11347 SW SUMMER LAKE DRIVE-1 I
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11347 SW Surmier Lake Ur. "—
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ti� CIS' OF TIGARD
OREGON
Owner: Don Mor;ssetteo. 881925
Permit N
address: PO Box 19524 Portla.-id, Or 97219
1
f f`b Building address: 11347 SW Surmerlake Dr. _ ► ri
Occupancy: R-3 _ Land Use Zone: R7PD Bldg. Type_ 5N _
t Comments: sF `
i
r Certificate is hereby giver �`iis 14th day of April ' 19 89
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approvedt
by the Tigard Ci:.y Council.
it
10
-� �
1 Fire Dept. uIlding I3ts�rr
Building Official � •i,+�
r' ; Post Certi2�eate in Conspicuous Place
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7
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 n
Type of Inspoction V>1 �--'!
1 7��
Date Requested-- - Time—
4
Address / -/ ^ X) 'ZP ''"6�'kt- Permit # I [
Owner _ Lot #
Builder --m (fy
The following Ruilding Code deficiencies are required to be corrected:
Presented to L� Approved
Inspector — U Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
MER
INSPECTION NOTICE
City or Tigard Building Department P
P.C. Box 7.3397 (�
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection __ ___._._____._ C '(_
Date Requested 3 7 Time. '>"'/ A.M._._ P.M.
Ad'dress Nemit
Owner ,�...����� Lot #
Builder _ 1.�?`— )L ��'.��:1 The following Building Code deficiencies are required to he corrected:
Presented to '_�� k l Approved
J
Inspector DisapprovedDate ^T_ ___
'Crr
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.G. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection -- - - --- ------
Date Requested L' L 41'" grp Time ___ A.M. P.M.
Address -__ ''yam-��- �_ � _____ Permit --
Owner -___ __ Lot # —
l
BuilderThe following Building Code deficiencies are required to be corrected:
/'
.osented to _ _ Approvbd
Inspector �..r' _ ❑ Disapproved
Date �S
CALL FOR REINSPECTION
❑ YES ❑ NO
ffW
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 `
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection
Date Rnquested c "`� Time A.M._ P.M.
Address // 3L i? R:)ey—.azz,2-74-[—L:• — Permit
Owner _ Lot #
Builder ------
The following Building Code deficiencies are required to be corrected:
G � •
i�,2 Z2o
Presented to _ Approved
Inspector �----= --- Disapproved
Date
CALL FOR REINSPECTION
❑ YES ll NO
INSPECTION NOTICE �L
City of TioarL� Buddi.,g Department CAOIl Y�
P.O. box 23397
Tigard, Oregon 97?23
Phonr): 639-4175
Type of Inspection __--_______CLQ ✓�//IX U-tl_ r� � �'� ,
Date Requested Time k� A.M. P.M.
lq
Address z�71 �I"_L. – — Permit #_�
Owner _ Lot
Builder —
The following Building Code deficiencies are required to be corrected:
I
Presented to _ Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTIOj
❑ VES 0 NO
INSPECTION NOTICE
City of Tigart Bukdi ,g Department n
P.O. Boy 23397 C
Tigard, Oregon 97223
L u Phone: 639-4175
Type of Inspection
x
Date Requested �! r� 1'Ims A.M. P.M.
--
Address , �
c• '7 �/�� 7 G Permit #��]'
/
Owner _ Lot #
BuilderThe following Building Code deficiencies are required
'tto`becorrected:
i y_n_ ci s ��► Itz
45 " "'Sic, �" _ _--
Presemed to ❑ Approved
Inspector ffbisapproved
Date --
CALL FOR REINSPECTION
[14EF, ❑ NO
INSPECT ION NOTICE
City of Tigard Building Department
P O. Box 2.3397 C
Tigard, Oregon 97223
Phone: 639-4175
Tyne of Inspection C
Date Requested .._ .�L� Time A.M. P.M.
