11857 SW 128TH AVENUE-1 I
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11857 SW 128th Ave --
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CITYOFTIGARD CES ERT IFILATE, Fit-
�crryoifwARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT OREGON ,F-RMIT #. . . . . . . --(At 214
13125 SW HWI Blvd. P.O.Box 23397,To,:+.Or"on 97271(SM)030-4175
1 TE ADDRESS. . . : I J 85 1 SW AVE PARCEL: 19133DD-1550(,*,
'-iUAL)I V I"TON. . . . VILLAGE AT SUMMER LAI-1,E PAW" 5 ZONINCit R--4. 5
6LOCK. . . . . . . a t-.(j,r. . . . . . . . . . . . . 0131
LA33F3 OF140PI�' NEW
"l'yPE OF USE. . . :SF
13CCUPANCY GRP. :F13
OCCUPANCY LOAD.- 118 4
TENANT NP11F.
Pemarksi
DON MOR ISSETTE I3L.0f-R,5, INC.
P 0 BOX 1952'4
PORTLAND OR 97219,
Phone #s 503--620-7536
OON MOR ISSETTE DIJILDERS, INC.
1.055755 SW BANGY ` D.
10201
, AKV. OWEGO OR 97035
L:-L_up&ticy of the above ref%renrpd bk.tilding is hereby given, and rertifies,
1-he C.-OmPliance with the State, Of Oregon %;pipcialty Code% for the yroup.
OCCUPAnC"?, ikTId USE- kAnder which the referenc-pci permit wAc� issued.
FJRF' DFT"APTllFNT N I I�',ING _..I;rTOR
LAI I I-�l N f. C I At.
,,T IN CONSPICUOUS PLACE
N NXw . IUMLM
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RWPBC'TLON._NOTICE
City of Tigard Building Department -
13125 9% Ya11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineue Phone: 639-4171
Inspection: ---
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Serer Framing ✓�I�i�` .-Bldg.
Poet/Beam Hoch. Rain D,:ain Insulation -Plumb.
Plbg. Underfloor l+atar Line Gyp. Bd. -Mach.
Datc Requested:—v � T:ma i
Addreen. -Permit f:
�— S.
Builder:.
���.
THE FOLLOWING CORPSCfIQDiC M4T_1MOUM5 -- ,
en
Inspector: Date:_// 7
APPROVED DISAPPROVED APPROVED SUR.:ECT TO ABOVE
-Call For Reinsp.
LEA
INSPECTION N(Y^ICE ^ ��
City of Tigan! WA ldinq Department !/
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-AJPhone): 639-4175 Business Phone: 639-4171
Inspection:-- -�1 L 'N
Footing Plbg. Underslab Mec�-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -"ech'
Date Requested:__
� Lai C- I? A Of Permit #t ( Z'q
Addresss
Builder: �
THE FOLLOWING CORRECTIONS ARE REQuriocm
n e
Inepector: -
Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I
INSPECTION NOTICE 1
City of Tigard Building Depatrteent
13125 SW Ball Blvd. Tigard, Oreton 97223
?neper_ti.on Line (Rec-o-Phone: 639-4175 Bueinnae Phone: 639-4171
:nspectlon•_
Footing Plbg. Underslab Mech. Rough--inC Appr/edwlk
_—y
Founl. Plbg. Top Out Can Line FINAL:
Point/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Unde[floor hater Line Gyp. Bd. -Mech.
Date Requented: Time: AM 1-QPM
I jt _�7 /
Address: t � i ( L� r'1�� Permit 1:
guilder:
THE FOLLOWING CORRECTIONS ARE kEQUIRED:
-- - - -- —
Inepoctor: l_l 1�. �� c Date:
APPROVED DIBAPPRO 1A APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSP r1N NOTICE
City of Tigard Build"* Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone: 639-4175 Business Phones 639-4171
Inspection= _
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Deem Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plunb.
Plbg. Underfloor hater Line `Cyp. Bd -Koch.
