11783 SW 126TH PLACE .l� ADDRESS:
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OCCUPANCY
CITY OF TIGARD PERMIT #. . . . . . . :CERTIFICATE M9T93--1)_j,),,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED; 06/02/94
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: IS133DD---13100
'MITE. ADDRES13. 1. 1783 SW 126TH Pt-
-iUBL)I V I S I ON. . . V I LLAGE AT SUMME R LAKE F-ARK 4 Z ON I NO':R-4. 5
3LOCK. . . . . . . . . . z LOT. . . . . . . . . . . . . 1 16,5
i.;LAESS OF WORK. cNEW
rypE., OF UGE. . . -SF
OCCUPANCY GRP. :R3
I)CLUPANCY LOAD-Z*30 4
1J.".NANT NAME. .
emarks: PATH I
(.SON MOR ISSE TTE HOMES
(5555 SW DANDY RD
,.-AKE OSWEGO OR 97035
, 'hone 0- 602'0-7536
I)GN MOR ISSETTE HOMES
400 SW MEADOWS RD
.-UITE 151
..AKE OSWEGO OR 97035
'hone 620-75311
.'eq #. 35533
his Cert i ficatp certifies that the above referenced building or portion
herptif Vias been inspected for compil iance with the Ttgard Sui Iding Code
or the prol-tp and division of occupancy And use for which th , above
eferenced permit was isit.ted, and occupanry is hereby grant ed.
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.Y.!JIUILDING INSPECTOR LrD
POST IN CONSPICUOUS PLACE
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June, 1, 1994
Attention: George Steele
RE: 11783 SW 126th Place,Tigard OR 97223
1, Bill DeHart Bio hereby certify that 1 hooked up the water lines, the raindrains and the
sewer lines at the above property. I certify that they were hooked up according to all
necessary codes by the City of Tigard.
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CITY OF TIGARD �
COMMUNITY DEVE,OPMENT DEPARTMENT MASTER PERMIT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : MST93•-9593
b�19 171 DATE ISSUED: 01/06/94
PARCEL: 1S133DD•-13100
SITE ADDRESS. . . : 11783 SW 126TH PL
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
I3LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 168
BUILDING
REISSUE: DWELLING UI\IITS: 1 BASEMENT. . . . . . . . :0 Ff
CLASS OF WORK. :NEW BEDRMS:5 BATHS:3 GARAGE. . . . . . . . . . .430 sf
TYPE OF USE. . . :SF FLOOR AREAS -_..._..__.,_.___._...._ REQUIRED SETBACKS--
TYPE OF CONST. :5N I RST. . . . : 1910 s f LEFT'. . :5 ft FRIGHT. : 10 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1440 sf FRONT. :?0 ft REAR. . :21 ft
STORIES. . . . . . . :2 THIRD. . . . ?l s f REUU I RED------------- -- -_..__
HEIGHT. . . . . . . . :30 ft TOTAL---___-----:3350 S SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 p<.,f VALUE. . . . . : 161840 PARF'ING SPACES. . : i
Remarl<s : F.'ATH I
P'LUMBING -_____._.____-__________.__-_._.-_....._---._._._ .
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW f"'REVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . .
WATER CL_OSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAP'S. . . . . . .
DISHWASHERS., . . . : 1 WATER I- INE (ft ) . : 100 OTHER FIXTURES. . . . .
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF I3AIN DRAINS. . : 1
------•--------- MECHANICAL __.______.____...__----•-----._..___..._..__-__- FEES
F-"UEL TYPES ------- - - UNI'T HTRS. . :0 type amor_rnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JF 01/06/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 588. 00 JF 11/06/94 -
F-URN ( 1001: . . :0 HOODS. . . . . . : 1 BPLC $ 382. 20 JLH 1.=/03/93 931- X14636`:)
1_URN ) =100K . . : 1 WOODSTOVCS. :0 BSPC 1: 29. 40 Jr 01/06/94
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JF 01 /06/94 -
BUIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ -50. 00 JF 01/06/94 --
GAS OUTLETS: 1 MPRT $ 45. 00 JF 01/06/94 Owner: --._..__-__.-._______._..____._....___.____-_._____HPLC $ 11. 25 JF 01/06/94 -
DUN MORISSETTE HOMES M5PC $ 2. 25 JF 01/06/94 -
15555 SW RANGY RD PPRT '0 155. 00 JF 01/06/94
P5PC $ 7. 75 JF 01/06/94 -
LAKE OSWEGO OR 970135
Phone #: 620-7538
Gontr,actor-:
DON MORISSETTE BUILDERS, INC.
