12714 SW DANBUSH COURT - ..,.cr+�.w+xuq.+w,.;;...wr.tia�o.,,Ww . . rwr a�w.aWYpuWaudupWNtuoW/IMM�fi1MpN.
i
4.
1
.1.2714 SW DANBUSH COURT _
ELM I ra' I
CITY OFTIFARDTCjnYV 0 4FM �.-
COMMUNrTY DEVELOPMENT DEPARTMENT 0� PLUMBING PERMIT
13126SW H&I 8M.. RO.Bat IM197,Tig&M,Oimp:)n 97223(60311%4175
1:01 m%1 —JAI,
639-4171 DATE ISSUED: 06/24/91
i1TE ADI)4ES4;. . . : 12714 SW DANBUSH CT 1.5133DD-4142/4',
( BDI VISION. . . . : VILLAGE A7 SUMMER LAKE PARK P ZONINGs R-4. 5
N—OCK. . . , . . . . . . .. LOT. . . . . . . . . . . . . :63
CLASS OF WORK. . :14EW GnRPAGE DISPOSALS. . MOBILE HOME SPriCEG. -
I'YPE LA USE. . . . -.SF WASHING MACH. . . . . . . BACKFLOW PREVNTRS. . i I
')CCUP4NCY ORP. . :R3 DRAINS. . . . . . . . TRAPS. . . . . . , . , .
-.;T'OR1ES. . . . . . . . .2 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
LAUNDRY TRAYS. . . . . , : GF PAIN T�RPII .:7
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
LAVATORIES— OTHER FIXTURES. . . . . :
(_1H/SHOWERS.... SEWER LINE
WATER CLOSET':;— WOTER LINE tfit) . . . . !
1)1 SHWHSHE RS, . . .
RAIN DRH:N (ft ) . . . .
Remav,ks - SPRINKLER SY(3TEM
Owler- ------------------ FEES
TEFF J(-!NES t YPP Amoi.tnt by date V'e L--r.1 t
1,2714 SW DANBUST (337' PRMT $ 15. 00 JL.H 06/24/9i
P C T $ 0. 75 JLH 06/24/91
TIGARD IR 13712,?3
314NER
'Ihone k 1 1 H
REQUIRED INSP--'C'C IONS
'his oervit it issued sutitct to the regulations contained in the ToE)—.),-tt Insp
Tigard Municipal Code, State of Dre. Specialty Codes and all other F- .inal ivispecAlcm
vplicable laws. Pii work will be done in accordance with
approved clms. This versit will expire if work is not started
�4itNr IN days of Issuance, or if work is suiptnded for sort
than IN dayi.
':,erm L I t Pe S i Einat ix-e -
C:al1 for i n s pectx ci
■au ao wr .w moilfWA mmimm
CITY OF '=IGARD
13125 SW HALL BLVD.
P. 0. BOX 23397
T ( ,
13ERMIT TIGARD I OR 97223
��L,UM1311�v a jumbling 6,39-4175
on lteglsU at!o^ to bi rin�,ns d�t.etp (5 0 3) Ptumbi 'll mit No. -
�0jr_Ants must I�/eeg mat-"orndhi ing__
businrss or must PRICE I1NIT.
ii;;.,A Oevebl"^°ti1 � � CAJW
t` 4 CgAS 814-7' 310-- .--
Map NO FlXIURES _---- ` Iso
Job Tay Lot f--- - --- �` 7.50
/ mock 7.50_ LawataY �- _
- - 7.50
7 --
\t_?10 ' y_ ` (�C r 7.50 -
,p t C� Wat _ --
_, zo Oisfwrasher 750 _-
OWW b (� r aeo"e O`�sN°''a! -- -- 7.50
( 'f /cT Ptd' WastMad++1e 7.50
�in9
.� rw Oram _.-7.
