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9680 SW LAKESIDE DRIVE MA'S 9G80 SW SAKE c,TDE DRIVE ti iD f� U Q1 (T1 J 3 un Co O 0. 0 CT I I �ADDRLSS .R�P Q,c G E'R N I T NO.—_ �7..�s� ,11h N r DERE}I i CNFRGC nand______•_ 0W SER LONNECTIC'N FEE PAID BY TYPE OF SUIL)ING ORTF. carlr:EC f;ll iERvl'CE RtiTF _ �cli _� INSPECTION F'E'E CONTRACTOR _. .__. PAID BY DATE SIZE OF CO INECTION _��, �,._ ASSESSMENT PAID __�� JWMK W-JLTAP war C;, 0f Tii C-1 Mechanical Pe1: it parmit Nev- I n 1,b 1:J!I o RCI:,,:a-ion Ad- .-Ion 71 A!lLra:io, SI e C'N'TRACTOR A-DI)PE-SS WORK .40'-'PESS PH(DNE APPLICANT Heat Input R.:-. ng (BTU Per H o.Iol Vent Size M Flue Size 7— FUFL OIL 0 GAS G2--" ELECT LED OTHER ITEl, NO. FEE ITEM NO. FE For lss.3ncc o' Permit Air—Conditio—nCrjr—T-,p—rm ---- ---- or 15 to :i0 HP 0.12 New - Unje, 100,000 61 U 4.00 Air HandingJ 10 C T- T ---AirPandling Over 10.00 CFM New - IM!"',10 BTU & over0 c Floor U---isce ---L-L 4 o i��0 Evap�jrative Cc ler 3.c Wail - Floor Suspended OR Pangs Vent Fan 2.0 ln;iall Vents Only 2.00 Ven-, ke:pd.: - Acat & Cooling Air Condition Compressor FJ n-R t'J--d-40 Cornmercia! Duc.-, System 3 f. C017 iE - - on Compressor 3 to IS HP 7.50 A INSPECTOR r01WMENTS CITY EUSIN'ESS LICENSE REOUIR;:.D FOR ALL CONTRACTCRS On SUB CONTRACTORS APPROVED DATE ISSUED BY— DATE w raa w w ase niw xsn r �, E. nil+tnnl,� 'i' BUI;.11ING DEPARTMENT, TIGARD PLUMBING PERMIT N0. holder o'l a valid plumhing contractors license 's hereby authorized to cause nlumbinq work as herein notEld to be installed in accordance with the plumbinri code of Tigard. Such inst, iia. ms regi!iie inspection by the City Inspector who shall be ,notified not less than four (4) hours prior to ;Ir :imp the instdllations are ready for inspEction. City of Tigard Business License required for all contractors and sub-contractors. Owner—:46L, �S 6 '�_ _ Address._J�� i6 oG_�_ _ — Date L NUMRER OF ... TOTAL PERMIT NO.'S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) Sin I,4.Family—1 both-each _ ✓ 25.00 �( J E Ov 'v+s-corh 1 bath unit _ _ 25.00_ Additional b,throomt-each 10.00 / ��- Moblle ►iom, acs_each — 16.00 INDIVIDUAL--FIXTURE FEES 1 to 50 Fixtures In 1 bulldlr�each _ _ 3.00 51 to 100 Fixtures in 1 building-aach _ 2.50 101 to 2_00 Fixtures in 1 bulldin -each _ _ 2_00_____ 201 or more Fixtures in 1 building-each 1.50 �- MISCELLANEOUS _ Bulldln1LSew9r-1st 60 ft. r 10.00^ Sewer--each additional 10_0 ft. 10_.00_ Water Service to building 5.00�r Private Water Systems-each 100 It. _ 10.00 Other IS 96110: PERMIT G G For Plumbing Inspection Phone 6394191 � 96 Statt — Plumbing Contrector C.,! NECEIPT NO. Issued Ey BUILDING 7" T APPLICATION CITY MIOF TIGARDDATE THE UNDERS .'EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONk____ OR AS SHOWN AN,- APPROVED IN THE ACCOMPANYING PLANS AND SPECIFI(ATIONS. OrWNER PHONE—_. SINNER kJ1410tAll _DOW. LC)f JOB ADDRESS' 20EU1-0�""0HOME SS ARCHITECT At.JI,.0ER ADDRESS ENGINEER -DESIGNER STRUCTURE