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14012 SW LIDEN DRIVE r ` •j�� I. y � ` 1, I ;r ,' . .,.� ^ , r '' n A 1. . I . ' v } i\ i+:.� �� 1M'M6�AA16i�, r/��;� "in''I�,y�M,,,paiWA.• :�..ytii�M'w.n,.,,. I ' 1 0 t •t OF- TIGA,RD r LINC; r•=ERMIT CITY F'E.RMIT ##. . . . . . . : P-1-1196-01311DATEA'rE ISSUSSU ED: 06/04/96 IF COMMUNITY DEVELOPMENT DEPART;LENT 13126 SW Hal,Blvd.Tlpnd,1.3rapon 07223.6', J (603)630-4171 Tlr.�r�cr l_: r. a 104BA•-07300 SITE ADDRESS. . . : 141111;: bW Li.DEN DEQ ZONING: R-12 "D SUBDIVISION. . . . : CASTLE. HILL #2: _-_•_.a__._._._.. BLOCI... . . . . . . . . . 1-07. . . . . . . . . . . . : 108 ULASS OF WORK. NEW GARSnGE DIGF'OSALS— : 0 MOBILE: HOME SFIACES. : 0 r iYF'E OF USE. . . . sS� WASHING MACH. . . . . . : 0 BACKFLOW F'REVNTRS. . : 1 3 OCCUPANCY GRP,. . :A1 FLOOR DRAINS, . . . . . . 0 T RAT'S. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 � . . 0 G RAIN GRAINS. . . . . . 11) 0 >� I_AU!V11RY TF�fi'(a. . � 0 S.'NKS 0 URINALS. . . . . . . . . . . . 0 GREASE rRAF'Ei. . 121 Lf VATr�EtIE.S. . . . . : fn OTHERr-�IxiuR�.��. . . . : � TIiB/SHOWE.RS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOS&I S- - 0 WATER I._.I NE- (ft ) . . . lzi DISF'WASHE.RSi. . . . : 1l1 RAIN DRAIN (ft ) . . . : 'ZI Rpmar-ks : Installing A re,iidential backflow device. Owner: -.__. ______________.__.__----------_.-____.-- FEES _. -- ---_- _--__- WRI: MYf Ri7 type_ ..amount by date recpt MSW I_IIiEN DR F'RMT E 15. 01 TMFI 4"1(:,/07:/96 96-280180 1ARK 5PICT � 121. 75 1MFI 06/04/96 96--280180 1IUAEtD VR 97_ :3 r"Ihone #: 591-322:1 Contractor: OWNER _____--•�---�""'15. -!5 TOTAL I rEiore � Reg #. „ : _ -_-._-- REQUIRED INSFIECT IONS -•---_-- j This permit is issued subject to the regulations contained iti the R)-'/,3ackflow Flrev - Tigara (Municipal Code, State of lire. Specialty Cotes i,nd all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit wil'. expire if work is not started -- -- -- -- - - within 188 days of issuance, or if work ;s suspended for more than 188 days. FI e r m i t t e e Si gnat 1_r r-e issued By . L,i�CG rr . __.-� _. ...._.�__. -.. - -- Gal l for', inspect; ion 9-4175 n r a MECHANICAL PE R14 I T CITY OF TIGARD PERMIT #. . . . . . . : MEC96-•0162 DATE ISSUED: 06/04/96 DEVELOPMENT DEPARTMENT COMMUNITY {{ 13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)830-4171 PARCEL: 2S 1 16AD--•163V'0 j SITE:: ADDRESS : 16`)05 SW MP I'f4L)UR LN j ZONING: SUBDIVISION. . . . : Rl-0CIi. . . . . . . . . . : LOT. . . . . . . . . . . . . . CLASS OF WORK. . :IVF_WFLOOR vFURN. . . . . -OY-_- EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT F.ANr+. . . : 0 OCCUI='ANCY GRP. . :A1 VENTS W/O AF'PL: � VENT SYSTEMS- 47 { GTORIES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . ., . 0 � 1 FUEL 0 HI!. . . . 0 DQMEii. 1 NC I N f 3-15 HP'. . . . 0 CC)MML, I NL I N• 0 MAX INPUT: 0 B 7 LI 15- 30 HP. . . , 0 REPAIR UNITS. 0 30--5121 HF'. t 0 WOODST OVEG- 0 ■ FIRE DAMPE PRESSURE.RS?. ____._.__ I 1 (iAa F'F2ESf3lIRE. . . :j�li HP. . . , 0 CLO DRYERS. . : 0 NO. 0- UNTTEi -- A1Ft HANDLING UNITS OTHER UNITS. : 0 ! IAJPN ( 1001-t BTU: 11" �_: 10000 c f m: 0 GAY OUTLETS. : �I FURN ) =100K BTU: 0 > 10000 cfm: 0 I t j Remarl�S : 1n Stalling a Moiler, c: om[3, heat p1-1MP or� ';n air^ Owner: rand. tr. �'• I -_-_ Yp FEES ROBERT L1LLMOR type Am,-)'.Int by date recpt ,I 16905 SW MATADOR PRMT $ 25. 00 CJS 06/04/96 KING CITY 5W7 $ 1 . `5 L'JS 06/04/9(, KING CITY I;I N b CITY UR 97224 Phone #: 503-•639-2901 j Contractor: l SUNSET FUEL CO 1-•1] BOX 421=137 F'Llh'f'_AND DR 9724c Phone #: 503-23,4-0611 t 26. 25 TOTAL Req #. . : 00 374 --•----- RLUU I REI) I NSPE -TIONS - y This permit is issued subject to the regulations contained in the Mechanical lnsp Tigard Municipal Lode, State of Dre. Specialty Codes and all other, Mi !;r. inspection applicable laws. All work will be done in accordal ce with Final Inspection approved plans. chis permit will expire if work is not started _ _._.__ __..._._ __ __._.._ _-__._.- —_-------_-_-..-• within 188 days of issuance, or if work is suspended for more than 180 days. ...... Permittee 8 i.q Tr�l t;'_W e : I s s 1.I a d D y: �;,.j','.,� _.....-_---.__._ Call for inspection - 639--4175 / ht a�Jr °I ti , C�. 11R1.„4.AfyMtriVry ru..,.. ...,,.,,...........o-..... _....-. ...........,..�....r.e..t .. City of Tigard PLUMBING PERMIT APPLICATION PlancIdRec. # yO�� r 13125 FW Hall Blvd. Permit # P/r, (, -n-3( Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE wm..l D"—f New Single Family Residences Only .�... ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE S195.00 Job c ❑ 3 BATH HOUSE$225.00 Addressan sta. Fee includes all plumbing fixtures in the dwelling and the first 100 feet j_ A-�Z \2 0 NZ <<_i,�,�3 of water service, sanitary sewer and storm sewer. See fees below. N.m.l>�.m..�ewnwl FIXTURES QTY PRICE AMT �-( A ,ZY_ /-AYNF-'4r-S 57'1 35aS` Sink -- 9.00 M...SY ron... Pn.n. Lavatory 9.00 Owtler t `I 0 1`;L" S W i- 1 N 1712. Tub or Tub/Shower Comb. - 9.00 un131•1• m Showar Only 9.00 T Water Closet 9.00 i N.m.l. ..m..1 b.—I Dishwasher 9,C0 q Garbage Disposal 9 ri0 k Occupant M.&,,,„d,,„, �•�• Washing Machine 9.00 i Floor Drain - 9.00 cm,sul. — zo Water Heater 9.00 Laundry Room Tray- 9.00 N.m. Urinal 900 Other Fixturs (Specify) 9.00 1+ Contractor q JO cM sr.0 ;n 9.00 Sewer 1st 100' 30.00 sa.Frpnuan.n Ne H.^ i•'N. Se Ner -e3. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00 information given is correct, that I am thr csvner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am registered with the Construction Con,ractor's Board, that the Storm R Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from tate registration, please -- give reason below.) Mobile Home Space 25.00 Back Flow Pr; ention Device or Anti-Pollution Devi`, 900 Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition Q alteration repair 0 Catch Basin 9,00 to :ne done residential (0 non-residential U Tinsp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing .,sp f building property Rain Drain, single family dwelling 30.00 9 or p y -Residential backflow prevention devices 1500 rn Proposed use of E building or property -- (Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION II AUTHORIZED IS NOT COMMEMCED WITHIN 180 DAYS. OR IF 541. SURCHARGE i CONSTRUCTION OR WORK.IS SUSPFNDED OR ABANDONED ---- — — -FOR A PERIOD Or 180 DAYS AT ANY TiM'r_ AFTER WORK IS COMMENCED PLAN REVIEW 250% JF SUBTOTAL TOTAL !S• 7v Special Conditions n I Date issued ov S I E il•r�yr, °�irled;.