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11916 SW 125TH PLACE• 0 Lir 1191.6 SW 12�,rH PLACE C�7- Vs a � k CERTIFICATE OF TYOFTIFAP,D rL, OCCUPANCY �CWO-FTWA RD COMMUN,`TY DEVELOPMENT DEPARTMENT 0"em PERM I T 0. . . . . . . : 01ST9 1-0025 13125 SW Haii Fwd. P.O.Box 23397,Tlgwd,Orogur 97M(603)04 4176 S31TE I-iDDRES.S. . . : 11916 SW 125TH Pi- PARCEL 1 S MDD-1060(ei SUBDIVISION. . . . : VILLAGE AT SUMMER L.AKE PARK 4 ZONING: R-4. '3 51-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . : 143 CLASS OF' WORK. CNEW TYPE OF USE. . . r OCCUPANCY GRP. :R3 O(­'C1A*-`ANCY LOAD.Pr_`0 4 TENANT NA11E. k e m#.,.rk s c t)ON MORISSETTE BLDEPG, INC. P 0 VIOX 1952A PORTLAND OR 971219 Phone #: 503-244-9314 Contractorr DON MORICBSETTE BUILDERS, INC. 15315 !-3W FIANGY RE). 0 LAKI,-" OSWEGO OR 97035 phone #r 620-7538 Rep #. . 1 35533 Occuipancy of the atlove referenced building is. hereby given, and Certifies the complianc..,e with the 5tate Of Oregon ;.)pocialty ('.odesi for the group, occupancy, Arid 1J%V under which the t- eforprived permit was FIRE DEPARTMENT TNGjU! 1 -:CTOP SUILDIt _7 or P013T I CION-)r)ICU130G PLACE 1/ F 1w In IN INSPECTION NOVICE City of Tigard Building Department 13125 SR Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. ':op Out Gag Line FIIIALs Poet/Beam Struct. San. Sewer Framing Bldg.\ Poet/Beam Mech. Rain Drain Insulation �� -Plumb. Plbq. Underfloor Water Line Gyp. Bd. � Date Requestedt - _Timet AK PN Addreess 1241 ��S L ` - -- Permit +t Buildert THE 1JL1LA.PWTNG CORRECTIONS ARE REQUIRED- -------- — E natal< Q� G�''71PPIMVpD DISAPPROVED APPROVED SUBJECT TO ABOVF --__-Call For Relnnp. i INSPECTION NOTICE City of Tigard Building Department 13125 sU Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-O-Phlone): 639-4175 Business Phone: 639-41.71 Inspection: .�3 Footing Plbg. Underslab Mach. Rough-in �Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain InsulatIf - lamb• Plbg. Underfloor Water Ltne GYP• Bd. -Mach. Date Requested: Tim: �1T Address: �l%�!U Permit #1��-�/-��-� Builders TBE VoLIAWING CORRECTIONS ARE REQUIRED: Pied InspectorA. Dates _ PROV=D __ DISAPPR4t 1^ OMM SUBJECT TO ABOVE Call For Reinsp. ,o � +. � rte► . .� �a INSPECTION NOTICE % City of Tigard Building Department 13125 SK Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ------ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- lost/Beam Struct. San. Sewer Framing -Bldg. Ptst/Beam Mech. Rain Drain Insulation -Plutob. Plbg. Underfloor Water Line Gyp. BJ. -Nech. ,[ Date Requested: a :4 / _ —_Time11N ✓�� PN � : Address:__/ �J — Permits Builder: THE FOLL(N47NOI CORRECTIONS ARE REQUIREDI Inspectors_/����_ --------- Detes , -5_ APPROVED _— DISAPPROVED APPROVED SUBJECT TO ABOVE T Cell For Rainsp. INSPECTION NOTICE City of Tigard Building Departme::t 1-3125 SW Hall Blvd. Tigard, Oregon 97223 r\I Tripection Line (Rec-O-PhonA): 639-41.75 Business Phone: 639-4171 1 Inspection:__ ---.- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out gas Line 1 F-NAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mich. Rain Drain Insulation -Plumb. Plbg. Undo..f lr .r Watery Line gyp. Ed. -Meth. Date Rerruested: T PM Address: ���' � ? _ Permit #I Builder: �,�� THL rOLL0WWTN,�COORREC�-TIONS/ARE REQUIRED: C / LaLJ L�,Ir/it a/)S P,&4 C� 15- 094.1 Af UTL- C' Inspector: r /�/ Date: APPROVED DISAPPROVED �- APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTI \ City of Tigard Building DGFNartmsnt 13125 sw Ball Blvd. Tigard. onagon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineob Phone: 639-4171 r Inspections-- --- — - Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. >'lbg. Top Out Gas Lina FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq, Underfloor Water Line G ed -Meeh. Date Requested: �'" /<� Tijues N1 PM Address: -ri �-�-✓ ` �/ Permit #s.,/ C7 C-' 3A Builder:-_I D' L44,0 :'�!�'.� �� v i I L► THE FOLLOWING (MRRECTIONS ARE REQDIRRDs i •.( CA Inspectors _ Date:_L�/��� APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE Call For Reinep. IIISPErTION NOTICE ' City of Tigard Building Department ( _. 13125 SW Ball Blvd. Tigard, Oregon 97223 r Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171 I napect ions__�—� _--— ---- - -- Footing Plbg. Undewlab Meeh. Rough-in App /Sdwlk Found. Plbg. Top Out Gas Line FTMAL: Pont/Beam Struct.. San. Sower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. --Meeh. �4� �f Date Raquaeteds___/ Addreses ej PereLt r14 Builders t2,121 TME FOLLOWING CORRECTIONS ARF. REQUIRED: tnepactorrz , Dates I d APPROVED DISAPPROVE APPROVSD SUBJECT TO ABOVE Call For Reinsp. INSPECTION _NOTICE City of Tigard Building Departannt 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buziness Phone: 639-4171 Inspect ion: —_ ---• -- hooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk f Found. Plbg. Top Out Gas Line FINAL: i Post/Ream Struct. San. Sewer raming -Bldg. post/Beam Mech. Rain Drain Insulation -Plumb. Caw--�-- Plbg. Underfloor Water Line G G)p. Bd. -Mech. Date Requeetedsv _lr' �:2E ` __—Times AM PM Address: J�/LLPermit Builder:.J1�i-� TfIX FOLLOWING CORRECTIONS ARE REQUIRED: i t Ina+pector�t Dates. G/11PPROV20 01SAPPrAwtD _ APPROVED SURJECT Til ABOVE Call For Rainap. � I INSPECTION NOTICE City of Tigard Building Depart-merit 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --_ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. C+ bg. Top Out Can Line FINAL: Post./Beam St.ruct. Ban. Bawer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Une Gyp. Bd. -Mech.//_ Date Requentedr CEJ —/J�`� _Timet AM _PM Addresa: q _ Permit #r Ruildor.t THY FOLLOWING CORRECTIONS ARE RZQUIRED! Inspector$ �, •' Dater APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call for Reinsp. i O INSPECTION NOTICE City of Tigard Building Departaeat 13125 BW Ball Blvd. Tigard• Oregon 97223 Inspection Line (Roc-O-Phone)t 639-4175 Breiness Phones 639-4171 Inspections Footing Plbg. underslab Mach. Rough-in Appr/Sdwlk Found. —. Plbg. Top Out Gas Line FINALS et/Beam Strn� Ban. Easter Framing -Bldg. oat/BeamHocc Rain Drain Insulation -plumb. Plbg. underfloor Nater Line GYP• Bd. -Hoch. Date Requested: el _ Times / AK��_) Address! �/1��e �r� Permit tt THE FOLLOWING CORRECTIONS ARE REQUIREDt i r _ I i Inepectort_ __.