50
Name Watert*ater `-__ 750 _
--rPt%x" 4,y goo^Tray 7.50
OSS -
_--- l)�� 750
.50
Occupant CAYale
O�{�ctures(Specityl T
�t
7.50
750
- MISGGEOUS 30.00
r_ontreet0r /State Bus. ws Tax N0. Se1st 100' 15.00
$ewer-ea.A �d20.0
s WaServos
lstt _ 15.00
tale _
tale
►�°V'. Wath sle^ °a.�ddi1 30-00
IFRA e^a 1 st-100'dud 15-00— --
tha kdom+ Sjoff, Orak�
1 hereby am as>UtU"kises" .� *"d >as Storm s� Addn.100 -- .°° - 7
U
Arven
is ooR Pkx CinO�`se tliat U'°�c er„ �'t"� .�,� 1 and 1f Mot�lle Fbrne �.__ 50 -
w00K" be
adons in�"693 (it ei e^o h°m BsciC Oewla !
Q0n Rewsed Sts4o unless W.-tedOFtS Oevi°e__or AA6----_--' 7.50
ute mghbano hav wo ba �below)UML, a p on kx N`1► d to a RXWM 7.50
t,KWE0W"EF at which W-00n PKK �struded for ate. « Gat'Bask' 40.00 Pero
o .cue and tlels pn H _-.�_— - tnsp d EW,Pk f-. .40 00 Pte.
15.00 rd^
___--- ------ _ an E 25.00
>d '0 Bldg- 1tt1n.
-- Oats ,gbq-erlaw
g f1 15.00
SIGNATURF
^iJT110R ---'-
tioll O
DWition❑ °h e j-reg '`'ft ---- �U
new O
Describe wow tes0en11el H` SUB-TU Pa.
dp16 $25.00 minimum_--- GE
-— 5$ .URCEiAR
Ex3sKJ rise al ----- 2$ PLAN REVIEW - 7
kep or prom - --- -------' TOTAL
��
----- r rot�^n-
*
�or OA rt NoT a< .te•�'d
Tri.p«*^t a,opr.aa rKAI aM 1wow At WG*
aOCKW
.,,oAcilaP --
y,b,yn 1 ,rpk M oortMn�� _- - by
a fw . at0 - - Oe" issue[/ -
CITY OF TIGARD RECEIPT [IF PAYMENT RFCFIFST NO. : A — 4661
rHr-.CK AMOUNT : 0.00
NAME a PEEPLES, Fl,-OYD AMOUNT a 31. 50
ADVRFF,S PWYMENT DATE a 06/24/91
SULDIVISION
PURPOSE (IF PAYMENT AMOUNT PURPOSE OF PAYMENT PMOIJNT PAID
PLUMBING PERM 30. 00 ST. BUILD PER 1. 50
12714 SW DANSLISH/1,2726 SW I)ANBIlt'n-H
f-WRINKLER PERMITS
Tl')T(-)I., AMOUNT PAID
■Ir 4 � +�Ir � *a '� Aar �Ir
TIGARD
PLAN ;fiECK nPPLI
(:ITYOF / �rorncxw PLnN
l J PERMICT N ✓�l f Yc'-o
COMMUNLTY OEVEL.OPMENT OOEPMI TI��nC�. DATE ISSUED
t712S iW.�w ll�+d-_PA.1So�73]9 _T�9�
-f AX MAP/LOM /3J- _33L7p Vat/1
LAND USE:
JOO ADDRESS: �'� i r ►'P M�jLOT.
VALUATION: - SPECIAL NATES
REISSUE OF: '
�J_�f,' ID�(Z 55EJ� ���--�`- LAST REISSUE:
ADORESS: U -s=-� z� � FLOOD PLAIN/
0 -c k1 = SF�ISITIV[ L1ud0: _
�� J `7- _
S7� - APPROVALS REt?UIREO_
P1{DNF__ pLANNTNG: ---
ggff RACfOR ENGINEERING: —
111AME F'IRE DEPT -.
