Case File ADDRESS :
11'x'
i ',records\microflm�targets\building.dcc
Cf•.'RT'IFICATEr OF
k.lrf• F TIG"'At*RD PERMIT 0. CCUP. . . . FiN7YM� T�?�'-0.�tr
COMMUNITY ONVELOPM61 '"DIPAAT~
ISit$GWH40Nva.1'lgwd,Qmg" stJ.a08100 (MMIM171 DATE ISSIJED1 05725/93
61 TE ADDRFGE:. .. . c 12101) 9W ANTON DR PARCEL s I S 134CA-1 3600
SUBDIVISION. . . . 1 ANTON PkRK #P ZONING:
BLOCK. . . . . . . . . . L11T. . . . . . . . . . . . . 16:3
CLASS (IF WORK. 1 Nlw W
TYPE OF USE.. . . 1 SF
OCCUPANCY GRP. i R3
OCCUPANCY L0AD1116 4
TENANT NAME. . . 1
Re1Aarks t PATFJ I
Own ere
FOUR D CONSTRL:CT I ON
P O BOX 1 577
AEAVF RTOi4 OR 97075
Phono Mx 641 -0935
FOUR D CONBTRIJCI'ION �
PO Alla 1577
BEAVERTON [1R 97075
Phone M1 641-0935
Reg #. . 1 71031
Orcotpancy of the Above rgfetenc_•ed building is hereby Wiyen, and certifies
the compliance with the State±! Of Oregon gper.i silty Code9 for the gt . ,ap,
occupancy, unci time under which the referenced permii was in sued.
DEPARTMENT r4� --
FIREF I .IAL
POST IN CONSPICUOUS PLACE
,�RaPacrxoN r�oTx�
ctt7 of Tiga-rd Duildiaq Department
13125 aW Hall alvd. Tl.gard. Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phones 639-4171
Inspe^.tionc_-
Footing Plbg. Underelab Neoh. Rough-in Appr/Sdwlk
Pound. Plhq. Top Out Gas Line //FINALs
Port/Roam etruct. San. Newer Framing ldg.
Post/Roam Hoch. Rain Drain Insulation -Plumb
Plbq. Underfloor Water Lima Gyp. Rd. -IHoh.
Date Requested, i _ Time: AK PM
C �
Address,_ Parmft at
Builders 6 —..--
THE FOLLOWING CORRECTIiNIS ARE REQUIRRD:
liC>
Inspector: Dates
APPROM DISAPPROVRD APPRMND RURJECy To ABLY!
For Reinsp_
city or Tigard Building Departsaent
13125 HN Balk Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons): 639-AI75 Business Phones 639-4'71
Inspections.---
Fo-ifing Plbg. Onderslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam 8truct. Sen. Sewer. Framing ldg,_._,
Punt/Beam ?4m-h. Rein Drain Insulation
Plbg. underfloor Mater Lim Gyp. Bd. �
Date Re"ogtwli '. ^f7l `
Tim I PN
Pertsft f s
Butiders___ L
T" FOLLOWING OORREcrIONS "x RLQUIRBD:
Inr poctorf
APPhDVBb DISAPPRM,RJ APPROVED SU&TZCT TO ABOVE
v'
Call For Rsinsp.
INBPBLITTIONMr—ICE 1
City of Tigard Building Departiannt 11;
13125 SR Bali Blvd. Tigard, Oregon 972:13
Inspectlan Line (Ree-O-Phone): 639-4175 BusineBP "hone: 639-4171
Inspection:--. -- ----- ---------.--- _
Footing Plbg. Underalab Mech. Rough-in =pp.-/Sd-lk
Pound. P1bg. Top Out Cas Line FINALS
7oat/Beam Struct. San. Bower Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Lin Gyp. Bd. -Hoch.
Data Requee/tedf J _T,liim�ess 17-- AM PN
Address- ! - l !(�Petmit s� �C
Builders -t7 Z — Z Z J
THS -gLLORING CORRECTIONS ARE REQUIRM
�l ��-P (2 7QA ttiLcN� Tb ba/TNTd
j"
15LJ
Inspector: �p ��J7Iij -- Deta: _`2 Ax '
AnPROVED DISAPPRm1VED APPROVE/ SUBJECT TO AMAZE
__Call For Reinep.
jwJw'tOM NOTICE
City of Tigard Building Departesent
13125 SO Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Drwtness Phone: 639-4171
t. L/
Inspection:,
Footing Plbg. Under-lab tach. Rough-in Appr/Sdwlk
Eland. Plbg. Top Out Gas Line FINAL:
P"st/Beam Struct. Sen. Sewer Framing -Bldg.
