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8383 SW DEEANN COURT-1 ADDRESS: %s w E)ae m o4 r t- i.VecordslmicroFlmltargetslbuilding.doc �,F CITE' OF T IGARDOCCUPANCY COMMUNITY DEVELOPMENT DEPAR, WOT PERMIT #. . . . . . . a msl �!4--0156 15125 SW Hall Blvd. Tlgnrd,Oregon 97221-8`199 (603)636.4171 DATE ISSUE:): PARCELS 2SIOEDD-02400 W TL (WURLUS— 08.383 BW UEL.JANN CT SUBDIVISION. . . . : FINUEY PARK ZONINGtR--7 SLOC 3<. . . . . . . . . . t LOT. . . . . . . :013 CLASS OF WORK. sNEW TYPE OF USE. . . ;5F` OCCUPANCY GRP. :R3 OCCUPANCY LOAD cP-27 If TEWANI NAME. . . i Remark% s PAT11 I Owners NEWCASTLL. HOME' P a Box 23291 1,16ARD OR 97181 Phone #q 633-?Ei08 Cantractort NEWCASTLE HOMES PO Box 23,291 1113ARD OR 97�, 1 rhone #I Req #. . % 139667 Occupancy of the above refpi,enced building is hereby given, and certifies the compli*nce with the Statso Of Oregon r3p,?rialty Codell for the gt-wAPN oc,cupency, and use under whic-h the referenced pe wit wmr4 issued D'Elp.) "N- INSPECT'314 S AIN OFF-ICIAL. P01'31' IN CONSPICUOUS PLACE NSPT;CTION NOTICE City Of Tigard Building Department .13125 ON Ball Blvd. Tigard, Oregon 9722? Inspection LinoLot- (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectiont- A _� Footing Plbg. Underslab Mach. Rough-in ApprL1�/3d_wlllk Found. Plby. Top Out Gas Line rINAL: Post./Beam Struct. San. Sewer !ruing -Bldg. Pont/aeam Mach. Rain Drain Insulation y lumb Plbg. Underfloor Water Line qyp G , ad. -Mach. Date Requested s_ 6'ci y Times AM pK AddresseT _ ��/� 1 '��� Permit f: � Ll 0 Builder - � ) 1C39 THE FOLLOWING CORRNCTION8 ARE REQUIREDt --�-L Inspector: _ Data: _ ROVED _ a DISI LOVED APPROVED SUBJECT TC ABOVE Call For Rsinsp. MLSfECT_Ot/ NOTICE / _ ,. Ci" of Tigard Building Depart elent 13125 SW Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O--Phone)s 639-4175 Business Phones 639_4171 Inspect ion — Tooting Plbg. Underelab Meeh. Rough-in ` Appr/Sdwlk 1 round. Plbg. Top Out Cap Line FINAL: Post/Beam SLruct. San. Sower Framing -Bldg, Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor We,ter Lina Oyp. ad. -tlech. Date RequeCstedss —Tiivm,,\�s /_PN O Address:`U 3 C3 �e / 1 [ ✓��� Pormit r s 1 4 1 I J K0 Builder:_, 4 THE FOLLOWING OORRRCT1IONr�s ARE REQUIRED: Inspector: S Data:_2-2 %, APPROVEn DISAPPROVED APPROVED SUBJECT To ABOVE Call For Rolnep. INSPECTION NOTICE City of Tigard Building Department ,/►Y/�, 131125 BW Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businnsr Ph..:e: 639-4171 Inspection:_ Puoting Plbq. Underelab Hoch. Rough-in hppr/Sdwlk Pound. Plbg. Top Out Cas Line tINhL: Po,_t/Beam Strutt. San. Sewer !Taming Post/"am Mech. Rain Drain Insulation Plbg. Underfloor Nater Line Gyp. Bd. Date Requestede ' I� Tias: AK PN Address: (� _ �^ Builder: C kj-A- ' [/LJ�q ` y��I 1 le r - k - 91.jq i TB= 1OLLOIIING coRmcnoNS ARE REQUIRED: j ­TZICI-1-- C., 5 ov. c 1 `M-e e M J Inspector:_r, _i_ Date:_ APPROVED DISAPPROVED APPRCPVnD BURJR/T fo ABOVE Call for Reinsp. INSp99£ION