ADIWE,SS: - - OMER: _._---
ITEMS REQUIRE
- ---- - LIS f/SUL300NTRACTORS: —
f, E: ---------
BUS TAX:
ARCS;:ENG-- INEERCALCULATIONS:
NAME: T2�_C—IT ra -au `�-� 1,,USS DETAILS:
AOORLSS: �- PARKING PLAN: _
LANOSCAPE PLAN:
-
OWER: —
PILONE:
npM1EN1�:
----- —�� AWHIT AMOUNT PD. BAL. DUE
ACCT N DESCRIPTION Sy 1
PERMIT N 'sem •---'--
JO-A3 v0 Building Permit Fees Z,�U
10---431 00 Plumbing Permit Fees ✓
71
J(Y-431 01 Mecha ;Cal Permit Fees 3U y
10-130 01 State Ading Tax �-
Building ' 5_3
✓
Plumbing ' 3
Mech
10-433 00 Plans Check Fee
Building
Plumbing
y 30-202 00 Sewer Connection » 3
Sri 30-444 00 Sewer Inspectionjj
U
Street System Oev Charge51-448 00
(SOC) 2v
52-449 00 Parks System D"v (urge (POC)
31-450 UU Storm Drainage Syst Oev puq (SSGC)% _-
1.0-230 09 TRFO
10-230 OG Washicx3tpn CoIN
County (irr
10-220 00 Amart/Weeigewood a
Rr_c Ir 3 V
APPLICANT SII;NATIIRE
Date Received:
,
MOM
AL5111
A-aim
ULAN Me
CERTIFICATE OF
OCCUPANCY
C'�OFTIFARD No PERMIT 0. . . . . . . i MST90-0234
COMMUNITY DEVELOPMENT Dl$
13125 SW HPJ1 RNA. P.O.Box 23397,Tigoud,Oregon
DATE 0
SITE ADDRLUS. . . 1 12714 SW DANDUS14 CT PARCEL.: IS133OD-07200
SUBDIVISION. . . . i VILLAGE AT SUMMER LAKE PARK 3 ZONINGi R-4. 5
BLOCK. . . . . . . . . . I 1..OT. . . . . . . . . . . . . fill
----------------- ---------------------------------------------
CLASS OF WORK, iNEW
TYPE OF USE. . . V.SF
OCCUPANCY CARP. IR3
OCCUPANCY LOADv2eto 4
TENANT NAME— i
Remarks#
Owners
DON MORISSETTE
DON MORISSETTE BUILDERS INC.
PO BOX 19524
PORI LAND OR 97219--0000
Phone *1 5103-244-9314
Contractors
DON MORISGETTE: ULDERS, INC.
15355 SW BANDY RD
#210
LAKE OSWEGO OR 97035
Mone #s 503-620--7538
Reg 0. . 1 35533
Occupancy of the above veferenced building ig hereby given, avid cert ifitree
the complianc ,.- with the ,,,tate of Oregon Specialty Codes for the groups
arcupancyv and use under which the referenced permit was issued.
FIRE DEPARTMENT LDING INSPECTOR
NOOFI AL
POST IN CONSPICUOUS PLACE
MWIVII all q
M6141W.-f - - N
View comments Loi reelected item
64MASTER PERMITAS ASAAaAaAAAbaaaAAaAaA$AaAAaaAAAAaAAd&hAS&AAaAadAda
6a�aasaaaaaaC
:MST90-0234: PROJECT:VILLAGE AT SUMMERLAE: 3TATUS:I UPD:OE/09/90: :JLH: °
PERMITTEE:DON MORISSETTE
° SITE ADDRESS:12714 SW DANDUSH CT PRIM. . :MST90-0234: °
34 CASE HISTORY AAAAAAAAaasaadA""63aaaReq/SentaSchd/DueALr.'/LlonehaByAStataaat
A705 Foot/found Inap
A707 Wtr. Proofing Bsm,t Walls 08/16/90 Ks APP °
A'710PoetJBt�am Structural 08/24/90 KS N/A °
° A711 Poet/Beam Mechanical. 08/28/90 KS APP °
° A713 Crawl Drain 08/28/90 KS APP °
° R717 PLM/Underfloor
° . 718 Ftng Drain BemIt Walls 08/27/90 TP PASS
A720 Mechanical Inep
A722 Plumb Top Out 11/14/90 KS APP
A725 Framing Insp 10/03/90 14S PASS °
1.726 Framing <REINSP> 11/06/90 KS DIS
° A726 Framing <REINSP> 11/13/90 KS DIS
n A730 Fireplace Insp 11/14/90 KS APP °
A735 Gas Line Irsp 10/31/90 KS APP
A740 Insulation Inep 10/22/90 KS APP11/14/90 KS APP
°
