12925 SW VILLAGE PARK LANE — 1.2925 S-v, Village Park Lane —
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CERTIFICATE OF
C11YOFTIGARD OCCUPANCY F�f.�RMIr !1. . . . . . . a DUPA92619
C yarl"� PRIM. PERMIT #. % 892619
COMMUNITY DEVELOPMENT DEPAfMtr T .alrooN
13125 SW HWI RMi. F i.Anx 2,M7,Tigard.()rpon 97223(1,03)6N-417. DATE: I SSUED s 94/19/90
SITE ADDRESS. . . # 12925 SW VILLAGE PARK LN - - PARCELa 1S133I1,D ..02600
GUBDIVISIGN. . . . # VILLAGE AT SUMME:RLAKE 02 ZONINCia
BLOCK. . . . . . . . . . # LOT. . . . . . . . . . . . . #65
CLASS OF WORK. #MEW
TYPE OF' USE:. . . r jF
OCCUPANCY UUP. rR:3
OCCUPANCY L(IAD a
IFNO NT N6WC:. . , a
RPma•rke . Re issue of 89P565 430 for two 'red line copies
I)C.1N r1I11"ISSE:TTE
PO BOX I'J---e4
PORTLAND OF. 97219--000-*.,j
Phone Na 503-244•-2449
ContrActor a
DON MORISSETTF BL.DERS, INC.
P 0 BOX 19524
PORTLAND OR 97215
Phone Ns 50:3-••244-9314
Rep M. . # 35533
Occupancy of the above refw-lenr_ed budding i % hereby given, and rertifies
the compliance with the Stade Of Oregon 9prerialty I:r de,3 for the group,
occupancy, ind use under whic.,h the referenced permit was i !stued.
FIRE DEPARTMENT �� E1UILnIhtf.� ��' UR
_ P---1L?;AG OFFIAL
POST IN CUNSI'ICUOUS PLACE
..c
INSPECTION NOTICE
City of Tigard Binlding Department
P U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection )
Date Requested — Time
A.M.
P.M.
Address Permit #i
Owner —
Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
7 -
Presented to Approved
Inspector El
Disapprovc-d
Date
CALL FOR REINSPECTION
❑ YES C1 NO
INSPECTION NOTICE_: r
&+—City of Tigard Building Department
/j' P O Box 23397
v Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested -- K
Time A.M._ _P.M.
Address S 'Permit # 1 �
,Jwner _
Lot #
Builder
The followi,ig Building Code deficiencies are required to he corrected:
Presented to _
17 / � --- --- __ Approved
Inspector / Disapproved
Date
l �--
CALL FOR REINSPECTION
❑
YES [:) No
INSPECTION NOTICE
City of Tigard Building Department- `___fi._
P.O. Box 23367
Tigard, Oregon 97223
Phone: 639-4175 0 '
Type of Inspection —_---
Date Requested -rime- ._ A.M. P.M.
mit
Address _ L�L_ L..2——_�1 �F—
Owner--_ J f j - _ — — - --- -- Lot # _ —
Builder //� ✓w2� __..-- _..---_The following 9 Buildin Code deficiencies are required to he corrected:
Presented to 42 Approved
Inspector _ F ! Disapproved
Date L-
0-CALL FOR REINSPECTION
❑ YES ❑ NO
.r�
INSPECTION NOTICE
I City of Tigard Building Department
P.O. Bc;, 21'1O7
Tigard, Oregon 972'. j
Phone. 639-4175
Type of Inspection. � ,y,� 7"
P.M.
Date Requested Time A.M.__
Address —.�� ��/ 'i ermit #
Owner__ – — —
L,3t #
Builder
The following Building Code deficiencies are required to be corrected:
�L'g� .Sc.?('l-fi,2'-T•/K c't �'1,Gc �- � � �/of �, C�a77 ;
4
Presented to _ Ll Disapproved u
Inspectcr Disapproved
Date' J`. ----- --
CALL FOR REINSPECTION
❑ YE3 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 \
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ��o' -4�A Time A.M. P.M.
Address ��1�S_ �® °�.. ��2 Permit #
Ow:ier !J Lot #'
Builder
The following Buildinp Code deficiencies are required to be corrected:
Presented to —� ._ Xoproved
Inspector s _ 7 U Disapproved
Date --�=,Z-- q'b
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 en�__
Type of Inspection /1 [e,
Date Requested_ 1'y� Time A.M. P.M.
