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14323 SW FANNO CREEK COURT ADDRESS: SW F")Ui� C r�d&r irecord slmicrctlm\targetslbuiIding.doc ��PSS'�'IOM M(y�Trrn / CLty Of Tigard OU�--�Uding�•9 ,,.lilt 13125 sw Ball Blvd. rigard, Oragnn 97223 Inspection Line (Rea-o-Plons)c 6d9-4.175 Business Phourl 639-4171 Inspection: Footing Plbq. underslan Hoch. Rough-ink SPPr Mft ! round. Plbg. Top out Gas Line tIIMLe J Post/Bear struat. San. Sewer Framing -Bldg. Post/►,eau Koch. Rain Drain Insulation -Plumb. Plbq. Underfloor water Line gyp. Bd. -Mech.. Date Requested: —� -_••�•• Time: aM !tl Address C �rmit guilders TRE FOLLOWING CORRXMIONS ARE REQUIRED: — -- i --r inspector: CJ��L►' �' ---- ------ Date:_ XIPRWRD D'is"PROVRD — -- AP'"ROVRD SUBJECT TO ABOVF _Call For Reinsp, CITY OF TIGARD COMMUNITY DEVILOPMHWT DEPARTMENT 131mewman!Nal,T4"'tr*W "mellse 46014".4181 CEFSTIi=ICATE OF OCCUPANCY xx�r PERMI7 #. . . . . . . t M,T'3.3 .01-8-, 6;39-41'71 DATE SITE ADDRESS- -. 14323 SW FARNNO CREEK CT PPF?CLL 3 SUBDIVISION. . . . _ COLE3NY CREEK NO 5 ZONIINGi BLOCK. . . . . . . . . . i LOT'. . . . . . . . . . . . . a116 CLASS OF WORK. a NEW TYPE OF USE. . . t SF OCCUPANCY GRP. t R3 OCC'Up''�NCY LOAV e 1 17 4 TENANT NAME. . . t Reamarks a POTH h Owner: TON MILLER Ic:454 SW EDGEWAT'EiR TIGAP0 OR 97823 Phone #1 639•-9511 TOM MILLER BUILDER t2'.454 SW EDGEWATEwR 1 1(3AF?D UR 972-223 3 !,hone #e 6:39--9511 1lpq #. . t 37::385 tic.:c:upancy of ihv agave refmrena:­�od building is hereby given, and certifies I:he compliance with the State Of Oregon Specialty Code% for the gromp, OCIr-upanr_y, and ime under which the referenced permit W.A. ,; i ':skied. FIRE DEPARTMENT b I SPECT'OR R I _DING OF I IAI^ POST IN CONSPICUOUS PLACE f citf of Tigard onildLog "12S MW Ball Blvd- Tigard. 97223' 1naTsction Lina (R#kc-o-Phone): 639-4115 Busin4so Fhona: 639- 71 `— Inepectians — ou h-in Apprledwlk Plbq- Onderelab Mesh. R 4 Tooting FINAL► found. Plbq- TOP Out Cas Lina Ban. Sewer Trasinq '8140• � s Post/Boas Struct. -Plusb. Rain Drain Insulation Post/Bess Meeh- $- Mat „"yer LiM Oyp• � L\J; . � "`'�""�------�` Plbq- underfloor + Tlmef Date Requested' �- r it #: — Address► v y3 0136 Builders THE roltONINO 'ORRZCfIONS ARE RSWIRED2 777- - of//%' ��r� �i�c- r r Inspector! �_------ _ 11PFRO'VED DIBAFPROVRD APPROVED SUBJECT TO ABOVE Call For Rainsp. NI SPECTION NOTICE , City of Tigard Building Department � 13125 SW Ball Blvd. Tigard, Oregon 9722 Inspection Line (Reecc-O-Phone): 6?39-4175 Business Phone: 639-4171 p Inspection:_ Lf-2(``S Footing Plbg. Underslab Mach.. Rough-in Appr/Sdwlk -�— Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rein Drain 7naulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Mach. Date Requested:__ �� � Time: _�/ AM �PH Address: /* 3 ,p /'/if/[/�/� Permit f: Builder: THE FOLLOWING CORRECTIONS ARC REQUIRED: Inspector: Date: l APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call Fo Roinnp. t Cn t o rL'T Gr I14SPBCTIQn IM'I'ICi City of Tigard Building Depaztaent 13325 s11 Ball Blvd. Tigard, Oregon 97223 Inspeation Line (Mc--O-Phone): 639-4175 Suninena Phonet 639-4171 Inspections Footing Plbg. Underolsb Hoch. Rough-in l` Appr/adwlk Found. Plbg. Twp Out Can Line FINALt Post/Beam Struct. San. Bower Fras!ng -Bldg. Post/Seam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requeatedt �� � --Timet AH —PH / i Address!