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9735 SW SHADY LANE STE 200 i. i. i4 4 I p i I' i 1 n i I V �I I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. i Plbg.Und/Flr/Slab Plbg.Top Out Ins0dtlon -Elect. !� Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: C-) LIM A.M. _P.M. _ Entry: Address: __ 3-5 G •r'�- — T3nant: L1 '. _ Ste;? MST: j =� � Con/Own:_ �•C.�'1� MEC: — PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: -_ — t1- ��*-X12-_- t i Inspe or: -_ Date: VAPPROVED _—DISAPPROVED/CALL FOR REINSP. CF O t' x; N 1.. t PLUMBING I'D E'PMIT it. . . . . . . PLM96­0066 CITY OF TIGARD WITE ISSUED: 04/11/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1513513D-00300 S I T '14 M M!" A T1Ard. . .g: #20LA ZONING: C—G SURD V I S1 ON. . . . . 0 LBLOCK. . . . ... . . . . . OT. . . . . . . . . . . . . CLASS OF WORK. . -ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . B2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 6 STORIES. . . . . . . . a 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--'-----------.._ - LAUNDRY TRAYS. . . . . : 0 5F RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . : I URINALS. . . . . . . . . . . . 0 GREASE TRnF'S. . . . . . . ; 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TJB/SHOWERS. . . . : 0 ;EWER LINE (ft ) . . . : 0 WATER CLOSETS. . : Q1 WATER LINE (ft ) . . - : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Tenant modification — moving three sinks and adding one sink Owner-: --------------------------------------------------------- FEES ---------------- - HAZEL 'NTIL eept HIGASHI','AMA type amu,_tnt by date t 520 SW 6TH #400 PRMT $ 36. 00 JSD 04/09/96 96--277952 5PCT $ 1. 80 JSD 04/09/96 96-2771)52 PORTLAND OR 97204 Phone #: Contr-actoy-.- ROBERT BELSHE CONSTRUCTION E856 SE 103RD PORTLAND OR 97266 Ptione #. $ 37. 80 TOTAL Reg #. . e 11 .1004 REQUIRED INSPECTIONS ------- This permit is issued s-lbject to the regulations contained in the I op--out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Fina) In-,pection applicAble laws. All work will be done in accordance with approved plans. This permit will expire if work is not started -------- within 180 days of issuance, or if work is suspended for more than 180 days. Per,mittee Signat.ur�,e: e ie�e I5sl.ted By: Call for inspection 639-4175 dr+.nwi«++a+�Mri+x*nw.na•, •.cPn.w.•.�unvay+AMU,+:.�.'�ix G1►y of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # C1 M Tigard, OR 97223 %�.►� Flo= (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE m-wo......+• New Single Family Residences Only 1', �•» 1i ❑ 1 BATH HOOSE S140.00 0 2 BATH HOUSE$195.00 � Job S QiAQ`t' Ln EO ❑ 3 BATH HOUSE S225.00 I x Address carr.., n Fee includes all plumbing fixtures 0 the dwelling and the first 100!eat i of water service, sanitary sewer and storm sewer. See fees below. y - •���^• �+••� FIXTURES CITY PRICE AMT E' kL 4' Al 141&A�AQZ6MSink 9.00 Lavatory _ 9.00 Owner ATL( �F Tub or Tub/Shower Comb. 9.00 CROON" m Shower Only 9.00 Water Closet 9.00 "r^• + ^�^• � Dishwasher 9.00 L Garbage Disposal 9.o0 u Occupant ,•ON9 �•. Washing Machine 9.00 r c� j/r/mg4Floor