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10800 SW 115TH AVENUE 10800 SW 115TH AVENUE a� 7 L J1 14 3 ul 0 0 a3 0 r/ r I t OF' �. OIC I G •N Trademark Humes , , . *T 1.424 Owner:... I 11 Tlllt 1VO,., .. 3-l.lilding Address................. .. .10000 SW 1115th Certificate is hereby glyon this........17...day of... ... .'March............... that said building may he occupied and 1 that it complies with all requirements of + ' the Building Code °or the City of 'i aarcl, as approved by the "igarcl City Co'.lticil. hl 1 I I i -. 7M1M �. t aI.... �I �Y+� � 'M"`�`i(�1it��✓ Y•Y' ar'�I `Y�� Y^i/ -a Y;+P Y� SII ��. OF 0 CITY OF TIGARD 4 OREGON " Owner.....eob Srnitf►............................................... Pol-mit No . Building lding Address..... Q .. _ . ... e.� Certificate is hereby given this...1.4th....day of....N-We.mb.er,.......... 19...7.7.... is�'r► y` * that said building may be occupied and that it complies with all requirements of the Building Code for the City of Tigard, s approved by the Tigard City Council ` .......................... �) Building inspector 1 1. N � t '.�:�' - '�IM' �!M �4' .r � "`'SIM '�91�'r �Fq. •fali�;r �i'.. �VR'! �1b'�' �' .� 1 �+ .r.y.s�.�w+�+..�•.r�...�-mow+.+-w�..��-_...._.......__ _ .-. r R I I I I Mai i 517� dnr ` ° r? rti , Address Permit No. Permit charge 22 0 "2 tf- 00 0wnaT Connection fee Paid jy � ,3,a-p Type of building /x,:5, - Date connected Service rate / Inspection fee ' Contractor Paid by Date maize of connection Assessment _ paid t City of Tigard' (INSPECTION REQUEST for INSPECTION TINE : PERMIT N0 : _.�__, DAT E: ��— DATE ISSUED:_ _1--- OWNERS NAME : _ ADDRESS : —G,2 ONTRACT0R :___--_. .. TE,51" Air 0 , Water L] , Visual ❑ , Laboratory ] RE:5ULTApprove Disapproved D P9nd,nq SKETCH: , Ll IN.SfOTOR DATE [NOTE . Attach lupplemenial test data hereto1 r �' Of- 57 1 l J II I' .1 I �I I CITY OF TIGARD ORDINANCE #77-26 STREET SYSTEM DEVELOPMENT CHARGE k 1 DATE : 4-26-77 ESTIMATED SALES PRICE APPLICANT NAME Trademark Homes TELEPHONE '- JOB ADDRESS 10800 SW 115th —BLDG. PERMIT m AMOUNT OF FEE FOR S. D. C._A300.00 DESCRIPTION OF IIIPROVEMENT ____._`single family dwelling EXE111PTI'jNS -PER ORDINANCE X77-26 FEE RATES: A. Single family dwr�l.ling unit under $60, 000. --------- $300. 00 B. Single family dw?Hing unit over 560, 000. --------- $40n C10 C. Mobile Home Court Space (New Development)---------- $150. 00 D. Multi-Family DPwllings--per Unit-------------------- $240. 00 E. Commercial , Industrial & Institutional (Park. Space) $ 50. 00 Each F. Single family unit und:ir $40, 000- ----------------- $250. 00 Will .�. Ilia N.U.ii ut 2339-/ CITY OF TIGARD PLUMBING 13125 cW Will 111W. 1lig3rd CR 97223 Applicants must hold Oregon Registration to conduct a plumbing PER M IT 639-4175 business rx must Ir property owner/operator not hiring outside hell). Name of Development -z Plumbing Permit No, �._— Addretu Description �( , �'t)'l •`) 1) J A«�@._ ORS 614-21-610 _OUAN. PRICE AMI. Job Tax t.ot Map.No —�� Address FDCTUP,ES Lot ©lock Subdivision — S,nk anaptor nanw sirs Levator/-- - _ � s v 7,60 • �N1 _IlC'! G I Cr1 'S�TOY�Q Tub orTub/ShowerComb. 