Loading...
13983 SW CHEHALEM COURT ADDRESS: i:\records\microflm\targets\buildir.g.doc �tws'.�rw w• l;h III IF'ICF'TF1F:. `C1 %d OF TIGARD PE,tim I r 4►. . . . . . . a,Y M:3 r93--0098 ULCUPA;v+ COMMUM9 Y DEVEL.OPMENI' DINWARTMENT DATE I SSUE:D t 07/01/93 � 13125 SW Ha.9 Blvd.Tlpare,Otaon 97223.8199 (503)839-4171 PARCEL r c S 10pigiy._05,100 SITE PDORESS. . . 1 13983 9A CHEHALEM CT SUBDIVISION. . • . % CASTLE- HILL ZC1NINGv BLOCK. . . . . . r • . . Y LOT . . . • • . • r . • r r • ��1 i CLA5113 OF WORK. a NEW 'CYPE OF USE. . . %SF I L1CU IPANCY GRP. 03 H3 OCCUPANCY L.UAD c 2r'4 w TENANT NAME. . . Re atmrk g . PAT:,' i f Uwner A M[LAN SKORD 18680 SE: HWY P-11. CLACKAMAS OFA 9'70. 5 Chane its 503- F58..3tib Gantt°e�ctara ... .�..._..._... _._ ...---.._._.._. ...._..._..__..._._._._.._._. MILAN S!'ORO 11168VI Sir:. KWY C:L.ACKAMAS OR 9701" 011 I R ei g C ., a 41935 I Oucupanr_—/ of the elbnve referenced building is hereby tgivr.n, and certifiep, the c,1mpl ianv-:p wif-h thc► State! Of Oregon Sper.imlty Godes for the av oup, uc r.uF,artry, and itse under !Mch the refer,eoc.ed permit was issued. FIRE DEPARTMENT _ �4 F�1..1 IMS I -CTOFt �. BUIL.DTNtl' J I IAL F.rl i T IN CONT;P I CUOUS RL_ACIE 1 1 •• 31�.F.X�4'Js'.C4Lt.l�i!� City of Tigard Building Department 13125 BW Ball. Bled. Tigard, Oregon 97123 Inspection Line (Rae-O-Paone)t 639-4175 Business Photwt 639-4171 r InspectLont footing Plbg. Undermlab Nech. RoughAn AM/Odwlk ftuttd• Plbg. Top out Gas Line I fI1D1Lt) Post/seas struct. $an. $ewer framing ��••eldq. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nator Lina Gyp. Bd. -Meeh. L ' `l Date BeQuestedt _._L._ Tlsat AN PM r� Addreast Permit li h: Builders Jdjj !3541 TB76 fOUAMIM C13MCTIONI AM: REQUIREDt .ter f Inapectort_ ✓.L- —�_ Datef �APPROV$D DISAPPROVED _- APPROVED SUBJECT TO ADM Call For Reirnsp. menrullo �ssra�e y, INSPECII011 NOTICE City of Tigard Building Departarent 13125 ON Nall Blvd. Tigard, Oregon 972:23 Inspection Line (Rei•-o-Phone)r 639-4175 Business Phonei 639-4171 Inspections_— Tooting Plbg. Underslab Koch. Rough-in Appr/Bdwlk Pound. Plbg. Top Out Oas Line �PINALr j Post/Beam Struct. San. Dewar lramiu9 i Post/Beam Merh. Rain Drain Ineulrciel -Plumb. Plb9. Drmlerlloor / Matted Line gyp. Bd. -Neoh. Date RequmelmQl In 7c - Tiger x. pF q !M Address s 0uilders��.,lM TB)! Pt LL40WING C.'QRRCTIOMS ARE IUVUIREDr Inspectors_ Date% 'd - Y ---APPRMND DIBAPPPOVED --- APPROVRD SUBJECT To A?A'UR Call For Rei.nsp. ait7 of Tigard Building Depactassint 13225 6N Ball Blvd. Tigard, Oregoe 97223 In pection Line (Rec-o-Phonw)s 639-4175 Business Phcnes 639-4171 Inspections _ -- Footing Plbg. Underelab Koch. Rough-in /WM1 1 Found. Plbg. Top Out Cas Line l.NALs Post/Bean Struct. San. Sower Framing -B:dg. Post/Beam MM-h. Rain Drain Insulation •-Plussk. Plbg. Under[lssor Nater Line gyp. Dd. -Mach. Date Requested! %�� ✓ Times AN P!I Address= 1 '.,1 N" _ Permit 9s Builder: /`��, `J 0 _ �� r � TER FOLLOWING CORRRCTIONS ARE REQUIRZDs Inspectors ✓L �/7r7 ,V��.��i__ so-9 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR .---.Call For Reinsp. INSPECTION ROTICs Chs o• Tigard Buii.ding Deperlsent 13125 Sw Ball Blvd. TS991cd• Oregon S7223 Inspecttan Line (Roc-D-Phone)c 639-4175 Business Phone: 639-4171 Inspections rooting Plbq. Undarslab Koch. Rough-in Appr/Sdwlk Found. Plbq. Top out Gas Line FINALS Post/Beane 9trvct. San. sewer Framing -Bldg. Post/Berm Hach. Rain Drain Insulation ?Iunb. 1 Plbq. Underfloor Nater Lis nGyp. Bd. .ykh. Data Regaestedn„ C ,y.)) —-11'_::� _Timm AN , PH Addreass Builders TBE FOLLOWING CORRECTIONS ARE R- JUIREDI --- - 7• --- -- �` Inspectort_ Da 1 `' _____APPROVED DISAPPROVBD APPROVED SUBJECT TO ABOVE Call For Rainsp. INSUCTION NOTI91 City of Tigard Building Doped sent 1312S ON Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-3-Phona)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Rech. Rough-in pr/BdMlk Found. Plbg. Top Out gas Lino FINALS Post/Boas Struct. Ian. Bower Framing -Bldg. Poet/Beam Mach. Rain Dein Insulation -Plsssb. Plbg. Underfloor Nater Line gyp. Bd. �1Moh. Date Requostedt `� TJi m$ �iAI Addreses �� D /'1'/ciC r Permit #7.M ' J guilder t- GQ"ALT-l TB= FOLLONIft ODRREClIOMS ARE REQUIRED:Lo Zs� Inspectors G� f_.c'��Zr .s _ Dates_ �^ APPROVED DISAPPROVED __j,1i'PPROVED SMINCf To ABOVE Call For Reinap. :10H MrICi R'-lty Building Department. 13125 a '- Tigard, t'_'egnn 97223 Inspection Lina (Rea-c i 639-4175 Business Phones 639-4171 Inspections Footing P1bg. Undorelab Mach. Rough-in Appr/Sdwlk Found. PIN— Top Out Cas Line rlMu,t Post/Beam Strurt. San. sewer Framing -Bldg. Past/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line • ,1 -Koch. Data Requestedt�y�- TLess _ PM Address s. :wii St.i War s TBR VWXOWIMO OORRtr'TIOMB ARM RWUIRMDs Zle?,_ Inspectors_---�.L� _APPROVED _� {/DISAPPROVED APPROVED 9U&71SCS i,I ABOy= Call For. Reinap. INBPEL'rIOx_NQ'CICE City of Tigard Building Departaasnt 1312S SA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phoiee)% E19-4175 Business Phone: 639-4171 Inspections Footing Plbg. Dnderclab Mach. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Kcr.h. Rain Drain rinsulatio -Plumb. Plbg. sinderfloos. Mater Line Gyms. Rd. -Koch. Date Requested&_ Times 2AM PK Address s -XTZ _ Peta&it is �`-J - y�� TO Builders _ �7 C �� -1k THE FOLLOWING ODRRZCTIONS MM RZQDIRZDs Inspectors nates 4--�PPROVND -_ DISAPPROVZD APPROVED SUBJZCT TO 49MB _____Call For Reinap. y INSPECTION NOTICE City of Tigard Building Departarent 13125 Set Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phono)s 639-4175 Business Phone: 639-4171 Inspections_ Footing Pl.bg. Underelab Mech. Rough-in nppr/Bdwlk Found. Plbg. T:E -ut Cas Line FINALS Prot/Beam Strurt. San. Sewer Framing j -Bldg. Post/Ream Mech. Rein Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:__. ZZ �D --Times ___AM _—PM Addroses yV i ��Pecmit is �u G cl Builder: THE POLL041HU CORRECTIONS ARE REQUIRED: Inspectors____ Date: APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE Call For Reinsp. iNS:ECTION 21C 'E City of Tigard Buildi% Department 13125 RN b411 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-PhonH): 639-4175 Businers Phone: 639-4171 Inspection:- Footing Plbg. Underslab �Nech. Rough-in Appc/Sdwlk Found. Plbg. Top out Cas Line FIN*fit Poet/Beam Struct. Qan. Sewer �!