12335 SW SUMMER STREET A u
12335 SW SUMMER STREET
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Clef' OFTIGARD CIT 4,AID
YOFTW
7� PPIM. PMT - NO - (391.5PA
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE !S�*Lff.:'D : 1. Ell?
13125SW H.,1lBlvd.F",.j Box 23397,Tigard,Oregon 97223,(503)639 175
J00 A01111111E.-SS : :11.233,15 SSW !'.jkJMME:-'R ST
TAX MAF,/1-01 SUB: T: BK :
I-AND USE :
1-0,11 SIZE-*. : '1:11'1=:M NO: NO :
WORK ('."I A':icn : Al 'Y'I::.PA 11:ON F:'tJWNA(: E: 0 00K AIR HANDIL.14 0-0
U'SE 'T*YPr-:: S1W."PLA.:' F"AM11-Y F'kJPNACIk-'-: 1-001!+ A:EQ HANDLA 10K
('.'0N!'.i*1* . TYPE - VN 1:..VAI::, . C.A)LEP
0('X:I1 IP ,G11P . HKATESI VEK'N'T FAN
VENT VF.:-'N*I' . SYSTF.M
1111 "/(.,OMF, (314P 1 11('111(:111)
E41 Ph:X)MI'-) '3 11.$Hr) 1NL1N1':J4ATOr4(DOM
NO . ST(MIXELS
Dwl-*.'L.L .UNI FAl.A:1/('1OMP 15-301AP (("(:)M
F*UF'I 'T'YP'E:: HI I"4/(:',(:)MP 30--50HI:-" RE-TIA1141 LINITS
MAX . INPUT 31...P/rOMP 50+HP OTHER
(3AS PIPING (RITI E.-Y S
11.41,01-4
LIU I;
141-':MAPW5
d 41)41 d 1.1
0 p at'l1r,t 0 r Ill 1:1111 Ilt11vit.111'eel-I 1:)0IMIT $1.0 . 00
Wiiiw ii;mmintei, fl;t 1.4 AN PIEVU-:14 jiel. 0 0
M t: 1116. 00
E car 97PP13 FIXTUPE'.3
R 15TAT11". TAX 111 .00
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N F'OUP S 91 HEKAFI.W.4 AIR ( OND ,
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A 1:* 1-t I lit 11 C1 97266
C
T TOTAI 4120 .801
0 PEX.v'15UPATION NO .
R
PE: TJ NO. 10 j-8-5-
this permit is issued Subject to the regulations Lontained in Title 14
of the TMG. State o!Oregon Specially Codes,zoning regulations
and all other applicable ;odes and ordinances, and it is hereby F*1:NAL.
agreed that the work'A'I'l L e done in accordance with the plans and
specifications and io compliance with all app ilcall codes and
ordinances The i!-,s.ianre of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
buss less tax permits This permit will expire and become null --id
V-)idt wo iis not started within 180 days.or If work is suspended or
a " l has
abandon
for a period of 180 days anv tine after work h
cc- d It hall be the responsibility of the permittee 10 assure
all I rgf—cn inspections are requested and Pppro%ad
Per itt" Sign tire
per
e
q— ,
(':A11. FOP INtWEC"T TON '17'
Iss wd By
SEPARATE PERMITS REQUIRED FOR 'NORK OTHER THAN DESCRIBED ABOVE
SE��zIR PE�'NI-IT Receipt #7468
INI ` NT? 29923
.) 4
Unif ied Sewerage Mency
of Washington Count) CITY OF Tigard DATE 1/2/81
OWNER: Mike Patterson PHONE :— 620-5296
OWNER 'S ADDRESS: 12335 SW Summer Street
TYPE: OF INSTALLATION:
House
�X, k cCwFR C� LINE TAP AND SIDE SEWER ❑ LINE TAP
TYPE OF OCCUPANCYr
[:1 NEW E] EXISTING 0 SINGLE FAMILY COMMERCIAL
EXIST. (PRIOR TO 7-- 1~7o ) ❑ Ml,_T. RES. INDUSTRIAL
FIXTURE UNITS.__ OWELL_ ING UNITS 1
ADDRESS OF STRUCTURE , 12335 SW Summer Street
Permit Condition;: the auplicant agross to comply with all rules and regulations of the Unified Sewerage Agency.
When calling for Inspection, please refer to the Permit Number. The Application expires in one hundred twenty (120)
days. Tha amount paid will bo forfeit.--d should expiration occur.
The Agency does not guarantee the accuracy of the location of side sewer latera,s. If the sewer is not located at
the measurement riven, the installer shall prospect three feet in all directions from the distar re and depth given.
If not so located, rn_ r italli,r shall purchase a 'Tap and Side Sewer' Permit at it-or, current charge and the Agency
will install a lateral at the location specified by the installer.
