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9410 SW SUMMERFIELD DRIVE r �M 9416 SW SUMMERFIELD DRIVE t� n v ai w N E E �n cn 0 rn nr� �QJ f +� N ht moi! •�� J �., • sn _.� n , .�� r : �."II OF OC j CITY OF "JIGARD ej- (OREGON • Owner:..Tualatin. Dr1i:...Go•.... .... Permit No 1187 i Buildin . Lot #359........... ` Certificate is hereby given thi=.....5th.....day of..MPY....................... l. ...?�. that said building may be occupied and i• t}.at it complies with all requirements of _ k the Building Code for the City of Tigard, �+3 s[ as approved by the Tigard City Council. � C ) �--- y i . :' Building Inspector City of Tigard INSPECTION REQUEST for INSPECTIO+"� TVIE —6t PERMIT NO. : ., BATE: IY/77- DATE. ISSUED-.—.4- OWNERS NAME : ADDRESS ' 419,1 CONTRACTOR :,q, ,�, ,�-'- TEST' Air [I, Water View] Laboratory Lj RESUU ' Approved Disapproved 0 , Pending .3 SKETCH b16- &07- F1t4cf- TZ) 1 INSPECTOR DATE EMOTE Attach supplemental test data heretil w 7 rim I I I City of Tigard INSPECTION REQUEST for IINSPECTION TIME " 3v PERMIT NO. : DATE: DATE ISSUED: ...LL_ OWNERS NAME . ADDRESS : CONTRACTOR : TEST. Air 0, Water [j , Visual Laboratory p RESULT: Approved , Disapproved ❑ Pending rj SKETCH: i I I I i S 77 INSPECTOR DATE Ir11n',F Atlirh supplemental Isst data h►reto 1 _ r_ City of -Tigard INSPECTION REQUEST for INSPECTION TIME: dg; +" PERMIT NO. :-- DATE ' _Z,_A�7 DATE ISSUED :_ I Z OWNERS NAME : ADDRESS: - CONTRACTOR : .-----------..------ TEST * Air D, Wot*rD , Visual Il , Laboratory [] RESULT: Apl;rnved 13 Disapproved Pending L] SKETCH: A INSPECTOR DATE 5OTE Attach supplemental test dot a h*r f to 4 % PR1V W 1 I Cil; of Tigard INSPECTION RE011 EST for — � I�]t1V,>r-ul►�x `�� 1'fklzTtl4-c. INSPECTION TIME :_. ►bl ' PERMIT NO.' _. DATE: = r DATE I SSUED'_.LL OWNERS NAME : ,�...:I ADDRESS : ri7 Fjq _, a tu. I C 0 N T R A C T 0 R 61 f TEST* Air ❑, Water F! , Vinual, , Laboratory ❑ RESULT: Approved , Disapproved ❑ Pending SKETCH: 49-4- A ' I I INSPECTOR DATE rNOTE Attach supplemental test date hersto ( 1 C: +y Of Tigard Mech7n,ca' Permit Permit .00 ,.,� Fee t#-•� _ New Installation W Replace ❑ Reloeat'son Addition A!tera�:on ❑ - -- TOTAL AI CONTRACTORQ-tt:.r-Lt s.- OWN EI tVA-4--,S�iJ LLoJQLA M9&Ji Co. (kic'. ADDRESS WORK ADDRESSC:�!4(d S CU. ".-AJAW 1ECJ0 OR..(1.e T' SS9 Y PHONE 65 S(., —© : APPLICANT . _ �SAFE Heat Input Raying (BTU Per H1 ^n�_ Vent S;ze S" " ' Flue Size - FUEL OIL ❑ GAS ELECT C'i OTHER ITEM N'C.3. FEE ITEM NO. FFE For Nuance of Permit 3.00 R 3ui,e:s Over 50 HP 2,.00 New- Under 100,000 BTU 4.00 Air H3MIinu 10,000 CFM I 3.00 New - Over 100,000 BTU 5.00 Air Hand!ina Over 10.000 CFM i 5.0C Floor Furnace ! 4.00 EvaMrative Cooler 3.00 Wa!! - Floor- Suspended ' 4.00 A Vent Fan ! 2 OC !nst911 Vents 1. 2.00 i. Vent System 3.00 Repair- Her. & Cooling ; 4.00 Hood + 3.00 Boi!ers Under 3 HP 4.00 Domestic Incinemor ! S.00 Boilers 3 to 15 HP E 7.50 Comm. Incinerator 20.00 Swim 15 to 311 HP . 