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15775 SW HIGHLAND COURT-1 ,�F `{� r•w_rn•+...,w......rw_._......__ •••—..�ww�.�.w_w.wn.�.-,-+..+1•••.. ....�.�w�•r.,.-_...__..- _+1rr� �.� _— ����� r.w•r�.w w...._r.•wr w+gr....r.+wew.+M 4�p,[q•N �� ' �'` _ .. ... �-�._... `••_•www"_-�'' , w• rr,.. � C77 F' IL ML f FLOOR , a ' '��Y �'.��� t Illy I I w+�ww..y... �__`_'•___._._..__-._,. _+.-._.._.,..s...-_._,r�...n�+ri,°.•r_y �. r..r __ •• 1— i �' �*' ` i V' /�y ! `�•fir L..J �r f 161 6t 'O • � I V r.�-.. _ _ -�- r.rrr-«r-,. _+._..r •w._ Yr.-4�•rwi•o��'�� V.rr.�.•r• v+-_r•._T�r«�_+rYn» C�,,� _. ..a ... N.+,+_. � -••�•� , � z;' a� I �+ -- __ - �_..-_"`^�-- � � • --- ���._---°--,�-_ '` _,�,,,.. ""'"."._. _._.ter._....,-_�_._�__._._. � 'r'" 41Po 1p it r • x A,+ - y , t , 10 l 1 4 • yQ , '1 r �� # �,• 7 • ._ ' •,a''� _. _+...i �� .Sar�, y � .y , eq i C .- � ._..... � .. s- .y.,ryw--•y.H....+w• ,t4�.T. .W,,.M'nF�.�. X171• . • r i- _ / { Sty r arS -d 'k,: !', ," - • •Li a'/• • , 'A . ,ku u t y�y( it:. :. :,, ..5e.» +U 5::., ... ..w SNm.YiAJ..J.. .,.,,,.;... ♦... w. _ :...... ....., f ♦ f, �� ����}�-��^•• ��-�::,;� �_ - � Ma " ' i l l l l i i 1�1 D IF' THIS DOCUMENT IS LESS I � � i l � li � i ilii �i i� ili�� i � ili �l 1jl�lll IIIIIAI i � tllllll � lll I � IIIII i �' ll6 I � ' � i T Gil W 1 OBER 2-6199 -,LEGIBLE THAN THIS NOTATION, � 2 4 i v I 1� 1� ~��M 1_ I' IS DUE TO 'I'IiI� QUALI'I'Y OF No 38 �•,�,,,�, THE ORIGINAL DOCUMENT. -- ___ __. __ �_ __.__ _. _ __ --- £ Z 8Z LZ 9 �7 £ Z tZ ( Z 6IT ( 8T LT . 9i ST trI ZT TT T 6 8 L 8 _TS I fi IE —I�teuN1 ! � � �Ilr � IT � � TIII Iililll llllillllllll!.�iffflif IIlillll fiffllfl IIIIIIII Illlf IIIIIIIIiIiI IlillllIffflI III Ii IIII �i�l II II{���I II►I{1111 i 11{��i� i��i{iiu iiu{i►ii �i�i{��i► iiiil��i� IIII. �I1I ►III{IIId 111111ill t iIIINII IIII IIII�IIU till�illl IIII� II I, �1 YR Civ4r" a1SPECTION NOTICE City of Tigard Building Departarm 2`\ 13125 811 Ball. Blvd. Tigard, Oragon 97223 Inspection Line (Rec-O-Phone: 639-4175 Buainean Phones 639-4171 Inspection& Footing Plby. Underslab Much. Rough-in Appr/Bdwlk Pound. Plbg. Top Out Gan 'Ane PINALs Poet!Beam Struct. San. Sewer Framing -B�ldg.�� Poet/Beam Mech. Rain Drain Tneui .tion -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -MeOh. Date Requested: Address: �j l -CLC Permit 4s `7 -AW/,5_ Builder: r / I TBE VOLL0WIM OnRRECTIObS ARE REQUIRIED: j L Inepector Date: 11 APPROVED DISAPPROVED APPROIMD SUBJECT TO ABOVE ---_Call Por Reinsp. IN§.PNMO OT4E City of Tigard Buildl.ng Departumt 13125 SW Hall Blvd, Tigard, Oregon 9722 Inspection fine (Rec-O•-phone): 639-4175 Busin e q a: 639-4171 Inspect ion:�__i C Footing PlM. Stnder.slab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Ilnderflco:r Water Lii.