15657 SW SUMMERFIELD LANE SW SUMMERFIELD LANE
1
C
m
J
'U
.-1
kU
N
N
E
E
I
(7
3
Ul
N
Lr)
z
Ln
1
l
P R f'1 I T N 0.
�3( A D D R E 5 S /..� 0 5;�_rs�-�c t.-�,�.xy�;./7�eZc�,�;��' �.
PERMIT CHARGE none
/1' ) CONNECTION FEE
OWNER ---
_+ PAID BY -� o G
TYPE OF BUILDING /.A DATE CONNECTED --
_� U ff
SERVICE RATE „L - INSPECTION FEE
CONTRACTOR _ - PAID BY _ --_-- DATE _
SIZE OF CONNECTION ASSE55MENT PAID _
'I
. �.. is,
;,' ♦ ��4,�� l� "`y..�'� l'I _. ( 1...M � .. ` f� .'y �"� .1 l�, C. � (r'� .�"� fl .1�^e �-• O 1. '�:�1 .,`1.
O F
0CUP
CITY OF 11 IGARD C�
G OREGON ?
> 1 Y. D.'_.. .�................................................... ...permit No..331— .............
�, pwnr-r•.....
15657 SW SummerP"eld Ln. ..
~' Building Addres........
w .....9....... d'a ...Dace•mb.er.......... 19..76.. �_ �:•.
3
Certificate is hereby given
this. d.3y af.
that saii; biAlding may be oc,-upied and
that it complies wr_ ith all requirements of
h�
l IAF 1�;
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
............ ...... a
Buildicg inspector I
� V
�, riD-� ••t�•7 �w
w rw
City of Tigcrd
INSPECTION REQUEST
for '
IN' PECTION TIME: C=1:2,07 , PERMIT NO. :— I
DATE: —24:2-21& DATE ISSUED :_L—Z-_
OWNERS NAME :
ADDRESS: '-1�'' '_ (- f
CONTRACTOR : x?f'i,c'�, _ I
TEST : Air O, Water❑ , Vieualx1l
Lahoratorl ❑ I
RESULT: Approved Disapproved CC Pending C7
SKETCH: J)
f
LLQ
INSPECTOR DATE
NOTE Attach ! ipolentental test data beret
I
I
City of Tigard
INSPECTION REQU E"S T
for i
INSPECTION TIME: PERMIT NO. :__ i
DA- E: 9 IL124 DATE: ISSUED . �
OWNERS NAME : 7—,0-(' '-- -__—�
ADDREW
CONTRACTOR :
TEST'. Air EI, Woter[] , Visual 0.1, Laboratory []
RESULT: Approved t Disapproved C Pending p
SKETCH:
I
1
� 1
INSPECTOR DATE
COTE . AttatN supplemental fist data bereta�
I
I
BUILDING DEPAKTMENT, TICiARD
XHN E. REINHARDT PORING, INCNO.
P, n. 6V 12!1 PLUMBING PEF�MIT
holder of a valid plumbing contractors license is hereby
authorizedtocause plurnb;ng work as herein noted to be installed in aecordiance 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 .he installations are ready for inspection. City of Tigar I Busiviss License require.:
for all contractors and sub-contractors.- � n 7' J 7 / S X7`7 ,
�)i Cao r e_)ZL1
Owne,'_....__C� ��l :�s.� _Addre,s_
NUMBER OF TOTA'_ PEF'MIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
51G!E N_T_IA_ __ _ S — ------- —
Sin to Family-I both-each — 25.00_^
Du lex-Foch 1 bath unit_ 25.00
Additional bathrooms--each _�✓ _ _ 10.00
vMobile Home Space-each _ 15.00 _ ___•�_�_I
INDIVIDUAL FIxTuHE FEES ---
1 to 50 Fixtures in 1 building each _ 3.00
_ 51 to 100 Fixtures ;n t building-each _ 2.bO
101 to 200 Fixtures in 1 building-each —__ .00 - —
:01 or more Fixture. ir, 1 building-each 1.50 -
MISCELLANEIn —
Building Sewer-1st ! 0 tt. 10.00
Sewer-each eduit o 1al 100 't. 10.00
Water Service U building— _ _ 5.00
Private Water5 s� 'ems'-each 100 ft. _ _10_00
Other (5p2cify - _
PERM T � � 0 For Plumbing lospection Phone 6394191
=�% State Plumbing Contractor By _Ct-),I
TOTAL )`� RECLIPT NO. Iss4e:i By
UNIFIED SEWERAGE AGENCY NO. -_ 10636
WASHINGTON COUNTY Y DATE _ 9-IL-76
CITY O F----- ' a r — --- -- ---
/ PPI ICATION FCR SEWER CONNECTION PERMIT
OWNER:
- ----------AL3*i a._Oa�calrmen r.❑. —----
OWNER'S ADDRESS:
STREET
cITV
NATE ----- - —_-- ZIP —�
BUILDING SITE: LOT--349---_.._- BLOCK __.__- ---__ ADDITION
TAX LOT LOT N0. TYPE OF OCCUPANCY r es d.Pgr-- —_ .
