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9600 SW LAKESIDE DRIVE 9600 SW LAKE SID2 DRIVE m N 0 N '0 .11 rA a1 ro 73 cn a a Uo t F 7I Im I I-upMIw�1M�A�llre 11 INSPECTION NOTICE . qty of 'Tigard Building Department 124"^ S.W. Main St, i iga Oregon 97,?'13 Phone 839-4171 :!J Address ax - Type of Inspection The foil-wing HAlding Code def-ioncies are required to be oorreCOM ---- -- — Presented Inspector -.r- Date DateCALL FOR FOR RVAIF"ECTION ❑ YES J No City of Tigai d Mechanical Fermis Permit $3•Q� ___ Fee_ New Installation F] Rcplace E Relocation El Addition I_] Alteration ❑ 3%State..__._--_._ — TOTP%L -- _ -- CONTRACTCR -- _ -- OWNER --- ADDRESa.•_—___- %,")RK ADDRESS - PHONE _ ______ APPLICANT__—,--------- Heat Input Rating (BTU Per Hour)_— --, Vent Size_—_--_ __ Flue S te� FUEL OIL L-1 GAS '_7 ELECT ❑ OTHER ___-• —_ --- - ----- ITEM NO. FEE ITEM NO. FFE For Issu .Ice of Permit 3.00 Air Condition Compressor 15 to 30 HP - _ 10.00 New Under iU0,000 BTU Air Handling 10,000 CFM — _ 3.00 New• 16,000 BTU &over 5.00 —kr HandlingOver10,000 CFM T_ 5 00 Floor Furnace _ y _ -+.00 Evaporative Cooler ��_�-- 3.110 2.00 Wall - Floor -Suspended 4.00 Range Vent Fan Install Vents Only F _——� 2.00 Vent System - 3.00 Repair-H-t& CooFng _ 4.00 Hood Commercial —_ _- 3.60 Air Cc, %dition tromp ,ssir Under 3 HP _ _T 4.00 Commercial Duct System — _ 10.00 Air Coi.�lition Cora r�ssor 3 to 15 HP —7.50 INSPECTOR'S COMMENTS-___.___ CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTCF'S APPROVED BY_ __------ --_ - DATE ISSUED Cy --.--�-_ DATE RECEIPT NO. - 774 Signature of Applicant �WjLWKWJLr!MMmyINM'mwmRO c i I OI QI f-1 C- 1 R n W a C 4 O O C{ I W O lJ W LJ W W co rr u ►- I- u m u u m In .--� -. I,J W In rr `e_' O w Q Q 11 W W O Q a a u a C) ►-+ a cr. 1 r Q CD O tt or 0 m cc a u I.- L) L.- In O L_J L C7 LY_ IJ 1..J W L] .'_ CL (L' -L N O _l T IJ O H d 0 h Ul u u) ,d MOM w I oQ �. w Q g Z dc0 WO O c .a CL C ani c> O cuI ;t ev0 ~ A! C � 3 0 cn r!) m E 0 N a 0 �1 V C � � •E 3 � -� z U41 YI N n N UA N w W c c a cz 0 l> 7 0 Q d G Ir A W � � �~ Q 0 > a� 7 -� C Cm Z J t d) in a m C O d C a14. C ted, c m °Y W i r S -, � _ aH � n g ; g E p � 3 v ¢ W Y S o m U a a: C i fe i I 'h' ' {� U v 1• LL i C "' C - — J I w CL" w ;OQ C) � `CW Ti cAA Ea x c S O) q g S 0. :;3 d _ t Yt LL iL < Y C W H L m _7 g _ •D 4 Q r W o N m ; d O� oW, / rrrr .rar r O i � f 1 lc-� �� i- c�� ► �it�ht�,�ical Ptr,Tllt �T� Pit:.nit s,_0o C L 1� r-� _ _ II Fete.__. -� saQ� �' Fcl�cn;1on r� Ad-j"10-1 .l L,lt�rd; :On _J Nei: Ins;a�:a; on 'TOTAL CCN TRACTOR C-�ln�f L� t CJCa•F�.