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14690 SW 83RD COURT-1 ADDRESSE 4 C-oulzT i:Voc r` 0^ 9 f r. • • • • • • •• CITY 4F TIG%&ARD r~EROCCUPAC aOFOCCUPANNCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 1#. . . . . . . : IMST93-011, 1. 13125 SW Hall Blvd.Tigard,Orwgon 97223e8109'i'00%IM-4171 DATE I SRUED a 08/20/93 PARCEL: 2511280-12400 SITE ADDRESS. . . : 14690 SW A3RD CT SUBDIVISION. . . . a STARLING CROSS ZONINGa BLOCK. . . . . . . . . . s LOT. . . . . . . , . . . .. » a005 CLASS OF WORK. aWEW TYPE OF USS'. . . a SF OCCUPANCY URP. a R;3 OCCUt=,ANCY LOAD a 115 4 TENANT NAME. . . a Remarksa PATH 8 rIF credit CRD93-0001 Owners D E ANDERSON INC 4525 8W 9( ,H FIVE BEAVERTON OR 97005 A' Phone Ma 627-9999 Convr;actora D ANDERSON, INC 4375 SW TUCKER AVE BEAVERTON OR 97005 Phone #l: 627•-9999 Reg #. . o 46344 Occupancy {f the above JFerenced building in herehy givens and certifies the coaapliAnce with the State Of Orbgon Specialty Code% for the group, acaupal cy ' and use 'gander which the referenced permit was issued. r'IRE DEPAIIIMENT BUILDINJI INSPVCTPP BUTibAs OFF I VIAL a .� POST IN CONSPICUOUS PLACE n. 1— N f- J G] C' LL1 J • DRU ECT1_01 NOTICE Cltp of Tigard Bulld.ng Department �L 13125 SW 8n`.1 Blvd. Tigard, Oregon 97223 InspeCtiOn Line (Rec-O-Phone): 539-4175 Business Phone: u39-4171 � I -'.'lection! Footing Plbg. Dnderelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line f-SX439. Poet/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. n Date Requestedt .111 Times _ PK Atldroess LN-01D �' - Permit #t ST 13 d1C0 Hullders 1v 'Qr1(1(`i)�GYk elJ� V � �1�1\� (/27 - THE FOLLOWING OORREC.TIONS ARE REQO'REDs -------- -- - CY Ln H G7 U) -— 1 ' i 1 Innpa.-tor:_—,_-- Dates C. _^APPROVED DISAPPROVED — APPROVED SIIHJECI TO ABOVE Call For Reinsp. CITY OF TIGARD � _uM1:4j1JCa I�x COMMUNITY DEVELOPMENT DEPARTMENT LAI L ISE-LiLI]: 04/"Z/9,., 13125 SW Hall Blvd.Tigard,Oregon 07223.8109 (503)839-4171 ::,-illy 5::;..," Li A,,IVZSIDN. . . - S"1F-RLING C"RUSS ZG3NINGa . . . . . . . . , . . LU i . . . . . . . . . . . . :kO, ,..,.. i-+:..� � rJ(•.. W1�li"iP' . , :I`Jf�:ly C:,f=117LaA'w'i"� L'i�l�'(J':.�F3L.r��. . ,. 1 OF iJSE. . . . :SF' WASHING MACH. . . . . . . . I BACKP•L(3W PRFFVINTR73. . .0 F iw.UOR 1:1T?A -0 i f<f=11`3. . . . . . . . . . . . . . t' r� L ;. . . . . . . . . .I WA'Y ER Ho. AT•E::RS. . . . . . . 1 C34TGH B A 0 1 N:i. . . . I UhL"S __.. E-F•'LilNWHY TW4Y5. . . . . . .0 SF RAIN I)RIU NS. . . . . . . i. . . . . . . . . . : i UTIFASE TRAPS. . . . . . . ..�• C?T-; ILR FIX rL)OEM. . . . . :ti' 5E WE R L i NL' .ft ) . . . . :0 A'7'E r (:LG UT ;. . WATE l_I M..i i f"t : . . . . c 1 0i'i J I SHWASHERS. . . . : 1 RH I N VRA I iN (ft) . . . . :0 L ,'rNIi1::.1i JlV IIVi: i"11=' 1' 1'`f0' l►. ul0 JH 11J.:f Z:ki/ r: o--:j `iW 'tib T'i1 ,OvL I:IFIRT 8 :352. 