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11781 SW 129TH PLACE II w r V\ PI _71 m G_7 00 Fn .J GO �y •^}T�� rt i I � f f 1 - F t j i :: (",11:: jr. . + �.�—�- --..•w.- -....�..n _fir....-._.�rt.,,r_-...,n. -- ".r---•�.r.- . .. _ .,.,,.,,- m�r,�..- -. .. --- .' 1 1 1 1 t1 I l i I r 1 1 I N I ! � 1 1 1 1' 1 1 i• � I ( i �r� I 1 .L I I �1 NO TE : IF THIS M ICRO F I LME U 2 3 4 5 6 7 6 9 h0 11 12 DRAWING IS LESS CLEAR THAN TH IS NOT iCE-;`TT IS DUE TO THE. QUALITY OF THE ORIGINAL OE 62 BZ lZ 92 SIZ bZ EZ ZIIZ IZ OZ 6>1 91 11 91 S I b I E I 21 11 01 6 6 1 9 S b E Z I �'�•� -- - �►!II1I111r11lll1111111111111111)1111I111II�IIIIUIIIIIItIl11tl11ulu1r�irrlllnr#��111liiill11111111�11u.11111111I11i1�Illllliil((11,1111Ilt11111�1�lllllclllllltlr►1��11111111111t111111�11111ititlltltlitM��llllllul1111111111111111it11111111uw��11111l1�lllllul11�1 �tt1� JUNE 1992 leu ' _ - 'r'• �_ -•�- I I -M...: _I { i I i �. 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' Ali 0011: CRYOFTIGARD 1.4,111.DING PERMIT Crrf OF TWARAD T it - - - - . B U 1,13 0 COMMUNMY DEVELOPMENT DEPARTMENT 1::'R 1.111 PI P.-" ; -. BUP,90-41246 13126 SW HWI Blvd. P.O.Box 23397,TlgaM,OmVon IMM(6W!31P9.,.4176 R 1'.I'T ;." — 6 _4:, 7.11 Ita�aUE 1i: 08/1S/90 1: A D 1)R E 6 S v t 1 l81 S W 12 9T 1-1 PL.. PARCEL: IS133DD-61200 SUDDIVIS10H.. . . . ., ZON 1'.NC D I.-C)C K. . . . . . . . . . .. I...(:) T .. .. . . . . . . ..43 .. ........ REISSUE: f.L-OOR AREAS------------- EXTERIOR WALL CONSTRUCTION-- CL-ASS OF:' WORK. 041:114 F'IRST. . . . : Sf N: S E Wa TYPE OF USE. . . '.01 R SECOND. . . : Sf PROTECT TYPE OF* CONST. :514 THIRD. .. . . -, Sf N: S. E: W. OCCUPANCY GRP. 9R3 TOTAL------------. o Sf ROOFCONST: FIRE RET")-, OCCUPANCY L.OAD.- BASEMENT. : Sf AREA SEP,. RATED: HT. : -ft GARAGE. . . : Sf OCCU SEP. RATED: DSMT? MEZZ?.- REOD sE*rBACKS----.-----..-.---..- REOU I RED LOAD. . . . : psf LEFTo ft r.,GHT.- ft FJR SPKL: SMOK DET. . : DWELA-ING UNTTSc FRNT.- ft REAR- ft I:JR AL-RIII.- HNDICP A(.L:-, FEDRIIS.-, IMP SURFACE: PIRO CORR: PARKINGa VALUE. $ Rema-rks-. '77 Owrierc I"E'ES ST'E'PHEN,HEN IRROWNING t-Y 1:)e A M 0 U 11 t by (I iii t e -r e c.,P t 1.1781 SW 129TH PL PAYM $ 27-20 JLH 08/15/90 171 R 1117 $ 16. 00 T*I.CiARD OR PI.-CK $ 10. 40 526-8624f F:l R E $ 0. 80 OWNER/CONTRACTUR V'fic)rie $ 07. 2.0 TOTAL. Rpri It. .: OWNER REQUIRED INSPECTIONS ................ This permit is issued subjeci to the regulations contained in the Tigard Municipal Code, State of Ore. specialty Codes and all other applicable laws. All work will, be done in accordance with appmved plans. This permit will expire if work. is not started within 188 days of issuance, or if work is suspended for more than 180 days. ............. ........... ...... ...................... . ..... I---,v-(,Mi.ttv-P 5.1 v . t;k.k re I iii s t.i e d D y .......... ...... Call. fo-r insre(ztial-I —ITY OF TIGARD PECEIP-r OF PAYMENT RECEIPT NO. 9 2 07. -7 19 viui Amouwr '2.1 7. IAME : PF-:OWNING. t:-.TEPHEt,i C- AMOI INT A D T)Fe E 5S : 11701 SW 129TH PLf"AMENT DATE s 0B 15,., 1:1 TIGAPL). OP q`7 22' SlJPD I VI S I ON PURPOSE OF PAYMENT AMOUNT PA I El F'UPP(--ISE (.)F* PA�'MENT AMOLIN r PA I D OUILD[Hri PEPM 9UPc?