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13163 SW TAMERA LANE-1 13163 SW Tamera Lane -- ClTY0FTlFAP,0 CEROCCUPANCYOF COMMUNFTY DEVELOPMENT CEP"T&WXT (CrTYC 7WARD r t_RMI T 13125Sw►mliBivc4 Pu.F3ox23397,Ti d,a ormhoN FRIM. vE:RNIT' 0. a 89166L' as epos 97223�6o3►s3u4175 D•4TE I,SUED o SITE ADDRESS. . . 13163 SW TAMERA LN SUBDIVISION. . . . VILLAGE AT SUMMER LAKE PARK PARCEL: 1i3133DC 15000 BLOCK. . . . . . . . . ZONINGS n-12 [:I.AiS OF WORK.. iNEIJ.�__... __.__...._._.___._..__..__.__._..._._.._.. .. .... __.___...._...__.___.__.....__....__...__._..___.._.._.___ TYPE OF USE. . . I SF OCCUPANCY ORP. vR- C!'XUPANCY LOADS FFNAN' ;;AME. . . a Ftr,marl�.�x r RE--10SUE OF 881728 $39 fOt` 2 reed 1 ?ne Copies I DON MOHlb,=,ETTE PO PDX 19!e4 PORTLAND OR 00000 -0000 Phone Hg QP0- Hu34?f `�00k1 Contractors _..___.._. ___...__....._... DON MORISSETTE DLDERS, IWC. _....... "" __..._. _ P O Box .1952 ► PORT LAND OR 9,721.9 Phone Me 503 -244-9314 Reg #. . 1 3, 533 ( CCUPancy of the above refvrenr..ed building is hereby given, ar►d r.:prtifis!s the COMPliance with the State Of Oy,pgr3rt SPE»ci.alty t.c3de� for tl�e grn,�p, o':c�rP+�ncy, pend "Se r.rndp•r which than referenced pw.rmit was isfat(pd. F"IRC DEPARTMENT�� vulLD HUILDi4 OFFIC AL —� POST IN CONSPICUOUS PLACE I i I w� 1 INSPECTION NOTICE City of Tigard Building Department 7— P.O. Box 23397 Tigard, Oregon 97223 O Phone639-4175 1 ,'5 Type of Inspection Date Requested. f / — 74 Time _ A.M. P.M. AWIress �� �� —=4 L''�—s' —_ Permit # Owner /� Lot # _ Builder /i- �'. 4eZLsyJ Z- W� The following Building Code deficiencies are required to be corrected: - C- -- J ��--�-L - Presented to _ Approved Inspector Disapproved Date _ �i ` CALL, FOR REINSPECTION C l YES ❑ NO INSPECTION i`i.',)TICE City of Tigard Buildinf; partment P.O. Box 233..,' i Tigard, Oregon 97223 !! Phone: 639-4175 1 Type of Inspection Date Requested Tim _ .M. P.M�.� Address _�LT`� = � Permit �rC '1 Owner __ _ — Lot Builder _ t1 Z,cam , Ltc_- --- t The following Building Code deficiencies are i,.,luired to br corrected: tC 1 -- . 1�tac:�p�t -- ,., tic421 pro .l'1S�)C_712 -- Presented to �—T–.—_— � Approved Insuector �p W. _1 Disapproved Date _����^ `� - CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon .!7223 Phone: 639-4175 Type of Inspection J►L"�- � '== -----_ Date Requested Time_--- _ A.M._ � P.M. Addres.. _ _ 1_..__ �w �J Permit Owner Lot -7 r BuilderThe following Building Code deficiencies are required to he L_,rre^ted: _-. .. -s. Presented to _. — -Approved Inspector - - FJ Disapproved Date - CALL FOR REINSPECTION ❑ YES ❑ Nr' w INSPEG "ION NOTICE City of Tigard Building Department I P.O. Box 23397 / Tigard, Oregon 97223 Phone- 639-4175 I Type of Inspection C0_-C_41` '� t(E��✓��—�C_/t__. Date uetted Re4 ',� `�. June�A.M. � P.M. Address ���/ !