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15581 SW SUMMERFIELD LANE 5581 SW SU MERFIELD LANE N r ro U N t� N N i E E cn U, 1-4 m U') LO ■ w w Address Permit No. _ Permit charge 7- Owner rte_ C�,�. _,L �:'. Connection fee Paid by �„J<.�.,._.4e"1,4 ! , Type of building –��-0 — Date connected Service rate InsPection fFi. Paiu by -- Da:;e Size of connection _ �r Assessment paid i uNlrlElr SE=WERAGE AGENCY NO. __10628 WASHINGTON C � ) S � YDATE 9-16-76 - f CITY OF-Ti-,ard APPLICATION FOR SEINER CONNECTION PERMIT Y OWNER: Tualatin Development Co, OWNER'S ADDRESS:— —_ - -- - STREET i CITY STATE 711' BUILDING SITE: LOT 344 BLOCK _ ADDITION ___ -- --- TAX !-OT NO. _ TYPE OF OCCUPANCY _ residence ADDRESS - __. 15581 SW Summerfield Lane DWELLING UNITS_ -- _-._ 1 - FIXTURE UNITS ...---- SURCHARGE NITS ...-__—SURCHARGE IF APPLICABLE ---- PERMIT PPLICABLE ____PERMIT FEE 575o (30 _ INSPECTION FEE -__.— TOTPL DEPOSITED 575. 00 ( VVJ_ (EXISTING) BUILDING SEWER SYSTEM __ iC L_AA_!_L'1!C-_-__Lr e "x -. The Applicant agrees to comply with all rules and regulations cf the Unified Sewerage Agency. APPLICANT'/, _ � --- -- SEWER PERMIT 1 HIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. I.INF __----- INSTAL RECEIVED BY._ +-&<.- ,"("' 'f ---- ' (AGENCY OR ITS AGENTI L. COMMENTS:.------- - E1da. .L 1003 - $?5. 00 Insp. fee paid August 16, 1976 This P .plication and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration o;cur. I i City of Tia-3rd Mechanical Permit �5 'i SZZ; Peri-,;t �.00 �, Fee �Q4_ New Installation Replace 7--j Relocation � !`1dition ❑ A!tera,ion ❑ — - L TO?AL CONTRACTOR�l.►»s R�'� `+� -� s I e- OWNER ADDRESS O. a 2[ mc �1''Y'�^�� = W 0 R K ADD RISS' S.W. �►-.s1 PHONE ,n�� - u�'11_ APPLICANT �. Heat Input Rating (STUD Per i-ii i 40� Vert Size S� �� Flue Size FUEL OIL ❑ GAS ELECT ❑ OTHER ITEM NO. FEE ITEM NO. FEE For Issuancz of Permit 3.00 3cui,e^_ ^ver 50 HP =-25AC New- Under 100 000 BTU 4.00 Air Handling 10,000 CFht 3.CC New - Over 100 000 BTU 5.00 Air Handling 61 10 000 CFM S.00 Floor Furnace 4.00 Fv3Dcr2tive Cooler 3-a Wal! - Floor - Susoended 4.00 Vent Fan lnstail Vents 2.0t: t Vent System Re _ir- Heat & Cooling4.00 Hood — 3.0C 5 9oilers Under 3 HP x'.00 Domestic ine;nerator F 0C Boi,ers 3 to 15 HP 7.50 Comm. Incinerator -QC Boilers 15 to 30 HP10.00 Other Not Listed 3.00 Boilers 30 to 50 HP i 15.00 I i INSPECTOR'S COMMENTS• CITY BUS,*:ESS _,CENSE_ REQUIRED FOR-ALL CONTRA'7COS OR SUB-CCNTRACTOPS APPROVED BY DATE ISSUED BYj _ DA T 12 IV RECEIPT NO. - 77a Si!m4tura of Ar � rt (�' // •�-1 yr - IONN f. AEINtipP,t3i Pl11MBING, IN�;.gI�ILDING DEPARTMENT, TIGARD NO P. 0. DBX 129 PLUMBING PERMIT MEI''" nC. ORPfpN 91131 _ holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing c-de of Tigard. Such installi.,ions require inspection by the City Inspector who shall be notitied not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. ,Q v"�� Ownef�� _ _ �� P''lee Address,_S�i'J 1 1< o - Date_ �iz1T�Z NUM _2I1 OF TOTAL PERMIT NO.'S TYPE JF PERMIT IIC.MS FEF ON EACH AMOUNT (Office Use Only) Single Family-1 beth—each _ _ 25.00S' vt� Duplex—Each 1 bath unit — 25_00 Additional bathrooms—each —__— y _ 10.00 Mobile Home Space—each — — —_ 15.00 ( INDIVIDUAL FIXTURE FEES �_-- 1 to 50 Fixtures in 1 build ig—each 3.00 51 to 100 Fixtures in 1 building—each _ ___2.50 101 to 200 Fixtures in 1 buildinq—each — —2.00 _ _2C' or more Fixtures in 1 building—each 1.50 _— MISCELLANEOUS _ — — Building Sewar-1st 