15765 SW OAKHILL LANE 15765 OAKHILL LANE
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city t y Of flo ci rd Mechanical Permit NT Permit 53:00_
f Fee
ew Installation '. Realace ❑ Relocation (� Addition �_I Alteration j� 9*. State
TOTAL
CO":TRACTOR E l; t*VL44.. /ut�rL.[„t/ktsL. 1 e-•- OWNER
ADnRESS Y,'Q,_BQX-_ WORK ADDRESS S,0 A*1 VU__LA"jLa-
Pr;,)NE _ Q APPLICANT_,{ ,._ -
J'pi s�
` Heat Input Rating (BTU Per Hou � Vent Size _ Flue ;,ize___,____
x.. FUEL OIL L� GAS Lid' ELECT C7 OTHER
'`.; . ITEM NO. FEE ITEM NO. FEE
' = Far Issuance of Permit 3.00 Air Conditio_n_Compressor 15 to 20 HP __ _
' 4.00 _Air Handling 10,000 CFM � 3.00
'' ''� New• Under 100,000 BTU _
t ew 100,000 BTU&over _ 5.00 Air Handling Over 10,000 CFM __ I 5.00
,._
- -- _� 3.00
w=.;
4.00 Evaporative Cooler
Floor Furnace _ _ -- -- —2.00
"'•"
� - Wall Floor - Suspended _ i 4.00 Range Vent Fan
`- Install Vents Only 2.00 Vent System ! 3.00
�A - —4.00_ _Hood Commercial _3.OU_
Repair -Heat & Cooling — --- 10.00 {
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System
Arr Condition Compressor 3 to 15 Hp J7.50
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INSPECTORS COMMENTS__-
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CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
I
APPROVcD BY _ — _ _� DATE __— ISSUED BY —_ DATE _ __-
i
'0
RECEIP-1' NO._� --
���
Signature of App r nt �jj
Address G S � i.,�I/ , Permit No,
._ �.�.
Permit charge
_
Owner 1 I Connection fee
Paid by
Typo of building Date connected
Service rate % 60 Inspez.tion fee
Contractor Paid by Date
Size of cinner,tion Assessment oa.id
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� t' BUILDING DEPARTMENT, TIGARD
JOHN E. HE6trr,h 1..DT PtI�NBiiiu,IKC. NO.
P. Q. BOX 129 PLUMBING PERMIT i
liEti'i11 U, C?Li:7ii 91132 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 prig to the time the installations are reauy for inspection. City of Tigard Business Licew,e required
for all con-V tors and sub-contractors. 56 `% /W 33
OwnerA&;c Address1,:�1524`5'Jit) drd_ Datr,.1 �
r. NUMBER OF T_ TOTAL. PERMIT NO.'S
TYPE OF PEPMIT ..._ ITEMS FEE ON EACH AMOUNT (Office Uw ^nly►
DEHTIAL __ __ __ __.._ .
Sin le Pamil •i beth—each `� 25.00 6,
—Du lex—Each 1 bath. unit 25.00 _
Additional bathrooms—each 10.00 /) 6)0
Mobile Home Space--each 15.00
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each3.00
51 to 100 Fixtures in 1 building--each � 2.50
101 to 200 Fixtures In 1 building—each_ 2.00
_201 or more Fixtures in 1 building—cacti 1.50 _
MISCEcLLANEOUS
Buildin2_Sawar-1st 50 ft. 19.00 _
Sew-r--each additional 100 ft. _ 1U.00 _
Water Service to building _ _ 5.00 _
Private Wow Systems—each 100 ft. _ 10.00 V
Other ftacify): —7 �-
PERMIT for Plumbing Inspocrion Phone G39-;:91
0% statePluntl ing Contractor Dy
TOTAL D RECEIPT NO. Issued By
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j—14-77 1
BUILDING PERMIT APPLICATION SOF TIG�R� HATE_ `--'tg �,31��`3•L��
L7 BUILDER PHONE -�-
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE- -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO.