CJNEW CIRF'MnDFL (, ADDITION DREPAIR ORENEWAL OFIRE DAMAGE [:]DEMOLITION 0 RESIDENCE OCOMM OEDUCATIONAEJGOV'T ORELIGIOUS OPATIO OCARPOR7 --- CIGARAGE CISIORAGO ESLAB f]FENcr BCINQ ` DLMOVING 000NDITIONAL USE 0DESIGN REVIEW 13COUNCIL APPROVED 07IGNS -7 �= OCCUPANCY i_�_ � LAND USE Z0YE___ & B_LDG.TYPE_-FIRE ZONE. PLAN CHECK By- HEAT U *1 "Ta: " L )21 2J SUMMOt-fiSlu Lane w/at4,1chod isxasiIe 2 astiroom - 2 __—LAundation Parmj,t iosuad — zios permit 24(;b .lower Permit u4,i. BUILDING DEPARTMENT SET BACKS FRol,:r REAR LEFT SIDE RIGHT SIDE Permit RFG()i.ATI'jNS AND ALL APPLICAP�F CODES AND ORDINANCES, AND 17 IS HERESY AGREED THAT TAC Plan Check THIS PERMIT % ISSUED SURJFC1 TO -,HE REGULA710NS CONTAINED IN THE BUILDING CODE, ZONIIYG WORK WILL BE DONE IN ACCOIRDANCE WITH THE PLANS AND SPIECIcICATIONS AND IN CO Sub total COMPLIANCE WITH ALL APPLICABLE CODES Af,,D ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CJNTRACTOR AND SUB CONTRACTORS TO HAVE --t)RRFNT CITY BUSIPO__.'S State Tax, LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUM31NG AND HEAPING. Total _- ---T By P NT Approved Receipt N u 1.ii1l fib _UPI (-A _�'JILDING PERMIT APPLICATIGN "OF ' 1C. ," D ti4aE 3- -_n NQ I J%,".AFI!,IGNEDHEREBY APPLIES FOR APERMIT T WORK HE RFI Its N I ATED SUIIrERPHONEC2 FOR THE O D C 1�,-_�1►1L.. Ac) SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE L.OT ND.__.._ .1__ ..�— r' JOE+ ADORE$d J� 10ME AVDRES-. ARCHITECT ]ENGINEER c R _ ADDRBSB DESIGNER y 1._ _�-1 URE RNLW 0REMpDEL — `�ADUIT10N —[3REPAIR —�09FNFWAL 01-IRE DAMAGE CIDEMOLITION c� -IN ❑COMM LIEDUCATIONAL ❑GOVT ❑RFl -GIOUS[]PAT10 ❑CAR PORT []GARAGE []STOPAGE[ISLAS rjFFNCE I,FpND ❑MOV ING OCONDITIONAL USE EhEaIGNREVIEW ❑C'OUNCILAPPROV ❑iIGNS F:NCv -7Z1_AND USE ZONE__ _.._BLDG 1YPE FIRE ZONE, PLAN CHECK 9Y,-" — , HEAT - - F.LQ_QR._QQ4k--- �► HUIIpING_OEPAEITMENT SET BACKS RONT� 4 REAR ��. LEFT SIDE -- _^'__---_ RIGHT SIDE I I rn t— r�ltt, :![W1j'Z THIS PERMIT IS ISSUED SUBJECT 70 THE REGULATIONS CONTAINED 1N THE BUILDING COVE, ZONING Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREEI] THAT THE -- __ - - 6A.i— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub total r LJC.7 AL1_ APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFSS !,tiov Tan �� ! '0 LICENSE. SEPARATE PERMITS RF•OUIRED FOR SEWER, PLUMBING AND HEATING. IT By ADPL ICP-01 OR AG[ 4L[, nvNrt Receipt NO. <� %.) '' ! 0 .rl �- v WE � 't'11r9'Y.'yY�X-.r�...��_-.... ...r..•....rr.."^.P,rIVirS..'.,y. _.. t ._...-.... �-,e, ems-'' :�Ly47 4 BUILDING PERMIT APPLICATION OF TIC. RD DACE___-__�_ I9?fq_ THf- UNDERSIGNED HEREBY APPLIFS FOR APF RMIT FOR THE WORK HERE!N INDICATED BUrLDERPHONE l.I ++•�j (�� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHWII, OWNER^-1' 1t ) ,; JOBPDDRES . 