9580 SW LAKESIDE DRIVE-1 mus 0
9580 SW LAKE SIDE DRIVE
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CERTIFICATE OF
CITYOFTIGARD JA6 occ,JppNC111
&-[NY PERMIT 0. . . . . . .
G:)MMUNrrY DEVELOPMENT DF.PAR*##r RDA
1'.126 SW HWI Blvd, P.O.Sm 23307,TlpM,OmWn 1;7223(603)S3a4176 DATE ISEAJEDs
SITE ADDRESS,— : 9589 SW LAKESIDE DR PARCEL 2SIIICA-11300
S'UBD I V 181 ON. . . . t LAKESIDE PLACE ZONINle s R-4. 5
81.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :6
GLASS OF WORK. :NEW
TYPE OF LISE. . . c SF
OCCUPrqN,-Y OOP. r11
OCCUPANCY LOADzIIS ti
TENANT NAME. . . -,
kc�mmrks : 7 1/b tt easewerit on Bast sic;p of lot
NUt,'TALOIC HOMES
PO Box 2016
LAKE GRUVE OR 97035
Phone *4 5036,:05666
Contras-fort
NO,�TALGIC HOMES
PO BOX 2016
LAKE BROVE OR 970,35
Phutie #v r'1436205666
Rea #. . : , i5b..7
Occ,_,psncy of the above referenced b-Ailding is hereby given, and certifieT,
ccppliance with the State Of Otlugoil Specialty Codes for the group,
;jC.1rL1p,9,ncy, and use under which the r-eferenced permit a 1 6 SLed.
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FARTMF.N7' _I VING, IiNSPrX
PO IN CONSPICUOUS PLACE
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CITY OF TIGARD BLDG. DEPT.
12420 S.W. MAIN STREET
TIG 4RD, OREGON 97225
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Bui d?ng Code, the
following item(s) require correcting:
r)ate: 8-.2-1 -- Permit No.
Inspectof k -
CA!L FOR REINSPECTION
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BUILDING PLRMIT APPLICATION 1OF
1T TIGARD DAie— A,, 19_.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOhK HEREIN INDICATED BUIL:IERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE._—
LOT NO._�____
OWNER JOB ADDRESS HOMO ADDRESS
AR(_HITECT
F_NGIIVEER
BUILDER ADDRESSS _ _rr--�l DESIGNER _
STRUCTURE �^❑NEW ❑_ Rt MODEL T CADDITION - C1 REPAIR L!HENEWAI ❑FIRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMA ❑EDUCATIONAL Q GOVT ❑9ELIGIOUS❑PATIO ❑CAR "(.RT ❑GARAGE ❑STORAGE❑SLAB '(]FENCE
❑BOND ❑MOV IN" ❑CONDITIONAL.USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
0 CUPANCY-_�__.LAND USE 20N' _�;j-BLDG.TYPE FIRE ZONE._ PLAN CHECrt BY__...-_-_._._ HEAT-_i
. lt'.'.in 1+�•I_���+u� no wip oy 10235 StJ Grevnlaaf Terracti.
_-- t"j-0mres rJuy! Iji1g w/vttechrid bbtih« _-- -`_---
4 • LOQ•(] _� __�4E'OB_LOAD ►�1StklL ^IVu.STORI'$ EA "�11NO,BEDRQ4MS V_ALU _. "_. .._.._._
BUILDING_, DEPARTLAENT � St' BACKS FRONT I1 REAR � f' LEFT SIDE RIGHT SIDE
Permit --
--- - 1HIS P".RMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOIJING
PI in Check tm 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Il' IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 207,9f.'1 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
780 RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax • LICENSE. SEPARATE PER(+�LITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total-- - 14,i.N '!lt' r'2 W100.00
By t.T t - -------- ----
_ >(1 rd APPI.(CANT OR Ar,FNT
ApprovedReceipt No. .....`..,........�,__..,.a..:_ ._w...�...._.................,..,.......................,�.......,_._.._..__ ___. ..._......,.,�... _
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
79 21LContractor
Permit No.
19 '3-/) -70
-
Rough-in
Fixture
Final HEATING
1A&(*RaZQ
Contractor
Permit No. 1�53
C? raw, Gas or Oil
Rough-in
Final
SEWER
Final
uRIVEWAY
Final
Stora Drainage
Main Drain)Final
Sidewalk
Curb&Street Final
Approach
DEPT.IFINAL TtMPORARY CERTWICATE OCCUPAN
C7 3 (_ Final
C
CERTIFIATE OCCUPIICy
Landscaping
Zoning Final
!� Lm w i
PITY .�,�p OAT, •-�.3- �s N2
,�JILDING PERMIT APPLICATION OF
-•�(: iJr47IEkS'CNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
.R AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA110NS. Owr1ERPH°N!/
LOT NOIt �Yl
R JOF�ADDRE55 _y`,���� \Y — i- ARCHITECT
I� t .►– _ '
ENGINEER
ADDRESf __-.-_.nE51GNE_R � ._—
E_R
URE IJNEW _ORE MODEL ❑ADUITIONy ❑REPAIR— _❑RENEWAL ❑FIRE DAMAGE — ❑DEMOLITION
'. .NCE IJ COMM ❑EDUCATIONAL ❑GOV_T CORE•LIGIOUS❑PATIO_❑CARPORT ❑GARAGE ❑STCRAGE❑SLAB ❑FENCE
J
-1 SIGNS
,POND ❑MOVING ❑CONDITIONAL USE _— UDE__SI�^REVIEW ❑COUNCILAPPNOVED _—
__ --__ --.-- --•- � .-� T- HEAT �
�PeN LAND USE ZONE- �_BLDG TVPE �—�I IR1E ZONE�.Z7PLNCHECK Bv.
u-iLgii—i JL
--- -------
►.FAQ -_ . _F�oQ�OQgQ - Hit__.___—_._�Q�Ts ► __L._- I�.1_
----"" LEFT SIDE S
F RIGHT SIDE
BUILDING DEPARTMENT SET BACKS FRONT REAR - -
Ivirnit — Iqk�' •"'—'I TH'S YfRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
cq--, RFGULATIONS AND At L APPLICABLE CODES ANL+ ORDINANCES, AND IT IS HEREBY AGREED THAT THE
IPlan Check -"
_ WORK WILL BE DONE. IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE thtTH
Sub tatel �� ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
X16
iP Tex LICENSE. SEPARATE PERMITS RF.OUIRED FOR SEWER, PLUMBING AND HEATING.
Total '_
dV AVPNAN't O GEN
App,oved I Rri P hl No — --
-
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