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13830 SW 118TH COURT-1 r 13830 SW 118TH AVENGE -- d .r rc �a r_ t X� r�� www PEEPM I'A. NO. . PL091866 C17Y OF ����RD CITY OF "FT COMMUNITY DEVELOPMENT DEPARTMENT 09100N D A T E 1 15 S ME D 9/ 5/89 13125 S.W.H ill Blvd,P.O.Box 23397 Tigard.Oregon 97223.(503)6;,9-4175 MAIM. ;**,M'i* .No. fa9&866 J014 ADMESS : 11.3830 SW 116TH C*T 'T'AX MAP/L.01' t.I E LT L AND USF: 1 (11' SIZE 11'EM: NO: NO: ' WONK CLASS: AL'TERATIUN WATER CLOSET TRAP, USE TYPE*.: SINGLE-- FAMILY URINAL BKFLOW PPVNTA I (';UNS'1' . 'TYPr-_" L.AVOPATURY TWAP PRIMED OCCUP . Gr4p . '11.119 SHOWF-:11 GPEEASE 'TRAPS DlnHWASHEW UAR13AW-K DISPOSAL NO. STOR I E:S : W(.45HINU MA(:,HlNr::: E.Mn".L.L.UNI'T'S : LAUNDRY 1*14AY BLDGA)PAIN 101A FLOOW EMAIN SINK SEWER (FT) WAI'ER HF_'A*TE'-_.P 51*0141M/RAIN IFT OTHER P FE M A 1:4 K S 0 W MaLl-tirlez Cie PEMM11.1' 111115 . 00 N 13(330 111W 1.1(3tj.I E R tiqlimr-d car 97P23 F-IXTUAL"".) PHONV.: (503) 66-1­91116 S TA'1*1-- 'TAX 10 . 73 014-11EP C 0 N T R A C T 0 TOTAL. : ............. l This permit is issued subject to the regulations contained In Title 14 NO. e)- 'J of the TMC. State of Oregon Specially Codes,zoning regulations and all other applicable codes and ordinances. and it is hereby 1-.'.(ALJ 3:At,.;'I) INSPECTIONS agreed that the work will be done In accordance with the plans and FINAL spec, ications and In compliance with all applica'ile codes and ordinances The issuance of this permit does not valve restrictive covenants Contractor and subcontractors si,'Il have cl-rent city business tax permits This permit will expire and uticome null and void it work Is not started within 180 days.or it work is suspended or abandoned lot 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 requeste 'and approved. Permittee Issued Rv I CALL FOTO INSPECTION 639­4175 SEPARATE PERMITS REQUIRED 7-OR WORK OTHER THAN DESCRIBED ABOVE } CITY OF TIGARD PLt-_1M 131 N( 1 1"11 ' RM I1 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must lv M O,egon Regis-.tion to conduct a plumbing T I GARD, O12 97223 lwsiness«must be property ownerlcnmrator not hiring cxntside help. Name o'Development (503)639-4175 Plumbing Permit No, - Addeo Description --- Job No. J-- ORS 814-21-610 DUAN. PRICE AMT. Tax Loi -J-- Map. Address --- FIM IRES Lot Block Subdivision -- Sink _ 7.50 Name or name o slness Lavatory 7.50 1vTa7fiing Cosa-- - Tub or Tub/Shower Comb. 7.50 Shower Only 7.50 Owner City/State ------ ---- Zip ---- Water Closet - 7.50 Dishwasher 7.50 Phone- - Garbage Disposal 7.50 - Nam© Washing i 114 Whi Machine - - 7.50 _ - Floor Dram 7.50 (vial rrrg res Phone---- Water Heater 7.50 Laundry Room Tray 7.50 Occupant City/State 7jp - Urinal 7.50 -_�- Name ^-- -ptlona -- --- Other Fixtures(Specify) --- 7.50 _ 7.50 Alin-g' ies.% Phon" ..- -. 