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15900 SW SERENA COURT 15900 SW SERFN;+ COURT 3 -N c� m c m N :J C C O` U 1 Address /--)10Permit No. /3 1 .23 �--, Permit charge G' D Owner 4� , o Connection fe , L Co C Paid by �iType of b��ilding � e �,- a � pate connected ----- --"._"""' S:arvicg rate n, Znspectioi fee C j n t r a c t o r �/ �/ Paid by _ pate Size of connection AssesLment paid ADDRESS �FO; �� . �a•_ � PERMIT NO. _ PERMIT CHARGE none 014NER �-�l'�� j� CONNECTION FEE U�+ PAID BY 1. Gviy� TYPE OF BUILDING DATE CONNECTED SERVICE RATE _ �� INSPECTION FEE � CONTRACTOR PAID BY DATE SIZE OF CONNECTION r ASSESSMENT PAID Ll I Uf SEWER PERMIT � dfl N . 1 ,3923 Unified Sewerage Agency of Washington County CITY OF Tigard _ DATE 2-22-70 OWNER : Robert L. Nelson PHONE : OWNER 'S ADDRESS: __ TYPE OF INST ALLAT I ON s XCjbUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER - YPE OF OCCUPANCY: XNt(jAEW ®X6INGLE FAMILY ❑ COMMERCIAL. ❑EXIST . (PRIOR TO 7-1- 70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 PERMIT COND I T I OHS: THE APDL I CANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR 'NSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE—HUN )RED AND TWENTY ( 120 ) DAYS . THE AMOUN'f PAID WILL. BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 25• CONNECTION CHARGE 600. _ _ SIDE SLWER INSTALLATION ISSUED BY OTHER TOTAL 2-3 7, APPLICANT DATE SEWER PERMIT N'' 13 9 3 Anr)RFSS OF STRUCTURE 1AX MAP- __ TAX LO-1 SYSTEM fennn r oak LOT 3BLOCK OF I--.4 APPROVED BY DATE ISSUED BY DATE REMARKS bldg. fikgm s CITY OF TIGARD • OROINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : �� /7� ESTIMATED SALES PRICE $ 1_C�Ci`L APPLICANT NAME ��lr) �(_►`� i ��tA'h� TELEPHONE # JOB ADDRESS i i 5'r�L' t- C' _ BLDG. PERMIT # /fin AMOUNT OF FEE FOR P. D. C. Ali; DESCRIPTION OF IMPROVEMENT E,,EMPTIONS - PER ORDINANCE #77-71 FEE RATES : A. Single family dwellin; unit under $40,000. -------------$ 75.00 B. Single family dwelli,ig unit over $40,OOD.- ------- ------ .Od- ' C, Mobile Home Court Space (New Development)--------------$ 50. 00 D. Multi-Family dwellings--per unit-----------------------$ 60. 00 CONSTRUCTION IS LOCATED ON / _�CS.E . N.W. SIQE OF S.W. PACIFIC HIGHWAY. N.W . is Park District #I . S.E , is Park District #II . Sam CITY OF TIGARD ORD I rJANCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE :_...._,_ , �� , ESTIMATED SALTS PRICE d:/L,.-) ev APPLICANT NAME TELEPHONE jr JOU ADDRESS �' < C i BLDG. PERMIT AMOUNT OF FEE FOR S. D. C. DESCRIPTION OF IMPROVEMENT � 6 FXr(`1PTI1)N5 -PER ORDINANCE #77-7_L" FEE RATES: A. Single family dwelling unit under ;;60,000.--------- Pau g0 B. Single family dwelling unit over 360,0(')0.--------- 400.0 C. Mobile Home Court Space (NOW Development:)---------- 5.1. . 0 D. Multi-Family CWetlings--per unit------------------- 5240.00 E . Commercial , Induotrial & Institutional(Park. Spaee) $ 50. 00 each F. Single family unit under '40, 000. -----------•------- $1250. 00 .. .r...-ra+w'T�V7Cwe+"'•.+......-.r�+r- ......uw,�w^w�wrM.+�+M.ta+.«w+.r�w+r.n.rir++�rs+..-.�4�+r+'rwr^'^'►'.'....r-...+atw++�.�r+trr�++ppm++...-..-r.,.-....—...«-.- , BUILDING PERP,;,r APPLICATION "' TIGARD DATe THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE— OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE�_ LOT NO— I, OWNCR A1-1180n JOBADDRESSLAQU S61 SIBrrnCa Ct._ HOMEADDRESS _ ARCHITECT ENGINEER BUILDER lore ADDRESS — DE'iIGNER STRUCTURE 0 EW ❑REMODEL []ADDITION ❑REPAIP ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T l_1 RELIGIOUS❑PATIO ❑CAR PORT ❑GARa13E, ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS — OCCUPANCY-1—LAND USE ZONE BLDG.TYPE 'r1 FIRE ZONE_i PLAN CHECK By OtW HEAT_ ;:rill t . il,r,lta fam.il.y LnLA w/ettached garngu 2 hadrozim 2 Path garerju 41J sewer permit#13923 ®ewer Lunn. 1600. sewer inep. '1125. 