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DashNumberEnd 1 ,1 Y �.1 J, 1 fi 10805 1 ?�� CERTIFICATE OF CIT' OF TIGA OCCUPANCY (C, RD PE=KNIT M. . . . . . . t BUP8905 3( COMMUNITY DEVELOPMENT DEF"WENT �\ ORE tiON PRIM. PERMIT #. t 890530 13125 SWFWIBIvi. P.O.Box 23397,Tigard,Oragw,97223(503639-4175 DATE: ISSUE:Da 05/21/90 SITE ADDRESS. . . a 10805 SW 106TH AVE': PARCEL: 1S1 34A--D 900 SUBDIVISION. . . . t WINDSOR PLACE ZONINGS BLOCK. . . . . . . . . . t LOT. . . . * . . . . . . . . P27 CLASS OF WORK. tNEW TYPE OF USE. . . tSF OCCUPANCY ORP. tR3 OCCUPANCY LOADt TF NAN f NAME a RPmarkst 10' ea spmet-A, on i-tort;h side ilwl7wrt -.-___.____-..._-__ HOWARD-- KIM INC 4440 170TH AVE:. SE I SSAOUAH WA 96027-0000 Phone Nt 206-455--4554 Contractors DON--HUNT CONSTRUCTION COMPANY P 0 BOX 1836 LANE_ OSWEOO OR 97035 Phone: "1 503--636-9912 Req N. . t 3t9')4 Occ;.cpancy of the above re /c?'rpllced building ie hereby given, and certifiers the c-ompliarice with the State Of Oregon Specialty R.odo% for the group, Or. rupanc_y, Knd use undo i which than referonc:e»d permitwas issued. FIRE: DEPARTMENT DIN5 I OR BUILDI .V1-0 F F I AL DUST IN CONSPICUOUS ENLACE I I ' INSPECTION NOTICE City of Tigard Building Department v .O. Cox 23397 Tigard, Orbgon 97223 (� Phone: 639-4175 Type of Inspection f vY-1�C�;, Date Requested /l Time_ A.M. P.M. Address _�����J ��!1! Permit #� Owner r Lot # Builder .��_./ The following Building Code deficiencies are required to be corrected: Presented to _ ._._approved Inspector % _ [� Disapproved Date CALL FOR REINSPECTION DYES ONO f; INSPECTION NOTICE .�i/ty of Tigard Building Department G�v " P.O. Box 23397 gard, Oregon 97223 Alto UUUUUU Phone: 639-4175 ype of I io Date Requested -_C� ✓/ 3~ 4� — Ti a A.M. P.M. b Address �1 r1 �`7 ze Permit # bs Owner — --- Lot - -Lr Builder The following Building Code deficiencies are required to he corrected: Presented to __ _ Approved Inspector o •" _ ---_� I-� Disapproved tqDate ,� '` CALL POR REINSPECTION YES ❑ NO ar / INSPECTION NOTWE City of Tigard Building Department -� P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 J J )yp,e of Wpection Date Requested Address MAI' � Permit #�_d�� Owner Lot Builder- The following Building Code deficiencies are required to be corrected: i PIZ v Presented to fJ F1 Approved Inspector L 1 /„� J<�Uisapproved Date - CALL E R REINSPECTION ,� YES O NO i� �► IRS � ! It INSPECTION NOTICE City of Tigard Building Depp-tment L� P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Dat? Requested �2 /'3 Time_ A.M. P.M. Address __�`� `� /" Permit #. Own^r- _ //Lot 07 2.-�_ Builder — --- 1i-)U The following Building Code deficiencies are required to be corrected: Presented to __ __—_ _-_-- _ ( ' Approved Inspector �� ❑ Diapproved - ---�-- _�{�- Date ----- — --... - — — CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE (/* City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection d7�t Q'' Date Requested c �? yr/� —.