15695 SW OAKHILL LANE w w w r
15695 SW OAKHILL LANE
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C"L N/ of I l o ca ra Mechanical Permit .1 �I 1'e:cnit_-, ••�-53.00 ,__.
Fee. .. -New Ins;;kanor, �!' Re:�lacc ❑ Relocation [] addition CD Alti:
JOHN E. REC'i'RQi Pl'1`!BRIG,Its(;BUILDING DEPAHTMENT, TIGARD N0.
N Q. 119 PLUMBING PIERMIT
lei':" ;;1 X7132_ _ holder of a valid plumbing contractors license is hereby
authoriz_ed to cause plumbing work as herein rated 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 contractors and sub-contractors. � � 7t `26 71-1-'3e,,1 c� �,/
( �� Address,_/ y',� ._ .C.c �!? Date-4 �c 2
Ownst..� 1.�� _ _
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
dQ E N TLA 1,
Sln le Femil 1 beth—each 25.00
DJPltx—Eech 1 bath unit 25.00
Additional berhroomc-each 10.00
Moble Nome Se—etch _ _ 15.00
INDIVIDUAL FIXTURE FEES ------
1 to 5o F_..ures in 1 _uilding,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 mure Fixtures m 1 building--each 1.50 MISCELLANEOUS
�_ --------
Building S^wer-1st 50 ft. 10.00 _
sewer—each eddltionel_100 ft. 10.00 r
Water Service to building _ 6.00
Private Water_Syttems—each 100 ft. _ 10.00
O,her S ec'f
PERMIT ror Plumbing Inspection Phone 6394191
% s t-8! Plumbing Contractor By �'T/`
' �- RECEIPT NO. Issued By
L. TOT - ---- —
.,-w>,..._.....,,.....,,_,rpdr-w..a+.-v».�inuwa �•TW�IyRr+• .. Ml�w"�/1*1�"MO'.'.re•,.,..,,.�",r..,......v,,,..«. ..«�.......-
(1� BUILDING !PERMIT APPLICATION of TIGARD °ATE.-.-
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE____
LOT NO.—
OWNERJOBv 'AES3'' I'f7:1 !.1 i1al�hJ. 1_], Ln• HOMEARO" 45
— ARCHITEC'T
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE NEW ❑REMODEL- []ADDITION LJREP-Al R ❑RENEWAL CIFIRE GAM,'.;E r� ❑DEMr-01LI*ION
Q RESIDENCE []COMMJ ❑EDUCATIONAL ❑GOV'T EIREl.IG1OUSOPATIO LUCAR PORT OCMHAGE El ST:)R ,GE OSLAB []FENCE
Q�BON•D ❑MOVING ❑C"NDITICNAL USE �ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE__ BLDG.TYPE r FIRE ZONE.__PLAO CHECK BY_____ HEAT____._..._
Q"—LOAD -_ F .L?5 B_0A_D__ AJ3EA,___NSL BEDROOM _.—_.VALUB y
BUILDING DEPARTMENT SET BACKS CRONT REAR LEFT SIDE moi, rlgHT 5!DE- _.,per 11A,l
lApproved
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 'THE WUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND It IS HFP�EBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
�Ut,..,a *.P.t.
APV4JCANT C)R AGENT Receipt No.
_.. .__.—_-• AD RESS
. ,;rw............,,.:..w«:.w,..,:.,,.r..•.;, ,,...»,..,.....a..w.�r.�ar.syw..rw.w..re...e,.
DATE INSP. TYPE INSPECTION —_� REMARKS PLUMBING ^_ nATE
Contractor
Permit No.
Rough-in 36 --
-2.v-Af �, d —�_ -- Fixture _
Final —
(��� HEATING
Contractor
— — _— —_— ---- ---- Permit No. Q _ 12--
Gas or Oil
D-2-up--in
Final
SEWER
Final _
-- ^~ --� � Dalvewnv
Final %
Storm Drainage
(Rain Drain) Final
Sidewalk
_-- -- _--+----- ----- -- Curb&Street Final _ — 3-13
A ro4ch — Y 7 1
BLDG DEPT.FINAL TEMPVAARY— -- CERTIFICATE OCCUPANCY Final - r?
CERTIFICA i E OCCUPANCY _
® ® 1 andscaping
Zoning Final
Gki' .� cilP `s 1
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Inc
F
SEWER PERMIT �� >I-V-177
Uf 4 N° 13780
Unified Sewerage Agency
of Washington County CITY OF __ Tigard DATE 9-14-77
OWNER: T.D.C . PHON_ : 639-3101
OWNER'S ADDRESS: -
TYPE OF INSTALLATION:
XBBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XXX (❑NEW XF� SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FI:(TURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULAT:ONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTIOIN, 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 'r=E:E a 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $ 625.
c
APPLICANT DATE
td0TICE: � �> !'p VS JIF THE
ABOVE OAT[, v:ER ;,,[RVICE
CHARGEWill BEGIN FOH THIS
PERMIT. SEWER PERMIT N(.1 13780
ADDRESS OF STRUCTURE 15695 SW Oakhill Lane
TAX MAF' TAX LOT ,TEM fanno creek
LOT 576 BLOCK OF /
APPROVED BY DATE ISSUED BY DATE
REMARKS_ b1d�70-', _
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE.
BATE : ESTIMATED SALES PRICE .
APPLICANT NAME �' ' ,�'l:- TELEPHONE r
JOB ADDRESS ,` ` .� -BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C.
DE:,CRIPTIflrJ OF IP1PROUEMENT
�._ .
F XEMPTIONS -W-7r? ORDINANCEy #77-26
FEE HATES ; �._... r.�.
A. Single fal-Ily dwelling unit under ',x60,000.---------- a
B. Siriglca f'ar..ily dwelling unit avpt ;aGo, ggO.------ 54O0. 0O
C. Mobi.l.G Flame Caurt SPRco (New Davelopmor,t)----_..___ _ x+.150.00
D. Multi•-Frimi.ly Cwellings---per unit- --�-____._______._ $240. 00
E. Commercial , Industrial t Instituticne l(Park5 SP. 00 aach
F. Singlo family unit Under b40, 000- --------- ..,_..._ •15C. 00
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
ESTIMATED SALES PRICE $ ¢/>�V
DATE : �-y --
APPLICANT NAME - �� r TELEPHONE #
i
AUDRESS , ,, �`' ` '� BLDG. PERMIT # �C� J
JOB �/.��� �� ~'t �'�-
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--------------- 75. 00
------------`$100. 00-
B. Single family dwelling unit over $40, 000.------ 6 50.00
C. Mobile Home Court Space (New Deve.lopment)--------------- --S 00. 00
D. Multi-Family dwellings--per unit-----•-
--------------
CONSTRUCTION IS LOCATED ON 5.W.�— - - E► - _01 S.W. PAUFIC
HIGHWAY . N.E . is Park District #I . �--�►.L1-- is--Ga�k --Bistrict-_�X_I_�
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