10880 SW SUMMER LAKE DRIVE IRM
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CITY OF TIGARD
OREGON '
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( wnEr: Norm Eldien Permjt No. 5494
j Address: 7007 SW 33rd Place, Portland OR 97219 '7
Building Addrcess. 9888-SW-s nrnerleee-sou-
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Occupan—c- P3 Land Use Zone: RM Bldg. Type 5N 1"
Comments:
} Certificate is hereby given this 2nd day,,f January ig 86
that said building may be occupied anti that it complies with all
requirements of the Building Code for the City of Tigard, as approved
-1
by the Tigard City Council.
A ,
Fire Dept. Building Inspector
a1;
Building Official
Post Certificate in Conspicuous Place
4 Off INSPECTION NOTICE
'�-�itY(if Tigard Building Department
Zt,Z C"- 12420 S.W. Main St.
Tigard,Oregon 97223
19"P"hp- 639-4171
Type of Inspection
Date Requested Time P.M.
Address Permit
Owner G Lot 0
Builder
The foltrming Building Code deficiencies are required to be correcthrl:
Presented to
A-Xpproved
Inepector i
U Disapproved
Date
CALL FOR PEINSPECTION
❑ YES F-D NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phne: 639-4 i 71
Type of Inspectio.; _. � o o
Date Request�l ___—_LS�___JP'� Time ''Or A.M._ _ _P.M.
Address �')Ss -k. �� r --- P3rmit #—----
Owner _ — Lot # _
Builder -----
The fol owing Building Code deficiencies are required to be corrected:
c_
�.� <"7►-1��-�_-_ ---%�1' �7'✓Ins _�' �� r- i�c�, rr
�3
i 4-
1:')t� J A Ljr— '3?!J Gr JA'Ai L A =
k --
Presented to _ __� —-- ❑ Approved
Inspector '`� I � Disapproved
a�
Date ----- -- ----
CALL FOR REINST ECTION
,P-1 YES ❑ NO
V -
BUILDING PERMIT APPLICATION TIGARD DATE - r914 29 -_ te� _ 5494
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWOHK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVE;`IN THE ACCOMPANYING PLANS AND SPECI'7ICATI�VS OWNER PHONE 246-2910
LOT NO.
OWNER W1.'b f1difin JOB ADDRESS 10JbU S&ti :iimixxltke 1.r. I et 7 ski:
ARCHITtCT
ENGINEER
BUILDER ADDRESS 70117 :.W 33rd Plam. DESIGNER
STRUCTURE ® NEW U REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Fi RESIDENCE ❑ COMM 11 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _1:�3 LAND USE ZONE 7LDG.TYPE 1 FIRE ZONE_.__.PLAN CHECK BY 'IEAT....___Lifi&___ -
CVwt,tnlct simile family dwelling Afttw.c°lod (go �.
3 BaUlt't uu 3 bedru i
-------- - — -
SEWERPERMITM 2849b -,AraCy. 440
OCC.LOAD _ FLOOR LOAD 40 _HEIGI.T s:U NO.STORIES AREA 1666 NO.BEDROOMS 3 VALUE 56*000.
BUILDING DEPlv?MENTSET BACK'S FRONT REAR )fj LEFT SIDE 5 RIGHT SIDE 5
Permit 30i,UC TMS PERIAIT IS 13SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGL'! A''.IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 199-.55 WORK WII_ ZF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH AI.L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 506.55 RESTRI.;TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
121284ffjE.59PARATE PERMITS REOU!RED FOR SEWER,PLUMBING AND HEATING.
