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�N¢�CTION NOTICE
City of T}-gard Building Depart>taant
13125 SN Ball Blvd. Tigard, Oregon 97213
Inepeation Line (Roc-O-Phone): 639-4175 Bustnens Phone: 639-4171
Inspection: GSL 1 G_hiJ,4Uv! —-- ------- ---
Footing Plbq. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top out Gas Line FINAL:
Pont/Beam 9truct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfl,tir. Nater Line Gyp. Bd. ( -Flech•
PH
Dettt Reyueeted: &1" ? - `/ —T t `—`•—
Address I L'I-3 14 5Ga/ L"/1/0 Permit 1'. Met.?I-6'/ � y
Bu i 1 der:
171E FOLLOWING cnRRECfIONS ARE REQUIRED:
Inspector: % _. i_ Date:
_i•_APPROV%D pISAFPH!IVAU APPROVED SUBJECT TO ABOVE
rail For Reinep.
September 29, 1992 CITY OF TIGARD
OREGON
Nat & Alice Natoli
12934 SW Village Park Lane
Tigard, OR 97223
Re: 12934 SW Village Park Lane Permit # MEC 91-0119
On July 10, 1991 a permit was issued for the above project . As of
this date, there is no record of any inspection having been
recorded.
Please advise the Building Division or 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 190 days
becomes void. If you need additional time to complete the project,
please contact this department so an extension can be discussed.
Sincerely,
Robert Thompson
Building nepartment
Noticeb.rev
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 6842772 ------ ___.
MECHANIC:AL
C11YOF TIGAIW PERM.I T
CJ7Y0FTMERMIT #. . . . . . . : MEC91-0119
COMMUNITY DEVELOPMENT DEPARTMENT omsooN
13125 SW HWI Blvd. P.O.Box M97,TVwd,Ompon 97223(603163"176 D'ATE ISSUED:
I i r;.Q 1c.9 ;4 bW V i L-LAGE PARK LN PARCEL: 161331)D-12,1900
SUBDIVISION— — VILLOW AT SUMMER LAKE PWRK ZONING:
BLOCK. . . . LOT. . . . . . . . . . . . . :58
CLA96 OF WORK. . :NEW FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. SF UNIT HEATE7r . . : VENT FANS.
OCC,UPANCY GRP. . R3 VENTS W/O APPL,. VENT SYSTEMS:
STORIES. . . . . . . BOII-ERS/COMPRESSORS HOODS. . . . . . . .
FUEL 0-3 HP. . — : l DOMES. INCIN-,
/ISLE/
3-15 14P. . . . - COMML. INCPA%
MAX INPUT: F.4'r U 15-30 HF-*,. REPAIR UNIT�i:
f IRE DAMr.:,EH,.,3`— 30-5171 HP. WOODSTOVES.
GAIS) F..,RESSURL. . . 50+ HP. . . . CLO DRYERS. . -
1\10. OF LJNITS---- ---- - AIR HANDLING UN I TS OTHER UNT]"5. -
FURN ( 100K BTU: 10000 cfm: l GAS OUTLETS;, �
FURN , -11001<% 011J: 10000 cfm:
Remat*se AIR COiNDI'rli'NER AND PIR CLEANUR,
OWTIer-: - -- - - - -- - FEFS
N;�11 & PLILL NATOLI t ype amount by diite r*1 e
10134 SW VIL1-W'3[:, LANE PRMT $ 1:10. 50 .11.,H 07,, L0 1)1
5PrT $ 1. 03 JL14 Vl-; ;
T10f)RD OR 97r"223
►-Ihone #:
contractor,.,
CLIMATE CUNIRUL I! . (-, A P-C
NW 26TH AVE
PURTLAND OR 9*/c--'10
Phone #- 22-- -4;193
Re
REQUIRED I NSPFC TIOW,
This permit is issued subject to the regulations Contained in the f- irial lrivpeutic)n
Tigard Municipal Code, State of (h-P. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with
approved plans. This permit will expire if work is net started
within 180 days of issuance, or if work is suspended for more
than 181 days.
