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12555 SW SUMMER CREST DRIVE �► w w wwww v � Ll 12555 SW SUMMER CREST DRIVE — a t t A L U1 E F cn =3 U) U) Un ,.n N r-I - SEWER PERMIT 33433 UfCITY OF Ti (3, rd DATE 5-13-87 of Washington County --- -� u OWNERS William F'. & Jr3ne Halvorson PHONEt 620=5957 OWNER' S ADDRESS _U5.a5_ s39 Summetzz-ya Drive U223 _� � TYPE OF INSTALLATII , - -----_ ® BUILDING SEWER C1 LINE TAP AND BUILDING SEWER ❑ LINE TAP TYPE OF OCCUPANCYr ❑ NEW ❑ EXISTING ® SINGLE FAMILY ❑ COMMERCIAL ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS ?WELLING UNITS - 1 ADDRESS OF STRUCTURES 12555 SW Summercrest. Drive 97223 _ Permit Conditions: The applicant agrees to comply with al! rules and regulations of the Unified Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit expires one hundred twenty f120) days from _he date of issuarce. The total amAunt paid (permit fee, connection charge. line tap fee and/or ether charge) will be forfeited If tht permit expires. the Agency does not guarantee the accuracy of the location of side sewer laterals. If' the sewer is ncit located at the ewasu"Wnt given. the ir;sta',ler shall. prospect three feet in all directions from thc► distance given. If hot so located, the installer shall purchase a "Tap and Side Sewer" Permit at the current charge and the Agency will install a lateral. F E E S i 35 .00 PERMIT FEE 4 __ CONNECTION CHARGE 300.00 LINE TAP INSTALLATION I UEO BY OTHER ,._�� - �-r TOTAL x 335 .00 DATE Or ISSUANCE - S r _ F' . CAN1" - DATE OF E.XP IRATION 6EWER PERMIT ADDRESS OF STRUCTURE 12555 SW Summercrest Drive 97223 _- TAX MAP 1S134CB TAX LOT "200 QUARTER SECT ION BLOCK .................... OF FICR 5-13-87 4" line required. 90tic tank to bo p11mped (? . 1.1 . Is 1 REMARKS ________ "� an i e , an inspected y c'it'y ."`� May 13 , 1.987 RE : Mainline participation William R . & jane L . Halvorson -(Miller ) To Whom It May Concern : William R . and ,lane L . Halvorson have been cooperative to work w-ith in regards to the mainline participation , so that they can get the sewer exten ed to their property . Mill �' :w m INSPECTION NOTICE City of Tigard Building Department P.O. Box "23397 Tigard, Grpgon 97223 Phone: 939-4175 f/ V Type of Inspection Date Requested Ti,i A.M.--P.M. Address Permit #33- 3-3 Owner Lot Builder The following Building Code deficiencies are required to be corrected: VpPresented to Approved Inspector disapproved Date CALL FOR MUNSPW770N 0 YES F1 NO s ■r W Y .r7r. i. .�...+r-+Cfl^'.,.Y..• ..�.�..� ......--.r�.�w��-_. ..,,F,...�u,y�w,�...yNll;r-.K�...a ...,.�-�wr�r,•e�;A/n�.. ...�.,n rv�nyr..'�7n^�"'w'�'y..,K.+c ��,12 BUILDING PERMIT APPUCATION CITY I1 eRD DATE__ 'y --- -11-; 466U THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_ OR AS SHOWN ANG APPROVED IN THE ACCOMPANYING P! ANS AN,) ;PFCIF ICATIONS. OWNER PHONS LOT NO. --- OWNER 'f alVOrsoll JOB ADDRESS 12555 SW �it.iititi't61T'Ol'f HOME ADDRESS — ARCHITECT LNGINFER BUILDER rown Gunite 'Pauls ADDRESS 12uuu sI:I Tunquin !id. DF_SIGNeR STRUCTURE ❑NEW D 9rMODEL ADDITION ❑-tREPAIR ❑RENEWAL [:]FIRE DAMAGE-r-� ❑DEMOLI.!ON ❑'RESIDENCE ❑COMM DEDUCATIONAL DGOV'T ❑REI!GIOUSOPATIO DCARPORT ❑GARAGE DSTORAGF.DSLAB '[-_]FENCE ❑BOND [:]MOVING DCONDITIONAL.USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS — OCCUPANCY -_LAND USE ZONE--_ BLDG.TYPE_ _FIRE ZONE-_ PLAN CHECK BY HEAT 1!. >xaC! $L im pool all Purr dans and r.ity 2rdir�erzcss. _ .34iI LLt .�, :y parmit required for yer� arc s mAMxss�taaFxs�!et�aa+ ___ t urice must be ift plow, Llarlf ors prow is f .i11sd -Q"—..4AQ—_ FL49B10AD _HE1SiklL__ NO STQgIES._.—SEA NSI DRQOMS __YALE-_--.------ BUILDING DEPARTMENT SEt BACKS I°RONT REAR _- LEFT SIDE RIGHT SIDE- Permit 4d.Clfl _—F'— -- - -- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING it2.011 Plan Check 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 COMPLIANCF WITH Sub-tota: ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WANE .��, RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFSS fstateTax ' ,7(j LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 67.76 By APPIIC.ANT OR AGFN T Approved s�tt.I Heceiht Nn I VIAW IV" 'V-WVW ' NOW 1T" TIGARD BUILDING PERMIT APPLIC"ATIO1OF N THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE— OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT OWNER 1:: .