11266 SW 91ST AVENUE it
1~
_ � SW 91ST COURT
INSPECTIOIkYrLCE f
City ox T:yauu G•mildinq Depart—t
13125 SW Hall Blvd. Tigard, Oregon 9711
Inspection Line (Re,:-O-Phone): 639-4175 Bueiriess P'ione: 639-4171
Inspection ---_-- - ---- - - - --
Footing Plbg. Underslab Mach. Rough-.in Appr/Edwlk
Found. Plbg. Top Oat Gag Line FINAL:
Post/B,aam Struct. San. Sewer Framing j -Bldg.
Pogt/Beam Mech. Rain Drain Insul.atlt.n -Plumb.
Plbq. Unlerl.00r Water LineG�1 L Gyp. Bd. -Hoch.
Date nopiasted._,_ 4:V,) T Times ��AM _ —PM
Addruas: //�� ��_ ! P'. it I t-:�,/ _
Builder's/ --
THS FO /CLONING- CORRECT_TONS lARF. REQUIRED:
IT
r
77
Insp.ctorf 'V"" — - ---- Date!
APPROVIID UISAPPROVED APPP.nIED SUBJECT TO ABOVE
Cul For Relnsp.
C17YOFTHPARDCEPTIFICATEGITYOF11�4RD OF
GOMMUNFTY DEVELOPMENT DEPARTMENT _ anooN OCCUPANCY
sw►ediBlvd. P.O.sc*x.397,TOW,OrogDn97223tr0a1sW4, 5 ["URMIT #. . . . . . . s MSTS+1--•0028
rjITE ADDRESS. . . : 11266 13W 91ST CT PARCEL: 1S135DB--GRr'
SUBDIVISION. . . . : DAKOTA C-ROVEa ZONING- 17--4. 5
RL.00K. . . . . . . . . . I LOT. . . . . . . . . . . .. .
CLASS OF' WORK. ::NEW
TYPE:. OF UCL.. . . :SF
OCCUPANCY CRF'. :R:3
OCCUPANCY LOAD s 225 4
TENANT NAME=:. . . :
Rer,kss :
Owner: __.._..._...._._.___. ......_W._-_.___ ..._....._..._.__._____.____._
M & F DEVELOPMENT CO.
t7707 SE" OATF T E=L.D
GLAD STONE OR 97027
Phone #: 652-7092
M & F DE VEL-O:'TIENT CO.
1. 7-707 SE 0ATFlC1_U
131-AD STONE. OR 9'7027
Phc-ne #: 652--7092
Reg 1+. . : 57464
ic•cupancv Of the above referen4ed building Is hereby
given, and cert .► faF
i he compliance with the 5,tate Of Oregon Specialty Cortes EOY' the rW-OuP,
,rc.upo.nry, and use under whisk the referenced permit was isaued.
FIRE". DCF�f^�PYMFNT PN�j_D i MG4 I iigi F -1
DI.fIl.DI11 FFICIAL _
POS1 IN CONSPICUOUS Pt-ACE
,
i
INSPECTION NO"iICE
City of 11.9axd Building Delwrtlknt
13125 BM Hal! Blvd, Tigard, Uregon 97223
Inspection Line (Rec-O-Phnne): 639-4175 Businene Mont: 639-4;711
1
Liapectl_on:!___ --- — _-----
Footing Plbg. Underslab Mec,:. Rough-In Appr/ .wlk
Found. Plbg. Top Out (las Line \ FINAL:
Post/Beam Struct. San. Sewer Framing J -Bldg.
Post/Beam Mech. Rain Drain Inel:Latior> -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
/ Oat Rs noted:_ �7 - Vas: AM
Address: Permit
Builders_�� � Z-
TILE FOILOWING CORRECTIONS ARE REQUIRED:
`"J3A•Tr-
//-IS' A/V ti//0/,9 /& L(A 3'MA(�__
TU "�T3��I.Gr 4! .til7' �� �i i�✓cT�P'�� r._'y�
Inspector: Date:
APPROVED DISAPPROVEDPROVED :7UBJECT TO ABOVE
' Call For Reinop.
iI!RECTO�_N NO'"LCE
City of Tigard Building Gepartiient
13125 M Ball Blvd. Tigard, Oregor 97223 y
Inspection Line (Rec-O-Phone): 639-41',5 Business PhDne: 639-4171 1
Inspection:
Footing Plbg. Underelab Mach. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Gxs Line FINAL:
most/Beam Strvct. San. Sewer Framing -BldU.
