15370 SW OAKTREE LANE ■ � � s r
15370 SW OAKTREE LANE
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JOHN E. Pilrl%hG, INC.BUIL.DING DEPAH rMENT, TIGARD
P 0. [)M 129 PLUMBING PERMIT NO.
i
91131 _ holder of a valid plumbing Contractors license I� Hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the tima the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. '
Owner '�,.�_iLc�� c' lL ;'f ��•�0 " ' Adclres/—IT�3"70 , fC� � � �4.c(. Date
NUMOER OF TOTAL PERMIT NO.'S
IYPE OF PERMIT ITEMS FEE ON EACH AMOVNi (Office Use Only)
-9-E N T I A L --------- -- ___
r
Sin I_p s Family-A bach-each _ _r 25.00Duplex-Each 1 bath unit 25.00 _
Additional bathrooms-each - 1p pp - U ,
_ Mo_ Home Space-aach - --�_ 16.00
V `IVIDUAL FIXTURE FEES_ _
_1 to 50 Fixtures in 1 building-each 3.00
51 to 100 Fixtures in 1 building-each _ 2.50
101 W 200 Fixtures in 1 building-each 2.00
201 or more Fixtures in 1 building-each - ,M 1.50
MIISCELLANE0US —
Building Sewer-1st 50 ft` 10.09 ---
Sewer-each additional 100_ ft_. 10.00
Water Service to building 6.00 i
Private Water Systems-each 100 ft. 10,00 - -
Other (Specify): _ --
PERh1:T_ �'C� i For Plumbing lnspc tion Phone 6394191
r
96 State Plumping Contractor By
TOTAL - C' I RECEIPT NO. Issued Ey
Mcclit7nicai Fermit N V
ot io- arci Fee-_
L ::,, 0 Relocation Ah�.ration
Nev. 1,1;*,�,.ation Re:)!acv I OT A L
C'�'N%TPACTOR
WORK ADDRES§
Ay)pr�
APPLICANT
PHO' 4�'% Flue
H ur) .. Vent Size
Heal Rating (BTU P _9" —
::L OIL [_j GAS ;� ELECT ❑ OTHE
FU_
ITEM NO. FEE
ITEM NO. FEE 10.0(
— or 15 to 30 HP
3 00 Air Condition Compress 3.0'
For Issuance 000 CFM
jr.e of PeriWl —Kir Hand—ling 1C,
4.00
000 BTU — 5.G(
New Under 100,
U ATir_Handlirtg Over 10,000 CFM _30 tr
over
17 f_va_;,_ori�1ive Cooler ---
TO2.0r,
ou
--
Floor F�rn!ce Range Vent Fan
4.00 3.00
Floor .Suspended
2.0(5 Vent System
3.0
Install entsOnly Commercial
4.00 Hood
b Cooling--- — 10.0(
rn
Repair - Heio�� Commercial D
HP
Under 3 RP 4.00 ys.v
'�iir Condition Compressor c
AirConditio', Compressor
INSPECTOR'S COMMENTS
OR
:;UB CONTRACTORS
CITY BU— Ll NSE REOUIRFr) FOR ALL CONTRACTORS
ISSUED BY
DATE
APPROVED ByDATE
-
RECEIPT NO.
Signature o A lican
774
VO PERMIT NO.
A D 0 R F 5
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY
rt
TYPE. OF BUILDING A-1--1 DATE CONNECTED
SERVICE RATE INSPECTION FEE S7
r,oNT R A C T 0 R PAID By DATE
SIZE OF CONNECTTON ASSESSMENT PAID
/ /^ /
O'BU°LDING PERMIT APPI-ICATION " Y TIG,ARD DATE_ +�3111111111
-��i 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATL-D BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE _
pa LOT NO—_
OWNER Tj Q * JOB ADDRESS.S. .r,� 701 `A'1 ;1wjktr9y1Ln. HUME;\DDRESS
ARCHITECT
08 mt' ENGINEER
BLILDER -� T1 0 r-1 ADDRESS DESIGNFTt
STRUCTURE 6.JNEW REO
_MODEL _ ADDITION ❑REPAIR ❑RO1_
ENEWAL Lj'IHLJAMAGE ❑DEMITION
0 IPIESIDENCE C1 COMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS❑PAI 10 ❑CAF,PORT ❑ ,RAGE ❑STORAGE"SLAB ❑FENCE
❑BOND ❑MOVING ❑('n^4DI'rIONAL.USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS
CICCUPA_N_CY.___ .._—LAND USE ZONE R_/ BLDG.TYPE_--FIRE ZONES PLAN CHECK HEAI_
�.A M , l reissue some as iummer fifild L.eflo
ramex diiMling w/aattached garage 4 bedroom r Uat'th
1 1490
Q"-L4AQ— _EJL!2QR-LUA(L_ --__!!E!_C��L__�.----JNC,5TQ� � AfLFiA ____N9.. 112B-�_---_VALE_
BUILDING DEPARTMENT SET BACKS FRONT 13 REAR 10 LEFT SIDE 4 16" RIGHT SIDE. A
Permit 136 f t()
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 00 REGULATIONS AND ALL APPLICABLE CODES AND nROINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE --NS AND SPECIFICATIONS AND IN COM'ILIANCF. WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOEU NOT WAIVE
RESTRICTIVE COVENANTS, CONTRA.CrOR AND SUN CONTRACTORS TO HAVE- CURRENT CITY LAUSINESS
State Tax {7. 4! LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HFAI;NG.
