10209 SW RIVERWOOD LANE ADDRESS:
►C)293 Sia tom'%\,Vev WOOd l-a n:.
i:\records\microfIm\targets\buiIding.doc
CITY OF TIOARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF'
13125 SW Hall Blvd,Tigard,Oregon 97223o8199 (503)639-4171 OCCUPANCY
xx K)( PERMIT #. — . . . . ii M5T93-0160
639-4171 DATE ISSUEDI 08/p0/93
PARCELS 28114BC--RV063
SITE ADDRESS. . . 1 101'2'01) RIOERWOOD 1J4
SUBDIVISION. . . . : ZONINOP
BLOCK. . . . . . . . . . I I_01.. . . . . . . . . . . . . I
CLASS OF WURK. sNEW
TYPE OF USE. . . tSF'
OCCUPANCY CARP. vR3
OCCUPANCY LOAD ir-_29 4
TENANT NOME. . . c
Remarks PATH I
LHIL. CONSTRUCTION INL
7110 SW FIR I-OUP
TIGARD OR 97223
Phone tot 624--7714
LFL CON5TRUCTIOIN INC
7110 f,W FIR LOOP
TIGARD OR 172e3
Phone #v 6-'4-7714
Reg
Occupancy of the above i-eferenced builditirl is hereby given, and rerti.fies,
Lhe compliance with the State Of Oregon Specialty Codes for the group,
-)ccupaticy, and use u%idpr which the referenced permit was issoed.
— 1,
.......... 4V'-.
FIRE DEPARTMENT 5Q I Lk IWNsr.,E' R
W- I E,fff t4l VrF I(;t-TA .
POST IN CONSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
13325 SN Ball '+•i1. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone4 639-4171
Inspection:
Footing Plbg. Underelab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas line (FINAL* )
Pout/Beam Struct. San. Serer Framing -sldq.�j
Post/Beam Meeh. Rain Drain Inaulation
Plbq. Underfloor "6 - 2oWater Liffe GYP. Bd. �MeQI:
Date Aequest:ed�s
11 Timet 11M PM
Addross: f w I 1\n L�(i� �Q��� 1' Permit ie q� �/U��W
Builder:l P 1- [j'Sh`Jl 1 � (D 1.. 1 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ar J4
Inspector:
APPROVED DISAPPROVED APPROVED SUBJNCT TO ABOVE
Call For Reiihp.
a�
INSPECTION NOTjgE A A
City of Tigard Building Departamnt ,v�-
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Burinean Phone: 639-4171
i
Inapections
� _ ------_-- �_---
Footing Plbg. Underalab Koch. Rough-ir Appr/.sdwlk
Found. Plbq. Top Out Gas Lino FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Line Gyp. Rd. -Koch
Date Requeutode Ig ,�D `(3 Times ` 1111 PM
Addross G 011 )\l ky-kLlxrA I"4 -k Permit #.q3-0(U,0
Builder: G N •L . CQ�,nSA � -y _ 7 I��Y —
THE FOLLOWING 901t1lfC IMS AM VJMIRM
InApector: -- ---- Date:— ---
1 APPROVED DISAPPROVRD A1'iROVED SUBJECT TO ABOVE
Call For Reinap.
�N¢pECTIGN NUTICS �
city or T_ga.rd Building Department
13125 BW Ball Blvd. Tiq,ird, Oregon 972i l
Inspection Line (9C-0-Phone)z 639-m175 /Buainess Phor.e: 639-4171
Inspection: 1_16?1 1)J_ —
Footing Plbq. Underslab Hoch. Rough-in APer/Sdwlk
Found. Plbq. Top Out Gas Line FINALS
Poet/Peem Htruct. Ban. Sewer Framing -Bldcj.
PoaL/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underrloor Nater Line Gyp. Bd. -Meeh.
