10825 SW DERRY DELL COURT-1 ADDRESS:
i Arecordslmicroflmltargetslbuildirig doc
Cit? of Tigard bui.ldiny . ,,,b mt
13125 atl Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-4-Phona)t 639-4175 Business Phonrt 639-4171
r
Inspections
Foottng Plbg. Underslab Mach. Rough-in Appr/adwl).
Fouad. Plbg. Top Out Gas Lin_ FINALt
Post/Beam 9truct. San. Sewer Framing \ _Bldg,
f'ost/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bi. _Netsh.
Date Requested: /_4 1 Time: AM PM
i
Addreset. 1 {� 4 — Permit #/ t 15
Builders ✓T _ 01—Q(q'7
TRE FOLLOWING CORRNCTION AR= NNQUIRios L--
Inspectors V 7�� �3
Da .ar
DISAPPRO' V APPROVRD SUBJRCT To AW"g
4 Call For Reinsp.
ZNSItlI= ,Tice J
C_lty. of Tigard UWA9 Department
13125 SW stall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 nueineee Phones 639-4171
Inspection.,-__ L�Ly-
Toot ing Plbg. Undersl.ab Hoch, Rough-in Appr/Bdwlk
Found. Plbg. Top out Gas Line •INALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Rewe Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor N]ater Line Gyp. ed. -Neah.
Date Requested 'U R `' Times 11M PM
Address:
Z7 `1\� CQ C Permit esM,593-dyr,5-
BuildersTHE FOLLOWING 000RWTIONB ARE RWWIREDs
Apt,
Inspeatort
APPROVED 01SAPPRGVED APPRnvitn stymnrc r in AW)vlt
�] Call For Reinsp.
1C
INSPECTIONNOTICP f
City of Tigard Buildirog Department
1312S M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U--Phons)r 639-4175 Business Phones 639-41.71
r
IOf roationf
rooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pnund. Plbg.. Top Out Ons Line FINALE
post/Ream Struct. Ban. de.I1r Framing -Bldg.
Pont/Beam Hoch. Rain Drain Ilot]lation -Plumb.
Plbg. Under•loor Nater Line Gyp. 9d. -Hoch..
Data Requested x, -_ f Tums _— AM PH
AAdreasf�(�$Z Per'it «fj'3 — e2tOS—
Builders
THE TOLLONING CORRRCTIONS ARE RZWIREDx
r
Ineprfctorf � _
- �. Dates
VAPPROVIM DISAPPROVED APPROVED SUBJECT TO ABOVE
�1, Call For Rsinsp.
CITY OF T I GRD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 27223.8199 (5031639-4171
1
T.��:�1
,�
lmproi, .,s -issued slAoft to the 'regulatims coritaivp�' it, the
ttpfrf pwiniz,gic Coot$ StAt of Lire. Sptcidlty Codes Aric all other tj I h
�0,01icotbim taws. Ali %aik toil: he dart it accordance with sporcvpd l--os+./ppam :--"tr'.tct
it sxpire if Waris is not itht-ted within 180 F.i ,.A m i n g aiir,p
ti j 1 v I F I n P-1
12
0\.
C-41ITY
-, j (� A l uiuswi�allDN& PI_NCK,/RLCT #`MJF T I'dl.[- RD PERMIT A � ✓
COMMUNVTY DEVELOPMENT DEPARTMENT 'rpcACIm"9n23
�so��6i9��a► DATE ISSUED
> SL-)Dcrr-U Det l TAX MAP/LOT ¢�—f .,� /7
. JOB ADORFSS: ��-� ` � _.—�-__
SUB: / z LOT: —L� __-.... LAND USE: — _--- —.
VALUATION: .7—
nWME SPEI:IAL NOTES
NAME: I�r)/tg- fL- T1ac LC1 1��-- REISSUE OF: �_-- - --_
ADDRESS: LAST REISSUE: ---
_ 2-2- _ FLOOD PLAIN/
PHONE: 72 G> ��t S'z� SENSITIVE LAND: _ ----
CONTRACTOR APPROVALS REQUIRED
NAME: —Iiylir, ICl�%C->'/L�CS' -- --... PLANNING: `JL -------
ADDRESS: lf) JGJ /W)/ -f'7t'JILZ ! _ EMCIN!:LRING:
—/OCv�-- FIRL DEPT: -
PHONE: l—��CZ �,�__ ) < OTHER: -
CONTR. BOARD -! i � L_ XP DATE:
-- --�� ITEMS R UIREQ
SUBCONTRACTORS: PLUMB: —` LIST/SUBCONTRACTORS:
MECH: _---- — _ BUS TAX; ----------- ----
A li/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: ^_ �__-- __. OTHER:
PHONE: ---.--_ — ---- --_ ---
PROPOSED BLDG. USE: _� ���=----- -- ---- - -----
,,OMMENTS: --- ---- -- - -- -- -- ----
APPLICANT SIGNATURE
Received By:, Date Received: ���_
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. RAL. DUE
IjI �J 10-432. 00 Building Permit fees �, J-7 --
^— 10-431 00 Plumbing Pernsit Fees
10-431 01 Mechanical Permit fees
10-230 01 State building Tax (5%)
Building
Plumbing
Mechanicol
10-433 00 Plans Check fee
Building .S
Plumbing
Mechanical
10-230 06 Fire
30-202. 00 Sewer Connection —.
30-444 00 Sewer Inspection _
25--448-02 Commercial TIF fees _
25-448-04 Industrial TIF fees
25--448-06 Institutional (IF Fees
25-448-G.. Offic(, TIF: Fees
25-448-01 Residential Iraffic fees
"5-448-05 Mass 'transit TIF Fees
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
r _(/6
TOTAL Ccs
nm/3587P.WPF
CITY OF TIGARD - RtHCEIPT OF PAYMENT RECrir,,r NO. 93--2 4 c25,29
CHECK AMOUNT (-.%5. 46
NAME : PAGLIEN, RITA CASH AMOUNT 0. 00
ADDRESS : 10825 SW DFRRY DELL CT PAYMENT DATE s 07/22./93
SUBDIVISION
TfGARO, OR 978,23-
PURPOSE OF: PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
il-b K-b--I-N-—G PE R 38. 50 PLAN CHECK FE 25. O;3
ST. BUILD PER 1. 93
DECK
OTAt. AMOUNT PATI) 6 5. 4E,