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15540 SW SUMMERFIELD LANE 13540 SW SUMMERFIELU LANE I a� c ro ti m �L N n� E E 7 Ln D cn v Ln I f<< ..M : OF 0 TIGARD Nc !�. CITY OF Y OREGON �. T.D.C. _..._.......Permit No .147.3 Owner:. ... .. .... ... _..................... .... ....................... Building Address....15540 SW Summerfield Lane Lot #377 ' Certificate is hereby given this........?.......day of...�?ecemher................ 19 .77..... t that said building may be occupied and that it complies with all requirements of the Building Code for the City A Tigard, i a� approved by the Tigard City Council. .' Building, lnspectnrMww I- c `7r r �+`:Sr:3 "-T-"'r,-i7�-;.�::"+—.i—• — - - --- - ,q�j - - — = att�s � . r AQQRE55 .� S v pE RrlIr fJO. IQ / 7Y F PERMIT CHARGE none � OWNER .�_ __.. _..�.� CONNECTION rEE S7, ._..�_ _ ._._.. ..._..._,.. . �....,. P i U 0 Y TYPE OF DUILDING -2rG� DATE CONN f:TED 5E.FtUTCE RATE INiPE'CTION FEE S CONTRACTOR PAID UY DATE SIZE OF CONNECTION _ __- ASSESSMENT _ _ PAID � I I I City of Tigard INSPECTION REQUEST for INSPECTION TIME: ' " PERMIT NO. : DATE: 71 U2Z DATE ISSUED .' 1 OWNERS NAME : ADDRESS: ._ CONTRACTOR : TEST : P+ir [], Water[] , Visuol ,w,, L.aboromry p RESULT: Approvedv , Disapproved C , Pending C' t SKETCH. I 1 1 f I I I IN PECTOR DATE COTE : Attach supplcmental test data hereto I I is A E. RLlNHARBT Pl.11t+lBlllG,IRCBUILDING DLPARTMENT, TIGARD N0. P. 0. BOX 129 PLUMBING PERMIT ! _ NEWBERG, ORLGON 91132_ _ holder of a valid plumbing contractors lice'-se 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) Flours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Owne �C'!E�lt.xx X/lGi, Addres '� � �{� ��C>x'� e�tets, �ril�_ NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Single Femily--1 bath—each _ 25.00 — -- au lex—Each 1 bath unit25.00 _ Additional bathrooms—each — 10.00 zo • eq _Mobile Home ince—each _ 16.00_ 4 INDIVIDUAL FIX LIRE FEES — } 1 to GO Fixtures in 1 building-each 3.00 l 1 _61 to 100 Fixtures In 1 building—each 2.60 -- 101 tr,200 Fixtures In 1 buildir —each 2.00 201 or more Fixtures in 1 buidl=-eoch 1.50 _ I MISCELLANEOUS Buildin Sewor--1st 60 ft. _ 10.00 _ l Sewer—each additional 100 ft. 10.00 water Sa vice to bulldl_gn r 6_00 Private Water Svsterns—each 100 ft. _ 10.00 Uther (S,PeofPy): PERMIT ;Zr` C1e) I ror Plumbing Inspection Phone 639.4191 `K State / y � Plumbing Contractor By /4C TOTAL � � �,'S RECEIPT NO. Issued By -- _ tiwlel C ty of T; at'� ,1�ec anic��i erm!t - Permit 53.00 0 Fee New 'nstalietion Replace Q Relocation r' Addition ❑ A!terat on ❑ TOTAL OWNE CONTRACTOR ��Lir2A.��L�lt1,7.��z \ ADDRE� � Z ��'�o $,(1!. �,.l.+�•�tlLr'�lc•o � WORK ADDRESS (Lur � APPLICANT � Heat Input Ratine {BT'J Per 1-i _1 s4 Vent S;ze S � Flue Size �'�• FUEL OIL C CAS ELECT !