Post./Ream Hoch. Rain Disin Insulation -Plumb.
Plbg. Undetflcor Water Line Gyp. ad. -Mach.
Date Requested:_- -/ - 3 - 2 1 Time --%H __ PM
Address: -Z.ra6, ci �-� Permit #-.-171 ci o?-8_
Builder: Lr..C'rz i _
THE FOLUXIING CORRECTIONS ARE REQUIRED:
i
Inspectort � ---__ --, Date e
_4f1'--APPROVED __ DISAPPROVED APPRO .O SUBJECT TO ABOVE
Call For Reinsp.
INSPFC'�ION HOTICH * "y/
City of Tigard Building rAlpartaent
1312% M Hall Blvd. Tigard„ Oregon 91227
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapection:� �� ---•
Footing Plbg. Undertlab Mech. Rouqh-in Appr/Sdwlk
Found. Plbg. To�C_t
Gas Line FINAL:
Poet/Be.un Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
�P�lg. Undjrfloor Water Lice Gyp. Bd. /��/Nach.
Date Requaated: U —Time: ' _ AM __PM
Address: a� _� Permit it
Builder: -
THE FOLLOWING rORRECTIONS ARE REQUIRED:
Inspector s/ L _. --- — - Datet - I
APPROVED DISAPPROVED ITPROVED SUBJECT TO ABOVE
Call For Reinap.
MSP-3'TION d2zicg
City of Tigard Building Depar4"Mt
13125 SK Ball Blvd. Tigard, Oragon 97223
Inspection Line (Rec-O-Phon@): 639,4175 Hunineas Phonn: 639-4171
Inspections _ `
Footin �J
g Plhg. Undersl N, h. Rough-inAppr wlk
Found. Plbg. Top Out Gas Line FINALS
i
Poet/beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Pain Drain insulation -Plumb.
PLby. Underfloor
Water Line Gyp. Bd. -Mach. j
Data R9r{ueetEd: ' �L/-����___Ti10es �]►M _�pN f
r / ,
Address:_�
Builder:-_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ / -- Dates
L
APPROVED DI9APPAOVED r_ APPROVED SUSJRCI 2b iDIIV!
—,.-,Call For Reinsp.
MEMENMEMEM-_
INSPECTION NOTICE
City of Tigard Building Department �
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inapectic-1:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
-et/Beam S— tr�uct. � San. Sewer Framing -Bldg.
PRO Rain Drain Insulation -Plumb,
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ L� L��� 0 e Time: AM PM
Permit is G
Builders //2-&w
THS FOLLOWING
FFOLI.OWING CURRECTIONS ARE REQUIRED:
--
CnI2
s/1..�i1.:�,_, Gcr'[rLy
I ns�ekor s
APPROVED �DISAPPPOVRD A^PROVED SUBJRCT TO ABOVB
__Call For Relnnp.
INSPECTION NOTICE
City of Tigard (Building Department
13125 SN Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Post/Beam Struct. San. Sewer Framin.• -Bldg.
Poet/Beam Koch. Rain Drain I Lglatio:: -Plumb.
lhq. QnA--' rx—f— Water Line Gyp. Bd. -Mach.
Date tod t_ � ----Time: AM YM
IAadrosoaPermit f
1 Ls
Builder:
THR POLLOi1ING CORRECTIONS ARE REQDIRM
Inepwtor �� ----- Date:-- _--
APPROVRD DISAPPROVED __ APPROVFD SIJBJRrT TO ABOVE
all For Roinap.