• ciyp. Bd. -Mech. Date Requested% -� - z--' � Times AN L`PH r Address J / Permit tt L Builder:__ J THE FOLLOWING CORRECTIONS ARS REQUID Inspector• _ — —�-- --- --- ----- --- nate:J" �,L APPROVED DISAPPROVED APPROVED SUBjgCT TO ABOVE `tall For Reinsp. INBP�CT���'IOT CR Citr of Tigard Building pepartimnt 13125 BW Ball Bled. Tigard, Orogen 97223 l �I Inspection /Li 7)(Rec-O-�P�hTv )t 639-41755 Business Phone, 6.39-4171 Inapecti.on,_ l r Footing Plbg. r,dersl.ab Mach. Rough-in A ppr/Sdwlk Found. Plbq. Top (Alt Cas Line e INAL: Feet/Beam Struct. San. Sewer "Fra=n -Bldg. Post/Beam Rech. Rain Drain lnsulat n -Plumb. Pibg. Underfloor Water bine Grp. Bd. -Mach. Date Requested^..11 7-- �- Ttms, PM AM Address,_! Builder, ���� THE FOLLOWING COPRECTIONS ARE REQUIRED, Inapecto. _. -- - Date, PPROV6C DISAPPROVED APPROVED SUflJt?('I' TO AROVE Call For Relnep. i INSPECTION NOTICE / City of Tigard Building Department 13125 SN Ball Blsd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 nueineas Phone: 639-4171 1 f Inspections___ -��- - — -- -�--� Footing Plbg. 117-.1erslab Kech. Rough-in Appr/Sdwlk Found. Plbg. Top Out a Lin_Q FINAL: `,at/seam Itsutlt: San. Sewer Framing -Bldg. Beam Nech. Rain Dr.►:n _ aulat on' -Plumb. Plbg. qudrrfloor Nater Line On. 9d. -Mach. Date Requestedt .1-1 �Jr�G+ �Tl(,dl/st Am f L Bu i lder: THE FOLLOWING CORRECTIONS ARE REQUIRED: to y i Inspector: Date: APPROVED — _ DISAPPROVED APPROVED SUBJECT TO ABOVL Call For Reinsp. ) ate. INSPECTION NOTICE City of Tigard Building nepartMOP"t 13125 SII HA-11 Blvd. Tigard, Oregon 97223 1. Inspection Line (pec-O-Phone): 639-4175 Business Phonet 639-4171 Inspectionz__,— -- --- -- F0000tim Plbg. Underalab Mach. Rough-in Appr/Sdwlk wr...nd._ ) Plbg. Top out Gas Line FINAL: //` PostBeam Struct. San. Sewer Framing -Bldg. Poet/seam Merh. Rain Drain Insulation -Plumb. Plbg. Underfloor Water ,Line Gyp. Bd. -Mech. Date Requested:_ �l JP'7 � {A� —T�s AM/ PM Address: -7_ / /?-s 7y��,"�7� � Permit 1f Bui]der: THE FOLLOWING CORRECTIoNB AM REQUIRED: 1 Inspector: -.__-.__ Dare: 1= 7- i: \ PPROVF.D DISAPPRCnD APPROVED SUBJECT TO ABOVE Call For Reinsp. CITYOFTIFARD CnYOFMARD BUILDINGPERMITCOMMUN TY DEVELOPMENT DEPARTMENT onsoos PERMIT #. . . . . . , : E;UW9 --ID491.5 1317.6 SW FWI 6W. P.O.Sm 23307,Tip M,OrWn 97723(603)6344176 --- .:,., .....ITS-12x7" SITE ADDRE�;S. . . : 157/t--) SW HIGHL-AND CT PARCEL: 2S110DD­096017,1 SUBDIVISION. . . . : SUMMERFIELD NO. 6 ZONING: R-7 BL.00K. . . . . . . . . . I_O1 . . . . . . . . . . . . . . .12 REI13SIJF: FLOOR AREAS..__._..__._.._._... EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ADD FIRST. . . . : 120 sf N; S: E: W: TYPE- OF USE. . . :5F SECOND. . . : sf PROTECT OPENINGS?------------ TYPE OF CONST. :5N THIRD. . . . sf N- G: E.- W: OCCUPANCY GRP. :11 TOTAL— _.._____: 120 sf ROOF CONST ., FIRE RET'l OCCUPANCY LOAD: BASEMENT. : sf AREA SEG'. RATED: STOR. : 1 H1'. : 15 ft GARAGE. . . : sf OCCU SEP. RATED: FtSMT? : MEZZ?: RECD 5E:TBACKS—..._____._ FLOOR LOAD. . . . :40 p s f I.-FFT:5 rt RGHT: ft FIR GPKL: ;AMOK DET. . : UWLLLING UNITS: FRNT: ft REAR«21 ft FIR AL.RN— HNDICP ACC: DEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ : 5500 Remarks : aJdition 10 x12 family room to be bLtilted to path 1 standard Oviner; .__._._.____—____.—._.________.______.____._._ ___._._ .___._____.._ FEF W T L_ARGON type amount by date recpt 1:1775 SW HIGHLANI. PRMT $ 56. 50 JL.H IL11/29/92 .. PLCK $ 36. 