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12567 SW 114TH TERRACE - �u.nv�.ku4JMMWWI�W�dlsrW.n.USY����..g�'�-��- "..� .... .• � �+liwV,r-i.+a?hwY+aw�4MnJ�•Nd�411� . +.w V�x......rv.�...s..o�.�.yY:.1w61YWiVeWq`•. t�rs i I N U� v F-' J� y 12567 SW 114TH Tenr'r•acG C17YOFTIFARD awOFTMRD� COMMUNITY DEVELOPMENT DEPARTMENT 0414m CERTIFICATE OF' 13125 SW Wp l BW P.O.Elm 23",r.TjW,Oregon 91 (503)63g4l,)S ;7 OCCUF ANCY PERNIT bZ)'J-4171 0"TE ISSUF.Do 12/07/99? SITE ADDRESS. . . a 121556-7 SW 114TH DR PARCEL: 23103AC-04400 SUBDIVISION. . . . : WALNUT GROVE SUBP 70NINGt P-4. 5 BL.00K. . . . . . . . . . a LOT. . . . . . . . . . . . . a 13 CLASS (IF WORK. ANEW TYPE OF USE. . . ;SF OCCUPANCY GRP. :R3 LOAD S225 4 TENANT NAME. . . Rettlarleas uwllet-I .......— FOUR 1) CONSTRUCTION PC :.k0X 1577 BEAVERTON OR 97075 Phalle #2 641-0935 Contractors KOUR D CONSTRUCTION P(l BOX 10577 K-SIVERTON OR 97075 Phone Ipp 641 -0935 Hog ll. . s 71037 UVc."ApAllry of the above referwncecj building it; hereby pivell. sknrj, rer,t- ifies the complionre with the 9+ato Of Oregon 19pok.,imity Cod@,A for, the rp"oup, accupanc.,y, wid ur.v tindov- whicl, the r,pl7p t,vjj(,o(j permit waa j Lle(i FIRE DV7PAR7Mfg NT' POST IN CONSPICUOUS PLACE M INSPE(.'TION NOTICE City o!f Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Insper_tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:___ Footing Plbg. Underslab Mech. Rough-in Aper/Sdwlk Found. P?.bg. Top Out Gas Line lINALt Post/Beam Struct. Son. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -dumb. Plbg. Underfloor Water Lino Gyp. Bd. -Mech. Date Requestedt ^1 2, 1 f PH Addresq: I I �f I 1`-1� L C 1 — PeLmLt 0. -02 Builder: THE FOLLOWING CLIRRECTIONS ARE REQUIRED: lnnpert nr: Date$ --APPROVED --- DISAPPROVED -- APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTI_OK NOTICE City of Tigard Building DepattaKunt 13125 SR Ran Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-41'7r Rosiness Phone: 630-4171 Inspection: Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Tap Out Gas Line FINALt Poet/Beam Struct:. San. Sewer Framing -Bld g. Post/Beata Mach. Rein Drain Insulation _ply, Plbg. Underflr>or Water Line Gyp. Rd. -Noah. Date Requested-_1 / -/ ] 2- 77�� Timrat AM Address: ����`t? �l ^Z"�--�stmit #t Bu i Ide r THE FOLLOWING (3ORRECTIONNSS ).RE REQUIRED: 4, --- -.____�_ gat• _.[�[�1 _APPROVE" DISAPPROVED ATPROVED SUBJECT TO ABOVE j. Call For Rel:up. INSPECTION NOTICE City of rigard Building Department 13125 SQ Hall Blvd. Tigard, Oregon !97223 Inspection Line (Ree-O-Ph e): 6j9-4175 Business Phone: 639-4171 Inspection:, -- Footing Plbg. Underalab Mech. Rough-in pr/Sdwlk Found. Plb . Top Out Gas Line FINAL: post/team Ctruct. San. Sewer ?naming -8107. poet/P,-,m Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Lina Gyp. Ed. -Nech. Date Requanted:_/� �� Time: —AN -PH Address -"Perm+t #: `'I Builder: TOR FOLLOWING CORRECTIONS ARE REQ(IIRED: "—MA G '�l Tam�1,t/] Inapocto-r= /"-MA J/1�/�1/T'S - -- - ---- Date: APPROVED DTSAPPROVRD APPROVED SUBJECT 1r) *T40" G 11 vor Reinsp. "JLM11MMH__ __M - ___ I INSPECTION NOTICE / cic.y of. Tigard Building Depa>.-tment 13125 SW Bell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): (39-4175 Business Phone: 639-4171 Inspection: — --------- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Sewer Framing -bldg. Poet/beam Mech. Rain Drain Ineusati.on -Plumb. Plbg. Underfloor Water Line Gyp. ed. -Mech. Dr,te Raquesteds �� -�� % __.