NOTICE City of Tigard Building Doperi�ent 13125 SW 9a11 Blvd. Tigard, Oregon 9722.3 Inspection Line (Rec-O-Phone: 639-44175-, �Business Phone: 639-4171 Inspection:__________ --- rooting Plbg. Underslab Mach. Rough-in Appr/S:tvlk roand. Plbg. Top Out Cas Line FTNAL: Post/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. P!hq. Underfloor Nater Line Gyp. Bd. -Meeh. D to Requested:_ -I - -Time: —AN // AM PM Ac�dresA:__ _— �/717/7 PermiE I: ( 1 5L BuildNr:_ C7-� I THE FOLLOWINb CORRECTIONS ARE REQUIRED: Inspector:, '-- Date: !1P?R011lD DISAPPRO�►ED 11pPROVRO SUBJECT TO 11BOVE For Rainsp. �NSPECIION NOTICE / City of Tiqard Bui.l+llug Aepart:ertnt `Y 13125 SM Ball Blvd. T14iard, Oregon 97223 C� Inapection Line (Rec-0-i"lone): 639-4175 Business phone: 639-4171 Inapecti_on: Rooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out pas Line FINAL: Post/Beam Struct, Sar. Sewer FLamLisg --131d g. Post/Ream Hoch. Rain brain Insulation -Plumb. Plbq. Underfloor Water Lins q�/ Gyp, dd. ) -Hoch. Date Requested f tl U' / / /Times __ AM �� O J __PH 1►ddreaa: Buildor: �P r THE FOLLOWING ODRRECTIONS ARE REQUIP.ED. Inspector: — —� --- ----- DateGG/ --. 'KOVED DISAPPROVED APPROVED SUBJECT TO AB Call For Reinap. INSPECTIONNOTICE L--, of Tigard Building Departaent 13—S MY Ball Blvd. Tigard, Oregon 9'`223 Inspection Line (Rec-3-Phone): 639-4175 Business Ph 39- 71 Inspection: Footing Plbg. Underslab Hoch. Rough-in ApprfSdwlk Found. Plbg. Top out Can Lin. FINAL: Post/Beam struct. San. Sewer Framing -.Bldg. Post/Beam Mw---h. Rain Dral.n /Insulation � -Plumb. Plbg. Underfloor Water Line Uyp. Rd. -Hoch. Date Requa(stod:_G -I� �7 Time: _ AM PH Address — F ��1�1 1.1 T Permit #t Builder: � !e ' / Ile/ -6?Z"- i�i 9 __ THE FOLLOWING CORRECTIONS ARE RRQUIRED: Inspector: _.`—.._ Date: --� 7 7 ROVED — DISAPPROVED APPROVED SUB,TP,[`T TO ABOVE __Call For Reinnp. r-NM1rot City of Tigard B_tildinq Departm ant � 13128 aw mn Bled. Tigard, Oregon 972231 /I f Inspection Line (Rec-O-Phones 639-4175 Businere :Rbis•,i 1639-4173 Inspections Footinq Plbg. Underelab Mach. Rough-in Appr/Sdwlk round. Plbg. Top out Gas Line FINAL: Post/Beam Struct. Ba;,. Bower. -~ -treeing 1, -Bldg. Poet/Beam Much, Rain Drain Insu_ation -plumb. Plbg. Underfloor / Watertne' / gyp. Rd. -Much. Data Roquestede V � TiAws �� __ z�} PM Addreeas Permit fro5/�Lt`� Builders -� T" lOLI.OM7hG CORRECTIONS ARE PRQUIRED: Inspectors _ Dates __"PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Peinap. INSFECTIOY NOTICE City of Tigard Building Department 13125 SN Ball sled. Tigard, Oregon 97223 irepection Line (Roc-0-Phone): 639-4175 Buninees Phones 639-4171 inspect lon: Footing Plbg. Underslab Ch. Rough-int Appr/Sdwlk Pound. Plbg. Top Out Gas Line PINALs Poet/Beam Struct. San. Sewer !rasing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Hoch. nate Neguesteds !/.7 _-9- ?-1/ _ T1Aee _AM _ Addresss q *5 E 190" / - Pe[eit #! Bullders 11 /_ /1t:l!