10990 SW PATHFINDER WAY w""wlwlwmww
10990 SW PATHFINDER WAY
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Hu i I d i ng Perm it No. 5169 5 1
Locat i n /C)q j o t 2
oat a
Certification of Registration
With the Builders hoard
1. _ _1 �, s _�►4�tw• _ idoing business as (dba) ,
IFItin` er3 _�cr-,gar am registerer' tinder the provisions
of ORS Chapter 101 Oregon Nomebu i Iders Law) .
My Builders Board Registration Number is
My registration is in full :orce and effect and expires on /� + 86
i nature
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BUILDING PERMIT APPLICATION TIGARD DATE_ "`�`� = _—,19 65 5654649-653f
6 ti49-6533f
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHtON YacU-T !x XI
itt oU SW VaLki f indeT Way L)T NO. �
OWNER WilAee�d JORADDRESS -------
- ARCHITECT
ENGINEER
BUILDER ftLg r a' k'a1rI"Y ADDRESS 14720 :iii Farmington DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL JI_ADDITION_ ❑ REPAIR _—❑ RENEWAL ❑ FIRE DAMAGE U DEMOLITION
1 RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RL d10US ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB[❑ FENCE
OCCUPANCY R3 —LAND USE ZONE— � BLDG.TYPE bL— — FIRE ZONE_--PLAN CHECK BY ldTiJ HEAT.
Jo single farmly_slttisl�uC!_�tll u' rsz� sl__._�
SEWERPERMIT# _ ---- ,- ---- ----- — -
OCC,LOAD FLOOR LOAD yD H:.IGHT 161 NO.STORIES_ 1 AREA NO.BEDROOMS VALUfi4 jyQ
_BUILDING DEPARTMENT_ SET BACKS_ FRONT REAR LEFT SIDE RIGI IT SIDE -
Permit 3O"� _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-- REGULATIONS AND ALL APPLICABLE CODES AND )RDINANCES, AND IT IS HEREPY AGREED THP T THE
Plan Check " WORK V LL BE DONE IN ACCORDANCE WITH TILE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCEtS THE ISSUANCE OF THIS PE 'MIT DOES NOT WAIVE
Sutt•total RA-A3 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB COOTRACCORS TO HAVE Ck aRENT CITY BUSINESS
--- LICENSE.SEPARATE PERMITS RLGJ;RED FGR SEWER,PLUMPING AND HEATING.
State Tax 2.G2
Total --- 'j5 ...G,
PDC# APPl-1'YT OR AOAT
By
Receipt No. —---- --
ADORE89
Approved
- PHONE
s:i
19KIR XwZw
"AN
INSP. TYPE. INSPECTION REMARKS_--, PLUMBING DATA
Contrncto
-�•-�7�L..+=a.-.— _ — Permit No. ...Z
Fixture ----
Final
!� HEATING
Contractor -�/— �—��� /3 t'D 2 X11-�5
Permit No, J (p Z
G.�s or Oil
—' — — Rough•in
— Final
SEWER
Final
DRIVEWAY
— � Final
— Storm Drainage
— (Hain Drain)Final
Sidewalk
Y Curb A Stret Final
Approach
t7LDGi DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
Landscuping
— 17uning Final
9
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7
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MOM
BUILDTNG RECEIPT
pp
NAME:_ ��1 n l DATE. _ i'L)•
��
ACCT. M DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees
10-431-601 Mechanical Permit Fees ; - —
10-230-501 Slate Building Tax
10-433 Plans Check Fee
30-443 Sewer Connection (20X) --
30-202 Sewer Connection (80X)
30-444 Sewer Inspection
51-449 Street System rev. Charge (SDC)
52-449-610 Parks I System Dev. Charge (PDC) S —`
52-449-620 Parks II System Uev. Charge (PDC)
31-450 Storm Drainage System Dev. Chrq (SSDC)
10-230---5(. i TRFD (95X)
10--478 TRFD -------
10-230-506 Washington County Fire Ii (95X)
10--478 Washingt n Cvunty Fire M1 (5%) S --
10-220 Amari./Wedgewood
-/�
TOTAL •—
(bs/1214P)
MP-1
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CITY OF TIGARD
OREGON M
Owner
•.........S.am..Gn.Uer........... ...Permit No.1.58.11.....
