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ORT.er: Don Morissette Permit No. ,
:address:_fes Box 19524, Portl&►d, OR 97219 _ - '•
_2&38 SW Springwood Dr.
Building Addrest;: a
VN
Occupary: R3 Land Use Zone: R7PD Bl:';. Type ,
_.,:. Comments:
rz
XWE
!� Certificate is hereby giver. this 7ti1 day of Noyeitber , 19 89 �*, '
that said building may be occupied and that it complies with all E}
<� requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council. s: \
}� " (' Fire Dept. Building Inspector
zA - Buil n OfficialA.
''
;(
Post Certifieat. :' Conspicuous Place "t
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W W W 4 i10 1W fi•r
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4176
t
Type of Inspection
Date Requested " <� Time A.M. --_P.M.
Address � `-S'� �Tt,,,�-+r'—o-�— Permit #-L?/ L
v
Owner Lot ft_
Builder
The following Building Code deficiencies are requited to be corrected:
Presented to
-- d f ----- --- 17rA proved
Inspector -- - ---- - Disapprr,ed
CALL FOR REINSPECTION
YES I] NO
INSPECTION NO rICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoi ie: 639-4175
Tvpe of Inspection � _ � ��� k•4��
Date Rec oested_��, !� d"`' Tlm — M P.M.
Address _ Permit # L 7
Owner_.� _ Lot l�
Builder
The following Building Code deficiencies are requirrao to be corrected:
Presented to
Approved
Inspector
G, bisapproved
Date
CALL FOR REINSPECTION
❑ YEs ❑ NO
INSPECTION NOTICE
City of Tigard RmIding Department
P.O (lox 23397
Tigard. Ore(lon
PIoiie C,3 c) 417,)
Type of InspeCdon ______. brywal I N i t fol
Date Requested— 10/23/89 Time :(X _ A.M. P.M.
Address 12638 SW Springwood Permit * 891272
Owner _ Lot #
Builder Dori Morisette
The following Buildiag Code deficiencies are required to Im corrected:
F'rr.•sented to _ Approved
Inspector , --� Disapproved
Date
CALL FO RL"INSPECTION
L YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
^.O. Box 23397
,4WA-V v Tlgerd, Oregon 97223
fi�rr_ Phone: 639-4175
T
Type of Inspection —
Date Request�ed� — _ Time _ A.M. ---P.M.
Address Permit
r
Owner tot _-_--
Builder
The following Building Coda deficiencies are required to be corrected:
Presented to Appro eed
Inspector ��� ❑ Disarproved
Datr. / 0 —/
i
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Derartment
P.O. Box 23397
Tigard, Oregon 97223
Phone! 639-4175
Type of Inspection /
Cats- Rcgo ,ested a r Time_—_ A.M.�fj2
Adm ess Permit
Owner _ ._ Lot #
Builder
The following Buildinq Code deficiencies are rP wed to be corrected:
Presented to _ _ ❑ {
---- — -- -- A
Pof -.1
Inspector y
Date /
�— –
CALL FOR REINSPECTION
❑ YES 1-1 NO
I III!
INSPECTION NOTICE
C:;y of Tigard Building Department
P.O. B(,� 23397
Tigard. Oregon 9722 .
Phone: 639-1175
Type of Inspection �1-
Date Requested /���� � ^— _ Time A. P.M.
� ..� .Z-
Address ._.f.zs�r - Petit # 1
Owoer_ Lot
Builder
The following Building Code def:,;iencies are required to
Prefereed to — ❑ Approved
r
Inspector __._._— ��. Disa[tprcw d
i
Date
CALL FOR REINSPECTION
YES Cl NO
i
INSPECTION NGTICE
amity of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested.. Time P.M.q,Rq
Address Permit L
Owner
Lot #
Builder_ ��� � J
The fol owing Building Code detiaencies are required to be corrected:
Presented to -
i ❑ Approved
Inspector _-_�/
bete nn
1415isapproved
��
CALL POR REIN.f1SSPF.WoN
❑ Yea LNo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested_ � G - 1 ime _ M. _P.M.
