7650 SW CHERRY DRIVE �r w s Ae w �r w w alp
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7650 SW Cherry St . _
�NS�jtCTIO Nc�TICF j
City if Tigard Building Department -
13125 IM Hi: . 81". Tigard, Orman 97223
Inspectir.., Line (Roc-0-11,one): 639-4175 Runi.nese Ptone: 639-4173
Inspection:
Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Toh Out Gan Line FINALS
Poet/beam Struct. San. Sewei Framing Cq'�
Poet/Beam Mach. Rain brain Inaulat{on -Plumb.
Plbg. Underfloor Water Line Gyp. Sd. -Meeh.
Date Requestalds "vol.0�l/ Timer AN
-- � �!I Pec
Addreea: �', Permit -y��V
Builders
TB= FOLLOWING CORRECTIONS ARE REQUIREDs 6V 7 .1X 15-41-P
Inspector: ___ Dates
APPROVRD __ DISAPPROVED APPROIT-D SUBJECT TO ABOVE
_--Call For Reinsp.
(,
jNSPECTIOt( NO'"ICE
City of Tigard Buildin5 Department
13125 SA Hall Blvd. Tigarde Oregon 97223
Inspa,-tLon Line (Rec-o-Phone): 639-4175 Buelrems Phone: 639-4171
inspection:__
Footing Pltg. Underelab Mach. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIMALs
Poet./Ream St.rvcf. San. Sewer Framing -Bldg.
Poet/beam Much- Rain Druin In LM l -Plumb.
Plbg. Underf°lour Mater Line Oyp. Bd. ' -Meeh.
Date Requestedt �[��� _Times AM
Addrrees:—�� __Seie-Llree= Permit tf ���l��
Ru _ 1 C/z.
l.ider:
THE POLLOWING 00R1t2CY'I(iWS ARE RPQUI).EDt
Inatw<-t.•�r
_ ____APPROVER DISAPPROM APPROVED SUBJECT To ABOVE
Call Par *Sinop.
1 �
INSPL_C'I'LON NOTICE
City of Tigard Building 00Par'tmmt
13125 ON hall Blvd. Tigard, Ocayon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect lon: _-_-_-L.cL=— -
root in9 Plhg. Underalab Mech. Rough-in Appr/Sdwlk.
p
To Out Cas Line FINAL:
Founs!. Plbq.
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Pest/►aam Mech. Rain Drain
IneuIAtlot) -Plumb.
PltxJ. Underfloor Water Line GYP• Bd.
-Koch.
Date Requestodt
~� - / / Thos —)!L -AM P!.
Address:
Builders_.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 --
Inspector:
.-- Y
APPR01rrD uISAPPROV20 APPROVED SUBJECT TO ABOVE
Call For R&inap.
iMEL
�g,9CTI0E NOTICE
City or =igan' Eiaildlag Department 1"
13125 M Ball Bl.:.'. Tigard, Oregon 97221
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Vootinq Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Post/Beam etruct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor 'Water /Lino Gyp. Ed. 1-Mech.
Date Requests /rle /l, - q_/ Tis*,I _AM PM
Address: 7(S �Pir�mit
Builders 2-
TBE FOLLOWING OORRECTIJN ARE REQUIFCDe
Inspector: _ Data
APPROVED DISAPPI WED APPROVED SUBJECT TO ABOVE
Call For Rainep
CITIIOF TIOARD
Cf[YOFTIMRD MASTER PERMIr
COMMUNSTY DEVELOPMENT DEPARTMENT
13125SWHWIBW. P.O rA23397.T0W,0reWn9M3t603)6304176
!A. 1-irjDf4U513. 0'76';O SW CHERP".' ST PARCEL: -0,2�500
ZONING:
Oc V. L(TT. . . . . . . . . .. . . . .
--- BUILDING
RE IISSUE: DWELL I NG UN I TS! I BAG"lENT. . . . . . . . :0 1.i f
U ,415'-S OF WORK. -$41)1) BEURMS:@ BATHS ol GARAGE. . . . . . . . . . .0 s
I- r'Pr-'. (N.; USE. :GF FLOOR RFOUIRED
OF CONST. -5N FIRST. . . . :220 Sf L!:C T. . -0 ft RIGHT. :O f
DCCUPANC'y (-7Rr1. : R3 SECOND. — :0 f FRON'T. -O ft RE04R. f.
