11015 SW SUMMER LAKE DRIVE ] lr,_15 SW SUMMER LAKE DRIVE
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� �E OF OCCUPANCY
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CITY OF TIGARD
OREGON �s
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Owner: Thomas Force Permit No. 4908 g
Address: P.O. Box 1194 Tualatin, OR 97062
Building Address. 11015 SW Summer 1 ake Drive ;!
R-3 band se Zone: R-iPD Bldg. Type SPi
Occupancy:
Comments: Construct single family dwelling w/attached garage �
,
Certificate is hereby given this 18th day of March = 19$5—
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as app:oved =rt
by the 1 igard City Council, .
Fire Dept. ing Inspectors
Bu'Iding Of ficial ?l
l
Post Certificate in Conspicuous Place
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INSPECTION NOTICE
City of Tigard Building Depectment
12420 S.W. Main St.
Tigard,Oregon 97223
'r Phone: 639.41711
Type of Inspection
Date Requested / Time___--. A.M.— P.M.
L
Address _ llDl /Permit
Owner__ _ __ Lot #--------_----
Builder
The following Building Code deficiencies are required to be corrected:
Presented to — �'9ipproved
Inspector _ Disapumved
Date ,� .. Z ►_ '"c_---
CALL FOR RELYSPECTIOW
[] YES EJ NO
r;
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: H39-4171
Type .,f Inspection---- ----- ... ------ ---
.. L
Date Requested__ c;� Time _. A.M.
Address _ 1 — —.__ Permit
Owner_ 2�.L1 ----- Lot #_ - -_,_—
Builder - ----- — ---- _—._ _�r---
The following Building Code deficiencies are required to be corrected: y
- —--- -- ..�Y-a— --
-------------- Lib------ ����— — —`--
--- �1 r oor�-1-- rrr s regc�r�rCIS)(
Presented to __ _ _ —,0>4pproved
Inspector _ _� " ' S' �''=`i ❑ Di approved
Date
CALL FOR REINSPECTION
❑ YEs ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection --
Date Requested- — TimP.M.
Address __. ��ol S r3/ ..�.,ra► __ Permit #
Ownei _ I_ot #
Builder .---
The
uilder .--The following Building Code deficiencl-is are required to be corrected:
7 ' '
Presented to — ❑ Approvarl
Inspector ',JeYDisapproved
Date % ��•�
CALL FOR REINSPECTION
0 YES 01NO
INFECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
i�
Type of Insrrection —`� ,ys�-- --
' JTime .M. P.M.
Date Requested
Address ��_�� -,J--�.ez�'� _ J� _ Pernart --
Owne, Lot # _
Builder_ ZLh ill I /
The following Building Cods. I�ernciencies are required to be corrected:
Presented to �----- ,� Approved
Disapproved
Cate --
CALL FOR .RPTNdSPECTION
F1 YES In NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
P 639-4171
Type of Inspection
Date 1.1equested Time X A.M. P.M.
Ad cress ermit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
4r
Prevented to Apprnved
Inspector LJ Disapproved
Date
CALL FOR REINSPECTION
El YES U(No
BUILDING PERMIT APPLICATION T IGARD DATE_.-_°
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE _Et4llr___
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO. 46 —
OWNEFi JOS ADDRESS— 1 iU]5 Std ��nmil,�}�c�1 uta[:f_x +�1.4 —
-- - ARCHITECT
ENGINEER
BUILDER —e� a °� ADDRESS 1.1-0- 1nx 1.194 AI At jrl DESIGNER --
STRUCTURE L� NEW— ❑ REMODEL ❑ ADDITION` ❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE 0 DEMOLITION
EA RESIDENCE Cl COMM ❑ EDUCATIONAL ❑ GOWT 0 RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB LJ FENCE
OCCUPANCY __it_3__LAND USE ZONE L-112--BLDG.TYFF _ tom—FIRE ZONE_—PLAN CHECK BY �,'T _ HEAT
11illj4 W1 t,tilelled r•eC ;el.
SEWER PERMIT M l:a i i —_ -- azx"e -- ----
OCC.LOAD FLOOR LOAD _ (?4 HEIGHT • �j+ NO.STORIES j AREA j y;h NO.BEDROOMS `i VALUE 64_,�_ !.
