15755 SW OAKHILL LANE 15755 SW OAKHILL LANE
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City of i iclarci Almianical vermit
Nev. Irs,,;l;ajion C3 Relocation 0 Addition ❑ Ahir*ration stale
TOTAL_
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CON'TR ACTOR WN E
,
WORK ADDRESS.jZjCr
V Lei
AVORESS
PHONE APPLICANT A 11
H
Heat Input Rating (BTU Per "a Vent Size Flue Size
FUEL OIL EJ GAS F—A-+"�ELECT LED OTHER R
ITEM NO. r-EE ITEM NO. FEE
For issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP 10.0(
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.ol
100,600 BTU & over 5.00 -'Air Handling Over 10,000 CFM 5.0(,
Floor Furnace 4.00 Evaporative Cooler 3 M,
Wall - Floor -Suspended 4.00 Range Vent Fan 2.0(
Install Vents Only 2.00Vent System 3.0(
Repair- Heat & Cooling 4.00.00 Hood Cummercial 30(
Air Condition ComPressn' Under 3 HP 4.00 Con-irnerrial Dur, Sysiern
4%ir Cond it;on compressor 3 to 15 HV
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY__--,-- DATE ISSUED BY DAT A
RECEirT NO.___.------
si 774 Sirlilaitirr of Ar'
7V
Address
Permit No.
Permit charge 72 c ,7
Owner Connection fee
Paid by
Type of building Date connected
Service rate Inspection fee
Coni:ractor Paid by Data
Size of connection ,qses3ment paid
" !�' 1QflH E. P.tIi1N1RD1 PIU�e;'tG,&BUILDING DEPAIi(MEN'(, TIGAFiD
�. P. 0. CSX 119 PLUMBING PERMIT
NEER[", C;;[C9;; 91132 holder of a valid plumbing contractor
authoriz.t.d to cause plumbing work as herein noted to be installed in accor6,,nce with the
Tiga:t!. Such installations require insr.ection by the City Inspector who shall be n ttified r
(41,, nours prior to t11,�, time the installations are ready for inspection. City of Tig: -d Busir
for all contractors anc; sub-contractors. ('19r J-,2e,) r 33 11117/77
Add ressL�,LL.�.C�__�
NUWHER OF 1OTAL
'YPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Sin to Fumily-1 bath each _ / 25.00_ --
Du lax—Each 1 bath unit _ 1_5:00_— -
Additional bathrooms--each 10.00! G.2
i Mobile Home Space-each —T __ 15.00 __-
INDIVIOUAL FIXTURE FEES
1 to 50 Fixtures in 1 build1997each 3.00
r 51 to 100 Fixtures in 1 huildln9-rack _ 2.50 --
101 to 200 Fixtures in 1 buildin —each 2.00
_201 or m_or• Fixtures in 1 building—each — 1.50
MISCELLANEOUS
Aj Quildin Sewer-1st 50 ft. 10.00_
110.00
Sewer—each additional 100 ft. _
Water Service to building _ 5.00 _
_—Pi'vate Water Systems—each 100 it.
Other Speet.if : _
_ PERMIT //,}De) For Plumbing Inspection Phone 6394191
0% StatAt{0 / cf Plumbing Corttt or
TOTAL L ��^ RECEIPT NO.
/f
r
BUILDING PERMIT APPLICATION 1�Y TIGARD DAl F 9-12-77 19_
THE UNDERSIGNED HEREBY AFPLIES FOR APERMIT FOR THE WORK HEREIN' INDICATED BUILDF_RPHONF ! _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLA"JS AND SPECIFICATIONS, OWNER PHONE _
LOT NO..
OWNER T rI.L• JOBADDRESS 5W Ugkhill Lr1,HOMEADDRESS —
ARCHITECT
ENGINEER
BUILDER _ ti UtIIl'_i ADDRESS _ DESIGNER
STRUCIL'RE 'L NEW ❑PEMODEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FIREDAkMAGE ❑DEMOLITION
f3AESIDENCE ❑COMM DEDUCATIUNAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STOPAGEL.ISLA13 ❑FENCE
❑BOND UMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QS:CUPANCY LAND USE ZONE BLDG.TYPE "n FIRE ZONE_'� PLAN CHECK 8Y_ '�'LI HEAT _—
—1.iLt`u�i7n Mianchii .ter Cyt, s alr4 rc .ianue >> ame _,U& 111 .;x. SW ui�ian. igif j rr�i. I
_ amw tald ;ownhau u w rum, well wZat�a.hsd get+ p_... 2 btlt-!!`r,_m_ 2_ L.mth --
2C-CL9AD ---f1.4-(2R_LO9�_.._ _�1Stl1L--_.��`lQ•StORIES.. �FiE 974 _B f1L�QC_M.� VAI.IZ0 48L,.
