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9470 SW SUMMERFIELD DRIVE r Im 9470 SW SUMMEPHELD DRIVE 1 J �4 w E F_ cn 3 cn U CP 1 BUILDING DEPARTMENT, TIGARONo. No0847 PLUMBING PERMIT ,q v r I- 2( ,L holder of a valid plumbing cons(�a��tDrs IiCer:sz'i� h by authorized to cause plumbing work as herein noted to be installed in aLLordance with the plum/Ang de of Tigard. Such installs*ions require inspection by the City Inspector who shall be notified not less an four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business Li nse required for all contractors and sub-contractors. �,�,.v�,.�•ati c- C l:l D[ OwnerL _ , Address.-1 .c.' _ Date1 �, 1__ NUMBER 01' TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EAC14 AMOUNT (Office Use Only) .5 I D E N T I A L �_-_-.---��._-. - -- SingleFomlly-1 bath-each _ _ 25.00 Duplex--Each 1 bath unit _- 26.00 - Additional bathrooms--each 10.00 Mobile Home Space-each -� `-` 16.00 INDIV_ IOUAL 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-each i _ 2.00 201 or mote Fixtures in 1 buildirna-^each _ —_ _ 1.50 _MISCELLANEOUS Building Sewer-1st 50 ft. —_ _10.00 Sewe,-each additional 100 ft. _ 10.00 Wator Service to buildiM___-_- _ 5.00 Private Water Slrstems--each 100 ft. _ 10.00--- Other.ftecify). _Other.fteecify)• :v.. -per_ , -- PERMIT �.�;; , ,� „I Fdr Plumbing Inspection Phone 8394191 t: % State j Plumbing Contractor B TOTAL ,. RECEIPT NO.��,,,� M Issued By f City of Tigard INSPECTION REQUEST for INSPECTION TIME :, PERMIT NO. : _ DATE: /,? /X/7 DATE ISSUED,--Y--L— OWNERS NAME '. , _ ---- ADDRESS : t CONTRACTOR : TEST: Air O, WaterL] t iauaI Cl , L oratory 0 RESULT* Approved Disapprove Co Pending J SKETCH: i 1 1 I I IaECTOR DATE I CNOTE Attach supplemental tett data hereto J 1 M C y ;-��;- Mechanical Permit N Permit V$3.00 Fee New !nstal!ation Repbee ❑ Relo=don C Addition C A'teration -- OTAt l=� i _ -• --T L'ONTRAGTO��Q�� ai _ ..� r.)!`.L_ti i_ . '7C__ OY'J!VER A.TZ N � �. � A r�!Lt'YORK ADDRE T PHONE �-� — d2� PLICANT Neat Input Rating (BTU Per Hour) — Vent Size Flue Sime FUEL OIL r' GAS L ELECT OTHER !TEM NO. FEE ITEM NO. FEE 3.00 Boilers Over I,0 r''' 25.CC For !mane of Permit - �—' 3.CC New - Under 100,000 BTU 1 4.00 Air Handli.,.} 10.000 CF1n rl ! 5.00 Air HandlingUver 10OCO CFM 5.0c New - Over 1Uri.= o.,.= � 3.Qt Floor Furnace 4.00 E rative Cooler Wa!! - F!oor - Suspended 4.00 Vent Fan 2 OC install Vents 2.00bent System _ 3.0C Repair- Heat & Cooling 4.00 Hood 3.C!t --Bwftw Under 3 HP4.00 Domestic Incinerator - Soren 3 to 15 HP 7.50 Comm. Incinerator 20.0C So ters 15 to 30 HP y 10 I;0 Other Not Listed 3.0C TN I Boilers 30 to 50 ?:p F i 15.C`0 INSPECTOR'S COMMENTS- CITY BUSINESS !CENSE 9EQUIRED F09-ALL CONTRA--TOPS OR SUS-CONTRACTORS APPROV=_^ BY _ DATE 7� ISSUED BY DATE RECEIPT y0. ! 774 Sio1naturs Appij,Cant , 1 �_ JOHN E. REINII;RDT PLUMBING, RIC. BUILDING DEPARTMENT, TIGARD NO dg. If. P 0 BOy 11-9 PLUMBING PERMIT NEWBERG, OREGON 91132 , holder of a valid piumhing 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 time the installations are ready for inspection. City of Tigard Business Ucense required for all con actors and sub-contractors. Ot t Ener1 /71_'�1� __(`��_ Address- �(d: �I�LG��1 � Date!/�h�76 NUMBER OF 70TAL PEnivrr NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) �IESIDENTIAL ____ Single Family-1 both—each I_ ✓ 25.00 Duplex•—Each 1 bath unit I _ 25.00 _ Additional both rooms--each j .__�_� 10.00 Mobile Home Space—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—each_— _ 2.00 201 or more Fixtures in 1 buil0ing—ench 1.50 _ _MISCELLANEOUS Building Sewer-1st 50 ft. 10.00_ _ Se_war—aach addit,onil 100 ft. _ 10.00 — Water Service to wilding _ a� 5.00 Priyate Weter SystLc�s—each 100 ft, 10,_00 _ Other (Specify): PERMIT �j�' �JC� for Plumbing Inspection Phone 639.4191 04 Stat, 1 �J Plumbing Contractor 9y TOTAL ) RECEIPT NO. Issued By I n City of Tigard INSPECTION REQUEST � for INSPECTION TIME: >> - PERMIT NO. :-----.-- DATE: 7/24 DATE ISSUED .'_" OWNERS NAME :- ADDRESS: _.2-�T�� r3 <--zt ->, -A CONTRACTOR : rEST . Air 0, Water[j f Visual-9 , Labarato,ry RESULT. Approved EK Disapproved C , fending LJ SKETCH. Elm ii / I RECTOR DATE LOTE: Attach supplemental feet doto beret] UNIFIED SEWERAGE AGENCY NO. __ .