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9670 SW SUMMERFIELD DRIVE
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C� CITY OF TIGARD �y : #
I OREGON ~~
Owner- Summerfield Civic Assoc. Permit No. 3507 �=
• � ; - ;I Address: 10650
SW Summerfield Drive
Building Address:_ 9670 SW Summerfield Drive
_ Occupancy: fel Land Use Zone: R-1 Bldg.Type 5N
Fire Zone:
( Comments: Attached shed.
.1
ulkCertificate is hereby given this 28th day of -April 19 81
- c that said building may rye occupied and that it
complies with all requirements of the Build-
ing Code for the City of Tigard, as approved � �
Aby the Tigard City Council. _
x
uil g Inspector -�• `
Building Official ;
Post Certificate in Conspicuous Place : ` ,
.............
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BUILDING PERMIT APPLICATION TIGARD DATE_—_—_—__ 12f4/ d(l 3507
THE UNDERSIGNED HFREBY APPLIFS FOR A PERMIT FOH Tt-rc WORK HEREIN INDICATED BUILDER PHONE _.620-0131
OR AS SHOWN AND APPROVED IN THL ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP PHONE
r1 r"; I, ' 1. LOT NO. __—
OWNER SumiriF..:rrield CiViC46BADDRES6 9670 .rile Summerfield Drive
�...— — --------- ARCHITECT
ENGINEER
BUILDER .iwnsr ACORESS 106!...0 BW Summerfield (ki IGNER TDC/John Adaoi___
STRUCTURE ❑ NEW ❑ REMODEL — EX ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION P
F.] RESIDENCE ❑ COM_M [I EDUCATIONAL U GOV'T_❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0"IXd6 CI STORAGE C] SLAB❑ FENCE
OCCUPANCY -M.__LAND USE ZONE DLDG.TYPE i_ N_—FIRE ZONE. ="PLAN CHECK BY G W HEAT —
r
Construct 10 X 30 attached shed perylans. _
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT N0.STORIES 1 AREA 300 NO.BEDROOMS VALUI&,'J# :)Uq.
BUILbING DEPART# NT SETBACKS FRONT REAR _ _LEFT SIDE RIGHT SIDE
Permlt—�_ THIS PERMIT 18 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 14.C, WORK WILL. BE DONE IN ACCORDANCE WITH THE PLAN; AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
SUb-total 4,c.(1[ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax la
Total 64�.1
By P1 T-----
PDC# APPLICANT OR AGENT
Receipt No.
Approved Q t1. ADDRESS- PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
--- --- ---- -- Fixture ---- —
-----— -- - --- Final ---— —
HEATING
—Y Contractor
Permit No. —
Gas x Oil
— Rouph•in
Final
----- --- - ---•-----—__ SEWER
----- — ----- — --- Final - —
-----`_ -- ___.� -- DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb,&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY - CERTIFICATE OCCUP CY Final
.ERTinCATE OCCUPANCY 4._ y�__g!
Landscaping
Zoning final -
W W sr It ® s raIf t► jm
BUILDING PERMIT APPLICATION TIGAM:) GI-
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR ThE WORK HEREIN INDICATED BUILDER PHONE
nR AS SHOWN
fAND APPROVED IN-i HE ACCOMPANYING PLA?4S AND SPECIFICATIONS. OWNER PHONE f.Q-�Q•01�
LOT NO.
ARCHITECT
ENGINEER
SUIL.DER AQDRESSI _� �NMM1 - DESIGNER - T'3>c14",,-AP&oo
STRUCTURE ❑ NEW ❑ REMODEL - ADDITION__- ❑ RE"AIR ❑ RENEWAL ❑ FIRE CA AGE 11DEMOIJTIO
RESIDENCE C COMM ❑ EDUCATIONAL J GOVT C RELIGIOUS C PA i 10 ❑ CAR PORT C GARAGE , STORAGE ❑ SLAP,
❑ FENCE
riGGUPANCY �M LAND USE ZONE / _BLDG.TYPE -,rjLA/ FIRE ZONE`��"" PLAN CHECK 3Y NEAT
M
SEWER PERMIT M
OCG.LOAC FLOOR LOADHEIGHT _ NO.STORIES AREA .7OCj NO.BEDROOMS VALU�.j-Q J
BUILCING DEPART�,IENT SETBACKS _FRONT REAR LEFT SICE RIGHT SIDE
P^rm't THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED 0 S CONTAINED IN THF BUILDING CGDE, ZQPJ w
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE3Y AGREED TPAT TN
(plan Check - __ WORK WILL BE DONE IN ACCORDANCE WITH THE. PLANS AND SPECIFICATIONS AND IN COMPLIANCt
WITH ALI, APPLICA9L.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERPAIT DOES NOT WAIV:
Subtotal �_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTOPS TO HAVE CURRENT CITY SUSINES,
�—i LICENSE.SEPARATc PE9VAITS REQUIRED FOR SEWER,PLUPAHII`V- AND HEATING.
