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11329 SW SUMMER LAKE DRIVE HIM r� W N A � 1. f'{ 11329 SW Sumnerlakri Dr. III CIITYOF TRDa#. .. . . . . . P E R III 11* C&OFTWARD . . . . . . . . MEV)0 0.1-54 13126 SW Hall Blvd. P.O.Box 2W97,Tgard,Oragon 117M(fWjejl��75 IDERIIIIJ* 11r. C90-01"54 COMMUNITY DEVELOPMENT DEPAR"71AENT 0ING . . . .t I OKE DR VIARCEL..- IS133AD-1220(4 13111YIERLAKE PF14 ZONING: R-7 PD ........... CLW313 OF' WORK— NALT F L 0 0 P F-1.)R N. EVAP COOLERS- T'Y Pl', CSF UG E. . . . NSF !JN11 HLATE'R5. VENT FANS- C Cl(., ,U r)0 N CY G R P. . A R3 V L N I'S W 0 A f-'F'L V!'W1' S Y ST CA 131*()R1 U S. B 0 1 L E.R 5 C C.)11 PR L`:B E;0 R S HOODS. . . . . . . » FUEL TYPEU 0--3 HI-'. DOIvIEG. 3-1.5 HP- CONI'll.... INCIN.- IIAX INPUT FiT U 115-30 HP. RLI-4-111R UNITS- 3. 0-50 HF'. . . WOODSIOVES— n F'I 4F VAMPI:YS'' (3(46 V'RE'5SURE. 'J04- HF'. CLO DRYE-'-'RG. N(.). OF OTR HONDIANG UHIT6 I'H I'R U N IT S FI.) H < 1.00K I.YTIJ: 1000C.1 efill: fiAS 0 UT L ET 13. F*URN *--:100K DID: > 10000 (--,fm., R v-n)"A 4.;g (: W 11 EA 1,n --............. S (INGI*-*I-.() CORNFC)RTH type 'a M a Lk)-I t t)Y date re(cpt 1 1.:3r 9 1-3 W '-)U M 11 E R L A K 1"' DR PAYN $ 16., 80 JLH 07/31/90 PRMT $ If.". 0 G ( JAIARD OR 97223 5 PC I' $ 0. 80 D HEOUNG DIAL ONE ACE HOLDING 14915 SW 721'11) ( IGARD OR 9*72t?4- 0000 If-. -,503-4,184-3355 t6 J 6. 80 'f OPIL. R e cl 44 3133111, ........... REQUIRLD INSPECTIONS This permit is issued sub'lect to the regulations contained in the Filial .111speet.j.01-1 Tigard Municipal Code, State of Ore. Specialty Codes and all other ...... applicable laws. All itorlwill be done in Accordance with ......--------- .............. approved plans. `h0 permit will expire if work is not started ivithio A days of issuance., Pr if work is suspended for more ........ than .80 days. ........... ........... ............------------- d ........... ............ .................................. ....... Call fo,L j.wipectiori 639-4175 _TTY OFrll'3P.4PD F-,UCEIP7 OF PAYMENT PECLTPT NO. 9 20 CIAECI,' AMOUNT 14�. -NAME a OREGON PAC IF117, `3 TAF; CASH AMOUNT ADOPESS 14,;?t!S SW '72ND AVE f"AYMENT DATE f 67/'1 ,191.1 SUED I V 151 ON TIGARD, FJR' 9721.24- 117N_­)'Y' SUMMER L-f))-:E PURPOSE OF P -'ov'ME"NT AMOUNT PAT 1) PURPOSE OF PAYME.N'r PA I D MECHWAIC-AL. 154 1. 9)T. BUTLA) PER 0.(R) T0'Tf:A. aWJUIIT F* ID 6.. Of:, CITY OF TIGARD Jr clukuslJ4* 33�_) 1:)12 5 SW HALL BLVD MECHANICAL PERMIT/5-1//. Permit# P. O. BOX 23397 Description T IGARD, OR 97223 Table 3A Mechanical Code OTY PRICE AMT (503)635'-4175 1) Permit Fee -0- -0- 10.00 —_— Name of DeveloixTrenl -- - --- 2) Supplemental Permit 3.00 Job A.ddrpss 11 Furnace to 10C 000 BTU S.00 Address //3,2 p )(� incl.ducts&va!m z Tax lot Map No. ) Furnace 100,000 BTU + b.ob Block Subdivision 2 incl.ducts&vents