11160 SW SUMMERFIELD DRIVE 11160 SW SUMMERFIELD DRIVE
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CITY OF HOARD -� r ' ■
OREGON
i SSI - Owner: Tualatin _Qevelupment Co. _ Pei ni't No. -_ 1651 —
15300 SW 116th
Address: --
Building Address: 11160 S!' SummerFi2 d Drive __ _
( 't M. Occupancy: H Land Use Zone:-B-7 Bldg.Type_51',L—Fire Zene: 3
( Comments: .1.yr
of
�
g Certificate is hereby given this 1st day of June , 19 -18 ;
l
Oli:: that said building may be occupied and that it = =
r Y
zY complies with all requirements of the Build-
ing Code for the City of Tigard, as approved
.' by the Tigard City Council.
B ilding Inspector
(=
Building Official
Post Certificate in Cons p'icuous Place
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addrass Permit
Permit charge c.3 ,•.2
Owner /; C. Connection fee
Paid by
Typ3 of building , Date connected
Sarvic9 rate �_3 S`�� _ Inspection fee �`-
Contractor Paid by Date
Size of connection Pssessment paid
A1GN�W_ffw_xjq_��
SEWER PERMIT N9 5920'
V
Y Unified Sewerage Agency5-24-78
of Washington County CITY OF. Tiyard DATE
OWNER: I•[)• E • PHONE :y
OWNER ' S ADDRESS: —
TYPE OF INSTALLATION:
x0 BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x7 >{NEW XFTSINGLE FAMILY ❑ COMMERCIAL
❑ FXIST. PRIOR TO 7-1--70 ) ❑ MULT. RES. ❑ i )USTRIAL
FIXTURE UNITS DWELLING UNITS 9
ADDRESS OF STRUCTURE : 111 .0 ;I,I S,uiTimerf.ield Dr. Bldg 81
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF TIFF 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 $_ rune
CONNECTION CHARGE 5,400.
SIDE SEWER INSTALLATION B• Greene
ISSUED BY
OTHER
TOTAL
APPLE ,ANT DATE
SEWER PERMIT N? 15'1)20
ADDRESS OF STRUCTURE 11160 SW 5ummerfiNld Or. Bldg. B1
TAX MAP TAX LOT _ _ SYSTEM Fenno creek
LOT _ BLOCK OF __ J//_�✓
Walden 5-24-78- ri '` ''��`-.�2�,'c_ _— L
APPROVED BY DATE ISSUED 'EKY DATE
D. U . ' S 9 REMARKS sewer inspection paid B-23-77 bldg. permit#1651
i
JgME. REI'r.Nfl�Ll1 P,u"B111l ,I)iCBUILUING DEPARTM .t�IT, TIGABD NO.
P 0. M 1:19 PLU"0BING PERMIT i
VIED' 91131 _ holder of a valid plumbing cortractorF license is hereby
authoi ized to cause plumbing work as herein noted to be installed in accordance v, h the plumbinri code of
Tigard. `'uch installations require insper•.1ion by the City Inspector who stall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License reauired
for all contractors and sub-contractors. �(�{1c, I-q- /
_ .. � d & .D-a-teOwnerL.y �l it n Address- ' L
NUMBER OF TOTAL PERMIT NO.'£
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use On y)
RgSI'PENTIAL _ $ -
Sinnie Fomlly-1 both-each _ _ /(� 25.00
Duplex-Exch 1 bath ani: _ _ 25.00
Additional bathrooms-each _ _ 10.00
_Mobile Home Space-each 15.00
INDIVIDUAL FIXTURE FEES_____ _
Ito 50 Fixtures in 1 building-each _ 3.00
61 to 100 Fixtures in 1 building-each _ 2.50
101 to 200 Fixtures in 1 building-each 2.00 _
201 or more Fixtures in 1 building-eo_c't 1.50 _
MISCELLANEOUS
Duildin Sower-1st 50 ft. 10.00 _
Sewer-each additional 100 ft. - 10.00
Water Service to building___ 5500 `. •'.� __"
Private Water Systems-each 100 ft. _ 10.00
Other (Specify):
PERMIT For Plumbing huoection Phone 639.4191
0% State- -�- Plumbing Contractor By
TOTAL r' RECEIPT NO. Issued By
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BUILDING PERMIT APPLICATION 10 Y T1GARD DATE__. 1-'_":3-•71 , te___._
THF UNDERSIGNED -iEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONE_ _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
LOT NO.---
OWNER JOB ADDRESS �' I 1 1/� HOME ADDRESS �-
ARCHITECT
ENGINEER
L31111_.DER '�;1f1� AUDREFS �- - DESIGNER
STRUCTURE ❑NEW ❑REMODEL UADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE (:]DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GANA iE C1 STORAGE❑SL.AB ❑FENCE
_❑BOND ❑MOV ING [)CONDITIONAL USE ❑DESIGN REVIEW DCGUNCIL APPROVED ❑S SNS
QCCUPANCY FI LAND USE ZONE (�M 1 SLOG.TYPE FIRE ZONE._—. PLAN CHECK BY rats'.' HEAT
to conet. 2 story ant. ufl(I bedrooms 10 beths7 Th. a permit iv aLlU oct t.o 0,1 . . '
aJcceptaiice of thr.. King r.ity treetment. plont fear tho iAditiunel ss.wer con,'iucti r�
-�fld COMIIJ.E.tiorl OI' plUblic impruvemL nta prion :,;v occupancy ,
OC-G�_ F14QHJ.4AQHEIGHT , __ 20 1Y2$IQlil $—�_ABEA `i NO.BE.QFiQ� _�'I ALUE167 q Jta �a
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit I -'Uq.r'0
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check L94.50 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
Sub total �! 3.Ai ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS "O HAVE CURRENT CITY BUSINESS
State Tax S. :;lt LICENSE.. LEPA. R�A_ Ltk 1P!.ERM:1I1Tg'uRF, UIREDI�.,F:OI�R,S. EW
y4, T4UM8'M,� AND HEATING.
