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8261 SW MATTHEW PARK STREET .J "k tM ;t ;� �, u'�"`d�`,rags t ` �, �` '9i*�t�'r�F yN�ryaf 5.9:11 �f � '4, 6�` �, 1 a ^�,{'N r. • 'r�� r m � Y r. ADDRESS: ry)gxiiv)pljLl lay)< si- y- ;z 1, 1 1 . 1i f A • • • lm\targets\building.doc ...�, A 'VWr+, n. ..ix AAf.. "�• V:�iry.,: wW .W♦ 1 ,'Sy M "�A. yM. .m:.n„.,, u l�qi•d1r i fwn"p „-...cm g n1t. �t".YW' , k � IPfl�4M r�1Nk +r6 +1kd "Ml��?NI M" 1 t` Mv.w...w ...-.,_,„ _. ..._._.. .-._....... ........v.....-w'•�-:M HAMI�'0.,•,h,in,.'..sMWMY.�.,,. "r. C11YOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT 1 126 BW HmH Blvd P.O.Bax 23397.Tlp M,Orpa:07223(60M)430.4176 C F.R T I FF'I C:A T E, f)r UULUPHNUy xxxx � 9—�f 171 L�1TE. ISGUED1 Ct►t/1�/9;3 SITE= ODDRES S. . . 1 0E3261 514 I'1A1.1HE,W PFIRIA ST PARCEL: 8Gl t213C--1C,,-)lA r ;iUi:�li I�!I E,t ql+F. . . . s MFi T'rNE:W F'f�lrl'14 Z C1N I IV1.3 BLOCK. . . . . . . . . . 1 I__Cl I'. . . . . . . . . . . . . s 6 CLAGSOF Wf]F2Ft. iNEW -"_w_........_..._.......�.._,..._....�..�.._....-,.........__....._..._..,._....____._..__._,... . ........,...____.....�_. TNT"E. OF USE-. . . s SF OCCUPANCY GkP. s R3 OCCUPANCY LC ADP 1 ifs 4 rENANT NAME. . . s Ho marl; PATIA I ,IAA MILLER BUILDER INC C•'. CI. BOX 232,91 T I CART) OR 97261 Phnne #s 0964-754:3 I lWol�tr•ac�tarr w......._._.......�._.__.._ ..._........_..�...__.._...._... . _._... r JAY hi l I...L_ER Po BOX 23ip9 i i T I1;3ARD OR 972,81 ►h Otl e #4 684-7543 keq f7cc:upalnr. y Of the above rweter•enc ed hux ldi.nW It horeby giv1!n, and r.-pr•t if i r-, tho compl ,lalicls witpl the Staatra Of Ot,e ren F3pror.:iralty C.:rlc.les fur- tF1(3 prouF11 ocr�upnncy, And use uncier- wili.r.h thle referenced permit issued. FIRE' DE F AFi'C MEN T' NlJ I I_iy I hili I NSVILL.101i NUJI.,rfIhci or-rIcIAL POST IN C ONE l"'CC:;UOUS PLACE r � { i f i w'A^�A%4.�Y`F'd' u�1A'nOt�l�aN1V�'•1nr16W!}wun,.A'tllYr+'.ir.'I�IA.t. lAiwr.r ..,.n,.,r ..t,. , WA— low- 4 4r ` 'f � „'''Y44 g,,yyyIIIII'yy44� ,� i INSPECTION NOTICE City of Tigard Bulldlug Department 13125 SSI Ball Blvd. Tigard, Oregon 972231a 'Inspection Line (Rec-•O-Phone): 639-4175 Busi.ueas Phone: 639-4171 1 Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bl.dg. Poet/Beam Hach. Rain Drain Insulation P;bg. Underfloor Water Line Gyp. Bd. -Hoch. Date Req+ e, t.edi ZZ,.