11120 SW SUMMERFIELD DRIVE 11120 SW SUINMERFIELD DRIVE
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G CITY 01TIGARD
OREGON
t-�r'•T''� Permit No.
1656
�� Owner: Tualatin Development Co.
!,. c Address: I53D0 SW 116th
Building Address: 11120 SW Summerfield Drive
Occupancy: H Land Use Zone:R-7 Bldg.Type 5N Fire Zone: 3
' Comments:
.�"a � � -��"•"`.gas
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Certificate is hereby given this 5th da of July 1 v ,19 7 0 .�
�^ y A W"`
( '` F that said building may be occupied and that it '
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complies with all requirements of the Build-
ing Code for the City of Tigard, as approved
, by the Tigard City Council.
iuilding Inspector
Y ( k'ai
e
Building Official j"" �a
1 ost Certificate in Conspicuous Place
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60E�076
ADORES5�/f�_� PERMIT NO.
PERIMIT CHARGE none
OWNER ��� L_ CONNECTION FEE
PAID 0Y
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE /�4�lJ INSPECTION FEE =3 E
CONTRACTOR
PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
c
rm a
'U
SEWER PERMIT0J
Unilied Sewerage Agency
of Washington County CITY OF r Ticiard DATE 5-24-78
OWNER : T.D. 0 _ _^ PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
x❑xBUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x❑xNEW 43 SINGLE FAMILY ❑ COMMERCIAL.
❑ EXIST. (PRIOR TO 7- 1--70 ) ❑ MULT. RES. INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 8
ADDRESS OF STRUCTURE : 1.1140 ;S.W Summerfield Dr. Bldg. E2 —
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER,. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 12o ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ none
CONNECTION CHARGE 4, 800.
SIDE SEWER INSTALLATION B. Greene _
T ISSUED BY
OTHER
TOTAL_ $ 4,800.
11 � L APPLICANT DATE
SEWER PERMIT N • 15915
ADDRESS OF STRUCTURE 11120 SW Summerfield Dr. Bldg. E2
TAX MAI' TAX LOT _ SYSTEM fenno creek
LOT _ BLOCK OF
E . Walden 5-24-78 / f
APPROVED BY DATE ISSUED BY DATE
D. U. 'S B `_ REMARKS sewor pi inspection paid B-23-77 bldg. permits#1656
JOHN E. RE1;11,1^"? PC�'�Il`iG,JNC BUILDING DEPARTMENT, TIGARD N0.
P 0. Goy, lig PLUMBING PERMIT �
NE1Y9E,01, holder of a valid plumbing contractors license is hereby
authorized to cause FIlumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector whu shall be notified not less than four
(4) hours prior to the time the installations are rea for inspection. City of Tigard Busirass License required
for all co Tactors and sub-contractors. (�,��;�r �=-�'
�j( /1��li r �J �1�� Address
Ownr3r�
NUMBER OF TOTAL. PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
RESIDENTIAL
Single Fam;l -1 bath-each _ _ 25.00 -
Duplex-Et,ch 1 bath unit 25.00
Additional bathrooms-each 10.00
Mobile Horne Space-each 15,00
INDIVIDUAL FIXTURE FEES _ - -
1 to 50 Fixtures in 1 buildin --each 3.00
51 to 100 Fixtures in 1 buildin -ee-�h 2.50
101 to 201 Fixtures in 1 building-each 2.00 - -
201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS _ _ -----
_Building Sewer-1st 50 ft. 10.00
Sewer-each additional 100 ft. 10,00
5.00 T
Water Service to building
Privato Water Systems-e_ach 100 ft. — 10.00
Other (Specify): --
PERMIT 'C'c' c''C' For Plumbing Inspection rnone 6394191
91 State Plumbing Contractor By --
TOTAL RECEIPT NO. Issued By
... ...., . . ...,..n ...•1P0.+1!7MC"*1". :n��W,yp.. rKp'w"'�'�, "roRN�'�"'�""r"'u�NM�no�....
BUILDING PERMIT APPLICATIO14 COF �i IGARD DATE i,;-; -7 , 19�_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONE. OWNERPHONF
LOT NO.
OWNER JOB ADDRESS HUME ADDRESS _
J!41 4rd ARCHITECT
lilt. ENGINEER
BUILDER_
� DR ':' _ _DESIGNEE`
STRUCTURE UNEW ❑REMODEL--.± DEDADDITION ❑REPAIR ❑RENE6l4L CIFIREDAMAGE DDEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑ L_1
STGRAGESLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCII-APPROVED [:]SIGNS
OCCUPAN1C�_ LAND USE ZONE BLDG.TYPE FIRE ZONE.- PLAN CHICK JV,. HEAT =_
: L, - ,i 'Y F)?) w W t?r.�61 �Uri1r+ :)f� I II-Ltt .; rrm-3. 3U Elc :W�1,�. i
tlLr,"pp ar,ce ul trw (.Log t.a v tr5istmvjr, p UMtar'-tri& a � llal OEM Jr carinivi : . uns
anu completion of* public° iht(^roviamunts prior to uccupartr.y, —
(AL,:'-1.t) luc samo as bldg. C-21 _-- --
l'1 b l,1't s 1,'t A
Q �.1�. ------F14RI ---_AREA__-__�L2ElE1lHS'rr'MS _ VALUE ---
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Per mit : � . :� - -
THIS PERMIT IS ISSUED SUBJECT TO THE 9ECiULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
,y t'J6 t l WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIf'ICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE Oi° THIS PERMIT DOES NOT WAIVE
RESTRIC i IVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LIC�tP1.9F, SEPAiiATB kEijMiTf!F�Otf11RB0 PSR 9ENEN;�LiaMBINQ A11R.HEAYIM��Ir .IJ•QLl
Total -��579,013
By
�` 11f'AIJ 1- OR AO" l --- �
Approved- -� -- Receipt Nol �J
ADD t �rPHO
.. ,..w..,...,,.... .,. -..-....�:..,r..J..w.......cr..,...,, .h mi.....ur.,.u,.nr..,r..-.r+Lwr414.a+.vww.ea.ua uYr.nlYiirlYu Gwu... _•.•-•: .J:ia.....,..:.....,.w,
UATE !NSP. TYPE INSPECTION REMARKS PLUMBING DATE
//-/�- Contractor —-
h o< IC �
1(--22-'?9 "Ulf _ --�.--- Permit No. `iz -7
3'/�_70 Fixture _
Final
HEATING
_ Contractor
Permit No.