Posto'3eam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Ed. -Mach.
Date Requested: 1 Times �_AN PM
Address / Permit /s_ - 7�
Builders
THE FOLLOWING CORRECTIONS Afi .MM
Inspector: 4�y,/ Date:
4-APPROVFP DISAPPROVED APPROVED SURJNCT TO ABOVE
�_C411 For Reinep.
IK9PiCPIOJi N(ri'IC1R
City of Tigard Bulldinq Dcpartasent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons)t (•31-4175 Ousineas Phones 639-4171
Inspections------- -- --- - -- ----- - ----
Footing Plbg. Underslab Mach. Rough-in f.ppr/lidwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Ntruct. San. Sewer Praming - -Bldg.
Post/Beam Mach. Rain Drain i Insulation -Plumb.
Plt,g. Underfloor Nater Line Gyp. Ed. -Mech.
Date Requested: Timet AM _PM
Addreess �� / Permit
Ruilders___L__ _
THE FOLLOWIMn CORRECTIONS ARE REQUIRED:
Inspectors Data: �_L �-
1 ---- - -------
y APPROVED DISAPPROVED APPROVED SUR"FcT TO ABOVE
__Call For Reinsp.
INSPECTION NOTICE
Ctty of Tigard Building Department
1.3125 9W Hall Blvd. Tigard, Oregon 97223
Ina1`ection Line (Rec-O-Phone: 639-4175 Buai.nees Phone: 639-4171
L:epection:—
Footing Plbq., Underel,ah C�h. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer. ="Framing .J/ -Bldg.
Poet/Beam Hoch. Rain nrain Insulation -Plumb.
Plbg. Underfloor Nater Line Cyr. Bd. -Mech.
Date Requenteds �L Times AM PH
Addrese:-_��L_fC__L }'L Permit /tC✓��
Builder:
T14E FOLLOWTNG CORRECTIONS ARE REQUIRED:
0a I
Inapectorv' Dat.: 3-119-19-3
APPROVR0 DISAPPROVED APPROVED SUBJECT TO ASM
e.I'M �--- .� Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13115 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4375 Business Phone: 679-4171
Inaper_tion: --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. lbg Top Out Gas Lina FINAL+
Post/Beam Strutt. San. Sewer Fram..09 -Bldg.
Poet./Ream Mech. Raiv Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mesh.
Data Roquantode� //�� `1 _ Tom' AN PN
Address, 1) Permit
Ru iIdar:_—
-- --
THF, FOLLOWING CORRECTIONS ARE REQUIRED:
Inepector: _.44- Data. ~ / �
APPROVED DISAPPROVED APPROVED .SUB.TECT ^.'O ABOVE
.J`
Call For ReInsp.
1119PECTION NOTICE
City of Tigard Buildirn± Departasent
13128 BA Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rea-O-Phone): 639-4175 Business Phone: 639-4171
Inspect.Lon s
Footing Plbq. Underelab Mer_h. Rough-in Appr/8dwl,k
Found. Plbg. Top Out Gas Line FIMALs
Post/Beam Struct, en. 8 Framing -Bldg.
Poet/roam Mach. ain�� Tnsulation -Plumb.
Plbg. Underfloor or Lino Gyp. Bd. -Meeh.
Date Requested: Time: _ AM PM
Addresn:1_0"L/ 10 g /YLJ '_-_ Permit #s �"_,o 3
Builders -THE FOLLOWING CO CTIONS 77E RAgUIRED.
J
----------
Insper_tors L - -- - -- --- __ Dats:�'�� _
APPROVED UTSAFPROV'F.11 APPRt rl) SUBJECT TO ABOVE
call For Painrip.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tkgard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4771
Inspection:_ ti.
Footing Plbg. Underelab Me4�u h-tn A c� 9 PPSdwlk/
Pound. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct� San. Sewor Framing -Bldg.
l 410st/Beam Mach. Rain Drain Insulation,' -Plumb.
Plbg. Underfloor Water Lino ? Gyp. Ed. -Mach
Date Requested: p" �"-� / Time: AM PM
Addreea:,�� CJ �/jL 4iI Y�J^ Permit
Builder.:
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
nspector:_i DateZ Z / c
--- ------ : � _ate
y APPROVED DISAPPRJVED APPROVED SUBJECT TO AJOVE
Call For Reinsp.
INSPECPION NOTICE
City of Tigard Building Departc:ent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Urderalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out One Line FINAL:
at/beam-StruSen. Sewer Framing -Bldg.
pat/Beam Kwh. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line / Gyp. Bd. -Hoch.
