15565 SW OAKTREE LANE w mwjw_
1556 SW OAKTREE LANE
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C-%TFACTOR
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WORK ADDRESS%1;15T S,Ly.
PHONE (.2 7:�-o APPLICANT
Heat Input Paling (EM) Per Hour)_yd- Vent Site Flue
FUEL OIL GAS E-1 ELECT 0 OTH F R
ITEM NO. FEE 17 EM NO. FE
For Issuance of Permit 300 Air Condition Compressor 15 to 30 HP 0
New - Under 100,000 BTU 4.00 Air Handling 10,000 CFM
New- 100,000 BTU & over 5.00 Air Handling Cver 10,000 CFM
Floor Furnace-- 4.00 Evaporative Cower 3.1
Wall - Floor -Suspended 4.00 Range Vent Fan 2.1
2.00 Ven�System 3-
Install Vents Only
Repair- Heat & Cooling 4.00 Hood Commercial 3-
..... Air Condition Compresses Under 3 HP 4.T6 Commercial Duc: System
Air Condition Compressor 3 to 15 HP T50IL-,
COMMENTS
INSPECTOR'S
CITY BUSINESS LIC,PAE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
A P P R 0 VE D BY DATE ISSUED BY114DATE
RECEIPT NO. -- _-i I
774 Signature of Appli nt
ADDRESS PERMIT NO,
PE9MIT CHARGE none
OWNER C. CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR P110 By DATE
SIZE OF CONNECTION ASSESSMENT PAID
Its W N 111111F / IIS 11111F A i
l9Hit E. R[PTAM PIUME1iNG, itis;BUILDING DE:PAHTMLNT, TIGARD �
°. 9. EQY 129 PLUMBING PERMIT NO.
r°HT'i 97131 _ I
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be 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 are ready for inspection. City of Tigard Business License required
for all conyactors and sub-contractors.
Owner ' _1J'a_�_ _'I . Address
__.._
TYPE OF PERMIT NUMBER OF TOTAL PERMIT NO.'S
ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Fornily�1 both—each _ ✓ 75,00
Du lex--Each 1 both unit 25,00'
Additl_ bath rooms—each 10.00
Mobile Home Space—each 16.00 —� —
INDIVIDUAL FIXTURE FEES
1 to 50 Flxtt res ii 1 building—each
51 to 100 Fixtures in 1 buildhg-each i
2.50
r101 to 200 Fixtures in_1 buildingYooch 2.00
201 more Fixtures in1 building—eachLLANEOUS1.50q Sewor-1st 50 it. 10.00
—each additional 100 ft. 10.00
aterService to building
—-- 5.00
Private water Systems—each 100 ft. ,o —
.
Other (S cif — .�
PERMIT 1 For Plumbing Inspection Phone 639-4191
96 State
Plumbing Contractor By
TOTAL _ RECEIPT NO. Issued By —
_� , ,„�.. ... ,_,_....... . ..... . . ........ _ .... ..�:.....�,.:.�..>w....- w��..... . ,;�.� ..,,,..,,,.�•�,,r.....-.-.,...,mow
Aja BUILDING PERMIT APPLICATION coF TIGARD DATE— 1�._, 19------ 7 5
THE UNDERSIGNED HEREBY APPLIES FOR AncRM1T FnR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVE') IN THE AC APANYiNG PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO
OWNER �_- �_ JOB ADDPZSS , 5!jb:] `.SLI L akLr'fju Ln.HOME ADDRESS
ARCHITEC'r
ENGINEER
BUILDER _ ADDItEr^:��S DESIGNER
STRUCTURE •ANEW _❑_ REMODEL LJADDITION CIREPAIR� ❑RENEWAL_ ❑FIRL_I
E DAMAGE DEMOLITION
❑ HESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T EIRELIGIOUSOPATIO L.JCAR PORT OGARAGE ❑STORAGE❑SLAB EIFENCE
❑BOND OMOVING ❑CONDITIONAL USE ❑DEr
SIGN RI VIEW OCOUNCIL.APPROVED L_JSIGNS
OCCUPANCY LAND USE ZONE _? BLDG.TYPE . FIRE ZONE PLAN CHECKL� HEATS —
—__ 2 Fontaine reissue came so 1023b w.W Greenleaf Tervace
t°1Lime b1dq* tounhouese CoMrPMG wall w/nttachviJ (Jerege 2 bedroom 2 With
OCLLOAD
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT;IDE RIGHT SIDE
_��v—�_----_=— `---•_--_.____.--------- -._..--- -- ------ ___.—__-----------
Permit134*00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 60ILDING CODE, ZONING
Plan Check 100(ICJ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUV-total 164,00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Lai ;,6 LICENSE. SEPARP}(F,PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 170. 6
By {,•Uel:, ,�� �It�CI♦
APPI.IC;ANT nA AGENT _
Approved t Receipt No
. , .....,,,.. .....,....wu.m.a......::ro..w.a.mwrw:wr,.:w�.n.sew;.ww,r,+.r�.wxw.,.P+rm,:.y;,ryo;8,e.mrw�Iw�WWWn4lYwli�Y+,'�GNtiww�++<.+wrauWaa:AW�rW�iti+� w:awn•yi.iiu�:r;�w�,s.rwytw.waa;mw.yr.rw o...:W�:.w..
