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Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0222
ROS MANOR HOMES
12095 SW 96TH PL Unit: PVT
06/18/98
Action Description Req/ Schd/ End/ Action NoteS Disp By update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 05/29/97 I�ASS JA 06/11/97 BT2
MSTA006 Permit Created / / / / 06/13/97 PASS RT 06/13/97 BT2
MSTA010 Check for prel. restrict. / / / / 06/10/97 PASS BON X6/17/97 JD
MSTA012 Plane routed to Plane Examiner / / / / 06/10/97 PASS BON 06/17/97 JD
MSTA026 Plans approved by Pln Examiner / / / / 06/1.3/97 PASS RT 06/13/97 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 06/16/97 PASS RT 06/17/97 JD
MSTA032 DST Post-Review Completed / / / / 06/17/97 PASS .ISD 06/17/97 JD
M.STA055 Hold Release / / / / 03/25/98 per Ken S. this date. He saw 03/25/98 JT
documentation, but did not bring it in
for the file.
MSTA092 (p) Inoue combination permit / / / / 07/16/97 PASS T'AT 07/16/97 TAT
MSTA095 Inoue plumbing signature form / / / / 09/10/97 RRCD SW 09/1.1/97 S•W
MSTA097 Issue electric signature form / / / / 00/15/97 RECD SW 08/15/97 S•W
MSTA700 Erosion Contol / / / / / / 06/13/97 BT2
MSTA705 Footing Inop / / / / 07/17/97 PASS KS 08/02/97 J-H
MSTA706 Foundation Inop / / / / 07/24/97 PASS KS 08/26/97 J*H
MSTA710 Pont/Beam Structural / / / / 08/06/'7 APP KS 08/06/9'7 RBS
MSTA711 Post/Beam Mechauical / / / / 08/07/17 APP KS 08/06/97 KBS
MSTA713 Crawl Drain / / / / 07/28/97 1. Crawl backwater valve too high. FAIL RAD 08/27/97 J-H
*Ale 2. PVC Sleeve thru concrete must be SCH
40 if crawl drain to be connected to
sleeve.
MSTA717 PIN./Underfloor / / / / 07/31/97 APP MS 08/17/97 J*H
MSTA745 Gyp Board Inep / / / / 12/09/97 Seal void above furnace and extend FAIL KS 12/16/97 J*H
gypaum to mud sill.
Gypsum at separation walls need to
extend behind partition walls. Nai
gypnum at tud edge.
MSTA760 Water Line Inop / / / / 08/26/97 Pressure reducing valve at meter. PASS WA 09/29/97 2•H
F--
v MSTA960 (F) Inoue Cert. of Occupancy / / / / 03/27/98 MAILED 6/11/98 MAIL VN 06/11/98 VLN
J MSTB050 Hold for , / / / 11/23/97 Needs to submit engineering for T.71 HOLD K9 03/26/98 ,TT
angle cut, use framing inspection
this date. Engineering by TJT provider
LL) this job/addroso required.
J
THIS DATR, PIER KEN S. IM DIT' SEE
DOCUMENTATION.
MSTB723 Electrical Service / / / / 11/1.9/97 PASS BRP 11/19/97 J•H
MSTB724 Electrical Rough-in / / / / 11/19/97 Erratic box projection. PASS BRP 11/19/97 J-H
MSTB727 Low Voltage i / / / 03/06/98 PASS BRP 03/09/98 J*H
Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0222
ROSE MANOR HOMES
12095 SW 96TH PL Unit: PVT
06/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Don,. Done Date By
MSTB729 Plinbing 'Pop Out / / / / 11/17/97 PASS GS 11/17/97 J*H
MSTB"730 Framing Inap / / / / 11/20/97 no plana on site. FAIL KS 11/20/97 J*H
MSTB730 Framing Inap / / / / 11/21/97 1. Provile detail from TJI providerfor FAIL KS 11/23/97 J*H
over anale cut aL TJI above garage.
2. Add stud under splice at Separation
wall/kitchen.
3. Strap glulam at living room to poet
adjacent to fireplace.
4. Strap plates at glulam (entry) .
5. Nail each side of )ting stud
supporting beam above entry entry.
6. Strap across plates at girder truer
at front bedroom and trues clip alno at
rear bedroom.
