11796 SW 127TH PLACE ADDRESS:
or
1179(o- SW /27
�L
l.L
Mfr
islrecotds�anicrrotlm%targets%buitding.dcc
w
mmmum-"
CITY O F T I CARD
COMMUNITY DEVELOP "ENT DEPARTMENT r LIE.1,11,11''(F-1c"ArE OF'
13125 SW Hall Blvd.Tig,%rd,Orogun 97223*8199 (503)639.4171 OCCUPANUY
A NhA PURIA) 1 4. . . . . . . t:
,,'it)--4 1 7 I
FAIL 1'�,GLJLD: 05/2"1/93
AD).)RU�!'S). . . I I if)G :;1J 1 Z"t"I I I PL VJARGEIL. 1131.33DD-,
SUBP I V I t)I ON, V I LIA46L W Cil MM"R LAKE.' PARK it ZONIIAbt R-A. 5
ILfJCK. . . . . . . . . . .. . . . .. . . . . . . t
1::`L(4'i3 i3l'"' WORR. 1A--*W
I YPE M, LJG(-. . . a 15f,
1.30-1upritif-y UPP. 03
YT,'NW41 NOW--. . .
RPM4',wks : FAIR f 9 F"'J . N1 ON NOWTH ,;IDC
DON 1408ISMETTE F-10MUS
�.n55n SW BANNG'� RD
(-AKt.' OSWUGO r r.1 9703,5
3110F.101KRR, s PLUMIA I W-)
P 0 BOX 0*50
E'STOCADA
Phone #:
C 561'�5
1A W14 1 y of t h e a bc V e r e f fl,I,P tif e CJ bu i .Irl J. 5 11 p I-*by V1.1 V s.11, e111:1 c-e t t I f i ps
tho .ompli::,Anc:e with thea 81"li' R ilf, (.31-ego" ,")pf%l_ falty Codes for tho lAt"Oup,
arto wit- im1c.4,r whtch Efit., referpriced pvtwit- was issue,cj.
1, 1 Fit-` UL.V"ARTMENT JA 40)1 NG I
CL I POr.3T 11A PL-,
GI
Lu
CITY®F TINA RD
CMOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 02100H MASTER PERMIT
13125 SW Hall 3W. P.O.Box 23397,Tigard,Oregon 97223 (SM)639A175 PERMIT #. . . . . . . .. MST92-0294
639--4171 DATE ISSUED: 02/08/93
SITE ADDRESS. . . : 11796 SW 127TH VIL PARCEL: IS133DD-13200
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK ZONING: R-4. 5
PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 169
BUILDING
REISSUE: DWELLING UNITS-. 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . 3435 sf
TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS----------
TYPE OF CONST. :5N FIRST. . . . -. 1075 sf LEFI. . : 15 ft RIGHT', :5 ft
OCCUPANCY GRP. :R3 SECOND. . . :923 sf FRONT. : 10 ft REAR. . :41 ft
STORIES. . . . . . . :2 TH I RD. . . . -.0 sf REQUIRED--------------------
HEIGHT. . . . . . . . ..26 ft sf SMOKE DETECTURS. AY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 99738 PARKING SPACES. . : 1
Remari(s: PAYH 1 8 FT. EASEMENT ON NORTH SIDE
------------------------------------- PLUMBING --------------------------------------
SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATOFiFii. . . . . c3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . .0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . .-3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF R(IIN DRAINS. . : 1
MECHANICAL FEES
FUEL TYPES------------ UNIT HTRS. . :o type amount by date recpt
/GAS/ VENT'S . . . . . :0 'TIF' $ 1460. 00 JH 02/08/93 —
MAX INF-'UT:0 BTU VENT FANS. . s4 BPRT $ 433. 00 JH 02/08/93 —
FU04 ( 100K . . : I HOODS. . . . . . : I BPLC 281. 45 JLH 12/10/92
� URN )=10QIK . . -.0 !4OODSTOV--5. i0 B5PC 14 21. 65 JH 02/06/93
FLOOR FURN. . . . :O CLO DRYE.6. ii I SSDC $ 280. 00 JH 02/08/93
BOIL/CMP ( 3HPs0 OTHER UNITSel PARK $ 250. 00 JH 02/06/93
GAS OUTLETS: 1 NPRT $ 43. 50 JH 02/08/93
Uwner: ------------------------------------MPLC $ 10. 88 JH 02/08/93 —
DON MORISSETTE HOMES M5PC y 2. 18 JH 02/08/93 —
15555 SW BANNGY RD PPRT 140. 00 JH 02/08/93 —
PbPC b 7. 00 JH 02/08/93
LAKE OSWEGO OR 97035
Phone #: b20-7538
Contractor:
SHOE'MAKER' S PLUMBING
P U BOX 250
ESTACADA OR 97023
Phone #s 503-630-7728
Reg #. . .- 56135
2929. 66 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ----- --
Tigard Municipal Code, State of Ore. Specialty Codes And all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire if not started within 189 Post/Seam Meehan Insulation Insp
days of issuance, or if work is spin td for more jtban 188 da i. PlIft/Undslab Insp Gyp Board Insp
PLM/Underfloor, Rain drain Insp
Perinittee SiqnatureMechanical Insp Water Line Insp
0
Plumb Top Out Appr/Sdwlti Insp
T-5ued By : Framing Insp Mechanical Final
Cal fa*n isspetmtinp (.;tQ-44 ;Xrrp
---------------------
CITY®F TIGi4R.D _
CIIYOFTWARD SEWE=R CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT eoo+i 1'ERI�I i T
