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9720 SW LAKESIDE DRIVE 9720 SW LAKE SIDE DRIVE 1 • m ti N N .Y n1 J 3 to O N N Q�� =WAWA@ r7 CITY OF TliGARD BLDG. DEP(. 12420 S.W. MAIN STISEET TIGARD, OREGON 97223 PHONE 539.4171 CONTRACTOR: Pursuant to Section(s) of thr! Uniform Building Code, the following item(s) require correcting: ev Date: 9 Permit Inspectc.- CALL FOR REINSPECTION ADDRESs� P[_RM I T NO. PERMIT CHARGE nova — CON"l E C T I ON FEE r C, PAID By DATE COt+NECTED � TYPE OF BUII_Di.NG /� p�' ' INSPECTION FEE S E R V I C'_ RATE P A i D BY _ DATE C 0�, ,,P u�T O R .,— .___ ---._._ - PAID � � asr� s��s� 5NT �. � _.—.. SIZE OF CD .,!•,_CTlON — _ .. Isse wsr twrr w sstr msr s war war ( gal r BUILDING DEPARTMENT, TIGARD PLUMBING PERMIT NO. AL1 .,.,,, . . •�.. ' 1 hc'der of a valid plumbing contractors license is hereby authorized to cause plumbing work as ;lerein noted to oe installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Owner. M.30 ____Address �o� y' s �.�_ _ Date NUMf1En OF TOTAL PERMIT NO.'S TYF 0' 'ENiMiT ITEMS FEE ON EACH AMOUNT (Office Use Only) SIDENTIAL Single Femlly-1 bplh-eeach _ _ 25.00 Duplex- n 11 bath up.'! _ �25.00_�_ _ Ao::iclonal bathrooms–each _ _ _� 10.00 – Mobile Home S nceeeech 15.00 ^_ _ INDIVIDU4L FIXTURE FEES _ 1 to 60 Fixtures in 1 bullding–_each _—_ 3.00 c i to wo Fixtures in 1 buildin –each _ _ _2.50 101 to 20C Fixtures in 1 buil__-ding–eachi 2.00 _ w _201 or m_cre Fixtures In 1 bullding–each __ 1,60 MISCELP.ANE0US Bwlcdng Sewer-1st b0 ft. 10.00 _ !'iiwvr• each additional 100 ft. _ 10.00 Water Service to building 5.00 _ Private Water Systems–each 100 ft. _ _ 10.00 Other (Specify): +_ PERMIT �5", oo F,)r Plumbing Inspection Phone 6.394191 0-1 State �_ Plumbing Contractor By TOTALRECEIPT NO. Issued By ra � as atw ertn trs ai pm 1 _ - �I of 1 i L3 ;d mcchtiriiCal Ptrfmit �/'�.7 ;�`� •�—tt Fee_----�—��.�_—� N?w Iris,al:a!Ion F-0-:ica'on Cl Addi'ion 4Tn.:�L3t� _ 70TA L_— i > 1 � • CONTRACTOR 0-A'r;c Fr-i V�ti.�art WORK ADDRESS PHONE �gF�- n?3a�Ir� __.--- -- APPLICANT 44L1AA��a �r He3z Inp-j: Razing (B)'J Per H -� �� ems.-, �- lent Size Flue ize_ FUEL OIL �l GAS 111 ELECT ❑ OTI-._{ _ ITEM No. FEE - '--- ITEM _ - N0. FE For Itt'J3ncc o' Permrz _ 3.00 W Air Condition Compressor 15 to 30 HP��- 10.0 i New • Under 100,003 ETU i -- !- C.00 Air Handling 10,000 CFti! _ 3.0 K%w . 110:.i.0'J6 BTU & 0v0r _-_"- _�� 5.00 Air Handling Over 10.000 CFM -�J'S'.0 t Floor Furnace 4.00 uEvaparativeCooler - -__. Wall • FlOor Suspentted �-_- 4.00- -Rang=Vent Fan --Y--- — - ( 2.0 Install Vents Only - 2.00 _A Ven; Systtm -� J 1 Rc*.fir • H+:at E Co_oiing �_ __ 4,Op _Hood Cornmprcial — 3 C Air_Condrtion Comp,el'or Under 3 HP - _ -_� _ 4.p0 -Comm_rcia! Duc: Sys*mn All Con3r:iOn Com;u c;:or 3 to 1S HP -�- _7.5.0- - a-.�IIts�^-�'�5�.�.t-.1T:��.'•L-_:'S s:-:1L.i:r• -...SSO � ..i�.V_ .. .: -�T14L:S:�Y•z-�'L't:JTYL:�1.:�_�.:� _-��__..��..._ ____ .� ,. •C 1 _ lNSp, cCfC) �:5 CO,�-�/R-. --- ------- -a --- --- - -------._�_---------Jr � __ CITY RUSINESS LICENSF REOUIRi:C) FOR ALL CONTR ACTO IS On SUS CONTRACTORS APPROVED RY_ - -- - DATE _ --_ _-._ ._ . ...