/ /eQ_ h QFIV/I � THE r 00MMONS ARE REQUIREDs Inspector:� Deter - / -/ - _-� APPROILTD - _ DISAPPROVED All 'ROVED SUBJECT To hanVE--off----- A Call For Reinsp. INSPECTION MTL(I 6 City of Tigard Building Dapartmenl, 13125 SW Nall Blvd. Tigard, Oregon 97223 issepection Line (Rec-o-Phone)s 63S-4175 Business lhono: 3 -4171 Inspoctions Footing Mg. Onderalab Mach. Rough-in Appr/Sdwlk Found. `Mg. Tope Gas Line FINALS Post/Benin Struct. San. Bawer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plhg. Underfloor Nateerr. Line c� 1 Gyp. Rd. _Koch. Date Aequesteds_ CnO `.�' !�7 T/}!��_� �� AM _- PM ►dds .., 7- Permit s 91 -06= Bulldars_ "7 7h / Her � � ' THS FOLLOWING CORRECTIONS ARE REQUIRED: tnepectors Dates APPROVED DISAPPROVEDAPPROVED BU----7--7—"' ^g H.IECT TO ABOVE Call For Reinv INGPECTIONNOTICE �1 City off Tigard Building ^epsrtasnt 13125 SM Hall Blvd. Tigard, Oregon 9722 Inspoctlon Line (Pec-o--Phons)e 635-4175 Business Ph s 39-4171 Inapection: Footing Plbg. Onderslab Mech. Hough-in Appr/Sdwlk ftund. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam M'-h. Rain Drain Insulation -Plumb. llbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requested: QQ Time: ----Am _PM CI Address: �Q. -� � n/7 �/[ �. Permit 1.2! -//- THF FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ _ Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For ReLnsp. MENNEN 1Nq�E/ZION NOTICE City of Tigard Ottilding Departments 13125 Bw Ball Blvd- Tigard, Oregon 97223 inspection Line (Roc-U-Phone): 639-4175 Buninoms Phones: 639--4171 Inspection:__ Footing Plbg. Onderslab Mach. Rough-in Appr/Sdwlk Pound. Plbq Top Out Gas Line FINALt Post/Beam Struct. 688&n.SewarFraming -Bldg. Post./Beam Mach. (__Rain pram �t lnsulatlon -Plumb. P11xI. Onderflorr r L1 Oyp, BQ. Mech. ine ine Date RwVs twit J /` Tlms: _.`ISM pM Addresss�.J _ /)�) Z�. Permit 11 Builder: THE FOILOWING CORRECTIONS ARE REQUTRED: Inspect0 !I� Dater APPROVED ---- DISAPPROVED APPrOVED SUBJECT TO ASM ---Call For Roinap.. L IJISPBCTION NOTI(:B City of Tignrd Building I)epaT-ta nt 13125 SII Ball Blvd. Tigard, Oregon. 97223 Inspection Line (Rec-O-Phone)e 639-4175 Buainese Phones 639-4171 Inspections_ �L C—nDd. Dooting Plbg. Underslab Nech. Rough-iu Appr/Sdwlk Plbg. Top out Gas Line FINALE Post/Ream Stvnct. San. Sewer Framing -Bldg. Post/Beam Neck Rain Drain Insulation -Plumb. Plbg. Underticxir Mater Lies Gyp. Bd. \, AHech. i Date Requeetedt `r -� Tiroas,varJ_ —AN PN Addreest e 'e 874,1/' Ct-/- Permit Builders iis TFD1 FOLLOWING CORRECTIONS ARE REQUIREDt _ M a d �Se h equ/eta/ _� r l Z:e)o noon I epoctor: Datw: UY_ APPROVED DISAPPROVED APPROVED SUBJRCP To ABOVE ,_Call For Reinsp. II:SPECPION NOTI(E I `� City of Tigard Building Departaaot 13125 BJ Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phnne): 639-4175 Business Phone: 639--4171 Inspection: _ -- ---- --`�. rooting Plbg. Undernlab Hoch. Rough-!n Appr/Sdwlk Plbg. Top Out Gas Line FINAL: Past/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. Plb9. Underfloor Nater