12657 SW MORNING HILL DRIVE �.i,. W, p� �1 +wewF.�yPN},nnN.••rw�.'row »-�. w •.v
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sq Ball Bled. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Lel h. Rough-ins Appr/Sdalk .
Founa. Plbq. Top Out Od -LTi / FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. C'
o.`
Post/Beam tach. .in Drain Insulation -Plumb.
Plbci. Underfloor Nater Line Gyp. Bd. -Koch.
111 Date Requested:h /% r/L �lz TLaws ��_AK -PH
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Addresse 2 2• 1 `/
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Builders
THE FOLLOWING CORRECTIONS ARE UIRED: KK'
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Insr•.,ctor. Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
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CITY OF TIGARD IhEPERMI T
F=�FRIhIT
COMMUNITY DEVELOPMENT DEPARTMENT PERInIT #. . . . . . . : MEC94---0070
13125 SN/Hall Blvd.'ripud,Oregon D7223•81vit,-�"`51814171 DP FE ISSUED: 03/10/94
PARCEL! c'S 1O4AC-O7 'O�ZI {
SITE ADDRESS. : 1657 SW MORNINGF�IILI_ DR
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SUBT11 V I S I ON. . . . : MORNING HILL NO 9 ZONING: R--GS i
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 15
CLASS OF WORK. . :14E:W FLOUR FURN. . . . : EVAP COOLERS:
I YPE OF USE.. . . . :SF UNI•i HEATERS. . VENT FANS. . . :
OCCUPANCY (3RP. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
STORJES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL 'TYF-ES - -___._.._._.____- _ 0 HP. 1 DOMES. INCIN:
/ELE/ 3-15 HP. . . . : COMML. INCIN: � '`
MAX INPUT- BTU 15-30 HF'. . . . : REc'A I R UIV I TS: ,.
FIRE DAMP' ?. . : 30-50 HP. . . . : WOODST OVE 5. . :
GAS 1JRESSURE. . . 50+ HP. . . . : CLO DRYERS— : �
�F
NO. OF UNITS- ---_---- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: t•- 1O000 cfm : GAS OUTLETS. :
TURN )=100K BTU: > 10000 cfm :
IX
!; A�
Remarks : PATH I ��°
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—. _______.----.—__----_- __�__.____.___.__
Owner: _____,__..___._._____ ._._____._____..____—_ FEES -- �Z�i;y
.JAY MILLER type amount by date. recpt
PRMT 25. O0 MAN 03/10/94
SPf;T $ 1. 25 MAB 0:;/ 10/94
Phone #:
Contrar_tor.
SPECIA1_1Y HEAL ING/FABRIC911TION
9528 SW TIGARD ST
TIGARD OR 97223
Phone #. 620-5643 $ 26. 25 TOTAL
Reg #. . : 66578
------- REQUIRED 1 NSPECT I ONS ---------
This pervit is issued subject to the reguiations curtained in the Filial Inspection
Tigard Municipal Code, State of Ore. Sperialty Codas and all other
applicable laws. fill work will be done in accordance with �___---_ —
approved plans. This pereit will expire if work is not started -
1 within 180 days o. issuance, at if work is suspended for more
than 190 days.
641,
Per^m i t t e e lE i g n a t l_1 r.ca :
Issued N y
Call fare inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 S_W Hall Blvd. APPL!CATION Permit # Pl:
PC Box 23397
Tigard, OR 97223
(503) 639-41_71
Description
�sr�In� l.'tlt
Table 3A Me:;ranlcal Code
OTY PRICE AMT
Job I24'S Sv7 MOY",r"h 66/ Dr'. — a'
1) Permit hea
Address C.Ps.r. A• -o• W_c>V �
?1 g~rd c-y- % 2 z 1 2) Supplemental Permit
3.00
'UfnACe 10 1
o A N TEf' 1) Incl.ducts a vents
6.00
urn ace 100,000 + —
Owner ��5� fw,��fo,' .41jr/ yr 2) incl.ducts 6 vents 7,x,1
"0Floor Furnance,
cs r 9 -7.L 3) incl. vont 6.00
'uspen a eator,w eater
t�/12`n 1
—1 4) or floor mounted heater 6.00
Occl itiant
° �. "" Vent not incl.to
5) appliance permit 3.00
Hap air o-7 ioT at,ny,re r q.
