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15610 SW 76TH AVENUE-1 . �•.,.._...,..........�,...,ww....,—.«wu.r...�.n—.i.-.w�....rt.,.c.awx-�.. ''4M4+A1MiWW>:wu�Y'NwhhvKLw� iMdWY�Y rr .. I 11�^ V1 r 0 ' E � rn n zr y c �D c�6 - 15610 SW 76th Avenot. — CITY OF T I GAR[ COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-171 CERTIFICATL 01 OCCUPAW-Y y. PATF ISSUED1 0410c, 1;,31 I I It. MAMILS'.". 15611A SW 76TIA WOOP.; 1 1 2 ON I Nb: u4s"; cr' WORk NEW YPE' OF' 'JISE. . . i;or L.0()Drr',2!:,, 4 01 A V`k "--106S 4j . t t ti-.NFA 1rS5(4N(-lE W. SW WILIJIMC-TTL. I Df) "S1 — LANN (Jr? 1,4706f., 11(me 110 COMPI jar)(.,q Wif", 44119 _;t.Rto Of t) � lit ' , ,�pw(-AAlty Cales for tho q, nder WhiCh 1hp permit wa-i issued. T V1 1, r 9f 131)1 L I POST IN i INSPECTION NOTICE City of Tigard Building Departmwrt 13125 SW Rall, Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Buni_ness Phone: 639-4111 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Poet/Ream Struct. San. Sewer Framing Bldg. Por+_/Beam Hoch. Rain Drain Insulation -plumb. Plbg. 'UnderfloorWetor Line Gyp. Bd. -Neth. I Date Roqueetedf Time: AM PH Address: ? Permit #: Builder: �Q�7L�)i THE FOLLOWING CORRECTIONS ARE RSQUIREDt i S'ECrI 4�o d,�,�► ��,�ti�4 G'cc v�� wl_+ �'�'�'..- -� Inspector: �— -----_ Datet—��C? PPROVED - -- DIBAPPROVRD —_ ^PPROVRD SUBJBrT TO AHOVS Call For Reinap. INSPECTION NQTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phui. J: 639-4175 Business Phone: 639-4171 Inspection: __ Footing Plbg. erelab Mach. Rough-in QAppr/Hdwl Fou::d. Plbg. Top Out Gas Line FINAL, Poet/Ream Struct. Ssn. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested, —3 /�- Timet /AN /S PH Addresst 4, 7v//,, -� Permit is �! Li���� 1y Builder t TBE FOLA)MINQ CORRECTIONS ARE REQUIRED: Inspector, 1-f— fl)Z ---- DatetZ-_c� �AlPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSP___ECTI ONNOTICE ^y� City Of Tigard Cvilding Vepartnent 13125 Sw Hall Blvd. Ti Cry nspection Line (Roc-O-Phrine gam' Oregon 97223 ): 639-4175 Business Phone: 639-4171 Inapectlon: Footing ---- Plbg. Underelab Mech. Rouqh-in < APpr/Sdwlk_ Found. Plbg. Top Out Cas Ane -- Poet/Beam Struct, Ban. Sewer Framing FINAL: Peet/Beam Koch, Rain Drain Insulation -Bldg. -Plu,nb. Plbg. Underfloor Nater Line OYP• Bd. -Mach. Date Requested, '���—l .�� -AN ..�v -- Timms Address: lo�0 _ — PM Permit Builder: �[ THE FOLLOWING CORRECTIONS ARE REQUIRED: r -- i v �f _ — ----__ -i -�� Inapectori APPROVED DISAPPROVED _.