Date Requested: Time: AM
Addrese:_�I � ' �r d ' Permit I:�� _
Builder:- � 5 �' -5 7------- -----
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect4q. _ i_.-- nate:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABG
CW.1 For Rsinsp.
INSPECTION NOTICE
City of Tigard Building Depa,tar+nt
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-phone) . 639-41.75 Bueinees Phone: 639-4171
Inspection:
rooting Plbq. Underelab Mech. Rough-in Aprr./Sdwlk
Found. Plbg. Top Out oaa Line_ FINALt
Post/Beam Struct. Sari. Sewer Framislq -Bldg.
Poet/Beam Mech. Rein Drain Insulation -Plumb.
Pibg. Underfloor Water Line Gyp. Bd -Koch.
Z42I'
Date Requested: Z4 r /J Times _z2s._� 1U1 'PM
Addreer s
Bu i l der
THE rOLLOWING CORRECTIONS AR11 REQUIPEDs
Inspectors _ batot � Iu
_� PPROVED DISAPPYAM l APPROVED SUBJECT TO ABOVE
Call For Minsp.
r
KUM FI W
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregi.n 97223
Inspection Line (Rec-O-Phoneys 639-4175 Business Phone: 539-4171
r
Inspections-- --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer =
ing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requests/dt_ ��L) �[7'^ -e-1 Times 7W �PN
Address: / /,EtE ��� f-�� Permit #2 9
Builders
THE FOLLOWING, CORRECTIONS ARE REQUIRED:
'_—
Inspectors—�__. Dates rL_
APPROVED DISAPPROVED APPROVRC SURJRCT TO ABOVE
Call For Reinep.
MFJKM
INSPRCTiON NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line -O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing / Plbg. Underslab Mach. Rough-in Appr/Sdwlk
C
l
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Mater Line Gyp. Bd. /-Mach.
Date Requested:_ �, - _ Timet ? AM PM
Address: l� S 7� �� Permit 1t
Builder:
THE FOL1,0wING CORRECTIONS ARE REQUIRED:
_ i.. Lr- d° i�--4�+.1 i�.. 1 �l •..1.-t..l dam,L
inntMrf nr ., Datet
�1'PRriVF.D �_ nTSAPPROVII _ APPPf3VF.D SUBJFCT TO A90VF
--Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department L�
13125 SW Hall Blvd. Tigard, Oregon 47223
Inspection Line iRec--O-Phone): 639-4275 Business Phone: 639-4171
Inspection:
Footing Mg. Underalab Mech. Rough-in Appy/Sdwlk
Found. `plbq. Top out 1 Cas Line FINALS
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain InaulatLon -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
r
Date Requested) ���'� Time:
Address: /_L5_7 /��`� G+�_ Permit s,
Builder:
THE FOLLOWING ruRPRCTIONS AAE REQUIRM
7
F
Ins tori
P� -
APPROVItb 0I8APPROVED __ APPROVED SUBJECT TO A9100
Call For Relnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 RV Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-417E Business Phone: 639-4171
Inspection:_
Footing Plbq. Underslab Mech. Rough.-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
oat/Beam 8truat. San. Sewer Framing -Bldg.
et/Beam Mesh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Rech.
Date Requested: - �1 Time:
-.L—Ax _ m PN
---�'-¢
Addreee: D SS7 f�d � Permit r—
Builder: s��
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2nspeotor:
PPFROVEO �_ DIBAPPROVND _ APPROVRD SUBJECT To ABOVE
—Call For Reinsp.
INSPECTION NOTICE
Uty of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
F.)oting Plhg. UnderRlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. 4Awer Framing -Bldg.
Poet/Beam Mech. in BllI,I1 Insulation -Plumb.
