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15477 SW SUMMERFIELD LANE 15477 SW SUMM--;RF'Irf,D LAN', m c m v m c. m E E cn cn N �n ,r..`' �, 'w� �1 .v. (a. .:� 1'.1 ,ie l'.'! b~'.�,.♦ 11 "`.].! (�) ^, n �. .... �•. �>� � � ti (:\ ..�:� ('.'i '��''�' �� �w.~w� ri ^"�'•�� .� OF oce ,, �• \C' t� �^ 1 CI`T Y OF TIGARD ! y+'VCy V OREGON ' Sill . ....1. 231 Owner .._. . T D C ... ... . Permit No. tS < 15477 5W Serfield Lane Lot 331�Ia Building Address............. ..... .. .......... ..umm.. .. ....... Certificate is hereby given this.....6th..... day of......?un.e ... .........., 19...77 that said building may be Occupied and that it complies with all requirements of the Building Code for the City of Tigard, Z els approved by the Tigr ad City Council. � ;'�: . .. ... . . ...... ,cam�.�-��.. ........ i ♦ Buildin,; Inspector r I \ -- / , �' •-� �"�i X7.4 j.r+ 7.4 r""i U 4.4 tZP ' t,, i Cit; of Tigard INSPECTION REQUEST for /_W/1,40 L)i4tr_- INSPECTION TIME: _ j ( 5 PERMIT NO. : DATE: DATE ISSUED -. OWNERS NAME : 'T fC ADDRESS: 331 L1��tE-�zF�r`c t� I CONTRACTOR : ►g-R`Z1N Tzr,,) _— j I TEST : Air 0, Water El , Visual Laboratory p i RESULT : Approved Disapproved C Pending O SKETCH. 1 I INSPECTOR DATE FNmF Attach eup,lemental test dopa beret] City of Tigard INSPECTION REQUEST for I,i --C,"'i 0 N TIME. PEW r NO. D AT E 3 DA77 '","Tr, )WNERS NAME : .,.- /' - r7 ADDRESS: Z�7' rRACTOR : ... ST : A i r [J Wo to i Y Visual "_1 Disapproved KETCH. /1*30ECTOR DATE [NOTE: Attach supplemental test data beretal of C t ! ;card Mechanical Permit ��'� Pemeit 1 $3.00 Nev, !ns•allation [41' Replace 0 Relocation Addition Alterar-n ❑ - — Fee ifm TOTAL -1 a CONTRACi'013�t1J t�� t;,,z�",L ' t OWNER :�w.c-„�-y►J i wc. - ADDRESS JP in_ �c BIC �t..A Cjr. WORK ADDRESS r r s t' to 4"A1. PHOME APPLICANT Heat input Rating {BTU Per Hour `lent Size_ t�'` Flue Size FUEL OIL GAS ELECT QTHER ITEM NO. FEE ITEM YO. FEE For Issuance of Permit 3.00 3oilers Over 50 HP 25.CC New- Under 100,000 BTU i 4.00 " Air Handling 10.000 CFM 3.0c New - Over 100.00 BTU 1 5.00 il Air Handling Over 10,000 CFM i 5.00 Floor Fumaee i 4.00 it Evaporative Cooler 3.00 'Na!! - Floor- Suspended 4.00 Vent Fan 2,0C Install Vents 2.00 Vent System �I 3.0C Re ai. - Heat_&Cjoling 4.!10 Hood 3.00 ?oilers Under 3 HP 4.00 1 Demesne Incinerator t 5.0( Boilers 3 to 15 HP 7.50 Comm. Incinerator ! 20.0( Boilers 15 to 30 MP 10.00 !1 Other Not Listed 3.00 Boilers 30 to 50 HP { 15.00 INSPECTOR'S Cr '-AMiENTS- CITY BUSINESS 'LIM129 RE01,11RED FOR-ALL CONTRAI TORS OR SUB-CONTRACTORS APPROVED BY DATE_ ISSUED BY DATE _ RECEIPT NO. 1 ¢n City of Tigard INSPECTION REQUEST for INSPECTION TIME' PERMIT NO. : DATE : / / DATE ISSUED '— I I OWNERS NAME L ,ADDRESS: CONTRACTOR . TEST : Air Q, Water[I , Visual �l , Laboratory Q RESULT: Approved Q Disapproved C Pending p SKETCH: INSPECTOR DATE CNOtIE � Attach supplemental test (tato beret 01 IONIY E. kEIIIH�ABi Pl;l`1Bg,Ilia BUILDING DEPARTMENT, TIGARD NO P. 0. Box 129 PLUMBING PERMIT i HE19SEf;, C"E%0;1 91132 _ holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than 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. ,, x 3--r � , �/' �(Zt !tc' Owner.