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11960 SW SUMMER CREST DRIVE �► a! iLim a RJIKLM 11960 SW SUMMER CREST DRIVE 1 N v U U L+ G! C!] 3 N D Fvr inv;�ectiuns call Gay-41, BUILDING PERMIT APPLICATION TIGARD DATEI-1"V � JE_S� ,9 t 5585 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 357-3661 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIOr+S. OWNER PHON LOT NO. 74 OWNER William kiardt JOB ADDRES_S 11960 SW Sumercrest --T5—Uz '- ^i Grove 9/116 ARCHITECT BUILDER Starcraff°t Canst. -`V Y.U. Fox 702 Forus�GINEER ADDRESS _SIGNER STRUCTURE L1 NEW ❑ REMODEL -� ADDITION ❑ REPAIR_ C1 RENFWAL ❑ F;RE DAMAGE_ Cl DEMOLITION CA RESIDENCE l_1 COMM f-]_EDUCATIONAL O GOVT ❑ RELIGIOUS D PATIO-❑ CARPORT 17 GARAGE ❑ STORAGE ❑ SLAB❑_FENCE OCCUPANCY _ LAND USE ZONE- _BLDG.TYPE SN _ FIRE ZONE --PLAN CHECK BY $°�• _HEAT--_ Construct addition to mingles family ra;,idence - SEWER PERMIT M - 4J l0 l 2813 ad 1 — OCC.LOAD FLOOR LOAD HEWNT NO.GTORIES AREA IVO.BEDROOMS VALUE 8 I►(yt} BUILDINGDEPARTML7�T SETBACKS FRONT Z3 NEAR �5 LEFT SIDE U�F'�� RIGHTSIDE 6'1, Permit (7G.5u � THIPERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING T44,53 — RF6L.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE Plan Checl; _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 114.03 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO RAVE CURRENT CITY BUSINESS State Tax LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. - SUC- _ y Total 115. 1- - PDCN By APPLICA OR AGENT Approved Receipt No. / `� _ ---� -„ ---- PP �— -- ADDRF.39 — _ PHONE --__. DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. C57 Rough-in Ilk I . q- Fixtur lei HEATING Contractor IN Permit No. Onit or Oil ..ugh-in SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Fin-' Sidewalk Curb&Street Final --* — — R' � Aopwach BLDG.DXPT.41NA TEMPORARY �CERTIF'ICATE05CTANcyrERTJCATEOCCUPAN Landweping 7o,.Ing Final IRK= INSPECTION NOTICE A City of Tigs•d Building Departml/r t� 12420 S.W. Klein St. ✓ Tigard,Oregon 97225 Phone: 639-4171t Type of Inspection — 77 / Q Date Requested_ 3 J� r+ � Time A.M. P.M. Address �ffyjj��,,����� Owner�/ '�1�L�.. 1. —__--.-_-- Lot # Builder The following Building Crde r+eficiencies are required to be corrected: _ 0 -- Presented to _----- -_ 11+-xpprnved Inspector —0(7� — L! Disapproved Date — CALL FOR REINSPECTION L YES Cl NO INSPECTION NOTICE i City of'Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 1 Type of Inspection Date Requestad �__ Time A.M._ —P.M. 17 Address Permits_ _ Owner-,/�11141. Lot #�_ Builder The following Building Code deficiencies are required to he corrected: t Presented to ------ - --- ❑ Approved hispector - -_ -_-- .- ----- ❑ Disapproved Date - -- --- CALL FOR REINSPECTION j YES 0 NO INSPECTION NOTICE City of Tigard Building Department 12420 S.W.Main St. Tigard.Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested �e� ` Time •'3 0 A.M. P.M. Address Owner- _-_- __ Lot # BuilderThe following Building Code deficiencies are required to be corrected:mo AZ Presented to Dr}"Approved Inspector Disapproved Date CALL FOR REINSPECTION ❑ YES k2 NO CuAde IYN9. Furnaces, 90 III Fuel Suppleswrnteu��Ceni oh 6, 1979 "I IV Y n;.. MN10911. Jnlmson Energy eystame, Inc., M1lwa ukoe, WI 55223 Models J1ln0 and J2200 with blower assembly No. Ee021, to be fns! tion with up-flow typo gee- or oil-fired central furnaces. be Installed I" conncos, 18 in. from