15650 SW OAKHILL LANE 15650 SW OAKHILL LANE
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ADDRESS =-��_ f}, , .i �: 1�L PERMIT NO. rG U
PERMIT CHARGE ,none
OWNER CONNECTION FEE
PAID BY C
TYPE OF BUILDING; � /'C DATE CONNECTED
SERVICE RATE �r INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE Or CONNECTION ASSESSMENT PAID
�� �/751
W
IOHN E. P('Jl,1BING,1g BUILDING DEPARTMENT, TIGARD NO.
N. 0. FA 129 PLUMBING PERMIT �__--
__ H[Vi b',U, i,",girl 91132 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 installations ar'edy for inspection. City of Tigard Business License required
for all cod tractors and sub-contractors. 4).� .6 J
Address/5&60 eS LLr'P�� �ate—
�~ NUMBER OF TOTAL PERMIT NO.'S
TYPE or PERMIT ITEMS FEE ON EACH AMOUNT (Office Use On'y)
Singla Famil -y t bath—each _ - 25.00 1t'I
quplex�--Each t bath uni: r 25.00
Additional bothrooms—each 10.00� _
Mohlle Home S ace—each 16.00
[INDIVIDUAL FIXTURE FEES
t to 50 Fixtures in 1 building—each 3.00
61 to 100 Fixtures in 1 building—Lech _2.50
101 to 200 Fixtures In 1 buildln --toed_ !_ 2.00
201 or more Fixtures in 1 building--emrh 1.50
M ,SCELLANEOUS
qq!ding Sewer—lit 50 ft. 10.00
Sewer—each additional 100 ft.' _ 10.00 !
Water Service to building 6.00
Private Water Systems--each 100 1.. 10.00
Other (S ecl.
PERMIT For Plumbing lnspertion Phone 094191
Statell, Plumb;ng Contractor By
TOTAL RECEIPT NO. Issued 8y
�N
i
i
b
^i i Of t 1clard MCC Ilical Permit � F .5
c y _
Re',laca L� Relc,cation [] Addition ❑ Altr:ration J1 4r,%� State --
Nevv Installation -
ACTOR
CrINITRACTOR
WORK ADDR:SS1�psC _.�
ADr)r ESS0,•F311 ljjjw, 111
�
�.•. � Flue Size_,
PHONE Vent Size -.-
Heat Input Rating (BTU Pe; Hourl_.___ J.• - -_-
FUEL OIL ❑ GAS ELECT n OTHER �_ --- --
ITEM NO. FEE
ITEM N O. FEE _ - - -- -----'-� 10.0(
3.00 Air Condition Compressor 15 to 30 HF'
For Issuance o' permit �— -�--�- Air Handling 10 CUf1 CFM_ __
__ _ _4.00 _ _ 5.0C
New Unde 100 OOD 5TU --__._ 5 0� Air Handling Over 10,000 CFM 3AC
New. 10G 000 BTU & over - - �� - -4.00 �Evaporative Cooler u --_ _ -_-- -
Floor Furnace _ _ _ -----•- ----- 4.00 Rrnge Vent Fan _ ___•_— g Of
Wall Floor •Su Pended __----_ _ _-__ _ -7.00 Vent System
4.00 _ _
Install Vents QnIY Hood Commercial — -----
Repair
Heat-& C001'"9 _ -4.00 Commercial Duct SN's!em
-. -
nirr :� HP
Ait Cooclit,on Corn Pr„<..n U - __ 7.50 --._-
-- -.. '1t 1r HP -
r r*n Col-PIE'”
_
\ir Conc. r .� -
TY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR S BBYCONTRACTORS - _ DATE --, --
CI ISSUE
APPROVED
RECEIPT NO._ -- Cinnatrno r.f Annliaent
,i
Y
CITY OF TIGARD
ORDINANCE 7'77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : 12-15i-77 i ESTIMATED SALES PRICE $ 55,000-
APPLICANT NAME T .D.C . TELEPHONE
JOB ADDRESS 15(;50 SW Oakhml.l lane BLDG. PERMIT
AMOUNT OF FEE FCR S. D. C. $300.
DESCRIPTION OF IMPROVEMENT S.F .D.
EXEIIPTI`7NS -PEE' ORDINANCE -177-26
FEE RATF5:
A. Single family dwelling unit under 360,00O.----_.___ $300. 00
B. Single family dwelling unit over $60,000- -------- T4rjr_-T _
C. Mobile Home Court Space (New Oevelnpment)- -------- $150, 00
D. Multi-Family Dwellings_.-par unit-----,---------------- $240.00
E. Commercial, Industrial & Institutional(Park. Space) $ 50.00 pact)
F. Single Family unit undor $40,000- ------------------- $250. 00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 12-15-77 ESTIMATED SALES PRICE 55, 00.
