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9898 SW KIMBERLY DRIVE-1 9898 SW KIMBERLY DRIVE i r� 1, E x 3 r,r7 f'J O� f0 O� »..:....+�r�....�w�..i.w;�...,....,.....,.,w.�...�...:..WwY+.�+.uw,ww�..+w:a � w � -1�--� Address LSf ��� /(.�..�x.�-fit, �¢., Permit Rl o. Permit charge --- p-. Owner a.� o� u�-�c Connectins fee e Paid by Typa of b,-il ,Aing Cate connected T Service ra ,.o /8 Inspection frc S�. Snntract.r�r Paid by date Si.-.,e of con,i ,:ction Assessment pai ,q II i, 1 rte. Address y � 0 . Permit No. Permit charge ;: Connection fee s O c) ,o Paid by Type oil building *, Date connected Service rate Inspection fee Cont.ractr+: Paid by date 5iz3 of connection Assessment ��� Paid ` .. . . _._.-w.�.-p..r++•........,...�.r.•.�,..n>rw.,...�:.w.».rwno•.�w,..n.........,.�. .,. ...... .. .....,....,,.......•m,�_..w ..w^-.-�.+,.. BUILEUMNG PERMIT APPLICATION 1OF 1T TIGARD OATE_L-J l41L , 19 THE UNCCRSIGNED HEREBY APPLIES FOR APE FOR THE WORK HEREIN INClICATED BUILDERPHONF ..;11-47M OR AS SHOWS AND APPROVED IN THE r,^r:OKIPANYING PLANS AND SPECIFICATIONS. OWMERPHONE- LOTNO. — OWNER JOB ADDRESS I 96 Ki4i'40CXIV Di . HOME ADDRESS ARCHITECT ENGINEER BUILDERADDRESS DESIGNER STRUCTURE _ ONEW r,OREMODEL GIADDITION OREPAIR _ ❑RENEWAAL UFIREDAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM O-OUCATIONAL OGOV'T OFIL-LIGIOUSEIPATIO LJCAH PORT OGARAGE`O STOF AGE OSLAti OFENCF ❑SONO LJMOVIi c. ❑CONDITIONAL USE ODESICN REVIEW ❑COUNCIL APPROVE, GSIGNS OCCUPANCY LAND USE ZONE .BLDG.TYPE 'I FIRE ZONE L PLAN CHECK BY—22W -- HFAT-_ r..atwstrutt �Augko I'aooil;. WOLLIft With ;,LLoi l'i ri Ssrx,,e - 4 bt:de,,0tg! twth :ewer 4 131)Z., - ^600.0 tes - $25.00 inspection -- - ArA - BEA2016 NO.BEUJ3QQM5_4L—.yA U� E 55,6;A), BUILDING DEPARTMENT SETBACKS FRONT REAH LEFT SIDE RIGH f SIDE Permit 1 11j.00 THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILIN',oG CODE, ZONING Plan Check 4,*.l.50 REGIII_ATIONS AND ALL. APPLICABLE CODE' AND ORDINANCES, AND 17 IS HEREP, AGREED THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITh THE PLANS AND SPECIFICATIONS Al J IN COMPLIANCE WITH Sub-ILtal 2)8.50 ALL APPLICABLE CODES AND ORDINANCES THE ISS DANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONThACTORS TO HAVE CURRENT CITY BUSINESS State Tax 7.96 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUM1 ING AND HEATING. Total - 306.46SDC $4itU.(X) B 1'DC V2 » sluo.uu Y -- AICANT Op AGENt Approved �i:i6`d RP.CP.Ipt No. - p RE55 h1gONE DATE IiNSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor 2Permit No, — K 2 2 Flotigh-in Fixture Final v HEATING Contract(.r Purni, 41 3 Gas or Jil Final SEWER Rain I's r - --cle44x" 29 DnIVEWAY Fir Final Storm Drainage 8" JR in Drain) Final Sidewalk Curb&Street Final Curb &Street BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final tLandscaping Zoning F Zoning Final JOEY n-UILDING r,[RMIT APPLICATION COF TIG,AtRDDATI I Olt N9 O I IAF LjNDf IRS I GNED HEREBY APPL IFS FOR �("'rRMIT FOR THE WORK HEREIN INDICATED 9 U I L D E R P 1-4 CN 12-199l/Llq AS SHOWN AND APPROVED IN THE 04CCOMPANYING PLANS AND SP&CIF lCA'I IONS. OWNER PHONE_ -_ % LO', viO .-R . 