Address -112 _ zla��— Permit #_&t.Z 7z
Owner _�-�---_ —.- Lot --
6uilder . eL �.ds
The following Building Code deficiendhes are required to be corrected:
prey anted to Approved
Inspector _ �-
_.--- .-- .-_ Fj Disapproved
c�
Date
CALL FOR REINSPECTION
Ca YES O too
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectionLZ
______ 1% c�f✓
Date Requested_-- Time A.
Address _ Permit
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ Approved
Inspector -. _ i4 TTsapproved
Date )—� ---
CALL FOR REI
NS �7'101�'
fTYES C 1 NO
IS
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4176
Type of Inspection
Date Requested P.M.
G2 72_
Address z �� —� Permit #
.__ /
Owner _ _ Lot #
Builder
ThP following Building Code deficiencies are required to be corrected:
Presented to l__'1"Approved
t7
Inspector - _ [� disapproved
Date
CALL FOR REINSPECTION
0 YES U NO
i INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Tyne of Inspection
Date Renuested / Time A.M. P.M.
Address G' a Permit # l %�
Owner __ Lot #_
Builder
The following Building Code deficiencies are required to be corrected:
Presented to [] Approved
Inspector / [� Disapproved
Date
CALL FOR R INSPECTION
L-1 YES 0 NO
INSPECTION NOTICE
City of Tigard Building Jepartment
P.O. Box 23397
Tigard, Oregon 97223
Phune: 639-4175
"Type of Inspectim-
P.M.
Date Requested Timo l/ A•M•
Address
�p Permit
Owner
Lot
Builder .---------
The
uilder ._—_ ---
The follovvinq Building Code deficiencies are required to be corrected:
Presented to �'`� __._._— — L�1 Approved
_
❑ Disapproved
Inspector
Data --
CALL FOR REINSPECTION
C7 Yit 0 No
.1 .
CITY OF T1, 67A RD P
C"YOFTWARD
COMMUNITY DEVEI OPMENT DEPARTMENT ORIGON DATE 6/ '7,'t-19
13125 S.W.Hall Blvd,P.O.Box 23397 Tigard,Orogon 972?3 (503)639-4175
J00 ADUPESS : 1.2636 SW 'aPP:I'.N(*,;WOOD DP
TAX MAP/I-U1* 1.51 :33rD1'.3200 SUD : SiUMME.PLAKEK LY 1. 5 F'j K
LAND LISE:: 1:47PI)
:E TEM: Nit) : N(.')
WORK (:L.AS1iv : NEKW FLIRNAC'E: (1-00K AlP HANDLIPI <1.0
USE TYPE: : %J:NGL1::1 FAM11-Y F11ANACE' 1001<+ 1. A111 HAN11'.111-11 10K
C(:INST .TYr)E-.:: VN FI 00P F:*t.JI:4NA- (.,'I::. 1:::V(-)P .C,()C)I.-E:P
OC"Cup .GAP. : P:3 HFKATE.A VE'N'T' FAN
Vl:::Nl' VF'NT . SYSTEM
ElL.WC,OMP <31-IP I-1000 1.
NO . STOPIE:Si : 2 E1LW1f:"0MP 3-45HP 'INUINFAWY14411DOM
UN.T.TS : I PILA/("OMP 1.5-30HI:*-' IWINE PATOP(COM
FUEL. TYPE GAS V31 WIC,(:11VIl'.) 30-1501-4P REPA134 UNTI'S
MAY INPUT OTHE41 P.
FIRE: DMPWS"t LAS P:I'.P:LNC, CkJ'T*LE**T'G :1.
1-111GI-I PREKSS?
PEMARKS :
0 FEES :
W MORISSETTIF". DOII PE111"ITT $10 . 00
N 5 2 141 PLAN $1 J. . 2!*5
E BOX 1.9
R p(3 1,It,1.a n d 1a I" F 1:X TU P LS 11111315 . 00
STATE*. TAX $2 . 25
OTHI.-A4
C
0
N
T FIFELI HEWI-1ING :I'NC: .
