11060 SW SUMMER LAKE DRIVE (N
N
O
dL
O
En
E
C
[r1
d
H
rv"
tri
4
c
i
I
I
SATMO 0XV9 iISWMS P1S OnOTT
�MM_KMA.. o. .. :.. �.
City of Tigard Building Department
13125 811 Bell Blvd. Tigard. Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:—_ ��"-- ----�'? -
Footing Plby. Underslab Mech. Rough-in Appr/Edwlk
Found. P1'jg. Top Out Gas Lina FINAL:
Post/Beam Struct. Ean. Sower Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Undor.loor Water Line Gyp. Rd. -Koch.
Date Requested:,i'z " / - 2 —T i. '<—AM ---PH
Address: OL- _ Permit -�/`!'B"C5'�C'_ca
Builder:
THS FOLLOWING CORRECTIOMS ARE REQUIREDs
h
Oe
Inspectors ----_-_----_----u- __-- Date:
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
`_Call For Reinap.
r
l2 �
C
� c�
CITY OF TIGARD RECCIPT OF PlAYMENT RL.CF*1T-',T NO. g 922-225�17
CHECK AMC. LINT t 323. a I
NAME CLAW4TE CONTPOL INC COGH AMOIJN"r 0. kbe
Pl)DRF-.ss 7 3315 NW 86TH AVC E PAYMFNT DATa 04103/9cI?
PORTLAND, Of? 972t0-- SUP D f V IS TON t
PURPOSE OF PAYMENT AMC)UNT PAID PURPOSE OF' PnYMENT F)MOUNT P(,l 11)
C:15. 00 r-LAN ('14ECK FE 6. t16
S , B1,111J) PER
I 1060 514 tIAMMMAKE
[JJtil0MF,R (WERV)PIT, REFUND $6. 1,56 PLANCHEM FEE
T(TtAL AMOUNT 32. 81
' T_'is -- ••�1"•�1'ir' � - rt 3~�} 1L f J _ - h •� a.: < _ i �
JJL.. -'GVftLY,Y 4 S{�J��.� -�^'•-✓=a�c.�►.r 1r� � 3..
._.taE6: .:•S Y•f.•.:
-� � .�� •tea{
is r y,
st•
• ;Ys
• 1 � t t 1.1 nun.- - 1 + -
�fir, _ • • ♦ • � - c t.•
t 1
Y
t
�Fy - to�rL� '.r-.,v::-:•^ •:^.raoaar.. --r.•xs•_va:- - -- - F{ � '
-~'ti•.e L' �'� ams►,-•.ca,'�aase 2+rs. .._..,. ..,.�.•.•a -� ^:45
.`J � .'a '�_ - � -J ..�•.� "'Jr "�� � 1+ � �� -.` -�;yam��-�`?y� 4r�� .
1. :�*'• _ !�- � .t.��� ,., •�� - CC-- } 4 � �-! T�, `�.� � l
` � rgL•^.✓� _�. �- �_J- �v�.. � Y }' �� Yom` �P. -' � .•_.` _ at i
i
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Ma;-)St.
Tigard,Oregon 97223
4hone: 63Q 1171
Type of Inspection
jZDate Requester ___ e_ M. P.M.
Address �lG� imit
Owner__. GL �"V Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Preseit;:!d to ,Approved
Inspector Disapproved
Date
erl-
CALL FOR REINSPECTION
YEa 4 J NO
INSPECTION NOTICE
City of Tigard Building Department,
12420 S.W. Mail'St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection -
Time A.M. P.M.
Date Request,4d
Address ermit
Lot
Owner
Builder -------
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Disapproved
Inspector
Date
CALI FOR REINSPECTION
r-I YES L� NO
BUILDING PERMIT APPLICATIONItr �r
TIGliRD DATE___itl�c�il'1{. ;9�,�_ 4 d �� 3
THE YNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 7HE WORK HEREIN INDICATED BUILDER PHONE Z; ,.•.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER Srandywirre !icr)e8 JOBADDRESS LOT NO._ 22
1UG11 SW S�irr crlrk� Drive_ _ _
- - •- ,u:nmerlAke
ARCHITECT
BUILDER S%n.� ADDRESS �J1 a. ENGINEER
DESIGNER
STRUCTURE W — 11 REMODEL ❑ ADDITION ❑ REPAIR _ ❑ RENEWAL _❑ FIRE DAMAGE_ ❑ DEMOLI BION
(r7 RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GGV'T 7 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE EJ STORAGE ❑ SLAB El FENCE
OCCUPANCY .._ LAND USEZONE _ - _
it-7!'a1 -- -- -—
_ —� YPE !i FIRE ZONE.___PLAN CHECK BY k"A' _ HEAT_ l-a8
Construct Bingle .Lnrnit ry dwell in v_attached jar�xe• ----
---- :3 dedruu:a 3 ?1hC1)ruo,)
SEWERPERMIT# 27190
OCC.LOAD FLOOR LOAD 4!1 HEIGHT 2k)+- NO.STORIES 2 AREA ''`��
BUILDING DEPARTMENT — - _ci?f, NO.BEDROOMS _ VA E
SETBACKS FRONT —
REAR LEFT SIDE 7- + '=r RIGHTSID h'
[Sub-total
rmit 373.1JO - -_ - --- -
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING'CODE, ZONING
n Check 242�;�5 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANI? IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
_ ()15.4.') RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 14•N2 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total 6 30.37
SDC- • 40O.00
PDC# 1 �(►(�•{ � -APPLICANT OR AOENT `---"" -
9y l.N - -
Approved P tH Receipt No. _
___.-_� ADDRESS — PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
3 _ � •1 /`� _. _ -- - Contractor
01 J
Rough-in -— -- - -----
_----
��- F. --QdkL�S/ "'fit-• Final
~ --- HEATING --- -- ------
-y" '4a Contractor
r B-�• --- ._---- Per
_ Gas or Oil�L
Final -
SEWER —
Final
— DRIVEWAY
—` —
Final
Storm Drainage —__ --
(Rain Drain)Final
Sidewalk
Curb&Street Final
—_ _ Approach
BL _Dd. DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIF'1r ATE OCCUPANCY Final —
I Landscaping
I �L- Zoning Final
i
I
CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 47223
' RECEIPT
DATE: 11,� 1______-_ AMOUNT: $�7_1__-�
4 DOLLARS
NAME: .t� _ CASH:
ADDRESS:
raP
M.O.:
- -
FOR: ACCT. # PERMITS SURCHARGE AMOUNT
SEWER BILLINGS 40-364 $
BUSINESS LICENSE 05-331 _
PLUMBING PERMIT 05-332
MECHANICAL PERMIT 05-332
IVA' BUILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366
PARK DEV. CHARGE #1 30-367
PARK DEV.CHARGE #2 30-368
ZONING ADJUSTMENTS 05-362
------ ------ TOTALS
RECHVFI) RY 7� �
PfRh11T IJU 1nrRs':R'SSIGNED:
Num ert Amount_ _Number Amount_ Numb@ Amount_
/�¢�'. S���►y� c��oGan .6 CfJ� -Qt.CY��:v�..L__-__.c.��
RECEIPT