Loading...
DashNumberEnd 1136 SW 96th Avenue -- I y .a: I f �r IiISPBCTIONNOTICE City of Tigard Building Department 13125 Sil Hall. Blvd, Tigard, Oregon 97223 Inspection Line (Roc-0-Phone): 637-4175 Business Phones 639-4171 Inspection: / , I -<- Footing P1b9. Underslab Mach. R.Zgh-Ln Appr/Sdwlk Found. Plbg. Top Out (,a., fine FINAL- Post/Beam Struct. San. Sewer Framing Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Pibg. Underfloor Water. Line L ` Gyp. Bd. -Hoch. Date Requested:_ f-- PN T �/s AH S Address: �h.Y161 i s0� 5 r� Ru l?•der: THE FOLLOWING CORRECTIONS ARE REQUIRED: 1-9/7 L Inspectors - _-__...__ Datos,� e ��-- APPROVED DISAPPROVED A:PRMD SUBJECT TO ABOVE Call For Roinsp. f INSPECTIO�N(YfICE City of Tigard Building Depaiussent_ v 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninean Phone: 639-• 171 �y.4 ~ Inspections ----- -------- !opting Plbg. Dnderslab Mech. Rough-in Appr/Sdwlk found. Plbg. Top Out Can Line FTNAI.: Post/Beam Struct. Sart. Sewer Frami.ng -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested s_�_[ _TSim/es AMFM Address s_ /SI Builders_ TBE FOLLOWING CORRECTIONS ARE REQUIRED: I � Inspector: Dates APPROVED DISAPPROVED APPROVED 8VBJECT TO ABOVE call For ReLnsp. N m WNW m IN IN I TIGARD ii cffyor TW ARD BUILDING PERMIT DEPARTMENTCOMMUNrrY DEVELOPMENT DEPARTMENT ) U'ERMIT #. . . . . . . : BUP")I 13 125 SW HWI Blvd. P.O.Box 23397,TqmM,O"Vor.97223 (W3)&W4175 �,�.3 –4T7T—— DATE ISSUED: 10/07/91 -:'iITE ADDRESS. . . 15136 SW 96TH AVE PARCEL: ----'S 1 11 BD­03400 SUBDIVISION. . . . : PART ITI ON PLAT 1990--036 ZONING: R-25. 5 SLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .2 REISSUE: FLOOR EXTERIOR WALL CONS , RUCTION - CLASS OF WORK. :ADD FIRST. . . . : sf N: S: E: W: TYPE OF USE. . . ;ncs SECOND. . . : S f PROTECT OPEN INGS?­­­­­ IYPE OF CONST. :5N THIRD. . . . - Sf N: S: E: W: OCCUPANCY GRP. :M1 TOTAL 0 S f ROOF CONST :C FIRE RET'?: OCCUPANCY ET?- OCCUPANCY LOAD: BASEMENT. : of AREA SEP. RATED: '-:')TOR. : 1 I-IT. : 12 -f t GARAGE. . . :528 S'F O'CU SEP. RATED: BSMT? : ME Z Z? REDD SETBACKES REQUIRED-- FLOOR LOAD. . . . : p S f LEFT:5 ft RGH'C: ft FIR F:)P,KL: SMOK DET. . : DWELLING UNITS: FRNT- ft REAR:5 ft FIR ALRM: HNDICP ACC; BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ : 9504 Remarks : constr-k.let 528 sq ft dettached gar-age Owner: FEES MARV, KRETZINGER type aMOLInt by date V'ecpt 1.5136 SW 96147 AVE PRMT $ 80. 50 JLH 10/07/91 - PLCK $ 52. 33 JLH 09/25/91 217859 TIGARD OR 97223-0000 5PC'T $ 4. 03 JLH 10/07/91 - Phone #: 283-0505 X687 Corltv-actm-: MARINER DEVELOPMENT, INC. P 0 BOX 1365 BEAVERTON OR 97075 Phone #: 626 -9029 $ 136. 136 TOTAL Req #. . : 474�i1 ------- REQUIRED INSPECTIONS This permit is issued subject to the r ,:dations contained in the Foot/foi.tnd Itisp Tigard Municipal Code, State of Ore. Specialty Codes and all other Fr,aminq I n s p applicable laws. All work will be done in accordance with F: irial Insper:tion approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Pet-mittpe 51 q n a t�_t r e: V1� � � ___. s ___ ___ _ - '___�^_y._. Issi-ted By, Call for- inspertion 639-4175 arc .wr 1, 13125 Sw 11all Blvd. PLNCK/RECi #CITY V j TT A G ,`"` D PO lox 23397 PERMIT # COMMUNITl'1)I;VELOP��IENTI)EPAKTMI?NT Tigard,Oregon 97223 (503)639-4171 DATE ISSUED JOB ADDRESS: /J / �� S (y 9Ca �'� �u � T TAX MAP/LOT SUB: __ LOT: LAND USE: VALUATION: Js�'`l _ — OWNER SPECIAL. NOTES NAML: N f21L9er REISSUE OF: � ADDRESS: -` .Sl �j� W, F4, rA/1vt LAST REISSUE: t e 0 k1c'� Ov 41 X,2H FLOOD PLAINT' PHONE: U r, �� Ss % Z,,;2,f3—, ,S> -OS SENSITIVE LAND: CONTRACIOR APPROVALS REQUIRED - NAME: — J ce r-I c n PLANNING: AL00?