- nme A.M. P.M. Address ��J pti�—LPermit # — Owner Lot #__-- — Builder — 'Che following Building Code deficiencies are required to!be corrected: Presented to _ 'J Approved Inspector _ �� _ _ --- - -- t_J Diapproved CALL FOR REINSPECTION F-1 YFS 0 NO WWjWjW1ffjWLW JUN INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time d A.M. P.M. Address _ __-----'L-'� �)'� d � Permit 0, q Q — Owner Lot # Builder. ' / --- The following Building Code deficienc_i9s are/required to be corrected, al �ii—LLI- al I '-r � I6j,a -�'��a r Ja LL Presented to � Approved Inspector �_ roved Date CALL FOR REINSPECTION rES CJ NO W INSPECTION NOTICE City of T;gard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionL' �_ '�� Date Requested � Time A.M. P.M. Address _,�' 1;t_ --�(�/1�_Ca9 �- Permit # - _ Owner Lot # Builderi� _ The following Building Code deficiencies are re uved to be corrected: r -1 _a J// C&I G Gti� 1 O N ,-a i Presented to Approved Inspector Date ----- CALL FOR R . TION E8 L7 NO INSPECTION NO r1l,'E City of Tigard Building Department F.O. Bax 23397 Tigard, Oregon 97223 Phone: 639-4175 �l L�1 Type of Inspection _�ry�►cj—�p QSIT ��L(/)1 /IT—Requesteed�i 7- 7 -(J Tlme . A.M.--P.M. Address _1ST is C)S- /U6 4' Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ❑ Appr,)ved Inip�t nr RT16itapproved Date 7- CALL FOR REINSPECTION `�YEi 0 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspectionc=JA- Date Requested �� r 1 f Tint Q r�� A.M. P.M. r Address )'rCIC' Permit # 1 )� , Owner I Lot # Builder --- The following Building Code deficiencies are required to be corrected: o 4-del d OP A .� ✓ Presented to _ Approved Inspector -•--� ❑ Dlappr,ved Date CALL FOR REINSPECTION ❑ YE= ❑ NC w INSPECTION NOTICE 1 City of Tigard Building Department 'a P.O. Box 23397 C i Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested' /Z- �7 TimeA.M. P.M. Address :�C 05 iLI 2-r-, __ Permit Owner_ _ _ Lot # Builder ------.-.—__-- The following Building Code deficiencies are required to be corrected: - • y �/ LlV s �t C- Presented to - ❑ Approved Inspector _ Z•pspproved Date CALL FOR REINSPECTION YES [� No � le1 !,� 1� � ■ IIA ! INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested S U Time / A.M. L' '—P.M. �r1 Address �U�X,-S S CLQ �)`j f7'7/� _ Permit �..�5��'� Owner Lot *—,;E' 7 Builder Z21/2 The following Building Code deficiencies are required to be corrected: Presented to �� A proved InspectorDisapproved Date S - CALL FUIRE:'INSPECTION P"T YES ❑ NO CITY OF T'FA RD � BU 3:1 DIN(.'.', PEIRMIT PERMIT NO . : HIJ'090530 CITY0F7M1t0 COMMUNITY DEVELOPMENT DEPARTMENT 13125SW Hall Blvd P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 DA*TE ISSUED : 5/10s'89 PDTM DMI. Nn JOH- ADDREESS : 10805 SW 106114 AVI--*. 1A MAV/I O'T' 1-51. 3AAD 9000 SUB: WIND!5OP F"I A('I::. L.T :2*7 BK : I AND I OT SIZE : U;'iL.tJA'T:I:ON: $ 810111014 SI;::'TDA(."KS F-14ONT: 20 PEAP: 10 WORK CLASS : NEW DWELL..UNITS : 1. LEFT: 3 P:LG[4*T' : 33 USE: I*yl-"E: : 5INGI E FAMILY NO. BEDROOMS : /.I EXT-WAI—L C'.DNS*T : CONST . 'rYPE'. : VN NO. BATHS : 3 N: ci : E W: - UPP. . P3 PP01' . OPENING,5 : OGCUP. LOAD N : 5 E : W: TO'TAI A I I 1.*:-'A 1.09() NO . STORIES : 2 IST : 811-8 ROOF` I['ONSI* : (7 FIRE PET? I-IF-.::I:GP - : 20 2ND . 1.0'72 API:..A SEPAI-+7RATED: BASEMENT"? 