Loading...
9471 SW LAKESIDE DRIVE .4 i I r R -94SSW Laksdide De, I I I INSPEC PON Nt IFICE City of Tigard Building Department P O Box 23397 Tigard, Creyon 91223 Phune: 639-4175 j�/ r Type of Insp�ctia+t � Dat,, Hequestgd " _ Time eA.M. P.M. t Address ` �` �'—ji-C'� - �-� >`" Permit # Lot #_ Le Cr _7 a 27 Builder. The following Building Cade deficiencies are required to be corrected: Cal Presented to / pproved Inspector _ ❑ DisapprovPJ Date CALL FOR REINSPECTION ❑ YES ONO INSPECTION NOTICE City of Vigard Building Dekirtment P 0 Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type (J Inspection t Lo Date Requested f Time --- A.M._--P.M. AC-1 1 -1 e 'A� Address Permit '*JXY Owner '-ot Builder The following Building Cone deficiencies are required to be corrected: A 4 10� A Presented to Apprnved JV Ins sector 7 0 Disapproved Date CALL FOR REINSPECTION ID YkIll FJ NO INSPECTION NOTICE City of -Tigard Building Dedartment P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection Late Reque T nn AW F A ue Ai Permit #.-A� Owner Lot # Builder The fol.. v i Building Code defic-T;ncies are required to be corrected: X Presr-ited to ----- ---—------,,�Approved Inspector Disapproved Date CALL FOR REINSPECTION El yl!s L,--1 No INSPECTION NOTICE City of Tigard Building Departmer t P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Inspection _ --- Date Reque ted Time A.1 i. P.M. Address ___..- /1.n( �.L.1�''�-�-- Perrilt # Owner - — -- Lot #� r Builder The following Building Code deficiencies are required to be corrected: / /i�LL��QOS SAdlS Al �G�'TIEc'S Presented to , ved Inspector . _._—.__ -_� Disapproved Date CALL FOR REINSPECTION CJ yr$ 0 No 9 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon c 1223 Phone: 639-4175 Type of Inspection ------�— Date Request.•d_ Tim, �_ A.M.__.—__P.M. ,,ddress ,��'�� —�G�--------- Permit Owner _ -- — Lot #_ Builder The following Building Code deficiencies are required to be corrected: -�L_ICT-�e.L,�.��✓�/F �?�`�--�j l � _ t Presented to VIApproved Inspector __L� --- -------- Disrpproved Date 1 _ - -- -- — --- — CALL FOR REINSPECTION El YES El NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Of-, on 97223 Phone: 639-4175 Type of Inspection ---_�--..�— f?ate Reques':ed _y(1' Time A.M. ,, -P.M. Address _ `" 2,1 Per it # Owner BuilderThe following Build ng Code deficiencies are required to be correct..Ga: 1 Presented to _ �--7 ] Approved Inspector (r-__ ❑ Disapproved Date U_ CALL FOR REINSPECTION El YES ❑ NO INSPECTION NOTICE R City of Tigard Building Department P.O. Box 23397 r Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time__ . A.M.-_ P.M. i Address __. � _._ __—___ Permit #.11 Owner _ - . /.�}. _—� — ,__ Lot #_ Builder The following Building C de deficiencies are required to be correcmd Presented to __._ _ L��4ppioved Inspector % ❑ Disapproved Date _7 4 CALL FOR REINSPECTION 0 YES L] NO sir ea iw � sew ar � iar 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 'J Type of Inspection , `�%/�-c :zw �7&Z- - Date Date Requested L Time A.M. P.M. a Address C� 4- _ - Permit #d Z.d ZS Owner Lot #_ guilder The following Buildingode deficiencies are re uired to be corrected: q F L i I Presented to _ _ _,— Approved Inspector / - _. ; ��fDisapproved Date / Y — —tf— _... — -- CALL FOR REINSPE(WO,N V,Y_E8 ❑ NO PLUMBING PERMIT CITYOFTIGARD, (nPRIM.PMT.NC. 6 �!ERMI: NO. : F'L8?2045 11 COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 18/ 2/89 13125 S.W.Hnil Blvd..P.O.Box 23.497.Tlgnrd,Oregon 97223.