9457 SW LAKESIDE DRIVE w
a
9457 SW Lake Side Dr.
. .. .. ... . . . -------
CERTIFICATE OF*
CITYOF TIGA111% OCCUPA41 '
ITY.WT "M PERMIT' 0. . . . . . . -�LJP89091"A
,W-- .-0 ..?
COMMUNITY DEVELOPMENT DEPART#.IENT
13125 SW KWI BW. P.O.Box 23397,T19afd,Or 9gon 97223(603)8:"I 7bDATE ISSUE.Ds 12/1.7/90
SITE: ADDRESS. . . '.)4:')/ GW 1.i4t4L. 1,411)k DR PAR(41r 2S111CA 00100
SUBI)WISION. . . . a ALDLREIROOK FARM ZONIN6v R-7
PLOCK. . . . . . . . . . 9 LOT. . . . . . . . . . . . .. 113
Ci-ASS OF WORK. iNEW
I YPF '!IF USE. . . z SF
OCCUPANCY GRP. KRA
OCCUPANCY LOAD,,,
TEHAN'l NAMt.. .
Roma 1+5 C
DF-VELOPMEN MA'tINER
PO bay 1368
PEAVF.RTON OR 00000-0090
Phone lot 0O0 -000-0086
Contractor e
MARVIEP CONSTRUCTION
PO BOX t368
BEAVER' L4 OR 97075-01100
Phone 1, to.:'A--626--90e9
Fl"A H- 1 47451
Uve-,t,,ancy of the above roferent--ed buA'1dinq is ha-re,by gl.ven, and certifiws
the compliance with the State Of Oregon Specisi.ty Code% for the qrot.kp,,
occupancy, and use under whi(-J) the referenced pe Amit Was i %oued.
FIRE DEUAR'fMEN'1 —,6WI.DINO INSPECTOR
Yell _.DING OF11CIAL
POST IN CONSPICUOUS PLACE
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INSPECTION �'OTICE
City of Tigard Building Department
P.O. Box 233^i
Tigard, Oregon 97223
Phone: 6394175
u( •+
Type of Inspection .c_�`�
Date Requested Time '
dsCIL
Address �. e j:: e #
Owne, Lot =+f
Ri.0 .-der h4i&v±�L.e- HGiG�r C�
The foilowing Building Code deficiencies are required to be corrected:
Presented to • Approved
Inspector ❑ Gippproved
Date "f—x9(L
CALL FOR R;INSPECTION
❑ YES Cl NO
SEW.:'44 PE:PM1'T*
CITY OF T'FA PERMT'T NO. : SE891032
RD 7
COMMUNITY DEVELOPMENT DEPARTMEr4T 00100"
131.6 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 F)M*T .No. 810093/1
!i W I AKI,::' SIDE DR USA NUMPER : 31311
TAX MAP/L.01* 251 11 CA SUD: SUMME.P1 10 13 L" :C' 8K :
LAND USE : 871.)1)
LOT SIZE.. :
SEXIAX)N: 1.1 TWP : t'.2vi PN(n : 1w
WC)PK CLASS : NI-::W
LISE TYPE'. .!,;I E 1::*Am:l,.l Y
iiii.rici i-egmI.P.Lticiris c)-F the Ul-114?iecl
w:i.th &]A
Sewerall.ge 1410 0XI:)1.1-ell; 11.10 days fl-ciiln thetl clatf--i isinil.lecj . 'The tc)tak].
111TIVII-Irl't lAlkid Wil-1 be 41cli"fF.41'ect JJ the j:)0l-'lnJ.t *The A,;Ieric.-y cfc)em ric)t
aintee thte vtc-cm-lriikc::y cl+' thftB 43'P the %:.' dvmewter, th(:a 1:1"Almilf,,11" JAI.;
I,lc,t 1c1c.,lateld iat thvii lnF-,?aLiiit.ir-ivinerit !,11.verl , thiv.-I invitill:1.1er, shlit3.1 3 T"et J.1-1
a-0.1 dirv#c�tic)rm -Pr-clin the :1:•N nc3t. 1143 10C!iILtVft(J , the ii-iiatin.11-c-i1, ishirt-1-:11.
11. "TilL11 4111cl Pli-41-mit 111.1id thgo Agericy wiI.A. irivitilk:11-3. K 3-11-tiv:'.ViAJ—
INSTALL. TYPE : BLVILDYNG SIZWE'.14 TMPEPV10US APEA:
F IXTU1:1E UNITS : 'TENANT 1MPPOVEME.:N'T :
DWr-.::l..,l.-XNG& UNITS
No . Or, BI DO'S .
