9195 SW SUMMERFIELD COURT WilLi
SW SUMMLRP'1GLL COURT
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CITY OF TIGAR:a 'Vta
OREGON
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Owner: .................. ......................... Permit No. .151-4,.. -•.
I, I Building Address.....9195 51,1.-- ummerf.iel d: C. .,.. _..1.�►.1i.. 425.._......._.........
Certificate is hereby given this....3.0........day of....R.Qrsmb.e.r.......... 19.....7.7..
I.9 �
that said building may be occupied-: and
�.� that it complies with all requirements of
the Building Code for the City of Tigard;
l
as approved by the Tigard City Council:
............ .
Building inspector ,
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Arldros8 ...�1151_yw�� .25�€_%��»�d�L ��, ��,;•r,l.i � rl�, /��rl�
P r r rii i t r,ha r. rj v .�4✓3�7�_�I'll! I PT' _..._��.�:.1�- ..Ste' ._ �. _. .._. G n n n r~r,t i o n f o-a
_...._ Paid b y J.
Typo (,)F t-luildinr" [)al is cnnnt_Ictnrl ..._ ......_.
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r i is i•n r,t n r .y..._. ,. ____..�____�_._.__._
Paid b y
�i].7r? C)p C'.rif111oc-Li.on A S S nS SM nI-)t Paid
ty of Tigzard
Mechanical 'ermcit �Permit
o
$3.00
Fee .41
'`Jew installation V Replace ❑ Relocation, ❑ Addition ❑ Alteration ❑ - —
TOTAL `7,268
CONTRACTOR fg;: rZ 'l"A-.�'L t-0 t Is, C. OWNER t u u �y
ADDRESS �m}C ��. �LAC+GJ4A.-� WORK ADDRESS — r CC.or 'Z��j
PHONE r,
_ C"A C M 2j�, APPLICANT ^
Neat !-,.put F1'e-r6o (STt1 ;-7iLECT
rnO. !,"nVent Size Flue SizeFUEL OIL C3GA; ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
n=or issuance of Permit 3.00 Boilers Over 50 HP 25.00
New- Under 100,W0 BTU 4.00 Air Handling 10,000 CFM 3.,-C
New- Over 100 000 BTU 5.00 Air Handling Over 10,000 CFM 5.0c
Floor Fumace } 4.00 Evaporative Cooler
Wall - Floor - Suspended 4.00 I Vent Fan 2.0C
Insta!I Vents 1 2-00 I Vent System 3.0{
R ;r- Heat & Coofing 4.00 Hood
9oilers Under 3 HP 4.00 Domestic Incinerator 5.^{
Boiler 3 to 15 HP j 7.50 Comm, Incinerator 20.0{
Swim 15 to 20 HP 10.00 ' Other Not Listed i 3.0{
Boilers 30 to 50 HP i 15.00 f
INSPECTOR'S COMMENTS-
Z4CITY BUSINESS LICENSE REQUIRED FOR-ALL CONTRACTORS CR SUB-CONTRACTORS
APPROVED SY DATE _ ISSUED BY DATE
RECEIPT NO.
774 Sirature of Appli nt , "t _ —��
BUILDING DEPARTMENT, TIGARD
JOHN E.REIttNARDi PIUMBINC,IP►C, ra0.
P. Q. BDX 119 PLUMBING PERMIT
_ NEWBERG, HIM 91132 r� holder of a valid plumbing contractors license is hereby
authorized to cause 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 ihall be notified not less than foix
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all con. ctors and sub-conntt)ra�',ctors/ �,�,
Owner — e !rL /t -, Ze (�� Addce>�� �� !�- r x <<[�Dater
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACIf AMOUNT (Office Use O-,ly)
_11Ji SIDENTtAL S _- — ----•—
fingle Femlly-1 beth—each _ 25.00 �)
[Duplex—Each 1 both unit 25.00
Additional bathrooms--each _ r __ 10.00
Mobile Home Spoce—aoctl _ 15•00 _
INDIVIDUAL FIXTURE FEES
1 to 60 Flxxuros In 1 building—each- _ 3.00
51 to 00 Fixturei in 1 building—each 2.50
i01 to 2VO Fixtures In 1 building.—each _ �— 2.00 _•_„
201 or mo �t Fixtures in 1 building—each _ 1.50
MISCELLANEOUS --_—
Bullding Sewor-1st 50 ff. _ ?0.00
Sewstr Beach alditionol luo ft. 1000
Water Service to building 5.00
Private Water Sy,Tternt—each 04 ft. i 10.00 _
Other ISggcifv):
PERWT For Plumbing Inspection Phone 639.4191
96 filet@ Plumbing Contractor By
TOTAL �� `� RECEIPT NO. Issued By
I
City of -Tigard
INSPECTION REQUES
i
for
SPI=CTION TIME: �. PERMIT NO. :
DAT E : Z2t'? D AT C ISSUED :_ __L_L___.
