15775 SW 88TH AVENUE 15775 SW 88TH AVENUE -
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Address
1��7� �C.(J �s'� permit No. j3�3�s
Permit charge 'jy
Owner Connection fee
D C!
L
17 Paid by
Type of building � e Date connect&/
Service rate; g �� _ Inspection Fee 5,—
Contractor _ Paid by
Data
Si=o or connection As essme it d ��
or IMF
BUILDING PERMIT APPLICATION oof: TIG ARD DATE
r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
L07 NO.
OWNER Je3C K CcansaWt }/ JOB ADDRESS �`rJ7 r 1 SW E s 't �'__ HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE )(,xDNrw El REMODEL [-]ADDITION ❑REPAIR ❑RENEWAL. ❑FIRE DAMA(;E ❑DEMOLITION
❑FWESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV•T ❑RELIGIOUS❑PATIO ❑CAR PORT`❑GARAGE ❑STORAGE❑SLAB []FENCE
OBOND ❑MOVING ❑CONDITIONAL USE^ ❑DESIGN REVIEW ❑COUNCIL APPROVED _❑SIGNS
OCCUPANCY--i—LAND USE ZONE .. 1 BLDG.TYPE _FIRE ZONE _PLAN CHECK BY_'_ 1" HEAT
t„in;t't. t3if):,;• L family dwil.14n ' U/Fa'tt v huci ;j&La,w
---------------
yelcay�l �CJt
v••:uur permit 1. 938 sewer conne t6001. sower inspe !;25.
QCQ- LQAD FLOOR LOAD 40 }�El HT 20 NO.STORIE6 1 AREA 1386 NO.BEDRoQMB VALUE fQ 1 '0— •
BUILDING DEPARTMENT nET BACKS FRONT jl) `
HEAR LEFT SIDE '„tS gIGHTSInc
Permit 160.0U — — __
FjD (JO '(}IIS PERMIT IS ISSUED SUBJECT TO IVE REGULAT!C!NS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check • REGULATIONS AND ALL APPLICABLF CODES e.,,d0 ORDINA,,f7FS, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WIT!-t THE PLANS AND SI•ECIFICATIO14S AND IN COMPLIANCE WITH
$Ub•tOtel ����'* �tf5 AI_L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS_ CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
slate
Tax • LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total ---- 14b.4U N.uoLe vT alUl: .
By _ _
-� APPt-C•ANT UR AGENT
Approved d Receipt No.
I
iOr 1w w OR
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ----�—f-- _
Permit No,
Rough-in
Fixture ---.
Final
HEATING
Contractor
Permit No.
Gas or Oil
— / Rough-in
Final
SEWER
- _ 7'y.7 , ✓_ ( i Final ��vti� _ y-2I'7F
/1
DRIVEWAY
Final
Storm Drainage
_ (Rain Drain) Final
Sidewalk
Curb&Street Final
_
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
landscaping
(Zoning Final
i
1
SEINER PERMIT N. 13938
Unified Sewerage Agency
of Washington County CITY OF_ T i rj a rd DATE. 3/1/79
OWNER , — Jack Cor wa; _ PHONE : 246-I
OWNER 'S ADDRESS,. 9908 SW 55th, Portland, Ores.cin 97219
TYPE OF INSTALLATION:
0 BUILDING SEWER ❑BUILDING SEWER AND SIDt SEWER
TYPE OF OCCUPANCY:
NEW SINGLE FAMILY ❑ COMMERCIAL_
❑EXIST . (PRIOR 70 7-1–;0 ) ❑ MULT . RES. ❑ INDUSTRI,AL
FIXTV9E UNITS DWELLING UNITS l
PERMIT CONDIT' :.rv3: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULA'TIONS 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 g 25. 00
CONNECTION CHARGE _ 600. 00
SIDE SEWER INSTALLATION
r ISSU-D BY
OTHER
TOTAL $ 625. 00
(D`'1� 414 ere-t� R 3-1-7R
APPLICANT DATE
EAir, SERVICE SEWER PERMIT <► 13 38
,r ,;,,;ul• WILL BEGIN FOR 14's
ADDRESS OF STRUCTURE _ 15775 SW 08th, Tirlard
TAX MAI' TAX LOT — SYSTEM Fenno Creek
LOT 67 BLOCK OF Stxxt Stratford Subd.
LTU 3/1[78 L. Uilson 3/1/78
APPRUVED BY _ ��DAI ISSUED HY DATE
i2LP]ARKS �,[�, _ !2 >
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
a
nATE : _� 1% ;'r ,Y ESTIMATED SALES PRICE
ARPLICANT NAME TELEPHONE #
JOB ADDRESS -%2 S" rYX BLDG. PERMIT # i' r�
AMOUNT OF FEC FOR P. D. C. Z/ =r
DESCRIPTION OF IMPROVEPENT
EXEMPTIONS - PER ORDINNNCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000.-------------' ?5.00
8. Single family dwelling unit over $40,000.------------x$100.
C. Mobile Home Court Space (New Development)--------------$ 50.00
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTP,UCTION IS LOCATED ON .E. N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District #I. S.E, is Park District #II.
