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9860 SW KIMBERLY DRIVE��W-JLMMMTJLM 9860 SW KIMBERLY DRIVE; I N a) 1-4N E x 3 v, 00 rn 1_ y r, y I U Ln g 1-4 Cd o� ori � o 0� o " " 9D U 4' 0.4 lbo te i tj 14 to ou Ch En ` o j j w U M �w �r wammdKwmL=ArX BUILDING PERMIT APPLICATION TIGARD DATE July IG _,1s---''`.-- 491.5 THE UNDERSIGNED I-IERE BY APPI IFS FOR P PERMIT FOR I HL WORK HLREIN INDICATED BCILDER PHONE h9'1!--A3UZ--_ OR AS SHOWN AND APPROVED IN T HE ACCOMrANYING PLR NS AND SPECIFICATIONS. O��NER PHONE LOT NC.,--- __—_-- OWNER '[Olm Wat L JOB ADDRESS -- ARCHITk"T ENGINEER BUILDER ;, _ ADDRESS DE&'C;NER STRUCTURE O NEW lit REMODEL ❑ ADDITION ❑ REPAiR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE El COMM ❑ EDUCATIONAL C•7 GOV'T ❑ RELIGIOUS ❑ PATIO 0 CARPORT F] GARAGE ❑ STORAGE ❑ SLAB FENCE O XUPANCY 1". LAND USE ZONE —_3_MBLDG.TYPE __S[i__-FIRE ZONE PLAN CHECK BY —61W HEAT _--Construct addition to existing sign& fautily dwelling all uer L,rcayf plans sc,�f cede reyuieumnts. SEWER PERMIT° Nuri - Irequiritd. OCC.LOAD FLOOR LOAD wU HEIGHT I h+ NO.STORIES ! AFEA JUU NO.BEDROOMS I VALUE BUILDING DEPARTIk �� SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULAIIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 4s.A 3 ;YORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH .ALL APPLICABLE ' DES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 122. >>_ RESTR17fIV[• COVENANTj. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLU'iBING AND HEATING. State Tax �•N SDC– Total 125.t�1 �. f By tG6PDC# APP idANT OR AGEN f Receipt No. --- -- – _– —_- Approved --�• K'C�i _ -Tii�6Fi€88ofWNr Its DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No -A Rough-in Fixture Final HEATING Contractor Permit No. Gen or Oil Rough-in SEWER Final —T DRIVEWAY Final Storm Drainav Main Drain)Final Sidewalk Curb&Street Final CERTIFICATEApproach --a:012.DE >I. TEMPORARY CERTIFICATE OCCU.ANCY Pinel �_.ndscapinq ?*rtinp Final w� BUILDING PERMIT APPLICATION TIGA?D DATE_ 19C THE UNDERSIGNED HEREnY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHOhL� OR AS SHOWN AND APPROVED IN THE ACCOff PANYI PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. M r JOB ADDRESS ARCHITECT ENGINEER ADDRESS DESIGNER BUILDER ADD_ ------- STRUCTURE_— C] NEW _v REMODEL __❑ P OOITION-, ❑ REPAIR ❑ REN_WAL ❑ FIRE DAMAGE ❑ DEMOL.ITIOt• RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T Cl RELIGIOUS Cl PATIO ❑ CAR PrgT CJ GARAGE ❑ STORAGE ❑ SLAB❑ FENGI OC.GiiPANCY LAND USE ZONE 1 PQ BLDG.TYPE FIRE ZONE _PSN CHCC:K 8Y —HEAT____ Aw AA SEINER PERMITM___ -- �— —'-" OCC.LOAD — FLOOR LOAD L' HEIGHT --NO.STORIES (- AREA Q Cf NO.BEDROOMS �� Vh.LUceJNd -�BUILDING DEPARTMENT! SFT BACKS FRONT REAR LEFT SIDE RIGHTSIDE i'P'nrmIt _� O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 6UILDING CODE,ZOr1:!t: -4- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TN, IPIaeCheck WORK WILL BE DONE IN ACCORDANCE_WITH THE PLANS A;�D SPECIFICATIONS AND IN COtdPL1AlIC' �--" -- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV Subtotal RESTRICTIVS COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINu: 4 G LICENSE.SEPARA.