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15521 SW SUMMERFIELD LANE mum 15521 SW SUMM.ERFIELD LANE E c c u R) E u� ■ i ® �r is err ® w s' O V Os 1UP N� I� CITY OF TIGAFZ r- a OREGON ' Owner:....T..D...C........................... ..................................Permit No......1.418... Building Address...1.5521...5!�. Surlmer.f.ie�.d...l an e............ict...j�a�li_ .. '. S. + t Certificate is hereby given this....15........day of.....Augu.at,.............. 1977. (' that said building may be occupied and �. that. it complies with all requirements of the Building Code for the City of Tigard, >y G as approved by the Tigard City r'ouncil. 4 is Building Impectnr Lj+� 1) ^^i r` ► 1 i''� 1 i"� 4��♦ + � ♦ i �"'♦ ^1 ♦"� �}as <'? l t �+y� 4J, �`�' �� .-.�,/ ��,/ ��...� `,s' V' �% � `r::�?,��' \� \✓ � J ,v `� t� til �:� ���/—moi''- ��'—��', ��-. :�..• I City of Tigard INSPECTION REQUEST for I 'SPECTION "AIME : PERMIT NO. : DATEDATE ISSUED .__.LL WNERS NAME . A D D RE S S" i 'EST : Air U, Woter ❑ , Visual , , Laboratory p IESULT: Approved Disapproved C Pending CJ SKETCH. I I I I INSPECTOR ^� DATE 50TE : Attach supplemental tett data hereto] Cit of Ti Y q a rd ; INSPECTION REQUEST for INSPECTION TIME: "° PERMIT N0. ; I DATE: /.i'/ DATE ISSUED :-- "- OWNERS SSUED :-_"_OWNERS NAME :. ADDRESS: " CONTRACTOR : TEST . Air [1, Water❑ lsual 0 , Laboratory p RESULT: Approved TY , Disapproved C Pending 0 I SKETCH: i i I I i I[�I3 P E C T 0 R DATE [NOTE Attach supplemental test data bereta� I s City of -'ward Mechanical Permst tee_ �e : c a New Installation replace ❑ Relocation = Addiuori -� Alteration - i T7T,1 1- -1 54 CONTRACTOR 3 OWN R_ +►-tam:'}: C2 �-- r r . AD0q, ES:-: � � L -Gr ,1,t'�fi WORK ADDRE S t 3 : S.W. ^1��:tne-r!s \�T PHONE is o— 3 i-{� APPLICANT Heat Input Rating (BT?! Per l;q;.� `,fir; Vent Size S " Flue Size ---� FUEL OIL ❑ GAS =!_Er'T r-7 OTHER ITEM %10. FEE ITEM NO. FEE For issuance of Permit 3.00 30 !ers Over 50 HP 25•(}L New- Under 100^00 BTU I i 4.00 Air Handling 10,000 CFM 3.0C New- Over 100 OCO BTUS.00 I Air Hand!inn Over ',0 000 CFM 5.0c-- 4.00 Evaporative Cooler 3.00 F!ocr Furnace 2�t tAia'1 - Floor - Suspended 4.00 I Vent Fan 2 3-« In!tall Vents Rejair- Heat & Cooling 4.C^ i Hood � 3.0c Soilors Und--r 3 HP 4.00 Domestic incinerator fti!vs 3 to 1S hP 7.50 i Comm. Incinerator ! 20.0t Boiler; 15 to 30 HP 10.00 ^,cher Not Listed + 3.0C Boilers'T)m 50 HP 1 15 Jn INSPECTOR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR-ALL CONTRACTORS OR SUB-CONTRACTOPS APPROVED 3Y DATE ISSUED BY OAT: RECEIPT NO. 7-.4 Sim,natm of App nt lONii E. HEIilu!IROT P, I.