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Case File V � Av" .�p 1 F I• .• • r V ,..ITY OF TIGARD CERTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST94­00.67 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 07/06/95 PARCEL: 2S 1 14BB--16:300 SITZ=. ADDRESS_ . : 16M36 SW 103RD OVE SUBDIVISION. . . . : '.IVERVIE=W ::STATES 7CINING:R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . a 9 CLASS OF WORK. -NEW TYPE OF USF:. . . :SF OCCUPANCY GRP. :R3 nCCUPANCY LOAD:2 1 4 r I--NANT NAME. . . : Remarks: PATH I Owner: MTN GHADOW ENTERPRISE INC 17i245 5E HANNEMAN CT GLADSTONE OR 97027 Phone #: 656-0096 Grantrarct or: __._._ .__._..._.___..._.�_..._--.•---_...__.__.__.,.__w MTN. aHADOW rNTG. RPRI'SES, ING 17L45 SE F- ANNE'MAN CT. GLADE TONE OR 97027 Phoney #: 656-0091 Rey #. . : 451428 This C:ertificiate cert ifies that: the above referenced buiIi1inlr or portion thereof has been insper_ted or c-omp; iance with the Tigard BI.AiIding Code f,ar the gramp and division of acr.. ipancy ,unci mse for which the above referenced permit wAs is �a�1, and occupancy is hereby granted. I�JJ' Je_ ___ ___.____ -_____ I�u1l_DIrrC, r;;PEC 1'oR BUILD.►NC OFFICIAL rfl-IT IN CONSPICUOUS PLACE. J J t CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-417E Business Phone: 639-41 1 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/S Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line _Brd—g�. Plbg. Underfloor Rain Drain Framing d-1 Tumb Alarm Water Line Insulation Ifv ecT�> Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requr;,ted: z! �' /t.5 Time: AM PM Address: 4 ����� . Builder: Permit #:��U�� THE FOLLOWING CORRECTIONS ARE REQUIRED: d n.: N } F- J 11.1 J Inspector: Date: PROVED DISAPPROVED APPROVED SUBJECT TO AROVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. Sian. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Date Requested: i !o �j j Time:- PM PPA Address: )C{1 U ? ✓j ,� Builder: 1 113,' 3(e, L' Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: ---�-- J G� F-- r C ' © �� w - - J Inspector:--�c _ Dater APPROVED DISAPPROVED ,APPROVED SUBJECT T ABOVE ____Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O Phone). 639-4175 Busines:� Phone: 639-4171 Inspection: _ _ Footing Susp. Ceiling Sprink. Rough-in pr/Sdw Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough- FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elec Date Requested: ��� y�;> S Time:. AM PM Address: Builder: Permit it: / y— C% THE FOLLOWING CORRECTIONS ARE REQUIRED: 04?- n7412 4? CO;:j 5V rla(-a- oa Y _ Al-I Idn'L.-� Inspector:, ,�� j �5 Da(o: --24(---q<, YAPPROVED DISAPPROVED PROVED SUBJECT TO VE 1 Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__ — / Footing Susp. Ceiling Sprink. Rough-in r/S Ik Foundation Plbg. Underslab Mech. Rough-�n ;replace Post/Beam Struct, Plbg. Top Ou, Elec. Rough-in 04AL: Post/Beam Meeh. San Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. IInsul. Shear Wall yp. Bd.J !Elect. Date Requested: �S I �5 Time:,yfAMUU PM Address:_–/ Buil�ier:_�C� 361 Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector' _� Dale:,_ L Kt!;PROVED DISAPPROVED __APPROVED Si,;5JECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspersion Line (Rec-O-Phore): 639-4175 Business Phone: 63 1 Inspection: Footing S gip. Ceiling Sprink. R,,ug i-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struut. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sawer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Lin© u at,on &-U ziJ-Me,h. Underflr. Insu:. Shear Wall Gyp. Bd. -Elect. Dete Requested:_ `'� _Time: AM PM Address: Builder: Permit #:�� C'•� 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: or rt H N L F-- J r. C7 J J Inspector- 1( P`ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE `Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspeution: Aq Footing Susp. Ceiling Sprink. Rough-in pr wlk Foundation Plbg. Underslab 45DRough-in Fireplace Post/Beam StrUCt. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer <Gas Li -Bldg. Plbq. Underfloor Rain Drain (Framing) -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear /Wall Gyp. Bd. -Elect. Date Requested: "t 1( �j (Cl . Time: AM PM Address: Z Builder: Permit !1: —� o2- �p7 THE FOLLOWING CORRECTIONS f,RE REQUIRED: l?c°E� /5. 71► E��'P� 5> uF T Ayl,6 ,F'aaf Ins tar: Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Bus-ness Phone: 639-4171 Inspection: _.-_ Footing Susp. CP�'ing Sprink. Rougppr/Sdw1k Foundation Plbg. Jnderslab Mech. Rough in ireplace Post/Beam Struct. �OpRtElec. Rough in pt I AL: L. Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Und,3rflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: LC —Time: AM PM Address: / -'� / ✓1 _ Puilder: Permit #: Z D �� THE FOLLOWING CORRECTIONS ARE REQUIRED. vsp .tor. Date: i APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITE' OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection. Footing Susp. Ceiling Sprink. Rough Appr/ ' Ik Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. P1_89. Underfloor Rain Drain Framing Plumb. Alarm Water Line_ Insulation -Mech. Underflr. Insul. C_5hj9ar Wa1l-, Gyp. Bd. -Elect. Date Requested: q /' Time: AM PM Address: J Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: ti— V, ti M� _J LL) J Inspw,tor:_ _ Dater L.krvHOVED .::SAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOPCE Inspection Line (Rec-O-Phone): 539-4175 Business Ph e: 39-4171 Inspection. Footing Susp. Ceiling Hough-in Appr/SdwIK Foundation Plbg. llnderslab Mech. Rough-in Fireplace C eat . P:;q. fop Out Elec. Rough-in FINAL: st/ learr, Me Sar. Sewer Gas Line -Bldg. efbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation -Mech. Underflr. insul. Shear Wall Gyp. Bd. -Fleci. Date Requested: j,T /e/ 5 J Time: AM PM Address: Z Z C -3 "- Builder: _ Permit #: 7 THE FOLLOWING COIIFIECTIONS ARE REQUIRED: Inspect r. bate: _ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection 1-ine (Rec O-Phone): 639-4175 Business Phone: 639-4171 Inspection:, Footing Susp. Ceiling Sprink. Rough-0 Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post(Bearn Strut,. