12445 SW NORTH DAKOTA STREET I
f
i
i
- 12445 SW NORTH DAKOTA STREET -
IM-MJLW w w w Ie:.
City of Tt.iard 9uilding Depaitaent t
13125 Sp :all Blvd_ Tigard, cftvgon 9722.7
Inspection Line (Bac-O-Phone): 639-4175 Bust.neso Phone: 639-4171
Inspection: -.
Footing Plbg. Underalab Meoh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer Frrni -Bldg.
Post/Beam Mech. Rain Drain neulation -Plumb.
Plbg. Underflcr.,r Watnr/Line Gyp. Dd. -Meeh.
Date Requesced:__J�Z—1 Timet PM
Address:-�
� tr:t ��
"7
Builders �_ ---- - ---
THE FOLLOW NO CORRXC'r ARE REQUIREU:
Inspectors 'r -------_-__T_ Date,Al, ZC,&
�11PPROVDD DISAPPROVED APPROVED SUBJECT TO ADM
Cail For Reinsp.
sssr sw sss► sssr sssi ssw sssr sssr es
- f
INSPECTION NOTICE f`
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
G 'Ye Time—_.-- A.M. /� _P.M.
Date Requested aG'
Address __ Ute r. --- Permit
Lot
Owner - --- — --
Builder .The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector Disapproved
Date —--
CALL FOR REINSPECTION
❑ YES (7�NO
ITY � C'E:I:TIF IC'A'CE: OF OCCUPANCY
{ CIiYOFTIMRD PFRMI'T 11. . . . . . . a PUP891328
COMMUNITY DEVELOPMENT DE� iTlf «+coon LR:fM. PERM IT N. a 891328
13125 SW Hall BhM, P.U.Box 23397,Tigard,Oregon 97223 j503)839-4175
llAl't•:: 1! �3l.JE:D4 0Hi.30/'30
SITE: ADDRE;SS. . . r 1244:1 ;W NORTH DAKOTA ST PARCEI. a 1131 34C--F! 700
SUBDIVISION. . . . r ANION PARK ZONING# R-7 Ful)
BLOCK. . . . . . . . . . r 1-01. . . . . . . . . . . . . r3R
CLASS OF' WORK, a NE W
TYPE: OF USE:. . . a SF
OC"UPANCY ORF'. IR3
OCCUPANCY LOAD+
TENANT NAME. . . :
Remarks a
Owners
ROY ELSTROM
1.8216 NW WOI_KLR RD
M F
IDEAVERTUN (A 97006••-0000
Phone .J a 0010- 629 -6298
Contractors _....-......_..,.,__..._.___.._.___...____...�._._._.._..__
CONSTRUCTI E'LSTROM
FISTROM CONSTRUC f JON INC;
14095 SW ROCHESTER DR
PrAVLRTON OR 97005. 0000
Phovie 14v 503-680 -0000
Reg #. . * :37077
Oe:cupavlCy of the above Terferenced building is hereby given, and CeTtifies
the compliance with the 9)taty Of Oregon .3pecialty Code,% ft�r the► grot.tp,
occupancy, and use r.tnder which the revfvrvnc:ed permit: was i%. Sued.
FIRE DEPARTMENT WILDING INSPEC OR
BUILD f) OF FCFPIIAly
P097 IN CONSPICUOUS PLACE:
i
I
INSPECTION NOTICE
City of TigF rd Building Department
J P.O. Box 2.3397
Tigard. Oregon 97223
1 Phone: 639-4175
Type of Inspection
- --
Date Requested_ ���'f� �` /U 1b Time — AM �—P.M.
___��� Z- Permit
Address # ��•�� �
Owner �.. / J..� ---- --- — Lot #.
Builder
The following Building Code deficiencies are required to be corrected:
_ S Ck!)A4 64 G ODE a- _i� p 1 A��rt>— --rte S kt,(
Presented to Approved
Inspector 'p -- - .- ----- u Disapproved
Date
CALL FOR REINSPECTION
❑ YEE ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 i
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested - �7 Time A.M. Am.