__.—Times _AM PK Address: �? `� / ,. _ Permit 1s Builders—Z2 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors % J � Dates / APPROVED DISAPPROVED APPROVED suEJECT TO AEOVE .-Call Pee 1Miarp. INSPECTION No:ICE City of Tigard Building Department 1312S SIX Ball Blvd. Tigard, Oregon 97223 / Inspection Line (Ree-O-Phone)= 639-4175 Business Phone: 639-4171 Inspection= 11 _ Footing Plbg. Undorslab Mach. Rough-i �App./Sd-lk Found. Plbg. Top out Gas Line FINAL= Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water �Line Gyp. :id. -Koch. Date Requested= Address s. /�J��/7 //,V OA—t' rmit Builders TER FOLLOWING CORRECTIONS ARE REQUIRED= s L �Pe ok Ao oil mac. r� �'✓h.✓ /=�1/ouva.S,�_ oats � L- APPROVED DISAPPIIOVlD =' APPROVED SUBJECT To AND" Call For Reinsp. IN;'.ACTION NOTICE,' f' Lr City of Tigard Building M?partment 13125 SW Hall Blvd. Tigard, rnagon 97223 Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171 Inspection:__ Footing Plbg. Underslab Mech. Rough-in Agpr%F.dwlk Found. Plbg. Top Out Can Line FINAL: Pont/Pearn Struct. San. Sewer Framtng -811g. Pont/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. x-/Mech. Leto Requesto:�d:: T� Time: 1 ` AM ,p/N Address: du alder TNM FOL;)WING CORRECTIONS ARE VJWIREDI r d� LY A, N c.�. Lam- s,•.-�C � .-r1 � +�- Inspectors ! Dates �•►/O - �.� "PrwvsD ✓sArrRovtD Arrt+ M SVSJR T To ADM Call ror Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-41.75 Business Phone: 639-4171 Inepe-tion: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line` FINAL: Post/Beam Struct. San. Sewer cami.ng l -Bldg. Post/Beam Mech. Rai-. Drai:, It on -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: _2 - Time: Ak PM Address: /c7 GO / 7'J Permit fs Qc THE FOLLOWI1m. CORRECTIONS ARE REQUIRED: IMpeCtors / �`-`--�-- bates ,�J1lP*OVBD __ DTSAPPROVRD - APPROVED SUR31lCT TO AHOVR ___Call For Reinap. INSPECTION NOTICE City of Tigar-1 Buildi_-g Deplxrtoent 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-t.-Phone,: 639•-4175 Business Phone: 639-4171 Inspections_ Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlx Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Strurt. San. Sewer r—ing -Bldg. a Post/Bean, Mech. Rain Drain Insulation -Plumb. Plhg. Unde,-floor Waters Line Gyp. Bd. -Meth. Date Requestedt �L7 l X__AM PM Addresu: ermit OL- ?� Builder:. THE FOLLOWING CORRECTIONS ARE REQUIRED: �f .yam :i`�Q �n•�/ Y- _ o Inspectors _ Date: APPROVPD DISAPPROVED �_ APPROVED SUBJECT To ABOVE Call For Reinsp. I INSPECTION NOTICE City of Tigard Building Department 13325 M1 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171 Inspection:_ i Footing Plbg. Undrzrlab Mach. Rough-in Appr/Sdwlk Found. P1H- Top Out Gas Line FINAL: Poet/Beam St.uct. Ban. Bearr Framing -Bldg. Post/Beam Rech. Rain Drain Insulation -^'umb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. s, Date Roqueeted:_ — icy— _Time: - l1 Address:_ C, / �� Permit #:_[� Builder: THE FOLLOWING COCTIONS ARE REQUIRED: inrprotozf �/ MC; v_xPPR0vRD otsAPPROVEU APPROVED SU IECT TO ABOVE .Call For Reinrp. i INSPECTION NOTICE City of Tigard Building Departs nt 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171 Inspection:__ Pec _,_ Footinc Plbg. Unierelab Mech. