Case File (4) ADDRESS:
07 9 9 Q) t!"oe
i \records\inicroflm\targets\building.doc
CITE' OF TIGARD
COMPAUNITY DEVELOPNIENT DEPARTMENT
13125 SW Hall Blvd Tigan.1,O,egon 97223.0 199 (503)639.4171 %E RT I F I C:ATE. OF
OCC:UPANC'r
xxxx PERMIT N. . . . . . . a MST'j,'23-0061
639-417., DATE I FSULD 2 !3�iq�11M1ii.
-;
✓
PARCEL: 2S 1 1 @8D--0'7600
BITE QDDPE:.SS. . . c 11798 OW ASPEN RIDGE DR
9UBD 1 V I S I ON. , . . a ASPEN R I DOE 7.ON I NG s
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 948
CLASS OF WURK. r NEW
TYPE OF USE. . . i SF
UXUPANCY GRP. s R3
OCCUPANCY LOADr226 h
rFNANT NAME. . . c
Remarks.- PATH I
Clwn er,r -.......
CHARTER HOMES
10 705 93W 1`-i3RI? PL
BEAVERTON OR
Ph:+ne M a 579-0c !b
Coll tractor:
CHAR-.ER HOMES
10705 bvil 153Rri PL
RE;AVE:RTCII: UR 9'0107
Phone 01 579-.0216
Reg #. . a 64938
Uc•cupanr:y of the <abuk,a refmrenced hl.lild,ing it hereby given, and Certifies
the compliance with the Estate (If Oregon Specialty Code.$ fur the group,
orcursoncy, and use under which the referenced perreit was i%sued.
FIRE DEPART'MENr ILDIN SPS�c. R o'T
9 � ,
44 A
POST IN CONSPICUOUS PLACE ,
I I
.I
city of Tigard BuilcUnq Department
13125 M Hall Blvd. 'Yigard, Oragon 97'723
Inspar_tion Lino (Roc-O-Phoaa)t 639-4175 Butincee Fhonot 639-4171
Inspectiont___
Footing Plbg. U Aerslab Hoch. Rough-in Appr/Bdwlk
Found. Plbq. Top Out Gas tAno •I t,
Post/Beam Strutt. San. Bower Framing .
Post/Ream Hoch. Rain Drain Insulation -plumb.
Plbg. Un.7ertloor WaterLineGyp. Rd. -XW1k.
Date Requestefit� IL7` l— f :/ Timet F !11
Addreee:_�, l N d Nrmit f,
Builders
TBS FOLLOWING OORRSk"PIONS ARS RWIUIRKDt
Inepeotort .�_ Datet
-4-�^ _
APpaOVSD nISAPPROVRD APPROVSD SDB.T[CT To ABOYt
/ Call For Reinsp.
INSPECTION NOTICE
City o2 Tigard Building Department
13125 OF ball Mrd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-6175 Business Phona: 639-4171
Inspecti.on:___�—
Footl.ng Plbg. Underelab Neoh. Rough-in /Ildvlk
round. Plbq. Top Out Oar Line 3'IBi1LM
i
Post/Beam Struct. San. Sewer Prying -Bldg.
Post/604m Hach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater LL My, Gyp, Rd. -Moab.
Date ReQueatedt �� J T1Mt ------M PI(
AAdreeat__1_l._1U I���L]Q 1(� 1 \ Pemit Ori"`SV15 aXI
Builders
YBE FOLLOWING CORRECTIONS APR RRQ111RED:
Inspectors l i 7yj�i�Y —�-- -- -— Dater
_L.11 11PPlMIOViD DISAPPROVRD APPROVRD SURJECT To ABOVE
Call For Rel_nsp.
I
N SCION yYOT�CF , 1
City of Tigard Bullding Department
13125 81i Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-4-Phone)e 639-4175 Business Phone: 639-4171
inspectton i�
Footing Plbg. Underelab Mach. Rough-in Aper/Bdwlk
Found. Plbg. Top Out Gas Lino FINALi
Post/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Moth. Rain Drain Insulation ..Plumb.
Plbg. Underfloor Mater Lina Grp. Bd. _fib.
!