- e Times �AM PH Address: 8uilder:� THEFOLLOWINGOORRP)Wrfbh� ARE RRQUIREDs I i 4 I+. Inspector: Dates APPROVED —� DISAPPROVED APPROVED SUBJECT Tsl ABOVE _--Call For Reinsp. L ° j L� f a.I. SF 4�QN, NOTICE �'Y� City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 972.23 Inspection Line (Rec--U-Phones: 639-4175 Business Phone: 631-4171 i Innpections____. _ C_. _I-.a k-, — -- Footing Plbg. erelab Ae^h. Rough-in Appr/Sdwlw Pound. Plbg. Top Out Gas Line FINALS i Poet/Bram Struct. San. Sewer Framing -Bldg. � Poet/Ream Mech. Rain Drain Insulation -Plumb. Plby. Underfloor Water//Line Gyp. Bd. -Hoch. Date Regsesteds (1� /-� J Times AN _PN Addroes:_. �,nom/ 1 �Jw1� Permit Builder•-__ TBE FOLLOWING CORRECTIONS ARK REQUIRED: inspector: f TJ cam, 2:12 Dates ,..� __[,_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainap. t CA 77-77 I � 1 • 1 t k 17 INSPECTION NOTICE City of Tigard Building Departeent 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (P.ec-O-Phone): 639-4175 Business Phone: 639-4171 Inapectlon: Footing Plbg. Underalab Mech. Rough-ln ( "Appr/Sdwlk Found. PIbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Boam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. -�-�.� Date Requ,eta�djt �� /Timet _AM PM Address: O Z. 1�7� �IOL�_l"'�jCYenoit f t Builder: THE FOI.LOWINr CORRECTIONS ARE REQUIRED: ry l r t Fv I i, xll k' b tt#: Inspector:__ �H/1 Dater` APPROVED _ DISAPPROVED _ APPROVED SUBkTECT TO ASM _Call For Aelnep. ? '�� � (r • ..•. , - -.-. ..,wwlMrw..+..«.7Iw.'+I��a+q+r..r.gcq.ex.... tga� �' �;t�,. t�c'� yy 1 t it"�rl 'd 4t7�n aa•,� ,�y�,. ,•:'i + '� � f � } +i «. , r } NSPECTION NOTICE Clty of Tigard Building nepart�ent 13125 SN Ball Blvd. Tigard, Oregon 97 Inspection Line (Rec-O-•Phone): 639-4175 Busine.,n Phone: 639-4171 �1r, P i1 1y4.. � InaPeCtiUn1 .Jt Pouting Plbg. Underslab Mech, Rough-in Appr/Sdwlk Pound. Pl.b y• Top Out Gas Line FTNALs Pnat:/Ream Struct. San. Sewer Framing -Bldg. lost/Beam Mech. Rain Drain Insulation bg. Underfla-)r - — Weter Line Gyp. Bd. -Mech. Data Requested: —' Time: AM PM Address: Permit 1: Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i i t I i i inspects c�— / V /_" J/ nate: _____APPROVED DISAPPROVED APPROVED 3CY13JF.CT TO ABOVF. __Call For Reinsp. oaw+w+rwriawn,.,.a�nw.�, J 1 � 4 y J'•��4 T{°x K4 4hM1� 61 K K. K - wurq.x.xrww..w,nArw.,wr+w... ....,. ,i..,..,.,,mwenowM�+A^'".+'nw��rMd��:,,••,"•K ','-,Yr.,..awM'1wn.wh.4i..MIANn.nw+vuinlrnb^.'.,.ria"*•,'+^.,.».F v..:.gwavyMMIMrNpail i 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 Inspection:._ -- Footing Plbg. Underslab Mech. Rouyh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line 2 Gyp. bd. -Meeh. Date Requested: �``J _yyZ Time: AH _ PM Address:��% c�/ alt/ J`2�sr'r1cc Permit T BuIlder:�__� -- -' THE FOLLOWING CORRECTIONS ARE REQUIRED: r' M, ff , i 4 1 Jt�1t j Inspector __ Data. APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. i