9630 SW SUMMERFIELD DRIVE WJFWYWffWNjWjlFjWJLA !R
9630 SW SUMMERFIELD DRIVE
I
R
C
tl
4-
L
Q
E
i-
l('
U7
0
t�
(T
,�•..<' ( :"A o ...« �`. :"'� /1 i'.e_'.• t"1+'...5 n .,_Q (', ^" .� 0 .;.� 11• �� la �w�'..• 1':� �.,",+ ��; 'y , '`' :�
�� � 1 � /l /�
C.IZ Y GF TIGARD ` \V/,- %
r
OREGON
O„71er:......Tualatin Development. Cc . Permit No.........1139......
i 9630 SW Summerfield Or. Lot 34
.� Building Address.... ......................
Certificate is hereby given this......5th day of....! aY... ................. 19.. 7. ; 4
...7.
�.) that said building may be occupied and +
that it complies with all requirements of
the Building Code for the City of Tigard,
E� as approved by the Tigard City Council. ib
� Building ]nspectot
�.' �} l'� . U ��r1LJ ,: + ( ; {•:• ) ` aat� r; `Us U6,='U,, • Uitt�U `) C
�-. i'-"i�i.�'�J;:f�r� �+:k t• � - -'.stir _ .o'„v.."' �` . _� •.dw1r:•�-.ari7`•� •} '�y;;r:. ,�� L
I
{ mai
,r
1
I
I
City of Tigard
INSPECTION �
Cl" N RE@IJEST'
for I
r
MPECTION TIME. PERMIT NO. : I
DATE:� 01,76 DATE ISSUED .'---L-/—
OWNERS
SSUED :,_1—L_OWNERS NAME : 7 .0
ADDRESS: 0/2-
C 0 N T R A C TO R
/2CONTRACTOR
rEST : Air n, Water(_j , Visual Laboratory p
RESULT. Approved A , Disapproved f- Pending p
S KETC M:
I
INSPECTOR DATE
NOTE. Attach supplemental tent data beret]
J
J
1
j
I
City of `g3.rd Mechan►ca! perrr't-
-Perm':
�ee _ •�
New Installation °' Replace u relocation Addition L Altera-_)n
J:ii� Ii�l
CONTRACTOR'��� OWN ER 1 Qjk, .,i4.�i-t -
ADDRESS I �'� - L3 vi m WORKPpDRESS563� 3".S.�.t���s1
PHONE �i� �?n— APPLICANT
Heat Input Rating Per Haar] IM ACM Vent Sizer' -
FUEL OIL Q rAS ELECT ❑ OTHER
;raM NO.
I tEM ^'n FEE
For Issuance of Permit 1 3.00 3Lii�-s :.ver 50 HP
New- Under 1G0 QOU BTU4.00 Air t! .idling 10,000 C�4I 3=�
New - Over 100,000 BTU 5."C 1 Air Handling Over '.0.000 C:V —'.!�
Floor Fumaee 4.00 Eva--1rative Cooler =,.CC
Wall - Floor - SuMtnded 1 4.00 Vent Fan
Install Vents ' 2.00 I Vent System 3.0c
- Ha & Cooling HamelRe air
9oi!ers Under 3 HP 4.00 Domestic incinerator
Boilers 3 to 15 HP 7.501 Camm. Incinerator _ -C{
Boilers 15 to 30 HP 1 10.00 ! Other Not Listed
3oilers 30 to 50 HP i 15.00 ^
INSPECTOR'S COMMENTS.
C'I rY BUSINESS ENSE 9EQUIRED FCR ALL 00N'TF.ACTORS OR S1,13-CONTRACTORS
APPROVED BY OATF i f ISSUED BY MTE
i
RECEI?T YQ._
774 Sis"nv of L Lam.^TO —
i
i�
01ty of Tigard
INSPECTION REG VEST
for
INSPECTION TIME ' - PERMrr NO. :
DATE: i/��%J� DATE ISSUED:__L_.L.
OWNERS NAME .
AD DR-S S :
CONTRACTOR :--
TEST'.
ONTRACTOR :---TEST. Air 0, Water ❑ ,, Visual [3 , Laboratory [I
RESULT. Approved El Disapproved ❑ , Pending rl
SKETCH: cam}
V 77
INSPECTOR DATE
CNO1E . Attach supplemental 11►*t data herei,01
�pV
� e
IOHN E. RFC1f;,1RKT Pl;l`18iKG,
,;.BUILDING DEPARTMENT, TIGARD NO.