L,et-mittee Siqnatl.kl
Call for insr)e(-tion 6,!,9-4115
CITY OF TIGARD MECHANICAL PERMIT Receipt#__13125 SW HALL BLVD. Permit#
P. O. BGX 23397 Description --
T I GARD, OR 97223 Table 9A Mechanical Code OTY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name of Development 2) Supplemental Permit 3.00
Job "To 1
Address R.��J(�� I 1) Furnace to 100,000 BTU 6.00
Address 4L) 01%_-Lk&E `Agj� L tJ s
Furnace 100,000 incl.ducts&vents
BTU +
Tax Lot Map No. 2) 7,50
incl.ducts&vents
tol Block Subdivision
Name(or name of b isiness) 3) Floor Furnace 6.00
Q 'C ? L C N Az c l_t incl,vent
Mailing Address Phone 4) Suspended heater,wall heater 6.00
Owner -�5 - i 4 G ? ! or floor mounted heater _
Cnyistate Zip 5) Vent not incl,in 3.00
1 6,A 2 D appliance permit
+— Name(or name of business) 6) Repair of heating,refrig., 6.00
A cooling,absorption unit
Mailing Address phone 7) Boiler or comp to 3 HP 6.00
Occupant absorp.unit to 100,000 BTU
CityrState zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name 9) Boiler or Comp 15-30 HP 15.00
L 1 LQ �L absorp.unit 1/2-1 million —
Mailing Address Phone 10) Boller or comp to 30.50 HP 22.50
�,j 15 ���r � �G ) � absorp.unit 1 -1.75 million
Contractor Ci estate �" Boiler or comp to 50 HP
rY Zip 11) absorp.unit 1,750,000 BTU 31.50
State Registration No. City Rus Tax No 12) Air handling unit to 4.50
6 7 1 "A / 10,000 CFM
( Air handling unit
I hereby acknowledge that I have read this application that the information given is 13) 10,000 CFM + 7.50
eortect,that I em the owner or authortzed agent of the owner,that pians submitted are in -- —
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4,50
number given is coired.(if exempt from State registration please give reason below). evaporate Cooler
15) Vent fan connected 3.00
to a single duct
_ _. ..- -- -- --- ------------- -- Ventilation system not — - --
16) included in appliance permit 4.5U
17) Hood served by 4.50
R f _ mechanical exhaust
signature(owner or agent) -�-!O—eta 18) Domestic type 7.50
Describe work ❑ addition ❑ alteration L) repair ❑ Incinerator
to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly___ 20) Other i.e.,woodstove,water 4.50
Proposed use of __ heater,solar,clothes dryers,etc. —
building or property -- 21) Gas piping one to four outlets :T
2.00
Type of fuel- oil ❑ natural gas ❑ LPG ❑ electric ❑ �-
- 22) More than 4-per outlet
NOTICE SUB-TOTAL > i
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — -----
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --- - - --
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued by
i
- -- -- C E::n T 1 F- I C;A 7 L: UF-
OCCUPANC Y
CITYOFTIOARD Cn PI: R M I T k. . . . . . . I MST90
� � PRIM. PERMIT #. c NST90 Cd097
COMMUNITY DEVELOPMENTDE'PA>R1'>4ENT o�eooN
13125 SW Wal Blvd. P.0.Box 233.17,Tigard,Oregon 97223 (509)8.'19-4175 DPI E IOSUED i 07/V'7/9@
SITE ADDRESS. . . I 12934 SW VILLAGE PARK LN PARCEL I 1 S 1:330D--01` 1114
SUBDIVISION. . . . I VILLAGE; AT SUMMER LPKE PARK ZONING#
BLOCK. . . . . . . . . . : LOI . . . . . . . . . . — 958
CLASS OF WORK. I NE:.W
TYPE OF USE. . . ISF
OCCUPANCY GRFS. :R3
OCCUPANCY LOAD1220 4
TENANT NAME. . . #
Remarkal
Owner,a
DON MORISSETTE BLDERS, INC.
P 0 BOX 19524
PORTLAND OR 97219
Ph(:)ne HI 503-244-9314
314
Contrartorc
DON MORISSETT'E BLDERG, INC:.
P 0 BOX 19524
PORTLA10- OR 9721.9
Phorty iia 503-620-7538
Rep 01- 1 :315533
(:Ir..ce.pancy of the above rerfe^ended building is hereby given, and cF,rrtifi.p%
the compliance with the State Of Oregon Specialty Codes fere the yrOut►„
occupancy, and rase under whi:h the referenced permit was 1-.Sued.
