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15537 SW SUMMERFIELD LANE rw v w �17", W!xvFJu;�QwjmumLluw 15537 SW SUMMERFIELD LANE t. r tU r_ N J Zl N c� N 4) E E .1 cl) 3 crn N r, �r) ut � MWir' � atdr � 1� �e 715 OF 0c, CITY OF TIGARI] . . ............................... . Pot No. . Building Address........1.55.37...5W...SA4 ..r._f. eld...t.ane. . Lot..#335........... tificate is hereby given this.....2.4......-.day of........Au.gust.... ...... 19....77 Cep that said building may be occupied and r �; complies t�-ith all requirements of '4. that it compl � ! ) a \' g the Building Code for the City of Tigard, t<.s approved by the 'rigyard City Council. ; ................... _ ^?)< Building inspector fy -/ V%- �% .w� \;� F � 11 ii+� lj 4o,* l? �. ' I, 4V',�R♦ I 1 W r�. I I�WI�M U I Flw-MRAKP = __ I City of Tigard I INSPECTION REQUEST for pz t� P f2t,rEE �_l � S r D6,1X I A-tc - _ INSPECTION TIME: . PERMIT NO. :-- DATE: O. :T_DATE: /:31/ 27 7� DATE ISSUED .- OWNERS SSUED :_OWNERS NAME : A DD R E:3 S: L-f�r - ' r� LI 1v�Ivlk R F t IE 1 CON'TRACTOR : �'�N� /`�_�®"=c. _ -- rF ST : Air p, Woter O , Visual P�, L obor ator) [] RESULT: Approved Disapproved L , Pending L] SKETCH: I 7 7 INSPECTOR DATE FrTE ' Attach supplemental test data bar eta j f s v Cit y o r lid Mechanical Permit JN; Per�,i: �3.ao ■ ,�,/�` ��•oc i New Instal;ation Replace ED Relocation � P'dition r Alteration 0 Fee TOTAL '�•�� CONTRACTOR1]4Rl.L_ OWNER ZIL.,,3._� / � (LAr ADDRESS � WORK ADDRESS S_W.S�►�:,,,�,�� W PHONE -- A°DLICANT - S Heat Input 'dating f,97J, Per I;o� — Vent Size Se`s F'ue Size �--� FUEL OIL C GAS ELECT = OTHER ITEM 0. FEF ITEM NO. FEE For Issuance of Pemrt 3.00 Boilers Over 50 H? 25.0C New- Under 100 COO BTI; i 4.00 Air Handling10.000 CFM I 3.CC New - Over 100,000 BTC! 5.00 Air Hand!i Ove, 10,000 CFMI i 5.1)c Floor Fumaee 4.00 Evaporative Cooler 3.0C Wall - Floor - Suspended 4.00 11 Vent Fan 2 OC Instell Vents I 2.00 Vent System ' 3.0C Repair- Heat & Cooling 4.00 1 Hood ► 3.0c Boilers 'Under 3 HP 4.00 Domestic Incinerator 1 551: Boilers 3 to 15 HP 7.50 1 Comm. Incinerator 20.Ot Boilers 15 to 30 HP 10.00 I Other Not Listzd 3.00 Soilers 30 to 50 HP 15.00 I INSPECTORS COMMENTS- CITY 9:5;\ESS _ICENSE RECUIRED FC'1:A__ C(CINTP,A-1-rC)P.S OR SUB-CCNTR.A=P.." APPROVE^ 3Y DATE ISSUED BY OATS - 1 RECEIPT NO. 774 Sim—cure of App"cant ,* lON4 E. R[ii'N,4Rg1 P,tpBihl6, IKC,3UILDINc� DE:''nfiTmLI01T, TICiAF�D NO. P 0. COR 119 PLUMBING PERMIT _ _ NEI'i3Efi�, C?[G�;1 91131 _ holder of a vain ;dumbing con.:ractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbinci code of Tigard. Such installations require inspection by the City Inspector who Shall be notified not less than four (4) hours prior to the tirne the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contract,jrs. Owner�l.C�1� .�� – –�i' _ Address/.55 7 NUMPFR OF TOTAL I'ERMIT NO.'S TYPE CF PERMIT IT AS FEE: ON EACH AMOUNT (Office Use Only, _�S L>ZEN I I A L __ A--- _ _.