11817 SW 126TH PLACE M�
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INSPECTION NCYrICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
spection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
• a:-tion-
Footing Plbg. Undere)ah Mach. 13ugh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lice FINAL:
Post/scam Struct. Sen. 6,vwar Framin:) .-Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Re ested: G.
�1 G y 3_j,�G'
Requested:__p _� w -- � - / - Time: -- AM --...Vn PM
Address: 1 1 7 fel l ZG eA /d� Permit 1: Pc 7/_.�,A?--
Builder.,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�f
Inspector Date.
.r� ---- ----- r. .
APPROVED -� DISAPPROVED APPROVED SUR.7roT TO ABOVE
-Call For Mulnep.
September 29, 1992 CITY OF TIGARD
OREGON
Bruce Teasley
11.817 SW 126th Place
Tigard, OR 97223
Re: 11817 SW 126th Place Permit # MEC 91-0114
On July 8, 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 of 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 180 days
becomes void. If yuu need additional. time to complete r_he project ,
please contact this department so an extension can be discussed.
Sincerely,
Robert Thompson
Building Department
Noticeb. rev
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
MECHANICAL
C'TYOFTIIFARD OF TKA PERM IT
COMMUNITY DEVELOPMENT DEPARTMENT 0910ON JERMIT #. . . . . . . : MEC91-011
13126 SW HWI Blvd. P.O.Box 23397,Tig&M,Oregon 97223(503)6394175 DATF TPIR11FD1 L217JOAjql
3I TE ADIMESS. . . ., kic)ie' ;;;)w la:oiri PL PARCEL: IS133DD-1300k-
SUBDIVISION. . . - - VILLAGE AT SUMMER L-W',E �1()RK 4 ZONING: R-4. 5
i-ALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 167
CLASS OF WORK. . iNEW FLOOR FURN. . . . EVAP COOLERS:
'.YPE OF USE. . . . :SF UNIT HEATERS.. . : VENT FANS- -
JCCUPANCY GRP. . ; R3 VENTS W10 APPLi VENT SYSTEMS:
-'TURTES. . . . . . . . *2 BOILERS/COMPRESSORS HOODS. . . . . . .
-'UEL TYPES------------- 0-;3 HP. . . . ., I DOMES. INCIN:
I/EL.E/ 2-15 HP. . . . : COMML. INCIN,
AAX INPUT: BTU 15-30 HP. . . . REPATR UNITS:
!-'-'IRE DAMPERS?. 30-521 HP. . . . : WOODSTOVES.
SAS PRESSURE. . . :
1 50+ HP. . . . - CLO DRYERS. . :
;'40. OF UNITS------ AIR HANDLING UNITS OTHER UNI VS.
URN ( 100K B-fU%. 10000 cfm : GAS OUTLETb.
-LJRN ) --100K STIJ. > 10000 rfm :
?emarls : AIR CONDITIONER
----------------- FEES
BRUCE & JODY TEASLEY type amount by date r-Ocij!
11817 SW 126TH PL PRMT $ 16. 00 JLH 07/08/91
5PCT $ 0, 130 JLH 07/0A/91
11GARD OR 97223
' 'hone #: 644-6724
,onti-at2tor,: -----------------------------
1R1--COUNTY 147.11P CONTROL,
; 3651 SE AMBLER RD
,LACKAMAS OR 97015
-hone #1 77/ -381/ 4 OR 4 16. 80 TOTAL
7262 '
REQUIRED INSPEcTiONS
'his ptreit tj issued iubliect to the regulations contained in the Final Inspect ion
.igard Municipal Code, State of Ore. Specialty Codes and all other
,Iojicable laws. All work will be done in accordance with
approved plans. This pereit will expire if work is not started
,ithin IN days of issuance, or if work is susp-pdpd for sort
,hap 180 days.
