12244 SW LANSDOWNE LANE i
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12244 SW LANISDOWNE LANE;
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IN6p��p�_OTICF
City of Tigard Building pop rent
13125 SM Ball Blvd. Tigard- Off'pvn 97223
9-d' S BuEifnee4 Phones 639-417I
Inspection Line (Rec-o-Phone)t 63 —
Innpecttons� -- --•
plbg. Undaralab
Mech. Rough-in Appr/Siwlk
rooting VNAL t
plbg Top Out (;as Lin*
Found.
Framin,San. Bldg.
se �r
Poet/Beam Strutt. -plumb.
Rai.:. drain
Ineu .:ion
Foet/Roam Mech. � �
Water Dd.
Plbg- Underfloor Line GYP• � pM
Time: —•
Date Reyu
eoced: o ry
permjt
Address-_i
Builders__-_
TqZ FOLLOWING CORRECTION: IPB RLSQUIREDt
- .-_
---- --
1
.r
Dates T /--
Inspectors_ -A-,
QISnppRMZD APPROVFt, SIIHM-r TO ABOVE
_—Call For Aelnep.
I��CTION Nll'�CE �
City of Tigard Build js9 Department
13125 SW Hall Bird. Tlyard, Oregon 97223
Inepection Line (Rec-O-Phop(e): 6$9-4175 Huo i.neso Mona: 620_4171 p1'
Footing P1bg. hdereleb Yech. Rough-in < A1)pr/Sdwik �J
Found. Plbg./Top out Cas Line FINAL:
Pont,IR.•tm Struct. Ban. Sewer Framing -Bldg.
POet/Beam Nech. Rain Drain Insulation -ply,
Plby. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested:_ �� _� _Time: � PN
Addreue: -� �7 ,.Permit f:
Builder:
t THE FOLLOWING oORREC'°IONS ARE REQIlIRED:
l: J�k
r
IL LLS 2
u
Ini�lwctor: ' I�� Dates
___APPROVED ISAP p BVSJWT To ASO'Vlr
�11 1or Minae.
City of Tigard Buil.di.nq Departar,.rt
13125 SW Hall HIVI. Tigr.Cd, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41 5 Businoen Phone: 639-4171
Inspection:
Tooting -
Plhy. Underslah Mecl.. Rough-in Appr/Sdwlk
Pound.
Plbq- Top Out Gas Lire FINAL:
POCt/Beam Struct. San. Sewer
Framing -Bldg.
Post/Beam Mach. Rain Drain -
Insulation Plumb.
Plby. Underfloor Water. ��
.inn
Gyp. Rd. -Hoch.
Data Requeated: �-
Tiass
`�`--�-
Bu.id• ,l
THE E'OLLOWINO C61ijECTIONS ARE RE�2tIIRED:
_Ie• }
---------------
-------------------------
------------
r
Inspector:_- .L Y -------- --
_APPROVED _ DiSAPPROVRD �^
�__ APPROVED SURJFrT TO ABOVE
Call For Rei.nsp.
M00% TION NOTIC=
City of Ti9ard Building Departseot ~
];7125 nw 71n11 Bled. Tigard, Oregon 9722.3
Inspection Line (Rec-C•-Phone)t 639-4175 Business Pt.o.,3t 639-4171
Inspection•
Footing Plbg. Underslab Moch. Rough-in 9 Appr/Sdwlk
Found.
Plbg. Top Out Cas Lina
FINAl.t
Post/Beam Struct. Sen. Sewer
Framing -Bldg.
P('et/Beam Moch. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Nater Line
Data Requestvas // ,1 `'; -
-'T"- _Timet PN
Addrt est
ham- Permit #3 _ C/
euiide-.:_ t00 ;
THE FOLIAVINOIONS ARE REQUIRED,
Inepecto:t--Vj��%��'
Dater,
4—APPROM DISAPPROVEDT—
AIPROVED SUBJECT To ABOVE
C411 For Reinsp.
ihepaala-M 'Ica .
