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15461 SW SUMMERFIELD LANE 15461 SW SUMMERFIELD LANE V v m c. rB G E �n .p n ,� n .� n rte• n r r; ..;. �. r OF � CITY OF TIGARD OREGON 1 Owner.. . T.D.C . ................ ............. ..............Permit No.... 123Q . ... ..................... .... 15461 SW Summerfield Lane. . ..Lot. . 330............. . Building Address....................... ......... ....... . ._...... .... .. .. if Certificate is hereby given this......6th day of.Juno. ' ..'......... .. ;a that Said building may be occupies' and < that it complies with all requirements o` ' the Building Code for the City of Tigard, , as approved by the Tigard City Council. ��. e .. .......... + Building 1rcpecto- �' . . r.%a , �•1w0�N Y!• wwww wwww w � an City of Tigard INSPECTION REQUEST for 1D�I Cf uultq u S t Ph iIU<- INSPECTION TIME . ' PERMIT NO. : I DATE: ! DATE ISSUED:�.L.L... OWNERS NAME . - C IADDRESS : .7.- mt*zrte L I CONTRACTOR : ` ftQZAA 1 TEST: Air Cl, Water ❑ , Visual,, , Laboratory ❑ RESULT. Approved , Disappro-ed ❑ , Pending I S K E TCIi: I Z I I I � � " ;� I INSPECTOR DATE ILNOTE Attach supplementol fast data hereto] City of Tigard INSPECTION REQUEST for INOSPECTION TIME: PERMIT NO. :_` DATE: 3 /%j-/ 7-7 DATE ISSUED OWNERS NAME : ----,OC ADDRESS: CONTRACTOR TEST : Air D, Water[] , Visual ❑ , Lob.)rotory o RESULT' Approved Q , Disapproved T Pending n SKETCH, INSPECTOR DATE [NOTE: Attach supplemental test data bereta� W wl wx W 3rl wl F W !� I City Of Tigard INSPECTION REOUES T frr INSPECTION TIME . _ PERMIT LSAT E: _°-LzILZ? DATE ISSUED .__ / OWNERS NAME ' ADDRESS' 777- 33 d CONTRACTOR : — --_--_ -- _ rE ST : Air 0, Water C7 , Viqual [1 , Laboratory ❑ �QESULT: Aporoved [7 Disapproved r Pending ❑ SKETCH: �la�►'1 v i I �ISPECTOR DATE I CNO?E Attach supplementol test data bereta� 1 R I JOHN E. REIIINARDT PI;!NDi1t5, ItiC BUILDING DEPARTMENT, TIGARD NO. � P. O. BOX 129 PLUMBING PERMIT NEWSER1, C.[N 91132 — holder of a valid plumbing contractors license is hereby 0.authorized to cause plumbing work as herein noted to be installed in accordance with the 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. Gity of Tigard Businp- License required t for all contractors and sub-contractors. t •��� c �n4 �.(CLlL �.� - — Addressl�J Owne? — - NUMOER OF OTAL PERMIT NO.'!-, 1 TYPE OF PER 1T ITEMS FEE ON EACH AMOUNT (Oflico use Only) -T Single Family-1 bath-each 25.00 _ Du lex-F"ech 1 bath unit _ 25.00 _ Additional bathrooms-each 10.00 :!TE ��� _Mobile Home Space--each --_—.. — 16'00 — _ — INDIVIUUAL FIXTURE FEES ---- _ 1 to 50 Fixtures in 1 building-each _3.00 ____ 51 to 100 Fixtures in 1 building-eoch 2.50 ---- �.'- 101 to 200 Fixtures in 1 building-es ch 2.00 ---- 201 or more Fixtures in 1 building-eech �_ 1.50 -- MISCELLANEOUS _©uilding Sewer-1st 50 ft. 10.00 Sewer-each additional additional 100 ft. 10.00 _Water Service to buildin _ 5.00 _ — Private Water Systems-each 100 ft. 10"(K) -- -- Other ispecif : PERMIT i ). ��� For Plumbing Inspection Phone 6394191 / State Plumbing Contractor By �•�� Jt IA-V— Issued By TOTAL D`� RECEIPT NO. ' J UNIFIED SEWERAGE AG ..NCY N0. 11041 WASHING3TON COUNTY DA-l [ ._ 1-6-77--- ---- CITY OF -- LgBrd APPI ICATION FOR SEWrR CONNECTION PERMIT OWN ER: ._____-- -- OWNER'S ADDRESS: . ----- - ----------- -- --- - ..._ STREET ---------- - _ CITY STATE ZIP BUILDING SITE: LOT-.__.330_-__- BLOCK ..._____—___. _ ADDITION TAX LOT N0. _._____ _ TYPE OF OCCUPANCY rapid nce ADDRESS _ 1-5461 SW Sua,rrerfiel d Dr. DWELLING UNITS___ 1 _ - . __.___._.