13126 SW FhWI A. P.O.7,-r 23397,71goud,Oropon 97223(603)6394176 FSE R111 I T #I. . . . . . . : SW R�,i-_'-03f�.'
DATE ISSUED: 02/17181r;
SITE ADDRESS. . . : 11796 SW 1271-H PL PARCEL- 1 S 133DD-13200
SUBDIVISION. . . . : VILLAGE Al- ;SUMMER LAKE PARK 4 ZONING: R--4. 5
NLOCK. . . . . . . . . . . L.O. . . . . . . . . . . . . . : 169
TENANT (NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UINITS.
. .
CLASS OF' WORK. . . :NEW DWELL I NG l_1N I T'S. . : 1
TYE='E 01� USE. . . . . :SF NO. OF: BUILDING, 1
INSTALL TYPE. . . . :LAUbWR I1Y1r-'ERV SURFACE. . : : s f
Remarks : r'ATI1 .1
UWT)a r': - -______---____. __.._-------•-•-•-----_- -- FEES
DON hIORISSETTE HOMES typF. amol_tnt by date recpt
15555 SW BANINIBY RD F'RIYIf $ 21.00. 00 JH 02/03/93 -
IINSD $ 33. 00 JH 02/08/93 -
LAKE= OSWEGO CZ 970:35
Phone #: 620- 7538
Contractor..: -------------------------_-----_-
CON'T RACTOR NOT OIN F•I LE:
Phone #: 135. 00 TOTAL
Rey #. . .
------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all thi ules and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit ex^ires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement _
given, the installer shall prospect S feet in all directions from
the distance given. If not so loca , e installer shall purchase
a "Tap and Side Sewer" permit an the Agen v will install a lateral.
Pe r m i t t;e e S i gnat r.t r e . -
I S S r.t e d B y
Call for inspection - 639-4175
V)
J
L
C-0
W
_1
INSPECTION NOTICE
City of Tigard Building Department
13125 dW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Insp :Cion: _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing
Poat/Beam Neth. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
DACe Remsostads el,) Tlmst PN
Permit is
Builder:����
THE FOLIAMINO CORRECTIONS ARE PJWIREDt
o.
rr
cY
F-
N
H
LAJ
Inspeotort Datol
Ailff�OV�D DISAPPROVED APPROVED SVRjECT TC Ago"
Call For Reins".
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinese Phone: 639-4171
Inspections L n_ - — -- — -
Doting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Uiderfloor Water Line Gyp. Bd. -Mech.
Date Heq•ested: � /I i I Time: AN —PH
Add
Addrego• f l'^-72(o �" � Permit L
Builder: / /�zq_Jl".0
THE FOLLOWING CORRECTIONS ARE REQUIREDs
CL
r
J
L
LLJ
J
Inepector: _--_ _ D'Ite•:_J �. 3—
APPROVED DISAPPROVED APPRoVF.D SUHJFCT TO ABOVE
t-"— Call For Relnap.
j1SPECTI0N NOTICr
City of Tigard Building Departaaant
13115 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 630-4175 Rusineas Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mec.s. Rough-in Appr/Sdwlk
Found. P11>g. Top Out Gas Line �IBAL=
Post/Beam Struct. San. S4,-aer Framing -eldq��/
Poet/BeAm Mach. Rain Drain insulation Plumb.,-)
Plbg. Underfloor Water Line> Gyp. Bd. Koch.
Data Requested:�f_ L� Tlsse: AJ( pq
Address: l / �/ 9 S\ Permit 1 s !0 Z /4
1_
Builder:��0
THE FOLLOWING CORRECTIONS ARE REQUIPED:
1 �J �f r7..L.,l/L� �l✓J W"t��'[ ✓C-�.'v� ��fs1_I/�
J
7
1
J
Inspectors __. Date:
APPROM DTSIIPPROVED APPROVED SUBJXCT TO ABOVE
Cell For Reinsp.