Drain 9.00 WOMAN zip�r W' ' �>b 1 r Water Heater 9.00 Laundry Room Tray 9.00 "r"• Urinal 9.00 0 - 1' &LSAE NSI S" 1ZOther Fixtures (Specify) 9.30 ry tiv.. n- Contactor n I{ A v,l 9.00 �(7 1770 _13rd/ I ct C 3 trwwd 9.00 o is CRON. n 9.00 (r Sewer 1st 100' 30.00 t ""•"'+'•"ew "• cAr" T.w. Sewer -ea. Addit 100' 25.00 Water Service 1st 100' 30.00 t I hereby acknowledge that I have read this application, tha! the Water Service ea. AddlL 200' 2F 10 information gi.ren is correct, that I am the owner or authorized agent of r the owner that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 ! am reg!sterei with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct (If exempt from State registration, please _ give reason below.) Mobile Home Space 25.00 -- -� Back Flow Prevention _ De•xice or Anti-Pollution Device 9.00 y A' "° r' °i• Any Trap or Waste Not Z Aly / (� Connected to a Fixture 9.00 i Describe work new 0 ad on 0 alteration repair O Catch Basin 9.00 = to be dons residential Q non-residential Insp. of Exist. Plumbing 40.001hr [ (' Specialty Requested Inspe�'tions 40.00/hr j Existing use of F building or property _ Rain Drain, single family dwelling 30.00 w Residential backflow preventioo i devices 15.00 Propna+d use of _" 1 building or property /' f �A Locl '(Except reside-it/al backflow prevention devices) v I NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 50,1.SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED D FOR A PERIOD OF 180 VAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 26% OF SUBTOTAL / TOTAL Spacial Conditions �f��L �E Lt/�oV/N 71f9Er SI N LC + A L7 G)t uL-_ 0 Ir I d K Date issued by I 1 I Accumulative Sewer Tally t Tenant Name: '1� w' S This SW9#_ Address:- L4A 2-00 This PLMN:°1Q- DOS— Fixture —� Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Canped off value added# added #s total Court off#s count value values Be tist /Font 4 Bath-Tub/Shower _ 4 -Jacuzzi/Whlrlpool 4 Car Wash- Each Stall 6 _ 1 -Drive Through 16 Cus idor/Water Aspirator 1 Dishwasher-Commercial 4 _ -Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Draintsink 2 hich 2 _ -3 inch 5 -4 inch 6 _ -Car Wash Dm 6 Garbage Disposal 16 Domestic to 3/4 HP I Commercial to 5 HP) 32 _ _ Industrial over 5 Ham_ 48 Ice Machine/Refrigerator Drains 1 Oil Sem Gas Station 6 Rec.Vehicle Dump Station 16 Shower-Gan Pei Head 1 _ -Stall 2 Sink-Bar/Lavatory 2 _ Bradlev 5 Commercial 3 1 7� Service 3 Swimming Fool Filter 1 Washer-Clothes 6 — Water Extractor 6 Water Closet-Toilet 6 w' Urinal 6 TOTALS �j'- 1V S(c 2—(,7 D _ Total fixture values., _divided by 16= EDU HISTORY _ PLM# EDI I# SWR# PLM# EDU# SWR# PLM# _ _ EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# _ SWR# PLM# EDU# SWR# PLM# EDU# SWIG# s ^n+�lw•",eltyc,.1�_ "9 "..'a.. •5e' w+ . -M yq•. e,"b'.Ay'..�'a-•w Jai 1 page No. 1 CASE HISTORY FUR CASE NO.: ➢tM96-0066 HAZEL INTN't. 6 HIGASHIYAMA -� 09715 SN SHADY LN Unit: 200 ' .� 05/27/98 -.-`� Action Duscription Req/ Schd/ End/ Action Notes Diep By gpdate Upd Com, Bent Dane Uone Date By - --- -- ----- --- PLMCOC? Application received / / i / 04/01/96 RECD SIH 04/f8j96 BON PLMC005 Permit Cr.