FIRE DEPARTMENT ILDING IN ' � CTOR
c'ar
BU DING ..IAI.
FUST IN C:ONSPICU0US PLACE
INSPECTION NOTICE
CO- of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection tiQ 2,
Date Requested_ �zz'y Time ---- A.M._�P.M.
Address t - 9-3S( ✓i Ll..ra�� {'A?�� - Permit #�C1C 7
Owner Lot #
Builder L19v e-r S S 7TE
The following Building Code deficiencies are required to be corrected:
----- --- -----------------
Presented to
Inspector /rr-i' - ElDisapproved
Date L?7_//G C--" — ------
CALL FOR REINSPECTION
YES ❑ No
IN"RECTION NOTICE 1
City of T'garJ Building Department
P.O. Box 23397
Tigard, Oreqon 972.23
Phone: 639-4175
Type rof Inippetmn '
Date Requested C Time A.M. P.M.
Address ,_''Permit
Owner
--- Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector _ ❑ Disapproved
Date --
CALL FOR REINSPECTION
M vn 0 M�
INSPECTION NOTICE
City of Ti jwd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 2 Time ���^^���P.M.
Address ����G/ Le --- Permit #ZL _
Owner
Builder—L�� .-j--•— ---- -- -
The following Building Code deficiencies are required to be corrected:
Presented to _.�_-__-_-_ _ Civ 4prove,+
Inspector _ --- -._ _._-- [-� Disapproved
Date �� — 1 _i0 —
CALL I'OR REI PECTION
I� YES g NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
/ Phone: 639-4175
Type of Inspection
Date Requested na,
A.M. P.M.
Address � —
Permit # ,�,�! 7
Owner _ Lot #
Builder
The following Building Cede deficiencies are required to be corrected:
Pr6sented to Approved
Inspector Ll
Date 6, "Z�—
CALL FOR REINSPECTION
El YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department �J
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection �. ?.�:t� �����'��7-/0
Date. Requested G1 �97 4) Time A.M. �P.M.
Address f�Cf ��__iLCd,�L .' ��1 G Permit *—Z 7
Owner _ _.-- ! _-- -- Lot #
Builder
The following Buildinq Code deficiencies are required to be corrected:
Presented to _ X-14pproved
Inspector / ❑ Disapproved
Date.
CALI, FOR REINSPECTION
' fEl 0 NO
x
INSPECTION NOTICE
City of Tigard Building Department
P.O. Sox 23397
Tigard -regon 97223
Phone: 639-4175
Type of Inspection ��=�' �T��►`r"
Date Requested `�� �'�'�D ?1Me A.M. P.M.
Address93y IrZAA4&q� f–pz� Permit
0
Owner _ _ Lot # _
Builder ✓Y dltl!7-
The
The following Building Code deficiencies are required to be corrected:
Ad
Presented to
— (,+Approved
Inspectorti
Disapproved
Date
CALL FOR REINSPECTION
❑ YES [_l NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.1397
Tigard, Oregon 97223
Phone: 639-4175
--
Type of Inspection
—C"- Time_ A.M. P.M.
Date. Requested -- / rmlt
Address
Lot #
Owner _
BuilderThe following Buildinq Code deficiencies are required to be corrected:
Approved
Presented to
Diapproved
Inspector �r.�
Date r � ' n
CALL FOR REINSPECTION
0 YES ❑ NO
i
INSPECI ION 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 1/ ���. /'�-_-��
ermit 4#'I i JLC y,�
Owner
� ,� #
Builder Lot����Ji-..I-7`�_7l f
The following fiuildhig Code deficiencies are required to be corrected:N
I
Presented to _ {
Approved
Inspector
- - — Disapproved
Date �-�
CALL FOR REINSPECTION
DYES ❑ NO
INSPECTION NOTICE
Citv of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
�..
Type of Inspection f
Date Requested. ^'T 7� ! Time ; A.'
. _P.M.
Address __ Z2 !q.341 % .Peimit
i
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __— — Approved
Ari
Inspector f L_� � Disapproved
Date — C� . �_ ------- —
CALL FOR REH-vSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of T igard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —�-�-
Date Requested_� �1�-- Time A.M.—PM.
Address 1�C-�--- Q� �` -- Permit #
r
Owner T.. — - -c�c,� — --- Lot
Builder 22_ _L� ---.----------The following Building Code deficiencies are required to be corrected:
LffL_�7 5/l�_ -�C— `I L L'14
Presented to to --- - __ -_-_- r Approved
I- ;pector --- --- -_- ---- — Lisapproved
Date -._ T ��l ---
CALL FOR REINSPECTION
0 vsa ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
J /
Type of Inspection --
Date Requested__. Time A A.M._--__.__P.M.
Address #
Owner Lot
Builder —--------
The
- ---- -The following Building Code deficiencies are required to be corrected.
Presented to -- __ _---- - - -_--- 1 Approved
Inspector --- CJ Disapproved
Date —
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTV E
City 9 of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection ---- --
Date F.aquested TimP.M.
�Address � —_ Permit *YL –LQJI_[
Owner -. ---_--- Lot
Builder _ -----The following Building Code deffi�ctiencies are required to be corrected:
t/L
_-.--------------- ---
Presen'ed to l ___ _ -____ Approved
Inspector. — —��1--- ----- __.-. Disapproved
Date �'�`��
CALL FOR REINSPECTION
YES ❑ NO
CRYOFTIGARDA �-
MASTER PERMIT
CITYOF116ARD PE--RMIT .. . . . . . . : MST90 00':1'7
cr1y 7COMMUNITY DEVELOPMENT DEPARTMENT • P'Rl:rl. PE"RMI r a. : rlsT'�H ����:�
13126 SW Nrl Blvd. P•O,Box 2W97,TOW,Oregon 1)7223 1603)83D-4 75
t, 417 . DATE`. ISSUED: 03/16/90
SITE ADDR'ESS. . . a 12934 SW VILL..AGE. PARK L.N PCIR(.:f::l...: 1S1 3;3DD--01900
SUBDIVISION. . . . C VILLAGE AT SUMMER LAKE PARK ZONING-
BLOCK. . . . . . . . . .
ONING—BLOCK. . . . . . . . . . LOT. . . . . a . . . . . . . 958
---------------------------------- Bull DING _._.._...._.._.._._....._...._...___.._...__.__..._...__..____...............
REISSUE.- DWf:LL.ING UNITS.- 1 BASEMENT. . . . . . . . :0 sf
CLASS OF" WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..400 S
'T'YP'E OF' USE. . . CSF FLOOR ARE:AS— -_..__.._......._..... REQUIRE:T SE'TI<ACKS - -
TYPE OF' CONST. :5N F'I:RST. . . . - 1560 sf LEFT. . a5 ft RIGHT. : 10 ft
OCCUPANCY GRP'. .-R3 SECOND. . . : 1370 s f F'RON•T'. .-20 ft REAR. . :3f.•, f t
STORIES. . . . . . . :0 THIRD. . . . ..0 s:,f R E 0 U I F.E D•_......_..____.___•...____.___......._....._.
HEIGHT. . . . . . . . :20 ft TOTAL-._..__......-_;2930 s f SMOKE DETE:CTORS. :Y
FLOOR LOAD. . . . :40 psi f VALUE. . . . .. $: ).30260 PARK I NG ,PACES. . 10
Renlark.s-
_.._....._..___....._........._.._...._.______..__.._.__.._._..__._.__.._ ._.. PLUMBING -.__.....__.._..__.___......._....____.._...._..._...._....._.__._.___.._.._._.._.._._...
SINKS. . . . . . . . . .. - 1. FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . ,, -3 WATER HEATERS. . . : 100 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . » i SEWER LINE (fit) . :0 GREASE T'RAP'S. .
DISHWASHERS. . . .. 1 WATER LINE (ft) . : 100 0T11ER F*IXTUR1:::`:i. ,. . .. .. »0
(:3ARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . -. 1. SF RAIN DRAINS. . .- I.
___...__...__...._.__.__ MECHANICAL. ..__...________._._.._._.. _____._..._..._.._...._..___........ F'EE:S; _......_....__...._._......____._......
