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CITY OF TI+GAR.D �<
OREGON
Owner: flnn Nn l man Permit No. 870036 3
Address: 2-0- Rrnr IS-16 rake cssa=, Or 97135
Building Address: t n9Ps sw S,arunrl akP D----
Occupancy: R-3 Land Use Zone: R7pn Bldg. Type 5N
Comments:
Certificate is hereby given this 21st day of October
' 19 88
that said building may be occupied and that it complies with all �`
-i qif
i i t
requirements of the Building Code for the iatp of Tigard, as approved
by the Tigard City Council.
r' Fire Der t. Buildingr
`< r Building Official
Post Certificate in
- - - - -- - - — - -- ----- --- Conspicuous Place
_ °-' -� �/ �_ rte• _ ��' -"ice���'�e���;', ,�'_'�N_,17. �r
INSPECTIC)P NOTICE
City of Tigard Buildir 1 Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ _— --------------
' ,(
Date Requested__._�L_ � =� '� Time A.M. P.M.
Address ----1� — r-��_ r _ - •Permit #
Owner— _ _ — Lot #t
The following Building Code deficiencies are required to be corrected:
ct-
Presented to r<pprovfvd
Inspectnr — - [ Dhapproved
Data
CALL FOR REINSPECTION
F1 YES 1_1 NO
INSPECTION NOTICE.
City of Tigard Building Department
P.U. Box 23397 �-
Tigard, Oregon 97223
Phone 639-4175
i
Tvoe of Inspection RE
Date Requested Time A.M.F� LP.M.
Andress Permit
Owner e " -g-fr�rl c I UPiY) t 4-0 6ii_47L01-4
Builder 'I t'I C-r-c Yv-ICc,rAThe following Building Code deficiencies are required to be wirrected:
ALP - 07 -
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r 10 _
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— - e�� —
Presented to Approved
InspPctor _ L -_-- 1 RfS45p`►ovetl"
Date ---_---
CAL. FOR R ' ACTION
YES U NA
INSPECTION NOTICE
_ J�
City of Tigard Building Department \�
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection -------------
Date Requested
y�_111._ Time- A.M.____P.M. /
Address /09 J) `�f i 2 j 1�f r(�Imo- Parma # ? 7(-)U3 to
Owner !�/?/� t-11 �,,( f 7 Gf. ���it'I f _�_-_ Lot
Builder 1rnf.,l 1 Ai
The following Building ode deficiencies are required to be corrected:
TIT I '4
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,,tom C��� s . �c.Q �.-.-•.�;
Presented to F1 Approved
Inspector —
'OieeppIre-I cT�
/,-
nate —.—
CALL FOR R JCTION
YE8 ❑ NO
t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Ph�na: 639-4175
i
Type of Inspection -------
rtZ
Data Requested �� Time _- A.M. P.M.
Address _ Permi±
Owner _� / � ��✓J__�/y,1 Y' G - ��`_ ---_--------
Builder
The followin;, Building Code dt,ficiencks arc requirerl, to be corrected:
Presented to __ ,. Approved
Inspector --_ Disapproved
Date —
CALL FOR REM PFCTION
YES 0 NO
r,
IFWSFWE
INSPECTION NOTICE
City o! Tigard Building Department /
P.O. Box 23397
igard, Oregon 97223
Phone: 639-4175
Type of Inspection )
Date: Re.wester; _ Time A.M._ c�P.M.
Address -f-�j S.5LXIXJ L 1n ICI Permit #
Owner Lot #
Builder —
Thr ,.:,Ilowinq Building Code deficien^ies are required to be corrected:
Ll
Presented to . pproved
Inspector —'rte Ll Diwpproved
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
'hone. 639-4175
Typa of Inspection
Date Requested
Time`'=�A.M.— P.M.
Address _�� = Permit # �v
Lot #
Owner
builder _
The following Building �do deficiencies are required to be corrected:
L~_cam__-_
pD
❑
Presented to Approved
❑ Disapproved
Inspector
Date _� r
CALL FOR REINSPE, TION
D YES 0 NO
wst
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigard. Oregon 97223
Phone: 639-4175 !
Type of Inspectiu,n
Date Requested ��--• Time . A.NI•__._--P•NI•
Address ��� .�uJN \ �- �� ---- Permit #, t�1_ 1t
Owner_ \\ A _ Lot #_�.----
Builder ,e�1_ 1.`
The follo%. ng Building Code deficiencies are required to be corrected:
!Presented to �+ ,�Aoproved
Inst ctor _ cl L� Disapproved
Date ---
CALL FOR REINSPECTION
YES L.1 NO
CINOF TIOARD
OREGON
May 31 , 1988
Mr. Dun Holman
Don-Hunt Construciton Co.