R
A 1:.':I.'AZZA AVE:
C1 G I Af: KAMAS OP 970i.T)
T I
0 PHONE' 11!10:31 2A.'s 1:11,84
P AE(3:ESTPA*IJ0N NO . A1'17 I Al_ 54. 50
This permit is issued subject to file regulations contained in Title 14 RECEIPT NO. /h Z/ A/
of the TMC, State of Oregon Specialty Codes,zoning regulations qjAl
and all other applicable codes ;ind ordinances, and It is hereby I'NSPECTIXIINS
agreed that the work will be done in accordance with thp plans and
specificrtions and In compliance with all applicable codes and r-1(2S T' a BrEAM
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city ROU11 144 J,14
business tax permits Tt,.is permit will expire and become null and F'1:N At
void if work is not started within 180 days,or it work 19 Suspended or
abandoned for a period of 180 days any time after work has
commenced It shill be the responsibil'i I the permittee to assure
all required ctions Eire requeste and pproved.
required ct =
Itte
Permite !�.na re
Issued By
("Al-I FOR 'TNSPET'l 10N b:39 11.1 1:)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
qF
I:AI IJMB'I'NC, PEPM1. 1'
CITY OF TI67A RD NO . : PI
MY OF WARD
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125 3 W Kali Blvd..P 0 Box 23397.1 lgard.Oregon 97223,(5031639-417.1 T!ii SUED 6 89
LIWTA � WIX11 NU a, 11-azu
A1)DWE:155 - 1.2631:3 SM OW
MAF)/L(:)']* 1.51. 33AD 1*3,?00 C51.1b . SLJI' 1_1 UK :
I ANI) LME.*. : P,7pl)
I.-Ol, 51ZE :
TTEM: NO: NO:
WOWK CLACi!:i : NEW WA,y*F.:R 3 'TPAP
W5E.' TYPE.' : CVEWAJ!.'. 1::*AM:I*l Y L 11:11'.N A L BKF:*L(:)W PIWISIT44
(:.'(:)N!:i*T .TYPE : VN I AVOPA1,0PY TPAP PWIME-1:4
00011.3" . (3AP 143 1111B 5HOWI: 1_4 '13 CA'd-:AGE 'T'PAPS
DT5lIWMI--IF--'A 5.
GoPPAGE:.' 01.517101:iAl I
NO . !5*T*OA1F_-:5 : I.? WA',441W.-o MACHTNE: 1.
1*)WFL..I—.UN11*5 L 1. AUNDN'Y 'TRAY F.41.1:)G . 1.)P A*L N ( D1 A
V1.001? DPATN
': ]:NK I 15EWER (F**T)
WATF:14 HEA'111.34 1. STORM/PAIN (FT I.
01,14:14P
REMAPKS :
0 11EPi :
)F.:,.Pm*,I:*T* 1.110
W MOP19tiEl 11 DON 1:
N
E BUX :1.9,5 2 A
R p u r,Vt.P.L n d 0 1" FIX11JAELE"s
5TA,T,I: 'T'AX 0;7 . 00
-IFF q
C
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N 1--',1.-1 Or%M A K E P
T MAK E11 Ci 1>LUMISIXINIC.4
R
A P 0 BOX 1250
C e it,-t,ntl,!at d iit Clio, 97022,'�
T
O PHONI.E (503) 6304721113
1 R QE-.:G:(S'TPA'T.1-ON NO . 392P 1 1(,.),I Al... s 1.z.1 I
L
This permit is issued subject to the regulations contained In Title 14 NO . /1,
of the TMC. State of Oregon Specialty Codes. coning regulations ...... .............................
and all other applicable codes and ordinances, and it Is hereby REQU114A) 1NSPELT1ONS
agreed that the work will be done In accordance with the plans and PI D .11N1:*.P%L.A8
snecifications and in compliance with all applicable codes and P051 & DEAM
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city WA*74;J.4 L.T.W.
business tax permits This permit will expire and become null and rm iiii. r(Jpau r
void if work is not started within 180 days,or it work is suspended or PAT UPA11SIS
abandoned for a period of
i f 180 d Plany time after work has F J:NAL
commenced. It shall be the respons i of the permittee to Assure
All required Ji I tions are requea d approved
.
