11505 SW TWIN PARK PLACE I
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11505 SW TWIN PARK PLACE
INSPECTION NOTICE
City 3f Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested-5 Time A.M. P.M.
Address 7
- Permit
Owner Lot
Builder
The following Building Code deficirnciet are required to be corrected:
0441L
Approved
Pt,.,sented to
Inspector Disapproved
Date
CALL FOR REINSPECTION
1-1 YES 0 NO
/ \ CERTIFICATE OF"
C11YOFTIGARD OCCUPANCY
COMMUNITY DEVELOPMENT D�,P 7�7
PERS!7 M. . . . . . . a 14LIP89P.P45
,3,zssws►�iBlvd Pa.Box as3g7,n �,,o. E � PRIM. PERMIT N. a 892245
DATE I88UE:0# 05/22/90
SITE ADDRESS. . . # 11505 SW 'TWIN PARK VL PARCEL# IS134DC. 0940.)
SUBDIVISION. . . . t I WARD PARK ZONING#
BLOCK, . . . . . . . # LOT. . . m . . . . . . . . . s3
CLASS OF WORK. #NEW
TYPE OF USE:� . . #SF-
OCCUPANCY GRP. aR3
OCCUPANCY LOAD#
TENANT NAME. . . a
Remark*- $30 for 2 extry red line copies
DON MORISSETTE
PO BOX 19524
PORTLAND OR 00000-0699
Phone! N: 000-000.._0000
Contractors
DON MORISSETTE: OLDE:RS, INC.
P 0 AOX 19524
PORTI AND OR 972.1'
Phon#+ No "503-620-7538
Reg N. . # 3'5533
occupancy of the above • ferenced building is hereby giver►, and r.ertifir,a
the complianvor with the :.:-: ate Of Oregon Specialty Co(ios for the group,
occupancy, and use under %hick the referenced permit wars t%SLl@d.
FIRE: DEPARTMENT k LD1N0 INSG
Hl.tILDIN )F'FICIAL.
POST IN CONSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
f��i �P,hoonef: 639-4175
Type of Inspection .-� ys/6 ze41e?l
Gate Requested =2f..Z / Time A.M. ,.P.M.
Address _ �� -S d•J t.I.J/ Permit #
Owner Lot #�
- -------
Bu.ider---------- - � J— /�_c���
The fullowinq Building Code deficiencies are required to be corrected:
I
Presented fo---- — � `—--—�-
- -- — ❑ Approved
Inspector
----- Disapproved
Date
CALL FOR REINSPECTION
.�j
VES 1-1 NO
A. ..
INSPECTION NOTICE
City of Tigard Building Department (/
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested AT Tir11a�
--�`- .M. P.M.
Address1 _(JPermit #_,T��_ 7�
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector
-I A 1 .1 pI - R Approved
�---- 1i Disapproved
Data
CALL FOR REINSPECTION
0 Yee I1 NO
INSPECTION NOTICE
City of Tigard Building Departr. ent J
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �—�—� )
P.M.
Address
Permit #
Owner ..- —, Lot
Builder
The following Building Code deficiencies are required to be corrected:
— `e
--
Presented to
— - — ❑ Approved
Inspector _.—_— Disapproved
Date q0
CALL FOR REINSPFCTION
l YES f] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -_ �
i
Date Requested �' _ — Time A.M._ X�-P.M.
�5 -
Address ,_ _ Permit # -
Owner Lot # t�12�/
Builder — 2,- �� y
The following Building Code deficiencies ara required to be corrected: #
C1 LZ
/ate !3
Presented to Approved
Inspector _
-- � - -� Disapproved
Date -----�� .:
CALL FOR REINSPECTION
❑ YE$ ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date RequestedJk/ _ . Time—A.M.—P.M.
