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11790 SW 129TH PLACE-1 e i I' s 1 117'90 { CERTIFICATE: OF CITYOFTIGA RD � �!ry OCCUPANCY r x > crry Ffl�:ARD PERMIT 0. . . . . . . a Pl'P892241 COMMUNITY DI:VELOPMEhT DWP 24VfT WEGON PRIM. C'Erci-iii N. s d92241. 13125SWI1eIIP,MJ. P.O.Eux23397,Tie rti,Ck&gon 97223(603)B394175 lain IC ISSUED& 105/04/10 SITE ADDRESS. . . v 11'190 9v 129T11 PL PARCEL.s 1S1331)D.-01400 SUBDIVISION . . . . . a ry7 !y 1'ON,INOr BLOCK. . . . r • r . r r 0 L.{7 1 r rt r 11 r • • • • • r r r �J7 CLASS OF WORK. uNEW TYPE OF USE. . . a SI~ i OCCUPANCY GRP. tR3 OCCUPANCY LOAD& 1'E''Ni0l C NAME:. . . o trema rocs t ICON MORISSETTE RC) PDX 19524 PORTLAND OR 00000-0000 Phone #s 000- 000-1*00 Contractor DUN MORISSETTE ELDERS, INC:. P 0 ))OX 1'-4524 PORTLAND OR 9',1219 Phone 11: 503-244--9314 Rep #.- 1 r 351833 Occupancy of the above referenced building is hereby given, and certifies the complialric" with the+ fatale Of Oregon Specialty Cries for th• group, occupancy, and uxw under which the refere-ced permit was issued. FIRE DEPARTMENT UILDINO I Lam......: BUILDI,00 Of`FI1, AL PJST IN CUNSPICUOUS PLACE: i i I I I INSPECTION NOTICE City of Tigard Building Department P.Q. Cox 23397 Tigard, Oregon 97223 Phone: 63� 4175 Type of Inspection �� C Uate Requested_ J Time A.M. ^ P.M. Addrass l l(L �'� —_ Permit 01 — Owner Lot a Builder The following Building Code deficiencies are regvired to be corrected: Presented to _ Approved ,4; U Disapproved Inspector S Date CALL, FOR REINSPECTION ❑ YES L�l NO I i i I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of !nspection Date Requested `1 �-� .� � Time _ A. i Address ___--,�r.7 ----/'2T`^" Permit Owner —__ —�� — Lot Builder — — The following Building Code deficiencies are required to be corrected: ,t Presented t.o _— � �_— _ Approved Inspector — I .I Disapproved Date _____-4 —ZL) -90 CALL FOR REINSPECTION ❑ YES NO ! TNS'E.CTION NOTio;E City of I card Bui;.Jing D,qpattrnent P.C. Box 23397 T,�,,ard, Oregon 97223 Phone: 639-41'5 Type of Inspection Date Requested Time A.M. P.M. Address Permit # Al2,-41!2— Owner Lot # Builder The following Building Code dc(icif-ncies are required to be corrected: 7� Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION ❑ YEI C1 NO maim-- INSPECTION NOTICE City of 'Tigard Building Department P.O. Box 23397 I Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection �y ' Date Requested 3_ —�--�— Time A.M._ P.M. Address /7. — �v Permit #. Owner____ _ Lot # Builder �' �C�'�el� --- The following Building Code deficiencies are required to be corrected: 4U,Aj: 'k A,,Vl Presented to _ _ _Approved Inspector _. [_j Disapproved Date ' CALL POR REINSPEC77ON ❑ YES 0 NO TRI CITY DWiFT Fr,X 786-0492-------- PAGE 01 TRI - CITY DRAFTING, 1C, 6621 OAK RIDc��DR. GLADSTONE,ORFQON 97027 (503) 669.3445 FAX NO. 786-0492 F A X T R A N S M I T T A L DATE: RE: �/�✓ /1/141x/S S.E'T"�ic' !