Date Requestedt ,.-;?� /-- Times ¢�- AM PM
"dreass -11-7 0 R��� l Permit /:1'1J`
BuildertC L' [L
THE FOLLOWING OOAAEMONS ARE REQUIREDt
Inspectors �K _ Date:
_L"APPROV=D DISAPPROVED APPROVED BUBJECT To ABOVE
_ __Call For Relnsp.
INaPS.4'�+-go_7Ic'_
c ity of Tigard Bhi.ldi g Departarnt
13126 ew Bell Blvd. TJVard, Oregon 97223
Inspection Line (Rec-O-PhotM)i 639-4175 Business Phones 639- .171
Inopaation s
Footing Plbg. Underslab Mech. Rough-in Appr/9dwlk
Found. Plbg. Top Out Gas Line FIUALt
Post/Re-un Struct. San. Sewer Framing -61
Post/Beam Mech. Rain Drain Insulation -P `
Plbg. Underfloor Water Line Gyp. Rd. �Meoh.
Date Requestedt �> > Timet AN ____M
Address Permit
Ruildors
TEM FOLLOWING OORUCT UMS APB RRQUIREDs
Aet_ wzq_,e1:jz ale
t
' o
Inspectors_ %L�J Date t
APPrAYM v DISAFPAOM APPrly"M sOBjuCT TO AMM?*
,, y Gll For Reinep.
City of Tigard Building Department
1312.5 SA Ball Blvd. Tigard, Oregon 97223
Inerection Line ((Rec-O-Phonw)t 639-4175 Business Phone: 639-4171
Inspections
1paoting F1 . Underalab Rough-
in Mach. Rough In Appr/Bda•lk
Found. Plbg. Top Oft Gas Line FINALt
Pant/Ream 3truct. Ban. Sewer Framing -Bldg.
Past/Beam Mach. Rain ^rain Insulation -Plumb.
Plbg. underllcx3r Mater Line Gyp. Rd. -Moch_
Dates RraquesteJt_
T AM PM
Addreset �f it 40
Builder:
Rulldera -Aze:f
THS MLLOWING CORRXCTIONS ARE RSQUIRBDs
i
Inspeotort Dat*1
^APPROVSD ^_ LIISAPFROVSD MPWWRT) SUB3RCT TO ABMR
Call For Reinsp.
jYQn—C jqr--N_M4;z
City of Tigard Building Departsrnt
13125 Sp Hall Bled. Tigard, Oregon 97223
Inspection Linc (Ren-O•-Phone)i 639-4175 Business Phonet 639-4171
Impaction:
Tooting dlbg. Underelab Mach. Raagh-in Wlk
Found.
Plbg. Top Out Cas LJ,:e FINJIL�
Post/Beam struct. San. Sewer Framing -lldg.
Post/Boam Mach. Rain Drain Insulatloz. -Plumb.
Plbq. Undartl:>or Nater Line Cylp. Bd. 46190h.
Data R"zest.edzTiMfAN I+M
7
Addresot l�sfit -�Q
Builder z• 1 > 7
TBE FOU"TINO CORRECTIONS ARE REQUIRED. - -—
G t./ /
C- C7 le6A
7b f'.E'oT�c�7' ,ri�yiSff .
Inspector=_("�1 - �r
_ r-
Datez- �
5
i
--"PPA3v1M DISAPPROt►Ep APPWNED 4UBJECf To AgMZ
Call For Reinap.
T
City rf Tigard Building Departennt
13125 IIs! Ball Blvd. Tigard. Oregon 97223
Inspection Lino (Rec-o-Phone)t 639-4175 Buainose Phonet 639-4171
Inspsctlon: —
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Erasing --Bldg.
Post/Seam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line CGyp. Bd. j -Hoch.
Date Psquestedt 5— Tll �"2x�e PH
Address: j Persit at�3
/ v
Builder:
THE FOLLOWING ooRR=CTIONS ARE MUIRRDt
Inspector: � -,------_- -- Dates
APPROVED DISAPPROVED - _ APPROVED SUBJECT TO ABOVE
Call For Reinap.
JNSPECTIOti.NOTIcE
City o! Tigard Building Uepartasnt
1312.5 EN Sall Blvd. Tigard, rrregon 97223
Inspection Lina (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspections n f � ��� •/s' _�
Footingp `
lbq. Undarelab Mach. Rough-in APer/sdwlk
Found. Plbg. Top Out Gas Lina FINALS
Post/Beam Struct. San. Sewer `_Framing -Bldg.
