14850 SW 92ND AVENUE 1
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CITY OF T167A.RDBUIL� D 1NG IAE RMIT
CIr &W,AR0 PERMT'T' NO. : 13Uf380808
COMMUNITY DEVELOPMENT DEPAR,rMENT .xE°°"
13125 S W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)839.4175 DATE ISSUED: 5/ q/98
P14IM . PMT .NO . 880T:10E1
..JUB ADDPEiS : 1-IHt:10 SW 92NC) AVE::
1 AX MAF)/I...O'T F-2.y:1AAA[w5300 SUB: I_.T : I P,
LAND USE PT q 3
I CTT S:CZr..: : VAL..L)AT:f ON: sy e),900 S F.`TUAC:KS
FRONT : REAP . 10
WORK (AA aS : A001 T10N DWELL. L)Nrrs : LEFT . WILCH'I' : :3:3
1 YG:'IEa : Ei:I:N(:;I_.F: FAMILY NCI. 01--MPOOMS 1. E:X T WAL..L CONST :
C.'UNS I* . TYPE : VN NO . RA T'HS : 1. N S : E: I:J.
OC.C:UP.GPP R3 PPO'T .OPE::NJ:N(.35 :
(31;CUP.L.OA1) N : E:: W:
NO. ►.E'T(:)ATES : 1 :1.5 T' : 1.62 ROOF C:(:)NS'T' : 1='I RFi RE'T"7
VIE::(01•I'T' : RNE) . APE-1) SE PAR7 PA'T'Ei:D :
8AS:'-EMEi:N'T••7 3140 : OCCUP. 5I;-J)AR7 PA'1'1'-la :
h11--X 1)N1NE:"f BASE:M' 'T
F:I...O(:k LOAD : 410 GAF1AC F-1PE S:iloRKl_R7 AI...APM7
1:1-AN CHECK BY bc:r.
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Tr1Is permit Is Issued sublect to the regulations contained in Title 14 PE.1.1k X P'T' NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
.....„.._._........ _..,..._,._.».....
and all other applicable codes and ordinances, and It is hereby ......._..... .........
agreed that the work will be done in accordance with the plans and RE:QUI RE:CI J:NSPE:CI I I ONS
specifications and In compliance with all applicable codes and 11-0011 NG
ordinances The issuance of this permit does not waive restrictive POS T rr REAM
covenants. Contractor and subcontractors shall have current cily 1 PAMT14',
business fix permits. This permit will expire and become null and
void if work Is not started within 180 days,or it work Is suspended or 1"'1..8 T1111''TJI.I'T'
abandoned for a period of 180 days any time after work has INSUI_(I'll :TON
commenced. It shall be the responsibility of the permiltee to assure GYC'' F+C)AR0
all required Inspections are requested and approved F• TNAL
Permittee Signature
Issued Byc?)
CAl. I . FC)Lt TN9rrnrrfON 6,114 . 41] '7.".1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITE OF TIG
F'IUN3ING KAMA,
CITYOFTWAND PEOMIT N(J . PLE1180113il.
COMMUNITY DEVELOPMENT DEPARTMENT ONOON
13125 S.W.Hall Blvd.,P.O.Box 23397,rig.,Ard.Oregon 97223.(503)6394175 DAIT.: ISLAWD : .5/ A/88
PPTR-7 i:"M*T* .NO . 81130808
ADURESS ' 1/4850 S ::'
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TAX MAP/LOT PS 1.1.1.AC.5:4 0 0 GUE.1 LT
LANU USE :
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WORK CA—Wns : WAI EP '11 WAP
11,115E TYPE: SINGLE FAMILY URINAL. BKI---*I-.(:)W PriVN*rR
*TPAP PPIME'14
UN I AVOPATOWY
1:13 TUB SIAMU-p 1. GPEW5E 'VP APS
Dl!&IWA4';FIEA
('3APBAGE: DISPOGAL
NO STUPIIKS : 1, MACHTNE.
DWE.I.A..LNITS : I AUNDWY 'T PAY 811-13G. DPAIN (DIA
FLOOR DRAIN
Si:[NK SEWEP (F:"T')
WATER HEATE14 51UPWRA'IN (1` 11-
OTHER
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TOTAI $213 . 63
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W63- 444ARVA
This permit is issued subject to the regulations contained In Title 14O .