____ FIXTURE URE UNITS SURCHARGE IF APPLICABLE PERMIT FEE - - -.575,___ _- INSPECTION FEE 25.__ TOTAL DEPOSITED LN.I_Wl (EXISTING) BUILDING SEWER SYSTEM _.____.._._Fannia _CT-eaLk___�__._____ The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT.--"1 1`' .�, ���.� � .�., T ,. - - - , _ SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SQE _ ._._- ___ . __-_ INSTALLER RECEIVED BY_. (AGLNCY OR ITS AGLNT) COMMENTS: 91r3c. -L1230 I his Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur. 1 BUILDING PERMIT APPLICATION COF TIGARD DATE_ _, 19.�__Y._ a THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BU _DERPHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. CWNERPHONE-- -.- LOT NO.�__ _ OWNER _!013ADDRESS.1,4461 -' w juaimtji k4. 1/414 ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER ��STTRUCTURE 404& ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION •L fIER SIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STOAGEDSLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DEIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY T __LAND USE ZONE_—BLDG.TYPE-_— _FIRE ZONE _ PLAN CHECK BY.—I- '" HEATS_ l.Ut ;;33CJ MK XV fie--issee, Bam(i as 558i S' uumarfiuld Lti• Frame dwlelling w/ettachwd geregui 2 01,�am` 2 both — — OCC.-LQADFLOOR LOAD HEIGHT NO.$LORIES 1 .-_ARE 490 NQ�FQ(3QQM 2 VALUE 32A8p0 BUILDING DEPARTMENT _SET BACKS FRONT 13 REAR �L" LEFT SIDE "06" RIGHT SIDE 50 611 Permit 1Jb•C1(1 --- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA71ONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 150•SF; By --- -- APP CANTOR AGENT Approved ( 1 Receipt No,: r NLl -- UATE INSP. TYPE INSPECTION REMARKS PI..UMBING r DATE Contractor Permit flo. - ��_� - Rough-in Fixture _ Final HEATING Contractor Permit No. 7J J6 Ic-< _�_ Cas or Oil �^_`� Rough-in— �� � 7 Final — SFWER 7 7 Final ^— _- DRIVEWAY G" 3-/,'-7) Final— Storm Drainaye _ _" (Rain Drain) Final _ Sidewalk Curb&Street Final Approach ----- L G .3_i BLDG DEPT.FINAL TEMPORARY CEFAIIFICATE OCCUPANCY Final '— CERTIFICATE OCCUPANCY _�--- Landscaping I f Zoning Final CITY Or EVIL -!G PERMIT APPLICATION TIGArta 2�' B�It2 . 19 2-4 N° �r � THE UNDERSIGNED HEREBY APPLIES FOR APE 9NI IT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER 0t401En7,-":s16 ADDR[SS /S4-Ee/ - RUILC'ER PHONE ENGINEER BU1_LDER Ss..+G ARCHiTECT DESIGNER STRUCTURE 12NEW 13FIEMODEL C1 ADDITION ❑-�REPAIR��tt ❑RENEWAL [:]FIRE DAMAGE ❑DEMT OLIION RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUSCPATIO OCAII PORT ❑GAHAGE []STORAGE[]SLAB ❑FENCE 011OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LCOUNCIL APP11OVED ❑SIGNS _ OCCUPANC:Y_.,%_LAND U.E 7.ONE_ BLDG.TYPE__::Sr,_FIRE Z.ONE--Z_ PLAN CHECK 13 s.AC �ili ..• �-%/ 07YL `+fid -z3g�jga, :Gt - lSSVG ._...rt �; /� S p� S � f[�Ns.►•s rI f+['�d ��..c W77' OCC.. LOAD_ FLOOR 1-040 HEIGHT NO STORIES AREA VALUE 'J"L (p� HUIEING DLPARTMENT SET BACKS FRONT I,3 PEAR /(o� LEFT SIDP_ Cj �` RIGHT SIDE _j " rmit i �O THIS PERMIT IS ISSUED SUBJECT TO THE*REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING �p 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 FeCording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS /..-State I LICENSE. SEPARATE PERMITS REQUIRED FOR SEINER, PLUMBING AND HEATING. Total) 3 Ry I, �L-r1zG• '-" APPLICANT OR AC,'-NT Approved Receipt No. ADO4i_5 PHONE Sr-wc� i:.fP• SccJ ti l+so�• cr 750. 3F,� f i ►}3u kyr �9 Address /, (o/ � _ G�.��,�'.� Permit No. //4 w Permit charoe -2 Owner c �➢ • Connection fee Paid by Type of building lLDate connected Service rate 4� Inspection fee e7S G' Contractor Paid by Date Size of connection Assessment paid