15648 SW SUMMERFIELD LANE-1 1'
PLAN CHECK FEES LIST
PLAN CHECK# -'2/ C PERMIT# DATE
ADDRESS _ TAX/MAP LOT
SUBDIVISION `" ,, •, r, , ,.r,, :� LOT ffLAND USE
VALUAuAT ION SETBACK FRONT —REAR/,-' LEFT RIGHT
WORK CLASSHEIGHT _ TOTAL AREA
USE TYPE _ FLOOR LOAD 1st FLOOR
CONST TYPE HEAT TYPE 2nd FLOOR
OCC''UP GROUP DWELL/UNITS 3rd FLOOR
OCCUP LOAD _BED ROOM BASEMENT
STORIES BATHS GARAGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
c�PYG-d 2s3 BUILING PERMIT FEES
PLUMB PERMIT FEES
MECH PERMIT FEES
eke_ yGa3 ELC PERMIT FEES
ELR PERMIT FEES
.STATES BUILD TAX
BUILDING
P LUM13 I NG
MECHIANICAL
ELC
ELR
PLAN CHECK FEES
BUILDING }
PLUMBING
MECHIANCAL
SEWER CONNECTION FEE
SEWER INSPECTION FEE
PARKS
RESIDENTIAL T I F
MAS S 7 RANS I T _
WATER. QUALITY
WATER QUANTITY
EROSION CNTRL PERMIT
EROSION PLAN CK USA �+
EROSION PLAN CK COT
TOTAL S •
15648 SW Summerfield Ln
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:639-4171
A
0 Footing Rain Drain C;•:er/Service FINAL:
Foundation Water Line Ceding -Plumb.
Post/Eeam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd. idg.
San. Sewer Gas Line Appr>Sdwlk Reins.
Other:
Date: 74 A.M. —P.M. Ent
t
Address:
Tenant: ---- - — S4:-- MST: I ;
BUP:
Con/Own:. ._— MEC:_
PLM:
ELC:
THE 1`01-1.0WING CORRECTICNS ARE REQUIRED: ELR:
i
i
Inspector: / L
� ��� Date: _
�PPROVED _bISAF'PRO/VED/CALL.FOR REINSP CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
I
Post/Beam Mech. Shear/Sheath Framing -Mech.
40
! Plbg.Und/Flr/Slab Plbg,Top Out InsulationElect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ------
Date: J L l A __P.M. Entry: J
Address: ���� _.—�K� � J
I
Tenant:� Ste: ST
� Con/Owl;: � � �� MEC:
PLM:��--�
THE FOLLOWIN-:%CORRECTIONS ARE REQUIRED: ELR:
i
Ins ector: j/ /L Date
, APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO I
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-- -- — - BUILDING PERMIT
PERMIT #. . . . . . . : BUP96-0253C f tlr
} � DATISSUED: 05/16/96
CITY OF T1%7PiAD
COMMUNITY DEVELOPMENT
.D�EPA6RTMF,I"f PARCEL: 2S I l l DC-04700
SI,..�13121.1liFrk.� ;d�Tbvd.I ,6o�+liTWetiI11�It�it 11r 1i�1�D LN G�
SUBDIVISION. . . . : SUMMERFIELD NO. 77 ZONiNG:R-7 ?'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :367
i:
--------•---•--_--------•-----------_•-•--•--.--•------------------------------•----------- ,
REISSUE.: FLOOR EXTERIOR WALL CONSTRUCTION- �
CLASS OF WORK. -ADD FIRST. . . . : 150 sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : 0 sf PROTECT ---
TYPE OF CONST. :SN . . . . 0 sf N: S: E. Wm
OCCUPANCY GF2P. :R3 TOTAL--------: 150 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 1 HT: 1.0 ft GARAGE. . . : 0 sf OCCU SEF. RATED:
BSMT?: MEZZ?: REOD SETBACKS--------- REUUIRED---------------------
FLOOR LOAD. . . . : 41A psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . -
DWELLING UNITS: 0 FRNT: 0 ft REAR: 17 ft FIR ALRM: HNDICP ACC:
BE DBMS: 0 BPTHS: 0 IMP SURFACE: 0 F'RO CORR: PARKING: 0
VALUE. $ : 9699
nara.arks: Adding Sun room 15Osy ft. r
Owner-: ----------------------._----.._______..__.__._.______..__.__- FEEL
CAIRNEY type amount by date r^ecpt
1.5648 SW SUMMERFIELD LN F'RMT f 80. 50 B 15/16;96 96-2795.32
PL.CK f 52. 33 JH 05/06/96 96--279000
TIGARD OR 97223 `PF'CT f 4. 0:3 B 05/16/96 96-279532
Phone #:
HOWARD B I NGHAM CONST 1
4160 SW 1O9TH AVE
BEAVERTON OR 97005 ------___-------_-.__------------._.----____-.
