9760 SW LAKESIDE DRIVE 9760 SW LAKE SIDE DRTVE
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PERMIT CHARGE none
Lij-';NL(-,T1O11 FEE
PA ICS By
TYPE OF BUILDING ---- 9 nATE CONNECTEll
SERVICE RATE INSPECTION FEE
EO;�TIRIACIOR PAID OY DATE
SIZE OF Coil.111JECTION7 ASSESSMENT PAW
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CITY OF TIGARD BLDG. DEPT
12420 S.W. MAIN STREET
TIGARD, OREGON 9722'
PHONE 639.4171
CONTRACTOR:
Pursuant to Section(s) of the Uniform Building Coda, th3
following item(s) require correcting:
oe
date:_- permit No.
Inspector _..�-
CALL F0I3 REINSPECTION
Mo k.i 1 cT t i I c a f P c t i 1 i 1 t , 'IOf
R6j,.a:;on Addlrlon 7_1TOTAL___�p�^
^ T R ACT 0 R t -c.- `' .=� — _ C3'.o'r,c , A►,�orev_ i.�� J�N _
WORK A1)1)R SS tjJAa+--S,W-_L&Lt
i rte•S�_� - '_�#- J---��'� r...- ..
•HnNL ---....�..=., ,� ����?--=---��._... APPLIr'ANT______�.._�- —Qf.�.l____—_-.—.
:ea' Inpu: Fta;inq (BTU P�er/hr)__—� L /PncSize
_---. ;�r_ - �lueSire .----- --
U E L OIL �J GAS CK E L ECT L OTFI R
ITEM NO, �--FIEE ITEM IJO. FE
Apr Issvencc_o' ?ermrt' _ �� I a.00�_ - p•ir Conditio,r_Cor^pressor 15 to 3r3 HE`
i12w Ung IU;I,OJU 8TU r----- --` _ 5.00 _Air Handling 10,0::0 CFM
.tw 10'u.0'rJ� BTU over 5.00 p,ir Handling Over 10,000 CFM
'Ioor Furna.te --- 4.00 _Eva �rauveCooler _,. �--3=G
'ail • Floor Sus-_e,lCied _1 — 4.001 _ P.:r,g=Vent Fan _ - _ 3.L
nstall Vcnts +Ven;System C
wir Heat E Cooling _ _ -4.00 Hood Commercial _ ��C
;c'Coryd�ci�n C_,)m;:,re_•co'r Under 3 H? _Comm_rcia! Duc: System — -- � 1fr.C•
.it COn!fr:i7n CORi,uf."of
-a: .as _.. ._....s•.+E -•�-- -.r.r.:^—•_:r r��nrsrr.srr- —mr.:s. ._.�•s--s-
":SPEcr0=t'S C011,11MENTsr
.ITY BUSINFSS LICENSF. REOUIRED FOn ALL CONTRAC7URS On SUR CON) RACI ORS
kPPROVED R'r_ _.... .�_ ._.-.� _.--_ DATE -- ISSUED Bl' ___ OA E -
BUILDING DEPAR',MEN] TIGARD �
PLUMBING PERMIT NO. I
►t., �., ! �__._�_� holder of a valid plumbing contractors license is hereby
au!hurized to cause: plumbing work o. Herein noted to be installe-I in accordance with the plumbing code of
Tigard. Such installa"ons require inspection by the City Insper ror who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspr:ction. Cit,j of Tigard Business License required
for all contractors and sub-contractors.
Owner LJ c �W -IlO '7 !r Address__0,. ye d
NUMRE�-1i OF� TOTAL. i'ERMIT NO,'S
TYPE OF !'ERMIT —�_ ITEMS L. FEE ON EACH AMOUNT (Office Use Only)
BESIDENIIAL
Single Femlly-1 bath—each — 25.00_ ,Z G
Duplex—Each 1 beth unit �. _25.00_
Additional bathrooms—each _ � 10.00
Mobile Nome Skece____eech 15A0
INDIVIDUAL FIXTURE_ FEES
�1 to 50 Fixtures In 1 building—each 3.00 ~�
51 to 10o Fixtures in_1 building—each _ 2.50 _
101 to 200 Fixtures In 1 building—each 2.00 _ m
701 or more Fixtures 1;, 1 building—ench _i 1.50
MISCELLANEOUS _
Building Sewer—tit 50 ft. T Y� 10.00
Sewrr—each oddhi^nal 100 ft. 10.00
Water Service to building
Private Water S items—each 100 ft.