��L�W�: lLcdlt_.�� �' �' — Address/_')�y 7'7 . lJ 4K G��Z» ��IIate.- 1,L'1.� NUMBER OF TO-.AL FERMI- NO.'S TYPE OF PERMI'r ITEMS FEE ON EACH AMOUNY (Office 1'se Onfy) _aESIDENTIAL Sin le Family-1 bath-each —�_ / 26_00 • Duplex-Ench 1 bath unit _ 25.00 Additional bathrooms-each / 10.00 Mobile Home Space-each 15.00 INDIVIDUAL FIXTURE FEES _ 110 50 Fixtures in 1 building-each _ _ 3.00 _51 to 100 Fixtures in 1 building--each _ 2.50 _ 101 to 200 Fixtures in 1 building-each _ 2.00 _ 201 or more Fixtures in 1 buildii- -each _ _ 1.50 _ MISCELLANEOUS Building Sower-1st 50 ft_ 10.00_ Sewer-each additional 100 ft. 1n.lu _ Water Service to building 5.00 -_ Private Water Systems-each 100 ft. 10.00 _ Other (Specify): PERMIT h C'< ' For Plumbing Inspection Phone 639.4191 J .3% State F umbing Contractor By A4 e i TOTAL r RECEIPT NO. Issued Ey I UCNI FI L' D SEWERAGE AGENCY NO. --11040 V V AS'H I N G O N COUNTY DATE — 1-6-77. CITY OF __Tigard APPI_ICA 1- ION FO:i SEWE_ R CONNEC-T-ION PF-RMIT OWNER: OWNER'S ADDRESS: STREET _-- CITY STATE ZIP BUILDING SITE: LOT_-31-_..__. BLOCK — __.___ ADDITION TAX LOT NC. _ TYPE OF ''' PANCv ADDRESS 15477 SW SI. mmerf i©1d LU DWELLING UNITS _ 1 --- FIXTURE UNITS SURCHARGE IF APPLICABLE __-_- PERMI- FEE —__`s�.5._ INSPECTION FEE _25 TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM .. _ FAnnO Creek The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT = 1 "� ,-Qt—S, SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE S17E — INSTALLER RECEIVED BY. GFNCY OR Its AGENT) COMMENTS: Bldg, #1231 This .Application and permit expires in one hundred and ivventy (120) days. The amount paid will be forfeited should expiration occur. .---. ......._._.._.,..._.._........-._......-...._...�_...._..�...,e—www.�wr.-••«w^°u+vnw+.w�•++•*�.r�."•..r.....-o..++-.+..*r- •.«*.v�+^*'- �' 1 BUILDING PERMIT APPLICATION 11T TIGAR® DATE 1. 6-77 _. -- 1731 OF THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ LOT NO.----- OWNER O.--- —OWNER JOU ADDRESS P su ;,�u6 murf droit HOME ALLIRESS —— ARCHITECT ENGINEER BUILDER ADDRESS �— _ —_ DESIGNER — STRUCTURE ❑NEW ❑REMODEL _ ❑ADDITION ❑REPAIR ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORACE❑SLAB ❑FENCE — ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL_APPROVED — ❑SIGNS _OCCUPANCY_ LAND USE ZONE---BLDG.TYPE U FIRE ZONE_ PLAN CHECK Bl_ — _AJ - ,�o "1K XX1I •ir�eu[� r trlE an lot 1x36 _3t�t Highland Ur. _ _ ---__-- ta .1.1r3: 1 ► i. 1J/r�tt;slr fi��rta t,�BTFlt�t 1 Uradr,.wm. 2 bath I__.ABEa��j NO.3�P�MS f VAL.U�a7��`JCi. BUILDING