Total s ,
By — ----
P.PPI ICANT OP ACFNT
Approved f Receipt No. f
�s DA b E5 5_�-_ —.. ---�0 —•
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VATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
(0-/c)11 j-,) _-_ '— _ Contractor ----
Permit No. !
10-31.71 t7 ;4Y Rough-in
Fixture ---
�I Final - -- - - -
HEATING
Contractor -
- 6 % c �Wc7 �! «��iG. r�� —/UUP G,C�Q.��r> r•� Permit No. ——
Gl�/I r! LIF LCx' i, l9r w.1 SC�s _ Gas or Oil _
Rough-in
Final
SEWER
_—..._-- - ------- Final
----
DRIVEWAY
Final
Storm C aina e —
(Rain Drain) Final
- — — -- ----� --- Sidewalk -
-- — — Curb&Street Final �—
—_
Approach
BLDG DEPT.FINAL TEMPORARY CERTIFICAT�OCCUP�#ICY
CERTIFICATE OCCUPANCY / - C'- �j / PS Final
(� 1� Landscaping ,r-
`/- �• Zoning Final
DUILDiNG PLWAIT APPLICATION `" TEG'...RCS DATE_ —. ��- - NA
IF UND! u �GNEO HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
i,F AS SW'.A'VN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHONE
LOT Nb _
k e JOB ADDRESS _____HOME ADDRESS
ARCHITECT
ENGINEER
ADDRESS �_��------ -�_ _T DESIGNER
,RE _4�%EW _0REMODEL� CADDITION _❑3HLPAIR —_-CRFNEWAL [:]FIRE DAMAGE ❑DEMOLITION
�( INCE El"OMM CEDUCATIONAL CGOV'T 0RFLIr,IOL1S0PATIO ❑CARPORT ❑GARAGE CSTORAGECSLAB ❑FENCE
_]HlIND ❑MOVING [-]CONDITIONAL USE ❑DLSIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
LT,4NCY j*__ LAND USE ZONED_. -___-BLDG TYPE -N.-FIRE ZONF_3_ PIAN CHECK BY� HEAT �Cs!L
70 'Cun/s?.-- 2 S 7e e v e PT _ :l:II:i"u 96V /c:.ejw,"I i c _3 g7-*s "s
gele
ef I R/G`� _� 1JId
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J. ;QAD - __ F L QQ8_I.QAJ?_._`, La.__. HE1 T _._-._!vs� ��,,ta)ES__ .._ ARS '(' + �liL @El�p_Qi2MS___�fJ91.4lE�� �d'3
-SUILDINFDEP.ARTMENT SET_BtCKS FRONT_ _ _REA_R _ LEFT SIDE RIGHT SIDE _
mit l7fDa THIS PERMIT IS ISSUED SUBJECT TO THE RFGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check !?EGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WrIRK WILL BE DONE IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`.uh tf,tal •� SO ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
vaRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!-tale Tax �� 3 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
T nta� AV
f� �6 i0"LLL ...
by
- - - — APPI iCAN1 a AGENT��— -------- -- -- -- ----------..
Ahlrnved - - - ecelpt No
ADlikC55� __._ -�HONE_Al 0 n-
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CITY OF TICARD
ORDT�JANCE #77-26
STREET SY3-_11 DEVELOPMENT CHARGE
DATE : E`_;TIMATED SALES PRICE: $
APPLICANT NAMF T • O C TELEPHONE #'
JOB ADDRESS / BLDG. PERMIT
AMOUNT OF FEE FOR S. D. C.
DESCRIPTION OF IMPR0VEMENT Orr u LDC,/_
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family dwelling unit udder $60, 000.--------- $300. 00
B. Single family dwelling unit over S6G, OOO- ---------- $400. 00
C. Mobile Home Court Space (New Development)---------- 5150. 00
D. Multi-Family Dewllings--per unit--------------------- $240.00
E . Commercial , Industrial & Insti.tutional(Park. Space) 6 50. 00 each
F. Single family unit under $40, 000. ----------------- Si250. 00