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9705 SW PEMBROOK STREET 9705 SW PEMBROOK STREET N Y O O N E Q1 Ll 3 cn Ln 0 rn 6 f v, i, Address / JD x��-��_as- Permit No. r -emit charge �j vr� Owner l-�. �[L�,�e ��, CaMa Connection fee4-Gc, Paid by Type of building _ h-�.,� ^ Date connected ` Service rats /cel Impaction fee Contractor Paid by Bate Size of connection Assessment � � paid r. w a m to m ni o)II ch• cn a ^) wCN1-- - •� o - � F a• Qi C.1 � , � '' n_ ►.. N :j U S I 41 l Li a p t c7 7 a 0 ' Fj o ITA a. w z -ra o d ° � 4 oo0 o r oc . toJ a w E Y �f' ( O c i' u �n �, L m ?� p Ofl •` S O ` d :L C C S� 4 QE t f� C) s ~, O 03 Q Q u 1 > > 2 A CJ MO+ O W J C o � ti uwoaoc� QclontoC � LLw. m 14 to vv C-4ct et r4 O In t) t W - Q C: t O d u C► I U- C)Ca ar `U I w cc 1 r o: a LI 7 N P� c�3w Lu - ac = chi C� O O to N Ln In N V r cr e� 4 d 6o O O O Y7 W Z t' .1 c Y d O c x c '' N �. c w a O tj OU ,it% > � '' � r u m Q ,I N w �- a ' dpp m N ?- Caqt w L1 ` a CtJ D� U 4 7 OU Q n 1. LL u0. Z SIU. y cX x BUILF)ING DEPARTMENT, TIGARD N() PLUMBING PERNH-r • holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require i.lspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspt'ztion. CityO Tigard Business License required for all contrartors and`su`b-contractors. �V AC',v���2.V ! C` ► Add res; i�Vf 1 catl�t'��►� -- Dare_2" ('s —� NUf.18F.n OF TOTAL PERMIT NO.'S TYPE OF PERMI•r ITEMS FEE ON EACH AMOUNT (Office Use Only) Sinulr_Farnilv_1 bath-each 25.00_` _ Oig,ltx_Each 1 beth unit _ _ 25.00 Additional bathrounts-each _ � 10.00 Mobile Home Sp jca-each — 15.00I-NDIVIDUAL FIXTURE FEES —_-- 1 to 50 Fixtures in 1 buildin -each 3.00_ �51 to 100 Fixtures in 1 building-each_ _ _ _ 2.50 101 to 20o F;xtures in_1 building-each 2:00____ _201 or more Fixtures in 1 bu+biing_each —__ — 1.60 S M I SC E L L A N E O U S - 8uiIdir•g Sewer-1st SO ft, 10.0_0__ 1 SRW-jr-each additional 100 ft. 10.00 ' Water Service to building____ i_ 5.00 _ Privite Water Svstamt_each 100 10.00 iOthnr (Specify): ------ - _. __— I 1%( PERMIT For Plumbing inspecrinrr Phune 639.4171 t` ' 30S State Plumbing Contractor By TOTAL _- V----_-_ RECEIF'i NO. Issued By r a BUILDING PERMIT APPLICATION c FY TIG IBRD DATE __ _. 19- 1 t -X77 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UII_DERPHONE OR AS SHOWN AND APPRnVED IN THE ACCOMPANYINI; PLANS AND SPECIFICATIONS. OWNER PHONE-- - LOT NO. r_ —, OWNER CiV®tly [01181, JOB ADDRESS. J5 SL! P JMUrQUk St• HOME ADDRESS _ ARCHITECT ENGINEER BUILDER 3. Ii, ADDRESS DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION _UREPAIR ❑RENEWAL ❑FIRE DAMAGF ❑DEMOLITION O TIESIDENCE ❑_COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE _❑BOND ❑MOV ING LJCONDI fIJNAL USE—�LJDESIGN REVIEW —❑COUNCIL APPROVED COSIGNS OCCUPANCY LAND USE ZONE 2—77 BLDG.TYPE_ FIRE ZONE_ PLAN CHECK BY_-`'` HEAT — uu,ist. scidiT9..,.,n LU oxisting bldg, lot ff5 11.EII;x1L—._. AR A.