10276 SW RIVERWOOD LANE ADDRESS.
i:\records\microfIm\targets\building.doc
CITY OF TIGA� 0 0--'CUPANC 1,j I IM--"I t;'j
COMMUNITY DEVELOPMENT DEPAR DO
ISSUED: L719/08/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PARCEL. LGI j,4BC-RV070
S c
ITL ADIMLt;iti. JW RIVERWOOD LN
SUDD I')I S I ON. . . . : RIVC.RVIEW ESTATES NO. 0 ZONIN6:137 PD
BLOCK. . . . . . . . . . r LOT. . . . . . . . . . . . . :2170
CLASS OF WORK. sNEW
TYPE OF USE. . . sSF
OCCUPAWY GRP. sR3
OCCUPANCY LOAD:P30 4
'I V-NANT 114AME. . . :
Remarkst PATH I
OWnilit'_%
LHL CONSTRUCTION INC
7110 914 FIR LOOP
TIGARD OR 9*7223
Phone #v 6,24-7714
Contractor:
L.HL WNSTRUCTION INu
7110 SW FIR LOOP
TIGARD OR 97223 II
Phone #: 624--7714
Reg #. . e 53766
OCCI.Apancy of the above referenced buildin1:1 t ht-rcrby pliven, and rertifies
the compliance with f-,he Statp if' Oregon Specialty Lodes, fur the group,
ocmkpancyl 4nd iise miler which the refelvenced pei,mlt was issup. d.
FIRE nErDARTMENT U k.DJN(.31:E'("TOR
11.1 Nib Off P'I C I AL.
POST TN CONSPIGUOLIS PI.ACE_
I
INSPRCTSON NOTICE
City of Tigard '\tildinq Departermt �
13L25 rW Hall elr— Tigard, Oregon 97223
Inspection Line (kec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
1
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas ',ins PINALt
Poet/Ream Struct.. San. Sewer framing -Bldg.
I
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Walter Lino Gyp. Bd. -Koch.
Date Reque/s�tedt / y_Timet AM PH
Addreaes C. �(" \ Permit is
!L l �_ t ' l
Builders
PRE FOLLOWING CORRECTIONS ARE REQUIP.EDt
Inepector� Dater
__APPROVED __ DISAPPROVED APPROVED !!D Cr TD Aj
Call For Reinap.
,.IOM MarI CE
Cit_, . Building Department
131.25 BU LL Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone)t 639-4175 Dusi-nese Phono: 639-4171
Inspections _ --
tooting Plbg. Onderalab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lino F.MALt `
Post/Beam St,ruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb,
Plbg. Underfloor /Water Line Gyp. Bd. _Mach.
Onto Requ.satods 1 _1_" Times AM taM
Addreast162,11v ���,�lfF�f (,�j L{t im, Permit 1 t (21-5J"�_•
TF1u FOUANIBO OOIt MMIOMS ARE REQUI^.P.'Ds
- fir` -
InspeCtort_.__ �f'
_ Datet _
10PRoi EC - DISAPPROVRD APPROVED SUB ECT TO AHSI'rR
Call For Rainsp.
L
INSPECTION NOTICE
City of Tigard Building Departmment
13125 SM Ball B1.d. Tigard, Oregon 972.23
Inspection Line (Rec-O-Phone): 639-4175 Business Pho-:e' 6:19-4.171
Footing Plbg. Undersiab Mech. Rough-in Appr/sdwik
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Han. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Uyp. Bd. -Hoch.
Data Requested: AN PN
Address: 1\ Permit �:—_ —----
Nuilder: — -�—� --`- -� --- --
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
3fit
l c'�S w r2 Ei c" M Cr. LC
Inspector: Dat sl
___ 11PPrZ"D ISAFJ'ROVRD _ -- APPROVED SUBJECT TO ABCVR
C C:ll or Reinep.
NuPECTION NOTICE_
City of TJ2ard Building Departmhent
13125 AR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
t '
Rooting P1Lg. Unders r>r Rech. Rough-in A r/S(Iwlk
Found. Plbg. :OP Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plusab,
Plbg. Underfloor /WWater Line Gyp. Bd. -Mach.