/��- � NO. OF PAGES INCLUDING THIS SHEET: NOTES: SIGNED: uwki� TRI CITY DRAFT FAY 786-0492-------- PAGE 01 rd ANALYS I S Xz 7 PREPARED BY: TRI ,CITY DRAFTING GLADSTONE, OREGON 97027 (503) 659--3445 Client : DON MORISSTTE BUILDERS project : PLAN NO. 9& Location ; GAktAGE F)OOR HEADER Da t e : 03 08 1-00 Comment ; usE 4 X 14 BEAM BL-'AM AND LOAD DIAGRAM IiHIIHIIIIHHiiliHfiHHfiHiffiilHHHIiHIJHHHffHHHif J J . $ R2 Reaction RZ 2, 520. 0 lbs . Reaction RI 21520, 0 lbs . Total load = 5, 040 . 0 _lbs . , overhng . Dimensions : Clear spat' 16 . 0 feat , ----- --a--- - No point loads No triangular loads . 240 Ills . total ) . Uniform beam weight= 15 lbs/lf Uniform loads : Ul = 300 . 0 Ib:j/ IL at 0 . 0 feet to 18- 0 feet . Beam spacing :- 12. 0 inches . ( live load plus Deflection limit =dead load ) ; 1/240.77 BEAM TYPE: WOOD: FIRJARC1I 4X 41 COMPUTED STRESS/STRAIN DESIGN VAL. pJj0PLRTIES REQUIRED A CTU A 1, 95 . 0 Area (sq- 1n . ) 40 41 Shear (lbs ) 2, 520, 0 FV at ki , Moment ( ft - lbs ) 10, 080. 0 FB 1 , 51)0. 0 Sect .Modulus 322 47 /1 Deflection ( ill ) 0. 80 E 1 . 80E6 mum. Inertia *==0Z ximum Deflection 0. 54 Actual Ma Maximum Defluctioll occurs at s . o feet . Maximum Moment occurs at 8 . 0 feet . Beam size (W X 11) : 00fay l i7 6a BEAM AREA: 41 - 15 DETERMINING FACTOIR i I P 01 A !?loa BOOS 'tftr►. (SvrJ i P.Q Box 19524 t �C�B 72/e � 11.790 SIN 12 .7*► lcotb (S033))22414PbrtlR94-9331414 The FounAsUoo For LlloH6lle Home, �t(iur• �E/tWllr � ��' t24-t i CDRR.rCT rI 00L Jo(SY »L-AM LAYOUT /#J �4o4jit 1� .j �j N_ k 1 ► �r U1 O J 4-K 14 N 6APCR I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection —_ •�� )ate Requested �� Time A.M. P.M. >ddress ��� -- � ft1 — Permit 3wner "yy _ Lot #—_ 3uilder rhe following Building Code deficiencies are required to be corrected: "w. �` .�/c�...'-_[' ,/-��_s-.��,.�'��.lr i•i<i•!'i '''/ ��c C��Z. rC'/�C _ _ >��� !•..� �S /�i-'� t7� I 21f Presented to __ Approved Inspector Disapproved Date ------ rALL FOR REINSP C77ON r-i vct F) nin rM INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 �(- Phone: 639-4175 Type of Inspection -- Date Requested Address __ �� r�9D �a °j - Permit Owner__. _ _ Lot # Builder The following Building Code deficiencies are required to be corrected: d T- t 1 Presented to Approved Inspector / t—' D Disapproved L r � Date CALL FOR REINSPECTION ❑ YES ❑ NO i INSPECTION NOTICE City at Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested /�' "_�� Time A.M.---LI-P.M. Address — &-2 l�'� -- Permit # Owner Lot # Builder / ,/Z _ — The fol;owina Building Code deficiencies are required to be corrected: Ar AAZzgiE�Z' 62 Ve' 72 Presented to _ —..-T�pproved In..pector _ Disapproved Date '/ CALL FOR !i V I V;,PECTION I-"1 ♦lid L-I NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 J' Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ----- - Date Requested.—/_=1__� Time _- - A.M. P.M. Address �� f� _ _'` -- Perr,iit # Owner /y/yam- -__ _ Lot # Builder --- The following Building Code deficiencies are required to be corrected: Presented to "Approved Insre,;tor _. ❑ Disapproved Date CALL FOR REINSPECTION C1 YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 I _ /u C�� Phone. 