� i. _ I i JUN-03-'96 MON 01:08 ID: FAX NO: t#121 PC'! ---.• poet-It'brand fax transmittal inemu 7671 aorp.ge-. MECHANICAL PER e Gity,af'Tigard " ._ From APPLICATION 13125 SW SW Hall Blvd. `°' r` !I ;, ,�,Fe q� n lc^ Uepl, Phone Tigard, OR 97223 (503) 639A171 `�. r1 re 1-4 es,nphon Table 3A Mechanical Code oT-V PRICE AMT JobI1� �C-r-�C� \ 1) PermitFee 0- 0• 10.----00 ��•�� Address � SuDDle+mental Permit 3.00 to 1) inrl d icts & vents b.00 1 urnace ( to3. 21 incl, ducts a vents Owner 'm�� __ nor Firman-c I �(� Cf-1✓�a� 3) inel. vent b:UU ,„,,,, urpenL a eater, w.17 iate� d) or floor mounted neater ii.00 I -- -- en not rnT'6 Occupant •Y 5) appliance pe'-ft _ 3.00 E -- — o --Te—pair u eating ratrio I 5) cogling, sbs xption unit _ 8.00 of er or comp, heat pump, air cand. 7) to 3 HP; absorp unit to 1001K 811J 800 (D.C7U or �urrp, ea pump. air rorld. P60r .ys-iptl 3) 3 15 HP; absorp unit to 500K STI 1 _ 1100 Contractor offer or comp, neat pump, air con ` �•�?, i g} t i 30 HP; absorp unit 5-1 obit BTU 15.00 �'Bnl e1 r or compsii eat pump, air comms 10) 30.50 HP; absorp unit 1-1.75 mil BTU -- 22 50 etre y ac new a ge tn,:' lave res t is inat t e Boller or romp, eat pump, au con . Information given is correct, i, ,r I am the owncr or authorized 11) i 50 HP. absorp unit 1,75 mil BTU 3750 &gent of the owner, that plains sub:^irted are In 6ompliance with Air Fandffing unit to 4 SO Slate IAws, that I am registered with the Construction Contractors 12) 10,000 CFM _�_ Board, that the number given is correct. (If exempt from Stare --FiFnandlin4 unit registration, ple®Rc give reason bVow.) 13) 10,000 CTM + 7.50 I po--Rade J 14) evaaolate rooler 4 50 cnt t.in cgneo-- --- 15) 'e a single c.uct 3.00 -- - —• enU anon SVstem no 16) included in appliance permit 4 50 op gen Cd�Y 17} marhanical exhaust 450 escri�i wok new ibon J a teraunn repair U _rmmr. eI�or in ustna — to be done residential G4---Mon•resl'1ential 0 181 type incinerator 3o.00T xlt3ting us.e�— —�_ er i-e.wee s ov9. water building or property 19) heater, sol:u, clotnes dryers. etc.. 410 _.._ �-- Proposed use of 20) Gas piping one to four gullets i building or property _-._.. 21) More than d.pf.r nutlet (each) 200 _ Type of fuel -oil 0 natural gas 0 LPO 0 electric C) Minimum pee S15-Cr) SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCT!CN AUTHORIZED IS NOT COMMENCED WITHIN '80 OAYS. OP 5 SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT AN1 TIME PLAN REVIEW 251/6 OF 3USTOTAL AFTER WORK IS COMMENCED. (1 � >C7"J ��l r( Q __--- — - TOTAL ----_ _ -- Special Conditions � G} 1•",LOOIN:C3T6ME.NF"•" t i' -mw I r I Y t A �C tE II � I�11 'i fli I M14f1;1� I I l;t !!'I l�{ I '�IYMF'hJl hE.1:-!',ll='1 NIS, Lr,�(,_r�14k91F1V.� 'I tat+11►1&I I h NF1t+E. rvl1v,-.F,-iy MOM, t,hli.i(( MOOHI a pry. vii RMJtHLBS I! t..1 C''{aYMh.iV I ti�a I h n lives+1► der gat. 3t JBI)t V 1 f�i l(IN t; 141+R.11 1f+.1 oto, �I �I I, 3� I , I , r;IJ 1 11)C•N OR i la '# _�1 �ttet� '+Yx. .:.. ...rww...uMMx•.WM Pof!Y"9t��MgllWwln[Vxr,.:.r....._.... -.....,....... ..,a,M.HrY,fkvr;Yl�'rVn�IIiM� M1'SEkM,u,!NiA9lYr.. CERTIFICATE of 9 CITY OF TIGARD PE��RMI T #. . . . .'. . a OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUED t 10/13/95 13125 SW Hall Blvd.Tlpud,O• gon 97223+8199 (503)839.4171 PARCEL a ?S 1048A-07300 SITE f4DDRE�3S. . . t 1.4012 SW LI0E:N DR SUED I V:(S I Mi. . . . t C:.•:A 3TLE: HILL 02 ZON I NG t R- 12 GA BLOCK. . . . . . . . t LOT. . . . . . . . . . . . . 1108 91 CLASS OF WORK. e l Ic.W TYPE OF USF.--. . . t1iF• OCCUPANCY ORP. :44A.. ■ OCCUPANCY !_C. ADF 227 4 I TENANT NAME. . . s R*mark s t t, Owner : -.._____._.__...._........ .... ... . .._ . _ .. __. _.._. DON MOR I SSE'T T E 5000 flW ME,'ADOWS RD SUITE 1;51 LAKE. 0 SWEU0 OR 9703 l Phone 0: 60.0-7531-3 1 Contractor: DON MORISSET"TF ItCllhl: �� 5000 SW MEADOWRCS SUITE 151 LAKE: (aSWEGO OR 970351 Phone Nr, 6.20-7538 I Reg 0- 1 :35533 This Certificate certifies that the above referent::-ed building or portion thereof has been inspected for compliance? with the Tigai,d Building ( ode for the a►^oup .and division of ryLc^Upancy a•nd Y.ISP for which the above referenced pe. i. r was i ti sued, ,and orc upan .y is h er.oby+ gran ed. I . f E�UIE_DlNG INSF'E:C1'0R WILDING OFFICIAL. r a POST IN CONSPICUOUS PLACE; .: r�x.w.yt.i..P"nM1 raxwi •nm,.ar;.,.^'wi u,�,'r:'arw�•-•,rein-„..,,-..,...-,- .,.., ...,.,. -- I , � �I S 1�.� m°'.e ... �” �burl. 4F¢1 y 1� .• ��Uklj`rl Y,I ± e rJ Y Fol Irl" y ri�r 1 J [v CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 _ Inspection: Footin.1 Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rougn-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Id / jPlbg. Underfloor Rain Drain Framing -Plumb.C�) Alarm Water Line Insulation ec Underflr. Insul. Shear Wall Gyp. Bd. -Elect, ' Date Requested:_ ! •5- Time: AM PM � Address: Builder: _Permit #: � i THE FOLLOWING CORRECTIONS ARE REOL .1ED: 1 f Y w Y l atil�r � ,: � v , hIrh� q ��, P v. Iry1 I Inspector: 7 ! APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE !Call For Rsinsp. , I - ,I - 1 CITY OF TIGARD BUILDING INSPECTION NOTICE i Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �+- - - Inspection: t/� ��•k"� Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw Foundation Plbg, Underslab Mech. Rough-in Fireplace PostiBeam Struct, Plbg. Top Out Elec. Rough-in FINAL: T Post/Beare Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing -Plumb. 