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13856 SW FANNO CREEK DRIVE BLDG 8 ADDRESS: i:\recordMrnic•�-°.nitargets`,buiiding.doc CH Y OF T PERMIT #. . . LCAT a SUP'3.3�-4150 I�CG�UF°}'�NC:'r' COMMUNITY DEVELOPMENT DEPARTMENT DATE I GUED s 05/12/94 13125 SW HaB Blvd.Tigafd,Oregon 07223*8199 (503)O':-4171 PARCf'i_r i2G 10s.DD-•80401b TE NULtiRLS13. . , C 13856 !3W FAI`:NO C:)'tE:cK OR #6—N$ .�UBD I VISION. . . . s EDGEW130D ZOO I NC i R S c BLOCK. . . . . . . . . . i LOT. . . . . . CLASS OF WOR <. %NEW 'F�'F=E OF USE. . . IMF' OCCUPANCY URP. s R l OCCUPANCY LOAD: TENANT NAME'. . . iFANNO CREEK APTS BLDG #B Remarks % new apartment building-- #8 owner a _. ._._._ . ._._._._._._ ._.. .... .... . ... .. ...... . .. ..._..._.._ 01-LAN SOLARES 13556 'T'WIN CREEK[ LN L.ARL t1SW60 OR 97035 Phone #: 664._9€01 Cull i. rat-AUu, . _ - rONTRACTLIR NUT ON FILE PhunW #: 'Thus C:ertificat:e cot-tifies that the above referenced h,iiIding of po i i;:,i thev-1rof )las been inwpec.ted for compliance with the Tigard building for the group and division of occupmrry ernd utie for whirl, :.he rn .vF referenced permit was issued, and occ.i.Apanvy is hNreby grants,-I. ill_lTI DTh TN - .rTC1FtR LTi n mi JF iC TC11_. POST IN CONSPICUOUS PL.ACF Ie INSf2g'ION NOTICE City of Tigard Buildin% DaVarlamnt 13125 Sw 6x11 Blvd. Tigard, Ocog m 97323 Inspection Lin. (Roc-O-Phor.$)= 639-4175 Busine=ss Phone= 639-4171 Inspections ---- footing Plbg. UnderRIab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Lin. Post/Beam Struct. San. Sower rramingg �j Post/Beam Koch. Rain Drain Insulation .•�d�um-b•-see Plbg. Underfloor Naar Lin. Gyp. Sd. ec z - Dat. R.qu.steac Tim.= AM ——PH Addr.sss / J /��LtJ /Y�/d _- P.rmit r= ?•_�� Builders TBS VOLLCOING CORRECTIONS ARE RRQUIREDs Inspectors__ - --- Date= PPROVED DISAPPROVRD APPROVRD SOBJRCT TO ARCM call For Rsinsp. f� j{1SPECTION NOTIS Cita or Ti7ard Building Deparbsent f.. 13125 80 Ball Blvd. Tigard, Oregon 97223 InspectiGn Line (Roc-O-Phcne)s 639-4175 Business Phones 639-4171 Inspection: --- looting Plbg. Undsrslab Much. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL-. Post/Beam Struct. San. Sewer Framing -Bldg. Post/beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Hoch. Daus Relpseste3:pp TLwe= PM Address:_��O���O ` Pormit 1s� Builders19C�..Z fileck �Jy/rl r7 Z TBE FOLLONING CORRECTIONS APE REQUIRED: Inspector:__)!�� __APPROVED nIs"PROVED __ APPROVED SUBJECT TO ABOVE Call For Reinep. INBPICTION NOTICi City of Tigard Building Department; 13125 M Hall Sled. Tigard, Oregcm 97213 /- Inspection Lino (Rac-S-Phons)t 634-4175 Bu.inu.s Phones__6)4)41'71 Inspections FOOVMq Plbg. Underal+b Mk%-h. Rough--ln / dwlk Pound• Plbg. Top Os.t Us@ fine 71L s Post/Beal Struct. San. sewer Framing -Bldg. Post/Bram Meeh. Rain Drain /Inrulatiioo.s -Plumb. Plbg. underfloor Nater Lisse (:, P- b_ _Kech. Date Request_e(ds_ �, �1 -- r4 _-Times AM PK Addr...s _V�?