11020 SW SUMMER LAKE DRIVE 1.1020 SW SIMMER LADE DRIVE
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C11Y OF IIGA RD '0-4' MECHANICAL PERMIT
Irf *T16ARD PERMYT E8
NO . : M60711.5
COMMUNITY DEVELOPMENT DEPARTMENT (C 0"100N
13125 S W 1-inli Blvd P 0 Dox 23397,Tigard,Oregon 972233,503)6394179 DATE ISSUED: A/19/819
PRIM. PM'T .NO. 880715
%JOB ADDRESS : 110P0 SW SUMME:PI...A0:. DP
TAX MAP/LOT SUR : I T : El K
LAND USE:
11-01' SIZE: :
ITEM: NO: NO:
WORK CLAI-iS : ALTERATION FUr-INACE <100K I AIR IIANDLP <10
USE TYPE* : SINGLE. i::'AMIL.Y FUIQNAGE' 1.001<+ AIR HANDI.-P 10K
CONST . TYPE : VN EVAP.CUOLEP
OCCU1"-1 . GPP . : 113 HEATEP VENT FAN
VF-.:N'Y' VENT . SYSTEM
BLn/(:,(*)MP <3HP HOOD
NO. STO',4XES : F31--P/COMP 3-15HP INCINERATOR(1)(-.)M
DWELL. . UNITS : I BL1:4/CO1AP 15-301-11P INCtNEPATOP(GOM
FUFA.. TYPE* CA! Ell R/COMP 30--50HP PEPAIP UNITS
MAX . INPUT EILPICOMP 50+HP (ITHEAl 1.
F=IRF::: DMPP:;7 GAS 1-.,TF)IN(*., OUTLETS 1.
H I GH PRESS,?—
14EMAPKS :
0
W FELS :
N ci 1:)a r a i, ,jnt.r, k PERMIT' 11111.0 . 00
E
R 11020 4iw !,it.11nmel-Intlit" (11- PLAN REVIEW
t J1.Q nk r,cI cir, 197223 FIXTURES
PHONE: ( "')0,3 ) 6.11-13606 STATE TAX
C OTHE:R
0
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R MEINIG BROTHERS INC-
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C 6AA9 SE J-34TH AVE:
T partland nr, 19*73r.'16
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R PH(INF' 11,1503)
L— RF'(;1rj';'RAT;0N -N4— TOTAL $23 . 63
This permit is Issued subject to the regulations contained in Title 14 RECEIPT NO. :3'.:'.015
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 PEQUTRED TNSF)E('.,TIONS
specifications and in compliance with all apnlicable codes and GAS LINE
ordinances The issuance of Iniq permit does not waive restrictive POSY a BEAM
covenants Contractor and subcontractors shall have rurrent city ROUGH--IN
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 FINAL
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.
Perltfe,Signature
Issuad By
CAL-1- F'01d IN'.-.,PFrTT.0N 639-411.7,03
SEPARATE PERMITS nEQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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CITY OF TIGARD Cy
OREGON � � k
AOw'1er: Trademark i
Homes hermit�{O. 3506
�';,� •`� c i Address:7185 SW SandburQ St. '-
jY Building Address 11020 Std Summerlake Drive
��4= 4' - Oecupancy:R-3 _Land Use Zone:R PD Bldg.Type 514 Fire Zone:
Comments:
r _ V s
\\ �_ _ •�cat j:.�C~:'-•
Certificate is hereby given this 8th _day of July , 19 81
.= c that said building may he occupied and that it
complies with all requirements of the Build-
i ( z�
ing Code for the City of Tigard, as approved
by thr m;gard City Council.
h,
_ , .
,� •�r�4 —-wilding Inspector
Building Official Ar. !' ;
t
(\/): '' Post Certificate in Conspicuous Place �` F
1 y,Q A� — _ - _ _ ___ __ -- - - - - —_ • Ti
OF 14_
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 91223
Phone 639-4171
Address. Permit
Type of InspectionThe following Building ',ode deficiencies are required to be corrected:
kF"..
Pw.nted to Inspector
Data -
G4LL FOR REASPEM01V
[] YES Ll NO
BUILIANG 011PAFiTr,IEW, TIGA13!) Tc)
PLUMBING PERMIT
holder of it Valid pluifibing Contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
'i igard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. (.aty of Tigard Business License re' quired
i for all contractors and sub-contractors. ,
Job
Owner_ —1�.� 64�� Addresst����kc 4 6�� rtit Date.L' O
NUITENI OF TOTAL } i
TYPF OF PERMITITEh1S FEE ON EACH AMOUNT ---_-�-IL
i:.r..
-Single Famity:-1bath,•eac;i `_—/ -__ 25.00
Dupl3x-Each 1 hath unit
—— --- 25.00_
-Additinr_.a1 5a_throoms_-030 r110.00
—`
Mobile tlnm.,Sp„ _each
INDIVIDUAL FIxTUREe COhMERCTE1
• — 1 to 50 Fixtures In 1 buildach �- 3.00 -
51 to 100 Fixtures in-I building-each — 250
101 to 200 Fixtures in 1 buildin -each _ -- 2.00
201 or mere Fixtures In 1 buildint-ench 1.50
M1' I S C E_-LSA N E O U S
_Sewer.--exh_additional 100 ft. _ - 10.00--.
'Nater Service to buildmp_ �r 5.00
PERMIT 00 For Plumbing Inspection Phone 639.4171
Ft,4 State—�.!i p Plumbing Contractor By �►y ,��_..._
�rOTAL 0 0 RECEIPT NO. Issued By
I
BUILDING PERMIT APPLICATION TIGARD DATE �'' i� 19 '�} 3506
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED RUILDER PHONE ('20-61)80
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER JOB ADDRESS jl'trc1J .'�y,j SUnlifibt'�cDkD__usjv__ Summer Lak
ARCHITECT y-
BUILDER papiu ADDRE.iS 718.`_) SIJ Srar,^iburg St. ENGINEERDESIGNER Lutz & Co.
STRUCTURE Ll'{ NEW - ❑ REMODEL ❑ ADUI I IUN ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE_ _❑ DEMOLITION
LI+RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T FJ REHGIOUS 11 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLAS❑ FENCE
OCCUPANCY LAND UAE ZONE1L?at BLDG.TYPE Ev FIRE ZONE _PLAN CHECK BY dwh HEAT
Construct oi.rie f8milY duelling w/attechad garage._ 3_ Bedrooms 3 Baths,
—_— SF'E CORRECTION SHEET ATTACHE[;,
SEWER PERMIT# 11-"-" - 175n.,nQ
OCC.LOAD _FLOOR LOAD QU HEIGHT 14 NO,STORIES _ 1 _AREA 21:56NO.BEDROOMS 3 VALU >3Q Cjopw
BUILDING DEPARTMENT .ri
SETBACKS FRONT REAR 2'Q LEFT SIDE
w 7 RIGHT SIDE 8
Permit _49.00 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 _ 1�'Q. `aq 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMP'.IANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE Or THIS PERMIT DOES N01 WAIVE
Sub-total7�.5U RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOEIS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOVIRED FOR SEWER,PLgMBING AND HE.ATING._
State Tax 9.96 ,Er, l�;li T tJU ;}i11; �E4i fi :L OF t36b*Uta
— jTotal snc—t383.46
By p PDC# 1 $100.0 APPLICANT OR AGENT ---
Approved duh No. 11 ��.3 ADDRESS -----��� - —
---- PHONE
DATE INSP. TYPE INSPECTION — _ -�—�REMARKS -v PLUMBING -- I DATE
y Contractor WD- Q/-
..yaLr
/2-P c-R% z'--t�" --------• Permit No_ rc.+'r�Z — .?-W ���- �
Rr,igh-in —
'1
y Final
HEATING
Contractnr
PermhNo. .216-2
Gas or Oil
— — — Rough-in
--•— - ----..—_..---------- -- Final
-- -- --- -----�.._ --- SEWER --
Final 1_0
--------- ---- ----- DRIVEWAY —
Final
Storm Drainage
'^ (Rein Drain)Final
Sidovualk
z Curb&Street Final
Approach
BLDG. DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY J��✓/� Final
�� jj Lands aping
i
IIZoning Final
"JILD Gi PERMIT APPLICATION CITY DATE 19.E30 N9 -?S*o(0
UF
--:F ".:NFD HEREBY APPLIES FOR APEAMIT FOR THE WORK HEREIN INDICATED U,L...
