13160 SW LAURMONT DRIVE r�
r�
Ne.
13160 SW Lau=nt Lbr.
,Ry, �,`�k'�pw••.,�3."� hxr !t�� x.��g',,Yii t f -Z� � ��+pi. �'" '��"��i� dC ' +
,,y,��.��� ,"�":a .d'�.i % "{,.!fes .`��� .jyy"�+P �7f �r��„t,"W'''y !'qP �• �. -4��: 1 �
+�►�. ����$�L+���lf�'�1�f,.�11'al �e�fi� t�� ii•�~�AAAP'<,•� ,' �':"._".l�/'.,. 1��� ' MIT 5.:oi �+:
+
�•
Qi wA 1
UC4i
J u11Cd
ej cd
W /��'�'1 _ i
to
93
ch
cd 04
140.
a m :
b
w �4 o� � �
V Od
04
4Sw Y :
cao
� obiu �
V � a � 5: -4 �
Cd v
L
Lia
€ } t .`4a `•w ;fir.' f ��= '� -' "?► ,4' ,
d A' ♦ � • ley � f )" �/.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
q " /7
Type of In.nection
Date Reque4ted__ _ Z- ' TTime —A.M.-P.M.
Address �J 11 c. C� „c1is a,zr -.1, 'lk, _ Permit
Owner V �. Lot #
BuilderThe followint, Building Code deficiencies are required to be corrected:
—NoNOFIN L)
&X 14152�
7oY;A'tgid
Presented to _ Approved
1ispector
�f' ❑ Disapproved
)ate Z-
CALL FOR F-OR REINSPECTION
❑ YEII ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -L/v�:a L --11(Z
Date Requested_ _ Time A.M. y P.M.
Adccress .Met C i c.,ez`i—.er i T Permit
Lot # _
Builaer
The following Building Codi deficiencies are required to be corrected:
-
/r_
i
_ M
I
}
{{3
Presented to [ Approved
Inspector 14- isapproved
Date --_---
CALL FOR REINSPECTION
E!I EB C7 NO
INCrtC' ION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requester —
Time �G'fL A.M. P.M.
_./1 e- G�'j�/37i'/YL .� Permit
Address _ '
Owner_ _ _— Lot #
—
Builder . ..
The following Building Codde-deffiicir ncies are required to be cr—!!.-ted:
�� � amu.• i,�-<.� - _ -
r'
Presented to / ❑,/Approved
ill
Inspe^tor Disapproved
Date � � 4
CALL FOR EINSPF,CT'ION
C_/YES Il NO
`- 40 INSPECTION NOTICE
�;C)D,4v� City of Tigard Building Department
Jt r P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection . Y LA 1-L..--�.A1 CAL
Date Requested_ ___Z �� � 1 Tlfrte�-90A.M. P.M.
Address Z_J L LLL 4 r M G'17 `' Permit M
Owner Lot #t
Builder, )'Y)mt- L -LL.
Tl. following Building Code deficiencies are required to be corrected:
-�-� �- 17.2
Presented to _ [] Approved
Inspector T _ ❑ Disapproved
Date -—� -
CALL F R REINSPECTION
Cl YES 0 NO
I
I
�n`I�rra INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
l `
Phone: 639-4175
Type of Inspection IC,(..4_P
Date Requested 7 Titres �! A M _ P,M,
Address %a Lr t-1.I [n4- Permit T � � z
# �
Owner _ Lot #
Builder
The following Building Code deficienci qre required to be corrected:
Presented to
Inspector � � r '
/ Disapproved
Date _ 1 -
CALL FOR REINSPECWT V
❑ YES [?-NO
sir w � w see sssr s� w
INSPECTION NOTICE
C,cy of Tigard Bulling Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
/' /n - r:ne A.M. P.M.
Date Requested
'�// dV/77G�1 Permit
Address Z
4" ) y j ZZ�
of 16OwnerBuilder GYl1�1._L -------------_—
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
Je=�� —�--------
❑
Inspector Disapproved
Date
CALL FOR REINSPECTION
YFS ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397 CIY
Tigard, Oregon 97223
Phone. 619-4175
Type of Inspection
Date Requested A.M.-P.M.
Address (/-4:k:r—"e,t-/--12 P.,.It C/
Owner Lot
Builder YJ j
The following Building Code deficiericies are required to be corrected.
