11010 SW FONNER STREET ir
11010 SW FONNER STREET
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:ITY OF TIGARD RECEIPT OF FAYMENT PECE.."'IPT NO. 7.4 b
CHECf:" Amc".!�17 4Z.
NAME C SANNO. k.AREN CASH AMOUNT
ADDRESS C I 1-)10 SW FONNER STPEET PAYMENT DATE
'T"JOARD OR ln,72`27.-
[`'IJPPOSE OF FWYMErrr F'&IOIJNT PAIL) PURPOSE OF PAYMENT ArinliNT PAID
PULLDIN(.3 PFPM FL.Wj (-1-1071- FE 16 '7 50
T . r-0.11L-r) PER 1 . 2!5
1,- '5141 FONNE P STREF-,,T' HUP9,'j-..,.-)227
4411OUNT PAIL, 42.7-0
F
CIW OF TIVA RD PUILDINU
COMMUNITY DEVELOPMENT DEPARTMENTAD PE RM I T #. .. „ ., . . , -"PERMIJ W. ,, DUP90 0227lq U P")0 0227
13125 SW Hall Blvd. r.0.Bcw 23397,Tigml,Oregon 97223(SPWO-4175
DATE 1!3SUED.-
I
"E "')DRESS 0 1.0 !.')W F ONNER L) I
SU14D t V 1.G 1:ON. . . . PA RL E:L.-- 2 S i rd*.j A D0 a 8 1
PLOCK. . .. . . . . . . . 0 T ZONING). R 4. '5
REISSUE: FLOOR EXTERIOR WALL ONSTRUCTION—
CLASS OF WORK. 'ADD FIRST. I-'C- Wo
T*YPE OF: USE:. . . '.SF SECOND. . . Sf PROYIE
TYPE OF CONST. .5N TIAIRV. .1'- CT f N
OCCUN)Ncy GRP. R13TOTAL-----------1-1" 0 V,f ROOF CON1,5T.-j- F I RE R fiJ
0 C C U PAN C Y L001)« BASEMENT. . Sf AREA SEf:,.
R(4TE*D
5T OR. HI . : f t GARAGE. . . « S f OCCU SEP. RATED:
B S MT I.."« III E Z Z?-. REOD SE TUACKS- REQUIRED......
FLOOR LOAD. . . . .40 F)s f LEFT: ft RGHTO ft FIR SPK*L: SMOK DET. . :
DWELLING UN31'_- F*RNT.- ft R EA R- ft F I R AUUj,.- HNPTCP
BEDRPIS: BATHS: IMF' SURFACE. CORR '- PARK:i NG:
V A L.LJ E.. $. 1500
FEES
DENNIS DESANNO
-I- 1010 SW F'ONNER ST tyl:)e b>', (J'ate r e c,p t
PRIVIT $
TIGARD OR 97223-0000 PLC 1;
Phorip W(14 1.25
P A y 111' 42. 50 JLH 08/02/90
14.
Fd D HEW :[NG
DIAL. ONL ACE HOi-DJ 'Ji
14915 SW 72ND
1'I CARD OR 9,'224--0000
Ph(3rte Ot ',503-684---3,355
Req #- - .' 31339 42. .`0 TOTAI
this permit is issued sub RE"OUIRED INSPECTIONS
subject to the regulations contained in the P(2st/peani 'Irisr.)
Tigard Municipal Code. State of Ore. Specialty Lodes and all other 'rinti iq Insp
"Cable laws. All work will be done in accordance with
approved plans. lhis permit will expire if work is not started
within 180 dais of issuance, or if work is suspended for mor- ..............
than 180 days. 0\0'
......................
............... .......... -------
.............
639 4.1."75
BUILDING PERMIT APPLICATION COF
IT TIGARD DATE_ "µ24-78 7
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUIL.DER PHONE-------
OR AS SHO.NR AND APPROVED IN THE ArCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE.----
LOT
HONE..— —_LOT
OWNER i1'- 100 ADDRESS 11U1U 511 fanner HOME ADDRESS
ARCHITECT
BUILDER — ADDRESS •' f Cl•'I+' ENGINEERDESIGNER
STRUCTURE ❑NEW ❑FiEM)DF.L� ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE �1---11 ❑DEMOLITION
4 RESIDENCE ❑COMM ❑EDUCATI 1NAL ❑GOV'T OBELI GIOUS❑PATIO ❑C.AR PORT ❑GARAGE ❑ L1
STORAGE SI_AB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVLD—`� ❑SIGNS --
OCCUPANCY LAND USE ZONE__ BLDG.TYPE _FIRE ZONE_4 PLAN CHECK BY HEAT
nou prefab metal Fireplace and misc. k,asuatent Work plat p]..:; ��
AgLA -NO,BEDR0GAS__.___-VALI) -L,300,
_- BUILDING DEPARTMFNT SET BACKS.--FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1.• Uri,U —__—THIS PERMIT I4 I.sSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK Wit L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA-(IONS AND IN COMPL IANCE WITH
Sub-total J. )• JO ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Stote Tax •I.11 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, , LUMBING AND HEATING.
l'otal in, n2
By
-. -- -
APpLIf.AN10pARr ^41
No . ----
Approved Receipt Ntf�
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
M
Rough-in
_ Final
SEWER
Final
DRIVEWAY
Final
Storm Drama _�_
(Rain Drain) Final
Sidewalk
Curb&Street Final-
_ A proach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCr Final
CERTIFICATE OCCUPANCY
landscaping
•` Zoning F anal
c
I,
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Address �� D � -� Permit No.
Permit charge �_�77 tC-
a .
DWne` >rL `; mat 's Connection f e
Paid by
Type of building '1 E Date connected w
Service rate 5� Inspection fee
Contractor Paid by
date
Size of connection Assessment _ Paid
9� s - ��
77
UNIFIED SEWERAGE AGENCY No.
WASHINGTON COUNTY DATE __ffe�ruary 25,_--1977
TTGARD
APPLICATION FOR SEWED CONNECTION PLRr01 _r
OWNER: — SAM GOTTER
OWNERS ADDRESS: _ 11010 S.W. Fonner St.. _-
STREET
Ti and Oregon 97223_
--CITY� _ STATE �---..__--------- ZIP
BUILDING SITE: LOT _-- BLOCK ADDITION --
Tax Map 2S13 AD
TAX LOT N0. __ 3__—.--- TYPE OF OCCUPANCY _
ADDRESS -___-___ -
DWELLING UNITS--__ 1_�. __ FIXTURE UNITS -- -- 4
SURCHARGE IF APPLICABLE __ __ -- -- -
PERN4IT FEE _.%t��• INSPECTION FEE __2 • TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and reg�;ISltions of the UnifiedSewerage A ncy.
APPLICAN
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
INSTALLER _--.--
RECEIVI`D BY__._ ----f<- -tcL��O- -
IAGENCV OR ITS AGENT)
COMMENTS: __ Per U..S.A. order #70•-12•. Par_Ereir.ises existed prior to
1970 Sewer facilities. become available 1-77.
-this Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.