10735 SW PONDEROSA PLACE 10735 SW PONDEROSA PLACE
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ADORF_5S ' o �-j P k'tA,UJ f YQ A.4 � PERMIT NO. I 5-q,30
J
_ PERMIT CHARGE none
n'IN, ER CE 'i `Z!` c�" c.� r�. I„C.� . CONNECTION FEE
PAID BY
1YPE OF BUILDING �-.J . _ DATE C0NNEUE0
SERVICE_ RATE INSPECTION FEE.
CONTRAC (OR PAID BY DATE
SIZE OF CONNI CTION ASSESSMENT PAID
i ��
CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4111
CONTRACTOR:
Pl-,suanf io Section(s) of the Uniform Building Code, the
following items) require correcting:
X7 Gam/ �T
r
10
f. �Permit No.----.
Inspector _
CALL FOR REINSPECTION
i
C ► � �� Ofi I l��f U �tilt�cf�anicc�► rerrnit
Ins:;l;a!iort i(C Se ❑ Relocalion ❑ Addi!iOn !J A11-6 alion ❑
State
-
'�
C_— i ti C T O R l�'[!L]G2A-t_- ty tZJ►1/4.�t 0V,.N E R
ADF)PESS l) . em WORK AODRES5�s� `136
PHrINE S(r+ " �+,� APPLICANTS , ►� GT,
Hr.at Input Rating (B1U PP,er,Hour)_��) �-� _ Vent Size _" Flue Size��---�
FUEL OIL ❑ GAS ER ELECT ❑ OTHER
`• - ITEM NO. FEE ITEM NO. FE
`- - For Issuance of Permit _ _ �- 3.00 Air Condition Compressor 15 to 30 HP 10•
New-Under 1_00.000 BTU 4.00 - Air Handling 10,000 CFM 3.
v., _
New 10CU,Q00 BTU & over 5.OQ •'Air Handling Over 10,000 CFM 5•(
Floor Furnace 4.00 Evaporative Cooler 3.
\'Nall - Floor -Suspended x.00 Range Vent Fan 2
Install Vents Only 2.00 Vent System - (
_Repair • Heat & Cooling _4.00 Hood Commercial
Air Condition Compressor Under 3 HP 3.(.
•;`, � 4.00 Commercial Dur., System 10-�
Air Condition C umpressor 3 to IS HP �~ 7.50
�rtC
y INSPECTOR'S COMMENTS_
rx-
;,;� CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTC7 OR SUB-CONTRACTORS
APPROVED BY---� DATE ISSUED BY DATE
RECEIPT NO. ' r _�_,,,T_____�__�
�,. Signature of Ap can
. .. . �.. ......�.• �+-.w.+w..v«q.:..++.•....�•e.•-..,.v.....ar�vo.,...,w.ivTAL�,eyy.�;.•.:,aa.:W.!t-e
liin� �,,,,,j3UlLU1NG I.)LPARTMLNT, -r1GAHD N0.
PLUMBING PERMIT
i
holder of a valid plumbing contractors license is hereby
autl7orizt:d to cause plumbing work as herein noted to be installed in iccordance with the plurrihinq code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not lass than four
(4) hours pr or to the til u Vic installations are ready for inspection. City of Tigatti Business License enquired
for all co ctors and sub-c� ltracto
Owner _ ...._ _ . . _..
JCL : .•_ /�Cldr"e55_.�SC�>r,�, �G�. ... _. !_I 7" ._( Y'_�����
NUME1t:H OF .10T'A .. _._., 14:11MIT NO.'S
TYPE OF PERMIT IT[-AAS FE:C ON EACH I AMOUNT itlflice Usti ONO
Single r'arnil 1 hath-each
dunlax-_Each 1 hath unit 25.00
Additional bathrooms-each 1U.DD
--_-..,__,.__.__._______�_.--- _ ._._.o �
hlohila l��rna Sore-LLcnrh
15.00
INDIVIDUAL FINTURL FEES — ---�� T ---
50.F1)turns in 1-building-each 1,00
T 5.1 to 100 1-ixtures in 1 building--each 7 gp
'I01 to 200 Flxturos in 1 hulldin -onch�
201 or more Fixtures In 1 buildinfl-rnch 1.50
Vs I S C E 1.I.A N E O U S —
Building Sewor-1st 50 ft. _ r ---10.00
Sawrr-each odditional 1U0 ft._
Water Srrvire to
_Private bYatar Systems—each IGO 1t.
_ 10.00 1
PER 11T --�—��_ For Plumbing lawc-criwt Phone 6394191 r �'
'o S tt Q�i Plumbing Contractor tly 7
TOV I.