P- '
.0400
Presented to ApprovW
Inspector
Data
CALL FOR REINSPFC77ON
FW'Y E 8 17 NO
INSPECTION NOTICE
City of Tigard Building Departmcni
P.O. Box 23397
Tigard, Oregon 97225
Phone: 639-4175
Type of Inspection
Date Requested__/ – �3 9 Time--- A.M.� R.M.
Address
Permit #_ Z�•� Z
Owner
– Lot
Builder yI CI7 1. �N
The. following Building Co cjp deficiencies ere required to be corrected:
U
Presented to 10,
proved
Inspector _ [❑ Disapproved
—�— <•—
Date
CALL FOR REINSPECTION
❑ YE8 0 NO
i
INSPECTION NOTICE
�� df City of Tigard Building Department () f
A P.O. Box 23397
Tigard, Oregon 97223
1 Phone: 639-4175
Type of Inspection -�
Date Requested 7 Time A.M. g P.M.
Address !3/�0�,� ��L��!'/7'�C/j'(- Permit c?
Owner Lot �M
Builder �Lx
Tha following Pudding Code deficiencies are required to be corrected:
_ - - 6' � ��
Presented to — __---—._ pproved
Inspector [ Disapproved
Date 7—
CALL FOR REINSPECTION
❑ YES 11 NO
i
I
INSPECTION NOTICE to
City of Tigard Building Department y N"
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175 L�
Type of Inspection — --
/ Time A.M. _�--P.M.
Data Requested L
Permit #
Address
Lot #
Owner -
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
�_ / ❑ Disapproved
Inspector Jl� ��1
Date / Z �_�.1�, —
CALL FOR REINSPECTION
❑ YES ❑ NO �I
I
>v
.,OCG r INSPECTION NOTICE �✓
P'P
City of Tigard Building Depa,tment
P.O. Box 23397
Tigard, Oreg09 97223
Phone: 639-4175
Type of Inspection --
_-����__ Time A.M.L L)1 P.M.
Date Requested__-- Q �2
Permit
Address
Lot Lot #—.
Owner__,r-_— `l-�-
�-------
The following Building Code deficiencies are required to be corrected:
�TApproved
Presented to —
[-� Disapproved
Inspector
Date _ � �� r �-'✓ C' -----
CALL FOR REINSPECTION
0 YES Cl NO
BILVELDING PE-WUT
NO. F?-kJG02'dd4*4.1
ITYOFT11FARD CrAFTIGAltl)) 90
0010
COMMUNITY DEVELOPMENT DEPARTMENT 74-ON
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 1:)1:f I M. PH'r .NO 0EIr
1',3160 !:;W LAURMONt DR $LjMMF:r4i..Ai<v. v,AnK LT : P`.�
T Ax 330C, 1-1000 VILLACA: Fl r
I,.ONDkl5ri"' .
1 01, VAI.-(lA1*:r.0N: F'WONT : p,0 1:11F Q. 1.'i_'
WOPK CA.AS!:; NE.14 l:)Wj:"jj. UN1 :1. T ; 6 IIJ:C.; 30
F'Al"111 y ifio aF;,Dj:4o(:)MS : 1*5 EXT . WAI L CONST :
VN NO BATHS : '3 W E
pl:4('.)*l . UPE:NJ N05 :
N W .
Al- J.P 67
NO . G 1'011:411:l:ij : 1. :11.!YT : 1.'r„6*7 POOF C, F111E
'rl!N A P E:A 5l::*.PAl:V? RATED;
OC41LIP - GEPAP7 RATED:
45 CE ME N'T
I Oo e.10 Z1110 F'1 OF': (iPPIO.-P"? AL-Allm'?
F'L.OW MPM) DEA LA17 yl;'.:!'*w
C 0 P P I?
VIVA 11' 1 y Pl:. ACICIF:1:051?
PI ON Cl-**--'Cl< BY :
tjUE: OF NO. 6506
LAST
$31.3. 00
C) DON PEI:4M:I:*T
PI AN F)E'VTE:W $10 . 00
W 9115r.'.?/1
TN 1 1 PE. DF.
E 1.)C)I"t,.1. d 5 . 6
1 E: 'I AX
R I A .
