9780 SW LAKESIDE DRIVE � LMJJLWAWWaww
9780 SW LAKE SIDE. DRIVE
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P E R M I T N O ___LL.��,,L
AbORESS —
PCRMIT CHARGE _ _none
CONNECTION FEE
PAID d Y
TYPE OF B1,11-01 NG cJ• DATE COt1NECTEO `
SERVICE RATE _ ��� INSPECTION FEE
COr: 'IRACTOR _ PAID BY DATE.
SIZE OF ( . ;'SECTION i qS-Sr55MLNT PAID
Av w a w w Q w wr
1
Cit1y of 1 igaird �'��ic htit,►caI Permit �Tcl Pt:mit____�300
! 1 _ Fce---
} N?.� Iri:81;�:,On x �fJ!A�e ❑ nCi.jCot On rJ 1.1,-ji ion PtLra::on _l�--
TOTAL.
C.... � ,��-�-� asr- Obt•r,c FT i
' AY)REms- �.Ll. K- 5 1 Ar�KwA,I `� "�i WORK ADDhFSS(11j1w 'c..Ll� dleK.�►QZ
PHnNE � � �rrk APPLICANT__ ...-_�- �4
Heat Input Ra:ing(B1'U Per Hour)_�i� _�j _ Vent Size Flue Size__`
FUEL OIL ❑ GAS IR ELECT "THER -
ITEM --- NO. FEE ITEM C. FE
For IS5.3nCC o' Prmr
e •, -` -- 1---:300-T-- ----- —
_ 1 _ Air Co�rdition Corr pressor 15 to 30 Hr' 10.0
N,!vv U.-,e.- 100,000 ETUr-�
- --- I OJ_t Air Handling IU,QOJ CFh� -
100,000 9TU S ovar Air Pandlin5_Over 10,000 CFA,
Floo. ^u:nate 4,00 ~Evap;,rative Cooler ! 3.(
Wall • Floor--Sus,,ended 4.00 _ Rangn Vent Fan ��
-TT(
y Install Vents C1nly - � 2.00- Ven^System � 2.(
_----_ __ ..—.__ _. _—_—._ _._---.__.__ L._.•__._-- --- _ 3 (
Rfpai;` };eat
Cor'ling , _ -_.-- --I 4.00 Hood al
Commerc_i _ r 3 f
e Air Cun_fi;ion C.n,pr_;:ar _Un ier 3 HP�I! 4 _ Conme
_ _ _ .00 rc.a Duc: System
!ir Cond,,,o r G tl(rtC,.or 3 to 15 HP- -7.50
mSPECro=t's Cn:.'!.rrNrs� - - -_--- __- - --- - _— __ -- -----_ -
CITY BUSINFSS LICENSF REOUIRED FOR ALL COI!TRAC'rORS oF1 SUB COr.TRA7TORS
? APPRO� ED FY- - - -- --- DAT[ _ --._ ___ ._. ___ ISSUED 8Y GATE
_.ya. o .Xy-•�.v.ww
JOHN E. RIVAROI PH, NO'NC, g,BUILDING DEPARTMENT, TIGARD NO.
P. 0 BOX 1'19 PLUMBING PERMIT 1
NEW9ERu, Olili:?;l 91132 holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such tallations require inspection by the Cir; Inspector who sha!l be notified not less than tour
M hours pri • the Time the installations, are ready for inspection. City of Tigard Buniaess License required
for all,contract ors and sub-contrlictors.
