11901 SW 127TH PLACE I
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11901 SW 127TH PLACE
CIOF Tt 67A vARD CERTIFICATE OF
Cff 4 A
YOFTWA
RD OCCUPAW."Y
COMMUNITY DEVELOPMENT DEPARTMENT oftnm 1-,,,7'PMTT #. . . . . . . . M Ij T 9 1
13126 SW HWJ Blvd. P.o.Box 233W, Oregon F2Z(SM)M4176
11,747- ISSHM' 08/04/98
`31TE fIDDRESS. . . e 11901 SW 127TH PU PARCCL-. IS1313DD -
'iUBDIVIFE-ION. . . . v VILLOGE AT DUMMER LAKE PAPI-, 4 ZONIN(Gt R-4. 5
RLOCF.. . . . . . . . . . c LOT. . . . . . o . . . . . . .. 178
OF WORK. :NEW
TYPE OF USE. . . z GF
OCCUPANCY GRA. :R3
OCCMANCY LOAD 1120 4
TENANT NAME.
Rem�Arks
-.
DON MORMISETTE BUILDERS, INC.
15555 SW RANGY RE).
#201
LAKE. 0SWECO OR 9 ,'035
Phone Os 620 -7538
contractors
DON MORISSETTE BUILDERS, INC.
15555 SW BANGV RD.
*20 1
LAKE QSWV.G0 OR 9703n
Phone #p 620-7530
Reg #. . r 35533
Uccupency of the ahovL,- referencpd building i % hereby rAivpn, and cortif.,vit
the compliance with the Stato Of Oregon Specialty Codes for the group,
occupv.ncyl ilmd use uroder which the reftwrenred ptoy,mit was issued.
lat.
P I RE DEPART!1SNT Lilt-DIN(-, IN P=TOR
POST A C'INSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639.4175 Business Phone: 639-4111
Inspet t ion• _,__ __..
Footing Plbg. Underal.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Berm Mech. Rain Drain Insulation -Plumb.
Plbg. Underf,00c Water Line Gyp. Bd. McCh
-// _ ,
Date Reques.ed:_ % `7 � _Time: AN _ PM
Addre•o � /^-" Permit f: /
Builder:_'/,
THR FOLLUWINC CORRECTIONS ARF REQUIRFo: s�
Inepectorc,_ Date:
y APPPArM DISAPPROVED APPROVED SUBJRCT To ABOVE
Call For Reinsp.
VMWAM-K-71 JEW MW M
LILS_P;:TION NOTICE
City of Tiga_d Building Department
13125 SR Hall Bawd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection:`--�_ —
Footing Plbg. Underelab Mech. Rough-in APer/8dWlk
Found. Plbg. Top Out Gas Line FIBALt
Poet/Beam Struct. San. Sewer Framing �J/ -81dQ.
Poet/Beam Mech. Rain Drain Sneulstion /Ap1� -Plumb.•/
Plbg. Underfloor Water Lina Gyp. Bd. �Mw
Date Requested: /� _Times —AM
Address:_Z 7 j 21 7 �! _ Permit #s 4z
Builders . if-2, ZOA4 I c
THE FOLL;)WING CORRECTIONB ARE REQUIRED:
rn
lnspectort ✓ _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainop.
i
FNSPEC-MN NCYrICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businena Phone: 639-4171
Inspection: — —
Footing Plbg. Undersl:b Nech. 'tough-in App::/Sdwlk
Found. Plbg. Top out Gas Line FINAL-
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Ineulatior -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested: j�fes- TiO AN /�PN
Addrea/e Sa'_LL ��-`�t:�- ---- Permit 11: 2 0 o
THY FOLLOWING LORREGi20A8 MM MQUIRMS
_46 AL
I noveftort Deter:
APPROM) G�OIs11tlRavtn APPRf'VP.0 SUBJRCr To ABOVE
*-*"
Call For Ralnap.