,ev,mittpe
LIV .
dp— Call fot- inspection 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. .91-215089
CHECK AMOUNT 16. 80
NAME s TRI COUNTY TEMP CONTROL CASH AMOUNT 0. 00
ADDRE69 a 13651 SE OMBLER RD PAYMENT DATE 07/08/91
SUBDIVISION
Cl-ACKAMAS, OR 97015--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
16. Q40 ST. BUILD PER 0. 80
1181,*7 `;W 126TH PL
TOTAL. Amoutur PAID 80
CITY Or TiGAtu) MECHANICAL PERMIT
13125 SIR HALL BLVD. Permit *
P. o. BOX 23397 --
T T CARD, OR 97223 01Y PRICE A64T
(503)639-4175 1) Permit Fee -0 •U• 1().nU
Name of Development 2) Supplemental Permit 3.00
Job Addrim 11 Furnace to 100,000 BTUr 6.00
Address I T!_� 1 incl.ducts&vents _
7axl0t raapr�. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents
Lot Work Subdrvivon —._.-
wme(or nyrce qt t„r,;,>o�el 3) door F%jmace 6.00
incl vent _
tY G&V Addrer 1 peon. f 4) Suspended heater,will heater 6.00
Owner 4 / or floor mounte�l'reater
rgt L Zip 5) Vent not incl in
appliance permit 9.00
____ N9T nan+e uuainesal 8 Repair of haating,rofr lg., 600
--- ) cooling,absorption unit
,ng Adds„ I PhomBoller or comp to 3 HP
do
Occupant t 7) absorp.unit to 100,000 BTU 6.OU
gtyrti l•te zV 8) Boiler or comp to 3 HP-15 HP 11.00
abso .unit to 500,000 BTU
a B) Boiler or
t comp
t 5.30HP on 15.00
absorp.
suing Aawen I Phone 10) Boiler or comp to 30.50 HP 22.50
absorp.unit 1 -1,75 million
Corrtrarxor o+tyratate ZnBoller or comp to 50 HP
11) absorp.unit 1,750,000 BTU 31.50
Slate riegletroWn No. City Sul Tax NoAir handling unit t0
I x(0013 1/C96 'Z) 10,000 CFM
4.t o
1 Air handling unit
I Irrrnlry a<.hrtowleAyu tlwt I have reed this application that tlie lnfnrmutlon given is t 3) 10,000 CFM + 7.50
LrrrW.that l am t o,owner cx aut"1400 ayeM of the owner,that plans submitted are in --
ovnO' tae with$tato Iawa,that I am 1*00101ed with ft Stwo&Ilkl•rlt'Board,mat tho1 d Non portable 4.50
nur�ner yrvAn ct IkYTed.(it exempt fmm;tale regutretirxi please give reaFnn tmetow) ) evaporate cooter
- --- 15) Vent fan connected 3.00
to a single duct
Ventilation system not
16 included in appliapmit 4.50nceer
t7) Hood served by 4,50 -
;VL?'/ mechanical exhaust
naus towner or agent) - - -- Date 18) Domestic type 7.SO
Uesc"be worts addition O alteration p repair Q inoinerat(x _to he done eldentialAL- non-tesidentiat ❑ _ ig) Commercial or industrial 90
.00
[xisUng use of pe incinerator
building or property- _bc)LLSE2 Other I.e.,woodstove,water 480
Proposed use of heater,solar,clothes dryers,etc.
