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11095 SW SUMMER LAKE DRIVE k 3.1095 SW SUMMER LAKE DRIVE t Q v N v rn D 1 ■ rw IW 11 INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 -;lone: 639-4171 Type of Inspection zz Date Requested Time A.M. P.M. Address Owner Lot 13,61der The following Building Code deficiencies are required to be corrected: Presentee; to Approved Inspector Disar,)roved Date CALL FOR REINSPECTIOA: NO I , BUILDING RfCFIPT NAME: ? ` �/ / _ DATE A CT. N DESCRIPTION AMOUNT 10-432 Building Permit Fees 10--431-600 Plumbing Permit Fees s 10-431-601 Mechanical Permit Fees s --- 10--230-501 State Building Tax 10-433 Plans Check Fee 30-443 Sewer Connection (20%) s _ 30-202 Sewer Connection (80%) f — 30-444 Sewer Inspection — -- 51-448 Street System Dew. Charge (SOC) 52-449--610 Parks I System Oev. Charge (POC) s _- 52-449--620 Parks II System DOW. Charge (POC) f �. 31--450 Stars Drainage System DOW. Chrg (SSDC) 10-230-505 I-RFD (95X) S - 10--478 TRFD (.5%) s 10--L30-506 Washington County Fir* 01 (95%) f __ 10-476 Washington County Fire N1 (5x) s _ 10-220 Amari:/Wedg*wood s — TOTAL_ (b./1214P) k• �.�Y BUILDING PERMIT APPLICATION TIGARD DAr, THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED orv�NL-R►�NE v L OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANSAND SPECIFICATIONS. LOT NO. - - i t 4 L owtIER 'JOB AD ..y_-= - ARCHIrECT ENGINEER r DESIGNER ADORESS?'T. I }fjV �'1 l — STRl1C1URE O NcW O RER.tOUEI 0 AWNTIONN REPAIR O RENEWAL C3 FIRE DAMAGE ❑ DEMO (J RESfOENL'E CJ COM.1 O l Ot1CATIONAI C1 GOv-T ❑ RELIGIOUS U PATIO ❑ CAR PORT ❑ GARAGE Ci STORAGE QE S�� OCCUt ANCY ___ LAUD USE ZONE �' BLOG.TYPE ^/ FIRE ZONE— FLAN CHECK BY HEJITY._—. L '7p PJ-- y 0—s ,� ---- SEWER PERMIT —� -- NO.STORIES A.RFJ� NO.BEOiu�MS _ VALUE_ OCC.LOAD FLOOR LOAD HEIGHT --&ET BACKS r RIGNTSLOE BUILDING DEPARTMENT FRONT REAR LEFT SIDE Pbt+nit �-;C�-- THiS PERMIT tS ISSUED So IIJEGT TO THE REGUUITIANS CONTAINED IN Tf1E fiVil 011tO CARE,1 REGULATIONS AND ALL pPPLICABIMe CODES AND ORDINAIJCFA ANO IT IS HEREBY AGREED Tli 3- �NfanrGfwLMt � ,•� WORK MML Be DONE IN ACCORDANCE WITH THE PLAN'S AND SpEdFICAT10Ns AND IN COMA WITH TILL APPLICABLE COOES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT LPOES NUT SuSloUl• 3 LICENSC-SEPARATE E�tMff3 E CONTRACTOR FCC SEWER.PLUf QI�G AND HEAT'1ORS TO HAV.N0.CURRENT C177 Bu ;State Tax �.� SOC— Total 7 C? APR'l1C'.AMTOR.:GENT P!TGI By Iitcylpl No. 75—OR—US Approved Y i SOC PO.0 SEDER CONNECTION S —_� SEWER INSPECTION 8 SEUER SURCHARGE tlI w M #11 "A owlwo i/ QIB BUILDING PERM ITAPP!-_ICATICN T;GARD DATE JUly _i ___,19-- 5454 THE UNDFR''ll'IGNED HEHERY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ')38-,►5652 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO - - OWNER ,1ik.e Kextir ,IOBADDHESS 11095 SW 6umcarlske Drive :iUiwa.r.lf �� ARCHITECT Uundea ENGINEER BUILDER karuiy 1�jjj ADDRESS fit. 1 dox 609 DESIGNER STRUCTURE L7 NEW ❑ REMODEL M ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE II DEMOLITION [B RESIDENCE ❑ COMM ❑ ED'•JCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE '�YL_BLL`Q.TYPE JN _FIRE ZONE-_—PLAN CHECK BY ----HEAT--- Construct HEAT-_Construct solarium addik4on to expting single family dwallian-____.___ _ (I'er Y.I'. .T. 4055) SEWER PERMIT M _— OCC.LOAD FLOOR LOAD HEIG_H1 a NO.STORIES 1 _AREA 123 _NO.BEDROOMS VALUE i Ujw'J. BUILDING DEPARTMENT _ SET BACKS FRONT REAR 0 LEFT SIDE 15 RIGHT SIDE Permit_ BU.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING RECIILATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Che;k 52.J3 WORK WILL BE DUNE III ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. TI4E ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 132,83 _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREPIT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 3.21 SDG— Total 136.05 _ PDCq 4PPLICANT OR Ar3ENT By L. . Receipt No. __AD Approved bCte. DRE88 PHONE i L A TeIN P.5 . TYPE INSPECTION IMM qRW5 PLIJMBNG DATE o for- 1!nough-m Fixture HEATI.NG ICcittractor Permit No. Giss or Oil SEWER DkI ILWAY Ila, Main Drain)Final sidwol,k. P,Curb zA Start Final 5i CERTIFICATE OCCUP PT.FINAL TEMPORARY F - 1CERT jrlCA-r OCCUPAtl.Y