1
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r
INS_F_HCTION NOTICE
City of Tigard Building Department
1312.5 SW Ball Blvd. Tigard, Oregon 97223
Ine,ection Line (Rec-o-Phone),K b39-4175 Bue.i-nese Phone: 639-4171
Inspection: __
Footing Plbg. Un @lab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gae Line FINAL:
Post/Beam Struct. San. Sewer Frr.ming -Bldg.
Past/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor -� Water Lin* Gyp. Bd. -Hach.
Date Requested:_ '/_ rte+- / �/_1 Timet -IAM _ _PM
Address:_ f U *7Pe�tmlt #t0S.9 _..
B silcier:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
7ky- :60J ---
Inspectors _p�ce;rj _ -..--. Date:
"�MPROVtD DIBAPAPPROVIN SUBJECT TO ABOVE
_,Call For Rainep.
THSezCTION NOTICE
City of Tigard Building Departatent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-41:5 Business Phone: 639-417J
Inspection;
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FIVALt
Post/Beats Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation P,umb.
Plbg. Underfloor Water Line Gyp.
Gyp. Bd. -xwh.
Date Requeeteds 7 +� ti /aL.� Timet AM PM
Address: /� �D/ / '�� Permit
Builders
THE FOtJAbIWG CORRECTIONS ARE RE4CIREDt
Dates
APPROVED i DISAPPROVED APPROVRD SURJRCP TO ABOVE
✓►C/�-- _ Ca]1 For Relnep.
INSPECTION WOTICF.
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone)! 639•-4175 Busineas Phone: 639-4171
I napect'-on•
Footing Plbg. Undersl.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Pon-/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mach. Rain Drain Insulation --Plumb.
Plbg. Underfloor Nater Line ['Gyp. Bd.r -Mach.
Date Requested: Timet �AH PM
s /_
Addre
s 1 V1 `x U l 2. 1� \ Permit #t Z-1 _
Buildert-D,
TNR FOLLOWING OORRECPIONS ARE REQUIRED:
Inspector f — ----.-- _ Date:
APPROVED DISAPPROVED APPROVED SUSJF.-P TO ABOVE
Lti'.A :r Reinap.
.jNSrg&UION NOTICE
City of Tig.yzd Building Deoartmnt
13125 SW Rall Blvd. Tlgard, Oregon 97223
Inspectiai Line (Rec-O-Phone): 639-k175 Business Phone: 639-4171
Inspection:____,__ _ _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. vlbg. Top Out
( as Line FINAL:
Post/Beam Struct. say.. Sewer {`^' Fr�minq -Bldg.
Post/Beam Meeh. Rain Drain / Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: (G' L/ — �• Time: AM _Y_PM
Addrees: Y_.�1� 7 fes` -x-- Permit #:� G� �Q
Builde42�ji
THE FOLLOWING CORRECTIONS ARE REQU?RED:
Inapsetoee r Date:
y APPROM DISAPPROVED APPROVED Sn"WCT TO ABOVR
Call For Reinnp.
�NSFECTION NOTICE
City of t'igard Building Department
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-C-Phone): 639-4175 Businese Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer
c
ming -Bldg.
F08t/Beam Hoch. Rain Drain --_k
Innulatlon -;lumb.
Ping. Underfloor Nater Line Gyp. Bd.
/ -Mach.
Date Requested: --eiA _Time
_ : AM PM
Addcesst
Permit fJ� -
Builder: �
TIB POr LOWING -ZRRSCTIONS ARE REQUIRED:
I
lil
!�4
sr
+ Z
dp.(„
Inepectort /
Y-
11PPROVtD j'� _
DISAPPROM APPROVED SUBJECT TO ABOVE
Y Call Por Minsp.
miffM�l
INSPECTION NOTICE =="')a►� /
City of Tigard Buildi-:rg Departaent
13225 SW Ball Blvd. 'rLg&rd, Oregon 97223
Inspection Line (Rec-o-Phone: 639-4175 Business Phones 639-4171
Inspection
jam•-- -----
Footing Plbg. Undernlab Mach. Rough-ink Appr/Sdwlk
[Pound. Plbg. Top Out Can L1ne FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line �J Gyp. Bd. -Mech.