ELM ixrliim�w
2 -nil
CITY OF TIGARD
ORDINANCE 777-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE: a V-/:7 ESTIMATED SALES PRICE $ -�Jy`�ou_
APPLICANT NAME L��l �i �� :���+�- TELEPHONE
_ ,lit
JOB ADDRESS �7 _ '7 L.y .X/f BLDG. PERMIT
AMOuNI OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT �✓'�.�
EX1__HPTI'.)NS -PER ORDINANCE
FETE RATES:
A. Single family dwelling unit under 5G0,GOO---------- 300.0
03 Single family dwelling unit over 560,000.--------- 5400.00
C. Mobile Home Court Space (Now Development)---------- $150. 00
D. Multi-Family DweIlings--per unit-------------------- $240.00
E. Commercial , Industrial & Institutional(Park. Space) $ 50. 00 each
F. Single family unit under 540,0011. ------------------ ,x,250. 00
�Ull_OING PERMIT APPLICATION COF
IT TIGARD DATE__ ___. ts: Np I( � "
•A= UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.—_-_---._-- _
AS SHO N AND APPROVED IN THE ACCOMPANYING PLANS AN�PFCIFICFTIONS. LOTNo6—
� LOT NO !faT
J06 ADDRESS —HOME AppRE55 �-
-" ARCHITECT
ENGINEER
R ADDRESS — DESIGNER
0REMODEL ❑ADDITION ❑REPAIR [:]RENEWAL ❑FIRE DAMAGE ODEMOLITION
—_...
� NCF ❑COMM OEDL':ATIONAL OGOV'T 0RFUGIOUSOPA110 OCARPORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
1 1 'ND O_M_OVING ❑RCONDITI_ONAL USE _❑p_DEFIGN REVIEW CJCO_UNCIL APPROVED []SIGNSCl c +NCY✓'^_ AND USE ZON ![_T BLOG jYPE—.M_JI_/.-FIRE ZONE—PLAN CHECK BY_-C_� HEAT—
1p1Ti.
NQ. RIES_ ��Afi —�y.S2.9EDr4QMs VALUE
—BUILCIING DEPARTMENT SE- BACKS FRONT REAR LEFT SIDE RIGHT SIDE
�—+�— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check v REGULATIONS 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 COMPLIANCE WITH
Sub total ALL APPLICABLE CODES ARID ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tP TexU LICENSE SEPARATE PE RMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
4
RV —__ ____. -- — — -- --- ---
AVPI ICAN-1 Op AGENT
Approved —_.�--- Receipt No
v
Cv v 7 2`
k1hp.4+.1►+�..0:,:d.'.,.:M.�kweu..��.:w�.v o.:,t.wa t.s•. ...._ .. ......... ,..•... ..,.....,..... ..,........, ., .., _. ,....
BUILDING DEPARTMENT, TIGARD _
PLUMBING PERMIT N°
.LSLC _Mb/�rLCtlJlt� holder of a valid plumbing contractors license is hereby
authorized to ..ause plum1fing 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 not less than four
�y'• (4) hours prior to the time the installations are ready for inspection. City of Tigard Rusiness License required
for all contractors and sub-contractors. /5775 5oi 6,qd,, 71-a44-d Du,
Owner i`')'Art c"d7lnoc4r,
U_-. Address 044___`_
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
_-E.S1DENTIAL
Single Family-1 bath-each w � 25.00 �.DU
Duplex. Each 1 bath unit 25.00
Additional bathrooms-each 1000
Mobile Home Space-each v 15.00
INDIVIDUAL FIXTURE FEES _
1 to 50 Fixture- in 1 building-each 3.00
51 to 100 Fixtures lit 1 building each - 2.50
k' L 101 to 200 Fixtures in 1 building-eech_V`_ '_ 2.0o
701 or more Fixtures in 1 buildia --each__ 1.50
M_I S C E L L A N E O U S
8ullding Sewer-lit 50 ft, _ 10.00
_Sewer-each additional 100 ft, 10.00
Water Sarvice to buildin - _ 5,00 -
Private Wirer Systems-each 100 ft. 10.00
Other (Sc .if )•
PERMIT �� ;_ _ For Plumbing Inspection Phone 6394171
6
State Plumbing Contractor By ��,y� � �1i - urr
TOTAL ,3,_ RECEIPT NO. Issued By
a+!!�'1��"n`ap�^T.n.+Y.,,.._+r..,..,,w,. w'.s -.w�ry�,.+s •......waarMF•a. .. ...,y,..,.,.. ..y .,. •.-..y,,,.. ,