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9463 SW Lakes.i.dc Dr.
' CERTIcICA' F' OF
CITY OF T117ARD OCLUPANCY
CRY f fm D PERMIT M. . . . . . : Ee"U892825
C:3PAMUNITY DEVELOPMENT DEP loop PRIM. PEkMIT #. t ,S 825
Oregon 13125 SW Mrl Blvd. P.O.Bac 23397,rp..d,o.. e�22 1&1 6 ;A 1'E I S ca U E D s 95/11-
E
5/1r_E ADDRESS. . . s 9463 SW LAKESIDE: DR PARCFLt 261 11C--A
SUB DIVISION. . . . a SUMMERFIELD ZONINOs
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . sa
CLASS OF' WORK. sNEW
TYPL, OF USE:. . . s8F
OCC:UPAN 'Y GRP. 03
CiXUPANC:Y LOAD s
TENANT NAME. . . s
Remarkss
PO BOX 1366
REAVERTON OR 0001,40- 0000
Phone 0: 000 000-0000
Contractars
MAkINEk DEVE:LOPM
MARINER Vo-VELOPMENT INC;
PO BOX 1368
BEAVE"RTON 9R 970715-0000
' Phone 06 -g3•--626 9029
Reg #. . s -:74-'
Occr.pa►!r_y of the a`)ove 'referenced bmilding is hereby given, avid c.-Prl:it :i.e.,a
thr co,4pliancr with the State Of Oregan Specialty Cod!-s for the group,
r_cupitnoy, and Use Under which the referenced permit w;a,� 1 %suegd.
FIRE: DEPAR1Mf:NT "BUILDING INSP���
E+C171.i)IN OFFI�I
POST IN CONSPICUOUS PLACE::
I
asr w w w
INSPECTION NO1 ^E
City of Tiyard Bui ding Depaitmont
II P.O. Box 23397
Tigard, Oregon Q70
Phone: 639-4175
Type o4 Inspection -._ =✓ �L..
Date Requdaed--- 5 lime_ X A. ._�.•_P.M.
Addressr� � �'
Pei mit
Owner _ Lot # S
Builder
The following Building % -de deficiencies are required to be corrected:
Preserved to
—.-t" [#r -Approved
Inspecto• I Disapproved
Date ��78
CALL FOR REINSPECTION
❑ YES ❑ NrJ
yrs w w w w er ss sea
INSPECT iON NOTICE
City of Tigard Building Department
P O. Box 2.1397 /
Tigard, Oregon 91223
Phone: 639-4175 °
Type of Inspection ,Lt-, �.
Date Requested IJJ 12 (A
Time A.M. N.M.
Address � 7` L� ( r)OK/W mL( 5?(— �Pwmit # u•c+�—
Ownar..__. Lot #
der --
;ollowing Building Code deficiencies are required to be corrected:
GVG/2 A;.? --
Presented to _ proved
Inspector Disapproved
Date
CALL FOR REINSPECTION
U! YES 0 NO
INSPECTION NOTICE
City of "Tigard Building Depaitment
P.O. B-)x 23397
Tigard, Oregon 972.23
Phone 639-4175
'e of Inspection
Date Requested- �oL / Tim A.M.
Address / �) �-jL P.M.
Permit #
Owner
Lot #
Builder
The following 3uilding Code deficiencies are required to be corrected:
Presented to
A. hproved
Inspector �"
Date
Disapproved
i 1 / � '
CALL FOR RIINSPECTION
ED YES C7 NO
INSPECTION NOTICE
City of Tigaro Building Depr rtment
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175 ✓/1,
Type of Inspection --
C
Date Requested ___ �L'r Time _ A.M. _P.M.
