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12560 SW SUMMER CREST DRIVE-1 d r'y l fes. 12560 SW SUMMERCREST DRIVE CERTIFICATL OF' CITYOFTIFARD OCCUPANCY WYOFTWARD T-ERMI'T ii. . . . . . . e MST90-004 a COMMUNITY DEVELOPMENT DID►�i ont>ww PRIM. F�EF<MI'I N. a MST9C� 004513126 SWFWIBNd, P.O.Bw233fl7,Tiprrrtl,Orponfl7 Efts DATE 1S3UE:Da 66/20/90 G t TE AL,DRESS. . . a 12560 3W SUMME.RCRE::S T DR PARCEL.e 1 s l 34C l!-•@5R@@ SUBDIVISION. . . . a ANTON PARK 7-UNINGi R-7 ULOC:K. . . . . . . . . . a LOT. . . . . . . . . . . . . a1.4 CLASS OF WORK. eNEW TYPE OF USE:. . . aSF• OCCUPANCY GRP. eR3 OCCUPANCY LOAD e 2 2 0 4 T k:NANT NAME:. . . e F p A)A•r 1•c m e WARNF_R JUNGKIND 131.05 SW 68'TH PL PORTLAND OR 97223 Phane N s 503—P45-8577 C ontratctare —_. ._.__.. ._�_.�._..._._.. .. ...___._ ._._.....__._.___.. OWNER/C:ONTRAL'I OR F>hone N a Reg 14. . : :IWNEL' Occupancy Of' the Above rep (e+reuncerd btAilding JR hearmby gtvtan, and certifies the :.omplianve with thw St.-4bea Of OrNgc)n Specialty Codes for the grcictp, r.)cr. lA1)alnf:yy and ttatw i.tnderr which the reMfctrwnrerd permit was imsueed. FIRE: DEPAPI ME:NT UILDINO INSPEgOk _.. get- ~ F)U I L DP43 OFF MIST IN CONSPICUOUS PLACE / INSPECTION NOTICE Z/ City of Tigard Building Department 2 P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection `—��_ -- Date Requested_.__ __.S[?�iL `bTime A.M._ P.M.. Address Owner _ ,._._ — Lot # Builder --- The follo Buildindtode deficiencies are required to be corrected: Presented to Approved Inspector ' ❑ Doapproved Date _ �� -96) -- ---- CALL FOR REINSPECTION L1 YES IA NO W WX WE Wil i tw A INSPECTION NOTICE City of Tigard Building Department y P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection / _— ��----� 3.�1•�� Date Requ"sted Ti >� A.M. ---P.M. Address #� ' Owner-- —.___— _--.____._ Lot # — BuilderThe folio Building Code deficiencies are required to he corrected: d ✓ 7 i r Ffesented to � Approved Inspector ,� -- — _— _ _ — Disapproved Date CALL 9ES REINSPECTION ❑ NO iNSPECTION NOTICE City of Tigard Building Departmen! P.O. Box [3397 Tigard, Oregon 97223 Phone: 639-4175 91 Type of Inspection Date Requested Time_ A/- A.M. P.M. Address Permit Owner Lot # Builder ------ -- i----- 'The follo g Buil g Code deficiencies are required to be corrected: Presented to _ ] Approved Inspector 1eL �_ Disapproved Date CALL FOR REINSPECTION ❑ YES A NO I• Iw1 � vl � !• t !w INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 ✓ Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --------- Date Requested_�..__h L Time A.M. P.�M..'�� Address __---- _1 % PermitI_L�'.__fde 7� Owner _.__--- --..,...__ _. __ Lot # Builder % � z1� ._— ----- — The fcllovvO�SrBuilding Code deficiencies are required to be corrected: PfP.SP.ntP.d t0 — %pproved Inspector __-- _ ❑ Disapproved Date CALL FOR REINSPECTION YES [—J NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection //,� y Date Requested -4; me A.M._ P.M. Address C� �� _� Permit Owner _ _ Lot # Builder __ r23Z�ic� ----- ------------- — i The following Bust ung Code deficiencies are required to be corrected: Presented to . Approved Inspector — ❑ Disapproved Date — CALL F(JR REINSPECTION YES ❑ NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested- --. _-. Time—�___ A-.M. P.M. Address Lot Owner Builder i The follovyifi Building Code def is,encips are required to he corrected: L Press nte:cl to _ - - -.- - F. roved Ins cctor - _- I Disapproved p _ Date - CALL FOR REINSPECTION Cl YES 0 NO INSPECTION NOTICE City of Tigard Building Departmer, P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _—��✓_`; _ -5� Date Requested -- Time_ A.M. —P.M. _,— /�,1� -- Address Owner -_ �_ �_-- —_-- — Lot #_ Builder --- -7� —• r2�_The falowing-Building Code deficiencies are rpauired to be corrected: Presented to .