15493 SW SUMMERFIELD LANE MW W1 WX OF GFW_j In In �
15493 SW SUMMERFIELD LANE
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131 0v1 r�t'�it? ,T APP! ICAT'ON r'GAR✓ DATE o 19 \ r
Twr '!N0ERSIGNE0 HSRESY APPLIES FOR APERMIT FOR THE WORK HEREIN ,ND!CA'ED
�... OWNER PHONE ���— l
OR S OWN AND APPROVED ti "'= ACCOMPANYING PL'AlNS p JD },',P!LAfIONS.
AIF
DDRESS �^� BUtI_Q &ONE
ENGINEER
ARCHITECT DESIGNER
STgUC'+_RE NEW — mrmcoE' IAOOITION CJREPA'R [_RENEWAL AFIRE DAMAGE ":!DEMOLITION
RESIDENCE _ COMM —EDUCATIONAL GOV'T r'RELIGIOUSJPATIO CARPORT GARAGE C❑STORAGE CSLAO n�ENCE
119ONO _ !NOV!NG r�CONDITIONAL USE DESIGN REVIEW CCOUNCIL APPROVED ❑SIGNS
OCCUPANCY i�JANO USE ZnNF �B--DG TYPF_ FIRE ZONE PLAN CHECK BYHEAT :======
O_CC. '_OAO FLOOR LOAD HE'GHT NO STORIES AREA VALUEI.,O C7
�— BUILDING DEPART%-!:%TE �' RIGHT SIDE
SET BACKS FRONT REAR _FT-� LSIDE
peft711t /� Q� —
• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
� Ptan Check I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL PE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
I Record;ng ALL APPLICABLE C07ES AND OROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
4 RESTRICTIVE COVENANTS. CONTPACTOR Ar. ;B CONTRACTORS TO wAVE CURRENT CITY BUSINESS
State D L!CENSE. SEPARATE PERMITS REOUfPtu .,.ER, PLUMBING AND HEATING.
Tota! / -X
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i approved //► ce+e'. ;No.
ADDRESS D+,ONE
BUILDING PERMIT APPLICATION CITE TICARD DATE August 8, 19 7
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORM. HER-IN INDICATED BUILDER PHON5..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOTNO._ -
OWNER '"film ". Murdock OEI ADDRvss L AU 91J 'ri JfllM8rf'1F114IOME ADDRESS
ARCHITECT
ENGINEER
BI :..DER ADDRESS
DESIGNER
�� _
STRUCTURE ❑NEW ❑REMODEL LJADDITION OREPAIR ,^ QRENFWAI ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑1'FLIGIOUS❑PATIO ❑CAR PORT CIGARAGE ❑STORAGE❑SLAB [:)FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE [:]DESIGN REVIEN ❑COUNCIL APPROVED [:]SIGNS
r _.
OCCUPANCY _.LAND USE ZONE- Fly I __BLDG.1 ?E FIRE ZONE _ PLAN CH. CK BY__ I' �_____ HEAT___._
t ,n$t rIj":t 1j®t.ia I'ltanr t & rival' por china. —vv--+
@Ii R9QMI____YA_laths. ^_
_ BUILDING DEPARTMENT KT_RACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit _-�— --- - ---Y —_-
-"-- THIS FPRMIT IS ISSUED SUBJECT TO THE REGULATIONS LINTAINED IN THE BUILDING CODE, ZONING
P'an Check REGULATIONS ANP ALL. APPLICABLE C07ES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT THE
'— WORK WILL BE DOTE IN ACCORDANCE WITH TH7 PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODE.: AND ORDINANCES. THE :3SUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOR: TO HAVE. CURRENT CITY BLISINEss
State Tax 1., LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HEATING.
Total
By - --
-. / f � ' AP SANT OR AOFN 1 ,\
Approved Receipt No.
_— ADORCSS - - — --- W NE
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CITY OF TIGARD ivC
OREGON
Owner: T.D.C. Permit No.....1..�33 {>
15493 ;;W Summerfield Lane l,ot,..#332.... ...., . "
Building Address..................... ........ .....................................
