9894 SW KIMBERLY DRIVE-1 {-.-d
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APPROVED FOR CONSTRUCTION
Q CITY OF TIGARD
a>K
PERMIT NO.fe SITE ADDRESS_IS ff _3 61110
----
•1 I r t BY A C TITLE ���• '��VP DATE Y -72Z-el7
CANl.I_LY RM.
I �
r
lot
4
j Building must be compieted
according to city codes and
final inspection made b,--
occupancy.occupayncy.
CITY OF
L V�� p LA 1-IOMLx AVPITtoI.l
- - ---- -. _ .�_._ - - - .N - F-FK
'14" , 11,x06 KIM6LLW'S P?las_
SCALE: p -Ilan I4PPROVED•Y:
BRAWN BY
DATE- .4- 21— B-7 REVISED
5vt='4f�l�NT'o eC)1J5T1[U-c"T10L1 IQ4.
5.,,,V. 2 uv, 5*A\iglhr >", oR9FePt>1-J 47c>c�S
90174 EM k;T MPEr: ,t_.Y
DRAWING NUMBER
,waver
M R as IRIN"D ON NO.10001 CU A*PNW•
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NOTE: IF THIS MICROFILMED ,,. 3 4 5 6 7 e 9 10 11 12
DRAWING IS LESS CLEAR THAN ,
THIS NOT IGE i-IT IS DUE TU
- -�f QUALITY OF THE ORIGINAL
RAwING. DE dZ 9? LZ 9? S2 110? EZ - ZZ 1a OZ 61 81 LI 91 1 1►1 EI ZI I I 01 6 9 L 9 S b E
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MAY 7 1992
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9894 SW KIMBERLY DRIVE
sssr
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 'V7 A
Date Requested rjlmn A.M. P.M.
Address A/ Permit 5?1�
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector Disapproved
Date kINSPECTION
CALL FOR R
YES [� NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397D41'b---),
r—
Tigard, Oregon 97223 p fi 0 j
Phone. 639-4175 r0 �,r� d�
Type of Inspection -
L��_—_—
Date Requested _ Time
l _ A.M. P.M.
Address r4 S LA—) I `� I— Permit
Owner _ — Lot #
Builder )br�_y+The following following Building Code deficiencies are required to be corrected:
i
I
Presented to t--f"Approved
Inspector - __ __ Disapproved
Date --
CALL, FOR REINSPECTION
Cl YES ❑ NO
r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —_ —t-/��--
Date Requobted Q 5'' 41 Time ✓ A.M. P.M.
Address _�/ 7 7�+ � _ Permit _—
Owner _ Lot # —
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ proved
Inspector — ( � Disapproved
Date -
CALL FOR REINSPECTION
YES [ ] NO
I
INSPECTIO" NOTICE
City of "Tigard Building Department
P.O. Box 23397
'Tigard, Oregon 97223
�c Phone: 639-4175
Type of Inspection
Date Requtisted Time _ A.M._ / P.M.
Address _ / �1 �'L.�L!y' Permit
Owner _ Lot # _
Builder
The following Building Code deficiencies are requi;ed to be corrected:
Presented to pproved A'
Inspector �— __ [_� Disapproved
Date ,q
_.__ TRREINSPFC770N
I. 1 YES I_J NO
CITY OF TIGARD 638.4171 6 9 9 E
BUILDING PERMIT DATE
TAX MAPM-H--&LOT N0. -LV—SUBDIVISION
OWNER --1-j-
_3 -. _ ,..•r,nr 3 � a i: X
JOB ADDRESS
BUILDER STATE REG.NO. G884 r-
EXP.DATE ;'t3jAA
BUILDER'S PHONE _ _ WI-9602 —�-
ARCHITECT �Jtt 1.c3rs. PHONE OTHER
STRUCTURE f NEW ❑ REMODEL �j ADDITION ( � REPAIR MOVE _ OTHER ( DEMOLITION
RESIDENCE COMM I EDUCATION L] IND I RELIGIOUS ACCESSORY GARAGE OTHER FENCE
OCCUPANCY i ` LAND USE ZONE BLDG TYPE FIRE ZONE_ PLAN CHECK BY HEAT
to f1` ..}1 }I M.1 ll':ilLlC.f'b'�� :7`_I T1t'±7" :7[/ T?xnvi r.i•sn
C
SEWER PFRM1T#
OCC LOAD FLOOR LOAD 40 HEIGHT —_ NO STORIES AREA NO.BEDRO04S VALUE '-
BUILDING DEPARTMEN' ----
SET BACKS FRONT REAR LEFT SIDE II RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINE6 IN THE BUILDING CODE, ZONING
��• .} REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI,C_k.Fire _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REQUI ED FOR SEWER,PLUMBING AND HEATING.
