11862 SW 125TH COURT a
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RTIFICATE
CITY OF TIGARD PE:RMITE#FOC:CUK�. . : MST93 1 .
COMMUNITY DEVELOPMENT DEPARTMENT DATE-- ISSUED- 05/04/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 1 S l.:s,=,OD--10400
;ITE ADDRESS. SW 125TH CT
;UBDIVISIQIV. . . . : VILL-AGE AT SUMMER LAKE. PARK 4 7.ONING):P-4. 5
13 L.O:.'I(. . . . . . . . . . . LOT. . . . . . . . . . . . . : 141.
:LASS Of WORK. NEW
TYPE OF USE. . . :Sr
)CCUPANCY GRP. R3
OCCUPANCY LOAD:22,7 4
TENANT NAME:. . . :
'7emarks : F*A-fH I
(Iwnerc __..._._.___.._.__.__._._..-. __..__.___._..._......__.__._..___._.._._.
MOR I S SETTS HOMES
1.5555 SW BPNGY RE)
'.'UI TE #201
I..AKE OSWEGO OR 97035
''hone 0: 6207530
i.;ontractor:
0ON MORIG5ETTE HOMES
i000 SW MEADOW2 RD
QUI iE: 151
'_AK1::: OSWEGO OR 97035
.,hone f#: 620.-7538
,?eq f4. . a 35533
' his Certificate certifies that, the above referenced hti.1i piing cr portion
. hereof hos, been inspected for compliance with the Tigm.r,1, Building Code
or" the gv—OMP and division of oc.-,uupancy and use -for whic.lt,,tI..,e stove
ef'erenc_ed permit was issue(j, and occupancy is her y granted.
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BUILDING INSPECTOR t1.l,L ING OFF ICI L
P05T IN CONSPICUOUS PLACE
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CI1Y OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT'
1:3125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PE-7 R MI T #. . . . . . . : PLM94--'Z,15"-j
639-4171 DATE ISSUED- 07/ 7/94
PARCEL: IS133DD---10400
SITE ADDRESS. . . : 1186L SW 123JTH CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . : 1.41
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : l
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . . TRAPS.. . . . . . . . . . . . .
STORiES. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . .
F I X TU LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
.31 NKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE ',ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : BACK FLOW DEVICE
Oi,yner,. FEES
KIM PILMERINKE type amoi-int by date t-ecpt
11-682 SW 1,25TH CRT' PRMT $ 15. 00 SW 07/E7/94 —
5PCT $ 0. 75 SW 07/27/94 —
TIGARD 013 97223
Phone #: 5,:-4--7475
CriTitt-actor:
OW",'ER
l3hove ff: $ 15. 75 'TOTAL
Req ?A. 100000
REQUIRED INSPECTEONS
This 7e:-;It is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Insmertion
applicable laws. All work will be done in accordance with
approved plans. This perpit Hill expire if work is not started
within 180 days of issuance. or if work is suspended for sort,
than 180 days.
Permittee S i g n a t 1.t r,e
i, 5 S 1A P d B
r. Ca 11 fur inspection 639-4175
City.of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERM17 FEE + ST. SURCHARGE
N.n,.•I o.V.bpm*M �- New Single Family Residences Only
•+• ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job ❑ 3 BATH HOUSE $22! 00
Address CNy 91.1. Al Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
N.m.lrc n.m.061q•I.•.) FIXTURES QTY PRICE AMT
Sink 9.00
M•ft°Ad&••• ph^ Lavatory 9.00
Owner c Tub or Tub/Shower Comb. 9.00
ar Shower Only 9.00
Water Closet 9.00
0 b.. .) Dishwasher 9.00
Garbage Disposal 9.00
Occupant M..,°A°e„. ph.°. Washing Machine 9.00
Floor Drain 9.00
ry•I•
zip Water Heater 9.00
Laundry Room Tray 9.00
N.m. Urinal 9.00
G,her Fixtures (Specify) 9.00
M.i,g Aft„. Ph- 9.00
Contractor - --
9.00
clly/sl.l. zip 9.00 -.
