Loading...
11310 SW 90TH AVENUE i V.1 ADDRESS: _11.31® SW 9614 AV&Joi a N 1- r-� J CO r. C7 W J i:Veco,-ds\microtim\targels\buiiding.doc �P IN vTUALATIN VALLEY FIRE & RESCUE. AND ^fir BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE A RE (503) 526-2469 POSTED: OCCUPANT ! SJt/ �� CONTRACTOR , �>�� � r ,�.� BLDG. PERMIT # PROJECT Nh4E PLAIN REVIEW 4t LOCATION `'Qi7.1 JURISDICTION: 1= Be. 2= Du, 3= I:,C. 4('Ti 5= Tu. 6= Sh. 7= Wi, 9= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL El Framing Separation Walls Q Sprinkler System 0 Shaft El Fire Dampers (OverheadlUn erground) Alarm System 0 Hood' Ext:ng Systems ❑ Conference Spray Booth Ceiling Cover EJ Other ' S/' �1 1!(rC-�C .�5 ! L) Vic. r J LL) J Dates ,�'" .�� 47`t Inspector: INSPECTION NOTICE W City of Tigard Building Department 13125 SN ball Blvd. Tigard, Dragon 97223 Snsptction Line y'Rac-O•Phone)t 639-4175 Business Phone: 639-4171 Inspections �yy:)i Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line �.. FINALt Poet/Beam Struct. San. Sewer Framing -el Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undertloov slater Line Gyp. Bd. -Nech. Date Requestedt_ - LJ ? / _,_Time: AN PM Address:_I `y 900 P*LuLt +f�:� J �� Builder: �11 t<-SIC J G�� D� THE FOLLOWING CORRECTIONS ARE REQUIRED: i J J 55 9y _ C Inepectors_ APPROVED DISAPPROVED APPROVED SUBSRCT TO Ago" e Call For Reinap. INSPECTION NOTICE I City of Tigard Duildlmg Department 131.25 SN Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk. Found. Plbg. Top Out Gas Line FINALs1 Post/Beam Stauct. San. Sewer Framing Post/Beam Mech. Rain Drain Insslation Plbq. Underfloor Mater Line l� Gyp. Bd. rhj. �- Date Requeetedss /G `•� L� / Timet AM M Addresses I I ,>,�jt© j��y n Pernkiit Os Builders I V4 V ��p tTHU FOLLOWING CORRECTIONS AREREQUIRED: � 1 (moi �--,,;r-.� s \--, �y �-�. Y .... 12� �- •- -:_-�...�t L t 11 Inspectors l Dates APPROVED VDY APPROVED SUBJECT TO ABOVE 'c� Call /or Aeinep. %,,fly OF TIGARD CEF471FICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PEW(11T #. . . . . . . . MST9,-1 DATE ISSUEDL PARCEL: 1f,31315DP---04200 51TE ADDRESS. . . z 11310 3W 90711 AVE: SUBD I V I S I ON. . . . r ML-P91-0001 ZONING: BLOCK. . , . . . . . . . LOT. . . . . . . . . . . . . I CLASS OF WQRK. %NEW I YPE OF USE. . . r SF OCCUPANCY GRP. tR3 OCCUPANCY LOAD: 116 4 1'ENANT WAME. . . -. Rn.market r CATH I Owner. ---- ---...----- -------- -_-..._._•...__.__._-- - ------ TENLY PROPERTIES CORP. P 0 BOX 927 1-111-1-SBORD OR 97124 Phone #t (-,93-0195 Coritrautnr: TENLY PrMPERTILS PO BOX -414 HILL.'SDURO OR 97123-0000 Phone #: 693-0105 you #. . : 5e5t1 Occupancy of the above referenced building is hereby rlivert, and cei-tifies the compilance with the Mate Of Oreq,,,w r-spo;-c:. i&1ty Codes fur the group, OCCLIPAnCy, and tsre under which the i-eferenced permit wb4s, 4iiTi;ii4T D I rl SPEC:CDR L U L c I A V1 POST IN CONSPICUOUS PLACE LD LLJ __j CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd, Tigard,Orapcn 97223.8199 (503)839-4171 t r / IIV�x�a.wx�qCnJ�- �iQ.S3iq(�`7 � 3y—c{L1�1�4U ��11 I J INSPECTION NOTICE ---� -- City or Tigard Building DeparAwtvit 13125 BN Hall Blvd. Tigard, Oregon 9,223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mwih. Rough-in Appr/Sdwlk Found. Mg. Twp out G&s Line PfNALt Poet/Beam Struc,:. Ban. fewer-) Framing -Bldg. Post/Beam Mach. blain Drain Insulation -Plumb. Plbg. Underfloor � Water Lina Gyp. Bd. -Mech. �j Gate Requeetadc_ t2 -C� t J � Times I � 7U1 _.PH Addresst CfrE� �� 13 n t Ptermitf _r s Bu 13der s �kr�.'