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N L, 2 , x- O= 9 Q 7 o i . � @ � S' Adj D N Ji D <• �9 � IJ F 0 0o w w -� N 01 LM cn 0 co N U1 O T. e to m CL v TI r- cn co ;u c0 vol n v b� N to cn O O AV O m = � o. m n C a� w r- r- W -A � m w w cLn �Qao th wLn Ui t)i z s in N CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 635-4175 Business Line: 6394171 BUP — Date Requested —__ AM_ —PM . 61-D Location 17 -3) Suite _ _ MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/OwnerELC — - Retaining Wall -- _ ELR Footing Foundation NOT REQUESTED PPS -- --- Ftg Drain FOUND DURING RESEARCH - SGN _ Crawl Drain NO INSPECTION(S) FOUND IN FILE Slab SIT Post&Beam ------ Ext Sheath/Shear S Int Sheath/Shear --- Framing _------- Insulation _Insulation Drywall Nailing -- ----- - -- _... - - - ---- ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -- -- Mise final -- — -_ PASS PART FAIL -- PLUMBING Post& Beam -- - - - - - - - - Under Slab Top Out ------- — Water Service Sanitary Sewer ----_� ---- -- _11 t: ) — Rain Drains Final --------- PASS PART FAIL ---- -- — - — - --^ --------- A A Post& Beam -- --- ----- --------- -- Rough In Gas Line ---------- -------- — - - - Smoke Dampers PASS PART FAIL ELECTRICAL — - Service Rough In UG/Slab Low Voltage Voltage Fire Alarm Final PASS PART FAILSITE Backfill/Grading --- -- Sanitary Sewer Storm Drain [ J Reinspection fee of g required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:— _-- [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector _ _ —Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r PERM IT CITY OF TIGARD PERMIT MEC96-02111DATE ISSUED: 07/01/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tijard,Oregon 97223*8199 (503)839-4171 PARCEL: 2S110BB--05000 S1 ,11 1 11:1 1.. C'HANDLEP DR SUBUIVIblLiN. , LING'ION RIDGE ZONING- R-3. 5 BLOCK. . . . . . . . LOT. . . . . . . . . . . . . .VA� CLASS OF WORK. . FL-001-3 FURN. . . . 0 EVAP COOLERS: 0 TYPE OF USE. . . . :Sll-- UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRr-,. . :P.3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0 sTuRiEs. . . . . . . . : o BOILERS/COMPRESSORS HOODS. . . . . . . ri Q; FUEL TYPES-------------- 0-3 . . . . 1. DOMES. INGIN: 0 : /GAS/ 3-15 HP. . . . .- 0 COMML. INCIN: 0 MAX INPUT-. 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. 30-50 HF''. . . . : 0 wooDsToVES. . : 0 BAS PRESSURE. . . : 50+ HE . . . . : 0 CLO DRYERS. . : ;7.1 NO. OF UNI'T5---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K STU: 0 (= 10000 cfm! 0 GAS OUTLETS. .- 0 FURN > =100K BTU: 0 > 10000 cfm: 0 RernAt-l�s : Iiistalling a residential comp. to 3Hp. Owner: FEES WARD COBURN, MARCIA type amaitnt by date t'ecpt IL-173 SW CHANDLER PRM*T $ 25. 00 CJS 07/01/96 96-871196 `.)PCT $ 1. 25 CJS 07/01/96 96-271196 TIGARD OR 97223 Phone #: Contractor-: CLIMATE CONTROL INC 3315 NW 26TH PORTLAND OR Phone #s >x 26. 25 TOTAL, Reg #. . ; 062196 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other MechEnical I n s p applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 180 days. Pev-mittee Signatf.tt-e: _ff)cA (e Issi-ted By: Call for inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. #46 - aR1(95 13125 SW Hall Blvd. APPLICATION Permit # wFrgK-y ata Tigard, OR 97223 (503) 639-4171 •" "•^ escnpnon Table 3A Mechanical Code QTY PRICE AMT Ad Job .,. / �� 1) Permit Fee -0- -0- 10.00 � �- 2) Supplemental Permit 3.00 ""m•° '"•" urnace to 100,000 BTU 0 1) inc;. ducts &vents 6.00 ' `"•' "• urnace 100,OOU 13FU + Owner 2) incl. ducts &vents 7.50 owl o�F—urnance 3) incl. vent 6.00 "'" ,"'"'" .—W 75'u—spended heater. wall eater 4) or Floor mounted heater 6.00 ""0 ""•` °"' en not inc. in Occupant 5) appliance permit 3.00 "r. Repair o eating, rete r�l'g- 6) cooling, absorption unit 6.00 Boiler or comp, heat pump. air can . ^ 71 to 3 HP; absorp unit to 100K BTU 6.00 1 " °11r' ! z Boiler or comp, eat pump, air con . J Contractor I �l �'=�� ,J� 8) 3-15 HP; absorp unit to 500K BTU 11.00 '�'— ^^ "0 Boiler or comp, eat pump, air cond. �I0 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 "� "'No Boiler or camp, heat pump, air cond. C c1 10) 30-50 HP. absorp unit 1-1.75 mil BTU 2250 —TFere y ac now edge t at nave tea t Is app ication, that the Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 37.50 agent of the owner, that plans s:bmitted are in compliance with Air handling unit to State laws, that I am registered with the Constiuction Contrartor's 2) 10,000 CFM 450 Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below.) 