MOM
INS EECTIOI4 NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspect.i.on Line (Rec-O-Phone): 639-4175 Business Phone- 639-4171
Inspection: --
Footing Pl.bg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. lop Out Gas Line FINAL:
Poet/Beam Struct. ;ewer ) Framing -Bldg.
Posc/beam Mech. Rein Drain Insulatiun -Plumb.
Pl.bg. Underfloor Water Line 1 Gyp. Bd. -Meeh.
DateeeCed:
/ Times AM L�_PM
'Add eRess- Permit #1
Hui 1der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepactou. Dates _C
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ADM
Call For Reinsp.
INSPECTION NOTICE ~\
city of Tigard Building Departsent
13125 SH Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: E39-4171
Inspections
r
ootiPlbg. �'rderelah Mech. Rough-in A PP k
/Sdwl �
1
round.
Plbg 'lop Out Gas Line FINAL:
post/Beam Struck. San. Sewer
Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation -p umb•
-Meeh.
Plbg. Underfloor Water Line Gyp. Bd.
,�Date Requested: Tineas
-� �/ 'fit permit
Builder•
THE VOLLOWINO CORRECTIONS ARE REQUEREDs
d.vcu,f �c. =:TFC
W4 r7 0 A.rra
gp
Inepaotors —
Dates S--
ApprAWND �— DISAPPROVED `!-ArpRolRb stlUJSCT To As"
call Ior Reinsp.
■
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for
Tax Map 15 35j3(3 -6,K Lot Number(s) Z _ Building Permit
Site Address /ZZSb 5� �7 COu�r — Subdivision 1CfE GA'W
Case File �a0 -000 ' TIF Land Use District
(Description of Property)
To the City of Tigard;
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County
Ordinance No. 379 which relates to the imposition of a traffic impact fee for the financing
of major collector rads and arterials of Washington County, I HEREBY MAKE APPLICATION AND
AGREE, JOINTLY AND SEVERALLY, to pay my traffic impact fee, as has been determined by
Washington County Ordi:ance No. 379 in _� semi-annual installments of the am o nt financed
together with one-half of. one year's interest thereon at a rate of _ Z Y� annual
percentaye rate on the unpaid amount owed. The lien date is the first day of the month
following the date the application is signed. The first payment is due six on hcirthereafter
and at six (6) month intervals thereafter for a period of � yestallment
ars.
will include principal and interest.
If I neglect or refuse to pay any part of th:� ..i.stallments provided herein, including
interest, within one (1) year after the same si.tii, have become due and payable, then the
whole amount of the unpaid assessment shall t,ecome die and payable at once and shall be
collected in the manner provided by law including foreclosure on the above-described real
property.
The traffic impact fee, annual percentage rate of interest (y Z%) and finance charges which
I agree to pay are as follows:
HIGHWAY TRANSIT
1) Amount of. Traffic Impact Fee. . . . . . . . . . . . . . . .$_�_Z�� O[1_ _ 100.00
2) Amount Financed. . . . . . . . . . . . . . . . . . . . . . . . . . . . .$_/7S� •00 !O D: 0Q-
3) Equal Semi-Annual Principal Payments. . . . . . . .$ 6v7
4) Interest on Balance at Rate of. . . . . . . . . . . . . . BIZ
I understand that the amount owed, as stated above, shall be a lien on the above-described
subject property pursuant to Washington County Ordinance No. 379 Section 6 (D) and ORS
223.230
DATED this , —_ day of _ 19 .
Signature of�rty Owners(s) S ature of Froperty Owners)
;TATE OF OREGON } N gme (Pleas Print) : ��Y r e n �I 7�� —
} Address: ..I-() 0
County of Washington } �J
SUBSCRIBED AND SWORN TO BEFORE me tt, .s Mrd day of L2L _,, 19_9l
y
Notary ��p lr
.ic for Oegon
My Co:r ssicn Expires: �� '.S -4/2 _
H:\login\debra\TIF.WL
Low
OF TIGARD PLUML 'NG PERMIT
C17YOF
'-ERM IT #. . .. . . . . :
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 SW VW1 BW P.O.Box 23397,T4wd,Orego"97223 (503)639-4175 DATE ISSUED: 05/03/91
SITE A D D RE S S. 93W 91ST* CT PARCEL:
SUBDIVISION. . . . : THE GROVE -- (HtIZEL HILL) ZONING: R-4. 5
. 71
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .
C-1-ASS OF WORK. . NEW (3r.RBAC7v_ DIS- POSPLS. - : 1 BACKFLOW PREVNTRS.
TYF-"E OF USE. . . . aSF WAS!i!N6 MACH. . . . . . . : 1 n
OCCUPANCY GRP. . :R3 FLOOR DRI,TNS. . . . . . . :0 TRAP',-3. . . . . . . . .. . . . . . .
3TORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
IXTURES--------------' LAUNDRY TRnYS. . . SF RAIN DFAI 4S. . . . . : 1
,INKS. . . . . . . . . . .. I GREASE TRAPS. . . . . . . :0
AVATORIES— . . . : 3 OTHER FIXTURE`:. . . . . :0
UB/SHOWERS. . . . SEWER LINE (ft ) . . . . :0
ATER CLOGE"S. . F-..R LINE (ft ) . . . . : 100
!oISHWASHERS. . . . : 1 RAIN, DRAIN (ft ) . . . . :0
:emarks - SUB91ZI-0006 CONDITIONS MUST BE SA-rT.13FTED
IWNER: --FEES----------------
f, F DEVELOPMEN'i" CO. PI(TYM $ 1 izi o. t,)0 jt_H 0c:/k1$/91 209579
7707 SE OATFIELD BPRT s 379. 00 JLH 05/03/91 -
SPLC
E $ 246. 3:j JLH 05/03/91
-LOD '.3E TONOR Ht5PC $ 18. 9t JLH 05/03/91
- j
hnne
#.' 652-7092 SSDC 4 375. 00 JLH 05/03/9t
PARK s 500- 00 JLH 05/03/91
--i m 1-.)1 n a Contractor: MPRT 1, 39. 00 JLH 05/03/91
MPLC $ 9. 75 JLH 05o'03/91
115PC F 1 . 95 11L.J: 0"5/03/91
PPRT $ J bO JLH Ob/03/91
St st P ED P5PC $ 6. 63 J L H 05/03/9 !
�, v n e# I IF $ 1,350. 00 JLH 05/03/91
--- RECSL!lRED TNSPEC"r inNS
pev,mit is iss'..tpd sul.3jort to the r-013
i.t.lations contained in the Tigard Municipal. Foot/found Insp Haiti drain ITISP
1
. -t/seam str..'(ct Water Lint, T TI 13()
.ode, :tate of Of-P. �3pf?cialty Codes .-111 d ajl P os
,)ther mtoplicable laws. All work will be done post/Seam Mechan Appr/F)dwlk Insp
in with aptirOvied plans. This plm,luvd-, lab Insp Merhan ica I f int-.
