15630 SW 88TH AVENUE-1 15630 SW 88TH AVENUE
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BUILDING DEPARTMENT, TIGARD
110.
PLUMBING PERMIT �
hoider o` a valid plumbin, contractors license is hnre'ay
authorized to cause plumbing work as herFrnj noted to be ins:a..ed in accordande with the plumbin, code of
Tigard. Such installations require inspectib,9,1by the City InsYector who sha:l be notified not less than four '
,(4) hours prior to the time the instaiiations are ready for inspection. City of Tigard Business License required
for ail contr ors and sub-con a(1tors.
0wtar Address
NU.,BEr. OF TO-AL. ! PE:�rrtlT vJ.'S
TYPE OF PERMIT ITEM5 FEE O11 EACH r D,Y,OUNT i (C"ice U a Cn•y',
Rr!S.DF_NTL,I _
L jle rAmily—', Ljt1, each _ 25.00 I .—.._
0 j,'ox—Each 1 both unit 25.00 I ;x
t ;d�1:ona: bathrooms—each / 10.00
—
;'�. a i•.0-�t Space—each . 15.00 1 1
:vDIVIDUAL FIXTURE FEES
1 t,) 30 Fixtures in 1 buCdinp—each _3.CJ is
at to 'c0 Pixtures in 1 W 10 to .00 Fixtures In 1 bu:din —e;,0
201 or more Fixtures 1r, 1 building—each 1.50 i
,scEI.LAN EOUS
30i d•i,g se•A�-r-1st so f;
5lw,!r—each additional 100 ft. 10.00—
_ Water SArN,re to building 5.00 r_ I
Sys *ms—aach :00 ft 10.0
— For Plumbinj Insplctian Phone 639.41;91
Plumbing Contrac:ur By
Rr-CEiPT; NO. Issued By -r--- '
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ADDRESS �O �S PERMIT NO. 1560
_ PERMIT CHARGE none
OWNER X7 CONNECTION FEE
PAID BY
TYPE OF BUILDING �e_o. a- .c-aDATE CONNECTED /
SERVICE RATE _ INSPECTION FEE
CONTRACTOR _ PAID BY QATE
SIZE OF CONNECTION ASSESSMENT PAID
�-. „ .... ,._ ..._. ... __.- .+r.,rw-.R.•_-....,,...-...,,,...,.-_-.....:��"'-gvyR'�'r►�57"wTM"w's�Mi�•.,�.- .....�.. ....a,,,�„•m�w"v"...q��s,�....�tPC.n....
X? 2034
BUILDING PERMIT APP!(CATION Co Y TiGAR® DATE 4�A'1- ?f+ Is
t4xr—i
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HE REIN INDICATED BUILDER PHONE_ _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING ^LANS AND SPECIFICATIONS OWNER PHONE_.. __
LOT NO.—.—---1
OWNER ` ossal/McBridiii •:,30 5W B tit �—
JOB ADDRESS HOME ADDRESS
— ARCHITECT
ENGINEER
BUILDER _��--II�AMIP ADDRESS DESIGNER
STRUCTURE 'UNEW _ C3 Rt MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRREDAMAGE ❑DEMrrOI1LITION
D;P'_SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGt_L-;STORAGE❑SLAB r_FENCF
[]BOND ❑MOVING ❑CONDITIONAL USE C1 DESIGN REVIEW ❑COUNCIL APPROVED []SIGN';
OCCUPANCY LAND USE ZONE `BLDG.TYPE— FIRE ZONE PLAN CHECK BY _ HEAT---
L:".
TSL: . bin,110 f 1dMily dWellirtlj W/Attalrhed garage 3 bedruum 2 bath --
garage Cl!?
:eIxmit atab . - ---
-_
4020 � .� 119 —. ._-3 3a, ��.
QCC LOAD -F-IMS LOAD — HEIGHT_-___—.-._N_Q:�LQ _1f.1 AR.Ems_-- 40.0 RPIQQM ____ �LAL34980C.
BUILDING DEPARTMENT SET 9ACKSFRONT 27 REAR `'a LEFT SIDI-- 34 FIGHT SIDE
Permit 1.42.nn _---==_.--- -
,'l.11:3L, --— THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED IN TH''- BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS FEREB', ,GR-ED THAI THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICATIONS AND IN COMPLIANCE WI rH
SUL, Otal 21500 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS 'ERM!T' OOF.S NOT WAIVE
RE'STRICTIVL COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HA\E CURRENT CITY BUSINESS
State Tax I !CENSE SEPA E PERMITS REQUIRED FOR ER, PLUMBING,AND HEATING.
