15433 SW SUMMERFIELD LANE E ---
15433 SW SUMMERFIELD LANE
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CITY OF TIGARD y ►�
:^M) OREGON
Owner:. T .DL . . .....Permit No..........145Q ..-.
} ].5433 SW Summerfield Lane l..ot #�
Building Address..15433 -............ ........ ........ .. ..... 213..................
' Certificate is hereby given this.... •4th-•day og•[Vovemk,.er , 19..7?... ilk
that said building may be occupied and
that it complies with all requirements of I#
the Building Code for the City of. Tigard, !'. i
► �
.;�. as approved by the 'Tigard City Council. �
,,►
$catling Inspector
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ADDRESS--- P F R M I T NO. -;7
PERMIT CHARGE n q n
0 J N U R CONIIECTI1314 FEE 15'
PAID BY
*
TYPE OF BUILDING DATE, UMillEC TED
SERVICE RATE INSPFCTION FEE
cnNTRACTOR PAID nY DATE
SIZE OF CONNECTION ASSESSOENT PAID
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IONr♦ E.REfNHhRDT pt,I, Ij,C BUILDING, Uf<L'Ali {C/IEN{, C IC;�1fiU NO.
P, Q.GQK 129 PLUMBING PERMIT
NEWSER'G, VEMN 91132 holder of a valid plumbing contractors license is hereby
-authorized to cilUSe plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Suco in.-tallations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to tine time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. `deo-/ 3�ov yy
��, .. Addresslf�,,� x-,44- Date_ 7
QYlner -- 10TAL PEHM6T NO
NUMBER OF AMOUNT (Office Usa Only)
TYPE OF PEHh11T ITEMS FEE ON EACH
R E S i2-LXT LA L —
Single Family-l_bath—each
25.00
.2 S7.&-o
Uuplex_Eoch 1 both unl, ,� 25.00 _
0.00 • A� --
Additional_bathrooms•-each
Mobiio i•1ome Spard--each — 16.00 —
!NDIVIDUAi. FIXTURL• _
FEE3
1 to Be Fixtures in 1 bullding—each 300 --
51 to 100 Fixtures in 1 building—each 2.50 —
1J1 to 200 Fixtures in 1 buildinq—each 2'00
201 or more Fixtures in 1 buiiding ^e.h 1'50 —
MISCELLANEOUS _
Building Sawer-1st 50 it. 10.00
10.00__
Saw —each additional 100 ft.
er _
• ;-. 5.00
Water Service to building _
Private Water Systems—each 190 ft, f0'�
ether S ecif 1 ---
—PERMIT 33-, 00 --
For Plumbing Inspection Phont.
state /.1/ PlumbinC Contractor By
TOTAL RECEIPT NO. Issued By
- �t.� Suf-- 41�;
y ^f T,oard M.eenaniea! Permit ��� ?ar�,st
Fee
"�Newrzta"anon a Replace C Relocation �—r--" Addition '__ A!Eeration
T TOTAL /c
CONTRACTf' l r--Z.Pr.�ZQ A-- TvrZ �: - ate OWNER�j i-Ar<— - -0J ��y • (iLY'_.
AC)'JREM �. 'Fx �S - S WORKADORESSI�43-=- fCLT ;5A
)
PHONE C-j75 A.n!'LICANT �t _ �'��i=�I.S��)a.f-- Z
Heat input Rating (BTU ,Ptr Hr? Vert Size S' '� Flus Size
FUEL OIL L1 GAS ELECT OTHER
ITEM NO. FEE !TEM NO. FEE
For issuance of Permit 3.00 Boilers Over 50 H? 25.00
New- Ender 100,000 BTU 4.00 Air Handling 10,000 CFM 3.0C
New- Over 100,000 RTU 5.00 Air Handlim Over 10,000 CFM i ! 5.00
Floor Fumac e 1 4.00 Evaporative Cooler 3.00
'Na!l - Floor- Suspended 4.00 Vent Fan 2.0;
install Vents 2.00 i. Vent System I 3.00
Repair Heat & Coolinq 4.00 Hood 3.0C
Boilers Under 3 HP 4.00 Domestic Incinerator
Boilers 3 to 15 HP 7.50 Comm. Incinerator 20.00
Boilers 15 to 30 HP 10.00 I Other Not Listed 3.00
3oilen 30 to 50 HP 15.00
INSPECTOR'S COWMEN-M.
