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Page No. 1 CASS HISTORY FOR CASE NO.: I,;T94-907.8 NORTHWEST DPEAM HOMES 13755 SW HILLSHIRE DR 12/06/95 ACLi.On Description Rey/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By -.,----- ----------------••------------- -------- -------- ----- -- --------------------------------------- ---- --- -- ----- --- r MSTA007 Application received / / / / 01/20/94 PASS JLH 01/25/94 BLT I I MSTA01J Plan check deposit paid / / / / 01/20/94 PASS JLH O1/25/94 BLT MSTA020 Plan check by 01/25/94 / / 01/25/94 PASS RT 01/25/94 BLT . MSTA030 Check for prcl. restrict. / / 01/25/94 U1/25/94 PASS VG 01/25/94 BLT MSTA080 (F) Ready to Issue / / / / 04/26/94 04/26/94 SW MSTA080 (F) Ready to issue / / / / 05/12/95 JDA 05/12/95 KS MS'PA1f0 Void Permit / / / / 09/27/95 09/27/95 JF MSTA127 PERMIT EXTENSION REQUEST / / OF J/94 / / EXTENSICN GRAN'T'ED FOR PLAN REVIEW UNTIL PASS DS 06/29/94 JG �yy 1/25/95 9 � I I MSTA705 Foot/found Insp ! / / / / / ./25/94 BLT MSTA710 Past/Beam Struc,.ura, / / / , / / 01/25/94 BLT MSTA'711 Post/Beam Mechanical / / / / / / 01/25/94 BLT MSTA715 Plea/undal.ab Insp / / / ! / / 01/25/94 BLT MSTA717 PT';,'unCt:floor / / / / / / 01/25/94 BLT 77 MSTA720 Mechanical Insp / / / / / / 01/25/94 BLT 1 MSTA722 Plumb Top Out / / / / / / 01/25/94 BLT MSTA725 Framing Insp / / / / / 01/25/94 BLT ' MSTA730 Fireplace Insp / / / / / 01/25/94 BIT MSTA735 Gas Line Insp / / / / / / 01/25/94 BLT MSTA740 Insulation Insp / / / / / / 01/25/94 BLT MSTA745 Gyp Board Insp / / / / / / 61/25/94 BLT MS7A755 2ai,t drain Insp / / / / / / 01/25/94 BLT MSTA762 Water Line Insp / / / / % / 01/25/94 BLT MSTA765 Appr/Sdwlk Insp / / / / / / 01/25/94 BLT r` MSTA795 Mechanica' Final / / / / / / 01/25/94 BLT MSTA797 Plumb Final / / / / / / 01/25/94 BLT ! MSTA799 Building Final / / / / / / 01/25,'94 BLT MSTB706 Erosion Control / / / / / / 01/25/94 BLT MSTB713 Crawl Drain / / / / / / 01/25,'94 BLT E(( f I v: i` 9.. e d � CUPTWICATE OF' CITY OF TIGARD - OCCUPANCY �. t,.cF_ 1 PERMIT #. . . . . . . 3 MS'. 04 6.*:. p COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSLJFD: 107067955 R 13126 3 N H&N Blvd.Tigard,Orpon 97223.5199 (603)639-4171 �I PARCE;L c 2S 104C:D••-01; 00 ! -IITE t41)L7E=SS. . . r 13755 SW WILL_5HIP DR :iUSI:)IVIS I ON. . . . c HILLSHIRC" ESTATES ZONTNGsR-•"7 FRP BLOCK, . . . . . . . . . . LOT. . . . . . . . . . . . . :013 (7.4.c?5S OF wuRw.. rNE:w.______.._.....__..___..._.___.w.____.-.__._._._.�.__..�.._._._.__—._..._..._..._..____.._......._.___.._____...__ ryPE: OF LJSSE:.. , . :SF OCCUPANCY ITN. C 5N OCCUPANCY L_.OAV:2 R4mar4 r PATH I NORTHWEST DREAM HOMES 13906 SW fAYI_Ok CRES7 LN i LAKE OSWr=-GO OR 97035 R NORI HWE ST DREAM HOME'S 1.1900 TAYLORG CRCSI` I._N LAKE OSWEGO OR 97035 r'hur7N 0: 636•-•6430 BUS C 1 Req #. . 8697") This Certifir_atite grants ac:r_uparnvy of the above refPv-encpd building crr, portion thel-pof and confirms thrit the building has been inspected for compliance with ' the State of Oregon Spec- jRlty Codes for the group, occupancy, and c.cxe R..cnder-^ which ta'f e 1-7 nr�r!d permit was i G�.led. GLV BUILDING INSPeCTOR 911IL_DING OFFICIAL j� 1 POST IN C,ONSPICL.IOUS PLACE 1 i a I � 1 t ' R. ..-. _ • i �" , M r ' 'r . .... t^� I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec O Phone): 6$Q_-4175 Business Phone: 6394171 ` a y'{�f ;� W 73' M1ilx M f > wf, Inspection: 7i � + F}+a y} ^±ti � Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I ✓�{ r� Foundation Plb . Underslab Mech. Rough-in Fireplace .,' E� °tifa at PJSt/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL fy r' }t �a Post/Beam Mech. San. Sewer Gas Line BId fl 4N Tq,,�u h Jt k{ ( r Plb Underfloor Rain Drain FramingPlumb. 9 �F aL r� (Jm r Alarm Water Line Insulation Mech. ;;d �; ' t + �ily'�r4Y,}�5� i Underflr. Insul. Shear Wall Gyp. Bd. -Elect. r r r t+ Date Requested: Z �o Time:+ AM PM Address: �)' t r�/1�a.� � ° �it #: l0 't .;. y l k Builde y +43+ tr fit 1,f�if (1j 4 i x Y4X' THE FOLLOWING CORRECTIONS ARE REQUIRED: a><4st't.1P p♦�y+ 1vt�,rM1 L' 1�'SMfth�dl'�+��'��i. xy�,•i��dN> � ' � t SJ�i 'r{($���� t� i,IrY:fly,' tiff Jre" g J i �'r sd }� x M r t f�. r Tl,,i N J 9 Ins actor: Date: b ar`rr� �J PPROVED __DISAPPROVED APPROVED SUBJECT TO ABOVE x.J% Mall For Reinsp. e d e'14ryj L { l'1 .+��'�����{, ' w..-+_--•.._...............-.-.�. _.... - - - J� ,'�d � to 9r'� �rr ,d�' �� ° Jr '�1t / •�,b ��;f + i� J >j( t � r �1 +�,b r,Jl.n t� ��n, I � •4j�'R �4� fi( 6� ',� 1Y l� � P Y + 6 f -E ��, f �Y wf"qry�,-.. t i �,.v; < '4 a z C ,,t �f'iY'l ��: j,>',''• l r v AAy� INC . ' �141Tr°,Iff�y�` I`Y k � V t t 5 ��� ' x,r�IrrA i 'i J -.4 4 t ! �„ � rd 11^•� ,.,,M1_a M � L ,f ��� �n wv l' w�rJ�"a,�, t '�� >Yri7 �s•, 1 t Ytl � N. HISTORY: View Add Mul.t-case Update Delete List Pring Insp Esc View comments for selected item 06SEWER PERMITaaaaaaaaadaaaaaa aaaaaaaaaaa.aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaG ° :SWR94-0030 : PROJECT:HILLSIIIRE ESTATES STATUS :V : UPD: 09/27/95 : :JF ° ° PERMITTEE:NORTHWEST DREAM HOMES PRIM. . :MST94-9028 : ° ° SITE ADDRESS : 13'755 SW HILLSHIRE DR ° Uaaaaaaaaaaaaa�aaaaaaaaa�aaaaaaaaaaa�aaaaaaaaaaaaaa�a.aauaaaaaaaaaaaaaaaaaa�aaaG ° CASE HISTORY 0 ° --All Actions--- -- -------- --'-- - - ----- Req/Sent Schd/Due End/Done By Stat M ° ° A007 Application rece'ved / / o ° A010 Plan check by / / 01/25/94 ° ° A020 Check for prcl. . restrict . 01/25/94 01/25/94 RT PASS ° ° A070 Ready to issue 04/26/94 ° ° A100 Void Permit 09/27/95 ° ° A705 Sewer Inspection / / ° 0 o 0 o 0 f ° r i 4, 4n� 4 t 4 CITY OF TIGARn BUILDING INSPECTION NOTICE k g n arT )I Inspection Line (%c-O-Phone): 639-4175 Business Phone: 839-4171 Inspection: Vel Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk o Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. Sar Sewer Gas Line - d I Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation ech. rr/ Underflr. Insul. Shear Wali Gyp. Bd. -Elect. 