InitiallyGood (5) 14485 SW 100TH AVENUE _
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CITY OF T167A RDL-31-11I.-DINGpEF2Ml'T
PE:RMTT NO. RUG81.4167
CITYOFTWAPD
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COMMUNITY DEVELOPMENT DEPARTMENT CO Q I r.O N )
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 27/6(3
1::,M*y* .N(I (:i81.4167
ADI*)PFSS : 141418.5 SW 1.00TH AVEK
1'ex MAI-:,/LOT SUB: LT : DK :
L.AND USE'. :
101' S:I:ZF.: VALUATION 113 11, 1000 5F::'THACK5
FPONT PE:AF!
WORK 0 ASS : ALTF,-.,Pt-)T10N DWIFIX.L. . UNI US : i..EF*T . 111GHT :
(.ISE: TYPE: SINGLE Z" FA- 141I.-Y NO. WK01W)OMS : FX1 WOLL. GONST :
CONST , TYPF_: VN W.I . BATI-41i : N :NI:4 S : N17 W: N14
C)(:,(:.LJP (.'.';PP . : P3 11:141TT 0PF_N:1NCG :
0(XLJP.LOAD N:NP S : NIS I::: :NP W :14P
N0. ST0111IF:S : TOTAI APEA:
J.ST : P00F CX)NST : F 1:P PF:.r?
HF.J: ;2ND: APE-A SEPAP7 RATED:
PASEMIE-N-T-7 3011: (XC AJP. 5EPAP7 RATED.
ME2ZANINE? BASEWT
F I 00P LOAD : A 1: A G F'114F. SPRKLP? ALARM"?
HL"AT TYPE:: 1-1 DC P-ACIAE S 5 7 -1 F Cl
FIL AN CHECK DY:
RF::MAPI(5 :
'-ul' CUVO 0-?(l PlIttic) islab AFF ISSUE: OF NO.
Pciating exiiating
L I.-AST REISSUE
F1:ES :
NjVAIt"'Ne k.lntuLlan PEPMT)' $11 030
N 11/1-105 MW 100%h nve PLAN 1X.:V1r::W
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STATE TAX 8"
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C)PMI_N,T
C DI_,rVE:I CHARGES :
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This permit is issued subject to the regulations contained in Title 14 ACKCILIP1 NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordi-iancr- and it Is hereby RKWIRE-J.) INSPECTIONS
agreed that the work will be done in accordance with the plans and FRAMING
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not wawe restrictive
covenants Contractor and subcontractors shall have current city
business fax permits This permit will expire and become null and
void it work is not started within 180 days,or if work is suspeoded or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required inspections are requestP0 and approved
Permittee Signature
Issued By ---(�; �\
SEPARATU PERMI "a' REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIOVARD PLAN CHECK
ApPLICA'3'I
COMMUN" DEVELOP1W.-iNT DEPART MENT �' YOrD PLAN CHECK N �-a 12�
1312SSWHe8WP.O.RM23M.T�rd.O�rpw�W2ZJ(bW)674417b OREGON PERMIT �
DATE ISSUED
JOd ADDRESS: /_ �li�b"j �•� ��Q .[/ 7l ,/ �
SUB: ---.,�,�T�?ZY TAX MAP/LOT
--- : LAND USI::
VALUATION: LOT.,
-
OWNER --
NAM7: SPECIAL NOTES
ADDRESS: 7.
REISSUE REISSUE OF:
-�� ,-�-1 -- LAST REI'-SUE
FLOOD PLAIN/
SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAM -- PLANNING:
ADDRESS: T,�E ENGINEERI
NG:7rr'-
FIRE DEPT "-
OTHER:
ITEMS RE UIRED
ARCH/ENGINEER LIST/SUB CONTRACTORS: ^�-
NAME: _ _- �g4y Y BUS TAX:
ADDRESS: - ri T H 7" .� --
CALCULATIONS;
TRUSS DETAILS: _
PARKING PLAN:
PHONE: r L(,NDSCAPE PLAN:
OTHER: _ -
COMMENTS:
PERMIT M ACCT y DESCRIPTION '
NE Lq__ J10-432 00 Building Permi'. , rye AMOUNT AMOUNT PD. BAL. DUE
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees -
10-230 O1 State Building Tax (5%) ------ -
Bu i ld i ng ------ —� g
Plumbing
Mech _ —-"
10-433 00 Plans Chec_k Fee
Building
Plumbing
Mech
30--202 00 Sewer Connection-
30-444 00 Sewer 'Inspect ion - ----- _
51-448 00 Street System Dev Charge (SDC)
52-449 01 Parks 'C System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) -- -
31-450 00 Storm Drainago Syst Dev Chr-I (SSAC) "
10-230 09 TRFD _
/ 10-230 OG Washington County Fire pl --- -
10 220 00 Amart•/Wedgewood
-----_
T'OTAI-
RUC N — x
��►' ANT SIGNATURE ----- ------_______
vivrd 1!y: >.
ht/?56/P/L6P _ / _ Date Received: