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10965 SW GENEVA STREET A �o r R y. i r� 0 e i.\iercrds\microflrn\targels\btiilding.doc 1 i.. " �a Clot' OF TIGARD OOMMUNITY DEVELOP''!ENT DEPARTMENT • 13125 SW Hall Blvd.Tigard.Oregon 47223.8199 (503)839-4171 CE R T I r I CA TE. OF OCCUPANCY xxxx PERMIT' #. . . . . . MST9 006E 6.39--4171 DATE I SSUCL>: 08/14/93 s • PARCEL: 1 S 134AC;_.03204 SITE ADDRESS. . . : 10965 SW GENEVA ST SUBDIVISION. . . . : HART' S LANDING ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :02)3 CLAGG (7FWORK. :NEW TYKE OF USE:. . . ::iF � OCCUPANCY ORP. :R3 OCC I sr'ANC Y L©ALl o :_'6 4 I L:NONT NAME. . . : Rpmalrks s F'LA'N T C:3w1ter-: _...,._._.._.__._._. ____.._........_. _..__.___. ._.._.__._.w RENAISSANCE DEVELOPMENT' COR 1.6 SW WILLAMETTE FALLS DR bWC91 I..INN Uri 97068 Phone #. 657-5739 Gontr,acto RENAISSANCE DEVrL..nPMF.NT (k72 SW WILLAMETTE` FAI-LS DR W(--.ST I-INN OR 97068 Phone #: 557•-8000 1 1)Po LI. . 1 4ra955 Occupancy of the above refPr enc,ed building is hereby given, and certifies i the compliance with thcr )tate Of Oregon Specialty Codecs for the group, r,pancy, and use ender which the referenced permit was issued. F I FSE: DEPAFt'tMEiNT DU L � �. F_-C;T,OP. POST IN CUMSPICUOUG PLACE 1 i r`, ,t f • s • INSPECTION NOTICE City of Tigard Building Department, 13125 SW Ball Blvd. Ttq'Rrd, oregon -47223 • Inspection Lirn (Rec-o-Phone): 639-4175 Husint :s Phone: 639-4171 Inspection: ---.--- Footing _Footing Plbg. Undoralab Mech. Rough-in Appr/Sdwlk i i { Found. Plbg. Top Out Gag Line Post/Beam Strucl . San. Sewer Framing F-Bldg. Post/Beam Mncl+. Rain Drain insulation -Plu Plbg. Underfloor Water Line Gyp. Bd. ecFJ W,� / /s/ r Date Requested: �� _-_--Tl.me: PH- AI�i Addreee:_Y. Permit. 1s�S� THE FOLLOWING CORRErTIONS ARE REQUIRED: - s _ I Inspector: Data: G C k; APPROVED DISAPP?.OVEL APPROVED SUB.JB ABOVE Call For Reinsp. zw vi t , A .. MEN • Iw8PECTIOwA(? ICE City of Tigard Buildinn Departarsnt 1.1125 8N Ball Bled. Tigard. Oregon 97223 Inspection Live (Rec-O-Phono)r 679•42.75 BUBinaa& Phonet 639-4171 Inspection Footing Plbg. Underelah Hach. Rough-in -;Pp— dw k\ "�-- J Found. Plbg. Top out Gas Line Poet/beam Struct• Ban. Sewer Framing -Bldg. Post/Beam !loch. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line /- Gyp. Bd. -Mach. Date %,questedt CP r U��f.