(:w—','Q46 16.0 Co PLAN CrIECT FE r. EUILD PER 0. Etc) TOTAL AMOUNT PAID CITY OF TIVA RD CERTIFICAIL OF OCCUPANCY COMMUNfTY DEVELOPMENT DE �RT� C��GAS PRIM. N. . . . . . . a 8Upe9164 13125 SW Hell Blvd. P.O.Bou 23397,T-Vud,Z.97 4� 5 PRIM, PERMIT 14. : 89184 !. ---- ----__ - =--- _ DATE ISSUED: 01/05/90 -- SITE ADDRESS. . . s 11781 SW 129TH PL PARCELt 13133DD--01200 SUBDIVISION. . . . t ZONINUe BLOCK. . . . . . . . . . t LOt. . . . . . . . . . . . . tSi CLAS OF WORK. tNEW TYPE OV USE. . . :SF' OCCUPANCY ORP. :R3 OCCUPANCY LOAD: I F:HAN r NAME::. , . . Pema•f•1-st ea�Aement an 4suui-h prUperty line 6 foot wide Owners _..__.._... _._...---..__. ._... .....___ _-___...__._....___.__. ._ DON MORISSETTE PO LOX 19524 PORTLAND OR 00000--0000 Phone Vs 000•-F..�A -0000 Contractors -•__..___.__________....__.___________.... DON MORISETTE BLDERS, INC. P 0 BOX 19524 PORTLAND OR 9.7219 ; Phone N: 03 244•-9314 Reg N. . : 35533 OCCupancy Of this above referenced building is hereby ga . en, and ovi-tifiers the compliance with the '.:hate Of Oregon S,pecf.alty Codes for the group, occupancy, and use under whitish the referenced permit waw imso.tecl. FIRE: DEPARTMENT� _ BUILDI SPECTO ILDINQ OFFICIAL POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested e-1—S--9;t Time— A.M. P.M. Address Permit Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to N-Approved Inspector i F-1 Disapproved Date CALL FOR REINSPECTION F-I YES El NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397`C i, Tigard, Oregon 9728 Phone: 639-4175 44 Type of Inspection Date Requested U �� _ Time A.M._ P.M. Address _ 7, 42 Permit # �Z Owner __ Lot # Builder The following Building Code deficiencies are required to be corrected: 7;1 p-esented to Appreved Inspector Disapproved Date _1= �-- CALL FOR REINSPECTION ❑ YES CJ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time Address Permit *S 7 Owner Lot Builder The following Building Code deficiencies are required to be corrected: -Tr .......... Presented to Approved Inspector . I I Disapproved Date CALL FOR REINSPECTION E] YES IJ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _–►-- /� �` 1� Date Requested 4;;0 7 U / Time . A.M. P.M. Address _—.—J��� �� �� ✓ __ Permit # Owner Lot # Builder i The fol!owing Building Code deficiencies are required to be corrected: Presented to Approved Inspector i /L_J Disapproved Date CALL FOR REINSPECTION D YES f ] NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --_.. ` Date Requested � Ti ` P.M. Address _ _ Permit Owner //7 5;-/ Lot Builder .f �Ci2C L" The following B ilding C de defici ncies are required to corrected: .. _ IPQ I I A / C' +V),Jd S 014W yl)W -T — y h - -T Presented to