15545 SW OAKTREE LANE 15545 SW OAKTREE LANE
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CI i y of Tioai d Mechanical Pcr;nit N° Per,its ,�_.__
} Fee NVevv In;;allation Rea!ace ❑ Relocation ❑ Adii-ion Alii ration
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-0.. A O1%N e
.,,.iTRACTOR ,
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1
pfjnR.c5SWORK ADDRESStiS�S+��S
_ � �r �.I,b>�.
�. PHONE �p,' "rtp_�_�' r�-fiQ APPLICANT
Heat Input Rating; (BTU Per Hour) IM Vent Size _��'`'� Flue.Size
=UEL OIL ❑ GAS ❑ ELECT ❑ I OTHER
.. ITEM NO. FEE ITEM NO. FE
For Issuance of Permit _ =—r 3.00 Air Condition Compressor 15 to 30 HP 10.
New- Unosr 100,000 BTU 4.rj0 Air Handling 10,000 CI h1 _ 3.
New- 101,,000 BTL & over —� _ 5.00 Air Handling Over 10,000 CFM 5.
( Floor Furnace 4.00 Evaporative Cooler 3.
Nall - Floor •Suspended 4.00 Range Vent Fan 2.
Install Vents Only 2.00 Vent System 3.
4.OD
Repair - Heat& Cooling —� !food Cc_mmerrial _ _—
3
_ .
Air Condition Compressor Under 3 HP 4.00 Commercial Duc: System 1Q
-Air Condition Compressor 3 to 15 HP 7.t•
INSPECTOR'S CC` ..,v1ENTS—__
CITY BUSINE S LICEN REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE _ _ ISSUED BY DATE _
! - ��_
RECEIPT NO.__•� �r
ADDRESS �'," c .� �; _ ,, _ PERMIT NO.
PERMIT CHARGE none
OWNER � � � CONNFCTIGN FEE +
PAILS 8Y L
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE J
CONTRACTOR PAID BY DATE
SIZE OF COI'NECTION ASSESSMENT PAID
JOHN E. RUNIMP,QT PIU MBIJiG,INC BUILDING DEPARTMENT, TIGARD NU.
P. Q. COX 129 PLUMBING PERMIT
_ h1woEf.3, C-UGOy 97137 holder of a va"A plum;jfng contractors license is herf.by
" author:-,ed to cause plumbing work as herein noted to be installed in accordance +with thq plumbing code of
i ;
Tigard. ' Lich installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
� I Address, %5 i�/,5 1C� = I
Owner L � �Z'y`�"ato_/__�_._.LZ� �
NUMBER OF TOTAL PERMIT NO.'S +
_ TYPE, OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) I
f Single Ferrtily-1 Seth—each_
'
Duplex—Each 1 bath unit _ 25.00
Additional bothmoms—each _ �� 10.00
Moblle Horne Spoco—er.,r 15.00
INDIVIDUAL FIXTURE FEES
�! 1 to 50 Fixture. in 1 building—each ~! 3.00
51 to 100 Fixtures in 1 building—each _ _ — 2.50
101 to 200 Fixtures in 1 building—each _ _ 2.00
_201 or mo a Fixtures in 1 building—each 1.50
MISCELLANEOUS
Building Sewer-1st 50 ft. 10.00 _
Sewer—each additional 100 ft. 10.00
.r. _ L
Water Service to building 5.00
Private Woter Systems—each 100 ft. 10.00
Other S ecif 4:
PERMIT For Plumbing Inspection Phone 6394191
% State Plumbing Contractor By
ATAL RECEIPT" NO. Issued By _
o.......-...o-aw-+-•..«..ww..+.�....w.„...+.w.w+.v.�.w•=w.err.+wawa•w..or4+a�w.�a�+,w-mq�wumw+c.w.r.saw...rw`�'w+�+�w '�'++►.�+1•�wt"'77vw rte.
