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 