10920 SW SUMMER LAKE DRIVE 101
10920 SW SUMMER LAKE DRIVE
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C-ERTIF OF OCCLTANCY
CITY OF TIGARD
OREGON
Ov%nei-- Inland Pacific Permit No. 4663
a. A Address: 560 First St.
Buildi-ag Addresb: 109410 SW Summeriake Drive
Occupancy: R-3 Land Use Zone: R-M Bldg. Type--.5-N-
C
Comments: Construct single family dwelling Wattached garage.
Cert.1fic-Ate is hereby given tI.-Lis 25th day of J!±1 19 84
V
that said building may be occupied and that it complies with all
requirements of the Building C,,de for the City of T-gard, as approved
I TV by the Tigard City Council.
A
Fire Dept. Building Inspector
Building Official
Post Certificate in Conspicuous Place
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INSPECTION NOTICE
i
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Cregon 97223
Pho e: 639-4171
'type of Inspeption
Time A.M.____--P.M.
Date RP.(IUP.Sted------- —
rj •c' � -' -Permit #__ IP
Address
I_o1 #
Owner—— — ----- — --
Builder
The following Building code deficiencies are required to be corrected,
Approved
(Presented to ❑
Dhepproved
Inspector -
Date —
CAI,L FOR F EINSP.ECTION
[y YES ❑ NO
INSPECTION NOTICE �;p0
I City of Tigard Building Department
12420 S.W Main St. 1 I
Tigard,Oregon 97223
Phone: 639-4171 YrL
Type of Inspection __ a1-aJCJC ---
Date R.quisted 1 l Time A.M. %P.IV,, -t7v
Address /0222 logtl U SW Su.,,,IA/&ilr Permit # i
Owner._1..• k("n o Lot # !�� >V ; .2 L
iBui;der
Thr following Ruilding Code deficiencies are required to be corrected:
Presented to _ Approved
InspectorDisapproved
CALL PORI RF,I7NO
CTION
F1 YES
BUILDING PEIRMIITAPPLICATION TIGARD DATE.._. '),,e"ober M ,y 4663
THE UNDEHSIGNED HEREBY APPLIES FOR A PERMI i FOR THE WORK HEREIN INDICATED BUILDER PHONE. 1
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPL%,IFIC;ATIONS. OWNER PHONE__.....
OWNER LOT
- - 1,A1�•�� � c�, �—_JOB ADDRESS t��l °+x s;�;i cer ,raif�lt,. _ _ ,.
-- .. _�IJL2�._riu is rlake_
ARCHITECT
RUILDER ENGINEER
—__=+, tie ADDRESS 5f��1 .ij �- DESIGNER
STRUCTURE —❑ NEW IJ REMODEL ❑ ADDITION —Cl REPAIR_ 0 RENEWAL __❑ FIRE DAMAGE ❑ DEMOLITION
gFIESIDENCE ❑ COMM ❑ EDUCATIONAL CJ GOVT C RELIGIOUS 0 PATIO 0 CARPORT CI GARAGE ❑ STORAGE _❑ SLAB❑ FENCE
OCCUPANCY ii-•3__LAND USE ZONE R-7 PIlLDG.TYPE _ 51 FIRE ZONE PLAN CHECK BY - -BCA— HEAT
_— __-- CoTtstruct single v ateached gsrb1Ke.
------_... Gatra a 4UU 2 3edroows Z 34thrva..os
SEWERPERMITN " .+{;f
- � _ ttiubie.ct to Aniartj"te<Jt;ewood {+:160.UU Surrltinriyel
OCC.LOAD FLOOR LOAD 4U HEIGHT lb NO.STORIES 2
AREA 1335 N0.BEDROOMS 2 VALUE
_ BUILDIN. nEPARTMENt SETBACKS FRONT REAR — LEFT SIDE RIGHTS;DE
Permlt
-- 304 vUQ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
y REGULATIONS AND ALL APPLICABLE CODE) ANo ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check— 19; .6.; WnnK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH M' L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 50 1 obit I RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 3USINESS
I
Stat(�_Ta e LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
i 2. 1 fi �
Total — S 13.76— SDC- $400.0t)
By Cif PL`OA IUfJ.Otl APPLICATORAOENT—
Necelpt No. —_---
AFprovod CIZ_ —_J ADDRESS — —
-- --- �., • ;,• � PHONE
DATE I N!._ Typ INSPECTION REMARKS PLUMBIN,Z DATE
Contractor Z7)P,--
Permit No. C1
Fl..gh-in
JAti--
Fixture
Final
HEATING
Contra,.tor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVENAY
Fin,
Storm Drainage
(Rain Drainl Final
Sidewalk
Curb&Street sinal
Apprnach
_T_EL7Wf1iiC ATE OCCUPANCY Finalr.KRTIFFICATE OCCUPANCY
Londscapir
Zoning Final
Building Permit rio.
Location La12:::p
CPrtificatioo of Registration
With the Builders Board
Z- Leq/✓e doing business as (dba)
.!EucEio,,✓ am registered under the provi!.ions
of ORS Chapter 701. Oregon Homebuilders Law).
My Builders Board Registration dumber is
hty registration is in full force and effect and expires on
Signature-,
BUILDING PERMIT AIIPLIGATIG-N TI.;AHD DATE_-_1 n-,_ & 1gjfJ- r�
THE UNDERSIGNED HEREOY APPLIES FOR A PC-WAIT FOR THE WORK HEREIN INDICATED BUILDER PHONES/
OR AS SHOWN AND APPROVrD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
7— //JJ LOT NO.
OWNER .LA/L^JdL f-AC_tFj JOBADDNEi
. 0• ARCHITECT
ENGINEER
BUILDER ADDRESS �7 F/1�.._L; '� OESIGNER
STRUCTURE—) NEW —❑ REMODEL —_❑_ADDITION ❑ REPAIR CJ RENEWAL 0 FIRE DAMAGE ❑ DEIAOLITIOI
O'RESIOENCE O COM-91 ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO C] CARPORT L] GARAGE G STORAGE ❑ SLABU FEND
OC..uPANt,Y ,��_LAS ND USEZOVEt!/ LIBLOG.TYPE ' FIREZONF PLJINCNECKBY HEAT_
��---
� 1
SEWER PERMIT M /A/tFr .,;:' `- ��L/ CA IPA
OCC.LOAD FLOOR LOAD ,, O HEIGHT )RIES Q AREA NO.BEDROOMS`
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SICE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.,ZOWN
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT Th'
Plan Check WORK WILL OF, DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIA14..
I.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
Sub-tchl _ �� L J % RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACT07S TO HAVE CURRENT CITY BUSINES
LICENSE..SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
SDC — � �'lC.�—�L� ..L�
Total �� � ------ ---
-- POCK �PPUCANT OR hGEMY
BY
Receipt No. ADDRESS _ _ PHONE
Approved
SDC -
PDC --
SEWER CONNECT ION S ! -�
SEWER IP'SPECTION
SEWER SURCHARGE
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