+ t Certificate is hereby given this---?P.
.day of......June....... ........ . 19..7.7....
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard, l
a: { as approved by the Tigard City Council.
........ :»._-`.•.l.. .... .� "" '_ `' .................
Building Inspector �"c
�� fl�� U s-•z � ,�,� ���-;-�+�s� �j�l� ��J..�s'3� l
City of Tigard
INSPECTION REQUEST
f r, r
INSPECTION TIME: PERMIT NO. :
DATE: 177_7 DATE ISSUED :
OWNERS NAME : L, D
ADDRESS: 6&T
CONTRACTOR :
rc ST : Air [J, Water[3 , Visual j Laboratory p
RESULT: Approved p , Disapproved C Pending r-j
SKETCH'
INSPECTOR D %TE
[NOTE: Attoch supplemental test data hereto]
i
City of Tigard
INSPECTION TION REO U E :3T
for
INSPECTION TIME PERMIT NO. . -
DATE: 3 �z��.' DATE ISSUED:-/
OWNERS NAME -
IADDRESS : ZIZ 133 w ; 3
ICONTRACTOR :---------
TEST.
ONTRACTOR : ------TEST. Air ❑, water p , Visual ❑ , Laboratory []
RESULT . Appruved U , Disapproved ❑ , Pending
I SKETCH:
I
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INSPECTOR DATE
IrNOTE : Attach supplemental toot data hereto,
!
C11-y of
.a.3rd Mechani1..asr . e tri, ��Jo Permit S3.OU
New !nsta!!afon P"'Replace ❑ Relocation 7-- Addition ❑ Alteration ❑ -- Fee 's
TOTAL
CONTRACTOR f-f*iP w �... tL 21162A c_ �• � OWNER t ,�, e L �`. �. ��.
^ /+ /
ACDftESS �. •s•X��S t� r r,l�� WORK ADDRESSISL}43 !Zu_; •�.�! C+�t�i L.lr t�C�' :w5-')
^r
ONE i - — APPLICANT —
y�
Heat Input Rating !BTU Per Hours 1Bm -*� Vent size ate Y L
� ..e Size
FUEL OIL Cl GAS �/ ELECr `_? OTHER
ITEM NO. FEE ITEM: NO. FEE
For f mance of Permit E I2.00 340crs Over 50 HP 25.00
New- Under 100.QCr^ RTU ! 4.00 Air Handling 10,000 CF!M 3.00
New- Over 100,000 BTU 5.00 Air Handling—Over 10.000 CFM 5.00
Floor Furnace 4.00 Evgmrative Cooler 3.00
Wall - Floor - Suspended f ! 4.00 f Vent Fan 2 OC
!rntatl Vents i 2.00 .tent System 3.00
Repair- Heat & Cooling I 4.00 11 Ho-d 3_«
°oilers Under 3 HP Dometic Incineatrr. S.00
Boilers 3 to 15 HP 7.50 Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 Other Not Listed 3.O(
is4'!ws 30 to 50 HP i 'S Cn
INSPEC70RT COMMENTS•
CITY BUSINESS '_!CEN. SIRED FOR-ALL t'+.)NTRACTOP.S OR SUB-CCNTRACTORS
APPROVED BY_,�A DATE ISSUED BY__7 OAT='
RECEIPT NO.
774 �
^R3turs o. App,
3� -
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City of Tigard
INSPECTION REOUEST
for
~INSPECTION TIME ' 1, PERMIT NO. :
I
DATE: ,,� / / '' ' DATE ISSUED.- Z I _
OWER" NAME :
ADDRESS : - �.-
I CONTRACTOR :_
TEST: Air 0, Water (] , Visual ❑ , Laboratory p
RESULT : Approved [3 Disapproved ❑ Pending 0
I SKETCH:
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INSPECTOR DATE
ICN0TF Atto( h SopplementoI test dote hereto
I
JOHN E. REPtHh?Ot P;,j`1 %,N g BUILDING DEPARTMENT, T!GARD NO.
