10960 SW SUMMER LAKE DRIVE rw
10960 SW SUMMER LAKE DRIVE
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CITY OF TIL-xARD
OREGON
Owner: inland Pa_ f�c __ Permit No. 4655
:address: 560 First S t. '•
ii � a3 Biding Address 1e96o SW Su�erlaice Drive _ -
Occupancv: R-3 Lana Use Zone: R-7PD Bldg. Type--2L—
Comments:
ype 2N
" Comments:
Certificate is hereby given t1.is 25th day of July , 1984—
+ , `
that said building may be occupied and that it complies with all
sa requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
Fire Det B Id Inspector
Building Official - r
Post Certificate in Conspicuous Place: --�
Fiji
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INSPECTION NOTICE
City f Tigard Building Department
12420 S.W. Mai. St.
Tigard,Oregon 97223
Phone' 639/41711 I r
Type of Inspection --
Date Request A_ 7�Z _ Time_ A.M --P.M.
Address .LC� ? � YJ� 2,� _<P.eunit #_ tG'!l�->
Owner ..____,_ — --— - — -- - Lot x
BuilderThe foil g Building Code oaficiencies are required to be corrected:
i
I
I �
Presented to Approved
Inspecor _ �.--- Disapproved
Date 1. —
CALL FOR REINSPECTION
[�] YES ❑ !��
INSPECTION NOTICE
City of Tigard Builoing Department
12420 S.W. Main Si.
Tigard,Oregon 97223
Phone: 639-4171
Tvpe of Invealon
Date Peciustud 17_7 Time A.M. P.M.
Addrg"
Owner Lot
Builder
following Building Code deficiencies are required to be corrected:
Presented to XApproved
Inspect-ar ❑ Disapproved
Dale
CALi. vOR REINSPECTION
YES )z NO
BUILDING PERMIT APPLICATION TIGARD DATE 140vel'Thrts '._ 4665
THE UNDVISIGNED HEREBY APPLILS FOR A PL,iiAiT FOR!HE WORT!HLREIN ir.DIC,ATED BUILDER PHONE ;215»S&7 t
OR AS SHOWN AND APPR('\IED IN THE ACCOMPANYING PLANS AND SPECIFICAT IONS. OWNER PHONE .j_.-_____.—
LOT NO. 2 F —
OWNER lnlbnd FaeifiC JOBADDRES_S 10950 SW '�iuiu^wrlAike Ur.
ARCHITECT
ENGINEER
BUILDER yatrr>� _ ADDRESS ,._ 560 First Sty_ DESIGNER
STRUCTURE E)CNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Gt RESIDENCE ❑ COMM U EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO Ll CARPORT 11 GARAGE ❑ STORAnE l SLAB❑ FENCE
OCCUPANCY R— —LAND USE ZONE �LI_6?DG,TYPE _S$—FIRE ZONE----.-PLAN CHECK BY —1i�1.___ HFAT it -
- _'"Onatruct_siagl.e family dwellingW/attached ara��e�. —___
2 3edrom m 2 3at1iroa;ae
Reisri4e of Permit I4663 '&rage 4011
SEWERPERMITk 4469 (3ubject to Arnart/VodI,ewoad -.4urcharR4 .16o. i+111
OCC.LOAD FLOOR LOAD 401 HEIGHT — 1 NO.STORIES T' AREA 1 `15 N0.BEDROOMS 2 VALUE 57,0000
BUILDING DEPARTMENT SETBACKS FRONT REM LEFT SIDE RIGHT SIDE
Permit 1t14.Q0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 140.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF
Sub-total — 344•C,) RESTRICTIVE COVENANTS. CONTRACTOR AND SUP, CONTRACTORS 1'0 HAVE CURRENT CITY BUSINESS
State Tax !Z. 1 b LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total _ 156,16SDC -. '.400,00 j
—
By PDC* l�U•Uil APPLI NT OR AGENT
�II i ,
Approved
Receipt No.
l;Ckt 'ADOR 38 � � - PHONE
DATE iNsp. TYPINSPECT14-IN REMARKS PLUMBING DATE
=Gel Contractor Oil
I A
Permit No.
