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11764 SW TIEDEMAN AVENUE i I 11764 SW TIEDEMAN STREET W W W W 1F1W1tWWFAW1ffx1ffjWm CERTIF'ICATE OF C1�OF XIC�,�IRLQ OCCUPANCY [IYOFTWARD) Pf:..F*MIT Po . . . . . . I MST90-10243 IE COMMUNITY DEVELOPMENT C. 011111, 13125 SW Hall Blvd. P.O Box 23397,Tigarc: Oregon DATE ISSUEDi 111/05/90 '311k ADDRESS- -' 11764 SW TIEDFAIAN AVE PARCELv IS135CC-00702 1A.H.11DIVISION. . . . I ZONINGS 1"'I OCK. . . . . . . . . . C LOT. . . . . . . . . . . . . I GLASS OF WORK. sNEW TYPE OF USF. . . I F-r OCCUPANCY GRP. sk3 OCCUPANCY LOADiI18 4 I ENAN Remarks I KAOI Z HANJ 145W5 S KIRK RD ORLIGON CITY OR 97945-0000 Phone 04s 503-632--3846 Contractor) HANG KAUTZ 14565 9 KIRK RD OREOCIN CITY OR 97045--0000 Phone #e 503--632-3846 Reg #. . 1 39903 Occupancy of the above TIPferenvied building is hereby given, tnd corttfiec the compliance with the State Of Oregon Specialk:y Codes fo-,- tne grotip, occupancy, and rase tinder which the referenced permit was iosmed. IRE DEPARTMENT OU DINO 'INSPECTOR PUIFqWO0 v ...... ' ——�—1 c WL. POST IN CONSPICUOUS PLACE IMIt 1, INSPECTION NOTICE City of Tigard Building Department artment P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Daze Requested Time A.M. P.M. Ad-iress _LL %Lr?Z— '_�Z.� .��C�a� _ _ Permit -,1),2 y Owr er ._---- _— Lot 11E Builder ^— The folln wing Buildingode' deficiencies are required to be corrected: i% �. '��_ ...d/i4,;;T> L�•�/s ' i�'7��i ��zs`__�^-'u.zrc. i��T .[1Ps'�'��•al y AV P i� -- i Presented to Inspector _ 1 Disapproved Date l CALL FOR REINSPECTION YES E-I NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of inspection c - Date. Requested Time-A.M.-P.M. Address u 74� ye/ Permit # �� Owner ..___ _� _ Lot # BuilderThe following Building Code deficiencies are required to be corrected: a VA 0 kp r 3 404 Presented to ___ /J Approved Inspector _ l� _ l isapproved Data --� --- CALL FOR REINSPECTION [� Es ❑ NO W i 1F i �1 Ill► p f�P Ir!' INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 9722.3 Phone: 639-4175 -Type of Inspection Date Requested TimP.M. e A.M. ..�L�/.__ Address __ Permit _.�G���-� Owner_ Lot Bui:der Z/)'.�.�--- `Code deficiencies T C1enc1Q3 required to be corrected:are The following Building -- � Z hy v 5 E: —trL_t t7E�S TLS_ _ .:��vim�ALctL_ o d L _ c.=,•.rn �Ad c1! ii D� .c�Q biC A C7 Presented to _ _1LpyoT L-76G Approved Inspector (/�!l iG disapproved Date l� ✓ /��-- CALL FOR REINSPECTION C7 YEs O NO INSPECTION NOTICE f% 1 City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 9727.3 Phone. 