—' -k ADDRESS: _ / - �s 5 S. ,✓ (_c �n._ /�y�, — ENGINEERING: T_ _ J_ G'r Ift- �I:Z2. ------ FIRE DEPT: -- ---- PHONE: _ _ — _ OTHER: V0 9/F- CONTR. BOARD #: :.L EXP DATE: ITEMS REQUIRED SUBCONTRACTOR-S,: PLUMB: _ L IST/SUBCONT, WTORS: MECH: --------- ---- BIAS TAX: - ------ - AKULNGINEER CALCULATIONS: NAME: -- -- —, --� TRUSS 7ETAILS: ADDRESS: -----_--_-_ --_ OTHER: ,_-- PHONE: PROPOSED BLDG. USE: ✓2-/f-F-y r .SS �?`�iAG.�'.�'� r �1 All COMMENTS: APPLICANT SIG+�NTURE Received By: �_ — Date Received: PERMIT d ACC T # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees _ 10-230 O1 State Building Tax (5%) _ r 5� '3 3 Building Plumbing Mechanical 10-433 00 Plans Check Fee Building Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connect4on 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 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) TOTAL nm/3587P.WPF CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. C91-217851 CHECK AMOUNT O.to NAME KRETZINGER, MARK CASH AMOUNT z 52.3.3 ADDRESS a 15136 SW 96TH AVE PAYMENT DATE SUBDIVISION TIGARD, OR 97224-- PURP(ISE OF PAYMENT AmouNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLAN CHECK FE 52.33 TOTAL AMOUNT PAID W.33 INSPECTION NOTICE City of Tigard Building Departeent 13125 SN Hall Bled. Tigard, Oregon A7223 Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639-4171 Inspection:_ --- - —' Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Chit Gas Line FINPL: Poet/Beam Struct. San. Sewer Framing (� Bl D Post/Beam Mech. Rain Drain Insulatio -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. iech. _ AM QPM Date Requested TiAss --- 1 � r'J Permit f J TBE FOLLOWING CORRICTIONS ARE REQUIRED: Caw=r, Lj_en Inspoetors___.0 --- ,--- -- Dates 7— L 49 APPROVED ` DIBRP APPROVED SUBJECT TO :.!IM Cal! Por Relnsp. CERTIFICATE OFCIT (OFTIG4D OCCUPANCY � 0Fr�� "ERM11' #, . . . . . . : Ma T91_111022 COMMUNITY DEVELOPMENT DEPARTMENT 001000« ; 13126 SW Hell BW. F.O.Boot 23397.rpwdiOrepon 97223 lel e34i 75AILDa k)71391/91 LD 217A If SITE ADDRESS— : t5136 SW 06TH AVE PARCEL: 25111E D--@ 34VA0 SUBDIVISION. . . . PARTITION PLAT 1990--036 7.ON I NC=: R-3. BLOCK— . . . . . . . . : LOT. . . . . . . . . . . . . 91 CLASS OF WORK. a NEW TYPE OF USE. . . iGF OCCUPANCY GRP. :R3 OCC:UDANCY LOAD: 118 4 TENANT NAME. . . a Re mark 5 Owner - MARTNF_"R CONSTPUCTION Pio Box 1368 BEAVE:.RTON OR 97075-0001a Phone #. 503-626-9029 Contractors MARINER DEVELOPMENT, INC. P U BOX 1366 f)E:AVFRTON OR 97075 Phone 0: 62'6-9029 Req d1. . : 47451 Occupancy of the above V'efPv'vnred building i0 hereby given, and c•ertifie- the compliance with the State Of Oregon Specioilty Codes for the grot.tp, ot:r.upc+n�y, and gawp under whi.:h the refor elic-rd permit we% issued. FIRE DEPARTMENT �_ ILDI ^REKTOR ;LIIp.D OFFICIAL POST IN CONSPICUOU;i PLACF INSPECTION NOTICE City (,I Tioard Building Department P O 3ox .^-3"97 Tigard. Oregon 97223 Phone. 639-4175 Type of Inspection `A� - Date Requested�3d 191 _..— Time A.M. _P.M. b ",sr. Address 157 , _:V&1 9e- l;—°Oy� -- Permit # 91 -0. Z_ Owner -- -----------_ -- Lot # — BuilderThe following Building Code deficiencies are required ;o be corrected: %'f ' CQi� Presented to /Approved Inspector 06 L_i Disapproved -.