aaaaaaaAAaaaAAaaaaaAaaaa,�Aaaaaaa�isa5aaaaaaaaaaaatiaaaaaaSaaAAaaaaaaaAaAaagaaaa3i_
HISTORY: VIEW UPDATE DELETE ESC
Delete selected item
OAMASTER PERMIT$AAAAAAaAAgAAAaAaaaaaaaa.daaAaAasAAaaaaaasafiaasaaAAaaaaaasaaaaAA�
°° :MST90-0234: PROJECT:VILLAGE AT SUMPwPLAE: STATUS:I UPD:08/09/90: :JLH: °
PERMITTEE:DON MORTRSETTE
SITE. ADDRESS:1271G SW DANBUSH CT PRIM. . :MST90-0234: "
dA CASE HISTORY AAAAaAAAAAAAAAAAAAIAAAAAReq/Santa.9chd/DueAFnd/DoneAAByAStataAAC
A745 Gyp Board Insp
A755 Rain drain Inep 11/27/90 KS APP '
A760 Water Line Insp
A765 Appr/Sdw.ik Insp
A795 Mechanical Final 11/15/90 CWV PASS °
A795 Mechanical Final 12/27/90 KS DIS °
A797 Plumb Final 12/31/90 KS 1APP P
A799 Building Final 12/18/90 MS ASS °
A799 Building Final 12/27/90 KS DIS °
A799 Building Final 12/28/90 KS DIS
12/31/90 KS APP °
&aaAaaaaA€�§aA3aaaaaaaaaaaaAaaaaa55A �aaAaaaaAAAAaaAAaaAaaaAAaaAaaAAaASaAAaaaAAi.
INSPBCTIQN wyrlgE
City of Tigard Building Department
13125 811 Hall BY d. Tigard, Oregon 97223
Innk-action Line (Rec-o-Phon.. : 639-4175 Buninenn Phone: 639-4171
Inspection:—_` --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. vlby. Top Out Gas Lina F1t1A:L;
Post/Beam Struct. San. Sewer Framing -Dld
Post/Beam Mach, Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line/ Gyp. Rd. -Meeh.
DateRwplestod: —��` I /y� --Timet AM ^ . _PM
Address:
_,r_;� �"—�=�—^ _d-LA&L6.Permit isQd Awl
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: / Date: [ f77 —
APPROVED DISAPP1lOVlD APPROVED SUBJECT TO ABOVE
--Call For Reinep.
i
INSPECTION NOTICB '
City of Tigard Building De '
13125 SW Bao u11 Blvd. Tigard, rOr�97223
Inspection Line (Rec-O-Phore): 615-4775 Business Phone: 639--- /l
Inspection:—' slab
Footing Plbq. dB1 - �-
Mech. Rough-in
ppr/Bdwlk
Found. Plbg. Top Out Cas Line FINAL= 6
Post:/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mech. Rain Drain
Insulation -Ply.
Plbo. Underfloor Nater Line
Gyp, ed. -Mach.
Date Requented:_-�_�
TINt AN PM
Addreea: /�
Bkji)der: POLIOLt #I
TBE FOLLOWING CORR.,CTIONS ARE RRQUTRED: ,
Inspector!
/ // Date: 11
PROM DrSAPPR4 D APPROVED SUBJRCT TO ABOVR
Cell For Rainap.
INuPECTInM hOT3C$ ��/t 'J�
City of Tigard Building Departument
131.25 OW Ball Blvd. Tigard, Oregon 9:223
Ingp-tetion Line (Rec-O-Phone): 639-4175 nusinoss Picone: 639-4171
Inspection: ----- --
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line ��K1wt 1
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/neem Mach. Rain Drain Insulation -Plumh�
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Reques•ed• I Z ,Time: AN �PM
Address:_t,Z 11L1L 4,> CCA Permit it Oz�y
1 tl`
TIM FOLLOWING CORRECTIONS ARE REQUIr.ED:
--
Inupector: �`�LL ---- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
:all For Reinsp.
IW 'w
TNSPECTxON,NO'T'ICE
City of Tigard Building D"rtabent
i3325 SN Ball Blvd. Tigard, Oregon 97223
Inspacti.on Line (Rec-l-Phone): 639-4175 Business Phone: 639-41
InepectIon:__�_ _ -- -Rough-in Appr/Sdwlk Rouch
H -
Underelab e .