;state Tax •
SDC — q..,,. �j A(�
Total ----� ,- _"RC743 V --
PDCM APPLICANT OR AGENT
By
- +�---- Receipt No. �a! !_'--
Approved ADDRESS om
Poc
SEWER CONNECTION $
SEWER INSPECTION S
SEWER SURCHARGE S
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I City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : Af'✓1 _ PERMIT NO. : --.—.—
DATE:
O. : —_.—._
DATE: / //l 7.L DATE: I SSI.FD:._._.L_L...
OWNERS NAME : %- f
ADDRESS : &Rk .aycktfnZrr-
CON'rRACTO R :__.____.
P�fr r 4E _
ITEST . Air O, Nater ❑ , Visual Labor0ory ❑
RESULT. Approved O Nsapproved j , Pending (]
SKETCH'.
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1 �
INSPECTOR DATE
COTE Lttnr,h supplemental test data hereto]
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City of Tigard c�
INSPECTION REQUEST
i for
INSP'EC°IION TIME : :Lf�i_ PERMIT NO.:
I DATE: Ei DATE: ISSUED:.. f1.
i OWNERS NAME : ,7�, 0 4e-
ADDRESS :ADDRESS : �t•'�k'�r�►'r0��'J L
CONTRACTOR . �b1c Ur
TEST: Air❑, Water ,o , VieualP(, LaboratoryC]
i RESULT. Approved ,E1• , Disapproved 0 , Pending ❑
SKE�CIM*. 47 iG �
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INSPECTOR DAU
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COTEAttach supplemental fast data hereto
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City of Tigard �j°�
I
Fxe] NSPECTION REQUEST
for E
INSPECTION TIME: PERMIT NO. : _
DATE : /i / '7LZ�- DATE ISSUED -LL_
OWNERS NAME :--,
ADDRESS. _-.`�,�-�, S_�.,..,-•.�� ��F.ca �tZ
CONTRACTOR '.
rE;T : Air ❑, 1!'oter❑ , Visual ® , Labnrotory p
RESULT. Approved D Disapproved,it Pending
SKETCH:
IJf VA
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INSPECTOR DATE
LNOTE Attach supplemental test data beret a]
s
City of Tigard
INSPECTION REQUEST
for
0
;'c'
INSPECTION TIME: = . PERMIT NO. :----
DATE: &11 116 DATE ISSUED
OWNERS NAME : (- ___-..----
ADDRESS: GkA-442n k =,PiAt s�Llll _ +c'
CONTRACTOR :
TEST : Air 0, Water[] , WIu411A Laboratory []
RESULT: Approved" Disapproved L Pending E]
SKETCH: I
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INSPECTOR DATE
UNOTE: Attach upplornamtol telt data herefol
t� 9111
UNIFIED SEWERAGE AGENCY NO. _ _10696
WASHINGTON COUNTY DATE
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: - - f .D. C . -
OWNER'S ADDRESS: -- -_ -- ---- - - --
STREET
--- ST -- - - -
CITY ATE 21P
BUILDING SITE: LOT _— BLOCK ADDITION
TAX LOT NO. ___--__--- -_-_ TYPE OF OCCUPANCY' —
ADDRESS 9670 SW Summe_rf-ield fir.
DWELLING UNITS -- - _. -- FIXTURE UNITS _
SURCHARGE IF APPLICABLE -
PERMIT FEE -575, -0- _ INSPECTION FEE 25.-OOTOTAL DEPOSITED _-hIlI]..IlO
(NEW) (EXISTING) BUILDING SEWER SYSTEM _ F alinn . rr.aFk-
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT A15
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE 0,17F -- — INSTALLER
RECEIVED BY — L`'� _ `-,e t -
(AGENCY Oq IT S4 ENT)
COMMENTS: _ ----- - -- —This Application and permit expires one hundred and twenty (1201 days.
The amount paid will be forfeited should expiration occur.
�-w I
City of Tigard
I
INSPECTION REQUEST
for
INSPECTION T;ME: P/�'�• PERMIT NO. :
DATE: AZZI DATE ISSUED : Z
OWNERS NAME
C6 1 SG%�hr�W G�LC:'�I
ADDRESS: -V ��
CONTRACTOR
TF ST : Air p, Water Q , Vieualo, Laboratory p
RESULT: Approved Disapproved 0 Pending C7
SKETCH.
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INSPECTOR DATE
1N01F : A,ttoch suDpiementol test doto beret]
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OPMAMUM
..off
;' PddressPermit No. /nG
Permit charge
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�!Wner ;� f, �/. Connection fee ��JS`�
Paid by
Type of building ., Date connected
Service rate � ' Inspection fee r �`
_
C,�ntr actor `` Paid by Date
Size of connection kT Assessment paid