� <�-� Permit *_97 7 Owner �— , -- — _ -- t;milder The 'olloWins-Be o e deficionei(is are required to be corrected: 17 --- .,5'� -- -- - - -- - LIP ccJVL PO C:4 yn _ << Presented to _ I Approved Inspector K Disapproved Kato :_4—1c) CALL FOR REINSPECTION CK YES ❑ NO INSPECTION NOTICL City of Tigard Building Department P.O. Box 73397 Tigard, Oregon 97223 Phone: 639.4175 . I � Type of Inspection Date Requested __ �___ Time A.M. P.M. Address 1� _ �J �-! �_ Permit fe7.L� OwnarLot I )/ ► # Builder ----------- - -- �_.------ --_ ThP following Building Code deficiencies are required to be corrected: Presented to -_.--____--— --_- -_-_—_—_._ Approved Inspector ❑ Disapproved Date ------------_ _ CALL FOR REINVECTION ❑ YES U NO a. It i s� INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Data Requestao Time A.M. ___ P.M. Addr s z fAl Permit Owner �� L(�Z�Q(_ _ Let # _ Builder ` -_2�ti✓ Y '2 t� �_ The following Biliding Code deficiencies are require to e corrected: Presented to Inspector - - ❑ Disapproved Date - CALL+ FOR REINSPECTION ❑ YES ONO �w IN.3PECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _� — -- — D,te Requested d Time __ A.M._ P.M. Address _ .� Permit # Owner_ . ,L Lot # 4L- Builder The following Buildit7 Code deficiencies are required to be corrected: C% WA Presented to _- _ - -_ ❑ Approved Inspector _ - V1 Disapproved Date •� - /—tYr - CALL .F'OR REINSPECTION O YEs CJ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --ice ' 42 -- Date Requested Time_-�___ A.M. y P.M. Fermlt Address -- # Q_ O% nor Lot # Builder -.----- The following Buildinq Code deficiencies are required to be corrected: I 57: W,�— Presented to _ — ; Approved Inspector ��- �••,,. _ __` Disapproved Date 1 �• [� / _ --- CALL FOR REINSPECTION 0 YES 0 ) wW w w w Ww INSPECTION NOTICE City of Tigard Building Department I P.O. Box 23397 f Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — i Date Requested 0/j F Time ._ A.M.---P.M. Address 43j �_gg — Permit # Owner.-- Lot Builder i��� —` � - -------- The following Building Code deficiencies are required :o be corrected: — -- — �0, de I Presented to [�'4proved Inspector _ J� --_�_ Disapproved Date CALL FOR REINSPECT,ON [] YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Q Phone: 639-4175 'Type of Inspection �S7 Date Requested — Time A. '.nl -i=^ p- ? Permit 4'_ l Lx�-- Address Owner _...— Lot — Builder The follov `ng Building Code deficiencies are required to be corrected: Presented to _�-"" � +—_--- -- — I, Pro%dd Inspector � .-- _ �.� Disapproved Date CALL FO RFIN5PF.CTION ❑ YES C_? NO / INSPECTION NOTICE '•vv ��r��� City of Tigard Building Deparhnent / P O Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection _�j P.M. Date Requested--L— C Permit # Address Lot # Owner Builder , The following Building Code deficiencies ere required to be corrected: Approved Presented to _ Inspector --------- —_ Dis,pproved Date CALL FOR REINSPECTION DYES ONO WWI= INSPECTION NOTICE G✓" City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection —'" fL/( � ._ ✓-- Date Requested Time P.M. !� Address . _ .