ADDRESS -- 15657 Std__Summerfield gene_ _DWELLING UNITS UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE __-__—.-.___._— — - _-_--------
PERMIT FEE -575. 00— INSPECTION FEE TOTAL DEPOSITED
(Nr - (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and reg ,ations of the Unified Suwdra.'a Agency.
APPLICANT ? -�5.t� � -------_ .._.
SEWER PERMIT
THIS PERMIT AUTH0" IZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE . _ ,... -- _-- -- -._. INSTALLER
RECEIVED BY___- _�� � ' / ' • C�
(AGENCY OR 11S AGENT)
COMMENTS:.. ..-
$25. 00 Insp. free paid July 16, 1976
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
a
I _
i
,
I
�- r2.
�1►al'�4-
C;' f 'ot'C Mectanieo' 11ermit �o PermiR r,00
i Fee
'4ew !nsta!Iation ❑ Replace 0Relocat�Jn r' Addition A!tera':or, _
-�TOTAL
0E � J goaLl rA1i- Q2.
FiQ7RESS�^ yC WORK ADDRE�o
PHONE1056— 005a005a,:"� AP'LICANT ' Z S
Per H '` Vent SizeFlue Sae _
Heat input Rating (BTU �r2r�''�"''
FUEL OIL GAS ELECT ❑ OTHER --
ITEM NO. FEE ITEM NO. 4-EE
For !ssjance of Permit 3.00 rr Over 50 _ 25.00
Nt-;;- Under 100.000 BTU 4AO }—_Air HaMlinc 10. ,Nt 3.0C
New - Over 100,000 BTU 5.013 Air Handling Over ,v 0000 CFM i5.00
Floor Furoate 0 Eva rative Cooler 3• ti
Wal. - Floor - Suspended
4.h*? f Vent Fan i 2 M
!nstall Vents 2.00 11 Vent System - i 3.0(
Repair- neat a a.Ot?Iing �{ 4.00 I, Hood 3.00
'3eilers Under 3 HP 4.00 1 Domestic Incinerator 5.x
Boilers 3 to 15 HP 7.50 Com-n. incinerator 2O•x
Boilers 15 to 30 HP 10.00 Other Not Listed 3.00
Boilers 30 to 50 HP �5.1-'!3
INSF_ TOROS COMMENTS.
CITY BllSI1tESS LI SE R,EQ::IRED FCR-ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE-� IS:.jco BY OAT--
RECEIPT 110. '
771 S,,natura a r1p .can:
t� ;
'(;;:'.ti7�'f'.�'7��i�;',^"p°',"r!";�9y+�v`j'�!�R""�.M,?ll'C�'7`�r,,-�^rco_;,:-a�T��!",4'F9�Ft:,r•'�'���='�`g'.,,y..�lV"'"�"�Nr'"`a.:'�r++.�r wertia��ty0931
Tw �i.�My.�.�nie►,.
C?
DBUILDING ? R CITY o F
—_. 19__.1\°
U C PERMIT APPLICATION TIC ARD DATE---. ....