Total 151.44 m
By --- — —
.._.—
Approved ! Rec(,il)I No
Bitn E55
- .; .-,....,.... :w..-.ru+l�www«�.:a�.......W'R.wutY.dm..r..._ ... .. ..—........
47&TE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
OK Contractor
--- ---
—A— tJ" 0't Permit No.
:!qh-in
/71 Afli
J[Fixture—
HEATING
Contractor 47
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
lAnproch
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
1-17 17
SEWER PERMIT -'j -
: - N9 13875
Unified Sewerage Agency
of Washington County I TY M Tigard DATE 1-13-7B
OWNLR : T.0, C PHONE
OWNER 'S ADDRESS: --
TYPE
DDRESS: _TYPE OF 1N.STALI a TON:
L?trt1ILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYe
X>E]NEW ' X❑�XSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7•--1 -70 ) ❑ MUL. T, RES. ❑ INDUS?RIAI_
FIXTURE UNITS — DWELL. ING UNITS —_ 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITK ALL PULES
AND RF_GULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE--HUNDRED AND TWENTY ( 120 ) i)AYS. -','HE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL
APPI_I CANT DATE
SEDER PERMIT No 13875
ADDRESS OF STRUCTURE 15370 SW Oaktroe Lane
TAX MAP _ TAX LOT S Y S T E M .,_-LaLal ,-L r F,ak
LOT ,—ri,:ls BLOCK -, OF
APPROVED BY DATE "' ISSUED BY DATE /
REMARKS bldg. #1039
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT C:HARL E
DATE : +_�. �� ESTIMATED SALES PRICE _*-V
APPLICANT NAME � — TELEPHONE
JOB ADDRESS /,y'��yQ BL.DG. PERMIT #
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF JMPROVFMENT_� _� �• _--•�- -_ _ ___.
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000.-------------$ 75.00
B. Single family dwelling unit over $40, 000---------------
C. Mobile Home Court Space (Nei., Development)--------------$ 5
D. Multi-Family dwellings--par unit-------------------------$ 6O.00
CONSTRUCTION IS LOCATED ON %� E . N.W. SIDE OF SAA PACIFIC
HIGHWAY . N.W . is Park District #I. .9.E:. is Park District #II.
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : Z—/ /� Y ESTIMATED SALES PRICE $.—!�
APPLICANT NAME � � . TELEPHONE
JOB AUDREFS `5` 78 �A BLDG. PERMIT
AMOUNT O F FEE FOR S. 0. C. ____�_,►..�a'o ° -__.__-_
D E S C R I P T 10 N OF I M P R O V E M C N T._______.-_
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under $6O,000.----------
B. Single family dwelling unit over $60!000.----------- $400.
C. Mobila Home Court Space (New DPvelapment)----------- $150. 00
0. Multi--Family Dwellings-•-per unit-------------------- $240.00
E. 'Ommercial , Industrial & Institutional(Park. Space) v 50.00 each
F. Singie family unit under 340, 000. $250.00
I I
I
UILDfN% PERMIT APPLICATION cOF TSG, ,Rp DATE _s? ___._._. �Q , N�p�, {' r
�ji UNGE RSI�;NFD HEREBY APPLIES FOR .PERMIT FOR THE WORK HEREIN INDICATED HUIL.DERPHONE`�/ '� -ilc_
f AS SWOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE
LOT NO
4)iOJLX7s.Y'- :IErY ARCHl7ECT
ENGINEER
ADDRESS DESIGNER
L"INE_W ❑RE_MODEL ❑ADDITION OFiLPAIR Y_C_�RENEWAL ❑FIRE DAMAGE []DEMOLITION
L-�" 'UINCE 01_0MM DEDUCATIONAL ❑GOV'T DRELIGIOUSOPAT10 ❑CARPORT OGARAGE LI5TORAC"OSCAR ❑FENCE
�H'IND [3 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW-- ❑COUNCIL APPROVED QSIGNS
l c':•N�\', .L1S_4ND USE ZONE_ `BLDG TYPE FIRE ZON •,--PLAN CHECK BY HEAT
Y•J�..'���_�.._�I.--IL-1.Y�-1.�—•__—�` -la`s-1 c n cy 1 ,�)o�►\rnlrlt o:�
A 01
r cera
r•. ; t?12..___ -_ F1ClQRl4AQ--___. _..__N 1S+LL __.___..___.-NQ_ IQRI __ _._._AREB�Y L s1� . 11R0__0� �fBI.S►E:
BUILDING DEPARTMENT SET BACKS FRONT REAR ' -` LEFT SIDE RIGHT SIDE
_--= _�---=— mil —
imlt —�
----------- -- THIS PERMIT I5 IRSUEb SUBJECT TO THE NFGULATIE)Ma CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check C�lc� REGULATIONS AND ALL APPLICABLE. CODES i,NG ORDINANCES, AND IT IS HEREBY AGREED THAT THE
l— WORK WILL BE DONE IN ACCORDANCE WITH T14E PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
y Suh Total ALL APPLICABLE CODES AND ORDINANCE. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVF COVENANTS, CONTRACTOR ANI' SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`,tate Tax LICENSE. SEPARATE PERMITS REOUIRED FOR 3FWER, PLUMBING AN3 HEATING.
�-
Total , <�
A—PP! CANT O ENT
Receipt No.
ADDPEtS