12609 SW SORREL DOCK COURT i
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12609 SW Sorrel Dock Court
TIFICAIE
CI Y OF TI ARD CEROCCUPANCYOF
IC WA PERMIT #. . . . . . . I BUP891045
COMML'NrTY DEVELOPMENT DEPARTMENT OREZ
11126 SW 4 dl Blvd, P.O.Box 23397,ilgard,Oregon 97223(503)"-4175
DATE ISSUE:Ds 12/17/90
SITE ADDRESS. . . v J-2609 SW FW(JRRLL r)(:)Irl L, I PfIRCEL: 191 33A D 134
SUBbIVISION. . . . c SUMMERLAKE ZONINGs R--7 PI)
FLOCKo . soo . . . . . K LOT. . . . . . . . . . . . . Wir
.I...ASS OF' WORK. e4EW
T'4E OF USE. . . s-7
OCCLUANCY GRP., wk
OCCUPANCY LOADa
TFHANI W)ML. . . I
R e-in-A rk a v
Owl-lerl
D014 MORISSETTL
PO IRDX 19524
PORTLAND OR 97219--0000
Phone #v 503-244-0449
Contractors
DOH PIORISSETTE ELDERS, INC.
P 0 DOX t9524
PORT'LM-11) OR 97219
phol)p be 503-620-75.3s
l-c-q O. . t 35533
OVOUpallCy Of the ,above referenced buildiriq is hereby givevi, And ceutific,
the compli.armn. with the State Of Or -gon 5pecialty Code% for the grocip.,
0C.'M4pmncy4p and use under which the referevi-ed permit was Imou"d.
FIRL DEPARIME.NT1-JILDINO INSPECTOR
POGT IN CONSPICUOUS VILACE.
.*�.'r10-.y k aT',} •�:- v..+r. ^�A�i_+ ��ty °'�""d �r�c „��tt� � .. r �
,�T'' '.•«".�+�_ .¢.._..:..h�~ '�,,�a.�..y�.,`.,� ,, ��ta �a� �a.Tja. "4� �'t�:.. �,w°��b INV_-
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111. 33.*
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EM-ORARY Com'= �T C'y
CEs
CITY OF TIGA
t:
Owner: Don Morissecte Permit Lo. R91,X45 ]i
:address: PO Box 19524, Portland, OR 97219
} ! Building address: '2609 Sri Sorrel Druck Ct
R3 Land Use Zone: R12Pr Bldg. Type vat _
Occupancy:_ T � ,
Comments: A0 DAY TEMPORARY =TP N 190,0
Certificate's hereby given this 9th day o.
` that said building may be occul-+epi and that it complies with all
,1 I
requirements of the Building Code for the City ot'1iga:d, as ttp>✓=oyed �.,,
'•'` 't by the Tigard City Council.
Fire De t. But ng Ins or
P _ }
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�t Buiidin ficial a J
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( Certificate in Conspicuous Pliceff V40
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•:�, :'lil.•�'.e...,� S!. .{Y� "� �•--1. _ �,c"w .•i 'O?yy..'..r.�..'� �${4 .. ` �/�./� O��� ��__ SAN ��-
—INSPECTION—N-0-1, {CE
City of Tigard Building Department
RO, Box 23397
Tigard Orogon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address
Permit #Y4iIC-X�
Owner Lot
Builder
Thr "ollowing Building Code deficiencies are required to be corrected:
7A v CAC Y
CC��?Awxy
Presented to F1 Approved
Inspector 10111upproved
Date
CALL FOR REINSPECTION
VES Cl NO
INSPECTION NOTI^.E
City of Tiq�rd Building Departmunt
N.O. Box 23397
Tlgard, Oregon 97223
Phone: 639-4115
Type of Inspection —��`; _. L r��✓ --- r�
Date Requested r d i� Time A.M.Z,—a-�.M.
