12438 SW MORNING HILL DRIVE 12438 SW MORNING HILL DRIvE -
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JCity of Tiqard Bu,_lding DeRtrtsannt
JI 13125 SW Ball Blvd. Tigard, ora=on 9722 ,
I Inspection Line (Ren-o-Phonw): 639-41'15 Bueinece P.sone: 639-4171
Inapectiors ( S_' -.4 1 4. .1
Footing Plbg. Undoralab Mech. Rough-in Appr/Sdwlk
Found. Plt.q. Top Out Gan Line FINAL:
Poet/Beam Struct. Sen. Sewer Framing -dldg.
Pont/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Liffe Gyp. Rd. -Rech.
Date Requesteds ,/ Tu �es � AH —PH
Address- z/.
4. it #I_!22-
Builder:
:(12—Builder:
THE -OLI.OWING CORRECTIONS ARE SSQUIMMs
vv /
Intpeutort
APPRDY3b DISAPPROVED APPROVED .SUBJEL'T Tc) ABOVE
__Call For Reinep.
MECHANICAL..
MECHAN I CAL-
C11YOFTIGrARD PERM I T
14
COMMUNITY DEVELOPMENT DEPARTMENT C"OF 8111 T #. . . . . . . : MEC91-01:36
13125 SW HWI Blvd. P.O.Bm 23397,TigmJ,Or"m 972&(600)63"176
ADDRESS. . . : 1�-'-1436 SW MORNING HILL DR PARCEL: 251 4AB-
SUBDIVISION- -', ZONING:
PLOCF. . . . . . . . . . I-OT. . . . . . . . . . . . .
"L.HSS OF WORM. . -NEW FLOOR FURN. . . . EVAP COOLEREi:
TYPE OF USE. . . . :GF UNIT HEATERS— VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . :
FULL 0-3 HP. . . . : 1. DOMES. INCIN:
- /ELE/ 3--1:3 HP. . . . : COMNL- INCIINI-
MAX INPUT: BTU I -3Q) HFI. . . . : REV .(N UNITS:
FIRE DAMPERS?— : 0-50 HP. . , . : WOOD STO . :
GAS PRESSURE. . . ;,O+ I-AP.. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNIT(5 OTHER UNITS.
FURN < 100K BTU: <= 10000 cfm: GAS OUTLETS.
F'URN > =100K BTU. > 10000 (:,.Fm-
Remarks; AIR CONDIJIONER
Uwrler: f'.EES
DORIS WHEATL-EY type amount by date reapt
12438 SW MORNING HILL DR PIRMT $ 25. 00 JLH 08/08/91
5F-ICT $ 1 . 2 JL.H 06/08/91
1163ARD OR 972'23
Phone #:
Contractor:
A -ACCURATE OIL CO
F,7;;w NE 47TH
PURTL-AND OR 97218
Phone #: 281 6 2,12. $ 26. C'-'5 TOTAL
Reg # . : 53391
REQUIRE IN;FLECTIONS
This pertit is issued subject to the regulations contained in t;,,o Firia l lmFPection
Tigard Municipal Code, State of Ore. Specialty Lodes and all other
anplicabie laws. All work will be done in accordance with
approved plans. This perait will expire if work is not stal^ted
within 180 days of issuance, or if work is suspended for more
than 180 days.
1 'ermittee signati-treEms "
I S d By
.. ...........