Date Requested. s Ti..'r _ PH
Addreass 07 reit ft /4, 0
Buli.ders__� T V-1 Kms=
TRIC POI.LOWING CORRECTIONS ARS RRQDIREDI
Inspector:^_ Date:_
_—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depactaent
13125 Sw Ball Blvd. T+gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-:17E ?• i nesa Phone: 639-4171
Inspection:
Footing - Plbg. Underrlab Hach. Rough-inApp./Bdwlk
Pound. Plbg. Top Out Cas Line FINAL$
Post/Ream Struct. San. S+wer Framing --Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Under:loor Nater Line Gyp. Bd. -Koch.
Date Reguestodt �L� /�T_�-/.�' _ _—Time: --.—�I--AN �PM
Address. 102—C4 JL[) l���/�/�U� k:L� � Permit it �! ^C��/vo
Builder: Log t✓
THE FOLLOWING MRRSrPION3 ARX REQUIRED:
0 Ale
Inspector: 'C� _r ' Date:
APPROVED -_ DISAPPROVED _-_- /APPROVED SUBJECT TO ABOVE
_—Call For Reinap.
MMMMMMMMI
T�NSPECPION NOTICE
City of Tigard Building Departme,st
13125 SN Hall Blvd. Tigard, Oregon 97223
Inepection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Iniyactions_
looting Plbg. Undes:elab Hoch. Rough-in Appr/Sdwlk
Pound. P1bg. Top Out Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing -eldq.
Post/Beam Mach. Rain Drain Innulation -Plumb.
Plbg. Underfloor kiater Line Gyp. Bd. -Hoch.
Date Requested: _ Time:
AN / p!(
Address:_ c�`� -'� /_ LL-rrr Permit is lZ'
Builder:/
THE FOLLOWING CORRRCTIONS ARE REQUIRED:
7
tl !j L-�ZAZ 4-1116-
MJ
-/ 1/6-
MJ s?'1DL WA cry
�1�'��v,r��. b�y� M off' 1'div C..�/►/
Inspectors
^_APPROVRD DISAPPROVED _L/APPROVED SUBJECT TO ABOVE`
_Call For Rainnp.
LNSPECTION NOTICE
City of Tigard Building Department
3-32-2S SN B8.11. Blvd. Tigard, Or.sgon 97223
In_krection Line (Rec-O-•Phone)c 639-4175 Business Phon 91
Inapections_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALS
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Roam Meeh. Rein Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Oyp. Bd. -Hech.
Date Requenteds TiaNs AM PM
Address: ��. Permit
Builders
THE FOLLOWING CORRECTIONS ARE P6QUIREDt
Inspector Dates
APPROVED Y� DISAPPROVED APORO'JED SUBJP CT TO ABOVE
_,Call For Reinap.
j:'RPEC>•ION NOTICE
City of Tig,rd Building Department
131.2S 811 Ball Blvd. Tigard, Oregon 97
Inspection Line (Roc-O-,Phoro)t 639-4175 Businessn : 71171
Inspection:
rooting Plbq. undereleb Mach. Rough-ir. Appr/Sdwlk
round. Pibg. Top Out Gas Line FINAL:
Poet/Clea Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain CInsulatlon -Plumb.
Plbg. Underfioor Water. Line Gyp. Bd. -Hoch.
Date Requested: J ` Time! AH ?M
I
Address: � 1 i Permit i
/
Builders L /V L
THE FOLLOWING CORRECTIONS ARE REQUIREDt
iii / %
Inspector: _� _ Dates.
Inspector-
DISAPPROVED APPr4 MD 811MdMCT TC i 90V1!
call For Reinsp.
jNSPECPION liOTICR
City of Tigard Building Deports m
13125 SW Ball :31vd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phon.-): 639-4175 Business Phone: 639617X-1
Inspection:._
Footing Plbq. Qnderelab Mach. Rough-in Appr/Sdwlk
Found. �plbq. Top out Cas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Brim Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Rech.
