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11920 SW 127TH PLACE 1 I i t`1 I .r 1.w • SI% ' N 'r I'I ' �I 14ar, r uwrIFICATU OF' CfTY OF TIFA RD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENrl l,ERMIT ti. . . . . . . .. 11ST91 13125 SW Noll Blvd. P.O.Hcw 23397,Toud,Oregon 9i2J59T�vlr, nATE' MIJET' 01/2-T'92 '3111-1 ADDRESIG— z 119pi3 .31W 127TI-I PL PARrm— 'WBDIVIGION. . . . t VILLAGE rtT SUMMER LAKE PARK 4 70NINUt R--4- 5 LALOCK. . . . . . . . . . s LOT. . . . . . . . . .. CLAS„ OF WORI-',. sNEW TYPE OF USE. . . :SF OCCUPANCY GRP. -R3 OCCUPANCY LOAD:2'22' TENANT NAME. Re m,�rks Ownor: DON MOR IGGETTE BUILDF--'Rr,, 1111C. 13555 SW BANGY RD. 0201 i-AKE OS;WFG0 OR 97035 Phone *: 020-7538 OON MORISS17TTE BUILDERS, INC. 115555 SW BANDY RD. 44301 I-AKE OSWEGO OR 91035 (1horte #. 620-75,33 [?.ep 0. . c 35533 lAccotpanry of the above referenced bull(ling is hereby giverl, and Certifies che q::ompJjanu@ with the State OF Oregon GptcialtY C0d9s fot" the group, m.,cupancy r , and use under wt-i:k refer the refepocepermitt wAs iKZLlLPd- . FIRE DEPARTMr-NI /-StIll-DINS lNcJlF-CT9 I C,I AL PU I t-El I Ncl IN CONSPICUOUS PLACt.:- INSPECTT1i NOTICE City of Tign-1 Buf_ldinq Dep%rtsent 13125 SW hall Blvd. Tigard, oregon 97723 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-•4171 Inspection: --- Footing Plbg. Underslab Hoch. Rough-in Appr%Sdtilk Found. Plbg. Top Out Gas Line ►IKALt Poet/Beam Struct. San. Sewer Framing -Bldg.) Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Wates. Lina �j Gyp. Bd. -Hach Date Raquestedt _T —• Address: 4,2 / '�4- zfJ Permit R:�1 �7� Builder:-.fes /1._1)i - _::3 THE FOLLOWING CORM TONS ARE REQUIREDt Inspector= . _ -_. _ Date L X r J L APPROVED DISAPPROVED APPPOVEn SUBJF!.`T TO ABOVE __ ^all For Reinap. r tman INSPE4TION NOTIr_E City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bueineee Phone: 639-4171 Inspection:_ Footing Plbg. Undaralab itech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rein Drain Insulation -Plu�mli ) Plbg. Underfloor Water Lina Gyp. Bd. -Mach_. Dater Requested: �_ �' Timet _CJ � A/M' PM Addreen: 7 a� !ermit it Builders _ yh �_� 65 S Ar THE FOLLOMING CORRECTIC 18 ARE REQOIREDt rt , Data: APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinap. y�K, t41�l�J1✓(,. Y"•;I INSPECTION N01 iCE / City of Tigard building Orpartafent 13123 Std Hall Blvd. Tigard, oregon 97223 Inspection Line (Rec-O-Phone), 639-4175 Businena Phone-. 639-4171 Inspection:_ — --- Footing Plbg. Underelab Mach. Rough--in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL. Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: z .2L= Timet _SAM PN Address (j 7 046. ele-e- Permit #tC&-a11/ 1 Builder: T.49 FOLLOWING CORRECTIONS ARE REQUIREDt .� -�- Dates _ i t APPROVED DISAPPROVRD APPROVED SUMdMCT TO AMDVM Call For Reinsp. INSPECTION NOTICE city of Yigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phone): 639-4175 Busineer Phone: 639-4171 inspection: '0��5 9,� ' Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underll.ror Water Line Gyp. Bd• ,-[Mach. - ' fJ ��� Time: /—AM PM Date Requesteds� Addresse �.n6�^� �� T�" Permit is =� I Builders THE FOLLOWING CORRECTION3 ARE REQUIRED: Inspectors __-- Date:L_ __1,,(l APPROVEL DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. w F Fe. 1NSPMCTIOH NOTICE City of Tigard Buildiny Departsent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phonel: 639-41.75 Brininess Phone 639-4171 Inspections - -----__--- --_-- ----------- Footing Plbg. Undecslab Mach. Rough-in A[,pr/Sdwlk Pound. Plbg. Top Out Ga■ Line FINAL: Poet/Ream Struct. San. Sewe ' Framing -Bldg. Post/Bram Mach. Rain Drain Insulation --Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requersted:- 1�-_�(i !