Line j / Gyp. Bd. -Koch. Date Requeateds_„ ..: J�"/)�/ V7 Times _�-M _PM L.Aadraes z , )&/A, /�/i� Permit. Builders 11 p vYt '^RE FOLi�2NG ODARECTIONS ARG REQt77P.ED: Zx i Inspectors _ Dater ---APPROVED - DISAPPROVEDAPPROVED SUBJECT TO ABOVE Call For Reinsp. PLUMBING PERMIT CITY CSF TIGARD DATE ISSUED% 04/28/944--015& COMMU14ITY DEVELOP14ENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (603)639-4171 PARCEL: 2S102DD--02900 S I TL. Al)DRV.S'--:. . . : 0f3,i8 SW C I SUBDIVISION— . - FINLEY PARK ZONING: R-7 BLOCK. . . . . . . . . , ,* LOT. . . . . . . . . . . . . .013 ------------------- CLASS OF WORD;. . :NEW GARBAGE DISPOSALS. . : I TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTPS. . :O OCCUPANCY GRP. . :R.'3 FLOOR DRAINS. . . . . . . :V, TRAPS. . . . . . . . . . . . . :0 STORIFS. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES-_-- LAUNDRY TRAYS. . . . . . : I SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . .- SEWEF LINE (f-"' ) . . . . :0 WATER C"LOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS . . . 91 RAIN DRn!N (ft ) . . . . -V Remarks: PATH I OWNER: - - NEWCASTLE HOMES TIF $ 1520. 00 SW 04/28/94 P U) BOX 23291 APRT $ 438. 00 SW 04/28i94 BPLC $ 50. 00 SW C4/22/94 94--251609 TIGARD OP 97281 B5PC $ 21, 90 SW 04/28/94 - Phone *: 639--3608 SSDC $ 280. 00 SW 04/28/94 - PARK $ 500. 00 SW 04/28/94 Plumbing Contractor:- --__.._.__--.----- .__ .._.-• MPRT $ 43. 50 SW 04/28/94 MPLC $ 10. 88 SW 04/,28/94 Name..-NJ M5PC $ 2. 18 SW 04/28/94 Address :--_--- PV,RT $ 155. 00 SW 04/L8/94 City : Statee- PSPC $ 7. 75 SW 04/28/94 Zips �hone#i RPE3 #: RLUUIRED lNSPEcTIONS Thi.s oret-mit is issued SlAbjpct tv the rep- ulations contained in the 'Tigard 1";LtniCipal F00t/'FOUnd Insp Rain drain Insp Code, State of Ore. Specialty Codes and All Post/Beam Struci-. Water Linp Inso u;;"or applicable laws. All work will be done Post/Beam Mecham Appr-/Sdwlk Insp in accordance with approved plans. This Plm/,.tndslab Insp Mechanical Final per-.,it will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance. or if work is Mechanical Insp Building Fina.1 c'#_tmne-ided for more than 180 Oa•,,s. Plumb Top Out Erosion Control Framing Insp Crawl. Drain Fireplace Insp Gas Line Insp Insulation Insp A Gyp Board Insp� Signaturev � Auth t' ed Plumbing c n rAtor Call for inspection - 639-4175 Contractor Notes: L PRMI CITY 4F TIGARD PEr1MMA5#ER. . .. . : MS T94-0156 COMMUNITY DEVELOPMENT'Dt#AR WVNT DATE ISSUED: 04/28/94 18125 SW Hall Blvd.Tigard,Oregon 97223e6199 (503)639-4171 PARCEL: 21,1.02DD-02900 SITE ADDRESS. . . : 08383 SW DEEANN CT SUBDIVISION. . . . : FINLEY PARK ZONING: R•-7 BLOCK. . . . . . . . . . . LOT*. . . . . . . . . . . . . :013 BUILDING RL I SSUE-r 2T93--9558 DWELL_I NG UNITS: 1 BASEMENT. . . . . . . . 10 s F CLASS OF WORK. :NEW BEURMS:3 BATHS:3 GARAGE. . . . . . . . . . 9440 s f TYPE OF USE. . . :SF FLOOR AREAS- _._._____-__-- REQUIRED SETBACKS-­­­­ TYPE ETBACKS--__..______TYPE OF CONST. :5N FIRST. . . . .. 