— _ V" f) c*= Single Fnmil -1 beth-each 25.00 Duplex-Each 1 bath unit _ _ 25.00 Additlonel bathrooms-each 10_00 Mobile Home Space--each 15.00 IND- IV103AAL FIXTURE FEE_ L 1 to EO Fixtures in 1 buildi: -each _ 3.00 _51 to 100 Fixtures in 1 builq±aL!ech _ ____ 2.50 _ 101 to 200 fixtures in 1 building-each 2.00 201 or morpfixtures in 1 buildin -each 1.50 MIS( ELLANLOUS Building Sewer-1st 50 ft. 10.00 Sewar -each additional 100 ft. '! f 10.00_ Water Service to buildin _.______. _ 5.00_ _Private Water Systems-each 1_00 ft. _ 10.00 Other (Specify): PERMIT $ For Plu nbiny Inspectioa Phone 6394191 96 :State / j.J Plumbing Contractor '1701 AL r NECEIPT NO. Issued By r E r City of Tigard I INSPECTION REQUEST cl/ for INSPECTION TIME' _ 42 /22 PERMIT NO DATE: -ZES�1 7 DATE ISSUED :_ZL_ I OWNERS NAME : _. ADDRESS:CONTRACTOR : TES r : Air EJ, Water[I , Visual [I , Laboratory 0 RESULT: Approved , Disapproved CC Pending 0 SKETCH.' IN ECTOR DATE [:NOTE. A•tach fuppianiental tort data bar eto] 10 4 SEWER PERMIT N 12212 6UAf � Unified Sewerage Agency Tigard 4-14-77 of Washington County CITY OF DATE OWNER : T_n_r _ _ PHONE :—_ OWNER ' S ADDRESS: TYPE OF INSTALLATION: 411SUILDING SEWER ❑BUIL- ING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ®NEW SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS PERMIT CONDITIONS: THE APPLICINT AGREES TO COMP " 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 WILL RE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE 3 25_ CONNECTION CHARGE 5-75r SIDE SEWER INSTALLATION _ I SSI1=0 BY O) HER TOTAL s 600• APPLICANT DATE SEWER PERMIT NV 12126 ADDRESS OF STRUCTURE_ 15537 SW Summerfield Lane r TAX MAF — TAX LOT SYSTEMu i OT i3r� BLOCK V OF T _ APPROVED BY DATE ISSUED BY DATE 1F11ARKS Bldg. #1398 CITY OF TlGARD ORDINANCE #77-25 STREET SYSTEM DEVELOPMENT CHARGE DATE s4-lq � ESTIMATED SALES PRICE 3_55_100Q.00 APPLICANT NAMET.D.C� TELEPHONE #_ 639-3101 _ JOB ADDRESS 15537 SW Summerfield Lane ©LOG. PERMIT 1398 AMOUNT OF FEE FOR S. 0. C. 300.00 DESCRIPTION OF IMPROVEMENT— aingle_ family dwelling unit. EXEmpuliNS -PER ORDINANCE 477-26� FEE RATES: A. Single f�imily dwelling unit under $60, 000. ---- ---- 5300. 00 e. Single family dwelling unit over $600. 00 C. Mobile Home Court Space (Nnw Develorw.ent)---------- $150. 00 0. Multi-Family Dewllings--per unit----------------------- $240. 00 E. Commercial , Industrial & Institutional (Park. Space) $ 50. 00 each F. Single family unit under $60, 000. ------------------ $250. 00 WA. -1 - >`' BUILDING PERMIT' APPLICATION " TIGARD DATE 4-14-77 ,9._- THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE- ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNF_R FHONEY_____ OWNER T.D.E. JOBADDRESS 15A 5-- 5ummsrfLM1djsAL1iEqADDRESS ARCHITECT ENGINEER BUILDER lam Rte_ -- ADDRESS DESIGNER STRUCTURE '1_.iNEW 1:1 REMODEL ❑ADDITION (JREPAIR ❑RENEWAL, ❑FIRREDAMAGE ❑D(:MOLITION sQ iBFSIDENCE ❑CGMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS DPATIO ❑CAR PORI ❑GA.RAGE L,_. --)RAGE❑SI_Ati EIFE.NGf_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED rlSIGNS OCCUPANCY----!