12925 SW 132ND AVENUE 12925 SW , .
SAXWEP PEAKET
CITY OF T'GA RD1::'!=».nwC'T No . : S E 8 9 1.WE'0
CITY OFnFAFM
COMMUNITY DEVELOPMENT DEPARTMENT n DAM 1�;GLJED : 5/ Elh:il')
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oreg. 97223.(503)639-4175 I'M IPM1, NO R91 0,"101:1
129 ,', 5W 1.1:5cM1:) AVE' USA NUMBEER1 . 037504
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Th- permit is issued subiect to the regulations contained In Title 14
of the TMIC. State of Oregon Specialty Codes.zoning regulations
and nil rAher applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and 1.41 If IIA I- .1 N
specifications and In compliance with all applicable codes and
orJinances The issuance of this permit doer,not waive restrictive
covenants Contractor and sut,rontractors jhall have current city
business tax permits This pet.-O, will expl-e and become mull and
void if work Is not started within 18C days,or if work Is suspended or
abandoned for a period of 180 days any time after work her,
commenced It shall be the responsibility of the permittee to assure
all required I-ispections are reqtiested and approved
rr
41
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Permittee gnAtUre
....
Issued Bv. 11, 17711 t I 11`7-1� .( 7Ir I
SEPARATE PERP.,oi rS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�C rnTY OF TIFA RD
OREGON
April 28, 1989
Mr. Anthony Orlandini '
12925 SW 132nd Ave
Tigard, ore 97223
Dear Mr, Orlandi.ni,
Please find attached the section of the Unified Sewerage Agency ordinances
that cover the procedures for appealing the rules of the Agency.
I have been informed that there is a $50.00 filing fee for an appeal.
I have also attached a copy of the rules that govern the "Grandfather"
provision for connection fees of structures existing on or before 7-1-7( .
,Appeals shou'rl be made to:
Mr. Gary Kramer
Unified Sewerage Age .y
150 N. First Ave Room 302
Hillsboro, ore 97123
If you have any questions please call me at 639-4173
Sincerely
Brad Roast.
Building Official
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 — -
CITY OF TWA RD � PLACHECK APP CA'i ION
arrorncaan PLAN
CHC-t:K N
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT" H
v,zss.w.jMt+id_P.o.Sox 23397.Tki..,d,0--gon9rm.(S0J)G3"175 DATE ISSUED
<+ < < N Q TAX Mr. P/LOT
JOB ADDRESS: �IN I I -� y Lti P � L --- -
LOT. 7 O Z LAND USE:
SUB: ---
VALUATION:
OWNER �1 SPECIAL NOTES
t 1 J. N ;C L� / �c.r int _ REISSUE OF:
NAME: �, rl Ln� - LAST REISSUE:
ADDRESS. ll S
_ F"L000 PLAIN/
SENSITIVE LAND:
PHONE: -
APPROVALS REQUIRED
CONTRACTOR � PLANNING: _
NAME: �,1�/� r ,3S Ij L'N�i t><u c ri C v ENGINEERING:
FIRE: DEPT _
ADDRESS: _
OTHER: -----
PIIONL..- - - ITEMS RE UIRED
LIST/SUBCONTRACTCKS:
ARCII'ENGINEER BUS TAX:
NAME: Nov � ___ CALCULATIONS:
ADDRESS: - TRUSS DETAILS: —
PARKING PLAN:
--- LANDSCAPE PLAN: _
PHONF_: _ OTHER:
COC 1MENTS:
PERMIT N ACCT N DESCRIPTION AM0UNI AMOUNT PD. UAL. DUE
_ 10-432 00 Building Permit Fees _.-
_ 10-431 00 Plumbing Permit Fees - --
10-431 01 Mechanical Permit Fees _ -- -- -----
10-?30 01 State Building Tax (5X)
Building _
Plumbing -
Mech
10--433 00 Plans Check Fee _ -
Building
Plumbing
Mech _
G1 �y� 30.202 00 Sewer Connection --���'��J
30-444 00 Sewer Inspection sS Oy SSCP
51-448 00 Street System Dev Charge (SDC) --
52--449 00 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Bev Chrg (SSOC)
1.0-230 09 TRFD -- - -
10-230 OG Washington County Fire N1 (95%)
10-2.20 00 Amart/Wedgewaod -- 00
10-1 Al
APPLICANT SI' T E
Received By:
Uate Received:
_ -_ --- --
cn/3587P/18P„