1,(T7 I Date Requested: ! Lc�-� I QS' Time: AM PM L -3.7 Ste" Address: �,T- Builder: _ Permit #:g`�`"O`er THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 I I l I Inspector: �� � Date: _ APPROVED _&ISAPPROVED _APPROVED SUBJECT TO ABOVE PCG4 For Reinsp. I - ` Y W r,r w M n til( ITT CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ti^ i Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk h Foundation Plbg. Underslab Mech. Rough-in Fireplace Pos:/Beam Struct. Plbg. Top Out Elec. Rough-inAL. Post/Beam Mech. San. Sewer Gas Lineg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: /2, Time: AM PM Address: _ Builder. Permit#: G THE FOLLOWING CORRECTIONS ARE REQUIRED: n + 42 Y. + t S�nzyt c� D Inspector. 0 ,ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE 1 v — Call For Reinsp, j,6 j f tidy iY a v w. x, �ys r 4y1 1 Ali 4 is yk! t f CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-C-Phone): 639-4175 Business Phone. 639-4171 Inspection: Footing Susp. Ceiling rprink. Rough-in Appr/Sdw/(o Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam StrUCt, Plbg. Top Out Elec. Rough-in _ INAZt Post/Beam Mech. San. Sewer Gas Line rA Plbg. Underiloor Rain Drai Framing ' ZI Alarm Water Line Insulation - ec l� Underflr. Insul. Shea. Wall Gyp. Bd. -Elect. �I I Date Requested: L Time:XAM �PM Address:�y < , X57 Builder:` < - Permit #: THE F L ING CORRECTIONS ARE REQUIRED: r. - . .f vti"1 L--v-\ •t CL n L NIT k" / Inspector: ��.y'� — �---r Date: L2 1 APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Foi Reinsp. t 'f. r ;M LP � Aj) i l h ki TM CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 629-4171 b Inspection:__ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk k. Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam St,uct. Plbg Top Out Elec. hough-in FINAL: Post/Beam Mech. San. Sewer Gas Lina -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. I Alam Water Line Insulation Mech. s Underflr. Insul. Shear Wall Gyp. Bd. -Flect Date Requested:_ Time: AM PM Address:---- Builder: _ — — Permit #: q4 THE FOLLOWING CORRECTIONS ARE REQUIRED: - -- MOO W" C Z. Date Inspector: _ —APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE ► all For Reinsp. H 5 s ' . J E 1 � a CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 business '',,one: 639-4171 Inspection: Footing Susp. Ceiling --- Sprink. Rough-in Appr/Sdwlk Foundation Plbg• Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation Mech. Underflr. Insul, Shear Wall GYP• Bd. -Elect. Date RequestEJ: Time:__AM PM Address: Builder: L( /� ------------ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIP,LD: 1. ?� -------------- Ih > Qti �_"U? o ter• �j � C' i,� �� --- Inspector: -------_ Date: 01' Z-.t —APPROVED tS,,DISAPPROVED APPROVED SUBJECT TO ABOVE 1' J all For Reirsp. ti CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Foofina Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Bnam Struct. Plbg. 1 ap Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plum i Alarm Water Line Insulation -Mech. !• Underflr, Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 2 _ Time._,) PM Address: -- `� Z 5; n Builder. - _Permit #: `�zj " 0 Act=)�7i THE FOLLOWING CORRECTIONS ARE REOUIREF). ,4 /Inspector:_ �' Date: � �% .t.. '_`_-APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinso. WON `1 I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 BUs ness Phone: 639-4171 Inspection: Footing SUsp. Coiling Sprink. Rough-in Appr/Sdwik Foundation Plbg. Underslab Mech —_"-Hugh-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in ) FINAL: Post/Beam Mech San. Sewer Gas Line -Bldg Plbg. Underfloor Rain Drain Framing -Plumb. � Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: /__Time:_AM PM / Address: �� 7 S'S______[ f, ��Sl�i✓-��LJ/'. Builder: Permit THE FOLLOWING CORRECTIONS A E REQUCfteD �c�-� --- C - Inspector: Date:_ APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Cell Fo, Reinsp. I I I n Ii � I Y 1 CITY OF T!r--AFD FTf'CI XPT O 1-.,AYMF-Ni- Rr-"(,'FIPT NCI. 64'M5 CHECK AMOUNT 42. 00 NAME' % ISAVAGE 5PRINKI—f-E 2 1,3E RV If.E C',A iH AM(TAN P 0. 011, W)E"RE:SS a 11450 NU '4101 EY PI) PAYME'N'( 01,11V (46/0 7 9 NEWBERG, ok ICA)13 D I V I.r I ON 9713x;: 6 PURPOSE OE= PA,'t4F N7 0MCIl.1NT ren I C► Pl.1Rr'0f`.I,' OF PAY"MF NT CIMO(INT PA I I1 I:E,�C1FtIC'.Fal.. F' E?rtlr 40, 00 F;7. SIAXLU FUER r/+G'► i TTIVAL AMOUNT POID 00 i. I CITY OF TIGARD BUILDING INSPECTION NOTICE'"'` Inspection Line (Rec-O•Phone): 639-4175 business Phone: 639-4171 Inspection:_ '— L�. Footing Susp. Ceiling �Sprink. Rough in l Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing -01umb. Alarm Water Line Insulation -Mech. I Underflr. Insul. Snear Wall Gyp. Bd. �an Jul -Elect. Cate Requested: l0 `� Time: L AM PM Address: Builder:.0f/ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: y� _ 7Jc1 3 I -42 i I Inspector. / Date: 7SA ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. I i L/ CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13128 SW Hall Blvd.Tigard,Orspon 97223.8199 (603)839-4171 PL1 tMS I NG PERMIT 1='-`-RM T T 4. . . . . . . : PLhl?a 01. 1.; DATE ISSUEDs 05/30/95 tt4:i "ARCM.: 2S 104C.!a--4'1)..:0M �,.. -;TTG ADDRESS— 137755 SW HILLS!-!TRE DR SUBDIVISTON. . » , HT1_L HTRE ':STATES, 701".1ING: R-•7 PD rLOCK— . . . . . . . . : LO... . . . . . . . . » . . . ..0 . 13 ' GI A^S or wopv- . ;Arm G11R3AGE DI 1P.0"t'It...:,. . : s*OBI1..C: 140ME r"PA 17.15. TYLE Qf` USE. . . . ZF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . I OCCUPANCY GRP. . :R" F'(.._OOR DRAINS. . . . . . . . TRAPS. . . . . . . . . STORIES. . . . . . . . :'" c- . . . . . s k i. WATER HEATERS. . . . . . • CATCH BASINS. . . . . s a 1 IXTlJ12.