Loading...
10433 SW RIVERWOOD LANE i i ,P .r 10433 SW Riverwood U-ine —' f � �/� J ,1NSPFCTIOl1 NOTICE City of Tigard Bu,lding Departiment 13.'.25 SW Ball Blvd. Tigard, Oregon 97223 Inepeution Lire (Rec--o-Phone)c 639-4175 Business Phone: 639-4171 Inspection:-- -- - �_� -/.- •, /� Footing Plhg. Underalab Mech. Rough-in `App dwl 4 Found. Plhq. Tod: Out Gag Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam sec Rain Drain Insulation -Plumb. P).bg. Underfloor Water Line Gyp. Bd. -Hoch. I Date Requested:__ _Times AN —PN 7 Address: 2)��_ L G�_.1 Peit( c #: By i lder: THE FOLLOWING CORRECTIONS ARR REQUTRED: Inspector: _- Date: APPWNRD DISAPPROVED AVPROVRD SUBJECT TO ADM --Call ►or Relnep. i PLUMBING PERMIT C17YOFTIFARD ARD PERMIT 4. . . . . . . � PLIY19 1--0077 CrFYOF CCMMUNrrY DEVELOPMENT DEPARTMENT 091OON nJ. 1^^tIF'D /-, / 1 13125 SW Heil Stvd. P.O.Bax 23397,T•pad,Oregon 97223(603)63D4175 LD I V. SWANSONS GLEN NO. 2 ZON I P S : R-12 L..0r. ,I_Ac ri OF Wt)RK.. . :NF6J GARBAGE DI =(`'t"1'"t tt_.', . . MO13.N-E HOME '--,PnCE9—. rypE OF USE. . . . :SF WASHING MA H. . . . . . . : BACKFLOW F'RE:VNTRc. . ° i )GCIJPANCY (aRP. . :R3 !=L(InR DRAINS- . . . . . . . . TRAP .. . . . . . . . . . . . . . ., : 1'OF?lt":5. . . . . . . . . 2 WATER HE'PTERt=,. . . . . . s CATCH BASINS. . . . . . . IX1'k.11ti' , ___.._._.._.._._.........._. LAUNDRY 1`RAv:-j. . . . . . : SF= I?F)IN DRAIN'S. . . . . 7lNKS. . . . . . . . . „ . URINALS. . . . . .. . . . . . . . GREASE: "rRn. r,s. . . . . , . _AvATOR I C:;:3. ., . . . . OTHER h I X'T t.JF l.: }.. I. . . ., . I'UTA/SHOWERS. . . . : SEWER LINE (ft ) . . , . s APTER t;LOSF.=TS, : WATER L INC: (f :-iiSHWASHERS. . . . : RAIN DRAIN !ft ) . . . . bA(ZKLF=•OW PREV. FOR LAWN 5F'RINK1.-Eke SYS. FEE t IM JlRRIGONI t ype ani;, t t?y da-t, e r crit 14/14,:.;3 P]W RIVE.-:RWOOI) LN PRM1 1 " . 00 BCR 05/26/91 7S P T +). 75 1.1(--R 0" TIGAr~G OR 97,_24 TITAN PROF" "RTIFS F.'(1 TIOX /L�)R97007 _._._.__ ._.__ _._...._._..._.._ .._.._.._ 4 : E 4"iF-4'7 ' � ? y5 TOTAL 30558 _._. ...__._.... kt-.01-11 HE D l N,lPhnk, J 111N . .._._._.__._. r :s aereit is issued subject to the regulations contained in the Final Inx,opc—tion Tigard Municipal Code. Stator of Ore. Specialty Codes and all other applicable laws. All work will be d4^e in accordance with .approved plans. This oersit will yeast if work is not started W;;thin 188 days of issuance, or if wcrk is suspended fat" sore *man 1130 days. _._.. .__ _ _.._......._..._ _...