P. Q. INA 129 PLUMBING PERMIT !—
N-11 DJEGGI, CIUCIN 97132 _ —__ , holder of a valid plumbing contractors ;icense is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbinr� cede 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 inspe.:tion, City of Tigar i Business License required
for all con ractors and sub-contractors.
�
Address�.�:t,...c.L•��L..����1
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Family 1 bath—each _ +� 25.00
Duplex—C•ach 1 broth unit 25.00
Additional bathrooms-each __ 10.00
Mobile Home Space—each 15.00 —
INUIVIaUAL FIXTURE FEES -
1 to 50 Fixtures in 1 buildinq_aach 3.00 _
51 to 100 Fixtures in 1 building—each 2.50---.-
101
.50___.__—-101 to 200 Fixtures in I building—each 2.00 _
__201 or more Fixtures in 1 building--each 1.50
MISCELLANEOUS
Eluiiding Sewer-1st 50 ft. 10.00 _.
Se ver—each additional 100 ft. 10.00
Water Service to building 5.00
_Private Wnter Systerns—each 100 _ _ 10.00
Other Specify):
PERMIT For Plumbing Inspection Phone 5394191
96 state 7 'lombintg Contractor By
TOTAL ' 'J RECEIPT NO. Issued Ey
yr
UNIFIED SLWERAGE A('3EN(_.#"Y NO.
WASHINGTON COUN-ry DATE
CITY OF- Ti,,a,-d
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: T. D.C .
OWNER'S ADDRESS: iTREEET�_
CITY __iT_jiT_E _ ZIP
341 BLOCK --- ADDITION
BUILDING SITE: LOT. __
TAX LOT 140. TYPE OF OCCUPANCY
ADDRESS 9630 SW Summerfield Dr.
DWELLING UNITS.------- FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE - 5759 00 INSPECTION FEE 25. 00 _ JOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM _ Fanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
A P P L I C A N T-Q-fralon,
SEWER PERMIT
-THIS PERMIT AUTHORIZES CONNECTION TO THE SEINER SYSTEM.
LINE SIZE - INSTALLER
Rl--CEIVFD BY
7461(AGENCY OR ITS A 11
COMMENTS:__
This Application and permit expires in one hundred and twenty (120) days,
The amount paid will be forfeited should expiration occur,
... r.r..wr..��r.rw.'^{^Is.'Y:✓-.1Tw�r��.iiflwv i. v. ..y.. ...r r a. •.... .• 1 .....ww.M+wr.
BUILDING PERMIT APPLICATION CITYof TIGARD DATE 10-20-76
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
_ (t LOT NO..
OWNER JOB ADDRITSS16311 5« �3Ummerlbid DraOME ADDRESS
ARCHITECT
BUILDER Pane ENGINEER
ADDRESS I ,— DESIGNER
STRUCTURE JI KNEW II--_��❑ U
REMODEL__❑ADDITION _ REPAIR_ _❑RENEWAL ❑FIREDAMA ❑
_GE DEMOLITIO_N
Q RESIDENCE ❑COMM L_IEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO [:]CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
— _DESIGN REVIEW ❑COUNCIL APPROVED CISIGNS
❑BOND ❑MOVING ❑CONDITIOIVAL USE
EIS ----
tj>rr'
OCCUPANCY_ILAND USE ZONE _BI DG.TYPE— FIRE ZONE__ PLAN CHECK BY HEAT _
Lot i; 34 MK---X V re-i 9suo, vieF at) 51j ,ummr r. o a+ns
frame cftire ng t,� a r. .:ac �+ gs�xeycr Fiw�'— awl
".C_LS28(Z_--FJ.44)�1.QAD HE14L�L___,_ NO jTOOIES.---ggEA 440 NO.BEDRQQMS � YAWL
BUILDING DEPARTMENT 1.0 .1�
—��Z--�— SET BACKS FRONT_ REAR __ LEFT SIDE'•' RIGHT SIDE '
Permit —�— —
10,00 THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CON PAINED IN THF: BUILDING CODE, ZGNING
Plan Check REGULATIONS AND ALL. APPI'CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- W7nK WILL BE DONE IN ACCORDANCE WITH THE PIANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 'ALL APPLICABLE CODES AND ORDINANCES, THE. ISSUANCE OF THIS PERMIT DOES NOT %NAIVE
3. RESTRICYIVE COVFNANI"S. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE:'S
State Tax_ LICA SE. SEPARATE PERMITS REQUIRED FOR S'_WFR, PLUMBING AND HEATING.
