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11463 SW CORNELL PLACE
e' � I N r w c r r ro r �i { 11463 SW CORNELL PLACE _ etw ata -A�aRILKON jr3PEC7I0N_NOTICE City of Tigard Building Department 13115 DN Ball Blvd. Tigard, Oregon 97223 ll lnapection Line (Re//c-O-Phone): X639-4175 Business Phone: 639-4171 tnnpect ions Footing Plbg. Underslab Mich. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam &trust. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -N*on. i Date Requested t r / �'" Times )1M Fll n -.mss Addresas Permit - �1/ . �s Bull.dur:_— ,--- - --- THE FOLLOWING CORRECTIONS ARE REQUIRED: I p Inepoctors --__-_ _-___ Date: 73 - J APPROVED DISAPPROVED APPROVED ^OBJECT TO ABOVE Call For Rsinap. CITY OF TIGARD OREGON October 30, 1992 Mr. Kevin Kelly 11463 SW Cornell Place Tigard, OR Re: 11463 SW Cornell Place Permit # MEC 91-0195 Dear Sire On 9/26/91 a permit was .issued for the above project. As of this date, there is no record of any inspection having been recorded. Plee,se advise the Building Division of the status of this project as soon as possible so that the file may be kept current. Please note that any permit without activity for over 180 days becomes void. If you need additional time to complete the project, please contact this department so an extension can be discussed . Sincerely, ,&t'& X�� Brad Roast. Building Official i I I Notice.2 13125 SW Hall Blvd. Tl ''> Bard, OR 91..23 (503) 639-4171 TDD (50.,o ) 684-2712 CITY01FTI G A MECHANICAL T � C�'ERMI C711'-VT16i��' RMIT #. . . . . . . : MEC91-0195 COMMUNITY DEVELOPMEN i DEPARTMENT �nooN 13126 GW FW1 BA. P.O.Rm,23397,ToaM,OrnponD72 3 tt603 83x4176 1 71 DA1-F_ ISSUED: 09/26/W 1 SITE ADDRE:SS. . . : 11463 SW CORNELL PL. PARCEL : 15133DD.--. SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ----------------------------------- CLASS --------------.._CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS— : OCCUPANCY GRE'. . : R3 VENTS W/O APDL: VENT SYSTEMS: STORIES. . . . . . . . :c. ROIi__ER5/mMPRE=SSORS HOODS. . . . . . . . FULL TYPES------------- 0_3 HP. , , , DOMES. CNCIN: : /WOD/ J / -15 1iF. . . . : COMML.. .!NEIN: MAX INPUT: RTU 15-30 Fir'. . . . : REPAIR UNITS: FIRE DAMPERS?— : 30•-50 HP. . . . : WOODSTOVES. . : 1 GAS PRESSURE. . . . 50+ HP. . . . . CLO DRYERS. . : NO. OF IJNII'S_..__.______.__.._ AIR HANDLING UNITS OTHER UNITS. : F•URN ( 100K RTU: <= 10000 cfm: GAS OUTLETS. : FURN ) =100K BTIJ: > 10000 c^f m : Remarks: NEW FIREPLACE WOODSTOVE INFERT Owner,: .._-------------------•--______._._.._.____- ------------------ FEES KEVIN KELLY type amount by date 11463 SW CORNELL PRMT $ 25. 00 JLH 09/26/91 TIGARD OR 972'235PCT $ 1. 25 JL_H 09/x'6/9.1 - 'hone #: Contractor t_UDEMANS, INC le-1675 SW BEAVERDAM RD BEAVE RTCN OR 97005 -------_------------------------------_ Phone #: 646-6409 $ 26. 25 TOTAL Req #, . 