0 MOPINEP DEVE'L()PME N 1 $35 . 00
W rm B(.)X .1360 CONNECT10N ("HARGE: $.I. .1.0o .00
N
E OR LJNE 'TAP 'r.NS*T'Al L. .
R
OTHIEP
C
N MAM'NED l')l::*VE:"l-DPME:N*t INC
T
R 1::10 BOX 1.368
A HE.AVLPTON CJA 9701!5
PHONE'. (503) &F-.!6----90k-W $1. 13.315 . 00
0 PEX',:l:STPA'1*3:('.)N NO. 117,151
PECE:IPT NO.
This permit is issued Subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes. zoning regulations PEQ 4E D 'INSPEC"T'sON'S
and all other applicable codes and ordinances, and it is hereby H---1'.N
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permit, This permit will expire and become null and
void if work Is not started within 180 days.or if work Is suspended ot
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
10mit liaSig—na Xu'�K
Issued B,, IT ION 1639-41
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N
C'7Y OF TIGA PM1:*.1,HAN.lX'Al-
F'11M14' O. M
: F.:891031.RD (CCL11Y-0F TWA RD
��.F
COMMUNITY DEVELOPMENT DEPARTMENT 1:)A*I'f-.:' 15SLIE:1) : 13/1. 09
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.15031639-0175 P111M . PMI* .ND . 019 09 54
JOH ADD1:11_:S5 : 9957 SW LAKE: DF4
MAP/1 O'T' 251 1.1c"A SLID SLIMMV11F 'I J--I D 1...'1 13 K
I.ANV) USE:* : P 7 IL"1)
11-01 51:ZE:
NO
WUP'K CLASS : NII:..W FL1ANAC,1F'.: 0.00K :1. A1P HAND11-P (1.0
USK T,yl:"Il;"- : 1:;AM:I:l Y I:rL11-.4NAC1i.'. 1.00K+ A.11-1 FIANDLA: 10K
CON51* .I'YPE: VN FL-OOR FURNACAH:
(RICUP . GPP. P13 VE;*N'T F'AN
VL-'N*I* Vk::N1' . 5y5*I1':M
FW.A/(',0M1:*' (;SHIM HOOD
NO . G TO 0 3:E::5 1. F)I R/COMP '.3-45HP :1'N(:,1NE:PA'('OP(DOM
DWELL.UNI'T'S : I 011-111/11[.UMP 1.'5---'30HP T NC I NIL:qAl'Ok(COM
FLJFl- TYPE: GAS F)1-p/cOMP 30 15014'.1 Pr.r*,A:rr4 LINII'S
MAX . INPUT 01-R/(AJMl:) 504-1-111P (:111-WER
FIRI::: DMPW) C.*AS PTFUNG Ot I'll F:1 S
1,131*11.4 ..-s
PRE:
I-OW
P- L--.MAPK5
iir,?t-id cciintriiLvAcir riumbor
O MAP:LNF:'1-.4 DEVF*-:L..(:)PMF-':N*l PE:PMVT $1.0 . 00
W PO BOX 136(1PL-ANR1::.*VTF.'W $9.38
N
E DE:AVF.*P*1'DN 011 F,1 X,T'(.I R kii,S $2,7 . 50
R
51'All-K T'AX $1 .fie
(:)'I'HE:P
C
0
N
T
R
A
C
T
0 TOTAL: 041131.76
L PT NO. 16)337- 1
This permit Is issued subject to the tcgulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulatfuils Rr.Qu:rRr--:D TNSr*'F-:CTV1N9
and all other applicable codes and ordinances. and it is hereby GAS I I N I-*.
agreed that the work will be done in accordance with the plans and PUS'l PKAM
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive POUGH :LN
covenants Contractor and subcontractors shall have current city F- 3:NA1-
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
All required inspections are requested and approved
a o
e ,li,te-r'g
S natuV�,—
Issued By CALL
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
l:'IAJMB'TN('1-; 1
I--*'l:;A:M*l. I NO. : 11-09:11.030
���OFTIGARD
CITY MAND
4100
COMMUNITY DEVELOPMENT DEPARTMENT 00N
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 I" 3:SIii UF*1)
0013 ADDRF:.55 : 9-157 SW LAW:.: S'IDE OR
TAX MAP/I (TT 2S1 SUB: SUMMI QF 11"A D
I.-AND USE: P-rpl)
1 (TV 51 ZE:
ITEM: N('.): N,)
WOVIK NEW WATE.P P I PAP
UEIF: TYPE. SIN(A-E FAMILY URINAL JKFl-('.)W PlIVNT14
C;ONST . TYPL-:: VN LAVORA 1131:1y 3 TRAP` PRTMk:.R
OCCUP . G114). : R3 TUB 51-40WEA P TPAV-15
DISHW15HE14 .1.
