10705 SW PONDEROSA PLACE 1.0705 SW PONDEROSA PLACE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
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Type of Inspection �-------
�zTime .M. _—P.M.
Data Requested //
Permit
Address _�c� G� //1
Owner
� X11 _ Lot #k
.��..�_
Builder -
I-lie following Building Code deficiencies are required to be corrected:
Approved
Presented to -
Disapproved
Inspector
Date
CALL FOR REINSPECTION
YES NO
Address Permit
61
Pern,i t charge 22oZ2
Owner �Lt1LA 1� OF � � ConnWction fee
Paid by
','Pe of building F , Date connected
:nrvice rate Inspection fee S-
r'nntractor Paid by date
Size of connection Assessment Paid
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BUILDING PERMIT APPLICATION coF TIGARDD DATE
1HL UNDERS;GNED HEREBY APPI_ C-S FOR APERMIT FOR THE WORK HEREIN INDICATED ,'BUILDERPFION "
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.( OWNERPHONE
LOT NO,T�) _r�
OWNER • JOBADDRESS IU705 `)W Klfl6, Ray60C)MEADDRESS �' .J.�r � 2-4
ARCHITECT -
ENGINEER
BUILDER i.4;3:fti1 ki,4.:L4, ADDRESS r, DESIGNER
❑ ❑ CI
STRUCTURE '0NEW REMODEL 1-1
ADDIIION 0REPAIR _ RENEWAL ^^� `,FIRE DAMAGE ❑DEMOLITION
O,19RSIDENCE ❑C-OMM ❑EDUCATIONAL 0GOV'T OREL IGIOJSOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBONO _ Ll MOVING ❑CONDITIONAL USE 0DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY ' LANG USE ZONE its j _BLDG TYPE FIRE ZONE_.-- PLAN CHECK BY_-___- "'-- HEAT
sinw1a ramily dwslli.ny w/tattalahu q ;,ri .w.: r r :,ula f,.. t.l.
9QC.LO9D FLOORLOAp 40 HEIGHT �2pNO.STORI 6 1 AREA141l`' No.BEpBQQ INS i VALUE
BUILDING DEPARTMENT SET BACKS FRONT «O REAR_ j J LEFT SIDE _�� _HIGHT SIDE__2j)
Permit 1::L.OQ — _�� -- ----_-------- _�—.---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 75•;,7(7. REGULATIONS AND ALL APPLICAPL.E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
r WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal L ALL APPLICABLE CODES AND ORDINANCES. THE ISSUPNCE OF THIS PERMIT DOES NOT WAIVE
—� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CGNTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax b.l)• LICENSE. SEPAR,�TIE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 232. 1 sioue /
B 1
----- APD' (CANT In AGENT
Approved 't u Rvc eiht N„
AD DRESS
:... .r�...r..u:,wy.r..............w.....,.ua.Nv....,w,a.:.. .:..�,.rs.Wr......r. ,.. .:. ....-........,�r ._- y_..r.. ..,"._.....__,.� .__...._.. .F.,..,... ...,. ...,.
UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
'_2Contractor
_ F STyr, Lu u — Permit No. /'S/ cZ, -51a,3179
ete. Rough--in _
t% Gxy
e• . Fixture _
Final
G—S�7qL04— 1-56 P09 Qva 0 c. HEATING
r�25 Contractor /
Permit No. (p3 7•a� (,��/�<��
A&&7 -1 Gas or Oil
Rough-in
Final
SEWER
Final
— DRIVEWAY __--
Final
Storm Drainage
(Rain Drain) FinAl
Sidewalk
_ Curb&Street Final
_ A roach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lanascapinn
Zoning Final
-7y
Uf SEWER PERMIT M 13869
Unified Sewerage Agency Tigard UA 1-13-70
of Washington County CITY OF —
OWNER : Cadarhi I t F'n_ "'--
OWNER ' S ADDRESS: — -
TYPE OF INSTALLATION:
ebUILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XO�4EW 'axSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR 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 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 25,
CONNECTIONCHARGE Enn
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
� T0T L E 62b.
APP1 I CANT DATE
HICE 73E
t;.e.L Uzi. -i' 'NTHIS SEWER PERMITN�► 13869
.i �.
ADDRESS OF STRUCTURE 10705 SIJ King h'aysyth Ct. `
TAX MAP TAX LOT SYS f M -f anno ernfak
LOT _.._ BLOCK OF
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. #1833
CITY OF TIGARD
ORDINANCE #-7-26
STREET SYSTEM DEVELOPMENT CHARGE
DATEESTIMATED SALES PRICE $
APPLICANT NAME (' cLc,(-,_ Lcy Lei TELEPHONE ;x
JOB ADDRESS lo') oF`'T lE=c�Trtl� C'_ BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C.
