15625 SW SUMMERFIELD LANE 15625 SW SUMMERFIELD LANE
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PERMIT CHARGE _none
OWNER CONNECTION FEE
PAID 8Y
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TYPE OF BUILDING DATE CONNECTED
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SERVICE RATE_ —
/ INSPECTION <<_E
.r .�.. --------_.__.__..--— PAID BY _�_.___----- DATE ,
CONTRACTOR _ _ ---__-- ._ _____ _._ _.. —
ASSES`HENT _ ____ PAID �—
SIZE 0` CONNECTION
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CITY 4F T'IGARD
OREGON
> i)I• ...T. D.C........................ .........Permit No. 92A........ .... Z
` 15625 5W Suri... teld Ln.
BuildingAddress...........I.. ......I................ ... .._......... ..... ............. ............... . ......
g December 76 �3
' Certificate is hereby given this................day of................................, ly.........
�! that said building may be occupied and
4� that it complies Wish all requirements of
1 the Building Code for the City of Tigard, (
as approved by the Tigard City Council.
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1 1+�i Building Inspector •
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ��� _ PERMIT NO. :_
DATE: _ `� DATE ISSUED :
OWNERS NAME - -T V ,66' `
ADDPESS: - -,,i �171.1
CONTRACTORR�
TEST ' Air 0, Water[] , Visual I_aboro'rory C]
RESULT: Approved �e, DisapproveJ D , Pending []
S KETCH,
INSPECTOR DATE
CGTF: Attoah eupp!ementel test doto beret 01
WX
I
City of Tigard
INSPECTION REQUEST
for
60, ---- =
INSPECTION TIME : ��'� PERMIT NO. : �.
I DATE : ' /2,'/ ''- DATE ISSUED'—/
OWNERS NAME .* 4- -
ADDRESS : .��CONTRACTOR :-
TEST .
ONTRACTOR :TEST. Air O, Water p , Visual Loborcrory p
RESULT. Approvec JAI , Disapproved El , Pending !J
SKETCH: � �~
I
4221
I
I
I INSPECTOR DATE
If:0TF A!lach supplemental toot date neretol
L:
U N I F I E l76
SEWERAGE AGENCY NO. __10632
WASHINGTON COUNTY DATE _ 9-.16-76
CITY OF Tinarh___.
APPLICATION FOR SEWER CONFECTION PLRMII
OWNER: ---.------ _TLala-tit
OWNER'S ADDRESS: --_---_-- .
SIHI,IT
-- ---- -- ----- —------ _ —_ ... -------
CITY STATE
BUILDING SITE: LOT 347 BLOCK . ___-__ ADDITION
TAX LOT N0. ______ _ TYPE OF OCCUPANCY .. r ider rr,
ADDRESS - 1`_6 2-5-_I"LLmmE r_f_iel- d_.1811e_-
DWELLING UNITS __-. -1 -__ FIXTURE UNITS
SURCHARGE IF APPLICABLE __
575.00
PERMIT FEE ___.-_-_-___- __ INSPECTION FEE - _ TOTAL DEPOSITED - 57 '' '
(NEW) (EXISTING) BUILDING SEWER SYSTEM ?4,A&( &LL C VeLt
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency,
A P P L I CANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LhgE SIZE -----.. _--- ----- INSTALLER . _ ------------_.-- -__— —
RECEIVED BY.---_ �__
(AfdENCY OR ITS AGENT)
COMMENTS: .-____..___-.-__ Rldg ;;0924
$25. 00 Insp. fee Paid July 1976
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should t.xpiration o,cur.