73 JLH 01/24/92 222361 TIGARD OR 97224 5PCT $ 2. 83 Jl_H 1711/29/92 — F'Frone #: 684--9028 Contractor: POOMCRAFT OF OREGON 1.470 rHERWOOD BLVD SHERWOOD OR 97140 --- - --. -..__--_.-___________________-. C=t,onp #: 625-6)88 $ 'a6. 06 TOfAI_ Reg #. . . '78126 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Foot/fol.tnd Insp _--__W_. Tigard Municipatl Code, State of () e. Specialty Codes and all other Framing Insp applicable laws. All work rlill be done in accordance with Gas Line Insp approved plans. This permit will expire if work is not started Inst.tlation Insp____ within 188 days of issuance, or if work is suspended for more G Y p Board Insp than 188 days. Rain drain Insp F i n a I I n s p e c t i o n F'Pe mittee Si.gnatr_tr•e: I ted By . Call for inspection - 639--4175 1� CITY ®F TIGA RD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT CMOFDM PERMIT CW OF n=J 13125 SW HWI Blvd. p.0.Box 233g7.TIPH,orepn 97223(SW)63"175 Of PERMIT #. . . . . . DAM. J*L- ADDRESS. 15775 SW HIGHLAND CT PARCEL C3UBDIVISION. . . . z SUMMERF .: IELD NO. 6 2S110DD--09600 U BLOCK. . . . . . . . . . . LOT ZONING: R-7 . . . . . . . . . . . . . .312 CLASS OF WORK. . :ADD FLOOR FURN. TYPE. OF' USE. . . . :SF UNIT HEATERS. . .. . c t EVAP COOLERSe GRP. . :R,, VENTS W/O AP VENT FANS. . . : . . . . . . . 1 4VENT SYSTEMS: , SOILERS/COMPRESSORs HOODS. . . I . . . : FUEL TYPES-------------- 0-3 HP. I DOMES. INCIN.- MAX INCIUT: ,,b HP. COMML. I N STU 15-30 HP. . . . . F IRE DAMPERS 1. . : 30-50 HP. - REPA I R UNITS: GAS PRESSURE. . . 1 50+ HP. . . .. . . .. WOODSTOVES. . : NO. OF UNI',*'--)------------.- CLO DRYERS. . : F�URN ( 1001< BTUS AIR HANDLING UNIT73 OTHER uiuTs. FURN ) =100K BTU: 10000 cfm: GAS OUTLETS. 10000 C,fm: F�emat'L<S :: addition 10 Xl �' family V-00M to be b�-iilted to path t standard bkc.) ---———_- ——--- -_ ----—————————— W T LARSON ------------------ FEES ] :;775 SW HIGHLAND type amount by date PRMT $ 25- 00 JLH 01/,39/92 t(;�-)RD OR 97224 i Pf-,T + 1 . 25 JLH 01129192 f"t-101le #: 684-9028 Contractor: ---- ".1117'PACTOR NOT ON FILE ----------------------------------------- c, t 26- 25 TO"iAL is permit is issued subject to the regulations contained in the -- -__. REQUIRED INSPECTIONS-igard Municipal Code, State of Ore. Specialty Codec and all other Final InIsPeUtIOTI ,3riolicable laws. All work will be dome in accordan ., with approved plans. This permit will expire if work is not started wlthln 184 days Of issuance, or if work is Suspended for more than 180 mays. mittee Signatilt,61! I ed Sv Call far i"PeCtion 639-4175 IW W�',WX W i ell I CITY (IF T I GARD RECEIPT OF VlAYME N T RECEIPT NO. C'HCC V, AMOUNT » e5. 50 I NAME:. C HERWOOD SUILDER173 CASH AMOUNT 0. 00 F DDRESF, PAYMENT HATE 01 /i:"9/92 SUBDIVISION » r i P1_IPP OSE OF PAYMC'NT AMf.UN1 PAID PURPOSF OF PAYMENT AMOUNT PAID i t3UILDING PERM 56. 50 ST. BUILD PER �. a3 MECHANICAL. PE 2.9. 00 ST. BUILD PIFFt. i!5 I i I 1 j'r!