building or property ----- 21) (las piping one to tour outleto 2.00
type of Wel- oil O natural gas ❑ LPO ❑ elecfnc LJ
22) More than 4-per outlet
NQTICE SUB-TOTAL �-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR C014- 5%SUFICNARGE S�
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 26%OF BUB-TOTAL
Af3AN00NFr►r(Ifs A PFRIQD OF 180 DAYS AT ANY TIME AFTER —
WORK IS COMm NCED, L TOTAL �Q
bpectial Gondllions
Date issued by --- --_ --
CITYOF TIFA R�
CERTIFICATE OF
CIiYOF1MRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . c M ST91 --0024
13126 S14 I i ll Blvd. P.O.Banc 23397,TOA,Onpon 9= 603)
- -- `+ rr DUE ISSUEDc 05/17/9)
S I TR ADDRE 3S. . . 11817 SW 1 c6TH F='1_. PARI'CI._c 15133DD -13000
6UBDJ V I G C ON. . . . a VILLAGE Al SUMMEP 1._AKE PARK 4• Z OR1I NG 1 R- 4. 5
SLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1167
CLASS (IF WORK. c NE:W
TYPE 0'" USE. . . 1 SF
Ot"CUPANCY GRP. c R3
OCCUPANCY LOAD:225 4
TENANT NAME'. . . e
pomark%I
DON MOR I SSETTE BLDE RS, INC.
15'55n SW DANrY RU
#211
LAKE OSWEGO OR 97035
Phone 0: 503-6;:,O ..7538
Cont'rac.t or 1
DON MOR I SGE,rTE BUILDERS, INC.
15555 5W SANGY RD.
#c*01
LAKE OaWEGO OR 97035
Phone #1 620-7538
Reg #. . . 35533
Occupmilcy of the mbove referenced building is hereby given, and certifie,
the compliaarre with the !;tate Of Oregon Specialty Cf,de% for the group,
occupancy, and vsie lanchar which the refereneed permit w -As ist«l.Ied.
FIRE DEPARTMENT ING IN OR
_. _..' _..-- -_..-- --�.... .r_�
BU 11..
FROST IN CONSPICUOUS pLAt*X
I
INSPECTION NOTIr.E
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•_
Footing P1bg. Underslab Aech. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Line BINALt
Poot/Beam Struct. San. Sewer, FramingC-P ._
Poet./Beast Mech. Rain Drair, Insulation
Plbg. Underfloor Water Line Gyp. Bd.
Date Regjeatedt �� Time:
7 Z �l f , /
Address: / a:�10 rf �fertait 1:
Builder
TRE FOLIkMINti CORRM-1096 ARZ REQUTAL'DI
Inepectori -- ._..__._._. _-_ _-. Ddtet_S
C )►�}RO'V�D DISAPPROVRD APPROVKD SURJNM TO ABOVE
�= call For Reinsp.
INSPEL ION NOTICE
City of Tigard Building Devartaient
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O- one): 63941,755 Business Phone: 639-4: 1
Inspection: --
Footing Plbg. Underslgd Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Lino FINAL-
Post/Beam Structs San. Sewer Framing -Bldg. \
Poet/Beam M®ch. Rain Drain Insulation ( -Plumb. }
Plby. Underfloor Water Lina Gyp. Rd. -Koch.
LJ/
Date Requested:_�� Time,: AH PM
Address: / / �ls" ` - Permit
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspectors ! �r »` Dat":
APPROVED DISAPPROVED APPROVRD SUBJECT To ABOVE
Call For Reinap.
CITY OFTIGArRD
COMMUNITY DEVELOPMENT DEPARTMENT RD13125 SW HWJ 8�vd p,0.Box 23397.noW,QWW97223(603)639-4176 0"em #. . . . . . . .310MMDATE ISSUED: 05/14/91
ITE ADDRESS. . . : 11817 SW 1,:-_-'6T1-4 PL
D JVI� PARCEL: IS1331)D1300cE3UBDlVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4BLOCK. . . . . . . . . . : ZONING: R-4. 5
LOT. . . . . . . .� B1675:- ----- ---- --- ------------------------ ----------------------------------
(CLIASS WORK. . :NEW GARBAGE
JYPL OF USE. . . . .SF WASHING MACH. . . . . . . 110611-E HOME SPACES.
OCCUPANCY GFUD. . :R3 FLOOR DROINS. . . . . . . . BACKFLOW PREVNTRS. .
STORIES. . . . . . :2 TRAPS. . . . . . . . .