�/e ». ;�z-� _ Permit # G^ �- Owner_ Lot # Builder _ 3 / The following Building Cede deficiencies are required to be corrected: Presented to Approved Inspector 7 ❑ Diapproved Date S S CALL FOR REINSPECTION 0 YEs Cl NO HU I,I DTNG mi;�nmrr TY OF TIOA RD I t I PF,.WM1*T NO. : Bl'J'891662 trRoCIFTY OF TIMM ✓ COMMUNITY DEVELOPMENT DEPARTMENT MOON [)AIE T'SSUED: B/ 7/89 13125 S.W.Hall Blvd..P.O Box 23397.Tigard.Oregon 97223.(503)6394175 (C Pn'l:m . rm,r.NO . (391660 JOD Al.)UPI;:'SI;; : 1,53-63 SW T()Ml:PA L.N I'-'-)X MAP/L.01' 1.51 33AD 15000 I AND USE:: 174,11:)D Sl-)": "Ll-AG1. Al 511-IMMEEPI AKE PAPK 5 DK : VAIAJAJTDN : 111, 11.'7 ,;'1;.30 SKTDACK!:1 F-"PON 1 20 PF--AP : 1.0 WORK ItLASS . NEW DWE I.J.. . UN 3: T'S LEF 1 1.0 PlIGHT : 35 USE TYPE : STN'tA.1- I- oM1.I..Y NO . 0F.-A)ROOMS : 'el EXT.WAI-L (:'ONS*T* : cmNs'r. TYPE: VN NO l:?A'THG : 3 N: G : E : W 0C.CUP . 13PI'). 1:4:3 PP(TT -OPENINGS . OCCLA:'.LOAD N S : E, W 'TOTAI... AREA: P6159 NO . STOP11ES : a IS T ; 1269 ROOF:' GONS*r: c, Friw r4i---r-? 20 2ND: 3.390 APF:'A SEPAR'? AA*T'F-*,:D: BAGE-MEN'T"? 3PD: OC CUP- SENDAP71 PA*ru): MEZZAN.1NE"? BASLM' T 1:711-0011 1 OAD : AO GAPAGPK : !*.)60 F: TRE: !ii PPKI r:i'? ALARM? FLOW((.;V)M) , yF:-.S L IIE-Ar 1'YPK: G65 A(:',0EGS7 (:-(, -1'? V-LAN GHEGK 1:)Y : PF-MARKS . OF 881.7213 REISSUE OF NO. 8817VU $30 ft)r r2 red li.ne Lnnpj.r.�q; L»AST' PEISSUE;'. sel,933 E E S 0 MOR J:5 5 1-.T*T 1L.- DON PIE PMX T W 11147 R . 0 0 N pu HIOX 191111IRX4 P1 AN PEV:r.F--'.W *10 . 00 FIPIT DE.P1, SI'A'11-': TAX 11111215 . 90 cjin-w:rT 11111*30 . 00 C OV'VELOPMEN'T C,H A P S 0 MOR1.9SE T FE DON C W N UON MOPISSii.1-TE .3 11STORM) *2bo . 00 T SK)CO-sl WE'E'll $600 . 00 n p $250 . 00 A C vr < $40 . a0> T PF-IONtK (503) 214 9314 NO . 35,0$33 R I J 'TUTAI $1 631 vo This permit 19 Issued subject to the regulations contained in Title 14 RE(XI.P'r NO of the TMC, State of Oregon Specialty Codes.zoning regulations PEQUIPED XNSPE( -1-:f0N5 and all other applicable codes and ordinances, and It is hereby agreed that the work will be done In accordance with the plans and FOITTJ NO S E WE R specifications and in compliance with all applicable codes and FOUNDA'1*10N WAI L RAIN DRAINS, ordinances. The issuance of this permit does not waive restrictive POST A REAM Wf)'YE'P I-INE covenants Contractor and subcontractors shall have current city PL U . UNDEVO-A-AH (.,I VY APPP('.1H/SW business tax permits This permit will expire and become null and volt,if work is not started within 180 days.or if work;ssuspended or L A Ei F T.NAI.. I abandoned for a period of 180 (lays any time after work has 1:11-191 . 1,0POUT commenced !t shaLbe the responsibility oft)JI"'Ninittee to assure FRAM I N(.v all required !nape ti(;F are requested and prov d (.;AS L'I NE 1:N ri UL.A T I ON GYP 1-10AND Permittee Sign4kq" ,qsued BY: �Ae— l("'M I VOW IN611J64-4-11.1i'llhil SEPARATE PERMITS REQUIRED FOR W09K OTHER THAN DESCRIBED ABOVE WNW W W W W1 W-11111KAW CI7Y OF T'6A RD P1 UMBING PERMIT CITYOFTWARD PF1:*,'M1 T' NO. ; PLI13916-10 Ty ORIG COMMUNITY DEVELOPMENT DEPARTMENT ON 13125 S.W.Hall Blvd..P.O.Box 23397,rigard.Oregon 97223.(503)639-0 175 04) (L'. ISSUED: a/ 7/09 FlITTT—PIN'll I 11.31.63 SW TAML.1-1A I N (()X M111P/l (')1* 1.53. 