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CERTIFICATE: OF
CITYOFTIGARD OCCUPANC' i
CITYOFTiICARD), PERMIT 0. . . . . . . a DUP892L20
COMMUNITY DEVELOPMENT DE,!/j1 i, 'h� 01110M PRIM. PERMIT M. a 892620
13125 SW Hell BW P.U.Eo<23397,Tigard,0,W-9 :' ) \
DA'I r`_ ISSUEtn a 05/31/90
SITE ADDRESS. . . a 11545 ;3W LORNELL Pi PARCE:La 191.34DL-09680
SUBDIVISION. . . . a ZONINOa
BLOCK. . . . . . . . . . o LOT. . . . . . . . . . . . . alEl.
CLASS OF WORK. aNEW
TYPE OF USE. . . aSF
OCCUPANCY (3RP. a R 3
OCCUPANCY 1_OADa
TENANT NAME. . . s
Remark$a $15 for ory red line copy
Ownera -__-_-_------..___--------.._..---,,----
DON MOR.ISSETTE
PO BOX :19324
PORTLAND OR 97219-0000
Phone Nr 503-2.44-2449
Contractor r _-...__. ___.._.._,._.._.. ....___.---._ ....__...
DON MORISSETTE ALDERS, INC.
P O BOX 19324
PORTLAND OR '9- 219
Phor;f N a 503- 620-7538
Rvig #. . a 33533
Occ--ipanr_y of the above referenced httilding is hereby given, and ceprtilien
the compliance with the Stal.v Of Oregon Specialty Codes for the group, i
orrupancy, anti uwe under which the referenced permit was issued.
FIRE DEPARTMENT PU.II DING IMBPECTDR—
POST IN CONSPICUOUS PLACE
I
i
IN:,?ECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection vq�_'PC
�
Date Requested Trme_✓A.M. P.M.
Address _�y`Z_ L'OiZ..L L L� __ Permit
Owner _ _ _ Lot #�.
Builder
The following Building Code deficiencies are requir-d to be corrected:
Presented to ' __.. . . -Approved
Inspector _ _ Disapproved
Date
CALL FOR REINS t"CTION
0 YES 0 N(►
INSPECTION NOTICE `/1
001
City of Tigard Building Department �
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
Type of Inspection — �/12'Cr7�Y-_Lt ��i l -—
Date Requeste� � u_ Time�_ A.M._ P.M.
Address1'�iV de Permit #__gel
Owner--- -- —_.._.- - -- --- Lot # —
Builder w_ AreThe following Building Code deficiencies are required to be corrected:
a
r
Presented to
r1���-,7 _ �,� 'Approved
i
Inspector _� ___--._ Disapproved
Date
CA U FOR REINSPECTION
C7 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 C
Tigard, Oregon 97223
Phone: 639-4175
Type of I nspectiv I
Date Requested Time A.M. P.M.
Address 777"i Permit
Owner Lot
Builder
TWollo�' g Building C de deficienties or renqu ed to be corrected:
W,
z --__- ----- _
A If
11% --A Q .-
Presented to Approved
Inspector —0-AI-1
Disapproved
Date AID
CALL FOR REINSPECTION
YES E] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223 f
Phone: 639-4175
Type of Inspection
Date Requested. — Time_-2C_ A.M.
Address .- �S /n 7 ��
—�'"��..L ._ Permit #
Owner-
- - -- _ Lot
-- ----------
Builder ---
The following Building Code deficiencies are required to be corrected:
-�' .�+' t�'S�/ �� �s-.._far�.✓�-r�S -
Presented to 'Woroved
Inspector
._ Disapproved
Date _ _}"
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department \
P O. Box 23397
Tigard, Oregon 97223 }
Phone: 539-4175
Type of Inspection
� -
Date Requestod Time A.M. P.M.