P. 0. BE1r 1119 PLUMBING PERMIIT I
NEIY�EL,, C2f%7� 141132 holder of valid plumbiog contractors license is hereby -
authorized to cause plumbing work as herein noted, to be installed in accor(!dncp with the plumbing code of
Tigar(;. Such installations require inspection by the City Inspector who shall be notified riot 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.
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`-r L>��G,�-cru °�`� Datoy�-rte- e-/__4Z _
Add ress/�!7�/.j l �
NUMBER OF TOTAL PERMIT NO'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Jnly)
RESIQENTIAL
Single Family-1 both—each 1 25.00 '7 'c
Duplex—Each 1 both unit_ 25.00 _
Additional bathrooms—each _ � 10.00
'Aobile Home Space—each __ 16.00
INDIVIDUAL FIXTURE FEES _
_1 to 50 Fixtures in 1 building—each _ 3.00
51 to 100 Fixtures in 1 building—each 2.50
_101 to 200 Fixtures in 1 buildin —each _ _ 2.00�
201 or more Fixtures in 1 building_each _ 1.50
MISCELLANEOUS _
Building Sewer-1st 50 it, 10.00
Sewer—each additional 100 ft. _ 10.00
_Water Service to building µ 5.00
IiPrivote Water Systems—each 100 ft, _ 10.00
Other (Specify):
PERMIT y t.;, 6),0 For Plumbing Inspection °hone 6394191 Y /)
96 Stale Ll Plumbing Contractor By I 11A '(
RECEIPT NO. Issued By
UNIFIED SEWER 'aGE AGENCY NO. _____ 1t04--2 .__*
WASN ( N
G TON COUNTY DATE
CITY OF-
/APPLICATION
F/APPLICATION Fr1R SEWER CONNECTION PERMIT
OWNER: ----- T.D.C.�_..___ --- - - ------_ _. _ _ ----
OWNER'S /ADDRESS: -- _
STREET
CfTY STATE ZIP
BUILDING SITE: LOT--=— BLOCK __ ____ ADDITION __--
TAX LOT NO. __.._______ _ TYPE OF OCCUPANCY r_B__—
ADDRESS 1549;1__.SW .1u.Au@zUt1t-Lane - ----
DWELLING UNITS_.._ __.__L_______ FIXTURE UNITS
SURCHARGE IF APPLICABLE -.-__-- ------ _—
PERMIT FEE ---- 575. ___ _ INSPECTION FEE .25...____ TOTAL DEPOSITED
NEW (EXISTING) BJILDING SEWER SYSTEM _._ __—__ Fara_ Creek____
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORiZFS CONNECTION TO THE SEINER SYSTEM.
LINE SIZE _.____. INSTALLER _ _ --- _-- ----_ ---
RECEIVED FY _
(AGENCY OR ITS AGENT)
COMMENTS: Bldg. #1233 - - ---This Application and permit expires in one hundred bnd twenty (120) days.
The arTiount paid will be forfeited should expiration occur.
� BUILDING PERMIT APPLICATION �o Y TIG�IRD DATE 1-'1�'—�'�___.__, � ___ �?
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WOI:K HEREIN INDICATED BUU-DERPHONE
�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
_ —
L IT NO.
OWNER r JOBADDRESS 15493 9U Sumner fia1LHOMat+ADDRESS _
— ARCHITECT
DH; ENGINEER
BUILDER ADDRESS �-t DESIGNER
STRUCTURE EW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
RESIDENCF— ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDIIIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_1—_LAND USE ZONE .. BLDG.TYPE __FIRE ZONE--'_ PLAN CHECK BY_____' HEA1 __.______
L� 3314,3� mk Aiv Hew-isquwq Gama a* 1::�1b !JW, - Sumarr' kuid Luria ---- —
Fraama dtrullxng w1atttacns "mays 2 jaArgoma 1 bath
QJ.Q9D FLOQR_LQ9D_--.- HEIGHT d4 @IQ91 .__1�f3FAl3f�H hQ QI;OOMS VALUE 29, '1 CO
BUILDING DEPARTMENT SET BACKS FRONT REAR tat LEFT SIDS 64 RIGHT SIDE �7 t
Permit 1e.7.00 ----- — —_---._.--- — ----- — —
—it THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON1AINED IN THE BUILDING CODE, ZONING
Plan Check 106010 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WI rH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. 1HF. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOrr AND SUB CONTRACTORS TO HAVE CURP.ENT CITY BUS'NESS
State Tax 4911. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING .AND HFA.TING.
