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11578 SW VILLA RIDGE ROAD oar roar VI �-LA � IDbi� �aM ADDRESS: i:\records\microflm\targets\building.doc I l� CIT' OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171 CITY GF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hnll Blvd Tigard,Oregon 9'223.8199 (503)039.4171 pis 7 � sw V� req /1�'d5 r »us_,w IIall UNd- PLNCK/RLCT N — CITY OF TIGARD Tigud.O-gm9TW PERMIT N � - COMMUNITY nBVELC:'MENT DEVARTMENT (S03)639.4171 DATE ISSUED _— I TAX MAP/LOT JOB ADDRESS: LOT: LAND USL: SUB: ------- — VALUATION: SP_ N07ES OWNEz - - . REISSUE OF: .— -- ---- NAME: ----- LAST -- REISSUE: _ __---- ADDRCSS: ----- FLOOD PLAIN/ ---- —�---^�—_--�_ — ____-- SENSITIVE LAND: ---._—__--- --- PHONE,: A_Pp_{ZO_VALS RE U� I REO CONTRACTOR —/ PLANNING: NAME: _- ENGINEERING: — ADDRcSS: FIRE_ DEPT: ------ ---- -- --� OTHER: ---- PHONF: ------- -------- WNTR. BOARD fl: EXP DATE: ITEMS REQUIRED LIST/SUBCONTRACTORS: SUBCOtJTRACTORS.: PLUM►s: _ ____---------------_---- BUS TAX-CALCULATIONS: ARCH ENGINEER —_— TRUSS DETAILS:OTHEil: - ADDRESS: ------ --- --- -- ----- --- PHONE-: ------ — ---- ---------- PROPOSLO BLDG. USE: --- — __ COMMLNTS: APPLICA SIG URE Date Received: __._.—__--....--------- Receive y: — PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD.. F- L. DK 10-432. 00 Building Permit Fees 10-431 00 Plumbing Permit fees 10-431 01 Mechanical Permit Fees ------ — --- 10-230 01 State Building Tax (5%) ------ -- -_-- ` Building / Plumbing Mechanical 10-433 00 Plans Check Fee -- ---------- — -- Building I"umb i ng _ Mechanical 10-130 06 Fire --- -------- —_- 30-2.02 00 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 ---- 25-448-05 Mass Transit TIF Fees ---- ---- 52-449 00 Parks System Dev Charge (PDC) ---- 31-450 00 Storm Drainage Syst Dev Chrg 2.4-4 ,5-01 Water Quality (Fee in lieu of) _ 24-445-02. Water Quantity (Fee in lieu of) ----___ ___—__ ---.---- TOTAL -- --- — - — nm/3587P.WPf