15498 SW SUMMERFIELD LANE ff ! lr S JUNXw
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15498 SW SUMIMERFIELD LANE
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5 ILDING PERMIT APPLICATION COF TIGARD DATE__.^- 2 N-
U
HF LINDE RSIGNED HEPEBY APPLIES FOR APEt"MIT FOR THE WORK HEREIN INDICATED BtJiLDER PHONE
OWNER PHONE —
UR AS SHOWN AND APPROVED IN THE ACCOMPANYING P NS ANU SPFC,�F ICAT ION;. LOT NO
- n_ KpHOME AUpL?(yROkkS5
((( � i� IUB ADDRESS /'J-s,c ARCHITECT
n ENGINEER
"-- DESIGNER _
i 'EIRE '�EWy—OREM09DEL�__ DDITION �OHEPAIR —,1JRENEWAL— ❑FIRE DAMAGE []DEMOLITION
,it NCE
[30-IMM COEDUCATIONAL ❑GOV'T DRF0r,oUSDPATIO OCARPORT ❑GARAGE ❑STORAGF [ISLAS []FENCE
POND ❑MOVING C3COI",.ITIONAL USE ❑DESI N REVIEW DCOUNCIL APPROVED []SIGNS
'FANCY ,LAND USEn2UNE_ _il_^ - BI DG.TYPE .__�i�LFIRE ZONE==It PLAN CHECK BY
- --...Lam---\ - --- -----•-------- - -
FbOQRJ.4AQ_ __ __ LE!G►�T — -NQ�I4EIE�.---_�ER�9_ _►Y�BE�R40MS VAL�IE �v —
BUILDING DEPARTMENT SET 8ACK5 FRONT REAR LEFT SIDE ^-• RIGHT SIDE _
.._.
r CrfTllt
--- - THIS PERMIT IS ISSUED SUBJECT TO 'THE RE�ULATIpNS CONTAINED IN THE BUILDING CODE, ZONING
Plan Ch ck REGUI ATI3NS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HER
AGREED THAT THE
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WII H
Sub Intal %LL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RLSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
�!'Ialr `- 4 LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Tata)---- / v ---- --__------
BV 7 APP, rCANt OA AGENT
Apptoved No
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78
BUILDING PERMIT APPLICATION cOF TIGARD DATEMerCtl_ 90 _.' 19 "39
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE 1072
OR AS SHOWN AND APPROVED IN THE ACCOMPANYINC PLANS AND SPEC1f3���TIONS. OWNER PHONE
1 Y LOT NO.�..
OWNER Rose Fronkli`n JOB ADDRESS 1.`496 SW Sulw,rfis :1. ADDRESS _
ARCHITECT
Pacific f:olit AWf11f'[LiRESS ENGINEER
BUILDER
t--t pESIGNER
�SIRUC.. 9E ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR _❑_RENEWAL ❑FIRE DAMAGE _ ❑DEMOLITION
LJ RESIDENCE ❑COMM [:]EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND_ ❑MOV ING [:]CONDITIONAL USE ODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS —
I R—? 5N 3 T--.� ---
OCCUPANCY_ LAND USE ZONE_ .BLDG,TYPE. FIRE ZONE_ PLAN CHICK BY HEAT_
LunBtruc:t Prefab metal awning "all per plans and I. rale requir lariente.
—�--- Approu.xd by )ummerfi.rald Arch,, committee.
$500.00
Q"_.L)ALL_--FLOOR 4QA- _ -.-+_€1CU_____N_Q_5 ORIES____AREA —1ySZ�EJZH'�4MS VALUE _
I BUILDING DEPARTME14T
l� —x.�— SeT BACKS FRONT REAR Li FT SIDE RIGHT SIDE —
Permit .010
THIS PERMI I IS ISSUED SUBJECT TO THE REGULATIONS CLP'4TAINED IN THE SUILDiAG CODE, ZONING
Plan Check REGULATIDNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL Cif DONE IN ACCORDANCE WITH TIDE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THC ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRRCTORS TO HAVE CURRENT CITY BUSINESS
State Tax ° LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
l
oved _ Receipt No AT ':AN- OR AGENT
/ / JEW= /
Address ��,<<, �.�y .��v P e r m i t N o. G:.fQ..�
_ Permit charge
Oiiner _ Connection fee
Paid by
Type of building .{ < , Cate connectAd
Service rate / InspFction fee S
Contractor _ Paid by date
Size of connection Assessment _ Paid
w leer ow air
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ice"..,♦ ti'"". I < 1 I
\,.� �� - � .•.:' 1 �'.�' �� ?,.+ !1 "..:..1 l1_>w:�� l�1�'w:,u.4 0 o � i �.1 {':, .:aJ � i
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CITY OF T IGM.D
OREGON
_¢ ONner:...T.D.C......... ........ _........... ........... Permit No...1105.. ....
. ...
15498 SW Summerfield Lane
Building Address..................
