15755 SW 88TH AVENUE-1 15755 SW 88TH AVENUE
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Address / -S 7SS— ) x }(,h � � permit No.
Permit charge7
Owner 0k-,A � Connection fee (pQ0
Paid by C� C
",/pa of building /tea Date connected
�?rvice rate g/ Inspection fee �S
'ontractor Paid by date
. ize of connection i Assessment Paid
1
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1TY
BUILDING PERMIT APPLICATION CAF TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_.=GLS ' [ �
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NC.--Gb
OWNER.Jd1Ck- f�rMmny JOB ADDRESS 15755 SW 66th Ave HOME ADDRESS
ARCHITECT
- ENGINEER
BUiLDER � Q1 _ _ ADDRESS 9908 St, 55th DESIGNER
STRUCTURE )FXWEW_ ❑REMODEL ❑ADDITION .JREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
7 RESIDENCE"nrbMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAri) ❑CAR PORI ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
gsOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY i LAND USE ZONE. 7 _-BLDG.TYPE 5N FIRE ZONE 3 PLAN CHECK BY etw HEAT `a
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cof'oz - single Eatdly dwelling w1attHched garage 3 bedroom 2 bath �
na vcc.uDan,,L until street workeaRp ke to -
------------------------------
504 garage
pQC LQAD —_FLOORLOAtZHEIGHT 1_� _ NO.STORIES 1 AREA L.358.--N2
_u_tDaQQv_, 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT 16 f1EAR 44 LEFT SIDE 12 RIGHT SIDE 10
Permit 15111,00 -__---- - --- ------- _- --
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATin-;^ C^NTAINED IN THE BUILDING CODE, ZONING
Plan Check 77100 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WOPK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 231.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6.16 �ICfjNSEI Sf�Pr4�[iATI_ PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 237.16 1'``.L}l,L. , 2 l$100.
By APACANTO 1
R AGENT -
Approved Receipt No.
D 55
m W WXW ars in IN
DATE INSP. TYPE INSPECTION REMfkAKS PLUMBING DATE
'3-3-?,T _ _ _ Contractor
/F� - �e- Permit No.
j, t�a �,� c11 r _4-;(�--*x-cc �t.M Rough-in v -
c
`\ Fixture
L4 _1J Final -^
HEATING
-tilt Cit .Let .r C7ntractor
Permit No - 31
Gas or Oil
Rou h m _
Final I
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
( landscaping
\- Zoning Final
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f= SEWER PERMIT ��/�' y
� 13389
Unified Sewerage Agency 7�,/z--.17 d
of Washington County C 1 I Y OF Ti �,;�r�1 DATE Lae a:, _
OWNER: .1; ck Corin,�_ PHONE .
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
xEiJBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWE4
TYPE OF OCCUPANCY:
xx2NEW xxo SINGLE FAMILY ❑ COMMERCIAL
❑CXI::T . (PRIOR TO 7-1-70 ) ❑ MULT . RE.S. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
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.
FEES:
PERMIT F^E g 25. _!
CONNECTION CHARGE_ 600.
SIDE SEWER I t,iSl ALLAT I ON
ISSUED BY
O fHER
TOTAL $ 625.
n) APPLICANT DATE
I ,
cult i�, SEWER PERMIT M 13889
�iDDRESS OF STRUCTURE 15755 SW 88th Ave. _T _
TAX MAP TAX LOT SYSTEM fanno creek
LOT 66 _ BLOCK _ OF \\
APPROVED BDATE ISSUED BY DATE
REMARKS bldg. #1861
MW iffiWd
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE ; Q—. ��� ESTIMATED SALES aFT.CE
APPLICANT NAME c r l��_ �tELEPHO.VE_
JOB ADDRESS /.";i �!S- Zt/ � 7f� BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C. "fid
DEF"R1PTIjN OF IMPROVEMENT ` "•�'
EXEf1PTIrJNS -PFR ORDINANCE #77-26 �
FEE RATES:
A. Single family duelling unit under $60,000.------- 3300.00 . '
B. Single family duelling unit. crrPr 560,000.-—
$400. 00
C. Mobile Home Court Space (Neu Development)---- ------ $150. 00
D. Multi-Family Duellings--per unit------------------- $240.00
E . Commercial , 'Tndustrial h Institutional(Park. Space) $ 50.00 each
F. Sinc,,.e family unit under $40,000. ----------------- $250. 00
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E CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SAP'S PRICE $ •rl-!r ' �
APPLICANT NAME TELEPHONE #
'r
JOB ADDRESS BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C.