GAI:41FIAGF: D15POSAI I
NO. SIT)RIES : 1. WASHTW.1 MACHINE 1.
I)WELI... . UNITS : I LAUNI)PY TRAY (DIA
11:1 OUP DPAIN
SINK 1 15EMER I FT)
WATER HEAT C44 I GTOPWRAIN (FT
OTHFKA
REMAPKS
PMIT 11111125. 00
MAPINCA DEVELOPM:NT r
-+
N
PU BOX 1368
11FAVEITY ON up F 3:X'T U AES
51 ATE TAX 22 5
OTHFA:�
C
0
N
T
R
A
C
T
0
R I T(TTONI... : $11.31 .2".1
This permit Is Issued subject to the regulations contained In Title 14 PEXXTRT' NO.
of the TMC, State of Oregon Specialty Codes,zoning regulations ......••--•••
and all other applinble codes And ordinances, and it is hereby Plr-.G'JUIAF::D TN5PE(:'.TI(-.)N3
agreed that the work will be done in accordance with Olm plans and PLH.UNCIFASLAD
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive: Pill T' A 911FAM
covenants Contractor and subcontractors shall have ,urreni city WATF.-:P LINE:
business tax permits This permit will expire and become null and PLO . TOPOUT
void If work is not started within 180 days.or if work Is suspended or ROIN OPAINS
abandoned for a period of 180 days any time after work has F'T NAL
commenced. It shall be the resp)nsibility of the permittee to assure
all required inspections are reoiested and approved
Perfniltee Slgnatur/�<'��
Issued By -— . - &'d . -
I F')12 JASPEC'TION t639--eI3. 7.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
M F=
E4 U1 I D'I*W., PERMIT
CITY OF TIFA RD A-141 PERF111T NO. : 131.03901i34
C111YOFTWAIM
0111160" � S 0 b I
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 1441.1`11. PM'T' NO. 8190934
JOB AODPESS : 94,157 SW I AKE SIDE:' Op
TAX MAP/1-01, 221. JAXA SUH: 5UMMERFIE.1 I) ILT : C, SK:
I AND USE' : P7PD
L-OT SIZE: VAI UATION ; 73,2711:11
FRONT : 20 REAP:
14ORK CLAS!u : NEV DWEI.A.. .LINI TS : 1. 1 EYT: 3 I1- IGvH1* : 1 :.)
USE TYPE! E;:I:N(,;l U: FAIMIA-y NO . DEDWK)MS : 2 EXT' . WAL.L. CXIINST -
CONST . TYPE : VN NO . DATI-15 : N 5 : W
OGIC'Up .GPP . : P3 OPENTISIL35 :
01"'CUP . I-OAD N !ii : F. : W
TOTAI A P EE 0 J.6 d.1
140. STO1,174ES : 1. 1.51, J.6 Oe4 1:40OF (::(:)NST' F,1 WE: PU:T•?
HF-IGI-IT : 1.0 2ND: APF-.:A 51EEPAP7 14ATED:
RASEMI-EN'T"? 31PID: Olt."CUP . SE FIAPI? PATED:
MEZZANINE-7 DASEM ' T
F-I-OOR I-OAD: 40 41*70 1--'TRH. SP11:11<1 P7 At ARMI?
F I. ((*.,PM) DETE-ECT7 YP-i
HEAT TYPEE: GAS HD(:',I.).ACUF:557 CORP?
1::'I..AN (:,HE:CK HY : r,lt
11EMAP105 :
REISSUE OF NO. 0(-'�0/15/1
1 AST RlElt,Si,il
................