� TimLC9A ; Permit /4) _ u 80!der t y;: 'PBZ FOI.I.ONIMO CORRECT IOws ARE REQU t.M t s Inspectors_ j� �TI/Jllf� =7;;, Dater APPROVED DI8APPROVED 2APPROVRD SUB.IECT TO ABOVE Call For Reinsp. K 17, i i 8. W 99 .,N r.: ,s } ,E,[i&PECTIr1[( :In'I'ICR rt �... City of Tigard Building Department Y 13115 BW Hall Blvd. Tigard, Oregon 972.23 t Inspection Tine (Rec-O-P1.gfe) 639-4175 Business Phone: 639-4171 g Inspectiun:— F.Oting P'bU. Underslab Hach. Rough-in Anpr/sdwlk Found. Plbg. Top Out Ras Line FINAL: 1 Post/Beam Struct. go. . Sewer Framing -Bldg. � Post/Beam Mech. Rain Drain -Plumb. � t Plbg. Underfloor Nater Line (pyp, M, _Msch. Data Requrnoted:�1 _ Time: AK _pH Fermit /: �DU Builders_ THE FOLL4WINQ CORRECTIONS ARE REQUIRED: `i Inspectors Y V 4 i � 9 - "��-------- Date: j _APPROVED �— DISAPPROVED AP2ROVED SUBJECT TO ABOVE {� Call For Pei-nap. 1 1 i {4 r • JMPBCTION 140TICR Cit of Tigard Buil y, e ! g gird DOregon 97 Z7 City 13125 SR gall Blvd. Tigard, Oration 972 '� p Inspection Lina (Rec-O-Phone): 639-4175 Business Phones 639-4171 6f r Inspectiont 0 I � k Footing Pl.bg. Underelab Hach. Rough-in Appr/5dwlk Pound. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. k _ — S Post/Beam Hach. Rain Druin Insula— ti a -Plumb. ![ Plbg. Underfloor "star Line Gyp. Bd. -boy, r Data Requestedt j J Time/ AH p�( Permit �d lfd�sat f� i Tts FOLLOWING CORRECTIOKS ARE REQUIREDt I ! I _ j I _ i i Inspector Datet !� APPROVED DISAPPROVED APPROVED 808JEC1 TO ABO{!E +~ Call For Rel.nap. 6 !'r iT 1 R 6 i Yew :. ir • 5 . 7 ,q 4, INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspections Forting Plbg. Underslab "hh ugh-in Appr/Sdwlk Found. Plbg. Top Out l Cas Line ) FINALs Poet/Bean Struct. San. Sewer Framing` -nldg. Poet/Beam NPch. Rain Drain Insulation -Plumb. a . Pltsg. Underfloor Wa er Line yp. Bd. -Nerh. { Date Requesteds - J Time: AN PN Address �X/� ��! PE-mlt #: r Builders THE FOLLOWING uVA MCTIONS ARS RBQUIRZDs ,}yf' 1, il�u< 1 •� �r l InepRotnr --- Dates Ask APPRovgn DTSAPPROVED APPROVED SUE.TECT TO ABOVE zb _—_Call For Reinep. 4� ;p "tyl f✓ lti } r.. Oft- IMPECTXON NOTICE C Citl of Tigard Building Department ! 13125 RA Ball Blvd. Tigard, Oregon 97223 , it Inspection Line (Roc-O-Phnne): 639-4175 Business Phone: 639-4171 S Inspections._ l { rooting plbq. slab Mech. Rough-!n Appr/3dwlk Found. Q.p"bq. 1:+p Out Gas Line FINAL: Poet/Beam S•_raet. San. Sower Framing -Bldg. Post/Beam !loch. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. Bd. Mach. � Date Requestwdt_L/ �— Timex _vim/+^All / pN Address: Permit #x /��Qd6(P TAE roLLONING CO CTIONS ARE RRQUIRRD: l i Inepextar: Datef 1 �PPROVRD DISAPPROVRD APPROVRD SUH.lRtT TO AAOVR j -_`Call For Reinep. 1! F F N INSPECTION NOTICE ` �j-^—� • Cit, of Tigard Building Departrant 1-125 SM Ball Blvd. Tigard, Oregon 97223 Inspection L_. (Rec•-O-Phone)• 639-4175 Buninein Phone: 639-4171 + q TnspectIon:— Footing Plbg. Underslab Mech. Roigh-in Appr/r,.wlk Found. Plbg. Top Out Gan Lina FINAL: P Poet/Bear ;truct. San. Sewer Framing -Bldg. Post/Beam Mech. n Dra19J Insulation -Plumb. ! t s Plbg. Underfloor Water Line Gyp. Bd. -Meeh. t Data Requestedt_ Times `— — ___PM Addlc�nnr� .