WATER HEATERS. . . . . . :
F I X TURES---------- LAUNDRY TRF;YS. . . . . . ... CATCH BASINS. . . . . . . :
SINKS. . . . . . . . . . : SF' RAID DRAINS. . . . .
URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . ;
LAVATORIES. . . . . :
I'US/61-10WERS. . . . - UrHER FIXTURES. . . . . .
wA r--R cl_OsS. SEWER LINE (ft ) . . . .
1) iTER LINE (f t ) .
s�Hwo Wr
SHERS. . . . RAIN DRAIN (ft ) . . . .
R"mar'ks : SPRINKLER SYSTEM
Owner- :
DON MORISSETTE 13L.DER61 INC. tFEVES
ype Am(,#.tnt
15555 SW BANGY RD by date I-,ecpt
*x:10 PRMT $ 15. 00 JLH 05/14/91
LkKL OSWEGO OR 97035 5jPCT $ 0. '75 JL-1-4 05/14/91
r1l.,oile #.- 503--620--7536
DIVERSIFIED LANDSCAPE CON TR..
' q8ft CAMELOT LANE
ilLLSBORO OR 97123
5877 15. 75 TOTAL.
r�i5 Perna Is issued subject to the regulations contained in the -------- REUUIREL) 1NSPECIIONS
igard Municipal Code, State of Ore. Snecijity Codes and ail other E inal Insweetion
401illcmblf laws. All work will be done in accordance with --—-----
zoProved Plans. This versit will expire if work is not started
m1thin 180 days of issuance, or if cork is suspended for @ore
han lot days,
Ppt'mittee
Byt
Call for -1-n s-Dect ion 6:39-4175
INSPECTION NOTICE
City of Tigard Building Departaont
13125 ;SW Full Blvd. Tigard, oreWn 97223
Inspection Line (Rec-O-Phqne): 639-4175 Bua.ineas Phones: 639-4171
Inspection: X IL
' J
Footing Plbg. Underslab Mech. Rough-in Aper/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Poet/Beam Struct. San. Sewer Framing -Bldg,
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Reguented: -51- '� _Tiros: A►q PM
Address I `911 's I Z� — Permit
Builder: I) I A
THE FOLLOWING CORRECTIONS ARE REQUIRED=
Inspector: - LC _1 t4�--
DatesPPROVRD DISAPPROVRD SURJRCT To ABOVR
Call For Reinsp.
INSPECTION NOTICEE
City of Tigard Building Denartament
1.3125 SW Fall 81 Tigard, Oregon 97223
Inspection Line (Rec-O-Phone 631-4175 Bueinees Phone: 639-4171
Inspection-
rooting
nepectlou:Footing P1.bg. erelab Mech. P.ough-in Appr/Sdwlk
Found. Plbg.'Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date RecpieetedG:_�7
Addreen: �I J / Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4
CLL L,�L kk
LC
C' T
-fit: J� LJ.G►� � ff1�.�� �'�� Li0(� �"�'ci1
Inspector:___6LIdDate:
APPROVED DISAPPR M APPROVED Sunjum To Anow
Call Por McLaap.
INSPECTION NOTICE '
City of Tigard Bui'ding Department
13125 SW ®all Blvd. T!.7ard, Oregon 97223
Inspection Line (Rec-a--Phone): 639--4175 Business Phone: 639-4171
Inepectir-:t—_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested:_ �� 7 / Timet _ 2�,_AM l PM
Address: 1 S,/_ (e �I APermit ���rycJy'Y
BuLlder: _�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- � _
- APPROVED �— DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
y�
INSPECTION NOTICE
City of Tigard Building[ Department
1312.5 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Pibg. Undersl.ab Mach. Rough-inAppr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sower Framing -Bldg.
i
Post/Bears Meeh. Rain Drain Insulation --Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Mach.
