13810 SW FANNO CREEK DRIVE BLDG 1 ADDRESS:
3910 SW -J5i��Jvo Crtg&.
records\micrcflm\targfsts\bt idding.doc
Cirf
OF TIGARD
CEPOl:CUPANCYLl~
PERF• I T i0. . . . . . . . OUP 93-014w
COMMUNITY DEVELOPMENT DEPARTMENT DATE. I SSUM, 04/2-12/94
1311th J)%r NRA B1vi.1lg&rd.Oregon 9"223.6192 (503)6.99-4171
e PARCEL: 2 CSIOC'DD -00.100
1381.0 'W hANNC1 CRI E", DR 043-01
�i1Jllra,CCsI ;TQIti. . . . » EDGC:WOOD zONTNOiR-_IC.:
BLOCK. ,. . . . . . . : LOT. . * . . . . . . . . . . ;3
C'LASb OF WORK. :NEW
"YPE OF ,ISE. . . SMF'•'
OCCUPANCY ORP. a p I
0Cr,UPAN(_Y ,-r)AD s
T ENCiNT NAME:. . . z F''ANNO CREEK PIPT BLDG 1
Rematr-k%: new a,pAt-toont building-. #1 f
OLLW SOLARE.3
T-�'6 TWIN CREEKS L61
LAKF---, OSWE GO OR 9703'T')
Phcme► 401 624-9601
✓NN TC1AU n��r
I;-23 CCA
fv
' i3UF7"1`
1-"JRT ND ON 97c(::5�
Ph a #s ??7 01329
Reg #. . 1. 0@000
"chis (_:ertifir.,ate certifies that the above rkftarenc^ed t-�lilditgj t,,., pc-1 .. .loll
thereof has been inspected far- compli,anco with the Tigard HlAildirrg Cada
far the group and division of oc^cuparnc^y and ii se.. for ;vhivh the abc)ye
refer-enced permit was issued, and occupancy i ,!
i
rAIJUDING TNS3 ..7`]F2 ftl.ill..nTMiC: (iF'� iC 1plh
F OA r IN CONS(-'I C:UCII.I OLACI
IrSPECTION NOTICB_
City of Tigard Building
13125 87 Ball Blvd. Tigard,•or%gon p72
In:..ection Line (Roc-O-Phor;e) 639-4175 eueine■} 639-4171
Inspect ion:— -----
Footing Plbg. Underslab Me=h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino PINAL:
Post/Beam Struct. San. Sewer Framing Post/Beam Mech. Rain Drain Insulation ,���►.J,,
Plbg. Underfloor M.Rter Line �j Gyp. Bd. �OAMegrV10
Date Requested:---- �, - / --Tlme: __hM PH
Address: 13(Y/�� --- Pen•.:t 1: ��"
/ n —_� `-
Buiider:��j�
THE FOLD MING CORRECTIONS ARK REQUIRED:
Zv
APPROVED DI PPROVRD APPROVED SUBJECT TO TROVE
Call For Reinep.
INBFECPION NOTICE
City of Tigard Building Department
13125 7w Hall Blvd. Tigard, Oregon 97223
Insp::ction Line (Ru11c--O---.Phone)a 439-4175 Business Phone: 539--4171
Inspections_ ' xL�� M
Forting Plbg. ttnderslab Meeh. Rough-in Appr/Sdwl.k
r,,..nd. Plbg. Top out Gas Line !INAL:
Post/Bean 3truct. Han. sewer Framing -Bldg.
Post/Bean Mach. Rain Drain Insulation -Plumb.
Pl:�g. Underfloor Nater Line Gyp. Bd. -Meeh.
Pate Requerdedt--- 11.�� ._Time: ,i _AM
Addreas: "7 D(C� , ��C' T J2 Permit f:
Builder:__
TRE FOLLONINO CORRECTIONS ARE REQUIRED:
l
Inspectors"%/ Datee—L
APPROVED DISAPPROVED APFROYED SUBJECT TO ASO"
tall For Rainsp.