Address __Z _.�`'21�G.� PermitLtr���C
Owner _ _ ,�aa Lot #
Builder �a/�it 'tom` eza/
The following Building Code deficiencies are required t- 5R -rrected:
Presented t _ Approved
i
Inspector "'"— — ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
,.r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Dox 23397
Tigard, Oregon 97223
Phone. 639-4175
d
Type of Inspection --
Date Requested Z _ Time��_.. A.M. P.M.
Address _ ✓ _ Permit #
Owner_ Lot
Builder ----------
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector Disapproved
Date _�. 2d _ _
CALL TDR REINVECTIO N
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection '
Date Requested��s,,�� Time._y�(_. A.M.--P.M.
Address __—LL,.e' e- Z v—`��l Permit
Owner -1 y�r- - -- — -- Lot #151-- Z_z- /S
Builder
The following Building Code deficiencies are required to be corrected:
ae�� /J.0-" TL' C'�"✓ter' /-��- i�Z � �����z�.�1�C�....
l S P'RzoV cs L7 C1 c,7
Presentee to _ , Approvtd
Inspector ❑ nimpproved
Date - �-'�
CALL FOR REINSPECTION
❑ YES O NO
INSPECTION NOTICE
City of "Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 G- "
Phone: 639-4175X3
Type of Inspection
Date Requested 171--73 Ti, e _ A.M. --_P.M.
Address _ ���.� ��� _ vl �' Permit
Owner L.ot #
Builder
The follow;ng Building Code deficiencies are required to be corrected:
Prese,ited to _ Approved
Inspector C
Disapproved
Date
CAL T, FOR REINSPECTION
❑ YES ❑ NO
RM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1
Tigard, Oregon 97223
Phone 839-4175 � v
Type of Inspec!�on __.._ --14"
Date Regaested Q Time A.M. P.M.
Address ---_�/6-&S
Owner ._ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
(��' /�i�3>/.��-[. -7Yv5s C���'.3 � _ ✓,arc=`.�t.�>,2 cam.,
Aef
a��
Presented to Approved
Inspector __2�c— Disapproved
Date %C' _
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of 1-1gard Building Department
P.O. Box 23397
Tigard, Oregon 91223
Phone: 839-417575
Type of Inspection
Date. R(quested s '�(� ?lam
A.M._ _ ._P.M.
Address 501�— _ 'Permit #J 7/
Owner _
-- Lot #
Builder
The fol!owing Building Code deficiencies are required to be corrected:
`• __ IJVLD� �u F�/�7tTir "17.y%—S /d a'r �,
4Nr7
Presented to Approved
Inspector
— — [_l Disapproved
nate -aB-- re
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97
Phone: 639-4175
Type of Inspection
Date Requested rl v Time A.M. P.M.
Address _ �� e'- permit #
Owner _ Lot #
Builder .
The following Building Code dificiencies are required to be corrected:
i
Presented to Approved
Inspector i� U Disapproved
Date.
CALL FOR REINSPECTION
1-3 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested —�%�G `f Time A.M. P.M.
Address �!�� i��� Permit #
Owner-- _-- �_-- Lot #__
Builder -Z
The following Building Code deficiencies are required to be corrected:
i
i
Presented to _ I' C Approved
Inspector –Y=-A2-�.1— – — �� Disapproved
Date
CALL FOR REINSPECTION
0 YES Cl NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397 j
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -'
Date Requested--- _�
Time _ A.M. P.M.
