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9500 SW LAKE SIDE DRIVE
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CITY OF TIGARD BLDG. DEPT.
12420 SW MAIN STREET
TIGARD, OREGON 91223
PHCNE 639.4171
CONTRACTOR:
Pursuant to Se;tion(s) of the Uniform Building Coy,,,, they
f)Ilovp.+ing item(s) require correcti,,y;� /
fit!-1..��� ��•2`
Date:. 6"' ,�_ l� Perm.t No.
Inspector-,_____
CALL FOR REINSPECTION
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BUILDING PERMIT APPLICATION of TIC ARD DATE
THE UNDERSIGNED HER EBe APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPF':LME 39JQ10
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERP-IONF
rt LOT NO._.
OWN 31�At,lrt '1)IEU 1.41• JOB ADDRESS, .�I4/ Sli _ aY1t1s r )1 „ HOME ADDRESS
T ARCH17EC7
ENGINEER
BUILDER ��^^�� ADDRESS ��--11DESIGNER _ _r
STRUCTURE LJNEW D Rf MnDEL ❑ADDITION ❑REPAIR
r� EIRENEWAL OFIRF DAMAGE ^ ,DEMOLITION
Q RESIDENCE ❑COMM DEDUCATIONAL DGOV'T RELIGIOUS PATIO OCAR PORT DGA,,AGE O STORAGF GSLAB OFENCE
❑BOND OMOVING OCONDITIONAL USE LIJESIGN REVIEW DCOUNCIL APPROVED OSIC NS
OCCUPArv.:V -LAN7 USE ZONE_!'��_ BLDG.TYPE--" FIRE ZONE__ PLAN CHECK BY_. t• �� AEAT J p __..
—;ichuiaLgl — f.91Lj-pA,jv SoMw c, ) It .)b Sw Grawnloof Torraal:a•
F ramoO TOwnhogge C th ftttmchq e• Bedroom � -==.-mths
`3*wwf i,4irmit p2410 — $625.00
"CC. LOAD- --- FLDC)(�lOAb HEIGHT q VNO.STOBIE$—2 AREA1974 .NO•BEQRQQN. 2 ._ VALt�EIE4 f^413•,
BUILDING DEPARTMENT SET BACKS FRONTef � �n�iEAR LEFT SIDE RIGHT SIDE
Permit ---- — ----- -- __--. ��THISIdJ
PERMIT IS I;SUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUII.DING CODE, ZONING
Flan Check 11).0u REGULATIONS 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
Sub-tol3l 48 UU ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
��--_ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tar. 7a 3", LICENSE, SEPARATE PERMITS REQUIRED FOR SFWER, PLUMBING AND HEATING
Total *201,3'
BY 01
- APPI(CANT OR A ENf -__
. ._- -
ApDroved • Weldon Receipt Ni
IIS � � wa snr rw sar !� sat
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE r
Contractor
I&.-/r. --- —
Permit No. l 33-0-77
Rough in
Fixture
Final
HEATING
Contractor n
Parma No. <
Gas or Oil
Ruugh•in
Final
SEWER
-- r Final
—`"- DRIVEWAY
Final -
--- Stonft Drainage —
--- (Rain_rain)Final
Sidewalk
Curb&Street Final
Approach -
�.DG Di,PT.FINAL TEMPORA?Y CERTIFI ATE OGCtJF�NCY
Final ______
�CCRTIFICATE OCCUPANCY - �` c� ----
Landscaping
I Zoning Final —
t
'0
1�
MIT APPLICATION of
�JILDING PER CIT TIC .Rp DATE IQ_ �Z_—Z�-- —• 19._._ NQ
II ) RSIGNEO HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-�1C�1
[ VLE BUILDER PHnNE_._.�
P AS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SFFCIF ICATIONS. OWNER PH"vF_
LOT NO._b72
Tktalatin Development CO JOB ADDRES�sS."• lAke-Side Drive HOME ADDRESS _
- - -- ARCHITECT
ENGINEER
DESIGNER
,ORFMODEL 0ADDITION OREPAIR _ ORENEWAL OF_REDAMAGE ODEMOLITION
NCE ❑,.(,MM OEDUCATIONAL OGOV-T ORELIrlOUSOPATIO ❑CARPORT []GARAGE _OSTORAGEOSLAB ❑FENCE
1;, IND 0 MOVING OCONDITIONAL USE DOLSIGN REVIEW _-- OCDUNCIL APPROVED OSIGNS
t AND USE ZONE R'_�. _�BLDG.TYPE_.S.�= _.FIRE ZONE 3�PLAN CHECK BY__ r 0 HEAT ---8,
_
Manchester Re issue same as 10235 S.W. Greenleaf Terrace -
8ramsd Townhouse with attchad garage - _ w064 --
AL) FLQs1g +JZ__._. .__.—►iELG�T_- -- Ny' �TQRI)a$.--2R�A_.1974_N♦�E.QFQS2��?VALUE 4$,548.00
f4kill )I DEPAFlTMENT SET BACKS FRO'Jl 1- -� -- J—LEFT SIDE -- RIGHT SIDE —
r�rmit _184.00_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEC IN THE BUILDING CODE, ZONING
Plan Checl. 10'0 J REGULATIONS 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
`..ub total _ All APPLICABLE CODES AND ORDINANCES. TNF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— ---- RLSTRICTIVF COVENANTS. CONTRACTOR AND SUF, CONTRACTORS TO HAVE CURRENT CITY RUSINESS
`,•late' Tax 7.36 LICENSE SEPARATE PIERMITS REOUIRED FOR ,^,EWER, PLUMBING AND HEATING.
Total _..._ _..201.36 t
fiY - - --------- C �-as:-. -
ApPI CCANY OA f E N7
Ftecei t No.
4I:�Exc,ved - - p
_.- -- ----
-4—5 Wlc—ss
pt
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