�' rpt �"'�' Permit �sf7l)(`13 of50 z-v�•�u o C+�e Builders , TRE FOLLOWING OORRICTIONS ARK RIuUIRSDs 7/7 Inspectors_ ,—�-- Date APVA16 ID DIOAPPROnD .1PPROrNO SU"CT TO ASM2 ��ZZii���ZZLii `Call For Reinsp. 1® IIIBPSCPION NOTIg City Of Tigard MwIlding Departaent. 13125 8sl Hall blvd. Tigard, Oregon 97 Inspection Line (Roc-O-Phons)t 639-1175 Bus ine.• nat 639-1171 Inspections Tooting Plbg. Underalab IMoh. Rough-Le, Appr/9dwlk Pound. Plbq. Top out Gas Line PIRAL: Post/Beam 8truct. San. Sewer /t►r.niuq -Bldg. Post/Beam Meeh. Rain Drain -Plumb. Plby. Underfloor Nater Line Oyp. Bd. -Noah. Date Raquested, _ -cl / Tinct _+<_rAM f,PH Address:�Y> r (��- - ('']fib Permit `JC, Builders l o "`4_.4,C THE FOLLOWING CORRECTIONS ARE REQUIRED, Inspectort ` PPROVED D79APYROVED A^PROVED 8UBJECP To ABOVE _^Call Nor Rein.i,. INSPECTION NOMI@ ' city of Tigard Neiidieq Depertstant0I312S �.•/'� RB Bail blvd. Tigard. Oregcm 972Inspection Line (Rec-O-Phone)r 639-4175 Buslnes• 9-4171 Inspections �.`-- Footing Plbq. Underslab<�_ MWJ1,Hugh-in Appr/Sdwlk Found, Plbg. Top Out Gas Lipa FINALt Post/Beam Struct. San. Sewer '-ha■inq -Bldg. Post/Beam Meeh. Rain Drain Iloulation -Plumy. Plbq. Underfloor Water Line � Gyp. Dd. -Meeh. Date Requestedt1 - 13 ` (7 � Timei _I FA5ln f'}I,�` QI ("r" I S O Address° ' 7 (l �. , ' , Permit E: Builder.: e- -�3Sy TBR 11OLLONING COMMcn1oKs ARR ftEQUIRaD: 7 InspectorDate I : — APPROVED _- UIBAPPROVED -� APPROVED 8UBJECT TO ABP __AC411 Por Rainsp. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL 13126 8W Ha0 Blvd.Tigard,Oregon 97223.6199 (603)630-4171 PERMIT PERMIT #. . . . . . . : MEC93-0354 /ZL6'39-4171 DATE ISSUED: 12/22/93 i01 t7 0 Cly'f' � �/� PARCEL.: 2S 102DD-00400 SITE ADDRESS. . . s 13856 SW H A6-4a�� #B-#8 SUBDIVISION. . . . : EDGEWOOD ZONING: R--12 BLOCK. . . . . . . . , . . LOT. . . . . . . . . . . . . :3 ------------------------------------------------------------------------------------------- CLASS OF WORK. . sNEW FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . tMF UNIT HEATERS. . : VENT FANS. . . :8' OCCUPANCY GRP. . :Rl VENTS W/O APPL: VENT SYSTEMS: STORIES. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . . ..4 FUEL TYPES-- --- ---- --- 0-3 HP. . . . : DOMES. I NC I N: : /GAS/ / / 3-15 HP. . . . : COMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITSt FIRE CAMI ILPR?. . 30--50 HP. . . . : WOODS T OVES. . GAS PRES.;URE. . . : 50+• HP. , . . : CLO DRYERS. . - NO. RYERS. . :NO. OF UI J I TS--- ----- -- AIR HANDLING UNITS OTHER UNITS. :4 'URN < 100K BTU:4 (= 10000 cfm: GAS OUTLETS. : 13 FURR' > -100K BTU: > 10000 cfm : Remarks : new apartment building- #8 one-hour assemblies between dwelling unit wail- and floor/ceilings. Uwna r••: -----__..._ -------________ ..__...._- - - - -- ----- ---__ - -- - FEES ALLAN SOLARES type amount by date rept 13556 TWIN CREEKS LN PRMT t 120. 00 JF 12/22/93 - PL_CK $ ;30. 00 JF 12/22/9.3 •- LAKE OSWEGO OR 97035 5PCT $ 6. 