__ r1ith0e `,i Fln tl.tr �Z12Yee '.Pci Lav G'AI1 for inspect i,on Itj CITY OF TIGARD PLUMBING PEIZMrl' 13125 SW HALL BLVD. P. O. BOX 23397 Ar►plicants must hold Oregon Regivralion to crxdud a plumbing T I GARD, OR 97-23 business or must be owner! ator not hirin outside Irel _ _ -- a��a�+v aK* s p (_SO:f) 639-4175 1/ �/Ji/-/3�'� ���Natne of „ Plumbing Permit No,/_"�L_L�J�-- Addrest Description ORS 614-21.610 OUrN PRICE NAT, Job Tax Lot --- Map.N0. Address / tj L FIXTURES-__ LSink Block Subdvislort - - 7.50 - - A-ame 0r nalne R bu teas Lavatory 7.50 Tub or Tub/SNower Canb. _ 7.50 �Iss Showeronly --- 7.50 i Water Closet7.50 - Owr.er CkylState Dishwasher - 7.50 -- --_ Garbage Disposal _ 7.50 --- _,._ Name - Washing Machine _ r 5o FkKw Drain 7.50 xtg ess �- IPho Water Healer • l 7 �, W L^ , Laundry Room Tray- 7.50 Occupant City/State zip -� 7.50 r. 2 z. Urinal _ - - - - Other F'w+tWes(Specify) 7.50 ---- 7.50 a,'Gr�i XWO-S!, Phone 7.50 Contractor CffY/Stele - - ZIP -- -`-- -- -- 750 MISCELLANEOUS --� --Ci j flue.Tax No. Sewer 1 sl 100' later-Board No - tal0��c�Rower. Seea.Addit-f 00' _- - 15.00 --- (Resdential) Wa•er Service 1 st 100' - 20.00 1 hereby ocfn owieApn that I have read this application.Mat the Information water service ea Addit�r' 15.00 er - - I Soren is cored,that I am mosimod with the Stale Buiidet's Dowd,and also Storm b Rain Maki 1 st.100_- -_30.00 have a Stale Pkxnblrrq tiow"A that the num(Am 0^r,^are cored.that an 15.00 r-*,rWxV wort(will be done in arrmlance with'I MW t"pnwi6iora d Orr m Ski &P-in Drain Addit.100' _ - gon Revised Statutes CttNXms 447 6rd 64.3 and af4Aco rle oodet and that MotAe tion"Space 25.00 no hey*AU be employed unloss kwowd under ORS 663.(11 exempt frnm -- -_ -_-_ - Surta re7istration.pleate give reason below) tacit Flow Pn ree(niurr IC IAEOWNERS-t hereby offs*tial I am Mae owner of Mor rwors"do- �evioe or Arai Potkaion Oevioe _-.2.50 T w n..-red above.of which lormbon 1 prgx"e b make a pkxr*Jkq InataNA60"kx Arry Trap or Waste Not my own use and fhb property Is not botV m*cstnucted kx 6410.truce Or rent. CrxtrMded t0 a Fixture � 7.50 - -- Catch Basin 7.50 kw.01 Exist.Pkxrt*v 40.00 Pa W. T____ -------- Specially R"uested >p6dbn In s 17.00 Per lir. Alar.of Pkxnbkq wfd*l --� On Existing Wo 15.00 min. AUTHMIII_D SIGNATURE --- - - Date New Bldg.or BuIld-AddlMon 26.00 min. Ram D:am a Um-1 _ Describe wotk new❑ addition❑ afteretio t E fnpalr 11 15.40 tq be done residential(] Poll-roe(dentlal I xisting use of ` Vo(praortv_ $25.00 minilrnun SUB-TOTAL t>D F'nVoeod use of -- 5% SURCHARGE S 1 xllkf 6g cx prOp'rrty------_-- . 2 5$ PL t REVIEW r NOTICE T trk r»rmft baoom6a trill and aid M work of construction auMrorlied V not can i TOTAL m6noW*/Mika 190 daya,a M nondnnx*)n or work4s efxperrtad 0n atww*wwA a pwrkxl of 190 day*of any 6nw after wrxk to"nwtrrroad- tete 1e-11ed - by CITY OF TIOARD RECEIPT Or PAYMENT RECEIPT NO. :91-2 3682 CIAECK AMOUNT 15. 75 NAME : ARRTGONY., JqMES CASH AMOUNT x 0. 00 ADDRESS : 10433 SW RIVERWOOD L-ANE PAYMLNT op i r SUSDIVfSION I GARD, 0R 97 -`24- 10433 SW RIVERWOOD PURPOSE OF PAYMENT omoui,4"r PA I D PURPOSE OF PAYMENT AMOUNT PAID 15. 00 ST. BU 0. 75 BACKFLOW PREVE14TION PERMIT THANK-YOU 'TOTAL. AMOUN'T V-A ID 15. 75 i 0 is ��•� :'1 i•� •� �.''x""Yul, �'dp� �` On.. �p�,� tm M'�,r' � '!�''�✓„ +tl'+,y� �7�$,/r�R Yd..