7•� Ta31Address- Cj Shower Only — 7.50 - I079 7 s� v — ---- -- ---- ---- -7.50 Owner / b Water Closet _ Y-4 0 -7223 Dishwasher _ _ _ _ 7.50 f_ Phone Garbage Disposal � --• -•- - 7-50 -• -- _ Washing Machine 7.5 0 _ - Name Floor Drain 7 1 aa, ng Address Phone Water Heater J _ uaundry Room Tray 7'50 O(.cupant City/State Zip �— 7.50 Urinal _ -__ - T xmF e- tither Fi>hures(Specify) 7.90 ame . �)Cil t C_ 7.60 ress Phone 710 7 5o Corttrador Gltyr.itate ZIP MISCELLANEOUS No Sewsr t at 100' _ _ 30 00 so 1 Sewet-ea.Atddit.100' ,Soo teteF�i-FIo�3�lo tale"�rt�ersgi+ -- (Resdenual) Water Service tat 100' -_ — 2000. i her"acknowledge at I have rea ap-A-stfin,Cul;he Information Water Service ea.Addit.2�r 1600 Mad Cd given is corned,Cut 1 am registered with the Stele Builder's Bo.-rd,and also Storm 8 Rain Drain 1 M.100' 30.00 he"a State PkmA*Q kwse Mai die numbers glum are oxxre.•L that allSloan PynDrainAddl1.100' 1600 plumbk�p wcxk wW be done in emxdance with applicable previa" A Ore- _ — Won Revived StatrAes Chapters 417 and 693 and appNrub`1100609 ani that MoAb Home Space - 25 00 no Mk)will be ernployed un>Mas Ikosnsed under ORS 683 (N exempl Ircxn State reglairetlrwo,phase give reason below) Back eoFloPrevention HOMEOWNERS--I hereby ow*Met 1 am tit owner of the property de- Oevioeot HArMf f'dlul'on UevIW 7 a� eutvd above.se which location I propose to make a pkn bine inats"don for Any Trp or Waite Hol my own ues drxf this pr(x+wrt;is not being 0oneoucle6 for sele,lease or rent Connecud b•FiRhrre Catch Basin ---- y __.__-----_-- Inep.of Exist Phr"bktg -— 4o,00 Per Ht _ Speda d In4Peotloru `G-00 Per Hr Abr.of Pkrnttrrtg witl* i►U tZEO BI(3NATURE 0�1� New Bldg-or&ft.AddMon 16.00 min _ f3mil IJeeaibe wort( new( addition Q ShemWirl❑ f"Wr CJI d Item 15.00 �Q be doMr rselderltiel sleet-rotildtMltlai Cl r i t:I �'�C rr� f 1 - l�(" "7.(Y) Exh"the of bWdkV rx pro"ny tate of aptaperty. TOTAL rills parmN Woomea null arw roll N work or oon*UaWtn atltwUsid is rat cam n�srtoed tNM1Yt 160 dlaysre►k oentrruoMan or warts M MfsPetded ox ebendoned fd a Pei d 160 day*sl erw ams @Iles won«b oo wrAnned by ow" laskad .r u .eu n„a•• •. .-� v �'✓ rte,—� + �-�- = �� �,�•, (R'r 1 ,c �. ,�tib` ► aye` 4 lj d � , 4.;+=�t�d±N'' n� _ �--` !tel ,� a * e M ,�1 _. _..._. __ __QfiCiP.. �_._. :,v}:_. _.. _'^•c'•�`c^.'7` ^1^.T:,Jt'7TC �r. . 00 a Ln 1 a � ve �t •�', I tall � Q t]Q � r: N � e ASA '� t U N t7 RT! y ''( Q Ln J v E q p ■ � G y 4C G C'7 0 Ln N 'C ri Q toto �-] 3 FJ �.y as � � b � .0 b L-. `��• � ' U O r q ��! �4 >, ' N x O bq 4w O Ol Q 44 u m .a' ar W LLr V1 U p cid to 4jOV VA , .4r y. �•a11S11CYU01C',Nyy,�'SSacs,�d�"&F.-..1= u,;,� ,,,� _ � �F��Jfh , -'e��� `t. NU �r^ �T�� ���'N ��nM ., ^� .1,rr �, �'�•� �q�oM' AY t r r� "•, '�R�+� '�'' �, ,,t ; r� '�" y •N.�' taMINIMA ff'��I r W 'I W I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 i ype of Inspection L'L !nd .