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15691 SW SUMMERFIELD LANE-1 W -- 15691 SW SUMMERFIELD LANE ro c J •-i m N N E F_ 7 V) 3 Ln .-1 I ' n J �'1 ��:� 1:\� o�-�♦ � J ♦ ♦ ♦,,,tee 6 `�• � ;'9 �♦ ♦ .r ♦ o a" OF O > 0. nli4z C TY OF TIGARD OREGON f' Ovt�tter' T •D. ' • _ ....Permit No. 125�i " .`' 1` 691...SW...Summerfield, . a ............ Building Address .. . . ...... ..... . . 1,. �.e.... LAf~ it • Certificate is hereby, given this. .N........ndy Of..aun.a................. 14..7.7. that Said building may he occupied and that it complies with all requirements of the Building Code for the City of Tigard, +• as approved by the Ti and City Council. o, rI................. ,, .tP A•;,, Building lnsp-aor I y' „y. ri1 1'd' 4P, FN Oty of Tigard INSPECTION REQUES T for rze- cj4-- IN8PECTION TIME: �� PERMIT NO. . DATE: - DATE ISSUED : Z OWNERS NAME : ADDRESS: Cer CONTRACTOR : _ TEST : Air Cl, Water[] , Vittualild Laboratory p RESULT: Approved (� , Disapproved C SKETCH, i i INSPE$;TORA� TE NOTE: Attach fupplemental teat d to berpto� 1911H E. REI;u,hRDT PILI"DING, INC,RUILDING DEPARTMENT, TIGARD P. II. uun I19 PLUMBING PERMIT NO. NEi,16Ef10, D"E.GON 91132 holder of a valid oiumbing contractors license is hereby authorized to cause'p!umbing wor!� as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by tite City Inspector who shall be notified not lesF, than four (4) hours prior to the time the insiallacions are ready fol; inspection. City of Tigard Business License required for all cuvactors and sub-contraciors ;; Address �l�ar -• NUMBER OF TOTAL PERMIT NO.'S TYPE OF PFAM1T _ ITEMS FEE ON EACH AMOUNT (Office Use nniy) -B_UJp E N T I A L Sinq!t: FemilY 1 beth—each _— � 25.00 1 -—Duplex—Each 1 bin uni;� — 25.00 Additionelbethrooms—each !_tab"e Nome Space—each 15 00 — INUIVIDUAL FIXTURE FEES_ "- --- __ 1 to 50 Flxtures in 1 building—esch3.00 — 51 to 10U Fixtures in_1 building—each 2.50 -- 1G r to 200 Fixtures in 1 buildin9_each 2.00 201 or more Fixtures in 1 buiidln2—each _ ~— 50 N MISCELLANEOUS_ - -Building Sewer--1st 50 ft. -i 10.00 SeWPr—each additional 100 ft. 10.00 Water Service to building— 5.00 __Private Water Svsterns-•earls 100 ft. _ Y 1000 _ ---- O her iSpoclfv�; - — — — ----- —_. _— PERMIT For Plumbing In,.Wection Phone 6994191 � 3% State ! Plumbing Contractor By TOT/1L (' � RECEIPT NO. issued By ��a�.� ; Mechanical . erm' ��aPermit New 'ns ais,r'on 1!J F1ep!ace ❑ Relocation r' Addition L] Alteration ❑ - - re ��00- ��^" TOTA_ CONTRACTOv CS i.r AILaI.4_ �'�v �� - �� OWNER ADDRESS �� `� WORK ADDRESS i .