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13815 SW BENCHVIEW PLACE ADDRESS: 1.sL,y sw &JUCAuiew i recordslmicroflmltargetslbuiIding.Ooc CI1Y OF TIGARD CERTIF"ICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW;call Blvd.Tigard,Orefon 07223.810 f5031,E3W4.171 PERMIT 0. . . . . . . a MST93--4 344 DATE' I SSUED o 12/23/93 PARCEL o 26104DC••-131300 S I TF ADDRESS. . . t 13815 B14 SENCHV I EW PI.- SUBUIVISION. . . . t BENCHVIEW ESTATES ZONINGtRW4. 5 BLOCK& . . . . . . . . me LOT. . . . . . . . . . . . . 113 CLASS OF WORK. aNEW TYPE OF USE. . . t SF OCCUPANCY ORP. t R3 OCCUPANCY' LOADe230 4 TENANT NAME. . . e Remarkse PATH I Owners _._.__.__.-------- ----------------------- AL. ._._—,...W.._ _______.-____•._•_.___-- AL. SARKOUL.I 153162 SW VILLAGE LN BEAVERTON OR 97007 Phone #o $23--6663 Cant ract a►^t J P CONSTRUCTION 10275 SW OULI PL. BEAVERTON OR 97007 Phone O t 524-5796 Reg #..e 55967 Occupancy of the above referenced building is hereby given, and certifies the compliance with the State Of Oregon Specialty Codes for th? group, occupancy, and use under which the referenced ptrreit was isuued. FIRE DEPARTMENT I o INSr TOP 13LIII...DIN F DIAL POST IN CGNSPICUUUS PLACE 111��'L4li�'14� V1 City of Tigard Building Department 13125 M Sall Blvd. Tigard, Ororm 97223 Inspection Line (Rec-O-Phone)sp639-4,75 Business Phoner 639-4171 Inspection r- ��- ' ✓�C�(� �.�1- �'� r _��_ -- Footing Plbg. Underslab Mach. Rough-in Appr/Bdwlk 1ound• Plbg. Top Out 4as Line IIRAY.� Post/Beam Struct. San. Sewer Framing 04" Post/Beam Mach. Rain Drain Insulatlon -Plumb''. Plbg. Underfloor Mater Line 01(p, Rd. : �" h_ .0000 Date Request2ed�r Z_(' �G S `� 3 -Till, ` AM ,�G PM Address$ 1 3 O �y�-I\ c�l•�_V 2ez!� Permit 11 t 7 'y3 41-¢ Builders V �L�1C� ��6� THUS FOLLOWING OORRSCTIONS ARS RSQUIRSDr y Inspector `-^-f --- Date$ APPROVED DISAPPROVED -,--- APPROVRD SUBJECT TO ABO\►R �� �� _-Call For Reinap, City or Ti4W rd Building Departaeat 13115 BW Ball Ilvd. Tigard, Oregon 97123 Inspection Llne (pec-O-Phones 639-43.75 Bus hes• Phonoi $39-4171 Inspection* � v looting Plbg. Underslab Mech. Rough-in found. Plbg. Top out Gas Line f2NJ1Lt Poet!3waw Struct. Sa... Sewer framing Post/Beam Mach. Rain Drain Insolation -Plumb. Plbg. Underfloor Nater )Line GYP• ad. Date Requested* Lf _...___Timet ------ Aadreset ( ✓I / �1/`��1�� e) Permit #81"7�� Builder*_ .�, `?5h� Ji THE FOLIAMIM CORRECTIONS RR= REQUIRJtDt • I � -- '�✓LO UL1.R. NKSL' l_. • Date* 0 -cl) ."PRO43D NjL' DISAPPROVED APPROVED SUBJECT To ABOVE ►/� 1 /� ` �L--'call For Reinsp. INSPialoN W= City of Tigard Building Department L3125 S11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rae-O-Phone). 639-4175 Business Phones 639-4171 Inspections _­_ — — Footing Pltig. Underslab Mech. Rough-in /SAA-pnc//addwlk Found. P.bg. Top Out Gas Line 4. Ml�.