11040 SW SUMMER LAKE DRIVE 1.1040 SW SUMMER F-AKE DRIVE
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CITY OF TIGARD `
OREGON
t?wner: RrP4IPr I.OnGrr'!(' lOR
Permit bio. 4794 '
:address: !679:i yw S omP r s e t Dr.
Building address: 1 1040SW S tmmPrlakP Drive
' Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N
Comments: (7,inqrri1cr single family dwelling w/attached garage.
tT�- Certificate is hereby given this 3oth av of July , 1984 i}
`� ' that said building may be occupied and that it complies with all
3 c requirements of the Building Code for the Cit- of Tigard, as approved �
by the Tigard City Council. `-
Fire Dept. ilding Inspector
a: Building Official s_ ;
I`
j Post Certificate in Conspicuous Place f3,
................ .
INSPECTION NOTICE
i City of 1 igard &ntding Department
121,20 S.W. Main
4y Tigard,Oregon 9723
hone: 639.4171
0
Type of Inspection
� 1
Date Requested Time —//—A . _P.M. i
i Address
Owner Lot #_
Builder _--- ----_—__-- —_---The following Building Code deficiencies are required to be corrected:
s1i:
-4-
1-d' --
r
i
Presented to — — r� Approved
Inspector �/] Disapproved
/ 1
Date ____----.—_-- —
CALLF R EIN4PECTION
PYE&? [�J NO
INSPECTION NOTICE
City of Tigard 5-ii1ding Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested -e"' Time A.M. P.M.
Addiess 1z C Permit
Owner Lot
Builder
The following Building Code deficiencies are required to he corrected:
hoWnted to
Approved
Inosetor
Disapproved
Dot@
CALL FOR REINSPECTION
D YES 1-/NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested �71-'ri�- ,__ Time A,M,_ —,P.M.
Address _11 C7 e/I-) `} /
Owner_--— -- Lot # 4
Builder ^__
The following Building Code deficiencies are required to be corrected:
Age
I
I — _
I
Presented to Approved
Inspector /��
❑ Disapproved
Date --- —��
CALL FOR REINSPECTION
❑ YES 0-1 NO
�I INSPECTION NOTICE �
City of Tigard Building Department
12470 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
(Type of Inapeetion
Dots Requested / Time _ A.M._._ .__P.M.
Address — .�/,: iJ _✓ ami.-,�,-,, s'��c
Owner ___ U,
Builder -- -- ------
The following Building Code deficiencies are required to be corrected,
Presented
Presented to ❑ Approved
'Inspector __ _ Disapproved
Date ---
CALL FOR REINSPECTION
,�YES ❑ NO
i
BUILDING PERMIT APPLICATION TIGARD DATE ALiLi1 11 19 .i4� 4794
THE UNDERSIGNED HEREBY APF_IES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE Q45- J,;,L__.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL ANS AND SPECIFICATIONS. OWNER PHONE
OWNERLOT NO.
)Breast l:oGistt ic:tiuBADDRES3 111>4U kW 5urierllke-.uevt---- _ Alert ,i�u.n►prlake
ia� rieavprton 97(; ARGINEERCHITECT
�1J
BUILDER SW@ _ _ ADDRESS Ib]7�i.���SQ},t►��eNt Ur. DESIGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
Ll RESIDENCE C1 COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIGIOUS C❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -_��_ LAND USE ZONE BLDG.TYPE - 5ia FIRE ZONE--PLAN CHECK BY JGR HEAT_—" —,-_
�iriulF fa,rail1—dwellinl., wLattkVAied R r 0 !iubjsrt tf) '' 6U..UU_Atuait Wed jkto d _
Sewer Sj14rc1�ar r_ t, S 15U.UU Lecon ItPighu Sewer Surcharye.
---- --- 2 J5mthroiw, 3 tiedroo,�i
SEWER PERMITM 7r,51;`) _ i�1q}}P, 440
OCC.LOAD FLOOR LOAD 4 HEIGHT i6 NO.STORIES 2 AREA - 2311 NO.BEDROOMS "3 VALUE yI,iJUU.
�_.