-----NQ IWRQOMS_—.__YALU Il„ _ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE_—_–_ RIGHT SIDE_ �— Permit 24.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII.UING CODE, ZONING Plan Check L2*00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal 1,44 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 37,46 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PI.UMBING AND HEATING. Total BYE) _ APPWCANT OR AGENT - , -- Approved ^� Receipt No. - -- -- ArIb ER S9 PSE ..'��111111tiNtii-«e.:r._'•""'"ri:J�YIWim�wLn D waauF�wd r�.ww.rw.f:.Mb::..rAa::.'y. ��Il_DING PERMIT APPLICATION 11T TIG ARD DATE__-Ir~5�� �r_.3g7$�. T9--- NO OF oc'r'Nfr HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE - ^� V,'N ANC` APPROVED IN THE ACCOMP,ANYINC FLANS AND SPECIF ICA1 IONS. OWNER PHON LOT NO 5► C OU Cap _ I Waverly COL78t.---- JOB ADDRESS _•9-705--r. W -pembf-c O HOME A DRESS ARCHITECT ENGINEER FADDRESS �� LSIGNER same aE rC 'sCW ❑REMODEL C ADDITION � []HEPAIROFIENE _ _ Wt-AL �OFIREDAMAGE - ODEMOLITION rvrCx rA9M ❑EDUCATIONAL- ❑_GOVT ORFIf ,JUSDPATIO OCARPORT OGARAGE OSTORAGEOSLAB [:]FENCE _V'ND t__1MOVING� OCONDITIONAL USE ODLSIGN REVIEW []COUNCIL APPROVED �OSIGNS ;a'F NC•Y �I' LAND USETOrJE_- .. BLDG.TYPE _.S'V__FIR: 70NE.� PLAN CHECK BY _ HEAT-____ C_ ; J9Q_._- -- F l C'S?R l,.yA_D-_ .__-._.___. HEIGHT_•�.Eti-I..__._fV�.$TS2RIES.---�---PRE•3.__ig�--N4•.flE,QPQ.S?.NL_ VALUE�.�_ BUILDING DEPARTMENT SET BACKS FRONT REAR— LFFT SIDE 81 RIGHT SIDE 16-1 _- - - THIS PERMIT IS ISSUED SUBJECT TO THE REGUL4TIONS CONTAINED IN THE BUILDING CODE, ZONING ;'Ian Check .�-Z/ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF ----- -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WI TN ;ih tcital 6'v ALL APPLICABLE CODES . ND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV' --- — — -- RLSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY RUSINE:S ' of Tex L.�LJ LICENSE SEPARATE PFRMITS RE'lUIRED FOR SEWER, PLUMBING AND HEATING. .- - .,,, R"ANI (lA AGF .ipI. oved Receipt No. ��Y 'T_ I CO 1�*_Ak_j 'X56wi_1-_ - --- - 7r- WrA)SOX 412C WIN WO 0"M - WWMAD Oft 97032 Otto X" t -IV •rr�NouanatlNo���tianrM BUILDING PERMIT APPLICATION II'� TIGARD LATE_ ,.fmu.LLy THE UNDERSIGNED HEREBY APPLIES FOR APLRhIIT FOR THE WORK HEREIN INDICATED BUILDERPHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING; PLANS AND SPECIFICATIONS OWNERPHONF y LOT NO.=1_ya OWNER ^Y 4'° '308 ADDRESS 970 I Pewirook. HOME ADDrrtS5 t 1 80,K 4120 Hub T" �. ARCHITECT BUILDER San erg �-1'' ENGINEER �� ADDRESS DESIGNER �7_ STRUCTURE UNEW 0 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE r+ ODF-40LITION ORES113ENCE OCOMM ❑EDUCATIONAL OGOV'T OREI_IGIOUSOPATIO ❑CARPORT11 ❑GARAGE DSTORAGEUSLAB ❑FENCE OBD �� OND ❑MOVING CONDITIONAL USE ❑DESIGN REVIEW LICOUNCIL APPROVED LISIGNS OCCUPANCY LAND USE ZONE BLDG. TYPE:' FIRE ZONE-L PLAN CHECK BY C TW HEA1 _ ,nitruct Sil'lglL r amily IJtIC:1 `. y ui Lh ai tac:.hod .,,gage — 3 bodruom/2 bath 'I,:;i,.I uv of Lot r;7 -- — J�Q6LQ912____E�4Qft.l.OAD _._1iEl�ikiT_ lU ___RQ.