11898 SW 127TH PLACE 1�1T 1 1 ► TJr ► I' 1 I 'I I ,I" 1 I I � "
U U U UUL-ou 10 1 ::f
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fir,
CERTIFICATE OF
CITYOFTIFARD cn RD OCCUPAWY
COMMUNITY DEVELOPMENT DEPARTMENT OR& PON ERM IT #. . . . . . . :� 1YIST91 -0101
13125 SW HWI Blvd. P.O.Elm 23397,Toud,Orern 07'M(6031113"175
j
SITE ADDRESS. . . a 11858 SW 127T1-t PIL PARCEL: lGl,33DD--l3Z500
SUB D I V!51 ON . . . V 1! 1 AGE AT SUMhE R LAKE PARK 4 ZONINGs R-4. 5
BLOCK.. . . . . . . . . . e LCI.. . . . . . . . . . . . . : 172
C.'LASS OF WORK. sNEW
TYPE-. OF USE. . . :SF
OCCUPONCY GRP. :R3
OCCUPANCY LOAD-. 120 4
TENANT NAME". . .
Owners
DCN MORISGFTTE BUILDERS, IIAC.
15555 SW RANGY RD.
#201
LAKE OSWEGO Or? 37035
Phone #i 620-733LA
Culltroct or. -
DON MORISGEI'TE BUILDERS, INC.
15!555 SW TAPN13Y RD.
0201
LAKE OSWEGO OR 97035
Phone 620-7538
Rey #. . t 3553.3
rict,Ljpancy of the above referenced building is hereby given, and certifies
' he compliAnce t-)itl-i the State Of Oregon 1pecia)ty Codes for the grol..q),
-i -o - -,mit
.rccupancy, and use t.mder whirA) tt v, ferent--ed per was is%upd-
FIRE DEPARTMENT BUILDI"SPECTOR
Pur&N-6- OFFICIAL
POST IN CONSPICUOUS PLACE
IIISPECTION NOTICE
City ,if Tigard Building Department
13125 Sit Hall Bled. Tigard, Oregon 97223
Inupection Line (Rec-O-Phone): 639-4175 Business Phone; 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out can Lines FiNALs
Poet/Beam Struct. San. Sewer Framing -Hldq. l
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd.
Time: AN PN
�t '/
Permit
/�s
Bui Iders-y - -2Lf-� 1����T U :
IJ
THE FOLLOWl:". CORRECTIONS ARE REQUIRED:
Inspectors - _—_ _ nate: )U -17 / f
APPROVED DISAPPROVED APPROVED SunJECT TO ABOVE
-_ Call
For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 lift Hall Blvd. Tigard, Oregon 97221
Inspection Line (Rec-O-Phone) ' 639-4175 Business Phone: 639-4171
Inspection= _ AA
Footing Plbg. Jnr�ef'elab Mach. Rough-in Appr/Sdwlk
Found. Plbg. 'fop Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Nater Line Gyp. Bd. -Mach.
Date Requestedt '! ___Timet / AM PM
Address:
Builder:-
' T
THE FOLLOWING CORREC IONS ARE REQUIRED:
Inapectore (.61 1.1
E '
APPROVED DISAPPOV10 APPROVED SURJF('T TO ABOVE
Call For Reinsp.
MMMMMM
INSPEt"MON NUTICE
Cicy of Tigard 0milding Department
13125 SM 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 Gas Line FIMALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: Timat 7,&_AM PM
Addresst (Alt 12J ��C�(/ssD __ Permit 1t 41( -0(0(
auildert E;', 2-4>5-C..
'MR FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors
APPROVED DIBAPPROVBD APPROVED SURJECT TO
ABOVE
Call For Rainsp.
�t
.LNSPECjION 1;C! ICE
City of. Tigard Building Department
13125 8111 Hall Blvd. Tigard, Dragon 97723
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63?-4171
Inspections_-_
Footing Plbg. Underelab Nt3ch. Rough-in i Appr./Sdwlk
Found. Plbg. Top Out -tae Line FINAL:
lost/Ream Struct. San. Sewer- Framing -Bldg.
Poet/Ream Hoch. Rain Drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd. -Much.
Date Requestedt /! -J / Tim t �AM _ PM
Address:_ 1,//Zk �__42 7r X/� Permit #s
Buildery�l�LLL_ o�Lf.� y`7�"/U .�.L1�La._�re:�7
TNR IoLLOWING OORRECTIONS ARE REQUIREDs
I-
4,A) ST1Z4A P % "Pi P i*N a d"d ei�e
Iner :tort_,
APPROVED DISAPPRUVRD - APPROVRD SUBJECT TO ABOVE
_—Call For Reinsp.
WMAW
I
INSPECTION NOTICE
City of Tigard Building Depart.ant S
13125 SN Sall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6]°-4171 1
Footing Pl.bg. Underal» Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Pont/Ream Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line GYP* Bd. ---ffKoc--hhGI.�.
