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9445 SW SUMMERFIELD DRIVE ■ !1I � i� 9445 SW SUMMERFIELD DRIVE r� c E E c� N Ln d cn 1 I City of 'Tigard,"' I INSPECT16ON REQUEST fir i 11APECTION TIME: PERMi`l NO. : -- DATE: i' w.� DATLO ISSUED '.--l-J-- OWNERS SSUED :--_LL_OWNERS NAME : ADDRESS: ��Z al ----- t CONTRACTOR : -A!�-- j'" ---_- T E ST , Air 0, Wotet O , Visual p , L o boratory C7 Q+-r,ULT. Approved E] nisdpprovsd C Pending [7 S C TCH I I E � 1 INSPECTOR DATE I 5NOTE Attach supplemental test data beret 01 s h U.,11M El I=G1 M 641 41220W— � r. 0 F OC irds. CITY OF TIGARID Ive OREGON Owner:........T.D.C............................. ...........................Permit No.....1135............. I ,� l" Building Address.................................445 SW Summerfield Dr. Lut #379 •• t 14tfI November 77 Certificate is hereby given this.... ..day of. . , 19.:.... that said building may be occupied, and P, I ' - 1 that it complies with all requirements of the Building Code for the City of Tigard, as approved by the Tigard City Council. .. r'' -- � Z. ......................... r or Building InepP t i9w W WEnIr W-JUIIR WUIIIIIIIVW�� JOHN E. REROARD1 PION^BIi1C, RiC. BUILDING DEVAFiYMLNI', TIGAHD ph l L P. 0 BOX 119 PLUMBING PERMIT NO. NEWBERO, OREGON 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 plumbing code of Tigard. Such installations require inspectiun by the City Inspectoi who shall be notified not less than four (4) hours prior to the time the instillations are ready for inspection. City of Tigard Business License required for all contractors and sub-co tractors. Own�'r.��C ,2 I'�� '/ ) ,�.L.�t i tet]°(( lJr�,f�� ce dress_ y�/��. �, �u.c� Date_ NUrv10ER OF TYPE OF PERMIT TUTAI I PERMIT NO.'S ITEMS FFf; ON EACH AMOUNT (Office Use Only) TIAL Single Family-1 bethlcach ✓_-_ 2500 ��j Duplex-Each 1 bath unit 25, Additional bothroomr-each 10.00 Mobilo Home Space-r.ach - 15.00 -- INDIVIDUAL FIXTURE FEES --- _ 1 to 50 Fixturas in 1 building�eoclt 3.00 - _51 to 100 Fixtures in 1 bu;ldin -each 2.50 __-101 to 200 Fixtures in 1 building-each y — 2,00 201 or more Fixtures in 1 build in -eoch 1 50 -'--- MISCELLANEOUS ---- Ouilding Sower-1st 50 ft. �_ M 1000 _ _ -- Sewer-each ixlditional 100 ft. _ 10.00 — Water Service to building Private Water Systems-eoch 100 ft. - MIA) Other IS ecif PERMIT For Plumbing Inspection Phone 639.4191 % State -3s — Plumbing Contractor By TOTAL) /, . RECEIPT NO. Issued By -sms�asysa-+� U�JI ,- jr-: L) SEWERAGE .1;.G N( OY NO. 10681 10-1476 WASHINGTON COUN'-, DATE C I T Y 0 F---J—1n a-Ldd- APPLICATION FOR SEWER CONNECTION PL13MIT OWNER: ---- OWNER'S P CITY S, BUILDING SITE: LOT-339 BLOCK - ADDITION TAX LOT NO. TYPE OF OCCUPANCY ADDRESS DWELLING UNITS FIXTURE UNITS ------------- SURCHARGE IF APPLICABLE -------.--,.--------- - PERMIT FEE .---535-D- -- INSPECTION FEE , 25.-1.1[1 TOTAL DEPOSITED E-Llfl-Za (EXISTING) BUILDING SEWER SYSTEM --F-ann-0--C-r-a-ek----- Thp Appi;cant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT SEWER 111' RMIT r,jAIS PERMIT AUTHORIZES CONNECTION IQ THE SEWER SYSTEM. SIZE INSTALLER RECEIVED BY Wlf:NCY OR ITS AGENT) COMMENTS: - F This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. l�� BUILDING PERI;7 APPLICATION CITY TIGARIDDATE 1C)"l4'"' 4 935 THE JNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BVILUr.:RPHONF.__ OR A,'' SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNn,Rv,i+,�Nr _— LOr NO.— OWNER .�.