15490 SW OAKTREE LANE 15490 SW OAK`I'REE LANE
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TOTAL
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•CC,:TFACTOR�1E.z.,►- -' � SCJ �... —
�� WORK. ADDRESSk tom+
APPLICANT }t_�1'�
PHONE
Heat Input Rating (BTU Per Hour) Vent Size
FUEL OIL ❑ GAS Cj�r ELECT ❑ OTHER
;:,... ITEM NO. FEE
ITEM NO. FE
3.00 Air Condition Compressor 15 to 30 HP 10.1
For Issuance of Permit I 4,00 Air Handling 10,000 CFM 3.1
New. Under 100,000 BTU -
�r New• Unde, 0 870 &wer 5.00 Air Handling Over 10,000 CFM 5.1
4.00 Evaporative Cooler 1
--
Y'` Floor FurnaCs 2'1
�:• ------ 4.00 Range Vent Fan
�s wall • Flo
2.00
3.1
2.00 Vent Systern
Install Vents Only -'- —.1.00 Hood Commercial
& Co _ 3't
'�-;, Repair• Neat Cooling —' 10.(
Co
mmeraal Duct System
�= Air Condition Cornpressar Under 3 HP 7 5D _.._._____-.---•-•-----•
;: ,air Condition Compressor 3 to 15 HP �.-�=—
4
�•�` INSPECTOR'S COI,4MENTS__ — ----
'r^r 'SE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
CITY BUSINES
r+r: DATE ISSUED BY ._ ..ATF M _
tr APPROVEn BY
Aj
:., RECEIPT NO.
f. Signature of Appl' nt
774
ADDRESS /� 5�%C�� ' � :C-, PERMIT NO.
PERMIT CHARGE none
0WNEP <' _ CONNECTION FEE _„ e —�_„_
PAID BY C
TYPE OF BUILDING ..r" a DATE CONNECTED
SERVICE RATE INSPECTION FEE 145
CONTRACT7E __ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
SS UILDING PERMIT APPLICATION SOF �"�'�►Rl� DATE �'f'•�S is
THE UNDEHSIGNED HEREBY APrLIES FOR "a ,'ERMIT FOR THE WORK HER INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE AtCO%'PANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.
OWNER •IJ«1 • JOBADDRESSI'141,'j1 LAne HOME ADDRESS
ARCHITECT
ENGINEr.R
BUILDER _ _ ADDRESS _DESIGNER_
STRUCTURE _ 'L],NEW U REMODEL ❑AUDITION OREPAIR ❑RENEWAL ❑FIRE LAMAGE (3DEMOLITION
G) ;#ESIDENCE ❑COMM IIEDUCATIONAL ❑GOV'T ❑RELIGIOUSCIPATIO []CARPORT ❑GARAGE EISTOFIAGIECISLA13 []FENCE
QBOND ❑MOVING ❑CONDITIONAL L E ODESIGN REVIEW OC -`UNCIL APPROVED ❑SIGNS
OCCUPANCY-t_—LAND USE ZONE----_._—BLDG.TYPE. FIRE ZONE_— PLAN CHECK BY -------- HEAT-__
05A Mk � relLsuu same as 15613 SW Summa i ield ILjli-�- L L;wfI-
QC.C,I_QAD __. FL.00R LOAD ----___HEIGHT N0,STQBI-U__2 AMA. NO_pjDB_QgA$ .__yyLUE ,000•
4UILDING DEPARTMENT SLT BACKS FRONT 13 REAR 14 LEFT SIDE 4't,'` RIGHT SIDE "
Permit 166100
THIS PERMIT IS ISSUED SUBJECT EHE REGULATIONS CONTAINED IN THE BUILDING LIDE, ZONING
Pim Check 10.00 RErULAT10NS AND ALL APPLICABI, CODES AND ORDINANCES, AND IT IS HEREBY AGREED KHAT THE
WOP,K WILL BE DONE IN ACCORDANCI:WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 1161(lu ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOEQ NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUpSiCNT CITY BUSINESS
State Tax 6.L ri LIC NtmE 8156 ATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIP:3.
Total 182.fvt e.L).i4C•. #2 $1()I,.
By
+�
APPLICANT OR AGE N1
Approved Receipt No.
ADUIRE55 �HOlVT�
..aka.r..w..,.:::sorw,..rY�awww..u....wu.«,:.......:...y..�..s;su.wa►.....:..sb,.r.......:..a..,.�..r..,..t.,.,...,._s ..................:. -
WWWWW4
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor u �/ -0
Permit No. -?0 3 — C
Rough-in --
Fixture
Final
F- 2-- -_�-=Y lR R c _ HEATING
Contractor
---- --- --s_ Permit No.
