Case File ADDRESS :
i \records\microFlir\tGrgets\building.doc
INSPECTION NOTICE
City of Tigard Building Department
13125 1301 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinene Phone: 639-4171
Inspections_
Footing Plbg. 11nderslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Seam Struct. San. Sewer Framing -Bldg.
Pont/Ream M.ech, Rain Drain insulation ( flslmb.)
Plbg, Underfl ,ar Nater Line Gyp. Ed. -gechJ
Date RAgnseeted:�L�' Tsa:es AM PM
Address: �� !o �-t++' /�w Permit 1: -�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
II
Inspector:-!� Dates------
y —APPROVED DISAPPROVED APPROVED SuB_TXrf TO ABOVR
/�� `_Call For Reinnp.
r.F_RrIFICA•r` Uf-
•
CITY" OF TIGARD OCCUPANCY
:.OMMiJNITY DEVELOPMENT DEPARTMENT PERMIT M. . . . . . . a M ST9
13125 SW Hell Blvd.Tigard,Oregon 97223.1194 '(h03YCIRZ4171 DATE ISSUED: 11/03/93
PARCEL.a 16:34CB--184121'4
f3I TE ALYD k--'5S. . . z I.k�156 914 FIN"f ON DR
SUBDIVISION. . . . a ANTON PARK 11 X ON I NG a R—7 PE)
BLOCK. .. . . . . . . . . c LOT. . . . . . . . . . . . . a l i l
CLASS OF WORK. i NEW
TYPE; OF USC. . . a SF
OCCUPANCY CARP. a R3
[:OCCUPANCY LOAD a 119 4
mE ,,ANT NAME. . . a
Remagi(na PATH 1
Owner a
D E ANDERSON INC
4'575 SW TUCKER AVE
1:1EAVER70N Of? 9-1005
Phonv #t 627--99n9
j) ANDERSON, INC
4975 SW T'UCKE=R AVE
BEAVER1'0N OR 97005
Phone #f 6e7-99.,9
Giem M. . % 46344
Occupa,lrcy of the above referwnced building is hereby given, and rertifies
the compliance with the 91-aetp Of Oregon Specialty Codes for the group,
occupancy, and use under which the referenced perm t waa i %sued.
FIRE DEPPRTM NT Cyt ,j NO ECTOR
,/ I
l ,
���� :• U I�D I ND F i C l Al_ ���
POST IN CONSPICUOUS PLACE
C.it7 0! Tigard Building Department /
23325 SN GAIJ Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bnsineas Phone: 635-4171
Inspect_.on:,___
Footings � %b9. Underslah Koch. Rough-in Appr/8dwlk
Pound. P1b9. Top Out Gas Lin,
Pont/Beam Strvct. San. Sewer Framing oldQ
Post/Beam P1ech. Rain Drain Insulatlnn '
PIN. Underfloor Nater Line Gyp. Bd. b�
Date Requested:_ 9 PH
Address 71/1' / Permit #sNbl
Y i _1-L
Builder: `^ C�L-- laZ7 - 2
TB= FOLLOWING CDRRSCTIONS ARE REQUIRED:
I _
te
_— ' . y�
Inspector: r 3_ l
Date
:
APPROVIn DISAPPROVED APPROVRD SUBJECT TO ADOVB
� � Call For Reinsp.
V \�`
I
INSPSC'1'Tnp NO'i'Ics
City of Tigard 'AAlding Department
3312S SW Hall Bled. Tigard, Oregun 97223
Inspection Line lRec-O-Phone)t 639-4175 Businami Phone: 639-4171
Inopectionc `_.._
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line INALI/ /•
Post/Beats Structs. San. Sewer Framing -B1
Post/Beam Koch. Rain Drain Insulation -Plump.
Plbg. Underfloor water Line Gyp. Bd. -Meob. )I
Dato Requostoddt3 Time: AN _�PM
Address: lZ��.`l0 ,t /Permit
Buildert
THE FOLLA MING C MMCTI3MB REQUIREOt
Inspectors_ ` Date:._
11PPRdVBD DISAPPnOVED _V_ APPROVLD SUBJECT TO AFOVE
�� �� Call For Reinop.