Address Permit #
towner _ Lot #
-
Me following Building Code deficiencies are required to be corrected:
Presented to
--- -Approved
Inspector ~�
Disapproved
Date ----
CALL POR REINSPECTION
YES I] NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
i
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. p,M,
Address
1 Permit ' Z
Owner_
Lot #
Builder _- l fll'7?iThe following Building Code deficiencies are required to be corrected:
,AIAi
��,L �7c'' `mac`-��•/>•'�t� ,�.r._ r
Presented to _ — Approved
6-
Inspector Disapproved
Date r✓` 7"' '!^
CALL FOR REINSPECTION
FI YES ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ____ Time A.M.__.P.M.
Address __�/``� Gl� �.�L222��,�-�� Permit *..AF
Owner _ _ �-�-� Lot fk _
Builder
The following Building Code deficiencies are required to :.e corrected:
Presented to Approved
Inspector ❑ Disapproved
Date ' —
CALL FOR REINSPECTION
❑ YEt ❑ NO
INSPECTION NOTICE
�\ City of Tigaro Building Department
P 0. Box '3397
Tigard, Oregor 97223
Phone: 639-4175
Type of Inspection
Date Requested -
Time_ -- A.M. P.M.
Address �G� �
Permit #2�
Owner-
-,
'7
Builder ��—�'�+ t Lot
The following Building Code deficiencies are required to be corrected:
��l Z
Presenter) to �-
�f, [Approved
Inspector �
Disapproved
Date
CALL FOR REINSPECTION
DYES ONO
INSPECTION NOTICE
City of Tigard Building Departmeit
P.O. Box 23397 --�"l
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Data Requested /�P�.M�.�
Address L1 S .st�irtJ Permit #�7�v-h-
Owner _ Lot
Builder 222�v2
The following Building Code deficiencies are required to be corrected:
�� �N'.l�H Ste- ��/L'?1✓E/ �/-� l�'� _�
Preanted to
� proved
Inspector LLQ"_ ❑ Diappro4ed
Dots
CALL FOR REINSPECTION
E] YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397,
Tigard, Oregon 97223
Phone: 039-4175
Type of Inspection L _ nL -- ___-----------
,-17 -4—
Date RequestedTime A.M._ P.M.
Address _—___ _ ,y �7/L`i �—� n ,.f Permit
--r—h
#_
Owner, Lot ------
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to 11pproved
Inspector 7 _-J Disapproved
Date -
CALL FOR REINSPECTION
[] YES 0 No
INSPECTION NOTICE
City of Tigard Bu:iding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 039-4175
Type of Inspection ------
Date Requested Time_ A.M. ._.. P.M.
4/ _
Address _.. ✓.?--1-.s�—_ ��G �� ! ��� Pern.:t #Z �G
Owner_-- Lot #_---
Builder, -:21R-mac— ---
The following Building Code deficiencies are required to be corrected:
r.
Y
9
Presented to __-_- -.-_—`- Approved
Inspector —
_ [J Ditepproverf
Da to
CALL FOR REINSPECTION
L. ) YES I-1 NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9727.3
Phone: 639-4175 O
Type of Inspection _.._. C�1•` � `�"~�' ,
Date. Requested Z_ l ( Time - A.M. P.M.
Address Permit # ' t
Owner I�AY►g Lot #
Builder —--.-----The following Building Code deficiencies are required to be corrected:
Presentee' to _- r_. Approved
Inspector U Disapproved
Date ---
CALL FOR REINSPECTION
Ca YEs 1-1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
'Tigard, Oregon 97223
Phone: 639-4175
l
Typ�-of Inspection ---__--
Date Requested- ---. (7, —^—_�——
1n�_ A.P.I. P.M.
Address //� Time/1Z_��7m� BD Permit #sem
Owner
Lot #_
Builder ._ ">�!/�
The fallowing Building Code -eficiencies are required to be corrected: —�
Presented to -
- —� pproved
Inspector _
-�- � isapproved
Date ------
CALL FOR REINSPECTION
j
❑ YES ❑ NO f r
u
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 2;W
Date Requested A Time Z A.M. P.M.
Address Permit
Owner Lot
Builder.
The following Buildii.1 Code deficiencies are required to be corrected:
e,
Presented to _.--,,.7-7 q-Approvad
Inspector F I bisapproved
GALL FOR REINSPECTION
F] YES [---j' No
t
INSPECTION NOTICE ,
ti City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 -�
Type of Inspection
Date Requested _ Ti 49s'- _ A.MC. P.M.
