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ADDRESS �S c*r'a � �1 n:RMI' NO.
-� PERMIT CHARGE non,
OWNER 7� � lAtt ' CONNECTION FEE /C12- &r- —
PAID 6Y
TYPE OF RUILDINU ,T �, ,. /� .1P . DATE CONNECTED ..`
SERVICE RATE :5[,� (� «,"; _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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BUILDING PERMIT APPLICATION rOFY TIGARD DATE April 4
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE-' 24-3565
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEPPHONFF
LOT NO.
'T.1:.Lax>.,;n L,clus:. 1.�9r.,;I ;:,W FtBth Avcauc
OWNER JOB ADDRESS HOME ADDRESS
SAtIiC' ARCHITECT
ENGINEER
BUILDER ADDRESS
_ DESIGNER
STRUCTUHE ❑NEW ❑REMODEL ❑ADDITION _ CREPAIR ❑RENEWAL - ❑FIQa DAMAGE _❑DEMOLITION
b RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCIPA110 [:]CAR PORT ❑GARAGE U STORAGE 1-1 SLAB []FENCE
❑BOND ❑MOV ING ❑CONDITIONA.L USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGI�iS
_ 1 R-7 ''i Id 1'.. Walden oja6
OCCUPANCY—LAND USE ZONE BLDG.TYPE_ FIRE ZONE_ PLAN CHECK 13Y-,----- HEAT
Construct one. duplNx a attached gursges
4 budrom
ttr, _
wur nsrmit 1::f,h1 _ ^-------- - Garage .79Z —
�.._--- 40 �0, 2068 —.._ 4 561,500
-
(1��_LOAD FLOOR LOA� j�g(� AREA pp�OMg /SLUE
BUILDING DEPARTMENT' Tom— r�+ �L-
-- SET BACKS FRONT REAR LEFT S'nF RIGHT SOF
. — - —
Permit —_�- – .- _..._
THIS PERMIT 19 ISSUED SUBJECT TO THE RC"ULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check Rtt:ULATIONS AND ALL APPLICABI F CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
30 1 50 — WOK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ' RAt APPLICABLE. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
(44-77T 13.U44 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State. Tax Wg§4 iFe Sj4I"TE PERMITS REQUIRED FOR SEWER, PLUMBING.; AND HEATING
Total P.U.C. 112 ;1120.
By
— � y ".ANI r�R A(:FNT
[Approved ----�—
Appro —� Receipt No '
VATS INSP. TYPE INSPEC1 ION REMARKS PLUMBING DATE
Contract,--r
Permit No. !_3 3.
Rough-in
Fixture._____
Final
HEATIING
Contiactr,-
Permit No.---
Gas
o.Gas or Oil
Rough-in
Final
SEWER�6J6'
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
_ ' Sidewalk
Curb&S
t
reet
Final
� A roach
BLDG DEPT. FINAL TEMPORARY
CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
...................
SEWER PERMIT N , 1
Uf fied Sewerage Agency
of Washington County CITY OF _ rigard. Oregon DATE April 4,._ 1978
OWNER: T- F_ i.axtoTi Construction _ _ PHONE :-224-356-
OWNER ' S ADDRESS: __15900 SW 88th Avenue
TYPE OF INSTALLATION:
❑ BUILDING SEWER ❑ BUILDING SEWER AND SICE SEf!ER
TYPE OF OCCUPANCY:
❑ NEW ❑ SIfJGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-701 Q MOLT. RES. [] INDUSTRIAL
FIXTURE UNIFSDWELLING UNITS 2
ADDRESS OF STRUCTURE . _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND '
REGULATiONS OF THE UNIFIED SL:WERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION FXPTRES IN ONE--
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID 'WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 35. _
CONNECTION CHARGE 1 ,200.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $ 1,235.
----
PLIC<,NT DATE
SEWER PERMIT N15S4I
ADDRESS OF STRUCTURE 15900 SW 88th Ave.
TAX MAP TAX LOT SYSTEM fanno creek
LOT r�2 BLOCK _ OF
A.PPROVFD BY DATE ISSUED BY DWC
O. U . ' S 2 REMARKS bldg. 111996
� � s
C,TY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : _!�� jj ESTIMATED SALES PRICE $
APPLICANT NAME , L r1ti �.. TELEPHONE #
JOB ADDRESS___/S SO a w k '' "� BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C. a U
i
DESCRIPTION OF IMPRO.'="IENT ���� "C
EXEMPTIONS - PER ORDINANCE #77-71.
FEE RATES:
A. Single family dwolling unit under $40,000. -------------$ 75.00
E. Single Family dwofling unit over $40, 000.--------------$1.00. 00
C. Mobile Home Court Space (New Development)--•------------9 50. 00
D. Multi-Family dwellings--per unit-----------------------
CONSTRUCTION IS LOCATED ON S.E . ��x'I.W. SIDE OF S.Lj. $PACIFIC
HIGHWAY. N.W „ is Park District #I . S.E . is Park District #II .
CITY OF TIGARD
ORDINANCE #77-26
STREE'( SYSTEM DEVELOPMENT CHARGE
DATE :_' �yA Y ESTIMATED SALES PH.TCE
APPLICANT NAME TELEPHONE .4
JOB AwDRESS �% Sys>d s� '� BLC,G. PERMIT
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF !MPROVEMENT�
EXEMPTI`lN`' -PER ORDINUICE. 7777-2.6
FEE RATES:
A. Single family dwelling unit under ; 60,000.---------- $300. 00
0. Single family dwelling unit over 560,000.--------- 340U. 00
C. Mobile Home Court Space (New Development)------•---- ?150.00
D. Multi-Family Dwellings--per unit-------------------- -
E.
------- ---E. Commercial , Industrial & Institutional(Park. 5pace) $ 50.00 each
F. Single family unit irider 540, 000. --------------- ;250. 00
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UILDlNG PERMIT APPLICATION CI Y TIC"RD DATE__S_'��'______ �47i' wo
�4F LINDE RSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATF.D BUILDER PHONE 2? 0
LIR AS SHOWN AND APPROVFD IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONF _
LOT
/���.
At .)RESS 1 CS /�� � W/� HOME ADARCHITECT -
ENGINEER
ADDRESS _ DESIGNER
0
RFMODEL GADDITION ❑REPAIR_^ CJRENEWAL� OFIRE DAMAGE ❑DEMOLITION
F 'DFNCE ❑CCIMM_CLUUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE[ISLAS ❑FENCE
-IPC!ND ❑MOVINr; DCONDITIONAL USE ODkSIGN REVIEW ❑COLINCIL APPROVED ❑SIGNS _
i'VANCY (T L AND USE ZONE-1R= aBLDL TYPE_ :.`FIRE ZONj PLAN CHECK BYE_. HEAT-
&4'e Rip- - •-
- --- - _ __-_----- ---
-BUiI [ 'NG DEPARTMENTSET BACKS FRONT REAR /SLEFT 51DE j d RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE PFGULATIONS CONTAINED IN THE BUILDING CODE, ZONINr
^Ian Check REGUL ATICNS 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
.`'uh lolal _ ,v ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
•? RESTRICTIVE CriVENANTS COkTRAC'TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`.tale Tax(,{ ----- t0 LICENSE SEPARATE PF OMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
APPI ICANT OAA ENT -"------------- -..__.._---
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ADDRESS
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