°p SW H I GHL-AND Fai_ 0Mn11NT PAID - _ ) A i. 58 1W Wk-'W'KW # W OW-AWwqw ARCHITECTURAL CIIANG REQUEST PREPARE IN DUPLICATE in compliance with Section 1-0 of Conditions and Restrictions Summerfield Architectural Committee: Don Pinkerton- III 620-3465 Chairman Niels Nielsen 639-8145 Jackie Biethan - IV 684-1362 — Bob Palm-I (.624-1911) Charles Jensen 624-0346 Pat Lawrence-11 620-6072 Max Folsom 624-7978 This committee picks up your requests from the office and reviews the plans,inspects the site and discusses the proposed project with the ap,,licant,if deemed necessary. Townhouse or Condo Approved Date �� NAME W T L A it S U V DANE��'--Z. ADDRESS 5 -7 7 s . w - ► 6 P JAVA c f PHON`F LLy_YCd9 TYPE OF CH[� (( wldinI, including structural and paint color changes,repainting Premises: fences and barriers (please attach a color chip with this application) IJ CcLl1 S C C� [Y C i2 n c-4 C� r'C C.— AlC.1, slums_ - PLAN: Dimensions and detail- show house location and property line. Attach drawings or other exhibits as required to fully explain the proposed changes. (1) Adjacent property, owners may be interviewed regarding the requested change and wil be given a chance to voice objections,if any. You may want to interview them yourself and attach a copy of the signed approval and/or comments. (2) A building permit must he obtained from. the City of Tigard for any improvements costing over$100,excluding fences. (3) This project must be completed within 120 days from date of approval. If not, a time extension giving reasons must he requested from the Architectural Committee. q'te plans as submitted have been approved._,�.__ disapproved—_,subject to: Date approved l- 2-7 - q.Z Completed project approved gy Date approved By , By .- - -- When project is completed,please call one of the following nurnbexs for a final inspection: Phone j*�;Y-I F71 Phone -6�titi' Phone. 10- 1-91 7 l�I 1 1' �l h-s r��1�TAI� Ji)iu swo Fi3n nN.�. PLNCK/RECT # 14 �� �4 ro W 23397 r Mrd,Oregon 97273 PERMIT # CO�1M14'JNIIY DEVELOPMENT u�TARTNI INT �(503)6,,A171 DATE ISSUED JOB ADDRESS: TAX MAP/LOT — SUB: S 01&ex � LOT: J'2 LAND USE: it/� — VALUATION: SPECIAL NOTES OWNER �- REISSUE OF: NAME: ADDRESS: �.�'� 7 S 5 w /�/r'G Z:4lc1.Z_ LAST REISSUE: ------ ----- FLOOD PLAIN/ PHONE: _ ���� _ _ SENSITIVE LAND: -- CONTRACTAPPROVALS R_ EQUTRcD ��- NAME: �'r�� ��'� �—� U PLANN[NG: �_2zL--- ADDRESS114 L-1121, > _.J'�L� ----- -- ENGINEERING: FIRE DEPT: PHONE: _ l�a :S—6 �� 'F _ --_ OTHER: .:I ^'�G - ----- R % CONT R. BOARD #: EXP DATE:�__�_— z ITEMS RU IRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: _ BUS TAX: __—_------ — ARCH ENGINEER CALCULATIONS:NAME: _.__ TFUSS DETAILS: OT IER: ADDRESS: —----------- — — PHONE: - PROPOSED BLDG. USE: Fi►t n'► f 1� 1 G6tK � Otr► ----------.—___ ---- .—. COMMENTS: - APPLI ' T SIGNAIURE Received By: _ — Date Received: PERMIT # ACCT DESCRIPTION AMOUNT AMOUNT PD. BAL. DUF &P< j y. 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5°0) Building Plumbing Mechanical 10-433 00 Plans Check Fee -22 ./� Building Plumbing _ Mechanical 10-230 06 Fires% - 1 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 2.5-448-04 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 Oev 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 0 .33 nm/3587P.Will r I TY CIF' T I C3ARD — RECEIPT' OF PAYMENT RE::Cl I G'T NO. i drat l:, 3 iiHERWOCID BUILDERS, INC. CHECK AMOUNT a ;��,. 