10905 SW SUMMER LAKE DRIVE 10905 SW SUMMER LAKE DRIVE
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\ .. CITY OF TIGARD Y
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OREGON
T:ter _
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Owner. Trademark Homes Permit No. 3058 s ,_
! . _• Address: 7185 SW Sandberg Street .
Building Address: 10905 SW Summer Lake Drive ,
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Occupancy: R-3 Land Use ZoneR7PD Bldg.Type 5N Fire Zone:
Comments:
Certificate is hereby given this 1St day of May 19 B1
. c that said building may be occupied and that it
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complies with all requirements of the Build- �, . /
ing Code for the City of Tigard, as approved �,� * ,
by the Tigard City Council.
uilding Inspector
T 1
Building Official
Post Certificate in Conspicuous Place
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRACTOR:
Purse.-ant to Section(s) of the Uniform Buildin; ^ode, the
follovii iq item(s) require corre:ting•
Date: r' � Permit Nn._ _
CALL FOR REIN."InECTIGN
PLUMBING PERMIT IN
b?Op.�T ';'�_� 7 holder of a valid plumping contractors license is hereby
authorized to ca,ise pluml,i;x; work as hereon noted to be installed in arcordince with the plumbinn code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(q) hours prior, to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
0voneref ....... - _. ._Adel
.__TOTAL ^�
TYPE OF PERMIT
IT 1'fEh1.&Y-t 'f-L'F ON [:ACEI PSApUNT
-N..::5117.&PLI_LA1..
$nate FamilY_1 hq.th;eich �• _..__ _...._ 25,00
Oupl._r-•EaTh 1 hath unit ._ 2r•011__�._ _.--.-- ---.._
_Additior al bithroorn—rash M _ �. 10.00__w-...
%tob!e Nord Space_ei chi w _ _ __. --- 16_.000
I V I D U A L F1,X T U Fi E O fJ f!I(`I E;Ft C LA
�1 te)50 Fixtures In 1 building_-tach_._.._____._
_51 to 100 Fixtures h 1 bulldin -each
�4 101 to 200 Fixtures In.1
_201 or more Fixtun a In 1I building.-each
t,1 I S C E l i-A—N E G U
yew -each a_d_d_itio-el 100 !tom _ _ _ // _ 10.00
Wa:er Service to_buildinY_ ._ ._ _. _.-C _ - --- 6.00__
III of RNIIT Q O For P1umbing 1n..p!?VH0n Pham 639.4171
I 7;°S State Plumbing Contractor By
arrf,EIPT No. Issued By
BUILDING PER WTAPPL..ICATI0N TIGARD DATE ____--___— is �0 i8
THF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED GUILDER PHONE
OR AS SHOWN AND APPi3OVED IN THE ACCOMPANYING PLANS AND SPECIFIr;ATIONS. OWNER PHONE
LOT NO._'�_
OWNER JOB ADDRESS l r„'� „1 a.w i.x. `,t�.D.-IaY Lava
ARCHITECT
Sanalbur-, :fit. ENGINEER
BUILDER _ ADDRESS DESIGNER _
STRUCTURE 0 NEW ❑ REMODEL O ADDITION _ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE Q SLAB[] FENCE
OCCUPANCY LAND USE ZONE T-. _-__BLDG.TYPE X13 _FIRE ZONE_ PLAN CHECKBY r��rt _HEAT —
Construct ; z�,,;1a ae<;�ily Ckrel.lirg, 'attacbed Carage -- —--
Tle-iBsue of Permit 99339 {1.2M Sw Chicory Ct.) 3 Bedrww,
SEWER PERMIT M tlaTape 420
fi
OCC.LOAD FLOOR LOAD oto t 1 1.'13?HEIGHT —' N0.STORIES AREA N0.BEDROOMS VALUE —
BUII_DINC.:`EPARTMENT SETBACKS FRONT REAR _LEFT SIDE _ _ RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WIT;i ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
L,CENSE.SEPARATE PERMITS REf 'ABED FOR SEWER PLUMBING AND HEATING.
StateTE,x >+ rr> .5*ihet'Cl a
i SDC— ._r.._.....•.�..�._.,
Total
- --�PDC# I. -10il- APPLICANT bh AGENT
By
1 Receipt 4o. DDRE88 PHONE
Approved J +i� V
DATE INSP. ':'YPE INSPECTION REMARKS PLUMBING DATE
��ak — Contractor
Permit No. 1.771
t:,,. /_av T —_— Rough-in - -- —
Fixture
%-.'3-ie act. —
t�..2!/-fid Final _--
.el' A*- is Qc �� HEATING
— Pnrmit No. ` , -f_C- 3- 7-- 971
Gai or Oil �
----- -- - ---____ --- Rough-in -
__ Final —
SFIAER
• ---- ---.—r—���..----�.�--_ Final----- — -
-- --- — _-- ---- ------- DRIVEWAY —
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
— — Curb&Street Final
Approach
BLDG.DEPT. FINAL TEMPORARY-- CERTIFICATE OC NCY Final
CERTIFICATE OCCUPANCY c;- _ /_ 0:
I-ondscaping
Zoning Final
BUILDING PERMIT APPLICATION SOF TIGAI DOATE-lb , I9-f 0 A, '9 36S* �
THE UNDERSIGNED HERES'e APPLIES FOR APEF'NIIT FC THE YVORK HEREIN INOICATED DWI LDERPHGfvFG_Z0 Soso
OR AS SHOWN AND APPROVE? IN THE ACCOiWANYING PLANS AND SPECIFICATIONS, OV/NcRF )Pir _
1_ u LOT N0--W—f_____ 14VII ��►'T^_
OIVNER� L'><AGrYtLi�l`K�f�()Y+� ApDR£SS/0 ��� 41' �✓ �C'\M K/1Af" 41 .E.