Footing Plbg• g
Found. Plbg.
Top Out Gas Line FINAL:
poet/Beam Strutt. San. Sewer
Framing -B13g.
Post/Beam Much. Rain Drain
Insulation -Plumb.
_ � -Nein.
Plby. Underfloor Mater L1ne ` Ba. `
TiM-
Date Regaeutedt �L
.Address:�� 1.C.6+�-- Pereit
B„!.mer:
TM VOLLOWINO CORRECTION.; ARE REQUIRED:
64 /ice. rlJiJr%.�!
J Date: (Zz2� -C_
Inspector: /- - - --- --
A,'PROVED _--_ DISAPPROVED APPROVED SUBJE(,'P TO ABOVE
Call For Reinap.
INS PECT Y O 1JNQT I CE
City of Tigard Building Department
13125 BN Ball Blasi. Tigard, Oregon 97223
Inspection Line (Rac-O-Phone): 639-4175 BUBiness Phone: 639-.4171
Inspection: _..___
Footing P1bg. Undoralab Mach. Rough-in �Appr/Sdalk,/
Found. P11)y. Top Out Gas Line rlNALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Niter Line Gyp. Bd. -Mach.
Date Requested: �Q_,/ Times �P/M
Addrens:^f �/ Permit i
Builder-
THE FOLI.OWINO ODRRECTIONS ARE REQUIRED:
ZL.L: c-dyij;�l�
Inepecto a l� ayJ_�.�t�� Dates
R DISAP,*OVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INBPFCTION, 1�0'1'IC8
City of Tigard Bui.ldf ng F)ep&rt'wnL
13125 BM Ball Bl-d. Tigard, Oregon 9722.3
Inspection Line (Roc-o-Phone): 639-4175 nualnesss Phone: 639-4171
inspect
Footing Plby. (lode Blab
Mach. Rough-in Appr/Sdwlk
Plbg- Top Out
Gas ]..ine FINALS
Found.
Poet/deam Struct. San. Sewer
ramLng -Bldg.
Plumb.
;'oat/Beam Mach. Rain Drain
Insulation -
Oyp. ad. -Hoch.
play, Underfloor. Mater Lino
Times AN PN
nate Requested: y
Permit f s
Address: /� —
V 1 S
8uildere��
TRE FOTtAM114O CoRRECTIONs ARE REQUIRED:
--------------
lnepectors I _ �
_APPROVED DISAPPROVED - _- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
MIN "M a*
I
i
INSp_BCTION��oT—IC&
City of Ti.gari B+iI-ldinq DepaLtment
13125 BN Sall Blvd- Tigard, Oreqon 97223
inefection Li�A (Rec-O-Phone): 6I'll39-d175 Business Phone: 639-4171
// ell- /
Inapection:_ -
Underalab Mech. Rough-in Appr/Sdwlk
looting plbq.
Gag Line FINAL:
Found. pl,bg, Top Out
Framing -Bldg.
Poet/be.va Struct. San. Sewer
Poet/Beim Mach. Rein Drain
Insulation -Plumb'
ad. -Koch
plbg- Underfloor water Line
Gyp. .
Date Requested:_
r Permit
Address:.__
Builderz_/ --
• I
THE
PQLI.ONIN(S OOAAECTIUMS'. ARL A84UTASD: ,
---------------
r
----------------
--------------
`J Date:
/ �-
J�P =p DIRAPPROVRD Lam' JkMRD BUlIM TO ABOVF.
�*�� Call For Reinsp-
INSPECTION NOTICE
City of Tigard Building department
P.O. Box 23397
Tioard, Oregon 97223
Phone 639-4175
Type of Inspection
r
Date Requested___ea - �_ Time A.M.--P.M.
