15435 SW OAKTREE LANE 15435 SW OAKTREE LANE
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C. y Llt t3F(I f��t't iltt!'1I�C71 f'tf1111[ �tt rc::��t_- 3.00
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�;ar: Ins:9l;ation
11 Re:)!acv V Relocation Alteration
VOTAL
C-.%-TRACTOR S=lit��,ls'�►`e t' t Q'►'.'I`:cR_ .�
r„
n G WORK, ADDRESS
AD7RESS t ��-
_ APPLICANT
PHnNE
TU Per Hour) Vent Size —
FUEL
ize Fiue Size -- _
Heat Input Rating (B .
FUEL OIL !J C-AS ELECT ❑
ITEM NO. FEE ITEM NO. FE
Air Condition Corr-pressor 15 to 30 HP 101
`. For Issuance of?error
New- Under 100,000 BTiJ 4.00 Air Handling 10,000 CFM
5.(
!r New- 10U, 00 0 BT�t & over 5.00 ''Air Handling Over 10,000 CFM
4.00 Evaporative Cooter _ 3
Floor Furnace 4.00 Range Vent Fan 2.0
%Pall - Floor -Suspended
x2.0_0 Vent System _. 3_(
Install Vents Only ---
4.00 Hood Commercial 3,r
Repair• Heat & Cooling —. - -- 10.0
• — --'" 4.00 Commercial Duct System
Air Condition Compressor lrnder s HP
- ---_
ressar 3 to 15 HP 7.50~
,A-r Condition Comp �
INSPECTOR'S COMMENTS -
YrK��'
jr.
CITY BUSIN E SE REQUIRED FOR ALL CONTRACTORS OR 5U8-CONTRACTORS
ISSUED BY DATc
=ic APPROVEL E7� DATE -- _
RECEIPT NCS.
>Y Signature of App,' ant
a'- »a a• `� `-s
--%. ..r ter........�..�._...Mw.•..+.......-rRw.'1 lywy y.}. w ..M-..M1nN r'f-.
Address Permit No,
Psrmit charge ;�j �,•�
Owner d711i' _ Connection fee SOD —
Paid by
Type of building yQ•G.� r Date connected ..r
Service rate Inopection vee a25
Contractor Paid by Date
Size of connecLio.1 Assessment __ paid
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101IN [. R[I11HARCT Pp'�MOiNG,IhC BI;ILDING DEPARTMENT, TIGARD
NO.
P. 0. COX ,19 PLUMBING PERMIT I
NEtY�[i,C C�[GO'1 97131 holder of a valid plumbing contractors license is 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 time the installations are ready for inspection. City of Tigard Business License required
for all con actors and sub-contractors. �-�
Ov,ne �/ - C�>z! a ��' �, _ Addres ,: � Dated'
NUMBER OF TOTAL PERMIT NO.'S
TYNE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Uso Only)
Single Family-1 both—each 25.00 S. CSU
Du lex—Each 1 bath unit 25.00
Additional bathrooms—each _ ` _ 10.00
Mobile Home Space—each _ __ 15.00_ "
INDIVIDUAL FIXTURr: FEES
1 to 50 Fixtures in I building—earh w _ 3.00
51 to 100 Fixtures in 1 building--vach 2.50
101 to 200 Fixtures in 1 buildin -enrh 2.00
201 or mere Fixtures in 1 building—each 1.50
MIS(:ELLANE0US
eu !din Sewor-1st 50 ft. 10.00
Sewer—each additional 100;t." 10.000 _
Water Service to buildingi 5.00 c t
Private Water S stems—ench 100 ft. 10.00 _
Other (SpeClfy):
�PE!"Wrrl U for Plumbing Inspecrion Phone 6394191
96 Stat_a s `� JV Plumbing Contractor By �D-
TOT4L RECEIPT NO. Issued By `� _
1
.. .....--" '.":v+M11�M..�Rry%YY .w' Ysro+w�.._...w..inn+i.�w..n.wv+..•ww.•.++r..wrr^M*r...r
511 ' �1-DING PERMIT APPLICATION of TIGARD DAT- 11-11-6-77 . ts 3
�BU ?93
1HF UNUEHSIGNE_U HLHEBY APPLIES FUH APL-RMI I FOR IHR WORK HEHEIN INDICA'T'ED BUILDER PHONS ,..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHr 'F—
LOT NO—
OW'►tiCR_ a _ JOB ADDRESS
a_nFAktre ; +„tI9HOME ADDRESS
ARCHITEt-Y
ITIM ENGINEER
BUILDERU1r- ADDRESS _ DESIGNEE. _ _
STRUCTURE NEW�ACIREMODEL ❑ADDITION _❑REPAIR QRENEV_"L [J-FIRE
_ DAMAGE CIDEMOI_ITION
Q'b--ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REI imous OPATIO ❑CAR POF'T—L1GARAGE ❑STORACE EISLAB ri�.FENCE
DBOND ❑MOVING _ ❑CONDITIONAL.USE CDESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
OCCUPANCY LAND USE ZON ...7 BLCu.TYPE aN FIRE ZONL-"' PLAN CHECK BY "t-LJ HEA1�+zJ
t Fanta .no rei lBsue eemL- as 102:3zj 1- Grav(111,01i) Tt,ri ctc - --
f same bldg. twho coo Wall w/OttaChsd yern(jo 2 bedruam 2 bath — ---
QQC.LQA.IZ_____f,=H LOAD _- H€1GHL_ h2 ?�Q.(i11 _. ___..ARFA1910 _UQ..BEQft+QQM. .sk_Yf3l �
BUILDING DEPARTMENT SET BACKS FRONT 00 REAR LEFT SIDE RIGHT SIDE
Permit 1 ,,�• — -_— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEL IN THE BUILDING CODE. ZONING
Plan Check 10 13 Ci REGULATIONS AND ALL APPLICABLE COOFS AND ORDINANCES, AND IT IS HERF.RY AGREED THAT TI+r
WORK WILL BE DONE IN ACCORDANCE. YIITH THE PLANS AND SPEC;,, !CATIONS AND IN COMPLIANCE Wt
Subtotal 164,111f)111{.) ALL APPLICABLE CODES ANJ ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV,
RESTRIC 'VE COVENANTS. CJNr;4ACTOR AND SUB CONTRACTORS TO HAVE CURnENT CITY BUSINESS
State Tax '`,,l76 LICENSE. SEPARATE PERMITS AEGUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1 r D.`.,+a t.fl0 • ;;.LLaU.
