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CITY OF TIGARD CY : . .
OREGON i
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Owner: Trademark HomesPermit No. 3448
!'� c Address: 7185 SW Sandburg Street I ;E
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Building Address: 10895 SW Summer Lake 'hive
� Y �� Occupancv:_ R-3 Land Use Zone: R7P0 Bldg.Type 5h Fire Zone: -- � �
I
.1 Comments: :=
Y� Certificate is hereby given this 9th day of Larch lg 81 �� x
I _ that said :,uilding may boccupied and that it
Ye
._' complies with all requirements of the Build- r
--... �
ing Code for the City of Tigard, as approved
by the Tigard City Council.
-� B i,ding Inspector
1
BuildingOfficia' �
Post Certificate in Conspicuous Place
- --
17
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la...Oif e75 .RnO�M1 u 5 A
INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard, Oregor. 97223
Phone 639-4171
Address-- — --------- — — - - _ _ '_ _ — ,. Permit
Type of Inspection
The following Building Code deficienci, are required to be corrected:
Presented to Inspector _
rs11.L FOR R,EhVTE-C7"/0N
I
y
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97222
Phone 639-4171
Address .... - — -'' =- �. ; - Permit # _
Tyne of inspection
The folios-,inBuilding Code deficiencies are required to be corrected: 141~ '
i
Presented to .. Inspector - �/ �,.•
Date
CALL FOR RE-1WECTI NV
❑ YES ❑ No
BUILDING PERMI-i APPLICAT ION TIGARD DATE y 19 Igo . 3448
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHJNE 1520-13080
OR AS SHOWN AND APPPOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.1f0—AmA r t
OWNER'. Tadrdwvk HOrnes JOBADDRESS VJU93tj jI;' :,urmt r Lake OriVe 5'.IMrh3r _Lake
ARCHITECT
ENQ NEER
BUILDER 8"3t". ADDRESS71E35 JW Sari,. .,'Jr9 St. DESIGNER Lutz & (,O.
STRUCTURE 0 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
11 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ R .iGIOUS EJ PATIO ❑ CARPORT ❑ GARAGE 1:1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LANDUSEZONE ApED BLDG.TYPE FIREZONE_--PLAN CHECK BY dwh HEAT. C�65
.�11st,tO t ci.l'lgle family dwelling attached gareg®. 3 asdreums 3 bint.ha.
SEE CORRECTION SH0:'ET ATTACHLO.
SEWERPERMIT# i:0.00 �rara ��9a ag— ft.
_OCC.LOAD 'BOOR LOAD 40 HEIGHT 'I NO.STORIES 2 AREA_1!,72 NO.BEDROOMS 3 VALUI
BUILDING DEPARTMENT SETBACKS FRONT 10 REAR D LEFT SIDE 2H RIGHT SIDE `
Permit __ _ THIS PERMIT IS ISSUED SUBJECT rO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS NND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ `' (i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH Al L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 269 0 RES.RICTI:E COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATc PERMITS REQyI � (Op,R Q FSEWER,PLU,MBI NG AND HEATING.
State Tax !i 7.71 1La'. l �:iLE,t�.: f_ .1. 1., ;iGI Of ,3b0.00
suc— S t'30'00 ,
Total �r
—^ ---1' 17. a 2 PDC# 1 10 0.O O APPLICANT OR AGENT --
.By P
-- --dWh Receipt No. .R'8 ---- - -1 - PHONE --
Approved —_
1
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ti
n
DATE INSP. TYPE INSPE^.TION REMARKS PLUMBING i DATE
Contractor Wv QW)194-
Parmit No. 1> 51-714p
Rough-in _—
!V'fY d 0VA11e _ Fixture
2.17 n1 - ------- — Final
HEATING
Contractor
— — -� Permit No. 7
(,as or Oil
Rough-in
�- Final -- _
— ��- -- SEWER
-- — -- �--_ Final a ----
DRIVEWAY
Storm D,.Inage
(Rain Drain)Final
t
idewalk
urb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY ��CERTICCATE OCC UP Final
CCRTIFICATE OCCUPANT Y I --C/ (�f 1 __— —
O / landscaping
-- ,'uning Final
20
BUILDING PERMIT APPLICATION TICil,a:l GATE__.__.�,— `—,19
THE UNDERSIGNED HEREBY APPLIES FGrR A PER AI-F FC, TF-iE WORK HcF1EIN I'�IL)ICA-FE:C: SHILDER PHONED
OR AS SHOWN AND APPROVED IN THE ACC0N'.P,,NYIN'_! PLANS AND SPG+:IFIC','f I^C!a. OWN EP,PHONE
LC)T 1`10.