Certificate is hereby given this...3 ........day of....J nuerY......... .,
that said building may be occupied and .
that it complies with all requirements of L7 �
the Building Code for the City of Tigard,
' (> as approved by the Tigard City Council. y
r �
...............
Building Inspector ,(+
y....� 1 � I a U f+ i=4 "4 U :'3 U 4;!Z* J �r
�� r M 1. .• U .i t. j'�; .rte `i e's rr ..� s e.r r.► � � 1
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w w' lw w w w Fw in w
JOHN E. UlWi',1391 PE TING, 1R. BUILDING DLPAK [MENT, TIGARD NO
P 0 BOY 170 PLUMBING PERMIT � v
NEWBERG, OREGON 01132 _ 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
Tigan'. 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 con ractors and sub-contractors.
C`ct.-10.-? Add ress/Jr'S�Z�'
NUMBER OF TOL T FERMIT NO.'S
TYPE OF PERMIT ITEMS FEF ON EACH AMOUNT (Off cc Usa Only)
Sinylo Femily-1 both--each _ _ `� 25.00
Duplex—Each 1 hath ung —_ 25.00
Additional both rooms•-each —_ _ 10_00 i_ Q, CSU
Mobile Horne Spcce`each _ _ _ 15.00
IINOIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each _ 3,00 _
(u 51 to 100 Fixtures in 1 buildincL—each 2.50
101 to 200 Fixtures in 1 building—each 2.L0_ _
201 or more Fixtures in 1 building—each 1.50
MISCELLANEOUS —
Building Sowor-1st 50 ft. — 10.00
Sewer—each additional 100 ft. 10.00
Water Servico to building —^ :.00 _
Private_ Water Systerns--each 100 ft. 10.00
Othcr S ecif
_PERMIT -j i CSD For Plumbing Inspection Phone 6394191
% Stato Plumbing Contractor By
TOTAL RECEIPT NO. Issued Ey
v
v
v
v
v
City Of Tigard Mechanical Permit hyo � ; $31110 v
__?__ Fee
New Installation. 12 Replace Relocation 7L-7- Addition E! Alteration Cl
TOTAL
—
CONTRACTOR L`0A.s `�,Q' eQ A6,r—t 9— 1 OWNER iy i.rJL�� .�i�)_ _►.icy. v
ADDRESS �- _ �n y �S. �--kr�"�� WORK ADDR $S
PHONE_ — APPLICANT
Heat Input sating (BTU Per Hour) \too Q=Az� Vent Size Flue Size
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuar.ce of Permit 3.00 ' :;oilers Over 50 :-iP 25.00
New - Under 100,000 BTU I 4.00 Air Hanc:line 10.000 CFM 3.00
Ne•N • Over 100,000 BTU 5.00 Air Handling Over 10 000 CFM 5.00
Floor Furnace 4.00 Evaporative Cooler 3.00
Wal! - Floor - Suspended 4.00 Vent Fan 2.00
Install Vents 2.00 ' Vent System 5.00
Repair - Heat & Cooling 4.00 Hood 3.00
Boilers Under 3 HT 4.00 Domestic Incinerator 5.00
Boilers 3 to 15 HP 7.50 Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 Oiher Not Listed 3.00
Boilers 30 to 50 HP 13.00 i
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
RECEIPT NO.
n. ------ -- Signature of Appli6ent
A
t
C141y or Tigard
INSPECTION REQUEST
for
INSPECTION Ti ME : T) - PERMIT NO. ', —
DATE :
O. 'DATE : D.-JE ISSUED:.. L—
OWNERS NAME : ----
ADDRESS : # IU41a
C ON T RA C T O R . ------ -- -----
TEST: Air D, Water a, Visual [�;taborator; Q
RESULT: Approved ET", Disapproved Cl , Pending ;]
SKETCH:
I SPECTOR DATE �
CNOTE : Attoeh supplementalee, data heret]
I
�mr•
UNI IED SEWERAGE AGENCY N0. ----_10663 _ --
WASHINGTON COUNTY DATE I 1-76
CITY O
Tigard
F___-
/APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: (' .h.('. -
OWNER'S ADDRESS: ------- _ -._----__-.-- -__
STREET
CITY STATE 21P
BUILDING SITE- LOT 376_____ BLOCK _.__.___.____ ADDITION
TAX LOT N0. TYPE OF OCCUPANCY ______residence
ADDRESS 15498 SW Summerfield Lane.
DWELLING UNITSFIXTURE UNITS
SURCHARGE IF APPLICABLE__._._____—__-
PERMIT FEE _ '?x•_0.0______ INSPECTION FEE _ .•pOTOTAL DEPOSITED 600. 00
(NEW) (EXISTING) BUILDING SEWER SYSTEMtz��*''�
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - . INSTALLER _ _ __ __.. ---______----------
RECEIVED BY � __::-'_ '_.-.� � • r , � __ .. _...__ _. . __ _
(AGENCY OR ITS AGENrI
COMMENTS: 81 Qa.__;=11q_5.
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited )ould expiration occur.