�e Date Requested y�f`s `� -7 ✓ Time_ A.M. P.M. Address --Z0 7 9 /^-r X42 /�� _ Permit # Owner, _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to L_J E'►pproved Inspector [I Disapproved Date CALL FOR REINSPECTION ❑ YEA ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 6339-4175 Type of Inspection Date Requested l Time A.M. P.M. Address�� �J / �3~ Z� Permit # _ Owner�_ '--� i�yt�vc-��` �, Lot # Builder_ The following Building Code deficiencies are required to be corrected: Presented to _ F Approv W Inspector J i ❑ Diaph oved Date "" CALL FOR REINSPECTION ❑ YES [_] NO I i i 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspectii i Date Requested?~ Z Time A.M. P.M. Address _ - /C7 ,G y `) Permit __— Owner _ _ Lot #i 0 Builder 4 The following " 'ilding Code deficiencies are equired to he corrected: Presented to `_�__-_ �,.._ _ _ _ �_� ApprovvJ t Inspector �{'�� —_ �J Disapproved Date CALL FOR REINSPECTION ,-T VES I--] NO >tJIM INSPECTION NOTICE: City of Tigard Buildinq Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 i Type of Inspection Date Requested__ Time A.M._.._—_P.M. Address t' 427.9 7 J el Permit Owner _ __ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _�_� --- ❑� Approved . � Inspector _ — FJ Dinppfowd Date CALL FOR REINSPECTION 2' E8 C7 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested _ Time A.M.z'""_.. P.M. Address _z r S Permit - Owner _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ❑ Approved Inspector _✓�'j oved Date CALL FOR-REINSPECTION P/J YES ❑ 140 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -/,- Dote Requested Time A.M.---P.M. Address 7 Permit Owner Lot Bijilaer The following Building Code deficiencies are required to be corrected: .1-) J A A/ presented to Ll Approved Inspector H 1311upproved Dote CALL FOR REINSPECTION F-1 YES D NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_ ___.�_ �_ Time A.M. P.M. Address 'U i 19 ' .S LcJ �� __ Permit OwnerLot #---- _ Builder The following Building Code deficiencies are required to be corrected: Presented to Aporoved Intpeotor =� `� _- - -- [� Disapproved Date / - `� �9 CALL FOR REINSPECTION L_1 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 r� r Type of Inspection J v Date Requested Time A.M. P.M. Address�f_ /� �----- Permit Owner /�J -__ Lot # Builder The following Building Code deficiencies are required to be corrected: r Presented to L:1 Approved Inspector — U Disapproved Date - CALL FOR REINSPECTION D YE6 ❑ NO S !� CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit Description Table 3A Mechanical Code CITY PRICE AMT City of Tigard — 13125 S.W- Hall Bt%t(.'. 