Li I ',,,I , iA:*)Mt-.NI' GHARGES : $22150 .00
C MOWLWAAAE: DON
0 111600 . 00
40 6
!7i a
I'll. j*J(.)J:I-.I*A*.'.Q�) [Nt' !:i DC tVI'r4I4*.:l:;*.T )
N DON 1v1OPJ-'.0AI .: 1 $2150 00
PI'A'
T
R 1:.4 0 X 1. el P P E,P AT 1) < tN41O . U0>
A I,t 1 lit I i cl 972,110
C
T (503) it 1 ,1FIR . 6,15
0 r4c'u'l-o F,161 T(A NVI ,
PECEIPT NO /(9/q,35
contained In Title 14
This permit is issued subject to the regulations
of the TMC, state of Oregon Specialty Codes.zoning regulations 1:,,i
TNGPFGTT.(:)N5
and all other applicable codes and ordinances, and it Is hereby 1*411111:N G IAVEP
agreed that the work will be done in accordance with the plans and l*--I'.)L)N06*I*:1ON WAIA PA tN DPo:r.NSt
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive P0511 & BEAM W6'TI::.P l.ANj::.
k'1111'y APPIPICI-1/15 W
covenants. Contractor and subcontractors shall have current city P1. 14 . k.)NDI:*A4!Jl---AH
business tax permits This permit will expire and become null and 5 1..A I;,$ F-INAl.
void If work is not started within 1 B0 days.or if work is suspended or 1:11—H 11,11POLYI,
abandoned for a period of 180 days any time after work has I'PAM J.NG
commenced.It shall be the responsi I y of the petmittee to 1189LIM 1:11 ACE.
all required I spe ions are the
Ddapproved GALS LAW.;
TIS151M ATT ON
GYP
Permittee S e ell,I F ul W r N
Issued By
SEPARATE PERMIT'S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i i i at i i i i i i
— __---- SEWtr A PERMIT
� � PE:FTM:f. T N(]. : �iE.(3Esi?2�;5CITY®F TIGM � � f.
r�AT�: 3.!�i�it.tf~r�: :l�. /�.a/
COMMUNITY DEVELOPMENT DEPARTMENT DATE. 4�SSM*T .N(] , 11. 1 c�i 0/
13125 S.W Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639.4175
pAIM1011:3 AI)I'}M71'r.;SS : 1:5].60 SW I...r'IPMONT DA USA NUMBED : 037105
IAX h1O P/I...01 1.!71. :331st". :1.7'000 !iit.)D: VIA-1–AGI. AT'
I.A . SIIMMk�'F�I_.AKE: PAF�K LA* ?5 �K
AND t)!�aU
I (TI !')11,ZE-
!:i F:r,T ON , i 3 'TWP : 1.+p PNG,. :Lw
I ;:)FvK ("l.AEirri . NF:::W
II'.:i E: T'YPla : 1.a'TNC',L1::. l: AM:EI..Y
T 1)4.1 jitp p3 :I.r.:amt, aty:lr,e•r?9i t.r1 (.tamp3 y w:i.t,11 a1.1:11. t t.t3.ax!9 atnrl r rtt?gu].att i.tan111 tt.p thtat 1.Jrt:1i':I.t9CI
I- we,?rage? Agasn�.y T'11rr,? I:?as?r mi. t exl7i.re% 1.r".'.0 c:la�y% from tile ti+nt� ilewtcet�i . �'I1� tritM:l.
n+n►.Irt1, laat:i.r1 wi.1.:l. 13" •I't:Wfk1:1. "'Irl i.i' the {aasr•m:i.t, exFta.res . 'T'he Agency r:!t:1ratfn rtcIt, gt.1far--
ra a I.2Cz Ir•rnr:-y (:Ip tt1c.� l.uc,at.ti.c:tn of 0110 %i.(iwr 50WOr la►t.er•at.1.9t . 1f the 1xd war i.w
I,c,t. .I ctc:In t.rtrl at t.l•te manta.atu torr?main t• gi.vrtn , t.l•1rt i.rtattetller, wht at 3,:l. Ftrrtm parr.:t• .3 it Brett :f.r1
F r t 1 m t,11 tr rl i.xi t,at.n r.,rre g i.v el n . :C f I I C►C. st to 3.o r?ar.t e(i , Ole a i.n is t at.:l 3.e r at ht a1..T.1
{,t.lrr:lusnte? at "Tarp atncl !:iat tt irnwr;?r Verm.i.t tnrW thlet Agency wi.7.a. :Ln9itar7.a. a►. 3.att0l' .