City at Tigard suildiog Uepertmoot l�
13125 OR Hall alvd. Tigard, OrOgoo 97223
Inspection Line (R—.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection.
Footing ----1
Plbg. Underslab Hoch. Rough-in / Appr!sdwlk
Found. `�
Plbg. Top Out Gas Line
FINAL:
Pos:,Heam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mach. Rair. Drain
l.:eulatlon .ply.
Plbg. Underfloor Water Line GYP. Rd.
_ -Hoch,
Date Req::eetedtl�c`,,t �
_Time: AM _PM
Address:_�_
Permit I
Pulldoz:
THE FOLLOMINO CORRECTIONS ARE REQI+IRaD: a
it :"
.............
Tnepectoll
-- Date: L�Y /
_ —APPROVRD DISAPPROVEn _k_I_APPROVED SUS.7RCT TO ABOVE
---Call For Reinep.
INSPECTTUN K .La t
o r
city of Tigeri ..j-ding n 97223
13125 531 Bali Blued. Tigard* Oregon
Inspection Line (ROc-O-Phone): 639-4115 Buainsss Phone: 6394171
Inspection:_ -- h-in Appr/Sdwlk
plbg•
Underel.ab Mech. Aouq
Footing Gas Line FINAL=
P1D9• Top out
Found. Framing;,an Sewer -Bldg•
Post/Beam 9truct. -plumb.Orale
Inoulation
Poet/Beam Mech. arn. ad. ..Koch.
Water Lina __Z— PM
Pibq. Underfloor .� Time= AK __-----
Date requested:__1 it #*
Address:
Pu l lder i
CTIo118 ARS RnQUIREDt --�'
•PNE 1rO1,LDWINU OGRRS
f �-� ----
!� Q v e-4-
Data: -v 1 -s -
Inspectors
APPROVED AUBJRCT 70
APPROVED DISAPPROVED
Y Call For RAin@P.
JNSPEGTjgINNOTICE
City of Tigard Building Derperrmnt
13125 tiM Hall F vd. Tigard, oro,,on 97223
Inspection Line (Ree-U-Phones 639-4175 :iueinoes Phone: 639-4171
Inspection- _ _._ ----------
looting Plbg. Underelab Heeh. Rough-in Appr/Sdwlk
Found. Plbl. Top Out Oas Line FINA:.s
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Rec-uentedt,�— /3? Tunas PH
16,7
Address: ))
Buildert 1L7�Ns THE FOLLOWING CORREI RE REQUIRED:
=77
Inspector:_—i --.- ----- Date s
APPROVED DISAPPROVED -Z APPROVED FUBJACT TO ABOVE
Call For Reinsp.
INSP CTJON NOTICE /r
City of Tigard 'ju.ildkng Depart�nai J'
13125 SM Mall Bled. Tigarc', Oregon 77223
Inepection Line (Ree-O-Phone): 639-4175 Bueinens Phone: 639-4171
InapectLon:__
Footing Plbg. Uncl.erslab Mech. Rough-in �Appr)/Sdwlk �J
Found. Plbg. Top Out Gas Line FIMAL:
Poet/Beam Struct. San. Sewor Framing -Bldg.
Poet/Beam Hoch. Raln Draf., Iniulation -Plumb.
Plbg. Underfloor Water Line yp. Bd. -MMoch.
Date R®quAetede� �I PM
Addreen:._ � 7 ! �(G�[ _�SRIADit #Az
THE FOLLD%, w 6w TIONS ARE REQUIRED:
Inapertnr: _ ' ._._�t„ `a Date- c
APPROV'6o DISAPP __ APPROVED SUBJECT TO ABUVE
all For Mainep.
I
INSPEs.'TION NOTICE
City of Tigard Building Department !,
13125 SII Ball Blvd. Tigard, Oregon 97223 ( 4'!
Inspection Line (Rec-•O-Phone): 639-4175 Bupiness Phone: 639-4171
Inspection:
Footing P.bg. Urderelab Mach. Rough-in Appr/Sdwlk
Founc. Plbq. Top Out des Lint FINALS
Post/deem Struct.. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater/.ire Gyp. Ed. -Meeh.