Total
By —
-- AP ANT OR AGENT -
Approved Receipt No.' `
-.....a.r.....4r.tu.....a..MW�.�,..-.wl'�.,.Y�►.J. _., _y;S:.'.a......,r..:+Y..wiYi:l�na.�i,d..�:.,�:wr
a �t
I
`DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
,ontractor
Permit No. fi �f J� `'�
Rov h-in _ ---_
/ 6 C' /dS� Fixture _
� 7 Final— �— — -----
Contractor
—�` Permit No.
Gas or Oil
Rou h-m
Final
— — — SEWER
Final
DRIVEWAY
Final
__— Storm Drainage
Rain Drain) Final
Sidewalk
_ Curb&Street Final
_
Approach
BLDG DEFT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
(r.^• Landscaping
Zoning Final
BUIL - �'' PERMIT APPLICATION T IG ;RIS N°
THE UNDE! bIGNED HEREBY APPLIES FOR A PEnMIT FOR -LIE WORK HERL-IN INDICATED
On A" S!?01VN AND APPROvEC) IN THE ACCOMPANYING PLE,NS AND SPECIFICATIONS- DWNEn PHONi !3pL3 0/ �
nL•t"!f es /��:r, Ocr fw•r•►�l�Anonrss X 30 S L.J•Sv.+....<s� _?✓VL>I/nMLLnr_n'PHONE
LNGINFCn
1I:111DE-11 Snrwo tC AFICIIITfCT RESIGNER
!7nUCTUnr_ ZNCW ❑nrRI00CL 0AODMON UnFPAla ❑FIENEWAL C rinE DAMAGE L_lCENIOLITION
F��SInFr^E ❑tDMM ❑EDUCATIONAL ❑GOV'T ❑nELIG10US❑PATIO L.1CA11 POnT ❑GAnAGE [ISTORAGE OSI-Au FENCE
0It0ND 0MOV ING OCONDITIONAL USE ❑DESIGN nEV!EW ❑COUNCIL APPnGVED OS;G!` %
t1C+'UPANCv -LAND USI-70Nr ___ __BLDG.TYPE -FIRE 20NE-'3 PLAN m-IECK nY �i _ H:AT��_—
341
�C -/S SC/C r- -�Lwr� 6 f �LLti�� l p.S• W �Uf��./ �i"C�� moi/ L
— : ? sc
Co<'� O �� R t7
�LOnrt- OLOAD HElGIIT NO..TORICS Af"tCn �C} VALUc ? ps z
ItU1I-hitt(, Df PAftTMGN F SCT BACKS FRONT /Q REAR f Z LEFT SIDS S RIGHT SIDE
•yi��jl 1 THIS PERMIT IS ISSUID SUBJECT YO TRIC nCGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICAnLE CODES AND ORDINANCES, AND ITIS HEnEBY AGREED THAT THE
-"— WORK:VILL OF DONE IN ACCORDANCE WITH TI-IC PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
i?crcrc? r,o ALL APPLICABLE CODES AND CRUINANCES. THE IS%UANCE OF THIS PERMIT DOES NOT WAIVE
--1 -- RESTRICTIVE COVENANTS. COPITHACTOn AIJD sun CONTnACTOnS TO HAVE CURRENT CITY BUSINESS
Si_te I I-ICcNSE. SEPARATE PERMITS IIEOUiRCD FOFi SEWER, PLUMMNG AND HEAT!N
To tal
fly
APPLICANT On AGLNT
LAnlruvc II I Receipt No. oma---"e'2 4,--
fp
S'7j• c>a
►� �,3 5� • 9.3
�d
a
rya Address Permit No.
Permit charge �-jDy2 e--
Owner,
—Owner,, Connection fee
Paid by
Type of building .; e2j,,,j_` Date connected
Service rate Inspection fee �"�v_
Contractor Paid by date
Size of connection V _ Assessment Paid