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14355 SW 86TH AVENUE 14355 SW 86TH AVENUE �t L iD rn 3 Ln Ln u7 ro 1ddrass S / Permit �Jo. Permir charge Owner '= Connection feeee 1�c0 Paid by Type of building e � Data connected Service rate /F' (,� Inspection fee Contractor Psid by _ date Size of connection '� Assessment paid SEINER PERMIT � D 13905 UfUnfied Sewerage Agency of Washington County CITY OF� Tigard r DATE—'–I-'4 '?B OK'Wr?- Dales Canst. PHONE : OWNER 'S ADDRESS: _ TYPE OF INSTALLATION: X X06UILIJNG SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: Qm-w >U SINGLE FAMILY [:] COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUST"RIAL 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. THIS APPLICATION EXPIRES IN ONE—HUNDRED AND TWENTY ( 1201 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEF $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION _ ISSUED BY OTHER NOTAL $ 625• APPLICAN T-'� DATE SEINER PERR4IT N? 13905 ADDRESS OF STRUCTURE 14355 SW86th Aver TAX MAP 7AX LOT SYSTEM fanno creek LOT 13 BLOCK OF APPROVED BY DATE - ISSUED BY DATE REMARKS-- bldg. #1884 CITY UF TIGARD Plumbing Permit 4 0 3 0 Building Department No. _ - Residential Commercial ❑ -7 New Installation ❑ El Date �J Replace � Addition Alteration Licensed ,,,,/ ,, r!�r0 �m Plumber �� ____.___.__.--___ _._______ Owner ��C[L�¢/�---- -- Addy `— - -- —— -- -- -- Job Address - -i1 -L Address - Phune � �� 2 Applicant CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUBCONTRACTORS _ ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL Fit:tures Traps -t 7.50 Sewer:First 100 it. � 30.00 Dishwasher 7.50 Each Addit 100 ft. 15.00 Garbage Disposal 7.50 Ejector Pump 7.50 Water Heater _ ��, Water.First 100 ft. 20.00 Backflow Prevent _ 750 Each Addit.200 f1. _ 15.00 ^- Storm&Rain Drain:First 100 ft. 30.00 Each Addit.200 ft. _ ---15.00 -..__ �---v-_--- - Mobile Home Space y 25.00 Other(Specify): — Rain Drain_Single Fam.Dwelling 15.00 -� PERMIT FEE �,5� Comments: Issufid By: STATE % ,M —.- - -� -- Receipt Na •�► Applicant ,�t �___ _ TOTAL.T �� __ Signature Dh—.nn A.'40.A171 I BUILDING PERMIT APPLICATION co Y T`GARD DATE 20-2234 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE R LOT NO.. —__ OWNER .. '.) F `. )I ';i JOB ADDRESS 1433:. 3W 86th Ave. HOME ADDRESS ARCHITECT ENGPNEER BUILDER ADDRESS L>dSlkoNER STRUCTURE 14E11N ❑REMODEL 1—� El ADDITION ❑^^REPAIR ❑RENEWAL _CIFIREDAMAGE ❑DEiMO� ITION O PESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[]PAT10 ❑CAR PORT ❑GARAGE ❑STORAGE DSLAB ❑FENCE DBOND ❑MOVING LJCONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED _ SIGNS OCCUPANCY ; LAND USE ZONE. BLDG.TYPE f' FIRE ZONE PLAN CHECK BY — HEAT — >,Tet. sintjle Family dww112.ng w/attached yaraijs :3 bedrUnln 2 bath garage b52 Sewer permit #13905 newer conn. $600. rover insp. 2� . QQre,LOAD FLOOi3_t1AD 40 _ HEIGHT 20 _.._ NO,STORIE5 1 ___6BjA 1599 waEJmoms 3 __VALUE!+b,a 5590 BUILDING DEPARTMENT SET BACKS FRONT 22 REAR 29 LEFT SIDE " RIGHT SIDE 10 Permit .1.i"f3.110 THIS PERMIT IS ISSUES) SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 09.00 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 Subtotal 267.()n ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE —' RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 7,12 LICENSE.�S.PARATF PERMITS REQUIRED FOR SFYIIER• PLUMBING AND HEATING. _1011, ii, Total 274.12 n.!1000 %' Ln,,sj. By _ APPLICANT OR AGENT Approved E Receipt No. ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING r)ATE Q9�T ;'- T'o tractor1 a c' PP e�� -- 2 c��c. mit Nn. � 0 1 ,ture 7 -1 — Final -_... y-2/.'7,f ' / — — ----- — �—HEATING — - Co4itractcr_ PermA No.I t Gas or Oil Rough-in _ Final ~— SEWER'; . F final DRIVEWAY Final `norm Drainage (Rain Oram) Final - -- — --- -- Sidewalk Curb&Street Final Approach _ — BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIf iCATE OCCUPANCY Final Landscaping Zoning Final II� �I 1ILDING PERMIT APPLICATION C�F TIGARD DATE. �r�_1-----_.19�. N® 'lJ UNL`� HSIGNED HEREBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDICATE? BUILDER PHON �+ ,R AS SHOWN NC APPROVED IN THE ACCOMPANYING PLANS ID SPECIEICATIGN,c, LCITNOWNEPHON�Q=j�'=� b �,u /i/--- LOT NO._ .