__ ISSUED B1' DATE r•►----+gin .-•or ' 45 BUILDING PtRMIT APPLICATION COF TIGARD DATE ° — —. 1979 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR T,;L WORK HEREIN INDICATED BUILDER PHONE OR "S SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAHONS. OWNERPHONE — - LOT NO.— OWNER 7UalOtil7 (8V. CO-JOB ADDRESS ! 721) SU Lgke`40 PTS HOME ADDRESS ARCHITEC_T ENG NEER BUILDERt AD[)RESS DESIC•NER STRUCTUG RE _ NEW ❑RIM_nD_EL._ ❑ADDITION C1 REPAIR ❑RENEWAL_ ❑FINED1"^nE- LIDEMOLITION ❑_RESIDENCE [:]( JMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE❑STORAGE❑SLAB _1FENCF ❑BOND_ _ ❑MOWING ❑CONDITIONAL USE QDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS as OCCUPANCY_-_LAND USE ZONE- , _FLDG.TYPE_ � _ _FIRE ZONE— PLAN CHECK BY � HEAT _ Mk—l_, CI —188WO •rbM6 dW 1 ,1'J61 S6 ,-iUMM6r1 1Q" i,.lTl"' _ �^ f'rsmu uwailinsA u/attechad garsyso __ 2 Eledroom -- 7 until. 3aa nee-mit 240, fur foulWatialn9 SOwar, sr►t, , ani! PULL all paid, FLOQ�LOAD -�HE1l3HT t10 STORIES FLEA- OCC.LOAQ h�a NO.�EQR4QIy]i_�'_.�[eLU042j,b4 �. DI _ BUILDING_DEPARTMENT SETBACKS FRONT 12 REAR t� LEFT SIDE RIGHT SIDE 4-0 - THIS PERMIT 1£ ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILOR a CODE, ZONING Pian Check T �J1nY REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE - RESTRICT7VF. COVENANTS. CONTRACTOR AND SL1B CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax' 6.64 LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING. Total 1172,, yA By 1996 APPLICANT UR R.GENi Aonmved Receipt No... Y _ .....�._•..,.. ,....,.. �.. ... ...Wim..... . -...... .. ... w»_ , ... .. _.w�.....�.. SADING PFPMIT APPI_ICATIGNroFv IIC. ,%RD DATEN - - -'.F 6NDF HSII;.NFO HE HE BY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATFD E!v•LDER PIiONOWNEE� H AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAIIONS LOIN PHON n ��7��f�� LOT NO JOB ADDRF::pP /c�D. _-. it, ADDRESS ARCHITECT ENGINEER DESIGNER _ URE JO<W _ ❑REMODEL [DADUITIONOREPAIR ORFNEWAL [:]FIRE DAMAGE ❑DEMOLITION 1/- 1D'.NCF F]CL ,MM ❑EDUCATIO_NA_L -0GGOV'T C.3aFI .GIOUS[:]PATIO ❑CARPORT ❑GARAGE CJSTORAGE[ISLAS ❑FENCE ?OND UMOV INO 000NDI1IONAI�USE 1 JDESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS ;'f NCYTr-:�_LAND USE 20N ,:_ (__...._B-LOC?�PE F IRE ZUN --a PLAN CHECKK S n HEA 1 ►lam L�.J I`]d _3..x+1.!-`+.— ..•-.1..~,►..JL -. �_ .�it.3a1..!3�+! -- V— �iY r GAO �_` tP", S t)a Pt)e �_C�►.^,r��+-c/ _ --- "G L.Q!3f2 F.L9Qa�A�L_� -ME EiUI,UING DE PART ML NT SET BACKS FRONT' REAR LEFT SIDE �� "{o—RIGHT SIDE- _ -- - - -- fs - -� - — � CA rM� rG THIS PERMIT 19 ISSLIED SUBJECT TO THE REGULATIONS CONTAINED IN TAF BUILDING CODE, IONING T;IPlan Check _ AFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE WITH i Suh Icitel !„/_ C fJ ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES r'OT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTP.AC'TORS TO HAVE CURRENT CITY BUSINESS Tip Tax LICENSE. SEPARATE PERMITS REl JIBED FOR nEWER, PLUMBING AND HEATING. APPI ICANT U414Lb; Appi owed / Receipt No _ i BUILDING PERMIT APPLICATION c0F TIG A►RD DATE 19 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONIE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_— LOT rNJ.