�"APPROVED "R JRCT To ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Bsepartsaent 1312S SM Ball Blvd. Tigard, Oregon 9728 Inspection Line (Rec-O--Phone): 639-4375 Buninear Ph e. 639-4171 Inspection: Faor-ing Plbg. Undoralab Mech. Rough--in ,pr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/seam Struct. San. Sewer. Framing -Bldg. Post./Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Undorfloor Water Line n sOyp. Bd. -Hoch. Date Requested: Times AM _PM Address: 24, _ _ Permit Builder: h— i-22-�_` THE FOi._.OWING CORRECTIONS ARE REQUIRED: Inspector _--� Date/ __ r t APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE Call For Reinnp. INSPECTION NOTICE City of Tiqard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4177 Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gay, Line FINALS Post/Beam Struct. San. Sew?r Framing -Bldg. Poet/Beam Mech. Rain Dra_n Insulation -Plumb. Plbg. Underfloor Water Line yp. Bd. _Mech. / Date Requestedt !�L.i/- Address: 15//,1y 2to �` Permit is I U Builder: /— I M THE FOLLOWING CORRECTIONS APZ PJMIRZU: Inspector: . __..._ Date:L����-� :V APPROVED pISAFFR APPROVED SUBJECT TO ABOVE For Reinsp. INSPECTION NOTICH_ City of Tigard Building DepartseT:t � r 13125 SX Ball Btvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 inspection:---- Footing nspection:— —Footing Plbg. Underslab Mach. Rough-in Appr/SdvIk Found. Plbg. Top Out Gas Lina FINAL: I post/Beam Struct. San. Sewer Framing --Bl-dg. Post./Beam Mesh. Rain DrainInsulation -Plumb. s Plbg. Underfloor Water mins Gyp. Bd. -Hoch. Dnto Requested: I L -Z �I Z- Times ��AN PM 1 is i Address: t� ) _ Permit #s �I l Rui lder: F THE FOLLOWING CORRF.GTloNS hRF REQUIRED: e 1 Inrpect:ors / - ___ Date:���� APPROVED DISAPPROVED �.PPROVED SURJRCT TO ABOVE Call For Retnap. INSPECTION NOTTCE City of Tigard Building DepartAnent 131.25 SW Ball Blvd. Tigard, Oregon 97223 Inepection Line (Rctc-O-Phone): 639-4175 Business Phone: 639-4171 Inspect ion• —---- Footing Plbg. UnderslabFFrawmLn ugh-)n Appr/Sdwlk Found. Plbg. Top Out e FINAL- Post/Beam Struct. San. Sewer -Bldg. Post/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Requeuted: 2 `� L`�� TilOet AM PN AddresF:J c� poreit #t Builder;� [� — /�, ]ZA THE TJLLOWING CORRICTIONS ARE REQUIRED: Inspector: _ --- __ — - - ----- Datee77t 4�,_-----`--j-�.� 4 APPROVED DISAPPROVED APPROVED SUMIECT TO ABOVE Call For Reinap. INSPECTION NOTICE ~~— City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-o-Phones 539-4175 Business Phone: 639-•4171 Inspection:__ j I � ( �V�b. R�`I(, k - 1y1 Footing Pl.bg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Una Gyp. Rd. -Hach. Date Reguestedi "" 1 q — Z Time% _ AH PH Address: 1 l[l( �� Parmit #s—Q Builder• THE FOLLOWING CORRECTIONS ARE REQUIRED: J 16 r Inspecto a Data[ APPROVED DI8APPR(MD APPROVED SUBJECT TO ABOVE Call IrOr Rainap. MOUNKALMOULMW INSPECTION NOTYCE �_r_ City of Tigard Building DcI'artae>n`( }/.L 13.125 SH Ba11 Blvd_ Tiqard, Oregon 97T23 Inspection Line (Rec-O-Phone): 639-4175 Buninene Phone: 639-4171 Inspections_ -- — Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINALS i Poet/Beale 8ttuot. 