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12786 SW FALCON RISE DRIVE ADDRESS : i.-Ii ecords\microflm\targets\bui!ding.doc l';EP,i IF ICATE OF C ITY O TIGA r✓"FIRM:f T #CTCiaUF i�NCY > . . . . . . . COMMUNITY DEVELOPMENT D&A IEA T DATE ISSUErDs OP-/01 /94 131,25 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 FAEtCEL s SITF ADDRESS. . . a 12786 SW FALCON R1'3E DF? 1513:'DD-145Q'0 SUBDIVISION. . . . r VILLAGE AT SUMMER u AKE PARK 't ZONI1\16?P--4. r; BLOCK. . . . . . . . . . e LOT— . . . . . . . . . . . . 182 _. __._. _._.....__...._.._..______._........ _._ CLASS, OF WORK. a NEW TYPE OF USE;. . . t SF OCCUPANCY GRP. c R:3 OCCUPANCY LOAD t.?25 y TC:NANT Ni-IME. . . s Remaricffia PATH I Owners _.M ,_._...__ .__. _._�_, .,_ •._...._w.____ �._ ,_.�__ DON MOR I SSETTE HOMES 1.0j`5;;°,5 SW SANGY Fit) 4f '.'x'01 LAKE:. OSWEGO OR 97A3., 11hono #: Ek•'_tA--715:31 DON ME R19SETTE BUILDERS, INC. 5000 SW MEADOWS RD :30TTE 151 LAVE Jt314F'OO OR 9703`.'; '>hones #c 620-7533 Reg #. . : 35533 !IC.`c_IlPa"G:y Of thf- above r-efere!rrc_ed building is hereby aiver�, and certifies the Compliancp with the State Of Qregon Sper_-ialty Code i for the gror)la, Occ"013aatrr.yo and use under whirr the referenced permit war, i sdt_red. FIRE DE VIVIRTMENT !a D NG I CTOR BU ft- :ilN ) IciAI. P09'T IN C'UNSP I CUt' [P-, PLACE I ixaT=crloK xo I� �/ City Of Tigard Building Dopartssnt LY 13125 S'R Ball Blvd. Tigard, Oregon 97223 Aupection Lina (pec-O-Phons)', 639-4175 ausinsu Phonst 639-4171 Inspection, Tooting Plbg. Underslab Hoch. Rough-in Appr/Mdwlk Found. Plbg. Top Out Gas Line i� Post/seas Mtruct. San. Mower Trashy �s' Post/Boas Morh. Rain Drain InsulAtion -Plush Plbg. Underfloor Nater L1.ne �/ oYP• ad. '�h ^r_ 7 -P-1J Times AM Date Requostod, C Address, l Z DSP 4 r��-CC'Y\ 1\1r Permit 11^✓-�� ' 9u lder,I `OY Tss /OLLOMIxa OORRRCTI0198 ARE RNWTRSDs _ I cc i — - i t Inepwctor,_ �' �'—- Dates rte` `/"APPROVtD DTSAPPRCVED APPRMZD FUSJUCT TO ABOVE Call Tor Reinsp. I1!$�4TSON NOTICE City of Tigard Building Departaamt 13125 M Nall Blvd. Tigard. Oc*W m 97223 Inspection Line (Rwc-O-Phones 639-4175 Business Phones 639-4171 Inspec+_zr _ rooting Plbg. Underalab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Cas Line 7I9& Post/Beam Struct. Ban. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. + Mg. Underfloor Mater Line Gyp. Bd. Data Requested: C/ c Time: AM !11 Addreas: j � d'? Permit I: Builder: C13 74 THR FOLLOWING OORRECTIONS APs REQUIRED: _ 04 � Oates � . inspector: -- — _ l APPROVED ✓TSAPPRMED APPROVED SUWNCT TO ABOVE `� � ` Call For Roinap. pASPtCTIOh ROTICC Citi of Tigard Wa lding DePurtNIMISt 13125 SW Ball Blvd. Tigard• Oregon 97223 Inspection Line (Rac-O-Phones 639-4175 Business Phones 639-4171 Inspections — Footing Plbg. Underelab Mach. Rough-in Appr/&h+lk round. Plbg. Tap Out Gas Line rI9ALsj Post/Beam Struct. San. fewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line.L� !