PO Box 1836
Lake Oswego OR 97034
re : 10925 SW Summerl.ake Drive, BP#870036
Dear Don:
This is to remind you that there remains a balance due of $360.00 for
rhe above described house(Amart sewer surcharge ) . Please remit this
at your earliest convenience.
I.f you have any questions , please contact oru office at 639-4171 .
Sincerely,
Julie D. Ouellette
Permits Clerk
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (,503)639-4171 --------.---
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C1 I Y OF I IGARD
NOUCE OF DEC'ISTON
VARIANCE 88-12
DON HOLMAN
APPLICATION: A request by Don Hunt Construction Company for, an Administr-ative
Variance Lo Lho r•equir•ed minimum side yard setback of four fret to accommodate
a foundation built at 3 feet 9.5 inches at the northeast corner, of the home.
rhe property is zoned R--7 (PD) 041910 Family Residential, 7 units/acre,
Planned Development) . Location: 10925 SW Summer, Lake Drive (WC"I"M 151 33AD
Lut 6900) .
DECISION: Notice is hereby given that the Planning Director for the City of
l'igar•d has APPROVED tiie above application subject to certain conditions. The
findings and conclusions on which the Director- based his decision ar•e as rioted
be 1.ow
A. FINDING OF F AC'r
1. . Background
No previous applications have been reviewed with resper..t to the
subject- proper-Ly by the Planning Division. A footing inspection %)as
made on april 28, by a City Building Inspector-.
2.. Vicinity Information
Sur•r•o,anding properties in all. directions ar-e also zoned R--7 (PD) aril
develooed with single family residences.
3. Site Information and Proposal Description
Che site is pr•esent-ly vacant- except for- a foundation that was
recently poured for a single-.family r•esidonce. there are no
easemcant-s on the property. NO vegetation, fence or other, screening
9xists on the north property lire which might minimize the effects of
Lhi incorrect setback . rhe ar•irlicant wishes to complete construction
of the residence as the foundation has 11r•eady been poured about 2 .5
inches off of what was approvod by the Building Division.
4. Agency and NPO Ccmnncant s
Jhe City Dui Id i.rig and Engineering Divisions have reviewed the
proposal and have no objections to it.
No other- comments were received.
NOTICE OF DECISION — V 88-t2 — PAGE I
H, AAIM Y37tc AND CONCLUSION
Section 18. ].34.050 contains critoria whereby the Dire,.-tor- may approver,
approve with conditions or deny an application for an Administrative
Variance. ?hey are:
I . the proposed variance will riot be materially detrimental to the
purposes of this Circle, be in conflict with the policies of the
Comprehensive Plan, to any other applicable policies and standards;
and to other properties in the same zoning district or vicinity.
2. lher•e are special circumstances that exist which are peculiar to the
lot size or shape, topography or other circumstances over which the
applicant has no control, and which are not applicable to other
properties in the same zoning district;
3. 1"he use proposed will be the same as permitted under, this Code and
City standards will be maintained to the greatest extent that is
reasonably possible, while permitting some economic use of the land;
4. Existing physical and natural systems, such as but not limited to
traffic, drainage, dramatic land forms or parks will not be adversely
affected any more than would uci;ur if they development were located
as specified in the Code: and
5. The hardship is riot self--imposed and the variance requesuod is the
m.ir►imum variance which would alleviate the hardship.
The primary purpose of the sotback standards for the R--7 (PD) zone is to
allow far, adequate spacing, air, light and privacy for residential
structures. The variance request to the side yard setback requirement
meeL4 all of the criteria given above. The variance will not be
detrimental to the purposes of this C0,4e, the Comprehensive Plan to other
properties in the vicinity. The use will remain the same and all City
standards will be maintained to the greatest- extent- possible. No
existing physical or natural systems will be affected.
The requested setback variance is only 2,5 inches off from what is
normally required, This amount is really quite inconsequential . Staff
foreseaeas no real impact cin the adjacent property to the north.
Staff recommends approval of this request subject to conditions.
C. DECIS[QN
"Che Planning Director for' the City of Tigard hereby approves V 88•• 12
subject to the following conditions :
1 . the side yard setback for, the northeast corner of the r•es:idence shall
be no loss than 2.5 feet and all others building setbacks shall meet
code requirements ,
2. This approval is valid if exercised within one year of the final
decision date noted below.
NOTICE OF DECISION -- V 88-12 — PAGE 2
D. PROC;I I URF
1 .
Notice; Notiro wa., puF>l:isl►c+d in tho nvwspapvr, posted at: City Ho.11
and mai.lod t.u:
_....,...,XX The applicant a owners
XXOwners of r•ecur•d wiLhir, the required distance
XX The affected Neighborhood Planning Organization
_—XX _ Affected governmental agenrins
2. Final Decision; T'Hl* DECISION SHALL BE: FINAL. ON June 6, 1988
UNLESS AN APPEAL IS F Ct..ED. - ----.....___.._.._._...
