15455 SW OAKTREE LANE 15455 3W OAKTREE LANE
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ADDRESS-- 5� WORK ADDRESS as A.,W
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PHONE APPLICAN'71�, F— !��SAX. Q!E d--d
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Heat Input Rating (BTU Per Hour) Ven; !; .-- Flue Size__
FUEL O!L LJ GAS 50 ELECT OTHER
ITEM NO. FEE ITEM NO. FEE
Air Condition Compressor 15 to HP
For Issuance of Permit onssor o ��
10-0.1
- - Chide.— Too050 BTU— --- 4.00 Air Handling 10,000 CFM 3.01
- -
— .01,
New—. 100,060— —B—T U &over0 -*Air Handling Over 10,000 CFM 5
Floor
4.00 Evapotativ-Cooler
--F----urnace---
4.00 en
Range Vent Pan 2.0',
;-:V,- Wall - pi�;c -Suspended Install Vents Only 3,0(
2.00 Vent System
Repair 4.00 Hood Commercial 3 OC
Te—Heat & Cooling
Air Conditico ComP-5W Under 3 HP 4.00 Con-imercial Duct, System 10.0(
Air Condition Con-,Pfei-,sor 3 to 15 HP 7.50
S comMENTS_--
INSPECTOR
kyr
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUP-CONTRACTORS
ISSUED BY DATE
APPROVED DATE
RECEIPT N
774 Sinnature of Applica)t
(4-
Address Permit Noe
Permit charge 0 "2 e-
w n F3 r Connection feP
Paid by
Type of building Date connected
S�irvice rata Inspection fas
Contractor Paid by Data
Size of connection Assessment paid
10IlPf E. r1.INNe1ROT Pl° jh
" ,11iGBUILDING DEPARTMENT, T'IGARD N0.
P. 0. box 129 PLUMBING PERMIT i
H[W2'GGJ, MC.- ,I 91131 _„ holder of a valid plumbing contractors license is hereby _
authorized to cause p:umbing 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 nstallations are ready for inspection. City of Tiyard Business License required
for all :on ractors and sub-contractors. XH ,-6-90
OwneAddress �,2,z) ,�Uate__L_L�26Z
NUMBER OF TOTAL PERMIT NO.'S r
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Oliicc Usrt Only) i
j�f'S{QENTIAL _ __ i
Sin to Family-1 both—each _ ✓___ 25.00
Duplex—Eoch 1 bath urit 25_00
Additional bathrooms—each _ =� _ 10.00 _�CJ (�(D
Mobile Home Space—each 15.00 _ r
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each 3.00
_61 to 100 Fixtures inrildini-each _ 2.50
101 to 200 Fixtures in 1 building-_eor.h 2.00
201 or more Fixturet irk 11 buildirtg_ench 1.50
MISCELLANE0LIS
Building Sewer-1st 50 ftp 10.00
Sewor—each additional 100 ft. _ 10.00
_Water Service to btiWinn 5.00
Private Water Systems—each 100 ft._ 10.00
Other (Specify):
PERMIT ` ���' For Plumbing Inspection Phone 6394191
% StatI . rJ Plu nbin0 Contractor By A
TOTAL O RECEIPT NO. Is%ucc! Ey
-_ . Ar.
BUILDING PERMIT APPLICATION Co� TIGARD DAIELL"U"`�r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE .iORK HEREIN INEJICATEU BI ILl .PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICS+TIONS. —
.cr
ONINER JO__B ADDRESS �OrHOME ADDRCSS
'-- ARCHITEC'r
ENGINEER
BUILDER JiuM ADDRESS DESIGNER
STRUCTURE "'ONEW ❑REMODEL _ ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑AESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIG ❑C.'.R rORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS I
OCCUPANCY L_=LA'VD USE ZONE " -_7 BLDG.TYPE JN _FIRE ZONE. `3 PLAN CHECK BY-_ ''t'tj HEAT `-i I'
mraflt.:t'1fi3skt14r rra jkr9 w f4jmrg i]F1_ I iZsS _Rl.l (:rgrAnita&if TrArj-ar_g __.—
-. 1 ?.l.in(,, t0if) com wall w/atta hal gars4s 2 bedroom 2 bath
Q .C,LOA9FLQ�R LOAD NIGHT L2.-nQRtE.$._2 AREA 1 )7_19.. HD_R0VALUE-
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SID(_
Permit I -1;'7.0o_ THIS PERM'T IS ISSUED SUBJECT TO THE REGULAT;GP:S CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND 0RUINANCES, AND IT IS HEREBY AGREEr' THAT THE
WORK WILL BE DONE IN ACroRDANCE WITH THE PIANS ANDSPECIF!CATION23 AND IN COMPI IANCE WITH
Sub-total iw j SOL ALL APPLICABLE COO'r8 AND ORDINANCES. THE MSUANCE OF THIS PERMIT DO, vOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT L•1 It BUSINESS
State Tax `.i. 1U LICENSE. SEP.ADjATc PERMITS REOU1RFO FOR SEWER, PLUMBING AND HEATING.
