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8542 SW LUCILLE COURT l ADDRESS: 1 i:\records\micro ltlm\targets\building.doc .,4,;. .............. CERTIFICATU III F OCCUPANCY PERMIT #. . . . . . . 9 MGT93- 0044 CITY OF TIGARD COMMUNITY DEVELOPMENT DVEPARTMENT C'ATF ISSUEDI Q#8,103/93 13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)639-41,71 PARCELs 1S135DD--L.UC07 S t TE ADDRE5S. 08542 SW LUC I LLE CT SUBDIVISION. . . . LUCILLE. ZONINGi BLOCK. . LOT. . . . . . . . . . . . . :7 TYrAE OF USE. 9F OCCUPA14CY ORP. : 43 OCCUPANCY LOAI)i23 4 TENANT NAME. . : Remarkst PATH 8 Owner: NORTHLAND HOMES 1834 SW 58TH PoFuLAND OR 97221 #1 292-3975 C o n t r ac t(3 r: NORIHLAND HOMES 1,134 SW 58TH PORTLAND OR 97221 Phone Ot 2.92-.3975 Ptsu #. . : 13727 OCCLIPRTIL-/ Of thy: above referenced buildinW it, hereby 4iyen, and c-ertifiosi the compliance with the 9-tate Of Oregon 5pecialty Godef: for the rjruf.�'p, anti .tse k.tncjev- which the referenred pey�mit was i'r;suod. f'I ENT WPECTOR R C --iF�i F I C I AL POST IN CONSPIGIJOI GE. S C INSPECTION NOTICE City of Tiga-d •aull_iM Derowt sent !, 13125 SR Hall Blvd. Tigard, Oregon 97223 Inapection Line (Rec-O-Phone)c 639-41,75/,businessPhones 639-4171 Ineprction: /�1117�i �i�) Footing P1bg. Undermlab Mach. Rough-in A r/Sdwlk Found. Plbg, Top Out Gam Linn FINAL, 1 Poet/Beam Strcct. San. Sewer Frawing eldq Pont,/Beac, Mach. Reiss Drrin Insulation -Plumb. Plbg. Underfloo- Nater Line Z Gyp. Rd. -Hoch. � Dara. Roquented:_._ n /�+ �TLanet _ ,QUI PN Address s L_' i L(1 �•l.�_y-( (�' —— Per-nit #s r -- Builder: THE FOT.UMIWQ CORRECTION? ARE REQUIRED, Inspector s _ Date: PPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE Call. For Reinsp. l r- r VaPECTT ON NOTICI. C.lty of Tigard Building repartatent 13125 Mv" Nell Blvd. Tigard, Oregon 97223 /♦ Inspection Linw (Rac-r.-Phone): 639-4175 Businotes Ph 39-4111 InspectLon t Footing Plbg. Underelab Hoch. Rough-in Appr/Bdwlk Found. Plbg. Top Cut Gas Line ! FINALs Post/Bean Strur_t. San. Sewer Framing -Bldg, Post/BeAm Meeh. Rain Drain Insulation -plumb Plbg. Underfloor Water Line Gyp. Bd. q" Date Requwatedt__ 1 � _ Tlma: Addreset �= I•r•'q�i-Lis 3-610e � � Buil ers arnt� / �� -4�Z 5 / /7LJ 4 THE FOLLOWING CORRECTIONS ARE REQCIRE7: OPA �Y t T is Inspector _- Date7, APPROVED _ nISAPPROVBD APPROVED 3UR,IECT To ABOVg Call For Reinsp. 'y h T'!/A'. r a�; '.�?si➢t�.,,r 7r 'ncl'"�^"�1','*H!!21 S•lMal.!9":p:""Y1'r�:rl`iMil".'i"�AB '�Ji. '�, INSPECTION NO'T'ICE Litt of Tigard Building Dapartnont 1312! SW Hall Blvd. Tigard, orelon 9722 Inepectinn Lina ;Rec-O-•Phone): 639--4175 Business Phone: 639-4171 Inspections --- --_--�.� --- Footing Plbg. Underslab Mech. Rough-in Apps/Sdwlk Foind. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer :raining -Bldg. Lost/Beam Mech. Rain Drain Insulation -Plumb. 41 Plbg. Underfloor pater Line /G, yp. Bd. -Mech. Date Requestcdc�_ _J .