11945 SW SUMMER CREST DRIVE 11.945 SW SUMMER CREST DRIVE
1
a�
7
L'
D
N
(ll
N
(1
G+
Q1
E
E
7
Ln
3
in
Ln
�.f
rn
�a
INSPEC TION NOTICI:
Uty of -Tigard Building Departrne it
12,120 S.W. Main St.
' /-1ka Titimo, Oregon 97223
Pho-ie: 639.4171
Type of Inspection _—_---
Date Reques+:;d Lz Time A.M. P.M.
Q r .. ►��1
Address _ / �_ ....aLt.!'J[s l _ Permit # ¢ -`'
�r
Owner
Builder - - - - -- ---- - �.The followirg Building Code deficiencies are required to bP corrected:
Presented to k-Approved
Inspector ('yL �/ .U.� L] Disapproved
Data
CALL FOR REINSPECTION
❑ YES ❑ NO
City of Tiga;d Mechanical Permit C) 3 b 5 5
Now Ib itallation ❑ Replica ❑ Relocation❑ Addition ❑ Alteration DATE.
w
HEADNG
CONT WTOR -- -- — OWNER
ADD —_-- JOB ADDrESS
PHO - / APPLICANT
Heat I#*A Rath a(BTU per Hour) Vent Size Flue Size______
FUEL 61.❑ GAS u ELECT OTHER
ITEM -� NO. FEE ITEM NO. FEE_
For IS YNVA of Permit � SEE BELOW Each All Handling Unit or Duct System 7.50
New-up to& incl. 100 000 BTU 6.0G Commercial Hood System _ 7.50
New 100.0r l BUT's & over 7.50 Other Equipment - Each -- 4.50
Woodlxwmtng Stove< 4.50 1 Trip Inspection 4.50
Wall-Flow- Suspended 6.00 Air Condition Compressor - up to& incl.3 N.P. 6.00
Vent Svttem w/Fan _ 4.50 11 Air Condition Compressor-3.1 to d. H.P. incl. 11.00_
Repair-Heat Cooling 8.00
fi CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PcRM17ISSUANCE 10 00 Comment: — a _
-----
SUB A y S
STATE IssuPd By—k1_10_
�S9iTl�N CHECK _ 71
DOTAL45 0� REC. # 9 atu eof Applicant
_
d
1
j�
BUILDING PERMIT APPLICATION GOF
IT TIGARD DATE 19__
THE UNDERSIGNED HEREBY APPLIES =0R APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHOI4 _____.__..-.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS t wNERPHO.vE
LOT
J ' t!@►�I
OWNER " �`�Xip « JOB ADDRESS NOME ADDRESS
'
ARCHITECT
ENGINEER
BUILDER ADDRESS — _!— DI=SIGNER �_,���.------
STRUCTURE ❑NEW ❑RFM_ODEL ❑ADDITION _ _ ❑RE_PA'R ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
❑ bESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSDPATIO ❑rARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF
_ ❑BOND ❑MOVING ❑CONDITIONAL USE _ ❑DESIGN REVIEW _UCOUNCIL APPROVED ❑SIGNS
OCCUPANCY " —LAND USE ZONE '—_-__-BLDG.TYPE -- ZONE PLAN CHECK BY ��X3411 HEAT— —
r9d ;1J x 31, f ami.Ii..v �(ugm + L50druum uut h Ubth
1 Oath
l'-1umb1rtt4 permit Required
OCC.LOA[ __FJ"( QR LOAD HELI.— 2 0—.—d.Q 5:LQI IES 1--__AQ8
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit t1•�1 — — _
MIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check 1 Of«00 REGULATIONS AND ALL APPLICABLC CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT 7HF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICAIiONS AND IN COMPLIANCE WITH
Sub-total Oi. ALL APPLICABLE CODES AND OPDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REnU1REU FOR SFWER, PLUMBING AND HEATING.
Total ?Q.1`18
By ._
_ APPI iCANt pR ACif Nt
Approved � ' -4111 R!celpt No.
DATE INSP. PE INSPECTION REMARKS PLUMBING - T-DATE _
Contractor
Permit
Rough-in —
Fixture
— - Final
--- -- - HEATING
-- Contractor
-^-- Permit No.
Gas or Oil
Rough-in
Y—Y----_ Final
SEWER--- -
-- Final
- DRIVEWAY
Finol
Stonh Drainage
(Rain Drain!Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL — TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY Landscaping
Zoning Final
► 1
I Q`
-x0f
N (' 0 = Q.
j 14 ` 'v. 12-4 �i co c� n I
e
APPROVED FOR CONSTRUCTION
I CITY OF TIGARD E
: ±
31TE ADDRESS -sill-
�ITLE DAIE
c-.
�i
ol
CP
Qi
P El
1 C�AL CZNj)L N,oLS i I
f
r0� f �' G�:a'Jti� TD Su8Fl.0oQ -
NE ��► �
-
J II
Ex�Sr�K+;, rc�vND ATt0�7
t� i#
� 1
i
,
i
I
I
dr-
�tl
1
r
1JILDING PERMIT APPLICATION C�Y TlG,A.RD DATE*=. .--__. 1g. NP 7-0bc4
OF UNDE RSIr,NED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONK --_e-
S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNER PHONE _
N t�e� /, )) edoll /,� _ /-['[�_, LOT NO.
�L'/ &q:/ JOB ADDRESS /// .�J�13 VAA 4� 0415MEELAE)DSRESSC -
ARCHITEC-
/ ENGINEER
____ADDRESS _ _ DESIGNER_ _
,,RE —r .INFW EMODEL� OADDITION OHLPAIRa LORENEWAL OF IRE DAMAGE ❑DEMOLITION
;!INCE LJ•-rneM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO CCARPORT OGARAGE OSTORAGEOSL.AB OFENCE
ND ❑_MOVING _ OCONDITIONAL USE ❑DLSIGN_REVIEW OCOUNCIL APPROVED []SIGNS
L.ANC USE ZONE BLDG.TYPES"V"._FIRE ZONE - PLAN CHECK BY- A HEAT=�
P.oA
AL> - FLQ-Qj-LQpC)- ----ttf!G�LtT�—�_NQ_�ZQB.IES_��.._.. AREAJr� fyO�BE)ROOMS VALUEI
B0ILL)ING UEPARTMEENT— SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check V REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEF'EBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
!�;uh 101a1 (Y1 dZ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
'--"' RESTRICTIVr COVFNANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
`,t Fite Tax Lf �_t� LICENSE SEPARATE PF RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
T(•,181 1 / l 0?
LiV r 7 ----------
APPL iCANT CtR AGENT
"Ki Receipt No.
1
PERMIT TO CONNECT
Tigard Sanitary District
1"ER1v iT N9 1 (180 DATE -- —
PERMIT IS GIVFA TO
OF
TO CONNECT A
TO TILE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID $.._ ........... ................TIGARD SANITARY DISTRICT
3C / B3' -- - -- -_
CONNECTION INSPECTED AND APPROVED
Date Superintendent
I
Address 'l.`i - Permi.t No. bu��
Permit charge „1
Owner Connection fee a
— _ Paid by Ck t� j .AV
Type of Building Date connected ,3-
Service Rate Inspection fee
Contractor ,��,� i �� ,� � . Paid by ( u^`�TDate
Size of connection Assessment Paid