__ I OG 64- WASH I NG rc ` V co,J NT T DATEiA ._...- - - - CI FY OF--. jtr.'ird APPLICATION FOR SINVI R CONNF-C HON PLHMIT OWNER: _ T .D.C . - --� OWNER'S ADDRESS: STHEET CITY STATE ZIP BUILDING SITE: LOT__U1_ BLOCK --_-_ ADDH ION TAX LOT NO. --------- ------- TYPE OF OCCUPANCY. reaideoee ADDRESS - . (�.__5W__.$umm.erifeld. Dr. _-- DWELLING UNIT&___.-_.1 ___ _-----.--__.._-- -_ FIXTURE UNITS - SURCHARGE IF APPLICABLE _-_-- 575. 0025. 00 600. 00 PERMIT FEE --.----. 'INSPECTION FEE ___w TO;AL DEPOSITED __._.-. (NEW) (EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM. LINE SIZE INSTALLER _ RECEIVED BY_._ (AGLNCY OR ITS AGENT) COMMENTS:. Pldg. This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. . ^•�z�'Svanxm�i�"A1+R" t91!fil�@�' .. �" "'m;'�r!�w;;:,tgy, 4��',�"^�' � .,'�M�r+N!!'pt¢",q�^?wa�?�S+Pt ,,, '\BUILDING PERMIT APPLICATION 11 Y TIGARD DATE_ W-1-7 ' THE UNDERSIGNED HEREBY APPLIES FOR APERMI i FOR THE WORK HEREIN INDICATED BUILOERPHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE, D a • LOT NO. T.C'.:n. ;,A ,,,►ruh� rt .t tale± OWN!R JOB ADDRESS HOME ADDRESS ARCHITECT ENGINEER 'jUILDER ADDRESS DESIGNER STRUCTURE —(310EW 0 REMODEL OADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE — ❑DEMOLITION U RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PAT'O ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE` 0BOHD ❑MOVING ❑CONDITIONAL USE^ ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS Q(!_JP_�N�C NO UK ZONE_ BLDG.TYPE FIR,-ZONE PLACHECK BY__ _ HEAT___ _ o Vrnmv dwelling w/attecoeld Warago � 2 bedroom 2 bath- 1490 27ve27. gcG,_L2A1�_��. f194ILLQAP– __.�F1SitiL__ �Q._5TQR�__.__ FA d9tRF�N.Q�M;z_VALUE. B'.JILDING DEPARTMENT EET BACKS FRONT 11� REAR 17 LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULA't IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 1" IS HEREBY AGREED THAT THE -- — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICO,TIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORF TO HAVE CURRENT CITY BUSINESS State Tax LICF.NSk. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By ( 11N1 OR AGf 111 Approved Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE / �t Contractor _ / Permit No. ..7_ (, Rough in / Fixture Final -261 HEATING i6 �, Contractor �n.A., _ Permit No. &ev _ %� /;I— Gas LGas or Oil Roughin Final SEWER Final_ — ,—v -- --- — � �DRIVEWAY____.__ Final Storm Drainage (Rain Drain) Final Sidewalk f rb&StrEet Final Approach BLDG DEPT. FINAL TEMPORARY _ CERTIFICATE OCCUPANCY CERTIFICATE OCCUi'ANCY l ndscaping Zoning F final BUIL PERMIT APPLICATION TIGARD N2' THE UNDEFialGNED HEFTEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHCWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE439- 3101 rn•,�IF�� lr�:.s Liv 9Cn ADDn ss 24;1n st..J. _ prud-n'PHONE ENGINr:En lllltl.!?ill.jri,,c.0 AnCHITFCT DESIGNER ;TRUCTUFIC &NEW ❑REMODEL ❑ADDITION CnEPAIR OnENEWAL ❑FIRE DAMAGE ❑DEMOLITION RESIDENCE QCOMM QEDUCATIONAL 0GOV'T 0RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAD ❑FENCE 011OND OMOVING ❑CONDITIONAL USE ❑OCSIGN REVIEW ❑COUNCiLAPPROVED [:]SIGNS ,)ri-UPANCV_.=7- .t-ANO U-C 71'NF: DLOG.TYPE--jr—.FIRE ZONE PLAN CHECK BY HEAT—,dM;K•_ �C•/fStJC �swG B f ✓�.��/ f +� fr,..,...�t� �c/��— Vii. � — -- Ri_(`LOAD FLOOn LOAD HEIGHT NO. STOFIIES VAL Efr7M IIU'I.UITJG Dr-PAN-'-*,-^d-1 • / • . i/ SET BACKS FHONT jG+ Fl FAn—L'j LEFT SID�-G RIGHT SIDE -G Permit -- T- T14IS PERMIT IS ISSUED SUBJECT TO TIIE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING �•� f� /� �.b PEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE f --I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH IteCOfdirtg _ ALL APPLICABLE CODES AND OROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE `---�{ RESTRICTIVC COVENANTS. COPITIIACTOn AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS ' State 4 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total S' 9 Fly Appruved Receipt No. --__ A1JUI7L55 PHUNL ,ssd✓er ;..fP Z5•C� �tsliri #*NA 7 �5.•do '_r ADDRESS PERMIT NO. G G '4/ PERMIT CHARGE none OWNER �7 CONNECTION FEE PAID BY TYPE OF BUILDING N ;r .• '�_ u1 DATE CONNECTED _ � � _ SERVICE RATE l'r INSPECTION FEE �� CONTRACTOR _ PAID BY _ DATE SIZE OF CONNECTION _`�� _ ASSESSMENT ___� PAID