15535 SW OAKTREE LANE mw w
15535 SW OAKTREE LANE
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D 'on 7-1 State-
*7"q�-:)!acv EJ Relocation f❑ Addi's -rail
cv,N,ER th.)PW -A A dJ 01W,
C—%TRACTOR _AbJ�_4A A.L
WORK ADDRESSI 3s S . GkX:rQr-jLA �
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APPLICANTarC
PHONE Vent Size If Flue Size
H.-8: Input Rating (BTU ?Lr Hour)
ELECT ❑ OTHER
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FUEL OIL IJ OAS
ITEM NO. FEE IT=M NO. FE
7 7
3.00 Ail-Condition Compressor 15 to 30 HP 101
For Issuance of Permiti ---
N e
4.00 - Air Handling 10,000 CFM_ 3.
wy -_U nd—e- I UYOOO 6 T
5.0,3 A7,r Handling Ov. 110,000 M
ew. 10(1,000 BTU & over 3.1
-7- 4.0aporative Cooler.
Floor Furnace Evaporative
Suspended Too Range Vent Fen
Tva I -—Floor 3.(
2.00 Vent System
"7 install Vents Only
4.00 Hood Commercial 3.(
Repair - Heat & Cooling
Air Compressor Under 3 HP 4.00 1 cu!,imercial Duct System 110S
5 HP ').5u
—,.Vr-Condition ComPf ess
or 3 to 1
INSPECTOR'S Cr),,pNiFNTS,
-
C1TY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
DATE ISSUED BY—— DA-FE
APPROVED BY.
RECEIPT NO.
Sionalure of ApplVant
774
'al 9.V P
lez,
ADORESS_ PERMIT NO.
PERMIT CHARGE none
CONNECTION FFF
PAID 6 '
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSE35CIENT PAID
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10i1H E. REINNARDT pjUMBING, hCgUILDING DEPARTMENT, TIGARD NO
PLUMBING PERMIT l
I'. Q. sox 119 --
NEWEEfG, END 91132 , holder of a valid plumbi 1g cow°ractors license ie h.-rnby
authorized to cause plumbing work as herein noted to be installed 'n accord,,nce with the ;:lumbirnt code of
Tigard, Such installations require inspection by the City Inspector w.ut sha I be netified not less than four
(4) hours prior to the time the instellations ire ready for inspection. City A Tigard Business License required
fr r all contractors and sub-contractors.
�.�LL�d- � Addres �_.1�A�,.__Dates �
Owne, •.
-- --------
NUMBER OF TOTAL. PERMIT MO.'S
TYPE OF PERLUT TFMS FEE ON EACH AMOUNT (Office Use Only)
t n_FE_N T t A .
Sin le FemilY-1 beth—each _� 25.00
Duplex—Each 1 bath uni, ! L,— 25.rU _
r " 1 J,00 f�C
Additional bethroo_ms--each _
Mobile Home Space—each _ — 1E,00—
INDIVIDU4L FIXTURE FEES — --
- 3.00 �
1 to 5C �'I!tures in 1 building—each r
51 to 100 Fixtures in 1 buildin —each 2.50 -- _
_ 101 to 200 Fimures In 1 buildin _each__ 2,1)0
201 or mate Fixtures in 1 building—eech _ __ 1.60
MIS:ELLANEOUS —_•„_ — j
at,°Iding Sewer-1st 50 ft, __ 10.00
S _it—each additional 100 ft.` +. _ 10.00
Water Service to building
Private WaterSvstems—each IOU ft. _ — 10.00 _—•—
Other IS ecif --------- ^�^ ”'
PERMIT_._ C for Plumbing Inspection Phone 6394191 {
96 State o Plumbing Contractor 9y
TOTALy RECEIPT NO. Issued BY
---__.___�.-_-..�---....�...�.-.. �+'.' www► .�
I�-APPLICATION CITY� TIG,A,RD DAIr �-7t ,�.�_. 17"22
BUILDING PERM
THE UNDERSIGNED HEREBY APPI.IES I-OR APERM IT FOR THE WOAK HEREIN INDICA_`D BIJILUERPHONE --
OR AS SHOWN AND APPRPVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. uLOOTTNNO ONS
U.__
OWNER _. �. JOB ADDRESSJ.;. :ljib �� �� ''v U l jA HOME ADDRESS
AR(HITECT
ENGINEER
__FIEADDRE''.M DESIGNR .-
BUILDER E ❑FIRE DAMAGE ❑DEMOLITION
STRUCTURE AONEW ❑ MOnEL ❑ADDITION ❑ EP
RAIR ❑RENEWAL
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[]PATIO ❑CAR PORT ❑GARAGE (3 STORAGi:OSLAB ❑FENCE
I .BOND ❑_MOVING�.. DCONDITIONAL USE ❑DESIGN REVIEW _ IJ COUNCIL APPROVED ,.,.JSIGNS
i..t! HEAT._. , 1
OCCUPANCY t I ANn USE ZONE I:. ' —BLDG.TYPE.____- FIRE ZONE__ 'PLAN CHECK BY _ =
:.)Ll f�l�trzr;�hracatralr cl.ieeLsr� $1914tt3 Il 91 1�2`.1� :i't. r'E+r�F1tF:apt 7t�t:I:l9cts
At,,jchst.i r raMe dU"llif"" ,.)/a.Atac had yaragc, _1 bod>raom
�1�I.QAD F-1.94w I nAD _�_ FiE1�1HT NQ_S74P1E&.___AREA j__wQ,�EL�L��
SIDE
RIGHT SIDE 1
BUILDING DEPARTMENT SET BACKS FRONT REAR _F.IT
Permit is7rU[)
"1 THIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE F311
Plan Check G.00 I 1LDING CODE, lUNINC
LREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THFI
i , ANS,AND SPECIFICA rIONS AND IN COMPLIANCE WITH
WORK WILL BE DONE IN ACCORDANCE WITH THE P
Sub-total 1f� 1�r ClL� A'.L APPLICABLE CODES AND ORDINANCES. THE ySSUANCE OF THIS PERMIT DOES NOT WAIVI:
RESTRICTIVE COVENANTS, CONT'RACTON AND SU8 CONTRACTORS TO HAVE CURRENT CITY A',ISINESti
State tax (:)r 60 LICENII. SEPA"ATE PERMITS REOUIREO FCR SEWER, PLUMBING AND HEATING
.4.;r ru .