If---
'o
f-Ixture
Final
HEATING
f;ontrnctor
Permit No.
Gail or Oil
Rough-in
Final
SEWER
Final
nRIVEWAY
Final
Storm Otainar
(Rain Drain)Final
i,Sidewalk
Curb&Strect Final
Approach
P"•i-4 AL —,:EI,jP-07R A-4 y I CERTIr '-Al E OCCUPANCY
CSftOCCU11ANCY Final
Lendsci,ping
-oning Finef
�Uilding Permit No.
Location ��
Uate
Certification of Registration
Wth the Builders Board
( � (14/1A ,/ doing business as (dba), -
117A'UC /0A• am registered under, the provisions
of ORS Chapter 701 Oregon Hanebuilders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
signature
BUILDING PERMIT APPLICATION TIGARD SATE—,_j�
THE UNDERSIGNED HEREBY AF IL.IES FOR A PERMIT FORTH'WORK HEREIN INDICAT20 BUILOWNER
I� DSPHONENEC/I
OR AS SHOWN AND APPROVED It.THE ACGO(APANYING PLANS AND SPECIFICATIONS. LOT r1 .L
UIrNE +/(, 1Q �('.rlFl OBAD-)NES.i ARCHITECT Aftr_
ENGINEER
DESIGNER
BUILDER
AL•ORESS 'S_„ Fr"RLS r __���
STRUCTt1RE '*ANEw ClREMOOEL Cl ADDITION 0REPAID ❑ RENEWAL ❑ FIREOAMAGE ClOEMOLITIC
RESIDENCE ❑ CCMS1 ❑ EOUCATIONAL ❑ GOVT C) REUGIOUS Cl PATIO Cl CARPORT Cl GARAGE Ci STORAGE O SLAB❑ FEN(
cocil-i?/.1,41-ly '3 LAND USE:ONIi p
& . �LDG•TYPE �FIRE ZONF� PLAN CHECK OY HEAT• E
7 C-itw i)� e- F' ► > h
SEWER PERMIT N /,p •• A/�Ge�T _ / t c _
OCC-LOAD FLOOR LOAD '�O HEIGHT Nc .T � a AREA N0.BEOROOMS� YALI�i-
----- -
IIUILDING UEPARlPAENT SETBACKS FRONT WAR LEFT SIDE RIGHT SLOE
Parmlt � �l y THIS PERMIT IS ISSUE+' SUBJECT TO THE REGULATIONS CONTAINED 1N THE Su1LO1V0 COO£,ZON!t
REGULATIONS AND AO_ 6PPL1CI-BLE CODES AND ORDINANCES.AND R IS HEREBY AGREED TY.AT TI
IPIaaCheek WORK WILL BB DON►;.IM .:CORDANCR•WITH THE PLANS AND SPECIFICATIONS AND IN COIAPUAN
WITH ALL 11PPUCAdtc Ct,DES AND ORDINANCES.THE ISSUANCE.OF THIS PERMIT DOES NOT W0
Su'sfa.�l• RESTRICTIVE COVENANTS.CONTRACTOR AND SU8 CON i RACTi'OiLS TO HAVE CU.IRENT CITY BUSII:E
f!"—• LICENSE.SEPf.;.ATE PERMITS P.EOUIREO FOR SES+;R.PLUTA8fN0 AND HEATING.
Stasi Tax
Total �~ � / � I►PPLK.ANTOR,AGENT
POC#
ay,
R*Wpt NiL CRESS PHONE
Approved
soc
POC
SEWER CONNECTION
5 SEAR INSPECTION INSPECTION S
SEWER 5URCHARCE S _ ��_. A/` 1 r/`�iE��'
C,2 r9 m en 1:.5 :
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