Approved Inspector CDC ly- (e( Disapproved Fete _ Z_ Z�1QJ CALL FOR REINSPECTION IX YES 171 NO 1 I I i INSPECTION NOTICE n City of Tigard Building Department (�'r P.O. Box 25:37 (11^^^ Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection D�-- Date Requested _'"� ] Time A.M. P.M. Address ._��f 7�/ /�� ��� Permit #a,( - Owner Lot # Builder The following Building Code deficiencies are requited to be corrected: Presented to � W _ Approved Inspector L_J Disapproved Date CALL FOR REINSPECTION ❑ VES [A NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 / Type of Inspection Date Requested Time A.M.__ P.M. Address _11 "J—��.�7 Perm6t *J -rlld'�I- Owner, ? _ Lot # BuilderThe following Building Code deficiencies are required to be corrected: 0 t Presented to __ �J`Approved Inspector ❑ Disapproved Date _ CALL FOR REINSPECTION U YES 1:1 NO �r INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _—c _— Date Requests ___ ' �� �Q Time-'e- A.M. Address _�� ��f' Permit Owner T� __ Lot # Builder The following Building Cove deficiencies are required to be corrected: Presented to ._ Approved Ins►rctor __ Disapproved CALL FOR REINSPECTION ❑ YES IJ NO i I I i i INSPECTION NOTICE City of Tigard Building Department I P O. Box 23397 Tigard, Oregon 97223 P one: 639-4175 Type of Inspection Date Request GC_;'L Time A.M.___�_JP.M. Address / �-1 r�3 1- –J~) Permit ! — Owner__ _ Lot #_ Builder — The following Building Code deficiencies are required to be corrected: _ f Presented to FT Approved Inspector Disapproved Date ---/— 19– ( <� CALL FOR REINSPECTION ❑ YES 11 NO EMU�If W fit ` INSPECTION NOTICE City of Tigard Bl-1Iding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-41755 Type of Inspection Date Requested c Time A.M. P.M. C i Address [: `2 I l ��Permit # Owner_ Lot # Builder The following Building Code deficiencies are required to be corrected: i Presented to '47 Approved Inspector /i .. ❑ Disapproved Date CALL FOR REINSPECTION Cl YES L-1 NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 �ry Tigard, Oregon 97223 Phone: 639-4175 t� Type of Inspection �. -2,2 - I Date Requested _ �lv Time "'�A.M. r PtM. Address --J-/-Z1- /�Gf �- �'e , Permit #� Owner_ Lot Builder The following Building Code deficiencies are required to be corrected: � J _ Presented to Approved Inspector Disapproved Date — CALL POR REINSPECTION 0 YES ❑ NO i I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 0 Phone: 639-4175 Type of Inspection Time A.A. P.M. Date Requested -- Permit *-1 – F,ddress Lot Owner ) The following Building Code deficiencies are required to�bn,corieected: [� Leo Approved Presented to !