^%�� Timet AN PM Address:-_ )�� 1�F7+� Z.� ) / /'_� Pormit THE FOLLOWING ODARZCTIOZZ ARM RZWIRZDI lnapectort-_---._ ` _ _ _--- Date: zj- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Ca'.1 For Relnap. � '� ►1!F It ® O � �' INSpF.cTIO NICE City of Ti7ard Building DeP--t—t 13125 Sit H►11 Blvd- Tigard, Oregon 97223 Inspection Line (Rec-C,-Phone): 639-4175 Business Phone: 639-4171 inspection: p r bg, Neck• Rough--in PPSdwlk / Footing t+nderelab Found. Ylbg• Top Out Cas Line FINAL= ��.'Ftamin�1) -Bldg. poet/Beam Struct. San. Sewer � -� Rain Drain insulation -pl . Post/Beam much. plbq. Underfloor water L:nr gyp. Bd. -Mect:. Time: --AM PM Dat" Requested: r '� �C Permit #: pddroeel Lailder: — THE FOLLOWING CORRECTIONS ARE REQUIRED: 1napector: Dat _____ APPROVED DISAPPRO•!ED APPROVED SUBJE!'T TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Departt:ent 13125 SA Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 63I-4171 Inspection• — Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. ` Date Roqueeted: �(' ( //�� Tis Addreaa• 7 �`� 7 /-� Permit Builder THE F=ONING CORRECTIONS ARE REQUIRED: ZA­ 0444A04 9-' Inspectors ! Y Dates_ / 1. - i e, APPROVED __ DIBAPPROVED APPROVED SUBJECT TD ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footinq Mg. Underslab Mech. Rough-in Appr/Sdwlk Found. Pl Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. g Plbg. Underfloor Water Line � Gyp. Bd. -Hoch. Date Requesteds --5- C r�� % _-_Ti..TiAM PM ` Q Address: '/J_2 7 `�� � _ Permit #s,12" Hullder: TTIP FOLLOWING CORRECTION8 ARE REQUIRED: Inspectors Date t 2 rK T APPROVED DISAPPROVED APPROVED 8VW2CT TD ABOVE Call For Reinap. LNSPECTTON NOTICE City of Tigard Building Departaent 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineso Phone: 639-4171 Inspections - -- - Footing Plbg. Underslab h. Rough-in Appr/Sdwlk Found. Plbg. Top Out ine FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requesteds /-;:? - J eF/ Time: AM _/ PM Address: LLZ2Z;2 :z 1'_2 �x.r 'Permit #1=& Builders ZQZ22 THE FOLLOWING OORRECTIONS ARE REQUIRED: Inspectors 2 ---- -- - Date: 2 A. m "j-1 nTSAPPROVED APPROVED SUBJECT TO ABOVE 1 Call For Reinnp. Ulm INSPECTION NOTICE City of Tigard Building Department f 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-J-Phone): 639-4175 Businees Phone: 639-4171 Lumpections Footing Plbg. Unde:slao Mech. Rough-in Appr/Sdwlk Found. Pibg. Top out Cas Line FINAL: et/Beam Strutt. San. Sewer Framing -Bldg. oat/Beam Meeh\` Rain Draln Insulation -Plumb. Plbg. Underfloor Water Line / Cyp. Sd. -Hach. Date Requesteed/s_ zo �aS'_ !lTimes PM Address:_, // �7 /� Permit #t �r Bu i lder12 ---- THE POLLOMING CORRECTIONS ARE REQUIRED: Inspettort _- Dates fG) APPRMD DISAPPROVRC APPROVED BU .?ECT TO ABOVE call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Gregor) 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:—� Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. P1Lg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -81.dg. Poet/Beam