Address -
JPermit
Owner � -
�_
Builder f—,�----_—�_�_.__------- Lot #
_. ���..-�--� '.'---
The following Building Code deficiencies are required to be cor•ected:
I
t
_ --�--- -
Presented to - - — —
Inspector -- L1 Approved
Date �Di�PProved
_
CALL POR REINSPECTION
YES 0 Na
INSPECTION NOTICE '�'l�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .1. •�•-•. 7`_�+� ' __ _
Date Requested _ _mZv 2A- 9 a_____ Time A.M._—P.M. i
Address �L �,.� .S'_4_I � Permit
Owner ,----- --- - — - -..... ---- - --- _— _ Lot # _
The following Building Code deficiencies are required to oe corrected:
Presented to � +_ [}•Iqp-'roved
Inspector }�_ �� Disapproved
Date �* �� ✓ _
CALL FOR REINSPECTION
0 YES ONO
CITYOFTIFARD
X 01\ PLUMBING PERMIT
CRYOFTWAIRDI;I1:I:T N. . . . . . . : l�LMB'a231
COMMUNITY DEVELOPMENT DEPARTMENT Mme+ F R:i Pl,. PERMIT#.. . N. : PLM892
1312b SW 1-11 Bhni. P.U.Bar 7.3307,110ud,01egon 97773 603)63�- 176
45
SiIL ADDRESS. . . : 1150b SW TWIN PAkK PL PARCEL.: ISI 34D--C
SUBDIVISION. . . . : TI0ARD PARK ZONING: R--4.5
BL 0CK. . . . . . . . . . : LOT.. . . . . . .. . . . . . . 110
C:LFdSiti OF' WORK. -NEW GARBAGE DISPOSALS. c 1. MOBILE HOME:: SPACES. c
TYPE OF USE. . . . ..SF' WASHING MACH. . . . . . . : 1 BACKI=1_.OW I,REVNTRS. . :
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . : TRAP. . . . . . . . . . . . . . .
S'T()RI:ES. . . . . . . . .. 1. WATER HEATE.RS. . . . . . c 1. CATCH BASINS. . .. ,. ,. . . c
F'IXTURE.S......_ .._.._..."_._._._.. LAUNDRY 'TRAYS. . . . . . : SF' RAIN DRAINSi. „ . . . :
SI:NKS. . . . . . . . . . . 1. URINAI._S. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
I_AVAIURILS. . . . . : 2 OTHER F':LX'TURES. . .. . ..
TUI:+/SHOWERS. . . . : 2 SEWER L-INF-: (ft) . . . . :
WATER CI_OSE:TS. . c 2 WATER LINE: (ft) . .. .. . :
DISHWASHERS. . . . 9 1 R0114 DRAIN
I
Rc�mar4c�x:
Owrte•r,: ........._._..... _....__.__.___..__...._..______ -.._.____.._.._....._____,.._._..
FEES
DON MORISSE:TTE type anlourtt by date •r•eept:
PCI BOX 19524 PRMT $ 117.50 MAN / !
5PCT $ 5. 88 MAN
F'ORTL.AND OR 00000 000k) PAYM $ 123. 38 JL..H 04/17/90
(:'horte N: 000-000--0000
Iron •r�r •o•r:
CONTRACTOR NOT ON FILE:.
F,flc:n•te N: $ 123. 38 TOTAL
------- REQUIRED INSPECTIONS �..____.._.........
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with
approved plans. This permit will expire If work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
1. r•n1 i i;t;r-.,a '3 i.q rt a t:c.c-r e
_._._.__._..._.___ ____. .__._ .__.___ _____._._... _.....__.-__._._._......._..._._..__.._.....