(I�T�6.� _ Permit Buildor: THE F01.L.OWTNG MRRRi,TTONS ARE REQUIRED: V _ Inspector:_r� �/�" Dat6. I _APPROVED DISAPPROVED �— APPROVED SUBJECT TO ABOVE -- Call For Reinap. 1 . .;.. -.. � .. 1 , J';. .. ..:t• '.r;n:. EY^7.,, +rYlf^.1 •' Mt ..!'"h,Y 1�'Pio(t: .'_. a INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ret:-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underalab Mech. .cough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: oat/Beam Struc San. Sewer Framing -Bldg. ,P Beam Mech. Rain Drain Insulation -Ply. Plbg. Underfloor Water Line Gyp. Dd. -Meeh. >" Date Requeeted: �_ AM •�_�yM Time: - �- Addrosa: en Permit 1 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: M 4 Inspector: bete: 7 J —_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE "Call For Reinsp. '77 FTqW y R f CI'T'Y C)F7 T IGARD — RECEIPT OF F'F1YME'MT RECF IP'T NO. s93--P38458 CHECK AMOUN r e 5059. 35 S N(4Mf" s R1:- NAISSANCE C05TUM HOMES CAGH AMOUNT s 0. 00 ADDRESS s 167.: SW WILLAMETTE FAI..L.S DR l''FaYME.m DA u. 4 03/31/9- WEST 3/31/93WEST LINN, OR SUBDIVISION s 97068-- PURPOSE OF PAYMENT AMDUN r t-ATI) r-uriV r_lSE": OF PAYMENT 0hfUUN7 PAI I) 443. LAO R'L..UMB T NCS PERM 1 ;`:. 00 h1ECHANICt4i_ PF 43. 00 ST. BUILD PF::R 1 i PLAN CHEC 11, FE. 49. PO SEWER USCF 2100. CIO '3 'WF Ft I N;PECT 35, 00 PARKS GAC 500. 00 STORM DRAIN SDE:: 2601, 00 00 RESIDENTIAL 1"RAFF I C FEES 13,50. Vlo MASS TRANSI'r TIF FEES 110. CAO L09E'i SW GENEVA TCl"rAl_ AMOUNT PAID _ — _> 70x9. 373 i I f ;j 'I INSPECTION NOTICE City of Tigard Building Dena tsmat 13125 SA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspection:___ -------- _ _ ooting Plbg. Underslab Mech. Rough-in Appr/Sdwl.k Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. y Cost/Beam Mech. Rain Drain IneulLtion -Plumb. F Plbg. Underfloor Water Line Gyp. Bd. -Mach. Data. P.eT:egteds_� - — _-_Iime(T ��M _ PM Address:_ g. 3 # Builder:. s THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 �fti 'k1�r I I.�1 111 Inspector: Cates -� -- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ��Call For Reinap. Z1, Nte 1 i• �al••Mh'O.tl�V4e}aFM�#�'T' .. 11 s F �`y✓j�.,t 1 f%g�t 'N:4'! ! WOW,fA.Wogv q u o � 17F,1AX -, q L F''RL Fl e� CITYOrTIGA7RD CrryLf TWARD C.6MMUN[TY DEVELOPMENT DEPARTMENTalmooru MAS TER PERMIT 13126 SW Ha .�l Blvd. P.O. K 23397,Tigard,flagon 77223(503)6W-4176 'I:`RM IT #. . . . . . . .. I'7 S T 9 3._0 0 6 f c' :5 S- 5 r S S �._ 10 5IT%:: !'�l?13,iE.a,a. . . : 1�TJ�3�..:1 �W CtiEIVE�VA ,.�T F�HRC:�L: 1,,.i1:34At�_-I�IL4Ziw.,.: SUBDIVISION. . . . : HAR"R- LANDING ZONING: . . . . . . .. . . . . . . «P3 kE T;:i.SUL. D111 LL1'VC� LIPIIT',: : i LaASC:MLIV'T. . . . . . . . .0 CLASS OF WO+':. :P!:I-' 13ED.