20120124 Permit Pkg 02282012City of Velm
Community Development Detainment
Building Division
PM1gN: 12691 4518,107
Far 1260145 1
AppllcaM:
Name: AHD CONSTRUCTION
Address: 5512 HE 109TH CT. SHE 101
VANCOUVER WA 98983
perms No 20120124
time Dale WI
phone mw be compete line 190 dayst
Pedgem lMOrmatlon:
Site Address: 13404 GREENBRIER ST SE I Dear AHOCONSTFOCTIONI,wC.
Assessor Fort No.: 5 6 510) 010 00 Subdivision: JOHNS MEADOWS LM: t
Contractorlrtormation
Name: AHOCONSTRVCTION
PMm:
Address CHAD
NEVIRESIDENToUBULDING
5512 NE 109T1 CT, STE 101
$17706.33
VANCOUVER WA 992
AREAHEATING
Contractor License No. M0001IMBC
Eqm: 1X32012
Pro(wtinbmutlan:
a 132W
Project NEJI RESIDEWIAL BUILDING
Deacnp5mnolWwk: LOT I, PLAN 226q
Sq. Ft par soar.
Heat Type(Eletldo. Ge; Other)
First 1087
Seemed 12T7
ThiN
Dwight am
Basement
3T
been
Conhactor
Fees
NEVIRESIDENToUBULDING
roGMSTRUnkM
$17706.33
MECHANICAL
AREAHEATING
5 M
PLUMBING
WATERWAYS
a 132W
TOTAL FEES: $n,923W
AppllunCa AMeavn: YLLIISE GXLV
I cvmV that l nave read and ewn amamened" wnw,,w Ugnm pe wandamn and know the same G
mwwearmwnect abowkty NaHne prtWeai wnpun Is In wnwmillywlgah a{pllmplecnyol 6SNCf perm.
Yale mmaomsinawm9 mow Aw'emNneed and and sueermutw m mellmn, all nand, —
rse'ov nn S/[sie naarx nAommn ,
Ha Wlyirpuemrnnmor lluMx ®Nrymellamwrrenny FlmllruparLm.
Bad �•iQ -IL mre.
Firm Aw Pof4DYeA.r y r=Y[ BY
YEN CD1141NITY SCROU-S
PO BON 176
YEN MA X567
Cleril: Croy
Feminal: 1
Ra t
1719/0
Manual Raceiot:
NN�"q
Ni0000NSTUTION 1, AYO
2/6 /2012 1:37 OR
Dy Item
Prim
1 TVF
MITIGATION
2760.00
MryITIGATION
07 -017 / LOT 11 / JOHNS MEADOW /
MASTRO
1 TViMITT64TIOR
2760.00
01 -017 / LOT 41 / JOHNS MEADOW
/ MASTRO
Subtotal:
5560.00
Total:
5560.0
Check
5560.00
PRO
Change Due:
0.00
11:713b,il 1:
901ao (QA
C11YOF)ILM
DING PEWINAPPL)CAMON FORN
Project Atltlress: Il.Yn4 P�Canla;: �T Pereel #:
t
Subtllvkion _ WO I Plen # Zonlrq:
)f New Consbuction O Re -Model I Ro-Roof I All ;(CAR'
O Homo Occupation Sign
0 Plumbing 0 Wl cwmkdm o Mobile l Manufactured Home Placement D Other
Project DesaipticNSmpal aVJOrk A)a.A Ce...eAe..e�.:e•n
ProlectvWue: 3EIe .12(.11m
Building Arne bol 11) la FborJ51S.1 2"d Floo(id]T Garage G?O DecF�_
Basement Carrell Pao Ia'S
#Bedrooma--tt #Bamroorl Haating:GASIOTHERa ELECTRIC(Clrcle One)
Are Mers any envlronmentally sensitive allows locoed on me parcel? AlO
Myer, a completed environmental checi must accompany leave application.
'.Awe SLU= 1..
ADDRESSS 39j / 101 EMAIL C d( ,Peen
CITY rto..eo..J.f STATE mA ZIP980.1 TELEPHONE See.491 -u3i
LICENSE#
ADDRES51 Lob &E,
49�^ Ceet� 'EMAIL
CITY Uaeovdy STATED ZIP 486gi TELEPHONE3L0 boo -LORN
TELEPHONE
ADDRESS EMAIL
Clf ' STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE_CIW LICENSE#
Wa L0 FS TEIEPHONE3eo- be1 -13o4
ADDRESS 1440] rQS 9A IS —EMAIL
CITY CITY l6 ttrvv STATE e9 F
3bo. L6 ✓9143
CONTRACTOR'S LICENSE #Unrel*VTadihu.XPDATE CITY LICENSE#
TELEPHONE 36b ]3]. a 811
ADDRESSdIm AE Aua IY...a.e.v./- STA EMAIL
CITY STATE�ZIP,j$yy1 FAX 31aW LICENSE LICENSE #Cal PANp in *.n EXP DATE CITY LICENSE#
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All pemlare
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within 180 #ay:
05 moon Aynw
Perna WA 986ra
'ahmes, if applicable,
ban an end the aaaaroen and the me of Me
earache oft etlb a W,,bfnwn endtho
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prrse# by such permit k not begun
rdoned for a peNal of 180 days
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