--
Gas or Oil
Rou h. rn
Final
--- --_—._._� ------ SEWER
Final — —
DRIVEWAY
Final
---- - ------ � Storm Drainage.
(Rain Drain) Final
---_ Sidewalk
Curb&Street Final
Approach _ _ _
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUy; Final
CERTIFICATE OCCUPANCY /, / - n n / —
r 1 andscaping
1 Zoning Final
�_111_DiNG PERMIT APPLICATION CIT TIGARD DATE___�Sh-�' �. ts..�� NA
OF
ONDf w ',NLD HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BIJILDFRPHONE�+�!� 3101
�,-k AS SH,) WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICAl IONS OWNER PHONE
^� L nT NO _.
c_R / • D JOB ADDRESS _HOME ADDRESS -
- ARCHITECT
ENGINEER
/ �•�•/ GkSIGNER
ADDRESS -,
RE
0YtieW_ �CREMODEL�_ ❑ADDITION_ ❑HEPAIR _ ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
� NCF L3CC`►AM DEDUCATIONAL ❑GOV-T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
WIND OMOVING ❑CONDITIONAL USE V ❑DLSIGNRFVIFW-__DCOUNCILAPPROVED ❑SIGNS
C,cv;-NCY LAND USE ZONECZ..LV—.BLDG TYPE _FIRE ZONE-! PLAN CHECK BY HEAT�Q,(//
46,v7 Lx
��P_cl-1QA� - i�2 C!e�`1rc— .�/ /eke✓s' _ Ty4,%. ,t c _
F I QQp_lzQBp__ t+�LG�I__- --._._ND_IT�S?RIE$ '/.� s_�LlI�S2�EAp4S?►�,S � VALUF,��r� �#
BUILDING DEPARTMENT SET B%CKS FRO_ LEFT SIDE RICHT SIDE
�e�IR11T 5 ,�U
— - THIS PERMIT IS t U BJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- WOAK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Suh local' RLL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RE5TRIC1IVF COVENANTS CONTRACTOR AND SI)B CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I ',tals-Tax -- LICENSE SEPARATE PFRMITS REOUIRFD FOR SEWER, PLUMBING AND HEATING.
� Total �•
APPI ICANt OR AOF.NT -------
p1,. Receipt No.
7-71
J.S 'T�
2r 0 r
�.� 40.x,, �'
CITY OF TIGARD
L 2, ORDINANCE u77-26
STREET SYSTEM DEVELOPMENT CHARGE
OATS : ESTIMATED SALES PRICE $
APPLICANT NAME %V -> t--- !TELEPHONE r �� _��l / C7
JOE ADDRESS BLDG. PERMIT rr
AMOUNT OF FEE FOR S. D. C .
DESCRIPTIGN OF IMPROVEMENT U?y� u �
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under $60,000. --------- $300. 00
B. Single family dwelling unit over $60, 000. --------- $400. 00
C. Mobile Home Court Space (New Developnent)-.--------- $150. 00
D. Multi-Family Dewllings--per unit------------------- $240.00
E. Commerr.ial, Industrial & institutional(Park. Space) $ 50. 00 each
F . Single family unit under $40, 000. -----(------------ $250. 00
[� /"�CITY OF O
_
nr .rr !-fir r� nr J\!!T �� ��� t"' 4�G1`CD DATE ig
--S ;!'\^cRSIGNE0 HERE13Y APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED 3/p
nR AS S,+OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
r1tVYco T (J r✓ ADORESSf L L �2 µL=i K C� +:� BUILDER PHONE
�^ ENGINEER
a• ca J ARCHITECT DESIGNER
r-+ I
CADDITION LI OREPAIR []RENEWAL
❑FIRE DAMAGE ❑DEMOLITION
STRU�l_PE ,NEW _ aE'ItQOEL `
RESIDENCE �7CO%ly 7ED:lCA71ONAL GOV'-r El RELIGIOUS OPATIO r2 CAR PORT GARAGE ❑STORAGEnSLAB CF£NCE
�80NC _VCV9NG _CONDITIONAL USE CDESIGN REVIEW ❑COUNCIL APPROVED �]SlGNS
OCCUPANCY !AND USE ZO'fE RLDG TyDE FIRE ZONE_ PLAN CH£•"'K BY HEAT
• / / I'1/1 /V If
i2 t z7<A� 7 ��?� .r� ��Z-�.��Y� cq A3 tJ
DOR
OCC. '_DAO ct _QAD NHEIGHT 0 STOO!ES AREA VALUE Tom`/
_
9U!LDING DE°ART'J'• SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
°ermit � � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �r !?�.L° L' 9EGULATIONS AND ALL APPLICABLE CODES AND ORDIrlANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTPACT09 A'. :B CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State ! •C C LICENSE. SEPARATE PERMITS REQUIRED FON .rER, PLUMBING AND HEATING.
:TOIli � Q/f i
Ilev APPLICANT vet AGS
(Approver' geceiot No.
.4 DOft ESS PHONE