�.ked / / / / 04/08/96 PEND B 04/08/96 BON �r•, PLMC056 (F) Ready to issue / / / / 04/08/96 PASS B 04/01/96 BON PLNC06Q (F) Issue permit / / / / 04/11/96 This permit raa "issued" to the PA99 JSD 04/11/96 JD contractor on 04/09/96 but not "printed" as the computer ran down. The contractor win informed we would print the permit an soon an the computer was up and hr would then need to come down and sign the permit prior to any additional inspections being performed. jnd P[MC725 Top-out Znep 04/08/96 / / 04/19/96 PASS M9 04/22/96 MR9 PIMC800 Case Finaled / / / 05/22/96 PASS MS 05/22/96 1+019 �i q .j. - s - - - ........ . ..... CITY OF TIGARD PERMIT#: PCRMIT f PERMIT 11 : CLC 3G '�lE� ) DATE ISSUED: 0.3/86/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 07223.6109 (503)639-4171 PAPCEL: 1 S 135AD 00300 .'ITC 01)7.17 IiCOQI ;UBL'IVISION. . . . : ZONING:C--G LOCI:. . . . . . . . . . .I LOT. . . . . . . . , . . . . . rojelct Description: Inste,ll one service or feeder~ and ten branch c:ircuit :.. __.REGIDCNTIAL UNIT _..__-.- ... .._...TEMF CRVC:I•EELCRS ____ MT�CELLANEOUr._.__. 1000 Sr- OR LESS. - . . r 0 0 Clbo tkmp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 �-ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 • _IMITED ENERGY. . . . . c 0 A01 GOA+ an. p. . . . . . . .. 0 OIGNAL/PANEL. . . . . . . : k '''ANF. HM/ SVC:/FDR. . : 0 Go7lll.amps---1000 volt-,. : 0 MINOR LAPEL ( 10) . . . : 0 -SERV ICE/f CCDCR .. FRANCH CIRCIJITO-. _. ...__. _ ADD' L INSPECTIONS—— 2020 ,.=imp. . . . . . : 1 W/SERVICE OR FCCDCR: 10 PIER INOF'CCTION. . . . . : 0 01 /100 amp. . . . . . . 0 1st W/o ;RVC.' OR rDR. . 0 Pyr? HOUR. . . . . . . . . . . . 0 101 - 600 amp. . . . . . : 0 CA ADD' L PRNCH CIRC: P IN PLANT. . . . . . . . . . : 0 01 1000 anip. . . . . . 0 _..._.. _..._... . PLAN PCVILW 5ECTI0N._..._,.-._.._- _ . ... _ t000+ amp/volt. . . . . : 0 ) -=4 REO UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect on l y , . . . . : 0 ^VC.'f DR > :=. w05 AMP'.. . : 71.-ASS AREA/SPEC tJC.C. Owner,: ___._._____ .._.-- FEES WELI_ WIGS RENTAL. t yl;e amol.rnt• try date 1-ecpt 9735 GW SHADY LN GTE 000 PRMT $ 110. 00 CJS, 03/26/96 96-277461 5PCT 4 5. Cfr CJ:' 0:3/26/'3G 96--077461 TIGARD OR 072,L7-31 Phone It: Contractor: _..._.._._.__.._....__.._.. ._...__......__.._..__. _._.____.__..._.._. ......_...._...._.._...__.__.__._._..__ --.--._.._.....__.___ GALLF11131'R I'LCCTRIr - 4 11 r. 9E0 T0Tt;I__ 0895 NC DIVSION PO PDX 70 _..._._. ___ REOU I RED I N3_In CT I ONG CRESHAM OR ?70;30 railing (::over- Elect' 1 Sel-vir_4 Phone tt: 503. 666-1.3816 Wall Cover F'Ie is 1 Final Re This pereit is issued subject to the regulations contained in the Tigard Muricipai Code, State of Dre. Specialty Codes arl all �thv f c r-m i.t t e e i gnat _:Xe applicable laws. All work will be done in accordance with approved plans. This pereit Pill expire if work is riot started / 4ithin 101 days of issuance, or if work is suspended far acre han Is@ days. --_ ..._ _._.._. .. . loWl IF R I hiOTAI_L')T I ON ONLY The installation is being made on property I own whic:ti is not intended fore sale, 1 easel Dr- rent. OWNER' S SIGNATURE. ISA-r- . __._. . .