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�-� CITY OF T T�TARD � .�$, �
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OREGf 1 r m�= `
_Permi� No. 16 4 y—
4 :g Owner: Tualatin Development Lam.
Address: 1530u SW 116th
g BuildinAddress: 111417 St: ;i-mmerfield Drive
.. SN 3
is Occupancy: N Land Use Zone:n='pD Bldg-Type Fire Zone:
Comment_-
5th day of July , 19 78
Certificate is hereby given this
that said building may be occupied and that it
4
complies with all requirements of the Build- ;_
ing Code for the City of Tigard as approved 1`-F
. .� by the Tigard City Council. `j
Bu�l'ding Inspector
z 1s
Building Official
Post Certificate in Conspicuous Place
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Address 7 Permit No.
Permit charge
Owner a„� ,(1 �° - Connection fee 2 S/2
Paid by �L?G
Type of building _ 4' f/�i1:�� Date connected
Service rate Inspection Fees
Contractor Paid by Datu,
Size of connection ,assessment paid
90 S
i
W W W
SEWER PERMIT NY 15918 ?
UfSewerage Agency CITY OF Tigard 5-24-78
DA
-)}Washington Count,, �E
OWNER: T ❑ C PHONE :_
OWNER 'S ADDRESS: _
TYPE OF INSTALLATION:
EhUIL.DING SEWER ❑ BUILDING SEWER ANa SIDE SEWER
TYPE OF OCCUPANCY:
Ox NEW MINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO -7-1-70 ) ❑ MULT. RES. ❑ INDUSTRTAL
FIXTURE UNITS DWELLING UNITS_ 4
ADDRESS OF STRUCTURE : 11140 SW Summerfield Dr. Bldg. F12 _
PERMIT CPNDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RJLES 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 FIRFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ none
CONNECTION CHARGE 2.400.
SIDE SEWER INSTALLATION 8. Gruene
ISSUED BY
OTHER _--
TOTAi_ $. 2'400. .-----_._
II __ Jp "LICANT DATE
SEXIER PERMIT N° 15918
ADDRESS OF STRUCTURE 11140 SW Summerfield Dr. Bldg. B2.
TAX MAP _ TAX LOT SYSTEM fanny creek:
LOT --BLOCK OF
._ Walden
5-24-,78
.'eZ'-,-e-_
APPROVED BY DATE ISSUED BYZ DATE
D. U . ' S 4 REMARKSsewer inspection aid 8-23--77 bldg. permit #1649
lOfli F. FINBr, ► ;E UILDING UEPARTMENT TIGARD
NO.
P. 0. RI 119 PLUMBING PERMIT _
_ NINUIRG, i;11Gu;J X1132 holder of a valid plumbing contractors license is hereby
authorized to rausr. plumbing work as hereui noted to be installed in accordance with the plumbing code of
Tigard. &j,;h instr,llations require inspection by the City Inspector who shall be notified not 1pss than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License r -luired
for all contractors and sub-cur tractors.Own&
__ Address/ --
NUMBFIA OF OTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH OUNT (Office Use Only)
R E S T D_L_NJJ,&1 —_Single Femily-1 beth—each _�T25.00 ;;A;PMA
Du lex1
_—Each 1 bath unit 0.00
_Additional bothrooms—each _ 10.00
Mobile Home Space—each _ 15'00
INDIVIDUAL FIXTURE FEES -- _ -• --- `---
1 to 50 Fixtures in 1 building—each_ 3.00
51 to 100 Fixtures in 1 building-each _ 2.50
_101 to 200 Fixtures in 1 building—nacre _ _ 2.00 _ jl
201 or more Fixtures In 1 building- each 1.50 _--
MISCELLANEOUS _ --
uildin8 Sewer-1st 50 ft. _ 10_00
Sewer.-Poch additional 100 ft. 10.00
Water Service to building _ t _ OC
I -
Privatn Water Systems—each 100 ft. _ 10.00
Other (Specify):
PERMIT Vr Plumbing Inspection /'hone 6394191
96 Stateo if Y Plumbing Contrsctor By
TOTAL RECEIPT NO. Issued By
' "`v+*'.aY�s'M•.wrwrirr�wnvwArwwr.�q�r., .,.'�w� yy�w�ye�,.....
