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10980 SW PATHFINDER WAY 10980 SW PATHFINDER WAY 1 ro 3 N N '0 C 4-. L ro a 3 cn O co m .—I 1 INSPECTION NOTICE j City.of Tigard Building C apartment 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection —�_ _._1`t_ — - y Date Requested__ 4/1Jf_� Time A.M.__1 P.M. (� �7,� Address __ (� 8 �� r�{ —lr _'1� Permit #_'"'� • Y)73 Owner l A`rc 1�i� 6 3 7- Builder The following Building Code dr.ficienciet are required to be corrected: G / _ Presenter) to — 9-0—proved Inspector Disapproved Date r CALL FOR REINSPECTION yes C7 NO i CiT'I' OF TIGARD Plumbing Permit Building Department N0. ' Residential Commercial L] New Installation u Re,)lace Addition Alteration —j�--Gat(ce Licensed \ "S 1b4rti � 1 . JUERDFOR Owner _ Plumber Q€ -M�rU Address Job Address Applicant P :ONTRACTOR$AND SUB C NTRACTORSCITY BUSINESS LICENSE �—' i` -- —--- ITEM NO. FEE TO AL ITEM NO. FEE TOTAL .50 S..wer:First 100 ft. -� - 30.00 Fixtures-Traps _ _ -�- - -- - Uishwesher _ 7.50 I Earh Addit 100 ftT - 15.00 Garbage Disposal — 7.50 _ Ejector Pump — 7.50 _— _Water Heater 7.50 Water:First 100 ft. 20.00 -- Backflow Preventer — 7.50 ----Each.Addit-20 W_ _ 15.00 Storm_&Rain Drain:First 00 ft. 30.00--- Each 0.00 -Each Addit.200 ft. 15.00 ----� --+— -- _ — �� Mobile Horne Spare - -- 25.00- -- Other(Specify):- -- Rain Drain-Single Fam.Pwelling 15.00 r---- ---- r-1� Cornronts: _ --- —-- PERMIT FEE 0 -) Jy / STATE % �yC.► fir/ Receipt Nr. _ / _ Appllcant - ---- TOTALbignature For Pluinbing Inspection Phone 639.4171 Af?ORESS 'PERMIT NO. PERMIT CHARGE none Dt1NEZ j�}�j� (�T;ff � CONNECTION FEE pAID BYj�¢r.:� TYPE OF BUILDING ,:Z�` � DATE CONNECTEC SERVICE RATE INSPFCTIJ-N FEE �5. r CONTRACTOR _ PAID OY _ DATE SII_F OF CONNECTION ASSESSMENT PAID W7,K BUILDING PFRMIT APPLICATION `'o Y TiGARU DAT _10-4-77 I9 1753 THF 'JNDERSIGNFD HEREBY APPLIES F08 A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE: ��V9 Gra AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _i LOT NO. — OWNER Ja1� (,At�� JOB ADDRESS 09FIQ 5U j'ptlif j(j(JUL HbME ADDRESS _� ARCI HTECT ENGINEER BUILDER semk, ADDRESS r DESIGNER tiTNUCTURE x 0M1ILW IJ REMODEL [:]ADDITION _ ❑REPAIR ❑RENEWAL ❑FIR1= DAMPl;,E ❑DEMOLITION ❑ fl a2ENCE ❑COMM EJEDUCATIONAL ❑GOV'l ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE CISTORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COU14CII.APPROVF.;D []SIGNS OCCUPANCY 'E LAND USE ZONE, BLDG.TYPE FIRE ZONE 3 PLAN CHECK BY_ _ HEAT + k.unst. siiiWlu family dwvAling u/sttac had yaraga, 3 bt.0 lofin, 7 hath NV9STOPELL — AHGe4 g +. I�J�2,.k1�DPS?OMS 3 _VALUE BUILDING DEPARTMENT SETBACKS FRONT Z7 REAR �F3 LEFT SIDE .SL RIGHT SIDE },-(] Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 7:50 50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCc WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES A JD OPIOIN�'-NCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTON AND SUB CONTRACTORS TO 14AVE CURRENT ^ITY BUSINESS State Tax 9.06 LI,CENS.�S:PAft�IT��P�ERMITi REOIJIRED I'OR SEWER, PLUMBING AND Hi:ATING. Total ;135.5E p.[.I. By A IC.^."IT :JR AGENT Approved Receipt No ��— ArMotss E DATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DA1 E Contractor Permit No. 12-Z 3(.7y 12-2h \ �� IC/}ApR0�E�1 J _ Rou h•in -- --� Fixture A Ll lye 1jyKt �4�✓ 4.4 h --- Final IIEATING re�rVcLanvy ,, C. Contractor I'PAOVE9 _ �,.,� �Ra� O1� -.61!;L Permit No. too 0)('F_% 'TuiL -or C .C./ Gas or Oil _ -- -- — d.. a. Rough-in 1� Final �,� /� Z�•-s%t - SEWER _ Off _ Final I-13'9g oeoV- ` 1D12S _ DRIVEWAY -- -16-7 r OX Final - 1., _ 0 Storm Drainage _ ��— _ Ic{, R _ (Rain Drain) Final —� Sidewalk y, Curb&Street Final ;',tL A Mtfe r6e Approach BLDG DEPT. FINAL TEMPORA CERTIFICATE OCCUPANIE _ Final t 3-/.3 CE TIFICATE OCCUPANCY — � Landscaping Zoning Finbl -. G E r. SEVIEB PEWIT 13819 Unified Sewerage Agency -. 