DESCRIPTION OF IMPROVEMENT
1
EXEMPTIONS -- PER ORDINANCE #77-71
FEE RATES :
A. Single family dwelling unit under $40,000.------------- 75. 00
B. Single family dwelling unit over $40,000,-------------�31060"W
C. Mobile Home Court Space (New Development)--------------$ Moo
U. Multi-Family dwellings--per unit------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON , E. N.W. SIDE OF 5.9/ PACIFIC
HIGHWAY. N.W . is Park District I . S.E . is Park District #II.
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OUIL DING PERMIT APPLICATION pow TIC-,A RDDATE—/_—M-___-_ 1qZX_ Np
-:HE LINDE RSIGNED HEREBY APPLIES FOR APERM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE k_i__-_ T 3
S SHOWN AND APPROVED IN THE ACCOMPANYIIJG PLANS AND SPECIFICATIONS. OWNER PHONE
/� LOT NO.—
J�—. _W _JOB ADDRESS/.7.5.) c� ff'K�c. r HOME ADDRESS
ARCHITECT
�!L� C-O_� U>a ADDRESS O
:CTURE 'SEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _[]DEMOLITION
- — _
I'I'D FNCE C(1MA OEDUCATIONAL OGOV'T ❑RELIGIOU_S_OPATIO ❑CARPORT ❑GARAGE 0STORAGE OSLAB ❑FENCE
X" IND T�OMOVING ❑CONDITIONAL USE _[DESIGN REVIEWy —OCOUNCIL APPROVED ❑SIGNS
i FaVC� L lA"1C I!Sc ZOLDG.TYPE FIRE ZONE. PLAN CHECK BY HEAT
-- __-- --- -Ye9
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!•_ S.Q9A --- FLQ.Od-LQA.l?_ H��StHLl3.. NO,ST �AHE9/3�_Ns?�DR�MS 3 VALU E
BUILDING DEPARTMENT /
- 'yt SET SACKS FRONT REAR
--_LEFT SIDE / RIGHT SIDE
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r er11 — �._._ ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOP, ZONING
in Check _ 77 O O 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
`lit) total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT GOES NOT WAIVE
—"— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
pite TAX LICENSE SEPARATE PERMITS RfOUIRED FOR SEWER, PLUMBING AND HEATING.
TotAl ?i J
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CANT OR AG N1
Receipt No.
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IXYireli�d4ij11!4• •A �IirYNalliA1�1f11Wf.` uw.w.....,•.tvi.�....,v+...r.._..._.�:
BUILDING DEPARTMENT, TIGARD N°
PLUMBING PERMIT lr •
__Q✓t d c _� ���1�' � is�_—, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing vabrk as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. /5755 Sto EEL, .j-lenR.�
Owner Address�cr��'Z_.SI14xE��Bdd_� �►. Date_..
_ NUMBER OF — TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
_—
Single Family-11 both—each l` 25.00
_Duplex—Each 1 Fath unit —2500
A-dditional bath`nomv each �__ 10.000
Mobile Home Space_each _ 15.00
INDIVIDUAL FIXTURE FEES
Ito 50 Fixtures in 1_buIlding-each , �y 3.00
�51 to 100 Fixtures in 1 buildingVeath_` �i 2.50��� _
101 to 200 Fixtures in I building—each _ 2.00
201 or Moro Fixtures in l building each _ _ 1.50 —
MLSCELLANEOUS------
lit
__ _1st 50 ft. _ _ — _ 10.00
Sower--each additional t_00 ft. _ 10.00
Water Service to building_ _i ,— +' 5.00
_Private Watar Systems each100 ft. _ —� _ _ 10.00
Other (S ecit 1; -- - _
PERMIT : ;1�� For Plumbing Inspection Phone 639.4171
State 1L�� Plumbing Contractor 8y
_�-_______� J
TOTAL Na& e RECEIPT NO. Issued By
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