33AD 1.5000 !;iLJl:) : VIA.A.-AL'A.. AI 'A.IMMAILAII(L. DANK LT 5 UK : LAND WGE . P MID L(TI 51Z E. : ITEM : NO : NO . WOWK CLASS : NEW WA FER CL.OSV-.:T 3 TPAP tPil:i: *T*YPl'--*' : 51NG1.+-- FAMT.I Y U114'I'NAI LO DKIFW PRVN1*I:',' GONST . TYPE; VN I AVORATOPY 15 TPAP 11:14JIMLP OCCUP.GAP . : P3 1110 51-10WIH.44 (l:*-:A�iE T'PAI:)':) 1:)151-11WA51••IF-3:4 1. GAWBAUE'. 0:0il;:'C)GA1 1. NO- STORIES : 2 WASHINt.', MACHINFE 1. DWEI.J... .UNI.T!*5 : I I TWAY AUNDRY RILDG. DPAIN (DIA FLOUP DPAIN !:il N K .1 s-:wi,.- F"r WA*1'1:::r4 HEA*TEA 1. SIOAM/PA'I'N (FT I. OTHEP NES MAI'aKw W N M(:)AJ:!;5ET*T'r--: DON PFJIMIT $140 . 00 E lap ROX 3.95211 R F)u r*Vl.a n d C)11', FIXTUREsi S'T*A*T*F.-'.* TAX $7 00 C 0 N HARLA-D T R 5H(*-"MA0:'1:41S PLUMBING A r)1l BOX 2-50 C T Offitffl-CAICIM t:)r, 9*70P3 0 F-IHONE (503) 6.30 1 T20 R t I hill-I 3cipp 1131 AL $3.4'7 . 00 This permit 19 issued subject to the regulations contained in Title 14 NECCKIPT NO. of the TMC. State of Oregon Specialty Codes,zoning regulations ................ ......... and all other applicable codes and ordinances. and it is hereby PEQUIRED INSPECTIONS agreed that the work will be done in accordance with the ptins and specifications and in compliance with all applicable codes and P11-8 .UNDEPlil AR ordinances The issuance of this permit does not waive restrictive 11-1011T & 011n:Am covenants Contractor and subcontractors shall have current city WATEP LINE business tax permits This permit will expire and become null and 11'.'11-113 • TOPOL)T* void if work is not started within 180 days,or If work is susperlded or RAIN 014AINS abandoned for a period of 180 days any time after work has commenced 11 shall be the responsibilit f the permittee to assure 1-1 NAI all required i ctlons are requested n pproved. Permittee ure Issued By- CAL I 1:4.11r) 'r.Nl;pr..:(:.,, inN SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE P1.4::-M PMT*.N0 091662 MF-."f.',HAN:L CAL PERMIT CITYOFT19ARD A-1.09\ Pl::'I:,M:1'1' NO . M1*::-*JJ9J6,11. Clrf OF TWARD COMMUNITY DEVELOPMENT DEPAI-.'TMENT 0*100" DAI 1::: ViiPSUFf 13125 S.W.11a11 Blvd..P.0.Box 23397,Tigard,Oregon 97223,(503)6394175 JOB ADUNF 13:1-6 !:)W 1AMCK8A LN VAX MAG-I/LOT I'S11 135AD l !)000 SUE VILL-AGE" Al' SL1MMI-.*1:4L(-)KE Pewl< L'T : 5 Bl< I ANL) USE:: A r1`0 1. 01 15IZE: ITEM N() N(:) WOPK CLASS: NEW FURNACE <100K :1. ATP HANDI 14 <J.0 USE TYPE : FAMIL.Y F-UPINACE 10OK-11- :1. AIN HANI)i 1:4 10K CONST . TYPki. : VN FLOOP FUPNACF.-*.'. ()MUP. GPI.-J. . 83 HEATEP Vl'-"Nl' FAN VE N'T V N 1' . 5 Y S*r F:M 1311...8/COMP <31.4p NO. STOAT.E's F31 P/GOMP ;3-1.151.4P INC I NEPA TOP(DOM DWELL . UNITS : 1. BI-1:4/COM I--' 15 301.41, TNCI 1'.NF:'PA,rc1li:;l(cc)m 1-1.)F-'.:L 'TYPE: D,I n/COMP 30-501-11:1 1:11UPO"J4 LINT IS MAX . INPU I* /COMP 50-H-4P (J1"HEP FJPE DMPRS7 (3AS P.H..':I:NG HIGH PRESS'? I OW 1:44ESS.7 l4k:-MAA1<S : wo MO P V-1 S E DOI,) PFAIMIT 11111.U . 00 N ))U 1:X.1X P1 AN RIEVTE W E $9 . 75 R p ci r t:1.m.ri(I C)1 $29 00 TAX $1 . 01'HE.14 C 0 N T BEA.-1HIE'ATING INC . R 1.405;505E: PIAZZA AVE: A C,I.