CITY BUSINESS _tCE:vSE 3cCUIRED FOR-ALL CONTRACTORS OR SUB-CONTRACTORS
1
APPROVED BY DATE Cc ISSUED 13Y DA-7
RECEIPT NO. �
r,.
SEWER PERMIT
W 12162
uf w
Unified Sewerage Agency Tir ar. d DATE 5-11-77
of Washington County CITY OF —
OWNER : T_.D.C . PHONE : 639-3101 _
OWNER ' S ADDRESS: .
TYPE OF INSTALLATION:
[BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑XNEW D SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-- 1-70 ) ❑ MULT . RES . ❑ INDUSTRIAL
FIXTURE UNITS 'DWELLING
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY KITH A!L RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE_ AGENCY . WHEA CALLING P70R
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATiOl,
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES!
PERMIT FEE $ 25.,
CONNECTION CHARGE i_75-
7
SIDE SEWER 1 NSTALI.AT I ON
ISS FD BY
OTHER — ----
TOTAL $690_—_
LICANT DATE
SEIA'ER PERMIT N�► 12162
ADDRESS OF STRUCTURE— 543 S1 Sy�uf--LL'ld-1-s3i1B-- -
--TAX MAP TAX LOT _._ —�_.— SYSTEM Fenno Creek
LOT 328 B[_OC K OF -- - -
APPROVED BY� DANE ISISUED BY DATE
REMARKS Bldg: n1450
CITY OF T I GARD
ORDINANCE ;"77-26
STREET SYSTEM DEbL!OPMENT CHAPGE
DATE : 5-11-77_ _ ESTIMATED SALES PRICE 5__ 40100
APPLICANT NAME
T_ a�C� _TELEPHONE r 639-3101
JOB ADDRESS_ -- 15438-SW Summerfield Lane BLDG. PERMIT # 1450
AMOUNT OF FEE FOR S. D. C . $300.00
DESCRIPTION OF IMPROVEMENT _ --si ❑r' _1my —.
EXEMPTI)NS -PER ORDINANCE n77-26 _
FEE RATES:
A. Single family .welling unit under 560, 000. --------- $300. 00
B. Single family dwFlling uni . over 560, 000. --------- $400. 00
C . f'iobile Home f, urt Space (New Development)---------- 5150. 00
D. Multi-Family Oewllings--per unit------- --- ------ -- 5240.00
F. Commercial , Industrial & Institutional (Park. Space) $ 50. 00 each
F. Single family unit under 540, 000. ------------ ------ $250. 00
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ITY
BUILDING PERMIT APPLICATION roF T1 GARD DATE--..i��.___., Is 639 �31C3
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONF ..
OR AS SHOWN ANC APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
E� LOT NO—
OWNER _,109 ADGRE`SS p SL, -Siminurtji 6,�LHOME ADDRESS _—_—
• ARCHITECT
ENGINEER
pUILDER —, —ADDRESS � 1 _ DESIGNER i
STRUCTURE , QNEW L— REMODEL ❑ADDITION IJREPAIR ❑RENEWAL. ❑FIRE DAMAGE ❑DEMOLITION
ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'1 ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STOR.AGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL. USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY--!--LANE)USE ZONE_'{-"7 BLDG.TYPE �4 FIRE ZONE--3 PLAN CHECK BY Ow atu HEAT_
i :Tamo dwelling w/attached gnre a bsdrou.� 2 bath
Q-C C LOAD_ �_LQQt3 ldl?R[L__.�-----1i i " LT_ _LrQ w f _ rL__ AREA.AQ-N-Q2 0E 90QMR 2 VAL I _ 326681 F
BUILDING DEPARTMENT SET BACKS FRONT REAR _ LEFT SIDE RIGHT SIDE
13().00Permit 13(z�U �
-- THIS PERMIT IS ISSUED SUB.IF.CT TO THE REGULATIONS CONTAINED IN TL.e BUILDING CODE, ZONING
Plan Check in.00 Rl:UULATIONS AND ALL Pr?LICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— -- WORK WILL BE DONE IN L.COADANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
SUb-total ALL APPLICABLE COC,.S AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4,36 LIC9NSE SEPATEP RMITS REOUIRED FOR SE pL M�ILNG AND HEATING.
