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9521 SW LAKESIDE DRIVE 9521 Sins Lakeside Urine — I N D q� N a in a) CITYOF° TIOAF- i0CF'!:UCC SNI Tll` "'ATE OF COMMUNrrY DEVELOPMENT DEPARTMENT G --- 13125 8%V HWI Blvd, P.O.Box 23397,road,0".F223(5W) 3O4175 IT 0. MT9@03Pj0 '-'ITh- ADDREIiS. . . 5W I.AKESIDE DR SUBDIO IVISN. . . . s I-AKESIDE PLACE Z 0 bil 14 6 R 4. V) 01-CCK. -01.. . . . . . . . . . v4 1155 OF WORK. kNEW IYPF- OF OCCUPANCY GkP. vR3 rICCUPANCY LUAD% 116 4 Uwiioory ....... ........ .... -- 40STALUIL HUME.S PDX 2016 i OKE F31:,':0Vk cit': 97035 Phoro- 14t '-oP)362l0,';666 003"I'Al-GIC HOMES 00 L40X 2016 LAPF... '1ROVUDR, 970315 Ph( iie 144 `50-36203666 R o . #. . : 5'.56,43 Occupancy of the above building is hereby given, arldTtifie% the compliance with tho Of Oregon Specialty Crodes for the irrout)v ac(:l;p&,vwy, and use uncle-( wfiich the refrrencec-1 permit wdk;;. iti%tted, ._._...._...._.•_. ._......._._.................. FIRE DEPARTMEN7 DU' DING .... ...... ; I A L 11TT POST IN CONSPICUOUS PLACA-H. INSPECTION NOTICL 1 City of Tigard Building Department Z�Q M P.O. Bnx 23397 n w�vcri2 TG //YSf" �� Tigard, Oragon 97223 / - - Phone: 639-4175 /�✓�'.r 'Type of Inspection // Date Requested___2, / � Time ��,� e A.M.- _—.�L_ P_ , .M. Address / ^� _�—____._____ Perm't #a,� L_ Owner _ _ Lot # _ Builder _ The following Building Code deficienc;ps are required to be corrected: 7-0 P*000 01 Ut -77 7-1F Di1�ik.,q - i ?ysF Ir01 Presented to Approved Inspector Date CALL ','OR EINSPECTION L_1 YE: ❑ NO sss � +� e. esr awr ew City of Tigard 'luilding Del'artJoent 13125 SM Hall Blvd. Tigardp Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businesa Phones 639-417? Footing Plbg. Underslab Mech Rough-in Appr/Sdwlk Found. Plbg" Top Out Vias Line F1RAL: Poet/Beam Struct. Sen. Sewer Framing -Bldg. ng g' poet/Beam Mach. Rain Drain Insulation -Plumb. plbg. Underfloor Nater Line Gyp. Bd. -Mach. I.te Rom,�esteds - - -- permit Addresst Builder, �'� _--- THE FOLLOWING pDRRECTIONS ARE REQItmi J _ Inspectors_ _ t — Dates _,—..— APPROVED DIIAPPROVED APPROVED UUBJECT TO ABUVE Call For Reinsp. PRO;NSPacT MJ=179 City of Tigard Building Dti;kj-buwW 13125 SW Ball fllvd. Tigard, Oregor 972"j Inspection Line (Rec-O-Phone)c G31j-4175 Bue`nese Phnnr,: 639-4171 Inspections_- -- ---- ------ - --- ------ Foot Inq PlbU. Undm-slab Mech. RoLlh-in Appr/Sdwlk Found.. Plbg. Top rXt Gas Line FINAL-. Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Draiu Insulation -Plumb. Plbq. Underfloor Nater Line O Bd. --Hach. r Date Raquestedi _ ^, Time / AN cN Address ��� y � _ Permit 1s1L) Builder:- - TBE FOLLOWIh: COARECTIONe AR! RSQUIRRDs Inspectors_•!- Dat"s—r-_39/ — _�APPROVND DISAPPROVED APPWWND SU&TRCT — ABOVE —__Call For Reinap. INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 "-- Phone: 639-4175 Type of Inspection Date RequestedY�� r7Z Time A.M. P.M. Address G ��-� /�/�C� S/� Permit alk g4)"403`�Q Owner _ Lot # Builder The following Building Code deficiencies are required to be corrected: I Presenter) to Approved Inspector _ r� Disapproved Date CALL FOR R INSPECTION ❑ YE3 ❑ NiU sess owl 4 City of Tigard lWi.lAi.nq Department, 13125 SN Isn' t Blvd Tigard, Oregon 97223 Inspection Line (Rev-O-.hone): 639-41.75 Runinese Phone, 639-4171 Footing Plbg. Underelab *iCh. ROYQh-itl Apps•/Sdwlk Pound. Plby. Top Out gab Un'e\ PINAL: Poet/Beam Struct. San. Seworlrasl,iq -Jill Post/Ream Hoch. Rain Drain Insulation -Plumb. Plby. ,ndiil Water Line Oyp. W. �[-Nech. Date Requestedt / AN __PN 2D =6 3S-0- nu i Ider: ll POLLONING CORPF..CTIONS AHF REQUIRED: G ( Ct 4�f!