` THE FVILLOW1NG CORRBCTIONS ARE RSQUIREDt ft N --- - J r.. LD 11: J Inspecto APPROVED Pt9APPROVaD APPROVED SUBJECT To ABOVE Call For Rainsp. INSPECTION NOTICE __ City of. Tigard Building Department 13125 OW Ball Blvd. Tigard, Oregon 97223 Inspection Gine (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 Inbpection:_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pt- it/Ream Struct_ San. Bawer Framing ..Bldry_. POs:/Ream Mach. Ra!sr Drain Insulation -Plumb. Plbg. Underfloor Nater U.-is Gyp. Rd. -Meeh. I Z (n Dake Rec{uw.t--a71d:. Tim! AM PM Addroass��'J(U. lV h ___.T_ Patnik ft ��✓ �3-(}2J� BuIIdurt_�_C VJA.1 THE FOLLOWING ODRRECTIOVS ARE REQUIRED: [Y t� ti r-. W J Inspe._,tor: .. _ - xPPROVED DISAPPAOVEA APPROWD SUBJECT 20 A90" ___Call For Relnsp. N6 ECTION NOTYCE City of Tigard Building Departsart 13125 SW Hall Blvd. Tigard, Oregon 9723 Inspection Lina (Ret--O-Phones 639-4115 Cu/sineas Phone: 63°-4171 Inspect ions Footing Plbg. FInder-lay Mech. Rough-in Appr/SAwlk Foun<1 Plbg. Top Out Gas Lina FINAL: Post/Scam Strut San. Sewer Framing -Bldg. Pust/beam Hoch. Rain Drain Insulation -rlumb. Plbq. Underfloor Water Line Gyp. Bd. Date Requested: _ �- F ? TlV '/" --Am 1N Address:�j Bui.li ar: 711E POLLOW140 CORRECTIONS ARE RRQUIRRD: Inspector: / Date:! t APPROVED DISAPPROVED APPROVED BvaincT TO ABOVE �calt For Reinap. INSPECTION NOTICE City of Tigard Building Departnent: i 13125 811 Ball Byrd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phore)s 639-4175 Bueinses Phone: 639-4171 Inspections Footing Flbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer framing -81do. Fast/Beam Mach. Rain Drain Insulation -P),umb, Plbg. Underfloor Water Line Gyp. Rd. -Hoch. Date Requested l I(� Toms _L AM PM Address: 'l��� PltM1t i1 �*7 1- C3"7f7 Builder, l P Ilk THEE FOOLUMINO CORRECTIONS ARP,' REQUIRED: -Z- ' a o R w -- — LO _ 1 �y inspector: Daae: PAOVRb DISAPPROVED APPROVED SUBJECT TO AC,a" ____Call For Relnep. raw YNSPECTION NOTICE City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)s 639-4175 Busineas Phones C39-4171 Inspections_ Footing ^ibg. Underelab Koch. Rough-in Appr/Sdwik Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Bean Mech. Rain Drain Insu:ation -plumb. Pibg. Underfloor / Water Line 'COyp. Bd. -Koch. Date Requetsteds _Times AM PM Address: I 1 yj�C� �( Permit f s(,' `I'J-�;J� Buil.Sers_I'f .mz FOLLOWING COPRECTIONS ARE REQUIRED: Inspectors ` Dater APPROVED Y_ DISAPPROVED-_=4 APPROVED SUBJECT TO AAUVE —Call For Reinsp. INSPECTION NOTICE. r City of Tigard Fluilding Departwent 13125 SSB Beall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phons)z 639-4175 Busineus Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer / -Bldg. Post/Beans Mach. Rain Drain Insulali ) -Plumb. Plbg. Underfloor I Water pL�ino Gyp. Ed. -Mach. Gate Requeeteds N/�V 7-O Addresst 1 ��(� ��Q+W Permit rsw' r 3 -O-3T) Builders I ��l', r ORS'Y �� . 