Address -� L-��� (�� r G2/L� Permitls Z
Owner
r�-------/ --// 1 � lot #
Builder
The following Building Code deficiencies are required to be corrected:
..r
Presented to —/� _- �pproved
!nspector ' �' -
---- - - [� Disapproved
Date31�
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE ;
City of Tigard Building Deportment
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested r y Time �_ A.M. P.M,
C �.
Address ,<,,e_ Permit # 7
Owner _.-- � __.. Lot ##_
Builder 7 d• `_(�� �— —_�. _� a
The following Building Code deficiencies are required to be corrected:
i
i
Pr-.sented to __ -- Approved
�n
Inspector ���__.,��� ___ __ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
M
Type of Inspection
Date Requested �n�� / 11ma A.M. ---P.M.
Address !� /` / 1h i Permit # "X
Owner:_ Lot
Budder
The��f�oUowing Building Code deficiencies are required to be correctedi
Presented tc TApproved
Inspector wL"` ❑ bbepproved
Date -
CALI FOR REINSPECTION
0 YES ❑ NO
INSF ECTION 140_TICE
City of Tigdrd Building Department
P.O. Box 23397
Tigard, Oregon 97223
_Ebone: 63_9-4175
Type of Inspection .__
Date Requested _ Time _A.M. _P.M.
Address
L " 'J'� Pit
�—� -._—... y� erm
Owner Lot # _
builder _ �_.---_------_-- —
The following Building Code deficiencies are required to be corrected:
Presented to _ _ `?9;;CAPproved
Inspector e 2 Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department�;?/
P O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
c Time
A.M. P.M.
Date Requested �1
Address " << _ Permit
Owner ___..__ Lot #E _
BuilderThe f04owing 13uilding Code deficiencies are required to be corroatod:
Presented to Approved
Inspector fr_� Disapproved
Date
CALL, FOR REINSPECTION
Cl YES ❑ NO
!r
INSPECTION NOTICE:
City of Tigard Building Department
P.O. Box 23397
` Tigard, Oregon 97223
�� Phone 639-4175
1
Type of Inspection .- x -- --- i
Date Requested__
Time _A.M. P.M. `
ffl
Address �" J �,�-� Permit # �
Lot # - —
Owner
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ---.-- — ---— �� Approved
Inspector L I Disapproved
Date Z�— --- ---
CALL EOR REINSPECTION
❑ YE$ ❑ NO
" BUILDING PERMIT
CITY OF TIGA RG
Cm OFTWWA d�F MIT NO. : BL'892619
COMMUNITY DEVELOPMENT DEPARTMENT o<Fo,N
1.317.5 S W Hall Blvd.P O Box 23397,Tigard.Oregon 97223,(503)839-4175 TE ISSUED: 12/19/89
ran
,TOB ADDRESS: 12925 SW VILLAGE: PARK LN
TAX MAP/LOT ISI 33DD SUB: VILLAGE AT SUMMERLAKF 2 L..T:65
LAND USE: R4.5
LOT SIZE: VALUATION: 90,447 SETBACKS
FRONT: 20 REAR: F)
WORK CLASS: NEW DWELL.LINITS: 1 LEFT: 22 RIGHT: 3=3
USE TYPE: SINGLE FAMILY NO.BFDROOMS: 3 EXT.WALL CONST;
CONST.TYPE: VN NO.BATHS: 3 N.- S: E: W:
OCCUP.GRP. : R3 PROI.OPENINGS:
OCCUP.LOAD N: E: W:
TOTAL AREA: 1960
NO.STORIES: 2 1ST: 1066 ROOF CONST: C FIRE RET?
HEIGHT: 26 2ND: 894 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 451 FIRE SPRKLR? ALARM?
