Loading...
11759 SW 128TH AVENUE R i .ar • • • a • • •• a 0 z m � 0 0 0 0 0 o n a a Q CL C, o J Z co M O d N vi z O o a O y/ mo W00 o 0 � � m N � qd _ O Q � C� Q� W 1• Obi Q> Q� r cn Fi C O O O p o c� i�' a a c� 0 c LL m O M .L O O O O ONI to M It Qw9 \ z 2 7 2 { a � f / 2 J£ 3 ƒ 3 $ ƒ _ _ = > ) \ _ a) 0 CD $ C) a ± f ƒ ƒ A a) U � C ƒ I w 7 @0 o © U � w � � e 2 Q / co 3 01- 2 e L/-, � e / • � � & \ k / @ I LLJ \ t f E ; / / j \ \ -e \ \ ° ? S f 8 n ) « / / \ \ \ o � a a m o m c - o w � b -e r L N U U d � N O O a Z Q r rn rn rn rn rn rn rn rn rn rnrn o�Ni rn a) 0) 0) °i 0 rn � rn 8 0 0 0 o a a a a a � a a a j4 N M a L fn cn to rn cn (n I_ cn cn cn N rn U.1 J 1 W W W X T J K J fY W W = W W OL m m m 1 m C7 c7 c� 2 2 m 2 m 2 2 C? 7 Y U Z 7 9 d O > J M N (n m W cn W m w (n Co Cl) cn (n cn W (n o va, (n (n Cn (n R a W rn (n w n cn cn (n na (n a (n (n na z �i Cl a a a a 4 Q Q a a a a a a a a Q a Q d a Q d N a F- m ° J J r m fn fn m (n F w f- m m m m c) J I-- N F- ° -� f]_ T U (.7 0 2 2 2' 2 2' 2' 2 2 U 2 U --� J L J D r r �- c O U) b r a (a U QNi ONi Q ONi N � p� O� N Oi Q C4 C%4 O 0) Cr)rOMi Cis Ll v e C C, s T a C 0 03 r; � � � v v v 4 O O O A A a A a a A a v V) ry Cn O V Q w s o; a. Gn U c Y Q r-c N c0 (a t y p c a h a H a y c n y m ° W a v°1 n c (n 2 O a w N c c IT _ m E v W c c ° E E c tv (o c 8 Y Y U a � 8 n- a° a 11 � ( 3 a m' LL a4 LL t` O O O to O �- t-. N LO h O in to O N h Q) N Ln O (n a O N h O +- fV N m 7 V Ln t0 O) O> O) Q1 (O f- c0 Cl) a a a a a a a a a a a a a a a z a a a a a a rn 97fn VJ Li N VJ to N N 0 to N (n to V. N fn (n VJ N N N 3 0 w x u m Y N Ql � m 0) U'1 N d m LLm Of ry 2 2 'C7 d O y = r d c0 O d � M (1) w Ui o a a n M `L OIL d nJ. aV) J � G z o O Q f0 U n. 0 0 N V a v 0 } € � FL r U C N LL O N d O 0 LL li U M o M M Z a a a 2 z 2 @ @ @ G @ G CL m t t t t \ ) Qm m = c D )� CD _ CV) CD f m (n « Cl I a } } } C%4 � c � /0 \ � � \ U r g § @ g I 2 ¥ ® ) % � 3 f § $ � a > � v � � @ ) f � % m / LT a 2 2 § % � ) © § ® t ) ( « f § ) t 2 C) = C) \ A a ) $ k \ 2 2 \ CITY CSF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT – 13125 SW Hall Blvd., Tigard,OR 97223 (503)63941 1 REST RICTED ENERGY PERMIT #: ELR96-0387 Dr),rE ISSUED: 12/3'1/96 PARCEL_ARCEL: 1S133DP–J./i900 1111TE ADDRESS. . . : 11751,-4 SW 1.28TH AVE 17AJBD I V 19 1 ON. . . . : VILLAGE AT SUMMER LANE PAR Pz, ZONING:R--4. 5 DLOCV. . . . . . . . . . . LOT. . . . . . . . . . . . 18( Pi oject Description , INSTALL BURGLAR ALA."M .......... A. RESIDENTIAL----- -- B. COMMERCIAL_–________________________.–___–_–__–_--_ AUD I n OMMERCIA1----------------------------------------- AUDIO 8. STEREO. . . : AUDIO 8 STEREO. . : INTERCOM & PAG IN(3. , : BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCV. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . I HVAC. . . . . . . . . . . . . . DATA', TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : F I P E ALARM. . . . . . : OUTDOOR LANI)SC L..ITE:: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER— : TOTAL # OF SYSTEMS: 0 Ownev- FEES !)ONALD M SMITH type amol.int by date r-ecpt 1175'3 514 128TH AVE PRMT 1 40. 00 TAT t2:'/31/96 96--2'881_83, 5VICT $ 2. 00 TAT 12/31/96 96-288287 rIGAPD Of? 972;7'.31 '-,hone it- .,ontt-actoy,: 5RTNKS HOME SECURITY $ 42. 