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14092 SW CHEHALEM COURT
ADQR SSS ; 9 sle6t) che/t4a/ i.\records\microflm\targets\buiiding.doc CITY OF TIGARD OCCUPAOF NCY COMMUNITY DEV91,OKWENT DPERMIT #k. . . . . . . : MST930016 131!18W Hall$NO.Tlqwd,Orftw 97M931V;z1rT, DATE ISSUEDt 05/e8/93 61 TE AlbDRE,3S. . , 1 14092 GWCHIEHALEM CT PARCEL-- 2S1048B04600 SUBDIVISION. . . . g CASTLIZ HILL ZONINGi :LOCK. .LOCK. . s LOT. . . . . . . . . . . . . lei CLASS OF WORK. rNEW TvPE OF (JUE. . . x Sr* UC:"UPANCY GRP. i R3 OCCUPANCY LDnDs224 4 TENANT NAME. . . : Remarks PATH I Owners ROSEWOOD HOMFG INC 7!40 6W 209TH BLAVERTON OR 9700'7 Phone #k 6424049 R(ISEWOOD HOMES INC '7140 SW 200TH PEAVERT014 OR 97007 Ifione #i 642-4049 ,,, Reg 691,73 DccupAncy of i+,- Above referen,::md bWA' Idi"o -0iVen, ah the comoliaTice with th& State Of Dragon Speciall:y CodRv for the gr-oup, accupancy, and use under which th%" referenced permit waa issoed. FIRE DEPARTMENT NG P11T( - I NG POST IN CONSPICUOUS PLACE S1S��cTzoh IGOTlCE City of Tigard building Departiss.ert 13123 BW Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Roe-o-Phons)e 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Hoch. Rough-in Appr/Bdwlk Found. Plbg. Top out Gas Lino FI1ALr Post/Boas Struct. San. Sewer FramingLpra lPont/Beam Meeh. Rain Drain Insulation Plbq. Underfloor Mater Lina Gyp. Rd. ` ,^ Date Requested s �� /�J^ Times !� AM LK/// C, 1Wdresss s/'7 Permit 9s-�1 - //Z) J- TB= FOLL MNB OUV4t2OTIOKB Ann R,IQCIHSDS lnspsctorr _ Dates __APPROVRD DISAPpROL1D Ap►>RoyEQ SURJECT M ABOVE Call for Reinsp. MI INBPEC:ION NOTICE Cit! of Tigard Building Departaent 13125 IM IIel Blvd. Tigard, Oregon 97223 Int 'ertion Line (Rae-O-Phoaett 639-6175 Business Phone: 639-4171 C Inapeetlon: G^ Footing 4/Underslab Mach. Rough-in l APPr/Sdwlk Found. Plig. Top Out Gas Line lINALt Pont,Roan Struct. Zr". Saaar Framing -Bldg. Post/Naam Nech. Rain Drain Ineu.lation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. _Mach. Data Requestede �� '� TLnee PM Address* Pen: 1 r Builders TFM FOid.ONING OURRECTIONS ARB REWIREDt TD Inspactore �T�/} 7tfrjlh �_ Datet —_APPROVED —vl� M.-S"PlIMM 1kPPROVED BOBJECT To ABdvB �� Call For Rei.nnp. ..a.r INSPEi._.'ON NOTICE City of Tigard Building Department it 13125 SN Sall Blvd. Tigard, Oregon 97223 Inspection I.in2 (Rec-O-Phone): 639-4175 Business Phone: 639-.4171 Inspection:_ Footing Plbq. Underelab Mech. Rough-in <-Appr/Sdwlk Found. Plbg. Top Out Gas Line F[NAL: Poet/Beam Strurt. Son. Sewpc Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underflocr Nater Lina Gyp. Bd. -Hach. Date Requestodt� ---Timet _ AH _PN Addrese:__4 •. `��.�� P h t [ Permit f s��'`(f)oj, Builder:--, THE FOLLOWING CORRECTIONS ARE RPQUIREDt ZOld A/ W KEnI n/E ccJ F ��n i S f}/C� l P( c A � .e �J4 inepectore -!J3 APPRO'!ED L�--DISAPPROVSD APPROVED S'IBJRCT TO ABOVE ��all For Reinsp. INSMITION NOTIM City of Tigard Building Departjeant 13125 BR wall Blvd. 