Date Requested t_ D �C� q
_`Time: Q AM PM
Addresn:_a_-_l Q �/����(( y�. `nQ_ Permit
Builder.:._._ H- L l-�I/:� 1��. r ',Ll 77/(7
TNR r"I.Lr' NG CORRECTIONS ARE REQUIRED:
Inspector: Dace:
APPR:)V RC! DISAPPRoVR.I) APPROVRD BUBJECT TO AROVR
OA!1 rnr Rn 1 nnp.
INSPECTION NOTICE ��
City of Tigard Building Deparhment 7
13125 IMI Hail Blvd. Ti rt
Tigard, Orron 9722.-,4) 7
Inspection Line (Rec 7-.Phone)t 639-4175 Business Phone: 639-41�r
InspectionT
Footing Plbg. Underalab Mecit. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line lI1fAL
Post"Beam Struct. San. Sftwer Framing $ld
Post/Beam Mach. Rain Drain Insulation plp�
P1bg. Underfloor Water Line Gyp. Bd.
Date RequestedttJ/ _ 2i� . ?C ( 5 Timet [� AN pM
Address t�--L f 1 l V �( �" ��w�_- Permit #s
L_
// /l
Builders •�-/_ C� d l-vt (Pj q--77t V
THE FOLLOWING CORRECTION'S ARE REQUIRED;
�~
Inepectors_--- Dates
I.PPROVED DISAPPR'OVE'D APPROVED SD"CT TO ABOVE
_LoNfl For Reinep.
�iSPBCTZOR ROTICS �/��..
Citi of Tigard Building Departmmt
13125 SU Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Monet 639-4171
Inspection:__
F'>otin
9 Piuy. Underelab Mech. Rough-in llppr/edwlk
Found. Plbg. Top Out Gas Lino
FIRALt
Post/Beam Stri:Ct. San. Sewer Framing -Bldg.
Poet/Beam Mech, Rain Dra1.n Insulation _Plumb.
Plbg. Underfloor )� Water Line gyp. Bd. _Koch.
Date Requested:
-•�C---'�--aG-
Tlatet AN PM
Address: Oc�7 �/,�h /n��Crlt i
Builder:_�
THE KiLLORIRG CDRRBCPIORB ARE REQIIIREDt
29 IA./
Oy TL 7_5 _A s
Inspector:____.
DatsiZ _
APPROVED DISAPPROVED APPROVED 8UBJEpV
CP TO A9E
call For Reinsp.
INSPECTION NOTICE
City of Tigard building Department
13125 an Hall Blvd. Tigard, Oregon 972
Inspection Line (Roe-O-Phona)e 639-1175 Business Pho 639-4171
Inspection:
rc)Oting Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Tc,) Out Gas Line FINALS
Post/Beam Struct. San. Saver Framing -Bldg.
Post/Beam leach. Main Drain Insulation -Plumb,
Flbg. Underfloor `J Mater Line Gyp. ad. h,
(/
Date Requested: ' �f- Tim.: _ �-AN rM
Address: Permit
Builder:__
TBE FOLLONING CORRECTIONS ARE REQUIRED,
Inspectors Datef"�'T"^
PROVED DISAPPROVED APPROVED SUBJECT TO Mon
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 511 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phones 630-4111
Inspections
Footing Mg. Undorslab Mach. Rough-in Appr/Sdvlk
round. Plbg. Top Out Gas Lina rINALs
Post/Beam Rtruct, San. Sewer !rasing -5149•
Post/Roam Hoch. Rain Drain Insulation -Plumb.
Plbg. UnderfloorNater Line Grp. ed. l -Meeh.
Date Ragnesteds �2/ -1 Times AN PN
Address, l G�/</ /L��/ ��. r/�'1Y., ,..!l�L Permit
Builders_
TRE FOLIA MING COMMONS ARE 14QUIREDt
C"T shee -I"`: c �•
i
r
Inspectors _ Data
t
APPROVED DISAPPROVED APPRWSD SUWBM TO ADM
Call For Reinsp.
1. S ECfION NOTICE )
City of Tigard Building Departs f
13125 SIX Hall Blvd. Tigard, OTeg'on ,7223
Inspection Line (Rec-O-Phones 639-4:75 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab Mach. Pough-in Appr/Sdwlk
Found. Plbg. Top Out gas Uns FINAL:
Post/team Struct. San. Sewer 1tYlfIQ -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Pliob.
Plbg. Underfloor Nater Line gyp. !d. -Hoch.
