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9555 SW SUMMERFIELD DRIVE 9555 SW SUMMERF'IELD DRIVE f, 1 u u u 1 W W M y • t � y OF 0111 ` l= � � j I P1* CUA WAC CITY OF 1 IGARD ° +' (- j OREGON x ' Owner:.......T. D. C........................ ... .................... ........Permit No....)t.55.7.. . . ... () Building Address...9.555 S.W. Summerfi.eld. Dr...... L.ot_#33.6... ............ Certificate is hereby given thio . .30.._.. .day of... ec.embQ.r,•... ...,..., ly .77. ,' t that said building may be occupied an 1 that it complies with all requirements of the Building Code for the City of Tigard. as approved by the Tigard City Council. � � , _.. .. .... - .................. Building Inspector s� 's�..t �-. �� � ' ire •� .(t IIrW IA U 5 a. Pr�rl-ltit: Nn. P o r m i t c h a r g o c:,3 I r c 0 ConnRcLion foo QS- Pnid by C - T,,!�ia of I)U:i.lc!.Lf'O Dato corinoctcrli Inspoctinn fm! P--.i d h y Do t.v-, . of" a L;ri s,I-I c 1 11 C �1 oQr�arr' Mechanical," 'erg t No � Permit $i'00 Fee New Installation ly' Replace Rel;, atior, `— Addition ❑ Alteration ❑ OTAL 7.1$ CONTRACTOR ^"-T_� g✓� _ -�?,i.3�E.t + '�f G- OWNER ,�.l.,L'r'11=+ / '•'���� ALDRt"'-S' �=O , R J X ''.5 S Lam.rL-G'+•-+►.-�l�A-� WORK ADDREss 414.63. '1�,r a�.�!�Z��'1.ce0 �• � �r � PHONE_ (c`�6 ��2� APPLICAW 11 Heat InpLri Rating (BTU Per H Vent Size_ « Flue Size FUEL OIL ❑ GAS ELECT '— OTHER ITEM N10. FEE ITEM NO. FEE For issuance of Permit 3.00 Soilers Over 50 PP 25.00 New- Under 100,000 9T',' 4.00 Air Handling 10,000 CFM 3.00 New-Over 100.000 BTU 5.00 Air Pand!inci Over 10,000 CFM i ! 5.0C Floor Furnace 4.00 Evaporative Cooler _ 3.0C WaI! - Floor- Suspended4.00 1 Vent Fan s 2.0r, install Vents 2.00 11 Vent S stem 3.00 Re it- Heat & Cooling 4.00 1 Hood 1 I 3.0C ?oiler. Under 3 4P 1 400 Come-tit I<<cinerator t 5.'X 8oi'ers 3 to 15 HP 7.50 !'.omm. it inerator ' 20.Oi 9oi!ers 15 to 30 HP 10.00 I. Other Not Listed 3.0C Boilers 30 to 50 HP ' 5.on_ i l !NSPECTOR'S COMMENTS. CITY 3USTNESS LIC SE 1SQUIRED FOR-AL-COt�t'+RA?CrOn OR SUB-CONTRACTORS AP°ROVSD 3Y DATE ISSUEP1 SY RECEIPT VO. i.� .'�!:o cy—T:: !/ sr'L a - own 1 11 P,.......« JUlii E. K!"!i177,T Fi�11DiNu, Ih(,BUIL.DING DEPARTMENT, TIGARD ^! t N0. PLUMBING PERMIT I1 3 holder of a valid V,lumbing ct4tractors licen.,e is hereby I' authorized to cause plumbing work as herein noted to be installed in accordance witalumbing code of Tigard. Such installations require inspection by the City Inspector who shall be r i le t less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Xe) / _3 3(n Own tL l -- Address- `J'Sc.IG,-L"x)211�-K 66at7 NUMBER OF 'TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) single Family-1 both--each_ 25.00 _Duplex—Each 1 bath unit — _ _ 25.00 Additionnl bathrooms—each 10.00 �d • d(J i Mobile Home_Spncr�—eactL 16.00_ INDIVIDUAL FIXTURE FEES _ 1 to 50 Fixtures in 1 buiidin9 each _— 3.00 61 to 100 Fixtures in 1 building--each i_ 2.50_ 101 to 200 Fixtures in 1 building—e—each 2.00 _201 or more Fixtures in 1 building eacFi 1.50 MISCELLANEOUS _ Buildln; ewer--'it 511 ft..— 10.00 Sswe-- ,ch acfaltiona: 100 ft. 10.00 a Nate_Service 'o building 6.00 a Private Wates Systems—each 100 ft. 10.00 Other �Snacifyl; _ -- �PERMIT -3 Co For Plumbing Inspection Phone 639.4191 j 394. State j / C` Plumbing Contractor By i TOTAL � � RECEIPT NO. Issued By e 7 v SEWER PERMIT N° 13442 u of Unified Sewerage Agency T 1 i�a r d of Washington County CITY OF DA I-E 6-23-77 OWNER : _.�, F, r, _ _ PHONE : 639-3101 OWNER ' S ADDRESS: —� - TYPE OF INSTALLATION: ❑BUILDING ��EWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ®NEW ❑ SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RE : . ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS _ l PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPI-Y WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAL_L_ING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 25 CONNECTION CHARGE 575_�._.__ SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL $ F'00 L APPLICANT DATE SEWER PERMIT N`•' 13442 9555 SW Sumaterfield Lane ADDRESS OF STRUCTURE — — -- TAX DHAP TAX LOTSYSTEM fanno creek- LOT reekLOT 311h ___ BLOCK - OF — APPROVED BY DATE ISSI/£D BY DATE REMARKS blc+g. ;;1557 ___ BUILDING PERMIT APPLICATION 1OF 1T TIGARD DATE_ • THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING, PLANS AND SPE$FICATiONS OWNER PHONF LOT No._�___ rWSQ6A1fIY.f J .. OWNER JOB ADDRESS HOME ADDRES`i , AFI II:ECT 91"Mc, ENGINCER BUILDER ADDRESS Dl� ,_sNER STRUCTURE____Qt EW ❑REMODEL C,A_ODITION _DREPA1R _GRC'v�WAL _❑FIRE DAMAGE ❑DEMOLITION © RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAI-10 ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCc ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED _❑_SIGNS OCCUPANCY.i—LAND USE ZONE II.. t 9LDG.TYPE 5r3,._FIRE ZONE 1 LAN CHECK BY OtU HE^T Lat• 436 mk 1.5 _re-111SLe sLiliu !ae 15bb� ''LI iift!L _ff LtiALd Lrarlo frame dwollint., w/attabbod garage 2bedroom i bath ----- OCC- LOAD OAD _._____F_LQQR LOAD HEIGHT__.____KO_SQRI F-SI AREA 1490_-N_Q,_ _QB_QQM$-i VALUE 3 BUILDING DEPARTMENT SET BACKS FRONT 12 REAR 29 LEFT SIDE 4 RIGHT SIDE ltl Permit 136.00 ---- THIS PERMIt IS ISSUED SUBJECT TO THE REGULATIONS tTOMTAINED IN THE BUILDING CODE, ZONING Plan Check 1Q�(�Q 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 COMPL IANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES YOT WAIVE - -- RESTRICTIVE COVENANTF. CONTRACTOR AND SUB CJNTRACTORS TO HAVE: CURRENT CITY BUSINESS Stare Tax_ Q• Z: L ceM:.i ,SEPVA k PE�RMuT ig IRE,%FFOpi SCWFtR36WMBING AND HEATING. Total 150,38 L ts+ i� ♦ fA6f1[, i O 71 L1 By _ APa.ICANT OR AGENT— — Approved 7 'R � Receipt No. ADDRESS ... ,....a..a.r,..r.:,..i.p6ti..u..._�w.w.....