-� j
Date Requestedt �I 1 Time: A AN _ _pN
Acldrnsa: Permit �t`i� -1016Z
THE FOLI,OWTNG i_. ,"gG'TIoN3 APF PF.pUTRRD:
Inspectors Date: 3
L APPROVED DISI►PFiOVRD APPROVED SUBJECT To ABOVE
Call For Reinap.
jNSPECTZON NOTICE
City of Tigard m.ilding Del —wlt
13125 SW Ball Blvd. Tigard, Oregon 9722?
Inspection Line (Ree-O-Phone)s 639-4175 Business Phon 639-4171
Inspections_
Footing Plbq. Unders).ab ('Mech. Rough-in 4ppr/Sdwlk
Found. Line L' � PINALsP1b -Bldg.Post/Beam Struct. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Neob.
Date Requosteds ~~ -,2 Q - l Times AN _PM
j
Addresas /L��O K.-1l'C iLG1ZIZ�l /lYecmit fs
Builders
THE FOLLOWING CORRECTIONS ARE RSWUIREDs
rjt� CF'S
416 516 y
Inspectors C bates 7 _
APPROVED LIS PPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 FW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6
Inspection:,_ _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam StruOL. San. Sewer Framing -Bldg.
poet/Beam McCJ1• Rain DrAln Insulation. -Plumb.
P1"erfl2o water Line Gyp. Bd. -Mech.
Oate Requested: Timer AM _ PM
Address: 1 C! �W'_�, !Ar1 i Permit #:
1 �J
Builder:
THE FOLLOWING CORRECTIINS AR'd REQUIRED:
ore se
tT
C CT ICf�Y�/2c�i'c� S
T� /3 c �F'ss /'cam Ty' C Tc�
i�E �iExr Te� r T/ �/ vs e if/
Inspects Date:
�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Reinsp.
INSPECTION NOTICE ✓ `�J�
City of Tigard Building Department
3.3125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Businees Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strict. an. Sews Framing -Bldg.
Poet/Beam Mach. Rain Dra Insulation -Plumb.
Plbq. Underfloor Gyp. Bd. �^-Mech.
Date A.aquesteds_ Times -` AM PM
r
Address:1 b d Permit I a 0/(, (J
Builders /
THE FOLLOWING CORRECTIONS ARE Rawrazus
Inspector/s _ Dates _2
11 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
T _Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections _
rooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. `' Plbg. Top Out Gad Line FIFALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor 2Water Line i a Gyp. Bd. Hoch.
Date Requesteds�J�r!1 r 4_3 --Time: _X—AM PM
Address s U� y / N� Zlli�f Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
"' -'
CITY OF TIG.4RDcOWD LU11DING CRMJ
COMMUNITY DEVELOPMENT DEPARTMENT 0inooN
13125 SIN HWI Blvd P.O.Box 23397,TlpM,OreW Of (503)6304176
11IN101) .M RIVERwOOD i-N 2SII4BB--P
1._ ON. . . . RIUERVIEW ESTATLE) 11 Z0114 I NG j
NEW GARBAGE DISPOSAI-13. I
.5F WASHING MACH. . . . . . . : 1 BACKFLOW PRLVNT(lG. V
TRAPS. . .. . . . . . . . . . .. .
It 3 FLUEM DRIPINb. . . . . . . .QI
WATER HLATLRS. . . . . . : I CA I'GH 13Ab I NS. . . . . . . :0
R
'F A I1\1 DRA I NS. . . . . : I
LAUNDRY TRAYS. . . . . . .. I b
GREASE TRAPS. :0
5 OTHER FIXTURES. . . . . :0
SEWER LINE (-Ft) . . . . :0
WA T E R L INLE" (f t I ILI 0
1`6111\1 DRAIN iftp ) . . . . 0
J, U I T C)JNI
INC. $ 14L0. 016 JH 01.3
_jW i' .ik LOOP DE-RT' $ 493. Oil JH 4i1.3/25/93
LAPILL t 40. 00 JE-1 03/25/93
's j.4. b 5 JH 03/25/93
;it j 15 K-
'c
+- 7714 BFILL, 15. 00 JH 0:3/i
SOL)c t 280. V101 JH 03/'M/13
Or't '#"Ict OV PARR $ :",00. 00 111 03/i i/9,;
11FIR, $ 45. 00 J11 03/25/93
i_ CJ MPLL $ i i. "Ci JH 03/25/93
m5pc $ 2. 25 JH 0,x/::5/9;;
k- P I' R'l t 170. 00 JH 03/25/93
I'l 0 11 F,ii7 P5P'C $ 8. 50 j Vj3lj:519,3
RLOUIRED INJ3PEGIIUNS
islikked subject tc. the reg
L (jntained in the Tigard Municipal font/found Insp Rain drain Insp
of Gr-e. Specizilty Dudes and Ali. Past/Beam �3truut Water- Line Insp
r ap�_ i !.-able laws. All work will be done Post/Beam Mechan App/c,)dwlk Insp
u:.t i-e with approvPcj plans. 1'1'i-Ls Insp MechAnicaal Final].