-E PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. State Tax _ ��/Q' - .- -- SDC— PDCN APPLICANT OR AGENT By - v Receipt No. ADDRESS fT1i�Nr_� Approved — -__-- 5DC — PDC — SEWER CONNFCT1114 5 SEWER INSPECTION SEWER SURCHAnG" 5 _ INSPEC1 ION NOTICE City of Tigard Building Department 12420 S.W. Main St. i igard, Jregon 97223 Phone: 639-4171 Type of Inspection01 --— Date Requested �II — Time,--- A. P.M. Address < wif Permit Owner 1;Y, (Aj 0—f�- I-at # Builder 1 The following Building Code deliri)ncies Pl,.j required to be corrected: �94 A Presented to --:7'rApproved Inspector Disapproved Date CALL FOR REINSPECTION El YES El No ary OF TIGARD Plumbing Permit Building Department No. Residential � Commercial ❑ Newinstallation ❑ Replace ❑ Addition ny Alteration [I Licensed 4_� Plumber Owner Addr6ss :wJJettAd cress - Phone Applicant CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS ANC SUB-CONTRACTORS ITEM NO. FEE . TOTAL ITEM NO.- FEE TOTAL Fixtures-Traps7.50 --__1 Sewer:First 100 ft. 30.00 Dishwacher 7.50 Each Addit.100 ft.. 15.00 Garbage Disposal 7.50 Elector Pump kyyyt 7.50 Water Hea,',?r 7.50 Water:Firs 20,00 Backflow Presenter 7.50 EachA 15.00 I )rt Storm& r .1 30000 LAI h Each Ack"00 15.00 Mobil is Home,§o25.00 L_Y Other(Specify): Rain Drain vTg dam.Dwelling^ 15,00 PERMIT FEE Comments: STATE Issued By: Receipt No. Applicant Signatuit For Plumbing Inspection Phone 639-4171 ar w I PERMIT NO._ - iDDRESS nERflIT rH,'IRGE none I CONNECTIrN FEE PAID 6 Y I YPE OF 8U I LO I NG h-e-� -- DATE CON JF=CTED - IN5PECITION FEE ;ERVICE RATE PAID BY DATE I Z E OF C 011 IJ E C T 10 N _ A 5 S F:5`.i i l E N T ,____y P A I li r CITY TIG,"��RD DATE�______�- , t9 N2 40 �d BUILDING PERMIT APPLICATION OF �---� c HF ONN HSIGNED HEREBY APPL IES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE. - �!F AS SHOWN AND APPROVED IN 1HE ACCOMPANY NG PLANS AND SPECIFICATIONS. OWNER PHONE � �� LOT NO._�u�__ R � _''�` _ JOB ADDRESS li G _ ARCHITECT ENG NEER R_ IW.'1L�_.__1J1.'f=.L1G:� ADURESS�'�Q��^L� qr� �IMN }._ DESIIGNER ir'TURE 4wEWQREMODEL ❑ADDITION—�_OHEPAIR _ ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION (7f NCE ❑I_C,MM OEDUCATIC iAL OGOV-T ❑REUGIOUSOPATIO OCA RPORT IJ GARAGE _YD STORAGEOSLAB [:]FENCE T, OND OMOVING — ❑CONDITIONAL USE ODLSIGN REVIEh []COUNCIL APPROVED _ [:)SIGNS_ - -� ---_ _ PLAN CHECK BY_.C_�-, HEAT_— f NC�'. T NU USE ZO E_L�' 'BLDG.TYPE__.l.L�._FIRE LONE —_ — -� — F149H-LQ y I H nJQ._.;zLQ.RIE$. PPS ` � �5�@IEpRQQA�_._�!.31.+J _BUILDING UEPARTMENI SET BAT'KS_FELONY— REAR LEFT SIDE /. RIGHT SIDE rl mit� d/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, CONING Flan Check _ J/ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANP 1T IS HERL•BY AGREED 'HAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH `;uh lotal _ pp ALL APPLICABLE CODES AND ORUINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS '.t_ait, Tax /Z LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING L.ND HEALING. T c,t a I !' 'p' I t HY apPtiCANG NT I,I, Hued - Receipt No -- -- 2 -TA a< Am . Gu el, / v v .m.._.M,.,,,,-„Is,p�.__._�•--_. .__..P......._.,r�,•.�._�,.,.�._,-.._.-t.., ._,. . .,..w . .,,p�••yy,.',,,�..,�_.,,..._...,,,_.._. ._.�-. _.__.