(Sue)nJ9-AIV 892027 JOB ADDRESS: 9459 SW LAKESIDE DR TAX MAP/LOT 2S1 11CA SUP: SUMMERFIELD PARCEL-;9C F LT: BK. LAND USE: LOT SIZE: ITEM: HIP. D: WORT; CLASS: NEW WATER CLOSET 2 TRAP' USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR CONST. rYPE: VN LAVORATORY TRAP PRIMER OCCUP.GRP. : R3 TUB SHOWER 2 GREASE 1RAPS DISHWASHER 1. GARBAGE DISPOSAL 1 NO.STORIES: 1 WASHING MACHINE 1 DWEE:LL.UNITS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA FLOOR DRAIN SINK I SEWER (FT) WATER HEATER I STORM/RAIN (FT I OTHER J F'EMARKS: need contractor number FEES- VV mariner development PFRMIT $117.`5 NI PO BOX 1368 PEAVERTON OR FIXTURES STATE TAX $5.88 OTHER C 0 N T R A C T R TOTAL: $1P3.36 RECEIPT NO. This permit is issued subject to the regulations contained In Title 14 of the TMG State of Oregon Specialty Codes.zoning regulations REOUI.RED INSPECTIONS and Ali other applicable codes and ordinances, and It is hereby agreed that the work will he done in accordance with the plans and PLB.UNDERSLAB specitl(ations and in compliance with all applicable codes and POST R BEAM ordinances The Issuance of this permit does riot waive restrictive WATER LINE covenants. Contractor and subcontractors shall have Current city PL.B.TOPOUT business tax permits This permit will expire and become null and void if work ii n�t started within 180 days.or if work is suspended or RAIN DRAINS abandoned for a period of 180 days any time offer work has FINAL commenced It shall be the responsibility of the permittee to assure all required inspections are re sated and approved. . rnie ignature t./ Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE - - J CITY OF T167A. MECHANICAL PERMIT RD (MY-0if F?ERMITNO. „ 1'1128920412,n6ARD >h CUMMIINITY DEVELOPMENT DEPARTMENT E ISSUED: 10/ 2/89 1315.5 S Ha I Blvd.P.U.Box 23397,Tigard.Oreyun 97223,(503)62^-4175 P IM.PM T•N0. 8 2027 9y7/ JOB ADDRESS: 9459 SW LAKESIDE DR TAX MAP/LOT 2S1 11CA SUB: SUMMERFIELD PARCEL)ff F LT: HK: LAND USE: LOT SIZE: ITEM. NO: 110: WORK CLASS: JEW FURNACE (100K 1 AIR HANDLR (10 USE TYPE: STNU!E FAMILY FURNACE 100K+ AIR HANDLR 10K CONST.TYPE: VN FLOOR FURNACE EVAP.000LER OCCUP.GPl`. : R3 HEATER VENT FA'I 3 VENT VFNT.SYSTEM BLR/COME' (3HP HOOD NO.STOHIES: 1 BLR/COMP 3-15HP INCINERATOR(DOM DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(COM FUEL TYPE GAS BLR/COMP 30 "50HP REPAIR UNITS MAX. INPUT BLR/COMC' 50+HP OTHER FIRE DMPRS? GAS PIPING OUTLETS 1 HIGH PRESS? L.O W PRESS” - — — ----- - ...--------- ._— - -- _ --- REMARKS: need contractor number FEES: O mariner development PERMIT 610.00 N PO BOX 1368 PLAN REVIEW 6112. 13 FBEAVERTON OR FIXTURES 630.5® i� STATE TAX $P.03 OTHER c a N T R C T O IOTA[ : 652.66 R RECEIPT NO. This permit is issued subject to the regulations contained in low 14 ___- ______-.