15365 SW OAKTREE LANE 1
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15365 5w OAKTREE r,ANE
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Address /�� �. k' r, ; �;�„ Permit No. %
Permit charge 2207-2
Owner � �/ _ _ Connection fee
Paid by -,�')C_
(yp� of building r Date connected
u
Servi,:e rate ► In3pection foe ^»
Contractor _ !paid by . date _
Size of connection Assessment Paid
1 _
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city of 1 tCIurlo Mechanical Permit ��' lI Pe-init_,_.�.S� 00_.-......
Fee___--
! �_.. _
Nev. Ins:,!;ationRe:r!ace [] Relocation ❑ Add;-;on ❑ Alit-ration _
TO
Oi,%'NER_�v -T
AprlR.c SS x?� ►1 1, • J WORK APDRESS�
PHONE _ --hLS79 - C APPLICANT_ SLt3
Heat In Rating JBTU Per Hour) Vent Size rf
_ / �+_- Flue Size
FUEL. OIL �J GAS Fq ELECT ❑ THEH
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit -� t 3.00 Air Condition Compressor 15 to 30 HP tq,0i
New• Unde- 100,000 BTU 4.00 Air Handl;ng 10,QO6 CFM �_ r s 3.,C
New- 100,000 BTU&over V_ - 5.00 Air Handling Over 10,QDO CFM �y 5.0(
_Floor Furnace _ _4.00 Evaporative Cooler ___. - 3.0(
Wall- Floor -Suipended : 4.00 R,...ge Vent Fan 2.0(
Install Vents Only _ _ 2.00 Vent System�__� 3�(
Repair• Heat & C.uoling _ _ v 4.00 Hood f.:a_mm_ercial 3.0,
Air Condition Cumpresso- Under 3 HP - _4.00 Con-imercial I)uct Syslcm 10.00
Air Condition Compressor 3 15 HP 7.50 `-- --------- - _,-__
INSPECTOR'S COIF MEN �i �� �GL -
CITY BUSINESS LICC":!:F REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS `^
APPROVED BY_ .---____V�_ DATE - ISSUED BY DATE
RECEIPT NO.
770 Signature of Appl' ant
-7-7 ��-
wrIRLWU W- >�
I
JOHN E. RE111N ?.DI PILI'?l�;il�, Ih,,BU1LDING DEPARTMENT, TIGAR,.j
NO.
P 0. NX 1119 PLUMBING PERMIT I
holder of a ;alid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordcnce with the plumbing cede of
Tigard. Such installations require inspection by the City Inspector who shall be notified r it less than four
(4) hour, prior to the tirne the installations are ready for inspection. City of Tigard Business License required
for all -,ontr'actorrsa``,n��,d ,,sub-co tractors a�
Own !�ltd��G 1�� � ;-- Address h.�E�'�a�� Q r 4-a /� ate
NUMBER OF TOTAL PERMIT NO.'S
—
TYPE 9F PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Family-1 .)eth-each fr 25.00
—Duplex—Each-1 176th-unit
Additional bit hroom -saich 10,00����� _
Mobile Home Space-each 15.00 _
INDIVIDUAL FIXTURE FEES _
I to 50 Fixtures in 1 building-each 3,00
61 to 100 Fixtures int ,uildin --aech - 2.50
101 to 100 Fixtures In 1 bulldin -each 2,00
201 or more Fixtures in 1 building-each 1,b4 r_
MISCELLANEOUS
Building Sewer--la! 50 ft. — _ 10.00 _^
3ewrr-each additional 100 ft. i0.0_0______
Water Service to building 5.00 �—
Private Water Systems-each 100 ft. 10.00
Other S f .
PERMIT_ _-�d For Plumbing Inspection Phone 6394191
%
state4je 4Z6 Plumbing Contrartrr By X,
TO TAC7 RECEIPT NO. Issued By
SEWER PERMIT N° 13787
UUnified Sewerage Agency DATE -14-77
of Washington County CITY OF Tivard __— ---
OWNER : ---.1-LJ..I,- PHONE :�'o=�1D lr—__._.
OWNER ' S ADDRESS: --_
TYPE
DDRESS: --TYPE OF INSTALLATION :
X�JBUILPING SEWER ❑BI'ILDING SEWER AND SIDE SEWER
YPL OF OCCUPANCY:
XE3NEW X®XSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
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 IN ONE-HUNDRED AND TWENTY ( 120 ) DA) S THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER —
TOTAL $
(APPLICANT DATE
NOTICE: DAYS OF THF.
ABOVE DATE, SEWER SERVICE,
CHARGE WILL. @EGfY. Fqp tl .�
1111A►t_ .,v SEWER PERMIT
ADDRESS OF STRUCTURE 15365 SW 02Itree Lane
TAX MAP TAX LOT _ SYSTEM fanno creek
LOT 597 — BLOCK --- — OF
APPROVED BY DATE ISSU D BY DATE
REMARKS_--b1dg_#1713
BUILDING PERMIT APPLICATION of TICARD DATE `a^ A� ,_ tg 17 .
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BtJILDERrHONF � " X101
OR AS SHOWN AND APttROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. _
OWNER M JOB ADDRE45 _� J`�!'�'1 L•" I IME ADDRESS
ss
ARCHITECT
BUILDERENGINEER
r— t—t� ADDRESS DESIGNER
STRUCTURE ONEW O REMODELOADDITION ❑REPAIR DF+SNEWAL ❑FIRE DAMAGE _❑DEMOLITION
ST
1IRESIDENCE ❑COMM ❑EDUCATIONAL DGOV'T ORELIGIOUSOPATIO OCARPORT ❑GARAGE 0STORAGE OSI_AR OFENCF
0-BOND ❑MOVING OCONDI-IIONAL USE ❑DESIGN REVIEW OCOUN�IL APPROVED ❑SIGNS
OCCUPANCY--_LAND USE ZONE � BLOG.TYPE FIRE ZONE` PLAN CHECK BY— HEAT_ —
OCC.J.�AQ_ FLJOR LOQ HEIGHT NO.S'TORIES - AREA Pial: Na BEDROOMSS
BUILDING DEPARTMENT i.
-- SET BACKS FRONT REAR LEFT SIDE ' I" Af6HT SIDE .i
—
Permit –----
FHIS 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 INITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
sub-total I ALL APS"LICABLE CURES AND ORDINANCES. THL ISSUANCE OF THIS PFRMIT DOES NOT WAIVE
RESTF41CTIVE COVENANTS. CONTgPC'TOR AND SUB CONTRACTORS TO !IAVE CURRENT CITY BUSINESS
State TeX LICENSE.SEPARATE PERMITS REGUO IED FOR SEWER, PLUMBING AND HEALING.
Total
- P.D.L. #2 $10n.
BY
Approved Receipt No.
AF'II R�ESS --- - �►IfSNF ---
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
2 Z-
-77 Lt.G Permit No.
A P0 U✓1= 'Zci» Rough-in
_� .�je �I� ✓LE
all — Fixture
-/ - c, — Final
1� UU' {� HEATING --- —
1 rr
Contractor
- lf/ 7"LA` 1Ra�t��L2 Permit No. I 0 13
.c Gas or Oil
Rough in
Final
_ SEWER
s ,,,c_L- _ Final
DRIVEWAY
Final
Storm Drainage
(Approach
ain Drain) Final
ewalk
rb&Street Final
_
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPA� al
ndscapingninq Final `.
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