1) Permit Fee 0 -0 10.00 P.O. Box 23397 – - - Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 L� 1 t Furnace to 100,000 BTU 6.00 incl.ducts&vents_ 7 Furnace 100.000 BTU + t 2) incl.ducts&vents 7.50 Name of Development Floor Furnace 3) incl.vent 6.00 Jot, Address ---- Suspended heater,wall heater — Address 4) or floor mounted heater 6.00 Tax Lot Map No Vent not incl.in Lot Block Subdivision 5) appliance permit—_ _ 3.00 Name(or name of business) Repair of heating,refs ig., 6) cooling,absorption unit 6'00 Mailing Address Phone Boiler or comp to 3 HP Owner 71 absorp.unit to 100,000 BTU 6.00 City state Zip - Boiler or comp to 3 HP- 15 HP 8) absorp.unit to 500,000 BTU 11.00 Name Boiler or comp 15-30 HP -- 9) absorp,unit 112-1 million 5.00 „?ilinq Adr4,ese — PhoneBoiler or comp to 30-50 HP 60 10) absorp.unit 1 -1.75 million 2.,..50 Contractor sty state zif, - Boiler orcompto 50 HP t i) absorp,unit 1,750,000 BTU 31.50 State Registration No city Bus.Tax No. 12) Air handling unit to 10,000 CFM 4.50 I hereby acknowledge that I have read this application that the Information given Is 13) Air handling unit 7.50 correct,that I am the owner or authorized agent of the owner,that plans submitted are In 10,000 CFM + - compliance with State laws,that I am registered with the State Bulldere'Board,that the Non portable number given Is correct.(It exempt from State registration please give reason below) 14) evaporate cooler 4.50 Vent fan connected 15 to a single duct 3.00 — -- - - — - --- Ventilation system not 16) included in appliance permit 4.50 I 17) Hood served by 4.50 _ _mechanical exhaust _ signature(owner or agent) Date Domestic type —� Describe work ❑ addition Ll alteration f.1 repair r- 18) Incinerator 7.50 - — - -- to be done residential f_) non-residential r7 19) Commercial or Industrial 30.00 Existing use of type incinerator building or properly �_ , Other i.e.,woodstove,water Proposed use of 20' heater,solar,clothes dryers,etc. 4,50 building or property- 21) Gas piping one to four outlets 2.00 Type of fuel- oil I i natural ryas i I LPG I I electric I I 22) More than 4-per outlet NOTICE - - -- - - ---- . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- - ---- SUB-TOTAL- - - - STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ----- - - — WORK IS COMMENCED TOTAL Special Conditions` — ------------__---__.._._ Date issued -- . . . _ CITY OF TIGARD 639.4171 DATE 6142 Jiusi� / �.. BUILDING PERMIT __ _�9 � TAX MAP/ ::'L� O T N0, '4 SUBDIVISI FnJ n "Wn Z OWNER Piun LCle "oasiia, Inc. JOB ADDRESS $W 11ti, Ave. _- BUILDER o"er, N.U. Box 103 Lake Utllwe,,t< 16171 7-24-86 STATE REG.NO. __ __ ___- EXP.DATE BUILDER'S PHONE ARCHITECT -__ _�._ __.__ PHONE - -__- _ OTHER c STRUCTURE : DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE--- Conlractor ZG7 .ILYJ t�C� riiY+.i, q i2.t u.-�. c�1-Ay--._ .� Permit / L7- 7 �T 7 _ Rough-in 3, L t� Fixture Final — HEATING Contractor ct,a_% Permit No. Gat orOil Final - �_ _SEWER Final — _ _ _ _ DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb R Street Final ------ ------------___------ - - Approach -- BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY ^ Landscaping ----- ------ -- ---- - --- -- - 1— —//- ---- Zoning Final e.—�----.