1056 s f LEFT. . : 10 ft R.I GHT. :6 ft OCCUPANCY GRP. :R3 SECOND. . . :980 sf FNONT. :r'-1�1 ft kEAR. . :29 ft SCORIES. . . . . . . ..c THIRD. . . . :0 sf REQUI,.c HEIGHT. . . . . . . . ..E7 ft TOTAL-­-­­­." 036 S SMOKE. DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 101576 PARKING SPACES. . : 1 Remarks : BATH I ----------------------.._---__------ PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW F'REVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . :3 I_AIINDN"Y TKAYS. . . : 1 CATCH BP.SINS. . . . . . . :0 WPTER CLOSET5. . :3 SEWER LINE; (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 LITHE=R FIXTURES. . . . . :0 GAR&463 DISP. . . - 1 RAIN DRAIN (ft ) . :W WASHING MACH. . . : 1 SF RAIN URAiNS. . : 1 MECHANICAL - ----_____._______.____.___________-- FEES •---- --------_-_.._ FI_IF_L_ TYPES - ------ -- UNIT HTR5. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . .0 TIF f 1520. 00 SW 04/28/94 - MAX INPUT:O LATU VENT FANS., . :4 BPPT f 438. 00 SW 04/28/94 - FURN ( 100K . . : 1 1-40ODS. . . . . . : 1 BPLC t 50. 00 SW 04/22/94 94-25.1609 TURN ) =100K . . :0 WOODSTOVES. :O 85PC f 21 . 90 SW 04/28/9 ► -- FLOOR FURN. . . . c(1.► CLO DRYERS. : t SSAC f 280. 00 SW 04/28/94 BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 SW 04/28/94 GAS OUTLETS- A' MPRT f 43. 50 SW 04/28/94 - Owner : _________.________.___. _._..__,_.__.___._.__. ..__.--M►'LC 10. 68 SW 04/--8/94 NEWCASTLE HOMES M5PC f 2. 18 SW 04/28/94 - P O I10X 23291 PPRT f 155. Id0 SW 04/28%94 - P5PC f 7. 75 SW 04/28/94 - riOPRn OR 97281 Phone #: 639-3608 Contractor•: NEWCASTLE HCIMES INC 0. 0. BOX 23291 TIGARD OR 97281 Phone #: 639--3608 Req #. . : 59667 f 3029. 21 TQmi- This permit is issued subject to the regulations contained in the ------•- REQUIRED INSPECTIONfi -•___._.__.. Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Firepl,ar,e Insp applirable laws. All Mork will be done in accordance with approved Post/Seam Stt-uct Gas Line Insp plans, This permit will expire if work is not started within 189 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspendtJ for more than r days. Plm/Undfslab Insp Gyp Board Insp �) PLM/Underfloor- Rain dr-ai.n Insp 1,ermittee Signatur-e: It, Mechanical Tnsp Water Line Insp Plumb Top 01.11 Appr/Sdwlk Insp issued By: _.. Framing Insp Mechanical Final Call for inspe( tion - 639•-4175 SEWER CONNECTION PERMI CITY OF TIGARD PERMIT #. . . . . .T. : SWR94-0159 COMMUNITY DEVELOPMENT DOA&WNT DATE ISSUED: 04/e8/94 +3125 SMV Hall Blvd.Tigard,Oregon 9722398109 (503)639-4171 PARCEL.: 29102DD-0229017_+ "ITE ADDRESS. . . : 08.38:1 SW DGEANN CT SUBDIVISION. . . . : FINLEY PARK ZONING: P-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :013 TENANT NAME. . . . . : USA NO. . . . . . . . . . FIXTURE UIQ!a TS. . . e CLASS OF' WORK. . . :NEW DWELL I Nr UN I TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINCS: l INSTALL TYPE. . . . :BUSWR I MPERV SURFACE. Remarks : PATH I NEWCASTLE HOMES type amount Iry date recpt P 0 BOX 2:3291 PRMT $ 2200. 