�pproved Inspector -------- ! I Disapproved Date CALI, FOR REINSPECTION C-1 YES LI NO INSPECTION NOTICE City of Tigard Building Department t P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested. .:S 7 ,IL' ?ime N A. P.M. Address �v1—pct U c.,ELt '1"" X/}l.Fil _4 'Permit *41) Owner_ Lot ;# Builder ill pZ r �--C- c;,,k ►-t J2-- The 2 The following Building Cr,;a defiJencies are required to be corrected: Presented to - _ / -Approved Inspector _ - __ [ Disapproved Date _--- CALL FOR REINSPECTION D YEs L1 NO swt INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection C1�—, Date Requested ,U Time A.M._X P.M. Address. . _.. U Permit Owner Owner _ Lot # Builder The following Building Code deficiencies are required to he corrected: Presented to _ �� Approved Inspector � __ � bisapproved '7 Date 1 CALL, FO IZFINSPE(770N C'ftES f _l NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 / Type of Inspection — Date Requested Time_._ A.M. _____P.M. Address ` � Permit Owner Lot #-----_�._–_-- Builder The follows Building Code deficiencies are required to be corrected: Presented to ___,,f1jApprrjved Inspector ❑ Disapproved Date 3 CALL FOR REINSPECTION ❑ YES 0 NO i I i i i INSPECTION NOTICE /J City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _._��=� 1 � - ACL-y_4ci t� -- �G Ti ma A. P.M. Date Requested —_' _--�-. Address —,tke.2 � 1 -1_(- � - Permit # J Owner _ Lot # Builder —The followin6tuilding Code deficiencies are required to be corrected: i I Presented to` _ Approved Inspector / ?Ls�- Disapproved Date - CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE' /I City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time�A.M. P.M. Address Permit Owner Lot Builder L l - The following Building Code deficier�es are required to be corrected: Z' / Presented toApproved Inspector Disapproved Date CALL FOR REWSPECTION [_1 YES J NO INSPECTION NOTICE V � City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested - '3 –'-! �� Tine-_ A.M..__ P.M. Address _I �S�L _ ,_ ��_ � Permit Owner _ _ — !__-- Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _ I'1 pp oA r - ved Inspector --&L p�__ Disapproved Date 3" f C (LAD CALL FOR REIMMWTION ❑ YES C] NO C17YOF TIGARD CIT " - R PERMIT COMMUNITY DEVELOPMENT DEPARTMENT tiW #. . . . . . . : MST90-0045 tatzsswF�newa P.O.Bou2xl97.Tq.Rf.or.yoocfryrae(sat) ns My IT #. : MST90-0045 g39-41x1 --DA ,tP S5 D: II2,12Gf 90 SITE ADDRESS. . . : 12560 SW SUMMERCREST DR PARCEL: 1S134CB-05200 SUBDIVISION. . . . : ANTON PARK ZONING: R-7 BLOCK. . . . . . .'. . . . LOT. . . . . . . . . . . . . :14 --------------------------------- BUILDING ---•-- REISSUE: DWELLING UNITS:l BASEMENT. . . . . . . . :0 of CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :400 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-------.--.- TYPE OF CONST. :5N FIRST. . . . :927 of LEFT. . :5 ft RIGHT. :15 ft OCCUPANCY GRP. :R3 SECOND. . . :793 of FRONT. :20 ft REAR. . :15 ft STORIES. . . . . . . :0 THIRD. . . . :0 of REQUIRE[]---------------•---- HEIGHT. . . . . . . . :20 ft TOTAL------:1720 Bf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 pef PARKING SPACES. . :O Remarks: ---------------------•------------- PLUMBING ----- SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . :100 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BAEJ NS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE. (ft) . :1.00 OTHER FTX'PURES. . . . . :0 GARBAGE