�r7 ZZ 196WMit #3 C/3 1 t ) Builders THE FOLLOWING CORRECTIONS ARE RRWIREDt Inspector: L,Tl-fn'�+�� - Date:_.-_L1-_ J XPPROVEn DIBAPPROVED APPROVED BURJECT TO ABOVE —Call For Reinap. INSPSCTIOH MmICE Cit= of Tigard Building Ueparta mm 13125 e0 Ball Blvd. Tigard, Oregon 972 Inspection Line (Roc-O-Phone): 639-4175 Business Ph : 639-4171 Inspections Footing Plbq. Underslab Mrch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Poet:/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Opp_ Bd. -Hoch. Date Requested s - L� 3 Tisa t _AK PK Address: l �A J ^^�// �_A�VY) l,y(y Permit #t Builders_C�jk-\ y� A_O_V- TBE FOLLOWING OORRECTIONS ARE REQUIRED- i I1--"PROVR-D F'� Dates ns DISAPPROVRD—— -- -- —APPR—OVED BURJECT TO ASOVg' Call For Reinap. Ixspscrlox cmrT�. city Of Tigard Buj�Department 133L2S SW Ball Blvd. Tigs1.- Inspsction Line (Rac-O-Phone)i 639-,.y . � '�°n 97213 Inapectlons Business phos 639-4171 Footing —-- Plbq. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top out Gas Line Post/Beam Struct. FINAL, San. Sawn Framing -Bldg. mRa at/Beam Meth. in Drain 1�� InsulatLtxs � _Plumb. Plbg. Underfloor pater Line OYp. Bd. -Mach. Date Requeatedi_ S Address: A- Tin Ax — PM rmit Builders - TRS FOLLOWING WRRSS.?IOBB An RSQUIRMDt I -ice I Inspec;APPRM..n ! -� Dat_---- DISAPPAOVRD APPROVED 811"CT TO ABOyM ____Call For Reinap. City of Tigard Buildisn Dwoart—Alt ��- 13225 SH Hall Blvd. Tigard, orogoo 97223 Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-1171 Inspection: looting Plbg. Onderslab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top ,est Gas Lino PINALi Post/Beam Struct. San. BowerFraming -Bldg. Post/Roam Hoch. :uin Drain -Plumb. Plbg. s'nderlloor Water Lino Gyp. Bd. -Moch. Date Raquosteds Addroass Builder: .. T3Z FOLLOWING OORRICTIONS ARE REQUIRED: i - T Insctors Dates pe APPROVED DISAPPRO w _ -, APPROVED SD8.7ECT TO hams Call For. Reinsp. Insim Pxo� �oTxcs city of Tigard Building Deparb—It ]3125 ell Hall Blvd. 71gKr4, Ocegoe 97 Inspection Line (Rec-O-Phone): 339-4175 Buslnaea Phone: 639-4171 Inspection: - --- looting Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Prat/Baas Struct. Ban. Sewer " F.