7.50 Contractor City/State - -� 23p -_-- 7.50 MISCELI 4NEOUS ----•---- City Bus Tex No Scwve(1st .,. --- - 30 U) State B Bo=WdNo tates-9ue. Sewer-es.Ad1it.100' - - 1500 -- - (Residential) Water Servioe 1st 100' _ 20.00 I hereby acknowledge that I have read this application,that the Information Water Service ea.Addit2Mr 15.00 given is rxxrect,tha!1 am registered with the State I3crildees Board.anct also Storm 6 Rain Drain 1 st.100' 90.00 have s State Pkxnbinp lxBose that the numters given are c xreta,that all -- IhkombxV work sig brr done in accordance with applicable wovisions of Ore Storm 3 Prjn Drain Addit.100' 15.00 gon Revised SletiAes',tWAers 417 and 693 and"icable codes and that Mobile Hone Space -�2500 no help will be amp"wj unless license9 urdw ORS 693 (If exeinlh(from ------ -_ �_ State registration,please give reason NO 7w) Back Flow Prevention 14OMFOWNERS--I hereby certify that I am the owner of tle property de Device orMp-PolkAwDevice 7.50 •cntect above.at which location I propw"Ic make a pkffnb&V lnelaNalion kx Any Trap or Wash Not nhy I:wn one and IhM propwrty is rxst bekvg cnrnlawftd kx sale.lease or ren" Connected to a Fixture 7.50 Catch Bassin 7.50 _ kup.of Exist.Pkark>ing 40.00 Per Hi Specially Requested ktapaWons 40.00 Par Hr Alter.of Plumbktp wht-In - - an EAv*V Bldg 15.00 min. AUTHMI7ED SIGNATURE --- pad New Bldg.or Bina.Addition - 26.00 reit. -- - na Describe work rtew L1 addition I ] afterabon[_] "ialr(I d�llitx� 15.Q0 t be done_ resideh-dial I ') non-residential Fj t dsting use of V or ProPenY__ _ _ -__ SUB-TOTAL PropoW u"of 5• SURCHARGE txkkv txpop"xty 25% PLAN REVIEW This jukry*becort►we rvAl ar,d void M work a construcdon&Aho x6d is not corn TOTAL mo pxd w W6 1�0 dM or M txrtatnw Akxt or work Is Mwpan"1a0 Or f•NKiiOned f or a period of 180 days a1 serf Mnw after work Is oomrrA oed. tiil'111CIAt.OONOfT10N8 Data balled by \ `•� � .',�Idan ;N'�r����' ^f'l.IrulNypif, 'S+T F�L�b� �, �"?'^`. t}o/t d.i "a''.,.sE7 „ �. �•. 1•t7;k�' ; ` �y,tlt `� rl y r,•,��,>�ell�..•�4/1}II}I>�..'MMA��Illr IyWI}I 1}F qll ° �k '4+ iit+;,Gilj�/1�•�MIlllt~x'�'�'�IItlM�'y,�i � �y�l�Y���+1111��1��n 47 �r 77iI a IIA dIIM'::,ki � " 4t•� tb ., � ti tVl' � :,p ��; q,,• i�! ,, a �� �.a, �'►a� t ���'►►t�.+ ►t�� I r/yr ��i:�. tl, X11 .�+ �111 y7.,r1/�.''idr11. ,� n- /,> Ih>'',,1,,ti•:,,1���-C(11'�;1►.���,i�'k111►� C�n,' Y t�l '.+��;1i�►�� ,� , �E tIRVl 1�'i}•'�1' AA coo 00 r.41 .y Is I I bo bo so 00, +� r a O o Ot U =ww 00 .d ' v d i s ,Nv t 7� o f/1 U00 saw L111 ��(JJJ A„1 Y" t� II;�! e tC•� � / \ 1 I�'•+ aU � y p � �. IfNF,i+4� N r 1 Q �idA� Ot {� C�y{dF�• i tj M `,iii -•^ ( ) G~l Ot .^� GL c.+ " n ..~r Ot bp 1lly}41 dllitti•11 .hI' '� I t�1F+'d ,; �`� '�';;ai►`"���1y�.,(U�. ����'�l,��t�'�.(`�U ' �U!. I,r4r'��' l�J �' '� �l�t�,,.�U)„►` ��9r nl 1p!.►N APO, . /11►i �+i. dh d►i ' di11�dl► 1'p N}I�� �xll►n 4 ,y,�"',v��i� } n5• �!✓ tllt�. ,,A} �I 1 Il IM Y I 1 1! U+ It i .91 ,,Hy1Rn"'4r 4 r �Qol+6R 'I� ,pG ,d+'ll t111 �. .+ Ny �} �I. ,`.• ►� 4p `� �,,pl, '+,(. , t, a.w....+•o"'^' :� .� iii }dv' 7.1�1+:,.'WF ,11.tW 'tial �.":•tpt�t'1,r ':.' -�F9`-�A aft, ! ! ! ! ! 