15645 SW OAKHILL LANE-1 15615 SW OAKHILL LANE
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AOORr55 PERMITN 3 � �
PERMIT CHARGE none
OWNER / � CONNECTION FETE
PAID BY
'ryPE OF BUILDING __. DATE CONNECTED
SERVICE RATE _ INSPECTION FEE
CONTRACTOR PAID BY DATE aV
SIZE OF COWCTION _ � __. ASSESSMENT PAID
MINIMA IA
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�` Permit- - --53:00. —
elf �-i-�-,' i•e
Mechanical
City Permit
Ne"• Installation Pe.a'ace ❑ Relocation ❑ Addition ❑ AhiE ati7n -,' state
,Q J 10 T SA L
CO":T R ACT OR t 4',Ae _�'��1�-Sr'�-,�_ -G. OWN E R 11'Sd.rTiE?�.CZe�.�.._ ��J.►'��'_s�--—
ADnRE Qt� j i �� WORK ADDfiE551 (o�{.'S Lo AM
PHONE —�p S�_ __,_— APPLICANT_ ,- P_- ?eiAit�rS014?ID
Heat Input Rating (BTU Per Hour) HZ'S Cm�b� Vent Size Flue Size_ _
FUEL OIL ❑ GAS lam" E L E C? ❑ �07`F-1 E_R y____--_ _ _—_. __—_—_._._.-_ _.
ITEM NO. FEE ITEM NO. FEF
For Issuance of Permit _fCondition Co npressor 15 to 30 IiP� uM— 10AQ
Handling 10, CIO
New- Under 100,000 BTU _4.00 _Air 000 CFM_ —
New. 100,00 RTU &over �_^—� _- 5.0b7- Air Handling Over 10,000 CFM 5.00
--- ------- --------- -
Floor Furnaces 4,00 Evaporative Cooler --_ 3.00
— -- 4.00 Range Vent Fan 2.00
1Nall Fluo; Suspended __-- --_-- _.__-- --
Install Vents Only _ 2.00 Vent System 300
3001
Repair • Heat & Cooling 4.00 Hood Comme,cia
_g_ _ _._��—_ _. _ —__�__ _ --
Air Condition_Compressor Undcr 3 WP—� - _ 400 -Commercial Duc; System
%ir Condition Compressor 3 t6-1'5- HP _ 50
INSPECTOR'S COMMENTS__-__ --
CITY BUSINE�'S LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY —._- ----- — DATE ISSUED BY -- —,/— DA6TE _
RECEIPT NO._-�____.
Cinn�tioro of Annlmanf
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II1w ■v" P
M
I,BUILIJING D"PARTIVIENT, TIGARD No,
p. q, RX 119 PLUMBING PERMIT i
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the I_'umbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notifiFd nOL less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractoorrjs. X, 4 ,JIJkl
_ Add res --I;l Date-Z/ 1
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
1L._S I.PE-NLLI A L._
Single Family-1 t.rth-each v'" 26,00 D 3 G c
Duplex—Each 1 bath uric _ 25.00 _
Additional bathrooms—each ^a 10.00 f�r�
Mobile Name S et.e—each 16,00
INDIVIDUAL FIXTURE FEES
1 to 50 Mxtures in 1 building—eaci, 3.,10 _
51 to 100 Fixtures in 1 buildin —eoch 2150 .
101 to 200 Fixtures in 1 building—each 2,00
201 or more Fixtures in 1 building—each 1,50
MISCELLANEOUS
Building Sewer-1st 60 ft. _ 10.00
f 5ewor—each additional 100 ft. 10.00
Water Service to building _ 6,00
Private Waier Systems—each 100 ft, 10.00 _
Other S ecif
PERMIT 3-�00 For Plumbing Inspection Phone 639.4191 ,
'6 state4o / Plumbing Contractor 13y
TOTAL REMPT NO. Issued By
4.,
..... .....,.,,.......,r•»•-.. ,. --,.... ...,....,y.......u.....,........., .......,...y,,..,e.•^wow r^Yr•�yn^r+s�..... Imm ,�M'q'-"'^1^gy+M*••.•.....�...--
�� BUILDING PERMIT APPLICATION Cuy TIGARD DATE r�-lei-?7 1717
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE C}" �•r
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
LOT NO._.
