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11909 SW 126TH PLACE-1 .0. SW 126th Place i C17YOFTIFARD CEPTIF'ICATF OF CITYOF TWIND OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT MOON 0i MITT #. . . . . . . : MST91 -003 13126&W Hail Blvd. P.O.Box 23397,Tipvd,Orson 07223 603 gig X176 07/15/91 )ITE ADDRESra. . . t 11.909 /SW 126TH PL PARC;I:.L.o 1 5133DD--'121700 ::MINDIV19ION. . . . : VIL_1.,.AGE AT SUMMER LAKE PARK 4 ICININGi R--4. 3 BLOCK. . . . . . . . . . . L_OI.. . . . . . . . . . . . . .. 164 -! ASS OF WORK. :NEW 1'YPE' OF USE:. . . :SF '")CC' UPANCY GRF'. :R3 i]CC:UPANCY L OAD:225 4 TENANT NAME. . . - 1�emaark= z mhow of homes Owner: _._....__.__ _.__._.._.�.. .....___ 06 SCOTT :"CO-f'TG0 BLDG. AND DESIGN 11640 8W 135TH AVE 1'I CARD OR 9722:3--0000 "'h o rr e *a '503-646-6/71 XOTTCO PLO13 & DESIGN 11640 rW 135TH AVE: 1-ICARD OR 97P23 lihorte 0: 64E,•-6771 ?rq #N. . : 49670 1c:c,.rpaincy of the above r pferenr._ed br_ti ldinrg is hereby g i yen, and cert i ,`ie• t;he compliance with the St Ate (If Oregon Specialty Codes firr the gromp, crccfrpanry, and r-lSt Under which the referenced permit was ls.►r.red. FIRE DEPARTMENT EAUILDDINii—ri7i P F C 7 0 R POST IN CONSPICUOUS PLAC'F.. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Bled. Tigard, Oregon 97223 Inspection Line (Ree-O--Phone): 639-4175 Business Phone: 639-4171 Inspection-_ --� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line I Post/Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain insulation -Plumb. Plbq. Underfloor Water Lina Gyp. Bd. Date Requested: 7- l S-- .--T Lme- AM PM /� a Address: 1 LQ O 4. 12 co Permit is "[ Q 3--?- Builder: "J ;0-' -T'cD — 1'HE FOLLOWING CORRECTIONS ARE REQUIRED: Inapect:ort _� -------_--- Date:'- 015 'Fr- 4--APPROVN0 DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Reinsp. r. M MEN MI INSPECTION NOTICE City of 'Tigard Building Departa:"nt ` 131.25 SN Hall Blvd. 'Tigard, Oregon 97223 Inspecti-n Line (Rec-O-Phone): 639--4175 Business Phone: 539-4171 Inspection:__ -- Footing Flbg. Underelab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL, Poet/Beam Struct. San. Sewer Framing Bldq.;' post/Beam Hoch. Rain Drain Insul 'on -Plumb. f Plbg. Underfloor / '.;star Line Gyp. Bd. -Much. Date Requested:_(/� _ Time: AM_ PH Address: i zo Permit #8 Builder:- �. _--�'-��' ! 7� THE FOLLOWING CORRECTIONS ARE REQUIRED, /T 62 t 4� _____�-- _t S &Z --_ ner.e: APPROVED DISAPPROVED __--AppRoVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE city of Tigard Building Department 13115 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspection:­----- Footing nspection:__Footing Plhg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line "1�I Poet/Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation /,-plumb• plbq. Underfloor Water Lino GYP• Bd. \ -� Date Requested:. '0 T is AM sL•00 PM G Add re e e:.__ Permit 1 THE FOLLOWING CORRECTIONS ARE REQUIREDs Sa.��'�-a wa C;i SCP � �� •'i-�, :l1CTi I.iw ���-�- C�Lp.