INSPECTION NOTICE City of Tigard Building Departnv?,, 12420 S.W. Main St. Tigard,Oregon 972:23 Phone: 639-4171 Type of Inspection Date Requested Time A.M. P.M. Address �_'Perrnit Owner Lot Builder ,The following Building Code deficiencies aro :aquire-1 to be cort ecte& )IF -3) Presented to Appinved Inspector Disapproved Do" CALF. FOR REINSPECTION x YES 0 NO BUILDING PERMIT APPLICATION T"IGARD DATE__.ove" )bee 2!j 19 8.3 4675 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR I HE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE — LOT NO._36 OWNER Blazer tiougg 1ric.JOBADDRESS 11095 SN Sunwwrlake Or. Tigard ENGINEER -- ENGINEER BUIL t ar,5e ADDRES3 Yzl1._ Box 23332 __ DESIGNER Y.ieccY barClay STRUCTURE ❑FNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 0 DEM LITTON (t RESIDENCE n _COMM F1 EDUCATIONAL 1-1 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE U SLAB❑ FENCE OCCUPANCY f;-i _ LAND USE ZONE .� M_Z JuBLDG.TYPE _ `'�� FIRE ZONE_._..__PLAN CHECK BY . I;t �'t _HEAT— Construcl la_ily d9 w/attached ,train. -- (Sunject to 30).OU AmmrEjWedbewood Sewer Surchdrues) 3 tied-roar, 2 bat11rvom w SEWER PERMIT# 20475 _�v v _ Gars8!! 4::4 OCC.LOAD FLOOR LOAD 40 HEIGHT 14' NO.STORIES 1 AREA I6ft NQ.BEDROOMS 3 VALUE �;►UU. BUILDING DEPARTMENT SETBACKS FRONT •?I REAR 23_ LEFT SIDE LU+ RIGHT SIDE _ wt. Permit :i6 Ou THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 'S HEREBY AGREED THAT THE Plan Check 23 55 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSIIANCI: OF THI`_? PERMIT DOES NOT WAIVE Subtotal _b_{i5.55 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOr S TO 144VE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,rLUMRING AND HATING. State tax 14.66 Total 6211.2? SDC— By PDC# t (Ull.ou APPLICANT OR AGENT l:ll Receipt No. Approved FIClt ADDRESS PHONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. ,� Rough-in -- Fixture -- S' r Final HEATING Z'IT4 1.ej!Z `_d) /, Contractor a „ Q_ "� Permit No. Z� ��ib Gas or Oil Rough-;n ----~ — - ----_ Final — — —.—..—. SEWER Final DRIVEWAY Final Storm Drainage (Rpii Drain)Final Sidevvelk Curb&Straat Final Approach �BLOCi U'.PT. FINAL —TEMPORARY CERTIFICATE OCCUI'/.NCV Finel CERTIFICATE OCCUPANCY Landac ping L�nird Finel _-- BUILDING PERMIT APPLICATION TIGARD SATE M // - •f 19•.x'_1' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK !HEREIN INDICATED BUILDER PHONE Lu �72 OR AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PI NE _ LUT NO. 6 - O'rlNER ' ARCHITECT ENGINEER • UUILCER �� -� ADDRESS -nC � 3 "-2_ OFSIGNER STRUCTURE_ EW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL U FIRE DAMAGE ❑ D�IOi J RESIDENCE I] COM 1q O ED UCATIONAL ❑ GOV T O RELIGIOUS ❑ PA i 10 ❑ CAR r ORT ❑ GARAGE G STORAGE ❑ SU18❑ FENC; :iiPANCY —lA 40 USE ZONE OG.TYPE �'^-i FIRF ZONA� PLAN CHECK BY / fir' _HEAT "� _ — �n. /Ait,LbVL-L,�-IAle _ vT'�r r i�_�-1i/-Cl c� 1Ar14 I""wTT�\V �s E Ny l'A' .� Ltd--� /S G i(.� '•/�� SEWER PERMIT K OCC.LOAD FLOOR LOAD 0 HEIGHT NO.STORIES AREA /�., o NO.BEDROOMS `S' —T — BUILD3NG DEPARTMENT SET BACKS FRONT - �, j REAR LEFT 510E . , RIGHT SIL[ / z Permit -� 7THISTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE 6UILDIIYG CGDE,2011"t PII an Chuck "> ' 8�j `�<$ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEM:21Y AGREED TEAT TI'. --.) — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANL WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV 5u�fefal -j •fir, RESTRICTIVE COV' 'CANTS.CONTRACTOR AND SUS CONTRACTORS 1'0 HAVE CURRENT CITY BUSIKFS c LICENSE-SEPARATE PERWrS REQUIRED FOR SEWER,PLUMBING AND HEATING. ;Stale Tax SOC ,T3 — Total ) �' � POCK APPLICANT OH AGENT By -_ Receipt No. _ �Approved - `' AODNESS P110NE --'� SOC - 00 PDC SEWLR CONNECTION S S SEWER INSPECTION S 3 S SEWER SURCHARGE S AMA-RT/ 0 Co.^.1ments : 2 9 )e 2- 7 78,3 2c XS _ 13 2 ? <y -------- 2- 2 451 S � z � 6 i Building Permit No. Locatioi; Tate 9S 3— Certification of Registration With the Builders Board s doing business as (dba) , .�� 'q2 c Yc' .✓ �rw�f %_.1—`'�'t am registered under the provisions of ORS Chapter 701Oregon Homebuilders Law) . My Builders Board Registration Number is My registration is in full force and effect and expires on signature .