66 TEM roLI.OMI110 CORRECTIOEE ARE RE JDIRED: (`7 ��'C...c� u.,/1 ✓�� �-�- � -fit/� 72-1 779 S r4 Ole Inspectors _ Ditto APPROVED DISAPPROVED APPROVRD SDBJRCT TO ABOVE ` lk __—Call For Reinep. INSPECTION NOT!, E City of 'Tigard Building Department 13125 SA h, 11 Blvd. Tigard, Orego__ 97223 \'- inspection Line (Ree-O-Phone): 639-4175 Hueiness Phone: 639-4171 Inspection:­_ Footing Plbg. Underslab Mech. Ro.:gh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet./Beam Struck. San. Sewer rami g -Bldg. Poet/Beam Mech. Rain Drain Ination -Plumb. sul Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requeatod::_.___�_G` y z Times --Ax PM Address: 1 , J O ` Permit �Z Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Z � r`; � .�.� -��- •-,r-,... Nis s�...� � r-�r� . 1 C�Inspector: � �, Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE �� Call For Reinsp. INSPECTION NOTICE City of Tigard Bull-ding Department 13125 9W Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 634-4175 Businena Phones 639-4171 inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lin* FINALS Post/Beam Strutt. San. Sewer C ,rrc.sing�,� -Bldg. Post/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requesteds. y 1-In - Times AM __PM Addresss ! ! -�10 `Icyft^ Perm�i/t Builders '/ tk � � '� � TED* POL.L.OWINO CORRECTIO148 ARE REQUIRED: yx vv Inspectors v Dates CtJ APPROVED DISAPPR APPROVED SUBJECT TO ABOVE' 7c" ail For Reinep. INSPEc'TION NOTICE .y City of Tigard Building DeF+nrtasat 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectlon:_ Footing Plbg. Underelab Meoh. Rough-in '' Appr/Sdwlk F^vid. Plbg. Top Out Gas Line FINALS Pont/Bream Struct. San. Sewer ir�il't //� -Bldg. Pout/Beam tlech. Rain Drain Insulation -Plumb. Plbg. Underfloor "star >>Lime Gyp. Bd. -Mech. Date ttequested:_ I�7 G- Times AN P!1 AAw erro_a a -3 I;`�I d �,� +� Permit r.MST�j 31): 7� Builders �e;' ( ) THF. F"t-LOWING CORRECTIONS ARE REQUIRED: i v j� �'A ` T�2C.CC LVL ! p c,LC +1A '5 r-a W (Al T.)Zi+L• r-0 O"V-\ rL +C-�-r1 6!Z to a"�. '� `� v t � �-'►.-�-, �'�Q..t.� TZT Inspectors V�. L �" Dates ` " ` - Z "9 3 --"Prom L-,.TSAPPROVRU APPROVED svRJRM To AMC" Call For Rainsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Innpection Line (Rec-D-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Mech. Rough in Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer C'l►raming -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: U Z Z ' Time: AM PM 1 Address: \ \ ?' l 1 y� Permit #: ( V Builders THE FOLLOWINGICO�RRECTIONS ARE REQUIRED Lbbt' L��S 4 i f-ylJ, tea '-�' Z`.� ��✓ Le Z� LLrC �i CA-J c,� 1 'Vs s �s Inspectors_ / Date: U-2Z g 11 _APPROVED y DISAPPROVED APPROVRD BDBJECT TO ADM --� �/ (, - Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab C`Mech. Rough-in) Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer CLFraming -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. c Date Requested:_ 'z —2j Time: AM __PM Address: � ' ` ` � _ Permit #t C, `� 1 Builder: TMS FOLLOWING coR.'ISCTION3 ARE REQUIRED: V C� v 1 3 "n.t21Z s T ve ,C-dy F-- Un r w c.