JOHN E. REINHAROT PUIMBING, INC. BUI -DING DEPAKTMtNT, TIGAHD N0. i
P. O. BOX 129 PLUMBING PERMIT
91132
holder of a valid plumbing contractors License is hereby
,q,_,thorizPd to cause plumbirg work as herein not.M to be installed in accordance with the ,dumbing code of
Tigaro. Such installations require inspection by t. i City Inspector who shall be notif;,!d -lot less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard,Business License r,2quired
for all contractors and sub-contractor. -Vt4 f
Ownc. ( t.__ ��_ `�� _ AddresrL1� v:J�L11�'. Gate_�L7
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT 'Office Use Only)
N T I ASingle Family-1 bntn—each '� _ 25.00 _ s�
Duplex--Exch 1 bath unit _ _ 25.00
_ Additional bathrooms—each 10.00 �(>
Mobile Home Space—eoch _ _ _ _ _ 15.00
INDIVIDUAL FIXTURE FEES _
1 to E0 Fixtures in 1 building—each 3.00
_51 0 100 Fixtures in 1 building_eech 2.50
_101 to 200 Fixtures in 1 building--each __ 2.00
201 or more Fixtures in 1 building—each 1.50 _
MISCELLANEOUS
—Building Sewer-1st 50 ft. r _ 10.0n
Sewer—each w1ditional 100 ft. 10.00 r
Water Service to buildin _6.00
Private Water Systerns—each 100 ft. 10.00
!Other (Specify):
°ERMIT`_ For, Plumbing Inst)ection Phone 194191
.,(96 State — j') Plumbing Contractor V y 1T�f 1' �C i
TOTAL. - P.ECEIPT NO. Issued ?.y
r
' r
C is of -T�gard Mechanical Permit Perry+;t S3.00
�,/ CL/ _ Fee
New Installation U Replace u Relocation r' Addition � Altera-,.on ❑
TOTAL_
CONTRACTOR..�n L �-� ,�L _f' _ OWNER l[ k ApmN -
�, -
(vi.iL C.�+V��j ^e�y�fi WORK ADDR 1 .� v �.► �_ / 1
PHONE bra- A�PL1CAh'T •�- '
Heat Input Rating 1,LM 1 Per �l9ur} lm cn'ti � Vent Size 5' Flue ize
FUEL OIL C GAS Tt' ELECT ❑ OTHER
ITEM NO. FEE _ NO. FEE
For issuance of Permit 3,00 3u �-' n 25.00
P
New- Under 100,MO BTU 4.00 Air Handl,: .v 000 CF`+1 3.00
00
New-Over 100,0f;0_8TJ 5.00 Air Handling Over 1f1.CC0 CFM 5.0C
Floor Fumaee 4.00 Eva native Cooler 3•�
Wall - Floor - Suspended I 4.00 Vent Fan 2 c
lnstaIl Vents 2.0^ 11 Vcnt System 3.00 �1
Repair- Heat&Cooling _ 5.00 Hood 3.00
9oilen I Inde: 3 HP 4.00 i Domestic tn�ine�ater 5.01
Boilers 3 to 15 HP 7.50 a Comm. Incinerator
' 120.0C
Boilers 15 to 30 HP 10.00 ' Other Not Lasted + 3.00
l
Boiler 30 to 50 HP ' 15.00
INSPECTOR'S COMMENTS-
CITY BUSINESS LIC . EQUIRED FOR-ALL CONTRA--TrORS OR SUB-CONT11ACTORS
APPROVED 3Y �' DATE —7�� ISSUED BY DATE
RECEIPT NO.