10�I Alarm Water Line Insulation ec P Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �- �(t J s Time: AM PM Address: Builder: Permit #: C' I y THE FOLLOWING CORRECTIONS ARE REQUIRED: -y a GF AA S� OQ r7l7�vvti . Inspector:__�_ Date: _APPROVED 12SkSAPPROVED _APPROVED SUBJECT TO ABOVE � �'Lall For Reinsp. ti h} 041, I CiTYOP TIGARD BUILDING INSPECTION NOTICE Inspection Line 'Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Pibg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Ei ic. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. 41 Underflr. Insul. Shear Wali Gyp. Bd. -Elect. ;iso a �I Date Requested: Time: AM PM i 4„r Address: Yrr I' x 41¢O Builder: Permit THE FOLLOWING CORRECTIONS ARE R"QUIRED: �� I_ — 4 1 d Inspector: �� _ Date:_lCI i �APPRjVEn _4'QISAPPROVED _APPROVED SUBJECT TO ABOVE / all For Reinsp. 4 Y I e d �F a • ,hE "a si . Itl�l. y I CITY CF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Y Footing Susp. Ceiling Sprink. Rough-in QC r/S w- Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top ru, Elec. Rough-in FINAL: Post/Beam Mach. San. Sewor Gas Line -Bldg. r� Plbg Undeifloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underiir. Insul. Shear Wall Gyp. Bd. -Elect. s ■ ✓ R it7 w/ Date Requested: �C' f I s Time: AM PM ' a Address: Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: r pow I i I Inspector:--_� _---- Date: 'PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. t ;r .- i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspe,;tion Line (Rec•O-Phone): 639-4175 3usiness Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation -Mech. ■ Underflr. Insul. Shear Wall Gyp, Bd. Q IecT Date Requested: G L i�i� /�l Time: AM -__PM Address: Builder: Permit #: C C THE FOLLOWING CORRECTIONS ARE REQUIRED: Jz6enx 1 r ,44 r � t f i�i y Inspector/�� L{ � Dater ,APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE _Call For Reinsp, 1 yy 3.t C h� � r ;sou fS � I I r•:Y�: r rS,u,:��heG � ua�, ..tN 4, _ 1 A , 5 � CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phonel: 639-4175 Business Phone 639 4171 fir,4 Inspe^tion: n Footing 5usp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in r FINAL.--) Post/Beam Mech. San. Sewer Gas Line -Bldg.. Plbg. Underfloor Hair, Drain Framing plumb Alarm Water Line Insulation -Mech. Undertlr. Insul. Shear Wall Gyp. Bd. -Elect" Date Requested:_ 0 ` ( � —�{� Time: AM PM ■ Address: H Z- L Jky, i I' 3 Builder--?--- 7 ' . `i —L Permit #: (S�� THE FOLLOWING CORRECTIONS ARE REQUIRED: t r > -FISy f•`� '3f xi•f � ivy r�r1t Yd °1. specto sfy ! Date: Irti , PROVED _DISAPPROVED _APPROVFD SUBJECT TO A OVE _Call For Reinsp. r > v Ft+Qi ,v4 Iv,4, t` II rI I I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 l Inspection:\____ ' (2- Footing Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg, Plbg. Underf oor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech, Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: - _;ime: AM PM 00 Permit #: �7 C.r7 S C)�(QY THE FOLLOWING CORRECTIONS ARE REQUIRED: I I J I A I I'j i I I Inspector: Date:_ _APPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE i _Call For Reinsp. ...., `may .... . ..,. 16 ' kr CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Hoc-O-Phone): 639-4175 Business Phone: 639-4171, Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Hough-in Fireplace– Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: j Post/Beam Mech, San. Sawe Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. w Underfir. Insui, Shear Wall Gyp. Bd. -Elect. Date Requested: / U ""�� '– „rj _Time:�dAM PM 1 Address:_ n I Builder: �� _Permit THE FOLLOWING CORRECT IONS ARF REQUIRED: Inspector: ^��7, j Date: _APPROVED _DISAPPROVEDPPROVFD SUBJECT TO ABOVE —Call or Reinsp. 5 1. J t A Community Development ELECTRICAL PERMIT APPLICATION ' 13125 SW Hall Blvd. " Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued �-0`�' �5 - FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Issued by Inspection (503) 639-4175 _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed i Address `} Q I 5 c.0 `t 1� 1�/ O Service included: Items Cost(ea) Sum ti A 1� Q IZ Ia. Residential• unit 4 City/State/Zip T t a 1000 eq II or less $11000 AKi / or name of /�'I - 1- 1Z S Each a nthereofionnI 00 eq ft or Name f bi + ( ) portion thereof $25 00 1 ! Commercial❑ Residential Limited Energy $25 00 Each Manul'd Home or Modular 2 0 E Dwiling Service or Feeder $6800 2'1. Contractor Installation only: 4b.Services or Feeders Installation,alteration,or relocation `' Dectrical Contractor 200;.wns or leas $60 00 z Address _ 7J1 amps to 400 amps $6000 2 401 amps to 600 amps $12000 2 city State_ Zip_ 601 amps to 1000 amps $16000 2 Phone N0. Over 1000 amps or volts $34000 2 Contractor's License No. Reconnect only $5000 Contractor's Board Reg. No. __._ 4c.Temporary Services or Feeders Installation,alteration,or relocatrnn 2 3ignatur@ Of Supr. EI@c'n _ 200 P—"or leas $5000 2 201 c Io 400 ramps $7500 2 License No. phone No. 401 amps to 600 amps $10000 Over 600 arnps to 1000 voila 2b. For owner Installations: ties W above 4d. Branch Circuits Forint Owner's Name / K S New,alteration or extension per panel Address e7 a •f.'ZS`-jj r"i It�, r-r n)The lea for branch circuits with city �A State_U 1Z p ZI 9 7 cx 1- purcheee of eervfce or Ibeder fee. 2 Each branch circuit $500 Phone No. %,j 1 rT 3 l• 3 �- uU _ b)The lee Icr branch circuits Without The installation is being made on property I own which is purcheee of service or Aeeder Ai 2 not intended for sale, lease or re Fat branch circuit $ 00 3 S Each nddAiornl branch circuit $5_� $5 00 Owner's Signature /� _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal cimuu(s)or a limited energy 2 Please check appropriate item end enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more Systel.�ovor GOO volts nominal 4f. Each additional inspection over _ Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per insprction $3500 _ Per hour $5500 In Plant $5500 i Sub nit 2 sets of plena with application whore any of the above apply, Not required for temporary construction services. 