'Ygard, Orey.im 97123 Inspection Line (Nee-O-Phons)t 639-4175 Businwau Phone- 630-4171 Inspections Footing Plbq. Underelab Mech. Rough-in �Appr/Sdw Pound. Plbg. Top Out Gas Line FINALS Post/Bean Struct. San. Sewer Freeing -Bldg. Post/Bone Mach. Rain Dratn Insulation -Plumb. Plbq. Underfloor O77�r Line gyp. Bd. -Meeh. Date Requesters_ Z /C�2 Times AM - PN Address: J L> (7,?- L_mak,"- Tn el Permit 0._13 U K� Buildere_` TBR FOLLOWING OUPJM TIONS ARE RUMIREDi 1m Pit 0 n1 's 7z) &e F'7'N 1/1 RE-' Ar c t4 fyi2 C //,/6, A7 A/'�/1�Y9 ctl Inspectors �n APPRCNED DISAPPP0%1CD APPROVED nURJPlCI' TO ABOV= --Call For Reinep. see JNSPECTION NOTICE City of Tigard Building .13partseent 13125 BW Hall Blvd. Tigard, Orw1on 97223 Inspection Tine (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: —. -� ----- Footing Plbg. Underslab Mech. Roug:i-in Appr/Sdwlk Found. rlbq. `fop Out Cas Line FINAL: Post/Beam Struct. San. Sewer. Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Water LinneCyp. Bi 1 `f-Hoch. Date Requested: V I ' [� _ Time: X _AM PM v Address: � � � 7 � 1..� Permit t:�U Builders .. THE FOLLOWING CORRECTIONS ARE REQUIRRD: Inspect.or•—._... ---- - Dates 7� " --APPROVED DISAPPROVED ✓ APPROVED SUBJECT TO ABOVE —call For Reinsp. e� �NSPmCTION SOT. City of Tigard Bu* *lcw3artaent 13125 BW Bell Blvd, 7-agon 97223 Inepectian Line (Rec-O-Pham wa ineae Phoce: 539-4.71 Inspection: - Footing Footing Plbg. Underslab Nosh. Rough-in Appr/Sdwlk Found. Plbg. Top Outae Linne) RINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. Bd. -Hoch. Date Requested:____ C712 Q ---Time: — AH PH l /�1 Addreae:� 0� _l. ��_ Permit #:� Builder THE FOLLOWING CORRECTIONS APR REQUIRED: i or I::rpeator t �,/G/� _ Dates: APPROVED `— DISAPPROVED —_ APPROVED SUBJECT TO ABOVE Call For Rei.nep. INSgECTION NC ICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 InsrAe tion Lin • (Rec-O-Phone): 639-4175 Bueiress Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gap Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Noch. Rain D:.ain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requested: n / z t / 'i ime!: AM PH Address: l/ __I/c'��' y [ L. Permit #: _ Builder: v3•'!w/7�1 THE FOLLOWING CORRECTIONS ARE REQUIRE!): Inspectoi: ® nate: y-/_'q 3 ' v ' APPROVED DISAPPROVED APPRO"D SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 BA Ball Blvd. Tigard, Oregon 97223 Inspection bine (Pec-O-Phone): 639-4175 Business Phone: 639-4171 1 Inepoction:_^_V Tooting Plbg. Underslab Mach. Rough--in Appr/Sdwlk Found. Pl.bg. Top Cut Gpi Line FINALS Post/Beam Struct. Sa-.. Seger Framinq ft -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: 346Time; —AM PM Address; .vyl Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED! Inspector! Date: G/APPROVED DISAPPROVR, APPROVED SUBJECT Tr APo)VE Call For Reinep. .X_ SPECPION NOTICE City of Tigard Building Depart k_:.