—/.Z—)Address S 77 t
—��� �__. Permit
Owner
Lot #
Builder 1
The following Building Code deficiencies are required to be corrected:
Presented to -
• — pproved
Inspector
Date
Disapproved
_� `2 '��� _
CALL FOR REI 'CTION
0 YE8 I. 0
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722
Phone: 639-4175
Type of Inspection
Date AcqL iesIad Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
ey� 4,22
Presented to Approved
Inspectori%approved
Date 2 2
CALL FOR REINSPECTION
E3 YES El NO
w w w w w w w
INSPECTION NOTICE Wr'V
City of Tigard Building Department
/I P.O. Box 23397
�uG K dc0 Y- Tigard, Oregon 97223
Gi�t•� �„yr���"� Phone: 639-4175 /.
Type of Inspection te,CA- ---, / -
Date Requeste�d�� �� ���" 7 � . Time_ ` A.M. P.M. /
Address L- �E�'/fW rr Ate- Permit # I _
Owner_.._� ___ __— ___. Lot #
Builder --- ------ -- --- —
The following Building Code deficiencies are required to be corrected:
_- - /-9—
Presentcd to ._. __- Approved
Inspector _ _ _ _ __. Disapproved
Date. -l`-/- Zo ------
CALL. FOR REINSPECTION
EF'-VES ONO
INSPECTION NOTICE
City o! Tigard Building Department �
P.d, l
Tigard, Oregon
97 97223 �
y� /Phone: 639-4175
Type of Inspection --
Date Requested 3 _� Time A.M._ P.M.
Address Ltd- _ � � e Permit
Owner __.� _ lot
C&rBuilder 42--1
The following Building Code deficiencies are required to be corrected:
--- ----------- --
i
Presented to •� Approved
Inspector L /' - ❑ Disapproved
Date > r
CALL MR REINSPFC'TION
U YES l I NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ �2 X556+-\-A
Date Requested - - me "'- A.M.
q � � Ti __-- P.M.
Address __-�� �j� ✓ tet _ Permit # _
Owner -----_ Lot #_--
Builder - -- -- �_.— ------------- --��_.
The following Building Code deficiencies are required to be corrected:
r
U
Presented to -- IG•f'lnpproved
Inspector I Disapproved
Date 2---t _—
CALL FOR REINSPECTION
❑ YES 1-7 NO
asr w w !ear w w w ass
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspec•ion - -- Tr 0 ,-�---- ----- _-----------
Date Requested__2! " .2 0 —_ Time _ A.M.__.—__P.M.
Address �� t` S ` �7 �G lCo*�- Permit # � / 3
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ ❑ Approved
Inspector C,..- _ -Bli�iproved
Date --
CALL FOR REINSPECTION
L`TEr s ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
c /
Type of Inspection
Date Requested____.�__ � � t Tim0A.M.__ P.M.
Address /__G�Y%�L�.—V � �1�� Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
77
Y 1060
Presented to '^ - _—_—�jfl Approved
Inspector ,`t- ___ U Disapproved
Date - 7.__�—�.- 1'--- ------ - —
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building nepartment '
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested __ ' Trme A.M. P.M. r/
Address _.w� ���1 � t__s Permit # S�-/—l
of r
Owner_ _ s._ Lot #_
t�
Builder
The following Building Code deficiencies are required to be corrected:
�....—r7*
Presenter! to
Inspector _ t Disapproved
Date _ .%7 LI —- – -—
CALL FOR REINSPECTION
❑ YES 0 NO
w aas ra► w w w � w ssg
INSPECTION NOTICE �1
City of Tigard Building Department /
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested Time _ A. P.
Address __�_�1 -- �- Permit #
Owner---��`___�� _ _ Lot #_...... _
Builder — / Y- ----- -- ---- ---- -- ---
The following Building Code deficiencies are required to be corrected:
k
- A
- s
Presented to __ _ _I Approved
Disappro ad
Inspector
Date = j -f
CALL FOR REINSPECTION
❑ YES 0 NO 1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_� ` /� Time-- A.M._ P.M. /
Address I i %'/ Permit #k
Owner_ Lot #_
Builder
The�ng Building Code deficiencies are required to be corrected: — --
64
Presented to Approved
Inspector _ —friIsapproved
Date "
CALL _FOR REINSPECTIONLTJ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department %,,r
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 2 - 47 Time 7S A.M. P.M.