BUILDING PERMIT ;APPLICATION �oF TICARD DATE +-,�Q:', -7 r 1649
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
t1� LOT NO.._
_
OWNER T (7 .( � JOB ADDRESS' 1�*i ��+�!' 5C ')uJumu L I iui HbME'ADDRESS _
081110 �J ARCHITECT —
BUILDERENGINEER
t-t ADDRESS DESIGNER
STRUCI_URE _CJNEW ❑HEMODEL ❑•,DDITION El REPAIR _❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EL`UCATIONAL ❑GG\"T ❑RELIGIOUS❑PATIO ❑CAN PORT ❑GARAGE [']STORAGE❑SLAB ❑F2NCE
❑BOND ❑MOVING ❑CONDITIONAL USE LJDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS`
OCCUPANCY t� LAND USE ZONE_Q' I�~-BLOG.TYPE �f' EIRE ZONE.--? PLAN CHECK BY Ldtli
HEAT SFJ
�..F i:I.11l;,i,• L story apt. W/8 bath 6 bodrOJm6 this p®rolt,t is s ub jNct to
acceptance of the King City trostr)lsnt fU.r tha edelitio:ICil u6l.rer cu9n®t:isi.unEl
ancJ completion of public improvemprior to occupancy
3F�9r t3�,it: .
OCC.LOAD FLOOR LOAD Qn HEIGHT �Q
a � No'S'TORIES__--AaE�g NO.MB-Q-Qhd5 ---.VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit "_19.00 --- '— �- _---- - -_ — :-__
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1 Jg I I t
__ • ..- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TH4T THE
SUfrtOtai
WE URK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC 'JVITH
J1j13,!jv ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE :Ir THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR NO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 1 e LIC'af4SE. SEPARATE PERMITS REOUIRED FOR SEWER, PLNG AVD HEATING.
yJ 0111 I;1;.��: I,I„ �� .I;:1! ;I. �I !... l: J IEitJI� i 1(I�fJ�• 3b�U(,
Total 4Q4*C,, -
By
AP LICANT OR AGENT
Approved Receipt No.
,I
i
I
UA 11 INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _--
Permit No. lI �l �
'J._L_ � -u-�� • O-�7- 717
Rough-in _
__�lUZ .rte Fixture
Final -
r�-'7 OK HEATING
Contractor
--- _, Permit No.
Gas or Oil
Rough-in ---
Final
Final
-- ---- _ _---- ---- -- -----
DRIVEWAY
---- --- ---_.. ---- -- ---- Final
Storm Drainake
(Rain Drain) Final
---- -- --- - ---- - ------- — Sidewalk
----- —_—r—_ __---� --_--- Curb&Street Final- -- _
Approach
BLDG DEPT. FINAL TEMPORARY - CERTIFI_QATE OCCUPA Y
CERTIFICATE OCCUPANCY /-��- G. Final
d Landscaping
Zoning Fii,il
r
i
BUILDING PERMIT APPLICATION cOF TIGARD DATE Na
4' UNDE REIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
�-R AS SH;-)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LUT NO
JOB ADDRESS ---- H_OME ADDRESS
ARCHITECT
ENGINEER
`t R- — _ _ ADDRESS DESIGNER
J"'URE +SEW ❑REMODEL 0ADDIIION ❑RLPAIR _DRENEWAL ❑FIRE DAMAGE— ❑DEMOLITION
� - Df NCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIODUSOPA710 0CAR PORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
IP!+N_D ❑MOVING— ❑CONDITIONAL USEL.J LSIGN REVIEW _ ❑COUNCIL APPROVED ❑SIGNS
LTANCY - LAND USE ZONE-le?LDG. TYPE! _FIRE ZONE 3--_PLAN CHECK BY HEAT;;j
OF
rte__ z '!rx'�? s� � ,� . Cc�,.,,,��-7%aysn Com , u
FI.0Q(3 1 uAp �._C�-_�H �GNS-Z?/ ----N4. 4
RIE _ 4'.1►A i.... SLpP9Sr.M�
FIUILDING DEPAIITME�: �- SET BACKS FRONT Ll 4 RE R LEFT SIDE RIGHT SIDE
m i t —. — _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
plan Check ���� REGULATIONS AND ALL APPLICABLE CUDES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`:ub total ALI APPLICABLE .:ODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- �., -- RETRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
IaIk, TaXCr/ .J r - LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Toial ll�� 0
• lel
_.__.._.. APPI iCAN1 OR AGE N1
ckhp'owed Recespi No
AUUHE55
NO S,7,�,tAV2
L fV 3 e,v 1310
3 5 u o Thr,.► f ov r
/,39 S �'�
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE $
APPLICANT NAME- 0 TELEPHONE #
JOB ADDRESS BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C.
DE ;CRIPTION OF IMPROVEMENT - JV.4 �/ Yj��J �{-� �� I•� C_/
EXEMPTIONS -PER ORDINANCE #77-2.6
FFE RATES:
A. Single family dwelling unit under $60, 000---------- $300. 00
b. Single family dwelling unit over $60, 000.---------- $400. 00
C. Mobile Home Court Space (New Develapment)- ---_-- $150.D0
D. Multi-Family Dewllings--per unit---------------- $240.00
E. Commercial , Industrial & Institutional(Park. Space) each
F. Single family unit under $40, 000. ----------------- $250. 00
G C)
19 ��_