FLOW(OPM) DETECT? YES
L_ urnr TYPG& GAS — HBl6Pv AGGEGG ' EQOR? ---
PLAN CHECK BY: r1t
REMARKS:
Re-issue of 892565 REISSUE OF NO. 892565
$30 for two red line copies LAST REISSUE
S:
W MORISSETTE DON PERMIT $406.00
E po BOX 13524 PLAN REVIEW $40.00
R portland or 97219 FIRE DEPT
PHONE (503) e4 -9314 STATE TAX $20, 30
--- OTHER. $30.00
C DEVELOPMENT CHARLES:
N MORISSETTE DON SDC(STORM) $250.00
T DON MORIS7ETTE BUILDERS INC. SDC(STREET) $600.00
R
A po PnX 195224 PDC(M1 ) $250.00
C portlaod or 97219 PREPAID l $40.00)
T
o PHONE (503) 244-9314
101 REGISTRATION NO. 35533 TOTAL..: $1,556.30
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. f� '(eO
of the TIBC, Stale of Oregon Specialty Codes, zoning regulations -----------
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and FOOTING SEWER
specificallons and in compliance with all applicable codes and
ordinancr4s The issuance of this permit does not waive restrictive FOUNDATION WALL RAIN DRAINS
covenants. Contractor and subcontractors shall have current city POST R BEAM WATER LINE
business tax permits. This permit will expire and become null and PL-B.UNDERSLAB CITY APPRCH'SW
void if work is not started within 180 days,or if work is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced. It shall be the responsibility of the permittee to assure
all r&rnspectIons are requ and approved FRAMING
FIREPLACE
INSM.ATION
Perre GYP. BOARD
Issued By - CALL FOR j 39-4175
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TI17A
RD
SEWER PERMIT
PERMIT NU. : 5E892630 /
r, il'b
COMMUNITY DEVELOPMEN'C DEPARTMENT TE ISSUED: 12/19/89
13125 S.W.Hell Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 j M.1'M T.Nfl, 892E 19
JOB ADDRESS: 12925 SW VILLAGE PARK LN USA NUMBER: 39150
TAX MAP/LOT 1S1 33DD SUB: VILLAGE A'( SUMMERL.AKE 2 L-T:65 BK:
LAND USE: R4.5
LOT SIZE:
SECTION: 33 TWP: is RNG: 1w
WORK CLASSt NEW
USE TYPE: SINGLE FAMILY
The applicant agrees i'o comply with all rules and regulations of the Unified
Sewetage Aqency. The permit: expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Aqency does not quar-
antee the accuracy of the location of the side sewer 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 a "Tao and Side Sewer" Permit and the Aqency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT : NO
DWELLING UNITS: 1
NO. OF BLDGS. s 1
FEES:
o
w MORISSETTE PON PERMIT $35.00
N Po BOX 19524 CONNECTION CHARGE fl .? 9.00
R Portland ov 97219 LINE TAP INSTALL.
PHONE (593) 244-9314
OTHER
O MORISSETTE DON
N DON MORISSETTE BUILDERS INC.
R po BOX 19524
C Portland or 97219
T PHONE (503) 244--9314
R REGISTRATION NO. 35533 TOTALS $1,285.80
f
----RECEIPT-NO.
This permit is issued subject to the regulations contained In Title 14 ------
of the TMC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it Is hereby
agreed that the work will be done in accordance with the plans and ROUGH-IN
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work is not started within 180 days,or if work Is suspended or
Abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required spechons are requeete d approved
Permitt i ature — -
Issued By ___ ---_--_ INSRj't-ITnN 64"_ 14.
--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i
I N PERMIT OF T167A RD PEMECHANICAL
MIT NO. % ME8326
23
GfnfAID
COMMUNITY DEVELOPMENT DEPARTMENT 1F ISSUEDt 12/1.9/99
13125 S W Hali Blvd..P.O Box 23397,Tigard.Oregon 97223,(503)639-4175
—
�_ _ JOB ADDRESS: 12925 SW VILLAGE PARK I._N
TAX. MAP/LOT 1SI 33DD SUB: VILLAGE AT SUMMERLAKE 2 LT:65 BK:
LAND USE: R4.5
LOT SIZE:
I fE.M: NO: 140: l
WORK CLASS: NEW FURNACE 000K AIR HANDL.R (10
USE TYPE: SINGLE FAMILY FURNACE 16@K+ 1 AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : Ra HEATER VENT FAN 3
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.SIORIES: 2 DLR/COMP 3-'15HP INCINERATOR(DOM
DWELL..UNI TS: 1. DLR/:'UMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COME' 30--50HP REPAIR UNITS
MAX.INPUT BLR/COME' 50+HP OTHER 2
FIRE DMPRS? SPS PIPING OUTLET'S 1
HIGH PRESS?
LOW PRE-66?
REMARKS:
f FES:
w MORISSETTE DON PERMIT $10,00
C pa BOX 191,24 PLAN REVIEW $10.50
R Portland or 97219 FIXTURES $32.00
PHONE (503) 244-9314 STATE TAX $2. 10
--- -- --- - -- OTHER
c
0
N
T FELL. HEATING INC.