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. C7 Gas Line -Bldg. Plbg. Underfloor t Framing -Plumb. Alarm W64ter Li Insulation -Mech. Under%. Insul. Shear Wall Gyp. MElec � Date Requested: 11 3 I t ��.5 Time: AM PM Address: Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: I Inspect — --- - Date: APPROVED ,DISAPPROVED `APPROVED c•JBJECT TOMOVE `Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk oundation)LX,0-0 Plbg. l!nderslab ;.ech. Rough-in Fireplace Post/Beam Siruct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg, Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insul,tion -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -El-act. dryy Date Requested:_! I Time: AM Address: 2 &,;4- Builder`& �I ( �/ � Permit d THE FOLLOWING CORRECTIONS ARE REQUIRED: is In: tor: Date: LAPKiOVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639 4 7 Inspection: _o tinT) Susp. Ceiling Sprink. Rough-in Appr/Sdwik Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plba. Top Out Elec. Roli;;i-in FINAL: Post/Beam Mech. San. Sewer Gas line -Bldg. Plbg. Underfloor Rain Drain Fram;-!g -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: L �_Time: �X AM PM Address: �CO 3Co �C1 3_4 _ Builder. & C.{ — I Permit k: 7 q'���Cr THE FOLLOWING CORRECTIONS ARE REQUIRED: F- N F- G] LO UJ Date: APPROVED DISAPPROVED APPROVED SU JECT TO ABOVL Call For Reinsp. 1 ' ITY CSF TIGARD (:'LUMNI1\1(3 PERMIT COMMUNITY DEVELOPMENT DEPARTMENT DARMI Tc SU , : 1-:' MST94 k LATE ISSUED: 1:::/1•.x/9 + 13126 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 2S 1 14HLa•-16300 Z> . , L lA1jiJRL66. . . : iuc.'36 SW 10:3RU AVE JiUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R--7 -'Ij LLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . : ') CLASS OF WORK. . -NEW GARBAGE: DI73POSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . : R3 FLOOR DRAING. . . . . . . :0 T RAP ". . . . . . . . . . . . . . :0 STORIES. . . . . . . . :;: WATER HEATERS. . . . . . : 1 CATCH BASINf3. . . . . . . :0 11X1-URES-------------. ---- LE'JI\IDR'r' TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 L_AVPTORIES. . . . . :4 0-rIAER FIXTU '.ES. . . . . :0 TUR/SHOWERS. . . . . SEWER LINE (ft ) . . . . .0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : .100 OiSHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PATH I OWNER: ------------------------------ FEES_...____...________._. - 117N SHADOW ENTERPRISE INC TIF $ 1520. 00 JF 12/13/94 - 17e45 SE_ HANNE:MAN CT BPRT $ 430. 00 JF 12/15/94 - BPLC $ x'84. 70 ,JF 06/22/94 94- 2 5 37"16 GLADS TONE. OR 97027 85PC $ 21 .. 90 JF i�-/15/94 Phone #: 656-0096 SSDC $ 200. 00 Jr 12/15/94 - h"'ARK $ .-;014). 00 JF 12/15/94 - iliumbirg Contr^ar_tor:- -__.____.______._ MPRT $ 4;:3. 50 .J(= 12/15/94 - MPLC $ 10. 88 JF 12/15/94 - Name : '�� p�ILXYI�I ►flpM h=L: $ 2. 18 JF 10'/15/')4 Addr^esti : d d "' _ PPRT $ 115E. 50 J 1;'/15/94 - U itY :.. cn it:+t e; CIC P5PC': $ 8. 1.3 JF ] 2/15/94 3---- S Phone : - LHOL; $ 64. 00 JF- 1 -'/ 1:x/94 IP # 1�� �/ Additionill fees not shown h er•e. . . . . . . . - ---- -- REOUIRED INSPECTIONS This permit i-a i !