15634 SW SUMMERFIELD LANE 15634 SW SUMMERFIELD LANE
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G�3 ADORE SS_ , :, _ Arte. + RP'IIT NU._ A26oj 3
PERMIT CHARGE _ none _
ON FEE CONNECTION d�7�
n OWNER 5 _:w _ __. _.___ _
PAID BY
TYPE OF BUILDING /}-, mac. DATE CONNECTED —
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SERVICE RATE ____,.___ __ INSPECTIOF' t EE
CONTRACTOR - --•.....____— PAID P'( DATE
SIZE OF CONNFCIICN _-- ASSE.'iSMENT _ PAID --
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OREGON
Owner:..... .....T.D..Co... ......... Permit No 930
1 15634 SU Summer f.,
Building Address .. e1.d..Lng..... �J
Certificate is hereby given thi,,. .9..........day of....December.........
` that paid building may be occupied and
I\: that '.t complies with all requirements of
t � the Building Co le for the City of Tigard,
as approved by th,? Tigard City Council.
r
,.uildiq Inspector
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City of Tigard
INSPECTION REQUEST
0
for
' IINSPECTION TIME: PERMIT NO. :�
DATE: y 1-741 DA'C'E ISSUED :-
OWNERS
SSUED :_OWNERS NAME :
ADDRESS: 7 :Flga
CONTRACTOR : -
TEST ' Air ❑, Water[] , Visual t , Laboratory []
RESULT' Approve d..4[ Disapproved C', Pending [)
SKETCH. I
I
INSPECTS DATE
�!d )IF ' Attach ;upplmmental t4111 dnl(i L -
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City of Tigard i
INSPECTION REQUEST
i
for
- 61
IN9PECTIOI TIME.. `Y PERMIT N0. '— —• I
�..2—
DATE. DATE ISSUED :--1-2--
-11
SSUED :.__1-2-_- > >
OWNERS NAME :
ADDRESS: --514- G
CONTRACTOR — - '
TEST ' Air [C�, Water[] , Visual (A , Laboratory [I
RESIJLT: Approved W Disapproved C Pending C7
SKLfCH: P� � c.. p•• f
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.00
INSPECTOP DATE
(NOTE. Atfach vupplementel test data beret!]
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UNIFIED SEWERAGE AGENCY NO. 10633
VVA;S'I-IIN('1- *fT
0N COUNY DAT1-:
CITY OF---
APPLICATION FOR SEWER CONNECTION PERMIT
Tualatir, Development Co.
OWNER'S ADDRESS:
STREET
-CITY- STATE P
BUILDING SITE: L )T-31;6___ _ BLOCK ADDITION
TAX LOT NO. TYPE OF OCCUPANCY .-
resid,ince
ADDRESS
15634 9W Summerfield Lane
DWELLING UNITS --- FIXTURE UNITS -
SURCHARGE IF A;PrLICA?,I-E
PERMIT FEE ---575. 00 INSPECTION FEE TOTAL DEPOSITED - .575,0"5-
(N
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with a!l rules and regulations of the Unified Sewerage Agency.
;2
A P P L I CA N T.,,��—4
SEWER PURMIT
r;IS PERMIT AUTHORIZES C014NECTION TO THE SEWER SYSTEM.
LINE SIZE — INSTALLER
RECEIVED BY--
J -Z(AGENCY OR ITS AGENT)
CO M M E N'l S: Bldg. !-'0 9 3 0
4
S25. 00 Insp. fee paid july 161, 1'�76
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be furfeited should expiration occur.
City of Tigard �
I N.Kr,,710N REQUEST �
for
IN8pECTION TIME: 67 .22z PERMIT NO. : p
LATE: �,/-001 7G DATE ISSUED :
OWNERS NAME
ADDR[_SS:
CONTRACTOR
TEST . Air 0, Water[] , Visual I] , Laboratory p I
RESULT: Approved ❑ Disapproved C Pending p ( Ir
\
SKETCH.
I
INSPECIOR DATE
i
(hi F Attach aupr+le-rtntal test data hereto]
BIJILD1716 Di=PARIMENT, TIGARD NO. � 5�
JOHN E.REIT "3T 1
. 29 PLUMBING PEWAIT
P. ABOX t -
'Ix1.� r+^nu ______.______, holder of a valid plumbing contractors license is hereby
d to
th
autheriz.d to cause plumbing work as herein y the City Inspector iwho shall be notified ienolt,es. thambing ntfouor
Tigard. such installations require inspect
lczn by tY
(4) hours prior to the time the instalibliutls ?re raadylfoorr inspection. City of Tigard Business License required
for all contractors and sub-;;un tractors. ��f 1—�, j�/,� �; 7
�!
�<z x�Date
c e_ AddrFs ..�%�s�---1
TOTAL PERMIT NE06:Sl
NUMnrn CF (office U• y►
11 +� ?EE ON EACH AMOUNT
TYPE OF P�inmlT
�_p Lt ULILA L 25.00
Singo Fnmiiy-1 both-each 25.00 ---
Duplex-Eacht bath unit �- 10,00 -
Additional bathrooms-each 15,00 — -
MOb110 Homo Spoco-eorh
INDIVIDUAL FIXTURE FEES --- 300
1 to 50 Flxtures in 1 building-each - 2,50__
_
51_10 160 Fixtures in 1 building_eocli 2.00 `--•
101 to 206 Fixtures In 1 building-each - 1.50
201 or more Fixtures i_1 bullding_coch -~
MISCELI.ANEOU,_S, ------ 110.00 J
Ruiiding Sewor-tft 5f, tt. _ - — —" +x,00
Sewer-eech additional 100 It. 5.00
^_Wnter Serylco to building -
Privatu'Neter Systems each 10U 1t. -
Other (S ecif -------
PERMIT LI h_— Por Plumbing 1nsdection Phone 6394191
Plumbing contractor By
96 tete _
—1—=�-=� Issued EY
TOTAL 2) [� RECEIPT NO.