To,al 141.11
BY
APPL1c:ANT UR AGENT
Approved Receipt No
AB—DR .S�9` PHONE-- 4
...-.-"• ..a..wr......rw.a....d�..4k+.r.....n....+r�... _. «.. ..w.ru..,_.r......nr.w4w ,..,-.....__.ui.r..-._.�.......................�.-+�.........,r.Nl�.i'M, �`--� -wu+.w...._._�a'a�nJw.
DATE IINSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor ------- __
--�_ � n 77
.(�C!/L Permit No. C) 27Z
~)a 77_ 1(� Sa�'c, Rou h in
Fixture �-
1 Final —
� L _ _ HEATING —
'�~� Contractor
�5 3-, + �_1-t. _ --- Permit No.
300 1/ - Gas or Oil ---
ib-0 iZ r c19
-- --- _ R°uAh i n ---
-7 << Final _
—SEWER
Final _
--- -- ------ ----- DRIVEWAY — L..G 3-/,S'-
Final
Storm Drainage
(Raiz 'gain) Final
Sidewalk
Curb&Street Final _
AppLoaqh /,y- 71
BLDG DEPT. FI JAL �— TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
C Landscaping
Zoning Final C
1
117Y OI3
BUIL IG PERMIT APPLICATION TlGARD
THE UNDERSIGNED HERFAV APPLIES FOR A PEnmIT FOR THE 'WORK HEREIN INDICATED
OR AS SHOVIN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF!CATIONS. OWNER PHONE_C 31-3101
_ -=�Ta/��_�, Gr► ADDRESS /Sy93 S IA/S ��atrIMWR PHONE
ENGINFCR
n U I I r)ER Sd ARCHITFCT
DESIGNER
STfiUCTIJRL= ONIW CREh1ODEL ❑ADDITION GnFP/:IR URENCWAL ❑FInCDAMAGE I_;DEb1CLITION
e
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CnELIGIOU'SDPATIO ❑CAnPORT ❑GARAGE ❑STORAGE05LAB Qrr_NCE
_OROND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
CCCU•PANCY t 4NO USE 7ONF __ _CILDG.TYPC Al FERC ZONE'_ PLAN CHECK BY HEAT+�
pgPd G G
,i s
()Cr- LOAD FLC:IR LOAD HEIGHT NO. STOnIES f AREA / f�0`,� V 1LLT� �j�Jcp
13U11_CIINii D(_I'AltTbtfr}l SET RACKS FRONT 3 , F'fAH ( rr / —
�� Z� L-E, IDI• (p RIGIIT SiOf_
Permit I --` - —
1 �7. Co
•�Iau..� ! THIS PERMIT IS ISSUED SUBJECT TO THE RCGULATIONS CONTA,NED IN THE BUILDING CODE, ZONING
/� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
/ ^ F E
t WORK WILL Br DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
;�ecerding �L i ALL APPLICABLE COOL=S AND ORDINANCES. THE ISSUANCE OF THIS PERFMT DOES NOT WAIVE
RESTRICTIVE COVENANTS. COPI-MACTOR AND SUB COMTIIACTnRS TO HAVE CURRENT CITY BUSINESS
S;i;e I 4 1 I LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
I: ---1
LA�pI APPLICANT CR AGENT
Receipt No.
ADC1f7E5S PHONE
S ccs.•i L.�,a� �P S �j DO
74/. //
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71'
ADDRESS "�'I� ��=_�_�, _yL-.,_ •C x��t_.
PERMIT NO.
PERMIT CHARGE none
OWNER ,� C? CONNECTION FEES
PAID BY
TYPE OF BUILDING Lam , DATE CONNECTED
il
SERVICE RATE INSPECTION FEE ,,,' .5 `'
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID