9695 SW LAKESIDE DRIVE-1 9695 SW LAKE SIDE DRIVE
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t-FRMIT NO .
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CONNECTION -EE
OWNER
PAID BY
DATE CONNEGTr*D
,TYPE OF BUILUI�G
INSPECTieN FEE
SERVICE RATE
CONTRACTOR PAID By DATE
CO.NNECHON SESSMENT PAID
Par Mit.
L I P it
L NY F e:e
C' c! (, Ticlard-
xjjt�stall Rel.�Cal;on
TOTAL_
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C `:TRACTOR
Tk
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WORK ADDRESS
.116
AD-_)7C_SS NIPPLICANT or ? .
PHnE A Flu l Size
Vent
Hez; lnp,-j' Raiing (BTU Per Hour) Size -- -----
FUEL OIL. 1,D GAS GJELECT
NO. FEE ITEM NO. FE
ITEM 10.
--=--—3 000 Air Condition COMIPFMW 15 to 30 HP
3 For
1 4.00 Air Handling 10,000 CFNI, 3.
1New 30 au
e. I bL 0 -or andlinr,Over 10.00DCr-M,
f, - d0-01er —___,
e—, 7_1 0 *5 T_U _0v a f
Floor Fu-nact 2.
4.00
Ft -4 a nt Fan
�Ia,17Floor pencied 7.00J Vent System
In:taI T�_C_n t 5 0 n I y 3
Hood Commercial
t!:pair - Hrat 10.
Comm:-rcial Duc'. S�S',Cfn
if Coodition-6--_ -,�Or Under 3 HP
omPre
7.50
I C017 3 to 15 H.
-1:oe)n om'stC11%
1NSPECrOR,S
CIT Y F,
1-51r,'FESS LICENLICENSE- RECUI
RED FOR ALL C.ONITRACTORS OR SUB.CUNTRArTORS
1! WED By DATE
GATEAPPROVED FY GATE
BUILDING PERMIT APPLICATION COF TIGARDI DATE —_ j! — t979 - 63 -
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE OCRK HEREIN INDiC:A1ED GUILDER
HONE
OR AS SHOWN AND APPROVED IN THE ACCOMPAN'ili.G PLANS AND SPECIFICATIONS GW14ERONE
LOT __ –
OWNER �E ,J tSfl dU, I« JOB ADDRE35 969:r Sw LokeSir4 a tU-t• HOM_E ADDRESS -
A,.zI.F ITECT
ENGINEER
BUIL' ER _ n _ _ ADDRESS-. _ n - DESIGNER___ -
STRUCTUREO
_ _ NEW _❑_ R1 MODEL _❑AUDITION 0REPAIR
�-I ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
_RESIDENCE ❑COMM DED-7ATIONAL OGOV'T OREL.IGIOLI! COPATIO j3CAFIPORT^ ❑GARAGE- OSTORAGEOSLAR OFENCI_
�OBOND OMOVING OCUNDITIONAL USE ODE'SIGN REVIEW OCOUN;IL APPROVED _- OSICiNS �—
I �–�
OCCUPANCY—____LAND l!,E ZONE—. ` BLDG.TYPF _.,Flfic L'ZOWPLAN CHECK HEAT=.
BY_;_�–
IMi Bain, as lbbl': 'Lid Summforf cold Lenu.
Ft* Ao duelliny w/' 4tached gdr'vfjo ---
---- foundation Pvrmit is*usd 1' urmit #2503
OCA LOAD Fl9.Qf �9� �E1Stl1T __ �Q. I.41 E5__1_ AREA2C�l NO.BEGRQQMS�__!iLALU1` –--
Q�(a RIGHT SIDE
BUILDING DEP,kRTMENT SET BACKS FRONT REAR A ,J+ LEFT SIDE _
Permit Lt J.ul ---- -- --------
-` THIS PERMIT IS ISSUED SUBJECT TO THE RE3lIl ATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check (1sid RFGULATIONS AND ALL APPLICABLE CODES ANC ORDINANCES, AND IT IS HEREBY AGREED THAI YHE
WORK WILL RE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total j;l .i1(i ALL APPLICABLE CODES AND ORDINANCt..S THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SLOB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 7. .G LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
BY pp - p�- APPI (CANT OR AGENT
Approved Receipt No .,..�..,:-_ __-........,.«..�......•...,.w,-.,�..�....�a......�._.....W.,..........,_ �_ .
DATE—INSP. TYPE INSPECTION REM,".!-KS PLUMBING DATE
Contractor
Z -�7 Permit No.
RLugh-in
Fixture
Final
HCATING
Contactor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
StoMin Drp;nag.
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TitMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPAUCY
Landscaping
Zoning Final
-'ill_DING PERMIT APPLICAI10N y �fICARD DIETS—y5�l3S� , 19� N9 �5_N
'F '•'I-Et�1t:NED OF
HFREBY APPLIES FOR APE RMIT FOR THE: WORK HEREIN INDICATED BUILDERPHCNE-IL1 �-,1_L1J1
? A!, SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICAIIONS. OWNER PrHOM_ ^�--- _
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LOT NO.
r�h.r..•-.,.___��. JG8 ADDRE� ,- �� UI�1E ADDRiS
,ARCHITECT -•... �..+
ENGINEER
t a ADDRESS DESIGNER
UNI T_Jtit.W 0FEMODEL CI 7UItIONL_I
_ --0REPAIV RE:NEWAL ❑FIRE DAMAGE ❑DEMOLITION
NCE nCUMM ❑ECIUCATIONAL CGOv-t ❑Rr l GI0US[1P',T10 ❑CAS+ PORT C]CAAAGE OSTORAGE❑SLAB ❑FENCE
' 1',OND ❑MOV ING LJCONDITIONAt USE ODESIGN REVIEW COCOUNCIL APPROVED ❑SIGNS
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=•NC '.AND USE ZONE._'_ _.._BLDG TYPF- FIRE 70NPa PLAN CHECK BY_. _. HEAT-C
S u�) %'S �'r�.ns� A _� ----
()AU E, _1ORLHT FCS?SIQ81S� __fi �]1�J��I �E�lIS'�ZI!15��__V9L�E�C21--
BUILDING OECAFITMENT SET BACKS I AoNl—L.IL F :AR_� LEFT-.31UE ' RIGHT SI —
'alm t _Aq pc-'
Frill l'e� N THIS PFPMII IS 'SSUED SLIBJEC:I TO THE REGULATIONS CC'NTAIN'cD IN THE BUILDING CODE, ZONING
Plan Check -- c�n.�� RFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE'S, AND IT IS HFREBv AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE. WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
dub iC:tal �CX'1 CIU ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CUFIRFNT CITY BUSINESS
r•liatf Tax LICENSE, SEPARATE PERMITS F.FOUIRFD FOP SEWER, PLUMBING AND HEATING.
jTntal� - --_ 1911
pPlh ICANT OA,/1 N1
Rf-pipl No 1 -
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VJILDI G PERMIT APPLICATION rUF YIC,;.RD DATE_1�.`
"HF iJ':,)� RF IGNED HE REBY APPLIES FOR APERMIT FOR THE WORK HERFiN INDICATED BUILDER P40Nk
;iti AS SHOWN ANLL APPROVE.') IN THE ACC-oMPANYING PL, NS AND SPECIF ICA110NS. OWNER NO-- +oN�F��,cc,�
�r��, � �(�� � LOT NO�
�+�( I a � ; IJC�IDRkSS _!lV=1..1aJld�L 43d 1a.1.sJ1in .�r -ME ADDRESS
ARCHIT ECT
ENGINEER
ER__.._._.. _ _- ADDRESS .– r���.__._—._._.�_.___ DESIGNER _
URE �rlvLW O REMODEL 0ADUIIION ,[3REPAIR C]RFNE WAL _❑FIRE nAMAGE ❑DEMOLITION
It-,N':F EJEDUCATIONAL DGOV'T 0F4ELIGICUSoPA,T10 ❑CARPORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE.