639-4175 Type of Inspection Date Requested.T-� - ,� Time � A.M. P.M. Address Le,? J Permit *.r/,/) �- Owner---77 — Lotea # E;uilder —- — The following Building Code deficiencies swtequired to be Corrected: Presented to Approved Inspector / Disapproved Date CALL FOR REINSPECTION F1 YES 0 NO INSPECTION NOTICE K City of Tigard Building Departinont P.O. Sox 23397 Tigard, Oregon 97223 Phone 634-4175 Tyne of Inspection Date Requested _ -s em" Time A.M. �P.M. — Address �� JI��L� _ T- L�I�G[.e>�zac_ Permit Owner 1 �— ..._� Lot 0 Builder t_. The following Building Codn deficiencies are required to be corrected: I.l�lL �I — 'L4 AfE — — _- - _1� 12AL _ - - Presented to _ Approvr.-i Inspector �i9i.ppruvel Date �t — 2.� '�C CALL FOR REINSPECTION PE! 0 NO WW XW XWLIR W INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone- 639-4175 Type of Inspection Date Rtiquested--- Time A.M. P.M. Addr-ess Permit Owner Lot # Buildor ?, 'c5e-C The following Building doMe deficiencies are require, orrerted: riesented to A A pproved Inspector U, Disapproved Date CALL FOR REINSPECTIOAT 0 YE! L—J no INSPECTION NOTICE City of Tigard Building Department P n. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionJ�= �`�cLl�.e�li� --- -- -- Date Requested.. — Time A.M._ _P.M. Lf Address �—j1 Permit 46�' � Owner_-. � U� - Lot& Builde• —_ The following IEuildirtg_I e deficiencies are required to be corrected: Presented to -- __ ___- - --- FrApproved Inspector /_ _ __- _--- ❑ Disapproved Date X —/ _. .- -- - CALL FOR REIINSPEC77ON ❑ YES NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 233W Tigard, Oregon 97223 Phone: 939-41�75�" Type of Ir.spection Date Requested yam- Time n A.M. P.M. Addrasa � Parmlt Owner __ Lot #t Builder —'L3 – The following Building` ' e deficiencies are required to be corrected: Presented to --- Approved Inspector _ ❑ Disapproved CALL FOR REINSPF~TION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-41175 Type of Inspection Date Requested Time A.M. --- P.M. Address Permit Owner Lot #�— Builder r The following Building Co&. deficiencies are required to be corrected: Presented to _ _ �T Approved Inspector _ �_� Disapproved Date. CALL FOR REINSPECTION El YES C] NO yes INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection ' / - - - Date Requested r "'�oGTime ��' P.M. Address __ _��7G� ��i�S '"c '� Permit #1 Owner _ — --- - Lot — Builder --- 1 The following Building Codwieffciencies are required to be corrected: Presented t _ l� f+pproved Inspector ( ❑ Disapproved bate CALL FOh REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE P City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection - '- ?- e-- Date ' _Date Requested � � _ _ Time /1'A.M._ P.M. �1 Address _ ' _1_C� 2LG�-tom/ Permit Ow+ier 71— _ _ Lot # _ Builder The following Building (Dade deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Dolts _,_ CALL FOR RFINSPF,CTION 171 Y E 8 (_] NO i i � � I I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 �- Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_� ` �— _ Time A.M. P.M. Address -- Permit Owner Lot #. Builder � �.