3PD : (AXUP - 5F:A:)AP7 RATED: ME ZZANINE'? 131AF5F-.'M' T F,11-00114 LOAD: 110 GARAGE- : 4180 FA:RE SPAKLA17 ALARM? 114P-A-T- -Typp F*I...(,.)w(GPM) DETk::(:,T7 YES PLAN CHECK DY : rlt 1-11-i'MArIKS ; 10 ' CHILGeMerit ciri M31"th sidva REISSUE OF' NG. L..A!*i*T* REISSUE 0 W HOWARD— KIM IN(.' $391 . 00 N qxlelo 1.7 0,111-4 IN V E: . SE:: E PLAN 1:411iiVIEW $2541. 1.5 R I59AQUAH WA 9802*7 F:*Irli*-: I')I;'--':PT PHONE (206) 411011 -4101011k) L Ili' 'TAX 19 . 515 OTI-110:4 1AVE1._OPMEN'T CHARG'ES : 0 HOLMANDON N soc i s*T*(jnm) *2150 00 T DON--HUNT CONSI . C0 . * R 600 00 A PU BOX 1.11336 10250 . 00 C LAKE 0SWEUO OR 9*703.5 PPF.-:PATD < $100 . 00) T 0 PHONE (303) 636----991I.P 1111 WE-J315-11144ATION NO . 31.91514 *TOTAL: s 1. e)eq. 70 1 his permit Is issued subject to the regulations contained in Title 14 1 PT* NO. % 3 7 7 Co of the TMC. State of Oregon Specialty Codes.zoning regulations .......... and all other applicable codes And ordinances, and it Is hereby PE'QU11F11ED .1:NSP1HX--1':1UNS agreed that the work will be done in accordance with the plans and F110TING SEWER specifications and in compliance with all applicable codes and F*0UNDA*rT.ON WAI L. RAIN DRAINS ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city 1''('1!10+T & BLAM WA'TE r4 1 1 N I--.' bUtimess tax permits. This permit will r%pire and hecome null and PLB. UN[)I'-:R5L.AB CITY APPPCH/SW void If Work Is not started within 180 days,or if work is suspended or SLAB F I NAL abandoned for a period of 180 days any time after work has PL." 'TOPOU'll, commenced It shall be the responsibility of the permittee to assurf. all required inspections are requested and approved FAAAM I N(.; FJ PF-PI. ACE INSLINE:LINC. INSULAIJON Form life J GYP . BOARD Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN ASCRIBED ABOVE C'rf OF TIG7ARD 1:)ERM'I: Y* W.). : SE.1390729 CITYOFTWAV COMMUNITY DEVELOPMENT DEPARTMENT 09100M DATE'. I'55LIED : /10/a9 13125 G.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639AI75 1;4e.I'M. PMT . NO . E)903:30 AI: EMEGG : 1080-5 SW 106TH AVE, USA N1.1MHF:A:'4 : 037509 TAX MAWI..0T* 1-51. 3,(4AD 9000 513f, : WI*N[)!:.,(.)I:,, 1 *1 : ?'7 I K I.-AND k.)!ii*--- LUT 51ZE, GEICTION: ;i4 Twl) : Ilei I--,'N I,', WORK MASS : NF'W USE TYPEK: SINGI F: FAMILY ta c1l mply with all rule N OJIVI of theil Ullifie?cl Sewt.oratqe Aqc-.,lncy . Tl-,vi? permit expires lk?o (lay% fl-tim tl.)(..;? (liate illiqBtAe(l Thr: t c)t a I i:kInCJLII'lt 1',)iiLj.d Will. 1:)e� fcoi-Feited if thoi permit. (:I(*Ie!!i I-10-1. gWill, I. antet--i thlKi? 41(.ClAl"iflCly cif the lnc`atiaii of the micle mewer .latera iia If the mewf....-Ir j.!!' licit lc)cateLl at the:' (J:' Vc.-)I1 ' I.,he iri%tilk).'Ier tahal.]. prc)iapef.-.:t 3 f-L.let il-I all direc:tic)ri% frcim tl,,(.:- climtial-lt.�e qiv(-aI-I . If licit MCI the ii-iwtalls.-er ishi9.1-1. 1311.11-01-U-1.151FA 9L `J*j;tI:) i.1.1-1cl !i,J.(Jio Sewvr" 1:411-mil, ollcl the Aqiericy Will. iliv,tal.]. a lateral . TYPE. : 13 0 T I 114ra- SEUK-3-4 J:Mr)EA:1VI(X.J5 APEKA: 1::JXTL1PE'. UNIT$ : TEKNANT IMI'-'11411:11VEME-N'T DWELLING UNITS NU. UP* 81 F-KEG 0 FlUWARL) 1<1 M 3:NC 6:IERHJA' 11111135 . 