Date Requeated: - ` Tom= ^ PM
Aaarene•
1l(: / _/ Permit
� J
llu i 1der:
TME FOLL.OWIIPG CORRECTIONS ARE RNQUZor
Inspector: -------------_----Data: J �`
APPROVED DISAPPROVED APPROVED dUWNCT TO ABOVE
call For Reinsp.
INSPECTION NO:IIE
City of Tigard Building Dep rtm, t�
131`S Sp Ball Blvd. Tigard, Oregon 97223
Inspection Line tRec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Dnderalab Mech. Rough-in Appr/Sdwlk
Found. P�T_p
> GasLine
FINALS
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech, Rain Drain
Insulation -plumb.
Plbg. Underfloor Nater Lino
Gyp. Bd. -Mech.
Date Requested,_ s —�� Time,
`. AN _P!1
Address:
/1d '
Builders
TRE FOLLOWING OORRSCTIONS ARE REQUIREDs
Inspectors
— -- —_ Dates �
APPROVED DISAPPROVED APPROVED SDEJEC! TO ABOVE
_____Call /or Reinsp.
INSPECTIU(V NOTICE
City of Tigard euildiag Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection• W—_—
Footing Plbg. Underelab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line PINALt
Poet/Beam Struct, San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
---
iderflooc Water Line Gyp. Bd. -Hoch.
C�t-Lu'r�—- —
Date Rea;ue/eted t_...��/ _ T PH
Addrae•c/[�Q �/J 12 7 � �_ Permit i s �
Builders /i'l
THE FOIJOWIHG CORRECTIONS ARE REQUIRED:
Inepector/t- --- - - Datet_! /1--,
K APPROVED DISAPPROVED - PPROViD SUBJECT To Anova
T'�
___Call For ReUep.
1�r
NSPECTION NOTICE
City of Tigard Building Dnpar:mw.nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepections�
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Lina FINAL:
I
et/beam 3truc�., San. Sewer Framing -Bldg.
�it/Beam H--:
ec ! Rain Drain Insulation -Plumb.
Plbg. Underfloor� Nater Line Gyp. Bd. -Hoch.
Date Aequeat/ed/:_ Z Ti:rvs:`Z% PH �.
� Permit
b
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J
cob
Inspectors /�f
� Date: �� J
__APPROVED 6ISAPPROVRD A-**"APPROVRD .SUBJECT TO ABOVE
Call For Rainap.
a
INSPECT OK LfgXICE
City of Tigard Build' Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. derslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALz
Post/Beam Struct. Sews i Framing -Bldg.
Poet/Beam Hoch. ain Dialn� Insul•:tion -Plumb.
Plbg. Underfloor star L ' e CyP. Bd. -Hoch.
Date Requested: 'oZ- � Time:�1 '� AM
^ PN
Address: II�, �' / ` Permit
Builder:
TBE FOLLOWING MP"CTIONW, ARE RE()UIRED:
Inspector: ,' Deter / L
APPR VFO D^ DISAPPROVED APPROVED SUSaWT To aSM
---,--Call For Reinsp.
INBPRCTION NOTICE
city of Tigard Building Departnant
13125 BW 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
'round. Plbg. Top Out Gas Line FTNALI
Pont/Seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water Line / Gyp. Bd. -Mech.
Date Requestedi L1 �� ^ �L Time: / �AM PM
Address r / -- Permit O
Builder:—
TOE FOLLOWING CORRECTIONS ARS REQUIRM
Insper_cors ---- ----- Date
APPROVED nTSAPPROVED APPROVED SUBJECT TO ABOVE
G11 For Reinsp.
CITYof
TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT (Crrry TmRD MASTER PERMI
rem
13125 SW FIwl Blvd.p.0.em e- MOON
--jW,TOW.O,.g."g7223(SM)e30-4175
17',F.RMIT #. . . . . . . MST 91—QA26o
I DATE I
ITE ADDRESS. . . : 11.901 SW 127TH PL �JMLJ: 04/ .7/9�%
,
�-iUBD I V I S I ON. . . . : VILLr;--E AT SUMMER LAKE PARK 4 PARCEL: IS1331)01410v
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . .: 178 ZONING: R-4. 5
R ISSUE:---------------------------- BUILDING
DWELLING UNITS: 1
'LASS OF WORK. : BAGEMEN T. . . . . . . .