/U c7 , Inspectors _ Daterr �' APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE ---TTT-- Call Por Aeinep. INSPECTION_MQT199 City of T}.gard Building Department 13125 SR HdaI Rlvd. Tigard, Oregon 97223 Inspection Lino (Rec-o-Pione): 639-4175 Bunineas Phone. 639-4171 Inspections --�--_--_ --- ---- footing Plbq. Dnderslab Herb. Rough-in Pppr/Sdwlk Found. plbq. Top out Gas Line FINALS Post/Bwam struct. Sewer ) Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undortl.00r Water Lin Gyp. Bd. -Hoch. Dates Requented: --Time: - nAK_1 (PH Address: -- `�C __ Permit ft n Builder:___ 'l8E FO1.Ll>MIINI; cORRECTION6 ARE MWIR'3Dt 7 Inspector: ------ --- -- - Dates- APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE Call Por Reinsp. �__ __ __. .. i ,� i ,� f ,�� { � e r f 'r t 1 � , r I ��- i i j` �PFCTION�SIO�' ,ICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Pf.c. .): 631-4ii:� Business Phone k639-43.71 Inspections sooting Plbg. Underslab !tech. Hough-in Appr/sdwlk Pound. Plbq. Top out Gas Lind BINALt t etru San. Hewer Framing -Bldg. POs Beats MOON. Ra'n Drain Inaulation -Pluenb. nd l�bbg Onderil t—j Wafer Lina Gyp. Bd. -Mach. Date Raquegttsdt_ ` _l Timei / �AN _PM Address: %�� , '�'� Permit Builders_� THE FOI.LOWINe7 CORRECTIONS REtijUIREDt Inspector: Date: �,_ — ---- hP ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ----Call For Reinsp. �„NSp;CTI011 NOTIC)r City of Tigard Building Department 13125 SK Ball Blvd. Tigard' Oregon 97223 Inspection Line (Rec-o-Phone)r 639-4175 Business Phone 639-4171 Innpectl.on:— __ -- - Plbg. Underslab Mech. Rough-in Appr/Sdwlk ( plbg. Top Out Cas Line FINAL: Found. Poet/Bram Struct. gen. Sewer Framing -Bldg. Poet/Beam Mach- Rain Drain Insulation -Plumb. -Mach. •� plhq. Underfloor 2waterr_Lin(e� Gyp. Rd. -Hoch. r _IL' ! Date Requested: Permit 1:` - Address:_ THE FOLIi)WING CORRECTIONS ARE REQUIRED.Inspectors — -- - �/ DISAPPROVED APPROVED SUBJECT TO ABOVE n( APPR)VED _ "1T� call For W-110p. CITYMASTER PERMITOF YIFA RD COMMUNfTY DEVELOPMENT DEPARTMENT !~'ERMI7 . . , . . . „ M�iT�30-0."381,` 13126 SW FWI Blvd. P.O.Bat 23397,TOW,Oregon 97223(603)8394176 - I9A'rE ISSi. LD:Sa1 — L� ADDRES PARC:E"L.: `G 1 1 1 CE1- 1 1 200 SUBDIVISION. . . . : LAKESIDE: PLACE ZONING., R-7 -- BUILDING RE.ISSUE: DWELLING UIV I TS: 1 BASEMENT . . . . . . . . :0 5f 1~'LASS OP WORK. :NE:W BEDRMS:2 BATHS:2 GARACH. . . . . . . . . . :4c^r' sf Y' 'E (IF USE. . . :t;F- FLOOR AREAS---_._._-__._ .._._.._ RE OUI REI) SE:.TBAC:KS-•- -..._-__.___.__. TY-'E: OF CON;:3T. '5N FF'IRST. . . . : 1757 G.f LEFT. . .-7 ft RIGHT. :4 ft CICCUPANCY :113 SECOND. . . :0 f FROM". :20 ft REAP. . ,?E, ft. ST0RIEG. . . . . . . : 1 THIRD. . . . :0 ;f KEUUIREU______.._._._.__ HEIGHT. „ . . . . . . : 16 ft TOTOL-"- - 1.757 f' SMOKE. DETECTORS. .1Y FLOOR LOAD. . . . :40 psf VAI...UE. . . . . 