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15648 SW SUMMERFIELD LANE '5648 SW SU14MEREIELD LANE I 1 c ca J m 4 N E E 7 cn c� m Ln 1 A d d r a s s (4 ,� � ' ti Permit No. Permit charge �,- Owner E) rr Connection fee 5 25 Paid by _ tQ Cr Type of building . Date conoected Service rate 1,� Inspection fee 'Contractor Paid by date Size of tonne :tion Assessment Paid :7-lo - '77 - 3 ? ? S - .a f Ca1 �' a'�� �. rr� a^�'.��� 4�!'1 •.wa /` f J �. Q /CV,�IACITY OF "-AGARD <- i OREGON ` Ov�ner:.T.•.R...G.................... ........ . . .......... ... ... .........Permit No...93.?.... tJ .; Building Address....15648 SummerfiBld- Lane . .' 31Ccrt�ficate is hereby 1\ _n this. ... ...... day a, J81J8ry ly .7..7 • that said building may be occupied and that it complies with all requirements of ' {I the Building Code for the City of Tigard, as approved by the Tigard City Council. Y PIM i Building Inspector ( � }I Lis �J �'.«.a U �.-w� ♦ �+ate L' iN `J 6r�s U a'«� Y/ _��•^��j��-�'�� W _� � ��7 �/,�, i �' ;♦ / Y'�C,�c, - -.i. _ J t t .1 R�,'^i-�`i.Y'. I've Ak �;.' `tea` .�W �k�.' �:�"����:'� '�_._ '��'�'��_:✓ c�y� `�c, - y� ` 1� 1♦ )� 1♦ w 1♦ JOHN E. REINHARDT Pll1h,BING, INC. BUILDING DEPARTMENT, TIGARD P. 0. BOX 129 PLUMBING PERMIT NO. b� NEWBERG, OREGON 97132 holder of a valid plumbing contractors licerse is hereby authorized to caure 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 ;o the time the installations dre rea y for inspection. City of Tigard Business License required for all co)tractors and sub-contractors. �-Y&7 Address1�5�00 Jed NUMBER OF TAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only► EN r1AL Single cam i `1 both—each ✓ 25.00 tr DC- Duple-4—Each ' bath un!,, 25.00 _ J Additional bathrooms—each / 10.00Q� �— Mobile Ha:ne Space—each 16.00 INDIVIDUAL FIXTURE FEES _ 1 to 60 Fixtures in 1 building—each 3.00 51 to 100 Fixtures in 1 building—each 2.50 �— _101 to 200 Fixtures in 1 building_occh 2.00 201 or more Fixtures in 1 building—each 1.50 MISCELLANEOUS Building Sewer-1st 50 ft. 10.00 Sewer—each additional 100 ft. _ 10.00 _ Water Service to buildin J:E� 6.00 Private Water Systems—each 100 ft. 1000 — Other S teclf PERMIT2"S- oi0 For Plumbing Inspection Phone 6394191 96 State Plumbing Contractor By TOTAL F.49. RECEIPT NO. Issued By - -� w w w w w w ! City of Tigard INSPECTION REOUEST for INSPECTION TIME :_ )—tza;z— PERMIT NO.: DATE: 1Z11J22L DATE ISSUED:--L--L— OWNERS NAME . - ADDRESS-:ZL1—��6 CONTRACTOR :---,4' — --- TE^)T' Air ❑, Water ❑ Visua , Laboratory ❑ RESULT. Approved Disapproved 0 , Perdinp 0 SKETCH: INSPECTOR DATE CNUTE Atfuch supplementc, test dato hsretd .i 0v s Q 1� CLhanicai ",rm;i- �Q - Permit �^0 ! 17 _ Fee �•�_ New 'Invml;ation Replace [� Relocation �t Addition ❑ A:iera.on II TOTAL. �. CONTRACTOR&':�2j9AA__ �-s- !