State Tax '•`� �c.,.r. coag
-- SDC- r
Total — ---------- ------
- PDC# APPLICAN70RAGENT
Prepd.
Receipt No,, ADDRESS --
Bal.nue J
Issued By—_..__...__. _. Approved By_
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
i
Contractor
�±rz'/_S`2�7 i Permit No.
1y `� Rough In
.�cc-fie-
Fixture
Final
—__ HEATING
Contractor
--
Permit No
_.� Gas or Oil
Rough-in
Final
SEWER
Final ---t
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final -A
_ Approach
BLDG.DEPT.FINAL. TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPANCY --
Landscaping
Zoning Final
u;orkshee� PLAN CHECK NO.
for inspections call 639-4175 E T N0.
GATE
CITY OF TIGARD 639.4171 4.1-2 (o----
BUILDING PERMIT suoavlSloN
P.O. Box 23397, Tigard OR 97223 TAX MAP LOT NO.
OWNER 11 _ y fA J '• /1 - JOB ADDRESS
BUILDER - STATE REG.NO EXP.OATE
OUILDER'SPHONE ' /vie
ARCHITECT _Ai- I- _ PHONE _ -- OTHER
STRUCTURE O NEW O REMOOEL .&AOOITION ❑ REPAIR O MO,1F O OTHER C1 DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS. O•ACCESSORY ❑ GARAGE O HER 04 EHCE
f FIRE ZAN, PLAN FIHECK BY f1EAT _-
OCCUPANCY �_lAKO'JSE LONE .__SLOG.TYPE IL,--L— --
CFSirrt�.v 0 S7
SEWER PE1,A41T/, ✓ - - --`-'- -
OCC.LOAD FLOORLOAO HEIGHT NO.STORIES AREA0.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT �p REAR 3 y LEFT SIDE 6' 9" RIGHT SIGr, N /�,
P•rmll SU THIS PERMIT IS ISSUED SUB:qCT TO THE REGULATIONS CONTAINED IN THE BUILDING COOS,ZONING
REGULATIONS AND ALL•APPLICABLE CODES AND ORDINANCES.AND IT IS HEREBY AGREED THAT THE
Plan Check y N 13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Plpk.F" RESTRICTIVE COVENANTS.OONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REGUIRED FOR SEWER,PLUMBINO AND HEATING.
State Tax F SSOC
SDC- --
Total APPLICANT OR AGENT
POCS
PNO
ADDRESS N(
/
Bal.Due /r/1-157/1-157ReCelpl No.
Iasued By Approved By�
------------------
OL - RECEIPT b
OC. DATE PD.
EWER CONNECTION S AMOUNT PD.
EWER INSPECTION =-->`-
EWER SURCHARGE S %
mm e n t e:
J
3UILDING PERMIT APPLICATION TIGARD DATE_-__- ts_—_ 3242
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE __-.0-09!jb
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE (Pj?.ifA*G
I_UTNO._ -;1—I,,F3I'WOOC�_E6t•
OWNER hiLhard L• .iameoJOB ADDRESS 91394 5ij KimUurly Drive
_ ARCHITECT
BUILDER Sam`.. ADDRESS ENGINEER
above DESIGNER
—,---
STRUCTURE ❑ NEW ❑ REMODEL ® ADDITION ❑ REPAIR-------Li RENEWAL ❑ FIRE DAMAGE_ ❑ DEMOLITION
Ll RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO [7 CARPORT ❑ GARAGE E7 STORAX.? ❑ SLAB❑ FENCE
OCCUPANCY ---&—Mk LAND USE ZONE f<-7 BLDG.TYPE �t'I _FIRE ZONE--J--PLAN CHECK BY _ dut) HEAT
i onstruct greenhouse addition to exiAindwalling, all per plena alld code.