BUILDING DEPARTMENT_ SET BACKS F40NT 13 REAR 22. LEFT SIDE G m„_. 411 I& T SIDE
Permit _..r_^_ — � ..
v- THIS PERMIT IS I'-SUED SUBJECT TO THE REGULATIONS rONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGUI ATION5 AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBN AGREED THAT THE
WORK W1 l BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 167.00 ALL APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTR/'-'TOR AND SUB CONTRACTORS TO HAVE CJRPENT CITY RIJSINESel
Staty Tax 6.68 LICENSE. _,PARATF, PERMITS AEU JIRFD FOR SEWER, PLUMBING AND HEATING.
Total 173,6b N.U.L. #2 YiUO.
By
APP ANI OR AGENT
Approvedd Receipt No. �-
1
DATE INSP. TYPE INSPECTION — - REMARKS ' -- illermit
PLUMBING ' DATE
X0.3 1 �.w.c - --- ---- ----- Contractorv—IU1) -V 7. ,r No.
7.4_4t. Rough-in
2-2- Fixture _ -
`L Final _ -
Z VG&sor
HEATING
� � y�de
��Ip
—
_`. EWER
Final _
------____- ---_-.------'------- � DRIVEWAY � --
Final
' _ —_ . — ------- ------- Storm Drainer
Rain Drain) Final _
Sidewalk
- Curb dr Street Final
_ oach LZ
BLDG DEPT.FINAL TEMPORARY -[-CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final --
® ® Landscaping e
Zoning Final
:'}. .r i f � , ♦ �.,,fie. 'a�;�
Y
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SEWER PERMIT
N° 13174
UfnifSewerage Agency
of Washington County CITY OF Tigard DATE _ 9-14-77
OWNER : T.D.C. _ PHONF : 639-3101 _ _
OWNER ' S ADDRESS: — -
TYPE OF INSTALLATION:
X4DXtUILUING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XO(NEW XXDXSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. C� INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
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 609.
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
TOTAL $ 625.
` APPLICANT DATE
NOTI-A. /0—--DAYS OF 111ABOVE DATE. SEWER SERVICE
C4ARGE WILL BEGIN FIR THIS
PEI;"IT. SENDER PERMIT M 13774
ADDRESS OF STRUCTURE_ 15755 SW Oakhill Lane
TAX MAP TAX LOT SYSTEM_ fanno creek
LOT 570 BLOCK OF
APPROVED BY DATE ISSlIF: BY a !DATE
REMARKS bldg. #1698
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DATE :
ESTIMATED SALES PRICE ' 07CIr1ec
_ #
APPLICANT NAME � � �� TELEPHONE
JOB ADDRESS /�7"". �.- BLDG. PERMIT #
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS - PER ORDINANCE #77-71 _
I
FEE RATES:
A. Single feR.ily dwelling unit under $40,000--------------- '75. 00
P. Single family dwelling unit over $40, 000. --------------'���.rQ%
C. Mobile Home Court Space New Develo ment -$ 50. 00
P � p )-------�____---$ 60. 00
D. multi-Family dwellings--per unit------------ p60. 00
CONSTPUCTION 15 LOCATED ON S.W. N.E. SIDE SY. _"I
HIGHWAY . N.E . is Park District #I . .,�-ie ark District 1.
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ""r/�i� ESTIMATED SALES PRICE
APPLICANT NAME . ,� .Cly" C TELEPHONE
JOB ADDRESS !�'�' �.�' ;; i�t.F's' BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C,.
DESCRIPTION OF IMPROVEMENT
'V
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under 560, 000. -•-------- QOJ
H. Sinqle family dwelling unit over $60, 000.----- ---- $400. 00
C. Mobile Home Court Space (Ne-., Development)---- -• $150. 00
D. Multi-Family Dewllings--per uni. .------------ -------- $240.00
E . Commercial , Industrial & Institutiona.l ( Park. Space) $ 50. 00 each
F. Single family unit undo. 540, 000. ----- ------------- $250. 00
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