BUILDING PERMIT APPLICATION "" TIGARD DATE__ s__=��-'7 � ,l . )9--- 172
T'-'E LINDFRSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PKONE
LOT NO. —
OWNER + JOB ADDRESS %1 Oaktrwo Ln. .-IOMEADDRESS
ARCHITECT
BUILDER LR�JIYIf? ENGINEER
ADI SS DESIGNER
SI RRUCTURE �QNEW ❑REMODEL — ❑ADDITION ❑-•tREPAIR ❑RENEWAL (3FIRE DAMAGE _❑DcNIOLITION
❑g�-E1SIUENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAA PORI ❑GARAGE D STORAGE❑SLAB ❑FENCE
f
[_iBONO ❑MOVING ❑CCUDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUP_ANCY______.LAND USE ZONE_ —BLDG.TYPE-------FIRE ZONE-_- PLAN CHECK BY �4U HEAT a__-''
�' i%LtIG�ti! I.k+T.' Ti 18Sai1C3 rJE3 ll' L�Ff3anJ." LEJOL —
,,Uarsma d%ju11 i n,; uZZ ;t„tacLrdd Laraue C bedrQom _—
OCC• HEIGHT NO.SZQBIES AREA ( (t' NQ�♦iEDROO�S VA) __y La.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check i.' REGULATIONS AND ALL. APPLICARI F CODES AND ORDINANCES, AND 'T IS HEREBY AGREED THAT THE
"--- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC,'WAI ION-AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF I HIS PERMIT DOES NOT WAIVE
REST'IICTIVE COVENANT'S. CONTRACTOR AND SUB CON.TRACTO;IS TO HAVE CURRENT CITY BUSINESS
State Tax LICcNSE. SEPARITf PERMITS REOUIRED FOR SEWER, PLUMBING RY.i; "EATING.
Total
By
--- i --- APAI (CANT tlR AC.EN'1
Approved I` ow elpt No.
---
DATE INSP. TYPINSPECTION REMARKS PLUMBING DATE
Contractor
1-i 41
Permit
it NO.
oul
7-IZ-17�; RFlough�in
Fwure
Final
HEATING
Contractor
Permit No.
Ar,
Gas or Oil
Rough-in
Final
ER
SE
Final I — —DRIVEWAY
Final
Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
-
Storm
S-'-
(Rain
I
Arwroach
TEMPORARY- - CERTIFICATE OCCUPANCY Final
BLDG DEPT. FINAL CERTIFICATE OCCUPANCY Final
Landscaping
Zoning
al
oning Fin
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SEWER PERMIT
N`.' 13795
A
Lln; ied Sewerage Agency
of WvthingtonCounty CITY OF Tigard _ _ DATE9-22-77
OWNER :
OWNER : T.00. PHONE :
+'
OWNER 'S ADDRESS:
T` RE OF INSTALLATION:
UILDING SEWER FIBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
13 t w nX§INGLE rAMJL.Y U COMMERCIAL
[:]EXIST . (PRIOR TO 7-1 --70 . � MULT . RES. ❑ INbUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICAP'T AGREES TO COMPLY WITH Ai_L RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGEN'.,Y . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN OHNE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT 7EE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
IOTAL. S 625.
C
AP.) L I C A N T o A T E ----
A80VF DATE, SEWER JSEAVi10E
`IT, WILL BEGIN FOR THIS SEWER PERMIT 13795
ADDRLSS OF STRUCTURE 15545 SW Oaktree Lane_ _
TAX MAP — TAX LOT SYSTEM fanny creek
LOT C;AA BLOCK OF _
APPROVED BY DATE ISSUEV' BY DATE
RE'4ARKS___ bldg. #1723
MIN In
CITY OF TIGARD
ORDININCE #77-7.1
PARK SYSTEM DEVELOPMENT CHARGE
DATE //, �j 77- ESTIMATED :ALES PRICE
: n
APPLICANT NAME �?��J. � _ TELEPHONE
O0R ADDRESS �: .: �` C(� �, <.�_ BLDG. PERMIT #_Z70 3
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES :
A. Single family dwelling unit under $40, 000- -------------$ 751100
B. Singls family dwelling unit over
C . Mobile Home Court Space (New Development) -------------=$ 5C. 60
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON .W. N•E., QE_�E.__.5_,W. PACIFIC
HIGHWAY. N.E. is Park District #I. .W. is Park Distri.ctZ.b.
U,UuuUUYLJ UMt
CITY OF TIGARD
ORDINANCE -#�77--26
STREET SYSTEM DEVELOPMENT CHARGE
G
DATE : 17Z SALES PRICE
APPLICANT NAME__�•d� . (7' TELEPHONE
70B ADDRESS BLDG.��` c ��� .,L ,.�_ BLDG. PERMIT
AMOUNT OF OF FEE FOR S. D. C. nU
DESCRIPTION OF IMPROVEMENT ,�IJ
FXF 11PTIONS -PER ORDINA" " #77-26 �_�•______-____ 1
FEE RATES:
A. 5i.ngle family dwelling unit under "60,000----------C- 06-
0.
0 p0. Single family duelling unit over 360,00O.----------- ;;4UU.f`fi
C. Mubiln Home Court Space (New Development)---------- �,150,, 00
U, Multi-Family Cue!lings --pear unit-------------------- $240.00
f.'. Com►nercial, Industrial & Institutional(Park. Spacu) 5 150.00 each
F. Single family unit under X40, 000- ----------------- X250. 00
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