Date Requested: /v /J --/�T/ — Time:
/ � / Pfjrmi.t R:
Builder: r� —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZI 1-77U 1 ^v 1 C� ICt�dS�
h
h
tS
Inspector.. 1 ' ear
�t ._ 7L,�� 1..; ;'[�� Date:
i
APPROVED DIEAPP PROVED SUBJEtC7' L MOVE
E"all ►or Relnsp.
INSPECTION fJOTICE
City of Tigard Building DepartiMent
JL3125 SW Hall Blvd. Tigard, Oregon 9722-3
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inapectiont
Footing plbg. underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Poot/Ream Mach. Rain Drain InsulatLon -Plumb.
Plbg. Underfloor Water Line mech.
Date Recrueeted: d1z -Timei AN _P14
Address, Permit #z
Builder:
THZ rOLLOWINr. MRRErTIONS ARE REQUIREDS
e'so C'tf -rV Lt,I L,
sa
J-
Inspectors_ z Dates
-APPROM DISAPPROvitu SUBJRCT TO ABOVN
Call For ftsinsp.
Ij!SPzC 1-0I�NO7ICE
City of Tigard Building Departaent
13125 SN Ball 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:
Port/Beam Strurt. San. Sewer �inq
-Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ 67� �7/ — _Time: AM ____PM
Addrese: Z21! ' � _ Permit 1:
Builders 'eAle.' ( S
THE FOILOWING CORRECTIONS ARE REQUIRED:
LK
I
I
Inspectort ` Date:
APPROVED CIAAPPROVIb �aROVRD SUBJECT To ABOV1
f
^—Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections _
Footing Plbg. Underalab Much. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet./Beam Struct. San. Sewer Framing .-Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor ��Water Line Gyp. Bd. -Koch.
qr"/
Date Re
uested: `/ _/nom Times
Address: / y-� Permit
Builder: 1 �/ '
THE FOLL40WING CORRECTIONS ARE
RREEQUIRED:
i
Inspectors _—_ Data:
APPROVRD DISAPPROVED _ APPROVED SUBJECT TO ABOVE
/ �--Call For Reinap.
0
�w a.
INSPECTION NOTICE
City of Tigard Building Depurt:aent
13125 SA Hall 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 Osa 3.J.ea j FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linda G Gyp. Bd. -Meeh.
Date Requestedt w — / Timet AN PM
Addreee: Permit �t
Builder:
THE FOLLOWING CORRECTIONS ARE 41nDs
Fv
I
Inspector:,. _ _ Date:_
APPROVED DISAPPROVED _s- APPROVED 909MM WO
Call For Reinsp.
IVSPRCTION NOTICE
City of Tigard Building Department
13125 S11 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ —
Footing Plbq. Onderelab Mech. Rough-in Appr/Sdwlk
Found. lbq. Top Out Gas Line FINALt
Poet/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water
L��ine/ Gyp. Rd. -Nech.
Date Requested: car✓ % _Time: AM _PyI
Address:
I
Build— F-L
THE FOLLDWING CORRECTIONS ARE REQUIRED:
I
Inspector: Date:__--` -�-
APPROVED DISAPPROVRD APPROVED SURJRCP TO ABOVE 4
___Call Fnr Reinsp.
,INSPECTION NOTICE
City of Tigard Building DePa_teent
13125 Bol Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ret-a.Phons): 639-4175 Business Phone: 639-4117
Inspect ion:
Footing Plbg, Undecela.b
Mech. Rough-in Appr/Sdwlk
Found, Plbg, Top out
-- --- one Line FINAL=
Post/Beam Strutt. San. Sewer
��,_ Framing -Bldg.
�'Msch• Rein Drain
Insulation -ply.
Pllfq• Underfloor Water Line
GYP. Bd. �J -Mach.
Date Requested:_ � 7/ `�jLG' ,�
--� TiLw
AN PM
Address: - '!!6 _
D .
