15655 SW OAKHILL LANE 15655 SW OAKHILL LANE
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ADDRESS PERMIT NO.
PERMIT CHARGE none
OWNER L CONNECTION FEE
PAID BY
TYPE OF BUILDING _ ( DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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Fee
JC
Nev. Ins;At;et�on V-0ace ❑ Relocation ❑ Addition 4X.
T OTA L
CONJR ACTOR �}J,ilLh4►_�stl�/� - __ -2�r- CA%'NER u4t,,,� ttQA • Nr? _"..- -
A[�7RE.SS-� , � __�T( r ,►..Cts .-'�'S WORK ADDRESSIs SN• S 1, 0ur.�ur`_
PHONE
Heat Input Rating (BTU Per Hour�� � Vent Size ___ -__�•'�i___ Flu- Size - -
FUEL OIL EJ GAS L-ELECT ❑ OTHER
ITEM
ITEM NO. FEE ItEM NO. FEE
For Issuance of Permit_— _ _ � T3.00 Air Condition Compressor 15 to 30 HP 10.0C
New• tinder 100,000 BTU 4.00 _Air Handling 10,000 CFM _ V 3.01
i'-• New• 10oM0 BTU&over
Handling Over 10,000 CFM - - 5A_C
Floor Furnace 4.00 E,.•aporative Cooler
4'= Wall Floor Suspended -4.00 Range Vent Fan _- _ 2.00
2.00_ Vent System —3.00
Install Vents Only _ _ ---- -
pair• Heat & Cooling 4.OU Hood Commercial _ _ 30C
Re
Air Condition Compressor Under 3 riP� 4.00 Commercial Dues 51 stern - - 1O�OC
7_ — -
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Air Condition Compressor 3 to 15 Hp 50
INSPECTOR'S COMMENTS -__
ro CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
:'-AF APPROVED BY-- DATE ISSUED BY___ _ DATE
RECEIPT
_! y
77+ Signature of Appli nt` 2
lONii E. HSI,!1,991;1 P.�h1fl;i`�, i',t;.BUILDING UEVAK I MI.-NT, TIGARD NO.
P .1. BOX 12,9 PLUMBING PERMIT
N[Pi9cI,�,, C;ili' 9032 holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein notes to be installed in accordance with the plumbing cut.;u )f
Tigard. Such instai'Ltions require inspection Ly the 'City Inspector who shall be entified not less than four
(4) hours prior to the time tilt: installations are ready for inspection. City of Tigard Business License required
for all contractors r•„Id sub-contractors.
Lt ��/; �� _ Address� �y�. _ � Date /// J___
Owner _.y.__�T_�.� __..
NUMBER OF 'TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EkCH AMOUNT (Of-lice Use Only)
,s_p_LNTIAL _ -- —
Single FomilY-1 both-arch 25.00
Duplex-Ear , 1 bath unit _ 25500
Additional bnthrooms-each -� 10.00
_Mobile Home Spoce-each _ 15.00
�;NDIVIDUAL FIXTURE FEES
_1 to 50 Fixtures in 1 building-each 3.00
5'1 to 100 Fixtures in 1 building_noch 2.50___
101 to 200 Fixtures in 1 building-each _ 2.00
201 or more Fixtures in 1_building-each 1.50
MISCELLANEOUS
_Building Sewor-1st 50 ft. __ _ 10.00
_Sewer-each additional 100 It. 10.00
Water Service to buildinL— 5.00
Private Water Systems-each 100 ft. _ 10.00
_('.cher (Specify): ~
PERMIT Ce) For Plumbing Inspection Phone 6394191
% Stately Plumbing Contractor By
TOTAL __ Z,16- U RECEIPT NO. Issued Lly
....,�....,...�.-....::»..,...-•�" ",�,M'"''.;"Mw!�n�" 'n'N►WwP;1r...q+«ww...w.+ryw+r„"'TM"^'"..
