10980 SW SUMMER LAKE DRIVE 10980 SW q(JMMER LAKE DRIVE,
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Owner Inland Pacific _ Permit No.
� r = Address: 560 First St
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'0980 S'� Summer'ake Drive Bi:ilaing address:
Yz Occupa�ncv: R-3 Land Use Zone: R-7PD Bldg. Type
` ' ;j iomments: Construct single family dwelling w/attached garag-t-_
.; Certificate is hereby given tr.:s 25th day of --J&1 le , 19a-4— I •`
1y that said building may be oeeupizd and that it complies with all
Y K. c requirements of the Building Code for the City of Tigard, as approved
z
by the Tigard City Council. A ;
mire Dept. �Blng Inspector
Building Official ”!
Poet Certificate in Conspicuous Place
INSPECTION NOTICE
City of igard Buildinq Denartment
12420 S.W. Mein St.
rigzrd,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested y ' 'i7 P.M.
Address Permit
Owner
- — ---_ Lot #__
Builder__—---- — ---— ------—- ----The folioipp quilding Code deficiencies are required to beeCcorrected: -
Joe-
•rL •� G-' I
— I
Presented to i —
T-- 0 Approved
Inspector
Disapproved
Date
CALL FOR REINSPECTION
YES P NO
BUILDING PERVIII APPLICATION TIGARD DATE ,4ovomber t* _.—,19?._:3 4666
TF -UNDERSIGNED HEREBY kPPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 635--8871
OR AS SHOWN AND.kPr"ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNcR rcjalnd F JOBADDRESS L'OTNn.__22,_ ik__„______
aciL � �—�U9tiU SW SuTn; rla�ke uss_ _--A&W t Suiacnerlsa�l►'___
ARCHITECT
ADDRESS ENGINEER
BUILDER Sawe
—��— ---�.l�ti_�t�il�>lt. — DESIGNER ---._----
LTRUCTURE DxNEW Ll REMODEL C ADDITION ❑ REPAIR L-1 RENEWAL O FIRE DAMAGE ❑ DEMOLITION
q RESIDENCE ❑ COMM G EDUCATIONAL L GOV'T_❑ RELIGIOUS O PATIO ❑ CARPORT O GARAGE 1-1 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ..___ ;3 _LAND USE ZONE _ k 7P'U—BLDG.TYPE sl`l_N.FIRE ZONE PLAN CHECK BY HEAT_. E
Construct_sinrle family dwelling, w attaclmd marsspr _-- --
Kelssue of Permit #4663
40C 2 Beuroome 2 Br.throoms
SEWER pERMIT0 U4 7U (Sithiect Lu Aias7.L jWed�.ewoui' Surchagge $360.QU)
OCC.LOAD _FLOOR LOAD4_0_ HEIGHT ib NO.STORIES _2 AREA 1335 NO.SEDROOMS Z VALUE a7-,'—'
BUILDING DErARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 3i14.U0 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIGNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 40.00 WORK WILL BE DONE IN ACCORDANCE WITH THE °LAMS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 344.Uo _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB -'ONTRACTORS TO HAVE CURRI:M' CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 12. 16 _ 1400.00SDC—
Total 356.115 )��..�'��,�-�:: ( �f,
PDC# L 10O.UO APF:-ICANT O A'GEMT
RY C)s
-- Receipt No.
Approved BCR ADDRESS - ---- PRONIE
DAT— INSP. TYPE INSPECTION REMARK IS I PLUMBING DATE
Cont
Permit No.
V-2 z/h r'lough-in
Fixt ire
71
4e HEATING
---•1�- F --��rC� --•--- _._ '
Cont-Acto-
Perm it No.
Gas or 0,1
Filial
SEWER
Final
DRIVEWAY
Filial
S-rjrm Drainage
Main Drain)Final
Fsiduwalk
Curb&!;treet Final
ech
SLOG DEPT.FINAL TEMPORARY CERTIFICATE OCCUFANCY
CERTIFICATE OCQj,1ANCY Filial
07)dscapin-j
7cinio�Final
Building Permit No. �, 7
Location _Lggq Yt
►'�= `�"i_
Certif;cation of Registration
With the Builders Board
I' --�.�--"1���7�f`�- C��•✓^ doing business as 'dba) ,
am regis',ered under the provisicns
of ORS Chapter 701 �Cregun 11c7-builders Law) .
My Builders Board Registration Ihrm�,cr is
My registration is in full force and effect and expire!; on
Signature L`
'4/Jr4�AC
BUILDING PERMIT APPLIG"TION TIGARD DATE �G 19 9J
THE UNDERSIGNED HEREAY APPLIES FOR A PERIMIT FOR THE WORK HEREIN INDICATED BUILDER PIIONE112—asVb
OR AS SHOD'✓N AND APPROVED M THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PRONE
LOT NO.
OVJNEH _AAI[\�C I1"=! J013 ADDRESS ��'��R� sL+i'1N�.OL�►IrF
- �. ARCHITECT
ENGINEER
BUILLER A/ t,��� �AODRES�_j F� 5 �� DESIGNER
tAu.:_UK. NEW G "EMOOEL ❑ AODITION-__ 0.RErAIR Cl IIENEWAL ❑ FIREDAMl,GE 0 DE160LITIC
X.ESIOENCc ❑ COMM ❑ EOUC+ITIONAL (b GOVT ❑ RELIGIOUS 0 PATIO ❑ �.:APPORT ❑ GARAGE ❑ STORAGS ClSLJIBU F:m
OCZUPA��3 LANOUSE20NE p y= .,._. ULOG.TYPE .��.�.FIRE.:ONE —N(ANCIIEGKBY it- 14EAT.
SE KER PERMIT It � 3 A
rb ANA)eT ,,,VF{ C?, �V�
4100
OCC.LOAD FLOOR DIAD G HEIGHT , NO.STORIES� AREA L-3-2,.5 BEDROOMs2 YOIAJJ p�
BUILDING OEPARTAIEhT SETBACKS FROND REAR LEFT SIDE RIGHT SIOF.
PCrnnit .r/ .....�_—
THIS PERbiTC IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 1!t THE 6UtUlIVR COD>;,ZO;1!t
pECUlA'riONS AND ALL APPLICABLE CODES AND ORGINANCES.AND IT IS HEREiKY AOREEII ThAT I
Plarrct" WORK WILL BE DUNE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN :,UtAPUAI/
Sub4
� WITH ALL APPLICABLE CODES AND ORVINANCES.TW:ISSUANCE OF THIS PERMIT DOES NOT WAI
Sus101a(• ` � RES,TPJCTIVE COVENANTS.CONTRACTnR AND SUP a.-ONTRACTOR4 TO HAVE GU'9RENT CITY RUSIXE
LICENSE.wEPARATE PERMITS REQUIRED FOR SE 4ER.PLUFASING AND HEATING.
StilA Tax �, b
Tata.;
PDcA AFP1jCANT ORAGE'NT
By —
�Approved Reedpt Na. AGORESS a_ P"ONf_ -
SDC - y (03 0
POC
SF'WER i..'ONNEC:T ION S
SEWER INSPECTION S
SEWER SURCHARGE S �S�- At'A, /
comments: a/ $ S 1 C ! ? l J �) �� A/
a..L.