00 TOTAL SW CIRRUS DR ------­ REDUIPED INSPECTIONS TICAVERTON OR 97008 Ceiling Covet, Elpr:tl I Service F.1hone #: V-641-0574 Wall Cover Elect' l Final Reg #. . : 444PI This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other P 0 1-"i it e S.)i gnat .A t;e applicable laws. All work will be done in accordance with approved plans, This persit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 188 days. _1VZ1I�F _B y INSTA[,LATTON C.'NLY----- The installation is being made on property I own which is not intended for, allel lease, or- )'rent. OWNER' S SIGNATURE: DATEt cc INSTALLATION Ot\ll...Y ------------------------------ 1-;IGNATURE OF SUPR. ELECIN: DATE- ' TCENSE NO: Call for, inspection – 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# 6"4 Phone(503)639-4171 /. FAX(503)684-7297 DATE ISSUED t. TDD No. (503)684-2772 TTT CITY OF TIOARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Addres RESIDENTIAL—Restricted Energy Fee . . . . . . . . . 140.00 'J;'�/�_ (FOR ALL SYSTEMS) City State Zip Check Type Wor Invoi cd: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems IS NOT STARTED WIT'r V 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR rno DAYS. �, Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* RINKS HOME SECURM ALARM El Heating,Ventilation and Air Conditioning System* Contracto _ ype —_ 0 Vacuum Systems" Address 5059 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other_ Date COMMERCIAL--Fee for each system . . . . . . . 140.00 — ,� (SEE OAR 918-260-260) Property Owner-- ' 4 - _Lh ck Type of Work Involved: Contractor's Board Reg. No. n_—�21 _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# ___ (503) 641-0574 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address _ ❑ Intercom and Paging Systems ❑ landscape Irrigation Control' City State Zip ❑ Medical This permit Is issued under OAR 918-320.370.This applirant agrees to make only ❑ Nurse Calls restricted energy installations WV volt amps or Vass)under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1. Only use electrical licensed persons to do installations where required.(certain El Protective Signaling residential and other trdnsactions are exempt from licensing.These have ❑ Other aslerlsksl•).All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503.639-4175. 0 Number of Systems 3. Purchase separate permits for all installations that are rot ready for inspection when the inspector is out to Inspect under this permit. •No licenses are inquired. Licenses are required for all oU:er Instaaatloas. a. Assume responsibility for assuring that all corrections required by the inspector are done,and S. Assume responsibility for calling for a final inspection when all of the S. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ ; authorized to bind the applicant. h. 5%Surcharge(,OS x total above) $ Signature i /?