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11445 SW SUMMERFIELD DRIVE STE 5-1 Ln w v� N ' (D ttr�yy t O ?C \ C/] yNJ ~ J gtn G F%' fx°t 'il ✓ hJ (per ID F 7 ►i , ii 0 r1 t' Hcn U AV w r rt N \. fD ITJ \� . � 1 C En rt �I �f 7 VZ t W0-4U 7s r �n _ v - � 1-f `q ►{ F3 I rit�- S: ] N a W �. 0 - — 7 w � Ji 11445 SW Stum^erf ield Dr. gatehouse/greenskeeper shack/tennis ct .a � w i Tigard City of Ti � i IN SPECTION REOUIIEST for IJINSPECTION TIME : 6 f PERMIT NO. : I DATE: DATE ISSUED:__L_L. OWNERS NAME : ADDRESS : — 1 CONTRACTOR :----- ... ---- -r-.._.-- -_-- - f TEST' Air O, Water ❑ , Visual(,, Laboratory ❑ RESULT: Approved , Disapproved 0 , Pending ❑ SKETCH: I l 61P 7z) �,c c Env `x.loloE c- i INSPECTOR DATE iOTE : Ath-ch supplsmsntal test data hststo0 i rr city of Tigard INSPECTION REQUEST for INSPECTION TIME : PEF'MIT NO.: DATE: DATE ISSUED:--L-1— OWNERS SSUED:_OWNERS NAME : --- ADnRESS CONTRACTOR :---------,.. -- —_ ---- FEST' Air ❑, Water. , via+i'l')CI , Laboratory0 RESULT: Approved, Dia% pproved 0 , Pending Lj _ SKETCH: gPEC70R DATE LpT� : Attach supplementol toot dnta hereto ! w w w w w t I City of Tigard INSPECTION REQUEST I for INSPECTION TIME: __ 'M ' PERMIT NO. :— DATE: O. :_.DATE: -21��'.(,�,�L DATE ISSUED : I OWNERS NAME : - ADDRESS: � -- C;ONTRACTOR : _____ -�--- TEST : Air [I, Woter 0 , Visual D , Laboratory [I I RESULT . Approvad Disapproved G ^ , Pending p I SKETCH: I i i - Iw3PEGTOR DATE NOTE: Attach supplemental teat data bereta� �l r � J J� L 2. Plot Plan Approval Required fo, SepTIG IOSIF --''! t+!� scale Bearings (plot plans) After the Building Site has been approved s nY �� nk,st be submitted to anis office. NO.E- If the fiollo++inq Information !s / t p My t dsd, plot Pians w i : ! not be accepted by this Deka rtmee,t. ..rc!NG YOUR)R Location of water service lines and/or water well . septic CL;oY OF tank, distribution box, and disposal field, house driveways, BUILDING SITE calks, patios, etc. ; existing buildings . . any, Trees, rties, and locationOlL REPORT WITH drainlines. veils on adjoining props f u,>tl E DRAM i NGS r-e 1 ace msys ent tems; e 1 evat i ons of lot corners and s-ea of house and s=ptic tank system or contour lines of the entire number of bedrooms and whether lot; house sewer eleva, ion; ^+, + there will be a basaw 't; saws address and phone number of fJ �" the builder and/or ve•ner. BUILDINC SITE REPORT CP: washinglvn County D"rtsient of P10lic Health ---e Date: TSCc_ Lot. No. 813 . Subdivision � Report to: � l—_� �- Size of lot or tract �dimensinnsi /5300 Ssy //ei Usage: Single Dwelling Duplex ? TrailerCommercial_ Other Tvpe of water supply: Private Public _ rICTE: This building site approval is valid only if construct;on }!as commences+ within six 'P.onths of the approval date. NOT VALID FOR TR ILI-R INSTALLATION WI'%;0Lrr PLANNING `)FP;,RTW, -.N7 -7 ROYAL. Plot plan will be conditional ufon issuance of a tax acco:mt inuenFer or P?annin' --rartment approval . C/•Ul'ION: TEST HOLE MUST EE PACK` ILLFD AFTFR INSPECTION: /,PPRO`,E This location is acceptablp. for individual