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12175 SW SUMMER CREST DRIVE-1 lae �r w w www w 12175 SW SUMMR CREST DRIVE o. 0 rn W cr V m W E 7 3 Er) 7 N � I INS.'TCTIO.Ii NOT1^.E city of Tigawd Buiildf_ug Depsrtaent 13125 " Ball Blvd. Tigard, Oragon 97223 Inspection Line (Re�cl-0--�Ph�ans)s 639-4175 Business Phone: 639-J'471 Poot'Lng PIN. Undssslab Mech. Rough-in ADPL 'Buwlk Rou^A. Plbg. Top 'lut Gas Line FI!,kA. Pcet/P.+am Strutt. San. Bawer Framing -Bldg. .lost/Ream Mech. Rain Drain Inwi lation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Neth. Here Peg<setedsr_t� -I L _ me (('')) Tit ._AM r—' PM t- Adarosstt l v CA AAAMdLJMrA (A4 Permit !s -l'^ ©2—(,e 7 Du i,(for t •---- T11E FoLLCMING CYiRRR TIONS ARE REQUIRED: i _ 7r Inspectors �� j ---- Cntet� _ APPROVRD DISAPPROVED APPROViTD SUBJ?CT TO ABOVE Cell For Reinsp. CITY0AT1RD Cr OnTy TWARD ER111 T W. C 11E. 90...0267 COMMUNITY DEVELOPPAEN7 DEPARTMENT ORIGON 7 1 13126 SW HWI Blvd. P.O.Box 23397,Tjard,rx@W V-123(603)639-4175 SW SUMMER CRE51' D`: PARCE'Ls 1.5134CP­02100 tiUPD1ViSlOIA,, . . . :: SIJIINr.'R Pf-Wr, "LINI.-IGg R-4. 5 BLOCK. . . . . . . .. . . a LOT. 18 ............ ...... C L ASS 0 F W 0 Q K. (I D 1) FL 0 0 R F U PH. . . . » L V P C;0 0 L F.,RS TYPV OF kJSr_"­­ . ,-. ,:;r' UNTJ IAEOTERS. VE.. FON;: 1)C CU'::,P 11 C Y GRI »R3 JENTS W/O VEMI* SYSI'EMS.- SI'ORMS. . ., . . . D 0 1 L E.:W3/Cl 011 P P E G 9 011:S HODDS. . 1. . .. . t_U E L. TY! E i_.........__..._..__._.. _ 0­3 HP. DOMES. INCI'N: ""WCID/ 3­115 INCIN: M.I.X INPIIJ*T- 1.4 TU 15-30 HP. . . . » R E:P P I R U N YT G% FY R E 1)P 11 P I..: ? 3W --!50 HP. .. ., . - W 0 0 1)S1 C)V E:F). .. » 1. (3 n F; P R I--C.i R F.'. . . 50+ HF:'. . CI_O DRYERS. . NO. OF .......... 0IR W.)IODL-ING U Iq 1:1*1l OTHF:.R F:*(-)I:;,'N < 100K 141'Ug <t-, 1 ,d00O efni: W)S OUTI F.113 FURN >tn1.00I< 14T'(J-. 10000 c.Jni- Rc--�ni,ArPsn wc)c)dstc)ve OWiler ', ..........- FF:ES I-_4JPr:.R't HPLI 1.4 E R G t Y I..)e 4101C7LI11t by (I a t 1E.? r e e p I.; GW MMIMER (:,RE.'-)I PR P()YM $ V5. 23 JLH 11/20/90 P R III T $ 14. 59) 41CIARD CIR 9,122.3 15 17,r I* $ 0. 73 U)W NVA4:/C L)N'T R 0 C'T 0 15. 23 TOI'OL. I q ft. 0 W N F.'.R RF QIJ T R F.D .1.14 S V,E:CI 10 N S ........................ This permit s issued subiect to the rplulations catit.inev in the r: i 1. 11-115 F)ec-.'t i all Tigard Mun1_qal Code. State of OrF. Spicialty Codes and all other ......................... ............ applicable laws. All work will be done in accordance with ........ approved plans. This permit will expirF, if work s not started Whir 188 days of issuance, or if work is suspended for more than 188 dans. .......... ............ .................. 7 V, 111i.1,t e f, ,31 q r1A t,U Te kox .......................... ....... ............ ...­.­................. Cali fo-r 6 t9--41 'Y5 i Ty -0 'TIC --CCIPT OF' PAYMENT RECEIPT NO. :90—206958 F' 3ARV CHECK AMOUNT 1 51 NAME s H(,,..LBL—RG. ROPEFPt CASH AMOUNT s 1") ADDRESS s PAYMENT DATE s 11 /2" GiJBDIVISION '1175 SUMMER CREST PURPOS-l'. OF PAYMEN'T AMOUNT llfil() rLIRPO13E OF' PAYMENT AMOUNT PAID ML'CHANICELL FE MEC 9(l--0- t'.:,7 1 ., F.5t) ST. BUILD F`ER 0. WOODS10YE PE M11-r IFIVAL A',;0UNT PATV V3. 