APPLICANT NAME T.D.C . TELEPHONE
JOB AODRES:, 15650 5W Oguill_Lae BLDG. PERMIT 1819
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT_— 5 F Q�
EXEMPTIONS - PER ORDINANCE #77--71
FEE RATES:
A. Single family dwelling unit under $40, POD.------------__$ 75.00
8. Single family dwelling unit. over $40 , 000----------------$1.00. 00
C . Mobile Home Court Space (New Development)----...D. Mul ci-Family dwellings-....per unit-_- - -- __---_-_._- ___ 60. 00
CONSTRUCTION IS LOCATED ON XXXS.E. N.W. SIDE OF S.k) PACIFIC:
HIGHWAY. N.W . is Park District #--I. S.E is Park District. #II .
BIJILDING PERMIT APPIICATIGN " TIGARD LATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BCJILDERPHONE__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPAONF _
i 1 LOT
OWNER JOB ADDRESS _ HOME ADDR;T _
ARC ITECT
ENGINEER
BUILDER r ADDRESS _ DESIGNER �n-1�
STRUCTURE 'QNEW ❑REMODEL _ ❑ADDITION ❑IREPAIR []RENEWAL ❑ `J
FIRE DAMAGE _ DEMOLITION
❑RESSIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T 0RELIGIOUS OPATIO ❑CAR PORT QGARAGE CISTOPAGECISLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED QSIGNS
OCCUPANCY I LAND USE ZONE_�� ..7 BLDG.TYPE_` FIRE ZONE— PLAN CHECK BY_
"5t)'t Smk raisous some as 15613 SU :iummerfield Le.ne --
f'rnmra dwollinq w/tatt ached garage 3 bF3drtJ,Jt11 3 t3ath
13,OuU.
4_C.C_,LOA 2_ FLOOR LOAD
BUILDING DEPARTMENT SET BACKS FRONT REAR J LEFT SIDE I" '� RIGHT SIDE
Permit 1 *5 (J — ------------------- __ .__----__
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check loot)() 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 ANO IN COMPLIANCE W11114
Sub-total 7Lj�Q[) 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 6,64 LICENSE,. SEPARATE PERMITS REQUIRED FOR SEWER, PI LIMf1ING AND HEATING.
:+siJ.l,. wDt,IJ.
Total --- 102.64 W.D,C• #2 $1C�U.
APPI.I[.ANT OR AGENT
Approved Recein' No.
IO �■► LIR S II■► � �
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
_ _.,Z, Contractor - - -
-IQ-�� Permit No.
Fixture
Final —�.--
>_.,�1 �)e,4,-Cf cle Q11 —v HEATING
O f< — Contractor ) q
. / 2. 2
J�erm.�No as or O — —
�� Rou }n
—z Final
SEWER
Final
DRIVEWAY
— — — ---- ------ Final — --
_ Storm Drainage
(Rain Drain) Final
— - -- — —-- --_ ----- Sidewalk _ —
Curb&Street Final_
9LDG DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
. M
...
f+ •�• �i.Kft ;i;;�-.., i��, tit' f " _
N
SEWER PERMIT
M 13860
Unified Sewerage A3ency
of Mlaahington County CIFY DF ___Li� !i'U DATE 12-1577---
OWNER . —— T.D.C. P H O N E t_
OWNER 'S ADDRESS t ,__
TYPE OF INSTALL.ATIONt
4xgUILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XDNEW XS I NGI.E F=AMILY COMMERC I At.
EXIST . (PRIOR TO 7-1-70 ) MU1.1 .. RES, (� INDUSTRIAt-
FIXTURE UNITS-�� U)WELL. ING UNITS -1, __
PERMIT CONDITIONS: THE APPLICANT 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 ONE--HUNDRED AND TWENTY ( 120 ) [SAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIP.AIION OCCUR.
FEESt
PERMIT FEE $ 25.
CONNECTION CHARGE _ rfin
_-
SIDE SEWER INSTALLATION
ISSUED B Y �.-.,_.._...
OTHER
TOTAL $ 625.
(,)APPL. I CANT (NATE
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t.. 3 SEWER P"ERNIFT N! 13860
ADDRESS OF STRUCTURE 15650 SW Oakhill Lane
TAX MAP _� TAX LOT _ SYSTEM fannu creek
LOT 557 BLOCK —OF _
APPROVED BY DATE ISSUED BY DATE
REMARKS...__,_.._._ bldg. 1819
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