00 JF•I 04/20/9,_; 11F,L('. Z.3. 30 JUri its.:3/>�:'j.3 �i`,I. L'16t 9'/1 !o'15, b;:F)c i- . i. 60 ;II1 04/LOP-IJ r'lurte ka ::i...L1�3 '.i SSI)C c-'80. 00 JH V14/80/9,y I titntay r•�f1 ''"0r ;: " +;tbt a WPM $ 40. '512 JH 011/,::0/':7:3 m5p'l_ V L w 03 JH 0.4'/21z FIPR1 6 117. 50 JH 04/0(�✓ t -14c /93 F j Ey I', •lry Q1 _.._._„_. RI.u!U.I RT_.1) i I'43PEL T I UlO>i r f i a pe a1!I t; 1 :; s,.t o i a ?5 u l r.1 wt..t t Q it i'i t? t're'! J.11att, iuris ::untainet:i itr the liyavu M%.inicipal F=ont:/f`ul.mu Insp Renin di,ai.n 1 Ut:at-t.F of Ur-(;�. (:.Is0c,i „a;P ,, i:.'udes and 'All Post:/Deam Stvur.A W,.4-rrr^ Li,np i Jt!'pc laws. AI. 1 wur'k will ,a done Flnst/DeAm hlechan t;ppr^/5dwlk It.so ; rr Wi0i iApprrialt o plans. Thi !' F'1m/unkj%ic-iI3 irtsT, hi5►i_:17rar; i.,. ,i t + !i,ea.l I)ev`mit wit '^ expii-e if wor-k is riot stAt-ted FILM/Uvidobrtlraur 1=`1t.1111b FlniAl A 11 L i_y u rw C)t k t far° 410r.+: th,_1r'1 1a0 days. P1 '_Imb Top Out L-r'•osiun Lont'r,o 1"r .;argirag 31.144 C Cavil i;'r axrt T � I Q Gats Li.nr: Xnsp n 5 u 1 i a:rr r1 rn p Tu�. :a r r.l 1 i 1 ,p ...._....�...,._. _...._.._..._-_______... LL, u i� i n p s c t i a.a AI 7'r ca tar w c t;e s CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 19125$W Hall Blvd.Tigard,Oregon 97223.8199 (503)030-4171 r, ;c� tr171 DALE i;..;451_JL.:1?; it : I „W. i za . 1.4E,'343 Inl t3uF�1) CT 7r ' 1P1XLVI6IUN. . , , : 6`i'ARLING GI,CJ:, LU1 114 I S's JE e UWEb._i NU::i L_1N!1 "1 I,i: :i L•ar=G NGNT. . . . . . . . I__AE'DS OF' WORK. :NEW HEDRMS:3 BA-r HS 12, C'AFi;_, a� . . . , . . . . . . . 440 YFc: OF IJ L.. . - FF_QUI.rC.1) ',,i ,C:; i:lr' CONE;T'. :;SN F'I Ra T. , . » 1408 s t LEFT— c5 fi; R I b1i I . ,:-j f-t 4:Clli-f%NGY UAP. :R _ SEC(Jiti1;J e0 S F'r iJNT. e,-'0 f-. i°�t ►1r . » „ lea L. r�ILS. . . . . . . c1 "r F.;Z, . . . . rpt s`,t F;�.i;lUIFt[J -. - I UH 1 . . : 1::i f-L T01 406 fi LOUR L0AD. . . . :40 psf VALLIF 71668 PARK IN(3 Sr'ACE . . : I el^i:'1r-rr. :t : 1'w l W r3 7 ti ct'k` ci i#, t...f�,.93 -SII C1.1. ii'V1C:;. . . . . . . . . . .. i FLf::iUR f)Rg1NI . . . :°,J t)lli:;i:F1._(7W PREVN1'RS.. :0 � Jr� c.1FiiF_: , . :� WA(LR H[:PT 7:. . . - : 1 TflfaFa. . - . . . . . » . . « . s .I JG,'UiI(JWLIs""'. . . . .C' THO"6• . . :0 f.;AiLH ELASi#kl:a. . . . ;-iTER L;LOSETy. . a 6[_.WLR LINE f > « :0 614EASE "FRf-P i. . . . . . . ;40' I"c; i < _ Iv" ; I � � . : .I.w�7 r� F Ix'rLa�,F:_��. . , w(A . . A HPIN DRP41N (ft ) - :0 ,'W"1flNu NAC II. . . : 1 SF r-MI `1 ORP INb. . 11 rJ7, I AN I GAL. f ELS _._. .,. . _. _..... ,,. typt? 