INSpACfiQN NOTICE
city of Tigard Building Department '1"f
113716 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (PAC-O-Fhone): 639-4175 Busin""a Phonaa 639-4171
Innpeotion, V�`>
Footing Plbg. Onderslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out pas Line YIIDII i
Post/Beam Str+,ct. San. Sewer Framing 61dg,.
Post/neem Neth- Rain Drain Insulation _Plum,
Plbg. Dnderflaor llI Water Line Gyp. Bd.
Date Rwquestedt_-- IC I _ Tit AN y PH
Z
Addreses— - I -, Lo /�V 7JV�,. L't / Permit Nt/ rry),5i -) '3 o2-t y
Builder ?AAA U�DU Ly V, I< QA-1 LIZ7 j 19 q
TM /C '0 CNXU 1MIMB An MWIRED,
C- c z,
a v%mow--,
Inspectors ✓1/L Dalse 1 Z
APPOM6D DISAP�PROVIM --J APPROVRD SDB.MCP TO ABOVE
V
Call For Reinsp.
IN$�F4RION Mt.ICS
City or Tigard BuDdlag Department
13125 811 Ball Blvd. Tigard, Ocegoo 97223
Inspection Line (Roc-O-Pho,nle)t 639-4175 Business Phone: 639-4171
Inspection+_ C —i'yy-50
Footing Plbg. Dnderelab Mach. Rough-in Appr/Sftlk
Found. Plbg. Top Out Gas Lino FINAI,
Post/Roam Struct. San, sewer Framing _Bldg,
Post/Beam Mach. Rain Drain Insulation
Plbg. pndorlloor Mater/L_ine Gyp. Bd.
Date Requestedt /1�n—.'-Ip Times a_IIa _PH
/'
Addresas Z(`7 rclow — Permit it > I ,� y
Builders
THE FOLLCMINO CORRECTION/ ARB REQnIFF.n:
u r t S
t
Inspectors _/V 6 - 53
L� Date:
APPRMXD DIBAPPRONBD APPWWVI) surkirc'T TO A&M
J�>,l'. j �11 For Reinap.
MBPECI'ION NOTICE
Ritz or Tigan Building Departwont
1.3125 M Ball Bled. Tigard, Oregon 97223
Inepacr_1-on Line (Roc-O-Phone)t 634-4175 8asinean Phone: 6311-4171
Inspection:__/ --v — _—�—_—
tooting Plbg. Onderelab Hoch lough-in Appr/sdwlk
Found. Plbg. Top out gas Line `
F 7 NAL t
Past/beam ttrt:ct. B►.n. Bower Framing -Bldq.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Una Qyp. Rd. -Meeh.
Date Requesteds__-- (� ' �A 1� Time: AM PM
Addreset A,., .` � . Permit Ov 1"�Z (
Builders �{v'�•'WL4 ^ , _c GCS C
2-7
THE FOLLOpINO CORRECTIONS ARE REQUTRED:
Inspec.tort.
Dater..—M s 9
APFRONRD --- DiSAPFROVRD APPPAMD BOWNCT TO ABOV1
Call For Rainsp.
City of T1.9ard BulidJng Departaant
13125 BW Ball Bird. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)r 639-4175 Business Phones 639--4171
Inepectionr_
Footing Plbg. Underelab Hoch. Rough-in APPr/Adwlk
Found. Plbg. Top Out Gas Lino 1IIU1Lt \
Post/Beam Struct. San. Sewer Framing (/81 {�
Post/beam Hoch. Rain Drain Insulation \_ ±
Plbg. rn'ar.ilnor 1 Nater Lim Gyp. Bd.
