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9440 SW SUMMERFIELD DRIVE 9440 SW SUMMERFIELD DRI4F, w U �-i 7' L.1 ti c F_ in L �7 Q� BUILDING PERMIT APPLICATION " TIGARD DATEOF __ 2 THE UNDERSIGNED !1EREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOP'PANYING PLANS AND SPECIFICATIONS, OWNERPHONE___ LOT NO..—... OWNER • `>1:111C14 j08ADDRU,5 A40 :)L111?TIIEdL i xD `�H6NifADDf.'ESS ARCHITECT "; c�.l'ic �'aaelt gWhin ENGINEER 8U1_DER' _ ADTIRESS _-� tr OE;,iGNER STF,UCTURE ❑NEW _ ❑REMODEL _ �1&*DDITION 0RE.PAIR1�RE�tI�EWAL. ❑FIRE. DAMAGE _ ❑DEMOLITION DRESIDENCE ❑COMM ❑EDUCA-'ONAL ❑GOV'T ❑RELIGIOUMMTIO [:]CAR PORT ❑GARAGE ❑STORAGE.❑SLAB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE I_IDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY— —.LAND USE ZONE_� 9LDG.TYPE _—FIRE ZONE PLAN CHECK BY____ 9L. patio saver all par UbC requitamentr DCL.�_LO9(L NO,BEDROOM5 _ _ VALQ1___.__ BUILDING rEPARTMENT Sr'T BACK', FRONT REA9 LEFT SIDE RIGHT SIDE Permit in*OCA — __..-- ---------- . .--- — _. TIIIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TNF BUILDING CODE, ZONING Plan Check RLGULATIONS AND ALL APPI ICABLE CODE3 AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF —'—'— WORK WILL BE UONE IN ACCORDANCE )N' fH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS .,r RMIT DOES NOT WAIVF -- F.FS'iRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS State Tax .40 ;_)C:NSE. SEPARATE P1 RMITS REOUIREIJ FO", SEWER, PLUMBING AND H'cA .NG. Total 20.40 By A L��RNT OR AGENT _.._.. Approved f 7j Receipt No. r CIT BUILDING PERMIT APPLICATION Y __. IA_ pf T�G�,Rp DATE--4-- - 21-. N2 a IAF UNN RFiGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE-P_14 d2Z. cif? AS ' 4N AND APPROVED IN THE ACCOMPAN`/ING PLANS AND SPFCIF ICAT IONS OWNER PHONE 4RC S_ n LOT NO. JOB A KESS l - - �_ L?A ARCHITECT /1 t ENSINEER R (r ` AD DP SIGNER M O RE.MODELADDITION ❑HLPAIR _— ❑RENEWAL OFIP•F_ DAMAGE — [:]DEMOLITION ;'' NCE L�CnMM ❑EDUCATIONAL ❑GOV'T LJ RELIGIOU, PATIO ❑CARPORT ❑GARAGE DSTORAGEOSLAB ❑FENCE 1 -11ND ❑MOVING OCONDITIONAL USE DDL5IGN REVIEW — []COUNCIL APPROVED []SIGNS t'f NCY t AND USE ZONE----,BLDG,TYPE FIRE ZONE__-—PLAN CHECK 8Y �- HEAT �v'__4 I.jF .—SLA Ll1-E BUILDING DEPARTMENT SET BACKS FRONT REAR _LEFT SIDE RIGHT SIDE Imlt /i/ ---7+�` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING an Check REGULATIONS AND ALL APPLICABLE CODES AND ORDst.!.ACES, AND IT IS HEREBY AGREED THAT THE - WOR/•WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE. 0, TH Alb IoIal ALL ArPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- •- 4ESTRlr.;TIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS '.iaiv Tax Cl LICENSE. SEPARATE PF RMITS REQUIRED FUR SEWER, PLUMBING AND HEATING. 10181 _ ApPI_,CANTOR AGENT •.ppl uved` Lel 1 _—.._ --.-- - -- -- vH __----. -•-•-•---- — A[)U p E 98 SNI e e e e e e ■r ar ADDRESS PERMIT NO. PERMIT CHARGE none OWNER �'1/ �� _ CONNECTION FEE PAID BY _ C PEOF BUILDING DATE CONNECTED SERVICE RATE _ - INSPECTION FEE .75 4 CONTRACTOR _ PAID BY _ DATE Y SIZE OF CONNECTION _ ASSESSMENT PAID _ 7� y -/u Y --II --77 i '-`. ^ '•`�� (`, .'� 4'a o. (, �0:•'4 0 obi i, �:J I '+f'M� �� '•;a¢ .�.'� ,� �< {,.( -..9 ..� ,.1! -` U H (� c .� A - C(J kart Co � j, j V� ) . CITY OF TIGAR1J Y i3 OREGON J. TDC Permit No.—— +I= 4 0�ner:........... ..................... ........................... -, 9440 SW Summerfield Or. Lott#360 .......... . yt Building Address ............. ..... ........ .......... IP Certificate is hereby given this...2.8........day of... .... .......... ly. ��... the t said building may be occupied and < that it complies with all requiremm�nts of •' the Building Code for the City of Tigard, 6*; -, < as al)proved by the Tigard City Council. T it _ Int t Building inspector L•\, , City of Tigard INSPECTION REQUEST for IOPECTIi?N TIME: ti's PERMIT NO. :-.---.- DATE: O. :_.-.._ -._DATE: _�L 11-7 DATE ISSUED :,__1-/_._ OWNERS NAME : 7-• ) , e ' -- ADDRESS: � 340 �� ►���„7 CONTRACTOR : rE.ST : Air ❑, Woter 0 , Visual �, !-aborctory p i RESULT: Approved , Disapproved E Pending [] SKETCH, INSPECTOR IRATE ENGTF. Attach skpplemental tett date+ hereto] f �T I ..Mrd �. City � � I INSPECTION REQUEST I for r INSPECTION TIME: 41-0 PERMIT NO. : DATE: / I-L2f r DATE ISSUED -.L1 ®1KNERS NAME : --- ADDRESS: -L. - C O N T R A CTO R : _ TEST : Air L-J, Water[] , ,Visual 0 , L.abc�rntory ❑ 9ESULT: Approved Disapproved C Pending p SKETCH: I I 1 �j 1 IN PECTOR DATE NOTE . Attach supplemental tett doto hereto] L 7 C3 ark = -t. �.-�.,,. �. .3v }/ T' Mechanica! •'•�L?rmf t o Permit $3.00 V _ Fee 1.Sb New tnstallafon Replace ❑ Relocation r' Addifon Alteration TOTAL CONTRACTOR �3+sl — `~ 0.N��t• s a OV:'NER �1 ^� L <_�. .- S ADOREM _ WORK ADDRESS PHONE toSre — Q�s'1�. _ APPLICANT Heat Input Rating (8TU Per }four) Vert Size Flue Size FUEL OIL C GAS C ELECT OTHER ITI-." NO. FEE ITEM NO. FEE For Issuance of Permit 3.00 3oilers Over 50 lap 25.00 New- Under 1000100 BTU 4.00 Air Handling 10 Fp! 3.00 New- Over 100,000 BTU 5.00 1 Air Handling 0% ,00 CFM _ S.00 Floor Furnace 4.00 Evaporative Cooler 1 3.00 Walt - Floor - Suspended 4.00 Vent Fan 2 OC Install Vertu 2.00 I Vent S stem 3.0C Repair- Heat & Cooling 4.00-1 Hood 3.0C 9oi}ers !J�:c�r 3 HP 4.00 Domestic incinerator i 5.0C 3wlwa 3 to 15 HP 7.E0 " Comm. Incinerator 20.00 Boilers 15 !a 30 HP 1G.00 Other Not Listed 3.00 Soften 30 to 50 HP 15.Or, I INSPECTOR'S COMMENTS.- CIT,( BUSINESSICnNSF gEQUtRED F'_11-ALL CONTRA--OQS OR SUB-CONTRACTORS APPROVE© BY DATE 76 ISSUED 3Y OAT'E RECEIPT NO. 774 r;^natur3 It IOHH E. REI';H,1�(1T Pltl`IB&, 1)iC BUILDING DEPARTMENT, TIGARD N0. P. Q. RX, 129 PLUMBING PERMIT i _ HEfiBEFu, C tG�,1 X1132 ____^_� 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. Sl,ch 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 contri ctors and sub-contractors., i111�s1�_� 1� Address2:eY5Late Owne . NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS :LE ON EACH AMOUNT (Office Use Only) 1jE519EN11AL __—L _ Single Femily-1 bath-ench 25.000 S• C?C) _�Y_� Duplex-Each 1 bath unit !_ 25.00_ Additional bathrooms--each 10.00 .7• Mobile Home-pace_-e-each _ 15.00 INDIVIDUAL _FIXTURE FEES 1 to 50 Fixtures in 1 building-each _ 3.00 51 to 100 Fixtures in 1 building-each 2.50 101 to 200 Fixtures In 1 building-eac'i 2.00 _ 201 or more Fixtures in 1 building-each 1,50 MISCELLANEOUS Building Sewer-1 it 50 ft. _ V— 10.00 Sewer-each additional 100 it, 10.00 Water Service to builr!ing _ 5.00 Private Water Svstenv;_each 100 ft. 10_00 Other S o if PERMIT S.• L%e) For Plumbing Inspection Phone 6UP41.91 % State / S Plumbing Contractor By , TOTAL RECEIPT NO. Issued By I CV 6 ' k:_:D SEWERAGE AGENCY NO. _10684__-- - 11VASH Q NGw! ON LOU Iii j Y DATE 10w14-76 CITY OF Ti ,a-rd APPLICATION FOR SL=WER CONNECTION PERMIT OWNER: OWNER'S ADDRESS:____ STREET _ ZIP --- -CITY S7AlE BUILDING SITE: LOTI 9 BLOCK -_ ___ ___ ADDITION - residence TAX LOT N0. .---------_--- TYPE OF OCCUPANCY ADDRESS _..-_ 9,1.40 SW R Summerfield Dr. DWELLING UNITS__-_....._. 1 ___ FIXTURE UNITS ----- -- SURCHARGE IF APPLICABLE —.— PERMIT PPLICABLE —. _PERMIT FEE _.