00 SW 04/28/94 INF3P $ 35. 00.1 SW 04/28/94 — TIGARD OR 9'?81 Phone #: 639--3608 Contractor: CONTRACTOR NOT ON FFIL.E I'Fronr #: 22235. 00 TOTAL ►lig #. . . REQUIRED INSPECTION5 This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The permit expires 164 days from the date issued. The total amount paid will be forfeited if the _ permit expires. The Agrney does not guarantee thr accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase A "Tap and Side Sewer" Permit and the Ag§ncy will IrLs/j;11 a lateral. r in i t: ; p e F;i n a t 1.1 r F� . I =l.1ed By : Call for inspection — 639-4175 CITY 01 '110ARD RFXFIPT OF PAYMFNT RRCF!'IPl NO. 04--P51806 AMOUNT x 5214.k!I JAY MILLER BLDU INC AMOUNr a 0.40 PAYMV1,11' f)0 CF a 04/28/94 ljPl:-,0SF OF PAYMENT AMOUNT PAID PIJRP()SE OF APHIONT PAID .() rl,.I)IN(3 PERM MST94-01.56 438.00 PL UM91NU PFRI4 1 0 W'410NICAL PC 43. 50 ST, 1101I.D PF'R .31. . 13:3 C "W'N USA ,HFC'K FE t IA.814 S F. SWR941-0159 2200.00 L W I%k I.N4F't:rl 315. 00 PARKS fVC i*f'(JRM DRAIN SDC; Pa".40 RF.;.Sll)PNTInl- lROFFIC FF.:,S 141 Pl.$60 ,losq tRANSUI 11F VFF.14 1.i Vl.. (40 1 04,4 flow DEKANN CRT f0Ml flMOUNI ;.lnrn '5i:-1 4, PJ City o1 ;+gard FieSidential Building Permit A plication ' Hall Blvd. Tigard, OR 97223 (503) 639-9171 9 4mnJobslte Address: 3 Of e, I Office Use Only Subdivision: - ( �L Lot# r ,.li>lrlck/ReC Valuation: M owner: 1 �� ll J �� 1 C���, .�,1�.� _(2 Reissue of ti' �%_ `;. �,r ✓' Address: & TL # Phone: / --75 q Ap�raW is R ulre+J I ning Contractor: ..r n'ineerin : �./'"�"� 9 her 9._ Address f_ Phone: tc�ns�R�ul;ed bcxmiractcrs _T Contractor's l�:ense#_ < (r t'rch copy of current Oregon license) Ss Details Subcontractors: Plumbing: V Mechanical: 1 (affa y of amr*#OR cis License) Architect/Engineer, Address: Phone: COMMENTS: I, -------------- --- S��h I•� r `}- 'cr-�-(I �`v� -� �f��� h c c.� r!i a YDS t'�c�-w..-� . ,� o� Applicant Signature & Phone number Received by: Date Received:�_� Permit # Account Description Amount Amt Pd. Bal. Due RMV 6156 Bldg. Permit (Bull-0) -Y 3F 3�' Plumb. Permit (PLUMB) Mech. Permit (Mu;:1) q,3..SSI Stzte Tan (T:*X) Bldg: .IL21, Plun ,Z J ) Mech: „� ,1 �✓ r Plan (PU►.NCKj 0,�rj mg: Plumb: Mech: Id, e Y ,:5a gqy-0 I.s 5 Sewer Connection (SWUSA) � o d Sewer Inspection (SWINSP) 3 Parks Dev Charge (PKSDC) -5- Storm Storm Drainage Ghg (SDSDC) v __ Residential TIF (TIF-R) / U U ✓ Mass Transit TIF (TIF-MT) //y « V/ Commercial TIF (TIF-G) Industrial,TIF (TIF-11) _ Institutional TIF (TIF-IS) C lice TIF (TIF-O) Water Ouafity (WQUAQ — Water Quantity (WQIJANT) _- — Fire Distrix (FIRE) TOTALS: CITY OF' TIBAPD RECEIPT OF PAYMENT RECFIVIr NO. %94—(i51609 CHECK AMOUNT a 514 N1.) AME q MfA.I.I-!,R, JAY GASH OM'.*)I.)N'I' r N.wo PAYMFNf PAIF r 04/P.2/94 1.1 B DI V r.S 10 N URPOSE UF PAYMENT AMOUNT PNIO PURPOSE OF PAYMEN'll OM()IIN*I' PAID 50 OR ...................... .01 13 FINLEY PARK C lw DEF. ANN G I 011011N) Pfal > 50.00