11735 SW SUMMER CREST DRIVE 'A
11735 SW SUMMER CREST DRIVE
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BUILDING PERMIT APPLICATION SOF TIGARD MATE _--`i�� ` �_ 19
,tifi�^t��.�'+_�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT -OR THE WOHK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO. �-
OWNER yQ JOB ADDRESSDy ' a� HOME ADD'<ESS
ARCHITECT
ENGINEER
BUILDER _ 01dga, ADORCSS 1 116n'j t 1:1 ',rilnut _ DESIGNER
STRUCTURE ONEW D REM_nD_EL DADDITION C3 REPAIR ❑RENEWAL ❑FIRE DAMAGE �DDEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL UGOV'T URELIGIOUSDPATIO ❑CAR PORT ❑GARAGE D STORAGE DSLAB OFENCE
E1BOND ❑MOVING ❑L:OND'.TIONAL USE ❑DESIGN REVIEW DCCUNCIL APPROVED []SIGNS
OC PANCY ` ' LAND USE ZONE T�—•� BLDG.TYPE FIRE ZQ"'E °LAN CHECK BY E I HEAT--
j,sdtrtj.;t additil~1► 10 0Xi9L; lc R fl�jl t family duelling - 291 6" X 20' 21' -
1h Lh c+oncrstw prAiu. 1 Idedruom •- i Usth
- umbil►g parlitif. i,trquirscl. -
000 l<4AQ---- -F1,Q4_Ei LQAP ALI_— HEIGHT i� _._NQ_IQfI_I LS I AREA 3 N9 BEDROQMS VALULQ.00 allf
BUILDING 6EPARTMENT SET BACKS FRONT _ +' REAR LEFT S10E - __ RIGHT SIDE
Permit *L+4.00 —-
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOING CODE. ZONING
Plan Check 32.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE`, AND IT IS HEREBY AGREED THAT THE
— WORK WILL.BE DONE. IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 96 01`j ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
ReSTRICTIVE COVI NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICI9NSE. SEPARATc PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total " f.;. :.
BY P1 APPLICANT OR AC,FNT
Approved Rereipi No
DATE :NSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
--
}, Permit No.
Rough-in f.
—
/? f � rf. _ fixture
Final
�--
L � HEATING
41 2
Contractor
.'ermit No.
Gas or Oil
--- Rough-in
Final
SEWER
I
Final
DRIVEWAY
Final
Storm Drainage
(Rain L. In)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
r,ERTIFICATE OCCUPANCY
II Landscanl^.g
II
Zoning Final
_. �..-M!^•+...i....,.r.E►wWMMimewMl.M.w»r,,...,...�..n.p.,;,;..ec,.,. _ .. .. �t
CITY OF Sept, 17 /N2 0062
BUILDING PERMIT APPLICATION TIGA,RD IIA TE - . i9--- -
THE UNDERSIGNED r1EREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN 1,ND APPROVED IN i HE. ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE �"'837�i
+
OWNER clarnnce f3our ADDRESS 11735 Sell. SulTmor.crest BUILDERPHONE 639-7123
ENGINEER
IJU1LDER _''• H• Lawyer l.lartOL` ARCHITECT _bUildsr DESIGNER
STRUCTURE ❑NEW ❑REMOCCL ®ADDITION _ El REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
Q RESIDENCE CICOMM ❑EDUCATIONAL ❑GOV'T ❑FIE LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE EISLAC ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑r:,LGiGN P':VIEW ❑COUNCIL APPROVED ❑fIGNS
OCCUPANCY LAND USE ZONE_ {"'—iBLOC.TYPE —FIRE ZONE—' PLAN CHF^K BY It i '{ _ HEAT
7 x 24 uuod Prems edditiun ( or,& stogy) on and or building
OCC. LOAD FLOOR LOAD HEIGPiT NO.STORIES 1 AREA 154 VAL.Ur
BUILDING DEPARTMENT SET BACKS FRONT 22 REAP 2 LEFT SIDE 10 RIGHT SIDE_ J
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check .. '"W REGULATIONS AND ALL APr1_ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AG5IEED THAT THE
WOP.K WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SP ECIFICAT!ONS AND IN COPAPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTf;A---,jiiZ TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND ;4EATING.
Total
By APPLICANT OR AGEN I
Approved Receipt No
ADDRESS
DATE INSP. TYPE INSPECTIO v REMARKS PLUMBING DATE
Contractor
46 Permit No.
--tom— Rough-in
y_� �'Z �,� 4,/ Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in --__
Final
SEWER
Final
DRIVEWAY
Final r _
Storm Drainage
_-- — --� (Rain Drain) Final
Sidewalk
Curb&Street Final
A roach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
Address i ./�J jG� %nL�', .� ,�'L Permit No._ /��'�
Permit charge,)-OX_,
O•,aneY.. (� - Connection fee-,2-q_j
Paid by -
Type cf Building _ Date conn-cted
Service Rate Inspection fee. 6'`�
Contractor i i (� s, � Paid byjs_ � �Date
� Assessment Paid
Size of connection --
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT V 1114 FATE
,r
P11011T IS GIVEN TO �_ T�"�'��.��. X1.4•:: �v
OF ., s
TO CONNECT A _---
TO THE SYSTEM OF TIGARD SANI=RY ISTRICT
AT —
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NFC":ION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID ..............I'CARII SANITARY DISTRICT
`7 - -
Z
By
CONNECTION INSPEC'CFD AND APPROVED
Dole Snperinten ent