►i 9 h� ���'1•' i^�' Wv+"'_^7. � a�'9'�"�`� �� st��� w,,,gAr -.sph�,i`,,�^ i 'may}, �,���c7f�F• •,y�l�t ���: �`�"`�l�'F'vW7'��+''. ,��1 '`� !•"py 1 r', "ryll. •"��•'',�6y "4a�'�. /p,�§y�� 111� 'pMl. - �ry i7 i��:+x� a ?Fdl I:�q � �� 1 .r,9;�1 .t). .�,.... � .� -�pr ��......•�',. �c ..� •�,.. r �w �/p�F �r ;� �r " ��• ��,i.+ r X7,''7 ..'"' _—C�•''•''"�..�•l'�^•O,{!y.'S^1•�7:^:x�.C.1FxFL'A` �f,1���'p�� , co V ? _: ►- co a �I UO to V Icd _ OD M N � U r Lo 0 tLo co 0 h =4f'^ r C�' /•� tij .yL.(�i -.p'l cn r-4 4J saM tj R o 't' a ,.n rT:?4=•.1H ,r }+'1 rn cd �U•+ .,UCd d H cd -0 w' Int�tr '�w�• t t'�+.;,',, I `'� 1t1►�INN u�Y,tt 4'�ldt1 e�-\V�:Y 41�� �lrF1� 4�111:J�V,�11� 11� G,�.✓��`' � t 1 ri . .ti, 9i� �'*�� �II{ '�IIM '�1S,S1 nth t,dllu �wll{A „ din. 'InN� �,� ,SIN `���T�,,�S<l b, lllllu.• � � \ �K,�,;�'" rJl� SY�B'.:� ,yme.ln, w �m �y�. �� � 1��. , r� S 4 .�.. .�.".`�.�'r.k I�. �P,:., r.c •F"� � �1 •,.•. » '; `; K» s .,fa ll:.�'"flt1{.: IM ` vsa}i. a� �� als�, y ,,N+""' 'l•A. �p. ^y„'."5.�Yy. 1,1''�s,., ti• ..; INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. _P.M, Address �[ 3J. LL 's` Permit Owner,---- Builder wner.---BuilderTIFW 0 ' The following Building Code deficiencies are required to be cor•ected: r " s Presented to __ K—Approved Inspector ❑ Dleepproved Date CALL FOR RFUNSPECTION ❑ YES No BUILDING PERMIT CITY OF TIFA RD �"t PEAMI-T NCI. : BLIE390893 CITYOFMRD COMMUNITY DEVELOPMENT DEPARTMENT 0*100N DA'T'F" ISSUED: 5/ 9/139 13125 S.W.Hall 81,,d.,P.O.Box 23397,Tigard,Orogon97223,(503)639-4175 PRIM. PMT . NO. 890893 JOR ADDPI*-.:5G : 140-,313 SW RTVI-'.lQW0C1D LN 'TAX MAF)/1-01' 253. 1-141ii1B 111900 SWANSONS GI E:-*N LT :90 BK : I AND IJSI:-" L.O'T SIZE:. VAI-UAI']'.()N: $ 59 ,235 FRON'T' : 20 i-4 ::AW: 1 3 WORK C',I ASS : NEW DWELL-UNII'S : 1. 6 RIGHT' : 1.5 USL 'TYPE : SINCA-E FAMII-Y NO. BEDROOMS : EKT . WALL. CONST : CONST . TYPE' : VN NO. HA'TIAS : 2. N: 5 : I'-:: W C)CIC.I.4) .C'*PP. : P3 PPOI .UPENT NOS : OC(XP.(.-C)AD N 5 CK: W I'Ol'Al... APEA: 1.306 NO. S711114111--"S : 12 ISI* : 6416 ROOF CONST; (11 1TIPE 1:0-i'A"7 1-111-KI(31+1* P0 2ND : 660 APEA E-i I-,':P A R"? RA!'5I:-"MEN1-7 31411): CH"Cup. SEPAR? RA'FED : MF:ZZAN I Nf-,;'.'? BA5Ii_-:M''T p-I.-C)OR I OA1*,): /110 CvAPAGE : 360 FIRE SPPKI 1117 AL..Ar4M*7 F"I OW C.;P M yL.5 IAL-A'T' TYPE: GAI-5i HUCIP ,1111CCES I CORP7 PLAN CHErK BY : r 1 t r4I-::MADKG : Pr-.':I5StjE OF* NO. 1-.AS*I* PEISE5UE FEES : 0 W BI._ ::AK MOPGAN PERMIT $3*.,0 .50 N PC) I.40X 6835 PI AN WEVIEW $201 .03 E R ALOHA OP F A:RE 51'All: 'TAX IM 15.t$3 0'I"HER C 1)UK V r.-.:L.0 1'-'M I-"N'T C.HAAIRES : 0 F)I-E.(,K MOPGAN SIX"(S'TORM) 11111250 . 00 N T IXTAN PROPEN'TTES INC- 50C.(Gl'REE1 ) $600 . 00 R p(.1 riox ess.m.i PDC 11#2 0"x.150 . 0 A C AL01-10 1:44 '97007 603V5 PPE.PAID < $1.00 . 