-$S9Filj$1ARLA172tJ �BEDROOMS__. ---VAL�1.�4 nD' BUILDING DEPARTMENT SETBACKS FRONT 20' REAR 201 LEFT SIDE � RIGHT SIDE ,_0 4 4. Permit 172.fall -_ 1,�.Q1� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check REGULATIONS AND ALL APPLICABI._E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS:.,vu srts-IFICATIONS AND IN I.OMPLIANCE WITH Sub-total ALL APPIICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT (DOES NOT WAIVE —' RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP-4:NT CITY BUSINESS State Tax G•t. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total ffiH. fl.6 ark jUi. — 41U(j,UU I By f 71.1 -- APPL'CANT OR AGENT Approved Receipt No) W .::,.:.,:.,.�.... .�.....,.... ....,_+,.,.......�,...,�. .�,,.�....::,.:..,".,_..:,.+.,.;�rw......:.,�„�. .w.�:.. .. .... ..�...,..,.:..:�..,...�.�,..,.....w�..w�..,,...,.,.,.;tip........,..... .....�.. .»..w,�..;. alr r DATE INSP. TYPE.INSPECTION REMARKS PLUMBING t ATE (3 Contractor OK 2- 16-91 ) —QJ Permit No. 2—- - r� r�. [A -O!C Rough-in ,- Fixture Final ,.a�.� HEATING -Qot, . Contractor Cc Permit No. /-/ Gas or Oil -.� Rough in 617111 f r 1 ,Q1�-,Z Fina! . ---_-- ----- --- - SEWER _ Final CRIVEWAY Final Stcrm Drainage (Rain Drain) Final Sidewalk Curb&Street Final _ Approach _ BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY -_— C Landscaping Zoning Final 1 or 6 SEWER PERM' v 13870 Uflww Llnitied Sewerage Agency of Washington County CITY OFJinard4_ DATE .__!]r". azvr 1 1 , 1978 OWNER o — WavPi•lyonstructi.un Corap a ly___ PlIONE. ._�9H1--�7_Q OWNER ' S ADDRESS: TYPE OF INSTALLATION: BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ®NEW SINGI.L FAMJLY UJ COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) E] MUL7 . RES. 0 INDUSTRIAL FIXTURE UNITSy_ 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 THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL, BE FORFEITED SHOULD EXPIRATION OCCUR. FEESe PERMIT FEE $ z5• ()Q_ CONNECTION CHARGE - SIDE SEWER INSTALLATION _ _ I SSUED BY OTHER TOTAL $_�iL �[1.. _ --- Iaaia>_y .I.1 . I.q_.H__,.______. APPLICANT DATF NOTICE, J DAYS DE THE AVOIlCHARS DATE, SEWER SERVICE THIS SEWER PERMIT N;t 138'70 CHARGE WILL BEGIN FOR tHl3 PERMIT. ADDRESS OF STRUCTURE _9:7(15 1.1 pAmht ans,_I_i.g��_rd, TAX MAP _ TAX LOT----.—.—.-- SYSTEM F a n r,Io .reek_, LOT 5 _ BLOCK O — F .T .Walden -.l - Z_Q__ APPR(1VE D FlY DATE" ISSUED Bl' DATE REMARKS CITY OF TIGARD ORDINANCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE: January 11-, 19,78 ESTIMATED SALES PRICE 4nnn_ APPLICANT NAME Waverly Cuntruc iu;-i TELEPHONE # 981-f�77n JOB ADDRESS 9705 SW Pembrook BLDG. PERMIT #1 AMOUNT OF FEE FOR S. D. C. 5300. 