15555 SW OAKTREE LANE 15555 SW OAKTREE LANE
I
a
c
ro
_J
N
-4�
ro
0
co
m
i)
un
to
1
1MV
C` y oi- I I C, L'A i3O Nlechatlical rer.,1111
q Ahi'ration
ln5,,f.a!,on e:)!ace ❑ Relocation FJ 4)11 Stale
C-C%TRACTOR
WORK ADDRESS�_CU-w,'Mr
ADiOR-ESS___p
0pjr_T
PHONE APPLICANT
� Ie izv
Heat Input Rating (BTU Per Hour++ Vent Size
FUEL OIL 0 GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit
3.00 Air Condition Compressor 15 to 30 HP 101
Air Handling 10,000 CFM ax
New-Under 100.000 BTU 4.00
Nev)- 100,000 BTU & over I 5.00 'Air Handling Over 10,000 CFM 51
Floor Furnace- 4.00 ative Cooler .- 3.
Wall - Floor -Suspended 4.00 Range Vent Fan 2A
Install Vents Only 2.00 Vent System 31
Repair- Heat& Cooling 4.00 Hood Commercial 3C
Air Condition Compressor under 3 HP 4.00 Commerciiii Duc% System
Air Condition Compressor-5 to 15 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUR-CONTRACTORS
APPROVED BYDATE ISSUED BY DATE
---
77RECEIPT NO.
4 Signature of*Awican(
T"L
A 00RE 55 PERMIT NC . k,
PERMIT CHARrjE none
OWNER CONNECTION FEE
---
PUD By -7
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE ' INSPECTION EEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
�2
101IN E. REC111A90T PIBHBiMG,IhCBUILDING DEPARTMENT, TIGARD NO
P, q, B0X 129 PLUMBING PERMIT i
NES IEG, 97132 , 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 insvillations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. '104
/ n `
Own 7L �tlt.(_I �� _ Addres L��� �f�- ��
NUMBER OF TOTAL PERMIT NO'S
TYPE OF PERMIT ITEMS FEE ON FACH AMOUNT (Office Use Only)
i
Single Family-1 bath—each _ 25,00
Duplex—Each I both_unit_ _ _ 25.00
Additional bethroorns—each a 10,_00_
Mouile Home Space--e ach ,i 15.00
INDIVIDUAL FIXTURE FEES _
1 to 60 Fixtures in 1 building—each 3,00
51 to 100 Fixtures in 1 building—each 2.50
101 to 200 Fixtures in 1 building—each 2.00 _
201 or more Fixtures in 1 building—each 1.50 I
MISCELLANEOUS
Building Sewer—lit 50 1t. _ 10.00 _
Sewer--each additional 100 ft. _ _ 10.00 _ l
Water Service to building 5,00
Private Water Systems—each 100 ft. ¢_ _ 10.00
Other (Specify): _
PERMIT For Plumbing lnVertion Phona 094191
96 State Plumbing Contractor By
TOTAL RECEIPT NO. Issued By
i
I
1
i
I
...�._...vw..w�..w.r,. ...•'..'-.a.�Ywnronawwro ,.................,. -. .... .......:..!%M.r...a.wn."Pn•rwsV"N3"W"I•..1.....�u.w.w._+aw..•...�..Mw-.-..v�r1f-.�++r.f•1ro-w..f.-.,...r._-•.YNxMAn+n
BUILDING PERMIT APPLICATION 1O1F TIG,ARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN iE ACC.IMPANYING LLANS AND SPECIFICATIONS OWNERPHONF
LOT NO.
OWNER _JOB ADDRESS 5w Qui, HOME ADDRESS
— ARCHITrCT
--I M ENGINEEke
OU1LDER �s� _^_ ADDRESS DESIGNER _
�SyTRUCTURE 04tW O REMODEL ❑ADDITION ❑REPA(R ❑RENEW�A7L. ❑FIrR�E DAMAGE r t [:]DEMOLITION
0 AESIDENCE ❑COMM ❑EDUCATIONAL. OGOV'T ❑RELIGIOUSOPATIO ❑CAR PORT OGARAGE OSTORAGE — SLAB []FENCE
❑BOND OMOVING OCONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED OSIGNS
OCCUPANCY_—e.-LAND USE ZONE—t,——, BLDG.TYPE—,-- _FIRE ZONE-- PLAN CHECK BY ait1J � HtAT_M=y
t_�Tt i+icla>rh�At�z• xF�.�sal�c� �Iem�:� . i;�ral�rllc�l�f T+�x•i.;� �-
— rattc-. h vd t rgt±wa Gwsllin 6 ulattar;ti tl. ad�.titls,tt�
oc _-F1.2Q.P_LOAQ__..__.___--REI HT--.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 157.00 —
THiS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOs111NG
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANC IT IS HEREBY AGREED THAT THE
�— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 167.OU; ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE13S
State Tax 6,r 6t LICENSE.SEPAAgTE PE�MITS p QU1RED FOR SEWER, PLUMBING AND HEATING.