Permittee Signature
19'41,led
GAI..1. i-L)W NSPEC'ELON 639--4175
SEPARATE PERMITS HEQUIRED FOR WORK OTHER THAN DESCR!dED ABOVE
C'7YRD , Pk:PMT*1*
OF TISA Pml., . NO. : Dt.11:3911r272
UIYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,1 Igard,Oregon 97223,(503)839-0175 1:)A*1Iii: ISSUFD: 6/ 7 1(i)9
..)OR A1•)DPI1S!:; : 1.P.6 38 SW SIDWINGWOO11'.) DR
'TAX M(-1I.:,/I (TI I.S1. '33AD 1,3200 SUB: SUMMEWI-AKE L.T : J.3 DK :
I AND USE. : 1:47131'.)
I.-OT SIZE: VAI-OATION . I.J.'el ,383 SETBACKS
FPONT : i? PEAN : 1.2.
WORK C,'LASS : NEW lIWI:::LA- ,UNT1 S : I L.EFT : 5 1:41GI-111 'r'_6
USE IYPI::: : S:I*.NG1 E F-AMIA-Y NO . WLMWOOMS . 15 EXT .WAI L. (:,ON'--'jT :
(.'(INS*Y* . TYPE - VN NO . HAI'l-115 : 3 N: 5 : E W
01.3-3.)1.) . COPP . P3 PPOT .OPMENGoS :
OCCUP. L.OAD N S . I W
AL. AllEA 261ria
NC) . STC P 3'.E Lis 2 I.ST : 1660 ROOF CONST : PE-1-1
HEIGHT : PO 2ND: 980 API:-:'.A SF:PAP"', PAI'ED :
1.)AS IF.M 1-.:N T 31-ID OCCUP . SE-KPAIT? RA11-KA)
MEZZANT NE? BASE.1`11' T
F1 (IOR 1 (IAD: SIO GAI,AGF. : A1.0 F-1441-- SPAKU17 Al.-APM?
Fl.-OW((;I::'M) DF:*TF.l-TV Yi.:.,:?
. .... . HURRY—
F1 AN ('A-Ir.-..C.l< HY : r t
1:41 L'.M A.4 KS
PEISSUE OF' NO .
L.AST Plin-USSUE.
0 I-EES
W1 0011ISSETTE IMP PI:-,:PM1T $AJ*J0 .50
E
1`4 pti BOX :1.195241 PI AN PF:V:1A::W $305 .03
R p u r t I m.ri d a FAJIL". IIE.PT
STATE 'TAX $P3 . 153
(:),rHE:r4
DEVEIJIPMENT (:,HAP(*.**S
N MOPIS DON 50G,(ST(IFIM) *d!50 . 00
T DON M(Jj:4:l:ssErrF:: Sux.l r.m.--:ps :ENC %DC*(ST IREET) $600 . 00
R
A Pill PDX t932,(4 $4a50 . 00
C p ts r t:l.in.irs d 19
r. 7P19 F)PF--*.F)A]:D $1.00 . 00>
T I
(:)I PIHUNE (503) 2/4,r1----9.A1.,e4
RI T "TRA110N NO. 33,533 'T'n'rAl 1. 1 099 .8.15
This permit is Issued subject to the regulations contained in Title 14 PECPKIPT NO . LlDqr
of the TMC, State of Oregon Specialty Codes,zoning regulations ....................
and all other applicable codes and ordinances, and it Is hereby 1NSPl;::C'TJ(:1INS
agreed that the work will be done in accordance with the plans and NG
specifications and In compliance with all applicable codes and FOUNDA11(IN WAI-L. RAIN DI:1A:l:N5
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city P(Jr-51' A %.Am WA'TEP L.'INF..
business tax permits This permit will expire and become null and PLAIT . UN1)11-:14SI AS LITY APPP(.',1-l/SW
void If work Is not started within 180 days,or It work Is suspended or CA'A" FJ.NAI
abandoned for a period of 1C0 days any time after work has PI-8 . 111 POIJ I'
commencec It shall be the responsibility of h�permittee to assure F P 01.1 MY N G
all required,in 'tions are requested and approved F1 Pl:_::PI ACE:
113AS L:r.Nl:;'.
Ig TNIA.111 AT T(IN
Ig Y
F..;ioApD
,p
Permittee n�ebu re
Issued By'
L 1: 0D ('111IN 6319 /11.75
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WWI
CITY OF T167A RD 'MV4, FlIE-Pi"ITY NO . : GEA1908"'51.
