9450 SW LAKESIDE DRIVE MWJwwNAW i i i sit i i
9450 SW LAKE SIDE DRIVE
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BUILDING PERMIT APPLICATION 11TY TIGARD lq_'
OF
THE UNDf -1) HEREBY APPLIES FOR APE RM IT FOR THE WORK HF'%FIN INDICATED 131 I!,_0ER F`HCNr_
OR AS Si ND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PI-IONL77 —
"711
LOT NO
OWNER* JOBADDRLS4 A 12 L811b U1,HOME ADDRESS
ARCHITECT
IZNGINEER
BUILDER ADDRESS DESIGNER
-LRUCIURE ONEW 0 9vmnDEL 0 ADDIT;DN OREPAIR CIRENEWAL 11FiRE DAMAGE CIDEMOLITION
El RESIDENCE Ocomm EIEDUCATIONAL OGOV'T DRELIGIOUSOPATIO OCARPOR" OGARAGE 0STORAGEOSLAB n- rvNCE
OBOND OMOVING OCONDITIONAL USE ODESIGN REVIEW EICOUNCIL APPROVED [__1SIGNS
OCjjUP�ANCY__L_----LAND USE ZONE Jj__-- _BLDG.TYPE=_t -FIRE ZONE-3— PLAN CHECK BYHEAT-_1 T��
Mac.c.has� j;uE,,*_Jvsug sams u3 _�, 6rasilleaf T Liedroom LA').
Framod Townhouse w/attached gereqV.
lower Pv!Mit
. lT 42
Q.CCJ.LOAD—.-.—.-FWQRIDAD---HJ.GHT i AHEA 1924-NO,BEDROOMS 2 . VA1AY89'Aklo.(.11)
BUILDING DEPARTMENT . SET BACKS FRON59if ;)1sn1hEAR LEFT SIDE RIGHT SIDE
Permit Id 4.0(1_
CHIS PERMIT 19 ISSt_1FD SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS 14ERE13Y AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 11 ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RFSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax.1 LICENSE SEPARATE P gqMMITS REGUIRED FOR ';EWER, PLUMBING AND HEATING.
Total
By PlA"LICANT OR AGENT
—A---
p pi o—, Receipt No.
DATE INSP. TYPE INSPECTION REMARKS PLUM81Nsi DATE
Contrt+ctor
it Permit No. 7 7(7 `r fd -
S!,Z-7J` 'J
Rough-in_
tiZI-71 Ble, �— Fixture
s_ — -
• Final
.S/S-2 / v HEAYING
Contractor p--�
Permit No. �
Gas or Oil
Rough-in
Final —_-- -_— —
SEWER � ---`-
Flnel A _
— -- DRIVEWAY — -'-- -_ -- -
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TlkMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFtCATE OCCUPANCY
Landscaping
tJ 5 2 Zoning Final
3"UILDING PERMIT APPLICATION ro Y TIG RD DAY _ 201 y
IIIvDE RSIGNED HEREBY APPLI;-S FOR APERMIT FOR THE WORK HEREIN INDICATED BUILGFRPNONCLAL- �_
L-r. AS SHOWN AND APPROVED IN THE Qc ;COMPANYING PLANS AND SPFCIFICATIONS. OWN ERFr+c.NE/, _
Y � ` - LOT NO.—__�L,._ ' –�
i�Ll���ll�►_JAI �f1�DD ADDRESS S�YCU\�Or�U �r–`HOME ADDRESS
ARCHITECT
ENGINEER
_'6.R ADDRESS DESIGNER
+ ❑ADDITION ❑REPAIR ORENEWAL ❑FIREDAMAIGE ❑DEMOLITION
X.7 URE KNEW ❑REMODEL
41 DFNCE ❑COMM OEDUCATIONAL ❑GOVT ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAS ❑FENCE
'POND 0MOVING DrONDITIONAL USE _ 0DESIGN REVIEW ❑COUNCIL APPROV D _❑SIGNS
..CL'PaNCY.. _.L AND USE ZONE_C`�L_BLDG TYPE �A _FIRE ZONE PLAN CHECK BY_ --- HEAT _
eclt
HEIGHTQ SN TORIE AR.FA � .�N4�_�e9RQQM� YALS�E ,t?y�Y�d3
BUILDING DEPARTMENT SET BACKS FRONT RE �_L LFFT SIDE RIGHT SIDE
omit
�– THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE P.UILDING CODE ZONING
'Ian Check s P.EGIJLATIONS AND ALL APPLICABLE CODES AND ORO;NANCES. AND IT IS HEREBY AGPEED THAT 111E
WJRK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
:ub total ALL APPLICABLE CODES AND ORDINANCFS THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -
— – — RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CURRENT CITY BUSINESS
i161eTax 7j 4. LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Forel
5v I cd 11
— -----
-------- APPI ICANT OR A ENT
4pproved Receipt No
r- ADDRESS P40NE
1
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