--______- rif the TMC, State of Oregon Specialty Codes, zoning regulations RELIUIRED INSPECTIONS and all other applicable codes and ordinances, and It is hereby agreed that the work will be dr al in accordance with the plans and GAS LINE specifications and in compliance with all applicable codes and POST R BEAM ordinances The issuance of this Fermit does riot waive reatrictive ROUGH-IN cove, nits Contractor and subcontractors shall have current city FINAL_ husiness tax permits This permit will expire and become null and void If work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure All required Inspections are requested and approved. i � �<<� ( / v,,rlfilttee Sijnahlre Issued 6y _-+eR 1*9f'ECT1flN fs39-41/5 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR4BED ABOVE � a>1 CITY OF TIGrA RD SEWER PERMIT PERMIT NO. : SE892047 C%P COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 10/ 2/89 13125 S.W.Mall Blvd.,P.O,Box 23397,Tigard,Orogon 97223,(503)539.4175 M.PMT.NO. 892027 JOB ADDRESS: 9459 SW LAKESIDE DR SA NUMBERt 39073 TAX MAP/LOT 2S1 11CA SUBt SUMMERFIELD PARLcL F LT: PK: LAND USE: LOT SIZE: SECTION: 11 TWP: 2s RNG: lw WORK. CLASS: NEW USE TYPE: SINGLE FIMILY The applicant agrees to comply with all rules and rc;!tlations of the Unified Sewerage Agency. The permit expires 120 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency doe+; not guar- antee the acr..uracy of the location of the side seker laterals. If the sewer is not located at the measurement given. the installer shall prospect 3 feet ill all direr. ti.ons from the distance given. Jf not so located, the installer shall purchase a ''Tap avid Side Sewer" Permit and the Agency wil? install o lateral. INSTALL. TYPEa BUILDING SEWFP IMPERVIOUS AREA: FIXTURE UNITS: TENANT IMPROVEMENT: DWELLING UNITS: 1 NO. OF BLDGS. t 1 FEES: O mariner development PERMIT $35.00 N PO BOX 1368 CONNECTION CHARGE $1,250.00 E R BEAVERTON OF, LINE TAP INSTALL. OTHER C O NF T MARINER DEVELOPMENT INC R PO BOX 1368 C BEAVERTON OR 97075 T PHONE (503) 623•-9029 11 REGISTRATION NO. 47451 TOTAL: 11119e85.911 --�--- --- RECEIPT N0. �� s�� This permit Is issued subject to the regulations contained in Title 14 ------------_________ of the TMC. State of Oregon Specially Codes,zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances, and It is hereby ROUGH-IN agreed that the work will be done in accordance with the plans and specifications and in compliance with all appllca7le nodes aid ordinances The ­:ivance of thi3 permit does not waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void If work Is not started within 180 days,or if work is suspenued or abandoned for a period of 180 days any time after work ties commenced. It shall be the responsibility of the permitlee to assure all required inspections are requested and approved. Permitt .Signature Issued By 4!1- -G(A+ FOR I — SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T167ARD BUILDING PERMIT ✓ �,�� PERMIT NO. : BU892027 CITY Of T16AW COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 10/ 2/89 13125 S.W Moll Blvd..P.O Boa 233SI.Tigard,Oregon 97223.(503)639-4175 �— F, 1 M.PMT.N0. 89202';' rf'V7/ JOB ADDRESS: 9459- SW LAKESIDE DR TAX MAP/LOT 2911 I1CA SUB: SUMMERFIELD PARCEL XF LT: BK: LAND '1SE: LOT SIZE: VALUATION: $ 58, 142 SETBACKS FRONT: REAR: WORK CLASS: NEW DWELL.UNITS: 1 LEFT: RT3HT: USE TYPE: SINGLE FAMILY NO.BEDROOMS: 2 EXT.WAL-L CONST: CONST.TYPE: VN NO.BATHS: 2 ht: S. E: W: OCCUP.GRF', : P3 PROT.OPENINGS: OCCUP.LG"D N: S: E. Irl: TOTAL AREA: 1.225 NO.STORIES: 1 1ST: 1225 ROOF CONST: C FIRE RET? HEIGHT: 18 2ND: AREA SFPAR? RATED: BASEMENT? 3RD: UCCUP.SEPAR? RATED: MEZZANINE';' BP.SEM'T FLOOR LOAD: 40 GARAGE: 480 FIRE SPRK,.R? ALARM? FLOW(GPM) DETECT? YES ----HEAT TYPEt OAS -_ _ -HDC^._P`CCESS?--- .._--------- -------_ .CORR.?__ FLAN CHECK BY: rlt kEMARKS: re-issue of 892021 REISSUE OF NO. 892025 LAST REISSUE 89202E FEES: cV PERMIT $310.00 N PO BOX 1368 PLAN REVIEW $4P.00 E BEAVETJON OR FIRE DEPT tt STATE TAX !15.50 - - --- -- OTHER C DEVELOPMENT CHARGES: O SDC(STORK) $250.00 N T MARINER DEVELOPMENT INC SDC(STREET) $600,00 R PO BOX 1368 PDC(112 ) $250.00 C BEAVERTON OR 97075 PREPAID ( $40.00) T PHOKE (503) 626•-9029 R REr.ISTRATION NO. 47451 TOTAL: $1,425.50 1 his permit is issur.d subject to the regulations contained RECEIPT NO.T tie 14 -------------------- ___ __ of the TMC, Ste,a of Oregon Specialty Codes,zoning regulation.,, -- --- and all ether applicable, codes and ordinances, and it Is hereby REQUIRED TNSPECTIONS agreed that the work will be done in accordance with the C'ans and FOOTING SEWER specifications and in compliance with all applicable c. ?s and FOUNDATION WALL. RAIN DRAINS ordinances The Issuance of this permit does not waive rbstrictive POST 8 BEAM WATER LINE covenants Contractor and subcontractors shall 'isve current city F'LB.UNDERSLAB CITY AF'F'RCN/SW business tax permits This permit will expire and become null and void If work is not started vdthin 190 days,or I1 work is suspended or SLAB F 1 NAL. abandoned for a pencY of 190 days any time after work has PLR.TOPOUT commenced. It shall be the responsibility of the permittee to assure FRAMING all required inspections are requested and approved. FIREPLACE GAS LINE INSUL.AT ION ��- GYP. BOARD e itle�S gI nature Issued By 1.+: F-Ok INSPEC i IAN 6.49-41?5 J SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF T[6;A-" RD a PlAN (tiLCl( APPLICATION �moAm f PLAN C11E(�C a CCt '1514 _-- COMMl.1NITY OEVELOPMENi OEPARTMEV %/ PEF2MIT It lt17S:W_$(.40"-P_o-Oe min1.Ts").t<tN—, ^g7Y2j- 316"-1175 / DATE ISSUE -- e?y7/JOO AODRGSS: `C G LAND USE: SUO: 1h..rlc4 -{tee . VAt_UATION: SPECIAL NOTES OWNER REISSUE OF: _ t�z,'y �Y'4.1�c LAST REISSUE: �— AnORC : 4 � Ft_000 PLAIN/ SE=NShrIVF_ LANG: MOW: � � APPROVALS REQUIRED PLANNING: CONTRACTOR ENGINEERING: NAf9E: __ FIRE DEPT ADDRESS: OTHER: LIST/SUt)M(TRACTCRS: BUS TAX: ARC11/ENGIN ER CALCULATIONS: y_ NAME: _ •.+ TRUSS --.TAILS: ADDRESS: 4 PARKING PLAN: _ tANOSCAPE PLAN- <� --- �- OTHER: Pl{ONC: — - - CONI OITS: -- PERMIT d ACCT It DESCRIPTION AMYJNT AMOUNT PO_ UAL. DUE 10-437 00 0uilding Permit Fees 3L _ ----^ 10--431 00 Plumbing Permit Fees �� - --#1 u o Su 10--431 OL Mechanical Permit Frees 7 ' 10-7.30 0, State Eiuilding Tax (57.) U u i id i ng Plumbing --__-- Mech 3 /07/3 10--433 00 Plans Chock fee tWi lding Plumbing _.-.. - flech 3'N 702 'h) Sewer Connection --- 30--444 0.) Sewer Inspection 51-440 00 Street :�y storm OCU Charge (SOC) 52-449 00 Parks System Oev Charge (POC) U - - - 31-450 tK1 Storm, Drainage Syst OCv Qug (SSOC) Q2-SU �• - 10-230 09 TRFO - -- - 10-230 06 Washington County Fire at (951) - - 10-220 AU Amart/Wedgewood IOYnL REC It APPI-LCANT SIGNATURE ~^ G R(!ceived By: �� _ _- _�_ Oate Received: -- cn/350iP/IOP C11YOFTIVARD ��,M PW; CHECK APPLICATION PLAN CHECK / COMMUNITY DEVELOPMENT DEPARTMENT w�ooN PERMIT f ,. .. . u,7s sw Ndl e►.d P.O.o«?xw.T vv4 OM9=W=(600)83"In - DATE ISSUED JOB ADPQ FSS:_ TAX MAP/LOT SUB: T: LAND USE: '— VALUATION: SETBACKS: FRONT: REAR: LEFT: RIGHT:-.,. YORK CLASS: HEIGHT: TOTAL AREA: _s USE TYPE: FLOOR LOAD: 1ST: /1 ' CONSTR TYPE: HEAT TYPE: !!.S_ 2ND: OCCUP GROUP: DWELL/UNITS: 3RD: OCCUP LOAD: NO BEDROOMS: BASEMENT: NO STORIES: �— NO BATHS: _ GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: _ REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: LAST-REISSUE: BUS TAX: FIRE DEPT, : _ FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND TRUSS DETAIM: PARKING PLAN: LANDSCAPE PLAN: PIAN CHECK BY: OTHFF: COMMENTS:. Y. ACCT f DESCRIPTION AMOUNT OWNER 10-432 Building Permit Fees HAMF• -431-600 Plumbing Permit Fees 5 ADDRESFS: 10-431-601 Mechanical Permit Fees f 10-230-501 State Building Tax (5x) 10-433 Plans Check Fee a201,519 _ PHONE: 30-443 Seger Connection t 30-202 CONTRACTOR 30-444 Sewer Inspection t NAME: ,51-448 Street System Dev. Charite (SDC) _~ ADDRESS:_ '52--449-610 52-449-620 Parks System Dev. Charge (PDC) S 31-450 Storm Drainage Syst Dev Chrg(SSDC) PHONE: 10-230-505 TRFD (95x) 10-435 TRFD (52) f ARCH/ENGINEIt 10-230-506 Washington County Fire /1 (95x) $ W'1iE: 10-435 Washington County Fire 01 (52) ADDRESS:— 10-220 Amart/Wedgewood PHONP.: _ -- TOTAL S PREPAID REC BALANCE DUE 3 KF) ,ICANT SIGNATURE. nAtP Received: CITY OF TIGARD MECHANICAL_ PERMIT --�- Pcrmil Description -- Tabte 3A Mechanical Cede ATY PRICE AMT GtyofTigard 1) PermitFec — {1- O 10.00 13125 S W Hall Blvd. P.O.Box 23397 2) Supplemental Permit 3.00 Tigard,OR 97223 _ 639-4175 1) r-urnace to 100.000 BTU 6.00 incl-duds&vents _ 2) Fumace 100.000 BTU+ 750 incl.duds&vents Name Of orrelotxnenl 3) Floor Furnace.ir6.00 .fob Andress '- 4) Suspended heatrr.wall heater 6.00 Address or floor mounted heater Tau tat ,f4m 5) Vent not incl.In 3.00 to ttiock Subdlvviort aWlianoeper* Name(«Dams d btaincss) 6), ��(���' 6.1� 7) Boller cr oomp b 3 HP 6.00 owner wtaai q peeress �� a)x orp.unit to 100,000 BTUCkylstalle Baler or comp to 3 HP-15 HP 8) absorp.unit to 5 .000 BTU 11.00 00 Boiler orcomp 15-30HP 15.00 absorp.unit t12-1 Miltiort Mayry Address Phone -- ,0) Boiler or comp to 30-50 HP V-50 P.bsorp.unit 1-1.75 million _ Contradox City/state r,P - 11) Boiler ox cormp to 50 HP 31.50 absorp.unit 1,750,000 BTU _ Stale negtstMtien No. city Bus.Tu No. 12) Air handling unit to — 4.50 10,000 CFM Air haru.'lirng unit hereby I acknowledge'car 1 lave read this eppFolion#%d live k4omution green is 13)aj10,000 CFM 7S0 correct.tlul I am•Owov vw or avMvorized agent d the oww.OW plans stAxM ed are in ----- oonviw0e wltiv State laws.that I am registered with Mve Stets BCON60CV Hoard,dUt the 14) Non portable 4 50 number g van is eorrad.(til evicerno horn Stale regatra6on please give reason be". evapa ate cooler 15) Vent(an connected -� C. ----- - - -- 15 to a single dud_ _ 3.00 --- -- ) Ventilation system not 16 4.50 included in appliance permit ___A. —_-- ----- — 17) Hood served by 4.50 mechanicaleyhaust y )� -shpakue(owrver«.gent! --- ---- Date1©) Domestictype 7.50 D escnbo work O addition O alteration O repair Q incinerator _- to be done residential O_-_ non-residential O 19) Commercial or industrial 30-00 Existing use of type incinerator building or property -- _ — 20) Other i.e..woodstove,water 450 9 heater,solar,clothes dryers,etc. Proposed use of building Of property . 