� Gyp. Bd. Mech.i Date Request�e7ds—1 `^ _} ` y 1 �,/ Times AN 'PQM Address: ` C 1 ���L�-" r`ParsCt 4t� Builders TflE rQQS.OMING OORRBCTIONB ARi RSQUZREQt Inspectors_ Datet_ 1 1 t APPRUVED _L,�IDISAPPROVZD APPR(fVRD SUBJECT TO ABOVR �— L-�1 For Reinsp. IKBPSCT1OI "01:ICm City of Tigard Building Dapertaeet I.312s SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4.175 Business Phones 639-4171 Impactions _ Footing Plbg. Underslab Koch. Rough-in App!/sdwlk Found. Plbg. Top Out Gas Line f2 Post/Beam Struct. Ban. Bower froing Poet./Beam Koch. Rain Or-in Insulation -Pluab Plbg. Underfloor *atmr Line( Gyp. ad. -Koch. Dote Requeetedf 1 Tlaswf PK Address t_ 7 ` Builder; Ic� A (y11.4�-! (o 7> (1&? v TBE !OIJAMINO ODRRSCTIONS ARIL ?RQUIRRDs A Inspector sl, ! _^ Dater _ Ai PROVED DISAPPROWD�==APPRO lRD SUBJECT TO ABOVR / Call for Reinsp. MP491191! NUT193 City or Tigard Building Department 13125 9M Hall Blvd. Tigard, Oregon 97223 Inspection Line (PAr.-o-Phons)s 639-4175 Business Phones 639-4111 Inspections__ Tooting Plbg. Underalab Mach. Rough-in Appr�BQwlk Found. Plbq. Top Out Gas Liao TINALI 1 Post/Ream Struct. Snn. sM.­nr Framing -Bldg. Port/Beam Mach. ItAn Drain Insulation -Plumb. Plbg. Underfloor Nater Lim Gyp. Bd. -Meth. Date Requesteds) ( 12-22- �n2! -2/1- /Gjx> y _ Tuwl _Y=w !M Address, I 7`] C Ll�cc►1n �� 1-�f {rftrmLt ts�..� h--6:5-77 Builders l- THE FOLLOWING CORRECTIONS ARE RRQUI M J 9,,5f LLApoi ZI&L T2 Wf-S�T OL -- 11�/=' 006-H To IV/ZIYi &� .-;2— Inspactors__Lig Tf' npii c/4 Dates __APPROVED DIST.PPRovnD ]//APPROVED SUBJECT TO ABOVE Call For Rainap. City of Tigard Building Ott 13125 BM Ball Blvd. Tigard, 4.r.egon 97223 Inspection Line (Asa-o-Phonelz 639-4175 Business Phone: 639-4171 Impaction:--- plbg. underelab Koch. Rough-in in i Tooting PINALt Plbg. Top Out Gas Line Found. -Bldg. San. Sewer Framing Post/Beam Stivct. main Drain Insulation _Plumb. post/a"_ Mesh. � ad. -Koch. Plbg. underfloor igater LLM IDate Aeque�a7teddt permit Addrees t Builder: THr FOLLOwl"n COMECTIOMS ARB REQpIREDt i -------------- -- - ..--- t/ uatet,_�, nISAPPROVISD ,T AP?Rry%MD SUBJECT TO ABOVE Call For Reinsp. ----------- INSPECTION NOTICE CLty of Tigard sui.ldiM Dupertmeat w 13125 Bw Hall Blvd. Tiganl, Ors9on 97223 Inspecl:ion Line (Rec-O-Ph�o�ne)s 639-4175 Business Phones 639-4171 ` Inspection: e, �,` i Footing Flbg. Undsrslab Koch. Rough-in Appr/Sdwlk Found. Pibg. Top Out Gas Line FINAL: Post/Beam 6truct San. Sower Framing -Bldg. Port/Ream Koch. Rain Drain �InsulatLon ,� -Plumb. Plbg. Underfloor Water Lino "P• blo . - ch, Date Requeetedt 12 -1- 13 n � Times A( Addrere: 1L�C�T � � S _ �pN Permit RuLlder: f�I'm THE �FOL�LOW�ING OURRECTIONS ARE REQUIREDt - - l PC 04 Inspector: Data, APPROVED DISAPPROVED �' APPROVED SUBJECT TO AROVE Call For Reinrp. w