13) 10.000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 3.00 Ventilation system not 121 (0 161 included in appliance permit 450 Hood serve y 17) mechanical exhaust 450 Describe work new addition alteration V repair U Commercial or in ustna !o be done residential Q non-residential Q 18) type incinerator 30.00 Existing use of other i.e„ woo stove. water budding or property 19) heater, solar, clothes dryers, etc. 450 Proposed use of 20) Gas piping one to four outlets 200 building or property Type of fuel -oilQ natural gas X�1,LPG Q electric Q 21) More then 4-per outlet (each) 2.OU NOTICE. PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 50,16 SURCHARGE ZG IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 4 PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL Special Conditions Date issued T"/ -(j _by CTT n !,OC!MDBTSMBCMotilt Home Layout .................................................................................. . ................................................................................................... ................................................................................................ .. .................................................................................. ............................................I............... ............................................................................ .. ..... .........................................I VMn .....................I............ ...... ...... ...... .................... .................... .............................................--i ....... ............................. ..................................... ....... ..... ........................................................... ................................. -----I I'll . ................ .................................. ...................... .................................. ............................................................ ............... ..................................... .............................. ............................. .............................................. .............. .................................... I............ .....I............................ ............................. . .................................... ..................................... .............. ...... .............................. ..... .. .. .. .. ... .. .. .. .. ..... ..... ...... .. .... ..... ..... ......... ... ........ ... ..... .............. ..... ....... ......... I......... ..................... ........... ...... ....... ............... . ...................... ............... ,.*.'.'.*................... .... ............................. ....... ......... ............... ......... ...... ............................. : .., ........ ... ....... .............................. .. .................................... ..................... ........................... ....... ....... ...... .............I........ ........ .....I............................................. ....... .................................. ..............11........................ .....I.............I.................................... ....................................I...... "Aw .............. ..................................... ........................... ..... ...................................................................I................................................................................. ............................... ..... ....... ...................... ................................................................................................................ ..................................... ............. ........................A............................... ............................................................ ..................................... ..........................................................................................I....................................I.,............ .......... .............. ....... .................................... ..................... ...................... .............. .................... .................................................... ...................... .............. ...................................................................................................................... ............................................ ...... ............... ...... ... • ...... ....... . •. .............. .... .... ................ ... .............. ........... ....... ...... ..................................... ...................... •.. ...... ............. ....... ... ................... ...................... .].