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15466 SW SUMMERFIELD LANE
15466 SW SUMMERFIELD LANE e a, c �v .a ti c.. ill c u., u� i i 9 � .24 Ci;t� p� �'Ta�t' Mechanical Permit ,�o ` i New Install3tion Q'Replace L—' Relocation 7 Addition V Alteration C3 TOTAL �•� CONTPACTOR 11 ' .,b. "2 1 A..C�t� C- OWNE'' u i. �r L_s:+_.� I ADDRESS pQ ,o�G �'� Cc..►.LK- S_ WORK ADDRESS A I '-(1 �-►-+ PHONE � APPLICANT Heat input Rafrig (B'1 , Per Hourt 1 9 Vent Size 'c Flue Size FUEL OIL D GAS ELECT OTHER ITEM NO. FEE ITEM NO. FEE 3,00 3oilers Over 50 HP 25.00 Por Issuance of Permit 3.0C New- Under 100 C00 STU 4.00 Air Handlin 10,000 CFM U 5.00 Air Handling New - Over 100,000 Sl Over 10 000 CFM S.00 4.00 Evaporative .0C Cooler 3 F.00r umact i 2,0C ! WaI! - Floor - Su 4.00 Vent ran Suspended 3.0( Vent System Install Ven + 2 J0 ! ts 4.00 i Hood i 3.0C Re air- !-Teat & Coolin 1 S.00 Boilers 'ander 3 HP 4.00 Domestic Incinerator 7.50 Comm. incine%:tor 20•0( Boilers 3 to 15 HP 3.« boilers 15 to 30 HP t0.00 Other !dot t.:sted Boilers 30 to 50 Ho 15.00 INSPECTOR'S COMM'cNTS- Cid± R ISTNESS LICE 1[p IRED F01, -ALL '0NTRA7rCI'S OR `rv3-CL ?RACTOrS APPROVED By DATE ISSUE^ By_ DATE ,� %: RECEIPT NO. 1 77,9 Signature of App':icar jl I IOHN �. R[C�P,�ii[l1 Pl�I�1Bifl;;, lilt;BUILDIfJC; DI_PAR TMLNT, TIGARD NO. P. 0. IM 1'19 PL MING PERMIT � - _ Nf19"iG�: Ei [Gri!r 97132 _ _ __ holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herek-1 noted to be installed in accordance with the plumbirn; code of Tigard. Such installations require inspection ley the City Inspect-r who shall be notified not ''-ess r.han four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. 3 741 �- L XzZ— AddressUwne -Cd11 t- = NUMBER OF T T.AI. PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Unly) Single Famii —1 bath-etch _ __ 25.00 -- -- Duplex--Each 1 bath unit 25.00 Additional bathrooms—earh 10.00 Mobile Home Space—each 5.00__ INDIVIDUAL FIXTURE FEES 1 to_50 Fixtures in 1 building—each 3_00 _ 51 to 100 Fixtures in 1 building ench 2.50 _ 101 to 200 Fixtures In 1 building—each _ 2.00 _ 201 or more Flr.tures in 1 building—each _ 1.50 _ M_ISCFLL_ANE0US _ _ — Building Sewer-1st 50 ft _..�_ 10.00 Sower—each additional IOU ft. ___ 10.00 Water Service to building _ _ 5.0G Privato Water Systems—each 100 ft. __—10.00 Other (Specify): PERMIT_ -5- Plurihing Inspection Phona 6,394191 /7 96 :,tate / -_3 S Plumbing Contractor By �(/ TW AL /L �.�� RECEIPT NO. Issued BY `_____ _ �•.ri. a. 'y,.•t. ,......rr... ,Itvvxilf.iexr+:r4ga1^YNI+EWO`4w++`+MSV. ..;_nY'4LJ:.„ _. _ � t4 City of Tigard INSPECTION REQUEST I for INSPECTION TIME: PERMIT NO. : - DATE : liyl�» DATE ISSUED .- I Z I OWNERS NAME : - ADDRESS: , 2 / C 0 N T R A C TOR i TEST . Air p, Water 19 , Visuol. , Loborai,)ry p RESULT: Approved Disapproved C Pending p SKETCH. 1 -94=t') I 1 ECTOR DATE CNOTE: Attoch 9upplemeniol test doto hereto, _ UNIFIED SEWERAGE AC3 :NCY NO. _ 11019'_ WASHINGTON COUNTY DATE _ 12-13-76 CITY OF Tigard APOL_ICATION FOR SEWLR CUNNI=C1-ION 17IFF-WIT T:D.C. OWNER: -- ---- --- ---- OWNER'S ADDRESS: --------------- - - STRE.ET ---STATE ZIP CITY BUILDING SITE: LOT-3-74- — BLOCK _-____._.___. ADDITION TAX LOT N0. - --------- ----- TYPE OF OCCUPANCY ___.residence_ ADDRESS - - 16466._ SW- SummerfA.sld--Lana DWELLING UNITS---- --1 . _._ __.._—_ FIXTURE UNI I-S __-__ SURCHARGE IF APPLICABLE _..- --- .. --- - -- --- — -_ PERMIT FEE. -- _57500 INSPECTION FEE Z5.©8- TOTAL DHPOSITED _ 600-.00- (NEW) (EXISTING) BUILDING SEWER SYSTEM _ Vanno Creek_ The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT_`11C'G � SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINT SIZE _ _-------._._-- INSTALLER ----_.--___ - - .