Address A: ��� ,��U��` _ � Permit 4'" _111-)?�
Owner__ _—�_ Lot #
Builder .r
The following Building Code deficiencies are required to be corrected:
17, 45
Presented to Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
0 YES 0 NO
,-W MW MWML7W
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 _ �� ��L� ��-
Owner y --�" Permit &V/',,/ 1
Builder Lot
The following Building Code deficiencies are rejuired to be corrected:
------------
Presented to — - - -
Inspector i ; — ARproved /
Data 9 d Disapproved
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175 /
Type of Inspection
Date Requested C Time 's A.M. P M
7/h/ Permit
Address --
Lot #
Owner --
Builder - �---
The following Building Code deficiencies arc required to be corrected:
i
— i
IPresented to pproved
Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YFS F-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
PYione: 639.4175
Type of Impection
-C" Time A.M. P.M.
Date Requiasted_
��� Permit
Aildress - .
Lot
Owner
Builder
The following Building Code deficiencies are required to be corrected:
-- i
oK�App
roved
Presented to -_.
p;capproved
Inspector - -- -
Date - --- —
CALL FOR REINSPECTION
C] YEA Cl NO
INSI-ECTION NOTICE
City of Tigard Budding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectio
Date Requested d3 _ 3
�_ Time — A.M. P.M. /
,'-ret"ddres_s /-2 i Permit
Owner
-2_�� i
`
Lot
The following Building Code deficiencies are required to be corrected:
c
Presented to _ _ Approved
Inspector
- — -- ------- I � Disapproved
Date
CALL FOR REINSPECTION
❑ YE3 ❑ NO I�
f
r
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2:339/
Tigard, Oregon 97223
Phone 639-4)75
Type of Inspection _
Date Requested � - ,
Time A.M. P.M.
Address 1 �/ ,—
Permit #�J�G�
Owner
Builder Lot_-���
The following Building Code deficiencies are required to be corrected:
moi' Gx�la v 7 C• �l7 -_____ -- ---�� --
Presented to r7 aroved ---
Inspector _ L_ t --
Date G` CJ Disapproved
CALL FOR RFINSYECTION
CC 77 YES ❑ NO
CITYOFTIFARD
MASTER PERMIT
yp�t�,ggeD G'E:.'F<MI'T' #. . . . » » , c MST90....0234
COMMUNITY DEVELOPMENT DEPARTMENT omeocw r'F:IM. PERMIT #. a MS'T'90•-0234
13t2sswHWIBlvd. P.o.Box 2x397,TOW.aew97M*W)f?.°7317e �� DATE ISSUED: 08/09/90
SITE: ADDRESS. , . : 12714 SW DAN14USH CT PARCEL: 1S133DD-07200
Sal. BDIVISION» .. . » : VILLAGE AT SUMMERI...AK.E ZONING:
HI._OCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . : 111
_____...._._......._._......._._..__...._.._.._____..__� __-_..____ BUILDING .........
_.....__
REL'IS3SUE:MST9O-••O161 DWELLING UNITS:1 BASEME'NT. . . . . . . . cO s;f
CLOSiSi OF WORK. ::NEW BE:DRM S c 4 BATHS:3 GARAGE. . . . . . . . , . :586 s f
TYPE OF USE. . . :SF FLOOR ARI_.AS - - ~- REUUIRED
T'YF:'E: OF' CONST. ..5N FIRST. . . . : 1.2 83 f LEFT. . : 1.9 ft: RIGHT., :::; ft:
OCCUPANCY GRP. :R3 SECOND. . . . 10:12 f' FkONT. :20 ft RE:AR. . :54 ft;
STORIES. . . . . . . :2 THIRD. . . . .-O s-,f RE0UIRED-----__._._.-... __._...__......_.......
IAF.,1 GHT. . . . . . . . ..2b •f t TOTAL-••--•--•-•••-•--2295 s f SMOKE DETECTORSi. :Y
F'LUC)R LOAD. . . . ..40 psf VALUE. . . . . $- 1.0(:,1):38 F.,ARKING SyPAuES. cO
Rerm<-ark.s a
....... PL.UNDING _.._.. .._ ____. ..__ _._ ____.___..._...___..__.._......_....__.__...._.....
(: FLOOR DRAINS. . . . .0 BACKFLOW PRE::VNT'RSf» . :El
I..AVA'T'ORIES. . . .. . :3 WATER HEATERS. . . - 1 'T'RAPS. . . . . . . . . . . . . . :0
TUD/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS.. . . . . . . ..W
WATER CLOSETS. :J SEWER LINE (ft) . :0 GREASE TRAPS. . . . .. . ,. :(d
D'1:Si111,10S HERS. . . » : 1 WOTLI LINE (ft) . : 100 OTHER FIXTURE,"a. ..