1 fln.j. Sewer Framing -Bldg. /Beam Hach. 1 Rain Drain Insulation Mg. Underfloor Water Line Gyp. Bd. -Mech. /JAM PN Date Requesteds f� /� ! Tom' Address Permit s ._ x Builder: - TBE FOLLOWTNG CWRRECTIONS ARE REQUIRED! r F f Inspector: - - APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION„ NOTICE City of Tigard Ou"drop Department 13125 SSI Nall Blvd. Tigard, Ordgon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phonj-I�i4-4171 s Inspection:---- Foot i n(I nspection:_____„_Footing Plbg. anderslab Mech. Rough-in Appr/adwlk Fourd. Plbg. Top Out Gas Line FINALt postfReam Struct. S_ S 1 Framing -Bldg. Post/Beam Mech. .Rain Drain Insulation -Plumb. /Pibg. Undert loot / `Nater L1'1eGyp. Bd. - h• Bsquestedt `1 - PN Addresses /� -_ Permit Builders /&_ �'.,9tlJ. TBS yOLi.ONINO ODRRSCTIONS AAS R32UIRSDI Ilk i� �� s-�-�L- Inepecto/ri Dates 16 / APPROVED DISAPPROVED APPROVED SVSJSCT TO ADM F- Call For Reinsp. IhSPE(_fION NOTICE 4� City of Tigard Building Departient 13125 Sit Ball. Blvd. Tigard, Oregon 97223 lnnpection Line (P.ec-O-Phone): 639-4175 Business shone: 639-4171 Inspection:__------- ---- -- -- Footing Plbg. Underslab Hech. Rough-in Appr/Sdwik Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sews Framing -Bldg. Poet/Ream Hach. in Dra Insul..tion -plumb. Plbq. Dnderflocr 1 Gyp. Bd. -mech. nate Requestedt ( 'T 7,� Time: M�� -7 2 SPH Address: Permit, / "j • T� Builder:—f.—S"-n i i THE FOI.LOWINti CORRECTIONS ARE REQUII:ED: -- —/7­ I 110poct Inspect it ��� AFPROVtD OIS"FIIOVIM APPR01'ED SUBJECT 1-7 ABOVIR call For Reinap. I CITYOFTWARD �,cnyOFTWIV COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW HWI BW. P.O.Box 23397,Tirwd,Orogen 97223 (SM)636-4175 e MASTER PLRI11T P6_'RWz HST91 03-3-4 639-4171 DATE ISSUED: 09/29/92 SITE ADDRESS. . . : 15610 SW 76TH AVE PARCEL: 2SI12CA-RW52 bUBDIVISION. . . . : HENAISSANCE WOODS II ZONING: bLUCK. . . . . . . . . . : 'JT. . . . . . . . . . . . . ..52 ------------------------------------ BUILDING RLISSUEsMST90-0364 DWELLING UNITSil BHSLMENT. . . . . . . . ..0 Sf t-LASS OF WORK. :NEW BEDROIS:4 BATHS;:3 GARAGE. . . . . . . . . . :775 Sf IYl-,E OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-­­­­ TYPE OF CONOT. :5N FIRST. . . . : 1488 S LEFT. . c5 ft RIGH T. :5 ft ULCUPANCY GRP. :R3 SLCOND. . . -. 1202 s FRONT. :20 ft REAR- 1126 ft LiTORIES. . . . . d - 12 1HIRD. . . . .0 s REQUIRED---------------------- HLIGHT. . . . . . . . 125 ft TOTAL------:2698 Sf SMOKE DETECTORS. :Y FLUOR LOAD. . . . t40 PSf VALUE. . . . . $ : 138058 PARKING SPACES. . : 1 Remarks: PATH I ------------------------------------- PLUMBING --------------------------------------- - SINKS. . . . . . . . . . .2 FLOUR DRAINS. . . . 90 BACKFLOW PREVNTRE-,. . :O LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . to TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . Al CATCH BASINS. . . . . . . 