14435 SW 87TH COURT •
144.35 SW 87TH COURT _
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City of Tigard Mechanical Permit Perini;_.- $3'QQ _
Fee_
New Installation El Re,lane ❑ Relocation ❑ Addition [7 Alteration E] 3%State__!
TOTAL._.`.
CONTRACTOR OWNER.
ADDRESS-- ---- WORK t.DDRESS
PHONEAPPLICANT'
Heat Input Rating (BTU Per Hour)--.----------
Vent Size Flue Size— _
FUEL Olt. _l GAS ❑ ELECT D OTHER
I f EM NO. FEE ITEM NO. FE!.
For Issuance of Permit — - 3.00 Air Ccndition_ Compmacar 15 to 30 HP 10.0U
New_Under 100,000 BTU y e,�-r, �4,00 Air Handling 10,000 CFM
New- 100,000 BTU &over •'f�__ 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace _ 4.00 Evaporative Cooler _ 3,00
Wall - Floor -Suspended 4.00 Range Vent Fan 2.00
Install Vents Only 2.00 Vent System __. 3.00
Repair-Heat&Cooling _ �_ 4.00 _ Hood G)rnmercial _ 3.00
---
Air Condition Compressor Under 3 HP _ 4.00 Comnr;rcial Duct System v� 10.00
Air Condition Compressc• 3 to 15 HP 7.50 - — -- - --T.— -- - —
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS Y
APPROVED B DATE _ ISSUED
RECEIPT NO.
"A Signature of Applicant
BUILDING PERMIT APPLICATION 10 Y TIGAF.D DATE -- -77 1731
71-1E UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WJRK HEREIN INDICATED BUILDER PHONE 620-2234
OR AS SHOWN AND AP'�ROVED IN THE ACCOMPANYING Pl_ ',NS AND SPECIFIC—TIONS. OWNER PHONE
LOT NO____.____ _
OWNER ' Of7;,t:" JUHADDRES3't4435 SW 87th Lt HOMEADDRES.S
ARCHITECT
ENGINEER
BUILDER lIt1U ADDRESS DESIGNER
STRUCTURE XONEW 1:1 REMODEL [1 ADDITION L-3 REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
0 AESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUSQPATIO [:]CARPORT ❑3ARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND C3 MOVING ❑IC�ONDITIONAL USE ❑DESIG14 REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCC U"ANCY LAND-USE ZONE_�_-__-BLDG.TYPE__;4�_FIFE ZONE PLAN CHECK BY OW HEAT`yit&. __
t.--mut, ainyle t aim ly dUs11ip4"j attac.TarS UarT.,; l�adr�um 3 lath __.
rel,831,1e OF permit #1584
HEIGHT _ NO.STORIj.S ti_._ ARE ?7;c_.No,jEmQ4MS_4VALwj, L
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDERIGHT SIDE
Permit 1 11.00 �—
THIS PERMIT IS ISSUED SUBJECT -rO THE REGULATIONS CONTAINED IN THE BUILDING CODG, tONRJG
1 Plan Check 10r 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 1tJl .0{.' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
9ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stale Tax U, Q�'+ LICE.,9E.•SEPA"jE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
IF
•
T-:a1 16 7.44
.[. .+ .
By
--- --- --- :L)c
ANT OR AGENT
I ApRroved ��tW lleceipt I:o.
J - ----- —_-----—
ADDRESS
w1w-m"-111w-1-w-t
DATE lINSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ �� _ —__ � Contractor _
TD U-- r c/i _ Permit No.
Hough-in ---
1 Fixture -
z'21- -(:)K Final
HEATING - -
�e Contractor
Permit No.
� aw-
Gas or Oil
Rough-in
Final
SEWER
_. -- -- — —- -------
Final
—
DRIVEWAY
--- - - - --
Final
_. ___--- - -------- _--- Storm Drain-age _--
--- (Rain Drain) Final
--- - —
[Approach
ewalk
rb&Street Final
_ _
BLDG DEPT. FINAL TEMPORARY CERTIFICATF OCCUPANCY
CERTIFICATE OCCUPANCY Final (r
Landscaping
Zoning Final `..
i
of
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SEWER PERMIT
M 13803
Unified Sewerage Agency
or Washington County CITY OF_, Tigard _ DATE _ 9_?3-77
OWNER: _ Dale Const. r PHONE : 620-2 :14
OWNER ' S ADDRESS: — - -
TYPE OF INSTALLATION :
>0BUI1 DING SEWER ' F'jBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XXE3NEW XUXSINGLE FAMILY L_J COMME:RCIAL
❑EXIST . (PRIOR TO 7-- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS— DWELLING UNITS L
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULf_S
AND REGUL AT I O145 OF THE UNIFIED SEWERAGE AG'cNCY . WHEN CALLING FUR
JNSPECTION , PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUIDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE g_ 25.
CONNECTION CHARGE 600.
SIDE SEWE'2 INSTALLATION -.
ISSUED BY
OTHER
TOIAL $ 625.
AOKL I CANT DATE
TNE
IARGE WILL s� fl A FORSERVICE SEWER PERMIT N�► 13803
r-gMIT.
ADDRESS OF STRUCTURE 14435 SW 07th Ct.
TAX MAP TAX LOT SYSTEM fanno creek
LOT 81-OC K OF --
_ �e-mac.