5. Fees: ��, �, r• So. Enter total of above fees $ NOTICE 5%Surc',3rge(.05 X total tees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.31 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account# $ 4<+ Balance Due $ ' 0 If rrwrcardrndre pm� u ` .. � � .., . t,l')',.i-'.'.tl „a.,,-,:x , nada•� ...�: „ v.1f, ... ., .try, ,'bad N ,n - n,�Avl h'YRnF�a7^:"�'''�iF `tC�l1�X; p�'{"Mrw:L'°.�'.r�,s',�`v4�p'"Mlbkd+s !i!!'"a�' � `rn"�"�."rr t� v! .nrYu'kMrrh•,rr'M,Ey�' "„"�1�`�#"`?�''�'�' h i �y I,t�ty 1 7 � 4� r a. _ _ _.. _ ,—__.,,__• ..__.._..__ — 1. �e rI 1 L L I Y I.I! I .11 Fti + ,F 1 a' I CIF L,Fa r Ml ld I I+a I f.. J 1'I Wal. s y;..•.-r r4],,tn 1111 If 1N I k "►�' ' a ,,,, I•'F1rlY1l. hd� 1il1IF. a �!+`)/i'►H�' Iala1�F{I::fa a r'�r"J e, Fw :il)taall V I.;.i.1.1)0 s I 9 I1L 06 _ A ` IaUF7l�ti>etF.0 llF' F'FaYC/IF N I1MIJt IN I I ,W f 1'11F1h 11 I of 1'NYi�1 N I Whit:ll.11'I I 1-'Fl l It TRI(.FII.. F='E:'RM:I 1 4tr'I- r' I y 1e 140 1 i'_ 13W t_.t Df- I I-Oreal. Am w I F-� m.) > �Ir:. 00i I a e r . i' r{ � d y� „d f` ti • ,. ' u.... ;iii, 1 . �q. dK CITY OF TIGARD BUILDING INSPECTION NOTICE \� Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 \� Inspection: Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drair Framing -Plumb. Alarm Water Line Insulation -Mech. ■ Underflr. Insul. Shear Wall QuEi 13�/ -Elect. Date Requested: /�� ` `�Time: AM —,k—PM Address: C-' C_ Builder. A _Permit N:_ c ; ( C) THE FOLLOWING CORRECTIONS ARE REQUIRED: tau l 1 '- I `1 Inspector:_ `.� � � ` ��' �---- Date: —APPROVED _DISAPPROVED /2 LWPF,OVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ – Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plhg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line C=–Trt�Ui�tlsn� -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. • Date Requested: c5 Time: Address AM 4— PM L�� c- Q` -- Builder. Permit#: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Date: APPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE Call For Reinsp. i t CITY OF TIGARD BUILDING INSPECTION NOTICE ` Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 6394171 li Inspection: VVQ..-` -�.-_.� Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslahech. Rough-in,% Fireplace Post/Beam Struct. Plbg. Top Out�' Elec. Rough-in b4 FINAL: . Post/Beam Mach. San. Sewer Gas Line 410 -Bldg. Plbg. Underfloor Rain Drain Frami f -Plumb. Alarm Water Line Insulation -Mach. Undertlr. Insul, Shear Wall ` Gyp. Bd. -Elect. Date Requested:. ��/lj Time:_4AM PM Address: C) Builder: Permit #:-'/,5--c, I O THE FOLLOWING CORRECTIONS ARE REQUIRED: -__ 7-- I� 1 Inspector: y ��''"_ Date: r`.APPROVED �DiSAPPROVED _APPROVED SUBJECT TO ABOVE _-Call For Reinsp. I CITY OF TIGARD BUILDING INSPECTION NOTICE I Insoection Line (Rec-O-Phone): 639.4175 Businass Phone: 639-1,17' j Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Ruin Drain Framing -Plumb. Alarm Water Line Insulation -Mech. • Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: `ten ��~ `� Time: AM PM Address: / Builder: _ Permit #: Z�%l V i__ THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: / , _ Date:=r __- y 4�PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE y _Call For Reinsp. e r� Y k: s CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 V Inspection: Footing Susp. Ceiling Sprink. Rough-in , Appr/Sdwlk 4 Foundation ^!6- IJnderslabl,o 114`ech. Rough ' L Fireplace Post/Beam Struct. Plbn. Top Outs Elec. Rough-in��►A FINAL: Post/Beam Mech. San. Sewer s -Bldg. Plbg. Underfloor Rain Drain =ramingi -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall C;yp. Bd. -Elect. r Date Requested Time: AM PM -- Address: <M'Ider: ;:2 �-'{—I I G Gp'�L� Permit Jt: THE FOLLOWING CORRECTIONS AF•- REQUIRED: 41 � • k� _ k �,%,�A 1�, JZ Com _ t �AI Inspector: Date: \ G _l PPROVED X, —APPROVED SUBJECT TO ABOVE _&all For Reinsp. 9 _ � -- f CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: i Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. PI'�g. Top O i Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plunib. ■ AlarrnI Water Insuiation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: % I Time: AM PM Address: Builder: Permit #: C7 5 THE FOLLOWING CORRECTIONS A^E REQUIRED: � �4 I Inspector:_-- C Date: _APPROVED — DISAPPROVED SUBJECT TO ABOVE _Call For Reinsp. i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: - Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg, Underslab Mech. Rough-in Fireplace + Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: ti Post/Beam Mech. San. Sewer ,n _ t, �� Bldg. �• Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested-_ Time: AM PM Address: z 9 Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Y I Inspector: C j1 C Date: Q V < 'K XPPROVED _DISAPPROVED ,APPROVED SUBJECT TO ABOVE _Call For Reinsp. j� i �y� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business.q Fi39 4171 Inspection:9 Footin Susp. Ceiling 'Sprink. Rouvh-in Appr/Sdwlk Foundation Plbg._Underslab Mech. Rough-in Fireplace Post/Beam Struct. fl g. Top u Elec. Rough in FINAL: ■ Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Main Drain Framing -Plumb. Alarm I Insulation -Mech. � Underflr. Insul. Shear Wall Gyp. Bd. -Elect Date Requested: I �� 7 Time: AM PM Address: Builder: Permit #: `f " THE FOLLOWING CORRECTIONS ARE REQUIRED: w y; • t -- I Inspector: Date: 'PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. e .1tt?L 4, Community Development RESTRICTED ENERGY E TICAL APPLICA JCrN 13125 SW Hall Blvd. P{-RMIt# Tigard,OR 97223 — ----- -� Phone(503)639-4171 DAtt ISSULD 7 FAX(503)694-7297 -- TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSLII D BY _ — -- w I PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK IVpt-a Sw LIVs x-,, Address RESIDENTIAL —Restricted Ener Fee . $40.01) IT-11. V�4\�U vli�- (FUR AT SYS MIS) I City State Zip Check I e.- PERMITS PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems* IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 1n DAYS. ® Rurglar Alarm ❑ Garage Door Opener* 2. CONTRACTOR APPLICAZ.'ON ❑ Heating,Ventilation and Air Conditioning System* { Contractor _-_TYpe-- Vacuum Sysiems* ❑ Other—_ — Address Date COMMERCIAL—Fee for each system . . . . . . . . . 