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D D R E S P. S / -`�n.�,.�� _ P E R h11 T N 0._._��.=..`�_�---
PERMIT CHARGE _ name
o0
OWNER � rCONNECTION FEE y v D r
�! PAID BY
TYPE Of BUILDING -6�-� DATE ' :�NNr CTEI�
SERVICE RADE
�) INSPECTION FEE
-
PAID BY DATE
CONTRACTOR
ASSESSMENT PAID
SIZE OF CONNE C"Ir I ON - ""'—'
CIIY Oh TIGAt�D
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHANGE
DATE : ' Z �-7 ESTIMATED SAL -3 PRICE _ ?, wC��
APPLICANT NAME C�.��.<_.��f_ TELEPHONE
JOU ADDRESS ��� BLDG. oERMIT
AMOUNT OF FEE FOR S . D. C.
DE,CR:PTION OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under g60,000----------
B. Single family dwelling unit over 1G0,000---------- $400.00
C. Mobile Home CCUrt Space (New 'evelopmFnt)---------- $150.00
D. Multi-Family Dwellings--per jni+-------------- -- 240.00
E. Commercial, Industrial & In:ititutioral(Park.Space) � 50. 00 each
F. Single family unit under 540,000- ------------------ *250. 00
CITY OF TIGARD
ORDINANCE #77-71
rARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE $ SZ',
APPLICANT NAME y ;, .r, TELEPHONE #
JOB ADDRESS / a �, �� �,,. BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C.
"I
DESCRIPTION OF IMPROVEMENT
4
1
4
l
EXEMPTIONS - PER ORDINANCE #77-71
FFF RATES:
A. Single family dwelling unit under $40,000.-------------$ 75.00
B. Single family dwelling unit over 14MO.,091)
MO.D
C. Mobile Home Court Space (New Development)--------------- ' "St0
D. Multi-Family dwellings--per unit-----------------------$ 60.00
CONSTRUCTION 15 LOCATED ONS.E . _ N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District #I . S.E_. is Park District #II .
BUILDING PERMIT APPLICATION cOFIGAR� DATE�_'��+22—J0 19 1`178
THE UNDFRSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONFr
LOT NO.
OWNER bud Wriijht 61dq..IUB AUDRE5S 1'5900 SW �,Tra Lf-)rd HOME ADDRESS
ARCHITECT
t�milmskillu ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE XIi�1 MW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
UKESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUSUPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑{{MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY ~L71ND USE ZONE BLDG.TYPE �,�JJ FIRE ZONE - PLAN CHECK BY F`Qu
-- HEAT —
61
ciinst. single fami-ly dwF311iltt] Ir/c,Asi...Jo,',d garage 3 bedroom 1 issth
480
Hewer perinit yU5821)
OCC. LOA( ___, FLO.QRLOAD�n HEIGHI _NQ,5jORIE.,S_.__1._AREA1400NO.BEDROOMS VALUE t7011•
BUILDING DEPARTMENT SET BACKS FRONT 2n REAR p i LEFT SIDE f.3 RIGHT SIDE lh
Permit 160.00 �— —
v THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check On• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS O,ND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 240,01) 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 h•9f} LICENSE.AEP1ARATjE-.fhPMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
J.,. .
Total 240.40 P.IJ.C,.
BY
APP, It AN l lq
Approved tw Receipt No.
ADDa SS
OAft INSP. TYPE INSPECTION REMAPKS— — o TMBING DATE
Contractor-
3-2 - - O �C v� 3-30-78
Permit No.
Rough rn
1 ^y , Fixture _ —
/,– Final _
HEATING
rnctor __ L
— --�;r--- -- --- -----_ N�� 3Oil
-- -- ----- Rough-in - --- __
Final
--- —..--.- ------------- SEWER _
-- --- -------- _`— Final
DRIVEWAY
---- _ Storm Drainage ------ ---
- --- ----------- ------ ------... (Rain Drain) Final ---
-- _ Sidewalk
--------- -------------- —.F Curh,g Street Final
— — — -- -- – — Approych
— —__ ----
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY --- —
N landscaping
l! Zoning Final
�UILOING PERMIT APPLICATION lo Y TIIGA RD DATE_-:—?-_ - _.. 19Zr ' N?
-:SAF IINDE PER�zBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-=lk
Aco S`<)WN AND APPROVED IN TME TCCMPANYING AND SPEC ICAl IONS. OWNER PHOND ' / DQ i LOT NO.. —
JOB ADDRESS y HOME ARCHITECT
ENGINEER
R ADDRESS DESIGNER
JC'TURE NEW ❑REMODE L ❑ADDITION `JRLPAIR_— ❑RENEWAL FIRE DAMAGE ❑DEMOLITION
F P;NCF 01-(;MM ❑EDUCATIONAL ❑GOV'T ORE LIGIOLISOPATIO ❑CARPORT ❑GARAGE EISTORAGE[ISLAS ❑FENCE
]PrIND 0MOV ING ❑CONDITIONAL USE DDLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
NCY LAND USE 70NE_"��_� BLDG TYPE 1- .._FIRE ZONE,3 PI.AN CHECK BY � HEAT _
Qty_—. ..__.. fLQOR_I.SJfl2 �___kll H_t_• —.--NQ_$LQAIE�_�___AAEBI- _�1SLO@�#DROOMS _YALUE -
NUILDING DEPARTMNT,�.ESET BACKS FRONT R �
EAR LEFT SIDE Q RIGHT SIDE /O
�
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
an Check — Q Q 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
C.uh-lotdl_ j ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`�Iwp Tex L (� (� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PI UMBING AND HEATING.
Total
Hy
APPt iCANT OR AGENT
� t
{ul+'u Pc Receipt No.
r
AfJUwrii PHON
s- 7
SEWER PERMIT � � 7X1
� • 15829
Uni;ied Sewerage Agency
at Washington County CITY OF —��ar,l DANE :i-22-7A
OWNER: Bud Wright 91da, PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
xx,Q>BUII_DING SEWER ❑ BUILDING SEWER AND SIDE SEWFR
TYPE OF OCCUPANCY:
xQ NEW >0)6INGLE FAMILY COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ I•.ULT. RES. [] INDUSTRIAL
FIXTURE UNITS_--- 'ELLING UNITS 1
ADDRESS OF STRUCTURE :
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH AI_t_ RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CHILLING 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 600.
SIDE SEWER INSTALLATION _
OTHER ISSUED BY
TOTAL. $ 625.
A 'F L I CAi`,IT DATE
4goo.► SEWER PERMIT N? 15829 i
ADDRESS OF STRUCTURE _ 15900 SW Stretford Loop
TAX MAP _ TAX LO-1 __ _______ SYSTEM farrnn r rr?P{t
LOT 58 BLOCK OF
APPROVED BY DATE ISSUED BY DATE
D. U . ' S 1 REMARKS bldg. X1970