subsurface disposal system. Iran eld must follow contour of land. BRING REPORT W)IFN iPP*.YIN(" FOR IlcA'-Tll rEPT. PEP.MIT. This does not guarantee issuance of Building Permit. ,Ssstis syst-m must be at least 100 feet from water source. DISAPPROVED. COMMENTS: ^ l,, 57 Public Health Sanitarian City of -regard INSPECTION REQUE oT for INSPECTION TIME ' --- PERMIT NO. : --_�— )4TE . Ll L4 L-L DATE ISSUED: Z OWNERS NAME : - ADDRESS : -- %= r. «� -- C+)PJTRACTO R ----- — TES1'. A r J , Water 4l Visual El , La!• gyratory [� RESULT: Approvedo Disapproved _1 Fending Cl SKETCH: I I I IN SPE CTOR DATE i [NOTE : Attach supplemental test data beret] City of Tigard INSPECTION REQUEST f o r INSPECTION TIME: 3- L)c) , PERMIT NO. : — DATE: /,;z /M/2,3l DATE ISSUED :-- I OWNERS iC NANE :j- ,O. , SS. C O N T R A C T O R TEST Ai, i-1 , Woter[] Visual 0 , Laboratory ❑ RESULT ' tkp,-)rovedW Disapproved 1-1 Fending [ SKETCW -0-r—, 'INSPECTOR DATE FNOTE Attach supplemental test data beret WASHINGTON COUNTY DEPARTMENT OF PUBLIC HEALTH CR_����/ Administration Building 15O N. Firs• Refer � C �'�'. 2`4•ir��/ Hillsboro, Oregon 97123 Telephone 64878688 Subject �� C Location ..��• , / 9 Health Department Memorandum The subject noted above has been reviewed and the following decision is recorded: No Yes ( ) ( . . . . . .11ealth Uppartment requirements have been met in full. Nr yes V ( ) . . . . . .Addit.ional requirements at, follows must be met before Health Department approval can be given. Commel't s� ��I✓. lG�_.� Q _ _ ��� J Date T Public Health Sanitarian 7/72 WCOPH S-•28 - --_--... _ .._.. _ _ .. s rr-. ,rs•wee•+•..-....... �.----,.....—�---'�-'__ -•._--.—�--..� _.--- --- . :BUILDING SITE REPORT ^� CR: Washington County Department of Public Health DIAte:�� _ T. c,')S 1_Sec./z-" r� T.L. %r,� Lot. No. —I?1k.--Subdivision _ Street i� �• :.!'f r .lj /$/ii i /. rG/�''�. r _ __.act.'..G".J1a '�'1.L(`� - �-'-1` �.. �`�...: � -�` -�� -'Jf 't-�•, Report to: 7` � ,x i._ .>� •u, t�z1oL` a�t (dimensions) Si Vo _S :.!r s rr"- U ,a. e- �irior elrlA�,Uweiling ____ Uu ilex , r J^� • 11f_ T ler.. Commercial—Z-1 Phone- & - / ice , 1'f Verdi water supply: Private_ Public_ �, ., NOT):: "I'hl.s bval building site approval is id�.only,.if, construction has commenced within six won thc of t»e approval date. NOT VALID F0R,TRAIJ,r-R INSTALLATION WITHOUT PLANNING: DEPARTMENT A7PROVAL. Plot plan will be conditional upon-issuanceof a tax account number or Planninc hepartment apU-oval . f AUTION: TES's I—ou MUS1' BE ,BACK.PILLED AFTrR-INSPECT JON! 0PROVED This location is acceptable for individual scibsurface disposal system. -;�ra3�nficld must follow contour of land, BRING REPORT Mlr-.N APPLYING FOR IIEALTII DEPT. PERMIT. This does not guarantee issuance of Building Permit, ;T,�%rtic system must be at least 100 feet from water source. DISAPPROVED. ICOMMEiYU V - ' G9GrCG�L.i' t_ jf/CL'�,d Odd Y • % .. /. By ,a;'1�'d -=�,• �, y , 1'ubl�ij,; Health Sanitaria, CITY QF TIGARD 114tA ► w Wolin ill f1eAa0 00400" r►T11 APPLICATION F"•!R HUILUIW; PY:14RI1' NOW Construction DemoIimh ❑ Addition ❑_-lsemodel Novr� ZONING P-Q DATE ISSUED_ t0 y 73 Bl1ILO1N-i PERMIT -- --- �-- No. BUILDING PEE S ' UATt RECEIVED PLAN CHECK S_ .1-1, C.0r VALUIIT1,01I i 12.CQD OTItEP $ =-83 RECEIPT No. 9 1 TOTAL S_�yyl W '�,,� 7 r TWO SETS OF PLANS AND PLOT PLANS MUST BE /UPNISHLD WITH APPLICATION LOT / MAP 1 251 ilkCENSUS TRACT _g:,11- JON Architect or Cnginwer— xloll /tSM TeJAl(1tln,j�iLlli11 11lil. .