15685 SW OAKHILL LANE ��ijrj IM' A-LwAV!-M [I
15685 SW OARHILL j_?,NE
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ADDRESS PERMIT NO. / 3
PERMIT CHARGE none
OWNERCONNECTION FEE
PAID BY
TYPE OF BUILDING GATE: CONNECTED
SERVICE RATE _ INSPECTION FEE
CONTRACTOR PAID BY DATE_
SIZE OF CONNECTION ASSESSMENT PAID
City of ard Alt,chotlical perimit "T Permit-
Fee— Go
New Installation RelocaTion Addition Alteration state---'12—
C W-N'T r.A C T
ADr)RESS
WO R K A D D R E SS
&k4j
HONE (n ICANT
PHONE APPL
Heal Input Rating (BTU Per Hqw) Vent Size Flue Size,
FUEL OIL L.J GAS �ELECT CST
OTHER
ITEM NO. FEE ITEM NO. FEE
Far Issuance of Permit Soo Air Condition Compressor 15 to 30 HP 10.00
14-e—w—Under 100,000 BTU 4.00 Air Handling 10.000 CFM
006 P Q& over 5.00 Air HandlingOver 10,000 CFM 5.00
Floor Furnace -- 4.00 Evaporative Cc j:fle r 3.00
Fan Wall -,Floor-•.bLapWnrfed .00 Rang= 2.66
-ly 2.0 System 13 00
Install Vents On a Vent
Repair - Heat & Cooling '1.00 Hood 01)
Air-—C-o-—nd'i,Iic—" e-s*'-;0—rUr-de r-3--H.—P
400 Commercial Du c: Sy stem 10IOC,.
',ir Condition Compressor 31o15HP I 7.50
INS F
CITY B I FC, LICENSE REOUIRED FOR ALL CONTRACIORS OR SUB-CONTRACTORS
APPROVED BY.------.--- DATE ISSUED BY_ RATE
RECEIPT NO.
Strinaturp of ArilelrantL
1CNN E. Pl'rlMRiN6,111tb BUILtaING DEPARTMENT, 1IGARD NO.
(1. 0. BQx 1"t3 PLUMaING PcRMIT !-----.
V132 _ holder of a valid plumbing contractors iicense is hereby
authe-ized to cau-,e plumbinc ork. as Herein noted to be installed in accordance with the plumbing code of
TigaIJ. Such installations require inspection by the City Inspector who shall ae notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Brashness License required
for all conjractors and sub-i:ontractors.
'
Own e -� <j �,�-� — Address=
NUMBER OF TOTAL i'rnMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT _ (Office Use Only)
_f3_F 5AD E N T I AA_-.- -- —_—
Single Family-1 beth-each 2i.00
Duplex•-Each 1 bath unit 25.00
Additional bathrooms-each_ 10.00 ✓�� ..`__-_
_ Mobila Home Spec,-each _ 15.00
INDIVIDUAL FIXTURE FEE
1 ;n 50 Fixtures in 1 building-eacif 3.00
51 to 10 Fixtures in 1 building-each _ 2.50 _____._
101 to 200 Fixtures In 1_building-each _ __,_,2_00__` _
201 or more Fkwres in 1 building-each 1.50
MISCELLANEOUS
Bulla.ng Sewer-1st-_50 ft. _ _ 13.00
Sewo__each additional 100 ft__ _ 10.00
Watdr Sen ice :o building F 00
Private Water Systems-each 100 It. 10.00
r_Orher S f
PERMIT J'Gl For PlurnW,7g Inspect%on Phone 6394191
96 State' ( Plumbing Contractor
TO 16 L 7RECEIPT NO. Issued By
n� . "'y TIGARD DATE �� � I
BUILDING PERMIT APPLICATION
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE 39 .,,,,,
OR AS SHOWN AND APPROVED IN THE ACCOMPANY'iNG PLANS AND SPECIFICATIONS. OWNERPHONI
LOT NO._..-.