Name(«name of business) — - Floor Furnace 4- CO R11 r W tff 3) incl.vent ----— 6.00 MairAg Address PtwneSuspended heater,wall heater Owner - 4) or floor mounted heater 6.00 city/state zipVent not Ind.in —__--- Z r7� 51 aop!iance permit «n -- -- — 3.00 Z-7,2 - Name( ame of business) 77 913pair of heating,refr ig., 6) coding,absorption unit 6.00 Mailing Addre7 ss — Phone Boiler or comp to 3 HP — Occupant ) absorp.unit to 100,000 BTU 6.00 City/State ------ ------ �,, - Boiler or comp to 3 HP-15 HP 8) absorp.unit to 500,000 BTU 11.00 Name Boiler or comp 15-30 HP 9) absorp,unit' -1 million 15.00 h Mailing Address Plane 10) Boiler or comp to 30-50 HP 22.50 /( / 5�� �� absorp.unit 1-1.75 million - Contractor Ci State L' - Boiler or comp to 50 HP Z�_1A— <P 71) 7 k 1) ahsorp-unit 1.750,000 BTU 31.50 Stale RegistrationNo. City Bus.Tax No 12) Air handling unit to 4.50 —3/ '� j y' I 10,000 CFM— I hereby nckn ovAedge that I have read thisAir handling unit application that the information given is 13) 10,000 CFM + 7.50 mrtec',that t am the owner or atnhodred agent of the owner,that plans submitted are in Compliance with State laws,that I am registered with the Slate M-ildera'Board,that ItM 14 Non portable number(riven Is correct.(It exempt from State m.'stration please give reason below). ) 4.50 evaporate cooler - - ) Vent fan connected to a single dud 3.OU — ---------- Ventilation system not 18) included in appliance pennit 4.50 ( , 1 ) Hood served by mechanical exhaust 4.5u Siynattre owner or t) Date Domestic type Describe work O addition p alteration CJ repair O 18) incinerator �— 7.50 to be done residential Cl non-residential 0_ Commercial or industrial 19) type incinerator 30.00 Existing use o1 - building or properly ) Other i.e.,woodstove,water healer,solar,Clothes dryers,etc. 4.50 Proposed use of _ building or property 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas [:, LPG C7 electric [] -l) More than 4-per outlet NOTICE THIS PERMIT BECOMES NULL AND VOID IF 'WORK OR CON SUB-TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ 5%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIFW 25%OF SUB-TOTAL ABANDONED F011 A PERIOD OF 180 DAYS AT ANY TIME AFTER - -- — WORK IS COMMENCED. TOTAL �Cl Special Conditions Date issued _ — by i r r, 4�! D sj 440 3 cT > `? I !/.+s._ �Q •{�t�i r s � CS � I� A� F CCI .� Y, S CE �. CIT C T1GAI � i Own er• Don Morissette _Permit No. 882272 = s ( PO Box 19524 Portland Or 97219 Address: , 1 � ' ?# 11329 SW Suumerlake Dr. =. Building Address: ` Occupancy: R-3 Land Use Zone: R7PD Bldg. Type 5N Comments: P. Certificate IF hcrebv given this 22nd day of ?larch , 19.89 that said 'building may be occupied and that it complies with all requirements of the Building Code for the City of Tigard, as approved ` by the Tigard City Council. r .