�:,��.T'I.L l� JET C N CLJ i? Com' l�t7�f Inspectors _ _ _ Dates SQ= _ _ APPROVED `411SAPCPR0VED APPROVED SUBJECT To ABOVE Crt-igF_Reins p. iNSPECY'ION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97723 Inspection Line (Rec-O-Phone): 639-4175 RuBiness Phone: 639-4171 Inspection: -- - Footing Plbg. Underslah Mech. Rough-in Appr/Sd4 Found. Plbg. Top Out Gas Line 12H11I.t Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Draln Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requesteed��. lX \ 6 Cl I Time- (_��_AX Address:-.� �Z�.�+� Permit �tf���T `I� -0 3L Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED[ Inspector: _ LV� Oaker_� APPROVED DISAPPROVEDI/ APPROVED 9USJECT TO ABOVE Call For Reinsp. 0 � � INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Rear. Sen. Sewer Framing -Bldg. Poet/Ream Mach. Rain Drain Innulatlnn -Plumh. Plhg. Underfloor Water Line Gyp. Bd. -loch. Date Requested:__ 1�C/ TiaM� AN pN Address: Builders -t/ TBE FOLLOWING CORRECTIONS ARE RHQUIRED: Inspectors_— D,tte e _ APPROVlD DTSAPPROVED APPROVLD SUBJECT To ABOVR Call For Reinep. ...._ im INSPECTION NOTICE ' City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 9722! Inspection Line (Rec-O-Phone): 639-417' Business Phone: 639-4171 Inspection: i+ooting Plbg. Underalab Mach. Rough-in Appr/Sdwlk,! Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach,. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Hoch. Date Requestedt Time: AM PH Address://9r7 T Permit 1: — cvv3.s Builder: THE FOLLOWING CORRECTIONS ARE RNWIREDt L ► 101 ► ti CL Inspectors �L ��'. ` Gc' �t DAte: 4_ APPIWVlD DISAPPROVED APPROVED S11B.iFCT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. /Plbg. TCP Out Gas Lino FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/P9am Mecn. Rain Drain Insulation -Plumb. Plbg. Underfloor Water/Line Gyp. Dd. -Hoch. / Date Requested:,__— q1Time: AM �[ PM Addresu: Permit I: Builder: THE FOLLOWING CORRECTIONS AAS RRQUIRED: '1 Y_// i-L­. ............. Inspector: G� — Dater ( �( -1./ APPROVED DISAPPROVED APPROVED SUB.TECT TO ABOVE `_Call For Reinsp. It 1 Ifw INSPECTION NOTICE City of Tigard Building Departscnt 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i --------- Footing Plbg. Underalat Mech. Rough-in Appr/Sdwlk Founc.. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. P.lbg. Underfloor Nater Line Gyp. Bd.`� -Hoch. Date Requeateds '/ / Times AH PM Address: ` �l Permi � c Builders ) --•-- THE FOLLOWING CDRRECTIONS ARE REQUIREJs — r"27� V"l d/' 0,&42 Inapectort "From DISAPPROVED APPROVED BstBJtCT TO ABOVR Call For Rei.nap. INfiPECTIGN_AiOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 k n Inspection: — �- — Footing Plbg. Underelab Mech. Rough-in Appr./Sdwlk Found. Plbg. Top out Can Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Past/Beam Mech. Rain Drain Insulation -Plumb. Plby. Underfloor /Water Line Gyp. Bd. `��/. -Mech. Date Requested$,_ % `c�/ / Time" PM 2 Address: Permit M /--�1 -3- - Builders $ I THE FOLLOWING CORRECTIONS ARE REQUIRED' L'c:.vTt7G— %�E!L �d T3f.