-ci-13:4 BATHS:3 GARAGE. . . . . . . , . 7 4£ 4. s f' TYRE OF' U3L•.. . . sSEQ F FLOOR G�F�f:;=+� _,.._ RUIRE; SI~1" . DACK- -- OF JF CONST. :3N FIRST. . - 1009 s f LEFT. . : 10 ft RIGHT. a 5 f! OCCUF 4NL:Y GRP. : R::3 GC_C:0ND. . . : 1049 ,f FRONT. :40 Ft REAR.. . :75 f�. STORIES. . . . . . . ..r-' THIRD. . . . :0 sf REUUIRED- 14;EIGRIT. . . . . . . . si.:8 Ft TOTf'!L - :91:-w'O 50 Sf SMOKE DETECTORS. :Y r LOUR LOAD. . . . :40 p s f VALUE.. . . . . $ : 103 380 NARKING SPACES-1 Remarks : 'ATR; i PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . ., . :0 BOCKFLOW PREVir1 RS. . :+c1 __AVATORIE:S. . . 5 WATER HEATERS. . . : 1 TRAPG. . . . . . . . . . . .. . . 20 'I"UB/GHQWERG. . . . ::"_'• LAUNDRY TRAYi3. . . :0 CATCH BAS 1NS. . . . . . „ -0 WATER CLUSE:TS. . .3 SEWER LINE: (ft ) . :0 ( REWSE TRAPS. . . „ . . . :0 UISSHWASFiERS. . . . . 1. wArLR LINE (ft; ) . : 1.IZI0 OTHER FIXTURES. . . . . ..0 GARBAGE. UISP. . . : . RAIN DRAIN (ft ) . :0 WASH 1 Nu MACH. . . . 1 SF RAIN DRP I N:3. . : i j MECHANICAL FEES -UEL TYPES.-'_._._ _. _._,..._._ UR'VIT IiT'R S. . :l, type itmol_krit by date recpt /GAS/ i / VENTS . . . . . :0 T IR= $ 1460. 00 JH Od: /23/93 — MAX INPUT:0 L,TU VUNT 1''ANS. :4 OP,RT $ 4Ai3. 00 J1,4 037/L3/93 TURN ( i00Y. . . :0 HUDDS. . . . . ; 1 BP'LC $ 21.37. 9 5 JLH 01/28/93 93- "'URN )-100K . . : 1 WUU'DSrOVES. :4! B5PIC It •w:.'. 15 TFI 0;/23/9:3 F'LUUR FUkN. . . . :0 CLO DRYERS. : 1 SSDC t, 280. P.0 JH 03/2:i/93 - SOII_/CMP C 311P«0 OTHLR UNITS: 1. PARR 'b .`'.;00. O0 JFl 03/21"/93 - GAS' 0UTLE'TF3: 1 MPRT• $ 45. 00 JH 03/23/93 -- `Jwnev-: _.-_.._.-..._ _..-..__..._....._....._._....... _ .. ..-...._. ,._ ...._..__.____._ RYIP'_C: 9 11. 25 JH ur /23/9 - RENAISSANCL DEVELOPMENT COP lv;5v-1C fi 2. 25 JH 03/23/93 - 1,67i SW W I LR_AME TTE F'AR_L::, DR? PPRT 155. 00 JH 03/23/93 --' WP51PC 7. /J JFK 03/23/93 .,.WEST L 1 i'd,d OR �3 7�i'r�8 Phone #: 65.7_.5739 Gontractor: RENAI5E�ANCE, DEVE::LOP'RYIENT 1672 SW WILLAMETTE FALL I)R WEST LINN OR 97068 Phone #: 557-8000 Reg #. . : 49955 3E 14. 3;:, T 0 T A L t This permit is issued subject to the regulations contained i1' the --' - --- REUUIREL) INSPECT?v,V; Tigard Municipal Code, State of Rhe. Specialty Codes and all other F•oct/for_tnci Insp Firer) -_e Insp applicable laws. All work will be cone in accor-'ance with approved Pest/Beam Strtir,t teas Line Insp plans. This permit wail expire if work is not -in 180 C'osst/Beam Mechan Inst_ilation Insp days of issuance, or if work is suspended t days. P1m/!.tnds1a+b Insp Gyp Boar~cJ Tn,aG1 i PLM/Under•f• 1cro;, Rain illrain TnSP S i g n a h1 e c h,a n i c:a.1 T n a p Water Line 1 n s p �., P11tvab Top Or_tt Appr/Sdwlk InSp I S S 1_t e d R 1 y __....