FEES:
PEf MIT FEE a 25. 05
CONNECTION CHARGE 00. 00
LINE TAP IN`iTALLATION Penny Liebertz
OTHER ISSUED BY
TOTAL
" ! A75 flF THE APPLICANT _ 1 2 81
DATE-
ALOVE DATE, Si .R ;ERti�iCE
' %HAAGE WILL 6EC1`I FOR THIS SEWER PERMITPERMIT.
N'° 23223
ADDRESS OF STRUCTURE __ 1235 SW �ynmer Street
TAX MAP 151 34CB 'TAX LOT 1100
.SYSTEM Fanno Creek
LOT —,----BLOCK _..�_ _ OF
etw _ 1/2/81 pl
APPROVED BY DATE ISSUFD BY ^^ DATF
D . U . ' S _ 1 _ REbARKS 9 Existing septic.• tangy to be pumped and ,i�lled
"` per State Requirernent.
rl fitSEWER PERMIT 91
Unified Sewerage Agency
or Washingto..County CITY OF ` '__ DATE —
i
OWNER 'S A D D P I SS :
TYPE OF INSTALLATION :
L� BUILDING SEWEP A BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY :
❑ NEW MSINGLE FAMILY ❑ COMMERCIAL
Af, IST. (PRIOR TO 7- 1-70 ) F1 "'ULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS I
ADDRESS O F STRUCTURE
PERMIT CONDITIONS: THE APPLICANT AGREES TO CUMPLY WITH ALL. RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THF AMOUNT PAID WILL BE FORFEITED SHOIILD
EXPIRATION OCCUR .
FEES:
PERMIT FEE $_- c>
CONNECTION CHARGE
SIDE EWER INSTALLATION
S
ISSUED BY
OTHER
0
TOTAL —
APPLICANT DATE
SEINER PER.M.'r N?
ADDRESS OF STRUCTURE _�Z S 3� � C{/ �J LGyy�,,.�� 62
TAX MAP I S 1� y Q TAX LOT QSYSTEM
LOT _BLOCK OF
APPROVED BY DATE ISSUED BY
D . U. ' S REMARKS
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City Of Tigard
13125 S.W. Hall Blvd. MECHANICAL PERMIT Peimit #
P.O. Box 23397
TigarTigard OR 97223 _
d, TTab$@ubb 3 1A Mechanical Code UlY PItICE AMT
639-41175
1) Permit Fee -0 -0- 10.00
Name of Ogre Vnwd 2) Supplemental Permit 3.00
—Furnace to 100,000 BTU 6.00
Job �fe" , n 1) incl.ducts&vents
Address ' ' ' -
Tax Lot mop NO. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Lot 6106 S4k4lMsion Floor Furnace
IJ Name(u name of bvskw") 3) 6.00
incl.vent
LUMVPA"as Plum- 4) Suspended heater,wall heater 600
Owner
or ttoor mpunled heater
j��>`,r � / �, J - r" '� trent not incl.in
3.00
appliance permit
6) Repair of healing.(efrig., 6.00
cooling,absorption unit
ress pts 7) Boiler or comp io 3 HP600
I -
absorp.unit to 'x00,000 BT-U � .
Occupancy//c.,,1e 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTt1
_---- Nanta — y) Boiler or comp 15-30 HP 1:1.00
absorp.unit"/2-1 million _.0
�ddrsa ply 10) Boiler or comp to 30-50 HP 22.50
Contractor Jdr �'nx /�J��4 7;' -� 11
Pbsorp.unit 1-1.75 million
�� ) Boiler or comp fe 50 HP,� 31.50
_ absorp.unit 1,750,000 BTU —,
2,06
Stute riogistration No. city Bus.Tor No. 12) Air handling unit to 4 r,0
10,000 CFM
Air handling unit 7.51)
1 hereW w*wnvkrdge that t have read fts*14kcawr vial tlb information phren h 13) 1 0,000CFM +
oonad.that 1 am dw owner or authorised agent of fhe owner,that plans sufxMtted are in — — --
oerti;Aanoe.with state cows.that I am tegistered wfth the ZA818 Rulidw%'BoarrJ,that the 14) Non portable 4.50
somber t"rdn is mrred.(tf eaemtx from State raglstration please give reason below) evaporate Cooler
15) Vent fan connected 300
_.._ _----- -----... --- —----- -- - to assn le duct
- -- -- — ---- on system not
16) 4'J0
included in appliance permit
17) Hood served by 450
mechanical exhaust ----
ia -- Date18) Domestictype 7.50
Des0ribe work [I addition EJ alteration ❑ repair ❑ incinerator — _
to be done residential ❑ rlon-residential ❑ 19) Commercial or industrial 30-00
Existing use of type incinerator
building tarr Berl Other i.e.,woodstove,water 4.50
P°I y -- — - --_ 20) heater,solar,clothes dryers,etc.
Proposed use of
Luilding or property _ - 21) Gas piping one to four of Duels 2.00
Type of fuel- oil (3 natural gas ❑ LPG ❑ electric
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 160 —__ 5% SURCHARGE
DAYS, OR IF CONSTRUCTION OR W'DRK 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