•vii.• ���tl•
Total 4'18,6; u�0�1:• 02 $100•By
�
T-I)R AGENI - -
�-- _- e
Approved �->IltW Receipt No. � C-v' !
wjff�WLMw v t M
I
DATE INSP. TYPE INSPECTION v REMARKS I PLUM31NG I DATE
Contractor I
I ,4WP ovr -
Permit No. /6Z
1J^� q, j 1111 ,�""`"�— �l 5/�PP►'Z l?tiE� l��J�1.1 Fixture -- --
Final — —
HEATING
Contractor _---
Sp
Ponnit No. ��77
/ — ,7jr513
�—�—7 ----- Gas or Oil —_L Rough-in
SEWCR
--— -�
6
��� Final DRIVEWAY
_
DRI=�y _-^--
/l.�: i3
Storm Drainage —_ —
/ _ (Kalli Drain)Final
Sidewalk
` Curb&Sti+et Final —�—
—.—....�— �------ -- Approach
BLDG. DEPT. FINAL TItMPORARY — CERTIFICATE OCCUPANCY Findl —
CERTMCATE OCCUPANCY --... ---
Landscaping
�I CITY TIG, •--- /
._, AILD NG F LRMI 1T APPLICATION OF �AD DATE
� --�� t9�' NO
+F Lig i "-IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 19VILDERPHONE-Aeld 2Z l(
iH;i1%�N ND APPROVED IN 1HE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONE
LOT NO._ _
_k - - ,_,-. JOB ADDREnoz !��t �—��.haOME ADDRESS ��_
ARCHITECT
ENGINEER
-_R ADDRESS DESIGNER
,HE. __ hEW `0RF_MO_OEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
r WfE I-_J'_('A1M ❑EDUCATIONAL OGOV"F ❑REI i1IOUSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE[]SLAB CFENCE
"'`Nu D MOVING ❑CONDITIONAL USE ❑DLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
NCYMID USE ZONE.-X--I—.BLDG.TYPE_ FIRE ZONE `PLAN CHECK BY HEAT. %
-4 D - �wl� r
pIE5-�/��I� 7�4�.@EDHQS�'�$_�VAL. l
v-; DEPARTMENT CET BACKS FRONT REAR— LFFT SID_ RI/G^HT SLOE
-- - —
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
17 WORK WILL BE DONE IN ACCORDANCE WITH THE r:ANS AND SPECIFICATIONS AND INCOMPLIANCE WITH
Sub Intal � y ALL APPLICABLE CODES AND ORDINANCEt. THE ,"SUANCF OF THIS PERMIT DOES NOT WAIVE
�1 RESTRICTIVE COVENANTS. CONTRACTOR ANU SUB CONTRACTOR: i•l HAVE CURRENT CITY BUSINESS
_— V LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND Ht:TING.
Total � 9
HY --- - - - - --_ ___
_. APPI ICANT OA AGLNT
4I,Ir raved Ipt No.
ADORE SS _ -PH N .._.__.
SEWER PERMIT
Uf N''�`'''� -mss
" 15860
Unified Sbwerage Agency
of Washington County CITY OF Tigard DATE 4-18-78
OWNER: RiiaRal q Rride PHONE : _
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
O tUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
NEW FJ�INGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) El MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRF SS OF STRUCTURE : _ 6.30 si,r 88th
PERMTT 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-
HUNDRLD AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATInN OCCUR.
