11605 SW NORTH DAKOTA STREET 11605 SW NOR'T'H DAKOTA STREET
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BUILDING PERMIT APPLICATION CITY �� �
OF Te�A'�D DATE��-�--._---- � 19 ?N -
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE- _
LOT NO.
OWNER JOB ADOPLS" 11605 S.W. NortJi DRk0f4#ADDRESS uAkfilQ"
— ARCHITECT
BUILDER �Ib.7 _ _ ADDRESS 1636 NB 82nd ENC-NEER
DESIGNER
STRUCTURE ❑NEW— ❑RCMODEL QADDITION ❑REPAIR []RENEWAL ❑FIRE DAM°,GE ❑DE`hOLITION
C1 RESIDENCE ❑COMM Li�DUCAT IONAL ❑GOV'T EIRE LIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGEl-LdB ❑FENCE
❑BOND [IMOVIPIG ❑CONDITIONAL USE 0DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS y
CCUPANCY_..a_j__LAND USE ZONE #I_"7 BLDG.TYPE -0__-___FIRE ZONE 3 PLAN CHECK BY—EW _. HEAT
Construct addition to existiag ling. -10 x=1.8 -- — --
OCC—LOAD—_---_—_F.tn-Q_Q R_L-QA.2_4 Q--- HE, ET A!_14D_1MLFA_!_ AREA AREA PA 0LV�BJrDF�QQ�S T.—YN LU E 4,0 0 0 _
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 28.00 —_—_--.. - - -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEO IN THE BUILDING COOL, ZONING
Plan Check 14.OU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DON. IN ACCORDANCE WI rH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPIICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTR;CTIVE COVENANTS. CONTRACTOR AND SUB C(.�NTRACTORS TO HAVE CURRENT CITY BUSINFSS
State Tax 1.12 LICENSE. SEPARATE. PERMITS "FOUIRED FOR SEWER, PLUMBING AND HEATIN r.
Total 43.12
By
-- / - APPI.(CANT OR AGENT
Approved k.T. WaIdell Receipt No.
DATE INSP. TyrE INSPECTION REMARKS PLUMBING DATE
Coatrac r
Permit N
(ilX_-
Rough-in
Fixture
Final
14EA)(ING
Contractor
Permit N!);;(
Gas or it
final
SEWER
Final
DRIVEWAY
Final
Stoft Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
IIt Is Ilei w ea � Irw � wa. �w 7
bUILUINU VLMIVII I Hrr'L1UA I IUN of Tt
SHF UNDE HSI(IN ED HEREBY APPLIES FOR APE RMIT FOR THE WCRK HEREIN INDICATE D BI111.DER PHON
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS F,ND 5F'FCIFICA II(.)NS. OWNER NO. HON
LOTOT NO. �
1
1 ADDRESS 4��{
ER 1 I J C%��IJUB ADARESS I ODS SL. .Yic>` � ARCHITECT
ENvINEER
-•� ADDRESS_�54:_�--��'-- DESIGNER --.PER y I __
UCTURE DNEW__ DREMO_U_EL__ �A ION DREPAiR RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
MM EDUDGOV'T ❑RELIGIOUSDPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAif DFENC�E
HESIDFNCE DCS GATIQNAL D
— i
�..1AON7 DMOVtNG ❑CONDt710NA1 USE ❑DESIGN REVIEW
[]COUNCIL APPROVED ❑SIGNS
A/_FIRE ZONE �[ PIAN CHECK BY— Hf.A1�..._.._.._
BLDG.TYPE- -- - —
r SPAN Y_- LAND U E 20NE— .
- -� �./� REAR LEFT SIDE RIGHT SIDE
BUILDING DEPART~N1ENT 5ET BACKS FRONT _ --- '
0NIN
Permit
_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 2
REGULATIONS AND ALL APPLICABLE COD:S AND OROINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
WORK WILL ALL APPLICABLE C?DES AND ORDINANCES. THE
Sub-10181 ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SULI►IESS
!~' J E PERMITS REOUIRED FOR SEWER, PLUMOINK AND HEATING.
State T LICENSE SEPARAT
By AP L ICAN AOTotal 'T4 7—
NT ,.
Approved Receipt No
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I
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Address //( e3— .�W *t Permit tato.
