11595 SW NORTH DAKOTA STREET 11595 SW NORTH DAKOTA STREET
cn
ro
a
V
cu
n
s
.4j
N
a
21
3
cn
rn
I
i
I
i
it
Address _ !� Ccs, 7) � ��re+�� Permit Nn
Permit charge _�c ,,Z� e–
Owner —hu C:-IL e-�,--Jo � Connection fee ( c'c'
Paid by ,� �<�� �.iI� I �� ,�4
Type of building Re, Jate connected
Service rate �`�� Inspection fee
Contractor Paid by Date
Size of connection Assessment _ paid
1
BUILDING PERMIT APPLICATION 11TTIGARD eaaTE-:.a-10-72_, ts 174
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF 24 J-4b6l
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS.
OWNER PHONE
LOT NO.—
OWNER Noltl'1and. Inc, JOBADDRESSJJ',9J 5W` _t. HUMEADDRESS
ARCHITECT
ENGINEER
BUILDER 81540ii" ADDRESS DESIGNER
STRUCTURE`__ EW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE. DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY � LAND USE ZONE BLDG. TYPE—' ...__—_FIRE ZONE-!- PLAN CHECK BY—'_ 11 HEAT____
;,anent. alnyly i amily w/attache-.)d ,.,;.gra: 3 badiuum .U. bath __—
OCC,.IQ Q-- -- -F-LQ4f3LS)BLl._._. C% �E-IGHI.__ ._—NS2_nQRLE_._.1—AREA SJ_NO.BEDROOMS� _ALIJ..Li�LILL,_
BUILDING DEPARTMENT SET BACKS FRONT 2G REAR 2a LEFT SIDE 10 RIGHT SIDE
Permit 1.30.0 U --- _-- -- ------- — ---------
THIS 1-.OMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.0,(j REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
"— WORK(JILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 140.GO 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 5,60 LICENSE. SEPARA.tE.PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
0.1.1.c. Ir .
Total 145.6n P.U.C. 101 $10U.
13Y
APPI (CANT IkGENT __...
Approvers Receipt No.
OpE55 Fr-U)NL
.....:..,.. -.. _.,.y,..W,._.. ........«...-•--..- �....... ..-',.,.W....._.: ....__„,,:....u..u+W:..x+Y.r._.idw. ......:,:......r..,:uiu+Wr...,.+Y.Y,wwio.a::nr....._ ,..'nr..r...cw�,:.u.r... .........
�w
DATE INSP. TYPE INSPECTION HEMARK7 PLUMBING DATE
D -f'7'- tA
to
Contractor
/CL2L-27P Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
...... Gas or Oil
Rou h-in
Final
SEWER
Final
-D R I V E WA Y
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
110jrb&Street Final
Approach--`
roach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning
oning Final
7f S'
f - U SEINER PERMIT N? 13815
Unified Sewerage AgencyTi and 10-10-77
of Washington County CITY OF 9 DATE _
PHONE :
OWNER : Q1n r l�h 1 ��n ri T_Ili r- -
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
I-n6UIL.DING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X'O' NFW ❑ "SINGLE FAMILY ❑ COMMERCIAL
0EXIST . (PR1OR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL.
FIXTURE UNITS DWELLING UNITS 1 _,
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAL-LING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 12.0 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE 600
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
TOTAL $ 625.
f APPLICANT DATE
SEWER PERMIT 13815
ADDRESS OF STRUCTUREII T:tmf2�p1- --
TAX MAP TAX LOT SYSTEM Enoum marls
LUT BLOCK OF
Z-41z-ez'zz
-- �APPRUVl-D HY � ~ GATE: ISSUEb BY DATE
kL.MARI<:` bldg. #1743 Paid to Loron Heights $150. 00
CITY OF TIGARD
ORDINANCI- � 77•-26
STREET SYSTEM DEVELOPMENT CHARGE
a
DATE; /��/Uig ESTIMATED SALES PRICE '�'�o���
APPLICANT NAME �2� ��_ >>t TELEPHONE: j
JOB ADORE5S `//eL Q � (�� SLOG. PERMIT
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER ORDIMANCF -#77-26
FF"E RATES:
A. Single family dwelling unit under 16,0,000.---------Cp
E3. Single family dwelling unit over 360,000.----- -- - - � . . 0
C. Mobilo Home Court Space (Nnw Development)---.---.-...-- X150. 00
D. Multi--Family Dwellings--per unit--------------------- $240.00
E. Commercial , Industrial & Institutional(Park. Space) 5 50.00 each
F. Single family unit under f�40, 0110. ----------------- ,;250. 00
CITY OF TIGAHD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATEESTIMATED SALES PRICE $
APPLICANT NAMES �� ,�r., `1 TELEPHONE #
JOB ADDRESS // 5ls �, c'l/ct-�c�•_{a S BLDG. PERMIT #
AMOUNT OF FEE FOR P. D. C . /Oce
DESCRIPTION OF IMPROVEMENT 2
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000- ---------------- 75_. 00
B. Single family dwelling unit over $40, 000. ------------- O. OT')
C. Mobile Home Court Space (New Development)---------------$ 50. 00
D. Multi-Family dwellings--per unit-----------------------$ 60.00
CONSTRUCTION IS LOCATED ON S.W. -- N. E . SIDE OF S.W. PACIFIC
HIGHWAY. N.E. is Fark--U:Ir' T-jyI S.W. is Park District #II.
--
I
I K7 U7Ul L > �
1 F u' N
N
Z Ulf
Yj
r1 j II
IJI `A cl C I M W p
r'ry
ry ui �•I (J Q Clin C
Ur rsJ W
WE
to Cr ( '-I ) ul U VI
tV C I I I LI ; C1 cr. U G h' rl \
./
ul w Cul I Q f.n
t� t 'j 5 a f
o tI' C� tt W
u1
it
r f � cl
101
'
d r
' I l/A VI
t 1
CAC I , 111 t7 t
1 ri +-1
It
UI U 11
�i Gr r.+ . moi " I
Yr ItCl
111 I Ki VJ a Q
E
ul tl'1
7 d
It u C
ti,� d t7 tt rl Uw9 �� „ tl1
� � w ! u d
i C,
ti• '� I, ' � � rri ;ia ��� �' ;rl
l I r1 r
r I as
, , [1 ( tot
CI �' 1ft
�I
y ti Qi •r �� r 1 d o .r 7 f
R .� � •t r� I � Cl �{
Ell
(l •, I
1 cIl a
l n� a
I r
�' ► `j � � �' rC�j L I i 4 � � �..
C o � �• r
rr I i rl f:l h l �i a.l n I • •,
tf 1 I I I