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9770 SW PEMBROOK STREET 9770 SW PEMBRCOK STREET rn v O O (4 E Ql O. 3 N C) I- E'- Cl) - Nrn I Address _ Permit No. Permit charged 7 Owner annec ci on fee Paid by / Type of building LF.�� Date connected '-� 3rvice rate Inspection free Contractor Paid by date Size of connection Assessment Paid .J W U C, n L' t I C I o _1_L" ul O LL H _7 U- \ V c.:l " :a - U q O Q No r U of W j C L i .� I O n 0 o '.. Q C t 4 _C - } N O r i, Q - c u _ Y LD w �c,, c, a v. E as N ul C3 < ui » -i- n U 0 :] Uh J n_ .� 4 I 0000000c. aor r E t3 �; a wC! C) c; ac10 -, ac; cL f— z wriv �nv � tJvar: r �. 4r U. r i. to W C r" 3: v (k", o iu L-1 CL In a CC, vi ® L l7 U I � n I io J a v_ c I Ej o Ll 0 nc, x F A' L odc W c O I �` C". LL L i > �� tJ � > r- ¢ zcc ` !� _ n V w 0 U Z OI I � ° [. ci O I O C3 CO 1 LL U I Q n. Z L ILL_ 3 _. � U ¢ Q U LL LL 0 Mill BI-111. nING DEPARTMENT, T'IGAFiU �T a PLI IMBING PERMIT A IM, 1 , N ( g ` _.l. (.�_r�a HC�e �_ n1.1R�bolder of a valid plumbin contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified rot less than four 4 prior to the time the installations are ready for inspection. City of Tigard Business License required 1I hours i i for all contractors and sub-contractors. t-o r 1'3 Owner__. __--- _ -17 Address Date�.0`_ Z '. .. _ _ _ --- ��-i___ - _ NUWIER OF ___._.- TOTAL PERMIT NO.'S TYPE OF PERMIT - ITEMS FEE ON EACH AMOUNT (office Use Only) ESI-P E�L 9-L------- --- ---- — — — ------- --- — — 5injle Family--1 beth--each -- ----.- - 25.00_ __ 7✓ 5' _.--- ----- —___ OLipIex.-Each 1-bath unit _..__ _ _- _ _ 25.00 - Addirional bathrooms •aach 1000 _ _ - s j Mobile Home Syice-each -`----_.�_- �` -_- 1500 -- + INDIVIDUAL FIXTURE FEES ---- 1 to 50 Fixtures in 1 building_each- _- ._ _3.00-- 51 _00 __51 to 100 Fixturr s .n 1 building,_eacli -_ _-_2 50 li)1 to 200 Fixtu, o1 huildinc ,eech _ -- --------- -._ 1.50 ------ - ------ i 201 gar more - ----------- MISCELLANEnUS 1 Buildinr�oewer_1st bt1 .r 10.00 � ' j Sewer-each additional 100 ft. __ _ _10.00______ - Waren Service to buildi�-___ 5.00 -- -_. _ - - Private Water Svstemsy each 100 ft, 1000 -----_y_--.--- _ _-- - ,_A.. -.- -------- Other (Specifv): -- n PERMIT For Plumbing lnsf'ecticn Phor'i:63447;1 3%state ) Plumbing Contractor By I TOTAL `` - RECEIPT NO. Issued By E 1� BUILDING PERMIT APPLICATION CIT TIGARD DATE 9-7-77 1 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHON4 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONL -- LOT NO.- NER OWVOr�_ 1'-�-•, EJB ADURESS77�� J41 1►�xUUM: HOME ADDRESS _ ARCHITECT ENGINEER DESIGNER BUILDER 81%� ADDRESS r� STRUCTURE ' �INEW []REMODEL ❑ADDITION OREPAIR ORENEWAL _r_FIR-E DAMAGE �-1 uDEMO-1L1fION D bESi1ENCE [)COMM []EDUCATIONAL OGOV'T ORELIGIOUS[]PATIO ❑CAR PORT OC AROAGE STORAGE[]SLAB OFENCE QBOND ClMOVING ❑CONDITIONAL USE []DESIGN REVIEW []COUNCIL APPROVED OSIGNS QC�CUPANCY LAND USE ZONE BLDG.TYPE_ =FIRE ZONE_'. PLAN CHECK BY__ HEAT 1 , single family dWelling a/,jttac;ht�d ymretjo 3 bedrounl permi 1. }�'1b60 1 124!.; :'� vALUE4�3 0001 23 NQ,.�I_QH��__.__�t��.__- .�p3Q91�$ - BUILDING DEPARTMENT SET BACKS FRONT �` _ REAR � LEFTSIDE ji'}r t I RIGHTSID Permit 172.01.1 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check lr•00 AEGU1_ATVONS AND 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 rr7MPL1ANCF WITH Subtotal lA�Z. _ ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOEy NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax r. �8 LIC E. SEPARATE PERMITS PEnUIREF FOR SEINER, PLUMBING AND HEAT!";G. Total 109.20 Irk DeVelopmNrtt, rChRr9c $100- BY AP"ANT OR AOE Approved Receipt No. j �'`_ Aon ss DATE INSP. TY7 INSPECTION REMARY.S i PLUMBING DATE Permit No.