10 WATER LLUSLIS. - :3 SEWER LINE (ft ) . 10 GREASE TRAP'S. . . . . . . 't+ DISHWA3HERS. . . . : i WATER LINE (ft ) . cIOO OTHER FIXTURES. . . . . ..W GARBAGE DISP. . . - I RAIN DRAIN (ft) . :O WASHINU MACH. . . : 1 SF RAIN IJRAINS. . : i ---------------- ME LHONILAL --------------- ----------------- FEES FUEL TYPES--------------- UNIT HIRS. . -.0 type amount by date reept /UAS/ VENTS . . . . . set TIF $ 1380. 00 JH 09/29/92 MAX INPUT:0 BTU VENT FANS. . e4 BPR-1 * 530. 50 JH 09/29/92 FURN ( 100K . . :0 HOODS. . . . . . 11 BPLr * 4- 40. 00 JLH 12/31/91 FURN ) -100K . . - I WOODS,rovFis- io B5PL * 26. 53 JH 09/29/92 FLUOR FURN. . . . :0 CLU DRYERS. : I Bf-',LC $ 15. 00 JH 09/29/92 BUIl.,1CMP ( 3HF-1:0 U1 HER UNITSil SSDC * 280. 00 JH 09/29/92 GAS UUTLETSal PARK $ 500- 00 JH 09/29/92 Uwnerss 11V,RJ 11, 45. 00 JH 09/29/92 kENPISSANLL DEVELOPMENT MPLL $ 11. 25 JH 09/29/92 2098 8TH M5PL $ 2. 25 JH 09/29/92 PPRI 4. 170. 00 JH 09/29/92 WLSF LIMN 014 PbPU 8. 50 JH 09/29/92 Phone 4s b0.3L,575739 Contractor: HENAlbSANLE DLVLLUPMEN1 t61c3 bW WILLAMLTTE FALLS UR WL'L) l L11414 LIH 970L,8 Phone 557- 81616112) Reg #. . : 49955 $ 3009. 03 'TOTAL This pereit is issued subject to the regulations contained in the -------- REQUIRED INSPELIIQNS ------ ligard Municipal Lode. State of are. Specialty Ludes and all uther Foot/found Insp Fireplace Insp applicable laws. All Mork will be done in accord with approved Post/Beam Struct Gas Line Insp plans. this pervii Will expire if work is not ed within ILW post/L%eam 1A �chan Insulation Insp days of issuance, or if wirk is suspended f e than i(A days. Plm/kindsla nsp Gyp Board Insp PLM/Unuierf I,it- Rain drain Insp I-lei, tt, ee Mechanical Insp Water Line Insp Plumb Top Out Appt,/Sdwlk Insp I m e d ly-1- Framing Insp Mechanical Final Lail for- inspection — b39-4175 CITYOF TIGARD �cmoFmwRl) COMMUNITY DEVELOPMENT DEPARTMENT 01100N SEWER CONNECTION 13125 SW HWI Blvd. P.O.BM 23397,71PM,Onloon 97223(603)6394176 7��7 FIE RIA I T PERM I 'f. .—. . . c— r_ 6;39•-41'71 LATE ISSUED- 09/29/92 B1 UE ADDRESS. . . 15610 SW 761H AVE PARCEL: 2S112CA—RW52 SURD I V I S I ON. . . . RFNA I SSANCE WOODS II ZONTNG: BLOLK. LOT. 5 . . . . 2 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : I TYP,E OF USE:. . . . . .SF 1\10. OF BUILDINGS: 1 INSTALL TYPIE. . . . :BUSWR IM[-.ERV SURFACE. Remark,= -., MATH I Owner: FEES RE19AISSANCE fEVELOP-MENT type aniol.trit by date recpt L090 8;+: P,R M T $ 10 0. 00 JH 09/P9/92 I N S V` $ 35. 00 JH 09/29/92 WEST LINN UH ') tklu,13 V-1hone #- i-ONTRIHLIOR NUT ON FILE i 'llone #: $ 2135. 