CITY OF TIGARD►
COMMUNITY DEVELOPMENT DEPARTMENT MF7 CHANICAL
13125 SW Hall Blvd.Tigard,Oregon 97223#8190 (503)630.4171 PERM T
PERMI-i #. . . . . . . : MEC93-0351
6 4 17 1. DATE ISSUED. 12/22/03
(C -VL$rio cut-k- PARCEL: 2SI02DD-00400
SITE ODDRESS. . . : 13810 SW - HAE.6 Rlo-V9 #B.-#1
SUBDIVISION. . . . : EDGEWOOD ZONING- R--I,-
BLOCK. . . . . . . . . . : L OT. . . . . . . . . . . . . :3
CLASS OF WORK. . :NEW FLOUR FURN. . . . - EV(1r) COOLERS:
TYPE OF USE. . . . :MF UNIT HEATERO., . : VENT FANS. . . ,-.8
OCCUPANCY GRp1. . :R1 VENTS W/O APPLP VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 4
FUEL *TYPES---------------------- 0-3 HP. . . . - DOMES. INCIN:
Z /GAS/ 3- 15 HP. . . . .- COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. -4
TURN ( 100K BTU.-4 10000 ufrn - GAS OUTLETS. : 13
FURN ' =J0Q7lK PTU: > 10000 efin :
Remarks : new apartment building- #1 one--hour, assemblies between dwelling unit
walls and floor/ceilings.
Uwnev,: FEES
ALLAN SOLARES type amount by date ir-ecpt
13556 TWIN CREE113 LN PRrT $ 120. 00 JF 12/22/93
PLCKN 1$ ..'IT,- 0 CA IT"- le ^-,i93
LAKE OSWEGO OR 97035 5PCT $ 6. 00 JF 1c/r'2/9a"
Phone #: 624-9601
Cnntt-actor:
CONTRAcrOR NOT ON FILE
Phone 156. 00 'TOTAL
Reg
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gas Line I n s p
apDlicible laws. All work will be done in accordaactwith Mechanical I n s p
approved plans. This permit will expire if werk is not started Heating Unt Insp
within 180 days of issuance, or if work is suspended for more Duct Inspection
than 180 days,
FIF�t-lnittee Si gnat 1-11-a- �Y� c �. �– _ — T ��� _ ____
By -
z—1
for inspertion 639 -4175
dooms
66-0('
City ofTigard MECHANICAL PERMIT Planck/Rec. #
13125 5w Hail Blvd. APPLICATION Permit # - 4 -o x:51
Tigard, OR 97223
(503) 639-4171
I ? Table 3A Medmieai Code OTY PRICE AMT
Job 13 /0 Sc�,I k1�i42C_ __� 1) Permit Fee -0- -0- 10.00 Address --- ----
V 7-,i 7 Z _j-- 2) Supplemenal Permit 3.00
-Furnace F6 100;
iSDQUlu
- Z / !e�_ �QA U E 1) incl.duds 8 vents --_ L] 6.00 r-
." umarre
Owner 1 3 5 N �L. t ,-ev!• /fir �,_Q 2) Ind. duds 8 vents- — 7.50
/ ��--_ __ �� - FFloor Fumance - -
✓ 3) incl. vent F.v.