CiARE+AGE DISP. . . a 1 RAIN DRAIN (ft) . :i8
WAGI•IING MACH. . . : J. SF RAIN DRAINS. . : 1
.............-.-._.._-..._..-_.._..._-_. MECHAHICAL. _.._._..._....._..._._ .._._.___._..__ _....._.._._._........_..._._..___ FEES ...._._....
___..___.__.._.___
FUEL 'T'YPES- -- -_..___..___-- UNIT HTRc.3. . :0 type antot.trtt by date •reept
/(.;A!a// // / VENTS . . . . . .0 PAYIII 1i 40. 00 ,7LH
MAX INPUTaO DTT VENT FANS. . :2 C.PRT $ 450,. 50 /
F URN ( 100K . . :0 HOODS. . . . . .. -. "I FPLC $ 40. 00 ! /
TURN )=100K . . : 1. WOCIDSTOVE_S. -o BSPC 1, c r.. °.i3
FLOOR TURN. » . ,. :F) CLO DRYE':S. : 1 FPLC $ 30. 00
POIL../CMG' < 3FIF :H 0141E.R UN1.TS:0 STDC $ 600. 00
GAG OUTLETS a 1 SSiDC sg 250. 00
0wrte•r: - - --.__._......__..... ............................_......__. ___ __.._... 1::,ARK $ 250. 00
DON MORISSETTE MPRT $ :34. 50 / !
1)(:)IA MORISSE'TTE BUII...DE:RS [NC. MPI_.C; 'I• 8. C-',3
1-'C) BOX 19524 M`iPC: <h 1. 73
PORTLAND OR 97219-0000 ,PRT f 1.32. :50
r'horte 11: 50:3-244 9314 PSPU $ 6. 63 / 1
C:carttra(,tcar. .......- _..__._._._..._.______..._.__..__._..__....._..__._..___._. 1"1AYI1I 4• 1.787. O2 JI...I•i 03/09/90
DON 1,1O"�ISSE.TTE: BLDE::RS, INC .
1' 0 DOX 1.95214
1,C)RTLOND OR 972.1.9
I'Itrot'te #: 503-612.0...•'7538
Neq #. . a 35533 ....__....
_._.___.___.__.._.___
$ 1.827. 02 TOTAL..
This permit is issued subject to the regulations contained in the - - --- - - REQUIRED INSPECTIONS --
Tigard Municipal Coder State of Ore. Specialty Codes and all other Foot/found Irtsp Mechanical Tnsp
applicable laws. All work will be done in accordance with approved Wtr Proof:irtg E3tim fo'lt.tmb lop Ot.tt
plans. This permit will expire if work is not started .rithin 188 Pc)st/Beans S3t•rt.tcct F•rantirtg Tnsp
days of issuance, or if work is stT�dedd fo more than 8 days. Post/Beam Mec han Fireplace :Lrtsp
(:•yawl. Dirai.n (Bas I._itte Trtsp
� F:'1.m/t.tt•tds,1.ab I i i s p I1-1st.t1atiort I:rt_>p
FILM/Underfloor Gyp Board Irtsp
t.tc d Hy: F'tnq D•rai.rt Psin t Rain drain 7:1-1sp
'all for irtspection 639-4175
C-TI'Y OF TTGAPD PE-C,z-IPT OF PAYMENT PECEIPT NO.
I jArlr-. CHECk AMOUNT'MORISETTE. DON
CASHAMOUNT
PAYMENT DATE
Op,, c?72 19— SUNr�I V I Ci I(]N
P U P P LiS E OF PA,'MENT AMOUNT PAID PUPPISE OF PAYMEHT ',M0l.JNT PAID
L'I L MG
KI FT
MEQ CHANILAL. PE
'::LAP4 CHECP-� F-E rou SiT. ESU"I-r,' F-Ere r. 89
APK's SDC "O. 6r STPEET
1'7"14 SW Dp4plr!l.jSlq
f'OTAL AMOUNT PAIr)
GF.WER CONNECTfON
CIIYOFTIFARD ALix PERMIT
CMCFIWRD PERMIT 11. . . . . . . SWR90-0248
COMMUNFTY DEVELOPMENT DEPARTMENT 0� PRIM. PERMIT #. MST90-0234
13126&W Hell Blvd.P.O.Box 23W,TlWd.Oregon 9"." 4��7 DATE I!3SUC.Ds 06,129/90
SITE ADDRESS— : 12714 SW DANBUSH CT PARCEL: IS133OD-I)SIA-1
S1JDDIVISI17N— . . i VILLAGE AT SUMMERLAKE #3 ZONING:
BLOCK. . . . . . . . . I LOT.. . . . . . . . . . . . C111.