-•' Post/seem St&vft. San. b-wer Framing `iia so-` post/neem Neoh. Rain Drain Insulation -VINE. Plbg Unddrtlo0! Mater LineC� Gyp. ed. -INeh� s nut* Roque@ tWl L I U l 1`� wTine• /��IM �,}N Addreestv�Cuie > I-r.:,Lc #s J3 3Yy nu ilder, .1 , Ccros� J b Y�.Ir. c�(5 2- FOLLOWING FOLLLOWING CORK MONS An PAwIRN^s ck V-\ Inspectors V '-'' _ _ Dates a _ U -�3 n APPSOVNb �DfnAPPROVED APVPAMD SUS.ISCT To ABOV11 r Call For Reinsp. INSPSCTIM NRINZ City of Tigard Building Department !i 13125 SM Ball Blvd. Tigard, Oregon 972.23 Inspection Line (Rsoc-O-Phone)i 639-4175 Busin*as Phones 639--4171 Inspections_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINALI Poet/Beam Street. San. Sewer Framing -Bldg. Popt/Boam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. Date Rpvestedt 12- q3 �( Timet rin 1111 AddMess_C-3dU k5 1.1tM /��l ll�' 1 Permit 01 21M OOIIR/CMOMB ARE REQUIRRD: Inspector _ -! Date• / APPkUYED DISAPPROVED NPPROViD SUBJECT TO ABOVE _____Call For Relnsp. Zt1eE�^TI©L: narks City of Tilard nuildiM Department 13125 BW Ball Blvd. Tigard„ Oregon 97227 Inspection Line (nac-O-Phcne)c 639-4175 Business Phones 679-4171 Inspections Footing Plbq. Unde:slab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Cut Gas Line FINALS Post/Ream struct. Ban. Sewer Framing -Bldg. Post/ReAm Meech. Rain Drain Insulation -Plumb, olbq. Underfloor Waster Liineq yd, -fib. Date Requesteds r +e_2- / ( � Ti.. F�L�aA'\�/ •r PH llddreses 12' 0 6 �.71-V k k'°C -A3 Permit #s f-D�^�"�(I(/ Bui.Iders"I f I I f"I'l.-A , --.— (�.m1 of 7 -3 7 =TB! FOLLONIM COMMONS AR! Rs l RSDS AL:Z' \YV"I. 1 p' 2__O I a C-c e s c s 1�'L k (.z,Q_ 2Z K_ 3V \. e c..-,ak_A4-v,__n t- Lv S_ Inspectors ............ 13 APPM13M pleAFpR(7VBp APPROVRD SUBJR(7T TO ABOVL �� C 11--c-1-1-1 For Reinsp. INSP&5T1411 III—O i7 i city or Tigard Building Department 13125 Be Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roe-O--P(hone)s 639-4175 Buni.naea Phones 639-4177 Inspections__-- Footing Plbg. onderelab pwb. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas LU." FINALI Post/poem Strvct. San. Sower Rt, YLn9� -Aldg. Poet/Beam Koch. Rain Drain -JjpvulatLon -Plmb. Plbg. Ondorfloor Nater Line Oyp. W. -mob. i l i Data R.Tustadt °' � '�5 Timet AM Addr...s (1�,2%(/1�� �I.d �V�L�/V/i� \ ` 1 ( Permitto Builders V t, 1. �`�� ' VC�Y\X�- C)� (5-2- TB= FOLLONINO CORRECTIONS ARE REQUIRBDf 6f(. szv-J2 6Y- -T In8pact 0r1 Dater "FROM DIS"PROVlD APPROVBD SDBJRCT-To ABOVE Call For Reinap. `i R� a i Il!@Ysrc�.41!_1��I Cs City or Tiga_1 Building Department 1312S ell Ball Blvd. Tigard. Oregon 97223 Inspection Line (itec-O-Phones 639-4175 Business Phcnes 639-4171 Inspections! Footing Plbg. Undoralab cl�ft- . Rot19h••1B Appy/Bdwlk Found. Plbg. 