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12287 SW LANSDOWNE LANE I � J !�`1. •,.1 F ��' x 9 J 34�I >,,,wry«Irs+n�Vkl9dGY1'+ilptu�f'�M6M�AF�d!vm•«.,.. ' r. t { ADDRESS. r p 1 1 ' I•{�I r y; I; b i:\records\microfilm\targets\building.doc x "i INSPECTION NOTICE city of Tigard Building Department 13125 SU Ball Blvd. Tigrrr, veegon 97221 Inspection Line (Rec-o-Phone): 639-4115 Business Phone: 639-417' Footing Plbg. Undersldb Mech. Rough-in Appr/Sdwlk s Fosand. Plbg. Top nut: Gas Line FINALS -Bldg. Point/Beam Struct• San. Sewer Framing -Bg• Pain Drain IneulatLon �, ply• ` Pcet/Beam Mech. -- % _ ✓ Water L!re GYP• Bd. Pl by. Underfloor Time: _ AM PM Date Remsesteds � - Addreass Builders THE FOLLOWING �RECTIONS ARE REQUIREJJ: Inspectors /= —_ ---- Dat�:� -- APPROVED riISAPPROVED , APPROVED SUBJECT TO ABOVE JTZ Call For R+Jinep. mV�IJ" �s"Aa,as � uJWaNpfx ., ., 5 _ _ I c INSPECTION NOTICE City of Tigard Building Department 13125 Sp Ball 11vd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninena Phone: 639-4171 t Inspection= Footing Plby. Underslab Mech. Rougti-in A ' ppr/Sdwlk Pound. lbo. 1,op Out Gaa ',ine FINAL= Post/Roam Strutt. San. Sewer Framing -Bldg. i Poet/Beam Hoch. Rain Drain Insulation -Plumb. I Plbg. Underfloor Water Line �.., Gyp. d. Gyp. Bd. -Mech. Date ReQuastad=�� rime. a AK PM Aldreee: - �� Builders �,(ll /✓(��f�l ` THE FOLLOWING CORRECTIONS ARE REQUIRED= 5+ Inspectors y 1 Dater 7-1 A^PROV190 DISAPPROVED APPROVED SUBJECT TO ABOVE `Call For Reinap. ���3111 yy yj .w: , 1 f iy I ■ INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blc•1. Tigard, Oregon 97223 ;nspoct'an Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 Inspect ion:___ ---- ---�___ / Footlr,g P.bg. Underalab Mech. Rough-in Appr/Sdwlk ■ Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Struct. ean. Sewer Framing -Bldg. Post/Ream Mach. Rain Drain II"nneeulattor -Plumb. Plbg. Underfloor Water. Lines O`yp.�Bd. -Mech. Date Requested:_,_ Timet _ AM PH Address:/.i�iC�%i S c.✓ �/'/�/SUC.'c✓fit Permit is 1 %� L7/G[1 Builder: ) ° THE FC1,1kWING CORRE(.'TIONS ARE REQUIRED: h �r C t i r Inspectors Dates APPROVED - DIS�AP�P OVISD APPROVED SUBJECT TO ABOVE. Call For Reinep. 1 _� a e h INSPECTION NOTICE City of Tigard Building Deparboent 13125 BW Ball Blvd_ Tlgard, Oregon 97223 Inspection Li,:e (Res-O-Phone) 639-4175 luaineun Phone: 639-4171 - I Inspection: , Footing Plbg. Under :lab Mach, Rough-in Appr/Sdwl.k , Fovnd• Plbg. Top Out CAN Li•e FINAL: Post/Beam Struct. San. Sswer Fre01n9 -Bldg. Post/neon Mech. Rain Drain Inauletion '� -Plunb. Plbg. Underfloor Water Line Gyp. Rd. -Mecn. Date RegueetPd: _Timet AM PM Address:____ zv4;;'� 4 Builder:_ 1 THE FOI.LOWINO CORRSCTIONS ARE kE(:JIRED: — a j, Inspectors Dates (/APPROVED DISAPPROVED -� APPROVED SIJR:fE47• TO A6:.';E Call. For Reinnp. i .___ � tvru�iYY�'a �+l+ ea' i�nii�+,d��t+' ,.. 11 'PihT�iMNi;�'� "+ ,• • I INSPECTION NOTIJE ' City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc.-O-Phone): 639-4175 Business Phone: 639-1171 Inspection: Footing Plbg. 11nderslab Mech. Rough-in Appr/Sdorlk Found. Plbg. Tup Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. DateAsquested:__.__�Q _T1 me: AM PM A Address:�4.2s?ll �2r Builder: 11 Tc20o'-, THE :FOLLOWING CORRECTIONS ARE REQUIRED: �(C J ire�d� A t l r bg a I l� InepWtorl iu�� Dates r APPROVlD DIBAPPRO'OBD APPROVED SUBJECT TO ABOVE � yw` r r Call !or Reinsp. nw"�6v t V' L : 'f i,. ItiSPE:';TION NOTICE L.ity of Tigard Building Department ent 13125 ,-,q gall Blvd. Tigard, Oregon x'1223 Inspection Line (Rec-O-?hone): 639-4175 Luoineas Phone639-4171 Inepe�tlon: Footing Pl.bg. 11ndersi:.0 Meeh. Rough-in App•-/rIWI.k Found. Plbg. Top Out 0348 Line FINAL: , Poet/Beam Strur.t. Sen. Sewer Framing i •Aid g• Poet-/Beam Mech. Rain Drain Insulation -Plumb. 1 Plbg. Underrloor Water Line Gyp. Bd. -Mech. Date Req::eeted: ' Time: AN ��py - Addreeo. #I / 2L/ Builder: THE FOLLOWI CORRECTIONS ARE REQUIRED: d Inapector:. _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. V 1 CITYOFTIFARD IAUILDING RERM.0"r CRYOFTWAI� : EUP9~—�161Z' COMMUNITY DEVELOPMENT DEPARTMENT �ocemooa EF;rwiT #. . . . . . 19125 SW FWD Blvd. P.O.Box 23397,Tlpad,Onyon 97229(scl)639.4176 _A 1 7 , __. i 5o r� r,CZ1 ITE ADDRESS. . . : 1�2�'7 SW l._ANSI?pWhvE I.N F ARCE L: .)UBDIVISION. . . . : ZONING: R-h LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . EISGUE: FLOOR ARF'AS-- --- - - E=x'T-PRIOR WALL CONSTPUCTION- LASS OF WORK. :ADD F I RST. . . . .579 SF N: S: E: W: � YPE OF USE:. . . :SF ;�LCOND. . . : SF PROTECT OPE'NINCir^._..