1.4 Fi. I P'T N
of the TMC. State of Oregon Specialty Codes,zoning reguiallons
and all other applicable codes and ordinances. and it Is hereby
agreed that the work will be done In accordance with the plansond
specificatiomi and In compliance with all applicable codes aid FOL)TING,
ordinances 1 lip issuance of tho permit does not waive restrictive & f3F AM
covenants infractor and q-ibontractors shall have current city F RAMI M;
business ta,( permits This permil will expire and become null and PLM T(:POL11
void If work is not starleJ within 180 days.or it work is suspended or
abandoned for a period of 180 days any time after work has CN5N
ommenced It shall be the responsibility of the permittee to assure uyr) i'icw.pr)
all otulred inspections are requested an approve
Permute p I Aignature
Issued By &VIC
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
PLAN CHI r;K APPLI.CATI.ON
C17Y OF TIGA' RD PLAN CN K #
�/ L� /I GITYOFTIOARD,� PERMIT �4��-,2
CC7MMUN(TY DEVELOPMENT DEPARTMENT 7 OREGON /I DATE ISSUED
13125 SW Hall BW. P.O.Box 2-3197,Tigaal,Oregon 97223(503)&%+175 /
JOB ADDRESS: / aP '��/�J I TAX MhP/LOT Z� �-II,F�C� 3Dt1
SUB: LOT: _ LAND USE: .!'
OWNER t r t SPECIAL NOTES
NAME: � f' / /� i r��ff r/J f�j/�i i _ REISSUE OF:
ADDRESS: LAST REISSUE: _
FLOOD PLAIN/
SENSITIVE: LAND: _
PHONE: _
APPROVALS REQUIRED
CONTRACTOR ��
��r� PLANNING:
NAME: T! c a CO ENGINEERING:
ADDRESS: FIRE DEPT
-7 / OTHER:
PHONE: y'-G� O / S ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS: —
ADDRESS: TRUSS DETAILS:
_ PARKING PLAN:
LANDSCAPE PLAN: _
PHONE: OTHER: �' ✓=�['�s ���'� —'
COMMENTS: OU
_
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
10--432 00 Building Permit Fees leZ SL)
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �-
10--2.30 01 State Building Tax (5X)
Building -3
Plumbing /• i
Mec:h _
10-433 00 Plans Check Fee `i a L,3 �►-
Building 40_(0 _
Plumbing _
Mech
30•-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80X)
30-444 00 Sewer Inspection _
51-448 00 Street System Dev Charge (SDC)
52--449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst. Dev Chrq (SSDC)
10-230 09 1-RFD (95X)
10-4.15 00 TRFD (5X) _
10-230 OG Washington County Fire N1 (95X)
10-435 00 Washington County Fire #1 (5%)
10-220 00 Amart/Wedgewood
I OTAI -5
�Y (' REC #
APPLICANT SIG ATURE // --11
Received By: W _ Date Received:
ht/3587P
BUILDING PERMIT APPLICATION cOF TlGARD D:,Te ,/��__-• '9�
THE UNDERSIGNED HERESY APPLIES FOR APERMIT FOR I'HE WORK HEREIN INDICATED SU'LDERPHONE
OR AS SHOWN AND APPROV9aIN THE ACCOMPANYING PLANS A D SPECIFICATIONS. OVINEP FHOr1E _
� . LOT NO.�_..�jQ,...�
OWNER -1d-
ARCHITECT
V ENGINEER
BUILDER 1 (NL ADDRESS DESIGNLR - - —_
STRUCTURE_ NEW ❑REM_OOEL OADOITION ❑REPAIR_ ❑RENE"JAL _ ❑FIREDAMA: ❑DEMOLITI)N
r,ESIOENCE ❑COMM ❑EDUCATIONAL ❑GOV'T [IRELIGIOUSOPATIO LICAR PORT ❑GARAGE T RA E❑ ,LAS []FENCE
C4UPALJCY____LAN USE ZONE_ 2=—BLDG-.T PE_17- E M.-FIRE ZONE PLAN CHECK BY_ FIEAT�
SEWER PERPJIIT_j__
=_IJQAP __ FLOQ8 LOAD REA_._- _ NQ BE( 1QM5 SLUE.
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND 09DINANCES, AND IT IS HEREBY AGREED THAT THE
--- ---""' VIOAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total SDC —
PDC#
By APPLICANT OR AGENT
Approved Receipt Nu
Ar1nRE55 ----- YHpNE. - -- -
SDC —
PDC — #
SEWER CONNECTION
SEWER INSPECTION $ �
SEWER SURCHARGE
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