# TOTAL $ .Z ri it other than Authority pl ENERGAP.CHP INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417t5 -Buei-nese Phone: 639-4171 Inspect ion• �.L1A, 1 COAS`- .noting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Neth. Date Requesteds -7 L' Time: AM PN vVic C, Address: l I�59 l �( d v�� Permit i= 1, �_ Builder �`a 4ca—T Q'1-75— 5) ?3 THE FOLLOWING CORRECTIONS ARE REQUIRED: MY- �`M CALD dllG r c Inspector: Dater_ -- O —I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE // Call Po- Reinep. C.,� �_ pgPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Buoinese Phones 639-4171 Inspection: Z_ 'Y_6'C-zA&e' - 4ZL-'Z'-r' _' Footing Plbg. Un erelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL& Post/Ream Struct. San. Sewer Framing -Bldg. Post/Deem Mach. Rain Drain Insulation -Plumb. Plbg. Underfloqr Nater Line Gyp. Ed. Mech. 1 Date Requested! (� y !i T10Nt AM / PM Addrenet /'p. Z�t `-/__3 '0UW Builders TME FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors _ Date:--=J` T�� LAPPROVED nTSAPPROVED APPROVED SVRJECT TO ABOVE vvv---� Call For Reinsp. INSPECTION NOTICE ✓ City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line 'Rec-O-Phone): 639-4175 Bustneaa Phone: 639-4171 Inspection: Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water? Line Gyp. Bd. -Hoch. Date Requested: 1 7 _Time: � AN PH -T- Addreea: �j Permit _ Builder:_-tiY�=-- --- ----THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector �rJ Dates_ / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPE.:TION NOTICE City of Tigard Building Departarnt 13+75 SW Ball 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. Pl.bg. Top Out Sae Line / FINALS Poet/Beam So.ruct. San. Sewer F•using C -Bldg. Post/Ream Mech. Rain Drain Insulation -Plum Plbg. Irnderfloor Water Line Gyp. Bd. -Meeh. Date Requested: L7 Time: AM PM Address: r.J ` Permit M: !� ✓ i Builder: — THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector s (/_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. CITY OTpF IGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639.4171 PARLILL L. I I:L3jjL1--141 SUBL,I V IS I pf4kk 4 Z JiNi i NE). R 4. 5 . . . . I. . I LEN EVAP C U 0 L L'�R!� OF W�JAK'. 0;,1_1 OR V'WR114. VE6' 1 F SYS EMS VENI Jk,i— jp-f-4114L� biRP. )Li,4 i 6 w/U W �1 u; i SO 1 LL RL3 Lj R D 0 01 E,'::i. IN C, N '27 1 NL 114 I 7u R ujN i rs., cj A S P F�=' I p 61, LLU DRIVERS. i-1 1R 0 N 1 1. 0i HEk '%jAl 10000 L k j4 i --IOk6i' i. cl ril Mal-, 94 k. L t LA m u 11 n t (z, P 14 4,` c 1 0,L UL) I ILL I perm;,. i4 -ir.uvd to ttir repl"IlIoi,4 cotavt% in Oe -L i u ri r: J",ljCji)e.j 'L&te af Ute, Sp#Clillity Cows 8! il OJI11 Wi" W.'11 Will bChili 0 111ccoroane witt, This 1ptttl!. C-11 expt if oair� ii r"Of ':4a,to if mor+ 13 su"pende: for sitf - _ un L'Ail fur In"peut; ion b 9 5 2 Lo —j City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 -- q «. Description Table 3A Mechanical Code CITY PRICE AMT c i) Permit Fee -0- -0- 10.00 Address I I.�, S��a O Ti q Q a a 2) Supplemental Permit 3.00 mace to 100,W - Lr 1 incl.duds d vents 6.00 r•V - / l'40 � '- �� umace 100,000 61 U Owner SW 52s1'31 9T 2) incl.duds a vents 7.50 �• oor um&noo 3) incl.vent 6.00 Suspended heater.wall neater 4) or floor mounted heater 6.00 Vent not 10.in Occupant 5) appliance permit 3.00 Repair of heating,ref6g. — 6) cooling,absorption unit ('00 Boiler or comp,FZat pump,air co -c 7) to 3 HP absorp unit to 100K BTU 6.00 N•a w«. Boiler or comp, at pump,air con(T Contractor 8) 3-15 HP absorp unit to 500K BTU 11.00 �• -y �— tro i ei or mp,Beat pump,air ou • ' 1 p� 9) 15-30 HP absorp unit.5-1 mil BTU 15.00 �� � ■» •�^i�+^ "° Boiler or comp,heat pump,air coed. QaU i 113 - Kq, 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 hereby acknowledge that I have read his app kation,that the MAer or camp,heat pump,air cond. information given is correct,that I am the owner or authorized agent 11) i 50 HP abscxp unit 1-75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50 �J that the number given is correct. (If exempt from State registration, --Fir-handling unit please give reason below.) 