2:� �rGReceipts CITY OF '��CARD MECHANICAL PERMIT Permit#t 13125 SW HALL BLVD.P. O. BOX 23397 rrkscripuon - T I CARD, OR "17223 I Table 3A Mechanical Code 7TY PRIGS AMT (503)639-4175 1) Permit Fee -0- -0- 10.00 Name aDevelpment 2) Supplemental Permit 3.00 Furnace to 100,000 BTU 600 Adds J Address t) incl.ducts&vents lax l.d Map No. +� 2) Furnace 100,000 BTU + 7.50 incl.ducts ii vents 1 M Btrx* SUbdhtbion - ---- Name(«name dwsi tness) 3) Fi9or Furnace 6.00 incl.vent _ Mailing Address-��-- Ph" -- 4) Suspended heats:,,,wall heater 600 Ower or floor mountec_ieater _ _ City/Stale - Zp 5) Vent not incl.in 3 .00 appliance permit _- _ _ Name to name of business) r 6) Repair of heating,ref rig., li 00 cooling,absorption unit_ _ Mailinq Address pjgrk, 7) Boiler or comp to 3 HP 600 Occa.rpant absorp.unit to 100,000 BTU i- ciiy/State Zip 8) Boiler or coop to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU _ Boiler or comp I:i-30 HP Na 9) ---- ---- 15.00 l / 4 absorp.unit 1/2-1 million ai rg Add 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million Contractor City/State LP 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,750,000 BTU State Registration No.! City Bus.Tex No. 12) Air handling unit to 4.50 10,000 CFM _ 13) Air handling unit 750 I hereby ar.�nowleclge that I have read this applicati�.n Thal theinlnrmation given is 1U,UOOCFM + correct,that I am the owner or aim.,,ed agent ,the owner,that plans submitted are in - - rAxnpliance with State laws,that I am registered with the State BuildersBoatd,that the t 4) Non portable 4.50 number given is correct (If exempt from lo m State rrgistration please give reason below) evaporate cooler_— _v 15) Vent fan connected 300 — -- , to a single duct -- --- - 18) Ventilation system not 4.50 ircluded in appliance permit _ Hood served by 4.50 ��� 17) mechanical exhaust s a ( r or avant) Date18) Domestic type7.50 Describe work f 1 addition f7 alt tion El repair ❑ incinerator - _ to be done _ residential p non residential ❑- — 19) Commercial or industrial 30.00 type incinerator Existing use of building or properly` _-___ 20) Other i.e. woodst we ater 450 heater,solar,clothes dryers,etc. Proposed use of - building or property21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas O LPG ❑ electric O _ 22) More than 4-per outlet NOTICE - SUB-TOTAL 'THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 S%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL Special Conditions — _J_�_ Date issued by INSPECTION NOTICE City of Tigard Buii,fing Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection _ Dete Requested_ /to 'r' – Time A.M. Address ..� 'L ,� :[!i .z^�L-/A-1 l L�.t' _ t #. — Owner �,_� — ___. Lot #__ ,Builder — IThe following Building Code deficiencies we requirr-I to be corrected: i 'Presented to -_-- -- - --. �I Approved Inspector �_ lJ ` Disapproved Date CALL FOR REINSPNCTION F-1YESNO w a■r s r! sar nle w =AM INSPEGTICN NOTICE uty of T igare,,Building Department 12420 S.W.Main St. Tigard,Oregon 37223 Phone: 633.4171 AU N OG4.�' _ Type of Inspection- � Date Requested ^'��,•._-50 _—= Thne�__—A.M. P.M. Address Z;21 ;1� S/t� O',• ""r � —+�—=-- Permit Lot # _. Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Dlsepproved Date __j CALL FOR REINSPECTION ' C� YES [h NO 4A' BUILDING PERMIT APPLICA-fICN TI(--iAR:) DATFj4#_lJ_ 10___.,e Q •t THE LINDERSICNF_D HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN INOICATED BUILDER PHONE(PIH-A-97. OR AS SHOWN AND APPROVED IN THE,',CCOMPANYING PLANS AND SFriCIFICATIONS. OWNER.PH( NE '•j_ LOT NO.