AddressPermit
Owner_— _ Lot #
Builder---� -1 z2:'e
The following Building Code deficiencies are required to be corrected:
—72 70;4117 W6V10A,7-;We
IL
�Clr I c g5 rz i 0 =75 Vial.�T1s"-r— _
7100
Presented to _ [$-Approved
Inspector _._ — [� Disappro"d
Date
CALL FOR REINSPECTION
C I YES ❑ NO
rrar
CITYOFTIFARD (cm� BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT RD P I P 11 IT #. . . . . . . c BUP892620
13125 SIN HWI Blvd. P.O.Box 23397,Tlqarc,Onigon WPM )
(5p 1'�;'RMIT #. : 892620
:W4175
39 41.71 N'111- ISSUED: 02/01/90--
,.5I'IE ADDRESS. . . c 11545 SW CORNELL PIL 1.,ARCEL. IS134DC--09600
SUBDIVISION. . . . : ..ONINGc
1.+L.11 C K. . . . . . . . . . v LOT. . . . . . . • . . . . . 912
RE ISSUE:BUPI880302 FLOOR AREAS- EXTERIOR WALL CONSTRUCTION-
C.ILASS OF WORK. .-NEW FIRST- -- 1290 sf Ne S1 E: W
I YPE OF' USE. . . :SF SECOND. . . : 600 sf PROTECT
TYF'E OF CONST. .-5N THIRD- -- sf N: S: Ei W
CH'J.,L)PANCY ORP. :R3 'TOTAL---------: sf ROOF' CONST."C FIRE RE'1 :1.,
0(,CUPANCY LOAD-. BASEMENT'. : s AREA SEP. RATED:
STOR. 2 HT. s 20 ft GARAGE. . . 1 440 sf OCCU SEP. RATED:
F4SM,T,:) MEZZ?.- RE OD SETBnCKS------------- REOUIRE*D
FLOOR LOAD. . . . .- 40 psf LEFT:20 ft RGHTn 5 ft FIR SPIKLc aMOK DEI'. . ,.,Y
DWELLING UNITS: 1. FRNT:20 ft REAR:63 ft FIR ALRMa HNDICP ACC.
BE:*DRMS: 5 BATHS: 2 IMP' SURFACE: PIRO CORR: PARKING:
VAI. YE $: 87300
Renia r k.s 1 $15 for ore -red :Line copy
Owner: ................ FEES
DON MORISSE.TTE type anioLtnt by date r e t
(-10 BUX 19524 FIRM T $ 397.00 MAN
FILCK $ 40. 00 MAN
f)ORTLAND OR 97219-0000 5 P C T $ 19.85 MAN
Ptic)ne 14: 503-244-2449 PAYM $ 40.00 MAN
SSDC $ 250.00 MAN
Lontractorc STDG $ 600.00 MAN
DON MORISSETTE. BLDER.5, INC. PDCF $ 250. 00 MAN
F, 0 :30X 19524 MISC $ 15.00 MAN
PIAYM $ 1531. 85 JLH 04/21/90
PORTLAND OR 97219
Phone #a 503—E4491314 $ 1'x;71. 85 TU TAL.
Reg #. . c 35533
RE14UIRED INSPECTIONS
(his permit is issued subject to the regulations contiir,!d in the --
Tigard Municipal Code, State of Ore. Specialty Cod#s and all other ------- ......
applicable laws. All work will be done in accordance with ......................
approved plans. This permit will expire if work is not started .......................................
within 188 days of issuance, or if work is suspended for more ....... .................
than 188 days. ............. ......... ..........
__.............. ...............
.............
......__..._I...._.._.......__......_..... ..............
F,e-rmittee Signatures .. ....................
I S S Lt P d B o
Call for inspection 639--4175
CITYOF TI ARD PLUMPING PERMIT
CRY IWO) v%:-RMIT ts. . . . . . . .. [1,L 118,13('.?GJ(.?