40 �20 1 1090 4 2'1,200. OCC. QAQ _J:LOQR LOAD HEI- Ht NO.5 QRIES 9sea N1z �Et�R�9►� — -vAl BUILDING DEPARTMENT SET BACKS FRONT 20 REAR '1 LEFT SIDE RIGHT SIDE �1 rSUb-total mit �.9.�.00 --_— THIS PERMIT IS ISSUED SUBJECT TO THE REGUEA?IONS CONTAINED IN THE BUILDING CODE, ZONING n Check ( �I 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 tis ,• .:i, ALL APPLICABLE CODES AND OrJINANCES THE. ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 7.72 LICE -SEPARIA�PERMITS RtOU1RF.D FOR SEWER, PLUMBING AND HEATING. Total 297.22 P.D.C. ii`2 S1UU. By A I,ICANT OR AGENT Approved Receipt No. ? ? '-.' "j T, �,. t'0 _— ADDRESS -- -- DATE IINSP. TYPE INSPECTION _ REMARKS PLUMBING DATE —_---1 Contractor /-3/1 n��i+ ie'r L ( ! /S Permit Nom.. /2� E3!, �� Ro,';'. �n Fixture _ Final HEATING IS H p v F-1 alLp,d�t� Q j4 — Contractor ,7�_ "LA 11 1' D K t.� Permit No. 0(0S 2 3-20��1 Gas or Oil Final SEWER SQL aOAa 0-n;&l �it2c� Final _/-fl DRIVEWAY Final _ Storm Drainage _ (Rain Drain) Final Sidewalk Curb&Street Final _ A roach BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning F anal 3UILDING PERMIT APPLICATION CIT TIG okRD DATE—?'_OF � 4F 014DE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BuILOERPHONF 97S`d F A; SHAWN AND APPROVED IN THE ACCOMPANYING PLAN'S AND SPFCIF ICAI IONS. OWNER PHONELOT NO. 3M9 k Rb6I?I E-LSOPZM .IUB ADDRESS ( A 0 O S rW r tVC Aot_tOMF:AC'TESS 1 -l�.S S W' �7 11 b ALD ARCHITECT — � l ENGINEER R `�O 'V T _L_ Iyt Ga►� ADDRESS I S 1 � 1 14 h DESIGNER qE tiEW - CI REMODEL--_,ADDITION --C3NEPAIR —"_RENEWAL ❑FIRE DAMAGE` ❑DEMOLITION X • NC,F ❑Cr MM (]EDUCATIONAL OGOV•T ORELIGIDUSOF'ATIO OCARPORT ❑GARAGE ❑STORAGE[]SLAB [:]FENCE I- IND ❑MOVING _ ❑CONDITIONAL USE ❑DESIGN REVIEW -COUNCIL APPROVED ❑SIGNS t'I :.NCY D USE lON —`BLDG TYPE ZONE- PLAN CHECK BY. HEAT- tj Q9q..-- -.. FE49.FjLOAD_ R�A�GLEGL_N4.9EAR9QM; V,4L LLIEJZ,Z.UC7 BUILDING DEPARTMENT SET BACKS FRONT riG_— REAR LEFT SIDE MIGHT SIDE eii it ! •-- ------- ----- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING °Ian Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS H'REBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE COUES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CU^RENT CITY BUSINESS a1P ,ax • 7�_ LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING AAV iCANT bR AGENT [f,, 1 Q Approved Recelpl No �. 5 $[� 5.�' U1 %cltoo o Com. lilt e-) cd I Cit. of 1 �C1 rd ►Fir�l�l�i�� ical Permit N9 Permit FLe �Re:r!ace l Fe1o.:ation U Addition C1 Alteration 0 -fl State �-�- New Installation TOTAL-.—._�_�� CO::TRACTOR ONNER - -PttjrOA! wORK ADDRESS PHONE APPLICANT�'J / — •r Vent Size Flue. Heat Input Rating (BTU �Per rHHour)-� -:iFUEL OIL ❑ GAS CEJ ELECT ❑ OTHER..__ -- ITEM NO. FEE ITEM NO. FE "' - - 3.00 Air Condition Compressor 15 to 30 HP - For Issuance o{ Permit 3 l 4.00 Air Handling 10,000 CFM _ = New- Under 100,000 BTU ��-•: ---ovy. 100,000--BTU & over 5.00 Air Handling Over 10,000 CFM 5•I N 3. — :- Floor Furnace 4.00 Evaporative Cooler - _� 4,00 Range Vent Fan 2.( Wall - Floor -Suspended .:F.. ------- 2,00 Ven' System 3 - Install Vents Only - 3 Repair Heat & Cooling 4.00 Hood Commercial 4.00 Commercial Duc; System 10I Air Condition Compressof Under 3 HP 7 5b �_ - - •air Condition Compressor 3 to 15 HP INSPECTOR'S COMMENTS `�- CITY BUSINESS LI SE UIRED FOR ALL CONTRACTORS OR SUFI-CONTRACTORS APPROVED BY_ DATE --. ISSUED BY DATE _ RECEIPT NO.-