13300 SW Toland Street r — 3300 SW Poland St.
` ; 101.!'-'4
� T r (4,'' '''-v:'ll� t��.:�'-' '+'''-o I. ��q�l ycl �'1 .icy_ 't mac t4;.+. =':4-1W.:4-74‘.
es:' j �,A ,I
,---�, y„ t 1'''; -APs""'"` O j' Z"1 -,� 0 `,�.:• i i IWO •4.i ,'4 ffr raft tsy -:j
? .,' AII, ' , . .n-40� i�� 4 /Mr �//�I.1.,• It s"'Si:,
' 1 f�:S 'n.-. 4,. + �J •!:
a ' � f .' ; IPS s MI j � 'm' 1--3 �!1•� �n 4.4 r:±ir
%,`:t . it vf,r______
ap.,,_ . __
OF Off._�:;4.1A,,,_
w ICATE CCUPArff I�TC ��.;11 <,_. ..*_1:
�
4 ,,,) ,,))
v(+F4CITY OF TI GARI) ,• j .� e
,� ;t . $ OREGON ; 4
'" Permit No. 8 9 14 2 7 ,. t.r
'* "1_ Owner: :an Anderson 4�
stir;, 9353 SW Beaverton-Hillsdale Hwy, Beaverton , OR ^'
address: el
)� (3Com13300 SW Toland St . �,> , Building address: . , � �`i
;t' . Occupancy R3 Land Use Zone: R4 . 5 Bldg. Type VN
`�" { Comments: !.,c IL,1012...i
'w!
,yam h:;
";`' April 90
°�' ;:: Certificate is hereby given this day of p , 19 � �
that said building may be occupied and that it complies with all �^ � ,e
�' •"rof the BuildingCode for the Cityof Tigard, as approved ' '
� , ��_ requirements a "N:040
\•,, Y�1 by the Tigard City Council. ,
,� t- ��,r _IC
�� I i t\il!," ‘,ii
ft,iij Fire Dept. / Building Inspector j r t4
,
ton ' `s1' "rfy" 7 %it>411:`
iir, Building Official I /it..j �
fib-' , I 0 i in
' r Post Certificate in Conspicuous Place s
,I, _ — __- 1�'J1 'r s
viti._(..e...,4) t..
S. ./....'
' :=;°� =(v � .10-- i 1P%-7,,;,-
J•,, . y' l-` *" VV - �y„��u� �s► ,1 o=( (;it,' , ,.i
\s . .S{ i1.� r ,1 0.yy..y� ,4 _ S • , �,xk`er. a.0 . . .,�dt`.�s o t,v** •
�, r, r,�
,5 11!!x . " � _+' rw' :+:: ;.4,,,.• �,N.j .:A._ ,� \.. .'••0-P-4,-.+'�.i �15, .1.t.::!* r'' .r .{`- )
qtr .' • . mak �'� T_-,,.. # ma`s.-----..;•-;..
r.. *-- �' �/-�iti "'`:744.-;-•:•,-1=--
e..,, Y_ 4 r ��•
INSPECTION NOTICE
City of 1 yard Building Department
P O Box 23397
Tigard nregon 97223
Phone 639-4175
Type of inspection
_--
Date Requested_ 7 9- U Time _ A.M. P.M.
Address /3 3 int _____ Permit **_.. 14(40/7
OwnerD` Lot N
Builder �1 �117� .cJ'f�7e/LrA-----
The following Building )'.ode deficiencies are required to be corrected:
4:Ce 1 r LCY4 Dth r 1- r.-i"L•t -C 4'.'iL'N r ‘co /.1 _ .-1' '}
1 _
A Y{ 'i'1.ti `l -
Presented to _ Approved
Inspector 1 U Disapproved
Date —7-Pe'
/ -rC
CALL FOR REINSPECTION
El YE! f NO
I
I
r-fix . .....4,,,,,,,_ ,
... .:„.„...: ,.
;t.......„,.
,,,„,
.,
, .,
�` rb/�-CL fit'.
t.
.„...,.
0 t
..,,..,„ ..
,4,..„,., , ..,) , _ t, , 5-3 ,
-- -i .r
I
i
1
I _
eljC/L-j INSPECTION NOTICE
ji . /La C}ty of Tigard Building pepartrnent
/ "IP'.