Total 1'J;�.tib .I. �C• ;x2 onn .
By – ---..—_— -
-- APf' 'ANT OR PGENT
Approved UJ C
��.. Rr+chiht No — - -- � -- --
s
_.. ........ ._.......,.w:.._:.iw...,.. .:M,...r...,.,hw.,.;kw�Wi.r...e:rrs.....,..._,w._ ...;...w�N:w+: :a.�a....«.........w.............i..,.....:..,..,r.......w....ru.,.wwo-^ ..._..e.._,.w,y....�....-._...:..:. .
N W
xw_jwl! w wAw-AWWWWWW-im I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
T ff-4—J .P (mit No. t2
40
Rough-in
Fixture
L Final
HEATING
Contractor
!o
r
Permit No.
Gas or Oil
I" h ,
z
I -
Ile Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
lSidewalk
Curb I Street Final
Approach
BLDG--DEP T.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
CZoning Fina!
-� SEWER PERMIT
Uf N`•' 13843
Unified Sewerage Agency 11—B-77
of W'am,innton County CITY OF• _ � DATE
O',4NER: T.D.C. M PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTAL.LATIONt
E3#1*11LDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYt
BNEW IN(A r FAMILY EIC 0 M M.E RCI AL.
❑EX 1.51 11R10R TO 7-•1- 70 ) U MI11_. I „ RES. Il INDUSIRIAI_
FIXTURE UNITS DWEI._LING UNITS .._, 1
PERMIT CONDI i ONSt THE APPLICANT AGREES TO COMPLY WITH ALI_ 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 ) DPYS . THE AMOUNT PAID WILL
BE FORFFITED SHOULD EXPIRATION OCCUR.
FEESt
PERMIT FEE $ 25.
CONNECTION CHARGE 60U.
SIDE SEWER INSTALLATION
ISSUED BY
01- HER
T07AI s 625.
APPLICANT DATE
OF THE
L2.11A FOR THIS
SEWER PERMIT 13843
ADDRESS OF STRUCTURE 15455 SW Oaktree Lane
TAX MAP TAX LO1 _ SYSTEM fanno creek
LOT 590 BLOCK OF__
APPROVED BY DATE IS-Ut=D BY DATE_
bldg. #1795
REMARKS
CITY 11F TIGARD
ORDINANCE
STREET 6YSTI'M OEVELOOMENT CHARGE
DATE : 11 -8-•77 ESTIMATED SALES PRICE. !�.�60, 000.
APPLICANT NAME T .D.C . TELEPHONE jt_,_-_-
J08 ADDRESS 15455 SW Oaktree Lane _ BLOG. PERMIT #152 1791795
AMOUNT OF FEE FOR S. D. C . $500 _
DESCRIPTION OF IMPROVEME14T
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under $60,000---------- $300.00
0. Single family dwelling unit over 141600C,00.--------- =. U
C. mobile Hom . Court Space (New Development)---------- f`v150.00
D. Multi-Family Dwellings--per unit------------------- Z240.00
E. Commercial, Industrial & Instltutional(Park.Spece) $ 50.00 each
F. Single family unit under 540,000. ----------------- 5,250.00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 11-6-77 ESTIMATED SALES PRICE $ 6tI ,000,
APPLICANT NAME T.D.C. TELEPHONE #
JOB ADDRESS 1455 SW Qaktree Lane BLDG. PERMIT # 1795
AMOUNT OF FEE FOR P. D. C. Sion.
DESCRIPTION OF IMPROVEI` ENT 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 $40, 000. --- -- ---------$jO�p
C. Mobile Home Court Space (Now DevRlopment)---------------$ 50. 00
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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