DISP. . . :1 RAIN DRAIN (ft) . :O WASHING 14ACH. . . :1 SF RAIN DRAINS. . :1 --------------- MECHANICAL - ------------- ---------------- FEES --------------- FUEL TYPES----------- UNIT HTRS. . :O type amount by date reept /GAS/ / / VENT'S . . . . . :0 PRMT $ 373.00 MAX INPUT:O BTU VENT FANS. . :4 PLCK $ 242.45 TURN < 100K . . :1 HOCDS. . . . . . :1 5PCT $ 18.65 FURN >=100K . . :0 W0C1DSTOVES. :0 PAYM $ 1.00.00 JLH 01/24/90 FLOOR FURN. . . . :0 CLO DRYERS. :1 STDC $ 600.00 BOIL/CMP < 3HP:0 OTHER UNiTS:O SSDC $ 250.00 GAS OUTLETS:l PARK $ 250.00 Owner: ------------------------------------ PRMT $ 39.00 WARNER .TUNGKIND PLCK $ 9.75 8105 SW 68TH PL 5PCT $ 1.95 PRMT $ 140.00 PORTLAND OR 97223 5PCT $ 7.00 Phone #: 503-245-8577 PAYM $ 1-831.80 JLH 02/26/90 Contractor: ---------------•-------------- KEN WATTS PLUMBING PO BOX 230925 TIGARD OR 97223 Phone #: 5036846626 Reg #. . : 50878 -------------.------------------------ $ 1931.80 TOTAL This permit is issued subject to the regulations contained in the •------- REQUIRED INSPEC Tigard Municipai Code, State of Ore. Specialty Codes and all other Foot/found Inep Gas L applicable lawn. All work will be done in accordance with approved Post/Beam Inep Tnsul plane. This permit will ex ire if work is not started within 180 Plm/undslab Insp Gyp B days of issuance, or if wqr is eueppnded r more than 180 days. PLM/Underfloor Rain JIIr (/Mechanical Inep Water Line Insp Permittee Signature: ( �� l.umb Top Out Appr/Sdwlk Inep Framing Insp Mechanical Final Issued !;y: Fireplace Insp Plumb Final I CITYOFTIFARDcrTYnFi1CsARD SEER COMMUNITY DEVELOPMENT DEPARTMENT oaEoow CONNECTION 13125SW F A Blvd. P.o.Box 23397.Tipad.Oregon gran � 1501l 75 PERMIT - - - ---- ----fi_39--A1_7�- -- - - ----- -PEiZMI'[' . . :-9WR90-9t343r- PRIM. PERMIT ii . : MST90-•0045 DATE ISSUED : 02/26/90 SITE ADDRESS . . . : 12560 SW SUMMERCREST DR PARCEL: 1S134--B-05200 SUBDIVISION . . . . : ANTON PARK 'ZONING: R-7 BLOCK . . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 ----------------------------------------------------------------------------------- TENANT NAME . . . . . : USA NO. . . . . . . . . . : 40468 FIXTURE UNITS . . . : CLASS OF WORK. . . : NEW DWELLING UNITS . . : l TYPE OF USE. . . . . : SF NO. OF BUILDINGS: 1 INSTALL TYPE . . . . : BUSWR IMPERV SURFACE. . : : sf Remarks : Owner: ----------•------------------------- ---------------- FEES ------------•-- type amount by date recpt PRMT $ 1250. 00 INSP $ 35 . 00 PAYM $ 1285 . 00 JLH 02/26/90 Phone k : Contractor : ------------------------------ CONTRACTOR NOT ON FILE --------------------------------------- Phone N : $ 1285 . 00 TOTAL Reg # . . . -------•- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer I of the Unified Sewage Agency. The permit expires 120 days from the date issued . The total amount paid will be forfeited if the ------- permit expires . The Agency does riot guarantee the accuracy of the ------- side sewer late If the sewcr is not located at the measurement given , the installer shall prospect 3 feet in all directions from the distance given . If net qo Located, the installer shall purchase a "Tap and Side Sewer" P(erali and t e' Ayer y will install a lateral . _______ - \ --------------- - '," .._.___------------- Permittee Signatures . Issued By: Call for inspection - 639-4175 CITY OF TIGARD RECF.IPT OF' PAYMENT PEC NOa 00111�469 CHECK' AMOUNT 116,80 NAME a WER14ER JLWJB► IND CASH 'AMOUNT t .01) ,�DDRESS: PAYMENT DATE 0-2l-l'6-" TIGARD, OF: 972�!, BLOCY NO,,'AI,DPt 125oO SW 'LIUMMERLPE'SiT FURP05F OF FAVIIIENT AMOUNT PAID rLIPPOSE CIF PAYMENT AMOUNT PAID Kill-DINE P�-RMIT (90-0045) '173.