11070 SW SUMMERFIELD DRIVE 11070 SW SUMMERFIELD DRIVE
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PERMIT NO.
ADDRESS
PERMIT CHARGE none
f ��( Cor;r:ECTION FEE
0 41 E R sL. �-- ,
PAID BY
�=�-- DATE CONr:ECTED
TYPE OF BUILDIr:G _ �
INSPECTION FEE •3`�
SER'JICE RATE
-
PA IC) BY DATE
CONTRACTOR
SIZE OF CO'.'•ECTiON
ASSESSMENT PAID
1 3
g�� y- 305- ! ' 177
BUILDING DEPAM-HENT, TIvaND v J
PL ING PERMIT l if
homer c` a valid piling contractor:: lic-ensc is hereby
authorized to cau.e plumbing work Ps herein noted'' tc 1)ein
e stalled n accordance with code of
Tigard. Such installaufuns regcira inspection by the Citi; Impector who slidil be notified not less V1,u) four
(d) hours prior to the time ttid Installations are -dy for inspection. City of `jgarrt Bus;�e-,s License
for ail cgst:ractors and soft-cortr;c*^ 4.
reDate
1 NJHLi��R OF TUTA:. PFIRMtof"ce Tse on 1 L�
�.--- TYPE OF VERM:T � !'rEMS � FEE ON EAC}{ A.111at;NT t IC)tfite Use On ,l
$iDLt4 SIAL - ---
Single Family–I bath--each
r—--25.U0 it
i Du iex–Each 1 bath unit --_ -- --��
Additional bathrooms–e--&-
Mobile 4cme Space--each ---
INDIVIDUAL FIXTURE FEES —
i to 50 Fixtures in 1
51 to 100 Fixtures in 1 buildir_eah _ 2.50 I _I
101 to 20(; Fixtures in i )u�+-_i- Jaeh 209 ----- -
201 or more Fixtur.:in 1 buildine–each 1-50 _-
MISCELLANEOUS --
Bui!dir Sewer-1st 50 it. _✓ (— t0•Dn O
Sewer–teach additional 10C ft.
Water S7 ice to building _ 5.00
Private*Nater Systems–each 100 ft. — _— rr" 10•00
Other IS ea` _ �----- --
PERMIT For Plumb;.-Ig tnV t:tion Phone 1£'94191
96 State`1;C _ ! plumbing Contractor By
70TAL ! ti d P'CEIPT NO. Isued Ey
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CITY NO 2154
BUILDING PEWIT APPLICATICPJ of TIC ARD DATED 20 to 78
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED PUII-DER PHONE-
OR
HONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON"
LOT NO._
OWNER 01atin Q%%j o r0• JOB ADDRESS11070 SW SU11111101 HOME ADDRC:SS
ARCHITECT
EAGINEER
BUILDER -1111AM111-1 ADDRESS — _ DESIGNER
STRUCTURE _ DNEW ❑RFM_ODEL ❑ADDITION ❑REPAIRrr--11 _❑RENEWAL ❑FIRE DAMAGE QDEMOLITION
D RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUSOPATIO CCPR PORT ❑GARAGE [I STORAGE ISLAB ❑FENCE
M ONU ❑MOVING OCONDITIONAL USE. ❑DESIGN REVIEW ❑COUNCIL APPROVED G GNS
OCCUP4NCY k—.LAND USE ZONE h— E
BLDG.TYPE ZONE PLAN CHECK.BY` `I,- HE.—
----- -=►tuxK_AjiL1w&a1.2.=-4 (Inits, 4 bGthS. _ ___--
nLpt�rLltYxid�iJZx u"2
—_—. r-gl.jsr Permit, x17476 - *24J.-).00 --- — --- —
4f1 20 2 388f1
FLOOR L4AP _——.jiFjQ.HTSIS2�S.I�?A_IE� _E11gE�_---- rv�,�EQF4�MS Y.A�U —_ ----
BUILDING DEPARTMENT SET BACKS FRONT — REAR LEFT SIDE RIGHT SIDE
Permit -)1.Q()
' THIS PERMIT IS ISSUEG SUBJECT TO THE REGULATIONS ':ONiAINED IN THE BUILDING CODE, 70NING
Plan Check 10 uO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
YOORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECUACATIONS AND IN COMPI IANCE WITH
Sub total 1 0 ALL APPLICABLE CODES AND ORDINANCES. THE
ISSUANCE OF THIS PERMIT DOtS NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY ROSINESS
Stath Tax 11,24 LICENSE. SEPARAjf, .15MLStIREOUIRED FOR SEWER, PLUMBING ANC HEATING.
�J4.l( (t
Y {U1C1
Total ��[�t' ��w"
By p1 APPLICANT OR A(AFNI
Approved , aIdon Receipt No 0
DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE:
Contras for / �) /
Permi�No. 16`T�_ 13S I>-11-78 /p�
----- --
Rough-in
Fixture
— -- — --- Final
WEA 'ING
--•- Co ltractor — w
-- - -- —' Permit No.
-� — Ges or Oil
---i--- —
Rough-in -- -
--- --- Final
— -- -- — — SEWER
Final - -- <-2/
DRIVEWAY —�
—� ------------- - ------- Final ---_—
Stom Drainage
(Rain Drain)Final
Sidewalk
Curb&Stveet Final
- - ---- ---
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final — —
CERTIFICATE OCCUPANCY ____------
s
Landscaping
Zoning Final
i I - CITY TIC RD DATE.- - •�-- � 1s� NQ
-11L�r��G F�RMIT APPLICATION �F j'�
INDL HSIGNED HL:',EBY APPL ILS [ OR APERMIT FOR THE WORK HEREIN INDICATED BUILDERP �''HON `'g��DD -3_(b1
I+ AS SHOWN AND APPROVED IN THL ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO
JOe ADDRESS ��1�t l ,-_
AR ITECT
r.N NE.ER
ADDRESS _— DESIGNER
URE e-,CW �OREMODELOADDII7ION ORLPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
L,.-"''PFNCE 0C0NM ❑EDUCATIONAL- UGOV'T L1 FIE LimOUSDPATIO []CARPORT ❑GARAGE ❑STORAGE DSI_AB ❑FF14CE
�H^ND (3 MOVING ❑CONDITIONAL USE rDDESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
1 PAn v _=LAND US
E ZONE_S�.=_LBLDG.TYPE FIRE ZONE PLAN CHECK BY,___ HEATr�'
- -----
F I OQR hUAQ- `�'� HEI IIT __.r1i( '__NQARO l0_hLL1.8EQ13QQCtlC�
BUILCING l I i'%• +�MENi SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check /d REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY t r,REED THAT THE
"- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN,:OMPLIANCE WITH
I sub inial ALL APPLICARIE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOI WAIVE
---- RESTRICTIVE COVENANTS CONT-.ACTOR AND SUB CONTRACTORS 10 HAVE C09RENT CITY BUSINESS
161Y. Tax LICENSE SEPARATE PE RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
"Total
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.. _ No.
eceipt APPI iC;M- OR AGE
ipproved RJJJ
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ijvt-%jrj to 8A incl100,000 Will 6.00 C'umm,i
7.60 Other
Woodbur ninq 'Scova 4.50 1 Trin
YVnIP -a;---"�)-u—V.P 0-11 j'c"'w 6.00 Air tri lfi it
Air to 15.
flcjLl*Lr-Lt'a"Coolin G.Ou
CITY BUSINESS LICENSE REQU klY AU HAC i OR SUB-CONTRACTORS 11
-PlIMIT ISSOANCE 10 00 Comments;
FCC,;
,UL'-TO AL.
STAYE lawed
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