FEES:
PERMIT FEF
CONNECTION CHARGE ALO
SIDE SEWER INSIALLATION B. Greene
OTHER ISSUED BY
T,O 'AA _ a_ 625_ fiQg%k
APPLICANT DATE
SEWER PERMIT 15860
ADDRESS OF STRUCTURE _ 15630 SW 88th
TAX MAP TAX LOT —
_,_-_ SYSTEM f a r►n_r� r rr�r �y1
LOT 21 BLOCK OF
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APPROVED BY ___,�'� /'
ISSUED BY / pOVE
D. U. 'S 1 DATE REMARKS _ bIfin ##2034
C17Y n � d 3
I N T11G�ARD DATE 7r_.__. ,g_ N° o�
3UILGING PLR�VIIT APPLICAT0 of
HF UNDE RSIGNFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDIC!.TED BUILDER PHONE�+�� `/ -� a'�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P�.LANS AND SPECIFICATIONS. LOT Nom .I
?/ -OWNER PHONE r_K
T� ,�
,,T °1ja
AS-403v Svs—Fm _ r �(�
Ft c �C �� JOB ACDRESS HOME ADDRESS L5' e
�j o14J d��/�y —
ARCHITECT
ENGINEER /J
R � ADDRESS �4N�a�`�. a'/� DESIGNER
.r''URE NEW 0 REMODEL (DADI)ITION _-`LJHEPAIR - 0RENCWAL OF IRE DAMAGE ❑DEMOLITION
i','l71NCE ❑COMM ❑EDUCATIONAL OGOV'T 0RFLIr10US0PAT10 ❑CARPORT ❑GARAGE _DSTORAGEOSLAB ❑FENCE
MOV_ING ❑CONDITIONAL USE ❑DESIGN REVIEW - LJCOUNCILAPPROVVE�ED ❑SIGNS
- I n-D USE ZONE .BLDG.TYPE _FIR ZONE_ PIAN CFIECK BY��1�*— HEAT el'-7-ft -
:,AD F4.US?B.-.4QAlL._ (L
HOILDING DEPARTMENT SET BACKS FRONT 2 REAR _ySt-LEFT SIDE RIGHT SIDE-
mit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check `�/�4�1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ALREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANU SPECIFICATIONS AND IN COMPLIANCE WITH
uh total $ ALL APPLICABLE CODES AND OiRDINAI;CES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- --- - - -^�-�Y' RESTRICT+VF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BIJSINESS
`;tale Tax (� LICENSE, SLPARATE PERMITS REOUIRED FOR EWE , PLUMBING AND HEATING,
Q f;+
X,,814 - ---�-�-" '/ � `/ '
BY Jit ICAN1 OR AGENT
i�hhUVPtIReceiptc
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ADDR Es5
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CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE c '�� �}'D0
APPLICANT NAME TELEPHONE #,
JOB ADDRESS � (v 3'G� w ,�' BLDG. PERMIT # dO34'
AMOUNT OF FEE FOR S. D. C. 3 ae
DESCRIPTION OF IMP
ROUEMENT__
EXEMPTI7NS -PER ORDINANCE #77-26�
FEE HATF5:
A. Single family dwelling unit under S60,000----------- $300.00
J. Single family dwelling unit over $60,000.--------- ; 400. 00
C. Mobile Home Court Spackt (Now Development)---------- S;150. 00
D. Multi-Family Dwellings--per unit------------------- $240.00
E . Commercial , Industrial I Inst.itutional(Park. Space) $ 50.00 each
F. Single family unit undoi $40, 000. ------------------ $250,00
CITY OF TIGARD
ORDINANCE #77--71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES �RICE
APPLICANT NAME TELEPHONE #
JOB ADDRESS I = 3 v --� $b� BLDr,. PERMIT # 0 3 �
AMOUNT OF FEE FOR P. D. C.
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000.--------------$ 70. 00
8. Single family dwelling unit over. $40,000.--------------$100. 00
C. Mobile Home Court Space (New Development)---------------$ 50. 00
D. Multi-Family dwellings--per unit------------------------6 60, 00
CONSTRUCTION IS LOCATED ON S.E. N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District #I. _§_.E . is Park District #I I .
C;, y of T:bar Mechanical Permit Permit �,oa
New Installation 'Z Replace ❑ Relocation ❑ Addition [�) Alteration ❑ — FQe
CONTRACTOR
OTAL 7 �
2 ' `!s� /i I f L
OWNS, ,%�
ADDRESS
,-� K RE
PHONE %PPLIC NT
Hrat Input Rating (SITU Per Hour)_ Vent Size
_ f Size
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM i`'O FEE ITEM FEE
For Issuance of Permit ---�- 3.00
Boilers Over 50 HP
New- Under 100 000 BT 00 it Handling 10 000 CFM 25.00
New • Over 100 000 BTU 3 OC
5 00 Air Handlin over 10.QQ0 CFM_ 5 OC
Floor Furnace 4 00 Eveoorative Cooler
Wall - Floor - Sus nded
4 00 Vent Fan 2 0�
Install Vents Z0.0— Vent System
Repair—Heat h Cooling ---_. 3 a
4 00 Hood
Boilers Under 3 HP 40-0 3 OC
0 Domestic Incinerator
Boilers 3 to 15 HP 5.00
7 50 Comm. Incinerator
Boilers 15 to 30 HP 1000 Other Not Listed
Doilers 30 to 50 HP 15 00� 3
INSPECTOR'S COMMENTS.
CITY BUSINESS LICENSE REQ'll ED FOR-ALL CONTRACTORS CO CT�SiS
APPROVED BY DATESSUED DAVE
RECEIPT NO.
»4
- Sig a Appiicant