3. AppR Lak 1; Any party to the decision may appeal this decision in
accordance with Section 18.32.290(A) and Section 18.32.370 of the
Community Development Code which provides thata written appeal must.
bQ filed with the CITY RECORDER within 10 days after notice is given
and sent.
The deadline for filing of an appeal is 3 :30 P.M. June 6, 1988
4. QyRsLions ; If' you have any questions, please call the City of Tigard
Planning Department, Tigard City Hall, 131.25 SW Hall. Blvd. , PO Box
23397, Tigard, Oregon 972.23, 639--4171.
P EPAREb BY: Debora A. Stuart, Assistant Planncar DAfE
I
Fd Murp ►y,brtur f ummunil Development —
y p DATE APPROVED
(ht/4876D)
NOTICE OF DECISION — V 88-12 -- PAGE 3
- -- - "------ -'-- �_.--.T.- -------�Jam""
CITY OF MAW
April 29, 1988 \ OREGON �
\ 25 Years c f Service j
1961-1986
Mr. Don Holman
Don-Hunt Construction Co.
PO Box 1.836
Lake Oswego OR 97034
re: 10925 SW Summer Lake Drive, BP#870036
Dear Don:
Enclosed please find your plans for the above described job and I am sorry
there was a mix-up yesterday. We neglected to collect the $360.00 due for
the Amart sewer surcharge. Please remit that amount at your earliest
convenience.
If you have any questions, please cont hesitate to call our office.
Sincerely,
Julie D. Ouellette
Permits Clerk
Enclosure
13125 SW Hall Blvd.,RO,Box 23397,Tigard,Oregon 97223 (503)639-4171 --
- --
K101 L Cl 1:1 PI::111013:1'
CITIYOFTIGARD I-_4*_'PH1T NO . BUL3,70036
C CIT Y�A�P*ln�71 P 0
COMMUN11 v DEVELOPMENT DEPARTMENT Fit 111�D el/4'-�0/a 8
I'S
13125 S.W.Hall Blvd..P.O Box 23397,Tigard.Oregon 97223.(503)6394175
PIR1 M . F'M V ,NO . 117001,36
JOB ADDIRC''55 : .11-09i?5 '5W 5UMMEOL.AKE. DP
1A Mhv,/L..O'T* 1t5:1.33AD6300 SUB: L.I : 107 UK :
L.AND USE: R7rND
_1100 VALUATIC111'. . 111 8,1313 00 %.-:'THAC',KSs
FRONT' ;gra 14.:A 141 el
WORK CLASS : NEW DWI'-"I..I-. UNTTS I
USE (YPF' ' ti]:NGA E: U'AlY.J.1 Y NO. BV:DROOMS : 3 EXT .WAI L CONST :
C.ONST . 'ryt.)E : vr4 NO. SATHS 13 N S E W
OCCUP . CIPIP P"; 1:44101' . OPENINGS :
OCCUP.LOAD N 5 E" W
'I 1131'Al. AWF(1 : 1,97 T
NO. S'rOP:KI:"S IST : 1,0 1.:1. POOF" CONS'T' : C F-Irw 1:4E-r7
N 1) 866 OPE(i SEPAP7 PA'TED :
BASEMEN'T"? 3PD C.H.".CUP , SEFNAP7 PA11D;
ME:ZZANTINIC:7 F3ASF'.11' 'T
F"L.-OOP I OAD: A0 GAPAGE 41 r.*:?:j SjJPj<I 6J I?
ALAPM7
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TYPE : GAG HDC.p .
I'LAN (:,Hl;-;'CI< OY : i�]. t,
PI_":M5tJF.: OF' NO.
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r4F".G3:S'T nAIJON NO , ',311.95*1 1 *1 1541 '50
PECETP-I' NO 7�1 -
This permit Is Issued subject to the regulations contalnet!in Title 14 .......
of the TIVIC. State of Oregon z,peclalty Codes.zonina regulations
and all other Applicable codes and ordinances, and It Is hereby
agreed that the work wil:be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does ml waive restrictive
covenants Contractor and subcontracts :; ,hall have current city
business tax permits. This permit will expi-e h9d become null and
void 'work is not started within 180 days,or If work is suspended or
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.