S'TORIES. . . . . . . : 1 THIPD. . . . -O -if REQUIRED-_.._____.,___-----.__._.__.._
I GHT. . VA ft TJTAI.. -.-- :0 Sf '3110KE DETECTORS.
LOUR I OAD. . . . c40 psf VALUE. . 10120 PARKING SPIACES. . sO
Ppmat-ks - F.Addition to existing Name appy-ox 220 srl ft MOVING KITCHEN SINK 51 MOV
PLUMBING
S J 1\1 K f-.3. . . . . . . . . . :0 F1-0(-3R DRAINS. , , . :0 PACr(FLOW PREVNTRS. m
LAVAI"ORIES. . . . . 11 WATER HEATERS. . . 10 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . -, . : I LAUNDRY TRAYS. . . :0 CATCH r,ASINC. . . . . . . .0
WATER CLOSETS. . : 1 SEWER LINE (ft ) . :0 GREASL TRAPS. . . . — :0
Pl.:',HWABHERS. 10 WATER LINE (ft ) , :0 OTHER F I X TURF9. . . . . ..
;'.4'r*.l"Bk 1)1".0-1. . , 10 RAIN DRAIN (ft) . tO
-11 1,)1•i I NO MOCH. t SF PAIN DPAINS. . :0
MECHANICAL FEES
UNIT kTR9) . .0 t v P f omol-Int by cja t p
VENTS . I . . -.0 BPR,r s 66. 50 JL.H 07/0S/91
1,11'"1x INPUI .0 BTU VENT FAN:3. . cl P F-`L C $ 56. 23 JL.H 1717/01/(")1.
;IIRN < 100K . . :0 HOODS. . . . . . %0 B5PC $ 4. 33 JLH 07/08/91
P IQ =10 0 P) — .0 WOOT'S"OVES.- .11) 14PRT $ 13. 00 X.-H 07/0(x/91
LUOR FURN. :0 U-0 DRYERS. : 0 MPLXI $ 3. 25 JLH 07/08/91
"PIC $ 0. 05 JLH 0"7/08/`)1
C MP I, '�HP:0 1.3THEP UNITS:0 MI.)
GAS OUTLETS:O PPRT $ 27. 50 JLH 07/15/91
P5Pc $ 1. 88 JL-H 07/1.5/91
-,EN MAYER
`,1r
I,1,7., r)W (7JAEpp,, DR
]GARD Op 97223
`iove ita 6403---c756E
11',, OR 51AINk GONS'TRUCTION
I Hi X 19765
+' TUIND OR 97E19
oone #i 644-79ELA
7 '976
$ N.S.-' 34 I'CITAL
,is perait is issued svojpct to the regulations contained it the REU.11RED INSPEC.TIONS
igard guniciml Code, State of Dre. SpecialI:I/ Codes and all other Fovt /fokmd Insp Mechanical Final
pplicable laws. All worN will be done in ncc,.-dance with approved PjSt/Be,:.%m Btrl.lct Plivftti Fi.nal
Ans. This pereit wLil expiry if wort is not,*Irted w!!$hin In PL.M/Un d P r f I n ci r Bttildintj r7inal
�?ays of imarm or if wor4 is suspende f ori ' Top Out Erosion Control
IAOVQ days. Framing Insi3 Crawl. Drain
ion Insp
tryp scar(I Insp
Rain drain Tnsp
Call for inspection 639-4175
CltY OF TIGARD RECEIPT OF PpymErNrr RFCFIPI' NO. 191-215329
CHE-K AMOUNT - 13. 1:21
NAME : MAYER, KEN ' CASH AMOUNT 0. 0Q.,
ADDRI-71,415 c PAYMENr DATE : 07/ 15/91
sl JBD 11)151171`' 2
PURPOSE (IF PAYMENT OMOUNT PA;D PURPOSE OF PAYMENT Plyl0t-.!NT IDA ID
12. 50 ST. BUILD PER
ADD ITIONAl- PLUMPING PERMIT
IDTAL AMOUN) PAID 13. 13
LLI.!jrE CT (L NOTICE
City of Tigard Buildings Deparl-ftMt
13125 SK Hall Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 nuninesn Phone: 2_k7l
Inspection:_-v------ ----------.----._- _�-_
Footing Plbg. Underslab Mech. Rough-in r,ppr/Sdwlk
Found. Plbg. Top Out. Gas Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Real Mech. Rain Drain Insulation -Pl.nmb.