Date Requeatedt-_ ) -�y`�� Time; AN
Address: - 1,zL1Oq /Jl A.//�'( A --- Permit
Builders
TBE FOUMVING CORRECTIONS ARE REQUIRED:
Inspector: ---- A Date:
^ "PRIIIUD DISAPPROVED APPROVRD SUBJECT To ABOVE
---Call For Reinap.
iNSPI:CJ TON NOTICE
City of Tigari ::gilding netaartwent
1312S RW Ba.'1. RI d. Tigard, Orego.a 97223
.uepec'tior C L. * 4er.-.'-F •:rul s 639-4175 Business Phones 639-4171
Footinc Plbg. Underalab n9ch. Rough-in Appr/Sdwlk
Found Flb.-. Top Out Gas Line FINAL:
Pont/Beam struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Under*r*:oo Nater Line Gyp. Bd. -Mach.
Det; Requesteds 2= ----Times _ lUi z__PM
Address: 7 Permit #t
Bu 'dere
THE FOUXVINO CORUCTIONS ARE PAQUIR=Dt
Inspector: �/ -'� _ Dates JOp
—' 'Z
AAPPROVED DISAPPROVRD AFFROURD SUWNCT TO ADM
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Bw Ball Blvd. Tigarc, Oregon 97223
Inspection Lina (Rec-O-Pi:one;: 639-4175 Business Phone: 639-4171
Inspection:_____-_______
Footing Plbq. Underslab Mach. Rough-1.n Appr/Sdilk
!gond. Plbq. Top Out Gas Line FINALt
Post/Beam Struet. San. Sewer Framinq -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lire Gyp. Bd. Az� Mach.
C L lf• ��-x/ PH
Dates Requested: hh Tlme� ---.-s-AM
Address: i,w C � fL[ J'i _ Permit #i O
Builder:__
THE lOLLOWINO CORRECTION8 ARE REQUIRED:
Into
�---� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call Ror Reinsp.
CIIYOFTIFARD CITY TWID �'LUIYIBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 01616CM 11:RP1IT #. . . . . . . . MST92-03 18
13125 BW HWI Blvd P.O.Ba23207,Tigewd,Oregon 97 (SM)S304116
LC11Yj%%1D
DATE ISSUED: 02/01/93
S ITE ADDRESS. . . : 12 109 SW FENT ON DR PIARCEL: IS134CB-AP063
SUBDIVISION. . ANTON PARK #2 Z 01\1 I NG
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . t63
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYVIE OF USE. . . . :SF WASHING 110CH. . . . . . . il BACKFLOW P'REVNTRS. 0
OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :0
STORIES. . . . . . . . : 1 WATEF HF.'ATERS. . . . . . . I CATCH BASINS. . . . . . . t
F-IXTURES--------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAING. . . . . : i
SINKS. . . . . . . . . . . I GREASE TRAPIS. . . . . . . :o
LAVA-TORIES. . . . . :3 OTHER FIXTURf-'S. . . . . ..0
TULI/SHOWERS. . . . : SEWLR LINE (ft ) . . . . :O
WMER CLOSETS. . :2 W(i ; R LINE ( ft ) . . . . : 100
DISHWASHERS. . . . -. 1 M1111 DRAIN (ft ) . . . . :O
Remarks : PA)H I
OWNER: ----------------
1--'OUR D CONSTRUCTION TIF $ 14GO. 00 JH 02/01/93 —
1'' 0 BOX 1577 BPRT $ 361. 00 jH 02/01/93 —
SPJLC $ x:34. (,5 JLH 12/ 16/92 92--234723
BEAVERTON OR 97075 95PC $ 18. 05 JH 02/11011/93 —
V-1hone #s lb,il--0935 SSDL, $ 280. 00 JH 02/01/93 —
PARK $ 500. 00 JH 02/01/93 —
[')Atmbing Cori t ract or. - MPRT $ 40. 50 JH 02/01/93
MPLC t 10. 13 JH 02/01/93
Name :_ M5PC $ r-,. ill 3 JH 02/01/93
Oddre s s: Pl:,RT $ 13L. 50 JH 02/01/93
C i t Y . __5 t at e P5PC $ 6. 63 JH 02/01/93
Z i ry: Phone#.