� Times AM PM Address3Permit f� THE FOLLOWING CORRECTIONS ARE MUIRED: Inspector `_-- nates APPROVED _— DISAPPROVEn _-_ APPROVED ltUBJRCT To ABOVE Cal.l For R, inep. �1 N�� l jNSFE(Z[XOh NOTICE l City or Tigard Building DePartseot e a 13125 Be Ball Blvd. Tigard, Oregon 97223( Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Unde-alab Mach. Rough-in Appr/Sdwlk Found. PTbg. Top Out ;na Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Pcet/Beam Mach. Rain DraLn C Insulation -Plumb. I PLLg. Underfloor Nater Line Gyp. Rd. -Mach. Drtte Recpsasteds. 73 Times AM PM Address: Peroit it Builders TRE FOLT,OW:NG CORRECTIONS ARE R6QUIREDs Inspectors Dates X APPROVED --- DISAPPROVED APPROVED EDBJECI ITO ABOVE 1irl,f Call For Reinsp. is SEE I zrs��CT10A NOTICE �ry City of 'Tigard Building Department 13125 all Ball Blvd. Tigard, Oregon 972"3 S5" Inspection Line (Rec-O-Phone)z 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Und r lab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam St:ruct. San. Sower racing -Bldg. • Post/Beam Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor `Water Line Line Gyp. ad. -Hoch. Date Requestedt L! Id -� Timss AM _4PM Address: Permit 1f -� '-�L'` Builder: THR FOLLOWING CORRECTION'S ARE REQUIRED: IW Al to Al L 7? it iris �chy3 } v;. A Com' �IYI /�� t � � Q 1 G,�1 w�T•t��l l_�}I �� i$'�� fb ,�yy � f 1 ti Ins pec nor: Data APPRom DISAPPROVED APPROVED SUBJECT To MME --Call For Reinsp. �IK�tiitWge• ., .vt�a*w+ 1BYv°E1+19�BIfbI�yMR77�nwaF�X'+w.n+a+i.u><i.m�re..nrwr.+i...-ter,-..,• ,.. ! I+,I J s 7 INSPECTION NOTICE City of Tigard Building Deparhment 13125 Be Ball Blvd. Tigard, Oregon 9':223 Inspection Line (Rec-O-Ph,;ne)s 639-4175 Business Phone: 639-4171 Inspectiont_ Footing 7_— i Plbg. Underslab R h. Rough-in ; Appr/Sdwlk --- Found. Plbq. Top Out Gas Line FINAL: I Post/Beam Struct. San. Sewer Framing Bldg. Post/Beam Hoch. ,.i.in Drain Insulat.lon -Plumb. Plbg. Underfloor Water Line Gyp. Bd. —Hoch. Date Requested: r._Til" PN �I Addraess � �.J L' ` ( � �-- Permit #t i Builders _ _ ■ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors_ -fes, Dates APPROVED _ DISAPPROVED APPROVBD ST)WNCT To ABOVR _-call For Rainey. s L —' INGPECT ON NOTICE city of Tigard BulldiOg Departaent 13125 rM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone)s 639-4175 Business Phones 639-4171 Inspect ions --------- plpg. Underelab — ---- I rooting n7wh. Rough-in Appr/S[SwIk Prnsnd. Plbq. Top Out ds FINALS -•Bld post/Beam Struct. San. Sewer Fri n9 g post/Beam Meeh. Rain Drain Insulation -Plumb. plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requesteds /_Time: _141K—AM PH ,7/ /, ■ 5" Address$ J Permit Is v Builders TRE FOLLOWING WRRECTIONS AAE REQUIRED: 77 Inspsatorf �7 ---- Dates APPROVItD DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinsp. t City of Tigard Building Departenat 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc--O-Phone): 639-4175 Business Phone: 639-4171 Inspections^_ --- Footing Footing Plbg. Underslai Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Past/Beam Struct. San. 8ewec� Framing -Bldg. Post/Beam Moen. Rain Draln Inaul.ation -Plumb. Plbg. Underfloor �itetor Lin'e Gyp. Bd. -Mach. Date Requested:��C - _ _Time: AM ,PM Addraaas--1 J Permit. Builder— _-- -�— TRE FOLLOWING CORRECTIONS ARE FSQUIREDs Inspectors /�� �� -�— Dates y ROVED DISAPPROVED __ APPROVED SUBJECT TO ABLY" Call For Reinsp. t ..... ., .... . _,...- ..-..w,».•1-,cru. a.:.:;,w..nax«s•��k&.»s•Ya.ro=,;. ,„_ _. .. ..; ._,n,,.,.,. L � Y INS PENT11 N AOTICF City or Tigard Building Depirtme 1.3125 SW Hall Blvd. Tigard, Oregon 9 i' / Inspection Line (Ree-O•-Phone)s 639-4175 Business I`66h : 639-4171 inspection: ---- - Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. phi g. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -bldg. fJ t Post/Bgam Hoch. Rain Drain Insulation -Plumb. tN , � tf f flPf Plbg. Underfloor Water Liffe GYP• Rd. .-Mer-h. 114 �T101st _ AM �P11 5 u e; Date Requested // , Addreass C _ Permit #1-/ 7' �LJ`1"/-- Y �! r Builders f TBE FOLLOWING CORRECTIONS ARE REQUIRED- s I Cyt A, jj h Y� ze } t n i YI Jf eY �`�SI Inepector3 _ Date: APPROVID DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. jY I 1. I;,ryY,y>f �,,w..>:f,.,, ..,.•..,.............r+.ma,-.........,....,.«n.:ywn;.sssM.w6u�nrs«w�w....W.,......_.__,_......_r«..,.,ryM�0.'�Mltiis,� I' i CITY OF TIGARD OREGON � March 22, 1933 Northland Homes 10211 SW Barbur Blvd. , Room 202 Portland, OR 97217 Re. Lucille Subdivision This letter is to confirm previous conversations with the building inspector from the City of Tigard, a `.th Larry, field representative from Northland Homes. The following are minimum requirements due to the type of sail �--onditions found on-site, and the way construction methods are F being employed installing utilities, streets, etc. , at the same time that footings are being constructed, which is resulting in a large amount of undesirable soils, rock, etc. being moved and depo,Ated randomly on the job site. • All lots are required to be tested by an independent test lab showing soils will meet minimum standards (UBC I & 2 family Code. Also, footings already poured on Lot #1 appear to be substandard with poor consolidation of concrete; poured without proper forming, etc. This footing will also need to be tested to meet minimum standards of 3,000 psi. Tom Pl.escher Building Inspector br/NorthtaM.ltr J�irJ � M, AIL jNSPEGTION NOTICE Citi or Tigard Building Departoenk 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-4-Phone%t 639-4175 Business Phone: 639-4171 Inspection:— --- - 1 Footing Pibg. Underelab Mach. Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Line FINAL: ppot Beam strlct.' San. Sewer Pre Ing -Bldg. i h. Rain Drain Insulation -Plumb. i 1bq.�Odili>*tioor Fater Lina Gyp. Rd. -Hoch. Date Requestedt Timet AM --AIPM Address: Permit is _ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: fir, Inspector Dates APPROVED _ DISAPPROVED _ APPROVED SUBJECT To ABOVE _—Call For Reinep. I w 1 ;x 5; MILE_CTk0_r NOTICE e City of Tigard Building Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rea-o-Phone: 6)39-4175 Business Phone: 639-4171 Inspection: — — ,7, '� —� Tooting Plbg. Underslab Koch. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Can Line FINAL: ' Post/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Hoch. Rair Drain Insulation -Plumb. tlbg. Underfloor Nater Line Gyp. Bd. -Hoch. Dat Requested: / r �� Tlmef AN PH Address: / L- - �-�L�� -- Pirmit t �-�^ }� ■ Builder:_ ,I _I J TRE FOLLOWING OORRECTIONS ARE REQJIRED: VL) vc S L) Inspectors Date: APPROVED DISAPPROVED APPROVED SUB.T6CT TO ABOVE Call For Reinep. Gay � F i wy S 1 '6I lfl } � le N TIVARD Aus CITYOF My Rp PLUMBING FERMI T COMMUNITY DEVELOPMENT DEPARTMENT omm PERMIT #. . . . . . . .. IvIST93•-0049 13126 8W HWI BWd P.O.Boz 23397,Tlp M.OreWn 67223(603)6304176 SITE ADDRESS. . . : 08542 SW LUC I LLE CT PARCEL : L S 1:'5DD--LUC(ZI7 SUBDIVISION. . . . . LUCILLE ZONING- BLOCK. . . . . . . . . . : ONING:BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7 ci_______... __.--_.-__-____-___-----___-___-_.-__ CLASS OF WORK. . :IVEW GARBAGE DISPOSALS. - : 1 T'YP'E OF USE. . . . :SF WASHING MACH. . . . . . . .. 1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . ;0 TRAPS. . . . . . . . . . . . .. . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : .1 CATCH BASINS. . . . . . . :0 FIXTURES--------_.___-_-- LAUNDRY TRAYS. . . . . . :0 SF' RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . :V1 LAVATORIES. . . . . :2 OTHER FIXTURES. :21 TUB/SHOWERS. . . . a SEWER LINE (ft) . . . . :N m WAVER CL..OSETS. . -2 WATER LINE (ft) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN !ft ) . . . . :Vl Remarks: PATH 8 OWNERa ______________..___.__._.___..._._______.___ -----------------FEES_____.________.__.... NORTHLAND HOMES TIF $ 1460. 00 J'H 02/10/93 - 1834 SW 58TH BPRT' $ 316. 00 JH 02/10/93 - i BPLC $ 40. 00 JLH 08/26/92 PORTLAND OR 97221 B5PC $ 15. 80 JH 02/10/93 - Phon+a #: 292--•3975 BPLC $ 15. 00 JH 02/10/93 - SSDC $ 280. 00 JH 02/10/93 - Pli.lmbing CoTit rar-tor :----- _____.____.._ PARK $ 500. 00 JH 02/10/93 - Q MPRT $ 37. 50 JH 02/10/93 - Name:_ k-- Ct Q� � C.�I' MPLC $ 9. 36 JH 02/10/93 - Pddress : aff ...��x....� t11�'_ � M5PC $ 1. 88 JH 02/10/93 - 1 C,t y: . -- State : f` hJL PPRT $ 110. 00 JFI 02/10/93 - r I='IionriY: . 'r' ' �.� P'5FT, $ `.,. 50 JH 02/10/93 - -.------ REQUIRED INSPECTIONS ------ 'This permit is issued subject to the reg-- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be clone Post/Beam Meehan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor- Plumb Final t within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for, more than 180 days. Plumb Top Out Erosion Contra]. Framinq Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp _. Gyp Board Insp - horized I'],._ mL�in Lvrltractor Signat�_lre Call for inspection - 6:39-4175 ! Contractor Notes : f a ,'y llw OF TIGARD IhASrER PERMIT ff COMMUNITY DEVELOPMENT DEPARTMENTL�j'4' FERMI'r #. . . . . . . : hi,T93-0049 CrIYOFT13126 BW FWI Bbd. P.O.Ba 23307,T19",OWw 97W3;t(F it 1 5 DATE ISSUED: 02/10/93 SITE ADDRESS. . . : 06542 SW LUCILLE CT PARCEL : IS135DD-LUCO7 SUBDIVISION. . . . : LUCILLE ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :7 BUILDINCa REISSUE:MST93-0048 DWELLING UNITS: 1 BASEMENT. . . . . . . . :O S CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . ::353 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS----------- TYPE OF CONST. .51\1 FIRST. . . . :582 S 1_EFT. . : 12 ft RIGHT. :S ft OCCUPANCY GRP. :R3 SECOND. . . :586 sf FRONT. :20 ft REAR. . :20 ft STORIES. . . . . . . :2 'THIRD. . . . :0 5f REUU I HEIGriT. . . . . . . . .23 ft TOTAL------: 1168 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 ps w VALUE. . . . . : 6OV182 PARKING SPACES. . : 1 Remarks : PATH 8 _. _,....._--.