(► e— PHONE �S-rte- -- 9M 3� APPLICANT At-,- �F� r," Heat Input Rating {BTU ;- ru='.ECT HH r' \+'Or�c� `lent Sitz S _ P',-,e Size FUEL OIL ❑ GAS ❑ OTHER ITEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.00 3uilers Over 50 HP 25.00 New- Under 100,000 STI 4.00 Air Handling 10,000 CFM �` 3.0C New- Over 100,000 BTU 5.00 Air Hand!ing Over 10,000 CFM i 5.0c Flcor Furnace ! i 4.00 Eva rative Cooler 3.0C Wr.!l - Floor - Suspended 4.00 ! Vent Fan 2,Q; Irt:-,tall Vents I x.00 Vent 3ystem { 3,0( Repair- He: t & Cooling 4.00 II Hood T3,0( '3oik7s Under?. HP I 4.00 E Domest-e Incinerator 5.0C Boiler: 3 to '15 HP 7.50 C,mm. Incinerator Boilers 15 to 30 HP X10..001 lnu.ar Not :.fisted { 3.0C Boilers 30 to 50 HP I t 15.00 ;; 1 INSPECTOn'S COMMENTS. CITY BUSINESS L SE REQUIRED FOR-ALL CONTRACTORS 03 SU3-CONTRACTORS APPROVE,-, 8Y DATE _ ISSUED BY D TF RECEIPT NO. rrt S"maturs of App', nt t y ! r{7 • 7 1 UNIFIL- D SEWERAGE= AGENCY Ivo. 11611 !NALS H I NGTON COUNTY DATE CITY OF_ Tigard APPLICATION FOR SEWER CONNECTION PEHIMIT OWNER: T.D.iC. OWNER'S ADDRESS: STREET CITY STATE ,it BUILDING SITE: LO i 352 - BLOCK __ _-__ ADDITION TAX LOT NO. —_ __ _. __.. i-YPE OF OCCUPANCY residence ADDRESS ___ 15691 SW SYmlerfId Lase DWELLING UNITS- - -1_ _..__ FIXTURE UNITS SURCHARGE IF .;PPLICABLE PERMIT FEF_ 575.•.. - - INSPECTION FEE __25'____ TOTAI DEPOSITED 600. IflE-W (EXISTING) BUILDING SEWER SYSTEM . _ Fanno Creek _ hhe Applicant agrt:­ comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT ^► �� � � :_. SEWER PERMIT TNIq PERMIT AUTHORIZES CONNECTION TO TI-E SEWER SYSTEM. LINE SIZE - - _--- ------- INSTALLER --------------— ---- - — RECEIVED BY, ��-�c�dl� t_ _A.-:�t .c_. (AGENCY OR ITS AGENT) // y COMMENTS:- -Bldg.- #1254 This Application and permit expires in one hundrea and twerry (120) days. The amount paid will bp forfeited shoLld expiration occur. ,... 1. , WILDING PERMIT APPLICATION CUF TIGAR© DATE t•17•77 111�� 1 H UNDF9SIGNED HEREBY APPLIES FOR APERMiT FOR THE WORK HCREIN INDICATED BUILDER PHONE OR SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATiONSL OWNER PHONE LOT NO. _ OWNER i _ JOB ADDRESS 136fU W ;umerf ield `"l NOME:ADDRESS —ARCHITECT BUIL,D1'RIFa{tAt ENGINEER ADDRESS r-t DESIGNER r-� STRUC_TUPE "©NEW _ 0REMODEL [I ADDITION ❑REPAIR DRENEWAL ❑FIRE DAMAGE DDEMOLITION_ RESIDENCE ❑C--OMM UEDUCATIONAL EIGOV'T ❑RELIC )USOPATIO ❑CARPORT 0GAHAUE ❑STORAGE SLAB ❑FENCE CBOND L. -00VING ❑CONDITIONAL USE C1 DESIGN REVIEW QC�IUNC-L All-ROVED — ❑S-;NS CCUPANCY 1 -LAND USE ZONE__ � 1 BLDG.TYPE --__FIRE ZONE— PLAN CHECK BY_ HEAT"" 02 W*,'`' 14-Issue, saint. Llai 15381 SW SwRMvfX*1d Line 1-rime t.