R AS S -','N AND APPROVED IN THE ACCOMFANYING PLANS AND SPECIF ICATIONS. OWNER FIHONE'--- _
LOT NO
J r,HA 0 0 R 07 aME ADDRESS 4!,
ARCHITECT
ENGINEER
u Iste.r 54,t.�J DESIGNER L
Y.-JEW 0 REMODEL [JADUIrION OREPAIR DIENEWAL OFIRE DAMAGE DDEMOLITION
!ITE.NCF []-',MM []EDUCATIONAL 01,OV-T C14ELIGI0USCIPAT10 CICARPORT (3GARArE OSTORAGEOSLAS OFENCE
7ZOND D MOVINCOCONDITIONAL USE DOESIGN REVIEW OCOUNCIL APPROVED CISIGNS
.
LAND USE ZONE(?kL---7-0--QLDG TYPE FIRE ZONF-f: HECK BY HEAT
PLAN C A
-(pv4 le- To.*I:/4, lw&ff P40
le.e- go
:3
.LLQ A (00
_RJ.Q.,a- #
HEI Q 1-1� FILO. 121-I&Q-610WOMS a
JILDING DEPARTMENT
SET BACKS FRON", REAR LEFT SIDE Xj RIG HT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plin Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK 161 L L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
cuo-total ALL APPLICt.6LIE CODES AND ORDINANCE..-, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTI16t COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUPRENT CITY 81.ISINI-*Ss
`nate lax
I ICENSf. SEPARAIF PERMITS REC)tllRFD FOR SFWEF1, PLUMPING AND HEATING.
Total
; 8v
APPLICANT OR AGENT
(i
Appived Receipt No
t_.- .— _-I— 4/--- ---
ADURESS "HONE
T,
C-i om-rTi m m ri
;7
-------------------------�T------
wzo
K ,2 7-13 q8
ZZx22-4 � �t!
(;! -z �l& ) '2-4 40,
1- n s x 2- Y- /2
2 13 ca @ 33 �'7,Z . z
C a..r vle z z .2cr.- 4/417
G 2- (o tL
46, 'rz3
,got o&r
i
I
L/Cit - of Tigard Mechanicaa Fermi
New Installation DReplace 0 Relocation Addition n Alteration � DATE:_
HEATING
CONTRACTOR
ADDRESS I;aJ-^L = ? rJOB ADDRESSiL�L�/�,CC/.
PHONE r� —.[1S C(7� APPLICANT
Heat Input Rating(BTU per Hour)/ l Vent Size Flue Size _
FUEL OIL❑ GASE] FLE OTI4ER _
ITEMNO. _FEE MIM NO. FEE ^_~
For Issuance of Permit SEE BELOW e_-- Each Air Handligg t nit or Duct System 7.50
%New-up to & incl. 10U.000 BTU 6,00 Co_mrnercial Hood System �~ 7.50 T
New 100,000 BUT's & over _ 7.50 Other Equipmrnt - Each 4.50Woodburning Stove 4.50 1 Trip Inspection
Wall-Floor- Suspended _ 6.00 Air Condition Compressor up to& incl.3 H.F. 6.00
Vent System w/Fan _ 4.50_ Air Condition Compressor-3.1 to 15. H.P.incl. 11.00
Repair•Heat Cooling 6.00
CITY BUSINESS LICENSE RF..QUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! __
PERMIT ISSUANCE 10.00 Comments:
FEES -- -- __ �r•_ - ----- _ ___
SUB-TOTAL
_ % STATE _ Issued By. -
25%PLAN CHECK
--- ----.-ter....
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