^." . _ ._...._ L-AUNDRY TRC` .O. . . . . . ., RAIN DRPTNS. . . . . . INKS. » . . . . , . . . URINALS. . GREASE TRAr'I`1. . y, . . . l„ I_vVATORIE" . . . . . . OTH R FIXTURE 1. . . . . s • • . T'UP/SHOWERC. . . . : SEWER LINE (ft ) . . . . : ("4' j l•!AT>"l7 �'1_t]SET . . . Wfll'GR ? I.iL r ft ISHWASHERS. . . . .. PAIN DRAIN (ft) . . . . rlPmarks '. INSTALL_ RESIDC.: 4T7(11- 34r-I41.1...OW DE,,JIf'C' (' JE:F'G F3GURGIplJ E tVi)P.• amnUnt by date 1375'1'-jSW HILL.-%IRF PRMT 1, 15. 00 ^W - r.r-rT i 0. 7"S %) 05/30/17! IGARD OR g; Phrine Ota ;:,nt re4c,t m- ,. i 'JCTTI._ r,l_UMBING testi. •900 CW MERLO RD ` ~.. f'FAVERTON OR 97006ione 'D42-7,112-6- .___• +t.. a 75 TOTAL.. 24184 REQUIRED INSPECTIONS dl This Gerrit is ii.ued subject to the regulations contained in thi RF'/Baca;f 1 uw Grpv si ._...._..__..__._.._....._.�... p k Tigard MonicipaI Code, Mate of Ere. Specialty CAee and all otflfr final l'rrGlpec:•ticf:l ����': applicable laws. All Mork will be done in accerdapce ......... approved c/ani. this perliit will erpir r, it worts is not started ,liths^ 180 days of issuances or- if work ii slFspEnded for carp • than L _.... ._ ..__.,_....-..__ __,......._..._. __..._._..._.._..__..__._._...._......_._. .e,+, 9@ gays. F ,,s 4 `< fSerMitt;ee ai.gnat,.tr.e �t^.L �� Issued \_ ..all for ir.spe ct ion 4175 1' 3 . r 'E�i�!!waw•.. ,,., .. .. ... .lam:.._. City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # . 13125 SW Hall Blvd. Permit # t11W'V) Ull Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N` 07 New Single Family Residences On f A.- s/ O 1 BATH HOUSE$140.00 O 2 BATH HOUSE$195.00 Job / 7j a .S 5 �5 H//�G ❑ 3 BATH HOUSE$225.00 i Address nMrw a Fee Includes all plumbing fixtures In the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below. fMw(r n.nw N�aYrwq FIXTURES QTY PRICE AlWT Sink 9.00 Ysn"°'w "'°"' Lavatory 9.00 Owner Tub or Tub/Shower Comb. 9.00 CROWN np Shower Only 9.00 ■ Water Closet 9.00 NW_(■n" 0 Dishwasher 9,00 r! Garbage Disposal 9.00 Occupant �',�,,,, r*.,. Washing Machine 9.00 f _ Floor Drain 9.00 I Water Heater 9.00 Laundry Room Tray 9.00 EN""' Urinal 9.00 4A I).L /(//I?6r•i jl �iVC, Other Fixtures (Specify) 9.00 w..,.Feue" _ 9.00 Contractor 41 q60 jtj W&1*44 9.00 aww.. av 9.00 Sewer let 100 30.00 s"'"' '0"w• �+° TM/Ntl/� Sewer-ea. Addit. 100' 25.00 16.;7 / O Water Service list 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addle. 200' 25.00 information given Is correct, that I am the owner or authorized agent of the owner, that plans submitted are In compliance with State laws, that Storm 3 Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm 6 Rein Drain Addit. 100' 25.00 numhor glveyu correct. (If exempt from S Istrafion, please give rose below.) Mobile Home Space 25,00 Back Flow Prevention Device or Anti-Pollution Device 9.00 We Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new W addition 0 alteration 0 repair 0Catch Basin 9.00 to be done may6nusIX non-residential Q Insp. of Exist. Plumbin3 40.00/hr Existing ,iss of Specially Requested Inspections 40.00/hr building rx property _ Rain Drain, single family dwelling 30.00 Resident!al backflow preventloii r devices 15.00 Proposed use of building or property '(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 6%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABA14DONED FOR A PERIOD OF 10 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25%OF SUBTOTAL Special Conditions - TOTAL Date Issued F ll J by y I fl• 4 I, + i�.y.. 4. m _� } i e _ s N F " r }'. A" CITY OF TSI�Afti) — FiEC',F'lPT 01"" VIAYME:NT' WCF 1PT NEI. s'9*�^'c'C��:° 4 CHECK AMOUNT a 15. 75 CASH AMOUNT 0.00 NAME: g ANCT I L PLUMBING ]'NC. ADDRESS s 16900 SW MF RLO RCS PAYMENT DATE: s 05/30/9 5 B AVERTON, OR SUBDIVISION � PURPOSE OF' PAYMENT AMOUNT P(A I D F-�uRC-}E�i:;t OF PAYMENT AMOUNT PAI I O w RL IJMP IFVfs "taF RM� MW5 01 13 00 ST. BUILD PER 0. 7°S �l i ;f Y .Y TOTAL AMOUNT V A I P — - > 1.5. 75 n ,w Y • ^ 1/ WASHINGTON COUNTY ICTED Department of Land Use & Transportation Electrical Inspection Section CT R I CA L ENERGY 155 North First Avenue,t41350-12 Hillsboro, Oregon 97124 Inrornfation: (509)840,3470 Fax: (W3)8D3-4412 A p PLICATION PLEASE . . n Please • • • Project No. Permit No.fl "t 5 l ODO_ 1. Location of Install tip Label No.__ Date .Ad6ress %3'f S_T_ 5 W f 1 S irn P r. Issued By,_. Office 1 City1a A rcL_ zip Code — q, Type of work: Tax Map ,S !O ' Map No. _ I I C )ins RESIDENTIAL Restricted Energy Fes $40.00 1 Thomas Map Book: Page Section (for all systems) `. Directions Check type of work involved: J Audio and Stereo Syetemt Commercial [] Residential Burglar Alarm Tenant Name (if commercial _. Telephone systema ) — Oerage Door Opener* This permit bsoomes null and vold It the work authorized by the Fire Alarm permit is not commenced within 160 days from date of Issuance ,entilation and AiConditioning Stems„ys ng on on Air a ! of such permit or K \ Heating,the work authorized Is suspended or abandoned I at any time atter work Is commenced for a period of 180 days. Vacuum Systeme” _ Electrical Permits are non-refundable and non-transferable. Other , i 2. Crntractor application: I Elect' cal Contractor xiv�1� [. , COMMERCIAL Foe for each system $40.00 f t r :X1 y I C_e ti C.- (see OAR 918-260.260) F Addiess 114S7J A/r DO rffe4 ka Date 5_.33—jam_ Job Number Check type of work Involved: I - Property Owner _ Eye-clrt � I Contractor's License No. _tf tc�1 _ Mier Controls Contractor's Board Reg. No. _Lc v to ( _ Clock Systeme Phone No.-5-63 Data Telecommunications Installations Firs Alarm Installation ' 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control" Address �— Medical Nurse Calls Cid ---Sia-Te — Outdoor Landscape Lighting* This perm/t Is Issued under OAR 916.320-370. Tho sppikent ogress Protective Signaling to make only restricted arm gy Installations(100 volt amps or lets) Other under this pormlt and to do the/allowing: -- 1. Only use eloctrksl Ik»nsed persons to do Instsllstione when rsaulred. (C"In resklentlal end other transactions are exempt Number of Systems from licenaing. These have asterisks("). All others need llcons- ing,) •No licenses are required. Licensee are required Mr all other Installations. ?. Call for an Inspection when all the Installations under this permit *No eq are ready for Inspection. 3. Pumhaso separate permits for all Installations that are not ready Jam. Fees for Inspection when the inspector Is out to Inspect under this L� ' j perm R. Enter fees $ 4. Assum!responsibility for assuming that slicorrectionsrequired E by the 0aw:riorono dons-,and d. Assume respnonsiblxty for csliing fors final Inspection when all of 5% Surcharge (.05 X total above) $ _ the corrections are completed. The person signing this permit must be the applhsnf or a person Total $ authorized to bind the applicant. Signature _�" def, Space below reserved for validation. Authority if other'hen applicant -'f/+td�� ti-►-✓ For Inspections call 640-3561 or 693-4415 24-hour recorder,one working day In advance of need 11/92 `""" : . I ,y I j CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: a Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. I 9 9 Alarm Water Line Insulation -Mach. UnderfIr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: S����% Time: AM �L PM Address: 1 3 7L5- Builder: 5 Builder: _ Pen,iit #:� U THE FOLLOWING CORRECTIONS ARE REQUIRED: c�raah Z, Inspector: 2� S Date: _APPROVED _DISAPPROVED P JECT TOA E i _Call For'Rin I w ■+rYwr !rrr-..�. , CITY OF TIGARD BUILDING INSPECTION NOTICE !/v i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ` I i Inspection: -- j Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL : Post/Beam Mech. `• San. Sewar Gas Line Bldg. Plbg. Underfloor ((fw,n Dra'AleOt Framing -Plumb. Alarm Vater UnO Insulation Mech. , Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: / %/ _Time: �.` O PM 4 Address:_ Builder: _T _Permit #: T THE FOLLOWING CORRECTIONS ARE REQUIRED: i 1: M, r �1 nspector: --_ DatL-: x, 41, PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE ' Call For Reinsp. . i. rir . r �4 - ! f s i', :..:wL.,... � ... .: -'. .., n... ':.. ,.. a....,._. •k CITY OF TIGARD BUILDING INSPECTION NOTICE j Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6394171 , 1 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beern Structs Plbg. Top Out Elec. Rough-in FINAL: ' Post/Beam Mach® San. Sewer Gas Line -Bldg. ;t Pibg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall gryp•3d; -Elect. Date Requested: 3 �'��j Time: AM PM Address: JBuilder: W__ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: + ;mss--- 1 � <, r � 1 Inspector: `�'� P ��� Date: I_� __APPROVED _DISAPPROVED ,::�:ASPROVED SUBJECT TO ABOVE _Call For Reinsp. t1 i P CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk j Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain QlFramiJL_j` -Plumb. Alarm Water I_;ne ''(nL sulation_ -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. i Date Requested: -' / l l5 Time: AM PM Address: Builder: Permit #: `i THE FOLLOWING CORRECTIONS ARE REQUIRED: c� r / Inspector: _ / _ Date: -s J" �,S_' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. .. r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rougl -in Fireplace Post/Beam Struct. Plbg. Top Out Ele, Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Uldg. Plbg. Underfloor Rain Drain Framing -PILmb. Alarm Water Line [nsulation -Mech. I Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: _3�' ��. Time: AM PM Address: / Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: r Inspector: Date: _APPROVED —°'D'ISAPPROVED —APPROVED SUBJECT TO ABOVE L� —Call For Reinsp. I d CITY OF TIGARD BUILDING INSPECTION NOTICE ' Ipspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 " _ / Inspection: Footinq Susp. Ceiling Sprink. Rough-inpr/Sdwlk roundatie- Plbg. llnderslab M ,t� Rough`-i� Fireplace r` � Post/Beam Struct. Plbg. Top Out cL Elec, Rough-in FINAL: r Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain rmin JCI! -Plumb. Alarm Water Line Insulation -Mech. Underilr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ 3� l y S Time:_ZAM PM Address:----/ � `� Builder: Permit #:--94/ —U V{0 3 THE FOLLOWING CORRECTIONS ARE REQUIRED: I — i i a Inspector: V�.. Date: 1 'C _APPROVED _DISAPPROVED PROVED SUBJECT TO ABOVE �\ _Call For Reinsp. r ,I • lid • # r J ik� x r F CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/S(Jwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post!Beam Mech. San Sewer rrm-c�'�Aj: -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. I Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 3 �%S� Time: AM PM Address: �� / � ILI Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: _APPROVED '—DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. I lam vo 4 , , ,1 �i ARD BUILDING INSPECTION NOTICE p- - CITY OF TIG I C Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 (� Inspection: 7 J - Footing Susp. Ceilin Sprink. Rough-inppr/Sdwlk ,,,•.. Foundation Plbg. Underslab ech. Ro^ h Fireplace Post/Beam Struct. Plbg. Ton Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer (,ffas Line Bldg. Plbg. Underfloor Rain Drain Framin / -Plumb. Alarm Water Line Insulation Mech. I Underflr. Insul. Shear Wall Gyp. Bd. Elect. Date Requested: S Time: Y—PM _ � Address: 2 5 5 /T�C_� '/�i'L�- (L Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: �• , w G�.n,Jl 5,1-� Inspector:_. Date:�r C� r _APPROVED CAP--PROVED rAPPROVED SUBJECT TO ABOVE For Reinsp. Imo.c� CITY OF TIGARD BUILDING INSPECTION NOTK;E Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg, Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Dale Requested:_ Time: AM PM Address: 1 Builder: _ Permit #: 1) 4 - 64(63 THE FOLLOWING CORRECTIONS ARE REQUIRED: 4L Inspector: Date: _APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE r For Reinsp. i rV a : . :.. '• a ._ .... 