MSTB730 Framing Inap / / / / 12/04/97 Secure fireplace as noted at prior PASS KS 12/04/97 J*H
inspection.
MST13745 Inaulattun Inap / / / / 12/04/97 (Secure fireplace as noted at prior PASS KS 12/04/97 J*H
inspection.)
MSTB750 Shear Wall Inap 10/03/97 / / 1.0/22!97 PASS KS 11/07/97 J*H
MST8751 Exterior Sheathing Inap / / / / 08/29/97 OK to aide front 6 back PART OS 09/01/97 J*H
MSTB755 Firewall Inap / / / / 08/08%97 #-1- separation wall not built at thin DIS F.S 09/08/97 l:BS
time
MSTB755 Firewall innp i / / / 09/09/97 1. Interior aide of reparation wall at PASS KS 09/14/91 J*H
lower level.
MSTB760 Gyp Board Inap 10/03/97 / / 10/03/97 Approved as noted: PASS KS 10/03/97 J*H
6- 1. Interior side of separation wall at
C.Y upper level (protect gyspum from water
F-
6/I damage) .
Y 2. Extend walls to outer edge+ of
r
.- stucture.
J
N
V, MSTB760 Gyp Board Inap / / ! / 12/12/97 Gylraum at separation walln n-ed to FAIL, KS 12,'12/97 J*H
111 extend through behind partition w�lto an
J
indirated at prior innperticm
MSTB760 Gyp Board Inap i / / / 12/18/97 PASS KS 12/18/97 J*H
MSTB796 Electrical Final / / / / 03/06/98 PASS BRP 03/09/98 J*H
I
Page No. 3 CASE HISTORY FOR CASE NO.: MST97-0222
ROSE MANOF HOMES
12095 SW 96TH PL Unit: PVT
06/16/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Bent Done Doie Date By
------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
NOTB797 Plumb Pinel / / / / 03/17/96 1. Seal hose bibbs at oid—g. FAIL TN 03/22/98 J•H
2. Provide approved clean-oi.t sittings
with threaded plugs (sanitary & storm
sewer) .
3. Secure vertical piping/water heater
safety valve drain.
4. Kitchen oink clean-out plug threads
to have approved tape or lubricant with
plug tightened.
5. Install clothes washer box wall
flange.
MSTB797 Plumb Final / / / / 03/24/99 Permit an hold - unable to inspect. FAIL TN 03/7.7/98 J•H
Noted that instal I aLions an noted 031796
are okay.
MSTB797 Plumb Final / / / / 03/26/98 Courtesy inspection. All approved. PASS TN 03/27/98 J•H
MSTB798 Mechanical Final 03/27/98 / / 03/27/98 PASS KS 03/27/98 J-H
MSTB799 Building Final 03/09/98 / / 03;27/98 1. Meckahnical final 032496 KS PASS KS 03/27/99 J•H
2. Final erosion approved.
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A)
Y CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: — A.M. _ P.M. MST: LL r
Bi 1P:_ --
Tenant:_ _ __ Suite: Bldg: MEC: _
Contractor: �.Q� �/tS�l��S �f —Phom,: 2� PLM:
Owner: Phone: _ ELC: _
ELR:
SIT:
BUILDING BLD PLUMBING ECHAN�CA ---- ELEC'[RiCAL SITE
Site Post/Beaun Post/Beam Post/13eant Cover/Service Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water bine
Slab Framing Top Out Gas Line Rough-In t JG Sprink►er
Foundation Insulation ;ewer Ilood/Duct Reconnect Vault
Bsmt Dlunp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain /VC DIG Slab
Shear/SheaOl Fire Spklr/Alm Crawl/Found Dr I leap Pump LoW Volt
Approve ApprovedAgiro Approved Approved
Appr/Sdwlk —Not A i proved Not Approved Not roved Not Approved Not Approved
�- Al,NFINAL INA . FINAL FINAL
��iti�AC �01Z e
i=
LD
C�
Ill
�I
0 Call for reinspect' n./�� t7 Reinspect .m fee of Srequired Ix:1brc next inspection M I hrable In inspect
Inspector: Date: z 7 Page— of_
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT 0. . . . . . . . MS T97-022''
DATE I5SUED: 03/27/98
PARCEL: 2S 10c_'DA•-0.3500
SITE ADDRESS. ' 12095 CW 96TI.4 PL #PVT
SUED I V I S I ON. . , DUBL I N PARK Z ON I NG s R-.2n PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..005 URI DICTION:TI(.,
CLASS OF WORK. iNEW
TYPE OF USE. . . oSFA
TYPE OF CONSTR v 51q
OCCUPANCY GRP. - R.3
OCCUPANCY LOAD:2
R e m a r-k 3 : PATH 1 112 Dt1PI.EX (TM##4011 )
Own er^c
ROSE MANOR I•IOMES
G (,; I NW CONST
II.JALATIN OR 97062
'hone itc 452--8133
ont;rarct or^
HOSE MANOR HOMES INC
10620 SW LUCAS DR
1UAc.ATIN OR 97062
'hone #: 45c:--8133
ii'eg #. . : 109868
This Certificate grants occupancy of t'hc. cove r,eferen ed hrrilding or portir.