___._-___-_... iYP OF CONST. :5N TH1RD. . . . : sf N: S: E: W: OCCUI=',TNCY GRP. :R3 T OTAI._ -- - _ "79 ti f ROOF L1..'14ST: F I Rk RET';' . (_cC.C;UPANCY LOAD: BASEMENT. : s F AREA SER. RATED: p I GTOR. : 1 1-41-. : 10 f t GARAGE- -.-. s f OCCU SEP. RA rr-D: PSMT'':N ME.ZZ'':N REDD FLOOR C UAC. . . . :491 p s f 1_E FT:46 "L RUH] ; 1"t FIR '!'X+"' : SMOK 0F. 1'. . DWELLING UNITS: FRNT: ft REAR.-31 ft FIR ALRM: HNDICP ACC: NEDRM5: 1 BA IHS: : IMP SURFAC L. PRO C-CIRRI PH RKIN(.l: VALUE. Remar-lis . Permit fol- completion of addition to SFD Sta-ted prior to annex•ati.on cri pr ol)er•ty. Previous permit expirpcd. See letter in file. Uwrner- . _.___.__._____..__._.__ FEES ANDY WIE.E tv1.)e amo'.rnt loy date rer_pt f 12c'-147 SW LANw DOWNE. l.,.1\1 PRMT 9• 92. 50 BCR 06/17/92 4. 63 BCR 06/17/9it TIGARD OR Phone! Cont r^a(-t ora _._...._---•_-•-- CON'TRACTOR NOT Ohl r-TI.C. Pl"lone #: $ n;. 13 TOTAL- Req REQUIRED INSPECTIONS ihis permit ipalssued sablect to the regulations rontained to the Mechanical In-.,L) rt4 Tioard p r' •;�t _ode, State of [lr'e. Srec:ialty Codes and all other Framing Insp ;� • applicable laws. All work will be done in accordance with Insulation Itnsp approvil Flans. This permit wili expire if work is not stated Lyra Hrra;,d Insp wr',lin lb@ dans of issuance, or if work is suspended for more Final Inspection than 160 days, yrcj�r Ft'r,,n? 4:tee 5i rtat�.tr , Iss,_IecJ 13y: .s' C'al 1 for^ inspection 639--4175 , 13123 SW Ball Blvd. PLNCK/RFCT # CITI OF TICARD rou,.x23397 PERMIT # ­-'LA 10 9 E, - 01Z, v COMMUNITY 1)[-.VGI,01'NtENT DEI'AR1'Ml,NT 'ligaraOregon 97223 (503)639-4171 DATE ISSUED r — JOB ADDRESS: � • IE- TAX MAP LOT SUB: _ _ _ -- LOT: �" _ LAND USE: VALUATION: OWNER SPECIA OTS NAME: --------- r, r>,, lc%s. REISSUE OF: _ ADL`RESS: _�_-- -- LAST REISSUE: — _ FLOOD PLAIN/ PHONE: —__ � � 6" �' — SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: _ f ADDRESS: _ — ENGINEERING: FIRE CEPT: — PHONE: -------__—.--- ------ _--- OTNER: CONTR. BOARD #: _ -- EXP DATE: _ ITEMS REQUIRED SUBCONTRACIORS: PLUMB: _-.--_ _____-^_ __-___ __ LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH ENGINEER _ CALCULATIONS: NHME: ,.____-- TRUSS DETAILS: -- ADDRESS: _— — _ OTHER: PHONE: ----- I PROPOSED BLDG. USE: COMMENTS: APPLICANT SIGNATURE Received By: _ _ ____— Date Received: IIXIMM!Mmw'.+•.-.;.v.,r•', ,._..... .. .._- --.._.. MY'YftIIMMR C`.. aiar�'. PERMIT # ACCT DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE sv 10-432 00 Building Permit Fees 10-431 00 P'umbing Permit Fees _—__- 10-431 01 Mechanic-if Permit Fees 10-230 01 State Building Tax (5%) y 6 Building Plumbing _ Mechanical s 10-433 00 Plans Check .=ee Building — Plumbing Mechaoical 10-230 06 Fire -- 30-202 00 Sewer Cotinection - 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-449-04 Industrial TIF Fees — 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Ma,,s Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg i (SSDC) — __-- 24-445-01 Water Quality (Fee in lieu ef) i 24-445-02 Water Quantity (Fee in lieu of) �J ! �3 10TAI 7'7 nm/3581P.WPF 1 i 1 • . . 1 CITY OF —I GARD RECEIPT OF PAYMENT REC;Ec I PT NO. 192—PaS6 iH � CHECK AMOUNT a 9"7. 13 NAME. : WI'SE, JAI41E D. CASH AMOUNT a 0. 091 ADDRESS : 12887 SW LANSDOWN' LANE: PAYMENT DATE a M(, 1'7/9;' TIGARD, OR aI.JBDIVsSION PURPOSE OF PAYMUNT AMOUNT PA I I) PURPOSE OF PAYME=NT AMOUNT PA I D 1 ' bl'ILDINI3 fit„FiM L!C9p--o16 r �#i .- 2� .�'1 . E�UIL D i"'E=F2 4. 63 TOTAL, AMOW, 'A I D - - ) 97. 13 R k S ,+ 5r �lY.' sr ultl.�+�7'l4"yT/c rrt,. ... ,...i,•oan7.r+a�..r�.. ... ,,.,,:. .:,;: ,,',,r:a'^'�v,aavr:fnew,,.,..... �'. ,,. CCTY OF TIGARD OREGON June 12, 1992 Plr. Andy Wise. a 12207 sW La-:sdowne Ln. Tigard, OR 97223 Re: Permit. #BOP92-0160 f. Dear Nr. Wise, The permit for completion of an addition to your above home is approved subject .N to items noted oa the plans, and the following: The new permit requires the addition to con'orm to the current building cods. There is a difference in the insulation -equirements from the original permit. atter reviewing the plans and the progress of the building to date; S believe that your project falls somewhere in between the two codes (since the building has been t -amed and the windows