Co-
Address .__ � ��1 ' --- Permit # c� �
Owner - - _ _ Lot #_�---_-- —
Builder ----- 21.G�'
The following Buildinq Co - deficiencies are required !r� corrected:
� 1
Presented to _ __ --_-- x� Approved
Inspector''t/ —------
_ ( Disapproved
Date --
CALL FOR REINSPECTION
Cl YES L_l NO
MWILWALM =jjL=jL=jjLM
CITY OF TIGA RD MECHANICAL
PERMIT
�, PERMIT NO. : ME892840
CITYOi Tt�4tID
I;UMMUNITY DEVELOPMENT DEPARTMENT °�1O1 D E I55lIEDe 18/ 2/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon g7223.(503)6394175 IM.RMT.NO. 842625
JOB ADDRESS: 9463 ,W LAKESIDE DR
TAX MAP/Lor 2S1 11CA SUB: SUMMERFItLD PARCEL % D LT: 8Ke
LAND USEe
LOT SIZE:
ITEMe N0: NOs
WORK CLASSt NEW FURNACE (188K I AIR HANDI_R (10
USE TYPEtt SINGLE FAMILY FURNALE 168K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : R3 HEATER VENT FAN 3
VENT t1ENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES: 1 PLR/COMP 3-1511P INCINERATOR(DOM
DWELL.UNITS: 1 PLR/COMP 15--30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30--50HP REPAIR UNITS
MAX. INPU'r BLR/COMP 50+HF' OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS? -- -- ------ —- ------ _ -- --
REMARKS:
need contractor number
FEES:
W mariner development PERMIT $10.00
N PO BOX 1369 PLAN REVIEW $10. 13
n BEAVERTON OR '.7875 FIXTURES $30.50
PHONE (503) 626-9029 STATE TAX $2.03
OTHER
C
0
N
T
R
A
C
T
a 10TALa $52,65
This permit is issued subject to the regulate,ns contained in Title 14 RECEIPT NO.
-----------------
of the TMC, State of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the Mans and OAST LINE
specifications and in compliance witn all applicable codes and !"'031 S BEAN
ordinances The issuance of this permit does not waive restrictive ROUGH-IN
covenants Contractor and subcontractors shall have currant city FINAL
business tax permits This permit will expire and become null and
void If work is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days any time after work has
comrne,ced It shall be the responsihility of the permittee to as;wre
all required inspections are request and approved.
e ittee Signature /
Issued By � 196AII Itop JNSP E:11011 6313-_I►475_ -
§EPAR4TE PERMITS REQUIRE!) FOR WORK OTHER THAN DESCRIBED ABOVE
CITY F TI ARD
/�, PLUMBING PERMIT
/nK� F'I=KNIT NU. : PL_8"32039
(Tyz.
TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT r
TE ISSUED: i@/ 2/89
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 91,223.(503)639-4175 Fr IM.PMT.NO. 892025
JOB ADDRESCe 9463 SW LAKESIDE: DR
TAX MAP/LOT 2S1 11CA SUB: SUMMERF'ELD PARCEL $ D LT: BK:
LAND USEg
LOT SIZE:
ITEM: NO: NO.-
WORK
O:WORK CLASSit NEW WATEP CLOSET 2 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORt' 2 TRAP PRIMER
OCCUP.GRP. : k3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: I WASHING, MACHINE 1
DWELL.UNITS: 1 LAUNDRY TRAY I11_.DG.DRAII4 (DIA
FLOOR DR511IN
SINK 1 SEWER (FT)
WATER HEAIER 1 STORM/RAIN (FT t
OTHER
RF'MARKS:
need contractor dumber
FEES:
W mariner devzlopment PERMIT $117.50
N PO BOX 1368
E
BEAVERTON OR '17075 FIXTURES
PHONE (503) 626-9029 STATE TAX $5.88
— -------------- - - — OTHER
r.
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R
A
C
T
0
R TOTALS 1111,1113,36
_
I his permit is issued subject to the regulations contained In Title 14 RECEIPTNO. /()5'4j 6 Zi
_ _
of the TMC. State of Oregon Specialty Codes. tuning regulations REOUIkEU INSPECTIONS
and all other applicable codes and ordinances, slid it is hereby
agreed that the work will be done in accordance With the plans and PLO.UNDERSLAB
specifications and in compliance with all app icable codes and POST A BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city pLB.TOPOUT
business tax permits This permit will expire and become null and RAIN DRAINS
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 FINAL
commenced It shall he the responsibility of the permittee to assure
all req,lired inspections are requested and approved
F r"�rrlrfttr_�5�gnature
Issued By
(/)1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C`37YOF TiC-M.ARD
r SEWER PERMIT
PERMIT NO. . SE89ed41
Crfft:
COMMUNITY DEVELOPMENT DEPARTMENT
TE I55UED: ifs/ 2/89
13125 S w Hall Hlvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639.4175 P I M.')MT.N0. 892025
JOB ADDRESSo 9463 SW LAKESIDE DR USA NUMBER: 39972
TAX MNP/LOT 251 11CA SUB: SUMMERFIEL.A PARCFI_ YKP LT: AKs
LAND U3E:
LOT SIZE:
SECTION: 11 TWP: 2s RNG: Iw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with ali rules and regulations of the Unified
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Aqenry does not guar_.