I • i I c INSPECTION NOTICE City of Tigard Building Departar::t 1317.5 SH Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _-_ Footing Plbg. Underalab ;tech. Rough-in Appr/Sdwlk i r Found. lbg. Top Out Gan Line FINALo akiw' Post/Beam Struct. San. Sewer Framing -Bldg. Poet./Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underflonr water Line Gyp. Bd. -Mech. Date Requested: Time: PN Address: O l-2-C' /+ZL,� --Permit is Builder: I �i � f THE N'OLI.OWING CORRECTIONS ARE RE¢UIRED: a jjj ( k7 Q��nn � i tT rfkt )1 1 +t i fA rrr��1 1 x i e u:1.M1 c� u f I Inspectors— Date: /Z-- ,rte —9 Y �ApP1tOV[D DISAPPROVED APPROVED SUBJECT To ABOVE i -----Call For Reinep. LL Y,Rp F + t a lY �� "• ' j i w t y _ P� r ;. 0v'..-.' - .. .; wr " 0'V INSPECTION NOTICE I city of Tigard Building Department I t 13125 SW Hall Blvd_ Tigard, Oregon 9722 Inspection Line (Rec-O-Phone): 639-4175 Business Phan Inspection Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. - Plbg. Top Out Gas Line P'.NALt ost/Beam Struct. San. Sewer F-.ming -Bldg. Rain Drain insulation -Plumb. j1fboog. Underflr Water Lina Gyp. Bd. -Mech. ' Date Requestedc Z Times AM`-t� PN Address.- Builder:- THE ddress:BuildersTHE POLLOWINn CORRECTIONS ARE REQUIRED: V - 5 114 ol f Inepactot Data I —_1RPPROVMD 13I8APPROVRD APPRMD SVSJ8CT TO ADM Call For Reinep. i I I In now i �. f INSPECTION NOTICE City of Tigard Building Department 13125 861 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Puniness Phone: 639-4171 Inspection: _ ■ Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk ' Found. Plbq. Top Out Cas Line FINAL: Poet/Beam Struct. S&n. Sewer) Framing -Bldg. Poet/Roam Mech. < Rain Drain Insulation -Plumb. L � . Plbg. Underfloor mater Line_ Gyp. Bd. / -Mech. Date Requested:� �` ? Time: /`:!_AM PM { Address: re-f4rmit 1: t Builder: ter— --- y ii THE FOLIAWINO CORRECTIONS ARF. REQUIRED: Inspector: Date- —�— w — APPROVED � DISAPPROVED APPROVED SUBJECT TO ABOVF. 1 r Call For Reinap. E b INSPECTION NOTICE City of Tigard Building Department a%r � 13125 SW Ball Blvd. Tigard, Oregon 9722 Zr�spection Line (Rer.-O-Phone: 639-4]75 Business Pho 639-4171 Inspection:_ "Footing Plbg. Underslab Mach. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: I Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain L..sulatlon -Plumb. Plbg. Underfloor Water Line Gyp, ed. -Mach. ' Date Requested:__l L� �.� Times _ AN PN Address: �� �- �]�/�] d/iNj� G -�-.