9600 SW SUMMERFIELD DRIVE WMKWAUN
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9500 SW SUMMERFIELD DRIVE
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CITY OF T'IGARD
OREGON
Owner ................... .:........................ ..........Permit No........1,209.
9600 SW Summerfield Dr. Lot # 342 . . l
>> + Building Address...............
Certificate is hereby given this......6th ..day of.....� ne.............. ..
that said building may be occupied and
R that it complies with all requirements of '
the Building Code for the City of Tigard, _ ,
( < , as approved by the Tigard City Council. r---) )
........................... ................ }
1 / Building Inspector 6►Y
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City of Tigard
,� IINSPECT1oN REQUEST
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for
41
=INSPECTION TIME : = �� PERMIT NO. ' �._
I DATE: 2177 DATE ISSUED:�L..L_
OWNERS NAME . T- 0, c
I ADDRESS :
CONTRACTOR :
TEST' Air ❑, Water ❑ , Visual ; Laboratory ❑
RESULT'. Approved 1 , Disapproved ❑ Pending ❑
I SKETCH'.
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INSPECTOR DATE
LMOTE : Attach supplemental toot dr6a he►eto� / �<
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I City of Tigard
INSPECTION REOUEST
I for
INSPECTION TIME * PERMIT NO. :
I DATE. DATE ISSUED:__L_L
I OWNERS N A M E .
CONTRACTOR :
TEST: Air U, Water p , Visual 0 , Laborctory p
RESULT: Appreved 0 , Disapproved Q , Pending r j
SKETCH:
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INSPECTOR DATE
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CN-OTE : Attach SupplemWo1 tuft da'o her-at-1
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Cfy o i Tl oar Mech-anica! i"Car.myt N, Permit 53.00
1J _ Fee •.
New !rwailation replace C Relocation ❑ Addition ❑ Alteration Cl
TOTAL ..:lf
CONTRACTOR ����0 �`�'✓�w.�t !. '^� OWNER I—1►a —.�ML = Lir7-_-�►tlC-- ((��
ADDRESS � y �[ 3� �L4�iL A— A-M - W O R�F.p D R ESSQUmn� S_W_ ', aAA
PHCNE (off — G 3-].,� APPLICANT
Heat Input Rating (BTU Per Hour) A-9=, on= Vent Sin '• � Flue Size
FUEL OIL C GAS �'� ELECT ICTHI-R
tTEM NO. FEE ITEM NO. FEF
For Issuance of Permit 3.00 Bui cm Over 50 HP 25.00
New- Under 100,000 BTU 4-00 Air Handling 10,C00 Cold 3.00
New - Over 100,000 BTU ! 5.00 Air Handlinct Over 10,000 CFM 5o
Floor Furnace a 4.00 Eyapgrative Cooler 3.00
Wa!! - F!aor- Suspended 4.00 Vent Fan _— 2-OC
Install Vents t 2.00 i! Vent System j 3.0(
Repair- Heat & Cooling 4.00 ?food 3.0c
9oilers Under 3 HP 4.00 Jotnestic Incinerator ' 5.OC
Sailer, 3 to 15 HP 1 7.50 Comm. Incinerator 20.0C
?cilen 15 to 30 NP 10.00 Other Not Listed 3.0C
5oilers 30 to 50 HP 15 xg _--
INSPECTOR'S COMMENTS.-
CITY BUSINESS LlC ED F^R ALL CONTRACTOP.S OR SUB-CONTRACTORS
APPROVED BY DATE ISSUED BY A71 c
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RECEIPT NO.