[;� _ JOB ADI.ZESS 71 4:) LI qt umme rfw f'I,i NCIME ADDRESS ARCHI'"ECT BUILDER G61Me ADDRESS ENGINI'ER _ ee��IYY STRUCTURE L1nEW _ ❑RF;,O_DEL _❑_ADDITION _ ❑REPAIR_—_ ❑RENEWAL ❑FIRE DAMA.GF'GDEMOL TION '3 RESIDENCE ❑Comm CJEDUCANONAL ❑GOV'T LRELIGIOUS❑PATIO ❑CARPOHT ❑GARAGE ❑STORAGE❑SLAIJ ❑FENCE ❑BOND ❑MOVING _ ❑CONDITIONAL LISE ❑DESIGN REVIEW ❑COIJNCIL APPROVED — ❑SIGNS 7 OCCUPANCY I LAND USE ZONE BLDG.TYPE'J—FIR E ZONE--� PLAN CHECK BY--��Lr HGA1 Lut 379 fIK VIII 'tA–ies9ul;a! name: As is625 5w 5ummerfield LIrmea – - bsOroom 2j bath frorno 19welling w/attscheed geragn — �.�oADLOAD___ ------- 7'7 ----- �,/Qtp. FLOQLi .__�1.GHj. tqo�Tg.BIES 2 .__—A-REA167.—JL4..aURooms 2 31 01 BUILDING DEPARTMENT 1® 25 tit SET BACKS_ FRONT REAR LEFT SIDE� RIGHT SIDE Permit 136,00 -- -----_--- — THIS PERMIT IC' ISSUED SUBJECT TO THF REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 100[10 REGULATIONS AND ALI- APPIACABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE. DONE IN ACCORDANCE WI TH THE PLANS AND SPECIFICA f1ONS AND IN COMPLIANCE WITH Sub-total ALL ANvLWI'81E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- — RESTRICTIVE COVrNANTS. CUNT.;;CTOA AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.36 LICF-NSE. SEPARATE PERMITS REGUIKED FOR SEWER, PLUMBING AND HEA.fINO, Total Bv — - - -- APPJ-.4 ANT OR AG NT -- - -- ------ Approved Receipt No. nr155 SS— - PI IiNF DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. --- —_ - - - -— Rough-in _ Fixture — ---- — -- - Final HEATING V ?7 _ Contractor 3,1z lic)ra-aPermit No. _ n _+ Gas or Cil Rou h-in 71 .rL2IL ' —— -- -- —-- Final _ �� ---- SEWER _ Final -- DRIVEWAY - — -- Final ---- --- --- ---— Storm Drainage (Rain Drain) Final _ Sidewalk Curb&Street Final —_•�- —_ - _ A proach _ !BLDG DEPT. FINAL TEMPORARY_ CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY --- Landscaping ` Zoning Final BUIL PERMIT APPLICATION TiGARD N2THE UNDE.'3�IGNEU HERE;Y APPLIES FOR APERM IT FOR THE WORK HERL-IN INGICATCD J � OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS l%ND SPECIFICATIONS. OWNER PHGNE f,l•/P1F.ftT��is> QC✓�ly/�....e��ATRr: 4l -�a-- -�iTi��p �/f itl!-D`R'PHONi_ GO ENGINEER IlL1Lnr;L ..►. c AlCII CTv CFS!GNCR STRUCTURE 114NEAV ❑REMODEL ❑ADDITION ❑I'll EPAIR OrENEWAL ❑rmcDAMAGE ❑OCNIG'-ITION RESIDE'10E ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCPATIO ❑CARPCRT ❑GARAGE STORAGECSLAB ❑FENCE 0t!ON0 0VI%G ❑CONDITIONAL USE ❑DCSIGNREVIEW QCOUNCILAPPA O`.tu []SIGNS US[ ?ONE— ,DLDG.TYPE -'�4—:7 .F(RC ZONE- PLAN CHECK (3Y— �Lt/'' HEAT_ _ i __ 7- AREA (� VALUE Ur_C LtlAl) Ft_OOR LOAD HEIGHT NO.�TO>t1ES llUfLDIf1G DF_PAIiTMEN f SET BACKS FHONT `Q ' nEAR Z7 t LEFT Slot — --- - G �P'rmiC ` Qv ` ii. it THIS PEnrIIT IS ISSUED tllnJEOT Trl TItE RCGULAT.IONS CONTAINED !N THE BUILDING CODE, ZONING RL-GULATIONS AND ALL APPLICABLE- CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK'0,!LL BE DONE IN .k000RDf.t:CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH I_��r�IfRD ALL i:.'_;CA0l E CODES AND OFIDINANCES. THE ISSUANCE OF THIS PEII dIT DOES P40T WAIVE --{ RESTRICTIVE COVr-NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY QUSINCSS 3 Stile I e� L ' LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUt,IBING AND HEATING. Y-- Totai O. A:'PLIGANT Ot) AGENT 121 _ Receipt No. A JUfi L;i.. PHUNL Ile Sp. 3L 00 _CO 757 • 3 G . 7' ^now— Permit No. /i % el Permit charge 22 022 t!!— ta Owner ' (� . Connection fee ,:� �; Q5 r f� Paid by Type of building /? �� Date connected _ Service rate Y,:;; _ Inspection fee Contractor Paid by _ _ date Size of connection Assessment Paid M�_