____--_---.----.____-_--____- PLUMBING •--_-__--__._________----.___._____________ SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVN1R5. . :0 LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . 0 CATCH BASINS. . . . . . . :0 WATER CLOSET'S. . :2 SEWER LINE (ft ) . :O GREASE TRAP'S. . . . . . . :o DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0 GARBAGE DIST'. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL ------------------------------------- FEES --------------- FUEL TYF�ES--__.__..____._.__ UNIT EITRS. . :0 type amount; by date recpt /GAS/ / / VENTS . . . . . :0 TIF 1 1460. 00 JH 02/10/93 - MAX INPUT:O B'TU VENT FANS. . :2 BPRT 1, 316. 00 JH 02/10/93 - FURN ( 1O0K . . : .1 HOODS. . . . . . . I BFILC 1• 40. O0 JLH 08/26/92 FURN ) -=100K . . :0 WOODSTOVES. :0 BSPC $ 15. 80 JH 02/10/93 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 BPLC 4 15. 00 JH 02/10/93 - BOIL/CMP ( 3HP:0 OTHER UNITS: 1 SSDC $ 260. 00 JH O2i10/93 - GAS OUTLETS: 1 PARK E 500. 00 JH 02/10/93 - Owner; __..__._.._-_______....____..__.__.____.__._.__.___r;T�R'T' $ 37. 5O JH 02/10/93 - NORTHLAND HOMES HPLC $ 9. 38 JH 02/10/93 - 1834 SW 58 rWr I15FC t• 1.. 88 JW 02/10/93 :IPRT $ 110. 00 JN 0,:/11+/93 - PORTLAND OR 97221 P5PC $ 5. 50 JH 0r/10/93 - Phone #: 292-3975 Contractor: NORTHLAND H01v1FS 1834 SW 58TH PORTLAND OR 97221 Phone #: 292-3975 Reg #. . . 13727 2791. 06 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED 111SPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Ins- Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Strr_tr_t Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Mechan Insulation Insp days of issuance, or if work is suspen r more t n 100 days, Plm/undslab Insp Gyp Board Insp l F1LhI/Underfloor Rain drain Insp 1 'F�r miLtee 5i.ynat�_rr .�r /0.// Mechanic:•al Insp Water Line Insp Plumb Top Out Appr/Sdwlii Insp Issued By : Fr aming Insp Mechanical Final Call for inspection - 639-•4175 a CITYOFTIV A SEWER CONNECTION RD C11YOF11frgRp PERMIT COMMUNITY DEVELOPMENT DEPARTMENT cinooN PERMIT #. . . . . . . a 5WR93-0045 13126 SW HWI Blvd P.O.Boor 23307,TIPM.Or@90n 07223(603)&394176 i 5Il`F: ADDRESS. . . 08542 8W I._UCILLE GT PARCEL: 1 S 135DD--LUC1117 SUBDIVISION. . . . : LIJC I LLE --- ZONING: 1 BLOCK : LOT. . . . . . . . . . . . . :7 1 TENAfJTpNAME. . . . . . USA 1\10. . . . . . . . . . » FIXTURE UNITS. . . : CLASS OF' WORK. . . :NEW DWELLING UN I T5. , : 1 I YPE OF USF:. . . . . :`—IF NO. OF BUILDINGS: 1 � INSTALL TYF'E:. . . . :BU5WR IMPERV SURFACE. . : Remarks : PATH 8 owner: _________________._____ ______.-•---__.__.___.________.___._____ FEES _•______.___._.