10.00 Other Not Listed 3.0t 3o;lers 30 to EO HP i i 15.00 ! INSPECTOR'S COMMENTS CIS' BUISINESS LICEN -- 41:C31!1RED FOR-ALL CONTRAE,=RS OR SUB-CONTRACTORS APPROVED BY DATE 1.3"UED BY DATE RECEIPT NO. 774 Si,nat--irs of App':p nt aK m w 1 City of Tigard INSPECTION I RE�?lJ E.� T for INSPECTION TIME: PERMIT NO. : ----. DATE: --2 1?"I>6 DATE ISSUED '.—.—/--J-- OWNERS SSUED :_.-/_LOWNERS NAME ; , ADDRESS: X,7 CONTRACTOR : _�`J/� .S ���v, ,r, , ���' i-) ae_. rEST : Air 0, Water[ Visual �' , Laboratory Cry RESULT: Approved L3 , Disapprove! C Pending 11 I SKETCH. �� I I i I I I I INS ECTOR BATE 50TE: Attoch suoplementol test doto Fereta� I ME I IOHH E. RE111190D1 Plti`4BiK5, t;13UILUWG DEPAR f N1EN1 , TIGARD NO P, 0. GOY, 111 PLUMBING PERMITI--- NEIY"Ef�, hoAer 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 installaticns require inspection by the City Hspector who shall be notified not less than four ,4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Address_ ' /� C Li '�Uate_ '.2 NUMBER OF TOTAL. PERMIT NO.%; TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT w (Office Uta Only) Sin to Family-1 both—each _ ✓_ 25.00 S 'LJG�— DDuplex—Ench 1 bath unit` _ 2500 Additional bathrooms—each 10.00 1L7 Mobile Home Space—each _ _ 15.00 1 INDIVIDUAL FIXTURE FEES ------ 1 to 50 Flxtura�in 1 building—each 3.00 51 to 100 Fixtures in 1 building--each 2.50 101 to 200 Fixtures in 1 building--Oath 2.00 201 or mato Fixtures in 1 building--cath 1.50 MISCELLANEOUS Ouilding Sewer—ts 50 ft _ 10.00 Sewer—each additional 100 it. _ 10.00 w_ _Water Service to building Y 5.00 Private Wetar Systems—each 100 ftp _ 10.00 _Other (Soetafy): PERMIT _�t;, 0,-) for P,"umhing Inspection Phone 63.9.4191 96 Stats O Plumbing Contractor By '00 411 TOTAL Issued E RECEIPT NCI, y 1 � UNIFIE= D SEWERAGE AGENCY NO. 11012 ___ WASHINGTON COU N rY DATE _ _q r^ajih CITY '�iyard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: . Tualtin Development Co. OWNER'S ADDRESS: -._-- STREET CITY - �- -----.-.-.STATE _ BUILDING SITE: LOT_._354____._. BLOCK -.._. ______ ADDITION TAX LOT NO. TYPE OF OCCUPANCY ADDRESS 9410 S.U. Summerfield Drive DWELLING UNITS _l._.__..—____ ___._ FIXTURE UMTS - SURCHARGE IF APPLICABLE --- --- ---- - -----------_ - -- - - ----- --- — PERMIT FEE __ _7 -. - INSPECTION FEE __ _— TOTAL DEPOSITED --..--6r (NEW) (E=XISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply w:th all rules and regulations of the Unified Sewerage Agency. APPLICANTC'A-yu,- QQ` --- SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. (.1' L INE SI/E _ INSTALLER _-- RECEIVED BY- C i `-y ._pr Tir_ �r �,��tt.•;G. ` %C; _ (AGENCY OR ITS AGENT) building p�- -!nit 1187 COMMENTS:.----- -- -- - --- This Application and permit expires in one hundred and twenty (120) days. The amount paid will he for ited should expiration occur. 3UiLDINC PERMIT APPLICATION cOF TIGARD DATE n*t. 19A— THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONF I' ' LOlNO. OWNER Tei�� �. --- JOB ADDRESS 9410 S,W• ?Wsxlsl�rfielH.A AfJDRES, — ARCHITECT — ENGINEER BUILDER�i:.:e_i. — ADDRESS — DESIGNER �II1RUCT'URE_ _®NEW ❑REMODEL ❑ADDITION ❑REPAIR_ ❑RENEWAL OF-IRE DAMAGE ❑DEMOLITION 'LJ RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCt ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS CCUPANCY—M.I__LAND USE ZONE ftp BLDG.TYPE : N FIRE ZONE PLAN CHECK BV HEATS`:� .lut 35$ Mt ldNX#bk 106 modal 40Gon3truct d1§0 single family _—_ dw"11ins per plans framo dwelling w/, eragr —_ 3 U(Arrjfsm 2 bath garage 720 sq* ft0 1+ A1Q ,i') 29r71i1 QC4.LOA,ZFLOOR LOAD HEIGHT — NO•$IQRIES ARE_ pQ�$____ VALDE _ _ BUILDING DEPARTMENT SET BACKS FRONT jQv REAR * LEFT SIDE i T RIGHT SIDE- - Permit12,1.ou ----�._.-- ---- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COIF, ZONING Plan Check �� (j REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 17 IS HEREBY AGHEEG THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4011 LICENSE. SEPARATE PERMITS HEOUIRED FOR SEWER, PLUMBING AND HEATING. Total 141011 By au _ — APRL ICANI OR AGENT --�" Approved Receipt No, DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE contractor— Permit(� ( u No. C� 7�/ �S /' "27-X �_. , in _ - Fixture Final —_ BEATING - ontractor _ p ;d S 3/ r Permit Gas or Oil Rou h-in Final SEWER/,30 76 J, Final DRIVEWAY 4C Final Sto,m Drainage _ (Rain Drain) Final _ Sidewalk L G I:V-77 _ Curb&Street Final _ A roach ---s— -- �..✓ 7- �" BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY _ -- — Landscaoing i Zoning Final BUIL .-,L-R IT APPLICA70IV T1GAR- D L '�'� 19 Nzks i T14C UNDE►taIGNED HEAEOY APPLIES FOR A PERMIT FCR TFIE WORI< HERL-IN INDICATED pOil :55q on AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF11-ATIONS. OWNEHPHONc I�1•rNF l ���,, amu. Go• Anonr-ss /ID S U• iiw...a/ �fa� j `!ILn1-n'PHONE ENGINF:C_il 'LQEn Odk�C ARCIIITiCT DFSIGNEII STnUCTURE 9NEW ❑IREMODEL ❑ADDITION C]FIFPAIn QnENEWAL ❑FI!lE DAMAGE ❑CEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T LOnELIG10US❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLA.: ❑FENCE 0II0ND 13F.110VING ❑CONDITIONAL USE hr-SIGN REVIEW ❑COUNCIL APPROVED ❑S!GN3 Orr'UPANCv_ __LAND USE 7.0NF_ _91-17,1G.TYPE s~ FIRE ZONC,5— PLAN CHECK OY 5fAw A (31_11L0AI) F!_OOn LOAn HEIGHT _ — NO. STOFlIES "/Z AnCA�Q G� VALUi Hlltl.t)U•!(;lif!'At_tT!tCNf �p LT S SET nA_CY,^, Fllf)NT /� , RFj1!i E tlf � FlIGIIT SIDE --__ THIS PERMIT IS iSSUED SUOJI=CT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE, ZONING Film Chuck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT !S HEREBY AGREED THAT THE WOnK WILL OF DONE IN ACCOnDAr!CE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORCIPJANCE S. T14E ISSUANCE OF THIS PERI•IIT DOLS NOT WAIVE -- RESTRICTIVE COVENANTS. COPI1-IIAC10F1 AIJD SUn CONTRACTORS TO HAVE CURRENT CITY 11USiNESS 1'{.state LICENSE. SEPARATE PI:HNIITS IIEGU'.,iCD FC+n SEVER, PLUMBING AND HEATING. Total — — 01 APPLICANT On AGENT �i:npruvetl Receipt No. ADDRES5 S cam..•�'+� ,vljjo• Z� '�O At -2V/, e0 Address Permit No. i Permit charge JJ a 17 f— Q.� }� Pwner (I _ Connection fee 575 1 Paid by _ ,, J, kQ (i Type of building ;;� Date connected Service rate �/ � Inspection fee , dJ Contrectui � Paid by _ Date Size of connection Assessment paid