�°IL �v;j r �,.r— �4V JACK" �TAi,tS vr -�tuevrc . is 1A,fh7v:./ nre'T— w?'M L'��W ia/Oo�c�J SLOT ii✓S1"/�L us f! � •�/�C,uz'+t � �-Tf"�+/'�:�'�:T7 AY Inspectors ' Date$ T_40_ � APPROVED DISAPPROVED/� APPROVED SUBJECT TO ABOVE call For Reinsp. INSPECTION NOTICE city of Tigard Building DePartsent 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --- ---- 9 Footin Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumn. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: Time: __AM —PM Permit f3zz Address: Builder: THE FOI.LOMINQ OORRECTIONS ARE REQUIRED: Inspector: Date: _ APPROVED nISAPPROVRD _ APPROVED 8U&'ECT TO ABOVE call For Reinap. t INSPECTION NOTICE '7 City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _.t- 'i.xr,41t11 Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k Four.d. Plbq. Top Out Gee Line FINAL: Post/Bean Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Water %LLi'ne Gyp. Bd. -Nech. Date Reyueated: _� —"; / / Time: A!{/�1 PM Address: j ` G/ � Permit `i.'fj—L>D 31- Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: C � '4 FL -01 L ��.. Inspectors Date "PRO"D DIS"PROV=D APpMM SUBJECT TO ANM Call For Reinsp. ii I i L ww Xw 6� INSPECTION NOTICE ^ity of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. an. Sewer Framing -Bldg. Foot/Beam Hoch. R in Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. 8d. -Meeh. Date Requesteds Timet &�-, AM PM Address 12G �, ermit t:�i/- 003L.. Auilder: THS FoLLONINO coltucTioNB ARE REQUIRSDe Inspector' bats y. APPROVED 018"PRO"D APPROVE) SUBJECT TO ABOVE Call P"t Pelnnp. ,I e INSPECTION NOTICE city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4.175 Buoineee Phone: 639-4171 Inspection: -- Footing Plbg. Underslab Meci,. Rough--in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: t4et/Beam Struct._ San. Sewer Framing -Bldg. PsO/►. Pain Drain Insulation -Plumb. Plbg. Dnderfloor Water Line Gyp. Bd. -Mech. Date Requested: Time, /AMM PN Addreen:/I C ` Permit i Builder: THE FOLLOWING CORRECTIONS ARE RISQUIRED: inspeotor: ✓ nnr,,, a- - / / __ `J APPAMD 0I8APPAOvan APPFAX'u anwnrt TO AMM Call Ier Nein". t t INS,1,1 T_ ON NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk ound• Plbi. Top Out Gan Line FINAL: Post/Beam Struct. Ba::. Sewer Framing -Bldg. Port/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater)Line Gyp. Bd. -Koch. Date Requested:_ e� 7 _1� _T i.s f/L(-_� ( PM Address:- Hu i Ide r: ddress:Builder: THE FOLLOWING CORRECTIONS .SAE REQUIRED: Inspector: Datar _$000, APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. ti INSPECTION NOTICE City of Tigard Building Department ` 13125 SM Hall Blvd. Tigard, Oregon 97223 \ Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 61)9-4 f 1 Inspection:___ /Footing }AL,C-- Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet%Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line Gyp. Bd. /J -Hoch. Date Requested: �� C� --Tim��fi�2— PH �/1D Co'; /.71t �� —__ Permit Address:__ Builder:����` TIS POLipNING CORRECTIONS ARE REQUIRED: ""/&1 Ire r_2 n Inspectors _ Date:1`-� �/ AppppVED DISAPPROvs�rRoVED SURJRCT TO AROVE call For Reinsp. PERM I T Ai� SEWER CONNECTION C'TYCNFATIRD gRD PERMIT' #. . . . . . . : SWR91-0035 COMMUNITY DEVELOPMENT DEPARTMENT ommm 131258WHWIBtvd P.O.0=23397J�Pd-OMFn Of (603004"S DATE lSkiUED: OaI21191- 31TE ADDRESS. . . . 