*..'.'.[ I......................I...... ..... ....... ... .... ............. .......I... 0 P, II Jj Windows --- Windows Doors-- Walls Roof _Floors 14 G V) 4\cq -, )L ',,I -2 #4'/LS_ t4vi.1 16 S it 3 1/?- -7 2_u.A Sr qO llh..g '-1 L4,( 3,/_ -71 1,4 6 3y,q Iz— x-7 2 I_-CITY 4F TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223.8190 (503)839-4171 T,„z.Y,r:r.ri.. �;2 . . . . . . . . . . . . MEDICAL. DATI'1.fTrl_ C-_?''1"1. . NURSE Cil(_L." r ,nrr P,Lri11. . . . . . . OUTDOOR PROTEC'T I V' : 1 C.-W- OTI'iCR. . ,. TOTAL ik �Y - r(-r-S typo amc;�.-,nt by dat,� er p-, C'T ? 2. 00 CJs 03/0c/c,r 9 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION l t 125 SW Hall Blvd. I igard,OR 97223 PERMII #F!!&6; Phone(503)639-4171 FAX(503)684.7297 DATE ISSUED .3—e- 96 TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 15SUED BY _C_1„-,rir1_ PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK J,-J/ -7-3 41, ) , . Add �/ �jja=AJLr � 7� RESIDENTIAL—Restricted Energy Fee. . . . . . . $40.00 d (FOR ALL SYSTEMS) City State Zip Check Type Work Involyed: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STAR1 ED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor W F LiRITY SYSTEMS,It1C. f ype_ — � ❑ Vacuum Systems* 703 N- AAC0EIC— Address PORUANO,OR 91212 ❑ Other t50�12N3Z65 _ - -- v Date _ _3 - 7� COMMERCIAL—Fee for each system . . . . . . . $.4Ug � (SFF OAR 918-260-260)Property OwnerhvwRck T�vne of Worl�,u!Qlygt�; Contractor's Board Reg. No. _ _ _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other asterisks(').All others need licensing). `-- 2. Call for an inspection when all of the Installations under this permit are ready for inspection at 503.639-4175. 11Nt(mher of Systems 3. Purchase separate permits for all Installations that are not ready for inspection -`----- when the inspector is out to Inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the f. FEES corrections are completed. The person signing for this permit must be the applicant or a pc,%on a. Enter Fees $ authorized to hind the applicant. b. 5%Surcharge(05 x total above) $�� Oy Signature TOTAL $�c� UQ Authoritv it other than applicant ENERGAP.CHP CLRTIFICATU. OF CITY OF TIGARD OCCUPANCY PERMIT M. . . . , . . I MST9!:-001- COMMUNITY DEVELOPMENT DEPARTMENT i)wrr. ISSUEDc 08129191) 13125 SW Hall Blvd.719ard.Orogon 972'-3e9199 (503)639.4171 I TE AE-DRESS. . . : 12173 SW CHANDLE.R DR PARUEL5 -UBDIVISION. . . . c ARL114GION RIDGE Z ON I NG P-.3. 5 . . . . . . . . . . . LOT. . . . . . . . . . . . . ..007 O ' WORK. INEW I YPE' OF. USE. . . ISF I)CCUPANCY GRP. :R3 OCCUPANCY LOAD:227 4 1-::NAN I NAME. . . i PIATH I 1i w n e r-I .- .-.-— .— --------_ ...- -- - ..- MICHAEL ZOUCHA I 2'tj 4 0 SW 68TH A V E ,,LJ II E B I INARD OR 97223 111011e #: 639-2639 X14AEL 7OUCHA (..O1\K-')TRUCT ION .540 SW 66TH ,)ITF-- S ; GPPD OR 97223 1011cm 11- 503-639-2639 9 V. . : 641c4 is Cet-tific:af" eel-tifies that the Above V-PfFt- e1)C-'Pd bUlldirWy or portion has peep i-,Ispertod for compliance with the Tigard Building Code 1r the gr-o"P allcl division of 0c--f-1-(P6%ncY and 1-I9P for whic.-h the abova i,ferenced permit was jjyuq(j, arid tiry is Ilet-9by granted. E+111 LN 5 V,1: T 0 p IALL 1-10r3T IN CONSPICUOUS PL.P(-,c--. .T f k III i 1 44 CITY OF TICARD i,A]L ISGULD: 01/18/95 COMMUNITY DEVELOPMENT DEPARTMENT ". —F--.L: 2511OBB-ARO27 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (W)639-4171 7 3 1Blj I V I b I UN. . . . : AIRLINbION HIL)bE. ZONING: R-3. 5 .00K. . . . . . . . . . : LOT. . . . . . . . . . . . . (aSS 01- WORK. . -NEW GARBAGE DISPOSALS. I til- USL. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVN"rRS. . : 1 tAJI:j('4NC'Y GRP. . :P3 FLOOR DRAINS. . . . . . . :0 rR"Ps. . . . I . . . . . . . . . .0 0 R I E b. . . . . . . . 12 WAFER HEATE=RS. . . . . . : 1 CATCH BASINS. . . . . . . :0 XTURF�3-- LAUNDRY 'TRAYS. . . . . . .. I SP RAIN DRAINS. . . . . : 1 NK5. . . . . . . . . . :2 GREASE TRAPS. . . . . . . :0 01 U R I EfS. . . . . 01 HIER F'I XTURES. . . . . .0 4A/S*HUWLRS. . . . SEWER LINE (ft 's . . . . :ill I ER LLOSE TS. . :3 WATER LIN(. (-f t ) . . . . : 100 .SHWASHERS. . . . : 1 RAIN DkAlN ( ft ) . . . . :0 PATH I F E E S--------------- i 1-JAPE-L ZOUGHA T I1= $ 1550. 00 JF 12311 !8/95 - SW 68TH AVE SWM $ 180. 00 JF 01/18/95 - B 13WM $ i00. 00 1 I'_ 01/ 18/95 i UAHL) OR 9 7223 BPRT $ 658. 00 JF' 01/18/95 tone 4-. 631).•• 639 131-"LC $ 4.w'7. 70 KAR 01/03/95 1)5 ID&0 13:1 4 p 5 P L $ .3�. 90 JF 01/1S/95 . ,Ambler) PfIRK $ 500. 00 JF 01/10/95 MPIRT $ 45. 