Mach. Rain Drain Insulation -Plumb. P Underfloor�l Water Line Gyp. Bd. -Mach. Data Requested! ZL) �-s � Time: AM _.PM f/rlaJ /�,rL Addreus ` ._ Permit Buildert.L ,�3� fJ/7LJ THE FOLLOWING CORRECTIONS ARE REQUIRED: c7 Inspectore Date$ APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE _,Call For Ralnap. i j a i INSPECTION NOTICE City of Tigard Building Department 13125 OW Hall Blvd. Tigard, Oregon 9722" Inspection Line (Rec-O-Phone): 639-4175 Business none: 639-4171 Inspection• _ — � -)oting Plbg. Underslab Mech. Rough-in Appr/Sdwlk F r,nd. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. an. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line 1 Gyp. Bd. -Hoch. Onto Requested: - -•/�� Times AM ��PH Address: 1 Permit Builder: THE FOLLOW100 OORRECTIONS ARE REQUIRED: Inspectors 1 Data: /C- �~' t i INSPECTION NOTICB City of Tigard Building Departasent 15125 SN Hall Blvd. Tigard, oregon 97223 Inspection Line kRec-O-Phone): 639-41.75 Business Phone. 639-4171 Inspection i__-- — - `-- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk �IpWnd Plbg. Top Out Gas Lisle FINAL/ Post/Beam Struct_. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation Plumb. Plbg. Underfloor hater Line Gyp. Bd. -Mach. / �7 _ f. Date Reyuenl'std• O—AM - Addrees:� '' .ti I" Permit #1' "/ Builder:_ --.- -- THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inn t rn Date A:> Ln, API'RI,Vr L! I71.`7AI'I`P(7V rI! API'n•T✓Pn $ORJ1M TO wIM `fro CITYOFTIGARD MASTER PERMIT CnyOFTWARD' IDERMT T #. . . . . . . : 1*1ST91 •-0l61 COMMUNITY DEVELOPMENT DEPARTMENT onoa, � 131:26 SW FWI Blvd. P.O.Box 23307,TOW,Or"m 07223(603)8,90-4176 �/ 6,,4-4171 DATE ISS = • 1 / SITE ADDRESS. . . : 1. 19,='0 SW 1. _'7TH PL_ P'4RCEL: 1 S 133DD--136OV SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE FARE, 4 Z A I NG: R-4. 5 BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . : 173 BUIL DING ------------------------------------------- REISSUE: --____--__.-.- ._-.__------------__.__-___REISSUE: DWELL-I NG UN I T 5. 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW PEDRMS:4 PATHS:3 GARAGE. . . . . . . . . . :-9C of TYPE OF USE. . . :SF FLOOR AREAS ---__._._..._.___.._ REQUIRED SETBACKS - -----•---- i•YPE OF CONST. :5N FIRST. . . . : 1170 sf" LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 SECOND. . . : 1,390 s f FRONT. :-:'O Ft REAR. . :40 f-t STORIES. . . . . . . :E' THIRD. . . . :0 S REOUIRED- HEIGHT. . . . . . . . .22 ft TOTAL--•--•---:E:560 sf SMOKE_ DETECTOR5. :Y FLOOR LOAD. . . . :40 ps f VAL.UE. . . . . $ : 128461 PARK I NG SPACES. . : I Remarks : construct SFD. See VAR 91-0015 for variance to solar access ord. PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRL-`VNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : i TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (f•t ) . :0 GREASE TRAPS. . . . . . . :0 G I SHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTI4E'R FIXTURES. . . . . :0 GARBAGE D I SF'. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRA1NS. . : 1. _______________ ME"CHANICAI.. -----________--_ _______.___---__.__ FEES P"UF_L. TYPES ------_ --- UNIT HTRS. . :0 type amount by date recpt. /GAS/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 10/14/91 -- MAX INPUT :O BTU VENT FANS. . :3 BPP.T f 505. 