540.00 -- --- (SEE OAR 918-260-260) Property Owner —___-- -- heck Type of Work Involved: Contractor's Board Reg. No. — _ _" _ ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# __. - ---------- --- ----�_ ❑ Clock Systems ?. ❑ Da a Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation _ /-A A-Y I` I_it J s - 3.2-") ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation a.ag� s w t 4`3 t �T -- _ — ❑ Intercom and Paging Systems Address A LU14 A 4 IZ ? 70U (e ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is issued under OAR 910.320-370.This applicant agrees I,^take only ❑ Nurse Calls I restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* I following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other___ -- asterisksm All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for Inspection at 503.639-4175. 11 Number of Systems 3. Purchase separate permits for all Installations that are not ready for inspection when the inspector is out to Inspect under this permit. "No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector - ---------- ---- — - ------ t are done,and 5. Assume responsibility for calling for a final Inspection when all of the corrections 5. FEES I are completed. The person signing for this permit must be the licant or a person a. Enter Fees p g g� pp authorized to bind th )cant. •--�/ R h. 5% Surcharge (.05 x total above) $ I Signature TOTAL $ Atilhorily if other than applicant ENERGAP.CHP _ ,ter. ..,•r , ,;., , r f,:.'.., 11r k ': .flb{ h Yp .:1'4. ....i'♦ ♦,v 4 7 "19�+�''111N�iA�f I IMIMus�,"d9tt�+��tl,��!'�i°"w :,J,�r `'iri,""'� "+L?r� YM +� -°vN' ��''*4�U 'c`y:R'*�+�`r�t'"•,►''�r+�w""�4, .,. '"'�"Sgwt.� 1 J: } y� r al :�1114{�#fN 4 k 1 c I T'Y [7F- 'f T.cirmr) RECE T PT OF PAYMENT RECEIPT NO. 7 CHI-CK AMOUNT a 42. 0 IVAMF s MYEiRS,MARK CASH AMOUNT t 0. 00 ADDRESS t 2292 SW 199TH CT PAYMENT DATE t 08,,02/95 SUBDIVISION : ALOHA OR 97006- .,u RPOSE 7006-.'UCtPOSEi OF PAYMENT AMOUNT PAID E'URPnsr OF PAYMENT AMOUNT PA i Q `4 ,I PLE CITRICAL PE.RMI7 _40. 00 ST. BUILD PER 2. 00 , G l 14012 9W I,-InLN ELR95-0074 TOTAL Amot-it4'C E is T l"1 _ — -- --> 42. 00 a CITY OF TIGARD BUILDING INSPECTION NOTICE , t Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 � Inspection: Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk 1 Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 4' I Time: AM PM Address: C' (_'} ct k_ Builder: (, ci ( '_ c5'L' ( 3— Permit #: THE FOLLOWiNG CORRECTIONS ARE REQUIRED: i � Inspector: jc4lfz� F' /C r,a<��' Date: — &APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. A m 77, _v rr �1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 y_ Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk j Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. ,g. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm water Line Insulation -Mach. Underflr. Insul. Shear Wal( Gyp. Bd. -Elect. Date Requested: 1� Time:--AM PM Address: �,4 0 Builder: Permit a;: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector. Date: I ['FROVED —DISAP-ROVED APPROVED SUBJECT TO ABOVE —Call For Reinsp. wii:� - 1 1 I WX - 11 r T a i ttx 1 VIA{M..M^ V .. .... _..... .. ... ... ....r"uvrwns..✓+n rn.w",rr.wMMxMYk.Mwu..rr..".' .-......-« 4 i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: ■ Foundation Water Line Ceiling �Plumb�� Post/Beam Mech. Shear/Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough in Gyp. Bd. Bldg. , San. Sewer Gas Line Appr/Sdwlk Reins. Other ---� � "'y"'��" �C F-�L 0 Date: _. . -- ---------— A.M. - P.M. Entry:c,— --- Address -- ------- t t n Tenant: ------ --- ._.�� - -- Site:-..__ MST. --- - _ BUP: Con/Own:--1r ► L_�_Lbl- _ MEC: . '� PLC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR ector: __�� - - --- Dater 4 Iit APPROVED ___DISAPPROVED/CALL FOR REINSP. CF CO WASHINGTON COUNTY ELECTRICAL PERMIT ' Department of Land Use&'fransportatlon Electrical Inspection Section APPLICATION 155 North First Avenue,#350-12 Hillsboro,Oregon 97124 Information: (1031640-3470 Fax: 503 683-4412 Permit PLEASE PRINT Number _��_ �.1.- � DatePlease complete all sectioos, 1 through 5. 1. Location of installation. 4. Complete Fee Schedule below Address �'yDloz-_..w_ -f'1____ ��. Number of Inspections per permit allowed Building Service Included: Items Cost(ea.) Sum C ty�` S lite No.enant N�ir1e A. Residential-per unit (if commercial) __. -_-_ -- 1000 sq ft.or less __� $110.00 4 Map No. _Tax Lot Each additional 500 sq.ft or portion thereof -4f $25.00 f OD Limited Energy $25.00 Thomas Map Book: Page:_4�2_ Section:- ___ Each Manufd Home or Modular Directions_____. Dwelling Service or Feeder ______ $68.00 —__ 2 Commercial❑ Residential B. Services or Feeders Installation,alterations or relocation 200 amps or less -_-_-- $C^00 2 2a. Contractor itallation only 201 amps to 400 amps _ $6. 2 t , t 401 amps to 600 snips $120. 2 Electrical {o��-n,t/r�a,c�tor L1�C��_ �� 601 Pmps to 1000 amps $180.00 2 Address 1?ll1�L-.�1d1_Ni m k yE' Over 1000 amps or volts --- $340,00 --- -- 2 City _13_e�* k' State _(29- ZIP_9 Reconnect only ___ $5000 ___— _ 2 Date.-lQ:!`_- Job Number __ Property Owner ._._ .