IK�'�ION naTa�, City of Tigard Maildi" Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)v 639-4175 Rusinees Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out �Gae Lite FINAL.: Poe,,/Beam Struct. Ban. Hewer f lCrLlq -81dq. Poet/Beam !tech. Ra1n Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Nech. Date Requestedt7� Tiew: AM PN Address t2a o I-w- &-K f'Ie� FYf Permit il/: JJy Ruildert 1" 'Ot�` 5ruL l TH6 FOTAA KING CORRECTIONS ARE RNMIMMS I I i Inspector: A`PROVED DIBAPPMM APP11oVeD fvsj CT To Asm __call for Minep. IIISPECTIOl1 NOTICli City or Tigard Building Departmasot 13125 Be Ball sled. ?Lgftrd, Oregon 97223 inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underalab L+_lMch. Rough-in Appr/9dw1k Found. Plbg. Top OutLiM 1 FINALS Post/Beam Struct. San. Sewer frawing -3ldg. Post/Beaus Mach. Rain Drain Insulation -Ply. Plbg. Underfloor Mater Line gyp. ed. _Koch. Dates Requestedt_ /I 2 L' �3 Times _ Addreass I.QC Permit Builders THE FOLLOWING 0ORRSL-rlons ARE REQUIREDs --`�'-ins--v►��t�••'c��,�l�r.---►--��' _ Inspector.-____ 2 -.,APPROVED DI9APPROVED / APPROVED RURJ1tCT TO ABOVE Call For Reinsp. 1 I1/BPECTIOW litYl'ICE ���7._-Z---�, city or Tigard Building Department 13135 M Ball sled. Tigard, Gi^egon 97223 Inspection Line (Rec-a-Phone): 639-4175 Business Phones 63q-4171 Inspections rooting Plbg. Underelab !tech. Rough-in , .ppr/sdvlk Tos. .` " pib0, TOP a� Gas Line FINALS Poet/Beam Struet. San. Bawer Framing -Bldg. Post/BA."m Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor // Nater Line Gyp, Ed. -bath. Date Requesteds, J�-- ,�- i' !Later 11M ,wPM Permit R 25:-6--y 7 BuilC•or:"i#��s` a-�I�.. 1� , "EIB FM.0 VING 0011"CTIONS ARE RROUIREDs Inspactof: Dater Ile- tl - y APPROVED DISI►PPROVED APPROVED RtlBJECT T7 AROVE _____._Call For Reinap. I INSPiCTIOR NOTICL City of Tigard Beildlng Depurtaaut 13125 6A Iaall. Blvd. Tigard, oregan 97223 Inspection Line (Rec-A-Phones 639-4175 Business Phone, 639--4171 Tooting 1111,bg. Undorslab Mach. Rough-in Appr/Sdwlk Tnund. V bg. Top out Gas Line FINALS Post/Boas Struct±. San. Sorer Framing -•Bld Post/Boas Mach. Rain Drain Insulation -Ply. Plbg. Underfloor Water Line Grp. Rd. _Koch. r� / Date Roqueetods-- ty �( CI _ __Times _Z—AM PM Address k 2 I YJp CA, cyy\ RI�� Permit #I �7 �j i Builder:1J. ��"2a � 9- 1 L d_ - C/�t) TEM FOLLOWING COPRECTIONS ARE REQUIREDs Inspectors �^ Date: APPRO"D DISAPPROVJM — u� APPROVED SUBJECT TO AaWa ---.,_..Call. For ReJ.nmp. IMDPtCTIOM Mgj'jt:; City of Tigard MuLld(mg pupsrkasot i IMS aw Ball Blvd. S0-69— s�igard, { 7223 Inspection Lina (Rac-0-Phonw)r 639-4175 Buas Phones 639- •+.71 Inspections Poctinq Plbg, Rnderalab -� Msoh. Rough.-In ADPr/adwlk -!b1md.