11909 SW 1267H PL PARCEL: IS133DD-12704'L SURD I Y I S 1014. Y I LLAGE A T 51YAMER LAKE PARK 4 ZONING: R—4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 164 TENANT NAME. . . . . : USA NO. . . . . . . . . . :43182 FIXTURE UNITS. . . CLASS OF WORK. . . -NEW DWELLING UNITS. - : 1 TYPE OF USE. . . . . :SF NO. OF ESU ILDINGS: 1 INSTALL TYPE. . . . -BUSWR IMPERY SURFACE. . : s f Remarks : show of homes Owner: --------------------------------------- FEES RU SCOTT t vpe a m a ur,t by date reept SCOTTCO BLDG. AND DESIGN PRMT $ 1500- 00 11640 SW 135TH AVE: I INI S P $ ;35. 00 I-IGARD OR 97223-0000 PAYM $ 1535. 00 JLH 021/21/91 F,!-,nrip #- 503-646-6771 Contractors CON'TRACTOR NOT ON FILE Phone #t $ 153 a. 00 TOTAL Pep 0- 1 REQUIRED INSPECTIONS ------ This ADDliCBftt agrees to comply with all the rules and regulations Sewer Inspertion of the Unified Sewage Agency. The permit emaires 122 days from the date issued. The total amount paid will be forfeited if the pe-eit excires. The Agency does not guarantee the accvracy of the side sewer laterals. If the sewer is not located at the seas-irevent g1ven, the irstalier Shall prospect 3 feet in all directions from the distance given. If not to located, the instal ler Shall Pur&a-, a "Tap and Side Sewer" Permit and tl:; �wj,I install a lattral. r-,,pj-mjttPe Call for inspection 639-4175 CITYOFTIFARD n1ASTE:R PERMIT COMMUNITY DEVELOPMENT DEPARTMENT ogee"� I r.EkMIT #. . . . . . 13126 SW FWI BNd.P.O.Boot 23397,T*W,OnOon 07229(503)0304175 ca .� SITE ADDRESS. . . : 11909 SW 12f,7H PL i�IARCEL: 11,3133DD-12700 SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE: PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . .. 164 _.---__--_-__-___-___.-_-----__.____ BUILDING _--_-_-__.__-__-__---_._---_-._--___.-..._. RE I SSUE:: DWELLING UNITS- 1. BASEMENT. . . . . . . :0 s CLASS OF WORK. :►JEW SE:DRMS:3 BATHS:3 GARAGE. . . . . . . . . . :440 sf TYPES OF USE. . . :S1= FLOOR AREAS------------ REQUIRED SE 1*BACKS-.__--_.__..__. TYPE OF CONST. :CN FIRST. . . . : 1140 s f LEFT. . : 7 ft R I GHT. : 1 2 ft OCCUPANCY GRP. :R3 SECOND. . . :801 C.,f FPON T. -20 ft REAR. . :34 ft STORIES. . . . . . . :2 TH I RD. . . . :0 s f REQUIRED RED----------_-___-____. HEIGHT. . . . . . . . .c2,5 ft TOTAL---------.- 1941 sf SMOIiE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VAL.UE:., . . . . $ : 97206 PARKING SPACES. . :0 Remarks : show of homes ------------------------------------ PLUMBING ----------------------------------------- SINKS. . . . . . . . . . : 1 -__......--____._--____._________________SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . :0 LAVATORIES. . . . . ..4 WATER HEATERS. . . : I TRAP'S. . . . . . . . . . . . . . ..0 TUS/SHOWERS. . . . :3 LAUNDRY PRAYS. . . : I CATCH BA SINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE. (ft) . :O GREASE TRAPS. . . . . . . :0 D I£iiaWPS7HERS. . . . : 1 WATER LINE (ft ) . . 100 OTHER FIX PURE S. . . . . .0 GARBAGE DISC'. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . -1 SI= RAIN DRAINS. . : 1 ...