14301 SW FANNO CREEK COURT ADDRESS:
��O / 5w � C°•n�e.� �
i:'reccrds\micrcflm\targets\building.aoc
,�l�RBCTfON NOTII;L
Cit= of Tigard 9uuildiing Depertanimt
17125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line ;Roc-O-Phone) 639-4175 Business Phonot 639-4171
Footing itlbg. Dnderslab Mo'ih. Rough-in Appr/Bdwlk
Found. P1brI. Top Out Gas Line
FINALt
Post/Beam Stru-t. Ba.n. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Ply.
Plbg. Underfloor Nater Line Gyp. 9d. -Hoch.
Date RoquosteJj/ __PH
Addresst - nom sZXQ1 �� Der71t Il%
Builders—
THE FOLLONINU CORRECTIONS ARE REgUIREDt
Inspectors
AAe__2RPPROv1tD DISAPPROVED APPROVED BUB.7EGT TO Ascrjv
_Call For Reinsp.
i
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
CERTIFICATE: Of.
OCCUPANCY
x x x x PERMIT *. . . . . . . t MST93--01 1 1
639--4171
DATE IL;iSUEDt 06/1. 1/93
SITE ADDRESS. . . a 14301 ^W FF ANNO GREEH. C'T PARCEL-:
SUBDIVISION. . . . : COLONY CREEK # 3 70W NG i
BL,OCK. . . . . . . . . . t L UT. . . . . . . . . . .. . . .. 114
CLASS OF WORK. a NEW
TYPE. OF USE:. . . a SF"
OCCUPANCY GRP. .RZ�
OCCUPANCY LOADa ,ilb 4
TENANT NAME. . . t
Remark s t PATti 8
Ownert ,.._..r_..._.r___.___....__.«.._.,....._...—..._—__.....__-..__
TOM MILLER
12454 SW EDGEWATER
f I3ASRD OR 97283
phon.' #e 639-951 i
rUM MILLER BUILDER
12454 SW EDGEWATE:R
I i GnRD OR 97223
Phone Mt 639-9511
Reg #. . e 37383
Occupancy of the above refiKrenced building i herphy given, and certifies
the compliance with the Statm Of Oi,egan Upec_,i. 'i1ty (:orie% for the grog-p,
occupancy, anti use under which the referenced ppr,KrI t was i s ;tied.
_...__._ FIRE DEPARTMENT NG 'FCTUR
/ UILOI F wCIAL.
FROST IN CONSPICUOUS GLACE:
INSUCTION WM91
City of Tigard Building Department
13125 BE Ball Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phona)t 634-4175 Business Phone: 639-4171
Inspectionr _—-- - — ---
Footing Plbg. Onderelrb Mach. Rough-in Appc•/Sdwlk
Found. Plbq. Top out Gas Line FIN1kLt
Post/Beam Stntct. gait. Sewer Framing -81dq
Post/Beam Mesh. Rain Drain Insulation I.-
Plbg. Underfloor Nater Linn Gyp. Bd.
Date Requestods I - ^1� Time }m
Addreser fereit 1t ��
Builder:
TRx FOLLOMING CORRECTIONS AAE f-
)
Inspectors — Datet�
APPROVED DISAPPROVED _s APPROVRD SDBJECT ib ABOV=
Call For Rainsp.
9
INSPECTION NOTICE
City of Tigard Bailding Department
13125 Ssa Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phons)z 66339-4175 Business Phone: 639-4171
Inspections ��-)(/� r� /' '067� Z�L/5 !�
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg. j
Post/Beam Mech. Rain Drain Insulation -Plumb.
rPlbg. Underfloor //J,/�Water Line Gyp. Bd. -Mach.
Date Reyuesteedds] l,� // —•yTrLme= --AM PH
Address: � !/},✓�/ �Ly f���Lf \/- ` D6rmit �t__�
Builders_ /-'/AKIZ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:�f��`
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Re nap.
jaglION NOTIcE
City of Tigard Buil3iag Departsiet.
13125 6H Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Ric-O-Phone): 639-4175 Business Phone: 639-4171
Inspections -----
looting Plbg. Underslab Mach. Rough-in �._ Apr••r/Sdwlk 1
Found. Plbg. Top out Gas Li:ie FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mich. Rain Drain Insulation -Plumb.
P7.bg. Underfloor Nater Line Oyp. Bd. -Mich.