Plbg. Underfloor <�Iwa_terr L/�M_ Gyp. Bd. -Mech,
Date Requested: t7-.C ';' Time: _�AM PM
Permit i s!/ t)'/:Z to
Bu!lder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
inepector:----��_� Date:
DIPAI1'Iu1ViM APPROVED SUBJECT TO ABOVE
Call For R.►inep.
i
WIV
aNSPECTION NOTICE
City of Tigard building Department
13125 Sp Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
ootAA Plbg. Underelab Mech- Rough-in Appr/Sdwlk
`,F.wnd• Plbg. Top Out Gas Line
FINAL:
Poet/Beam Struct, San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requcaced, O �� �i -Time: --AM AM PM
Address:������ �y li= Permit #_ - .✓- —
Buildert eJ // ✓�j5-i r"2rJ�' -
THE FOLLOWING CORRECTIONS ARE REQUIRED,
'a
s,
Inspector,
APPROIRD DISAPPPnM "pvanD QU&MCr TO ARM
Call For Rainsp.
CITY OF TIG, RD
WYOFTWARD 7 MASTER �-',ERMIT
COMMUNITY DEVELOPMENT DEPARTMENTOREGON PIF RM IT --
MET91 0124
13125 SW Hall Blvd. P.O.Box 23397,Tqnrd.Oregon 97223 (503)6394175
SITE ADDRESS— ,. 11857 SW 128TH AVE fDi_4RC :L. I5133DD-15500
SUBDIVISION. . . . : VILl-AGE AT SUMMER LAKE PA RN: U' 70NING: R-4. 5
BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . : 19.1
BUILDING
R1-__IGSUE:MST90-017@ DWELLING UNTTS: 1 BASEMENT. . . . . . . . :0 sF
CLASS OF WORK. :NEW SEDRMS:2 BATHS:2 GARAGE. . . . . . . . . . :476 Sf
TYPE OF USE. :5F FLOOR AREAS----------- REQUIRED
TYPE OF CONST. :5N F'I REST. . . . : 1621) sf LEFT. . :5 ft RIGH'r. -5 ft
OCCUPANCY GRP. : R3 SECOND. . . :0 f:f FRONT. :':'0 ft PF-P.R. . :44 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 5 f REQUI RFD--
HEIGHT. . . . . . . . : 18 ft TOTAL— 1629 Sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 80788 PARKING SPACES. . :0
Remarks :
PLUMBING
STNKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW P'REVNTRS. . :O
LAVATORIES. . . . . :2 WATER HE-HTERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . : LAUNDRY TRAYS. . . :0 CATCH BASINS— . . . . . :0
WATER CLOGETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE. DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 Sr RAIN DRAING— : 1
MECHANICAL FEES
FUEL TYPE5------------ UNIT IATRS. . :0 type amol.int by date t"ecpt
/GAS// // / VENTS . . . . . :0 TIF $ 1350. 00 JLH 08/13/91
MAY INPUT: 100 CITU VENT FANS. . :2, OPIRT $ 376. CZ)0 JLH 08/13/1)1
FURN ( 100F, . . : I "-^0DS. . . . . . : 1 BPLC 40. 00 JLH 06/27/91 214CI 11
F7 URN ) =100K . . :0 WOODSTOVES. -.0 B5PC $ 1G. 80 JLH 08/13/91 -
f LCJOR FURN. . . . :0 CLO DRYERS. : I BPLC $ 30. 00 JLH 08/13/91 -
ROIL/CMP ( 3HP:0 OTHER UNITS:0 S5DC 1 375. 00 JLH 08/13/91 -
GAS OUTLETS: 1 PARK $ 250. 00 JLH 08/13/91 -
MPRT 4 ?•;3. 00 JLH 08/13/9-'
DON MORISSETTE BLDER5, INC. MPLC i. 6. C-5 JLH 08/13/91
P 0 BOX 195E4 MSPC $ 1 . 65 JI-11 08/ 13/91
PPRT $ 117. 50 JLH 08/13/91
PORTLAND OR 97c'19 P5PC $ 5. ua JLH 08/ 13/91
Phone #: 503--620-7538
Conti-actor:
DON MORISSETTE BUILDERS, INC.
