11985 SW SUMMER CREST DRIVE .( 1
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M 11985 S'a SUMMER CREST DRIVE
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BUILDING PERMIT APPLICAT!r 1 1OF
1T TIGoARD DATE 1P44
THE UNDERSIGNED HEREBY APPL4ES FOP APFRMIT FO11 THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED !N THE ACCOMPAN'yiNG PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
UywNER f�arY A, Landis JOdAODRFSS �.�`.��7J SW �LjmmurCTeyllIOMEADDRESS
ARCHITECT
ENGINEER
BUILDER (itJtM0 _ ADDRESS _ DESIGNER
STRUCTURE LJNEW ❑ LJ
REMODEL _ ADDITION 09_E_PA,R _❑NENEW_AL [:]FIRE DAMAGE ❑DEMOLITION
' E RESIDENCE ❑COMM COEDUCATIONAL 11GOV1 ❑RELIGIOUS[:]PATIO [:]CAR PonT ❑GARAGE ❑STORAGE❑SLAB ❑r ENCF
UPUND ❑LOVING OCONDITIONAL.USE ❑DESIGN DEVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—LAND USE ZONE_. BLDG.TYPE___—__—FIRE ZONE_____ PLAN CHECK By_.__.._____—_ HEAT_
to t:unstru(A. 10x2r.: pot-; u cUver to 1 ,
011.
OCQ: LQAQ_—. -AREA
BUILDING DEPARTMENT 3ET BACKS FRONT _ _ REAR LEFT SIDE RIGH!SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILnNG CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCFS, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABI E CODES AND ORDINANCES. T' � ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RF`'TRICTIVE COVENANTS. CONTRACTOR AND SUB CONIFACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
Total 2n i
By
f AP J�ICANT R AGENT W
Approved Receipt No. i
A.URE55 E:
REMARKS PLUMBING DATE
DATE INSP. TYPE INSPECT.JN
Contractor______---- _
Permit No. —
Rough-in _ -
- Fixture __—
Final _
HEATING
Contractor
Permit No. -_--_--
Gas or Oil _
— -- -- --- — Rough in -- -- —
Final _
- -- -------- — .�� SEWER
• — -----.—..--- --- ----- Final__ — — --
- "---- --- DRIVEWAY
Final —_ —.—.. _—
_ Storm Draina__ge __ -
(Rain Drain) Final
--�-- —�--_ — Sidewalk
Curb&Street Find
--------_-- ----------- q roach
BLDG DEPT. FINA$ TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFF• ATE OCCUPANCY
Landscaping
Toning Final
CITY Y�G�'�RD DATE "-J-a -- ----• 19_ NO
1A-DING PERMIT APPLICATION OF _ __-
: t4EREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNS PHONE'R ___
OWNER F'HONF
a5 F�;1�4N ANC` APPROVCD IN THE ACCOMPANYING PLANS AND SPFCIF ICAI IONS• LOT NO----
ANO
o -- -
p e T)y- HOM_E ADDRESS He t G
ARCHITECT
ENGINEER
c^ DESIGNER
ADDRESS _ "- - -. ----------
GE
f.W_._ -.[IREMODEL_r ❑ADDITION — A O-- HEPAIR_ - RENEWAL A ❑FIDSORAGEOSL�ABE ❑FIE OE
• ,'I Nf,E �' r;1.4M EOUCA'IONAL �GOV'T ❑RFllf_IOl15lJPATlO ❑CAR PORT C�GAR G _--_�
-A_'IO __—�~� �� []COUNCIL APPROVED []SIGNS
❑DLSIrN REVIEW —
1" ,Nn ❑M!1VIN G DCONDITIONAI U_SE —�—�_
^— PAN CHECK BY_ HEAT
L
N.•�• I ANp_USE �B�DCd=-TYPE .-_� _.FIRE 70NE�—
.qp Fli9R_l.Q?P-- -- _H�lSaHT_------ ----..tVS �.
REAR LEFT 51DE RIGHT SIDE
HUlI-LANG LAPARTMENT SE 1 HACKS _--------- _—
rnt !'�6 THIS PERMIT IS ISSUED S'1BJECT t0 THE REGULATIOFJS CONTAINED IN THE BUILDING CODE TONTHE
ING
Nck O REGULATIONS AND ALL ACCQRDANCE NITTH THE PLANS ANDS SPECIFICATIONS AND IN COMPLIIANCECABLE (:ODES AND ORI)INANCES. AND IT IS HEREBY AGREED TWITH
WORK WILL BE DONE IN
li t„td
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RCEN5ETSEPARATENPEgMITS RF.OU RED FOR SEWER, PNTRIACTOR AND SUB NUMBICNG AND HEATINTORS TO HAVE G. CITY BUSINESS
All,W
_- -
4117
AVpL,CA1 I OR AGENT
i
Receipt No - --- --
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Address Q s 5 S(,�J• ,�. �n,., ,>,.t �. � � Permit No.
Permit charged�O
Owner. Connection
Paid by I jj—u c.A I
Type of Building Date connected
Service Rate _ Inspection fe
Contractor _ _! laid by (A �� Date -
V -26-;r
Size of connection ,; As-essment_ Paid
_ �I
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 1099 DATE -_ ----
1,1101IT IS G4VEN TO
OF - -
TO CONNECT A '�-
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE 11ESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED.
PERMIT FEE PAID E .........TIGARD SANITARY DISTRICT
By
CONNECTION INSPECTFD AND APPROVED