� �C. OWNER 1>J P64-47n rJ WORK ADDRESS S . S� '►4c. ���'" ; ?HONE C42 — APPLICANT y. �.. l ti D'l:.R," 'feat Input Rating :BTU Per HOW '��� Vera Size °S Flue Size FUEL OIL GAS [P' ELECT OTHER _ ITEM ':�. F== ITEM _ NO. FE� For Issuance of Permit 3.00 3oilc:s Over 50 HP 4 25.00 New- Under 100.400 BTU 4.00 Air Hanfiiinn 10.000 CFM —i 3.3c New- Over 100,00C BTL' ; 5.00 Air Handling Over 10,000 CFM i r..00 Floor Furnace I 4.00 EvaMrative Cooler 3.00 Wal! - Floor- SuTMnded 4.00 Vent Fan i 2 Q Install Vents 2.00 Vent System 3.00 fair- Hes: & cooling 4.00 Hood 3.00 Boi'tn Under 3 HP 4.00 Domestic Incinerator 5.00 8oi!ers 3 to 15 4P 7.50 Comm. Incinerator 120AC Boilers 15 to :'0 HP 10.00 Other Not Listed 3.00 Boilers 30 to 50 HP 15.00 INSPECTOR'S COMMENTS- CITY BUSINE L EGUIRED FOR:11LL CONTRACTORS On SUB-CONTRACTORS APPRnV LD BY DATE /O _2_� 7� ISSUED BY DATE RECEIPT NO. na Z`.^natum of App nt ^ s'� City of Tigard INSPECTION REQUEST foi INSPECTION TIME : PERMIT NO. : DATE :Z DATE ISSUED:__1_L OWNERS NAME : ADDRESS : - *-�ti+�► tek=-�/ CONTRACTOR :__,-_"--,,a-z TEST'. Air O Watert�' p , Via,jal p , L.dborator�l Q RESUI:r.' Approved Disapproved O Pending p SKETCH: 4pcefoli DATE _NOTE : Attach supplemental feet data hereto r � UNIFIED SEWERAGE AGENCY No. 10635 WASP I NGTON COUNTY DATE ___ -1676 CITY OF Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: ___— _._ Tualetin Develop,mdnt Cr,. OWNER'S ADDRESS: CITU STATE ___ _ Zir BUILDING SITE LOT._!!_67__._. BLOCK — ADDITI^N TAX LOT NO. __ _ _ TYPE OF OCCUPAN,' residence ADDRFSS ._._15548 SW SummerfiLld Lane DWELLING; UNITS FIXTURE UNITS ,---- SURCHARGE IF APPLICABLE ;,75.,.00__— INSPECTION FEE PERMIT FEETOTAL DEPOSITED 575.00------- (NES (EXISTING) 8UILDI1\1G SEWER SYSTEM -0Al A c _e C The Applicant ay:ees to comply with all rules and regulations of the Unified Sewerage Agency. APPL I CANT/__ „c ���1 �; —_ SEWER PERMI..� THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ___ _ _.__ INSTALLER PECEIVED BY (AGENCY OR 11S AGENT) COMMFNTS: Bldg. ;,-0932 J- 25. 00 Insp. fee paid July 16, 1976 This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited s'nould expiration occur. CITY OF _. July �� , 19 l\A o��JG BUILDING PERMIT APPLICATION TIGARD DATE 1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOP THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC[F IC,%TIONS. OWNER PHONE IfAr •iisla ,; l 639-3101 ADDRESS ____ __ �L RPHG., �1NNER _ � .s rut. ENGINEER'S�"I R BUILDER ^—_ ARCHIT CT DESIGNER STRUCTURE _ rrONEW ❑REMODEL rr--T1 OADDITION ❑-TRFPAIR _❑RENEW-ASL UFIPL DAMAGE 1_JDEMOLITIOh ❑ RESIDENCE L,.7_-OMM LJEDUCAf1ONA1- LJGOV'T ❑RELI:_101--!S LJPATIO ❑GAR PORT _EIGARAGF ❑STORAGE 0SLAB FENCE OBOND ]MOVING ❑Gv.. IONAL USE `]DESIGN REVIEW 000UN01 APPROVED 0SIGNS OCCUPANCYLAND USE ZONE____ BLDG.TYPE FIRE?ONE PLAN CHECr BY _ HEAT .. ftyliland Or. SCK 15 49(l sq.f t, 1m1� We nW w7attachea garage 7bodroom k oathIA - ---- L OCG LOAD FLOOR LOAD HEIGHT ` NO.STORIES 1 AF "A �,���1_ VALUE' oi- BUILDING DEPARTMENT SET BACKS FRONT V), REAR 171-6" LEFT SIDE 0 RIGHT crDF Permit 2 • THIS PERMIT IS IS"JED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUII DING CODE, ZONING Plan Check _ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1S HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AP 0ECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDI 1ANCES. THS_ ISSJANCE OF THIS PERMIT DOES NOT WAIVE —�--- RESTRICTO = COVENANTS. CONTHACTJR AND SUB CON TRACTORS TO HAVF CURRENT CITY BUSINESS 1%State " LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING, Total By ._ — �___ nF -.ANT OR AGENT Approved Receipt No. w kill DATE INSP. TYPE 1 SPECTION 7EMARKS -— PLUMBING DATE -ham f'uu G. Contractor- IG 7nlfCT� Perrmit No. .05-.- �u ,�S•7ib U �� } D F�✓✓�L Rough in — S� / _l OK Fixture — - -- Final ©K- -- HEATING Contractor �T1�-.- � � �-5 ��n✓C7?� Q Permit No. -5�6 .�........ a Gas or Oil W I�z7G^sT OK — --- -- Ro-ugh-in --------- -- — — � Final— SEWER inal__ - ----------------- S E W E R -- — Final --�.-- --— — —�_ DRIVEWAY V_�7/ L ---- ----__—_— _a-- Final f - -----. Storm Drainage ^— �^— ---------- —_—�-�--- (Rain Drain) Final _— — -------------._�- Sidewalk /0-27- Curb&Street Final _- CERTIFfrnTE OCCUPANCv BLDG.DEPT. =INAL TEMPORARY Final CERTIFICATE OCCUPANCY -- --- ---- -` — / Landscaping / / 1 7oning Final — — m — j BUIL �G PER�i11- APPLICATION �1�►,' RD � �.� . �- ,� N 13 THE UNDERSIGNED HEREGY APPLi S FOR A PERMIT FOR THE WORK HEREIN !NDICATED O. AS SHOWN AND APPROVED ? d THE ACCOMPANYING PLAN; AND SPECIFICATIONS. OWNER PHONE lnt"JM /FR yj�,r' •ri ,�;, _ - .! ADDFIFSs�r0� s <<r�.�.�• r�� '� �j BU1LDFR'PIIONE li'��' J EN_GINFEFI IIUiLDER 5.:. ARCHiTFCT DESIGNER STRUCTURE _ONEW QREMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑OEMOLITION IRRESIDENCE EICOMM ❑EDUCATIONAL EIGOV'T LIRCLIGIOUS OPATiO ❑CAR PORT ❑GARAGE ❑STORAGE CSLAB ❑FENCE ❑BOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW 0C0UI•;CiLAPPROVED ❑SIGNS Or(UPANC.Y--V—LAND USE ZONE BLDG TYPE–!3V--FIRE ZONES PLAN CHECK BY � T�C' HEAT rri ��... �` �-�� ' /S;L –iota0 .U;s s�i _ ell /,41–6= Al _ �Tl� �D TIoi1= !TG✓r r � .'/ s�I'L'�' 7�ra-e l _- � Y OCC. LOAD FLOOR LOAD HEIGH-: _N_O.STORIES ) AREA ;4V --h VALUE �JUILDING D[PARTME-NT SET BACKS FHONT _ REAR 1' _ LEFT SIDr RIGHT SIDS IPrrmrt-- E 1 17 i Op – -- -- _— ' ,ccvc THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING Q REGULATIONS AND AI_L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK VOLL OF: DOPE IN ACCOI?Dr?.CE INITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE- WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE ClVEMANTS. COPITHACTOR AND SUB CONTRACTORS TO HAVE CURRENT Cl rY BUSINESS 1'.*,St3te j LICENSE. SEPARATE PERMITS REUUIRED FOR SEWER, PLUMBING AND HEATING. Total y / fly APPLICANT OR AGENT Aftl��.vcJ i Receipt No. L� AL)GRESS NHUNE i �9. S3 J`