15550 SW OAKTREE LANE 1
15550 SW OAKTREE LANE
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I C ' ty Of iciard Mechanical rer.nit �To Permit _ 3C10__-•--
Fee
/ Re:dace L� Relocation U Addition r+Iteration 4'09 State
New Instbllaiion
C;;,.i R ACTOR O1%N E _"IM" -
gDnRESS_ 5 � 1��-- WORK ADD RFSS �S,�u1:
�c-. --
PHONE �L7�- �n -_ APPLICANT
TU Per Hour) Vent Size �' t�-__ Flue Size
Heat Input Rating IB r --- -
FUEL OIL CI GAS ELEC 0 OTHER_.,_ -.----- ------- - - --
ITEM NO. FEE ITEM NO. FEE
3.00 Air Condition Compressor 15 to 30 'AP �_ 10.00ror IssuanCo r f Permit ^—�— _ _ ��— -
-- 4.00 _Air Handling 1^'100 CFM 3.00
New Unae• 100,000 BTU_- __�_ ,_--- ------ - -- - 5.00
New 1UG,OUG BTU & over 5_00 _Air^Handling Over 10,000 CFM r _
4.00 Evaporative Cooler - 3.00
Floor Furnace -- 2.OG,
Wall - Floor S�-spended ,^ �_ ___ 4.00 _-Range Vent Fan __� ---
2.00_ Vent System 3.00
Install Vents Only_ _ _ - - - — --- 3.00
Repair - Heat & Cooling - - _ x4.00 Hood Commercial �_- -
Y_-_.-__..__ _.__. _ - -- ._____.. _
__ - _-_ -. 10 00
- Air Condit inn Compressor Un:ic r 3 HP 4.00 Commercial Duct System _
-_. 7.5'9
�•ir Condition Compressor 3 to 15 HP Y_
INS S COMMENT', _ _._-_ _ -_ - ----- --_- -- ---
CIT SINESS LICL-NbL REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
ISSUED BY — DATE
APPROVED BY..__.___ _.-----__- DATE
RECEIPT NO.
Sionature of A lican
ADDRESS �
P E.R M I 1 NO.
PERMIT CHARGE none
OWNER / J� c _ CONNECTION FEE
PAID BY
TYPE OF BUILDING t� DATE CONNECTED
SERVICE RATE _ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE IF CONNECTION ASSESSMENT PAID
■
13U1LUIN(� DEPARTMt=N1 , TIGARU
,�tia�•ot PlllNoiNG,i�c. racy. ', 1
JQiIPI E. REIn' ^ G PEEdrv1lT
P. Q fQX 12P PLUMBII:
holder of a valid plumbing co itractors license is hereby
authorized to plumbing work as herein noted to be Ie of
nseinstalled lwho shall be notified n accordance %vith el
not les I thanfour
Tgard. Such installations require inspection by the Clfor inspctorection. City of Tigard Business License rc;wied
(4) hours prior to the time the installations are ready s '
for all contractors and sub-contractors.
(� ;jil( � ) — Address/ 5 `��OG(J_ _'
Owne- 'TOTAL PERMIT NO:S
NUMBER OF AMOUNT lotfice Uso Only)
TYPE OF PERMIT
ITEMS FEE ON EACH
-- 25.00 s. O O -
Sin to Family-1 bath-each 25.00
Duplex-Each-1 Lath unit _ - 10 0_ _0r`
Additional bathrovrns-earh_ - i r
16.00
Mobile Home Space-each _
INDIVIDUAL FIXTURE FEES 3,OU ---
1 to 60 Fixtures
in I buildinNeach 2 50 -----_—'�
61 co 100 Fixtures in 1 building-each -- 2.00 00�-
101 to 200 Fi>tures in 1 building-each 1.50 _
201 or more Fixtures in 1 building-eech
MISCELLANEOUS -- - -- _ 10.00
Building Sewer-1st 50 ft._ - 10.00 _ - --
_Sower-^ach additional 100
6.0n ._ I
Water 3erdce to build. Ing - 1000
Privet 'Vater System 2ch --
- i
Other (S ecii I
Cli(: 'or Plumbiog Inspection Phona 639.4191
PERMIT Piumbing Contractor BY
% State412, _._.
