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- 11534 SW CORNELL PLACE -"
CERTIFICATE OF
CITYOFTIVARD OCCUPANCY
COMMUNITY DEVELOPMENT DE � CW0FTWltD PERMIT M. . . . . . . t MST 90•-0028
13125 S W Bali Blvd. P.O.Box Yf397,Tigard,Oregon 9! ' ► 5
PRIM. t'�E:Ft M I T N. e M 9 T 90 y g fl
DATE' ISSUE.Dt 08/21/90
SITE ADDRESS. . . a 11534 SW CORNELL PL PARCE.L.t IS1:34DC 10500
SUBDIVISION. . . . t TIGARD PARK ZONINCit
BLOCK. . . . . . . . . . t LOT. . . . .. . . . . . . vB21
CLASS OF WORK. tNEW
TYPE OF USE. . . a SF
OCCUPANCY GRP. sk3
OCCUPANCY LOADt220 4
1'C:NANT NAME:. . . t
Remarks#
DON MORISSETTC BLDERS, INC.
P 0 BOX 19524
PORTLAND OR 97219
Phone N t 503•--244-93.14
Contractor ti -___.___.._....__.__.__._._... .. ..____._..........._._ . 1
DON Ml:lRISSETTE BLDERS, INC. i
P O BOX 1,9524
POR I LAND OR 9721S,
Phone Me 503-620-7538
Reg 14- 1 :35533
Occupancy of the above reforeiieed building is hereby given, and Corti fieaA
the c_omplia"ce with the State Of Oregon Specialty Codes for the gr•oupy
rr..cupar►ry, and ur* under which the referenced permit was issued.
FIRE DEPARTMENT LDING INSP6 OR
BU1 0 0 Ft 1.
POST IN C:ON'SPICUCIUS PLACE
I
i
INSVi-XTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested ��— .C7_�--- - Time A.M._.,,�_P.M.
Address
Permit
Owner —_ Lot #_--
Builder - __.----— ----- ----
The following Building Code deficiencies are requiree .o be corrected:
Presented to --,- Approved
Inspectar _ r
-- — Ll Disapproved
Date
CALL FOR REWSPF,CTION
f_1 YES L] No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 �I
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _--- .-- _.--_ Q�- r
Date Requested _ d`
4ime-__- A.M. K P.M.
Address
Permit # n
Owner-__-
-_ .---------- __ Lot #--
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to -Approved -
Inspector
- - - ------ --- Disapproved
Date _ - U
- —--
CALL FA REIN PE,AZN
❑ YES C] NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 !
rte'
Type of Inspe,,tiun� s
�^ d
Date Requested T� Time . A.M. P.M. �I
Address �� (� C' ✓?' Permit
Owner_ Lot #__
Builder
The following Building Code deficiencies are required to be corrected: ;f
r
r
1
�I
Y
g� 1
Presented to A�"] Approved
Inspector - _ __ - _ I Disapproved
Date
CALL FOR REINSPECTION
C I YES CJ NO
MRULMNLMLMNIXN
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection _
Date Requested ��`' �� Time A.M.
Address 1/.S 3�� [ �1Lfiz� '1c' Permit #522
Owner lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _�--— J — ❑ Disapproved
Date CK
CALL FOR REINSPECTION
YES OkNO
INSPECTION NOTICE
City of Y�gard Building Department
P.O Bax 23397
Tigard, Oregon 97223
Phon 839-4175
Type of Inspection
Date Requested _-/1 _,�_�,�� Time A.M. P.M.
Address ---..� .-: _ ° --- _-� Permit
Owner---—_ ^ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
_... — i approved
Inspector _ i
� Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NC
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _7 Q —_ Time A.M._ P.M.
Address � � Permit #Q
Owner - — ---- — - - Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspector _
_._ � � Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department (✓�
P.O. Box 23397 y�
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ) /�.L.
, --s—
Date Requested '' %�/y Time
Address Permit # �
Owner
— – -------------- Lot #,
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Approved
Inspector I-1 D ppreaved
Date
CALL FOR REINSPECTION
❑ YES L] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
i:gard, Oregon 97223
/ Phone: 639-4175
Type or Inspection
Date Requested_ ��r Time— A.M.—P.M.
Address �� z?' � Pe.,nit #.0-:io
Owner ----�G _._ - --- / Lot
Builder -
Tle following Building Code deficiencies are required to be corrected:
L
i
Presented to _ /1 Approved
Inspector ,,( !-111ie��7� Disapproved
7:71
Date _ —
CALL FOR 3EI.NSPECTION
0 Y18 C NJ
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested V- l/ Time A.M. P.M.