'Mfit u1-1:11 Ley cirri VEN i `.i a,' ,0 TIF i �0. 0411 JH 04/c".-.'0/ )3 f)x LIM"! ( 1001-, . ., : 1 HUUDG). . . . . . . 1 UPIL-C: 4 C.28. 80 JL..11 0 /4:"-"/9Z `),; t s i1f"fi,1 lktii'I`', . . :41 W001AD IJ'Ai.":i. ,0 b51 1: 'i 1 �' 60 ,11-1 04/c-16/ 3:: .. wUC1R >"I.1Ftfd, , » » st CLC) DRYERS. s 1 SBU(:: S 2-110. 410 JM 04/t +,",'i 93 3",tV, 0 T'l I'R UFVIT is1 i 'WI;r: 1 00. r��l JP1 1714 '? ... 0�)Ci UL.'`1LE::T,8s i M'RT 4 X44:9. 50 JH 04/w:0!'r} :,, ._ Myr='(: $ c". 03 J14'4 04/20/'a.., a l4 L ,._. J #n 1!!;54. 44 1 G1TWi_. t� pe:nit ;r :ssaesysubject tW Vie .1a};Ong carbtaied in the faEL,7UIrLIT) 1F�G.7Fkl'T'ICxIti� i LL .i:,. N°,:r::.pak i:udr, State of Oft. .;pecia:ty C)des and a;1 other rout.^"t''ourrd 111sp F`ii,eplAc;e f i_aL,e ::ari , 6i wo- k wa.i1 to dnne to a:-,:.wdanec r '. applPfd b ' 4;,t; /'Ia4��1nr &%.k% Line Irrsp Thspertit i+. t ekpire if 6.-4 is `%t starts"s f''u'st 8 e iA Fii riF?l::l)Arl 1ri's1.1a"lt i, L)h Insp rs 04 lssuanco, Lr 0 ,, r '� C'l nl/rtnJsi b Irtufa Gyp fa r ti tza-r.` 0", 1 Ulr r"f luex° 7 aii c9r�anir' t Irt�,ff i 1.ouL fop C.ut App'v,/tAi' 1 I �mi m 1 n U 1 rti 4p , , " INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line Rec-O-Phoneys 639-4175 Business Phone: 639-4171 Inspactions Footing Plbg. Underslab Hoch. Rough-in Apyf/Sdwlk 1 Found. Plhg. Top Out Gas Lina FINAL- Post/Beaa Strz^t. San. Sewer Framing -Bldg. Pont/Beam Mach. Rain -;rain Insulation --Plumb. Plbg. f,ndertloor Nater Linen Gyp. Bd. -Hoch. Date Requested:, -�� —Times AM _ PM i 1 7 Address: 1J1C1__r,� .� � Permit #- (Z- Builders Builders '.'FDL FOLLOWING CORRECTIONS ARE PSQUIREO: _ l N.S / L L �� I1 k' //L� L-/NES LV _S r/A/6- C (/IL LS HD L 5 - sn H G] C.7 U1 Inspectors Z- ! d 4 _ _ APPROVED DISAPPROVED L/ APPROVED SUBJECT TO ABOVE Cell For Reinmp. INSPECTION NOTICEti City or Tigard Building Dapartnent, 1312S SW Hall Blvd. Tigard, Oregon 97223 -nspecti.on Line (Rec-o-PI.ine): 639-4175 Business Phone: 63i-4171 Inspection:_ Footing Plbg. Urderslab Mech. Rough--in Appr/Sdwlk Found. P1bq. Top Jut Ras Lina FINAL: Post/Beam Struct. Sart. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain nsulation� -Plumb. Plbg. Underfloor Wat+r Lisse gyp. Md. -Meeh. Date Requested: // _ G_ 1 _)' _Time: AM PM Address r-___ �� p � Perm/.t Builder: ` �i�/L12 THE FOLLOWING CORR=CTI098 APA RMWIREDs o. 1-- �n _ J C' J Inspect Ur Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __`Call For Reinsp. INSPECTION rnrgE City or Tigard Buil iog DaVartmen 13125 SM Ball Blvd. Tigard, Oregon 97 Inspection Line (Rete-O-Phone: 639-4175 Businenn Phone: 639-4171 Inspection• Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found- Plbg. Top