Building Address.....109.9A...SLI..P..ath.f.:tnder...Way!............................................
.. Certificate is hereby given this..14 �oher.Wa.....day of-Mov.a� ............ 19...7":. .
rh �> that said building may be occupied and I f �
?� that it complies with all requirements of li .
the Building Code for the City o1 Tigard,
is approved by the Tigard City Council.
.................. ........
4 f Building Inspector
����� Lam- .�- =t•� ,��,: - :_ - �(�'�o
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..,?0/ � r +r ' f 1� '� • e..i�8i'i/` �i'.,t
- �yam"
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rn:i t r,h n r. g rl
-m ri r ti. -)n fro
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Type of J. ii.1 •I..n� ,�� ..��._..__ D,-Au conl-,:lr:ted
1Il`tpeCtion ro(3
lnt:r-ir, tlaicl b ...�._._ - �.. .._ i73te
?.lnCt'1 nrl ._..... _..._. _ __..».._.__.�.. 'i: .i El5IllEaI",t
BUILDING PERMIT APPLICATION `OF IIGARD
"9-4.'360
THE UNDERSIGNEC HEREBY APPLIES FOR APE RMIT FOR THE WORK rIERFIN INDICATED BUILDER PHONE,____
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING; PI.-AN-S AND SPECIFICATIONS. ovrrmIERPHONE,_
LOT NO.
ed111� uutt or civ;IE ADDRESS
OWNER IOB ADDRESS ARCHITECT
"aIii(i ENGINEER
BUILDER ADDRESS DESIGNER
STRICTURE NEW REMODEL ADDITION CIPCPAIR —_ ❑RENEWAL CIFIREDAMAGE— ODEMOLITION
❑ RESIDENCE ❑COMM CIEDUCATIONAL CIGOV'T ORELIGIOUSCIPATIO LJCARPOFii CIGARAGE ❑STORAGEDSLAB ❑T-ENCE
019014D — C-(MOVING ❑CONDITIONAL USE CIOESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS `
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY_ HEAT
at . ItaAt�(�le: "nilly dwellim, trf tt, +ch,,c; t �lr�tc 3 ta�rr�ao/�erl beth
40 a 1 3202 3 290720.
�K"QAP— --�ELSJ�6.1.0AD �_ � 1�iHI. --- N4��LC2fllF�- �_��fiE�^_.. ►J+S�.BED.f3SZQ!���_vALuE —
BUILDING DEPART NT SET BACKS FRONT 41 REAR 544 LEFT SIDE 10 RIGHT SIDE 14
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TI4E BUILDING CODE, ZONING
Plan Check REGUtATIGNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL AePLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— -- RESTi11CTIVE COVENr.NTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY RLS NESS
State Tax LICENSE. tiBPdIIIIATF 0EPI MTS REO(/IAeo PLUM SplaH ekt(MSING AND HEA riNG.
Total
By _ -- - -
p' i�.ANT OR AGENT
Receipt No a
Approvcd 1
AODhESS PHONE-----
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 / 72 3-9 fv
Contractor
Ff)UA,(s),4 IU,y Permit No b/__
Rough-in _
Fixture ---- — ----
- -h'1 v�� �tv� _ .�, Final —
0•
ox HEATING
Contractor
Permit No.
TA. 4,,j Gas or Oil _
TT
.y1�J�[n� ✓q►ru2 �or� i.i_e-wc-�[y ..�iR Rough-in _ —
il�t� Final _
SEWER
Final
DRIVEWAY
Final
Storrs Drainage
(Rain Drain) Final -- `
Sidewalk
Curb&Street Final
_
]Approach
9LDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPO,NCY
CERTIFICATE OCCUPANCY Final
i r landscaping
1 ( Zoning Final
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CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE • - x'_77 ESTIMATED SALES PRICE $ 40, 000.
