9920 9922 SW SCOTT COURT 9920 & 9922 SW SCOTT COURT
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Paid by ,�
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,; co of connectiun Assessment Paid
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Unified Seweraga Agency
of Washington County CITY OF T-i and CATF 10-21-77
0'd N E R t __St-2—vs L-Rlt-t P F 10 N E
OWNFRIS ADDRESS: . 9920&22W Scott Ct,
TYPE OF INSTALLATION :
F-IDUILDING SEWER []BUILDING SFWER AND SIDE SEWER
'v)'PL OF OCCUPANCY:
EX]N E W ❑ SINGLE FAM111 Y ❑ COMMERCIAL
FIL:xIST . (PRIOR 'TO 7-1-70 ) ❑ MULT . RES.
FIXTURE UNITS DWELLING UNITS - 2
11E.RMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS or T H[7. UNIFIED Sr-WERAGE AGENCY. WHEN CALLING FOR
INSPECTION, PLEASE REFER -TO THE PERMIT NUMDER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENry ( 120 ) DAYS. THE A14OUNT PAID WILL
DE FORFEITED SHOULD EXPIRATION OCCUR.
F LE.S 35. 00
PLRMIT FEE $ A�Q x Qp_
CONNECT I ON CHARGE
sIDr_- SEWER INSTALLATION
ISSUED BY
OTHLER
TOT L.
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D A T r-.,
"A CAN I-
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ADDRESS OF S'I*RIJCTURF---.�'12?.LL-L--.22-1-2--SW--acjaLt-y-t--------. -
TAX MAP 'TAX LOT SYSTEM_1_arum_LxaWc__-
I OT BLOC K -----Or
APPROVED BY DATE ISSUED BY DATE
RFMARKS____
it
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CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT LHARGE
DATE : f[7 :)J - ��.,+„�.._._ ESTIMATED SALES PRICE
APPLICANT NAME�uLQ,_ .4 TELEPHONE #(ot4j C'y
QZ,-A-
JOB ADDRESS 997-0 :LA rn BLDG. HERMIT �_L L,-,,,_
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT �------.--
EXEMPTIONS -PER ORDINANCE -#77-26
a
FEE RATES:
A. Single family dwelling unit under. ;)60,000----------- ;;3110.00
B. Singln family duellinra unit over 560,000.--------- b400.00
C. Mobile Home Court Space (Now Development)----------- 5150.00
0. Multi-Family Cwe1.1ings--par unit-------------------- $2411.00
E. Commercial ) Industrial & Insti.tutional(Park. Space) 50.00 aarh
F. Single family unit unccpr X401000- ------------------- 5250.00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : /() 1 _(� ESTIMAl ED SALES PRICE
APPLICANT NAME TELEPHONE # o qc' O3n 2_
JOB ADDRESS qa 4 L, - `1914- 3v.., :�c,U�I�T (� BLDG. PERMIT # )`7S
v�
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMnROUEMENT
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. --------------$100. 00
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family d-,fellings--per unit------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON _ S.W. N. E . SIDE OF S .W. PACTFIC
HIGHWAY . N.E. is Park District #I . S.W. is Park District #II .
+
BUILDING PERMIT APPLICATION 11OF
T TIGARD DATE _—, 19_ 77 1751
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR 1HE WORK HEREIN INDICATED BUILDERPHONE _
OR AS SHOWN AND APPR01'FD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-_
LOT NO.__._� --
OWNER .tiVp JOB ADDRLSSS JGUtt _,UUJ'1. HOME ADDRESS
AR'"HITECT
ENGINEIR
A.
DUILDERC'�•G'J��-1' ADDRESS DESIGNER
STRUCTURE _13NEW_ ❑REMODEL ❑ADDITION ❑REPAIR_ — ❑RENEWAL ❑FIRFDAMAGE , 0DFM0I_IT1',N
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED !❑SIGNS
OCCUPANCY_�1 _L/SND USE ZONE- BLDG. TYPE_--.__FIRE 20NE_ PLAN CHECK 8Y _ NF AT _
Lot 7 :unstlut:t f,.luplax pl�r- plana and specs U/attschod yarftq(�
14 Onth
4arai u dlUO
OGS L9A9__..._._—_�144R LOAD 1110 ----E1EJG' T 29 N9.$TQa_1U_-1' AREA 29 1J`S2.BE0QQME_ VALUE U + lUlU
:'UILDING DEPARTMENT SET BACKS FRONT 20 REAR 1!] LEFT SIDE ! RIGHT SIDE_ _F
Permit 22l o QQ
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOS, ZONING
Plan Check 1.4Q•I]C: REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIL L BE i.ONE IN ACCORDANCE WPTIA THE PLANS AND SPECIFICATIONS AND IN COMF,IANCE WITH
Sub total At APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 'THIS PERMIT DOES NOT WAIVE
RESTRICT'VE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
StAte Tax 21e, LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 344. 24 5t. 9UC$480.
Park SDG$120.
By -
T APPi (CANT OR AGENT
Approved Receipt No. ' I 1
P ONN--—— -
OATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
rontractor
[e,
Permit No. //17")
Rough-in
k _- —_ .�_ n // Fixture ——--—-—
10 oveFinal
HEATING
11-9--U Contractor
-to-M Permit No, 002. W lz -- 6-4
7te i Gas or Oil
Rough-in
Final
L —SEWER
Final
DRIVEWAY
Fina!
Storm Drainage
(Rain Drain) Fin_.
Sidewalk
Icurb&Street Final
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
I
it
i CITY
.- TIGARD DATE.._^ _ . ._ ,s> Ne n
�..11LCENG F LHMIT APPLICATION of
HF IINDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
F, SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICA I ION5. C.'W''EF PHON0-7
n �L ,L LOT N7
644.4 11
J013 ADDRESS9-2.4) "� -
WOME ArARESS
-- ARCHITECT
E1 IGINEER
S
ADDRES _ _ -_ _ DESIGNER
tiEW ❑REMODEL ❑ADDITION r 0wLPAIR _DRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
FI
O f�
/ I l_JEDUCATIONAL ❑GOV'T DRFUC,IOLISDPATIO ❑CARPORT_ ❑GARAGE ❑STORAGEDSLAB []FENCE
_3HCIND _ ❑MOVING ❑CONDITIONAL USE DDLSIGN REVIEW�— ❑COUNCIL APPROVED ❑SIGNS
Ct 1'nNCV 1 4ND USE
ZONE-__.____-__BLD(i.TYPE _ _ __FIRE ZONE._.__-.—PLAN CHECK BY_
:�•. ;.�9D_..�'Ft4S?l�1.S?A� �__-. Hei.�T._�......nlQ,_;�4R1)�$._._—..__BR
. ��VO•BEJaROOMS —YPJ.lJ�_ _� �,•
BUILE)ING DEPARTMENT— /
SE'1 BACKS FRONT REAR �► --LEFT SIDE _ RIGHT SIDE
---- THIS PERMIT IS ISSU-D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
,18n Check /� U'1J REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERD e3Y AGREED THAT THF
-- - --- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suh inial ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- -- --- - --- RESTRICTIVE CO''ENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEI S
,AI., Tax— / LICENSE. SEPARATE PERMITS REOUIRED FOR SEWEn, PLUMBING AND HEATING.
c
by —1 --.--ICANTOp A-GENT
3t_ukj_j3eceipi
PPIApproved No.
Anural5s Hc�NE
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