~BUILDING DEPARTMENT _ LEFT SIDE _ RIGI!T SIDE _—
SET BACKS FRONT _ REAR I:,
Permit ;�,1iilTHIS PERMIT a ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIPQ CODE, ZONING
REGULATIONS AND W L APPLICABLE C09ES AND ORDINANCES, AND IT IS HERERY AGREED THAT THE
Plan Check 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 WAIVE
Sub-total 5t3h.15 RESTRICTIVE COVENANTS. CONTRACTr.)p ANJ SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED 7-OR SEWER,PLUMBING AND HEATING.
State Tax
Total PDC# ! 5Q►t1U APPLICANT OR AGENT
By 250.00 '.1- - - - __
Receipt No. ADDRE88 � PHONE ---�� �—
Approved p / ..
DAT.: INSP T PE INSPECTION REMARKS PLU"ffiG DATE
Contractor
Permit Not -71
0 Rmigh-in
Fixture
Final
dO HEATING
Contractor
ZD Gas or Oil
ugfi-in
not
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidevrilk
Approach
ALD0. DEPT. FINAI I TEMPOnARY CF RTIrJC ATc o6-6-UFii'Nc,-
_EMICATE OCCUPANCY �.onit.onnp F
_ inal
Building Permit No.
Location
Date
Certification of Registration
With the Builders Board
I, 1 }/ON )�:> �{, DC'fE _ doing business as (dba) , _ 1
FVIZCL- /t1 pZ7vC ��f1il'�IL�_ am registered under the provisions
of ORS Chapter 701 Oregon Homebuilders Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
.7
Signa bure — '
THI: UNDERSIGNED H'_HI_UY APP)LILS FUH ANL:11NII 11'UH ItIL OU11A t I L IIII-V 44-J II.,%II.0
OR AS SHOWN AND APPROVEO IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINEII,►<ur, 7 __
LOT mC+---- 1p� _
709 ADDRESS1 Wr
--%V- ARCHITECT
p ENGINCF.R
`UII_7c Z Stt�?l�. ADORESr 0 . aY �{ / Y OESIGNER
STRUCTUREL VEW ❑Rk"OnOFL ❑ADDITION ❑REP^111 ❑REN@LYAL — CIFIRE DA.'AA.;E ❑r F..IOL1I
Rmyi:MCC ❑CON:M ❑EDUCATIONAL ❑GOV'T ❑REt IGICUSDPATIO UCAR PORT —❑GARAGE- ❑STORAGE❑SLAB UIFE
CCCUPAfNCY R-3 LAND USE ZONE— OLOG. TYPE 5N - — PLAN`;CHECK BY__ �" �w HEAT l7
_ CON5'FRUCT SINGLE LAMILY 12WELL NG WIAT'rACIIl;ll GAKA(;h, .
BATHR00M _ BEI)IMUM
SELLER PERMIT i1 -,Z?��� Garaice 5�$ �----/----.--
FLOQR l.OAp y// HEIGHT :Zd N0.STOIES 'li ARFt�/7��/ NO.B�DHODEIS VALHI(/ _
_ +�
SI)ILOING DEPARtMENT SETBACKS FRONT �V A � HEAR A LEFT SIDE ��'��� RIGHT SIDE Ib
°^_fr It I 3a -- --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZOp
I Han Check f REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A.GREEO THAI
WORK WILL BE DONE IN ACCORDANCE IVITH THE PLANS AND SPECIFICATIONS AND IN CG%IPL1A.NCF
Su>•:au1
II ,? 6 L) ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT v.
r T-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8(
r-at✓!Tax I v` L'CENSE. SEPARATE PERMITS REOUIRFO FCR SEWER. PI_UMaING AND HEATING.
Total -
r PDC#
! �•ft�, ��is s A —— --_ -
—.— —. APPLICANT OR AGENT
Appy .epi, Herelp►. Nu.
;ii)(; (storm S�O
soc
PDC - $ T#
-- 1 ,iL _.
SELLER CONNECTION
w7r
SEWER INSPECTION $ 3 � 40
SEWER SURCHARGE
Comn tits :
-- - �
-- -- - 2 `—
— i
INSPECTION NOTICE
City of Tigard Building Deportment
12420 S.W. Main St.
'Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection —���—��'L —
Date Requested � Time A.M.
�P.M.
Address � �yL�v�l.�l�1.
Owner__-_._ __--— --_- -- — Lot #
Builder — --------._.._.. --- —
The following Building Code deficiencies are required to be corrected:
y
Il�4
Presented to _ _- Approeed
Inspector ❑ Disapproved
Date
CALL FOR REIN, CTION
E8 X N
0 YO