installed). As a result, the minimum insulation to be prcvided will be the minimum component requirements" as outlined in Table 53-P of the energy code. "m following are the minim-am insulation requirements: Walls - 2x4 wall& R-15, 2x6 walls R-21 Vault Ceilings -- R-30 Windows - 0.65 max. "O" valus. ` The R-21 wally and R-30 Vault ceiling are in excess of the ccamponent minimums, however, they will be connidEered to make up the difference in the slab edge insulations which is only R-5 (where R-10 is required). If you have any questions, please call me at 639-4171. Banc ly JC"'�� Brad Roast Building official I i s 13125 SW Mall BMd.,P.O.Box 23397,Tigard,Or6gon 97223 (503)639-4171 — t.. a I 4 1 I INSPECTION NOTICE L City of Tigard building Department 13125 SN Hall Blvd_ Tigard, Oregon 97223 Inapection Line (Rec-0-Phone): 639-4175 Business Phone: 6:9-4171 -1 Impaction:_ + " lL.• �f Y� �__�_. _ ___ uooting Plbg. Underalab Mech. Rough-in Appr/Sdwlf. bound. Plbg. Top Out (las Line FINALS Pont/Beam Struct. San.. Sewer Framing -Bldg. . Poet/beam Mech. Rain Drain Inaulatlon -plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requested:,_/ �} �/�-'I - 1� / Timet AM -�<—PM , Address:_I?�-,Z D( ,Yf l_-lyt�1� Vu /(,Q1/�Permit #s (7u-- VOQ�Q Builders �Vi�.�1'�V �- r (1/h , d�fp ' Z Z- TB= !OL�MTNG CORVICTIONB ARE REQUIRED: Inspect�o(rJ = _ Date• L✓ y _APPROVED —� DISAPPROVED P.PPROVED SUBJErT To ABOVE Call For Reinsp. r i CITYOFTIFARD ��. CIYYOF?MRD COMMUNITY DEVELOPMENT DEPARTMENT orteimoee 13126 SW Hell Blvd. P.O.Bax 23397,Tilted,Oregon 07223(60318341176 `� -- --------- -- ---- - - -- --may y PERMITE PE RMI T' #. . . . . . . : NI_M9�=-��f, 631)--4171 DATE ISSUED: 05/19/92 3I i"E ADDRESS. . . : 1'2'287 GW LANSDOWNE i...N F'ARCF L: 2510 SBC-[iR 1 c Illi SUBDIVISION. . . . : ZONING: R-F BLOCK. . . . . . . . . . . LOT. ., . . . . . . . . . . . . m ' I.:L(iSS OF 14ORK. . tADD__ GO RBAGE�DISPO ALS, . :_._.._._..__.- mnalLE: HOME: SPACES. : 1 YPL OF' USE.. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PRE JNTRfS. . : OCCUPANCY GnP. . : R3 FI_gOR DRAINS,. . . . . . . . TRAP;. . . .. . . . . . . . . . . . wrb :> TORIES. . . . . . . . . WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . . FIXTURES----.__ ___. _______. LAUNDRY TRAYS). . . . . . 51= RnII,-I DRAINS. . . . . : ,3NKS. . . . . . . . . , e URINALS. . . . . . . . . . . . GREASE 'fRAF'f3. . . . . . . . i-A'VAT0R IES. . . . . :c: OTHER iER FIXTURES. . . . . : I'UB/SHOWERS. . . . :2 SEWER LINE (ft ) . . . . : WATER CLOSETS. . : 1 WAVER I_TN (ft ) . „ . . : , 015HWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remav-[(s; : ORIGINAL PERMIT TAKF-*'N UUl" WITH WASi-.INGTON C01-INTY. SEE F=ILE= FOR COPIL(:• OF PERM I f FIND INSPECTIONS. F I NAL F'LUMFI I NG INSPECTION REQUIRED. Ownel--: FEES EEROGE R JAMIE= WISSL type .anlo4.rnt b date recr)t 1.2287 GW LANS)DOWNE I__N PRMT $ 30. 00 JI_H 05/113/92 ` PCT $ 1. 50 JLH 05/19/92 - rICARD (1R 97,.`3 Phone #: IiAYBQRN' S PLUMBING 1764`j 5W JURGENS RD 1'UALATIN OR 97062 __._•_- -_____�______.____.__.._.______-_.___ Phone #: 503-692--4139 $ 31. 50 TOTAL Req #. . : 44110 REUUIRE=D INSPECTIONS This permit is rued subject to the regulations cortain�d in the Final. Inspect i ori Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with Approved plans. This oarmit will expire if work is not started within 160 days of issuance, or if work is suspended for Bore than 180 days. !-`ermit:tep SSirin<�t _1r - TSSi.IP.Ci BY ' Ca'_ 1 f'or insinection - 639--4175 p _ �°!�"�',,, ►�' .�► a� 4 �'�� '„�! _ ire ', �R �+±Mra�'"+M AN w r M 1 i 4 r. CITY OF T I GARD — RECEIPT r)F rltlYMF-N T RF M I E=ST NO. :9P—;--,,0!7409 CHEC'V AMOUNT z 31. 50 NAME p WISE, JAMIE CASH AMOUNT c 0. 00 ADDRESS 120-..87 SW LANSDOWNE 1:''AYME=NT DATE a x_'5/19,192 FAJPD I V I9 I ON R. . ._ y Tf r3ARI7, OR 972F3— PURPOSE OF PAYME:N'T AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA I D —L B—B— INC; FBF'RM 30. 00 ST.. BUILD PER1."5 0 1 rolAE_ AMOUNT FAID _? 31.. 50 + Ml �._ '; +;NM�Nn �p,M.fJY . ... ,_.,:.r ,.., .. ��IGi�Y .t_ _.r.:,'J.lw..r .a.....�•'. yD r� t t.•,;y tti}r Fir' WASHINGTON COUNTY, C REG ON ` ,t May 18 , 1992 . T Jamie wise 12715 SW 121st Ave. � Tigard, OR 97223 i� RE: P0003731/05004954 I regret to inform you your permit, No. 05004854 , expired two years ago. ;-'. �t Before you begin work a new permit will be required. You will need to submit plans that comply with the new Energy Code (forms included) . Your permit fee will be $212 . 