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15470 SW OAKTREE LANE 154%0 SW OAKTREE LANE v I 1 G C w a) N 4-3 [0 0 3 co 0 N 10 ,_4 Of 1 � � dCS r r O I Fee- Nei: Ins:,l;a!ion ge:r'ace D Relocation ❑ :+07i•ion D Alteration D S►CLate TUTAL �.Of.33�'_. C10%T RAETOR y 141]l�2.A�•�_ Y+ t�t7�If~t4 01'�P.cR .kLA" rI► j _ – WORK ADDRESS LSJ Hol^E �JL. n�tT� PHONE �]s��G_' © �-� ___ APPLICANT_.__ Weat Inpu' Rating (BTU Per Hour) 1.IC7�_t��.a----_ Vent Size _ �_,� Flue Size L FUEL OIL ❑ GAS 10"" FLIECt D OTHER ITEM NO. FEE ITEM NO. FE For Issuance of Permit 1 3.00 Air Condition Compressor 15 to 30 HP lu,I New-Under 100,000 BTU 4.00 Air Handling 110,00 CFM 5.00 Air Handling Over 10,000 CFM 5.1 New- 100, 000 BTU &over _ Evaporative Cooler Floor Furnace —' 00. 4Rang- Fan 2.1 ` - !'Nall . Floor •Suspended _! � _ 00 2. Vent System Install Vents Only _ - 3.1 Pepair• Heat& Cooling 4.00 - Hnod Commercial _ _ 31 Air Condition Compressor Under 3 HP 4.00 ~Comm rcial Duct System ,Air Condition Compressor 3 to 15 HP _ ' 50_ +e INSPECTOR'S COMMENTS rx CITY BUSINEyS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS _ DA-TE ISSUED BY DATE APPROVED BY. --- -- --- i ' RECEIPT NO.__ _ �7+ Signature of Applicant DORrSS ra�L- Z,�.:�Z�.... .......__. PERMIT NO._1 PERMIT CHARGE none CONNECTION FEE PAID CY �� Lf TYPE OF B U I l O I M G u'_2, DATE CONNECTED SERVICE RATE /S/ INSPECTION FEE �> C(INTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID M CITY 1 IGARD DATE. BUILDING PERNMIT APPLICATION aF THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEPrIN INDICATED UWNERRPI E OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AN'1 art'. FICATIONS• LOIN PHONt_—. LOT NO._ JOB ADDRESS HUM"-- ADDRESS cIWNER — — ARCHITECT --"—` ENGINEER DESIGNER - BUILDER____— ADDRESS n ❑FIST( DAMAGE ❑DEMOLITION STRUCTURE F.1,�I.EW ❑REMODEL C1AnDITION ❑REPAIRC�RENEWr-A1I_ �-t QRE�IDENC_ E ❑COMM CEDUCATIONAL GGOV'1 �RCLIGIOUSOPATIO ❑CARPOR��-T11 LJGARAGE ❑ST09AGEC�SLAH IJFEN:E CIAOND []MOVING ❑CONDITIOIJAL USE ❑DESIGN REVIEW I.J000NCIL APPROVED ❑SIGNS M" FIRE ZONE' PLAN CHECK BY_— _ HFAT�_ J.__.__ OCCUPANCY LA_____NO USE ZONE- BLDG.TYPE 1 j L aa' eFDRDOM5.__YAI �a LEFT SIDE r RIGH1 SIDE � _— 9UILDING DEPARTMENTSET BACKS FRONT : FIEAR j -_= a_ --------- PermitSUBJE --` THIS PERMIT IS ISSUED .:T. TO TNF. REGULATIONS CONTAINED IN THE BUILDING CC DE, i'(GVING Plan Check i I`' REGULATIONS AND ALL APPLICABLE COL`ES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI IANCE WITH Subtotal w I ALL APPLICABLE CnDES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON. CTORS TO HAVE CURRENT CITU BUSINESS RMITS REQUIRED FOR SEWER, PLUK,11ING AND HEATIN3. State lax LICENSE. SEPARATE PE Total t �.j-r ���)�I.• _ 2l� q♦ By Receipt APPI ICAN1 6F/ONE �_— OR AGENT App .roved t No REMARKS PLUMBING DATE DATE I NSP.[TYPE INSPECTION TCont.-actor ,Z q q Permit No. Rough-in Fixture Final HEATING kC A- Contractor 0 1 Permit No. ri 0 Gas or Oil Rough-in Final SEYVER Final DRIVEWAY Final Storm Drainage _- (Rain Drain) Final Sidewalk Curb&Street Final Approach WL TE OCCUPANCY -- -67�1 D-F T��IA L TEK.PORARY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final ��- SEWER PERM,", : 13877 Unified Sewerage Agency of Washington County CITY OF Tigard _ DATE 1-17-78 OvrNER : T .O•I._ PHONE : OWNER ' S ADDRESS: — TYPE DDRESS: _TYPE OF TNSTALLAT.ION: x ILDING SEWER ❑BUIL.DING SEWER AND SIDE SEWE=R �TY�P�E