639-4 75 'U"`"P_G <Type of ln.nect ,it 1-4mr e 6"" � Date, Requested — 7l-d 2 Time ��_A.M. qP.M. � Addres �/ls Permit #_ �! Owner Lot # Builder G��� �� •, r :.��,�, �'`� ,� �/'��a� The following Building Code deficiencir s are required to be corrected: V Presented to ffApproved Inspector ^ � ❑ Dfgpproved Dat- CALL FOR REINSPECTION 4 ❑ 'VES 0 NO I 1 1 i i INSPECTION NOTICE f�� City of Tigard Building D*lpartment P.O. Box 23397 Tigard, Oregon 9722;1 Phone: 639-4175 Type of Inspection Date Requested_ `a O Time A.M. P.M. Address _ � _ Permit Owner- �i.� a Lot # Ruilde — .,. � �� �.- �t�. 1L c3 d The followicp oui;din,; Cude JRficiencies are required to be corrected: Presented to Approved Inspector �7� �T /[ Disapprov@6 Date -- CALL FOR REINSPECUON ❑ YEa 1-1 NO r INSPECTION NOTICE I City of Tigard Building Department P.O. Box 23397 i Tigard, Oregon 97223 Phone! 6�39--4175,, Type of Inspection Date Requested__ / — � � Time__ A.M. P.M. Address ! Q __ Z Permit #el Owner_._. _ Lot Builder ; 1111C The following Building Code deficiencies are required to be corrected: i Prciented to �Approveo Inspector q -- _ i Disapproved Date CALL, FOR REINSPECTION El YES ❑ NO i II INSPECTION NOTICE City of Tigard Building Department ` P.O. Box 23397 Tigaro, Oregonon977223 Phone: 639-4175 Type of Inspection -- Date Requested Time_ _A.M. _P.M. Address r 7 Zr 1 .5 !-<2 Z 2 _ Permit #_L''c1 �' `t Owner_ Lot # BuilderThe following Building Code deficiencies are required to be corrected: t Presented toApproved Inspector -- I Disapprov a Date — CALL FOR REINSPECTION 0 YES ❑ NO i I j INSPECTION NOTICE City of Tigard Building Department '- t P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection-4! �&X-'_/� V_ Date Requested = Time Address _ L1� __. °�-5' Permit #. Owner ` r ----.__ _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to �� -- - El Approved Inspector _ -- -_ Disapproved �. Data CALL FOR $EINSPECTION CiEa [� No ► f INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requnsted Z �� Ti e A.P. P.M. Address�� �� Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _. � ^A � v4pllr'ved Inspoctor i Disapproved Date CALL FOR RElNSPFCTION C1 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection `�- `✓ —� Date Requested— - Time--A A.M. P.M. Address 7r� z` Permit Owner Lot # Builder — The following Building Code deficiencies are required to be corrected: Presented to _._ f Approved Inspector ��4 — ---- Disapproved Date - CALL FOR RFINSPFC77ON F-1 YES U NO BUILDING PERMIT CITY OF TIGARD PERMIT NO. : BU592241 s, ' ctrroir n6.aRn COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11/27/59 13125 S W Nall Blvd,P.O Box 23397.Tigard,Oregon 97223,(503)6394175 P' IM.PMT.NO. 592241 JOB ADDRESS: 11790 SW 129TH PL TAX MAP/LOT iS1 33DD SUB: VILLAGE AT SUMMERLAKF 2 LT:53 BK: LAND USE: R4.5P'D LOT SIZE: VALUATION: $ 95. 