15750 SW OAKHILL LANE 15750 SW OAKHILL LANE
a�
L
ro
_J
r-1
r.
ro
C)
:3
,n
0
un
r-
tn
w ry •v:I w`V�i r../ w lrr®'1�nt ./ L�+i% `+.-d v w Mn.w'
OF Occ,
., . , �,;E'�' CITY OF TIGARD C
OREGON
j
Owner:_ ._b. Permit No._
:` r: BuildirgP_c.'dress_ I�`� 5-U jc2I< 1L RAj LzW�__.._�_.�
' Certificate is hereby given this ���da.y of —21A —C!—l —, 19-1.r
that said building may be occupied and that �I
complies with all requirements of the
Building Code for the City of Tigard, as
approved by the Tigard City Council.
4> 4 1
Building Inspector
�-j
.l Q . ate»,
I ,1 I (M,�� � .�/��! f � / +'ti.A, ,M^.•M„ N,. � \RlY ', �/q1•+*„ A � �A Y
�:jrC•� '�4.9, i � `y/ � yY/ti\�fh.rw� � ^: t y �N,y' -��11Ly'1'' J '�'� U �,.?
1
Cit 1 L11 I �r 1�-U+ t�l'Ili7Cllll�l 1 t�l�illf
t� Fee._..__.___.
New Instbllation ::)lace ❑ Relocation ❑ Addition L-3 Ahi ration 4�)11!9 Stater
7 OTA L_._._��Z�
CrO.NTRACTOF, !¢aL� .Ad.�- L1 '�� ov "chi
WORK ADDRESS /
AD17RESS-I•n—jr,�&'—' " f��.. �+1
PHONE _ L.S'Cn-- j� APPLICANT-
Heat Input Rating (BTU Per HoyHd� i Vent Size S` �� ___ Flue Size
FUEL OIL ❑ GAS ELECT '❑ OTHER
ITEM NO. FEE ITEM NO, FEE
For Issuawe of Permit --� _ 4� 3.00 __Air Conditionmc Copressor 15 t 30 HP,� 10.00
New Und^ 100,000 BTU -� J4.00 Air Handling 10,000 CFM Y - 3.00
New• lOG,000 BTU & over -_ _�_ - 5.00 Air Handling Over 10,000 CFM 5.00
Floor_Furnace_-�-_ - 4.00 TEvaporative Cooler - -_, _-_ 3.00.
\Nall_• Floor Suspended 4.00^ _ Range Vent Fan____ _- _ - 2•nC'
Install Ve.,ts Only -2.00 Vent System _ - -� - 3.00
-. -- - -
Repair • Heat & Cooling 4.00 Hood Commercial 3.00
Air Condition Compresso, Under 3 HP 4.00 Commercial Duct System 10AG
----------
Air Co ition Compressor 3 to 15 1- 7;50
CTOR'S COMMEN 15__-.____---- __ _ ----------____-- ------------__-_ - —
CITY BUSINESS LICENSE REQUIRED FOR ALL CON•fRACTORS OR SUB-CONTRACTORS
APPROVED BY - DATE ISSUED BY- yDATE
RECEIPT NO.
- Cinnatirrn of Gen .Ant L/ �-
Address _�`% d,' 'f '! X, Permit No.
Pormit charge
nwner Connection fee t --
Maid by / C.
Type of bu,lding Date connected
Service rate _�� Inspection fee
Contractor _ Paid by Date
Size of connection Assessment _ paio _-��
i+
JUfIiJ E. kap?i;;501 P;;1''Ui;i;i, Ii16,k3UIL`JI1\IG GEPAR HVILN F, T IUAKU
U.
P. n. BOX 1111 PLUMBUNG PEBMIT
F'"!1 Il1in
holder of .? Valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in acc'lydance 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 inG)tpction. City of Tigard Business License required
for all contractors and subcontractors. i, � � -- y'
NUMBER OF y_ TUTAL. PERMIT NO.'S
TYPE OF PERMIT ITEMS FLE ON EACH AMOUNT (Office Usn Only)
PLEXI JA
5in�la Fornily-1 bath—each 25.00 —
Duplex—r_nch 1 bath unit _25.00 _
_Additional bathrooms—each / ` 10.00
Mobile Home SPoce—each _ 1500
INDIVIDUAL FIXTURE FEES
_1 to 50 Fixtures in 1 building—each 3.00
_51 to 100 Fixtures in-1 building—eor.h 2.50
101 to 200 Fixtures in 1 building onch _ 2.00
201 or more Fixtures in 1 building--each _ li 1.50 —
MISC::_1_LAN EOUS --'t
Duilding Sewor-1st 50 ft. _ —� _ 10.00
Sewer—each additional 100 ft. 10.00
Water Service •n building—
---+--—
Private t'Votnr Systems—each '100 ft. _ � _ 10,00 I
Other 'Spocifyl: --' —
PERMIT S G''O For Plumbing Inspection Phore 63S4191
96 State Plumbing Contractor' By
TOTALp . Issues ey
C RECEIPT NO .�
/- IR'!t"�II►wt"r'•Rfl'A�'�`�!^%7RhF�
I¢
YXP1Ip�4
r TMS(
BUILDING PERMIT APPLICATION 10 WIN lip IN "I"I ON 1111 or
o Y TI�ARD HATE ., i9 +7f56
/ THE UNDERSIGNED HFREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDEPPHONF_
OR AS )HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAYIONS. OWNER PHONE _
�
' LOT NO.�.____—�
OWNER 7� 1�t"� JOB ADDRESS +71 51J Uakhi l l HOME ADDREW
ARCHITECT �-
,AI IC; ENGINEER
BUILDER _ ADDRESS DESIGNER _
STRUCTURE KNEW ❑REMODEL ❑ADDITION ❑REPAIR _ ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION_
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW— ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—LAND USE ZONE-1i- L_BLDG. TYPE —FIRE ZONE -.,J- PLAN CHECK BY_ ".L, HEAt_, 1
Ink 14 eek l.:aG1,5 ;a'�t :,utnm �t_f id.ld Lams _ --
frame dwalliny w/a':t6 .-I1&6 2 bedLuum 2 bath
_Q_("QA.D--+ F�.QQR_IOAD H�1G.E{.L_— _llQ.319fl $._I __. AREA1•'�".r
_ NO U-0-E-QW-5 yBL�E�
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pt..rmit
THIS PERMIT 19 ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THF BUIL DING CODE ZnNING
Plan Check � �SII REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH 1HF PLANS AND SPECIFICATIONS AND N COMPLIANCE WITH
Sub total 1. 11� { ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CLIRF ENT CITY BUSINESS
State Tax M LICENSE. SEPARATE PERMIT.' REOUIRED FOR SFWFR, PLUMBING AND HEATING.
Total i t42..� . .0 . 2 $100.
By
- - -- ----
'—"—' ---- - APPI„ICANT OR AGENT
Approved I Receipt No.
h s�—_
-- -
i
I
DATE INSP. 'TYPE INSPECTION �+ REMARKS PLUMBING DATE
— Contractor7,0
—
��� _ Permit No. �
Rough-in
Fixture
01.E —. Final
HEATING
Contractor
_ Permit No. �_ �
3= Iz- 7-7,/
Gas or Oil
Final
SEWER _--
Final _
DRIVEWAY
F incl
Storm Drainer _
Rain Drain) Final
Sidewalk
Curb&Street Final
AL
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY __ -
® Landscaping
® Zoning Final
t;
ii wm
IN
Av
t1 + �,,
I
i