Address �� �yl;mm�:r��,�. Permit # SX
j tZ _
OwnerI Lot
Builder moi,CThe following Building Code deficiencies are required to be corrected:
Presented to �_. _ 1'1�'Approved
Inspector i �� Disapproved
Date
CALL FOR REINSPEC71ON
YES 0 NO
D1.111 MENG Pl-.�PMIT
CITY OF G RD &41 PEPMIT' NO - 1-31.180:1.929
CITY OF 7 WAND
COMMUNITY DEVELOPMENT DEPARTMENT 01100H I!ii SULD: .10/'31 /8 8
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 �1'1 FIR 1 Q P Q
ADD141j;:SS : 11.'34*7 SW 15UMMI':*R I..A- KE DrI
TAX MAP/L.01 t5i '33AL) GLIMME 1:4 LAKF: PFI 4. 1-'T* :,l HK :
I AND US U: 147PL7
V AL UA- 'Y ION: 10Z.51037 L.jF:'T'I3AC.KS
RO PI:.AA : L';x
W0IQK (:,I...AGS : NEW I)Wl*-':I.,.I-, .(.)N:I:'r!5 : 1. I-EFT : 5
TYPIE.K. . 5:1.14C.I.-E r-"()I'i:ll..Y NO. DEDR00mr-5 : xj WAIJ CONST :
VINUT . VN NO . BA'11-1'5 : 3 IN: 15 : E. W
'34." : P"'.i PPOT - OPENIN11aS :
N 1,-:: W
TOTAL APE:41 : 2 1.?95
NO . STOPIES : P, ITT* : t28 3 ROOF (.ONST : FIR ' RE-1-7
PO PND: 101P APEA Sr-."PAP? PATITO :
, I! ; f)NT Nli-'. ? BAS11Y.M' T
I I LAA14 10 o R A G'1::. 572 PIPE S-1:44KLIP? Al APM'?
FLOW(GPM) 011,71:X11,17 'yUA.1
;360 OF NO.
0
W MOP V5 SE.TTE DON $ZV4 3. 0 0
N l;)a FXJX :11.95P/I PIAN I4I'--VJA-..W
E
R 1.)to 1"t.161 11 d F: I)VIXT
91 ATI:i. TAX $P F? 1::i
01 HE14'
)I-:Vr"I XIIPMENI CHAWGI:..F1
N DL0 m c)I:,,j:s s e''r T-E DON 5M, STOPM *250 . 00
T IN 110PIS111151,111: 8011 1)17.;:1: 41600 . 00
R 1:)13 BOX 1.95P4
11111125 0 0
C 1:)1.11,1,1.In r)CI P W E 1.7 A 11.) < !1'.00 . 00)
T
0 1:511-40NI:?: ( 503) Vxl.-t4
R I POTION NO 35 5 X3 TOTAL 1111, 753 10
This permit Is issued subject to the regulations contained in Title 14 R+J.CIPT NO .
of the TMC, State of Oregon Specialty Codes,zoning regulations ..........