-1 OTHER ITEM _ R'7. FEE ITEM NO. FEE 3.00 3oiters Over 50 HP 25.00 For Issuance of Permit i _f 3.0C ;'ew- Under 100 000 13TU 4.00 Air Handling 10 000 CFM New • Over 100 000 8TU I 5.00 l Air Hand!ino Over if)-non CFM i 1 5.00 4.00 E native Cooter 3.00 Floor Pomace � 2.00 Watt - Floor Suspended 4.00 Vent Fan Install Vena 2.00 Vent System 3•a 4.00—- N ood 3.00 Repair- Heat & Coolin5.OE Boilers Under 3 HP 4.00 i 0.omestic incinerator 7.50 Comm. Incinerator 20-0cBoilers 3 to 15 HP 3,0C Boilers 15 to 30 HP 10.0') i C`her Not listed Boilers 30 to 50 HP 1115.00 INSPECTOR'S COMMENTS- CITE 3USI"4ESS LICENSE REQUIRED FOR-ALL CONTRACTORS OR SL'?-CONTRACTORS APPROVED BY DATE tSSJE7 3v DATE RECEIPT NO. 9 774 A City of Tigard INSPECTION REOUE�T far INSPECTION TIME :— PERMIT NO. : --- DATE: L //, )JZ DATE ISSUED*. .�_L OWNERS NAME '. --- AD DR E S 3 - AME '. -ADDRESS : ---- -17 CONTRACTOR :_ TEST. Air 0, Water �� , Visual 0 , Laboratory p RES'1LT: Approvad Disapproves L1 Pending J SKETCH' i 011-716 INSPECTOR DATE NOTE : Attach supplemental fest data hereto SEWER PERMIT U'f W M' 12178 Unified Sewerage Agency CITY OF Tigard DATE -31-77 of Washington County -- — —� OWNER : ------ T.D.C . - PHONE : 639-3101 - ----- OWNER ' S ADDHFSS : - -- -- --- _ TYPE OF INSTALLATION: ❑BUILDING SEWER []BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ©NEW Q SINGLE FAMILY ❑ COMMERC_IAL ❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULI . RES. ❑ INDUSTRIAL FIXTURE UNITS _ DWELL.ING HNITS �1 . PERMIT CONDITIONS: THE APPLICANT P 'EES TD COMPLY WITH ALI- RULES AND REGULATIONS OF THE UNIFIED SE' E AGENCY . WHEN CA�!_ T_NG FOR INSPECTION, PLEASE REFER TO THE P:-., NUMBER . THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERNIT FEE $ 25. CONNECTION CHARGE 575. �— SIDE SEWER INSTALLATION ISSUED BY OTHER ---- TOTAL $ 600. 77 APPLICANT DATE SEINER PERMIT N° 12178 ADDRESS OF STRUCTURE _l. sf -Q1d-L`'nP — TAX MAP _ __ TAX LOT SYSTEM Fanno Creek LOT — 377 BLOCK _ -- - --OF -- APPROVED BY DATE ISSUED BY DATE REMARKS ITY Lir TIGARD ORDINANCC m77-26 STREET SYSTEM DEVELOPMENT CHARGE DATE • 5-31-77 ESTIMATED SALE3 PRICE APPLICANT NAME T.O.C . _ __`__TELEPHONE '__�3y-3101 JOB ADDRESS 15540 SW Summerfield Lane .__—_____BLDG. PERMIT � 1473 AMOUNT OF FEE FOR S. D. C . $400. 00 CESCRIPTION OF IMPROUEMIENT single family dwe:il..Ln;a�_ EXEhiPTI SNS -P!=R ORDINANCE '77-26_ __- FEE RATES: A. uncle family dwelling unit under 560, 0DO- --------- $300. 00 B. Single family d1jellinD Unit over Sy60, 000. ----------- $400. 00 C. Nobile Hume Court SPace (New Develr3pmant)----------- 5150. 0J D. Multi-Family Dew1lingc---per unit---------- -----. ---- $240.00 E . Commercial , Industrial & Insti-tutional (Park. Space) $ 50. 00 each F. Single family unit under 540, 000. - ------------------ $GJ0. 