Rhone #: 643--5511 f 1:36. 86 TOTAL
Reg #. . : 40448
------ REUUIREL` INSPECTIONS -- -----
This permit is issued subject to the regulations contained in the Footing Insp
Tiger,' .anicipal Code, State of Ore. Specialty Codes and all other Foundation Insp —�
appl-:able laws. All work will be done in accordance with Framing Insp
_
approved plans. This permit will ex3ire if work is not started Insulation Insp
within 180 days of issuance, or if work is suspended for more Gyp board Insp
than 188 days. Rain drain Insp
Final Inspection
1 'er•mittee Signaturery. �,a - — -
f�/rItivL-1 -kcIssued Bye �lrl 1AX
Call for- inspection - 639-4175
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Residen'i uilding Permit A� lica ion
City of Tigard C�,��� t F �6
f
5 -
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 tam
Jobsite Andress:
Subdivision: 0 O
�' _ ffice Use fly
Contact Date / / Initials-
Valuation: L' Najr---�-�— - Result
New Construction Only: (Square Footage) - C 1
P!anck/Rec# ��r 2 I�C�
House: Garage: Permit#�L � �
Reissue of
Corner Lot? Y (N Flag Lot? Y N Map &TL# r -- c. 1400
I
Zone
Owner: s.�/iFa —� —..--- ----___ -- Plat#
Address: = Applo_vals_Regt iced
Planning Setbacks _QLGSolar �JA
Engineering
Phone: L _ Other
Contractor: fi�<f'GG�t/i�';y E/� Ti�/f,..1 / �n�C 'i Items Ree uim.d
OK
Address ��ll"G' ,'. za- %G�'S! �r'3� Subcontractors
Truss Details
Otner
Phone:
Contractor's License#_ �%c _ c,e mf-_L /l�/OiilS
(attach copy of currenyOregr)n license)
Contact Names =X --
Contact Phone:
Subcontractors: Architect/Engineer:
i
Plumbing: -,f 6.%�'�.`� _ Address:
Mechanical: �
(attacr, :op,/of current OR Contractor's License)
Electrical. -- bV/LL���t Phone. L—_1—_ --
JOB DESCRIPTION
Applicant P,gnature Applicant P' one number
Received byniI4,, '� Date Received:I,a,„t„M..00l
'13. 1
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<.. s i -',�.�,� . �-gra...;•
•e '
Permit ;$ Account Description Amount Amt Pd. Bal. Due
flu - u'S j Bldg. Permit (BUILD) �10•
Plumb. Permit (PLUMB)
&4**A■ii*=%t (MECH) _
�Lc 4 Q
67G C is— 3 f—
Sb arc (,r**)
f1
Bldg: _ l , u 3 .S, ?� �• 7
Plumb:
Mech:
Plan Check (PLANCK) ,`�r.� -_3 3 c� •y-3 .3 �
Bldg: -�
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspe:tion (SWINSP)
Parks Dev Charge (PKSDC)
1
Residential TIF (TIF-R)
Mass Transit TiF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) V ��
.:1stitutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (%VQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckJUS., (F:RPLAN)
Erosion Planck/COT (EROSN)
J�—
TOTALS:
i
ry �vi ELECTRICAL PERMIT
CITY OF TIGARD 1)a-EI ISSUED:005/16/96
COMMUNITY DEVELOPMENT DEPARTMENT Pi)RCEL: 2S 1 1 1 DC--04700
13125 SW Hall BK d.1 igard,Oregon 9722398199 (503)039-4171