antee the accuracy of the location of the side Sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet in
all directions from the distance given. If not so located, the installer shall.
purchar.e a "'Tal, and Side Sewer" Permit and the Agency will install a lateral. II
INSTALL. TYPE: PUILDTNG SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVENEKT:
DWELLING UNITS: 1
NO. OF BLDGS. :
FEES1
W mariner development PERMIT (33.00
N PO PDX 1368 CONNECTION CHARGE 41,250.00
E BEAVE..RTON OR 9707; LINE TAP INSTALL.
R
PHONE (503) 626-9029
OTHER
C
n
T MARINER DEVELOPMENT INC
A PO BOX 1368
C BEAVERTON OR 97075
T
n PHONE (583) 626--9029
R REGISTRATIUN NO. 47451 TOTAL: f1,em ee
This permit is issued subject to the regulations contained In Title 14 RECEIPT—N0.
.-------------- — �.
of the TMC. State of Oregon Specialty Ccdes,zoning regulations
and all other applicable codes and ordinances. and It is hereby REL7UIFtED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH—IN
specifications and in compliance with all applicable codes and
ordinan;es The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This parmit will expire and become null and
vold If work 1s not started within 180 days.or if work Is suspended or
abandoned for a period of 180 days any time after work hes
commenced it shall be the responsibillty of the permittee to assure
all required inspections are requested and approved
Pprfnitleii Signature
Issued By (CALL FOR INSPECTION 619-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W MUIIIIIIIIIIIIIIII
CITY
OF
TIFA
RD I BUILDING BU8920
�r..1�,
PERMIT NO. : BU892025
cmatMARo
COMMUNITY DEVELOPMENT DEPARTMENT "r"�
E ISSUED: 10/ 2l89
M25 S.W Hall Blvd..P.O.Box 23397,11gerd.Or*Con 912D.(533)639-4175 ---- � I M.PMT NQ 83a025
,TOP ADDRESS: 9463 SW LAKESIDE DR
TAX MAP/1-01 2S1 11CA SUP: S''MMFRFIEL-D PARCE:. AD LT: BY,:
LAND USE:
LOT SIZE: VALUATI,A: t 5P, 142 SETBACKS
FRONT: PEAR:
WORK CLASS: NEW DWEL.L..,UNITS: I LEFT: RIGHT:
USE TYPE; SINGLE FAMILY NO.PFDROOMS: 2 EXT.WAI_.L.. CONST:
CONST.TYPE: VN NO.PATHS: P N: S: F: W:
OCCUP.GRP, I R3 1•'ROT.OPEN INOS:
Of.CUR.LOAD N: S: E. ;d:
'TOTAL AREA: 1225
NO.STORIES: 1 1�-J: ROOF CONST: C FIRE. PET?
HEIGHT: 1.8 2ND: AREA SEPAR? RATED: i
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 480 FIRE SPRKLR? ALARM''
FLOW(GPM) DETECT? YES
rnRR2
PLAN CHECK BY: rIt
REMARKS:
REISSUE OF NO.