____.._ ...._.._..._.. _ ....... .. __..._CONTRACTOR T N73 TALLnTION Oh.ILY- - ---_.___..._-.__.._....._..._____._. SIGNATURE OF SUPR. ELCC' N: DATE: LICENSE NO: Call for, inspection 639--417S � s Community Developmorlt ELECTRICAL PERMIT APPLICATION 13125 SW hlrlll Blvd. Tigaird, OR 97223 PlancWRac. # Permit * ��t_cq6 -,01C9 Phone (503) 634-4171 Data ;881 d ?- ,-6- 96 CITY OF TIGARDFAX (503) 664-7297 Issued by..�,�1 TDD Ns. (503) 684 2772 Inspection (503) 639.4175 1. Job Address. 4. Com, 419 Fee Schedule Below. � Narna or Development _(s L1,5 WS --&7;62'—L. Number of M.peadenr p«'permit allowed Address c1 1 3`i '3U) SHAD LnJ )-vo Service Ind~: 11M MI 008404) Sum � city/ t.ttA/Zfp I I (� f'�D s2CF 41L Rooldto&that-per•unit A - W Ltd S W I(a i 10,t;K1T1�c 1000 64.h or No _ 111000 Name or name of husfnuss (- , vim`"r"al coo sq.h ^r ( )_ZL L n 4d M A+2 r rA a t3 I pmym,rn" w Rrs nu f;ornmarcialResidential❑ v'"4idsnoto tes�n _____ Fold?Mrrrurd meow elr Mailer 9 Dat-AM NMM or Rredlo silo tro 2a. Contractor Installation only: G R��A �HES. - ��c-RIG Il1MlIbMWn.rlleratam.Or elm lion Acidr sx I OnITACtOr W1 rrord of Nva —--- 1W iro �J,•.' ° �V ampo a 400 WCC see 06 - 2 laity G State 71-�— 401 ane p 000 amen Phone No. p 1=ZU.3CZ eel OR"in 1000 amm f+on 00 _ a Over low amp"Wak 034000 2 Coniraclor's License No, 5 4 4 0, a.ew,rwat ardlr 1111160.00 -- ronlractor's Board neg No._ 4a.Temporary sovlees of,Feeder* Signature of, upr. Flec'n l�kM'a""f°b" °r~�"n & j r o W1 sopa at 0!0 00 tlrense No. s Phonh Noa4W.�(j � ao+•�. .00.mp. SM 00 � W1 ampo a 1100*nos 0106 no Over e0a amps a 1000 vurls 2b. For owner Installaflons: ses IV obewo Print Owners Name 4d.branch Ofrtwlte ------- Address Now.sea Wn or coonsbn rar rA"l _ _ _ al The(oa for MCMI okoWM wish City State Zip w+M+«of iienri o•heeler 6W. R Phone No- '-—' FAM Weld r&A IL b)The r.sfor basel+oweuw..Irr►wui— aa,a0 4 The Installation is tieing rnade on property I own which Is ps/eftas of M be or Mew ere. 7 not Intended for sale, lease or rent Fla INwof airvA _ 2 iaoh a0elbrrl baneh dmull moo Owrrtx'a$iAnrtttu9 44L Miseeilanseus (SWvIrA or fsedar not Inokxfod) :0 3. Plan Review section (If roquired): UMA Iwr v or irrlpaelen tido $0 00 2 tied,W6 e-suer■ ►'666 F lease check appropriate Item and snow foo M eoCllon Slit. signal alft*41"a anead wwrp 1 4 or mora makio ntial units in One shucit" poles 's"r*twn w extsnrtr, Service and hrvfar?26 ample or monWrier LaRIols(10) stucco ------- System Oyler 600 voMt nominal 41.Each oddhio ial Inapeotlon ova► —_ CIa1la:fled onto or etrvcture containing spechtl oemponry Mee i*oweble In any of the above as do1wrihod in N F.C. Chapter S Per Mapsallsn a$on Per ter "" t"00 Subm 12 set,;of plane With or p*ratlon where any of ft above In wnl see 00 --- apply. Not required for temootery collotiveilon serviciew S. F"S: NOTICE 6e.Enter solei of above loss 5%Surcharge(.ole X total we) PERMITS BECOME VOID IF WORK OA CONSTRUCTION Subtb'4rf 1< AUTHORIZED IS NOT COMMEN00 WITHIN 1W DAYS,OR IF 6b•Enter 29%Of Ire A for CONSTRUCTION OR WORK 19 SUSPENDED OR ABANDONED POn plan Review It required(Seo.e) ti A PERIOD OF 190 DAYS AT ANY T1MF AFTER WORK 19 nNubrofW ENC COMMED. l� Trust Acealnt 0 t 1 Balance Due 1 + L a p7-20 118:24Ata rn,? 