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15666 SW SUMMERFIELD LANE
15666 SW SUMMER_FTELD LANE, 1 a) C (SJ J Q) N a) E E co D cn ori �fJ �o Ln -4 ' MW INSPECTION NOTIGE City of Tigan' Building Department 12421.1 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 Type of Inspection ��'GC���(/►'�•� s .� _ — A.M. I P 'J Date Requested— ^� - � � ' � 5 Timn_ - ATL P.M. 9� Address �' � Summa!'--e- Permit #5' 6--3 Owner _- -- _ - __— ----__-- Lot # Builder — Th- follywing Building Code deficiencies are required to be corrected: 1 t Presenters to Approved ' Inspector --- —_� _-_ L� Disapproved Date I CALL FOR REINSPECTION ❑ YES © NO t BUILDING PERMIT APPLICATION TI13ARD ►'`ATE_. SXMWO Feb.5 1985 5183 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED GUILDER PHONE b319-0250_ OR AS SHOWN AND APPROVED IN THE ACCOMPAN !NG PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER J. Cathcart JOB ADDRESS 15666 SW Stmmrfield Lane 1 a620AAW Aldexhrook ARCHITECT -`— _ ENGINEER BUILDER JohnLoll ADDRESS Tigard, 9r�, _ on _ _ _DESIGNER STRUCTURE _ Ll NEW ❑ REMODEL _ l.2 ADDITION [.� REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C7 DEMOLITION $#RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE O F.A3'❑ FENCE OCCUPANCY LAND USE ZONE ��� BLDG.TYPE-5 N _FIRE ZONE PLAN CHECK BY_ BCS_HEAT— Construct Single story addition to existing single family dnlelling _ SEWER PERMIT# OCC,LOAD FLOOR LOAD 40 HEIGHT_ N0.STORIES AREA 198 NO.BEDROOMS VALUE 6,100 BUILDING DEPARTMENT E,ET BACKS FRONT "" REA ` -• LEFT SIDE 5 RIGHT SIDE 5 Pumlt _ 56.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 36.73 REGJLATICNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS 4EREBY AGREED'HAT THE Plan Check ;NO IK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 1 WITH ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 93.23 _ Nf.STRICTIVE COVENANTS CONTNACTOR AND SUB CONTRACTORS TO HAVE CURREN'r CITY BUSINESS 2.26 Ll,ENSE.SEPARATE PFRMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax `:,,�•", �i '-� - SDC- Total 95 e49 - -- -- PDC# APPLICANT OR AOF�1? By ----- t3CRtbs Receipt No. ADDRE88'� Approved J �� DATE INSP. TYPE INSPE ION REMARKS �� PLUMBING DATE Cntrb�tor — �;,q�_ ?M11 _— Permit No. - _ _ iFixture ---------------- Final HEATING Permit No. --- --- ------- Gas or Oil --- --F- -----_. — --- -- --' Rough-in II —_- -- - Final — -- ------_-�.— -- - --- -- -SEWER --- Final - ----- - -- - DRIVEWAY— Final —_ — Storm Drainage . . -. -- -------------^ I (Rein grain)Final Sidewalk. Curb&Street Final _ Approach BLDG:. DENT. TEMPORARY LRTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY +I �I!.r-rdvcAuing _- - Znning Fmrl M BUILDING PERMIT APPLICATION TIGAP..7 DATE--! ` =--�te`;-'� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICA"i ED BUILDER PHONE J,.2 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CWNER PHONE LOT NO. OWNER ;AT , AL l JOB ADDRESS i "<� `e�l71`1 rA" ( 0 ARCHITECT ENGINEER \ AJORESS (�, DESIGNER BUILDER — -_ -1 Q L ; L_S_F` --"-- - Cil mac• — mr21'wc' STRUCTURE ❑ NEVo ❑ REMODCL AOOITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION CA RESIDENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT Cl RELIGIOUS ❑ PATIO ❑ CAR PORT Cl GARAGE C ST07AGE Cl SLAB❑ FENCE Ch a,u?ANrY —1�. .LANG U:;E ZONE 'r �1 Bi. TYPE �' r Y PLAN CHECK 6Y _ rt _HEAT__ � _ -- - L "T&L"yc- "Y r I Ar�� k- S T D/L Il' At>Lj9'T 1 n►�' ----- L-£ F`A_w-L `•i �. `_ 1 u C _ - --- — -- — ---- -- SEWER 3ERMIT M _ OCC.LO_AC FLOOR LOAD HEIGHT NO.STORIFS AREA I`i - NO.BEDROOMS / VALUE, BUILDING DEPARRTTM-ENNTT Sl-:T BACKS FRONT REAR LEFT SIDE RIGHT SIDE PO-1-mit bTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,7ON'N: REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TP.,).T THI Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAOONS AND IN COMP► ANC! I WITH ALL APPLICABLE rnnES AND ORDINANCES. THE ISSUANCE OF THIS PEAMIT DOES NOT WAIV' Ir;utrtetal 2. RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU5INF.S1 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. lata Tax SDC rotal Q --- PIKN APPLICANT OR AGENT - By Receipt No. --"-- -- Approve7 _ ADORESS� ---- —----_-- PHONE SSDC $ 5 0 C POC — --- -- --_ -- SEWER CONNECTION ', $ , SEWER INSPECTION $\� SEWER 3URCEARGE S _ .� A REM f 7 ADDRESS A E R I'l l T N 0. 1r6�''7 — - � Sys PERMIT CHARGE �nonA OWNER _Cm ___ CONNECTION FEE PAID BY :2 CO • TYPE OF BUILDING /Lc�. DATE CQNNLCTE[,I _. SERVICE RATEINSPECTION F"I .9,5 CONTRACTOR _ PAID BY DATE SIZE OF CONNECTION _ _ _ —y_ ASSESSMENT _ __ PAID 0 I- t P ''fit CITY OF riCsA R OREGON T.D.C. Owner:._....... ... ..PErmit No......1004 ._... Building Address 15666 SW Summerfield Lne. 9 December 76 `+ ' �.. Certificate is hereby given this........ .... ._clay of ............. ........... ..., 19...... that said building may be occupied and that it complies Nvith all requirements of 7 t the Building Code for the City of Tigard, 't� t' as > . approved by the Tigard City Council. - r .... :t :r.. ,-'............... ��]f Building 1n5pector r Cify of Tigard INSPECTION REQUEST for INSPECTION TIME :—AC,, }:7 PERMIT NO. : _ DATE: !o���'`, DATE ISSUED:_1_I OWNERS NAME : AL ` ADDRESS : CONTRACT 0 TEST: Air ❑, Water ❑ , Visual 21 , Laboratory ❑ RESULT. Approved Il. , Disapproved ❑ , Pending (� SKETCH: i I INSPECrok DATE CN0TF Attach supplemental 'cet data hereto v CbTY Of i j'ARi) -City Of Ti arc Mechanical PermitiN� P�� s3.000 � New Insbllatian Replace ['i Reloc'ion Addition D Alteration 0 - — Fes---- '- TOTAL `1.a-1 CONTP.ACTOR�ta�*b-,.�` �'��•)l�-C.t !: �`fjC� OWNER viae-t na Co. . �1 . ADDRM 7�(^i. x 3j� 3 �!�.Z_ WQP.K ADDRESS 5,r-k6. Svr�,t��rLsri >�c_r) `.tai•C�.Cr =HONE SSG - 0--t2: APPLICANT t---- . T: �-:2_ Heat Input Rating BTU,P�bw �p GZZem Vent Sim s: Flue Size FUEL OIL C GAS ILO ELECT ❑ OTHER !TEM NO. FEE ITEM NO. FEE_ For Issuance of Permit —� 3.0G 3oilcrs Over 50 HP 25.Otr New- Under 100,0100 BTU i 4-00 ' Air HandUng 1C 00C CFM ' 3.0C New - Over 100.000 BTU _ 5M i Air HanWing Over 10,000 CFM 5.0c Fioor Furnace 4.00 E rative Cooler - iZ3.0C Wait - Floor - Suspended 4.00 Vent Fan 2 Or Install Vents 2.00 Vent S stem t 3,0( Repair- Heat Ee Cooling -:.00 Hood 3.0( 3oilers Under 3 HP 4.00 Domestic Incinerator ! 