� 13125 SW Beill Blvd. Tigard, Oregon 9727.3 Inspection Line (Rec-O--Phone): 639-4175 Bueineae Phone: 639--4171 Inspection: Footing Plbg. Underalab Kech. Rouoh-in Appr/Sdwlk Found. Plbg. Top Gut Jac Line FINALS Poet/Beam Struct. San. Sever F -1n79 Poet/Beam Mach. ,fain Drain Innulatior -Plumb. Plbg. Underfloor Water I.ivAe Gyp. Bd. -Koch. Rete Requeetedi�_ �� P14 Addreae: c lll ,-I Permit I: Builders— OL -GI-.F_L,l'J �G �- R 2(,,_ k --- THE FOLLOWING CORRECTIONS ARR REQUIRED: 000,or Rif ZERAA?" A4 r I tneoectors_ _�� Date:__3 z.7-9 3 —_APPROVEb 4--"DISAPPROVNrk _ APPROVED SUBJECT TO ABOVE y C�11 For Reinnp. INSEE TION NOTICE City of Tigard Building Depactaent 13125 So Ball Blvd. Tigard, Oregon 9+7223 Inspection Line (Rec_O_Phone): 639-4175 Rusineas Phone: 639-4171 Inspections__ Pooting Plbg. Undersl.ab Mach. Rough-i,. Appr/Sdwlk Found. Plbq. Top Out Sas Line NAI: Post/Ream :truct:. San. Sewer Frau.--." -Rid., Post/Beam Mach. Rain Drain Insulation --Plumb. .1 by. Underfloor Water Line Gyp. Bd, --Mach. Date Requested: PM Addreaa:^_/ Qi- Perml.t Builderr -- / ��t-�z■•-- — ----—-----� -- - THE OLLOWING CORRECT, S ARE REQUIRED: Inspector: -' — —_----'_T.��'- ----- - — 1275 Date: -^---� APPROVED DISAPPROVED APPROV M SUBJECT TO ABOVE __Call For Relnnp. SEECTTO-4 NOTICE City of Tijaxxl Building DPpartasnt ?3125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-•17.71 Inspections Footing Mg. Dnderelab Mech. Rough--in Appc/Sdwlk Found. Mg. Top out Car. Line FINAL: sttse" stru Ban. sewer naming -Bldg. Meoh. Rain Drain Insulatl.on -Plusb• Plbg. underfloor Nater Line Gyp. Bd. 4$Wh, Date R..-Uenteds Time: AM /� 2M Address:_- [d [ lL(.11y' Permit ts��U1 Built,are /t.��YrtA TBS FOLLO:IING CORRSCTIOBs ARE REQUIRED: ><nspeatolri .^' Date:_-2., 11PPROV�O DTSAPPROVED APPROVED SCBJlCT TO ABOVE Call For Reinsp. jNSP6CTI0N_N0TICE City of Tigard Building Department ✓��� 13125 80 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 630-4171 Inspections Footing Plbg. Underslab h. ou i Appr/Sdwlk Found. ,rlbg. Top Out Gas Line FINAL: Post/Remo Strutt, tan. eawar 1 Framing -Bld4. Post/Beata Mach. Fain Drain Insulation ::umb. 4fbg. Underfloor ` Water Line Gyp. Bd. -Koch. Date Requesteds _ '7 —Timor -AM PM Address t�' ' d --?i „, Permit 1 sy/,/; b � Builder: ' TM FOLLON CORRECTIY--ONS AUR REQUIRED: Z�Z_�--7 4r;2;2 r Inspectors— `✓v _ natal APPROVED DISAPPROVED PROVED SUBJECT TO ABOVE _Cell For Reinsp. INSPECTION NOTICE f City of Tigard Building Departseent 13125 ON Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businems Phone: 639-4171 Inspection: �ooting Plbg. Underelab Mech. Rough-in Appr/Edwlk bound. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: % _Timer AM PM Address: Permit Builders TAE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors Date:-!&- -L-APPROVED ate: &'--APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For RAinep. i ' CITYOF IFARD PLUMBING PERMIT COMMV TY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93-0018 rams sw ft.ad.P.o.e«23W.'grd,on.w,orm(603)6394175 DATE ISSUED: 02/04/93 SITE ADDRESS. . . : 14092 SW CHEHALEM CT PARCEL: 2S104BN-04600 SUBDIVISION. . . . : CASTLE HILL_ ZONING: FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :21 CLASS OF WORK. . .-NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . sl BACKFLOW F'REVNTRS. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 MATER HEATERS. . . . . . : : CATCH BASINS. . . . . . . sO FIXTURES-----,------ --- LAUNDRY tRAYS. . . . . „ * 1 SF !'LAIN DRAINS. . . . . s 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . . 00 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . s100 DISHWASHERS. . . . sl RAIN DRAIN (ft) . . . . 10 Remarks : PATH I OWNER: -------___-_------- ----------- _-____-- _---- _---F EES---------------- ROSEWOOD HOMES: INC TIF $ 1460. 00 JH 02/04/93 - 7140 SW 209TH BPRT $ 391. 00 JH 02/04/93 - BPLC $ 254. 15 JLH 12/29/92 92-c:35113 BEAVER 1014 OR 97007 B5PC $ 19. 55 JH 02/04/93 - P'hone #s 642-4049 SSDC $ 280. 00 JH 02iO4/93 - PARK $ 500. 00 JH 02/04/93 - Plumbing Cunt ractor:--- - -_.________-__ MPRT $ 46. 50 JH &?/04/93 - ,/ MPLC $ 11. 63 JH 02/04/93 - I\Iame : J- VCU M5PC $ 2. 33 JH 02/04/93 - A d d r e s s s 1 CcJ— jY � i PF'RT $ 155. 00 JH 02/04/93 - ity: A'2.L�_ __ �_�State: �/. P5PC $ 7. 75 JH 02/04/93 - Zips 1lbU' —__Phone#:_ 2 Reg #:�y rr =BSc' ------- REQUIRED INSPECTIONS ----- (his permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct water Line Insp other, applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordanre with approved plans. This V"Im/undslab Insp Mechanical 1= iTial permit will Expire if work is n,,-.t started VILM/Underfloor Plumb Final within 180 days of issuance, or, if work is Mechanical Insp Building Final suspended for more than 180 days. f='lumb fop Out Erosion Control Framing Insp Crawl Drain Fir9place Insp Gas Line Insp Insulation Insp (3yp Board Insp Authorized Aqumbing Contractor Signature Call for inspection - 639-4175 Contractor Notes : CITYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT taraeaWHIMONd.P.O.8== W,7I0Wd,0rQFn 0022 (000)eaaa»s PERMIT #. . . . . . . . MST93-0018 639-4171 DATE ISSUED: 0104/93 MITE ADDRESS. . . : 14092 SW CHEHALEM CT PARCELS 2SI04BB-04600 SUBDIVISION. . . . : CASTLE HILL ZONINGS BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 321 ------•--._-__-_- ___._.--.__-----___--- BUILDING ----__------.-_--____-_-_ REISSUE: DWELLING UNITStl BASEMENT. . . . . . . . :0 sf CLASS OF WORK. -NEW BEDRMS:3 BATHSi3 GARAGE. . . . . . . . . . 1475 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-------•--- TYPE OF CONST. s 5N F I RST. . . . :895 sf LEFT. . 16 ft R I GHT. a 19 ft OCCUPANCY GRP. IR3 SECOND. . . -777 sf FRONT. 120 ft REAR. . a32 ft STORIES. . . . . . . 12 THIRD. . . . -@ sf REQUIRED------------- ------ HEIGHT. . . . . . . . ac4 ft TOTAL-------: 1672 of SMOKE DETECTORS. aY FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 85462 PARKING SPACES. . 11 Remarks a PATH I ----------.-.------------------------ PLUMBING ------------ SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . !0 BACKFLOW PREVNTRS. . 