Total rr L'+rid[+ ��a���i..� p;'2 $I00r --__
BY 71P CANT 01 �-
}
Receipt No
DATE INSP TYPE tNSPEi,.TIO'4 REMARKS PLUMBING GATE
Contractor
12
Permit No. LZ qo
-Rough-in
Fixture
Final
HEAYING
Contractor------
X 2-
Permit N o.
Gas or Oil
I JD Rough-in
Final
s" /-ff
SEWER
Final
DRIVEWAY
�017L&Lx- Final
Storm Drainage
Z)
7
_(R
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n
D
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a
in
)
Final
Sidewalk
Curb 8.Street Fina
l
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
• Zoning
Final
F SEWER PERMIT*alp N tl 13 7.91
ytw Unified Sewe•age Agency
of Washington County C I I Y [)F Tigard _ DATE _ 9-22-77
OWNER : T D C: PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION :
[Rjl�UILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY
.X NEW SINGLE FAMILY [—] COMMERCIAL
❑EXIST . (PRIOR TO 7--1- 110 ) 0 MUL'C. RES. INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPI. ICANT AGREES 10 COMPL` WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE: AGENCY . WHEN CALi_ING FOR
INSPECTION , PLEASE i2EFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES !N ONE--HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITEu SHOULD EXPIRATION OCCUR.
FEES
PERMIT FEE $ __2rc7L—
CONNECTION CHARGE ,- raj _.__
IDE SEWER, 'NS'rA[-LAT I ON _
ISSUED BY
OTHF.R
TOTAL. $ 625.
PPLICANT DATF"
DAYS of TIlF
CHARGE WILL BEGIN U 11 T►:!c
PERMIT. SEWER PERMIT M 13794
ADDRESS OF STRUCTURE_15535 SW Oaktree Lane
TAX MAP TAX LOT SYSTEMa��8�-�
LOT — 505 BLOCK OF
`�---C���c-mac"
APPROVED BY DATE �% I SSUECY BY DATE
REMARKS bldg. 1'722 �—
CITY OF TIGARD
ORDINANLE #77-71.
DARK SYSTEM DEVELOPMENT CHARGE
DA I f : `���.`G..G? ESTIMATED SALES PRICE
APPLIC01' NAME �,�, �7 - TELEPHONE
JOB ADDRESS_.ZQ�_ cJ- �`�t� �Z� BLDG. PERMIT
AMOUNT OF FEE FOR P. D. C . %4�,
DESCRIPTION nF IMPROVEMENT_
EXEMPTIONS - PER ORDINANCE. #77-71
FEE RATES:
A. Single family dwelling unit under $40, 000--------------$ 75.00
B. Single family dwelling unit over $40, 000- ------------ 00._
C. Mobile Home Court, Space (New Development)--------------$ 5 . 00
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION I5 LOCATED ON 4- S.W. N.E . SIDE OF S .W. PACIFIC
HIGHWAY . N.E . is Park District #I . c�a ict
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ����� ESTIMATED :.TALES PRIf:E 6 VV mf
APPLICANT NAME �� i;s; -TELEPHONEt
JOB ADDRESS_ If lia BLDG. PERMIT
AMOUNT OF FEE FOR S. D.
DESCRIPTION OF IMPROWEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEC RATES:
A. Single family dwalling unit under 1560,000----------�C`uS00,00
B. Sinr�.ln family dwelling unit over $GOtOOO---------- "x'0.00
C. Mobile Home Court apace (N•)w Development)--------- X150. 00
U. Multi-Family Dwellings--P,3r unit---------------_---- P240.00
E. Coimmr.irrial, Industrial & Institutional(Vark. Spac:e) 1+ 56.En vacti
F. Single Family unit undsi, io40,000. ------------------ 325n, 00
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