SITE ADDRESS. . . : 15648 SW SUMMERFIELD LN
SUBDIVISION. . . . : SUMMERFIELD NO. 77 ZONING:R-7
FLOCK. . . . . . . . . . . L.O1.. . . . . . . . . . . . . :367
Project Description: adding sun room 150sq ft
RF_SIDENTIALJUNIT------ ---TEMP SRVC/FE.EDERS- --- - -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - =00 amp. . . . . . . : 0 PUMP/IRRIGATION. , , . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . •. . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . : 0
MANE. HM/ SVC/FDR..: 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 171
------SERV I CEi F SEDER----- -----BRANCH CIRCUITS- -------- ----ADD' L INSPECT IONS -
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVG OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 --•------.___.____._-.-P4_AN REVIEW SECTION------------------
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ----------- -_-________---- ---------------- ..._ __--- FEES ____ ------ -----_
CAIRNEY type amount by date recpt
15648 SW SUMMERFIELD L14 PRMT $ 35. 00 B 05/16/96 96--279532
5PL;1 $ 1. 75 B 05/16/96 96-279532
TIGARD OR 97223
Phone #:
Contractor: _____________----------_-__.---_-----_._______.__--------_---•--------.__.__..--- --
WILLAMETTE ELECTRIC INC $ 36. 75 TOTAL
PCI BOX 230547
REUUIRED INSPECTIONS ---- ---
FIGARD OR 97281 Ceiling Cover Elert' 1 Service �
Phone #: 503--624-3631 Wall Cover Elect' 1 Final
Reg #_ - 75059
I,,, peroit is issued sul,,ct to the regui:tions contained in the
Tigard Municipal Code, State of Ore. Speciaity Codes and all other 'Permittee Signafu -e
applicable laws. All work will be done in accordance with
apprnyed plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. Issued By
- ----- - --- - ------- - ------- -OWNER I14STALI-AT I ON ONLY
The installation is being made on property I own which is not intended for-
sale, lease, at- rent.
OWI JE k' S SIGNATURE: [)A?E:_--_._-----------------.--CONTRACTOR INSTALL._ATION
I
SIGNATURE OF SUPR. ELECT N: - _ -�- - DATE:
LICENSE NO:
Call for- inspection - 639-4175
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DEPARTMENTOF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
YYf' S 1 lJ 155 NORTH FIRST,HILLSBORO,OR 97124
CO INN, INSPECTION REQUESTS: 503/640-35611693-4415
OREGON XXXXXXAXX--> 64U- 34"/U
Pages i of. i
Date 12/30/94 t
T Ame 09: 51 •�
Permit Type : Residential Electrical Permit Permit # 05062330 �
Permit Status APPROVED Applied 12/30/94
Situs Address 151548 SW SLIMMERFlE:LD LN 'TI issued 12/30/94
Permit Title Sh'R - BURGLAN ALARM Completed
h Permit Descr , JOB '/26098 To Expire 06/28/95
Project Title SFR - BURGLAR ALARM Project # P0046529
Itroject Uescr . JU13 '/26098 * EROSION
1
t . Parcel Number 251TI - Land Use District
Valuation U
Legal Descr.