Owner11,-,4 t l�414w Address `7 L S It) knh'e SDate_ 1�
NUMBER OF TOTAL PERMIT NO3
TYPE OF PERAr" ITEMS FEE ON 4ACH AMOUNT (Office Ufa Only)
�AlII.i11LL111.1._ _
Ir2L9F1MllV-1 beth—each Y 25.00_
Dup14x—E221 beth uni•, 26.00
Addlelona bothrpam!—each 1000
Mobil!' Hame epees—loch 6
A 1'IOUAL FIX URE Fgg---! 10 60 Fixtures In 1 bulldfnq—each _3,00
_til to 100 f lxturel In 1 buildlny7h
16to 2Q¢Fixturto In 1 building—eec h 2,00
_201 or maSf lxtures in 1 buildht—each 1 0 _�-
I
ullding eeywr—tet 60 f 1
S�wL-�eeh edditionel 120h 0.00 ^�
abr Se la to pulldlnp 6.00
Prlvne Water Svetemreech 100 1t. 10.00
Other Ismilvl• ----
PEHMIT -cc For Plumbing lnwsctJon Phone 8394181
% statoll a Plumbing Contractor By �t
OTAL RECEIPT NO. bsued By
t♦ •.. . '�1Y . J. �i 'I�.'��� ..r
1113W _- _ __T_._'r S;"0'..�.-.'t_•,•�,,,�_ - _.._ v . Y•7.A•�+`.y�.•�►�....+.�...►—.1.1
�. .,,_ ,,. _. .,....._. __._ _ _ .,._. ,,......,..�...--.-;...�.._.__�.....t._...�_...,.,. __..._...._._..._.____.,....._T ...,,,....,E
BUI'_DINU t-LRMIT APPLICATION 10 Y TIGARD DATE____ 11311 _ . 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BIJILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER 1'140.4r*
LUT NO._
OWNERF"I'11Ettir'+ 0(AV• CO• JOSADDRESR780 515 Laks5ide Ur• HUMEADDRESS
ARCHITECT
ENGINEER
BUILDER _ADDRESS DESIGNER
5I RUC-URE _ ONEW—T _❑RI MnDEL _❑_A_DDITION ❑REPAIR ❑RtNEWAL_ ❑FIRE DAMAGE— ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDOCATIONAL ❑GOV'T ❑RELIGIOUS OPAT10 ❑CAR PORT ❑GARAGE ❑STORAGF❑SLAB ❑FENCE
❑BOND C1 MOVING ❑CONDITIONAL USE n ctilG�l REVIEW ❑COUNCIL APPROVED ❑SIGNS
-
CCUPANCY_.:_-.__---LAND USE ZONE = / BLDG, TYPE r�p,+ FIRE ZONE_J PLAN CHECK BY I+' HkAT,'
r >rtw- issuilr ammG l.at,l..w .Ju 9u"mix-I'Lwic Larry
-- Frame dwaldl;lrtlg w/uttedhed garter. 3 fiodroaw
5swer PerMit 018790KIAXSARS98" PAIC04
OC LQ94 F).44R LOAD HEIGHT _ Jy�STQFjI '2 ADEM— NO.BEDa00MS `3__ ,_.'p♦
BUILDING DEPARTMENT SET BACKS FRONT 1L. REAR 6 LEFT SIDE 12 RIGHT SIDE 1��
Permit i '9,l71) _ --
_ THIS PERMIT IS ISSUED SUBJECT TO THE REGUI ATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPI.CIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANr,E OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRI,CTORS TO HAVE CURRENT CITY BUSINESS
State Taxi, 7. SIJ LICENSE. SEPAR,%T .FIMITS REOUIRED FOR SEWER, F UM31NG AND HEATING.
Total ::,b iJI_. iM2 ilouI Li'
By P1 -
' 1 9 -17 APPLICANT OR AGEN I - -
I3�A j
[Aciciroved.- ... ....,,.... H e cC i p f N o. wiYw•ww„�wrbr.ww ,�.r�..r..w........�r....0.w...,..►.rw,+iar.»r...iw�,...a...,.ru.. .,.......
lITTI�ARD DATE__ X1----- --- ty N2 2 �
�IJILDING _ IT APPLICATION OF
rM
HF LINM 4SIGNEG HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PMON
UR AS SHOWN AND APPROVED IN THE ACCOMPANYIN.; PLANS AND SPECIFICATIONS. OWNEF.PHON
LOT NO- C
SE > a.1.tL � _
JCB ADORESlilti.c-�1 HOME AUORE33
ARCHITECT
ENGINEER
,LK AgDRES'S r-1 ___ DESIGNER
JCTURE �^_NEW ,❑RFMODEI� OADDITION �_LJF4PAIR ORENEN'AL ❑TIRE DAMAGE ❑DEMOLITION
REL;GIOUShPATIO OCARPORT UGARAGE OSTORAGEOSLAB OFENCE
EDF►+C� ❑COMM ❑EDUCATIONAL ❑GOV'T D _.