Address _� �� Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be co-rested:
I AI ScJ"Ar to iU Os fz'i i gC/a'r1- —
r.4 VL:IfM S-,2-w-•Jc
Nv Ft��
j,'r9J✓�/seC'T"�OC� "Dcai.�-ts—TJ,ic/J"ii.t.
g 5-// (""17A raz
��, �[tir�/�� -�'i�o v/S/an, "�'T=o7 c.✓�t-r'�� G'�.�rT7���-,�
Presented to —_. — — ❑ Approved
Inspector.�/ ... Ivepproved
Date --
CALI, FOR REINSPECTION
0 yea C� No
INSPECTION NOTICE
City of Tigard Buildincl Department
F.O. Box 23397
Tigard, Oregon 97223 'c-
Phone: 639-4. 15
Type of Inspection
Date Requested / —� Time A.M. P.M.
Address �6rmit
Owaer Lot
Builder
The following Building Code deficiencies are required to be corrected:
l 1�,
Presented to _----__—�_- � Approved
Inspector __.__I __`_= _. _..�._ I I Disapproved
Date —
CALL FOR REINSPECTION
C] YES 0 NO
A A I
INSPECTION NOTICE_
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph ane: 639-4175
Type of Inspection
Date Requested Z i"may^ Time _ A.M._' P.M.
Address L'�- _� �.�-_�� .�:•'<< ��'��C Permit #_Azfz*_s—
r
Owner—_ --- Lot #
Builder --------- -_ __—__—------ --
The following Building Code def;.;iencies are required to be corrected:
Presented to - _ l�t'Approv d
Inspector ❑ Disapproved
Date "
CALL FOR REINSPECTION
0 YE8 ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection -�2�LLSLIIZ.
Date Requested Time A 1�--
Address w /Z f0�Y 1�(/t.-Perm't #
Owner Lot
Buildnr
The `ollowing Building Code deficiencies are required to be corrected:
Presented to .._-. - Approved
-s
Inspector .f - ❑ Disapproved
C '
Data
CALL FOR REINSPECTION
❑ YES ONO
INSPECTION NOTICE
City of Tigard Building Department L
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type r„ Inspectirn
Date Requested___ __ rime A.M. P.M.
Address __,La^`�L7� � Permit #
Owner /T _-.._--l_�.._�_ — ------_ Lot
Builder --�� �- -- j --`----- -.—
;:,e following Building Code deficiencies are required to be corrected:
Presented t-2 Approved
Inspector — F.I Disapproved
Date -
CALL FOR REINSPECTION
❑ YE' Cl NO
W if N i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
type of Inspection
Date Requested Time _L A.M._ P.M.
Address �1Cj Permit # G
,'-j;-;ner_ Lot #--
Builder
--- ' ---
The following Building Code deficiencies are required to he corrected:
L
Presented to Approved
Inspector j Disapproved
Date 1,e-1
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97221)
Phone: 639-4175
Type of Inspection / a
Date. Requested._ /1/ _ Time A.M. /��-��P�M
Address -Permit *LEI /
Owner l _ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to App,oved
Inspector Disapproved
Date 9
CALL FOR REINSPECTION
0 YES Cl NO
INSPECTION NOTICE
City of Tigard Building De?artment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Data Requestedy�1 — Time _A.M. P.M.
Address
Owner __ — Lot
Builder 4 -A" — --
The following Building Codu deficiencies are
}r-equirrd to !+a corrected:
/
:y
Presented to ❑ Approved
inspector p 9 uisapproved
Date
CALL FOA REINSPECTION
L'1 YES ❑ NO
!fi
INSPECTION NOTICE
City of Tigard Buildmq Department
P O Box 23397
Tigard, Oregon 972?3
Phone 639-4175;
Type of Inspection
Date Requested---- l T' _._P.PP i.
Address , _ Permit #,FfL U�
Own, --- _ — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ L-Approved
Inspector ❑ I)iappro"d
Date
CALL FOR REINSPECTION
C] YES O NO
INSPECTION N01 ICE
City of Tigard Building Departme.-it
P.O. Box 23397
�gard, Oregon 97993
Phone: C'-'n-4175
Type of Inspection
Date Requested �' —.�l® _ Tim -0 M. I P.M.
i
Address
OwnerLot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector ,�/ ------ ❑ Disapproved
Date
CALM. FOR REINSPECTION
C] YES 0 NO
�I
i
ap v
INSPECTION NOTICE
City or Tigard Building Department
o n. Box 223397
Tigard, v Egon 97223
Phone: 633-4175
Type of InspectionX-)
�l
Date Requested—--1 -/`i' "O / Time
n' ,' _� A.M. P.M.