Ca.11 for inspection 639-41.75
City otTigard MECHANICAL PERMIT Planck/Rec. # _
1' 125 sw Half Bird. APPLICATION Permit #
PO Dox 23397
Tiga,d, OR 97223
(503) 639-4171Dosctiphon
Table 3A Mechanical Code CITY PRICE AMT
Job ••• 1) Permit Foe -0 -0- low
Address
2) Supplementa,Permit 3.00
.m. « .�.• ..«. umaco 6
1) incl.ducts 8 vers 6.30
... Furnace 100,000 BTU +
Owner �i' j� �/ _jJ, 2) incl. ducts 8 vents 7.50
"�i'�'�7771Floor Furnance
7�cr �1 ) 3) incl. vent 6.00
�.» SuspenclR heater,wall eater
4) or floor mounted heater 6.00
... _ ent not incl In
Occupant 5) appliance permit 3.00
.» » Repairofheating,re ng. —
6) cooling,absorption unit 6.00
.» Boiler or comp to 3 HP
L 3 absorp.unit to 100,000 BTU 6.00 ( �I
u „«. Roilor or comp to 3 HP- 1
8) absorp.unit to 500,000 BTU 11.00
Contractor , v FI;o'li For comp to
9) absorp.unit.5 - 1 million BTU _ 15.00
rr. .. ••N. Boiler or aornp to 30 50 HP
-
`j 10) absorp.unit 1 - 1.75 million BTU 22.50
hereby acknowledge that I hava readthis application that the Boiler or comp to 967r^
information given is correct,that I am the owner or authorized agent 11) absorp.unit 1,750,000 BTU 31.50
of the owner,that plans submi".Hd a e in compliance with Si-rte Air an Ing unit to
laws,that I am reyistcrPd with the State Builders' Board,tha,the 12) 10,000 CFM ,.50
number given is cr .ect. (It exompt from State registration, please Ir handling unit
give reason bet wv 1 13) 0,000 CTM+ 7.50
14) evaporbre cool it 4.50
Vent fan u nne(t
15) to a single duct 3.00
anh anon systei i not
16) included In appliaiu+permit 4.50
�... .«. w o served y
17) mechanical exhaust 4.50
sat to work now additionalteration qlp omeshcrptype
to be done residential 0 non-residential Q 18) incinerator --�- 7.50
xlsling use o - Commercial industrial
building or property 19) type incinerator 30.00
Other i.e.,wU tov^,water
Proposed use of 20) heater,solar,clothes dryers,etc 4.50
building or property
21) Gas piping one is four outlets 2.00
Type of lust -oil( natural gas Q LPG Q nlectric(J —'
22) More than 4-por outlet
Minimum Fee$25.00 SUBTC iAL
PERMITS BECOME NULL AND VOID IF WORK OR —
CONSTRUCTION AUTHORIZED IS NOT COMMENCED 5%SURCHARGE t`
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS —
SUSPENDED OR 3ANDONED FOR A PERIOD OF 180 PLAN REVIEW 25"4 OF SUBTOTAL
DAYS AT ANY TIME".AFTER WORK IS COMW.7-NCED. —
TOTAL
Special Conditions
Date issued by
tlrur(*4PMT
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(,ITY OF TILARD RECEIPT OF PAYMENT RECEIPT NO. :91-2t6144
CHECK AMOUNT a x.6. 25
NAME' A ACCURATE OIL. CO CASH AMOUNT x 0. 00
A 1)V)k cil 673�-, NIF 47TH PAYMENT DA'Tf*-' a 08/OS/91
SUBDIVIIS)ION
PORTI-AND, OR 9.7218-,
PU1?t-1fl!"It- OF PAYMENT AMOUNT PAID PURPCISE OF PAYMENT AMOLINT PA 10
25. 00 ST. ICU IL,D PER I
IP438 SN MORNING HIL.I.- DR
Tu'rAt.- AMOUNT PAID —i
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htN
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INSPECTION NOTICE
City of Tigard Building Departrnent
P.O Box 2339'i
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _. �� Time___ —A.M. P.M.
Address —1 �,.�f y_---- ermit # J -
Owner Lot #�
Builder
The following Building Code deficiencies are required to be corrected:
kit:a✓ t__23%Z<. � Ai
Presented to > Approved
Inspector *Disapproved
Data. _--
CALL FOR REINSPECTION
YES L.1 14O
e�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-417
Type of Inspection
r
DatA Requested Time _ A.M.--P.M.
Address , �I�TLPermit #�y �
Lot #
Builder_ - -- ---- ----- --------- .._
The following Building Code deficiencies are required to be corrected:
i
-- - - - _---- - —_
Presented toApproved
/1 ' , t-I
Inspector � �- L.r Disapproved
Date
CALL FOR REINSPECTION
ED YES ❑ NO
Ila
INSPECTION NOTICE
City of Tigard B ilding Department
P.O. Box 23397
�. Tigard, Oregon 97223
h Phone 639-4175
Type of Inspection
Date Requested .C_ Time_,G_A.M. P.M.
Address ,� Z' 3 es - '�, � �� rmit # �
Owner Lot # _
Builder �7!'L?/GL�C�y'1
The following Building Code deficiencies are required to be corrected:
Presented to I'4 Approved
Inspector Disapproved
Date -----
CAI,L, FOR RF INSPF,C7'ION
a
Cl YES C_] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of inspection _ 7 L' x'
Date �'� Time A.M.___._�P.M.�,�
Address �"� i ,�, 1/l 7 _permit
Owner �� r Lot #
The following Building Code deficiencies are required to be corrected:
01 ---T--— -
Presented to, ❑ Approved
Inspector (_ _ Disapproved
Date
CALL FOR REINSPECTION
YES 01;n
A INSPECTIC
Cit dj41�ard Builofl g Department
P.O. Qok 23397
Tlgard,,46.regon 97223
C• P no: 6
Type o Inspection
'Rate 9equested � Z � Time A.M. P.M.