30 JI__H 10/14/91 -- FURN ( ' )0K . . : I HOODS. . . . . . : i BPLC f 328. 58 JLH 10/14/91 - FURN ) =1.00K . . :0 WOOD31-OVE S. :0 P5PC $ 25. 28 JL.H 10/14/91 FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC E 375. 00 JLH 10/14/91 BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK 4 250. 00 JLH 10: 14/91 GAS OUTL.ETS: 1 MPRT $ 36. 00 JLH 10/14/91 Owner: ---_---- •-_.___________._._______.________ MF'LC f 9. 00 JLH 10/ 14/91 - DON MORISSETTE BUILDERS, INZ. M5PC f 1. 80 JLH 10/14/91 - 15555 SW BANDY RD. PPRT $ 132. 50 JLH 10/14/91 - #201 P5PC $ 6. 63 JLH 10/ 14/91 LAKE: OSWEGO OR 97035 I-'hone #: 620-7538 (].ontractor: -------------_.__ .--__ 00N MORISSETTE BUILDERS, INC. ,.5555 SW RANGY RD. #2161 LAKE OSWEGO OR 97035 : 'hone #: 620-7538 Peg #. . . 35533 _--•_______.__________ —__ _..._._.___...___._. $ 3050. :�9 TOTAL This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -- - - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Fro s t/BP a m St rust Gas Line Insp plans. This permit will empire if work is not started within 180 Prost/Beam Meehan InBUlAtion Insp days of issuance, or if work is suspended for more than 180 days, F'?m/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp i>ermittee Sign4urem� n�+ �.l?l» G_ Mechanical Insp Water Line Insp __....__.,�..._.__.._.... "�-'r--- Plumb T o Out t A Top ppr/Sdwlk Insp t:. ..u e d By: _.._.___._......__ _. F r a m i ng Insp M e c h a m c:a.1 E' i n A I Call for inspection - 639-4175 CITY OF TI A RD SEWER CONNECTION PERMIT WYOFTWA�10 iDF-..RMI,( #. . . . . . . : SWR91­0166 COMMUNITY DEVELOPMENT DEPARTMENT OR14M 13125 SW Hell Blvd. P.O.Box 23397,Tip",Oregon 97223(503)6394175 4 -11 11 "j, DATE 1S5UFD* 101141�)1 SITE ADDRESS. . . : 11920 SW 1 "7TH PL PARCEL: IS133DD-13600 SUBDIVISION. . . . : VILLAGE AT SUMMER Li4',E PARK 4 ZONING: R­4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 173 IENANT NAME. . . . . : LISA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORT-:. . . :NE_W DWELL I NG LIN I TS. . : TYPE OF USE. . . . . :SF NO. OF BU I LD I NGS 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. S f Remarks: Owner-, : FEES -------------- DON -------------DON MORISSETTE BUILDERS, INC. type amol-trit by date recpt 15555 SW RANGY RD. PIRMT $ 1900. 00 JLH 10/14/91 #201 1 NSP $ ?,5. 00 11—H 10/ 14/91 LAKE OSWEGO OR 97035 Phone #: 620---7538 Contractor: DON MORISSETTE BUILDERS, INC. 15555 SW BANDY RD. #i-01 LAKE OSWEGO OR 97035 Phone #.- 620-7538 19135. 00 TOTAL Reg #. . : 35533 REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 120 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not IOC3tPd at the measurement given, the installer shall prospect 3 feet in aE directions from the distance given. If not so located, the installer shall put-chase a 'Jap and Side Sewer" Permit and the Agency wi'l install a lateral. or in i t t e e S)i q n a t Lk V,e 1.t e d By Call for inspection 639-4175 A P0 A CITY OF' Tl(.-3ARD RECEIPT OF' r-,AymFi\i-r RECEIPT NO. :9 1 18606 CHECK AMOUNT 4735j. 29 NAME a MORISSETTE, DON CASH AMOUNT 0. 00 ADDRESS a PAYMENT DATE e 10/ 14/91 SUBDIVISION PURPOSE* OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 305. 50 PLUMBING P17.FIM 1312. 5)(A MECHANICAL L PIE 36. 00 ST. BU PER 'n. -?-I P I AN CHECK FE 87. 96 SEWER USA 1900. 