160 �WMWKJ INSPECTION NOTICE City of Tigard Building Department P.C. Box 23397 Tigard, Oregon 972.23 Phone. 639-4175 �(O Type of Inspection Date Requested I a o Time A.M. P.M. Address �3 l) .SGJ I�V tM -- Permit Owner_ — ----— Lot # Builder � — The following Building Code deficiencies are required to be corrected: r Presented to ----- -- A roved Inspector – — �__� Olupproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection "`-' i,gate Requested----l ,`' e�� Time A.M. P.M. <ddress 3-, LSL= # Permit # S 2 y Owner Lot �k Builder �C_� CLI-1 The following Building Code deficiencies are required to be corrected oe gZa ��,� � W -f""`� �•- _,_,_ / ltd 1f'�L'-'" _L.iC�''�- _ r A JA .rte i.rte 4_ Presented to j] Approved Inspector _ �.� Disapproved Data — CALL FOR REINSPECTION nYES C-1 NO MAKE INSPECTION NOTICE IN A-/ City of Tigard building Department I j1p P.O. Box 23397 Tigard, Oregon 97223 Ti Phone: 639-4175 j T eof Inspection 1L YP �41_/1 Date Requested �� c-x`Y Time __. A.M. P.M. Address Permit # Z' Lot Owner # _ Builder The following Building Code deficiencies are required to be corrected: Fisc r Presented to -- Approved_ Inspector L Disapproved Date -- CALL FOR REI�rION U NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 'type of Inspection Date (�9 " - ----r-- - 3'' Time A.M.__..__.P.M. Requested Address -1�L_"J a / -- Permit Owner__ — -- Lot # Builder . -- — The following Building Code deficiencies are required to be corrected: v Presented to .— ❑ Approved Inspector Date - �'Disspproved CALL FOR REIMSPECTION YES ❑ NO BUILDING PEPM]"I PERMIT NO. : B11-188- CIWOFTIGARD 12 6X4 CITY011 TWARD COMMUNITY DEVELOPMENT DEPARTMENT ORIG ow 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 OAT E: I.S.)SUE:D : 71 '7188 00.126zl ,JOB ADDRESS : 1.3830 SW 1.1-13TH CT TAX MAP/LOT 2S13CD-7300 SUB: CREEKSIDE. PARK LAND USE: P41.101 LOT 5 1 ZE VALUATION : 142,500 S ET EIACK 5 F[IONT : VO REAP: WORK CLASS : NEW DWEI-.1. .lmi,rs : I LEFT : 7 P:LGHT 25 USE TYPE. : SINGLE FAMILY NO . BEDROOMS : 3 EXT -WAL.L. CONST : CUNST - TYPL : VN NO . BATHS : N� S : E W OCCUP. GAVI. PROT OPENINGS : OCCUP -LOAD N S 'T'OTAL AREA: 3270 NO. STOP IES I ST 1.91-1. POOF CONST' C 1`71PE Ar:::Tv HLICHF : al. PND: 1.3;'.9 AREA SEPAP7 BASLMEN V? 3RD: OCCUP. SEPAR7 PA T ED: MEZZANINE7 BASE:M'T I.A OOR LOAD: 40 G,A P A(*.vE: 576 FIRE SPAKI-1417 AL.APM? 1::'L.(:)W(GPM) 0 E:TE'U',T7 Y E.S 1-11HA*r '1,ypE: GAS IAE)(:,P . ACCESS',? 1:1-AN CHEXK DY . bc.,r, RE:ISSLIE OF NO. LAST REISSUE 0 mats t.:I.1.10 ed INPEPMIT 1140 . 50 N 6PI-6 lir rth ourtiw at PLAN Pl-�:V.IEW E $351 . 33 RParti.mnclal, 9721'7 FIPI'--,: DEPT STATIF TAX P.7 . 03 ()t HF P C IX:'VIEL,OF)Ml;:'.NT CHAPGES : 0 E.D C A 1.1 S EK N SDC 4 STOPM) $11.5c 0o T SDC 11 ST RE'F._,:V $600 . 00 R 174604.5W T'P1;'Er(')P LN P0C(#1. A $2.50 . 00 C Ifikkv aviwthgl:) tar 9*70Z4/I T PHONE' 11503) 636-,5934- PREPAID < $100 . 00) 0 P�".11.*,151RAI ION NO. 1.1.1:19/1 TOTAL : $1 '91H. r1e) This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO. of the TMG. State of Oregon Specialty Codes. -oning regulations and all r(her applicable codes and ordinances and it is hereby PEQUIPE.