WNERS NAME ' __
ADDRESS: _.._Lam-
)N TRACTOR ��L'�_�_ _.-.-.
ST ' Air D, Water p , vitiuol [I , l abcrntory 0
ESULT '. Approved,EJ\,Disapproved C Pending D
SKETCH:
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IN ECTORM DATE
COTE: Attach supplemental test data h*rotal
1
16-
SEWER PERMIT W 13408
,. _J19
Unified Sewerage Agency 6 14-?7
of Washington County C I TY OF Ty � DATE _+_=
OWNER : T.O.C. ._ _ �.
PHONE : 539-3101
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
kj BUILDING SEWER LJBU:LDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
®NEW ❑ SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MOLT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS _ 1
PERMIT CONDITIONS: THE APPLICANT AGREES 'i0 COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR ,
FEES:
PERMIT FEE E 2.5
CONNECTION CHARGE 571;_
SIDE SEWER INSTALLATION _ , `� � '•� ^�-
ISSUBY
OTHER,
TOTAL $ h o n-_____
A PLICANI DATE
SEWER PERMIT N' 13408
ADDRESS OF STRUCTURE 9195 SW Summerfield Ct. — _
TAX MAP TAX LOT SYSTEM fanno c.-eek
LOT 425 -- BLOCK _ OF_
APPROVED BY DATE_ ISSUED,AY DATE
REMARKS_ bldg. _1514 _ __
CITY OF TIGA tD
ORDINANCE #77-26
STREET SYSTEM OEVEL-OPMCNT CHARGE
DATE : 6-14-77 ESTIMATED SALES PRICE 5 491000.
APPLICANT NAME T•D.C• _ TELEPHONE #±39-3101
JOB ADDRESS9195 SW `urnmerfield Ct. BLDG. PERMIT 1514
AMOUNT OF FEE FOR S . D.
DESCRIPTION OF IMPROVEMENT _q ng I A
EXEMPTI7NS -PER ORDINA?.'CE r 77-26
FEE RATES:
A. Single family dwelling unit under 560, O90.- - _....__.__ $300. 00
9. Single family dwelling unit over 51400. 00
C. Plohi.le Home Court Space (Now Development.)-- X150. 00
D. Multi-Family Dewllings-•-per unit------------------- 5240.00
E . Commercial , Industrial & Institutional(Park. Space) $ 50. 00 each
F. Single family unit under x,40, 000. •------------------ $2.50. 00
t
BUILDING PERMIT APPLICATION cOF TI�ARD DATE__ -�.fl-7a f
39-3101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERPHONE
LOT NO..
OWNER jj ( . JOB ADDRESS ul11`10101 f t v K k1dw*ADDRESS
ARCHITECT
sAmw ENGINEER
SUP-DER ADDRESS T_ 13LSIGNER
STRUCTURE X"BAIFW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRL DAMAGE ❑DEMOLITION
0"SIDENCE ❑CJMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MoVING ❑COND'TIONAI.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
t.I.