By
APP"CANT!)R AZE.NT r `
Approved Receipt No.
IN WWI Evil
DATE INSP. TYPE INSPECTION REMAHKS
P
LUMBING DATE
Con:rar -----
!4 l-YIOVa �� Permit 6 .;t /7 -2p ;
r Rough-in _
Cynt Fixture _
4� -ko ,,L Final
d HEATING
Contractor
S A P—P1QUI/E 11 a� LCZ� 3z
....-- _�P Permit No. 617
_ Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
pig � , � 14 — ---
Final
Storm Drainage
(Rain Drain) Final —
Sidewal k IJ
Cuw'- ;CtrpJt Final
_ A roach __
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT N? 13847
UUnified Sewerage Agency
of Washington County CITY OF�._____._______Ti-.a-_rrl _ DATE 11_As77
OWNER : _ T .D.C•-- .Y _ PHONE :.
OWNER 'S ACDRESS s
TYPE OF INSTALLATIONt
XFaBUIL.DING SEWER OBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY&
E,:lAEW QxSTNGLE. FAMILY COMMERCIAL
L]EXIST . (PRIOR TO 7- 1--70 ) ❑ MUL"i'. RES. INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS 1
PERMIT CONDITIONSr THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGUL_ATIO14S OF THE UNIFIED SEWERAGE-. AGENCY . WHEN CALLING FOR
TNSiPECTION, PLEASE REFER TO THE PERMIT NUMBEF . TH.T.S APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEI"TED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE _ _..----
CONNECTION CHARGE �nr�-- ----"
SIDE SEWErt INSTALLATION
ISSUED BY
OTHER _— _---
IOTAI _— 625.
APPLICANT DATE
`'4„LL BELOW F-UR IBM $EWER PERIUIIT N! 13847
MAT.
ADDRESS Of STRUCTUF;E 15435 SW Oaktree Lane
J TAX MAP,_...__._ _M TAX LOTSYSTEM fanno creek
1 LOT 592 BLOCK OF -
APPROVED 6T DATE ISSU BY DATE
REMA'Ill KS— b1d1#1793 _ _
CITY OF TIGARD
ORDINANCE 7-=77-26
i RCFT SYSTEM DEVELOPMENT CHARGE
DATE :r_ ,]�,--g-� FSTIMATED SALES PRICE_
APPLICANT NAM T .D.C. _ TELEPHONE
JOB ADDRESS 1 435 SLJ._a_ktre1m Lane _. BLDG . PERMIT
AMOUNT OF FEE FOR S . D. C.
DESCRIPTION OF IMPROVEMENT S.F .D. _.._
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under 560,000.----------•- S300.00
B. Single family dwe' Ling unit over X60,000.---- .-_-- X400.00
C. Mobile Home Court Space (New Development)----------- $150.00
0. Multi-Family Dwellings--Per $240.00
E. Commercial, Industrial & In:titutional(Park. Space) 6 50.00 each
F. Single family unit under '40,000. ----------------- $250.00
i
CITY OF TIGARD
ORDINANCE #77-71
PARK SYS' EM DEVELOPMENT CHARGE
DATE : 11--8-77 ESTIMATED SALES PRICE $ 509000.
APPLICANT NAME T_n_r._ TELEPHONE #
JOB ADDRESS 15435 5W naktree lane BLDG. PERMIT # 17g3
AMOUNT OF FEE FOR P. D. C . glop_
DESCRIPTION OF IMPROVEMENT 14_F-n_
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- ------------- -$100. 00
C. Mobile Home Court Space (New Development)- ------------- "
D. Multi-Family dwellings--per unit------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON XXX S.W. N. E . SIDE OF S .W. PACIFIC
HIGHWAY . N.E . is Park District #I . S.W. is Park District #II .
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