Date Requested: r I 1I r Times � M J�PY
Address: Ip�Lt� Y Am)v-\,_L Permit 1s `il- Y
Builder: Vv 1_� �GIN`�� : �1�!•r'�� S ��
THE FOLLOWING CORRECTIONSS XRE REQUIRED:
��� SAO �S/� s-y/C ✓�� �,_L.'�_�::1���i _�_��—�.
Inapector: - -� Dates_�i-
__APPROVED ,-_ DISAPPROVED `��OVED SUBJECT TO ABOVE
_Call For Rein•,p.
INSPECTION NOTICE
City o: Tigard 7 Auildi
13125 SM Ball Blvd. Tigard.Department.
Inapnation Lina Rec-O_ g ��+'D° 9 91223
Phoned G39-4175 Business Phone: 63t_,►11
Insp,�K tion:—
Foor.ing
Plbg. Underslab /"Hoch. Rough-in"
-�y Appr/Sdwlk
Found.
Plbg• op Out Gas Line FINAL:
Post/Bnem Struct, Sen. Sewer
Framing -Bldg.
Post/Beam Mach. Rain Drain
Insulation _Pl.:mb.
Plbg. Underfloor Nater bine
aYP• H.J. -Meeh.
Date Requestedt� "� ( r'< � I
_1'imeo
Addt'aaet�2-Zy y �..�i..lnflAi1 —"---PM
RULIders /► ---- 1L�Jc 1. Permit # `j► LY '- y
TM VaLt4wIl1'a OORRECTIONS ARE REQUIREDs
------------------------
osPsetors
_ natat�-��-
G APPROVHD �'----
DI;APPROVRD APPRfNED SIJBJBCT TO ABOVE
C411 Por Rainep.
TIIS1''E_CT ION NOTICE
City of T)gard Building Department'
13275 811 Droll Blvd. Tig
ard, Oregon 97223
Inspection Line (Rec-O-:hone): 639-4175 Business Phones 639-4171
inspect'-ons______.--
Foot Lng plbg. Underelab Mech. Rough-in
Appr/Sdwlk
Plbg. Top Out
Oas Line FINALS
Found.
post/Beam Struct. San. Sewer
Framing -Bldg'
Poet/Ream MAcBs. Rain Drain
�Ieuittiu� -Plumb.
Mg. Underfloor water Line GYP• Bc.
-Mach.
--1
CTlz -AN
me -
Date Requestedc
L ��17�n a F rm it #1�L_L__
Addreus:_� f 1----47_ -
THE PILLIUWI-'C CORRECTIONS P-RE P.6QUIRF.D: ---
Date:_..-
G APPROVED DIRAPPROVED APPPOVED SURTRCT TO ABOVE
Call For Reinsp-
INSPECTION NOTICE
City of Tigard Building Departamt
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Buniness Phones 639-4171
Inspect,ion:_--- -- -- - ------
Focting Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out :as Line FINALS
Post/Ream St.rucL. San. Sewer Vraming -Bldg.
Post/Ream Mech. Rain Drain neulation� -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Regaesteds_ c I— —_Times "+ x PM
Addreess :2-4(4 LA-✓� LAL Permit is
Bul.lder: N1,2=,�'¢�/�`�� - (Oyu -55SLI
T:fE FOLLOWING CORRECTIONS ARE REQUIREJs `
Inspector: �
C� GDate:--(�----
RPPROVF.D D2�:.^PROVED ---1-PPROVFD SURJF.CT TO ABOVE
Call For Reinap.
i
�BPECTION NOrWc9
City of Tigard Building Department
13125 411 Ball Blvd. Tigard, oregon 97223
Ins4.ection Line (nec-O-Photte): 639-4175 Rusineas Phone. 639-4171 k ..
Footing Pibg- Underslab Mech. P.ough Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALt
/+ .
Post/Ream St:ruct. Sen. Stn+ar Framing Bldg.
post/Beam Mech. Rain Drain rnsulatior -plumb.