15, Plans Review will be charged by the hour and should be $100-$150. sincerely �, L/ Bob Kelly Building Official e�is c: File Enclosures s' I 2BKL/J'W 1 t i 14 •r A��l� � n 11 1 rt 1 i 1. {J, (j I' Y . '. MAY 1 1992 Mr. Bob Kelly Land Use &Transportation Dept. 155 N. 1st Ave. Hillsboro,OR 97124 May 6, 1992 Dear Mr. Kelly, I would like to requmt an extension on our permit # 05004854. We had to put our whole project on hold dre to our °inancial situation. We have just recently been able to get started working on this project again and we intend to finish it within the next six months. I would rerilly appreciate it if yc.a could let me know how we stand on this matter. If you need any additional information, please feel free to call me, my work number is 626-2002 and the home number is 639-4690. Thank you for your time and I look forward to hearing from you soon. Sincerely, r J Wise - U Ay INSrECTION NOTICE kf, City of Tigard Building Dapartisent / 13125 ON Ball Blvd. Tigard, Oregon 97223 Inspection Lino (Roc-O-Phons): 639-4175 Business Phone: 639-4171 i' Inspection: Footirg Plbg. Underslab Hach. Rough-in Appr/Cdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. an. Sever Framing -Bldg. Post/"Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. Hach. Date Requested: --,✓-�� Ti.m�es —AM �i If rP_H Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: � f e Inspector: < 21 �— -- Date: S j—APPROVED DISAPPROVED APPROVED SUBJECT T(.) ABOVF —__Call For Rei,nap. i C Tib OFTIFARD SEWER CONNECT 10Pa MY 1"RD I='1-RMI"I 1 QOMMUNRY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR9 1•-018S 181PB w Ho BW P.O.Box 23307,TOW,Oregon 91 (600)8744176 3C,11 T1. Ul i iih i�; SITE ADDRESS. . . : 12&87 SW LANSDOWNE LN PIfARC•EL.. : S 103SC---011012, GUDDIV11;1ON. . , ZONING: R--6 r . . J BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ■ 1-ENANT NAME:. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . . CLASS 01= WORK. . . :(EGD DWELL 1.NC U1\1I TS. . : 1 II ■ TYPE OF USE.. . . . . :5F NO. OF BUILDINGS: ' 4 INSTALL TYPE. . . . :Bl1 WF? IMPERV SURFACE. . Remarrts : Co ,nett exist SFD -to hewer. Hol_rse b_rilt prior- to 7-1-70. rprtic tank mr_rst be p.rl.rmpred ol..rt and Filled with yraVe] . Insp of filled tan4 regrtlred. Ejwrier. _._____.__._______._.._._.___..__.._._._._.__..________— __---_—._---w__.-... FEES JAMIE_ WISE rpe amol_rnt t)y date rect?t 12 '87 SW LANSDOWNE LN RMT $ 300. 00 JLH 01/02/92 — INSG $ 31". 00 .T1.1-♦ k-1 /r2rE_/9c TIGARD OR 97223 Phone #: Contractor: OWNER r i 1=1fi orr e #: 1 333. 00 TOTAL Rey #. . : _ . -- ---- REQUIREF" INSPECTIONS ----- -- - This Applicant agrees to comply with all the rules and regulations Sewer Inspection __�,____.• _ .__-., I of the Unified Sewage Agency, The permit expires 108 days from Seritic Tank Fill _-__. W,.___�___,_,.• the date issued. The total amount paid will be `.'felted if the _ _.._.___..._.... permit eypires. The Ayency does not guarentee the accuracy of the side Sewer laterals. If the sewer is not Located at the measurement W•____•_,___ _ ____ __ ___ _.._..__ 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 st '1 lateral.e�t I:er mittee ;3iynature nI _ •_ ____,. _ _��_-_.____ IsCr_red 13y : Call for inspection --- f,.:,9-41'1 'i nr � t r r I Ate,,, z r R« i . , _ i�0 I i CITU QT TIGARD i312ssw[fall tPLNCK/RECT # PC)BoxBoxu397 "7 COMhiUNI'tY DIl�ELOPMEN•r DEI AwrMENT �1iprd,Oregon9r-D PERMIT (503)63"171 DATE ISSUED i JOB ADDRESS: - J<�,i., y.�v _, , t _ TAX MAP/' !)T f — � SUB: LOT: LAND USE: VALUATION: f OWNER _ — SPECIAL_ NOTES i NAME: - tom, _�_ �_�� r _ REISSUE OF: ■ ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: -- %z '� _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: _ PLANNING: Y ADDRESS: ENGINEERING: FIRE DEPT: PHONE: _— OTHER: CONTR. BOARD #: _ EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ _ LIST/SUBCONTRACTORS: _ i MECH: — BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: — _ TRUSS DETAILS: ADDRESS: _ T OTHER. i PHONE: PROPOSED BLDG. USE: COMMENTS: /� cam. y o 7 i. /�ti-0 l] L/f i i APPLICANT SIGNATURE Received By: ` Date Received: ' .. '••'•T^•!'r r�M1NHfpSlfi]MiRiNywq:n..M•w...:. C PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE r 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 3 - � 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing Mechanical _ � 1 10-433 00 Plans Check Fee : ,Jlaing Plumbing _ Mechanical 10-23C 06 Fire 30-202 00 Sewer Connection �' i� 30-444 00 Sewer Inspection 25-448 -02 Commercial 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 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 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 >j a nm/3587P.WPF � 1 i r Y co, T I LIARC1 OF PAYMENT RRC E 1 PT NO. v ►Qin; CHECK CK AMLIIJN'T' a .335. qlo NAME r WISE, JAIN 1,E' CASH Ah"OUNT a 0. 