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INSPECTION NOl,'!'E
City of Tigard Buuding Departmqnt
P O. Box 23397
Tip:d, Oregon 9790- V
Phone: 639-4175
Type of Inspection
Date
d-k /�
Requey;e :'Ime_ A.M.�_P,M.
s I
Address f, Permit
Owner __-- .-_- Lot # _
Builder ---------� C,�(_( - -� _
The following Building ::,)de deficiencies are required to be corrected:
i
Pres,nterl t0
-- ❑ Approved
Inspec or ❑ Disapproved
Date
CALL FOR REINSPECTION
FJ YES Lj NO
.. ONO W1 .. .. .. +�
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 9-223
Phone 639-41 15 C
Type of Inspection
Date Request eFl �� 7.me A.M._ P.M.
Address `" ! ,Permit #3
Owner _. _ Lot #_.
Build
The fc"c :,ng Building Cone deficiencies are required to be corrected:
&;y4 vsi 7 ra�!--rte cvr i?�� /Z-
--j
Z
~? i H . S�:c � �- lJ1br;✓cam
Presented toffprAIed
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YEt C NO
sssr PW
INSPECTION NOTICE
City of Tigard Building Department i
P.O. Box 23397
Tigard, Oregoi 97223
Phone: 6394175
'yet, k...'quolftd-,6:24—-� � Time A.A. P.M.
Address f f.L. /�(�,c-�
Permit #k112('
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to pproved
---- ---
Inspector Disapproved
- pproved
Date
CAFOR REHISPECTION
❑ rIEa 0 No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested__ Time A.M. ___ P.M.
_ Permit # • J�.'
Address L,� � —_--
Owner_ _ Lot #--- --
Builder `The following following Building Code deficiencies are required to be corrected:
Ae
Presented to _— . _ –__ proved
Inspector U Disapproved
Date /S/fit
CALL FOR REINSPECTION
❑ YES ❑ NO
w w w IIR �r w w ssnIF PINK PW
INSPECT'`N NOTICE
City of Tigard Building DepartmFnt
P O Box 23397
Tkiard, Oregon 0,7223
Phene: 639-A1 5
Type of Inspection (.
Date Requesfad_ Time A.M..,—P.M.
Address , drLC v G'�- Permit #6)x/ C
Owner------
Builder
The following Building Code deficiencies are required to be corrected:
41/611
� F-6 2T` F"v�Z&4C�
691 P'viv19 4177 r- A C c::S S —-- --
Cq�3S�-�� ,4 -
1� -%_(:3& 'Ole
Presumed to _ _ A proved
Inspector - Disapproved
Date
r?
CALL FOR REINSPECTION
FJ YES ❑ NO
rR ws• w w � ai
I�.
CITY OF TIVA
BUILDING BU89IT
RDL , PERMIT NO. : HU692056
CITY IU)
COMMUNITY DEVELOPMENT DEPARTMENT °"'O°" DTE ISSUED: 10/12/89
13125 S W Hell Blvd-P O Bow 23397.Tlpard,Oregon 97223,15031639-4175 I M.PMT.NO. .,92056
JOB ADDRESS: 5467 SW LAKE SIDE
TAX MAP/LOT SUB: SUMMERFIELD PARCEL E_ IT: lip.:
LAND USE:
LOT SIZE: VALUATION: $ '77,410 SETBACKS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: 5 RIGHT: 10
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 2 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 2 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD Na S: E: W:
TOTAL AREA: 1733
NO.5TORIES: 1 1ST: 033 ROOF CONST: C FIRE RET?
HEIGHT: 18 2ND: AREA SEPAR? RAVED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 410 FIRE SPRKL_R? ALARM?
Ft-OW(GPM) DFTECT? YES
HEAT TYPE: GAS HDCP.ACCESS7 CORR?