P1bq. Underfloor Water Lino Gyp. Bd. w a-Mach.
Date Requestedt� ` —` —_Timet -�- �
.Address-
nil 11,der:
ddr.eeesRuil.der:
THE FOLLOWING ODRRECTIOJW ARE REQUIPED:
C
Inspector: -- --------- Date: el�4-�.-
1----ltPPRCiVE1? DTSAPPROVED APPROVED SURJ:.CT TO ABOVE
Call For Reinsp.
jpBPECT1 M NOTICE
City of Tigard Building Drpartaent
.1125 R11 Bal! Blvd. Tigard, Oregon 97223
Inspec-l•- . i; .e (Rec-)-Phone): 639-4175 Business Phones 639-41'11
Inspections --
Forcing Plhg. llnderalab Hech. Rough-in hp. ISdwlk
Found. Plhg. Top Out Gas Line FINALs
Post/Bean Struct. CBan. Sewer \ Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Mai Line Gyp. Bd. -Hoch.
AN
Date Requested
Times
Address s•__�y�� ��;
Builders_—_
THE FOLLOWING CORRFr-TIONR ARE REQUIRED:
Inspector. / �_ �_�_ Dates--t� !—
,C APPROVED -� niSAPPROVRD _ APPROVED SUBJECT TO ARM
Call Fn•- Rainsp.
1
INSPECTION IMICE loolo?�-
City of Tigard Building DaW rttint C''�
13125 Bw Ball Blvd. Tigard, ora" 97223
Inspection Line (Raic-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. /Plbg. Top Out Gas Line FINAL:
Pontineam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. BA. -Meeh.
Date Requested: _ �_L1_. Times PN
Q _ i
Address:��; ? f/ /__ �?/lJ L'Z 2 itatit 0:�/ !1?%��— _
Bullders _
THE FOLLOWING CORRECT ONI SAA REQUIRED:
Ar
Inspector: .' --- Date:.---
APPROVED —^ DISAPPROV3D APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IN UMION NOTICE +
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Ph#e)s 639-417, Business Phone: 639-4171
Inspections ) i
Footing P1 ,rUnderslkb Mach. Rough-Is, Appr/Sdwlk 4
i
Found. P'3bg. Top Out Gas Line FINALS
Post/Beam etruct. flan. Sewer Framing -Bldg.
Post/Beam Mach. Rain Draln Insulation -Plumb.
Plbg. Underfloor Mater/Line Gyp. Bd. -Mech.
Dare Requestedc__ -w' ! Times AM PH
Addreses� `' i- -P it f,
Builders 1 7
THE FOLLOWING COME NS ARE REQUIRED:
Inspector.-_�— ---�- -�— Data,
9/
__APPROVED DISAPPROVED `— APPROVED SUBJECT To ABOVE
_Call For Relsnap.
4
,
city of Tigard Muildiaq oaparteent
13122 an Ball Blvd. Tigard, Oregon 97223 r
Inspection Line (Roc-O-Phone)s 639-4115 Business Phones 639-4171
"O I
Inspections ---- Z
Tooting Plbg. Undorsiab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Lino FINALS
C psot/Beam, Btru s San. Bower Framing -Bldg.
post/seamen h, )� Rain Drain Insulation -plumb.
Plbg. Underfloor Hater Line Gyp. Bd. -Moth.
Date Requostods_ _ Time+/:�7 AM n� PM
Addresesf�--Permit #:
ti
Builders_ ---
c�i
THE FOLLOWING CORRECTIONS ARE FEQUIREDs
Tnepectore Dates` _1,
FPPROVED DTSAPPROVED APPROVED SU&TEC.T TO ARIV6
Call For Rainep.
INSPECTION NOTICE -0-
City of Tigard Building Depart asnt
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:,
Footing Plbg. Undecelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Underfloor water Line Gyp. Bd. -Mach.
Date Requestede 1� ! ` TLnec �AN PM
Address: ��O �/ ��.0�G 'L4 Permit
Builder:
C_ .