73 a 1470 N. WifWCC1BLVD. (-ASIA AMOUNT 0. 00 PAYMFN`I' C1q'TF a r1►:11G'4i92 F3HERWOOD, 17R 9 71 40-- SUBDIVISION a 1!7)7'7!5 SW 1.1IC)WI.AND �'._�idt-f►!;I' OFF PAYMM' AMOUNI' F'F1.1 D VILIRPOSC 11F" PAYMEW T WOLIN I' VIA I Q CHECV, FF- 36 73 AMOUNT PAID BUILDING "'RMII 1:1.-, PEPMIT NO , : RU8805-71- 0'TMOFT11FARD cir�76F TieARD 04100N D�AV E D 88 COMMUNITY DEVELOPMENT DEPARTMENT PRIM 11125S.W Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639AIIS PPIM . PMT .N0 - 0805*71- ,A'.)B ADDRESS : SW HIGHLAND CT LT : 78K : 8K 1AX MAP/I.-OT '2"S1. IODD 9600 j tj M M 1:;.R F I F.I D PH 6 I.-AND USE : P7PD3 , 637 SETBAC'1<5 1-01 SIZE: VAIFPONT : PEAR: :)W F'l I... . UNI 1`5 : LEFT 5 RIGHT : WORK CLASS t ALTERATION I USE TYPE: SINGLE FAM'11-y NO BF.i.D1.4.11011`15 N W(.)I...I- CON"'.0' . W: : 5 1 CONST .*TYPf-.: : VN NO RA I'H5 PAOT .OPENJ:N(.,S OCCUP.GRP . F43 N: E: W: OC CUP . LOAD TOTAL APEA 90 FIRE PET7 NO - STORIES 1. 1 ST : 90 POOF CONST : C RATED: 2ND : AREA SFPAP7 H V:::r,(.*,H T : :1.0 OJ-C J.jP . SEPAP7 RATED: BAFiEMENT'? 3RD ME ZZAN1Nr!::7 D(Y'li F,M T F:'IPE, !.-;PPKLP7 ALARM'? F;'j-.00A LOAD: AO GARAltal'i.: FLOW(GPM) DETE.CT'? HDC,P.A(A*,ESS'? COPP7 HEAT TYPE: PI AN C.HECK BY: r-I t art I-A-KISSUE:1 OF* NO. 14F.MARKS f C1 ,X LAST REISSUE $A4 30 0 PEPMIT W PLAN REVIEW B. N F-IPE DEPT � E t i gar ti a r 97 2 R 3 1 TAX 1111R.23 PHONE ("j()3) 6BAl-9028 OTHER E)F.VF:L(:.PMF:N'l CC,4, SDC(STOR- M) 0 HPIAN STONE N SOC TPDC R P370 WJ,NI*.)1N(*.-'v WY f PAEPA*.1D < $71 .93') A 0 11 7S40.01n PHONE (503) ,'4'71-6529 TOTAL: 0 REG ISTPATION NO . 3551'3 PECEIPT NO . This permit is issued subject to the regulations contained in Title 14 of the TmC. State of Oregon Specialty Codes,zoning regulations WEQUIRED INSPECTIONS and all other applicable codes and ordinances, and it is hereby F-*OOTING, agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and Parl'T IL BEAM ordinances The issuance of this permit does not waive restrictive F-A A M ILN t'-', covenants. Contractor and subcontractors shall have current city I NSUAT I ON business tax permits This permit will expire and become null and GYP . KJAPD Void if work is not started within 180 days.orifWork issuspended or F 1.NAL abandoned for a period of 180 days any time after work has commenced, it shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee Signature Issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE — T CITYOFTIFARD / ® PIAN CHECK APPLICATION aWOFTM PLAN aga COM DEVELOPMENT DEPARTMENT o�OON 1VM BlvdP.O.BQ ate. V(S )taPERMIT I 34�'- ya DATE ISSUED ,TOB ADDRESS: -7 7 � l ( N,V j cr ------ TAX MAP/LOT S 0 t? 12 SUB: N Lc LOT: _ LAND USE: l VALUATION: , ::, SETBACY-S FRONT: REAR: LEFT: S RIGHT: WORK CLASS HEIGHT: _ TOTAL AREA* Y USE TYPE: FLOOR LOAD: 1ST: CONSTR TYPE: _ HEAT TYPE: 2ND: — OCCUP GROUP: tDWELL/UNITS: _ 3RD: OCCUP LOAD: NO BEDROOMS: BASEMENT: N) STORIES: NO BATAS: GARAGE: IAP SURFACE: APPROVALS REQ'D SPECIAL. NOTES ITE14S REQUIRED rLXNNIFG: REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: _ LAST REISSUE: BUS TAX: FIRE 'DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN IND.: Tk1JES DETLM: PARKING PLAN: LANDSCAPE PLANT FLAN CHECK BY: OTI' .1& t_le_ COMMENTS: LG ACCT f DESCRIPTION ANOUNI OWNER 10-432 00 Building Permit Fees RAW..:XNt6L.15 L'4&-c.00 - 10-431 00 Plumbing Permit Fees !