FCITYI—�TWARID
COMMUNITY DEVELOPMENT DEPARTMENT 09100N DAJF: 15SUED: 6/ 11019
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 890-197
0('313 AIMPEESS : 126,30 SW I)P USA N(.1MEA::P : 0:37526
'TAX MAI:)/I-.(3'1' 15:1. 33A1:) :1.3200 StA.4 - �-A.JMME.P I A.K E K LJ : 3.3 "K :
LAND (Jlil-- : R*71:1)
1...0'1' SIZE :
SE(*,'TJON : 33 1.!1; ANG . J.w
WORK CLA545 : NEW
USE. 'rYl"-11;.: : SINGPLEK FAMIA Y
eqIi-eciii; t c.!ilmply With U13. I'L .1 ajjj iikricl 041 t1l". Unii!:1.4F..?cl
A(J(.orlC.'y . 1,1-10 r)ir?I.-M 1.t *"I X P:1.1"qp% 1.'P0 (1 a in t I'l e? (:I ill.A, :1.4.6 or,I 0c:?(j . 1,11(o tut al.
1:)11.:i,c:l will be, fl:11- fiFibiterl :i.-P ti-ic.) A(;ieric.,y cici�4v, n(:t,. ClUiAl—
;antaim the -lLc.!v-4.trvtcy 13f thc? Iclr-.`illi.tiall (34? thve 14(.q1W*:?I *1AllLt,(.-'!l"ilL*l.l6 'T.112 ii-le liici?wa?I- ivi
ut the± qive?ri , the.-! tahm.1.1 3 fc�cv?t ii-I
MAI (.11i-ilktifirlm -rr-clin thto clil!itaLnc�*-# given . IT 11c)-t. %1:) ti-le :k Iva tilt].1c.-Ir.
"1*111.1) iarlcl Sicic-) Pcer,mit orict the? Aclv4ric:y w:1.1:1. iiis;tatI.I. m
11SIS'rili TYPC: RUILDIM, 15lE"-WF::P :11IMPE1411.1111JUS APF.*o :
FAXTUPE 11.114111-i : 'TENANT 1:MPP(JVEMLN'1
DWEI L.J."117, UNITS : 1.
NO . OF BLEX?S . I
E.S
0
W MOPISSE'T'71: DON PE.'AMI'l, $33 . 00
N pa BOX 1.954,2A st 1.0() . 0()
E
R P U I"t 3 Ilk I'l CI 1...'[NE' TAP ING UAI L. .
THE P
C
0 M011ISSE'l-TE: DON
N
T DON MOI11S!:iE*1'1'1;:: B1.111 DEAU J:N(' .
R
A BOX :1.93P4
C p ci r t and ur 9721.9
T1 1:)H(.')NF.:. (50 3) 2*240-931.41
0
R i 1:111-:G1115141AIJON NO. 35333 $1 7 vi*.
This permit Is Issued subject to the regulations contained in Title 14 RECEAP'T NO.
of the TIVIC. State of Orego!i Specialty Codes,zoning regulations
and ad other applicable codes and ordinances, and It Is hereby
ao,eed that the work will be done In accordance with the plans and 1:N
specifications and In compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit 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 olnseclions are requested and approved
Pennlllee t t"
Issued By TW, 7- Fol'.4 TRIU) 639 7 FlIT15—
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
t �
PLAN CHECK APPLICATION r
C11YOFTWARD ' cmnrtwaw PLAN (:HECK 11 �,
1
COMMUNITY DEVELOPMENT DEP.AFiTMENT��\ PLRMII M —y �, —
u12ss.w.i�.nef.a.P.o.csa■z7,r+g+qa ocrqon ITS _�� DATE ISSUED _
Zb3� � .�i �`-I'�C� 1C �O � __ -i AX MAP/t_Ol�
JOB ADDRESS: `'
�_AfJ� 11SE
SUB: ��tMM�° P-L4KQ LOf: _ I� — —
VALUATION:
SPECIAL NOTES
OWNER REISSUE OF: _
NAME C-��► ------ LAST REISSUE:
ADDRESS: _ F2� --, -- FLOOD PLAIN/
