11055 SW SUMMER LAKE DRIVE 11055 SW SUMMER LUKE DRIVE
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- CIS f OF TIG RD
OREGON
Croner: Rupprecht Hor=s v' )
_ Permit No. 4 764
Address: 1905 SW Aldi-rwood Court 4
Building Address: 11055 SW Sumaae r lake Drive
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Occupancy: R-3 band Use Zone: R-7PD _ Bldg. Type 5N
Comments: Construct single family dwelling w/attached garage.
Certificate is herebyven this 17th
gi day of December 19 84 /
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved -�
by the Tigard City C=wneil.
Fire Dept. 1 g Inspector
.wilding Official :q
- Post Certificate in Conspicuous Place
INSPECTION_NOTICE
City o1 Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 91223
Phone: 639.4171
Type of Inspection ---
I
Date Requested �� 2 d4 Time A.M. P.M.
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Address ._ /c. 5._'S � ��,�+,� 4'� Permit #_
Owner _ —� Lot #
BuilderThe following Building Code deficiencies are required to be corret ted:
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Presented to ______- ____ Approved
Inspector _ �' _. I Disapproved
Date
CALL FOR REIN7EC'TION
❑ YES NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.V. Main St.
Tigard,Oregoil 97223
hone: 639-4171
'Type of Inspection
Date Requested
�_-_ uA.M. -Ii._—P.M.
Address �/ __s_Zt�-:��_ �-'Ll� , sit # _
Owner _ _�- __ _ T___ Lot
Builder — —
'ne following Building Code deficiencies are required to he corrected:
019r�;P0
zo-
Presented to ._ _ ❑ Approved
InspectorDisapproved
Date
CALL F R REINSPECTION
YES 0 NO
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Building Permit No.
Location
Uate � _��lcc-w�•rrL��•yl��
Certification of Registration
With the Builders Board
L)"t')
doing business a•. (dba) ,
of ORS Chapter 101Oregon Ncxnebuilders Lam registered under the provisions
toy Builders Board Reyistration Number is
My registration is in lull force and effect and expires on
ignature ,
BUILDING PERMIT APPLICATION TIGARD DATE nrr,h 17 !,q___ 4784
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED EUILDER PHONE. x',421 c' 13 _
ORAS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
LOT NO._ At—
OWNER
t—OWNER Rupprecht Ifuit.T JOBADDRESS 111J.55 SIJ Su"-ir.lake Or.
Ali 17006 ARCHITECT
ENGINEER w
BUILDER -Sel,�e _ ADDRESS 151505 SW ,AlderwGod Ct. DESIGNER
STRUCTURE 12 NEW ❑ REMODEL _❑ ADDITION L REPAIR 0 RENEWAL_ —❑ FIAEDAInAGE
El DEMOLITION
F-1.RESIDENCE D COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO C rAR PORT r7 GARAGE ❑ STO PAGE Ll SLAB❑ FENCE
OCCUPANCY �}._LAND USE ZONF 78LDG.TYPE _ FIRE ZONE PLAN CHECK BY HEAT
Cousrtrtsct sinkle fardly dwellins. w attached -
--^_ (Subs ecL to 1,f.run Iteighrs St-wer Surcharj'e
-- --- -__�3t�f.).UU A.►-tAN,'I'�tiy;���.;i's lxha aeJrac; 3 �x.tlart�crtz,
SEWER PERMIT# �21o4 - t4rage 480
OCC.LOAD LOAD FLOOR LOAD 40 HEIGHT fry NO.STORIES 2 AREA 2031 NO.BEDR.'OMS 4 VALUE 0i(�I)ft.
BUILDING DEPARTMENT
SETBACKS FRONT I REAR 11y LEFT SIDE {, RIGHT SIDE
Permit l i 0,fit)
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN ".-HE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ,AGREED THAT THE
Plan Check 246.35 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 62".a635 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACT09S TO HAVE CURRENT CITY BUSINESS
State Tax 15.. 116 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC—
Total 641).5 I 'j
PD C# L 1 tNyf►D A I ANT OR AGENT
By t:,t -
Receipt No.
Approved )3:;;rd ADDRESS-- PHONE -�
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DATE !NSP.1 TYPE INSPECTION
REMARKS PLUMBING DATE
Contractor
t
or
Permit N�
ryt
Rough-in
Fixture
Fl
HE .TING
Contractor 0
Permit No.
Gat r Oil
F.asl
SEWER_
Final
DRIVEWAY
rinal
(Rain Drain)Final
Sidewalk
&Street Final
Curb I
Approach
--ii:DG. DEPT. FINAL TEMPORARY CERTFIFI—CAFIFO-6—r. ANCY
,CTITTIFICATEOCCUPANCY Final
Landscaping
II Zoning Final
Ilrk UNPOISIGNED HEItEUY AE'PUES FO►I AVERNII r F(jH 111L WUHK ►I;-I1cIN INI)IL,AILII DUIWI•RI'll
IUr��7�
OR AS SHOWN AND APPROVED IN THEACCOMPANYING PLANS ANO ',PECIFICA1'IONS. OVINEr,PItvrlr-
/ LOT NO
.?•.vNEr�
IQ['7�s.s ARCH''
T ENGINEER
/rr AOORES'SI� O.� .4 DE7PL✓O11rJ C T DESIGNER
STRVCTUAE ` -G NEW ❑Rk'-an
pEE ❑A000rioN UniPAIR ❑RENEWAL CIFIRE DAMAGE UDE.'.IOLITI
E�SIL`["ICL ❑CO►tLf ❑EDUCATIONAL C�GOV'f ❑RELIGIOVSC'PAr10 ❑Caa PORT ❑GARAGE G STORAGE C]SLAa ❑FEt,
CCCI:Pgt:•YY
AL-•� �eND USE_2 NE� � •D � -_ni —'�-�" — NEAT
— ass__ _ Q OLOG,TYPE .FIRE tUr1E PLAN CHECK BY _ C7
- t'�h i •,�`!t' �' 7- ;�2 it �i F Fiq,——_/_!7_✓_.
,C 6,
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3 T-FC 7- 7 h J9
SEDER PEnRMI T J# c/ G
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�S'/.lr,.l.0�_�DpgL04D '/d hl �ii!iI � �) I`{.2.�.CS2CIIFSJ2_ A:[rr?�/NO nFnwnOA1$ y
�At 11 51/1L41N,DEPARTMENT ARE
SETBACKS- FRONT REAI4
LEFT 510E G, RIGHT SIDE
/ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUI!DING CODE. 201.,
I Fein Check yG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRF.ED
�� 1s WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CGAdPU<•THTHAT 1
V.-
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE_ OF THIS PERMIT' DOES NOT WA
{IESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CuIFIEfIT CITY BUSIN
� a(e Tax _ II �L C LICENSE. SEPAFATE '71MITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
To 1.31 V SDC -
r PDC#
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Apprgv({1 ` Receipt No.
n�n IF s s '-----
SOC - $ ��
POC -
SEWER CONNECTION $
SEWER INSPECTION $
SEWER SURCHARGE $ �? /�j>•-,�,pr�v�'OC-54-- y
Comments :
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