Plbq. Un,+erfloor Water Line Gyp. Bd -Mech.
nate Requestedtd Tisle fy- __PM
Address: / �U _-_ 41t�r' L�� c/./3z)
Ouildeu
THE FOLIY41NG CORRECTIONS ARE REQDIRDDt
Inspectors —__-- ------- ----- Dete=_��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
Cell For Relnep.
CITY®F TIFA RD
COMAUNITY DEVELOPMENT DEPARTMENT WYOFTMO
13126 SW H191 Btvd. P.O.Banc 23397,Tigard,Omq0n 972M(SM)&34176 MASTER PERMIT
iSSUED.- 07/08/5l
iDDRESS. 07650 SW CHERRY ST
+kD11)ISION, . . . : -'ARi-EL:
F ;101 D C LA 0tii
1-0T. . . . . . .. . . . . . I NG:
14.. ON
BUILDING
I�--ULJL. OWELLING UNITS: 1 123 4)r,1-:77 N E N1.. . . . . . . . .
['I-FISS OF: WORK. ADD BEDRMSsO
f:YPF. (IF 1j5E. . . BATHS: 1 GARAGE. . . . . . . . . . .. S
.SF FLOOR REQUIRED SETBACKS--._..-__........__.__.-
TYPE OF CONST. :5N FIRST. . . . J.20 s LEFT. . 1'o
ft RIGHT. .-O
ft
R3 SECOND. . . :0 5f FRONT. -0 -Ft REAR. . -0 f
UR I THIRD. . . . -.0 Sf REQU I
ft 1'01'(--4L 0
,f SMOKF DETEC-I Cj PS.
LOAD. . . . -40 osif VALUE:.. 10120 PARKING SPA"CES--O
!Rf' 'Jiti.orl to e, istinq ft
PLUMPING
I
MKS. . . . . . . . . . c t21 FLOOR DRAINS,, . . . -0 BACK["LOW V'R(--.VNrRF,. . :0
-OVAICIRIES. .. . . . s i WATER HEATERS, :e TRAPS. . . . . . . . . . . . . . .0
!- " 14-10wr:PS. . , . LAUNDRY TRAYS,, -0 (-'ATC+i 13AS 1 NSS. .. . . . . *
R CLOSE r S. LA
SEWER LINE (ft ) . -o GREASE TR'APS. . . . . . . :0
WATER L.INF (ff ) . .qi 0 rl-IEP r- I Y TJRE�--.
-�BAGE DISE'. . . : ' RAIN DRAIN (ft ) . :0
i,)H ING MACH. -F RAI'N DRAINS.
MECHANICAL
FEES
y S UNI T HTRG. t v p P- :mount by dati? t-err-
VENTS . . . . . .0 BP RT $ 86- 50 JLH 07/08/91
INPUT-W5 I-) VENT F,1NF3. . : 1 8 1-,1 C., *
t.!RN loop, :0 56- 0"" 0 1/9 1 14903
HOODE. . . . . . -0 j35175C, t 4,33 JLH 07/08/91
(,!PN . . -0 WO0I.)5T0VEG,. 171 !tjU 1?1 1"71. 00 if-1-1 0711ASP�
--0OR FURN. . . . -0 OLO DRYERS. 0 MPL-l-, lk 3- :.25 JLH 07/09/91
31P.-O OTHEP U19ITScO m3pc 0. 6`5 JLH 07/08/91
GAS ouTLETS,@ 00, JLH 07/08i91
JLH 0*�/08/91
- O SW C+iFRRY DR
10ARD OR 97223
11(ine *- 648- ,:a54CA
,11:4 OP SHINE CONSTPUCIJON
1 RUX 19765
li-�I'?TLP'Nn oR 97E19
0.- 644-7920
72976
190- 21 TQTP.
As Pernit is Issued SU"ct to the -1gul4titTIS contained in the REQUIRED INSPECTIONS
Ot-d Municpal Code. State of Ore SPICIA14 Codes and all other r:*oot /founcl Insp Ma ch an i c,A I F J na
a1i:r!icab'e law,,. All we-k will he dorm it amordance with aorvrvod r"ogt/Fae" Stt'IACt PILIMb Final
: 'Ars. TJ'11 Prlit will excirp if oark is rot started within PLM/Undet-fjoot-
1;v< vf Iss-jance. or If jqvr� Buildina Final
ended tear l8v Plumb Top Out Eros i on_Contra
Fv,aming Insp ct,awl Dt-a i
r.