BUILDING DEPARTMENT SETBACKS FRONT 21 REAR LEFT SIDE �_6 RIGHT SIDE r
Permlt 4'14 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 2/1. +'I 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
Subtotal _ 69-,.b0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINF,o
State Tax I 6.9h LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMRING AND HEATING.
SDC— $400.
Total 716056
00
PDC# 1 I(A).U11 APPLICANTORAGENI
BY l;lt
Approved -- b(,k Racnipt No. _— — --
---- A00AEUPHONE
Lo A.*E INSn T,YPE INSPECTICN REMARKS PLUMBING DATE
Con tractor
d
Permit
Rough-in
9r7M
Fixture
Fina!
-T:L HEATING
Contractor
Permit No. 'sAkq �/ow
Rn,igh-in
Final
SEWER
Final
DRIVEWAY
Final
Storm DrainW
fliain Drain)Find
Sidull"lk
Curb e Street Final
F.
CCctjp. Approach
CCctjp
BLDG- DEPT. FrIMAL TEMPORARY CER`^"' OCCUPANCY
CERTIFICATE OCCUPANCY
li Zoning Final
Building Permit No.
Locat ion
Certification of Registration
With the Builders Board
doing business as (dba) , -
of ORS Cha ter 7U1 — am registered under the provisions
p' Uregon HomebLI lders Law) .
MY Builders Board Registration Number is
My registration is in full force and effect and expires on 116-t1-11 �t
Sign OIUre
y 7,1
THE UNDERSIGNED HrHEEjY AP?UES f UH APLIWI I I-011 IFIL vvUllK tRll�uJ Ilvut� ��l t-u ►+ulwL.041':1 14 -7,01-L3
OR AS F14OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINLFt?lt0f1C
r . LOT NO Z___
__1.VfJEPi )��F•Fy�.Ji? C CN'i/ST/�' JOG ADDRESS ��Q��c� _�CG.• '�Y/1_,° �a •7 -i' �.�� i, � ' � - � -» r �C
ARCHITECT
ENGINEER
t ,1=�'tt"r �Yt' DESIGNER
STRUCTURE — JONEW ❑nckinOEL Cl Awl TIO.-4 ❑RcP:.IR ❑RENS.'/AL ❑FIRE DAMAGE 00E'•IOLIT
v1 nESIQE-NCE ❑COIAM ClEOUCATIONAL CJGOV•T tJRELIGIOUS[]PATIO [:)CARPORT ❑GARAGE ❑STORAGE O+LAB ❑FEI
R-33LANO USE ZONE, 1—� OLOG.TYPE-Z_—_. _ _ PLAN CHECK BY ''YAC iiEAT�>
CQgTI CT SINGLE FAMTT.X DEI TAIr_ WIATTACHED (AF{AGE, -
✓1RS�C T Tib � 'y �CIir7�;�i�s' �:is- -(JC,C4✓<�.-��J "`�F�vcn' �c.f�.H�• -_�
__ ___t '� '� X�'.,^ ,UTs sE.tas-,r► s�-Rc•A/G . .`'L �ATHROQM _.,,;1 BEDROOM _
SEWER PERMIT
Cy�.l.9_D F1,49R LOAD ��' HEIGNT-�G NO.ST NtES �� AREA 2_ �/ NO.QE.Q�DOM5—_y' VA UF��4�
SIBLOING DC ARrMENT SET BACKS FRONT_ 2 C REAR j LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUSJECT TO THE REGULATIONS CONTAINED IN THE BUILDING ('OOE, ZON
I
)-:.In Check 21 G`' REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
r-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A. SPECIFICATIONS AND IN CGhtPLIkNCE V
Sufi-t�tJl G ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W1
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREftT CITY BUSIt
I `" at;i Tax 176LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total I -� / ---
SDC -
�— PDC#
a•; _ �__ _�__
Lr — APPLICANT OR AGENT
Apprl'v�1 I - Receipt Nu.
A nnRF55 HON
SDC - % J
PDC - ..L 1/ 0, 01
SEWER CONNECTION S ^7 s
SEWER INSPECTION S
SEWER SURCHARGE $ C?��'�"�'� �\V 1)
Comments :
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