00 JF 12/22/93 - I'-,hone #: 6;4-9601 Contractor: --_-_----.._________,_______._._._._._ CONT'RgCTOR NOT ON FILE Phone 156. 00 TOTAL Reg N. . s ------- REQUIRED INSPECTIONS ------ This permit is issued subject to the regulations contained in the Final Inspection Tigard Pv,icipal dude, State of Lyre. Specialty Codes and all other Gas Line 1 n s p applicable laws. All work will be done in accordance with Mechanical I n s p _ appruved plans. T►:As permit will expire i' work is not started Duct Inspection within 186 drys of issuance, or if work i, suspended for more Mi sc. Inspection than 188 days. L-'ermit:tee !iignature : t �lG. . �" y, oma„ I s s ued By L�sll for inspect inn - 639•-4175 "Cr 313 R p-,r fY City Of T,lard MECHANICAL PERMIT FlancWRec. # _ 13'125 SW Hall Blvd. APPLICATION Permit # nee, q�--725 Tignrd, OR 97223 (501) 639-4171 — - - >� on l A C_z-k ✓I LL_ Table 3A Mechanical Code QTY FRICE AMT Job ( 1) Permit Fee •0- -0- 10.00 Address ZFP `]�/�- C�✓r? �f �� Z 2) Supplemental Permit 3.00 Fut.1"to ICO,000 BTU - Zo-}- 1) incl.duds&vents y 6.00 Owner t 3S'S ti /�,)"C",Es 2) Incl.ducts&vents 7.50 — urnance oilQ/S 9 5- 3) Ind.vent 6.00 'a^""' - Suspended heater,wall Re_a_9F_ 4) or floor mot-nied heater 6.00 I Occupant Vent not incl.in 5) ap?lienoe permit 3.00 ap RejxW of Wfinp,reng. 6) cooling,absorption unit 6.00 �oTer or comp,-fieet pump,air con . 7) to 3:4P absnrp unit b 100K BTU 6.00 AM.- 1 er or comp,heat pump,air'caw. 8) 3 15 HP absorp unit to 5"BTU 11.00 Contractor --- Hoilet or comp,hoat pump,ar - 9) 15-30 HP absorp unit.5-1 mi BTU 15.00 - _ —6o. or comp, a pi ump -57-6-6-537- 10) 10) 30-5C HP absorp unit 1-1.75 mil STU 22.50 hereby ac nw a ve read this application,tha� o___ boiler�comp,tie-at pump,as cond. '- Information given is conrscl,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted am in compliance with State Air hafiEfing unit to laws,that i am regiatered with the Construction Contractor's Board, 12) 10,000 CFM 4,50 8usl the number given is corre-,t. (If exempt from State registration, -- (-- please give reason below.) 13) 10,000 CTM a 7.50 Non portable 14) evaporate cooler 4.50 ---- -_ Vent tan connected -` '- - 15) to a single duct 3.00 aq Ventilation system no 16) included in appliance permit 4.50 jHood sere �y 11-411- q J 17) mechanical exhaust y 4.50 0 Zs109 work new IM Mddion n tj reperCT_ marcial or rn s to be don-) residential M non-residential Q 18) type incineralor 30.00 Exislling 5b - - - r 14-,woodslovo,water c, ----- building or property 19) heater,solar,clothes drygm,etc. L7 4.50 Proposed use of 201 ph-.1.1gGas one to fax outlets 2.00 buildingprop" or propj Type of fuel.of Q natural gas�D L.PG Q akctrfo() 21) More thea 4-per outlet PERMITS BECOME k"D IF WOP.K OR CONSTRUCTICN MGnrrn��m F�( 11 SUBTOTAL go y AUT110RLZFD IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE 7 IF CONSTRUCTION OR WORK IS SUSPENDED OR Ae ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%')F SUBTOTAL 3 Sc AFXR WORK