- -_- Plbq. Top out Oas Line 1IMALr P"%A man. Bawer Framing -Bldg. Rain Drain Insulation -Plumb. Plbq. Vn"rtloor Nater Lina O1'p• Bd. -Mach. Data Requests—d7 r�.l_____f O-� -1-3 x Addreaat_ i� I t��' �CLQ(�1L� f��`jF `by TLMtpK Permit r ' 3 o5_7 L/ Builders �c Nlrn -.tet n 70 T" /OLLONING COR"L-rloff8 ARt RtQOIRYDr _ -------------- In.pactorr Dates 11PPROVtp DI8"PROVtp -�- -�•d--_ �� MPROVRD aoe,rtcr TD ABo1/t f Call For Ralnap• INSEXCTION NOTYCE Cit? of Tigard sni.ldLog Department 13128 M Ball Blvd. Tigard. Oregon 97223 Inapeotion Line (Roc-o-Phone)& 639-6175 Business Phonal 639-6171 Inspection& u t footing Plop. UwAsrslab Mach. Rough-in Appr/sdwlk found. Plbg. ftV Out Gas Line lIWALt Pop:/Seas struct. /an._-vele,r ) framing Bldg. foot/Be a• Mach. Draa Insulation -Plumb. flbg. Underfloor Gyp. Sd. -Mech. Date Requested _ 1 Vines II( l AN PM Address t n Permit ft— 3 ewil.dsrt -�l�tv bf --- TBE FOLLOWING CORRECTIONS ARE REQUIRED& l Inspec77r_"pR0vzD Datoe DISAPPROVED APPR0v1tD SUB.tECT TO ABOVE Call for Reinop. IMBPZCPION MOTICZ City of Tigard Bai.ldo Depar.imant 13125 A Hail Blvd- T1911rd, Oregon 97123 InaPaotion L1De (Reo-O-Phone)i 639-4175 5us;inena Phones 639-4171 Inspections FOotL9 Plbg. Underslab Mach. Rough-in Appr/Sdvlk Found-11 e Plbg. Top out Can Lina /INALs Post/Bean Struct. San. Sewer tracing -Old g• Poet/504m Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Lina Gyp. Sd. -Koch. Date Requesteds_ 2.C `J Times Permit �e `03-7 V Builders ��(^��i 4� W)I Tse Fat"MINS CORRECTION8 JIMS RNQUIRiDs .� -------------------- Inspectors_ Data, ! W �_�APPROVED DISAPPROVED �PROVBD SUBJECT TO ABOVE _____Call For Reinsp. CITY OF TIGARDMASTERp'E.F2MI . PERMITMG3T9:3 0:374 COMMU#IITYDEVELOPMENT DEPARTMENT DATE ISSUED: 09/�fa/9 1312WO Hall 81vd.Tlpard,OWon o7223•B111ti (603)6'39-4171 PARCl:=1..: 1 G 1 33DD--14501c1 ..:jTL HUUiiEI.33. . . : 1," 7(36 W F Ai_r illy R13i� UR JODIVItiIOPl. . . , VILLAGE A"!' SUMMER LAKE: F'r=iRK 4 ZONING— R 4. I-o-CECIL . . . . . . . . . .1 1-07. . . . . . . . . . . .. . : 1 E3,_' . .________---------- - --------------- BUILDING REISSUE-. DWELLING UNI Thi: 1 HAfaEMENT. . . . . . . . :0 sf C:L.ASS OF' WORK. :NLW bE.DRMS s 4 BATHS s 4 GARAGE'. . . . . . . . . :560 s f TYPL OF USC. . . :SI_ !_L._UOR fai2EAS- _.__.. _..-_.. REG!UI RED SETBAGK''� _...._....___..____._. TYRE: OF CONST. :514 FIRST. — :2146 s f LEFT. . :5 ft RIGHT. :5 ft U:I,UPANCY L;RF'. :R3 'SECOND. . . : 1087 s f 1-PONT'. : Ql ft; RLAR. . :110 ft. L ORIES. . . . . . . ..2 THIRD. . . . :O s RE[QUIRE:'.D__.______.__.__.___� _._._.. FIE I GHT. . . . . . . . 125 ft TOTHI_ _.___...__.:32,3: s f SMOKE DETEC TORS. : FL.00IR LOAD. . . . .140 psf VALUE". . . . . 158,798 PARKING SPACES. . :0 Remarks : PATH I PLUMBING GaNK6. . . . . . . . . . . 1 FLOOR D14(,{NS. . . . :0 BACKFLOW PREvNTRG. . :0 '_AVATURTES. . . . , :4 WATER HEATERS. . . : I TRAPS. . . . 