15475 SW OAKTREE LANE 15475 SW OAKTREE r.'-NE
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City of T 1c3f d Mechanical Permit 'gin Permit_.-__.
J . Fee.._..-•---
Ne�ti Ins;al!ation '� Re;i!8Ce ❑ Relocation Addition Alteration J 41L State.__,_,,��. _ -__---
TOTAL
C0D:TRAC-(OR f ti jhi.� i1K.4. G'1r�NER -lLs:.h?� —.�.�i�_- s+..r -..
ADnR►C.S_1.. WpRK ADDRESS ' : 4.3. LU ��
PHONE —�n�� �"] ---- --_ — .�r'PLICANT _-- �r c _r)1�4�. a -
Heat Input Rating (RTU PerHour) Vent Size — � F-ue Size
FUEL OIC J �/GAS tELECT OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance o1 Permit--_ �- -�--+3.0_0 _Air Condition_Cumpressor 15 lo 30 HP___
New- Under or 6TiJ --�� ( �— 4.00 Air Handling 10,OOLt CFM 3.0C
— -
New• 10G b6b BTU & over 5 00 Air Handling Over 10,000 CFM 5.00
Floor Fu nate 4.00 Evaporative Cooler 3 00
Wall • Floor •Sus nded 4 00 Ranye Vent Fan _ -�--�— 7_.OU
p_'
Install Vents Only 2.00 Vent System
Repair • Heat & Cooling 1__4.00 Hood Commercial _ 3.00
Air Condition Compressa lii ,cr 2, lip I 4 00 Cc,mmercial Duc System—, — ,— t0 OG
%ir Condition Compie»wr 3 1c, 7.50
INSPECTOR'S
CITY BUSINESS LICA SE REOUIRED FOR ALL. CONTRACTORS OR SUBCONTRACTORS
-
APPROVED BY __--- DATE _. _._----. ISSUED BY-,-..-___ DA E __--
---.._ —
RinnaturN n{ Arrnlic:an
RECEIPT NO.
-7
Address -- Permi.l: No.
Permit charge 22yr�
�5�_S� __
Owner �' . Connection fee
Paid by �_ C
Type of building A4_j Date c_o,inected
Service rate �1-�' Inspection fee '�LS `
Contractor Paid by � �T y Data
Size of connection _ _ Ass5dament Paid
/gid'
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JOHN E. RfCIIMU1 PIUNBIU,INCPUILDING DEPARTMENT, TIGARD N0.
P. Q. M 129 PLUMBING PERMIT '
REW6E1111;, F A 91137 _ _ holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to tie installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations a,a ready for inspection. City of 'Tigard Business License required
7
for all contractors and sub-conuactors. �:
Owne? L %, ' �- AddressL� �—=----- ._
NUMBER OF TG fAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH ,AMOUNT (Office Use Only)
Single Family-1 beth—each
25.00 r,',�_ O-
O—plax—Each 1 bath unit— 25.00_ .—
Additional bathrooms—each �, 10.00
Mobile Home Spice—each 15.00 M
INDIVIDUAL FIXTURE FEES M ----
1 to 50 Fixtures In 1 buildir�y—each 3.70 _
51 to 100 Fixtures in 1 building—each 2.50 _
101 to 200 Fixtures in 1 building—each 2.00
201 or more Fixtures in 1 building—each _ 1,50 _
MISCELLANEOUS --- --
—Building Sewor--1st 50 ft. 10.00
Sewer—each additi -nal 100 ft, __, _ 10.00
•�., '
Water Service to b4i1ding- 5.00____• —
Privet:!Water Stems—each 100 ft. 10.00
Other (Specify):
PERMIT For Plumbing Inspection Phone 63.94191 _
�96 State Plucnbing Contractor By
TOTAL RECEIPT NO. Issued By
J BUILDING PERMIT APPLICATION C„� TIC7ARD LATE i1 7 -- ,s 17Q+
THF UNDERSIGNED HERESY APPLIES FOR A PzRMI f FOR THE WORK HEREIN INDICATED BUILDPHONE
OR AS SHOWN AND APPROVED IN THE F '.COMPANYING PLANS AND SPECIFICATIONS. OWNER F{ONF
LOT NO.
OWNER JUri ADOf.6S9 __—__, HOME ADDRESS _
—_ — ARCHITECT
ENGINEER
BUILDER _ ADDRESS _ DESIGNER
STRUCTURE_ __'❑NEW _ U t EMODEL ❑ADDITION OREPAIR ❑RENEWAL L7FIRE'JAMAGE �I OUF.MULItION
❑ ESID
NENCE ❑COMM DEDUC4TIONAL DGOV'T ❑REI-IGIOI,ISOPATIO OCARPORT ❑GARAGE DSTORAGEO
SLAB—OFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LJLOUNCIL APPROVED_ ❑SIGNS
QCCUPANCYr_ I LAND USE ZONE_._T-_...____BLDG_TYPE FIRE ZONE PLAN CHECK BY _ HEAt�
st; Iu�I 13 as 1027a 5IJ Gxbun less T61rrmc*+ -----
r ,,l;le.aci I,t tlll cam. A LI/attnched qs a( (J 2 bedroom 2 beth
c LOAD FLOOEtLOAD ._. _li�L�tkiL__._._—d.4�IQFiLEs._ti_ AREBE[ 0-mS � Vr1j €-__.---_.
