12260 SW 124TH AVENUE Lit i
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BUILDING PERMIT APPLICATION TIGARD DAl'E__",�Ll?Z_-_,19_61
THE UNDERSIGNED HI-REEY APPLIES FOR A PERMIT FOrl THE Y-'aRK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN 4ND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER Richard Rohdhl JOBADDRESS 12250 SW 124th Avenue _
— � � ARCHITECT
BUILDER LIWD ADDRESS P•0. Box 23454 ENGINEER,
_ Ti�TdDESIGNER 'ORD
STRUCTURE G NEW 0 REMODEL CX ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE L, nEMOLITION
U''RESIDENCE El COMM El EDUCATIONAL ❑ GOV'T L RELIGIOUS U PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE _SI -.`_.FIRE ZONE--PLAN CHECK_BY __ d!h_ HEAT---.'--'
unstruct woad deck addition (tipper story) to single family duF ll_in —
SEWER PERMIT M
OCC.LOAD F'_UOR LOAD 40 HEIGHT y f b IY NO.STORIES 1 AREA 181-1 NO.BEDROOMP VALUE
-- BUILDING DEPARTMENT _ SET BACKS FRONT REAR__ LEFT SIDE RIGHT SIDE
Permit — 6�[I* THIS PERM+T IS ISSUED 19„ECT TO THE REGULATIONS G4PSIAINE0 IN THE BUILDING CODE, ZONING
REGULATIONS AND ALI 'PLS^ABLE CODES AND fJ,DIN;,NCES. ANU IT IS HEREBY AGREED THAT THE
Plan ChE.k WORK WILL BE DONE It s 'CORDANCE WII , r►+o r•LNNS AND SPECIFICATIONS AND IN COMPLIANCE
]WITH ALL APPLICABLF -..-S AND ORDINANCF�_*. THE I£SUANCE Or 'THIS PERMIT DOES NOT WAIVE
Subtotal - _ RESTRICTIVE COVE'!A ONTRACTOR AND SUB '.;ONTRNCTORS'O HAVE CURRENT CITY BUSINESS
3tatoTex 4; .40 LICENSE.SEPARATE PE-HMi .REOUIRFD FOR SEWER,PLUME ING ANO HEATING.
SDC—
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Bytal lliJ.Lt
--- PDC# APPLICANTORAOE'dT
dtdit V Rtl�H{pt No.
Approved ADDAt98- ----- ---�� PHONE
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DATE IMAP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
I24441 !2 j pi : Permit No.
– O(M j. N Rough-in
r� r–pyl QWrQn Fixture
__ s
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough4n
Final
---- — SEWER
Final
DRIVEWAY
I -
Final
Storm Drainage
(Rain Drain)Final
M %khw^ik
C urb&Street Final
A pproech
MAIM DEPT.FINAL TEMPORARYCERTIFICATE OCCUPANCY
CKW!P'IGAM OCCUPANCY Final r
Landscaping
Zonirrg Final --
�NNHAiIdiINMI{d0' ON
I
MAN
taa��nvAM11111m
BUILDING PERMIT APPLICATION r- ?7 7S
L CATION 1'I�r.,,,a� DA 19�
THE UNDERSIGNED HEREBY APPLIES FOR A PERINAIT FOR THE WORK HEREIN INDICATED BW,DER PHONE631-Lam
ORRAAS_OS�H�OJWN AND APPROVED IN THE ACCOMPANYING PLANS ANDD SPECIFICATIONS. 0WNER PHONE
1\IGAMQ �ON�Q. JOB ADDRESS ��� 5(t' Iz� Bi- LOT NO. _
cIARCHITECT
ENGINEER
DESIGNERBUILDER ADDRESSPUnOXf3
_ nStO
-
STRUCTURE ❑ NEW ❑ REMODEL ADDIT!ON _7 REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE C COMM ❑ EDUCATICNA_L ❑ GOV'T ❑ RELIGIOUS ❑ "TIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAP,CD FENCE
or-c iPANCY -R -3 LANG USE ZONE`'�' BLDG.TYPE N. FIRE ZONE '' PLAN CHECK BYHE 4T -"
S-EWER PERMIT M _
OCC.LOAD FLOOR LOAD HEIGHT q40
�f NO.STORIES _ AREA /90 NO.BEDROOMS --- VALUE , '' ✓
BJILCING DEPARTMENT(LSET BACKS FRONT REAR�._..�, -
SELEFT SI CE RIGHT SIDE
F�rmit CJ�d THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BU1LDENG CODE,ZON:140j,
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT If, HERESY AGREED T'r:AT THE
p'to Check �"� WORK WILL BE DONE IN ACCORDAN�E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
hSub-tatal yOV RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONT RACTORS TO HAVE CURRENT CITY BUSINESS,
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMB AG AND HEATING.