— CALL FOR REINSPECTION 0 YES 0 NO Wo iNSPE(:TION City of Tigard Building Departaent j 13125 811 Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Ruc-O-Phone): 635-4175 Business Phone: 639-4171 Inspection•______ �_ __- _-_- Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Posr./Beam Struct. San. Sewer. Framing -Bldg. ti Post/Beam Mech. Rain Drain Insulation �-P lumb._o Plby. Underfloor water Line Gyp. Gyp. ed. -Hoch. �- � Date Requestedt -_—Time: _ _-_PH Addreaa, Permit. Builder- THE FOLLOWING 00R"-_TI ARE REQUIREDt Inapectort•�, � Datot 4APpROVS0 DIBAPPRGVrD APPROVED SUBJECT TO ABOVE Gall /oe Miaep. W W ■7 ' INSPE4'1_ION NOTTCE City of Tigard Building Department + 13125 SN Ball Blvd. Tigard, Or g Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Buaineaq Phone: 639-4171 Inspection: Footing Plbg. Under.elab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Poet/Ream Struct. Snn. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line 1 Gyp. Bd. 1� -Nech, Date Requonted: �/-dc� - " i Time: Addreast_�� i_�?�' _T' �a� T y Permit it1� Builder: THE FOL;,.)%ING CORRECTIONS ARE PRQUIRED: i Inspectors Dates wrrwsD DISAPPPOVED APPROVItD SUSJ=CT To XgM call For Reinsp. INSPECTION NOTICE City of Tigard Building Department f / .3125 SN Ball Blvd_ Tigard, Oregon 9722.1 Inspection Gine (Rer_-O-Phone): 639-4175 Business Phone: 639-4171 Inspectiont Footing Plbq. Onderelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Poet/Beam Struct, San. Same _Framing -Bldg. Poet/Beam Mech. Rain Drain naulation -Plumb. a� Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requeated: � /� �� T imet (�� AM PN Address:.--- �5�� P�erm�it 1t � / Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: ( -_ ----. Date: : cl�— APPROVED DISAPPROVED APPROVED SUL7RCT To ABOVE Call For Reinap. INPECPION NOTIC► City of Bu 13125 SM Ball Blvd. Tigard,�97223 Inspection Line (Rec-O-Phone)t 639-4175 Businesn Phone: 639-4171 Inspecti.on:� Footing Plbg. Underelab _Mach. Roush Appr/Sdwlk Found. Flby. Top Out Gas Line FINAL- Post/Ream Struct. San. Sewer. -VraWing � -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:_ 7 -d �� `T1mwt -Q 111t PM Address:^ Builder: THE FOLLOWING CORRECTIONS ARE REQu1RED: 64 LV o ,civ o F�Sh , Inspector: 21fDater L� D DISAPPROVED PPROVtD FUBJRCT TO ABOVE Call For Reinsp. I'mF INSPI6CTION NQTICE I City of Tigard Building Department 13125 Sal Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec:-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: —_��� Y_ Footing Plbg. Underelab !Tech. Rough-in Appr/Sdwlk Found. lbq Top Ou� Gee Line FINAL: Post/Beam struck. San. Bower Frfussing -Bldg. Poet/Beam Mech. Rain Drain Insulatl.on -Plumb. Plbg. Underfloor MaterLine Gyp. Bd. -Mech. Date Requested;--. /� c/ / __Time: AM PM Address:_ /.'5 /-3(O �!! f!~ Permit 1:��� Builder: THE FOLLOWING CORMC40MB ARE REQUIRED: lr.spectnr:_. Dates. Z (,/ APPROVED DTSAPPPOVRD _- APPROVED SUIJECT TO ABOVE call For Reinsp. INSPECTION NOTIC$ �� "-� City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Lino (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ -- Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. rlbg. Top Out Gas Lis- FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Qw=m N9oh• Ruin Drain Insulation -plumb. Plbg. Underflogt water Line Gyp. Bd. -Mach. DateReqs;estedsL_(_� Times AM PN Address: I �� �_ L� L Permit #i �j L Builder:_��GL THE FOLLOWING OORRECTkNS ARE REQUIRED' l A S - 1 Inspectors / 1 ✓ _u Dates _-_APPROVED DISAPPROVED }[ APPROVaD SUBJECT TO ABOVE Call For Reinsp. INSPECTIUN_WMICE / City of Tigard Building Department 