�t.L_ O:�t:cFr- `1' ��t„s'_ L�1�. � 7<. -�--- `.4C�c 4'S _ WORK ADDRESS 9�a� `$moi �.AdG.t 113 l TU Per Four) �p[�_-� Vent Size �S Flue Size '"'""""� Heat Inpu: Ra;�ng (a -__T- --- FUEL OIL ❑ GAS F L E C T -- ITEM NO. FEE ITEM NO. FE Air Condition Comp:mor 15 to 30 HP ] For Ist.3r rc of -New UnJer lUJ,000 ETU x,00 Air nandling_10,000_CF= 3.L (�•,., .Floor_-u:nate10:r,OJO BTU 5.00_� _' it Y.endlins Oyer 10,000 CFM - ,_-�.0 1 q,pp Evap�rativeCoole( �3_C —...1 .. -- - v.allor _Flo ^SL'*ended _� 4_00 Rang Vent Fan ---V-_ 2.0 ln;tall Vents Only _ _ _ I _ 2.00 _«Veni_System _ - 3 C t Fepair HCat 8 Coaling _ _ - _I -_ __-_.1 _a no _Hood Commercial�_� Air Condition C_omprr;=._or UFv1i;r 3 HP _ I� 4.00 ConrnerLia! huci System___- T--� + 1n•( _ _ - - ----- -- -- --------_._—�. _. -fir Con�itior, Compressor 3 to iS HP -- 7.50 x:.ia a..i=:r-• .asv -_ .s:.=•s-�r=:�rm.i:�s.r=srz_-ca•.. _^a•s _ z^-� CITY BUSINESS LICENSE REOUIRE0 FOS ALL CONTRACTORS OR SUS CONTRACTORS ISSUED BY,;. _ ;� D, TE t APPROVED PY ____ PATE _r.___ -. ..-._ � _ __- t ..,....-. .r--axw�ao....--..-...��w.-..w•_+4--w..«..--�.-..._-...._-.-. .......-__ .. .. -..�T,,......,..�.. ,...�..�.r.,.r,.,......`..-�.._�...,- -/�-.�1.'_.__....�-.�._.�_j'�-\.. ..-...ffpp}� BUILDING PERMIT APPLICATION 1OF 1T TIGARD DATE THE UNDEPISIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK. HEREIN INDICATED SUI LDLRPHONE 1L'4-9-.2+�l OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNF:ett +oNF LOT NO. OWNER "i.aLin eyy, cLSO JOB ADDRESS900 SW '!_4X l5i0W UTY440ME ADDRESS _^ ARCHITECT ENGINE.7Ft BUI' DI=R ADGRESS _ DESIGNER STRUCTURE — ONEW ❑RFMODEL ❑_ADCITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ODEMOLITION G 6ESIDENCE ❑COMM L,IEDUCATIONAL [^]GOV' ❑RELIGIOUS❑PATIO 0CAA PORT C]Gi RAGF ❑STORAGE❑SLAB ❑FENCE `QBOND ❑MOVING []CONDITIONAL USE ODESIGN REVIEW [:]COUNCIL APPROVED ❑SIGNS . r OCCUPANCY-�_;=LAND USE ZONE tBLDG,TYPE---FIRE TONE— PLAN CHECK By L1 __ NEAT 80 -Igbur .jibo.M alt 15613 5%_i Surinwrfield Lane --- F_rome dwelling wZnt.t&&;h!pd jsre'a N' 3 Undropme - 2 Pathe. - ;trc'nl�. prexm.it _' 10700 - $625.00 CC. L AQ----.-__F1.9.SQHJ_QA1____-_�IE2P70 NO.BEDRQ4_M _ VSLUJ509 586• BUILDING DEPARTMENT SET BACKS FRONT 10 REAR 2 LEFT SIDE 6+ RIGHT SIDE Permit 'i1ta9.UIV — .__-- _------,�_._�.