� Fire Dept. tiding IrsP orf ;; Building Official1. Post Certificate in Conspicuous Place ; 9 til+✓ 4fy� t . I�F f IM SN' +q�{ tp: ril �+'oo! i�Itl'+A' + ' i glgy� 1rx ��.t�•`�•��fii,�a �_��c ,s„ '�, �y.,.,���y�yi' �._ "' �C' -�a�•�`"°a+'� ,.;s'N�'�'S!I��",q��r+�S"'.'''Si 1 �,,,4�"++k:-'yt`.A'�i4�*�'r"tiQ.�`"�'�`i.�"'� ^'M°,"'t�.3'�'"�y.T'�na`' '�t'�'!A':,' 1�".:..rp�'��a `'t ��{ ,�.� yS� _.,ea �Tj S"_� ..oSYj -T �T'^•F?�A`1.."ai'">�f�a. 2e�..:�i�•�4 .r'D!?�,,`,40..6¢.cT.�,��„s J ��,c�'?b,,� ss�.5"`�An.�:.F' �• RON fiv"__ W I hNSPECTION NOTICE City of Tigard Building Depa tment P.O. Box 23397 P Tigard, Oregon 97J'23 Phone: 639-4175 Type of Inspection Date Requested J - Ti11N L,",r btA.M. P.M. Address _ 1�f .3 ClLnl YYI,C r('�e Permit # Z Z- Z Owner Lot # Builder The following Building Code deficiencies are required to he corrected; bJ z. Presented to Approved Inspector _--__---- � � Disapproved Datecam'_—. - CA-LL FOR REINSPECTION C� YES Jl NO WA LIFT K 1111 T" INSPECTION NOTICE City of l igard Building Department C4 P.O. Box 23397 Tigard. Oregon 97223 Phone: 6394175 Type of Inspection Date Requested 1�5 Z I ! TI A.M. _P.M. Address 1 l` )Cy C1 'Lum Lf r l( C kc— Part++ic # 22 Owner \ y Lot #_ Builder The foltuwing Buildiinng! Code deficfen lot are required to he corrected: A/L;,f, C� 1 Presented to _ r Approved Inspector ' 4-Wsspprored Date CALL F,OI INSPECTION YES D NO INSPECTION NOTICE City of Tigard Building Department �1�t P.O. Box 2.3397 Tigard, Oregon 972.23 Phone: 639-4175 Type of Inspection _ � L1 [ C � p q _. ;late Requested �� " — O I Time Ak A.M. P.M. Address . Permit # ) Z�Owner Lot Fly L # /9 � Builder_ Tha followigg Building Code deficiencies are required to be corrected: Al Presented to, [) .Approved Inspector _ _ ❑ Disapproved Date -- __-- !'ALG FOR REINSPECTION 0 YES C7 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 / Tigard, Oregon 97223 ` 1 Phone: 63y9-441755 Type of Inspection ---.--- """� r Date Requested_ �)©�`� � Time __ A.M C G P.M. Address l?[�C=1S �r' Permit # cam..7-7�- _�y—�L Owner Lot #. Builder The following Building Code deficiencies are required to be corrected: Presented to _;t-�r=-r�- —---- _ Approved Inspector �" / U Disapproved Date - CALL OR REIN.SPE TIOrd ❑ YES 0 NO l A INSPECTION NOTICE Clity of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection —__— ( _ (oV ty Date Requested 2 —•1- ` �i� Time _ A.M. P.M. Address -r1 �� u Permit # s16Z 207— Owner p/ _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to jP Approved Inspector _ �_� Disapproved Date CALL FOR REINSPEC7 JON El YES 0 NO INSPECTION NOTICE I City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ct n, _-_--.. Date Requested Tlme A.M. P.M. Address . .