Call fo-r ins;pec.-tiort — 639-••41'75
ITIEC;HAN I COL
CITY OF T'FARD 1::11*mR111]' l
RMIT 0. . . . . . . .. MEC8923/4
10 D
COMMUNITY DEVELOPMENT. = CnYOFr 171P IM. P[.RMI T 0. - 892245
Z &. 0M
131266W HWI Blvd.P.O.Ba23397,TiORW DAIE ISSUED: 02100190
SITE ADDRESS. . . : 11505 SW TWIN PARK PL PARCEL..: 1.131 "34D.• C;
SUBDIVISION. . . . -. TIGARD PARK 7..ONIN(3.- R 4. 5
F.11-OC K. . . . . . . . . . .. L-01.. . . . . . . . . . . . . .. 10
CLASS OF Wt.)';,*,;,. NEW FLOOR TURN. . . . c EVAP COOL.ERS:
TYPE OF USE. . . . :SF UNIT HEATEKS. . s VENT' FANS. . . : 3
OCCUPANCY GRP. . sR3 VENTS W/O APPL--. VENT SYSTEMS:
STO R I E S. . . . . . . . s I
POIL.ERS/COMPRESSORS HOODS. . . . . . . : I
FUEL.. TY P E S...... 0-3 HP. . . . s DOMES. INCIN.-
(.3,A S
3-15 HP. .. COMMI— INCINP
MAX INPUT: B T U 15 30 HP. . . . .- REPAIR UNITS:
F1 RE DAMPERS?. . : 30 50 HP. . . . a VOODSTOVES. . :
GAS PRESSURE. .. . . 504- HP. . . . . CLO DRYERS— :
NO. OF AIR HANDI- ING UNITS OTHER UNITS. : 2
FURN ( LOOK DTI.J.- 1 <== 1.0000 cfni. GAS OUTLETS. : I
TURN )=100K 10000 cfnig
Remarksi $30 f(:)-r 2 extry red line copied
Owners ............--- FEES
DON MORISSETTE. tyre 'A 01 t.t 11 t by date reept
PO BOX 19524 FIRM 1 h 10. 00 MAN
PL-CK 1; 10. 13 MAN
I-',ORT1..AND OR 00000 0000 5FICT $ 2.03 MAN
I-Ific)ne 0: 000-000---0000 PRMT $ 30. 50 MAP
P0,01 $ 52. 66 JL- 04/17/90
E4 E I L HE.AJING INC
1.55:'50 5 E'.. PIAZZA AVE
[11.ACKMAS 0R 9-'d15 .........................................
Picine #.- $ 52.66 TOTAL
Reg #. . c 4,4
REOUIRLD INSPECTIONS
This permit is issued stib,lPct to the regulations contained in the
Tigard Municipal Lode, State of Ore. Spef—lt) Codes and all other
applicable laws. All work will be done in m rordance with ......
approved plans. This pprait will expire if wo4 is not started
within 180 days of issuanre. or If NOTP is suspended for more
than 180 days.
...........
11cvvniji-;tef-
ISM-d Ely'.
Call for inspp(ctic)ri 639-4175
CITYOF TIOARD SLWE:'.R CONNECIJON
1:.1F.RIYl1 V
COMMUNITY DEVELOPMENT DEPARTMENT OF RD j P,ERMIT 0. .. s SWR8921375
13125 SW HWI Blvd. P.O.Box 23397,T4)afd,(-'x*gDn 972;,ri(503)63"176 V'Rl.m. pf:.Rmur 0. . 892245
— f:- 11:4—4 1 r1 1)A 1j-- A G G I I L D4 1A a le
5SITE ADDRESS. . . : 11505 SW 'WIN 1:'()RK V'L FIARCEL.: IS]. 341).-
SIJBDIVISIUN. . . . : 71GARD PORK ZONING: R---4. 5
P1OCK. . . . . . . . . . a 1-(:11 . . . .. . . . . . . . . . . 10
*Tl:"..NANT NAME;. . . . .
LIS)A NO. . . . . . . . . . C 40461 FIXTORE UNII"S. . . .-
C I OSS OF WORK---NEW DWELLING L)NITS. . t
'I YPE OF' USE SF NO. OV* D(JILDINGS. I
INSIAI L T'Y P'L-, B kJ S W R IMI-'ERV S(.)RFn(*.J-. Isf
0W 1.1 err. --.---............ ...........-
DON MORISSETTE type amount: by date recpt
F'(1) BOX 19524 VIRMI* $ 35. 00 MAN
r,R'M T $ 1.250.00 MAN
P 0 R'T*L,A N D OR 0000 . -.0000 AYM $ 1285. 00 J L H 04/1.7/90
Ph(jrie #-. 000-000 0000
DON MORISSE'r-TE BLDERS, INC.