,;)
Z
Add,-ess Z4111!5U- Permit A
*_s
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to --___ Approved
0
Inspector Lj Disapproved
Date
CALL FOR REINSPECTION
P YES FA NO
Pl::'PMI*T
-Ml' NO. : PUB91.328
PEI T'
CITY OF TWA RD
CITY01"FlIM10
CITY
COMMUNITY DEVELOPMENT DEPARTMENT 0ii" DA'T'E': 'I:L'sSLJE'D: 6/23./89
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503)6394 11 175 PPT . PMT .NO. 093.34?s
AEMPE.-.0ii IV41415 5W NOITT'I-4 DOW)TA !-.il
TAX MAP/1-01 1.Li '.341(].1:? 7000 ANION VIANK LT : 32 DK :
1, AND
1 01, !;)3.ZI:-. . VAL UAIJON . SE'TBAC.'KS.i
FRONT : 20 PEAP: 5
WOPK (:,I A!'-.)S : NEW DWELL .I.JNI*T*S : 1. L.EFI' : 5 PIGHT : ;.?o
IJ5F-' '1'YPF;' : ':J.N(*.'AJ- IAMI'11-'f NO HEDROOM5 7.2 Ii.."XT .WALL U)NSI'
(:',0N5 V . 'T'Yl:'F.:* . VN NO . BA11-15 : 3 ?q : 5 : E W
14401 .(IPENI NGS :
N E W
T(1 T'AIAPEA 1900
NO . !:i'll 0 1:4 1'.1--5 a :1.5T : 1160 POU.)F ("ONST : I.' FIPE PET?
FIKA:(.-,I-I'T' r 0 PN" : 741(i) APEA !:;F'PAR I? RATEII:
RA!:iFME.N'7"? 3 P II : 0(:*,(:'LJP . CSEI--'AP'? PATED:
Ml:;'ZZf)N.I'NE':"? HASEM -7*
FI...(:)O17 LOAD . AO GA14AGE: : FIRE:.' SM41<1 P"? ALARM'?
r:i-ow((.;r.)m)
lll:::Af T*yPF.-'.'.: GAS 0 W P
F'1..AN DY : r4
PE15511-1E.' OF' N(J .
I AS'T' RE'IYAJEK
F--E*I'-'*ti :
POY PE'AM]''T $391 . 00
VV I.(:121.6 NW WAL.KL441 1411.) PLAN PF.-..'V'.E[::W 5 1.
N
Bl'AVF::I:-,'113N OP 19'7006 F'TPE DEP'T'
PI.-IONE 6;.--!9 7r:'.1) STATE TAX 4N.I.9 . 5!.*)
OTHER
DEVELOPMEN'T' C,HAMIES :
JPM)
0 5 JIC 4 G11 $2,50 . 00
N DC.,I 51,WEE1,11 $600 00
T
R 1}D(.:(*1. 1 $25 0 . 00
A PREPAID < >
C
T
0 IN 1. ,'764.7 0
R
NO . ltq�lfs—
This permit Is issued Subject to the regulations contained in Title 14 .......
of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRE-A.) 1N!:sPE(,'T*I:()N!.-*i
and all other applicable codes and ordinances, and it is hereby FOOT I NG F W E'l.1
agreed that the work will be done in accordance with the plans and FOUNDA11 T.ON WALL_ PAIN DPAINcs
specifications and in compliance with all applicable codes and r.
ordinances The issuance of this permit does not waive restrictive P05T & REAM WAIT-44 L. INE
covenants Contractor and subcontractors shall have Current city P1...:1 .1.1NDEP51 AB (,*-I *Y*Y APPP('..H/t.)W
business tax permits. This permit will expire and become null and S I..A 1:3 F T.NAL.