FrUEL TYP'E'3_.__...___..._..___.._..._. UNIT HTRS. . :O type amount by date rrcpt:
/GAS/ / / VENT'S . . . . . :0 PAYM $ 100. 00 JLH 03/12/90 :107765
MAX INPUT:O BTU VEwr FANS. . :? BPRT $ 510. 50
F"URN ( 100K . . .-0 HOODS. . . . . . . .I BP'LC; $ 331.83
F--URN ):-100K . . : 1. WOODSTOVE:.Si. :O 05PC !F 25. 53
FLOOR F'URN. . . . :0 CLO DRYERS. - I ST'DC $ 600. 00
HOIL/CMP ( 3HP:0 OTHER UN1TS.0 SSDC: $ 250. 00
GAS OUTLETS.- I PARK $ 250. 00
Owner.- -_.....___......__._.____._.._...__.__._._._..__.._......_._._._..___.. MPRT $ 34. 50
DUN MORISSET'TE BLDERS, INC. MPL_C $ 8.63
F, () BOX 19524 MaPC $ 1. 73
PPRT $ 132. 50
PORTLAND OR 97219 P5PC 1; 6. E13
Phone N: 503-•?44 9314 PAYM fi 2051. 805 JL.H 03/16/90
ContractorC -•__...._....._...__..__.._._.__....____.._.___._.__..._.__.__
DON MORISSETTE BLDERS, IN(.-.
P C) HOX 19524
1:1ORTL.AND OR 97219
I:'horse N: 503-244--9314
314
Reap N. . . 3553:3
$ 2151. 85 TOTAL
This permit is issued subject to the rejulations contained in the - -- --- REQUIRED INSPECTIONS
Tigard Municipal Code, State of llrk. Specialty Codes and all other Foot/fol.tnd trip Plumb Top O1.1t
applicable laws. All work will be done in accordance with approved Wt•r Proofirlq Bsm Framinq irlsp
plans. This permit will ear.re if work is not started within 186 Post/Beam :Insp F i•replaep Irtsp
days of issuance, or if wo k is cusp nded for are than 186 ars. C; -awl Drain+ Gas Line l nt:>p
P!m/1.1ndslah I:r1s;p Insl.0ati.oi1 Tnsp
PeY mi ttee Siq1,,Ature: _ + '1LM/Underf loor Gyp Board I11ssp
F-eng Drain Bsm' t Rair1 drain Insp
Is��1.lecl By: __ __.... _............._._._____.__._._..._._._......_...__..._. Mechanical Tarp Water Line Insp
11017. for irlsper_tion G39-•41'75
SEWER CONNECTION
CITYOFTIF/ARD HERMIT
Ca=J1TWY(0WWFA" RD) PERMIT 0. . . . . . . SWR 90--0105
COMMUNITY DEVELOPMENT DEPARTMENT 002001141 PRIM PERMIT MC)T90-0097
i 3125 SW Hall Blvd. P.O.Box 2111971 Tigsfd,0*,an 117
DATE ISSUED: 03/16/90
1-:i J E ADDRESS. . . 1.29*34 SW VTLLAGE PARK LN PARCEL: 1S1.33DD---01900
SUDDIVISION. . . . . VILLAGE AT SUMMER LAKE PARK ZONING:
1.41-OCK. . . . . . . . . . s LOT.. . . . . . . . . . . . . ..58
TFNANT NAME. . . . . : 41
USP NO. . . . . . . . . . 140605 FIXTURE UNITS.
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE:. . . . . cSF NO. OF BUILDINGS: 1
INSTALL. TYPE. . . . :BUSWf`� TMPERV SURFACE. . :
Rema-rks:
(Jwl.lerl ....... FEEP
DON MORISSETTE BLDERS, INC. type anioulit by date -reept
F, 0 BOX 195e4 PIRMT $ 12'00. 00
INSP $ 35. 00
PORTLAND OR 97219 PAYM $ 1285.00 JLH 03/16/9Q,
Phc)rie ii: 503-244--931.4
Caiit-racto-ry
CONTRACTOR NOT ON FILE
$ 1285. 00 TOTAL.
Rel.1 It. . -
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and egul&tions Geower Irispectiaii ...................
of the Unified Sewage Agency. The permit expires 120 days from
the date issued. The total amount paid will be forfeited if the .... .......... ...........
permit expire.. The Avency does not guarantee the accuracy of 01 ......
ide sever literals. 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 "Tap and Side Sewer" Permit and t I e Agency will install a lateral.