,jer. .vjit .Rill e)4pire if work is not started PLM/Underfloor Plumb Final
within 160 days of issi-tance. Or if wot"l( Is Mecti,3nical Insp Building Fi
s,,, ppnded for, more than 180 days. Plumb Top Out Erosion Co1f11
1-1-amitiq Tn%p
1- ireplace Inst)
bas Line Insp ----------
kn%ulatirn Insp
// �Gti L_ _ . .C�l Hyp Baav-d lii�4p
red Plutg Lu'*n" ractor Signature
Call for inspection 639--4175
_,tractor Notes %
C11YOF TIGARD CITYOf 1i�ARD MASTER PERMIT
'
COMMUNITY DEVELOPMENT DEPARTMENT elnooes ERM I'T #. . . . . . . .. MST91-0026
13125 SW Hell Bird. P.O.Box 2WO7,Tipmd,Oregon 97713 (50316W-4175
1�� 4C•
SITE i-�Ll:-kES`.i. . . : --1 r-- «4+ 3W 31ST f:T PARCI�L: 1j135DS--GR1
SUSDIViSION. . . . : TH;'. GROVE — (HAZEL HILL) ZONING: R-4. 5
FLOCK. . . . . . . . . . . LOT. . . . . . . , . . . . . :2
_..________---__._._____.._.___-.__.._.__-.—•- BUILDING
RE.I SSUE: DWELLING UNITS: 1 PASE:ME t%'r. . . . . . . . .0 Sf
C'04SiS Ut- AORK. :NEW BEURMS:4 PATHS; 3 bARAGE. . . . . . . . . . :440 sf
TYPE OF USE. . . :5F F=LOOR AREA,3•_.___.__.---._....— REQUIRED SETBACK,__.._..__._...___
'TYPE OF CONST. :51\1 FIRST. . . . :809 Sf LEFT. . : 10 ft RIGHT. :7 ft
OCCUPANCY GRP. : R3 SECOND. . . : 767 5f FRONT. :20 ft REAR. . :70 ft
STORIES. . . . . . . :2 THIRD. . . . -0 Sf
HL-:165HT. . . . . . . . . 5 ft 1"(7TAL.- - _ —: 1596 ,a f SMOKE DETECTORS. :Y
F• LU1.1H LOAD. . . . :40 ps f VALUE:. . . . . i : 61336 PARK I NG SPACES. . :0
Pema-ks : SULA90-001736 CONDITIONS MUST PE SATISr"IED
----------------------------- PLUMBING ____..._._._____._-_._—___--_.--_-----_—_---.
aINKS. . . . . . . . . . : 1 FLOOR DRAINS. :0 BACK;F[-OW PREVNTRS.. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 CRAPS. . . . . . . . . . . . . . :0
I UN/SIHOWER13. . . . ::2 LAIINDRI' TRAYS. . . .0 LATCH BAS INS. . . . . . . :0
W:,TFFt CLOSETS. . ::3 SEWER LINE (ft ) . :0 CREASE. TRAPS. . . . . . . :0
D I SF- 'R,15. . . . 1 WATER LINE. (ft ) . - 100 OTHER FIXTURES. . . . . ..0
6(4HbHbE DibP. . . : .1 RAIN DRAIN (ft ) . :0
W1.)(31i t NG HACH. . . : 1 SF R(�I N DRAINS. . : 1
-------- MECHANICAL MECHANICAL _ ._. .---__._.__-__._ _..____. __-._________ FEES
FUEL TYPES--------------• UNIT HTRS. . :0 type -3mnolr,t by date rec'nt
/GAS/ t / VEl\ITS . . . . :0 PAYM $ 10121. 00 Ji.H 02/06/91 209579
MAX INPUT:0 BTU VENT FANS. . .4 BPRT $ 379. 00 JI...H 05/03/91 --
F URN ( 100K - - i HOODS. . . . . . : 1 BPLC $ 246. 35 JLH 05/03/91 —
f URN ) =1017;K :111 WOODSTOVES. :0 13157F'C $ 16. ')t JL.H ids/10 3/9 1 -
LOUR FLIRN. , . . :0 CI_0 DRYERS. : 1 SSDC 1 375. f-T JI...H 05/03/91 —
POIL/CMI" ( 3HP:0 OTHER UNITS:O PORK $ 500. 10111 JL11 05/03/91
GAS OUTLETS: 1 MKRT t 39. 00 JLH 05/03/91 -
Qwnt�r MPLC $ 9. 75 JLH 1215/03/91 -
tyl A. F DEVELOPMENT CO. M SPC $ 1. 95 JLH 1O5/03/91
1 ,'707 S3E_ OA•TF=TELE) pop P T t 51t"7 JLH 05/013/ )1
P5[-"(., $ 6. 63 JLH 05/03/91 —
Ul._F►U STONE. OR 97012.7 TGF $ 1350. 1210 .JLH 205/03/91
L,h nr,e #: 6521-709i-E.,
C=ontractor: --____---_—____.____.•__.___—__—_
ht 8 F DFVPA..Or=:'MFNT ('0.
