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11050 SW SUMMERFIELD DRIVE 11050 SW SUMMEREIELD DRIVE 3 N m c� N E E cn 0 cn C) 'JILDING PERMIT APPLICATIONCIT .i*IcJ#4,RD DATE�_�e —, 19.E-1..— N2 k1N',-)1;HSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HER FIN INDICATE b BUILDER F'HONE_�_ Q �i AS SHOWN AND APPROVED IN THE ACCOMPANYIN , PLANS AND SPECIF ICAT IONS. OWNER PHONE _.-- �,.. LOT No. ..- 1 lY SS OGRESS S ARCHITECT ENGINEER ER ADDRESS —__-_ DESIGNER _ y --- �..- �//_».�— L_W _ ❑REMODEL_ ❑ADDITION_ _ REPAIR.,/ URENEWAL ❑FIRE DAMAGE _ ❑DEMULITION C1 LIRE NCF_ 000MM ❑EDUCATIONAL ❑GOV_T ❑RELIGIOUSOPATIO ®AgPORT_ GARAGE ❑STOFIAGEOSLAS ❑FENCE "NLS LIMOVING —�IJCONOITIONAI USE_--q�CODESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS t :'t,NCY LAND USE ZONE—_....._—_._BLDG T YvE._ __. FIRE ZONE.__. PLAN CHECK BY�-�_- HEAT-.,-_ Ing r_jp'uX ! c)aQ _!._L _FQFELQALL __��_- ._.HF�HT �.1`____►LQ SIS29 _.-L_---9REL___" NQ 9EDROQMS VgZ•..�rr Ni iILDING DE PARTMEN7 SET BACKS I RONT REAR_ LEFT SIDE_ _- _ RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check T� G� RFGUI.ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE �p WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH �UIn—Io181 QFC ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - --- - �— RESTRICTIVF COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Strop Tex IU G' LICENSE. SEPARATE PFRMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total - -- --�(" (—k -BV `��--- API IcANT OR A T --- Appioved Rpcpipi No ADDR ss Lp- --$- _ c� ADDRESS^11 Uy 5 I7�/�)c e ^. Aa il P E R!1 I'�. N 0. ¢ PERMIT CHARGE none OWNER J, �r)� � _ CON^:ECTION FEE -- --- - - _ _ PAID BY TYPE OF' BUILDING /�+�f�Y.fc/'/c1�,a/ O� DATE CONI`;ECTEU SERVICE RATE Ir;SPECTION FEE CONTRACTOR PAID BY DATE EN r SIZE OF CONNECTION A55E55,11ENi PAID -;2 BUiLDING DLiAFrp.,iF-NT, TIGARD /7 PLL PE-JUN-11T Afill -t A&&Ak Ade: w a valid piumbing ceoirac- ;,,,i is hereby J:j ��- , h� authorized to CZIL---C pLi-obing work as/�-----reffl i-! -d tc be It! ilii. in accoida,—? wit L!. , c-Au. of Tigard. Such instaVations require insnection by 4v- City Iaspec-r whu shai, be rinii'll', lo'. il-,%s dri.-i four (4) hours prior to t1he time me :nstillations irt City of Ti o— -s-- Licence required for all contractor., and ub-contrdctot s. --A-3 NUM FIE 71 OF -I r'1-- A PFPMIT NO.'S TYPE OF PERMIT ITEMS I -FE ON E'Xil AN kUSIDENTIAL Single Pamilt-1 tathZw-�.h___ Dupl x-Ea&- i bath uni* - 25 00 Addition! b athrooms-earh 10.110 Mobile Home Sp ace-each 15-00 INDIVIDUAL FIXTURE FEES I to 50 Fixtures in I building-each 51 to 100 Fixtures in I bwldim=!---h 7.50 101 !-) GO Fixtures in 1 build201 201 ri more Fixtures in building-eacb 1.50 MISCELLANEOUS Buildina Sewer-1st 50 -loll LSewer-each 3ddWanal 100 lit Water Service to building 5.00 Private Water Systems-t-ach 100 It 10.00 Ovipr iSpeel`y)- PERMIT L) 1 For Plumbing InspMrion Phore 6394191 096 Stats'4, /0 C.C)--4 Pfwr!--;f-,u, ContractorContractor13y TOTAL RECEIPT NO. Imied RY u�L t)to• >:� ik,L BUILDING PERMIT APPLICAT!'01V CITofY fir' TIGARD DATE_ iq �� 19 THE UNDERSIGNED HEREBY A?PI.IES FOR APERMIT POR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVE? IN THE ACCOMPANYIrlG PLANS AND SPECIFICATIONS. OWNER PHONE__ _ 1 $ L.OT NO.