00 w A14 A 0 1.707'11 AVE:: . SEE CHAEME $1 , 100 . 00 N 3.6 Si AQUAH WA 980P.7 I INE INSTALL . E R FIHONF: (206) eI33 A038 I C HOLMAN IMIN 0 E)UN--HUI1I'!* CUNST . CID. N T 1�10 BUY 1.836 R A 1-.AKF-'.: USWFAA) EM 9,701315 C ( '503) 636 (1'91 f.': T 0' RIE-0-ISTRATION NU. 3:1.9,141.$/1 1(TTAL. $1 ' 135. 00 R N 7 EXEIV-11' NO . 1637 This permit is Issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes. zoning regulations 11E1'UIRED and all other applicable codes and ordinances. and It is hereby 1:40ILK.-4-1 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 covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void It work is not started within 18C days.or if work is suspended or abandoned for a period of 180 rlavq any time after work has commenced It shall be the repponslbHlty of the permittee to assure All required Inspections are requested And approved Permittee Si 1 re Issued By 1 CALL FOR INS11FECTIUM 639-4173 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE Fff WEWS 9F 4111-1' NO. 728 CITY OF T167A RD TCITYOFTWARD COMMUNITY DEVELOPMENT DEPARTMENT091GON 5 :1.0/og 15,25 S.W.Hall Blvd.,P.O.Box 23397.Tiqard.Oregon 97223,(503)639-4175 P P T M P MJN H90530 JC)FJ ADDRESS : 1011303 SW 10611-11 AVE TAX MAP/LOT ISI 34AU 9000 SUCH: WIND50P Pl..ACE I T : 27 Fit: : I AND USE: L-01, SIZE : J."TEM. N(*.) : NO W(:)PK CLASS : NEW l;:'LJPNA1,E* 0.00K :1. AIR HANDL-P 0.0 USE' TYPE: SIN(A'-E FAMILY FtJPNACl--- 1.00K-1- AIR HANDI-1.4 10K GONST . TYPE : VN 1:1 00P FURNOGI.. J::!JAP .1:001...E P OCCUP. GRP. : P3 V I.H-NT FAN VENT VENT . L.iYS'11--:M BLR/(X)MP (31-11:) 1--iOOD NO. STORIES : 2 D I WCOMP 3 INCINE.RATOP(DUM DWELL.UNITS : 1. RLP/COM121 1.5-30HP INCINERATOR(MM 1::'t.)El-. TYPI."i: GAS l:'---'l-P/C0MP 30-501-11:-` PE:l;"ATR UNITS MAX . INPUT 131-111/('.11OMP 504-HP OTHER F*IRI::: DMPWS17 UAS PIP'LNG OUTLETS HIGH PRE SSS LOW PRESS? PEMARKS . 10 , 0 HOWARD KIM INC: PENM11 $1.0 . 00 W -411140 1*70TH AVE. SE 1:1-AN REVIEW 911.0 .88 N I SGAQUAl--1 WA 990;," 1,:r XT 1.)PES, E91:3;3 . 1010 0 F:,HDNI-.-. 11206) 435--lU513 STATE TAX 1111112. 1113 OTHER C RUTH DUN 0 N BO'T'H ZACHEPY 1-111:'ATING INF: T 593 Sin" tS T' AVE R Y Or. 970.1 A C 1!:11-40NE (503) 266-1.2.49 T 0 REGISTPATION NO. -.1-1400E) I UTAL. : $56 . 56 R PECEIPT NU. This permit is issued subject to the regulations contained in I itle 14 of the TMC, State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances. and It Is hereby GAS LINE agreed that the work will be done in accordance with the plains and POST & DIFAM specifications and in compliance with all aoplicable codes and POI.11:4-1.-1 N ordinances The issuance of this permit does not waive restrictive covenants. Contractor and subcontractors shall have current city F:'I NAL husiness 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 abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to Rsatire all required Inspections are requested and approved --- Permittee Signature Issued By GALL FUR INSPECTION 639--41'7,91 §EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE RD CITY OFT167A FIERMIT NO PIA390727 CITYOFWAIW I OREGON DATF: J.