__._�___ -------•• Address— 15300 S.H. 116th Ave. _ _ ____._^___ _._ ._______,_Phona�� Phone _._ . Builder Address BUILDING USF. Single Res. Multi Pea. ❑ _ Comm. Industria).` c OCCUPANCY GROUP No. of Stories- - _y Total Fleight_ l01 Area of tnt __... Type of Construction I II III IV V Floor Area 8__;_ Set Hacks: Front-;-Qt Back-15!_ L.Side__2IIr Sewer Septic Tan!. private Sewer Pip* &1se�-- �_ ❑ water Service Pipit Site-_----- :3torm Sewer Q Ditch ❑ Drywall ❑ Street and Curb Requiresents uli i o Driveway width—___- - No. of Parkinq Spaces M ARATF. PERMITS Rl.QUIRED POR SCWP AND PLUMBING 1 SPECIAL INtoORIIATION ADDRESS ASSIGNED_„- FIE1.) CHECK HY____ PERMIT APPP:r✓ED ByL It is understood thAt all work will conform with applicable coder and otdinanc of the State at` Oregon and the City of Tigard, oregc:n, and that the building w not be occupiod until a Certificate Of Occupancy har• bean issued by the City v Tigard nuildinq Inspector. 3i-q?Rture o pTI'cant ! CITY OF TIGARD 134" r 'M MAW 61"0 TIOAMP, 04060" vr"j APPLIC'ATIUN Ft`N HUILDIW; PERMIT Addition i t.i cin t_ J Rema to 1 0 —movepew Construction LdJ I�wolish DATE ISSVED99II`73_ ,_ BUILDING ERMIT LINING, No173 . A. 7 DATE RGCF.IVED PUIL.DIt1�� FFE 3 8 UO —"'-- PLAN CHECK 5�� $lose *7.65 VALUATION RECEIPT No.s2W,"m4-— TOTAL —` TWO SITS OF PLANS AND PLOT PLANS MUST HE FURNISUED WITH APPLICATIOM LOT 1_ Gjto MouaW►P 1 291 100 CENSUS TRACT Y_e _ lOti Architect or Engineer_ — Address 11080 S.N. Kina Jesse placer �wrner __ tua_ 1�stLn Phone Addre.. 15300 5iu_.._: 16th Are., _—_— B�iltfer Tualatin Develokto1nt,, CO- Add roe o.Addres BVILpING USI' �.-Ogle Res. Multi Res. lJ Comm_ Industrial[] N� . of Stories Total Height` Z� Area of IAC_ OCCUPANCY r,ROUP1 L----- Typo of Construction XtXXttXXlttxxlWX v Floor Area B Set 9acksr Front—_ i0, Back` Private Sewer Pi Sits- • Stwer�LOri City_ Septic Tank l—J > _ _ z_.. 0 Water Service Pipe Size ���" Storm Sewer © Ditch Drywell otrtat and Curb Driveway Width 2U ,_.____-------_,--___..__.—No. if Parkinq Spa:en--__-12 _,_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING. SPRCIAL INFORMATION ADDRI:ss DATE FIELD CHECK — << 00-01 PEPXi T APPROVED 9Y 1, It is understood that 811 work will conform with sppllce,ble coder- end ordinances of t')e State of Uregon and the City of Tigard, rJregon, and, tt►at the building will of Occupenc-v has lvl.4n issued-by the City of not be occupied until a Certificate Tigard euildinq Inspector. � Signature pp�cant A-1 Avoid Vernal ttessages CITY OF TIGARD ,To, ,vr �� -- _ From . . Wr f 5u13jeG � ,�,��,.