Permit/e Signature
lsst.ed By,
(iAll. I FOR-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W WJLIKW
JLWLWIw
CITYOFTIGARD
CITYOFTWARD PEAMIT NO. : ME870037
OVFGON
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,15031839-4175 Di*)'11::-- '.1.wi!Sl.IF.'.1-:) ! ---- 'UPCl/80
PPIM PMT . NO . 0700*36
J014. ADDPE:1.55 1092n SW SUMME"PLAKE: 0I:','
TAX MAP/1-0,11, I S 1.'3 13 A D 0U K ,
1..AND LIGE 117 P E)
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WC)PK NEW FIL)PNAGE (1 00K 1. ('41P 1-10NIA-P 1.0
USE: rYPE : SING1. E FAMILY 1'1. PNAC3-: 1.00K+ ATIPI HANDI-A 1.0K
COW.sT IYPE : VN F-11-C)C44 FUPNACA.. E-AIAP COOLER
HE.ATEA VENT FAN
VENT A VENT . SYL.-VTFA
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NC). SVIC)PIES P W.-A.'COMP 3--1.5HP INC,I NE RATUP(00M
DWEI-L. ,UNITS 1. P/COM P 1.5-301H117 INCINE"PATOA((,'(')M
I IAEL 1-YPE 01 A V, 13 L.P/C C)M P :30 5011-4) UNITC)
MAX . INPUT H1 1:4/GOMP 1504-11-1r) (3,11-411XV1
I TPE DMPPS GAti V-11PINC) olin't E:,r s
i!FJ1APKS
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Tatke mplwe.gci tar, 97035 VIXTUPIE-15If.?1 . 10
1:440NU" 1150'311 6,*36...'991.2 STATE. TAX $1. 7 1
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L I NO A ViA IS 14 tLITAL : fiXV1 .F.3;5
This permit is issued subject to If-u regulations contained in Title 14 NO .
of the 1 MC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinan,;bs, and It Is hereby
agreed that the work will be done in accordance with the plans acrd PIF'QUIPLE) INSPE'UTIC)INS
specifications and in compliance with all applicable codes and (.)AS I.. INE:
ordinances Thl, issuance of this permit does not waive restrictive 9 SCAM
covenants Contractor and subcontractors shall have Current city N
business tax permits. This permit will expire and become null enc 1 1.NAI.
void it work is not started within 180 days,or If work is suspended or
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:
1 (44 LWi1:+(.;'T .L(.)N 63Y. 11:1. 115
SEPARATE PERMITS REQUIRED FOR *.ORK OTHER THAN DESCRIBED ABOVE
IIIIIIIIIIIIIII!A�
CITY OF TIFA RDP1 UME)TNG: PEAMIT
CITYOFTWARD V,111-EPM1 T NO - 1:11-870033
COMMUNITY DEVELOPMENT DEPARTMENT 011180"
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(503)6394175 I)A'IF., 14150JEA) : '(11/28/08
PAIM . PMT NO 8*70036
JOB ADUPE.GS : 1.0925 SW SUMME"ALAKE': OP
TAX MAP/1-01 1S1.'3,3AL)6"300 C;UB: L_'1 : 10'7 r.."I<
LANU USE : Wpl)
LOT SIZE *11.00
I.TEM: N( . NO
WOPK CLASS : NI:W WAILP CLOSET 3 TPAP
USE TYKE:: SINGLE FAMII—Y URINAL 8110:1 OW PVIVN*Y'P
.
CONST . 'T'YPE:: VN LAVOPATC)PY 41 TPAFI PRIMEP
OCCUP .UPP , 113 TUB SHOWER 2. GPEASE TPAW5
GAARACAI DISPO15AI 1.
NO . !ii T C)PT EF 5 R 6111115HINU, Ma' 'HTNP: 1.
DWELL .UNITS : I 1-AUND11Y TRAY 131...13G; . DPAIN (DIA
PI-OCIA UPA. IN
GINK !ALWEP (FT)
WAYTEP HEWTEA :1, "S'T'OPM/PATN (I
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PV.;:MAPKS
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Atake t:iswwga mr, 970.1",
PI-40NE (50"*-.) 636-991P. S*TA'1'1'-' TAX 0
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?43 . 4+9504 i'n'TAL. : *11.78 oic?
This permit is issued subject to the regulations contained in Title 14G r
P F.•C,EA P T' N 0 3
of the TMC. Sta:e of Oregon Specialty Codes, zoning requlatlons
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and lAir-QUEPEL) TNr3PlECfTONS
6pecifications and in compliance with all applicable codes and PLU UNDEASLAS
ordinances. The issuance of this permit does not waive restrictive P11:115i T' & REAM
covenants. Contractor and subf.ontractors shall have current city
WAIEP LINE
business tax permits.This permit will expire and become null and
void if work is not started within 180 days.or it work is suspended or P-11.11 , TOPOUT
abandoned for a period of 180 days any time after work has PAIN 0PAINts
commenced It shall be the responsibility of the permittee to assure F'T NAL
all required inspections are requested and approved
X 0-
Permittee Signature
Issued By:
1.11.0 J.NSPL('A TON 639—t11 Pi
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W
CITY OF TIGA RD
CITY OF TMIW PERMIT NO . : SES70039
&10,W
COMMUNITY DEVELOPMENT DEPARTMENT 0"0014
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,J503)6394175 r)A,T,I:;. T.SGUE.,0 xj
1:)I;:I:M. PMT* . ND. 670036
JOD ADUPEESS : 109r'-35 SW SUMMF---PLAKE: UP USA NUMHEP: 34-501.