ICA, Instfl,atio-1 1,1sp
97VP Pamt�c; Inap
Rain cl -ain T n i p
�JIIIRMLIII-WAARPN llllm�-
CITY OF I ICARD Pt..CFTFII ("or- PAYMENT RECEIPT NO. n 91—c'1,5100
CHEM< AMOUNT a 133. 98
NAME t RAIN OR SHTNE CONSTRUCT CASH AMOUNT 0. 00
ADDRESS c BOX 19*765 PAYMENT DATE 07/06/91
SWADIVISION
PORTLAN0, OR 9'7219---
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OFPAYMENT AMOUNT U4110
BUILDING PE:PM 86. 510 PLUMBING PERM 25. lAo
01ECHAN f CAL FIE 13 00 ST. BUILD PER 6. 8.3
PLAN CHECK 6F Fl-
7
� PO SW CHERRY DRIVE
TOTAL AMOUNT PAID 133. 48
_ 25 i
7lo S`U . 5w C.�ear7 Q✓ccC4 7
20
Family
Crawlspace Storag I
(unf) I I
l • I , .
26
I
Utility Amu_�ement
Den
i
% Bath 4
r 12 45
Balcony I 1
over l
lis Spa Enclosure
1 F K"
i Fo0(37w� 25 -- �►-
I
Dining
Deck I16 Living Bath
I 9*droom
Kitche
22 I 8 t
21 Fa
L 26
Family Bedroom Utdroom
Garage \
4 I ;
3 I
24
4
LIABILI : The City of Tigard, Uregr osr
22 employees, shall not be responsible
dtsr•^«.. _,1� ,.,�., �, mau Annaar he►pin i .
Main Floor
2b x 45 (-12) w 1.158 APPROIJUA fj0R , C
QQVIitL11-ION
7 x 25 a 175 CITY OF TIGARD i
Total: 1,333 :I. r-'ERMIT NO.."t-&}oSITE ADDRESS_24.50
Basement I Ely DATE-2
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Vlsweca a►.►
ci,ry up TIGARD RECEIVIT OF PAYMENT RECEIPT NO. :91-214903
CHECK AMOUNT 56. 23
NOMF a RAIN OR SHINE CONSTRUCT. CASH AM('JNT s 0. 00
�IUDRFSf a BOX 19765 PAYMEN'r DATE a 07/01/91
SUBDIVISION
PORTLAND9 OR 97219—
[,�.MPOSF OF PAYMENT AMOUN*r FSA iD PURPOSE OF PAYMENT AMOUNT rn I D
11--1......
PLAN ..CF IEC:K
.CHECK FE 056. P3
1650 SW CHERRY DRIVE
TfffAL AMOUNT PAID 56. 03
e
CITY
� 13USSwtuff-n�� PLNCK/RECT #OF Ti<YA- RD PO Box 23397 PERMIT � �'
COMMUN11T DEVELOPMEKi'DEPARTMENT 'tigard,Oregon 97723
(503)63M171 DATE ISSUED
JOB ADDRESS: -7 S C Y 0 K-(U-e, _ TAX MAP/LOT ,2-51-0 OG - Q 2 yti
SUB: LOT: LAND USE:
VALUATION: _/Cr
OWNER SPECIAL N0TES
, NAME: /�E� �/' ' REISSUE OF:
ADDRESS: SC-J_C-6ey-sxy Q f LAST REISSUE:
0 FLOOD PLAIN/
PHONE: FY — 9q�8 SENSITIVE LAND:
CONTRACTOR 6ve—
APPROVALS REQUIRED
NAME: ( 1N CK- 5ecgt.sr- PLANNING:
! ADDRESS: 'n.0 .6 ai' 19 f ENGINEERING: _
_ 01L 7 FIRE DEPT:
PHONE: ( _�a ��( � ?�r} C�1~`) OTHER: '!_
CONTR. \`BO RI) #: �_� EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Z'7 ,.14LIST/SUBCONTRACTORS: --
MUCH: r BUS TAX:
ARCHANGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: 1 - 2226) � �U f- /q
APPI.ICAN I NATURE
Received By: Date Received: _ ',� _
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees (o,S`a �V �Z
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building U-3 J
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building -sG,
Plumbing _
Mechanical 1J
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sevier Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Offic:c TIF Fees
