10970 SW PATHFINDER WAY 10970 SW PATHFINDER WAY
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PERMIT NU.� �j�� CJ
PERMIT CHARGE none
014NFF.'
CONNEC:TION FEE
_ PAID BY -�
'HYPE OF' BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FFE
7",
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT
PAID
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BUILDING PERMIT APPLICATION cOF TIGARD BATE_ w1�--4-7 i.4
IHE UNDERSIGNED HEREBY APPI IES FOP APE FIM I Ti FOR THE WORK HEREIN INDICATED BUILDERPHONE
OH AS SHOWN AND APPROVED IN THE ACCCMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_ _
7 rt LOT NO.
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OWNER 4if M Qtrt,l'$li JOBADDRESS1.09!0j I'Rathtf ! HOMEAUDI=ESS
F YCHITECT
I6aM. ENGINEER
BUILDER ADDRESS DESIGNER_—_
STRUCTURE CNEW ❑REMODEL ❑ADDITION ❑REPA IR ❑RENEWAL ❑F IRE DAMAGE ❑DEMOLIT!JN
0('fSIDFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POR- ❑GE.RAGE LD STORAGE❑SLAB ❑ E
FENC
DBOND ❑MOVING [:]CONDITIONAL UbE ❑DESIGN REVIEW ❑COUNCIL APPIIOVED ❑SIGNS
OCCUPANCY X LANA SSE ZONE ►-__1 BLf`C. l YPE �-N .FIRE ZONE—1 PLAN CHECK BY.__ cttW HEAT ','Sv--.
4t, conalt, singlu family € welling w/attsched garage 3 bedroom 2 broth
440 IF k- gAkrog
Q_". LQA2 _ _FLOOR LOAD 9_0 HEIGHT 2U NO,S70R10, _- qA QNO.8EQFMQMs 3__/AI,V_3 4au.j`
Zs).:7LDING DEPARTMENT SET BACKS FRON1 REAR LEFT SIDE RIGHT SIDE
PP'rnit 1511 f)(1 --- - — -
"— THIS PERMIT IS !SSUED SUBJECT TO THE REGULATIONS CONTAINED !N 1HE BUILDIN i CODE, ZONIAG
Plan Check 75,50 REGULATION; ANO ALL APPLICAFJiE CODES AND ORDINANCES, ANv I i IS HEREBY AGHfED THAT 'HF
WORK WILL OE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CON PL1ANCE 1"111H
^«� Sub-total 226s50 ALL APPLICABI_F CODES AND ORDINANCES. THE ISSI,ANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE t GVENANTS. CONTRACTOR AND SUB CONTAACTORS TO HAVE CURRENT CITY BUSINESS
State Tax I��fJ• LICENS�. §EPARAJI PERMITS REQUIRED FOR SEWER, PLUMBING AND NEATING.
Total `3be')b .L�.C• .rl $1f3()•
BYL --- --_..�-- — — ----- ---
AQlLICANt OR AGENT
Approved I RgceiRt No.
A RES, _Z�_NE
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UATE INSP. TYPE IN!;r�cC-TION REMARKS PLUMBING DATI_
Contractor
O Permit No. Z 2 S� '(o !z-2e,-77
Rough-in
L nn pp� __Q c z'� Fixture
A gl-a itlr .nY,�., . Final __—
�f, HEATING
I2-13-Q1 R,i_ 1 �1pP2Uv e 7 jg:i�,ui t.0'Q k' eJ Contractor
o K iF r� - �,, Permit No. 1006 �� l2 -1 z-�/
_--.1.0 _
a"n. Gas or Oil
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- 2"' I.,tj ��'_ Cf�I�C�T�O - —_ Rough-in —
L Final
SEWER -
Final
DRIVEWAY
- O —__ — Final ---- `�' ` 3
-,Le? Storm Drainage
(Rain Drain) Final
�' _ �--- --- Sidewalk -- -
_ _ Curb&Street Final
__ _ Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
C. 7.oning Final
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SEW Ell PE PA I
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NO 1380
Unified Sewerage Agency
of Washington County CITY OF Tigard -�_-_ .v DATE 1.0-4-77 _
OWNER: nrtI r.:. 0r — PHONE
OWNER 'S ADDRESS: _
TYPE LF INSTALLATION:
xQPUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF JCCUPANCY:
X EW X)MXSINGLE FAMILY CIZOMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) MUL1 . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNIT'S .1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WTTH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN CNE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCLJH.