Sewer 1st 100' 3000
SIM.R.p.b.lron Np c.T 13• T••No Sewer -ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 2E.00
number given is correct. (if exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
=q,.n..i•...,rc ro•Iln Di1i Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new addition Q alteration Q repair O Catch Basin 9.00
to he done residential O non-residential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
or roe Rain Drain, single family dwelling 30.00
huildin
9 property rty �ltSK�r l %C 1_
Residential backflow prevention
CL devices 15.00 ,
Proposed use of
hwlding or property
� *(Except residential backflow
> -prevention devices)
F-
NOTICE "Minimum Fee $25.00 SUBTCTAL
t
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
w AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5°/. SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED C ABANDONED -FOR n PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
PLAN REVIEW 25% OF SUBTOTAL
COMMENCED.
TOTAL
Special Conditions
Date issued by -�
INSPECTION NOTICE
City of Tigard Building Department
13325 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phoae): 639-4175 Business P one: 639-4171
Inspection:_ L
Fooling Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet./Beam Struct. San. Sewer. Framing -Bldg.
Past/Beam Mech. Rain Drain Inoulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: '� ___Time: _AM ��U� PM
1
Addreees 11 Z, 2 _ Pelrmit
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Buildert�� �� _ / / +`� 2-�
THE FOLLOWING CORRF.CTION3 ARF. REQUIRED:
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Inapeatari_�L l'�•�— -. — Datet
APPROVED DISAPPROVRD APPROVED SUWNCT TO ABOVR
Call For Reinep.
INSE)rC.'PION NOTICE
City of Tigard Ouilding Departnant
13125 89 Hall Blvd. Tigard, Ores:jon 97223
Inspect on,.Line (Rec-O-Phone): 639-4175 Bustness Phone: 639-417
Inspection: 4—, �A, c-r - ( _�
Footing Plby. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Bea:n Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nator Line
Gyp. Bd. -Mech.
Dates Request
ed: "I ' �� 4 ^�l� Times AM
Add,-eee: I V L, �_D L 1yJ rPermit `" J i �,
Builder: w" s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepeotors L �'� Date: 4 'A
APPROVED
"D RAPPROVFU APPROVFn SUBJECT TO ABOVE
Y �( Call For Relnep.
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INSPE�_TION NOTICE �
City of Tigard wilding Department
13125 SW Hall W vd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 6(13^9-4417�5 Business Phone: 639-4171
Inspections____ ��t �[]-1 YlW U r 0
Footing Plbg. Underalab Mach. Roagh-in Appr/Sdwlk.
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plural-.
Plbg. Underfloor QWater Line Gyp. Rd. -Mech.
Date Requent((ed:` rV1 Times /�/�AMM PM
Address& I I W 2 �2 ✓ Permit #sRK /11`I-DI
Builders Tony eQ 1vl
THE FOLLOWIFJ CORRECTIONS ARE REQUIRM
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Inspector ::2 Date: �l
}�APPROVI<D _� D?SAPPROVED APPROVED SUBJECT TO ABOVE
TT��' Call For Rainep.
INSPECTION NOTICE O
City or Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregou 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• _—.—
Footing Plbg. Underslab !Lech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line [/ Gyp. Bd. -Mach.
/
Date Knquestedt / -7- c? /C� 7 / ` Timet Ax PM
Address:/ (!/�y�� /r� 5r� 1�� T• 'P'7ermic i=a�'"�
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Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED• r 9 .
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APPROVED �- DIS PROVEr - APPROVED SUB.IECT To ABOVE
Call For PeLnep.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line U/ Gyp. Rd. -Meeh.
Date Requested: �� �I I Time: 2 AM PM
Addreas: I ' Ao2 IC1, , Permit f:
Builders ('f n6a('
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THE FALLOWING CORRECTIONS ARR REQUIRED:
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inspsators 774 rtt 4_5 Dat.:
11t1�0VlO DISAPPROVED APPROVED SUAJRCf TO ABOVE
_Call For Reinsp.