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-- I -- .----
0
Contractor
Permit No. 12-2Fixture
Final
HEATING
Contractor
Permit No OSS
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Fimall
_ _ Storni Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Ar roach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CFR71FICATEOCCLIPANCY Final
Landscaping
Zoning Final
■
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7i�5 �
SEWER PERMIT
U N'? 1.3797
Unified Sewerage Agency
of Whshington County CITY OF_— _ Tigard _ DATE — 9-22•-77
OWNER : T.D.C. PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
XDx 9UILDING SEINER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XEJAEW Xp SING-1 E= FAMILY ❑ COMMERC: I Al.
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MUI_T . RES. ❑ INULISTRI AI.
FIXTURE UNITS DWELLiNG UNITS 1
PERMIT CONDITIONS: THF: APP'_!CANT 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 AMOU'JT PAID WILL
BE. FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE E 25.
CONNECTION CHARGE 600.,
SIDE SEWER INSTALLAfION _
ISSUED BY _
OTHER
TOTAL x 625.
PPL-ICANT DATE
SEWER PERMIT 13797
ADDRESS OF STRUCTURE_ .1.5565 SW Oaktrde Lane
TAX MAP _ TAX LOT_ -- SYSTEM fanno creek
LOT 502 BLOCK OF
APPROVED BY DATE ISSUE /BY DATE
REMARKS bldg. #1725
■
CITY OF TIGARD
ORDINANCE 7' 77-7.1
PARK SYSTEM DEVELOPMENT CHARGE
DATE : j,,,-> .-� / ' ESTIMATED SALES PRICE
APPLICANT NAME '� (7, TELEPHONE
JOB ADDRESS /� 1� _�; _�JG,, ,,, BLDG. PERMIT S- _
AMOUNT OF FEE FOR P. 0. C .
DESCRIPTION OF IMPROVEMENT +�
EXEMPTIONS - PER ORDINANCE #77-71 -`
FEE RATES :
A. Single family dwelling urit under $40,000.------------ 00
B. Single family dwelling unit over $40, 000. ------------ 00. 0
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family dwellings--per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON L-'f S.W. &1aE_0_F S.W. PACIFIL
HIGHWAY . N.E. is Park District #I . S.W. is Park District -#�:
CITY OF TIGARD
ORDINANCE -#77-26
"TRE.ET 5YSTEM DEVELOPMENT CHARLIE
DATE: x/77 f_STIMATED SALES PRICE ajo
APPLICANT NAME ,..1 L ( TELEPHONE
J08 ADDRESS / �,,� Cp S �-�� ? �� �.. o dLUG. PERMITS
AMOUNT OF FEE FOR S. 0. C.
DESCRIPTION OF IMPROVEMENT,_„_
EXEMPTIONS -PEk ORDINANCE #77-26_�
FEE RATES:
A. Single family dwelling unit under.
8. 5ingla family dwelling unit over ;60t DOO. .--------- 4110.00
C. Mobile Home Court Space (New Development)----------- 5150.00
(). Multi-gamily Dwellings- -per unit.--------.-.---------..- 1240.00
F. Commercial, Industrial R Institutional(P?ark. 5paco) 5 50.00 each
F. Singlo family unit under C,40,0011. ------------------ 0250.00
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