-.2I9_— -I ;j= O'NNER R6+, Rat l 6 Qa"JOB ADDRESS p 1767 — �M'T/��3AR911Iifi— 'L)I . t� --- ^ �d1! ENGINEER BUILDCR (94-in«"" ADDRESS /, Q' -- OESIGNERa — STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE Cl DEMOLITION l RESIDENCr- ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO Cl r{R PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY t _LAND USE ZONE BLDG.TYPE ✓ ^' RF ZONE_PLAN CHECK BY HEAT _ SEWER PERMIT# ReM0A OCC.LOAD FLOOR LOAD HEIGHT 12- NO.SIORIES ARF-.A 7240 NO.BEDROOMS VALIJr�' ^vflO BUILDING DEPARTMENT SET BACKS FRONT z REAR �3 LEFT SIDE ! RIGHT SIDE Permit 2 1logo'D THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON!N3 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED TPA-THE �PlaeCheck X SS WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Q WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PE OMIT DOES NOT WAIVE Sub-total S'q S �3 - RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I © y LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ;State Tax L7 1 n� y/�.. Total G - ------- --- -- ppCN APPUCAN70RAGENT By Rerelpt No. Appr( ADDRESS PHONE SDC PoC SELLER CONNECTION _$ SEWER INSPECTION $ SEWER SURCHARGE 5 l 3 +/c LI Est. ywl«6r 31,90u A- c n rrl m o fl t C; 3�, s _ _� 14 4"4 LL 6 .......... ew Act : �?z x 2Gp s 7 z a4-(,)t &-G 2t4- -<e,, z > Use @► 3�• '`' � 26.1 q&� �- 34, b ?8 IJP 3�, Ana CITY OF TWA' Ra WASHINGTON COUNTY,OREGON December 20, 1982 Mr. Robert Hallberg 12175 SW Summercrest Drive Tigard, OR 97223 RE: Building Permit $ 3983 Dwelling Addition Dear Mr. Hallberg: The referenced permit was issued January 6, 1982. Our records indicate that no inspections have been made, and therefore it is possible that your permit may have expired. Since we have been unsuccessful in contacting you by telephone, we trust you will respond to this letter. Please advise this offic:: regarding the status of your project. If the work has been competed, ilease schedule a final inspection. Thank you for your attention to this matter. Very truly yours, Donald W. Howick Building Department DWH:pjr I-j2 �. G/J�it'C'c� ✓�'GGIi Gx.ar/1 f1 tC L•9L�1.. 4(, l It_�c C _ ��e't '► .�� " G L�C�I�%C.?,/ ✓'�1 ''7-Z.!'�!-C.) �t'�?2.9 s2'i�"�..!!� e'"'S'� .redl/s�s2J C, v�J.GC)I1.:� . `/ C•^2"y�//� �t�f JQ-�Y�'Z�e67'ZC C.►t. �'.�,�!.�L'' � t"`��„/KC.I.- r' � v 12755 S.W ASH PO. BOX 2397 TIGARD, OREGON 97223 PH:639-4171 BUILDING PERMIT APPLICATION TIGARD DATE 19, 3983 THE UNDERSIGNED HEREBYAPPLIGS FOR A PERMIT FORTH E WORK HEREIN INDICA fED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND CIFI(',A NS. OWNER PHONE LOT NO. OWNER (.0-1 "Or"O JOB ADDRESS ARCH ECT E5�N GCI EER BUILDER r, 0 ArUHESS DE NER 00' STRUCTURE F] NEW F_j REMODEL. Q ADDITION LJ REPAIR 0 Vff9EWAL 0 FIRE DAMAGE 0 DEMOLITION [] 'RESIDENCE 0 COMM L EDUCATIONAL L-1 GOVT El RELIGIOUS Ej PATIO [\CARPORT 11 GARAGE 0 STORAGE U SLABF1 FENCE OCCUPANCY -'LAND USE ZONE FIRE ZONE PLAN CHECK BY HEAT ',trwt lc�ittof; to eyistinv a r, c--i rpq�iir(. r r e n r'.n t:, 1"inck OP SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT NO.ST IES I AREA NO.BEDROOMS.---VALUE BUILDING DEPARTMENT SET CKS FR NT REAR LEFTSIDE RIGHT SIDE 0.VSTIES FR N r Permit THIS PhMIT IS ISS ED SUBJECT TO THE RFGULA1 IONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND LL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WIChBE DON IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLIGAB CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total RESTRICTIVE C '*N NTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARAT ERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. State Tax SDC — Total PDC# -APPLICANT OR AGENT By Receipt No. Approved ADDRESS PHONE DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE _ contractor ------ --- Permit No. -- Rough-in rr 2– Fixture Final HEATINd [X Contractor Permit No. Gas or Oil Rough-in Final — SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final — Sidewalk Curb&Street Final Approach BLDG. DEPT.RINAL TE*1PORARY CERTIFICATE OCCUI',%NCY Final CERTIFICATE OCCUPANCY _ r Landscaping Zoning Final gk3 BUILDING PERMIT APPLICATION T I G A' DATE- /- S THE UNDERSIGNED HEREBY AFPLIES FOR A PERMIT FOR I HE WORK HEREIN INDICATED BUILDER PHONE ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE ��•� . �n .