0 ; 1QR o BUILDINGINSPECTIONeEInspection Lie (RclO- e): 3475Bsinesshon639-4171 C�L r Inspection: Footing Susp. Ceiling S rink. Rough-in P 9 Appr;Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Pibg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drainr Framing -Plumb. S Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. i, -Elect. � Date Requested: Time: AM PM Address: Builder: f� Permit p: ""1 — 0,4 �0 3 THE FOLLOWING CORRECTIONS ARE REQUIRED: Z mac_-.e s Z, k I J -�-u � - 1 -� J 2 ✓\ tAr le Inspector: -- Date: _APPROVED 1SAPPRO'/ED _APPROVED SUBJECT TO ABOVE /_Call For Reinsp. CITY OF'TIGARD BUILDING INSPECTION NOTICE " �rspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i . Inspection: Footing SUsp. Ceiling Sprink. Rough-in Appr/S wlk i Foundation Plbg. Underslab Mech. Rough-in ire lace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. `fewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. c Alarm Water Line Insulation -Mech. Underflr, iosul. Shear Wall Gyp, Bd. -Elect. Date Request9d: �'' -1 Time: AM PM Address: Builder: �W �'`�dw� dVlf�S Permit #: i THE FOLLOWING CORRECTIONS ARE REQUIRED: $�7— _ _ Inspector: Date: A—SI APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE —Call For Reinsp. e ,. dail 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech Rough-in Fireplace Post/Beam Struct. ��9abg' olr p Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear W II / Gyp. Bd. -Elect. Date Requested: _� l t �r Time: AM PM Address:—Z- ]j 2 S151 i [A� --, u I Builder: Permit #: i 7 - r Y6,3 j I THE FOLLOWING CORRECTIONS ARE REQUIRED: i a 'F'r '1 �`j¢/� i Inspector/' Date: � APPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE j Call For Reinsp. ,. t GiTY CF TIGAF D BUILDING INSRECTION NOTICE I Inspection Line: 639-4175 Business Phone: 639-4171 i Footing Rain Drain Cover/Service FINAL: I Foundation Water Line Ceiling -Plumb. I i PosUBeam Mech. Shear/Sheath Framing -Meeh. PIbg.Und/Flr/Slab Plbg, Top Out insulation s-fie^ct� Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk �Reins, Other: ` -- -^-.--- Date: — _ Entry: ry:A.M. P.M. ..._ I Address: 3 � — �� ,Lt/1 ---- Tenant: _ Ste:_ MST ------- BLIP: --— --- --- Con/Own: ---- __ - - --- --- - MEC:— I PLM: —_ ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:ej�`-G� i ----------------- ,i } p i Inspector: Date: _APPROVED ___DISAPPROVED/CALL FOR REINSP, CF CO ' I 0—MOW— I , r f I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line iRec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. ROLIgh.-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. 4 Plbg. Underfloor Rain Drain Framing -Plumb. I Alarm Water Line Insulation -Mech. Underflr. Insul. -SFiear W �_.. rn Gyp. Bd. Elect. .—/ D:te Requested: Z ( Z Z_ ( r7 Time4:_L<_"AM PM Address: � Builder. YI,7 -7(� Permit #: J`�` D y� 3 THE FOLLOWING CORRECTIONS ARE REQUIRED: s � s � Y I _ 1 Inspector:_ ��---� Date: _APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE �� _Call For Reinsp. CITY OF TIGARD BUILD'NG INSPECTION NOTICE Inspection Line (Rec-O-Phone): 635 4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. TopO Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. I Underflr. Insu!. Shear Wall / Gyp. Bd. -EI 1 Date Requested: =�- / I % Time: AM I i Address: �_��� % u�.__� ? _��a LZ Builder: qq/ Permit #: C) 3 /y THE FOLLOWING CORRECTIONS ARE REQUIRED: i I Inspector:-//C /� Date: ,KAPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: C19-4171 Inspection: Foot;ng Susp. Ceiling Sprink. Rough-ir Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace {' Post/Beam StrUCt. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Ibg. Unde— rf�loor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. z, - Undertlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Z GLIS- Time: AM —X-PM Address: —3 Builder: t0 ''�77"�' � Permit #: THE FO LbWING CbQJIIONS ARE REQUIRED: t i iG 7 i Ins ctor: Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE { _Call For Reinsp. �d k•. D! CITY r,:TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 � 1 Inspection: 44,1 Footing Susp. Ceiling Sprink. Rough-in App Sdwlk Foundation Plbg. Underslab Mech Rough-in Fireplace ost/Be^ am�Str�uat. Plbg. Top Out Elec. Rough-in FINAL: sI/Beam Mec . San. Sewer Gas Line -Bldg. ■ Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �_C� � Time: AM PM Address:f 3 ���� Al– p 1 Buildcr: 77_ Permit #:1 THE FOLL%WING CORRECTIONS ARE REQUIRED: I — 1 • I' Inspector. Date: 4 z 0_ Z'�` —APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE IxCall For Reinsp. 't y ,:':w I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I Inspection: 1 Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk t Foundation Plbg. Underslab Mach. Rough-in Fireplace q PosUBeam Struct. Plbg. Top Oai Elec. Rough-in FINAL: i j Post/Beam Mach. San. Sewer Gas Line -Bldg, I Plbg. Underfloor `fi i _ r_eTn Framing -Plumb. Alarm Water Line Insulation -Mach. ■ Underflr. Insul. Shear/Wall Gyp. Bd. Elect. I Data Requested: ( <r Time: AM PM i Address; Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: I I L _ Y 1 .. 1 I ,�•� G/� Inspector: / Kms' Date: _APPROVED _DISAPPROVED _APPROVED SUBJECT'TO ABOVE_LQ4 all For Fleinsp. 44 i °r , • f q n ��� "qN sP s 0 101 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_,_. h Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Footing � Foundation Plbg. Underslab Mech. Rough in Fireplace Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL: k Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underlloor Rain Drain Framing -Plumb. Insulation -Mech. e Alarm Water Line } Undedir. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested._1 z. l r ` Time-.____M /_'_PM i Address: _ C Builder: � fir' .� � Permit q: i THE FOLLOWING CORR�Cll NS ARE REQUIRED: ..-�-•--- tet, AZZ ��/'/�t�ieJ.✓ I • ti i �O���T� �i�/�S /� L�N M'c i L7 A /� ! L i J.�STl�6 �.:;. Date: Inspector._1,- / APPROVED DISAPPROVED L-7Xrr nOVED SUBJECT TO ABOVE _ — Cal! For Reinsp. x IRL y� I. .. wo �.- aF r-•7 �1r"f;��,',F'-=i�T. ' �.�'.F� �' .�'t.;t7 ��'t, �. , t �'kMf�r�gql .f 04j M CITY OF TIGARD PLUMBING FERMI"f ^OMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . » MST F94-046 13126 BW Hall Blvd.Tigard,Oregon 07223.0109 (603)630-4171 DATE ISSUED: 01/04/95 PARGEL: 2S 104CD'•0130@ I SITE ADDRESS. . . : 13755 SW HILLSHIRE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :01,3 CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 1-YPE OF USE :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . » 1 UL;CUF'ANC;Y GRP'. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :0 S1"DRIES. . . . . . . . . WATER HEATERS. . . . . . : 1 CF�T'CH BASIN . . . . . . . :0 FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LF;VATORIES. . . . . :5 OTHER FIXTURE:S. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :i WA'T'ER CLOSETS. . .-3 WATER LINE U I SHWASHER5. . . . : 1 RAIN DRAIN (ft ) . . . . :ui t, Remarks : 1 OWNER a NORTHWEST DREAM HOME=S TIF $ 1350. 00 KS 01/04/95 - 13906 SW TAYLOR CREST L.N SWM $ 180. 00 KS 01/04/95 - SWM $ 100. 00 KS 01/04/95 - LAKE OSWEGO OR 970,.'x3 BE RT 117B. 00 KS 01/04/95 •• j Phone #1 636-6438 BF'LC $ "105. 70 JF 12/13/94 94-259590 B5r-,C $ 38. 90 KS 01/04/95 - Plumbing Contr actor: __._.._--_._.._-..___._._.._-.. PARK t x00. 00 KS 01/04/95 - MF'RT $ 45. 00 KS 01/04/95 Name:- WOLCOTT PLUMBING CONTRACTORS, INC. MF'LC $ 11. 25 K5 01/04/95 - r Address: _ _ M5PC $ 2. 25 KS 01/04/95 - C i v y:_ _ �— M�_ State »�_..__ _.._.. 3B T'I-i $ 225. 00 KS 01/04/95 - Z P5PC $ 11. 25 KS 01/04/95 - �. . Reg #:_ AdditioTlal fees not shown here. . . , . . . . . i --- REQUIRED INSPECTIONS - ____...... This permit is issued subject to the req-- ulations contained in the Tigard Municipal Foot/fOUnd Insp Rain drain Insp Lode, State of Ore. Specialty Codes and all r'nst/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Ream Mechan App►^/Sdwlk Insp in accordance with approved plans. This F'lm/undslab Insp Mechanical Final permit will expire if work is not started PILM/Underfloor^ Plumb Final within 180 days of issuance, or if work is Mechanical insp Building Final -,uspended 'or more than 180 days. Plumb Top Out Erosion Control e Framing Insp Wtr r'roofing Aero Fireplace Insp Crawl Drain ir (gas Line Insp Ftg Drain Bsm' t Insulation Insp x _. _�� � �._ _— —__ -- Gyp Board Insp Authorized Plumbing Contractor Signature Gail for-, inspection 639-4175 Contractor Nutes : r .. P 1, 4 n �M1 f� v 1 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PEFfMTT 13125 SW Hall Blvd.Tigard,Oregon 87223.5100 (503)030.4171 PERMIT #. . . . . . . : MST94--04x:+3 639-4171 DATE ISSUED: 01/04/95 PARCEL: 25 104CD-01.300 t SITE ADDRE!.'3. . . : 13755 SW HILLSHIRE DR SUBDIVISION. . . . : HILLSHIRE ESTA"fES ZONING: R-7 PD + BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :013 BUIL.DING RE I SSUE: DWELLING UN I T£3. 1 BASEMENT. . . . . . . . .0 5f 11 L:LAS'3 OF WURK. :NEW BEDRMS:3 BATHS::3 GARAGE. . . . . . . . . . :746 sf ` TYPE OF USL. . . :SF FLOOR AREAS- _____.___...._ REQUIRED SETBACKS--,--_.--..-_- T'YFPE OF' C'ONST. :5N FIR;:T. . . . : 1616 sf LEFT. . :5 ft RIGHT. :5 ft OC:CUPANC:Y GRP. :R3 SECOND. . . : 1670 s f FRONT. :20 ft REAR. . ::s9 ft e STOR IES. . . . . . . :2 FINBSMENT:O sf REQUIRED- -- - -__.____ +� HE If,Hl". . . . . . . . 30 ft TOTAL _ -- .•_-:3486 s f SMOKE DETECI ORS. :Y FLOUR L.OAD. . . . ; 4 V psf VALUE. . . . . $: 237542 PARKING SPACES. . : 1 Remarks: PATH I F'LUMBING tiINKS. . . . . . . . . . : 1. FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LHVATORIF_"S. . . . . :45 WATER HEATERS. . . : 1 TRAPS. . 0 TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . :0 CATCH BAS INS. . . . . . . :0 Wk i ER CLOSETS. . .-3 SEWER LINE (ft ) . s 0 GREASE TRAPS. . . . . . . :0 DISHWAS3HERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..i21 OARLOUL UISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL. -- - ---- - _..__._.._._____._____.______.____._ FEE_. F"Ulcl_ 1-YPrS - UNI'T HTRS. . :0 type amutint Ley date r•ec:rt VENTS . . . . . :0 TIF $ 1550. 00 KS 01/04/95 - 9, MAX 1NP1U1-:1,A BTU VENT FANS. . :4 SWM $ 180. 00 KS 01 /04/95 - �' h-UHN ( 10011, . . :O HOODS. . . . . . : 1 SWM $ 100. 00 KS 01/04/95 - F URN > =11,710K . . 1 1 WOODSTOVE5. :0 BPRT $ 778. 00 KS 01 /04/95 I-LUUH FURN. . . . :0 CLO DRYERS. : 1 BPLC $ 505. 70 JF 12/13/94 94--259590 � BOIL/CMR ( 3HN:O OTHER UNITS: l B5PC $ 38. 90 KS 01/04/95 -- GAS OUTLETS: 1 PARK $ 500. 00 KS 01/04/95 - Owner: -________.._.__.___-____w_._______._.__-_.._.._._MPRT $ 45. 00 KS 01 /04/93 - NORTHWEST DREAM HOMES MPLC $ 11. 25 KS 01/04/95 - 1:3906 SW TAYLOR CREST LN M5PC $ 2. 25 KS 01/04/95 5 3BTH $ 225. 00 KS 01/04/95 - LAKE 05WE_GO OR 97035 P5PC $ 11. 25 KS 01/04/95 Prione #: 636-6438 EROS $ 88. 00 KS 01/04/95 - Contractor: --_.___.._______._.______.-•----._____-ERF'C $ 28. 60 KS 01/1.14/95 - I NORTHWEST DREAM HOMES ERPC $ 28. 60 KS 01/04/95 - r 13906 TAYLORS CREST l..N i I-HKL OSWEGU OR 970:-,•!j 636--G438 BUS 869,19 $ 4092. 55 TOTAL , This prreit is 1ssuPd subject to the regulations contained in the --------- REQUIRED fNSPECTIONS - - - Tigard Municipal Code, State of Ore. `.,pecialty Codes and all other Foot/fOlind Insp F' •-eplace Insp applicable laws. All work wi 1 l be done in accordance with approved Post/Beam fSt ruct Gas Line Insp plans. This pereit wili expire if work is not started within 180 Post/Beam Mechan InSUlat ion Insp i:. I days of issuance, or if work is Suspended for a an 180 days, Plm/tindslab Insp Gyp Board Insp I PLM/Underfloor Rein drain Insp ; /,( �/� Ie -� rmittec'e �iynatur�•ery-�/!