�) RECEIPT NO. Issued LY
TOTAL ��
■
(,O BUILDING PERMIT APPLICATIA CaF� TIGARD DATE���-T�___- t9__. �0
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 91-1I1-DERPHONE--
CIF; AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LUT NO.
f.LJ.L. 155A SLI Oaktr( j Lc- —.
G.NNER� � JOB ADDRC•�� _HOME ADDRESS _
I, i ARCHITECT _
BUILDER T.~ C° ENGINEER
_-_ ADDRESS _ L ESIGNERn
STRUCTURE "t-Qt NV W EIEDUCATIONAL
REMODEL QAnDITION �OREPAIR s ❑RENEWAL `,FItR-1E DAMAGE ❑DEMOLITION
�J RtSIDENCE LICOMM l_JEDUCATIIrO--��NAL ❑GOV'T ❑RELIGIOUS CIPAT10 ❑CAR PORT ❑GARAGE lJ STORAGE QSLAB ❑FENCE
DEIONO ❑MOVING 000NDITIONAL USE ❑DESIGN REVIEW ❑COUNCII-APPRGVED ❑SIGNS _
OCCUPANCY.., _LAND USE ZONE_ a BLDG.TYPE. _FIRE ZONE_ PLAN CHECK BY_ W HEAT__---
Lo t °t ink a.J 'e1 chat 88M8 as 3.;.a;..aGl� 7U1I1{n>rbrf lt., tJ 1.Hf 11 - _��..�.
f'rnma clot. 11irly W/FlLtuchod garage 2 bedruum 2 hath —
aQ—C,1S A0___—FLOOB-LOAl2 — __H_EJGHT NO.MQBJ _ f�REA _ AIS@EiI2ROOMS --Y�1.U�
BUILDING DEPARTMENT 181v,
SET BACKS_ _FRONT HEAR LEFT SIDE RIGHT SIDE
�)
Permit 136.ll _ — — --_
THIS PERMIT I5 ISSUED SUBJECT TO THE. REGULATIONS CGVTAINEO IN THE BUILDING CODE, ZONING
Plan Check Q.�[) REGULATIONS AND ALI. APPLICABLE CODES AND ORDIhI%kCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL RF DONE IN ACCORDANCE WITH THE PLANS ANG-'IECIFIC.ATIONS AND IN COMPLIANCE WITH
Sub-total 4(j.Qfl ALL. APPLICABLE CODES ANP ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE :OVENANTS. CONTRACTOR AND SUB CONTRer i'ORS TO 4AVE CURRENT CITY gJSINFSS
State'Tax , ,Qq LICENSE. SEPASMTE PERMITS REOUIRED FOR SEWER, PLUMBINJ AND HIvATING.
Total ],!.,1.Q,;
By
APP.LICANT OR AGENT—
Approved,—
GENTApproved 'U I Receipt No
--
DATE INSP- TYPE INSPECI.ON REMARKS PLUMBING DATE
Contractor _
Permit No. / S� 6
fOPq wvC 0 Rough-in
Fixture -
O
rT�, `� w -�, Final
HEATING
Contractor _
,_ �j ___��ISAwI�kDv— 1.,CAKS _ Permit No. / 0 2 -S 71
C1� _ Gas or Oil _
Rough-in _ —
.lM_...z' nn _ Final----
'Y'I�'� SEWER
Final
Q DRIVEWAY
-- -- Final -
__ _.. Storm Drainage
tAproach
n Drain) Final _
— _._m..
