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10821 SW 108TH COURT _ 10821 SW 108TH COURT r U L y 0 3 ul •-1 N m O .-I 1 If f i ADDRESS I D�vZ �W �Q�ef lit PERMIT NO. PERMIT CHARGE none OUNER / COINNECTION FEF Zze, / cl PAID 6y TYPE OF BUILUING ( B�Lr 1' ,, �� ' DATE CON .FLTED _ SERVICE RATE /$, _ INSPECTION FEE CONTRACTOR PAID BY D' SIZE OF C011'VEC'fION �" _ _ ASSESSHENT PAID i_� C' -T•: OF T^CARD HEATING PERMIT LATE PERMIT NG. RECEIPT NO. BY FEE, 1., Permit shall be obtained prior to cc=encement of installation„ 2� Permit shall be obtained for all appliances which are to become a fixture to the building, 3,. Relocation, replascemer:t: a c charges to burners and duct work require permits. 4„ All work to be concealed must be .,o r... .. l before cover uA- New Installation 54 Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ CONTR,. A!.p!mF- L- Wd 1 u QIJ►ry�t,►>_ �!_ 't� '�R a�.M. OWNER Ub.-N..�Ed'2 Ei� A. t4 S4 __ _ _ ADDRESS WORK ADDRESS G I Ac ISA vrrA �_�i_ l� 0O ) APPLICANT W, I I a►�, ��1 trCal A ' TELEPHONE NO. p - FURNACE - MANUFAC'TURE'R �Ems. D.__.._�.--. - TELEPHONE NC-, HEAT Ir putt rating (Btu Per H^�r ) b.g ADO Fent £ ie U Flue Size FUEL OIL GAS CJ ELECT OTHER TOTAL SQ. FT, Top Floor ---- Main Floor _.� �{-7 Basement _- GENERAIL ITEM NO FEE AM"'1 ITEM NO, FEE AM'T For Issuance of Permit 3 0 _ .loilers over 50 Ep15 00 New - Under 100, 00G Rtu E 4 0 Jar_Hand l r rticl_1O�G'jQ CFM 3�00 New - Over 100;_002 Btii _ 5 0 -_ - hir_Handll ing0ver 10 OOJ CFM 5 00--- Floor 0 __Floor Furnace _w _ 4 0 _ 3va-,gt�_LAtrvre_Caoler �� _ 3-00 Wall - Floor_- spended 4�O _ 'Fent Fan 2,.00 Install Vents 2 0 Vent_Sjostem_ 3, 00 Repair -_Heat 6 Cooling 4 OC Hood _ y 3�00 Boilers Under 3 Hp _ 4 0 _� Dt_ms�st ac Incrr.erator 4 5.,00 Boilers 3 *o`15p '' 5C p_ Comm Inckneratog��~ - _-- 0 ,00 - % ilers_15_to 30 Hp _ 0, 0 . _ Other Not Listed __- __3 00 __ Boilers 30 to 50 Hp 15 .0 +� INSPECTOR' S COMMENTS APPROVED BY DATE ISSUED BY DATE ex Signature cf A plicant 4�2 •��-18 i� CITY OF TIGARD ORDINANCE 1#77-26 ESTREET SYSTEM DEVELOPMENT CHARGE I DATE : ��i�, a' ESTIMATED SALES PRICE APPLICANT NAME C' -r TELEPHONE # -r� JOB ADDRESS "< 3'� - 3�_ /� _ C-i BLDG. PERMIT # .l AMOUNT OF FEE FOR S. D. C. You _ DESCRIPTION OF IMPROVEMENT EXE11PTION5 -PER ORDINANCE ,1`77-26 FEE RATES: A. Single family dwelling unit und9r $60,000.--------- (3300.00 B. Single family dwelling unit over 560,000.--------- 3400.00 C. Mobilo Homs Court Space (New Development)---------- $150.00 D. Multi-Family Dwellings--per unit------------------- $240.00 E. Commercial , Industrial & Institutional(Park. Space) 5 50.00 each F. Single family unit under $40, 000. ------------------ $250. 00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : o I-� ESTIMATED SALES PRICE $ s 7sl APPLICANT NAME TELEPHONE # JOB ADDRESSIOXZ *� f BLDG. PERMIT o4 C) AMOUNT OF FEE FOR P. D. C . Uri _.--- DESCRIPTION OF IMPROVEMENT L 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.--------------$100. 00 C. Mobile Home Court Space (New D-velopme;-it)--------------$ 50. 00 D. Multi-Family dwellings--per unit------------------------$ 60. 00 CONSTRUCTION IS LOCATED ON S.E. !�� N.W. SIDE OF S.W. PACIFIC HIGHWAY . N.W . is Park District #I. S.E . is Park District #II. - � cirY TG_,AAD- D-A---F-E�F _lll_DiNG PERMIT APPLICATION D H�•�GNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDCRPHONE:?�67�!