� 2-J S�242 421V-3:: Permit # C_ 2 Owner q lot Builder�J1[j - ` 1 1 ` C tli� U The following Building Code deficiencies are r quired to be corrected: Presented to - _ L"fApproved �c Inspector Ll Disapproved Date - �• �. '----f— _. ---- CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE Gf City of Tigard Building Department P.O Box 23397 l' r Tigard, Oregon 97223 1 U Phone: 639-4175 r - Type of Inspection Date Requestedlime A.M._ i/� ; c� � P.M. Address ' ]7 i z s% C. Permit # t Z� � 7 (Ower_ 7 _ Lot # guilder l �Y� �;1` ��c Up P-1 4_. 1 -.) �2 The following Building Code deficiencies are required to be corrected: Presented to --- -- - oved Inspector [) Disapproved 0A,`� - --- ----- pproved Date CALL FOR REINSPF,CTf j0.AL------- ❑ YES I 1' 10 INSPECTION NOTICE �. City of Tigard Building Department (\ P.O. Box 23397 Tigard, Oregon 97223 a Phone: 639-4175 r� Type of Inspection A.M.Date Requested 3 " 0 ( n P.M. Address -_L tiL� >m vv�d.ar G .�o Permit # Z7-7�. Owner _— Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector �Q Disapproved Date _ "_� — "P FOR REINSPECTION ❑ YES Cl NO .a lift SiEWEEP CITYOFTIIFARD -I TWARD� PCEPMXT No. COMMUNITY DEVELOPMENT DEPARTMENT offooN 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 DATE, InGIA1,41) w4filtilt. 4111, 140 . JOB ADURI- G(5 : J-11-329 SW 501"Ill"'E'Al-AKE: OP USA NUMSE.ZP: 36,(430 'TAX MAP/L.OT 15133A17IPPOI) SUD: SUMt-6i.PL.AI(E PHA L'T :3 BK : I ANU LJW : L.01, 951ZE: : 50.-r.TON: 33 111; IING : 1w WOPIK (3A.ASS : Nl::.'W 016F." TYPE : SINGLE: F:AM:[L.Y A,CI y wi 1.h at'l I i-t.A-UK flill-It'll I"egLI].A1tJl.CII'Ifl; cli-If ti'm Urd.+iecl (.-A Ij e I-L III J. it, Q X P J 1.,0 18 1 4() tj Hk y lij it 1.,111 t 1,1 4L, t The tij tia.1 n *4 Litifstla, j . fil-ITIVIllit j:)M-id will. bro fnl-reoititii?d J.-F the P61"Ini'L 4;:x r.?:I.ir-em . The (-',tqeric�j iritam I.,c,t (,.j I.,ilk I- a 1.1 it, (.-; t 1.1 e HLC C t.1 I-&C y cif thea luc!Ation 11.1' the m:L(je) tqokwqdl- J.In.t'0.5 1-,at'll.M T-F t h C.-it in Is I-Imt lcic-ntrmd Hit thiji.\,reri , thm ishH1.3.1 ','j -rc.-IO)t :1.1.1 AKIA Cllil"MmAiarl% -PI"131TI the diinwill-Ic!* :T-F ntat, itici *.Lc)caiatetj , the it-im-taklitpirl inhall PIIr*C-'h"ksIe M. "Tar) Iltricl Sit:10 S*?W*JW' PIMI'11111:1 t 111nd the Ace.ricy wiI.I. ak:l. INSTALL- TYPE : BUILMING 15F:l,JE!"4 IMPI-SIVIOUS AI-11---.A: VIXTUPE' t.INJJ5 : 11H.NAN'T TMr'P(:)VI.-!:Mll':.'NT I)WE'I.-AA.W. . , UNITS : :1. No. OF BI DGiS . 0 FAEE:S : Nmop 3:F,sr-n--T,F-- DON PEPTWI N • $3115 . 00 E PCI BOX 1.9115PIC11 CONNEUT-TON thl. ' 100 . 00 R 1..)4:11-1.1.ot ri d till I..TN14.