00 SEWER INSPECT 35. 00 PARKS SDC 250. 00 STORM DRAIN SDC 375. 00 RESIDENTIAL 'rRAFf-'IC F'F-'.ES I i-280. 00 MASS TRANSIT TIF FF*--*ES 100. 00 119P-0 SW lc-.7TH r";- T'01AL. AMOUNT PAID 14735. PC) CITY OF TIGARD REMPT OF PAYMENT RECE I PT 1\10. :91-.216584 CHECK AMOU:,'l s 250. 00 NAMI- s MORRIS SETTS, DON CA:iH AMOUNT 0. 00 A T.)1)R E PAYMENT Dn-rE os al? 1 YG.JSD I V I SI ON PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID (10 I tl-);::-'O SW 127TH PL 1 1-11 Al... (IMOUNT PAID 050. 00 MWANIM C PLNCK/RECT # =� CITY OF TIGARD "'��233 e. � PERMIT / T� COMMUNITY DEVELOPMENT DEPARTMENT ����gm9 DATE ISSUED JOB ADDRESS: J��� tr' Pi-- TAX MAP/LOT SUB: 1 (�+ F% �Uf> lojti (:��`L�DT: - LAND USE: VALUATION: -- OWNFR SPECIAL NOTES NAME: Y)'1< REISSUE OF: ADDRESS: � �� —�� +�lo� LAST REISSUE: -- _� FLOOD PLAIN/ PHONE: —�� _ _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: _ I�.)C" ,� /77u -_-_-- PLANNING: --- ADDRESS: ENGINEERING: -- FIRE DEPT: -- --- PHONE: _ _ OTHER: CONTR. BOARD �: _ - EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: a LIST/SUBCONTRACTORS: _ MECH: �US TAX: _ _- ��' CALCULATIONS: .-- ARCH ENGINEER o - NAME: TRUSS DETAILS: ACDRESS: OTHER: �. Cho �L1A 1 -7 ^� _ PHONE: PROPOSED BLDG. USE: 5 � — ----_ -- --------- COMMENT S: _ - ----- -- --- -- AppLYZANT �IGMATURE Received By: �(� Date Received: _— ' I V CITY OF TIGA.KD 13125sWtiauBlva. PLNCK/RECT # PO Box 23397 PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT Tigmrc�Oregon97M (503)639-4171 DATE ISSUED JOB ADDRESS: !i ,:2 L2 -:�2 '' y'L' TAX MAP/LOT SUB: LOT: / ? 3 LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: -- ^� :,_� f c� 2 �, rE REISSUE OF: _ ADDRESS: _ LAST REISSUE: _ FLOOD PLAIN/ PHONE: U 3R SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: _ _ , ;. . :� PLANNING: ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECH: BUS TAX: ANIZENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: APPLICANT SIGNATURE - Reccived By: _ Date Received: UWAW W t !t t t PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees _sv -- - 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building "� 2 Plumbing l Mechanical 10-433 00 Plans Check Fee3.i�_ - Building 3 �� Plumbing ot __ _ Mechanical __ 10-230 06 Fire 30-202 00 Sewer Connection 12- 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 52-449 00 Parks System Dev Charge (PDC) ' SSU 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -� 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL 5� nm/3587p.WPF iw w iw w 15,565 S.W. Bang'Y Road,Suite 201 Lake Oswego, Oregon 97036 Fhone:(503) 620-7b3S ,tab FAIT:(503)620-7486 0 � rr�h SoNrvtt WnaoRUt` 4q 410 51N G,Le. A1ooK )aTF-a TLB for 173 R LIAM-q' PE R s u/.► j cF/� /91 UM -rte �,y1vac, cl (/ICGWGc� 04 4 c �gi� s W�SNIN6NN CouN II 12-1PL . s CVS U" D2•ve wA_� q ,A6,t3 Ff ' l 2.6So° - �ih QArN D Fes' Zu9.l z — VI vi b I c 206 4. A - _ _ r _ brsl4 lo' unur7 �AS�h'1g� ------------ III uumm SHOEMAKER'S PLUMBING INC. 350 S.W. ZOBRIST ESTACADA, OR. 97023 (P.O. BOX 250) TO: CITY OF TIGARD 13125 S.W. HALL BLVD. P.O. BOX 23397 TIGARD, OR. 97223 I TO WHOM IT MAY CONCERN, SHOEMAKER'S PLUMBING INC. GIVES THEIR i-ERMISSION TO LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING PERMITS FOR SHOEMAKER'S PLUMBING INC. II SINCERELY, HAROLD B. SHOEMAKER PRES. 630-7728