DEPARTMENT SET BACKS FRONT 13 REAR �'r� LEFT SIDE RIGHT SIDE Permit 121,013--- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS f,'ONTAINEU IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCF WITH THE PLAN;;.11JD SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 4ESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACT09S TO HAVE CURRENT CITY BUSINESS State Tax �� � LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER PLUMBING AND HEATING. Total APPLACANT OR AGENT Approved T Receipt.No. f { ADDR s _a.1a..—rr. .......�...a....ui....r.....r..—.,..w.m......�,.wLL..:L+-....._rw,1+.V,a.,...:M..x...,.rw._....�.a.:•.�..,,.:v, -d..:.u....,.w.....Yb..4.-.•— .w..�.n......n.r..- -- ...,r r� DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor l r _ Permit No. C� ? 6 -- s 7 _ Fix+.ure l�? 'Sot Final ����z 3.b _ HEATING s '-25'7 Contractor _ Permit No. Gas or Oil 1 ! Final `SEWERNy Final DRIVEWAY �v L C_ 3 -/cf'- '? Final [A ; Drainage in) Final L L 3~ �'71 reet Final _ BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY ing nal UUIL '" PL-11MIT APPLiCAT1G;'J - TIG.'IR(" t via. z4 , ,9_ . N2 ��� 1_ • � J THE Ur.0Ef±51GNED 1-11PLOY APPLIES Fon A PEnMIT FOn THE Wonie HE9'cIN INDICATED On AS SHOWN AND APPIIOVED IN THE ACCOMPANYING PLANS AND SPFCIF[CATIONS. OWNEn P►Ioril. 31C/ ce" AnDnrSS�n;7V77 S.IJ..J,,,.,,..e.ty.�/� ::;-"11LnrIIIPHONr ENGIr:rEn Iul i-1 -lr3 c A1CI±ITTt T rr--1nrS1GNE11 11 STnU';.TlJnC 9C NrW ❑ n ❑ I--I rMODEI- ❑ADDITION rtFPAin ❑nCNFWAL r1nt-I E DAMAGE OENIOLMON FI SIDr-NC DCOMM ❑EDUCATIONAL ❑-,OV'T 0nELIG10US OPATIO UCAFI POR�-T+ QGAnAGE ❑ST011AGE QSLAg ❑rGNCE C�IItCND 0MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW GCOUNCIL APPROVED 0SIGN5 - nr.:ur,+mlry -_t_.0.Nt) USC 7.ONC BLDG.TVP,_ -.FIRE ZONE-y?_ PLAN CHECK DY IZ eo rucr tt nnu r. ^nn t.nnr, F±EIGItT NO. STORIES r nnrr��Z f� vnLut: Z�3yZ Isul+.tr,rac�iir��ARr!t,,cNr --- � ------ -- �. ----_-_�__- SET nACKS FIlONT /3 nEAR /q .EFT SIDI`- � ' RIGHT.`,IDC 5- THIS PVWIT IS ISSUED SUn.IECT TO T',tE nr-GULATIONS CONTAINED IN THE BUILDING CODE, ZONING nEGULATIONS AND ALL APPLICAVLE CODES AND ORDINANCES, AND IT IS riERCBY AGREEO THAT THE WORK WILL BF DONE tN ACCORDAI_CE WI'ri-I THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE VITH Itccerd nq ALL APPLICABLE COOLS AND ORDINANCES, THE ISSUANCE OF THISPERAIiT DOLS NOT WAIVE RESTnICTIVC COVENANTS. f_Or11'IIACl'On AtvD' SUP CONTnACTOnS TO HAVE CURRENT CITY BUSINESS 13 S �tC iI 3 LICENSE. acPARATE PlfIN11TS REC1UI c-D FOR SEVER, PLUMAING AND HEAT'.NG. r--- f 1 Total nPPLiCANT on cc�Nr �.r,s•uv^t1 ncc�i�t Na. T L7 Auune�� PHUNC /3 Q. 93 Z� oo • Address Permit No. Permit charge 22 0 t= (iWner Connection fee Paid by Cs . Type of building ,�„� -� Date connected � . Inspection fee �1 S .1 Service rate _ � — Contractor Paid by Date — _ ' Size of connection Assessment paid ___