11067 SW SUMMER LAKE DRIVE 11067 SW SUMMER LUKE DRIVE
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AfE of OCCUPANCy
CITY OF 'fIGARD
OREGON
Trademark 4398 . $'
Owner; PermitNo.
F lir R
Address: ? 185 S'.: Sandburp,
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Building Address: 11067 SW Summer Lake Dr.
Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N ►' =_ _
Comments: Construct Single Family Dwelling w/attached garage
E. Certificate is hereby given this 12
2 day of August
that said building may be occupied and that it complies with all
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. . requirements of the Building Code for the City of Tigard, as approved `
by the Tigard City Council. ;- $
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Fire Dept. ding Inspector
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{ X a a Building Official 1 1a�s
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- Fos`Certificate in Conspicuous PlaceJa
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B' IILDING PERMIT APPLICATION TIGARD DATE— _`_'sx_? 1A_>
. 4393
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE .
OR AS SHOWN AND Ar,PROVEG IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE _. _
LOT NO. j9 Suziner td1r.L
OWNER .�i.uie��.�1 _- JOB ADDRESS ' I 0{�r :�.td• 3(S318g�B! T.dlCri n2'. —
ARCHITECT --
BUILDER Same ADDRESSENGINEER
;Li7, SA,.dhur
DESIGNER I`tredersurk
STRUCTURE_— MrNEW f7 REMODEL ❑ ADDITION 1:1REPAIR ❑ RENEWAL L ? IRE DAMAGE ❑ DEMOLITION
U RESIDENCE_❑ COMM ❑ EDUCATIONAL ElGOV`T ❑ RELIGIOUS ❑ PATIO [ICARPORT O GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _`'"3 LAND USE 20NE '{ I tLDG.TYPE 5" —FIRE ZONE___PLAN CHECK BY HEAT �
FAMILY VVI.LVIr sa ettt;chacl >arel?e -- _
- -----sne correction sheat att.] :k!dersrrsz#
SEWER PERMIT# 25�01
OCC.LOAD FLOOR LOAD 4(1 HEIGHT 'I} NO.STORIES_7 AREA `imN0.BEDROOMS �' VALUE _
BUILDING DEPARTMENT— SETBACKS FRONTREAR 12 LEFT SIDE RIGHT SIDE
Permit ' --- -- --=— --= --- --- — --THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan ChecIt----o ' . S REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED THAT THE
WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA1fONS AND N COMPLIANCE
rr WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total �j��'" RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY B1PSINESS
State Tax LICENSE.SEPARATE PERMITS RE,'.UIRED FOR SEWER,PLUMBING AND HEATING.
_ .Lll;
Total .i.fi'i ---- SDC—
---- —ENT-kz
By dt��) PDCM� .Ot) APPLICANT nq AOENtReceipt No.
No.
Approved - i ADDRESS — pHON[
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
0 ra.'
Permit No. 3472
ou
Contractor
5/49 Fixture
Final
�2:213
HEATING
Aid <
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C /0;
Pdrmit No.
Gas or Oil
o< 3 Rough-in 4jglj 9?-oue,
SEWER
t inal
DRIVEWAY
Final
Storm Drainer
(Rain Drain)Final
Sidawalk
Curb&Street Final
Approach
BLDG. REPT. FINAL T caRTIFICATE OCCUPANCFinal
it 'v?TIrjCAT9 CKCUPA
Landscaping
Zoning Final
Mj
2 ff 3 �g
BUILDING PERMIT APPLICATION TIGAa� DATAINDI
^� 19 3
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERTED 3iiiiuER PHONE 0;
OR AS SHOWN AND APPROVFn IN THF ACCOMPANYING PLAN$AND SPECIFICATIC,NS. OWNER PHONE _
LOT NO. L
OViNER J013 ADDRESS It 7 Ck) s%PAWJ "C.
^ ��l•• -i ARCHITECT
BUILDER ,l��'►'>'G W-� ADDRESS lk3 90ENGINEETI
411. DESIGNER -Tv-wofcrm&4PL
STRUCTURE _- X NEW ❑_ REMODEL ❑ ADDITION - -7 REPAIR ` ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
�J RESIDENCE: ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE G SLAB❑ FENCE
LA--GUPANCY _ LAND USE ZONE _12,7 P_P BLDG.TYPE --F-a,-FIRE ZONE — PLAN CHECK BY —HEAT-
SEWER PERMIT N �� -^ �C �•,II�,�e, J 3z - — -
OCC.LOAD _ FLOOR LOAD 40 HEIGHT ,20 NO.STORIES AREAX3 Oz NO.BEC,ROOM, VAIU
BUILDING DEPARTMENT SET BACKS FRONT �2Q_ REAR �z LEFT SIDE ,� � RI 7HT SIDE
Permit #2 7,by THIS PERFAIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN 16 BUILDING CODE:, ZON!N„
^� � REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEHEdY AGREED THAT THE
rPlan Check X7 7,54^ WORK WILL BE DONE IN ACCORDANCE WITH fHE PLANS AND SPECIFICATIONS AND IN COM"' LIANC_
(r ��� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I Su54blal O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
TotalAl
PDC# APPUCANTORAG NT
By
--- --------
_ .. Receipt No.
Approved _ ADDRESS ��--- ----�- PHONE -
SDC - _ 400
nnr, - s T # /dp__
SE-WER CONNECTION S
SEWER INSPECTION S
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