6) cooling,ahsorption unit 6.00
Boiler or comp, seat pump,air concT
7) to 3 Ht'aosorp Unit to 100K BTU coo
oiler or coir^
`,-heat pump,air con .
Contractor f' T�%a�J� 8) 3-15 HP absorb unit to 500K BTU 11.00
Boiler or comp,heat pump,air coed.
9) 1530 HP obsorp unit.5.1 mi.BTU 15.00
—�"�" '"` i er pump,
serey
or comp, eat mp,air Gond.
1�S 10) 30.5(1 IIP nbsorp unit 1-1.75 roll BTU 22.50
ec ow go dial levo n3a us ap icaUon,t rat re --MIN-W-01 comp,heat pump,air con .
information given Is correct,that I am th(,owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans subm'Ited are in compliance with State —��handle'no unit to --
laws,Vial I am registered with the Constnrction Contractor's Board, 12) f0,f>�0 CFM
that the number glvon Is correct (If exempt from State registration, - 4.50
ploaso glvtr reason below.) it 00 i-7c iT unit I
_ 13t 10,000 CTM , 7.50
fon por4� o
_ 14) evnprimin cootpr 4.50
nl
ean cot -sect - m.
15) to a single duct 3.00
l
�enlilaaon byslorn not- t 16) Included In appliance permit 4.50
•` o serve. y '—
17) mechanical exhaust q r50
)eson ver. new ar Ilion a—lQrrOZT repair Comf 76-77r to ustria
to be dont residential 0 non-residential C)
18) typo Inc norator
Ex s"T'hnp use or— --• 30.00
building or property Other rn.,woodstove,water -"- —
19) hooter,solar,clothos dryers,eta 4 50
Proposed use of 20) Gas piping ono to lour outlets
building or property 2.00
Typo of fuel-oil O natural gas O LPG Q electric 21) Morp Ilion 4-per outlet
,OEM—
PERMITS 13ECOME VOID IF WORK OR CONSTRUCTION Minimum fee$25.00 _ SUBTOTAL
OUTII0RI7C0 IS NOT COMMENCED WITHIN 180 DAYS,OR
IF CONSTRUCTION OR WORK IS SUSPENDED OR 5%SURCHARGE
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
AFTER WORK IS COMMENCED. PLAN REVIEW 25'Y.OF SUBTOTAL.
Spatial Conditions TOTAL 1
Data Issued by
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ti it `PI+C;IALTY MK.A'1' C o CASH U)MO1.IN r Vt, 00
P"Y O ::N T 11 O T F t 013/ 10/44
1
OF PAYMENT OM()1.IN f PA t.I) 11114PI WA. ttl f q1'oll.hll PA C11
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CITY OF TIGARD C.ERTIF'IGATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503kOP$4171
PERMIT *. , MST9 -yJ3?5
�u9 4171 DPTE I WEDe 09/07/9:
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r-ARCEL: S104AC--07200
`a I TE ADDRESS. - - 1 1'.6wi I SW MORIV l NC; HILL DR
SUBDIVISION. . . . : MORNING HILL NO 9 'CINING cR--25
BLOCK.. . . . . . . . . . i LOT. . . . . . . . . . . . 1215
(::LwgS OF WOW. :NEW
"YPE OF USE. . . :Sr
OCCUPANCY I RA. :R3
OCCUPANCY DIAD:a24 4
TENANT NAM%. .
Remarks : PATH 1
JAY MIL.LF:17 v
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Phone #c
i JAY MILLER
PO BOX F32191
TIGARD OR 97261
1 Phone il: 684--7543
Reg #. . c 301.09
Oc;cuPancy of the abn,,,e referenced building is her-eby Riven, Ai.d certifies
tho cOmPlimnc:e with the State Of Oregon OPOcialty Codes gar the gr,aup,
occ.,upancy, arid i..(,•e l.trder• which the Permit was iasued.
FIRE DEPARTMENTL
v Jn ';:;SING I F>FwC7Or
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POS1 IN C(]N F,i C;t.►fJlf"3'wl_.ACf_
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INSPECTION NOTICE
city or Tigard Building Uepartaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rem-O-Pho/n�)c 639-4175 Business Phones 639-4171
Inspectl_on:_� 1) 1(nom
Fc4'ting Plb). Underelab Mech. Rough-in Appr/8dw1k
Found. Plbg. Top Out Gas Lino FINALtI
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch..
