15510 SW OAKTREE LANE 15510 5W OAKTREE LANE
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P;7rmit No.
A,dd ri 3 s (J -72
Permit charge
0 Connection fee
Paid by
Type of building Date connected
Service rate inspection fee
Contractor Paid by Date
Size of conr-ection sas3n, ent. paid
PERMIT NO._
ADDRESS
PERMIT CHARGE none
OWNER CONNECTION FEE
PAID By
TYPF OF BUILDING DATE CONNECT'-"D
INSPECTION FEE 5--
SERVICE RATE
CONTRACTOR PAID OY DATE
SIZE OF CONNECTION ASSESSMENT PAID
hOld0i Ul' 0 Wild IM-1WOU10
'Ll in rirx-oldl;mcc vilk,l olio 1'16il�(jl—j 1,uu
(.;ity Inspa.lor who Jujil be notilicd not Irss ihan iG,.,
'-dun. City of Tigard Uusiilc,,s5 Lic.,!rlsa requii.
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XuA
CI `� ! �� li d M chanical P�_rtnit NTO Permit____.�5�_00
1 rb Fee___��e_0O
Nev: Installation `elocatlon ❑ Addition C3 Alteration 0 a�)9%S`.alt
-C r TRACTOR jf• s rte,, tJ �-1 a c..-!�_ L OWN ER1,1
AU;I F:.ESS WORK ADDRESS
PHONE _ G=S1 ..�_ A,PPLICANT_,__—r '�/�i�►1��,a
Heat Input Rating (3TU Per Hour) _A&C- Vent Sizt Flue.Size _
FUEL O!L Cl GAS i� El. E "` ❑ OTHER-
ITEM
THER_ITEM NO. FEE ITEM NO. FE
For Issuance o' Permit '.00 Air Condition Compress#, 15 to 30 HP 1C.t
New Under 100,000 ETU ( `�` 4.00 Air Ha
NHandling 10,000 CFM
ew. 100,000 BTU &over 5 00 Air Handling Over 10,000 CFM � 5.l
.� Floor Furnace __ 4.00 Evaporative Cooler 31
Wall . Floor .Suspended � — 4.0D Range Vent Fan �~� � z
Install Vents Only �� _2.00 Vent System 3.r
Repair . Heat & Cooling _ —`4.UQ Hood Commercial _ �� 3
r Air Condition Compressor Under 3 H' 4.00 Commercial Duct System 10
- Air Condition Compressor 3 to 15 HP 7.50 _
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INSPECTOR'S COMMENTS---
CITY
OMMENTS__ _CITY BUSINESS LI E REQUIRED FOR ALL CONTRACTORS OR SUb•CONTRACTORS
r APPROVED BY DATE ISSUED BY - �. _ DANE
, .. ,.
'' RECEIPT NO.
boILDING PERMIT APPLICATION 11T TIGA►RD DATE
f
THE UNDERSIGNED HEREBY APPLIES FOH A PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
rrt� LOT NO.—�
OWTJErt I j Q,Iti• JOB ADDRESS ,.+`S 'J Stj Qat I$ t1.'?' I..I tBIOME ADDRESS _
ARCHI TELT
913Mi? ENGINEER
BUILDER ADS,RESS DESIGNER
STRUCTURE QNtW ❑FIEMODEL UAUDI'(ION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
AEIRESIDENCE ❑COMM DEDUCLTIONAI. DGOV'T ❑RE;.IGIOUSDPATIO DCAR PORT ❑GARAGE DSTORAGEOSLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LISIGNS
OCCUPANCY _LANG USE ZONE BLDG. TYPE FIRE ZONE'' PLAN CHECK BY�^ 4'!LW HF.A r_._:'�__
n;l 12 rcu c,ijtw l3 ti I7E� 41)31., '�',, FIi..;tllatr L! [fir. f'IEIrrtF� rip1�.1.1irI+,
w/a 1.t.sbhvd j arwjs 2 bodroom 2 bath— - -- — �
20 1 1227
_4L1IG3__—___.—�►14.AEDA _.--
BUILDING DEPARTMENT SET RACKS FRONT REAR L O LEFT SIDE 1 Ci�r RIGHT SIDE
Permit 121,110 — _
THIS PERMIT rS ISSUED SUBA'CT TO THE REGULATIONS C')NTAINEO IN THE BUILDING CODE, ZONti..;
Plan Check LLQ.0 REGULATIONS AND AIL AOPLILA6LE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WIt L BE DONE IN ACCORDANCE WITH THE PLAAS AND SPECIFICATION!;AND IN COMPLIANCE WITH
Subtotal l j I - i', ALL APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE
– ------- RESTRICTIVE .:OVFNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State. Tax 4. -i.4 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
s • ,
Total 1 84
By
APDL+I ANI (M AGENT
Approved .W Receipt No.