Date Requesteds-_��� c Tines AM PM
i
Address
Builders— I/ -/ T
TILS FOLLOWING CORRECTIONS AR!. MWIRED:
Inspector: G' TFb`� S _ Date:
APPROVED DISAPPROVED APPROVRD SUBTRCT TO APOVE
__Call For Rainap.
INSPECTIONNOTICE
City or Tigard Building
7223
13125 SM }roll Blued. Tigard. OregonInspection Line (Rea-O•-Phonu)i 639y-41775 Business Phones 39- 71.
Inspections.
plbg. Underslab
Mech. Rough-in Appr/Sdwlk
Footing
Plbg• Top Out
Gas Line PiNAL:
Pound.
San. Sewer
Framing -Bldg.
Poet/Beam SY.ruck.
Rain Drain
Insulation -Plumb.
Poet/Beam Mech.
Plbq. Underfloor Nater Line
=C;yp. Sd. -mech.
71
� Time:
Date Requested:
• �t Permit f:1
AddreFlot /., 11 b
Builder:--- Ilee
THE FOLLOWING CORRRCfIONS AAE REQUIRED: ---- —-� -
Dates
Inspectors � J--_
APPROVED
DrSRPPROVRD APPROVED SUBJECT TO AROVE
JCall For Reinap.
i
INSPECTION KOTICE
City of Tigard Building Department
13116 Bw Ball Blvd. Tigard, Oregon 9722-
Inspecti.on Line (Rec-O-Phone)t 639-4175 Business 93
Inspections _
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIMALt
Post/Beam Struct. San. Sower Framing -bldg.
Post/beam Mach. Rain Drain Insulation ; -Plumb.
Plbg. Underfloor Nater Line Gyp. 9d. -Meeh. I
c r I
Date RoquutedeZl'— imet �C13-611
) L_�•'
Addresst t - 1►ereit Ie 611 I`
Builtert � i
THE FOLLOWMG ODRRECTIOMS ARE REQOIREDt
Inspector.: Date:_ Z C�
APPROVED DISAPPROVED APPROVED BU&7ECT TO ABOVE
Call For Reinsy.
�SPRCTIQN NOTICE I
City of Tigard Building Assparts e t
13126 sw Ball Blvd. Tigard, CW69M 97223
Inspection Lino (Ree-O-Phone)$ 639-4175 Business Phone: 63 -4171
Inspections _
rooting Plbq. Underslab . Ik�uq�►='t1p hppr/sdwlk
liaah
Found. Plbg. Top out Com• L FINAL$
Post/Berm Struat. San. Bawer L►r$�mipgJ -ti;idq.
i
Post/Beam Mach. Rain Drain Insularlon _Plumb.
Pltg. Underfloor Water Line Gyp. Bd. -Koch.
00te RequwstedeA'
._Ti$M$ AM PN
Address$ lam/ / (,'] L
�Z Permit ## j
Builder$
TBE FOLLOWING CORRECTIONS ARE REQUIRED$
/
Inspscto : Date:_ 3,1
APPROVED DISAPPROVED
—� APPROVED AbHJ TO ABOVE
Call For Reinsp.
i
IR�P�QTIOFi NOTICE /`-2
City of Tigard Building Department
13116 " Bull Bled. Tigard, Oregon 97223
Inspection Line (Recce-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Onderelab Meeh. Rough-Ln A
ppe-/Sd:rlk
Found. 1"aP t
Gas Line FINALS
Post/Beam Struct. San. Slower Frasing -eld
g•
Post/Baas Mach. Rain Drain Insulation
-Plumb.
Plbg. Ondarfloor Nater Lina
_/ Gyp. Bd. -Mach.
Date Requested: Ll j-Z. Z y -
Time: AN .�Lt
Addreaes I_ ?j�7 1L� C?'
_
� Permit to
Builders ^
TRE FOLLOWING CORMCTIOI ARE REQUIRED:
Inspectors L
�"PROVED -g�_�DISAPPRCII APPROVED BUR.JECT TO ABOVE
�y"�,/ -_Call. For Rainsp.
city of ll and - LIdJVT19--d 'Ispat
L�125 all Nall slid. C
Inspection Line"25
a T��- ft-g— 47123
1 639-•1175 9usiness Phones 9-{171
..*.nspection:
Footing Plbq. Underelab
Mach. Rough-in Appr/Bdwlk
Found. Plbg, Top out
QQasCLin FINALS
Post/Beam Struct. `�
San. Bawer Framing
-Bldg.
Post/Beam Mph, Rain Drain
Insulation -plumb,
Plbg. Underrloor Mater !/insQ yp, Bd.