Date Requested: `r r l Time: AN pN
s. Address: (� 1 (4 �( Permit ft �� U J�-
n ^ Builder:
. �,, t,,:. r - � � •fir
THE FOLLOWING CORRECTIONS ARE RSQUIREDs
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Inspector/s Dates_ _
'APPROVED DISAPPROVED APPRMMD SUBJECT TO ABOVE
M - Call For Re'_nap.
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IN PECTI0 NOTECE
City of Tigard Building Department 4
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)c 639-4175 Business Phone: 639-4171
Inspection:_,- —
looting Plby. Dnderelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing Bidg.
Post/Beam Mach. Rain Drain Ineulation kl_ -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd.
Date Requeste�d�: / _Time: AM PM
Address:_ .0 ����� � 1 4_ rmit 1:
pig s- 'l
Builder: ----
TRE FOTLOWING CORRECTIONS ARE REQ:lIREt.:
1L � �'f aI`✓L ��S�r�t� G
Inspectors —.—..... Datec_
APPROVED DISAPPP"D APPROVED SDRJ'ECT TO ABOVE
Y Call For Rainap.
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NSPECTION NOTICE �l m�"t :} ( R41
City of Tigcrd Building Department
13125 Be Ball Blvd. Tigard, Oregon 97223 /
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171
Inspection:_Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Founj• Plb9. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer framing -Bldg,
Post/Beam Mach, Rain Drain Insulation -Plumb.
Plb9. Underfloor Water Line Gyrp_� -Hoch.
CSR
Dr'.a Reyueated:_ (� -� 'vl 3 n� Time: AM ('Al `y PM
Addresn: ��(QS 1' I1 '?,
_ Permit is (�J`b _ z..j
Bu.tlder s,��_I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: U Dates
L APPROVED _ DISAPPROVED —-�- APPROVED SUBJECT To ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City cf Tigard Building DwPaxtmsut
13125 aw Ball Blvd. Tigard, Jregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 4
Inspections _.` 1JY ` �- —
Footing Plbg. Underelab Mech. Rough-in lippr/-a a1
Found. Plby. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Hater LineGyp. Rd. -Mach.
Data Raposted:_, S -13 Timsf _X_AM PM
Adiresst 12L,, ) (� Iy\ y�I�SW 'br. Permit ff- I �3?_.S
Builder-. V
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors` � Date-
APPROVED _ _ DISAPPROVED _L," APPROVED SURJECT TO ABOVE
Call Por Rainsp..
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11SPECTION NOTA \� )
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City of Tigard Building Depa1--t
13125 811 1lnll Blv+d. Tigard. Oregon 97243
Inopw! i.o��n((Line (ROC-0-Phone): 539-4175 Business Phones 639-4171
Inspect ion:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. plbg. Top Out Gas Line PINALs
Post/Beam Struct. San. Sewer !raring -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nat.jr Line Oyp. 8d. , p^-..Koch.
L.IM _PN
Date Requested --Times Am —"
_ �L� J
y Addrase s i„ 1q l"�DY�1✓� Permit t s�
1 Builderx
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TEDI IOLI.OwI,va ppRRECTION3 ARE REuUIRF.ns
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inspectors ��;,� _ Date:_
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1 V APPROVED DISAPPROVED _—L.-APPROVRD SUBJECT TO AWWR
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Call For Reinsp.
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jji84SCT1AH NOTICE �I/ I�
City of Tigard Bulldinq DePartwoot3
n 9722
1312560 W-1 Blued. Tigard. Or'e o
Inspection Line (Rec-O-Phona)s 639-4175 D'alneas Phoney 639-4171
Inspectioncr_� -1- - --�
Plbg. Underelab Mach. Rough-Ln Appr/Bdwlk
Footing
Lound. Plbq. Top cat Can Line
PINALI
`yr_"; ng -Bldg.
Sevier Poet/Beam etruct. Ban. Seer 1_
Poet/Beam Mach. Rain Drain
insulation -Plumb.
P.Ltg. underfloor Nater Lina
Oyp. Bd. -Moth.