I N! I'Al. L. r•YPE BUILDING 1"Ew1
IMPERVIOUS A1TE A
I l X l l IIiE'. 11N l'1'S : TENANT 3:MF'NC)VE:MEN'T
f11.J1!I. 1 ,F.NC, ONI TS : 1
N(:1 (:W DL DGS 1
F'E E S
PE:Firl:r.'r $35. 00
FN I11..! EiE:T'Tr: ICON rpt , too . a0
a BOX 1.955..4 C:(:INNE C'T I ON CHAME.
I. :I.Nt:. TAP :I.NSTAI_1,. .
.1 I t.a.al n rl m 1.,
0.)'T HF."FT $360 - 00
C MLJFIT,SE::1'T'L:: DON
�?NJ DON t-r wl.lT.i...I)i::11s INC .
T 1,t:1 F�ctx 1.5t�t��l
At; tt( Innt d".1U31 % 1n 9
1
' .9
C ' 931.n
TOTAL: $1 ,495. 00
0 TPAT1ON NO31533
R
l ��
PE:C:E:3:P'T NO.
Th,;pPrmit is issued subject to the regulations contained in Title 14
of the TMC State of Oregon Specialty Cowles, zoning regulations iiE:h(111PF:C) INSPECTIONS
nr,d all other applicable codes and ordinances, and it is hereby PIOUCH 3:N
jgiPPd that the work will be done in accordance with the plans and
I ,ppriticaions and In compliance with all applicable codes and
n ri nances The issuance of this permit does not waive restrictive
rnvpnants Contractor and subcontractor$shall have current city
h!ISinP%s tax permits This permit will expire and become null and
vm(i if work is not started within 180 days,or If work is suspended or
miandoned Int a period of 180 days any time after work has
, nmmPncPd It shall be the responslhlUty of the permittee to assure
ail rpqulred inspections are requested and approved.
Fprnuttr nature
Ne klpd By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1111:(A,IAN 1:('."At Plii 11MI T
PEHMI V NO- : MI;:.E04P2,e4ZI
CM,
�'�OFTIGARD CO�,FV,
COMMUNITY DEVELOPMENT DEPARTMENT 01111190" DAI'F1145(J1:X): 1.1. /1. 08
13125 S.W.Hall Blvd.,P.0,Box 23397,Tigard,Oregon 97223.(1031639.1175 F,141M PM 1' .NO . E.I E 12.c.?A L1
1,3160 14W LAUNMUNI' 1'.)P
1AX, MAP/1-01, 11.il "*.413L.K.: 17000 51JU : VTI.I-F*)t.-A.:-' A'T SIAM111:1:41 A.K V: P(.,.I P I< 1.T : P5 BK
I AND USEZ.; P1.V.
1 01 SIZE :
I TEM: NO: NO :
WORK CLASS : NEW F OrMACIi.I <100K I (.),I:p HIAINI)LP <10
TYPE: SINGLE FAMILY F1.)VINACAK :1.001<4. AT.P HANDI. P 1.0K
C,ONST ,*7 YPE VN 11-:1-00P FLANAGE 10:.VAP .0001. j:::
R3 Vl:::N*I' FAN
V I i'N'I VENT . SYS1,11"M
HI. P/(*.10MP <31-11", t-1001)
N(). S'TUPIL15: I BLA/CUMP ]'N(*.',]:Nl-*.VU-)'TOP(DOM
1)lAI':'LI- .UNITS : I RI WCOMP 15-301-11P i:N(:;:ENF.:*PA 1 OR(COM
I TYF.'.'F;: GAS BLA/COMP r4F.KPAT.14 UNITS
MAX , INIOUT 0I.A/C()MP 50+1..IF7 P
l 1141c: DIVIPI"1!i'1'? VITIPINt.,; 001LEAS I.
LAM 1-441-iss,?
1:1-iA.KS
O Mop vi se.'r rc: DON FAVI'llml I' Vto . 00
W P cl FJUX J.W-J(.?/I PLAN MWIE'14 $1.0 . :1.".:3
N
E I:nir-tland $30 . 150
R 'I AX $P . MIA
1:4
C
0
N DE.I. L HAT'11SIG ING .