7
-Meeh.
Date
Requested: I
Address: � �`f �jG( �Zt ,1,�-} ' AN PM
�
e¢Llders Naait
TRN FOLLOi1INo C PJMCTIONS MM RNQUIRSDs
--------------
--r—
---------------
--------------
InePeCt�r r___
Datetr ( "7
--
DIBApPROVItJ
APPROt/aD SUBJECT 4b Anova
Call For Relnep.
TNSPECTION NOTICE
City of Tigard Building
13125 Sw Hall Bled. �1egOoent
i
n 97223
Inspection Line (Rec-O-phone): 639-4175, Busies P on.��6 g- �l
Inspection:
Footing
Plbg. Underalab Mach. Rough-in
Pound. Appr/Sdwlk
g' TOP Outer Can Line
Poet/Beam Stn:ct. FINAL:
Ban. Sewer Framing
Post/Beam Nech. R -Bldg,
Rain Drain Insulation
-Plumb,
P1G9• Underfloor Water Line
Gyp. Bd.
Date Requested:
Address: 'T = AM
/ J PM
c=�-- Permit
Builder:_
THE FOLLMING cp ------
RRECfTON8 ARE RBCUIRF.D:
n4p@CC(1C:
--------�—., Dates
APPROVED —L4DISAPPROVED :WyG
APPROVED SUBJECT TO ABOVE
Call For Reinsp,
�Q�� I
INSPECTION NOTSCE � �%;^���✓�-
City of ^'igard Building Departse,lt.
13175 sw Ball Blvd. Tigard, Oregon 97
Inspection Lin® (Rec-O-Phone)c 639-4175 Business Fhones 639-4171
Inepeccions
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top chit Gas Line
PINALs
Bost/Beam Struct.L San. Sewer Framing -Bld g,
st/Beam Koch. Rain Drain Insulation
-Plumb.
l P1bg. Under.flWater Line Gyp.
�, Gyp, Bd. _Koch
Date Itequeetedc _7 Z
Timet Ay PN
Address, L d lL � �/� T
Permit Is.�
BuiAders
THE MLLOWINO CORRECTIONS ARE REQUIRED, -
inspector: -7
Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Iffsps TION NOTICE .y7•�
city of Tigard Building Departsamt "
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (RRC-O-Phone): 639-4175 Business Phone: G39-4171
Inspect Lon: —
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg._T_opj Out Cas Line FINAL:
Post/Beam Struct. San. Sewer, Framing -Rldg.
Post/Seam Hoch. rain Insulation -plumb.
Plbq. Underfloor 2 Rater Line �, Cyp. Rd. -Hoch.
Date Requested: J __.Tm : AMPH
Addross:
U� GCi77[1tormit
Builder:
TAY FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
Insp;C3IOn NOTICs
City or Tigard 9ulldiag Dsparb—t
1312S ON Hall Blvd. Tigard, Oregon 9712
Inspection Line (Ras-O-Phons)t 539-4175 Business Phone 639-4171
Inspection$_
inq I Plbq. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbq. Top Out Gas Line FINAL$
Post/seas, Struct. San. Sewer framing -Bldg.
post/seam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor "&ter(JLine Gyp. sd. -Mech.
Re
Date quested$ -Ale e
P.rmit
Address$
Builder:���� -
TBE roLLoWING CORRECTIONS ARSE )REQUIRED$
Inspector: VWI --
Dates 7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnep.