rOD ADDRESS �_? 1 1 OAkh111 �I t HOMG ADDRESS
OWNER . ♦' _� _ ARCHIT�.W'�
- - ENGINEER
DESIGNER
BUILDER 7t3mG1 _ ADDRESS ___ter— �-1
STRUCTURE _ NEW ❑REMODEL. ❑ADDITION ❑REPAIR QRENEW��A11L _ [IF-IRE DAMAGE r-1 ❑DE�r-� ITIUN
IDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARP09T l_.JGARAGE C1STORAGE CISLA13 ❑FENCE
{rr�--E11S rr--11 ._ r�••--11
LJBOND IJ MOVING []CONDITIONAL USE C1 DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
to .' PLAN CHECK BY-, �•W __ HEAT�._�___,__
BLDG TYPE �FIP.E ZONE___
:
QUP CCNCY t E LAND USE ZON
Loi, 9 Newport• rViieeud samw an 962•:, L'o r)runtuoou
rj,aainG blu%. townhouse — c0m. L1111 wAettachll�ta c]61Ct�c�vo 2 bedroom 2 hath
L4L>-� _.__._-_�i.44P 1 OAD �� �1Si►iL_. s�I�4�ZQ�1�$_.__1_�.R�A •��F041V0 BEDR0S2M3__..� VALI�E��.�s
9�ri. __ - cFT SIDE scam, r. ld1�T S,pE CID • MtO��
BUILDING DEPARTMENT SET BACKS FRONT ��CEif�_�TI -��- !� -
Permit '7.t)CI
---------'- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, CONING
Plan Chreck LO•Ct('1
REGULATIONS.TIONS 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
$Ub tott l 13 T•Clh� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS P'.RMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIN''-SS
Y 46�. LICEN�f SEPAR&T[ PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
State Tar:
_ _ .l
Total 142.4G p.D•C.#2 5100.
BY_- AP1-4.:ANT Dq AGENT .-
-� E° Receipt No.
Approved
"-
wlll
DATE INSP. TYPE INSPECTION REMARKS TPL
UMBINGDATE
L-}' ' 3-p ,�,4,,c7 ro � 91
- g Rough it.
2 -2 -- Fixture
Q. -1-4"W r AA1 -0K Final
HEATING
Contractor
Permit No. � -
---- Gas or Oil
Rou -in
Final
---- - - - -- _-._..—SEWER
- - -- Final 17
ORIVFOVAY
Final
Storm Drain
Rain Drain) F=inal
I Sidewalk
Curti&Street Final
Approach '
6tDG DEPT.FINAL TEMPORARY CERTIFICAI E OCCUPANCY Final Z j A
CERTIFICATE OCCUPANCY -
® Landscaping
Zoning Final
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� --, SEWER PER(�IITN� 13'775
U
Unified Sewerage Agency
of Washington County CITY OF- Tigard _ DATE 9-14-77
OWNER : T.D.C. PHONE :- 639-3101—
OWNER ' S
HONE : 639-3101OWNER ' S ADDRESS:
TYPE OF INSTALLATION :
BUILDING SEWER ]BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XXX NEW X3XSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MALT . RES. ❑ 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 S 25.
CONNECTION CHARGE (BOO.
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
'TOTAL $ 625.
1 APPLICANT
NOTICE.- Z2�0__DAY^ OF THE
A89VE DATE. SFV,,TR SERVICE
C!!AI1GE WILL BEGIN FOR THIS
Ft�rlIT.
SEWER PERMIT M 13775
ADDRESS OF STRUCTURE 15765 SW Oakhill Lane
TAX MAP TAX LOT SYSTEM fannn creek _
L.0T 569 B3 OC K OF
APPROVED BY DATE IS� BY DATE
REMARKS bldu.�1U2-
CI FY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARGE
DF.TE : Wit ' ESTIMATED SALES PRICE $_
APPLICANT NAME TELEPHONE #
JOB ADDRESS ` , .S ��./ �u =c BLDG. PERMIT #, r
AMOUNT OF FEE FOR P. D. C . `
DESCRIPTION OF IMPROVEMENT ,.� • y-� � _�-•,�. � ��� .
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES :
A. Single family dwelling unit under $40, 000. -------------$ 75. 00
B. Single family dwelling unit over ! 40, 000.--- .M
C. Mobile Home Court Space (New Development)--------------$ 50. 00
D. Multi-Family dwellings--per unit--------------------- ---$ 60. 00
CONSTRUCTION IS LOCATED ON � S.W. A.Z.- SIDE. 00 5.W. PACIFIC
HIGHWAY . N.E . :.s Park Discrict #I . �i9 Perk District wYn',