Address _ .__ �� L� F�r/' Permit -
Owner _ Lot #
Builder
The followhig Building Code deficiencies are required w be cgrrected:
Presented tolt�_
- - - - ---- proved
Inspector0 Diss
�! .._.
- pproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
dam
FAJI:I DING PEAM.11'
CITY OF TIFA RD CITYOrTWARD V,E,I M:E*T* NO : BUIIA91.045
COMMUNITY DEVELOPME;qT DEPARTMENT ONIGON
13125 S.W.Hall Blvd. P.O Box 23397,Tigard.Oregon 97223.(503)639-4175 DA-IT'. 1:551JE:D: 6/249/09
JOR ADDPIESS : le'.2609 SW SOPPE-1. DO(:,K CT
MAP/[..(:)'T, 1.S3. 33AI:) j.je:j()o SUB: SUMMEPLAKE: L.'T : E.W ,
I AND USE' : Atapl)
I.fY1 51ZE: VAL-L)A1JON: $ :1.:31. a1.El E.1,1*-3 A C,K F,
F'RON'T' : (2 0 PEAR : "I.)
WORK CLASS : NE"1611 IWELL . UNITS : I LEAXT -. 15 PTG.1-FT : Ile,
USE TYPE::: S I W.41 I;" FAMI I Y NO. BEDPOOMS A EXT .WAI L. CONST
G,ONS T . TYPIE : VN NO . BATHS : 3 N: E.: W .
(:K.1(:1tJP.GPP. : P'.3 P P UT .0 P F.:.NX N G Si :
O0(:111.117, LOAD N G : E W
'TOTAL.. AREA : 13069
NO. !'5T01"-!]:I:rS : is IST : 1.'519 POOF* (:,ONS)* : C FiRIE-i- 1:4--l"?
1: 0 21SID: 1.550 AI*-4F.:*A 1:4 A'TE::1)
IC ? - E D
R A!i k:'MF:N1-? 3RD; (3(:1 tip. 11C PfA' 1:4AT
MF:'/ZANI NE HASEM T
F-I 0OP I OAD . X-10 '(1100 !1PPI(I 07 ALARM7
FLAW(GPM) DE111J71"? YIES
H Alf,
V'l AN RY 1-1 t
16::MAPK5 ,
$'30 F'01:11 P I.X1144A COPIF..*S (:)I::' I-ILAWI PEISSUE: OF NO. 860604
E'.X1*PA (:,L)P:LF.5 ON 171...1') PLAN WEVIE-W I WIT PF*K.'l:55LJE:
0 IF E:E.S; : —1
IN MUPJ*A1SF::T1,E DON PI;-"RM T.T 11%.115 1.3 00
N
E HOX J.9115192-ell PLAN REVIEW $40 00
R P 1.1 r,t J.lik 1-1 d a 1-- 9'721.9 F*X*141.3. DE:PT
1-4-10NE: U50311 'r.44--T STA-11rK 1,01IX $P-5 . 6!5
OTHEA1 40-5 0 , 0 0
C DE:VEI.OPMEN'T
0
N MORIWIETTE DON S1,(:)PM) W?50 . 00
T [XIIN MOIATSSE.1-Tiii: F.3111.13-1 :I:N(:, . 51,PKEA, $600 . 00
R
A 131:1 BOX 1.95r.?/l *e.*-50 . 00
C p1:)1- t,:I.ift I.)d 1:11-- 197'R 1.9 PREJ4.1(110 < 0 . 00>
T
O PHONK. (503) 241,41 9 3 1.,el
I R I Pr.i.(..1!i014ATJAIIN NO. Xl!-533 'TOTAL..: 11111 1 688 . 65
This permit is issued subject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby RE-EQUIPEA) INSPRCTIONS
agreed that the work will be done in accordance with the plans and 001-E Nll*.;
specifications and in compliance with all applicable codes and F'11*111.1NE7A'TJON WALL, 14AIN 1:11PA11SIL's
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city PO51* A E.0-i-AM WA*11:14 L INE'.