Date Raquestedt 1z AM PN
Addressf f Pel'elt tt
Builder: L //
THE FOLLOWING CORRECTIONS ARE RE.2VIRED:
Inspector//L� Uate:�� ~
d /
I/ APPROVED DISAPPROVED APPROVED SUBJECT To AWNN
Call For Relnep.
INSPECTION NOTICE
City of Tigard Building Department
13125 aw Ball Blvd. Tigard, Oregon 972$3"
Inspection Lino (ROC-O-Phone): 639-4175 Bueinenol C. 9-4171
Footing Plbg. UnderalabXph, Rough-in'' Appr/Sdwlk
Found. Plbg. Top Out as; Line i FINAL:
Poet/Beam Struct. sen. sewer lraming� -Bid
g'
i'st/7eam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Neth.
Date Requesteds V Times AN PN
Addl• oes /4/)-2 / Permit
Rullders
THP FOLLONING OORRiCPIONS ARE REQUIPED:
Inspectors /
•--- �_ Date:-
APPROVED DISAPPROVED APPROVEn SUBJECT TO ABOVE
Cali For Reinsp.
,INSPECTION NOTICE
city or Tigs:d Building Department
1.3125 BW Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): 639-4175 Business ! 639-4171
Inspections
Footing Pl . Undersish
� APPr/Sdw1k
Found. Pibg. Top Out ( Zes Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 1. Nater Line Gyp. Bd. -Mach.
Data Requested: _Time: Ak PM
Address: 3 ^Q
..Permit is
Bui�der: 7 L
TBR FOLLOWING C30PRECTIONS ARE REQUIRED:
Inspector:
Dat s
APPROVED DIS�"ROVED APPROVED SUBJECT TO A60VE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
L3125 1411 9x11 Blvd. Tigard, Oregon 97223 ;
1,13paction Lt.ne (Rec- ti-Phone)t 639-4175 Bsiness Phooe
d 9-41
Inspections
Footing Plbq, Underelab Mech. Rough-in Appr/sdwlk.
Found. k,_ Plbg. Top Out Cas Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Noah. Rain Drain Insulation -Plumb,
Plbg. Underfloor Slater Line Gyp. Bd. -Koch,
Date Requentads v Time: AN PM
7
Addreen t 1 P armlt #
Builders 2 ,L„
TBE FOLLOWING CORRECTIONS ARE REQUIRED: �
Inspectors _.� _ Datet �.
APPROVED —
DISAPPROVED APPROVED SUB•IRCT ABp{`E
__Call For Reinap,
INSPECTION NOTICE
City of Tigard Building Department:
13125 SW Ball Blvd. Tigard, Oregon 9723 ~
Inspection Line (Rec-O-Phone): 639-4175 Burinena Phone: 639-4171
Inspection:_
Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALt
oat/Beam StruSan. Sewer Framing -Bldg.
oat./Beam Meo Rain Drai
Insulation -Plumb.
Plbg. Underfloor r Line Gyp. Bd. -Mech. Y
Date Requested: -7/ �- 3 _Timet q AM /` PM
Address: � c) /w �1-� "(.�.�17f�C�t�/ C Permit 1: / �U
Builder:—L/
` &Qq -171Y-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ APPROVED pISAPPROVBiAPPROVED SUB CT TO ABOVE,
Call For Reinnp.
INSPECTION NOTICE
City of Tigard Buildinq Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4 11
Inspection:_
Footinq Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: f Time: � —PM
Address; Permit #323--
Builder: -7/_ G�- �� c�T —7 /,1_ _
THE FOLLOWING CORRECTIONS ARE RNQUIRED:
Inspector:_ _ _ Date:
APPROVED DISA,'PROVED APPROVED SUBJECT TO ABOVE
call For Roinnp.