Permit charge py2 w
Owner L Connection fee e�
Paid by
Type of huilding Z-" Date connected
�orvice rata Inv�pection fee -5`�-
Contractor Paid by date
ize of connection Assessment Paid
1
..,.......r.+rr...r+,+,r+.+"...+r•^'Aw�.7lM".�Yl�'..wr w,v+v,�lPu,rwalt..Mrevrwur.MMv.W+,a...u. �lM Mt MIgwY,+W.-...,..n...+..rrlrn'w.r.�w.r.��n.�.w.w..�... ..r.,
BUILDING PERMIT APPLICATION SOF TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_,
OR AS SHOWN AND APPROVED IN 'fFIE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.—__ _
OWNER !uTt.h1 iid• S!il. . JOBADDRESS IlW J SW No Uakutrill 46MIEADDRESS
ARCHITECT
BUILDER Same ENGINEER
��ryry r1--�� ADDRESS CI
r� DESIGNER
STRUCTURE xrr-Ut NEW L]REMODEL ❑ADDITION L]RFPAIR ❑RENEWAL ❑FI�R-7E DAMAGE ^^ CDEMOLITION
Q f EI1SIDENCE LJCOMM ❑EDUCATIONAL_ ❑GOV'T DRELIGIOUSOPATIO ❑CAR PORT [:]GARAGE []STORAGE CISLA13 ❑FENCF
0BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE l� � BLDG.TYPE " FIRE ZONE_3 PLAN CHECK BY-T HEAT
c.rinst. singis family t,/stt.ttc;hed !:,Araya 3 bedraam 2 bets)
raisaufj uf' permit x.173'1 -- _--
lSe..IS2. _FLOOR LOAD a� HEIGHT ._� �_l�Q.�S.IQ.R $ ARE�O:.Iil NO•B�Q.�4S?I1�$--- --YALI "+� •L_
BUILDING DEPARTMENT SET BACKS FRONT LEFT SIDE RIOHI SIDE
.�i„
Permit 1301.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check lU.Gu REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total .140.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES N:))T WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ' . '10 LICENSE. SEPARATF�P,l RMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING.
�•1J•L • jyJUl••
Total LQ ,.L() �'.G•C• 3'1I X100•
BY
APPI H AN 1 011 AGr N I
Approved 4.0 Receipt No.
S -- — - --c`i?6`►vl:
MWAMAN
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
A
Contractor
11 // —/'/
Permit No. 36
Rough in ____
Fixture
Final
HEATING
Contractor
Permit No.
7:t- Gas or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
&Street Final
Approach
BLDG.DEPT.
FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
�77
Uf 4 SEWER PERMIT N? 1.381.1
Unified Sewerage Agency Ti and
of Washingtore County CITY OF 9 DATE 10-.1�-77
OWNER : Narthl and - Tnr _� PHONE s _
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
r2aaUIL.DING SEWER F1 2111LDINC, SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
DKEW E34INGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7---1-70 ) ❑ MULT . RES. INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER . TEIIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
1 PERMIT FEE $ 25
CONNECTION CHARGE 600._��
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $ 52
i APPLICANT DATE_
SEWER PERMIT . 13811
ADDRESS OF STRUCTURE 11605 SLI N. Dakota St. _
TAX MAP TAX LOT — SYSTEM fanno creak
LOT _ BLOC K OF_ .
APPROVED BY DATE I SSt1 1)B DATE
REMARKS bldq. #1739 Paid to Lenon Heirahts 15D. 00
�_.�C_..___l
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : IDI1,1O%7 ESTIMATED SALES PRICE
APPLICANT NAME-;7-
TELEPHONE
JOB ADDRESSBLDG . PE-R1 TT # i7.3
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000--------------- 75. 00
B. Single family dwelling unit over $40, 000. ------------- _
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family dwellings---per unit------------------------ 60. 00
CONSTRUCTION L5_LD_"JEZ_UN. S.W. N.E . SIDE OF S.W. PACIFIC
N
HIGHWAY. ".E. is Park Distri�ct #Y; , S.W. is Park District #II .
CITY OF- TIGARD
ORDINANCE: �j77-26
STREET SYSTEM DEVELOPMENT CHARCF
..1� oaz ESTIMgTED SALF5 PRICE: .amu
GATE• h
APPLICANT NA11E �1��. TELEPHONE
JOB ADDRESS I�0!_ BLDG. PERMIT r -
AMOUNT OF FEE FOR S. D. Co
DESCRIPTION OF IMPROVEMENT_
E X E hl)T I O N S -PER O R D I t l A P 1 C l_ -11-77-26
FEE RATES:
A. Single family dwelling unit under 960,000.--------•-- '300.00
B. Single family dwelling unit over $601 Ono----------- 740D: 0
C. Mobile Home Court Specs (Nr3w Development)---------- 7150. 00
D. Multi-Family Dwellings--per unit------------------- 9240.00
E. Commercial, Industrial & Institutional(Pa-k.5pace) 4S 50.00 each
F. Single family unit under Ja400000- ----------------- 7250. 00
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