17707 SE. OATF 1 ELD
GLADSTONE OR 9'7121, 7
Phone #1 652-7092
PeR 57464
$ 3059. 1-3 TOTCIL
his permit 1,s issued subject to the regulations contained in the ----- -- REOUIRED INSPECTIONS - -----
Tigard Municipal Code, State of Dre, Specialty Codes and all other Foot/fol.md Insp Fireplare Insp
applicable laws. All work will be done in accordance with approved PaSt/Bream Strl.11.:�t ties, Line Insp
Flans, This permit will emoire if work is not started within 168 Post/Beam Meehan Insulation Insp
d?)s of issuance. or if work is suspended fer sort than 168 days, ;Jlm/1.cndslab Insp Svc) Board Insp
PLM/Underfloor Rain drain Tr15n
Pet-mittae 5.ic-111,at'o,eor / yytr„ Mer_,han.ie,:.al. Insp Water Li •,e Insp
• P1 Limb Top 01.1t Appr/Sdwlk Insp
l s s+_1 e d B v : __ __. ____�_.___.......__. __ _... Framing T.n s p l a r_.h a n i 1`a 1 Final l
— ---_ ---Y— — — SEWER CONNECTION
®
PERM I T
C11YOFTIGARD PERMIT #. . . . . . . : SWR91-002`'
CRYOf i1fIa111D
COMMUNITY DEVELOPMEW DEPARTMENT 0010" DATE I SSUSO: 05/03/91
131266W ISI Blvd. A.O.Baa 23:197,Tigmid,Oregon 97223(603)&�0 4176
JI NDDRESS. . .
-rr - SW 9.1S i CT y PARCEL: I 1.5DB--GR '
UESDiVISION. . . . : THE DROVE — (HAZ[=L HILL) 7.ONING- R-4. 3
`LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 12
----------------------------------------------------
TENANT NAME. . . . . :
JSA NO. . . . . . . . . . :43631 FIXTURE UNITS. . . :
.LASS OF WORK. . . :NEW DWELL 1 NG UN I TS. . : 1
TYPE OF USE. . . . . :SF= NO. OF RU I LD I NGS: 1
i N:3TALL TYPE. . . . :LALJ13WR I MPERV SURFACE. f
aem,tarks
FEES --_____----_._.
M & F" DEVELOPMENT CO. type amount by date recpt
17707 SE OATFIELD PRMT i 1500. 00 JLH 05/03/91 -
IRI :'.'-.,. ON JLH 05/03/91
GLAD STONE OR �t707'7
rIhone #: 652--7092
Contractor.
M & F DEVELOPMENT CO. ;
C1707 SE OATF I LA.-D
GLADSTONE OR 97027 -----------------.—.._________________._
Phone #: 652-7092 t 1535. 00 TOTAL
Keg #. . : 57484
REQUIRED INSPECTIONS -
This Applicant agrees to comply with all the rules and renuistions Sewer Inspection
of the Unified Sewage Agency. The perut expires 128 dah. 'ran
the oat# issued. The total amount paid will be forfeited if the _�__,.�__•,____u -, � ____.
oerut expires. The Agercy does rct gl.tarantee the accu acv 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 Agency will install a lateral.
r e r m i't t e e S a n n a t,.ire:
Issued By: _ .� _..__ .