✓la�i -Bldg. Poet/Bean Mach. Rain Drain Insulation -Plumb. Plbg. Jiderfloor Nater Line Gyp. Bd. -Hoch. Date Requested: :aB � �l ..,s Tit AH PH Addresn:_ 93 to luilder:— THE FOLLOWING CORRSCTIONS ARE REQUIRED: 47 -� 4 ! Y ZY I InsperLor:_ _'� Date: APPROVED DISAPPROVED -� APPROVED SUBJECT TO ABOVE 111110"A__ 4-1call For Reinsp. INSPECTION NOTICEe� City of Tigard Building Department / 131'75 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 nusi.ness Phone: G39-4171 Inspection:__ ---, ,---— Footing Plbg. Onderslab Mach. Rough-in Appr/Sdwlk Found. C�Tbn. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. ?oat/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Mach. Date Requested: � �7 Tom= AM PM Add res s s_ L i� ` f_!4' l�!_k��— Pen 1' Builder: ) TBR FOLLOWING CORRRCTIONS ARF. REQUIRED: e — Dete: APPROVED �— DISAPPROVEI — - APPROVED SUBJECT To ABOVE. ////// Cell For Relnsp. INSPECTION NOTICE city of Tigard Building Departaeat 13125 ON Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4173. Inspections_ 2U_±Underal? FootinqPlbg. Mech. Rough-in I,ppr/Sawlk Found. Plbq. Top out Gas Line FINAL: Poat/deam St:ruct. San. Sewer Framing -Bldg. i Poet/Beam Hoch. Rain Drain Inlulation -Plumb. Plbg. Underfloor Water Line Gyp. bd. Mak h. Data Kequest,:dt_ S /—IT-4- Tim"- _//. AM PM Address:�� � � T_ Permit �: d, Builder: THE FOLLOWING CORARCTIONS ARB REQU7P.SD: CA Inspector:_ _✓ APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE ---.--.Call For Reinsp. jBSPECTIQM =10 City of Tigard BMLIAtisg Dwpartasmt 11125 M Ball Bled. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-41?5 Business Phones 639-4171 Inspections Footing Plbg.Plbg. Underslab Meoh. Rough-in Appr/Sdwlk «I Found. _ Plbg. Top Out Gas Line 11MALs /seam at',,;. San. Sewer Framing -Bldg. st Beam Mech.', Rain Drain Insulation -Plumb. ,..-� Plbg Underfloor Water Line Gyp. Md. -Meeh• Date ilqueatedt Times AM PM Address,�"7 tit Paneit 1 s Builder -� — TB! FOLLOWIRO CORRECTIONS ARE REQUIRED: 1 Inspectors�� Dates�g- APPROVED DISAPPTO YEQ APPROVED SUBJECT TO ABOVE _call For Reinsp, INSPiCTION NOTICE Cit? or Tigard Building Department, 13125 sA Hall Blvd. T14ard, Oregon 97223 Inspection Line (Aso-O-•Phons), 639-4175 Businass Phones 639-4171 Inspections_ Tooting Plbq. Underslab Naeh. Rough-in Appr/Sd,.lk Tound. Plbg. Top out gas Line TINAL, Post/seas Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain \ Insulation -Ply. Plbg. Underfloor Mater Lina gyp. Rd. -Mach. Data Requested, _ —Time, AN _pK Addreea,� Permit f, Builder, l TBE TOLIIDNINg CORRECTIONS ARN REQUIRED, i ------------- Inspector,^ Datae_ ter_ _AFPROVEG DISAPPROVED APPROVRD SUBJECT TO ASMS "Call Por Reinsp. INBPECTION NOTICZ City of Tigard mmildl.eg Departannt 13125 BE Hall Blvd. Tigard• Oregon 97223 inspection Lina (Mc-O-Phone), 639-4175 Business Phones 639-4171 Inspections_ rooting Plbg. Onderslab Mach. Rough-in Appr/Bdwlk Found. Plbg. Top Out gas Line FINALS Post/Baan Struct. Ban. Bawer. Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. �llbg. Underfloor Nater Line gyp. Bd. -Hoch. Date Requosteds / / _Timet AM PH Addresscy Permit #s ]uilders THE FOLLONINQ CORRECTIONS ARE RAQORZDs Inspectors �� _ Data$ f APPAOIRD DISAPPROVED APPRMED SnBJZCT TO ABOVE _Call For Ralnsp. PLUMBING PERMIT *Gv.Y11vD =ERMIT #. . . . . . . : MST93-0098 COMMUNITY DEVELOPMENT DEPARMENT DATE ISSUED: 03/04/93 13126 SW NO 8W. P.O.Bait 23307,rood,0900 07223(Bao)=4176 SLIDD.IVI51ON. . . . : CASTLE HILL [ONING: DI._OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :01*7 I-A-ASS UF WORK. . .-NEW GARBA3E DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O OCCUPANCY CRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . STORIES. . . . . . . . :.t WATER HEATERS. . . . . . : 1 CATCH BP-i. . IVS. . . . . . . :0 FIXTURES-----•--------•- LAUNDRY TROYS. . . . . . :0 SF RAIN DRAINS. , . . . : 1 SINKS. . . . . . . . . . : I GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . -0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . iO WATER CLOSETS. . .-:3 WATER LINE ( ft) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PATH I OWNER: _.._..__-____..-.---.._._ ---------------------FEES----__.___._._..__._-___.._.. MILAN SKORO TIF $ 1460. 00 JH 03/1714/93 - 113680 BE HWY 212 BPRT $ 385. 00 JH 03/04/9.3 - BPLC: $ 250. 25 JLH 02/16/93 93-236713 CLACKAMAS OR 97015 B5PC $ 11). L'S JH 03/04/9.3 - Phone #: 503-658-3516 SSD( $ 280. 00 JH 03/04/93 - PPRK $ 00. 00 JH 03/04/9:3 - f='lumbing Gontr actor:__. __ _._I___.-___-.__ MPRT $ +3. 50 JH 03/04/93 - �d�? 1-C 115PC $ 10. 88 JH 03/04/9,'3 - I�Iame : 1�I5Pf� $ c:. 1$ JH 0.3/04/9:3 - Oddress• O P17'RT $ 140. 00 JH 03/04/93 - (. itya lr �C.a.nl __.-State: bel; P5PC s 7. OQ) JH 03/04/9: - REQUIRED INSPECTIONS Ibis permit is issI_1ed SUb,ject to the reg-- ��[Ations contained in the Tigard MUnicipal Foat/found Insp Rain drain Insp ( ,)de, State of Ore. !specialty Codes and all Post/Beam Struct Water Line Insp ether applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp in accordance with apprcved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not -started PLM/Underfloor PIUmb Final within 180 days of issuance, or if work is Mechaniral Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Cont:ral Framing Insp Crawl Drain Fireplace Insp Gas Line Insp In-ulat i on Insp 't..� )1 ��.Ui.� � _ Gyp s o a , i Insp Authorized Plumbing Contractor Signature Call for inspection 639--4175 I.ontract or Notes : .......... CITY OF TIGA RD MASTER PERMIT PERMIT #. . . . . . . . MST93--0098 C4 COMMUNITY DEVELOPMENT DEPARTMENT anew 131269WHOBW P.0.8=2=7,T%1wd,0m4p 9W1J4P)*"15 ,7 DATE ISSUED: 03/04/93 SITE ADDRESS. . . c 13983 SW CHEH(ILLM CT PARCEL: 25104)x9--05000 SUBDIVISION— . ,,, CASTLE HILL ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .017 ------------------------------------- BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..420 Sf TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS------------ TYPE OF CONST. :5N FIRST. . . . .905 S LEFT. . : 12 ft RIGHT. :6 ft OCCUPANCY GRP. -R3 SECOND. . . :743 Sof FRONT. s23 ft REAR. . :25 ft STORIES. . . . . . . :2 THIRD. . . . :0 s HEIGHT. . . . . . _ :E4 ft TOTAL------: 1648 Sf SMOKE DETECTORS. : � FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 83368 PARKING SPACES. . - I Remarks PATH I PLUMBING 13INKS. . . . . . . . . . .. I FLOOR DRAINS. . . . -0 BACKFLOW PRLVNTRG. . s0 LAVATORI_113. . — 14 WATER HEATERS. . . - I TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . s2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER C!.LOSETS. . :3 SEWER LINE (ft ) . :0 GREASE 'TRAVIS. . . . . . . .0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . il RAIN DRA161 (ft ) . :O WASHING OACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL FEES FUEL UNIT HTRS, . :0 type amol-int by d&`:e V-ecpt /GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 03/04/93 - MAX INPUT:0 BTU VENT FANS. . :4 BPRT $ 335. 00 JH 03110A, /93 - I URN 1URN ( 10011 . . - 1 HOODS. . . . . . : 1 BPLC $ 250. 25 JLH 02/16/ )3 93-236713 FURN ) =100K . . 20 WOODSTUVES. :0 85PC $ 19 --,5 JH 03/04/93 FLOOR FURN. . . . :0 CLO DRYERS. : t SSDC $ c-60. 00 J11 03/04/93 ritniucmp ( :75t.ip:o OTHER UNITS: 1 PARK $ 500. 00 JH 03/04/93 GAS OUTLETS: 1 MPRT $ 43. 50 JH 03/04/93 - Owners $ 10. 68 JH 03/04/93 tyl TLAN SKORO M5PC $ . 18 JH 03/04/93 16680 SE HWY 212 PPRT $ 1.40. 00 JH 0-3/04/93 DSPC $ 7. 00 JH 03/04/93 CLACKAMAS OR 97015 Phone #: 503--658-3516 Contractors MILAN SKORO 18680 SE KWY Eli? CLACKnMAS OR 97015 Phone #4 658-3516 Peg 41935 $ 3098. 06 TOTAL This permit is issued subject to the regulations contained in the REPHIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOUntl Insp Fit-er;lace Insp applicable laws. All work will he done in accordance with approved Post/Beam Stt-Lict Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Mecham Ins,_tlation Insp days of issuance, or if work is suspended for more than P1m/ttnris1.-%b Insp Gyp Board Insp PLM/Under-floor Rain dt-&iTi I n=p !"et-mittInsp Water line Iiisp PlLtmb ToOut— Mechanical Appr,/Sdwli: Insp Issi.ted By : f r-timing Insp Mechanical Fivial. GFill for inspection 639 -4175 CITYOF TIFARD SEWER PERMIT PERMIT CT RD PERMIT #. . . . . . . : 5WR93 -00f19 .COMMUNITY DEVELOPMENT DEPA WMENT ouMoee 13125OWH@Nead. P.O.eom23397,TOW.0"m97kptg"4p"Is DATE ISSUED: 03/04/93 SITE ADDRESS. . . : 13983 SW CHEHAL.EM CT PARCEL: 2S1041313--05000 SUBDIVISION. . . . : CASTLE HILL 'ON I NG: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :017 I ENANT NAME:. . . . . USn NO. . . . . . . . . . a FIXTURE UNITS. . . : CLASS OF WO RI;. . . :NEW DWELLING UNITS. . : 1 I YPE OF' USE. . . . . a qF NO. OF PU I LD 1 NGS. 1 INSTALL TYPE".. . . . :ctUSWR I MPERV 'SURFACE. . : : :f Remarks : PATH 1 Owner: -- --- --- -_._._.____._____.__.__..-____.________.__._.-___._._._ MILAN SKORO type amot.rnt by date recpt 1.8680 SE aWY 212 PRMT $ 2100. 00 JH 03/04/93 - I:NSP $ 35. 