1 Ax MAP/L.0,11, 1.51:3:3A005.03 O SUD: mummialor,IIII 1(v� :1. L'T' : 1.07 RK :
I-AND USE: P7P1)
L 01, S:r.ZF-*.*: �l 1.O 0
E:-,('11,r 10 N: 311.5 T'WP: 1% PNG : 1w
WIRK CI ASS : NE'.:W
1.115E: '1*Yr5K : SINGLE' FAMILY
flim:! 1ikj:)jJ*I ir, Iillit to c.'CIMj:)1y wltl-) x911. I.-I.110111 lorld tl-le
5ewei,iagle Agency . *The r)er-mi.t exi-.):Lr-om 120 dwl,;% fi-am tile rt-itto :Lmmued . The tc)tm-1
lit in ts I'l I 1 1, JJ i1t:L d w 1.].'11. 1:)Ap f IJ 1--11(o:l I.ria d 11' -t I lcil 1:)"1,M I a X 1:1:1.1'elli . 'I ha A cI te I-I f.*.!y d to e it; I I IJ 1. 1;111 Im 1, -
ant"o ti-le aeol.41-aoy of ti-Ia!r of the IN1.0a mower, latei-alm . If tl-iri! mewer- t%
glut, :1,(Julio 1,cicl litt IJI" .41- I-VO)II , 1,h r,'R :1 I'l m A.III J.T V.)r %;11411 J.'1 3 Twool, :lir
all dir-ev.�tl.ons fr-ain the d:11,staric-m g:Lvei,i . If na-t, rota :1.(:1 o at t a d , t h w. -i.n its L al I a I-, in 1-1 al 'I
hurt I�6tulaa lit "'Tur') mild GJ.dk? 5"wel-11 Pel,10:1 1. ktnel 1,110
W:j 1 :1. J :1.1 l 10 tr
INS TALL . 1*YPF.: : IBUI1 EYING SEWER I:MPEPVTO('.S APE:A'
FTX1111:41H." UNITS : 1'1:::NAN'i' IMPPOVEMEKIN11
DWl:.:.LA.-TNG UNITF-o : I
0 FEES
W
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R P(3 BUX 1.836 CONNECTION (A-lAPG'E iioI_- 1.U() 0()
'latIte omwivago u r- 1970*.3.5 LINE FAP INSTAI L
PHONE.-. (.50,3) &36 99121
C Ell HF1`4 *360 or�
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0 19,703 1.1
1131 VIHON1. 150A) 636-9912
RP+444i' 11111111114491111 1148. ZAISIIS411 11.)1*AI $1 ,495. 00
This permit is issued subject to the regulations contained in Title 14 PET.
FX � P'r NO.
of the TMC, State of Oregon Specialty Codes•zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and PEW.Y(PIED XNSPE:r,*T*IONS
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrict;ve
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
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 request-ad and approved,
Permittee Signature
Issued By:
'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIIYOF TIlFARD
OREGON
March 18, 1988
Mr. Don Holman
Don Hunt Construction Company
PO Bo% 1836
Lake Oswego, OR 97035
Re: Extension Request of Plan Review for
10925 SW Summerlake Drive, No. 870036
Dear Mr. Holman:
Your request to extend the plan review approval for the above-referenced
address until October. 31, 1988, is approved, subject to paying the balance due
of the plan review fee ( 150.2.5) at this time.
If you have any questions, please call 639-4171.