__t2'►�r,rst _� C. Temporary Services or Feeders Contractor's License No. Installation,alteration or relocation T - — 200 amps or less - $50.00 _ --- -- 2 Contractors Board Reg. No. _y �-�_ --- 201 amps to 400 amps $75.00 _-_ _ 2 I Elec Su r.of Signature ' _� — - 401 amps to 600 amps _--___ $100.00 _ 2 9 P �� Over 600 amps to 1000 volts see"B"above License No._2��j_ Phone No. - may/ f�G/Lr_ D. Branch Circuits 2b. For owner installations: New,alteration or extension per panel a) The fee for branch circuits with purchase of service or feeder fee. nn)g-` t C�vner's ame Phone No. Each branch circuit - -_-_ $5.00 2 A- ress b) The fee for branch circuits without purchase of service or feeder fee. cit—Ytate —Tip First branch circuit $35.00 __ 2 Each add'nl branch circuit _ _ $5.00 - - 2 The installation is being made on property I own E. Miscellaneous (Service or Feeder not included) i which is not intended for sale, lease or rent. Each pump or irrigation circle $4000 -_ 2 i Owner's Signature _ ,. Each sign or outline lighting _ _- $40.00 -__ 2 j Signal circuits)or a limited 1 energy panel,alteration 3. Plan Review section (if required) or extension $4000 -_ --__ 2 Please check appropriate stern and enter fee in section 5B. F Each additional Inspection over the allowable 4 or more residential units In one structure In any of the above U -- _ N Service and feeder, 800 amps or more Per inspection $3500 Per hour -_-__ $55.00 System over 600 volts nominal In Plant -_ $55.00 _-_Classified area or structure containing special f occupancy as described in N.E.C. Chapter 5 $. Fees �/0 Submit 2 sets of plans with application where any of the A. Enter total of above fees $ �- above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ 16 services. Subtotal $ - This permit becomes null and void if the work authorized by the permit Is B. Enter 25% of line A for not commenced within 180 days from date of Issuance of such permit or Plan Review if required (Section 3) $ ------•.---. If the work authorized Is suspended or abandoned at any time after work Subtotal $ Is commenced for s period of 180 days. Electrical Permits are non- refundable and non-transferable. ❑ TrUSt Account $ For Inspections call Balance Due 681-3699 or 681-3698 24-hour recorder, one working day in advance of need BL26 3/95 r- f_ �1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 jInspection.- Footing nspection:Footing //, �� sp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation(% Plbg. Underslab Mech. Rough-in Fireplace Post Beam Stru Plbg. l op Out Elec. Rough-in FINAL: v m Msch San. Sewer Gas Line -Bldg. . Plbg. Underfloor�. Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall , / Gyp. Bd. -Elect. l Date Requested: �� .S _Time: AM PM Address: Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Dater APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. R a _ I CITY OF TIGARD BUILDING INSPECTION NOTICE f Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Undeislab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Rca,n Mech. an. Sevy-r' Gas Line -Bldg. I f'Ibg. Underfloor �1 Drain-' Framing -Plumb. ■ AlarmC►(Vater Ling Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: (�� / y� _Time: (�(�;` PM AddresF- Builder: _Permit I THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:Z Date: ) APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. ■ CITY OF TIGARD BUILDING INSPECTION NOTICE —\ Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 l Inspection: Fool_ Or Susp. Ceiling Sprink. Rough-in Appr/Sdwlk r / Pl'jg, Underslab Mech. Rough-in Fireplace Post/Beam Struct. Fibg. -Fop Out Elec. Rough-in FINAL: Post/Beard Mech. San. Sewer Gas Line -Bldg. . Plbg. Underl oor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underilr. Insul. Shear Wall Gyp. Bd. Elect. s Date Requested: C _.5 Ilme: AM PM Address: G ? Builder-_ — Permit #: THE FOLLOWING CORRECTIONS ARE REOUIRFD: C Ll � i Inspector: ` Date: L,i �G'� , __APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE �j �� _Call For Reinsp. l ,n,..,,i•i.?1.:,... IVINK .i PLUMBING PERMIT CITY 4F TICARD PERMIT SSUED: • BOE /115/95 101 �fk1 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2510L►8A -07::,017.1 13125 SW Md;Bbd.Tigard,Oregon 97223.8199 (503;639.4171 1 ;I Tr A17DRr.SS. , . 1.4101 GW L.I DI_N OR 5UDDI'JISION. . . . : CASTLE HILL #:`' ZONING- R--12 PD 1 . . I...O'T. . : 108 CLAGG OF WORK. . :1VEW GARPArjE D I OPOSAL.O. T'YP'E OF USE, . . . :SF WASHING MACH. . . . . . . : 1 DACKFLOW PREVNTRS. . : 1 OCCUPANCY GRA'. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . :0 STORTES. . . . . . . . :2 WATER HEATERS. . . . . . . 1 CATCH BASIhlS, , . . . . , :0 FIX TU LAUNDRY TRAYS. . . . . . :I0 `alp RATIi DRAI1\1s. . . . . : :L GREASE TFAPS. . . . . . . :0 j I_f1VATORIEG. . . . . : OTHER FIXTURES. . . . . :10 TU8/SF-10WER a. - . - SEWER LINA (ft ) . . . . :0 WATER CLOSETS. . : s WATER LTNE (ft ) . . . . : .1100 DISHWASI-IERS. . . . : 1 RAIN DRA.TN (ft ) . . . . :0 j I. Remav-ks : PATH I � ' OWNLR: __.____ ._._.....____.__....... DON 110RIGGETTL SWM $ 1&j. 00 JD 0[,/15/95 95 '-266823 5000 SW MEADOWO RD SWM $ 100. 00 JD 06/15/95 95-066823 t {QUITE 151 BPRT 1• 5/`?5 '35 c86C3C3 LAKE OSWEGO OR 9710.:35 BP'LC: 1 414. 70 SW L713/24/95 95-"'26 Phor7e #: G20—73.3'8 85PC $ 1. 90 JD 0G!15/97 95 266023 PARK 6 5,710. 100 JD 0G/15/95 95--:_CSE 83 P I u m b i n q Contr Rotor : _ .. - ___...______.- MPRT q Lr 5. 010 JD 0['/15/95 95'-2668,3 MPL..0 $ 11. :'5 JD 06/15/95 95--2E6923 Narnt? _ _. _ .. ��`� ISI.._;('(_ fi5 JD OC•i 15/95 95-2668123Addr-•e �.. CBTH $ E'5. 00 JD 06/15/95 95-tbC•8 3 City : of u11 r? P5PC $ I. i. "5 ,.TD 1716/ 1.5!95 9 3--"21 66823 Zip: P't ane#F�`SQ, - EROS 1; f_,4. 00 JD 06/15/95 95-266823 deg _ ___._.-..- ...� -3 --- - _ Addit ian1 t°ppS nuis I1uwn her e. . . . . . , , . R"(!UIRED INSPECTI0N5 -_._.._... 1'hi m permit is issued subject to the r'eg- -1lations contained in the Tigard Municipal Footing Insp Insulation Insp) Code, Gtati of Or-e. Specialty Codes and ,all Foundation Insp Gyp Board Ir p other applicable laws. All work v ; 1 1 be done Post/Beam Gtr,l.cct Rain drain Insp in �c:corc.ian� ,e 04itlt 'tppr^oved plans. This Post/8pam Mech<an Water Line Insp permit will expire if wor-' ( is not started Crawl Drain Water-, Service In within 180 days of i.ssr.tanr_e, 01• if W01"k is P'lm/l-cndslab Insp App) /Sdw.lk Insp suspended fur mor e than 100 days. FILM/Under-•f1oor Mechanical Final °? Mechanical IT15p Pl-.1mb Final. Plumb Top Out Building Final Framing Insp r-1•0-. ion Ccnt1 c,1 Fir-•ep"lace Insp Gas Line Insp A..1 rim_7177 umbir,y C`pntrac or n Call for- imipec:t ion - 6,,39-4175 C o n t;r a c t o r Note -_____. v i / rip ! M ' 1 - i MASTER C'�:RMIT CITY OF TIGARD I PERMIT T #. . . . . . . MST95•-•+�140 COMMUNITY DEVELOPMENT DEPMWPENT DATE ISSUED: 06/15/95 13126 8W Hall Blvd.Tigard,O-:yon ►`/223.8199 (503)839-4171 PARCEL: 2a 104BA--O 7300 ADDRESS. . . : 1401 )W L I DCrI LIR SUBDIVISION. . . . : CASTLE HILI- #.: ZONING: R -1� PD ' i . . . . . . . , 1.01 . . . . . . . . . . DUILDING REI a^lJE: DWELLING UNITS: 1 BASEMENT. . . . . . . .0 s f CLASS OF WOR:. :NEW BEDRMS¢4 BATHEe3 GARAGE. . :440 JYPE 01- USE. . . jF FLOOR REQUI RED. TYPE: OF C 0 N 55T. :5N FIRST. . . . : 1200 sf LEFT. . .