Address _L,/s 3,elpermit ��
Owner_ W_ Lot
Builder
The following Builling Code deficiencies are required to be corrected:
57
Presented to Approved
Inspector .
❑ Disapproved
Date
CALL, FOR REINSPECTION
D YEt ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone:
�6399 4175
Type of Inspection
Date RequestedZ Time A.M.---P.M.
Address
Permit
Owner Lot #__
Builder
The following Building Code deficiencies are required to be corrected:
Ghiayl.TrC �, C� c=i2 f�i>_JA -Ji 21�aL =
_._.�=�� � •�'� bfil Gl% '�/7"LJt/� ��?ice��.:�L'.t/
Presented to Approved
Inspector _ ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
CITYOFTIFARD' MASTER PERMIT
C17YOFTWARD PERMIT H. . . , . ,. , : MST90--0028
COMMUNM DEVELOPMENT DEPARTMENT 0910DN PRIM, PERMIT ti. : MST90--0028
13125 SW Hell Blvd. P.O.Box 23327,T*rd,(Negon 979 76 _-- DATE ISSUED: 03/16/90
SITE ADDRESS. . . : 1153 SW CORNELL F'L PARCEL: 15.134DC..4.10500
SUBDIVISION. . . . : TIGARD PARK ZONING:
BLOCK. . . . . . . . . . : LOT. . . .. . . . . . . . . . .*21
BUILDING _..-.......
_-___..__.._.._._..__.._..__.._.....__.__.._._..____._.__............._...__..
REISSUE: DWELLING UNITS: 1 BASEM;NI.. . . . . . . . :0 s•F
CLASS OF WORK. :NEW BEDRMSa3 BATHS:3 GAPAGE. . . . . . . . . . ..;00 sf
TYPE OF USE:. . . :SF* FLOOR AREAS•-•----------. REQUIRED SETBACKS----••--•------
TYPE OF CONST. :SN FIRST. . . . : 1320 sf LEF1'. . :6 ft RIGHT. :7 ft
OCCUPANCY GRP. iR3 SECOND. . . : 1026 sf FRONT. :20 ft REAR, . c56 ft
STORIES. . . . , . . -.-O THIRD. . . . :0 sf RELIUIRED-•__.-.-...--.-.....-....._....._._.................
HEIGHT. . . . . . . . :20 ft TOTAL-•---_.••--•-:2346 sf SMOKE DETECTORD'. :Y
FLOOR LOAD. . . . :40 psf VALUE. .. . .. . 1.07532 PARKING SPACES. . .-P.
Reemart,s:
__..____..__.._.._____.....---..._.._._._.....__-....._._ PLUMBING -._._..______.__________..._.................___..._._................_..--
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . :100 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . .. . :0
WATER CLOSETS. . :3 SEWER LINL (ft) ,. :0 GREASE TRAPS. . . . .. .. ., :O
DISHWASHERS. . . . : i 4ATER LINE ( Pt) . : 1.00 OTHER FIXTURF ':i- . . .. - :N
GARBAGE: DISP. . . : 1 FAIN DRAI .
WASHING MACH— : t SF RAIN DRAINS— : 1
___.__....._..___.._..___
MECHANICAL ___..__.____._._...-__._._ _._.__....._._._....._...._-___..._._..._ FEES -.- ___-.____..._....._._......