COMMUNITY DEVELOPMENT DEPARTMENT PRIM. f:'L'-'RMT'T #. : 892620
13125 SW Hyl Blvd, P.O.B=23397,TLjad,Omqon 97121 76
'qr
DATE IS )IJFD. 02/01/90
')II'E ADDRESS. . . : 11545 SW ('.',ORMF"LL PI PARCEL: IS1341)C-09600
SS C Z 0 N.T.N G
14 1..C)C K. . . . . . . . . . v LOT. . . . . . . . . . . . . . 12
................
CLASS OF' WORK. . :NEW GARBAGE DISPOSALS. . I MODII-A:. HOMF. SPACES.
TYPE OF USE. . . . ..SF WOSHINU MACH., . . . . . . : I BACKFLOW F'REVNTRS. .,
OCCUPANCY GRV,. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . . 2 WATER HEATERS. . . . . . .. 1, CATCH BASINS. . . . .
LAUNDRY TRAYS. . . . . . : SF' RAIN DRAINS. . . . . ..
S114KS. . . . . . . . . .. .. 1. URINALS. . . . . . . . . . . . . GREASE:- TRAPS. v
LAVATORIES. . . . . : 2 OTHER FI X T U R L 6. . . . .
'TUB/SHOWERS. . . . . 2 SEWER LINE ( ft) . . . . .
WATER CLOSETS. 2 WATER LINE (ft) . . . ,. : I
DI SHWASHERS. I RAIN DRAIN ( ft) — - - 1.
Reniarl-,s: $15 for one red line copy
Ownert S
DON MORISSETTE type a ni o t.k n t I:)Y 0,-.Ate reept
PO BOX 195124 PRIVIT $ 117. 50 MON
;PCT $ 5. 68 ITI!)hi
PORTLAND OR 97219-0000 F,A Y 11 $ 1.03. .:38 JI.AA 04/21./90
Phone 01 583-244-2449
Contractor
SHOEMAKER' S PLUMBING
1:1 0 BOX 250
ESTACADA OR 97023 ...... ................
F)hone #c 503-630--7728 $ 1P3. 38 TOTAL.
REQUIRED INPECJ.ONS .......
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other ..................
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 184 days of issuance, or if work is suspended for more
than 180 days.
'i-v n)i t,t,t-f- S-i.g n t ti r e C .......... .......... -----------
1i 1.1 e d B Y
Call for inspection 639 4 175
C'TYOFTIIFARD MECHANT(.`,0L
II�CITY AD PERMIT 0. P'ill I MEC8926,13
COMMUNITY DEVELOPMENT DEPARTMENT 00160"N
PRIM. PERMIT
13125 SW HIdI Blvd. P.O.Box 23397,Tkpml,Oregon WFO M /776
DATE ISSUED: 02/01/90
b TF
l ..: ADDRESS. 11545 SW CORNELL FIL PARCEL: 1SI34DC--09600
5UBDIVISION. . . . -. ZONINGx
BLOCK. . . . . . . . . . !_01
(.;LASS OF WORK. . -.,NEW FLOOR FURN. . . . EVAP COOLERSe
TYPE OF USE. . . . ISF UNIT HEATERS. . s VENT FANS. . . s 2
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . c 2 BOILERS/COMPRESSORS HOODS. . . . . . .
I- UEL 0-3 HP. . . . c DOMES. INCINII
:GAS 3-15 HP. . . . : COMML. INCINP
VIAX INPUT : BTU 15-30 HP. . . . c REPAIR UNITS:
FIRE' DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . i
GAS PRESSURE. 50+ HI-`. . . . Y CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. : 2
TURN ( 1.001'. BTU." 1 <~ 10000 efolt GAS OUTLETS. : I
F-LIR14 )-100K BTU: 1 10000 efing
R F.,III a f.1-�S
Owrier: FEES
DON MORISSETTE type aMOUIlt by date rec.,I)I
1::'0 BOX 19524 PRMI $ 10.00 MAN
PLCK $ 9. 38 MAN
PORTLAND OR 97219.--.0000 SPCT $ 1. 88 MAN
Phc)i1p #o 503-2442449 PRMT $ 27. 50 MAN
PAYM $ 48. 76 JLH 04/21/90
Cc)iit-ractor:
14ELL HEATING INC
1.5550 SE PIAZZA AVE
CILAC'KMAS OR 97015
Ptlarle Na 48. 76 TO'T'AL
Req 00. . a 44*7
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lams. All work will be done in accordance with
approved plans. This permit will expire if work is not started ........
witt, n IN days of issuance, or if work is suspended for more .................... ........................
than IN days.