.- BEDRMS:4 BATHS:2
I-YPE OF USE. . . Gr-, FGARAGE. . . . . . . . . :560 S f
FLOUR AREAS------ REQUIRED SETBACKS— --._________
TYPE OF CONST. :5N FIRST. . . . : 1880 s LEFT. . :60 ft RIGHT. :5
ft
OCCUPANCY GRP. :R3 SECOND. . .
. . . . . . . : I sf FRONT. 2ft REAR. . ft
: 0 THIRD. . . . :0 -
HEIGHT. . . . . . . . :�.,o ft Sf REQUIRED
TOI'AL 188@ st SMOVE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . PARK'I NG SPACES. . -0
Remat,k-s :
SINKS. . . . . . . . . , (
PLUMBINFi-onR DRAINS. . . . :0--j
LAVATORIES. . . . . ..2 BACKFLOW PREVNTRs. . ..0
WATER HEATERS. . . .. 1
TUB/SHOWERS. . . . TRAPS. . . . . . . . . . . . . .
.- 3 LAUNDRY TRAYS. . . ;0 :0
WATER CLOSETS. . -2 SEWER LINE (ft ) . :@ CATCH BASINS. . . . . . . :0
DISHWASHERS. . . . : l WATER LINE (ft ) 100 GREASE TRAPS. . . . . . . :0
G'ARBAGE DISE'. . . : 1 RAIN DR91I . :N (ft ) . :0 O. HER FIXTURES. . . . . :0
WASHING MqCH. . . : 1 SF P!-IN DRAIN S. . : J
MECHANICAL
/GAS/ -0 type --Imokint by date t-ecpt
FUEL TYPE'S----_--_—_— UNIT—HT RS.'. . ---------------- — F=EES --------
VENTS . . . . . :0 TIF s 13 80- 00 JLH 04/27/9i-2
MAX INPUT:0 BTU VENT FANS. . :3
FURN ( I ooK . . : 1 HOODS. . . . . . : 1 13PRT $ 4Z14. 00 JLH 04/27/92
FURN ) =l0oK . . :0 WOODG3TOVES. :0 BPILC $ 275. 60 JLH 12/23/91
FLOOR FURN. . . . :0 BF.PC $ 21. 20 JLH 04/27/92
CI-O DRYERS. : 1 SSDC s 280- 00 JLH 04/27/92
BOIL/CMP < 3HP:0 01HER UNITS;o PARK 4 2 50. 00 JLH 04/2'7/92
G(4S OUTLETS: 1 MPItRT 13 36. 00 JLH 04/27/92
$
IN MORISSETTE BUILDERS, INC. MPLC 9. 00 JLH O4/i'7/92
M5PC $555 SW NANCY RD. 1. 80 JLH 04/27/92
#—:-0 1 ,-PRI- $ 1. ,. ON JLH 04/27/92
LAKE 013WEGO OR 970:5 P5PC $ 6. E5 JLVI 04/27/9,?
—
i-'hone
(-:anty,actor,s
i)ON MOR 113SETTE BUILDERS, INC.