00 JF 01/18/95 mpi..c $ 11. 25 JF 01/18/95 0 PO4 Mbr 1C $ 25 JF 01/18/9b . ty : J, 3f3 1 Fi 2 5. 00 JF 01/ 18/95 p OVI- o n v*t k"jim-L 11. �5 JF 01/18/95 ea tks b K33ir 3- 7-4SP-6 l4ddl- tional IFNs T)a t show" here. . . . . . .. . REQUIRED iNSPECTIONS ,3. s pe,--mit is issued -,uLjp_(t to the r,eg— � ations contained in the Tigard Municipal Footing Insp Insulation Insp (je, State of Ore. Specialty Codes and 9.11 Foundation Insp Ljyp Doatd Insp ,,er- ,.Applicable laws. All vvot,k will be done Post/beam Struct Rain drzin Insp AUC:01,danue with af)pv-oypcj plans. This 4-lost/Beam Meehan Water Li,.e Insp ,�v,mit will expire if work is not star-ted Crawl Drain Water, Set-vice In thin 11.30 days of issuance. or- if work is Plm/i.indslab Insp Appr-/13dw1k lnsp , pended for- more than IL40 days. PALM/Underfloor Mechanical Final Mechanical Insp Plumb F- anal Plumb Top Out Building Final 1-naming Insp Et-onion G'ontv-ol Fir-eplaue Insp Gas Line insp i-01- eat t ut-e Ia t u r e Call. for- itisppction -- C,39-4175 Notes . CITY 'OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MAE31ER PERM 1*i 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 P'ERMII #. . . . . . . : Ili� 1 -1-1 u 1 -) DATE 11_`-SUED: 01/16/95 12173 5W CHANDLER Ui%' _, 5 UBD I V I G I ON. . . . i ARLINGTON R I DGE ZONING,-, R-3. 0 U K. . . . . . . . . . L 0 T. . . . . . . . . . . . . :027 BUILDING J. 5 U E I NG UN I TS: 1 BABE"MEN I . . . . . . . . :0 UF WUHF%. S NEW BLDRMS: 4 BAIHS:3 GARC4GF . . . . . . . . . . :734 Sf (fi_ . . :SF AkEA )--- RL*'QU I RED SETBA(:K5----- - OF LON57. :5N F I R c_)T. 1592 s LEF*T. . : 15 ft R I GHT. 34 ft (::IRP. :R3 fSECOND. 1 1.52 S f FRONT. :,10 f t REAk. . .3121 UR I Es. . . . . . . :2 H I NBSML N'T:0 S f REQUIRED—— IGH1.. . . . . . . . :.�7 ft '11,01'AL S-f �_JIMOKL DE1 ULTORS. :Y 000 LOAD. . . . :40 psf VALUL $ - 169369 PARK ING %PACES. . : I .mai--i-(s : POTH I NK5. . . . . . . . . . ..2 FLOOR DRAINS. . . . :0 BArMFLOW PRFMYR!�. . . 1 4VII-41 UR ILb. . . . . :5 WATER HEAIERS. . . z I 'rRAPS. . . . . . . . . . . . . . :V1 1A?"51A(JWLl3'.3. :4 LOUNURY I PA'Y5. . . : 1 C141('11-1 LAPSiNS . . . I ER LLUSL rb. - :3 SEWER LINE. ( ft ) . :0 GREASE-. TRAPS. . . . . . . :0 ,31-11WA51-(1-Rl�. - 1 WATL:R LINL ( ft ) - I 11A 0 OT HE R 11- 1 X TURES- . . . . :0 Rb"bL. D I bP. .1 RPIN LIROIN (f:t ) . 0 SF: RfAiN DRAMD. - . 1 i'11FILHONICAL --- -- FEE5 UNI'T 1ATR5. - :0 type a m o ..int by date e C 1.)i� .;Ar;/ / / V E:NT C3 . . . . . :0 T I F $ 1550. 00 JF VI I/ 18 '915 X J\JP'LJJ' :0 BI LJ VL:3111 FAN'3. . :4 31411 $ 180. 6-10 J1 01/ 1 a/()b JHN 10111K HILIODI—i. . . . . . : 1 bwM $ 100. 00 Ji� 01 18/95 -.0 BPP 1 $ 6'fi 0. 00 J f 01 18i 95 .00i WIN. . . . :0 LLO DRYERS. : I BI L1. 1; 427. 70 KAR 01/03/9b 1C11 ]IL/C.11P ( 3HP:0 OTHER IJNITI- : I B51-''G $ 90 JF 01/113,")5 GAB OUTLETS» 1 PARK $ 500. 00 J1= 01 /16/95 ,mer " _' . _•. ._....._... ...._. 11. 4, 45. 00 JF 111 / 18/95 LHOLL LUL10AR MPLC $ 11. e5 JF L711/I a/95 5 J P 01 1 /16/9'1 ')W 631H f4v;— $ c. 3P-1H 5. 1010 JF 01/16/95 A.0RI) OR 1:15PLI. 11 11 . ,-"5 Jl* 01 " 18/"4,-) ICTle L.ROG 64. 00 JF 01 /18/95 R P(' :10. OIL .JF 01 , 18/95 IL,Hf4EI- ZOLE.HA CON5TRUCTIC)N ERPL I LIV. a VA Jr. 12711�18/95 ,540 3W bE114 JifE b jOHRO (J�i #: y C,41 24 1 31146. 95 TI)TAL nus oermit is issued sublect to the regAations contained in the REQUIRED INSPE('TIONIS igard municipal Lode, State of Ore. Specialty Codes ii^d all other Footing Insp Plumb *[up Out V,,Icatle jaws. All work will bi done in accordance with approved Foi-inciation Insp Fi-aming Insp 3-6, T115 Del-lilt will expire if work is not started within 160 Post /beam btr-uct Fiv,erlac,p Insp :vs cf is;.arce, or if work is suspend@G for sore Phdays Prist/Beam Merharl bas Line Insp Dain I n s u i At i o n I 1;t : 14%Iat ut-f, Insp Livp Hoa),d (ns PLM/Under-f I Dot- Rain dy-ain M*-C tl j4 11 1 C.�0 1 T-1 13 Water L_ 1 lie CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PERMIT PERMIT 41. . . . . . . s SWR95--001 '0 (n39-41. 71 DATE ISSUED: 01/18/95 PARCEL.: &S1108R—AR027 '.iI TR ADDkESS. . . s 1173 SW CHANDLER DR :jubDIViaiON. . . . s ARLINGTON RIDGE ZONINGS R-3. 5 BLOC K. . . . . . . . . . : I_OT. . . . . . . . . . . . . :0L 7 TENANT NAME. . . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . s CLASS OF WORK. . . :NEW DWEiLLiNG UNITS. . : 1 [YPE OFF USE. . . . . :SF NO. OF SUILDINGS: 1 INSTALL TYPE.. . . . :BUSWR Ih11='!r RV SURFACE. . s tiemmkrks: PATH I Owners _ _______._________._____.______________.._.__.____.________ FEES) MICHAEL ZOUCHA type amount b/ date rr—r ! 