IS COMMENCED. TOTALJ/ � Z Special Conditions - _— -- --. Date issued by h vso~ �@��CTIOII 110TICE CitY of Tigard Building IDepartaeot 13126 8A Ball Blvd. Tigard, OrOgon 97223 Inspection Lina (Rec-O-Phons)s 639-4175 Business Phone: 639-4171 Inspection: \ 7(--1 elk - V-\ Footing Plbq. Underelab Hoch. Rough-in Appr,f8dwlk Found. Plbg. Top out \ Gas Lina FINAL= Post/Beam Struct. San. Sewer Framing -Bldg. Post/Baas Hach. Rain Grain Insulation -plumb. Plbg. Underfloor water Line Gyp. Rd. -Neck. i 1 3 �AM Data Requestedf I / `I_ Aimi Address: , l Periei! #d (V q Builders_ TFM POLLOwING OORRECTIONS ARE RZQUTRED: Inepectort -- -- � Dates PROVED DISAPPROVED APPROVED SURJECT .1 AWWE _Call For Reinap. City of Tigard BuL1dU g ©apartment ' 13125 BW Ball Alyd. Tigard, Oraqun 97223 Inspection Lina M-c-O-Phone)t 639-6175 Business Pho 639-4171 Inspections_ 2ootinq Plbg. Underslab Hach. Rouqh-in Appr/sdwlk Pound. Plbq. Top Out Gas Line lINALs Post/Beam struct. Ban. Bower !rasing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Lisa Gyp. Bd. -Koch. Date Requesteds / � ��� Q Timm s1 A1c1� j...... PH Address Permit i s ��-1� Ll Builders -0 THE FOLLOWING CORRECTIONS ARE RNWIRan: Inspectors --/ ------ — Date:--(� � AP1PROVRD _- DISAPPPOVED APPROVED 9URJECr To ABOVE Call For Rainsp. INBPZCPION NMICZ city of Tigard 8011QiDepertsisnt 13125 8R Ball Blvd. Tigard, Grvgon 97223 Inspectic,i Line (Roc Phones 63^-1175 Business Phones 39-4171 Inspections Footing Plbg. Onderslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. Ban. Sewtr framing -.Bldg. Post/seam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor 'lir`or Line Gyp. ad. -Rech. I Data Requestedi )111 ` }11 Address: - u_+►�1 1� rsrelt 1t 1 �!1 �7 w01 S� Buildori �T— TRE FOLLOWING OORREC 'IONS ARE RBWIR=s Inepactort _ pates _APPROVED DISAPPROVED APPROVED E99JECT TO ABOVE Call For Reinsp. CITY CSF TIGARD COMMUNITY DE YELOPMENT DEPARTMENT 13125 SIN Hall Blvd.Tlpt,,rd,Oregon 97223*8192 (503)539-41.71 =:L.AIIBINC- PERMIT Fr--"MIT #. . . . . . . .. PLM9 3 6*30-4171 DATE ISSUED: 09/21/93 C,-LV- PARCEL: -0164'100 "!T[-- .10DRrSES. 1.38 (, SW .6+ - #B -46 U13DIVISION. . . . EDGEWUOD ZONTNG. R_.1 c' lick. . . . . . . . . . .. LUT. . . . . . . . . . . . . :: 'L NEW CPRBP13C D I"JPUSALS. .� :4 MOV ILE HOME SPACES. YPE 0,1` USE. . . . wMF WkSHING Mi'-1Gt-1. . . . . . . :x+ BACKFLOW F'REVNTRS— C -'UPAt,C'� C. . :Ili Fl-our? DP(11Nc.'�. . . . . . . . �f T RODS. . . . . . . . . . .. . . . . 'ORIESs — — -,a wA'rER HEATERS. . . . . . . 1 CP I T CH BAS 1 NS. . . . I YTURES I.-AUNDRY T"Rf)'(5. . . . . . : SF RAIN DRAIN,. . . . . 3 INKS. . . . . . . URINALS. . . . . . . . . . . . . GRFASE TRAP" w n TO 1, i. . . . . . is 0THLR r-'I XTURES. . . . . : 1 jD/SH'Uk"'-RS. . . . :4 SEWER LlNE (ft) . — : 100 I-IR CLU2ETS. :G WATER LINE (ft ) . . . . 0 1 LAO 1)1 St-WASHL-­RS. :4 RAIK DRAIN �`�emavkc, , 6ev, ir3z.t1-,1;ment 413 ori,? ho�_;-,- ac '-�Olvbis ss betwfi-eTi clwellir,'� 'un0, .i' I ), I i.L.b I.