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10910 SW 108TH AVENUE 10910 SW 108TH COURT y A I��rai��rfa ADDRESS_ PERMIT NO. 1 v PERMIT CHARGE none - OWNER i� L� (y � J UL NNECTI ON FEE PAID BY �-��'� U-J �YeYJ T YPF OF BUILDING �_ `J DATE CONNECTED SERVICE RATE INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID s_z 3 q� l Co �,✓ ,I,�� _ ._. i ADDRESS /0 q10 " /Qk t'- _,.r,=___,� PERMIT N 0.� / 3 �.. ._� PERMIT CHARGE noi• OWNER _ x-, %t CONNECTION VEE c'o PAID By TYPE OF BUILDING (:�o � � ;, �� DATE CONNECTED I _ Y SF_RVICF RATE INSPECTION FEE CONTRACTOR —� PAID BY — DATE SIZE OF CONNECTION _ ASSESSMENT PAID i BUILDING DEPARTMENT, TIGARD NO. 0031 PLUMBING PERMIT ��1 �/u�n.�il�Y Sv�cllct " , holder of a valid plumbing contractors license is hereby authorised 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 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. 6 .0'a, 7,eJu d Owner Ion k)U,, //� Address � Date_�L��"7 mt MBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Sir�le Family-1 bath-each 25.00 , •I Ou lex-Each 1 bath unit 25.00 — Additional bathrooms-each ^_ _ 10.00 _ d Mobile Home Space-each 1500 - -- INDIVIDUAL FIXTURE FEES "— _ 1 to 50 Fixtures In 1 buildinm-each 3,00 51 to 100 Fixtures in 1 buildin -each 2.50 101 to 200 I fixtures in 1 building-each 200 -_?2_10r_ more Fixtures m 1 bultding-each 'AISLE!! ANEOU8 Bui4li Sewer-tat 50 ft. �^ 10.00 Sewer-each additional 100 ft. 10.00 Wster Service to building — 5.00 Private Water S sterns-esch 100 ft. - 10.00 Others —- PERMIT � a or For Plumbing lmv)ecrion Phone 48000M w3471/7/ Plumbing Contractor By TOTAL _ RECEIPT NO, Issued By Zia r ..�. - BUILDING PERMIT APPLICATION c0F TIGARD DATE-_ 1 TNF UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 4 —ti16 P CR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF (J/�• U V LUT NO. OWNER If�;iI1Ha JOB ADDRESS 1"JU c•1'1 HOME ADDRESS ARCHITECT ENGINEER B1.11111 ER Fii: iM3 ADDRESS DESIGNER STRUCTURE _IDNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _❑FIRE DAMAGE ❑_DEMOLITION ❑ PIESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS QCCUPANCY __—LAND USE ZONE 1 _ � BLDG.TYPE FIRE ZONE PLAN CHECK BY ©tW HEAT --_ cpw.ti.. single family dwallin w/Attac:Vied yareyo 3 bedroom 2. with 41'1 r a 9 1. -,uwer permit ;'139: n oewer conn. x600. Bawer inap. 11'2LI. OCC, LQAD FLOOR LOAD 40 HEIGHT T20 NO ARIES .__AREA 1498 NO,_@�_(��OOMS VALU `��� 20(J� BUILDING DEPARTMENT . . _ SET BACK. FRONT REAR 1' LEFT SIDE RIGHT SIDE (� Permit If,r.J.ut,l --. ---- --- --- — - --- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 64.50 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC." AND IN COMPLIANCE WITH Subtotal 753• br,l ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIb rLRMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRAC-OR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 6,e%(j LICENSE. SEPARATE PERMITS RFOUIRE.D FOR SEWER, PLUMBING AND HEAL ING. J.U.+ A ., .J LI... Total 26f). :$100. 8y — -- --- -- - API11 I('ANT OR AGENT Approved exLl Receipt No -- DATE INSP. TYPE INSPECTION /�� REMARKS PLUMBING DATE 2 -2-3- y _y� v /(�!!"G%�-/C-{, �jj({1{Sl�' ! Contractor _ =�=r8LG qf< Permit No. 6 Z7/ -12-79 3 f ems, , ,�cc-n en Rough-in_— i .G't,-til Fixture /CG �V� ,{�yt�„s�4et!��" *ct.. Final -- -� at^ r� ���' 1 r. -r2,*, /44-1 HEATING _ T _ yu 2461 f- n Contractor jj C jr 90 Permit No.���(D D-" q--3-9� Gas of Oil -- --- "� >r' Rough in - — - -- -- ---- ---- �:?