and all other applicable codes and ordinances, and It Is hereby PEQUIPE:1) INSM-EXTIONS
agreed that the wot k will be done in accordance with the plans And 1:1,001 3:N G 5 F:WE,Q
specifications and In compliance with all applicable codes and 1:13UNDOTTON WAL.1 PAIN DPAINI;
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city WATEP LTNIH
business tax permits This permit will expire and become null and
PI 8. LIN DE 14�j L A 113 (.1T'ry APPP(�,IIA/Sw
void if work is not started within 180 days,or if work is suspended or F I NAL
abandoned ft�r a period of 180 days any time after work has
commenced. 11 shall be the responsibility of the permittee to assure F'PAM I N(.v'
all req6fred Insp 'c"N!are,requestedancl,appr d
GA!:') I–INE
IN5ui..A'rT(:)N
GYP 80AP0
Permittee Sig 16�0`f
Issued By Or I Wo 1:77 T—IF)TI
T
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGry / RD �il;:.IAIVJ4 PEPIV11J.''F
_1413: 1, NO S E-L,G 0 19 X'13
LCITYA�OFTIWARD
COMMUNITY DEVELOPMENT DEPARTMENT ONGON
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(503(639-4175 1.0/3:1 /P 0
1:)M,r Nt Rl 11 9P9
JOr.-I ADI)PE.5S . 1,11.347 !iiW SUMMER L,AI(o„ UP USA NUMBE14: 0,36,e1541
'TAX 14AP/1 C)I' IS 1. 3300 S'#UB: SLIMMEP I..AKE: PH ell 1:3K :
I AND USK: 94,M)
L 01, S 3:Z 14. :
SECTION: PW*, : 1w
WOPK U.WiS : NEW
L11:111: 'T'YPE: S.INGLE, 1::'AMI:l Y
11.1(o R541`01R% 1,13 c.-Lllnpl.y With ill.11 rI.1*I(.-,?I1. al.ricl tJlca 1.1lific3cl
`iewoiriovc..? Af,4r4,?nIz9 . lf'hr,+ permit 1420 clotyin lFroln the. ciatel
alpol.11-11, piaid Will. bb! 11.4! thp) 1.)ermit
RI-Itme of t.[I(p '.or
Ili V,,W 4
111311, 3oc-,mtWcl oil, the -tho mlimul.
all dircctiallil& from ti-ite
.1.o t.
o1ricl thio r)(1enc(.1 w;i :1.,I, j .Ili,
A
I NS T*AL.L . UYPE: BLJIL.D.i.NG, 151:::Wr!..:I:l IMIDE:"PUOUG APE."A:
I J:X'Yk-JPF:: L)NI*TS : 'TENAN'T' j:mr,-,w.)VEM1--:N'T'
OWEL.LING UNII'S
NO . OF' BI_UGS .
0
W WMISNE 1-1 E [)ON PEr4M:I:'T'
N1:)13 0 C)X 1.9 15 2' *35 00
E CONNECTION CHARD : 1.
R 1:)c)I• IA.Ili II Ll oil 1-.]:Nr,-: "T'AP INSTA1...1
C 01"HE P $360 0o
0
N DON
T DON M0P:1:!jSj-TT,E:, INC
R
A p C.) MIX Vi•*pel
C 1jurtloind or 9*781.9
T
C PHONE (!503)
R NO . 35333 TOTAL
This permit Is Issued subject to the regulations contained in Title 14 PECE11 PT NO .
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby INSPECTIONS
agreed that the work will be done In accordance with the plans and -1:N
specifications and In compliance with all applicable codes and
)rdinances. The issuance of this permit does not waive restrictive
,ovenants. Contractor and subcontractors shall have current city
1)usIness tax permits This permit will expire and become null and
void if work is not started within 180 days,or If weik is Suspended or
abandoned for a period of 180 days any time after work has
commenced. It Shall bn the responsibility of the permittee to assure
all required Lin " ns are Irequested requested proved
Permittee
Issued By.
6—
IJON
T7—iT 1-01:4 INUPEC
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PEAMIT
C'TY®F T SGA RD h�' PLAQW11:1, NO. : MF-8819A2
CITYOIFTWA�RD
COMMUNITY DEVELOPMENT DEPARTMENT (027GON
13125 S.W.Hall Blvd..P O.Box 23397,Tigard,Oregon 97223.(503)639-4175 I)A*Tl;.:: ISSILAM : 1.0/3:1./88
PQTM PMT Nn RVIII 141aci
JOEJ ADDPE'SS : SW I.;t.)MMErt J..Aj<E. 1)1:T
TAX MAP/11-01* ISJ. 33-AD SUB: SUMMER LAKE'. PH A L.T : .7 BK :
1-AND USE: : p7r)n
LUT SIZE : XTRM: NO: NO:
WOPK CAASS : Ni:-::W F-11PNOGE: <11.00K AIR HANULA <:1.0
USE TYPE: !.-"sIN(:'.LE FAMTLY FLJF)NF)(:'L-.: 100K+ 1 011:4 HANDLA 10K
UN FAL..00111 FUPNA(`X.: FEVAP .COOL.EP
(N."CUP . (3111P. 1-1.3 IAEA TER VENT rAN
VENT WENT . SYSTI;-*:Ilvl
Ul P/('13"JIMP <;.31•4P H(7OK) 1.
