11870 SW SUMMER CREST DRIVE ■
11870 SW SUMMER CREST DRIVE
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BUILDING PERMIT APPLICATION ”OF
TIGARD DATE 7w 3�7
-�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOrIK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN ANU APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
LOT NO.-
James P1 Grentx 11D7� ::W Summmrc.;,er�t sir.
OWNER JOB ADDRESS HOME ADDRESS
- ARCHITECT
ENGINEER
13JILDER 881"" ADDRESS" DESIGNER
STRUCTURE ❑NEW ❑REMn_DEL wrl'XZADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE. []DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ) D ARAGE [-ISTORAGE[:]SLABO-ENCC
_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
H—1 P.'• 'i s 4 w
OCCUPAI:CY_______._LAND USE 2uNE BLDG.TAPE FIRE ZONE.`' PLAN CHECK:BY —_ HEA1_ __
uAraut to existing dy"111nu t�Z�►_Q�1�,121ar{!al
!32e
BUILDING DEPARTMENT SET BACKS FRONT tak REAR 11�C LEr-T SIDE �� RIGHT SIDE
Permit 36,110
-----.__--
�•��� THIS PERMIT IS ISSUED SUBJECT TO THE REGIP ATIONS CONTAINED IN G
THE BUILDING CODE, ZONIN
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND 01DINANCFS AND IT IS HEREBY AGREED THAT THE
--' WORK WILL OF DONE. IN ACCORDANCE WITH THE PL-ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal A.UU ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PEVMIT DOES NOY WAIVE
�• 44 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY LIUSINESS
State Tax LICENSE. ;rPAnATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 44
By
APPL IICAIyT OR ACF N 1
F pproved _�_ Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
C _ Contractor -
-� Permit No.
Rouqh-in
[Fixturp
nal
HEATING
ntractor
Permit No.
Gas or Oil
_ Rough-in
Final
�— SEWER
Final
DRIVEWAY
Final
Stoft Urainage
'w (Rain Drain)Final
Gidewelk
Curb&Strcet Final
App-oach
BLDG.DEPT.FINAL TLMPORARY CERTIFICATE OCCUPAN.IY Final
CERTIIJCATE OCCUPANCY
Landscaping
Zoning Final
wffwmwi
■
BUILDING PERMIT APPLICATION "y TIGARD DATE._4-28 is 7"' 1430
30
OF
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE G39 Llq��.�!t
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE-2-8.•---u.iII�---'/
LOT NO. _
OWNER Shirley Thompson JOB ADDRESS +•1070 51w 6ummercrile tHOME ADDRESS
ARCHITECT
ENGINEER
BUILDER Yutlr4y General ADDRESS I^-1 DESIGNER
❑ O
STRUCTURE
NEW ❑REMODEL r� OADDITION REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
® RESIDENCE ❑COMM ❑EDUC.ATIONAL 'JGOV'T GHeLIGIOUS[:]PATIO ❑CAR PORT OGARAGE ❑STORAGE CISLAR ❑FENCE
91BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY 1 LAND USE ZONE_._li r BLDG.TYPE FIRE[ONE - PLAN CHECK BY_-_—__ HEAT--
o n a t w
EAT— _onat. 74 x 12 K51 at.. Lill includo a 1i X 16 carport and n ,_11 —
t sol house. All nor code.
QCC.LQA9 FLO,0f►_LOAD __HEIGHT NQ,�T281�s� � AREA _ NO.BOROQpII.$____VAL-VJ "'!J001
BUILDING DEPARTMENT SETBACKS FRONT 0� REAR 504 LEFT SIDE :.50+ RIGHT SIDE 30+
Permit 2.4*00 ------- s--
-- THIS PERMIT 1% ISSUED SUBJECT TO ThE RECULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check MCI REGULATIONS ANU ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sul) total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
� --�—; RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVr CURRENT CITY BUSINESS
Aft Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWEk PLUMBING AND HEATING.
Total 3�•
BY — —
__ r _. napj.t ANT OR AGENT
Approved Receipt No. ���`)
ADUR.55
DATE INSP. TYPE INSPECTION / REMARKS PLUMBING DATE
Contractor^-----� --
Permit No.
Rough-in
Fixture
Final _
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in _
I Final _
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb a Street Final
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CER IFICATE OCCUPANCY Final
C. C
Landscaping
Zoning Final
a.
PERMIT TO CONNECT
Tigard Sa.nKaxy District
PERMIT N« 1375 DATE/-'
PERMIT IS LIVEN TO �� ate- Y. -_--
OF LLJ
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT L �• A ,�-
AT �r :s, r i• ---
THIS PERMIT MUST BE POSTED ON THE DE9CRIBFD PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
�i.0
PERMIT TFIF PAID ........ ..•...TIGARD SANITARY DISTRICT
BY3-�___ __,�._-__.__-_
rwtiMrhr101•�t.�/1r�A
CONNECTION INSPECTED AND APPROVED
Dale
d` ✓
Address II h�L ` � !�� -_��.:K,..vu; � _� Permit No.
Permit charge,
Owner �_� c. 7� S.olb 'YLZ� Connect.Lon fee 75`
Paid by .
Type of building yc .;, Date connected
Service rate Inspection fee_ '2
Contractor Paid by Date__ _
w Size of connection L- Assessment—__r_._r__—Paid—,
y CITY OF - N 0
0-
7 T-GARD GATE 19
T�E 'IJINOERS'GNEO HERESY APPLIES -0R APERM!T FOR THE WORK HEREIN INDICATED
nR AS SHOWN AND ApOP.QVEO `N 7HE ACCOMPANYING !PANS AND SPECIFICATIONS. OWNER PHO`#E
ryly.�cn � _,!5c ADDRESS �o�} -.5 S.C. 6Wt94R PHONE i �-• ��
ENGINEER
_m • ricp ':61 +� Y ARCH!TcCT �-DESIGNER
STq .r-T .pc r'yE _-1 ^_ 4EiytQDE' ADDITION ❑REPAIR LRENEWAL OFIRE DAMAGE CDEMOLITION
.� -'--'PATIO" t1 / r STORAGE C3 SLAB FENCE
R--ESSI/IO_E%ICE ^COIb:VI _EDL'CAr!O%;,L _GOV'T f,RELIGIOUSSCAR PORT -ARAGE
+�901�^_ `.rOVING CONDITIONAL USE ^DESIGN REVIEW L ;IL APPROVED nSIGNS
2
0CM20ANCY !ANO!'SF ZO1c 9LOG.TYRE FIRE ZONE-3- P!AN CHECK BY HEAT
L /to
r
n_Cr_. '_0A7 FLOOR LOAD HEIGHT '40 STOR ES AREA VALUE
? ^L7'vG]EPART•l '•:T
SET c SACKS FRONT t REAR �d LEFT SIDE 30 '06- RIGHT SIDE 30 f
�.l�
aerm�t
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Ian Check l�' REGULATIONS AND AI.! APPLICABLE CODES AND ORDINANICES, AND IT IS HEREBY AGREED THA'i THE
E WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Record,ng ALL APPLICABLE CODES AND ORDINANCES. THE !SSLIANCE OF THIS PERMIT DOES NOT WAIVE
r------ RESTRICTIVE COVENANTS. C0011TRACTOR AI3 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State U L LICENSE.SEPARATE PERMITS REQUIRED cOk .ER, PLUMBING AND HEATING.
Tota'
nY --
APPL:CA'd ..:v AG' 4
Aonroved Rece+ot No.
_ ADDRESS PHONE
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