---____---...__... ME:CHAN;CAL __._..________.__.__. _----------________ FEES --_.-____---_.. FUEL TYPES-.._--.------- UNIT HTRS. . -0 type amal.int by date r(bc.pt VE=NTS . . . . . :0 PAYM $ 100. 00 JLH 02/15/91 209800 MAY. I141JT:121 BTl_I VENT FANS. . :3 BPRT $ 427. 00 / E`URN < 100K . . : 1 HOODS. . . . . . 01 HPLC $ 277. 55 1 / TURN ) =100K . . :0 WOODS 1'OVL13. :0 SSDC $ 375. OIL' ! / FLOOR FURN. . . . :0 CLO DRYERS. : 1 PARK $ 500. 00 ! / BOIL/CMP < 3HP:0 OTHER UNITG:O MI'RT s ,6. 00 GAS OUTLETS: 1 MPLC $ 9. 00 Owner, __.. .__.______ _. ._.__ . ._ ._ . ._._ RG SCOTT PPRT $ 155. 00 ! ! SCUT TCO BLDG. AND DE.'S i GN l) Pr s 7. ,75 / ! 11640 SW 1:3b'TH AVE 'IF s 1350. 00 TIGARD OR 972123--0000 B5PC $ x=:1.. 35 Phone #: 503-646-6771 PAYM $ 3060. 45 JLH 02/21/91 Contractor-: SCOTTCO BLDG & DESIGN 11640 !SW 135TH AVE TIGARD OR 97223 Phone #: 6if6--67"T Reg #. . : 49t,70 s :i 1 r.1 '1. 45 TOTAL This pereit is issied subiect to the regulations contained in the ----___ REUUI RE D INSPECTIONS ------ Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fa�.ind Insp Fireplace Insp applicable laws. All work will be done in accordance Kith approved Post/Deem 5tri,irt Gas Line Insp clans, This pertit will expiry if wrrk is not'started within IN Post/Beam Mecham Ins,_0ation Insp days of issuance, or if work is suspended for tore hay 1N days. Plm/tindslab Insp Gyp Board Insp PLM/Underfloor Rein drain Inso Permittee SinnZI+I.Are : _ _.._.. _ Mechanical Insrr Wat:er line Insp Plumb Top Omt Appr/Sdwlk Inst "rr _ sad By : __,.. _.._ ...__. _._ F'rmi.ng Inst Mechanirial Fina? — I MOULEN xiqj��Mq&;Axmff PLUMBING PERMIT PERMIT #. . . . . . . .. MS'T 91-0030 CITYrOFT167ARD CITYOF TWARD DATE ISSUED: 02/21/91 CW COMMUN[TY DEVELOPMENT DEPARTMENT oswoN 13125 SW Hall Blvd. P.O.Box 23397,Tia",Oregon 97223(503)839-4175 SITE ADDRESS. . . : 11 1301) SW 126TH PL. PARCELa SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. 164 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE: OF USE. . . . :5F WASHING MACH. . . . . . : 1 BACKFLOW PREVNIRS— :0 OCCUPANCY URP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . ... WATER HEATERS. . . . . .. : 1 CATCH BASINS. . . . . . . :0 FIXTURE�'— LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 FiINKS. . . . . . . . . . : 1 GREASE TRAPE-3. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . 10 TUB/SHOWERS....: SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :.i WATER LINE (ft ) . . . . 1100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . 10 Remarks : show of homes OWNER: RG SCOTT PAYM $ 1.00. 00 JLH 02/15/91 209800 SCOTTCO BLDG. AND DESIGN BPRT $ 427. 00 11640 SW 135TH AVE BPLC $ 277- 55 rIGARD OR 972213-0000 SEDC $ 375. 00 Phone #c 503-646-6771 PARK $ 500. 00 MPRI $ 36. 00 Plumbing MPLC $ 9. 0Q) M5PC $ 1. 60 Name:_ PPRT $ 155. 00 Address : P5PC $ 7. 75 Cityt S t a t e TIF $ 1350. 00 Lipa Phone#t B5pC $ Lt. 35 Reg #1 PAYM $ 3060. 