5!�"fi., F,;E•+�kna�14�,i1�- t CASK HISTORY FOR CARR NO.: RLC96-0169 GALLAORR RLRCTR.IC 097+5 SW SHADY JA Unit' 200 05/27/99 Action Deseriptim Roqi Schd/ Bnd/ Action Notes Disp By Update Upd Code Sent. Done Done Date By 0' ------- -------- - ------------ ------ ---- --- ------- +, t RLCC001 Ap lication received / / / / 03/20/96 RVCD CJS 03/20/96 TMP RLCC003 Petrait created / / / / 07/20/96 PEND CJS 03/20/96 TMP = i BLCC500 (P, IBOUO permit / / / / 03/26/96 PASS COS 03/26/96 TMV RLCC700 Cei ing Cover 03/20/96 / / 05/14/96 after slack vire@ PASS MJF 05/14/96 MJR i t RLCC720 Nall Cover. 03/20/96 / / 03/27/96 PASS MJR 03/27/96 MJR SLCC800 Came Pinal.wi / / / / 05/14/96 YSS MJR 05/14/96 MJR W�1 1 i i i C i i� PERMIT #. . . . . . . SUP-96-01114 4 CITY OF TIGARD DATE ISSUED: 01/126/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 135BD-00300 13 H$I�d.7rpmrd,Qrpon D7223•81W (503)V"171 if� ,1�0 ITL t����}'�•,�,. . . . � - _;UBI)IVISION. . . . ZONTNG:C-G • BLOCK. . . . . . . . . . . LUI . . . . . . . . . . . . . s ------------------------------------- ._c______------__ - __ REI SSUE: FLOOR ARCA.,----- - _-- EXTERIOR WALL CONSTPUCTI0N of CLASS OF WORK. :FIL_T F1 RST. . . . t 1500 s f IU: S: E i W3 .f TYPE OF USE. . . :COM GrCOND. . . : 0 ,f PROTECT OPENING5? TYPE OF CONST. :51V . . . : 0 s f N: S: Es W: OCCUPANCY GRP. :S2 TOTAL-------: 1500 s f PGO CONST: FIRE: RET? - OCCUPANCY ET? sOCCUPANCY LOAD: 13 EASEMENT'. : 0 5f AREA SEP. RATED: STOR. : 0 HT : Q ft GARAGE. . . : 0 sf OCCU 5EP. RATED. BSMT?: P1E:Z Z? : RECD SETBACKS---- REQUIRED------------------_.-.FLOOR LOAD. . . . : 0 p s f LEFT: 0 -Ft RGHT: 0 ft r I R SPK.L:N SMLK DET. . :N DWELL-ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y ; DEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR:N PARI',I NG: 0 s VALUE. $ : 3500 Remari<s : Tenant modification Owner. ___ ------- --____ ____ ____----- ----_____________ FEES ... ---- --- -- _ - - HAZEL_ TNTN' L & HIGASHI'YAMA type amotrr•rt by date recpt HIGHLANDS C:O. /NORRIS R• STEVENS REAL PLCK $ 2E3. 93 P 01/23/96 96-•275204 520 SW GTH #400 FIRE 17. 80 B 01/23/96 96-275204 PORTLAND OR 97204 PRMT >F 44. 50 JSD 01/26/96 96-275369 Phone #: 5F-,Cl- f 2. 23 JSD 01/26/96 96-275369 Lontract or: .1 & R RE110DEL.I NG ROBERT D WHEELER i 5406 SE RAYMOND PORTLAND OR 97206 17,110 n e #: $ 9.3. 46 TOTAL ' Req #. . • 050463 1 i -- --- -- REQUIRED INSPECTIONS ----_ This permit is issued subject to the regulations contained in the Framing I n s p Tigard Municipal Code, State of Ore. Specialty [noes and all other Gyp Board I n s p applicable laws. All work will be done in accordance with Ste s p Ce i 1 n q Ins p approved plans. This permit will expire if work is not started Misc. Inspection } within 188 days of issuance, or if work is suspended for more Final Inspect ion i than 188 days. I'e r m i t t e e U i 9 P a t,u r e : Ca 11 for inspection - 639—•4175 r ' i i L- • . � rra,��d ►' z� 'iv Commercial Building PermitAOplication Ciiy of Tigard 13125 SIN Hall Blvd. Tigard, OR 97223 ( � J (503) 639-4171 jl y5 l Jobsits Address: S✓ , .