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7�7
i
-�— —-- -- 7
Inspectors— y Date:-- / �V
._ APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INflPBrw2oM NQT.3� � ,
City o! Tigard Beildi" O g 223
ID Blvd. Tigard Phones 639-4171 , 1
Inspection Line S 80 -Phone1s 639-4175 Buainese
13125 Sw
lnapections_ Rough-in Appr/Sdwlk
Plbg• Underslab Mech.
Foot!) FINAL,
Plbg• Top
Out Oas Line
Foun
-Bldg•
Framing
~r Beam Struct. San. Sewer
Po -plumb.
Poet/Beb- Insulation/
am mech. Rain Drain
-Mach.
Gyp. Bd.ter Line _
Plby• Underfloor NaAM __�PM
Date Requeetedl _ --'prermlt f�
Addreses
Builders_
CTIOMS ARE RFQUIREDs
TKs ►oLLONINa OORRE -----�—
------------
Dates �1
Inspectors
D1 ---.-_ APPROVED 6UBJECP TO ABOVZ
APPROVED 3.4PPROVED
Call For Reinep.
r— MAait_h PERMIT
JIST9 I
C 1Y OF �'0AN) Iff of ND PEPMI T
COMMUNITY DEVELOPMENT DEPARTMENT onew 04/01/91
Y720(60�)GN4175
13126 SIN H1111 Blvd- P.O.fk�233g7,TOM,oregm
PARCEL'.
1-4 4�
4 4 C.-)W i,.ANSD1JWNE LN ZONINUt R-4. 5
S S1
SUBDIVISION. . . . : FYRESIONE
LOT. . . . . . . . . . . . .
FLOCK. . . . . .. . . . . BUILDING f
BASEMENT. . . . . . . .
IDWELLIN6 UNITS11 GkRA(JL. . . . . . . . . . 1500 St
IjLISSUE: BLURMS:3 BATHS::3 NF.UUIREk)
CL(4t,:"S OF WORK- :NEW FLOOR ARFA5-___'.- ft RIGHT. t5 ft
TYPE OF :SF F I RS*r. . . . . 1233 S f LEFT,'FJ
0
1-YPE OF (�;UNS I- :5N 1::RONT. f4- REPR t30 f
OCCUPANCY GRP. :R3 SECON171- . 1044 s REQU I RED-
THIRD. . . . :0
STORIE'S. . . . . . . .C- --:2877 s SMOKE DETECTOR�- *-Y
HEIGHT. . . . . . . . :25 ft TOTAL---- 11-3742 PARKING SPACES- - :Q'
FL OOR
LOAD. :40 Qsf VALUE. . . .
PLUMBING
171 BACVFLOW PREVNTPS- - -0
FLOOR rjRAINS. . . . : 00
I NK S. . . . . . . . . . ' J- I T RAPS. . . . . . . . . . . . . . .
4ATORIES- - :3 WATEF HEATERS. : CAlcil BASINS,- - - - - - - :0
1..A1JN1',RY TRAY - - - : ' GREASE: TRAPS. . . . . . . :0
0
MATER CLOSETS- SEWER LINE (ft) - 'WAIER L11-11F (ft ) ' 10111 OTHER FIXTURt.-S. . . . . .
I SHWASHE RS3, - .