-,sued subject to the reg- ulations contained in the Tiqard M inicipal Foot/found Insp Rain drain Insp Code. State of Ore. Sper_ialty Con . and all Post/Seam Str^uct Water- Line Insp other applicable laws. All work will be clone Post/beam Mechan Appr/Sdwlk Insp in accordance with approved plans. 1-his r-'1111/1_rTrd, lab Insp Mechanical Final Permit wi11 expire if work is not started F'LM/Underfloor Plumb Final .� within 180 days of issuance, or of work is Mechanical Insp Building Final v~i suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain I'- Fireplace J n s P J G a s Line Insp ca / Insulation Insp w GYP board Insp --_-. iced i �_rmbing 11 1, torKignature Call for- inspection -- 639-4175 .ontractor Nates : WA CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13125 SW Hall Blvd.Tigard,Oregon 97223*B199 (503)639-4171 P,ERMI1 #. . . . . . . :. MST94-021( DATE ISSUED: 12/15/94 PARCEL: 1215114BB­1(_,,:00 SITE ADDRESS. . . : 16236 SW 103RD AVE SUBDI VISI LIN. . . . : RIVERVIEW ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . . LOI. . . . . . . . . . . . . :9 BUILDING REISSUE: DWELL 1114G UNITS: l BASEMENT. . . . . . . . :0 s CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . : 60 sf TYPE OF USF . . . :SF FL-(JOR AREAS------- REOUI RED ryF-+ OF CONST. :5N F I RST*. . . . :922 S f LEFT. . -.5 f RIGHT. :7 ft OCCUPIANCY GRP,, :R3 SECOND. . . : 1055 s f FPONT. :20 ft REAR. . :,34 ft` STORIES. . . . . . . :" PINBSMENT:O S f REGIU I RED----------- HEIGHT. . . . . . . . ..21 1')77 s f SMOKE DETECTORS. :Y FL(JUR LOAD. . . . :40 psf VALUE. . . . . 101022 PARKING SPACES. . : 1 Remarks : PlATIA I P'LUMBING SINKS. . . . . . . . . . : I FI-.OUR DRAINS. . . . :0 BACKFLOW P,REVNI-RS. LAVAIORILS. . . . . .4 WATER HEATERS. . . : 1 -rRAPS. . . . . . . . . . . . . . :0 TUB/SIAOWERS. . . . :3 LAUNDRY TRAY,175. . . : l. CATCH 13ASIN5. . . . . . . .0 WATER CLOSETS. . -.3 SEWER LINE (ft ) . .0 GREASE TRAP'S. . . . . . . :0 DI SHWASHE RF3. . . . . I WA ll-'.R LINE ( ft ) . . 100 U1 HER FIXTURES. . . . . :0 UARBAGE DISP,. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS- : 1 MECHANIC ,L FEES FIJEL TYPES------ UNIT' HTRS. . .0 type amolmt t)y date recpt /GAS/ VENTS . . . . . :0 TIF $ 1520. 00 JF 12/15/94 MAX INPIUT:O B 1"U VENT TANS. . :4 BF'RT $ 4:311. 00 JF" 12-115/`)4 TURN < iOOK . . - I HOODS. . . . . . : 1 BP'LC $ 284. 70 JF 06/22/94 94-c'i3 TURN =100K 0 WOODSTOVES. :0 B5P,C $ 2'I. 90 JF IU/15/`)4 -- FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JF 12/15/94 - BOIL/CMP ( 3HP'04) OTHER UNiTS: 1 PIARK $ 5016. 00 JF 12/ 15/')A+ - GAS OUTLETS: 1 MPRT $ 42;. 50 JF i2_115/94 - Owner: 10. 38 JF 12/15/94 MTN SHADOW ENTERPRISE INC M5P1C $ 18 JF 12/15/94 17245 SE HANNEMAN CT P'PRT $ 162. 50 JF 12/15/1),1 P15PC $ 8. 13 JF 12/15/94 GLAD STONE OR 9-7027 EROS $ 64. 0111 JF 12/15/94 aIhuiie #: 65f.,-0096 E R P,C $ E0. 80 JF 12/15/94 - Cont),actot-., $ 20. 80 Jr- 12/ 15/94 M7N. SHADOW ENTERPRISES, INC 17;z.'45 GE FIANNI'MAN CT. (;LADSTONE OR 97027 Phone 656-0096 45428 $ 3377. 