_
Side-walk
&Street Final
'�lBLDG DEPT. FINAL TEMPORARYCERTIFICATE OCCUPANCYCATE OCCUPANCY l
CLandscaping
Zoning Final
SEWER PERMIT' Na 1380.
Unified Sevaersge Agency
of Washington Couniy C I TY OF ]1 d L._..__.._. _ DAT E -.12,_-1 5-77 ._.T
T.O.C. � �... .�.._ ..._..__.__._ PHONE : -
OWNER 'S ADDRESSt
TYPE OF INSTALLATIONt `
BUILDING SEWER U]BUII_DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYt ? �:
Xn_ NEW �"JXMINGLE FAMILY COMMERCIAL.
❑EXIST . (PRIOR TO 7 ] -10MOL. T. RES. INDUSTRIAL
1
F"IX"TURE UNITS_ DWELI-ING UNITS .- _._..
PERMIT CONDI.TIONSt THE APPLICANT AGREES TO COMPLY WI FH ALL RULES
AND REGJLATIONS OF THE UNIFIED SEWERACE AGENCY . WHEN CALL1I14G FOR
INSPECTION, PLEASE REFER TO THE. PERMIT NUMBER. THIS APPLICATION
EXPIRES :N ONE-HUNDRED AND TWENTY ( 120 ) DAYS . 1I1E AMOUNT PAID W?LL_
BE FORFEITEv SHOULD EXPIRATION OCCUR.
FEESt
PERMIT FEE $ 25. ^_
CONNECTION CHARGE _ 600. _
SIDE SEWER INSTAL.L.ATIOCL
ISSUED BY
OTHER
TOTAL $ 625.
APPL_I CANT" DATC
^.. - SEWER PERMIT NO 13861
ADDRESS OF STRUCTURE .15550 S.W Qak ,eal-a1R
TAX MAP----..— TAX LOT __ SYSTEMFanna c.Leak _
LOT 554 _ BLOCK OF
APPROVED BY DATE 7 ISSUED BY DATE
bldg. #1820
REMARKS
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CITY OF TIGAPL)
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT Ci{ARG�
DATE 12-15-77 ESTIMATED SALES PRICE $ 450.
APPLICANT NACIE_,_,_T .D.C. ____TELEPHONE
JOB ADDRESS_ 15550 SW Oaktree Lane BLDG. PERMIT #_1-.020
AMOUNT OF FEE FOR S. D. C._ $300.
DESCRIPTION OF IMPROVEMENT ------
EXENPTISNS -PER ORDINANCE #77-26 -------
FEE RATES:
A. Single fami.ly dwelling unit under $60,000.------_--- 3300.00
B. Single family duelling unit over $60,001.------ - - 54UU.Ul)
C. Mobile Home Court Space (New Development)----------- S150.00
D. Multi-Family Dwellings--per unit------------------.-. S240,00
E. Commercial, Industrial r° Institutional(Park. Spece) U 50.00 each
F. Single family unit under 340, 000. ------------------ $250. 00
0
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 12-15-77 ESTIMATED SALES PRICE $ 45,900.
APPLICANT NAMF T.D.C. TELEPHONE #
JOB ADORF5S� 15550 SW Oaktree Lane BLDG. PERMIT # iA�n
AMOUNT OF FEE FOR P. D. C. 1100,
DESCRIPTION OF IMPROVEMENT S.F.
EXEMPTIONS - PER ORDINANCE #77-71
i
FEE RATES:
A. Single family dwelling unit under $40,000---------------$ 75.00
B. Single family dwdlling unit over $40,000.-------------_-$100. 00
C. Mobile Home Cuurt Space (New Development)---------------$'-tj7;-pII--
D. Multi-Family dwellings-•-Per uri.it---_-_.-.__----- ______ $ f,
CONSTRUCTIC,N IS LOCATED ON XXX S.F . N.W. SIDE OF S._..� PAOI.FOQ C
HIGHWAY . N.W . .is Park DistxTTct #I. 31F. is park District #11 .
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