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—
s"b:. c i.G. ..�J fT19ti! I'I6�1 1
OWNER _ _ ADDRESS -�--�1 DEERRHONE
ENGINEER��--�Z-L -� r-rte
BUILDER ARCHITECT DESIGNER
.ST RU(7TURIL_ ONEW ❑REMODEL — ❑ADDITION ❑REPAIR _ ❑RENEWAL —❑FIRE DAMAGE ❑DEMOLITION
❑ RES40ENCE ❑COMM DEDUCPTIONAL ❑GOV'T ❑RELIGIOUS GPATIO ❑CAR PORT ❑GARAGE ❑STORAGE IJSLAB ❑FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUI Y—LAND''' r-ZONE— __BLDG.TY'E v FIRE ZONE PLAN CHECK BY---S—TW HEAT
awf, ;1)a 1002b41 I1 nd fir. Job #5349 MK 22
- sq. ft. fro-mo till®1 frig w/, ; to shed gar%ye 2 bedroom 2 Usth -
/z)(n,3 G 9/EYP 17
QAC,LOAD FLOOR LOAD HEIGHT NO.STORIES , AREA 12Z� VALUE 24
a -- 1' 1 1
BUILDING DEPF.RTMENT $ET BACKS FRONT REAR LEFT LIDE 'y RIGHT SIDE
Permit 11x*or -- —�—
Plan Check [��QQ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND At APPLICABLE CODES AND ORDINANCES, ANU IT IS HEREBY AGREED THAT THE
WORK WILT_ AE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND ON COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. TF+ ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. COPATRACTOR AND H CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State 3.66 LICFNSE. SEPARATE PERMITS ' SQUIRED FbR SF VER, PLUMBING AND HEATING.
Tr tat 125,6 59werr Xnspe ;i!i3O0
-- APPb NT OR AGENT
- --- –
Approved - Receipt No.
ADO S_ 141ONF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING GATE
Contractor ---
_ G Z — -- ---- -- - Permit No. -S 3G rs 5V8�/L
�!
Rough-in
Fixture
Final
7 6 pZc� HEATING
Contractor
O 1 Permit
Gas or Oil
Roush-in _- ----_ —
Final
-- - -- -- -- ——
SEWER
Final
—. -- DRIVEWAY
Final
Storm Drainage
--- —_ — (Rain Drain) Final
Sidewalk °1-�1•l(e LC
Curb&Street Final
Approach,
BLDG.DEPT. FI TEMPORARY CEFITIFICATE OCCUPANCY
6 CERTIFICATE OCCUPANCY Final
�.- Landscaping
/ Zoning Final
0 -- 0- -- - 0- — I
CITY Or
BUIL IG PERMIT APPL.►OATION TIGARD 1 9 N°
THE UNDERSIG"iED HEREBY APP' IES FOR A PERMIT FOR THE WORK HEREIN INDICATED ,
OR AS SHOWN AND APPROVEC !N THE ACCOMPANYING PLANS AND SPECIFICATIONS_ OWNER PHONE �
tr
ADDRESS LsfLj� S6MM RU'' DER'PHONE
ENGINE[F1
SUILOFFI ,,.+r ARCHITkCT DESIGNER
STRUCTURE ZNEW ❑REMODEL El ADDITION C1 REPAIR ❑RENEWrrAL ❑FIRE DAMAGE rf�� ❑DENIOLITION
;R RESIDENCE ❑CO►-M ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO ❑CAR PORT OCIGARAGE STORAGE LJSLAB ❑FENCE
OFIOND 0movING (:]CONDITIONAL USE ❑DESIGNREVIFW ❑COUNC!LAPPROVED ❑SIG.Ji
OCCUPANCY-LANO USE ZONE BLDG TYPE _FInE ZONE PLAN CHECK 9Y.—E-'7 L(- HEAT i
.G'✓�C/ /DGt rj S _- S z;-
L L �
�
Mr. LOAD FLOOR LOAD HEIGHT NO.STORIES / AREA VALUEg:-,
I:UI+.CN'JG D[^.1RTb1[N�—t SET BACKS FRONT 10' REAR 1 LEFT SiDt 1 RIGHT SIDE ij
FPI
THIS PERMIT IS ISSUED SUQJECT TO TIIE R[GULATIONS CONTAINED IN TFIE RUILLL)ING CODE, ZONING
PLin Chcr.!< a d D REGULATIONS AND ALL APPLICAM E CODES AND ORDINANCES, AND IT IS FIEREBY AGREED THAT THE
WORK WILL QF: DONE_ IN ACCORD/:+.CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording — ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRfCTIVE COVENANTS. COPI1-IIACTOR AND SUR COfJTRACTORS TO HAVE CURRENT CITY BUSIN[SS
State LICENSE. SEPARATE PERMITS REOUMEU FOR SEWER, PLUMBING AND HEATING.
Tota!
(3v
Receipt No.
APPLICANT OR AGENT ,
/',pproved I � TI> G
ADONESS PHONE
/