�4_ ,� /¢ /Z�r=' Tenant: _ ��ez ,_ZWSuite* �� Office Use Only C"3 Planck/Rec # Valuation: N 4,z F( -r vG li ti f/o Iv,4- 1XIC. 4,rd Permit # Owner f{ 1'6-Asµ1 y A W/f 1 &,4 4.A rYd 's C: o L r D _ • (� P A/0'?/F'/5' ,r Map & TL# Address: S z -.54- G `N yo 0 oA^provals Ra aired ---- Planning _ Phone: _ _ — Engineering Ocier Contractor: tat er z Address: :y c^6 5zz— XA f/ zo 7" , Type of const: 1c.�11d x Zz o L�6 �- Phone: Occupancy class: 77s -4s3L Contractors License � 7 Sprinklered? Yes C No/ # 0..L - �/ (attach copy of cuwrent Oregon license) Sq. ft. or project: /�Gid• i Contact name & phone: Ye''ZC ?- Story (1st, 2nd, etc.) Proposed use: Architect/Engineer; _ Previous use Addres _ Nott': Plumbing & mechanical plans must be submitted at time of Phone: building permit application. JOB DESCRIPTION: Applicant Signature Phone number Received by: 1" AJ Lo., h Date Received: 71A�t'n"n,Y'nWYU187::EILI};'�1H{' Permit ;* Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) yL/ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) = _J--` • Plumb: • Mech: Plan Check (PLANCK) Bldg: _ Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) 1 Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) ` Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (W©UAL) Watar Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: l l -"OWN r a.. f�y,e RL fill -41 LO A 4 " X16 � DitiL t - LF - - t t � ---•---� r— 1 For only Eh6.4,0A a5 r c-ibed i 3 tT NO. ` JebP` C,,T V CF TIGARU"I R Apar•jed For onty the waA as cpsr^oedC�7 _ - ! Job Address: I By: or iALI/I 0 � _rn .+�+ near. e,. iR" ry^yrw+^..�py.� '�"1R►:"`"w1 T «•" .-M^,'was!.YM. •.a.' t. N}rli !14 fr b I' " 1 CASE HISTORY FUR CASE No.: BUP96-0044 Ir HAZEL INTN ., 4 HIGASHIYAMA I 09735 SW SHADY Iii Unit: 200 I 05/27/99 IIIIs. I l� Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Bent Done Done Date By I S ".` -..------------ -- ---- --- ---- ------- -------- ------- B1IPC007 Application received / / / / 01/23/96 RECD B 01/24/96 B BUPCOOO Permit created / / / / 01/24!96 PIM B 01/2y/96 H CUPC015 Plans routes' to Plans Examiner / / / / 01/24/96 PEND S 01/24/96 B Plans A roved/Routed to DBTs 01/24/96 / / 01/24/96 1 BUPCU.4 pp APPR JHF 01/24/96 JHF 111 II BUPC090 (F) Ready to issue / / / / 01/25/96 PASS B 01/25/96 A ` BUPC10o (F) Issue permit / / / / 01/26/96 PASS JBD 01/26/96 JD `f BUPC740 Frothingp Ins 01/24/96 / / 03/26/96 pend raise ales outlets to 15^ off APP GS 03/26/96 GES 1 BUPC76o Gyp Board Insp 01/24/96 / / 04/22/96 APP GB 04/22/96 GBS ; BUPC762 Bump Csiing Insp 01/24/96 / / 05/14/96 attach hvac grills to grid; patch DIS GS 05/14/96 ORB ceiling penetr kit/lunch .i; perimeter I wires; hole in torr wall kit/lnchrm; ! f lite wires on newly set litee; eleC cover f BUPC762 Pusp Csiing Insp 05/15/96 / / 05/15/96 A'P GS 09/01/96 BT2 BUPC799 Final Inspection 01/24/96 / / 05/21/96 APP GS 05/21/96 ORS BUPC960 Came Finalsd / / / / 05/21/96 APP GS 05/21/96 GES i I i I i i I ' I I� it I jl Y i i I� I