TimelAM
Data Requastedt �
Addr•sa s �--L'�',,,,�"�=•cmlt t I_—�
Builder,_��,�;!1'/l/_.tom ✓ __ ._
THZ lOLLOWIHO CORRECTIOHB TRS REQUIRED:
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InepactorI Datwl—�_-s
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APPROVED DIBAPPROVCD V APPROVED SUBJECT TO ABova
Call For Rainep.
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INSPECTION NOTICE
City OI Tigard Suildiag Deparb—t
13125 BW Sall Blvd. Tigard, Oregon 97223 M
Inapection Li.ne (Rec-o-Phone)s 639-4175 Business Phone: 639-4171
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inspection:_
Footing Plbg. Underalab (Mech. Rough-i)n
Appr/Sdwlk i75t- tyx
Found. Plbg. Top Out Cas Lino -'-`y FIN
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drai... Insulation -Plumb. '
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
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Date Requested: — Times AM PM
Address r� 3J / , GZJ � it 1:�`� Q S
7 Builder:
THE FOLLOWING OORRECTIONS ARE REQUIREDs
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- APPROVRD DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
i City of Tigard Building Department +
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
looting '" __Dnda=sl.ab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Oc', , Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line r Gyp. Bd. -Koch.
Data Reque'st�odlns— >� �1 �� —Times _)_<_AN _ PK
Address ykly Permit le
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Builder:
THE FOLLOWIJNG OORRECTIONS ARE REQUIRED:
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APPROVED DISIPPROVED APPROVED SUBJECT TO ABOVE
—call For Reinmp.
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TNS ECTION NOTICE Viz.
City Of Tigard Building Department 1 "
13125 S ` Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rao-o-Phona)s 639-4175 Business Phones 639-4171
Inspections
looting Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Ta Out
P ass Lina FINALS
Post/Beam Struct. San. Sewer
I , _ Framing -Bldg.
r' °ra lr ,'' et/Beam Mach.
d\° Rain Drain
}f( Insulation -Ply.
U derlloor Nater Line Oyp. Bd.
y -Mach.
Date Requested:,
tAddress
Builder:
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p+ THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspector_`-l�L%�—
Date,
APPROVED _-- DISAPPROVED
APPROVED SUBJECT TO ABOVE
--Call For Rainsp.
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INSPECTION NOTICE {
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspections h
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk ,
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Found. Plbg. Top Out Gas Line FINAL:
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Poet/Beam Struct. San" Sewer. Sewer ) Framing -Bldg.
Poet/Beam Mech. Rain Drain v Insulation -Plumb. s
Plbg. Underfloor Fiater LinGyp. Bd. -Meeh.
Date Requested:
/ ] Time: AN
Address:--h�--�- S �C� '--'1 Permit h
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
Date-
-
^APPROVED �e DISAPPROVED APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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INSPECTION NOTICE
City or Tigard Building Department
hzk + 13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono)e 639-4175 Business Phone: 639-4171
4fh;f� Inspections_ --
rooting / Plbg. Underslab Mach. Rough-in Appr/Sdwlk
(]round. Plbg. Top Out Gas Line FINAL:
Port/Beam Struut. Ban. Bower Framing -Bl.dg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor
// Nates Line Gyp. Bd.
Date R LCA" _// �� r Le.�l {.;]�•...--
equestedf Timof /jJ'xi'>•"y PM
Address:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
Data:
DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Rainsp. i
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INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
/ l
mss, 1 plbg. Dnderelab Mach. Rough-in 1►ppr/Sdwlk
4ound, Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bawer Framing -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -mech.
Date Requesteds_ L / Tis AM
Addres■t^/ /J���lz)! it ts �
Builders-
THE FOLLOWINo CORRECTIONS ARE REQUIPADt
Inspectors_ _� Datet_
,APPROVED DISAPPROVED APPRCMD SUBJECT TO ABOVE
Call For Reinsp.
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COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.TIgud,Oregon 97223.8199 (503)639-4171
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CITY OF TIGARD titr,:ilrt r L 1-Ayc 1
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COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.4199 (603)439-4171 0. ` 1 i: i;iikiULl): err.i uSC
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CITY OF TIGARD .. . .