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Gas Line FINAL: Poet/Beam St:ruct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plums. Plbg. Underfloor Water Lino Gyp. Bd. -Koch. Date vyquested: i� �� �9iS Times*2 -cjAM ----PM —� „�� - /�.�..t' Permit. 1:2/ - C7•��� Builder: ,- TNM FOLLOWING CORRECTIONS ARE REQUIRED: Inepeetoce Dater L `__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rsinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 633-4175 [tuninean Phone: 639-4171 Inspection: Footing Plbg. Unde:alab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAI.s at/Beam St San. Sewer Fram.ag -Bldg. ..�.._.. -^-�pogt7-8-eam Rain Drain InauJ.atlon -Plumb. Plbg. Underfloor Water Line Gyp. Bd. /J -Mach. Date Requested:,— /�J� -�j ,Z _ TU.W A4 7tM PN Address:_ � �; /��� tiPermit is �L Builder:_----A�-L�• --- — THE FOLLOWING CORRECTIONS ARE REQUIRED: � v Impactors Dotal APPROWM DISAPPROVRn APPROVED SUBJECT TO ABOVE --_Call For Reinsp. INSPECT ION NOTICE /�Lyty City of Tigard 9uilding Department o 133.25 SW Hall Blvd. Tigard, Oregon 97223 ?neptctios. Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ---- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Mach, aiFDraln Insulation -Plumb. �Lbq Underfloor at / Gyp. Bd. -Mech. Date Requested:__�_ _� Address•__ Builder: FU — THE FOLLOWING CO CTIONS ARE REQUIRED: Inspector: A_ -; _" -- --- Data-__24 V_rAPPROVED DISAPPROVRD APPROVED SURJECf TO ABOVE Cell For Reinap. INSPECTION NOTICE City of Tigard Building Departwent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171 Inspection: _ L-und ` Plbg. Undersias Hach. Rough-in Appr/Sdwlk Plbg. Top Out Cas Dine FINAL& Poet/Seam Struct. Sun. Sewer Framing -Bldg. Port/Bean Rech. Rain Drain Insulation Plumb. r1bg. Underfloor Water Line Gyp. Bd. -Hoch. i Date Requested: �� " �/ Z� _Time: AH _`PH Addrasss ��G� 711-4 Builder& LJ�4)- THE FOLLOWING CORRECTIONS ARE REQUIRED: Y p Inspector: ,, Date: 6 ✓U / Y�. _APPROVED __ DISAPPROVED _ APPROVED SUBJECT TO ABOVE `_Call For Rsinsp. CITYOFTIFARD Cf�Y ,�� MASTER PERMIT' COMMUNITY DEVELOPMENT DEPARTMENT OsIWI ERMIT #. . . . . . . : MST91-074 13126 SW Fill SNd.P.O.Som 23M.Towd.Oregon 07223(603)630.4176 ;ITE ADDRESS. . , . 1256 7 SW 114TH 8 _7_<1r, .- 3UBDIVISION. . . . : WALNUT GROVE SUED ZON iNG: R-4. 5 OLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 1:; ..------------------------.-_--..-_- BUILDING E I SSUE:MST91-0227 DWEI._L I NG UNITS; 1 BASEMENT. . . . . . . . :0 s f ;.,LASS OF WORK. sNEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :440 st T-YPE OFF USE. . . :SF FLOOR AREAS------------- REQUIRED SETBACKS------------ I YPE OF CONST. :5N FIRST. . . . :935 sf LEFT. . :8 ft RIGHT. :20 ft OCCUPANCY GRP. :R3 SECOND. . . :949 s f FRONT. :20 ft REAR. . :2 3 i ,-j F OR I ES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED---------------_.--- HEIGHT. . . . . . . . 925 ft TOTAL---------- : 1884 4f SMOKES DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE, . . . . t : 94584 PARKING SPACES. . :O Remarks : ---------------------------------- PLUMBING ----__-------.-_--.---____--.__-. :�INK:�. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW F,REVNTRr. . :0 LAVATORIES. . . . . s4 WATER HEATERS. . . : ] TRAPS. . . . . . . . . . . . . . :0 -fUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ,0 WA4ER C:LOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 D I SHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FI XTUREa. . . . . :rl� GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. -:1 ----------------- ME_CHAI IICAL --------------- _.