Signature of A 'fent —f
n. ,� pa's
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JOHN E. R[II;HARTT PlITBAU, I'til;BUILLIING DEPARTMENT, TIGARD N0. I
P. Q. BOX 1119 PLUMBING PERN11T I I
NEI'iBEGu, 1.?[E�;� "1137 holder o` a valid plumbing contractors licens,, is hereby
authorized to cause plumbing work as lerein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified riot less than four
(4) hours prior to the time the installations are ready for insp(ction. City of Tigard Business License required
for all contractors and sub-cofitractors! 6� /
Ownd Z/ X 1'�C) Addres (s1
NUMBER OF TOTAL PERMIT NO.'S
'TYPE OF PERMIT ITE'.1S FEE ON EACH AMOUN i (Office Use Only)
_E S I.P E N T I A L
Sin lu Family-11 beth—each _ 2U10
(i0
Duplex—Each 1 bath uni: ---10.00 2••00
Additional bathrooms—each 10 00
Mobile Home Space—aerh
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each — Vi 11
_51 to 100 Fixtures in 1 building eoch-- _2_btI
_101 to 200 Fixtur)s in 1 bulldin leach __ 2.00 _
201 or_more Fixtures in 1 building each_ ___ L 1.50
MISCELLANEOUS
_Building Sewer-13t 50 ft. — 10.00
Sewer—e ch additional 109 It.
Water Service to building _ V 5.00 —
Privute Water Systeniss-each 100 ft. _ _ 10.00
Other IS,,peclfV :
PERMIT %, . U4 For Plumbing Inspection Phone 6394!91
96 State Plumbing Cont actor Ba
TOTAL `7 RECEIPT NO. Issuea By
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ,"::DPERMIT NO. :
DATE: k)- DATE ISSUED
OWNERS NAME :
ADDRESS: A QW.
CONTRACTOR :
IT S7 : Air ❑, Water �j , Visual 0 , Laboratory p I
RESULT. Approved , Disapproved C- Pending p
~SKETCH:
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INSF,$ECTOR DATE
ENITE: Attach supplemental test data beretp,
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UNIFIED SEWERAGE AGENCY NO. -----11029 '
WASHINGTON COUNTY DATE .---_12_20-76
CITY OF Tic and
APPLICATION FOR SEWER CONNECTION PERMIT
OW N E R: T,Q
OWNER'S ADDRESS:
STREET
STATE
C I
BUILDING SITE: LOT BLOCK ADDITION
TAX LOT NO. TYPE OF c 4kNCY
ADDRESS 9,600 wsum,mert ie-ld .Dr--#----
P�','ELLING UNiTS - FIXTURE UNITS . -- --.--- -
SURCHARGE IF APPLICABLE --
PERMIT F EE INSPECTION FEE --25-.110- TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM - fanno- C-reek--
rhe Applicant agrees to comply with all rules and regulations of the U,iitied Sewerage Agency.
APPLICAN ,
SEWER PERM-IT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED
1AGENCY OR. AGENt)
COMMENTS: Bldg #1209
This Application and permit expires in onr hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
.....V•..»«.....q...•.wn-vaa-7-�-win•.w+........nw.e.q,a.-.M•�n... RPwwV
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BUILDING PERMIT APPLICATION 10 Y TIGARD DATE 1�-2'�`lr' _ t9--- 12, 9
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUI'-DER PHONE -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ONNERPHONE---
;,OT
HONEI.OT NO.—
OWNE.R T•0,r JOB ADDRESS 9090 SW ,�L MMOr f X10 kCWr ADDRESS
- ARCHITECT
LNG NEER
BUILDER_ 9amct ADDRESS DESIGNER _—
STRUCTURE_ .'G11IIEW ❑REMODEL _❑ADDITION ❑REPAIR_- _❑_RENEWAL ❑FIRE DAMAGE ❑DEMOL.I1'ION
,0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB—❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED EIS IGNS
OCCUPANCY—.-..=LAND USE ZONEL---L' BLDG.TYPE__ -'' FINE ZONE_ PLAN CHECKOY— F 7:I_ HEAT-.jam`_
Lot 342 MKXV tea-issue, eamd as �.a581_.Sli Summarficil Lam. _�-----
-- Frame dwellings w/ettaL.hed 6 ram--- .2 bodroug, .2 bath
OCC. QAD FLQS2BJSLAI? --------��JSHI ---NQ.t_L2RIE$ _ ---Af3k-A yCI NQa �QMS_. 2827,
BUILDING DEPARTMENT SETBACKS FRONT 10 REAR 14 LEFT SIDE Q R('an RIGHT SIDE 413"
—
Permit 121,GLI
THIS PERMIT IS ISSJEO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10600 — 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 COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HhVF CURRENT CRY BUSINESS
State Tax t; LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMPING AND HEATING
Total 4
By APPLICANT OR AGENT
Approved Receipt No.