00, 1•aC?DPESS3 A 122-b" r;W L.ANSDOWNE; PAYhiFNT DATA' u QlI/114':"91. SUBDIVISION s TIGHRD, OR 4)7823-- PUFtPOK OF PAYMENT AMOUNT 171W D PURVIOSE OF PAYMENT AMOUNT SWWER USA 300. 00 SEWFR INSPECT i f:il bTl-F� PERMIT rcrior AMnUNT PAID �- — -> g��, 00 l t, 1 1,ry: 1 April 30, 1990 1 Uirector of Planning City of Tigard re: Fyrestone Subdivision I hereby certify that Andy & Jamie Wise (tax lot 1200) are participating in the cost of the public s,gnit.ary sewer line construction on Fyrestone Subdivision. 4 /Sincerely, Milton F. Fyre cc: Andy & Jamie Wisp k � C'. i' e. ! `fii Aptri �3 ,y I � I DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION s I COUNTY, 150 NORTH FIRST, HIL.LSBORO, OR 97124 j ,INSPECTION REQUESTS: 503/640-3561 (24 hours) OREGON PHONE: 503/640-3470 i 'Permit : 05004854 Project 0: P0003731 Status : APPROVED j Issued r 10/18/89 Expires 05/14/90 Valuation: Permit Title SINGLE FAMILY RES. ADDITION COMEO !Description : ADDING 1 BED 1 BATH Job Address 12715 SW 121ST AV TI Parcel number : 2S103SC-01200 1Owner Name WISE, GEORGE A AND ;jApplicant Name WISE, GEORGE 5 JAMIE Applicant Addr r 12715 SW 121ST AV ! TIGARD OR 97223 Phone numb �r 639-4690 APPROVED NOT APPROVED APPROVED STOP WORT: UNTIL [Repair as Listed] [Construction May Proceed] -- -� [And Re-Inspect r [However Note Below. . . . ] Inspection Requested: 'j5i * Foundation 11/x2/89 . RI; Inspection History Swnhiaryi '' r ` k Final PluAlnq 11/15/89 AP LH SEE FILL./ (GROUND WORK) t .,Spector Cam:nAtit.s t r � id1?[4Q41{ �rV �r1 k. r • Y DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST, HILLSBORO, OR 97124 ! COUNTY, INSPECTION REQUESTS: 503/640-3561 (24 hours) OREGON PHONE: 503/640-3470 Permit #+ 05004854 F'ro jer;•t #+ P'0003731. Statu:F-t APPROVED Pager 1 of t 9^j Issued + 10/113/89 Expires + 04/16/90 Valuations 77 , 552 11 /15/89 02+05 � COMBO PPrmit 1"itle + SINGLE FAMILY RFS , ADDITION "h`• Description + ADDING 1 BED 1 SAThl � a µ ' John Address + 12715 SW 121ST AV TI ►CGzt.� r Parcel r•Ii"imber + 2S10 BC-0.1200 ` Owner Name + WISE , GEnRGE A AND 1ppliceint Name + WISE , GEORGE: & JAM].[ � Prop ' icant Addr + 12715 SW t21ST AV e . TIGARD OR 97223 Phrone nian,oPr,,, + 639-4690 'a AP'P'ROVED OT APP'R'OVED APPROVED _ ST'OP WORK UNTIL [Repair as (.- i -tpd] [Construction May F'r7rped] [Anr1 Re-•Inspect j [Howe uer• Note Below .— , 1 Inspertion k,f--qu r. stied A91RI PO F'LLIMBING t i; '+6 t '« tr t In1. ector orrrmentr.Ye .__ .._. .......... I n p e t t e d h y a _t-_ . ______.�?^ _ _.. D ate _ �-` - •r Nr r., fi „,� n �iw 1 1 r WASHINGTON COUNTY �l DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. �? - T. 3 - LAND DEVELOPMENT SERVICES DIVISION TEMP. PERMIT NO. _ ELECTRICAL INSPECTION SECTION 160 NORTH FIRST AVENUE DATE HILLSBORO, OREGON 97124 640-341 U ISSUED BY LABEL NO. ELECTRICAL PERMIT APPLICATION 51012!1%T -j A'e o.s_Slc -.�6q NAME OR FIRM PLEASE PRINT i e MAILING ADDRESS T LEPH(1Nf + a cIECTHICAI CONTRACTOR LICENSE NUMBER _ , IAM REGISTERED WITH THE BUILDER'S BOAF ORS 701.055 REGISTRATION N EXPR. DATE SIGNATURE 0. SUPERVISOR LICENSE M i I X PROPFP,T,Y OWNER I HEREBY CERTIFY THAT I AiA THE OWNER OF THE PROPERTY DESCRIBED BELOW, AT WHICH LOCATION I PROPOSE , TO MAKE AN ELECTRICAL INSTALLATION FOR MY OWN USE AND THIS FROPERTY IS NOT BEING CONSTRUCTED FOR SALE, LEASE OR RENT FOR THIS REASON, ' AM EXEMPT FROM BUILDER'S BOARD REGISTRATION UNDER ORS 701 055 THE ACTUAL INSTALLATION WILL BE MADE BY ME><OR BY WH S A M MBE OF MY FAMILY RELATIONSHIPOWNER'S SIGNATURE . OWNER'S NAME GEoRG-- yyl SE — LOCATION OF INSTALLATION ADDRESS :11r C 04 DIRECTIONS_ SOuj-H OF U11A1LNU wf r 510E OF /ZIST �L,4G LOT FEE HESIDENTIAL RESIDENC': WIRING LESS THAN 1000 SO FT _ @$ 12.00 RESIDENCE WIRING LESS THAN 2000 SO FTe @S 53.35 RESIDENCE WIRING OVER 2001 SO FT @$ 74.70 ELECTRIC HEAT INSTALLATION IN EXISTING RESIDENCE @ S 21.34 . ....... ....................................... SERVICES TEMPORARY SERVICE $ 21.34 SE,VICE CHANGE ONLY IN AN EXISTING RESIDENCE @$ 21,34 SERVICE NOT OVER 100 AMPERES @$ 32.00 101 AMPERES BUT NOV MORE THAN 200 AMPERES @$ 53.35 ^ OVER 200 AMPERES BU' NOT MORE THAN 400 AMPERES @$ 74.70 OVER 400 AMPERES BUT NOT MORE THAN 600 AMPERES @$ 106.70 SERVICE OVER 600 AMPERES @$ 138.70 SERVICE OVER 600 VOLTS @ ................... . . — $ 320.10 .............................................................. FEEDERS INSTALLATION, NOT MORE THAN 100 AMPERES @S 21.34 ALTERATION OR RFI OCATION OVER 100 AMPFRFS BUT NOT MORE THAN 200 AMPERES @$ 32.00 OVEH 200 AMPF Hf ti NU i N111 M(1F1I I IIAN 400 AMPFHES (0$OVER 400 AMPERES @$ 64.00 FEEDER OVER 600 VOLTS ....................................._.. — @ S 85.36 MISCELLANEOUS MOBILE HOME SERVICEOf 21.34 .............................. —_—_ MOBILE HOME FEEDER @$ 21.34 r EACH IRRIGATION PUMP @$ 21.34 EACH ELECTRIC SIGN OR OUTLINE LIGHTING y @$ — ^ 21.34 EACH RESIDENTIAL SWIMMING POOL $ 21.34 ONE NEW CIRCUIT,ALTERATION OR EXTENSION ^- @$ 21 34 TWO OR MORE NEW CIRCUITS ALTERATIONS OR EXTENSIONS 01$ 3?.00 OTHER NOT NOT LISTED ABOVE to$ I. NSPECTION FEE $ FOA N0PECT10N8^.ALL640-3661, --- 2. 5%STATE TAX $ 24 HOUR FECOFDER,ONE WORKING DAY _— N ADVANCE OF NEE). 3. PLANS CHECK FEE $ (112+3)= TOTAL CHARGE $ THIS PC-.t01T BECOMES NULL AND VOID IF THE WORK AUTHORI?ED BY THE PERMIT 1S NOT COMMENCED WITHIN 180 DAYS FROM DATE OF ISSUANCE OF SUCH PERMIT OR IF THE WORK AUTHORIZED IS SUSPENDED OR ABANDONED AT ANY TIME AFTER WORK IS COMMENCED FOR A PERIOD OF 180 DAYS ELECTRICAL PE7MITS ARE NONREFUNDABLE ✓S NON TRANSFERABLE DLUT/LDS E-001 e�seier e I DEPARTMENT OF LAND USE&TRANSPORTATION 1 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST,HILLSBORO,OR 97124 COUNTY INSPECTION REQUESTS: 503/640-3561 PHONE: 503/648-6761 OREGON Page 1 of 1. Date 10/18/89 Time 12 : 15 Permit Type Combination Building Permit Permit # 05004854 Permit Status APPROVED Applied 10/)2/89 Situs Address 12715 SW 121sT AV TI Issued 1n/'18/89 Permit; Title SINGLE FAMILY RES . ADDITION Completed 4 Permit Descr . ADDING 1 BED 1 BATH To Expire 1)4,/16/90 Project Title SINGLE FAMILY RES . ADDITION Project # P0003731 Project Descr . ADDING 1 BED 1 BATH Parcel Number 2S103BC-01201) Land Use District Valuation 27 , 552 "+ Legal Descr . . 95AC D 12715 SW 121ST AVE Owner WISE, GEORGE A AND Construction ADD Applicant Name WISE, GEORGE & JAMIE Claosification 434 Applicant Addr . : 12715 SW 121ST AV Occupancy R3 TIGARD OR 97223 Validated by EJ i Applicant. Phone: 639-4690 Inspector Area Building Val . Data #1 : 07-1'5-WF CONTRACTOR : JAMECO BUILDERS INi- Lic . C 00324 646-6726 i Fee description Units Fee/Unit Ext tee Data , J -._----.---------'-----_--_---__ -------------------- ---- Total Building Fee : 212 . 15 Total Plans Review Fee : 137 . 90 Total Plumbing Fee : 35 . 00 Total Electric Fee : 32 . 00 � Total Mechanical Fee : 13 . 00 State Surcharge of 5`t: 14 . 61 Development Compliance (Y=Yesl 32 . 00 Y Subtotal Permit Fee: 476 . 66 Total Permit Fees : 476 . 66 ; *** Fees Required ** *** Fees Collected & Credits *** Receipt No . Date Payment. 10,/()2/8q 137 11 10/18/89 ''j8 . 76 Fees : 476 . 66 Adjustments : . 00 Total. Credits : . 00 a Total Fees : 476 . 66 Total Payments : 476 . 66 Balance Due : . 00 NOTICE: This permit becomes null and void If the work or construction for which M Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void II construction Is Interrupted for a period of 180 days. 1 certify that the Information presented by the applicant and his agent or agents In support of this permit to true and oorreet to the best of our knowledge. I acknowledge that the building Depa!lment's reliance upon Islas and misleading Information may Invalidate this permit. All provislone of applicable laws and ordinances governing the construction and use of this building or s'ructure will be compiled with whether or not specified on the plans or noted 3n the plans correction sheets. I acknowledge that the granting of a permit does not grant at anortly to access private property or to use easements. 1 further acknowledge that the u*d or occupancy of the structure or building permitted depends upon my calling for Inspections at various Ilmee during the ptvicess of construction and the building Inspection staff�erllying compliance rMh the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at t,,e risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the dullding Official. 