��,L_—� — _ DetM: (/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. I INSPECEION NOTICE ' City of. Tigard Building Department 13125 SB Hall Blvd. Tigard, Oregon 077.23 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections -- Footing Plbg. Underalab Mech. Rough-in 1ppr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Underfloor Water Line Gyp. Bd. -Mach. r- .cam Date Requested: :� l��J � _. Tike a n Permit is Address: 2� Builder: nM THE FOLLOWING CORRECTIONS ARE REQUIRED: 17 I Inapert:orsA� // Date:/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. W W, FW wALW XWK Am --JIM INSPECTION_P_gf SCE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roe-0-Phone): 639-4175 Buaineas Phone: 639-4171 I Inspection: Footing Plbg. Underslab Mach. Rouqh-ln Appr/Sdw). Found. Plbg. Top Out Gan Line FINAL: Poet/Deam Struct. San. Sewer-- Framing -Bldg. c/ Poet/Beam Mach. ecain Drain Insulation -Plumb. Plbq. Underfloor ;ter Lis4e Gyp. Bd. -Mech. Date Requesteds . 5 �� _ Times el/LL-AM// _.__ _PM Addrean s / ���/ �� �-� Permit is Builders THE FOLLOWING COrdUCTIOBB ARE 1QUIRRDs Inspector*_ Date Ij APPROVED DISAPPROVED APPROVED SUBJECT TD ABOVE _--call For Reinnp. INSPECTION NOTE City of Tigard Building Department 13125 See Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639-4.171 Inspection: _ tooting Plbq. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. ad. -Mech. Date Requestedt_, / n 1 Time AM PM /tel l�'�/.�5 6/5— P.rmit Address: Builder: /Y/�"P/SSS llc.f THE FOLLOWING CORRECTIONS ARE REQUIRED: i w..wvLiTl10�,C —",-—el /---P, 114" �J";'n V1 a16 �/�(�'J/L- Lfl/�C.L T C f��C L✓.y'1 �4/ ��i'¢/L�qt. Inspeotort _ Date: 5_ APPROM nTSAPPROVRn `IIPPRtlVEP SUBJECT TO ABOVE call For Reinert. ff N N MENKE Cinr OF TINA RD MASTER PERMIT CORYOFTWIN) MF3T91-0025 COMMUNITY DEVELOPMENT DEPARTMENT 0116m 13126 SW HWI Blvd.P.O.Box 23307.Towd,OnmgNi 97'.." (p()3)i 6�7 4175 rit-iTE ISSUED: 05/03/91 51 I'E ADDHLLa. . . : I11)1 C_ SW I 21TIA 1-11-. PARCEL-: IS1-33DD-1060Q., SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE,'- t i r ZONING: R-4. 5 TkLOCF. . . . . . . . . . : LOT. . . . . . . . . . . . . . 1.4;3 BUILDING REISSUE:M5T90-0029 DWELLING UNIT5: 1 BASEMENT. . . . . . . . :0 5f CLHS,S 01= WORK. :NEW BEDRNS:4 BATHS: GARAGE. . . . . . . . . . ..451 Sf TYPE. OF UliE. . . -I-,F FLOOR AREAS--------r- RF"()UIRED SE TYPE OF CONST. :5N FIRST. . . . -. 1149 Sf 1_EFT. . :5 ft RIGHT. .- 11 ft OCCUPANCY GRP. R3 SECOND. . . : 1219 S FRONT. :20 ft REAR. . :33 ft: STORIES. . . . . . . ..2 THIRD. . . . :0 s REQUIRED--------------------- HE I GHT. . . . . . . . :210 f t TOTAL-------:23G8 t,f SMOKE DETECTORS. 1Y FLOOR LOAD. . . . :40 psf VALUE. S : 117046 PARKING SPACES. . :0 Hem arks : PLUMBING SIN917. . . . . . . . . . : 1 FLOOR DRAIN . . . . :0 BACKU :-OW PREVNTRS. . -0 LAVATORIES. . . . . s3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 1...AUNDPY TRAYS. . . :0 CATCH BASINS. . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : LOO OTHER FIXTURES. . . . . ..17, U14R13146E 015P. . . : 1 RAIN DRAIN (ft ) . :CA WASHING MACH. : 1 SF RAIN DRAINS. . I MECHANICAL ...... FEES FUEL TYPES---------- um'r HTRG. . :0 type amoltn't by date r-ecpt /GAS/ VENTS . . . . . .e, PAYM 40. 00 JLH 02/08/91 209577 MAX INPLJT :O BTJ VENT FANS;. . :4 BPRT # 4178. 00 JLH 05/03/91 - FURN ( I OOK HOODS. . . . . . . 1 SPLC $ 40. 00 JLH 05/03/91 - FURN ) =.00K . . : I WOODSTOVES. :0 B5PC 1 23. 90 JL1­1 05/03,/91 - FLUUH F URN. . . . -.0 CLO DRYERS. : I SSDC $ 375. 00 JLH 05/03/91 - SOIL/CMP ( 3HP:0 OTHER UNITS:0 PARK $ 2:50. 00 JLH 05/0:33/')1 GAS OUTLETS: 1 MPRT $ 40. 50 JLH 05/03/91 Owner: MPLC $ 10. 