INSPECTION`NOTICE 11
City of Tigard Building Department 1 1
13125 Biz Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections ----
Footing
—Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/beam Struct. San. Sewer Framing ti -Bld
Post/Bean Mech. Rain Drain Insulation -Plumb.
Plbg. Undezfloor Nater Line Gyp. Bd. -Mech.
Date Requestedsf ) `�' //1 TLse: AM QPM
Address:-//V d& '.), ).), ,f1 L/ �Permit
Builder: LU
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THE FOLLOWING cORRECTiONS ARE REQUIREDs
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Inspector:
'' APPROVED DISAPPROVED Y APPROVISD SUFLYNCT TO ABOVE
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 619-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr./Sdwlk
Pound. Plbg. Top Out Gas Lin FINAL-
Post/Beam Struct. San. Sewer Framing- -Bldg.
Post/Beam Mech. Rain Drain Insulationn -Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -Meeh.
Date Regt:eeted: > IT' ( TL�t _AN PM
Address: Z L�� C"' 1 PersLt t� --
Builders (
THE FOLLOWING COP"CTIONS ARF. REQTIIRED:
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Inspector= —— Date:
APPROVED L /DISAPPROVED APPROVED SUBJlt,-T TO ABOVE
�/ Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Sall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 ausiness Phone: 639-4171
Inspection:
F,3oting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer framinc! -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: Times AM PK
Addrene: 2.� Permit #t
Builaei: MtY
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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IneptltaOrt ' / Dates 3�"'
APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call For Rsinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 Be Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inmpection:` __
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Hoch. Rain Drain Ey"P.
ion i' -Plumb.
Plbg. Underfloor Water`Line -Hoch.
Date Requested: J �(I Timai —ZLM __ —pM
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Addro ee: �_� c1 (�� permit f t --rL 'rL..L
Builder:_
THE FOLLOWING OORRECTION9 ARE REQOIR1)t
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Inspectors _ Datae
APFROVMD nIsAPPROJED V JIPPROVED SUPJEf'C TC ABOVE
1 ) Call For Reinep.
INSPECTION NOTICE
• City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• _ ✓�
P�,jting Plbg. Underelab Mach n N Appr/Sdwlk
Pound. plbgr Tpji�iit Gas Line FINAL:
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Post/Beam Struct. San. Sewer Framing ) Jr ( -Bldg.
Post/Beam Mech. Rain Drain yInsulation Y� -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: {I TiaN� AM PM
�
Address: I I 4- �7 cPermit
Bui.lderiL-lpl (, ,�)e 017)
"'RR FOLLOWING CORRECTIONS ARE REQUIRED: ' 1
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Inspectors_-__ v �-�
APPROVED V DISAPPRBJ
OVED APPROVED SUBJECT rO ABOVE
RO
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t INSPECTION ..OTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phonet 639-4171
Inapection:_—
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top OuL Gas Line FINAL:
Post/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Meeh.
Date Requesteedt. �'r1 Time: AM PM
Address: 7_` 1 a C� ` Z -
- c-�k- Permit t:� 1 c 1 \
Builder:
THE -OLLOWING CORRECTIONS ARE REQUIREDt It1C.
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Inepectori 4` -- Datsr_� 1 _ lid
_APPROVED �/ISAPPROVED APPROVED SU"ICT TO ABfri/E
\ .mall For Aninep.
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INSPECTION NOTICE (�
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 9727.2
Inspectirn Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
_ -----
11
Fwcing Plbg. Underalab MOON. Rough-in Ajppr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewsr (-Framing +� -Bldg.
Pnst/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water 'L)in(e� Gyp. Bd. -Hoch.
Date Requesteds_ � !
7 — /7 Timstt Q _AMMO PH
Addrese s 1 l`6 e 2, 1, �_ _ Pemit �t /7?--! ) 7(O
Bu1ilders ' l�tte 2`7—7'`f/- > Z Z 3
THE FOLLOWING OORRECTIONS ARE PIMIREDt
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Inspectors '� ~ _ Dates 3
___APPROVED /DISAPPROVEDAPPROVED SUBJECT TO ABOVE
/j ✓Call Por Reinep.
