15530 SW OAKTREE LANE 1.5530 SW OAKTREE LANE
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BUILDING PERMIT APPLICATION TIGARD DATE_ _—oct. i
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE:WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE G'ZD ti.r2
LOI NO.
OWNER 4?s<►'s a�rir;or, JOB ADDRESS , i:i:3t ovktree Lane c
ARCHITECT
ENGINEER
BU,LDER t iLc ADDRESS ai. DESIGNER
_STRUCTURE D NEW ❑ REMODEL f.J ADDITION n REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE 0 COMM El EDUCATIONAL ❑ i30V'T Ll RFLIGIOU iImo] PATIO 0 CARPORT 11 GARAGE r_I STORAGE D1 SLAB❑ FENCE
OCCUPANCY —.R-3 LAND USE ZONE I=Z-BLDG.TYPE—_yi'X .FIRE ZONE---.=__PLAN CHECK BY _ 1`XN" HkEAT—
.0 .01.cL'e 1rI x 7.6 area inti] liyi i$_ared, all per t_ot4c rcauireirct:tg. ---`—M €
SEWER PERMIT p
OCC.LOAD FLOOD LOAD HEIGHT_- 1'' NO.STORIES_ AREA NO.BEDROOMS VALUE _^
BUILDING.DEPARTMENT —� SET SACKS FRONT REAL _ _ LEFT SIDE -_ RIGHT SIDE
Permit _ 17,51? THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Plan Check U, ,,!U WORK WILL BE DONT :N ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WI IH ALL Appi-ir,BLE CODES AND ORDINANCF'. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE
Subtotal 17 0 50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY PLISINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ci •'IJ
-- SDC
Total
PDCpAPPLICANT OR AGE
Ely
Approved
Receipt No. ADDOESS — PHONE
I,`]'�� 7
� r
i
DATE INSP. TYPE INSr-ECTION REMARKS PLUMBING DATE
Contractor
ParmitNo.
Fixture
Final
HEATING
Con,actor
Permit No.
~ Gas or Oil
----
Rough-in
y � Final
SEWER
Final
—•- — _i DRIVEY'IAY
�—
Flnal ---11
Storm Drain tga
(Hain Drain)Final
Sidewalk
Curb&Street Final
_ Approach
BLDG. DEPT.FIMp.!• TEMPORARY CERTIFICATE OCCUPANCY
CERT!t'ICATV "CCUPAW.'i Final _
Landscaping
g
Zoning Final
to
BUILDING PERMIT APPLICATION DATEZ-
THE LIN DEtRSIGNED HEREBY APPL.!ES FOR A PERMIT FOR 1"tiE WORK HEREIN INDICATED BUILDER PHONE
r9 AS`HOL*VN AND APPROVED IN THE ACCOw2PANYING PLANS AND PFC:f IC:A1IONS. O`,^'NER PHONE
_ Lal No.
1 �a BADORE`SS S V
01.1.11.1r.2• �1�—L4 ----. 5 [� SLU /1� 5[C z p •_ g" 7/S
ARCHITECT
ENGINEER
BUILDER ��' �—�ADDR.SS 2t�� _.�-- _ DESIGNER
L,IHUl.}U}iL ❑ NEW [I 'ODEL ' ODITION ❑ REPAIR ❑ RENEWAL r] FIRE DAMAGE ❑ DEP,40LITICN
r{F` ;rl -NCF r' COMM ❑ EDUCATIONAL '❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SIAEC FENCE
CCCUFANCY I1�- 3 _-LAND USE ZONE. BLDG TYPE .��FIRE ZONE_---PLAN CHECK 6Y r�"tea HEAT
--- � l - �-Q- --fes - _2k'�•
SEWER PERMIT N
UCC.LOAD — FLOOR LOAD HEIGH7 O NO_STORIE-3 �— _'AREA NO.13EDROOMS — VALUE
9UILDING OEPARTME_)r SETBACKS FRONT REAR LEFT SICE RI"'HT SIDE
P^rmlt 1 , .sC' THIS PERMIT IS ISnUED SUBJECT 1'0 THE REGULATIONS CONTAINED IN THE EU,LDI.4 CODE, ZON-NO
REGULATIONS AND DLL APP'.ICABLE CODES AND ORDINANCES, AND IT IS IIET3c3Y AGREED Trak THE
IPI,inCheck -_` '" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COtdPLIANCE
_ WITH ALL, APPLICABLE CODES AND ORDINANCES. THE ISZLIANCE OF THIS PERtAll DOES NOT WAIV
Sut>total _ _ RESTRICTIVE CCVENA?ITS. CONTRACTOR AND SUS C�ONTRAC1ORS TO HAVE- Ct1RREtiT CITY BUSINESS
_ -070LICENSE.SEPARATE PERMITS REOUTAED FOR ScWE9,PLUMBING AND HEAT i„G.
state Tax ! ' _
SUr,—
Total U
_1 PUC$ AP°UCANT OR AGENT
Receipt Na _
Approved / !':DRESS
'aC •- __s____ --
7EWER CONNECTION S
EWER INSPECTION �
-EWER SURCHARGE
i
I
IONr� E. PEllli;"".�l P,'J q l;,1gBUILDING DEPARTMENT, TIGARD N0.
