8225 SW MATTHEW PARK STREET ..—+....,.,�.,.rn,+..w�tw:.w:,+n www.:+dwy,..:ws�..,i�.-..w»L..i..u,:�,W.;wru.-.rw+.w�ww..r.�:sa.v:a.;a<y.,ti4.nM�w ud+iwCWwk4+il�,rw�6lMsy�wgMow ..•. .. w-aw:iYrw+il�.s�AeMNCWI.- :, .oM1'tli�iY+c.n4pWrn+aiiNNwiWI,eWG..�iMw;N'
I
w
I
J
i
i
j
;
A
8225 SW M'MHEW PARK. STREET
City of Tigard Hui.ldini1 Departsient
13125 R11 Hal: Bled. Tigard, Organ 972' f-
Inspection Line (Rec-O-Phone;: 639-4175 Business Phone: 639-4171
Inspect I.on s
Tooting P1bg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line s PAL:
Post/Ream Struct. San. Sewer Framing Bldg.
Post/naam Mach. Rain Drain Insulation _Pf lumb,
Plbq. Underfloor Nater Line Gyp. Bd.
Date P ,.vateds '� '� ! �• Ti@e: =Ali
.. �.�..
sold
Address:
Address' i.'�.✓ / /1C / —_ ?'yJ
Builders_
THE FOLLOWING CORRECTIONS ARR REQUIRED: }
00,
Inspector:
APPROVED DISAPPROVLD APPROVED SUBjRCT TO ABOVE
---Call For Reinsp.
Cwn OF TIOARD
�cw(—*Umlw CA. RTIFICATE OV
'T
COMMUNITY DEVELOPMENT DFPARTMZNT oar.ocxa OCCUPANCY
13125 SW HWI BNd. P.O.Box 23397,T*td,OnMW 97223(6W)639-4175 1 I
Go 4 -4 17 1
!LITE. ISSUED-.
ppDRE-7.Ss E,5. . . i 082SW MATTHEW PARK ST PARCEL.s 12DE; I I 20V
31WADIVISION. . . . a MAT THFW PARK
VA-UCC. . . . . . . . . . I l..0T. . . . . . . . . . . . . as
CX ASS Or WORK. #NEW
IYPF OF UBE— if;F
,icci.jPr,,Nc:Y ,R3
(jCCUj:,Aj4Clv t-OADi2,22 4
FENAN T NAME. . . I
ppmtin rksl
Uwriei, i
,JnY MILLER
P0 BOX F-132.91
110ARD OR WaSJ
Phone Ot C,84 -7543
Lont ract ora
JAY MILLER
PO BOX 21291
110ARD OR 97281
Phone O 684 -7543
Reg #— - 30101-)
0c.,cuparicy of the above ref'orenueti bj_jijcit,jq ig; vier-pj-)y given, ant! cpii— ilv;
the complianct with thoe State Of ,jV,ej.j0jj !3pecjmjt,',, Codes For the grout),
OCCIMPATICY, and uso smider wi-ji.cl, the rpforenc•ed pe=rmit uia! ilksklecl.
F I RFDFPnRTMENT
OWLDIN6 014 CI
POST 114 CONFIIPUAJW'i PLOLF
I
INSPECTION NOT-LCE j
City of Tigard Building i)epartsant �' �✓' 1+ 1
13125 SN Ball Blvd- Tigard, Oregou 97223
Inspection Line (Rer--O-Phone: 639-4175 BusineBB Phones 639-4171
Inspections__
Footing Plby. Underslab Mach. Rough-in QJkPpr/Sd-lk-
Found.
Plbg. Top Out Gas Line lIMALs
Poet/Beam Struct. San. Sews. Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
nate Requeeleds 2-`I�S} — Z �! _Times /�Z_AM __PH
r.ddresss -_ -�� 1" \ ^ �(� `��� F, Permit 1s ` 1
Builders _ ) ell
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ T/7� Date:-
-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—rall For Reinep.
INSPECTIO_1�NOTk<-E
City of Tigard Building Dfspartasnt
13125 Sf1 Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspections ------
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINIsPoet/Beam Struct. San. Seger Framing Post/Ream Mach. Rain Drain Ineu)atinn Plbq. Underfloor Water Linne Gyp• Bd.