13) 10,000 CTM 4 7.50 on portable 14) evapum..;e cooler 4.50 Vent an connected -_ 15) to a single dud 3.00 i Menti ation system not 16) included in appliance permit 4.50 .a .. —1406 17) mechanical exhaust 4.50 ascribe work new n ition alteration repair Commercial or widusinal to be done residential(D,--non-residential Q 18) type incinervtor 30.00 xisbng use 07-- Othe,i.e.,woodstove,water building or property _ — 19) Beater,solar,clothes dryers,etc. 4.50 Proposed use of 20) Gas piping one o lour outlets 2.00 building a.property 21) More than 4-per outlet Type of fuel -oil Q natural gas Q LPG Q electric Q — — NOTICEf,0 Minimum Fee$2.5.00 SUBTOTAL PERMITS BECOME VOID IF WORT;On CONSTRUCTION w AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE J IF CONSTRUCTION OR WORK IS SUSPFNDED OR - - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVICX S%OF SUBTOTAL AFTER WORK IS COMMENCED. -- TOTAL .j Special Conditions -- Dain issued-- by_-- �— �nnf•irwiN. CITY OF T COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PLUMBING PERMIT PLRMI i .E. . . . . . {✓L.t4 �. 6 37-41_r 1. DATE ISSUL D: 0b/04/`:) (iCrR1 Sa. .. . . 11759abd 1 'F'{-I AVE F'f•lH+(:I�'L : I V 151 ON. . . ., V I L.L_AGE AT SOMMER LAKE PARK & ZONING. i,: 4a 5 1Gi'. . . . . . . . . . L!J i' . . . . . . . . . . : 166 vL..ca:s,.- L)iz Wold". . CADD I:iF�b'RBAiiE= iJ1 iP(']:aC1L_S. . : iylOSIL.E H'IUME SV44C( S. : T Yr�E C1F= t,;SE. . . . .SF-' WASHING MACH. . . . . . . t 1L{ACKPLUW PREVNTHS. . t .. 6L(.Ur•A-'4NCY (JRP. . : Ii,a i-i_UUR DRAINS. . . . . . . . f11APS. . . . . . . . . . . . . . . E�TURIL�i. . . . . . . . : 1 WA'FLR HEEATLPS. . . . . . . LATCH k;AS.INS. . . . . . . F iXTURE a- ...... . ........ ...._..... LNUNDRY T'RAYG. . . . . . SINKS. . . . . . . . . . . U R I N A L CS. . . . . . . . . . . . . GRFA:)L TRAPS. . . . . . . . L_�IVs140RIi::S. . . . . . %?1'fit i"( f=IX U,';L:a. . . . . . 0--)6/SHfJWE,'R5. . . . a SEWf:_R LINE (ft ; . . . . i4i�TE_P CTAJ5EE'1'5. . : Wk'l i:R LINE_ t Ft ) . .'. . RA;N DRAIN (ft ) . . . . b ac k t-'1.o w t:l e v i.t.:t.: VE L ONMCMa. .H yWe -m,aUr1t by clal;�:. rr,Li_' i705 ;OW 1:-6IH PRfv1T if.j. Vr¢r ,.l i= c.�r,e #• !.l l F;E_ UI`dl_- WC5CO PL.UI'IV T;•(J/ H CJN7'R0('T0145, 1 N 10dib! F"t FRr1di, iti v't1r1'!ia?` tit l: ::`:i - + )rJl� y 1:",. '! (:7TIaL, ''ris permit is ,ssgtc 5&)ect to the regulations contained in 11he Top—•w_rf; Ir)6f) ;gart Dlunlcipa: Lode, Stitt c` Ore, Specialty Lodes and al.i other f'• incl 1rr ape t: i ui7 applicat,le iaws. R1: work will be acre in, accordance n,th pproveo plans. Tanis permit will expire if wark is not started ,qithin !!.day. of issuance, o�- if wcrk is suipenGet for more tN`,r &'°i days. a Lo 639-4175 i i,M;. L--'R"r',T.F1C'ANC OF CITY OF T IGARD cOCCUPANC Y PERMIT #' . . . . . . z 11STW.