__._..... NORTIIL(1ND I UPIEb type amol_1nt by date rec.:pt T f 2100. 00 JH 02/10/93 — 1834 SW 56TH PRM INSP 35. 00 JW 02/10/93 -- PORTLAND OR 972e 1 P11•ione #: 292-3975 CONTRACTOR NOT ON F=ILE I 1'Irr�ne tT: $ 2135. 010 TOTAL Reay #. . ----- _— REQUIRED INSPECT"IONS This Applicant agrees to cosply with all the rules and regulations Sewer~ Inspe%.•tion ____•___� .,___ of the Unified Sewage 'Agency. The peroit expires M days from _.._ _.__....__.._.e the date issued. The total arount paid will be forfeited if the perpit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measl..eient given, the installer shall prospect 3 feet in all directions froe the distance given. If not so located, the installer shall p!nchase a "Tap and Side Sewer" Perait Znd will i all a lateral�t+.1 r _.._ ........___.....__.. 1 ,s!1e(I BV : Call for inspect ion — 6:39--4115 i [� `.� 131uswtia0lstvd. PLNCK/Rf_CT # CITY OF TIGARD PO[lox 23397 PERMIT # .5/-�;-3 COMMUNITY DEVI?LOPMENT DEPARTMENT Tigard,Oregon 9722.3 (503)639-4171 DATE ISSUED f <IZ 4. ucf'%lo c� TAX MAP/LOT ! �/ 3> .L%�CG 7 r I JOB ADDR�SS:�,� ff � , SUB:LSs _ LOT: LAND USE: ✓ VALUATION: MO 'NER SPECIAL NOTES NAME: _ �o� f� v n r co r`* _ REISSUE OF: ADDRESS: LAST RLIJSUE: i FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS RE UQ IRED NAME: __Sn rT� _ PLANNING: 6--fG�m ACDRESS: _.� _ ENGINEERING: _ _— FIRE DEPT: PHONE: OTHER: F- l CONTR. BOARD #: j? 2- EXP DATE: ` ITEMS REQUIRED SUBCONTRACTORS: PLUMB: /l/� `E S� LIST/SUBCONTRACTORS: MFCH: ��o! ,i� �a/M1 I �'W'–' BUS TAX: RCN ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: C.- Z __ COMMENTS: LUY&V -crx�s/��s�► ��ru�z�'!{ - _------ z APPLICANT SIGNATURE Received By: Date Received: l� , PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE /4-5ty3-vuUy 10-432 00 Building Permit Fees _ 10-431 00 Plumbing Permit Fees 37 ,v _ 10-431 01 Mechanical lermit Fees - 10-230 01 State Building Tax (5%) - I Building Plumbing Mechanical, r 3 10-433 00 Plans Check Fee Building Plumbing �. Mechanical X7,38 10-230 06 Fire — ���/z 3 voq) 30-202 00 Sewer Connection c'u ��' ��U6 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 4,00 — /,3 S-u l 25-448-05 Mass Transit TIF Fees //0. 04 —/— v 52-449 00 Parks System Dev Charge (PDC) -S` 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 19C -J_t, 24-445-01 Water Quality (Fee in lieu of) — 24-445-02 Water Quantity (Fee in lieu of) TOTAL_ cr nm/35B7P.WP1' • �J If I 1 I CITY OV T IC ARD H CTVT OF PPYMf.NT RLCEIPT NO. Y93-c_'3605 34 CHECK AMOUNT' a 4886. 06 I NAME : N+:JRTHt_faND HOMES GASH AMOUNT 0. 00 �11?1lftE4;a n PAYMENT DATE 02/100193 SUL'DIVISION n PlJRPOSE CIF PAYMENT AMOUNT PAID WURPC)GE OF PAYMENT t-W)UNT P(110 BUILDING PERM p 316. 00 PLUMSINO PERM 110. 00 Ii1E'CHANI C:AL PL. 37. bO bT. BUILD Pt-P. P3. 16 +ILAN CHECK F'E: 24. 38 SEWER U Gia 21 Q)0. 00 .,.iLWLR INSPECT s°". 00 PARKS SDC: 500. 00 'f IJf�M DRAIN E)C ;1a0. 00 RI-E.S I(ih':NT I Fal._ TPAFI-I C,, FEES 1350. 00 00 AS',; , '1 RANT I'T T I F F E'F_b 110. 00 I I.11T 7 LOC I L_t_.E El=T 10542. F_cW L.UC:I LL.L. CT 'TIJTAt_ AMOUNT f='AID - 4AS6, Wfy