T r3!5015I:: plAZZA AVE:
A (A..AL,KOM S Up 9'r01 5
C PIAUNK (1503) eXI*'3---1Af3/I
T
0 OL-1.41t�'I'MA"TIUN NO 117 11.11'TAL $`52 6e)
ip
RECEIPT NO
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes, zoning regulations 1:11"'AA.V1.140:11
and all other spolicable codes and ordinances, and it Is hereby GAF.i I-JW*..
agreed that the work will be done in accordance with the plans and & lAt"AM
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive P(A.W.1-11-1 N
covenants. Contrectur and subcontractors shall have current city F't N F*-)I.
business tax perrilts This permit will expire and become null and
void if work Is not Started within 180 days.or if work is suspended or
abandoned for a period of 180 day; any time after work has
commencedAhs,1:0be the respon si b y the permittee to assure
,d W n
all require :5 are
ste 5 pproved.
Permittee S re
issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CRY OF TIG.A RD
ISIPkM1
IR1'
4.Tww -"EPM.'IA* NO. PLA3822413
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.KqII Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 DA11+:: 1.:1./10/8113
113!M P M I H 13 022 7%7'
10 r.-*.4 ADDr-A.::S`1 : 1.3160 W LAIAMONT U14
I FAX MAIC/L.01- :LS1 3300: 1.7000 SUS : Vll.l. (.)(*.','r-.-.: Al SUMMEAIA10:: l"'APIK L.T 2!5 SK :
LISE : 14 1.i2
%1ZE :
:r T'u:m NO : NO:
WOPK CLASS : NEW W ATL'1-4 (1-111SE'll,
TYPE. : SJ:N(A' FA
E MIA Y I ll:�TNAL OKFI-OW PHVN'T'Fi
CAN451' *T'Yr)r:*,: : VN LAVONA,N)PY I'DAP, F'PTHFA
('X."CiY' Glip : 1.13 T,t.jl;) SIADIA)V'R
GA1,119AGE I)TA:511:10SAL
NO . STOPU::S : I. WASHING; MO-CIATINIF:
WELL 1,IN 1 I'S 1. LAUNDPY l'RAY 1':3 1 Dta . DR01N ( DTA
[1-00P DDATN
51NK IF T')
WATEP I ll:::A,f F.:J4 1. 5 P:';'M/PA1A4 (FJ
0
W M 014J.S F5 V.Tj'E, DON PEMM31'
N
E p to SOX 3.95P.1
FJ X I IJ WE S
V15 (.8
C
0
N HAPOLA)
T
R PLUMBING'
C A psi SOX X250
T ct$ 1,14 t-a d a mr, 970R,,
0 r-I+*)NF--- ( ".10*,*.4) 6,30 i*;r,.?(-i
I 14LAA:611PA-11LIN NO- JW!;�)
This permit is Issued subject to the regulations contained in Title 14 NO .
of the TMC, State of Oregon Specialty Codes,zoning regulations ............
and all other applicable codes and ordinances, and it is hereby PEJAL.11PLA) INSPEL-rTONS
agre-d that the work will be done In accordance with the plans and
specificaticos and In compliance with all applicable codes; and PI 0 .UN17EPS1 AS
ordinances, The issuance of this permit does not waive restrictive P13157' & St-AM
covenants Contractor and subcontractors shall have current city WATEIR LANE
business tax permits. This permit will expire and become null and PI-1.4- 'TOPOUT
void if work is not started within 180 days,or if work is suspended or
abandoned for aperiod of 180 days any time after work has PATN DP0J'NCj
commenced. It shall be the responsibility of the permittee to assure F":NAL
ectio
all requiroensp ns.are requested and approved
Permittee Oignature
Issued By --- —-
1.4 1.N i.sI::'I:::C1'T(.)N 631:' -'1.1 i5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :; 5
PLAN CHECK APPLICATION DATE RECEIVED:—
P.O. Box 23397, Tigard OR 97223 f P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submit ty; plan
check pursuant to the Oregon Structural Code and Fire 6 Life Safety Code, _� edition .