SEWER PERMIT M
OCC.LOAD FLUOR LOAD 40 HEIGHT d NO.STORIES 1 AREA 19'' NO.BEDROOMS -- VALUI,. OU
_ BUILDING DEPARTb ENT SET BACKS FRONT REALEFT SIDE "" RIGHT SIDE 1 f.
Permit _ "J, 00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check 14.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 421.00 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax!I 11,12
Total '�u3•ii'.
SDC—
PDCq APPLICANTT OR AGE N—T-
13YPi --
d�dh Receipt No. Oyu:,
�,,,
Approved ADDRESS �, I PHONE -
an ao• � tt� t I� � axle
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
ASF_ k�/ D C _ Permit No. _
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
– Gas or Oil —�
^
Rough-in
Final W
--- _ SEWER
- —�— �---� --J
Final�
DRIVEWAY
—�-_ Final _
Storm Drainage
(Rain Drain)Final
Sidewalk
Curh&Street Final l
App•oach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPAPM.Y
—�Lendsceping
Zoning Final
A � ..
BUILDING PERMIT APFLICATION TIGARD DATEr G 1� 1900
THE UNDERSIGNED HEREDY APPLIES FOR A PERMIT FOR Tt iE WORK HEREIN INDICATED BUILDER PHONE u• ,�
OR AS SHOWN AND APPROVED IN THE ACCUMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
y"�.4 L. JA MFGO JOB ADDRESS �f�Q LOT NO.
rr�v�N R 1 __ _
ARCHITECT CAM
ENGINEER
BUILDER Yp1 �" ADDRESS O'!,`R' DESIGNER �—
STRUCTURE ❑ NEW ❑ REMODEL r ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE Cl DEM101.11ION
❑ RESIDENCE C COMM ❑ EDUCATIONAL =7 GOVT ❑ RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE C, STORAGE Cl SLAB❑ FENCE
OCCUPANCY �_.�_.LAND UCSF ZONE -- I __BLDG.TYPEFIRE Z
O
NE_PLAN CHECK 8Y HEA(! _
SEWER PERMIT#
OCC.LOAC_ _FLOOR LOAD Q HEIGHT e-140.STORIES^y � AREA NO.EFOROOMS r VAL LIi_38OO_
BUILCING DEPARTMENT SET BACKS FRONT REAR +•- LEFT SIDE �•"''_ RIGHT SIDE
P•:rmit • THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZON:NG
REGULATIONS AND ALL APPL CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan rheck i (141 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COTAPLIANCE
d I WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-totul _ �i RESTRICTIVE COVENAYTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
/, LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stata Tax _
-----_ -__ � .S'- SDC— -- -- --- — —
Total _
PDCN APPLICANT OR AGENT
B�
receipt No.
Aporoy�ld } ADDRESS PHONE
SDc — s
PDC S
SEWER CONNECTION $
SEWEn INSPECTION $
SEWER SURCHARGE
Cnc.rlentS : _ _
N N N N N N N
Address
Permit ^J o.
Permit chargeJ1�7?. _
CWner = �� Connection Fee'
Paid by
of building Date connected
vice rats
/S rJ Inspection fee ,�' •,
int actor Paid by date
of connection Assessment Pard
BUILDENG DFPr,FI,''I,NICiNT, TIG4RD
PLUNI3SNPERM!T M f
of a valid plumbing contractors license is hereby t
authorized to cause plumbing wort: a:; rein nuted t�, be instalieJ in accordance with the plumbing coda of
Tigard. Such installations rerluire inspection by t1 w, City Inspector who shall be notified not less thart four
(n) hours prior to the time the installations are r.,ady for inspe;,'ion. City of Tigard Business License required
for all contactors and sub-contractors.
cry /�I�,[,C,�it?_ –_ _— _
Owner_��._ ._• Adrires� .189 �------..._-._ ����_._ Dare_.