CITYOF TIFARD PLUMBING PERM J T
COMMUNITY DEVELOPMENT DEPARTMENT �oN PLhlv1IT #. . . . . . . M571-Q-0111
13126 611W HO A P.0.9=23W, 1Wd,dpo
rn VW(SM)OW4178
_7 r)A T[-' T Cj(;I I[_r). JA M/4,7,
'::il'TE ADDRESS. . . - 143,711 SW F()NNO CREEK CT PARCEL: 25112BB-CC l 14
SUBDIVISION. . . . : COLONY CREEK it 5 ZONING:
FLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 114
t-LASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE: OF USE. . . . :SF WASHING MACH. . . . . . . .. 1 BAGKF-LOW PREVN•T'RS. . :0
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . 10
STORIES. . . . . . . . : 1 WOTFR HEATERS. . . . . . : 1 CATCH DASINS. . . . . . ,. ,0
F1XTURES-- _- -_ - - LAUNDRY 'TRAYS. . . . . . .0 SF RAIN DRAINS. . . . . . I
S I NKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . i@
LAVA'TORIES. . . . . 32 OTHER FIXTURES. . . . . .0
1 LID/SHOWERS. . . . : SEWER L INT_ (ft ) . . . . :0
WATER CLOSETS. . :2 WATER LINE (ft ) . — : 100
UISHW(ISHEERS. . . . : I R0I14 DRAIN (ft ) . . . . :0
Remarksk PATH 8
TOM MILLER TIF $ 1.460. 00 JH 0:3/08/93
1.2454 SW EDGEWATER DPRT $ 313. 00 JH 03/08/93 -
DPLC; $ 203. 45 JLH 02/23/93 93-236995
T TGASRD OR 97223 D5PC $ t5. 65 JH 03/08/9.3 -
Phone #: 639•-951 1 SSDC $ 280. 110 ill 03/06/93 -
PARF• i 500. OIL) JH 03/08/9;3 Plumbing Cont.•actor: - __ . __.. _ ____._._..._ `PRT $ 117. 50 JH 03/08/93
F'5F,C $ 5. 88 JH 0.3/00/93 -
Name - hlPRT $ 40. 50 JH 03/013/93 _
Address : MPLC $ 10. 13 JH 03/08/93
City :
-KEN- 1.15C'f:' $ . 03 .Jl{ 03/1118/93
_ ��" c�t z t e • �"'
.__
R
4P.0. BOX 2308
UR
ey #:.�._� _ .....r.._._.____
_ TIaAA6�p� 'fV 87281-OM
--- ---- REUUIRLU INSPUC;TIONa
This permit is issued subject to the reg_.
1.�.I.ations contained in the Tigard Municipal Foot/fotind Insp Rain drain Insp
C'ude, State of Ore. Specialty Codes and all Most/Beam Struct Water Line Insp
uther applicable laws. All itork will be done Flost/Beam Mechan Appr,/Sdwlk Insp
In accordance with approved pl erns. I h.i s Film/unds lab Insp I11echanic_RI F in�%l
permit will expire if work is not started FILM/Underfloor, Plumb Final
within 190 days of issktance , or if wvr-k is Meachanie_a.l Insp Building Final
sl.ispended for more than 180 oziys. Fllumh Tap Out Erasion Control
Frami.nq Insp Crawl Drain
Fireplac-e Tnsp
Gas Line Insp
lnsUlatinn Insp
>� -- - Gyp Fcrard Insp
4,11775;TP1uIllbinr Contractor Signature
Cali for inspect ion - 639-4.175
Contractor Notes :
him
CITYOFTIFARD
COMMUNITY DEVELOPMENT DEPARTMr-NT 0WOON MASTER PERMIT
13125SWHdPA P.O.eaK23W.T%Wd,Oregon ort (5W)6W417S PER11 I T #. . . . . . . : MST9 j-01 .1 1
639-4171 DATE ISSUED: 03/08/93
SITE ADDRESS. . . : 14:301 SW FANNO CREEK CT PARCEL.: 2Sll2BB-•CCll4
SUBDIVISION. . . . : COLONY CREEK # 5 ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 114
BUILDING
REISSUE: DWELLING UNITS: 1 BAF'-ErME IVT. . . . . . . . .0 s f
CLASS OF WORK. :NEW BEDRMS:3 BAT HS:2 GARAGE. . . . . . . . . . :399 s
IYPr_ OF USE. . . :SF FLOOR FIRFAS-_--_ --- - REQUIRED SF rBACKB.______----
TYPE OF CONST. :5N FIRST. . . . - 1139.1 s f L_EFT. . :5 ft R I GHT. :5 ft;
OCCUPANCY GRP. :R3 SECOND. . . :0 Sf FRONT. :21 ft REAR. . :21 ft
STORIES. . . . . . . . I THIRD. . . . :0 s REQUIRED-
HEIGHT. . . . . . . . : 18 ft TOTAL--•- - : 1 130 s f SPfOKE_ DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 59162 PARKING SPAC:F_S. . : 1