► (�L P0 Box 23397
��" Tic3rd Oregon 97223 I
4....• 1 rt )1.) Phone 639-4175
Type o1 Inspection -17C....-6 /71 cal -I-
Date Requested_. 3 — q0 Time A.M. P.M../
Address / A3.0D — Permit /L43 7
Owner / 1 _,, , CLIC Er/ ii-17G
Builder _ s�1�(/i�L"r- �
The following Building Code deficiencies are required1to be corrected:
s-1-4c-1i-i ) . A-0"i ' -erle_ C ,s
C .., ,/ 1
___:, L-s.f rt....--3i ' '2 r,-1.i---
t4 a-C. ---‘4-
Presented to 4 I i Approved
i
inspector _—_ -_ _ ['1 Diseporoved
Date —5 - ! - t'
CALL FOR REINSPECTION
P- ves h No
INSPECTION NOTICE
A[/City of Tigard Building Department
P O Box 23397
„/ Tigard. Oregon 97223 \ `
v" Phone 639-4475
TY Inspects'
Data Requested_ 3Time — A.M.— P.M.
Address / 5�CJ U Permit * 62-911-175-
Owner
hJLl75-Owner- Lot 0
Builder _—__• �.�s
The following Building Code deficiencies era required to be corrected:
•
4' r
Presented toL -- 1,61 Approved
C, �
Inspector f)isapproved
Den
CALL FOR REINSPECTION
❑ YU ❑ NO
I
INSPECTION NOTICE
City of 1 igard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ,-s-7:31e""1- 1
Date Requested 4) /.)- L� Time A.M. P.M.
Addi ess 3 U C' C 2 —__ Permit +I
Owner Lot #
Builder 1/1J� /e7 ne
The following Biuiding Code deficiencies are required to be corrected:
% 4./ -
f
Presented to ❑ Approved
Inspector ; '^/^ Li Disapproved
Date
CALL FOR RE1NSPF,CT!ON
V vas [ll No
A
INSPECTION NOTICE L.t
City of Tiga;d Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 539-4175
Type of Inspection _ ,f
•
Date Requested _ - -'.. O ` _ Ti .M. _P.M.
Address _3 c ti. - Permit 0;7l
Owner Lot # ' y� -'
Builder .�, c 4."`�`I4l 1L_
The following Building Code deficiencies are required 'o be corrected:
Presented to / 1ovt+d
I nspecl�r J Disapproved
Date f
CALL FOR EINSPECTION
C l rIs I II No
INSPECTION NOTICE
City of Tigard Buildino Department
P 0 Box 23397
Tiger,,, Oregon 97223
Phone 639-4173
Type of Inspection k
Date 'lequested ��—�.X 4— — Time — A M. P.M.
Address /3 A . = ' it Permit 115:27/11a.)1
Owner / ` Lot * ---
Builder -
The following Building Code deficiencies are required ti he corrected.
Presented to 4!J APprcwed
1.
Inspector ❑ Disapproved
Date L "/ gr-
- -- —
CALL FOR RF INSPECTION
Li YES i I NO
INSPECTIO"' NOTIC E
City of Tigard Building Department
PO Box 23397
Tigard, Oregon 97223
Phone: 639-4 i 75
rype of Inspection
Date Requested _ _ _ . // /4 ` Time A.M. . ]_,,P.M.
Address / L'L - (S Permit # /"[ref 0
Owner --------_—.--_ 1 _ _ Lot #_ _ ---
Builder < 1 f rr f Lf
The following Building Code deficiencies are reqi ed to be corrected:
Presented to �1 C] Approved
Inspector t�i� _ lit Disapproved
Date
CALL POR REINSPECTION
L! YES f ] NU
■
INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phone 639-4175
•
Type of Insrrection x D ( ,Wrys-'
Date Requested 1/ —'� - 4ime---.. A.M.-_ P.M.
Address !/33_0)— _ Permit 011/q42- 7
OW,'Of l.ot *__–.
Builder 71.1rif --
The following Building Code deficiencies are required to he corrected:
li(J i.y. J U At
f /�
L n 1. lGl�t.l�t � L L'
�7 L -11
r A
Presented to _ r] Apprr-ved
Inspector
- - - ... Disapproved
Date _
CALL POR REINSP 'TION
VU KT NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 13397
Tigard. Oregon 97223
Phone 639-4175
Type of Inspection _c-y�4 _.•_—t�pt�Zdt.A�
Date Requested // yl V - $ %� Time A.