Add
E� r - Permit #
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __ _ Approved
Inspector LI Disapproved
Date
CALL POR REINSPECTION
O res C] NO
INSPECTION NOTICE 1�y�
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 6394175
r
Type of Inspection
Y
[gate Requested Time A.M.. _P.M.
Address i a ,3 / ^�Z // +� K�Permit
JJ ' GGA//X.
Owner_l �c--�--+�— Lot
� (^ #. s
Builder _—......__ F / 17 d
The following Building Code deficiencies are required to be corrected:
`L57s_"
Presented to �_� Approved
InspectorA0 — _ kDisapproved
Date / 2 _ ✓__L--- _
CALL FOR REINSPECTION
Y E 8 U NO
�. �r ssr es+r �nsr wee nor ar
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 `r 4'
Phone: 639-4175
Type of Inspection
Date Requested
Time__ A.M. P.M.
______ __-__-,� �j-
�a� !/3 ��/ �� Permit #
Address ___ _-.- - i____ , -__-- —
OwnerLot
- — y...._
#
Builder _ � ----
The following Building Code deficiencies are required to be corrected:
Presented to _ ---- - -- Approved
If PC
Inspector .� ' - ❑ Disapproved
Date
CALL FOR REINSPECTION
(;] YES l_7 NO
INSPECTION IVOTICE
City of Tigard Euilding Department
F.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested—
/72,
— Time A.W' �P.M
Address — Permit # l L
Owner ._--- —� Lot #
Builder
The following Building Code deficiencies are required to be corrected:
_�.a.
'Y
V, r
Presented to ❑ Approved
Inspector �r���i- '�1 Disapproved
Date
CALI,RaNspEcTroN
C�'YEA 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested -(.E!2 Time Z/ q,iVl, ' P.M.
Address
rmit
Owner �
Lot
Builder
The following Building Code deficiencies are required to be corrected:
.................
Presented to A roved
Inspector Zisapproved
Date
CALL FOR REINSP' TION
N()
Cl YES [��Jyo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection .1-^
Date Requested— _ /Tim A.M. P.M.
Address y.1 �'' v _ Permit # .S`/
Owner_ V
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
-- I Disapproved
Date c _
CAL.! FOR REINSPECTION
C_7 YES Ll NO
INSP TC IE ON NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
/ TIA.M. P.M.
Date Requested /1"7
Address —4-L
`f c �_ � c. c�, _ Permit
Lot #
Owner
Builderr—
The following Building Code deficiencies are required to be corrected:
Approved
Presented to -- --- — —— yT1
Disapproved
InspectorL-
Date
CALL FOR REINSPECTION
F-1 YES it NO
C17YOFTIGARD MECHANICAL PERMIT `
CITY
NO. : ME891946
OFMACOMMUNITY DEVELOPMENT DEPARTMENT 01111CHM
13126 S.W.Hall Blvd.,P.O.Box23397.Tigard.Om9on97223,(5031639.4175 TE ISSUED: 9/27/89
---------__._-----__.____--_-- - PMT_Nn_ Agig34 -- —�
JOEL IDDRESS: 12438 SW MORNIMGHILL DR
TAX i9AP/LUT 2S1 4AP SUP: MORNINGHILL LT:148 BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (1009 AIR HANDL.R (10
USE 'TYPE: SINGLE FAMILY FURNACE 100K+ 1 AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP, : R3 HEATER VENT FAN 4
VENT VENT,SYSTEM
BLR/COMP (3HP HOOD ,l
NO.. �IES: 2 BLR/COMP 3-15HP IHCINERATOR(DOM
DWELL.UNTTS: 1 ALR/COMP 15-30HP INCINERA'TOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT Hl_R/COMP ";O+HF' OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS l
HIGH PRESS?
REMARKS:
O FEES:
IN ANDERSON DAN E PERMIT $10.00
E 9363 SW BEAVERTON-HILLSDALE PLAN REVIEW $11.25
n beaverton o•r FIXTURES $35.00
STATE TAX $2.25
- — -- - - - - -- — OTHER
C
0
N
T FOUR SEASONS HEATING AIR COND.