business tax permits phis permit will expire and become null and 171...4 UNDI-i'lliiLAR CITY APPI:11(71-4/45W
void if work is not started within 180 days,or if work Is suspended or AP F1 N A L.
abanduned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure 171...13 . 7*01"JOUT
all required inctions are requested and approved r-:'P A M:1:N C..s
I A C I E.:
'T N5 U I A'TJON
y P
Permittee nature 114 . ROADD
Issill.
C61 1. 1`011- :1 N5Pl*-.(',-T J:(:)N 6310 11.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N.--
CITY OFTIFANOSIE
. : "910148
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RD PE
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01190N DAIE' 15Sk.JE*J) : 6/p-)P/89
COMMUNITY DEVELOPMENT DEPARTMENT I'*'PJ*MJ)M*T* .N(:). 89101q!,;)
13125 S W Hall Blvd,P.O Box 23397.Tigard.' egon 97223.(503)639-4175
ADDRE--SU : 1-2609 5161 5014PE1. 1)0(,K t-15A NUMBIEW 37,565
TAX VAj:)jj,.C)'T' 1!i0. :1.34100 SUD. GUISIME111:411...A. l<l;;
1 *1* : 15 13K :
I AND tJb"l::: : 1:4 P 1)
!.-'sEC t*1(IN : 1*5 Z' T*wl::, : 13:; PN('., : J.w
worw (:,I-.ASS : NEM
USI-K 1'Yl::'E: : G:I:N(A-+;: F'AW.I.A.-Y
'The ii&j.)p:I1A.c)s:Lrlt tis With ill.11 rUIORS P.incl
Agnnc�q . nic., pviirrooit c: xI:)ii-vP14 12-0 (Jin.-Ju; 411-cim tlue chatV4 iulnit.le(J . 'F c)V,ia J.
ill.1"CII.Int plvi.cl will be. the expic-pl?!:: 'Tht.-.1 Aqhrlc.y (11:101:; l"Ic)t' (-11.1 cl.I-.-
litntole') thci? cif the 04' thl.-I-4 Nicllv riewei-, liativAr-iiiIia . If t1*1C.? 1-30AW"r. J.'!,
I-Int lcic:ol.tk-nl act the tI1(*ib invitilo.110.41" qshiiLll 3 F*-i)V.'±t J.I t
at 1.11. d 1.1-c.7 c,t i to ri in -P or.c)in t[-I(.-.I (J:1.1%t al.n(...!e (J:1.V r•;.I-1 1T u)cl't. vin I.4:)Qate(J t h vA J.n%t al 3.3. 1- %1-,.49,1. 1
pl.lrc-'halse iii. "I'vo.p iarlcl !:iJ.clie, !:l(owe)r•" Pral.-Init vollicl ths-i-I Agerlc!y wil.]. J I-Itati:0.1 as Tiikte)l•ia'l.
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R p to r 1.1 iii,n cI tir 9,7219
A
C P"HUNEK (503) 2414-9314
T
0 MI. 3,5533 $
PE.X'E.I P'T' NO .
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby
agreed that the work will be d(.-ie In accordance with the plans and
spPcIfIcatlons and in compliance with all applicable codec and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and qubcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not started within 180 days.or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to nLisurn
all required peclions are requested and approved
C- -
P-rinitte nature
Issued By
SEPARATE PERMITS REQUIREU FOR WORK OTHER THAN DESCRIBED ABOVE
"LUM111NI'a Pl:'RM'.I*.',,
F-JE-1141MA''I" NO.
CCITY OF TI6A RD
ClrY0F nMPD DA'T'E 155UED: 6/�.29 1: 9
COMMUNITY DEVELOPMENT DEPARTMENT 1:)M*T*. NO . 1.0,W5 4
113125SM Hall Bl id..P.O.Boy 23347,Tigard.Oregon 97223.(503)6394175
TAX MAP/L.,01- 351- 53AE) 1.3d'400 SUB G L)M M E 1:1 L-A K
AE
LND USE 1.5 RK .