00> T (303) 68,el--6606 0 R C,:I'5Tr4A'1':I:C)N NO. 301.;!"10 NO. /63 This permit is issued subje,i it,the regulations contained In Title 14 ...... .......................... of the TMC, Stale of Oregon Specialty Codes.zoning regulations and all other applicable codw% .ind ordinances, and it is hereby I.Irri-QUIr-111113 IN!;PI;.:C'T*T0NS agreed that the work will be done in accordance with the plans and FOUTINC., S i F'W I::,R specoications and in compliance with all applicable codes and r"OUN*)A'T"$:()N WAI-I PAIN DPAINS ordinances The Issuance of this permit does not waive restrictive POST & HEAM WA1134 LINE covenants Contractor and subcontractors shall have current city PI D . UNDE.PSILAB CI'T'Y APPP("1I-4/GW business tax permits. This permit will expire and become null and void if work Is not started within 180 days,or if work is suspended or S L.A 8 FINAI abandoned for a period of 180 days any time after work has PLR. 'T*(]P(:)tJ'T' commenced, It shall be the responsibility of the permittee to assure F RA)4I.NC-'o all required inspections are requested and approved F* IN ACE GAS I-INE TIN11511A A'TJ'ON C'YI:' 801CU411 Permittee Signature Issued By r 01-11-TINISI-417t,I TOM S39--7411. I!$ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Will! C17Y RDSEWERT OF TIFA PERM: L'9 No. : sE990903 (CITtILAIR&D COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 5/ 9/89 13125 S.W.Hall Blvd,P O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PRIM . PMT .NO. 890893 J(:)a ADr)1:4F*_C-_'r' 1411033 CW PIVEPWOOD LN USA NUMBER: 037SOB TAX MAP/1-OT 2SJ. i4fjB 1-woo SUB : SWANSONS GLEN LT : 90 BK : I AND USE: L-OT S.LZE: SECTION: 14 TWP: 2% RNG: 16,' WORK CLASS : NEW USE TYPE-' : SINGLE FAMTI...Y The tl� (.-.,c)jnpl.y with RJ.) ruler.:, and I-egLl.latinnc.; (3-t the Unified Sewerage Agency 'T*hO Pel-mit expires; 120 day!n from the dijit,e imtsmed . -Ther total. i-11111`10LIint 1:)aicl will. be for­fFejted if ti-i(-? t�xrir-ei3 - Thi r-)gej-lczy oorn; not QUar.- antme the acc_t.ir;,%cy or ti-10 1.43CRtion of thee mide sewear• later*al-6 . If the ­'ewar ini not 1.0cated at the mea!%t.jj,eIftel_'t giv`-il" , the mhall w-cislaect 3 feet in all directionra ff'Cllm the Oiitar%­" given . TV not MO In-acted , the instal.lpi- r4hall. purchame a, "Tal-) and Side cjewet­ Permit aced the Agency wil.l. int:;tal.l. a latorall. TYPE: SU!L.DIN(,'-, 1:1EWER Y IMPERVIOUS AREA: FIXTURE UNITS : TENANT IMPROVEMENT: DWELL-ING UNITS : NO OF BLUGS. FEES : 0 BLEAK MORGAN C-P M I T WPO BOX 685 3 N CONNECTION CHARGE 111111. 1100 00 E ALOHA up LINE TAP INSTALL. OTHER C 0 BLEAK MORGAN N T'IT'AN PROPERTIES-', INC . T R PO BOX 6835 A 6-1-OHA (11P 97007 6IR3,I) C T PHONE 1303) 68-1-6606 0 REGISTRATION NO. 30550 TOTAL, : $1 , 135 . 