`- � reit tI
Builders_ Llj
THE ILLOWINO OORRSCTIONS An REQUIRED: --
CS
I nepector a_
__APPROVED
-_ - APPROVED SUBJECT To ABOVR
rnr Ralnap.
w
INS PECTjON NOTICE
City of Tigard Building Departaent
13125 OR Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phones 639-4175 Busineas Phone. 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found.
Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Flbq. Onderfl Water Line Gyp. Bd. -Mach.
(� .
Date Reque.teds -.–.-2t �( Tine: ,ASM
Addr...t /� ��Ls' Permit
Builders �1 -
THE FOLLOWING CORRECTIONS ARE RECUIREDs
L'
Inspectors
r.` APPROVED DISAPPROVED APPROVED SUB.TECT TO ABOVF, yl—
_,Call For Reinnp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SO Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections_ ——
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Poet/Beam Mach. iin Drain Insulation -Plumb.
Plbg. Underfloor- water Lin Gyp. Bd. -Mech.
Date Requesteds J -G' Times AM 1_J} PM
Addreass IrJG � Permit IV/�-�L �L
Builders —_ —
THS FOLLONIVO CORRECTIONS ARE REQUIRED:
Dates
L APPROVED DISAPPROVED _ APPROVED SUBJECT TO
Call For RNinnp.
INSPECTION NOTICE
City of TL9&rd Wilding nepartmmt
13125 Sw gall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Buetaeee Phcne: 639-417
Inspections_
CF00tirigPlbg. Underelab NO,". Rough-in Appr/Sdwlk '
Plbg. Top out Can Line
PINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain DraJr Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Mach.
Date Requeeteds__4=2
Times AN/��� l� PM
Address s �� l /lam/� Permit
Builder:
THE FOLLOWING CORRECTIONS ARE RREQUIRED- f
Inspectors
—_ ---- -.
APPROVED DfSAPPROVData:ED _ APPROVED l4UBJECf To ABOVE
___Call For Reinsp.
i
CITY OFTIFARD MASTER PERMIT
Crrf OF TWA" PERMIT #. . . . . . . : MST91-002.4
COMMUNrTY DEVELOPMENT DEPARTMENT ofteft
13126 SW Hd Blvd. P.O.Box 23397,TipM,Oregon175
9 r- ; -0 2 M74 1 DATE ISSUED% 02/1a-/91
'TE ADDRESS. . . : 11817 SW 126TH PL PARCEL: 15133DD-130iAv
)BDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
CiLOCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . : 16 1
BUILDING
QEISSUE: DWELLING UNITS: I BASEMENT. . . . . . . . :0 sf
CI-ASS OF WORK. .NEW BEDRMS:3 B(4THS.-3 GARAGE. . . . . . . . . . :520 sf
7-YPE OF USE.. . . :SF FLOOR AREAS------------- RI--QUIREDSETBACKS----------
r'YPE OF CONST. :5N FIRST. . . . .-862 sf LEFT. . :6 ft RIGHT. : 10 ft
)CCUPANCY GRP. :R3 SECOND. . . : 1033 sf FRONT. :20 ft REAR 47 f
",TORIES. . . . . . . :2 THIRD. . -.0 sf REQUIRED-____.________._______,
HEIGHT. . . . . . . . :25 ft TOTAL --: 1895 sf SMOKE DETECTOR-.. :Y
rLOOR LOAD. . . . :40 psf VALUE. . . . . $ r 96530 PARKING SPACES. . :O
PLUMBING
"INKS. ,, . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BA(--VFLOW PREVNTRS.