(•) 'INSPECTIONS agreed Inst the work will be done in accordance with the plans and FOOT I NG, specific iirr,, and In compliance with all applicable codes and FOUNDATION WALL PAIN DRAINS ordina-i-is The issuance of this permit does not waive restrictive BEOM WATER 1. 'ENE' covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and L,1E1 . LINDERS"L.AS CITY APPPCH/SW void It work is not started within 180 days or it work is suspended or Irl-AE l F]'NAL abandoned for a period of 180 days any time after work has M.8 TUPOUT commenced It shall be the responsibility of the permittee to assure F:44AMING all required in"Ions tire requested and approved FIREPLACE UA`3 L IN IE .1 N ti ULAT ION - GYP . RUAnD hwm,t t /"a;1o,�� I Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE E*C,I-4(AN3'C'AL Pk.'.PM1*`1 PEPKUT NO. : MCMSIV. �'�® 66F �'�� MRD cmoirmAltl) COMMUNITY DEVELOPMENT DEPARTMENT DATIZ ISSULD : 7/ 7/eR 13125 S.W.Hall Blvd-P.O B..23397,Tigard,Oregon 97223.(FA3)6394175 PRIM. PMT .NC) . 1381.26A JOE?I ADDPESS : 13830 SW 1IRTH C,'T 'T'AX MAP/1 O'T 2SJ.3CD7300 SUB , CIPE.F.KIKSIDEK POW11, 3 8K . LAND USE-'* : 111q .5 11-01' SIZL. : NO NO: WORK CLASS : Nk;.-:W F't.)PNACE* 0.00K AIVI HANOI...R <10 - USE TYPL: 5INGL.E. F'AMIL.Y F'UPNA(:E 1001<4 I A 1:1:'4 1AANOL.P 10K C3.)NST .l'YPV- : VN FLC)(:)P F'UPNACI:-:' L..-.VAP . ( 001 P W"CUP.GRIP. : R3 HEI TER VENT FAN 4 VL-"Nl* VE-'.Nl' . SYS'TEM PI-P/C',C)MP <3HP HOOD 1. NO. 5*10RIES : 2 E)I.-R/(:;()MP 3-45HP INC,'_:NERA'TOP(UC)M DWELL . UNII'S : I OLP/CUMI-7, 15-301-11P INC'INEPATUP((70M 'TYPE: GAS ul P/tIOMP 30-501.4r) At.PAIR UNITS MAX . ]:Nr-,I.J'I* bI..P/C-OMP 50+HP (3T*1-11-.:p I FIRE UMPPS'? CvAS F'-IIPING ClUl'i-El.tS I HIGH PPEKSS.? LOW PPLSSI? WMARK5 : 0 M IlL r, t J.1-10 Z Pr-.Rmi r 11111t0 .00 * EPA int)rul-i c.-i-ir,tiiii %t P1 AN REVIEW N E pai-tIaLrid WF211 FIXTURES $30 . 50 R (503) STAI'E I'AX $2 .03 C 0 N T R A C T 0 1 CIII'Al. : $52 65 RECEIPT NO. This permit is issued subject to the regulations conte ined in Title 14 of the TMC. State of Oregon Specialty Codes.zoning regulations RF-qUIPr---E) INSPE'C'TIONS and all other appilcabip codes and o,clinances. and it is hereby GAS L.INL agreed that the work will be done in Accordance with the,plans and P051, 1% W-Ylm specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive P1,)UGH.-IN covenants Contractor and subcontractors shall have current city NAL. 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 abandoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee Ic assiirn all required Inspertiony7 requested and approved P/m I t I 4ei q n a ter r" ;�4L Issued By 1.