Fhpr-eof and confirms than the buildings has been insper:ted for, r_ompl. iance with
he State of Oregon Specialty Code-- frrr the Q)"rMp, crrcAIPOM4y, And rise tinder
4hich the referenced permit was issl.ted.
.01
Ln
ve
s (':T I N
L�IJ I I_D I G INSPECTU / '- "UpERV ISOR
J
c�
POST IN CONSPICUOUS PLACE
J
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection bine: 6394175 Business Phone: 6394171 -7
Date Requested: 7 A.M. _ P.M. MST: /
Location: f I(` . BUR —
Ienant: Suite: Bldg: MEC:
Contractor: Phone: &2 S--0 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Ream Post/Bcam Cover/Service S:wer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing To Ott Gas Line Rough-In UG Sprinkler
Foundation Insulation wer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall orm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl,;•ound i.. Heat Ptunp r,ow Volt
ApprovedAp rp4ia Approved Approved Approved
Appr/Sdwlk Not Approved --NoJFIO�K�Wj
reed Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
i-
J
0 Call for reinspect' n O Reinspection fee of S_ required before next inyection 0 Unable to inspect
Inspector: _-------__,.____ - --- .._._ Date _�� � — Page of _—
CITY O TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : IhST97--012'L*2'1_,
13125 SW Hdil Blvd., Tigard,OR y7223 (503)639.4171 DATE I S S U E D: 07/16/97
PARCEL: LS10�'BA 03500
SITE ADDRESS. . . : 1 `095 5W 9GTI-i PL- #PVT
SUBDIVISION. . . . :DUBLIN PARK ZONING: _5 PD
13L.00K. . . . . . . . . . I_OT. . .. . . . . . . . . . . :0051 JURISDICTION: T T G
Remarks: PATH I 1/2 B69Ef% T#
-------------------------------------------------------------- BUILDING ----------------------------------------------------------------.--
REISSUE: STORIES.......: 2 FLUOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 22 FIRST....: 704 sf GARAGE.....: 440 sf LEFT........,.: 15 SMOKE DETECTRS: Y
TYPE OF USE...:SFft FLOOR LOAD....: 40 SECOND...: '182 sf FRONT.........: 20 PARKING SPACES:
TYPE OF CONST.:SN DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1486 sf VALUE..$: 107192 REAR..........: 21
--------------------------------------------------------------- PLUMBING ----------------------------------------------------------------
SINK.S.........: 1 WATER CLOSETS.: 3 WASHING MACH.. : 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 'TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS.. : 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WAT"R HEATERS. : 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 6
OTHER FIXTURES: 0
---------------------------------------------------------------- MECHANICAL ---- ------- -- -- -- -- -- ------ --- -------------------
rUEL TYPES----------- FURN ( 1009 ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=1OOK ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS... : 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS CUTLETS...: 1
--------------------------------- ------------------ ---------- ELECTRILAL ----------------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FLTDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp. : 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
FP ADD'L 5O0SF.: 2 201 - 400 amp..: 0 201 - 4W amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
'_IMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: P
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1O0Rr+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ---------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDA)=225 A.: ) SOO V NOMINAL..: CLS AREA/SPC OCC:
----------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------------
A.