00 DESCRI1 ;ION OF IMPROVE:MENTSingle Family Reside ij ,j, (npW) FXEMPTI9PJS -PER ORDINANCE #77-26 1-10D2 FEE RATES: A. Single family dwelling Us Jt under 360,0011. ---_'_-___ 4300. 00 G. Single family dwelli.nn unit over $60,0110. --------- $400. 011 C. Mobile H:,me i3OUrt Space (New 0eveinpment)----------- $1.10.0(1 D. Multi-Family Owel.lings--per unit-----__.____ .._______ $240. 00 E. Commercial , Industrial b InstitutionP1(P - rk. 3pace) 5 50.00 aer-11.1 F. Single family unit under $40,000. --------------- $250. 00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : „ash 11 , 1978 ESTIMATE.D SALES PRICE $ 45, UOU . APPLICANT NAME Waverly Construction _ TELEPHONE. # 981-6770 JOB ADDRESS 9705 SW Pembrook BLDG. PERMIT # AMOUNT OF FEE FOR P. D. C . $100. 00 DESCRIPTION OF IMPROVEMENT_ Si.nglem Family Residential (new) EXEMPTIONS - PER ORDINANCE #77-71 none FEE RATES : A. Single family dwelling unit. under $40,000. -----------$ 75.UO B. Single family duelling Unit over $40, 089. --------------$1 D0. UO C. Mobile Home COLIT't Space (New 50. 00 D. Multi-Family dwellings--per unit------__._-_._--_------_ $ 60.00 CONSTRUCTION IS LOCATED ON S.F. '-9—.F:7. N.W. SIDE OF S.i PACIFIC HIGHWAY . N11 . i:. Park District #I . S.F , is Park District #II. r ciTv TIG,�.RD GATE-. JAN.4 _.._�/�._. 1A____- N2 BUILDING F CRMIT APPLICATION OF •ir LINOi RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE-OW 6770 -F AS ` H;ritit: AND APPROVED IN THE ACCOMPs� PL NS AND SPECIFICATIONS, OWNER PHONE CAp /Ll� LOT NO �F � ccoj-pr. JOB ADDRESS 5 T. 4 CL&XA) CAP YHOME ADDRESS 12M It �9k 41%c Hu pAp ------ __ --.-- -- - ARCHITECT �/� ENGINEER r- 4WHe, �5 AI�0� ADDRESS____-_.-�-____-- DESIGNER --- E ICJ'•' W, _ ORF MODEL ❑ADDITION, ❑HEPAIR - ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION V f ❑EDUCATIONAL -OGOV'T 0RFUr+IOUS0PATIO-OCARPORT nGARAGE ❑STORAGEDSLAB ❑FENCE IWIND DMOVING ❑CONDITIONAL USE ❑DLSIGN REVIEW- DCOUNCIL APPROVED []SIGNS L ANOUSE ZONE -fT�'j BLDG. TYPE_.�.'IL-FIRE ZONE. Pl_AN CHECK BY— "�' ._ HEAT RAD _ FLQQ.P_ �lb----N-Q-llQfRIE----I------ % wQ-u.Et?RQQN►S_ �1►1-1�.E_. DOO BUILDING DEPARTMENT SEI BACKS FRONT Zvi _-REAR Z�, LEFT SIDE RIGHT SIDEcirnit n ( THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ( an heC i / 6 Cl REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -f-( WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH uU total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE /%� RESTRICIIVF COVENANTS CONTRACTOR `ND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS A;t� Tax - LICENSE SEPARATE PFRMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total ----- _ Avc1 'WX'WLY CONSTRUC IOT N CSO. .I pp,(wed Recelpl No. •• I- __--I - ADUNIII Pte'