�- - -- — The following Building Code deficiencies are required to be corrected y//f -- r► Presented to _ Approved Inspector _ __ _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO I I I INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Requested=7 I q el 0Time_ A.M._`��P.M. � Address 1 L01-/ 1 1 eAC-WI AAV Permit �O- Owner Lot # y 3 Builder_ The following Building Code deficiencies are required to be corrected: i v Presented to (J Approved Inspector — _ Disapproved Date l` CALL FOR REINSPECTION ❑ YES 11 NO C11YOFTIIFARD PIASTER' PIERMI T COMMUNITY DEVELOPMENT DEPARTMENT � oN'4� FBF R'PI I T' #" " ^ " ` " " ° MST'"�rd-(324 3 11126 SWHall BW. P.o.Box 233397,Tigard,Oregon 97J.q(¢03�m3m-A17B R'R:CI*I. il, a MST9O�-0243 , ;'J 4 % DATE ISSUED' 07/1:3/90 SITE. ADDRESS. . . e 11764 SW TIFIDE::PIAN ST PARCEL. J.S:135CC--•OO7O2 SUBDIVISION. . . . %; ZONI:NU.- BLOCK. . . . . . . . . . e LUT. . . . . . . . . . . . . . BUILDING REISSUE: DWELLING UNIT'Se1 BASE=MENT. . .. . . . . . eO sf CLASS OF' WORK. «NE::W BE 1)R11S e:3 BATHS e 2 GARAGI::. . . . . .. . . . . :440 s f TYPE OF USE. . . "SF F"LOOFA TYI:'E OF CONST.. «;:i hl F-IRST. 1.472 sf L.EF'T. . «9 ft FLIGHT. 217 ft OCCUPANC=Y GRP,. «R3 SE.COND. . . e 0 sf V RONT. «20 ft RIEAR. . 139 ff.: STORIES. « 1 THI=RD. . . . «0 1a RE64UIRED---- HEIGHT. . . . . . . . ._.HEIGHT. . . . . . . . x16 ft T'C)7AL. « 14'72 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . .'40 psf V01 UE. . . . . 69744 PARKING 91=10CE S„ . «0 Rema•rF,s e _.___._......... ...._ .._._.._.._._.._._.__.._._....__.. ........_.. .._._._. PLUMBING _._..._.._._.__._._._.__..__.___.. SINN.!ii. . . . . . . . . . « 1 FLOOR DRAINS. . .. . «(d BACKFLOW I-'REVNTRS. . «0 LAVAT(]RI S. . . . . e2 WATER HEATERS. . . 31 T'RAPIS. . . . . . . . . . . eO TUX:+/S SOWERS. . . . «2 I...AUNDRY TRAY'S. . . -0 CATCH BASIN S. . . . . „ . ttO WATER CLOSETS. . e2 SEWER LINE (ft) . :0 GREASE" TRAPIS. . . . . . . eO 1)1:S11WASHERS. . . . .. 1. WATER LI:NI (ft) . : 1O0 OTHER FIXTURES. . . . . «0 GARBAGE DISF'. . . : 1. RAIN DRAIN (ft) .. «0 WASHING MACH. . . « 1. SF' RAIN DRAINS. . « 1 _.___._..._.... ....__.._ ME-CHANICAL - _.._.._._....___._._... FEES FUEL. TYPE a _.........,..__....__ ._....__ UNIT HTRS. . eO type amount by date reept /GAS/ / / VE=NTS . . . . . e0 F'AYM $ 100. 00 JLH 06/29/9O 2O2228 MAX INF'1I.)T«0 BTU VENT FANS. . «3 BPI RT $ 343. 00 ! i F URN < 100K . . e 1 HOODS. . . . . . e 1 BF'LC $ 222. 95 F'URN >=-1O0K . , e O WOODST OVES. :H B5R'C $ 17. 15 FLOOR F'URN. . . . aO CLO DRYERS. : i STDC $ 600. 00 BOIL/CMF' ( 3HP e 0 OTFIER UNITS-.0 SSDC Ai 3 75. 00 GAS OUTLETS: .,[ PARK !g 250. 00 Owrier.e _._.._........__......._._........._....._._..... _...._......_____._.__.._._........._._.