_,trc} _ Disapproved Inspector q DateCALL FOR FOR REINSPECTION YEs CJ NO INSPECTION NOTICE City of Tigard Builaing Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4173 Type of Inspection zX P.M. Date Requested Address Permit P71 Y4/� Owner Lot 0 Builder The following Building Code deficiencies are required to be corrected: -Xi-proved .......... P Presented to Inspector risapptoved Date CALL FOR REINSPECTION Cl YES r�l NO CITY OF T167A RD � IT1 11 N[i C0,1891 �� F'FRhITT NCI. : F?l18?18�ii' CITY&T16ARD MOON COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11 3i8'3 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 _-- - --__-.-� PE IM.PMT.N0. —8'J6 - JOB ADDRESS: 11781 SW 129TH PL TAX MAP/LOT 1S1 33DD SUB: VILLAGE AT SUMMERLAKF r? LT:51 BK: LAND U5E: R4.5PD LOT SIZE: VALUATION: $ 135,281 SETBACKS FRONT: 20 REAR: 7 WORK CLASS: NEW DWEL.L.UNITS: 1 L.FF'T: 5 RIGHT: 30 USE TYPE: SINGLE FAMILY NO.BEDROOMS: 4 EXT.WAL.I. CONST: CONST.TYPE: VN NO BATAS: 3 N: S: E: W: OCCUP.GRF'. : R3 PROT.OPENINGS: OCCUP.LOAD N: S: E: W: TOTAL AREA: 3174 NO.S"ORIES: 2 1ST: 1560 ROOF CONST: C FIRE RET? HEIGHT: 22 20: 1614 AREA SEPAR? RATED: BASEMENT? 3RD: OCCIIP.SEPAR? RATED: MEZZANINE? BASEM'T FLOOR LOAD: -.0 GARAGE: 390 FIRE SPRKLR? ALARM? FLOW(GPM) DETECT? YES _ HFAT TYPE a GAS -_ _,Hr1r.P_ C CRR-) _ PLAN CHECK BY: rlt RFMARKS: easement on south property line REISSUE OF NO. F., foot wide LAST REISSUE r, FEESs w MOR:SSETTE JN PERMIT $523.00 Po BOX 19524 PLAN REVIEW $339.95 E r1 portland or FIRE DEPT STATE TAX $26. 15 -- ---- — ---- OTHER C DEVELOPMENT CHARGESs N MORISSETTE DON 517C(STORM) $250.00 N T DON MORISSETTE BUILDERS INC. SDC(STREET) $600.00 R Po BOX 19524 PDC(M1 ) $250.00 C portland or 97219 PRFPAID ( $100.60) T U PHONE (503) 244-9314 1-111 REGISTRATION NO. 35533 TOTALe $1,889. 10 This permit Is issr ed subject to the regulations contained in Title 14 RECEIPT N0. of the TMC, State of Oregon Specialty Codes. zoning regulations and all other appliceb!e codes and ordinances, and it is hereby REOUIRED INSPECTIONS agreed that the work will he done in accordance with the plans and FOOTING SEWER specificatlons arid In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS ordinances The issuance of this permit does not waive restrictive POST d BEAM WATER LINE covenants Contractor and subcontractors shall have current city business Ipx permits This permit will expire and become null and PLB.UNDERSLAB CITY APPRCH/SW void if work is riot started wit'1in 180 days.or if work is suspended or SLAB FINAL ahandoned for a period of 180 days any lime after work ties PLB.TOPOUT commenced It shall be It, res ibility of the uermittee to assure FRAMING All te d inspections are re uest and approved FIREPLACE GAS/ INS F INF TI _ INSULATION i'�rr Ignature GYP. BOARD Issued By -fC3R ih19>j'Et'.T�f3M83�fiY�''J —_ --------- ���//J SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE WN IKEN III CITYOFTIFARD "CnjY0FZT1*ARD MIT NO. : PERMIT RMIT NO. : PL891867 / COMMUNITY DEVELOPMENT DEPARTMENTTE ISSUED: IL/ 3/89 13125 S W Hall Blvd..P.O.Box 23397.-iigard.Oregon 91223.(503)639-4175I M.F'MT.N0. 