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11060 SW SUMMERFIELD DRIVE ll! ;W 'AJMM}JRA'ICLD DRIVE i ,p I N N d U �-I N w N N E E cn r� ti) G •-i I 04 low 0 11 1 BUILDING PERMIT APPLICATION 1OF 1T` TIGARD DATE__._.—_ ��(/_ . THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK, I4FRFIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED .4 THE ACCOMPANYING PLANS AND SPLCIFICATIONS.. OWNER PHONE 116(1»110b0-11U.,()-11100 3W 5U4mpr F ic.>1.4pGjqr*,r— OWNER 1t13EjnI'. n Dove (.0.10B ADDRESS Y I1OI1E ADDRESS — ARCHITECT ENGINEER BUILDER ADDRESS --11 _ „—•,DESIGNER C1 STRUCTURE ONEW RFMnDEL O ADDITION REPAIR -UrENEWAL_ UFIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO MAil POPI ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY -LAND USE ZONE BLDG.TYPE--F IRE ZONE_....�PLAN CHECK BY _ HEAT__ _ _ ctsr.rt� plur ��l�lnd — 2� S+a�I:�JA TI:tLJa1 a;��Ol�ta. Mr. .L48DM—I FLD�R W-AV ±€!IGHZ-- ---- NQ_�5.�!6a— — -AIt�n _ .N_4> gE�4QRJ1� VALUE_ _--- BUILDING DEPARTMENT SET BACKS FRONT REAR LkET SIDE RIG�J SIDE Permit (39.ge THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE PIJII.DING CODE, ZONING Plan Check lILI.(J�} REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEV.6v AGREED THAT THE - WORK WILL BE DONE IN ACCORDANCE WITH THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub•tota; ALL APPLICABLE CODES AND ORDINANCES. '(FIE ISSUANCE OF THI;' PERMIT DOES NOT WAIVE 96 RESTRICTIVE COVENANTS. CONTRACTOR AND SIJB CONTRACTORS TO HAVE CURRENT CAIN RUSINESS State Tax 4 3+UI.1 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total rt,-i. :, BY Pl --- _ .q . .NT CM �1C:EPJ1� Approved T, • ern Receipt No 2343 APPLICA HO ---- s MM DATE INp1R TYPE INSPECTION REMARKS PLUMBING DATE , U/ w j / Contractor rvy i Permit No. Fixture ' Final----- — ---- HEATING ~� Contractor — Permit No. Gas or Oil Rough-in Final ,. --- SEWER-- — - ------- - Final — DRIVEWAY Final Storni Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping Zoning Final r i P t R M I T NO._ C�C AO 'KESS PERMIT CNAhGE none OWNER C) r_ow.,ECTION FEE P;I D By TYPE OE- BUILDING _Aab t -r�• DATE CUNr:EC.TED SERVICE RATE c. - , INSPECTION FEE �U PAID BY _ DATE: _ CONTRACTOR — -- SIZE OF CO :';ECTION ASSESS"IENT �_ PAID BUILDING DEPARTMENT, TIGARD NO. P. fl �N':';_S PLUMBING PERN11T holder of a valid plumbing contractors license is hereby authorized to cau-.n plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspectir ri by the City Inspector who shall be notified not less than four (4) hours prior 1-o 1.ne time the installations are ready for inspection. City of Tigard Busines, License required for ail contractors and sub-contractors. —y� f { , Add et C - Date,—/-?///-/ Own NUMBER OF TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) ENT IA L Single Femit —1 oath—each 25.00 Duplex—Each 1 bath unit 25.00 I A—ddititional bathrooms—each / 10.00 �G Mobile Home Space—each 15.00 INDIVIDUAL FIXTURE FE--S 1 ' } 1 to 50 Fixtures in 1 building—each 3.00 e 51 to 1G0 Fixtures in 1 building—each 2.50 101 to 200 Fixtures in 1 buildin —eacn 2.G0 201 or more Fixtures in 1 building—each 1.50 I MISCELLANEOUS Buildinq Sewer-1st 50 ft. 10.00 Sewe—each additional 100 ft. 10.00 ' t Water Service to building 5.00 r '`Z• Private Water Systems—each 100 ft. 10.00 { Other (Specify): PERMIT 1 JC ,0C For P.'Jmbirg Inspection Phone 6394191 % State (a.