-..' _ OWNEFfUsalat,in Day +C7 J0,3ADDRESS1,40- l _�,urt1nnCF�JQ.I�HOMEADDRESS APFI-IITECT EN(.. NEER BUILDER_ ADDRESS DF_ IGNER STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑RE,'AIR ❑RENEWAL ❑FIRE DAMAGE (IDEMOLITION ❑ RESIDENCE LICOM" ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAN PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE DDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY__��-___LAND USE ZONE >rd BLDG.TYPEFIRE ZONES PLAN CHECK BY__' t 14EAT��'t! 2 Stlory +sf,':4. He-Issue of A»1 �aV,er rr - 174a2 - y1 T)*00 OC��,jAD FLOQR_LQAQ ___ 4'U _J+EISt'IT d0 NS-STQHIES ' ARC�i� '11�_.NO. DROOMS i VALlJ�'_'ti t� LfC• BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit :,• THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check ale on REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANO IT IS HENEBY AGREED THAT THE. WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCF.WITH Sub-total .�1 �+��SQ ALL APPLICABLE COL)E;, AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVFAANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax_+,., 1_,-,32 t ffNSF. SEPAP..aTEIPENMITB REQUIRED FOR SEWER, PLUMBING AND HEATING. Total S40t. .11'.% PUS, -, [ :J4ulJ.:,,, ByP1 ---------- —— - ----- Approved C. Uelden Receipt No. "r� APCI I( ANI nq n(;I N1 i DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE — Convector Permit No. �63� do lY-/l-7g ------- Rough-in Fixture Final HEATING —T —' Connector Permit No. Gas or Oil — _-- — — -- -- Rou n -- ----— -- _ Final — _ -- -- - SEWER e Final --- -- —7 — DRIVEWAY --- ---� �� -- Final-- Storlh Drainage �— (Rain Drain)Final Sidewalk — Curb&Street Final — Approach BLDG. DEPT.FINAL TLMPORARY CERTIFICATE OCCUPANCY F6ial CERTIFICATE OCCUPANCY 77 ! _ Landscaping Zoning Final =l i itf SING PERMIT APPLICATION CU Y TIGARD DATE— —_ - - to Ll_ Np J�F 111 D; H+JGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONEE;3q UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHON _ LOT NO JOB ADDRESS i + ONG CH ECT c - n ) INEER =L.R_ Yc`��.--��//"" _ADDRESS - -- - --- --- DESIGNER - iC1I;RE fJ EW ❑REMODEL OADDITICN ORLPAIFI —ORENEWAL []FIRE DAMAGE-- [:]DEMOLITION `_.> 'l Nr. j,-(:MMOEDUCATIONAL OGOV'T ORELIC;IOUSOPATIO ❑CARPORT^ ❑GARAGE ❑STORAGEOSLAB ❑FENCE �P'-ND ❑MOVINGw C❑CONDITIONALUSE ODESIGNREVIEW ❑COUNCIL APPROVED ❑SIGNS ��-�—--•—_�? r cam-\ LAND USE LONE , - �LDG.TYPE..,�.�_11_._.FIRE ION�_�L PLAN CHECK BY_ I; HEATy� - NQ (._ 1AQ__. FI QQjR_LOB.IZ__�-�_ HE�CZHj__.�_fL_- ►!14-�?S2RIEF>�._ARE9Y!S^S!_OL4 9EDRC,OM3 7ti VALU��i�S�.`� BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS uNTAINED IN THE BUILDING CODE, ZONING Flan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED THAT THE ------ -<"`�"' WORK WILL SE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT D04+ NOT WAIVE - RESTFICIIVF COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS Tate Tax _ A; LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMP:NG AND HEATING. T o T e lby ------ (--. APPLICANT OR AGENTI ;,hhurved p .� Q- f9 Cl �C7��7 .J .J O . 1,