Date Requested: n/�I _`PM
Address: � Z�
/�J -
W(.� ,�-kAk"O1L)'?0 14 V, Permit Is Y r 2
Builders
THE FOLLOWIN. CORRECTIONS ARE REQUIRED:
e
e.e
(MOGi,�i U
Inspectors ___.—
Rates v
APPROVED DISAPPROVED APPROVED BIIEJECT TO ABOVE
Call For Reinsp.
MLS U9T-IO n( cg
Ctty of Tigard Building Departmnt
13125 SM Hall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639--4175 Buninens P6 639-4171
i
Inen- tion:__�_ -_._.__�_-_._�__--------.
Looting Plbg. Underalab Mech. Rough-in Appr/Sk lk
Found. Plbg. Top Out Gas Line FINAL:
Poet,/Beam Struct. San. Sewer Framing -Bide.
Post/Beim Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line t Gyp. Bd. -Mech.
Date Requested: ���_, l —L Time: i�AM
L._L• 2
Builders �11 �Zc�.�Q.l
THE Fof.LoWING CORRRCTIONS ARE rEQU7RED: �- --v
Inspecto :_ Date s-� C �
�- PROVED _ _ DISAPPROVED APPROVED SUBJRCr TO ABOVE
Call For Reinsp.
INSPE_CfION NO'l'ICE A
City of Tigard Building Depart�aeat ( .i<'
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Rusiness Plic-:e: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINALS
Poet/Seam Struct. San. Sewer F:tming -Bldg.
Post%Beam Mech. Rain Drain neulation -Plumb.
Plbg. Underfloor /Water Line Gyp. Bd. -Meeh.
Date Requested: CJc —�j��y_ rime= /I_^PM
Adrirees;,—_. Sc-= 2_�/ZL���fr1 �tiL?(� r Permit �:. <7� �/. %2
Builder:__
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
inapertor: /A ZO
PPROVED DISAPPROVED
APPROVED SUBJECT To ABOVE
_Call For Reinap.
o +`'
i
INS ECTION NOTICE
City of Tigard Building Depsrtmsnt
13125 SII Hall Blvd. Tigard, Oregon 97*Pe:76#39-4171 Inspection Line (Rec-O-Phone): 639-4175 Busineas
r
Inspection
----- ---
Footing P1_bg. Und slab Mach. Rough-in Appr/Sdwlk
round. 7 Ping. T,)p Out Gaa Line FINAL:
San, Sewer Framing -Bldg.
Rain Drain Inauiation -Plumb.
Ando Water Line Gyp. Bd. -Koch.
D— Roqu a �Timas 11M PM
Dats Raqunatad s�'�,�:.:� 7 �_--
Addraas: G� ""� �� Gill�rLL/` � it �� C7/ 7 ] J
Builders � � w
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ --� uuate:_.�y ,y ���
�APPROVSD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSpL+CfION NOT,ICR L�✓4
City of Tigard Building De•�aartwr.nt
131:25 EM Ball B1ve. Tigurd, Oregon 97223
Inepeetion Line (Ree-O-Phone): 639-4175 Busineen Phone: 639-4171
Inspect ion r
Footing Mg. I1tldoralab Mech.
Rough-in-.- ----- 9 Appr/Sdwlk
Found.
amPlbq, Top out Gas Line FINAL:
Poet/beam Struct. San. Sewer
Framinc. -Bldg.
Post/Beam Me.ch. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line
Gyp. M. -Mech.
Date Requested: �` Z !1 z-
-7 V Time: — AM PM
Address: ^l Z -I lea Y k ,--- — ) —
Permit �• l > � �; /
Builder: --��—�---
THIS FOLLOWING MRRECTION; ARE REQUIRED:
Inspector•_— -
----- Date:`'
APPROVED DISAPPROVSU
APPROVED SUBJECT TO ABOVF
_—_Call For Aeinsp.
INSPECPION NOTICE
City Of Tigard Building Department.