--._-___-.__.---_ �''�., _ f r-a m I n y I n s N, M a :11 an i ,-1 a r ,PRX W. FF CITYOFTIFARDM� CFTYOF TWARD SEWLR C0NNEC7*TUN COMMUNITYon DEVELOPMENT DEPARTMENT am R11 I 13126 SW Hidl Btvd. P.O.Box 23397,T*M,OreqDn 97223(603)639-4176 . . . . . . . .� 0-4 1 DATE ISSUED: 03/23/93 SIYE ADDRESS. .. . . 10965 SW GENEVA 51 PIARCEL: 1S134AC--HL0L,:.1_ SUIA- DIVTSION. . . . . HORT LANDING ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . TENANT NAME. . . . . . US14 NO. . . . . . . . . . . r x,rujjE: UNITS. . . : CLASS 11V WORK. . . 'NLW L1WE-'LLIN5 UNITS_ . 1 Ii TYP,E OF LISE. . . . . .SF NO. OF BUILDINGS,. 1 INSTALL TYI::'E. . . . eVUSWR IMPERV SURP­ACE'. . Remarks . PIATH I Owner: -­­­----------- f. EES RENAISSANCE DEVELDIDMEN'T t;ype a n U Lt 11 t by date recpt (67Y.'' SW WILLAMETTE FALLS DR PIRMT JM 03/23/93 - IhdSK 5. 00 JH 03/23/93 WEST LINN OR 97k ,, Pll-)one #., 657--5739 Conti-actor. CONTR,(4C7(d",' NOT ON FTI-C.' Phontt, TOTAL. Reg RLG)UIRED ,his Applicant agrees to c"'pq with all the rules and regulations Sewer Inspection of tne Unified Spoiqe Agency. 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 measurement given, the installer shall prospect S feet in all directions from the distance given. If not so located, the installer shall purchase p and Side Sewer" Pat-sit and the Agenzy will install a lateral. .............. iignatLo•e. ,tpd By . G*all for- inspection t W- W ­4x1iW'1. ifi t*_4r'.f* W. E L L.OW CITYOFTIGARD i -:. iII l.1.l 1`11.7 I [.I':I'I.:. CI><YOF T16ii9RD COMMUNITY DEVELOPMENT DEPARTMENT o111foo« I 'I Ii.. • i'i.�': �.:, ILIt1i�6 121N 9W HO Blvd.P.O.Em 23W,Tlprd,Ormpon W2x1(SM)6304175 TE ALDRL:3:i. . . . ilL1.,4AC•-I-iLOJ':, JBDIVIE'iION. . . . : HARr LONDINL:, _0"K. . . . . . . . . -t-AS-3 OF WGRA. . :IVI:W T'YF'E OV U;JE+. . . . :SF* Wil I iii., }l. I. , . . . . . OCCUPANCY GRP. . :R"", T'ORIES. . . . . . . . �P- WA L- R Hi- i 1__F...:r. . . . . . ; I F1 I(.hl kifaSINE'7. . . . . . . :�r 1'`1 XTURES__._.____...____- LWIJINDRY TRAYS. . „ . . . .0 ;:.F' fits I N IM I NS. . , ";1NKS. . . . . . . . . . i l UREAS[ ('RAPS;. . . . . . . ..to fIVATURIES. . . . . .5 I UB/SHOWERS. . . . 40TER CLOGET5, . :;, l•iial [ ii I- 1 .•.I. 1, i . . .. . 1 . , i U15HWASHERS. . . . : 1 RHIN DRki IN i > . . . . , V- 12nn arks: GATI4 I OWNER: RENAISSANCE DEVELOPMENT CUR T IF' 1, 14•!: 0. I[10 J1-I 1672 SW WILLAMETTE FALLS UR LAP I( I Y IIi '1 i. :3'7.• '.}:i ,J1_1 I 1,71 /LU/'),3 9 v1CST LINH UR 'i70611 f�'_,1';.: W:c:. J.'.:, JI1 IIIL,,:;/ iJ: Phone 1'►: h57•-5739 ,`,i•.... ,til. !ell0 JI•I 3_ 7I%I 17 I.'Ir?I ,J 1' 11,a/� i/ 1.:i .. Plumbing Con+.I e:.Ll . ISH 1'.., IQ'r:I J1I 1'4&m*: i PIur IvT� ^ L.. r-3 J1A IZI�i raddress ? !.