City of Tigard Mechanical Permit jN; Permit
Fee
New Installation [?'- Replace '7Relocation E-1Addition ❑ Alteration
❑ . -
TOTAL
CONTRACTORS tVL.—- OWNER
ADDRESS aA,CZ '-- WORfC_49DRE / S.`••j- Seen %r-: LA*)P,
t t
PHONE_ jvO- O �Z>� APPLICAi IT
Heat input Rating (BTU Per Hour) A%C5_ dnt-C" Ver.-Sira_��' FI ;ze
FUEL OIL ❑ GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For issuance of Permit 3.00 Boilers Over 50 HP 2G•00
New - Under 100.000 BTU_ 1 4.00 Air Handling 10,000 CFM 3.00
New - Over ,00 000 BTU 5.00 Air Handling Over 10,000 CFM 5.00
Floor Furnace 4.00 I Eo-oorative Cooler + 3.00
Wall - Floor - Suspended 4.00 Vent Fan 2.00
Install Vents 2.00 Vent Sy s'em 3.00
Repair - Heat & Cooling 4.00 Hood 3.00
Boilers Under 3 HP 4.00 Domestic Incinerator 1 5.00
Boners 3 to 15 HP I 7.50 Comm. Incintrator 120.00
Br;;er, 15 _,� 30 HP 10.00 Other Not Listed i 3•�
l3o:iers 30 to 50 Ht- 15.00
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED ,=OR•ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY DATE
1
RECEIPT NO _ _
„s y Signature of li
A
3�f'r CITY OF 71S NP 0930
DATE
BUILDING PERMIT APPLICATION TIGARD
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE___
sl:w • ADDRESS
1-0 1Jt • B I ER PHONE
- -�
ENGINEER %'(03� ` •�✓ ��'E+r+t'`y �
QUILDER _ ARCHITECT �-1 __ DESIGNER_— _
STHIICTURE ONEW _❑RE_MO_DEL_ DADDITION- []REPAIR ORENEWAL []FIRE DAMAGE- ❑DEMOLITION
D,RLSIDENCE [:]COMM DEDUCATIONAL OGOV'T []RELIGIOUSOFATIO []CARPORT OGARAGE El STORAGE OSLAD_OFENCE
❑BOND OMOVING []CONDITIONAL USE ODESIGN REVIEW �DCOUNCIL APPROVED OSIGNS
Qf& PANCY LAND USE ZONE BLDG.TYPE —FIRE ZONE— PLAN CHECK BY HEAT
,a lot 08 loo25 SW Highland Or.. ;ob W' b366 MIX 22
1222 -. ft. rrame dwelling u tattallc,had 4arags 2 bedroomp 2 buV'
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE
9UILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE_
Permit 112 ou — - ---- - =—T
TH15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10,00 REGUI-ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State 316(. LICENSE, S2PARATE PERMITS REQUIRE!? FOR SEWER, PLUMBING AND HEATING.
Totalby
T 7EAN*T OR AGENT
Approved Receipt No. AMIIESS
— - --- - _ ---- ; 1�oNF-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in.
Fixture
Final
HEATING
.7 Contracto,
Perm;i No.
Gas oi Oil
Final
SEWER,r—
Final
DRIVEWAY 2 2.
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approacli :3
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final C
i
CITY Or
BUIL '1G PERM APPUCATION TIGARD L N° 'q.;�
THE UNDERSIGNED HERESY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SF'C;FICATIONS. OWNER PHONE
MAI D:FRT ./� i� �/�(/�:��. .�, ✓.s ADDRCSS' � <:�.»�.*� - r GUILDER'PHONE K'f4- irJ
ENGINEEFI
flit!t-DERrr�� ARCHITECT rr--tt DESIGNER
STRUCTURE 5INEW rlREAIODEL ❑ADDITION LiREPAIR ❑RENEWAL ❑FIRE DAMAGE DDEMOLITION
G�RESIDENCE ❑�-COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS LIPA T 10 ❑CA?1 PORT ❑GARAGE EISTORAGE DSLAB ❑FENCE
_ QQ0ND 0MOVING ❑CONDITIONAL USE ❑DES!GNREVIEW ❑COUhlC!LAPPROVED _❑S!GNS
0
C,r UPANt'YLAND USE ZONE---,3 LDG TYPE FIRE ZONES PLAN CHECK GY HEAT __
1 - 1
OF
Orr. LOAD FLOOR LOAD HLIGHT NO.STORIES AREA /,-2_z. b VALUE j�Jtj
I:UI!.DING DEPARTMENT
SET BACKS (PONT /Q REAR LEFT S!D� RIGI4T SIDE
Permit I –
I
�7g si�6 THIS PERMIT IS ISSUED SUBJECT TO THE !lEGULATIONS COPJTAINED IN THE BUILDING COOL ZONING
REGULATIONS AND ALI- APPL!CAUsLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORD/:,'.CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—I RESTRICTIVE COVENANT;. CONTHACTOR AND SUB C014TRACTORS TO HAVE CURRENT CITY BUSINESS
"'.State G G LICENSE. SEPARATE PEFIN11TS REQUIRED FOR SEWER, PLUh18ING AND HEATING.
Total
APPLICANT OR HGE r��
Receipt No.
AUDRES," PHUNL-
Or