Sincerely,
Brad Roast
Building Official
ke%3792D
13125 5W Hall Blvd.,P.O.Box 23.397,Tigard,Oregon 9;223 (503)639-4171 --
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`- -�-- ---�--� - -�- / BUILDING PERMIT JQ - L/
CITY OF TIVARD PERMIT NO. : fr 7 Co 3,(-
I
COMMUNITY DEVELOPMENT DEPARTMENT ONION" DATE ISSUED:
13125 S.W.Hall etid,P.O.Box 23311I.Tlpnd,ancon tnm.(M)639-41713 PRIM.PMT.NO. :
JOB ADDRESS:
TAX HAP/LOT/S/-J3 d _ .._. --_ -SUB: - .T___. M!� - � LT: --
LAND USE:
LOT SIZR: VALUATT.ON: �o�J v U SETBACKS ,
FRONT: Z_ REAR:
WORK CLASS: DWELL/UNITS: � LEFT: -. _._ RIGHT:
USE TYPE: .S -- NO.BEDROOMS:
CONST.TYPE: -E_ N NO.BATHS:
Or,UP.GRP.:
OCCUP..LOAD: ---—_-- � )
TOTAL Assn:
NO.STORIES: -. 2' 1ST: /07//d ROOF CONST:C'fd AR ,FIRE RET:
HEIGHT: VID: , 46 AREA SEPAR:
BASEMENT: _ 3RD: -_— OCCUP.SKPAR: -.-_ _._.__
MEZZANINE: - BA;SEN'T
FLOOR LOAD: GARAGZ- —1 FIRE SPRKLR: ALARM:
- FLOW (GPM): DETECT:
HEAT TYPE: HDCP.ACCESS: _ CORR:_
c
PLAN CHECK BY:
------------
- — ---- -- ----------- - ^REISSUE OF NO. --
SEWER PERMIT: _ LAST REISSUE
w Ad�ISS :L"��+��'x �c�1 a ��- -- FEES:
R /�4/�C� �.���E ' �/�-r ��03�� _ PPt.A�NITREVIEW
So
Ph_._one: --y.) -L_/ z- _ FIRE DEPT -
STATS TAX
o Name:
o -- --- - -
NDRVZWPMBNT CHARGES:
Address :
SDCS'U
R ----------------------
A SDC (STREET) -- -
G - PDI; -7§6 - - -t` _ -
T Phone t PREPAID
o
JPwh f►.s f J> . a TOTAL,3cJ S /40
14/_3 3 9 Sal 3 3 S8' —L
RECEIPT NO. -_-
REQUIRED INSPEk.'TIONS
FOOTING SEWER
FOUNDATION WALL RAIN DRAINS
POST A BEAM WATER LINE
PLB. UNDERSLIB CtTY APPROCH/SW
SLAB FILIAL
PLB.TOPOUT
FRAMING
FIREPLACE
/ GAS LINE
INSULATION
Permittee Signature GYP BOARD
Issued By: —.__
f�
CITY OF TIGARD
MEMORANDUM
TO: All building contractors
FROM: Brad Roast, Building Official sw
SUF.JECT: Increase in park development fees
DATE: December 11 , 1987
Effective January 1 , 1988, all park development fees will be increased
as follows :
Single family dwelling to be $250.00
Multi-family dwelling to be $150 .00 per dwelling unit
Mobile homes to be $125.00
This increase will be applied to all permits issued as of the effective
date, January ] : 1988 .
I
CITY OF TI:GARP BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:_
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached sets of plans have been submitted for plan
check pursuant to the Oregon Structural Code and Fire & Life Safety Code, ^ edition.
PROPERTY OWNER: ' ADDRESS: U '
OWNER S Q �jiy�f` y 70 3s-
CONTRACTOR:
SCONTRACTOR: 2"'k. TELEPHONE: —�La 3 6 2' 'I/
JOB ADDRESS: ���� tLr �rn r� L LOT NO. & MAP:
T
DESCRIPTION OF WORK:
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
O Engineering Dept. r Flood Plain/Sensitive Land*
OFire District Sewer Availability
0 Other 0 Other
Items Rc uired
OList of subcontractors
a-Business Tax � � �C'�-1'74. C
L� Calculations
0 Truss Details
0 Parking Plan
OLandscape PL3n
OOther
i
COMMENTS:
City of Tigard Building. Department
�a
PERMIT i�>803(c,
PLAN CHECK A
BUILDING RECEIPT
NAME: DATE:
ADDRESS & LO': & SUBDIVISION NAME:
ACCT. # DESCRIPTION AhOUNT
10-432 Building Permit Fees 3 5
10- '+31.-600 Plumbing Permit Fees �--7 00 38' 176 -
1.0-431-601 Mechanical Permit Fees g',� uo-, -7 �y SLS
10-230-501. State Building Tax �5%) g 191 y
10-433 Plans Check Fee 1,5 g
30--443 Sewer Connection (20X) ;;L0
30-202 Sewer Connection (80X) Ll 0 3 9
kRV
30-444 Sewer Inspection �� 35-
51-448
j51-448 Street System Dev. Charge (SDC)
52-449-610 Parks T System Dev. Charge (PUC)
52-449-620 Parks I1. System Dev. Charge (PDC)
31-450 Storm Drainage System Dev. Chtg (SSDC)
10-230-50.5 TRFD (95%)
10-435 TRFD (5%)
10-230-506 Washington County Fire #1 (95%)
10-435 Washington County Fire #1 (5%) $ `
10-220 Amart/Wedgewood 6
TOTAL 3
(Separate Check for Leron lip-if" its $150.00).