1312S ON Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone /639-4171 I Inspections__ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk r Fou Plbg. Top Out Gee Line FINAL: est/Beam struucct. )san. sewer Framing -Bldg. Poet/Beam Nmoh jr Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Keeh. _ , Date Requested: r _� l0 Tima: AM PK Addrene: ��-> Ste — _ Permit 1:_f11-UO2--2-- Builder: THE FOLLOWING OORRECTIONS ARE REQUIRED: ----------------- Inspectors __ Daf.ee APPROVED DISAPPROVED _- _ APPROVED SUBJECT TO ABOVE r Call For Reinep. I INSPBGT1Gji VOTICE City of Tigard Building Departmept 13125 SW Ball Blvd. Tigard, Oregrn 97223 Inspection Line (Rec-O-Dhone): 639-4175 Huai-nees Phone. 171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/seam Struct. an. 8ewel? Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Pl.bg. Underflryu Water Line Gyp. Rd. -Mach. Date Requented: ` —_Time: -AM PM Address: J _CL -------- Permit 1: �� ,112-)c,1� Builders_ v THE FOLLOWING CORRECTIONS ARE REQUIRED: 510P « P6)f"-"4�. Inapector: _.. ---�- ---- --- Data: --APPROVP.0 DISAPPROVRD APPROVED SUBJECT TO ABOVE V __._--call For Reinap. K M E INSUCTION NOTICE // city or Tigard Building Department q 13125 811 Ball Blvd. Tigard, Oregon '97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 6 -4171 Inspections --- tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plhq. Underfloor Water Line Gyp. Bd. CC -Hoch. Date Requestedt� f / r, TLma _ _AH _ PH Address:_I `moi /�L� l('�`- _ Permit 1: Builders (�4�C-{�yC��� /1� 1 -�• t— CTIONB ARE RNWIRLDs 0-04., f rte' Inspectors 'Date: 7_' -APPROVL+D �- DISAPPROVED APPROVED SUBJJRrT TO ABOVE Call for Rei.nsp. I INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: *nd nqPlbg. Underslab Mech. Rough-in Appr/Bdwlk. Plbg. Top Out Gas Line FINAL[ Poet/Ream Struct. San.. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain lrusulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mach. Date Requostedc_—.2 / � T -�1 Times AM PM Address:_Address:_ Permit �: //��U��►� Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspecto t - -— —-- Dat,1 r I H APPROVED DISAPPROVED �- APPROVED SUBJECT To ASM For Reinsp. q CIT- YOFTIFARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT I-'1LRMIT #. . . . . . . . MS T 1)1-00�.C'-., 13125 SW HW1 Blvd P.O.Baa 23367,Tlgwd,Or*W 97 (503)6304175 639-4171 DPTF' ISSUED,-, 02/26/91 -J it. ADDRESS. 15136 SW 96TH AVE Pi�RCLL: cSJAIIAD-WW.101 ��UBD I V I S I ON. . . . I MLV-`90--0006 ZONING: BLOCK. `. . . . . . . . .. LOT+ . . . . . . . . . . . . .. I BUILDING --------------------------------------- REISSUE: DWELLING UNITS: 1 B A 33E M E 14 T. . . . . . . . .V1 "f CLASS OF WORK. :NEW SEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :598 sf TYPE OF' USE. . . ,SF FLOOR REQUIRED SE,rBACKS---------- TYPE OF CONST. :5N FIRST. . . . : 1802 sf LEFT'. . :29 ft RIGHT. :? ft: OCCUP�4NCY GRP. :R3 SECOND. . . -O sf FRONT. :20 ft REAR. . :55 ft STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED--------------------- HEIGHT. . . . . . . . : 16 ft TOTAL-------- -: 1802 of SMOKE DETECTORS—Y FLOOR LOAD. . :40 psf VALUE. . . . . $ : 93656 PARKING SPAGES. . :0 Remaris- ------- PLUMBING FLOOR DRAINS, . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . .. . . . . . . . . . . :0 TUB/SHOWERS. . . . -.2 LAUNDRY 'TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (f-t ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . - . WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . 30 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . I .-.--------------- MECHANICAL FEES ______________ FUEL TYPES--------------- UNIT HTRS. . -0 type amount by date rerpt /GAS/ I/ VENTS . . . . . :0 PAYM $ 100. 00 PLY 02/05/91 MAX INPLJT:'l PIU VENI FANS. . -3 BF,RT $ 111115. 00 FURN ( 100K . . : J HOOD'S. . . . . . : I BPLC $ 269. 715 FURN ) =100K . . e(b WOODSTOVES. -0 B5PC $ c0. 15 FLOOR FURN. . . . 10 CLO DRYERS. : 1 SSDC $ 375. 00 BUIL./CMP ( 3HP:0 OTHER UNTTS:0 PARK $ 500. 00 GAS OUTLEIS: 1 MPRT $ 39. 00 MARINER CONSTRUCTION M5PC t 1. 95 PPPT 4: 1 1--,. 00 171() BOX 1368 P5PC $ 625 BEOVERTON OR 97075-0000 TIF $ 1350. 00 !:,hone #i PnYM $ 3018. 45 JLH 02/26/91 Contractor: -'ARINER CONSTRUCTION PC) Box 1368 BEAVERTON OR 9707n-0000 Phone #: 503-626-9029 Ren #. . -. 47451 --_.--.--..________..____________________ t 3112. 45 TOTAL This permit is issued subject to the regulations contained in the REPUIRED INSPECTIONS Tioard Municipal Code, State of tyre. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. AA work will be done in accordance with approved Post/Beam Strutt Gas Line Insp tans. This permit will expire if stark isnot v:t : w,;:i; 111 Post/Beam Mechan Insulation Insp tivs of issuance, or if wos* is susoonded for :r:h Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Inso Mechanical lnst_� Water I ,-i, I n s t3 Plumb Top Out ApOr/Sdwlk Insp issued P.y .*. F-ranviiiq Tvisp Mechanical Final v Call for inspection 639-4179 SEWER CONNECTION CITYOFTIFARD PERM IT CITYOFTIS4RD PERMIT #t.. . . . . . . : ��WRy.L -00c:c COMMUNITY DEVELOPMENT DEPARTMENT �am000, 13125 3W FWI Blvd. P.O.Banc 23307,Tipnd,Onpon60916p.�175 _ .)+17 DATE ISSUED: 0c/c.6/91 :LTTE ADDRES::i. :, , , 15136 SW 96TH AVE. PARCEL_; E91118D--BH001 JUBD I V I S I ON. . . . ; MLP90 -001 6 ZONING: BLOCK y LOT. . . . . . . . . . . . . : I TENANT NAME. . . . . : USA NO. . . . . . . . . . :4;3186 FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELL.I NG UN I TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BU'SWR II9PE:RV SURFACE. . :sf Remt.rks: ________________ ----------------- F EES MARINER CONSTRUCTION type amolint by date rec:pt PRMT 1300. 00 po BOX 1368 1,NBI} f, 35. 00 BEAVE.RTON OR 97075-0000 PAYM $ 1535. 00 JLFI 02/26/91 !'hone t#: 503--626-9029 antractor: "IAR I NER CONSTRUCTION -10 BOX 1368 " AV[_FITON OR 97075-0000 I c7ne t#': 503-626 -9029 $ 1535. 00 TOTAL Reg #. . : 47431 ------- REDU 1 RED INSPECTIONS --_--- - This Applicant agrees to compiv with all the rules and regulations Sewer Inspection cf the Unified Sewice Aoencv, The pernit expires 120 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 _T� side sewer laterals. if the sewer is not located at the measurement ,iven, the installer shall o-osoect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' pernit and the Agency will install a Is al. e r"m i t t Pe S i q n a t I.W e ! s s _t a ti Call for irnspPction - 639-41.75 s K CITY OF' TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91-210048 CHECK AMOUNT - 454'7. 4;: NAME 0,1ARINER DEVELOPMENT CASH AMOUNT 0. 00 ADDRESS PAYMENT DATE s 02/26/91 SUBDIVIISION 1,5136 SW 96TH PURPOSE OF PAYMENT omot.wj r r.,A I o PURPOSE OF PAYMENT AMOUNT PAID 415. 00 PLUMBING PERM MECHANICAL PE 313. 00 ST. BUILD PER 28. 95 PLAN CHECK FE 179. 50 SEWER USA 1.500. 00 SFWC~R INSPECT -151 00 RES 11,FNTIAl IRnFFIC FEES 1250. 00 1-11-MRS SD(- 17,500. 00 ST13RM DRAIN SM 3721. 00 MA..;:; TRANE,-ilT TIF FEEF,3 100. 00 TOTAL. AMOUNT PAID 4547. 45