Date Roquestedt ,I7" ZF7 1� Timer ��pM
Addreasr� � l r , Permit f s.MM)(�j���3-62_,jY
�
HuIIderr 1 -VAY-Jeow
THE FOLLOWING OORRECfIONS ARE REQUIREDr
i S `'til .('�S,w.✓- c
Inepectorr_ Dates_I
APPROVlD DIBAPPwM APPP
__ OVED ;9DB.TMCT TO ABOVR
V Call For Reinsp.
i
HE 01_OA-nT_1cx �1
r_1.t7 of Tigard Building Depariwant
13125 SO stall Blvd- Tigard, Oregon 97223
Inapeetion Line (Rec-O-Phone)e 639-4175 business phone: 639_.4171
Inspections
Tooting Plbg. Dnderslab Mach. Rough-in Appr/Sdwlk
Found.
Plby. Twp Out Can Line PINALc
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Moch• Rwin Drain Insulation
-Plumb,
Plbg. Dndvrtlo�r A we Ler Li
na Gyp. Rd. -Mooch.
Date
Date Reyaestedi
Ak;drem a: ftraft til
Builderr
'HE FOLLOWING CORRECTIONS ARE RMUIREDI
\raa
n� "
------------
I nspector _
Datee-AL _ f
DISAFF11 M APPROVED SUBJECT To ABOVE
a411 ror RA1esp.
I
CITY OF TIGARD
STOP WORK ORDER
BUILDING DIVISION
13125 SW HALL BLVD., TIGARD, OR 97223
639-4171
JOB ADDRESS: / t:/.�6 S ctJ r-'�., tn�� _— PERMI'C#:mss
OWNER:_�' ��,.,,/,-k,-o L� .CONTRACTOR:_}.? — —
YOU ARE IN VIOLATION Or THE FOLLOWING:
�"'C;YY7C�L�r✓ 4. 1� CST I Y��/�O>-tom �' o- � � r
s
AND HEREBY NOTIFIED THIS -2- 7— _ DAY OF _G r_f _ 19 15, AT �! LO P M,
THAT NO MORE WORK SHALL BE DONE ON THESE PF(EMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY, CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
ISSUANCE OF A CIVIL INFnACTIONS SUMMONS.
-CSO NOT REMOVE THIS NOTICE-
�JI1 RING INSP(?CTOR
ZNSpgC�PN NOTTCE '�/
City cif Tigard Building Department.
13125 BW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rao-O-Phone): 639-4115 Busineas Phone: 639-4171
Inspecticmt__
Footing Plbg. Underslab Mach. Rough-in lI
Found. Plbg. Top Our Gas Line PIMS
Post/Beam Str-3ct. San. Bower Framing -bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Lifne Gyp. ed. 4bah.
Date Requosteds (d ~C/ 41- TiMf ->—/—� PM
Addreses V2 Lib ! t LIO-^ IV IPermit 0. M"�3�+�2
Builders L' ),440wfawy "1xV, I Z-7
THE FOLIANIn OODDDCTIOND ARD MWITUDs
_PA 7-o P�Ttc f-/,,v/-s/y ,
Inspectors l7UmQ� Dater
_ APPRCMZD DISAPPROVDD _L,- APPROVED SUB.TRCP TO ABOVZ
Call For Reinsp.
I"REM oN xcrrice
City or Tigard Building Departittttt
13125 nw Ball Blvd. Tigard, Oren 97223
7nup.�c_ic• Lina (Rac-O-rhone)t 639-4175 Business Phone: 639-41.71
(c—act 1 .,
P- ,._.eg flbg. inderslab Mach. Rough-in Appr/Sdwl.k
Found_ Pibq. Top out Gas Line FINAL:
cost/Roam St.r_i:ct. San. Sewer Framing -Bldg.
Post/Boam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line pyp. td. I/00, -Hoch.
Date Requested: e-1 -Z -c( 3 TLMt AM
e ![ PM
Address: ( �- `� /`-.J� permit #8`57?,
8 / ?
Buildert4-.L- I (u-)6
THE FOLLOWING CORRECTI ARE REpUIREDt
Inepeotort —_ Datei
ny000'APPROVED DISAPPROVED APPROVED SUBJECT To Anove
4! ,cr Call For Rainsp.
city or Tigard Building Deprxtsemt
13125 BW Ball Blvd. Tigard, Oregon 97221 1
Inspection Line (Roc-O-tPhone)s 639-4175 9usineas P1:-._3: 639-4171
Inspections
Tooting Plbg. Underelah Hoch. Rough-in Appr/Sdwlk
round. Plbg_ Top Out Cas Line FINAL:
Pont/Beam Struct. San. Sw4*r !ti-
/ -Bldg.