131.25 Bw Ball. Blvd. Tigard, Oregon 97222.5
Inspection Line (Rec-O-Phone)• 639-4175 Busineos Phone. 639-4171
Inspections
Footing Plbg. Under@ ib Mach. Rough-in Appr/Sdwlk f
Found. Plbg. Top out Gas Line
FIKAL t 11
Post/Ream Struct• San. Sewer Framinq -Bldg.
Poet/Ream M--ch. Rain Drain insulation
-Plumb,
P1bq. Underfloor Water Line Gyp. Bd. -Milch.
Date Requested: 1 Times
_ AM PM
Addreess�] Permit /:
Builders
THE FOLLOWING CoRREc.TION6 ARE REQUIRED:
Inspector - -
_._ Date:
N APPROVED DISAPPROVED --- APPROVED SUBJECT TV ABOVE
__Call For Reinap.
1
I pprCTION NOTICE
City of Tigard Sullding Department
13125 SW Hall Blvd. Tigard, Oregon 97223 /r
Inspection Line (Rec-G-Phone): 639-4175 Business Phon 639-4171
Inspection:
Footing Plhg. Underslab� ec�i—Aough-in Appr/Sdwlk
Found. Plhg. Top rit aa'� Lind FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lira Gyp. Bd. -Hoch.
Date Requested:^ f[p l� _ Times �AM _ PH
Address:_ / G G J /Lc'niit�'Ir1:2Z 7
g-i.l d«:r: • SGL.. �� S-1-.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: DAta:IL/ ) G.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—Call For Rei.nap.
LUPE Ci�ON NOTICE
City of Tigard Building Department '
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Lsapection:
Footing Plby. Undereleb Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. iSan. Sewer\� Framing -Bldg.
Post/Beam Hoch. KaaII nn—Mr Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ed. -Hach.
Date Requenteds ' 7.�- Timei _ PH
C c77 -ijf -7
Addreea. 0 � � � 'Lr _Cmit �s // �/
Builder:_�� —�
THE FOLI.OW!NG CORRECTIONS ARE REQUIRPD:
Inspectors / � _,.--_-_-- Date s
APPROVED DISAPPRnVNI APPROVED SUBJECT TO ABOVE
Call Pcr Relnap.
INSPECTIO L OTICE
city of Tigard Building Department
13125 LW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 6.79-4175 Business Phonef 638-4171
Inspection:_ --- —_ -- —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAI.f
P t/Beam etruct.� San. Sewer Framing -3ldg.
��.rc_c=_
int/Beam Mech. Rain Drain Insulation -Plumb.
bg_VnderfIoor. Water Line Gyp. Bd. -Mech.
^ Times AM Ptd
Date Requested:_
Address: ��� r1��� �f/_�� 4wi, +s
Builder. �t1 Lk-� -.�
X �5 C
THE FOLLOWING CORRECTIONS ARE REQUIRED*
A Z lye
Inspectors __, Dates
i
APPROVED DISAPPPOVED APPWWZD SUBJECT TO ABOVE
Call For Pelson.
INSPECTIONNOTICE n 1r'
City of Tigard Building Depart.—it /`
13125 SN Hall Blvd. Tigard, Oregon 9/22,i
inspection Line (Hoc.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Pl.bg. Top Out Gas Line PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Ed. -.Mach.
Dater Requested:
AddrRse: L_/
_ Permit I:�--�--��
Bul I der
THE FOLLrYWINr7 CORRECTIONS ARE REQUIRED:
Inspector:
+ APPROVED DISAPPROVED `
--� — APPROVED SUBJECT TO ABOVE
_Call For Reinep.