45 JL.H 02/21/91 REQUIRED INSPECTIONS This permit is issi.ted subject to the reg- (.tlations contained in the Tigard Municipal Foot/found Insp Gyp Board Insp Code, State of Ore. Specialty Codes and all Foot/found Insp Rain drain Insp other applicable laws. All work will be done Post/Beam Stroct Water Line Insp in accordance with approved plans. This Post/Beam Mechan Appr/SdwIk Insp permit will expire if work is not started PJM/Undslab Insp Mechanical Final within 180 days of issi-oanue, or if work ig PLM/Underfloor Plumb Final ,.uspendod for more than tA0 days. Mechanical Insp Building Final Plumb Top Out Erosion Control Framing Insp Fireplace Insp Gas Line Insp Ingulation Insp Autfin ed Plumbing Contractor Signature Cull for inspection 639-4175 Contr ctor Notes : CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91•—c:09946 CHECK AMOUNT , 4595. 45 NAME s SCOTTCO BLDG & DES16N CASH AMOUNT - 0. L710 ADDRESS s PAYMEN"r DATE 0i?/21191 q013D I V I S I LIN 11909 5w 1a67,if Pi.. PURPOSIV" OF PAYMEN-r AMOUNT PAID PURPOSE OF PA\Y`MFI\IT AMOUNT PAID UILDING PERM MST91-0032 427. (bib PLUMBING PERINI 155. (110 MECI-ItINICAL PE 36. 00 ST. BU11.1) PER 30. 90 PLAN CHECK FE 186. 55 SEWER USA 1500. 00 SEWFR INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1250. 00 PARKS SDC 500. 00 STORM DRAIN !:-',DC 375. 00 MASS TRANSIT TIF FEES .100. 00 10TOL OMOUNT PAID 459:1. 45 View comments for selected item OAMASTER PERMIT`a`afififiAAAAAaaafififiaagfiaaAAAAfiAaafiafiaAAafifififififiaAfiaAAaAAfififiAAAfiAaaAC :MST91-0032: PROJECT:VILI.AGE AT SUMMERLAK: STATUS:I UPD:02/21/91: :JLH: ° PERMITTEE:RG SCOTT PRIM. . :MST91-0032: ° ° SITE ADDRESS:11909 SW 126TH PL ° OAAfifiaafi�fiAfiagafiafiAfiafifiAfiAAAfiAfiAAfiAAfiAAAfiAfiAAaAfiAAaAAaaAAAAAAAAAfiAAAAAAAAAAAfiAC' ° CASE HISTORY ° --Actions---------------------------- Req/Sent Schd/Due End/Done By Stat M A007 Application received 02/15/91 JLH PASS ° A010 Plan check deposit paid 02/15/91 JLH PASS ° A020 Plan check by / / 02/19/91 RT PASS ° H A030 Check for prcl. restrict. 02/19/91 02/15/91 RT PASS ° A092 (F) Issue combination permit 02/21/91 JLH PASS ° A097 Issue plumbing signature form 02/21/91 ° A705 Foot/found Insp 02/22/91 KS DIS ° A705 Foot/found Insp 02/25/91 KS APP ° A710 Poet/Beam Structural 03/04/91 GS APP ° A711 Post/Beam Mechanical / ° A717 PLM/Underfloor 03/04/91 TLP APP ° A720 Mechanical Inep ° �k.722 Plumb Top Out 04/03/91 MS PASS ° aAAAAAAAAAfiAAfifiAAAfiAfiAfiAAAAAAAAAAAAfiafiAfiAfifififiAAAAAAAAAAfiAAAAAAAAAAAAAAAfiAAAaAAi HISTORY: VIEW UPDATE DELETE PINT ESC View comments for selected itern OAMASTER PERMITAfifiAAfififiAfiAAAAAAfiAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAfiAfiAAAAfiAAAAC :MST91-0032: PROJECT:VIL.LAGE AT SUMMERLAK: STATUS:1 UPD:02/21/91: :JLH: ° PERMIT'CEF:RG SCOTT PRIM. . :MST91-0032: ° SITE ADDRESS:11909 SW .126TH PL �AAAfifififiSfifiAfigfigfi&5fififififiAfififififififiAAAAAfifififiAfifiAAfiAfifififiAfifiAAAAAAAfiAAAfifififiAAAAfiASAC CASE HISTORY ° --Actions----------------------------- Req/Sent Schd/Due End/Done By Stat M ° A007 Application received 02/15/91 JLH PASS ° A010 Plan check deposit paid 02/15/91 JLH PASS ° A020 Plan check by / / 02/19/91 RT PASS H A030 Check for prcl.. restrict. 