15350 SW OAKTREE LANE-1 15?150 S,A OAKTREE LANE
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OF OCCU
CITY OF TIGARD CY a ,
OREGON
�j Owner. 1._�, �- , Permit No. � � Y3 _ 1`
`I BuildingAddress __1K S_ A K C ti1 E
<r Certificato is hereby Given this ___A?day ofr'�I� 19_u
< �! that said building may be occupied and that
it complies with all requirements of the t
� 11 Building Code for the City of Tigard, as
r i4` 1 r' '
' q: f approved by the Tigard C:fy Council. '
�'` 4• ` �' Building Inspector
{I� j �• 1f iN�•V �} i M�Y_ J 4 � �' "f'' Pp , �Y k /..3, 4<'.
JUN E. RE1 4,,, :ai P(c! t3iiw, iSOUILUINC uEf'AFiTMENT, TIGARD i
N0.
PLUMBING PERMIT
0'13� holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the pluinbinq code of
Tigard. Such installations regt,;re inspection by the City Inspector who shall be notified not less than four
(41 hours prior to the time the installations are ready for inspection. City of Tigard Business License required I
for all co Arectors and sub-contractors.
Address/S3ti0�t-� + lir � _ Date
NUMBER of TOTAL. PERMIT NO!S
TYPE OF PERMIT ITEMS�FEE ON EACH AMOUNT I (Office Uw Only)
Single ramily--1 beth_-each _ 25.00
DU lex- Each 1 bath uni-_ _ _ _ 25.00 _
Additlonel bathrooms—each 10.00��
Mobile Home Space_Each _ _ 16.00
INDIVIDUAL FIXTURE FEES _
1 to 50 Fixtures In 1 buildh —eath _ 3.00_
51 to 100 Fixtures in 1 buildirn-each _ _2.50 _
101 to 100 Fixtures in 1 building—each 2.00
201 or more Fixtures in 1 buildi'y-gech _ 1.50
MISCELLANEOUS
Building Sewer-1st 50 ft. 10.00 ,�Yr
Sew.r—each additional 100 ft. 10.00
Water Service to bWlding___ _ 5.00
Private Water Systemo—eech 100 ft. 10.00
`Other ISp fy):
J
PERMIT For Plumbing Inspection Phone 6394191
Ltstatelp i .�� Plumbing Contractor 1
o T A L 4L, . Jv RECEIPT NO. Issued By a
;City O t ! Mechanical Permit N Y Pe:+ni t_-_ 53.00_
Nev. Ins*,:,katior. 1 C Re:r:ace l❑ Relocation ❑ Addition ❑ Alteration rD L-�,`Itt.;. State-___ 4 3�•!___
ccr;T.ACTOR r A -- ' ., , .► �_ o�',r;�T
WORK DRESS t_►�_ Tf>f�C 13.
� '�_•�- - �-
PHONE APPLICANT__ -• �_.L, 4'S mss__]] 1� ..�---
�t T ------�
Heat Input Rating (BTU Per Ha r) ��CY�'!-__ Vent Size _ �-,� Flue Size-
FUEL OIL D GAS LjV ELECT ❑ OTHER ._
ITEM NO. FEE ITEM NO. FEE,
Fot Issuance of Permit r� - T_ 3.OQ Air Condition Comp:essay 15 to 30 HP
_ —��--'
New- Un
d_er 100,040 BTU 400 k:T; 4.00 Air Handling 10,000 CFM �3.00
New• 1(tU, &over 5.OQ Air Handling Over 10y000 CFlvi 5.0;
Floor Furnace w 4.00 Evaporative Cooler— 3 OC
Wall • Floor -Suspended � 4.00 Range Vent Fay � 2.UC
Install Vents_Only - 7.00 Vent System 3.00
Heat & Cooling 4.00 Hood Commercial----------
Repair _ OC
�-
3
_.._ 10.00
Air Condition Cam_pressar Under 3 HP 4.Q0 --Contmercirtl Dur'. System _
,:fir Conditio,i Compressor 3 to 15 H�_ _ - 7.50
a IN'SPFCTOR'S COMMENTS_
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB•CONTRACTOnS
' APPROVED BY _. DATE ISSUED BY______-)__.;P -__t. DAT' y�
RECEIP
77A Signature of Applira
- - � —.-..__ "__. ......:.r+�ws�.±.vaA�;'p.',ry�Y'.*�"Cti'=='£e!'er_'L'ra{.r'.�r.V.a�.p..�....w•�...w+...u�.r.wa»..aa�ee.o-w;.wo'Y. r►rgb�Nil�F+yp.Y�..�
'"1 y
d d r e 9!3 /. .S O ��,.� °7,�s, .�=c. permit N o.
