14385 SW 86TH AVENUE s
14:385 SW 86TH AVENUE
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� 5 ( _ _ �d.� PERMIT N`0.
ADDRESS �
PERMIT CHAP.GE none
C
CONNECTION FEE �D"C _
OWNER �" � �� - "
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Pato BY .� ��Fa
-j
TYPE OF BUILDI14G DATE CONNECTED
' INSPECTION FEE l
SERVICE RATE _--_ls�.
PAID BY DATE
CONTRACT�JP
SIZE OF CONNECTION
A5SE5SCIf.-NT PAID
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_ SEWER PERMIT N? 13907
Unified Sewerage Agency
of Washington Courty CITY OF_ Tigard_ _ _ DATE
OWNER : _ Dales Csnst. _ PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
ry�
TYPE OF OCCUPANCY:
>JaNEW '1::.1' SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _ 1
PEr�MIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND RF_GULATIONS OF THE UNIFIED LEWERAGE AGENCY. WHEN CALLING FOE?
INSPF_CTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES 1N ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE g 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHFR �.
TO $_ 625,-
- 3 2 5,. __
� J -'7 1
APPL`I'CANT DATE
x.44% OF IN":
i3:A F, SEINER SERVICE S`E I R PERMIT N t� 1 ?9()7
'ISL f,c13IPI FOR THIS °'
ADDRESS OF STRUCTURE ___ _ I4_iUh `�I.1 116111 Aug_
TAX MAI'_ TAX LOT SYSTEM _fanno r ERp
L_01 _ E3LUCK OF
APPROVED BY DATE ISSUE'0 BY DATE
REMARKSLldg. 0.886
�� PERMIT CI r'Y TQC ARS [)ATE
BUILDING APPLICATION OF
THE UNDr-RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONI=
males Const, 14385 SLl 80th Ave.
OWNER JOB ADDRESS HC VIE ADDF)ESS
ARCHITECT
`J' ame ENGINEER
�
BUILDER qq ADDRESS/;Z accS�Y1�I�s .aT DESIGNER
ST
IRUCTURE LJNEPV ❑REMODEL_❑ADDITION _ ❑REPAIR —_❑RENEWAL LIFIRE DAMAGE ❑DEMOLITION
L, kSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RE.LIGIOUS❑PA'TIO_❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [-]FENCE
❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY __LAND USE ZONE--"'— ° BLCG.IYPE -)�f _FIRE ZONE__�_ PLAN CHECK BY '9tW HEAT_ JaFI
='inylc family dwallinc, w/ett.aclldd jurege 3 bedroom 2 bath
garage 600,
drawer permit #13907 sower conn. t6OU* sewer insp. ' 25.
40 20 1 1ti98 3 47,150.
OC _ELQA2BJ QAQ__ HEIGHT __JV9 STORIES---.--AREA `Jy-Q BEDROOMS YALUE
BUILDING DEPARTMENT SET BACKS FRONT 21 REAR 26 LEFT SIDE 10 RIGHT SIDE
Permit 181.00 ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIO44S CONTAINED IN THE BUILDING CODE ZONING
Plan Check 911.bo REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORN WILL HL DONE IN ACCORDANCE '.viTH THE PLANS AND SPE':IFICATIONS AND IN COMPLIANCE WITH
Sub-total 271.50 ALL APPLICGBLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRALAOdS TO HAVE CURRENT CITY BUSINESS
State Tex71,24 LICE(ffE.SEPA,4/��Sw`I+ }PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total 2'%l3l 4 xkP D.C• #2• $1000
By APPLICANT OR AGENT
i
Approved Receipt No.
WXWI�w w
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
3_G_ ! ILI -n- f..d — -1 t;?,� L�s: ,, :�_�.� Contractor
L� _.--- Permit No. 2 36 3-20-#71?
D� ?
J -3-7b _ Rough-in
`( ( r'P20 t — Fixture
Final
HEATING —
22 _?a; =�`� Contractor
Permit No. y ����
Gas or Jil
-- --- ---
Rough-in
—`_ Final
SEWER j'1j 7s�
Final
DRIVEWAY —
__— Final
SrA
Drainage
Drain) Final
lk — �-
- Street Final
achBLDG DEPT. FINAL TEMPORARY -T CERTIFICATE OCCUPANCY
CE�iTIFICATE OCCUPANCY —
//�/�r� ++L� Landscaping
IZoning Final
�IJI�_DiNG PERMIT APPLICATION COF TIGARD DATE. ��� 3'___. ,q_ N.