Call for- inspection — 639 -4175
1
CITY OF TIGnRD RECETPT OF PAYMENT RECLIPT NO. 29 1 1 c78c)
CHECK AMOUNT s 3144. 1,
CASH AMOUNT 0. 00
NAME M & F DEVELOPMENT PAYMENT DATE 05/03/91
ADDRESS SUBD I V'.1;i ON
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PflYMENT PMOUNT PAID
i�UFL:6 1—NG TE`Rw........ 379. 00 PLUMBING PERM 132. W-5
MECHANICAL PE 39. 00 ST. BUILD PER 217. 53
PLAN CHF_r':-: 1*7E 156. 10 SEWER USA 1500. 00
SEWER INSVILCT 35. 00 PARKS SDC 500. 00
STORM DRAIN C.'�DC 3'75. 00
SW 9IST CT LOT El
g THE GROVES
TOTAL AMOUNT PAID 31144. 13
1 I)I755W ILill MV& PLNCK/RECT N
OF T I(YARD 110 BoK 2-3397 _
PERf;IT b
Tigard,Oregon 97211
COMMUNI'T'Y m-YELOPMENT DETARTMENT (503)6394171 DATE ISSUED
TAX MAP/Lor
JOB ADDRF SS:SUB: Tlyr LOT:/� -.- ----- --
LAND USE:
VALUAl ION: �O
OWNER _--__—__---
SPECIAL---NOTES
-
------ ---- -
REISSUE OF-
NAME:
F•NAME: —-
ADDRESS: -_- -- LAST REISSUE: --
FLOOD PLAIN/
.---- - --
SENSITIVE LAND:
PHONE: _ —---
CONTRACTOR ` APPROVALS REQUIRED
NAME: _ /� ` ,�ll1J/ PLANNING:
ADDRESS: _ ����G7 e _ ENGINEERING: _
FIRE DEPT: -_ --- -
L
1'HONE: -_ SL-2d, - --- — orHER: _ ----
CONTR. BOARD 0: S7 /�Y — EXP DATE:
ITEMS REQUIRED
� LIST/SUBCONTRACFG«S:
SUBCONTRACTORS: PLUMB: /�'s ---- -- -
MECH: ���'9f'�n — BUS TAX: __ -- -- —
QRCH ENGINETR CALCULATIONS: _----
NAME: � /� __-- TRUSS DETAILS:
ADDRESS: �G — __ OTHER: ---------___------ --
PHONE: - ------- --- -
PROPOSED BLDG. USE: LrtCo,t41-! -- - - - - _
COMMENTS:
Sing 90 0004
It"
AP LIC,ANT— IGNATURE
Received By : Date Received: 11 �/
OLSCR[P1 [0fd AMOUNI AMOUNI i'0. BAL. DUE, ,
PERMIT N ACCT # �y� ,J7� • .
• � . •n �' ]0-432. 00 Building Permit I=ces
�- 132. So
10-431 00 Plumbing Permit Fees
10-431 O1 Mechanical Permit Fees
— ��S3 a�,S•3
10-230 01 State Building Tax (5%)
BuiIdifly —
Plumbing
i
Mechanics'.
y �
ILL, /U
10-433 00 Plans Check Fee
Building
C. � >
Plumbing _ —
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
ri v
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees ----
25-448-04 Industrial TIF Fees
25-448-06 Institutional 11F Fees
25-448-03 Office TIF Fees --- --
25-448-01 Residential Traffic Fees /..
l2
25-448-05 Mass Transit TIF Fees
52-449 00 Parks :ystem Dev Charge (POC) -
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
�7�
2.4-445-01 Water quality (Fee in lieu of)
24-445--02 Water quanLit.y (Fee in lieu of) —
nm/3581P.WP1
I
CITY Or-" TIGARD RECEIPT OF PAYMENT RECEAPT NO. c9l-209579
CHECK AMOUNT a 1 ilik1. 017,
NAME-.,' IN & F DEVELOPMENT CO. CASH AMOUNT 0. 00
AIDDRESS 17707 S. E. OATFIELD PAYMENT Dn*rr..' a oi-!i 0E1/71
SUSDIVISIO14
fit-PDSTONE, OR 9*7Qi2'7--
PURPOSE OF PAYMENT ►)MOLJNT VIA I D PURPUSE OF PAYMU.NT OMOUNT PAID
�'--ZR 100. 00
2-101 "I-OT I THE GROVES"
AMOUNT PAID 00. oel
lid
i
Building Permit No.
COUN17YWID►E
TRAFFIC IMPAC"T FEE Planning File No. �6—
PAYMENT OPTION FORM
Tax Map&Lot No.