*5St.JI::A) : /J. 09 COMMUNITY DEVELOPMENT DEPARTMENT �i ' 13125 S.W.Hall Blvd, P.O.Box 23397,Tigard.Oregon 972233,503)639-4175 1:.,IQ:r.M. N(:) 890530 -ADD ADI)PESS : 10003 5W 1.06'TH AVE *(AX MAP/L..01' IS1 -3/41011) 9000 SUD: WINDSOP F:111 A P7 F-K LAND USE: L-O'r SIZE: ITEM : N 0 NO . WOPK CLASS : NLW A*T*E P CL 0 S El' I PAP USE I*YPr.--.: F-AMIA Y UPTNAL 8KI:-_LOW PAVNTP CONST .TYPE VN L AV('.)PA*7*OPY 1144AF, PPIMEP 0120 LJP. ('3PP. P3 TUB 5H0WI­_"R GPEASI-*: DISHWASHEP 1. GAPI3A('.,P.-- DISI:"OSAI... I. NO. 51*OPIE:S : 2 WASHTINIG MACHINE 1. DWELL.UNITS : 1. LAIJNI)PY 'TPAY 1. BLDG. DPAIN ( DIA FLOOW DRAIN SINK 1. SEWED i F*T) WA*Y*F-:I--4 HEA*TER 1 SI'OPM/PAIN (F''T 011AER FEES : 0 1-1('.)WAPI)--- I<:IM 'I NC PEPMIT 11111155. 00 W /14/10 1.70,111.-1 AVF: N iM!:;01L(JLIah Wilk 98027 E FIX'TUPES R PHONE:' (Z206) Z155 ­10t.)EjiTA11 .-: 'I'A X $7 . 0 T 1-4 14 C POVIL PON 0 N IFIPI.DGEVIEW PLUMBING T 628'7 1:: J'PW(:)C)D DrIlVE R A West linn at, 97068 C PHONE 11-103) 657-412P.5 T 0 PEGISTPAIJON NO. 45923 R TUTAL: 62 . 73 PECEIFST' iro). /0 This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes.zoning regulations r&*.(4LJ1Hi:_:1) INSPECTION5 and all other applicable codes and ordinances, and it is hereby PLI3 . UNUEPSLAB agreed that the work will be dome In accordance with the plans and POST A PEAM %jiecifications and in compliance with all applicable codes and WATT:.,R I-INE ordinances The Issuanct if this permit does not waive restrictive covenants Contractor and subcontractors shall have current city VIL kil. I OPOUT tiusiness tax permits This permit will expire and become null and PAIN DRAINS void If work is not started within 180 days.or if work is suspended or FINAL 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 "L 4A—,----- Permittee Sign re "m Issued By CALL FOP TN5Pr-.'( *Y*TON 639-41.7.,3 EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1 I I 1 I I I I RECEIVED MAY 9 1089 JOHN McDONALD ENGINEERING Cor:�uri:1�,.e"oator t SOILS-CIVIL-GEOTECHNICAL 'jround-Penetrating RADAR 10116 S.F. STANLEY AVENUE PORTLAND, OREGON 97222 City of Tigard (503) 774-0077 May 7, 1989 BuiLdinn Department 13125 SW Hall Boulevard Tigard, Oregon 97223 INSPECTION OF LOT 27 WINDSOR PLACE SUBDIVISION This lot is located at 10805 SW 106th Avenue. it is known that fill was placed on the lot . The lot was tested by using the hycara-hammer weight dropping machine to pound every square foot of the house footprint. Weak soils that were found were given extra pounding to help firm them up. The tested soil surface was given a complete tire rolling with the machine from four different directions to smooth and firm the very surface cif the soil . One portion of the tested area was densif. ied to the zero air voids state and became temporarily weakened. Its strength will return in a day or two and be greatly increased as the pore water pressure dissipates . in my opinion the excavated and tested surface is suitable for support of the house footings. Very truly yours, 9 PROf; � C\�. �GINE4, D� 5857 v /< ?N / ORa40 � b I i I� f I CITYOFTIGARD ® PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT t OUo04 ARD PLAN CHECK # j . <- // 13125 SW HM BMi P.o.BM 2=.Tta L Oream w (M)SX417b PERMIT # C.