__------ ----_.-_- FEES I- UEL TYPES--------------- UNIT HTRS. . :0 type amoltnt by date recpt /INNS/ / / VENTS . . . . . :0 TIF E 1380. 00 PLL. 06/11./92 - MAX I NPL T;O BTU VENT FANS. . :4 BPRT $ 418. 00 PLL - FURN ( 100K . . s 1 HOODS. . . . . . : 1 BPLr. $ 40. 00 JLH 12/.30/91 F URN ) =100K . . :O WOODSTOVES. :0 B5PC t c0. 1)0 PL.L 06/11/92 - F I-OOR FURN. . . . s@ CLO DRYERS. : 1 SSDC E 280. 00 PLL 1216/11/92 - BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK $ 500. 00 PLL 0•w,/1 .1./92 - GAS OUTLETS: 1 MPRT f 39. 00 PLL 06/11/92 - Owner; ____-____.__.____..._.__.___....._-.---.-.-- -___.........- MPLC $ 9. 75 PLL. 00' / 11/92 F-'OUFi D CONSTRUCTION M5PC f 1. 95 P' 06/11/92 - I:'() BOX 1577 PPR 1 $ 1.41. 50 PLL. 06/11/9- c? P5PC f 7. 36 PILL. 06/11/92 - I3I:AVE.RTON C,R 97075 SPI_C $ 15. 00 PL.L 06/11 /9c, - Plhmne #.- 641-093`' Contractor; I-OUR D CONSTRUE f ION I-'U BOX 1577 ®EAVE.RTON OR 57075 Pt►one Ot 641-01.135 F2eq #. . s 71037 ------------------- _—_—_—.-----__--- $ 2859. 48 TOTAL This ptreit is issued subject it the regulations contained in the -------- REQUIRED INSPECTIONS ----- Tigard Municipal Code, Stitt of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be dore in accordance with approved Post/Beam Struct Gas Line Insp ;lens. This pot-sit will tMpire if work is not started within 188 Post/Beam MecFhasn Insulation Insp days of issuance, or if work is susoended for tore than IN day . 01m/tmdslnab Insp Gyp Board Insp OLM/Underfloor Rain drain Insp F 'mittee Gign,4t '1r•Pr Mechanical Insp Water line Insp 4-IlLimb Top Out Appr/Sdwlk Insp t .. iI.jP d By: k Framing Insp Merhan io:E11 Fina", f.'caII foe- inspection, - 639-4175 SEWER CONNECTION CITY OF TIFARD WYOFTMIM PERMIT COMMUNITY DEVELOPMENT DEPARTMENT oamoon -.,ERMIT #i. . . . . . . : SWR92-0051 13126 SW Hdi BW P.O.BOK 23907.7191M JkVW Of (5031636 4175 is1t*5. 06"tt"'te! S'ITE ADDRESS. . 12567 SW 114TH IM7-41/^s PARCEL: 2S103AC—WG13 SUBDIVISION. . . . j WALNUT GROVE SUBD ZONING. R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 13 I ENANT NAME. . . . . i USA NO. . . . . . . . . . : FIXTURE UNITS. . . . CLASS OF WORK. . . :NEW DWELLING UNITS— i1 ! YPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :B(JSWR IMPERV SURFACE. . : :sf I�emarkss Owner: ----------------------------------------- ----------------- FEES ------------ FOUR D CONSTRUCTION type amount by date recpt PO BOX 1577 PRMT $ 000. 00 FILL 06/11/92 INSP $ 35. 00 PLL 06/11/92 1-.kEAVERTON OR 1:470-P-`1 Phone #s 641 -.0935 Gontractort CONTRACTOR NOT ON FILE ---------------------------------- F1ione #e $ 1935. 00 TOTAL. Reg #. . I REQUIRED iNSPECTIONS This Applicant agrees sply with all the rules and regulations Sesser Inspection of the Unified Sewage - -cy. The permit expires 180 days from the date issued. The total avoint paid will be forfeited if the aersit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer it not located at the measurement given, the installer shall prospect 3 feet in all directions from Vie distance given. If not so located, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will IrAtall P lateral. i-et-mittee Signatures A9 .......... ------ • kied By Call -For inspection 639-4175 f - -CITYOF UFARD ® PLUMBING PERMIT'ERMIT' CfYOFTMnpCOMMUNITY DEVELOPMENT DEPARTMENT oPERMIT 1*. . , . . . . t MST91-0274t 13126 SW H@11 Blvd P.O.Bac 23307,TOW,QWw 07223(603)630 176 LLtt DATE: ISSUED: 06/11/9Z, SITE ADDRE ter,, . . 