APPROVED BY DA i E I SSO�D BY DATE:
ba.dg. &731
REMARKS—___ -
M��Arq
CITY OF TIGARD
ORDINANCE 717--71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE $ �2,2007 `—o
APPLICANT NAME (�2x_,4 . ,o -- TELEPHONE #
JOB ADDRESS ��/��d3 S 7�cJ ��7 C L BLDG. PERMIT #
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS — PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40, 000. -------------$ 75.00
B. Single family dwelling unit over $40, 000. ------- 4S�
C. Mobile Home Court Space (New Development)-------- ------$ SO. QO
D. Multi—Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON PACIFIC
HIGHWAY . N.E . is Park District #Ise,"S:T,1-. is Park District _#TT'T'—,
6
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CITY OF TIGARD
ORDINANCE #77--26
STREET SYSTEM DEVELOPMENT CHARGE
b
DATE : -3i ES1IMATED SALES PRICE �a �
APPLICANT NAMES �� _ TELEPHONE
JOB ADDRESS �� S� ,ll�v 92 nti Lt _BLDG. PERMIT /722-
Q,V
AMOUNT OF FEE FOR S. D. C. :!LLQ
DESCRIPTION
OF IMPROVEMENT
7
EXEMPTIONS --PER ORDINANCE. #77-26
FEE HATE::
A. Singla family dwelling unit undor 560,000,--------- i,300.00�
0. Single fnmily dwelling unit over
C. Mobilo Home Court Spacu (New Development)------------ 5150. C10
D. Multi-Family Cwa?ling ---per unit------------------- -1240.00
E. CommHrcial, Industrial & Institutional(Park. Space) S 50.00 each
F. Single family unit undar "40,000. ------------------- $250. 00
JILDiPJG F'CRMIT APPI_IC�TION `o FY TIGARD DATE S. , NQ �'23
L11gDE W 1GNED HLREBY APPLIES FOR APERM IT FOR THE WORK HEREIN INDICATED BUILDERPHONE&ZjnZ
F, AS o11;=N ANC APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF(CATIONS. OWNER PHONE-_
E� LOT NO
JOB ADDRESS ✓ O / NOME AD
^� ARCHITECT
ENGINEER
ADDRESSDESIGNER
RE `[X.tiFWT ❑RFMODEL El ADDITION 01,EPA1R ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE OSTORAGE❑SLAB DFIENCE
11 IND [MOVING ❑CONDITIONAL USE LODESIGN REVIEW ❑COUNCIL APPROVED QSIGNS
LAND USE ZONE_ _.._.BL DG TYPE_ '!.-_FIRE ZONE PLAN_CHECK BYi_-1� HEAT_ C!•'� •�
'A0.-_. F100Fi.L?AD-_. C}iT_. �1_ NSz 4RIE5_ .__�+R A ��N�HE��Q[ VALus__4_�j70i I
,_BUILDING DEPARTMeNT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
" "— s•� THIS PERMIT IS ISSUED SURJFi;T 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check _—�V p REGULATIONS AND ALL APPLICABLE CODES AND JRDINANCES, AND IT IS HEREBY AGREED THAT THE
"—"—' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub lo,al ` ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
' -- —' RESTRICTIVE COVENANTS, CLINTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
,H,I Tax ('Lf LICENSE SEPARATE PERMITS IIEOUIRED FOR SEWER, PLUMBING AND HEATING.
Hy
APP( iCAN? OR AGENT
App,oved Recelp, No.
AUCIRESS
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s iw Ifilr � ■r eQ �
774
Mc.,,{. _. MEN
i (.AY ot� i loar� Mechanical Permit ?ATO Permit X$3.90 -
° Fee—_ N.ge,
New Installationeplace U Relocation EDAddition ❑ Alteration L.-J 3%State 1y
TOTAL- -�%Af.- •--
CONTRACTOR _�� Il.NA'7i.✓!� y' 1 OWNERLEr-
ADDRESS Hca/ L .Icr / /fluwud WORK ADDRESS !�/y�', S u'' ._ 7
PHONE_ APPLICANT—
Heat Input Rating (BTU Per Hour) 1 p00 Vent Size - Flue Size
FUEL OIL ( l GAS ❑ ELECT 4 OTHER _
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit -- �- 3.00 Air Condition Compressor 15 to 30 HP 10.00
We—w- Under 100,000 BTU 4.00 Air Handling 10,000 CFM !- 3.00
New- 100,000 BTU &over 5.00 'Air Handling Over 10,000 CFM 5.00
4C, Floor Furnace 4.00 Evaporative Cooler
Wall - Floor -Suspended 4.OL` Range Vent Fan _ 2.OU
1[tstall Vents Only r_ 2.00 Vent System _ 3.00
Repair . Heat & Cooling 4.00 Hood Commercial — - 3.00
10.00
Air Condition Compressor Under 3 HP 4.00_ Commercial Duct System
Air Condition Compressor 3 to 15 HP 7.50 uv�TJ J—_ _ _
INSPECTOR'S COMMENTS— —_ — --
CITY BUSINESICENSE REQUIRED FOR AI .. CONTRACTORS OR SUB CONTRACTORS
S L
APPROVED BY _ DATE �_ ISSUED BY� DATE —.
RE :EIPT NO.__
774 Signature of Applicant
Addra39 ✓ . , , : �1�% � Permit No. I
Permit charge 22o,,2 a-
Owner Connection fee
.�_._....� Paid by
Type of buildir ,; y Date connected
Service rate Inspection feegas)
......_
Contractor Paid by Date
Size of connection Assensment paid