LAST REISSUE
VV PERMIT $31P 00
N F'0 BOY. 1368 FLAN REVIEW $201 .50
11 BEAVERTON OR FIRE DEPT
S1 ATE TAX $15.50
— OTHER
DEVELOPMENT CHARGES:
N
SDC(STORM) $250.00
1 MARINER DFVELOPMENT INC SDC(STREET) $600.00
A PO PDX ' 'fig PDC(N2 ) $250.00
BEAVERTON UP 97075 PREPAID ( $100.00>
+ PHONE (503) 625-9029
n
I� REGISTRATION N0. 47451 I TOTAL: $1,527.00
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. Aq L
of the TMC. State of Oregon Specialty Codss,zoning regulations
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agre6d that the work will he done in accordance with the plans and FOOTING SEWER
specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST R BEAM WATER LINF
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and PLB.UNDERSL,AB CITY APPPCH/SW
void if work Is not started within 180 days,or If work is suspended or SLAB F I NAL.
abandoned for a period of 180 days any time after work has PLP.TOPOUT
commenced It shall be the responsibility of the permittee to assure FRAMING
all required Inspections are requested and approved FIREPLACE
GAS LINE
INSULATION
3�
GYP. BOARD
rmitte SignetuT�e //
issued By Ir'. . . .. ._.__.- --fBR-1M9PEC1iuf1 X39-g17J
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Cl-nNOFT16ARD
y� PLAN C1{ECK APPLICATION
--�,ort�aw PLAN CHECK
COMMUN::Y 0EVEL01'MENT OEPARTMENI M PERMIT It
'.o-rso.zrn�,ry.�o.�vo^sTm.(soslcsv'�'s �i DATE ISSUED
3
•i AX MAP/LOT p2-
J013
JOB ADDRESS: ✓f `"�- , D LAND USE:
VALUATION: SPECIAL NOTES
OWNER REISSUE- OF:
LAST REISSUE:
� v
ADDRESS: FLOOD PLAIN/
SENSITIVE LAND: -_
APPROVALS REQUIRED
PLANNING: --
0oWRACt'OR ENGINEERING: r
NAME: � - _ FIRE DEPT
ADDRESS: _ ---`- — OWER: M --
--- -�--�- ---- --- ITEm; REQUIRED
PHONE: / Sf Zk LfS _ -------- LTST/SUOG(XVT2ACTORS:
OlS TAX: - __-_._------------
ARCN/ENGINF_ER / / /� CAl_CAU t1T-TONS:
NAME: --� TRUSS DETAILS: ---�_— ---
ADDRESS: -_- -- - PARKING PLAN:
-- - I ANOSCAPE PLAN: -___-- --
------------ - - OT11 t=R: - ------ ---PHONE:
cottAFNTS
- ---- DESCRIPTION AMOUNT AMOUNT PO_ BAT. DUE
PERMIT N ACCT N �
`� _---
.7 10-437_ 00 Building Permit Fees - O
' 10-431 00 Plumbing Per-Mit Fees .SD you,-3U
10-431 O1. ail Permit Fees
State a ---
10-730 01 State Budding Tax (5X)
Building
Plumbing
10-433 00 Plans Check Fee
BuildingDLsu
Plumbingmech
fid`J /.7So
/ 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Oev Charge (=NC) -� - -- -
52--449 00 Parks System Dev Charge (POC) S —
31-450 00 Stdrm Drainage Syst 0ev Chrg (SSUC)
tO-230 09 TRFO - __---
10-230 06 Washington Co-,nty Fire fit (951) - -_- --- - --
10-220 UO Amara/Wedgewood
REC It /0 5111
APPLICANT S I(34nTURE
Received By: - _ bate Received: ��!lZ_1-
cn/3507P/18P
MEMORANDUF
TO: Diane Jelderk:a, Planuing Division X_ For your Information
Nancy White, Building Division
Phyllis Harris, Finance/Accounting Divisior.
FROM: Laura Freeman, Engineering Technician
Lr-
DATE: February 27, 1989
SUBJECT: Formerly WCTM 2S1 11CA, TL 100
HLP 89-•O1 & 89-13
The address; assignments for the above listed property have been approved by
this office. The addresses by lot number as submitted to our planning divinion
are listed an follows:
lot A - 9449
9 -- 9453
C - 9457
D - 9463
E - 9467
F 9471 SW Lakeside Dr.
Tigard, OR 97223
DEVELOPER/OWNER
Equity Group
Kurt Dabey
4500 SW Kruse Way
Kruse Way Plaza One Suite 180
Lake Oswego, OR 97035