10815 SW SUMMER LAKE DRIVE-1 10815 3W SUMMER LAKE DRIVE
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CITY OF y IGARD
OREGON �
Owner: Art Lutz & L0, Permit No. 2895
i BuildingAddress_iQ815 SW Summe: Lake give T J
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Certificate ;s hereby given his nth day of _ August , 19_t�' fes-
' - that said building may be occupied and that
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it complies with all requirements of the -
Building Code for the City of Tigard, as
approved by the Tigard City Council.
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Building Inspector - -� - 4
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address Permit # —
Type of Inspection
The following Building Code deficiencies are required to be correl.:ad: __- •e. .�.. _r . ...—
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... __—__._..._.-_ -_ .x_ate"�-._+-._�--_�.--..�..+--. -_.. _..;�"—'1 - ....�_._._-_--•::� .._..-. t �.ui ..,�. u.. •}�.
Presented to Inspectol
Date
ULL FOR REINSPECTION
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WORK ADDRESS
PHONC
APPLICANT----
Heat Inpu" Rizzing (BTU Per Hour) Vent Size
FUEL OIL El GeS 4( ELECTO OTHER
ITEM E ITEM FE
---
For Is 3—.1 c c 7?0-1 rol it f�co'41
Condition Compressor 15 to 30 Iqp 1D r
ftirw UnJer 100,000 BTU
Air Handling .000-EF—&,,,
New - IL%t.0130 BTU & over _'Air
3,
5.00 A i r P io`�Fi 0.6-0-C—)C
F I�T, —Fu:-n 4.00 Ev—smorative C�-a—ler -
-4.-CO _3.1
%%'a I I - F;o c,
Pana Vrni Fan
I n-'ialf Vents onty
2.00 Vcn*.Sys-,ern
epall - W 0 long -8�3j—Corn:m-L—rciaj
Air Cond-ticon Ccirnppt,gf .00� Un-filer 3 HP 4Cornmercial Duc: Sy
stern
-Air Conzi*ion comp C-,%Df 3 10 1 HP
INScEcrori's C0-%',!-'ENTS
CITY BUSINESS LICENSF REOUIREO FOR ALL CONTRACTORS Cm SUS CONTRACTORS
APPROVED PY- DATE ISSUED BY
DATE
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BUILDING PERMIT APPLICATION SOF TIGARD DATE- 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDlt:ATED BUI;,.DERPHONE_
OR AS SHjWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE.
LOT NO.11
OWNER ii t; 1 +lkV 3o YC3, _-JOB ADDRESS ;.HW1ADDRESS
-
'7�� .ST ARCHITECT
ENGINEER
BUILDERLtl1t1 -__. ADDRESS !' ": DESIGNER
STRUCTURE UNEW ❑RFMODEL ❑ADDITION_ LJREPAIi7 ❑RENEWAL `❑FIrrR--11EDAMAGE —❑DEMOLITION
ESIDENCE ❑COMM ❑EDUCATIONAL OG(—'V'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑ 1_1GARAGE STORAGE❑SLAB []FENCE
a0ND []MOVING ❑CONDI IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPR7VED []SIGNS —
2CCUPANGV. I �--%LAND USE ZONE "'7p� BLDG. T_Y61P � "'1FIRE ZONE PLAN CHECK By L141�, HEAT
C'nnrr' rs�r»t w1nigla fAlmll.if dMlAII-ina �Iy- ��d Igarlge. Z E3mt:zuumw a=athi&
SEE LORRECTION SMECT ATTA'GK0,
-- sow& ' 12--mit 43 333.sem-h 70 L,.0 .
2+ C LOAD— 100 HA2, HLIGHT __12 NO.STORIE
BUILDING DEPARTMENT` SET BACKS FRONT---tY REAR ' LEFT SIDE 1.3 RIGHT SIDE
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Permit _ -� .tIJf?LHe1�?i.��� 11 T_��. ---
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TNIS PEAMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDI G COD BONING
Plan Check UU,I,U V(EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE GONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total �A �UQ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI 'ACTORS TO HAVE CURRENT CITY BIJSINFSS
Ftpp,oj,ed
6,4U LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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--- - PDC 4100000
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APPLICANT OR AC)ENT
Cti;lti Receipt No 6 UX
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DATE INSP. TYPE INSPECTION REMARKS PLUMBINti— DATE
p' ` .--- ----_ - Contractor
T1 C
'r• ! Permit No, Q yp.
'T•-! -;9 t/3aAM Mer M.2dH 1 8 r� 9-
q — ----- Rough-in
Fixturp
Final
` HEATING
Contractor
Permit No. (p
r it,
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Gas or Oil _
NAL —.—_ — -- -- -- - — Rough-in
Final
- — ----- --- ---• SEWER -- --
------ — Final
- ------------— ------ - D R I V E W A Y --
- -- -- —
Final --
Storm Drainage
— — (hoin Drain)Final
Sidewalk
Curb&Street Final
-- Approach
BLDG.DEPT.rINAL TEMPORARY CERTIrIC ATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _—
Lendscep,ng
Zoning Final
BUILDING _ C lY .i.1(:D
1`.),Dof ?fq. _.s'
THE LINK NSIGNEn `, c .l APPLIES FOR APERMIT F'"i THE V4URK HE REIN IfiDICA1F
OR AS SHOV,N AND AF'f',,QVE:C1 IN THE ACCOMPAN .'ING PLANS AND 5f1FCIFIC,%TI(-1115
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�lan C^•Lv ;i 'S PERMIT IS ISSLI'.D SUBJECT TO THE REGULATIONS CC,If;JAI':K.0 IN Ti'S
AND All APPLICABLE CODES t,ND 0:1UINC,04Cf S, AYC IT IS I+- t
,--- ?h; V:ILL 0E DONE IN ACL OrMANCE WITH THE PLAN3 k'„l SpcClFICA i IONS �
S`a_t.ota ArPLIC NBt_E CODES AND ORDINANCES THE ISSUANCE OF THIS PZ
Y 5rglCTIVF COVENANTS CONTRACTOR AND SUR cmirRACTORS TO HA%1E C;,;.,E.: .4T', i y
Sate To, :FNSE SEPARATE PERMITS REOUIRED EOR SFN'EP, elUMFINC AND NEAT1';G,
Total ,,II !�
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PDQ
5VUER_' ONNECT10h
SEWER_ IN.5PECTION 5
SFWER_SURCHAF?GE_ ..__ ._ lS~a l.�r�►l� N��,.
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BUILDING DEPARTMENT, TIGARD NO
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PLUMBING PERMIT )
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. 'Fuch installations require inspection by the City Inspector who shall be notified not less than four '
(4) hours prior to the time the installations are rea6y for inspection. City of Tigard Business License required
for all contractors and sub-con tractors. Job
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Owner_. }Z _ `4 '� �. ___Add es_s__ \O'_P2_�_ -r iftlyy fD&Ot
F NUMBER OF TOTAL
TYPE OF PERMIT ITFMS FEE ON EACH AMOUNT
Single Family-1 bath--eac!s
QUpldx�Each 1 hath unit 25.00
Additional bathrooms—each 10A0 -- -- ---.____ '• .
4lnhit., F!nm,:_Sp? "Lmcf
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IN0IVIDUAL FIXTVJF:S Cl_f (rj
_ 1 to 60 Flxturax In 1 building-each _— 3.00
y 51 to 10D Fixtures in_1_bullding-each �_—^^, ^ x 50
101 to 200
Fixtures Int buildin;