PLAN CHECK BY: rIt
REMARKS:
re-issue of 89050; REISSUE OF NO. 83505
I.-AST PE I9SUE
FEES-
0 W PERMIT $367.00
N PLAN REVIEW 440.00
E FIRE DEPT
R
STATE TAX 418,. 35
OTHER
r DEVLLOF'MtNT CHARGES.-
0
HARGES:o SDC(STORM) $20.00
N MARINER DEVELOF'IIINT 11IC SDC(STREET) $600.00
R PO BOX 1368 PDC(#2 ) $250.00
C BEAIERTON OR 97075 PREPAID ( $40.00)
T PHONE (503) 626-9029
REGISTRATION NO. 47451 TOTAL: $1, 485. 31
RECEIPT NO. fi
This permit is last ad Eublect to the regulations contained in 1 itle 14
of the TMC. State of Oregon Specialty Codes,toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby FOOTING SEWER
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and FOUNDATION WAL.L.. RAIN DRAINS
ordinances. The issuance of this permit does not waive restrictive POST R REAM WATER LINE
covenants Contractor and subcontractors shall have current ci y PI-B.UNDERSLAD CITY APPRCH/SW
business tax permits This permit will expire and become null and SLAP FINAL
void if work is not started within 180 days.or if work Is suspended or PLP.T[IPOUT
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure FRAM?NU
all required inspections are requested and approved. FIREPLACE
�- GAS LINE
/ INSULATION
r �W GYP. BOARD
rim ttI?%nj,li
Issued By �%� I r,ALL rOu_itWMION-6.U-tiZ_5
SEPARATE" PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r
SEWER I'IERMIT >
CITY OF TIGARDPERMIT NO. : SE892116
+ n*0F TIGA10
COMMUNITY DEVELOPMENT DEPARTMNT D E ISSUED: 10112139
13125 S W Hnll Hlvci.P.O.Bow 23397.Tigard.Oregon 97223.(503)639'4175 \ I M.PMT.NO. 89LO5,
JOP ADDRESS: 9467 SW LAKE SIDE' DR USA NUMftAc 39083
TAX MAP/LOT SUBr SUMMERFIELD PARCEL E LTs BK:
LAND USE:
LOT SIZE:
SECTION: 11 TWP: 2s RNGs 1w
WGRK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the unified
Sewerage Agency. 1'he permit expires 120 , ays from the date issl-1ed. The total
amount paid will be forfeited i.f the permit expires. The Agency does not quar-
antee the accuracy or the location of the side sewer laterals. If the sewer is
not located at th,- measurpmerlt gikien, the installer shall prospect 3 feet i,.
all directions from rhL- distance giver). Tf not so located, the installer shall
purchase a "Tar, and Side Sewer" Permit- and the Aqency will install a lateral.
INSTALL. TYPES DUILDING SEWER IMPERVIOUS AREAS
FIXTURE UNITSe TENANT IMPROVEMENT:
DWELLING UNITSe 1
NO. OF BLDGS. e 1
FEES:
ti•� PERMIT
r� CONNECTION CHARGE $1,250.01
LINE TAP INSTALL._.
I
OTHER
C
0
N
MARINER DEVELOPMENT 1NC
A PO BOX 1368
C BEAVERTON OR 97075
T PHONE (503) 626-9829
a REGISTRATION NO. 47451 TOTAL.: $1.285.00
This permit is issued subject to the regulations contained in Title 14 -----------RECEIPT NO.
of the TMC. State of Oregon Specialty Codes.zoning regulations REOLIIRED INSPECTIONS
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and ROUGH—IN
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 permits This permit will expire and become null and
void if work Is not started within 180 days.or if work Is suspended or
ahandoned for a period of 180 days any time atter work has
commenced It shall be the responsibility of the permittee to assure
all WW
ted and approved
IssAl k. -FtW 144W+(J (3Nb,39-4175 -------
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFT167A PLUMPING PERMIT
,�,,,)t, F'ERMIi" NO. - P!_892113
CITY OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT O0100"
E I,,SUEDs 10/12/03
13125 S.W.Hell Blvd..P.G.Box 23397,Tigard,Oregon 97223.(503)6394175 P IM.PMT.N0. 892056
JOB ADDRESS: 9467 SW LAKE SIDE DR
TAX MAP/LOT 2S1 11CA PART100 SUB: LT:e Rh:
LAND USE:
I.0"i SIZE:
ITEM: 1,1^: 'J0:
WORK CLASS: NEW WATER CLOSET 2 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN I-.AVORATORY 3 TRAP PRIMER
OCCUP.GRP. : R3 TUT SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL I
NO.STORIES: 1 WASHING MACHINE 1
DWELL.UNITS: I LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKSe
------ -- --^� FEES: .-- —�
W mariner development PFRi4IT 11P5.88
N Po box 1368
F
fa beaverton or 97077) FIX11JRES
PHONE (503) 626-9029 STATE TAX 16.25
-- - - - 01'HFR
C
N SANDNESS BEH
T CANBY PLUMBING
A 805 NE 4TH
C canby or 97013
T PHONE (503) 295--5923
R REGISTRATION NO. 33572 TOTALg 1131.25
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO.___ —__ 7Vof the TMC. State of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
----- —
and all other applicable codes and ordinances, end it is hereby
agreed that the work will be done in accordance With the piens and PLB.UNDERSLAT