__ MF'I:T t; 36. 00 KAOTZ HANS MF:'LC: $ 9. 00 PI aR'f.: $ 1..60 / 1.4563 S KI=RK RD f'F'RT to 117.50 OREGON CITY OR 97045-0000 P5PC $ 5. 68 F'hJlle #.- 503 632-•3646 PIP YM $ 1676. 26 JLH 07/1.:3/90 Carit:ractor a VAOTZ HANS 1.41565 S KIRK RD ORE==GON CITY OR 9'/045...00OO r-'hone #e 503-•632-•3646 Reg #. . « 39903 $ 1976. 26 TOTAL This permit is issued subject to the regulations contained in the - ---- - REQUIRED I NSPEC'T I ONS - Tigard Municipal Coder State of Ore. Specialty Codes and all other Foot/found Irisp Mechanical Insp applicable laws. All work will be done in accordance with approved Wtr F'•roofinq B!sm Plumb Tap Out; plans. This permit will expire if work is not started within ld6 Past/Beam Struct F'raminq :Cusp days of issuance, or if work is sus for re 186 days. Fast/Bwam Meehan F'i rep:lar..e Insp L_.� Crawl Drain Gas I_i.ne Insp I"'ermi.ttpe " ignat�.rr'ee Plm/r.tndslah Tn,p Insulation Cusp 1 '!3t.rera Dy.- GILM/Underfloor Gyp Board Insp - __.._._..r.._..._..........................................._._.. ..__...._ F*t Drairi Bsm' t Rain d•rai.ri Insp G Call for ivispection 639-41.'7 5 SEWER CONNECTION c CITYOFTIGrARDr-'ERM IT CETYOFTWARA r-'ERMIT #. . . . . . . ; SWR90 0':'.03 COMMUNITY DEVELOPMENT DEPARTMENT « FRIM, PERMIT N. ; P11ST90- 0'4.3 13126 sw fwi Blvd. P.O.Box 23397.Tigard,tar eon 911 4 �6 „sA + i1 DATE: ISSUED'; 0.7/1:3/90 SITE:*. ADDRESS. . . ;; 1. 1764 SW TIEDEMAN ST 1=DARCE:.L; 1S135CC--00702 ]:>UDDIVIGICIN. . . . ; "I_IJNINGe 1:11..0CIIS. . . . . . . . . . . LOT.. . . . . . . . . . . . . . TENANT­NAME. .. . . . » l.lt]A NCI. . . . . . . . . . :42340 FIXTURE UNITS. . . s CLASS Of'. WORK. . . .14EW DWELLING UNITS— : I. TYPE OF USE. . . . . ;fSf" NO. OF BUILDINGS' 1. INSTALL TYM. . . . ..DUSWR IMF ERV SURFACE-9 ;!s f (3wrie'rg _._______w_.__....._.._..._..__..._.....__. .._.__..... ._.......__._ _ ___.__...____.____._ FETES _.._.._._........... KAOT1 HANS type '7mot.trit lay date -rrc:l:)t r'RM T $ 1500. 00 1,4565 ;S KIRK RD INSI $ .35. 00 OREGON CITY OR 9704"5--0000 VlAYPI $ 1 535. 00 JL14 07/13/90 171ha1ie #.- 503 G31'--3846 Cc)rit•racta•rt ...... .___-____.__._.•_..-.__....._.._......____._.._.___._...__.... CONTRACTOR NOT ON FIA-1w P"har►e Ng 15:35.00 TOTAL _..........---_...- REQUIRED INSr,ECTION5 This Applicant agrees to comply with all the rules and regulations 5e_we-r ?.nspecti.al7 of the Unified Sewage Agency. The permit expires 128 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not lorated at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer sha1T purchilse a "Tap and Side Sewer" Permit and the Agency toil] install a ............._._...............___.__.__....._.... .. ....... 1 e•r m i t:is e F•a 11J.q r1<a is I r r e» I.SSUe(1 I•:+Y o ............ ....... ......... ........ .......... _. Call fa-r i.vis;per.tir)ri _ 639--4175 I I T'Y OF" "r I ripRD - RECEIPT OF P -YMr N-r. REE E:I P T NO. :,;0--,4-,f.:)26.216 CHECM AMOUNT x "441:!. " tiplMF VAUTZ, HANS (.,ASH A."OUNl t:' CIO AD DF'ESS t 1456!7, a. h1Pr • FST) PAYMENT DATC- +7? 1 w CcURDIVISjON ORI CGON CITY, OR 97045,— 11?64 GO T I EDE.:MAN i"UFS POSE OF PAYMENT AMOUNT PAID PURPOSE OF PA Y'MENT riMOUNT PAID Fail I LD'C hJCa F'E:F�M Mu r"?a.�—%t�4'" "1143. 00 PLUMPING PERM 117.50 MECHANICAL PE: -6. 06 `•l" BUILD FEN x'4.87 f:•I,_HN CHECh:: F:'E 17.1 . 95 SEWER LISA i Wr,F' INSPECT .C.)Ct ."_*TFiE:E:T ".-.VC !" •FI :; SCLC, STOPM DRAIN SDC I 1 'TOTAL AMOUNT PAID - 4t. . 2S Ii! � � i• i• � / � � -11-9y0 WED 9 :35 DAVID TRAVIS FLOORS 5035324577 P. 01 cf 4 n: 'r ilo / t/ r//� S � • .•M r. •u V s6s, ^ 7 r; 0uN►deal «w��•�.a>�r.a�',+ waw •, envy hl Of ^01111N• � lac : •" �t JUL 199 90014416 Recto list? �11Y Uf IGAKP 04/241990 01I219110AN aLANNINr DEPT, J11L- 1 1 -90 WED a :36 Dwv I D TP"V 1 S FL.CIQRS 503E.3246 i r a NR L �rt • ;,•� :` � ���,� , ,i`� ,� I 1. 1� 1a1t 4t !/d tei.r umdeb a1 iw 1 rt qtly al► w low �■wf � iM!>i� M to ow �rMrt b tpl. raRlerw•f�.t e16ai61a�f!. 1lwat" I NILWOtoobar / of an wb.m* l,' M •1 sA • r.trt !sea+as N1t•avr. sumo ria11 a1 on "od"M ewe uau sat atlKvt r11 Nml 10MOM 1fM M mid iwrtdar * M41' Jews &-,VtM A Ata � tleai4. 39. et+rr•• aw b rive eeagelfae N I.r. 'rle6�gR/ Aroyee q. wets •fi Mit b +, emsorline tar%sf f0"u'!!t' feat an.10 tees sa Ilaa1 tie tMte+ •Sass e4o rse` ilr+•/ ordt 6wQ f W ell meprelr 111114 gs �M it rod • 4 �•ees�iais Ier !N. /►-94Rtl. Mm$ 1/"!6'109 MI 191.10 tit„ L/1 IoM im 1110 in 1 /arab 11"!1 Le as% 111. ttu O'n•r «*" •t .d� ""I tw.• .to A:.... li.. .e aw Ina+ Iwna � "t st/" floss real t)./l teat! %be"* rrwtll N0l6 31+' r$vs6 1!.11 ta", e3tatM�gt1e1► � • + k 33o34'3ow pert 61.3! real tbw" 3lreth 10"09'!0" Orae .11 hue 01 N eb Few leen F7;ti1 t`l Ttl/61t11t11 ern as 4tfall art aali�idad ts-nsrtar Wets" im eaMe4l1/ � ttlde4s0•InRs ,"t� • � M that lad 6eaisseeed to Isnot A. Not tapesa. 61iff" rad MtUtadtma. 40rar. etNeo r! r};, i •area the follovisl deeetihod irawt A+ ti 4 r . �. M1Mie0 at $ /wise 10eotod u tell.... aerwrls/ at the Lr. freer•. N aril Ia.tito 3!. tb.re• d.a/ the era iW et ore's ties 33. bore W"33'W rets 16'S.t1 ttn•t a , �' An. (Crwtt Red AaS1: :here• a3ays abs "Wo'live rho maat•tlis• of O.M. ribso es hrrre.gr of wit w s1 elt4s00 $Sons alma festh 30"36'33• Imre 411./0 feet to ebe •erel'v"I � a•tR► lis• •t Mid Let 1. amt to rertb it" of that Stell do-Ir the 3o h•6 t!�►It�+q tee R•. 11-'1431!. Booth q"36'10" L.e 314 teat is . ►wh /ea toN Net i• (30 toot mat right •este• to maid owatetlise) •M ►siyl t6w 00"l�9' !041 ' r be/aaiart ebwM• •wsclmie iia?, 16"56'10" tare lo3.40 Intl tw+$ /+rt1m !tat 11,11: teats thw•ea /owe. 3d 3! l0" 94rt 10.00 test' ttosa• 01 fere 107.At t••1 to the M foot tilbt M "'r! lips of /. t. tiodow Awl trarq N•trth 3092601!0 feat 94.11 test !r tie tree Mint et b*1120406. 