� w Inspectors_ Date: , L) r 2 Z APFROM DISAPPROVED APPROVED SUBJECT TO ABOVE � Call For Reinep. INSPECTIQy NOTICE City of Tigard Building Departasent 13125 811 gall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-­O-Phone)s 639-4175 B sines Phones 639-4171 Inspection: Footing Plbq. Undsrslab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALS Post/Beam Struct. San. Sewsr Framing -Bldg. Post/Beam Mach. Rain Drains Insulation -Plumb. Plbq. Underfloor Nater Line 2` N Gyp. Rd. -Hoch. Date Reque�� 1-a��t��ed��s_ (�`�_ q -`43 imes _)w s 1_ Tk Pll Address c _'1 Permit is 5 �- -w:) Builders V,�� TIM FOLLOMING CORRECTIONS ARE REQUIRED: s N H ca C.a 7 Inspectors ' Dates_ / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainsp. INSPECTION NOTICE City or Tigard Building Departemt 13125 SO Hall Blvd- Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mach. Rough-in Apps:/Sdwlk Found. Plbq. Top Out�. Gas Line FINAL: Post/Beam Struct. San. Bower Framing .-Bldg. Post/Ream Mach. Rain Drain Insulation -Plumb. Pl.bq. Underfloor Nater Line Gyp. Bd. -Meeh. PP _ Date Requesteds �L� J Times AM `_L_PM Addreas s ( �(,V� I1/ Permit s#},eGl -0-3 70 ) Bs:l l der s TUE FU1.I.OWING CORRECTIONS —ARE REQUIRED: a M H V) J d] W J Date: YLAPPROV,sU DISAPPROVED APPROVBD SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City or Tigard Building Department 13125 SW Sell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)e 639-4175 Business Phone& 639-4171 Inspection: Footing Plbg. Undersl.ab Mech. Rough-in A,ppr/Sdwlk Hound. Plbg. Top Out Can Line FINAL& Host r San. Sewer Framing -Bldg. st/Beam Meoh._ Rain Drain Insulation -Plumb. Plbg. Onderrloor. Water L�i/neq Gyp. Bd. -Meeh. Date Requested:_ q I `1 13 T1MN� Am �_pH Addresss (�� Pe/tr-lltr Builder: THE FOLLOWING CORRECTIONS ARR REQUIRED: rX y J G] 11J J Inspectors v_ VA, Date 1 1 1 ST /_�_ APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE / v-C)z Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 sN Hall Blvd. Tigard, Oregon 97223 Inspection Line (P.ec-O•-Phone): 639-4175 Business Phone: 639-4171 Inspection: - Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINALS Post/Beam sti7 San. Sewas Framing -Bldg. et/Beam�Hoc 14 Rain Drain Insulation --Plumb. Plbg. Underfloor Water Linfe� Gyp. Bd. -Hoch. p�J Mite Requested: - ` r ` `'�� TLnes AN 1-7 PN n ldress• l l �3 _ Permit Mulder: THE FOLLOWING CORRECTIONS ARE REQUIRED: el V_ J J J CJ Inspector: �/ _ Dates APPROVED �ISArrAJVBD __ APPROVED SUBJECT TO ABOVE V Ca11 For Reinsp. INSPECTION NOTICE City of Tigard Building Deparboent v 13125 am Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-o-Phone)t 639-4176 Busineas Phones 639-4171 Inspectiont 1i l0✓' :� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. Date Requestedt -I U r Time: AN1F11 nn L. `13-0370 7 Address s P ''V Permit I t 13-p3 70 Buildertr L_ `' _ if l n -4:�T /,r) THE FOLLOWING CORRECTIONS ARE REQUIREU: '0000, rt— A Inspect : Date+' _^APPROVED DISAPPROVED APPROVED BUBJECP TD ABOVR Call For Rsinsp. INSPECTION NOTICE n City of Tigard Building Departaent 13125 BR Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)c 639-41.75 Business Phoner 639-4171 Inspection: Footi Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Posit/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater LineGyp. Sd. -Mach. Date Requeste71 �J� ?)