�' .._ Mechanical Insp Water Line Insp r� Plumb Top OQt Appr/Sdwlk Insp i riSt.leCl By : Framinq l:nsp Mer_hani.cal Final P. r. r cn P i 1 C- �, ., . inn r i I CITY OF T SCOER CONNECT I mi i COMMUNITY DEVELOPMENT DEPARTMENT Pi=RMI,r ? y`� 13126 SW Hall Blvd.Tigard,Oregon 07223.6100 k603)630.4171 PERMIT #. . . . . . . : SWR94-X416 f ;3'? 14 I.;' DATE ISSUED: 01/014/95 ►'ARCS- -: 26104CD--013,00 SITE ADDRESS. . . : 13755 SW H I LI__SH I RE DR SUNUIVISION. . . . : HJLLSH1RE: ESTATES ZONING: R--7 P1) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :013 TENANT NAME:. . . . . : �` . FIXTURE' UNITS. USA NO. . . . . . . . . . . . CL.A-)G OF- WORK. . . :NEW DWELLING UN J 1 1 TYPE: Of USE. . . . . :SF' NO. OF BUILDINGS' 1 I INSTALL TYPE-. . . . :BUSWR ; MPERV SURI-ACE. . f v fiemarks: PATH I Owner: f---EEcj NORTHWEST DREAM HOME13 type Amov.rnt by date r•ec:pt 1.3906 SW 'TAYLOR CREcj,r LN PRMT $ 2'200. 0q, KS 01/04/95 INSP $ 37j. 00 KS V1/i.4/95 - LAKE OSWE GO OR 970135 Ptrone #: E36--64.38 i lu'ontr^actor: .-•_________.___.___._..__...._..._.._._...___.__.___- LONTRACTOR NOT ON 1'=IL1z Pl-ione It. $ i.`',. 00 TOTAL Heq It. . . ---_-_... RE[OUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulation: �.:iewei- I nn pect: i on '+ of t. it Unified Sewage Agency. The permit expires 180 days from the date issued. The Ictal amount paid will be forfeited if the W_ permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospects feet in all directions from the distance given, if not so located, the installer shall purchase a "Tap and Side Se"er" permit and the Agency wi 1,► stall a lateral. s e r,in i t t e e S i q n t i_; •t, I _ gyred Cly • Ca11 for, inspection - 639-4175 1 S —��o � qz ..... _.. _, ...,.,........... .. .....•....,,. ....... ...:,.. _ ... ....w..,.......:...,...«. ::,....-.•._ ... ..:.nom,:<IPh,n.:.:...m.xel:Lti!kWl)�' d� Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Addre711 : �� PA- Subdivision: f � 7 Lot # /Y Office Use Only Valuatlon:,. 3 I S 4 2 r Corner Lot? Y N Permit# Ls�� 4.45 41 Flag Lot? Y N Reissue of Map & TL # Owner: 1 Approvals ReciLdred Address: G Planning . Engineering OL - Phone: Other i Contractor: Items Requlrpd Address: Subcontractors Truss Details Phone: Other Contractor's License # (attach copy of cur-ent Oregon license) , t Contact Name & Phone: Subcontractors: Architect/Engineer: l- Plumbing: /l�l Address: Mechanical: 17 (attach copy of current OR Contractor's License) Phone: r JOB DESCRIPTION: rcent nature & Phone number ve d dby: L Date Received: N,lWORMC�MDEVIREPAPP `�M•-'WYNh't4f3.+.`•r, rj ,.. .•'"� YWY�sY ��M _ fI•Y1•-YtlYXllwJy.AM.gln►/:•yry/a.Ai.MYYO.'Wn.+o[NNa A::r..,v,.,.-`^•q+Al�.1�,. Permit# Account Description Amount Amt. Pd. Bal. Due - /h5 /✓ O 6,2 Bldg. Pemiit 17 Plumb. Permit (PLUMB) Z - 2-2 S Mech. Permit (MECH) `� y i• `'^ { State Tax (TAX) _ S 2•ye �✓ Z yo % f Bldg: 3,'3 , /��� ✓ Plumb: Mech: �� Z Plan Check (PLANCK) --- X16• y> ✓� _5�- �o�. �j�,,/ s Bldg: ,7t.) Plumb: Mech: w� �`1��• Sewer Connection (SWUSA)- 32 .2 2 v u Sewer Infpection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) '30 r Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPL.AN) _,�'�. G G ✓- '' Erosion Planck/COT (EROSN) �, C 0G o ✓ TOTALS- �'3 Z3 � Solar Balance Point Standard Box A. North-South dimension for your lot Box B. Shade point height from your structure 1C' feet 0 feet i Box C. Distance to the shade reduction line Feet i i Distance to shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot line in feet 70 0 40 40 41 42 43 44 65 8 38 38 39 40 41 42 43 _---.-_60 16 36 36- 37 38 39 -40 41 42- 55 4 34 34 35 36 37 38 39 40 41 50 232 32 33 34 35 36 37 38 39 40 41 42 45 10 30 30 31 32 33 34 35 36 37 38 39 40 40 E4 28 28 29 30 31 32 33 34 35 36 37 38 35 A626 26 27 28 29 30 31 32 33 34 35 36 30 4 24 24 25 26 27 28 29 30 31 32 33 34 25 A2 22 22 23 24 25 26 27 28 29 30 31 32 20 0 20 20 21 22 23 24 25 26 27 28 29 30 15 8 18 18 19 20 21 22 23 24 25 26 27 26 ' 10 6 16 16 17 18 19 20 21 22 23 24 25 26 5 4 14 14 15 16 17 18 19 20 21 22 23 7.4 1 Box •D" Maximtun allowed shade point height feet 1 loolnlriola\sclarbsl I - 1.4 j I is • ' A PLAN CHCS FEES LIST , PIAN C MWX a-/ PERMIT # �V SKI V 0 q 63 DATE /Z Jo®ADDRSss /3 7s5 5G /lt I154t,- TAX/MAP/LoT MMDMSION NI��S��v� sfu�. # 13 LAPD USE VALIW+i�1TiO�T S ,O REAR 3 `l LEFTS RIcsT ..5_ 11UitR CIA.SS_,jli"cc' SBICA T TOTAL ARBA c>y Sj MM TYPE .S FLOOR LOAD CO!!ST TYPE S HHAT TYPE 2ND__Z occup aw3up HELL/UNITS 3RD OACaTP/LOAD # BED R004SBASE24MT i # STORIES 2_ # BATHS - ` GARAGE -7 PSR@QT # DESCRIPTION AHOENT ANOWT PD BAL DUB 0 BUILD PERMIT FEES 7J' r PLOWo PERMIT FEES MCH PERMIT FEES STATE BUIlD. TAX(St) S Z.</v 5 2• /v BUILDIM 36 i PLumm i• Z MBfHIANICAL PLAN CSC FEES BUIwING _5 c PI.OMIPG MBCHINICAL o�ll N z �' •.3ENER OOINNBCTI(Hd ,�J y�� "2;t.c u SEVER, INSPECTION 3 , 3,` STREET SYSTEM Dt'V STORM DRAINAGE SYS b=u S d PARKS SYSTEM DSV 5 .5 c o EROSION PERMIT ,� 3'" ky ERASION PIAN USA G _ _ rr4�u ERSOIOlI PLAN OOT -(,a TOTAL 3 R - • aae wwr nM�r... y t r ' P-A V`11 N...... A: PRC:::P(- R C) BY: T »C:� . KRAUSE (1R,,_,-1I TE7C;•1_ (;t.-A('"";K:(1M(1'.'; , OREGON 9701':'5) L:;1. 1 t int NLJ CREAM HOMES-- 9421 PrC1,it:=:r.:1: . I. OT 3.3 HIl_..I...C;I.11:RE" E:'."I " ';; AG ✓� `�� � 2-... 99 A. r,t)mmr:r►1; . LJ.'.r'" ., .. .:_..> X 3c:, ,,..I 3a1...1s .:.�•F S� 1. r , BF."(1M oNC) 1,.(')(11) O00#It itit###itit #Wl1�I J r 1 P,.:> IAF i�t,t tt.�T'1 I'�1. i:� ,C:,:�f.) .Cl LI., ; 1�r i'-ic i r:IT•1 r?,' '(.) "0 »0 t r:n.1,' , ru; h r1r1'I No po i rrl: V No I i .,r 111 I av- 1owls. 1JTI i ! rJr m Ln:::itr(1 L1r. L1'1111'.