Uwner INSPECTION - 'T1GAHD Construction OTH
Applicant Name KELLER, LF.;E classification : 900
Applicant Addr. : 15648 SW SUMMERFIELD LN Occupancy R3
'1'IGARD, UR 9'/224 Validated by PH
Applicant Phone: 591-8102 Inspector Area
Fee description Units Fee/unit Ext. fee Data
-----------------------------------------------------------------------------------
Limited Energy/Alter. /Extension 1 40 . 00 40. 00
Subtotal Electrical tees : 40 . 00
State Surchar<Te of b% 2 . U0
Total Electrical Fees : 42 , 00
*,t* Fees Required *#* *** Vees Collected & Credits ***
Method Check # Receipt No . Date Payment
CK 6294 12/30/94 42 , 00
TOTAL TH15 DA'Z'E ********* 42 . 00
Fee3 : 42 . 00
Adjustments : . 00 'Total Credits : U
Total Fees : 42 . 00 Total Payments : 42 . 00
Balance Due: . 00
NOTICE: This permit becomes null and vold If the work or constriction for which It Is Issued Is not commenced within 180 Mays. Once construction has started,
the permit becomea null and told If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is We and correct to the best of our knowledge. I acknowledge that the Building Departmen't's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will he compiled with whether or not specified on the plans or noted on the plans correction sheets. 1 acknowledge that
the grantlng or a permit does not grant ntthortty to access private property or to use easements. I further sr.knowledge that the use or occupancy of
the structure or building pernhtod depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements aro satisfied and
approval Is given by the Building Offlr'al. 1%--that acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued
specifying that the use or occupancy of the bulldte.I or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
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WASHINGTON COUNTY
Qepart RESTRICTED
zpartment of Land Use & Transportation
Electrical Inspection Section I
155 North First Avenue, 11350-12 ELECTRICAL ENERGY
Hills'`oro, Oregon 97124 APPLICATION
Information: (503)640 147C Fax: (50.9) 593-4412 �
PRINTPLEASE
Please complete • , • Parmit No.
1. Lo, atlon ofMSt llation Date
ss 1 (f
Address _1 r1.F I�LYJ Lr,l - --��/ __ '� 9
(;it;--r r A W--C:> Zip Code 9-7':-2 4. Type of work:
Map No. Tax Lot
RESIDENTIAL Restricted Energy Fee S40.00
Thomas Map Book: Page Section _ I (for all systems)
Directions- -_ Check type of work involved:
--— — -- Audio and Stereo Systems"
Commercial ] Residentiat'o $urglar Alarm
Tenant Name i "'Telephone Systema"
(if commercial) —_ - Garage Door Opener*
This permit becomes null and void If the work authorized by As Fire Alarm
permit Is not commenced within 180 days from date of Issuance Heating,Ventilation and Air Conditioning Systems"
of such permit or If the work authorized Is suspended or abandoned
at any time after work Is commenced for a period of 180 days. Vacuum Systems*
Electrical Permits are non-refundable and non-transferable. Other
2. Contractor application:
Electrical Contractor Y->L> i '�`1C4 ' � fit- I t � - COMMERCIAL Fee far each system $40.00
..���"G (see OAR 918-280-2801
Address CF '� I E� �'�_l` �r�' ' Check type of work Involved:
+ Date l' =� Job Number r] l ivy yp
Property Owner LFA;-."'
Contractor's License No. ,l(GCs c" Boiler Controls `
Contractor's Board Reg. �
No. '} --I
Clock Systems
Phone No. «4 I - 0 51 Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
�
1p�L3r�j Instrumentation ne _ ( Intercom and Paging System
Print Owner's Name Ptione No,
Landscape Irrigation Control"
Address �— — __---- Medical
j Nurse Calls
city ---�inte— Outdoor Landscape Lightirg"
This permit Is issued under OAR 918-320-370. The applicant agrees Protective Signaling
to make only restricted enemy Installations(100 volt amps or less) Other
under this permit and to do the following: �-
1. Only use,electrical licensed persons to do Installations where
required. (Certain residential and other transoctirns are exempt Number of Systems
from il-onsing. Those have asterisks("). All others?sad llcens- �—
Ing.) *No lice ases are required, Licenses are required for all other installations.
Z. Call loran Inspection when all the Installations under this permit eq eq
are ready for Inspection.
3. purchase separate permits for all Installations that are not ready 5. Fees o0
for Inspection when the Inspector rs art to Inspect under this
permit inter fees $ 40.
-
4. Assume responsibility for assuming that all corrections required
by theresp reor sponsibility
dons,and 5% Surcharge (.05 X total above) $ sem .
3. Aasums reaponslblllty/or calling for a llnal Inspection when all of
the corrections are completed.
The person signing this permit must be the applicant or s person Total $
authorized to bind the applicant.
Signature Space below reserved for validation.
I —
Authority if other than applicant
r
For inspections call
640-3561 or 693-4415
24-hour recorder, one working dr+v In advance of neer! 4194
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