15555 SW BANDY RD.
4201
I"-AKE OSWEGO OR 97035
Dhone 6gpo-7538
r4eq #. . : 35533
'his pervit is issued subject to the r#Oulatlonsconti:-'808- 85 TOJAL
'iqard Municioal Code, State of Ore. Specialty Cods and all other Fained in the ------- REOUIRED INSPECTIONS
00t/foLmd Insp plac7In
Applicable I&"'. All work will be done in accordance with approved V'ost/peam Stt'"Ct GaseLinpe Inspsp
plans. This Pty'lit will twpire if work is not Started within 160
days of issuance, P0st/BFkAm MeehanIns�.Ilation Insp
Or if work is suspended for more than IN days. PIM/Undslab Insr, GYP Board Insp
Permittee PLM/Underfloot-
Rain drain Insp
CJ Me0laylical Insp Water Line Insp
I -5,5,-ted By Plumb Top OUt APPt-/9dwIF( Insp
Framing I,1%0 Met")'IniuAl FinaA
Call for inspection — 639-4175
SEWER CONNECTION
CITY OFTIOrARD PERMIT
C"y0FnMRD PERMI7' #. . . . . . . : SWR92-L710-211
COMMUNITY DEVELOPMENT DEPARTMENWT
13126 SW Hwj Blvd. P.O.Bar 23397.r1pld.Orspn"M 609)SX4175
J-)ATE ISSUED.
ADDRESS. . . : 11901 SW 127TH PL
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE [--'ARK 4 PARCEL: IS133DD-14100
BLOCK. . . . . . , 1-07.. . . . . . . . . . . . . : 176
-170NING: R- 4. 5
--------------------------
TLNANT NAME. . --------------------------------------------
USA NO. . . . . . . . . . FIXTURE UNITS. . . -
CLASS OF WORK. . . :NEW
IYDWELLING UNITS. . : j
PE OF USE. . . . . ::SF NO. OF BUILDINGS: 1
INSTALL TYPE. , • , :BUSWR IMPEPV SURFACE. . :
RI-Marks :
Owner:
DON MORIGGETTE BUILDERS, FEES INC. tyc)e Amount by date
15555 SW RANGY RD. r e c., 1,
#x-:01 PRMT $ 1900- 00 JLH 04/27/92 —
LOKE OSWEGO OR 97035 TNSP $ 33- 00 JLH 04/27/13E —
rl-ine #: 620-7538
L I ontractor-- ---------------------------------
CONTRACTOR NOT ON FILE
Phone
R P q 41. . $ 19333-J. 00 TOTAL
�lis APDI'cdnt aglles to comply with all the rules and re ,dationsSewer
------- REQUIRED INSPECTIONS
of the Unified Sewage Agency. The permit expires 188 nays from
the date issued. The total amount paid will De forfeited if the
Welt excires. The Pqencv does not guarantee the ao:uracv of the
side sewer laterals. If the sewer is not located at the measurement
aiven. the installer shall proipect 3 feet in all directions from
the distanci given. J not 50 located, the installer shall purchase
a "Tao and Side Sewer" Permit and the Agency will, install a latera .
ermi ttee S.iqjjat,.jre :�,04)
issued By :
Call for inspection 639-4175
CITY OF TIGARD REcEipr OF PAYMENT RECE i v-r NO. 0 92-226552
CHECK AMOUNT a 4493. 85
MOR ISSET1'e, DON CASH AMOUNT 0. 00
PAYMVNT LIfaTF a 04,'G
.7 92
G
'-.RJDD I V I G,I ON
I .
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE Or PAYMENT' AMOUNT PAID
424. 00 Pl-UMBING PERM 125. 90
MECHANICAL. PE 36. 00 ST. BUILD PER 29. 25
PLAN CHECK FE .34. f-)A SEWER USA 113 00. 00
�3LWER INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1280. 00
1--)ARI/.S SOC 250. LAO STORM DRAIN SDC 280. 00
MASS 'TRANSIT TIF FEES
LOT 17A SlJMf-1cRLflXE *4
11901 SW PL
roi,AL AMOUNT PAID 4493. 8n,
CITY OF TICARD - RE.CEIPT OF PAYMENT RECEIPT NO. 191-221126-
CHECK AMO IN r : 2150. 00
NAME s DON MORISSETTE HoME-:S CASH AMOUNT % 0. 00
ADDREBS 15555 S61 BANDY ROAD #201 PAYMENT DATE
LAKE 0SWEIGO, OR SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PA I D Pl..JRPLlqr-- OF r,AYMrNT AMOUNT PA I ri
FLAN-CHOCK-- —r i iF--71 R.
1 AL AMOUNT PAI D 250. 00
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.nSHOEMAKER PRES.
630-7728