__- -- i 1 6 idi -- a -- -- r -mr1-- 1 CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : C - 3 PLAN CHECK APPLICATION DATE RECEIVED: 9 • � �. P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: This is to certify that the attached sets of plans have been suUmitted for plat, check pursuant to the Oregon Structural Code and Fire b Life Safety Code, edition. PROPERTY OWNER:.( /��. OWNER'S ADDRESS: CONTRACTOR: TELEPHONE: JOB ADDRESS: �6 /9 � - //� LOT N0. b MAP: DESCRIPTION OF WORK: `-'7�c ✓ �/-) Approvals Required SPECIAL NOTES OPlanning Dept. Q Reissue i71() 0 Engineering Dept. O Flood Plain/Sensitive Lands O Fire District O Sewer Availability OOther 0 Other Items Required i V 0 List o subcontractors 0 � !r � Business Tax � 0 Calculations 0 Truss Details Parking Plan 0 Landscape Plan OOther COMMENTS: City of Tigard Building Department B Y: �.�, FLAN L H L L K NU. fZ• 3 .3 R_ for inspect ion< call 639•-4175 PERMIT N0. CITY OFTIGARD 639.4171 DATE BUILDING PERMIT Ial n P.O. Box 23397, Tigard OR 97223 TAXMAP ISI 5400 -LOTHO. _ SUBDIVISION LM i� �_ JOB ADDRESS 22 ' OWNER L 1"/ 7 i )'7c�� BUILDER STATE REG.NO. EXI'.DATE BUILDER'S PHONE :Y7,`' ANCHITECT - PHONE. OTHER_ STRUCTURE NEW ❑ REMOOEL_ O ADDITION O REPAIR O MOVE O OTHER 0 DEMOLITION RESIDENCE O COMM ❑ EDUCATION O INri O RELIGIOUS. GACCESSORY Q GARAGE O OTHER O FENCE OCCUPANCY -`_LAND USE ZONE�� -BLDG.TYPE AFIRE ZANF PLAN CHECK BY L-�1,*AT Canstruct single family dwellin _. " r t t o 8 S code,,— /t1P i'ir„ :___ 19,� _ � ->i� rcLL C ✓�a=�-� 0"` �t c9 a - -�k�-� 3; SEWERPERWT#, t,:'CS-3_ '('Ju) , baths, 19 traps Dara a arm + '? ------ vAwE OCC.LOAD FLOOR LOAD • ' HEIGHT - r- NO.STORIE i AREA NO.BEDROOMS - 6 s_ _ BUiLD(NG DEPARTMENTSET BACKS FRONT L REAR 71/ LEFT SIDE RIGHT SIOE _ P*m+I1 _ •J THIS PERMIT IS 14SUFD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL, APPLICABLE CODES AND ORDINANCES%AND IT IS HEREBY AGREED THAT THE Plan Check �/ , WONK WILL BE DOME IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE. WTTN ALL APPLIC-ABI E CODES AND ORDINANCES. THE ISSUANCE Of THIS PERMIT DOES NOT WAIVE I Cat.F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CC)NTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PC-AlUfTS.SEPARATE PERMITIR I!EGUIRED FOR£EWER.PLUM 01N0 AND HEATING. Slats Tax / ssoc SIX:- - ----- ---- TOIaI3 APPLICANT OR AGEKT P`DC* Prapd. L' u ADDRESS P++C+Nf Recalpt No Bal.Oua Issued BY ----- ---Apprcvod By----- _-- SSDC --- 5 1' SOC - � -- RECEIPT a _ POC —� � � / � Q _ DATE PD. SCUER CONNECTION S %' - � AMOUNT PD. - SEWER INSPECTION SEWER SURCHARGE S :ammente: —_- WWI WIN ` --- --' - ��� cif✓" for inspections call 639-41.75 / CITY OF TIGARD 639.4171 DATE 19 BUILDING PERMIT -y 3r��J/N"����pp �•t� tS� 7 C5 P.U. Box 23397, Tigard O/RJ 972223 p TAXMAP _ LOTNO. $UBDIrV/ISIOy� OWNER l 11 i.-� c, CSC Q_ -, rj _7`'t.