L.AVATORIES. . . . . 93 WATER HEAI ERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :P LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . .. . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURE' . . . . ,14)
GARBAGE D1SP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . .- I SF RAIN DRAINS. . : 1
----------------- MECHANICAL FEES --------------
1--LIEL TYPES------------ UNIT HTRS. . -.0 type amount by date t�eupt
/GAS/ VENTS PAYM $ 100. 00 JLH 02/06/91 209576
MAX TNPUT:13 BTU VENT FANS. . :4 BPRT t 424. 00 f
FURN < 1001'. . . - I HOODS. . . . . . s SPILC $ 275. 60
FURN ) -100K . . :0 WOODSTOVES. -0 135PC $ 21. 20
P71L.00R FURN. . . . nO CLO DRYERS. : I SSDC $ 375. 00
1-10IL/CMP ( 3HP:O OTHER UNITS:0 PARK 1, 2'50. 00
GPS 0UTLETS: 1 MVIRT $ 39. 00
5
Owner': MPLC $ 9. 7
DON MORISSETTE BLDERS, INC. M5PC $ 1. 95
15555 SW RANGY RD P P R T $ 1.3C-:. 1.50
#210 P5PC $ 6. 63
I-AKE OSWEGO OR 97035 TIF 4 1350. 00
Phone #: 5103-620-7538 V'A Y M $ 2785. 63 JLH 02/12/91
('0 T)t v-AC t o v-I ._____.._-___.--_—_______,r___....__..._
DON MORISSETTE BLDERS, INC.
15555 SW BANDY RD
62?10
,-AKE OSWEGO OR 97035
;-,hone #1 503-620----7536
r4eg #. . 1 35533
$ 2885. 63 TOTAL.
This vervit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all cther Foot/found Insp Fir-eplace Inst~
applicable laws. All work will be done in accordance wLth approved Post/Beam StrUCt Gas Line Insr3
Mans. This persit will expire if work is not star dwithin IN Post/Beam Mechan Insijlation Insp
lays of issuance, or if work is su,.c Ied for sort har IN Plm/undslab Insp Gyp Board Insp
PLM/Underfloor- Rain drain Tnsp
" ."'ffijttee Sit
.In_ UV" —Mer-hanic-al Tnsp Water- Line Insp
It
r- 011AMb TOP Out Appr,/Sdwlk Insp
Issued By : Framing Irlsp Mechanical Final
Call for- inspection -- 639-41^.'5
SEWER CONNECTION
C11Y QF TIGA RD PERMIT
CITYOFTIWIRD i=,['RM I T #i. . . . . . . : SWR9 01-P.2"
COMMUNITY DEVELOPMENT DEPARTMENT «nvow
13126 SW Hdl Blvd. P.O.Bac 23397,TOW,Oregon 97223 4b0.9 8 9.,1176 S r
�.�.� 1 , 17 _ �-iil�: I.�,�ucn:
;3ITE ADDRESS. . . : 11817 SW 126TH F'L PARCEL: 1S133DD-13000
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARI; 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . q LOT. . . . . . . . . . . . . : 167
-----------------
TENANT NAME:. . . . .
USA NO. . . . . . . . . .
. . . . . . :43172 FIXTURE UNITS. . . .
CLASS 01' WORK. . . :NE'W DWELL IIAG UNI TS. . : 1
TYPE OF' USE. . . . . :SF NO. OF BUILDINGS: 1
i NSTALL TYPE. . . . :BUSWR IMPERQ SURFACE. . :
?emark� :
��7wner _______ ._______.___--- ---•-----___.-____-_ ____________._.____.
FEES ---__-_._-__--_
DON MORISSETTE BLDERS, INC. type amount by date rec;pt
15555 SW RANGY RD PRMT $ 1500. 00
#2101 I NSP E 35. 00
LAKE OSWEGO OR 97035 PAYM $ 1535. 00 JLH 02/tL/91
Phone #: 50.3-.620-7538
Contr-actor: -•_-______-____-.__-____-.._--___
CONTRACTOR NOT ON FILE
-----------------------------------
Phone #; $ 1535. 00 TOTAL
Rep
------ REQUIRED INSPECTION!-;
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 1241 days fl-cm
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
;ide sewer laterals. if the Sewer is not located at the measurement
Oven, the installer shall orospect 3 feet in all d'rections from
the distance given. if not so located, the install shall
9 "Tap and Side Sewer" permit and +�-► Q6,c, w !' ins+ a later 1.