25-448-01 Re,Aential Traffic Fees
25.448-05 Ma,� Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
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
nm/3587P.WPF
w w w w w +w we
City of Tigard Mechanical Permit
New Installation I ! Replace [] Relocation Addition C7 Alteration lJ DATE: ,_ ,,
HEATING
CONTRACTOR �V OWNER - -_
ADDRESS .JOB ADDRESS--- _
PHONE_. 83- - 6U-0- 2-__— APPLICANT.--_—_-.—_-- -_ —
Heat Input Rating(BTU per Hour) Vent Site-.— Flue Size ._ —_
FUEL. OIL GAS 0 ELECT � OTHER
ITEM i NO.j FEE- ITEM _ NO. FEE
F_o_r Issuance of Permit SEE BELOW _Each Air Handling Unit or Duct System _ 7.50
New-up to & incl, 100,000 BTU --- 6.00 Commercial Hood System 7.50---
N_ew 100,000 BUT's & over_ _ 7.50 Other Fyupment - Each _ _ _ 4.50-
WoodburnlMStove --__ _ 4.50 1 Trip I ispection 4,50
Wall-Floor- Suspended 6.00 Air Conni_tion Compressor - up to& incl.—34.0. 6.00_-
Vent System w/Fan _ 4_60 Air Condi*.ion Compressor-3.1 to 15, H.P. incl. 11.00
Repair-Heat Cooling - --__ 6.00 - ----- --�-- --
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SU NTRACTORS ! ! _ -
PERMIT ISSUANCE 10.00 Comments:
FEES --------- ---T.__.._ --- _ I r
SUB-TOTAL ---
__ % STATE_-. _ Issued By
25%PLAN CHEC
TOTAL _- REC.
Signature of Applicant
I
a� s MIR
City. ®f Tigard Mechanical Permit NO.
Alteration
Kew Installation ❑ Replace Q Relocation❑ Addition C] ❑
DATE:
C c
HEATING - - ( OWNER
CONTRACTOR
ADDRESS_%% ' ' U JOB ADDRESS
PHONE 6 �� " �� APPLICANT.
Vent Size Flue Sire
Heat Input Rating(STU per Hour)
.—
FUEL OIL❑ GAS Q ELECT ❑ OTHER -
ITEM NO. FEE ITEM NO. FEE _
Permit SEF 9ELOW Each Air Handlin Unit or Duct System 7.50
For Issuance of Permm
Y
Nor Issuance
to & incl. 10it 9TU 6.00 Comercial Hood System 7.50
7.50 Other Equipment
Each 4.50^
NeN1100 000 dUT's & over 4.50
Wcodburning Stove 4.50 1 Trip Inspection
Wall Floor Suspended 6.00 Air Condition Compressor • up to&incl.3 H.P. 6.00
_Vent System w/Fan 4.50 Air Conciitlon Compressor•3.1 to 15. H.P.incl. 11.D0
Repair-Heat Cooling _ 6.00 --
CITY BUSINESS ACENM,,REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 ,,Comments: ---- --`- — -
SUBTOTAL
�} X STATE ~L' g Issued By
_259e PLAN CHECK
TOTAL % " d REC. # -- —�"-"Signature of Applicant
0xa-mjw
CITY OF TIGARD
PLUMBING PERM[T 1312: SW- HALL BLVD.
P. O. BOX 23397 -
Apt&canh.nwa hold Oregon Registration to conduct a plrarhbing T I GARD, OR 97223
Ixn4oess at int st be prop"ownedoperator not firing outside help.
_--_._- Nana of Oev*bpmwd r— (503)639--4175
Plumbing Petmil No,
Address
ORS 614-21-610 OUAN. PRICE AMT.
Job Tu Lot map.Nu. _
Addraaa -- FIXTURES
laf Blodt StAx"blion
Siris 7S0
anw or nurM I-vatory
t.
Tub or Tub/Showw Comb.