Post/Beam Mach. Rein Dratn Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. --Mech.
Date Requested: --Time: AM PM
Address: Permit 1:. '� 3"Oyrip
r/I
Builder:
THE FOLLOWING CORRECTIONS ,Qg REQUIRED:
i
Inspector: — —� _ Dates
— _APPROVED —_- DISAPPROVED — APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPE,TION NOTICE
City of Tigard Building Depactsent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phnne): 639--4175 Businene Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/SSdwlk
Found. Plbg. Top Out Gas line-�/ 'L FINAL:
L/Beam Strutt. 1 San. Sewer Framing -Bldg.
Beam Merl. J Rain Drain Insulation -Plumb.
Plbg. Undjrfloor Water Line Gyp. Bd. -Hoch.
Date R eeted: S _Time: 11M PH
Date
��
Address: 2j .10it It
Builders_ _
THE FOLLOWING CORRECTIONS ARE REQU1RED1
/- _
Inspector:_ _ — _-- '- Dates 7.3
APPROVED ` DISAPPROVED APPROVED BIJEJECT TO ABOVE
Call For Reinap.
114'PBCTION NOTICF,
City of Tigard Building Department
13125 SM Ball Blvd. Ti-lard, Oregon 57223
Inapection Line (Rec--O-Phone): 639-4775 Business Phone: 639-4171
Inspection•_ _
Footing Plbg. Underalab Hoch, Rough-in Appr/Sdwlk
Found. rllbg. Top Out Can Lina FINAL-
Post/seam Struct. aS D, Sok'Rr Framing -Bldg.
i
Pont/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Umierfloor star Lino Gyp. Bd. -Hoch.
Date Requested: ��^ Timet __—AM PH
Address: fl
Bui.ldert
THE FOLLOWING ODP.RECTIONB ARE REQUIREDt
—
Inspectors G ��. --` ?j"� �-C! `
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
_Cell For Reinsp.
it!SPECTION_NOTICE
C'ty of. Tigard Building Department
131:2.. SW Bal' Blvd. Tigard, Oregon 97223
inopection Line (Rec-O- hone): 639-4175 Runlneasa Phone- 639-4171
Inspect Ls i* __
sPnoting Plag. Underalab Mech. Routh-in Appr/Sdwlk
IL Plbg. Top Out Gas Line FINAL:
tL :/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
bg. Ur.derfl� Nater Line Gyp. Bd. ke�c hDate Requesteds TimesAMM
Permit
EuJIderr��'��
THE VOLIAMI110 l'TIONS ARE RsQOIRMU s
Inspectors • �_— Datet_ 3
r --
�[ APPROVED DISAPPAOVEp APPROVED SUBJ1!CT 1'O ABOVE
7�' Call For Reinsp.
C11YOF AGARD
(CrIly RD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT oamaoee PERMIT
13126 S%A!HWI Blvd. P.O.Sm 2XW,Ti"M,Ompon W7223(SM)W"1 r5 PE fill IT' 0. . . 614k.): -0065
639-4171 DATE ISSUED: 02/18/9,1-)
SITE ADDRESS. . . 1 -14-8-36 SW ASPEN RIDGE DR PARCEL: 2S11061)- i-ikVi4t:�
SUBDIVISION. . . . : ASPEN RIDGE ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :48
---------- -------
TENANT NAME. . . . . .