Pont/Beam Hoch. Rain Drain ation / -Plumb.
Plbg. Underfloor Nater Line Oyp. 1d -Hech.
Date Requ looted: / L�� Ll Z Tim": _ AM PH
Address: l'Z' C,t,, //�K��_t> � Pet it a. �
Builders .���`[JWh� Ky t
THE TOLIAMInO MUtICTIO"S MM RWUIMM:
i�
Wars --21
J . Com, - VI?-3 2 5k� _
Inspectors _�— Dates d 3-1_3
__A!lSID1/!D DIB"Prbom APPROWD 808JUM To AgM
`v ` Call For Reinep.
INSPECTION tYPLCB
City of Tigard BuildIA9 Deprtwmnt
13123 DR Hall Blvd. Sigurd, Dragon 97223
InaPect!„n Lina (Roc-O-Phnne)s 639-4175 Business Phones 639-4171
Inspect l.on s
Footing Plbg. Underelab _ —
Nech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Can Line
11NALe
Pout/Beam Struct. San. Sower /jr� -
`�. -Bldg.
Post/Beam Meeh. Rain Draiu
Insulation _Plumb.
Plbg. Underrloor Nater Line gyp. Ed.
-Mech.
Date Requestodj_� �_/� x"1-7
—Timet Am PH
Mdreses, ( 7 a�
— Permit #t Mf-,-T ���q�-7nz._�
Builders
THE FOLLOWING CORRECTIONS AAE REQUIRED,
3 1 t` ; - - ---
� re
ILL-
(_ Lt L,j C
Inspector: -
APPROVED DTSKPPPPROVXD APPROVRD SUBJECT To }►BOVZ
__Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Ilapartment
1J12 SR Hall Blvd. Tigare, Oregon 97223
Inepection Line (Rec-O-Phone: 639-4175 Buninesn Phone: 639-4171
Inspect Ion:
Forsting Plbg. Undersl.ab Hech. Rough-in Appr/Sdwlk —
Pound. plbq. Top U a Gne Lina p1pAL; '
Post/Seam Struct. San. SewerPraming\.� -Bldg.
poet/Beam Mech. Rain Drain Insulation _Plumb.
i
Plbg. Underfloor Water Line Gyp. Bd. _Nech.
Date Requenteds_ .�C�
-7 --Tisnes AM
Address: ,`- Permit i s 0 T
Builder:
r
THE Is CORRECTIONS ARE REQUIRED: ✓ � � ��
tom.,`y--1.._._:..-, ca a..•a,��_ ��% -�-(, � .�, ��.a-� ,
Inepectors 3
—'—/— Dates ,
—APPROVED _ I DISAPPROyED APPROVED SUB.7RGT Tp AgoVg
1/'C/all For R.einep.
LUTA C ioN NOTICE
city of Tigard Building Department
13125 eR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Ihone: 539-4171
Inspect.ion=--_-
Footing Plbg. Underslab leech. Rough-in Appr/!7dwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. Sen. Seger Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line gyp. Bd. _�h_
Date Requested( v/ -/7 __Times AN PK
1lddr*ews_/ 115-6 /4:�"j -L� Permit
NULIdws
!N1 YGU MM COM MMOR8 ARE REQUIRFDs
Inspectorty Datet
7- APPk01R0 DISAPPROVED APPROVED SUBJECT TO AqM
Call For Reinsp.