FEES:
PERMIT FEE $ 25_
CONNECTION CHARGE ()DO. ._
SIDE SEWER INSTALLATION
ISSUED BY
OTHER _
TOTAL $ 625.
APPLICANT DATE
SEWER PERIVEN9T M 13820
ADDRESS OF STRUCTURE l�'`�"0 Si,J i�nthfindez Way_ - _
TAX MAI' TAX L01 SYSTEM fannU cruo',
LOT 46 BLOCK OF_Z-
A 71 _
APPROVED BY DATE / ISS ED BY DATE
REMARK" bldg. 1754
CITY OF TIGARD
ORDINANCE ;x77-26
STREET SYSTEM DEVELOPMENT L1!AF?GF
DATE : I[I-/l-77 E3TIMATED SALES P 'ICE S 49,800.
E SFm Gotter TELEPHONE
APPLICANT (�J11(YI�: ft
JOB ADDF;ES5 10970 SW Pathfinder Way BLDG. PERMIT # 1754
AMOUNT OF FEE FOR S. D. C. $300`_ _
i
DF5CRIPTIGN OF IMPROVE MINT S
i
EXEMPTIONS -PER ORDINANCE 177. 96 _
FEE HATES:
A. Single family dwelling unit under 560,000---------- S300.00
0. Single family dwelling unit over "560,000.--------- T=T.=
C. Mobilo Home Court Space (New Development)---------- $150. 00
D• Multi-Family Dwellings--per unit------------------- $240*00
E . Commercial, Industrial & Irstitutional.(Park. Space) 5 50.00 eF.ch
F. Single family unit under !.�sO,000. ----------------- x,250. 00
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CITY OF TIGARD
ORDINANCE #77-71
PARK ;iYSTEM DEVELOPMENT CHARGE
DATE : 10-4-77 _ ESTIMATED SALES PRICE $ 49800•_
APPLICANT NAME Sam Dotter TELEPHONE #
JOCK ADDRESS 10970 SW Pathf:r.der Way BLDG . PERMiT #__L754_
AMOUNT OF FEE FOR P. D. C . _ 5100
DESCRIPTION OF IMPROVEMENT 5. F .D.
M
EXEMPTIONS - PER ORDINANCL #77-71
FEE FATES :
A. Single family dwell' nq unit under $40, 000. ------ -------$ 73. 00-
3.
. 003. Single family dwellirq unit over $40, 000. --------------V.00. 00
E . Mobile Home Court Space (New Dejelopment)---------------$ 50. 00
D. Multi-Family dwellings--per unit--------------------------$ 60. OiJ
CONSTRUC-ION IS LOCATED ON 5 .0 XX N .L . SIDE OF S .W. PACIFIC
HIGHWAY . N. L . is Park District ,_ S .W. is Park District #TI -
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�13'!JILDING PERMIT APPLICATON �urY 'riGARD UATE_
+i LINCF HS,f,NFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
�.,P AS Fill V., AND API'ROVED IN THE ACCOMPANYINZ PIANS AND SPFCIFICATIONS. OWNER PHONE
LOT NO-
JOB
O JOB ADDRESS %O I 'J U /�✓ /�cl</,l' .�i•(,l•/yQME ADGRE$5 / DyW.
ARCHITECT -T
r Efor' VEER
A'�DRESS —_ r—��_—_ DESIGNERX' '/� f
.EW0PFMO_DEL� 0ADDITION 0HEPAIR —_ I._JRENEWAL OFIRE DAMAGE ❑DEMOLITION
I i (AAMDEDUCATIONAL ❑GOV'T [3FELIr,I0uS0PATI0 ❑CARPORT ❑SARAGE ❑STORAGE❑SLAS []FENCE
�- NU OMOVING LICONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APFROVED ❑SIGNS
l eNL USE ZONE_�1 _ DG HYPE - _..FIRE ZONE_3 PLAN CHECK BY vv� HEAT7-
IL
f+i' LLI_ING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
.may. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINE CODE, ZONING
rr C'hr ck 'l J v REGULATIONS AND ALL APPLICABLE CODES AN[T nRnINANCES. AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
tratal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
---- ------ RLSTRICTI ' COVENANTS. CONTRACTOR JkND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
ie Tax^ �vsi LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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R AG
kelp, No. `�11d5'_� w_ £�� •�,�I1c �'>!. _
ofPHONT_ HO:i `.�' Ly_ ------
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