gENSIFIVE LANP: —
PltoiuE: � � -
APPROVALS RE UIRED
PLANNING: -
--NTRACTOR ENGINEERING:
NAME: _ __ FIRE DEPT
ADDRESS: — _ OTHER: -
_ ITEMS RFQUIRED
PHONC_: LIST/SUBCONTRACTORS:
BUS TAX: .—
ARCH/_ENGINEER 1 CALCULATIONS: _
` TRUSS DETAILS:
AODRES�;: _ PARKING PLAN: _
LANDSCAPE PLAN: _
PHONE:
OTHER:
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. OUE
u
v 10-432 00 Building Permit- Fees -12- S, 0
o 10-431 00 Plumbing Permit Fees
10-431 Ot Mechanical Permit Fees o
10-230 O1 State Building ,Tzkx (5X)
Building
Plumbing
10-433 00 Plans Check Fee
Building -1/
Plumbing
Mer.h /z��
GC7�� 30-202 00 Sewer Connection _1L 1�-�-
30-444 00 Sewer Inspection 3 ---4
51--449 00 Streot System Dev Charge (SDC) _�_
52-449 00 Parks System Dev Charge (PD(:) —��--
31-450 00 Stora Drainage Syst Dev Chrg ("SDC) �S
10-230 09 TRFD -- —
10-210 OG Washington CoonLy Fire 01 (95X) —
-2.20 00 Umar dgewood - Jw
RF-_C fly z` • 3 7 `
fc
APPI_I IGNATURE —-- ......
`- Date Received:
1,,v(-ved By:
—
cn/35(17('/1 BP
�RD PLAN CHOCK APf'L1 CA'I]ON
CITYOFTIVARD �y CfiY PLAN CHOCK a la
COMMUNITY DEVELOPMENT DEPARTMENT 0110°" . PL kMn M
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NAME REI
ADDRESS: Z- _____.—__.._ LAS" R[:1C;SUL:
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Ft OD PLAIN/
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• NSIIIVE LAND:
PHONE -
-`�- - I APPROVALS_ REU1RLU
CONTRACTOR PI.ANN[NG
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NAME : ENGIN[-f k1.NG;�����___._._..__ ..
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ADDRESS: FIRE DEPT
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PHONE: ^--______ ITEMS Rf-2UIRED
- 1.1ST/SUBCONTRACTORS:
AHC 1/ENGINEE:R 3�K ti BUS 1'AX:04
NAME: — __ _ CALCULATIONS
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
- _ LANDSCAPE PLAN:
PHONE: 07HER:
I:OMMIENTS: _ /C.0 S U-�__ -.r C V?AJ cl
PERMIT N ACCT # DESCRIP-TION AMOUNT AMOUNT PD. HAL. DUF
Kf- 2511 10-432 00 Building Permit Fees ���5` 3i�
oyoff" 10-431 00 Plumbing Permit Fees
�yr�pLp 10---431 01 Mechanical Permit Fees p•w __ _ -,{u.si7
10-230 01 State Building Tax (A)
B u i l d i rig _—fes•?i�—
Plumbing
Mech _ moo _.
10--433 00 Plans Check Fee
Building
Plumbing _
Mech
$YUU� 30-207 00 Sewer Connection 1lv
30--444 00 Sewer Inspection
51- 449 00 Street System Uev ChA.r•ge (.,UC) _::;
S2 -449 00 Parks System Dov Charge (PDC) --. .!'._ 1 v
31- 4b0 00 Storm Drainr+go Syst Dov Chr-g (,stir►(;)
10-230 09 TPFD
10- 230 06 Wcishincltun County f iro M1 (9'i%)
10-'1.7.0 00 Amar•tiWodilowund ._ _._..