OCCUPANCY-1—LAPID USE 20hE BLDG.TYPE`__FIRE ZONE PLAN CHECK BY HJ HEAT_•;
LF�a 425 IIIA 400 re—issue same as 94101 51,! SUmmerfiedl Or.
frmmvi r_3L.rEB1 n6w/a a -hrLdd _ jraQ 2.__U*dkauj 2 bAU'L _--
OCG,LQA2 FjQQR LQA_QHEIGHT -_ _.CLQ.STORIES L _,_..AD�A4rJI� NO.BEDL?OpMS Z VALUE 2911500•
BUILDING DEPARTMENT SET BACKS FRONT REAR _LEFT SIDE RIGHT SIDE
Permit 1,17,00 _
PHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1(]�P [I REGULATIONS AND Al L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
----- WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APF'LICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4,1). LIrENSE SEPARATE UPPERMITS REQUlpfp FOR EfE}L6*UQt81NG AND HEATING.
Total 4L.11: A �I ��y
By
-� ------ APP CANT OR AGENT
Approved 1 Receipt No.
L AD 55
.... .. -�.............wd.au�... .n_.....�:.. �wiw+...�.+...,:r...u..1r.+r..:r.twa :,.,...,y...::-:.r...uA:.u..«.aL.:rwrrw..:�.wr;.x....................,,.......... _....:,..,,.....4...1.v.:swLrwlW.raM:i.iw.+rlwk.w,.i-...».»._.w.,.....
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
6 23 ^Ij ,n _ -- Permit No..060 36
-.A Rough-in _
6 ? Q $ cuCYI Fixture
Final —_ —
HEATING
Contractor
Permit No.W
Gas or Oil
Rough-in
Final
SEWER
--- -- ---— _ — Final
_- ---- -- --- ---- — -- DRIVEWAY
Final
Storm Drainage ____
(Rair• Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPT, FINAL.' — TEMPORARY CERTIFICATE OCCUPANCY
--- --
CERTIFICATE OCCUPANCY Final
Landscaping f
Zoning Final `
LUIL IG PERMIT APPLICATION '_- ' . � c ro �
T,-►E Ut-IDEnSIGNEO HERESY APPLIES FOR A PEnkIIT FOR THE WO'K HEnEIN INDICATED
011 AS SHOWN AND APPROVED IN THE ACC01wWANYING PLANS AND SPECIFICATIONS. OWNER PHCNE-
r-
c:y_ tl�c�la�t'nL1Yp vc1�'�nnnREss QlQSS L�� �, .� _ �
•� mm .e4d nUILnrn rmo„It:”
ENGINEXR
RU'O-CP ARr}IITFCi DrSIGVr R
rr-�:UCT ;nE ❑RE•',+.ODCL ❑ADDITION ❑nEPAin ❑RENEWAL ❑;:inC- DAMIAGE ❑DEMIOUTION
tkfF1ES:DENCC :DCOtU'•_i 71—EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAG ❑PNCE
tJtION_o = - MOVING ❑CONDITIONAL USE ❑O51G
EN Rf_VtC1hJ -- � — r
_ ❑COUNCIL APPROVED ❑SIGN,,
LT PAN USE 7.ONF___�_ OLDG.TYPE FI lE ZONr-,- PLAN CHECK OY HEAT__
1! J 4 GC �C_-�ss ��' �Z►�� Q v I�� ^
d,
'2': ' ()n0 FLOOR LOAD HEIGHT NO.STORIES— �� ARE/ �'I ! VALUE �
IIU!LDING DLPAIiThlrr;r TNISCT RACKS FRONT f
-�'-- r CAFl ! LEFT;In S' n -
Check
` S PznNtIT IS ISSUED SUQJECT TO TF-I�'REC-.GULATIONS CONTAINED IN THE BUILDING CODE, MINING
tf REGULATIONS AND ALL APPLICABLE CODES AI-.'D ORDINANCES, AND IT IS HEPEnY AGREED THAT THE
WORK WILL RE DONE IN ACCORDAm:E WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
I Nccordin+; ALL APPLICAQLE CODES AND 011L'INANCCS. Till: iSSU ANCE- OF THIS PERMIT DOLS NOT WAIVE
- --`� RESTRICTIVE COVCMANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY GUSiNES£
LICENSE. SEPARATE PLHN11TS REQUIRED FOR SE AER, PLU&!:IING AND HEATING.
Crel
nl'PL C:.NT Oit it' F
ovel iccct `�c.
SeAUunL;ti PHOr:E
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