---------- - --
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------
AUDIO 1 STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........ : OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: 0
Owner ---------------------------- TOTAL FEES:$ 4438.51
ROSE MANOR HOMES ROSE MANOR HOMES INC This per•mil is subject to the regulations contained in the
G S I NW CONST 10620 SW LUCAS DR Tigard Municipal Code, State of Ire. Specialty Codes and all
TL'ALATIN OR 97062 TUALATIN OR 97062 other applicable laws. All work will be done in accordance
_ with approved plans. This permit will expire if work is
'hone 1: 452-8133 Phone 1: 452-8132 not started within 180 days of issuance, or if the work is
N Reg C.: 109866 suspended for more than 180 days. ATTENTION: Oregon law
> I
------------------------------------------- ------------------ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through DAR 952-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
C'n I ---------------------------------------------------------- REQUIRED INSPECTIONS -------------------------------------------------------
,� I Erosion Contnl Past/Beam Mechan Electrical Servi Gas Line Insp Water Line Insp Building Final
-J I Grading Inspecti Crawl Drain Electrical Rough Gas Fireplace Appr/Sdwlk Insp _
Footing Insp PL'/Underfloor- Framing Insp Insulation Insp Electrical Final
F.,.adation Insp apical Insp Shear Wall Insp Gyp Board Insp Mechanical Final
Post/Beam Struct PIu b Top Out / ) Low Voltage Rain drain Insp Plumb Fi _
sst_rpd By : Permittee Signeatur-e :
r ++++-++++ ++a -+ ++ r ++1 + ++++++++++++++ ++�+-+-+++++++++-r-++++�++++++++�-++++++++++ +
Call S39--4175 by1 6:00 p. m. for an inspection needed the next bl-rsi.ness day
CITY CF TIGARD
SEWER
DEVELOPMENT SERVICES PERMIT MI
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : SWR97-021:.'
DATE ISSUED: 07/16/97
PARCEL: 'c',^1O2BA-03 500
SITE ADDRESS. . . : 1x-0`:35 SW 96 H PL #PVT
SUBDIVISION. . . . :DUBLIN DARN. ZONING: R-25 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :OO5 JURISDICTION: TIG
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORT%. . . :NEW DWELLING UN T T,_,. . 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : PATH I1/2 DUPLEX
Owner,: ___.....-----_______------------.—.----.--- - ---___.-------__________.._ FEES
ROSE MANOR HOME=S type amol.tnt by date recpt
G S I NW CONST PRMT $ 2200. 00 TAT' 07/16/97 97-297234
T1.IALATIN OR 97062 1N9 $ 35. 00 TAT 07/16/97 9 7—21 9717,:x,4
Phone #:
Contr^actor: _—__----_._-_----_._—._---_----
OWNER
1='hone #: $ to TOTAL.
Reg #. . .
REQUIRED INSPECTIONS —
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency noes not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the measurement
given, the installer shall prospect 3 fe^t in all directions fro#
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0910 through OAR 952-00014080. Yau- ay obtain ccpies of _
these rules or direct quesdions to Ol)NC by cal rng (503)246-1987. _
Iss,_red by: _ Permittee Signatr_(re :
++++++4-++++i•++++4•++++++-1 ++++++++++++++++++++++++++++++++++++++++++.++++++++++++t
Call 639--4175 by 6:00 p. m. for an inspection needed the next br_isiness day
++++44+4-4++4+++++++++++++++++++++4+++++++++++++++F++++++++++++-F+++++-i-++++++++++4
'tan Check A 05 r
Residential Building Permit Apolication Recd By :7
