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11115 SW SUMMER LAKE DRIVE M15 SW SUMMER LAKE DRIVE 1 Q N v vi 3 l OF OCCt7pAjq�TCy IC /. CITE OF TIGARD OREGON � � j = ner: Fd Rudisr au$Pr Permit No 4806 OvS r` address: Trnv y Building Address: 1 1 ,, 15 sW Suutrieriai:e r R / �-upancy: R-3 Land Use Zone:. R-7PD Bldg. Type 5,N (, Comments: onstruct sinZ ami,y dwelling w/attached garage . Ce-L-tif3cate is hereby given this 24t:',, day of July , 19 14 aut said bilildin may be occupied and that it complies with all - .� �. g c _! requirements of the Buildhag Code for the City o'Tigard, as approved z ' by the Tigard City_ Council. f jJ 4' Fire Dept. uilding Inspector i Building Official Post Certificate in Conspicuous Place ,3 �; INSPECTION NOTICE ' City of Tigard Building n-!1artment 12420 S.W main St. Tigard,uregon 97223 hone: 639.4171 � T•Ype of Inspection Date Requested Time _ A.m --P.M. / I Address ,.� �1 (.rYl( Permit #_ .�� Owner ____-- _. Lot Builder -- ---- --- -- The following Building Code deficiencies are required to he corrected: I CZ Presented to _ ___� _ I Approved Inspector _ _� Disapproved Date - _ — CALL FUR REINSPECTION C] YES Cil'NO INSPECTION NOTICE ::ity of Tigard Building Gapartment i 12120 S.W. Main St. J Tigard,Oregon 97223 Phone: 639.4171 L Type of Inspection _______ s �•t/✓ II Date Requested �f'Z 'Time A.M.—�F.M. 1 Address Owner_-�—__- -- --- mot # Builder The following Building Code deficiencies are required to be corrected: ----............. _— _ -'�,..•- �2-,�` Presented to _ — I Approved Inspector _— Of _ XDisapproved Date e CALL I REINSPECTION YES ❑ NO INSPECTION NOTICE ;ity of Tigard Building Department 12420 S.W.Main St. Tiqard,Oreqon 97223 Phone. 639-4171 Type of Inspection Date Requested__ _J Time A.M. Address 40t Owner Lot Builder The following Building ^.ode deficiencies are required to he corrected: i ;esented to /Approved Inspector Ll Disapproved Date CALL FOR REINSPCTION r7 N El Y1 F NO INSPECTION NOTICE I City of Tigard Building Department 12420 S.W.Main St. Tigard,Oregon 97223 i Phone: 639-4171 Type of Inspectior•, __- __ ._ � A.M. P.M. , Date Requested Addressl�efmit # Owner ,_-- -- Lot #_ Builder �_--_�_--- The following Pudding Code deficiencies are required to be corrected: I _��----- ' -- -ICA ---i ` / �- - ,,�► •` c ,,��"*�2 dr� Approved Press-tom.^.,f� Inspector _ Disapproved note CALL FOR REINSPECTION ! j YES ❑ NO i Building Permit No. 6— Location ,1//i<; s . nate Certification of Registration With the Builders Board s Ael=yre- doing business as (dba) , am registered under the provisions of ORS Chapter 701 OrPyun Homebuilders Law) . My Builders Board Registration Number is 1 My registration is in full force and effect and expires on S ignature ` BUILDING PERMIT APPLICATION TIGARD DATE . 'aril _.. te_:-j4_ 4806 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT► OR THE WORK HEREIN INDICATED BUILDER PHONE 4 -�-;'� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_ LOT NO. ____—_ OW`JER id Km4i&aufiV! _ JOBADDRESS i 1 1 t5 :;4� Su Lnerall�t. t3Lrivr �_.. fetl3tf�lerlalse_____. ARCHITECT [iv:n• ENGINEER BUILDER 1:d .1judish4 p,:r _ ADDPZSS 4135 Sod 1'ho,i_ _, DESIGNER ,STRUCTURE _ aNEW F- REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL i.1 FIRE DAMAGE ❑ DEMOLITION L RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS [❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OC. UPANCY _k:-3 LAND USE ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY •T•�+ HEAT___! _ Construct sitigl:a family dwelling w+/attached garaga._ __ Ke-issue o;' Purenit #4515 't Bathroom 3 Uedrounl SEWER PERMIT# 26519 Age 400 OCC.LOAD _ FLOOR LOAD_ 4U HEIGHT 2 l—E, NO.STORIES 2_ AREA 1,4 59 NO.BEDROOMS 3 VALUE73,0u(,, BUILDING DEPARTMENT i SE'r BACKS FRONT REAR _ LEFT SIDE 21 RIGHT SIDE 18 Permit 352*0y THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND !T IS HEREBY AGREED THAT THE Plan Check 4U*OU WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO14S AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub•tota' 3Y21U0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOIL SEWER,PLUMBING AND HEA TINa State Tax -0 SDC— $4UU•UU Total 4f By - - ---- - PDCq -APPLICANT OR AGENT By _ C21 Receipt No. Approved ! Cie ADDRESS / r- PHONE i INSWI TYPE INSPECTION REMARKS PLUMBING DATE d?w I Permit No. Pough-in I. Fixture J2 Final Q, 2 btle HEATING Contractor Gas or Oil Tsigy, Rwigh-in 'final SEWER F'rol DRIVEWAY ins Storm Drainage (Rnln Drain)Final Sidewalk Approach BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPAW.Y [Final Lan[ Landsr i, q Zonin_,sinal 01 THE UN(`CRSION%O HERLIIY APr)IIE; i OR APkFIM1tI l I UfI IFIL vvI)11ri IILIIc11v iIt u � ��•.• •.• : .�•.�+ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS, ovn�Ele.►tdrrr' �____ LOT rlo__ L �svNEp /,7 4-i7/At/.rte-si'sC JOB Ao�1�Lss �j S�r//_�t/r-� �'�t C.i�CHI _�r�r►7�x;�c',e_<AKE -, ARCHITECT 1� ENGINEER A111• 0T•I'F/> /� ADDREa.i •' ' _ r_-_.. J' _DESIGNER -- - STnUCTLIRE _ YEW` ❑int-kilIOEL 0ADOITION - L�Rc'P:.IR—� LJRENEY/AL CIFIRE DAMAGE ❑DE:,IOIII , J nESlht^I(.f ❑COILM ❑EDUCATIONAL LJ GDV'T IJRELIGIQu5L�?ATIO uCAR PORT �GARAG_ ESORAGECISLA3 l._JFE1 - N PLAN CHECK BY_ HEAT ' �C._4UPar__v -_ LAND USE ZONE'_ �! OLOG.TYPE__--. — _-. __— CONSTRUCT' SiNGIF FAMTi.Y I)1,1F.I.t.IN(; WfAT'f&C:jJ;1)_ GARAGE, -- BA111900M BEDROOM —_—_--- . ------ yj,_C_Lr) FLQQ►�yOAD kl HT % NO STORIES 2 AREA " NO.Q�QROOAIS �— SIBLOING DEPARTMENT SETBACKS FRONT < - HEAR - < LEFT SIDE — RIGHT SIDE j (°crr-..�t I -- I-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON Check c� (� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT r--- —RK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AN131N COMPLIANCr V $.17•tDfdl C~ ►'' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE►?AIIT DOES NOT W/ RESTRICTIVE COVENANTS. CONTRACTOR AND SUR COYTRACTORS TO HAVE CURPENT CITY suslr !7•str Tax I c. LICENSE. SF..PARATE PERMITS RF..OUIRED FCR SEWER, PLUMBING AND HEATING. -` Total SGC I x,17 � �'c; PDC - r APPLICANT OR AGENT Apar- rovud ��' Receipt No. inn F55 I' SDC - S PDC - S - #_ / o SEWER CONNECTION S -D SEWER INSPECTION S 3 -5 SEWER SURCHARGE Comments : _ �, ;� i CITY OF TIGARD—12420 S.W.MAIN--TIGARD,OREGON 97223 RECEIPT e a DATE:_ `�^ �— 7 AMOUNT: $ 07 /7 Cal -DOLL NAME: I�NC� IS�IAKSB4: C �S ADDRESS: MO - d OF FOR: ACCT. N PERMIT$ SURCHARGE AMOUNT SEWER BILLINGS 40-364 S� BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 S MECHANICAL PERMIT 05-332 —_ BUILDING PERMIT 05-333 3-5;' SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 _ SJ= --- SYSTEM DEV.CH/URGE 25-366 — PARK DEV.CHARGE #1 30-367 PARK DEV.CHARGE #2 30-368 -- — ZONING ADJUSTMENTS 05-362 33.r • 6 //s S.w.S ,►,roto, e -- -- 10TALS RECEIVED BY: ` __-- PERMIT NUMBERSASSIGNED: _Number _Amount _Number Amount Number Amount 5 Awa s ____ s --- $ -- --- $ — — - s -– $- — RECEIPT # 17860