-ALL F UW INSWEL I AUN 449 41 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE WW ■ CIS' OF 7167A PLUMBING PERMIT PEPMI'r NO. : PL.801265 RD C17YOFMARD COMMUNITY DEVELOPMENT DEPARTMENT 01.00N DA'T'E: ISSUED: 13125S,W Hall Blvd,1`0 Box 23397,Tigard,Oregon 97223,(503)639-4175 Pnim. Pm,r .NO. 881264 JOB ADDRESS : 13830 SW ].18TH CT TAX MAP/LOT 2513CD7300 SUP: CPEEK51DE. PARK L.T :3 BK: LAND USE : p4. ,5 LOT SIZE'.: NO : NO: WORK CLASS : NIEW W A T E:P CLOSE:T I TPAP USE TYPE": SINGLE F."AMILY UP'INAL eky-ij-ow r)RvNrn, CONST .'T'YPE: VN LAVORATORY q *TPAP PRIMER OCCUP.611P. : R3 TUB SHOWER V GPEASE DISHWASHEP I GARE.3AGE DISPOSAL. I NO. STORIES : 2 WASHING MACHINE I DWELL .UNITS : I I-AUNDAY TRAY I BL..D(*., . DPAIN IOTA F'1 ODP DRAIN SINK c SEWER (FT' ) WATER WATER i STORM/RAIN ',FT 1. CYTHEP n1lit-'MARK5 0 M OL I"t J.I'll*%v Z m)d PEPMI*1 W N 6216 jic)r-th c!m-r.i.m mt E prll^ 97f.'217 FIXTURES R STATE 'TAX C 0 N T A A C T 0 R WCEIPT NO . This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIPED TN-5Pr--':cn XONS Find all other applicable codes and ordinances, and It is hereby agreed that the work will be done In accordance with the plans and PLB .UNDEPW AD specifications and in compliance with all applicable codes and POST a VA'..AM ')rdinRnces The issuance of this permit does not waive restrictive WAIE'll LTNI •" covenants Contractor and subcontractors shall have current city T'I E3 IT)POU 1* business tax permits. This permit will expire and become mull and void if work is not started within 180 days.or If work Is suspendel or r)ATN DRAINS abandoned for a period of 180 days any tirne a"er work has F I NAI. commenced It shall be the responsibility of the permittee to assure all required Inspections are requested and approved Permittee S q , aftl Are Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE SEWEP PERMIT CITY OF TIG"A RD Ai;L PE7Pmrr NO. SE 581267 rOMMUNITY DEVELOPMENT DEPARTMENT ovum DATE 115151JEM : 7/ 'I 108 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 JOB ADOWESS : 13830 SW 1.1011--i CT t.KiA NUMPEIR: 3,59/46 TAX MAP/LCYT 42S13C1017300 SUB: CPCI:-"KSiJJX:.-: PARK L'f :3 Di< D :* SECTION; 3 TWID: PNG: WOPK CLASS : NEW USE TYPE: SINCL.E. F'AMII-Y 1he agr-eew W:kth Sewei-ifL, 'rile ta ge Ageiicy 'Thio pel-mit, expil-0-1111 1-20 daym fruill thty! daLve JI.wsmad . tisti. 81111CIlArit I:)ia:i.d wil.l. be fai-re?J.-j,VjcI J.+ 1.1-1e Ijetir-10J.-Ii. 'The Aco?ric,4 daeut riat giinl* 1%.I1tCr,(-p the aoet.lr•lm-y of the 10(*�^tJoll af the sj.diri Ifiewe'l- lmttlol-01.1.Is . If the 111inwel- A.4ul riat at the lileassi'll."In"Ilt LI:Ivel-) , the insta:llei- iiihin.11. pr-ilmpec. t 3 Tc et ill m.1.1 Pram the diiiiraric.-:6i 51iveii If nut tua lueated , the J.rimtalleir- tithia.3.1 pt.irc.�haii.mw u "'Tap atild cii.de Sewer" 1:'Irer•ini,t arid the Pqje,Filcy wl.11 I.iiintai.I.J. a Imteilial. - INS TALL . TYPE: BUILDING 5EWEP IMPERVIOUS AIAK.A . P: :rX*TLIPV-' UNIA'S : TE.:NAIN11IMPROVEMIENY' : NO DWEI.-LING UNITS : I NO , 0Fv 1`11-0015 . F EE:S 0 Mal-1.i.rte z ad PESMIT W N 66216 narth mirtte at CONNEC T'.1:0N (:',I-IAPGE 411. :1.00 . 