out Gas Line FINAL: Post/Beaus Struct. San. Sewer Caminq� -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. P-Lbg. Underfloor hater Line Gyp. Rd. -Hoch. l- Ante Rc•iuest/ed�f D � /-�-� Time: AH LP!I Address: L' penaLt �t guilder:_� THE FOLLOWING CORRECTIOrs ARE RRQDIRRDt F- Inspectort _ Date: / APPROVED DISAPPROVED `—! APPROVED SUBJECT TO ARMS -Cal1 Cyr Reinep. INSPECTION NOTICE City of Tigard Building Departasent 13125 BR Hall Blvd. Tigard, Oregon 97223/ A Inspection Line (Rec-O-Phone)t 639-4175 Business Phon . 639--4171 Inspections _ Foot7.ng Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plb7. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Undet:tloor Maty /Line Gyp. Bd. -Nech. Date Requestedt� 1�/ _TLme: AM _PH U rd Permit Address: I'//�L' `l � u Buildert THE FOLLOWING CORRECTIONS ARE REQUIRED: I napecto Dates \ APPROVED DISAPPROVED APPP)VRn SU C4 TO ABOVE call For Reinr._ IqL1LZrTION NOTICE G� City of Tigard Building ^.,--rtamt 13125 SW Ball Blvd. Ti3ard, f>rng7p 97 3;{ Inspection Line (Rea-o-Phone)t 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. C derelab Hoch. Rough-in Appr/Sdwlk Found. plbg. Top out Gas Line FINAL: Poet/Beam 3truct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underi oor Nater Line Gyp. Bd. -Hoch. X/ Date Reques/teds 5 v Time: AN PH Address:-J �li `7 � `� r� ( Permit r- - Builder: THE FOLLOWING OORRECTION3 ARE REQUIRED: i lnapector, =.zf ��_. - - - -- -_ Date:_ A J,PPROVED _- D23APPAOVED APPROVED SUBJECT TO ASOVN Call For Reinsp. tt�wi INSPECTION NOTICE City of Tigard Building DepartaentC� 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businces Phone: 639.•4171 Inspec;tion:_ Footing Plbg. Undersla Koch. Rough-in Appr/Sd,-:ik Found. Plbg. Top Out Gas Line FINkL: Pont/ tn. Sewer Framing -Bldg. Pow 1 Rain Drain Insulation -Plumb. Plbg. ertloor Wator Lina Gyp. Bd. -Koch. Date Requestedt / ,! Time: Address: AJ/41) O � r� �' Plt01t fit_ ��(v Build rt 2112�ck_111_1_71 lel—I 21, THE FOLLOWING CORRftTIONS ARE REQUIREDr Inspecto 1 -- Date:_ ApD DISAPPROVED _V APPROVED SUBJECT To ABOVE `Call Foc Reinep. �NSPECT[ON NOTICE City of Tigard Buildinq Department 1::12F Be Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 539-4175 Business Phone 639-4171 Inspe=tions __ Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: et/seam struct. \ San. Sewer Framing -Bldg. st/Sam Koch, Rain Drain Insulation -Plumb. Mg. Underfloor Water Line Gyp. Bd. -!Lech. Date Requested: �� � _ Tom: AM PN // [/ ) Address: �LjL(!Z� / /J r _ Perm t s Bullders ZAACW, rj � THE FOLLOWING CORRECTIONS ARE RBQUIPRD: d CY . LA F- 03 LO w Inspectors _ Darer1 APPROVED DIS""ROVED APPROVED SUBJECT To ABO" Call