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15910 SW STRATFORD LOOP ff Nita 15910 SW STPATPORD LOOP CL 13 U J 'L7 f-� O m ti cn cn 0 1-4 a O% LOr ADDRESS_ PERP.IT Ni PERMIT CHARGE none -- CONNECTION FEE OWNER `GJ / PAIL) BY ' DATE r:LUNNECTED HYPE OF 6E'?LDING : cc SERVICE KATE .___ INSPECTION FEE PAID BY �� DATE CONTRACTOR __ — A55E55MENT PAID R„•,r SIZE OF 'CONNECTION ��,_ ._...- - f ITY OF' TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE: ESTIMATED SALES PRICE APPLICANT NAME 1 _S:,c - TELEPHONE # JOB ADDRESS / �;, ` '/ � �. ��-- �BLUG. PERMIT 0 L AMOUNT OF FEE FOR P. D. C. DESCRIPTION OF IMPROVEMENT EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES: A. Single family dwelling unit under $40, 000.-------------$ '75._00 B. Single family dwelling unit over $40,000.--------------ct0. 00_ C. Mobile Home Court Space (flew Cd, ctopment)--------------$ _-SU.-0b D. Multi-Family dwellings--pFr. unit------------------------$ 60. 00 CONSTRUCTION IS LOCATED ON ���,g.E . _ N.W , SIDE OF S.W. PACIFIC HIGHWAY. N.W . is Park District #I. S.E'. is Park Distric`. #II . CITY OF TIGARD ORDINANCE W77-26 STREET SYS,rEM DEVELOPMENT CHARGE DATE : 1,� -�_/7 ESTIMATED SALES PRICE APPLICANT NAMES / TELEPHONE �r - J013 ADDRESS i BLDG. PERMIT AMOUNT OF FEE FOR S. D. C. DESCRIPTION OF' IMPROVEMENT EXEMPTIONS -PER ORDINANCE 1177-26 FEE RATES: A. Single family dwelling unit under ^60,000.---------- $300.00 B- Single Family dwelling unit over $60,000.--------- 54DT1.00 C. Mobile Home Court Space (New Development)---------- 5150.00 D. Multi-Family Dwellings--per unit------------------- ^240.00 � . Commercial, Industrial & Institutional(Park. Space) ^ 50.00 each F . Single family unit under $40,000. ----------------- 5250.00 r1,�M..M.�.^.r.-..--..r�� .^w+.r+r+«•»n..+- ..,..»....«--••----•• ...•.,-....--..-.rte--« CITY 3-22-7 BUILDING PERMIT APPLICATION of TIGARD DATE 19-- ab_, 71-4 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOR'e HEREIN INDICATED BUILDER PHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND @if CIFICA-rIONS. OWNERPHONi4.- LOT NO. jud Wi,j.yht ,Ad�4. 1:;! JU :� •, .�t.[ � �PO�.ti OWNER JOB ADDRESS HOME ADDRESS ARCHITECT SF'Vi k- ENGINEER BUILDER ADDRESS DCSiG14F_R STRUCTURE L_lNtW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIREDAMAGE, ❑DEMOLITION ❑_RESIDE"ICE _[3COMM ❑EDUCATIONAL _❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE _❑STORAGE❑SLAB []FENCE ❑BOND GMOVING ❑CONDITIONAL USE _ ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS pCCUpANCy.�- LpNpPLOGi �- ,�1,� 1� PL NCHECKTrHEAT--- rC 20 QQQ LQAQ_.—_ FLQ B_L.9.Ln NO SSQRI€B__.__.T$RE4�� NO. DEW. BUILDING DEMF„ SET BACKS FRONT 71-T- I I REAR ;4 LEFT SIDE RIGHT SIDE Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 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 AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COV4NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES°.; State Tax I-104NSE.6EPAf�A'tt+PERMITS REQUIRED FOR SEWER, PLUMBING AND MATING. _ .. Total By ,/ 1 a' (CANT OR AGLN1 - Approved Receipt No ADDRESS �--- --- -- PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE — — --- --- Contractor �c'I �L �z. C e. lA -- -- - Permit No. �;__� G 3- 3v—'/� T q-2 i- \� _- _- Rouh-in --- 5��p.��� L R --• --- -_ Fixture _ Final HEATING _ Contractor _ -- ----- - -- Permit No. Gas Or Oil --- - -- �- Rough in____ --- - -- -- Final _------- SEWE,R�� ____.----------------_-.-_- - F i na I Final -- _�_.____-- ------- Storm Drainage �- (Rain Drain) Final - - Sidewalk _+ _ Curb a Street Final BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping F CZoning Final �• BUILDING PERMIT APPLICATION coF TiG,1RD OATS—s _y . Il�.�� N2 / C/ 9 HE LINDF H'-;IGNLD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__.-_- !R AS SH;1WN AND APPROVE IN THE ACCOMPC.NYING PLANS A U SPFCIF ICAI ONS. OWNER PHON /,'� LOT NO, ------- I D E55�-4-� .SQL 5� ' /V �H A DRESS f ARCH T T -- ENGINEER R ADDRESS -�� _ DESIGNER —, tiEW —OREMODEL ❑ADDITION ❑REPAIR CORENFWAL. ❑FIRE DAMAGE _ ❑DEMOLJTION I-' f7EDUCATIONAL OGOV'T ORELI(000SOPATIO ❑CARPORT ❑GARAGE OSTORAGE.OSLAB ❑FENCE 110ND ❑_MOVING ❑CONDITIONAL USE ❑DLSIGN REVIEW _OCOUNCIL APPROVED OSIGNS vCY, AND USE ZONE�_` _ BLDG TYPE_ —FInE ZONE _PLAN CHECK BV / MEAt— `_- — y /3y 1 I)_ c.. ; U9p_ _ F t oGR_l.4RD..___._—��+F1G�L�+�.1__._M.4_;<TI�C�JES_��R _-__.--.__SL_@_GD�JMS �y.AL.��t`'' `'d` BUILDING UkPARTMF.NTI SET BAl' .S FFONt'24) �REAR LEFT SIDE � RIGHT SIDE THI; PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING lah Check o"J '� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ---r r — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANE AND SPECIFICATIONS AND INCOMPLIANCE WITH ub total_ l J ALL APPLICABLt CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ` Ia1N lax!�i LICENSE SEPARATE PEFMITS REOUIRED FOR SEWER, PI IJMBING AND HEATING. ___--111- --�-.�1.�� APPL iCANT OR AGENT Approved Receipt No ADUWE 55 V lJ� I r f SEWER PER IT � /aI N . 15830 Unified Sewerage Agency 3_22_78 of Washington County CITY OF Tigard DATE _ OWNER = _ Oud Wright Bldg. PHONF :� OWNER 'S ADDRESS: _ TYPE OF INSTALLATION: X BUILDING NEWER ❑ BU.TLDING SEWER, AND SIDE SEWER TY7E OF OCCUPANCY: xr❑ NEWx x�❑ SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1--70 ) ❑ MUL.T. RES. ❑ INDUSTRIAL FIXTURE UNITS _. _ DWELLING UNITS 1 ADDRESS )F STRUCTURE : PERMIT CONDITIONS: THE AiPLICANT AGREE) TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIES 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 4; 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL. $ 625• APPLICANT DATE rav , SEWER PERMIT N'° 15830 ADDRESS OF STRUCTURE 15910 SW Stratford Loop TAX MAP I A� 1 01 SYSTEM an Pok LOT 57 BLOCK OF / APPROVED BY DATE ISSUED BY DATE Pl . U . ' S 1 REMARKS , 4-#ig2R�4_1979