10 LAVATORIES. . . . . :4 WATER HEATERS. . . 91 TRAPS. . . . . . . . . . . . . . 20 TUB/SHOWERU. . . . a3 LAUNDRY TRAYS. . . 11 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . 10 GREAEc TRAPS. . . . . . . sO DISHWASHERS. . . . : 1 WATER LINE (ft ) . a100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . ai RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 --------•------- MECHAN'CAL ------------------------------------ FEES f=UEL TYPES----------- UNIT HTRS.. . 10 type amount "y date reept /GAS/ / / VENTS . . . . . s0 TIF it 1460. 0(.o JH 02/04/93 - MAX INPUT.0 BTU VENT F'ANS. . 95 BPRT f 391. 00 JH 002/04/93 - F URN ( i00K . . .- I HOODS. . . . . . al BPLC $ 254. 15 JLH 12/29/92 92-•235113 FURN )-1001-( . . a0 WOODW'TOVES. a0 B5PC $ 19. 55 JH 02/04/93 - FLOOR FURN. . . . 10 CLO DRYSRS. s 1 SSDC $ 280. 00 JH 02/04/93 - HOIL/CMP ( 3HPa0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/04/93 - GAS OUT'LETS: 1 MPRT f 46. 0 JH 02/04/93 - Owner: --- -_______...__.________._._-_-__._ -MPLC $ 11. 63 JH 02/04/93 ROSEWOOD HOMES INC M5PC $ 2. 33 JH 02/04/93 7140 EW C--'09TH PPRT $ 155. 00 JH 02/04/93 - P5PC f 7. 75 JH 02/04/93 - BEAVERTON OR 97007 Phone #: 642-•4049 Lont r-act or: ROSEWOOD HOMES INC 7140 SW 209TH BEAVERT'ON OR 97007 Phone #s 642•-4049 Reg #. . : 69173 ____...__.__.___.--------------•-----.-•---..____.__ f 3127. 91 TOT _ This perait is issued subject to the regulations contained in the ---- -- REQUIRED 1 NSPEC f I01VS ------- Tigard Munir.ipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Ream Struct Gas Line Insp plans. This peroit will Expire if work is not started within 180 Post/Beam Meehan Insulation Insp days of issuance, or, if work is suspended a t n IN , F-Im/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Fier Mi. t; LvR 43iyrztIIt e : _ _ hlechanical Insp Water Line Insp Plumb Top Out 0ppr/Sdwlk Insp Issued Ft Y e _..---�—_-.---__`�_ Framing Insp Mechanical Final -(.all for inrspection - 639-4175 CITYOFIFARD SEWER CONNECTION COMMUMTY DEVELOPMENT DEPARTMENTorMon ire PERMIT' 131268WHd8Wd.P.O.9=2xw►,T1Wd,0MWW, (SM)ON4175 PERMIT' 0. . . . . . . : SWR93-0016 639-4171 DATE ISSUED: 02/04/93 "iTF VIDDRF_SS. . . : 14092 SW CHEHALEM LT PARCEL: 2S104BB--04600 ',IJBDIVISION. . . . : CASTLE HILL ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s 21 ILNANT NAME. . . . . : uuA NO. . . . . . . . . . . FIXTURE UNITS. . . s LLASS OF' WORK. . . :NEW DWELL INO UNITS. . s 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGSs1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . s : af Remarks: PATH I Owner: ----------------------------------------------------- E : ------.__------- ROSEWOOD HOMES INC type amoUnt by date recpt 7140 EDW 209TH PRMT $ 2100. 00 JH 02/04/93 — INSP $ 35. 00 JH 02/04/93 — BEAVERTON OR 97007 Phone #; 642-4049 Contractor: -----------------__._____------ CONTRACTOR NOT ON FILE ------------------------------------- Phone #: f 2135. 