* TAP INSTAI.A... . C OTHFKA 10360 . Q() 0 N M 0 R 15!Fs E.'1-TF DoIll" T D R ON MOPP SSik"I'TH. ICU TI DEPS ]:N(: A p ci E)ox 195pl C T 1:)c3 r,t 1.at ri 0 car97219 0 PHONE ( 50 3) V I"4['-'G I STPAT ION No. 3-"�'533 41 J. dl 9!5 0 0 This pet mit is issued subject to the regulations contained In Title 14 PUS'EIPT No /0 1 of the TNTC, State of Oregon Sperialty Codes,zoning regulations and all othor applir,his codes and ordinances and It is hereby 94I:`:Q(JT.r-4F-:L) ENt'PE:G1 TONS agreed that the woik will be done In accordance with the plans and specifications anc, in compliance with all applicable codes and 1-40I.K.'11-4-1 N ordinances Tl:c --,�isince of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits. ',oiv-permit will expire and become null and void it work is not started within 180 days,or If work Is suspended or abandoned for a peg ud of 180 days any time after work has commenced. Itall be the responsibility of the permittee to assure all reouired i AS tions are requested and approved. Permittee b, ture Issued By- fl) INGPEUT IDN e.. —417,5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE W li CITY OF T167A RDI1_.L1ME37:NC', PEAM11 CITYOFWAW NO . COMMUNITY DEVELOPMENT DEPARTMENT 01100N 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639A175 lk.AADI)PESS : 4:'J11MMLI:4LAKI;.:: UP 4)X MA P/L-01' :1.S 1.33AD.1 220 SUB� SLIMMEIAAKE: PH4'1 I.J.)ISID USE., T FE.;A : NO: I'M W01:4K (:',L.A!:i5 : NEM WA'y'I:KP (::L..(: 5EA, 2 'TPAP - 0:1-OW I:','PVNTP I- 11 !i:I:N(;LE FAMILA URINAL (:ON51' 1'YI:)L': : VN L AVORA'TOWY 72 P . A.A '1111 151-0)WER (A'4E.AtIE I'PAPS 01GIAWASAALP I (:;APHAGAE: D'UtiVIOSAI 1. NO . 15'TOR:EV.1:i WA5I-I'.I'N(*-, DWIKA L. 1 JN'1'1'5 I. 1.01.1NI:)I-%,Y 'TPAY lilt_)G . DPATN ( DT( 151NK 1 !AME-A-1 (F-T) PI-::M0PMi : 0 $11.7 . 50 W min I."r. I. DON P-1:34m]: Y' N E 1.) E 0X 19 5 (1 1.1 11(J 1:11, IT1 X*1 t.I F;IE 5 PI ICJNF. 1 :50:3) P.1 q 19931.is 51*611-.: 'TAX C 0 N !.o IA L)F:M.6 KI: 1:1 1••IAV401-11) T R qiI-I(.IU*MAKI:.:R' s r:,i..t.JMF)1N(*.., A ROX 1r.150 C r 9,70", 0 1:110NU: (!503) (530 'Mfl R _ I')f1'TJ'ON NO , 39P2 IIJXTAI $123 . '.30 This pe-mit is issued subject to the regulations contained In Title 14 P'T' NO. of the TMC. State of Oregon Specialty Codes,zoning regulations ......••-»•» and all other applicable codes and ordinances, and it Is herebyr1E1).". INIi41- '(*'T'T0Nc', agreed that the work will be done in accordance with the plans and 1:31 B .(ANDEAGLAO specifications and in compliance with all applicable codes an ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have Current city 61011::P LT14L business tax permits. This permit will expire and become null and [1. 13 . 11:11PIOUT void It work is not started within too days,or it work is suspended or 1:461 N 1:11PAINei abandoned for a period of 180 days any time after Work has F 'TNAI commenced. It shall be the responsibility of the permittee to assure are requested and ons Fill required I n cti T oved Permittee Signature C- Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17Y OF 7167A MECVIANICAL. PIE-:141111 RD C111YOFTIGARD VIEWMIT NO ME Lit* COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W Hall Blvd..P O.Box 23397,Tigard.Oregon 97223.15031639-41 IS 1:)A11. 