%,hN ,&bUILDING DEPARTMENT, T1 ARD N0. P. O. BOX 119 PLUMBING PERMIT hitt°ESS, C°[Gq.i 91132 _ holder of a valid plumbing contractors license is hereby n ac authorized to cause plumbing work as herein nfde of athe City to Ilnspelctorled lwho shall be notifiedlth enolt I'bl than four Tigard. Such installations require inspection y (4) hours prior to the time khe installations are ready for inspection, City of Tigard Business License required for all contractors and sub contractors.11 ' A.ddres 0 W n --- -- TOTAL PERMIT NO.'S NUMBER OF AMOUNT (Office use Only) TYPE OF PERMIT - ITEMS Ff E ON EACH v' 25,00 _SinIlle Family-1 both—each ___ ----� 25.00 puQlex_Each 1 bath unit _ ---- 10.00 Additlonal be0rooms—each 1500 Mobile Home SRace—each INDIVIDUAL f—1K1 U--RE F6F;S 3.00 1 to 50 Flxtures in1 buildi_ng—«Ut i 2.50 _ 61 to 100 Fixtures in 1 building—edch�_ —_ --- 0 --- ---- 101 to 200 Fixtures in 1 buildin —each _ - 2.00— .0.00 201 or more Fixtures in 1 buildhry�—each M ISCELLANEO''4S — 10.00 - Bullding Sewer-1st. 50 ft. _ Sewer—eech ixiditional 1'JU ft, _ — --- 10.00 5.00 Weser Service to building_-,___ — — Private Waft--Slstems-^each 100 ft___ -- _ 10.00 Odwr lSpecify): _ _ _ D C1 For Plumbing Inspection Phone 639.4191 PER.41T ' Jr ✓ Plumbing Contractor 96 State _ / . � .� � TOTAL ;' " L RECEIPT NO. Issued 6y — Uf SEWN PERMIT MJ 1214.1 Unified Sewerage Agencyrd 4--21-7 7 of Washington County CITY OF_T1 7r,d DATE OWNER : T.DC .-� _ PHONE :OWNER ' S ADDRESS: TYPE Or INSTALLATION: BUILDING SEWER ❑EJILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ©NEW SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APF! ICANT AGREES TO CuMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID k/ILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 7F+_ ... CONNECTION CHARGE ..75.V SIDE SEWER INSTALLATION _ :.,SUED BY OTHER TOTAL s 600. APPLICANT DATE SEWER PERMIT NV 12141 15`..2.1 SW SummerField Lane ADDRESS O F STRUCTURE�.._—__-__. .— TAX MAP TAX LOT . SYSTEMFanno Creek LOT 334 BLOCK OF _ APPROVED BY DATE ISSdt D BY DATE REMARKS_ 91dg, #1418 CITY OF 1IGA'RD ORDINANCE71 77-76 STREET SYSTEM DEVELOPMENT CHARGE DATE : 4-21-77 ESTIMATED SALES PRICE S 44 660. APPLICANT NAME T.DC. _ iELEPHONE it_ 639-310 ,_ 303 ADDRESS 15521 SLI Summerfield LawJ� BLDG. PERMIT r1416�_� AMOUNT OF FEE FOR S. D. C . 5300.00 DESCRIPTION OF IP1PROVEMENT________-_____-Single family EkEMPTI5NS -PER ORDINANCE #77-26 FEE RATES: A. Sinaie family dwelling unit under $60, 000. --------- $300. 00 8. Sin-le family dwelling unit over >60, 000. •---------- !400. 00 C. Mobile Nome Court Space (Now ;;.150. 00 0. Multi-Femily DEwlli;igs--par unit----------- ------ $240. 00 E. Commercial , Industrial d Instituti.onal(Park. Space) S 50. 00 each F. Single family unit under $40, 008. -------------- -- $250. 00 0 �L1 BUILDING PERMIT APPLICATION G17Y TIGARDof THF UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HFP,EIN INDICATED t�Wt ..6'RPNE---- - OR AS SH7WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ��W'" I''Pr10N�—_. - �oB ADDRESS .� i521 5W ;Iurtwne>L f:ex ��H�MkI� gDR�ss OWNER ARCHITEr- LNGrNEER BUILDER f�►�,c ADDRESS ' —_ rt---t1 DE31rrJ:R .�T_�` 0!_. ----•- STRUCTURE lJnreW ❑REMODEL __❑ADDI?10.� _[-I REPAIR —_LJR@,.NEWAL ' JFIRE DAMAGE pENOLITION O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T OREL_IGIOUSOPATIO ❑CAR POO Iy�.