R
A 15550SL PIAllA AVi
T CLACKAMAS OR 97015
0 PHONL (503) P43-1184
R REGISTRATION NO. 447 TOTAL: $54.611
This permit is Issued subject to the egulatlons contained in Title 14 RF-CL?PT NO.
of the TMC. State of iregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and In compliance with all applicable codes and POST R BEAM
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city ROUGH-IN
business tax permits This permit will expire and become null and FINAL
void if work is not started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requiredin tions are requests d approved.
V
Permiltee SIg1,lhire
Issued By __ T AUL-FTTR.-IN SFF CT?QfC b3?= 2.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
�' PLUMBING PERMIT
CITYOF 67A
� PERMIT NO. : V-1.892628
CInOf Y16JAIM.PMT.NO.
COMMUNITY DEVELOPMENT DEPARTMENT armTE ISSUED: 12/19/89
131)5 S w Nall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)639-4175 �• 892619
JOB ADDRESS: 1292; SW VILLAGE PARK LN
TAX MRP/LOT 1S1 33DD SUB: VILLAGE AT SUMMERLAKE 2 LT:65 BK:
LAND USE: R4.5
LOT SI7.E:
ITEM. N0: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINULE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 3 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNJTS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FI._OOk DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
RFMO KS:
FEESs --- -- I
W MORISSETTE DON PERMIT t1.�2• iH
N po BOX 19524
R portland or 97219 FIXTURES
PHONE (503) 244-9314 STATE TAX $6,.63
OTHER
C
O SHOEMAKER HAROLD
N SHOEMAKER'S ['LUMPING
R po BOX 250
A
C estarada or 97023
T PHONE (503) 630-7728
q REfi1L,1RATIUN NO. 5613; _ —J TOTAL.1 $139.13
RECEIPT HO.
This permit is Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes.toning regulations REOUIRE.D INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
agrer.d that the work will be done in accordance with the plans and PL.B.I,INDFRSI_AB
specifications and In compliance with all applicable codes and POST R RFAM
ordinances The issuance of th's permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city PLB.TOPOUT
business tax permits. This perm.t will expire and become null and RAIN DRAINS
void if work Is not started within 180 days.or If work Is suspended or
abandoned for a period of 190 days any time after work has F T NAL
commenced.It shell be the responsibility of the permittee to assure
all required n ections are requested and approved
I U---o
P"I'tntte Stp lure
Isued By ___ __. _..._.....__........____._..W�...._ _.
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF TIFARD
/QOF�� PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT I '�� °"'°"
PLAN CHECK a /Z- /�✓/
13125 S.W.NII Blvd..P.O.Box 2 .197,rq..d,o*W 9t2zl,(50J)ws4175 _ PERMIT a
DJITE ISSUED
JOB ADDRESS: _ � �-• • �lILi- GQ P41, LoSj- TAX MAP/LOT /.5
SUB: VLL1,AGQ AT Ski LOT�y: LAND USf.: _
VALUAFIO
OWNER SPECIAL NOTES
NAME: o . S _ S lN c. _ REISSUE OF:
ADDRESS: L9f22f i LAST REISSUE:
WLZ CAf C 7 Zf FLOOD PLAIN/
_ SENS11IVE LAND:
—
APPROVALS R_F UIRED
CONTRACTOR PLANNING _
NAME: a p ENGINEERING:
ADDRESS: __ a Z FIRE DEPT _
OTHER:
PHONE. ITEMS REQUIIAED
QUILDERS BOARD #: EXP DATE: .�ZZ,- �O LIST/SUBCONTRACTORS: _
BUS TAX: _
ARCH/ENGINEER CALCULA(IONS:
NAME.: —�L C / I�-j _ _ TRUSS DETAILS:�- —
ADDRESS: OTHER:
PHONE:—COMMENTS. /2 —Z Q--
SUBCOr.-Y dACTORS: PLUMB: MECH
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�cS'�i 10-432 00 Building Permit Fees
S-1 6 ' 10-431 00 Plumbing Permit Fees --
r `rH
FL4, IG-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X) --`-
Building —
Plumbing
Mech _
10-433 00 Plans Check FeeQ��!
Building
Plumbing _—
G Mech
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51--448 00 Street System Dew Charge (SDC) T o G,uG.
52-449 00 Parks System Dew Charge (PDC)
31--450 00 Storm Drainage Syst Dew Chrg (SSDC)
10-230 Ob Fire
TOTAL
REC -1 I r C
APPLIC&TRIGINATURE
R4�cpived By: �/`�---- -- ----- - _ Date Received: 1Z-?--E!
cn/35B7P/18P J - -- "