00 E pur t.Irid tar 97 2.1.1 1 I:Nl;:* 'TAP Mili'M L. . R a' D"T I 4F.r4 C 0 N T R A C T 0 I.A"11 0 0 R PE:C.1*-'.JP'T NU This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specially Codes, zoning regulations VTI-KQIJJAE:D TNSPF.C-TTONS and all other applicable codes and ordinances, and it Is hereby 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 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 assure nil roquired Inspectlons a requested and approved Issued By I-All �i 1*1W 11-1161"11i 11.1 1 '1*C304 0 AP 111 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITYOFT167ARDPLAN CHECK AP� ; PLICATION COMMUNITY DEVELOPMENT DEPARTMENT G OREGON PERMITI(NECK a 13125 SW Hall Blvd. P.O.Boa 2M97,TigaM.01 97271(503)639.4175 '------- DATE ISSUED JOB ADDRESS: ), .7(a Jlt) j �g TAX MAP/LUT ----- �- - SUB: _l '1•LL-CSii' LOT: - LAND USE: VALUATION: � - -- ------.___ OWNER NAME: SPECIAL NOTES `� (�/4'1i'crlV" /L/ REISSUE OF: ADDRESS: � / LAST REISSUE: -- L FLOOD PLAIN/ --- - PI(ONF SENSITIVE LAND: APPROVALS_R 90 RED CONTRACTOR / PLANNING: NAME: ---- ADDRESS: �5� -Ct- 1',c y FIRE ENGINEERING: ' '� v- ' ---� ►l��''U N LIRE DEPT 01-HER: _ PHONE: ._-` C, c `� ITEMS REQUIRED ARCH/ENGINEER LIST/SUBCONTRACTORS: NAME: BUS TAX: CALCULATIONS; ADDRESS: TRUSS DETAILS: PARKING PLAN: -- LANDSCAPE PLAN: ONE PH : —�.-- - OTHER: COMMI_NTS: PERMIT a ACCT a DESCRIPTION AMOUNT AMOLINT PD. DAL . DUI _ 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees - 10-431 01 Mechanical Permit Fees -- - , 10-230 01 State Building Tax Building _ --- -- Plumbing Mech 10 433 00 Plans Check Fee Building Plumbing Mech 30-443 00 Sewer Connection (20X) —_< 30-202 00 Sewer Connection (80X) ---- 30-444 00 Sewer Inspection -- , 51-448 00 Street System Dev Charge (SDC) 52-449 01 Parks I System Dev Charge (PDC) -- - 52-449 02 Parks II System Dev Charge (PDC) 31--450 00 Storm Drainage Syst Dev Chrg (SSDC) 10--230 09 TRFD (95X) --- - --.. 10-451 00 TRFD (5%) - — - - 10-230 06 Washington County Fire al (95X) — 10--451 00 Washington County Fire M1 (5%) -10-?20100 Amar•t/Wedgewood -- --- TOTAL — T 1,.— z APPLICANT SIGNATURE S � Received by: Date Received: WEI, 0-- - 1 - CITY OF TWA RD No. 32173 13125 S.W. HALL BLVD. P.O. BOX 23397 Date.t. TIGARD,OR 97223 Name Address Lot Block/Map Subdivision/Address . r Permit #'s Bldg. _ Plumb Cash Check Sewer Other Other Rec. By Acct. No. Description Amount 10.432 Building Permit Fees 10.131-600 Plumbing Permit Fees 10.431.601 Mechanical Permit Fees 10.230.501 State Bldg. Tax 10.433 _Plans Check Fee ) 30.443 Sewer Connection 30.444 Sewer Inspection 51.448 _ Street Syst. Dev. Charge 52.449.610 Parks I Syst. Dev. Charge 52.449.620 Parks II Syst. Dev. Charge 31.450 Storm Drainage Syst. Dev. Charge _ 10.430 Business Tax 10.434_ Alarm Permit 10.227 Bail 10-455• Fines - TrafficlMisdlParking 10.230• CPTA TrafflclMlsdlVla_Asst. 10-456 Indigent Defense 30.122.401 Sewer Service/USA 30.122.402 Sewer Service/City 30% Sewer SevlcelCity Malnt. _ 125 iTnmatched J 1�22A� Storm Drainage _ 1 4 •4 Bancroft PrIn. Pymt. 40-471 ancro t IntPymt. TOTAL D11PT. C.. PI