12540 SW 68TH AVE PRMT $ 2200. 00 JF 01/18/95 ,:)Ll I I iE B iNSP f 35. 00 JF 01/18/95 I IUARD OR 9722 Phone #: 639--e639 L:;�ntrarc•tvr. ________._____Y__._______.______. C01'41 RAC TOR NOT ON FILE ------------------------------------ $ ��.35. 00 TOTAL -- - ---- REQUIRED INSPECTIONS , is Applicant agrees to comply with all the rules and regulations Sewer Inspection the Unified Sewage Agency. The permit expires 188 days from date issued. The total amount paid will b^ forfeited if the ce,eit expires, The Agin y does not guarantee the accuracy of the -----.__�—_.��_._____ e sewer laterals. If the sewer is not located it the measurement ' .—ell the installer shall prospect 3 feet in all directions from thn distance given. If not so located, the instaiicr shall purchase a '?ap and Side Sewer" Permit and the A ency iil hnst ll a late al. c,,•mittee Signre atc.1 : Call for insper_tion - 63,.'-417` V- Residential Building Permit Application City of Tigard :3125 SW Hall Blvd. j Tigard, OR 97223 (503) 639-4171 Jobsite Address- 12173 S.W. Chandler Subdivision: _— Arlington Ridge Lot # 27 Office Use Only _ ,ti Planck/Rec # Valuation: Ig!z '(e. Permit # Corner Lot? U N Reissue of Flag Lot? Y ` f�/ Map & TL # Owner: Michael S. Zoucha Construction Approvals Required 12540 S.W. 68th Ave. Suite B Address: _ ------- g Plannin ' �yC��: > _ t •- Tioard, OR. 9.1223 _ - Engineering (503)639-2639 Phone: Other ' lI1 Contractor _1 ic� 4 7niirha-cons t ___�_U Items Reciuired Address- -12540 S.W. 68th Ave. Suite_B Subcontractors Tigard, OR. 97223 Truss Details Phone: (503(639-2639 _— -- _ Other r;ontractor's License # - A41 4 _ (attach copy of current Oregon license) . Contact Name & Phone: Mike ZOUcha 639-2639 Subcontractors: Architect/Engineer: Mascord A.0 I. Address: 1305 N.W. 18th • Plumbing: Tri County Portland ,OR. 972.10 Mechanical: � (attach copy of current OR Contractor's License) Phone: (503) 225-9161 JOB DESCRIPTION: "'.esidential new constr.action Applicant Signature & Phone number Received by: ; ,� __ _ Date Received: NWORn`COAIOF.VIPrSAr r Permit S Account Description Amount Amt. Pd. Bal. Due ys vu/ Bldg. Permit (BUILD) 4;_5 Y Plumb. Permit (PLUMB) Z 2 Z S Mach. Permit (MECH) State Tax (TAX) Bldg: 3.�, Jr0 Plumb: Mach: 2 , Z Plan Check PLANCK Bldg. 4/17 Z U Plumb: Mach: 5, S UG Zu Sewer Connection (SWUSA) 0 Sewer Inspection (SWINSP) 3 Parks Dev Charge (PKSDC) Soo Storm Drainage Chg (SDSDC) -12;wj Residential TIF (TIF-R) ✓'U 513 0 Mass Transit TIF (TIF-MT) / �✓ 24' Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) fit' Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) 2,e PV Erosion Planck/COT (EROSN) cr 1, TOTALS: 6,g,_ 2213D (mom CITY OF TOGARD ARLINGTON RIDGE LOT 27 1,3,182 S4, fT 380 . SW 370' +: ' 89'59'39" ., 132,47' 39 1 ........ ....... ...... \........ ... �. 1 .... IQ cn I LL Z MAIN Ft.'OOp• ? 'o < rn I EL.13)$1.,0' c7 j w ,GARAC� I I Q EL._386'S' ... I i ull t5 0' _ ....y / --54' S' O ..... ..... ..................... `_..... cr W d: 1 4" CONC 1 I DRIVEWAY C? i (3500 PSI) 89 59,32, 1 113 990' / - --- --- -380 12.173 S.W. CHANDLER DRIVE 07/28/94 GBC O A L A n f1AIC0RD Df i 1011 A ! ! OCIA TC / IM 1305 NW 18TH AVENUE, PORTLAND, OREGON 91209 (503) 225.9161 S C A L E t ' 2 0 ' - 0 i DEPARTMENT OF LAND USE b TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/f'40-3561/693-4415 OREGON XXXXXXXXX--> 640- 34 /0 Pa(je 1 of Late 04/03/9 Time 10 : 2L YPI.' ; hermit # 051)6581b l t ;.,:rtu At't'ttUVk ; APplied 03/31/9b 1:;31.ced 03/31.19'.) Comps e t ed '1'O Expire U9/2'7/9Ij Prl je(--t $$ 1'UU-1 ' ".ib Lana Use District '1'1GARU construct ion U'1'H . lc-Ali r Name : NURTH VAI,L,Y E 1,EC R1(' Clas-ificat.ion 1300 tCnttt A,.I(it Z6!,0 1'k kJ(;HE%'Sti WA Ur_•t-uP,itt(:'y WUUL)81,JRN, C1k 9 /0 / 1 Vaild.1ted by L-v *Jkl,G -'Tyler Inspector Area ree r1erc:ription Lill itS N'ee:./IL)nit Ext far' Data 3UJU Z1U , UU �10 , UU io . 5u �z L)0 t r-•:: }, C r ! 1 to, A A �. NOTICE This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents in support of this permit Is true and correct to the best of our knowledge, I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depands upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structurs permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Bu'.Iding Official I further acknowledge that a lien may be placed or.the title of the property upon which the permit Is Issued specifying that the use or occupancy of the buiidinq o. structure is provisional and revocable until the satisfaction of all Inspection requirements APPUCANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & 'transportation Electrical Inspection Section 155 NortFirst Hit sbo oh Oregon vp97124 050.12 APPLICATION Information: (503) 640-3470 Fax: (503) 693-4412 ��(`` J PLEASE PRINT errntf Number __.._._ _ --- Date Please complete all sectlions,'l through 5. 