�`'t L JOB ADDRESS BUILDER � STATE REG.NO. EXP.DATE BUILDER'S PHONE ( `' z 6 ARCHITECT 1// 1� -2-A PHONE OTHER STRUCTURE W EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER ❑ DEMOLITIC'1 ❑ RESIDENCE ❑ COMM ❑ EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER ❑ FENCE OCCUPANCY 'ft LANG USE ZON _TYPE FIRE ZONE-=-PLAN CHECK BY HEAT n C�-' SEWERPERMIT, ! &_S J f v OCC.LOAD _ FLOOR LOAD U HEIGHT - NO.STORIES ARE, NO.BEDROOMS VALU 4 Bt1LCWg5 DEPARTMENT $ET BACKS FRONT 2 ,o HEAR RIGHT SIDE Permit —_, TWS PER."IIT IS ISSUED SUBJECT TO THE P,SGULATIONS CONTAINED IN THE BUILDING CODE,ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT I HE Plan Check WORT(WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pl.CIL F" RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS — TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax SDC- �_ z : Total APPLICW R A _ PDC/ Prepd. �1l�. Receipt No. ADDRESS PHONE Baf.Due Issued B BTf _-Approved By-- L== p PUC — j--.L SEWER CONNECTION 5 SEWER INSPECTION S SEWER SURCHARGE_ S f, 10800 SW 115TH AVENUE cu 1� If) .-1 Ifl C_1 �D C7 1 N CITY OF TIGARD l OREGON 4 Crademark Homes , . ........ ...... ........ .... . ... . ... ..... . ..... }. alt mit No. 1-04 { Building Address........................ 10000 SW 110th . Y. ................ y givo 17... March Certificate is hereby E 1t rn this............. day of................ ..............., lJ . h 1 that said building niay he occupied and ( t that it complies with all requirements of rr f+ I r the Building Code for the City of Tfuard, as approved by the Tigard City CIl'jneil, P � .,yyJ�✓ E:u1Ill ill L; lni?)er.htr I per" i l•':�. w *pit,.. tip.'! �.�/ ,.• ��,.:r me3 OF 0(,n �. 1c'P' l c� �R CITY OF TIGARD OREGON o O«mer:... Bob.................... .. ..... ...............Permit No....... . ; J�• BuildingAddress.-..th .lO.800 ............5W......1...15th....... ...................... ................... ................ ► Certificate is hereby given this....!.4th_. -clay of.. .Nqu.e.mb.0r.......... 19..7.7... that said building may be occupied and i �y { � that it complies kith all requirements of i the Building Code for the City of Tigard, as approvecl 'y the Tigard City Council. P Building Inspector y�d" y I� �,y^ ,'^ ,�, s ,, 'a�� ��W�sr►�1����s�Y..a�t"';�� ��. r Address � Db //�� U-c-' Permit No. �-WSJ Permit charge ;; �') `2 t_ /' O G Owner az?l ,��,zcoJ Connection fee Paid by Z ti. y.,L-P - =J Type of building /-" -) , Date connected Service rate _ Inspection fee $– Contractor — _ Paid by Date Size of connection Assessment Paid r 6 3>S s �I City of Tigard INSPECTION REQUEST for 1� 4 , �z INSPECTION TIME . — PERMIT NO.. DATE: -�- DATE ISSUED:_..L_L OWNERS NAME ' ADDRESS : 410S01) CONTRACTO R : TEST' Air O, water ❑ , Visual 0 , Laboratory p _RESULT: Ap-)rove , Disapproved O , Pending 1- SKETCH: I IN3 TOR DATE [NOTE A a c h supplemental toot data hest] 4 i /L 3 I� f � I � I _ i CITY OF TIGARD ORDIr�Ar4CE STREET SYSTEM DEVELOPMENT CHARGE DATE : 4-26-77 ESTIMATED SALES PRICE S .,_.gB.*_QQD...... _ APPLICANT NAME_ Trademark Homes TELEPHONE ;4 64�_8Q9L..__ . 308 ADDRESS_ 10900 SW 115t.h BLDG. WERMI7 r__14 _4____.__ A1'10UNT OF FEE FOR S . D. C._.„J-300.00__.___.-.