- RECEIVED U,GENCY OR ITS AO I COMMENTS: Bldg. #1196 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration , ccur. BUILDING PERMIT APPLICATION �, F TI�ARD DATE_ I`""� '-- 1146 THE UNDERSIGNED HEREBY APPLIES FOR AP'_RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-3 011 OR AS SHOWN AND APPROVED IN THE A(',:OMPANYING PLANS il.ND SPECIFICATIONS. OWNER PHONE LOT NO, OWN T•U*V* JOB ADDRESS1=II'_,,f't3 sw suawarviea d 1460hDDRESS ARCHITECT SL?"'1 ENGINEER BUILDER �-1�A�� ADDRESS DESIGNER K ` STRUCIURE INEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _❑FIRE DANIA ;F ❑_DEMOLITION XURESIDENCE ❑COMM ❑EDUCATII-O-+NAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE—❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG.TYPE_____--FIRE ZONE_— PLAN CHECK BY HEAT Lot #374 model, Fontein Re—issueg same as 10235 Su ,'revrsleaf Terrace — Frsme dwelling w/attached garlego 2 bedroom, 2 Muth SCC LOAD F.LUQB 69A4. ____.._ HEIGHt Ns�S.70RIEC AREA 161C! ND—BEDROOMS_ __-1-ALUE .-' BUILDING DEPARTMENT SET BACKS FRONT 12 REAR 11 LEFT SIDE f.) RIGHT SIDE '10 Permit �J • 6 1�•�� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGrl"O THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IA'COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND OB')INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS. CONTnACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS gF.nUI'IED FOR SEWER, PLUMBING AND HEAT'NG. Total 4.62 By � 168.62 APP ANT OR AGENT Approved Receipt No, L i, —. _._TH, ADDRESS ...w....,.....�.....,.,.,,......_� ..._,.,...,..._.,,.......,.�..�...,,.w.,«c.....�..w.w........,........+•rr.-.iu.�......a.�..�..�+k+ro►..n...�r�...r.+..r.=--- .,,,a:.,�i..r+rYss�u.._. .. —--- ,..+iwr:..,..u.,.a. I I DATE INSP. TYPE INSPECTION REMA S PLUMBING DATE Contractor Permit No. c� 7 F. S 0; Permit z Rough-in i' / . ' Fixture Final �—.. HEATING -Z cz.T yrs��t J Contractor Pei mit No. Gas or Oil Hough in ---.— Final SEWER Final_ DRIVEWF Y Final -lorm Drainage_--- , rainage__ — (Rain Drain) Final Y_ _ Sidewalk Curb&Stree; Final A- roach _ _�� BLDG DEPT FINAL �TEMPORARY� CERTIFICATF OCCUPANCY Final CERTIFICATE OCCUPANCY — Landscaping (. Zoning Final 13UlL PERMi-r ��Ft�� l 'tom • Y I ._' � Leri ; �r` �l THE UNUEftsIGNEO !!EnEOY APPLIES FOR A PERMIT FOR THE WORK HE11L-IN INDICATCO -SPS OR AS SHOWN AN'7 APPI10VIED IN THE ACCOMPANYING PLANS AND SPECIFICATICNS. Q`�'"�En PHONE l*;,LN1 nTl�4�01il/ loY 6cp AnnnFss/,t;-46G S L(/ ��i�'/�7f�FJt� c_nrrl'I�►+ON, ENGINEER a u I LQER77yIiv/ AncmTFCT nfs!GNCn STtIUCTUnE ONEW t-l❑RFMODEL C1 ADDITION _❑nFPAin ❑RCNCWAL ❑rmcDAMAGF ❑DEMGLITION { r'IESinFNCE ❑CABIN ❑EDUCATIONAL ❑GOV'T LOnEUG!OUSOPATIO ❑CAIIPORT GGAr.AGC ❑STOIIAGELISLAD ❑ -CNCC r ❑nCtiD 01,I0VING ❑cONornONAt-USE ❑DESIGN REVIEW ❑COUNCILAPPIIOVED OSIGNS nre:UPANCY--Z7 _LAND USE 70N -_.----_-_DLDG.TYPE-Z—rFmE ZONE]Z PLAN CHECK DY HEAT-_ 3-7 14- FOA/T /.�/ =%.S.SL'C r tP.wi G S SUI �✓<G-� --- i /Q1�Gl�i� 10, (Wr I.nAI) FI.QOn LOAfi_ HEIGHT NO._S_TONIES AnFA VALU ypf itll+t.')ING t)C"Al!t VI'M SCT RACK i FRONT I Z 1 nEAII LEFT 'Cir — RIGHT SIDE R7 F--- - - - --- -- __ --- -__ - - j THIS P[rlbttT IS ISSUED SU11JECT TO TltE RFGULATIONs C :ED IN THE BUILDING CODE, 7ONlNG '+rrr•- G1� REGULATIONS AND ALL APPLICABLE CODES AND ORDINAPJt,_... AND IT IS FtCRCC3Y AGRC>_D THAT THE N^RK FILL OF: DCNF !r4 ACCORDANCE WITH THE PLANS AND SPECIFICAT!ONS AND RJ COMPLIANCE WITH ALL API LICAOLE CODES AND ORDINANCE'.. THE ISSUANCE or fHIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. COrtl-ILACTOR AT40 SUR CONTRACTORS TO HAVE rUPIRENT C;TY OUSMESS �. to L!CMSE. SEPARATE PL"f!MITS FIE01,1111ED COR SC'.":CR, PLUMBING AND HEATING, Total }•_ APPLICANT On AGLNT RcCaipt No. - >� 7GS, GZ i 4 Address _ / /`� « 1 � � Permit No. Permit charge Owner L,� �� connection fee Paid by Type of building !�>� — Date connected Service rate � � Inspection fee I"ontractor Paid by Date Size of connection Assessment r paid