L k:)'T' !ii 1ZE:
NO:
WOW CA -45Si : NF-.'.WNO
WA11:11 C.A.-OSE:1' 3
(-J!•rF: 'T*yl:)F--: 51NGI E. FAM 1:L.Y U1141NA-L.
C,'(JNS'T' . 'T'yr)E: SKF*I.A.)W PPVN'T'P
.: : VN LAVOPA TOPY 3 1*14AP i-.'P1MI::1'j:;i
occur' . (.111P . R3 T1.113 GHOWE-A 2 CVPI:.::ASE. JAAP`ri
D1:SI--IWA5H1:::R 1.
GAI-40AGEK 11115POSAI.-
NC) . 5111 PJ'r.:'tj WAiiiVENG,
DWEI L . tJN1*T'S : I AI.;NI')PY -T*PAY 1-31-DG. UWAIN (DIA
1:1-00141 DPAYN
5 LINK i SI WEP (F-F)
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MOPT 5SE'll-TIH: DON PEPKE"I
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PHONE: (50,S) 9 I.
1.1 .e.1
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51A71- !li6 . 6 3
011-4UP
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C PI-IONE: (303) 630--7728
t PF-1*41"I'TPA'I'TON NO. 39p'?
0 7131 AI... : C.1.3 9 . 1.
PELEIP'T' NO.
I his permit is issued subject to the regulations contained in Title 14 qkyj:pif:
of the TMC, State of Oregon Specialty codes,zoning regulatiuns pF ..A.) -y'TUNS
and all other applicable codes and ordinances, and it is hereby PI 11 - (.1NDEPSI...AF.)
agreed that the work will be done In accordance with the plans and POS1, a 1:31:AM
specifications and In compliance with all applicable codes and WA'1'1:::P 1.. :I"NE*.
ordinances The issuance of this permit does not waive restrictive PI-J). 11:111"CAYT
covenants Contractor and subcontractors shall have current city PA:I:N L)PAINts
hiisiness tax permits. This permit will expire and become null and
void it work Is not started within 180 days,or if work Is suspended or F—TNAI
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all requir Inspections are requested and approved
Permittee Signature
Issued By 1_-
CALL.. Ft:)p TWWEC"TJON
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W ff
CITY OF TIGA RDG>F:f7M I: TN('.) . : ME691OZ17
CITYOFTWARD
I DATE 15SUED: P9/01-2
COMMUNITY DEVELOPMENT DEPARTMENT Otto<* PRIM . I--'M'T' .NO 1:)5'i.01•:5
13125 S W.Hall Blvd..P.O.Boy 23397,Tlgard.Oregon 97223.(503)6394175
,.Jou) A D 1.)1:4 E 5 5 : 1e.?6C9 15W 1)L)(7,K
MAI-:'/13_01' 151. 33AD 1.31(100 SUB 'inUMMEJ-11 AKi-:', LA, :1(35 HK .
L.AND (.15FE. 141'.':P1)
LUT !i5:1:1:4.::
NO N(3
WOW C'I AL.)G : NEW FUPNACE.: (1.00K A144 HANDLA4 ('10
U5E 'TYPE: : 5'.I:N(.,l F: F'AMTI._Y F'UWNA(:,I::: 100K+ 1 AJ:P HANDI 1:4 10K
CONST , TYPE VN F*I-.O(:)P FURNACE': EVAP . GOOLEP
(NNIILIP . GAP. P3 HEWTEX4 WHIN T FAN
VENT VI; N*Y* . 5YG'1T.:M
BL.A/CoME-1 (311P HOOD J.
NO . STUIPUELn : is DL.P/CIOMP 3 1.:'.54.11' 1 NC I Nl:;,.RA*T*(:)P(DOM
DWELL .UNry's, 1. ItIll-P4/COM P :1.5 301-11:) T N(.`,1 NE,PATO 1:4(CCIA
F*LJI:I... 'TYPE: G,A 5 BL P/COM F' 3050FIV" PEPATP UNI'T'S
MAX . :I:NP(-I'T* al.-A I COMP ,50.4.1-1 FN ()THIEP f.?