-AN SIDLAPEtt type amount b y datp re;:p' 7f� TWT'-%1 CREF-V"! I N PRMT $ 395. 00 JH 01 ILI 1/93 PLGK t 98. 75 Y I ta'j -"I / )3 SPCT t 1.9. jfl 0, 2.1 9 ;-,one or,- —1,4 ' 14 GONTRUL, INC. tl44!j 5.4 63RD PVC USWE00 f,'R 91035 . Otit, lie t.96-4198 513. 5127) TOTP 63338 REUUTRED INSPECTION Th's permit :S ivutd sbhjlct to the regulations contall,ea in the fop-out Insp) Tigard Minimal Co,'a, State of Ore. Specialty Codes and all other Final Inspection epplitable laws. All work wi!I be done in accordance with Roi..;gh-in Inqp approvid plans. This pkrs)c will expire if work :s not stprted PLM/Utiderf I oar within 160 days of issvance, or if work is suspended for vore Rairi Dr&ir Tnsp than l8e days. Misc. Irispertiar) t9' F,e i,iv; t e o q-i g il b t Lk Call for i P,.psactiori 639- 41 Ii18PYCTI011 NOTICE City of Tigard Building Department 13125 ew Ball Blvd. Tigard, Oregon 97343 Inspection Line (Rec-O-Phone): 639-4175 Business Pho99 171 Inspections i Footing Plbq. Underslab Mach. Rough-in Appr/Sdrlk Pound. Plbq. Top Out Gas Line FIMALs Post/Beam atruct. am. /ewer Framing -Bldg. Post/Beam Mach. ( ~Main OraL ' insulation -Plumb. Plbq. Underfloor Mater Line Gyp. Bd. -Mach. Date Requesteds it Addrous 1:� f <1��� � ^G'_`j Perwit iI l�1 n �3 -0(0 Builders - _4 T1R FOLLOWING CORMCTIOMS ARE REQUIMMs Inspector Datet f� APPROVED _-_ DIBAPPROVIID APPROVED BULLTECT TO ABOVE ___Call For Reinsp. INSPECTION )IOTICZ / City of Tigard Building Department 13135 SA Bell Blvd„ Tigard, Oregon 97223 inspection Line (Rae-O-Phone): 639-41750 Business Pho -4171 � Inspections ,J Fes_ " 0 � rooting Plbg. D�..dlerslab Mach. Rough-in Appr/8dwlk Found. Plbg. Top Out Cas Line FINAL* Post/Bean 8truct. Ban. Sewer Framing -Bldg. Post/Bean Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor CWater Line Gyp. Sd. -Mach. Date Requestads V -y I � `` Tiaei AM _-�L _PM Addreses 7 J� - �rj(. �) Permit P BuildersC c TBE FOLLOWING CORRECTIONS AAR RVjUIRRD: Inspector: Date: APPROVED `_ UISAPPROVRD __ ApPROV=D BDBJECT TO ADcvVR _,Call For Reinap. i INBPECTIOII 110TICi City of Tigard Build' Dspertasnt 4l 13:125 W Ball Blvd. Tigard, Oregon 97223 Inspection Lion (Rec- --Phos►e)s 639-4175 Rustiness Phones 639-4171 Inspections--- Footing' Plbg. Underslab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALS Post/Seas Struct, San. Sewer !rasing -Bldg. Post/Reas Koch. Rain Draia Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Koch. Data Requestelds '')I lines AK �_pN Address. �(jFjlr T,Y"'1• Persalt fsf?'�r Builders TBt FOLIA MING CORRECTIONS ARE RTQUIREDs Inspector Dates APPROVED DISAPPROVED _f APPROVED SUBJECt TO ABOVE Call For Reinsp, CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W HaN Blvd.Tigard,Orwgon 972230199 (503)839.4171 U.I.1. D tINC DWI: 1S,�AJF_,I). ZONING, R-1."". WAI—L GUNS-TWiL i ;ON..- f-LQ 1)R (.1 RE(49------- --- EX I'L-1 "_4bS OF WORK -111EW F*I H61. 3000 sf rq a W.. 1'1-'h Uf- U"-)!.. i for, SL- ,A-�P&,. WPR(J"! 