-AKAMAS C UOn 7 �� 0:11.5 T 1.13{I 0 PEGUYTRATION NJ . -017 'TUTAI $10 . 70 This permit is issued subject to the regulations contained In Title 14 PEC E.APT NO. of the TIVIC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and It is hereby PEWILUPED INSPECTIONS agreed that the work will be done In accordance with the plans and 1.NF: specifications and In compliance with all applicable codes and 1:101i7* a HEAM ordinances. The issuance of this permit does not waive restrictive POUGH 7:N covenants. Contractor and subcontractors shall have current city I NAI business tax permits This permit will expire and become null and voirl if work is not started within 180 days,orifwork issuspended or abandonbd fr,.- a period of 180 days any time after work has commenced. N shall be the responsibility of the permittee to assure all required i actions are requested and approved ure rT4 "ttee u Per jne"' Issued By t-7� - SEPARATE PERMITS REQIIIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1)Al L-*- I!:i! t-I P.:D : a/ �1/09 CITY OF TI67A RD cff�Lw .SEWER PERMIT ✓ COMMUNITY DEVELOPMENT DEPARTMENT 0110MON PEAMT*y NO . : SE(39167P Imm S.W.HA MIND.Box 23397.Tigard Oreyon 97223.(503)6394175 PRI M . LMT .NO . 1391662 JOB ADDRESS : 13163 SW TAMIL PA LN I.P�sA NUMWA:I : 39013 TAX MAPILOT 1.51. 33AO 15000 508 WILLAWE Af WIMMEALAKE PAPK I-T . 5 BK : I AND USE : P7PD LOT SIZE: !iECTION: 33 T,wl, : :1.5; RNG : 1w WORK CLASS : Nli::W USE TYPE : SINGi FAM11. Y The applicant agrees to Comply With all rider and rOqUIMIA.01111 Of the Sewerage Agency . The permit expires IRO days from the date issued , The total. amount paid will be forfeitad if the permit expires . lhe Agency does not cIuar- antes the accuracy of the lonatiun of the mi ds mawe.-i- lattersiklii; - If 0-le, 1:iewer Vi not located at the meam"rement give" , the installer mhu3l prospect 3 feet in all directions from the distance given If not Mo thow iniacallar shall purchase a "Tap and Side Sewer" Permit and the Agency wi.1.11. inititakil a INSTALL . TYPE : BUILDING SEW1!-.n IMPI:NW1113tis APEA: FIXTUrOK UNITS: TENANT IMPROVEMENT : DWIF-3 LING UNI:T'S : I 0 FEES : W N 1`10PISSET-TE DON PEWMIT 111135 . 00 R E p c) r-iOX 1.19 2.44 CONNECTION CHAP(*.,E St ,250 . 00 Portland m r I INE TAP INSTALL.. . C CITHE 1:4 0 N T MOPISSETTE DUN I'l DUN MORISSETTE BUILDEPS INC, A C p 0 Bt:)X jj.q.�Lazl T partland or 97219 0 R PHONE (�)03) P.4141-93141 14MSM Tu'rAL: $I ,E!85.00 This permit is issued subject to the regulations contained in Title 14 R1--:C',ET.PT NO . of the TMC. State of Oregon Specialty Codes,zoning regulations -------- and all other applicable codes and ordinances. and N Is hereby REQUInED INSPECTIONS agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and POUGH---I N ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shRII have current city business tax permits This permit will expire and become null and void It work Is not started within ISO days,or If work is suspended or 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 Jredpect ions are requested and approved itt afore Parmitt, aWre issued By -1,IA- al I.. V 014 INS I-II I ION e.,39 z4.