00 RECEIPT NO. This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS And all other Applicable codes and ordinances, and it is hereby ROUGH—IN agreed that the work will be done in accordance with the plans and specifications and In compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive ccvenwits Contractor and subcontractors shall have current city businwis tax permits This permit will expire and become null and void it work is not started within 180 days,or if work Is suspended or abandoneu lot A period of 180 days any time after work has cotrimenceo ",shall be the responsibility of the permittee to Assure all required Inspections Are requested and approved Permittee Issued By Li-EDA_IN PECTION SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE V"LUMBING PEPhT'T* PEAM11' NO. : IAJ390901 CITY OF T IGA� CITY01F IGAM DATE ISSUED: 5/ 9/89 oaooN COMMUNITY DEVELOPMENT DEPARTMENT PATM , PMT .NO. IB90893 13125 S.W.Hall Blvd.,P.O.Box Tigard,Oregon 97223.(503)6394175 J01:3 ADDPIE.GS : tIRM'S SW R1VIK:PW(:)O0 LN TAX 2SI j.,e.IBB j./1900 SUB: SWANSONS GLEN LT 90 8K : LANE) USE. : 1...01' 51ZE: ITEM NO NO: WORK CA ASS : NEW WA'T'ER C11-MIF.-l' USE TYPE : S:I:N(.',L-E FAM11-Y URINAL HKFLOW PPVN'FA CON15T . TYVIE : VN I AVORAIT)PY TPAP PRIME:P OL'C(JI"-'.G'RP. : P3 TUR SHOWER 1. GPEASE- TPAPS DI'SHWASHF.J1 :1, GIAPBAGvE DISPOSAL 1 NO . 5TOP 3:1E S 2 WASH:I'N('., MACHINki: 3. DWELL-UNITS :1. I-AUNDAY TPAY HL.DG. I)PAJ.'N (DIA V1.00P DRAIIN S 3:NK :1. 5EWI'--".P- (F-TA WATEW HEATI;'-*A 1. STOPM/PAM (FT UTIAER IAI.:!MAPK!:i : 81 EAK MOP(.,AN X11.1.0 O W PO BOX 6835 N AI-01-11 A Clip F1XIAMES E R KEN 0 1<1;.N tJA'T'1L, PL1)MF.?'TN(.-) N T T SOX 230925 R R titipil-d A 26 PHONFK (503) 68A--66R 0 T P IFF.(3 1 iTPA'1JON ND. 5047fill 70TAL 1111111113.50 14E(CEXPT NO. % I I,,,permit is issued subject to the regulations contained in',itis 14 YNSPEKCIJONS of the TMC. State of Oregon Specialty Codes,zoning regulatior,14 and all other applicable codes and ordinances. and It is hereby PLD . UNDE'; 'SI AR agreed that the work will to done in accordance with the plans and POS T' & 91: Am specifications Find in cv.npliance with all applicable codes and WA11-JI LlNFE' ordinances The issupoce of this permit does not waive restrictive PIL.R . 'TOP(A.)1* covenants, Contractor and subcontractors shall have current city husine%tax pernits. This permit will expire and become null and PA.TN Dr.W[NS void If work is not started within 180 days,or if work Is suspended or 1�:*I NAL abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature 7 639-1175 Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE MEX'HANICAL PK:AMT I 1:.',EI:IMJ:,I* NO. : MFA*1/1090i- C17Y OF TIFARD I CITkiWA RD DATI-K ISSUED: !J COMMONITYDEVELOPMENT DEPARTMENT P141 M** - PMT .NO. 8900193 13125 S.W.Hall Blvd..P��397,Tigard,Oregon 97223,(503)639-4175 JOB ADDRESS : 1-4tr" SW PlVEPWOOD LN TAX MAP/LOT P—SI. :1.-4900 SLID: SWANSONS (..,I-.L;'.N LA, : 90 RK : LAND LISE: Lca sx.zv' 1 TEM: NO : WORK CA-ASS : NEW FrUP14ACE 0.00K 1. A144 HANDL.R <1.0 USE TYPE': STNGLE FAMILY FtJPNACI-- 1.00K4- 01rT HANDLP 10K CONS'11* .'T*YV*%: VN FLOOR FURNACE E;'VAP-(.',C)OLER UCCUP. GRP . : 113 1--lEATEA VENT F*AN 2 VEN'T' VE'.'N1* . SYS1*F-M BUI/(COMP <3HP 14()C)D 1. NO . !'