— - -
wX W
D.-kTE INSP. TYPE 'NSPECTION REMARKS PLUMBING DATE
-9 tz Contractor
-1-2--W
Permit No. 1365 3 -20-99
Rough in
—:-10-7 (f 119—
Fixture
Lz
ok Final HEATING
Contractor---
Permit No. /c,
ZLO
0 Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Strect Final
Approach
81-DG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY IFinal
Landscaping
Zoning Final
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SEWER PERMIT
N • 13&90
Unifi*d S*weraq*Ag*ncy
of Washington County CITY OF__„l�ijard DATE __ 2-1-79
OWNER : !- T.Q.0 w ._ _ �. F:;6NE
OWNER 'S ADDF•ESS:
TYPE OF IN)TALLATION:
X"BUILDING SEWER F—IBUILDING SEWER ANCS SIDE SEWER ,-
TYPE OF OCCIIPANC:Y r
XXE]NEW F_�XSINGLE FAMILY 0 COMMERCIAL
❑E.XIST . (PRIOR fn 7-- 1 - '70 ) 11 MUl_T . RES. E1 INDUS'rRTAI_
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 Tn THE PEPMI"T NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY O ?0 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25,
CONNECTION CHARGE
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TJO T A l_
�PL CANT DATE
SER PERMIT
13890
ADDRESS OF STRUCTURE15510 SW Oaktree Ln.
.._._._ .�
TAX MAP 552 TAX LOT SYSTEM fanno creek
LOT BLOCK OF
APPROVED BY DATE ISSUED BY DATE
REMARKS_ bldg. #1864
CITY OF TIGARD
c
f ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALES PRICE
APPLICANT NAGE �- ((J C TELEPHONE: #_
JOB ADDRESS ; BLDG. P[ Af`1IT
AMOUNT OF FEE FOR P. D. C . oe '-
DESCRIPTION OF IMPROVEMENT L^
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family duelling unit under $40,000.------------- 75.0
B. Single family dwelling unit ov r $40,000------------- 00.0
C . Mobile Home Court Space (Need Development)------------- 5 .
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED OI��E. _ N.W. SIDE OF S.*/. PACIFIC
HIGHWAY. N.W . is Park District #I . S.C . is Perk Distract #II.
CITY OF TI.GARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ��' �� , y. ESTIMATED SALES PRICE S '�l 3Q1 o�
APPLICANT NAME_ _ �_ C ;ELEPHONE
JOEL ADDRESS / � 5 )�7 L.' �, �. :- �� OLOG. PERMIT #.
AMOUNT OF FEE FOR S. 0. C.
DESCRIPTION OF IMPROVFMENT
EXEMPTIgNS -PER ORDINANCE ;;77-26�
FEE RATES:
A. Single family dwelling unit; under. 560,0L)1).--____.L_ 5300.00
B. Single family dwelling unit over $60,000----------- $400:60
C. Mobx].e Hume Court Space (New Devei.opment)---------- $150.00
D. Multi-Faoily Owe .lings--per unit---------------------- $2411.00
E. Commercial, Industrial h Institutional(Park. Space) $ 50.00 each
F. Sinqle farni.ly un4lt under $40, 000- ------------------- 5250.00
D'UILDING PERMIT APPLICATION co' TIGARD DATE. is. N2
64F LIN[)E RSIGNIFD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER
F AS SH,')WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAI IONSLOT N. PHONE
LOT NO
ADDRESS
ARCHITECT
ENGINEER
ADDRESS _ __ DESIGNER
Wn_�LJRFM_ODEL ElADDITION OREPAIR (3RENEWAL-� DFIRE DAMAGE �1 DEMOLITION
�'✓ NCE n' r.MM OEDUCATIONAL QGOV-T ❑RFLIGIOUS`.JPATIO CAR PORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
-1 ND ❑MOVING ❑CONDITIONAL USE ODESIGN REVIEW COUNCIL APPROVED ❑SIGNS
Nc Y - IAND USF ZONE-17 __..BLDG TYPE FIRE ZONa`PLAN CHECK BY - HEAT
Lin*
� 1
1�..�'` � l.!..]A�.�._[�'-G-1+�..�•-=s- o -. l..{�f'il 1 D.O�,dys,a-i.ts_. . .�
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ALS
HiiiL[. iNG DEPARTMENT SEI BACKS FRONt REAR �"' LEFT StpE Ir RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check (�Cle� REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA(IONS AND IN COMPLIANCE WITH
`.Uh total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' tat!' TeX _ LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Hy � _-_ --- --_--------
. .
q;g1,nved Receipt No.
Af DRIF SS