� O,NNER Ut�� yl�.F.CLCo JOB ADDRESS I..� 7.�'�C✓ )�lG 1 -4r-c� /LCL LOT,�O. ARCHITECT C c ENGINEER BUILDER ADDRESS DESIGNER STRUCTSIRE ❑ NEW Cl REMODEL ODITION Cl REPAIR ❑ RENEWAL U FIRE DAMAGE ❑ DE►�OLIi 01, 04ESIOENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE Cl STORAGE ❑ SLAEC] FENCI OCCUPANCY _�•�, LAND USE ZONE - L-.-BLOG.TYPE -51A,-_FIRE ZONE--=-PLAN CHECK BY HEAT �L SEWER PERMIT# OCC.LOAD FLOOR LOAD HEIGHT N0.STORIES ! _ AREA NO.BEDROOMS VALUOOO a BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE _ Permit S' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,Zopvu REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREE:I Ti'Al 'i H LL lin / r WORK WILL BE DONE IN ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PSRPAIT DOES NOT WAIV tSuh-total Sri. ' RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BLISIS�S �� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Stata Tax Lt'�' Total ��`, SDC-- _ _ _ ) �` _ + PDC#► APPLICANT OR AGENT By Receipt No. A pproved ADDRESS — PHONE ]OC r. . .. SDC SEWER CONNECTION $ 3 G iEWER " INSPECTION S S-►I y S � SEWER SURCHARGE 5 Tox Lo 2I�'S rT 1-� t� car-/ t� 10 d S� r, APPROVED FOR CONSTRUCTION CITY OF TICARD Z i PERMIT NC,.-59±S9 � L - AaDRf_SS BY -- DATE --S'�Z— 'lJ � Fou.►/C�� ow 4,( f a (x 12 f=o b T i,v pr, cf w r INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Mdin St. Tigard,Gregon 97223 Phone: 639-1171 Type of h spr.ction Date Requested _ Time L6 A.M.. —P.M. Address 7 Owner _ _ Lot # Builder �.__ ------------ --- The following Building Code deficiencies are required to be corrected: Presented to ___ ____ `i Approved Inspector —___ ________— Disapproved Date -- — CALL FOR REINSPECTION YE-'J ❑ NO i IF11111 1111ii - SEWER PERMIT N? Uf Unified Sewerage Agency of Washington County CIT' DATE OF _ OWNER t Q0i� �' _ PHONF : G0 -. o OWNER ' S ADDRESS t TYPE OF INSIALLATiON: s.�qC SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP TYPE'''Qf%iKCUPANC't ❑ NEW EXISTINGXSINGLE FAMILY ❑ COMMERCIAL � EXIST. (P IOR TO 7- 1-70 ) /❑ MOLT. RES. ❑ INDUSTRIAL FIXTURE UNITS --. DWELLI14G UNITS _ ADDRESS OF STRUCTURE : �Oy42.. ---- .-.— -- Permit Conditions: The applicant agrees to comply with all rules and ,egulations of the Unified Sewerage Agency, When calling for inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120) days. The amount paid will be forfeited should expiration occur. The Agercy does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not loc the measurement given, the installer shall prospect three feet in all directions from the distance epth given. If not so located, the Installer shall purchase a 'Tap and Side Sewer' Permit at the current ge and the Agency will install a lateral at the location specified by the installer, (Q �� VIA FEESt PERMIT FEE 7 $_ 3�� CONNECTION CHARGE � 23 LINE TAP INSTALLATION ISSUED BY OTHER e3 t�? I TOTAL >; '?Z e., (00 — APPLICANT �- DATE �^ SEWER PERMIT N? 23332 ADDRESS OF STRUCTURE TAX M'HTAX I CIT SYSTEM LOT BLOCK OF _ AF7MIVED BY DATE ,,QQ�� ISSUED, BY DATE D.U. ' S REMARKS * f'1 '( 0lifO{ 4lC40 nV Cdjf.