13 JLH 05/03/ ; 1 DON MOPISSETTE BLDERS, INC. M5r1C 2. 03 JLH 05/03/91 0 BOX 1951=4 PPRT 140. 00 JLH 05/03191 P5PL 1. 0N JL+1 05/03/9 I - PORTLAND OR 97219 1 I 1350- 00 JLH 05/0-3/91 Phone #.- 503-244-9314 BPLC $ :30. 00 JLH 05/9.13/91 Cuntractor: DON MOR ISSE:TTE BUILDERS, INC. 15555 SW SANGY RD. #201 LAKE OqWEGO OR 97025 Phone #: 6E171--7138 Req M. . t 35533 2146. 56 TOO AL This Dervit is iftued subject to the regulations contained in the REPUIRED INSPECTIONS Tigard Municipal Code, Stott of Ort. Specialty '.odes ard al I other Fool:/foi.md Insp FireplAre Insp applicable laws. All work will be dome in accordance1with approved Post/F-Pam StrUct Gas Line Insp plans. This pirsit will expire if work is not st rt within Post/Beam Morhan I nSU lat i On I ris Gi days of issuance, or if work is 4US3 ed for me t an I av Plm/mndslaF. Insp Gyp Board Insp PL Unde Fr floor Pain drain Ins;- ;,et-m i t t ee F1 i gnat Lire . oahAn i r�a 1 T n-p Water Line Insp P'lumb top Out Pppr/bdw I k Insp 1 9 a 1-1 e d kk y 1-ram1rill 111sp Not:han i c:a i F i n i Call for i n s vect inn 639-4 175 SEWER CONNECTION CITY OFTIGARD PERMIT' CMOFTMRD PERMIT . . . . . . . . : SWR91­0026 COMMUNITY DEVELOPMENT DEPARTMENT 011100" 13125 BW H01 Blvd P.O.BaK MW,TOW,O"m 9"4503 _ , _AT"75 DATE ISSUED: 05/03/91 SITE ADDRESS. . . a 11916 SW 1,-,5'rH PL "IARCEL: IS13301)-10600 SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 143 ----------------------------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . : 43634 F-,ix-rURE UNITS. . . CLASS OF WORK. . . :NE14 DWELL I NG UN I TS. . . 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS.- I INSTALL TYPE. . . . :BUSWR IMPERV 51-RFACE. . : zsf Remarks: Owner-: ---------------— FEES --- ---------- DON 110RISSETTE BLDERS, INC, type amof.tnt b,,. date V,ecpt P 0 BOX 19524 P R wr s 1500. 1210 JLH 05/03/91 INSP 1 35. 00 JLH 05/03, /91 PORTLAND OR 9'7(.2'19 Phone #.- 503-244-9314 Contr-actor. CONTRACTOR NOT ON FILE ------------------------------------ Phone #: 1, 1535. 00 TOTAL Reg 0. . REQUIRED INSPECTIONS 7 1,is Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency, The permit expires 12@ days free the date issued. the total amount o4id will be forfeited if the oe-eit expires. Th., Agency does not guarantee the accuracy of the sidc ewer laterals. If the sewer is not located at the veasuresert given, the irstr'ler shall prospect 3 feet in all directions from the distance given.. If not sa located, the installer all Dlj,.hase a 'Tap and 5iot Sewer" Permit and thl Age y wi I in all a Call for inspection 639-4175 CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 191-212801 CHECK AMOUNT 4241. 56 NAME z MGR ISSETTE, DON CASH AMOUNT 0. 00 ADDRESS a PAYMENT DATE 05/03/91 GUSD I V I S I ON PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 'PLUMBING PERM 140. 00 MECHANICAL. PE 40. tr,0 t;T. BUILD PER 3c. 923 PLAN CHECK FE 40. 13 SEWER USA 1. 00. 00 SEWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1250. 00 PARKS SDC 0-00. 00 STORM DRAIN SDC 375. 00 MASS TRANSIT TIF FEES 100. Oil 119.16 [3W 125TH CT t..oT M14 3 TOTAL AMOUNT PAID 4241 . 56 SHOEMAKER'S PLUMBIVG 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 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, HAAROL�D �B.nSHOOL�'MAKHR FRES. F7 a.^sf.Cil/L DC7 c ti`(/ti(M�e� 630-7728