Address _-.--I 3 31V,;_ _1 __►.4.s2/ . Permit 0 icie1/ z1
Owner Lot 0
Builder ,,, ,The following Building Code deficiencies are required to be corrected.
(1,-) 75.1'- _,C,2)_-__Cir-c_...-'..- z .......2_2,...d-.1 i„._ ,,,.. 7—
,lam—f • .-f' k --r•._ — —
L/,4 ( ems- 1.,
/ �1�it! c art.f
1
Presented to ,r,4-
4 71 Approved
Inspector _-4.4.,.1
Disapproved
Dote //'/41 " k / —
CALL FOR REINSPECTION
0-'VE* L i NO
I _
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
fype of Inspection
Date Requested —/3 - Time___X_._ A.M. _
Address i.3 3 d2) Permit I Iq/y74
(honer GG �.. Lot I— ---
Builder _227 twGil Ad.62. )/4--1.4727-16_ .The following Building Code deficiencies ere required to be corrected:
4./7) A4 U A.44,— A-$-1.41-4-" 1� 4
.(E) 6'.li^"1�1 f t-
\ Sr/V14
--- .�-c _ Ott/ 'V Ifre
Presented to j Approtnd
e
Inspector 'µ„,` Cl Disapproved
Date l l - / .n ;.
CALL FOR REINSPECTION
0 Yu Li NO
INSPECTION NOTICE
City of Tigard Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phone 639-4�411775 ������ /
Type of Inspection PX>t".'y- I� 6'40`! � /
D ate 'Iequested ' --._?(.9 - ,`'1Time—/ m. _ A.M. /// P.M.
Address I 33/.2i e.�f1" ,a-*„a- _ P.m 1.$�9i dj a 7
Owner _ Lot 0 /y7Lt
Builder 4 to'-e-44'A-
The following Building Coda deficiencies are required to be corrected.
Presented to r. pproved
Inspector- _ CI Disapproved
Date –""(?2-'-. . P2
CALL POR REINSPECTION
❑ YEs n NO
J
INSPECTION NOTICE
City of Tigard building Department
P O Ru,. 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection ___� �{,-y��/Qj'�
Date Requested
Time A.M. P.M.
Adjress j
Permit 41121Ll =L
Owner
Lot #
Builder
following Buihiing Code defiaienaes are required tobe corrected.
Presented to
Approved
Inspector
I I Disapproved
Date
CALL FOR REINSPECTION
C) YES C] No
�1
___ _ ____
/ ,1
CITY' TIRDBUILDING PERMIT
OF cmoanrcAlro
COMMUNITY DEVELOPMENT DEPARTMENT PE.RnI r NO . BU891427
o.r�«
13129 SW Hall Blvd-P O.Box 21197 -qnd.Onpon 97228.15031839-4175 DATE ISSUED: 8/22/89
- - PRIM PMT .NO. 891427
,.)OB ADDRESS . 13300 SW TOLAND ST
1 AX MAP/I...O1 251. 4611 SUB : MORNING HILL Li : 144 BK
LAND USE : R4. 5
L.t)1 SIZE. : VALUATION: • 84,584 SETBACKS
FRONT : 20 REAR: S
WORK CLASS . NEW DWELL UNITS : 1. LEFT : 5 RIGHT : 15
USE TYPE SINGLE FAMILY N(.) . HEDRO(')MS : 4 EXT .WALL CONST :
ION5I . TYPT VN NO BATHS . 3 N: S : E W .
OCLUP. GRP . R3 PROT .OPENINGS :
t:)000P.LOAD N: S : E . W:
TOTAL AREA . 'L91°.7
NO. STOL"E.a : 2 1ST : 1115 ROOF CONST : C FIRE RET?
HEIGHT . 2.0 2ND: 800 AREA SEPAR7 RATED:
BASEMENT'? 3RD: OC:CUP. SEPAR7 RATED.
ME:'T.LANJ NE• 7 EIASFM'T
C L0(.)R LOAD /40 GARAGE : 400 FIRE SPRKLR'? ALARM?