ARCHI TECT
7L .�' 11Y `' � ENGINEER
8UtI_gC-i ,A.V-n�.. AgORES, s\ 9 kh ENGINEER
�NEW 1:1STRUCTUPE REhEL ❑iIE
n �Hevev;�
1n ClADDIrION PAIR _ L r —^
- .._. [IPA�._.__.. _ FIRs na;nAGE
,,_ C]o_�+nurlo�
rX RESIDENCE ❑COM.P.1 ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS no [ICAR PORr ❑GARAGE ❑STORAGE ' AB ❑FENCE
1;�CUPArdLAND USE ZON"e'�PL L SLOG.TYPE •N._..PIRE ZONE PLAN CHECK BY_ �1 r,EAT_
!7 v oI w_
_._____p J O ..�5 _�I Y1 ��dl W►1 r_ _-D w e(I Ia m 'Oe' ,
— 4�► u __ffi.p _ 2 00 Ste ,. ,
SEWER PERMIT-# --_-_ //-,, —. �.. _ 0.r0.�N.��.�o
1-1r,� !1.y7 -.- F�_OOR LOAD #C? �I ISj,HT '� V�...3l._ R1 __4R_QA/ 33 �QJIFO_�QC�.1�__
- - —•---
L
SIJILCwI7 OEPARTNIENT /
SET BACKS FRONr_Z REAR LEFT SIDE O RIGHT SIDE
I Per.r�t /SR OO
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
?I1., Cheek REGULATIONS AND ALL APPLICAGLE CODES AND ORDINANCES, AND IT IS HERESY AGREED TI+4T THE
IVORK WILL BE DONE IN ACCORDANCE WITH THE PLANS A'iO SPECIFICATIONS 'PID;N CGS"PL;AtVrE YJITH
�u7 r.atAi I bU _ ALL APPLICABLE CODES AND ORDINANCES TH_ ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RES''RJCTIVE COVENANTS. CONTRACTOR AND SUB CO`TRACTORS TO HAVE CUPA'NT CITY BUSINESS
�Smre Tax I 7,y"Yo LIC'eN-,E. SEPARATE PERMITS REQUIRED FOR SE-NE PLUMBING AND HEATING
O(0'Sia 5 0 C -
a U C#
- -- APPLICANT OR AGENT
AOprOvad j F nsipI NO.
1 �nnFiE59 ONE
a0C - $ Z l o o
SEWER C0�11'_ "ION Co6U
SEWER INSPECTION
SEWER SURCHARGE 1 5-0 (Levot.,fl+s.
i*
1,1
'�.5 • e'"cs•c ^_ _ ___ � ..�.., .�f-tom' '3:4 4.
t..
i
Permi `�.frUj
City of 1 ISia d mc-cli l;d"col i"�.'�'wli �Jo t - -
Fea_--.
New Instellationi�X Repljco Cl Relocation U Acklition Altr.ration 4%state
EFLATING TOTAL
CC,NT"f1P,CTOR OWNER /✓ 1� �
A_IDRES,_ f � wr IrVOFiK nUURF.SSPHONE
APPLICANT_ C 1 ____ ---y�-•��C
Flea I-.put Eating (BTU Per Flour)— Vent Si!r) Y Flue Size
FUEL OIL GAL-;VP.(, ELECT _ 0111f:I1 - _
ITEM NO. FEE ITEM WO. F E E
For Ia5'I111C.'of f�+rmit •�_._._._._.._—.– ���-�.}IOV�, fi_ � �i ( I�, �i it l.�Sn P n(
r 15 to a 1 F11 1V U')
Nn P_. _.._4: — - -- - _.._. — - -- --- -
u t:r, a: incl.�Uo,ono n�rci ..V ,, ,; , l� , ; ,I,ri l r �r,l -- — _
- - ... 3Ati r
E'0100,001-137U'S. & over - - L•UOCH'I ' - --
- - c 10 1100 5.00
V+loll • t Ir r
P _
_ ...._..-. ,'-' SJa enrl'�I 4,00
all � - -
In Ver Only-- ~Y _ _..--- - --._--_ .__ 2.00 V, 3.00 i
ilet)eir • H '£r Corilinr� ___ _
4.00
•\ r Curnlirilln Corrlprr ,;or Under 3 HP X1.00
. a
-. ... _ -- 10.00
Air Cnr:,lition C:)mjdre;;or 3 to 15 HP - -� 7.5f1
1 - -
INSPEr.ORS CON11b1ENTS
CI7y BUSINF 55 LICENSE RE OUIHE•U FOH ALL CON I HACFUH'i Ull SLIA CCIi'I 11;<\CT()flS
APF'it0`1Cp E3Y��„__ DATE: M"UE:U UY_- _ DATE
RCCEIPI' NC).
'r° Signature of Ap ucant
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