4. Complete Fee Schedule below Number of inspections per permit allowed 1. Location of installatiP�0n Address (.') 1 -7,S v � C l,tQlrtj1If&. llki Service included: Items Cost(ea.) Sum Building A. Residential-per unit City. � t c�n�� Suite No. - - _ r 1000 sq.ft.or less _-_L $110.00 l I ` 4 Tenant Name Each additional 500 sq,ft (if commercial) ------ -- or portion thereof A_ $25,00 _.. Limited Energy $25,00 1 Map No. Tax Lot _ --------- Each Manuf'd Home or Modular Dwelling Service or Feeder $68,00 2 Thomas Map Book: Page: .�. Section:____.___ Directions — B. Services or Feeders —--- Installation,alterations or relocation Commercial [- j�,r 200 amps or less $60.00 2 - Residential 201 amps to 400 amps $8000 _ 2 401 amps to 600 amps $120.00 2 2a. Contractor installation onl 601 amps to 1000 amps - _� $18000 _ 2 y` Over 1000 amps or volts $340.00 2 Electrical Contractor Licr 11. f )r•� ,c• Reconnect only $50.00 _ 2 Address _V•U). ,eft ;x City 1( ,ti UuK_-J _ State= ZIP q" r C. Temporary Services or Feeders Date Job Number Installation,alteration or relocation Property Owner r e. C-?ov cuci �_,"�_�r�_�_, _�1i� 200 amps or less $50.00 - 2 Contractor's License No. � C C- 201 amps to 400 amps $75.00 2 Contractor's Board Reg. No. _ 9 oz;,_ 401 amps to 600 amps $100.00 2 - Over 600 amps to 1000 volts see'8'above Signature of Supr. Elec' I _ O. Branch Circuits License No. C"C - Phon 0. � p Now,alteration or extension per panel a) The fee for branch circuits with 2b. For owner Installations: purchase of service or feeder fee. Each branch circuit $5.00 , Print Owner's Name one o - b) The fee for branch circuits without purchase of service or feeder fee. Address -- --^ — — First branch circuit $35.00 _ Each add ril branch circuit $5.00 11�'v tat P -- -- E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 _ The installation is being made on property 1 own Each sign or outline lighting $40.00 — which is not intended for sale, lease or rent, signal circulus)or a limited energy panel,alteration Owners Signature __.- -- ------------ ----. - _ — _ - or extension $40.00 _.--- F. Each additional inspection over the allowable in any of the above 3. Plan Review section (if required) Per inspection — - $35.00 Per hour $55.00 Please check appropriate kern and enter fee In section 58. In Plant $55.00 _ _4 or more residential units in one structure __Service and feeder, 800 amps or more 5. Fees _-__.System over 600 volts nominal A. Enter total of above fees $ a 1 -_Classified area or structure containing special 5% Surcharge (.05 X total fees) $ 10 aro occupancy as described in N.E.C, Chapter 5 Subtotal $ a ac; .. B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Subtotal $ Aa!o " services. El $ Trust Account Balance Due � 5 50 For inspections call This permit becomes null and void N the work authorized by the permit Is not commenced 640-3561 or 693-4415 within 190 drys from data of issuance of such psrmlt or M the work authorized is suspended or abandoned at any time after work Is commenced for•period of 1 W days. 24-hour recorder, one working day in advance of need Electrical Permits arc non refundable and nontronderable. 8 90 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit 1t : 0506581''; Project : P0048356 Status APPROVED Page 1 of Applied 03/31/95 Issued 03/31/95 Expires 09/27/95 04/20/9!; 05 : ai RESELEC Permit Title SFR - NEW OTH Description Begun : 03/15/ .i: Job Address 12173 SW CHANDLER DR TI Owner Name INSPECTION - T I GARD :App7rov*d Applicant Name NORTH VALLEY ELECTRIC Phone number 982-5916 Valuation : 0 Inspector Comments : c Rejected, _ IVR-RESULT: REQUEST ERROR � Plumbing __-- Mechanical �J l Electrical - Structrual : General in9pect.ed by „ Date _. Inspection Re uoTQI ' : �_ev?r b Sorvice 0401 E AP DN ?'-�: /20/95 RI MJF 982-� 91 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION � 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, , INSPECTION REQUESTS: 503/640.3561/693-4415 OREGON XXXXXXXXX--> 64U-3470 Page 1 of 1 Date 03/20/95 'Vi me 10 : U 9 wel-1111t 'Type Lies identia.l Electrical Permit Permit # 05065146 i'fermrt 5t.atu:, Al-)PLWVE:LI Applied 0:3/15/95 l as, AtAdres!, 121'/3 bW C:HANULE8 OR Ti issued 03/15/9`-) f t.ctt� :. 