891842 JOB ADDRESS: 11781 SW 129TH F'L TAX MAP/LOT 1S.1 ;13DD SUB: VILLAGE AT SUMMERLAKE 2 1.T:51 BK: I-AND USE: R4.5F'D 1 LOT SIZE: ITEM: NO: NO: WORK CLASS: NEW WATER CLOSET 3 TRAP USE TYPE: SINGLE FAMILY URINAL NKFLOW PRVNTR CONST.TYPE: VN I_AVORATORY 3 TRAP PRIMER OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS DISHWASHER 1 GARBAGE DISPOSAL 1 i NO.STORIES: c WASHING MACHINE: 1 DWELL.UNITS: I LAUNDRY TRAY HLDG.DRAIN (PTA FLOOR DRAIN SINK 2 SEWER (FT) WATER HEATER I STORM/RAIN (FT' 1 OTHER REMARKS: easement on south property line FFP w MOPISSE1FE DON EF<MIT $147.50 E Po BOX 19524 l� portland or FIXTURES S1ATE TAX $7. 38 - - ---------- --- -- -- -- OTHER C o N SHOEMAKER HAROLD I SHOEMAKER'S PLUMBING A po BOX 250 A C estacada or 97023 1 PHONE (503) 630-7728 LRT REGISTRATION NO. 3922 TOTAL: $154.88 RECEIPT NO. 1 his permit Is issued subject to the regulations contained in Title 14 ___ __ of the TMC, State of Oregon Specialty Codes,zoning regulations REI7UIRED INSPECTIONS and all other applicable codes and ordinances, and it Is hereby Agreed that the work will be done in accordance with the plans and FILE.UNDERSLAB Spec:IflCatlons and In compliance with all applicable codes and POST it BEAM ordinances The issuance of this perrnit does not waive reatrictivr WATER I TNF covenants Contractor and subcontractors shall have current city F'LH.TOF''OIIT business tax perrT its 1 his permit will expire and become null anti void If work Is nat etarted within 180 days,or if work is suspended o, RAIN DRAINS shandoned for a period of 180 days any time after work has FINAL commenced It shall be thr+Iesponsibillty of the permittee to assure all required inspections are re ested and approved Permitte Sieture Issued ©y am LULL I Uk 1N'-L,LL.I ltJ1J L.V;l 41 i� � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE ! ! ! ! ! ! ! F CITY OF TIVA / MECHANICAL PERMIT RDPERMIT NO. : ME891868 CITYARDOT6 Uf10 COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: i!/ 3/89 13125 S.W.Hall Blvd.,P Box 23397,Tigard,Oregon 97223,(50)639-4175 P I M.PMT.NO. 891842 TOB ADDRESS: 11781 SW 129TH PL TAX MAP/LOT 1S1 33DD SUB: VILLAGE AT SUMMERLAKE. 2 LT:51 BK: LAND USE: R4.5PD LOT SI7_E: ITEM: NO: NO: WORK CLASS: NEW FURNACE (100K AIR HANDLR (1.0 USE TYPE: SINGLE FAMILY FURNACE 100K+ I AIR HANDLR 10K CONST.TYPE: VN F,_OOR FURNACE EVAP.COOLER OCCUP.GRP. : R3 HEATER VENT FAN 3 VENT VENT.SYSTEM 5LR/COMP (3HP HOOD I NO.STORIES: 2 PLR/COMP 3-15HP INCINERATOR(DOM DWE:LL.UNITS: 1 PLR/COMP 15-30HP INCINERATOR(COM FUEL TYPE GAS BLR/COMP 30-50HF' REPAIR UNITS MAX. INPUT BLR/COME' 50+Hf' OTHER 2 FIRE DMPRS? GAS PIPING OUTLETS 1 HIGH PRESS? --L UA4_P II S S?-- --- REMARKS: easement on South property lisle MORISSETTE DON PERMIT $t0.00 po BOX 19524 PLAN! REVIEW $10.50 11 portland or FIXTURES $32.00 STATE TAX $ . 