NUM IFH Ur --~�- - TOTAL PERMIT NO.'S
TYPE OF PEhMIT ITENIS FEE: ON EACH AMOUNT (Office Um Only)
Single Fe mily-1 bath-esch-- _ _-�( �_- 25.00
_ Si
_ Pu
�p Edch 1 bdth unit _ _ 25.00_
I Additiowd bathrooms-each �� - -- 10.00
tvIvOIA Home SPace_-rach _ 15.On
IN t, I,/ 10 U A L FIXTURE FESS
I
to 50 Fixtures in 1 building-each 3.00 !p
51 to i0o rixtures ii,�t
j ------_--
101 to 20U Fixtures ,n 1 bt ildinS-each
�24r oMure Fixtures in 1 b4liin g,trh __ - 1.50
MISCE_LLANE0U9 _
8,,ildir, Sewer-1st 60 ft. _�-- -- -- ---._-^-
__._.._10.00__
Sewer-each Additional 100_ft_—_ __— — 10.00
Water Sarvirg to bu;ldin 5.00
Private Water Systems each 1001 ft. 10.00
_ ther OISPerifyi;
t P RMIT tl - r+rPturvy' P. O. BOX 4H'7
- __ •.. 4O g instJert%or,Phone 639 a 1� 1
State y�0 Plun,b,n Contractor B _
.� - �_._ _ 9 Y _CORNELIUSL OR 97;13__._
OiAI. �'�/t_y�CO CFIPT NO. Issu�d By
9
BUILDING PERMIT APPLICATION "OF TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_ —_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONF
LOT NO.
loci (9 I �.irn�iarly 1)r.
OWNER JOB ADDRESS HOME ADDRESS
— ARCHITECT
G'�111€) ENGINEER
BUILDER 1--1 ADDRE59 DESIGNER
❑
STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR [:]RENEWAL [:]FIRE DAMAGE []DEMOLITION
D HE`>IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE []STORAGE❑SLAB [:]FENCE
013OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY _-LAND USE ZONE t'_- BLDG.TYPE ,Jf� FIRE ZONE— PLAN CHECK BY HEAT
sin,je fardly dwelling w/aLtabhed yeraye 4 bedroosp 2 bath
- -- jo oc(,upstic;y pormtted ur-Itill :111 atre at, wo1v CUITIP1603.
- - zl : Cl 15t�c 3,11 '.
BUILDING DEPARTMENT -Yel_UF
_FL-OS?F�3D HE'IrzI�L __---...., N9.:_�IQ�.€$. AREA NGS@ RIGHT SIDE s
SET BACKS FRONT LEFT SIDE
Permit ].t: .0()
THIS PERMIT IS• ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check a3.00 REGULATIONS AND ALL APPLICABLF CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 249.DU ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERM11 DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6.64 LICENfE,SEPAJt E PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
r.L.i.• G�3lJl�. \
Total 255.64 0. • ��:? �71f?0. 2 nLoRy
^^II
r
.._ APar.ICANT OR AGEN1
Approved t t tj Receipt No C,
'es..,.. .wv4'.W..w,.(u`iNl.Walud9YY,w.II/Ylwka�l.11.wfilI .IF'JeRwa.�uMOJii.,."""W"^�1'1.' `r,.+'R�'.,.... e.rwYa
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor -72
6 1-
I 1 2 Permit No. —
Rough-ti.
Fixture
-3Pep o Final
x/l,�`L11 HEATING
g&,-dAAq
3- ? 0/< Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
IFinal
DRIVEWAY
kFinaI
'I vrro. Dtainavi
(Rain
D
r
a
in)
F
inal
Sidewalk
Curb&Street Fina
l
A roach
SLOG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
rFinaICERTIFICATE OCCUPANCY LandS,aP,ng
Zoning Final
=,IJILOiNG � RMIT APPLICATION I"OFY TIGAAD DATE_t r_v _.__. t9 N° lJ
.4; UNDk HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE____--_
.i: A5 HOWN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPF CIF ICAI IONS. OWNER PHONE
f LOT NO.�u=Z -
I 'N
t _-HOME AUDI _,—
�'�""
ARCHITECT
F7N'_,INLLR
_ADDRESS
DE.SiGNER -- —.
