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9105 SW SUMMERFIELD COURT -wo 9105 SW SUMMERFIELD COURT t t, 1 u CD N N E E 7 3 U7 U7 O Or i ,t • �r i ADDRESS Q, C� .� •tom. tQ PERf'iIT NO.._�:i^�� `? PERMIT CHARGE _ none OWNER r e-- -- _ CONNECTION FEE _ CO, _ P A 10 B Y r! ' DATE. COt;^:EC"TED TYPE OF BUILDING ' .� SERVICE RATE �C� INSPECTION FEE CONTRACTOR PAID BY — DATE SIZE ,IO�, CONNECTION ASSESSMENT � _ ___ ._._ PAID W w w Illi w- w ! w 19w #f r O L / Ot I 10 — e:�lacc I� nelxatjar, L -,aciton A!reraoon ---A----- �:3v: Inc:al:a!ion TOTAL....__ =�-- - +�IR/4t._ C Tom! C_ O>, NFR Ay�ti� Zaw , C-.,T FACTOR _- n Q <� WORK ADDRESSdIA3 A;� �� Y C.)•_TX��J----�zs�+A"C.K tl�J��_ 7 r. APFLICAPJT_ ._� T r tient Size Flue Size. — - - He;,., Input Ralin. (BTU �'"- — -- FUEL. QIL r r,;,; LSI ELECT D OTHER_.__--___,- -- ---- NO FEE ITEM NO. FEI ITEM - ' _� 3.00 Air Condition Compressor 15 to 30 HP 10.0 Fir Iswa ec o Permit _- _ 3.0 p0 ' - Air Handling 10,000 CFM __ New.l:n f°' '00,000 BTU _!__ 5.0 TU & over C.On •"Air Handling Over 10,000 CFM c ?i' �I-w• 100.000 B --_ 4.00 1 Evaporative Cooler — 3.G Floor Furnace - 4 00 Range vent Fan 2.0 41 wall - Floor .5uspe.ted -`" 3.f. ''�•=" ��-�'-"-- _- _2.00 Vent System _ _. Install Vents Only —_ --------'� _4.00 Hood Com_m_ercial _ 3.G i ,: Re - Heat & Cooling T_ �__. --- pair -_- 10.0 .____-____.------- 4.00 _Commercial Duct System '^ Air Condition Compressor Un ter 3 HP 7.50 - • __ _ ��.�._ .�� _mss: r:_ air Condition Comcressvr 3�v 15 HP _ ^-' INSPECTOR'S CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB CON7RACT(1RS DAl"E r :r DATE ISSUED BY_.._ _ t APPROVED BY ---- -"-- _�s _ RECEIPT NO. _ ___ -' _ - -` - Signature of Applic t f _.`•'lg kr r�tc"r1Jf• BUILDING UE VAIAINiE:NT, TIG,' D NU., rr6. c, I PLUMBING PERMIT holcJel of a v•jlio' dumbing contractors license is hereby authorized to cause,`plumbing work as herein noted to be instalieu in accordance with the I1lurrIbin.l code of Tigard, Such installations require inspection by the City Inspcccor who shall be notified not less than four License re uired (4) huurs prior to the time the installations are ready r ir��ctipn. City of Tigard Business for ail cont actors and sub-con'.ractor 60 d" r ` • r ner.. - _ ______ Ow .-�--- NUM111:11 OF -..� - ..- - 1UI'AL w� PERMIT NO.'S TYPE OF PERMIT ITEMS NFEU ON EACH AMOUNT (Office Oso Only) i _Sinelo Fom1 ily- hath-eoch --___ __. _ 25.O0 _ �Du,aex-Eqrh 1 bath ur:'' 25,OU- Additional Imthrooms_carh —_�- 10.00 - Mobile HoSpoca�each _ —_ _ 1G.OU me INDIVIDUAL FIXTURE FEE_S��__ - 1 to 60 Fixtures in 1 building Y.jh _ 3.00 . - - - - f 51 to 100 Fixtures in 1 building--eoch -- _ _ 2.50 101 to 2_00 Fixtures in 1 building-eoch __ -_201 or more Flxtures in 1 building-cacti1.60- -___----.