FEES :
0 MAPINI`*-:,-4 1)1-'.:VF" OPMENT PEPMIF $Is 00
W F)a IAOX 1,36E) PI-AN PEVIEW $A0 . 00
N
P
E IMEAVEITTON 014 FJPE DE
R STATE: TAX $1.7
OTHER
DEkOCKLOPMENT CHAPGESI :
C SDC(STORM) 11112(50 .00
0
N MAPUNEP DEVELOPME'N'T INC SDC( STPEEET) $600 . 00
T I'.0.0 BOX 1.360 PEW(02 $250 . 00
A E)LAVEATTON 0141 9,70,P) PAEPAID < 111/i0 . 00)
C P111-IONEE 11."503) 626••"5102
9
T
0 PEX.,'[STPATION NO . 41711151 1 OTAL : IIIII r 114"Iri3. 7.5
Pr-.:(A*.JP*T NO . -Z
This permit is issued subject to the regulations contained in Title 14 .......
of the TMC. State of Oregon Specialty Codes,zoning regulations RF:QIJIPED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby FOOTING SEWEP
agreed that the work will be done In accordance with the plans and FOUNDATION W011-1 PAIN DDAING
specifications and In compliance with all applicable codes and
ordinances. The issuance of this permit does nit waive restrictive POL-1-11, & HE'.0m WATE.11:4 L IINF.--
cc,tanants. Contractor and subcontractors shall have current city PL.13 .UNDEKI-1911...AW ( TTY ApPlICII-4/5W
bus-ness tax permits. This permit will expIrp and become null and S L.A R- FINAL..
void if work is not started within 180 days,or if work Is suspended or 1:)L F) . TOPOJ.Jl*T'
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure F:RAMI N(.',
all required inspections are requested and approved F-I PRPI A(-.E
(.'.,A 5 1 11NE
INSI-ILATTON
GYP . ROAPI)
-'P�ermfeej�fignature
Issued By � ) CAI I... FOR -.6.39—W5
SEPARATE PERMITS REQUIRED FOR WORK OTHER 1 HAN DESCRIBED ABOVE
GA RD ,�a L��� MAN CHECK APPLICATION
CITY OF TI
p� anoFncaim I PLAN C11FCK 11 L �5
COMMUNITY DEVELOPMENT DEPARTMENT-, �' o«� / PERMIT bq
�712ssw.H selvd.P.0.Sax22321.TIpw40iegmIrM.(503)G39ASTS •`� DATE ISSUED
JOB ADDRESS: 6-7" AX MAP/LOT Qz S /- /) CA,
Sun: LOT: -------__ ----.s_ LAND USE:
VALUATION: _
OWNER SPECIAL NOTES
NAME: 4 REISSUC OF:
ADDRESS: ___—. LAST REISSUE:
FLOOD PLAIN/
? SENSITIVE LAND:
PHONE: _ Y�`--'2'1
/ 7 y s / APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: � ,1 _ - ENGINEERING: �--�- ^-__----
ADDRESS: _ FIRE DEPT
OTHER:
PHONE: —'- _ _ ITEMS RE UIREO
--' LIST/SUBCONTRACTORS:
ARCA/ENGIN ER , BUS TAX: -_
NAME: l i CALCULATIONS:
ADDRESS: `_ TRUSS DETAILS:
PARKING PLAiJ: ----�—_ --_-
_ LANDSCAPE PLAN:
PHONE: i` s. '; OTHER: -
s
COMMENTS:
PERMIT # ACCT b DFSCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�;L ;-r 10--432 00 Building Permit I-ees j .SS _ _ J 55, •
81103,6 10 431 00 !'lumbing Permit: Fees
r /o 31 10-431 01 Mechanical Permit Fels _ .37.XQ L7.Su
10-230 01 State Building Tax (5X) 5. 6b .2•S. 5'b'
Rui lding / �>
Plumbing ,1
Mech
10-43? 00 Plans Check Fee
Building .._l�1- -
Plumbing _
Mech
/J L 30-207 00 Sewer Connection
30-444 00 Sewer Inspect ion _ ,mss
51-448 00 Street :stem Uc v Charyr ('DC) -�0-0
5z-':4o fPO Parks System Deu Charge (PDC) `--5 0
31-450 OU Storm Qrainage Syst Dev Chrg (SSOC) Q_10-230 09 TRFD — _ -
10--230 OG Washington Counl,y Fire N1 (95X) _ —
10-220 00 Amart/We-dgewood _
lUlAl e2�G �= �7 ol•.�i
REC N ,
APPI-TCANT SPINATURE y�(� •___
Received By: Uatr Received: / c %9:51 _
cn/35BIP/18P