11122 SW SUMMERFIELD DRIVE xil,22 Sia SUMMERFIELD DRIVE
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CITY OF TIGAR D
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A Owner: Tualatin Development Co. Permit N0
Address: 15300 SW 116th
Building Address: 11122 SW Summerfield Drive
)gig Y Occupancy: H Land Use Zone: R-7 Bldg.Type 5N Fire Zone: 3
Comments:
V
Certificate is hereby given this 1st day of June _, 19 78
that said building may be occupied and that it
Ycomplies with all requirements of the Build-
r_�. d
in Code for the City of Tigard, as approved Ri
by the Tigard City Council.
w.
ilding Inspector
Building Official
ir
...........
Post Certificate in Conspicuous Place
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ADDRESS /." PERMIT NO.
PERIMIT CHARGE none
OWNER , - CONNECTION FEE
�..
PAID BY 'I C
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE I
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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SEWER PERMIT N V
15916
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UUnified Sewerage Agency
of WashingtonGounty CITY OF Tigard DATE 5-24-78
OWNER: —__r Q C PHONE
OWNER 'S ADDRESS,
TYPE OF INSTALLATION:
X QBUILDING SEWER ❑ BUILDING SEdER AND SIDE SEWER
TYPE OF OCCUPANCY:
't` NEW XOSINGLE FAMI'- ' ❑ COMMERCIAL
❑ EXIST. (PRIOR 1•0 7- 1-70 ) ❑ MULT. RES. ❑ IND STRIAL
FIXTURE UNITS — DWELLING UNITS_— A
ADDRESS OF STRUCTURE : 11122 SW Summerfield Dr. Bldg. E1
PERMIT CONDITIONS: THE APPLICANT AGRFES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICAT?ON EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR .
FEES:
PERMIT FEF $ none
CONNECTION CHARGE 2, 400.
SIDE SEWER INSTALLATION B. Greene
-� ISSUEG BY
OTHER
TOTAL g 2, 400.
APPLICANT DATE
SEVER PERMIT N ? 15916
ADDRESS OF STRUCTURE _ 11122 SW Summerfield Dr. Bldg. El
TAX NAP TAX LOT SYSTEM farno creek
LOT BLOCK OF
I d�u___ 5-24-70 �APPFiOVED BY DA 1 FISS�EOBl' DATE
D. U. IS 4 REMARKS sewer inppection paid 8-23-77 bldg , permit #1648
IONR E. REGN1flD1 Pl;l"Bi'(ri, I►ii;BUILDING DEPARTMENT, TIGARD
P. 0. RX 1119 PLUMBING PFMIT N0.
I•
�NEW°Ef,;;, CL1%1j'N J1132 , holder of a valid plumbing contractors licensr. is here'ay
authorized to cause plumbing work as herein noted io be installed in accordance with thf plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sue-contractors.
Owner---' Address_CZ_,2�-0' _---
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use
Only)
Single Family-1 beth—each 25.00 ^_
Duplex—Each 1 bath unit _ 25.00 _
_Additional bathrooms—each 10.00 _
Mobile Home Space—each 15.00 �y
INDIVIDUAL FIXTURE FEES
1 to 50 Fixtures in 1 building—each r _3.00
51 to 100 Fixtures in 1 building—each_ R 2.50
101 to 200 Fixtures in 1 building--each _ 2.00 _
201 or more fixtures in 1 building—each 1.50 _
MISCELLANEOUS _
Building Sower-1st 50 ft. _ 10.00 `
Sower—mch additionnl 100 ft. _ 10,00_
Water Service to building � 5.00
Private Wnter Systems—each 100 ft _ 10.00
Other (Specify,: _--t—_�w_r
PEF:MIT For Plumbing Inspection Phone 63.9.4191
Statr - Plumbing Contractor By �'�
TOTAL RECEIPT NO, Issued Ey
- a.,m.,i,-..a.+:,r•^.�..w"�µ^r'F"^KA+.ww+sa•M'+'^'^`^^'a'Ownl..�.ra.r..y�y.,.�lT'w..c•, '.R'M�wi'a'Y"a'_..'s^�I�JT"^,�"P. '"i+I�IPAT'P'1..swF�w'�.^'^"..a
BUILDING PERMIT APPLICATION COF TIGARD DATE I'. I9
639-3101
THE UNDEF'SIGNED HEREB`.' APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHOM"
OR AS SHONN AND APPROVED IN THE AXOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE---
LOT
HONC ___LOT NO.
OWNER , , , _ JOB ADDRES9+P-'*` :utlild-111J., HOME ADDRESS
I 1! I Z ARCHITECT
ENGINEER
BUILDER ADDRESS C JIGNER
STRUCTURE []NEW_ ❑REMODEL ❑ADDITION ❑_REPAIR - ❑RENEWAL ❑FIRE DAMAGE ❑DEMO .ITION
❑ A-SIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [-]STORAGE❑SLAB ❑FcNCE.
