15390 SW OAKTREE LANE t £1 �t
15390 SW OAKTRE:E LANE
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City Of t !� ird Mechanical Permit Permit_
1 t:0 Fee
New Ins;a'Ial;on :ILS Re:,!ace L� ;elocat;On 0 Addition u Ahera,io + 410L State
T O T A L
CONTRACTOR ltc,!i-„ � 's�..�.{/.l�l��_� - OWNER _�1�►-�►?_si!_�.�,_ �1.���_. __
ADORESS �, �� i he __-- WORKAI�URESrS
PHONE �rs �L2�_ 173 =` APPLICANT._ �• .M7ra
Heat Input Rating (BTU Per Hour) \dr' "'9 �rhVent Sire �. _ " Flue.Size_--
FUEL OIL ❑ GAS 1B'*0•ELECT C_.l OTHER_,
11 EM NO. FEE ITEM NO. FE
For Issuance o` Permit _ --7-3.00- 1
_7 3.00Air_Condition Compressor i5 to 30 HP
New- Under 100,000 BTU - _ 4.00- Air Handling 10,000 C!W 1 » ��3 f
New- 100,000 BTU &over 5.00 '_•Air Handling Over 10,000 CFM �— � 5.f.
Floor Furnace _ 4.00_ Evaporative Cooler 3.0
Wall • Floor - Suspended 4.00 Range Ven-. Fan -� 2.0
Install Vents Only r _ � 2.00 Ven, System ` _� 3.(
repair • Heat B' Coo-ig _ _4.00 _ Hood Cnmmercial_� --�� 3 C
Air Condition Compressor Under 3 11P 1— 4.00_ Commercial Duc-, Sysiem_
a \it Coodiiion Compressor 3 to 15 HP 7.50
��rr._......-- ��'�_--gra_..—�••c��-�—._:.�_r__-�_.�_��r_.—��
i INSPECTOR'S COMMENTS
CITY E3USINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
V APPROVEU B DATE _-_ ISSUED BY ATF
RECEIPT N0. -�"���
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Address 1�:��2 C �ky `� �-*' --— Ur m i t X10.
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�Iwner _ e;1 cL .C; . ctnnFi ',1 i �n foe �-eC;
Paid byC�
Type of building ��� Date connected
Service rate Inspection fee
Contractor Paid by Date
111,e of connextian r3��ne>Isment .� .._ paid
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v1 '04,7 6WUAM
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b ,� , CITY ��GARDDATE 1—). •-7: �,19.--- M
BUILDING PERMIT APPLI„ATIO of
'thE UNCERSIGNED HEREBY APPLIES FOR APEZMIT FOR THE WORK HEREIN INDICATED OWNDRRPHONE- -- —_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO. -----
OWNER 1 E „f; JOH ADDRESS 15790 5W _112 U3yOMF AD.,q MITLcT —
-4'31 NEE*)'
M __ ADDRESS I.X31GNE+
Bi ALDER
STRUCTURE
�y ❑NEW T_ORERACGEL� ❑AQDITIOF! CIREPAIR ❑RENEWAL —L cF'Fff )AMA.GE ❑DEMOLITION
r-� ❑SLAB ❑FENCE
1_1 A'&DF.NCE CC_OMM_❑EDUCATIONAL l_IGOV'T ❑RELIGIOUS❑PATIO ❑C<.R POET ❑GARA, E _ .AOR^_:_
❑BOND C3 MOVING ❑Cn" DI1IONAL USE—� ❑DESIGN REVIEW ❑COUNCIL APCRJVED ❑SIGRMS
Ii-•`7 ? PLAN CHECK:dY etw HEAT_
1j FIRE ZONE_ _
OCCUPANCY__—LANG USE LONE _ BLDG.TYPE
CI �ti ' > . LtlgTFj f1t
.;S1L13L•�tlb
, ,_;rrl, 11jelling w/El T. IROJEd '.-0,..,rwafj 2 bedrooln l bath
f�.QF:Qy�pl1;� VALUI�_.
cmc _LOA -TE4S►S�H_LOAD LS�HI__-- _d4 74131 5___.._AEiEA__ __N..._. T
BUILDING DEPARTMENTSET BACKS FRONT 12 EI REAR iLEFT SIDE
_ RICHT SIDE
Permit ��`7•`�0
THIS PERMIT IS ISSUED SUBJECT Tv THE REGULATIONS k:0NIAINED IN THE BUILDING CODE, ZONINI�
Plan Check .10 '}�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANC_S, AND It IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A'00 SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total 1:37. '1 ALL APPLICABLE CODES AND ORCINANCCS. THE IS!UAVCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SU"I CCW'(N4,CTORS TO HAVE CURRENT CITY BUSINESS
State Tax J.1I4� LIVFA E.eEPAJtTJr„pERMITS REOUIREC, FOR SEWCR, PLUME'ING AND HEATING.
Total 142.UIJ W•l)•C♦ /',. +vihG
AP�_ICAN r OR AGENT
Approved tt Receipt No.
a ss
mw !i W E S w— ® w
-mwmww-mUpm-r'm
DATE INSP. TYPE INS''ECTION REMARKS PLUMBING DATE
2 ".3-� � -� M _ - _ Contractors__ ----
����"
Permit No.
ie Hough-in _..--- --- ---
Fixture !
Final - - --
3 � -- ----- -- - - ( HEATING
Contractor
Permit No. /d�Ia
Gas or Oil
-- -- - -- __ —_^ Rough-in ----- --� —_—_
�,— — Final _
SEWER
FInaI
DRIVEWAY
Fina!_ -- -_---
-- _--_-- ------ -- ----- — Storm Drainage_-!