514ti9 -------- REPU I RED INSPECTIONS This permit is issued subject to the regulations contained ie the Final inspection _ Tigard Municipal Code, State of Grp. Specialty Codex and all other applicable laws. All work will be done in accordance with approved pians, This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. Permittee Sigrlat'_ire : ISS'Aed By : Ca:. l for insper-tion - 639-4175 ■w City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 97223 (503) 639-4171 N�n� mwy ascription �« Table 3A Mechanical Code QTY PRICE AMT Job Address ti., 1) Permit Fee -0. 0- 1000 2) Supplemental Permit 3.00 Furnace to 100,000 -- t-c V 110 i -L( I 1) incl. ducts&vents 6� wPt— Furnace 100,000 + — Ownerl r{ c CrC/J' , cc 2) incl. ducts 6 vents 7.50 .r � o / Floor Fuimance 3) incl. vent 6.00 Suspended ater, walleater 4) or floor mounted heater 6.00 OCCUp,!',i ant not me in r _ 5) appliance permit 300 ° Repair of hoa-G79,--refri§-- C) cooling,absorption unit 6.00 Boiler or comp, eat pump`,ar co 7) to 3 HP absorp unit to 1OOK BTU 6.00 'PIZ. Boiler or comp, eat pump,ar co Contractor 8) :3 15 HP absorp unit to 500K BTU 11.00 w or or c`omP, eat pump,ar co - ��� 9) 1530 HP absorp unit.5-1 and BTU 1500 Boiler or comp,heat pump,aroor 10) 3050 HP absrxp unit 1-1.75 mil BTU 2250 I hereby ac ow ge ffial I app kation,that Boiler or comp,heat pump,ar co information given is correct,Ciat I am the c wrier or authorizer)agent 11) > 50 HO absorp unit 1.75 mil BTIJ of the owner, that plans submitted are in compliance with State 31.50 ith laws, that I am registered wthe Construction Contractor's Board, r handling unit to that the number given is correct. (If exempt from State registration, 12) 10,000 CFM 4.50 please give reason below.) it fianifing urrt —^ 13) 10,000 GTM+ 7.50 on portaTTi e- - 14) evaporate coder 4.50 ant ran connect. 15) to a s'ngle dud 3.00 Ventilation system not 16) included in appliance permit 4.50 tr, sery — z Lf 1;) mechanical exhaust 4.50 encnbe work new U additi6n alteration repair Q Commarcia or in stria to be done residential O non-residential Q 113) typeincineratur 30.00xtshng use oT�"' herT.e_.w stove,water building or property 19) heater, solar,clothes dryers,etc. 4.50 Proposed use of building or property :'-0) Gas piping one to four outlets 2.00 Type of fuel -oil 117 natura!gas Q LPG 0 electric, 21) More than 4-per outle! O C . — F1 PERMITS BECOME VOID IF WORK OR GONSTRUCTIC"J Minimum Fee$25 00 SUBTOTAL AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS,OR S%SURCHARGE IF CONSTRUCTION)R WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIME PLAN REVIEW 2S%OF SUBTOTAL AFTER WORK IS COMMENCED. SpeaTOTALal Conditions _ --___ Date issued &.-,VPI./T ——U. ( CITY OF TIGARB RECEIPT Of PAYMENT RECEIPT NG, 991-217898 NAME : KELLY, KEVIN C14ECK AMOUNT 86.25 CASH AMOUNT (3.00 ADDRESS ; 114Q SW CORNELL PL PAYMENT DATE. 09/26/91 TIGARD, OR 97223- SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 25.00 ST. BUILD PER 1.25 WOODSTOVE PERMIT l(JTAI., AMOUNT PAll"' P6.25 n■ W--KM INSPECTION NOTIC$ City of Tigard Building Department w 13125 M Ball Blvd. Tigard, Oregon 97223 f ` Inspection Lina -Q-Phone): 639-4175 Business Phone: 639-4171 Inspection: 2, _ Footing _ i Plbg. Underslab Mech. Rough-in ` ppr/Sdwlk Found. P1`�g. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: �r Time: _ AN PH Addreent �' Permit Builder: THE FOLLOWING CORR'SCTIONS ARE REQUIRED: Inspector:.----1 ! Date: _APPROVED �` DISAPPROVED APPROVED SUBJECT TO ABOVE --Call For Reinsp. C11YOFTHFA RP CERTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT DEPAORUB hlT Im, PE 7 N. . . . . . . a ME)190 !31 14 19126 SWFWIBlvd. P.O.Ba29997,TfpM,Orepon4722)(609)63Gi175 DATE ISSUCDa 11/15/140 SITE ADDRE<SS. . . a 11463 SW f.ORNE:L L PL PARC:E:L s 1913:3DD•-1.F1000 SUBDIVISION. . . . a TIGORD PARK ZONIN©a BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . : 16 CLASS OF WORK. :NEW TYPE OF USE. . . :SF' OCCUPANCY ORP. s R3 OCCUPANCY t_0ADa220 4 t C.NANT NAME. . . F"emA 1+s a DON MORISSE:TTE BLDERS, INC. P U DOX 195P4 PORTLAND OR 9'/219 Phone #s 503-244-9314 Contrtctora -•_..__..___._..._...._______._ ..___._._........__._ DON MORISSETTE: RLDE RS, IMC:. P O BOX 1.9524 PORTLAND OR 97219 Phone Na 5g''i--680-'7538 n*q N. . r. .3` 533 Ocrtapanvy of the Above referenced building is he-reby given, rtrid c•eertifipQl the compliance with the State Of Oregon Sper_ ialty Code% for tho yroup, occopanf-y, and use under which 'che refwrenrpd permit was irxaued. FIRE DEPARTMENT BUILDING I SPECTOR BUI DING OFFICIAL POG'1 IN CONSPICUOUS PLACE i INSPECCION NOTICE City of Tigard Ruildiog iDepartweat. 13125 99 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Lec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections__A Footing Plbg. Underalab w ch. Rough-in Appr./Sdwlk Found. Plby. Tap Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg Pont/Beam Mech. Rain Drain Insulation -Plumk. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Requested.-_____�� -17 j Lam_ _Times AM __PM Addrene:_�/-1G, `r 1z 1"Y Permit #s c G �i / L Euilder:_,�..�-� THY FOLLOWING CORRECTIONS ARE REQUIRED: jaw Inspftetors Dat♦s 14!/L(qC1 L�APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. t 1NSPECTION J10,_�� Citp Of T19ard Buildi.ory Dopa mult 13125 311 Ball Bled, Tig—1, Oregon 97223 .Inspection Line (Rec-10-Phone): f#39-4175 Business Phone: 639-4171 Inapoction:_ Tooting Plbg. Undd/relab Mach. Rough-in ( Appr/Sdalk Found. -=_- Plbq. Top Out Gar Line I+INALc Post/Beam Struct. San. Sewer Araming -Bldg. Poet/beam Mach. Rain Drain Insulation --Plumb. Pl.bg. Underfloor Water kine Gyp. Bd. -Mach. Date Requeeted: L-/y - Z� Time: _ Addiaes:_ / �i—,a Permit TBR FOLLOWING CORRECTIONS ARE REQUIRED: l 1 r Inspect:or:---� Late: _APPROVED -� DISAPPROVED PROVED SUBJRCT TO ABOVE call For Reinsp. INSPR'Mr ON NOTICE City of Tigard Building DepaL-taeut 13125 S'p nail Blvd, Tigard, Oregon 97223 Inspection Line (Rec-O-Phorn )- 639-4175 Busineas Phone; 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Edwlk Found. Plbg. Top Out Gas Line FINALS Poet/BRam Struct. San. Sower Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Plby. Underfloor Nater Line Gyp, Bd. -Meeh. Date Requested:�1 --Time:— AM Addrese:_J ��- ���� �� Permit i:�/ Builder TME FOLLOWING CORRECTIONS ARE REQUIRED: I i Inspectors--/JC ----- ----- ` batty• /�- 7� - A1,PROVED