Permit .CI1YOF TUFARD 14,
.14..,.:A BUILD1 dG PERM r
COMMUNITY DEVELOPMENT DEPARTMENT ORAL pp ►�I�11 # . BUPA? 2 -1`` i `z�'`
13126 SW Hall Blvd. P.O. Banc 23397, Tigard, Oregon 97223 (603) 839 -4176_
69 -4171 DATE ISSUED: 04/29/92
SITE ADDRESS...: 12130 SW SUMMER ST PARCEL: 15134CB- 'OlS17.11Zt
SUBDIVISION • SUMMER HILLS PARR ZONING: R -4.5
BLOCK LOT • 21.
RE ISSUE: FLOOR AREAS-------- - - - - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :ADD FIRST • sf N: 5: E: W:
TYPE OF USE. ..:SF SECOND...: sf PROTECT OPENINGS?
TYPE OF CONST.:5N THIRD • sf N: 5: E: W:
OCCUPANCY G F.P.: R3 TOTAL 0 s f ROOF CONST : FIRE RET? :
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR. : 1 HT. : 14 ft GARAGE... :468 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS---- - - - - -- REQUIRED --- - - - - --
FLOOR LOAD • psf LEFT:5 ft RGHT: ft FIR SPKL: SMOK GET..:
DWELLING UNITS: FRNT:20 ' ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 8424
Remarks.: 468 sq ft addition for garage nonhabitable space
Owner: - - - -- - - -- FEES - - --
JOHN ANDREAS • type amount by date recpt
12130 SW SUMMER DR PRMT $ 74.50 JLH 04/29/92 -
PLCK $ 48.43 JLH 1214/27/92 226551
TIGARD OR 97223 SPOT $ 3.73 JLH 04/29/9: -
Phone #: 624-2788
Contractor: - - - - - --
J. L. M. SERVICES (JON MASON )
12535 SW SUMMERCREST DR
TIGARD OR 97223
Phone # : 684 -2939 $ 126.66 TOTAL
Reg #.. : 70082
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot /found Insp _�_ _�__ .�_•__
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
applicable laws. All work will be done in accordance with I n s u l at ion Insp
approved plans. This permit will expire if work is not started Gyp Board Insp
within 180 days of issuance, or if work is suspended for more Rain drain Insp
than 180 days. Final Inspect ion
Permittee Signature: AP Q.Y __ — ---------- __— __-
Issi_led By• tv- --
Call for inspection - 639 -4175
,. . 0
131u Sw ttau awd. PLNCK /RECT 86/P92- # �7 -5/e -
CITY OF JL 1 �- � Ro 23397 PERMIT # 0/(4
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: J /02/ 3a 5.w. $Umne✓-' TAX MAP /LOT /S/ 3r/C 8 -O /b'u o
SUB: Sum• -14,/�s PArk LOT: 2 -/ LAND USE:
VALUATION: 4 g Z/) �/
OWNER SPECIAL NOTES
NAME: L/O4,7 Ardrea REISSUE OF:
ADDRESS: / /30 .5,w 5uAwwecam' LAST REISSUE:
l ard , 02 9i72-3 FLOOD PLAIN/
PHONE: 2 ii - 27 g 6 SENSITIVE LAND:
APPROVALS RE
CONTRACTOR �� AP UIRED
O
NAME: 04M ,1ery /ce5 (o /446 ) PLANNING: ne lea- -
ADDRESS: /2,636 $ Su,more'8res7 -Dr. ENGINEERING:
g4K� D/e 1 972 • j . FIRE DEPT:
PHONE: 4
t AS -2939 2 - 0 -5-1 A0 OTHER: 00 rI6 -'Kr.....
CONTR. BOARD #: ?6V B Z EXP DATE: � //2/9g-
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: .. BUS TAX: ...
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: ' A/� � 670,_,C/‘E
COMMENTS : /477 47C/s77/t/ Xl475 6
/,,,f-- p
aa,,i.-fr- y 2a - py
APP ANT SIGNATU E
Received By: Date Received: 4 9 -1.--
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL..DUE
BwP92 -0/o6 10 -432 00 Building Permit Fees 74 74
10 -431 00 Plumbing Permit Fees _
10 - 431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 373 .3, 7,
Building .173
Plumbing
Mechanical
10 -433 00 Plans Check Fee
Building /r I3
Plumbing
Mechanical
10 -230 06 Fire
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
• 25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL 1 .26.GG I�,0
nm /3587P.WPF
INSPECTION NOTICE Y\ /
City of Tigard Building Department /
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone):
�- 63399 -4175 Business Phone: 639 -4171
Inspection:
r g C�f/�t 41 .
Footing Plbg.Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing 11-1--Bj dg.
Post /Beam Mech. Rain Drain insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
/
Date Requested: I - &U - % / Z //��Time: AM / PM
Address: /�1 3 ` /�� C�-�Pkrmiit #: c92., -0 / 66
Builder: 1
THE FOLLOWI CORRECTIONS ARE REQUIRED:
Inspector: it illir.1111 . Date:// Z
I L APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.