145 SETBACKS FRONT: 20 REAR: 13 WORK CLASS: NL-:W DWELL.UNITS: 1 LEFT: 5 RIGHT: 29 USE TYPE: SINGLE FAMILY NO.BEDROOMS: 3 EXT.WALL CONST: CONST.TYPE: VN NO.BATHS: 3 N: S: E: W: OCCUP.GRP. : R3 PROI.OPENINGS: OCCUP.LOAD N: 5: E:: W: TOTAL AREA: 2120 NO.SIORIES: 2 1ST: 1266 ROOF CONST: C FIRE RET? HEIGHT: 20 2ND: 560 AREA SEPAR? RATED: BASEMENT? 3RD: OCCUP.SEPAR`? RATED: MEZZANINE? BASEM'T FLOOR LOAD: 40 GARAGE: 5061 FIRE SPRKI_R? AL.ARM-� FLOW(GPM) DETECT? YES NEAT TYPE: GAS RN �5? _CORR' — PLAN CHECK BY: rlt REMARKS: REISSUE OF NO. LAST REISSUE FEES:� , ------__ ----- ------------ ----- r $430.08 MORISSETTE DON N PERMIT po BOX 19524 PLAN REVIEW $279.50 Portland or FIRE DEPT STATE TAX $21.50 _ OTHER -�� — DEVELOPMENT LHARGFS: O MORISSETTE DON SDC(STORM) $250.00 NDON MORISSETTE BUILDERS INC. SDC(STREET) 6h00.00 R PO BOX 19524 PDC(01 ) $250.00 � Portland or 9721'3 PREPAID $100.00) T PHONE (503) 244-9314 R REGISTRATION NO. 35533 TOTAL: $1,731.00 RFCEIPT NO. This permit Is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations RLOUIRED INSPECTIONS and all other applicable codes and ordinances, and it is hereby Agreed that the work will be done In accordance with the plans and FOOT I NO SEWER specifications and In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS ordinances The issuance of this permit does not waive restrictive POST R BEAM WATER LINE covenants Contractor and subcontractors shall have current city PLB.UNDERSLAD CITY PPPRCH/SW business tax permits This permit will expire and become null and F i NAL void it work Is not started within 180 days,or if work Is suspended or SL AB abandoned for a period of 180 days any time after work has pL 0.1 npOU1 commenced It shall be the responsibility of the permittee to assure FRAMING all rept ;red In ectons are requasl�d and approved FIREPLACE GAS LINE TNS111-A1 ION _.' GYP. BOARD Perrnillpe Signehinv Issued Byeot:LdR-iif9f*eTffW !s 39-4t 7 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE t 1• i l� � SEWER PERMIT CITY OF T167A RD CAP � PERMIT NO. : SE892 385 COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11/27/89 13125 S W Hall Blvd..P O.Box 23397.Tigard.Oregon 97223.(503)b39A175 I M.PMT.N0. 892241 e JOU ADDRESS: 11790 SW 1291H PL USA NUMBER.: 39127 TAX MAR/LUT ISI 33DD SIIB: VILLAGE AT SUMMERLAKE 2 LT-53 BK: LAND USE: k4.5PD LOT SIZE: SECTION: 33 TWP: 1s RNG: 1w WORK CLASS: NEW USE TYPE: SINGLE FFAMILY The applicant agrees to comply with all rules and requ.lations of the Unified Sewerage Agency. 'The permit expires L20 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guar antee the Accuracy of the location of the side sewer laterals. If the sewer is not located at ttie measurement given, the install.el shall prospect 3 feet in all directions f am the distance given. If not: so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. INSTALL. TYPE, HI.IILDINI, SEWER IMPERVIOUS AREA: FIXTURE UNITS: TENANT IMPROVEMENT: DWELLING UNITS, 1 NO. OF BLDGS. : 1 FEES: W MORISSETTE DON PERMIT (35.00 N po BOX 19524 CONNECTION CHARGE $1.250.00 E Portland or LINE TAP 1NSTALI . -- -- --- --------- -- — -- � OTHER C O MORISSE:TTE DON T DON MORIS5�ETTE BUILDERS INC. R po BOX 19524 A portlon6 or 97219 T PHONE (503) 244-9314 R REGISTRATION NO. 35533 TOTAL, $1,285.00 RECEIPT NO. This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes.zoning rcyulations REQUIRED INSPECTIONS all other applicable codes and ordinances, and it is hereby agreed that the work will be done In accordance with the plans and ROUGH-IN 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 i1 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 I ctlons are requested n pproved f __ Permitt aturi%`"' Issued By li' -94P INAPFCTION "4-44 7F --- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMBING PERMI1 CITY OF TIGA RD CM6F'TMAFM F'FRt'II T NO IT f'L.892383 i OaIOON AND COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 11/27/89 13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)6394175 G' I M.PMT.N0. 892241 —� JOB ADDRESS: 11790 SW 129TH PL TAX MAP/LOT 1S1 33DD SUB: VILLAGE AT SUMME.RLAY.E 2 I.1 ;53 BK: LAND USE: R4.5PP, LOT SIZE: ITEM: N0: NO: WORK CLASS: NEW MATER CLOSET 3 TRAP USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR. CONST.TYPE: VN LAVORATORY 3 TRAP PRIMER OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS DISHWASHER 1 GARBAGE DISPOSAL 1 NO.STORIES: 2 WASHING MACHINE 1 DWELL.UNITS: I LAUNDRY TRAY BLDG.DRAIN (DIA FLOOR DRAIN SINK 1 SEWER (FT) WATER HEATER 1 STORM/RAIN (FT 1 OTHER REMARKSIt FEES: W MORISSETTE DON PERMIT 1148.00 N po BOX 19524 E portland or FIXTURES STATE 'TAX $7.00 OTHER C O SHOEMAKER HAROLD N SHOEMAKER'S PLUMHING R PO BOX 250 A C estacada or 97023 T PHONE (503) 630-7728 R REGISTRATION NO. 3922 TOTAL ; $147.00 ---- RECEIPT N0. This permit Is issued subject to the regulations contained in Title 14 _____________________ of the TMC, State of Oregon Specially Codes,zoning regulations REOUIRED INSPECT TONS and all ether applicable codes and ordinances. and It Is hereby PL$.UNDERSI_AH agreed that the work will be done in accordance with the plans and specificatlons and in compliance with all applicable codes and POST R BEAM ordinances The issuance of this permit does not waive restrictive WATER LINE: covnriants Contractor and subcontract, rs shall have current city ('ILEI.1 OPOUT business tax permits This permit will expire and become null and RAIN DRAINS void,f work Is not started within 180 days,or it work is suspended or abandoned for a period of 180 days any time after work hr s F INAL commenced It shall be the responsibility of the permittee to assure all required inspections are requested and approved 1,, 1 " t Permitteegnaturn Issued By �_--f SEPARATE PERMITS PERMITS REQUIRED FOR WORK O"HER THAN DESCRIBED ABOVE CITY OF TIFA RDMECHANICAL PERMIT PERMIT NO. : ME892384 C,- w COMMUNITY DEVELOPMENT DEPARTMENT w D TE ISSUED: 11/27/89 13125 S W-Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 — F - I I M.PMT.NO. 892241 JOP ADDRESS: 11790 SW 129TH FIL 'AX MAP/LUT 1S1 33DD SUB: VILLAGE AT SUMMERL.AKE 2 LT:53 