5.0( Boilers 3 to 15 HP 7.50 11 Comm. Incinerator 20.0{ Boilers 15 to 30 HP 10.00 Other Not Listed 3.00 90ilers 30 to_50_HP 115.00 !NSPECTCRT COMMENTS CITY BUS;NSW '_l REt3L'IRED FCR ALL CONTRACTORS OR SUB-CONT9ACTQFS APPROVED BYDATE ISSUED BY DATE RECEIPT NO. ns - Signature of Apolican s�. l «NIFII D SEWERAGE AGENCY NO. 10637 5 � 7 7� WASHINGTON COUNTY DATE _ 9-16-76 CITY OF Tigard APPLICATION FOR SEWER CCNNECTION FERMIT OWNER: _..,_ Tualatin Development Co. OWNER'S ADr)RESS: __--__ STREET CITY STATE IIP PUILDING SITE: LOT-- 6>i_._. BLOCK --__ ADDITION TAX LOT N0. — TYPE OF OCCUPANCY _ redidQnce 15666 TJ Summerfield Lane ADDRESS .-- -- DWELLING DDRESS .-- -DWELLING UNITS__ 1 _— __— FIXTURE UNITS SURCHARGE IF APPLICABLE .._-_.-_ 575 00 575. 00 PERMIT FEE -.-- - '. .__________ INSPECTION FEE _ _ ____._ TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM FA N Al U C The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONVECTION TO THE SEWER SYSTEM. LINE SIZE _ INSTALLER -- --- --.. .- ------- — - - - RECEIVED BY-.,- - (AGENCY OR ITS�?EINTI - - --- — - ___- COMMENTS: . ___�ld�. ;;`1004 $25. 00 Insp. fee paid August 16, 1976_ This Application and peri-it expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. 10NN E RFINNAR01 Pli1MBING, INC. BUILDING DEPARI-MENT, TIGARD P. 0. BOX 129 PLUMBING PERMIT NO. /3i HIMERC, ORECON 91132 - _ holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumhin{) code of Tigard. 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 Bsiness License required for all contractors and sub-con tractors. e 3�,y Own ��5 .1.—_ / �_� Addresss 9,--YZate NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Single Family—I beth--each _ '�_ 25.00 Duplex—Each 1 bath uni, _ 25.00 Additional bathrooms—each 10,00 /O• DQ Mobile Home Space—each 15,00 INDIVIDUAL FIXTURE FEES 1 to 50 Fixtures in 1 b0clin —each3.00 51 to 100 Fixtures in t qui;-Jing—each 2.50 101 to 200 Fixtures in 1 bu ldin -each _ _ 2.00 201 or more Fixtures in 1 btii1,1ing—each _ 1.50 _ MISCELLANEOUS _ rluildlny Sower—tst 50 ft. 10.00 Sewer—each additional 100 ft. _ 10.00_ Water Service to building 5.00 _ Private Water Systems—each 100 ft. 10.00 Other (Specify);S ecif : M PERMIT _ �S.C> For Plumbing Inspection Phone 6394191 % State Plumbing Contractor By 'TOTAL 7. RE,,;EIPT NO. Issued B, _ �,,,, BUILDING DEPARTMENT, TIGARD N�' 1QNW E. R .�0BO K 129PLUMBING, INC. PLUMBING PERMIT P. Q. BO. P -----N44FRG Apfcom ulp ________-__ 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 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-contrictori• U,-,4 j6,r ' G G Owner-��dt ` �_ Addres NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Sin to Famil --1 bath-each _ 25.00 5• =�0 - Uuplex-Each 1 bath unit 25.00 Additional bathrooms-each 10.00 l U. To Mobile Home Space-each - 1500 INDIVIDUAL FIXTURE-FEES to biZIxt,"as in 1 building-each 3.00 51 to 100 Fix lures in 1_build ng_ench 2.50 - 101 to 200 Fixturas in 1 building-each _ 2.00 201 or more Fixtures in 1 building-each 1,50 M IScr LLANE0US -- Bu'iding Sewer-1st 60 1t. 10.00 Sewer-each additional 100 ft. _ 10,00 Water Service to building 5,00 Private Woter Systems-each 100 It. - - 10 00 _ Other (S ecif - _ PERMIT 6) for Flumbinj inspection A,one 639-4191 State �, y ,3 Plumbing Contractor By TOTAL RECEIPT NO. Issued By �C / City of Tigard INSPECTION REQUEST for INSPECTION TIME: �. PERMIT NO. : DATE: 1'/L/ 7 DATE ISSUED .'