BUILDING PERMIT APPLICATION CIT TIGARD DATE10..7-1-76 _, 19—.— � Isis
OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APFROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE --
Ce r 1 LOT NO,
WN ---
OER ��� JOB ADQRESS 15490 SLI Summer fIold41,-ADDRESS
ARCHITECT
ENGINEER
0$fit.
BUILDER —�—ADURF_SS r—t DESIGNER ^.
STRUCTURE ONEW ❑REMODEL ❑ADDITION _ r❑--��REPAIR L_1RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
Sp_RESIDENCE ❑COMM ❑EDUCATIONAL UGOV'T ❑RELIGIOUSUPATIO ❑CARPORT []GARAGE ❑STORAGE❑SLAB_❑FENCE
❑POND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
a 1.:.
UCCUPANCY----LAND USE ZONE BLDG.TYPE - FIRE ZONE. PLAN CHECK oY _ HEAT_
List #376 PIK XV P Fa—zagua s sine as .R C 6i SW_Summf,rf iwld Lon„
Frame dwelling W/rattA.e.htid tgora6m 2 bedruome 2 bath -- _
HEIGHT NO,ST0HIES_x__ABEAL490 NO.BEDRRQOM'�_Z VALUF �7���7•
BUILDING DEPARTMENT SETBACKS FRONT 131 REAR 110 LEFT SIDE J� RIGHT SIDE `S"
Permit .E�:"1•�1Q =— ------ — — �—^.--------_-- --._—..-- --�-=
lois
no THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULAT10iIS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
93 RESTRI:TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �� LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 114.93
By - --------- -
__ ICAN1.OR AGENT --
Approved II ` j�,l _ Receipt Na.'',P � F r'
P _01f.-N E
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UATE INSP, TYPE INSPECTION i ARKS °LUMBING DATE
L2-!v' !o —� Contractor
�o Permit No.Oz-
Rough in -- —
Final
HEATING
/— - / 60 'Y" _ Contractor
—+ Permit No. G✓ — ,7/ /,��/�
,iZ 7 ' titi� Gas or Oil _
Rough-in --
_ Final
_.—_---- —' SEWER
Final
- —_— -- -�-_�----- DRIVEWAY
--- -- �__ — Final --- --
- — —� Storm Drainage _
(Rain Drain) Final
Sidewalk
Curb&Street Final
_ fA roach
BLDG, DFPT. PINAI TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
CC Landscaping
Zoning F final
I
I
BUIL PERMIT APPLICA T ON TIGA D N2
THE UNCUrbiGNED HEREBY APPL!:S FOR A?ERMIT FOR THE WORK HERLIN INDICATED `
OR AS SI-40WN AND APPROVED fN THE ACCOMPANYiNG PLANS AND SPECIFICATIONS. OWNER PHO�r_ ��9- 3/oI �
1�l•,lFF��� ,� Qtrt �. nc.DnF ss /;Sg98ryfd�OUd4ig"ONE
ENGINEER
ALL- , Oa."4r- �-y ARCHITECT DFSIGNEF1
STnUCTURE ANEW 0nEMODEL ❑ADDITION ❑REPAIR URLNEWA L Or FtE DAMAGE ❑DEM21.ITION
RCSIDFrtCE ❑COMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO OCARPORT OGARAGE ❑STOnAGE0 SLAO E PE-NCE
OROND OAtOVING OCONDITIONAL USE ODEStGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
0r,!UPAN'CY__=-_I_AND USL ?GNr- _OLDG.TYPE —FInC ZONE PLAN CHECK 13Y- HEAT-gjAr.#_-
L.�
�� - ,ssyC s.....� sl >srF� �t.,l. f�....-...er f:'� �•t..�
�r� s w�s✓c/�i..� sJ J���fjc c.`�-sem om.-W A dr - --- —
N
LI (1 Ln!lf) FI.00f1_L r1AO HI IGIIT NO.STORIF..S AREA kj"jp VAL Ur
BLPL ZING DEPAHTMUI r ° ' °
SET BACKS FHi5NT __REAR / LEFT SIDt- RIG-4T SIOC
I'rrnnt I
12 /•t2D ----- -
f � THIS PEnhIi i IS ISSUrD SUR.IECT TO Tl.E Rf_GULATIONS CONTAINED IN THE nUILDING CODE. ZONING
REGULATIONS AND ALk. APPLICABLE CODES AND ORDINANCES, AND IT IS HERCOY AGREED THAT THE
WORK WILL DE DONE_ IN ACCOnDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ReCOrd•n•.� ALL APPLICABLE CCG, S AND ORDINANCES. THE ISSUANCE OF THIS PERMFT DOES NOT WAIVE
RESTRICTIVE COVEN'kNTS. CONT11ACTOR AND sun CGNTRACTORS 10 HAVE CURRENT CITY OUSINESS
State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total !
�'• ` APPLICANT OR AGENTT--
i;rl,ruvc� I Receipt No.
L T.Q 4'.
A UO Fl L55 PHONE
z .elo
shier JGri'01111- vp
.575.ao
734. 93