CITY OF TKA RD PLUMBING P,k:-Rmi-r
11�
CITTy ON 110D MS T93,
COMMUNITY DEVELOPMENT DEPARTMENT offew
13125 SW HWI Blvd.P.O.Box 23397,Tkpwd,OmgDn 97223(SM)6384175 r.)n f rL,SUF`.D= 03/;R5/9,3
1w,__/(
'VIEW ESTATE',- # .2 ZONING:
J1301 V IS ION. 1V LN
LOT. . . . . . . . . . . .. . 0
OF WU RK. UIGP05ALS. .. . 1
'PL OF UGE. . . . -SF WASHING 0JACH. . . . . . .. : 1 BACKFLOW PRE71)NTRG. -.0
�ji-i-A-11-IONCY UPF". R'3 FLOOR DRAINS. . . . . . . :0 0
. . . . . . . . : WAJER I I ERS. . . . . . .. I CATCH BAS I N!:'3". W
L
LAUNDRY ROPI DRAIN5. . . . . . I
GREASL TRAPS. . . . . . . .0
U-RIES. . . . . : OTHE.-R FIXVURE'.: . . . 0
FUB/SHOWERG. . . . : SEWLR LINLL :0
WA TE R L I IN1. (f 00
1.;:-)HWOSHERLG. . . . RAIN DRAIN (f t )
--F
IL, LL:iA;TkUc1IU'N I N C $ 1410. 00 JIA 03/25/93
i. JW t"IR LOOP BP R T s 47'.'*j. 50 JH 03/E5/93
DPLC $ 40. 00 JLH 03/05/13 ')3'
B'31DC $ IL": 76 JI-1 0 3/21 tj/9 3
iione #: SSDC $ 280. 00 JH 03/25/93
PpkR 500. 00 J 1-4 0 3/C25 P)3
11 P't�T' '1, 40. 00 JH 03/L5/93
MPLC s 12. 00 JH 03/25/93
..d Ili m1_'I1:.'c $ i:j. 40 Jh Q16/2"15/913
J ch,p I-0 vOne It PPR T $ 1.55. 00 JH 03/i?5/93
rspc 1, 7, 75 JH 0 13/L",1_3/9 a
L a t c? U-sp—CU)
7 9
F.) Ph un e 15. 00 JH 03/25/93
-
It.
- !�2f
RLUUIRED INSPIEC.'TIONG
pei mit s i ti F,f..L e d s u 1,).j e c.,t '1:o t h e r,e y
,;Iii, i.uns contained in the TiLjar,d 111.micipai F:uot/found Insp Hain drain Insp
3tate of Uv,e. Specialty Code and All F,%),it/Deam Water- LiT)P II)sP
fL,icn- Applicable laws. All wclr,k will be done Post/Beam Mechan Appy-/Sdwlk Insp
LVI .Ac_'c,ov,danc:.e with app,-owed plans. 141 i cPj.m/i.jjn1s1,ab Insp Olec.hanical Fina,l
',qt'mit will expire if wor-44 Isi not started PUYI/Undet-fl out- P'llumb Final
Jays of -Lusi.tance, or- if wov-,� ii kiechaTli.Cal Insp buildini I ina
,. ji.hin i8e L _4
i�,penued for more than 180 days. P11-mb Top Uut Erosion Control
F)-alllinq Insp Gi,awl Drain
Fir-eplace Insp
1:5as Line Insp
Insulation Insp
roar.,d Insp
t 0� )t lszte d P I u m b i 1) C a 11 t t
inspeuL i on 6 3 9 1 TJ
c L u v, N at e
_j
CITYOF TIGARD
CrFYOFMAIM
TWID
COMMUNITY DEVELOPMENT DEPARTMENT 04100N MASTER PLRMIT
13126 SW HWI Blvd. P.O.Box 23397,TOW,Or*90n 97223(603)6394176 *7 #. . . . . . . . MST 93, 0159
D' 10' - - ' ' Lj -'
I.L f 1'-' ADDI'JESS. 102*76 SW R 1 VERWOOD LN PARLLL. LS1141313---RVO,
UBUI V ISION. . . . .. RIVERVIEW ESTATEI' # 2 ZONINU:
.. . . . . . . . . . LG I.. . . . . . . . . . . . . ..70
...... BUILDING
i,::)GUE.IYIST93-0004 DWELL ING UNI 1,6: 1 BASEEMENT. . . . . . . . :0 s
LAMS OF WORK. i NLO BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .465 S f
y OF' LISE. . . :5F FLOUR AREP13 , RLUUIRED 5L1*5ACWL)
YPF1 UF. CONST. 5N F I146-r. . . . : i o,-j6 S f LL FT. . : 10 ft R 1 GHT- 1 12 f1,
CUPONCY GRP,, .C33 SELOND. . . iL-61, S-f FIh0114*1% -1-0 Ft REAR. . rt
J I URI ES. . . . . . . .12 TH I RD. 0 Sf REO.UIRED-----
. . . . . . . . :30 -f i; TO1AL- s 91`101-10-r DETECTORS. -.Y
LOOR LOAD. . . . -40 ps-f: VALUE. . . . . $ 116148 PPIRKING SPACES. I
i,emi--Ai,ks . PATH I
PLUMBING
. . . . . . . . . . .. I FLODII( URAINS. . . . .0 BACKFI-OW F-1 RE 11.1
OVA IURILS. . . . . :4 WATER HER'I"ERS. . . I T R A P*3. . . . . . . . . . . . . . .111
UB/51-10WERS. : 3 LHIJNDr,)y rrwiG. . . i CV4 rC,H BASINS. . . . . . . :0
,tiATLR CLOSET5. . :3 5EWE13 LINE (ft) . :0 GREP)GE TRAPS. . . . . . . :0
i)leyHWASHERS. . . . , I WVITER LINE* (ft ) . : 7.1712+ OT 1-4 E R E: I XTU R L
.,AHBAGE DIGP. . . I RAIN DRAIN (ft) . .Q.)
Sc RAIN DRAINS— .!
MIE"CHANICAL - - — - - -- -- ---
1JIJ- 7YPE5----- UNIT 1--ITH13). . :0 type ii to U 1.111 t Ly date t-ecpt
i.-.i A S/ V E 1\1 TS . . . . . .0 TIF 4 1460. 00 JH 03/4:5/93
1PX INVDUT-0 P 1(.! VENV 1" ANS. . :5 BPRI 1 475. 50 J1.1 03/; L=;/`� 11
URN ( 100K . . .0 HOODS. . . . . . : 1 0PLC $ 40. 00 JLH 03/05/93
URN > =100K . . 4.: 1 WOODSTOVES. rO 851--C $ 21 13. 7a JI-4 03/a115/911
LUOR FURN, . . .. :0 CLO DRYE-.116. : I SGDC $ L80. 00 JH 03/,:'5./') '
i L/CMP ( 3HP-0 OTHLP UNITS; i PARK $ 500. 00 JH 0,� ,:j
UAS OU"I'LLT 13; I IIPRT $ 46. 00 JH 03/25/93
Ill P L C' ; I L. 0';,) Jil 'A3/2:`i/9 ;3 -
- HL CONSTRUCTION INC M5PC $ 2. 40 JF1 0 3/*it':)/93'
( 110 SW FIR LOOP I-PRI 1, i515. 00 jfq 031125/93
P5PC $ 7. 75 JH 03/25/93
10i4f,'T) 013 97':,23 13P1_L 1, i U. 00 JF-I 03,125/9-
1-,one #: 624-7714
JIL. L'ONS'TRUCTION INC;
0 SW F'I R LOOP
P RD Ort 97 2 L 1�
I. 30V). 43 rOTAL
7hjS permit is issued subject to the regulations contained in the REOUIRED INSr.-IECTIONS
.igard Municipal Code, State of Ore. Specialty Codes and all other Foat /fouTicl Insp Fit enlace Insp.
appli,-able laws, All work will be done in accordance with approyed Gtr,j-ict Gas Liiie Insp
)Iv5. This permit will expire if wor' not started w thin 180 1-*Iost/Beam Mec-,I-iari I n 5(.ki It i U11 1 n S F.)
-k is su:,�E- fr)sp Gyp 1.300!--d 111151)
a�j of issuance, or if woz
PLN/Uri d e i-f7 lour' 1"?Aiii dt-A. iri Insp
Insp Waiter Line trisp
Pll.tmb Tuj.) Or.vt Aj)pr,/Sdw1k Insp
CITY OFTIGrARD
CffY0FTW4RD SLWLR CUNNEC"fION
r,OMMUNITY DEVELOPMENT DEPARTMENT Comm PERMIT
13126 SW HWI BW.P.O.Sm 23397,Tlgmd,Oregro 9M(6031839-4176 . . . . . . . .. SWR 93-0143
ADDRESS. . . : 10276 SW fRIVLFRWOOD LN PARCEL: 2cjI14B13--RV070
; RIVL--.NVIEW E."STPFES # 2 ZONING:
. . . . . . . . . LOT. . . . . . . . . . . . . .70
L-NAN-I" NAME. . . . .
Lj'-)il NG. . . . . . . . . . . FIXTURE UNIT"6. . .