USn NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NG UPI I*TS. . i I
TYPE OF USE. . . . . :SF NO. OF BUILDIN66: 1
INSTALL TYPE. . . . C BUSWR IMPERV SURFACE. . :
Remarks: PATH I
Owner. ------------------------------------------------------- FEES
CHARTER HOMES type amount by date reept
10705 SW 153131) PL PRIIIT � 2100. 000 JH 02i.18/93 —
INSP $ 35. 00 JH 02/18/93 —
BEAVERTON OR
Phone #: 579-0P16
Contractors
CONTRACTOR NOT ON FILE
--------------------------------------
$ 2135. 00 TOTAL
RLUUIRLD INSPECTIONS
This Applicant agrees to comply with all the rules and requlai,.ons Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will he forfeited if the
permit expires. The Agency does not g,iarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distanr.�r given. If not so located, the installer shall p-irchase
a "lap wid Side Sewer" Permit and the Agency will in:tall a lateral,
V.,erptitte? Si gnat
Issued By :
Call for inspection 639-4175
C17YOFTIFARD
MASTER PERMIT
*CM1TYVVA4C0vFA110VDPERMIT #. . . . . . . a MST93-0069
COMMUNITY DEVELOPMENT DEPARTMENT ra12s SW Hmil Bhai P.o.Bac 23997,TOW,Or"M 472'x!.AN)43"i6D O I E. I S S UE D a 02/11/93
SITE ADDRESS. . . : J,-� SW ASPEN RIDGE DR PARCEL a 2S 1 10BD-AR046
SUBDIVISION. . . . : ASPEN RIDGE ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :48
.-_----_--------------------,_--__._ BUILDING ---._-_--_-_-----_-_-.-------------------
REISSUEa DWELLING UNITS: 1 BASEMENT. . . . . . . . .0 sf
CLASS OF WORK. :NEW BEDRMSa3 BATHS a3 GARAGE. . . . . . . . . . :6137 s
TYPE OF USE. . . sSF FLOOR AREAS----------- REQUIRE;D SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . : 1698 s f LEFT. . -.5 ft RIGHT'. : 15 ft
OCCUPANCY GRP. a R3 SECOND. . . : 1392 sf FRONT. a 2O ft N.EAR. . a 30 ft
STORIES. . . . . . . s2 THIRD. . . . :0 s f REQU I REL)- --------------------
HEIGHT. . . . . . . . :26 ft TOTAL------:3090 a SMOKE DETECTORS. :Y
FLOOR LOAD. . . . ..40 psf VALUE. . . . . fe 15651J PARKING SPACES. . : 1
Remarks: PATH I
------------------------------------ PLUMBING ---------------------------------------
SINKS. . . . . . . . . . . I
----------•-----------------------------
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . &0 PALKFLOW PREVNTRS. . a0
LAVATORIES. . . . . :5 WATER HEATERS. . . a1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . s3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :@
WATER CLOSETS. . a3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . a1 WATER LINE (ft ) . : 100 OTHER FIX'TURES. . . . . :0
GARBAGE DISK. . . : 1 RAIN DRAIN (ft ) . a0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
------------- MECHANICAL MECHANICAL -----------------.----_---------- FEES
FUEL TYPES------------ UNIT HTRS. . aVF type amount by date recpt
/UA5/ / / VENTS . . . . . :0 TIF $ 1460. ON JH 02/11/93 X
MAX INPUT:@ BTU VENT FANS. . :4 BPRT $ 575. 50 JH 02/11/93 X
FURN ( 100K . . a O HOODS. . . . . . : 1 HPLC $ 374. 08 J1_H 01/29/93 93-23613'L.
FURN ) =100K . . : I WOODSTOVES. :0 B5PC $ 28. 78 JI1 02/11/93 X
FLOOR FURN. . . . :0 CLU DRYERS. : i SSDC $ 280. 00 JH 02/11/93 X
:SOIL/CMP ( 3HPa0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/ 11/93 X
GAS OUTLET8: 1 MRRT f 45. 00 JH 02/11/93 X