�,a,,,>� �-'�� ►a rte- wo��t. it TH o I— Avoid Verbal Messages A-1 1 CITY 01 TI BARD To: 1, � From . Subject:- � Date:` _? J� /lav- �'l//�-X -tet ��� �✓ -� ���-� I 'VI and' City of Tigard INSPECTION REQUEST I for /-ov D .nTi 0L�-' I !NSPECTION TIME : PERMIT NO. : �`--..- DATE: DATE I SSUED:--L-�-- OWNERS NAMET' U' c` IADDRESS : ___ice '��►vim, , ---- -- — I CONTRACTOR :---..------ --- -- --- — ------- I TEST. Air fl, Water O , Visualy, Laboratory ❑ RESUL'T. .Aporoved ' Disapproved ❑ , Fending j] I SKETCH'. I I I I /INS -CTOR DATE COTE : Attach supplemental teat data hereto] ,n City Of Tigard INSPECTION REQUEST for INSPECTION TIME :' //,'00 PERMIT NO.: DATE: , 14 DATE ISSUED:- -L-1-OWNERS NAME : -71 '/p, (-'" -- ADDRESS: — g7f f-/C22�, - CONTRACTOR : I TEST:Air❑, Water ❑ , Visual ❑ , Laboratory ❑ RESULT: Approved , Disapproved ❑ , Pending ❑ SKETCH: kl(ldpErCTOR DATE 'E: Attach supplemental fest data he►eto� M�M� CITY OF TIGARD 134" i W, a.w sn... TIOAAD. mtaeesi IM APPLICATION FOR BUILDING: PERNIT Naw construrtion Desiolish ❑ Addition 113 Resu�delMoya Ll ION I"G,�.� _— DATE I8I1112D 54543 HUILDII*; PERMIT DATE R4'Cxum ftY 7i 103 BUILDING Tlit f �• - No•'3 , 1.Cb F8 PLAN CHIECKOTWZP BY VALUATION S TOTAL ! 1i7_BS RECEIPT No. TWi SRTS of PLAms AND PL(n PIANS MUST Bt PURNISHt'.D WITH APPLICATION LOT 1 e1Wc�uer< _— KAP 1 _n1- ---•— CENSUS TPACT Y-1� JON /mum � Architect (or Erwgineer_. A0,141r s t l %ddress11'pmA Win Ownet Add ress__...__ Mdress __ _ Phone_ BUILDING JSE Singl,a Res. IJ Multi Res. ❑ Comm. ❑ Industrials OCCllP)wY GROUP�T_- No. of Stories—_&L 'Total Heightlp ~ Area of Loot _ Type of Construction V floor Area B. Sept !wicks: front P.Side Private Sower Pipe Site.._.- -_.-_....____ Sewer_ _ Septic Tank water Service Pipe Site — Store Sewer ❑ Ditch ❑ DrrmII E] Str.,oat and Curb Requiresientswdstis�� —_ Driveway Kidth_____2.D _No. of Parkinq Spaces_---.12 SEPAPATt: PERMITS RRQUIRXD POR SENEP AND PLUMM SPECIAL INFORMATION I f I f.LD CHGCR PERMIT APPROVED BY ����_._ It fm underittood that all work will conform with applicable codes and ordinat►cea of the Stats! of Oregon and the City of Tigard, Oregon, and that the building will not be occupi-i until a Certificate of Ocrupancy has been issued by the City Of Tiqard building Inspector. -` �g x ute pewe% n �... lamp-� PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. _ y�y Penr�it fee ets Toil ,ets '�,�'C Permit Issued Water Clos- _ - ---•�---_..---- — Approved by - - Bath Tubs _ _ I Lavat.ory WashBash__ Building; Per t hoover _ , Receipt No. ` Its- _+ _Sinnks, shwashing�__ Sinks, Kitchen -__-- _ Sinks OrdinaEy_-__-- _,c' Locati of Buijdi _Sinks, ar Sinks. Sl�ogp Aut um9tic�isFiwasher__ Laundry_TraYs_-�_— __ Name & Address of �,w_av�--- Drains Floor L..e n _ - -LL"� _ ------•- Dns, Area_-_---- — —_ � ldL.t1- 77i-,a -- - _ _Drai ns, Ref i i g.__era for ' _.� Rain Drains - -Automatic Washer Name& Address of Vjn'ner � ountaii-is. -nrinnki.