1 further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and 'evocable until the satisfaction of all Inspection s�requirements. APPLICANT'S SMNAIIJRE { ,. .., rbh.= J� �ti n, , i , ��„! r.r►.., +.aUW�6�.-.i,J',tadf�:� 1Si ,h,,1 (_ 7.. DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST,HILLSBORO,OR 97124 ^A0W' _i Coup ONS OF PERMIT/APPROVAL *INSPECTIOPCQ=ES1S),W1/ 3551 OREQ�J TYPE: COMBO PHONE: 5037iApf0761 1 Fn#: 12715 SW 121ST AV TI Land Development Conditions : . 0005 -- STANDARD RESIDENTIAL BUILDING PERMIT NO SW. ST. TR. : 1 . Setbacks : Fifteen ( 15 ) foot front yard, twenty ( 20 ) foot yard to garage vehicle entrance, five ( 5 ) foot side yard, fifteen ( 15 ) footrear yard, 2 . No building ort or over easements . 3 . Single-family dwelling only . 4 . Identify all property Ipins prior t initial foundation • inspection. ' Applicant Signature : r. I i I 9 I 'i rlC8: This permit baroomea null and void If the work or construction for which If is Issued Is not commenced within 180 days. Once construction hes started, the permit becomes null and void If construction is Inter upled for a period of 180 days. I certify that the Information prosented by the applicant and his agent or sgcnts In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Departmeni's reliance upon false and misleading info�matlon may invalidate this permit. All provislons of applicable laws and ordinances governing the construction and use of this building or stricture will be compiled tAlh whether or not specified on the plans or noted on the pians correction sheets. 1 acknowledge that the granting of a permit does not grant authority to access private property or to use easem'9nls. I further acknowledge that the use or occupancy of the structure or but;ding permitted Jopends upon my calling for Inspections at various times during the process of conon action and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permiMdd prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inerw l,an requirements aro satisfied and approval is given by the Building Official. I further acknowledge thrt a lien may be planed on the this of the p,operty upon which tho permlt Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satlsf,,ction of all Inspection requirements. APPIJCANT'S SIGNATURE � I Ifs L +"• :r.w.ewxw,a'a�xMr .,:yr.,,.,nAihMia.rn.. ..,.,......,..... ............+:.,aM++M,N!!M'il�'AK4yPi^?M'U'N- N+ .,�: y, Fwli k' Dii11AkTMKNT Or KRALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH AND SANITATION Application Date: 10-18-59 Date of Inspection 10-17-84 CRf 34-2919 AUTHORIZATION NOTICE j Map and Tax Lot Number: Township 2S Range 1W section 3BC T.L. # 1200 Road and Address 12715 SW 121st--Tigard Property Owner a George A. & Jamie D. Wise +� 12715 S.W. 121st Tigard, Oregon 97223 This notice authorises the nse of the on-site sewage disposal as tem Located on the property identified ab-,ve to serve a Single Family 1-4 Bt with a sewage (type of structure) flow up to 450 gallons per day. CONDITIONS OF APPROVAL: This individual sewage disposal system is functioning satisfactorily at the time of inspection. Recommend pumping septic tank every 2 years. Adequate replacement drainfield area exists south of detachgd garage. No permanent structures ailowed over replacement area. _ Recommend hook-up to public sewer line when it becomes available. There is "No County Record" on this system. I - i r. — i SANITATION 6G �CJ DATE l61 +. Gerhard Matheis - 640-3558 1 5E-37-rev. 7/23/85 WCDP7 ' ,i ' , •fit r `""" .,,,, � ,? } +T r + k .➢tri t 1� _ , DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST,HILLSBORG,OR 97124 COUNTY, VISPECTION REQUESTS: 503/640.3561 V�J PHONE: 503/648-6761 OREGON I Page 1 of 1 Date 10/02/89 Time 12 : 10 Permit Type Combination Building ?ermit Permit # 05UU4854 Permit Status PENDING Applied 10/02/89 Situs Address 12715 SW 121ST All TI Issued Permit Title SINGLE FAMILY RES . ADDITION Completed i Permit Descr . ADDING 1 BED 1 'BATH To Expire Project Title SINGLE FAMILY RES . ADDITION Project. # P0003731 .a Proje%,L Descr. ADDING 1 BED 1 BATH Parcal Number 2S103BC-01200 Land Use District Q-5 Valuation 27 ,792 `1 Legal Descr. . 