-MSpenur Tier,walleaFTer --
4) or floor mounted hestler 6.011
en ��o incl.m -- ---
Occupant
5) appliance pemuh 3 00
--�^- -aiiir uiTieaSnr�;reTng----
6) cooling,absorption unit 6.00
-_---' --
—wirer orT—`-comp Heal pump;a� am - - --
7) to 3 HP absorp unto to 100K BTU 600
iF iler or -comp l-ieT mp;air`cc, -- —
COntruCtOr -.-_-.__-..-_—.__.__ 8) 3 15 HP absotp unit to 500K BTU 11.00
- 7w--- - Boiler or comp,hoar-pump,air ca37. -
9) 1';90 HP absorp unit.5.1 mil BTU 15.00
u er or crxnp, aTp,mp,eir cunu`
10) 30-50 HP absorp unit 1-1.75 mil B rU 22.50
hereby ac uriv l�iailTTve-reaa�iu"s iert-�eaTffe--- r3oT0(comp, a pump,imp,our coT- --- ------
information given is correct,that 1 am the uwvner or autiorized agent 11) >50 HP absorp unit 1 75 mil BTU 21.50
of the owner,that plans submitted are in rxariobance wi►h Stater71v^-��-untTE--- - - —
11018,that I am regittenw)wit,the Construcion ContracWc Board, 12) 10,000 CFM 4.50
tfu t the number given h,uyxrect (M exempt from StaW registration. Air-- ^n-gum ------- -
ple,ise give reason bekvw 13) 10,000 C; A+ 7.50
14) evaporate cooler 4.50
— --Ventre connected -- -- --
-- ----- 15) to a single dud 3.00
en- anion sysTii T --- - -
16) included in appliano)permh 4.50
--�6� y�---
/ � `
r- � /., 1-9 17) mechaiical exhaust 7T 4.50
scribe work new IN a rt afterabonrepair U Cornmerese or rn s W15-- --
to he dons residential non-rasidential p 18) type incinerobr 30.00
-xus nguse oF- --- �-'_ " --`OFie-r ce-., w000 ssEove`,water -- -
building or property -_-- -- 19) toaster,$oi clothes etc. t.f 4.50
Proposed g use of
ProPerty 20) Gas piping tx+a b four 2.0.1
buikiin or 7
Type of kral-oft Q nahgas OD LPG O electric Q 21) More than 4 per oubuat
xal -V l•°�� --�
NOTICE
Minimum Fee$25.00 SUBTOTAL
IO
PERMITS BECOME VttD IF WORK OR CONSTRUCTION
_ ------- --
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR ti!:SURCHARGE • � 70
IF CONSTRUCTION CSR WORK IS SU&+NDED OR ------- --- -- ---
ABANDONED FOR A PERKID OF 180 DAYS AT ANY TIME: PLAN REVIEW'A'%OF SUBTOTAL. 30 0
AFTEP WORK IS COMMENC:"D. __+ �•
TOTAL -1 / -6 a-
Special Conditions --- _- -_-- -
Data issued
wvua�arr
s®.
INSPEc"ION Mier �
CitY Of Tigard Building Departmmt
13125 GN Ball Blvd. Tigard, Orwgm 97223
(0,
Inspection Lina (Raw-O-Phone)t 639-4175 Business Phones 6219•-4171
Inspections
looting Plbg. Underslab Hoch. Rough-in Appr/sdwlk
Found. rlbg. Top Out Can Line FINALS
Post,/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulat.on -Plumb.
Plbg. Underfloor Mater Line (` Gyp. Bd. -Hoch.
Date Requested: _ AM pp
Addresnt
l if X _._ �, . Permit 1 fiL�1' y2j L C
Builders ',4NA.I0 l_�(
TRE Foi.LOw1HU OORRECTION9 ARE REQUIRED:
Inspectors —
���: ---------------- Date:
APPROVED DI3APPR(rvED APPR(WRD SUBJECT To ABMR �-
-call •or Rei.nsp.
INET g1lod NOTICE
City of Tigard NUUdiog DOPartme•t
13125 811 Hal] 81-•d. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone' C39-4175 Bu.ines. Phon.= -4171
Inspections —_ __ --
tooting Plbg. Under.lab mob. Rough-Ln Appc/Sdwlk
Found. Plbg. Tcp Out Gas Line FINAL=
Post/Beam Struct. San. Sewer ltritq -Bldg.
Pont/Beam Mach. Rain Drain A i�uwlation:) -Plumb.
Plbg. Underfloor 1 JNater Line Gyp. Rd. -Meeh.
Data Requested i 1 G - (�J l ��_ Tim.= f(^�'�AN PK
JWdro..s
?4�(r _ N 4 . 1 Permit
Bu i ldez s T o�11'•rtp �'- --- -—
THZ FOLLOWING C)RRECTIONd ARB REQUIRED:
In.pw,ctcrs --- Datas1,2 -13 - (
___/ ziPPRCA tD Y DISAPPROVED APPr(WED SUBJECT TO ABOVE
���"'^^^ Call For Roinao.
