12093 SW LINCOLN AVENUE 12093 Sid LINCOLN AVENUE
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i = j Ov►rner:..St.eV.e...SRi.egel..................................... ...... Permit No........1.40A._
ii Building Address...12Q.g3...SW...h .nc.rjp...5t.......
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this........5.....dad of. ..August..,.... ...., ]�.. �Certificate is hereby give
that said building may be occupied and 4
that it complies with all requirements of
the Building Code for the City of Tigard, + I`
as approved by the Tirrrd City Council.
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} Huilding Inspector '.
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City of Tlgcrd j
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :___
DATE: 5 /'�7 ATE ISSUED :_L/_ _
OWNERS NAME : --
A n!)R E S S:
AME , _An^RESS: _27
CONTRACTOR : _/ Zy ill
TEST : Air 0, Woter ❑ , Visual ❑ , l aboratory ❑
RESULT . Approve&�OI , Disapproved E Per ❑
S KETCH.
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INS CTOR DATE
[NOTE : Attach suppieme^tal test d •to hereto I
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F CITY TIC ARD DATE 4-lb 19_ r
BUILDING PERMIT APPLICATION of
THE UNDERSII 5REBY APPLIES FOR APEHMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN ' PPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT NO.
OWNER jt"" "7p,L6991 JOB ADDRESS - I W1 Ll nColn HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER _ �Af10 ADDRESS DESIGNER
STRUCTURE_ ®NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIREDAMAGE ❑DEMOLITION
[3 RESIDENCE—OCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOU ❑ ARAG
S❑PATIO ❑CAR PORT GE []STORAGE❑SLAB [:]FENCE
❑BOPID ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS `
QCCUPANCY_1 LANL,USE ZONE—BLDG.TYPE .—I,' -_FIRE ZONE. PLAN CHECK BYHEAT 6 jAM
CL,-Ist. Ingle Family w-311ing U/Car part 3 bd. room 1 bath oUb ect to
Cit! Or 77-26 is total sales price excueda 06tUDt7. 3dditlonal $treat
yysteme fee Shell be pai11. -- Cerplart 3641
�G�-I.QA 20 �I� $LQRI�S 1 AREA x041)NO.BEDROOMS VALUE ?2j,200_
BUILDING DEPARTMENT _ SET BACKS FRONT 70 REAR 1 J+ LEFT SIDE r�r RIGHT SIDE
Permit 104«00 -
p THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
PISPA— ou 1000C 4 REGULATIONS ANL` 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
Sltb-total 114,00 ALL APPLICABLE CODES 4ND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TJ HAVE CURRENT CITY BUSINESS
Stx"Tax 3o42 I.ICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 11 (,42
By }`� �) - APPI.ICAN1 OR AGENT
Approved Receipt No.' ft
............ ,...,.:....:.w.u..,.r.+:.......— .-- ...........r......,.,..y�i..t..au.r..�;.F«,..,►.o►.d,i%.r.....�:� -.L� ,.a..NeJ'r" _^`�Yoa�YY�Y+i..+i..at a �_-_...,�,u,r.,.w.._.
s s
DATE INSP. TYPE INSPECTION REiMARKS
PLUMBING DATE
Contract0 _
Permit No.
0 .1-0
77-
Rough-in
?)L1--14I" Fixture
`jA 7 :7v �, �� r ✓
Final
HEATING
5� Contractor
Permit No.
Gas or Oil
_ Rou h in
F:nal
SEWER _
---
-- DriIVEW<.Y
Final
Storm Draina e _
(Rain Drain) Final
_ Sidewalk
-- I oji,,.i f::Street Final
Approach
I
BLDG DEPT. FINAL T"EMP09ARY CERTIFICATE OCCUPANCY Final ---
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION Co Y TIC ARD DATE ��1 19--7 t 4
THE UNDERSIGNED HERE I APPLIES FOR APERMIT 1=_)R THE WORK HEREIN INDI,:ATED BUILDER PHO NF+4�'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHOND - -
t LOT NO.— - ---
OWNER itBVU pier�al._ JOB ADDRESS 1209^I 5W Lincoln — HOME ADDRESS "-11' '!