RECEIPT NO. Issued Cy ��
BUILDING PERM!"I APPLICATION 10 TIGARD DATE O��I,
THE UNDERSIGNED H. REBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONt?._,�—__.�_—_._
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PIioLte LOT
rvE_.._....__________._.___
OWNER J:15Whead Cine, JOB ADDRESS 1073t; SW king RaystpIpME ADDRESS
ARCHF'ECT
$31661 { ENGINEER
BUILDER _ ADDRESS DL"SIGNEP
STRUCTURE xGL*AW ❑RFMODEL ❑ADDITION [I REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
404PEES-IDENCE ❑COMM ❑EDUCa 'ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑LLAB ❑FENCE
l IROND El MOVING ❑CONDITIONAL JSE _ ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCYt,r� I—,LAND USE ZONE— BLDG.TYPE r•' FIRE ZONE_ ��
PLAN CHECK BY_ HEAT ��N
jw',t. ®.inuls family dw911irjj_ ,jsttsgh9d gsr*6w_._3 bodroom 3 both
geregG '104
1 .930 9swer permit �t
9SG.L4_A� F1.Q��B LOAQ 4Q liEI.G.� ' Q _..�T..No $_TQ_R_ AREA 1 29 NQ BE.Q jQO1ylS 3 VALUE
BUILDING DEPARTMENT cr,BACKS FRONT REAR 37`"�� LEFT SIDE RIGHT SIDE
Permit 169.00 _-- - _—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE RUll.nING CODE, ZONING
Plan Check 94IJp REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREE D THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI_IANCF WITH
Subtotal M*5Q 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 Tex 1.9b LICENSE. SEPARATE PERMITS REOU:RED FOR SEWER, PLUMBING AND HEATING.
291.06 990•C• $40e
TowP.Do L o #2 1100.
By
-- -- OtteAPPL ICANT OR AGE N1
Approved Receipt Nn.
ADDRESS PHONE
d
DATE INSP. TYPE INSPt:CTION REMARKS PLUMBING DATE
10AyS ,p 4001;na,
Contractor
71
�1 Permit No. �/6 �fj� 3
Rough-in
Fitture
y/ Fins:
HEATING
Contractor
Permit No. z i
\eAsL� - aQORay.A Gas or Oil
Rough-in
Final —
J SEWER
__-- — Final - — -
- DRIVEWAY
Final
Stonh Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
iSLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
SEINER PERMIT ;VuUX5930
Unified Sewerage Agency
of Washington County CITY OF Tisa rd DATE -30-78
OWNEZ Arrowhead Dev. PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TMEW
OF nCCUPANCY:
EW LJ SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MUI..T. RES. ❑ INDUSTRIAL
FIXTURE UNITS_ DWELLING UNITS 1
ADDRESS OF STRUCTURE . 10735 SW King Raysyth Ct.
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 EY°IRES IN ONE-
HUNDRED AND TWENTY ( ? 20 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION B. Cr.eene
ISSUED
OTHER BY
-1 $ 625.
APPLICANT DATE
SEWER PERMIT N • 1.5930
ADDRESS OF STRUCI�URE �_ y
_._1Q�3a 51J Kin Ra s th Lt.
TAX MAP _ TAX LOT SYSTEM fanno creek
LOT 19 BLOCK — OF
E. IJalden 5-30-78 - %
APPROVED BY DATE ISSUED BY ATE
DATE
D.U. 'S 1 _� REMARKS bldg. #R 2019
i
Ull_DING PERMIT APPLICATION 11T TIG, RD DATE- _f __-_ 19A No
OF
aF UNDF RrICM D HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDI ATED BUILDERPHONPH
-�
� R AS SHC1WN AND APPROVED IN HE,ACCOMPANYING PLANS AND SPECIFICATIONS. owNNO
I'�1 [�W��Q� W"e1L JfJD AP//DRESS `�' �!OME ADQr7E9S L
� JVJ I1bARCHITT
f/��,.1 q�/� r�TENGINEER '{04�R / I DW�' AA �C(j
-� .�-DTA&DDRESS_ .n -- - ------ DESIGNER V -
---
J:'URE '! W IJ REMODEL OADDITION OREPAIR� - ORENEWAL ❑FIRE DAMAGE ❑DEMOOLITION
O,.()MM OEDUCATIONAL OGOV-T ORELIGIOUSOPATI0 OCAR PORT ❑GARAGE O STORAGE OSLAB-OFENCE
OVING ❑CONDITIONAL USE ODLSIGN REVIEW _ OCOUNCIL APPROVED ❑SIGNS _ _-
_ j- R. ` ,TYPE E ZONE _-PLAN CHECK BY
_I NC _._ A t�USE ZONE_ BLDG.TYPE._____._ -- —
-�c,�-,h.�------- -- ---
A
NQ�BZDY_AJ_QE_
- -BUILCI NG DEPARTMENT SET BACKS' FRONT REAR L FFT SIDE RIGHT SIDE
e rmit-
THIS PERMIT IS If SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check 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
�:utr inial ALL APPLICABLE CODES AND ORbINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- - --- -- �+��-- RLSTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!"IAIP Taxu _ - - ' LICENSE. SEEARATE PERMITS REOUIRED FOR SEWFR, PLUMBING AND HEATING.
total
by ---
._ _
Approved Receipt No ��l1�11��— - - ��vlL(J
A o h N►SS 60IV C ---.—._
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