-- Permit Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: d � y� r I I Ins forDates ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE i _-Call For Reinsp. W M." 1, IP 1W I iq - il{'�'"'C rrv" . :; --'T t;'l_UMA 1,NG PERM 11- _ PEF•Rh1I'r #0•..,. . . . . . - hIS1c'. .I 1*fC1 TIFARD . ` ctnr b V ATE l S;yuE.D a 12103/90 COMMUNITY DEVELOPMENT DEPARTMENT o�ooN 4°.e«' +Wr? 4 tr �4°�► I !' pi► j< S'r PAE7cE l_: 2S BLOCK. . . . . . . . . . 3 LOT. . CLASS OF WORK. . s14EW GARBAGE DISPOSALS-:1 TYPE? OF USE. . . . o SF WASHING MACH. . . : 1 AACRFL.UW PR VN T REQ. . s 0 OCCUPANCY GRP_ 03 3 FLOOR DRAY"NF,. . . . .. . . :0 rRAPS;,... . . . . . . . . . . . . .0 STORIES. . . . . . . . i 1 WATER HEATER,": . „ . . . . D1 CATCH BASINS. . . . , . . (n F IXTURf"S._.__.....__.._._.._.._.._._.... LAUNDRY TRAYS. . . . . . :0 SF PATH DRAIN;. . . . . » I SINKS. . . . . . . . . . R 1 GREASE TRAPS. . . . . . LAVATORIES. . . . . 43 OTHER FIXTURES. . . . . 30 TUE;/SHOW(.RS. . . . w SEWER LINE (ft) . . . . -0 WATER CLOSETS. . a 2 WATER LINE (ft ) . . . . 0 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . , . -0 Remarks : PAI-H I { CIWNERv JAY MILLER BUILDER INC TIF t LA60. 00 ACR 1=/03/92 -- P. 0. BOX 23291 'BPRT t 37:3. 00 BCR 12;'03/92 _ I� E.%PI_C f 40. 00 JLH 11/20/92 9i?-2 5392` 0 TIGARD OR 97281 B5PC $ 18. 65 SCR t '/0:3/92 -- C'hone 1t: 664 •-7543 5151)G $ 280. 00 BCR 10/03/92 PARK $ 500. 00 BCR 12/0:3/92 P t {.?mtairrg 'ar.tor_ : _.. ._.._. _._.._......_. Ihl'(�T i; 40, 50 BCR 1,2/03/92 Mr-`L.l. $ 10. 1:3 ECR Iii/03/92 Name MSPc $ 2. 03 IAGR 131/03/92 Addre s PPRI $ 1 00 BC''P, IP/03/92' . N WATTS COIVS�FI 1{�_�._._ .___.. r.5PC $ 6. P.4 1.1CR 12/03/91? _ Zi(�a..... __ ._.... P.0.,80X'230923• Re q #:___.._ TtOaRD,oREOAN _..._....... _ _ REQUIRE'D iNSPE1 1 IONS T'hi % permit is issued subject to the reg-- l ula<tions contained in the Tigard Municipal F':0Ot/foLind I n a p Rain drain Ls+= p Code, State of Ore. Specialty Codes and all Post/Beam Struct Wratev ,Lina lnsp other. a+ppl icah1 a haws. A) .l wort? will he dorir? Post/Beam ftlechan (Appr/Odw114 InRp in accordance with approved plans. i'h.i:, Plm/undsrlatb .Irssp Mechanical. I permit a)il,l e)ipre ii, wo .#s not 4t.artv.d Pl_i1il„n1d90fIocrr E={lumb Final wit_lik'n 180 days of is suainco, or if work is Me?,hatnical rnr?p s: Oil? ing Final 51.14t.pended fdr. more than 180 drays. K='l s..?mb TrJta Out; Eros i on C.:nntrol Frasminy Tnsp Crawl Pr.r►in r y F ireplave Inst' Gas Line Insp InsL.rl of ion Inap �. .Y..__......____..,___ .._ .._... Gyp Board Insp Authorized PI s_rmbi n►l Cantron or Sai Rnat ure Call for inspoc,tion 639-417`S i Contractor Not'as : r 1 i . a7YOFTIFARD /� PERMIT MASTER . . . .:'f ��rr PF_RI�I I T #. . . . . . . . L+IST9:' �c l5 C�T16A- COMMUNrrY DEVELOPMENT DEP�A�•'AT�II 13126 SW Hell Blvd. P.O.t1m23397,Tip M,Oregon o7jW(5W) 1 6 DATE ISSUED: 12/03/92 i., SITE ADDRESS. . . : O8261 SW MATTHEW WARN: S1 PARCEL: 2S1 J.21BC•-MPKO6 SUBDIVI'SION. . . . MATTHEW PARK ZONING: BLOCK. .. . . . . . . . . .. LOT. . . . . . . . . • • • \ :E+._...._....