---/ Z OWNERS NAME : "L- 4) C ADDRESS: IL�e:;t CONTRACTOR : _.��____. �-�• * � TEST : Air ❑, Water .,[I_,�,V1sual r�Laborutory d RESULT: Approved l/d' , Disapproved C , Pending 13 SKETCH: INSPECTOR DATE [NOTE: Attach supplement,.I test data bereta� w w 111E BUILDING PERMIT APPLICATION Co Y TICARD DATE. AUguat 16, 1976 1ryn� THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL"DERPHONE 639-3101 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE- LOT NO. OWNERT� �G• JOB ADDRESS 15666 SU SummsrfiQ1dH&:ADDRESS — `-- ARCHITECT ENGINEER BUILDER RtgMI-, ADDRESS _ DESIGNER STRUCTURE !nNEW ❑REMODELrr--t1 ❑AUDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION `0 RESIDENCE ❑COMM ❑EDUCAT.ONAL []GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT [:]GARAGE [:]STORAGE❑SLAB ❑FENCE QBOND ❑MOVING %CONDITIONAL USE [:]DESIGN REVIEW [JCOUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE '` __BLDG.TYPE `t —FIRE ZONE— PLAN CHECK BY------- HEAT Urania dwelling w/attarhs i garag&� Job 5368 Na basomeWrit 2 bedroom 2 both —-— ------------ -- ?&&e46A �,,� bio 637 9�/G�7 b -T--- --- -- - ---- — — 1 1204 2 23,90C. Q .LOAD `___ FLOOR LOAD__ HEIGHT I" AAE NO.BEDii00MS VALUE BUILDING DEPARTMENT SET BACKS FRONT 1 REAR 2916t' LEFT SIDE 61 RIGH F SIDE 1 Permit 106.01.) ---- --- ----- ---_._----------- ------------_.�— THIS PERMIT IS ISSUED SUBJECT 'FO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING Plai Check 10.00 REGULANONS 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 COMPLIANCE WITH Sul-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 3.54 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING ANO HEATING. Total_ 121.54 yawalr 2!a*U0 ev --- - - AP t CANTOR gC:EN 1 Approved ;,,j — Flecr ipt No. �' ADDAESS W w W w rw JG L9 51 /61 vs" /6/./76 G U ,� .41 yo 6A rrive Ct', j � s o B --76 .6 r CITY OR BUIL. IG PERMIT APPLICATION TIC ARD THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED , OR AS S—HCvVN AND APPROVED IN THE ACCOMPANYING PLA� AND SPECIFICATION R PHONE �3� 3l �� ■ O+J`:ER '�)GADDRESS BUILDER PH0NE__t✓ 3t O q I� � ENGINEER RUIt DEPpew` i❑ iJ ARCHITECT C_.L�.1Nt=— EIRENEWAL K _ STRUCTURE %r--w REMODEL ❑ADDITION ❑REPAIR RENEWAL ❑FIRE DAMAGE ❑DEMOLJT!ON �■■ 5tRESIDE`.CE ❑CuMM ❑EDUCAT!ONAL ❑GOV'T ❑RELIGIOUS❑PATIO VCARPOR-r ❑GARAGE ❑STORAGE❑SLAB [:]FENCE �I ❑!?CND _ El MOVING LICONDiTIONALUSE ❑DESIGN REVIEW ❑COUNCILAP'ROVED [:]SIGN'-; O7CUPANCY GLAND USE ZONE BLDG.TYPE .— FIRE ZONE PLAN CHECK BY HEAT OCC. LOAD FLOOR LOAD HEIGHT NO. STORIES A//REA I? -,A'VALUE 13UR_nING DEPAf1TtvICNT SET BACKS FflCN7 J REAR Z� ;�p a LEFT SIDC (.17 r RIGHT SIDE 1 L ' -- — Permit Iogg -- - TI4IS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check �% I REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE r" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 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 3°!,S!at� I Z)S LICENSE. SEPARATE PEHMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Totill ! I ARPLiCANT OR AGENT LAppreved I� Receipt No. T- C_ i ADOP..E55 PHONE Zj s `z-