21) Gas piping one to tout outlets 2.00 Z Typo of fuel- 08 O natural gas O LPG O electric O 21.) More Than 4-per o+utlet NOTICE SUB-TOTAL V S TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5% St1RCHARGE `x 0.3 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAI. /0 .13 ABANDONED FOR A PERIOD OF 180 DAYS AT HNY TIME AFTFR �- -- WORK IS COMMENCED TOTAL ,_jr2 Special Conditions l'.0-ter. ia»i CITY OFTIGARD PLUM 131 NG � _-W `� �'�_ Tig3rd CR 97223 Applicants muse told Oregon Registration to conduct a plumbing PERMIT 039 4175 lwsiness or must be property owner/operator not hiring outside hetp- Nams of Oewbprnerd Plumbing Permit No. Address Descri{`r{an ORS 814-21.610 �� PRICE MAT. Job Tax I of MV.NO. Address FIXTURES _ UT Block SubcfrAslal Sink 7.50 7 2-, 7.50 / is-�-M� lsvaWrY — Tub or Tub/Slower Comb. ;2-, 7.50 Shower ONy 7.50 _ _ 7.50 /j- Owner jOwner Gty/ is WalerClosel 7.50 Dishwasher 7 7� Ptwne Gartsago Disposal / - 7.50 }1' Wasthfny Machine 7.50 730 Name FToor Grain 7.50 phphe Water Realer / 7.50 715 O ess _ Laundry Roan Tay Occupant City/State ZP Urinal 7.50 --'� Other Fwtures(Specify) 7.50 — ame 750 Nhone 7.50 i (.ontrecior Gly/Stets 23p 7.50 MISCELLANEOUS City f3ue Tex No. Sir 1 st 100. _ 30.00 S&~-Oa.Aeldit.10015.00 tate -tate s. - -- -- 20.00 r!D (Resdenbat) Water Service t st 100' Water Service ea.AdditXV 15.00 I her"aduhoa'ledQe that I have read this appKattlun.that the k,lorrmation 30.00 givon is correct.that 1 a-n regis(ered with the State IkuldWs Board.and also Skim b Rain Drain,st 100' - — theve a State Pkxr"n9 license that the numbers given are corset thatall 15.00 Stam d1 P7rt Grain AddA.100' pkxnbin9 work will be done in accordance with applicable Pf°�10^s d Ors- - 25.00 9rxh n,,13ed Statutes Chapters 447 and lW'and sppicaWa°edea and that µoW{e tome Space - no help wo be empbyed unless licensed Order ORS 691(t exempt from Baric Flow Prerverrtbn State registration,please give mason b64 )- Device or M64VMion Device —-- 7 I"ArzOWNE(,-I hereby certify that 1 am the owner r the properly ds ,,Abed above.at wi*:h 3oeaton 1 p opoe s to nuke a pkm okhp Mhetakadon for Any Trsp or W ante Nd 7.50 my own vee end d*ss property M not trek q con Wucled for gala.lease or rent- Connected to a Fucbxs — _ Catch basin _ _ 7.50 - - - ---- {nap.of E3de.Pkxrbin9 _ 40.0U Por Nr. --- Specialty Requested la n 40.00 Per Hr _ Aker.of Pkxrk*V-td An an Exieft 13tr19. -- 1 s.f)D min_ New sidg.or&M.AddtWn 26.00 min AUTIK7F3t_ SIGNATURE Dam — _ i Orain,sinc 1e f nu l— — ultereuon r Ell 15-0D- Ilthscnibe work new❑ addition❑ ❑ residential txxraesidential — --- I Astkhp use of we.roTAL _�/ A,5 IxAk*V Of P(0portyS TOTAL — . - Thh p,,,*t)eorrheg NA and vold N work or oonstructon 0K&-ttuf is not o«TM menoed vM th 1N0 days�or k Orhr,druc +or work a.tNgtKwdad w abandoned Ion a pwind of 190 dots of any flmha after work b 0WW11i hoed. by ------ MEMORANDUM TO: Diane Jelderks, Planning Division X For your Information Nancy White, Building Division Phyllis Harris, Finance/Accounting Division FROM: Laura Freeman, Engineering Technician L DATE: February 27, 1989 SUBJECT: Formerly WCTM 281 11CA, TL 100 MLP 89-01 6 89-13 The address assignments for the above listed property have been approved by this office. The addresses by lot number as submitted to our planning division are listed as follows: lot A - 9449 B - 9453 C - 9457 D - 9463 E - 9467 F - 9471 SW Lakeside Dr. Tigard, OR 97223 DEVELOPER/OWNER Equity Group Kurt Dabey 4500 SW Kruse Way Kruse Way Plaza One Suite 180 Lake Oswego, OR 97035