________._.___. BUILDING REISSUE:IIST92--01 52 DWELLING UNITS-, 1 BASEME=NT. . . . . . . . :0 S f CLASS OF WORK. :IVEW BEVRMS:36 BATHS-.2 GARACJE. . . . . . . . . . :400 s f TYPE OF USE. . . :SF FLOOR AREA'a-- -- -------- REOUIRE'D SETBACKS__..___.__-.___ TYPE OF CONST. :51V F I RST. . . . : 1568 s f LEF T. . : 1 1 f t R I GHT. :6 ft : OCCUPANCY GRE'. :R3 SF•CIJIVU. . ,: :0 S f FRONT. :cO f t RE=AR. . :30 ft STORIES. . . . . . . : 1 THIRD. . . . :0 5f` REQU I HEIGHT. . . . . . . . : 16 ft rO'rAL--_---_._: 1568 sf SMOKE DETEC'TGRS. .l FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 79:328 PARK I NG SPACES. . : 1 Remarks : PATH I ?' SINKS. . . . . . . . . . : I FLOOR DRAINS. . . . :0 BACK -LOW F'REVNTRS. . :111 rK ; LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAF'S. . . . . . . . . . . . . . .0 }k. l"UB/SHOWERS. , . . :j, LAUNDRY TRAYS. V) CATCH BASINS. . . . . . . :0 WATER CLOSETS. . -2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0 ! ''t DISHWASHERS. . . . : 1 WA'T'ER LINE (ft ) . : 100 OTHER F IXTURLii. . . . . :0 GARBAGE DIST,. . . : i RAIN DRAIN (ft ) . :0 WASH I NG MACH. . . : 1 SF RAIN DRP I NS. . : :L I ' --------------- MECHANICAL MECHANICAL -..._______.___.___.__._.__..___________.___- FEES FUEL TYPES--•----------- uNI T IlTRS. . :0 type amol_1nt toy elate recpt /GAS i / / VENTS . . . . . :0 TIF $ 1460. 00 BCR 12/03/9:_ j MAX INPUI :0 BTU VENT. FA :3 [.PR'T $ .3 ';3. 00 BC 1-3 12/03/92 j TORN ( 1001: . . . 1 HOODS. . . . : 1 BPLC 1, 40. 00 JLH 11/20/92 92 :23392 FURN ) =100K . . :0 WOODSTOVE:S. :0 B5r'C $ 10. 65 ECR 12/O3/92 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 5SDC 1, 280. 00 BCR 12/03/92 - BOIL/CIYIP ( 3HP:0 OTHER UNITS: l PARK $ 500. O11) BCR 12/03/92 - GAS OUTLETS: 1 IVIPRT $ 4O. 50 BCR 12/03/92 -- Owner: -..._._...._._____.._._.__.__..---.___._..__.___.._..._______._..._..____.IYIF'LL" $ 10. 13 BCR 12/03/92 - JAY MILLER BUILDER INC IhSF'C $ 2. 03 BCR 12/03/92 - P. O. BOX 23: 91 F'F'RT $ 125. 160 BCR 1:=/IZI3/92 - F15PC $ 6. 25 BCR J2/03/92 - TIGARD OR 97281 Phone #: 684--7543 Contractor: JAY MILLER T-'O BOX 23291 'TIGARD OR 97281 Phone #: 684-754,3 Reg #. . : 3O1O9 $ 2855. 