39 TOTAL This Permit ii issued subject to the regulations contained in the REQUIRED INSV'ECTIONS J ligard Municipal Code, State .f Ore. Speciaity Codes and all other Foot/fulled Insri Fireplace Insp applicable iaw'-,. All work will be done in accordan:e with approved Plast/Beam Stv,l.tct Gas Line Insp plans. This permit will expire if work is not s wi hi 0 Post/Beam Meehan Insulae ion Insp lays of issuance, or if work is susp han da r-Ilm/i-indslab Insp Gyp Board Insp FILM/Undet-f 1 oov- Rain drain Insp Permittrwe SiLlneti-ir, -M-e T-11 a n i t-a I Insp Watev I inr Insr P11-imb Top oLtt Pppt,/Sdvs1k Insp k e d 0 y f v,aminq Insp Mer--hanical. Final. t; CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERM I T 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : SWR94-•0t'_'j/- 639-4171 DATE ISSUED: 12/15/94 PARCEL: 2.11 14BB--16300 LTTE: ADDRESS. . . . 1C),2';�6 SW 1v"3RD AVE SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R•_7 r_12 13LOCK. . . . . . . . . . 1_01 . . . . . . . . . . . . . :9 .I U.NANT NAME. . . . . USA NO. . . . . . . . . . . FF•IXTURE UNITS. . . . CLASS OF WORIi. . . :NEW DWELL l NG ON I TS. . : 1 TYPE OF USE. . . . . :SF NO. Ul= HU I LD I NGS: 1 INSTALL TYPE. . . . :BUSWR IMF'ERV SURFACE. . : sf Remt=Wks : PATH I Owner; FEES ;1l'N SHADOW I_NTE_RPRISE INC: type amol_rnt by date reept .1 ?ii 4U BE. HANNE=MAN CTF'RMT t E-200. 00 JF 12/15/94 - INSP $ .5. 00 JF 1CD/15/94 - C_'L_ADSTONE OR 97(427 ':'hone #: 656-0096 CONTRACTOR N01 ON FILE I:Tione #: $ 21_:�135. 00 TOTAL REQUIRED INSPECTIONS -------- 'his Applicant agrees to comply with all the rules and regulations Sewer Inspection _____•_�•__—_______.__ of the Unified Sewage Agency. The permit expires 180 days from tt-,e date issued. The total amount paid will be forfeited if the permit expires. The Agency noes not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall orospect 3 feet in all Girections from :ire distance given. If not so Inc-ited, the installer shall p se a "Tap and Side Sewer" Permit and the Agency will in 1 late al ev-mittee 5 i U n -Ati_rnp s�s i-recd By __.___ _ _�__.__. Call far inspection - 6:39-4175 ,J I� - as9(7Off _Residential Building Permit A lication (`ity of Tigard y3125 SW Hall Blvd. ```, I C,("- Tigard, OR 97223 Y (503) 639-4171 Jobsite Address: �• ,� t,(;,C c^ ` t �� J Subdivision: �S441_Lot #-`( Office Use Only ��` Valuation: Jy�N D Z Z Planck/Rec # L �...F1r� _ Permit # 0 V !a Owner: JAL'� c _ Address:1� L( � f r r✓��1? �bn 4 �� : :. r 1 Map & TL # , �' �f �"�l A Phone: (c, Approvals R uired / PlanningEZ-C Contractor: Engineering _ Address: Other Phone: r.. Items Required Contractor's License # C L ( 7 Subcontractors VAJ"" ->Iyi;k)I (attach copy of current Oregon license) Truss Details Contact name & phone: ,s Other Subcontractors: Plumbing: 77 Mechanical: (attach copy of current OR Contractors License) 1 �?uz- N Architect/Engineer: t 74-� fC_ LLK t S Cf Uumn PIA 1-41141-11 Address: '7 l,) 'C' C CIO LLl J Phone: _ �;'�� JOB DESCRIPTION: Vn, (� A�ppllnt Signature & hone number Received by: Date Received: Permit # Account Description Amount Amt. Vd. Bal. Due 1J! f�iJ Bldg. Permit (BUILD) .'