OWNER JOB ADDRESS �A11r1�.� L (�p HOME DSS ADRE —•
ARCHITECT
ENCA NEER
BUILDER
ADDRESS _ DEE-IGi ER
STRUCTURE ONEW ❑REMODEL GAVD1Tl_ON 1AEPAIK _ RENEWAL [:)FIRE DAMAGEQpEMOLITIOH
RESIDENCE ❑COMM ❑EDUCATIONAL ❑VOV'T ❑F41 LIGIOUS LJPATIO []CAR PORT []GARAGE ❑STORAGE®SLAB_OFENCE
—❑90NU ❑MOVING ❑CONDI `IOM Ai.USE ❑DESIGN FIEVIEW_— ❑COUNCIL APPROVED [:]SIGNS
HEAT_ d = --
C�CU_PANCY_. LAN[]USE ZONE _ -BLDG.TYPE FIRE ZONE— PLAN CHECK BY
f f c)I►t.&illlk3 ►'f:i. x'•!1:1 >(:tml Gt3 yL ^,:I rismani mi F
Idfj+- townhuU8H_C011• W811 WINUR h9d 1littT�L" 2 bedroom
QCC,LOAD— FLQOR!.QAP_ _ �_._1��1�iliL_ —N9_S_C9Fill:sa�—�) ND.BJif2 S29 4�' VALUE i4iLLLU -_
NG DEPARTMENT ___._ � _� 11.Y�•`p MT SIDE
BUILDI
SET BACKS FRONT REAR 2 LEFF SIDE; ,)t
Permit -I. 'fa'(]i,
THIS PERMIT IS ISSUED SUb!ECT TO THE REGULATIONS CONTAINED IN THE BUILDING, CODE, ATT E
Plan Check 10100 RFGULATIONS AND ALL APPLICAULE 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 164.GO ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
4ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUS'NESS
State Ta. f'• C"r LIGF:NSkS*P RTF^PERMITS REQUIRED FOR SEWER, PLUMBIN i AND HEATINGi.
Total - L70e :'tu .tJ ,l:• #2 ICAC'.
By APPi.ICAN1 OR AGENT _
Approved i'I Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DAYE
Cont.ictor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No. D 12-;7-
Cas(A Oil
Roughlin
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
JRain Drain) Final
Sidewalk
Curb&Street Final
Curb&St'
oath
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Zon7iLandscaping
F.'
nng Final
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- SEWER PERMIT
_ M 13781
U
Unified Sewerage Agency
of Washington County CITY Of Ti DATE yard 9-14-77
OWNER : _ T .D-F,• PHDNE : E39-3101 _
OWNER ' S ADDRESS:
TYPE OF INSTALLATION :
4.,�JBUILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCYt
XOt4EW XBXSINGLE FAMILY [] COMMERCIAL
LJEX75T . (PRIOR TO 7-- 1-70 ) ❑ MULT . RES. [:) INDUSTRIAL
FIXTURE UNITS DWELLING 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 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEESt
PERMIT .:EE 25'
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
3THF R
625.
:TOTAL
APPL I C'), ,T '- DATE
0.11cE: l _DAYS OF
ACOVE DATE. SEWER SE.',`.';"c
C4r.°SE W1E1 BEGIN FOR Ti,
ELu..Ji, SEWER PERMIT N 13781
a
ADDRESS OF STRUCTURE 15605 SW Oakhill Lane _
TAX MAP . TAX LOT SYSTEM fanno creek_
LOT 577 BLOC OF- —
APPROVED BY DATE. ISSUE`S BY DATE
RFMARKSbldg. #1702
CITY OF TIGARD
ORDINANCE ly--77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : Es,rIMATED SALES PRICE
APPLICANT NAME_. TELEPHONE
JOB ADDRESS_ Z, SLOG, PERMIT
AMOUNT OF FEE FOR S. D. C. oe
DESCRIPTION OF IMPRCUEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
Single family dwelling unit under 5600000----------
I 300. 00
Singlo family dw;E!llJng unit over 1:')GO 1,000. M DO
C. Mobile Home Court Space (Now Deve1opmPnt)----------- $150. Lill
0. [Itilti-Family owellings--p"r ;240. 00
E. Commercialt Industrial & Institutional(Park. space) 50.00 each
F . Single family unit under X540,000. -----------------
210. 00
CITY OF- TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
C1
DATE : ESTIMATED SALES PRICE � � �,�^E,�S`
-,�—,,- r
APPLICANT NAME;. C_� TELEPHONE #_
J 0 8 A D D R E 5 S� -�!'� r) - r~ �a •� (l ,�- BLDG. PERMIT
�.
G.,
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT-
EXEMPTIONS - PER ORDINANCE #77-71 - -
FEE RATES:
A. Single family dwelling unit under $40, 000.------------ 75.00
_ 1C16.�7-II��
B. Single family dwelling unit over $40, 000.--------------
C. Mobile Home Court Space (New Development)-------------- -$ 50. 00
D. Multi-Family dwellings--per unit------------------------6 60. 00
CONSTRUCTION IS LOCATED ON -� ..._S.W. N.E . SIDE OF S.W. PACIFIC
HIGHWAY . N.E. is Park District #I .-- _is Per�c�b�s :ric #II.
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