11075 SW SUMMER LAKE DRIVE 11075 SW SUMMER LAKE GR—VE
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z. CITY OF TIGARD
Owner. Brandywine Homes r ermit N0. u 59D r ""
Address: 11075 SW SummPrlake Dr. _ 1
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Building Address: 11075 SW Summerlake Dr.
: Occupancy: -3 Land Use Zone: R-7PD Bldg. Type 5y Els
z Gimments: Construct single family dwelling w/attached garage.
Certificate is hereby given this 18th day of January , 19_84
4'_ that said building may be oeeupird and that it complies with all
E? requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
i
f' Fire Dept. g Inspector
-;
Building Official
_ _. Post Certificate in Conspicuous Place _
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INSPECTION NOTICE
City of Tigard Buildiog Department
12420 S.W. Main St.
Tigard,Oregoo 97223
Phone: 639-4171
Type of Inspection ---
Date Requested 4421 4"'Z� Time A.M. P.M.
Address Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to lie corrected:
ef,
presented to
VT#fproved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
E-3 YES 10 NO
INSPECTION NOTICE
City of Tigard Building Department
i
12420 S W. Main St.
Tigard,Oregon 9722;1
Phone: 639-4171
Type of Inspection
Date Requested / U ^ f
Time _ A.M._ P.M.
AddressSG�JLien/ Permit
Owner Lot #_ v
Builder
The following Building Code deficiencies are required to be corrected:
i
2
i
Presented to
�– — ❑ Approved
Inspector _
- � Disapproved
Date
CALL FOR REINSPECTION
Pfl YES ❑ No
BUILDING PERMIT APPLICATION TIGARDDATE_.��'_;'p`'v'_'� 0' 19 83 4590
THE UNDERSIGNED HER APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 29 J-1122
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHRE
LOT N0.
OWNER ADDRESS 1 Sir wr1:tkf.- �)T•
ARCHITECT
ENGINEER
BUILDER ;;B,He _ ADDRESS 7710 SN Canyon :)r. DESIGNER
STRUCTURE Q NEW ❑ REMODEL 0 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ ULHOLITION
1-I RESIDENCE 0 COMM ❑ EDUCATIONAL 17 GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE U STORAGE ❑ SLAB❑ FENCE
OCCUPANCY I'-3 _LAND USE ZONE _Itw 7''11 BLDG.TYPE FIRE ZONE---PLAN CHECK BY ?<< I` HEAT
('rngtrucC 4w(ALLnC, /wtnchad (P4x„pe,.
SEWER PERMIT# 2610 , (.4-agp 40;2
_G.C.LOAD FLOOR LOAD HEIGHT 7 NO.STORIES_ AREA 1340 NO.BEDROOMS �_"ALUE ''�►�r��+
BUILDING DEPARTMENT _ SETBACKS FRONT 'ail REAR 37 LEFT SIDE I RIGHT SIDE V
Permit —� 3;'. .. 'r THIS PERM;-, ;S 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 r ' 1• '' 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 NO' WAIVE
Sub total RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LIC NSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax J► 4 •, ,
_... G 94 typ�.�a.a1 � ,� J
SC— T.,�
Total `.44."12
✓ -- PDC# l 1 LA) OR AGENT
By
-- — - , �
Receipt No. �� : %
Approved � �A�D E86 __ � - PHONE
� �-----=—
1
DATE INSP.I TYPE INSPECTION REMARKS PLUMBING DATE
py eI Contractor '�._a�►
Permit No. A pet
Rough-in --
Fixture
moi( - — — ------
/ a•41% - - i F ,al
HEATING
_-& - -- Contractor ;f) �...
Permit No.
A ,
N-fy- Qf •f, T�v/ra. _ Ges ►Oil
Rough-iii
- - -- --
Final
EEW►R
- Final "----
DRIVEWAY
-�- -- Final
Storm Drainage
(Rain Drdin)Final
Sida�^elk
Curb F Sr-oat Final
approach
E1LDG. DEPT. FINAL -t TEMPCOARY CENTIFiCATE OCCUPANCY -
CERTIFICPSE OC.Cv*".,sCY I Final
�Landrcapinq
ronin,Final
jl_w Iff
m --i
�70
BUILDING PERMIT APPLICATION TIGARD DATE—_�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONFr'9 -
OF71 SHOWN AND APPROVED tpl-THE ACCOM.PANYING PLANS AND SPECIFICATIONS. OWNER PHONE
0 N ° � � = -JOB ADQ ESS /0 7 s S�►mw�t r I K. k�r�� r r Na -{ �
ARCHITECT
ENGINEER
BUILDER ADDRESS 7)/u/V � DESIGNER
STRUCTURE _ 15"N E W ❑ REMODEL -_❑_AOOITION ❑ A'_REOIR ❑ REN_EWAL ❑ FIRE DAMAGE C3 DEMOLITION
lJ FIESIDENCE ❑ COMM ❑ EOUCATIONAL L7 GOV'T ❑ RELIGIOUS ❑ PATIO U CAR PORT ❑ GARAGE G STORAGE ❑ StAB❑ FENCE
O%CUPANCY _ f I _LANDIJSEZONEk-.:?- Rk BLDG.TYPE s,.--FIREZONE_—_-PLANCHECK-BYY —& L 'HE?,T_.y��
SEWER PERMIT k _"` `�' 6,
°`rMt y6
IjCr' LOAD FLOOR LOA_D -HEIGHT �� NO.STORIES a AREA(?A NO.BEDROOMS J VALLIJ440w
r BUILDING DEPARTMENT SETBACKS FRONT REAR ,f LEFT SICE / RIGHT SIDE
Permit V
Q.
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON!NS
1 Q
Plan Check a 3 , 0REGULATIONS AND ALL APPLICABLE :ODES AND ORDINAMJCES, AND IT IS HEREBY AGREED TVAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC'.
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV,
Subtotal •Z r7 RESTRICTIVE COVENANTS.CONTRACTOR AND SU9 CONTRACTORS TO HAVE CCRRF.NT CITY BUSINESS
I
State Tax ' 3 `� LICENSE.SEPARATE PERMITS REOUIRF.D FOR SEWER,PLUMBING AND HEATING.
;
�— SDC—
Total _
PD!'-•1t APPLICANT OR AGENT—
By
/ -
By _
Receipt No. _
.Approved � _ ADDRESS
SOC °C/ _
POC^ -'
,EWER CONNECTION S S;7 -Y-
--
(EWER INSPECTION S �"
';EWER SURCHARGE