00 IN AWE I BUILDING PERMIT APP► (CATION Co Y TIG ARD DATE. - -77 i9__..._ THE UNDERSIGNED HEREBY APPLES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE____—OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE — T.U.s:. ' `+5410 SU Summerfield I LOT NO._ OWNER JOB ADDRESS HOME ADDRESS ARCHITECT ENGINEER BUILDER3ag)u ADDRESS DESIGNER fSATfRUCTURE VNEW ❑REMODEL ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑ I DEMOLTION "*tEIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVrD ❑SIGNS OCCUPANCY ! LAND USE ZuNE �7 _BLDG.TYPE2_j __FIRE ZONE-J_ PLAN CHECK BY ^ �L'` _ HEAT ` �a r. ;77 nik l ,4 .as7oc-ial t rnmv dusllint.,I u/at Lachou i,,i.irrhtye 3 bwdroum ,', t,ia l.h OCC LOAD__. FLOOR LOAD __HEIGHT 1yQ STORIES 1 _AREA 2095NO BE(?ROOMS 3 _ VALUE �,'91&00t BUILDING DEPARTMENT SET BACKS FRONT 1 i REAR _ LEFT SIDE l� h RIGHT SIDE 'S[ Permit 11"'7.01? THIS PERMIT M ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 103950 REGLIL.kTIONS AND Al I APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILL BE DONE IN %1CCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCE. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINESS State Tax 9,3r,' LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING. ,.r,• , i ., !, flat x4f)0 Total 319,82 ' I.� t�•: By — -- __ -----+s- ----- ---- APP (('ANT OR AGENT Approved Rouvipt No DATE INSP. TYPE INSP%CT:ON Rf MARKS u PLUMBING DATE ,��-�--{,�----�--- --�- Contractor Permit No. L6 Rough-in - 7-2�- ) Fixture --- -- -- -22-jj ' GAS cf,� lin/ _ Final t FIEATING Contractor _ S) z Permit No. (L-aq a ic� -otic _ Gas or Oil Rough-in Final SEWER Final DRIVEWAY — - ----- Final Storm Drainage (Rain Drain) Final _ G_ — Sidewalk ( 7-2 /-7 Curb&Street Final Approach BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final BUIL + lG PERMIT APPLICATION TiC ARCJ L arl N° THE UNDLRS;GNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED Oil AS SHOV,N AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE (2%�!Q 15�i0 `�m+l*� _:vJEri � 1Q9 -�'�• � � ��rcl; ODF1','SS � I0NL- _ _ r_NGIr.I Er JISLL[) ARCIIITrCT _ DESh;I+rFR STnUrTtjnC1'►:rpt Cl nEAaODEL Cl ADDITION OnEPAIR ❑nENCWAL ❑FIRE DAMAGE ❑DEMOLITION ❑cohat ❑EDUCATIONAL ❑GOV'T ❑nELlG10USOPATIO ❑CARPOnT ❑GARIAGE ❑STOnAGEC]SLAQ Or--r-NCE D 0movING QCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS `_- Mr-t_.ZF:1:U_ ' MJF-- - [l�_OG.TYPE— F!;lE ZO PLAN CHECK OY HCAT __ —r;-(-,ral t Gnt) — -- ►n;'GIIT — - - NO.:fl)nit; -- nnE vAl-Or tllr!tpu�-; IXI'AlllmrM( _ ,[TRACK; rR,lNr j —OrrAn / —� — 1_FrTS:RC ' nIGIIT' r I n r3G �-`C� .HIS PEntdIT IS ISSUED SUBJECT TO THE nEGULATIONS CONTAINED IN THE BUILDING CODE, ZONING v'Plan C'herk nEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE aOnK%VILL BF DONE IN ACCOnDANCE F4ITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODLS AND 0110INANCES. THE ISSUANCE OF THIS PER&flT DOES NOT WAIVE i RESTRICTIVE COVEMANTS. COtITBACT011 AND SUQ CONTRACTORS TO HAVE CURRENT CITY OUSINESS SGt[C � - LICENSL. SEPARATE PLRNIITS REOUinEJ FOR StiWEn, PLUMBING AND HEATING. APPLICANT OR A Receipt No. AOU[IL_,S PHONJ: