9560 SW SUMMERFIELD DRIVE uG SW 6UMMERFIELD DRIVE
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City of Tigard Mechanical Permit
Fce_. ---- __
New Installation 11 Replace [J Relocation L_] Addition Alteration U 3%State
TOTAL----
CONTRACTOR
OTAL. _—CONTRACTOR OWNER
ADDRESS w WORK ADDRESS
P'-IONE �. APPLICANT
Feat Input Rating (BTU Per Hour) __ Vent Size — Flue Size _ —
F-UEL OIL L_l GAS ELECT ❑ OTHER
ITEM NO. FEE 1 'EM NO. FEE
For Issuance of Permit 3.00_ Air Condition Corr,ressoi 15 to 30 HP 10.00
New- Under 100,000 BTU 4.00 Air Handling 10,000 CFM 3.00
New- 100,000 BTU&over 5.00 Air Handling Over 10,000 CFM 5,00
Floor Furnace4.00_ Evaporative Cooler 3.00
Wall - Floor-Suspended _ _ 4.00 Range Vent Fan �- 2.00
Install Vents Only _ 2.00 Vent System 3.00
Repair- Heat&Cooling _4.00 Hood Commeieial 3.00
Ali Condition Compressor Under 3 HP _ 4.00 Commercial Duct SystemW 1_0.00
Air Condition Cor.,pres,.or 3 to 15 HP 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL. CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE _ _ ISSUED BY DATE
RECEIPT NO.
"' 3ignature of Applicant �v
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CITY OF TIGARD ve}�
OREGON
►`, ' Tualatin Development. C°.�..... ......._.. Permit No.11.94.... .._....
0\\ner: . w•,
g.Ad a ...SM. .. ... � .
�. ............... � ............ ..... . Lot, ��.4�.... ........ E
5560 SW Summerfield dr.
-• �
Building Address
>; + Certificate is hereby given this......Sth....day of....MPY...................... 19.....7..?
w,
that ;ail building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
c as approved by the Tigard City Council. h '
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)' Buildin. g nspectior
or
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OF
f' CITY OF TIGARD
t•�i G OREGON
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1194
Tualatin Development Co. Permit No........................
Owner:...... ....I.......... ........ . ..... .. ......... ..... . . .
. 9560 SW Summerfield Dr. t_of...3a.3........................
Building Address............... .... . . ..... ..... ........ .
Sth May......... ..... ...... 19....... `)
Certificate is hereby given this............. 77
...day of...........
that said building may be occupied and �!
that it complies with all requirements of
.. i
the Building Code for the City of Tigard,
'
as approved by the Tigard City Council.
,� !-�................
x72: ....� �.
i Building Inspector
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G ua.�enr
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City of Tigard
I
INSPECTION REOUEST
for
IINSPECTION TIME : PERMIT NO. . _.
I
DATE: LL!E/72. DATE ISSUED'.---LL---IL--
OWNERS
SSUED:---LL---L_
I OWNERS NAME : r __
CONTRACTOR :'`. flfe Llri0vJ(-m* m
TEST: Air ❑, Water ❑ , Visuel Laboratory ❑
RESULT. Approved 01 Disapproved ❑ , Pending
SKETCH*
d �
I
I INSPECTOR DATE
A-)
(t OTF Attor,h s ipplementoI tett dato hirei
!
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I a
C }y n� s .� r� McCl1anicai '3ermit � o Permit 53.00 p
+ .. vi -
1 r ---- Fee 4.QG_
New ,-•sta.i leion 2"Replace 71 Ie ocat on Addit'on � Al_erafon 0 --
TOTAL 'I.
1
CONTRACTOR, :2_�e IGt i?yL' CNN".NER t�A k_4. N c���; . f,_ _ �►.: G►. l
ADr� n Rn,r S �S WORK A D!0 R ESS �u 1 i �_j1�n �,�(L•
PHONE ro APPLICANT_
Heat Input Rating (E rU Per Hour) rwMemy Vent S;ze sz- ` Flue Size �---
FUEL OIL C GAS C ELECT CTHER
ITEM HO. FEE ITEM NO. FEE
For Issuance of Permit 3.00 ; Builers Over 50 HP 25.00
'rev!• - Under 100 COO BTU 4.00 lAir Handling 10.000 CFM
New - Over 100,000 87J 5.00 Air Handling Over 10,000 CFM i I S.00
Floor Fvmace 4.00 Evaporative Cooler 3.00
Wall - Floor - Suspended 4.00 1 Vent Fan 2.0r-
Install Vents i_ 2.00 Vent System 3.00
Repair- Heat & Cooling ' 4.00 I Hood 3.00
Boilers Under 3 HP 4.00 R Domestic Incinerator S.00
Boi`ers 3•o 15 HP 7.50 Comm. Incinerator I 120.00
Boilers 15 to 30 HP 10.00 Other Not Listed i 3.00
Boilers 30 to 50 HP 25. 2 1 !
INSPECTOR'S COMMENTS.
CITY BUSINESS L' C UIRED FOR•ALL CONTRACTOP.S OR SU3-CONTRACTORS
APPROV,/EL BY DATE ISSUED BY DATE
RECE1Pt NO.
ra S?;naturs of App; nt T �-I
City of Tigard
INSPECTION ILEOUEST
for
INSPECTION TIME : L_T7____ PERMIT N0. : r_._-- ---
DATE: / 1_31�7DATE ISSUED'. -L.—
OWNERS NAME :
AD*DRESS :
CONTRACTOR
TEST: Air C7, Water J/�/iaual f_7 , Laboratory []
RESULT: Approved [g Disapproved 0 , Ponding 1-1
SKETCH:
I SPECTOR DATE
NOTE . Attach supplemental Meet data heretu1
I
' IONIY E. ftElilY,.M1R[ll I'(l'1Bii�S, If>;;BUILDING !>kF'l ItTMENT, TtCiARD NO. 7 .�
P. D. GQY 119 PLUMBING PERMIT
NEIY��Cu, ;JzT,i 91132 __, holder of a valid plumbing contractors license is hereby
cl
authorized to cause plumbing work as herrin noted to be installed in accordance with Lhe plumbing code of
Tigard: Such installations require inspection by the City
linst�ectionVector who
Gity of Tigard fBusinessless
License trequired
four
(4) hours prior to the time the installations are�� for y
for all ecntractors and sub-contractors. 7' Y 3
I-77l6' - — Addressr --�'Z�'we
Owner �-
�^ NUMBER OF TOTAL PERMIT NO.'S
(Office Use Only)
TYPE OF PEPMIT ITEMS FEE ON EAC14 AMOUNT
-
- 2500 -
- Simla Famil =1 bath--each 00
?5. -
0,,plex-Each 1 bath unit L s 5.
4dditlonal bathrooms-each — r 10.00
_Mobile Home Space-coch _
15.00
-
INgIVIDUAL FILATURE FEES � --
1 to 50 Fixtures ^ =`• -",n-each ___ _ 3.00 -
51 to 100 Fix.ures in 1 buildin ff-ennui� —2.50 --
s — _ _....--- --- .—.. 2.00 ---
101 ?": rixtures in 1 building-each
1.50
201 or more Fixtures in 1 building-each r_ _ _ _
l.M —
Building Sower-1st 50 1t. 10.00 —
Sewor-each additional 100 its _ 10.00� —•— -
Water Service to building 5.00
Private Water Systems:.-each 100 tt. _ 10'00
Other S eci( :
PAIT i'C� For Plumbing Inspection Phone 639419
PERM11
daE State Plumbing Contractor By }f-1-4-j,� _
l/ "/ TUTAI. T—r RECEIPT NO. Issued By _ ---
11TTIG�R� DA1F__�x+5t-,7 ' ---. ty q
BUILDING PERMIT APPLICATION OF
THE UNDERSIGNED HEREBY APPLIES FUR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_ ,.,19-31
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OBER PHONE--._____
T f v C. 9b6u Ju OUIt.71�>�f 1 el` LOT NO.-�
OWNER JOB ADORESBHOME ADDRESS
ARCHITECT ._
ea AR ENGINEER
BUILDER r� ADDRESS DESIGNER
STh'1CTURE 13N EW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL- []FIRE DAMAGE ❑DEMOLITION
13 tR-E�SIDENCE i.JCQMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA,1'10 ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
L1.BOND ❑MOVING ❑CONDITIONAL USE ❑DE'IGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCIIPANCY 1 LAND USE 'ONE BLDG.TYPE----2—F IRE ZONE---� PLAN CHECK SY "�® HEAT -
_ Lot ;1k re-1®s U80 aurae as 15613 SW Summerfield Lane
rrame dwellin(,j w/attached garage Y3 bedroom 2* bath
OCC.LOAD FJ OOR LoA22 _—_— HEIGHT—.- NO.sIQRIE -- AREA Z�00- .gEDRDOMS 3 VALuE3 r 910**
BUILOING DEPARTMENT SET BACKS FRONT 10 REAR 11 t "LEFT SIDE 1 ' k' RIGHT SIDE f
Permit 1b4e QU
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE W21L.DING CODE, ZONING
Plan Check 1 .011 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREEY AGREED THAT I'HE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR ANn SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4*1)6 LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1600 5u
By _
-- APPJ (CANT OR AGE N I
Approved Recetpl N(:
ADD�__�._ H N --
....,,,._... .i-.wwl►�ww+rx Eiu�..tMi+i.i.m.J�,...,...,,..b..re - orw:JO.wirar.au..aeu�e.J...r+... ..
jffw
10.