� __-- w.1th alt,tsched I.QAD FLOOajIQALL HE1Gt11 T_ ;� Q,STORIES-___1-�A_14911 1VQ-jE� �OPAS-- ALUE BUILDING DEPARTMENt — SETBACKS FRC.)N1 REAP, LEFT SIDE RIGHT SIDE Permit A THIS PERMIT 19 ISSUED SLIBJECT TO THE REGULATIONS CONTAINED IN THE OUILDING CCDE, ZONING Plan Check (( .0/i-I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 V; HLREbY AGREED THAT THE — WORK WILL SE DONE IN ACCORDANCE WITH THE PLANS AND SPEC'IFICA1 I `,�z AND IN:;OMDLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDIN ,NCES. THE ISSUANrF OF TMS PLRMIT DOES NOT WAIVE '- RESTRICTIVE COVENANTS. CONTRACT'-n AND SUB CONTRACTORS TO HAI/E CURRENT CIT'' ^,PSINESS State Tax 4_118 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWFR, PLUMBING, ANO 1IE11 rINu. Total — By • ----- -- A-( ICANT OR AGENT Approved Receipt No. A DRESS DATE INSP. TYPE INSPECTION w REMARKS PLUMBING DATE i Contractor Permit No. ( 7 -77 Fixture HEATING Contractor - I=10 -A A-A.ig-e. Permit No. �7 Gas or 011 r:n :�L) Roafln X3177 1 1 Co:JLP,t.,, Final 6,12a J71 Et/yAL DRIVEWAY Storm Drainage (Rain Drain) Final Sidewalk-------- F S F F Storm Final a a- DR- —SEWER Drainage'n, [, m ,a.n I (Rain Drain)k Curb&Street Final A roach ?7 tilDG0FPT FINAI, TEMPORARY CER i IFICATE OCZUPANCY CERTIFICATE OCCUPANCY Final Landscaping r Zoning Final GULL IG PERMIT APPLICATION 7 IGAIZQ L �- `�_, ,q_. N12 i THE UNDERSIGNED HEAEOV APPLIES FOR APE RMIT FOR THE WORK HEREIN IND ILATE OR AS SHOWN AND A1°"ROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. DWNER PHONE G' Q J_ �Qvl-� ADnHESs U 1��d�s1 BUILDFr, PHurvE ENGINEER liL'II pFp ARCHITECT DESIGNER ��SST{{Rt'CTURE 91-FW U REMODEL ❑ADDITION Cl REPAIR ❑RENEWAL ;JFIRE DAMAGE ❑DEMOLITION :K RESIDENCE ❑CCMba ❑EDUCATIIOONAL ❑GOV'T ❑RFLIGICUS LIPATIO ❑CF','1 PORT EG i9AGE ❑ STORAGE❑SLAG ❑.=ENCS _—QFlo ND_ ❑MOVING ChONDITIONAL USC ❑DESICN REVIEW ❑COUNC.LA?PROVE ❑SIGNS OCCUPANiCY:L�-!_AND U;C 70NE-_ _—BLDG.TY'C _FIRC 7.ON a_ PLAN CHECK BY L` HEAT 'T c 9(.C. LOADFLOOR LOAD HEIGHT NO STORIES J AREA /4)(r_)jj6 VA'- BUILDING DEPARTMENT SET BACK., F')ON'r � ± PEAR 1 � N � i! —____ _ – LEFT SlD� J ry �' RIGHT Slot_ Pcrmi; r _ -f X THIS PERMIT la ISSUED SU13JECT TO THE REGULATIONS CONTAINED IN THEBUILDING CODE, ZONINu REGULATIONS ANu ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIrICATIONS AND IN COMPLIANCE WITH Recording ALL AP^LICABLE "ODES AND ORDINANCES. i AE ISSUANCE OF '-HIS PERMIT DOES NOT WAIVE RESTRICTIVE COVE. '%NTS, CON T IIACTOR AND SUB CONTRACTOR, 1`0 HAVE CURRENT CITY BUSINESS _ICENSE. SEPARATE F=RMI TS REQUIRED FOR SEWER, PLUNIBiNC AND HEATING. FT_fly n' v 1 - A.- APPLICANT OR NT A)roved !i I Receipt No. . _ C _ ADOFIESS Ss c__ a51 .� :5-75 .o0 9 50- 3 ADDHFSS �.��u PERMIT NO. _ PERMIT CHARGE none OWNER CONNECTION FEE PAID BY TYPE CF BUILDING DATE CONNECTED SFRUICL RATE /rY INSPECTION FEE CONTRACTOR PAID BY DATE SIZE OF CONNECTION ASSESSMENT PAID