ter UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-{ret-(J Z1•-3y
C--F, A$ SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OwNER1- 0
JOB ADDRESSSCy 0 (F LOT NO
HOME ADDRESS
ARCHITECT
ADDRESS ENGINEER
v DESIGNER
NE I�vEW �0REMODEL� ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _❑DEMOLITION
NC f I 11inMM COEDUCATIONAL OGOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GAR_AGE O STORAGE OSLAS ❑FENCE
]POND DMn_VING _OCONDITIONAL USE 0Df.SIGN REVIEW ❑COUNCIL APPROVED i ❑SIGNS `
�:UE'ANCY �.-.._LAND USE ZONE_— � BLDG.TYPE /• ,FIRE ZONE, PLAN CHECK B`f _– HEAT:T
- --- ---- — __ _ Z4 r, 4oa —
�y
LIElGHZ_ ceY_'�4.�TQR1�,� AAt9L�_?� .__NS2�@EDR44MS Vg E11E`` /tS'79
PUILOING DEPARTMENT SET BACKS FRONT t _ REAR
22l(,I1__ LEFT SIDE 10 RIGHT SIDE 5++
00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �r? t-v 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
5 -b total rQ ALL APPLICABLE CODES ANU ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE- COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' tate Tax 7.a� LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEAi!NG,
-Total
HY ---
-" "--' ApPI(CANT OR AGENT _
Receipt No
Zr)URF[SS
rA
CITY OF TIGARD
ORDINANCE r77-26
STREFT SYSTEM DEVELOPMENT CHARGE
DATE : __ ��oo ESTIMATED SALES PRICE
APPLICANT NAME ct � 1�, _TELEPHONE ;F
JOB ADDRESS1--� ��Sr ,�?cy � � BLDG. PERMIT #
AMOUNT OF FEE FOR S. 0. C. c� r
DESCRI13TION OF IMPROVEMENT f�
EXEMPTIONS -PER ORDINANCE X77-26
FEE NATES:
A. Single family dwelling ider $60,000---------- k6300,-OW `
E3. Singh, Family duelling L jer X360,000---------- $400.00
C . Mobile Home Court Space (New Develnpment)---------- $150.00
D. Multi-Family Oweilings--per unit-------------------- 3240.00
E. Commercial, Industrial & Institutional(Park. Space) S 50.00 each
F. Single family unit under 640,000- ------------------ $250*00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : %S��d ESTIMATED SALES PRICE $ �9,/SQ
APPLICANT NAME �l` �J(Z� � , ���` TELEPHONE # j
JOB ADDRESS- / 3�`� � 'Ir ��. �. BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C.
n
DESCRIPTION OF IMPROVEMEN ( r•.-� �C)
EXEMPTIONS - PER ORDINANCE #77-71
F
FEE RATES:
A. Single family dwelling unit under $40,000.-------------$_ 75. 0
B. Single family dwelling unit over $40,000----------------$100.
C. Mobile Home Court Space New Development)
D. Multi-Family dwellings--xict #4r.
unlit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON E . _ N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park Dist S.E, . is Park District #! I .
Y
t
GL
- N/ Cit I ILIC-11"d Mccharlical fcromit NV
IFee
Ins' RV:,!8Ce 0 Relocation ED Acicii-.1on Alilu'ra6un State
TOTAL._ E-A.Z--
0�%'NE R Z C,;,w;,x t%J.
C"'-'T R ACT 0 R 6 j14
WORK ADDRESS
Ax
AD R F ES
PHONE APPLICANT
Heat Input Rating (BTU Per Hour)_ /0Q, ve)c., Vent Size Flue Size— -rx
FUEL OIL ID GAS A ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE 11
For Issuance of Permit3.00 Air Condition Compressor 15 to 30 HP
New- 100,000 BTU L,,.Je1- — 4.00 Air Handling 10,00D CFM 3.0c
New 10L;000 BTU&over
1 — -- I
5.00 Air Handling Over 10,000 CFIVI
5.0iiFloor Furnace —-----
4.00 Evaporative Cooler 3.0(
Wall - Floor -Suspended 4.00 Range Vent Fan
Vent System 3.01
Install Vents Only 2.00
Repair Hea4.00 4.00 Commercial Duc; System Hood Commercial 3.01
- ---
Air Condition Compressor Under 3 HP 10.0c
Condition Compressor 3 tc. IS HP
Air Cond J-u
INSPECTOR'S COMIMENTS_—
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
7
k� APPROVED BY-----
DATE ISSUED BY--
DATE
RECEIPT NO.._-----
774 Signature of Applicant
IR