Date Aoquested: -/ C
Address:_ �� �� ~ ftrmit
builder:
TgrFO`LLOWING OOAA=CTION8 Mktg RMUIREDi
- I
Inap�otor� _ __ Dates
APPROVED DISAPPROVED i DROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departesnt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-0-Phone): 639-4175 Business Phones 639-4171 1
Inspection:
Footing Plbg. Underslnb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out/ � as'-Li e�( FINALs
Post/Beam Struct. San. Sewer J Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloo_ Water Line oyp. ad. --Hoch.
P:te Resposteds Timet AM PM
Address s_ // Permit f s
Builders Z21?7
THE FOLIMNINO CORRECTIONS ARE REQUIREDs
-
------------------
� ii C7
Inspectors
`1 Dates
APPROVED ED APPROVED BUBJECT TO ABOV1
Call #or Reinsp.
IL'
INSPECTION NOTICE. �
City of Ti.garl Building Depart-ment
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639--4175 Business ?hone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in ` Appr/Sdwlk�
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor �Watrvr Line Gyp. Bd. -Mech.
Ttme: AM
Date Requested• ---
_,Z �L1 _ 7
Address: K Permit t:C> G
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
UJU C ' ► VEL
LJInspsctort LIL( !i. C "4.,
_-_APPROVED DISAPPROV1 y�APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�r s s ■r �r �r �,► a MU
INSPECTION NOTICE
City of Tigard Building Department .,
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones: 639-4171 1,1.�
Inspection:
Footing Plbq. Underslab !tech. Rough-in Appr/Sdwlk
Found. Pibq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing, -Bldg.
Poet/Beam Mech. Rain Drain ( Insulati0e j -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mesh.
Date Requesteds_ ---�' �/�J Timet __Z�:,_AM _ PM
Address: /3 �� / �(L Permit t�j��//
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Zb c.: c_' /n[E u,,4 AT u A-) e-A
/ � INSul ,)ra Aj
�Lr/h�n�c� �: i.y..� / I L�6•!i'��:�C:- Y%7y'.�7'��..7 �c.`.C.lU�`-,
�1 v SAt 2.4kAr
Inspector: _ DatatC .
_APPROVED DISAPPROVED _ �_ APPROVED SUBJRCT Tn ABOVE
call For Rafnep.
INSPECTION NOTICE %
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 Mg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top 0--t-_-)
ut Gas Line FINAL:
Post/Beam struct. Ban. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineG Gyp. Bd. -Mech.
Date Requested: � % ^� Times AM PN
Address: 7�d / Permit is
Builder *y7 c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_/ ----—- - - �_ Date
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
✓✓✓'��� Call For Reinsp.
�. rxwxwx
:
INSPE Mgff NOTIc£ ' N
city of Tigard Building Departcr-nt
13125 SW hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —,.
Footing Plbg. Underelab Mech. Rough-in Appr/Sdalk
Found. Plbg. Top Out Gas Line FINAL-
post/Beam Strurt. San. Sewer Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plumb.
bq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requestedt OP7 C / Timet _ �/ AM PH
Address: 2 - Permit
-"'
Builder:���
THE FOLLOWING CORRECTIONS ARE REQDIRZDt
Inspector t i -. -— --------- Date:-7
/APPROVED DISAPPROVFI. APPROVED SUB.TRCT TO ABOVE
Por Reinsp.
INSPECTION NOTICE
City of T[gar3 (wilding Departor_nt
13125 Sit Hall Blvd Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 639-4171
Inspection:
Footing Plbg. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lire FINAL:
tst/Beam Struct) San. Sewer Framing -Bldg.
Post/Boam Hoch Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requostode/' 7 J^�7 _Timet / AN �PH
Address: 1l 16112 / , ZZ, Permit /�/
Builders �..
TBS FOLLOWING ODRRECTIOls ARE REQUIRED:
i
Ttepwtort Date
APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregor 97223
Inspection Line (Rec-O-Phone)s 639-4175 Busis 2sa Phone: 639-4171
Inspection:
Footing Plbq. Ilnderslab Mech. Rough-in Appr/Sdwlk.
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Strnct. Ban. Srwer i Framing -Bldg.
Poet/Beam Mach. Rain Drain ) Insulation -Plumb.
PLbg. Underfloor Nae Gyp. Bd. -Mach.
Date Requesteds 7 -,17- 5-71-L Time:
Address:--Z) -55;"9 S-' 7 parwit I�
Builders _1 6�,��
THE FOLLOWING CORRECTIONS ARE REQUIREDs
.7
Inspector:_ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
l '
__ Call !'or Rainsp.
w w w W WLMPKWW-X�
RLS PRCTION1 NOTICF, c
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
`yF.,o_otiing Mg. Underelab Mech. Rough-in Appr/Sdwlk
�* """'• , Plbq. Top Out Gas Line FINAL:
poet/Beam Strur_t. Ban. 5 Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor y�Wate�rj Line Gyp. Bd. -Mech.