OWNER JOB ADDRESS_ 15645 SU Gakhill t 1 i 1-#OMC ADDRESS
_ ARC.HIT Cr
ENGINEER
BUILDER ADDRESS +_ DESIGNER_
STRUCTURE 0r,#EW ❑REMODEL ❑ADDITION — ❑REPAIRv ❑RENEWAL []FIRE DAMAGE ❑_DEMOLITION
Q RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑FIE:LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BONS MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —�
OCCUPANCY..—LAND USE ZONE_._. -BLDG.TYPE FIRE ZONE-- PLAN CHECK BY__..._ HEAT
Lut =; JC31 Fontaine r• iz><t fuc, ,nmy as ln,)S I,► Greenleaf' Terrvt_.
frame bldge townyouou come well W at0ched yargge 2 bedr .am 2--;,
?:.---`_-_- --_—
QQ"QA..0 —F1.QAQR-SAD _ HEIQHT SJR.STORIESAREA . NQ,HF.DROOMS=— VAL JO f 610le
BUILDING DEPARTMENT "'O '3�' t
SET BACKS FRONT REAR LEFT SmF IF�I�HT GIDE D
Permit _-
-_— THIS PERMIT IS ISSUED SUBJECT TO THE IIIEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE.
WORK WILL BE DONE IN AC:CGROANCE WITH'rHI"PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 164.0() All APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax JCJ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total .f f•Ls ,.jou'.
By
-----a- — ------ AP C.AN7 OR AGENT ....�
Approved Receipt No.
—
ADDRESS — ------- --
I — —
UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
lo-2o-111 .e� — _ _—__ Contractor
Permit No_—�i " r
-/C)-,), 1J ��--- Rough-in
Fixture _
Final^- —
y. HEATING
Contractor
zz �Z ._ 13-9 i
Permit No. �—
Gas or Oil
Rou in
— _ Final
SEWER
— Final _
-----'DRIVEWAY
Final
Storm
;Rain Dram) Final
-�^— -- Sidewalk
Curb&Street F,nal
A roach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
zoning Final
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SEWER PERMIT N° 1.3782
Uf4
Unified Sewerage Agency
of Washington County C IT OF __j i (LLLd DATE 9-14=77
OWNER : T.D.C. _— PHONE : 639-3101_
OWNER ' S ADDRESS; _—
TYPE OF INSTALLATION:
>OMILDING SEWER F (BUILDING SEWER AND SIDE: SEWER
TYPE OF OCCUPANCY:
X>01NEW >0ASINGLE FAMILY � COMMERCIAL
❑E'XIST . (PRIOR TO 7-1-70 ) Ej MOLT . RES. ❑ INDUSTRIAL
FIXTURE UNITS i DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONSi OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) GAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 2.5.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL 625.
APPLICANT DATE
DAYS or T;;E
AnVF_ DATE, SEWE.H SERVICE
CHARGE WILL BEGIN FOR THIS
PERMf1 SEWER PERMIT N° 13 782
ADDRESS OF STRUCTURE 15645 SW Oakhill i.ate
TAX MAP TAX LOT SYSTEM_fantao creek
LOT 581 BLOCK OF
APPROVED BY DATE IS U�BY DATE
REMARKS h1do. if_ 7 --
ci,ry OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
71
DATE : ESTIMATED SALES PRICE -
APPLICANT NAVIE. i TELEPHONE
JOB ADDRESS B 1-0 G P F_R M I T
AMOUNT OF FEE FOR S. D. C .-
DUSCRIPTION OF IMPROVEM'.11T
EXEMPTIONS -PER ORDINANCE
FEE RATES:
A. Singla family dwelling unit under ---------1�2300 00
U. Single fnmily dwelling unit over ..)400. 0n
C. Mobiln Home Court Space (New Development)--------- 15150. 00
D. Multi-Family pwellings--per unit----------- '5240,00
E. Comm9rcialt industriol & Ins titutional(Pat,k. Space) Si Fin.00 each
F. Single family Unit L10der 100,000- ----- ------------ ?5n O0
-
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE • �'�y'%� "' ESTIMATED SALES PRICE
APPLICANT NAME TELEPHONE #
JOB ADDRESS ,� % ` <.: « �yt' ,t _ BLDG. PERMIT
---�---eY ,1[
AMOUNT of FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT
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EXEMPTIONS - PER ORDINANCE #77-71
- - f
FEE RATES :
A. Single family dwelling unit under $40, 000- -------------$ 75.00
B. Single family dwelling unit over $40, 000- --------------$100. 00
C. Mobile Home Court Space (flew Development)--------------$ 50. 00
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON 4- S.W. N,,.E.. SIDE OF S.W. PACIFIC
HIGHWAY . N.E . is Park District #I . S .W. s Park District #1I .
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