774 Si", - iurs of AI.pI; nt ^
A
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�y CITY OF July 13 76 N°' 0924
BUILDING PERMIT APPLICATION TIIGARD DATE t9"_
THE. UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
Lot a 347 �ueAwsrfislc L 639--310'1
QINNEFc-- ----_____.------------- ADDRESS _ DER PHONE
E NG I N E_E R /S(✓%� S S �✓ ,C-�tcrw� s-� - _ �i-•-,�M-
BUL UER __ __—. ARCHITECT _ OESIGNER_—
STRUCTU_9E ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRZ_DAMAGE ^^ ❑-)FMOLITION
❑ RESiDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE O STORAGE rDSLA13 ❑FENCE
❑BOND 01%,?VING []CONDITIONAL USE ❑DESIGN PEVIEW ❑COU NCIL APPROVED L_1SIGNS
cis 1PANCY—=LAND DISE ZONE BLDG.TYPE FIRE ZONE-2- PLAN CHECK BY HEAT-
47 Mk. V, 1677 sq.ft, Promp Idwellint� w/ec:echwd gsragf
i bedroom 21 bath
Q;g,LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA T_ VALUE 320
BUILDING DEPARTMENT ? r
SET BACKS FRONT REAR I EFT SIDE RIGHT SIDE
Permit 136.i)CI —��----- �-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON-i^'"!ED IN THE BUILDING CODE, Zr)NING
Plan Check 10,00 REGULATIONS AND ALL APPLICABLE CODES ANn ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND lir COMPLIANCE WITH
13ecording ALL ^oPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEFS
196 State 4.38 LICENSE. SEPARATE PERMITS REGUIRED FOP .:WER, PLUMBING AND HEATING.
Total 1bU•:so
ey —_ -- - - - - ---- ---- -- -- —--._—__ _ -
---(
Approved Receipt No,
ADDR_SS �� -J-PHON _--�- '-
t t,�
DATE INSP. TYPE INSPECTION REMARKS — PLUMBING u DAT
/3 76 -� Contractor
}�-'3U` � - --- Permit No. o SX` y�.c' 11,1 7,
Rough-in
Fixture _
V�.'
9�1I•�(� G � �a��_ f�i - ---- Final —
HEATING
Contractor _
Permit No. /
_ Gas or Oil v C '-�7
Rou h in _
Final — _---- -- —
— SEWER
- --------------------- _ Final
--- DRIVEWAY �L
-- — --------------—. Final --
----- -------- --__-- �_•— _ Storm Drainage ------- —
- ------------i----_------� — (Rain Drain) Final
P- „�-
--_._— — ---- Sidewalk q-,Lv- 76 LC
— — — Curb&Street Final
-- — — Approach g--LW-`7(n
SLOG.DEPT. FINAL — TEMPORARY ERTIFICATE OCCUPANCY Final _
6 CERTIFICATE OCCUPANCY
7 -
, Landscaping
/ 1 (- Zoning Final
: ITY OF
BUIL IG PEPV(" APPLICATION TIGARD 19 `= N!THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE A rCOMPANY!NG PLANS AND SPECiFICATIO�,S. OWNER PHONE
C:'VNER 5� ADDRESS -0 - - ,3�"
BUILDCR PHONE
ENGINEER
BLJ!LnFg ARCHITECT
DESIGNER
STRUCTURE ®NEW REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMO-LITION
21RESIDENCE QCOMM EDUCATIONAL ❑GOV'T ❑RELIGIOUS`1PA-r,C, r-ICARPORT GARAGE ❑STORAGEDSLAB EIFENCE
Ono 0MOVING ❑CONDITIONAL USE ❑DESIGNREViEW ❑COUNC'LAPPROVED L_1SIGNS
OrCUPANCY_ LAND USE ZONE _BLDG.TYPE "rI�FIPE ZONE_ --' PLAN CHECK BY HEAT ray 7
OCC.LOAD FLOOR LOAD
HEIG Ir NC.STORIES AREA VALUE z
�
BUILDING DEPARTMENT SET BACKS F.IONT REAR I LEFT SIDE RIGHT SIDE
Permit / oO
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
k C p p REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT iS HEREBY AGF',EED THAT THE
WCRK WILL BF DONE IN ACCORDANCE AITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V41TH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
o REST iICT::E COVENANTS. CON [IACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY GUSINESS
Jo State LICENSE. SEPARATE PERMITS REQU.RED FOR SEWER, PLUMBING AND HEATING.
Tota!
Ily
CApprovedReceipt Na. APPLICANT ORA ENT
�
ADDRESS PHONE --