Reg
------- REUUIRED INSPECTIONS
I'his permit is issued subject to the rerl—
ulations containyd in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes =.trid All Post/Beam Struut Water Line Insp
other Applicable laws. All work will be done Flost/Beam flechan Appr/Sdw1k Insp
in accordance with approved plan-,. This Plr/,Andslab Insp Mer-nanical Final
permit will expire if work is not started FILM/Underfloor Plumb Final
within 180 clays of issuance, or if work is Mechanical Insp BUildinq Final
suspended for, more than 1180 days. I-Ilumb 10P Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Board Insp
f4L(th0riZedjV'ILlMt-Jjnq Contractor Signature
Call for inspection 639-4175
C.ontractni Notes :
CITYOFTIFARD
CFI*YRD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
| 639-4171 DATE ISSUED: 02/01/93
�
SITE ADDRESS. . . : 12109 GW ANION DR PARCEL: 1S134C@—AP063
SUBOIVISIDN. . . . n ANTON PARK #2 ZONING:
BLOCK. . . . . . . . . . o LOT. . . . . . . . . . . . :63
--------------------------------
BUILDING
RETSSUE: DWELLING DWELLlNG UNlTS: 1 BASEMENT. . . . . . . . n0 sf |
CLASS OF WORK. :NEW BEDRMS:3 8ATHS:3 GARAGE. . . . . . . . . . :410 sf �
�
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED
TYPE
—
TYPE OF CONST. x51\1 FIRST. . . . .- 1489 mf LEFT. . :5 ft RIGH T. :5 ft
OCCUPANCY GRP. xR3 SECOND. . . :0 sf FRONT. :20 ft REAR. . :53 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUlRED------------------- �
HEIBHT. . . . . . . . : 16 ft TOTAL------: 1489 S SMOKE DETECTORS. -.'Y
FLOOR LOAD. . . . :4N psf VALUE. . . . . $ : 75874 PARKING SPACES . : 1
Remarks: PATH l
--------------------------------- PLUMBING -----------------------------------
SlNKS. . . . . . . . . . x1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . :0
LAVATORIES. . . . . n3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SK'OWERS. . . . :2 LAUNDRY TRAYS. . . : 1 LATCH BASINS. . . . . . . :0
� WATER CLOSETS. . s2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
�
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :N
| 6ARBAGE DlSP. . . x1 RAIN DRAIN (ft ) . x@
WASHING MACH. . . : 1 GF RAIN DRAlNS. . : \
--------------- MECHANICAL -------------------------------- FEES ------------
� FUEL TYPES----------- UNI-i' HTRS. . :0 type amount by date reopt
/GAG/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH 02/01/93 —
| MAX INPU7:0 BTU VENT FANS. . :3 BPR[ $ 361' 00 JH 02/01/93 —
| FURN ( JO0K . . o1 HOODS. . . . . . : 1 BPLC $ 234. 65 JLH 12/16/92 92-234723
FURN > =100K . . :@ WOODSTOVES. :O B5PC f 18. 05 JH 02/01/93 —
FLOOR FURN. . . . :W CLD DRYERS. : 1 SSDC $ 28LA. 00 JH 02/01/93 —
BOIL/CMP ( 3HP`@ OTHER UNlTS: i PARK 11 500. 00 JH 02/01 /93 — |
|
GAS OUTLETS: 1 MPRT $ 40. 50 JH 02/01 /93 —
FOUR D CONSTRUCTION M5PC $ 2. 03 JH 02/01 /93
P5PC $ 6. 63 J11 02/01/93
BEAVERTON OR 97075
Plione #: 641 -0935
FOUR D CONSTRUCTION
PO BOX 1577
BEAVERTON OR 97075
P�ione 641-0935
3045. 49 TOTPL
This permit is issued subject to the regulationi contained in the REUUIRED 1JN8 --------
Tigard Municipal Code, State of Ore. Specialty Coen and all other Foot/found Insp F epl,-Ace isp
applicable laws. All work will be done in accordance with apprcved Post/BeFtin StrUCt (-,as 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 susppnd!l for lore than 184 days. Plim/undslab Insp Gyp Board Insp
Per-in I t t ee Si gnat urp - Mechanical Insp Water Line Insp
Issued By : All, Framinq Insp Mpc-Jianical Final
' -- -- -- -----
----- - ---------------- -
CIIYOF TIFARD Cny IV SEWER LU1\11qLLi1ON
COMMUNrTY DEVELOPMENT DEPARTMENT FERMI I*
13125 SW HaN Mod.P.O.Fk*23107.Tig",Oregon 0722X 9(600)6344175 PER141T #. . . . . . . : SWR92--0399
639-4171 DATE ISSUED: 02/01/93
SITE ADDRESS. . . : 12109 SW ANT ON DR PARCEL: ISI34CB-AP063
SUBDIVISION. . . . : AN'TON PARK #2 ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 363
TE-14(1141 NAME. . . . . I
USA NO. . . . . . . . . . i FIXTURE UNITS. . . :
CLASS OF WORK. . . :NE:W DWLLL I NG UN IT S. . : I
TYPE OF' USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL.. TYPE. BUC33WR 11YIPERV 13URFACE. . s s f
Reinarks-z PATH I
Owners ---------------------------------------------------------- FEES ------------- -
FOUR D CONs,rRUCTION type amOLIF-It by date recpt
1, 0 BOX 1572 FIRMT $ 2100. 00 JH 02/01/9Z-3 -
I NG'V, $ 35. 00 JH 02/01/93 -
BEAVER-1 01\1 OR 97075
Phone #- 641-0935
COTItraCt or: - --------------------------------
CONTRACTOR NOT ON FILE
Phone #., $ 2135. 00 TOTAL
Req
REQUIRED INSPEC,rjONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection .......