� `LZY PROVED IN THE ACCOMPANYING PLANS AND SP;CIF ICATIONS. OWNER PF;� LOT NO. � _ ICSB ACSDRESS� V 6- �!IiME ADDRESS = - ARCHITECT ENGINEER P ADDRESS _ DESIGNER r{E EW_ 0REMODEL ❑ADDITION ❑HEPAIR LJRENEWAL _ QFIRE DAMAGE QDEMOLITION r ;,I r��F ❑r-r•n�M ❑EDUCATIONAL ❑GOV'T ❑RELI1,10USOPA110 ❑CAR PORT ❑GARAGE ❑STORAGE[]SLAB ❑FENCE �r `ND C11.10VING _ ❑CONDITIONAL USE r,l-SIGN RE VIEW_ []COUNCIL APPROVED ❑SIGNS I. Ncv ^.3 L AND USE 70NEL!�� BLDG TYPE S_.!v F-IRE_ ZONF 4I PLAN CHECK BY __� HE ATT-__,_-._._.__ -4R�A U�NO.BEDR..4.0,MS VA.L11.E�+��7sE__ BUILDING DEPARTMENT SET BACKS FRONTA REAR 4 _ LEFT SIDE to RIGHT SIDE_Ija _-00 A THIS PERMIT IS ISSUED SUBJECT TO THE REUULATIONS CONTAINED IN THE BUILDING CODE, ZONING Ilan Check - �"v 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 `.:uh total � L� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRAC"IORS TO HAVE CURRENT CITY BUSINESS y e Tax —__�ZI LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING, T otal � PPPL iCANT OR AGENT ---- - I pluved Receipt No C) V 1 s s �! �r �► �s .r Rs �' ,.�.ry._...�_:.....,_-....--.ear.-�..'�R!•'—.^'M7.7M.�ryr.fQ�7;,.-arm............_..,-�.-,.._.._..--...r.-..w..a+.-,,�•.. BUILDING PERMIT APPLICATION 1�Y TIGARD DATE i9 24.-34+i, THE UNDERSIGNED HEREBY APPI.IES FOR APERMIT FOR THE WORK HEREIN INDICATED IJUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN' AND SPECIFICATIONS 3WNERPHONE�. __-- 4 _OT NO.- OWNER;Cf11'1@TtJ13iTt rDfl_ T_. J0f1AI�I7RCS. L0621 Sw 108th 11t . HOME ADDRESS ARCHITECT BUILOEP 13 EL1'!(r ENGINEER ADDRESS DESIGNER STRUCTURE Q"w ❑RumnDEL ❑ADDITION ❑REPAIR [-]RENEWAL ❑FIF E DAMAGE ❑DEMOLITION sSTnOESIDENCE OCOMM ❑EDUCATIONAL ❑GOV'T C1 RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY ._LAND USE ZONE !{— '_—BLDG TYPE __.ate_ FIRE ZONE 3 PLAN CHECK BY_ atm HEAT �arts� V y dwellirw W/ettached jarauT 3 bedroom ! beth 5UQ 258b1 sower permit WIC,LOAD FLOOR LOAD 40 HEIGHT7A �v0.STORtE��1 AREA1347 NO.BEDRQOMS 3_ yAL IA9�b7 _ L BUILDING DEPARTMENT SET BACKS FRONT 21 REAR 41 LEFT SIDE 10 RIGHT SIDE 10 mit 1b'1800 ---- THIS PERMIT IS ISSUED SUBJECT TO rHE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Sub total ��,� � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVEN/1NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 6,28 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 241.79 i. .(;. S:300. P.D.L o I'll $100. By APPLICANT OR AGENT Approved pt�� Receipt Na - --------- ,� �— -- -- DATE INSP. TYP INSPECTION REMARKS PLUMBING DATE Contractor "a�pp44 p Permit No. /363 Rough-in Fixture U Final HEATING Contractor 0L_ Permit No. !� �— J Gas or Oil Rough-in Final — Ole t. �O -\ �1At�L SEWER Final DRIVEWAY Flnal Stom Drainage (Rain Drain)Final Sidewalk �^ T Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY �— CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final •f?`� � tCr�S �.C. e-( -// -7 SEXIER PERMIT NY 15851 Unified Sewerage Agency 4-7-78 of Washington County CITY OF Tigard DATE OWNER: Donnerberg Const. Inc. PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION: XXO BUILDING SEWER ❑ BUILDING '• WER AND SIDE SEWER TYPE OF OCCUPANCY: tic xx❑x NEW x LJ SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. INDUSTRIAL FIXTURE UNITS DWELLING UNITS t ADDRESS OF STRUCTURE : 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 FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION 1 OTHER ISSUED BY OTAL $, 625. APPLICANT DATE rall, SEWER PERMIT 15851 SE PERMIT AUURLSS OF STRUCTUR[ 10021 SW 108th Ct. TAX MAI' TAX LOT SYSTEM fanno creek LOI 26 BLOCK _ OF -- r y ( k) . r/�t ly �r, 't to APPROVED BY DATE ISSUED BY DATE 1) • U • ' 1 REMARKS bldg. #2020