(40. 5,11,0P)AKS : 2 BI 1:4/COMP 3-1 15HP INCXNE'PATOP 100M
DWELL .UNI rG : J. EA-P/COW-1 1.115-I'S 0 1-1 P, INCINEPATOR(CAIM
TYPIE CA% 3()-115()H p 1:1E PATP UNIIS
MAX. T.NPUT 30.11-1-4p (JTHE'R
D11PPS"? GAS 1::,11*-,TNC OUTLE'T
I-ITC11-1 PRE*ST?
L,11()1:t 105
1JES :
W M11,1141.SSE Ill.,. 1:)(')N Vlti'RM IT $1.0 . 00
N F)n .!
F;
E (:)x *l.1?'.'-5V/l pl..-AN PE'VIEW $1.1, .25
R 13 01"4 1 Ilk 11 d UP F! T X T I I PE S
111135 . 00
T*A,1,1::,. TAX $2 P.5
0
C
0
N
T 13E.1-1. 11EKATTNE; INC1 .
R
A 1115550SE PIAZZA AVE*
G ('.*I (M."KAMS 011-4 91015
T 1'11ONE' (503)
I 'MA11ON NO . e1117 TOTAL. : $58 150
this permit Is issued subject to the regulations contained In Title 14 NO
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby PEW-1IM-1) TNSPE.1"VIONS
agreed that the work will be done In accordance with the plans and GAS I..:I:Nl:*'-'
specifications and in compliance with all applicable codes and 1-NO!",T* a Br.."Am
ordinances 1 he issuance of this permit does not waive restrictive MIN K44--1 N
covenants. Contractor and subcontraclors shall have Current city
business tax permits. This permit will expire and become null and F T NAL
void if work is not started within 180 days,or it work is suspended or
abandoned for a period of 160 days any time after work has
commenced. It shall he the responsibility of the permittee to assure
all required ins Decns ere requPMed and a)ppi
Permittee Sign
Issued ByI mill".171"11 om
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUML-41M.-v FICPM11-
GARD NO. : PLAE11,941
CITYOFTWARDRD
COMMUNITY DEVELOPMF-IJT DEPARTMENT Oslo-ON
13125 S.W.Hall Blvd..P.O.Box 23397.Tiger J,0,,q.on 97223,(503)639-4175 DATE 1-.C-;5J.JE:E): I
F,WT M PMT No-- V111 1 9 P 9
1-:1.347 FJW 5k)MMEI:',' I DH
VII-I /I IA* :
L-AND t.JSk*:: :
1 01 bIZE" ..
NO . NO:
W34K CLASS : Nr.-'.W WATEA C L U 5 E.-T 3
USE 'T'YPF7- . :SING-LE F'AMILY LIPINAL, BKF:*I..(JW 1144VINIJA
VN AVOWA"I'My 15 '1*140-4) PRTMER
P GPEAGE 114APS
DIGHWASHEP
(3APIi.4A(:Ui:: 0.1t;P11SAI
NO . s*T'c)wTL'-:s : 2 WA!4111ING, MAC WINK
DWELL tJNt*l'!:-) : 1. I..AIJNI)14Y 'Y'1"4t.)y I)PATINI ( 01A
UPATN
WATEP Sl'(')PM/I:-'IAI:N (I:J
R1:::MAPKS :
360 �slalnr t.
0
W DON
N P c) BOX 19521 111;A Ra 5 0
E
R 11(J I:-JX'T'1Jr4r3:S
FI II:.:R
C
0
N S1 MA K E 1:4 11-11APOLL)
T
R s.r
A P t1: FAIX 2150
C rm'!Ij tiler, w.(:114. tar 970P.3
T
0 F+10141]: !I A
Az
R 114�-G.1 FWVTAAIN N. rtarAr.. : 1u 1.39 13
This permit is issued subject to;he regulations contained In Tale 14 PEC E- FIT NO.
o' the TMC, State of Oregon Specialty Codes, zoning regulations -••••••••• ..........
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done In accordance with the plans and PI-121
specifications and In compliance with all applicable codes andpl 1M DEAM
ordinances, The issuance of this permit does not waive restrictive
covenants. Contractor and subcontraitors shall have current city WATT-44 1-.:I:NF::
business tax permits. This permit will expire and become null an.J rill.-iii *1,(*)p(*)11,1,
void if work is not started vi-ithIn 180 days.or It work Is suspended or 14AIN DPA:F
abandoned for a perirjrj of 180 days any time after work has I"T NAL
commenced, It shall be the reiponsiblilty of the permittee to assurf,
all requl!pd,Insp ctior-s are teCIL108ted and ved
Permittee Sig
Issued By A
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
M
C1
NOFTIGARD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT (clC�E)nx-ARD PLAN CHECK p -y-13f2bSWHWI13Nd. P.O.pax23397,rgard.ckegung7 (sro►63w�7sREGON PERMIT N ,^Z1 Z 7
�, "i t 1
DATE ISSUED
JOB ADDRESS: 11 � S'� , ' Svvhw v Lo ke- 'OR
SUB:
TAX MAP/LOT
LCT: _ d LAND USE.:
OWNER -r -
ALUATION: �-
� --
NAME: p 1� -` �n. S -�a ( INL SPECIAL. NOTES
ADDRESS: �'t� _ REISSUE OF: ___
- — — LAST REISSUE
FLOOD PLAIN/ ---' -
PHONE: — l i SENSITIVE LAND: __--
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: __
-- ENGINEERING
--
_ FIRE. DEPT OTHER:
PHONE: — -
ITEMS REQUIRED
ARCH/ENGINEER LIST/SUBCONTRACTORS:
NAME: BU5 TAX: -
ADDRESS: -- -'-`T-- CALCUL.ATIONS: �—
_ -- — TRUSS CETAILS: -
PARKING PLAN:
PHONE: LANDSCADE PLAN
__--_r--- OTHER: _
COMMENTS:
PERMIT q ACCT rK DESCRIPTION
d 'i. 10-432. 00 Building Permit Fees SUNT AMOUNT PD. BAL. DUE
4- 10-431 00 Plumbing Permit Fees
� ( firyZ 10-431 01 Mechanical Permit Fees
10-230 01 State B !ilding Tax (5%) 5-,
-'-------
8uilding />" •03 3 •v
Plumbing j
Mech 2.5-
..--
10--43"3 00 r sans Check Fee
Bu' lding �J, 7 9.S `'3iU
P1,,mbing
Mech
2.t1 L 30-202 00 E;ewer Connection _U_
3'0-444 '`0 Sewer Inspection -- 00
51-4AB 00 Street System Dev Charge (SDC) ov --T
52--4AO 01 Parks I System Dev Charge (PDC)
52-449 U Parks ]:T System Dev Charge (PUC) -_�_ 5V
31-450 Oc Storm Drainage Syst Dev Chry (SSDC) -e —r
iO-230 09 TRF[)
10-230 06 Washington C linty Fire bl (95X)
10-220 00 Apel/Wedgewood
1J �3 `3C,o-ry
t TOT A L
' REC N
APPI NT-SIGNATUR^E-
Received By: ( L
ht/3587P/18P Date Received: � -