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SUV Hall Blvd.Tigard,Onpon 97223.6199 (603)030-4171
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ern, the instailer shall prospect a feet in a i dfrect.c'ns °toe
e iiskmp (pvc— if 40 ;iicar:euf s^,c ir.<I-ilex ;hail pwc'hase
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swHoivd PLNCK/RECT #
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT Tpr%%oern9n" PERMIT # rn
(S0')63""' DATE ISSUED
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JOB ADDRESS: (0 5 7 5w Mo m i,,? l t l-i 1 I -Dr TAX MAP/LOT . 10 AC , U 77-y5
SUB: /I10(0i_ aQ it �7 LOT: A 15 LAND USE: I
VALUATION: �t GGA.
OWNER SPECIAL NOTES
NAME: REISSUE OF: �o FSK
ADDRESS: Po 13 d3 AC I LAST REISSUE:
TIS CeyQ U2 �17a.$I FLOW PLAIN/
PHONE: (P�q- 75 q 3 SENSI i!VE LAND: '
CONTRACTOR APPROVALS REWIRED
NAME: �TQy I-n LL P'_ANNING:
ADDRESS: �. — ENGINEERING:
FIRF DEPT:
PHONE: OTHER:
CONTR. BOARD #: _ — EXP DATE:
ITEMS REAL".iRFD
SUBCONTRACTORS: PLUMB: K.L n-1&d.5 LIST/SUBCn r 1 R,,CTQRS _
MECH: 81AI ++f- � _ BUS TAX: _
ARCH E4GINEER CALCULATIONS: _
NAME: ._ TRUSS DETAILS:
ADDRESS: _ A— _ OTHER: _
PHONE:
PROPOSED BLDG. USE: - t
COMMENTS:
APPLICANT SIGNATURE
Received By: ,t _^ — Date Received:
_ ....:J.".�'S1•; '4i;, ..!NzltJka»rFnrea.+.an„maw.M.rn,�w..___.... _.:.....,-._....._.._..._,.`..:..,.......
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
n1 t-J2, 10-432 00 Building Permit Fees ?
10-431 00 Plumbing Permit Fees
/,r s
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax {59: !,/
Building .2/,,�0
Plumbing 7. 2)� /
Mechanical 02•/
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10-433 00 Plans Check Fee
Building
Plumbing
Mechanical /0,ff
10-230 06 Fire
1 4y3-�-2'( 30-202 00 Sewer Connection C/ Y .2
30-444 00 Sewer Inspection
25-448-02 Commerc'al 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 3-/ S o
25-448-05 Mass Transit TIF Fees _/ � //0
52-449 00 Parks System Dev Charge (PDC) 5&uo
31-450 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 Sa
nm/3587P.WPF
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CITY OF T I G,ARD RFC F--.:I F"''T OF' P )YMFNT RECEIPT NO. -93-0-41088
CHECK AMOUNT 50,19. 51. r
VAME h II_LI'.R, JAY CASH AMOUNT s 0. 00
ADDRESS PAYMENT DATE : 06/09/`-9
SUBDIVISION r
'Uf;F'OS1:=
OF PAYMENT AMOUNT PA 11) PURPOSE OF PAYMENT AMOUNT P0ID
BUILDING {'~''ERM 424. 00 PLUMBING GERM 155. 00
MECHAN I CAL. GE 43.. 50 ST. BUILD PER 31. 13
ELAN CHE=CK !'=E 10. 88 f:3EWER USA ;=•100. 0171
;-iEWEP INSPECT 35. 00 PARKS SDC 500. 00
, STORM DRAIN SDC P-80. 00 RESIDENTIAL TRAF=FIC FEES 1,3 0. 00
MF1S:'S TRANSIT TIF FEE ; 110. 00
:-0T 215 MORNING HILL 9
I.�?657 SW MORNING HILL. DR
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roTAL. AMOUNT FSA 11) - — � —) SO;y 9. 51
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C:1 T Y Of` TI GARD REC;E�I )T OF P'AYME'NT RE"C'FI F'T NO. 993--240699
CHECK AMOUNT a 330. 00 i
NOME. MILLER, JAY CASH OMOUNT , 171,
PAYMENT Ml F 051r::8f9�r
St.1(An I1)ISICIN a r`
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PURPOSE OF PAYMENT /)M(.')l1N'1 GAIL) FJ URP OSE. OF P0YMF:N T' ()MOUNT P A I L)
I-1I...taN C:1-Iw.CK�FE .,._..__.... _�,_w...._ 330, 00 .�......,,».........w...__....-...._r....._.....,... ...._.__._�_.�_._..__..,.__, j
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m fil . AMOUNT PA Y U
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