15555 SW BANDY RD.
#201
LAKL OSWEGO OR 97035
Phone 620-7538
Reg 335533
a&06. 08 TOTAL
This permit is issued subject to the regulations contained in the REOUIRED 1NSDECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.ond Insp Fireplace Insp
applicable laws. All wor4 will be done in accordance with approved Post/ppam Stt-uct Gas Line Insp
plans. this permit will expire if work is not started within 180 Post /'BPAM Meehan I rl s 1.11 at I.on Insp
days of issuance, or if work is susuindtd for sort than 184 days. Plm/r_indslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
1-er-M i t tev I qTat I-1 t-e Mechanical Insp
Water Line Insp
C,lLtmb Top Oi.tt Appt-/Sdw1k Insp
Issued By: Framing Insp 4echanical Final
CA I I for I rl sppct i on 6344-41 75
(:rTY OF 'TIGARD RECEIPT OF PAYMENJ RECEIPT NO. a 91-216255
CHECK AMOUNT a 2565. 28
NAME a IML RISSETTE, DON CASH AMOUNT 0. 00
ADDRESS a PAYMf-N'r DATE 08/1 3/91
SIJBf p I V I SION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF Pi-?YM NT AMOUNT PAID
2?6. 00 PLUIMBING PERM 117. 50
MECHANICAL PE 33. 00 ST. BUILD PER 25. 53
PI—AN CHECK FE 38.. .-*!5 RES IDEWIAL rRAFFIC FEEF' 1850. 00
MASS TRANSIT TIP' FELS '100. 00 PARKS SDC 25111. 00
STGRM DRAIN SDC 375. 00
11857 SW 1281+4 AVE
TOTAL AMOUNT 1-1(41D 28
SEWER CONNECTION
C1 rff OF TIFA RD Pl-RM I T'
CffYOFTWARD JEHMi I #. . . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hell LA. P.O.Box 23397,nglud,OWw 97223(503)6394176
ITE. ADDRESS. . . : 11857 SW iz.,8TH AVE P,ARCEL: IS133DD-15500
iJBD I V I S I ON. . .. . : VILLAGE AT SUMMER LAKE F-ARI", ZONING:
0LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 191
, EINANT NAME. .. . . . :
SH NO. . . . . . . . . : F1 XTURE UNITS. . .
A-AS9 OF WORK. . . :NEW DWELLING UNITG. - -
YPE OF USE:. . . . . :SF Nn. OF-' BUILDINGSl
NSTALL T'YP,E. . . SUSWR IMr,ERV GURFACE. .
Y i e r" 7 --—————---——---———— FEES
101\1 MORI93ETTE BLDERS, INC. type amoi.tnt y da%e t,ecp
0 BOX 19524 PIRMT $ 1500. 00 JLH e//05/91
P $ 35. 00 •7LH 07/05/91
"(3H1'LAND OR 972114
Iior,e #: 503-620-7538
IfNIRACTOR NOT ON FILE
1535. 00 TOTAI.-
-------- REOUIRED INSP,ECTIONS
'his Applicant aurets to comply with all the rules and regulations Sewer Itirpoction
,f Be Ltr:fied Sewage Agency. The permit exvires 180 days from
.he date issued. The total amount paid will be forfeited if the
�troit expires, The Agency does not guarantee the accuracy of the
I
ode stme,- laterals. If the sewer is not located at the otaturtmert
riven, the installer shall orosoict 3 feet in all directions frog
she distance given. If not so located, the installer shall purchase
"Tap and Side Sewer" Permit and the Agency will install a lateral.
e,rmittee �—,'i 1�1
'i 'Aed By -
Call for ini oec.-t i on 639-4175
CITY OF TIOARD RECF.jr,,r or F-`AYMENT RETE lPl* NO. :91-.2 1481 1
CHECK AMOUNT - 40. 00
NAME s MORISSETTE, DON CASH AMOUNT 0. 00
ADDRESS s 15555 SW RANGY ROAD PAYMENT DATE 06/27/9t
SUITE #201 SURD I V I S 1 ON
LAKE OSWFr--',O, OR 97035— 11857 SW 128TH AVE
PURP05F OF F.IAYMI:-:NT 14MOIJNT PAID PURPOSE OF PAYMENT AMOUNT PAID
I-'11--AN CHECK FE G--50'R
10TAL AMOUNT PAI[J 40. 00