Re!marl(s : PATH 8
PL_.UMBINcu
STNKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRE:VNTR5. . :0
L..NVA TORICS. . . . . WATER Hl_:F=ITERS. . . - 1 TRAPS. . . . . . . . . . . . . . :o
TUB/SHOWERS. . . . .2 LAUNDRY 'TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WOTF_R CLOSE.TS. . ::' SEWER LINE (f`t ) . :0 GREASE TRAPb. .. . . . . . -0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . :: 100 OTHER FIXTURI72:i. . . . . :0
(.14)RBAGE D I SP. . . - I RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . . 1
MECHANIC AL. ___._.___..___..______._____.__.___.._______ FEES
FUEL_ TYKES-- - _____.___._ UNIT HTRS. . :0 t ype amo�rnt by date reapt
/GAS/ / / VENTS . . . . . :o TIF 9, 14621. 00 JI•i 03/08/93 -
MAX INPUT-0 ETU VENT FANS. . -3 £APRT $ :x.1;3. 00 JH 0;5/08/9,3 -
FURN ( loot: . . : I HOODS. . . . . . : I SPL.C. $ 20.3. 45 JL H 02/2;3/93 93-c.:.36995
FURN ? -1001: . . .0 WOOD5TOVES. :0 B5PC $ 15. 65 JI•i 013/08/9..3 -
FL.OUR FUR1\1. . . . :0 CLO DRYERS. : 1 SSDC; $ 280. 00 J11 0:3/218/93
BOIL/CMP ( 2HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 0:3/08/9:3 -
GAS DUTL-E=TS• 1 PPRT $ 11. 7. 50 JH 03/08/93
Owner^: -_____________w_..________ .____._____._p'SE'C $ 5. 88 _T11 03/08/93 -
TOM MILLER Ir1F'RT $ 40. 50 J[A 0,3/1T'_' /93
12454 5W EDGEWATER MPLC $ 1111. 13 .JH 03 08/93
M5FIC" $ 2. 03 JH 03/08/93 -
TIGASRD OR 97223
s'har,e #: 6.39-•9511
"TOM MILLER BUILDER
11478 NO. SHE RWOOD BLVD.
51 1E RWOOD OR 97140
I'licine #E: 6PO-0767
$ X948. 14 TOTAL
This perait is issued Subject to the regulations contained in the -- -- -- - REQUIRED INSPECTJONEi - - - --
Tigard Municipal Code, State of Dre. Specialty Codes ano all other Fact/found Insp Fireplar_e Insp
applicable laws. All work will be done in accordance with approved Past/Beam Strout Gas Line Insp
plans. This perait will expire if work is not rted withiV!88 Post/Bram Meehan Insc.clation Insp
days of issuance, or if work is suspended fa re than I ys. P1m/Lcnc-lslat, Insp Gyp Boar••d Jnsp
PLM/Under-floor Rain drain Insp
F, I-mitf-ee f1 iynat1u E? : _...._ hler-hanice I Insp Water Line Insp
Plumb Tap Ot_rt f"ppv-/Sdwllc Insp
I >>1rpcf J,y : � ^ ___...—_._....._..--..---....___..__.._ Framing Insp Mechanical Final
i
Call far ins,pec-t ion - 639-4175
CITYOFTIFARD , SEWER C GIVIJErC T J C.lIJ
COMMUNrN DEVELOPMENT DEPARTMENT MOM
PERM I T
13126 Bw►wl Blvd. P.O.Ba 23307,T%Wd,Onpon 97W(609)6304176 F'E-R M I l' #. . . . . . . : S W IR 9 3 1 Q)1.
639-4171 DATE ISSUED: 0;3/08/93
SITE ADDRESS. . . : 14301 SW F'ANNO C k EK LT PARCEL: 2S 1 i 2BB--CC 1 14
SUBDIVISION. . . . : COLONY CREEK # 5 7.ONING:
BLOCK. . . . . . . . . . . LUT. . . .. . . . . . . . . . .. 114
TENANT NAME:. . . . . :
USO NLS. . . . . . . . . . . FIXTURE: UNITS. . . .
CLASS OF WORK. . . :IVEW DWEA-L I NG UN I TS. . : 1
T YF�E OF USF . . . . . :SF NO. OF NU I LD I NGS: 1
T INISTOLL TYPE. . . . :HIJSWR IMPE:RV SURFACE. . : : ,F
kvmr�rhsv 'ATH H
Uwner: _____._._____.._.._..________._..._.___.._..__. ___._..__._.____._____._.______._._.__._-_ FEES
I (JM MILLER type dmollnt by date rer_pt
),E454 8W EDGEWATER F'RMT $ 2100. 00 JH 11.3/08/93 -
INSF' $ 35. 00 _JH 03/08/93 --
T'JGASRD OR 97221_,
F'l,c,ne #: 639-9511
Contractor:
CONTRACTOR IJOT' ON FILE
$ 2135. 00 TOTAL
l Ike c;l #1. . : -•---.___. ___ -_.