DISAPPROVED APPROVED -,UBJF.0-r TO ABOVL► ___-_Call For Relnep. HISTORY: VIEW UPDATE DELETE ESC View comments for selected item UMASTER PEPMITbAAbAbAbbAAAbbAbbbAbb$bbAAbbbAbAAAbbbbbAAAb6bbbAAAbbAbbbaAbbbbbC :MST90-0114: PROJECT:TIGARD PARK STATUS:I : UPD:07/19/90: :JLH: ° PERMITTEE:D'1N MORISSETTE BLDERS, INC. PRIM. . :MST90-0114: ° SITE ADDRESS.11463 SW CORNELL PL OA CASE HISTORY AAbbAhdg&&AAAAAAAAAAA46AReq/SentbSchd/DueAEnd/DonebaBy&Statb4AC A705 Foot/found Insp 07/20/90 KS APP ° A707 Wtr Proofing Bsm't Walls A710 Post/Beam Insp 07/27/90 KS DIS ° A711 Post/Beam Mechanical 07/27/90 KS BIS ° A711 Poet/Beam Mechanical 08/01/cS KS APP ° A713 Crawl Drain A715 Plm/undslab Insp A717 PLM./Underfloor A718 Ftng Drain Bsm't Walls A720 Mechanical Inc- A722 Plumb Top Out 09/14/90 MS PASS ° A725 Framing Insp 09/21/90 KS DIS ° A726 Framing <REINSP> 09/28/90 KS APP ° ' A730 Fireplace Insp 10/24/90 KS DIS ° A730 Fireplace Insp 10/25/90 KS P/T ° abAAbbabAbAAAAbAAAAAAAAAAbF�.bAAAAAAbbbAAbAAAAAA,4ab£tAAbbbabAAAAbaAAAAabbAAbAbASAi HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 6AMASTER PERMITAAfibfiAAAAbbAbbAbbAAAabSAaAaabbabaabbAbAAAbAbAAAbAAAabAAaAAAbaaC :MST90-0114: PROJECT:TIGARD PAF.R : STAT(*:I UPD:07/19/90: :JLH: ° PERMITTEE:DON MORISSETTE BLDERS, ?NC. PRIM. . :MST90-0114: ° SITE ADDRESS.11463 SW CORNELL P"_, 64 CASE HISTORY AAAAAAAA?AAA&AAAAAAAAAAAReq/SentbSchd/DueAEnd/DoneAAByAStatbAAC A705 Foot/found Jnsp 07/20/90 KS APP ° A707 Wtr Proofing Bsm't Walls Va; A710 Post/Beam Insp 07/27/90 KS DIS ° A711 Poet/Beam Mechanical 07/27/90 JS DIS ° A711 Poet/Beam Mechanical 08/01/90 KS APP ° A713 Crawl Drain A715 Plm/undslab Insp A717 PLM/Jnderfloor A718 Ftng Drain Bsm't Walls A720 Mechanical Insp /*V K.S A722 Plumb Top Out _ - - 09/14/90 ?Is PASS ° A72.5 Framing Tnep 09/21/90 KS DIS ° A726 Frhming <REINSP> 09/28/90 KS AFP ° A730 Fireplace Insp 10/24/90 KS DIS ° A730 Fireplace Insp 10/25/90 KS P/T ° AabAAAbAbAAAAAAbbfiAAAAAAAAAAASAAAAAbAAA3AAbAAAAbAAAbuAAbbAAbAAAAbAAAAAAAAAAAbbi HISTORY• VIEW U`PDAT'E DELETE ESC View comments for selected item 6AMASTER FERMITAAAAAAAAbbAdAAAAAAbA€bAAAAAAAAAAAbAAAAAAAAAAASAAAAAAAAbAbAAabASC :MST90-0114: PROJECT:TIGARD PARK STATUS:I UPD:07/19/90: :JLH: ° PERMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :MST90-0114: ° SITE ADDRESS:11463 SW CORNELL PL ° Ob CASE HISTORY AAAbAAAAAAAAAA6AASAdAAAAReq/SentbSchd/DueAEnd/DoneaAByAStataAAC A735 Gas Line Insp 08/31/90 KS APP ° 111111 A765 Appr/Sdwlk Insp A765 Appr/Sdwlk Insp A795 Mechanical Final 10/10/90 CWV PASS A797 Plumb Final A799 Building Final 11/06/90 MS PASS M i INSPECTION NOTICE City of Tigard Building Department 1 P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection P.M. Date Requested._t _� Permit Address Lot # — Owner Builder The following Building Code deficiencies are required to he. corrected: Approved Presented to --- ��� - I I Disapproved Inspector — - - - - Date __—.--- CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE -kS City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 i Phone: 639-4175 1 i Type of Inspection ._— <2� - r Date Requested_ Time A.M� L p M. Address .,jC Permit t. Owner Lot # _ Builder The following Building Code deficiencies are required to be corrected: Presented to _ J proved Inspector _ E'-� — ❑ Disapproved Date ---- CALL FOR REINSPECTION E] YES I- 10 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Time — A.M. P'M' / � Date Requested__— Permit # Address _L ------" -- Lot # i owner --- -- — — Builder — The following Building Code deficiencies are required to be correctes'` _ ------------ ------ — �Approved Presented to J— ---_�=�"--`-----r-------" � � Disapproved Inspector .-- —� CALL FOR REINSPECTION YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4,75 jF Type of Inspection _ ;:! Date Requested g S Y U Time A.M. P.M. Address _ �,e Al Permit *_lie Owner Lot Builder— 04 41Z The following Building Code deficiencies are required to be corrected: Presented to _,_ Approved Inspector Disapproved Date CALL FOR REINSPECTION F-1 YES D NO WIMMULIM INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 I Type of Inspection --- Time- A.M. P.M. Date Requested._ Permit 4 Address __—. - —'L U Lot # Owner - BuilderThe following Building Code deficiencies are required to be corrected: �I 1 — —� Approved Presented to —, Disapproved Inspector Date CALL FOR REINSPECTION ❑ rFa 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 2 ��Pjjhh�o_�ne: 639-4175 Type of Inspection Date Requested_ ��� Time- A.M.--P.M. Address Permit '�l Owner.- Lot # Builder The following Building Code deficiencoalarre required to be corrected: Presented to ----.,�pproved Inspector j_j Disapproved Date CALL FOR REINSPECTION C1 YES ❑ NO INSPECTIONNOTI E City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ) Date Requested TI 1064 Address A•M• P.M. Owner Permit Builder L ' — Lot #_ The following Building Code di ficiencies are required to be corrected: -•---.� �76 div Presented to Inspector ,nn Approved Date �' c�`I D Disapproved CALL FOR REINSPECTION ❑ YES 0 NO +�r INSPECTION NOTICE City of Tigard Building Deportment P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection .-- ' z� Date Requested_ 2- l Time A.M. P.M. I.ddress _^./t!"ci (j(iii Permit Ow ler_ _— Lot # Builder _ The following Building Code deficiencies are required to be corrected: - -------- --- — - Presented to�� _ _ _ Approved Inspector ' / �_� ___.___ — Disapproved Date CALL FOR REINSPECTION Y E 8 ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 ; Tigard, Oregon 97223 Phone: 639-4175 (r C— Type of Inspection Time%-- A.M. P.M11. 1 Data Requested ���, C �l l 1_C-� e.� Permit Address __l— Lot # Owner_ __ -- Builder The following Building Code deficiencies are required to be corrected: -------- ----- Approved Presented to - � Disapproved Inspector Date CALL FOR REINSPECTION ❑ YES ❑ NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection J�< �U -.l Time A.M. P.M. j Date Requested� _ Address Permit Owner Lot # � J l Builder [ — The following Building Code deficiencies are required to he corrected: /W` D� T `t tJ�z -tTv.