4 . . . . . . . . . s0 1 J-P/f3HOWERS. . . . :4 LAUNDRY 'T'Rn YS. . . .0 CATCH BAS TNS. . .. . . . . :0 WFITE:P CLOG'ETS. . :4 SEWER LINE: (ft ) . :0 0,3-EASE TRAPS. . . . . . . :0 1)1S"F'Wfa!"HERS. . . . : 1 WATER LINE^ (ft ) . : 100 UTHER 1-`IXTURES. . . . . -0 GARBi-ioE. DISK. . . ii RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 5F RAIN DRAINS. . : 1 ___----•----.____._.__ MECHANICAL _.-- ---__... _..__._______._____.___.. __.____ FEES FUEL. TYF'FS - _-_-- --- - UNIT 14TRS. . :1r type amount by ci<:.Ate r-er_pt /GAS/ / ! VENT'S . . . . . :0 TI $ 1460. 00 JH 109/0B/93 MAX INp''LJT:O B T J VENT. l'ONS. . :F.i LAPP t 58111. 5501 YA 09/0B/9:.3 F URN ( 100K . . -0 HOODS. . . . . . . 1 BPLC 8 377. 33- JLH 06/30/93 93-214113r"i F"URN ) -1001J, . . : I WOOPSTOVES. :0 B5PC f 29. 03 .JH 09/08/93 - FLOOR FURN. . . . -0 CLO DRYERS. : 1 950C t EBO. 00 JH 09/08/93 DO}IL_/CM[ < 3HF.-O OTHER UNITS-. 1 PARK 1 "0. 00 J)i 09/06/13 GAS OUT"LE 70: 1 MPRT f 48. 00 JH 09/08/93 - 0,,�ner - ._._.._.___.___._._____ .___._.__.________._____--MF'Lt: $ 1 . 00 JH 09/08/93 DON MORIS5ETIE HOMES 115PC $ 2. 40 JH 09/06/93 - 15Ir55 SW BRNGY RD F'PRT $ 162. 50 JH 09/08/33 -. # 2.01 P5PC 4 8. 13 JH 09/08/'17- - LIKE OSWE:GO OR 9703'r-5 Phone #: 620-7538 Contractor. DON MORISLSE:TTE_ BUILDERS, INC. 15555 SW RANGY RD. *E!la 1 LAKE= OSWEGO OR 9700.5 Rpg . . : 3553 T, :209. 89 TOTPL This perait is issued subvert to the ^egulations contained i- the ------- REUUIRED INSPECTIONS - - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All Mork will be done in accordance with approved Post/Peam Strur..t Bas Line Insp plans, lFis pertit will expire if s not starter within 288 Post 1+e�7m Meehan Insulation Tttlsp days of issuance, or if word is s pended for sore then 188 days Plm/undslab Insp Gyp Board Insp 'PLM/Under floor Rain drain Insp Pormittpe Si gnatl_rre!: ""_``';''` Mer-haniu al Insp Water L_isre InAp Plr.rmb 'i_--;+ O+-rt 0ppr/Sdwl1< Insp Issurd Ay - ..► Frtiming Insp Mrrh �ni ^, 1 Finat C.All for inspection - 639-•4175 SEWER CONNECTION CITY OF TIGARD PERMIT #P R PE RM I T COMI#QNITY DEVELOPMENT DVARWENT DATE ISSUED- 09,`1*Aa/S1'2 13196WHaN Bivd.Tlowd,Orogon 9722398199 (503)639-4171 PARCEL.: 1St33L)D--14500 ADDRESS. 1c786 SW FALCON RISE DR 3UBD T V 15 1 ON. V T LL.OGE AT SUMMER LAKE PARK 4 70NING; R-4. 5 'iLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . .. 188 "E.NANT NAME. JISP NO. . . . . . FIXTURE UNITS. . . A_PSS 01:7 WORK. . . t NEW DWEI.J.-I 1,!G LIN I TS. . "YPE OF USE. . . . . :SF NO. OF DUILA)INGF3. 1 NSTAL.L TYPE. . . . :13USWR I MPERY SOPFACE. 'rmar!-sm PATH I FLES ;)ON MORiSGETTE HOMES type a m 0 I.t ilt by date t5555 SW BANDY" RD PRMT $ 2200. 