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INSPECTION NOTICR
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)t 639-4175 Business Phone. 639-4171
Inspectiont
Footing Plbg. Underslab Flech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out (las Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lina oyp. Bd. -Hech.
Date Requestedt 1 - -1 Ti.. AM PM
Address: ' I � � t2._- ` Z-- Permit t,
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapactors__�l Dates
__APPROVED ___k__,DISAPPROV=D APPROVED SUBaSCT To ABOVE
�CR1 For Rainsp.
SPECTION NgTICE
City or Tigard Building Deparlaeat
13125 611 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line lINALs
Post/Beast Struct. San. 6ewar Framing -3ldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mesh.
Date Requestedt - -' rD 1` I Ll _Times AM PM
Addreses � '&r2 ---13 C_� Permit
Bui1ders1"WtSSe"" e Lam 17 �
THE FOLIAMING OORRECTIONS ARE REQUIRED:
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Inspectors Det ne
APPROVED DISAPPROVED APPRt)VED SUBJFCT TO ABOVE
Ccll For Reinsp.
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INSPECTION NOTICE \�
City or Tigard Building Department \
13125 SW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec--o-Phone): 639-4175 Business Phone: 639-4171
Inspection:___
Footing Plbg. Underslab Mech. Rough-in)x Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
-`1
Dnt-„ Requested: -T _AN PM
Ad'110862 lL' `" Permit �3-g5Ito
Builder=
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date
APPROVRO --\e-/DISAPPROVED APPROVED SUBJECT TO ABOVE
t Nzall For Relnsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Foot:tnq Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fouid. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mach. Rain Drain Insulation -Plumb.
Pltrq. Underfloor Nater Line d Gyp. Bd. -Meeh.
Dare Requested: ` - r Timn: r 2 111f _ PM
A ldress: ( , 16 O-2— Z S �� Permit #:/-�` / - �'� �r_
1dar:- ,.'�` � " _�Vy\ -?—,A
T1IE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors '� Date:
APPROVED �- DISAPPROV3D _ APPROVED SUBJECT TO ABOVE
Call For Reinep.
rNgPECTION NOTICE
City of Tigard Building Department
13225 OW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection:
Footing Plbq. Underslab Koch. Rough-in Appr/Sdwlk
Found, plbq.`Top Out Gas Line FINAL:
Post/Beam etruct. Ban. Bower Framing -Bldg.
Post/Beam Kech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Reques�tod_sL �/��/ f I Times -L—Am PH
Address s �/C c� I Z=7 c4 . _ Permit #t e-1'3-157(G
Builders �1 7-71j�
THE FOLLOWING OORRECTIONS ARE REQUIRED:
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Inspectors
"PROM ( DISAPPROVED APPWWSD SUBJECT TO ABOVE
/' Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SA ®all Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)s 639-4175 Business Phone: 639-4171
Inapection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struat.`l San. Sewer. Framing -Bldg.
/dost/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Wlater/Linre/ Gyp. Bd.
Date Requested: ) ( Cr �(�1 _ Time: /pl(
Address: L- n,IPPermit #1 Iv`�� 13
Builder: na���`�t_
TNF. FOLLOWING C0RRRCTION8 ARS REQUIRED:
CL
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Inspector: - bate:- / lell,
~9 /
G APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE /yam
City of Tigard Building Depertam.:
13325 BW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phons):I 639_-X4-175 8 •iness Phone% 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Fouad. Plbg. Top Out Gas Line FINALt
Post/Bar struck. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Data Requested/t �� fj Timet AM Pi!
Address: Z 12'� r�` `� A, Permit is �'\ '( 'i--37Git')
Builders I V��C "'�tu I" j kt 2 q) (9 / /(0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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r�_APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVR
--Call For Rsinsp.
