11090 SW SUMMERFIELD DRIVE 11090 SW SUMMERFIELD DRIVE
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. 4. CITY OF TIGA RD =
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OREGON
Owner: Tualatin Davelopment CO. 2355
Permit No.
Address: 15300 SW 116th
Building Address: 11090 SW Summerfield Drive
Occupancy: H
Land Use Zone: R Bldg-Type 5N Fire Zone: 3
Comments:
Certificate is hereby given this 1st day of June 19 79
A,
that said building may be occupied and that it
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complies with all requirements of the Build-
,fJAI
ing C(xl.e for the City of Tigard, as approved 91
by the Tigard City Council.
in ing Inspector
di
"i Building Official
Post Cer-Ificate in Conspicuous Place
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A D u R E S 5 (i Q c(� _ P E R M I T NO .
PERM I CHARGE none
CONNECTION FEE
PAID BY 11.Z '. ���
TYPE OF BUILDING /}gt, — DATE rONNECTED
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i
SERVICE RATE ,��, o� �- INSPE CTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONINtCTION A55ESSMENT PAID
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BUILDING GEPARTMLNT, T16APD � � 0 NO.
PLUItA I�:G PERM.IT _
__�hoidef cf a valid p'urrbing contractors iicens^ is rpt rebY
+ ,
authorized to cause Ntumbi^q work as herein nott-r` tc he is',Ced in accorda:-itc with th +rlihin, ccrle of
Tigard. Sucn installations require -lspection by the City Irtspecto,- who s:iail be notific,: -_,o: les, thrice four
(4) hours prior to the time :he installations :,rt: rFi?�,`',I ;.�r Iczspection. City c�rtl�; �r!� ,rquireti
for all contractors and sub-contract ��' � �l�e�,�, ,�
Clvynt d/ I� �,. _ 1 9 ;c; '•ess, �` L –� — Dare /�
NUMREl7 OF 70TAL PERMIT NO.'S
TYPE OF PERMIT MS��_I- rEE ON EACH 1fMOtINr .Ofrice Use Onlyl [LLL /tv' u �
_ ME_ � ----- --r--
Single Femily-1 bath-each -- -- 5. l
t '5�
=
Du lex-Each 1 b.,:h un,-
_ -- --- -----� --+----
Additional ba*h,oe:rs-each00
Mobile Home S ace-each
INQIY!DUAL FIXTURE FEES
1 to 50 Fixtures in t !sudding-each Lo, 3.00
51 to 100 Fixtures in 1 building-eech ___ _+ 2.'io
101 to 200 Fixtures in 1 buildin -each —------ -_ 2.00 - -- -_—
201 or more Fixtures :n 1 buddi -each 1.50
MISCELLANEOUS - j
� I
Buiidi Sewer-1st 50 ft. v 10'00 r 1!�•� _
Sewer -each additional 100 ft. _ t5.00 _ --
Water Se-vice to bui!dine _ 5'00
Private Water Systems-each 100 h. _--j 10.00
Othe• (Specifyi.
PERMIT "(o j14 For Plumbing lnuirctien P,hory 6J9-4191
9L state4 Plu-nbing Contractor By
TOTAL — d RECEIPT NO. Isw.3 Ey _i--
BUILDING PERMIT APPLICATION CITY
TIGARDD A T F
OF 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED SUILPERPHONt), -2-3L)i
OR AS SHOWN AND A"PROVIED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT Nli
OWNERTualstin Dev. ( IR
09 JOBAODCSS11 (A
090- 56115UMITIV" t 1_01U HOME ADDRFc-,
ARCHITEc:r
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ®NEW 0 RvmnDEL OADDITION OREPAIR _[]RENEWAL OFIRE DAMAGE CIDEMOLITION
0 RESIDENCE CICOMM OEDUCATIONAL E3GOV'T ORELIGIOUSCIPATIO OCAR PORT EIGARAGE []STORAGE CISLA13 [-IFFNCF
OBOND OMOVING DCONDITIONAL USE CIDESIGN REVIEW OCOUNCIL APPROVED []SIGNS
I 11-7 ETU
QCCLIPANCY___LAND USE ZONE___BLDG.1' JE _FIRE ZONE 3 PLAN CHECK BY H.E A T
Aggy Agartments — 7 Units 1 )_&undU___F400ryi* 7 [Judroirims 6 lRetheo
iis—issue of A-1 .
5swar PerruL ;, 17477
.. ..........
40 20 Epl:)26
HEIGHT -NO $[Qf!IES A UP Ms _V__
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit #383.00 THIS PFAM:T IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING C JDE, SOC 0443
Plan Check il().00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ACREI'D THAT THr
WORK WILL BE DONE IN ACCORDANCE WITH THE P1 ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 393,00 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE C_',ENANTS. CONTRACTOR I.ND SUB CONTRACTORS TO HAVE CURRENT C17Y BUSINESS
State T&* 32 In!V,NSE. SFPARAT.Efj2rITb5EaUIRED :-OR SEWER, PLUMBING AND HEATING.
Total $400.32 PDC
By APPLICANT ()R77CFN
Appi oved Us Fd.111 Receipt No. I
DATE INSP. TYPE 114SPECTION REtIARKS--- PLUMBING DATE
Contractor
w LisCs —_ .. — - --— Permit No.
Rough-In _ `?_,��79_
Fixture —
- --- --- ---- Final
HEATING
— — Contractor — T
--� Permit No. -----�- —
Gas or Oil --
Rough-in
Final
:WER —�
— Final
DRIVEWAY
— — v Finvi
Stom Drainage
(Rain Drain)Final
-- —_-- � Sidewalk
tAinalpproach
urb&Street Final
—.._..—_ —.- -- ---
BLDEP—T.DG. EPT.FIFiAL 1'l:MPORARY CERTIFICATE OCCI ryry4►
�j CERTIFICATE OCCUPANCY --
/ Landscaping
Zoning Final—�—�
SUILDING PERMIT APPLICATION IITTIGARDIDATE
0 u OF
*1 HE LINDE HSI GNE D HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN I NDICAT"D BUILDER PHON&:J.�a"
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAl IONS. OWNER PHOT.E---
LOT NO.
JOB ADDRESSXJ�.,
ki —
ARCHITECT
ENGINEER
ADDRESS DESIGNER
_ICIURE ❑ZIEW 0-- REMODEL 0 ADDIl ION DHL PAIR ORENEWAL [:]FIRE DAMAGE ODEMOLITION
')l`NCIF nC"MM DEDUCATIONAL OGOV'T DRELIGIOUSOPATIO 0 CAR PORT OGARAGE [:ISTORAGEOSLAS []FENCE
0 MCVING CICONOITIONAL USE EISIGNS
119ND QDLSIGN REVIEW DCOUNCIL APPROVED
C,.�!PANCY L AND USE ZONpBLDG.1f PE FIRE-ZONE PLAN CHICK BY—..--
HEAT<=—
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QA Q F I QD-B--LQA-D- '2ttL N Ef >�---m
A _.±!kjrHT
E, --- —--Q-aTQP,- -LZ� --NQ f, 8 s7 VAL,)
BUILDING DEPARTMENT
SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDINI`; CODE. ZONING
plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH
Suh total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUP CONTRACTORS TO HAVE CURRENT CITY BUSINESS
( we T LICENSE. SEPARATE PERMITS REOUIRED FOR SFS+R, PLUMBING AND HEATING.
-Total
-y
APDL(CANT ORAO(NNT
C!
Q
Receipt No
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