1247 S11 It 4TH OF -7 ✓�' PARCEL: 28103AC-•Wta t SUBDIVISION. . . . a WALNUT GROVE: SUBD "ZONING: R-4. 5 BLOCK. . . . . . . . ., . t LOT.. . . . . . . . . . . . . . 13 ._-- M CLpSMC'F-WOfr1{. . ANEW (3ARFAGI= :� DISPO':SALS.ws•:1......__.__..._.__...__...__.,.....-._....._�__.._.__....___._. TYPE OF USE. . . . :SF WASHING MACH. . . . . . , : 1 BACKFLOW PREVNTRS. . ;0 OCCUPANCY t.'?co, . :R;3 FLOOR DRAINS. . . . . . . TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTU1RC9---•-__..._-. ._.__..._.._ LAUNDRY TRAYS. . . . . . :0 SF PAIN DRAINS. . . . . ; 1 SINKS. . . . . . . . . . : 1 GREASI= TRAr,s. . . . . . . .0. LAVATORIES. . . . . . 4 OTHER FIXTURES. . . . . :0 TUN/GHOWERS. . . . : SEWER LINE (ft) . . . . -o WATER CLOSETS. . ;:.5 MATER LINE (ft ) . . . . i 1.00 DI�HWA •NERS. ,�. . : 1 RAIN DRAIN (ft ) " . . :0 j OWNERa POUR D CONSTRUCTION _.____..___.____ __FlrEg_..._________ TIF f 1380- 00 PLL 06/11/92 - PO BOX 1577 SPR T f 418. 00 PLL BPLC t 40. 09, JLH 12/30/91 , 13r._AVERTON OR 9707,E B3PC f c?0. 90 PLL. 06/11/92 tlrane N: 641-0935 SSDC $ -280. 00 PLL 06/11/92 1-�'l.r..imhing Can tr•actor: -----..---- ___-_-__., PARK f 100. 00 PLL 06/11/92 MPRT $ 39. 00 RLL 06/11/92 w lamp; �� =' 1•% ( MPLC $ 9. 75 PL.I_. 06/11 /92 - I _ rte. ►w �� ;r. _ M5PC $ 1. 95 PLL 06/11/92 (I,it r PPRT $ 147. 30 PLL 06/11/92 I, Pyt .r Vhone111aSt.--......_.at'ea .__ � ._._ P5PC $ 7_38 PLL VAA/11/92 f?eg -_ . __.1_________.. BPLC f 1 �,. 00 PILL. 06/11/92 - !1 _. -- -''- REQUIRED INSPECTIONS - 1-his permit is issued subject to the reg- !latians Contained in the Tigard Municipal Foot/fol..tni Insp Rain drain Insp ,ode, f3t,ate of Clre_ Specialty Codes and allPost/Beam ytr r.�c^t Ws�ter^ Line Insp ether apl)lir.at�le ls►wg,. Ail. work will be done PostiSeam Me"han Appr/Sdwlk Insp I Is Ger mit will e><pirR ifwork is not started PI_.M/U1 der floorap PlumbnFlnmlFinal +ithi.n 180 daye oP issuance, or if work is Mechanical Insp Building Final Usprnded far more thakn 180 days. Plumb To Out P Erosion Contrel Framing Insp Crawl Drain Fireplmce Insp -) Gas Line Insp T n s u l H t i a n Ingle "— �__ ;iL GYP Board Insp Authorized Plumbing Contractor Signartur^e -- Car11 ' fo►� inepert i on - 639-4175 C'ontractnr Notfrsa i • r I' CITY OF T I CARD -- RECE 11'-T OF PAYMENT RECEIPT NO. t 92-2i..::8390 CHECK AMOUNT t 4754. 57 Nf�P1E: t FOUR D. CONST. CO. CASH AMOUNT IA. 00 IaUUr�E' c t P. O. BOX 1577 y PAYMENT DATE a Of,/11/92 SURDIVI5ION s BEAVERTON, OR 97075— POW-JOSE 707a—PI.IW-JOSE OF PAYMENT AMOUNT FSA I D PURPOSE OF PAYMENT AMDUN'r PF)I!) B1.1 I L D I NC PERM MST41—2 74 418. 00 PLUMBING PERM 147. 50 MECHANICAL. PE 39. 04b ST. BUILD PER :30. 32 PLAN CHECK FE 2"4. 75 SEWER LISA SWR92-61 If)(10. 00 �3EWER INSPECT 35. OR.; STORM DRAIN SDC 00 RESIDENTIAL TRAFFIC FEES 1280. 00 MASS TRANSIT TIF FEES 100. 00 PORKS SDC 500. 47N 1 129. 67 SW 114TH AVE. /1_07' #13 +'' T i l AI. lahlf►t INT PAID — — — --> 475A. 57 f ..�.._- —.._..�._ ._,�___.�_.�_...—Y.._�.__..__.._.-.�.—._._.._._....._._ ..._.,._..•....,.....�._.r.�...._..._-....,�..�r_-_�`.'ate.�_...—_...—_.��..__._.�...__�...�_ .._..i I r Y i