-- -- MISCLI.LANEOU5 I�uildin Sewot•- 1st �i0 ft. �___,_ _ _____—_ 1Q.OU _____� —.. - Sewrr--each mJditional 100011. —._ _ 10.00 Water Service to building_ ___ 6.00__ _--- Privoto Woter S1sti:ms-earh 100 1t. 10100 Other (SSoocity): PERMIT — JAS • For Plumbing 117specdorl Phone 639.4191 /I j1% State r- - �(� Plumbing Contractor By TOTAL �� RECEIFT NCI. Issued Ey CITY BUILDING PERMIT APPLICATION �; TIGARD DAFE_ — i'r= 19 THE UNDERSIGNED HEREBY APPLIES FOR APERM IT FOR THE WORK HEREIN INDICATED 13UILOERPHONZ L OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIL`A6NS. OWNERPHor'IE: LOT NO OWNER t JOB ADDRESS x)105' f'LJ summarfield k"ADDRESS —_ ARCHITECT---- BUILDER � � ADDRESS ENGINEER -- DESIGNER STRUCTURE QNEW QRFMnnEL ❑ADDITION_ 0REPAIR LIRENEWAL OFIREDAMAGE_ []DEMOLITION ©RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T DREI_IGIOUSOPATIO ❑CARPORT _❑GARAGE C3STORAGE0SLA9 ❑rENCE ❑BOND _ ❑MOVING L.JGONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED 351GNS y -- ''� w t OCt�CUPANCY. �..w LAND USE 40NE s — BLOG.TYPE FIRE ZONE 3 PLAN CHECK BY HEAT - . .1`. "i11.; rn►c. 1 t .iR ua same �• l 1f31 itJ 5u�m�a fil�lc� Lane t rc weilliaw _ _ t��4h ca ��Irai�wt_ 1 htdream 2 both sewer permit jf.1::iE373 HCtyL_ 0�-----�-�-�1!�lilE$.y�._AE1�A�R19C1 NU•�1 !�Q.9ML_2__. L�fi_11�_PJI',o I _ BUILDING DEPARTMENTr SET BACKS FRONT 1 REAR LEFT SIDE RIGHT SIDE 12 Permit 136,00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 1�• d REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 146,00ALL APPLICAiJLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax +4a LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATINO. Total �.�31.s^Q �..r r7s1.:+(,.• $300. PeNC+ 02 $100. BY - t 9 t1v APPLICANT OR AGENT /Approved Receipt No. XffIF---------- Aw t — PL U_MBINd —_ DgT—E DATE IINSPTYPE INSPECTION REMARKS Contrector NP •mlt op L —1— -�B Rough-in Gr d� 7:9 �• _UV(Ju` _— Fixture 7 -- ----- �0 � p Q• u ---• Final -- U HEATING Contractor Permit No. -4 — Gas or Oil Rough-in — Final — - SEWER p — T DRI'✓F.WAM `— Final Stolon Drainage -- (Ra'n Drain)Final ,. Sicewalk _ ----- — —— Cdrb&Street Ilnel —R —_T_�---- -------- Approach BLDG. DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANwY Final CERTIFICATE OCCUPANCY — Landscaping Zoning Final - �_)II_f iNC �'�I I�VIIT APPI_lCATiON "oF T{GARD DATE'_`�l.__8__..__._.._, tsr3_ Na urvDE RSIGNED HEREBY APPLIES FUN APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF��`] r. AS SH,)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF[CAT IONS. OWNER PHONE _--_- o LOT NO. _ N ' 1 �✓ JOB ADDRES°I �'/ v�+.-.Sj a% I ( 1'W H E ADDRESS � -fir_ � ARCHITECT ENGINEER F ADDRESS _-- DESIGNER HF. evEW ❑FIE MODEL 0ADDIT'ON ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ✓;' NCE ❑I-nmm ❑EDUCATIONAL ❑GOV'T DHE L,rIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ND ❑MOVING _ _❑CONDITIONAL USE ❑DL'IGNREVIEW ❑COUNCIL APPROVED ❑SIGNS .t I •'Q' �' 3 L AND USE 70NE�'--�BLDG.TYPE_�� _FIRE 701. _PLAN CHECK BY _ HEATC�C - - -- . � l.._...1!