'190ND [.]MOVING ❑CONDITIONAL USE (IDESIGN RE VIEW ornVNCIL APPROVED ❑SIGNS
�'F o_NCv LAND USE ZONE 'rL___.Bl DG TvPE_ �L11_F IRE ZONE PLAN CHEEK BV____ HEAT_
_J_.L,.1__l�``f•_
F L9SJRUf-)ADL_-.._ --.-W—MBIES-2.__ASE f
I BUIL DING DEPARTMENT SETBACKS FHONT REAR LEFTSIDF 7 ' 40 RIGHTSIDE
�F � W
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-"- -'-- `� THIS PF.PMIT 15 ISSUED SUBJECT TO THE REGULATIONS C(.)N'f41NFD IN 'THE ELLIILDING CODE, ZONING
Flan Check RFGIILATIONI, AND ALL APPLICABLE CODES AND r)RDINANCES, AND IT IS HEREBY AGREED THAT THE
WOR✓. WILL BE UONL IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Foul+total —� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!)iop Tax LICENSE, SEPARATE FERMI rS REOUIREL FOR FEWER, PLUMBING AND HEATING.
Total 11
By
4PL_
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IApE roved– --Y+—_ ReC!e-pi No
ADUA 55 H -
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BUIL UiNG PLRNAIT APPLICATION coy Tl t4..RD DATEN2
rAF W4()i HSiGNE.D HEREBY APPLIL-S FOR APERMIT FOR THE IVO^K HEREIN INDICATED BUILDER PHONE S(! �!�^
LJ; AS SHOWN AND APPROVED tN THEO PINING PLANS AND SPFCIF ICAI IONS. OWNER PHON C —
� � LOT NO.�
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tx)R +^ ARCHITECT
ENGINEER
ADDRESS _ DF-SIGNER _
❑REMODEL ❑ADDITION —OHLPAIR DRENEWAL OFIRE DAMAGE ODEMOLIT-ON
r.-PA ❑EDUCATIONAL- OGOV-T ORF L,GIIOUSDPAATIO []CARPORT OGARAGE ❑STORAGE OSLAB OFENCE
lH"IN'D ❑MOViNG� []CONDITIONAL r (E ❑DESIGN REVIEW OCOUNCIL APPROVED OSIGNS _
ATl.4ND USE ZONE BLDG TYPES:��� FIRE 70z__ PLAN CHECI: BY_.- - _ HEA -_
BRA
BUILCIING DEPARTMENTSE, BACKS FRONT �� REAR IfFT SIDE a^� `-4RIGHT SIDE
rtrmlt C�
- '-`--_ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check REGuLATIONS AND ALL APPLICABLE CODES AND OROINAN^LS, AND IT IS HEREBY AGREED THAT THE
WORK VVILL. BE DONE IN ACCORDANCE WITH THE PLANS ANDRPECIFICATIONS AND IN COMPLIANCE WITH
`•ub total ALI APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
{ -- --- RESTRICTIVE COVFNANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
!.181P 7 R LICENSF &EPARATE PFRMiTS REQUIRED FOR SEWER, PLUMBING AND HEATING.
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by
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CITY "�� �a��3
BUILDING PERMIT APPLICATION of TIGARD DATE–_-- r 39-3101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED SUILDEItPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERP;IONE.__
LOT NO_ �.�..x�
OWNER _ JOB ADDRESS _ '� '+{''' • HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER A'JDRESS _��--ff DESIGNER _
STRUCTURE ❑ E
NEW ❑RMODEL ❑ADDITION ❑REPAIR DRENEWAL ❑FIRE DAMAGE JDFMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO ❑CAR PORT ❑GARAGE ❑STORnGE SLAB ❑FENCE
❑BOND ❑MOVING [:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
..
OCCUPANCY.__ .YLAND USE :ONE-------BLDG,TYPE 314 —FIRE ZONE—
PLAN CHECK BY �.T41
a mL its ;,± "lummerf '.&ILI Lane.
)LJIiCi4?11.:. .r i C'CAi l Irl y yy '_ ----
-- -----
cx.c I Onq . _F_44�F)�GA_D ------ HEI�iHT ---.__LYir S4RIF, AREA �----NO.BEJ2La44!M$
PUILDING pEPARTMENT SET BACKS FRONT j.(I REAR 10 L=F1'SIDE RIGHT SIDE
Permit -- —�
-- tHIS PERMIT IS ISSUED SUBJECT TO THE RFOULAT10NS CONTAINED IN THE BUILDING CODE. ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBYAGREED THAT THE
—'-- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND INCOMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
– RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRIkCTORS TO HAVE rURRFNT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATINI..
Total
By
--- — --- ------ APPLIr ANT nR AGENT
Approved Rv( ,ipt No