❑POND ❑MOVING ❑CONDITI'.NAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE Jl9 FIRE ZONE_) PLAN CHECK BY rut+W _ HEAT ___
(r ,-j.eauc of J.- 2) t , runst. ;]tor apt. w/fl baths :� Usd.-Oftsee Th-Lt; litsrmiL
iri e;1ibJecit tc DA •U. t s acceptance of aAng City Traot.mont plant fj'r the aodl t.ioriml
g0IJOL r.ar►necti-ma anti r:+)mpic•:tian ;Jt pt)bli.c improve,ule3nt prior to uccupsnCy
413
OCC LOAD FU)23_LOAD_ 4E1Qt S— N0.STORIES - _-APRS— 0,1E2BQQS)§___ VALUE---.__.—._
IL__ BUILDING DEPARTMENT SST BACKS FRONT REAR LEFT SIDE RIGHT SIDEi_
'PermitTHIS PERMIT IS ISSUI O SUEJECT TO rHE RFGULAT13NS CONTAINED IN TAF BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDIN'�NCES, AND IT IS HEREBY AGRFED THAT THF
WORK WILT BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 269.00 ALL APPLICAPI-E CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENA,IIS. CONTRACTOR AND 5116 C:)NTRACTORS TO HAVE CURRENT CITY BUSINESa
State Tax 10.76 LICENSE. SEPARATE PENbo!TS REOU'RED FOR SE WE 'LUMBING AND NEA TING.
Total )7",
By --- --
.__-.__—__ APPLICANT OR AGENT
Apptoved Rf�rvi1N Nn 4(
— .• DADA U ESf SS – - '�h D
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
-2-111 �� i, Contractor
1 -
Permit No. 11,33 lo-z
RouBh—in
i„1-277 _ Cp Fixture
6 Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWERS/
Finai
--v v DRIVEWAY
Final
Storm Drainage
(Rain Drain) F„ial
Sidewalk
Curb&Street Final
Approach
BLDG oEPT. FINAL TEMPORARY CERTIFICATE OCCUPA Y Final
CERTIFICATE OCCUPANCY /w _ )
Landscaping
Zoning Final
!-111-DING PERMIT APPLICATION CITY
YiCARI, DATE—_ _. �-_!—, 19 N9
` 1r LINC!E HSIGNE[; HEREBY APPLIES FOR APERMIT FOR TILE WORK HEREIN INDICATED BUILDERPHONEI�&: //W
vR AS SHOWN AND APPROVFD IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE
LOT NO__
c— JOH ADDRESS HOME ADDR :5$
ARCHITECT
�y /� ENGINEER
"k.R_ _ ( Q, ADDRESS T—� —_ DESIGNER _
.INURE lILI EW ❑REMODEL ❑ADDITION ❑HEPAIR ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
1� pFNCF ❑+.r,n1�n ❑EDUCNTIONAL ❑GOV'T ❑RF.LIr,10USOPATIO ❑CARPORT ❑GARAGE ❑STORAGFC]SLAB ❑FENCE
-119ND ❑MOVING _ ❑CONDITI_ONAL USE _. ! �3DLSIGN RF.VIEW DCOUNCIL APPROVED ❑SIGNS
LIPANCY L,4Nl,USE ZGNE — BLDG.TYPE FIRE ZONE PLAN CHECK SY ^-`" HEAT Z!2'"_-
vc2- 7-e,2 0. e 4' S i&,'
r AD F l OSP�S) _ D __._H- I_GNL._.____.___. _�I:t' —__AR€ 7•�_-N4._EEDR��MS— YRI�i <!rrL
N�IiL!IING UEFgRTMENT SET BACKS FRONT REAM LEFT SIDE RIGHT SIDE
omit L X)
THIS PERMIT S ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian Check C>(:) REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—' —" WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
5ut)lotal � v ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTAILIIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
` Tale Tax �— ju,. -76 LICFIIJ5E S:r'ARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
— ti.f . 7l-
APPS iCANT OP AGENT
�I Tr raved Receipt No.
J ego) 9
/ • � fw
o. le CV-�;-
EITY OF TIGARD
+/ ORDINAN,.E x'77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : ESTIMATED SALtS PRICE $
APDLICWi T NAME - 0 TELEPHONE � � � 3l
JOB ADDRESS BLDG. PERMIT # ._
AMOUNT OF FEE FOR S. D. C.^_J��� • Uv
DESCRIPTION OF IMPROVEMENTv2 &277
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit under $60, 000. --------- $300.00
B. Single fam?.ly dwelling unit over $60, 000.--------- $400. 00
C. Mobile Home Court Space (New Development)----------- $150__^____00
D. Multi-Family Dewllings--per unit------------------- Q240 _1
E. Commercial. , Industrial & Institutional. (Par.k. Space) $ _S . 00 each
F. Single family unit under $40, 000. ----------------- $250. 00
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