.')n o
DESCRIPTION O F IMP R O V E Irl E N T
EXEMPTIONS -PER ORDINANCE #77-25
FEE RATES:
A. Single family dwelling unit under 360,000.-------
B. Single family dwelling unit over $60,0[10. --------- $400.00
C. Mobile Home Court Space (Naw Development)- ••---- 51.50.00
D. Multi-Family Cwel.lings--per unit----------•--------- - $240.00
E . Commercial , Industrial & Institut.i.cnal( Park. Space) $ 50.00 each
17*. Single family unit under $4n,OL'0. ----------------- $250.00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : %3 ' �� f 9TIMATED SALES PRICE
APPLICANT NAME � �-Cf C° , _ TELEPHONE #
JOB ADDRESS &28LDG. PERMIT
m co
AMOUNT OF FEE FOR P. D. C . /DYE
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71 _
FEE RATES:
A. Single family dwelling unit under $ 40,000.-------------$ OD
B. Single family dwelling unit ever $40, 000.------------- 101%
C. Mobile Home Court Space (New Development)--------------$ . 00
D. Multi.-Family dwellings--per unit--------------------- $ 60. 00
CONSTRUCTION IS LOCATED ON S.E. 252e,11-N.W. SIDE OF S. PACIFIC
HIGHWAY . N.W . is Park District #I. S.E:. is Park District #II ,
'6Ull_DING PERMIT APPLICATION �'F' TIG,�,RD DATE f!._ _. 1s.Zh' NQ
-. AE UNDI RSIGNED HERtBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON d- i lSc1
C:R AS SH,)WN AND APPROV D IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 'E Et �'_
r 1 6 / LOT No._faL�__
Ft /�f�y CF�(�!"{!� l !(OB ADDRESS .pI"rCL,jr" OM ADDRESS
ARCHITECT
n l ENGINEER
ADDRESS 1 S O �� `SS11�1-�LL1Q�J It , ESIGNER _
tiEW 0REMODEL� [3AODITION ❑REPAIR bRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Xi-,ozi IICF XCr:MM ❑EDUCA-fIONAL OGOV-T 0HELIGIOUSOPATIO []CAR PORT ❑GARAGE ❑STORAGEDSLAB ❑FENCE
7NC!ND ❑MOVING ❑CONDITIONAL USE nDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
+NCY .i-�_ _ D USE ZONE— r _BLUG.TYPE I-IRE ZONE `PI AN CHECK BY _—HEAT-S—&!:!!2-
-D
I - Aa_..._. - p1o4N�.�.eQ--�c�__ " I ►? �•c� AR.IaLs�
-BUILDING DEPARTMENT SET BACKS, FRONT -� REA �_ `LEFT SIDE jtj RIGHT SIDE
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 HEREBY AGREED THAT THE
4 WORM WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
I Suh 10181 All APPt.ICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
d� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
fta1e Tex -y�Dv LICENSE. SEPARATE PERMITS REOUIRCD FOR SEWER, PtUMBING AND HEATING.
By
APPI.(CANT OR AGENT
Appiaved /�� Recelpl No. 2 �G) SO
7&-4W-56rit ss f PHONE
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Cityof Ticicaird Mecliaviical Pertnit N9
New Ins',A t:0
id!aition Ren!ace 0 Relocation 0 Addition 0 Alteration ❑ 41
TOTAL
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C-N T R A C T 0 R L OWNER
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AD r)P.E S E; 4-q- WORK ADDRESS /07a 4'
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PHONE APPLICANT_
Heat Input Rating (BTU Per Hour) Vent Size Flue.Size-
_
FUEL OIL 1-1 GAS>d ELECT 0 OTHER
ITEM NO. FEE ITEM NO. F
3.00 Air Condition Compressor 15 to 30 HP 10.
For Issuance of Permit ---I -- -- _—L-
-j;T.—,, C1—nder 160,000 BTU Air Handling 10,000 CFM 3.
4.00
--T.—UO Air Handling Over 10,000 CFM
New- 10-0,000 BTU & over 3.
Floor Furnace 4.00 Evaporative Cooler
V—Vall - Floor - Suspended 4.00 Range Vent Fan 2.
Install Vents Only 2.00 Vent System
Repair . Heat & Cooling 0-0 -Hood Commercial 3--
mpressor Under 3 HP 4.00 Commercial Duct System 10
Air Condition Co
..,qtr4dQndiison Compressor 3 to 15 HP 7.50
ECTOR'S COMMENTS_------
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BYDATE ISSUED BY DATE
----
RECEIPT NO.._-----