__ I "" • _ _OWNER. � . JOQ AOORES�d�ZrJ 5 J'1 r'' Lake (1 EI ��'T HOMO ADDRESS ARCHITECT ENGINEER BUILIIER �_---- AOUREiS — DESIGNER STRUCI'1RE ONEW QRFMODEL _— 7ADDITION F-1 REPAIR -❑RENEWAL. ❑FIRE DAMAGE -[]_DEMOLITION ❑ RESIDENCE ❑COMMA ❑EDUCATIONAL- [GOV'T [RELIGIOUSEOPATIC) ❑CAR PC` J [GARAGE [STORAGE[SLAB [FENCE ❑BOND ❑MOVING LJCONDITIONAL-USE ❑DESIGN REVIEW [COUNCIL APPROVED ❑SIGNS OCCUPANCY_ LAND USE ZONE +'�'j -BLDG. TYPE; y FIRE ZONE PLAN CHECK BY i HEAT — - _ - — +jundtit.iuss durmit iInly, aam«2 no 1 -'-j 91J Summerf.LaLa Lairs —� — — Sluder Permit 1"7'j1U 0 — t625 ,00 QCQ�L4_A.Q __--LQDR LOAD __T—'QHT--!_ ND.STORIUc AREAZ4SPE) NO.BEDROOMS'? VALJ I,_. d41. 0 I DING DEPARTMENT SE'r BACKS FRONT 141 REAR 10 LEFT SIDE RIGHT SIDE Permit 1(]•00 _ --��.----- —_- - THIS DERMIT IS ISSUED SUBJECT TO THE R2GLILATIONS CONTAINED IN THE B JILDING CODE, 70NINO Plan Check REVULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGRFED THAT Tr1E WORK WILL BE OONF IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPI IANCE WI TH Sub- otal 411-1 APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RFSTRICIIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFS:; State Tax LICEN.,-'.. SEPARATE PERMITS RFOUIRED FOR SE WFR, Pt IJMBING AND HEATING. Total t!t.CiU '0L #2 kilL1000L APPLICANT OR AGENT Approved . A1CiN►Ft I Receipt No, 1 262 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DAYE 4"o—T/ Contractor Permit No. Rough-in 17 Fiwture Final HEATING Contractor Permit No. Gas or Oil Roughwin vinal SEWER -Finan DRIVEWAY Final Storm Drainage (Rain Drain)Flnrl Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final 7JL1.► jUILDING PLRMI�F APPLICATION SOF TSC-A•RD DATE ___L� __. t9..�_ Np y �r�1 IlF LINDF (;NE D !'I.PE HY APPL IES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PH04 l- C-R AS SH,,AVN' ANC APPROVED IN THE ACCOMPANY R• PLANS Aid! Sfr PFCIF ICAI IONS, OWNCR PI-IONI _ ( LOT NO. +�/`+I-IhCc(M(E�P�UDRE:SS ARCHIT LCT ENGINEER R.. .- —�._.._. ADDRESS—.-- — DESIGNER _ ",IRE- CeJ'WE-W _- 13RFMCDEL-- [3ADDI1ION �-�-❑REPAIR ❑RENEWAL [:]FIRE DAMAGE DDEMOL-NON Ly' I N 01.(-,MM ❑EDUCATIONAL 0GOV'T-0RELIGIOUS 0PATIO ❑CAH PORT OGARAGE (:]STORAGE LISLAS ❑FENCE ❑MOVING DCONDITIONAL UE DDLSI(,N REVIEW ❑COUNCIL APPROVED OSIGNS _ _. i- I c' NCY1�1�.LANp USE ZONE N l L_ BLDG TYPJ FIRE IONE�I�PLAN CHECK BY �__- HEAT _E 1.01 E L: (Lich FtOQRLRBDN��T _�'wQ.�IS2HIf>_�-_-A.P�A"� �12�3�DROOMS�aC VALU HUILDING DEPARTMENT SET BACKS FRONT REAR J(� LETT SIDE ��` RIGHT SIDEr vf mit Alin — — —'— �— THIS PFRMIT IS ISSUED SUSJFCT TO THF REGULATIONS CO'JfAINF.D IN THE BUILDING CODs, ZONING !'leh Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY .GREED 'SHAT THE WORK WILL BE DONE IN ACCOkf)ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sutrtotal ALL APPLICABLE CODES '4ND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ---- --- RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTOR; 10 HAVE CURRENT CITY BUSINESS (,tale Tax LICENSE SEPARATE PF RMITS REOUIRED FOR SF WER, PLUMCsING AND HF^.TING. Total by gPOk I ANT OA N A proved Receipt No. $ t