.. .-. _ CIT YTIGARA nDAZE19
BUILDING PERMIT APPLICATION of
-_-_�.__.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
L' OR AS SHLOTNC).OWN AND APPROVED IN THE ACCOMPANYING PLANS AN Q SPECIFY ATIONS. nCP.ONF_._........--__.._.-
�
H94E ADDREESS
OWNER ,___T.- JOB ADDRE`38 _ ARCHITECT
ENGINEER
BUILDER_ r-t—____ ADDRESS []DEMOLITION_
5TRUCT'URE r E-JNFW 0 REMODEL _ ❑A_ D?IT�ON __ C7 REPAIR C�RENEWAL AGC�FIR�E DAMAGE
ORALE CISLABQFEN F
�GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT [ GAR L i -� � ---
❑ RESIDENCE ❑COMM ❑EDUCA'f10NAL 1-� - O
----r-1� -""-"r-"1�`- r�r�� IJiCOUNCIL APPROVED L.JSIGNS _
{„IBOND UMOVING OCONIITIONAL.USE 0DESIGN REVIEW IL r-==--
_ING - - - HEAT. _-_ _ --
PLAN CHECK BY _ - - _--
OgCUPANGY_LANA USE ZONE___--. BLDG.TYPE_._- FIRE ZONE
-- 1 �ih.a.i Ir.,�._. Imo_• - - ._..._...._-..�___'__...._
._ _�__._____ r �_ HEIGHT .J...__—..-I�Q•.�9�3.�--.=..-._AF.I_A.:_�___.__..1`J.4..-@-EI2HS,ZQ11��_�_..YR.L.Sl�- --
LEFT SIDE RIGHT SIDE
REAR
R
_ _
�BUILDISET BA'.KS
NGDEPAA?MENT _
Permit - THIS PERMIT IS ISSUED SUBJECT TO THE REGLA-ATIONS CONTAINED IN THE BUILDING CODE ZONING
P18n Check lFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AC
REED THAT THE
SPE
S AND
___-- ---
WORK A Pt IBE CABLENCODES LAND 4ORD ORDINANCES. THENCL WITH THE N$SSUANCECOFC TH SNP RMI TN DOES COMPLIANCE
WAIVE
sub total RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS RrQUIRED FOR SEWER, PLUMBING AND HEATING,
e r8x
APPLICAN-1514 AENT-.
Approved Receipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
10-7-0-11 31) '4c:&&4j Contractor
2 L�- Permit No.
17'79o) T- _- - Rough-in ---
e�-5 Fixture _^
Final _
_ - —�- ------iT HEATING ! --
-r-7g Contractor
np Tit No. c� 3a. !? / 7
Gas or Oil
Roup-in
i
-�--� Final
SEWER
Final __--
- DRIVEWAY
Final
Storm Drainage _-_
(Rain Drain) Final
Sidewalk
Curb&Street Final
_ A oath
BI-DG DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
. �
Landscaping
Zoninq Final
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4 �:;
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/-7 5 ��
SEWER PERMIT
Uf 13'7�3
N°Unified Sewerage Agency
of Washington County CITY OF Tigard DATE 9-11,-77
OWNER : T n r _ PHONE : 639.3101
OWNER 'S ADDRESS: —
TYPE OF INSTALLATION:
CX BUILriNG SEWER ❑BUILDING SEWER At,'-� SIDE SEWER
TYPE OF OCCUPANCY:
X)X NEW )eXSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS l
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 PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600•
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
TOTA_ $ 625. _
APPLICANT DATE
t'JTICE: � = DAYS OF THE
A3OVE DATE, SEWER SERVICE
CHANGE WILL BEGIN FOR THIS SEWER PERMITM13 783
PFFMIT.
ADDRESS OF STRUCTURE- 15655 SW Oakhill Lane _.__—_.__--
TAX MAP TAX LOT SYSTEM Fanno creek___
LOT 560 BLOCK OF
APPROVED BY DATE —�^ ISSUED BY DATE
REMARKS bldg. #1709