—Ing -Bldg. Poet/Bene Neth. Rain Drain Insulation -Plush. Plbg. Underfloor Nater Line Gyp. Ed. -Koch. Date Requested: / Time: _ AM PM /►ddreeee ..4�' ���L �I-" ) it I:C Builders THZ FOLLOWING OORRSCTIONS ARE RSQUIRSD: Inspector: __, _ Date$ APPROVED _ DTSAPPROVRD APPROVED SUBJECT TO ABOVR Call For Rainap. SA-, City of Tigard W-Ulding Dnpar� 13125 SW Ha:l Blvd. Tigard, oragon g Inspection Line (Rec-O-Phone)= 639-4175 Business Phone: 635'-4171 Inepeotl.on= _ Tooting Plbq. Underslab Mach. Rough-in APP c/Sdwlk Found. Plbg. To Out P e LiD TIKAT,= Post/Beam Struct. San. Sewer Framing _Bl , 9• Post/Bsam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Slater Lin Gyp. Ed. -Koch. �. _ , Date Requested= � Ttm�= x AM pM Address= L r /f Vl • -� Permit Bul.lder=- THR FOLLOWINO ODRRRCTIOKS AAR RRQUIRRDc Inspector: Date: APPROVED DISAPPRO%MD ---- APPROVED SVhJRCf TO ASOVR ----.Call For Reinep. SPECTION NOTICR City of Tigard Building Department 13175 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Suninees Pho4& 1�-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. PYbg.�T - Post/Deam Gas Line FINAL: Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Pl.bg. Underfloor Water Line Gyp. Bd. -Mach, Date Requested:-- �( - Time: AM PM Address: ��_3 Vl { 4 lJ- Permit .1 Builder: THE FOLLOWING CORRECTIONS ARE REQUTRED: A16 Gy4 fps? �-� s% S �'rt _ U C✓✓ Inspe Data: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE y ---Call For Reinap. i INSPECTION NOTICE City of Tigard Building Depbrt>tent 13125 Sit Ball Blvd. Tigard, Oregon 9722 Inspection Line (Rec-O-Phone): 639-4175 Bu9iness Phone: 639-4171 Inspections _ --- "- Footing Plba. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALI r6st�Struct San. Sewer Framing -Bldg. p6et/Beam Mach. l Rain Drain Insulation -Plumb. Underfloor Water Line Gyp. Rd. -Mach. �- AK Data Requestads -- T ime, PM ILI1Permit is '_ y!�3 Address: Builder:__ TRF. FOLLOWING CORRECTIONS ARE REQUIRED: I ------------- -- Inspector: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. IRSEECTION NOTICE City of Tigard Building Depart—t 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639..4171 Inspection: _ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. n. Bower Framing -Bldg. Post/Beam Necn. Insulation -Plumb. D Plbq. Underfloor &ter Line Gyp. Bd. -Mach. I` Date Request ed : __Time: _ AMPN Address: ermi t 7 Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: —— Y Date:_ 2 `] APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department y3125 SN Ball Blvd. Tigard, Or' 97223 Inspection Line (Rec-O-Phones 639-4175 Business Phon 639-4171 Inspections ------- \ Plbg. looting_ Underelab Mech. Rough-in Appr/Sdwl.k found. Plbg. Top Out Gas Line FINAL= Post/Beam etruct. sen. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -plumb. -Hoch. Plbg. Underfloor MaterLineLina Gyp. Bd. /nD, /J —!�i'�_77 Date Ruqueateds� . �y Tiros Address: -/ _ `3 '��YZ/Zi �ersoit Buildert— -`—� TBE FOLL011ING CORRECTIO148 ART. REQUIRSDs All i — Dates�N Inspector: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. TCf1Y �aAD PLUMB11140 PEkillI I- COMMUNITY DEVELOPMENT DEPARTMENT0"N l-:1ERMIT #. . . . . . . : 13126 SW Hd 8h(d P.O.ft 23964.Tlgwd,O"m 97M(SM)0304175 S'_-i 0 L V: it,4 7 it,773 8 i"rE ADDRESS. 141323 SW 1-"ANNO CREEK CT PPRGEL: 201 1EBB- 1-700 SUBDIVI51.101N. . COLONY CREEK NO 5 7 nN I NO;, t3LOCKb a * # . a . .. . . . . . . . . . . . . .. 