��S -- llFixture --- /�- � Final T © _' - �1 + - HEATING - _ _ _ _a, Ql �-r, •t,c„ � `j'� sL�o�� / Contracto: Permit No. 96 Gas or Oil �j? -�� 1 spPl20✓c� Rough-in Final rj p �l SEWER _ Final _ el G��ck DRIVEWAY --- — ------- — - _ �7r � — 1 Final Storm Drainage (Rain Drain) Final — Sidewalk Curb&Strect Final Approach BLDG DEPT FINAL TEMPORARY CERTIFICAT EOCCUPANCY Final CERTIFICATE OCCUPANCY --- -- rLanascaping r (Zoning Final ` 1 S t 4SEWER PERMIT Nt) 13 7165 UnUified Sewerage Agency 9--7-77 o1 Washington County C I TY OF T; ga rri` DA f F OWNER , Wave.rl� Const. Co. PHONE — OWNER 'S ADDRESS: TYPE OF INSTALLATION: XX❑ffUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUf ANCY: XQNEW X0XSINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RLS. ❑ 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 EXo' IRATION OCCUR . FEES: PERMIT FEE $ 25. CONNECTION CHARGE — 600. — SIDE SEWER INSTALLATION _ — ISSUED BY OTHER TOTAL APPLICANT DATE NOTICE : l C days of the bove date, sewer service charges will begin. `p ll4r'O 137 3 ( 65 ,:PIPER PERMIT ADDRESS OF STRUCTURE 900 SW Pembrook _ TAX MAP TAX LOT SYSTEM fanno creek _ LOT 13 BLOCK OF � 27_ AF'PRCVED BY DATE ISS ED BY DATE REMARKS bldg. _#1681 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : /Z/2'7 ESTIMATED SALES PRICE APPLICANT NAME 4Q TELEPHONE # _ JOB ADDRESS ?YJ d BLDG. PERMIT # /G O U AMOUNT OF FEE FOR P. D. C . _ Z41 O DESCRIPTION OF IMPROVEMENT _ EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES: A. Single family dwelling unit under $40, 000.-------------4750JOR. Single family dwelling unit over $40,000. --------- -----�r . Mobile Home Court S ace NE,w Develo ment ---- DO Pp --------- -- D. Multi-Family dwellings--per unit-----------------------$ 50. 00 CONSTRUCTION IS LOCATED ON ✓'F.IJ. N. E . SIDE OF SW.-_- PACIFIC HIGHWAY. N.E . is Park District #I . s r is ri��t iT�> CITI' Ti hC? ORDINANCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE 4 DATE : �f % /7-7 ESTIMATED SALES PRICE APPLICANT NAME /Y TELEPHONE JOB ADDRESS � , � BLDG. PERMIT G MOUNT OF FELE FOR S. D. C. QCT DESCRIPTION OF IMPROJEMENT EXEMPTIDNS -PER ORDINANCE -177-26 FEE RATE! A. Single family dwelling unit under $60, 0100. --------- i3.00 0 B. Single family dwelling unit over $60, 000. --------- $4DO. 00 C. Mobila Home Court Space (New Development)---------- $150. 00 D. Multi-family Deijllings -per unit-------------------- $240.00 E. Commer :ial , Industrial & Institutional ( Park. Space) $ 50. 00 each F. Single family unit under $40, 000. ------------•----- $250. 00 )IJILDING PERMIT APPLICATION 1IT' TlGjkRD DATE —�. __._. t9-zZ_ NA A0 OF .,i LINM H�:IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONFO8I_6,7_U-____ k,,R AS SHOWN AND APPI'i(1.'ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE �y LOT NO. 13. Cloud ..C�__` .k Waverly_ Const. Co. JoAADDRESS, 77V S. W• ]?�,]aLj>�(�g(� HOMEAUORF_SS _ ARCHITECT ENGINEER 88111@ _ ADDRES5_Rt 1 $0X_412 C�HubberdA7Q32 DESIGNER ,'RE 13NFW ORFMODEL OADDOION ❑REPAIR ORENEWAL AFIRE DAMAGE []DEMOLITION -'I Nr.F ❑r-r MM ❑EDUCATIONAL OGOV'T FJRELJI;IOLIS IJPATIO OCAR PORT OGARAGE O STORAGE OSLAB ❑FENCE FOND 0MOVING OCONDITIONAL USE ❑DLSIGNREVIEW OCOUNCIL APPROVED OSIGNS ' +NCY �J✓- LAND USE ZONE--8!t7 .._-BLDG TYPE... .—FIRE ZONE-t!�— PLAN CHECK BYko _ HEAT 1 4 � ----..� E L __ _ c.. : oAD _ F t Q-0 LVAD__ HUILDING DEPARTMENT -7fSET BACKS FRONT 1 REAR 1 T S LffIDE RIGHT SIDE rrm11 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODF5 AND ORDINANCES, AND Il' IS HEREBY AGREED THAT -HE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH kit)total ALL APPLICABI E CODES AND ORDINANCF,S. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE _�'—" — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ' Tax LICENSE. SEPARATE PF RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. y Waverly Const. Com --- -- - - . -ii PP1.7.AN1 O-4 AGE NT 1,puved T Recelpt No, Rt. 1 Bax 412 C Hubbard, Ore. 97032 991-•6770 ADC>pE SS -�HONE --�--'—�`-- v �'