0660511 Lako8idto LAX'• -- - - � HOMEADDRESS A RC H I'T CET------- BUT-LER ENGINF_:Q _ ADDRR_SS STRUCTURE _ UNEIh' _O RF'MODE _❑ADDITION -=Ll REPAIR _❑RENFWAL iUFIRE DAMAGE ❑DEMOL.ITION ❑ F�ESIDENCE ❑(-,OMM11 ❑EDUCATIONAL`1]GOV'T ❑RELIGIOUSOPATIO ❑CARPORT-_❑GARAGE FJSTORAGE❑SLAB ❑FEN_E L_JIIONO A0MO\/TNG UCONDI)'IONAL USE ❑DESI_GN REVIEW_ (]_COUNCIL APPROVED ❑SIGNS I N OCCUPANCY_ LAND 115E 20NE_. f" _BLDG. TYPE —DIRE ZONE_,_PLAN CHECK�BY �' r �HEAT`_��±�__ _ _ �+ WdiLlfel Cum Je L J.Ail 9W 5'JmM6VPi@1U Lons —_. o STQBlg_5. I ._AB.EA149U—l`J9.5E11P�4MS_ I~4 A%• 1y I DING DEP.4RIMENT`, SET BACKS FRONT 12 REAR 0 c fy••!.' • LEFT SID. RIGHTSIDE Per mit -- °�1 C1.�� - -------=.-____--=---- — T41S PERMIT L; ISSUED SUBJECI TO THE REGULATIONS CONTAINED IN THE IIIJILDING GOOF. ZOrviw: Plan Check REG, AND AL i. APPLICABILE CODES AND ORDINANCES, AND iT IS HEREBY AGREED THAT THF WORM WILL BE DONE IN ACCORDANCE WITH THE r91 AMS AND SPF(:iFIL,,TIONS AND IN COMPLIANCE WITH sub-total A?PLICARLF CODES ANI) OFIpiNANCFS. THE ISSUANCE OF THIS PERIVIT DOES NOl WAIVE RESTRICTIVE COVENANTS. CONTPACTOR AND SUR c.mrRACTOTIS TO HAVE CURRENT CITY RUSINFSS Shite Tax LICENSE. SEPARATE PERMITS REOI.IIRED FOR SEWER, PLUMBING AND HEATING. Total By � pi _ +! Approved )I No. I Ali v(1 �+>r►►��7�a�■orerns 1 DATE INSP. TYPE INSPECTION REMARK9 _ -II _ PLUMBING- DATE_ ' Contractor 3q '/7 �7 r-` -- ------ -------- Permit No. - �` Rough-in Fixture .7 Final HEATING Contractor j ) -^-- ----- - Permit No. -`- - Gas or Oil --' _ - — Pough-n ..------ -�`_ ----� final -- - —�-- - SEWER Final --- ---- - - ------ DRIVEWAY— _ -_ __--- -_ _-----..-------------- - =1nel . — __._--------------------------- Storm Drainage - ----_--�--'----- ------- (Rein Drain)Final --------- ------------------ Sidewalk ---.---- ------------ Curb&Street Final -- —-- -- - ------ --------- Approach BLDG. DEPT.FINAL TE-MPORARY CEFiTIr:^_NTE OCCUPANCY Final CERT11"Yr:ATE OCCUPANCY — - - Landscaping Zoning Final 11TY �A. � DAfE-1'� — -- '� �0 � jJILDING PLRMIT APPLICATIGN OF -4 L1N7ER1.;IGNED HERE El APPLIES FOR APE PMIT FOR THE WORK HEREIN INDICATED BUILDER PHONF��-.-SJ. _I . NE :iR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND Sr ECIF{CA':IONS. OWNEO C�4•,,�'�,,� LOT N4._Sf.3(.ii1 �LJl1�A ADDRtSS ARHI TELT ENGINEER ---yy----- URE__ @JNEW _.._ 0REMODEL DADU111C)N _ QFIEPAIR DRENEWAI (OGIRE DAMAGE ❑DEMOLITION IDI-NCE C-]CJMM ❑FOUCATIONALY ❑GOV'T nRf i IGIOUSDPATIO^DCAR PORT�DGARAGE DSTORAGE DSLAB CJFENCE I go v) -1 MO_VINGv`DCONDITIONAt USE _DDESIGNREVIEW DCOUNCILAPPROVED OSIGNS uPANC_YI�" l AND USE ZONE ._BLDG T�PEG —FIRE ZON013 PLAN CHECK BY _HEAT nAt? r L99_FLLQ I-io-11491 ��.1._._..AMA-H -- ) EDROOMS�IQ _V_A.LU �V T BUII bING DEPARTMENT SET BACKS FCNT REAR LEFT SIDE J0 RIGHT SIDE THIS PERMIT IS ISSUED SUBJECT TO THE REGIJI_ATIUNS CONTAINED IN THE BUILDING CODE, .ZONING Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH rub-total _ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RFgIRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS !�latP Tax LICENSE, SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HeATING. Totalto - -- By APPI ICAN1 A ENT App coed Peceipt No.