116 ----------- GLASS OF Wf`�K. . sNEW GARBAGE DISPOSALS. . : l TYPE OF tf',U. . . . :SF WASHING MACH. . . . . . . it BACKFLOW PREVNTRq_. . !0' OCCUPANCY URP. . -.R31 FLOOR DRAjN5. . . . . . . :0 TROPS. . V, 3TOR I L:i. . . . . . . . : 1 WATER HLPIERS. . . . . . il LATCH B;4, , , , S7.NSQ1 LAUNDRY I RAY,:; :0 SF* RAIN DR;-41N'O. . . I SINKS. . . . . . . . . . s GREAGE TRAPS. . . . . . . :0 -A,Q Al OR I E,':,-i. . . . . :2 OTHER FIX'T*URES. . . . . .0 16B/SHOWE RE3. . . . : SEWER LINE (ft ) . . . . :O WATER CLOSETS. . :2 WATER LINE' (ft ) . . . . - 10171 D15HWASHERG. . . . i I RAIN DRAIN (ft ) . . . . :0 Remarks . PATH 8 OWNER: --------- ___ TOM MILLER TIF $ 1460. 00 JF 03/16/93 - 12454 SW EDGEWPTER BPRT $ 322. 0111 JF 03/16/93 - BPLC $ 40. 00 J1_H 03/15/93 93-237775 riGARD OR 9.7)P C $ 16. 10 JF 03/16/93 - Phone #: 639-9511 SSDG I. E80. 00 JF 03/16/93 - PARK 1, 500. 00 JF 1213/16/93 - Plumbing Con c rAL-t IYIP R V 4. 40. 50 J1z 03/16/92 MPLC $ 10. 13 jP 03/16/91? Name 11`PIC $ c. 03 JF 0_3/ 16/913 0ddress-______ FIPRT $ 117. 50 JF 03/ 16/93 f-it I,/ : —----- State: p5pc $ 5. 88 JF 0 3/16/9,",' Zip: o n e#- REQUIRED INSPECTIONS This permit is issued ­,1..tb.ject to the v-eg 1.1latiOng contained in the Tigard Municipal (root/found Insp Rain drain Insp (,.."Ode, State of Urev. Specialty Codes and all P'ost/brjam Struct Water Line Insp other applicable laws. All work will he rin,,ie Post /Ream Mechan Appr/qdwlk Tngp i.n with appir,.ved pJan,i. This F,J.m/undslab iv.sp Mechanical V incl permit will expiro -.f work is not started PLIl/Un d e r f I o o r Plumb Final vjitiiin I80 days of issuance, or if work is Mechanical Insp Suilding Final ,uspended for more than .180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Irsp Gas Line Insp Insulation Insp 7' Gvp Board lnsp F tharJ.7ed Flumbing Contractor Signature Call for inspection 639-4175 Contractor Notes : CITYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT nu m MASTER, RE_:RMIT MID 13126SWHOWd.P.O.Da 23307,TI"d,Orepo+117 (503)SM4176 r'1: RMI T #. , . . : ISI T93_-0136 , 9-4171 DATE: ISSUED: 0:.3/16/93 SITE'. ADDRESS. . . : 1.4323 �iW F AMNO CREEK CT PARCEL: 2S 1 12813--137x710 SUBDIVISION. . . . : COLONY CREEK NO 5 ZONING: BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . : BUILDING RE:ISSUE:MST92•-0'_'16 DWELLING UNITS: 1 BASEMENT„ . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMG:3 BATHS:P GARAGE— . . . . . . . . .399 sf TYPE OF USE:. . . :':.,F FLOOR AREAS ___._,.._.. _.... REOUIRED TYPE: OF CONST. :5N FIRST. . . . : 1213 sf LEF'T•. . :5 ft RIGHT. :? ft OCCUPANCY GRP. :R.3 SECOND. . . :0 s f FRONT. -20 ft REAR. . s 15 ft STORIES. . . . . . . . 1 TH I RD. . . . :0 s f RF'QU I RED-- HEIGHT. . . . ,. . . . : 17 ft: TOTAL -__.._. ._--: 1213 sf SMOKE DETECTORS., :Y FLOOR LOAD. '40 psf VALUE. . . . . $: 622980 PARKING SPACES— : 1 Remar•,ks : POTH 8 PLUMBING SINKS. . . . . . . . . . .. 