State Tax
Tota! 518.83 GDC -- $501.1 ill
P ,L�_���L�'
DCKa
51 JU.00 APPLICANT OR AGENT
8y C;�
Receipt No. -----
Approved F'1�i A6DRE8S PHONE
UAT,' INSP. TYPE INBI-e.CTION REMARKS PLUMBING
DATE
-V
flouph-in
Fixturl
w e, Final
wo
A . Per-., 11 113
13as r,r
Final
SEWER,
Final
0 R I Y—rw A Y
r gal
Storm DLinap
""i-i'IrwO Fina,
Sidaymik
Curb&Street Final
Approach
pp
OLOG. DEPT.FINAL TEMPORARY CNr"r.F1(.ATE OCCUPANCY
CErITIFICATE OCCUPANCY Final
?onimg Final
sy9y _
THE UhDFRSIGNED HSREQY AP?LIES FOH APE RhI1( FOH IhIL 'vVUHri tlL11cIN INI)IuA1 LU BUiLUt.14
OR AS SHOWN AND APPROVED IN THE ACCOMPAN-ING PLANS AND SPECIFICATIONS. OVINER7HU111'�rY1f, r�Jl
r
LO C
JtkA
SVIJEPxS Lr� I lam.(C.\lrB AOOR E55�IJ �,� !•-'- ' -Ir,
ENGINEER
iUll_C. 7 4 7<�V`^-C AOOR S. ��C`~ •� 7(�. I (� OESIG YE_R yJl J( rw�
STR ^7E_IRE NEW ❑Rk'NInoEL ❑AOOITION -_❑nep, fl— RENEWAL ❑FIAEOA?AASiE ❑OE:•10
—__nESIDE�ICc_❑COM ❑EDUCATIONAL ❑GOe"T�ORELIGICVS��PAT10 ❑CAR PART ❑GARAGE C,STORAGE C]SLAB []
gC CUvar;-YJJ-=,} _!.AND USE ZONE 'r"_ DLJG.TYPE__�Ng PLAN CHECK BY � - HEATS
WNSTRUCI
3 BATHROOM -3 BEDROOM _—
SEWER PERMIT �L .�--- _ZL� Garage. _ v— it
^,--.CILQAp FLOOFI LOAD 4r�_. LLUGLHT off* y �" N0.STORIES /q� AREA9 L 4NQHEDROOAI�. V � .
51)ILQIN-5 DEPARTMENT SET BACM.5 FRONT V REAR +R t EST SIDE RIGHTSIDE
S" '
` THIS PERMIT IS ISSUED SUTJFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,
I S•:wn rt'tck REGULATIONS At O ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TH
WORK WILL FE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS:.NO IN COhIPIIf.N
inti-LDtJI Q 6. �� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT 130ES NOT
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY or.
•at+I Tax 1- LICENSE. SEPARATE PERMITS REOUIREO FCR SEWEF,, PLUMBING AND HEATING.
Total 3 SDC -
Lr,
PDC#
APDLIC ANTOR AGENT
— R=celpt No
in�RFSS —PHO-4c
Sd)C (Storm40 ✓yV 71� ! % �� A v
soc — $ 0 f/ 7 x s r- of . „2.9 l o o "
PUC —
i
SEWER _ CONNECTION
SEWER INSPECTION $ 3 ��
SEWER SURCHARGE $ ,I.olat.�e
-- -- r� _,�'C.4 POA t ai
Comments : ° 7- Z z
flu i l d i ny Penn i t No.
Location 1nFro G�F• uj i
Certification of Registration
With the L,jilders Board
doing business as (dba) ,
( Z� <� _ am registered under the prov is iotr
of ORS Chapter ?O1 Oregur Homebuilders Law) .
My Builders Board Regi ;trW fiber is
Fly registration is in full force and effect and expires on � ~O
ig ature
I
�
�i ' ,BUILDING RECEIPT• /��" 1 -
NAME: �1.i��2. -...__.r—_ DATE
ACCT. M OESCRIPTION AMOUNT
;.0-432 Building Permit '=ees
10-431-600 Plumbing Permit Fees s _
10-431-601 Mechanical Permit Fees _
10-230-501 Stags 8u i ld ing TaK
10-•433 Plans Check Fee
30-443 Sewer Cc-inection (20x) $ —L-I
30-202 Sewer Connection (80X,)
30--444 Sewer Inspection $
51-448 Street Systom DQV. U'►arge (SDC) U i
52--449-610 Parks I System Oev. Charge (PDC) $ z� (FZ
52-09-620 Parks II System Dev. Charge (POC) s 77
31-450 Storrs Drainage System Oev. Chrg (SSDC)
10-230-505 TRFV (95x) _
10-476 TRFD (5x) .-
10-230-506 Washington County Fire MI (95".)
10-478 Washington County Fire N1 (5%)
10-220 Amort/Wedgewood C'_�
TOTAL
(be/1214P)