'lop Out Gas Line IIKAM Post/Beam struct. sen. Rawer k jprsta r) / -8169. Post/Beam Mach. Rain Drain � � -PIVAb. Plbg. Underrloor Nater Linnex Oyp. ad. -1Moh. Data Roquesteds fnJ _That Address l �'C��� �1� �1�1C.c 1) �_ Permit #l l vw%'3 Builders ` THC FOLLOWING 0DRRSCTIOl15 ARs RNWIRROs 1 . o� R P_ CNAJ Inspectors____ Dates 9 2-f APPROVRDT_ APPWW11D DUBJBCT TD ABOVF, =C.1, For Rainsp. INSPECTION NOTICE City of Tigard Building Departownt 13125 M Ball Blvd. Tigard, Oregun 97223 Inspection Line (Rec-O-Phons)t 639-4175 Susinona Phone: 639-4171 Inapactiont Footing Plbg. Underslabech. Rough-in/ Appr/Sdwl.k Found. Plbg. Top Out Gas Line PINALs Post/Beam Struct. San. Sewer F arcing -Bldg. Post/Beam Mech. Rein Drain Insulation -Plumb. Plbg. Underfloor a`Water Line Gyp. Ed. -Mach. Date Requestedt 1?- �Q Tom= AN PM Addreset � 1 )tQ,✓�jC�JI �i �Q�,.�a Permit 3� Builders �� _ C1,61 f" —_ THE FOLLOWING CORRECTIONS ARE REQUIREDt -- Lam-) Al s .�� �Y.Q _5(�' �cam•.-.,i r`�,Q_��E,� _� Inspactoro_ t" bata: � — 3 APPROVED L.-'DISAPPROW APpItOVED SUBJECT TO ABOVE V/�.♦ ---Call For Reinep. RNSPFCTIO_N poTIc6 City of Tigard Building Department JL3125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phonet 639-4171 Inspectiont _ Footing plbg. Underslab Mach. Rough- Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Ntruct. San. sewertaming -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb, Plbg. Undorfloor Water Lino Gyp. 9d. --Mach. Date Roquestod t l C.s`� Timer AM _ _ - 'j PM Address 1 , QyQy,u�y PPermit1t Q`3 — 0 344 Builderi THE FOLLOWING CoRRRCTIONS ARR REQUIR&Dt or, . z A--�.:mss _ Inepectort — natal �AP�pp]^�R'OVED t/DI9AppF, D APPROVED tiUBJRCT TO ABOyR For Reinsp. A INEPECT�LON�I.0 .ty or T).gard buildLeq Departaent 13"s M Ball Blvd. Tigard, Ccegoe 7233 Inspection Lina (roc-c-Phono)t 639-4175 Business Phonal 639-4171 Anepections 9aotinq Plbg. Onderslab Nseb. M=qh-ie wppr/Sdvlk V,*wy1. Plbg. Top Out 4" Llno PIMI �'_.�b .ae Htruct. Han. Sower lraML" -bldg. Post/"an Mach. Rain Drain Insulation -Plumb. Flbg. Undf -floor G�Water Lbw Gyp. ad. -Moab. Date Requesteds ( — TiAwI •11 P/N Address l'�`I� l`� l��-N\.Ll�tll r_tl Permit #I (` c> `-` Buildor2 TAB FOLL0MING OORRZCTXONS ARi RtWrRIDI Ins t ! _ Datet APPROVRD DIHAPPRO"D AP "=U SDBJZCT TO ABOV! Call For Reinsp. T INSPECTI(M NOTICE City of Tigard DaI ldinq Deparbsent 13125 ON Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O--Phone)i 639-4175 Business Phones 639•-4171 Inspections tooting Plbq. Underslab Hoch. Rough-in Appr/Sdwlk Pound.�ftp gas Line rIMALs Post/Beam struat. San. Sewer Framing -Bldg. Post/Beam Hoch Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line gyp. ad. -Hoch. Data Requostedt QU -�'`_�1 - (� __Times: _ M PH Addresas �p�^/LCJI/1l�ll�li. I Permit ts,fv-15T Z,3-0 21 Builders __, ; �7 - -V1 I� TM FOLLOWING CORRRfPIONB ARR REQUIRRI): zz Inapaaaor:_ _ Dates APPROVED DISAPPROV<D APPROVED SU&IJCT To AgoVa V Call For Reinsp. INBPLCTTgN MOTICL ���-.Y city or Tigard BULUUmg Department � 1.3125 Aw Ball Blvd. Tigard. Oregon 97223 Inspection Lin. (R.c-O-Phon.)s 639-4175 Business Phonal 639-4.171 Inspections footing Plbg. Onderelab Hach. Rough-in Appr/Bdwlk Pound. Plbg. Top Out Gas Line FINAL, Post/Beam Bt nsct. Ban. Bawer Framing -Bldg. Post/beam Mech. Rain Drain Insulation J -- letmb. i Plbg. Dnd.rrloor Nater Line Gyp. Bd. -Koch.Data Requested,_ ` L J --13 Times Addressee �� >��� ) �`C tl ( '1}I 1 / e I Permit Builders �. ( �7N>I ,1.1V\AA J41,41, THN FOIJAM1190 CORRECTIONS ARE RRMIREDe _Z7 14 I Inspector: �— --.