_ _ ADDRESS=_L5, 2-7(-- S\M Ifs. � 10-431 01. Mechanical Permit Fees $ 0 -7 4 vbi ) 10-23001 State Building Tax: (5%) t 7,;q iUlnnh„E-12 LY►. _ 10-433 00 Plans Check Fee �^ PHONE: q 0 ah` 30-443 00 Sewer Connection (20%) � 30-202 00 Sewer Connection (90%) CONTRACTOR 30-444 00 Sewer. Inspection NAM: E IUMIA MNL ;, r,A',i, 1, .51-448 CO Street System Dev. Charge (SDC) $ _ ADDRESS C�1p �,; y, %52--449 01 Parka I System Lev. Charge (PDC) $ aei 52•-449 02 Parks II System Dev. Charge (PDC) _ 31-450 0 0 Storm Drainage S;rst Dev Chrg(SSDC) _ PFIONE:�- - 10-230 09 TRFD (95%) f� 10-435 00 TRFD (5X) _ ARCH/ENGINEER 10-230 06 Washington County Fire #1 (95%) Nom' _ U 10-435 00 Washington County Fire /1 (5x) ADDRESS:—_- 10-220 00 Amart/V elgewood s� TOTAL ' PHGNE: _- PR?PAID 1 RLC BALANCF. DUE - - APPLICANT S NATURE i, Received By: .� L Date Received: - IWUV�Wi IW-A AKCIIi'C6C'i'UKAL CHANGE KLQUEST For weCLiut► 1-11 of cundlttunw wild rewtrictluuw Hul,u)d Clark, UkAirnr.u) 639-02211 SUMMERP1k:LD AK IWl'LC'1'UHAL COMMVEI",E will Meet un tike FIKST AND '1'IIIki) FKIUAY of each month to revfdw thw -planw, inwpeet the wife and dlwcuww tike proposed project with Like appliraut (if deemed necessary) . PRETANI? IN UUPLICA'l'1•: NMIE�1r S., �'7Vk 7,y i�pitR SON uATL P ke ADDIMSSJtT PHONE TYPE OF CHANGE: Building, including structural and color (paint) changes, etc. Premises - hedges, tree resioval, fences, etc. PLAN - Ditarnaions and Detail (TO SCALE) (Show house localtun 6 property line) (Attach drawings or other exhibits as required to fully explain the proposed changes) S PLIqN '� 4Tt CWG0 NOTE: (1) Adjacent property owners may be it.'vrviewed regarding the requested change and will be given a chance to voice objections. if any. (You may want to interview them yourself and attach a copy of their signed approval and/or cowtwats) (2) A building permit oust be obtained from Like City of Tigard for any improvement tkf over $IUO.UO, exclurt:ng fences. I The plana as submitted have been approved _disapproved, wubJect to: Usts Approved— ( , By/ By ' N11Mn1NuY4a:'u<aerw uw... '1 CldTGS� C Perini t p;o Permit charunalge �, �," lcnnectir)n Paid b Type of buildi,-ig ` Date conn,�ctad Service rat Insper}ion fea Contractor Paid by=ze of c,,): �cn ti. n Data paid BUILDING PERMIT APPLICATION COF TIGARD DATE___ 19 fHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER HONE O OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS LONER C . ONE— r - .. ail JOB ADDRESS 1J175 WHi�iilarw UL. HOME ADDRESS OWNER ARCHITECT ENGINEER BUILDER ADDREy+SS DESIGNER STRUCTURE ❑NEW []REMODEL 0ADDITION ❑REPAIR _❑_RENEWAL [:]FIRE DAMAGE DAMAGE ODEMOLITION RESIDENCE ❑COMM OEDUCATIONAL �0GOV'T ORELIGIOUSOPATIU ❑CARPORT []GARAGE ❑STORAGE[]SLAB ❑FENCE []BOND []MOVING ❑CONDITIONAL USE []DESIGN REVIEW []COUNCIL APPROVED []SIGNS OCCUPANCY LAND USE ZONE— BLDG.TYPE-- FIRE ZONE__ PLAN CHECK BY HEA t,nst.. addition to 4existitig dwCil[tijy. 1.9x17. lttr.l:>dk;z >xl2 r,_ ,l:�s. vPori astid ll►r.it r� d :c �STO 1 FIE_,__A 3f8 LOAD _��__—IiEISi�Ll�x at tte, BUILDING-DEPARTMENT SET BACKS FRONT REAR LEFT SIDE_ RIGHT SIDE —_— Perrnit 26. rti Y- -- 1HIS PERMIT IS ISSUED SURJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Pian Check la.i)U REGULATIONS AND ALL APPI ICABLE 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 HAVE CURRENT CITY BUSINESS State Tax 1.1'� LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 17.og 'LICANT OR AGENT Approved Receipt No _ --� ADORE55r � _ �tiilNF DATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DATE /- •7) !•fJUt' �i7 GY""!v �,%C.+�Ir7t' Contractor 422-2Permit No. Fixture Final _ HEATING Contractor Permit No. Gas or Oil ROu h-m ' Final SEWEP - ---------- -- _ Final -- --�^ DRIVEWAY Final _ —� Storm Drama )Rain Drain) Final Sidewalk T�^ Curb&Street Final _ A proach BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY ------- Landscaping Zoning Final it r• t1t DI��G PrRMIT APPLICATION' CITY ►►off�P � _ �'° /�S(�, - .� CA vl\ T9L7�1C� DATE TuE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR Al WllANO APPROVED ly THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHGNE ENGINEER ''RL''=='F'E ANEW �REMODF.I —A—RI'N_IT_C ``�) •� RENEWAL DESIGNER GNER 4AODTI ❑ �_❑ . ON REP FIRE DAMAGE ❑DEMOLITION RFSOEYCE ^COMM rEDUCATIONAL �GOV'T rFIELIG10USOPA*IO�- _CARPORT DGARAGE_❑_STORAGE CS LAI ❑FENCE ORONp I"MOV!NO �CONDITIONAIUSE£ DESIGN OCOUNCt�ROVED_ nS_tGNS PANCV AND USF 70NF RIDG,TYPE r FIRF 70N_E P ------- LAN CHECK 9V •� HEAT_ t nor•,_D�1 F100R LOAD HEIGHT NO.STORIES 0AREA 1 VV 1NG DE�,,R�'s��* VALUE_ -*r--------------i SET RACKS FRONT f- gE PeHnit — _ AR�— - — RIGHT SID€ Pian Check THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAI-,En IN THE BUILDING CODE,ZONING �-. REGULATIONS AND ALL APPLICABLE.CODES AND ORDINANCES, kNO IT IS HEREBY AGREED THAT THE Recording H WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH APPLICABLE CODES AND ORDINANCES -HE RESTRICTIVE COVENANTS, CONTRACTOR n ISSUANCE OF THIS PERMIT DOES NOT WAIVE !iStete LICENSE,SEPP,;'ATE PERMITS REDUI;trO FDI, CONTRACTORS TO HAVE CURRENT CITY BUSINESS 'ER,PLUMBING AND HEATING. Total ' pV i Approved AM-LICAN 1 Receipt No. • no Hess - ------- Ho •R .�. .� I City of Tigard I INSPECTION REQUEST ' for IINSPECTION TIME: P-27 PERMIT NO. :. DATE: ­` 12ZLLL DATE ISSUED :.. " OWNERS NAME : �T� — I ADDRESS: sa= f,04� __ CONTRACTOR : TEST : Air [], Water[] , Vieuol'h Laboratory p RESULT: Approved Disapproved 0 pending ❑ I SKETCH: I I i i INSPECTORDATE I EpTF Attach cuvr'nmentnl test data hereln7 I a i 1 1 JOHN E. RE!Y11aRG1 NUMBINI'AILDING ul:Pn,I{ i ..:LN 1 , I IGARD P. 0 80X 129 NO. NEWBERf, OREGON 91132 I'I_lJMBING PERMIT holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not lc3s than four (4) hours prior to the time trlc installations are ready for inspection. City of Tigard Business License required for all can actors and sub-contractors. L_�%�' -��_ Address Own •f !e�-c`; �.t-�� - Date��� 6 NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office use Only) 25.00 02 t9 o Single Fomfly-1 bath-each __ - �__. - Du lex-Each 1 bath unit __,__ 25.00 _ Additional bathrooms-earh .