specificatir,ns and in compliance with all applicable codes and POST" R BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINT
covenants Contractor and subcontractors shall have current city PLT.TOPOU
business tax permits This permit will expire he lecome null and
void if work is not started within 180 days,or If,,. is suspended or RAIN DRAINS
abandoned for a period of 180 days any time aftor work has FINAL
commenced. It shall be the responsibility of the permittee to nssure
All required inspections are requested and approved
pe mittee Sign lire
Issued By I,\� all pnR-tNaperlipV C3$-X41-75 - -
C/
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
■. .■. lorr � .w .. sir
C1Y OF 717A
�. MECHAN!' AL PERMIT
RD
PERMIT NO. : ME892115
CITYOf TIFARD
COMM')NITY DEVELOPMENT DEPARTMENT a" F.. ISSUED: 10/12/89
13135 S.W.H,II Blvd.,P O Box 23397.Tigard,Oregon 97223,(503)639-4175 t-' IM.PMT.N0. E32056
,JOB ADDRESS: 9467 SW LAKE SIDE DR
TAX MAP/LOT 2S1 11fCA PART100 SUB: L T:e BY,:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDLR (10
USE TYPE: S:NG! E FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUF'.GRr . : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
PLR/COMP 1.3HP HOOD i
NO.STORIES: 1 BLR/COME' 3-•15HP INCINFRATORcDOM
DWELL.UNITS: 1 HLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BI_R/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLk/$.OMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
REMARKS:
FEES:
W marinpr development PERMIT $t0.00
r� po box 1368 PLAN REVIEW $10. 13
heave, ton or 97075 rIXTURES $30.50
PHONE (503) 626-9029 STATE TAX $2.03
OTHER
C
O MUEHE EVAN A
N MUEHE QUALITY HEATING INC
H PO BOX 9
WEST LINN OR 97068
L0R REGISTRATION NO. 50096 TOTAL: $5L.66
/ /
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO. Cs4 7,. �J
of the TMC, State of Oregon Specialty Codes,zoning 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 plans and GAS LINE
specifications and in compliance with all applicable codes and POST 6 BEAM
_ordinances The issut ice of this pr�mlt does not waive restrictive ROUGH—IN
covenPnts Contractor and subcontractors shall have current city FINAL.
busine,a lax permits This permit will expire and become null and
void if work is not started within 180 days,or if work Is suspended m
ahandoned for a period of 180 days any time after work has
cornmenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
l44 �
Issued By jlv GALL FOR 1NSPEET.I0N_fi39.-_917:)_
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w w w w w �r w w w sr
CITY OF TI
CA RD ���� Pt.ILN OtCCK APPLICATION
PLaltrAN cx a(:C)fWJ(JN(TYDEVEI_OPMEPITOEPARTMENIec3_o-. �r1v(swl.avain (,-7)
DATE. ISSUED
= �! -i AY MAP/LOT
O[3 ADDRESS: ' ,�• ,�" - LAND USE:
SUB: ', l OT: - - --
r•
VAL ATION.
SPECIAL NOTES
OWNER r [ -- REISSUC OF:
11l)A RLSS --_— LAST REISSUE: ---
G 7� ____-- FLOOD PLAIN/
SENSITIVE LAND:
APPROVALS REQUIRED
PLANNING: --------
OONTRACTOR ENGINEERING:
NAME: � ;�cL' - — - -
FIRE DEPT
ADDRESS: _-- OTHER:
_ ITLMS REQUIRED
P{IONE: LIST/SUBC)ONTRACI ORS: -
ARCH/ENGINEER BUS TAX:
CALCUL"TIONS: --------._--
NAME: �— TRUSS DETAILS: _ _--.-
ADDRESS: _-- - -- PARKING PLAN: ^-_--
LANDSCAPE PLAN: --
------ ---- - - 0111ER: - -
PHONE: __ - -----
00('CIF31TS: -_ _ ----- -
PERMIT N AOr_T it DESCRIPTION CMOUNT AMOUNT P0. BAL_ DUL
10-437 00 Building Permit fees - --
10-431 UO Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10730 01 State Building Tax (57.) -__---- ` `
Buildir,j
Plumbing
�-
y
1O---033 00 Plans (deck Fee -
Building _ v'
Plumbic-9
30-707 00 Sewer Connection -
-------- 30-444 00 Sewer Inspection _
51--4,1(f nn Street System Oev Charge (SOC) _
52-449 W) Parks System Dev chz.rge (POC)
31-450 00 Storm Drainage Syst Dew (jlrg (SSGC) —
10-230 09 TRUO -- -
10-7.30 OG (:ounty fire NL (951)
10-770 00 Maar( /Wcdgew00d - it
107[11- -
REC It
APPI_.TCANT 51oMAIURL
Received By: - //(� Datc Received: I2 �_ _-.
cn/35B7P/tOP
i
MEh.JRANDUM
TO: Diane Jelderks, Planning Div ..sior► X For. your. Information
Nancy White, Building Division
Phyllis Harris, Finance/Accounting Division
FROM: Laura Freeman, Engineering Technician
DATE: February 27, 1999
SUBJECT: Formorly WCTM 2S1 11CA, TL 100
iLP 89-01. & 89--13
The address ansignments for the above listed property have been approved by
i
this office. The addresses by lot number as submitted to our planning division
are listed as follows:
lot A - 9449
B - 9453
C - 9457
D - 9463
E - 9467
F - 9471 SW Lakeside Dr.
Tigard, OR 97223
DEVELOPER/OVINER
Equity Group
Kurt Dabey
4500 SW Kruse Way
Kruse Way Plaza One Suite 180
Lake Oswego, OR 97035
I
,I