,yutwrrt d'uVo�.apment t,.h�tryl� �tJ•�i�
Total 150*30
By APPLIC NT OR AGENT
Approved U t ) Receipt Nn }
AbON .o
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor-----
-lPermit No.
6 Iz 1i7 D Rough-in.
Fixture
Final
HEATING
0/-1f'�,/ v
I/C--,z Contractor
22-11 j5--
Permit No.
Gas or Oil
Rough-in
Final
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb_&Street Final
Apbroach—__ 3--7 '7
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY I
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
4'G i'EPiMIT APPLICATION TiGARD c � 10 , ,�`_0- N0
THE ttNDL•RS;GNED HCl1COY APPLIES FOR APE RMt7 FDfI THE WORft F;CRi:(N IhDIC/:TCD ,
OIC A5 SHOWN AND APPMOVED IN THE ACCOMPANYING PANS AND SPECIFICATIONS. OWNEn rHc ,E 39
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I[1 11l nr[l ^1�t'� ArrIIITFCT DFSIGNFn ��--•��
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TnCTUFIC P•1 '.F
!-W 0 nEOOEL ❑AUDITION "nF-_PAin " LJ
nENCWAL "FIRE DAMAGE OEPdOLITION
Ifr! __Dr-r:CC ❑CO!l1_•.i ❑EDUCATIONAL ❑GOV_i "nCLIGIOUS I�PATIO ❑CAn ronT. [:]GARAGE ❑STOnAGE OSLAO ❑FENCE
❑f1010 0MOVING ❑CONDITIO_NAL_USE "DESIGN rmyicw CICOUNCILAPPnOVcO "SIGNS
CC�UPn'•;^Y��_1.n�.D USS 7ONEAT-0LDG.TYPE FInE 20Nr.-3- PLAN CHECK 13Y-&/ HCAT-C-
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C. LC)n17 FLOE R_L_On_D HctGl-FT NO.STORIES AREA'-4qo�i+ VALUF,!]a
13U'.LC]:rJ�; (li_1'Af1TLt1"�:C O
tv MNT 1 GAFF SET PACKS _ LEFT S10C RIGI IT SIDE
fP rmr[ -- ----- =- -_------ ----- --=-_
� T14IS Pz:n111T IS ISSUED SUBJECT TO THE"nEGULATIONS CONTAINED IN THE DUILDI.NG CODE, ZONING
chuck i � REGULATIONS AND ALL APPLICABLE CODES AND CRDINANCES, AND IT 1S HEREBY AGnEc-D THAT THE
~ ,van1C 1L1LL BC DONE IN ACCORDANCE 1i l FI THC PLAnIS AND SPECIFICATIONS AND IN COMPLIANCE WITH
r ficccr:::ng ALL APPLICABLE CODES AND OIFGINANCES. THE ISSUANCL- OF THIS PEIlh11T DOCS NOT WAIVE
RESTRICTIVE COVENANTS. CONTHACT011 AND ;UII CONTRACTORS TO HAVE CUIl11CNT CITY CUSIN"::
' =I I '_ CCN'r-. SCI ANATc I'CHINITS REOUIREO FOH sii':v n, PLUMBING AND HEATING.
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APPL;CANT Ori A 'E I-
i.nprov�rJ Receipt No. -b .C .
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