00 TOTAL P I.A REQUIRED 11,4PPECTIONS Thii4pplicant agrees to comply with all the rules and regulations Sewer Inspection or the Unified Sewage Agency. The permit expires 180 days from the date issued. the total amount paid will be forfeited if the 1?TnjK,does,not,yug[ayt,@!t exuractaof the H51'14011hrilt. sewer i n 0 tA e a surement given, fhe installer shall prospect 3 feet in all dirf l the distance given. If no, so located, the install shall onurroase Z . a "lap and Side Sewer" Permit and the Agency in I,ermittee Signature : I ss _(ed Dy : La I A for inspection 6.39-4175 arf C* TIFARD COMMUNITY DEVELOPMENT DEPARTMENT 00100N [",11-UMBING PERM FF 13125 SW HWI Blvd.P.O.Bm 23M,npM,Oregon 9rM(M)030-4175 . . . . . . . . ms"i 91.- o,?.'y/4 DATE ISSUED%, 09/a9/92 ADDRFSI��'_ : 1561VI SW 76TH AVE PARCELi 2SL12Cf1­RW7-;` SUBDIVIGIUN. . . . s RENAISSANCE WUODS 11 5LOCK. . . . . . . . . . o LOT., . . . . . . . . . . . . x52 ,_1-ASG OF WORN.. . a NEW GARBAGE DISPOSALS. IYPE OF USE. . . . vSF WASHING MACH. . . . . . . 21 FAFlCKI'­*1.UW PREVNTRb. . :0 C)CLUPANCY LiRP. . 9 R3 FI-OUR DRAINS. . . . . . . ..0 MAPS. . . . . . . . . . .. . . . go 1�ITURIES. . . . . . . . z i? WATER HEATERS. . . . . . t CATCH BAS 119B. . . . . . . A L71 I!-'I X I*URES LAUNDRY TRAY"). SiF RAIN DRAINS. . . . . '. I ::,1 I'lks g 2 GRL*AEE TRAPS. . . . . . . r0 1.AVI41 ORILS. . . . . :9 OTHER FIx-rupF9. . . . . .vi -,H0WERk3-.b . . , �(ft). � . . .W. # -W 1-INL. (J...0.5ET8. - a3 14a)_[i.`R LINE Ft) . . . . 11,00 I SHWqE-,,HERS. . . . RAIN DRAIN (f t ) . k'emark— PATH I 'JWNER; 14'NAII�;_;ANGE DL�VELOPMENT TIF $ 00 JH L:098 8,01 BPRT t 5,30. 50 JH 09/29/92 BPI_c $ 40. 00 JLH 12/31/91 WEST' I..INN OR 97066 1135P(.", $ 26. 53 JH 09/29/9P Phone #: 5036575739 FPLC $ 15. 00 J44 09/29,1190, SSDC f is eli. vio ill 12719/29/92 t1-imbiny Contractor--: PARK 1� 5111 r,01121 JH 09/29/92) MPPT b It 5. 00 JH 09/1-.19/9► Name MPLC $ 11. 25 JI-4 09i29/92 Z'.. Ls j1­1 014/29 `42' I L y EITW6 PPRT $ 170. 111 JH Q)r)1291r)Q Zip% PSPC $ JH 09/29/9L, RF ut(J I RU:I) 1149L T .1[)NFi I'his peer'mit' mit' is issi-AeV- rl vAt7joct to the 09— 0ations, contAinod in the �inPk ',d' M u fl I c-i OA I' !FcOt/found Jn6,r RL4in dom rin Intip . v (icle, State of Ore. ''-ppcialty Codes and all Pu%t/BpAm Struct Water L,tne Insp c)j.jjpv_ mpplicat)je IjRwi_ Al .1 tqut,+ will twe clone Post/!:Team Merhan Appr/Sdvolk in accordance with approved 1:)Ialls. 1110Plm/unclslab Insp Me(Aianical Fil,.., porm,it will r,),.pire if t-jarl, it; ren:. stim-ted FILM/Underfloor Plumb F i n a I vrt,VK'i'n 180 days of 1gsijavice, rjr if work is !vlechA.ni(:Al Insp Buildinq Final susl-,)ended for more fhan 180 clays. 17-1lumb Top OLO' Erosion Control ,�raminu 111sp Crawl Drain Fivrplac:e Insp :,)as 1-ine Insp Inumlatio,n In,-,,p Oyp Board In..In J:hor i ied III umbi ny Cont rertny cS,I qnAt 1.tr Call for inij-f?$Jj,(1r1 6134- 4175 i.r,ritrActot Notes -._ CITY OF TICARD RECLEIPT OF PAYMENT RECEIPT NO. :9R—�'i"32159 c ,wu( nmoi.jN,r 5104. 03 NOME RCENAISBANCE CUSTOM 140MES CAIS1-1 AMOUNT 0. 