_ICTURE 01' EW 0REMODEL []ADDITION 0FIEPAIR ORENLWAL ❑FIRE DAMAGE ❑DEMOLITION
IDFNCE []COMM L_,1EDUCATIONAL ❑GOVT 0RFLIGIOUS0PAT10 ❑CARPORT ❑GARAGE OS111AGEOSLAB ❑FENCE
IROND _ _OMOVING 000NDITIONALU'iE ODESIGN REVIEW OCOLINCIL APPROV []SIGNS _
" NCY .,_L A F. ZONE�1� _ BLDG- __FIRE ZONE Z _°I AN CFIECK by HEAT_
HEl�L
BUILDING UEPIARTMENT SEI BACKS FRONT REAR_41�_43 LEFT SIDE � RIGHT SIDE/ _—
�t�fMlt
(- THIS PcRMIT IS ISSUED "UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Pl8h Check J( (� RFGU-ATIONS AND ALL APP[ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
s+ VI Wit.L BE DONE IN ACCORDANCE WI TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
FUb total ALL APPI ICARLS CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
----- --- -- --� RL7,TRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CUi ENT CITY BUSINESS
;isie T8X , I KENS[ SEPARATE PF RMITS REQUIRED FOR SFWFR, PLUMBING AND HEATING.
by
APPI(CANT Oil AGENT
Appfoved RecPlht Nu
�,_( PHONF'
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE
APPLICANT NAME ,L-,,_._u TELEPHONE # _
JOB ADDRESS BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C . �� L.,y
DESCRIPTION OF' IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #'77--71
FEE RATES:
A. Single family dwelling Unit under
B. Single family dwelling unit over $40,000.------------A-$106AD
C. Mobile Home COUrt Space kNF�w Development)------- - -----$ 50. 00
D. Multi-Family dwellings-•-pur unit--------------•- -----$ 60. 00
CONSTRUCTION IS LOCATED ON S.E . SIDE OF S.11j�. PACIFIC
HIGHWAY . N.W . is Park Distri_ :t #,'.. S.E _. is Perk _District #II .
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE $__ /
M
APPLICANT NAMES TELEPHONE
aU8 ADDRESS__._ BLDG. PERMIT #
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under $60,000----------L $300. 00,
C� Single family dwelling unit over $60,000.--------- $400.00
C. Mobile Home Court Space (New Development)----------- $150. 00
D. Multi-Family Dwellings--per unit------------------- $240.00
E. Commercial , Industrial & Institutional(Park. Space) S 50.00 each
F. Single family unit under $40, 000. -- --------------- $250. 00
f
SEWER PERMIT N! 1388:
CITY OF TIGARD
49OWeregs,Agency
of Washington aunty C TTY OF P.0.US0307 DATE 1-26-78
12420 S.W. Main
OWNER . Tom Biller Tigard,Oregon 97223 PHONE :
OWNER 'S ADDRESS: _-----
TYPE OF INSTALLATION:
XC)BUILDING SEWER ❑BUIL.DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XQXNEW Xj�)x SINGLE FAMILY ❑ COMMERCIAL.
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PERMIT CONDITIONS! THE APPLICANT AGREES TO COMPLY WITH ALL Rt"_ES,
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 2.5.
CONNECTION CHARGE 600.
SIDE SEWER INbTALL.AI ION
ISSUED BY
OTHER
T TAL $__ 625.
\t K,
APPLICANT DATE
YG CdTE. SEWER SE9VI CE
umff WILL aESIM FOR 7�12 SEWER PERMIT N ? 13887
T,�RMIT
ADDRESS OF STRUCTURE Lot 131 Kimherly Dr. _ —
TAX MAP __ TAX LUT SYSTEM Tann o creek
LOT _ RLOCK _ OF
APPROVED BY DATE ISSUED BY DATE
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