14635 SW 97TH AVENUE 14635 SW 97TH AVENUE _
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Permit charge
Owner %t�� .t, � Co�t.�T �:onnectinn fee l�a
Paid by
Type of buildingDate ronnacted
ervice rata i�apection fee
Crintractor _ Jaid by C�at3
Size of conmictIon A3sassment paid
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BUILDINC DEPARTMENT, TIGARD
/p� f a PLUMBING PERPr1IT 1� •
G�1,f KL TL$ l �, r e a
� ��It �_.—, holder of a valid plumping contractors lic_ns,_ Is hereby t
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector vho shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of l igard Business License required
for all contractors and sub-contractors.
�✓�< � � � _ � _ sA, 7_9Own r Co Address —of - 4 5-97Dar _
_
NUMBER OF TOTAL PFRIMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Usa Only)
Single Fsmily 1 bath each _—�25.00__
Ouolex-Each 1 beth unit 25 00
Additional bathrooms-•eech -- T 10.00_
ohile 1'loma 5 ar9 derh �.___.� _-16.00
INDIVIDUAL FIXTURE FEES
—_ - 1 to 50 Fixtures
-in 1 building-.each� _ _-,3,00_ _
51 to 100 Fixtures in 1 bt ildirn -each_ _ 2.50
—191-,Lo 200 Fixtures in 1 buildinu-tach �_— — �— —_— _ _2.00
_2tl1_or f�lnrd FIxtY!!L_ n t bulldin�c_ear-h 1.50_T— —�---�-- �-
h1IScELLANE0US
Buildint�SK-Nar-1st 50 ft,_'
Sewers-each ar:di;ion,il 10n ft_. _._ -- --- 10.00
Water Sendrn to building _ 5.00 _--
_Private Water Svsterns--each 100 ft, 10.00
Otrhe
(Sye• r•ti —__
PERMIT For Phtmbing Inspection Phoi; 639.1171 1
I 34111 Srvte Plumbk,r Contt3ctor By
TOTAL _ –�– RECEIPT NO. Issued By
SEXIER PERMIT NO. 13850
Unified Sewerage Agency o2 / -77
Ti i d
of W4shington County CITY OF,---
rLa DATE _
OWNER : Waverly Const. Co. PHONE : 981-677U. __-•
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY,
X®NEW XB SINGLE FAM11 Y ❑ COMMERCI^I_
❑EXIST . (PR IOR TO 7- J -10i ❑ MULT . RLS. ❑ INDUSTRJAI_
FIXTURE UNITS DWELLING UNITS
PERMIT CONDITIONS: THE APPLICANT AGREES 'TO COMPLY WITH ALL RULES
AND REGULATIONS OF "rHE 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 FEE 25•_
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER _
TOTAL $ 625.
Cz
4rP1_J CANT DATE
' SE�IIER PERMIT
V' 13850
Y 1�
ADDRESS OF STRUCTURE 14635 SW
TAX LOT SY5r M fanno creek
TAX MAP ._ —
LOT BLOCK OF
APPROVED BY DATE ISS ED BY DATE
REMARKS bldg. x/1801 �_
CITY OF TIGARD
ORDINANCE 7"'17-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE :- 11-17-77 ESTIiIATED SALF"S PRICE
.___E,4,17nn_
APPLICANT NAME Waved _rn Sn t. I-Jj TELEPHONE
JOB ADDRESS_ 14Ci�-97th Ave, ULDG . PERMIT
AMOUNT OF FEE- FOR S. D. C.
DESCRIF"TION OF IMPROVEMENT (Z,
EXEMPTIONS -PER ORDINANCE '177-26
FEE RATES:
A. Single family dwelling unit under 650,000.---------- 5?300.00
0. Single fomi 1 v dwoll.ing unit aver S60, NOO. - --____ ��,C. mobile Home Court apace (New Development)---------- S4150. 00
D. Multi-Family Cwellings--per unit-------------------- $240.00
E. Commercial, Industrial & Institutional(Park. Space) 50.00 each
F. Single family unit under 540,000. ------------------ v4250.00
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CITY OF TIGARD
ORDINAP'CE #'17-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 11-17-77 ESTIMATED SALES PRICE gh_ nnn_
APPLICANT NAME j,averty Con.5t, Co. _ TELEPHONE #
JOB ADDRESS 1435 SW 97th Ave. BLDG. PERMIT # 180]
AMOUNT OF FEE FOR P. D. C . _.1100.