I rf I oor Plumb Final
111 '. e)jAJ. expire if wark is iiut started PLM/Unde
ci�-ays of is5:,-tance, at- if wut-k is lyiechanicall Insp
1. B u i I d i ny r,
!cJP .: for mare than 180 days. PIUMb 70p Chit Erosion Control
F rem-"vig In,.;p crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Board Insp
1 .tmbing Contrac:tc '.signature
j 1
..........
CITY OFTIFARD
MY
ammm
COMMUNITY DEVELOPMENT DEPARTMENT ;1(,4b1*L.R PERMI T
13125 SW HWI Blvd.P.O.Sm 23M.VqW,Or"m 97 (500)09-4175
CTWARD7
C)ITE ADDRESS_ - 102013 15W RIVERWOOD
SUBDIVISION. . . . . F41VERVIEW LSTATES if ZONING:
DLOCK. LOT. . . . . . . . . . . . . :63
BUILDING
i,'1_:'ISSUE:MS*)-9,3 -012110 DWLLLING UNITS: 1 BASEMENT. . . . . . . . .0 s
i_'LASS OF WORK. NEW BLDHMS44 PATHS 3 3 GARACIL.. . . . . . . . . . ..100 s f
YPE 01' USE. . . :UF FLOOR ARLA13-- , - - - f'%EU!UIRLJj
YPL OF CUNST. -5N F I R 13)T. . . . : 1160 s f LEFT. . : Il ft RIGHT. : 11 ft
i.JCCUPANCY GRP. -113 r;ECUND. . . . I L38 9f FRf"N''. LO ft REAR. . :38 ft
STORIES. . . . . . . :2 THIRD. . . . .-0 s f REQU I RED-----------
GH'I.. . . . . . . . .
.E:") ft TOTAL ..__..._._.--w ,'416 sF SM01-',E DLTLC*rORG. :Y
LOOR LOAD. . . . :40 Ns VALUE". . . . . $ 2 IL33a8 Pi4RK ING SPACES. . : 1
Pmar-ks. PATH I
PLUMBING
I NKS. . . . . . . . . . ..L FLOOR DROINS. . . . 111 BPLK%FLOW 1_-1REV1'4'TRS. . :0
,-AVATORIES. . . . . :5 WATER HEATERS. . . I TRAPS. . . . .. . . . . . . . . . :0
I UB/SHOWERG. . . ., :.31 LAUNDRY rrRAYs. . . j. -IATCH 13AS INS., . . . . -0
4ATEP CLOSETS. . x3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
'IEA-[W�G_'HLRS. . gl WATE*R LINE (ft ) . ' 100 OTI-iLR F I X TUHC'a. . . tO
6ARBOGE. D1SP. I RAIN DRAIN (ft) . gO
WASFIING MACH. . . : I Sr- RAIJ,4 URHINI,;. . c
ML CHAN I CAL FEES
UEL TYPES---- .............. .... U 1\1 1!' 111 R'.:, 0 type amc)'Arlt by date t-ecpt
,'L VENTS a0 TIF $ 1460. 00 JH 03/iE'5/9.3
, iAS/
MAX 131 L) VLN r FANt]. . .4 DPRY $ 4'):3.. 00 Jl 1 03/25/93
P*URN ( 100K . . .,0 HOODS. . . . . . : 1 BALL $ 40. 00 JH 03/25/93
FURN I WOODS TOVLi. .4.) f-3�j 1i 4. 6 i JH 0,3/25/93
'LOOR TURN. . . . .0 CLO DRYERS. B PL C $ 15. 00 JH 03/25/93
1_01L/CMP ( 3HP.'t11 OTHEr4 UNITS,., 1 '3 G U L $ 8121. 00 J11 01'3/23/').L
GAS OUTLETIS: I PARK *4 500. 00 JH 03/25/93
Jwnei R'.- $ 45. 00 JH