Permittee 3igr1a1;ur-e :
s
Issued By = -
Cal 1 for inspect i on - 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91-20966 3'
CHECK AMOUNT -
NAME : MORISSETTE, DON CASH AMOUNT
ADDRESS 3 P(AYMENT DATE 02/1e/91 I.
SUBD I V I S JON
11817 bW 126TH PL.
F-IIJR1710SE (')F PAYMEN-I AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT IDP ID
424. 01A Pl-UM3TNG PERM 13 k?,. 15)0
i�7JII. Elli6 -15f� MST9 1-0024
MECHANICAL. PE. 39. 00 ST. BUll D PER 29. 78
PI-AN CHECK FE I SEP. 35 SEWER USA 1500. 00
SEWFR INSPECT 313. 00 RESIDENTIAL. TRAFFIC FEES i 2.50. 0 0
PARKS SDC 2150. 00 STORM DRAIN GDC 375. 4 0
MASS TRANSIT TIF F*F.Fc.; 100. 00
TOTAI- AMOUNT PAID > 4320. 63
12- N%.-qt
SHOEMAKER'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
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.nSHOF.MAK ER PRES.
630--7728
i
PLNCK/RECT #
W25 SW Hall DW.
CITY OF TIGARD P°Box 23397 f PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT
�(�"prd'o-s«+9'M
(503)6394171 � DATE ISSUED
JOB ADDRESS: j 4 i � ' { -�, p1 ' TAX MAP/L07 /��-3 ? D r •��`'Q
SUB: LOTLAND USE:
�i VALUATION: �
SPECIAL NOTES
OWNER
Q ^j
NAME: REISSUE OF:
.�
��.�� J—_ 1N LAST REISSUE:
ADDRESS: -/ � FLOOD PLAIN/
-
SENSITIVE LAND: -
CHONE: —
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING: --
ADDRESS: — ENGINEERING:
FIRE DEPT: --
PHONE: _ _ OTHLR: -
CONTR. BOARD EXP DATE: —_
���yyyy ITEMS REQUIRE0_
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: AJLBUS TAX: — —
ARCH E/ NGINEER CALCULATIONS: —
NAME: �� — — !- = rL( - — TRUSS DETAILS: _—_--
ADDRESS: __ _ _ OTHER: __ —---- —
PHONE: r4 } —► ---
PROPOSED BLDG. USE: — — _ _--- -- -
COMMENTS:
tpANT SIGNATURE
Received By: ._ _- ________ Oa to Received: _---
RR
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
h1,5+ ; Q t/ 10-432 00 Building Permit Fees ✓ Q y-
10-431 00 Plumbing Permit Fees ✓ f �, .SU ' C
r 7
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) y �� 7
Building
Plumbing �'G; •'�
Mechanical `la
10-433 00 Plans Check Fee
Building S � � ✓
Plumbing
Mechanical
10-230 06 Fire —
)Gu� U2530-202 00 Sewer Connection
30-444 00 Sewer Inspection
3 _
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 — v
25-448-05 Mass Transit TIF Fees / vV
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) _
101A1 0. 3
nm/35871'.WPf
i
16656 S.W. Rangy Road,Suite 201
Like Oswego,Oregon 97035
Phone:(508)620-7588
FAR.(603)620-7486
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i--ioatt 7,02-11L
Val
GITY OF' TIGARD RECEIPT OF PAYMENT RECEIPI NO. :91-209ti'76
CIAECK AMOUNT 00. 00
NAME : MORISSETTE, DON CASH AMOUNT p 0. LAO
ADDRESS : 15555 SW SANGY ROAD, G#201 PAYMENT DATE a Oc--'./08 91.
LAKE OSWEGO, OR 97035- SUBD I V 19 1 ON
4
PURPOE-E OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT VAID
CHFCK 17E 2---7R
1. 10,17 514 J.2-6TH PLACE
HTFAL AMOUNT PAID too IM