Q_W_eS 0J ADDRESS 178Q� S 1N J(Aw1N1Qr L�Sf �eiw►�r _ L -
T--- ARCHI TECT
(i ENGINEER
SUILGEa AJORESS� �,V r 1 DEr,IGNcR-Lv+�ip
r
STRUCTTJRE NEW _❑_REMOOEL -� C AUOMON! r' REPAIR - Cl RENEWAL 0. FIF.LDA'.lAGE C] DEMOLIT1Or
~j RFy CrNCS L; COMM ❑ EDUCATiCNAL D GOVT Ci RELIGIOUS i PA 710 G CAR PORT ❑ GARACE u_ S"i UH >_ ❑ SLAB❑ FENC:
t:-C;CUFANCY R .._LAND USEZO`JE rLLL.I,[_ BLDG.TYPE-�� ^IRE ZONE _FLAN CHECK BY HEAT_
�� �0'1►V`d GT f 3k E"
SEW-rA PERM1T x
UCC.LOAD FLOOR LOAD 40 HEIGHT .21 NO STORIES 2^AREAjj-7 •I_•7.P_cDROQNIS
BUILCING DEPARTMENT — SET BACKS FRONT REAR _0 LEFTSICE .78
RIGHTSIOE 23
P^_rmit - ^_ J. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE Et:ILDING CGt:c, ZOrl:N•'
�p REGULATIONS AND ALL APPLICABLE CODES AND ORGINANCES, AND IT IS HERESY AGREED T'rtA T f XIi
Plan Check WORK WILL BE DONE IN ACC'OPDANCE WITH THE PLA!lS AND SPECIFICATIONS AND IN CC,>:PLI;,!IC_
. WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOFS Nal WAIF_
�SU�t l 31 a• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON--ACTORS iO HAVE CUHP.EtiT CITY BUSINESS
LICENS-SEPAPATE FERViTS R_AIJIRED AGR SEWER,rLUP.IB{riG AND HEATING.
S:,itm Tax_ • _ 1
Total--- - --- SDC•- b �1' ��et l'�GeM�
IPUC# APPUCANT OR ABy _
Receipt No.
Approved AODIESS
0C Ll 00 00" ILZ 6"twr4)
D C 12y 2 ir9v 4100n(4- ��"+II
130 1 t"tF ReJM4+�
EWE"t7 CONNECTION S 72 to
E_wER INSPECTION S 23, -t n ,ry
EWER SURCHARGE ! Aw1"'1 -�P�' �oa .
.___�—
q2 7
TiMOZrAAra.O.- l VIA" ► 6.)k (Ito
too 75' ��tN gc1 r+�- �a.Y.,e L #1Id. &wow �u�+»�•+s�. g
A4w, Jia �sf
+
2 k 3 .7 7
,241
'2 n 20 240
V-P y_ x 2 - 9 17-
7 7S'7-
77S'
g�ecu�dQ
2 r2
2 X 37 7
l X 210 2ko
r x 2--4 12
.jt7 ,, 2t4" 17, a"
3-lox ? j.?
i
City. of Tigard Mechanical Permit NO. �_--
New Installatiogln Replace 0 Relocation 0 Addition [j Alteration L] DATE:
HEATING
CONTRACTOR OWNER
ADDRESS 17.Z' 5,>/f JOB ADDRESS 1j Ve5 SYL' ( 71?l7/C !
PHONE l� -/iS� APPLICANT
Heat Input Rating(BTU per Hour) —. 76 06YJ _ Vent Size Flue Size_ _
FUEL OIL GAkfa--ELEf T OTHER
ITEM NO, FEE — ITEM _ _ NO. _ FEE
For Issuance of Permit SEE BELOW Each Air Handling Unit or Duct System 7,50
New-up to & incl. 100,000 bTU 6,00 Comm±rcial Hood System 7.50
New 100,000 BUT's & over_ 7.50 Other E ui ment -_Each 4.50
Woodburning Stove 4.50 1 Trip Inspection _4.50
Wall-Floor- Suspended _ 6.00 Air Condition Compressor up to& incl.3 H.P. 6.0_0
Veno System w/Fan 4.50 Air Condition Compressor•3.1 to 16. H.P.Incl. 11.00
Repair -Heat Cooling 6.00
CITY BUSINESS L±CENSE REQUIRED B'r ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE 10.00 Comments: __ u
FEESI'-
SUB-TOTAL
% STATE Issued By
!i%PLAN CHECKIc'�'i''—�� '