- �"CQ�.Vf� vV�u i'I i; l N 1.r a. Illk'.I .1110w./4 ,/') - L i t �.1� _. _ I :I, r 1 .,, _ i' ., '':`� JH 0 3/123 j Zip= j Ph 0 11 v RE:GIUI1?' INSPE:CTIONS This permit is issltod Subject to Till' let;' u1stiuns cuntc<ined ir, the 1'igard Municipal 1 oot/ru'_ id inmp Rain clri% Tr loop Code, State of U)-,-P. pc,:.i.alc ,- t:rl:Jr :r,t.: �. L ; i''• .'f. ii�cr:�w ';ti itch Watol• Line Insp other .ippl icable laws. All wurF: wa i l 'be dol,• ort i lat�r n r'iPl f„_ II Appir•, _;dw.lk Insp � n accordalnc:P wiLh appi,ovet.:i 1r1�1 Ili , m; �:I1.1 :• iesl, 1 ,I . -,I ,tl 1=ina. e r m i t will expire it work i s rot bLAr,te(I I/Undo fluor• ll.'Inb Final i -ithin IBB da..ys of is, Iuance, or' if wwI•• ( I ., V.1-L::1t.:1T,iL:8J Ir'liai) ,. �.tlldj.rly 1--inai :. ,upended f6r More than 180 clays. 1-11I-tmb foie U,.It Erosion Control Fr.lnlinr] Insp Crawl Drain I, Ir eplace Insp I ,A!, Line Insp I I,s u 1 a t a o n Insp 6 11 l 1_t t h c l^lied t-'i U m b i t l y 011 t r a c:t a r ---- Lail f )), znrpec t , 71 1t untr^actor Note :_ w ul7sswtlauuwd. PLNCK/RECT # C'IT'Y OF TIGARD COMMUNITY DEVELOPMENT DEPAR,rMENT ISgard,Oregon 97L?3 PERMIT # (503)639-4171 DATE ISSUED 1 JOB ADDRESS: ` �o �— lJ C�1/ fir"�-/ vA TAX MAP/LOT /-S 2.3 SUB: _M/) /T �,LfLOT: aZ LAND USE: VALUATION: ZQ 3 3 a OWNER SPECIAL NOTES NAME: � REISSUE OF: ADDRESS: /67L_5 w, 11 � �ll5 Or LAST REISSUE: _ �i7dGS� FLOOD PLAIN/ PHONE: 7.3� — SENSITIVE LAND: CONTRACTOR APPROVALS REOUIREO NAME: _-- F .� �,5�9���t ,�/= % PLANNING: Ck' W(- ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: OTHER: 1/f CONTR. BOARD #: _ EXP DATE: / ITEMS REQUIRED SUBCONTRACTORS: PLUMB: c. , A LIST/SUBCONTRACTORS: MECH: ��'L _!'c�'�li r<� BIl; TAX: — ARCH�ENGINLER CALCULATIONS: NAME: TRUSS DETAILS: -- — ADDRESS: — _ _ OTHER: PHONE: PROPOSED BLDG. JSE: COMMENTS: _ --- — -- -- --- — ----- — — APPLICANT SIGNATURE— R J Received BY: -- Date Rrre i ved: 6 �J i r PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE: l�Li 3aU(v 10-432 00 Building Permit Fees 3 _ '4V3' _ 10-431 00 Plumbing Permit Fees /55 /ss. 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) _31-1� 32'15• Building Z • /__ _ 7,7 Plumbing !7 Mechanical �s 10-433 UU Plans Check Fee Building 4�� YS !► Plumbing _ Mechanical 10-230 06 Fire _ _L006,1 30-20,-_ 0:1 Sewer Connection ° 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 13.50 /3S u 25-44P-05 Mass Transit TIF Fees //0 52-449 00 Parks System Dev Charge (PDC) .500 ,Sv� 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 2 )Sv 24-445-01 Water Quality (Fee in lieu of) i. 24-445-02 Water Quantity (Fee in lieu of) 101A', 533 9 3�— X 5099.3; nm/3587P.WP1 I � I i I,