1APM it Portion of ;.0t 1 et the dnl7 rnaeNe/ ;IP Oho telieaiss deaeri6ed peNe1 et lend belts • pr vtwt of /emtL" �•:. plat •t t1laZrwlUb RutaRt'/ ADolT101e. 4104 sieaoted 1D tow ao•tewoCi y �� al. Twoobit 1 /meth. lees• t Neat of tie 1L11arotte 11•till.ty. Cite t.t Nan%amltea Cometr. 0re/e10• tali/s"b at 6 pelat t•oated u tmllwr, em�a velar •t tM b M4211et $ert40`1 3 "is 1•otiaa 35. tb•a•o time the hoot him of gold Iwatiot Il41ttb 00.31.06" fast Sri•N het to ti• •eee•tiU$ of 1.f, tiNraan Mwia• (0es*t7 Read A-9!)' brat• s!ee� wbt ~8111s6 fort► )0"16'13. Ort 151.63 terve to the lm meet eeralrr of "1/ Loa It tbmr4e 6i•as Ria 1140th lint d paid Let,$ all the stb ties •r dmatiis pl.t of is Owe/ ; Meetdlsl poo We. WJ441=' 1000Aro•,6' •e 10" Nan 340.3! tm•e to the tt+ a byiaslntt t%*"* Nerti 00"01'M' far! I).1 tMtl tbW* *"I, 11"i6'3o" Nowt 93.40 feotl tbwam• fortis !6•)S")00 toot Mat tbeet• Nath »'34'10" wt 61.33 row tbome atatl+ N036'109 tact 13.11 bertilm6 IN Ar. "•541131 thea•• 3. teat to tt114seer lis• et that laved datrlbod is tJe41 atoms ell lout line of 11.14 00011 teeth !10.01'0,0 tart 13.71 feat to • 3/A trete leer five do ommmot $*crew of 044 0es41 tbeaee R*rtb W164100 Nmet 101.15 tort to Rbe Y h'r• point of ►pirrtme. t TM4tMr eitlm r "Oak pal trdlofded Orr ta•tt•t inter"t u woombit ad raitmt$aaa•o of tint lend derllvvatM u Tr•mt A. amt inataas. greog uI rtUitia•. s+tvt. etcdte awl c "tete the tellwing d•oerliot Tract A. ' 600calia a • polar looted u 1e11me. emrsa*el*t re tM remeMw•t teener •t Nf1 00 goot laeelem 15. thence slams the rest ria• et sail I«tlea 3ed�4 ,)1 t0b merlgtwtt seater ism• r feet to Rb• esstewline of t,N. lio4sma Ate. (Cemtl , forth 30.36')!" feat 431.10 feet to the •ertheert core er of raid Lot Itoire$ ales./ the a soft% tike of role tot I rad the aertb Liao of Chst load u d4.OT004 it sa•i twoerliss R poo Mo. /1•)431! Aeetb 66'36'1041 last 34.11 tett to the 10 toot ri6ht et sol lice (3C , feet 61tso to said esate-lime) raid bele! the tree pet"t of ►wsiadmst t►oer• Ioaeb N•!�'l00 l rt 101.40 foots thane WA 00 0311 teoel ebsre• Ioeth !6•!!' $00 Nut 1S.R0 164%1 tbesoe Retth 19•!6'109 Nest 101.W tr'30' Nest 11.ot le t►• .0 to" rtaht of rV ILM 4f I.N. Ttedeame Aw"V61 014646 North 90.16411" Rj1111WrWot to It W4 err• Lj JUL 19 0 1 `:� l Y :!f i Ili{1KU �r w Ji_iL - 1 + bJkU - Lig+': IU TRi4'•_' 1 `. FL1:11iF-''_: 150-x-63-'4677 F', 03 4 , '' ; / � �• Ra Otalran a+•}rwiAadl L r Asst". soup" ad s••ttlaaa Mt w Y �,�•- fid ABY ;� '"� �. .. 