[7:) SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1. r U.•� � ��� `1. 7L o1) CcV1 V1 V7 V7lt.N ;�. loll UQOCDto .F- O�'to G 1'W o . v)to u.! P 0 • N a C v�. . 0 vs ` COW Fa F :4 J Lr) tD W o N 44N , Nu Q_. ,� A � s.w 1 Cy r-In N 1..1,Y J � t0 0 i''1 .O •W >•1.R.'29 � p 1 a ca Ln C) N J' r"'1 M Vr'' Q d■' a•■ z 16 � W zr /\i"" u kn ,�u+� 1� Lla m 1 C) '4.It It ,�. u47 , _ (� W G�►+Lv y IS m In ltd. L7 rr �. s I 1 I ¢ . WC ,0� to Cq If7 �' �- ...� V1 >7 Lf M m r.7 1==..IX u r V1 r .e .+ J t' �� .� O ¢ u un.•� '�I U"Urt UJUIM CLtJ w tt t.■ 61 111 14 ..• d caw CP t.t s ¢�a. f. ! , ej ^1Vtl b4"NQ1O Or. ~ r 1 LA W/ j`Jm 7M 11..Y1 i'1 CIO ll' ro V t i t i r r t•t t a ■ i r t ■ a y z r:U..W S �r r In 7 M y ttl ^•as aD N ao In ,� i=r o0..¢u 1 1 I 1 : : 1 1 I .1 .r . . .I 16 �2O ¢�a >KNO4 Ip ka Cp 1^�N Or Oto �^'Lri w W 5- N 2' 1-al .. .. 7 9' tT :1'r•1 M P'\ Lt N SI'm m N .� A W of L Y O G nl Z t e t a i i t t t r t t r r ai Ox U. Z 2 1+m y�NQm x+.•Q tA•"� SO VI C7 p N tppw Y.JCpwr I N N ¢-01tC� a v zrwVW ma >rm.mS lnm N-Rfln O . w�� ~' M j, Loy ezi vWWt aMi z Z 1.1"q . ••w µJ yy,,11 y,/t l My,�yW,� h Vf N W u m i1. so �,1 W 101/1 7<frlN�LL 11,U.it ic p ��O Z•VI YIW �IRp1r 62 4a(L 1 1 ! 1 7 rw ry • �.�-/-f Y ,I 7�C u�i .�•r ! ►., •281610 gii���171'"�tloV►�]1 ■Q��QIOO � �lLy��r�r � O.dtr1�* Nrl 1 ■M1�1 IR} 8 In i R u U�. r r'. f r r Y ni wi w 1 „ hlg. �3WUN hG160 6861 '10'80 31135514OW N04 WOaj ICITY O TWA' RD �� PLAN CECAPPLICATION �"1pD PLAN C{ECK N - C(-)MMk-41TV DEVELOPMENT DEPARTMENT PERMIT 6 - �i�nsw-�c«oae.P-o_tseRu�ar,T�..no.� .sra�.iswlwv-��rs DATE ISSUED JOB ADORI_SS: 'S(w S I Y�1� � ►✓1 L N -i AX MAP/L..OT /5�' S 3 4 :SUB: V llLvlLA-L, (1 C l yiwer Q LOT: IS;- LAND USE: _VALUATION: t '"` y' moi, //7 53 0 OWNER - r ' SPECIAL NATES NAME: r.� 'yl4l• /S 6, i c til , _ _ REISSUE OF: ADORCSS: r"A LAST REISSUE: - ( t �'Z ( FL000 PLAIN/ SCNSITIVE L.ANO: PHONE: ` `'�� 3 LL -- APPROVALS gE2!IIRCO CONTRACTORPLANNING: NAME: _ - !L ENGINEERING: AOORESS: FIRE DEPT OTHER: PRONE: ITF11S REQUIRED — LIST/SUBCONTRACTORS: _ ARCH/LNGWEEP / n BUS TAX: _ NAME: - tr' 1 C f TZ') �` r CALCULATIONS: -_ ADDRESS: TRUSS DETAILS:__ � — _ _ PARKING PLAN: LANOSCAPE PLAN _ PI{ON : J 0WER: COM LNTS: PERMIT N ACCT y DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE ' L L 10-43' 00 Building Permit Fees 1('-43 ('7 Plumbing Permit Fees / 1Q A3 01 Mechanical Permit Fees ��f - 10.-?30 01 State Building Tax (57.) —3ZV Building — . r o _ Plumbing Mech 10-433 00 Plans Check Fee ♦rte / U Building Plumbing Mech 30-7.07 00 Sewer Connection - 30-444 00 ;ewer Inspection .$ 35_- 51--448 00 Street System h(zv Charge (S0C) —�- GCI 52-449 00 Parks System Oev Change (P0C) ,rZ 0 ASO 31--450 00 Storm Drainage Syst Oev Chry (SSUC) ,AS O SS U 10-730 09 1 RI-0 10-730 06 Washington County lire #1 (957) - LO-720 00 A _rL/Wedgewood 101"AL - UREC It T AI�PI.-ICANT IGNnTURE Received By: _ _ -_ — UaLe Received: cn/3587P/18P