......................_..
.................... .....................................................
PeY'niittee SigriatLtres
.............. .......
ISSUed Bys ......
................ ..........................
Call fi:rr i.vi%pertiori 639---4175
CITY OF T'GA RD SEWER CONNECTION
PERMIT
PERMIT M. . . . . . . : SWR892634
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HWI Blvd. P.O.Bcxx 23397,T19mM,Orr PRIM. PERMIT #. .- 892620
". I-N-M-1m DATE ISSUEDc 02/01/90
SIT'E ADDRESS. . . : 11545 SW CORNELL PL PARCEL: IS134DC-09600
UD
1*
S D:IVISIUN. . . . JNINO.-
D L 0 C K. . . . . . . . . . .. LUT. . . . . . . . . . . . . .. 12
IF.14ANT NAME— . : .
USA NO. . . . . . . . . .39184 FIXTURE UNITS. . . e
OF WORN.. . . :NEW DWELLING UNITS. . i
T'Y[:,E-- OF' USE'. . . . . :SF NO. OF PUILDINGSs 1
IWITALL. TYPE. . . . :BUSWR IMPERV SURFACE. . i :sf
Remarks i
('.)WI-ler: FEES
DON MORISSETTE type a ni a(t n t by date reept
PO E40X 19524 PRMT $ 35.00 HIAN / /
P R MT $ 1.250.00 MAN / /
PORILOND OR 97219--0000 PPYM $ 1.285.00 JLH 04/21/90
Plione Na 503-244-2449
k.,(.)ritr actor a
DON M(JRISSEJ-T-E BLDE.RS, INC.
V, () BOX 19524
I..,01-'01-AND OR 97219
F11-,one #.- 503--244--931.4 $ 1285.00 TOTAL
Rr, q 0. . 1 35533
........... REOUIRED INSPECTIONS
This Applicant Agrees to comply with all the rules and regulations ....................................
of the Unified Sewage Agency. The permit expires 120 day,: from ............
the date issued. The total amount paid will be forfeited if the .......................................................... .................. ..........
permit eyp]TPS. The Agency does not guarantee the a',-(VaCy of the .......... ............................... .....................I............ ...........
side sever laterals. If the sewer is not located at the measurement
.............. .......
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase .......................................I........................
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
.................. .................................... ......
P P-r ni J t t e 0 S:L 411d 1,k.k I e
......................--........ ........ ..............................
J.s si,1.1 e d Pyc .............
Call for inspection 639-4175
CITY OF TIBARD RECEIrT OF PAYMENT REC NON 0=7182
CHECK AMOUNT u 2?88.99
NHIIE; DON MORISSETTE CASH AMOUNT : .00
iiDDRESSs PHYMENT DATE 1 02-0 1-90
PORTLAND, OR 97219 SLOCk. NO.IADDRo
11545 SW CORNELL Pl-
PURPOFE OF FAYMENT AMOUNT PAID PURPOSE OF' PAYME117 AMOUNT PAID
------------------------------ -----------
bUILDING PERMIT (692620) 7,97.00 PLLIMP114G PERMIT (892632) 117.50
& 1.� WILD PEPMIT TAX (5%) 7.f.+1
MECHANICAL PERM (89263" ) 37.50 STATE r
r'LAN CHECK PEE 24.38 SEWED USA (872634 1.2150.00
SEWER INSPECION 35.00 STPEET SDC 600.G0
P(4RKS SYSTEM DEVELOPMENT CH 250.00 STOPM DRAIN SVC 250.00
PEPM] WDLL FE MAILED TO CONTRACTOR WHEN PRINTED
TOTAL AMOUNT PAID — A:.988.99