15690 SW OAKHILL LANE-1 15690 SW OAKHILL ;ANE
G
m
r-�
•ri
m
U1
0
Ln
Address Permit ',o.
Permit charge 22
Owner Connection fee
Paid by _ e
Type of 'auilding �/ Date connected
Service rate w Inspection fee
Contractor Paid by � Date
Size of connection Assassment pair±
�Ih
,r
Address 15-617e) so" Permit No. D
Permit charge e.
Owner ronnpction fee —�-
Paid by --/—/� (_
Type of Fvii '_ding zj--v.��- -� Date connected
Sarvice rate /g` � In,spection fe9
Contractor Paid by Date
Size of connection Assessment paid
God 5 s�
•�-ttr+(.L� iQ�,v • �J� � �6�0 .S�.c> �c�c !�`a�-c �/i����Y
d _S��G>
�o. d-D
.�� • oa
� , ��
/ 0E ! L3 1'C7
Fae
• h��•. I•a; l;a?ion ��-,r!atc ❑ nelocation [] .(l,i?ion ❑ A!t:•ration � 4 �.;.Clate.,r •�„_r.~
TOTAL__._.._U _
CONTRACTOR A•C-2- � O'�'�r.EF 1.
r
y.ODRESS Q. �� _ArCI ,AA-AIA-M WORK ADDRESS IS kq
.QPPLICAN �
C]
`�c i�. !�►► � t�A �
PHONE � �Q32� _ i _- v-
1�—
Heat Input hating (BTU Per Hour) _lmfnr_!�b Vent Size Flue Size �
> FUEL OIL ❑ GAS ft ELECT 0 OTHER
:r -
ITEM NO. FEE ITEM 9N0. FE
For Issuance of Permit �- 3.00 Air Condition Compressor 15 to 30 HP 10.1
New• Undsr 1 i-l
_00,000 BTU � 4.00 Air Handling
10,000 CFM31_
' Naw• 100,000 BTU& over —�� 5.00 ''_Air Handling Over 10,000 CFM 5.1
4 Floor Furnace 4.00 Evaporative Cooler 3.!
l'Yall•Floor •Suspended _l 4.00 Range Vent Fan
--- -- --- — 2.1
Install Bents Only _ � 2,00 Vent System _ _ 3.1
Repa;r• Heat & Cooling _ 4.00 (food Commercial_ _ — 3•1
Fair Condition Cornpressor Under 3 HP � -L 4.00 Commercial Duct Systrm — �`— _ 10,1
Air Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S CC)hrMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALI. CONTRACTORS OR SUBCONTRACTORS
_ APPROVED BY _ DATE !� ISSUED BY� DATE _
RECEIPT NO.
774 Signature of Appli antes
,!P'!'r.�.----'--- ___......_.�..-...-...--...----...-.--y.: _ .. .... _ .. 'P't--^.-7!!.Lada+•*.-.,"'....•*+vs-r►at�•+-.t�f^,es.,t..,.,F�1.1,•,,c.,;r:..t,
BUILDING PERMIT APPLICATION 11TY TIGARD r "`�f r �, 19____
!HE UNDERSIGNED HEFzBY APPLIES FOR APE RMIT FOR "THE WORK HEREIN INDICATED BUILDER PHONE
017 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
r _�—
LOT NO.—
OWNER T r U.L r JOB ADDRESS;.:7��J .1�.I (,.r �1111 LI1, HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER Blame ADDRESS DESIGNER
STRUCTURE xIDNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[2 0INIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
MOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
Q&CUPANCY__ t LAND USE ZONE F±`»7 BLDG,TYPE—.jN FIRE ZONE 0 PLAN CHECK BY_ et" _ _ HEAT (i"
Lot #559 !nk148 .,eiskiu n sarna, ate 1L618 SW 5ummWisld Ln.
2 bedroom 2 betrl �
sawer permit-, ,''13910 sewer conn. $660. sewer insp, $25.
-- -- 1 136E. 1 2?,no/
Sr..L4Al� ��QQj� LOACi HEIGHS NO.STORI $_—_ AREAS—,____N�`�pEfZELQ_QM —YL1LS1 __.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1.27.QO —
"— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 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
Subtotal 1.37.00 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 50118 LIFI.NSR`SsPAf jjFfi RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 142.08 P:O.C• "T 6100.
APPLICANT OR AGENT
Approved y 11— Receipt No
..:ex,vyr,.•erv•..w.w.r:wYYY,•...,...i_.:.- ..�.:,...�.qA o,HMiM1wr ,:-' - x,.i......— -..�. :-...,.o-��.aaasMyuii:'wi:..•.'..w..�w�wu�i�.ri.•,aw�:+.eaw,
d
r
I
DATE INSP. TYPE INSPECTION REMAriKS PLUMBING DATE
r __]Permit
Contractor
No.