- 16 ft RIGFIT. :5 ft 4 OCCIJf'rONC:Y GRf-'. : r•.3 SECOND. . . : 1500 sf FRONT. :20 ft REAR. . 144 ft STUR I E:S. . . . . . . :2 F I NBSMENT:O s f REQUIRED------------- ---_-_=•7 f t TOTAL-----i2700 s f SMOKE DET7CTORS. :Y � FLOOR I_.OAD. . . r. : 40 s f VALUE. . . . . S: 18 174 1 PARKING SP ACES. . : 1 Remiai-ks : PATH I PLUMBING SINKf.:I. . . . . . . . . . . 1 FLf]OIJ DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . . :3 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0 TUB/GROWERS. . . . : LAUNDRY TRAYS. . . :0 CATCH )BASINS. . . . . . . :0 i WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DIGHWA:3HERS. . . . : 1 WATER LINE (ft ) . : 100 OTHf.WR FIXTURES. . . . . :0 „ GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WAGH I NG MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL. FEES 1 FUEL TYPES__.__.._.__..._.___ UNIT HTRS. . :0 type amolant by date v,ecpt /GAS/ VENTS . , . . . :0 SWM 180. 00 JD 06I15I95 95--266823 j MAX INPUT :0 BTU VENT FANS. . -4 SWM $ 100. 00 Jl) 06/15/95 95-26682:3 FURN ( 100K . . :0 HOODS. . . . . . : 1 BPRT $ 638. 00 JD 06/15/95 95--266823 TURN ) =100K . . : 1 WOOD STOVES. :0 BPL_C $ 414. 71D 5W 4.3/24/95 95--26 FLOOR FURN. . . . :0 CLO DRYERS. : 1 S5PC $ 31. 00 JD 06/15/95 95-266823 BOIL/CMF' ( 3HP:0 OTHER UNITS: 1 PARL'. $ 7500. 00 JD 06/:0.195 0526681_23 GAS OUTLETS: 1 MPRT $ 45. 00 JD 06/15/95 95-2:66823 Owner-: ____._._____.._.__.__________.____._____..._..MPLC $ 11. 2 JD 06/15/95 95 266131.:. JON MOR I SSEJ TE MSPC $ 2. 25 JD 06/15/95 95--266823 5000 SW MEADOWG RD 3BTH t 225. 00 JD 06/15/95 954266823 SUITE 151 P5PC $ 11. 25 JD 06/15/95 95--266823 LAKE OSWEGO OR 971D35 EROS $ 64. 00 JD 06/15/95 95-266823 Phone #: 620-7538 ERPC $ 20. 80 JD 06/15/95 95-266823 Cont Tact or: ___._.._.-.._.__.______.___._.,..__.._.._....__.__ . .CRPC $ 20. 80 JD 06/15/95 95-•2661321; DON MORISSETTE HOMES 5000 SW MEADOWS RD SUITE 151 L-Al'.E 01WEGO OR "Y' '11373 Ph on L t!: 620-7538 Reg #. . : 35533 $ 2264. 95 TOTAL. This permit is issued subject to the regulations contained in the - -- -- - REQUIRED INSPECTIONS _ -- •_. Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp PIi_tmb Top O�_tt av�:icable ii:;. fill work will be done it accordance with approved Fol.mdation Insp Framing Insp plans. This permit wall expire if work is not star'ad within 180 Post/Beam Stt .lct Fireplace Insp days of issuance, (r if work is suspended for core than 180 days. Post/Beam Meehan Gas Line Insp �- ".ravel Dr^ai i Insi.rlatian Insp Pern;iLtee ::;i � E, : �s ,L_`tL� _ 1:-'Im/�.Indsl�ib f.nsp Gyp Bu<.Ard Insp ---- - l - Mecnill adInsp Line Insp By : 4A lcalnsp Wter : I for- inspection 639--4175 a �p II�P�"1�M. �(�+�'a !y:z�r�4'Arr�Myk'�;aplN' ix4'��&F ",,q�„�,•,�e,' ;,; rk J;', I men y4 L, �y� T t SEWER CONNECTION TIC�ARD I"ERMIT CITYOFPERMIT #. oWR9�;....0131 COMMUNITY DEVELOPMENT DEPARTMENT DOTE ISSUED:+ 06/15/95 13126 SW Mall Blvd.Tigard,Oregon 97223.8199 (603)639.4171 n PARCEL : 2S 104 DA...07300 SITE ADDRESS. „ : 141Zr1_'7' al•l I_IDFN DR ZONING: R"-12 PD SULK)I V I G I ON. . . . : CFV 3TLE: HILL #2: BLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . : 108 TENANT NAME. . . . . : uran NO. . . . . . . . . . : FIXTURE' UNITS?. . . CI._A�';s (IF WORK. . . :NEW DWELLING UNITS. l "; rr NO. OF BUILDINGS;: .1 TYPE:. OF USE. . . . , eC INSTALL. TYPE. . . . :BUC',WR I IIPr r�') 5URr'AC, : s f Remarks : PATH I ■ FEE DON MORISSE i rE. t ype amoI_cn•t by date reccpt 5000 SW MEn.DOWS RD PRMT P 2201'). 01T JD 06/15/95 95-"27:66Ei23 SUITE 151 TIJ`.,r 06 1.3/9 7 95-1_661323 LAKE: OSWEGO OR 9703:, rlror,a ti 7538 Cont ractc.rr: I , C(]N'"RACTOR NOT ON FILE c 2c'—:135. 00 TOTAL Recl #. „ __..._.._._....__ REOU I REn INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer-, Inspection of the Unified Sewage gency. The permit expires 180 days from the date issued. The total amount paid 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 the measure•ent 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 Agenc7 will install a lateral. P e r..m i t t, e e ::;i L ,-.k r e ji _Y�` -- " ' Ca11 far inspection f 39 417 U, 2 CO a i .n .n 1 ..........,.,._.....,._,•i..,,v.++Nxe',*mw..ens'.alt'K+H1't�MhYRORitAlwx,.. wr�_ 1 Residential Building Permit Application \��\ City of Tigard 13125 SW Hall Bled. o� Tigard OR 97223 �� 3 (503) 639-4171CA1 j Jobsite Address: `,, ✓ Office Use Only •'subdivision: k: ,WV Planck/Rec Valuation: ,�1 � `��, Permit# Al 5t 5.1 6 /� d Comer Lot? Y N e Reissue of Flag Lot? Y N Map &TL# Z_51 Oy 7/4"23t)Q Owner. tJ V'1012 � 6 • Approvals Required f Address: 5W M A-5M i 5 Planning LAKISQhMlaQ_ CK 92015 Engineering i f� ' �'cJ✓� Phone: �.Q� Other i I Contractor. -Items Recwired Address: Subcontractors 1Z Truss Details Phone: Other ,'� -'" {, Contractor's License 5 (attach copy of current Oregon license) �� , F v U�,� C ; Contact Name & Phone: P.-16 A. Subcontractors: Architect/Engineer:-T1eDy UH IINJU Address:�y) ) M Vy�J SIS Irj Plumbing:, k1t»t PrMG E�2-�- / Mechanically 1 C0Uf�-1 713-AP. Locf,E Q56 E CID ,nr ' q 35 (attach copy of current OR Contractor's License) .. Phone: I JOB DESCRIPTION: D Applicant Signature & Phone number Received by: 1�,,� � ti�.��.� Date Received: NIV4MOICOMOEMESAPP I L L Permit 0 Account Description Amount Amt. Pd. Bal. Due y ■ �Ij5t4j v Bldg. Permit (BUILD) " 3 f' 631 / Plumb. Permit (PLUMB) :1 �r Z S i Mach. Permit (MECH) State Tax (TAX) v ul Bldg: 0 ■ Plumb: 1 Mech: Z• 2 ) . ■ Plan Check (PLANCK) c 2 Z R 4 Bldg: Plumb: r Mach: 11 z .'::'` s�"�G �13) Sewer Connection (SWUSA) Sewer Inspection (SWINSP) 3 J 3 <_ Parks Dev Charge (PKSDC) �s Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) BL -'�-- Mass Transit TIF (TIF-MT) � V C314-C,kc I-- Commercial —Commercial TIF (TIF-C) ` Industrial TIF (TIF-1) - Institutional TIF (TIF.