__ DESCRIPTION OF IMPROVEMENT _single family dwelling EXEMPTIONS -PER ORDINANCE "77-26 FEE RATES: A. Single family dwelling unit under $60,000. --------- $;,00. 00 S. Sir,ale family dwelling unit over $60, 000. -- -- - --- rj00. (10 C. Mobile Home Court Space (New Development)---------- $1 ',0. 00 D. Multi-Family Dewllings--per unit-------------------- $240.00 E. Commercial , Industrial & Institutional(Park. Space) S 50. 00 each F. Single family unit under $40, 000. ----------------- $250. 00 SEWER PERMIT y 2 � Uf4 1'+I" 1214 5 Unfied Sewerage Agency of Washington Counly CITY OF ---Tigard DATE 4-26-77 CWNER : _ Trademark Homes _ PHONE : 643-84y1 OWNER ' S ADDRESS: -, YPE OF INSTALLATION : BUILDING SEWER [-]BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: )ENEW CX SINGLE 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 1N ONE--HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILT_ BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 25• CONNECTION CHARGE 675• SIDE SEWER INSTALLATION ISSUED BY OTHER TOT L s 600. Av APPLICANT DATE SEWER PERMIT N V 12145 ADDRESS OF STRUCTURE— 10800 SW 115th TAX MAP __ TAX LOT ^ SYSTEM Fanno Creek LOT 203 BLOCK OF_ APPROVED BY DATE ISSUED BY DATE REMARKSB1doo. 4 424 ---- 0 BUILDING PERMIT APPLICATION 1oF TIGARD DATE19 THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PI-10443-84.)l _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF LOTNO. OWNER f radT'+ttla k lior•,'Ieu JOB ADDRESS lubloU sw 11bth HOME ADDRESS ARCHITECT :�FtR1€i ENGINEER BUILDER ��II ADDRESS DESIGNER STRUCTURE B44EW ❑REI•AODEL ❑ADDITION C1 REPAIR _ ❑RENEWAL ❑FIRE DAMAGE _❑_ DEMOLITION 0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE OND ❑MOV ING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY-1—LAND USE ZONE f "" 1 BLDG,TYPEFIREZONE PLAN CHECK BY-__ itt'IJ HEAT_—� L ; 193 Lons t.. z n,,0ia family o..0 ilinr j wf tatteachaaci to-issue mark 108--A ~^ 8 4 i,f 1 1 168(- MQLOAD FLOSZHIOAD H-FIQBT __NO STQFi1E$4, AREA �h.� VALUE BUILDING r BUILDING DEPARTMENT SET BACKS FRONT ` I I REAR 31 LEFT SIDE 7 RIGHT SIDE Permit 14Ei•QU � THIS PERMIT IS ISSUED SUBJECT TO THE REGULAT17VS CONTAINED IN THE BUILDING CODE, ZONING Plan Check talon REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE —"� WORK WILL BE DONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T'O HAVE CURRENT CITY BUSINESS State Tax 4, 74j LICENSE. SEPARAT& PERMITS REQUIRED FOR SEW P MBING AND HEATING. Total By ---- -- _ _ ---- ----- APP.,IJCANT OR AGENT _ Approved Hf,rvipf No arm' WWI wl Bf w w w w t DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE zo 1 J FocrrINF 10u/vi)tr/U// Contractor _ 0 b ? cw E P Permit No. p,-um's//,/6- Rough-in )-25 11 T� -0.sRn�aove� CSF , t c ,JE ,utet.c« . Fixture — — 'AJ l n ,: c c^, ,,eat�J6 n,. Final HEATING 29, 11 ~� ti Contractor Permit No. �,{� �?/ S $-/6'11 -> �vetudy F iucLQ��rs Gas or Oil (O—/ 1 Rough-in r Final -- _ SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final _ Sidewalk Curb&Street Fina! Atmroach _ RLDG DEPT. 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