�, n DATE ISSUi:D OB ADDRESS: GAJ /C,6Tµ TAX MAP/LOT UB: QtAl Ja L LOT: 7 LAND USE: ALUATION: SETBACKS: FRONT:_ REAR: -33 ' LEFT: _L RIGHT: - WORK CLASS: r+ HEIGHT: ,; TOTAL AREA: USE TYPE:.. FLOOR LOAD: 1ST: ly CONSTR TYPE: V�jHEAT TYPE: 2ND: OCCUP GROUP: ��- DWELL/UNITS: 3RD: OCCUP LOAD: NO BEDROOMS: BASEMENT: NO STORIES: NO BATHS: GARAGE: IMP SURFACE: APPROVALS R.EQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: LAST REISSUE: BUS TAR: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LVD.: 'TRUSS DETAILS: PARKING PLAN: _ LANDSCAPE PIAN: PLAN CHECK BY: OTHER: COMMENTS: ACCT f DESCRIPTION AMOUNT OWNER 10-432 00 Building Permit Fees S NAME: t,J J�,AJ iAlC, 10-431 00 Plumbing Permit Fees ADDRESS: ezz YZ 10•-431 01 Mechanical Permit Fees S /�.3f�,t`194 t{ &J �'4��^ 10-230 0.1 State Building Tax (5%) �� 1C-433 00 Plans Check Fee /00 s _ PHONE: 30-443 00 Sever Connection (20x) 30-202 00 Sewer Connection (80I) CONTRACTOR 30-444 00 Serer Inspection t NAME- WQX ,He- ,51-448 00 Street System Dev. Charge (SDC) # ADD SS: a )OC ',52-449 01 Parks I System Dev. Charge (PDC) 52-449 02 Parks II System Dev. Charge (PDC) 3N QStyE-t:-n� � 31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) PHONE:�3 Q-t"L 10-230 09 TRFD (95%) 3 U}� 10-435 00 TRFD (52) 3- ARCH/ENGINEER 10-230 06 Washington County Fire 03. (95x) � NAME: rte-` "I r If SsOC , 10-435 00 Washington County Fire #1 (5%) s A13DRESS:_,Uy3j jE y�2AJD ('�, 1.0-220 00 Amart/Wedgewood TOTAL � PHGNE: Z,S' • --i vyS - PREPAID RFC # �C�✓Clv BALANCE DUE S_--_-_-- - - AP ,ICANT SIGNATURE Received By:_ ' �"j( (�l Date Received:_ ,J I i� CITYOFTIGrARD � 4 PLAN CHECK APPLICATION G 4I, cmoFWAw PLAN CHECK # COMMUNITY DEVELOPMENT DEPARTMENT:•Q 13125 S.W.HO81vd_P.O.Box 23397, PERMIT" y $105. Tq.R+o9rm.tw31ea9ans DATE ISSUED JOB ADDRESS: '0 `" _ `i fAX MAP/LOT /n/- SUB: Z�f, LOT: _ LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: ��.JC�, REISSUE OF: ADDRESS: _ LAST REISSUE: FLOOD PLAIN/ SENSITIVE LAND: PHONE: - APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: �, _ ENGINEERING: — ADDRESS: FIRE DEPT1:5 L1 OTHER: PHONE: _ © ITEMS REQUIRED u� > LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: CALCULATIONS: ADDRESS: _ — TRUSS DETAIt.S: PARKING PLAN: _ LANDSCAPE PLAN: PHONE.: OTHER: COMMENTS: PERMIT H ACCO N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 OU Building Permit Fees 1. 10-431 00 Plumbing Permit Fees 10---431 01 Mechanical Permit Fees 10-230 01 State Bui )ding Tax (5%) „2 9'4 - HuiIdinq Plumbing � V.5' W Mech 10-433 00 Plan n Check Fee 4S,p3 Building a.5�/ /� Plumbing Mrch /0,b5 30- 202 00 Sower Connection 30-444 00 Sewer Inspection 51--t 40 CJ Street System Dev Charge 52-449 00 Parks System Dev Charge (PD(;) !/ •`a 31-450 00 Sturm Drainage Syst Dev Chrg (SSr)C) 10-230 09 1111 D _ 10-230 06 Washington County fire N1 (95%) - 10-220 00 Amar•t/Wedgewood _ lU-CAT Y/ .G 1�i • �- QUI o/ REC b APPLICANT SIGNATURE — -� Received 11y: -__ Date Received: _ cn/3587P/18P ��