1 FLOUR DRAINS. . . . :0 BACKFLOW PRE.VNTFRS. . :0 LAVATOPIE_S. . . . . :2 WATER HEATERS. . . : 1 TRAPS. . . . . . . :0 TUB/SHOWE:RS. . . . :c LAUNDRY TRAYS. „ . :0 CATCH BASINS. . . . . . . .0 WATER CLOSETS. . :,:, :SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . .0 J)I5HWA5HE3RS. . . . - 1 WATER LINE ( f+, ) . : 100 OTHER FIX'TURES. . . . . :0 GARBAGE. DISP. . . : 1 RAIN DRAIN (ft ) . :0 IJASI I I NG MACH. . . : 1 SF' RFl IN DRAI NS. . : 1 MLCHANICAL --________.____...____..______________.__ FEE:, FUEL TYFES-_____.___.___.__._ UNIT HT-RS. . :0 type aRIO Lint by date recpt /GAS/ / 1 VENTS . . , . . :VI TIF $ 1460. 01A JF 03/ 16/9-1 -- MOX TNVIUT:O BTU VENT' FANS3. . :.:3 BPRT $ 3�::,:---'. Oil) JF 03/ 16/9:3 -- URN ( 100K . . : I HOODS. . . . . . : 1 BPLC $ +0. 01T JLH 03/15/93 93--237775 TURN ) =100K . . :0 WOODGTOVES. :0 La5PG $ 6.. 10 JF 03/ 16'f93 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 80. 00 JF 03/1693 - SOIL/CIVIP ( 3HP.-III OTHER UNITS: i PF)RK 4 500. 00 JF" 913/16/93 - GAS OUTLETS: 1 MPRT $ 40. 50 JF 03/16/93 Owner : __.___._________._..__......._... .. .._.._._..__.._._...__.._..___.. ..-IhrLC; $ 1111. 1.3 ..TF= V_1.:3;IE,/'3:3 - TOM MILLER M5PC $ 2. 03 JF 03/16/93 .._. ?x2454 SW E:DGEWATER PF,RT $ 9. 17. 50 JF 03/16/` " P5PC 1 5. 813 JF 03/16/9,7, - TIGARD OR 97223 1=�1one #: 639-9511 1._!]ntr'act or : •—___ __.._ __ —____.____.___._____ IOM MTL_I ER BUILDER L478 NU. SHERWOOD BLVD. IC RWOOD OR 97140 -1 i on e #- 620-0767 $ 2794. 14 TOTAL This perAit is issued subject to the regulations contained in the ------ REOUI RED INSPECT IONS --- --- Tiparo Municipal Code, State of Ore. Specialty Codes and all other Foot/fol-tnd Insp Fireplace Insp applicable laws. All Mork trill be d S?n ace ance with appy ed Rost/Beam tr,.rct Gas Line Insp plans. This perait will empire wor is no started within Post/Beam Mechan Insulation Insp days of issuance, or if Mork i suspp 0' e d y F'lm/r_tndslab Insp Gyp Board Insp 4' M/Undern r fIoor, Raidrain Insp Rermittee ',iiynatr_1 p : a -�- I_.I chzni.cal Insp Water Line Insp Plumb -Fop Ol_tt AF)priSdwlk Insp lssue0 By : Fr,aminq Insp Mechanical Fina Lai 1 fnr nanr+rtinn _ F.'iq•_41 ' CITY OF TIFA RD CITY coEWER CONNECTION COMMUNITY DEVELOPMENT DEPARIMENT PE RMI T 13126 SW Hd Mid P.O.Bat Mo,Tomed,Orown 97 ON)030 4175 PERMIT #. . . . . . . GWR 93-01aO 6--9-4171 DATE ISSUED- 03/16/93 51TEADDRESS. . . : 14323 SW FANNO CREEK G'( PARCEL: 261. 12BB--13700 SUBDIVISION. . . . : COLONY CREEK NO 5 ZONING: St-OCK. . . . . . . . . LOT. . . . . . . . . . . . . : 116 TENANT NAME. . . . . : USA 1\10, . . . . . . . . . . FIXTURE UNITS. . . .- CLASS 01:7 WORK. . . -NEW DWELL ING UTA ITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWP IMPEPV SURFACE. . r Remarks : PATH 8 Owner— FEES TOM MILLER type amolATit by date t,ec:pt 12454 SW EDGEWATER PRMT F 2100. 00 JF 031116/93 I N S)P, 1 35. 