15501:A'): fill 1.329 SW GLJMM1. P1..-AK1*-:* UP MAP/1 01 ISJ-3ADIENROO U$E : E.1K . ITIL.M NO No 'AJOAK CLAS") NEW FLJPNAGl:..* <1.001< 1. AIP 11-10NULP 0.0 lyl;`F : iTNGLE F'AMIJ..'y F1,114NACE.: 100110- AT 1:4 1-16NDI 1-1 10K CUN5' , *T*Yj--1E : VN F1 00P F1*t-JPNAG'E:' E VAP , GOOLA.31 1P . GDP. 1:13 V P:NT F AN N*T . SYSISM HOOD NO. !.5 TO P 1,1::S : J. DL.P/COMP :1:NGINl:.-':P0'T*0P(DOM DWEEL.L. U141 Y'5 ; I INCI NIEPAIIIII(GOM Tyriv GIAS 01-p/COMP 30 5011-0) PE..PATP (.INII'S ti(-,X - MINJI FILP/COMP 30-11-1-11P, (ITHRIQ it!). I.)Mj:)r;l!:"? 'PIPING OUTLETS 1. W mc)r21 I:i!:;1"..T"T,F:. 00N N I I::PM11, *10 00 E BOX 195 /1 PL.AN PEVIA.-M Mo.)d $7 . 13 1:'A'X'T'U PIES ' 0111 '1'()X $1.8.50 C FHEP tf11. /1.3 0 N T R 1:1 Ell I . ING . A AVj:, #11 I<AM(-)!:i Op 97015 0 R 01,AL. : Or.) This permit is Issued subject to the regulations contained in Title 14 Pl:'-""E:-TI-"T NO of the TMC. State of Oregon Specialty Codes,zoning regulations ».._._.........»...».....•._.»,... CJ Q and all other applicable codas and ordinances, and it is hereby agreed that the work w0l be done In accordance with the plans and specificationq and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive VII(Y)F ti LIc AM covenants. Contractor and subcontractors shall have current city 1N business tax permits This permit will expire and become null and void If work Ir not started within 180 days.or It work Is suspended or abandoned for a period of 180 days any time after work has commenced. It hall hall be the responsibility of the permittee to assure required p all requI - tions are requested and oved. 'reo Permittee S ure Issued By ti I Y" SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED .-4BOVE DIIIIA-WEN G PF'PMI:*T' CITY OFTIOARD v FIEAMIT NO . BUMJIPQ'7i:' COAMIMUNITY DEVELOPMENT DEPARTMENT 3125 S W Hall Blvd.,P O.Box 23397.Tigard.Oregon 97223,(503)6394175 DATE 3:551(JEM : If?/R.3/013 hl*.)UPEG.) : .11.11.329 SW 51LIMMEPLAKIE 1 11 1AX m6p/l (:),1* :1.F..;1.3.*-.%A D:11.2 P?0 0 tit.jU . 5MMEJ11 Al<l:: r.)HAI L.T BK : I ANE) USE : L01 SIZE : VAL.UATION: 111 66 ,000 51:11'BACK5 FFRONT : 20 PEAR : WOPK CAA!59 : NEEW OWEA L. ,UN I TS :1. 1-.I:F-T : :1.3 RIGHT : ' -.X I .WALL.. CONSI VYPE.: �`;INQLE'. l!"AMILY NO . DEL)PCIOW: 3 E- G'ONST . TYPE : VN NO . BATII-Hii : Vi N E: W (31PIP . P110T .OPENINGS : I OAD N E W TOI Al ARE-A: NO . S*TORIES 1.-4108 POOF CONST : F"IPE., RE.1"7 c?N D APEA !iEPAR"? PA*T'[-.D: :31'•11.) OC11C tj V, . 5 E.:l!"A 1:4 1? PA T,L-":D: 1`11'�Z 7 i-W 3:NE 7 BM:ifim"I 001:4 A0 G,A 14 AG,1 /1,010 FJPE irsPRII(L.W? ALAAM7 L "IN CIALCK UY: 1. 1.1, OF' NO . 96011 IN mowrssr.::1 TEE DON PEXIMIA, $331 . 00 N4R".1."! 00 E 1,111 IDLON RE—VIEM R t 1.st 11 d tar FIRE DEPT L—I'ATF' T6X $16 . .55 F.L.0 PMENT Cl-lAWGE'!:) N 1111.)FITIV5E I It: DON aDC,(STOPM q;,'r.