INttP1!ZTIQN M _LC6 _
Cit, of Tigard Nuil.ding Department
13125 SW Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phonv)t 639-4175 Business Phone, 639-4171
Inspection:_
Footing /Plbg. Underelab Koch. Rough-in Appr/8dwl.k
Pound. (r]b�. qbp Out Gas Line FINAL,
Post/Beam atruc_-t, 8M. sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested, I ( _ Timet AN ph
1 A '
Address: A �(.A l�V�t?" Permit
Buildort -� �r����� ��� t ��� V✓1 A(_{�r ` �� `[)�
THE FOLLOWING OORRZCTIO148 ARE REQUIRED:
U ;
Inspector Date: -5
.0 `APPROVED DIBAPPROVtD APPROVED BURJECT TO ABOVR
l __Tre11 For Reinep.
1114MMOR NOTICi
city of Tigard Bulld:ag Department `
13125 8W Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 SusLness Phone: 639-41'11
Inspection:
Tooting Plbq. Dnderelab :Mch. Rough-in Appr/Sdvlk
end. Plbq. Top out Gas Line FINAL:
Croat/BNA Struct.� San. Bower Fraai.nq -Bldg.
st/Beast Meth Rain Drain Insulation -Plumb,
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Date Requarted:_— -`6 'Zv�-��jl� Time: � AGK, � � PM
j
Address:_ _' `^�.�- –L0��vv� �1( MJtI l-3- CJLO 1st�
Builder:_ �( `(1�.1J{�1( ) V 1lY1 Cf Z7-qqq /
TRE FOLLOWING CORRECTIONS ARE RUMIMDi
G
Inspector:
•\ �APPROVED DISAPP
AOti'ED _ T/APPROVBD sUBJEC! TO 118DVt!
�/ Call Por Rsinap.
IN5PRCIION !!QUq_z "Y7
Cft-y of Tigard Building Depart:aront
1312S E11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rso-O-Phone)t 6.0-417S Business Phonet 539-4171
u �l
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
sound. Plbg. Top Out Gas Line FINAL:
Post/Bean Struct. San. Sewer Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line oyp. Rd. -Hoch.
Date Requested t r> Z - r / --T sa t AM PN
Address. I I-I T�y Permit f e�1S-(
Buildert_rvuA, A.M)4Xe V, 4 A
TM POLL40MIMa 00RR=I:TION8 ARM REQUIRMDt
_J
Inspvctorw // ''f_ natal �
APPROVED DISAPPROVED —� APPROVED SUBJECT To ABOVE
(/ Call For Rainep.
INSPE4T ON ?T�CIL �
City of Ti9ard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspei-tio,. Line (Rec.-O-Phone)t 639-4175 Business Phones 633_4171
InePec Jon:
Footing Plbg. Underslab Filch. Rough-in APP r/Sdwlk
Pound. Mg. 7bp out
Gas Line 7Ipl►Ls
Post/8158M Struct. B�Awer !taming
_ -Bldg.
Post/89am Hoch' Insulation
-Plumb.
P1bV, underfloor Water Lille
Ayp. ed. -Mach.
Data Requested t g 3
Timet AM �P PN
Address-J- ��
PermitRuAlders
fs 2
r--
"o FOLLOWING CORRECTIONS ARE RRW pXDt I
- I
- , --
Inspector: 00�
Dates
—APPROVED DI3APPROVED
- -- APPROVED SUBJECT To ABOVE
i
ca.l Pnr Reinsp.
Ih$"_CT ON NOTICE
City of Tigard nuildieq D•epartasat, J
13125 Aw Ball Blvd. Tigard, Oregon 97223 J
ZDGP@ tion Line (Rec-O.•Phene): 639-4175 Business Phone: 639-A171
(/lNeVeations
Mg. DnAaralab Mech. Rough-in Appr/Sdwlk
found. Mg. ftp Opt Gas Line
FINAL:
Post/Beam Strutt. /an. Sellar Framing -Bldg.
Post/Beam Mech. Pain Drain Ins• 'atlon
-Plumb.
Plhq. Underfloor Nater Lille Gyp. Rd. -Noah.