ARCHITECT
ENGINEER
BUILDER �(1i11Et ADDRESS rr-11 __ DESIGNER
REPAIR ❑RENEWAL _ ❑FIRE DAMAGE ❑DEMOL.ITION
STRUCTURE ®NEW ❑REMODEL ❑ADDITION
0
LJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLJPATIO ❑CARPORT ❑GARAGE OSTORAGEQSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ LJSIGNS
OCCUPANCY— I LAND USE ZONE H~7 BLDG.TYPE '�� FIRE ZONE J PL-AN CHECK F34
HEAT -lfir•
Lunst. Single VeMisy DW011iflg S C+t VPUA 't uu ject to City Ird. 07-26
3 8 droum 1 bath -- _
`roto: utifors ucc;upency permit ir; isauud buildare6hall pragent ., *crow Recurds _
-- to eshnw purchase price Carport 3640 — -- —
1 2 STORIES ? AREA 104 1, BEDROOMS !22#000
O,LQ.AD� HEIGE._L__.
BUILDING DEPARTMENT SET BACKS FRONT 211 REAR 1.1+ _ LEFT SIDE J _ RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check �''� RE1ULATIONS AND ALL APPLICABLE CODES AND OCOINANCES, AND IT IS HEREBY AGREED THAT THE
WCRK WILL BE DONE IN ACCORDANCE WITH THE PI-ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 1550(IV ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOTS NOT WAIVE
RESTRICTIVE COVENANTS. CONTROCTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
4.6E
State Tax LICENSE. SEPARATE PERMITS REGO RED FOn SEWER, PLUMBING AND HEATING.
I otal 69
By
69
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BY EAPP ICANT OR AGFNT
Approved Rrceilil N�, _ -
D E�
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DATE I-Nb.P TYPE INSPECTION REMeARKS PLUMBING DATE
Contractor
A Permit No.
Rough-in
Fixture
e e, Final
lvk' HEA TING
Contractor
Permit No.
Z7-
Gas or Oil
- f
7-,,7S71-�9 0 Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Cjrh
&St
ree
t Final
A roach
BLDG DEPT FINAL TEMPORARY CERTIFICATE 13CCUPANCYFinalCFRTIFICATE OCCUPANCY Landscaping
Zoning
Final
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,i✓= SEWER PERMIT ,,/- 7 1
N" 12133
Unified Sewerage..Agency
of Washington County CITY OF i DATE —__ 4-18-77
OWNER : Steve Spiegel — PHONE : 246 053P
OWNER ' S ADDRESS: 12093 SW Lincln
tTYPE OF INSTALLATION.
❑BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑NEW ❑ SINGLE FAMILY ❑ COMMERCIAL.
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
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 b 575. 00
CONNECTION CHARGE _.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER Ins JP 25.00
TOTAL
APPLICANT DATE
SEWER PERMIT N:' 12133
ADDRESS OF STRUCTUREI
TAX MAP— _ TAX LOT SYSTEM
LOT BLOCK O
APPROVED BY DATE ISSUED BY DATE
REMARKS •-- � ���
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vI n all:
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CITY OF TICARD
ORDINANCE Tr77-i6
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ! ^I _ _ E-TIMATED SALES PRISE $ and
`� TELEPHOrJF
A P P i_1 C a N T N a M E J"-t,�
308 ADDRESS � �'..z S�(.� _L�s c-Q�i� BLDG. PERMIT
aG
AMOUNT OF FEE FOR S . D.
DESCRIPTION OF IJ1PROVEFIE NT-2 c
--
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E X E h1 P T I N S -F f=R ORDINANCE `77-26
FEE RATES:
A. Single family dwellirg unit under $60, 000---------- $300. 00
P. Single family dwelling unit over $60, 000.---- -_-- $400. 00
C. Mobile Home Court Space (New Development)---------- $150. 00
D. Multi-Family Dewl_lings--per unit-------- ----------- $240.00
E. Commercial , Industrial h Institutional (Gark. Space) $ 50. 00 each
F. Single family unit under $40, 000. ----------------- $250. 00
Addi ess / b l i , _y. �• �-Q--" Permit No.
Permit charge
Owner �Ll� 1 • M Connection fee
V Paid by
Type of hui iding A-A-2 � Date connected
Service rate � 'lc� Inspection fee
Contractor Paid by date
Size of connectio;i Assessment Paid