Date
Ze
Project Name
I realize that I must make a decision on payment o:the Traffic Impact Fee (TIF) at this time. Therefore I
request the following (Choose whichever option or options are applicable):
F1Cash or Check
UCredit Voucher
WBancroft or Installment Payments
and/or
(�1 The Ordinance allows for aeferral of payment of the TIF until issuance of the occupancy permit if the
IrJ TIF is greater than$5,000.00. It the TIF meets this requirement, I also request this option. I under
;;tand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF
will be recalculated based on the prevailing rates at time of payment. Please he advised that TIF rates
may increase up to six percent cacti July 1 st. This rate increase is not subject to appeal.
O NER-APPLI ANT OWNER/APPLICANT
CC building Permit File
Payment Optica`Notebook
Vit>w text of highlighted condition
obSUBDIVISIUNAAAAAAAAAAAAAaaAAbAAaAAaaAAAAAAabAAASAAAAbAAA3AAAuaAaaAAAAsAaAaAAC
:SUB90-0006: PROJECT:M & F DEVELOPMENT STATUS:P : UPD:04/09/90: :B
APPI.ICANT:M & F DEVELOPMENT PRIM.. :SUB90-0006:
` SITE ADPR.ESS:00000 SW
OACONDITTONS FOR CASE SUB9U-0006AAAAAAAAAAAAAAAAAAAbAAAAAAAAaAAAAAaaAaAAAAAAAAC
#-
' ------ ----------- Stat Date---- B Updated-- Tit.le------------ - Y- -----
1) REPLAT PROPOSED SUBDIVISION JH / / 06/25/90 RP
2) 7 SETS-FLAN/PROFILE-CONSTRUCTION JH 01/09/91 JSH 02/11/91 JSH
' 31 PUBLIC IMP.-100% ASSURANCE JH / / 06/25/90 RP A
4) FULL [WIDTH STREET .IMPROVEMENTS GA 01/09/91 JSH 02/11/91 JSH
' 5) TEMPORARY EMERGENCY TJRN-AROUITD GA 01/09/91 JSH 02/11/91 JSH
6) SEWER-STC RM DRAINAGE DETAILS GH 01/09/91. ?SH 02/11/91 JSH
7) HALF STRTET IMP.- NORTH DAKOTA JH 01/09/91 JSH 02/11/91 JSII
A) STREET CENTERLINE MONUMENTATIN JH 01/09/91 JSH 02/11/91 JSH
9) PUBLIC IMPROVEMENT PLANS JH 01/09/91 JSH 02/11/91 JSH
' 10) OCCUPANCY PERMIT-100% ASSURANCE JH / / 06/25/90 RP
0 11) EROST:,:,1 CONTROL PLANS BR 61/09/91 JSH 02/11/91. JSH
12) NO ACCESS TO DAKOTA - LOTS 1 & 12 JH / / 06/25/90 RP
13) DRIVEWAY CUTS JH 01/09/91. JSH 02/11/91 JSH
1.4) SAN. SEWER TO END OF 91ST COURT GB 01/09/97. JSH 02/11/91 JSH
bbbbb�sLAfiA�adbdSaAddiAli�AAbb6ti5dbdadl�Abg&SAaabrafiflbgbbAEiAbbSbbAAfi&3hbbhbbbxbbb�b i
OASUBDIVISAAAAAAddil AA&ILA"A&SAAA&AiAAAAAU
• :SUB90-0006: PROJECT:M & F DEVELOPMENT STATUS,-.P : UPD:04/09/90: :B
' APPLICANT:M & F DEVELOPMENT PRIM. . :SUB90-0006:
' SITE ADDRESS:00000 SW
6ACONDITIONS FOR CASE SUB90-00065AAAbAb«AAAAAAAAAAaAAAAAAAAAAAAAAAAAAAAAAAAAAAC
#--- Title----------------------------- Stat Date---- By- Updated-----
' 15) ADUQUATE STORM WATER DRAINAGE BR 03/01/51 BCF 03/01;'91 BrR
' 16) TREE REMOVAL PERMIT / / 06/25/90 RP `
o .17) APPROVAL VALID FOR 18 MONTHS / / 06/25/90 RP