Permi.ttee Gj.qi t atU r P
. ."L!'JaL .............
............................................................. ............
1�ss(.tecl By: ............ .1........... ......
Call f(:)-r iiispectic)ii 639--41*75
t
I `
I CITY OF 'fIGARD ... Frf".CEIFT 01= PAYMENT FF_'C NIJa I30107669
CHErf( AMOUNT 7?126.Fy4 '
` 14APIL: DON MOFiSSETTE CASH AMOUNT .00
AI)L)pE' FAYMENT' DATE CJ:i-16-90 `
PORTLAND, OR 9721.9 BLOCK NO/ACiDRt
1:934 SW VIt.L.AGE PARR
F1►RPOSE OF PAYMENT AMOU14T PAID PURPOSE OF PAYMENT AMOUNT VAI I)
EiUII.DINCryF•EF(MT'tw(9fJ-ClS��;7,, 10.50 F•LUME+IN(;MF•ERr11TMµ�u________ --��"_1'':'.5G
MECHANICAL PEFMIT 34.50 STATE BUILD PERMIT TAX (°�%! '• »E+�
`
FLAN CHEC k. IEEE -4.40.45 SEWER USA 1 .i5C1»C10
SFWG'P INSPECION "5.00 STPEET 50C boo.JCI
F,AH;;,, S'eSTF_M DEVELOPMENT CH 250.00 STORM DRAIN SVC 50.00
1
I
� 4
i 4
TOTAL AMOUNT PAID
1
Hfs3TORY: VIEW UPDATE DELETE ESC
De 1 c-t - selected item
r VER
�ST90-0097: PROJECT:VILLAGE AT SUMMER L STATUS:I UPD:03/16/90: :JLH:
,ERMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :MST90-0097:
SITE ADDRESS:12934 SW VILLAGE PARK LN °
Oa CASE HISTORY £AAAAAA£AAAAAAAAAAAAAAAAReq/Sen,£Schd/DueAEnd/DoneAAByAStatAAAG
A705 Foot/found Inep 03/28/90 RT PASS °
° A707 Wtr Proofing Bsm't Walls
" A710 Post/Beam Insp 04/09/90 KS PASS °
° A713 Crawl Drain
A717 PLM/Underfloor 04/09/90 MS PASS °
° A718 Ftng Drain Bem't Walla
° A720 Mechanical Insp
° A722 Flumb Top Out 05/23/90 MS FAIL
° A72.2 Plumb Top Out 06/C7/90 MS PASS °
A725 Framing Inep 06/19/90 KS DIS
A726 Framing <REINSP> 06/21/90 KS APP
A730 Fireplace Insp 05/21/90 APP KS °
A730 Fireplace Insp
A735 Gas Line Insp 05/17/90 KS DIS
A735 Gas Line Insp 06/19/90 KS APP
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HISTORY: VIEW UPDATE DELETE ESC
Delete selected item
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:MST90-0097: PROJECT:VILLAGE AT SUMMER L STATUS:I : UPD:03/.16/90: :JLH: °
I'FRMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :MIST90-0097:
SITE ADDRESS:12934 SW VILLAGE. PARK LN °
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A705 Foot/found Insp 03/28/90 RT PASS °
A707 Wtr 'Proofing Bsm't Walls
A710 Post/Beam Insp 04/09/90 KS PASS °
A71.3 Crawl Drain
n'717 PLM/Underfloor 04/09/90 MS PASS °
A71R Ftng L':ain Bsm't Walls
A720 Mechanical Insp
A722 Plumb Top Out 05/23/90 MS FAIL °
A722 Plumb Top Out 06/07/90 MS PASS °
A725 Framing Inep 06/19/9n KS DIS
A726 Framing <R,EINSP> 06/21/90 KS APP °
A730 Fireplace Insp 05/21/90 APP `CS
A7.10 Fireplace Inep
A7:)5 Gas Line Inep 05/17/90 KS DIS °
A735 Gas Line Insp 06/19/90 KS APP °
HISTORY: VIEW UPDATE DELETE :SC
nolet.e selected item
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• :MST90-0097: PROJECT:VILLA,GE AT SUMMER L STATUS:.I : UPD:03/16/90: :JLH:
• PFRMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :MST90-0097: °
SITE ADDRESS:12934 .SW VILLAGE PARK LN °
65 CASE HISTORY A&AIAAAAAAAAA£AAAAAAAAAAReq/SentASchd/DueAEnd/DoneAABy£Stataa.AC
° A725 Framing Insp 06/19/90 KS DIS °
A740 Insulation Inep
A740 Insulation Insp 06/21/90 KS APP °
A745 Gyp Board Insp
�C/45 Gyp Board Insp 06/29/90 GS PASS
/55 Rain drain Insp
A760 Water Line Insp
A765 Appr/Sdwlk Inep 07/18/90 CWV PASS °
A795 Mechanical Final.