OF OCCUPANCY: XEW >a SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) Q MOLT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS- 1, y PERMIT CONDI,tIONS: THE APPLICAN"f 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 aNE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRA'iION OCCUP. FEES: PERMIT FEE $ 25. CONNECTION CHARGE 611 SIDE SEWER INSTALLATION ISSUED BY T- OTHER TOTAL APPLICANT DATE i'A TICE: LW—DAYS OF THE PkP_IOVE DATE. SEWER SERVICE L'1l RGFWILL BENIN FOR THM tea. SEWER PERMIT' W 13877 ADDRESS OF STRUCTURE. 15470 SW Lakl ee Laaa TAX MAI). , 1 AX LOT _ SYSTEM fanno�reek_ LOT 550 BLOCK OF _ APPROVED BY DATE I SSUCD F' { DATE REMARKS 5lr§• #1847 CITY OF TIGARD ORDINANCE #17-71 PARK SYSTEM DEVELOPMENT CHARGE U DATE : _L� - 7 ESTIMATED SALES PRICE $ S _ APPLICANT NAME � TELEPHONF JOB ADDRESS /S </�)v (:y ," BLDG. PERMIT AMOUNT OF FETE FOR P. D. C. /0-u DESCRIPTION OF IMPROVEMENT EXEMPTIONS - PER ORDINANCE If77-71 FEE RATES : A. Single family dwelling unit under $40,000.------------- r 0 B. Single f&mily dwelling unit over $40,000.------------ 00. C. Mobile Home Court Space (New Development)-------------- .50 D. Multi-Family dwellings--per unit-----------------------$ 60. 00 CONSTRUCTION IS LOCATED ON ��-�a...E. N.W. SIDE OF S.W. PACIFIC HIGHWAY . N.W . is Park District #I . S.E . is Park District II, w CITY OF TIGARJ ORDINANCE 177-26 STREET SYSTEM DEVELOPMENT CHARG: 00 DATE : / "l ESTIMATED SALES PR'CC 6TO APPLICANT NAME _ TELEPHONE JOB ADDRESS� /"� BLDG. PERMIT #, �,[,_ AMOUNT OF FEE FOR S. D. C•___..�. .� (tai V DESCRIPTION OF' IMPROVEMENT__,_ 71 EXEPPTIONS --PER ORDINANCE #77-26 FEF RATES: A. Single family dwelling unit under x'60,000.---_-___�g�o�A B. Single faMil; dw311ir;g wilt over 160,0^^..--------- $400.00 C. Mobile Home Court Soa;:e (f!e^r Development)--------_- 5150. 00 D. Multi-Family Cwellings--per unit-------------- ----- $240.00 E. Commercial , Industria?. R Institutional (Park. Space) $ 50.00 each F. Single family u,dt under 54o, 000. ------------ ----- - $250. 00$250. 00 �!JILDiNG PERMIT APPLICATIONC FY TlGARD DATE_ --.._L3?_ / . NQ JF tIIq(,E RSI(,NED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON SC-1 _ F. AS S,r� AVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE Lo-r NO �j ,j;_,l A)pJCCCaky-j Qn JOEI ADDRESS �` + 1Su�1 LC � t�.tIOME Al7DF7ES5 �f�" ARCHITECT ENGINEER R ADDRESSDESIGNER ""RE IP%F.W_ CREMODEL _ _0AOD!TION ❑REPAIR _TCJRENEWAL QFIREDAMAGE ❑DEMOLITION Lit''C!�NCE Cf-(,MM ❑EDUCATIONAL [3GOV'T DRELIGIOUSC]PATIO ❑CARPORT DGARAGE 0STORAGE IlSLAB ❑FENCE MOVING ❑CONDI',ZONAL USE _ DDLSIGN REVIEW DCOUNCIL APPROVED ❑SIGNS L".4NCVr.�' l 4ND USE ZONE— . BLpG- YPE .�]t-!r _FIRE ZONE Pt.AN CHECK BY HEAT` _ _._ I nR AREA FLQS2P I.Udj?__ �15�@EJ2F!S�Ql42;i .�IALU_ �_ BLIILC)ING DEPARTMENT SE'T BACKSFRONT REAR U LEFT SIDE RIGHT SIDE r1� r I m i t _. - THIS PERMIT IS ISSUED SUBJECT f0 THE REGULATIONS CONTAINED IN THE BUILDING, CODE, ZONING "Ian Check ,E ' REGULATIONS AND ALL APPL,CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ------- - WORK WILL BE DONC IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CONES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - - - -v- - RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ',tale Tax �_J LI LICENSE SEPARATE PE AMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. 'T('181 \APP(iCANT O GENT Receipt No. /A ADt�kE 58 ' HON