-..1 Datet� DISAPPROVED Z/APPROVED SUBJECT 1'O AgM call For Reinsp. City of Tigard Building Departm mt 13125 M Sall. Blvd. Tigard, Oregon 97223 Inspection LL (Rae-o-Phone)t 639-4175 Business Phone 639-4171 Inspection$_ Footing 7 Plbg. Onderslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINAL$ Post/Beam Struct. San. Sower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Garp. Bd. -Koch. Data Respected$ Times _ AK�!M Permit i�� Builders _ TRE FOLLOWING CORRECTIONS ARE REQUIRED$ ✓ Af Inspectors Date$i� Z APPROVED DISAPPROVED APPROVED SUBJECT TO ABDVE Call For Relnsp. INSPECTION NOTICE r_ City of Tigard Build' Department 11128 M Ball Bird. Tigard, Oregon 97228 Inspection Line (Ree-O-Phone)t 639-4175 Sumineaa Phones 639-4171 Inspectione `Zo- riC!`- _lr 9-�- J7__ .'2( /fie n✓�tom'' -- tooting Plbq. Dnderclab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FIKALt /Basis at San. Sewer Framing -Bldg. L _ Post/Base Kao Rain Drain Insulation -Plumb. Plbg. Onderfl' or Mater Line Gyp. ad. -Koch. Date Requestods_ / �� — Times AM PK Addre.•_ Builders THS FOLLOMIMG CORRSCTIONB ARS RSQDIRSD3 A. 1 11, ( flame 1 1, ` �J 1 OL - vyl L Z titiZ,- z! ,z In.pacteee � Dates � 1 __APPROVED DIBAPPROVRD �/ APPROVED SUBJECT TO ABOVE Call For Reinap. L - INSPECTION AOTI In ..1t7 of. Tigard Building Departmant 13125 M Ball Blvd. Tics , Ocagm 97223 Inspection Line (Mc-O-Phone)t 639-4175 Business Phonal 639-4171 Inspectiont looting Plbg. Onderslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lina FINALt Poet/Nu Btruct. Ban. Sewer Framing -Bldg. C,. Post/Nam Koch. M rasa Insulation -Plumb. Plbg. OndestlOOr Water L Gyp. Bd. -Nech. Data Requmetmdt T t AN PN Address t / )_ reit 0 s Buildert __ M TB= FOLLOWING ODRRZCTIONS ARi RNMIRM Inspectors ��� _ _ _! Date$ APPRMNID _J DISAPPROVED APPROVBD Sv /BJBCT'TO AbrM ✓✓✓ ��- Call For Aainep INSPECTIOII NOSICE City of Tigard Building Departmant V% 13125 BR Ball Blvd. T'Gerd, (Wagon 97229 Inspection -Line (Rec-o-Phono)t 639-4175 Businea• honeys 639-4171 Inspect ion s -�'r?_ (/�ootitq J Plbq. Or►derslab Mach. Rough-in Appr/8dwlk �/6 nd�` Plhq. Top Out Gas Line PIMALs Post/Beam Struct. Ban. Sower Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Mater Line Gyp. Bd. -Rech. Date Requesteds `1 -� T�� 4---' AN _PH Address s �� S ijl Cif/Gt t/�l,i -� Permit #s ` r- Builders T — TBE FOLLOWING CORRECTIONS ARE REQUIREDs -T-Ai Inspectors Date APPROVED DISAMOVED APPROVED SUBJECT TO ABOVE __Call For Reinap. ;tis r...... GI TY OF T I GARDE ;ia t.r<r ; COMMUNITY DEVELOPMENT DEPARTMENT . . . . . . 