_—� (Fain Urain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT NO 1.3872
Unified Sewerage Agcncy1-13-78
of Was(.ington County CITY OF Tigard_ DATE
I_IWNER : _ r PHONE :
OWNER 'S ADDRESS: __
TYPE OF INSTALLATION:
BUILDING SEWER []BUII-DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY.
X®NF_W XXo SINGLE FAMILY 0 COMMERCIAL-
❑EXIST . (PRIOR TO 7-1--70 ) MULT . RES . ❑ INDUSTRIAL
FIXTURE UNITS_ DWELL.?NG UNITS
1
PERMIT CONDITIONS: THE AFPI_ICANT AGREES TO COMPLY WITH1ALL RULES
AND REGULATIONS OF THE UNIFIEC SEWERAGE. AGENCY . WHEN CALLING FOR
INSPECTION , PLEASE REFER TU THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AN,? TWENTY ( 120 ) DAYS . THE AMOUNT PAID 'HILL
BE FORFEITED SHOULD EXPIRATION 1CCUR .
FEES:
PF_RM I T FEE 25- -----
CONNECTION --HARGE 5-00.
SIDE SEWER INSTALLATION _ —�-----
ISSUED BY
OTHER _
TOTAL b52E'•..___�
- APPL_I CANT DATE
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c.•.. :�,: ;;._� :._., SEWER PERMIT V' 13872
ADDRESS OF STRUCTURE 15390 SW Onktree Lane
"FAX MAP TAX L.OI- „ _ SYSTEM Eannn rrya�
LOT __546 BLOCK _ OF- — —
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg__ 1836 -
CITY OF TIGARD
ORDINANCE 7j-77-2.6
STREET SYSTEM DEVELOPMENT CHARGE
ESTIMATED SALES PRICEDATE :___Z___ / $ 7
APPLICANT NA ___, :.,_�__ TELEPHONE
r1t_
JOB ADDRESS �-S" c,U_��, _ BLDG. PErMiT
AMOUNT OF FEr FOR S. D. C . Q`'-� —
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCC #77-26—.—
FEE
77-26 _FEE RATES:
A. Single family duelling unit under $60,000-----------
S. Single family dwelling unit over 560 $400.00
--� $400.00
C. Mobile Home Count Space (Nqu $150-00
D. Multi-Family owellings--per unit-------------------- -3240.00
E. Commercial, Industrial. & Institutional(Park. Space) 5 50.00 each
F. Single family unit und,3r $40,000. ------------------- $250. 00
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CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 7Y ,,r� _ ESTIMATED SALES PRICE _�el
APPLICANT NAME 4 .�L._ TELEPHONE # �
JOB ADDRESS / 574 9,0 OLDG. PERMIT
L'
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROUEPENT ---,
EXEMf-TIONS - PER ORDINANCE #77/-7'
FEE PATES:
A. --,ingl.e f ami).y dwelling unit under $40,000. -----..-------- 00
0. Single `'amily dwelling unit over $40, 000 ------------ �0.
C. Mobile Home Court Space (New Development)--------------- J).
D. Mull-li-Family dwellings--per unit------------------------- r,[]• 00
CONSTRUCTION IS LOCATED ON 2�r S.E. _ N.W. SIDE OF S.VU PACIFTC
HIGHWAY . N.W . is Park District #I. 3.E'. is Park District #I1 .
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)Ull_DING PERMIT APPLICATION CIT T�GARD DATE_ --,n ----- --• )g —. NQ•'��
_ BUILDER PHON`-"���T!
!i utgDl RSiGNED HEREBY APPLIES FOR APERMIT FOR TFf WORK HEREIN INDICATED BUILD PHONE
P AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAINS AND SPFCIFICATICINS. W14ER
�`uJ,m tl�cCotoe LOT NO
ADOREssO.S , 'f41.° 'oMr. ADDRESS
ARCHITECT
ENGINEER
DESIGNER
tiE P-.'iW iQRFMOD EL� []ADDITION ❑REPAIR RENEWAL DFIRE DAMAGE QDFMOLIIION
V/ MM DED+JCATIONAL OGOV'T LJRELIGIOUSOPAI-10 ❑CARPORTT -OGARAGE 0S10RAGE0SLAB QFENCE
]Pr�Nb LJMOVING-- O,CONDITIONAI USE 1�iDLSIGN REVIEW L.U000NCIL APPROVED []SIGNS
— �f IRE 7GNE1a Pt.AN CHECK BY__-.— HEAT
yr•y �ANp USE ZONi•., BLDG'TYPE._ �p
►..r,-v fro_
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FIOOR_JrF1StLC_ -_--___NQ_$T�RIE�S_._-__AREA .�i64_ - EDF�9M ,
_PILU
_UING_ UEPAPTMENT SET BACKS FRONT I �`�py�REAfi ' L(T LEFT SID R GHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINcD IN THE BUILDING CODE. ZONING
I,Nrk /^� REGULATIONS AND ALL APO-ICABLE CODES AND ORDINANCES, A14D 11 IS HEREBY AGREED THAT THE
—� ` WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Ictal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE 01' THIS PERMIT DOES NOT WAIVE i
-- -----�1 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS *0 HAVE CURRENT CITY BUSINESS f
LICENSE SLPARATE PERMITS REOUIRED FOR SEWER, PLUMBING 4ND HEATING.
lot&I
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fly Appt ICAN� t NI
AIII,coved Receipt No. �---�
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