50 It, �_ 10.00 _Sewer—each additional 100 ft. 10.00 Water Service to building•__ _ __ 5.00 Private Water stems—each 107 ft. 10.00 _-- -Other (Specify): — PERMIT" 115,19L") J For Pk4mbing Inspection Phone 639.4191 --�� Plumbing Contractor By 6 State i L��S �—� TOTAL -3'Iv. C),J RECEIPT NO. Issued Ey _ _ 'T i I City of Tigard INSPECTION REOUEST 0 for INSPECTION TIME : PERMIT NO. : f DATE: �`� DATE ISSUED: .L % OWNERS NAME : T• - _---_–_-- -- ICONTRACTOR : ---_- —_-- _ TEST. Air 0, Water [& ,.,�/iu��l� , Laboratory p RESULT. Approved ll ' Disapproved 0 Pending [j SKETCH: i I I . I /� PECTOR DATE 1.Nf1TF Attach supplemontal test dnto hereto, I CITY August _16 � 7C 1 '113 BUILDING PERMIT APPLICATION OF TIG.sA D DATE 19 - 3g-31,,11 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK KEREIN INDICATED BUILDER PHON OR AS SHOWN AND APPROVED IN THE ACCOMPANVING PLANS AND SPECIFICATIONS OWNERPHOK? LOT NO._ OWNER 1 •���- JOB ADDRESS W381 W Simnerfiald ��JTI� WONADDRESS '- ARCHITECT ENGINEER BUILDER same _ADDRESS r^ DESIGNER STRUCTURE_ '(7NEW ❑REMODFL_ -1❑ADDITION LJREPAIRr-1 ❑RENEWr-AL -GFIREDAMAGE ❑DEMr-OLITION RESIDE^JCF. ❑COMM DEDUCATIONAL OGOV'T ORELIGIOUS GPATIO GCARPORT GGARAGE DSYORACEGSLAB nFENCF �GBONO ❑MOVING GCONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS OCCUPANCY- LAND USE ZONE .BLDG.TYPE y _FIRE ZONE-!- PLAN CHECK By. HEAT<,{2t _ items duelling w/'atterhad garage No beisement 2bedroom k 2 bath �lob 5344 — ---- 1 1498 2 27,827. AREA _—hD._9-�P9QIY11 f 1 f � f BUILDING DEPARTMENT SET BACKS FRONT lZ REAR �Q L=ET SIDE T RIGHT SIDE 10 Permit 121 Ota THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII DING CODE, ZONING Plan Check _ 1Q1 Of) 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 Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTO'1S TO HAVE CURRENT CITY BUSINESS State Tax 1 ICENSE. SEPARATE PERMITS REQUIRED FOR SEINER, PLUMBING AND HEATING. Total 134.93 Sauer .OU BYr--- -- —-- -- __ -- AP.r,NANT OR AGENT Approved Receipt No ( (7 -- HONE ...ww.=an..�r,.�d..c►..s..s,:.._.�.uuaw.0 ..avw.,....-„,wrw.w-�„iy,w.,,:.«... lD-(y-76 �,Cj �� s-��- 7a� �/z.�/7c CITY OR BUIL IG PIERMIT APPLICATION TIGARD 10 �-� ig 76 N° THE UNDERSIGNED HEREBY APPLES FOR A°ERNVT FOR THE WORK HEREIN INDICATED 2 � OR AS SHOWN AND APPROVED IN THE ACCOMPANYINC PI ANS AND SPECIF!CA OWNER PHONE OtVNER Tr G ADDRESSsS 5v MIc BUILDER PHONE'�.O'i -:�-'(c ENGINEER ER ��{{ _ ARCHITECT rr--��D�SIGNER STRUCTURE iL`J,NEW ❑REMOOEL �ADOITION ❑RELI PAIR ❑RENEWAL FIRE DAMAGE ❑DEMOLITION �ESIDENCL ❑CO, ki ❑EDUCAT.IJNAL ❑GOVT ❑REL!GIOUSEIPATIO ❑CARPORT DGARAGE ❑STORArE SLA© ❑FENCE ❑BOND ❑rnOVING ❑CONDITIONAL USE ❑DL-SIGN REVIEW ❑COUNC LAPPROVED DEIGNS OCCUPANCY _r LAND USE ZONE_ _BLDG. TYPE �r7 FIRE ZONE_JPLAN CHECK BY HEAT OCC_LOAD FLOOR LOAD HEIGHT NO.STORIES , AREA �� VALUE Z-7 22- rChheck , DEPA.IT NIENT SET BACKS FHONT Z REAR RC1` LEFTS DERIGHTSIDETHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THc BUILDING CODE, ZONING C REGULATIONS AND ALL APPLICABLE CODES AND ORCiNANCES, AND IT IS HEREDY AGREED THAT THE WORK WILL IIF DON[ IN ACCCRDANCE ''vVITH THE PLANS AND SPECIFICATiOiNS AND IN COMPL IANCE WITH Recording ALL APPLICABL CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE CO EA:ANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BU;iNESS SIA State i7j3 LICENSE. SEPARATE PERMITS REQUIRED FGR SEWER, PLUMBING ANC HEATING. Total If93 APPLICANT ORA ENT LApproved Receipt No -T- C_ 40DRESS PHONE