—LAND USE ZONE. f�+7 BLDG.TYPE tl _FIRE ZONE`PLAN CHECK BY H .AT,_tUL13 33`., taw vc -103UG 6011111110 Jaz l:.)61.3 Swl 5UMMerf ield Lrl, -- frame duL:11iI16 uIkat hrad t:u:l 6L 3 be ragm 'I hnLh OCC.LOAD _ FLOOR_LQ$Q_--. HEIGHT ___ N-Q- STORIES 2 AREA 20§k—N-Q—UM!iQQMII-____YALUE4 .,QQQ .__ BUILDING DEPARTMENT SET BACKS FRONT .16 REAR 15 LEFT SIDE RIGHT SIDE PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL-DING CODE, ZONING Plan Check I 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANt CS, AND IT IS HEREBY AGREED THAT THE ��— WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND ;PECIFICATIONS AND!N COMPLIANCE WITH SUb-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUAf.CE OF THIS PERMIT DOES NOT NAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEAPING. Total BY _ APFILIC'.ANT OR AGIF N' Apprejed Rempt No. ~} UAT c INSP- -YPE INSPECTIO,Ns- REMAHKS PLUMBING DATE Contractor Permit No. L7 --T^_ Rorlhin Fixture Final HEATING Contractor _ Permit No. —aLx�n(, ��y / Gas or Oil _ Rough in _ Final - — — -- — SEWER `) Final _ DRIVEWAY Final —_ Storm Drainage _ V _ (Rain Drain) Final rS-3►-'l 7 Sidewalk L Curb&Street Final _ Approach SLOG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping CZoning Final i i U 1• _ LULy 1C PERMIT APPLICATION 116ARD , 4-►�- , - . 19M ►`�I- 3,g ` 'r,HE UNDERSIGNED HEPEQY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED i , OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE- ag-Z—�,lyF1 ".�t�.a��.C• Anvnrss1553f1 Dull or-n P!40PIE r:NGtNFEn /tinGttlT(•CT DESICNFn STn.1r:T�JnE Wfry ❑nEMOD[L ❑ADDITION ❑nCPAIR ❑RENEWAL ❑FtnEDAMAGE ❑DEMOLITION q�/^•L'J'I:c��LE t�GOh�l.' ❑EDUCATIONAL ❑GOV'T ❑nEL!GIOUS CPATIO ❑CAR PONT. ❑GARAGE []STORAGE OSLAG ❑r-CNCE C_illO+'J lJ?. v,t.j C❑CCNDIT!ONAL USE ❑DESIGN nrViEW ❑COUNCIL APPn0VED ❑SIGNS ff_i.'A'."Y�,l•,�I-A!.i) 11;E ��tlr__ � at_DG.TYPE_ —^ Fln ZONE rlANCH[CKdY____e!2bl,'_lr HEAT_ - Loi nrr ! n:.n` _—_rLnf n 1_flnn _ Ilrlrtn NO.;Tnnl[SAnrA A1.11r: C1l: ft��n-t�if:�; nt.rntt!tnrrlri -------It---- i -- - C .* -r_if1NT/ Q _ r[nt! -- t_ErT;Itl[—� �,it:!!Tslof_ — --j( THIS PERMIT IS i:SUCD SUa1EC. "D THE nEGULATICNS CONTAINED IN THE BUILDING CODE, ZONING Pi:,r? C cc:!t (O REGULATIONS AND ALL A!PLXI:" " CUCES AND OnDINANCES, A140 IT tS FIEREGY AGREED THAT THE YORK WILL RF DONE_ IN ACCGnDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICAULE CODES A?Yrl ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE —~{ nCSTIiICTIVE COVENANTS. GON-flIACTOn AND Stift CONTnACTOi1S TO HAVE CURRENT CITY BUSINESS .rilaiC LIC[NSL. SE►' ,FIATT- i'LFIMIITS 11E0UIPE-D rOH SEWER. I'LLIMUING AND HEATING. K To cs' .n,v APPLICANT OR uENT 1171,OVVl:d cccipt No. Af�U11E;5 PHONL osawe� � 5?5� � �_ It Address -' Cn Permit No. Permit charge 22[x?? Owner Connection fee S �S Paid by o-�/ L� C. Type of building � , DAte connected _ Service rate / 5/,; Inspection fee Contractor _ Peid by r� _ date Size of connection Assessment Paid