Owners -------------------------.---------------NPLC f 11. 25 JH 02/11/93 X
CHARTER HOMES M5PC $ 2. 25 JH 02/11/93 X
10705 SW 153RD PL PPRT $ 162. 50 •"H 02/ 11/93 X
P5PC $ 8. 13 JH 02/11/93 X
BEAVERTON OR
Phone #: 579-0216
Contractor: ------------------------------
CHARTER HOMES
10705 SW 153RD PL
BEAVERTON OR 97007
Phone #a 579-0216
Reg #. . e 64938 -------------------------------------------
$ 3447. 49 TOTAL
This permit is issued subject to the regulations contained in the -- ----- REQUIRED INSPECTIONS --- ----
Tigard Municipal Coder State of Eyre. Specialty Codes and all other Foot/found Insp Fireplace 1 n s p
applicable laws. All Mork will be done in accordance with approved Flo s t/Beam S t r u c t Gas Line Insp
plans. This permit will ex;rire if work is ft!t started within 1EI0 Post/Beam Mechan Insulastion Insp
days of issuance, or if work is susp ed f JAn in lm/undslarb Insp Gyp Board Insp
'L /Underfloor Rain drain Insp
Permittee 5i.gnature _ chanical Insp Water Line Jnsp
Plumb Top Out Appr,/Sdwlk Insp
Issued By: _ _ Framing Tnsp Mechanical Final
Call for inspection - 6.39-4175
C17YOF71FARD Cm PLUMBING PERMIT
PERMIT #. . . . . . . a MST93-0069
COMMUNITY DEVELOPMENT DEPARTMENT 011500" DATE ISSUED: 02/11/93
13125 SW HeN Blvd. P.O.Boy 23W.TI"d,` ' °"of (SW)630-4175
K
EXTE �.��
SUBDIVISION. . . . a ASPEN RIDGE ZONINGS
BL.00K. . . . . . . . . . a LOT. . . . . . . . . . . . . 148
--...----------------------------------..----------_.------------------------------_
CLASS OF WORK. . aNEW GARBAGE DISPOSALS. . e1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . rl BACKFLOW PREVNTRS. . eO
OCCUPANCY GRP. . s R3 FLOOR DRAINS. . . . . . . 10 TRAPS. . 01 0
STORIES. . . . . . . . 12 WATER HEAT'ERS. . . . . . el CATCH
FIXTURES-------------- LAUNDRY 'TRAYS. . . . . . i1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . el GREASE TRAPS. . . . . . . e0
LAVA'TORIES. . . . . 15 OTHER FIXTURES. . . . . s0
7UA/SHOWERS. . . . s SEWER LINE (ft) . . . . :0
WATER CLOSETS. . s3 WATER LINE (ft) . . . . e100
DISHWASHERS. . . . it RAIN DRAIN (ft ) . . . . s0
Remarks s PATH I
OWNER: ------------------------------ ------------------FEES-------- ---- — .___...
CHARTER HOMES TIF f t 460. OO JH OP/11/93 X
10705 SW 153RD PL BPRT $ 575. 50 JH 02/11/93 X
BPLC $ 374. 08 JLH 01,,'29/93 93-236135
BEAVERTON OR BSPC $ 28. 78 JH 02/11/93 X
Phone #1 579--0216 GSDC t 280. 00 JH 02/11/93 X
PARK $ 500. 00 JH 02/11/93 X
Plumbing Contractors------------------ MPRT $ 4`;. 00 JF-1 02/11/93 X
MPLC $ 11. 25 JH 02/11/93 X
Name e_ ` M5PC $ 2. 25 JH 02/11/93 X
Address: _ 17+`RT f 162. 50 JH 02/11/93 X
C± tye +_ r Statee� P5PC f 8. 13 JH 02/11/93 X
Zips Phone#s
Reg #c
-------- REUUIRED INSPECTIONS --------
T'liis permit is issued subject to the reg-
ulations contained in the Tigard Municipal F=oot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Frost/Seam Struct Water Line Insp
other applicable laws. All work will be done Frost/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Film/undslab Insp Mechanical Final
permit will expire if work is not stained PLM/Underfloor Plumb Final
within 180 days of issuance, or if woirk is Mer-hanical Insp Building Final
suspended for more than 180 da ,s. Plumb Top Out Erosion ConLrnl
