15870 SW 88TH AVENUE-1 N w w ■
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15870 SW 88TH WENUE _
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ADDRESS__ l 6s7n�� PERMIT N0. /sell c- I
PERMIT CHARGE none �
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OUNER _S- �. 1�i.. ss CONNECTION FEE
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PAID BY
TYPE OF BUILDING, DATE CONNECTED
SERVICE RATE INSPECTION FEE 3 S.
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CONTRACTOR PAID BY DATE
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SIZE f ICONNE� TION _ ASSESSMENT PAID
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BUILDING PERMIT APPLICATION 11T TIGARD DATE___ 4-4-78___, 19OF
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THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON 224--565
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHt[NE_ „/-r—
LOT NO.
OWNEFi t. to JOB ADDRESS 1 S81U s4J �t}7 Aver HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADD17ESS DESIGNER
ST _11L
RE NEW _ ❑REMODEL ❑ADDITION _- ❑REPAIR_ ❑HENEWAL ❑FIRE DAMAGE ❑DEMOLITION
`Ci4ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAH [:]FENCE
_❑BOND ❑MOVING ❑CONDITIONAL-USE ❑DESIGN REVIEW ❑COU_NCIL APPROVED ❑SIGNS
M l;•• t t 3 e tw Jt
OCCUPANCY LAND USE ZONE BLDG.TYPE_ _FIRE ZONE— PLAN CHECK BY_ HLAT_
const. ane duplex w/ec tached garage 4 beeln om :? he— relaslac of porMit #1996
garage 792
beta'r r ps r'cai t tir 158xe 3
40 20 — 1 2069 4 569600.
9_U.1•93Q-..____FLQ28_LQA1)_ _____ HEIGHT _N1Q$TQRIES__ AREA _ NO.BED$QQMS VALUE
CUILDING DEPARTMENT S:•T BACKS FRONT 20 REAR 40 LEFT SIDE 5 RIGHT SIDE 7
Permit
201.00 ---__
-" 10.0n THIS PERMIT IS ISSUED SUBJECT TO THF. REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
2I l.i�(i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Slab-total ALL APPLICABLE CODES AND ORDINANCES THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
t�.04 RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE S�PARA.E PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 219.04 ��affiiUU
02
By
ACP )r ANI'OR AGE NI
Approved �--- Receipt No � L/�j../1/
ADDRESS t'�NE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. / 3-3 9' 36
Rou h-in — -
` / Fixture
Final _
HEATING
Contractor
/o ' Permit No. -~
Gas or Oil
Rough-in
Final
- SEWE —
Final------- -- --
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
w _
Approach
BLDG DEPT.FINAL^ TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
( Landscaping
` Q Zoning F anal C. '
SEWER PERMIT
N .�,
1584
Unified Sewerage Agency
of Warhington County CITY OF Tigard DATE --A--4-7§.--
OWNER :
-4-4-78—OWNER : T.V. Laxton Const. PHONE :
OWNER 'S ADDRESS: _
TYPE OF INSTALLATION:
xx&BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEI--.R
TYPE OF OCCUPANCY:
"" NEW Cl SINGLE FAMILY ❑ COMMERCIAL
L] EXIST. (PRIOR TO 7- 1--70 ) x❑cMULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 7
ADDRESS CF STRUCTURE :
PERMIT CONDIT!9NS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE RIFER TO 'THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( i. 'u ) DAYS. THS AMOUNT F'AID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEF $ 35.
CONNECTIaN CHARGE 1,200.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER _
TOTAL $, 1,x:15.
APPL CAN CATE
N" 15843
f SEINER PERMIT
AbDRESS OF STRUCTURE 15870 SW 88th Ave.
TAX MAP TAX LOT SYSTEM fanno creek
LOT 51 BLOCK OF
APPROVECI BY i DATE ISSUED DATE
D. U. ' S _ 2 REMARKS bldg. #1998
Iwl '# � � � � �' ►� elf It
CITY OF TIGARD
ORDINANCE "77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE
APPLICANT NAME _% F_ �:�(d "^ TELEPHONE
_ V �c
JOB ADDRESS /� ELDG. PERMIT # (>
AMOUNT OF FEE FOR S. D. C.
rt ■ r i
DESCRIPTION OF IMPROVEMENT
EXEMPTIgNS -PER ORDINANCE §77-26
FSE RATES:
A. Single family dwelling unit under 560,000.--------- 3300. 00
B. Single family dwelling unit over 560,000----------- 3400. 00
C. Mobile Home Court Space (New Development)----------- ;,.150. 00
D. Multi-Fancily Dwellings--per unit------------------- `v 40.00
E. Commercial , Industrial & Institutional(Park. Space) $ ST.-Ob each
F. Single family unit undsr B40, 000. ----------------- $250. 00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : � ESTIMATED SALES PRICE
APPLICANT NAME / 1,-17 TELEPHONE #
JOB ADDRESS BLDG. PERMIT #
AMOUNT OF FEE FOR P. D. L�.
DESCRiPTION OF IMPR`JUEMENT
EXEMPTIONS - PER ORDINANCE #77-71 _
FEE RATES:
A. Single family dwelling unit under $40,000.-------------$ 95.00
B. Single family dwelling unit over $40,000.---------------$100.00
C. mobile Home Court Space (New Development)--------------$ 50.00
D. Multi-Family dwellings--per unli.t•-______________________ 60.UQ
CONSTRUCTION IS LOCATED ONSS.E . _ _ N.W. SIDE OF S.W. P IC
HIGHWAY . N.W . is Park District #I . is Park District #II .
'IJILDING PERMIT APPLICATION Co' TIC,A,RD DATE N° 1q9 7 _
-''4c LINM RSI( NED HEREBY APPLIES FOR APERMIT FOR 'fHE WORK HEREIN INDICATED BUILDERPHONFZ�L, �
--F AS SHAWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE____
///"�"G�./{� LOT NO.
J00BDDRESS /� �((J S11_� v - ^dME ADDRESS
ARCHITECT
ENGINEER
ADDRESS-----_ _-, _-. DESIGNER_- _
,RE LV%EW - 0RFMODEL__. 0ADDITION - ❑RLPAIR ORENEWAL I..JFIRE DAMAGE ❑DEMOLITION
k 11 NCE ❑: 0-01V ❑EDUCATIONAL ❑GOV'T OAF LIGIOUSOPATIO ❑CAR PORT ❑GARAGE OSTORAGEOSLAB ❑FENCE
).. ND l.JMOVING ❑CONDITIONAL USE ❑DLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
14 I ANL'USE ZONE_ : -BLDG TYPE_si iL_ FIRE ZONE Z PLAN CHECK BY-, ��e HEAT-_
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t.. " AD_ .4@WP F1005.LQA.0.-��-- HtUQ)-T ---NQ-SL4flI�S��._ AHEA�p _N9 b�1)RQQMS q YBLUf-1 'v-,k—cq-T.-)
igllLDING DEPARTMENT SET BACKS FRONT 'Q, REAR _O IF.FT SIDE S 2 RIGHT SIDE �w
- - - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 2ONING
"Iran Check - �ej CAW REGULATIONS AND ALI. 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
f ub lolal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!,tate Tax - QQ04,t LICENSE SEPARATF PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
T C.1 a I
BY — - --- --------- -
.._ ADPL(CANT OP AGENT
!a(1Ivnved 406ipi No,
ADDRESS -
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