APPLICANT NAME _Saa Dotter TELEPHONE #___
JOB ADDRESS 10990 SW Pathfinder _ BLDG. PERMIT # .1JGU
AMOUNT 0( FEE FOR S. D. C., 113MI- O(I
DESCRIPTION OF IMPROVEMENT _,min
EXEMPTI`JNS -PER ORDINANCE X77-26___
r'EE RATES :
A. Single family dwelling unit under $60,000.--------- $300. 00
B. Single Fancily dwelling unit over $60,000.--------- $400. 00
C. Mobile Home Court Space (New Development)---------- $150. 00
D. Multi-Family Dewllings--per unit------------------- $240. 00
E . Commercial , Industrial h Institutional(park. Space) $ 50. 00 each
F. Single family unit under $40, 000. ----------------- $250. 00
L vv 11
N? 13461
VUnified Sewerage Agency
of Washington County CITY OF___ Ticiard DATE 6-2P-'I-,'
OWNS T. PHONE :- 639-4669
OWNER S ADDRE
TYPE OF INSTALLATION:
W BUILDING SEWER [JBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
ONEW ❑ SINGLE FAMILY ❑ COMMERCIAL
I]EXIST . (PRIOR TO 7- 1-70 ) ❑ 1 ,LT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO 1HE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEFSi
PERMIT FLE 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
APPI.ICANT DATE
SEWER PERMIT N! 13461
ADDRESS OF SfRUC*TURF.--.-- 10990 SW
FAX TAX LOT S -S f EM
LOT
APPROVED By DATE ISSUED BY DATE
RFMARKS-
I
,Ste T 611-fo53h
TNF UNDERSIGNED HEREBY APPLIES I OR APERM I I FUR T1IL Wo II i. Fit{{LIN INUILAI I-U M ,(A)'.17►Or)r��__._
CIA AS SHOWN A140 APPROVED IN THE ACCOMPANYING PLANS AIIO SPECIFiCAT{nNS. LOT No--_v
V �- r�—_
I `D �Y1` I v�►�a Lir < /C( t o�tKq^
J09 ADDRESS V 1A CIL �W ra
9 7 r'C ENGINEER
11 j"� ENGINEER
I orwivy` ��`i�S1 ADORE`'• ( Lk7GZU l`�(�. DESIGNER
STi2_UCTURE _ ❑NEW QRfRInCEL ADOI TION QREPAIR ❑BENE•:/AL ❑FIRE DAMAGE [30E.-AOLIT
E] nEswc- fCE GCON.11—OEOU^A"ONAL ❑GOV'T U�ELiGICU5CI7A1iO ❑CAR PORT ❑GARAGE C1S, TOAAGE QSLa-�EI
��s �w
CCCUPAG Y B—_LAND USE ZON _�--OLDG. TYPE 5N —_�=PLAN CHECK BY " - �" - HE
L81�r"= t� [+j(MTT K (�yl�° T AEAGE .--
�"
AAf
die
JL
SEWER —
jy� LO=D _ F�Q��+ a ® HEIGHT J�► N4 ST R{(°) - 1 EA NE5 M M V
51/1LQING DEPARrmENT SET BACKS FRONT S414.l A /(1'' L.EFT SIDE RIGHT SIDE v
THIS PERMIT IS .--SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. 20r,
I'r:In ^.hrcR Z d REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
r----- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND!N COMPLIANCE v
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T41S PERMIT DOES NOT W<
-�— --- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUS:1►
ate Tex I 2, IIrLICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total SDC -
I "� PDC#
�-- _ ADDLICANT OR AGENT
' qGp 14.1
Receipt No.
FF55 _ _ _ PtION
--
SJ)C
SDcorm)
C --
PDC -- ffi
SEWER CONNECTION 8
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SEWER INSPECTION _
SEWER SURCHARGE Jf ffi
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