Ci-1YOFTIFARD cny no MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 47M PERM I I #. . . . . . . . MS T'9 2 01
13125 SW HWI 6W. P.O.BM rXW.T%mM.Onippon OW(603)&V4176
06cc-' SW MAT FHLW PAHK ST PARCEL: 2S112BC--MF'K1,,�,
9"JIDDIVISTO11A. . . ITIAI'THEW PARK 7 ON I NG
BLOCK. . . . . . . . . . LUT. . . . . . . . . . . . . :8
BUILDING
HEISSUE:11ST9,:-0007 DWELLING UNITS: 1 BPSFMEN*r. . . . . . . . to s
CLASS OF WORK. -NEW SEDRIYIS.,3 PATHS.-13 GARAGE. . . . . . . . . . ..410 5
I YPE UF U6L. . . :It& FLOUR ARLAC13-- REUL)IRED BET BALKS—
FYPE OF CONST. 15N FIRST. . . . 0994 ;,F LEFT. . - 30 ft RIGH1. :6 Ft
OCCUPANCY GRP. -R3 SE=COND. . . 1796sf F RON'r. i2o f*t REAR. . :3iP -Ft
STORIF
,3 _S . . . . . . THIRD. . . . -0 s f REQU T
HEIGHT. . . . . . . . :22 ft TOTAL----: 1690 s SMOKE VE'l EC'TURS. i Y
FLOOR LOAF). . . . :40 pst VVILUE s. OC;120 PARK I NO SPACF.S. .
Rema)lis: PATH I
PLUMBINU
!3 1 N . . . . . . . . . . : 1 FLOOR DRO I NS. . . . -.0 1AAt..KF'LOW PREVNTRS. . :0
LAVATORIES. , . . . :4 WATER HFATERS. - I TRAPS. . . . . . . . .. . . . .. . :0
TUS/'GHOWEPS . . . c 2-' I-AUNDRY I RAYS. :0 CATCH SA9114S. . . . .. . . :0
WAIER CLOSETS. . :3 SEWER LINE (ft) . t GREASE 7'RAPS. . . . . . . :0
D13HWnSHtF_R!-i. . . . : 1 WOTFR LINE (ft ) . tiOVI OTHER FIXTURES. . . . . :0
GARBAGE DISP— il RAIN DRAIN (ft ) . :O
WASH I 1\1173 MrICH. : 1 S)F RAIN DRAINS. . - 1
MECHANICAL ----------- I-ELS,
I'YPLS-- UNI I HT'Rt'3. . i(A type 'AMC)Lint by (-late t�er.rl
/UAS/ i VEN'rs . . . . . F $ 1460. 00 JH 08/19/9 6
MnX TNr1J'F:0 S_TU VENT* FANS. . 11 P R'T' $ 2-91 - 00 11-4 08/V)/92 S
lJ
PURN ( 100K - . cl HOODS. . . . . . i I SPLC $ 40. 00 JLH 08/13/9P CE,
F-IARN ) -100F, . . .0 wnnDGTQVFq. -0 135PE $ 19. 57) JH 08/19/42 S
FLOUR FURN. . . . ;V, CLO DRYERS. : I SSDC $ 2130- 00 JH 08/19/92 S
BOIL/GMP 3HP10 0*1 Hr:R UNIT!'-'s:0 PARI; t Soo. 00 fli 08/19/92 S
GAS 0UTLPTS: 1 MPRT $ 39. 00 JH 08/19/92
MPI_C; $ 1. 1 08/1 '32' S
JAY MILLER M51"r- $ 1. 95 JH 08/19/92 S
P0 Box p3p91 R T $ 140. 00 JH 08/.1'4/9i' S
11GnRV OR 97281 Y- 00 JH 08/19/9F.' 6
-'fore #- 684-7543
TVVY Mil-Li R
r1:10 BOX 23291
TIGARD OR 97C`81
Ren
$ J-1088. 2S TOJ'AL
This pervit is issued sub'iect to the regulations contained in the RFA1UTRFD INrj-r-IF--.CTTDNc;
ligard Municipal Code, State Of Ore. Specialty Codes And all other Foot/f(. ,_inci Insp Vireplace Insp
applicable laws. All work will be done in accordance with approved Post/PpAm Struct GA Line Ins(
r1ans. This pervit will empire if work it not started within 180 Post/beam Mectlan InSUIAti (In IT
iav's of issuance, rr if work is suspended for we than 180 days. Plm/Lindslab Insp Gyp Sciav-d Tnsp
PL.M/l.Jndet,f I aot, Rain drain 11,
MerhanicAl Insp
Water LIT)e 111 :p
PIUMb 10P OUt Apr)r/Sdwjk Insp
F i a m j.n a I n 1;r) Mechanical f iy,Al
CITYOF T'FARD err SWER CONNETC
TION
My TIM PERM I
M
COMMUNITY DEVELOPMENT DEPARTMENT
-- ----- W26 BW HWI Blvd P.O.Ba23307,TOM,Oregon 01 (503)6304175 L OE' RMI I #• . . . . . .46 i6ni-16D- WA1414A601-
,.ji IE "DUHE-bb. . . e 08.:?2'Fj 6W MW ]HtW PARtbT PARCEL. PSI 12.BC—Hl-,kVjt,
Sl JAD I V I S I[IN. . . . MATTHEW PARK ZONING:
BLOCK. . . . . . . . . . LOT. » . . . . . . . . . . . :8
I EVAN r NAME.