-iTO14l:KES; 2 8LP/(:,OMr, '.3-15HP INCY NEPATOR(DOM DWELL .UNITS : I DLP/COMP INCINI'-KPATOR((:,(3M FLA-A... 'TYPE GAS BI-P/C',OMP 30---50HP PEI'-)AJ:P U1.11,11's MAX . TNPUT RL.P (,'UMP 504-14) UT'HEA 2 DMPRS? GAS F"TPTN(3 OUTI E'T'S :1. HIGH FIPESS'? I OW F."PESS'? R'C---:MA4KS : F-E.F-.'.5 0 MOPGAN PF--AMT*r *10 . 00 W 1:,)(:) BOX 663315 FLANf4EVTF-:'W 11119. 38 N ALOVIA R F I X*T U A E-S $27 50 E R F.;. 'Y'AX 01,14-K14 C) D EA L HlL-:ATA:N(., 3:14C . N T 15,550SF-K PTAZZA AVIiii, R CLACKAMAS OR 97013 A PHONE: (503) 2A3­41 8A i $ NO. Z147 0 R Pr-.c.F.iP'r Nil. ----------- F his permit Is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances. and It is hereby (3AS LINC, agreed that the work will be done in accordance with the plans and PVJS'T' & DEAM specifications and in compliance with all applicable codes and ROLK41-11—T N ordinances The issuance of this permit does not wai-e restrictive F*1:NAI_ covenants Contractor and subcontractors shall hove current city business tax permits. This permit will expire and become null and void it work is not started within 180 days.or It work Is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of Cie permittee to Asqkirr, 0 required inspections are requested and approved Permittee Signature (..ALL- FOR 114SPECTION 639-11-75 Issued Fy SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1 !� PLAN CHECK APPLIC`�TION// CITY OF TIGA` RD ,�, Cn jPLAN CIIECK M I _ y`►C0MMUNITY DEVELOPMENT'DEPARTMENTS ,� PERMIT N - lC- 13125Sw-�4�net.4r_o.tfo■23rlr,slyr«a o.ey�x+sTm.( 1 +r' DATE ISSUED /40-/33 ,/ v JOB ADDRESS: A119 ? �" iAX MAP/LUT SUB: i ' 1�.x �� LOT• :' '7 LAND USE: _ VALUATION: OWNER SPECIAL NOTES NAME: _J—�ii�).[) f.2 , `/ �� REISSUE OF' ADDRESS: L.l.' �X ��� - _ LAST PLISSUE: FL000 PLAIN/ �---T- SENSITIVE LAND' PHONE: �;`;'_� �_;_�,/� - --_— f1PPROVAl3 ;:'�QUIRED CONTRACTOR PLANNING: ,• ,.�� _ ENGINEERING: NAME. _ — NAME:ADDRESS: FIRE DEPT iry) OTHER: -- PHONE: -_ ITEMS REQUIPED LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: CALCULATIONS' ADDRESS:^ - TRUSS DETAILS: — PARKING PLAN: - —_ LANDSCAPE PLAN: PHONE: _— OTHER: COMMENTS: PERMIT N ACCT N DESCRIPTIOU AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees i :r' 10-431 00 Plumbing Permit Fees — 10-•431 01 Mechanical Permit Fees 3 7,�U 10-230 01 State Building Tax ---- Bui-lding Plumbing -> v Mech _ /t d 10-433 00 Plans Check Fee •/�� yv -L �' Building _a.0/ _ Plumbing Mech _ 30-202 00 Sewer Connection 30-444 00 Sewer Inspection - ..- - 51-448 00 Street .system Dev Charge (SDC) ziji ip v 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10-230 09 TRFO -- - - 10-230 06 Washington County Fire N1 (9SX) — 10-220 00 Amart/Wedgewood 1 Ul Al_ REC N APPLICANT SIGN TURF - � Received By : Date Received: 7 cn/3581P/18P