1':' 0 El(-.)X 19524
VIOR'FLAND OR 97219
P ti a ri e 0 50;3.--244-9:31.4 $ 1285. 00 TOJ'Al-
Re q N. . . 45533
REWIRED INSPECT IONS
Nis Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 129 days from
the date issued. The total amount paid will lip forfeited if the —-------------------
permit expires. The Agency does not guarantee the accuracy of the
side sever laterals. If the sever is not located at the measurement ........
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so Incated, the installer shall purchase
a "lap and Side Sewer" Permit and the Agency will install a lateral.
.............
1;"flllj-ttc�P ---
I -531.1 e d 13 y. .................. .......... ...._. _.
........................... ...................
Call f 0 T i"I S P e e t j a 11 639--4175
BUILDING PERMIT
rcnYAOFT!6ARD N L.FA I T b. . . . . . . a N1.1F•89r_'2 5
CITY OF TIFA RD
COMMUNITY DEVEI-OPME14T DEPARTMENT oanocx+ PRIM. PERMIT H. : 892245
I9126SWI46I80l. P.O.Box 233fl7,Tigard,cx.flwo72z3lG �� ►4}�g I DATE: ISSUED: 02/20/90
1 1:iC5 SW TWIN PARK FIL F'ARC,E:L: ISI 34D—C
1:;I T E: AI)DRE ti!5. . . z
'RIDDI.VISION. . . . a I1C)ARD F-4AK ZONING: R--4.5
)al_OCK. . . . . . . . . . L.OT. . . . . . . . . . . . . e10
REISSUE:BUP892243 FLOOR AREAS—,...__.----- EXTERIOR WAL.I... CONSTRUCTION
(:;I-ASS OF WORK. ANEW FIRST. . . . : 11.36 !sf N: Sa E: W:
'T'YPE 01 USE. . . :SF SECOND. . . : 5 PROTECT Of:,ENINGS':'-.•• .•.•-_-••.. . -
TYPF (IF CONMT. a5N THIRD. . . . : 1i N: :S: E: WC
OCCUPANCY GRP. :R3 TOTAL - --: s f ROOF C ONST s C FIRE RET`:1a
OCCUPANCY LUAU: DASEMENI. : sf AREA SEP. RATED:
4:;TOR. a i FIT . e 10 ft GARAGE. . . : 440 sf OCCU SEF'. RP r ED:
I.4SMT?: ME-Le?i REUD SETBACKS- REOUIRED—
FLUOR LOAD. . . . a 40 psf LEFT: 5 ft RGHT: 14 ft FIR SPKLe SMOK DET. . aY
DWELLING UNITS: 1 FKNT:20 ft RE.AR:63 ft FIR ALRM: HNDICI-' ACC:
BEDRMS: 3 VA I HS: 2 IMP SURFACE: FIR(:) (,ORR: PARKING s
VALUE. $a 55832
RPmarif.st: x:30 for 2 extry red line copies
Owner= _.__»»............__.._......._...._._.........._._._..._._..__......__.......... _ ._................._....._ ._.__.._._.. FEES ....___..._._..._.._..__......__...........
DON MORISSETTE. type amount by date reept
PO PDX 19524 I"'RMT 1; 301.00 MAN
PL.CI< $ 40.00 MAN
F'IORTI.._AND OR 00000 0000 5F'CT `h 15. 05 MAN
I'h;ane ii: 0 V 0 000. 0000 PAYM $ 40. 00 MAN
SSDC1 $ 250. 00 MAN
Contractor: --- --____.________._—_.___._..____._._.___ STDC $ 600. 00 MAS"
DUN MORISSETTE EILDERS, INC. F'DCF $ 250. 00 MALI
P O BOX 19524 MI:SC $ 30. 00 MAN f /
F'AYM $ 1446. 05 JLH 04/17/90
PORTL.AND OR 9701.9 ......
Phone N: 503244931-14 $ 1486.0`; 'TOTAL
Req It. . a 355;33
..........._ RF'QUIRED INSPECTIONS
rhi.s permit is issued subject to the regulations contained in the Foot/found InsF)
Tigard Municipal Lode, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 dais of issuance, or if work is suspended for more
than 188 days.