FLOW 1 GPM 1 DETECT? YES
41i„ CA% A-106P ACCF S4'{ CORK, --
PLAN AN CHE( K BY r•.1 t
REMARKS :
$15 for rem line copy REISSUE OF NO. 1191426
LAS I REISSUE11
_-
L.E
--SAANDERSONDAN E PERMIT 1388 . 00
9;16:3 5W BE AVERit1N-HTL.L'�1.)AL.E_ PIAN REVIEW '140 00
hr< vrtun or
F' 1L* DEPT
STATElAX •19 . 40
OTHER tal 15 n O
DEVELOPMENT CHARGES :
ANDERSON DAN E SDC( STORMI $250 . 00
MEADOW/4400K DEVELOPMENT SDC I STREE T 1 •600 . 00 ,
9363 5W HEAVERT ON--HJ L.LSDAL.E POC 1 •1 ) f 250 .00
hens/ertennr 97006 PREPAID ( $40 00>
I"117tH (SCSI -97- 7666
TOTAL : $1 ,522 40
This permit is issued subject to the regulations contained in Tale 14 RECEIPT NO. /4,5`04O
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 done in accordance With the plans and 11Ft.11.1 t RL:t) INSPECT-IONS
specifications and in compliance with all apphc,MP codes and I•(`t I T I NG SEWER
ordinances The issuance of this permit does not waive rhstrrctive FOUNL)A I ION WALL.. PA IN DRAINS
covenants Contractor and subcontractors shall have c irrent city P05'1 s BEAM WATEI4 LINE
business tax permits This permit will expire and become null and
void if work is not started within ta0 mays or if work is suspended or PL.Fa l_INDERSl..AB CITY APPR(.H/SW
abandoned for a period of 180 days any time after work has SL AH FINAL
commented It shall he the responsibility of the permittee to assure P1.8 TOPOUT
all required inspechgpsjare requested and approved FRAMING
FIREPLACE
// GAS L_I NE
/C .......4---41,..-_-,-........, INSULATION
Permittee Signature GYP . BOARD
Issued By iiil v — --
CAL 1_ t OR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I
CITYOF TIGA
SEWER PERMIT
cAlLe PERMITNO. : 5E891477COMMUNITY DEVELOPMENT DEPARTMENT on.on
1312S S W H-Il Blvd P O Box 2.1397 Tigard.Oregon 97223 15031639-4175 DATE: ISSUED : 8/22/89
-- ---- PRIM. PMT.NU. 891427
JOB ADDRESS : 13300 SW 'TOL.ANI) !J1 L)i iA NUMBER . 39039
TAX MAP/LOT 251 4AB SUB : MORN LNG HILL IT : 1.4'I BK :
LAND USE: • R4 . 5
LOT SIZE :
SECTION : 4 TWP: 21a RN), 1w
WORK CLASS : NFU
USE TYPE : SINGLE FAMILY
The applicant agrees to comply with .-1.11 rules and regulations of the Unified
5e7we:•sr•aclee Agency the permit expir•eart 120 days from the date issued . The total
amount paid will he forfeited if the permit expires The Agency dues not guar-
antee the accuracy of the location of the side sewer laterals . If the sewer is
1. not located at thrt measurement ement givsen , the installer shall pinspec:'t. 3 feet in
all directions from the distances given . If not so located , the installer shall
purchase a "Tarp au-id Side Sewer" Permit and the.. Agency will install a lateral .
INSTAL) TYPE i- 11 I D rN(3 SEWS:I•T IMPERVIOUS AREA:
F'l XTU1'RE: UNITS TENANT IMPROVEMENT :
DWELLING UNITS . 1
NO . OF BL.OGS : 1
o I"EES
w ANDERSONDAN T PERMIT
N $35 . 00
E 9363 SW BFAVERTI)N-•HII...L..SDALE CONNECTION CHARGE $1 ,250 . 00
R Lsesrvert•tnir at• LINE. TAP INST-ALL .
OTHER
0
N ANDERSON DAN E
T
n MEADOWHPOOK DEVELOPMENT
C 9363 SW PEAVEPT ON-HII.L..5DAI E
T beaverton or 97006
R PHONE 1 503) P9/- p666
' r N Nil 4#.-44 TOTAL : $1 ,285 0n
This permit is issued subject to the regulations contained in Title 14 RECEIPT N[) /i)�/_U
of the HMC State of Oregon '',peci:Ity Codes toning regulations _ _• ____.___._______»__ ((�� �+
And all other applicable codes And ordinances And it is hereby
agrees'that the work*ill he done in accordance with the plans and REQUIRED INSPECTIONS
specifications end in compliance with alt applicable codes And ROUGH-IN
ordinance! The issuance of this permit does not waive restrictive
covenants Contractor And subcontractors shall have current city
business tax permit! This permit will aspire and become null And
void if work is not started within IRO days or if work IS Suspended or
Abandoned for A period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all reouired rip tion re requested a • approved
Permittee Signature
1
Issued By /
I CALL. L I)N INSPE.(:;TION 6.59 41v)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
RD
MEC
PERMIT
CITY OF TIGA cm PERMITNNO. : ME891476
COMMUNITY DEVELOPMENT DEPARTMENT L
13115SW Mall Blvd.P0 Bot 25397.Tigard (Anon 9722315031639J175 DATE ISSUED: B/22/89
,.1C)H ADDRESS 13300 SW TOL..AND SI
TAX MAP/LOT 251 4AR SUFI : MORNINI.. HILL. L.T . 144 BK
LAND USE : P4 . 5
LOT SIZE .
ITEM : NO: NO
WORK CLASS . NEW FURNACE <100K 1 AIR HANDLR <10
USE TYPE : SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST . TYPE VN FLOOR FURNACE EVAP.COOLEP
OCt::UP . GRN. . 143 HEATER VENT FAN 'I
VENT VENT . SYSTEM
BLP/COMP <3HP HOOD 1.
NG). STOR:LE:S : c' BEN/COMP 3-1SHP INCINFBATOR(DOM
DWE.LL .I.1NIT'.:; : 1 BLR/COMP 15-30HP INCINERATOR ICOM
FUEL. TYPE: GAS BL.R/COMP 30•-50HP REPAIR UNITS
MAX . INPUT BLP/COM" 50+HP (:)THER P
FIRE DMPRS! GAS PIPING OUTLETS 1
HIGH PRESS'?
' UW JPE6%7 _
REMARKS :
o FEES:
W
N ANDERSON DAN E PERMIT •10 . 00
E W363 SW BEAVF.RTON-HILLSDAI.E PLAN REVIEW 111.0 . (JN
R baa. vetrtun or FIXTURES •33 . 50
STATE TAX •2. 18
OTHER
FOUR SEASONS HEATING AIR LUND
PUBO x 6f,409
Portland Or 5'/c'66
PHONE 1r$03/ 7 "....' 919
,i_ TOTAL: •::16_56
This permit is issued suhlect to the regulations contained in Title 14 RECEIPT NO. /v'S )4,e 1
of the TMC. State of Oregon Specialty Codes :omng regulations --------- _—_-----
and all other applicable codes and ordinances and it is hereby
REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and GAS L..INE
ordinances The issuance of this nermit does not waive restrictive P051 R BEAM
covenants Contractor and subcontractors shall have current city HOUGH- IN
business tat permits This permit will expire and become null and I; INAI
void if 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 assure
all required ins ections P requested and approved
(J/CY >-ieue—
1
t'errrntlPP Sign;i1,un
j
Issued By -- ---
CALL FOP INSPECTION 639—A175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PI...UMBING PE:PMIT
CITY OF TII !)r crTY0F(0-7
tt e= PERMIT NO : PL.1391475 1
COMMUNITY DEVELOPMENT DEPARTMENT w�.eri
13125 S W Haa Blvd.P 0 Boy 23397 Tigard.Oregon 97223 (503)639-4175 DATE ISSUED : 8/22/89
---� PRIM.SMT.NO . 891427
JOB ADDRESS : 13300 SW T(:)L.AND ST
TAX MAP/LOT 251 4AB SUB: MORNING HILL. LT : 144 BK :
LAND USE : R4. 5
LOT SIZE :
ITEM: NO. NO:
WORK CLASS : NEW WATER CLOSET 3 TRAP
USE TYPE : SING!. E FAM ILL URINAL BKFLOW PRVNT R
CONST . TYPE VN L..AVORATORY 4 TRAP PRIMER
OCCUP.CRP . R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARF<AGE. DISPOSAL. 1
NO . STORIES : 2 WASHING MACHINE 1.