For Reinsp. a �NSPECTION NOTICE 9 City of Tigard Building Department 13125 811 Hall Blvd. Tigard, Oregon 972231 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I nspect io.i: Footing Plbg. Undorslab Kech. Rough-in Appr/Sdwlk found. Mg. Top Out ass Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. Rd. -Koch. Date ReRuestedt ✓ Time: Alt iU I� Address: Permit s Bulkier: �.7�7/ISLJ[ TNM FOLLOWING CORRECTIOKS ARS REQUIRED: a Inspectors --- Datw: APPROVED _ DISAPPROVED _ APPROVED SUBJECT To ABOVE Call For Relnap. INSPECTION NOTICE 1 City of Tigard Bulidi.ng Departaemt 13125 Ow Hall Bled_ Tigard, Oregon 97213 Inspection Line (Rec-O-Phone): 639-4175 Buoiness Phone: 639-4171 Inspection: Footinc* Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FIVAL: FPaE"" dtru San. Sewer Framing -Bldg. Post/swam"-iibch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Hoch. ,vJ/ Dote Requested: / Time: AN PH Addrese: /1 Cly%L� � r(L ( -- Permit #s C)� ^Q _ Builder: �� �1z•tr��L!!t r THE FOLLOWING CORRECTIONS ARE REQUIREED: i Inspector: Date$ " 7 APPROfRD DIB �10 Al. D 4 APPOM BOSOM ib AMM r ftL"P. -NSPECT101 NOTICE City of Tigard Building Department 13125 SW Ball Bled. Tigard, Oregon 97223 // Inspection Line (Rec-O-Phone)t 639-4175 Business Phones t]&e41__ Inspectiont rooting Plbg. Dnderslab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINALt Posh/Bean 3tt wit. San._ Fre-ming -Bldg. Post/Bean Bath. Rain Drain Insulation -Plumb. rlbg. undet:lloor /ater Lina> Gyp. Bd. -Hoch. Date Roquestedt �/ _Z'1_ / Times AN , /�PM Addreest121 I C_� Permit t: Builders-, THE FOLLOWING CORRRCTIONS ARE REQOIRRDt n: Ln F-- C� Il! tnepect�t/: bate t APPROVED bISAPPROVEb APPR0420 SUW%CT TO AgLMg Call For Reinsp. jlISPECTION NOTICE �1 / City of '!Tigard Building Department 1312! &W Ball Blvd. Tigard, Oregon 97223 Inspection Line (Vec-.3-Phone)t 639-4175 Business Phoney 639-4171 Inspection: /!'o7ting Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struck. San. Sewer Framing -Bldg. Poet/Beam Mech. Pain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested: ( I I F �� Time: AM PM Addrens:J [J,r ,j 3. � Permit t: :)(11 Builders V n/'/�l THE FOLLOWING CORRECTIONS ARE RBQUIR$Dt Inspector: V - Dato: V 9 PROVED DISAPPROVED y__ APPROVED SUBJECT To ABOVE Call For Reinsp. SC`-WER CITY OF TIGARD I`E R M 11' I�1' COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #' ' . . . . . .. SWRI3-S-0145 43125 SW Hall Blvd.Tlgard,Orogon 97223.0199 (5031)639.4171 A"ORL'3S. . . 14690 SW 831D CT PARCEL. ZUNI 1.14G LOT. . . . . . . . . . . . ., .0051- PqAIIJE. . . . . . . . FIXTURE UNI Tyi. . . LJ1­ DWELL 1 NIG (A4 I TS. I TYPE OF USE. . . SF i\10. OF BU I Lf)I N613 I I IMPEP,'v SURFACE., PATH 0 FEMES r— ONDI-AGON 11'C, type a fn a$.I ri t by date t, p L ,,23 SW 96TH ;Ivr., PRMT $ 2100. 