(br/1214P)
CITY OF TIGARD MECHANICAL PERMIT Receipt# —
Permit# U d-3 2_
Description
City of Tigard
Table 9 Mechenlcal Code CITY PRICE AMT
----- -- -
13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00
P.O. Sox 23397 — -
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts&vents _ / �.CA.)
Furnace 100,000 BTU +
2) incl.ducts&vents
7.50
Name of Development Floor Furnace
3)
incl.vent
_ 6.00
Job Address 4) Suspended heater,wall heater 6.00
Address /Q Jc 5 sC���c/Myl p, ��� or floor mounted heater —
rex Lot c 3 o o Map No /S /- 3 3 Vent not incl.in
Lot ,,. Block Subdivlsio• ,54,„� •,!,le, 5) appliance permit 3.00
Name(or name of business) 6) Repair of heating,refr ig., 6.00
,/�_3 6-9 -, cooling,absorption unit
Mailing Address Phone 7 Boiler or comp to 3 HO
Owner ) absorp.unit to 100,000 BTU 6.00
City/State - Zip Boiler or comp to 3 HP-15 HP—
8) absorp.unit to 500,000 BTU 11'00
Name 9) Boiler or comp 15-30 HP
absorp.unit 1,12-1 million 15.00
Mailing Address -- Phone --- Boiler or comp to 30-50 HP ^—
10) absorp.unit 1 -1.75 million 22.50
C^nfractor ---- ---- - ZI — Boiler or comp to 50 HP
City/Stale P 1 1
absorp.unit 1,_750,000 BTU 31.50
State Registration No. City Bus Tax No. 12 Air handling unit to —
10,000 CFM 4.50
I hereby acknowledge that I have reed this application that the information given Is 13) Air handling unit 7.50 10,000 CFM +
correct,that I am the owner or authorized agent of the owner,that plans submitted are In
compliance with State laws,that I am registered with the State Builders'Board,that the Non portable
nun,ber givuri Is correct.(if exempt from State registration please give reason below) 14) evaporate cooler 4.50
Vent fan connected -
- — --- -- 15) to a single duct 3.00 ��•�
- — - Ventilation system not
— - 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust x1.50 ' v
Signature(owner or agent) Date- Domestic type
Describe work C addition Elalteration Ll re ❑ 8) incinerator 7.50
to be done residential ❑ non-residential O _ Commercial or industrial A�
Existing use of 19) type incinerator 30.00
building or properly _ Other i.e.,woodstove,water _
Proposed use of 20) heater,sola,,clothes dryers,etc.
building or properly _ --_ 21) Gas piping one to four outlets / 2.00
Type of fuel- oil I'] natural gas f] LPG f-J electric f 1 -
22) More than 4-per outlet S
NOTICE
T
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON- - 3a-5SUB-TOTAL ��-- - -----
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 73 silo 4!1•SURCHAROE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR 5"PLAN REVIEW 25%OF SUB-TOTA! �Z e— t
ABANDONED r- 1R A PERIOD OF 180 DAYS AT ANY TIME AFTER - --- --
WORK IS COMMENCED. i l,g TOTAL
Special Conditions
-- —. —_-- __ Date issued-_.-.__—_-- by-
f -
lrwrwff win
P.O.Bout 23.-7
CITY OF TIGtiRU PLUMBING ��&zzMvd.
Applicants must hold Coregon Registration to conduct a plumbing PER M IT 639.4175
business or must be.property owner/operator not(airing outside help.
Namof Dr.,*Wxt►ent r Plumbing Permit No.6 7&O `�N
Address Description
) '� ' brit#.,-14/ 10 r 1-VF ORS 614.21.610 OUAN. PRICE AMT.
Job Tax Lot Map.No. '-
Addressy r, /s/- ? �� L? FIXTURES
Loll Block Subdivision Sink 7.50-- - 7.50 7.