Date Requo tads [ �/�' ' `
Times AM ��L2
TL
Address: � Permit is% '/ ij^���[/71
guilder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A.
Inspectors i —_—� Dates
1W PROVED _ DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITYOFTAIG
0
COMMUNITY DEVELOPMENT DEPARTMENT meo- 46w MASTER PERMIT
13126 SW H.al Blvd.P.O.Bm 233W,Tlpmd,OMM 97223 1603163w176 PERM I T #. M S T'31 101
+IV DATE ISSUED . 0-1/1i/91
i TfE faL'DRF SS. . . i l a98 SW 1 2 7 TI-i* Fri_ PaiRC.EL: l S i 33DD - 1 ,350flt
LJED M S I ON. . . . : VILLAGE AT SUMMER LAKE:: PARK 4 ZONING: R-4. 5
. . . . . . . .. LOT. . . . . . . . . . . . . . 171?
BUILDING
5.F I SSUL: DWELL I NU UN I TS: 1. BASEMENT. . . . . . . . :0 S f
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . .560 sf
t`r-E OF USE:-. . . :GF FLOOR Af2i:AS __.__.-.-.--....... .. PEDUIRED SETBACK
vf-'F OF CONST. :5N F IRST. . . . ; 1927 sf LEFT. . :5 ft RI'GHl'. .5 ft
_CCUPANCY GRP. :R:3 ;.SE=COND. . . :0 s t F"RON',„ :,•:'� f''t REAR. . .��3 ft
,I-ORIES. . . . . . . : 1 T'HIRD. . . . :ILLI S REQUIRE
t!EIGHT. . . . . . . . :c0 ft TOTAL_--._,...-.._, 1927 --f SMOKE DITTEECTORS. :Y
�=l_OOR LOAD. . . . -40 psf VALUE. . . . . s: 98722 PARKING ,FACES. „ :0
�lomark s :
PL.UMBING
INKS. . . . .. . . . . . . 1 FLOOR DRAINS. :0 PACKPL-.OW PREVNTR'3. . :0
1..AVFiT U(JIES. . . . . :2 WATER HEATE=RS. . . : i TRAPS. . . . . . . . . . . . . . :0
I 'UB/GhOWERS. . . . :; LAUNDRY TRAYS. .: . -0 f"ATCH BASINS. . . . . . . :0
WATF;R CLOSETS- 32 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . 10
I',Ir3HWAaHE RS. . . . : 1 WATE-R LINE: (ft ) . : 100 OTHER FIXT11R S. . . . . iO
i ARBAUE DIE3F'. . . s 1 RAIN DRAIN (ft ) . :0
WP!3HING MACH. . . : 1 r1= RAIN DRAINS, » : 1
MECHANICAL. _. _._____._._ .._... -.. _._.___.___.___..-. f-EES
` UEL 1'Yf"ES-_.__ -...._.___._..._ UNIT i11pa. . :0 type :.mount fl (late roc pt
GAS/ / / VENT,,, . . . . . :0 TIF $ 1350. 00 JL.H 07/17/91
1,1CAX IN171L.I7 :0 BTU VFNT FArIS. . :3 0FIRT $ 4.,x0. 17.1171 ..Ti._H 07/17/91, —
1 URN ( 100K . . : 1 HOODS. . . . . . : 1 SPLC $ 279. 50 JLH 05/29/91 21370,
r URN ) =-I001i . . :0 WOODSTOVE:.S. 10 83PC $ 21, 1111 JLH 0711'1191 -
r I.UUR F"URN. . . . :0 CLO DRYERS. i 1 SSDC $ 375. 00 JLH 07/17/91 -
fit�IL/CMp ( �sFiF�aO Q'IH!",N UN: :j: 1 1-,PwA, $ 016 JL11 07/17/'-)1 -
GAS OUTLE'T'S i l MDPT x 40. 50 JLH 07/17/91 -
)wrte, : _.._.. .___._.__-__._...-_ .._..._._ _..__. MPI...0 $ 10. 12 TLH 07/ 11/')1 -
i.iUN MORI5SE'!TE HUIL_DE R5', INC". h'15PC 2. 03 JLH 0117/17/91 -
15555 SW SANDY RD„ PPRT t 1 c 5. 00 JI-H 0711.7>91 -
*tc:01 P5PC $ 6. 25 JLH 07/1.7/91 -
AKE fll')WEGO OR 97035
�'horie #. A20-75.38
t- unt raac`t or a
L-ON MORISGEE.Tlf_ BUILD1ERS, INC.