30. J013 AODRF'.A2f-R _HOME ADDRF ARCHITECT ENGINEER ADDRESS DESIGNER !!'URE NEW Q RE MODEL 0 ADDII ION 0HILPAIN ORENEWAL OFIRE DAMAGE ODEMOLITION )FNCE. .0(.'r)MM OEDUCATIONAL Ormy-T 0RFLirIOUl;0PATIn r�CAW PORT nGAFIAGE 0S7ORAGEnSLA8 OFENCE -140NO 0MOVINr' DCONDITIONAL USE n DLSIGN REVIEW DCOUNCIL Al-ROVED C35IGNS ,.A FANCY ND USE ZONE SLOG TYPE, PLAN CHFCN: BY HEAT A.1,919 AO 0 Q A Q QQFl JLQAP­ DRQ HEIC OMS YAL JE GING DEPARTMENT SET MAC.-Ir F-R-ONI­A-L) flE AR_Z LEFT SIDE J- RIGHT SIDE-'I' elmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING r'llan Check e?47 REGULATIONS AND ALL APiLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK Wk.L RE DONE IN ALCORDANCE WITH THE PLANS ANDSPFCOFICATIONS AND IN COMPLIANCE WITH ''uh lotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCi OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACT011 AND SUB CONTR,, ,-TORS TONAVE CURRENT CITY BUSINESS LICENSE SLPARATE PERMITS R14OUIRED FOR SEWER, PLUMBING AND HEATING, �liate Tax (T o.181 By APPi ICAN1 OR AGENT 4mroved eipl No A1111111 0 I CITY OF TIGARD i ORDINANCE #-77-26 { STREE: f SYSTEM DEVELOPMENT CHARGE. GATE :_ Febr;_ary 22. 1978ESTIMATED SALES PRICE APPLICANT NA`1E Bob Samuels TELEPHONE # 246-4730 JOB ADDRESS 9598 SW Kimberly Drive BLDG. PERM17 # 1201 AMOUNT OF FEE FOR S . n. C. $400.00 DESCRIPTION OF IMPRO�1__ME:NT Single Family Re:.identid Home EXEMPTI9NS -PER ORDINANCE r477-26 FEC HATES: A. Single family dwelling unit under 560, 000.---------- 4300.00 B. Single family dwelling unit over S60, 0t)0.----------- 5400. 00 C. Mobile Home Court Space (New Development)---------- X1.50.00 D. Multi-Family Dwellings--Per unit-------------------- S240.00 E. Commercial , Industrial & Institutionzal (Park. Space) $ 50.00 each F. Single family unit under X40, 000. ------------------ X250. 00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DCIIELOPMENT CH4RGE PDC #2 DATE : February 22, 1978 ESTIMATED SALES PRICE $55,600.00 + lot APPLICANT IIAME Bob Samuels TLLEPHONE # 246-4730 JOB ADDRESS_ 9898 SW Kimberly Drive - BLDG. PERMIT #__1901 AMOUNT OF FEE FOR P. D. C . #2 - $100.00 DESCRIPTION OF IMPROVEMENT Single Family Residential Home EXEI'•IPTIONS - DI R, ORDINANCE #77-71 FEE RATES: A. Singe family dwelling unit under $40, 000.- --------- ---$ 75. 00 B. Single f3mily dwelling unit over $40, 000.---------------$100. 00 C. Mobile Home Court. Space (New DAvelopment)----------- --$ 50. 00 D. Multi-Family dwell i.ngs--•per unit------------------------ 60. 00 CONSTRUCTION IS LOCATED ON S.E . N.W. SIDL OF S.Lj. PACIFIC HIGHWAY. N.W . is Park CIistr. ict #I. S_.F . is Park District #II . /7,Y' SEWER PERMIT N�l 13920 U . Unified Sewerage Agency 2_22_78 of Washington County C I [-Y 01 n ,;t _ DATE _ OWNER : Bob Samuels PHONr : 7 6-IL73n OWNER ' S ADDRESS: 8735 qW Ixtiman Street'- PortLind,nrpgnn Q7723 TYPE OF INSTALLATION: BUILDING SEWER BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: []NE.W SINGLE FAMILY ❑ CUMMERC I AL ❑EXIST . (F OR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS I PERMIT CONNTIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAL_LINS 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 ,_00 CONNECTION CHARGE _ 600.00 SIDE SEWER INSTALLATION — L Wilson ISSUED BY OTHER 10TAL- no :.xSt:lJc,� Fel,ruary 22, 1978 APPLICANT DATE SEWER PERMIT W 13920 ADDRESS OF STRUCTURE 9898 SW Kimberly Drive, 'Tigard 'VAX MAP TAX LOT SYSTEM RpRm Fantio Creek I OF __. #32 BLOC K OF , rTW _7�72/7R !cam i ��i �['Gr-c 2/22 78 APPROV[_D,.q,`' DATC ISS&D HY DATE RCMARKS /C