A797 Plumb Final
A799 Building Final
HISTORY: VIRW UPDATE DELETE ESC
Delete selected item
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PERMITTEE:DON MORISSETTE BLDERS, TNC. PRIM. . :MST90-0097: °
SITE ADDRESS:12934 Sis VILLAGE PARK LN °
Oa CASE HISTORY A&AA AAAAAAAAAAAAAAA&AAAReq/Ser:t&Schd/DuegEnd/Done&&ByAstath&&a
° A725 Framing Inep 06/19/90 KS DIS °
A726 Framing <REINSP> 06/21/90 KS APP "
A730 Fireplace Insp 05/21/90 APP KS °
A735 Gas Line Insp 05/17/90 KS DIS °
° A735 Gas Line Insp 06/19/90 KS APP °
A740 Insulation Inep
A'740 Insulation Inep 06/21/90 KS APF
A745 Gyp Board Inepo
A/45 Gyp Board Insp 06/29/90 GS PASS °
A755 Rain drain Inep
T.760 Wats Line Insp
A765 Appr/Sdwlk Inep 07/18/90 CWV PASS °
A795 Mechanical FirAl
° A797 Plumb Final
A799 Building Final
CITYOFTIIFARD 2a
C"YOFUGARD P1.AN (NECK APPLIC.ATI0N
COMMUNITY DEVELOPMENT DEPARTMENT �O° PLAN CHECK N
1312ss.w.HA(Uve_P.o.How 21"T.r�d.O�ongT2n,(W)&19AITS � PERMIT N 1)71 p_ U
OJII I ISSUED
JOB ADDRESS: 12CJ3'1 nV yiL(_I t-Y E P1jgg L Al _ iAX MAP/LOT J$ oO
SUB: i i.ra�;, A7 �SI'M LOT: _yZt' — LAND USL: ,
VALUATION
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADORESLAST REISSUE: _
C rL P._� n _
fl-000 PLAIN/
SENSITIVE LAND:
Mxi
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
BUILDERS BOARD N: EXP DATE: LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER _ CALCULATIONS:
NAMC.: 1 V I L'-1 T1/ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: _ (,5 1
COMMENTS. _
SUBCONTRACTORS: PLUMB: MECH:
PLRMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE
10-432 00 Building Permit Fees 0
10-431 00 Plumbing Permit Fees
10--431 01 Mechanical Permit Fees V _
T 10--230 01 State Building Tax 5%)
Building
Plumbing
Mech )
10-433 00 Plans Check Fee
Bui lding �' '%i• b'� ✓
Plumbing
Mech --
1
30- 202 00 Sewer Connection
_. 30--444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SOC)
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrq (SSOC)
10-230 06 Fire
TO FAL ,.727 3
REC N
PPLICANT SIGNATURE J
Received By: !. L' Dace Received: �tj� 2 -�Fo
cn,'358/p/18P//
CRAI)INGIH'ROSION ('ON"1-ROL INFORMATION
GENER CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRAC-FOR
NAME& ADDRESS:
#V� OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS: - -
APPLICANT: 1-41\; ` PROPERTY DESCRIPTION:
OWNER- STREET ADDRESS AND CROSS STREET/LOCAITD
GENEF.AL CONTRACTOR:_=5��0`�7f
EXCAVATION CONTRACTOR:i- -
SITE/JOB: - _--
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: `_..