--- ------_---------------_ THIS PER 91T IS ISSUED SUBJECT TQ THE REGULATIONS CONTAINED IN THE BVILOING CODE, TONING "Ian Check pold REGULATIONS AND ALL APPLICAFILE CODES AND ORDINANCES, AND If IS HEREBY AGREED THAT THE — "--� — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAiIONS AND IN COMPLIANCE WITH Subtotal AL1 APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS. CONTIIACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Ta* 7• LICENSE. SEPAAATIE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total "96- By p - - AP'/iLICAN7 OR AC.F N 1 v� — - _._. 1 d,nnrwml _. Rece;pt No _...._.�... ---=....,,«...,..........,.__........... - i i wWAUs!M-ALETALm—�W_AJm_AL A W DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in F i x ture Final HEATING Co,tractor F armit No. i,,-3as or Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Drainage (Rein Drain)Final Sidemilk Curb&Street Final Approach BLDG. DEPT.FINAL TiiPORARY UKRTIrICATE OCCI NCY CERTIFICATE OCCUPANCY Tf 7 Final Landscaping Zoning Final BUILDING PERMIT APPLICATION 11T TiGARD DATE t ` n is_'T-L N? "� HF UNDE RSIGNED HEREBY APDL IES F OR A PERMIT FOR THE WORK HEREIN INDICATED BUILDFR PHON � lJ( 1 UR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS A JD SPECIFICATIONS. OWNER PHONE--- LOT NO ---- -- JOB ADDRESS TIGI-1��� JUIC1 � HOME A ARCHITECT ENGINEER ADDRESS_ _ _ _ _ DESIGNER '%E -- _ICTURE LJNEW �I�REMODEL— []ADDITION []HLPAIR []RENEWAL -[IFIRE DAMAGE ODEMOLITION , E—:•IDFNCE ❑COMM ❑FDUCATIONAL 0GOV'T 0RELIGIOUS0PATIO ❑CAR PORT []GARIAGE ❑SIORAGE USLAB []FENCE I3POND.�_OMOVING ►�[]CONDITIONAL USE _ []DLSIGN REVIEW ❑COUNCIL APPROVED QSIGNS :.CLTANCY►z'�_LAND USE ZON-- BLDG.TYPE —FIRE ZONE1 PLAN CHECK 8Y HEAT _ �"L�.��.._..JS.� ��'��5.� �—J ,�QCl_utiL �"]„�����(..�� t�•,y,.��G��A o(�r 1L�,, C�c � ., tic, :G_LO9.D fiTORIE.�_— DROCrMS`,n VALUEaYlmc�_ BUI PING DEPARtM T — S,T BACKS FRONT [� AE AR Z'1. LEFT SIDE RIGHT SIDE errlltt Cr THIS PERMIT IS ISSUED SUBJECT YO THE REGUI.ATIONS CONTAINED IN THE EII)ILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE. CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF. WORK W;LL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ---- RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVF r:IIRRENT CITY BUSINFSS Estate laxT7 5G L�CENSE SEPARATE PFRMITS HEOUIRED FOR SEWER, PtUMBING AND HEATING. Total _ H 2 cam' of �f)'i — l APPLICANT OR A Approved Receipt No. ICU �Qo BUILDING PERMIT APPLICATION cITyoy T�IGARDQ DATE UNDERSIGNED H. I c BUILDER PHONE'1�3d-�1C11 THE RESY APPLIES FOR APEIiM1T FON THE WORK HEREIN INDICATED OR AS SHOWN AND At DROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. ��O,,..opWNERMVE"i 118f�1041�r8eld L OWNER' i.1i,l. :.,4 i V.,, �i• JOB ADDRESS Vb0U SU Lake6ida f�T•HOMt ADOFtESS ^ARCHITECT ENGINUrR BUILDER ADD-?ESS (H nESIr.NFR STRUCTURE LJNEW 0mmnDEL OADDITION ❑REPAIR rr--�� (RENEWAL ❑FIRE DAMAGE tJ+)EMOLITION QRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO L_1CARPORT ❑GARAGE ❑STORAGEO.LAB ❑FENCE ❑BOND ❑MOVING ❑CONDfTIONAL USE ❑OESICN REVIEW CICOUNCIL APPROVED ❑SIGNS QCCUPANCYEL,„!.