00 JH 04/20/93 INSP 1, 0. in 0 JH 04/L019,", )ERTUN LIP 9700' k'1XW'!RALTUR N07" 0(4 FILL RLD.UIRED INSPECTIONS is Applicant agrees to apply with al, the rules and regulations sewf,�t- Inspecticirl the Unified GE*age Agency. The per mit expires 1U uays frac bate issuer. The total amount paid hill be forfeited if the ;c,jb,t expires. The Agency dcos not guarantee the accuracy of the -wide sewer lakilrals, if the sewer is not located at the seasweient livenj thi ins'-' t'al. orospecf, S fie, in ail airections from i distance gi er. .1 nct sc locatea, the installer shall put-chase 'lap and Side Fjr. Permit ami t, stai, a t eral. o. -01 co 11. fu insfieczt ic)n vi ca LD CITY CIF T I©ARD — RECEIPT OF PAYMENT RECEIPT NO. o93-239189 CHECK A1401JNT a 3439. 44 NAME a ANDE=RSON, 0. F'. CASH AMOU14T t 0.(DID ADDRESS n PAYMENT DATE a 04/20/93 SUBDIVISION a PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM _— 302.00 PLUMBING PERM 117. 50 MEC:HANiCAL PE 40. 50 ST. BUILD PER P5. 51 PLAN CHECK FE —11. 07 SEWER USA 21alb. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 00 :STORM DRAIN SDC 280. 00 L.OT 5 STARLING CROSSINf3 14690 SW 83RD CT TOTAL AMOUNT PAID 3439. 44 13125 SIV HA Bhl& PLNCK/RECT # —3 ��. C1. 1 1 OF T IGA1��•�' PERMIT 0 /7) 1�� COMMUNITY DE VELOPMENT DEPARTMENT ms"0 `9°"97W (503)0 ''171 DATE ISSUED JOB ADDRESS: ( 3*,E4 Gly• TAX MAP/LOT ,02-S / /Z13 C- SCo os SUB: . LOT: .�� LAND USE: VALUATION: — OWNER _ > SPECIAL NOTES I NAME: �" Nom' REISSUE OF: I� � - i _,,i_ ADDRESS: �J�?.� - � �(a Q���- LAST REISSUE: FLOOD PLAIN/ PHONE: 6,;L SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: i��� _ PLANNING: y ADDRESS: — ENGINEERING: FIRE DEPT: PHONE: _ OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ adoz- C�,o i LIST/SUBCONTRACTORS: MECH: � ,SG �`' BUS TAX: — ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: _ PHONE: Co PROPOSED BLDG. USE:uj COMMENTS: —_ — oll APPLICANT SIGNPTURE Received By: _ Date Received: `�� J PERMIT # Aff t # DESCRIPTI3'N AMOUNT AMOUNT PD. BAL. DUE"' + 10-432 00 Building Permit Fees v� --- : '%3S _ - 00 Plumbing n Permit Fees 10 431 9 _ 10-431 01 Mechanical Permit Fees U�Sd IV S 10-230 01 State Building Tax (5x) / G1J •SI Building , Plumbing Mechanical -02, v 3 10-433 00 Plans Check Fee Building ;7- Plumbing Mechanical U� ! 10-230 06 Fire 30-202 00 Sewer Connection 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 52-449 00 Parks System Dev Charge (PDC) SUU '� -5 ao 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) J LL TOTAL •���_�!��I — "'� `� J nm/3`0111).WN