(10 PLUMBING FFF,,PiTT 1401.00 MECHANICAL PEP'MTT 7,x.00 sm,m BUILD PEFMIT T(-'tX (5%) 27.60 ?"LAN CHtC* FEE 152.110 SEWER, USIA (90-00470 1 1 no.CIO SEWED I NSPEC ION 75.00 STREET SOC 600.00 F'AR'ESyi,-jTFM' DEVELOPMENT CH 2513.00 STOPM DRAIN SK 250.00 TOTAL_ AMOUNT' FA 7, 116.ao RD CITY OF TIG;A,w \ CnYOF WARD PLAN CHECK APPLLCATION COMMUNITY DEVELOPMENT DEPARTMENT ,l «` / PLAN CHECK a / 13M S.W.14aN Oivd_P.O.11o■77397•Tigard,Oregon M23.(50311639J17S PERMIT N DPTE ISSUED JOB AQDR�E�S: G5 �U�i � T TAX MAP/LOT /S/- 3C/ C-9 SUB: Yl7 U� i? �- LOT: - _ LAND USE. _ VALUATION: _i� 1/ ��, OWNER v' SPECIAL NOTES C L REISSUE OF: ADDRLSS• -_ i L _ LAST REISSUE: RTLA -I A. FLOOD PLAIN/ __ _ SENSIIIVC LAND: PHONE: T', ' APPROVALS REQUIRED_ CONTRACTOR f t PLANNING: NAME: I` ENGINEERING: ADDRESS: _ FIRE DEPT OTHER: PHONE: ITEMS REQI_IIRED BUILDERS BOARD H: EXP DATE: LIST/SUBOCINTR ACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: _ OTHER: _^_ PHONE: --' COMMEN1S: SUBCONTRACTORS: PLUMB: )�( MEt;N: PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees - ^�_ 10-431 00 Plumbing Permit Fees 10--431 01 Mechanical Permit Fees c uo 10-230 01 State Building Tax (5%) 14 7 G^O Building ti Plumbing 161 Mech 10-433 00 Plans Check Fee Building _` 11)umbing Mech y uvLl-' 30-202 00 Sewer Connection ' /; 5 ' _75 C 30--444 00 Sewer Inspection _7 � 51--440 00 Street System Dev Charge (SDC) / G 52 449 00 Parks System Dev Charge (PDC) 31--450 00 Storm Drainage Syst Dev Chrg (SSDQ1x " - 10 230 06 Fire i' TOTAL ) REC # APPI ICANT IGNATUR . Received By : f) Date Received: �- a_��Q• cn/35137P/1OP � I�'L�� c� t ✓ZCUn t C� l Y In ' tAI)ING/EROSION ('ONTROL, INFORMATION GENERAL CONTRACTOR NAME&. ADDRESS: CASEFILE NO.:___________._ _ ---'A/ ESR j .) N ►�1 ND I'ERMI"1'Nn.: .—�_- - - ' AF P[.ICAN"T AML AND ADDRESS:EXCAVA'ITONCON'I'RAC"TUR ��`�&K _ - LA jiX NAME& A )DRESS: �- OWNER NAME AND ADDRESS: -Lv L►�� k Ll_. ,9 7 t 7c — tea-die TELEPHONE NUM3F'RS: APPLICANT: 24S- RS 77 _ PROPERTY DESCRIPTION: UWNER�?i STREET ADDRESS AND C OSS STREET/UDCAT D 4,"�-lsS 7�- -_ GENERAL.CONTRACTOR: _— EXCAVATION CONTRACTOR-�b 210 - LEGAL DESCRIPTION: 24 HR/AF'IFR HOURS EMERGENCY TAX LOT NO.:_# 14 AN i r-1 PAWK 1/4 SECTfON: uA_SN. Cir1l� CONT 'PERSON 'I'1'LE,'IT _EPHONE: Al�� E Ivi;(! Ju�) �L �Lt�_ SITE SIZE,ACRE.S__5 fiQfj I LQ.r DISTURBED/WOI.K AREA,ACRES: SUL'��_ LOCATION& ADDRESS WHERE SPOILS LEAVING SITE WILL IIF'I AKEN =DRAINS TO:(CIRCLE ONE) (NOTE:PERMIIN MAY IIF.REQUIRED) CATCH-BASIN) DIT'C'H PIPE CREEK (CIRC-1-EONF) RiVATE PROPER UBLIC CIIR�T'OF WAY ER Nl$FDIMENTATIUQQNTRQI, L,1 C,) MEA' RE MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: fTAMITZED -- � STABILIZE EXPOSED SURFACE CONSTT.UCTION ENTRANCE, REMOVE AND RESTORE TEMPORARY ESC PERI E _R RUNO1V'IFZDl`— FACILITIES CLIFARING AND GRADING RESTRICTIONS V,I N AND BEMQVE ALL SILT AND DEBRIS COVFR PRA(-l'ICFS QENSURE_OPERATION OF PERMANT FACILFTIEC� CONSTRUCTION SEQUENCE (5TTTV -' OTHER PIAN FOR EROSION CONTROL.PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK-. FROSIO14 CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHF.DULFJSTAGFNG FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. 1 HAVE READ ANI)WILL COMPLY W[I'H THE ABOVE.AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONI'AIN SI:DIMFNT ON TFIE CONSTRI N SITE. OWNER SI NATURE tfPIICANT SIG ATLIRE • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 0TICIAL USE ONLY RECEIPT DATE ACCFPTT 1) 1 1,i NUMBER RECEIVED BY f e � ^ LOT N7,0N t � 40:x' '�'S T S.^Lc � �..�D�t,gENi 'PROPOSED .6!0 1 , rb► Rc51 i r n V S'H IC. .7 BA R'y L►:�'� 6 TZ V=`L t 4