�15---�_ w__.._..`.HOM_E ADG?ESS -_!�-_'---._._. - ��``` ---"� ARCHITECT ENGINEER ADDRESS --- DESIG14CR _ REMODEL ❑ ADDITION f❑HLPAIR� ❑RENEWrA�L L_r1 IFIRE DAMAGE ❑DEMO-1LITION FNCE PATIO OCARPORT LJGARA.GE ❑S70RAGE[3SLAB 0FENCE I�CnMP.t ❑EDUCATIONAL ❑GOV'T LJREU +InUSI�J � H�IND [3MOVING _ ❑CONDITIONAL USk � ❑DESIGN REVIEW IJCOUNCiI APPROVED ❑SIGNS Pt+NCY , TND USE ZONE BLDG TYPE__�-._FIRE ZONE_ PLAN CHECK BY—.__� _ HEAT v A C9P__. FLO.2RI.9HQ_. __�__ _GNL_ __.►IQJiIQRIW. .-, flEA f�—a_0BQf)MS �f9LllE �. BUILDING DEPARTMENT SET FLACKS FRONT �" �"'' REAR TL.- FFT IDE_ RIGHT 31GE -��l- - E -- i1 �^ THIS PERMIT IS ISCUED SUBJECT 10 THS REtiULATIDNS CONTAINED IN THE BUILDING CODE, 2'JNING Ian Check O �I REGULAT ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE 17-- s- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub 10ta1 r /_ +1 Q(J ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE —1 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE L:IRRENT CITY BUSINESS 41c Tax /'Li LICENSF SEPARATE PF RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING, TOW 7 popl I CCANT OR AGE N7 Receipt No. AfJl�NF55 --.�~-��F✓� V ..^^ c) I ■1 ® ■r T w W, 1w CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE 6 O DATE : =� / ESTIMATED SALES PRICE $ O ' r APPLICANT NAME ��„ �; TELEPHONE # JOB ADDRESS ,/�� C�' c- .�� f � 7��=�-L_ BLDG. PERMIT r, 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 av,-� . $40, 000.--------------4100 AD C. Mobile Home Court Space (New J1. v.:' opment)--------------$ 50. 00 D. Multi-Family dwellings--ppr rnit-• ---------------------$ 60. 00 CONSTRUCTION IS LOCATED ON t�=C�.C. N.W. SIDE OF S.W. PACIFIC HIGHWAY. N.W . is Park DistricT #I. 51*7 is park District #II. CITY OF TIGARD ORDINANCE 7y-77-26 STRFET SYSTEM DEVELOPMENT CHARGE �/ n o DATE : �1yDT ESTIMATED SALES PRICE $ SZ- APPLICANT NAME�L�/ cc C�� _p�,�.a TELEPHONE JOB ADDRESS f' �S '� �5 Cl� _BLDG. PERMIT �d r �- AMOUNT OF FEE FUR S. D. C. _ DESCRIPTION OF IMPROVEMENT � EXEMPTIONS -PER ORDINANCE 1#77-26 FEE RATES: A. Single family dwelling unit under $60,000.--------- $300tQ8_A� B. 5inglo family dwelling unit over $60,000.---------c 40400.00 C. Mobiles Home Court Space (New Development)--- ------ 6150.0'6 D. Multi-Family Cwellings--per unit------------ ------ $240.00 E. Commercial, Industrial & Institutional(Park.Space) $ 50.00 each F. Single family unit under $40,000. ------------------ $250.00 i i INSPECTION NOTICE City of Tigard Building Department 17.420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested—_ - Time A M.— P.M. Address � — Permit #.- --- ---- Owner __— Lott _ Builder j 1>iy' ' (,".t The following Building Code deficiencies are required to be c rested: = Z4r ---- 44 '01 Presented to [_ Approved Inspector _ ❑ Disapproved Date C4 , FOR REINSPECTION ❑ YE$ ONO i City of 0 Tic , Fee -- New Installation i?Z Re:,;ace L_' Relocation ❑ Addition Alteration 3;i.State- CC":TRACTOR _ �_.�GQr'�!1ji✓� Ol'�NER —_ ADDRESS_ OA4.64 f��'� WORK AD ff KESS PHONE -� APPLICANT ---- Heat Input Rating (BTU Pe Hour) —/Op, crud Vent Size Flue Size_—,�'FUEL OIL OIL CI GAS Ek ELECT ,] OTHER �— ITEM NO. FEE ITEM NO. FEE For Issuance of Permit _ -- l—T— 3.00 Air Condition ro_mpress_or 15_ to 30 New. Under 100,000 BTU _ 4.00 _Air Handling 10,_000 CFM New• 100,000 BTU&over - 5.00 Air Handling Over 10,000 CFM 5.00 Floor Furnace _ 4.00 Evaporative Cooler _ 3.00 Wall - Floor - Suspended _ —_ - �Y 4.00 Range Vent Fan 2`00 Install Vents Only Vent system_ 3.00 Repair - Heat_& Cooling _ 4.00 �Huod Commercial— 3:00 Air Condition Co_mpimsL_or Under 3 HP 4.00 Commercial Duct System 1p,0 N it Condition Compressor 3 to 15 HP 7.50 INSPECTOR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS —� APPROVED BY - -.- - - DATE _—_ ISSUED BY _— _ DATE • ____ RECEIPT NO.