1'it.lf• bt'M - ALL ENCOMPAb51Nu LV Completed ,•iinit. Uc-;t.l `l'o Expire 09/11/9ti t ., 3f:'.:t 'I.'it11., 3'lt - ALL, ENWM1'Abb1NG LV Project # P004835b t D(,:)c r . k EHU`a1UN i t: ct:tl Nurnt,tac Z:;1'1'L - Land Use District V•Illldt: LUtI Q j wci�.r 1N::.i'EC 1'IU�P - '1'l6ARD Construction U'PH Name GARY ' S VACLW1,(J Classification 900 t A- i,it 901b bE h i AVEL Occupancy } uKi'LANU, OR 9'/Zf)t-, Validated by PH :,LL J.iC arlt. k i:urle : / i5--Z04Z Inspector Area t-ee description Units E'ee/Unit Ext fee Data Limited Lnercty/Alter . /Exterision 1 40 . 00 40 . 00 :,'u total Electrical E'ees : 40 . 00 bt_ate 6urcharge of 5't 2 . UU Total Electrical E'ees : 42 . 00 k * A t•'ees Hequitecl kkk kk * Vees C:ollect.t'd h Credits *** Method Check # lleceipt No . Date Payment 03/15/95 4'2 . 00 Veep : 42 . 00 Ad.)ustmentS : . 00 'fatal Credits : cit) Total Fees 42 . 00 'Total Payments : 42 , 00 balance Due . ' U0 NOTICE: This permit becomes null and void If the work or construction for which It is Issued is not commenced within 180 days. Once construction has started. the permit becomes null and void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of thin.ermit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the pians correctien sheets. I acknowledge that the granting of a permit does not grart authority to access private property cr to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes Usc or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued -pacifying that the vse or occupancy of the building or ntruclure Is provisional and revocable until the satisfaction of all Inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNT( RESTRICTED Department of Land Use & Transportation low"kZ0 Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350-12 Hillsboro, Oregon 9»24 APPLICATION Information: (503)640-3470 Fax: (503) 693-4412 Please complete sections, through Permit No. , j�'�/ PLEASE PRINT _Alf 111%6 1. Location o`Instal.. Date 1 Address A / - J City Zip Code -- 4. Type of work: Map No.--- Tax Lot —_ ,- _-- RESIQENTIAL Restricted Energy Fee $40.00 Thomas Map Book: Page _. ------- Section (tor all systems) ' Directions ��,' �, Check type of work�l--�/ILZ�TK `�.Jl r _ A Commercial [ Residential urglotAlarmSystems* tore Tenant Name a phoneSystems* (if commercial) arage Door Opener* This permit becomes null and void It the work aulhorizcd by the Flre Alarm permit Is not commenced within 180 days from date of Issuance ing,Ventilation and Air Conditioning Systems• of such permit or If the work authorized Is suspended or abandoned at any time after work is commenced for a period of 180 days. acu m Systems* Electrical Permits are non-refundable and non-transferable. thar 2. Contractor application: COMMERCIAL Fee for each system $40.00 Electrical Contractor _ . _-___... (see OAR 918-leo-zee) GARY ' S VACUFL.O, INC. 775-2042 _ Check type of work involved: 901.5 SE I I.AVF'I_ , PTLD , OR 97266 _ DATE: -J-/[,5-/ JUN# _ Boiler Controls OWN ER:_ Z _ Clock Systems CT.F 7 r;7.'" .11 F 9 it c CCR: li 904 7 Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Intercom and Paging System Print Owner's Name Phone No Landscape Irrigation Control* Address Medical Nurse Calls - — ,t�-- — Outdoor Landscape Lighting* This permit Is issued tinder OAR 918-320-370. The applicant agrees Protective Signaling to make only restricted energy installations(100 volt amps or less) Other — under this permit and to do the following: 1. Only use electrical licensed persons to do Installations where required. (Certain residential and other transactions ere exempt _ Number of Systems frum licensing. These have asterisks(`). All others need Ncens- I n9') •No licenses aro re uired Licenses are required for all other insiallations. 2. Call for an Inspection when all the Installations under this permit ''7 � are ready for inspection. 3. Purchase separate permits for all installations that are not ready J. Fees for inspection when the inspector Is out to inspect under this permit. Enter fees $ — 4. Assume responsibility for assuming that all corrections required _ by the Inspector are done,and 5% Surcharge (.05 X total above) $ S. Assume responsibility for calling for a final inspertion when all of the rorrections are completed, The person signing this permit must be the applicant or a pervon Total $ -- authorized to bind the applicant. ry for validatior�erved Signature _—_____-___- �J --_ Space below reserved Authority i1 other lhnn npplicenl For inspections call 640-3561 or 693-4415 24 I,mjr recorder, one working day in advance of need 4/94 CITY OF TIGARD `� COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orogon 97223#8199 (503)039-4171 PLUMIAIN) PERh; T PERMIT -%. . . . . . . : PLM'"4' -0,'J , DATE: issurr.D.. 08/17/95 ARLINGTON RIDGL ZONING,. R . . . . . . . . LOT.. . . . . . . . . . . . . 