�1G f.t99BJ.QBD �F !u[_._.H_ElStHT_!!L�NS2_-.aIDEII<S_1__-g3E _V711� nstsin=+ VALUE- _BUILDING DEPARTMENT SiT BACKS FRONTREAR LEFT SIDE RIGHT SIDE_JJ� - `-"- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check PCS REGULATIONS AND ALI. APPLICABL! CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE - WORK WILL BE DONE IN ACCORDAN:E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - ----- RESTRICTIVF COVENANTS, CONTAACTOH AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS `,;tate Tax 44 LICENSE SEPARATE PERMITS RFOUIRFD FOR SEWER, PLUMBING AND HEATING. Total by l_Sl._-y ,4-" 43 iapinnved 7// � Rscelpt No. v L CITY OF TIGARD ORDINANCE YR7- 26 STREFT SYSTEM DEVELOPMENT CHARGE DATE : ESTIMATED SALES PRICE APPLICANT NAME_ TELEPHONE JOB ADDRESS BLDG. PEPMIT # AMOUNT OF FEE FOR S. D. Co DESCRIPTION OF IMPROVEMENT I EXEl,IPTIO<<IS -PER ORDINANCE 1177-26_._____ FEE GATES: A. Single family dwelling unit undsr $60,000.--------- $300.00 0. Single fnmi.ly dwelling unit over 560,000----------- 3400.00 C. Mobile Home Court Space (New Deve'.lopmant)------- - ;;150.00 mil [)wellin s-- er unit------------------- $240.00 D. Multi-r a y 9 P E. Commercial , Industrial & Instii.ut.i.onal(Park. Space) $ 50.00 each F. Single family unit under• $40, 000. ------------------ 5250. 00 CITY OF TIGARD ORDINANCE #77-71 PARK SYSTEM DEVELOPMENT CHARGE DATE : _ ESTIMATED SALES PRICE $ APPLICANT NAME _ TELEPHONE JOB ADDRESS_ _ BLDG. PERMIT # AMOUNT OF FEE FOR P. D. C . GE:SCRIPTION OF IMPROVEMENT EXEMPTIONS - PER ORDINANCE #77-71 FEE RATES : A. Single family dwelling unit under $40,300.--------------$ 75.00 B. Single family dwelling unit over $40,000.--------------$100. 00 C. Mobile Home Court Space (New Development)--------------$ 50. 00 D. Multi-Family dwellings--per unit-------------------------$ 60. 00 CONSTRUCTION IS LOCATED ON S.F . N.W. SIDF OF S.W. PACIFIC HIGHWAY. N.W . is Park District #I . 5.E is Park District #II . SEWER PERMIT NY 1.5879U � Unified Sewerage Agency of Washington County CITY OF Tigard DATE 4-21-78 I OWNER: PHONE : OWNER 'S ADDRESSi TYPE OF INSTALLATION: ! tSUILDING SEWER 1 ❑ BUILDING SEWER AND SID1= SEWER TYPE OF OCCUPANCY. Q NEW "D"SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS_. DWELLING UINITS 1 ADDRESS OF STRUCTURE : __w,5 5141 c;,immrrFi a1 ri F. L-,_ PERMIT CONDITIONS: THE APPLICANT AGREES TO CON'PLY 'WITH ALL RULES AND REGULATIONS OF THE UNIT-IED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION , PLEASE REFER TO THE PERMIT NUNBER . THIS APPLICA"TION EXPIRES IN ONE- HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED .SHOULD EXPIRATION OCCUR. FEES- PERMIT FEE $__'2� CONNECTION CHARGE SIDE SEWER INSTALLATION _ B. Greene ISSUED (3Y OTHER "TOTAL $ 625• � L CA> �_----- --- - � APPLICANT DATE SEWER PERMIT M 15873 • tr�l� ADDRESS OF STRUCTURE - 91.05 SW SumTerfield CL. TAX MAP _ _ TAX LOT SYSTEM faino creek LOT r 428 BLOCK; � or � I I a 1 d e r� _ ���•-�L.-�ti� �^ rte.C.C_;L� %.,,2 / APPROVED BY — DATE ISSUED JY - -- Y � DATE D . U . ' S _ I. REMARKS bld / 2050