Rough in
Fixture --- - -- --
z6�(l �wt2��1 Final —
Z — — --- HEATING
Contractor _
-- __--- Permit No. �V� 3"2
Gas or Oil
— Rough-in
_ Final
- - --� SEWER
Final
DRIVEWAY
- --- —N Final_ _.—
Storm Drainage
— (Rain Drain) Final
Sidewalk
— Curb&Street Final
Anorosch
BLDG DEPT.FINAL. — TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCLtPANCY Finel
Landscaping
Toning Final
, G 44" �rWIT
.. '
i� ��{c.'. 1�1i'•�4Z ,
I mW
SEWER PERMIT
Uf V • 13910
Unified Sewerage Agency
of Washington County C Il Y UI LLQ' _ �._ DATE,
OWNER : 'FD __ PHONE
OWNER ' S ADDRESS: ________—_
TYPE OF INSTALLATION:
QWILDING SEWER E]BUILDING SEWER AND SIDE SEWER
�{T�YPE OF OCCUPANCY:
X DNEW �ffy-,INGLE FAMIL..Y 0 COMMERCIAL
[-]EXIST . (PRIOR TO 7-- 1-70 ) F-1 MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDII'IONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULLS
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRF_S IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
HE FORFEITED SHOULD EXPIRATION OCCUR .
FEESt .
PERI-(JT FEE g 25.
CONNECTION CHARGE 600.
SIDE: SEWER INSTALLATION
ISSUED BY
OTHER
TJTAL $ 625.
`J APPLICANT -- - -`- - DATE
SEVER PERMIT N9 13910,
ADDRESS Of STRUCTURE 15CY70 SW Jakhill Lane_ _
TAY, MAP TAX LOT SYSTEM Fanno crook
LU f8LOCK OF
APPROVED BY DATE ISSUED BY 'DATE
REMARKS��_ bldg. X1890
CITY OF TIGARD
ORDINANCE 1/77-26
STREET SfSTEM DEVELOPMENT CHARGE
DATE : ---, ��'h ESTIMATED SALES PRICE:
APPLICANT NAME . TELEPHONE j
JOB ADDRESS �,,� G �.��-i_ BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C.
OFSCRIPTION OF IMPROVEMENT 1�
EXEOPTIUNS -PER ORDINANCE #77-26
FEE RATES:
A. Single family duelling unit, under 560,000.--------- 1300.00
O. Single fnmi.l.y dwelling unit ovr�r 6r2n,Onn.---------- 51100, 00
C. Mobile Home Court Space (New Development)----------- ;,150.00
D. Multi-Family Cwellings--•per unit----_.-------------- �2.40.DO
E. Commercial , Industrial & Institutiona;.(Pack. Spacc�) 6 50.00 each
F. Single family unit under E40,000. ---------- ------ $250.00
CITY OF' TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATEESTIMATED SALES PRICE $ 4, "Wi/. '
APPLICANT NAME TELEPHONE # _
� r
JOB ADDRESS / 5 L, 7 Ci �:. r° t_�r"/,r BLDG. PEHMIT
C
AMOUNT OF FEE FOR P. D. C.
DESCRIPTION OF IMPROVEMENT ...�..1'�
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.-------------4$100. 00
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family dwellings--per unit-------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON �� E . _ N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park DistS
District #I. .E•. is Park District #I I.
3UILDING
E'LI-WIT APPLICATION cOF TIG ARDQ DATE__1 - .--. tg•1 N° '
-.HF LINDE REIGNED HEREBY APPI IES FOR APERMIT FOR THE WORK HEREIN INDICATED NUILDER PHONE L33 -]l
UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAI IONS. OWNER PHONE —
LOT NO
Uo
ARCHITECT
ENGINEER
Ci URE O',EWQREMODEL� _ ❑ADDITION [REPAIR (3RENEWALh°IRE DAMAGE []DEMOLITION
❑�j-mM ❑EDUCATIONAL�DGO_V'T_❑RELIGIOUS[3PAT10 ❑CAR PORT DGARAGE ❑STORAGE❑SLAB ❑FENCE
�F'.`ND QMOVING GCONDITIONAL USE DDLSIGv REVIEW ❑COUNCIL APPROVED DSIGNS
rc NCv IANO USE ZONE_.. BLDG TYPE _Ftgl I�Ni�, ._ PLAN CHECK BY _
HEAT
-:._..
-AfilLk .y-U -f_EDROOMSLL VALUAl-2- -
F BUILDING DE�PrAi TTMENNT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
- -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r'len Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORT.WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORr)INANCES. THE ISSUANCE OF THIS eERMIT DOES NOT WAIVE
-- - --- — RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO 14AVF CURRFN'1 CITY BUSINESS
`,tale Tax r-f'A LIrr-NSE SEPARATE PE RMITS REOUIRED FOR SEWER, PLUMBING AND Hf ATING.
T 0181 4
ICANI
OPNTAPI __T- - ----.--"----�.
,i(,�p�uved Receipt No
ADDRESS
J U
V
Ll z v cd -