-[j1A1 tielvorsu.inn ADDRESS i 2b55 SY ',ummercj. HOMF"ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ONEW 0 RUMODEL '�,DDITION OREPAIR ORENEWAL CIFIRE DAMAGE DDEMOLITION t. I. [] V, RESIDENCE OCOMM EDUCATIONAL E]GOV"' CIRELIGIOUS OPATIO CICAR PORT OGARAGE C)STORAGE OSLA13 [:]FENCE OBOND ❑MOVING ❑OCONOITIONAL USE []DESIGN REVIEW []COUNCIL APPROVED [:]SIGNS OCCUPANCY--- I LAND USE ZONE BLDG.TYPE FIRE ZONE-- PLAN CHECK BY HEAI---.--. 0 .Q�LQA0---F-LQ-QR LUAU HEI_QHI AREA NO QLURQQI`0S –YALJI-L. BUILDING DEPARTMENT SET BACKS FRONT HEAR LEFT SIDE RIGHT SIDE Permit 32. n onti, ZONING THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING C THAT THE Plan Check i V.L):! REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICATIONS AND IN CONIPIL IANCE WITH Subtotal 42.M ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONI RACTORS TO HAVE CURRENT CITY BUSINESS Tax State 1,213 LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HEATING. Total 63.26 By APPI ICANT OR AC-FtiTT Approved Receipt No TION REMARKS PLUMBING- DATE DATE TYPE INSPErContractor'7' Permit No. Rough in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in Filial SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach CERTIFICATE OCCLMANJ Final BDG DEPT. INAE TEMPORARY cERTIFICATE OCCUPANCY Landscaping Zufiinj r�fja! -,� APPLICATION CIT' TI�,�,RD GILDING PERMIT APPL C of +i IINN RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON - � �� AS SHOWN D APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNO_PHONE —�2� 4' ^� LOTS. N i, N //J �GC� /��Q�t�1r�OB ADDRESS�..� •� , ��^' IA UCRESS y - ARCHfTEC7 ENGINEER ADDRESS DESIGN I+E W �OREMODEL �DDITION DHEPAIR ORENEWAL ❑FIRE DAMAGE [:]DEMOLITION �• I NS I ❑ ( 1,l ^ ❑EDUCATIONAL ❑GOV'T DRELIGIOLIS OPATIO (:)CARPORT ❑GARAGE_O STpRAGE OSLAB ❑FENCE I—ND ❑MOVING _ ❑CONDITIONAI. USE ❑DESIGN REVIEW ❑COUNCIL APPROV _DSIGNS —_PLAN CHECK BY HEAT ALAND ,ANCY 'w�tL ANC USE ZONE BLDG.TYPE_ _n�._FIRE ZONE _.— - - — -- QD— FE 4�S2g l,4AQ`�!�!'''!±'��..G►�T__ 'D_�4RIE5.-__.�-_.tRl 9 �_ EAROOMS YALUE_— r BUIL_DING_UEPARTTME'NN-i SET BACKS FRONT i �-- ALEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING iat'i Check J(J L<J REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED -THAT 1HE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH 1, It,tal v ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — P.ESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY RIISINf SS ale Ta>e _ LICENSE. SEPARATE PF.RMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. oral 1 — �.. I APPL ICAN1 OQ AOEN— ? —PHONE '• - ---- �` a r'r ,� i �y 3uildkv mu* be com0efed - -.:cording to city odes ander �• `irtal inspection made before occupancy- CITY ccupancyC1Tl OF TWARD , i 70 4 .zn APPROVED FOR CONSTRUCTION CITY OF T ii-Arrr D I E. SITE t � � SI,E ADDRESS_ tfr�� 1 ._.- . BY TLE DATE U 3c - ---- t ' i i 1 BUILDING PLHMIT APPLICATION �, 'r9C,"AD DATE197— N�r,• -IF ONDE W;IGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON-r F Ac' SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICATIGNS. OWNER PHONE t T7 LOT NO JOB ADDRESS t?-5-ST�Jk/ Jy/�/�f��L/ CDTE ADDRCSS ARCHITECT /� /�O �UN6 ♦r i�` } S/�� `^/�j ENGINEER f 6f(�ULP� ADDRESS//" ✓ '►/ �C� ^� " ^"' DESIGNER r46CL/f k HE NEW u RFMODELOAODITION ,l0HkPAIR ORENEWAL ❑FIRE DAMAGE C]DEMOLt7tON .- _. - n -1 L)f NCF ❑r^nMM ❑EDUCATIONAL ❑GOV'T 0RELIGIOUSQPATIO ❑CAR PORT ❑GARAGE OSTORAGECJSLAB ❑FENCE L.JMOVING ❑CONOITIONA( USE ODF.SIGN REVIEW 000UNC,L APPROVED ❑SIGNS 1.ND USE ZONE— BLDG TYPE____F IRE ZONE.`_ PLAN CHECK BY----- HEAT _ 7 ColtC -- -- f AD _ _._ FkQ-Q.9_J�4AV__—.—__-_.NM.K_T___ ___NQ. ,STS2RILS __lAWS&e_d I4UILDING DEPARTMEI,'T SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check �+ L vd REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE --- - L/ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH kit) total V v ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - Y - -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB rONTRACTORS TO HAVE CURRENT CITY BUSINESS "Aatr Ta , 7(�� LICENSE SEPARATE PE RMITS REQUIRED FOR SEWER, PLUMBING AND HEALIN G. "k Y APPI iCAN1 OR AGENT Approved E±ceipt No ADLIPE55 ! .`PHONE ��IC