10940 SW SUMMER LAKE DRIVE-1 10940 Sod SUMMER LAKE DRIVE
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CITY OF TIGARD
Inland Paci== Permit No. 4664 t�+
'ger: — ,a
- -,- Address: 560 First`St
Building Address: 1094u SW Sum.-nerlake Drive '
- `
Lad Use Lone: R- PD tcer-ancv: R-? . Type ,
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Comments: Construct single family dwelling w/attached garage.
Certif!eate is hereby given this 25th day of July 19 84 '"
that said building may be occupied and that it complies with all ': 1
requi ements of the Building Code for the City of Tigard, as approved
i
by the Ti and City Council. ' -
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-- ;`
j;; --- Fire Dept. BuilitiYE e_nspeetor
Y
Building Official .
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Post Certifi-ate in Conspicuous Place
. ........_..........
. ._.. _
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Ph ne: 639.4171
Type of Inspection
Date Requested.__---- Time — \,M. P.M.
Address T/ `�v `..-� - d �- Permit
--- —
I.ot
!Owner
The'folllowin} uilding Code deficiencies am required to Le corrected:
,•
Presented to _ _ _ Approved
'Inspector --.� -
-- Disapproved
Date --
CALL FOR REINSPECTION
I [11 XIS 0 NO
1
INSPECTION NOTICE
Ci.y of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9-2.2:3
Phone: 639.4171
Type of Inspection �_—
Dob Requested !`_—� �` se-Z— Time A.M. P.M.
Owns-- --- -- --- —.__— Lot
Builder — --_—.--The foilewing Building Code deficiencies are required to 9e corrected:
i
Presented to _ Approved
Inspector b Disapproved
Date
CALL FOR REINFECTION
❑ YES NO
BUILDING PERMIT APPLICATION TIGARU DATE__--:olcr.lber � . ta.. _? 4664
_
THE UNDERSIGNED HEREBY APPLIESFOR A PERMIT FOR THE WORK HEREIN INDICATED 9UILDER PHONE b35-88U__
.,jkl r,,SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE_
OWNER i!7lJt:.; tt:l.f{.4 JOB ADDRESS (}• (} Sid c' ,.a ' LOTNO._�'!�___,�
uslr,exllawe x. art Surnuusjlak$
ARCHITECT
ENGINEER
BUILDER _ _ ADDRESS 560 I'1[!kt_ t� DESIGNER
STRUCTURE_ f�NEW ❑ REMODEL ' 11 ADDITION_ ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE C] DEMOLITION
U4 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT_❑_OARAGE ❑+STORAGE ❑ SLAB❑ FENQE
OCCUPANCY R-3_LAND USE ZONE F—I.PYLDG.TYPE _5V FIRE ZONE PLAN CHECK BYi HEAT- Ei
am
iltllin� w/ArtRc!l+ad uax ,te.-- _
—_---__-�-- 4 issue of .Ycrsuit#4663 2 Uedrooms 2 84throor•s _
SEWER PERMIT# 26461.'—� (3ubject t-a f,-..,art W�avood :urcl�ar_,e "3` !.tls1)
OCC.LOAD FLOOr,:OAJ 4(Z HEIGHT I r, NO.STORIES AREA 13"1' NO.BEDROOMS '_ VALUE
—BUILDING DEPARTMENT SET BACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
Permit_ _ —3W4«OU THIS PERMIT IS ISSUED SUBJECT TO THE REGULhT10NS CONTAINED 114 THF BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND OP91NANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 4(900_ WOPK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE FSSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _ 144•of) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 12. I
LICENSE.SEPARATE PERMITS REOUIPED FOR SEWER,PLUMBING AND HEATING.
t:
SDC._ $4000U0
`'otal 356. 15 _
-- PDC# 100. 00 APPLICANT-OptGENT
Receipt No.
Approved f ADD7E99 - _ PHONI
i
i
Y
DATE INSP. TYPE INSPECTION REMARKS PLUMBING WITE
Contractor
No. 36 C)&
Rough-in
1!4=
Fixture
A HEATING
1_ 1-7 Cnntracto,
U4 Permit No.
Gas or oil
Haughin
Final
SEWrR
Final
DRIVEWAY
Final
Storm Drainage
(Pain Disin)Float
Sidev.zlk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CER(IFIL ATE OCCUPANCY
CERTIFICATE OCCUPANCYII Final
,,
LandscApin,j
Zoninq FI-1
Building Permit No. y
Location
Certification of Registration
With tl;e Builders Board
, doing business as (dba) ,
7,01fe 7soAl am registered under the provisions
of ORS Chapter )O Oregon Homebuilders Law) .
My Builders Board Registration Number -is
—---L
Ply registration is in full force and effect and expires on
Sign4turp,
Tmw AWE low E
BUII-DING FERMI f APPLICATI1 M TIGARD GATE-- � - - /
THE 11NDERSIGNEC HEREBY APPLIES FOCI A PEi�-%AIT FOR THE WORK HEREIN INDICATED BUILDER PHONf_1�,3-5-887
ORAS SHOWN AND APPROVED IN THE ACCOMPAN PING PLANS ANO SPECIFICATIONS. :JWNEP PHONE
LOT NO._ Cl _
(-JOB ADDRES`..
-- - .�S. ARCHITECT
/_
ENGINEER
BUILIJER � 1�_ ADORESS ' DESIGNER
STRUCTURE .NEW _❑ REMODEL ❑ ADOITION REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE►AOUTIO
XRESI ENs�E�U COMMA ❑ EDUCATIONAL=❑0 GOVT L-1RELIG�IOOS ❑ PATIO lj CAP PORT ❑ GARAGE G STORAGE TC) SLAB❑ FENC
NE p.! wLDG.TYPE _ FIRE ZONE-_.____PLAN CHECK BY F,C�HEA •
OCCUPANCY 2-3_LANOUSEZOE�
SEWERPERMITk
OCC LOAD FLOOR LOAD_ HEIGHT �j ! NO.STOHIEg AREA a-
� 0.BEDROOMSVALUE_pQ
BUILDING DEPARTMENT _ SET•LACKS FRONT LEFT SIDE RIGHT SIDE
Pum mlt � � 'iHlb PERMIT IS ISSUED S11BJE:' TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOtISh
REGULATIONS AND ALL APPUC kL %�CODES AND ORDINANCES AND ITIS HEREBY AGREED TY.AT TF
P�IahCheck ' r WORK WILL BE DONE IN ACCOROARCE WITH THE PLANS AND SPECIr-ICATIONS AND IN =APUAW
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAi%
Subtotal. `I �- RESTRICTIVS COVENANI,i.CONTRACTOR AND SUI CONTFIACTORS TO HAVE CURRENT CITY BUSINE!
UCENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax �C _
SDC— --�
Total POI APPLICAN':OR AGE04T
By , __ _
i— Q Receipt NO. AQDRESS i PHONE
Approved
soc --
POC_ - f --� --
SEWER CONNECTION S ��J
SF.WE i I VSPECTIA S
`__EWER 5UFCHARGE S J , '�_ ��` IP R r/��/e0c'15