() �1} � Times v�/��kY AM PM Address.—i� JOU 1�7 ��?I� ` Perwit fI K' ✓t�5-,/)"370 Builder: TNI. FOLLOWING CORRECTIONS ARE REQUIRED, J r.� 03 -_ r. C.� Li! J Iq � V Inspectors Date, 1 11PP110Vgb DYSAPPROIMD APPROVED SUBJECT TO ABOVE G. 4 Call For Reinsp. CITY OF TIGARD v` COMMUNITY DEVELOPMENT DEPARTMENT 1311,5 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)d39-4171 �L 1-- F'. ~-i LL1 J i i (cj 0 • CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :93-242992 CHECK AMOUNT 5367. 84 JIME, z TENLY PROPERTIES CORP CASH AMOUNT a 0. 00 1)D;% PAYMENT DATE 08/05/93 PO BOX 927 SUBDIVISION HILLSBORO OR 97124— 1,lRr-,(lSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID im.-DING PERM 500. 50 PLUMBING PERM 207. 50 -CHANICAL PE 57. 00 ST. BUILD PER 38. 26 ' AN CHECK FE 89. 58 SEWER LISA 2200. 00 WER INSPECT 35. 00 PARKS SOC 500. 00 ORM DRAIN SDC 280. 00 RESIDENTIAL. TRAFFIC FEES 1350. 00 iv!G TRANSIT TIF FEES 110. 00 11310 SW 90TH AVENUE ERMIl- MST93-0370 OTAL AMOUNT PAID 5367. 84 CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :93-241179 CHECK AMOUNT a 2517.1. 00 AME s- TENLYY PROPERTIES CORP CASH AMOUNT a 0. 00 DDREI-3S a POO BOX 927 PAYMENT DATE a 06/10/93 HILLSBORO, OR SUBDIVISION 97123-- a� PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID Ln r-ILAN CHECK FF 6--P5R 4250. 00 cD W 90TH AVENUE OTAL AMOUNT PAID — — — —> 250. 00 CITY OF TI GARD COMMUNITY DEVELOPMENT DEPARTMENT 13',25 SW Hall Blvd.Tigard,Oregon 97223.8100 (503)830.4171 rt J Ci f . C> It; 3 r �• ` l PLNCK RECT 9 CITY 01FTIGARD ��yzs sw�i,u arra / PERMIT 0 COMMUNITY DEVELOPMENT DEPARTMENT Tigard.Oregon 97M (503)639A171 DATE ISSUED JOB ADDRESS: �I,' q0-01-Ave TAX MAP/LOT /S/ �ZDo SUB: l y' _ LOT: Pays LAND USE. VALUATION: 1.2� .3 OWNER SPECIAL NOTES NAME: <-I-C A I L �' 1 c` >�� i�? REISSUE OF: ADDRESS: �C� LAST REISSUE: i —hi(SLrx��' q/ VD4 FLOOD PLAIN/ PHONE: (G��(�`C'1S-`3 SENSITIVE LAND: CONTRACTORS O APPROVALS REQUIRED MGyg1-e-ra! NAME: I�LI�I 4 (1'IQI (�f� ��[D PLANNING: �s ADDRESS: _ ` ( IYl ENGINEERING: FIRE DEPT: PHONE: __ _ OTHER: _'11f CONTR. BOARD #: c5 P--f 5I1 EXP DATE: ITEMS REQUIRED n 1 SUBCONTRACTORS: P U : �T-! (�• 1't(��Vl()�Yl� LIST/SUBCONTRACTORS: MvH: tt 7ac I BUS TAX: ---� ARCH/ENGINEER CALCULATIONS: NAME: ,�`f 6l / �t �'f�r� _ TRUSS DETAILS: ADDRESS: 'l G� Cad ► ) l(I( ��. OTHER: PHONE: I'r `(c' PROPOSED BLDG. USE: T —COMMENTS: IV APPLICANT SIGNATURE _ Received By: Date Received: /4 PERMT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees jvv•w - sc'o' }y 10-431 00 Plumbing Permit Fees o;-U1•ay ✓ .2o75y 10-431 01 Mechanical Permit Fees 5 7 ut -5Z '-' 10-230 01 State Building Tax (5%) 3K2L , I-2 6 Building .-Z,5-e3 v, i Plumbing ,-3'Y Mechanical 10-433 00 Plans Check Fee -3 i�• 5b� �' Y 5'y Building Plumbing Mechanical 10-230 06 Fire - �<<'��� -0,3zc1 30-202 00 Sewer Connection �.2o ?o 30-444 00 Sewer, Inspection -35 �' 3j, 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 3 5V 25-448-05 Mass Transit TIF Fees 110 52-449 00 Parks System Dev Charge (POC) 5 C"✓ v/ Sv4� 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water, Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lied of) _ G= Il' � TOTAL I i,Y i i nm/358IP.WPF