131258W Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171 DATE, 1 0?/Oa i i V i L.W P'L PfAkf-111.' i'131 04L)C Z! tENCHVIEW ESTPITES ZONINS: R-4. 5 pvt ,c4i )x LaUIL.WNCP 0WLLL,.:6C U141 1". - I DA3i-MENT. . . . . . . . . 4' RK. 1,LW Flqz;.,:3 GAR"144. . . . PliL, 4 fA�UIREL,' x 5N : .x' T i 171 s UJ- 1". 125 ft R, wly.`135 If L -1711. I UPI f NEO 1HIRD. . . 10,,.- sf REQU i RLi) 40 1L I L- , _ , eAfL'G 14 W VALUL. 1464': 'E, PARKANG PLUMBIlya,." I FL 00 R Ij k�4 1 IN 6, 4 VII I RE. w — -• 1 TRAW.C�. . . . . . . . . . . . . . .0 a .4 ATER HEAT'EMi: TRAY�-i. R.H, F0,I N;a AM LAIJ!40k , -4LRLASE THOPS ,:W�R LINE (ft ) . I;;L 0 cl L T 1, 3- b 1 IHWASHEW�.-'-. I 1. 1, 15f:. . . 1 R01IN LkAiN (ft ) . :0 I N bfll-#1 N1j. '7 Uti UNP by date rocl.A J H 07/41e/93 '"S/ 9 0 TT 1: S, I I�10 , I : b W, SJl j L i 1-1 V01,11 F- P-4!41;a� ;4 ' -J-4. ij ill 'it 7",mu': T ; "i-t i00K id HUMS. . . . . . .. I 'L[: $ x51. 83 JLH 06/03/5,a s I uI 6L 3 .ill 0 7 m'./')S CLQ DRYLRS., I L;SIX $ LaO. 01P JH 07/011U/ 011 IL l2 1�0v% will 111 4 Ti X12/4' GAS DUTI-I-ETa: 1 mp-1:4 r t 45. 1210 JH 07/02/93 _C. $ I I.J.- jk 0,'/0L- f1ARKUULI M5PL $ 2.1R5 JH 0 Oc!11 9 2i '.'1W V I L.LPUE: L14 pipe 6 COW"37,R)CA [014 f.,W GULL L UR 91011117 hurte 02 ,leg' 0. 'pis Fefett is it.;,ved sibJect to tits ieplattonii contained in the r4L-,0.0 I NED I N!:ji It., r ,,isvj *4nkclpwi qodt, itatkf f Ci A.1 Spatialty Lodes and &A Gthow Vi)at/fUuild Itilip r� 441 vplaLe Ings npinblo iawi. All work ;ill at dm* in accorearct toith kWeved I-'ostigpam Struct Geis Liiie !lisp jla:ls. IbU4,pe),vit-w0j v ,rit Katk i 2tirted r, 0 Post/Bial" me(zhefl Irls'.4latLLm I n s p t'*-ii No adjt of Ill"0" -4 it ;,j!ip, Ro art d 5. Plm/iindslab !lisp fiyp 11(--a-rd I Ma p PLM/Urid e r f;I. aaf Nit,) moot1IT14co'1 D-19p WcIttl L-trie lti' !ami, T,, ',4 L ypir i Sdwlk Iiiip Lt �t.100 ry 1) -7 Ui�,.i I It ur uri 61D- —4i I CITY" OF TIGARD : � :} i'� COMMUNITY DEVELOPMENT DEPARTMENT i. 4a. . • • • " 13126 SW Hal(Blvd.Tigard,Oregon 97223.6199 (603)639.4171 BCNCHV1LW VL' P(4RCEL. 1 BIC A. . lal.is LI i W 4i:4NT NNml:.. . a 'VCI. . . . , . . . , w s F T XTURL: UNI'l cNLW I)WC.L.L.IJ,t6 Ut`NI. I L • . . Ass= NO. Or i.01 LO I NZu 81JSWN (AUL. . +ltin�r••Nt+3 1'�l"CN X type Amount by dat e ) + f7{ 1.J ;'iz•�' SW V I I-LAUE: LA PRMT i 800, Din JH 07lOi /9:. 1 1�1�rv.1 P T r c r .1.114(KALI 0.I ' IACt ON f=Ii..l~ its a HHpiinralrt ag)res to coaply all tip rullji end viri6at, n-- ,a oy 1 rr plict, i.uft r Ur&0d 3ewoge Aglnc,' 'Ne gait expiret 114 day, fr91 e Me i>ssied. Thr total amount paid will be forfoited of the - snw expires, the Avoncy noes not guararA@1! the accili'"y of :thy P stwtr idterals. if the st"r is not lol:at,ed de thr Iloasureoent en1 the ln3tallor sriall prospect 3 feet in all directions foe 0i distance g-iven. if 144 so located, mile vi _ a a ;rep and a,dt 3eMer Flrll�t and ti. -oncy 1 1; 1. CAI I for irntipecrClon 6 39-4tI`j �t CITY OF T I GARD - RECEIPT OF PAYMF.NT REC:E.I P'f NO. m93-241946 CHECK AMOUNT t 5442. 