPE OF- C:UNlbT. -5N FIRST. . , . : 1226 sf LE T. . : 1S ft RIGH1. : 16_-t-t
OCCUPANI: t�
Y PF'. : R:3 SECOND. . . :0 Sf FRONT. :20 ft REAR. . :24 1•t
Sr'URIES. . . . . . . : 1 THIRD. . . . s0 sf REQUIRED_______________
HEI GH'T. . . . - . . . : 16 ft TCTAL--- _.___, 1226 sf SMOKE DETECTORS. :Y •
FLUOR LOAD. . . . :40 ps'f VALUE. . . . . 9 : 63596 PARKING SPACES. . s 0
Remarks: need street opening permit for^ any work in public right of wary
--_.___-_.__________________.__------ PLUMBING ---------------------------------------
SINKS. . . . . . . . . . . I
-___--_--__-_-_-_____-------_-_.___--._SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
L.HVA1CIRIES. . . . . :2 WATER HEATE:RS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . aE LAUNDRY 1RAYS. . . :N (:PTLH BASINS. . . . . . . :0
WATER CLOSETS. . a 2 SEWER LINE (ft) . a 0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . s 1 WATER LINE. (ft ) . : 100 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . e1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . - 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL ------ ------- - FEES
FUEL TYPES------------•- UNIT HTRS. . :0 type Amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF 1380. 00 JH 07/01/92 -
MAX INPUT:O PTU VENT FANS. . :3 BPRT f 325. 00 JH 07/01/92 -
FURN ( 100K . . s 1 HOODS. . . . . . : 1 FPLC $ 211. 25 JLH 10/11/91 2I Sn7l
FURN ) =10j7.rK . . :0 WOODSTOVI . :0 B5PC $ 16. 25 JH 07/01/92 -
FLOOR FURN. . . . :0 CLU DRYERS. : t ySO SSDC $ -� JH 07/01/92 BOIL./CMP ( .3HP:0 OTHER UNITS: 1 PPRK 1 500. 00 JH 07/01/92 -
GAS OUTLETS: 1 MPRT $ 40. 50 JH 07/01/92 --
i Oviner: __.____._._____.___._...___.__.__._._____.__.___-- MPI_.0 $ 10. 13 JH 07/01/92 -
JEFF ODELL CONSTRUCTION M5PC $ 2. 03 JH 07,101/9e -
P 0 BOX 22'30273 PPRT 4 11. /. '5N Jill 0'1/0119e
F-15PC $ 5. 88 JH 07/01/92 -
TIGARD OR 9722:1
Phone #1 684•--8158
Contractoro
I JE:.FF ODELL CONSTRUCTION
R 0 NOX 230273
TIGARD OR 97~_2.3
Phone #: 684-0891
Reg #. . s 5;3603
This pr•aet ►e issued subiect to the regulations contained in the - -- ---- REQUIRE.D INSPECTIONS - ----
Tigard Municinl Cady. State of Ore. Specialty Codes and all other F•'oot/fot.utd Insp Gas Line Insp
applicable laws. All Stork will be done in accordance with approved Post/Beam Struct Insulation Insp
i plans. This pereit Mlii expire if work is not started within Post/beam Mechan Gyp board Insp
i days of issuance, m' if work is suspended for N Plm/undslatb Insp Rain drain Insp
PL.M/tlnderflaor Water Line Insp
1 Permitter' Signature Mechanic-al Insp nppr•/'~iriwii< Fn1sp
1 ` Plumb Top Out Mechanical Final
1 Issued Fav : ,^-� Framinq Inap P11aml; Finan v
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Call for inspection - 639-4177-
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CITYOFTIFARD
CIiY SEWER CONNECTION
1.ON
COMMUNITY DEVELOPMENT DEPARTMENT oar H'!:I.�M! f ;#.1. I_. . . . .RMI.
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19126 SW MIM BW P.O.Bat 23x01.T1pnd,OWN 97M(60)6394175
56•iR91--Q�19� �`,'
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639-4171 DATE ISSUED: 07/01/ 32
SITE Ar�DRE-q5. . . : 12105 SW NORTH DAKnTA ST
PARCEL: 151340-10Q►0C
r3UBD I V I a I QN. . . . e ANTON I-
'ARI
ZONING.,, R'-7
NLOLK. . . . . . . . . . : LQ f. . . . . . . ` . . . . . :62
--____-_-___._____._____ _.__..-...
TLNAN7 NAME:. . . . . :
FIXTURE UN]:T5. .
USA NQ. . . . . . . . . . : .
CLASS OF' WORK. . . :611---W
DWELLING UNITS. - ^ 1 �
TYPE= OF USE. . . . . :
SF
NO. OF BUILD 1 NGS: 1
INSTALL. TYPE.. . . . :BUSWR IMPERV caURFACF . .
Remarks: need str^eet opctninq permit for any work in pl.:blic right of r•,_Cv .