INSPECTION NOTICE
city of Tigard Building De%artwent
13225 SW Sall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O,-Phone)t 639-4175 Husiness Phone: 639-4171
inspections
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Povnd. Plbg. Top Out Gas Line FINAL:
Pont/Deam Struct, fiA, Framing -Bldg.
Pose/Ream Much. Insulation -Plumb.
Plhy. Underfloor or. Lin& Gyp. Rd. -Mach.
Dace Requesteedl:. 12 - 23 Ums O' t AN PN
Addreee:_ I tJl�� 2 Jl� , PdrNiit fI3-
D❑llders
THP, FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:1' --- _.� Date:
/1--APPROVsb DISAPPROVED APPROVED SURJECT TO iMROVR
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Baal Blvd_ Tigard, Oregon 97223
Inspection Lino (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
loot , Plbg. Undorslab Hoch. Rough-in Appr/Sdwlk
lid i Plbg. Tog Out Gas Lino FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. -Hech.
Date Racluest(ad/t I G 2U I �� Time: I_�AH -PII
Address: I `1�lL'Z I Z Ste' _ Permit —t(A 15T
Builders
THE FOLUMING CORRECTIONS ARE REQUIRED:
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CITY OF TIGAND - Rf::CElPT CIF' PAYME'N1' RE(Al IPI NO, s94-21549.';1
CHECK Alylt)UN 1 0 15. 7 j
NAME Pl-.)MF:R 1 NKE 9 K 1 M I:;taWA AMI.)I1N I' a LI~. ow
1I68r.'_' SW IP.5144 CT Pf4YMI-NT UHI1: a 9..171R'7/94
SURD I V Is I ON 8
T I(JARD, ()REGON 97223-
RURV.,0GE: OF PAYMENT AMOUNT PA 11) PI1F2POSE. (1F PA'YMI.N 1 AMOUNT PH 1 U
a PLUMBING PERM 15. owl 81 . BUILD PER _ 0. 75
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rOTAL AMOUNT PAID _ _., 15. 75
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C I I Y 0V' I I GARD --- REM I P I M PAYMEN I PF*CA-.I PT NO. a 9 3—i"4(,.m,I
C:HFGK AMOUNI is
f IME. r MOR ISSETIE HOMl:-.*S CASH
'ASH AMIJUN V a A. 1110
D104.199 a p AYMENT D1411 a 12/03/93
SUBDIVISION
OF PAYME'N't AMOUNT PA I D PURPICISE. OF PAYMEN'T AMI 111114 f, PA I u
OJILDING PFPI1 MliT93-951.6 5345. 50 V'I.IJMBINC3 PE--RM 1.40, 00
45. 00 Sl . Bull-D PER 36. 03
IAIN CHET* I i 11. R5 SEWER USA 22"00. 00
0',WER IN144C] 35. 00 PARKS E3DC ;L:111"00. 00
AURIVI URATN SIX 2180. 00 RLSIDENTIAL TRAV+ tC FEW-i 14 t IA. 00
TRANSIT 1IF FFES I 10. IAO
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1 P514 CJ, vio-Arir. Ar' YjmmvHI..AKlE 114
1 (11 144
i0TAL AMO INT P0JD 5015P. 76
CITY OF TIGARD _
MASTER PERMIT
P'FRM1:T #. . . . . . . : MST93-9516
COMMUNITY DEVELOPMENT D R .R,T�VI VT DATE ISSUED: 12/03/93
13125 SW Hall Blvd.Tigard,Aragon 97223.61 GJ 03)��344- 171
PARCEL: 1 S 1;33UD--10400
ITE ADDRESS. . . 1186" SW 125T'I-i CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LANE PARK 4 ZONING: R-4. 5
IIL.00K. . . . . . . . . . . LCII.. . . . . . . . . . . . . : 141
__.__.___._._._.__-•----__.__.._..._._.._._._..__-_. -- BUILDING -•---.__.____._.__.______.___.__.__.._._.__.__...__-_-_.__-_
CSE I SSUE:MST93-9 487 DWELLING UNITS: 1 BASEMENT. . „ . . . . . :0 s f
CLASS OF WORK. :NEW BEDRIrIS:4 BATHS:3 GARAGE. . . . . . . . . . :880 sf
TYPE OF USE. . . :SF FLOOR AREAS------- - - - -- REQUIRED SETBACI4,S•_-__-------_
TYPE OF CONST . :5N FIRST. . . . : 1200 sf LEFT, . : 14 ft RIGHT. -E, ft
OCCUPANCY GRP'. : R3 SECOND. . . : 1 500 s f FRONT. ft REAR. . :4� ft
STORIES. . . . . . . :2 THI RD. . . . :0 5f REOU.I RED---._---.-_._.___.___._.___.
