9520 SW LAKESIDE DRIVE es es ■. rw .e � w.r w. �-.
9520 SW LAKE SIDE DRYVE
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CITY OF TIGARV BLDG. DEPT.
12420 S.W. MAIN STREET
TIGARD, OREGON 97223
PHONE 639.4171
CONTRArTOR:
Pursuant to Section(s) of the Uniform Building Code, the
following item(s) require correcting:
Date: Permit No.
----
Inspector".
CALL FOR REINSPECTION
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CITY
BUILDING PERMIT APPLICATION OF TIGARD DATE
",1AE UNDrRSIGNED P1 ILBY APPLIES FOR APERMIT vOR THE WORK HEREIN INDICATED BUILDERPHONE..L ui
OR AS S, .'JVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNERI J,;.L I %`1.' V• JOEI ADDRF-SQ52Q SW Lake SLED+... Lr. HOME ADDhF'c'�: - - y—
ARCHITE^T
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE ONEW O RT MODEL OADDITION ❑^TREPAIR ❑RENEWAL [:]FIRE OAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS IJPATIO (:]CAR PORT ❑GARAGE L]STORAGE QSLAB FENCE
❑BOND QMOV ING DCONDITIONAL USE ❑DESIGN REVIEW LJCOUNCIL APPROVED ❑SIC-,NS
OCCUPANCY I .LAND USE ZONE "^-7 BLDG.TYPE_ FIRE ZONE L PLAN CHECK BY_ F IIIII HEAT-A -
�jlntstug - Ne-Is auu asma roe J 0320--,-AGrwwileaf TurraL.IrI
Framed Tatlnhuu sa Watt 1Ghed yjarwl@ 2 bedrurim — 2 both. ^_� �_-----_--_ --
Iewor laarm;t , 17.124 - t'621jlue
1SZF1L___._»�4._SZ4.Eillas_2 AREA1700 NO BEUROO—St VAL01 I U99'
Still-DING DEPARTMENT SET BACKS FR0N5UID r'113r18AEAR LEFT SIDE RIGHT SIDE
Permit 5 1 tI"�,fl0 — � --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check � � REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AG14EED THAT THE
WORK WILL BE DONT IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
sub-total 173,00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI f DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS I'D HAVE CURRENT CITY Hr USINESS
State Tax,�I 6*52 LICENSE. SEPA74gTE.�gMITS REOINRED FOR SEWER, PLUMBING AND HEATING
Total v179.62 PUL jInO,IJU
By 131 -- ---- - -- -- --
---•- APpLIt.-ANI OR AGENT
Approved f , I lftl om Receipt No, I J�,,�'
w tt>• tl� Itl• Ir isIII
r'ATi' INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
Contractor
/.2
LA AL � —
Permit No. 2
3 y'�7�a• _ --
• �
Rough-in
G_��-?� w • /^ G Fixture — —�-
6-ZcsFinal
HEATING
7-749 — _-__ _ Contractor — Q-
-- --.. Permit No. r� (' -3a lj Nai79 �t
Get or Oil TILT/—
I?uuyh-in--
Final
-�— -- -- SEWER
Final
— DRIVEWAY —
Final
Storm Drainage
(Rain Drain)Fi-'I.
�^ —M Sidewalk
— — Curb P Street Final
Approach
BLDG.DEPT.FIN/.L 7LMPCiRARY CERTIFICATE 0C7NCY Final
CERTIFICAT'.i OCCUPANCY
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION SOF TIGARD DATE_ 10-27 Np
;4F' LINDE HSiGNEC HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONe 639-3101
AS SHC)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICATIONS. OWNER PHON��l
LOT NO.- 0
Tualatin Development C+OJOB ADDRESS ♦~ S . Lake Side Drivq,,,,, ADDRESS
_ ARCHITECT
ENGINEER
ADDRESS DESIGNER
X. .v LJ RFMODEL ❑ADDITION O HLPAIR URENEWAL ❑FIRE DAMAGE ❑DEMOLITION
X Cil NCF ''M ❑EDUCATIONAL ❑GOV'T OAF LIGIOUSFIPAT10 ❑CARPORT ❑GARAGE ❑STORACFOSLAB ❑FENCE
1P"ND I_JMOVING _ ❑CONDITIONAL USE QDLSIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS
I'I r.NCN ' I LAND USE ZONE'�.BLDG.TYPE�g _F IRE ZONE-3 J PIAN CHECK BY - HEAT_--.......
as10320 -_--
Framed TovMousa with attached garageR440
J.. ; 09Q-_ `LQ.QA-WAP--- --____ ffiQ_H_t__—.--•----I`�_$T�RI€ 2 APE8.1�00 NO.BEDROOMS .�A1US_�41�698.00
BUILDING DEPARTMENT SET BACKS FIR ONt� LEFT SIDE RIGHT SIDE
"- fH15 PERMIT IS L^,SUEr, SUBJECT TO THE REGULATIONS CONTAINED IN THI- BUILDING CODE, ZONING
''Ian Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE:;, AND IT IS HEREBY AGREED THAT THE
WORK WILL FIIE DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICATIONS AND INCOMPLIANCE WITH
`'uhtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSU%NCE OF THIS PERMIT DOES NOT WAIVE
-' - �— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTPACTORS TO HAVE. CURRENT CITY BUSINESS
Tax 6' Z LICENSE SEPARATE PFRMITS REOUIRFD FOR SEWER, PLUN)RING AND HEATING.
_T mal 179<.52 l
APPt ICAN't OP F NT
App,o ed RPcelpl No
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