/->�' Fina --- _ - /,!J , SEWER - Final Q D 1-,2 _,. DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final f Landscaping \,. Zoning Final `. - SEWER PERMIT04) 3�' '�'� �.3 9 3 0 Unified Sewerage Agency of Washington County C I-1 Y [JF Tigai d — — DATE 2-23-78 OWNER: K& IJ- Homer PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION: XEIBUILDING SEWER []BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: XE3NEW X C❑XSIIVGLE FAMILY [] COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ 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 FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION OTHER ISSUED BY _ :GTAL $ 625. APPLICANT DATE oars J I.,L AVE DATE, 3CWER SERVICE CI'r:i'.GEYVILL BEGIN FnR THIS SEWER PERMIT N�' .1.3930 PERMIT. ADDRESS OF STRUCTURE 10910 SW loetr, TAX MAP TAX LOT SYSTEM Fanno creak LOT 6 _ BLOCK OF Zl APPROVED BY DATE IS9UE,ff BY DATE REMARKS bldg. #12lt _ I 1 CITY OF TIGARD ORDINANCE 7177-26 STREET SYSTEM DEVELOPMENT CHARGE DATE: /1 3� p JIB ESTIMATED SALES PRICE APPLICANT NAMETELEPHONE { JOB ADDRESS_1� �',�Ci 5c.�/P� BLDG. PFRMI i # i AMOUNT OF FEE FOR S. D. C. DESCRIPTION OF IMPROVEMENT_ _ EXEMPTIONS -PER ORDINANCE #77-26 I FEE RATES: A. Single family duelling unit under $$60,000.--------- $300.00. B. Single family duelling unit over 360,000-----------44mxd C. Mobile Home Court Space (Neu Development)---------- $150. 00 D. Multi-Family Dwellings--per unit-- ----------------- $240.00 E. Commercial , Industrial & Institutional(Park. Space) $ 50.00 each F. Single family unit under $40,000. ----------------- $250.00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : / :� 17X ESTIMATED SALES S PR I C t �— APPLICANT NAME 4t_,' TELEPHONE # JOB ADDRESS c6 J /Cid A BLDG. PERMIT AMOUNT OF FEE FOR P. D. C. DESCRIPTION OF IMPROVEMENT c� EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES: A. Single Family dwelling unit under $40,000-------------- 75.00 B. Single family dwelling unit over $40,000- ------------- 00. C. Mobile Home Court Space (New Development)--------------$ 50.00 D. Multi-Family dwellings--per unit-----------------------S 60. 00 CONSTRUCTION IS LOCATED ON S.E. ;tZ`�N ,IJ. SIDE OF S.W. PACIFIC HIGHWAY. N.W . is Paik District #-I. S.E . is Park District #I I. PA .. i DUI!_DING PERMIT APPLICATION SOF TiGARD DATE_- --?.3.. ,q__l . Na •+i' LINDI HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE----_.___--.- ,-F AS, �,H,)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAIIONS. OWNER Pr+�rvE— ---_— LOT7 NO. Fr � ���itC JOB ADDRESS �l G�/� � __�HOME ADDRESS __��f C�.C.� J �tG•(�(J. ARCHITECT ENGINEER cR __ ADDRESS _. DESIGNER RE- _— EW. C3REMODEL DADDT'ON ❑HLPA:'4-„ORENEWAL OFIRE DAMAGE ❑DEMOLITION �t-UfNCE OI_nMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO IOCARPORT OGARAGE OSTORAGEOSLAB OFENCE 'ND CMOVING� OCONDITI_ONAI. USE ❑_DESIGN REVIEW OCOUNCIL APPROVED OSIGNS N;v l4ND U ZONE-6 —71 BLDG TYPF .. _FIRE ZONE-_.— PLAN CHECK BY_ _ HEAT_ -- - 4 � f Of fl9.I� icIA.D. GNT.Z'tl NQ_�IS�RIE;i- .._--.-___.LP ..NQ-JAf2P.44N�� VALUE93!106 BUILDING DEPARTMENTSET BACKS I HONI V rREAR LFFT SIDE H GHT SIDE - -- -- -- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 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 dub lnlal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - - RLSTRICTIVF COVENANTS WNTRA,CTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINE-SS L_ talp Tax '7 LICENSE SEPARATE PERMITS REOU,RED FOR SEWER, PLUMBING ANO HEATING 1 Crtal^--- - �- \ II` PPP;, OA WOE gpp c,ved- --��---- ecelpl No. ------- --- - AD[ip�55 I