of the Unified Sewage Agency. The permit expires 186 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee 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 distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Perinittee Signature :
Issued By :
tall for inspection 639--4175
_ 3q_72-
CITYr r ~IPl-NCK/kECT # �� _Of' IGAIZD PERMIT #
COMMUNI'IY n[;'Vi,L01'MFN1'I)FI'ARI'MENI' 7�Q,ryLaLgoa97M
. (503)63"171 DATE ISSUED _-
JOB ADDRESS: [,Z Iu "�f�1 � _QY TAX MAP/LOT 3q Q APP 1.
SUB: _� _M� .Z. LOT: �-'3 LAND USE: _
VALUATION:
UANL SPECIAL NOTES.
NAME: uly- L) ;AUC-1'UAJ REISSUE OF:
ADDRESS: _T`", U_ � IS 7 7 LAST REISSV:
h.kvE R _t. ��2, Q Ica 7Z FLOOD PLAIN/
PHONE: " O SENSIIIVF LAND:
CONTRACTOR APPROVALS_REQUIRED
NAME: f'. /. MV V PLANNING: O—e -)f
ADDRESS: _ __- _ ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: 7�r�,_ _ EXP DATE:
/ ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: C LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARC�ENaINEER CALCULATIONS:
NAME: _- , 6!?6 —. ,T L�UAf�• _ TRUSS DETAILS:
ADDRESS: .��/�r' A/, 11'r-14- 0.210-Z� OTHER:
fJOfZT �— �JG JG'\ 7 1i �Z
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGN RE
a I Z.
Received By: Date Received: _ /`�
If PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�t-031 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 132 ''�
Sn �
10-431 01 Mechanical Permit Fees 4/0 � 6_L
T 10-230 01 State Building "Fax (5%) _ o?�i7 7
Building �• os
Plumbing
Mechanical
10-433 00 Plans Che-k Fee
Building ,Z3;,/.
Plumbing _
Mechanical T 0,13
10-230 06 Fire
, R?Z-0 ?99 30-202. 00 Sewer Connection ��u u � -21 o'i
30-444 00 Sewer Inspection 3'
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 �35U / 3 �U
25-448-05 Mass Transit TIF Fees ) j U _ L/_(j
52-449 00 Parks System Dev Charge (PDC) S o �� _ `SUS
31-450 00 Storm Drainage Syst Dev Chrg
SSDC _
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL S �Q Z_S �� O, y \i
nm/3587P.WPF
CITY OF 'TlGAkD kECLIPT OF PAYME-NIT RF-a.i in,r NO. d 9 3-236 1.71
CHECK AMOUNT z 4930. 4'3
1 WillE a F001? D CONSTRUCTION GASH AMIJUN f a 0. N0
MDREE;S I PP' 11-NT DATF. c 0 i--'l el 1/u3
St.,-0 1 V I";1 LIN
-URPOSE OF PAYMEN*f AMOUNT PAID PURPOSE OF PAYMENT AMOUHT Pn- II)
nUILDING PFRM 361 . 00 PLUMBING PP-�61ivl 132". 50
ivILGHANIC.Al- PE 40. SO ST. BUILD PER �*. 71
PLAN CHECK FF -5. SEWER USA 2110th. 00
F WER INfz;F,E(':T 35. 00 PARKcH SDC 500. 00
ST ORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 135 h. 011)
mAss *rRANS117' TIF FEEb 1t0. 00
01' 63 ANTON PCIRK
IOTAL AMOUNT PAID