Total 1 3. W? •�.)• .• j.L � ♦
By ----——-- _ —
APPI.I.I"9NT OR AGENT
Approved— - Receipt No
ADDRESS
....,:a..,s...:..::,.i.,....,;..,o.....e,..:..,,....,,c,..�.+,,ww,,.ti�uawwawa�•.,�,ur.t..;w.ky�w..i.:+«.�ti�w.�iaw��:...
w t W 11111111! w
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
--- Contractor
Pa.'m
ft mit No. /23- 12-
Rough-in
iJ Fixture
Z� Final
17
It) 4V HEATING
Contractor
Permit No./P-5—b
Gas or Oil
Rough-in
—— -----
Final SEWER
Final
DRIVEWAY
Final
Storm Drainage_—_
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
CZoning Final
iM. ..r+..www+........,.....w..»..r.W...w...rwx.......+..w....w.v...wrw...w...a.e,nww.a..w,......w»«. ...,..-.«w„r.....:.. ..-.n....ca;.,,.....a....n.»_.:....a...«........_w...,�.:.........,....... +rirrrr.tw......s'«sw/w...
SEWER PERMIT N? 77
Unified
•
Uf13796nified Sewerage Agenc-
of Washington County CITY OF-- Tioard DATE 9--22-77 _
OWNER: •r.D.C . PHONE :�
OWNER 'S ADDRLSS: __
TYPE OF INSTALLATION:
❑%UILDING SEWER ❑RUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
QDIEW XFXSINGLE FAMILY ❑ COMMERCIAL
[:]EXIST . (PRIOR TO -1--l- 70 ) ❑ MUL.T. RES. ❑ INDUS'TRIAL
FIXTURE UNITS DWELLING UNIT _ 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGFNC'P . WHEN CALLING FOR
INSPECTION. PLEASE REFER TO THE PERMIT NUMBER . 'FH.IS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
TOTAL $ 625.
APPLICANT _ BATF
17u'iE lA� .
ala 4,01r. E31�i' r SEWER PERMIT N 13796
ADDRESS OF STRUCTURE 15555 SW Oaktree Lane
TAX MAP TAX LOT SYSTEM_ fanno creek
LOT J03 BLOCK _OFA _
APPROVED BY DATE ISSLIED BY DATE
4
REMARKS. bldg. #1724
1
CITY OF TIGARD
LRDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : /-7 ESTIMATED SALES PRICE $ $` / oco �=
APPLICANT NAME TELEPHONE _
JOB ADDRESS /55`3 — lam` , ./2 L�_c� BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C . 0 0
cy
DESCRIPTION OF IMPROVEMENT `_
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40; UO0.------------- -!b..,00
B. Single family dwelling unit over $40, 000. ------------ T165*U.,O_O
0.-a
C. Mobile Home Court Space (New Development )-------------
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ONy"' S.W. _N.E . SIDE OF W. PACIFIC
HIGHWAY . N.E . is Park District #I. S.W. is Par ist pct_ X3 ,
I
CITY OF TIGARD
ORDINANCE 7jj'77-26
STREET SYSTEM DEVELOijf,1FNT CHARGE
DATE : L�.a _Z7 y ESTIMATED 5",LES PHICE
APPLICANT NAME , ;� �/ (� TELf.PH0NE ;f
:100 FIUDftESS*f� BLDG. PERMIT
AMOUNT OF EEE FOR S. D. C.
` C7 G
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER 0RDINANCF i,77-26
A. Single family dwelling unit under 160,000.-------- 130(1.0-0---)
0. Single family duelling unit over 360, [)CJS`. -------- J0. 00
C. Mobile Home Couvt Space (New Development:)---------- �.1r)0. 00
D. Multi-Fomi.ly Dwellings--par unit--------- ------ ;12110.00
E. Commercial, Induntrial & I(19titutional(park. 5pnce) is 50. 00 each
F. Single family unit under "40, 000. 1250. 00
zIui
+ � i o QI f II Ij o < U � � ( '- z � �
I C o
p C t Z1 ►- u ULU� - tnU
ul S < n,l � � Coz
o) ❑ I ❑
> v .
LJ " U ~I� onn ~ - I�
L� G
u G• v u I SII 7 Z S W_
-�i o
c a (� ° � � � ; z
❑ ul C ? <
< c ILI
II d uu CC7
ZLl-< � j-j U p ! zo �, zUZ
G z+I z r1 o � Qa ^ '�
' Q �' O ? u ZZQ OJ
1 z J W } f f--tl J o � m i t
CI+ L� c c7 rOdvC2
_� u Oar
U LJ O IJ � rIU4 XO
V d 0
v ? ❑ > Z O u! v ! 4zamI
o, 0 Z OO
IU C C7 `I Fp-• g gC g, v
w � ❑ �, ti I � < < w J
t.... , O ' Uvpti ^ n I'
r
� n I -Wi1OCc. H
I ? _ U M-
_IV U N JU< JN. d
irr Q u' I r z L'J u 1 ? O t, II•
CI CZ-jit O CI IJ 0. ! a T F :3pW UvFJ-
G ❑�Ipl O x CP2 - ).-i Z + /11�1(►I Vfn�l
r U' lJ { w< UI
O I () <; 1:6
Yr 1 ct
u:
? -i zlrl �- 1 � u
-� <I 0 ! yutolu) U u
j of of ❑iI _. - - ---
G p u i U.,
ZI
G W ❑ wl� 0,I a � of ;r,:
�.. 0) !,• .J.
I 1cj
C•
_t
ol
cr
LL 1
J
vf=1 C uII Zc
LU
c C
ro
1