Framing Insp Trawl Drain
\ Fireplace Insp
Gas Line Insp — -
Insulation Insp -
y� Gyp Board Insp -
'i�t�thor.irr� F 1 -� ng C . n c t:orWSigne jure
Lail for inspection - 639-4175
f..:ont:ract:or Notes:
I�
f
i C:I7'Y' OF I I(_iARD — 14-CL.IPT UF- PAY'M1 N1 kt:C'k•IPT Nl.�, 193—r;36f. ,"Sk
CH0.'K AMUI.INT 1 5332. 4`i
NVIMF z CHARTER HOME"' GASH AMIJUN r 1 111. 00
cai7l�RF.G;> a 107055W 153RD F'LWI:E:. PAYMENT DATE
:aUDIVI`✓I0I�1 1
DrAVr=HTI:'N, t)R 9I�l++Z►�7—
IF'IIW I)SE OF PAY M:.NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
DI.JII rPINU F'E17M_ .. 7 J. `@ f`'I.UMDINI-i E'LkM^. 162. 50
IMEI-;Jli4NICAL F'E 45. k10 ,r. BUILD PER 39. t6
11-AN C:H11% FE 1-155. 33 SEWER USA 100. 00
` Sf:WEH INSPECT35. c00 PARKS SDC 5000. WN
W FIRM DRP I N SDC t-'E.10. 04, kE 5 T DENT I AL TRAFFIC FEE'S 13'SR►. 00
MASS T RANb T T TIF FEES t t IA. 00
I
i. 10336 `.�W ASPt'N RIDGE DR
I OT 48 A'L4VILN R I DUE
TOTAL AMOUNT PAID — — — —1 553 3-='. 49
i
PLNCK. RECT # 3
CITYOF TIGARD 13115SW,IsII11Ad. /
PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT
Ti6,ua(h
, eton 97113
(.503)63"171 DATE ISSUED
f
I l 1
JOB ADDRESS: �� � S/'��� l<'/I Y C�� TAX MAP/L01
SUB: LOT: �s — LAND USE: - — ---VALUATION:
QWNER 5P ,IAL NOTES
NAME: �� fe Y Tt✓ �'1v � _ REISSUE OF:
ADDRESS: /:. 7 �� �= 1 `--
�E�1 ) �_,f LAST REISSUE:
FLOOD PLAIN/ _
PHONE: r,7 '� . SENSITIVE LAUD:
CONTRACTOR ` 0 APPROVALS REQUIRED_ 5(19 1?2!
NAME; -'¢��� PLANNING: az
ADDRESS: ___ ENGINEERING: _
FIRE Df PT:
PHONE: _ —--_ ---- OTdER:
CONTR. BOARD #: EXP DATE:
ITEMS RE: UQ IRED
LIST SUBCONTRACTORS: me
SUBCONTRACTORS: PLUMB:
LIST/
SUBCONTRACTORS:
BUS TAX:
ARCH ENGINEER ,�e� �Ntin � h 5 CALCULATIONS:
NAME: � 1�6 l�i c� y� �'k TRUSS DETAILS:
ADDRESS: OTHER: --- -- -----
_s1�2 �L
PHONE:
PRGPOSED BLDG. USE: ' �� _
COMMENTS: - 1/ L� -- -- -
APPI CANT :iIGN UR
Received By: Date Received: �' ���-�_
Pt
PERMIT Y ACCT N DESCRIPTION AMOUNT AMOUNT PD. -BAL. DUE_
If15 .� vuG �( 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 2,S;)
_._ 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Bu i I d i 11(l 1JV
Pl umb i ng �•I S
Mechanical
;0-433 00 Plans Check FeeS.�j L '�d. c _}
Building
z _—
Plumbing
Mechanical /1. L
10-230 06 Fire _
SJ3-uvLS'3O-202 00 Sewer Connection i� _ d2/vU
30-444 00 Sewer Inspection ;3 s� 35_
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 '" 1.350
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) 501 _-5oo
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) o;t eo
24-445-01 Water Quality (Fee in lieu of)
24-445••02 Water Quantity (Fee in lieu of)
TOTAL
nn/31,R11'.WPF
, ,�A,.� ryf.„..., • -v.__^,----�-.^^yK..mav,�r,.'�'�.�1^".....y...waw..,.•.w..e.�+r�.rrnw..:we'wrs.w.,..«.rn a.�...w.....,«.,..... .• t �_ ' ....._._ .- __ ....._ .._. _.
i
CITY OF 1 16ARD RE.0 L I VT OF PAYME.N I FrLCE I PT NO. w y�- c'3�+1•a�
CHECK AMOUNT a W'`�r0.•00
NAME CHa4RTER 14014E5 CASH AmouN f 0. 00
Vil)DRES6 s l0i05 5W i53RD PLACE. PAYMENT DATE: 01/89/93
,USD I V 15I ON
BEAVERTOV4, OR S7007--
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Pl AN CHECK FE 250. 00 -
PLANCHELK
tiE.136 [iW AST, NWID(+E: Dk1VF..1.0T tt,t£l
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TOTAL AMOUNT PnIb 00 {