5555 SW BANGY RTS.
#x-'01
LAKE. OSWEL30 OR 97035
PY10?,p 1#: 620-•7!530
I'rn
#. . 1 35533
=.661. 91 TOTAL
This ptroit is issued subject to the regulations contained in the ---- -- RE'QLJ,".RED INSPECTIONS -
'igard Nuriicipal Code. State of Lire. Specialty Codes and all other Foot/fa,.tnci Insp Fireplace Inst•
applicable laws. Al' "oro will be dant in accordance with apprnred Post/6ea+m Str,-Ict Gas Line! Insp
plans. This pereit will expire if of-o is started within IN Pas+-/Beam Meehan Insmlat ion Insp
days of IsSome. a- 1 wore :s s ;; �'}� /� '�}; Ftp 14vPlIm/unris .lab Insp Gyp boalrld Insp
� Ll[C (0121 n�� i i_M%LlnivaI
lnrr Rasp drain Insp
F'��rmittes+ ,:�I(anat,.� (� h+ier_tlanie�nl nil; Waster Line Insp
PJB tmb Trip Omt Appr/Sdwlk Insp
I ,. "''ted ''ay : I- r.rlm i r,q In%n Mer,Ilari I r-m 1 F i r-.-.A
W
CITY OF TIGARD RECFIFIT OF PAYMENT RECEIPT NO. :91--�A 5440
CIAE,CK AMOUNT - 2639. 91
NAME MOR ISSETTE, DON CASH AMOUNT 0. lbo
ADDRESS e PAYMEN) DATE 07/17/9.1
9UBD I V 1 f3 f ON
PURPOSE OF" PAYMENT AMC)UNT PA I D PURPOSE OF PAYMENT AMOUNT PAM
430. 00 PLUMBING PE 13M 125. 00
MECHANICAL Pf--- 40. 50 ST. BUILD PFR 219. 78
PI-AN CHECK FE 39. 61 RESIDENTIAL. CRAFT ic FEES 1250. LAO
MOSS TRANSIT TIF FEFI100. OrA PARKS SDC 0-5 IA. 00
STORM DRAIN SDC 375. 00
P398 SW 127TH PL
WTAl. PMOUNT PAID 91
i
i
CITYOFTIFARD SEWER CONNECTION
GFf2M I T
COMMUNnY DEVELOPMENT DEPARTMENT
ClITY44MI11111110 �'t_RM.c I #, . . . . . . : swR� k11�$
19126 BW FYI Blvd.P.O.Bot 29367,T19",Onpon 97ZZ9 600{69x4176
J r G06/28191
i
i t-E ADIjRESS. . . : 11898 SW 127TH PL F'ARCE:L i 1 S 133DD-1350411
3UBD I V I S I ON. . . . : 'VILLAGE_ AT SLIMMER I—FiKE PARK 4. 70N I Nr7- F-7 -11" C.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 172
TENANT NAME. . . . . (
JSA IVO. . . . . . . . . . : FIXTURE: UNITS. . .
'LASS OF WORK. . . :NEW
DWELL SN(i UN11S. . : 1
IYPE OF USE. . . . . :SF NO. OF NUILDINGS: l
TNSTAL.I_ TYPIL. . . . :NIJSWR IMF,ERV SURFACE. . .- :Sf
Re m,Ark ss:
IwTler: FEES
DON MORISSETTC BUILDERS, I&N-C. type amount E,y cute r ut t
1 555 SW BANDY RD. VIRMT $ 1500. 00 BCR 07/01/91 0
OkC�01 INSP $ :35. 00 BCR 07/01/91 0
i._HKL USWEGO UR 970:35
6;---'0-7538
.l;t,,l r;ArrpR NOT ON FILE
L.E
--------------------------------------- 1
Phone #: 1335. 00 TOTAL_
--------- REOU I RED I NSGE CT I CONS ---------
�nit Applicant agrees to comply with all the rules and regulations 'Sewer Inspection
of the Unified Sewage Agency. The permit expires 1,4 days freethe date date issued. The total amount paid will be forfeited if the _
oermit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
riven, the installer shall prosoect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the Agency will install a lateral.
mittee 5i,yrsatur•e•
i S S t.se d By s
Call for inspection — 639-4175
T T .........z ..........
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91--;?13704
CHECK AMOUNT 250. 410
NAME t MDR ISSETTF', DON CASH AMOUNT 0. 00
ODDRESS p PAYMENT DATE s 05/29/9 1
SUBI)I V I S I ON
f-)URPOSE OF PAYMEN-1 AMOUNT PAID PURPOSE, OF POYMENT AMOUNT PAT D
4-AN CHECK FE 5---488 250. 00
I I o9S SW 127TH PL-
[(lI(l- L AM01-11\11 MID 2,50. 00
'A
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 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.
630-7728