10101 .3r�+a� /G y0 `���►"r•-
RF l: ii lv�c�3/ - Z X33 3 B • IG
WTI 4j(,,A ,I1-3JNATURE�
I:ocoived Hy: __..._ C- Date Received: ____.-
CITY OF TIGA
RD � PLAN CHECK APPLICATION
cmrxncARn PIAN CHECK H
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0
13125s.w-t4aeei.n.e.O.eo,(2ar7.Ti,.,a.ofey«nsrm.(503)6394+r5 DATE ISSUED
JOB ADDRESS: _ ---- ------ i AX MAP/LOT -- - -_--
SUB: _ LOT: —_--__-_-� LAND USE:
VALUATION: _�__-_- --
SPECIAL NOTES
OWNER —
REISSUE OF:
ADDRESS: _ - LAST REISSUE:
FLOOD PLAIN/
-- -- — SENSITIVE LAND: -
PHONE: `^ APPROVALS_ REQUIRED
CONTRACTOR PLANNING:
NAME: -___ -__ ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
PHONE: - __ ITEMS REQUIRED
- LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: CALCULATIONS:
A _ ___ _ TRUSS DETAILS:
ADDRESS:
PARKING PLAN:
-- — — LANDSCAPE PLAN:
PHONE: — -- _ -_ OTHER: -- -----
COMMENTS: -
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees _ _ - s J(,)
- -` 10-431 00 Plumbing Permit Fees _.__ _ - -.��-U
c
10---431 01 Mechanical Permit Fees ---s�-
-_ 10-230 01 Stat Building Tax (5X)
Bu Wing ----__^Plumbing
- -- -_-
Mech
10-433 00 Plans Check lee
Building —
Plumbing
Mech
30-7.07. 00 Sewer Connection —_ -_--- --
30--444 00 Sewer Inspection --- -- -
51--448 00 Street System Oev Charge (SOC)
52-449 OU Parks System Dev Charge (POC)
31- 450 00 Storm Drainage Sy ;t Bev (:hrg (SSDC) -
10-?30 09 TROD - ---
10-730 06 Washington County Fire !fl (95X) -
10-720 00 Amar-t_/Wedgewood
1()EAl
APPLICANT SIGNATURE:
Received By: - Date Received:
cn/3587P/18P
Cull (A/ Ph r-f
CITY
OF TWA RE' � PLAN (HECK APPLIGATIUN
4 :&22
rrw',aim PLAN CHECK H �U
COMMUNITY DEVELOPMENT DEPARTMENT' PERMIT N __
u1sss.w."am ee.d..ro.Box 2sny.n9aritomgo^srm.(so316"41n, OA CE ISSUED
J08 ADDRESS: S lor /tii(, -i 1 AX MAP/LUT 15 4 1 U
J '
SUB: LOT: LAND USC:
_ `�.rL�i�.�. c✓���+�.. _ -- �
VALUATION: . n"J SPECIAL NOTES
OWNFR /��/ , REISSUE OF:
NAME: _ a,J / 1 IG/c. 5$C�J L�C[I,i I N -- ----
_ O �� k / �� � — - LAST REISSUE
ADDRESS:
FLOOD PLAIN/
SENSITIVE LAND- —_
PHONE: 1 -`� j/ APPROVALS REQUIRED
PLANNING:
CONTRACTOR _ ENGINEERING: _ -
NAME: -I FIRE DEPT
ADDRESS: -" OTHER: —
ITEMS REQUIRED
PHONE: -- - LIST/SUBCONTRAC'TORS:
ARCH/ENGINECR BUS TAX: -
CALCULATIONS: __-
NAMETRUSS DETAILS:
ADDRESS: - PARKING PLAN:
--- -` LANDSCAPE PLAN,
---- - _
OTHER: -- -
PHONL• --
C(N9MENTS: --
PERMIT N - ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE.
r / 2 10-432 00 Building Permit- Fees
� Z 10-431 00 Plumbing Permit Fees ��, -
10-431 01 Mechanical Permit Fees — IK
10--230 O1 St%at(? Building Tax (5X) 3
nuilaing A-3,13
Plumbing a0
Moch IM
10-433 00 Plans Check Fee J
Building JUS- ��-
Plumbing
Moch
/2 �� 30-707 00 Sewer Connection T- ---J->-)
30-444 00 Sewer Inspection ___-124- T
51-448 00 Street System Dev Charge (SDC) aO
52--449 00 Parks System Dev Charge (PDC)
31-4::0 00 Storm Drainage Syst Dev Chrg (SSOC) oI-Sy
10-230 f.) TRFD -
10-230 OG Washington County Fire N1 (95X) -
10-220 00 Amart/Wedgeaiuod ��'�,'� �•%;r�.i.Y� �1_7�p �
TOTnI
RCC N -...
APPLICANT SIGNATURE
Received By: ---•-__ .- — - Date Received: -
cn/3587P/18P
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