- .,. -.._.._. ..�1 _• i!<. V' 0f 0 ••• 'a M1 i BUILDING PERNIIT APPLICATION Co Y TIGA�tD DATA_-' r- T9_ THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDIU 'TED BUILDERPHONt��r OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPH!ONE LOT NO._ OWNER ova HOM1139 JOE',ADDRESS CJ860 SIL) i1IIIIR UaL 1, 'HOME ADDRESS v ARCHITECT ENGINEER BUILDER_ N&IItl3 _ADDRESS Uo'x 204! ",St Li UDESIGNER;1 r� STRCTURE__ "044EW ❑RE [:]ADDITION ADDITION _ ❑REPAIR L.JREI:FWAL O FIRRF DAMAGE ❑DEMOLITION [IFIESIDENCE ❑COMM_❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT LIGARAGE CI STORAGEOSLAB ❑FENCE ❑BOND 0MOVING ❑CONDITIONAL USE Or SIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS Lit'�"I HEAT_ OCCUPANCY_.___--- kAND USE ZONES W1=..BLDG.TYPE ''1 FIRE ZONE__? PLAN CHECK.BY. _ _.J, wt.• siglIt; feeily dWeIllinyo W/attedieef jas � qtr 3 :.Ie:c�L, l.l,x :e �atht caara.,u �0 -- satisr perituti l jUIL'.. 4C7 Q,U—LQgD ,_______--UQ-QR LO.gD____-__ - HEIGHT NO��IQFILEj _A.AEA_ NO.BEDROOMS VALUE BUILDING DEPARTMENT _ — _ SET BACK.F FRONT 22 REAR LEFT SIDE RIGHT SIL)'_ Permit 17tr.['!q ri THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Cherk J• l REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THF WORK WILL BE DONF IN ACCORDANCE V4ITH THE PLANS AND SPECIFICATIONS AND IN COMPI_!ANCE WITH Sub-total ALL PPPLICACTI_F CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 12 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFG'' State Tax • LICENSE SEPARATE PERMI CS REQUIRED FOR SEWER, PLUMBING AND HEATING,. •L. a • . • ,. 'a i-T l�• Total �7 4' '” � g _ APPLICANT OR AGENT Approved ,,'.w Receipt No. f g�r ---- - "'I SS h � I ..� �' rice elle� nllr I�r eller rlwl eA�[ 1� 9 DAT'fE� INSPP, TYPE INSPECTION — REMARKS PLUMBING DATE 5 �•�-�R� � ��C� 4j/�y� , Contractor Permit No. 1.(/U� .3�e•'!� Jr �l Rough-in �T bra-312_ ��ei. Fixture �,� 1 Final t'S-I HEATING^ — Contractor - -- Permit No. Gas or Oil — _ -- Rough-in —� - Final ---SEWER ^— - Final DRIVEWAY Final Stork Drainage (Raid Drain)Final Sidewalk '— Curb R Strew Final Approach BLDG- DEPT.FINAL �TETAPORARY _ CERTIFIa_ .TE OCCUPANCY Final '— CERTIFICATE OCCUPANCY Landscaping Zoning Final i SEWER PERMIT IVB �58� Unified Sewerage Agency of Washington County CITY OF _ �, gar d _ DATE 5-4-78 OWNER: Nmin Hnmg PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION: xr, BUILDING SEWER ❑ BUILDING SEWFP. AND SIDE. SEWER TYPE OF OCCUPANCY: xQ NEW x ® SINGLE FAMILY ❑ COMMERCIAL ❑ FXIST. (PRIOR TO 7-1-70 ) ❑ MOLT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 ADDRESS OF STRUCTURE : 9860 SW Kimberly Dr. PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY 'WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALL-ING FOR INSPECTION , PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE- HUNDRED AND TWEAI'Y ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE $ 7� CONNECTION CHARGE 0r SIDE SEWER INSTALLATION _ H. Greene OTHER ISSUED BY TOTAL $ 625. 7 APPLICANT DATE t� SEWER PERMIT M 15886 ADDRESS OF STRUCTURE 9860 SW Kimberly Dr. TAX MAP TAX LOT SYSTEM fanno creek LOT 7B BLOCK DE E Wa 1 r1PU —5-4-78 APPROVED BY PATE ISSUED DATE D • U• ' S 1 _� REMARKS ?da X1010