I'e r m i.t:t e e F i.g n a t►.r r e a
T s S u e d B y a
Call for inspe+ctI ari 0:39-..41'75
I
I
CITY' OF RE"CE I►'T OF FAYhIENT REC 1411: 001077,04
CHECff AMOUNT : 2907.W
iIJ:SME: DON MCIRISETTE HOME:,, 1140. CASH AMOUNT : .00
ADDRES)Ss P.O. BOX 97219 PAYMENT DATE : 02-20-00
TIGARD. OR 972::' BLO(J NO/ADDR:
t15135 S.W. TW I IJE''ARK #.1
PUPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF F'ai'r"MEN'T AMULU-JT PAID
PU I L D I NG PERMIT !8922451? :O I .00 PLUMPING PERMIT It 7. in
I hIECHANICAL PEFMiT 40.50 STATE WILD REPr9IT TOO (5%) :: '.9h.
PLAN CHECK. FEE (10-4SR) 40. 11 SEWER USA ) ,4,50.110
SEWER INSPECION 35.CJO STREET SDC 600.OU
PARKS SYSTEM DEVELOPMENT CH -250.00 STORM DRCd N SCIC: '25h.UC1
I
T(TrlL AMOUNT Foli) _ _. _. 2,907.00
I
PLAN CHECK APPLICATION
C11Y0FT16;A-` RD at--- 1 PLAN CHECK N _-
COMMUNITY DEVELOPMENT DEPAnTMENI- / PERttLT If
. ITS sw-Fwa.d•vo.ne-c +».M31G"Ans / DATE ISSUEO
JOC ADDRESS: I`aU�� s`� I,J 1 1, ,- bra .�_ —_ AN MM/l_OT
St10: _ Tk,14�__PIr IL LOT: L
- LANG USE:
VALUATION: .S,S '� -
- r SPECIAL NOTES
f►WNER
-
LAST REISSUE: _
ADORES S: (� _l r, f t FL000 PLAIN/ -�-
172-1 -
- SENSITIVC LAND:
PRONE: 3r - 3-/L -9�?
� APPROVALSREQUIRCD
PLANNL'G:
CONTRACTOR _U CNGINCERING: _ _ -
N�' FIRE DEPT
ADORFrSS: OTI IER: —
PHONE:- — ITEMS REQUIRED
LIST/SUDOONT"RACTORS: "
ARCI-i/ENGINEER BUS TAX: -
NAME: T2 I C 1 Tom/ j 'y� r Teti/ CALCULATIONS: _
NAME: - - TRUSS DETAILS:ADDRESS:
PARKING PLAN: -_-
-_ - LANDSCAPE PLAN:
PIioNE: _ 6S�1`3�45 OTHER:
,""E
TS:
PERMIT y ACCT If DESCRIPTION _ AMOUNT AMOUNT PO. CAL. DUE
�?LZ.L q _ 10-432 00 BuildirKI Permit Fees ---
&91.3 73 10--431 00 Plumbirxl Per Fees _-----
Fr� t ✓- 10-431 01 Mechanical Permit Fees ---
10-230 01 State Building Tax (5-4) y J•� -
Building
Plumbing ✓
tlech -- _ _ p/1
10-433 00 Plans check Fee -
Building
Plumbing —
Mich _ '�
?2,3 75 30-202 00 Sewer Connection _
30--444 00 Sewer Inspection
� G
51--448 00 Street System Bev Charge (SOC)
52-449 00 Parks Syste- Uev Charrle (PUC) =� y
31-450 UO Storni Drainage Syst Bev C3Arg (S-SUC)
10-230 09 TRFD - -
10-230 06 Washington County Fire Nl (951)
10--27.0 00 Amart/Wedgewood
IOTAL4L[] _ y
RFC If
APPI ICONT SIGNMURf
Received Cy. Oate Received:
cn/3587P/I gp