R
POBox66409
T Portland Or 97266
U F1HONE (50.3) 775 5919
R REGISTRATION N0. 48283 TOTAL: $58.50
This permit Is Issued subject to the regulations contained In Title 14 RECE'IP'T NO.
of the TMC, State of Oregon Specialty Codes,toning regulations — —""`—"------
and
----`and all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and POST R BEAM
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city ROUGH—IN
business tax permits This permit will expire and become null and FINAL
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
cu:nmenced. It shelf be the responsibility of the permitlae to assure
all required Inspections are requested and approved
Permittee Signature
Issued By --
�CC--F�-TAST'ECTT DA b3'3=4 f 75 _ --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�-"CraTY47tr—L"ROD
PLUMBING PERMIT
CITYOFTIGrARD
RMIT NO. : P'L891945
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 9/27/89
131?,SW Hall Blvd-P.O.Box 23397,Tigard.Oragon97223,(503)639-4175IM.PMT.N7. 891934
f0B ADDRESS: 12438 SW MORNINGHILL DR
TAX MAP/LOT 2S1 4AH SUP: MORNINGHILL LT:148 PK,:
I 1HI) USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BK,FLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP' PRIMER
OCCUP.GRP. : R3 TUB SHOWER 4 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 W,)SHING MACHINE: 1
DWELL.UNITS: 1 LAUNDRY TRAY BL.DG.DRAIN (DIA
FLOOR DRAIN
SINK. I SEWER (FT)
WOTEIR HEATER I STORM/RAIN (FT 1
01 HER
REMARKS:
FEES:
0 ANDERSON DAN F PERMIT
N q363 SW BEAVERTON- HILL.SDALE
N
F beaverton or FIXTURES
R
STATE. TAX $7.75
OTHER
c
0
N WOLCOTT PLUMBING CONTRS INC.
fl I1011ox872
A
c (11•eSham 9R 97030
t PHONE: (`,03) 667-1781
N
REGISTRATION NO. 23847 TOTAL: $162.75
-
1 his pprmpermit --
---RECEIPT NO,
1s issued subject to the regulations contained in Title 14 ———————
nf trip TMC State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it Is hereby F'L.B.UNDERS!-AB
adrepd that the work wilt be done In accordance with the pians and POST N REAM
spec hcation5 and In compliance with all applicable codes and
oidinanr.Ps i he issuance of this permit does not waive restrictive WATER LINE
, ovvnants Contractor and subcontractors shall have current city PLB.TOPOUT
,siness tax permits This permit will expire and become null and RAIN DRAINS
nd if work is not started within 180 days,or If work is suspended or FINAL
ihandoned for a period of 180 days any time after work has
,mmPncPd It Shall be the responsibility of the permittee to assure
ll 1pquued ms ecti are requested a approved
�
flplmiftpp Signature
issued By 1i91I�_F _ ► �PFrT. _b�9=�1Z,S_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIGrARDi" SEWER PERMIT
�� PERMIT NO. : SE891.947
CITY R TIGAAD
COMMUNITY DEVELOPMENT DEPARTMENT °`r°°"
TE ISSUEll: 9/27/89
13125 5 W Hall Blvd.P.O.Box 23397,Tigard,Orogon 07223.(503)839-4175 IM.PMT.NO. 891934
TOP ADDRESS: 12438 SW MORNINGHII_L DR USA NUMBER: 39069
TAX MAP/LOr 2S1 4AB SUN: MORNINGHILL LT:148 BK:
LAND
LOT SIZE:
SECTION: 4 AWP: 2s RNG: 1w
WC1F11 CLASS: NEW
1_11-)I TYPE.: SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 120 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
riot located at the measurement given, the installer shall prospect 3 feet in
all directions from 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: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVE•MENr:
DWEL_L_ING UNITS: 1
NO. OF BLDGS. a 1
FEES:
W AIIDERSON DAN E PERMIT 135.00
W
N '4363 SW BEAVERTON-HILLSDALE CONNECTION CHARGE $1,250.00
H beaverton or LINE TAP INSTALL.
— --- - - - -------� OTHER
c
ANDERSON DAN E
rT ME:ADIIWBROOK DEVELOPMENT
R
9363 SW BEAVERTON-HILI_SDALL
C beaverton or 97006
T PHONE. (503) 297-7666
r-�
fa REGISTRATION NO, 46344 TOTAL: 41,285.00
This permit Is issued subject to the regulationsRECE RECEIPT NO.ons contained to Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH—IN
sper,ifrcations 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 100 days any time after work has
r nmmenced It shall be the responsibility of the permittee to assure
all regi:ve pec ere requested d approved
Permittee Signature,
Issued By eALL--f`3R 1N9PEef10N 63941�M
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
BUILDING PERMIT
C11YOFTIGARDA�L PERMIT NO. : BUB91934
c11yRD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hal!Blvd.P.d Bax 23397.Tigard,Oregon 97223,(503)639-4175 E ISSUED: 9/27/89
P I M.PMT,N0. 891934
JOB ADDRESS: 112438 SW MORNINGHILL DR
TAX MAP/LOT 2291 4AB SUB: MORNINGHILL LT:148 BY:
LAND USE::
l_0'f SIZE: VALUATION: $ 88,541 SETBACKS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: 5 RIGHT: 15
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 4 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 3 N: S. E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 2004
NO.STORIES: 2 1ST: 1268 ROOF CONST: C FIRE RET?