RAIN DRRIN (ft ) - :0
�.iPHBAGF- 019V" SV. RAIN DRAINb- - : 1 ---------- FEES
W14bH I NLj MPLH. - - : 1 t,ecpt
Mi�-LHHNILJIL amcll�nt by date
UNIT HTRS. 0 type 100. 00 JLH 03-122/91 211065
r,-LJEI- TYPES------------' VENTS . . . . . :0 type
lzi
/GAS/ BTI.' VENT FANS- - :4 BPRT 4613- 0
MAX 1NP1JT ,0 BPL.0 $ 304. 21ZI
FURN ( 10121K - - :0 HOODS. . . . . . : 1 B5PC $ E3, 40
�-UHN ) =-100K - - ' I W(A)D"i 10 V E S- *0 SSDC $ 3-75- OCA
H FORN. . . . :0 CLO DRYERS- " I Olt,
i LULJ OTHER UNITS:0 0
/CMr-� 31-P-0 GAS OUTLET5: 1 MP RT $ 40- 5
MPLC $ 10. 13
M5PC $ 2. 03
M z CONSTRUCTION CO PART I 147. 50
1-05f35 SW ROSA RD P15pc 1 1. 3.8
-1 1F $ 1350. 0111
(Al-C314A OR 9 folb 7 PAYM $ 3128. 14 JLH 04/01 /91
piticiie #' 649-55P7
I C.antv*avtOt'*
jyj Z CONSTRUCTION CO
3585 SW RO!3A RD
iLOHA OR 9'7007 ----------
----------- -
649-`1'.-227 ---------------
ic)g 11. . 64124 $ 32,28. 1,4 TOTAL
REOUIRED INSPEC'JIUNS
This ed subject to the "Ot'latio" curtained in the Fc)at /fcli�tnd Insp Fi,-,place Insp
permit is issu . State of Ire. SD@Ciilty Codes and all otherLine Insp
ilgard Municipal Code. post/Bpam Sty,'-tct G85 -
All work will be done in accordance with loprolted pc)St/E.%eAm meutiAn Ins,_tlatiarl Irlc�p
Applicable 11114C Will expire if work is not started wit�iin k.�ndslsb Insp Liyp Board lnsP
clans, This permit work is gmcoprded fo ? PIM/ Rain drain I "';P
:lags of issuance, or if PL.M/Unde-,-f` 100t' Water Line Inst
za ;
lnic,al Insu
OUt App -/Sdw I k Insp
,l imb Top
F'e
ITISP All;cal F ina
FramingIssued BY "-
t I�C)y,
I n
f t I On
call fov, itlsppc:.
ITYOFTIFARD
WYOF rj)
COMMUN TY DEVELOPMENT DEPARTMENT SLWER CUNNECTION
oftem
13125 SW Hidl Blvd. P.O.Sm 23397,TlpM.Orsom 97223(503)630-4175 P F R M I I
63;'3- 41 71 DATE ISSUED: 04/01 /91
U I T E ADDRESS. . . : 12244 SSW LANSDOWNE LN PARCEL: 2S 10390-0701
SUBDIVISION. . . . : FYRF_'STONL::' ZONING. R-4. 5
BLOCK. . . . . . . . . . : 1.07.. . . . . . . . . . . . . :9
TENANT NAME. . . . . :
USA NO. . . . . . . . . . ..43bl.S FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELL I NG UN I TS. . : I
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1
INSTALL TYPE. BUSWR IMPERV 3URFACE. S f
,iemat-ks :
Owners --------------------------------------- ------------------ FEES
M Z CONSTRUCTION CO type amc;Lint by datq v-et_pt
18585 SW ROSA RD PRMT $ 1500. 00
INSP $ 35. 00
ALOIAA OR 97007 Ppl/m t i 5135. 00 JLH 04/01/91
Phone #: 649-.5527
Contt-avtor: ----------------------------------
CONTRACTOR 140T ON FILE
Plhone #: $ 1535. 00 TOTAL
Reel
------- REQUIRED INSPECTIONS
his Applicant a-,reps to coo,DIV with all the rules and rpg„Iations Sewer Inspec.,tiori
of the Unifitj 50wage Agency. The permit expires 120 days from
tip date issued. The total amount vaid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at ',he measurement
given. the installer shall prospect 3 feet in all directions free
the distance given. If not so locatcJ. the installer shall aurchasF
a 'Tap and Side Sewer" Permit and the Agency Oral
- t;e P natur 3 C i q -e
1. t_l e tj B V
Cal 1 f 0 V, in ppet ion (,39--4175
i
i
CITY OF: 1-1C.ARC) _ RECEIPT CIF PAYMENTRr•; ; -
C E L► r N[a, :91 -211442
NAME t MZ CONSI`{ icl-ION CHE:CV, AMOUNT e 46(..3. 14
I gjmmE ss t CASH AMOUN F0. ���
PAYMENT DATE a N4!�l+i 191
SIJRDIVISION
12P44 LANSDJWNE
t'URPClaF i)1 PAYMENT AMOUNT PA I D PURPOSEOF PAYMENT F,
AMOUN'T A I D
S1Jil_.DINt3 C'F'RM MST91--4'1054__.____..4b1�J. a FSI CJMRINt3r PERM 1.47. 50
.�_ --.___.