PK: LAND USE: R4.5PD LOT SIZE: + ITE.M: N0: NO: WORK CLASS: NEW FURNACE (100K AIR HANDLR (10 USE TYPE: MINGLE FAMILY FURNACE 100K+ 1 AIR HANDLR 10K CONST.TYPE: VN FLOOR FURNACE EVAP.000LER OCCUP.GRP. : R3 HEWER VENT FAN 3 VENT VENT.SYSTEM RLR/COMP (3HP HOOD 1 NO.STORIFS: 2 BLR/COMP 3-15HP INCINE:RATOR(DOM DWELL..UNITS: 1 BL_R/COMP 15-30HP INCINERAIOR(COM FUEL. TY PE GAS BLRiCOMF' 30-50HP REPAIR UNITS MAX. INPU1 BLR%COMP 5b+HP OTHER 2 FIRE DMPRS'' GAS PIPING OUTLETS 1 HIGH PRESS? LOW PRESS? REMARKS: FEES: w MORISSETTE DON PERMIT $10.00 N p0 BOX 19524 PLAN REVIEW $10.50 E port 1and 0r FIXTURES $32.00 STATE TAX $?. 10 ---- — --- - -- — OTHER C11 O N BELL HEATING INC. A 15550SE PIAllA AVE C CLACKAMAS OR 97015 T O PHONE (503) 243-1184 R REGISTRATION NO. 447 TOTAL: $'S4.f10 This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO. of 1hF TMC, State of Oregon Specialty Codes,toning regulations _— — ____ wid all other appllcahle codes and ordinances, and it Is hereby REQUIRED INSPECTIONS agreed that the work will he done in accordance with the plans and GAS LINE specifications and in compliance with all applicable codes and POST 8 BEAM ordinances The issuance of this permit does not waive restrictive ROUGH-IN covenants Contractor and subcontractors shall have current city husiness tax permits This perrnll will expire and become null and FINAL void it 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 all required I tions arP request"id approved Permittee'10nehue Issued By �-��'� eAI:L-FOR-rNSV ECTION 639 41?5 SEPARATE -- PERMITS REQUIRED FOR WORK OTHER KHAN DESCRIBED ABOVE 'i rPLAN CHECK APPLICATION ! T16;A-" RD (ASO PLAN CHECK 11 �[� COMMUNITY OEVELOPMENT O,rm cENTPERtAIT /I -4 1 , �' , DATE ISSUED _ "i AX MAP/LOT _%S �_ - ✓ -' ,`Z S w - ('2 �� r , LAND USE: 708 ADDRESS I I -2, LOT: St10: �II�4VJ �` � 1 l✓II�� _ VALUATION. SPECIAL NOTES OWNLR REISSUE OF: — Nom_ 1 LAST REISSUE: - {ADDRESS: _ U_ Q 5 — FLO00 PLAIN/ 0 KAO SENSITIVE LAND: PHONE- 24 314_ APPS A� REQUIRED PLANNING: �. IREFDEPT ENGINEERING: — ��: _ FIRE DEPPTT ADDRESS: OTHER: ITF11S RE YREO PHONE: _ LYST/SU(i00NTRACTORS: ' . BUS TAX: AROI/ENGINEER - CALCULATIONS: r -,,, 1�, NAt1E: ��2�--C IT -• � 1 1 I\/� SUSS DETAILS'. — ADDRESS: _ PARKING PLAN: LANDSCAPE PLAN. ____---- �_---- OTHER: ---- --_'�---- 9-��`✓ COMVkwT L� N10U4T AMOUNT P0. GAL. DUE PERMIT 11 AC(--T 11 DESCRIPTTON r sem .• / „�' �� 2 1I ILO-437. Permit Fees Permit Fees 10-431 00 Plumbing .�=i-- 10-431 01. Mccha.nical Permit. fees I f , 10-230 01 State Building Tax (5X) -�Q- Building Q Plumbing 7.2G Meeh s! ll l7 1(;-433 00 Plans Check Fee '� I Building Plumbing tlech �7�3pr� 30-207. 00 Sewer Connection -�- ;0-444 00 Sewer Inspection __� 51-440 00 Street System Oev Charge (:SOC) U 52-449 00 Parks System Oev Cha (POC) 31--450 00 Storer Drainage SysL' 10 -230 09 TRFD 10-7.30 06 Washingten County Fire Ut (95X) — 10-270 00 Amalrt/Wedgewood TOTAL --� f , RLC 0 � + APPLICANT SIGNATURE Date Received: - ------'-'- Received By: _ — cn/3507P/lOP