00 JF 03/16/93 TIGARD OR 97223 Pflone #: 639-9511 Contras-tar--, CONTRACTOR NO ON FILL Phone #: $ 2135. 00 TOTAL Reg REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations fewer Inspectioy-. of OF Unified Sewage Agency. The permit ex'pi,.Ps 184 days from the date issued, The total amount paid will be forfeited if the permit expires. The Agency does not nuarAntre the accuracy of the side sewer iaterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet -411-, ections from the distance given. If the Zal er h a "Tap ard Side Sewer" r-:Irmlio 11101_�o tele A ncy w III LA C,-All for, i.y)spec--tion 639-4175 • CITY OF TIGARD RECEIPY OF PAYMENT RECEIPT NO. s93-2371154 CHECK AMOUNT 1 4889. 14 NAME s MILLER, TOM CASH AMOUNT s 0. ,D0 ADDRESS s PAYMENT PATE a 03/16/q3 SUBDIVISION 11 IRVIOSE OF PA-eMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 322. 041 PLUMBING PERM I 17. 150 MECHANICAL PE 40. 50 ST. BUILD PER 24. 01 PI_ANCliECK FE 10. 1;; SEWER USA e 100. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 017, S'fORM DRAIN SDC 2.80. 00 RESIDENTIAL TRAFFIC FEES 1 350. 00 MOSS TRANSIT TIF FEES 110. 00 LOI I J 6 COt-ONY CREEK 5 14323 9W FANNO CREEK CT 10TAL AMOUNT PATD 4889. 14 s-' �s�u��era PLv�, NCI(/Rf.CT 0 CITE' QF TIGARD PERMIT / i s��, �.,�4� _.._.. COMMUNny DEVELOPMENT DEPARTMENT DATE ISSUED JOB ADDRESS: y �� 3 �- TAX MAP/LOT 12 13 d SUB: C p�`�l�( - - LOT: �j � LAND USE: —.�-- 9�NS� SPECIAL WS NAME: REISSUE�-" —" REISSUE OF: ADDRESS: F �€ _ LAST REISSUE: 6"qt /J,� a 3 FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: �. CONTRACTOR AMOVALS aajUff& <3(4fjg2--000'— HANE: ` �l�t `� - PLANNING: OLS ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD : EXP DATE: ITEMS REQUIRED SUUCONSRACTORS: PLUMB: (teH UJ61� pH. LIST/SUBCONTRACTORS: MECH: G/Q55; 1� ` � �i�., BUS TAX: ARCHANGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: � n � --- v COMMENTS: _ �MJCANT" Received By: Date Received: /f PERMIT 0 ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DU 10-432 00 Building" Permit Fees _.. . --.__....10-431 '00 —Plumbing'Petmit fees: -< • 10-431 01 Mechanical Permit fees � G 10-230 01 State Building Tax (5X • Building X, /U Plumbing .S"?�/ / Mechanical 3 10-433 00 Plans Check Fee Building Plumbing Mechanical 10-230 06 Fire :�wR43-Ul2n 30-202 00 Sewer Connection /vv ;2/ �U 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448••04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-0.3 Office TIF Fees 25-448-01 Residential Traffic Fees /3 D / /350 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) S a 60 1-450 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 �(/�.? • / c � ��4 /. J� nm/'1587P.WPF 0 CITY OF 116 U AND — kEEIPT UP PAYMENT RLIX I P 4 T N(J. 3 7/5 7 1 CHECK AMOUNT a 40, 000) 14FAME a MILLER, tUM CASH AMOUNT' 0. 00 ADURLSS PAYMENT DAIE a 03/15/93 SUBDIVISION PURPUSE OF PAYMENT AMOUNT PAID PURPOSti OF PAYMENT PAID PLAN CHEL-K FE 40. 00 LUT 1,16 COLONY CREEK fo 143L3 SW F-PINNO C'NEEK LA ToTW- AMOUNT PAID 40. 00