OWFL_L. UNITS 1 LAUNDRY TRAY BLDG. DRAIN (DIA
FLOOR DRAIN
SINK 1. SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
—
• 1
REMARK S
O FEES :
W
N ANDERSON DAN E PERMIT •147 . 50
E 9363 SW BEAVER1'ON--HIL..L..SDALE
R
hsa vrirtun ar F:I:XTURE:S
',TATE TAX •7 . :48
(1 I'HER
C
0
N
I
R WOLCOTT PLUMBING (:ONTf'; INC
A PUHc,xH72
c
I Grveshitet OP 97030
(PHONE (503) 661-1 /B1
,F'1EL.Ir..L.L Ai 11w Ail _;JASILI7 _ TOTAL •154 FIR
1 his permit is las, ^'sub(ect to the regulations contained in Idle 14 RECE I PT NO /1)5-044
44
of the 1 MC. St•1te of Oregon Specialty Codes toning regulations _..__ ....____..___._�._._-__ !
and all other applicable codes and ordinances and it is hereby
REQUIRED INC PE.CTION5
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and ►`LB .UNDERSL_AB
ordinances The issuance of this,lermit does not waive restrictive POST A BEAM
covenants Contractor and subcontractors shall ha 0 current city WATER L I NE
business tax permits Pits permit will expire and become null and PI B ToP(IUT
void if work is not started within 180 days.or if work is suspended or
PAIN DRAINS
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure F• INN...
all required ins action Are requested red approved
IPeimitt . Signature
•
Issued Hy It: CALL FOR INSPF.C11ON 639-41 75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA PLAN CHECK APPLICATION
Gn %"33 PLAN CHECK N 6 ,SCJ„-
COMMUNITY DEVELOPMENT DEPARTMENT A PERMIT N 4 `I1goZ 7
ii+nsw.wim.d.e.o.nes u»r. i theism 117723. U" "1S 1 ' DATE ISSUED
JOB ADDRESS: //J2
-3 '7 £w/ ~-40e, 'i AX MAP/LOT • t. A',i' _
SUB?�� l_OT: � / LAND USE:
--
OWNER SPECIAL NOTES
/
NAME:
I �
:- , ,-----4 -4-(n ., , � REISSUE OF:
ADDRESS: / ? 1 / LAST REISSUE: _
FLOOD PLAIN/
- -"
--,..i- 17-16:1 - --- SENSITIVE LAND:
PHONE: ,7f7` -
APPROVALS REQUIRE')
CONTRACTOR PLANNING:
NAME: - ENGINEERING: _
FIRE DEPT _
MOP' SS: _ • OTHER:
__PHONE: __ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/LA10.7.EER BUS TAX:
CALCULATIONS:
ADDRESS:te' TRUSS DETAILS:
A —
PARKING PLAN:
LANDSCAPE PLAN:
OTHER:
PHONE: - --"-
•
( ?1ENTS: -P —e--7e
GaQ> /51r- ""l
'7 ,C . . giy_ac
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PO. BAL. DUE
10-432 00 Building Permit Feesx4- -
. 10-431 00 Plumbing Permit Fees
ti . . 10-431 01 Mechanical Permit Fees -
10-230 01 State Building Tax (5%) 1 A 3✓ 1'e :..
Building £ i.'+ J
Plumbing -_
Mech _ - -
10-433 00 Plans Check Fee /�G
- - `7
Building ,
Plumbing _ ,) /��.
Meeh
( 30-207 00 Sewer Connection _
30-444 00 Sewer Inspection —
51-440 00 Street System Dcv Charge (SOC)
52-449 00 Parks System new Charge (PDC) _ --
31-450 00 Storm Drainage Syst Dev Chrq (SSOC) --
10-230 09 TRIO
10-730 06 Washington County Fire Nl (9S%) - _
10-220 00 Amart/Wedgewoodty
Ifrk
PLC t!G
,� 101 n /15-sir C�- / % el
APPI ICANT SI('.NAIURE
Received By: _ J Date Received: 4 ,019- S
cnIV,87P/MRP _____t, ____