6=4S CO • Tb e&erl ot:
INBPECPIGN N IC3
City of Tigard Building Depertiwssnt
13125 6O Ball Ulyd. Tigard, Or-gm 97223
Inspection Line (Rec-O-Phones 639-4175;Rouqh-P
: 639--4171
Inspections_,_
Footing Plbg. Underelab hAppr/Sdwlk
Found. Plbq. Top Out a� as Line IINALe
Post/!seam 8truct. Bar, Sewer �Irr�iBinq -Bldg.
Post/Seam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line a". Id. -Hoch.
Data Requested. �7 v `�{� _.Times _ !� AM
Addresst i .o ` , � Permit 0 c
Builders —
TBRS PoLLOMINo OORAECTIONB ARE REQUIRED,
' , -- -
s/
at z tip
Inspectoi/Ics _ _ Datss�_��, _
G�A/PPIPOVIC _ DIS'PPAr VSD -- APPROVRD 6UBJRCT "O ABOVE
—_--Call For Reinsp.
jH$PECYIOd ROTTG_E
City of Tigard Building Depwrtaeut
1.9125 M pall Blvd. :ei9ex4j, Oregon 97223
inspection Liner (Ree-D--Phone)t 639-4175 Business Phone: -4171
inepsetion:_� __ --
looting Plbg. Underalab Mech. Hough-in Appr/Sdwlk
round. P1bg. TopTop ou Das Line FIRAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Water. Line Gyp. Rd. -Meeh.
_
Date Requested:_ Tom' --TAM PM
Address:/ > /c_ t r .�__ Permit
Builders-
TRZ FOLLOWING CORRRM'I0148 ARE REQ'1IRED:
t
Inspectors — Date:$_ _
/ FOVEn — nIBAPPROVED ^_ APPROVED SUBJECT TO ABO"
-t Call For Relnsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW HaN SK-_ ;;pard,Oregon 97223.61.99 99 (S03)639-4171
PEE 1,� 1 Y
J)r4l V.L I 1�jSIJL%1) 09 1
�Lvi,v%o (-Uj-v- Or POI.GLL;
J.3,6'A 01 #
Z ON I NG
I L.L. 110M}_- 0 CI
PL k2I WOSHING MALi-I. . . . . . . r 4 SAC1,',FL,OW PREVNJS.
WATER HL-ARPTE . B()SINS. . . . . . .
I A_r uRiZ1 S - - P U NN b P Y T R()Y'---". . . . aV' HAIN W
INK! . . . . . . . U R 1 NAL54'i . . . . . . . . . . . Gkl"nSF, 'I RAr--3, . , .
IASHOWERji. . . . .4 SF'.4EP LINE (f't) .. . . C4 00
4 PTEUA, L�_0 1�]F I r,. t FF P L.I(',IE"
I-,wA13'HLRC3. RPIN DRAIN (ft) , .
mew ap,-Ai-tmerit bu-1divq-, #jA7,stumbiies oetween dwelling
,A , and 1'1.o oi-/c:e i I i n rl s.
FLES
l...LnN SOL qpr_,t; type am,3 uyl t bq
Y d,-At p re.
3556 TWIN LN r,Pm,r f- 395, 00 JH 01)/ A /:)3
PLCK $ 14 .114 09/i:..I,, z.1w-
4KL 01751WRIA) OR () '#
;
J H 1�'Di 2 1/1
4-
.—I t. act:ark
t"r,
01k GONTIZOL,
A45 SW 63RD AT
_,WtOO OR 97035
5 3. 517
TO r14L
68338
INSPECI 'CINI.i
:H,; pfolit 15 isfiupc �biect Ic thf replationt contained in the up- out Inso
r;q re Svikinal Code, State of Ure. Specielity Cedes and all other Filial InSPL-0tioll
appliubtilAw. All vork will be done in accordance with R:)1Agt1--iT) IFISP
!t,.is pproit -till expire if work if not started P_M/Ljlidpr-r).nor-
mithin IN day< of ir.suanct, 4r if wor'q is suspOndod for eqre Rain Drsiln. In5p
the In days. .1i Sc. I!.Penf7t; or,
L IV.LL
f
INSPZCTJO Narks
City of Tigard BulAd' Depactannt
13125 M Ball Blvd. Tigard, i—eg:n 97223 Vr
Inspection. Line (Rec-o-Phone): 639-4175 Buair as Phones 639-4171
Inspections
Footing, Plbg. Underslab Mach. Rough-in Appr./Sdwlk
round. Plbq. Top out Can Line F1'NALs
?Oat/ /trues! Ban. Sower Framing -Bldg.