HEIGHT: 1?0 2ND: 736 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
i MEZZANINE? BASE:M"T
FLOOR LOAD: 40 GARAGE: 420 FIRE SPRKLR? ALARM?
? YES FLOW(GPM) DETECT
L_ _ _HEAT TYPE: GAS HDCP.ACCESS`? _ DETECT?
PLAN CHECK BY: rlt
REMARKS:
$15 for red line copy REISSUE OF NO. 891428
LAST REISSUE
FEES:
o
w ANDERSON DAN E PERMIT $400.00
N 9363 SW PEAVERTON-HTLLSDALE PLAN REVIEW $40.00
F beave'rton or FIRE DEFT
STATE TAX $20.00
- - --- --
OTHER $15.00
r DEVELOPMENT CHARGES:
N ANDERSON DAN E SDC(STORM) $250.00
T MEADOWBROOK DEVELOPMENT SDC(STREET) $600.00
A 936.3 SW BEAVERTON-HILLSDALE PDC(#1 ) $250.00
r beaverton or 97006 PREPAID ( $40.00)
PHONE (503) 297-7666
RI REGISTRATION NO. 4.,44 TOTAL: $1,535.00
1 his permit is issued subject to the regulations contained in title 14 RECEIPT /�5 �/
of the TMC, State of Oregon Specialty Codes,toning regulations
and all other applicable cods and ordinances. and it is herehy REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and In compliance with all applicable codes ani FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST A BEAM WATER LINE
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and hecome null and PLP,UNDERSL-AP CITY APPRCH/SW
void it work is not started within 180 days,or if work is suspended or SLAP FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOLIT
commenced It shall be the responsibility of the permittee to assure FRAM)NG
all rrqulrNd Inspections are requested an approved FIREPLACE
GAS LINE
INSULATION
Permittee Signatuu GYP. BOARD
Issued By __. - _....__ t*Lt--FDR-- eTYO-"9,,,4 .5__ l
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C11YOF T16rARD PLAN CIiECK APPL�ATION
amr� PLAN CHECK,N _(1( 3 '
COMMUNrff OF_VELOPMENT DEPARTMENT PERf1ZT 11
W 1
DATE ISSUED
,// tcJ _� -f Ax f1AP/LOT - .2�
JOU ADO ESS: �� r LAND USE:
SUB: � / /�E� ! GU - LOT. — — ---
VALUATION: S<// SPECIAL. NOTES
OWNER �- REISSUE OF: _
LAST REISSUE:
< "C�_ At .__Tr _ t
ADDRESS: � ��--- .S � FL 000 PLAIN/
SENSITIVE L(WO: _-
PHONE: -� APPROVALS REQUIRED
PLANNING: -
e )NTTZACTOR ENGINEERING: -
NNME: FIRE DEPT
ADDRESS: OTHER:
_J __
P11ONE LIST/SUBCONTRACTORS:
BUS TAX: -
3RCH/ENGINEER CALCULATIONS: —
NAME: - -- TRUSS DETAILS:
ADDRESS: PARKING PLAN:
LANDSCAPE PLAN:
OTHER:
PHONE:
AO(:T DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
PERMIT H �-
�5' 10--432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees
1�( _ 10-431 O1 Mechanical Permit Fees 30,'--
10-130 01 State Building Tax (5Z) �
Building _ �t _7—
Plumbing _ 7 ��
10--433 00 Plans Check fee •� Z --
Building ) 4It
Plumbing
neck
30-202 00 Sewer Connection -
30-444 00 Sewer Inspection - ��-�--- —
—rtl
51-448 00 Street Systr..m Dew Charge (SOC) � eyy
52--449 00 Parks System Dew Charge (POC) - -
31--450 00 Storm Drainage SysL Dew Chrg ('SOC) -
10-230 09 TRFO -- -' -
10-2.30 06 W�AshingCon County hire !f1 (95X) --- -
I10-220 00 nmart/Wedgewood
101 n1_ vvv�T
urc: rr ,
nPl'1 U.nNI SIc;NnTURl
i:eceived By:
U UaLc R,ceived: i -
cn/358711/l8P