,_HL CONSTRUCTION INC MPLC $ 11. a`5 JH 03/25/93
110 SW Fll:< LOOP 11 S.P C t L. c.'5 JH 03/E5/`.)y3
PPRT 170. 00 JH 03/25/93
i IGARD OR 1.)7;_`: i P'5PIC; i 13. 50 .11-1 0,3 5 ).3
Whone #: 624-7714
CONSTRUCTION INC
110 SW FIR LOOP
I
IGARD OR 972C.3
'hone #., 624-7714
3049. 65 TOTAL
iis pervit is issuer subject to the regulations contained in the REUUIRED INSPECT IONS -------------
'ivard Municipal Code, State of Om Specialty Ccdes aro all other Fcicit/f`a,.md Insp Fiv-eplaL-e Insp
ipplicable laws. All hark will be y Iccoroarce approved V:Icast /seam Str-itr_'t Gas Line Insp
This pervit will eNpire if Post/bealm mechay) An�:'_Ilatlurl Insi,
iys of issuance, or 01 work is su.-I Pim./i-indslab Insp byp Board I n s I,.
P L M.,"U ri d e i,1'I o c)t Rain dr-aii, Insp
lvleahaniaal Insp Watei- Line I n s V)
F-'111.imb Top Oixt Oppv-,- ',dw I k .?.n v,p
-iminr le'.:Ila -iri,
A Insp i� nic:al
T t,'B
7--
T1roFTIFARD Aii�� i
CITYMMMIRID) ',H'iWER CU'i4NLL1tON
COMMUNITY DEVELOPMENT DEPARTMENT OR190N
13125 BW HWI Ghfd P.O.BW 23307.TIPM,Oregon 07223(1500)4344175 (-Z RMI 1* 5WR93-01 44
IVE ADDREEG. . . .' 110209 SW RIVERWO01) LN
I PARCEL: 2SI14138—RVO,'
3DIVISION. . . . � RIVL-.RVII-:W D113TATES 11 Z 0 N 1 N3
JCK. . . . . . . . . . ... LOI.. . . . . . . . . . . . . :63
CNANT NAME. . . . .
JSP NO. . . . . . . . . . .. F1XVLJRL UNIft-
(:LW':jG OF WORK. . . :NEW DWELL 1 NG LIN I T I
YPE UF USL. . . . . ..L,F 1140. OF BUILDI14GS11
�.NSTALL TYPL. -BIJIEWR rmPLRv
-14n er, FEES3
IiL C1:3N5`T'RLJC'T1O1q INC t y P dkM DIATI t by Ll a t t-ecpt
71. 10 cjW FIR LOOP PIR111'r JI.-I 03/25/93
35. 14121 ill
IGARD OR
hone #: 6i4- 7714
C,o n t t-�.-A c t L)r, : -- - --- --L...-...-
EONTRACr TOR NOT ON FT;.;'
137 CA 0 10 T P L.
LJ
REWIRLD I N16PEC'T I ONER ..........
is Applicant agrees to cooply with all the rules Rna regulati:)ts Jf�wer Inspection
of the Unified Seo,age Agency, The persit expiw,es IN days froa
tie date issued. The total atourt paid will be forfeited if the
.ormit expires, The Agency does not guarantee tne accuracy of the
:idp sewer latera:6. If the sewer is not located at the seasuresert
given, the instaLer shall prospect 3 feet in all directions frox
ie oistme given. If not so located, A installer shall purchase
a "Tap and Side Sewer` Periit and 'Ve will testa
11 lateral.