00 TOTAL Reg #. . : ---- --- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rulet and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires IAB days from she date issued. The total amount paid will be forfeited if the _ p,:rmit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the Der hall pu a "tap and Side Sewer" Permit and the ncy w i all a ate Permittee I-,s u e d B y • _ __ V-_- ___—!— Ca11 for inspection — 639-4175 z 3 G3� CITY OF 716ARD - RE-CEIPT (OF PAYMENT RE;CLIPT NO. 193--236335 CHECK AMOUNT t 5012. 91 hlf+MF a PUS WU�Z HOME=S Cf-SH AMUUNT 0. 00 ODDRFSb FIAYMLNT DATE: x 02/04/93 SUKDIVt3IUN i PURPOSE OF PAYMENT AMOUNT FSA I D PURPOIjE OF PAYMENT AMOUNT PAID Elll I L.D I NG P64M 39 1. rb0 PLUMBING PERM 155. 670 MECHANICAL. Gl�. 46. 50 E.5T. BUILD PEEL 29. 63 PLAN CHECK FE 15. 78 :3EWE R USA 100. 001 RLWER INSPECT 3b. 00 PAkKS SDC; ",;00. 00 STORM DRAIN GDC ;:C60. 00 RESIDENTIAL TRAF=FIC FEES 1350. 00 WSS TRANSIl TIE' FETES 110. 00 LUT 81 CASTLE HILI_ 14098. SW CHE'HAL.E:Mi CT TOTAL_ AMOUNT PAID - - -- - > 5012. 91 1312S SW Kill DW. PLNCK/RECT N Ci► CITY OF T1VRD PO Box PERMIT 0 COMMUNFFY DEVELOPMENT DEPARTMENT Tipvd4Orcpn97M (307)6394171 DATE ISSUED 7�JOB ADDRESS: I'Y,09P s• w. L h 11 i vr� Cf. TAX f iAP/LOT + 1 4 840�I�o O SUB: Oa--slc l." L/. LOT: jQL_ _ LAND USE: -- VALUAT ION: a32V&ft& (f5AI G Z QMER NAME: _ ' Qs�°(,uQ/ h e5� REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: . CTORPA PROVAL.S_REOU I RED Su 396 --0 0041 NAME: PLANNING: ADDRESS: _7 D s. aro9 - _ ENGINEERING: ✓eK 7/mn . 0L,2 9 2 FIRE DEPT: - - -- PHONE: 6 ,Q hi9 OTHER: _-„F CONTR. BOARD f: 11 9Z 0, EXP DATE: 9••lw-93 ITEMSREQ IREQ SUBCONTRACTORS: PLUMB: 7,*-)V PAu&j2jgo LIST/SUBCONTRACTORS: MECH: .��� G«;/ ire Q BUS TAX: _-__-- ARCH/ENGIKM CALCULATIONS: NAME: T P—,--( AP_t.�2�r.s TRUSS DETAILS: ADDRESS: _SOD &W ,LAS�� _�, OTHER: I-_ rilQpld, bR q7-9,R9 PHONE: 6 Y5 - D Q 124_ PROPOSED BLDG. USE: COMM"^NTS: I APPLICANT SIGNATURE Received By: _ Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. ,_ BAL. DUE M -a�18 10-432 00 Building Permit Fees v 0.0 / _3* •. 10-431 00 Plumbing Permit Fees IS.S"on / ,s 10-431 01 Mechanical Permit Fees -f j All 10-230 01 State Building Tax (5%) �9•G3 .? Building Plumbing Mechanical .3 / 10-433 AO Plans Check Fee / ,? �':� '� � IS,91 Building A2, i? Plumbing Mechanical 11- IJ IQ-.230 06 Fire 110 30-202 00 Sewer Connection /y o c,o 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 _1350 / 135p 25-448-05 Mass Transit TIF Fees 1/ 0 , //(i 52-449 00 Parks System Dev Charge (POC) 100 / Soy 31-450 00 Storm Drainage Syst Dev Chrg (SSOC) / armL 24-445-01 Nater Quality (Fee in lieu of) _ 24-445-02 Nater Quantity (Fee in lieu of) _ TOTAL nm/3587P.WPF CITY OF' T1641RD — RECEIPT OF PAYMENT RECEIPr NO. 392-2,3* r?oc.;F-w(jor CHECII, fWOUNT 2rmb. 00 CA8H AMOUNT 1.). 00 PAYMENT DATIFF. t2/29/1)& BUBLi.i V I S I ON f-'IJRPOSE OF PAYMENT AMOUNT P(4Tb PURPOc;E OF PAYMENT AMO'iNT PAID ! .I AN CHECK FE' 1�50. 00 LOT 21 CASTLE HILL 1409,2 SW CHEHALEM CT TOTOL AMOUNT PAID 2'5171. 00