UA TE INSP. TYPE INSPECTION REMARKS PLUMS114G DATE
f Contractor
Permit No. 776 -E=--
Rough-in
-
Rou h-in
e T Fixture42
/ , y y Final
HEATING �-
=TL Contractor _
Permit No. C�`� `7 P-c 7�
Gas or Oil
- --- Rough-in - - -- -
Final
SEWER_ J y g -
Final _
DRIVEWAY G 3-7-71
Final
Storm Drainage
_ _
(Rain Drain► Final
Sidewalk
Curb&Street Final _
A roach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
rLandscaping ,•^
Zonlnq final
PERMIT APPLICATION - Tile RI) -L-429r- 17 .
THE UNC E;t51GNCD HEREQY APPLIES FOR APERMIT FOR THE WORK FIERLIN INDICATED J �
C;1 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. O'NNEfiPHONEG�9 3/ �/
n;;r11 n T� c�i.� Oma✓ G� AnDnrss 9�,�t st�/4�..�...�..,{rrn' o- RtrIL`,rR PHON
I_NGINr_cn
!1L'iL.PLR sn....c rr��
8nC1iITFCT
J1417FSIGNEi1
STnUI'TUnE NCW' QRFMCOCL OADDITICN ❑fIF.PAIn ❑nCNEWAL ❑FInE DAMAGE OCC-M01-MON
ESIgFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑nELIGiOUSOPAT10 ❑CAf1POR-r ❑GA.RAGE USTORAGEUSLAB ❑FENCE
0MOVING _OCONDITIO_NAL USE ❑DESIG_N nfVlCVr' ❑COUNCIL A,-PROVED ❑_SIG_NS_
QC--:UPINCY_---C—-I_.AND US[70NF D! DG TYPC-Ar:g;: c ZONE-3 PLAN CHECK GY -- HCAT'
AV-
e-
FI.Onn t nnn
NO
HEIGHT .P,?OfliES se
_ - - J AREA I` 50 VALUE Z7�77
DING I)fPAlITUENf /d MAR
SET RACKS FRONT
/U LEFT SIDI' e4 -G nIGI`IT -,IDC
I ,t•-.ss.,n THIS PE11MIT IS ISSUED SUIIJECT TO TIIE FlEGULATI^NS CONTAINCD IN THE ❑UILOING CODE, ?ONING
CC, REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS I-IEnEBY AGnEED THAT THE
WORK WILL Or: DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE'NITH
^ortl,r,q ALL /.PPLICABLE CODES AND ORUINANCE". THE ISSUANCE OF THIS PERp,!IT DOES NOT WAIVE
nESTRiCriVE COVENANTS. CON1-11ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
_''J1e I 3 ej LICENSE. SEPARATE PERMITS nE-QUIRED FOR M'iEn, PLUMBING AND HEATING.
' I '
Total
APPLICANT OR AGL.NT
VIP U, cU Receipt No.
H UU1:L5� PHUNL
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���.vi- '' Sim•
73
s
Add s �.4'c4G �-�.,�� � �, Permit No.
Permit charge 72 vii
Owner . �r Connection fee C:: JS" _
Paid by _—
Type of building ��,(�_,,_�� _ Date connected
Service rate Inspection fee r� 5
Contractor ?aid by _ Date
Size of connection Assessment _ paid