--0234 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Slyd,Tigard,Oregon 972234199 (503)839.071 `X)SDIVISION. . . . . VII.LAGE rt*r SUMMLR LAP' PARK 4 ZONING: rk- 4. 5 . . . . . . . . . . t-01.. . . . . . . . . "'I.-ASS OF WOW— 2NEW J'YPE Of- USE. . . jSF OCCUPANCY 011P. cR31 (:)("; L)VIONCY LOAD 1123 q i F-OONT NOME. . . i liemarkst PATH I i9lltlllC± #t ,wrq4 MOR1513ETTE 81ITLI)ERG, INC. 'J55 SW BRN6Y RD. AKE OSWEGO OR 97035 -;;oncs #1 620--75313 q 11. . t 35533 Jt.-Q'UpiAn(..y Of the above referencec-1 building is hereby given, and ce% t .if -,kkzi flee complimnce with the State Of 1-4-egon Spei:jplty C:odes for the 4roj.Ap, acctipiancyq And .sae unclet- i•,ihirh the i-oft-ormcpH pormit iom- i S i i t,Cl. FIRL DEPARTMEN1 BUILDING INSFIEC-P-1 BUILDINE4 OFFICIAL PUSJ' TIL4 CONS-11CUOUS r)LACE CITYOFTIFARD I/ (CffYOFTMRD MASTER HERMIT COMMUNITY DEVELOPMENT DEPARTMENT ��+ PERMIT #. . . . . . . : MST92-0`34 13126 SW HWI Blvd. P.O.Baa 23307,Tipud,O"m 0722)(643)630- 176 "7 639-4171 DATE ISSUED: 11/20/92: SITE ADDRESS. . . : 11759 SW 128TH AVE PARCEL: iS133DD-149oVi SUBDIVISION. . . . : V I LLHGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5 BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . . 186 ----------------------------------- BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:4 BATHS:2 GARAGE. . . . . . . . . . :410 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :2340 sf LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 SECOND. . . :O of FRONT. :20 ft REAR. . :41 ft STORIES. . . . . . . : 1 'THIRD. . . . :0 sf REQUIRED--------------_—___-_HEIGHT. . . . . . . . s23 ft TOTAL.------:2340 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . .-40 psf VALUE. . . . . $ : 115020 PARKING SPACES. . : 1 Remarisn PATH I ----------------------------------- PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAPS. . . . . . . . „ . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0 WATER CLQSETS. . s2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0 GARB;'1Gr' DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 GF RAIN DRAINS. . : 1 ---------------- MECHANICAL —____—___.______.______.______-____-- FEES FUEL TYPES----------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF $ 1460. 00 JH 11/20/92 — I1AX INPUT':0 BTU VENT FANS. . :3 BPRT $ 473. 00 JH 11/20/92 — FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 307. 45 JLH 10/07/92 FURN )-100K . . : 1 WOODSTOVES. :O B5PC $ 23. 65 JH 11/20/92 — FLOOR FUR14. . . . :0 CLO DRYERS. : 1 SEDC $ 280. 00 JH 11/20/92 — BOIL/CIhP ( 3HP:0 OTHER UNITS; 1 PARK $ 250. 00 JH 11/20/92 — GAS OUTLETS: 1 MPRT $ 42. 00 JH 11/20/92 — Owner: — -- - ------____.________._____.____---__MIPLC 1; 10. 50 JH 11/20/92 — MORISSETTE HOMES M5PC $ 2. 10 JH 11/20/92 — PPRT $ 125. 00 JH 11/20/92 — P5PC $ 6. 25 JH 11/20/92 Phone #: Contractor: -------------_____-__----__—._--- DON MORISSETTE BUILDERS, INC. 15555 SW RANGY RD. #201 LAKE OSWEGO OR 97035 C` Phone #: 620--7538 n Reg #. . : 35533 ---_--_--_--__---.-_------------------._._..—_.. F- $ 2979. 