_DATE INSP. TYPE INSPECTION REMARKS PI I IMBING DAT'E�
D --
_ Contrac+,,r
1-3-27 -- -_ Permit No. SSS
YC'2L aa -_ _` —�-- RouLh-in – –
? _ .{ Fixture
177 f L� Final
02 S�7 � HEATING
Contractor
-- Permit No.
Gas or Oil
Rough-in
Final _
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
_— (Rain Dram) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Ginal
UNIFIED SEVVER"AG " kGENCY NO, 1.1017
WASHINGTON COUNTY DATE
CITY OF Ti_Gl_a]A_
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: —*
OWNER'S ADDRESS:
STREET
CITU STATE
BUILDING SITE: LOT 343 BLOCK ADDITION --------
reef dance
TAX LOT NO. TYPE OF OCCUPANCY
ADDRESS 9560 SW Summerf-i"I Dr.
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE _5_75#D_0______ INSPECTION FEE 25.M TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM ..Fanno Crook
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agenry.
AFPLICAN"'I%-'�
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
I.INF S17F INSTALLER -
RECEIVED BY__ ..'_�
(AGENCY OA ITS-ACf�NTI
COMMENTS: . Bldg* #1194
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
�sUiL If P�i�ti i l� APPLICATION � �(t�lf�lt(� -_ z Ind_ N! (9y
(taC UNDEItaIGNED HEnEOY APPLIES FOR APERMIT FOR TFIE WORK FIERL-IN INDICATG0
On AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFiCATIQ;NS_ OWNER PHON[_G3,t" 3101
(�:lrlF elm„ y^frr. Ge. Anf)nrsS 9St:O�G/, ��.,,, ,�, :� G:.. !nliLnrrnPHONf"
ENGINFEn
jm c i!ff-CT rr-� DFS!GNI:n
sTnUCTUnE )C1NEW ❑nFMODEL GAf)DITION ❑FIFPAIn OnCNEWAL ElF-!lE DAti1AGr �O �AOL!TION
ESI^E�dCE ❑CDbiM ❑EDUCATIONAL ❑GOV_? CIREL!GIOUS�PATIO C1C1f1 PORT ❑GAnAG[ ❑STOITAGE SSL: O[IFENCF
—n- "OND 1_1MOVING ❑CONDITIONAL USE ❑DCSIGN nFVIEW ❑COUNC!L.tiPPROVED 0SIG\S
nr'.:U►'AVCY_—_LANt)IISE 7.ONE __OLDG.TYPr--Z--.Ftnr ZON!=\-,7- PLAN CHECK OY
ftr'C�LnAO FLOOn LOAD HEIGHT N0.STOfiIFS Z, ARCA zGtiCO' VALUE=
IIU t.inraG Uf!'AtttrgCNf SCT f1ACK S FRONT nEAR
--- _ _ /O LEFT StD� /�-G " RiG!IT SIDE �
I THIS PERRIIT IS ISSUED SUBJECT TO THE nEGULATtONS CONTAINED IN THE BUILDING CODE, 70N!NG
REGULATIONS AND ALL APPLICAnLE COt_`ES AND OnDINANCES, AND IT IS YiEnCBY AG!TEED THAT THE
- — WORK WILL DE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND !% COMPLIANCE WITH
licrorchng ALL APPLICABLE CODES AND ORDINANCES. THC ISSUANCE CF THIS PEnMIT DOES NOT WAIVE
I RESTRICTIVE COVENANTS. COPITRACTOn AND SUB CONTRACTORS TO HAVE CUnRCN'T CITY BUSINESS
_:i[1IC i LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
rIy
APPLICANT OR AGI:^JT
r
cru:^� I Receipt No.
AUUiILSS vtiur.L
S��e✓ ice'�P �-5
i 7
_
i
0 Address Per : i
, t No. /O� 7
Permit charge
Connection fee
o,
Owner
Paid
-fype of building ?X &--LZ Date connected
a.t
Inspection fee
Service rate
Paid by _ _ Date
Contractor
Sipe of connection _ _ Assessment paid