10 OTHER C O N BELL HEATING INC. A 15550SE rIAZ.ZA AVE C CL.ACKAMPS OR 97815 n PHONE (503) 243-1184 LLREGISTRATION NO. 447 TOTAL : $54.60 This permit is issued subject to the regulations contained m 1 itle td RECEIPT NO. _...._-_----------------- of the TMC, State of Oregon Specialty Codes.zoning regulations and all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS agreed that the work will be done in accordance with the plans and GAS LINE specifications and in compliance with all applicable codes and POST R BEAM ordinances The Issuance of this permit does not waive restrictive ROUGH- IN covenants Contractor and subcontractors shall have current city business tax permits This permit will expire aria become null and FINAL void it work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commence I1 shall be the responsibility of the permittee to assure all reqtjlrfd In ections are re I ed and approved Permittee Signature Issued By t..' eAL __1Wtf+(_!ff6Nt 6319_-4t?S --- I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE SEWER PERMIT CITY OF T167A RD AT PERMIT NO. : SE891869 CITVOF n6A1tD COMMUNITY DEVELOPMENT DEPARTMENT o.roo" TE ISSUED: 111 3/89 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon g7223.(503)639-4175 P I M.F'MT.NO. 891842 JOB ADDFESS: 11781 SW 129TH PL LISA NUMBER: '49109 TAX MAP/LOT 1S1 33DD SUB: VILLAGE AT SUMMERLAKF 2 LT:51 BK: LAND USE: R4.5PD LOT SIZE: SECTION: 33 TWP: is RNO: 1w WORK CLASS: NEW USE TYPE: SINGLE FAMILY The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. The permit expires 120 days from the date issued. The total amnullt paid will be forfeited if the permit; expires. The Agency does not quare antee the accuracy of the location of the side sewer laterals. If the Sewer is not located at the measurement given, the .nstaller shall prospect 3 feet in all directions from the distance given. If not so located. the install.e, shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. INSTALL. TYPE: BUILDING SEWER TIMPEPVIOUS AREA: FIXTURE UNITS: TENANT IMPROVEMENT: DWELLING UNITS: 1 NO. OF BLDGS. : 1 o FEES: W MORISSETTE DON PERMIT 435.00 E po BOX 19524 CONNECTION CHARGE 41,250.00 R portland or LINE TAP INSTALL. OTHER C N MORISSETTE DON T DON MORISSETTE BUILDERS INC. A po BOX 19524 C portland or 97219 T 0 PHONE: (503) 244-9314 R REGISTRATION NO. 35533 TOTAL: 1111,285.00 RECEIPT NO. This permit Is issued subject to the regulations contained in Title 14 of the TMC. State of C regon Specialty Codes, zoning regulations Ind all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS agreed that the work will be done in accordance with the plans and ROUGH-.IN vpecihcations and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive ,•ovenants Contractor and subcontractors shall have current city j business tax permits This permit will expire and become null and void if work Is not started within 180 days,or If work Is suspended or Ibandoned for a period of 180 days any time after work has �:ommenced It shall be the responsibility of the permittee to assure 111 required inspections are requested and approved Perj,,, n ,, lest ed By /} / 1744f4 FOR INSPF(T10-16-39-4175 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T16A RD � PLAN CHECK APPLICATION ' rnro(M-A v I PLAN 01ECK COMMUNITY DEVELOPMENT DEPARTMENT PERMIT !