P. A. EOR 129 PL.UMBIRG PERMIT
_ HE'�y'9EF , E"[C`JY 91131 holder of a valid plumbing contractors license is hereby
authorize_d to cause plumbing work as herein noted to be installed in accordance with + -le I.11umbing code of
igard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations ar? ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner A 2.0-C-yL �C.' __ AddressL�3�1 � '� Date Z -
-�
NUMBER OF TOTAL PERMIT N0.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT .(Office Use Only)
Singhe Family 1 bnth-each _ _�--'' 25.00 _
Duplex-Each t_be'h unit 25.00
Additional bathrooms -each 10.00 (ego
Mobile Home Space-each _ 161_ -- •'°
INDIVI')UAL FIXTURE FEES — ---
1 to 50 Fixtures in 1 huildin. each ,3.00 r_
51 to 100 Fixtures in 1 huildlny-each -� _� 2.50 - ----
101 to 20_0 Fixtures in 1 building-•each, _ _ 2.00 -
201 or more Fixtures in 1 1.50 _ --
MISCELLANEOUS —•
Building Sewer-1st 50 tt. 10.00
Sewrr-each additional 1U0 ft._ , 10.00
Water Service to building _ 6.00 _
Private Wateryrems-eech 100 ft. _ -_. 10.00
Other (Specify):
PERMITS �)O For Plumbing Inspection Phone 6394191
State M Plumbing Contractor BY
TOTAL RECEIPT NO. Issued By _�
L Pe.i n I t
0 1cla1*0 Fennit Fee
Rr.)!aCP 0 RPI."patron Addition ❑ Ahi-ration
Intal.al.1011 Jt
TOTAL .
0 W 1`101 E 8
RACTOR _kSkk&'*'pC-
SS WORK ADDRESSjjL_W,__Q ic 112 9 9-
PHONEAPPLICANT Fr._ �= SkLe!
. _77"
Flue Siz�e
Rating (BTU Per H Vent Size --.—._
Heat Input
FUEL OIL GAS [��ELECT
ITEM NO. FEE ITEM NO. FEE
PoIssuance o I Fie r rn it —Air Condition Compressur 15 to 30 HP
10.01-
- I 4.0__.�___ �,_0 Air Handling 10,000 CFM 3.0(
New • Under 100,000 BTU � 5.00 r Handling Over 10,000 GFM 5.0
4
New- 100,000 BTU & over
Floor Furnace 4.00 Evaporative Cooler 301
4.00 Range Vent Fan 2,0C
Floor -Suspended
Wall 2.00 Vent System 3.00
Install Vents Only -
Repair
4.00 Hood Commercial
Te I b Cooling 3.0.
10.0
3 HFI 4.00 C,.m-imarcial Duc.l. System
Air Condition Compressor Under
r Condition Compressor 3 to 15 HP 7.50
INSPECTOR'S COMMENTS_ ___
CITY
S LICENSE
-RO _"AT E
,*El
,, of:pVcni
-CONTRA::TO13S
CIT N S LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB
APPROV DATE ISSUED By_�� TE-
144
RECEI
774 Signature of Ap canl(.o
...........
ADDRESS C� PERMIT NO.
PERMIT CHARGE none
OWNER T CONNICTinN FEE
PAID BY c:
TYPE OF BUILDING 1Z_e DATE CONNECTED
SERVICE RATE IN5PFCTION FEE
CONTRACTOR PAID BY DATE
SJZF OF CONNECT-ON ASSESSMENT PAID
BUILDING PERMIT APPLICATION 11 Y TIC ARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SeECIFICATIONS. OWNER PHONE
LOT NO. ^._ _`_
OWNER JOB ADDRESS _ HOME ADDRESS ^�
ARCHITECT
ENGINEER
BUILDER ADDRESS r-1 DESIGNER t-1 —
STRUCTURE_rr-IltilEW 0 REMODEL L ADDITION L`-J7_REPAIRr-1 ❑RENEWAL � ❑FIrrR--1E DAMAGE rr--�� L��EMOLITION
D RESIDENCE OCOMM ❑EDUCATIONAL- ❑G(IV'T ❑REL IGIOUSOPATIG ❑CAR PORT ❑GARAGE STOR.GE DS1 4-[[FENCE
❑BOND ❑"MOVING ❑CONDITIONAL USE C1 DESIGN REVIEW COUNCIL APPROVED ❑SIGNS
OCCL'PANCY— x .LA.NO USE ZONE__�1 7 BLDG.TYPE „IN FIRE ZONE.._,_' PLAN CHECK BY�felt'L! HEAT
1:., LI- IiNi titia game 8o 1`a`J1:1.1 5i., :')uMMFjrfig1d Lw1E1 Fs'imb (IWR1.11110
er/sttgbhea 'a;^aje bedroom bath
-- ,
OCC,LOAD FLS2Q1�_LQAL_-- ----. I�EI�t�II_ yi_�Q SIQ51F�__ �R�F.A__ _�A�fG RIGHT SLUE
�29S24ti��__..__Y_A1t�1Eh1
BUILDING DEPARTMENT (' )a�1.