PROPERTY OWNER OWNER'S AU '
UR(iSS: _
CONTRACTOR: _ TELEPHONE: '51-Ile-1
_
,JOB ADDRESS: b)1,4—
1 ` � ��lZ.� �1GOT Nu, n MAP:
DESCRIPTION OF WOR'' :
A roval a wired SPECIAL NOTES
6s7' ��
Manning Dept. Reissue I 7`5
OEngineering Dept. O Flood Plain/Sensitive Lan,l�
n Fire District (� Sewer Availability
nOther 0 OtheI
Items Rejuired
QList of subcontractors
0 Business Tax
0 Calcu?stions
OTruss Details
0 Parking Plan
0 Landscape Pl rrn
( -) Other
COMMENTS:
city
. #Ypsrtment
BY.�;'.,
CITY OFTIFARD A. uv.yv
PERMIT 110. : 7D
COMMUNITY DEVELOPMENT DEPARTMENT
eM DATE ISSUED:
13126&w.NO0W.r.O.Il xMR.TWA0OWSY l.teMM41716 ,r 1 PILI.PMT.NO. :
JOB ADDRESS: __I I S 'G� . L#4 U_ Z n'p h j-__
TAX MAP/LAT ;3 l-3.3� _ _ ---BUB: V t u ,Qr AT ,f L -LT: �=---
LAND USE: ,.�c { 7
LOT SIZE: -_� VALUATION: ' SETBACKS
FRONT: . ;Lb REAR: ?. .
WORK CLASS: ,,,j DWELL/UNIT8: _ ( LEFT: c RICHT: /(�
USX TYPE: -- � NO.BRDROOMS: 3
CONST.TYPE: _��� NO.BA'413: __ -
OCCUP.GRP.: S Trz'� �•
OCCUP.LOAD:
TOTAL AREA:
NO.STORIES: / _ 18T: / o Z- ROOT CONST: FIRLL RET: _
HEIGHT: 2ND: AREA SEPAR: _
BASEMENT: - 3RD: OCCUP.SCPAR:_
MEZZANINE: BASUPT _
FLOOR LOAD: ,[ O GARAGE: FIRE Spum ALARM:
T-FLOW (cm): _ DETECT• _
NEAT TYPE: HDCP.ACCESS: CORR:
PLAN CM= BY:��L_" 6,
RiISSUE OT
SVM PERMIT: f LNiT Rt;IBIUE _tel G - � 'i
d�� 6
O
w
N n
R �iarL ✓]pL: 0� 72 PR1mIT �_
PLAN REVIEW .,�1�.a
Phones '244-4- q 31 ETRE DEPT
STATE TAX _t o
o Name: AeN�r�. n
T DEY
Address: am (STOlRMNARGEs
: 5
A SDC (STREET) - � �
CPDC V§6
T Phones DIpI
O _._.. -. . .._ < /'/c,u -- �—
R c.>FW � /� _
T1,Sh 3 TOTAL: oC l �-0,3(p
�Mc CvC�
RECEIPT NO. -
{J REQUIRED INSPECTIONS
FOOTING SiWER
FOUNDATION WALL RAIN DRAINS
ylPORT A BEAM WATER LINE
PLB. UNDERSLAB CITY APPROCH/SW
SLAB FINAL
NA.TOPOUT
FRAYING
FIRBRACE
OAS LINE
\"":—Sign ure TIOULATION
C".W"tD
BY' --�__ r_
w
CITYOFT167ARD ® PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENTCMT
OF "4RDPLAN CHECK N
13125 SW 1WI elvd P.O.e«23M.TgWd'agM g=(so3)6394175 OR100H PERMIT M 2 L.
DATE ISSUED
JOB ADDRESS: _ SIC, C_ I-, I_, ��, ;; 1>t TAX MAP/LOT
SUB: Ut t�( o jc O ► LOT: 1 a LAND USE:
VALUATION:
OWNER - SPECIAL NOTES
NAME: � Wo_, S 3' fI`N /S'Z L REISSUE OF: S O G
ADDRESS: l CG LAST REISSUE:,?�,?2 3 Z
7Z 71' FLOOD PLAIN/
PHONE:
SENSITIVE LAND:
•- � ". ( - -
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING:
ADDRESS: _ FIRE DEPT
OTHER:
PHONE: — ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS:
PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 7. sa � Sd
611 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) �3 ,SG-
Building _
Plumbing
E
f-
Mech
10-433 00 Plans Check Feep1 ,/U /0 �
Building -
Plumbing _
Mech
2ZY 30--202 00 Sewer Connection cv �e
30-444 00 Sewer Inspection 3 s ��
51-448 00 Street System Dev Charge (SDC)
52--449 01 Parks 1 System Dev Charge (PDC) y - S"y
52-449 02 Parks I1 System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _- Z 50
10--230 09 TRFD - --
10--230 06 Washington County Fire #1 (95X) --
0-220 00 Amart/Wedgewood -
TOTAL
APPITCANT SIGNATURE
Received Hy: _ Date Received:
ht/3587P/18P