•ata Tax
SDC—
Total _
POLO APPLICANT OR AGENT
BY
Receipt No.
Approved ADDRESS PHONE
soc -
POC - s
EWER CONNECTION S
SEWER INJPECTION 5
SEWER SURCHARGE $
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P ADDRESS_ 4P, z;�0 5 ���- PERMIT N0.
PERMIT CHARGE none
OWNERIti1 �Ifi_ CONNECTION FEE 6, Gc L,
PAID BY �.,v >. ( --t .
TYPE OF BUILDING 1 ?t -s DATE CONNECTED
SERVICE RATE ���� INSPE_C'ION FEE i
CONTRACTOR PAID PY DATE
SIZE OF CONNECTION ASSESSMENT PAID
..._. ............. .. . agYPSs�1flRimi/10P.7�1�1 �ar�•.
BUILDING dERMIT APPLICATION Co Y TIGARQ DATE 12-129-7 ^�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-6-�flil
Obi AS SHO VN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE�_
LOT NO.� I
OWNER JOB ADDRESS 12260 Jlu 124th HOME ADDRESS _
Ar2CHITECT
ENGINEER
BUILDER '❑^ ADDRESS _r DESIGNER
STRUCTURE N 0
EW REMODEL _ ❑ADDITION t❑�� REPAIR L.JRENEWAL OFIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCAIIONAL DGOV'T DRELIGIOUSUPATIO ❑CARPORT DGARAGE IDSTORAGFLISLAf3 []FENCE
DHOND ❑MOV ING 000NOITIONAI USF ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCU_PANCY__ LAND USE ZONE__ BLDG. YPE—_ _.FIRE ZONE_v. PLAN CHECK BY ____ HFAT _
I-unB't. dnyle family LWt;111nLj u/ettachod gars9b 4 beldrut.ite :3 beth
gatey® :114 sq, ft.
QCT L,Q.A_D FlQQPl.OAD -_ �E1S�EiL_ $ISl13J _.__. AREA `I�� NO.BEDRt�UMS ! VALID �C)O.
BUILDING DEPARTMENT SET BACKS FRONT !l0 REAR 96 LEFT SIDE " t RIGHT SIDE EU
Permit '00
- - -THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 98. ;j0 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
Sub-total 15�J. �(� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7,83 LICENSE. SEPARATE. PERMITS REOUIRFD FOR SFWFII, PLUMBING AND HEATING.
Total 303.38 .I•.I r i
8v
APPI (CANT OR Ar3ENI -
Approved ( Receipt No.
ADDRESS '— -- -----PHDNE -----
DATE INSP, TYPE NSPECTION REMARKS PLUMBING DATE.
t Contractor
Permit No. hJ - LJ�_ t�)S-12 K
p?.2 •7,b Rou h-i i
^�'�� G r►rir7D u� A.o>j av Fixture _ --
13430 O PAt-9 d'x t �c1z+0zK -- _ — Final _ -
'�-7^ ` HEATING --
a Contractor
z—
u- Permit No. U 3 8— g
Gas or Oil _ ----
Rough-in
- Final
----------�--- - SEWER _
— — --- ----------- _ Final v.��+ar�1 - D
-- - ---— ----
DRIVEWAY
Final
Storm Drainage
— (Rain Drain) Final _
Sidewalk — --
Curb&Street Final
Approach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
OLandscaping ^)
Zoning Final-77
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SEWER PERMIT 1-2
NT 13563
Unified Sewerage Agency
of Washington County C 1 I`( OF F _.._.._ T i yj is d DATE 12-29-77
O'•,'NER: �.— D.W.D. _..._.__ FHONE:
OWNER 'S ADDRESS:.