1'er,mittep
AA
By :
Call for, inspection 639-4175
-711
13125 SW HA Blvd. PLNCK/RECT 7>�
CITY OF TIGARD ��� PERMJT 0 )?fO�j
COMMUNITY DEVELOPMENT DEPARTMENT
(5°3)6'4171 DATE ISSUED
JOB ADD,R�SS: /U ��� I JGIGtIL.Gr;� L r� TAX MAP/LOT %,5/
SUB: Ici!, �Cl V,LL LOT: LAND USE:
VALUATION: / Z 3
OWNER SPECIAL NOTES
NAME: _ C�F( ( ( c�1sT�auCT� -�-t� c _ REISSUE OF:
ADDRESS: DECSIJ t�r12 Lr_ c � LAST REISSUE:
FLOOD PLAIN/
PHONE: c� d- f -7214 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: �� WI '� PLANNING: �> P�CSG�
ADDRESS: ENGINEERING:
_ FIRE DEPT:
PHONE: S�-�' T w OTHER: �.
CONTR. BOARD #: `3 7 X 2 _ EXP DATE: 6 L?
y�l ITEMS REpUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
- MECH: ('�LSIL, BUS TAX: -____--
ARCH ENGINEER �' CALCULATIONS:
NAME: [►YLY) TRUSS DETAILS:
ADDRESS. OTHER:
PHONE:
PROPOSED BLDG, USE:
COMMENTS: C)T-
�UZ-I 1 Z i
APPLICANT SIGNATURE I
Received By: __ ,/ Date Received: _
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BALG DUE"�,
-•u/ D 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing `-
Mechanical -' )^
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
A Ry30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-446-02 Commercial TIF Feps
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF fees T _
25-448-01 Residential Traffic Fees /35 v /354)
_
25-448-05 Mass Transit TIF Fees / 1 o
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) S-V
24-445-01 Water Quality (fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
IOTAL
nm/35871'.Will
CITY OF TIGARD RECEIPT OF PAYMENT RECE.Ir."T NO. r 9 3-2,38i?7 4
CH[-'-'CI4. AMOUN'r' : 5144. 65
NAME z LHL CONSTRUCTION CASH AMOUNT 0. 00
-)DM)RESS p PAYMENT DATE 03/25/9:3
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
r3UTLfJINth PERM 493. 00 PLUMBING PERM 1'721. 00
MECHANICAL PE 45. 00 ST. BUILD PER 35. 40
PI-AN CHECK FE 26. 25 SEWER USA 2 100. lao
SEWER INSPECT' 325. OLA PARKS SDC 500. 00
STORM DRAIN SDC RESIDENTIAL 'I*flArFTC FEES 1 :350. tb@
MASS TRANSIT TIF FEFS 110. L71171
LOT 63 RlVE-' ,VlFW 11
10&09 SW RTVERWOOD LN
TOTAL AMOUNT POID - 5144. 65
I'', 14- T f f I t 0yMFN I KA PIPT W.I. t'93- �,:'3 4 1
CHL-t-VI PM00-IT : GO. 00
1AAML., C0l,J5TR0f7TTilj',j T!41*. CA'41 AMOUN t' t 0. IALA
4-jw Vlpt LAI(if:', r,i-)YMfJJT' DA7[ s 0 3/05 X33
rionpo, UR �,1.16D T V 13 1(311
1-I.11;1"CSF CIF PAYWNT AMOUNT Pfm) VJRPCI!if' OF V"(1)"IVIENT CiMUUNI PAID
R 40. 0 0
.(',K Pl.,.Ar,' k 1: E, 2:,5 R
-L' --i24 40. 00
RIVERVIEW 11 LOT 63, RIS11;l,',Ijk-7
I_t_,l t tq r
RIVERVILW It LOT 70, kt t t.,icLif LOT JA Pliti-tt: I
Torw.. fll%IUIJN'I' PAID -