-l) V Plumb. Permit (PLUMB) / 4•2...5-0 Mech. Permit (MECH) JZ _ State Tax (TAX) 31 7 Bldg: �21,{U ./ Plumb: Mech: Plan Check (PLANCK) v 4 )5f Bldg: Plumb: V Mech: _L�' b 5V Sewer Connection (SWUSA) "1 J Sewer Inspection (SWINSP) �� V/ 3 Parks Dev Charge (PKSDC) v ✓ 5 c, v Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) � / Mass Transit TIF (TIF-MT) I J v/ v Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) r (7 Water Quantity (WQUANT) Fire District (FIRE) --T Erosion Cntd Penn* (ERPRMT) Erosion Planck/USA (ERPLAN) ?[ Erosion Planck/COT (EROSN) TOTALS: Strom S� ( 36 3 G.I4� I;l,ol j`G '��w „ `I j o � �V'S• ' 20 �• � �e ( 1ef 21 J Jr lolls 41 ��� '�`�'�� \ ..dale• / l. 8 L r� VP k U, rd:D� ,114, 9} C-7 �` _51� J�W�✓ �1 r� 2L ;�QJ ►o�r�l' qa, R3' Flo„ lad' L•'►e,� la l ' <i ScaJ�� IG = r J iso � � w iC) L I`f Y OF T 1.()(.1RD 1tF C:E I F'1 C.IF PAYMF N T RE Cf-.I F'T NO. a 94—c_'"'5375fh CHECK AMOUNT a e50. 00 Nt-1MF a M"PI%i 1.)Ht11)t7W f,'0N'3T RLj01 ION GASH AMOUNT a IA. 00 AUDI 1:Sb a 1 7c:45 Yr. VWINNk OWIN l., I F!AYMENI 001 F : 06/22/94 131._NI)TI(.)NF, OR SURD IV 1 Fi 1 ON a 9 7U1�'7_ �'Ufil!ti�iF_ f)f= K!f=1Yh11 iVl' PM(111N 1 PA 11.) PURI IM-it. OF PAY*-N'T AMLIU l PI-IID Vl._FIIU CHE(;I{ F'F: 6--64R itjo. 00 N i 16236 F►W 103 R I VF*RV I E:W EST ATE S I_.QT 9 'f OT AL AMOUN I* PAID - — —> 250. 0111 L,I I Y HF I 'I V44141) I P I OF PAYMF.N I NII. e 9 4 0 HMI WIN I ! 'sm NAME M'T'N. SHADOW HPI( IN 1 0. 010 ADDRESS a 17P4 St--- Ht-INN[:+IHN Ll . Vlf4YML-.Nl DAIK a 121 lh/44 GUADST UNE, OR '171421 'LAHAD I V I f-i 1.ON PURVIOSE OF: 1-,IOYMF-N1 HM(,IIJI\lt PWI-) 1-ILIRI-101.3*. OF PHYML-NI H1101 IN 1 144 A 1) PlAIMBINU PERM 16P. ``soblill.-DINO 1-11-AiM MSI 94-0ii?b 43A. 00 MF;.("'I-4ANICAI_ PF 43. 5W Fir. BUILD PER PLPIN C'HH'(.% F+ 45. 58 sl--wt,-.R L11-44 8WH94-0;?54 h-'.P.00. 00 'iFWR INSPECT 5. 1710 PARKS SDC W-JoW. (110 Rl- 1;JDFNTIAL TRAFFIC f-Ef-'S 141171. 00 MASS I BANS) f I J F FT:F --') 110, 00 III-() UHAL.ITY FACILITY FEE t 1`40. 00 H20 QUANTITY FPCII .I. FY FtE. 1.00. vio Lf4(.ISJLlN CON IR01- PFRMITFr--[- 64. 00 EROHION WNIHOL PIAIN UK i-10. 80 EROSION CONTROL (30 10 1 Al.. WHON I P(41 1) Job No. Framer Tax Lot Map No. x12 Pitch Order, Est., Del.Date: Add. /qtr G� O.H. PI.or Det. City 2 x '� Top Chord Directions: 2 x _ Bottom Chord _ --- -OAC Spacing 7 Zw(e Bearing Size � N Cm7l'PSF Total Load �7r-b•r i i Ak) ITI I 100 Qo� J bbl � bf I i , / — - - -- L 5�� 1'31.1'° vvT�t•� T ' -��f'lat I I old ,r I' i � i � I li !•jll i t Iil : , ili. F 4- J C7 Leetl a2 eeM nlher NONe 117 aaaateno es cents Path No. T.111 Cbx en OE F,W.Iruo Wide,11.96 Han ut No. Vel.tet Hut CII VLT tat In t t,g.*.Personal Cenlr.Contllmed Tek-ell !a'�1� O � O Nl n O1 1� L il1l 12 a qr JJaNN. UJ M t VRRR H yp8 {Otl. 0-11 H /1 � M■yH H.7N a .i � .] 0 6 r h o 0 a a g p`N � :yV � SM�� rrr777 O o a�n N iva ■vaB- I UI m H U I In tn to re 1.► ❑ y 4 (Z Y114 p 1-/ RR(.. td aHR RR 60 OJ yN� W FI 9u r U �f((. 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