�'._AR�.tTL ®STORAGE[]SLAB FENCE ❑BOND ❑MU\'ING ❑CONDITIONAL USE ❑DESIGNREVIf.W []COUNCILAFIiRC)%IFDI.-JSIGNS-- —..— --- _ OCCUPANCY-1_ LAND USE ZONE E=z- BLDG.TYPE—. FIRE ZO VES. lut , Mk 1b re_l,6¢IUg sande a>a 1 ►31 aW !;,ummorrjel l ------- Fraame (fuelling a/I>attachwad garage 2 bedrrium 7 Wirth_ FLQORL9�P__. __�_--.NEI o STORIES r. I -AP�€A.�la��rl�•�44N��5� ye>�€_._`�1;'�ps ., - _BUILDING DEPARTMENT SET BACKS FRONT REAR Y_ LEFT SIO[. RIGH"[ SIDE Permit I":, - - -- THIS PERMIT IS ISSUED SUBJECT TO THE RECIJLA"PIONS f(1NT.aIPeED IN THIi BUI ":,,JG CODE, CONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE --- — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS MITN DOES COMPLIANCE NOT WAIVE Sub-total ALL APPLICABLE ('ODES AND ORDINANCES. TH:E ISSUANCE OF I RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State. Tax 14,36 LICENSE SFPARATE PERMITS REOIARED FOR SEVAIER, PLUMBIN,; AND HEATING. Total 1!!ia• � l By A71 IC ANT OR AGENT Approved stw Receipt i.: i. -- DATE TINSP. TYPE INSPECTION �- --- 9EMARKS — PLUMBING _ DATE -� Contractor — !/ Permit No. C7 / Rough-in Fixture -- zwJ- —. _ Final HEATING Contractor Permit No. U- L Gas or Oil Final ,_— -- -- -- SOWER -- -- — — -----_ ._—_ Final— _ -- -- — —� DRIVEWAY Final I Drainage Drain) Final alk &Street Final oachQL.DG DEPT.FINAL TEMPORARY CERTI`ICATE OCCUPCERTIFICATE OCCUPANCY ( scaping ng Final CITY OF BUIL aC PERMAll" TIGARD L ` .��a .,��-2. N° %� THE UNOERS!GNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEnEIN INDICATED I 1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE C r+IEn �►��� - ADDRESS BUILDER PHONE ENGINEER jet Dyjt — AnCHITFCT DESIGNER STnUCTUnE L'1mrw ❑REMODEL ❑ADDITION ❑!]EPAIR ❑RENEWAL OrmE DAMAGE ❑DEMOLITION CnE•SIDENCE ❑COMNI ❑EDUCATIONAL CGOV'T ❑RELIGIOUS OPATIO ❑CAR PORT ❑GHRAGE ❑STORAGE CISLAB ❑FENCE ❑BOND CMOVING ❑CONDITICNALUSE ❑DESIGN REVIEW CCOUNCIL APPROVED EIS!GNS Oi rUPAN*C'Y:�[7--I AND USF 7ONE--&--2—BLDG.TYPE F!nE ZONE_— PLAN CHECK BY HCAT } ci I1Q C�c�1,ae� tf'r f.n:►n FLt;nn IOAI] FfEIGI-fT 2-o NC).S TOnirs AnEA IUu IIUtLE!IfdG 0LPAi1TMFNF SET RACK; FI'ONT / . FAfI Z LEFT SIOC S� mcifT SIDE Pcrmit ;� ` THIS PERMIT IS ISSUED SUBJECT TC THE nLGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Man Chcrk It REGULATIONS AND ALL APPLICAnLE CODES AND OnDiNANCES, AND IT IS HEREBY AGREED TI4AT THE '----i NOnK WILL BE DONE- IN ACCOnDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ficcotd ny �t it ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ESTniCTI%'- COVENANTS. CGrITftACTOn AND sun CONTnACTOIIS TO HAVE CURRENT CITY BUSINESS State 4 LICENSE. SEPARATE PERMITS REOUInED FOR SEWER, PLUMBING AND HEATING. Total p ii APPLICANT OR Ir � ENT Approved �� Receipt No. �-p ��� ADORES5 PHONE �VIC�JI�I( � oZS� \ScAlkw-j- 575 oa r PERMIT NO. ADDRESS1-''_.J_ a i_:Jt PERMIT CHARGE none ,,jNFR CONNECTION FEE -_`� �•5 op PAJD BY TYPE OF BUILDING DATE CONNECTED 5 SERVICE RATE ', INSPECTION FEE _ /4 CONTRACTOR PAID BY _ DATE ASSESSMENT PAID SIZE OF CONNECTION _ , ---- —•�-