void if work is not stai led within 180 days,or if work is suspended or PIA-D . 'T'(3POLJ T
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure F"PAMIN(3
all required Inspections are requested and approved. F *I`14F--*PLA(',E'
GAS L TNr:-'-
J.WiLft.A TION
BOAPI')
Permit 7"'Signature
Issued By `f—� UALL. FOP lNr-iPLC,'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SF-WEP PEP14I'T*
C'TY OF T'GA RD CITYOFT*AFJ) NO SES91363
LCOMMUNITY DEVELOPMENT DEPARTMENT 0*100"13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 C-, DATE ISSUED: 6/21/89
PPIM. PMT' .N(J . 891328
AV)I:)PESS : SW NOPITH 1)o- KOTA 51 1.1'5A NUM63EF-4 : 375417
1 Ax MAP/I OT '151 3ZI(::LI 7000 SUB : ANTON VIAPK L..T : 32 RK :
LAND USE 1:1*r P 1)
(31, 5 1 ZE
('.*'T*1.0N : 31(1 'T*WI' : 1% RNG, : J.w
WOVIK CLASS : NEW
051i-- 1'YI:)I::- : SINGII-E F'AM:1A..Y
Thc6►p la:L:i.(:i9,n'r, is t;l r`ca+er ;+ tc) C.'CIMP14 With i9.1 1. ri.ile% Fari(l ci-F the (-1riif:i-,e1cI
St!awc,,ra9c..? Ag*-?ii(:y .. I'l-i(--? F.)to r in:I.t 4*x p i I,*2 i!i 1.i:'.0 iii.y m -11r r,(:I in t h t..-A (.1 al t 1P 1.M th LI 0(J . Thea t'llt:.L!
iii,III C)Li I'11 T, pWJ.CI WJ-11. hP fcIr-17".i't'F4(i :1.-F t h 4W t ext;):1.rr:aiii . The A cielriry (J c)e.m nc-)l gk.tair—
tit.iii,ee, thivii ac-x`t.trar-y c)-F thk?. Iflc'atj.clrl lif tll(.A IT th*p i4iv#w(-7r i,.i
rlu*. lcic,i+te(j IIIA I'lle e t J.
v.13. clire(�tinri!-; fi-ciin thf.--?i givc-in . T-F ricit, i;.ci th*i! ii-icatialler
Purr.!heki:;ra is "IaLp miicl '5:icle Slowc-r" pe�r'ln.i't tllC- Aqc.-�Il(jly W:i.'. 1. RL ]A;Ltel"i-11 .
TINSTALL.. . TYPE . SUIL-DING SEW:4*4 IMFIERVIOUG AREA:
I IXTURE UNITS : T*F;'.NAN'Y' '(MI:-'P0VF'MF.N1*
OWEL.L.ING UNITS
rj.(J. L)F ai-pas. =__J.
0 IF V 17-'.S
W
N El !YT4,1014 rIDY PERM.1.1
E NW WAI I<V::I:'4 1:41) $1. , 1.()0 .
R BF.'AVF::P*T'(*.)N OP 97006 1-.*,I'.NE:. 'TAP INSTAL-L .
ISI. ONI::'
C 1.4
0
N
T
R
A
C
T
0
OT AL.. : s 1. 1.3!-1 . UO
/`' d "
This nertnit is issued subject to the regulations contained in Title 14 GIE(."FIPT WV
of the TMC. State of Oregon Specialty Codes.toning regulations
and all ether applicable codes and ordinances, and it is hereby
agreed that the.work will be done in accordance with the plan, nd REQUIRED
specifications and In compliance with all applicable codes :nd 114111JUGH-IN
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void lfwork Is not started within 180days,ot if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee'Signature
Issued By: ------
(.,AL..l F'01-1 TN5PE(",T:1:(:)N 639-41175
SEPARATE. PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OFT167ARDME:C:HAN1C:AL.. PEPM1 T'
CCOMMUNITYLRD F:-E*l:1M1T NO. : ME891.362
DEVELOPMENT DEPARTMENT M
13125 S.W.Hall Blvd.,P.O.Box 2:397,Tigard.Oregon 97223.(503)639-4175 DATE: ISL-it.JED' 6/21/89
11-11*41'M . PMT .NO. B9132(3
ODDPF'SS 12,t4wl'.5 SW N(')I:'t*T*H DAKOTA S'T'
TAX 111AP/L-01, 1.S 1. 3A'I(*.D '7000 S1.1E.4 : ANT ON 1.101:4K L'T : 32 6K :
I -AND USF : P'7PD
NO : NO :
WOPK ("I A3!i . NEW F U W N A <100K :1. A144 HANDLP <10