Rain Drair Insulation -Plumb,
n •rf Water Line Gyp. Bd. 40ab.
Oate Requesteds� ` ) e 0 Gj� —Time
Address: 7'Y,
Builders ` ��
TR= POEJCWING COMMONS ARE ACQUIRED:
I
7
Inapectors Dates L
`I.PPROVED DT.SAPPRMItD APPROVED SUBJECT To ABOVE
-_Call For Rfinap.
IRB�_MTM -
City of Tigard Badding Department
13125 nw Ball Mlvd. Tigard, Orequa 97223
Inspection Lina (Roc-o-Phones 639-1175 Business Phone: 639-4171
Inapection: �1 tlJY VI^ �L7( L(,`_ r"!" IC`L'1 --
rooting Plbg. Underalab Fifth. Rough-in Appr/Sdwlk
Pound. Plbg. Tup Out Gas Line FINAL:
Post/8o+em struct. San. Sewer Framing -83.dg.
Poet/Brum Mach. Rain Dram insulation -Plumb.
Plbg. Underfloor Nater Lim G gyp. Bd. -Hoch.
Date Requested: _ L� 1�d —Time: ANa/lgl� PH
1 _ _ U: IA4Q _I _ Permit #8&f
Builder:_--_ /,'i�O /—�T
THE FOLLOVINO CORRECTIONS ARE REgUIREDt
Date:
APPROVED -_ 0I81.ePROVED APPROVED SUR.TECT TO`-ABOVE
_Call For Reinsp.
tesyscTlQ�_
City of Tigard Building Dspartwout
13125 SN Ball Blvd. Tigard, Oregon 972
Inspection Line (Reo-o-Phone), 639-4175 Business 411 �-4171
Inspect Lon%,
looting Plbq. 6nderrlab Mach. Rough-in Appr/Sdwik
round. Plbg. Top Out Gas Line PIPALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Baas Koch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Data Rmquestedc d1"�l —O Tine, pll
Permit
builders O- ► c Cil e�(C
TBT Iomot1IMG ooRRRCTIURB ARR RRQUIRRDs
Inspectors _ _ Dater L� l
PRIrVRD DISAPPRoVRD APPRoVRD BUBJR io ABDVR
Call Por Reinsp.
INSPR.,ION NOTICE
City of Tigard Building Departa:ent
13125 HW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-pe): 639-4175 Business hone 63 -4171
Inspection:__ / 0��
■ooti.nq� Plbg. UndereI Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing dg.
Post/Bean Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: l�/ i PSA �PH
—Times
Addrese: _� /Permit #:9 - 61 4
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspector: Date: `
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE `
--- --Call For Reinap.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8198 (603)630.4171 r't»{xl't. . . . . ..