= -Founta.i.Zss Soda _ -Hat Water Tank-�_ e' OL i Water Service Siz Ura.nals e Building �02_d or ew Alter, Repair or Ca tch-Basins -�_ (ar���_ LawnSprinkler stem _ Sw�mminp� Pool_. ---- _---•-•- Ot�ier ----- ------ --. �._-- _Sn_rinlcler jystem------- -_____ �_--�- --- -------- -----_-. This permit becomes null and void if work or construction ;authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 170 days at any time after work is c3mmenc•?do All plumbing fi-ms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the sam( to be true and correct. All provisions of laws and ordinances governing this tyI of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. �I Signature of Applicant PLUMBING PERMIT APPLICATION Jur:-sdict -on of NO. Type of Fi•.' 'j-o - Fee Perrria t. No. Per-mit, fee _ ? l + _ t . ,, a'r' Permit, Issu7 Batii _ _ Approved by L.3� .�tt i-,v wa tful-;� ; -- '`� Building PermiT � Sil'),yer Receipt No. 0,c.L')--- 0 1 ne. .._ n_�'.rY_� _ Location of Bul Idi.ng --%�'`�'�,•�-� �*�--- Name A, Add., 1 Ova' Name X Addre--.'r r 1 Build ��'n+-Tits':.'•�i-.___.rte.. _...... ......»._.-_ ____ .. �t��'r_......_____.-_____._. _.__ ._.._._-•___ __.__._� ^}j].r, ir• 1 � I ' :r�.i vi, ' .7 if wc,,rk �r .,.r:rr�c»�- . : ',,r ;. �. � •�' i � .:� nstruc. ta- r w . � j. �,,. rr ;� :• -�h3r:ri:�ned arty t. ,me i f t bf, ilcensed by the Ci t.y o .; , :! .uiri past a $1,000 bon her(,o• -.r'T *.'. I navp r-ad arid Pxgmjiled t.l,r : ,I r,: :.,:at nn .inc_' knew the s +o be ' r P, ir.f] i V I provisions r 1r; •.,:j •; vE•rrninj,; th.Ls t -,f work ,; : 11 bf-, , a wr th ah-ther :p,:.11'lPc: t,­ro>_n r r_,: ' ,', granting of err^z t r', n;it. i t, g-Lvrr ,uthor.l t•; tc, v r ,1 . prct•i.31 _ns tr1V "�Pr' .'� ; ''.� rl 1.:riV rPf?U12flt,p�, :r•C?: r '.l'.it..1 r r thf, �.f r-fc mance ?f t r f Sz.gnatuz,e� f A,j1 4-, ,1 ri _...__ CITY OF TIGARD 17420 S W. Main S/.*M TIGAMD, ORLGON 97223 APr4ICATION rOR BUII.DINC PERMIT i Now Constructionoemo[iah ❑ Addition ❑ Remodel ElMove L� LO7NING, P ID DATE ISSUED_ BUILDING PERMIT ' BUILDING PEE $44• 77 No.UATF; RIiCEI`/ED _ � � 4 -;IV BY �^ PLAN CHECK S VALUATION S ? t TOTAL i RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION � LOT 1_ _ MAP 1 CENSUS TRACT �. \ - ��C� JOB Architect or Engineer.,-,I_,, '1 Jt.s Address \.+�-.�c, _ ,tea �1]w... P+�►.se.. C.,a�O.>,c�a._Phone�.:-�.�-w��S� w nor Addrwss—. _-- -•--__ _. _ Phone____ i Address _ _ _ Phor.a { BUILDING USE ❑ Single Res. �yMulti Res. ❑ Comm. ❑ Industrialo OCCUPANCY GROUPt0* "'No. of Stories^ Total Height a of Lot._ Type of Construction I It III IV& Floor Area B 1?weTb'ZX 2— Set Itacks: rr,,..c_ Back- -, L. e— -� R.Side` Private Sewer Pipe Sire-� _ Sewer_ Septic Tank t water Service Pipe '!ir.e��ySt.orm Sower ® Ditch ❑ Drywall El Street and Curb Rhyuirementa_�Si _ t' iP4,0 �- - __ Driveway Width_ _ ._ __ _ _No. of Park In; Spaces._____.__.__... SEPARATE. PERMITS REQUIRED FOR SEWER AND PLU411INC SPECIAL INFORMATION AUDPESS ASSJ,it1F.D f I ELI) CHECI� BY DATE PERMIT APPROVED It is understood that all work will conform with applicable Lodes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that: the building will not be occupied until a Certificate• of t;ccupAncy has been issued by the City of Tigard Building Inspector. gnature cr� ..ppliesnt