{ a+zssw_��.aa�P_o_uo�xuvr.Tsy.4.���«.srm.(sn�l���rt 1 DATE ISSUED 70(3 ADDRESS: I 1 7 g S•w. 2�t�= r�G -- Y AX MAPP-01- - SU13: C.IALP.I.1 SU w�__✓a_K�- Z LOT: _^S 1 ---- LAND USE: VALUATION: / / - SPECIAL NOTES OWNER NAME: Do 0 I S CT REISSUE OF: _ !: �d • o ��___�_ LAST REISSUE: ADORES r . ca2 9 7 � �__ t Loop PLAIN/ -- SENSITIVE LAND: PHONE: — APPROVALS REQUIRED PLANNING: ____ CONTRACTOR _ _ ENCI'NEERING: NAME: FIRE DEPT' ADDRESS: __ - - OWER PlI�INE. ITEMS R�IRED -- - LIST/SUBCONTRAC-ORS: ARCH/CNGINECR BUS TAX: _— NAME: —_ CALCULATIONS: _ ADDRESS: _— TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: OTHER: PHONt: C: r CNTS' U i' `'� ►��� f, 11 r r, it s. S�w �_._�•:�?Q,.�y G' PERMIT N ACCT b DESCRIPTION AMOUNT AMOUNT PD. UAL. DUE _ 10-437 00 Building Permit Fees ZL-�-�- -- -�� 10-431 OU Plumbing Permit Fees qZ-_ C (� 10--431 O1 Mechanical Permit Fees -- - 10-2.30 01 State Building Tax (51) Building Plumbing _ . 3fr- Mech 10-433 00 Plans Check fee Building' 1'lumhirq __ _ Mech / u S� 4 30-707 00 Sewer Connection 30-444 00 Sewer Inspection •SS's +. F,1_440 00 Street System Oev Charge (SOC) -2-449 00 Parks System Oev Charge (POC) AN u 1 31-A50 U0 Storm Drainage Syst ()Qv ChCg ("()C) a 3 L _ .7 -7� 10-2.30 09 TRFO — - 10-230 06 Washington County Iire 91 (951L) _ 10-220 00 Amart/Wedgewood RIC It APPLICANT SIGNn3URE Received By: _ Oa Le cn/3587P/19P KIMURKM ON CITY OF RIGA RD PIAN QUEAM 13125 S.W.11ol1 dhd r.o.[>v.23307 I�711N C.IiFXIC Tigord Oregon 97223 (5173)639-4171 A COMMUNITY DEV-LOPMENT DEPARTMENT DATE ISSUTII JOB ADDRE;S: 1 f 7 d-1 5 a) • //, I0`/`fC •E_ TAX MAP/LfJT SUB: — I1J►T: S"/ TAMUSE: — vr,IJt�zoN: � o a ( NFR SPDCIAL NU►TFS NAME: RIICSUE OF: _ ADDRESS: , e rJ l ✓n c�r1 '�t _ -- LAST RELSSUE: FLOOD PLAIN/ SFILSITIVE LAND: P4 iOIdE: -�1r `r/Q A1'PItOVALS I2FT,?L1rRID OWrRAC.'IVR PLANNING: NAME: 5a P UFGINEERIM: — ADDRESS: WIRE DEPT -- OTHER: PiICiIB: 1'TEKS PBOUI RED BUILDERS BOARD : _ EXP DATE: =/4 BLS TAX: _ —_ - ARCH/RUINF11? CAIXIMATI(JNS: _ NAME: __— - TIW>s DETAILS: ACDRESJ: _ OTHER. Sm-mun2ACIURS: PL114B: --- -- MECH: - PT7n4IT ,f AUCT I DESCRIPWON AMMM AMOUNT PD. BAL. DUE 10-432 00 Building Permit. Fees - - - 10-431 00 Plumbing Permit Fomes 10-431 Ol Mechanical Permit Fees �- ----- 10-230 Ol State Building Tax Building --- Plumbing Moch -- - 10-433 00 Plaits check Fee -- Building Ply combing — moch _ __- 30-202 00 S,M- "- CUlnectiOn _ --- - --- 30--444 00 Sewer InWeCaCn -- 51-448 00 Street SYstau Dev (Barge (SDC) ---_ -. 52-449 00 Parks System DL--v 01arge (PGC) _ —...-_--- 31-450 00 Storm faMinage Syst DF-vv ChM (SSW) _ _ — 10-230 OC Fire ---- -- ------ TUrAL - RFr I APPLS SIG;iWiRE Received By: --_--- --- _ Date Received: of/3587P.WPF � f 7 1 •��\ '. I + I i t t ' II Lw� Cf- 3" L,3" 4e,r 1 a 5�nw4 l J i - 4c-2.�4 ,yc'