02/19/91 02/19/91 RT PASS A092 (F) Issue combination permit 02/21/91 JLH PASS ° A097 issue plumbing signature form 02/21/91 A705 Foot/found Inep 02/22/91 KS DIS " A705 Foot/found Insp 02/25/91 KS APP A710 Poet/Beam Structural 03/04/91 GS APP A711 Poet/Beam Mechanical A717 PLM/Underfl.00r. 03/04/91 TLP APP A720 Mechanical. Inep A722 Plumb Top Out 04/03/91 MS PASS ° AAAAAAaAfiAAAAAAAfifififiAfiA5a3AAfifi5fifiAAAAg.AAfit�AAAAAAAfiAAAAAfiAA:fiAAA53AAAAfiAAfiAAAA&i WE MEN i 1 Building Permit No. COUNTYWIDE TRAFFIC IMPACT FEE Planning File No. -- PAYMENT OPTION FORM i ax Map& Lot No. L. Date Project Name I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore I request the following (Choose whichever option or options are applicable): Cash or Check Credit Voucher i u Bancroft or Installment Payments and/or --� The Ordinance allows for deferral of payment of the, TIF until issuance of the occupancy permit it the TIF is greater than$5,000.00. If the TIF meets this requirement, I also request this option. I under stand 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 be advised tha! TIF rates may increase up to six percent each July 1 st. This rate increase is not subject to appeal. lit 44LNER- A T OWNER/APPLICAN I CC Building Permit Filo Payment 017tkxi Nototx3ok Tams SW fial nwd. I,NCK/ RECT # - 9 �- / CITY OF T I GARS PO Box 73197 � � MIT # // /yy u COMMUNITY DEVE1,01'MENT DEPAR'T'MENT Tiprd,Oregon 9'. '. (503)639-4171 ISSUED JOB ADDRESS: 19C)g 12 Cn ���-- TAX MAP/LOT 45r :3_3 DD l 7o SUB: V1LL-A 4C- AT 4M(t Gr4rf LOT: LAND USE: VALUATION: _ -- OWNER SPECIAL NOTES NAME: ... 'ai Kc� TC.DI��b I�� �s! ►,)_'-1 �, REISSUE OF: ADDRESS: �-'�Q �c.J ��� h LAST REISSUE: _ A rt t�) __ -_—_ FLOOD PLAIN/ PHONE: Cc (011- SENSITIVE LAND: CONTRACTOR APPROVALS ROUIRED NAME: C? PLANNING: _ ADDRESS: _ ENGINEERING: FIRE DEPT: _ PHONE: OTHER: --- CONTR. BOARD #: 4Rl,'2G EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ - r' LIST/SUBCONTRACTORS: _ ME; H: OZQ�r.; 2.1411 � 4-�t Al BUS TAX: _ _ -- ARCH ENGINEER , CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: -- OTHER: PHONE: PROPOSED BLDG. USE: _ _�• I� __._._ — COMMENTS: -- A PLICANT 'KIGNATORE Received By: '�'� Date Received: r�- xI - f/ PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE j (-0034 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees -���� �� jG• 10-230 01 State Building Tax (5%) �3u• u a �v Building 3 Plumbing 2� Mechanical 10-433 00 Plans Check Fee Building 7 S� Plumbing Mechanical _ 10-230 06 Fire 30-202 00 Sewer Connection 5 7'�' 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 /v o 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 Quantitv (Fee in lieu of) TOTAL nm/3587P.WPF CITY OF 1'ICARI) RECEIPT C)F F''AYME=N1' RECETF'T NO. a91--209800 CHECK AMLl1.JNT a 100. 00 NOME : GCOTITIO BLJ I1.—E)I NG $ DESIGN CASH AMOUNT 0. 00 ADDRESS s 11640 SW 135TH AVENUE PAYMENT DATE c 02/15/91 ;;L.JE;DIV 15I ON OR 97; c' 3 11904 SW 126TH Pl... PURPOSE: OF: F'AYME:NT AMOUNT PAID P'URP='OSE OF PAYMENT FimauNrr PAID P-LAN C:HEC:K FE 2—16 Ed TOTAL.. AMOUN r P011.) — 100. lb0 i'