- LVD. New Construction Additions or Alte,ations Date Pec d 0 S 7•�
,ARD, OR 97223 Single Family Detached or Attach,D (Duplex) Cate to P E ►t? r '
:J3-639-4171 Cate to DSTCo-/G-Y'i7
X03-684-7297 Permits 41S/S7-6 L r 7-
Print
Print or Type Called
Incomplete or illegible applications will not be accepted
Namo f Prosect Name
JobJM� /i'�i ! ,� fidli�rl r_ 'C.onD
Architect Mailing Address
Address I si,e A dress qc
me
I ci 4/State Zip Phone
_ U.� %7•"C1 E� ,has --Y���
Owner Mailing Address I Nar�e
L'G:•' G S�(1 �wc -)�Z L
�1 Matting Address
– spdState Zip Phone Engineer
I
P--J/23
Name C.tyrState Zio Phone
General 1263., 7i}1✓�,1 ���rt� Describe work New–Y6—Addition O Alteration O Repair O
Contractor Mailing Address to be done
5u' l k CAdditional Description of`Nork:
Cayrstate Zip Phone
c �rcC`Z ' S-�. b 1 3 000X' X
Oregon Const. Cont. Board;.ic s Exp Date �
.tach Ccpy of C, 1 tC C'r1 �/` ' y f -
C:,rrent COT Business Tax or Metro 0E<p. Date OROJECT
Licenses i� VALUATION q
Name
/ NEW CONSTRUCTION ONLY:
"echanical !/ / Sq. Ft. House Sq. Ft. C-rage
Sub- Mailing Address
/ontractor 3 / S Corner Lot YES NO Flag Lot YES NO
c tyt+ tate , S tip Phone (check uc,� `3' • � _J3i _ck one) (check one)
u,regon Zoont. Exp. Date
Board Lic.0 Restricted ✓ Audio/Stereo Burglar
i%tact,Copy of G, 6-o!/ I ./'.1d Energy System Alarm
CurrentI COT Business Tait or Metro A Exp Dat Installation Garage Door HVAC
Licenses ��I �' Opener Systems
Name (check all tnat Other
Plumbing . �`,r� j,,,ci�y� 3coly)
Sub- Malang Address VVIII the electrical subcontractor wire for all I YES NO
-ontractor �, V • restricted energy installationsI t✓�
ras the Subdivision Plat recorded? i N/A YF5 11 NO
PT
S State I t q1/0 l d a 3.,7 _
I Or•3oii Con t. Cont. Board Lie a Exo Date 0 II } Petssue of MS–:t i Solar Ccmpiiance
Mach Copy of I P�1 I (Calculation Attached)
Current Plumbing Uc.a I Exp.Date t �1 1 hea b acknowledge a that I have read this application. that the
V, Licenses 1t nfoi�„ation given 'scorrect. 'hat I am'he owner or authonzed
> I COT Business Tax or Metro s I Exp. Date t `t
p Slt"t agent of the owner, and that plans submitted are in compliance
with Cregon Stage�i•s_ _
Name
ccECT
of negAgent Date
_ -/
t� c� Mailing Acares!• Cgritact Person Name Phone#
,tItl—
��v -5e..) 1/0,h, 't ra-A 33
-CV , tate Zp Phone FOR FFICE USE ONLY:
N to. Cd 97,t- ee ,,7F J Plata I 1,tap/TL#-
�g qn nR} n and Lie s E o. Date G _ .2S V
el, �nC- Z -7 - Setb#ck I Zone I n 2 -G.3ol
Solar.
jr-n. E,jJc/ca�`c.S I 'e,cp. Date '(`j! �(�'
is � �U -/- y ` Engineenng Appr vaI r Ptann ng Approval: TIF
i c B s.nes$Tax or Metro# x Date dr I_ �� �j� 1
�. � J/ _ llLg iAsf p.doc(dst) 1197
PArmi +ccount DesCLi t2ionjjjj
cv ) w I
ty?-ozzZn;1ST Permit (BUILD) 4S3,
Plumb. Permit (.PLUMB) 2 2�
Mech. Permit (MECH) q3 j'
ELC/ELR Permit (ELPRMT) ?vy
State Tax TAX)
Bldg: 21
Plumb: �i '� y
Mech: r 1
i
ELC/rLR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: MECPLN) /G 8� �/ _ ID• $
CDC Review
(LAND US) c
sewer Connection (SWUSA) L
Sewer Inspection (SWINSP) 3� _
i
Parks Dev Charge (PKSDC)
u
ResiL'ential TIF (TIF-R) 1 70
Mass Transit TIF (TIF-MT) /1—�� y _ STV
Water Quality (WQUAL)
Water Quantity (WQUANT) l y
Ln
Erosion Control Permit (ERPRh1T)
6-v
CL
Erosion Planck/USA (EF.PLAN)LO
Erosion Planck/COT (EROSN) �t
Fire Life Safety (FLS)
TOTALS: +✓C� �3`�_� ��el��
i.3fa p doc (ast) 9 /`