15555 SW RANGY RD.
#`01
i-"KE OSWEGO OR 97035
'-,hone #: 620-7538
Reg #. . : :35533 ______.-----_._____-•---------------- __.__._.___.
$ 3270. 85 TOTAL
This pet-sit is issued subject to the regilatrons contained in the ------- REQUIRED INSPECTIONS ---
Tigard Municipal Code. State of Ore. Specialty Codes and all other- Foot/for•rnd Insp Fireplace Insp
applicable laws. All work will be dont in accordance with approved Post/Beam Strr_rct Gas Line Insp
J clans, This perrsit will expire if wk ie not started within 180 Post/Pearn Machan Insr.Ilat ion Insp
days of issuance, or if work is spended f r gar an 180 days. P'lm/r_mdslab In=p Gyp Board Insp
PLM/Under^floor Rain drain Insp
Pet-mittee Signatr_rr a .� Mechanical Insp Water Line Insp
Pll.rmb Topp Out Appy/Sdwlk Insp,
r fssi-red By : f.0 Framing Insp Mechanical Fina).
L. _ r.-al I fot•. 5
CITY O F T I GARD SEWER CONNECTION
COMMUNITY DEVELOPME14T DEPARTMENT PE R 1711 T
13125 SW Hall Blvd.'Tigard,Oregon 97,123*8199 (503)639.4171 PERMIT #. . . . . . . : SWR93-0511
3`3 -41.71 DATE ISSUED: 01/06/94
PARCEL-: IS133DD-13100
SITE ADDRESS. . . : 11783 SW 126TH PL
SUBDIVISIUN. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 168
-------------------------------------
IENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WOR1'\. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . .BF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :LAUSWR IMPERV SURFACE. . s f
Remarks : PATH I
Owner: ------------ FEES
DON MORISSETTE HOMES type 1M 0 Unt by date r-eept
15555 SW RANGY RD PRMT $ 2200. 00 JF 01/06/94
I 1\1 rS P $ 35. 00 JF 01/00/94
LAKE OSWEGO OR 97035
P t-i or.e # : 61_0--7538
CONTRACTOR NOT ON FILE
----------------------------------------
r-11 0 T1 F # $ 2235. 00 TOTAL
Req #.
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospec,.3 LOtin 11 directions from
the distance given. If not so locate , the inst Her shall purchase
' e Agency " I tater
a "lap and Side 3ewer' Permit and t e Ag ncy wi I in I a
17'ei-mittee Signati-it-P .- 1.64,2
I s s -A e d By —
C'a 1 1 for inspection 639--4175
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INN EG''�tj NOTICE
City of T.L. d Building Depart—t
13125 8N nail Blvd_ Ti.ga•i, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4" 5 Business Phone: 639-4171
Inspection: _ - --'
Footing Plbg. Underslab Mech. Rough-in ilppr/8dwlk
Found. Plbg. Top Out Gas Line
Poet/Beam Struct. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested&, /Z- -r Time: _ FI) PM
Q
Permit
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Addreoe• � ' � V� ���' � ��
Builder: \ J 1V\
THE FOLLOWING CORRECTIONS ARE REQUIRED&
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Inspector& On, —• _ DatesK- c7�_
11PPR0VED DISAPPROVED V APPROVED 8U8JECT TO ABOVE
Cell For Reinsp.
INSPECTION_NOTICE
City of Tigard Building Department
13125 8Q Ball 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 Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain InsulationPlumb_
Plbg. Underfloor Water Line q /Gyp. Bd. -Hoch.
Date Roquested: - L /`T ,Time: _AM _I'M
Address: / /� :v J _� Permit i'_Lj- '1-51
Builder:_ _ v!