Shuww"
Owner Cky/state yip WalerClaad 730 1 5 d
_ Dishwasher_ 7.50
Phone- Garbage Disposal _ 7.50
--- Name Wasthnrhgmachine 7,50
Floor Drain 7.50
S P hone WawHeatet - -� 7.50
Occupant �y�e zip lxrrdryRoomTray TSO
lk" 7.50
ame Otho F duces(SpedRx) 7-"
7-SO
Kim"
750
contractor cvyfswo $ _ 7.50
_ MISCELLANEOUS
- City Brea.Tai No. Sewer 1 is 107 30.00
State tMdp.�- —. a Sewer-ea-Addt 100' 15.00
( ehe� Water Service 1st 100' 20.00
1 hereby admawk-doo that 1 hew reed t im eppficaGor%that the Information Water Ssrvioe sa Ad&", 1S.00
gmen is oortact that 1 am registered with the State Buida(a Board.and mho Storm a Rain Drain 1 st 107 30.00
hew a Stab Pkxnbkhg Scene that the nunimm given are correct that d - -
pkxntwV wok wi be done in emordenoe with appf a prw4m x s of Onv S1o"n a P-in Drain Adck-100' 15.00
gon Revmsd Ste4Ass CtmW%a 447 and 690 and applicable codes and that Moble Horne Space 25.00
no help wA be anpbyad unless Wwwad under ORS tom.(t a-.,from -
State regish&bon please gee reason be". Bade Flow Prevention
110MC-OWNERS-I hereby cartiry the I am the o%vw of the property de- Dome or/n&PolhAion Device 73O
eart»d atoms.at VA* h bcaton 1 prthpoae to make a pkar"ry In ailmdon kx Any Trap or Waara Not
my own+se and 041 property In not beky constructed for sale.bane or rent Connected b a Farnxe 7.50
Calot Bathn -- --^- 7.50
Snap.of CxW.Pkx"bi hg _ 40.00 Per Hr.
SpeciallyP-questedlnspecdoms-- -40.00 Pert*, -
�-_- --------------------- _-___ Meer.of Pwrnbkhg wWAn
an frietkhg F" 15.00 min.
AtM*)nIZED SKINATURE ------ Dots New Bldg.or Build.AdAton 25.00 min-
----- _— ------____ 1 Dain.sirule faldly _
1?""m work now(j eddition❑ afterution(] "nmk I' t3 llifs� .15.OD
tp(xa dkxre residerdial FI non-resWential - --- -
I tdstlnp uee of
I'utkfln0or(xopercY_ _ -- --_----._._ ---.----.-------_--------.-----_ $25.00 minimum -- SUB-TOTAI.
"n U"of it SURCHARGE
25t PLAN REVIEW
I rda pom*beoonves grill and roll t wrxk m oonetihxhtlon aut hortrad k mA cors+ TOTAL
r+wnrtwd vAd bh 160 dry ^9 oenmMx-*)n or work/t etxrerwW or atwhdoned(or - ---_-_.
•p"d W leo de"of any fires often w.,nA b oahvr w%oed-
Oahe Issued --- -- - by -- -- -
I
CITYOFTIVARD PLAN CHECK 1XPLICATION
CRY RD
COMMUNITY DEVELOPMENT DEPARTMENT , PLAN CHECK
PERMIT
121259WHABhd PA.Ba23: gr
a7.Td.O,*QM 1fJW=M to I
DATE ISSUED
JOB ADnQFSS: it -3<1 5 4,/ C'rir.-�-y L� -- TAX MAP/LOT��- i DG.y; Ga a
SUB: _ LOT: _ LAND USE:
VALUATION: j[24/ . SETBACKS:FRONT: REAR: LEFT: RIGHT:-.h—
WORK
IGHT: , - -
WOKK SSS: HEIGHT: TOTAL AREA:
USE TYPE: FL ...t LVAD: 1ST: .2,-2 o
CONSTR TYPE; NEAT TYPE: IIID:
OCCUP GROUP: DWELL/UNITS. :� - 3RD:
OCCUP LOAD: NO BEDROOMS: � BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS RRQUIRED
PLANNING: REISSUE OF: LIST/SUBCONTRACTORS:
ENGINIMWNG: LAST REISSUE: BUS TAX:
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: _
OTHER: -- — SEN IND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY: OTNP:
COMMENTS:--.L
[1F[ JIT oCCT // DESCRIPTION AMMUT 11M0L!L'T PD. BAL. DUE
10-432 00 Building Permit Fees 1S U— -
- 10-431 00 Plumbing Permit Fees ----
10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5X) --
Bu i Id i ng
Plumbing
Mech _
10-433 00 Plans Check Fee --
Building
Plumbing
Mech
30-207 00 sewer- Connection -
30-444 00 Sewer Inspection —_._— -- --- --
51-448 00 Street System Dev Charge -
52-449 00 Parks System Oev Charge (PDC) --
31-450 00 Storm Drainage Syst Dev Chrg (SSUC) -----
10-230 09 TRI-0
10-230 06 Washington County fire N1 (9`.,X) --
10-220 00 Amart/Wedgewood -
101AI
APPI.ICANT SIGNATURE
I:rceive-d By: Date Received' �—_�_- --
cn/3'�87P/18P