�� Plumbing Contractor Gy TOTA,- RECEIPT NO. issued Ey n �_ ;�:L'�Ir�\7 L.)i � .=\i� t i�lt��•a i TIk2 F1��1� IV�. �n , oi•;e o' :� visi;d 1}tum► mb ror t� i,. t is '�erebY cif+--• C._�,t;t� Of authorized to czcap ,':3mbing w•�'k as � .r r ry , ;.` � ,: 1 `our � , Tigard. -t ,h installations require r1wectio^ '�V r -j c�ti;l�d (4) h^urs prior to the tirrie the . 3tdJidtI01IS for all contractors and suL-c nrt•actoi s, owned[ - - _-- — ----- T,,. t r; _ij r BUILDING PERMIT APPLICATION Coy Tl ARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR T'iE WORK HEREIN INDICATED BUIL.JERPHONE�. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA-IONS. OWNERPHONE_ LOT NO. OWNER Lug ji3L'ifi Uu j. ,.1 a JOB ADDRESS I ' ' � I ME:ADDRESS _ — ARCHITECT ENGINEER BUILDER rr--�1 ADDRErrS��S DESIGNER STRUCTURE l,..INEW ❑RCMnDEL _ 0ADDITION ❑REPAIR_—❑RENEW��--AttL. ❑FIRE DAMAGE ❑DENIOL11ION f J RE5IDE:NCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT_OGARP,GE ❑STORAGE❑SLAB ❑FENCE _LIBOPID ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW — ❑COUNCIL APPROVED ❑SIGNS — �� QCR.ICUPANCY LAND USE ZONE _BLDG.TYPE_ FIRE LONE._s3 PLAN CHE'K BYL1L____=, HEAT_f- iL.''.. story Apartmartk, M b Ufli+tg - 10 Bodroome - G ki408o --- 174.13. .. 4 ,44 10 � 23,6 occ J Qg� 441 DAD --- ACI.___�lGH ��_ _ N4�$IQ8!��___°�—._-g�L3�— �lQ @�Rg441��_��L —.--- BUILDING DEPARTMENT SET BACKS FRONT _—_ REAR - LFFT SIDE RIGHT SIDE Permit :3 .(A THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check Ei L.:IO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE — WOPK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total 4EJQa 60 ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF. CURRENT CITY BUSINESS State Ta)Wel 12.92 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 4x7„41 By P1 — APPLICANT OR AGE N1 Approved L • 1,181don Receipt No jr6Awxj� DATE INSP, TYPE INSPECTION REMARKS PLUMBING DA-E Contractor Permit No. 4 /,1 Rough-in Fixture IL Final (EATING Contractor -- Permit No. —� Gas or Oil --- Final ----- - 1-------------- �A._ —� r SEWER EWER � .—�_ ------ Final —�--_ DRIVEWAY Final toren Drainage �Y_ --- .Rein Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL Tf=MPORARY CERTI,'ICATE OCCUPANCY Final — — CERTIFICATE OCCUPANCY — Landscaping J1Zoning Finsi CITY ��/�.�D DATE. __-- t9 N� SUILDING PERMIT APPLICATION OF - �1�''`)� .14 UNIM RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHON �✓� ,,F %S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO, Aw L� JOB ADDRESS �O�OS�� .► t --_ ARCHITECT ENGINEER R ADDRESS �— _„__•-_ '-- DESIGNER C^URE SEW_ _ ❑REMODEL [:]ADDITION CJHEPAIR —�DpENEWAL OFIRE DAMAGE [:]DEMOLITION E`- OF NCE DCt 1.'M []EDUCATIONAL -❑GOV'T_DRELIGIOUSIJPATIO ❑CARPORT ❑GARAGE USTORAGEDSLAS ❑FENCE POND _ ❑MOVING` OCONDITIONAL USE DDLSIGN REVIEW OCOUNCIL APPROVED ❑SIGNS CUPraNC�•_ ..1AND USE ZONE BLDG.TYPE.. __FIRE ZONCs� _ PLAN CHECK HEAT BY C�_Z4- (J '�•O _ E --BRF9� -b&-�lZRQ4.�i!.S.J�IBL O� PLNG DEPARTMENT SET BACKS FRONT —� REAR �LEF7 SIDE RIGHT SIDE UIOI _— i rrmit - - -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING "Ian Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH SUb 101al ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -•— - — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS `',tate Tax —'J LICENSE SEP%RATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total I by APDL(CANT OR AGE !approved 7vomiloil Receipt No. - WF)c3iiss' HONr CJ r,