�..a...r.....sa.w..r�.r+...,.r�.....,u�.:,.,....w. ... .. "f.S.6.a:itwwlilC�..a.,r.kwkYW.IJYw.wl.JrrL,w.wRY.Jw8i1WMaYwgY�JlNr�w+YW+tia:.1W'.. UA TE INSP. TYPE INSPECTION REMARKS PLUMBING — DA-E �-1q- 77 v nr –__---_ — Contractor -2- �,-'1? Permit No. 0L1z _ —_ --- RouLhh-in --- 2Z-J) J ' Tel Fixture - -2�- n Final --- -- HEATIN - - p 11- -) C4 ti`r-1._ A zLjqfu t^r ri----— ---- Contractor — _ tX4-. Permit Y _-- 2• ,__q —�n�� Gas or Oil _ -, Final T(3 F�V 4i1. ,r1�r"r�rL �(si SEWER --- - _ Final _ DRIVEWAY Final rAroach ainage__ _ I �� in) Final - ---- treet Final --BLDG DEPT. FiNAL � TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY ingr nal i UUIL JG PERMIT APPLICATION TIGARD a-?- I THE UNDGMSIGNED HEREBY APPLIES FOR A PERMIT FOR THE :'FORK HEREIN INDICATED OR AS SHOWN AND A?PiiOVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE. U( 1 ADDR[SS _n rFloNr- _ ENGINFEn A11CHITECT t�Drs�cr�r-n ST 7�;'rTilgi. L t. '.'OOEL ❑ADDITION ❑nEPFIn ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION 11cohim ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑FATIO ❑CARPORT- ❑_ GARAGE ❑STORAGE USLAB ❑FENCE =-❑1�0 ❑MOVING ❑CONDITICNALUSE ❑RESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS Flni ZO^1� PLAN CHECK DY _ HEAT d nr•r. 1 Ann_ r1_qOn LnnD4J HEIr,�Ir �-D N(7.:>T17flI[S --L-- nnEll�tVAI_uE� _t )� IlUiLDIN�:III-('nriT1ai- , —� — --- SET nACKS FIIONT 1 -: O PfnR 29—p LEFT SIDE nIGHT SIDE ��" Prrmlt —-�— -- — �— - — — C� -rHiS Pr:nNIIT IS ISSUED SUBJECT TO THE'nLGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Ilan Che - i nEGULATIONS AND ALL APPLICABLE CODES AND OnDINANCES, AND IT IS FlEnEBY AGREED TI4AT THE _—� vionK WILL Bf_ DONE IN ACCORDANCE W!T H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH I�ccold'n'1 �, ALL APPLICABLE CODES AND OtIDIPMNCES. THC ISSUANCE OF THIS PERMIT DOCS NOT WAIVE nLSTnICTIVE- COV[`IANTS. CODITRACT06 AND SUB CONTnACTORS TO HAVE CURRENT CITY DUSINESS I"''Stat ,i � i LICENSE. SEPARATE. PLEMITS REQUIRED FOR SEW':R, PLUMBING AND HEATING. Tonal J tea' ` C. GENT I'lji r• �`— Receipt NG. L. ' PHONE r. CITY OF TIGARD ORDINANCE #77-26 STREET SYSTEM CEVELOPMENT CHARGE DATE : ESTIMATED SALES PRICE $ 46,000. APPLICANT NAME_ T .D.i: . TELEPHONE #_639-3101 1OB ADDRESS 9555 5',1 Summerfield Lane _BLDG. PEPMIT AMOUNT OF FEE FOR S. D. C. $300. 00 DESCRIPTION OF IMPROVEMENT single family dwwlli.ng EXEMPTIONS -PER ORDINANCE #77-26 FEE RATES: A. Single family dwelling unit under $60, 000.--------- $300.00 B. Single °amily dwelling unit over $60,000----------- $400. 00 C. Mobile Home Court Space (New nevelopment)---------- 0150. 00 D. Multi.-Family Dewllings--per unit-------------- ---- $240.00 E. Cc:mmercial , Industrial & Institutional (Park. Space) $ 50. 00 each F. Sing' e family unit under $40, 000. ------ -------------- $250. 00 i