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15845 SW SERENA COURT 15845 SW SERENA COURT 1 LJ N C a) La Ln 3 co Lo w co Ln 1 R )DRESS- ( r` PFRr1I1 N0. /j�� ."..�.... PERMIT CHARGE nonan OWNECONNECTION FEE C oc; .r PAID BY TYPE OF BUILDINC. .� ...._�.� DATE CONNECTED SERVICE RATE INSPECTI01 FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID 6-0 '1131 Address /s�' S �� L Pcrmit P10. 3 -;z Permit charge 22 C Owner lxLec�..x�,t � 000 Connection tae N Paid by � Type of building Date connected Service rate 1TT ✓ Inspection fee Contractor Piid by Date Size of connection ,'assessment Jaid SEWER PERMIT 13922 Unified Sewerage Agency of Washington County CITY 0` _ a_ DATE February..-U.--L978 OWNER : Bob Samuels PHONE : 246-4730 OWNER ' S ADDRESS: 8735 SW Lelunan Street, Portland Orekan 97223 TYPE OF INSTALLATION : U BUILDING SEWER [:]BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ANEW L^ SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL. FIXTURE UNITS DWELLING UN?TS —L 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 APPLICA"TION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT 17EE $ 25.00 -- CONNECTION CHARGE 600.00 SIDE SEWER INSTALLATION L. Wilson ISSUED HY OTHER -- E O>"A I_ 6 2'SSL—...,e_ 1c �'ebruarW 22. 1978 AP'PLICAN'T DATE ('i! ••- �.W,., u�►i ialliy SEWER PERMIT N1.1 13922 ADDRESS OF STRUCTURE SW Serena, i gai d TAX MAP TAX L.OT— SYSTEM Facno Creek _ LOT # 7 BLOCK OF — _ ETW 2/22/78 APPROVED DATE I SSUED,�3Y DATE ` r R[ MARKS 4 - I {s, BUILDING PERMIT APPLICATION o f CITY TIGARD DATE_ L.tt:l_ _, 19 _ 1 3 Z46-473ri THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF_ { OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOT NO. OWNER .-UG aiigui'4s JOB ADDRESS 1d45 '�W 6arawk —HOME ADDRESS __ Y ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER s _ STRUCTURE ❑NEW ❑REMODEL ❑ADDITION QREPAIR ❑RENEWAL_ []FIRE DAMAGE []DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[:]SLAB ❑FENCE QBOND— ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW _ ❑COUNCIL APPROVED ❑SIGNS _ OCCUPANCY LAND USE ZONE— r BLDG.TYPE FIRE ZONE 1 PLAN CHECK BY — HEAT _ v ara i i y- U1ae l l in;i with m t to chod 1,,% ,! 4 bod trolom/2 LIs thrriwlm — termit it 13427 - 1a,. jboo.,)o/ Inai)wct �25.00 r)fC.LOAD __ F) OOEi LOAD 4k 20}1FLGNL 20N�SI481F� �ABEAL�S-1L4.BEDRQ�MS 4 VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ -----�---_� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 1 {) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORT(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal 292.50 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 7I" LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total PDC 42 $100.00 By {.,. APPLICANT OR AGENT Approved Receipt No. ADbnE`;-s - - ,...... ....Y..a ...., �-+WwM�LW - ♦,,,.A...r..•�:4.ko-i. .++wr.�.r'�...'.iJtiii,ww.yirrr «_— _� - .�rr1� - .,wi.u.M4Y:Y..I.M.y.....r..a..-....,.....r.-..-.... 