11120 SW SUMMER LAKE DRIVE-1 11120 sv4 SUMMER LAKE DRIVE
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CITY OF TIGARD
} OREGON
Owner: Brewer Construction Permit No. 4913
`+P Address: 16795 NW Somerset Dr.
Building Address:
' l i 1'_0 SW Summer lace Dr.
Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N
Comments: Construct single family dwelling /attached garage.
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Certificate is hereby given this 13th day of December , ig 84 F
' that said building may be occupied and that it complies with all
=� requirements of the Building Code for the City of Tigard, as approved J
bv_ the Tigard City Council. i
' Fire L ept. Bu ldiug Inspector
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} Building Official
Post Certificate in Conspicuous Place
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
hone: 639-4171
Type of I nspection
Date Poquested T(d/ M. —P.M,
Address - 1_�/(-
Owner_ —._�. _-_ Lot #—.—
jBuilder
The following Building Code deficiencies are required to be corrected:
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Presented to _.._ __._.— El Approved
Inspector Disapproved
Date
CALL k'OR AINSPECTION
I YES ❑ NO j
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested.--- _ Tinig A.M.—P.M.
/address __._./ Permit #--
Owner_ Lot #
Builder 1109 1 \ l l I —�
The following Building Code deficiencies are required to be corrected:
I
Presented to _ Approved
Inspector _ ❑ Disapproved
nate
CALL FOR REINSPECTION
❑ YES U NO
BUILDING PERMIT APPLICATION TIGARD DATE._.._—Allk- 13 ___, 19 84 4913
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF
OR 11.3 SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNED PHONE.__ _--
LOT NO.
OWNER Nrewer Construct iodOBADDRESS 11129 SW Su»,ae�[la_ke — _ � Sylvytrlalta
--A — C3. `�7UOb —ARClIITECT—
ENGINEER
BUILDER bay ADDRESS 16795 Irlb o jetreet,_pr_t_ DESIGNER
STRUCTURE Q1 NEW 11 REMODEL O ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE El DEMOLITION
la RESIDENCE ❑ COMM ❑ EDUCATIONAL_❑ GOV'T ❑ RELIGIOUS FJ PATIO ❑ CARPORT C GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ K'3 LAND USE ZONE �'1YoBLDG.TYPE 5N -FIRE ZONE PLAN CHECK BY _Wl .-HEAT—Sillfl —
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`�. A�-4-rbled:.ewugd trewer �urclwry„e.6.Sub—sect_ --
- -- l,erun Ae_i%lite a 15tj.Uii —• 2. 6athrout!l 3 !fie drmi _--
SEWER PERMIT# 27'_'' I -- -- --+'xralle 4r'4 —
OCC.LOAD FLOUR LOAD 4l1 —HEIGHT 14 NO.STORIES 1_ AREA 1683 NO.BEDROOMS 3, VALUE 74,00.
BUILDING DEPARTMENT
— SET BACKS FRONT e�t_ NEAR l FFT SIDE RIGHT SIDE
Permit 35- ;V',t THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINt:D IN THF BUILDING CODE, ZONING
REGULATIONS AND ALI- APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check — 230...'5 — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN I;CIMPLIANCE
WITH ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES MOT WAIVE
Subtotal 5115.75 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TC HAVE CURgf:NT CI1 Y BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 14.111
SDC— '
Total
599.95
PDCNt 15O.Ou APPLICANT OR AOEN'T
By CTI 250.Ou
Receipt No. -._.__._._-- ---___--
Approved Nl;it ADDRESS PHONE
DATE INSP. TTPE INSPECTION REMARKS PLUMBING DATE
Contract _j
Permit No.
Rough-in
Fixture
Final
HEATING
Contract
Permit No.
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4 ,< Gat or Oil
CSL 62C Rough-in
Final
SEWER
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final-
Approach
SLOG. DEPT.PINA;, rJEATE OCCUPP 'Icy Approach
ICERTH- CAT9OCC'JPANCY
Land%cnping
ning final