00 JH 0:.3/04/93 - CLACKAMAS OR 97015 1=,h o n e #.- 503-658-3516 Contractor: -_- - --- CONTRACTOR NOT ON FILE Phone #: fi 2135. 00 TOTAL ----� Reg #. . . REQUIRED INSPECTIONS This Applicant agrees to comply with all the rule ,nd regulations Sewer Inspection _ of the Unified Sewage Agency, The permit expires 188 days from the date Issued. The total amount paid will be forfeited if the pprmit expires. The Agency does not guarantee the accuracy of the _ 'ode sewer laterals. If the sewer is not located at the measurementr— qiv:n, the installer shall prospect 3 feet in all directions from th► distance given. If not io located, the installer shall purchase "Tap and Side Sewer" Permit and she Agency will install a lateral. 1 'ermitten Sir atttrP:� Call for inspet.t i on - 639•-417 -= 37ya - rITY OF TIUARD - RECEIPT OF PAYMPN"i RECEIPT NU. v93-237409 CHECK AMOUNT 4983. 06 CASH AMOUNV 0. 00 SKORU, MILAN PAYMENT DATF 03/04/9:3 I I V�Fill'Ss 9UBDIVISION :',0r,f-",QSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT Pn(D 385. 00 PLUMBING PERM 140. 00 011-14474NICAL PE 43. 50 sT. BUILD PER P8. 43 PLAN CHECK FE I 1. 131 SEWER USA 2100. (Alb SEWER INSPECT :65. 00 PARKS SDC 500. 00 sruRM DRAIN GDC 280. 00 RES IDENT IAL TPAFFIC FEES 1360. 00 MASS TRANSIT TIF FL FS I1o. 00 LUT 17 rnsrL.E HILL SW CHEHALEM C;T TUTAL AMOUNT PAID 4 48 3. 06 .......... ®F TI�A►I� "'�s'"'""�""" � �,.f'1NC!(/RE:CT ICITY PERMIT N (70MM�LINITYDEV�[APM[ik1TDB1'AR'!'MBNT ` ''` ,..•—_••."••••— M M''01. , DATE V:UED JOB ADDRESS: LSW cZ&-A,Nz 4:rZ7` TAX NAP/LOT Z,5,'&q pa °v SUB: 7 - LAND USE: LOT: — VALUATION: 13 3�°�• �` - ONNER 5PEC161-P9-U-S NAME: _ ,'' ' s' v `:.� gra _ REISSUE OF: — - — ADDRESS: / �6 'a r.-- LAST REISSUE: 4: n ��G�;- FLOOD PLAIN/ PHONE: �_.�� 5 ; �� SENSITIVE LAND: APPROVALS REOU NAME: �i1 rian 1 `tiK�,L � S.S. z.zFir ?y.1_V PLANNING: �> �ti'C ADDRESS: Sl1` say xZUl' ENGINEE:RI1IG: - - �_�,5�,e- 1/zZl -s-- FIRE DEPT: —__— -- PHONE; C�-3��„5 5✓� OTHER: CQITR. BOARD N: mss'- EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: fVI� 69-,'-YZAPk 'y `� LIST/SUBCONTRACTORS: — MECH- Tej 'o /f'J' , BUS TAX: -- ARCi ENGIN ER CALCULATIONS: - NAME: - �' TRUSS DETAILS: — ----- , L? ADDRESS: y/-''' K x�_ �--� OTHER: - ---- PHONE: PROPOSED BLDG. USE: -� ''`� � � �•� � � � 'a''��- — COMMENTS: '.� APP LI SIGNA Received By: - Date Received: 2 'AL `� 3 PERMIT # ACCT # DESCRIPTION AMOUNT /,AMOUNT PD. BAL. DUi:�'' i7�_�W -vd _ 1G-432 00 Building Permit fees ,�,L.,�.._ `",;, 10-431 00 Plumbing Permit Fees .`-...,_...._..�I,�'�� ' _ 10-431 01 Mechanical Permit fees 3 •�� `�3• 10-230 01 State Building Tax (5%) —+�' u3 `� Building / , Plumbing _�'�/ Mechanical 10-433 00 Plans Check Fee Building c,7 5c). 2 i Plumbing Mechanical 10-230 06 Fire _ / �--- 5wAZ>3-oo eq 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 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 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 51 u 31-450 00 Storm Drainage Syst De-. Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) TOTAL S233 nnV358711.Will