NI SPECTION NOTICE
City or Tigard lwil&ing Depart.eent
13125 81Y 1 Blued. Tigard, Oregon 97223
Inspection Line (Rec Phone): 631-4115 Business Phone: 639-4171
i
Inspection _
Footing P Underelab Hoch. Rough-i :Appr/Edwlk
Found. Plbg. Top out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Berm Mech. Rain Drain Insulation -Plumb.
Plbg. Under!looc Nater Line Gyp. Bd. -Mech.
-��Date Requnetedt 15 —TLmt
Address:1 7 �J 7 Permit #I "r
� T
Builder: ,1XI-1 _
THE FOLLOWING COhA=CTIONS A" REQUIREDI
1
Y
J
N
V
J
Inspeelert L �1tf r� �►As _ �__ Datet
APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departwnent
13125 Sly Ball Blvd. Tigard, Oregon 972.23
Inspection Line (Rec-,o-PMne)e ,639-1175 Buainess Phone: 639-4171
Inspection: A _
Footing Plbg /Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewsr Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: ,�-3� 3 —Time: ---P.M _PH
Addraee: Z 7 4�F I re' 7I— /_ Ic.— Permit #:. 4
J 2 Q 2-1
Builder:— —
TBE FOLLOWING CORRECTIONS AAE REQUIRED:
__APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
r-.all For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rnc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•_!
Footing Plbg. Underslab Mech. Rough-in ppr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina. Gyp. Bd. -Hach.
(late Requester;* � / ! 3 Time: lAM p PK
Address. / f _l I _ f Permit fs ��` !C) /
Builders
THE FOL.LO'.7ING CORRECTIONS ARE REQUIREDs
c i"JE_ za c c'2e S
cs7 N ry -, C T N G-VeL T°
.'`� Jnr /' 'f� �' •<.'� rd
tnepectori rIt}7>l;15 3. Dr 1.•: % �
APPYAMM DISAPPROM `� APPROVED SURJRCT TO AROVF
Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslnb Mech. Rough-in "nprjSd
Found. Plbg. Top Out Gas Line FINALt
Pogt/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested• ��/�6 // Time: —_AM — �PM
Addrens:41 VC76 _ / Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In..pector:_ Date i Cr 9J
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
_INSPECTION K-)TICE
City of Tigard Building Dep&rtment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4.175 Rusinese Phone: 639-4171
Inspection•
Footing Plbg. Undersiab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Beam Hech. Rain Drain ` Insulation -Plumb.
Plbg. Underfloor Waters Line Gyp. Bd. -Hech.
Date Requeutedt aC Y `1 Time: —YI_AH _PH
Addrese:12e1 _,� Permit 1:
Builder: -
THE FOLLOWING CORRECTIONS ARE REQUIREDt
N
J
.L
f'
W
Inspector: _`"mss Date:`_
-z�
k. APPROVED DISAPPRO'JED APPROVED BUBJRCT TO ABOV3
Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 77223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --- --
Footing Plbg. UnderslaMech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out C Gas Line ) FINAL:
Poet/Beam Struct. San. Sewer framing ; -Bldg.
spy
Poet/Beam Mech. Rai . Drain Inuulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requeetedds � Q _Time= AM /PM
Addreee / 7 Permit
Builder:.dQ /
THE FOLLOWING CORRECTIIO1ONS ARE REQUIRED:
-�
_ 1
v
Inspector:_) - ----_,__�,_ Datet �-3
APPROV3D DISAPPROVED !/ "PROVRD SUBJECT TO ABOVR
call For Reinsp.
INSPECTION N:YfICE
City of Tigard Building Department
13125 SA 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
i r
Found. Plbg. Top Ou� Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watery Line Gyp. Bd. -Mech.
�-
Date Roquedtods �,_ '7 Times .-
/ AM PY,
Address• Permit #I �%
Builders
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
V7
D
c.p
J
Inspectort �. Date:__._ � _
X_ APPROVED —� DISAPPROVRD APPRO"..O SUBJECT To ABOVE
^--Call For Reinsp
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, t rogon 9' -23
Inspection Line (Rec-O-Phone): 639-4175 Buni:iess Phone: 639-4171
Inspections_
Footing Plbg. Underalan Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINAL,
/Beam Struct San. Sewer Framing -Bldg.
�-Fost/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Waters Line Gyp• M. -Mech.
Dat- Requested: `_—"__Time: AM^ PM
Address:
Address: Permit 1:
Buildea: � �/ t> _1��L /7'1 i•�C l`=i
THE FOLLOWING CORRECTIONS ARE REQUIRM
y
•J
C!7
W
J
1
Inspectors.
APPROVED DISAPPROVED � APPROVED SUBJECT TO ABOVF.
Call for Reinap.
INSPECTION NOTICE / «�
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-41'75 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
�Underfloors` Nater Line Gyp. Bd. -Mech.