1.. tif• A•/1a11Af+ d•se•O.ev soad /ra/Mtf hoe M •rarees �l�w•t�4ti fia+111 ars ysad,�t y . � fafi rlrac�as M1bCfliioR 111 ` :,, `' ; , 1l/a itwttsa�t vin Mt shard we at th OtorortI 40e11rN M trda iftol"r t on wish,ua •o dwiadlla laaa was two ad r+ials"a•s. NtM•R •10•A•R w so =11 a" ;•atttawt� tse f7erm ana1ri'a0 i4• title to tho Ohm" 16046 sots • q/rgriata •lq •. d•+.g rlw•ia0 hoNews t. w.th appe 0t ...•- n '�• �It�0Att01lOr .. ' ma of Afs00awt 00 iM mna OaMO>AA morin w aaM W M 00. lawlt M f mu 1! MD !0 101lfts A PM m aalarfJf OpORl1M UTIM Rr"m LZNM w 0 lifAffll `� R"Rw. alw mu"MMM MXNXPNW MOAa>fM ft"". ?re "we arrailswtiwt fort two •w.q•w is 131.•00.00. "t" tris pebr"r9 19. 1000 p if • so-rove ta pest•e,. it bro ••med 1d.ir p r to ba NWA H ••dal of its board •t dirsot•r•. ; 4•. r 1 --- •tor A. •qr, i'• ldse ' , �. 17Iki5 of cO"O 1 larr•ar� 11. 1100 IW" rers••all) 4""Y0 ralor A. R•s1lk war•, ON% tet bl..+l f ftA , 1 set for the R•tMr. du say tlit the t.ru" i U the eh,W"Ot. a•t tket the 1•tt" I io tbt MarNaq of "Rrm Y said iwtxwaat •se •,good as "belt of f Bald Rwloe+ties 4.� aot%, r4tr of its herd + •t llrestrrto f sad emb of tbaa oskaw10464 M �� saki upt"I"t,so " its r•ltstary Mt two � ' Atter ~ �R r,1 and � '219100 1 i WT VOW � dra•er Ne /tOrfb►0i1 tsl - Ord� I . .,� i :ITY OF 'TTGARD f*l'U7C'EIPT' OF f,p' 'Y'NUNT PF-;.CEIPT' 1'40. .2 CHEM':' AMOUNT ".0c). 'XI KAUl 2 HoNS CASH 'AMIUMT Q.(m.'. ADIDPESS t4565 S. KIM` RD PAYMENT, r)ATE 6 291,190 SIDD I Yl S I ON OREGON L;ITY. OP 97045- PUPrOGE Or PA'WFNT AM)I-INT 1"4410 Pt..IRPOSE OF PAYMENT AMOUNT PAID P�.,AN CHEC� Fr i .71F72R AMOUNT 1"01r) 00. PLAN C2 XX APIIIJC C I TY OF T IGARD ��;= , .8 B� �` (/ P.4.Bou23m 97 PLAN fZilX3C .J ria o.oU«, 7223 eavd,;, PERMIT 11,)!: c Uy Z q .3 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED jou JOB ADDRESS: d -76 (/y 5 `",J ;�- �'d� l �„ TAx mAP/u7r iS/-2- c c SUB: _ _ 10r: IAND 1USE: WaIMTION: OMER SPDCIAL NOWS v� REISSUE OF: AMPESS: IAST REISSUE: _ FLOM PLAIN/ SENSITIVE LAND: _ PHONE: V b �F?'PRt7VAiS RBOUIRED )"4p E1JG31a3ERM: ADMESS:J L/�� �,' � _ FIRE DEPT alzlFst; - — PHONE: 1rFMSX7UII2ED MMWERS BOARD 1: 9.10ESP DATE: LIsr/ . BUS TAX: tIENGINF v CAIfIZATICaNS: — NAME: -� P-� r 1 _ TRUSS DETAILS: A : C►IIIIR: - -- — firm: CX144ENTS: SUBC0NIRAC"IC}RS: PIJUMB; I PF144FT / AOCr ,¢ Df -4MTPrIC N AN IUM ANIM PD. BAL. DUE Irl;r 9V c'av j 10-432 00 Building Permit Fees -� ' ' 7 N J0' -� 10-431 00 PlUlnbing Permit Fe(, �,- // / )v 1.0-431 Ol Mertanical Permit Foes- ^u 10-230 01 State Building Tdx (5%) x 3 F3 Building 7.15- Plumbing f5-Plumbing Mete ns 10-433 00 PlaCheck Fee / (11 �.3 • 7 Building 1 9, Plumbing moc h 30-207. 00 Sewer. Connection 30-444 00 Sc-#x--rInspection 51.-448 00 Street system Dev rnatgp- (SDC) 52-449 00 Parks System Dev Charge ;PDC) rU 3 u 31 -450 00 Storm Dra]-nage cyst Dev Chrq (SSDC) 10-TIO 06 F re IUTAAL. j 3 i3. TZW APP'LTCAW SICMUUM Received By: _ Date Received: of/3587P.WPF - ti 4