1 I :ATE INSP, TYPE INSPECTION REMARKS - PLUMBING DATE i-2 2-?B -�- - - - _ Contractor _ 3—�T—'t �e is S r'P pvED �c I¢- Permit No. 1 -31 Hough-in - — r Fixture 3 - (U-Q 5 �� - -- Final — -— - -- \ -------- ... -� - HEATING p r� Contractor _ Permit No. Gas or Oil Final SEWER - - - - -- Final DRIVEWAY 17 t� Finaf m Drainsge -- --- n Drain) Finalwalk&Street Final oachBLDG DEPTFINAL_ TEMPORARY CERTIFICATE OCCUPACERTIFICATE OCCUPANCv tLandscaping ( Zoning Final UILDING PERMIT APPLICATION CITY TIG,l.RD DATE - ..-?--- - -. 1y 7 . NQ 1' 0,3 "Hr LINDE RSIGNED HEREBY APPL1-- r OR APERMIT FOR THE WORK HEREIN INDICATED BUILDER FHON E�e..�.7,,� UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPFCIF ICAI IONS. OVJNEk P_IiQNE. LOT NO.— —� s✓�y�r�— A � 1D8 ADDRESS RCHADDRESS ,�-- AITECT ENGINEER ADDRESS_* —�_.—... __..--._—_�._.. DESIGNER _.. tt--�� ._ FE "SEW -D REMObf� -_ - ❑ADDIIION - ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE LIDEMC�LITION C !],:Omm ❑EDUCATIONAL ❑GOV'T DRF l IGIOUS❑VATIC ❑CAP PORT ❑GARAG_E ❑ST0.4AGE❑SLAB UFENCE � USE _ DDLSIGN REVIEW ❑COUNCIL AFPROVED ❑SIGNS r"NI) ❑MOVING ❑CONDITIONAL ,y -- p EAT- r:G FANj Y l A USE NE�1 —1—BLDG,� ?YPF�. -IRE ZONE ._PLAN CHECK BY __ - DO BUILDING DEPARTMENT �R— �� REAR! t �r LFFt SIDE ,� RIGHT SIDE - -_ SET BACKS FRONT- L..�-�---- �_ ermit ©-� .1'_3N1IN(, --- - THIS P[RMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED Th T TH! WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE' 4vil" `, t 101al Y Z- '� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT tr AIV• -.. -- - RLSTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CUgRENT CITY RUE-•JES.'• tl,te Tax - — y LICENSE SE'ARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING i M 10181 1 HY APPLICANT OP AGENT Appr ved Receipt No _----------- --�—_ —. ADURE 55 �HDNE - 060 .1 ILI � � / Ov OIL L-�� g-�v v L [TY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEI ELOPMENT CHARGE PDC #2 DA7F February 22, 1978 ESTIMATED SALES PRICE $ 53,900 + lot APPLICANT NAME Bob Samuels TELEPHONE # 246-4730 JOB ADDRESS 15845 SW Serena BLDG . PERMIT # 1903 AMOUNT OF FEE FOR P. D. C. #2 - $100.00 DE=SCRIPTION OF IMPROVEMENT Single Family Residential Home EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES: A. Single family dwelling unit under $40,00(1.-------------$ 75.00 B. Single Family dwelling unit over $40,000.--------------$100. 00 C. Mobile Home Cour,,, Space (New Development)---------------$ 50.00 D. Multi--Family dwellincs-•-por unit-------------------------$ 60.00 CONSTRUCTION IS LOCATED ON S.E. N.W. SIDE OF S.W. PACIFIC HIGHWAY. N.W . is Park Distr t #I. 5.E'. is Park District #II . { i. '�i i CITY OF TIGARD OPDINANCE #-7i -26 STREET SYSTEM DEVELOPMENT CHARGE DATE : t;brIjaryLL_ 1978 ESTIMATED SALES PRICE 'a si_ano APPLICANT NAME_­Doh SarmrFls, TELEPHONE #_�2_Q_/1� JOB ADDRESS_I;lg45 SW SErena BLDG. PERMIT # AMOUNT OF FEE FOR S. D. C. S409,00 I DESCRIPTION OF IMPROVEMENT_ Si2jP-].e Fgmi y icsidenLiij llnrrf EXEMPTIrJNS -PER ORDINANCE 1!77-26 FEE RATES : A. Single family dwelling unit under 560, 000----------- 5300.00 B. Single family dwell .ng unit over 560,000.--------- ;1400.00 C. Mobile Home Court Space (New Development)---------- $150. 00 D. Multi-Family Dwal.lings--per unit-------------------- $240.00 E. Commercial, Industrial & Institutional (Park. Space) ' 50.00 each F. Single family unit under fo40, 000. ----------------- ;250. 00 i