FUEL TYPErS- ______..._._....__. 'UNI"; HTRS. . -.0 type amount by date •r•ec pt
/GAS/ / / VENTS . . . . . :0 PAYM $ 100.00 JL.H 01/3.7/90 1.06917
MAX INPUTa65000 BTU VENT FANS. . :3 PRMT $ 453.00
TURN < 100K . . :0 HOODS. . . . . . : 1 PLCK $ 294. 45
FURN ),100K . . : i. WC1ODSTOVF.::13. :0 SPCT $ 2P. 65
FLOOR FURN. . . . :0 CLO DRYERS. s1 STDC � 600. 00
BOIL/CMP ( 3HP:O OTHER UNITSaO SSDC 4, 250.00
GAS OUTLETS: 1 PARK $ 2`•;01.00
0wrierr: _.._.____...____. _..._._.........._...__..__.._...__...___._..___.._.._._ ..__. INSP 4 0. 00
DON MORISSETTE BLDE:RS, INC. MISC 15.00
t° 0 BOX 19524 PRMT 37. 50
PLCK 9 9. 38
PORTLAND OR 97219 SPCT !b 1. 61
F'hon.� Ma 503--244--9314 PRMT $ 132. 50 ! /
Contract tori ----.._._._ _.._.....__.___.._._...____---.._._._..._.___._ SPCT' $ 6. 63 / 1
DON MORISSET•TE BL.DERS, INC. PAYM tr 19722. 99 JLH 00/16/90
P, 0 BOX 19524
PORTLAND OR 9721'
Phone H: 503--244 _9314
Reg #. . s 35533
It 2072. 99 TOTAL
This permit is issued sub)ect to the regulations contained in the --- - REQUIRED INSPECTIONS -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp Beard Insp
applicable laws. All worts trill be done in accordance with approved Post/Bream Insp Rain drain Insp
plans. This permit will expire if wort- is not started within 188 Plm/unds1ab Insp Water Line Insp
days of issuance, or if work is suspended for more than 180 days. Mer_hanir_al Insp Appr/Sdwlk. Insp
Framing 111sp Final Inspection
Fle•rmittee Signature t,,} ..� � �,.. � F ireplar..e Insp
Gas Lille Insp
1 s s u ea d By:- _._ _ I r1 S a).a t i.211'1 11-ISP
_._.._..___..___._...____...._._..._....
Call for inspection 639-•4175 -- --.J
�� I
S- E W ER (:TONNE(::T ION CiTYOFTIGARD PIERMIT,
crrYOFTIMRD, pE:
COMMUNITY DEVELOPMENT DEPARTMENT ORHM .'R M I T 0. . . . . . SWR90---0031
13125 SW Hall Blvd. P0.Box 23397,Tigard.Qvgm 97223(503)039-4175 I..IRIM. P E R M T T
if I, (-'.L DATF- T5:%qiir-,nm
S11L ADDRESS. . . : 11.534 SW CORNFLL 1711 VIARCEL:
SUBDIVISION. . . . .- TIGORD PARK ZONING:
BLOCK. . . . . . . . . . . LOI . . . . . . . . . . . . . :21
TENANT NAME:. . . . .
USA NO. . . . . . . . . . .. 4061-4 FTx,r(JRE UNITS. . .
CLASS OF WORK. — -N[-.:W DWELLING UN I TS. . 1.
TYPE OF USE. . . . . ..5F NO. OF BUILDINGSil
1*NSTALL TYPE. . . . ..fo.)SWF� IMPERV SURFACE. . :
Remarkso
FEES
DON MORTSSETTE BLDERS, INC. type aniotAiit by date -rec.,p �
V' 0 BOX 19524 FIRMT $ 1250.00
INSP $ 35. P10
VIORTLAND OCA 97219 PAYM $ 1.285-00 JLH 03/16/90
Phone #: 503-244--9314
Contractor n
CONTRACTOR NOT 014 FILE
1 1-1 cl tf $ 1285). 00 TOTAL..
REOUIRED TNSVECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Iiispectioll
of the Unified Sewage Agency. The permit expires 120 days from
fhe date issued. The total amount paid will be forfeited if the
i-rait expires. The Agency does not guarantee the accuracy
Y of the ................ .........
siop sever laterals. If the sever is not located at the measurement
ni, -i, the installer shall prospect 3 feet in all directions from
ilii= distance qiven. If not so located. the installer shall purchase --------
a "lap and Side Sever" Permit and the Agency will install I lateral. .............
I v ni i t t,e e S j.q i i a 1,ti-f-e in
I-i (.t e d P y X.........
..........
Call. f(:)'F' insPec�tioii 639-4175
i
CITY OF TIGARD — RECEIPT OF PAYMENT REC NOt 0010787"
CHECK AMOUNT 1 -1157.99
r
DON 110R I SSETTE CASH AMOUNT s .CIO
PAYMENT DATE 1 01-16-90
90
PORTLAND, OR 974"1w BLOCK NC'/ADC)Fi1
1157.4 BW CORNELL Fl.
nF' PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
Irli: F-(:PtliT—(%-001[11 — ----~453.00 PLUMBING PERMIT 1"72.50
ilai_of.. F''ERM IT 37.50 STATE BUILD PERMIT TAX 05%: 31. 16
it Ll FEE 119.83 SEWER USA (90-00u i) 1.250.00
F. I NSPE C I ON 15.00 STREET SOC 600.00
Y-.tErl DEVELOPMENT CH 250.00 STORM DRAIN SVC 250.00
TOT14L AMOUN I PAID - — — — 3. 157.9'
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