Permit charge _ZZO—Z2 t-
ter Connection fee � /e;' 0J
Paid by
i yp � of building cz _ Date connected
'3ervice ret9 �`S/� Inspection fee
`;antractor Pay d by _. nate y
:ize of connection Assyssment Paid
■
BUILDING PERMIT APPLICATION COF
IT TIC,ARD DATE. -20-77 1793
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED UUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE _
LUT NO. - -
OWNER T•U•L• JOB ADDRESS __Lc?�HOMEE %DDPESS
ARCHITECT
ENGINEER
�� ADDRESS DESIGNE
BUILDER R
y,
}}STRUCTURE f,r-0NEW CREMODEL ❑ADDITION ❑;Ei'AIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
u RESI"ENCE OCOMM ❑E- 'CATIONAL ❑COV'T ❑RELIGIOUS❑PAT 0 ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MO`JING ❑CONDITIONAL USE ❑DESIGN RE IIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY LAND USE ZONE P-7 BLDG.TYPE FIRE ZONE.— PLAN CHECK HEAT
Lot -44 Mk n alms✓ au 15613 5IJ ",u"wel -Lbld Lsn, —
framsr duHlling wkittachrid 9 ,r,",iqco 3 U6dX ►m 3 both
QCC LQ _D ------F_,.S?QB,.LOAD _._SLEIGHT __ NO.STQPig5____-__P"sUtjjl..-_NO, LQaQQM.$;VA UE
BUILDING DEPARTMENT 1
SET BACKS FRONT 13 REAR LEFT SIDE RIGHT SIDE
Permit 1(-6.00 _ _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check IEJ•(l0 REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 114E
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total jJ11 ALL APPLICABLE CODES AND ORDINANCES. THE :CCUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUA CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax L�GEtN•SEt,SEP"ASR TE PERMITS REQUIRED FOR SFWCH, PLUMBIN'3 AND HEATING.
JslJi1 • 7p x
Total 163,04 P•[).C•
By -- —--- --� -------
NT OR AGFNr
)roved �� Receipt No,
L- ADZS
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SEWER PERMIT "�/''7 N! 13836
Unified Sewerage Agency Ti dTG
of Washington County CITY OF 9i_ _ DATE _ 1
0-28-77
OWNER : —_ T•D,C• PHONE :��
OWNER 'S ADDRESS: _
TYPE OF INSTALLATION:
XURUILDING SEWER FIBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X®NEW XEJXSINGLE FAMILY COMMERCIAL
OEXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING 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 PLR MIT NUMBER . THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATIUN OCCUR.
FEES:
PERMIT FEF g 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
T IAL g 625.
A r-6 LI T DATE
,� , l�K ..,0 Tt� �, �►�t���A ��NN •. U
N
CFUGE tALL 0,1414 FOR THIS SEER PERMI13836
PEPNIT.
ADDRESS OF STRUCTURE 15350 SW Oaktree Lane
TAX MAP _ TAX LOT SYSTEMfanno creek
LOT 544 _ BLOC K OF
APPROVED BY DATE ISSUeD BY Lb ATE
REMARKS bldg. #1783
CITY OF TIGARD
ORDINANCE ,"77--26
STREET SYSTEM DEVELOPMENT CHIRGE
DATE ; 10-20-77 ESTIMATED SALES PRICE S. ___ 55,000. -
APPLICANT IIJAP1E T .D.C. —_TLLEPHONE f_ ._
JOB ADDRESS 15350 SW Oaktree Lane BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C . 300.
DESCRIPTION OF IMPROVEMENT S.F .D.
EY,EI'iPTI1-IN5 -PER ORDINANCE.
FEE RATES:
A. Single family dwelling unit uncles X60,000.- ------ S300.00
Fl. Single family dwelling unit over 560,000.-7----•----- Mt 7T
C. Mobile Home Court Spacu (New uFvelcipmerit)---------- x,150. 00
0. Multi-Family Cwellings--por unit------------------------------- $240.00
E. Commercial , Industrial. & Institut.ional(Park. Space) k 50.00 each
F. Single family unit under 9$40,000. -----------•------- S256. 00
t �
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : 10-28-77 ESTIMATED SALES PRICE $ 55,000,_
APPLICANT NAMI T.Q.C . TELEPHON` #_
JOB ADDRESS 15'-�`'n .-S1.1-Oakf-"jj_ --, BLDG . PERMIT #__ .1783
AMOUNT OF FEE FOR P. D. C . 100.
DESCRIPTION OF IMPROVEMENT S.F.D.
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family duelling unit under $40, 000---------------$ 75. 00
8. Single family dwelling unit over $40, 000- --------------$100. 00
C. Mobile Home Court Spare (New Developmeot)--------------$ 50. 00
D. Multi-Family dwellings--per unit------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON XXX S.W. N.E . SIDE OF S.W. PACIFIC
HIGHWAY. N.E. is Park District #I . S.W. is Park District #II .
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