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: --
! SITE SIZE,ACRES: - --
--- - DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE R NUF�DRAINS TO:(CIRCLE ONE)
(NOTE:PERMTTS MAY BE REQUIRED) H-BAS DITCH PIPE CREEK
_ (CIRCLE ONE) PRIVATE PROPERTY
<PGBLIC RIGHT OF WA�
F-,RQSION/SEDIMENTATIQN-.C9�VTROL (FSC) MEASURES
MINIMUM ESC REQUIREMENT'S MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TE=MPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTI{ER_ -
OTITER _
PLAN FOR EROSION CONTROL PREPARED AND SUBMTTED IN ACCORDANCE WITH-TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL.PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
1 PAVE..READ AND WILL COMPLY WTfH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMFNT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE I APPLICANT SIGNATURE
• • • • • • • • • • • • • • • • • • • w • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
OFFICIAL.USE ONLY.
RECEIPT DATIi ACCEPTED
FEF. NUMBER RECEIVED BY
CITY OF TIGARD PECEIPT OF FAYMENT REC Nth 00107765
CHECK AMOUNT t 141.�'5
ME DON MOR ISSETTE CASH AMOUNT L-10
PAYMENT DATE'
V'ORTLAND, OR 97,21P BLOCK NO/Af))Pt
12974 5W VILLAbE PARI:
FURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
;:iJ&J CHER FEE 100.00 PLAN CHECK' FEE 41. 5
BALANCE VUE FOR VON)EL) F'LAN (-HFCfl.
TUTAL. AMOUNT PAID 141
CITYOFTICARD
PLAN Ct1CCK APPLICAT.IJN
, arrroftwstry PLAN C11ECK If /D-5'?/E✓
COMMUN(TY DEVELOPMEM"DEPARTh1ENT" ..1 «' PERMIT H i
Y)Y2SS.W.H.IIBI.dP.o.Oe[Zt]97,Tlg.,dC.-ponlJZD,(slil)Q9�t7S —_.
-� DATE ISSUED
Jon A00RESS: 12 613-1 5 w VIC.0vi C-4 (14R K L N TAX MAP/LOT /,:5/-
SUB:
S/-SUB: �JWA 0 IJT iuut.u ,CjAIG .Z" LOT: -_ LAND USE:
VALUATION: [_
OWNER SPECIAL NOTES
OWNER
Y1��p 2iSSE j3�r, s 1k/� zssuE oF:'
AnORESB: U• ) fQ�, _ L ST REISSUE:
0 n10 � _ FL 0 PLAIN/
_ S SITivc LAND:
PHONE: 244-QS14 -
A PRO LS REQUIRED
CONTRACTOR (4 liL TNG:
NAME: E -NLERING: _
ADDRESS: REDEP _ —
- � OTIIE —
PHONE: `1 _---- - S RE I:REO
IST/SU'1COArMACTORS: "
ARC1l/ENGINEER OUS TAX:
NAME: T21 C )TV ►��ZL�ki CALCULATIONS: _ r
ADDRESS: TRUSS DETAILS: _
_ — --_ - --- PARKING PLAN: —
_ LANDSCAPE PLAN:
PHONE: Tr9 OT11ER:
C(XIIENTS: V1"i
PERMIT /E ACCT N OESCRIPTTON AMOUNT AMOUNT P0. DAL. DUE
- 10-432 00 Building Pec-mit Fees 0.2 a - 2
10-431 00 Plumbing Permit- Fees / J Z'so
�1`h 10-431 01 Mechanical Permit Fees �-_ y j,cv _ s
10-230 01 State Building Tax (514) ,�o'Cpy
Building
Plumbing G
rlech
10-433 00 Plans Check Fee �- '�;, �. ' L 2.1
Buildings 3t) dvr"S
Plumbing _
rlech 1 .i
30--707. OO Sewer Connection 2-5 V
30-444 00 Sewer Inspection
51-440 00 Street System Dew Charge (:;OC)
52-449 00 Parks System Dew Charge (POC)
31--450 0(1 Storm Orain;vj(e Syst O(-v
10-730 09 TRFO
10--730 06 Washington County Fire /It (957.)
10-720 00 Aman/Wedgewood
101-nt- J Y c 40,()
APPl-ICnNT SI�;Nnl-(1RE
Received By: _ ----- - -- Uai � Received: /(J • / (/ ('
cn/3507P/l0P