DESCRIPTION OF IMPROVEMENT S.F.D.
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. ----------- $100. 00
C. Mobile Home Court Space (New Development)--------------fib
D. Multi-Family dwellings--per unit-------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON S.W. XXX N. [ ,. SIDE OF S.W. PACIFIC
HIGHW!{Y. N.E . is Park District #I . S.W. is Park District #I1 .
BUILDING PERMIT APPLICATIONcOF TIGARD DATE_ _ 19 ' ' }
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONF
t1 LOT NO.
OWNER ',: 3VUL't ,, `.-',unaL. I',CZJOBADDRES" 4463:) SW 97th AVO, HOMEADORESS �—
ARCHITECT
Imu ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE ''❑NEW _❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL! ❑FIRE DAMAGE ❑DEMOLI'TION
❑RESIDENCE ❑COMM CJEDUCATIONAL ❑GOVT ❑RFLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [:]STORAGE❑SLAB ❑FENCE
BOND ❑MOVING ❑COND'TIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
. .�
OCCUPANCY _LAND USE ZONE_ '—Bt-DG.TYPE "1'� _FIRE_ZONE J PLAN CHECK BY N —_ HEAT_ _
j11:A . e11ILy10 r'ami.ly uWfillin:,, i.I/attachsd garsje 3 bodruum Uath
OCC. LQAp _.FLQ—QB LOAD HEIGHT NO.Slgf3.1U-"._L_.._AELEA-17LCI NO.BEDROQM3--LyALU.E_4-L&- .
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 163.00 --THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT'ONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 61•A REGULATIONS AND ALL APPLICABLE CODES AND OIIDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb•tot31 144•a0 ALL APPLICABLE CODES AND ORDI►:ANCES. THE ISSUANCE OF THIS PERMIT COES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6,52 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 50*02 U L• lU(),
By
i( ANT OR AGENT
Approved ; Receipt No. ",f 7 4,_)
n iil�rt� �ti �-It)NE ---
DATE INSP. TYPE INSPECTION REM-kRKS PLUMBING DATE
Contractor
�`'�.�`. _ C�i✓b"l z- ��S/ i�.rc��, 7� L�- ee- Permit No, `�(,� 36
_ i /��L?17�Q�1 1/l1_ly(/�1/ Di✓ �t'l>Y� POLIgh-in — —
Z v,#7.7 i✓� _ tYf�[��ti� 7> Fixture -
--
Final
--
1 _ HEATING
Lcotractor
1_z1 -`1 \ _ L� -- pp Permit No. O g
b- - 0 1 S f}PPIZ OV 0,) .U. 1113a%or Oil
Rough-in _
Final
SEWER ——_
— -- — Final --
-�Q DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final`
CERTIFICATE OCCUPANCY
r Landscaping
Zoning Final
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t��t'CflE7t1fC1.7� f'tt ;111t ,I Pt::,,it---_ S3.00 —
Fee
Alteration � 3;;.State_ �t %,,Q
r:e : Inc,eCalon Re:,,ace ❑ Relocation 0 Acidi'ion --i�-}af���
•CC,:i R ACTOR1�fZ�_��.�.
WDRK ADORESS1yJ
C APPLICANT vPsar� rrsc�
PHONE
Heat Input Rating (BTU Per Hour) Vent Size Fl Size
FUEL OIL GAS [9- ELECT L�l OTHER
+�,.-• ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit �_T- 3.00 _Air Condition Compressor 15 to 30 HP 10.01
- New• Und_er 100,000 BTU 4.00 _ Air Handling 10,000 CFM 3.01
New• 10G,Of10 BTU&over 5.00 ''Air Handling Over 10,000 CFM - 5.01
Floor Furnace _ _4.00 Ei.aporative Cooler Y —3.0(
;- 4.00 Range Vent Fan 2.00
14'all • Floor •Suspended _
Install bents Only 2.00 Vent System — 3.01'
Rcpa_ir. Heat & Co_oling _4.00 Hood Commercial _ 3 0C
.lir Condition Comprrrssar Under 3 HP -j -4.00 Con�mem:_,I Dtict System10�OC
—- 7.50
:fir Condition Compressor 3 to 15 HP-
INSPECTOR'S COMMENTS -- — - —
t=1�
0 CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS
_ .�. DATE ISSUED BY..—_- V_—__ DATE
APPROVED --—
zt..;' — c
-' RECEIPT ----
,. Sinnature Applicant