Other (Specify);
PERMIT [7orPlumbing lncpection Phone 639.4191
_@96 State V Plumbing Contractor By ` I
TOTAL RECEIPT NO. Issued By
BUILDING PERMIT APPLICATION cOF TIGARD DATE_ � 19_'��
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONIC639-3101
OP AS SHOWN Aldi) APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO.._ L
OWNER ri'i' JOB ADDRESS `i760 SW Lekanide ' u, HOME ADDRESS
/%.!.CHITECT
ENCINEER
BUILDER _ADDRESS DF_SIC•NEFI
STRUCTURE EINEW ❑R1 MnDEL ❑AODI-i ION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
U RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED 051GN5
OCCUPANCY L=- .AND USE ZONE. ` 1 BLDG.TYPE 6' _ FIRE ZONE .�! PLAN CHECK B'. HEAT-
,. -Lssud slime so 1 ,6:Jiu su 5ummerfield Lens --- -y- —
F l.•orAe r 1uell.ing >"/sltt- tie i garage
3 bed 3 both
9��-LQgA..... FLOQN�.O/3D --_hlElCzliL_- -------N�_�1�F1I_[S 1 _�REA'�QTCI _NS7....f}EPR4S?� yam•uko0:;NCS.
BUILDING DEPARTMENT SET BACKS FRONT is REAR ;l LEFT SIDE �� RIGHT SIDE. la
Permit 189,00
( a�ti--" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND 69DINANCES, AND IT IS HEREBY AGR. EEr THAT THE
— I � �� - WORK WILT. BE DONE IN ACCORDANCE WITH 711F PLANS AND SPECIFICATIONS AND IN C jMPLIANCE WITH
SUI:!n!dl a ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—' RESTRI,'TIVE CnVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINF55
State Tax 7. A LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
;'pan INSP.
Total 1. t�. .,6 , ,mlao
By 5"GOU
- -----04'�•�,�-- APPLiC.ANi OR AGENT
Annrnvaci. _. ......,.�..._ .._....... NeceII,I No ......«
i i ear i
DATE INSP. TYPE INSPECTION REMARKS PLUMBING4DATE
3—'�• "• " �FS_�_s�q��yyt Contractor
Permit No. 175 (�,Rough-in
Fixture
Final
HEATING
Contr9ctor I =
fsrmitNo_ /4149be7oZ
Gas or Oil
Rough-in y
firwi
SEWER
Finel
DRIVEWAY
Final
_._ Stom Drainage
(Rein Drain)Final _+
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL f'—MFORARY CER"IFICATE )PA
CERTIFICAi E OCCUPANCY OCC Final
Landscaping
Zoning Final
CITY TIG A RD OATE 19_/.x— N?
BUILDING PERMIT APPLICATION OF 1 - - - rip
' NF UNDE RSiGNED F'�FIE BY APP[ IES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER rr�.�N�-.1�I`F--)
L_
C-F; AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA11ONS. OWNER PHO�NE .._
LOT NO. I--- -----.--
��«
ADD RE ` "'"ME ADDRESS —
ARCHITECT
ENGINEER
R
ADDRESS---___ DESIGNER _
qE -fW
REMODEL (3(3ADDITION---_-QHEPAIR `:RENEWAL ❑FIRE DAMAGE 0DEMOLIIION
�,,.-• prN�E nl.r,MM ❑EDUCATIONAL ❑GOVT DRELIGIOUSOPATIO ❑CARPORT ❑GARAGE OSIORAGECISLAB OFLNCE
L MOVING 000NDIT,0NAL USE —YODLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGErS—
l r': NCV l AND USE ZONE�s� __.BLDG TYPE _FIRE 70NF. PLAN CHECK BY_ �_� MEAT _— --
_ Mk - --1X13-AL3 -
5
AD
SET BACKS FRONT IJ REAR /V LEF"r SIDE �/ RIGHT SIDE Jd —
i ermlt -�� ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
°Ian Check gEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
Tj
— — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
:Ub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Ai STRIC1IVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HA 7F CURRENT CITY BUSINESS
'ewe Tax r) �� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER. PLUMBING AND HEATING,
Total
APPI rCAN1 QP PGL
ApprrJved Receipt No,
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au.z*r�%rgc r�•S •' y'°'A7.M►""'7-...._ __,�.•< hw.' �� r:
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BUILDING PERMIT APPLICATION IIT' TIGARJ DATE.__.__.1 ,/14/
_r
—3 J
THE UNDERSIGNED HEREBY APPLIES POR APE RMIT FOR T►,E NOR HEREIN INDICATED SUILDER PHONE �
OR AS SHOWN ,'\ND APPROVED IN THE ACCOMPANYING P; ANS AND SPECIFICATIONS OWNERPHONE
WT NO., .�
OWNER y. :l: 1;. JOB ADDRESS •}MU 9W La _ HOME ADDRESS
ARCHITECT
ENG'NEER
BUILL`ER ADDRESS DESIGNER j
STRU,JURE ❑NEW_ ❑RIMODEL ❑ADDITION ^_❑REPAIR ❑RENEWAL _❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIC'OUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL- USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LANG USE ZONE—,--7.—.-BLDG,TYPE _FIRE 20NE.___ PLAN CHECK BY_ HEAT
IK •-P p-I�;pug Memo Me ,. )613 , -old 1, w
---- ► r ,�c,le,f;1�.ICr�_�ri , tt,4� t�Ad u rayw 3 Updxuom .3 toi.rIS.