BUILDING DEPARTMENT SET BACKS FRONT _ REAR LEFT SIDE RIGHT SIDE
Permit ti� •Q{� -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGUI.ATIONS CONTAINED IN THE RUILDINr CODE, ZONING
Paan Check {.q.00 I .'IEiULATIONS AND ALL APPLIC , CODES AND ORDINANCES, ANG IT IS HEREBY AGOFED THAT TME
WOiIK WILL BE DONE IN ACCORDA +.E WITH THE PLANS AND SPECIFICATIONS AND IN COM,LANCE WITH
Subtotal I• ;I.� t,:)0 ALL APPLICARLP CODES AND ORDINANCES THE ISSUANCE OF 1 HIS PERMIT (.)CIES N(3T WAIVE
-- RF.STRICI IVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITv BUFINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND 14FAIING
Total 1.. J#DoC•
I
By — — -- - -- _ -- ..
APPLICANT [)R AGf Ni
Ti.Approved — -- Receipt No.
-�. TFaoFiE-`
-- — ADbRESS
F IN
DATE INSP_ TYPE INSPECTION _--' REMARKS _v i ,)LUMBING PATE
Contractor _
Permit No. 2 J as �2 -1 k
Rou --
�'oly - - ---- -- - Fixture - ---
Final
/ HEATING
Contractor
Permit No.
Gas or Oil
Rau h-in
Final -
EWER
- _ Final -
__.-.._..— DRIVEWAY
- - - - Final ---- -
�- Storm,Drains
(pain Drain) Final
- --- Sidrwalk
Curb t; Street Final
_ �-J._______-__-- -------------- A roach --�.
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- --- -
/'� ( _ Land,caping
1 1 Zoning Final
Ayo
SEWER PERMIT Ntl 13845
of
Unified Sewerage Agency
of Washington Cour ty CITY DATE 1 1 _A-77
OWNER : T.[).C:.
P H 0 N[:
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
'ffBUILDING SEWER ❑BOILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
NEW LJ SINGLE FAMILY ❑ COMMERCIAL
❑EXIST , (PRIOR '10 7- 1 - 70 ) ❑ MUL1 . RES. U INDUSTRIAL
FIXTURE UNI 'I3 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 FORFr I TFD SHOULD EXPIRATION '7C.CUR.
FEES:
PERMIT FEE g 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
?0 TAt _ 625.
APPLICANT 1 I
ucu,rl i ..i TNIS
.iiT. SEWER PERMIT N . 13845
ADDRESS OF STRUCTURE 15475 SL' Uaktree_Lane
TAX MAP _. TAX LOT SYSTEM Fanne^creek
LOT 588 BLOC K _ OF
APPROVED BY DATE ISSUED BY DATE
REMARKS bld4�1797 _
CITY OF TIGARD
GRDINANFE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DA? ESTIMATED SALES PRICE $�--
f
APPLICANT NAME �.% C .__ TELEPHONE # _
JOO ADDRESS +',:r -5 �.. /�' < BLDG. PERMIT #_ Z
,57/d _.
AMOUNT OF FEE FOR P. D. -
DESCRIPTION OF IMPROUEMFNT t�
EXEMPTIONS - PER ORDINANCE #77-71 _
FEE RATES:
A. Single family dwelling unit under $40, 000. -------------$ 75.00
B. Single family dwelling unit over $40, 000. -------------- w10.ri_ao_
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family dwellings-.-per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON � S.W. N. E . ST DE OF S .W. PACIFIC
HIGHWAY . N .E . is Park District #I. S.W. is Park District #II .
--.�..
CITY OF TIGARD
ORDINANCE 177-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE: ESTIMATED SALES PRICE
APPLICANT NAME _�.f C" TELEPHONE #-
JOB ADDRESS - BLDG. PERMIT
AMOUNT OF FEE FOR S. 0. C. �<
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling uni` and-r $60,000---------- - IIQ.On __
B. Single family duelling ,snit over 6n,nOn.--------- y400. 00
C. Mobile Home Court Space (Neer Development)---------- S150.00
D. Multi-Family rwellings--prr unit------------------- $240.00
E. Commercial, Tndustri.al & Institutional.(Patk.Space) 6 50.00 each
F. Single family unit under X40,000- ----------------- S250, 00
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