15810 SW OAK MEADOW LANE 5310 „W OAK MEADOW LANE
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c , u AC _T- WORK ADDRESSI e(0 -
PHONE AP?L ICAr�T �'
Heat Input Rating (BTUP,ar HHoo r)___ ,��e'� n1nQ _ Vent Size ^'r Flue Size M --
FUEL OIL ❑ GAS LK ELECT l. ' "`OJT"HHEER _-__-,__—
ITEM NO. FEE ITEM NO. FE
For Issuance of Perm,t 3.00 Air Condition Compressor 151030 HP 10.(
'�- New-Under '00,000 BTU T 4.00 Air Handling 10,000 CFM — 3.(
New•• 100,00L BTU be over !� 5.00 Air Handling Over 10,000 CFM 5.(
�'. Floor Furnace 4.00 Evaporative Cooler 3.(
_ - -
`; Wall Floor Suspended 4.00 Ra.ige Vent Fan 2.l
Install V nts Only _ 2.00 Vent System 3.(
Repair -Heat 8r Cooling _- 4.00 _Hood Commercial 3.1
Air Condition Compressor Under 3 HP ' 4.00 - _Commercial Duct System 10..
Ait Condition Compressor 3 to 15 HP 7.50
A:
�Y•
Y; INGPEC10R'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
A:
i-+�. APPROVED BY _ DATE _ ISSUED BY DATE
RECEIPT NO.
( ;» Signature of ApOlicart ,1l --tip
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ADE!R E S 5 .`.�sS l v sW _ t.c) �-- 11 E R f'1 I T N O .
PERMIT CHARGE nonp_j
OWNER ^� �-'' CONNECTION FEE C ',
PAID BY '-rU C--
PATE CONNECTED
TYPE OF BUILDING1
SERVICE RATEINSPECTION FEE r �
PAID BY DATE
CONTRACTOR
T PAID ASSESSMENT 5IZE OF CONNECTION -
BUILDING PERMIT APPLICATION 11T TIGARD DATE `uno 2,11, , 1974
OF
THE UNDERSIGNED HEREBY APPLIES FOR APEPMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS ;,HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE-T—
LOT NO.
OWNER Ti)c JOB ADDREss 15810 MW nRk o-ei! HtWAL ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER_
STRUCTURE 0REMODEL. ❑ADDITION ❑REPAIR— ORENEWAL LJFIREDAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL 000V'T ❑RELIGIOUSLOPATIO'OCAR PORT (:]GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED u;IGNS
OCCUPANCY 1___J LAND USE ZONE R:- .BLDG.TYPE : _FIRE ZONE_ PLAN CHECK BY L2 HEAT „*4_
r.flk
5_B R*–Issue+ dame as 10F13 SW Suvaane f leld Lanc
----- _-- rrawe dw ll.ing with attsched gant e
QCD,_J�QgD _ ZLUO[�.Q� (Z _iE-J(za .�_:_ NO.�jQgl€� ARik•� NO.BED$Q9M —X6 —_
BUILDING DEPARTMEPiTSET BC,I.c:S FRONT ! � REAR ''�"* LEFT SIDE RIGHT SIDE
Permit — ... - ------
THIS PERMIT 1, ISSUED SUBJECT TO THE RiEGULA1'IONS CONTAINED IN THE BUILDING CODE, ZONINf
Plan Check 10•on 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 1S3L#.�7 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1 ---- RESTRICTIVE COVENANTS. CONTRACT09 AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFSS
State Tax 7•bi LICENSE. SEPARATE PERMITS REQUIRED FOR SEWED. PLUMBING AND HEATING.
Total 2nfk. r)e SDC $400.
_ PT]C $100. #2
By
_._ �.._. APPLICANT OR AGENT
Approved Receipt No
1
DATE INSP. TYPE INSPECTION REMARKS — PLUMBING DATE
Contractor 7
Permit No.
Rough-in
Fixture
.>..
� Final
HEATING
Contractor —
1 / - Permit
jas or Oil
Final
SEWER Q
------ -—
FinalPJ)
-- DRIVEWAY b
Final
--' —�— Storlh Drainage --
(Rain Drain)Final
_-- Sidewalk
Curb&Street Final
CERTIFICATE Approach
EM _
MMG. DEPT.FINAL TEMPORARY Finer
OCCUPANCYFiner
CERTIFICATE OCCUPANCY - —
Lnndscaping
Zor.ins Finel
"F'
ti4�'
SEWER PERMIT Nil 15958
Unified Sewerage Agency June 20, 1978
of Washington Ccunty CITY OF Tigard DATE
OWNER: TI)C PHONE s
OWNER ' S ADDRESS:
TYPE OF INSTALLATION :
® BUILDING SEWER ❑ 13UILDING SEWER AND SIDE SEVIER
TYPE OF OCCUPANCY:
X NEW SINGLE FAMILY ❑X COMMERCIAL.
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS I
ADDRESS OF STRUCTURE : ___ 1.180 SW Oak .MeadQW Drive
_ PERMIT CONDITIONS: THE .APPLICANT AGREES TO COMPLY WITH ALL (,ULES 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 .
FEES:
PERMIT FEE s_ 25.
CONNECTION CHARGE
SIDE SEWER INSTALLATION n. r bertson
ISSUED BY
OTHER
TOTAL. $ 625_
�z J APRLICANT DATE
+ , t;� ki 6EG1t1��FUA..,Ty;; N o 15 9 5
MIT, �= SEWER PERMIT
ADDRESS OF SffZUC7UR'E 15810 SW Oak Meadow Drive
'I ,'NX MAP TAX LOT — SYSTEM
LOT _56Q8 BLOCK _ OF
APPROVED BY DATE ISSUED B w DATE
D. U. ' S 1 REMARKS bldg. # 2152
■
DUILDING PERMIT APPLICATION CIT OF TIG,ARD DATE 1q'7 NQ
1i LIND[ RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHON��
L-R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE_
LOT NO.
ARCHITECT
ENGINEER
ADDRESS -�-- LIESIGNER _ _-
Hh tiEIN---
D REMODEL ❑ADDITION OREPAIR ❑RENEWAL []FIRE DAMAGE QDEMOLITION
f r'-l YkI IIEDUCA'C ZONAL OGOV'T ORE L IC;IOUS OPAT10 ❑CAR PORT DGARAGE ❑STORAGE SLAB OFENCE
�� ND ❑MOVING OCONDITIONAL USE DLSIGN REVIEW OCOUNCh.APPROVED USIGNS
['.,NC�k'.s L ANC USE ZONE_R -T-1— LDG TYP.El A---FIFIRE 20N'f_�`1- PLAN CHECK BY_ HEAT
_\.'fir.I�. �.-�_��-1,C,,,``�•..,a ,��`IC1:�_�� ���r'_'.� _�.�ll.((�, '�' .L:�l 'lJn U 1
BEDB-Qa xa VALUE-1 ST
FWILDIN.o ULPARTMENT SET HACK FRONT REAR ��"f LEFT SIDE RIGHT SIDE
- THIS PFRMIT IS ISSUED SUBJECT TO THE REGULATIOt-JS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Checker REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
'uh total Cy f� ALL APPLICABLECODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
Static Tax- LICENSE SEPARATE PE RMITS REOUIRED FOR SEWER, PI UMBING AND HEATING.
Hy • 1-
APPIiCANT OR ENT --- - --- -- - - --
atiV uvCcl Receipt No.
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