-�,7-� Gas or Oil __--- — --
6_ '7g --- — -- ,--— Rough-if
Final
--- ---_.___._—--------— S EWER
Final _
-------—-__._ _.—.__-------- ----- DRIVEWAY -'-,
—_— — �_.��----- Final
atorm Drainage
(Rain Drain) Final
_ Sidewalk
Curb R Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _
Landscaping
`. Zoning Final
. -J7-1
SEWER PERMIT M)
Of
Unified Sewerage AS*nc.y
nif Cyly (jF. _., Tigard 1-26-78
of Washington County LATE
OWNER : F'i!'J N E t
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
�UILDJNG SEWER [JBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x,zQNEW QcKSINGLF FAMILY ❑ COMMERCIAL
DEXISI . (PRIOR 10 7- 1- -70 ) ❑ MULT . RES. ❑ INDUSTRIAL_
FIXTUREUNI DWELLING, Ur4lJS --,—
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFE.- TCI THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN UNE--HUNDRE.D AND IWENTY ( 120 ) DAYc. . THE AMOUNT PAID WILL.
BE FORFEITED SHOULD EXP IRATiON
FEES:
PERMIT FEE $ 25.
CONNECT IO14 CHARGE 600.
SIDE SEWER INSTALLATION ISSUED B'i
OTHER
TOTAL s 625•
APPL, I CANT DATE
'TE.
641'.ZA FGR " :;3 M 3
mT. SEWER PERMIT 1881
ADDRESS OF STRUCTURE— 15490 SW Oaktree Lane
TAX MAP TAX LOT SYSTEM fanno creek
L 0 T ___ 551 — BLOCK --.. 0 F
Z'-
APPROVED BY DATE ISSLJt=D BY DATE
REMARKS bldg.#t853
r
CITif OF TIGARD
ORDIWANCE {f''7-71
PARK SYSTEM DEUFLOPMENT CHARGE
Ci G
DATE : 7�f� ESTIMATED SALES PRICE cTsa—{ GTZ)G
APPLICANT NAME ,�,�,� C �T TELEPHONE
JOB ADDRESS ! jD Cir. G2�� �,s__ BLDG. PERMIT
/!` `^
AMOUNT OF FEE FOR P. D. C. i
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77--71
FEE PATES:
A. Single family dwelling unit under $40,000.--------------36 �•DO 1
B. Single family dwelling unit over $40,000.------------ $1.00�Q
C. Mobile Home Court Space (New 50 00
D. Multi-Family dwellings--per 60.00
CONSTRUCT _TON IS LOCATED ON :� •E�. N.W. SIDE OF S.*/. PACIFIC
.w
HIGH' AY. N.W . is Park District #I. S.E;• is Park District #II .
CITY OF TIGARD
ORDINANCE i477-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : � '�� � '� ESTIMATED SALES PRICE
APPLICANT NAME S �' TELEPHONE
JOB ADDRESS / 'v' •J C_!<R BLDG. PERMIT
AMOUNT OF FEE FOR S. 0. C .
DESCRIPTION CSF IMPROVEMENT
EX[PIPTI"JNS -PER ORDINANCE #77-2.6
FEE RATES:
A. Single family dwelling unit ender 560,000-----------15300. 00
B. Single family dwelling unit o+ler 360,000.---------- 3400. 00
C. Mobile Home Court Space (New Development)----------- 3150. 00
D. Multi-Family Dwellings--per unit------------------- 3240.00
E. Commercial , Inr- istrial h Institutional(Park. Space) S 50. 00 each
F. Single family unit under 340, 000. ----------------- ,3250. 00
i
S�
u�Jll_DiNG P� I,MIT APPLICATION OF
11T TIC ARD OATE_�'� �___. ls NO la 3
1r LINL7t It'.lG,NED HEREBY APPLIES FOR APERMIT FOR 'THE WORK HE FEIN INDICATFD BUILDERPHONE{L.lnslcj-
'�5 Cl�< %",, AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICA?IONS. LOT NO HONE ---
LOT .�_.
r�ESS ��[QE ADDRESS - -
�" ARCHITECT
ENGINEER
ADDRESS w _ DESIGNER
NEW ❑REMODEL ❑Appl'TION ❑REPAIR (]RENEWAL _ ❑FIRE DAMAGE ❑DEMOLITION
_
`NCF ❑ .010M OEDUCATIONAL ❑GOV_T ❑RElll',IOL)SOPATIO ❑CAR PORT ❑GARAGE ❑STORAGE EISLAB [1FF.NCE
�- `J
IND MOVING CONOITIONAL�USE QDESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS-VING _ r
V:+NCr L ANP USE 20NEiL! BLDG TVPAEy. -FIRE ZC� PLAN CHECK BY '�__ HEAT,~
Fr
__
nD F 1 0Q9 LQP ._-- H€1CHT___ _- _ _- yQ_��RIES
NUn1>iNG L�EFARTMENT SET I'IACKS FRONT 1 REAR LEFT SIDE_ (O RIGHT SIDEj _�_
_ _— — ___ w� _ -- — _
PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Tarn Check �("1C� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
--- " WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
tit)lotal ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- --- RESTRICTIVF COVFNANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
lax 1.ICENS,� SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATI.'G.
c-la'l �Ye3 -+
I hY
AWP I.ICAN1 �PA T
appr(wed — Receipt No. v 1�
"DI)wt55
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