IXTPE Dmpwi,? GA!-i 1:)11:)]:N('.v OUT1...E'V5 .1.
IDPE'SS7
1 (31,011 PI.dH:Ss,?
PI:.:MAAKS :
MOWLSSE111r.: DON 1:`E,1:1 MT 1, 111:1.0 . 00
0
W 131:1 HUX 1.9521el PL.AN PF.ViEW 1101.1.0 . 50
N p Ili i"t 3.vi n d FiX111PES *32. 00
E
PHONE" (503) RZ4493-1-1 51 ATF-.: TAX
0,71-111;:11
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C PI-IONI". (503) PA3 :1.1.13-e1
T NO. AZ17 $115y1 160
0
PECIF."[F-1T NO. lW36
This permit is Issued subject to the regulations contained in Title 14
of ;he TIVIC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby (,A! I I.,N I::,.
agreed that the work will be done in accordance with the plans and & I3I;::AM
specifications and in compliance with all applicable codes and R(A.H.*7H I I I
ordinances The issuance of this permit does not waive restrictive 1-1 NAI
covenants Contractor and subcontractors shall have current city
business tax permits. This i)ermlt will expire and become null and
void If work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Ins actloi,s are requested and approved,
Permittee Signature
Issued 13Y ("Al L. POP TWiPEUTTON 639-11.7,11.11
_J
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN CHECK APPLICATION
C11Y OF TIGA RD C1 &IWARD PLAN CHECK H
COMMUNITY DEVELOPMENT DEPARTMENT- , ,- PERMIT N q L17
13125 5 W.140 Olyd,P.O.Elo■7197,llg rtf,neya, 9rM.(53)G34Ir5 DATE ISSUED
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JOB ADDRESS: Z- �C7�� _ .•_-. COT. - LAND USC
Sun:
Sl1uM(l-a,L✓1�C� -- --- - _ -- 5 ---
VALUATION: --_— --
SPECIAL NOTES
OWNER REISSUC OF
SAY_ �S —_ 1-AST REISSUE:
ADDRESS:
- FLOOD PLAIN/
- SENSITIVE LAND:
PHONE: _ �-- APPROVALS REQUIRED_
PLANNING:
OONTRACTOP ENGINEERING:
NAM[: ------ I: FIRE DEPT
ADDRESS: s _ OTHER:
PHONE: - — ITEMS RE�f►UIP+.:�)
LIST/SUDCINTRACTORS:
ARC1t/ENGINEER EUS TAX: __—
NAME: _ TC-1 C l,t� CALCULATIONS:
TRUSS DETAILS:
ADDRESS: --
PARKING PLAN:
LANDSCAPE PLAN:
r
PHONE: �ir,� f �` 1 OTR:
COMMENTS:
PERMIT H ACCT It DESCRIPTION AMOUNT NMOUNT PD. BAL. DUE
8
s/3 si3 (,o
/dyS 10-432 00 Building Permit Fees �- � .50/0 (, 10-431 00 Plumbing Permit: Fees
L 10-431 01 Mechanical Permit Fees • &"
10-2.30 01 State Building Tax (5%) __3Y,,39 -- -
Duilding Gs"
'
Plumbing G.G3
� ('Q
Mech
l
10-433 00 Plans Chec:' Fee
Building U le F411) �
Plumbing
Mech /D•SS11
�U (4 30-202 00 Sewer Connection v v __• -- �u
30-444 00 Sewer Inspection .33
51-440 00 Street ,system Dev Charge (C<l1C) _ 0
52-449 00 Parks System Dev Charge (PUC)31-450 00 00 Sturm Drainage Syst Dev Chrg (SSDC) _
10-230 09 1 RI-D -- - -
10-230 06 Washington County Lire N1 (95X) -
lU 00 nmarrt/Wedgewood
101 At.,
APPLICANT SIGNATURE s�
Received By: --� � __ Date Received:
cn/3587P/18P