15675 SW OAKHILL LANE l`_6'7'7z SW OAKHILL LANE
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Iddress / 7 S �� :/� ��1. . Permit No.
Permit charge Z?C'Z2 Z.
Ouner. Connection fee /,I
Paid by
Type of building _ .` Date connected
Service rate '�� —�-
]nspertion fee „� S
Contractor ..__ Paid by _ date
Size of connection Assessment Paid
City of I fgar i MccliatificaI Permit NY
�e:r.a_e �� Relocation [� Addition ❑ Ahi-rasion A4 *,' State ____ ► _-
Nev., Instil;ati0n �
TOTAL_
CONTRACTOR J�k�lttkS-.�`_+�J�4��---�=���
Ap13RESS �/,Q, b.�-.. -.�..LBe�- -�1V�A�S WORK ADDRESS
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APPLICANT 2 /4t=Shy_l,L7. lf'�
PHONE ` �'i-1 �2 -_---- 'f
HPai Input Rating (BTU Vent Size
-. Pet _�) �T-�;._�__ _--
FUEL OIL UGAS l✓J ELECT ❑ OTHER_... _.-.._ _.____----- -- -----
ITEM NO. FEE ITEM NO. FEE
—`--`- 3.00 Air Condition Compressor 15 to 30 HP
For Issuance of Permit - �'' 3.0C
New- Leder 100,000 BTU _ 4.00 _Air Handling 10,000 CFM
5.00 Air Handling Over 10,000 CFM 5.01
New• 1bU,000 BTU &over_ __ _ _ _------ — 3.0C
Floor Furnace —�—� �_ 4.00 _ Evaporative Cooler __
_4.00 Range Vent Fan 2.00
%Vall • Floor Suspended _ - 3.01
Install Vents Only 2.0_0 - Vent System
4.00 Hood Commercial 3 OC
Repair-HPat & Cooling
Air Condition Compressnr Under 3 Ht' _ 4.00 Con_tmercial Duct System_-
-•---- 7.50
-Air Condition Compressor 3 to 15 H^
INSPEUTOR'S COMMENTS _ -- ---- - - —`- -
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
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APPROVED BY, - DATE ISSUED BY4�, DATE
RECEIPT NO. +�C!
774 Signature of App cant 1_- 1
ti
JUN E. 9i P ptG,I!il:BUILDING DLPrtI{ E MEN I, TIGANL7 NO.
P. 0. E'A A PLUMBING PERMIT
i;E 91131 __ holder of a valid plumbing contrat tors license is hereby
authorized to cause plumbing work as herein rioted to be installed in accordance With the plumbing code of
Tigard. Such install,.;tions require inspection by the City ;nspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for insTtiori. City of Tigard Business License required
for all conyactors and sub-contractors. X,, ,4 :g�-"�
Owner � ll �lL-Vii.-zt��QCcJ �d0 _ AddressL ,(,-,.2J_��/CJ__ !<�iil_�cDate_!/i1'
NUM"ER OF TO7At PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
HE_.51Q�iLAI—_ - — r�
Sin le Fmnll —1 bnth—each _ 25_00
Duplex—Eoch 1 bath unit 25.00 _ w
_Additional bathrooms—each 1U.00
—_Mo;iile Home Space—each _
15.00 '—
INDIVIDUAL FIXTURE FEES _
�1 to 50 Fixtures in 1 building—each 3.00
51 to 100 Fixtures in 1 building_aoch — —� 2.50 — y
101 to 200 Fixtty+s in 1 building—ouch 2.00 _
201 or more Fixtrres in 1 buiidin —each— _ _ 1.50
M_ I_SCELLANFSUus _ ---
building Sewer-1st 50 ft. s� 10.00
Sewer—each additional 100 ft. 10.00
Water Servica to building 5.00 T
Private_ Wet^r Systems—each 100 ft. _ 1U 00 —
other (Specht')' _ -- —" -----
PERMIT For Plumbing Inspection Phone 639-0191
96 Stateyjo /sin Plumbing Contractor By
_TOTAL RECEIPT NO. Issued f:y ___
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CoFGARD GATE_ {�_ L'•�r i----- 19 '!
� BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREI3" APPLIES FOR APERMII FOR THE WOnK HEREIN INDICATED BUILDERPHON17
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ — -
LOT r r,._
T �`I
OWNER JOB ADDRESS r'i � GiI �1J .4 i i,J40ME ADDRESS
ARCHITECT
ENGINEER
BUILDER _ ADDRESS DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDI TION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
QAESIDENCE ❑COMM DEDUCATIONAL UIiOy'T ❑RELIGIOUS❑PATIO �JCARPORT DGARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND ❑MOVING _ ❑CONDITIONAL USE ❑DESIGN REVIEV'Y_ ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE _BLDG.TYPE _FIRE ZONE-2- PLAN CHECK BY_ �'1'� HEAT_
,7, ijuntergy rrd`,SvuO si;tlnw as k u..«, :;:41 Grwwnjua: T®t«r.aiLU
__. _IrmG h1cin- 1Eaunhoutre cam, u"11 u/rAt.ta ed _eiArAUga 2 hrarir-icie 2
S?SS«LS�3R� _��L(JIIH1QtAD _ NEISikll� NO.ajQRLF3__LAREA '+_ .NQ,�E[?31]4M' VALUE.., ( L..,
BUILVING DEPARTMENT SET BACKS FRONI 11,0. ^EAR 23 LEFT SIDE RIGHT SIDE GLIM_ WA1_
Permit a.27.�;ei _THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T!tE BUILDING CODE, ZONING
Plen Check 10.UCi 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
Sub-total S7.0(1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
^ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax .48 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 144" 68
AP (CANT OR AGENT
AK,provefi � Receipt No.
AD SS
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UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
t) 10--20-j'? Contractor
Permit No. // S3
Rough-in
Fixture
7YFinal
HEATING
Contract
or
Permit No. J l2"13" ��/
_�— __.�____��_--------__—_._ Gas
2 -13-
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY 0k,
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
S
F
Storm
(Rain Final
Sidewalk
1
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wD
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Curb
F7 [Aoach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE UCCUPANCY
CERTIFICATE OCCUPANCY Final
landscaping-i caping
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Zoning Final
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SEWER PERMIT M 13785
Uf 4nfied Sewerage Agency9-14–77 t
of Washington County C ITY OF Tigard DATE r
OWNER: T .D.1 ^ PHONE
OWNER ' S ADDRESS=
TYPE OF INSTALLATION:
XX BUILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
@44
EW XE3 SINGLE FAMILY ❑ COMMERCIAL
L❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
UNITS
DWELLING l
FIXTURE UNITS ---
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 PERMITNDABYSR • TTHIHE AMOUNTICAIIOWILL
EXPIRES IN ONE–HUNDRED AND TWENTY
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMI FEE $ 25.
CONNECTION CHARGE 600. _—
SIDE SEWER INSTALLATION —
ISSUED EY
OTHER
TOTAL_ • $ 625.
PPLICANT DATE
lys OF IJ
ATE, Sl.l4ER SFRV!CE
C"ARGE WILL BEGIN FOR 'HIS
PER>M11. SEWER PERMIT N" 13'785
ADDRESS OF STRUCTURE 15675 SW Oakhil: Lane
TAX MAP TAX LOT _„_.. SYSTEM fanno rree!c
LOT 578 _ gl_Or,K OF_
AFF ROVED BY DATE IS4su BYDATE
bldg. #1711
REMARKS
CITY OF TIGARD
ORDINANCE ;, 77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE :' ESTIMATED SALES PRICE
APPLICANT NAIIE� - TELEPHONE �1
JOB ADDRESS /�y'�'��.� ��f„�,�H BLDG. PERMIT
AMOUNT OF FEE F OF S. D. C .
DESCRJpTI0N OF IflPROVEMENT
EXEMP"f rIM i --PER ORDINANCE �#77-26 .�
FEE RATES:
A. Single family dwelling unit undor 160,[100.-------
H. Single fami.ty dwol.ling unit aver IGO,OOO--------- 4,mo-�
C. flabilo Homey Court Space (Naw Develapment)---• -------- $150. 00
D. Multi-Family Dwellings--per unit--------------------- ' 240.00
E. Cummorcial, Industrial & Institutianil.(Park. Space) 50.00 each
F. Single Family unit under X40,000. ----------------- $250.00
i
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
:
ESTIMATED SALES PRICE
DATE
c ' TELEPHONE #
APPLICANT NAGE _ --
JOB ADDRESS '✓'� C^ (CYt '` BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C.
I
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000. ------
-------$ 75. 00
B. Single family dwelling unit over $ 40, 000.--------------$10Q,.010'50. 00
C . Mobile Home Court Space (New Development)--------------%
er unit------
D. Multi-Family dwellings--p -----------------S 60. 00
CONSTRUCTION IS LOCATED ON S .W. N.E. SIDE OF 5.W. PACIFIC
^-4 HIGHWAY. -F-
N.E. is park District #I . CT--}a -�a�$=- �1£�- I ' "x
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