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_^� i Date: 4(- L
i APPROVED DrSAPPROVED APPROVED SUBJECT To ABOVE
__Call For Reinap.
I I y OF I I Uipf'41) HF.(J. IPP DF PAYMEN I REUF I hyl NUI. 194-4047374
CHECK E41101.)N r s 51255. 85
'AME
MnR V 0 0 1 11 . ImIlvols INC' CASH AMOUNT
DDRFW, V,'(-IYMFNI' DAIV c OJ /06/94
I V Vi (IN
AURPUNE OF IJRYMQNT 01v1()lINI' POID 1-111141-AViR W r,:'AYMC--Nl AMOUNI PAID
QIILDINB PERM MS T93-9593 588. 00 PLUMBINH PERM 00
ECHANICHL PV, 45. 00 E31 - I tl 11 1 1) 14 R : 9. 40
ALAN CHECK WK t 43. 45 '..i(%W-.H 00 PRO0. 01A
FWFR INSPFCI 00 1104RKS bt)(-; 00
TORM DRAIN BDG RN0. 00 WHIDENT1141., TH141-Fli.; FE-RS 0. 00
ARS INANSir Tt F++-1.i I 10. of,
1783 SW 1 .111 1111.1
OTAI AMM IN'F PC)I D (411%
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l�latlRFi. fi a x'11710"� rAd ROLit 0111 t PAYMF•-N1 DAll- /94
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INSPFCTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd_ Tigard. Oregon 97223
Inspection Line (Pee-O-Phone)% 639-4175 Business Phone: 639-4171
Inspection:
Footing Pl:>g. Underelab Hoch. Rough-in hepr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line q Gyp. Bd. �ech.
Date Requeeted: / tT- MI
ime: Q Q CPN
Address: � Permit Is. /13 ` /tom
Builder: �) �Jc1YYlPc7 /y-Sav+
TSS FO O CORRECTIONS ARE REQUIRED:
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Inspectors bste:�.
APPROVED _,DISAPPROVED APPROVED SUBJECT TO ABOVE
(-Q `0� For Reinsp.
INSPECTION NOTICE
City of Tigard Builcing Departaent.
13125 SM Ball Blvd_ Tigard. Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
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Inspection:----- �_� — f� (. ��•Z���1
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line CFI_NAL�
Poet/Beam Struct. San. Sewer Framing C�Bldg�
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: �'� Timet AM PM
AddreenPNGCDRJRE,(.*T
Permi It
Builder /cy 11- J n
THE FOLIONS ARE REQUIRED:
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Inspectors ate
DISAPPROVED APPROVED suBJLCT TO )•.DOVE
kcal l For Reinsp.
INSPECTION NOTICE
City of Tigard Building DeparlUernt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 634-4171
Inspection:_�A_�^
Panting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requented:__-__-_-.___ Time: a_/�� _AM PM
Address: I I` r ` Z- LD Permit #t 1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: , CA
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Inspectors Date:e
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APPFAM DISAPPROVED APPROVED SURJ1tT TO ABOVE
Call For Reinsp.
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
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Poet/Beam NPch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. -Hoch.
Date Requested: , _Time: AH PM
Address 2- Lv�� — Permit
Builder:
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THE. FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors _ Date:
"PROVND _.DISAPPROVED APPROVED SUBJErT TO AnOVE
�� _r,-Call For Rpinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusinens Phone: 639-4171
Footing Plbg.Plbg. Undersiab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb. 1
Plbg. Underfloor Plater Line Q Gyp. Bd. -Mech. fix/
Date Requeetedt� x..31- ! '11 Yn/ Timet AM SPH
Address: 7 . / So �` / `- _ Permit
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vy7 PerCmit f t
Builder: - '_ /) l / � ! '�Q 27e
THE
THE�FOL �IN� CORRECTIONS ARE REQUIREED:
06
70
Inspector:- �;�_ Date
APPROVRD M SAPPROVBD APPROVED SUBJECT TO AROVE
�� lo-"Call For Reinsp.
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jNSPECTION NOTICE
city or Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phons: 639-4171
Inspection: _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer /rmin� -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 44
'Nater Line , Gyp. Rd. -Mach.