95AC D 12715 SW 121ST AVE ; Owner WISE, GEORGE A AND Construction : ADD Applicant Name WISE, GEORGE & JAMIE Classification 434 Applicant Addr . : 12715 SW 121ST AV Occupancy R3 TIGARD OR 97223 Validated by EJ Applicant Phone : 639-4690 Inspector Area CONTRACTOR : JAMECO BUILDERS INC Lic . C 00324 646-672.6 *�* Fees Required **x *** Fees Collected & Credits ** ----------- ------------------ ------------------------•------------•-------- Receipt No. Date Payment 10/02/89 137 . 90 poo S NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 100 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 100 days. 1 LorlIfy that the Information presentowd by the applicant and his agent or spents In support of this permit Is true and correct to the best of our knowledge. I■t knewilA9P that the Building Department's rellance upon false and misleading Information may Invalidate this permit. All provisions of eppllcule laws and ordinances governing the construct-n and use of this building or structure will be compiled with whether or not specified on the plans or noted on the p.ens norrection sheets. 1 scknowledrjb that the granting of a permit does not grant authority tr!dt--vos private property or to use easements. I further acknowledge that the use or occupant;of the structure or building permitted depends upon my codling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or oto;upancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the appllcan.and such use or occupancy Is revocable urtil all Inspection requiren,•nfs aro satisfied and approval Is given by the Building Ofliclal. 1 further acknowledge that a Ilan may be planed on the title of the properly upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspecfin qulremenis. AP CIINVS S NATURE i s, 1J, �u N�'" 6 1 a. 1 l 'r r r'. ✓. g911►u.✓ ,...,... .. ._ -.--_.,..... ..,_... �'.�.AbNG�?".tMr1YMM�nrlxGar.,r,n.,, 1 ■ N z t co i V ■ I � .. Q.. .14 iI t ko W U) W_Q w Na o 'a 1 � l r C� Pi o >' �+ w I o U w I o .. 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Lli 1 `rt'f' N ty U r� v tv O 44 � D H •• R1 °x i s 0 _ �a z o C� w° +� y rt� +� a z 'o p W I 1 U J P, H ro rn a H w 1 H to w � v� a cn a �+ s W mH 1 a wj w w z u re N w Q w Q w . o ro � � o cn v i- \ � H 1 --I U H m I W �. w Z H H z .4 1x a r-1 +� r i ro •{ !wrt7 •, Xr r 1, U H 0 1 x O Q U f/� Q H Q H ( L4 Nz � ;> W { R1 w e, I H U+ �. q Z W C] al v a' w t, II k�n'aM �, l� '1 PLUMBING PERMIT APPLICATION .s WASHINGTON l� COUNTY, PERMIT NUMBER O D j~CJO N F O R I N S P E C T I O N R E Q D E S T S C A I L 6 4 0- 3 5 6 1 lam• F O R O T H E R B U S I N E S S C A L L 6 0 - :I 4 7 0 NOTICE This completed form is PLUMBING PERMIT FEE SCHEDULE required prior to the issuance of a building permit. SINGLE—FAMILY—RESIDENCES -- _ one bath 155. 00 JOB INFORMATION• two baths 205.00_ three baths 250.00 4 address 12-715 5-J 12 ILI Iover three baths: no of bath fixtures_ times nearest cross street (IJ�L/��_ 9.00_ owner Ct�&F RESIDENTIAL REPAIR owners address SA;,.xE less than 7 fixtures & 50% *TAX MAP & LOT #: repair 50. 00 �1 less than 7 fixtures and over 50% CONTRACTOR INFORMATION repair, or over 6 fixtures , the no of fixtures _times 9. 00 name �1 �t� \?`'rV`_ V,vY� "ti �� solar panels &, water heat exchangers 25.00 ea. address ?w r phone_ ''~ � �� : ' fY• < ,r MOBILE HOMES m/h sewer and water services plumb. bd. ;'� ��' Wil" no. of spaces times 30.00 no, l' mobile home service connection builders bid. no. ,• 7�1i� no. of m/h X 25. 00 signature COMMERCIAL/INDUSTRIAL no of fixtures x 9.00 _. OWNER INFORMATION water servive* I certify that the actual work tip to 100 ' 30. 00 covered by this permit will be sanitary sewer* performed by me or my regular up to ' q0 ' 30. 00 employee on property that is storm Fear* owned by me. up tc ) ' 30. 00_ note* sign& ire P in each case added increments of 100 ' or fraction thereof 25. 00 print name water X 25. 00 address177jS- 5t.J1Zisl i6 1_ san sewer A 25. 00 storm sewer X 25.00_ _ DESCRIBE THE JOB 9E-Q&x,,A, 4 VAiN �-�L�O1�Icoti) MISCELLANEOUS To C)el .51-jos- Kcsic tjcd: TOTAL FEE (25.00 MIN) _ BCA SURCHARGE 5% AMOUNT DU YOU ARE REQUIRED TO RECEIVE APPROVAL FROM THE PLUMBING INSPECTOR PRIOR TO COVERING, CONCEALING OR PUTTING INTO USE ANY WORK COVERED BY THIS PERMIT Department of Land Use And Transportation, Land Development Services Division 150 North First Avenue Hillsboro,Oregon 97124 Dhone:503/648.8761 *Required to process permit L . � I N YI l 7j / i o„gg MPC/1 F aid rrr r o W1 1