00 JH 09/00/93 0 2 Z I IMSP $ 3!3. Q10 JH 09/08/93 1._A14,13 OFIMESO OR 97035 j'-,hone #: ba-0-75358 Cont ractoro --------------------------------- r_ONTRACTOR NOT ON FILE $ 2235. OQZI TOT01_ Ogg 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 fITI 14 date issued. The total amount paid will be forfeited if the eervit expires. The Agency does rot guarantee the accuracy of the sidt sewer laterals. If the sewer is not !GL&ted at the measurement given, the installer shall prospect 3 feet in all directions frat "t distance giver. If not So IncatelL the installer shall pm'rhase lap and Side Sewer" Pereit aryA Ehe Agen Y will Infiltoll a lateral. Call fot- inspection 639-• ;' 75 CITY OF TIGARD RE=CEIPT OF P'AYMFN-f RECEIPT NO. :93-- ?439*75 CHECK AMOUNT y194. 89 N(4 M E- MORISSE,rTC, DON CASH AMOUNT z ta. 00 APDRESS w POYMENT DATE 09/08/93 51JBD I V 1 G 1 ON PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYM1'.i4T AMOUNT PAIL) 580. 510 PLUMBING PERM 162. 30 MECHnNICAL, PF 48. 00, ST. BUILD PER 39. 56 Pl-nN CHECK FE 139. 33 SEWER USA P11-200. 00 SEWER INSPFCT 35. 00 PORKS SDC 250. 00 STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 1350. 00 MASS TRANSIT TIP FEES 110. 00 LOT 182 VILLAGE AT" SUMMFRl.-(*,,f*-. #4 12786 SW FALCON RISE DR TOTAL AMOUNT PAID 51.9 4. 89 OF s," PLNCK/RECT fCITY TIGARdl,,-4�-�' B°'u»' PERMIT f rI?Sfy-3- �-3 7y COMMUNITY DpfLOPMENT DEPARTMENT Mw''k0-$°"wrm (m)67MI71 DATE: ISSUED JOB ADDRESS: 7 TAX MAP/LOT !S/ 332>2 /V5� SUB: LiA �,�a z r - LOT: LAND USE: r: w VALUATION: OWNER SPECIAL NOIES NAME: j�n1'� !J �►�ls�'�P�)'y) REISSUE OF: ADDRESS: 1� 'K10� LAST REISSUE: FLOOD PLAIN/ PHONE' --1 _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: Sf`1 ,Cs Z-4Y all_, ADDRESS: ___ ENGINEERING: _ FIRE DEPT: ^__ PHONE: _ OTHER: 7/F' CONTR. BOARD f: EXP DA]E: 56136 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: 14ECH: 4-pLm"us TAX: ARCH ENGINEER o -roup' CALCULATtONS: NAME: ol TI -, L- r'c TRUSS DETAILS: ADDRESS: h C?a 602( 3 U OTHER: _ �'jrL, 0 --Z ©X-7 PHONE: 'c3 PROPOSED BLDG. USE: r K _ COMMENTS: APPLF—ANI 1GMATURE v Received By: Date Received: ' PERMIT 0 ACCT r DESCRIPTION AMOUNT AMOUNT Pu. BAL. DUE, *iL u .3711 10-432 00 Building Permit Fees 15 U 5o .53-,, 10-431 00 Plumbing Permit Fees 1!0 .S U ,1Sv 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building. o 3 Plumbing 3 Mechanical U " 10-433 00 Plans Chock Fee3-7-7, 3.3 � 3o Building, PI umbing Mechanical �? ✓ 10-230 06 Fire X13 30--202 00 Sewer Connection '' 1 u v d2 2 vu 30-444 00 Sewer Inspection -s�� 3y� 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 Bev Charge (PDG) ✓ , _ AS 0 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) `/ oz,�V 24-445-01 Water Quality (Fee in lieu of) — 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WPF CITY OF TIGARD RECEIPT OF PAYMFN-r RECEIPT NO. :93--241BL-4 CHECK AMOUNT : 2`,10. 00 lAMF_ >s DON MORISSETTE HOMES, INC CASH AMOUNT % 0. 00 L)1-1 RE:S 0 a 15555 SW BANDY ROAD SITE 201 PAYMEN r DAT F : o6/3o/91-3 LAll,E OSWEGO, OR SUED I U 15l'ON 9703,5­- UPPOSS OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT' PA 11) 11 ,(-.AN CHECK FE 250. 00 1.H OL. AMOUNT PAID 00