-IS) ...�- ., ... Offlce TIF (TIFO) Water Quality (WQUAL) Water Quantity (WOUANT) --- ----- Fire District (FIRE) Erosion Cntri Permit (ERPRMT) y Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) —_ TOTALS: a �SSPw��i r d' y�y 1 y i CITY OF TIGARD BUILDING DIVISION l RESIDENTIAL PLANS SUBMITTAL l APPLICANT NAME: I PLAN CHECK # AnDRESS: ->GC-�J M hD�) - PHONE # DATE RECEIVED: RECEIVED BY: i i M CHECKLIST (All items must be in packet before plan will be reviewed) YES NO N/A 1• [ ] [ ] 3 FULL SETS OF BUILDING PLANS (No red line revisions or tape-ons). 6 2• I}� [ l [ ] 5 SITE PLANS(includingtax lot and tax map number,easements, erosion control provisions, floor elevation of garage and main Y.; flcor,set b',fcks, drive-way location, north arrow,scale, location and termination of rain drains, comet elevations, and contours ;y if over 15% grade). 3. 64 [ J [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT (if house is designed for a flat lot and the lot is not flat, revised drawings are required. No red lines accepted). + 4. P4 [ ] [ ] REVISION TO PLANS MUST BE FOLLOWED THROUGH FROM ROOF TO F(A JNDATION (detailed sections may be different from the originals as a result of your changes. These 'y portions of the structure that are affected by the change need to be reflected on the plans. No red lines will be accepted). I � 5• [ ] C J FLOOR. PLAN(S) I. 6• Frl [ ] [ ] FLOOR FRAMING 7• [ ] [ l [ ] TRUSS JOISTS (engineering, details and layouts) 8. [ ] [ ] ROOF FRAMING PLAN (all hips and valley support indicated a and detailed). - OVER - r p ,, d 1 1 1. •� y YE;r N O N/A 9. ] ( ] [ ] ROOF TRUSSES (engineering, details and layouts) 1 10. COMPLETE CROSS SECTION(S) ■ 11. �,� [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR ADDITIONS AND REMODELS ■ 12. [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL SECTIONS (will need engineering if walls are 8 ft. high or higher) ti. 13. [ ] [ ] WALL BRACING (structure must meet table R-402.10, revised i alternate method 93-7, or a lateral design shall be provided) { 14. [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE 1F INCORPORATED INTO THE PLANS. (Attachments must be clearly legible and fully referenced in the plans). f 15. [ ] [ ] BEAM CALCULATIONS (all beams over 10 ft. in length or any , +. beam that supports a point load). 16. � [ ] [ ] ENERGY CODE PATH IDENTIFIED F DO NOT MAKE CORRECTION IN RED RED WILL ONLY CAUSE DELAYS 1 bs SMW I . r " � n�`� N� t ��' r,I n J" i � � � t �ai�l,'�+" � � f�•�� ?!q; t�` �t • FROM :F 11rST HA IER t CSI 'TAf Y iBEtFY•I TI-1 �,D�;F+20'�485 l y'd5 ��6-is 08:01 #044 P.(72/02 � • All �iG,�r ,iq� �°�r�,.';ti4 �r�;+rt•'r!;.'s.Y1�,.�� ,�,tial,, ,,:444�� •, � dt��i,1k.�7jTj��►,;r, ��++•i1a�,'�:., ..ate t ,'tIr �. , ��.'•" ,! ,•��'�� i�e� � ii,� •�l+dt,•'';'1ygr�sr :•z.�t�f: lr,yr',,TSfF,•,�: }•y�f �+�si'y;��s;r.'•< +ti, ��;f,4,�4rf,`•'f' •,�,,1��'y. ,. Credit NO; e ' fh;`'• Destr. !sawed: �'. � 71AFFJC IMPACT'FEZ CREDIT VOUCHER rr•,arcordanca tenth the T,'aff/L Impact Fee Crdirancs, MP"rix Dfevelcpmert Ca oration 's is entftled to_t1550 _in TraNi;lmi:pct Fes Credits that can ba 2cplied to T/F�hargas �r,•, on lot(s)68-131 or V;v CGst:a I-Tl No. P Ceveiccmentr Tha usa of TIF credits fr== %r are subject to the rules 3.•7d limitations of tt'e TIF Ordi,lanca. WARN/NG: rhrs voucher must be �v presented at,he firm of lssuarce of the 3ulldlrrA Permit, a, fl doferra! rt wasgrarntad is.uanca of an Ocou:;zrcV J=armit. MA 7,=,X OE VEL OPMEN,—CORPVRA 70N hereby assigns aii its riphtr tillo and intarasl in and to that coeiin Tragic Impact Foe Credit to be granted UPC,"the Issue^ce of a buile:7g Gerrr't for Lot LOB a (' CAS—,L9 HILL ND. 2 subd.'visiv7, Wgshrr5ton County, Oregor,, to the order cf' PON XOR193ETTE 'HOMES, TKG. 7 r, 5000 S.W. MEADCWS ROAD, 0151 l=' I,AKE 09.,JEGO, CR 9703.3 l 77 is ASlicri-reit -f T r %i• I r t a r l NIX.. A.uC r"I�SC Fe vi't�LJf, is I-.c^Gra end siren his •'�_,;, of ?s. n-' r ;Lys fr 41ATr?IX t✓__ �rTl�r?f' •• en Crayr"n C�;orpora z, ,... Title or Position •fit\.`M. •I. S t 7' x •r s ,iI; + lr.l"�; ��tty'�'J1';f l � ♦ire fi•�Y �•�• h �. •vi tt S ,.1;CCt7 •+ t.iZSC�I.�:�,O+Z;� ,ti•. :•Ir f vE�•' ! CI'�1�h t�\�•`' •Jri'f• (}�.,y�•�, tij'��j .�1 { ''i S 1� ':'J . J4 r• !. •�Yr . !S "l�i. 1'�.' i' S f.�•' �r rl �i , �, t,, ,, y,,, , .•. t'�i' ri+ 4tii,s 'l9•••••1•;1� ,it: � ±aN'��` •%i Lf"'' rd ttt i�S�.ti�, ',+dc�r� '•t��sy;:,+. r',er ! r s i : , .�3, ,• ,,. � t'"•',�� , , ii �f.� s. i t 1� Oki - • 1 6000 S.W.Meadows Rd.,Ste.161 Lake Oswego,OR 97036 Phone:(603)620-7638 FAX:(603)620-7486 0, if01 :M Lor #l:. Iva f \ CAI-LA OFTIL-•O•gn I ■ r w 25t 6 r t W_ Zc' � A 1 \ (0 Ic a bos I -N Q• pdCn e: N F.FE.Zr� # !• m �csB > SVC r v/Z Sx-To 17 i lo■Io `t 1`\ PP�10 lo' y L'qT - 1 Ce, I � � ' V-00 ' Y r ry' y: Ib �I F ...-r.... _.. -.._.... a_.— ..+..i._�...... ..... ._...._ __ �. __. -�_ �_..�.. ._.....�.r..-�.....�..�....�_.•—.�—.—....r..._�..._.. rte._.—..�_.++.•�......_..... . a� CITY OF T I GARD RECD i PT OF PAYMENT RC rE I P7 NO. a 95—i?6682 3 CHECK AMOUNT a 4249. 95 NAME a DON MOR I SSiET TE.. ! OMF.9 INC CASH AMOUNT a 0. 00 ADDRESS a PAYMENT DATK a 06/15/95 u 5000 SW .MEADOWS RF) STE ISI I SUBDIVISION LAKE OSWEGO OR 97035— PURPOSE OF PAYMENT AMOUNT PAID PUPPOSE Of PAYMENT AMOUNT PAID " 1 13U I L.I)I IVt3 {"FE FtM M:3'Tq:S—0 t�►0 6 8. 00 PLUMBING PERM 00 MECHANICAL. PF; 45. 00 ST. BUILD PER 45. Ord � 1 PLAN) CHECK FE 1'74. 95 SEWER USA SWR95---17li:.3l 2200. Did SEWER INSPECT PARKS SVC',' rporA. 00 H2O QUALITY FACILITY FPF 180. 00 HP() QUANT I TY F AC;I L I CY F FE 1 N0. Oki EROSION CONTROL PE:RMITF"EEr 64. C0O EROSION CONTROL PLAN CK 20., Ai7l F:ROSION CONTROL. SO f s 14012 61.4 LADEN DR CASTLE HILL #2 L OJ I OA TOTAL. AMOUNT PAID - 41F'49. 9p 1 f