56 TOTAL This permit is issued subject to the regulations contained in the ------ ---- REQUIRED INSFIECJ ION'S -------- Tigard Municipal Code, State of Ore. Specialty Codeti and all other Foot/fol.tnd Insp Fireplace Insp applicable laws. All work wi11 be done in accordance with approved Post/Beam Stri_1ct Gas Line Insp plans. chis permit will eHpire if work is not started within 180 Post/Beam Meehan Insolation Insp days of issuance, or if work is suspended for more than 180 days. P1m/l.indslab Insp Gyp Board Insp T'LM/UndNrfInot- Rain dram Insp F'er IT'.itter: `jiyrlat1-1r e :c,, c_ia (e Mechanical Insp Water Line Insp /1 P1Umb lop Out Appr/Sdwik Insp ISS•_Ied By Framing Insp I+IechAnica1 FinA1 Call for inspection - 6.39-4175 SEWER CGNNE CTIGN CITYOFTIGrARD PE R1h I T' CrTYFMRD)COMMUNITY DEVELOPMENT DEPARTMENT 022GON PERMIT #. . . . . . . : SWR9�- 37 13125 BW HWI Blvd. P.O.Box 23397,Tigard,Capon 97223.(600)53%-4176 _ t, a9 -_DATE ISSUED: 12/0„x1 •_ SITE:: ADDRE:SS. . . : 08 :61 SW MA"FTHEW 41ARK ST PARCEL: 2S112BC-MPK06 BLOCK. I. . . .ON. hIAT'THEWLOT.. ...__ ^ZCINIIVG° FLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . :6 - I TENANT NAME. . . . . : • w USA NO. . . - . . . . . . : FIX-FURE UNITS. . . : CLASS OF WORK. . . :NEW DWELL I NO UN I T'S. . : 1. TYPE: OF USE. . . . . .SFF NO. OF BUILDINGS: l � INSTALL_ 'TYPE. . . . ..BU5WR 111PEvRV SURFACE. . : ^ 5f .� Remarks : PATH I Uwne.r,: ___.________---_____------------------•-----_________.________ FEES ___-----__----- JAY MILLER BUILDER INC type amol.rnt by date r- rpt P. O. BOX 23.291 PRIv1T m 2100. 00 HCR 12/03/92 INSP $ 35. 04_' PCR 121031'32 TIGARD OR 97281 F?trone #: 684-•7543 Contractor: --______._.----•---__._______________.__ a: CONTRACTOR NOT' ON FILE I Pti o n e #: 2.135. 00 TOTAL Rey #. . : _.._._.-•-.-- REQUIRED INSPE'CT'IONS .___._._--•_--- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewe,e Agency. The permit expires 180 days from _� __•-__ �.___ __ ___� ___ _ the date Issued. The total amount paid will be forfeited if the permit expires. The Age!r.y does not guarantee the accuracy of the side sewer laterals, If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. f'e1~m a t l; r}e `..i i yrrat 1-11 Lal l t or inspect ion 639•-4175 $' �l 1 i G � �..w...,w,. .. ....,ti n.,.. i*r.7f'4.j, 1fV` M 'h 1 4,�,•'r �' ,,��1, fir`",,' ti:_ i 7^1 13125 SW HaN ON& PLNCK/RECT S 1 CITY OF TIGARD Posmum PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT *rwTgko-V-9= (503)&44171 DATE ISSUED JOB ADDRESS: $2-1p I 5W/ r"�at he Yy '��� �' TAX MAP/LOT .2S!