Bides, rear and chimneyailed i� uon)unc- 1B in. Lr om sides to gas- of uil-tred ntector to ndjecsnf. comhuatable roue t.ructiour 9u1 table for use as solid fuel urnece. Floor - combustible. the apedEled Aid in el type room heaters when installed !n Owner's Manual• accordance with 7350 North 76th St. LOO Ths Clas,lfication Ma[king Kof FOR rLabur1tlurinsl IInnr.. in the only met;l,od provldod by Underwriters Iaboratories Inc, to identity products designation. and Follow-Up pervice• 8uo Ceneral Information Card of above guide dselgnfi.lon. Ptoduocd under. Its This card 1s lacuad ,,y llnderwrifers Lshorstoriss Inc,* PERMT, T TO CONNECT Tigard Sanitary District PERMIT N�) 11 ( 1 DATE 1PIRMIT I5 GIVEN TOor f i TO CONNECT A �� ----.__-----TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT ! r' _ _ C. ----- THIS PERMIT MUST dBE POSTED ON THE DESCRIBED PREMISES UNTIL CON- NECT.q)N IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE PAID V •.•.•TIGARD SANITARY DISTRICT its• CONNECTION INSPECTED AND APFUOVIA) iiperintendent Address 1146, Permit No. Permit charge •-�� , Owner _ Connection fee -Paid by a x,,.c - �z,.o•C/�.t fin 'type of Building Date connected —_ Service Rate— _ _ Inspection feeZ4:p9r�-, �_ Contractor `/ r'�,.►yl, r I�..,ti ti Paid by Size of connection 7 � Assessment Paid flu i I d i ng Perm i t fla. ;Y 5 Date _ ------ - — i--- — Certification of Registration With the Builders (bard doing business as (dba) , (^ G� am registered under the provisions of ORS Char:cer 701 Oregon Homebuilders Law) . My Builders Board Registration dumber is Fly registration is in full force and effect and expires on mature TNL UNOFRSIGNED HEREBY APPLIES 1011 APEIiN111 PUH TIIL vvo iiri IILIILIN INUILAIL0 BUILULurr:Ic�wc GR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANO SPECIFICATIONS. 0v/NE,ovofigj 9©7 2- LOT 7i y _xvr+Ew i� ,h! �..�. xle ADDRESS �_� ; GfM,41ER '" S_=5T A - '— ARCHITECT ENGINEER !-4-1 oZ.•t TNRC/<RF' c"C�' , "'r'KUbRES; C"frr/r ?C2 �/ .•.Ll(• tc�� 01-_15•�y�a STRUCTURE NEW ORtkinpEL, C)ADDITION ORc'PnIR ❑RENS-GAL OFIRE DAMAGE OOE:•IOLIT r f1ESILE ICE OCOMM OEOUCATIONAL QGOV'T ORELIGIQUS UPATIO UCAR PORT ❑GARAGE O STORAGE OSLAB O: CI gCCUPar;-LY LAND USE ZONE ,_OLOG.TYPE._. _ __� PLAN CHECK BY"� /; HEAT-- I;.,;- EAT ----_.._._ �_�. T•-.�:�IS�i;�P1�.�L:Y �j�xr.� rrt�-�n�rr�cHF�L�:- _.__ L=-'l c-,71: c� t• iar-r,I Tl Dr,L _T ' C x1�a.LLISfS.�- -�r.It_ c G. -,A\,ir- -miBA.'fHR%QQH BERRMH SEWER_ PERMIT lc ^.LC-L..714 — FLoQ_R .SLR- `/d HELG.W_I-L� NQ_5TORyyl�,S..-1_ AREA L� �NQ,9EDROQkIS VALUE 5!11LOING OfPARTMENT SFT SACKS FRONT REAR `� LEFT SIDE�"• RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOt, I Y:�n Check c/ f 3 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT (—'---- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCC Y Sx)-tz)ul ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NO'i W RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CO'STRA.CTORS TO HAVE CURRENT CITY St-M p -ell LICENSE. SEPARATE PERAIITS REQUIRED FC3 SEWER• PLUMBING AND HEATING. SDG Total I -• _ r — ZZ 9 Z PDC# - I �-- APPLICANT OR AGENT Receipt No. nnRFSS SDC l 5 LU CQI SDC - SEWER CONNECTION $ SEWER INSPEC7'I0N S J SEWERSURCHARGE $ Comments : • LICENSFD - CONDED - INeURtD STARCRAM' CONSTRUCTION Home Repair Speria,ligLq PAUL L. HALL_ER ..«._- 357-3661 IN PORTLAND CALL P.O. Box 702 286-8, 40 FOR ro REST GROVE, OR 97110 EINTINIATES&M.,SRAoes