10710 SW PONDEROSA PLACE 10710 SW PONDEROSA PLACE
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BUILDING DEPARTMENT, TIGARD NO. 0031
PLUMBING PERMIT
it -fir^ /'tom_ holder of a valid plumbing contractors license ;s hereby
authorized to cause plumbing Ark as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who s-call be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner- Dh, �c�00 '_f}_ _ . _ Address- -5 c•� k'�•• 1C y�.<tDate._y-lam'
'— NUMBER OF TOTAL P!=RM1T NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Sr�le Family-1 bath-each 25.00 �S Cts
Duplex--Each 1 bath unit _ _ _ _25.00
Additional bathrooms each 10.00 Q• &V
Moble Home qp.ece--each^ 15.00
INDIVIDUAL FIXTURE FEES _
_I to 50 Fixtures In 1 building:each _ — 3.00 _
51 to 100 Fixtures In t building—each 2.50
101 to 200 Fixtures In 1 bulldin-each _ _ _2.00 _-?n-10L—More more Fixtures in lldiq—each 1.50 _
MISCELLANEOUS _
Build{ Sewer-1n 50 ft. 10.00
Sewer—each additional 100 ft. _ 10.00
Water Service to buildir-t�— _ 5.00
P,ivete Water Systemr—each 100 ft. 10.00
—
PERMIT For Plumbing Inspection Phone 7/
Plumbing Contractor By _
TOTAL 3 RECEIPT NO. Issued By —
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•..•..•.. • .•• ..�w.rYWTMs1w +�F' +.Y MIY'1FYl"U'Marti•1MYf•4W'MV'YJM.P�hYy�•YWMwr�YYiwrwwy"r",MN'MT'I�,•�w^w�•"'1}wh•'wI.-P';
BUILDING PERMIT APPLICATION 1IT TIGARD (TATE_-2-0 9OF
THF UNr)ERSIGNED HEREBY APPLIES FOR APERMIT FOR THF WORK HEREIN INDICATED BUILOERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
I_OT NO.
OWNER JOB ADr7ttESS HOm E:ADDRES!i _
y'}E?li.fT r'-71 (I
ARCH—
ENGINEER IT
GUILDER ADDRESS _ DESIGNER
STRUCTURE NEW. ❑REMOD°L ❑ADDITION ❑REPAIR [:]RENEWAL �❑FIRE DAMAGE [:)DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT LJGARAGE ❑ST•ORAGE❑SLAP LJFENCE
I BOND ❑MOVING ❑CONDITIONAL 'JSE ❑DESIGN REVIEW ❑COUNCIL APPROVED CSIGNS
U'CUPANCY AND USE ONE BLDG. YPE FIRE ZONE_ PLAN CHECK SY HEAT_
.• ti A ac, 1 f C l�a x A ij w _� l'1 o u r_}U to 1�LI)
-- _ - -
rT:. 1i M k
s4U 10 i 14 r2
Q".LOAD _FLQOR LQ&Q— HEIGHT Ef`1Q TQ8lfi__0ABkA -N_Q BEQAOOM_5 " Y/ALU�T7
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 117.
Li ; b Ll THIS PERP4IT IS ISSUED SUBJECT TO THE RF iIILATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check � REGULATIONS AND A'.L APPI (CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
J J WORK WILL BE DONE I!,' ACCORDANCE WITH THE PLANS AND SFECIFICATIONS AND IN COMPLIANCi WITH
Subtotal ALL APPLICABLE C WOES AND ORDINANCES. THE ISSUANCE OF TH7a PERMIT DOES NOT WAIVE
RESTRICTIVE COVENP.NTS. :ONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax t' LICENSE.SEPARATE PF.nN.TS REOUIRED FOR SEWER, PLUMBING ANO HEATING.
Total 7 ) " .1
" " "
Ry _
A r4 T OR
Approved Receipt No /!
r�
DATE-TNSP. TYPE INSPECTION REMARKSq�V'
PLUMBING DATE
ntractor
G -1 tt 7!S/�PPt2byCr -� G .nitNo. /its. � ont. h in
Fixture
"�r✓� Final
s' HEATING
_tv Contractor _ �r
1� r J—� Permit No. -�1.L�� z— 7'�-7B
_ jp�k Gas or Oil
JLv Rough-in -
Final
SEWER T
Zk Final ,� �1 44-Z/-7,?
p DRIVEWAY
rE --
��/�'-� Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TER,PORARY CERTIFWATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT wi: 13944
Unified Sewerage Agency
of Washington County CITY OF I iqa U DAT E 3-2-7B
PHONE :
OWNER : _ k,�ll_ Hnmp� ___ ---
OWNER 'S ADDRESS!