USC4 NO. . . . . . . . . . : FIXTURE UNITS.
CLASS OF WORK. . . :NEW DWELL I NCI UNITS. 1,
TYPE OV USE. . . . . %SF 1\10. OF' BUILLINGS tI
IN"ITALL 'TYPE'. . . . :bUSiWR IMPFRV SURFACE. - Sf
Petiarks : PATH I
;Wrier,., FEES
(6' MILLER type Am(ji-trit by clAte )-ecW,
LJ LAOX 23291 r7'RlvlT- $ 21OV1. 00 JH 08/19/92 Si
IN'SP $ 35. Q10 JH 08/ 19/42 S
ITGARD OR 97281
''hone #.- 684-7543
i,;ONI-RACTOR NOT ON FILE
1 2135. 00 TOTPl-
#.
REOUIRLD INSPEC11UN6
!his holicatt agrees to comply with all the rules and rpoulations Sewer Inspect ion
J the Unified Sewage Agency. The porct emoires 180 days from
tne date issued. The total amount paid will be forfeited if the
pormit expirtt. The Agency does not guarantee the accuracy of the
�ide sewer- laterals. If the sewe- is not located at the teaiureeqnt
given, the installer shall cros*poet 3 feet in all directions from
the distance civen. If not so located, the installer shall purchase
a "Tap and Side Sewer' Ptroit and the Agency will install a lateral.
kL, I
fle-fvit; Lee SitpiAti�i f? - Kc� C�)c
By :
La I I fa, inspection 639--4175
CITYOF TIFARD
P�UMB I NG PEMI I T
Cny 1161111 FEr�it1lT' #. f,. . , . . r6'M`3T9T�-01`l7
COMMUNITY DEVELOPMENT DEPARTMENT orwooa r •
131258WF IIBlvd. P.O.Bml2M.nipmd.Omplxl9=(903)A94-4t7B DATE: ISSULDt 08/19/92
SITE ADDRESS. . Oh- ;*t5 SW MA l I HE.W PARK ST PARCEL s 251 1,BC--MPK08
SUED I V I S 1014. . M%THEW NARK
EiLOCP. . . . . . . . . . r LOT. . .. . . . . . . . . . . r 8
CLASS OF WURK. . a NEW GARbAQC. T7:t SPOSALS. , r 1
TYRE OF USE. . . . rfiF WASHING MACH. . . . . . . it BAt.Kf'(..OW PREVNTR8. . r0
OCCUPANCY GRP. . r R:3 FLOOR DRA I N5. . .. . . . .. :O TROPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . a c' WATER HEAT'E'RS. . . . . . r .1 CATCH BASINS. „ . . . . . r 0
FIXTURES--------------. LAUNDRY 1RAY13. . . . . . ..0 SF RAIN DRAINS. . . . . a 1
SINKS. . . . . . . . . . it GREASE TRAVIS. . . . . . . rtls
LAVATORIES. . . . . 14 OTHER FIXTURE=S. . . . . 10
T'UEVSHUWERS. . . . r SEWER LINE: t ft) . . . . 10
WATER CLOSETS. . i3 WATER LINE (ft ) . . . . t1@0
DISHWASHERS. . . . : 1 RAIN DRAIN ( ft) . . . . a0
Remaarks t-PATH '1
JAY MILLER TIF $ 1411111. 00 .TH 08/19/92 S
PO LOX 23091 SPRT $ 391. 910 Jai 08/19/9x.`.! S
HPLC $ 40. 00 Jt_H 08/ t3/92 4.30541
T I UARL) .UR 9728t sr-j 'C E 19. 55 JH 08/19/92 G
t-hone fir 684--734.i SSDC $ 22.80. 00 JH X18/19/9;0 S
' r PARK $ 54:111►. 00 JH 08/ 19/92 S
PI1-imhtng Contract ora -_._.._.....__._ ... ....._.._...___ MPRT $ :39. 00 JH 08/t4/92 S
MPLC $ 9, 75 JH 021/10/92 5
Name ._,.. r1___.Lt o� � MSPC $ 1. 95 ..TM 1z,e/ 19/92 S
Addr••e e _ __.. . Pr1P.T $ 1 40+ 00 JH X18/ 19/92 5
C i t V: : _`71 at e ; _ � PSPC $ 7. 00 31.1 08/19/g2 s
xipa__-_w.