�,o ,rs.C r- ;(5/i I Presented to _ . Approved Inspector _ Disapproved Date - CALL FOR REINSPFCTION [] YES L-1 NO t _ U CITYOFTIFARD I'IAST'ER PERMIT CI1Y Im I l RI*I1'r #. . . . , . . : 1f T90 EI:I.1.4 COMMUNITY DEVELOPMENT DEPARTMENT ORIN. P117RMIT 0. : MST90• 0114 19126 sw Haa Blvd. P.O.SON 23397,TIPM,OMQDr 979 At•+1. /)76 DHT'[ ISSUED: 07/19/90 SITE ADDRESS— :: 11463 SW CORNELL PL. PARCEL: 1S133DD-IOOPIO SL1k+DIV7:S,]:IJN. . . .. 'T'IGARD PARK ZONING: BLOCK. . . . . . . . .. . .. LOT. . . . . . . . . . . . . .. 16 BUILDING _.._.._......_.._.._...._.._..__.. ...__.._...._......_. __..........._._...-.........___.._...._....._. .... REISSUE::90-0029/GA DWELLING UNITS: 14 BASEME.NT.. . . . . . . . :0 4 sf CLASS OF' WORK. :NEW BEDRM'3.3 BATHS: 11 GARAGE. . . ., . .. . . .. . ::.'.;101 -,f RE'QUIRE:D SETBACKS- TYPEOF USE. . . :SF FLOUR TYPE OF CONST. :SN FIRST. . . . :49 12 sf LEFT. . :52 ft R.T.GHT. :04 ft OCCUPANCY URF'. aR3 '.3EC:OND. . . : :19 sif FRONT. : 1Y ft RF_'AR. . :MS ft, STORIES. . . . . . . 12 THIRD. . . . :0 23 ti REQUIRrD- - --- --__.. ._ .._...- HEIGHT. . . . . . . . 320 ft TOTAL-•----•---:68 sf SMOKE DETECTORS. :•r FLOOR LOAD. . . . :40 psf VALUE'. . . . . $: 1.07574 PARKING SPACES. . : Remarks: _.__ ..____..__._._...___.._.._..._._.._-_ PLUMBING FLOOR DRAINS. . . . :0 BACI(FLQW PREVNTRS. . : LAVATORIE'S. . . „ .. :3.1 WATER HEATERS. . . :1 TRAPS. . . . . . . . . .. . . . . a TUB/SHOWERS. . . . : II LAUNDRY TRAYS. . . :g CATCH BASINS,. .. . ., . „ .. : WATER CLOSETS. . ail SEWER LINE (f't) . :00 GREASE TRAPS. .. . . ,. .. : DISHWASHERS. . . . : 10 WATER LINE: (ft) . :0 0 OTHER FIXTURES, GARBAGE DISP. . . :0 RAIN DRAIN (ft) - : 10 WA13HING MACH. . . : SF RAIN DRAINS. . : ME::C.;HANICAL _.__.........__.._..._.__....-_..--• FEES FUEL TYPE:S-----__-_....___ UNIT HTRS. . :O type GAmQunt by date recpt S/ / / VENTS . . . . . :41 PAYM $ 40. 00 JL..H 03/:16/90 10'7874 11AX INPUT:001.0 BTU VENT F•ANS. . :O1. BPRT $ 453.00 F'1.JRN ( 1.00K « . :0 HOODS. . . . . . :0 BPLC: $ 40.00 FURN )=100K . . :0 WOODSTOVES. : BSI-'C 9; 22. 65 F'LQOR FURN. . . . a CLO DRYERS. : 1 STDG $ 600. 00 F+("11'I_/CMF•' < 3HP!! OTHER UNITS: 1 SSD(w 11; 250. 00 GAS OUTLET'Sa 3 PARK $ 250. 00 Owner: - - - -- - __._____.._______._____._.__.__..__...._._..._ MPRT $ 40. 50 DON MORISSETTE BL.DERS, INC. MF'I_C $ 10. 13 F' (.) BOX 19524 MEPC $ 2. 03 PPRT $ 1.40. 00 PORTLAND OR 97121.9 1-15PC 9, 7.00 1 i pI•ione #a 503-244-•9314 MISC rb 30. 00 Uont•rac^tor: - --- __._______....___..__....._.._ ..__...___._. PAYM M 1.805. 31 JLH 07/19/9E DON MORISSETIE: BLDERS, INC.. E' O BOX 19524 PORTLAND OR 97219 f>horte #: 503-620•-75303 peg #. , : 35533 ti 1845. 31 TOTAL This permit is issued subject to the regulations cortained in the -- - REQUIRED INSPECTIONS -- Tigard Municipal Code, State of 0,v- Specialty Codes and all other F'aot/found Insp Plumb 'Top Out: applicable laws. All work will be done in accordance with approved Wt•r Proofing Bsm Framing Insp plans. This permit will expire if work is not started within 180 Post/Beam :Insp Fireplace :Insp days of issuance, or if work is suspended for more than 180 days. Crawl Drain Gas Line Insp Plm/undslab Insp Insc.cl.ation Insp Permittee Signatccre: __.e.._.. F'I._M/Uiiderfloor Gyp Board Insp ��....