HE I GHT. . . . . . . . :2-7 ft TOTAL_._..__.__..._:2700 s f SMOKE DETE:CTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . ; 1.40040 PARKING SP'ACES. . : 1
Remarks : PATH I
P'LUMBING
SINR5. . . . . . . . . . : 1 FLOOD DRAINS. . . . :0 BACKFLOW F'REVNTRS. . :O
LPVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CL.OSETS. . : 3 SEWER LINE (ft ) . :0 GREASE: TRAP'S. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft• ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP'. . . : 1 RAIN DRAIN -"ft ) . :Q,
WASHING MACH. . . : 1 SFRAIN DRAINS. . : 1
-CI-IANICAL FEES _.___._._.----_----_.............
FUEL TYPES-..._...--.____._._ ..-.__- UNIT HTRS. . :0 type amoI-int by date r^ecpt;
/GAS/ / / VENTS . . . . . :0 TIF $ 152'0. 00 JH 12/03/9-3-
MAX
2/03/93MAX INPIUT:0 BTU VENT FANS. . :4 BPFRT $ 535. 50 JH 1=/0:3/93 -
FURN < 1001( :0 HOODS. . . . . . : 1 BP'LC $ 50. 00 JLH 10/01/93 93•--:"44
FURN )=1001; . . ; 1 WOODSTOVES. -0 B5F,(, $ 26. 70 JH 121/03/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 2'80. 00 JH 12/03/9:3 -
BOIL/CMF, ( 3HF':0 OT14ER UNITS): 1 PARI' $ 250. 00 JIi 12/03/133
GAS OUTLETS: 1 MPR'T $ 45. 00 JH 12/03/93 -
Owner-: ----- ._._.______________.__._________--MF'I-.0 $ 11. 25 JH 12:/03/93
MORISSETTF_ HOMES M5P'C $ 2. 25 JH 12/03/93 -
15555 SW BANGY RD P'F'RT $ 14121. 00 JH 12/03/93 -
SUITE #201 F15P'C $ 7. 00 JH 121/03/93 -
LAKE OSWEGO OR 97035
r Phone #: 620-7538
Contr-actor,: ---------------------------.__--
DON MORISSETTF_ BUILDERS, INC.
15555 SW RANGY RD.
#x:01
Lf4F(E OSWEISO OR 97035
Phone #: 620--7538
r� Reg #. . . 35533 __ __-___ --.--_-------------------_--- -
f 2867. 78 TOTAL
>_ ih;s pet-sit is issued subject to the regulations contained in the --- ---- REOUIRED INSPECTIONS --- --
_; iiyatd Municipal Code, State of Ore. Specialty Codes and all other Foot/fr,l.rnd Insp Fireplace Insp
applicable laws. All work w:l l be done in accordance with approved Post/B P am St r l.rct Gas Line Ins p
Lo plans. This permit will expire �f work s not started within 180 F'ost/Ream Mechan InsI.rlation Insp
days of issuance, or if work is/suspende for
r 1B0 days. '7 F'lm/1.rndslab Insp Gyp Boar^d Insp
f P'I-.M/Underfloor- Rain drain Tnsp
%'ermittee Signatures >`r?A- Mechanical Insr.� Water Line Insp
P111_rmb Top Oi_It Appr^/Sdwlk Insp
I s s tr e d B�, : _ _. _ _-- ..__....._. F r a m i.n g T n s p Mechanical Fina l
Call for, inspection - 639-4175
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CI TY OF T SEWER CONNECTION
PERMIT
PERMIT #. . . . . . . : SWR93--0447
COMnIIUNITY DEVELOPMENT Dge4RTWj4T DATE ISSUED: 12/03/93
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)63P-4171
PARCEL: 15133DD-10400
SITE ADDRESS. . . : 1186E SW 125TH CT
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5
DLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14'
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INS=TALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sif
Remarks : PATH I
Owner-: _—_______---.._._-------__.____----.______-___.___—___—__.__ FEES --------------.