TYPE OF ' NSTALLATIONt
Xj�?bUILDING SEWER ❑BUILDING SEWED AND SIDE SEWER
TYPE OF OCCUPANCY:
XJ�TNEW IXJXSINGL_E FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-•1--70 ) ❑ MI.IL.T. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWEI I..ING UNITS ------
PERMIT
NITS_---PERMIT CONDITIONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGUL..ATIONS OF THE UNIFIED SEWERAGE AGENCY , WHEN CALLING FOR
! INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 1.20 ) DAYS. THE AMOUNT PAID WII..L
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEESt
PERMIT FEE $� 25"��_
CONNECTION CHARSE 600_
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
VL 625.
__
API.-It. I CANT DATE'
,�z , h �i � vn,� SEWER PERMITNU 13944
I J)
.10700 SW Kiny Raysyth U.
ADDRESS OF STRUCTURE
TAX MAP TAX LOT -__ SYSTEM M farin0 creek
LOT 22 BLOCK OF_/' e�� _
APPROVED BY DATE ISSUF„D' BY DATE
REMARKS bl q.9_- ', 1928
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE _ -- .
APPLICANT NAME !•J � `�-�,� h...a TELEPHONE #
JOB ADDRESS f,,, _, , BLDG. PERMIT #
AMOUNT OF FEE FOR P. D. C.
DESCRIPTION OF IMPROVEMENT
EIEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unik under $40, 000-------------- 75.00
B. Single family dwelling unit over X40, 000.--------------S M100
C. Mobile Home Court Space (New Development)-------------- 50. 00
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON S.E . �;�:._ N.W. SIDE OF S.W. PACIFIC
HIGHWAY . N.W . is Park District #I . S.E . is Park District #II.
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE a <kj _
APPLICANT NAME TELEPHONE if
JOB ADDRESS BLDG. PERMIT #
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT
EX(`(dPTI`JNS --PER ORDINANCE 1/77-26
FEE RATES:
A. Single family dwelling unit under 560,000.------- :300. 00
B. Single family dwelling unit over 560, 0(30.-------- 100. 00
C. Mobilo Home Court Space (New Development)--------- 50. 00
D. Multi-Family Owel.lings--per unit------------------- .40.00
E. Commercial, , Indu3trial & In:ititution,al(Park. Spaee) 50. 00 each
F. Sinyle fand.ly unit under B40, 000. ------------------ ;250. 00
I
; I CITY TIS A1.RD DATE~�—�-- 19 N9
1
Jll._D NG F LRMIT APPLICATIONOF
,SAF UNDF RSiGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE _-_
LIR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN�WD SPFCIF ICATIONS. 01 SER PHONE
/ // LOT
JDB ADDRESS /V 70V/1Lt ____HOME ADDRESS
ARCHITECT
�` ENGINEER
-•:_R _ �1 ADDRESS_— — DESIGNER
EW _—OREMODEL _D AUDIT ION^ LTJ REPAIR _ _ OHENEWAL DIRE DAMAGE ODEMOLITION
tFNCE LCI7MM ❑EDUCATIONAL ❑GOV-T ORE LIGIOUSFJPATIO ❑CARPORT ❑GARAGE CSTORAGEOSLAS ❑FENCE
ISOND DMOV I_NG _ ❑CONOITIONAL USE T ❑DLSIGN REVIEW` ❑COUNCIL APPROVED ❑SIGNS
LCPANCY _ ,L AND USE ZONE—R!!:7-1—BLDG.TYPE —l/ ._FIRE ZONE.PL'A--N--CHECK BY— �_ HEAT_ool
_
F l9SZiJ.SA.D ~ A.LL.EU3 4 0
— _BUILDING DEPARTMENT SET BACKS FRONT RE AR LEFT SIDE 2 RIGHT SIDE
—t---- THIS PERMIT I5 ISSUED SUBJECT TO THE F)EGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
elan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE! AND IT IS HEREBY AGREED THAT THE
---=f— WORT(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total �� J ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RLSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEIS
'tate-'Tax L �1 LICENSE SEPARATE PERMITS REOUIRrD FOR SEWER, PLUMBING AND HEATING,
Total
by
APPLICANOP AGE T EN
HF)prOVCd RecelF•: �.�. ..
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166
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