/Z QC - M PIK SUB: CA, ffln-tilol,tz — LOT: - — LAND USE: r VALUATION:1SSve SPECIAL NOTES OWNER NAME; TYaA.e_. . REISSUE OF: ADDRESS: Z. LAST REISSUE: FLOOD PLAIN/ k PHONE: CO' L - i7'T �J SENSITIVE LAND: QNTRACTOR APPROVALS REQUIRED " NAME: PLANNING: �� ADDRESS: _ Y�YYY ENGINEERING: FIRE DEPT: _ PHONE: _ _ OTHER: It E CONTR. BOARD f: EXP DATE: ITEMS-REQ UIEf3 D SUBCONTRACTORS: PLUMB: bW RJQ:U'2 Cm LIST/SUBCONTRACTORS: MECH: _�`�'a[LI Li rlC __ _ __ BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: OTHER: PHONE: _ PROPOSED BLDG. USE: COMMENTS: { APPLICANT SI AT RE " Z Z Received By: !- _ Date Received: — 1 �� Ilwl •;away+?rr7lWNnf+aermr.,:v. .,,.,:,v�.:n. :ru,.:. ..,,w,. r.a'.,v,ar......:,«:, n.,..,....,, _. ,., _. ,� 4 `f ::.�,. yl,.,„��YvM ,, yp. y a y;e i, ,._-. .. ,. ;rx', s - >. ,n.CX!',k't T'"tTiw''' If' W” SMI'e{ �YthyPH "Mse�1.M.`�'•°t°yy''gt*}� �t'!t1Y 7dp ,�_ PERMIT M ACCT DESCRIPTION AMOUNT AMOUNT PD. BA4. DUE -02b 10-432 00 Building Permit Fees 3 10-431 00 Plumbing Permit Fees �' z r: 10-431 01 Mechanical Permit Fees )-u 10-230 01 State Building Tax (5%) a2G. 913 a!, Building Plumbing _ G,L i '`' ■ Mechanical .'2-„ 3 ' 10-433 00 Plans Check Fee Building '4(o Plumbing Mechanical 0./3 10-230 06 Fire S Z•037Z 30-202 00 Sewer Connectionw o� U 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees M 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 3S u i135 p 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 5 vv SU u 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) ;41'd 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) TOTAL q/���. 5 G,�� — s-7J,jZ r nm/3587P.WPF N R11” 00+ifil000 *��:vdtpypljy ' �yf t v'�{pW+ ,� a ,t r A } ° r "t{ nasti t 44'ro \"" °• w S 1 C:I TY oi= T I LARD w RECEIPT OF PAYMENT RECEIPT NO. :92-234326 CHECK,, AMU'UNT 4950. 56 f '40IME s JAY MI1..L_.ER CASH AMCuwr 0.00 {, "DDRESS a PAYMENT DATE s 12/03/92 SUBDIVISION a ; i-URPUSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM _. .. . 373. 00 FAl_UMBING PERM __...._.. t255. 00 M 1. 00 , MECHANICAL. PE 40. 50 ST. BUILD PER 126. 93 I + PLAN CHr-.CK FE 1+a. 13 SEWER INSPECT :ani. Oki i '---'&WE:R USA 2100. 00 RE S I DF..:NT I AL. TRAFFIC; KESS 13`roo. 00 h MASS TRANSIT T T F rrF 5 110. 00 PARKS sDC 300. 00 � r STORM DRAIN GDC 280. 00 80.61. SW MATTHEW PARI,,, t_Of #6 MST 9r'--006 Y TOTAL.. AMOUNT PAID 4950. 5E A. i t I r Y OF T I GARD RECEIPT OF PTIYMCNT RE=C'R I F AT NO. AMO()NT 40. 00 NFaMC a .TAY M 11_LEr R St-1 i i-DF R CASH AMOI-INT 00 (_1Dr)RJE7G i a P(J) BOX E3291 PAYME-NT DATE' a 1 1/�.."'t�/9A� T T GAR> , OR SO90 T.V:1 5ION n F PtIRPLIPPE' OF PAYMENT flMOUNT PO 11) PURPOSE OF PPYMFNT AMOUNT P0IV •� ` PL ON CHECK CK FIR, T1 i __..,. 40...0 i Sa6 t SW MATTHEW PARK, L.0T 6 P -T GUILIF 07 L CIT 10, MA TTHF'W V ARK ]Y. u f,11. AMOUNT PA 11) - 40. 00 I • ��Mu+.A'�a„�;,yp,, AwAtlN�M�rr,�Rr"'' """^''' *wY,..M„u.,-,-, - ..IF, .i Ev '7' ..n. _ Y ,