1t NAME t JP CONSTRoC T T ON CASH AMOUNT a 0. 00 �DDRE:SS 11275 SW GULL_ PLACE PAYMENT DATE a 07/02/93 BEAVERTON, OR SUBDIVISION 97007— 9IURPDSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID U I LU I NG PERM MST93-0344 550. S0 Pl_UMId I NC PERM 15.9. 00 MECHANICAL PE 45. 00 ST. BUILD PER 37. 53 PLAN CHECK FE 119. 08 SEWER LINA 2200. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 00 B TORM DRAIN SDC 261A. 00 RESIDENTIAL., TRAFFIC FEES 1410. 00 MASS TRANSIT T I f- FEES 110. 00 I 1:3815 SW BENCHVIEW PLACE BENCHV I E:W ESTATES, LOT 13 TOTAL AMOUNT PAID -- — -> 5442. 11 CIS OF TIGARD 13tzssw1WMA. PINCK/RE:CT k PERMIT # /71; .5 fy COMMUNITY DEVF;LOPMF'NT DEPARTMENT TipcA Oregon 97U) (503)63¢41" DATE ISSUED JOB ADDRESS: S( LI �z'r�lG�'yl ['r.0 TAX MAP/LOT ,7S ghC- Q1/3Vd SUB: _ �. {�jyi � c� s LOT: 13 r !�' LAND USE.: VALUATION: pyI f SPECCAt_NOTES i NAME: 1.-_t' �1��u_1 — REISSUE OF: _ ADDRESS: _.1c�3 �O"L 5� V'l �,�S.N ��'^�- _ LAST REISSUE:: — __. ea�/e ✓�'G� , ©12 `�_ G0 FL000 PLAIN/ PHONE: ...__.._ 6 `� I -U3 y ' � ►tee _- SENSITIVE LAND: _ 2.23 -6663 - wor I� CONTR C (.)R r LPPROYLMi REQUIRED 5U6 � NAME: �.� C'C751��"r�t L�1 PLANNING: � °1/S/��,Y�9�° f� ADDRESS: _ ENGINEERING: FIRE DEPT: PHONE: "7 r ��Z , ! f _ OTI(FR: _ CONTR. BOARD 9: EXP p E: ITEMS REQUIRED SUBCONTR&C70LS: J �_ L IST/SUQCONI RACTORS: BUS TAX: AR ENGINE —MAI &CULATIONS: NAME: Ajq5ror d C='c,f Io } i CF), TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: CAL L4 s� _-- APPLICANT SIGNATURE J Received By: - Date Received: - /� v/•�-__ L: PERMIT # ACCT b DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE MI 9J-a d`� 10-432 00 Building Permit Fees 'sU l . 10-431 00 Plumbing Permit fees .1.ZLw ✓> 10-431 01 Mechanical Pet ait Fees V 5"-j / '��•H' S / 10-230 01 State Building Tax (5z) Building 77 7, 3 d Plumbing 7 7�)" Mechanical 2.2) ick.04 10-433 00 Plans Check Fee Building ,35� 3 Plumbing Mechanical 10-230 06 Fire 220- C-) L 30-202 00 Sewer Connection_ - 30-444 00 Sewer Inspection 2.5-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees �L(1(�_ 1 25-448-01 Residential Traffic Fees � ._..- 2.5-448-05 Mass Transit. TIF Fees /l U ._ _ Ar- 52-449 00 Parks System De-v Charge (PDC) r 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) i 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) — TOTAL 5_53V,_L� f1 � I nm/15R71'.Will V .0 CITY OF T I GARD — RECEIPT OF PAYMENT RECaE Y PST NO. c li 3—,:'41507 CHECK AMOUNT i 1'50. 00 AME t AL_SARKOUL I, AL.AARKOUI._I COS14 AMOUNT 0. 00 DDRE:SS o PAYMENT DATE a 06/10/93 SUBDIVISION 'URP'OSEr OF PAYMENT AMOUNT F'AID P'URP'OSE:. OF PAYMENT AMOUNT PAID ; L.AN CHECK FF ..._.� .---...._._..250,00 i i OT I BENCHVIEW EST 13815 FEW BENCHV I FW PSL. OTAL. OMOUNT PAID 'i i i '.1 .. ql