Date Requested&, , - Time: AM PM
Address: / 17 ��- Permit - G Z
Bui1P,r: 1 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I-
1--
J
c_7
.J
Inspector: s nnre:__r___ "_
V APPROVEVE
D DISAPPROVRD APPROVED SUBJECT TO ABOVE
l-- Cell For Rainep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ --
Fcx)ting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam st n:ct. an. Sewer. Framing -Bldg.
Poet/Beam Meeh- Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
Gyp. Bd. -Mech.
Date Requested: Time: 11M�1---PM
Address: �W / Permit
Builder: —
Tltr• FOLLOWING COPRECTIONS ARE REQUIRRD:
J
U' - _... .- --------- --- — -----------
W
J
inspector.- Date
APPROVP —_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IF
•
I IN' CIF I I UARD kLC;E,.I PT OF PAYMrNI RECEIPT NU. 3--2 64650
CHECK AMOUNT a 4814. 66
NAME t MORISSETTE, DON CAE,H AMOUNTa 0. 00
PAYMENT PATE t o2/oa/93
SUBDIVISION
PURPOSE Or- PAYMENT AMOUNT !`SAID PURPOSE OF PAYMrLlqT AMOUNT PnID
ca-
6iifC75tNai, RM 433. 00 PLUMBING PERM lira. 00
cic
lylFrHANIf:.'Al- PE 43. '"0 ST. BUILD PLP 30. q3
Loll PLAN Clir--CR FE 4:?. 33 SEWER USA 2100. 00
>- WER INSPECT 35. 00 PARKS SDC 250. 00
GTURM DRAIN GDC 8,80. oqf RESIDENTIAL TRAF'FIC FEE: I iso. 01"')
FE ito. 00
MAS'S 1 RAN; I T T I F
1-01 161) VILLAGE- AT 130MMERLARC
11'll9k t 187TH PL
1*04AL. AMOUNT PAID 4 11 4. 6 6
CITY Or TIGORD -- RECEIPT OF PAYMENT RECEI—T NO. s 9 2-234`135
GHEr.1', �I'(JUNT s P-50. 00
NAME, n DON MOR ISW. TTE HOMF7.9 CASH AMOUNT s 0. 00
ADDRESS n 15555 SW PANGPY RD # =Q11 PAYMENT DATE n 1P/10/92
SUBDTVISION
LAKE OSWEGO OR 97035—
PURPOSE OF' POYMENT AMOUN'r rip i D F,LJRPOSr-,' OF PAYMENT AMOIJN"I' PA I V
ULAN CHECK FF. 2'1.0. 00
ul)
rr
Lo
L4
1 1-796 SW li:,.'71-H PL
PLAN (14FCR #Ic" 113P
TOTAL AMOUNT POI 250. 00
I�D �Po�ns�
CITY OF TIGAPLNCK/RECT #
COMMUNITY DEVELOPMENT DEPARTMENT
'ria,Oregon 9WPERMIT # /�5 f`/� - (�c� C>
(503)63"171 DATE ISSUED
JOB ADDRESS: 1 S w 12- 41 P TAX MAP/LOT 15
SUB: (�qOv LAND USE:
VALUATION-. 9i
OWNER SPECIAL NOTES
NAME: �J — DrIS�P l-t�Y� REISSUE OF:
ADDRESS: S S # LAST REISSUE:
a FOOD PLAIN,/
PHONE: SENSITIVE LAND:
CONTRACTOR , APPROVALS REQUIRED
NAME: I ,)D 7( � �C l�'+'U ' 1�-Q-7 ► I�L PLANNING: 0G _
ADDRESS: � �j L� '1� �L�t L. L_,X1ENGINEERING: — —
LLOC( ;�II ^^ br_ _ FIRE DEPT: _
PHONE: C'- OTHER: 7!F _ --- --
CONTR. BOARD #: �'�c=j22 - EXP DATE: tCf 2)
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: vLIST/SUBCONTRACTORS:
MECH: �US 1AX:
ARCH/ENGINEER T��P' CALCULATIONS:
� o �
NAME: z TRUSS DETAILS:
ADDRESS: P. R OK OTHER:
-- Q nC1E:LC)pC1 cq g-7 0 a"7
PHONE:
PROPOSED BLDG. USE:
COMMENTS: —
LL)
J
APPL�LANT SIG ATURE —f � `"
Received By: _ Date Received: '
PERMIT ." ACCT A DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
� 2-u�yy 10-432 00 Building Permit Fees 3 3 J 3 3,,
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) F 3
Building
Plumbing 7 �'
Mechanical
10-433 00 Plans Check Fee 5 / �(--z..---j
Building .2 IL
Plumbing /
Mechanical tl
10-230 06 Fire —
i r',rt-u381 30-202 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 L'
52-449 Ou Parks System Dev Charge (PDC)
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 lieu of)
-1
TOTAI.
nm/3587P.WPF