43O s f T ECT I. W-47 N OF COW3 1'. bN THIRD, f N 13 J. !L.IANr,( (jp. i OT PL 12101 CLIN!; y _UPAWN LOAD?, SPSEIV.LAN I APE() SEP. R(4Tj 1-1 :-0 ft (:101 (K= t OCCU GE'. ,, R01 "A'i ML I,. RLQU I RLD- 1_1JUR LU-10. . . . 40 p t LE'- T; f i. RUHT t*t V I p UP,i_ IiMOK LX T. y �4�_-LLIN6 UNIIS:4 RNf : ft HL(4R.- ft P*1 0 i4i_kM: HNDILP W.G. v - ) !'mw,I . RIVIG, DWI I IS c MI. TIPY1 apartmcnt bu-,,. .1 ;, ciiU- J .:C.1-Int I; p r: a In un t b ;late ate e c-pl 'A 3556 TWIN 3LIEKS LN Jii 07/79/9,3 PU $ b 8 i-j J11 v,1/w:9/93 4L u13WLE3u OH :*70,4v-., t_1pL t At'. Ito jH v . , ..9/4.)3 nn # kir-9611, 1 PORK % 1200. 00 jH V //iz'9/93 !WT RM."OR NOT (IN F'ILK RLL&JIHEM 1N,.i' _T IONS P#,-Nit 15 JSS,.ted subject to the contained n the Inrip Se<ii) insp i,ird ftv,4r.jpaLCodp, State of UPe. Specialty Zod?s anc ail other 17Ost/4pYm lrl,.qp Hztin D-airs I n�.p no. 11tible Jawi. All wvk will'be done in accordance with Slab J n 5 p WAtel- Line 1- 1 p pi"o"d plans. TMs Ppj'jjjt'Ljdjl tipire i, mark is not sta-tet Plm/undslb In: ;.thin IN days of ivuanv , or'if work iii-tuspended for tore Mt*chL:%nicikI Incp Firt- Alarm Tr i;p 'it IN days. I 1.,Am I rig ]n%pzi L I' it; Inspec-A iam Fit-eptaket, JTjSrj UAm- Line Intp ITISI_11,atlon 1r'7p e0<1 t I p ek r• W,:.k 1. 11 I- irvwell. I n s p Oyp PrAml !,I-,- I 1'0 n S p t 0 n T -Cry lfQf SC�1�i/►:ir, .,,P (/ � �OYIG� PERMiir oyP 93- o I�o DEVELOPMENT DEI%W4 m DATE ISSUED *D6. g1 l Joe ADDRESS: � 3�5�� TAX MAP/LOT a s / 2 D a Sw -;t,✓tiD C�' F.6.c 0 4— SUB: LOT: /2 - I;L LAND USE: A-12 VALUATION: B SPUTAL HUES NAM: � ( � a►1 Sa�a.rc c _ REISSUE OF: _ — ADDRESS: 1 156 ?"&a ho yrs cAL x _LA LAST REISSUE: 6sLec4" Qtj- 976.3S FLOOD PLAIN/ PHONE: 4 XY- 16 01 - SENSITIVE LAND: COtiTRACTO$ AffffffALS R%q= Rq Z-00 ZO NAME: To b jL PLAMNING: ADDRESS: ENGINEER!!IG: _ FIRE DEPT: _ PHONE: OTHER: CONTR. 'BOARD 1: EXP DATE: 0 3�+x''13-o►S z-- ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/EH_jNEER CALCULATIONS: NAME: .`. tea•- S w:/�o �is •y �''� TRUSS DETAILS: ADDRESS: - 6 to 4w /.3, _A j I i OTHER: PHONE: 6r-'/!0e r Asel f6* .^1 rt. 6�-.'/LV-r14 o., 16 9 a.0 �s-s-ee..+free 1-1 L.o-kt Osweyo� 02 97034 PROPOSED BLDG. USE: .4�otsir_� -...�-c " �� t!r►� COMMENTS: S-Dle'lZ--ZV 6001=5 M N SA' gig end k,6 dull I c i s 5 u" APPLICANY SIGNATURE Received By: % & Date Received: -5- PERMIT f ACCT / DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE. 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Feel 10-431 01 Mechanical Permit Fees 10-230 41 State Building Tax (5%) .� x,15 Building Plumbing Mechanical 10-433 00 Plans Check Fee 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 257448-01 Residential Traffic Fees 25-448-05 Mass .Transit TIF Fees / 52-449 00 Parks System Dev Charge (PDC) �oU 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 1 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water. nuantity (Fee in lieu of) _ TOTAL no/3587P.WPF