HEIGHT --- -- NSl STOGIE& "� _ AREA 207 ��� 4LQ4M -;
EIJILD PSG DEPARTMENT SEFBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 211),0 0
-"' -- THIS PERMIT IS ISSUED SUR IECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONF 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 COMPL IANCE WITH
Sub-total ALL .APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
`- RESTRICTIVE (OVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPAgATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 1.1 r)
bv pi
•; APPt.I ANT OR AGENT �— ...----------------'�._._.__,__.---___---
4pprovei `"SII Receipt No I
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DATE iNSP. TYPE INSPECTION REMARKS PLk-MPING I DATL
Y�ltZiy. f Contractor
l Permit No. �4M
Rough-in
V � F!xture
Final
HEATING ---- —
Contractor ^
Permit No.
Gas ar Oil
Rough•in
w- ^— Final
SEDER
.��� — -----•—' Final —
DRIVEWAY
Final
Storm Dre' age
(Rain D-jin)Final
Sidewalk
Curb&Streat Final
Approach
BLDG. DEPT.FWAL TtMPURARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
I
. 1I� CITY
.- ,'.RD DATF Do*.8.._....... , lg78 _ NP
BUILDER PHONF `7
t C�iNG PERMIT APPLICATION of
r c 639-3101
-
�. RSIGNED HEREBY APPLIES i-GR APERMiT FOR THE WORK HEREIN INDICATED -- - --
R A!, . iOWN AND APPROVED IN THE ACCOM°;,:,PING PIANS AND SPECIFICAIIONS OWNER PHONE-8-Me_ .
Tgalatin Devolopment COJOR ADDRESS 9�6C S.W. Like Side Dr HOMEAD
�...
ARCHITECT
ENGINEER
San ADDRESS DESIGNER
URE kl',LW_ - _OREMODEL OADUIIIUN L3RLPAIR _WORENEWAAL DIRE DAMAGE_ UDEMOLITION
X NCF 1.1(:'-)MM ❑EDLICATIONAL ❑GOV'T ❑RFIIGIQUSQPATIO ❑CAR PORT CGARAGE ❑STORAGE OSLA6 C3FENCF
ND 0MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LJCOUNL'1L APPROVED ❑SIGPIS
I",NCY__1W LAND USE ZONF.—&-_T_----_BLDG. TrPE._.j!...._.....,FIRE ZONE PLAN CHECK By _ HEAT.¢(t -_
14k 5-A Reissue same as 15613 S.W. Suarrerfield Lamle
FOUndation Permit Only
Frow. dwelling with attached garage
3 bedroom_ batb_as
F L9S2A�.QA _ HC_ISiHI---.____,. NQ. T.Q �L__. ___A��ZOJNQ @EDROOM5 3
VA�II E�Q�s86.00
Fo�11 iion G OEPAHTMENT 5E1 BACKS FRONT REAR LEFT SIDE RIGHT SIDE
a - --10.00 .._ _--
I
THIS PERMIT IS ISSUED SIIBJFLi 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE., ZONING
Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
NOR WILL BE DONE IN A%.L.ORDANC. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`:uh total i _ ALL AP!JI ICARLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- -- - FIESTRICTI JF COV;NANIS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINFSS
1 nutle Tax LICENSE. SEI,ARATE PEHMITS REOUIRE.D FOR SEWER, PLUMBING AND HEATING.
Dial 10.00
By pPPI ICA1J1 Op A NT --- ---
tnpI nvci ,'l Receipt No.