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Date Requestodi ^� ' - CA 1� Time: -1--1
G AM __PM
Address t�3 ^�` ` �, (�-p t`� Permit •f'L � 1�c�
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THE FOLLOWING CORRECTIONS ARE REQUIREDt
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inspectort_a Datet r
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECT ON NOTICE
City of Tigard Building D►epartwMt
13125 BW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
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Inspections LC 1\ v \ \, Y��`1�1 V\C�
Footing Plbg. Underelab Hech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct.. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain IneLlation -Plumb.
Plbq. Underfloor Nater Line Gyp. Rd. -Hoch.
Date Requested:. ' 7/� --G1 LA _ Times _ (( AN[�L PH
Address s� `� � l0 Permit #s
Builders ��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors _ Dat":
APPROVED DISAPPROVED APPROVED SUBJRCr TO ABOVE
Call For Rainsp.
INSPECTION NOTICE
i
City or Tigard Building Department
13125 SM Be].], Blvd. Tigard, Oregon 97223
Inspection Line (Pec-O-Phone): 639•-4175 Business Phone: 639-4171
Inspection:.
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIMAL:
Poet/Beam Struct. San. Sewer Framing �Bldgf rj
Poet/Beam Mech. Rain Drain Insulation �-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ( -Mec.
9// _Time: �-
Date Requested:
113--l-24,
?_ 45--05/ ! 7 _ � G;
Address. / / / 13 _ -2 4, de PBrrmi F#: 93 /59,3
Builder: j- %017 /1 f/� _'q c)I-L._)
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector: Date: z ) L � )
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
J� —Call For Reinep.
INSPECTION NOTI /`K
City of Tigard Building Department
1312S 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdw
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Meeh.
Date Requested: —Time: AMn_ = PH
Address:_ Iy 3 � J�V 0e,4h PL Permit. 1s—=%J 3
Builders /l.
AA !f- f-f-i 6r-1k,
THE FOLIAMING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVEDROVED SUBJECT Tr, ABOVE
Call For R1llllllllnep.
INSPECTION NOTICE
City of Tigard Building Department f ~
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone):
�(639-4175 Business Phone: 639-4171
Inspections \' ' v/ / _,__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Roam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
1111q. Underfloor Water Line Gyp. ad. -Hoch.
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Date Requested: C W Times ,_AM -f PM
Address s (1 ( Permit is
Builder. May (1'C't' _� �i II 7 w,
TB= FOLIAIIING CORRECTIONS ARE REQUIRED:
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Inspectors a _
APPROVED DISAPPROVED �/PROVED .4UBJECf TO ABOVE
L,j _--Call For Reinep.
INSPECTION NOTICE \k
City of Tigard Building Department
13125 811 Ball Blvd_ Tigard, Oregon 97223
Inspection Eine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab MWh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line� FINAL:
Post/Beam 9truct. San. Sewer (Hilng y -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line LJ` Gyp. Rd. -Mech.
Data Requesteds .aD-��% _ Time: - AM ?M
Address: / / Jr 7 �2 /vl�l / Permit f: ��75 J
Builders !,�1 / ) �/ .S 243 Ll[�
141E FOLLOWING CORRECTIONS ARE R ARM 9-� Z
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Inspector,_--- / ' �� -- Dates
APPROVRO (_ 'DT9APPROVED APPROVED SURJECT TO ARM
_Call for Reinep.
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INSPECTION NOTICE
City or Tigard Building Departasixt
13125 SW Ball Bled.. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639•4175 Business Phones 639-4171
Inspections
Footing Plbg. Undorslab Mach. Rough-!.n Appr/Sdwlk
Pound. P1bg. Top Out Gas Line FINALS
cont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestedt� _- _Time: AM PH
Tadrusss Perult fs_ ) 3
Dnildert � _ i
THE FOLLOWING ODitRECTIONS ARE REQUIRED-
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1►lTlb1/!D ` DISAPPROVED APPROVED SUBJECT TO ABOVE
�� �/Call For Reinsp.
INSPwrION NOTICE �vl
City of Tigard Build1W Department �J
13125 saw Ball Blvd. Tigard, Oregon 97223 �✓
Inspection Line (Rec-O-Phone: 639-4175 Businesei Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA:.t
Poet/Deem Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
P1bg. Underfloor Nater Line ( Gyp. Rd.,�' -Hoch.