__575. q0 INSPECTION FEE .25._00, TOTAL DEPOSITED 600.00 — –_ (NEW) (EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. L . . APPLICANTC'� SEWER PERMIT THIS PERMIT .AUTHORIZES CONNECTION TO THE oEWER SYSTEM. LINE SIZE RECEIVED BY___ : y 1AGENCY OR ITS AGENT) cOMMENTS: _ _. B1dc. 1138 ______.__.__.__.._--__..__._._ ..._..__.-_- This Application and ) crmit expires in one h dred and twenty (1?0) days. The amount paid will be forfeited should expiration occur. BUILDING PRIMIT APPLICATION coy TIG.skRD DATE __. 19_� 1438 THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-- OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO.- OWNER T*D*C o JOB ADDRESS 9440 Sid ;a1.1T ine r f l f-2 0 H6i,4t ADDRESS ARCHITECT same ENGINEER BUILDER— nn ADDRE$B _ DESIGNER STRUCTURE W1YBW ❑REMODEL ❑ADDITION ❑REPA'R ❑RENEVJAL []FIRE DAMAGE ❑DEMOLITION AQ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'1" ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE f 'BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS_ OCCUPANCY LAND USE ZONE_ BLDG.TYPE. FIRE 20NE PLAN CHECK BY_ LTw HEAT 31,je t I ltr Lot ;,"160 F'ontai.nF. !"o-issufag same as 1@235 ,t eerileaf furraee kt.,xcept frame dwelling w e tached ga/age► 2 bedeaam 2 bath UCC, LOAD FLOOR LOAD __.-JiEjC T I�--_INO.STORIES �E_1'1 _ND JfJ�gMUMS Z VALUE, BUILDING DEPARTMENT r 5 SET BACKS FRONT REAR LUT SIDE RIGHT SIDE Permit 154*00 -- THIS rERMIT IS ISSUED SUBJECT TO THE REGULA TIONS CONTAINED IN THE BUILDING CODE, .CONING Plan Check ZX 10*0r REGULATIONS 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 COMA LANCE. WITH Sub-total ALL APPLICABLE CODES AID ORDINANCES. THE ISSUANCE OF TMS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.91. LICENSE. SEPARATE PERMIT!i REQUIRED FOR E'.WER. PI UMBING AND HEATING. Total 160,992 By APP..ACAN1 OR M.F riI Approved L, Ilf-cr,lir No. ADDRESS --- -- p --- .. .�. �. GATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor G5 Permit No. %��•� , %/- >"76 -- -- Fixture ----- -- -/ - e V __� Final _ HEATING r !.Z ` ` f.J Contractor Permit No. Gas or Oil Rou h in Final — ---- — — SEWER _ Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach — BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final_ _ f C Landscaping C Zoning Final GUIL PERMIT APPLICATIC",I< TIG e-\RD Z , ,� w . N ) 2-2 T'IE UNDEfta,GNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HERL-IN IND ICATCD C'1 A`.) SHGWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PFIONE G 3`Y - 31,01 � i-_r."i%.�% fy7 %�r✓G?�iLi. w�twAnOnrss [ �' �-� S(J• S' II>D/�lUiLnEn,I'PQN �......t�t� _ I ENGINEER IJUILAnCHITFCT DFSIGNEA STRUCTURE .cNCW C1 REMODEL ❑ACDITIC N ❑RFPAin ❑nc1JCWAL I_JPInE DAMAGE [10EMOLITION R[SrDEI�CE ❑11--C--JtOMM ❑EDUCATIONAL ❑GOv T ❑n[LIGIOUSQPATIO ❑Cnfl ?ORT ❑GAnAGE ❑S70RAGE ❑SLAJ ❑FENCE � L 14OND IIOVING ❑CONDITIONAL_USE CDESiGN REVIEW OCOUNCILAPPRCVED ❑_SIGNS _ Or "•'.%r.Y_ _LANE)USE ZONE---BLDG.TVP E_g_-F!nF ZONE PLA1J CHECK OY __ — NEAT l�rc -t S__rl �s..�i s s lr'Z ti S �. �r1-.►+/moi �' 'nyo-C.'e74 01-C. LOAD ri-Onn LOnD_ HEIGHT Nn.STORaD IES AREA jc?/0 � VALUE ��$� – IU!LOL11f,DEPAIMIENT 1 --, -- SET RACKS FRONT /e REAR Z8 LEFT SIpE s' RIGHT SIDE s T141S PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING cf O O REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED THAT THE WORK WILL DE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CM vLIANCE WITH Hcrcrd�ng I ALL APPLICAPI.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOCS :lOT WAIVE _ RESTRICTIVE CuVE�IANTS. COr11IIACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State GZ LICENSE. SEPARATE PEHN,I I'S REQUIRED FOR SEWER, PLUMBING AND HEATING. Total z f fly APPLICANT Of-I AGLNT Lf�r,1�t -'PL' 4? Recc;pt No. T.d C. ADURLS5 Pr UNE 5757.CO Ile Z � U c 5 -� g ,