�'' 10,00 /d, !� �- Mobile Home Space-each _. 1G.00 - INDIVIDUAL FIXTURE FEES - 1 to 50 Fixtures in 1 building=each 3.00 _ _. - 51 to 100 Fixtures in 1 building each-____.__ 2.50 -- 101_to 200 Fixtures in 1 building_each _ 2.00 - - - - - 201 or more Fixtures in 1 buildiig-each _,- 1.50 -- _ �AISCELLANFOUS Building_Sewer-1st 50 ft. - _ 10.00 Se_wor-each additional 100 ft. -� -._10.00 Water Service to building_ ____5.00 Private Water Systems-each 100 ft. 10.E -- ---- 00 er (Specify): PEWIT 3s. 00 For Plumbing ItoWection Phone 6394191 AL 94 State ) S Plumbing Contra^tar By TOTAL 3 OS RECEIPT NO. Issue! Py •ar *� � ar .� a� .a � �r +n i City of Tigard INSPECTION REQUES for .z� INSPECTION TIME : _ PERMF t DATE: DATE !S S U E D OWNERS NAME - ADDRESS : CONTRACTOR : ------_-__-_— TEST. Air ❑ , Water W, visua v , Laboratory :, RESULT: Approved , Disapproved El , Pet :' . L SKETCH: 71 r CTOR DATE N TE :'toot s p'e.neotu' batt a a t o h o r j CITY OP May .?.d, 76��tt0 BUILDING PERMIT APPLICATION TIGARD DATE----, tg !r- 0 8 4 G THE UNDERSIGNED HEREBY .APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS 'HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE QWNER ADDRESS 1` !7a ,' til.t�I'lt-iJ7L' i, � BUILDER PHQNE ENGINEER_ 9UILDER _ _ A110-1-TACT �•;3mT _ DESIGNER SIRUCTURE DNEW 0REMODEL ❑ADDITION DREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION U RESIDENCE DCOMM ❑EDUCATIONAL DGOV'T DREI_IGIOUSDPATIO ❑CAR PORT ❑GARAGE_ ❑STORAGE OS LAB ❑FENCE — ❑BOND MOV L APPROVED DCONDITIONAL USE DDESIGN REVIEW 000UNCI �r D 51 G N$ OCCUPANCY ._,LAND USE ZONE_ BLDG.TYPE FIFE ZONE__ PLAN CHECK. .— dY iC7iJ :.� J1� — HEAT 1222 sq. ft. F rto C?ewll.in al •tta held geax�tt� ? ------No Uese ant _ — --- -------- 2 bedraram* O 'C LOAD FLOOF LOAD HEIGHT �_-- - -- NO.STORIES _ A ARE VALUE BUILDING DEPARTMENT ! _ - r-,•rr--- SET BACKS FRONT REAR �W} } Permit - LEFT SIDE RIGHT SIDE Plan CheckTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 10. 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Recording WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH _ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 1%State 3. 93 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total 34. X13 APP►Quad Receipt NAPPL1CAN1 (TR AGEN1No _ --- -- Aooaess - PHONe REMARKS PLUMBING DATE GATE INSP. TYPE INSPECTION ___ —._----- -� Contractor Permit No. © 70 / 030 Routh-in Fixture // e Final HEATING Contractor ___ Permit N0. 2 - --� r Gas or Oil #� Rou ho in Final SEWERt>-j- Final _ DRIVEWAI�� Final -- -- Storm Drainage (Rain Drain) Final =� 7L Sidewalk 'L ----- Curb&Street Final / --—--- q proach TEMPORARY CERTIFICATE OCCUPANCY Final BLDG.DEPT FINAL CERTIFICATE OCCUPANCY Landscaping Zoning Final i i i