6 : P8416 PARKING SPACES. . :O Remarl<s F )_UMB I NC- ----- ----------------------------------- E _-__ __---_---------.______.___...._.._-.,.-_-..._E 11°dKS. . . . . . . , . : 1 FLOOR DRAINS. . . . :0 BACKF LOW VQEVN T F?S. . :0 LAVATORIES. . . . . :2 WATER HEATERS. . . : 1. TRAPS. . . . . . . . . . . . . . :0 TUL1/SHOWE:RS3. . . . :c:' LAUNDRY TRPYS. . . :0 CATCH BASINS. . . . . . . ..0 WATER CLOSE_TS. . :2 SEWER LINE (ft ) . :O GREASE EASE TRAPS. . . . . . . .0 DISHWASHERS:, . . . : 1 WPTE..R L I NE: (ft ) : 100 OTHER F I XTIIRES„ . , . . :in GA RBAUE D I SP. . . sl RAIN DRAIN (ft ) . :0 WPSH I i,VJ MACH. . . : 1 SF= RAIN DRAINS. I MECHANICAL _..__._____._ __.._.___-______._-...____ FEES _._.__. .._.___..._..._...._ FUEL TYPES- __.._..___.._...._ _ UNIT HTRS. . :0 tvpe tmot_cnt by date r pcc+t /GAS/ / / VENTS . . . . . :0 PAYM 6 100. 00 JLH 10/19/90 E060P.14 MAX INPUT:O BTU VENT FANS. . :3 BPR'T 6 400. 00 / ? F URN ( 100K. . . : I HOODS. . . . . . : 1 BPLC: $ 260. 00 FURN ) =100K . . :0 WOODSTUVES. :0 85r'G I r-10. 00 FLOOR FL1RN. . . . :O CLO DRYERS. : 1 ST DL 6 (100. 00 BOIL_/CMS' ( ;311['.0 OTHER UNITS-0 S SDC 6 37`:;. 0171 GAS OU7LETS: 1 PARK $ -500. 00 I / Owner : _._._._..__ ______..____.._. ._._._._ ._.__..__.__.._...,.._.. . __ MPR'T 6 ?h. 00 NOSTALGIC: HOMES MPLC 6 9, 00 PO BOX 201.6 M5PC 6 1 . 80 / PPR'T $ 117. 50 LAKE GROVE (_1K 97035 P:"PC $ `). PS Phone 0: 5036,_05666 PAYM 6 22e5. 18 JLH 0 :/014/1)1 r.:t_1ni:r•ar_Lar, : -__..___. __._.._ .._._ __._._._..__._ ...._.._..__.-- NOSTPLG I C HOMES f"'C? BOX ;W01f LOKE GROVE. OR 970.35 1.8 TOTAL This peretit is issued subject to the Populations contained in the ---_--- REQUIRED INSPECTICINf1 - -- - Tioard Mur,iripal Code, State of Ore. Specialty Erodes and all other Foot/fo!.tnd Insp Firep.lac-e! Insp applicable laws. All work will be dono in accordance with appreved Post/Beam rtro_tct Pas Line, Ins.n clans. This pewit will expir! if work t started within I Past/Beam Mechan Ins'.tlat i on Insp days of issuance, or if work is susoWleed Vr sore th im Plm/t.tncislah Insp C-,yp Board Insp PL1vI/1.1nrJarrloorr Rain drE+.An Tnso F'pr­mittep CiiCn�a+ur°e � _ ._ .._ Mechanical Insp Water, Line Insp Nlt_tmb Top Ot_tr, Appy /Sdtrrlk Insp I'r,st,ted 13y Ft-Amina Insp. Mechanical. Final Cal 1 `z.,r, inspect ion - (1.39-4175 WONUILMaMWANW�WmrWA Wam SEWER CONNECTION Ci�OFTIFARD PERMIT' (CffYOFTWARD 'ERMI,r #. . . . . . . .. 5WR90-04 ,1,7 COMMUNuY DEVELOPMENT DEPT RTMENT ONOON 13125 SW HvJ1 Blvd. 0 0,Box 23397,Toird,L)r*Wi 97? (603)6394175 \1 DATE ISSUED- 08/04/91 L! i i L H ij LJ rt L Iza b. 1414 6 R 9 W. PARCEL- 2S111CA-1300 SUBDIVISION. . . . : PLOCE ZONING: R-7 B(.00K. . . . . . OT. . . . . . . . . . . . . . TENANT Nr4ME. . . . . 1-16A NO. . . . . . . . . . t43166 FIXTURE UNITS. . . CLASS OF' WORK. . . -NLW DWELL T NG UN I TS. . -. I TYPE OFUSE. . . . . zSF NO. OF BUILDINGS: 1 I N5TALL I YPE BL ISW R TMPERV SURFACE. . . - sf Remark s i Ownpi,-. ----------------- FEES --__...._____..____ NOSTALGIC HOMES type amol-Int by date r,ecpt PO BOX 2016 PRMI $ 1500. 00 INSP $ 35. 00 LAKE GROVE OR 97035 PAYM i 1535. 00 JLH 02/04/91 Phone #1 5036205666 Contractor: ........ CONTRACT'OR NOT ON F-It-E. Phone #-, 1535. OIZA ral-AL Pen REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer, Inspection of the Unified Sewage Agency. The permit enri-es 120 g&', from the date issued. the total mount paid will be forfeited if the, Permit expires. The Agency dots not guarantee the accuracy of the side sewer laterals, If the sewer is not locatqd at the measurement qivp'.11 the incta?lpr shall orosvect 3 feet in all directions from purchase a "t the distance given. if not so located, Mt ins!all!r soall purchase a "Tap and Side Sewer" Permit and 0� e c I, M all a lat ! 'ot mif trp CA13- for inspection 639--4175 PLU"IB I NG PERMIT C17YOFTIGrARDPERMIT M. . . . . . . : MST90-0380 CITYOF TWARD COMMUNITY DEVELOPMENT DEPARTMENT o OON71 GATE ISSUEDt 02/04/91 13126 SW kW1 Blvd. P.A.Box 23397,Tiperd,Oregon 97223(603)839.1176 . » . . b At°CC3 I fJ�- �— �PARCECI 28�i�11.300 SUBDIVISION. . . . a i_AKESIDL PLACE ZONINGt R--7 BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . 14 Ct.-ASS OF WORK. . aNEW GAnBAGE DISPOSALS. . 11 TYPE OF USE. . . . ,SF WASHING MACH. . . . . . . 11 BACKFLOW PREVNT'RS. . :O OCCUPANCY GRP. . tR3 FLOUR DRAINS. . . . . . . 10 TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . ai WATER HEATERS. . . . . . 11 CATCH BASINS. . . . . . . :el FIX TURFS-----•------------ LAUNDRY 'TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . 11 GREASE TRAPS. . . . . . . ..0 LAVATORIES. . . . . 13 OTHER FIXTURES. . . . . .0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS, 12 WATER LINE (ft) . . . . : 100 DISHWASHE:RS. . . . a1 RAIN DRAIN (ft) . . . . :0 Remarks: OWNER: --- -__.__--_____K__-_______ .___.__ ____.________ ..-___FEES__-_-____-_.______ '067 ALG I C HOMES PAYM $ 100. 00 JLH 10/19/90 PO BOX 2016 BPRT t 397. 00 BPLC $ 258. 05 LAKE GROVE OR 97035 B5PC f 1.9. 135 Phone #v 5036205666 STDC $ 600. 00 SSDC $ 375. 00 Plumbing Contractort.___w____-_.------ PARE; • 250. 00 MPRT 1 39. 00 Nq m e=_ __. MPLC $ 9. 75 Andreas: - _ M5PC $ 1. 95 0 / City: _ _ _ Stater PPRT s 140. 00 zips- Phonell: P5PC $ 7. 00 ! ! Reg #: _ PAYM ♦ 109 7. 60 JL.H 02/04/91 REUU I RED INSPECTIONS -- _--This permit is issrted subject to the reg- ulations contained in the Tigard Municipal Foot/fOLand Insp Rain dr-sin Insp Code, State of Or . Specialty Codes and all Post/Seas Struct Water Line Insp other applicable laws. All work will be dune Post/Beam Meehan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of isslianep, or if work is Mechanical Insp Building Final suspended for more than It-30 days. Plumb Top Out Erosion Control Framing Insp L.larr..e Insp Gas Caws Line 1.rrsp /r r Insulation Insp �--_.. Gyp Board Insp Authorized Plumbing Contractor Signa -ure Caul for inspection - 639-4175 Contractor Notes , CITY OF T I GARD RECEIPT PT (IF PAYMEN"I' RECEIPT N0. l 91—p 093A 6 j'j h�[1;1'Ai.C;I HOMES CASH AMOUNT s 3760- 10 j CASH AMDUN'C a 0" 00 PAYMENT DATE SUBD I V I 5 17N 9553 �3W LAKESIDE DR I Ii' PAYMENT AMI, UN'f F-)A I T.) PURPOE F.. OF PAYMENT AMOUNT PAID � 1'hlC PE RM 400. 00 PE_UMB I NG PERM 117. 50 HOW I l'Cli.. I='E" 36. 00 ST. BUILD FUER iI I 1 I II_ A." FE 169. `:0 SEDER USA 15400. 00 I G. f t'l'':F'VCT 35. 00 STRE'E. f SDC 600. 00 ,. IlK, 500. 00 STORM DRAIN SDC: 3735. 00 u r Inu II.IN-r PAID > 3760. 18