11575 SW TIMOTHY PLACE 11575 SW TIMOTHY PLACE
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Owner:. Pa 11u c;<_—�--_._... _.Permit No. ._�Z4,r._. .
Building Address_11575 SlJ Timothy P1.. --
i
Certificate is hereby gi yen this �?___ day of .— i 1tJ_Zti.
that said building may be occupied and that (�
it complies with all requirements o: th(�
Building Code for the City of Tigard, as
approved by the Tigard (,ity Cotincil. j
i
t Building inspector
I
Permit No.
Permit charge 2�2 6
Z2
Owner ?I
Connertion fee
Paid by
Type of building Lx, Date ronnected
,,irvire r;3te Inspection fee —&Z2 S
Paid by date
size of ro,inection Assessment Paid
BUILDING PERMIT APPLICATION 10 Y TIGARD DATE_.— 9-27-77 7-771s 1741
THE UNDERSIGNED HEM:BY APPLIES FOR APE RMIT FUR THE WORK HEREIN INDICATED BUILDER PHONE 245-2481
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECI``CATIONS. OWNE,PHONF ,.
LAT NO.,—_
OWNER rth2.:tr1 '. II1L. JOLT ADDRESS 11375 '�W 'fiMQthg P1. HO ME ADDRESS _ �-
ARCHITECT
ENGINEER
BUILDER -� ADDRESS DESIGNER
STRUCTURE _ ❑NEW ❑REMODEL _❑ADDITION ❑REPAIR ❑RENEWAL _—❑FIREDAMAGE� 0CFMOI_11ION
❑RESIDENCE ❑COMM '_`rr--�1EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB E_1FENrL
❑BOND ❑MOVING ❑CONDII ZONAL USE ❑DESIGN REVIEW ❑COUNCIL Al PROVED ❑SIGNS
OgCUPANCY I LAND USE ZONE L— d BLDG.TYPE � FIRE ZONE—_.�PLAN CHECK dY_ '' t.'"1 MEAT_ '
.unst.ru t ,_,J I,. n(4. 11 . Uith Att&E:hVG ip, iaralji � :S [num 2 batil
rcaiesuv or permit 17'.9
HEIGHT -- _- _NO,_STORIES I AREA L--._NO•BF_[Z{kQM,__„ VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit ? 31).Un
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATION,, CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDIkANCES, AND 'T IS HEREBY AGREED THAT THE
-- — -' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIT$-,
Subtotal 14U.Of] ALL APPLICABLE CODES ANn ORDI FIANCES. THE IFSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CCNI'F.ACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J. t.,(.1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, 1 LL 4ABING AND HEATING.
Total _ 14',.,.60 i�uoi.s 7'i, 41UU.
By /
-- AP
i (CANT DR AGENT
Approved ,IJ Rvreil,l No.
XDDAFss
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IF W
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
;�a �7 ' _tC.•_�z�/ — _ Permit No. � ' �b 36
1—I -11 �� V."� "'�— — ----- Rough-in
i-fixture -
-�y-
Final
HEATING
Contractor
-- Permit No.
-- ----_-- — _— _ — Gas or Oil �--
Rou in
-- — --- --- F inai --- — ------
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final _
Sidewalk
Curb&Street Final
Approach
BLDG DEPT.FINAL. — — TEMPORARY — CERTIFICATE OCCUPANCY Final — —
CERI IFICATE OCCUPANCY
® landscaping
Zoning Final
f,
4�!A�� T+�Iu,prtlit�N�I�ik`• . ,i �Gi`7��I�g i ,,�.i • '• � 'El��y;..�'�, a 11Y�l ` `(�, ' � w
1
Ufaim SEWER PERMIT
4 N1.1 13813
Unified`sewerage Agency
of Washington County CITY OF,_,_,Ti83rd DATE _ 9-07-77
OWNER : Northland. Inc. _ PHONE : 245-2481
OWNER 'S ADDRESS: .
TYPE OF INSTALLATION:
7QAc6UILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X>XfNEW XFXJ SiNGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS _Y DWELLING UNITS 1 _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAI-LING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS .APPL_ICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUFD BY
OTHER
TOTAL $ 625.
APPLICANT DATE
SEWER PERMIT
nEGJ�� �{. . 1.3 813
ADDRESS OF STRUCTURE_11575 5I,1 Timothy P1_
TAX MAP — TAX LOT SYS'T[ MF fanno creek
LOT BLOCK _ OF
-
APPROVED BY DATE ISS ED BY DATE
REMARI;�,_ ld}� a,_ 13 1__ Paid -t on Eleic;hEs ,�1-H�L1Q___ _.�
CITY OF TIGARD
ORDINANCE 777-26
STREET SYSTEM DEVELOPMENT CHARGE
0
DATE _�7/�/ ESTIMATED SALES PRICE _S _,...
APPLICANT NAME l', �� .' ',�-� TELEPHONE
JOB ADDRE55wIS :ILDG. PERMIT /7
AMOUNT OF FEE FOR 5. D. C.
n
DESCRIPTION OF IMPROVEMENT
EXEjgp*rI1)N:; -PE-[? ORDINAN"' #77-2r)
FEE RATES:
A. Single family dt,ielling unit under ;60J)00.----•-----`
H. Single family dwelling unit ever ;,400.00
C. Mobile Home Court 5pace (New Development)---------- 150.00
U. Multi-Family Cwe'.lings--per unit. --------_----------- -- $240.00
E. Commercial , Industrial & Institutional (Park. Space) 50.00 each
F. Single family unit under r�40,000. ------------------ -1250. 00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : i�. ����"� /7% _ ESTIMATED SALES PRICE 60 '
/
APPLICANT NAME TELEPHONE
�7o-z-E.�_���� ju
JOB ADDRESS /i57,r ,,.� ���-� ' �-� BLDG. PERMIT #_I'-7'11
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT `'-�� I
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.-------------Igloo. ,
C. Mobile Home Court New Space Development) ----- $ 50.00
� p )-------- -$
D. Multi-Family dwellings--per unit------------------------ 60. 00
CONSTRUCTION IS LOCATED ON S.W. N•L__-_6vIaE OF. S.W. PACIFIC
HIGHWAY . <N.E . is Park Dist�r- ict-_#1. S.W. is Park District #II .
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