]FOND� ❑MOV ING ❑CONDONAL USE ODLSIGN REVIEW J []COUNCIL APPROVED ❑SIGNS _e
1HEAT( =
C4IPANCY ND US E_ZON �BLDG.TYPE
LA _1�-FIRE 70NE PLAN CHECK k'1�
L'Xs
--
HEIGHT
i-- UI �11E T T SET B!►CKS FRONT �- F?EA� LEFT SIDE RIGHT SIDE
t,M t
THIS PERMIT IS ISSUED SUBJECT TO THE RErULATIONS CONTAINED IN THE BUILDING CODE. TONING
Pion CheckREGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREI9Y AGREED THAT THE
l . Iwo WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COVENANTS. LONTRACTOR AND SUP CONTRACTORF TO HAVF CURRENT CITY BUSINESS
''tate Tax — �� LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
BV (,l=lA' . AN10 0 A ENT
ApptoveCl Receipt No.
�Jv —06ESS HONE-- W
l
w. as uor .■
111,x. -.. •,......-. .,.r_...„y,,...,.+,,,�'tp,.....o...�....'.--...�,,,...._.__-.. .....-- --- -^e---' '�7"N"
M 1349
BUILDING PERMIT APPLICATION 10 Y TIGARD OATS
L
THE UNDERSIGNED HEREBY APPLIES FOR APE9MiT FOR THE WORK HEREIN INDICATED HUILDER PHONE!_-
OR AS SHOWN AND APPROVED IN THE - �ANYING PLANS AND SPECIFICi' TIONS OWNE-4 DHONF
LOT NC,.-
OWNER { 11191 • �.I�IV+ LT• JOB ADDRESS _ HOME_ADDRESS
ARCHITECT
ENINE=R
BUILDER
F -ADR
DC1�--SS _ DESIGNER ^_
STRUCTURE []NEW ❑RMODFL DADDITION ❑REPAIR _ ❑RENEWAL ❑FIRE DAMAGE_ ❑DEM1-O-�LITION
❑ RESIDE-NCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPOSIT ""uARAGF ❑SVIPAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVEC ❑SIGNS
OCCUPANCY_-_LAND USE ZONE _BLDG.TYPE----F:RE ZONE_ PLAN CHECK Py — NEAT-��._.__.
Hawk, flamar fA st ;a►.: :,UMM9 f Luld i_8110
,u`� IElsmit. ;J7472 -
UCC Uf
1SFtQ4M —�LALU ___
_FL49R_LQ9GVE (Z
OUR ---�-
DING DEPARTMENT 12 REAR 1C� LEFT SIDE �' RIGHT SIDE
SET TACKS FRONT —�_
Permiti, I, Ir;
THIS PERMIT IS ISSUED SUBJECT '.O 'THE REGULATIONS rONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ti.0 IT IS HEREBY AGREED THAT TNF
WORK WILL.FIE 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 HAVE CURRENT CIT,( RUSINE;S
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total
By pi APPLICANT OR AGENT -- _-_-
Approved '"I den Receipt No. 1
----
�r.r,..rrr
ra•r elal iI� e� t
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
C itrector 1�
Permit No. 7
f 3. n ,',� -�rl► __ T.�K ---- - -- --
Rough-in -- "t 7- 77
Fixture
O Final r-- -
-- -
HEATING
Contracto, -
y Permit No j
Gas or Oil - - -
-- — - - --- - Rough-In
-�-�—
Final a
SEWER---
- � Final ------- � /-" l7 r
DRIVEWAY
Final
Stom Dreinege
(Rain Drain)Final _
Sidewalk
- Curb&Street Final
Approach
t3.DGt. DEPT.FINAL 7ETnrW4ARY- T CERTIFICATE OCCUPA a Final
CERTIFICATE OCCUPANCY I /ter -�� �r -- - —
�j tJl Lendseaping
i
Zoning Final