__LAND USE ZON- —_ BLDG.TYPE N _FIRE ZONE_ Pt.AN CHEC<BY HEAT SkG Foundatlun Parmit mkr-C riu-i_ asue abnq pip 14,612 SW nummerfleld_W�WII, 1�14�:T4fTIE _ Ail-EA2070 NO.BEQRDQMa_ 3 VALt0 .6 BUILDING DEPARTMENT SET BACKS FRONT l REAR 22 I EFT SIDE 4 RIGHT SIDE 11t.1LTfi t. t1 --_— -r- - - Per it (){) THIS PERMIT IS ISSUFD SUBJFCr TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCCS, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE W17H THE PIANS AND SPI'CIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES, THE ISf,UANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAGrORS TO HAVE CU}1RFNT CITY BUSINESS State Tax LICENSE, SEPARJ..'E PERMITS REGUIRED FOR SEWER, —UMBING AND HEATING. Total uo By P - - Approved f. ' lam- Receipt No. 1707 aPPIICnN I ur+ Acr rt I i _3IJILDING PERMIT APPLICATIGN ` Y flC,`.RD DATE_.__-_s ..l ___.t9_ NP ' �F NSIGNED HEREBY APPLIES FOR i.PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _. ;,R AS S'1(-.WN AND APPROVED IN THE ACCOMPAN`'I,,.; PIANS AND SPECIF ICA1 IONS. OWNER PH,-)N 1-OT NO.__. ARChITECT ENGINEER ER ADDRESS DESIGNER URE. _WJNEW ❑REMODEL _❑ADUIf10_N _ _❑REPAIR _❑_RE_NEWAL ❑FIRE DAMAGE _❑DEMOLITION (/e`1C,1.NCF QCUMM C]EDUCATIONAL 0GOV•T QRFIIGIOUSQPATIO ❑CARPORT ❑GARAGE QSTORAGEQSLAB ❑FENCE 1FOND QI,.iOVING QCONDI•fIONAL USE QDESIGN REVIEW QCOUNCIL APPROVED_ [:]SIGNS _ uPANCYI_� LAND U5�,E ZONE '_1 BLDG TYPE FIRE ZONE PLAN CHECK BY.----�_� HEAT -vi. (IrtK I.Q9Q .. _ F144A._1...�P..LZ_.�r._._.►iE.1St.l�T..._..... _______._!JL4_SIDE3l.ES L__.LRE.�1�1_ 4L91:_DROUMS�� VALUE BUILDING DEPARTMENT SET BACKS F.HC)NT REAR 1...- LEFT SIDE RIGHT SIDE t THIS PERMIT IS ISSUED SUBJECT TO THE RFGUL.ATIONS CONTAINED IN THE BOILDING CODE, ZONING Plan Check RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL Bi DONE IN ACCORDANCE WITH THE PLANS ANDSPECIFICATiONS AND IN COMPLIANCE WITH Sub total ALL APPLICABLE CODES AND O:ADINA,ICES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. C ONTRACTOR r`Nn SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS Mile Tax LICENSE. SEPARATE PlirMITi REOUIRFD FOR SEWER, PLUMBING AND HEATING. Total' _._tal -- By . _ APPI.(CANTO GINT Applcwed �..� Receipt No.