,Inns CL.ul(. �r� PARCEL: :IW?Df)--PO)".(A,4
'•' t t_;_•i_is t + .:.t1':. ....... .. ,.._ ,.,.:_. i;.a !t,. ( , +_;F; ;,!�L.t.. ia11�1�ii 1:11Ji.r t !.t! •,
i,IUNK. -NEW P.. 1i2;_1 . . . . . .:;v.,)o of
.,._ :F.L1:1NI1. . tU4't r_.,f F`}2f_l'rECT fJr 'i�4YNG17 a.... .. .._
t{3i:3V cGNq-" V F 1 Fik i•.'k
PREP SEP. R44 rLI)c
1 L tk `l rita :aL i% l :'
ti"IL ZZ ;': REUD 6E i i^i;C K ._.__ ..... ,. REW i RE:1)------
I-Er-`r
.._l_k}="i , ft FIG141 4 ft. PIR ',*L: +'^t1l'. �►ti'"'
LAN,, UN i T'i; u F:RP' . a ft HEwi f._ F I R AL_RM-
4"
.. .'15: i��' . '::�: L�"ir' tial,"i �,.:€: F•'f��:l CUI•�1
+RJur"rii3s naw ahar-'tM4tit bt•13 id�t� - 01 vale hour .aFSemb 4S tip twet,n .t, e.4i :.0 9 ai
aai}� Su't' iC"5 t: +e yam<. .ret i:,y e cpt
L N I ik 90s. QIA ,.it-1 07/29 93
,_Ili g711.1 ')b 5v L. <i` . 11"4 _J1' y.:
r t#: f, .-4 9E,QtI ": . . -jAR; r• 1200% 0ti'-Jfi
ntr^artot t.
I I I i I(IN
!s pareit is issue subject to the regulations contained : t",e F"oct/F"mind lnc,p ;�. 1n p
;arc knxipal Cade, rt�-,E ct ire, 5pecinity CoW ane all otrt- Post/Beam inset) h Drain Insp
..i:cetlt lAws. All war% w0l oe dva 14 accordance with 4,1 ab 11, l., wac.�ir- Line !'n=
:,:.c'vF0 plans, This p colt will expire if wore{ is not started P1 m/uhd s 1 b l Appl--/Et_ir '.k a n,
t`tin ift days of issuanrtt or if NtlrN s suspended for tore ;n 9 p r"m ! rr r,
ati 1EQ day!, i r amit)g Insp t i ;al ir+spF.%:'I±'.
} , eptar"�, InsW
s.
m+.t 3. :t :t.r.n Shm&t' Wall n s C}
Fir^+rwa11 ln�sF7
L,aii for inC ?(, non t: , `3 41 %5
�� PLNCKIREGI' /
CrrY OFTIGARD PERMIT
COMMUNM DEMOPMENT DBPARTMMff ��"��'''�°q ' ,•�'"'� DATE ISSUED
JOB ADDRESS: �I 3��0 Sw' N.AtL 64JI
_. TAX MAP/LOT _.�, S
SUB: —�. — LOT: .._.�.- �Ak LAND USE:
VALUATION:
QWEp SPECIAL..KQM
NAME: ^ A / REISSUE OF: _
ADDRESS: LAST REISSUE:
76 FLOOD PLAIN/
PHONE: �� 7�y- 9 6 p SENSITIVE LAND:
CONTRACTOR APPROVALS RE4U R • 5�Rq?•-DD Zo
NAME: PLANNING: -
ADDRESS: ENGINEERING: r
_ FIRE DEPT:
PHONE: _ OTHER: '
CONTR. BOARD 0: EXP DATE: L>
]?EMSfflL E0
�UBCONT CTO S: PLUMB: — LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: Tf SSS DETAILS:
ADDRESS: -b' fDsw �� Q34�Qi OTHER: -
PHONE: 6,fIiker�sd.�
l6 9 Zo lrce
La�t Oswyo� OR q 70311
PROPOSED BLDG. USE: .4 ,,qLY27--,m a:-./
COMMENTS: — 2r -tU CfA0ll4 5 MNP' 96 gu-reJSSt�f�
APPLICANT SIGNATURE
Received By: Date Received: --5- -
PERMIT 0 ACCT #E DESCRIPTION AMOUNT AMOUNT PD. BAL. OUF4-
q 10-432 00 Building Permit Fees
t
10.431 00 - Plumbing Permit Fees „F H -,T : ;.;
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) IS
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee A509
5
Building _
Plumbing _
Mechanical
10-230 06 Fire
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 -:9&MEga
25-448-05 Mass Transit TIF Fees
—�52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Duality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL n
nm/3583/P.WPF