77 CITY OF TiY' `�' L U DA'rE 10-4— , 1 of Washington Ccunty ------------- OWNERS _ P,:grn rri L.r __ P H 0 N F s_�� _--- -.-- OWNER 'S ADDRESSc ---- TYPE OF INSTALLATION: 1ILDING SEVIER ❑BUILDING SEWER AND. SIDE SEWER TYPE OF OCCUPbNCYt X%E71VFW X>�( SINGLE FAMILY I_j COMMF_RC I .41_ ❑E;XIS'r . (PRIOR TO 7-1--70 ) ❑ MULT . RES. U INDUSTRIAL FIXTURE UNITS DWELLING UNI -S PERMIT CONDITIONS: THE APPLICANT AGRE'-S 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—HUNDRE') AND TWENTY ( 120 ) DAYS . THE AMOUNT PAiU WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEESt PERMIT FEE $. 25. CONNECTInN CHARGE 600. SIDE SEWER INSTAL[-ATI0,N —..� ISSUED BY OTHER /- TOTAL 625. APPLICANT DATE_ 17 N . 13819 ADDRESS OF STRUCTURE 109tT0 1-714 PsLhfindur Wayy TAX M A P TAX LOT SYSTEM fa nnocrnak LOT 45 BLOCK OF APPROVED BY DA-r!- I SSUED Y DATL REMARKS_ bldg. _,i;'!17!53 _ _ _ CITY OF TIGARD ORDINANCE ,1,177-2(i STREET SYSTEM DEVELOPMENT CHARGE DATE : Iii-4-77 ESTIMATED SALF5 PRICE" 49, 4CC. APPLICANT NAME Sam Gotter _TELEPHSNE 300 ADDRESS 10980 SW Pathfinder lav _ „BLDG. PERMIT 1� 1753 AMOUNT OF FEE FOR S. D. C. 6300. DESCRIPTION OF IMPROVEMENT EXEMPTIONS -PER ORDINANCE #77--26 -� w FE=E RATES: A. Single family dwelling unit under )60,000.--------- ;300. 00 H. Single family dwelling unit sever $60,000---------- 5400M C. Mobile Home Court Space (,-Iry Development)--___-_--- X150. 00 D. Multi-Family Dwellings--por unit-------------------- S21W.00 E. Commercial , Industrial h Institutiunal(Park. Spaco) S 50.00 each F. Single family unit under $40,000. --- ---- _..___ 40250. 01 CITY Of' TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : 10-4-77 ESTIMATED SALES PRICE $ 49,400. APPLICANT NAME Siam Gotter TELEPHONE # JOB ADDRESS i ngan 5i,�a,zthf; ,,,�e,. �.�e.. BLDG. PERMIT AMOUNT OF FEE FOR P. D. C. $100. DESCRIPTION OF IMPROVEMENT S.F.D. EXEMPTIONS - PER ORDINANCE #77-71 _ FEF RATES : A. Single Family dwelling unit under $40. 000- --------------$ 75. 00 B. Single family dwelling unit o,'ter $40, 000, ----•----------$100. 00 C. Mobile Home Court Space (New Development)--------------5bU.UU D. Multi-Family dwellings--per unit--XX-------------------$ 60. 00 CONSTRUCTION IS LOCATED ON __ S.W. N.E . SIDE OF S.W. PACIFIC HIGHWAY. N.E. is Park District I . 5.9-. is Park District #II . I "UILD�NG PERMIT APPLICATION OF CITY T'IG�A RU DATE___ Is NO -- — ! Iii LINDF RC,IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE ; 'aS SH+ )wN AND APPROVED THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 4F LOT NO.—.— F4 O. _..._kS.L� - � JOB ADDRESS �OJ �_L",. 419 ie,' (ny HOME ADDRESS �/O S S,N.,.�,Q,I r•ii'��r� -,i ARCHITECT rr �( ENGINEER ` R Rtt _ rr1���C. 11f�^v ADURESB Q�J 6 - Ss= SjLuJ�-�� r_T-y`• �ftt5lCsNER �s-�_ .RE L✓JticW ❑REMODEL ❑ADDIIION ❑HLPAIR L3RENEWAL AFIRE DAMAGE ❑DEMOLITION n(_r')MM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIOLIS[DPA110 ❑CARPORT ❑GARAGE ❑STORAGEOSLAB []FENCE 11 ND I(MOVING ❑j� CONDITIONAL USE DDtSIGN REVIEW V;OUNCIL APPROVED L JSIrN3 l,F;aNCV l AND USE ZONE_(L — BLDG TYPE .. _. -FIRE ZONE_ PLAN CHE;;K BY HEAT__-��4 14 Ago Le c.. JA�j- --- FL4Q9_QQAQ_- H ST----- _ —NQ_I7S?BIES. AREy� H�JrEDR_4Q .YAL� NInLE)ING DEPARTMENT SET BACKS FRONT w RE AR_ SIDE,& RIGHT SIDE r�I(till THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 'ian Check /^) " REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF t WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH `.Ut total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH S PERMIT DOES NOf WAIVE `-- - -' '- '- RESTRICTIVF COVENANTS. CONTRACTOR /,ND SUB CONTRACTORS TO hAVF CURRENT CITY BUSINESS talt Tax �u �/ `I LICENSE SEPARATE PE RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. I Total ArPt(CANT OR AGEN1 iplrcwed 'Reccipl No. r. prL)L)rAES._' PH?-) av � vU y �5 7 1 