= 1 .O!'.t) 1I')K;i 1 1' ( 1 /i'140 lbs total ? ., I� ,rc)rm It.,i�� i:; ., 131:.,rn ,c .,l�•iTlrl 1 ;' . C) :Lr�[ hi: .. dumd lt:)rit:l ,)' 1./r.:'4() . 131: AM �> COMM-11-1 I i ! ::;'C f?(t IN C')r''i I GN Vol... . PPOI'l C I 1 F";; C71::JU I RFD ()f;l UAl 6 c-i70 t) i"V 1.65 t.) t)1 t`:ii. (. riCl .. I T1. 9 )`91y Mr..)mnn1 ( 11 Ii . 1 : ,84.7 .5 1=13 2 ,40 • 0 "ir: ! .t1Ido.1.1.;s'; 1.89 .'C),' 1:)C?f 1.t:: t :I,rIn i iri ? C),F3.":i I 3 .E30 :6 Mc)m . :rrlt::rl: i.t� r Ac:'t t i a I 11 + i ml:rn I �I 1 CMC,—. 1 l'1t .. 0.t�fi3 i Mca x 1 mum I iI.I I 1 a:I i ran OCCUT' •int; f3 .5 i MPA XiMUM Hwn :rii r-)CC:(irb- cit-, £t .!i fca:•I. » R, Fl l':a m s] z r, l L.l I'I >: !6'".� ... � '' s 1, w. ..,.r �! `:7• ., ,��:T ,.."'�:f,;F e n 131=:(1M 11121.:"11 'fl' I1.1.1NIH1.1, I 01:, 1fQ y x 'f +r 's a I Y Y1 AN L_...Y!S; Z 'S-- PRF PARE:I:) BY: .7.E . KRAUSE ARCHITECT �`'.4,>� ICA � C:LAC:KAMAS , OREGON 9701r.-) V C,1 i r•nt : NW DREAM 1- )MES- 9421.6 C`;� �•�^ � $ Project : L.OT 1:3 F-III....I_SI.IIRE:: E:`�WO'�E � `;� I.._ac:;at i cm: GARAGES SEFH ESS? PSE ••'� � Drat;e: 12-06-1.994 � C c. 5 . 12F) ,c " r. „ C:c�mmf�nt ° lJ.:,L--- X ., t:1R f, .7..� X 1.E'3 (a1-43 Jil: r C XAS,QRE3UN. � Q BE::AM ANC) P1 9 P.2 j 7 R1. R2 Rc!acl ion R1 - ].;2,:3F:3;=3 .t) lhs— Reactl.c,n F22 -. F4 ,:=3ec,2 ,t) Total 1 aar..l 20 ,745 .0 lbs . Dimens icanf3: C.lc-!�ar span r 1 .0 ff.f:4. , no aver hang . Point lc-�rac:}f3: Pa_ .... 3,700 .0 11 ,f;.+.. ..... ,,i41........try .0♦^feF•,1..+...�.�.,._�._._.............._____..' 1 ,210.0 lbs. at f:, .0 f(.:a c..,t: . 1. 210 .0 1.1.,f4 . at 18.0 feet Nc-c triangular l.,rcarlf� . Uni fc:crm f:)eam wr:ir.3ht:: 605 .lbs/l f ( =:- 12705 'lt)sr3 . total. ). Uniform luads: IJ1 -•- :320 .0 11a8/.I;f rit 0.0 fe(.At tc7 6 .0 fc-scat . Beam spac i rml = 12.0 J.rtc-,hr.-:s. Deflect ion 1 imit ( 1. ivy load 3)lufs r..eacl .I (.)rant ): 1/240 . E3FAM TYPP.: L.AM : 24 F GL.l.JI_AM COMPUTED STRESS/51"RA I N DESIGN VF1L. . E)EZC3PE::R'1'1:F-"s; REQU I RE:D ACTUAL Shear ar ( 1`iso ) 1.2,3FKS C.a�^ FV1 6.5 .0�Ar caa Sq. Tri.n» Moment ( ft -lbs ) 4S,894 .3 F B 2 ,400 .(.) >e3ct .Mc�ciu 1 uf� r�;3N ;31;� DFS f l ec..;t i.on ( i.n ) 1 .0`; F 1. .SOFY, Mom. I ner t i a 1. ,9703 ' ,609 AC.t t.la l Mri x i.mum Dra f l rac_:t i ara . 0.79 i rnchef-i. Max i mum D u f l r r;t ion c) Ir F4 at 10 .0 fef,t- . Max J mtam Moment ace;tarr, rat 9 .0 feast „ >i zFc Eric:tr:cr -= 0 .964 FJeram size ( I,J x 11 ): ,�":. :;. 15 t:] �. t...� .�, .. , .» e,-".7 �. BEAM AREA: 11. .57 DF _F L PM 1 PJ 1 HU FACTOR '1 r, try r ;nr n, :M ,W t w ki ;w,.. l r 1'yi. (:X I Y [1F•' 1 )L,c=Wl) H :I a: IV'I I If Wfi v Wlf N I fel I I. 1 P 1 1"41 ,111 I,K f4M1,li..1141 NANO A NOR 11t6JF,11 f DRI.All f4ifAI11L-.'ti 1.11'if1 Ftl','11 IN I kl.. lilt +I113i / 1 ti411i'it, 11•IYl l!Fd;i (;fila;I 1 N. I'ff r lyll I'•I f I,W I 1-. lN1KG: I1'riWEa�lJy IIt± ,,f 11+I�! +) I ,, t111''.1 I III Id1 f-I11101INI l!WO I1I11;1111 IIF I 'tI I I'll IJ 1 I II a if 1111 1 '11' I' ti. Wo 1'I t!Plki.)111 I'i 1+1.1 kWt I .: ill 1 , 1f . F.N 4;-1. 01/1 I titJII I) I I° 'gilt t,f (11 k 1r-if 1 vtitN. 100 I I i ll 4 11 1 ''I i"). 00 !-I,I,I: , ',iri. ':I014" 00 � 1Nff1 1 1t: VI I' `, ' .30. vio P1111,`. I1hil"Po1 1 I if f t'1 It1,• WIO I Y 1 111 11 .1 1 't' 1 h•k: 180., 1AW 11. 11 GO)I IN I I. I Y I-N1,;1.( 1. I r 11 .I 1.111!/!, Intal 1 1 IN I RI 11 f f• km J It I I' (138. 00 f•.1.11.1H 11114 l 1 IN I Pt 11 1-1 f IN 1.1, 'ti. 60 AJN 1 HI 11_ PFS. 60) i. !rl t AL AMI It 1N I' PO l 11 _ _.> 6077. `i`.i 1 iI I i1f t i I.I` 111'1111 ll'l I , . '.:)t`1, 'ilVI 7 ^-II11' 1If611 '•,I Ohl'.(wl IIf11+11 ' . ',f! i !lilaittt•I1 I,i, 141 � I'I1tl'fl I'li lII+ I1. 1 I .,. �-1 l'fIr'"ll 1'11 IIolIfitI 1 ! ! I,I, 111 t. )' IIF , hll I I .I.IIIfIti '. :, 1111 , I� ` t• 1 s I r• kv>t'F wti uuWaI,tsp o-. .. , .. ., •.. ... ..... ''.., '• ,,.,,InA^.vT.iS'iio ¢J1UJSaid!Id'A"1'!wM.rF16.'1MMMss'I•�/:MMMFtMrM...�:.. ' I Residential Building Permit Application City of Tigard, / 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: S S S�✓ fr'1 j�Sh i t n✓ F �'j OitiCs use On . t Subdivision: Lot#—� Valuation: Owner: ,' /J r ' R t$ of Address: > vatsiulLed< Pia icing Phone: ~�� Contractor: r Address: Iter,i Required dub ntractors Phone: russ Details Contractor's Licei ise # 7 atta r oo Current on license ( PY 9 ) r Subcontractors: / Plumbing: �i It Mechanical: X//�Vpi (e y of current OR Contractor's Li nse) Architect/Engineer: �r, e Address: J. Ir Phone: COMMENTS: AgAlca, gnature & Phone number Received by: Date Received: i J X74 .... .. .. .a.,;..,. ....+.rxs•;,,. ...gKnfw...r.rW r.... ....,n�reu. _ "'a.i l61'd";., . � Permit # Account Description Amount Amt. Pd. Bal. Due, Bldg. Permit (BUILD) +60:3 bo.3 Fwmb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg. j. Plumb: �" >> _ 4 Mech: —21-If I i"" a / Plan Check (PLANCK) Bldg: Plumb: Mech: i 0 Sewer Connection (SWUSA) `:22 Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) ' / cd Storm Drainage Chg (SDSDC) >' Residential TIF (TIF-R) /yr u y 70 Mass Transit TIF (TIF-MT) lJ U Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ I Institutional TIF (TIF-IS) i Off Ice TIF (TIF-O) — Water Quality (WOUAL) A 0 . ZJ Water Quantity (WOUANT) ) C1?J Fire District (FIRE) �- TOTALS: 5 7Y5 : �', r it. ',..:✓.. ,r , A},,. . fir." i� �� F } :.y. h,�. V' '['a� L�• q `ham f 1� r � rti r v.,rv,+dv ,r } Ct Ij r CITY OF T 10141 D — RECE.I P7 OF E-,w .N I RECEIPT NU. a 94—c:47908 f CHECK AMOUNT I7"o NAME I NORTHWEST DREAM HOMES CASH AMCIUN r' I 0. 00 ADDRESS I RAYMEN"I o(4IE 01/c'.0/94 y'•. SURDIVlb1.ON I PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEN r AMOUN V PAI D FLAN CHECK FE 250. 00 r r r I .r y: r � Ln-r 1.3 HIL.L.SHrW,. 10 f'AL AMCIUN 1 I!N 1 U