SET BACKS FRONT 13 REAR LEFT SIDE
Permit 121,00
---- - THIS PERMIT IS ISSUED ',UBJECT 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 OF DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICATIONS AND IN COMPL'AMCE WITI(
Subtotal .1.31.,0!1 All APPLICABLE CODES AND ORDINANrFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RI STRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY FAUSINESS
State Tax i 4 LICENSE SEPARATE PERMITS REOUlh-:D FOR SFWFR, PLUMBING AND HEATING.
Total 13ut
By _ — ____—_----__----.----- ---
APP ICANT OR AGENT
Approved R,!ceipt No,
w
UATE INSP. rYPF INSPECTION REMARKS PLUMBING DATE
Contractoiry
—
Perypit 0.
k-/ rn Rough in
Fixture
-71 Final
HEATING
f/.fl Contractor
Perm-r No. j ;T23-1
Gas or Oil
P
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Draina
(Rain Drain) Final
Sidewalk
Curb 6 Street Final
A roa,-h
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final v
Landscaping
CZoning Final
A
SEWER PERMIT N? 13856
Unified Sewerage Agency Tigard��r� DATE E
of tNashington County CITY OF _12-6-7
OWNER : T .D. C. PHONE__ _
OWNER ',3 ADDRESS: ..f�_.�
TYPE OF INSTALLATION:
x[�JI3UILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
""NEW X CH SINGLE. FAMILY [] COMMERCIAL
F'.EXIST . (PRIOR 10 7- 1- 70 ) MULT. RES. INDUSTRIAL-
FIXTURE UNITS DWEI..LING (.WITS
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 PAIn WILL.
HE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEF $ 25.
CONNECTION CHARGE
SIDE SEWER INSTALLATION
_...___.._._ ISSUED BY -"-__ --
OTHER
TITI AL
APPLICANT DATE
SEWER PERMIT M
15530 3W Oaktree Lane
ADDRESS OF STRUCTURE-
TAX
TRUCTURE TAX MAP _i _ fAX LOT SYSTEM fannnrrpq __
LOT 553 BLOCK OF
APPROVED 8Y' DATE � 9I ;SUEn� HY DATE
REMARK bl 8
S ��. � 14.._
CITY OF TIGARD
ORDINANCE #77-7.1
PARK SYSTEM DEVELOPMENT CHARGE
DAT` y ' 7F% ESTIMATED SALES PRICE
APPLICANT NAME �� C' TELEPHONE #
JOB ADDRESS cf L lta_�_ � BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C.
7
DESCRIPTION OF IMPROVEMENT
FXFMPTIONS — PER ORDINANI'f" #77-71
FEE RATES:
A. Single family dwelling unit under $40,000.------------ 75,lW
B. Single family dwelling unit over $40,OtjJ--------------11100100
C. Mobile Home Court Space (New Uevelupment)---------.-----$ 50.00
D. Multi-Family dwellings--per unit-------------------------- 60.00
CONSTRUCTION IS LOCATED ON � U. _ N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District k.I. s.E'. ; s Park District #II .
i,�
i
CITY OF TICARD
ORDINANCE 7177-26
STRELT SYSTEM DEVELOPMENT CHARGE
DATE : - , 7/ ESTIMATED SALES PRICE
APPLICANT NAME ,
_.1 � - � TELEPHONE r
JOB ADDRESS BLDG. PERMIT � ► / `�
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPROVEMENT �'/•- .� �._
FXEP1PTI7N5 -PER ORDINANCE X17-26
FEE RATES:
A. Single family dwelling unit Under 360,000..----------
8. Single family dwelling Unit over. $60,000.--------- S-4M Do
C. Mobile Home Court S1,ace (Now Development)---------- $150 .00
D. Multi-Family Dwellings--per. ung.t.-- - ___._.____ ____._ $240.00
E. Commercial, Industrial & Institutional(Park. Space) $ 51.00 each
F. Single family unit under $40, 000. ----------------- $2`0. 00
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