MORISSETTE 1-40MES type amount by date recpt
15555 SW RANGY RD PRMT $ 2200. 00 JH 12/03/93 —
SUITE #201 INSP $ 35. 00 Jho 12/03/93 —
LAKE OSWEGO OR 97035
Phone #: 620-7538
Contr-actor:
CONTRACTOR NOT ON FILE
Phone #: f 2235. 00 TOTAL
Peg #. . -,
REQUIR'_D INSPECTIONS .___......_._.___
ThiF Applicant agrees to comply with all the rules and regulations Sewer Inspect '.on
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid wil' 6z forfeited if the
permit expires. The Agenry does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement _
giver, the installer shall prospect 3 feet .n all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and th Agmnc will ins ll a lat cal.
P e r-m i t t e e S i. n a t i_i r-e : � ��
I s s l_i e d By :
Call for, inspection 639-4175
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r� 13175s Hdeke PLNCK/RECT #CITY OF 1 IGARD ros�u397 PERMIT #
COMMUNITY DMLOPMENT DEPARTMENT T*"OM-vw
(50)6394171 DATE ISSUED
JOB ADDRESS• - - / / J �~ TAX MAP/LOT ISI 33n1--) /r,)gQ6
SUB: n�>�'� ' LOT: �{/ LAND USE: :— y
VALUATION: /�Zj', e)i/o _
OWNERP� ECIAL NOTES.
NAME: REISSUE OF: ),�I', I
AD D R E S S tjISC3`�� LAST REISSUE:
10 FLOOD PLAIN/
PHONE- SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: — PLANNING:
ADDRESS: _ ENGINEERING:
FIRE DEPT:
PHONE: --- __- OTHER:
CONTR. BOARD /: EXP DAIL:
]LEMSREQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: _
MECH: taryUS TAX:
tm ENGINEER CALCULATIONS:
NAME: P 1 < —rc- TRUSS DETAILS:
ADDRESS: JO� 3 OTHER:
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PHONE.
PROPOSED BLDG. USE:
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APPL IAi I�G iTURE
Received By: ` Date Received: A)
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PERMIT # ACCT p DESCRIPTION AMOUNT AMOUNT PD. BAS.. DUE
.rl1fyJ_ 516 10-432 00 Building Permit Fees 53S,S6 / S3.{,37
10-431 00 Plumbing Permit Fees .&0
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x) 3(A O
Building
Plumbing 7,01)
Mechanical
10-433 00 Plaa.- Check Fee
Building '50
Plumbing
Mechanical .L
10-230 06 Fire
S c�IQ 23 -Oq 17 30-202 00 Sewer Connection o2 t/u 2
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Feesy
25-448-05 Mass Transit TIF Fees —4LL-1 _ L/
52-449 00 Parks System Dev Charge (PDC) _ / Z)-D
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) � d U
24-445-01 Water Quality (Fee in lieu of) _ _ —
�' 24-445-02 Water Quantity (Fee in lieu of)
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SHOEMAhER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. _BOX 23397
, TIGARD, OR. 97223
q .
TO WHOM IT MAY CONCERN,
SHOEMAKER' S PLUMBING INC.'. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD B. SHOEMAKER PRES.
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