M'E:CHONIC;AL PE: +�. � TAT.
PLAN CHECK �E WILD PER :3'I. 81
SEWER INSPECT c 14' 33; SEWER USA
X5. 00 RLSIDENTI►�!. TRAFFIC FE.E•E; 1�
00. Oo
PARAS; '�iDC; ".50. 00
� ':4144. 00
MATRANSIT TRANSIT T.IF FEE c; STORM DRAIN i3Df_'1 ,'75. 00
V�Q�, y1;1
iTOTAL A" !1 PAID
� 4663. 14
1
i
I
13125 SW tau nwd. PLNCK/RECT #
CITY GAF TIGARD rot�av»2 PERMIT N ^1,5 � y�- G•U SY
COMMUNITY DEVF LOPMENT DEPARTMENT Tiprd,Oregon 9=
(503)639.4171 DALE ISSUED __—
JOB ADDRESS: 12244 1 C�k//JSr.�OwtiE TAX MAP/LOT � /a 3G O�odO
SUB: 14�lxe-3 ro 4J6 — LOT: -q LAND USE:
E
VALUATION:
OW�lER SPECIAL NOTES
NAME:
ADDRESS: IBM< - 6w
(_AL. �)-7o07 I
PHONE: X49 -55 Z J —
CONTRACTOR 1
NAME: g IL144 L L ZL�U(-- (LA
ADDRESS: _ I6S aS :�� (civ A )
PHONE:
CONTR. BOARD A: &412'k EXP DATE:
0_ _ ITEMS REQUIRED
50, NT C _0K: PLUMB: E sl 06- LIST/SUBCONTRACTORS:
i,LCH: �f�< ti��.J�A.J t (' U/aC� BUS TAX:
ARCH ENGINELLR � Sys' ' dtALCULATIONS:
/C - z9- yv
NAME: •� �1 rJ 1 LCj(c� "�„ Z-r -� / TRUSS DETAILS• �r
ADDnccc. OTHER:
PNC —
PR( /
COP '�/ C
AP
Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.. DUE
IL2L �y 10-432 00 Building Permit Fees
✓ ��u (o�' o ..
_ 10-43i 00 Plumbing Permit Fees5u
10-431 01 Mechanical Permit Fees -/ i v.•;U
10••230 01 State Building Tax (5%)
Building A 3 .4
Plumbing 1—13L
Mechanical �,L,a-
10-433 00 Plans Check Fee
Building � `� ' ✓
Plumbing _
Mechanical 3
10-230 06 Fire — —
Q /'S/-u�5 y 30-202 00 Sewer Connection ✓, `� — �-�Z'�
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
a
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fee; -
2.5-448-03 Office TIF Fees _ -
25-448-01 Residential Traffic Fees ✓/�_2 -
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (FDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) �/ 37� -3 T�
24-445-01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in lieu of)
TOTAL / y
nm/3587P.Wf'F
I
r
♦ 1
1
CITY OF T I GARD — Rr.-c .I FST OF: pAYME:NT RECEIPT NO.
CHECK AMOUNT00
� 10Q�. 00
CASH AMOUNT a
II a "I-C CONSTRUCTION CO. PAYMENT DATE. a k'3/2i /91
ttF: 3$ r I A585 GW ROSP RD. SUBDIVISION x
AI._C1HN, OR 97007•~
.p0SOF PAYMENT AMOUNT PA l U F'I 1R�'Ot+E C1f c�AYMEN� AMOUNT PAID
F-
100. 00 _..
P1 (IN CHECK FE
I
36R
i
lo FAL AMOUNT PAID ....