Date Requested: ) — l' - 1 1 C J T ime: __ Ah C� pq
Xidreest \ \ ( �� > t ,� Ce r-' Permit #t
Builder:
THE FOLLCIIING CORRECTIONS ARE REQUIREDt 1
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Inspectors_ Dote: ¢j(` `r'
APPROVED DISAPPROVED APPROVED SUBJECT TO AgCVE
Call For Reinsp.
INSFECTION 1gGTICE v�
City of Tigard Building Depa+ti-nient
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inepectiont_ _
Footing Plbg. Underelab Mech. Rough-in APer/BdM)k 7
Found.. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/'beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 7Water Lin/e/ Gyp. Rd. -Mach.
Date RequestedJt` G�-I�_ 2 �7 _Timet \ = .�AfM z PM
Addceess� �J Llo Permit #s93__ t �J
Bui1dyers �i�� �p
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THE MLLOWING O—C-R�REECT�IONSS ARE REQUIREDi
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AptAOVlD Di9APPROVED V/ APPROVED SUBJECT TO A90VE
Call For Reinsp.
INSPECTION NOTICE
Cit! of Tigard Building Department
13125 80 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
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Inspections ,1 e- l v _
Footing Plyg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/seam struct.�j San. Smoer Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water Line Gyp. Bd. -Rech.
Date RequestedCt( (/ 2—s - TL.,d� Tts . C AN
s PM
Addres 1 � -1 U3 1 -�� _ 1 Permit f)t L li"3
Builders mvY `P IJUL_
TSfS FOLLOWING CORRECTIONS ARE R1RQUIR1tD:
Inspectors
APwwv DISAPPROVED APPROVED SUnJECT TO ABOVE
Call For Reinsp.
11!SPEcTION NOTICE
City of Tigard Building Department
13125 811 Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Ir.ipection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
oet/Beam 8tru San. Sewer Framing -Bldg.
Port/Beam Hoch` Rain Drain Insulation -Plumb.
�bg. Underfloor Nater Line Gyp. Bd. -Koch.
Dat@ Requested: Time: --� AN PK
AddrReA: � 0 .►� f�(s� --Permit i s ,r
BuiLdac: —
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ - Date: 1_44"
�—"PROVED DLSAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
S-SECTION NOTICE
Cit? of Tigard Building Departeent
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6.39-4175 Business Phone: 639-4171
Inspection:
Footin' Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
lLine
' Gyp. Rd. -Mach.
Date Requeeteds_t' �y 7Time: AM PM
Addressa�. ,5 ._� � !!7 � i PicmiCT�:��
Builders
THE FOLLOWING OORRECTIONS ARE REQUIREDs
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APPROVRD DISAPPROVED _J.�-'APPRrnJRt, r,,MTRr'T Tfl Anovp
\Q _U� Cali For Reinep.
Residential Building Permit Application ,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
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Jobslte Address:
Subdivision:C�[�. `i.>. »�.( �( Lot#
t Use Oiti r
Valuation:
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Owner:
0 of
Address:
k, 3>
lt} 33P, f Sptq <1
Phone: 5 3<R
Contractor:
Address:
rhemsRgguirod
Phone:
Contractor's license#
(attach copy of current Oregon license)
Subcontractors:
Plumbing:
Mechanical:_7kf-Q0ye,YT _7Z-MP.
(attach copy of current OR Contractors License)
Architect/Engineer: 7iE'Dpwle+e _
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Address:
Phone:
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I-� COMMENTS:
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Applicant Signature & Phone number
Received by: _-_ Date Received'
PERMIT D ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
16-432 CIO Building Permit Fees
10-431 C�0 Plumbing Permit Feels-6� - - 2- �
10-431 CII Mechanical Permit Fees
10-230 01 State Building Tax (5%) - -
Building 2
Plumbing 1� -
Mechanical 2 2
w 10-433 00 Plans Check Fee
Building c
Plumbing
Mechanical
10-230 06 Fire -
y 3_ I! 30-202 00 Sewer Connection "
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 Fees o
25-448-05 Mass Transit TIF Fees ���` —1-/.0 -
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrq
(SSDC) .2,
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL --Z S US7-5 S 8 S
nm/3587P.WPF
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
1.3125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR. 97223
TO WIIOM 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 1'I21:S.
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'` 630-7728