95 TOTAL This permit is issued subject to the regulations contained in the ------- REUU.HED INSPECTIONS --- -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gays Line Insp J plans. This permit will expire if work is not started with4n 188 Post/Beam Mechan Insulation Insp days of issuance, or if work is suspended for more than 188 days. Plm/undslab Insp Gyp Board Insp „n��y�Jrr S �. � — PL11/Underfloor Rain drain Inisp Permittee Signature. r ' l� (NI� � Mechanical Insp Water Line Insp F'Iumb Top Out Appr/Sdwlk Insp issued By :--,AFraming Insp Mechanical Final Caul for inspection - 639-4175 ITY` ® G of TI�,��n► CRY im SEWER CONNECTION � ZOMMUNTTY DEVELOPMENT DEPARTMENT MUM PE Rlvl I T PERI+LI1 �►. . . . . . . : SwR9�—+ 316 13126 SW Hall Blvd. P.O.Boz 23347,TOW,Or"m 47228(603)630-4176 639-4171 DATE ISSUED: 11/20/92 SI rE ADDRESS. . . : 11 759 SW 126TH AVE PARCEL: 1S133DD-14900 LUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 186 TENANT NAME. . . . . USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWEL.L.I NG LIN I TS. . 1 TYPE OF USE. . . . . :SF NO. OF SUI L1:T1\165: 1 INSTALL TYPE. . . . :BUSWR II IP RV SURFACE. . : : Sf Remarks: PATH I Owner: —_._._.___________ MORISSE:TTE HOMES type amoL1nt by date recpt V,RIvIT $ 2100. 00 JH 11/c0/92 - INSFD $ 35. 00 JH 11/20/92 - L.o rit ract or: ----------_------------------------ CONTRACTOR NOT ON FILE f'Iir,ne #k: 2135. 00 TOTAL Pet) #. . . REUGIRED INSPECTIONS —_---- Thi. Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 1110 days from the date issued. The total amount paid will be forfeited if the oermit expires. The Agency does not guarantee the accuracy of the ',,3df sewer laterals. If the sewer is not located at the measurement _ given, the installer shall prospect 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. P e r m i t t e e S i g n a t f-i r e : �.��T k14— 1 s s ll e d lay: Call for inspection — 639-4175 i-= V) r h J A L7 W J _ 3.3� 7� PLNCK RECT # Clrl`�r OF TI GARD 13125 SW Hall(ifvd. / 1'U 13vx 23397 p E RM I T U COMMUNITY DENE11-01 AlEN"f'DIiPAR'I'A11?N"['r8ard,Orcgon97213 — (503)639-4171 DATE ISSUED ,JOB ADDRESS: 01 C TAX MAP/LOT SUB: eS�.?rl r`1cz_ 6,K LOT: I CC LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: 2= ��.>1t�_ _ REISSUE OF: -- ADDRESS: �,t�� ,�'Iv �, y �'� LAST REISSUE: Loe L-e. r - _ FLOOD PLAIN/ PRONE: r 1 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: ►� ' C1 :�_1� c " WI�< PLANNING: ADDRESS: 1 ��,�i,� � 1�,�r�.C�y _ ENGINEERING: _L_0 e E7 OS(x) FIRE DEPT: PHONE: (,J� _ , OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: C t'r't _IST/SUBCONTRACTORS: MECH: SK k Cc-sUl,-,`tj Tb-4' . BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: T 1 C' t I- r1 t'Tl ti Lam- TRUSS DETAILS: ADDRESS: �� g OTHER: CL PHONE: PROPOSED BLDG. USE: COMMENTS: 0 C ZILil- Pr_ T �'_��,;Lo IZL A/0 J ) A-000CANT SIGNATURE Receivt!d By: ��_4 Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. n1;f4z-v.23q 10-432 00 Building Permit Fees 7,3, c,v = / 10-431 00 Plumbing Permit Fees 2 �7-�-- 10-431 01 Mechanical Permit Fees Z•11L' Wiz --' 10-230 01 State Building Tax (5%) U 52 i Building &5- Plumbing 6, L > Mechanical - / D 10-433 00 Plans Check Fee / � LZ� 0 o2 7 i Building 3v' , c/ Plumbing Mechanical 10-230 06 Fire 5wR9Z- 03/�7 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 25-448-05 Mass Transit TIF Fees - 52-449 00 Parks System Dev Charge (PDC) 57 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) b?1 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) IOTAt LU J nml3587P.WPF