}ley
__. ...__.._. REQUIRED
1hil, permit is issl,led st-lbj ct to the reg-
.glations contained in the Tigard Municipal Foot/found Insp Rain 69-aAi l inFN
Gode, atalt,4 of tire. Specialty Codes anti all r,no>t/}cream Struct Water Line Insp
other appl irahle laws. All wor lc will t-e clone Poxt/ Aeam Meehan nppr,/Sdwlk Insp
in accordance with approved plains. This Plm/Lind= laity Insp Mer-henica:l f:incl
per m,it will expire if work is not started PLM/Underf Inor P1Umb T incl
.prithin 180 days of issuance, ur if work is Mechanical Insp Building Final
Suspended for More thein 184 davr, Plumb Tots Out Erosion control
Framing Insp Crawl train
Fireplace Insp
Gas Line Insp
' _._.------- I n s i. 7 ar t i o n I n s r..} �
,. ,—N. : w _ Gyp Board Insp
, .__.
r i x e til P l l_l m E:,i n c1/ t:o 11t r a1 c t sa r S i g n el t Ll_zr e
Call For inspection 639--4175
t_:o h t r a c:t o r N v t e a r
---a .-, ,...,.y_.....�._..»�,....o..r�ra.w'�"."++�'^""'�1".,-"M--�----a--� --m;,�ur ',� e-yp '�. ���'^ «-....-• ....a,.._
C I Y'Y OF I*I GkRD -- RECEIPT OF PAYMENT' RECEIPT NO., t 92--P30685
CHECK AMOU14 T a 4933. 25
NAME o JAY MILLr'R BUILDER CASH AMOUNT s x+. 00
ADDRESS s PAYMENT DATE s 08!19,,92
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
_._391. 00 PLUMBING PERM 140. 00
MECHANICAL PE 39. 00 ST. BUILD PFR <'B. 50
PLAN CHECK FE 9. 75 9 WER USA 2100. 00
SLWER INSPECT 3n. 00 V'ARKS SDC;: 500. 00
STORM DRAIN SOC p8dl. 0171 RESIDENTIAL. TF2AFr1L' FEES 1350. 00
MASS TRANSIT TIF FFES 110. 00
1_08 B MATTHEW PARK
82205 SW MA T THF=W FARE', ST
i
i.,rAL AMOUNT PAID 25
r •
J'
C:I l Y OF T I GARD RECEIPT OF PAYMENT PE=CF.1 FST hlq. :W'--Z 30549
I NAM rNf:CK AMOUNT a 40. 00
JAY MII...f_I:�r� E}LDF2. , INC.
I! s"11.7DRESE-t s PO BOX 23291 CASH AMOUNT s 0. 00
TIGARD, OR PAYMF TNT 1)A'TE, a ok39
9 W-':a3-- SUB r)I V IS ION
PURt'OSE OF P(-lYME:NT AMOUNT POID PURPOSE OF' PAYMENT ,
AMOUNT F�A.i f.1
I
'LAW CHECK F'E' _ ._._. .
40. 0QA
RE:TSSUE or, i_O•r 152, ASHFORD OAKS
8225 SW MA''THFW PARK STPEFT, LOT A
T13TAL. AMOUNT PAID - y 40. Q10
N
S
Y
A