-R50 . 00 T 1.)(.)N MOV4*1.'-O;,L I M. E-411A L)FAIS :I:N(:'. :1DUA5111101-:11, 11 $600 . 00 R A 1:) HOX 1.95dA P U G #:L 1 it�.?15 0 . 0 0 V-1:1EPAID < 41,10 . 00> T 1:)r)I III.I I cl 19 7 2:1.1? 0 11111:11NF� (,"503) 'r.2,144-9.31.1 R 11,L)IN NO . 155.1111-3,13 /162 � This permit is issued subject to the regulations contained in Title 14 RIECE-AP'T NO /6/ 9,5 of the TMC, State of Oregon Specialty Codes.zoning regulations ..........""""'"'•" and all other applicable codes and ordinances, and It Is hereby INS1:4 -TJO #i . , ::(:, N agreed that t,le work will be done In accordance with the plans and FTHYTT.NG SEMEM specifications and in compliance with all applicable codes and V'OUNDA T*101\1 1461-11 PAIN I)PAINS ordinances. The issuance of this permit does no' waive restrictive covenants. Contractor and subcontractors shall have current city P051 & HEAM WA*Tf.::P LANE.: business tax permits This permit will expire and become null and 1:,1l 8 , UNDE11:415i. AD void if work is not started within 180 days,or if work is suspended or cit AF) FT NAI abandoned for a period of 180 days any time after work has I.-IL R . TOPOU'l, commenced. se the responsibility of the permittee to assure rrencIns , All required ctio s are requested an proved (:;A!5 LINE I it. A,T,:I:ON 1:30AM) Permittee Sig ,-k Issued By 1 1, ul-t 1 N!51:1I::A-TJ:(.)N SEPARATE PERMITS REQUIFIED FOR WORK OTHER THAN DESCRIBED ABOVE UF W CITY Off' T167ARD PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT �1� , � JRD, PLAN CHECK # jV '3"S SW HM Blvd. P.O.ea.23397.n�.Oregon gr229(5W)&3Q4175 ., �\ 0"00" PERMIT # DATE ISSUED JOB ADDRESS: Su . ,art IP aR TAX MAP/LOT SUB: , Li, i�: LOT• ? LAND USE: /C—�,. '�� ��7,on VALUATION: OWNER NAME: SPECIAL NOTES ADDRESS: T� (` S REISSUE OF: LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: — _ J9� `i3�4 - CONTRACTOR APPROVALS RE UIRED NAME: PLANNING: _ ADDRESS: ENGINEERING: FIRE DEPT _ - OTHER: _ PHONE: ITEMS REQUIRED ARCH/ENGINEER LIST/SUBCONTRACTORS: NAME BUS TAX: ADDRF:;S:- — CALCULATIONS: _ -- TRUSS DETAILS: - -- PARKING PLAN: PHOS IE: - LANDSCAPE PLAN: _ OTHER: COMMENTS: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees ;z 10--230 01 State Building Tax (5%) -- Building Plumbing Mech 10-433 00 Plans Check Fee building ` Plumbing Mech _ ---..�_ 30--202 00 Sewer Connection -- 30--444 00 Sower Inspection 51-448 00 Street System Dev Charge (SDC) 52-449 01 Parks I System Dev Charge (PDC) --�— --- �� 52-449 02 Parks 11 System Dev Charge (PDC) -- { 31-450 00 Storm Drainage Syst Dev Chr-g (SSDC) 10--230 09 1RFD ------ _ `- 10-230 06 Washington County Fire #1 (95X) 0- 10--220 00 Amartdgewood — RIC # _Z677f C APPLICANT SIr,NATURE -- Received Hy: -------�'��! ht/3587P/18P Date Received: __---- —