___._.... Ftng Drain Bsm' t Rain drain Insp IIISL(ed By: _• Mechanical Insp Water Line Insp C � 1 L fc)r inspection 639-•4175 :ITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 39C)--2cl,V 21 1555.7 CHECK AMOUNT I NAME MDR JSSE'TTE. DON CASH 'AMOUNT R F-).!'1c). ADDRESS F'AYMENT DATE 07/ 19 t7c) SUBD J V I S I ON PORTLAND. OR' 9721.9-, 1146: SW CORNELL F'L P'lJR-POSE OF PA'(MENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PA I D OUILDING PEPM 4!r,,.,.COO PLUM8ING PEPM 14 MECHANICAL PF 40.'50 ST . BUILD PER, PLA14 CHECK FE 40. 13 STPEET SDC 64-Y-1.c.)(-) PARV'S SDC 21,50.0(;., PERM ET WILL. BE MAILED TO CONTPACVOR AMOLIN'T F'ATP 1C",5..'1 IiFqLm��Xff SEWE-r� CONHEC1*ION V--E R 111-T �'� OFTIFARD TWID F,E RM I T #. . . . . . . .. SWP'90---012P' COMMUNITY DEVELOPMENT DEPARTMENT oftem P R I:-RM 111' # Vj(—F9(d 0 131268WHWIBIvd.P.O.B-233W,T4W,ONQ-I1 DATE ISSUE T): 06/29/90 I 13.463 SW CORNELL 1:�'L- VDARCEL..- IS133IM-10000 ZONING: 'TIGARD PARK I`!L 0 C K. . . . . . . .. . . .. I-01.. . . .. . . . . . . . . . : 1.6 TE ANT NAVIE. . . . . ." FJX1'URL UNII'S. — I N . . . . . . . . . . :416,49 O D W I:--L L I N G UNIT S- C,I ASS OF WORT/,. . . :NEW NO- OF' DUILDINGS: 1 1'YV--E OF' USE:. . . . . :SF I'VIVIERV SLJRI--ACt.--.. -.sf INSTALL I Y f.-V,. . . . :1--'t-JSWR F,E E 3 Oqvie,r % ty r),� -'A III C)Lt 11 t t)y date DON 11ORISSE-JE.I. 141-DE.RS), INC., �-RMI' J-250- 0W ID 0 BOX 1.95R.4 I N ti;V' $ 35. 00 V,0 R'TL-P 4 1) 0 R 97219 F-flyll s 1285.00 JLH 06/29/90 1' tctrte� j4-. 1,-103-244-9314 r)rt,L r,.j c t a-r (I)N'TRACTOR NOT ON F*IL-E. $ 1.285.00 TO1`A1._ 'Ie REQUIRE.1) jNSF:jLC,-TH3NG Applicart agrees to CObPIY With All the rules and regulations Sewer ly)speeticirl the Unified 0' n' el evige Agency. The permit expires 128 days free the date issued. The total amount paid Will be forfeited if the Permit expires. The Agency does not guarantee the Accuracy of 4@ ...... Olde ::r laterals. if the sealer is not located it the measurement given, the installer shall prospect 3 feet In all directions from ---------- the distance given. If not so located, the installer stall Purchase A "Tap and Side Sever" Permit and the Agency will Install a lateral. ...... ........... ....... ......r .................... Lt F.-, ......... Call. fo-r illspectial., 639--4175 +w CIWOFT16rARD PLAN CHECK APPL.ICATZO crtr n= PLAN CHECK N � � «� COMMUI'+If1Y DEVELOPMENT DEPARTMENT � PERMXT K j2M&W-w.e�pj0.eaga:ir Tb�0mv—sr=MW143*4" DATE ISSUED -2 5 W �,. YAX HAP/LOT _�/- 33 D D /D 000 J06 ADDRESS: ^*•.,.. - K LOT: (ANO USE: +yI r SUB: s . . VALUATION: /i+ 7 _T9i/ - SrECI;AL N^TLS OWNER REISSUE :)F:NIU1E: MOPLIC-5EIM BD2S 1 --- -- -- ADDRESS' q LAST REISSUE: 1 _ FL-11V PLAIN/ a SENSr-VE LAW: PtME 24 3r :� APPROVALS REWI..E0 PLANNING: QONIRACTOR �b ENGINEERING: NAME:: y/ FIRE DEPT ADDRESS- - - OTHER: s ITEMS REQUIRED PHONE: - LIST/SUBCWMACTORS: ' •ARCH/ENGINEER BUS TAX: - NAHE: _ I K—1 C 1 1 `T IDEA ED ki 6 CALCULATIONS: TRUSS DETAILS: ADDRESS: PARKING PLAN: _ LANDSCAPE PLAN: PHONE: 9- ,K __ OTHER: --- COMiEWS: I� =t L QCT►�� i' �� Lx �I�'� - PERMIT N ACCT N DESCRIPTION APIOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees L 10-431 00 Plumbing Permit Fees O 10-431 01 Mechanical Permit fees - V -5 10 30 O1 State Building Tax (5X) _31./!r 3 Building ZZ. f_ Plumbing 7. &0. -- Mech 4.0 1 V- 10-433 00 Plans Check Fee �- Building Plumbing _ mesh Z6- f3 AR S- 30-202 00 sewer Connection 30-444 00 Sewer Inspection % J.5 51-448 00 Street System Dev Charge (SOC) 52--449 00 Parks System Oev 0-targe (POC) 12.5 0 - . 31-450 00 $tors Or,4inage Syst Oev 0-9 (SSOC) 10-230 09 TRF'0 - - 10-230 06 Washington County fire III (9;X) 10-220 00 Amart/Wedgewood TO1"nl3 REI: 11 APPLICANT SIGNnTURE / Roceived By: �� h.atr Rcceivc•d: �}' /IG -�[� i S,RADING/EROSiON (•ONI'ROL INFF )ISA I IUn CASEFILE NO.: .,ENERAL CONTRACTOR NAME&ADDRESS* pFRMI NO.: APPLICANT NAME AIcD ADDRESS EXCAVATION CONTRACTOR NAME& ADDRESS: ` C. 'R NAME AND ADDRES k5i 41 • I_EPHONE NUMBERS: i'ROPERT i'DESCRIPTION: �.ICANI! X �G�it'TTF l�L�� �� �� STREET ADDR S AND CROS.STREETILACATED VWNER�-17:j r'1 s I i�,t o S � ROy t1 l l GENERAL-CONTRACTOR:y�[�-1 � �� ejLm EXCAVATION CONTRACTOR-J; LL --r SIT'E/]OBLEGAL.DESCRIPTION: TAX LOT NO.* — 24 IWA)~TER HOURS EMERGENCY I/4 SECTION: CONTACT PERSON,TITLE,TELEPHONE: SITE SIZE,Acpz S: � ► 1 DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF DRAWS TO:(CIRCLE ONE) LEAVING SITE WILL BE TAKEN - p�N DITCH PIPE CREEK (NOTE:pgtN S MAY BE REQUIRED) C •- (CIRCLE ONE) 7U'BL ATE PROPERTY I_C RIGHT OF#Y ER(14I(�N/SEDIM�ATI�N CONTROL- (ESC)MI<AS1J� MIMMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS FOLLOWING CONSTRUCTION: DURING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY PSC FACILITIES PERIMETER RUNOFF CONTROL CLEAN AND REMOVE ALL SILT AND DEBRIS CLEARING AND GRADING RESTRICTIONS ENSURE OPERATION OF PERMANT FACILITiFS COVER PRACTICES OTHER_ CONSTRUCTION SEQUENCE OTHER E WITH PLAN FOR EROSIONCONTROL DRAWING.AS REQUIRED.SD, M11HAS TPED I ACCORRDANC UCTION NOTES COMPCAL LETE.INCLUDING GUIDANCE HANDBOOK'. EMERGENCY EROSION CONTROL PLAN PHOt'n MIMBER, SCNEDULEISTAGTNC,FOR INSTALLATIONpAND RREMOVALDOF EROSION CONTROL MEAS RL•C,AND I HAVE READ AND WILL COMPLY WITH THE ABOVE AND LL OE� NA NTAIN EsC MEASURES AS NECESSARY TO CONTAIN SEDIMENT Giq OWNER SIGNATURE _ APPLICANT SIf;NAT!—1 RE • • • • • • • • • • • • • • • • • • • • • • • • • • •O•FFICIAL USE ONLY.DATE • • • • • • • • • • • • • • • • • • • • • • • • • • • ACCEPTED RECEIPT RECEIVED BY-- --- FEE NUMBER__ —' PO.Box 19524 Portland,OR 97219 (503)%44-9314 The Fbund--dlon For Affordable Homes —Scr1 L-A, 1 = 20 opis IE RAN*' 141A of IF 9 OOuetI� tJ00X 5 COT` /6 716APp pn 2P6PSodSr,cru21 1 I q6 3 S.(n/ ► clTyoF TIC- 41.0 FjR�C��G F R 1 wA S HwGloti Cc)ul-j7j 1O�1�M�t-K loz. (oi4 Cn+sCReT6 a, FF Z360 le' A66nRoo w ` Z Ile 816.T h, (� K�i?r NG f=Ft� (03 IS POO Se Flk-e c' In 6 N J Dr2T rf� . /o2 r c.r eel tits co 7,0o D a l — �2 '99 lo4.S - l��q