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15790 SW SERENA COURT 15790 SW SERENA COURT _.-.. +J (-i C N N U7 O Qi Ul r--I ADDRESS �_... (� PERMIT NO. pp PERMIT CHARGE none OWNER Lex, CONNECTION FEE �63�• PAID BY TYPE OF BUILDING Attt DATE CONNEC 0 SERVICE RATE INSPECTION FEE CONTRACTOR PAID BY DATE a SIZE OF CONNECTION ASSESSMENT pglD , I ; SEWER PERMIT Nr. 13g45Y�� IJnitied Sewerage Agency of Washington County CITY OF _ Tigard DATE �d OWNER : J. A. Hodgson c Son^ PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION: Xn6UILDING SEWER []BUILDING SF_WER AND SIDE SEWER TYPE OF OCCUPANCY: .a XEIKEW XE3XSINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNI [ S 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 60]. SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL $ 625. AF7Pl_ I C A N T DATE a SEWER PERMIT Nr) 13945 ADDRESS OF STRUCTURE. 15790 3111 Berg;-ja ii TAX MAP— TAX LOT SYSTEM__fanno creek LOT � 7 BLOCK OF APPROVED BY DATE ISSUED. BY b TE REMARKS bldg• ;x1931 ,. •awn. .1 ..... n_„1VM.r..Mn►.w"W�•wi�R��F�AN^nT�r�P.^v°'PRM7�".•P'.^Y-�''IRS.+.ww�w.+.r.v..._w�.....r... BUILDING PERMIT APPLICATION 10 Y TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF —_ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPI_CIF(CATIONS. OWNER I'HONE_.�__—_ 1.A e Hodgetin 6. Son J-5790 SW .'Ivrena Ct., LOT NO.-- OWNER JOB ADDRESS HOME ADDRESS -- ARCHITECT ENGINEER BUILDER — ADDRESS — DLS;GNER -�� STRUCTURE _❑NEW_ ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _ OFIRE DAMAGE_ ❑DEMOLITION C1 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV•1 ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE -0 STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑rONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED EIS IGNS OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK 8V —, HEAT - :,; .11114 w/MtLached '.araya 4 bi%Uroork I both rear©I 6 sower conn. 1600. sewer leap iii, X25• --- -- ---_�--- 40 20 OCC.LOAD FLOQL�2AU L�€IGHT_--___�NO.STORIES AREA_ +'�@�7E44MS.—_ YALUE BUILDING DEPARTMENT SET BACKS FRONT 3'?.1 REAR 3(3* LEFT SIDE RIGHT SIDE P Permit il:'.. a THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS A;JD ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF - - - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATICINS AND IN COMPLIANCE_WITH Subtotal 31.9/50 ALL APPLICABLE CODES AND CADINANCE.S, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVIENANT'S. CONTRACTOR AND SUB CONTRACTORS 10 14AVE CURRENT CITY BUSINESS State Tax b•52 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMIIING AND HEATING. Total ".UeLe t'2 �11UIU. ByVito -- APPL.ICAN1 OR AGENT Approved Receipt No — ���— ADORFSS PHONE — .a DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE `��{-�4; .� �7f� ✓YLA ���'— p� — Contractor ���----- 1 CIUc-T we) Permit No. 3q �s 91-1210[v :D //I./��e- , —�0- Fixture Final -- (o HEATING _ Contractor Permit Nc. Gas or Oil _ r Rough in ------ Final — SEWER--.. Final &1L(,1-- J.0- DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk _v Curb&Str4et Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping .Zoning Final CITY OF TIGARD ORDINgNCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE : /3 �. __ ESTIMATED SALES PRICE ,_, „ _ APPLICANT NAMEI TELEPHONEt JOEL ADDRESS :Z'Zo �<" >` MBLUG. PERMIT AMOUNT OF FEE FOR S. D. Co DESCRIPTION OF IMPROVEMENT �y L'XEMPT19NS -PER ORDINANCE #77-26�_ FEE RATES: A. Single family dwelling unit under 560,000.--------- 330C.00 B. Single family dwelling unit over 360,000 --------- 4400.00 C. Mobile Home Court Space (Now Development)---------- "150' 00 D. Multi-Family Dwe".lings•--per unit---------- ------ $240,00 E. Commercial , Industrial h Institutional(Park- Space) y 50.00 each F. Single family unit under 540,000. ------------------ x250.00 ..o CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : ESTIMATED ESTIMATED SALES PRICE APPLICANT NAME . �� i x,� .r J", TELEPHONE # JOB ADDRESS BLDG. PERMIT # �/ AMOUNT OF FEE FOR P. D. C . DESCRIPTION OF IMPROVEMENT_ EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES: A. Single family dwelling unit under $40, 000. -------------1-75_. 00 1 B. Single family dwelling unit over $40,000--------------Qlaq .��' C. Mobile Home Court Space (New Development)---------------$``�3jr; OO D. Multi-Family dwellings--pe unit-----------------------S 6r.DO CONSTRUCTION IS LOCATED ON S.E . _ N.W. SIDE OF S.W. PACIFIC _ HIGHWAY. N.W . is Park District #I . 71. ' is Park District #II. lil_DING PERMIT APPLICAilON 1OF 1T TIG RD DATE_— LltVJE HSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER F'�IONF .3r-- 70 7�_ AS SHOWN AND APPROVED IN THE ACCOMPANYING P S AND SPECIF ICATIONS. OWNER PHONF- t- - �. LUT NO- A, O, ADDRESS UMC ADDRESS ARCHITECT ENGINEER ADDRESS —_. --__. DESIGNER -- — ',,,RE NEW 4nnJ REMODEL ADDITION OREPAIR ORENEWAL ❑FIRE DAMAGE �ODEMOLITION NSF OrciMM UEDUCATIONAL ❑GOWT DRELmIOUSOPATIO [3CARPORT ❑GARAGE ❑STORAGECISLAB ❑FENCE ]POND ❑MOV ING ❑CONDITIONAL USE QDESIGN REVIEW ❑COUNCIL APPROV ❑SIGNS � CL'O'�aNCY �._. AND USE ZONE=. ..�BLUG.TYPE_�. _FIRE ZONE-1_ PLAN CHECK BY HEAT—, C ; `AD -- FLi1.�P_�4AD - i1—H ST � ! ���--QBIEs - 6.9-€9�Z Y- -Qe�PRO MS��_YAI.��__. .� 7 'U -BUILDING DEPARTMENT SET BACKS FRONT � RELEFT SIDE RIGHT SIDE `'--- -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING "Ian Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGREED THAT THF --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH �•uh total y— ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- --- RLSTRICTIVF COVENANTS. CONTRACTOR AND SLOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ',tate Tax __—�A I SL LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Totalby _. APPL iCANt OR AGE NT Appiuved Receipt No. " AfJUkE 55 SHONE