TENANT NAME- - :
USA NO. . . . . . . . . . :41658 FIXTURE UNIIS. . . c
CLASS OF WORK. . . :NEW DWELLING UNITS. . : J.
TYPE OF' USE. . . . . ..SF NO. OF BUILDIN05:1
INFTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :Sf
FEES
DON MORISSETTE type aniocti-it by date -r e c.,F)t
DON MORISSETTE BUILDERS INC. PRMT $ 1.250. 00
1'-',0 BOX 19524 INSP $ 35). 00
�,orul-AND OR 9'/219 0000 PAYM $ .1285. 00 JLH 06/29/90
Phone #n 503--244 931.4
Cciiitracta-r: ---
CONTRACTOR NOT ON FILE
1.285. 00 TOTAL
R E 0 U I R F D INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Irispectic)r) ........
of the Unified Sewage Agency. the Permit expires 126 days from ............
the date issued. The total a4ount paid will be forfeited if the ........
permit expires. The Agency does not guarantee h: ace-,racy of the
side sever laterils. If the sewer is not located at the measurement
given, the instiller shall prospect 3 feet in all directions from ....... .......
the distance given. If not so located, the inste'ler shall purchase
d "Tap and Side Sever" Permit and the Aaency will install a lateral,
('111ittee —------
BY: ....................
Call fo-r irispe(-tiori 639--4175
GRATING/EROSION CUh 1'KUI INt UI<n�n 1 It ���
GENERAL CON7RACTOR NAME&ADDRESS: CASEFILE NO.' —
Of:x,l fel[ ' --r1r P.LIILI-CL2 PERMIT NO.:
r'"�_ ► �� 1 e
APPLICANT NAND AND ADDRESS: I
EXCAVATIO' CONTRACTOR C!!��' lfLl
�l�
f P1 1/L47�:7c'
NAME& ADDRESS:
O R NAME AND ADDRESS:
4,1
TE!EPFIt)NE NUMBERS:
APPLICANT:± 1\ MOi'_1�ti`� Tir (��.P(
PROPERTY DESCRIPTION:
OWNER w c'1�'f'1 t TtI t�.Di My,
D ISS ND (�SS STREET/LACATED
GENERALCONTItACTOR:-i`!�1 l ML`�1`'s.► 'T TF PxtX. _�_v��.I.l
EXCAVl.TION CONTR ACTOR:i.� it. _ l_ . N+-t-'T
STI'F./]OB
LEGAL DESCRIPTION:
24 IWAFTER HOURS EMERGENCY TAX LOT NO.: _
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: _ _
SITE S17.E,ACRES: I LTs'f7, 7
DISTURBEDIWORK AREA,ACRES_ _
LOCATION& A.DDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE..ONE)
(NOTE!PE RMrrS MAYBE REQUIRED) (ATCFI`�ASIN DITCH PIPE CREEK
(CIRCLE ONE-) PRIVATE PROPERTY_
iCNLIC RIGFTT OF`11AY
EROS lN,'5EDIMENTATIQNS'QNN7 QL_(El n�S
MINIMUM ESC RF.QUIRFMFNTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILMES STABILIZE EXPOSED SURFACE.
STABU TZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL. FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERP .ANT FACILTTIE-S
CONSTRUCI'ION SEQUENCE OTHER _
OTHER —_
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK%
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE.NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEAS(IRES,A'
APPLICABLEL STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE APPLICANT SIGNATURE
0M- CIAT,USE ONLY.
RECEIPT DATE ACCEFITI)
iI:E NUMBER RECEIVED BY —.-----