C LOSS OF WORK,. . . :NLW DWLi-L 1 IAQ UN 1 1'3. . . I
1 VPE OF USE. . . . . ..SF NO. OF' BUILDINGS: 1
N�-, I ALL '1Y1-`E. . . . :BU` WR ERV SURFALE".. is f
,temar-k-,. PATH I
F -EG
LONST'RUCTIOIL INL' type 'Imoulit by da-te z,ecpt;
,' 110 SW FIR LOOP PRMT $ 2100. 00 JH 03/25/93
INSP $ 5. 1110 .Ili
011 WES:,3
#: E%r-�4-7714
;�i,�V104CTOI"; NUr ON FILE
Y REOU I RLD INSPEC'TIONS
-"s Applicant agrees to comply with all the rules and regulations
F the Unified Sewage Agency. The persit expires 480 days froa
,,-,e date issued. The total asount paid will be forfeited if the
pervit expires. The Agency does riot guarantee the accuracy of the
ine sewer laterals, If the sewer is not located at the etasi.-renent
.:then, the installer shall prospect 3 feet in all directions fr,oa
!ne distance given. If not so located. f!7p purchase
Tap and Side Sewer" Gerrit and
I T1 I L S
F"y
L a L I f'c)t, i ri%p e L:t 10 V1 639-4175
5—
CYITYOF (`� 13 M SW Had Blv
�,I V ARD PERMIT 1
COMMUNITY DEVELOPMENT DEPARTMENT Tb rd`c)r+ 4
(sW)6"�"71" OATS ISSUED -
JOB ADDRESS: 0/2 7� ScU Kru�wuu � �7," TAX MAP/LOT A8'e)CII ?o
0 LAND USE:
SUB: _ ,t,tc,1 ITIT LOT: --
VALUATION: r
OWNER SPECIAL NOTES
NAME: ! F ��Mcuc"i"F ^nxC REISSUE OF:
ADDRESS: 1 Q �1 t I I'2 -n C� LAST REISSUE: --._-_-- -
FLOOD PLAIN/
r r
PHONE: Csc� �� 7 7� — _--_-. - SENSITIVE LAND: .-
CONTRACTOR �PIZOVALS R -LRD SOL� '10'��
NAME: SC�1Ylc� QC ►J r9 `• PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _ J a v� - OTHER: f
CONTR. BOARD #: 5-3762 EXP DATE: E —
I TE14S REQUIRED_
SUBCONTRACTORS: PLUMB: J.'((��& LIST/SUBCONTRACTORS:� �I��
MECH: c BUS TAX:
ARCH ENGINEER
CALCULATIONS:
NAME: Ij ti
----I
TRUSS DETAILS: -
-
ADDRESS: OTHER:
PHONE:
PROPOSED BLD . USE:
COMMENTS: S� - t- O S
�c;UYZ t
APPLICANT SI NATURE
Received By: c- Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE-'*,
In )tf3-01St' 10-432 00 Building Permit Fees ���' (TS, -
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x)
Building
Plumbing _ _75
Mechanical
10-433 00 Plans Check Fee
Building ��
Plumbing
Mechanical __L1
10-230 06 Fire
SL1-ny-)6;13 30-202 00 Sewer Connectionuy
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 /y ZL—U -
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) &-y__....
24-445-01 Water Quality (Fee in lieu of )
2.4-445-02 Water Quantity (Fee in lieu of')
1 OTAI 1.51-S
nm/358711.W131
CITY (IF TIGAPD REL:—.IPT OF PAYMENI REGFIPT NO. 93—i?3A ,75
(WEANCK. AMOUNT s 31 14. 43
114AML s t,mi— CONSTRUCT JON CASH AMOUNT s 0. 00
ADDRESS s PAYMENT DATE s 03/a5/93
GUSDIVViTON
PURPOSE OF PAYMENT Atol(JUNT PAID P1JRP0!3V--. OF PAYMENT AMOUNT PA I D
BUILDING PERM 475. 50 PLUMBING PERM 159. 00
MECHANICAl., PF. 48. 00 ST. BUILD PER 33. 93
PLAN CHECK FE 27. 0,71 SEWER USA 2100. 00
SEWER INSPECT 3115. 00 PARKS SDC 500. elo
STORM DRAIN SDC 2180. 00 RE91DENTIAL. TRAFFIC FEES 1350. 00
MASS TRANSIT TIF FEFS) 110. 00
I—OT 70. RIVERVIEW 11
10276 3W RIVERWOOD LN
'roTAL AMOUNT PAID -- 51 t 433