-/ 1_
50
N.h.,.Yrs ��✓'< --__-- --
eme or name nessi Lavatory -- 7.50 �i) 0 0
" _ "'t, Tub or Tub/Shower Comb 7.55
1 Address Shower Only _-T--- -- 7.55
Owner CM 'z►ate ZIP Water Closet -- .--- �� 7.50 21,5 0
Dishwasher _ 7.50 7.n
---�
3 Phone GarbDisposal -- 7.50
. age ----- - �" � 7 S�
Name Washing Machine 7.50
_- _
Floor Drain - 7.50
Mailing ress - Phone^--- Water Heater 6- 7 7.50 7 5 0
_ Laundry Ri,,xn Tray -- _7.50
Occupant /State ► -
� Unreal _ - - 7.50
DimeIyFone Other Fixtures(Specify) ' - _ - 7.50
® 7.50
Mailing Address -- Phone- - ----- 7.50
Contractor CNy/State - -- - ZIP 7.50
M;SCELLANEOUS _
----- trey Sue Tax No Sewer 1M 100' 39.00 30
tat® s. ur1No - tete s s o Sewer-ea.Addit 100 - -- 5.00
(Resden!`at) Water Service Ist i00 -- - 20.00 07 ..+
I heroby acknowledge that I have read this spplicallon,that the information Water Service ea.Addis A)0'- 15.00-----
given is correct,that 1 am registered with the State BtAklat s Board,and also Storm 8 Rain Drain 1 at:100' / _ 30`00 3 J -
have a Stale M."ibing license that the rxunbers given are coorerx.that all -
plumbing work will be done in accordance with applicable provisions of Ore- Storrs A Pyn Drain Addlt.100' - - 15.00 -- ---
gon Revised Statutes Chapters 447 and 693 and applicable codes and that Moblle Home Space 25.00
no help will be empbyed unless licensed under ORS 693.(If exempt from - ---- --- --
State registration,please give reason bekwv). Back Flow Prevention
HOMEOWNERS-I hereby owtily that I am the owner of the pnxwty ds Devoe a Antl F'olkNion Device- 7.50 -
ecrbsid above,at wf gd loca110n 1 propose to make a plurnbktg IFINUARtion for Any Trap or Waste Not
my own use and this property is not bdrg eonsbucled for sate,lease or rent Co necled foa Fixture - -- 750--�
_ Catch Batten 7.50
-- - --- r Inap.d Ex1M.Plumbing 40.00 Par Hu - -
-- Specially Requasled lnepeCMans - _ 40.00 Par Hr
-_--.� Alter.of Pkmvt*g white^
-- ----- an Exis&V ---- 15.00 min. -
AUTHORIZED SIGNATURE --- - ---- - Dant New Bldg.or Build.
�A�d�dMw - 25.00 0n.
;,I Drain
a 1-5.LX) o
Describe work now E] mWition❑ alteraitlon Elrept❑ dwell - -
be residential[I tan ro�ldetltial l] -` --
E>dsfk+y use of
bt�fcu�dlotl�pt rp"Petty -__- -______-.. ___ _ 7C, two-TOTAL. '-
U"of 51 'M VJPCHAnCkff
TOTAL
I NOTICE - -
This perm*lli no ea niuN ttt W void*wwk or oonehucWn i vorwtted M not oon} S O
tatenoed worn 160 dwt*, r N migiruollon or worts is aibapa►oW or abandoned for
a period of 1110 eaye M any None rdl er work N oomnier oed.
heti kiisu'wi fly
PLAN CHECK APPLICATION
CITYOFTIFARD ' PLAN CHECK N _ —
CfiYOF1nGARD PERMIT H
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED
13125 SW Hall Blvd. P.O.Box 2:1997,Tigard,Oregon 97229(609)639.1176
J0H ADDRESS: TAX MAP/LOT _
SUE]: LOT : _ LAND USE:
—VALUATION. —
OWNER _ SPECIAL NOTES
NAME: REISSUE OF: —
ADDRESS: _ � LAST REISSUE:
__--
_ FLOOD PLAIN/
—�� SENSITIVE. LAND: _—
PHONE:
^�— APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _Y —
ADDRESS: _ _—_ _ _ FIRE DEPT
OTHER:
PHONE: — — ITEMS RE�UIREI�
--
LIST/SUBCGNTRACTORS:
ARCH/ENGINEER BUS TAX: _NAME: _ _ ^�_ CALCULATIONS: _ _—
ADDRESS: TRUSS DETAILS: _
—� PARKING PLAN: __-
--�— — �—
LANDSCAPE PLAN: `—
PHONE OTHER: — —
COMMENTS: _ — -- ——
PERMIT 11 ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
_ 10--432 00 Building Permit Fees 3 r- - z-
10-431 00 Plumbing Permit Fees ;? c - -—7L'
V 10--431 01 Mechanical Permit Fees 3 .5El 3 y6a
10--230 01 Sta;e Building Tax (5%) ?�Building 99 . -"__
Plumbing e. 6 n
Mech /- 7 ,3
10-433 00 Plans Check Fee
Building ;-Zfv-z5
Plumbing _
Mech
30-443 00 Sewer- Connection (20%)
30-202 00 Sewer Connection (90%)
30-444 00 Sewer- Inspection 3 S
51--448 00 Street System Dev Charge (SDC)
52--•149 O1 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC) -
31-450 00 Storm Drainage Fyst Dev Chrg (SSDC) o
10--230 09 1 RFD (95%) --
10-435 00 IRFD (5%) ---
10-230 06 Washington County Fire N1. (913%) -
10-435 00 Washington Ct anty Fire #1 (5'%,)
10-220 00 Amort/WQd9ew00d �--.--
TOTAI
REG 01
APPt.ICANT ';IGNAiURE
Received By: _ Date Received: _
ht/3587P