LISEH" 'TYPEK . !iINGI E. FAM1.1 Y I::t.)I1NACIi':.* 100K+ A11:11 HANDI—P 10K
COW)"I' . TYPE : VN F I._(X.')P Ft.JPNA(:,'I::' EVAP . ('_'0OL.EI:1
0(*,C(.)I::, . G114P . : P)3 HEATEEP VENT' FAN A
V N*TVEN'T' . 5 Y ST E M
HL.P/COMP H('.)00
NO . !:0131411ES : P. RLWCOMP ;3• al.—IG:' IN("'a
N&'.'PA7*OP(I'.)OM
INE.'PATOA(COM
DWELL .UNITS : I D I P/C(")M P 1.::i•-•:301 INC
FUEL TYPE CTAS RI-P/C.0MV., 305011-111., PEPAIP UNITS
MAX . INPUT 13LI-_4/('-'('.)MP 5044-11') (3THER 2
GW:i PiPill'K., OUTI L'T S
F4011011
FEES :
140y P V*P M IT 6:1.0 . 00
Fi 1821.6 NW WAL.KE.J1 RD 1::'LAN I:1E.'VTr-KW $10 .Cie
F*.'A V 1.:.1410 N 0P 97006 F :LX 11+1 PE 4;
..1 $33 . 50
PHONE. 6i19 (:1-'7i:9 STA11'. TAX H
C 0,11-ALP
0
N
T
R
A
C
T
0
TOTAI... : 9156 . .`./6
This permit is issued subject to the regulations contained in Title 14 NO. 4Yd
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and REQUTPE'I.-) T.NSPEC'71-TONS
specifications and in compliance with all applicable codes and GAS LINE
ordinances The issuance of this permit does not waive restrictive POST & DE.AM
covenants Contractor and subcontractors shall have current city POLKA-4114
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or If work is suspended or F: INAL
abandoned for a period of 180 days any time Filter work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Pprmitsignilit
tect' Lire
Issued By
CALL FOD TNSPE'(.-,'TJ()N 6319-1173
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PI-LIMBING N-ERMIT
C17Y OF 716A RD TYA��Rl) V,14M]''T Nn , : N.1391361.
COMMUNITY DEVELOPMENT DEPARTMENT 01100" LATE 15�51LJED: 6/21/09
��RD
13125 S.W.Hall Blvd-P.O.Box 23397,Tigard.Oregon 97223,(503)639A175 PM1' .NO 891.328
L
j(jH A
A 1:)1)1:41::5 5 1.2 ZIX4,5 5 W N F4 I'H 1)A K 0 1'- 5 L-'T 32 BK
I'AX MAI:�/1-01' :1.5 1. 3AB '7'000 !SUB : AN*T0N NNUM
1 AND (. 5F V4*7 V)1.)
I OT, CITZI:' NO
W(11:41< U-A55 NEW WA1114 3
FAM-11--y 1.44 INN- BKF:'[-.UW NIVIS111.4
- 'THAV) PRIMIEF1
0 1' 'TY r)E. VN L..A V 0 V-4 A'T f4 y
N5
OL111,110r) 11H.4 SFIOWER P
D I Iii 1-4 W A 5 H 1:..*1:4 1.
GAPHAGE.
NO . 5'TOV1: E:5 wA!-5Hj:NG MAC l--lJ:NI::' 1. 0 L..D G. LM A 1:N 117TH
DIA10J... . UN 1..TS L-AUNEMY T44AY
1:1 0014 LAWIN
'!11'.N K :1. SUWIE11
WA*T,F:,.I:l 5'T0l:4M/RA1N (VA I.
Al;:'MARKS :
F U1,1::'i
0 L-s,*I M VK)y 11111.32. 50
W
TN :1'0R:l.6 NW WAI-044 r1l)
E 1.4 Y I F 1'.X'T U k ri:.:(.1
R $6 . 63
PHONE 129 51WIE'. 'TAX
C
0
N
T
R
A
C
T
0 $1.15 9 1.:3
V)T NO
'Id 9-5
This permit is issued subject to the regulations contained In Title 14
of the TMC. state of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby 1A B .UNDF441A.-AR
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive WA'11:11 L-1NE
covenants. Contractor and subcontractors shall have current city l:)1 B. 'TOI (JUT
business tax permits This permit will expire and become null and 11AIN INU)"I'lSIS
void it work Is not started within 180 days or it work is suspended or
abandoned for a period of 180 days any time after work has 1:11 NAL..
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee gnature
Issued 3yl.;AI-4—. 1�:4444- TW4'F4-,++ +
f-04
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF BOA RD PLAN CjjCCK APPLICATION
• alrolncaim PLAN G1ECK N � -.�'�'/
COMMUNITY DEVELOPMENT DEPARTMENT i \ PERMIT N
13125S.w.KMOW-P.O.Ooa?1797.TIOMM.OM90"'Tn3'(5"63941TS DATE ISSUED h�� w%�-�''
TAX MAP/LOT /,j/-,3 y CB
JOB ADDRESS: ��y `^ � `�" �. - LANG USE:
SUB: f;, r LOT: '%' ----
VALUATION-�S I y Z
SPECIAL NOTES
OWNER _ �- REISSUE OF:
NAME:
� � �� � L�/ry /"LAST REISSUE: _
ADDRESS. f / FLOOD PLAIN/
SENSITIVE LAND: _
9 - � 7 •O
PHONE: APPROVALS REQUIRED
PLANNING:
CONTRACTOR ENGINEERING: _
NAME: FIRE DEPT _ -
ADDRESS: OTHER: -
PHONE: - -- ___ ITEMS REQUIRED_
LIST/SABCONTRACTORS:
BUS Tf, '- _
ARCH/ENGINEER CALCULATIONS:
NAME: — TRUSS DETAILS:
ADDRESS: _ - PARKING PLAN:
LANDSCAPE PLAN.
- - - OTHER: —
PHONE:
COMMENTS: ----
v
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
. r,v
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees Su —
_ 10-431 01 Mechanical Permit Fees � !
aJ -
10-230 01 State Building Tax (5X)
Building
Plumbing n
Mech _ ✓ a71
10-433 00 Plans Check Fee
Building _y.
Plumbing
Mech /U' 5g
-- -- — '
13-20700 Sewer Connection �, - ------
30-444 00 Sewer Inspection 13
51-44A 00 Street Systrm Oev Charge (SOC) — u
52-449 00 Parks System Dev Charge (POC) S u
31-450 00 Sturm Drainage Syst Dew Chrg MOO
10-230 09 TRFO
10-2.30 OG Washington County Fire 01 (95X)
10-2.20 00 Amart/Wedgewood —�
RUC N
APPI-ICANT SIGNATURE
Rece i ved By: _�Z4�G:: -------- ---_.__ DaLo Rece i ved: _—
cn/3'j87P/18P
A745 Gyp Board Insp 03/14/90 GS DIS °
° A745 Gyp Board Inap 03/22/90 KS PASS
° A770 Misc. Inspection 02/06/90 KS PASS °
° A799 Final Inspection 08/10/90 KS DIS "
0775 Appr/sdwlk Insp 08/02/90 CV PASS °
M005 FOOTING 07/11/89 GS APPR
M015 POST & BEAM 08/04/89 GS APPR
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaagaaaaaaaaaa�
HISTORY: VIEW UPDATE DELETE ESC
View comments for selected item
OaMECHkNICAL pERMITaaa+SaaasaasaaggasaasaesaasaaasgaaaaaaaaaaasgasassaaaaaasaaaC
• :MEC891362 : PROJECT:891328 s STATUSsI s UPD:04/02/90: :MAN: °
° PERMITTEE:ROY ELSTROM PRIM. . :891328
SITE ADDRESSs12445 SW NORTH DAKOTA ST
6s CASE HISTORY aaaaaaaaaaaaaaaaaaaaaaaaReq/sentaSchd/DuesEnd/DoneasByaStatAast
No records found
°
°
°
°
���aaaaasansa:aaaaaaesasaaaaaaaaaaasaaaaaaeeaaaaasasaaaaaaaaaaaagaaaaaaaaaaaaai
HTSTORY: VIEW UPDATE DELETE ESC
View comments for selected item
6ABUILDING PERMITaassaaaaaaasaaaaaasaasaasasaaaaasaaaaagaaaaaasaaaaaaaaaaaaaaat
:BUP891328 PROJECT:891328 s STATUSsI s UPD:04/02/90: :MAN:
PERMITTEE:ROY ELSTROM PRIM. . :891328 °
SITE ADDRESS:12445 SW NORTH DAKOTA ST
O`d CASE HISTORY aasaaaasaaaaasaaaaasaaaaReq/SentaSchd/DuesEnd/Doneb&Byastataaao
A705 Foot/found Insp 02/06/90 KS PASS °