TYPE OF INSTALLATION: -�
4Ey9UTI.DING SEWER ❑BUILDING SEWER AND SIDE SEWER ( '�
TYPE OF OCCUPANCY
X�`X NEW X SINGLE FAMILY ❑ COMMERCIAL
❑EXIST ( PPIOR TO 7-1-70 ) MUL.T. 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 (+ YJ iz;L
_
ISSUED BY
OTHER _
TOT s 625.
-"7
APPLICANT DATE
'r'OTICE.
APE
NtiA F0,3.,TH+03'
SEWER PERMIT N 1356;
railIT.
ADDRESS OF STRUCTURE 12260 SW 124th
a
TAX MAP TAX LOT SYSTEM _x_j; ;a-- v,gjc
LOT e BLOCK OF _-
----- -
APPROVED BY DATE ISSUED BY
REMARKS Blrig. #1826 Paid to Leron Heights 8150.00 __
I t
CITY
'IJILDING PERMIT APPLICATION OF T1C,ARD GATE �1--';1-- _ _ t9 � NP -
.;HF LINDF RSIGNED HEREBY APPLIES FOR APERMIT FOR ThE WORK HEREIN INDICATED BUILDER PHON� / (Av
(
,'F, AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEAPHONE
(�Q,. LOT NO
ytr� JOB ADDRESS / _ HOME ADDRESS
ARCHITECT
CNGINEER
ADDRESS _—_ -_ DESIGNER
,HE �vF� ❑REMODEL ❑ADDITION ❑REPAIR_-- _DI�ENEWAL ❑FIRE DAMAGE [:]DEMOLITION
I ' PNCF ❑COMM DF.DUCATIONAL UGOV'T DAELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
1? IND OMOVING ❑CONDITIONAL USE _❑DESIGN REVIEW OCOUNCIL APPROVED / ❑SIGNS
i c..NCY --LAND USE ZONE!!_)BLDG.TYPE -T_._V_.FIRE ZONE..2— PIAN CHECK SY �`�✓ _ MEAt _f!*�
_
r )AP - FLODfj_WAp..._._ _ H�LGyS_ _ _ _. NSI.$T4RIE5_._...---1+REA � _%L11,kOP M GALS o
BUILDING UEPAHTMENT SET BACKS 1-!ION! #_ULEFT SIDE Z RIGHT SIDE /O
r•r 8111 _- ._.. l
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check "(, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WI CH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`;uh lolal All APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
------- — - -- — RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
IBIN Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
APPI�CAN1 OR AGE NI
"A I'll' �G �` Receipt No.
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CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVE'OPMENT CHARGE
DATE : 12-29-_Z� ESTIMATED SALES PRICE $ 60, 000.
APPLICANT NAGE D.6) D,, TELEPHONE
JOB ADDRESS 12?60 SLI 124th _ _ BLDG. PERMIT # ].826
AMOUNT OF FEE FOR P. D. C . �1QOi
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE: #77-71
FEE RATES:
A. Single family dwelling unit under $.0,000. --------------$ '15. 00
6. Single family dwelling unit over $40 ,000----------------$100. 00
C. Mobile Home Court Space (New Development)---------------
D. Multi-Family dwellings--per unit---------------------- --S 60. 00
CONSTRUCTION IS LOCATED ON S.E. xxx_xN.W. SIDE OF S .jsoJ. PACJFIC
HIGHWAY. N.W . is Park District #I . S.E . is Park Distrir-.t #II .
CITY OF TIGARD
ORDINANCE 7' 77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE :— 1%-7.9-77 ESTIMATED SALES PRICE $ 60, 000,
APPLICANT NAME D.W.D. TELEPHONE
JOB ADDRESS 12.260 SW 124th BLDG. PERMIT JWZ 1826
AMOUNT OF FEE FOR S. D. C. 6300.
DESCRIPTION OF IMPROVEMENT S.F .D.
EXEMPTIONS -PER ORDINANCE #77-2.)_
FEE RATES:
A. Single family dwelling unit under 1560,000.------- --- $300. 00
B. Single family dwelling unit over $60,000.--- ----- $4VTr.-V0
C. Mobile Home Court Space (Now Development)----------- $150. 00
D. Multi-Family Dwellings--per unit--------------------- $240, 00
E . Commercial , Industrial & 'nstitutional (Par.k. Space) S 50. 00 arch
F. Single family unit under $40,000. ----------------- $250. U0