00 nDDRESS 2-'099 SW EIGHT PAYMCNI VATE 09 R9 SUDD IVISI(lN WEST L.INN, OR 9-7068 PURF-109F OF PAYMENT AMOUNT PA 10 V,,URPOSE OF PAYMENT AMOUNT PAID 11 ING PERM 530. 50 Pl.UMB I NG PF RM 170. 00 MECHAN I CAL. PE 45.00 ST. BUILA) PER 3-1. 29 PL.,AN CHECK fE 26. 25 SEWER USA 100100 P3r.-'14F,R INS)PECT 35. OQV PARK SDC 500. 00 S'l(JRM DRAIN SIX 2no. mo RESIDENTiot- TRAFFIC FEES 12:F.0. 00 MA*13S TRANSIT TIF FEES- 100. 00 1-0T 32 RENAISSANCE WOODS ibblO SW '76TH OVENUE 1-411'Al-, AMOUNT PAID ;`5104. 03 INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line iRec-O-Phone): 639-4175 Business Phone: 63*-4171 Inspection:_._`_ —� -- ---- Footing Pl.bg. Underelab Mech. K' i��,h-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Neam Stract. Sen. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. t Date Requested: Time: _ AM PM Address: ���/��/D -Ila 1r� _ Permit Builders_�_� S��CL-,�C,C�Ce THE FOLLOWING CORRECTIONS ARE REQUIRED: { Inspecto _ Date:_ APPROVED MISADf11CM APPROVED SUSJRCT TO ABOVE Call Mbr ReLuBp. 131 LS SW lia111;tvd. PLNCK/RECT # '/�7 CITY OF TI GARD 1O Box 23397 C01t1tUNITI DEVELOI r,%lv.' 'T DEPARTMENT Tigard,Oregon 972'3 PERMIT # `�t y/ G'3 3 y (503)639-4171 DATE ISSUED JOB ADDRESS:j5(e/y' S.W. 76TH AVENUE, TIGARD, OREGON TAX MAP/LOT Z— SUB: REN WOODS PHASE II LOT: 5 _ LAND USE: VALUATION: /_ X`. ti OWNER SPECIAL NOTES NAME: PENAISSANCE DEVELOPMENT CORP. REISSUE OF. ADDRESS: 2n9S s_la_ ATH AyMiE _ LAST REISSUE: WEST L,INN OREGON 97068 FLOOD FLAIN/ PHONE: 657-5739 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: _ CAWL AS ABUXIE __ _ PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER VI: CONTR. BOARD #: 49955 EXP DATE: 5/92 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: -"LE_P MING CO. LIST/SUBCONTRACTORS: MECH: TRI COUNTY 'TEMP CONTROI, BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: AJAN MASCORD DESIGN TRUSS DETAILS: ADDRESS: 1515 N.W. 23RD AVENUE SUITE 1.00 OTHER: PORTLAND, OR 97216 ~~ PHONE: 225-9161 PROPOSED BLDG. USE: RESIDE'NTIA1, NEW HOME CONS".RUCTION. COMMENTS: REISSUE OF' LOT 12, REN WOODS PHASE I i APPLICf,NI SIGNATURE -� Received By: ,,-,- ^ _ Date Received: �T PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE f 1',l e '?, 10-432 00 Building Permit Fees S3 v, 10-431 00 Plumbing Permit Fees ✓ 17C. 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (50) Building 76.S'3 f Plumbing Mechanical 2- 10-413 00 Plans Check Fee Building v I � Plumbing Mechanical = �►-� / 10-230 06 Fire 7 z-(1;bX• 30-202 00 Sewer Connection acs ✓ /��__ 30-444 00 Sewer InspectiGn 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 Re�,-,dential Traffic Fees 1 80.00 1.2 v,O° 25-448-05 Mass Transit TIF Fees �ao.� _ �� C'a, # 5!-419 00 Parks System Dev Charge (PUC) S� � _ Soy 31-450 00 Storm Drainayc list Dev Chrg (SSDC) -� � 2 e 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL ! 4 � y, nm/35871).WPF