- REQU 1 RF�:U INSPECTIONS
-
i This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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
sidr sewer laterals. if the sewer is not located at the measurement _
given, the installer shall 'prospect 3 feet in directions f
the distance given. if not so located, the taller shall r. _
a "lap and Side Sewer" Permit and the AW. will ins eral.
r yn4;l _rr•e
Iaruei� By :
Cal lor- inspection - E39-4175
I TY OF I I L-44141.) — PLUE.I P I OF P$4YML: j kF-GL IPP NO. a 93—&-:5749 7
CHECK AMUUN r t 4833. 14
NAME t MILLER. CUM CASH AMOUNT t 0. 00
AI}17kk.'�E; t PHYMLN1 GALE. t 03/x8/93
SJOUIVISIUN e
PURPOSE OF PAYMCN r AML)UN F, WA 11) PURPU!iE OF PAY.?'.:N r AMOUN r ISA i G
31:3. 00 PLUMS l NG PERM — -1 1.7. 50
MECHAN I CAL PE. 40. 50 Sl . BUILT) PLR c':S. 56
PLAN CHECK FE —,36. 42 SEWER USA a 10lZi. 00
SEWER INSPE LT ?5. 00 PHkKS SDC.: 500. 00
STORM DRAIN IDC 280. 00 RESIDENTIAL TRAFFIC FEES 1,3'..x°''0. 011
MASS TRANS'll TIF FEES 110. 00
LOT 11.4 LULONY CREEK 5
14301 SW F'ANNU GREEK UT
TOTAL AMOUNT PAID
OW SW HA WA PLNCK/RECT / 1�=
CrrY OF TIGARD ,��� PERMIT E •�J s�� /�� _
OOMMUNrrY DsvZWPMBNT DWARTMBN'P MOO-Ain
DATE ISSUED —
JOB ADDRESS• G Sw .nno Cut* TAX MAP/IAT .'S I j z —CC (P
SUB: e LOT: fl��l� LAND USE:
VAL bAT I ON:
MR SPECIAL NOTES
NAME: � 1'Lf,K, __ REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
C4_NTRACTOQ
PP VALS REOUIREQ
NAME: 2 LANNING:
d�+ / �/1 � ,cE'Jal��c � z P
ADDRESS: ,,�,a..y' =f �•l�'�'�✓ ENGINEERING: r
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD iI: EXP DATE:
NEMS P,EOUIREO
SUBCONTRACTORS: PLUMB: A e Ae !a �''' LIST/SUBCONTRACTORS
MECH: C=1Q •�;c—apt' 6��"� BUS TAX:
ARCHANGINEER CALCULATIONS:
NAME: TRUSS DETAILS: -
AODRESS: OTHER: _
PHONE:
PROPOSED BLDG. USE:
COMMENTS: -
yt
LICANT SIGNATURE
Received By: Date Received:
i
PERMIT 1 ACCT # DESCRIPTION AMOUNT /AMOUNT PD. BAL. DUE'"
4
lr50361.1 10-432 00 Building Permit Fees
00 Pl umb�1 ng Permit Fees'. �01. '
10-431 01 -'"Hechanical Permit Fees
10-230 01 State Building Tax (5x)
Building G 5
Plumbing
Mechanical
10-433 00 Plans Check Fee 23__1Y cts;'
Building
r 4 / /
Plumbing _
Mechanical
10-230 06 Fire
.��,. Ulo 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3_ _ 3
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees M
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /350 l3 S o
25-448-05 Mass Transit TIF Fees //0
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSOC) S
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL �_9983d y �Z� rl 31
nm/3587P.Wf'r
CITY OF 71GARD RE.CE.IPT OF PAYMENT RECEIPT NU. s9,3,—�L'3n995
CHECK AMOUNT s 750. 00
NAME i MILLER, TUM CASH AM0.1N't s 0.00
ADDRESS v PAYNEW DATF 02/x:°3/93
SURE)I V I S I ON s
Pt_IRPOSE OF PAYMf:NT AMOUNT PAID PURPOSE. OF PnYMENT AMUUNT PAID
PI-All CHECK FE_.. .__ 250. 00
FLAN C:HEOt FF.___.._._..
P1 (IN LHE LK FE 250. 00
1. 1-6 1. 1 8, 114, 11 COLONY r.REE_K C t
f f 01 AMCION? PAI D _. _ ._ '750. 610