Date Requested$ g-I ''-q3
That
Address$ �Z� Ith� i Pewit QST `13 n1 D7
Builders 0W6 V 4442�-q 19�
T" FOLLOWING CORRECTIoNs ARE REQUIRED-
- 1
ro-v I -� 2,�,,, o L,
fibD S S fI o � Cz�J
-- z
It
Inspector$ /7T_TT ,,--, ,
Date- / � i i
I/ ---�—
___APPIIOVlp - DISAPPROVED ✓ APPROVED SUBJECT To ABOVE
_,Call For Reirsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
1312E SW Nall Blvd.Tipaid,Oregon 97223.81119 (503)630-4171
r
laz�u�
CIlY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SAY Nall Blvd.Tigard,Oregon 97223.6199 (503)639-4171
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171
4
BeAKH)VA Uri
#
A or i
cPIIPIY wAh al. Vic t-ulfis arX feyulatll"rj bewel,
- rE pf-*-" expire= 16" oavi !t-cq
trif 'At! Issumc. 129 itx�r. pgi�1 v4 i I i be hr-,.;ed :I tne
)l,4it pNpirts. Tte Age-ci C:2% not par,tritee th-
lsjfor- atveio. If vis seiiqr i5 not a! ',-e se:- 1v'Mrit
itOf
-4 1.7',-
u�uswwat
CITY
n .L`1a11PLNCK/RECT h^ 7 /
OF TIGD PERMIT t
COMMUNITY DEVELOPMENT DEPAR7'MrNT T'6"'4O"soi9'm
503)&W4171 DATE ISSUED
JOB ADDRESS: ,? TAX MAP/LOT /S/ 3iV&
to[: LAND USE: pb) --.
VALUATION:
QWNER SPEQAL NOTES
NAME: REISSUE OF: -
ADDRESS: -, �� LAST REISSUE:
_!�¢ FLOOD PLAIN/
PHONE: _ _ '_�� .. 9 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED 5 U q2—vovd
NAME: c - PLANNING: ,�SDCA�C Dec'
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: - -- �— OTHER: 7-1 F
EXP OATS: f�
--
—
CONTR. BOARD #: J�-�-� �z�--
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: -� � LIST/SUBCONTRACTORS: _
MECH: � ,� �''`u�--' BUS TAX: ---
AIZC ENGINEER CALCULATIONS:
NAME:. TRUSS DETAILS:
ADDRESS: _ OTHER: _ ...
PHONE.-.: _--_ - —
PROPOSED BLDG. (ISE:COMMENTS: --
f
5Gi �i
---- - --- --
APh I�'4NT SIGNATURE
Received By: �- _ Date Received: �� ��� --13
PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
in51 113 -0-V 10-437 00 Building Permit Fee; .���7•. `���' 3�i7,
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees u,>1I ,/ �l u,�Z
10-230 01 State Building Tax (5%) / �,�3�" o�. 6, 3
Building
Plumbing
Mechartical ad.3
10-433 00 Plans C!reck Fee So.I it _ Z v
Building Zy /
P1 urribi rig
Mechanical 1() 3
10-230 06 Fire
v�4s-oaa� 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-01 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 / 'Sy _/.350
25-448-05 Mass Transit TIF Fees / /� / //0
52-449 00 Parks System Dev Charge (POC) SUd
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) cqL
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL 2 G --,�-=— "X v'60v : `gyp
nm/3587P.WPI-
9 '
CITY OF / Iuemu - wEcEzpr OF PAYMENT RECEIPT NO. :93-243004
CHECK AMOUNT w 5044. 26
NAME ANDERSON, D. E. CASH AMOUNT x 0. 00
ADDRESS PAYMENT DATE : 08/06/93
SUBDIVISlON :
'URPOSE OF PAYMENT AMOUNT PAID PURPOSE JF PAYMENT ;iMOUNT PAID
L�lN[9 PE367. 00 PLUMBING PERM 125. 0m
ECHANICAL PE 40. 5N ST. BUILD PER 26. 63
LAN LHECM FE 10. 13 SEWER USA 2200. 00
EWER INSPECT 35. Oel PARKS SDC mm
T0RM DRAIN SDC 280, 00 RESIDENTIAL TRAFFIC FEES 1330' 00
MA8G TRANSIT TIF FEES 110. 00
|
/
1 /156 QW ANTON DR
TOTAL AMOUNT PO IF) - - - -` 5044. 26