9255 SW MAPLELEAF STREET o
a
ti
tr
N
(D
N
rt
I
i
9255 SW MAPLELEAF ST
BUT.1 F)ING PEPMIT V
CITYofTIGARD FIFE.11-IM11' NO . - 611.0391.31.1.
CITY X TWARD
COMMUNITY DEVELOPMENT DEPARTMENT
.
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Orpgon 97223.(503)6394175 TSSULD el/1 89
P 9 1:M PMT .NO. 139 1:311.
ADDPE:55 - 9855 1:pW
FAX MAP/I DI IS1.3,15AH70'e'.2 SLIF-4 : L.T :
I-AND USE: :
Vol HAJ 10N . FiETNACKS
WORK (N.-AS15 : DEMOL-I'TION
USE.: 'TYPE: : SINII.A.Ar: FAMTI Y W.) . BFI)POOMS EXT WALL CONST :
('NINST . TYPILE : VN NO . RATFIS . N S : E : W
PRO T .OPE-NTNII.:S :
I OAD N S : E W
TO'll'AL AWF.:'.A
NO . STOWLES ; IST : POOF CONST : FI:Pl*r.' PE1*7
HE"I 11:4.1 U : RND APPA SILKPAn'? AWED:
BASEME-KNI"? '3RD OC CUP. SET-1AP7 PATI:D
ME:Z Z ANI Nl--'. ? 13ASEWT
F1 (301:1 1-.(*.)A17: F: 11.P V, G P P I(I W? A I APM'?
r:*i (.)w l li...r,m
TYPIE:
P I AN DY :
PI-':MA PIKS :
':iF*--*Wl:-:'P LINE MUST CAPPEM OFT I:4F:A:S!5(.L OF' NO.
I-clinc)V(P b 1.,:1.N I A5'T' PEKISSUIT
0 trilmnell. PC*r4m 11
W 5 . 0 0
N :1.0300 ;jre(.--,*nbi.trg rcl F)LAN PEVIrKM
E
ti g aL I--d
PHONIF STATE 'TAX
OTHEP
C DEVEKLOPMENT CHAPIDES :
0
N SIX(S'rOPM
T 5[)(:*1 11 ST nEE'11'
R PDC
A
C 1: A 1'.D < >
T
0
R -A TOTAL. : tp 15 7!1.)
This permit IS issued subject to the regulations contained in Title 14 PECEIPT NO.
of the TIvIC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby "EQIJIMU) INSPEL.-TIONS
agreed that the work will be done In accordance with the plans and 1:' 'UNAL
specifications and in compliance with all applicable codes and OTHE:R11111
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have Current city
busine.,- 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
all required inspections are requested and approved,
Permittee Signature *5EWF-.**P CAPPIN("',
Issued By. , - m m r.M.CT ir 1114
15
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY
OF TWA' RDVLAN CHECK APPLICATION
Crror 11CARD f PLAN CHECK H
COMMUNIT-Y DEVELOPMENT DE:PARTMEW PERMIT 11 _sti'>>i ;/l
13,25S.w."agwe,s 0j%o.7319r.nv«do.r9o,2rm.(5a3)63SAIT _ DATE ISSUED
JOB ADDRESS: S �S.''i 1 AX MAP/LOT
SUB: -- LOT: LAND USE: _
VALUATION:
SPECIAL NOTES
GANER / REISSUE OF
-
NAME:
ADDRESS: _ LAST REISSUE.
_ FLOOD PLAIN/
-- J SENSITIVE LAND:
PHONE; ---- ___. -- ----
APPROVALS REQUIRED
CONTRACTOR PLANNING: —
NAME. _ ENGINEERING:
ADDRESS: — _ FIRE DEPT _—
OTHER:
PHONE: — — _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _--_
NAME: CALCULATIONS:
-- —__._______.__ TRUSS DETAILS:
ADDRESS: _
-- -- PARKING PLAN:
__ - ------ — _- __
LANDSCAPE PLAN:
OTHER
COMMENTS:
PERMIT' K ACCT b DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
_ 10-437 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees _-
10-230 01 State Building Tax (5%) -
Building
Plumbing ----___ ---
Mech __ —_-_-_--
10--433 00 Plans Check Fee _ — -
Building
Plumbing
Mech _
_ 30-709 00 Sewer Connection
30--444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SOC) _ �-
57-449 00 Parks System Dev Charge (PDC) -
31-450 00 Storni Drainage Syst Dev Chrrg (SSUC)
10-730 09 TRFO -- _--- - -
10-730 OG Washing Lon County Fire NI (95X) -
10-270 00 Amart/Wedgewood
10-I AI
APPI TCANT SIGNATURE --- -
Received By: —__ Date Received: —
cn/3587P/18P --