11690 SW KATHERINE STREET 11590 SW KATHERINE STREET
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COMMUNITY DEVELOPMENT DEPARTMENT r)j�'1M PMT .NO. liMJ1Z426
13121j S.W.Hr 11 Blvd,P Q.Box 23397. N ard,Oregon 97223.(503)639-4175
.11'.04 ADDPES7s : 1.1690 SW KA'1'14E:PINF.--- ST 49 RK :
0 0 LERON HE16,1411i PH 3
I*AX MAN/LOT 1.51, 34C0 1.400 SUB :
I AND USE: PA.5 VAL-UhTION: R :I2:.3 C.)In:*J'B All"K 5
I U1 S I ZE - i PONI PEAR :
WORK CA.-ASS : AUDITTON DWEI L.. .UN IT 5 :
IiSt- I F AMI I Y NO. b;�.rjpUOMI-1 : E.X I . WAIJ CONST
� 'T'YPF.:-* : SING NO - BA'T'HS . N : S : E W
C.'ONST .TYPE: VN V)R(Yll .OPENINGS :
0L.ICUP u0p . . P3 N : S . E W
LOAD TOTAI AREA : 300 jXXIF (-ONG'T : C FTRE RET7
NO. STORIES : I ST : RATED :
2ND . AIIEKA SF'PAP'?
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BASf.:'.MENT'?
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F'j-OOF1 LOAD : 40 G,A P A G.E FT GW(GP14) DETECT7
HDCP .A(;CESS'? GOPPI?
HEAT TYPE:
PI
PCIMAPKS : REISSUE: of:
LAST REISSUF:
PERMIT $Y0 .50
rabort 9 clilk'"01 pwtraneP lil'(1 . 03
I FEES
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0 1.1.960 sw ItaLtherine sit PLAN REVIEW
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N 4igard or 97223 '1;'1 9- 3
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This permit is issued subject to the regulations contained in Title 14
TPED lN9sPE('. 1J0NS
of the TMC- State of Oregon Specialty Codes,zoning regulations FOOT I N('.; S F.*::W E A
and all other applicable code-, and ordinances, and it Is hereby PAIN DPAINi!*5
at reed that the work will be done in accordance with the plans and POST & REAM WrvjErl I..TNF::
specif Icat Ions and in compliance with all applicable codes and F:*AAMINC.-,
ordinances. The iseuance of viis permit does not waive restrictive INSULATION ('ITY APPPCl--l/SW
roverients Contractor and subcontractors shall have current city Y P . BOARD F INAI..
business tax permits.This permit will expire and become null ind
void it work 1.9 not started within 180 days,01 if work is suspended or NAL
abandoned for a period of 180 days any time after work has f-qAM LNG
commenced It shall be the responsibility of the permittee to assure FI PEVAL-Alt"E'.
all required inspecti ns are requested and a Prov GAS LINE
FIPF-PLACE
Glyr.) . BOARD
Permittee Sigcat e FOR MSPEC'l ION 639-411.75
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
•r �w
ITY
PLAN CHECK APPLICATION
OF TIGA PLAN CHECK #
COMMUNITY DEVELOPMENT' DEPARTMENT CITYOI010CM D PERMIT # -
13125 SW HWI Blvd. PA.Bmc 2 097,Tlg&M,Or"m WrM(503)699.4175 DATE ISSUED
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SW PS WE _ TAX MAP/LOT S I I
JOB ADDR 8S: ( I/� IO KA TI —
SUB: LE s — LOT: —__ _ ---Z-_ LAND USE:
VALUATION: _
OWNER — , SPECIAL NOTES
NAME: 1!� OUT REISSUE OF: _
ADDRESS: _ b $� ( Alt _—_— LAST REIGSUL: —�
6/9, G 7 Z23 _ FLOOD PLAIN/
SENSII IVE Li "D:
--
APPROVALS REQUIRED
CONTRACTOR .! PLANNING:
NAME: ENGINEERING: .�_
ADDRESS: S FIRE DEPT
OTHER: —
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCI1/ENGINEF.R BUS l AX:
NAME: 1ih �(kf R CALCULATIONS:
ADDRESS: o TRUSS DETAILS:
PARKING PLAN: _
LANDSCAPE PLAN: —
PHONE: �?,Z—�p —_ 94k�_ _—_ OTHER:
COMMENTS:
PERMIT # ACCT # DESCRIPTION AMOIJPJT AMOUNT PD. BAL.
/ :11 10-432 00 Building Permit: Fees
10-431 00 Plumbing Permit Fens
10--431 01 Mechal.ical Permit- Fees
10-230 01 State Building Tax (5X) q q—
Bui ldinj
Plumbing _
Mech
10--433 00 Plans Check Fee
Building
Plumbing _
Moch
30 -207 00 Sewer Connectio 1�---
30--444 00 Sower Tr pecLion
51- 44E1 00 Street. System Dev charge (SDC)
52 -449 01 Parkt I System Dov Charge (PDC)
52-449 02 Park,j Il" System Dev Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chr•g (SSDC) _ _10- 230 09 IRFD
10-230 06 Washington County Fire #1 (95X)
10--220 00 Amart/Wedgewood
TOTAL � LcLT r-r )
13
A1111 TCAN-1 SIGNATURE
Rutoivod By : Date Received:
hl./15EI7P/1E1P