12102 7 Q[- WORK. . .nDU GARBAGE DISPOGALS. . . 1,10131LE HOME 5PAU'FG. -T,E OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. 1 i'NC't* GkF,. . :R--a 1:--L(30 R . . . . . . TRMS. . . . . . . . . . . . . . (Jk I L 3. . . . . . . . S2 WATER HLA"rEF'S'. . . . . . CATCH r,P4'i I K1 S. . . . . . . X 1't..)k,U: LOUNDRY Tkf--f'(';3. . . . . . 13r. RAIN . . . . . . . s URINALS. . . . . . . . . . . . GREASE , RAPS. . . . . . . OTHER F IXTURE.S. . 7 SEWER LINE (ft ) . . . , WATER LINE (ft RAIN DRAIN (Pt ) . . . . FTE-5 Ak In 0 U I I t; L)y d;;,t PRMT 15. V10 6 08/17/95 5PCT 4. Ql. 70 S 4'.'i3/1 1Y.1. L L INC. :'Trl-1 AVE, It-.1 3 TOT C4 C RE C',tj I RET I NSPEC r I ON pe-mit is issued subject to the regulations contained i the Finia I ri,,I.iec.-L i im ..ard MiAmripal Code, State of D-e. Specialty Codes and all other licable laws. All work will be done is accordance with even plans. -hl-: permit m0! ?)pirf if wark, is not sorted ,,,r 180 days cf issuance, or if work is suspended for more 160 days. 6 39 4 175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13-125 5W Hall Blvd l Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE Nam M°i.0",'"'"/ �..- New 31ngle Family Rilmidences Only AOdi ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job ��3 S ��'vt ,9x ,c �- ❑ 3 BATH HOUSE$225.00 Address aWw/u ora Fee includes all plumbing fixtures in the dwelling and the first 100 feet �5,2- of water service, sanitary sewer and storm sewer. See fees below. NOW 11aa n"M"!1r"4M11FIXTURES CITY PRICE AMT 411�.AcG.5" Sink 9.00 Moog"r1di" / n! "^°^• Lavatory 9.00 Owner i y� G� f 6� Tub or Tub/Shower Comb. 9.00 q n► Shower Only 900 J �Z 75 Water Closet 9.00 N.- "'" M°.-I Dishwasher goo r, Garbage Disposal 9.00 Occupant "• o;,,d� re.,. Washing Machine 9.00 Floor Drain 9.00 U'"B1•'• as Water Heater 9.00 Laundry Room Tray 9.00 N• Urinal 9.00 i4 Other Fixtures (Specify) 9.00 Ma.,a yea- --� R,• 9.00 Contractor r 1 ` 0 9 T f' �79G �/ t!i �_'. 9.00 c wft" 2111' 9.00 / hli Q 0 l Z. Sewer 1st 100' 30.00 r"ft n.wa"M w. �y_ra»0 rn N• Sewer -ea. Addit. 100' 25.00 is �✓7 4'1 F6 Q4,-_3-3Y� �,•/o Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application. that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm tS Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm R Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 Any Trap or Waste Not �1✓r _ Connected to a Fixture 900 Descrob work new,ff addition Q alteration O repair Catch Basin 9.00 to be done residential Q non-residential O Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40 00/hr Existing use of f; building or property ! �n �./-T�n L- Rain Drain, single family dwelling 30.00 Residential backflow prevention devices �' 15.00 r Proposed use of building or property _�Y_ (Except residential backflow preventlon devices) NOTICE 'Minimum Fee S25.00 SUBTOTAL I,;-,C f PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK. IS COMMENCED PLAN REVIEW 25110 OF SUBTOTAL TOTAL Soecial Conditions _ -""- Date issued by (r- i I I ' i� l:.t r Y I:IF T l I_il Ilfl, h4 l.F. i I!I (�► �r1YhIN'.I�J 1 I;F t.! i► I h�U. s 96- ; v NAME• r c.,I i PIH 1 F:. I:uN l Ia1.Fl.. ►:�►tiF I i�r t►n+i I► e 4f. l?I�1► j[)I►t��'8b a 3.3]R; ;-s�, �'C''l l i FiVF PAY MF1i''I 1101F k,/:+Dl ✓'1E.+ PUH'(LANO ON ' 97p]4A• IItIFtPOS1a: OF PAYt�ENl AMrII.INI P0111) NUFFNl7l3l- C.►F E'HYhlk.:.NI Nh;i_il.I4VI FBF,! i ON 9r. fFBUILD wFrt-k I ►k:l;FltaN 11,34., PF i I i I I � i i i``1 7;3 '.BIW C: 44NOLF.H UR T0'tAL AMOUN I Pn Y I3 — •) K'`6. 'r'_'.5 r',I1Y OF 'I-IGARD RECEIPT OF PAYME'4'r RECEIPT NO. a 95-260652 CHECK AMOUNT a 5833. 95 HOME s ZOUCHA CONSTPUCTION CASH AMOUNT a W. 00 ADDRESS s PAYMENT DATE a 01/18/95 SUBDIVISION PURPOSE OF PAYMEN I' AMOUNT PAID PURPOSE OF FlAYMENT nMOUNT FIA I V II—DING PERM 6138. 00 P1—UMBING PERM 225. 00 Mf--'CHANIt.'AL FILE 45- 00 ST. BUILD PER 46. 40 PLAN CHECK FE 188. 95 SRWER USA 2200. 00 �.";F W I-'' C R INSPET 35. 00 PARKS SDC 500. 00 RE!31LENT IAL_ TRAFFIC FEES 1430. 00 MASS TRANS TT TIF FEES 120. 0111 H20 DUAL.ITY FACILITY FEE I.AO. 00 H20 QUANTITY FACILITY FEE 11710. 00 FIR05ION CONTROL PERMITFEE 64, 00 EROSION CON'TR'.*'L PLAN CK 20. 80 EL OAC ,ION CONTROL. 20. 80 111f;1,95-0019 I 173 SW CHANDLER, LOT 2-7 It 11,11. 1 1 11111i" i1 Oill) 111!_ illtill .1 iij I 'll 1-1; Ill I '1 1+1 I iW41)I F.R 4 1 J 1HIA,N 1 I ftj 1 1 11,4 1 k) I t f