`EES
JE=FF Qll(:LL CONSTRUCTION type amount by date recpt
J F L'OD c30�ON PR.MT $ 2100. 00 J11 07/01/92 -
INa-P f 35. 00 JH 07/01/92
T I GARD OR 97223
1••,hone #: 684-8158
Contractor'
CONTRACTOR NOT Ot•d MLI=
�=
Phone !#: 135. 00 TOTAL
Refit
REOU I REI. I NSPEcT I ONS
This Applicant agrees to coeply with all the rules and regulaticrs
of the Unified Sewaue Agency. The pereit expires 180 days frog -- - -'----
the date issued. The total aeourt paid will be fat ;led if the _._�.._.,_..__ _ - —•-- - -- --
pere:t expires. The Agency does not guarartee the accuracy of the
Side sewer laterals. If the sewer i, not located at the measureeent -----
given, the installer -..dil prospect 3 feet in all directions free __ _. __._ ___ _ -------•------ --•--the distance given. If not so lecated, the installer shall m!rchase __-----------•---.••---
a "Tap and Side Sewer" Pereit and the Agen
P a r,m i t t:e e r i Q n A t 1 A r
I s 5 6t e r.J lay ; '�•' __.__._..__..__......._.__.._.._.. ._
Call. for insc)eution - 639-4175
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CITY OF TIG PLNCK/RECT # 'J
TIPIA
�,9� PERMIT # /�'.I �/Z-U/6G ,.
COMMUNITY DEVELOPMENT DEPAR'T'MENT (5A) t
M DATE ISSUED
JO? AWRESS: S- .5,jvel
r� TAX MAP/LOT Z.51 3y d, /0000—
�L�I U N T-
So�+d
LOT:
UB: LAND USE:
VALUATION: S
{ SPECIAL NOTES
OWNER
REISSUE OF:
NAME:
ADDRESS: [� � 22 �� LAST REISSUE: .
FLOOD PLAIN/
SENSITIVE LADED: l
PHONE:
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a CONTRACTOR
APPROVALS R_EOUIRED I
NAME:
PLANNING:
C C'�c?� C �- bleu-,.=� — I
ADDRESS: L � �� 3n 3 ENGINEERING: --
�`�
2 `. FIRE DEPT: !
3
PHONE: OTHER:
CONTR. BOARD #: ��' 3 EXP DATE:
Z `
ITEMS REQUIRED I
SUBCONTRACTORS: PLUMB: c, �z�- �<'�"�S i LIST/SUBCONTRACTORS: 1
MECH: Cwt2� � S BUS TAX:
ARCH/ENGINEER CALCULATIONS: _ !
NAME: p -� _�; TRUSS DETAILS: I
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. UsF . OVA
COMMENTS: L��E_
APPLICANT SIGNATURE
Received By: Date Received:
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
, dU 3 •S. ulr-
rn ul`� 10-432 00 Building Permit Nees y
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) _ -�
Building ZLI L.L�
Plumbing _
Mechanical 21 o3
10-433 00 Plans Check Fee Z�l• 3 5' '�� ( �
Building /Z•� �. ;F'
Plumbing =
Mechanical 141• 1-3
10-230 06 Fire
swP.9!-01 30-202 00 Sewer Connection -
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Tndustrial TIF Fees
25-448-06 Institutional TIF Fees I
j
25-448-03 Office TTF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees1ou -
i
52-449 00 Parks System Dev Charge (PDC) ✓ u -=��-`
31-450 00 Storm Drainage Syst Dev Chrg ?S
(SSDC)
24-445-01 Water Quality (Fee in lieu of) --•--
24-445-02 Water Quantity (Fee in lieu of)
TOTAL -5
nm/3587P.WPF
4
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#C
5 )
�1 r
CITY OF TIGARD - RECEIPT CIF PAYMENT RECEIPT NO.
CHECK AMOUNT e 4+';68. 54
NOME s ODELL CONSTRUCTION CASH AMOUNT 0. 00
f-D01"ESs r PAYMENT DATE c 07/0 1 .'9;':'
'St.-JAD I V I GI ON
PURPOSE OF PAYMENT AMOUNT PAID PI..IRPO SE OFF PAYMENT AMOUNT PAID
325. 00 PLUMBING�PERM
__.._._._»._ 117. 50 r
ME:CWAN I CAL FIE 40. a0 ST. BUILD PER 24. 1(
FLAN CHECK FE 62 SEWER USA 2100. 00
SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1;?80. 0vj
PARKS SDC 500. 0r1.i STORM DRAIN DC 00 �
MASS TRANSIT TIF FEES 100. 00 I'
4
1 :;1�h5 SW NORTH DAKOTA
1 0TAI_ AMCIUNT F'A'I l'7 _ - - ? 4868. 54 i
I t
I
CITY OF T I OARD -• RECEIPT OF PAYMENT RE'CE:I PT NO. :'31 _ 'l E1Ci"i J
GHC.CK 0MOlJN T e 2.90. 00
NAME t ODELL CONSTRUCTION CASH kt'IOUNT s 0. 00
ADDRESS t PO BOX P30273 1='nYMr:N'1' DATES t 10/11%91
St.JI?DIVISIOIV a
TIGARD OR 97223
I
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE. Or i'MI1:N T nMOUNT PFa 1.1)
j FLAN f5—gECK F 1Pi-1?R c"50. 00
i
i
i
1-Ct 1'ni . PtylOUNT PAID ;,50. 00
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