11924 SW 128TH AVENUE-1 1 -
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11924 S.W. 128th AVFNUR
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C11YOFT16ARD CERT I F"I CATS OF
(ClaYOOTWAD) OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT «��+ / PERMIT #. . . . . . . : MST91--0129
13125_"vV FWI Blvd. P.O.Baa 23397,Tipud,Oregon o722�1♦4603 bra x4176 ^�,
SII E AGDRFSr:. . . : 11924 :SW 128TH AVE PARCEL: IG133DD-•17400
SU13U S V I S ON. . ., . : V I l_LAGE 1T SUMMER LWE PAWk 7 ZONING: P.-4. 55
BLOCK. . . . . . . . . . a L.IT. . . . . . . . . . . . . :21.0
CLASS OF WORK. NEW
TYPE %rW' USE. . . :SF
OCCUPANCY 6RP. :H 3
OCC'UP'ANCY L C:el?a 4 c c.' 4
i` ZENANT NAME. . .
P%--ma�rk+s :
SCAN MORISSETTC BUILMRS, INC.
15555 SW SANDY RD.
+Il'�c:01
LAKE OSWEGO OR 97035
Phone 0- 68-0 _'75;: 8
C'orltr:actori __...._._.._..._.___.
pol,4 Mr)RIGSFT'TE BUILDEP S, INC.
1'.3`5'55 SW RANGY RIS.
#Z',o I
LAKE.. OSVIEG l OR 97035
Phone M: 6i-'O--7538
RaT1 #. . : 35533
OccupiFincy of the above r^taferenced building is hereby given, and certifies
the with the Gtat:e Of Oregon SpeciAlty Codes for the group,
aC.-cup ncy, And use .lodes' which the referenced permit was i. ssupd.
l h
F I RL DEPARTMrNT U5LV I NG I hl -TO
POSY Ill C ONS► .,-JOUS PLACE
I
�NSPBCfION NOTICE
Citv of Tigard Building lk!partment
13+_'S Sw Ball Blvd. Tigard, Oregon 017223
Inspection Line (Rec-O-Phone)t 639-4175 Businuee Photos 639-4171
Inspections
Footing Plbg. Underelab Nec`t. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer "nosing �Idg_
Poet/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Regueeted: zz7— -!2,/ 'QTi-
Addreee:_., I/1�sL7 � / ��^C�srmit
Builder:,] __i �/ 3 - 7 76 dQG
TtM FOLLONING CORRECTIONS ARE REQUIREDs
Ins1pectort -- - Date:. Ar IL
PROVED DISAPPROVED APPROVED SUB"CT TO ABOVE
Call For Reinap.
vAWMLW,QN_
INSPECTION NOTIcr
City of Yigard Buildin, Department
13125 SA B+,11 Blvd. Tigan:, Oregon 97223
Inspection Line (Rec-O-Phone): 679-4175 Business Phone: 639-4171
Inspection
Fonting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL
Post/Beam St.ruct. San. Sewer Framing / -Bldg.
Post/Beim Mech. Rain Drain Insulation [ -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. `-Mech.
Date Reyuesteds — —__TImo: _AM _.V, PM
I �y� LA _
Address, 1 7 `�� 11 ` Pei t at
Builders y 3
THE FOUAWINO CORRECTIONS ARE REQUIRED,
Inspectors Dates-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
�NSPE4RION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 6inineun Phone: 639-4173 Footing Plbq. Underslab Mech. Rough-in Appr.!Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Lina Gyp. Bd. -Mech.
Date Requested: Times AM PM
Addraee:__J114 Permit f:
THU srOLLOWING CORRECTIONS KF(E REQUIRED:
Y f L
l �?�A
Inspector: L f-�, Date:Y-C L
APPAOVID DISAPP ED APPROVED SUBJECT TO AROV3!
----Call For Reinap.
IUPSCTIQ`1 11LOMCL /
City of Tigard Building Department
t
13125 bV JL:11 olid. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Tooting Plbg. Unders)ab Kath. Rough-in Appr/Sdwlk
Pound. Pllsq. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Koch. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line yp. Bd -Koch.
Date Reasseateds O—7 - ��,� Timet _ AK PN
Address:�/���T � �A� "� Permit #t,57,1 �N
Builders / I
THE FOLLOIIINC COR1tsCTIONs ARZ RRQUIRRDI
Inspector: Datet
APPROVRD DISAPPROV11D APPROM SU DUCT TO AMMIJ
__Call For Reit.sp.
I_N_SPECTION NOTICE'
City of Tignrd Building Department '
13125 M Ball Blvd. Tigard, Oregon 97223
Inepection Line (kec-O-Phonal: 639-4175 Business Phone: 639-4171
Inspection: _ ,
Focting Plbg. Underslab Flesch. Rough-in Appr/Sdwlk
Found. ILbg. Top Out Cam Line FINAL:
Poet/Beam Struct. San. Sewer !gaming -Bldg.
Post/Beam Mech. Rain Dr d n Ineulat�9/�_, -Plumb.
Plby. Underfloor Water
�Line Gyp. Bd. -Mach.
Date Requested: l/ / Timet /^ AM _QPM
Address � i �` Perm!t #t r% /`DIA-41
BuLldert r
TAE FOLLONIIIG CORRtCTIONS ARE RRQVIRM.
-- --
tnepeatort Z 7—9i
—WVOMD DISAP^ROVRD APPROVED SUBJECT TO ABOVE
Call for Reinnp.
ull i
INSPECTION NOTICE
City of Tigard Building Deptrtment � . 1
13125 EV Ball Blvd. Tigard, Oc::gon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. \ iCGq Top N7V� Gas Line FINAL:
Pose/Ream Struct. San. Sewer Framing -Bldg.
Post!Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Llne Gyp. Bd. -Mech.
Date Requested: --[ �/ —�
—. yyr__Timet AM PM
A;drees�" /^ .���— Z. C' Permit 1: �
3nildsr:_� �/ 11
THE F01.1.0W]ING ODRRECTIONS ARE RRQUIRED:
PO
Inepeetor: // ;/� fete:
APPwOVZD __ DIBAPPhGVlDAPPIIDVR.1 BU�JtCT Tp ASM
01111 Por Minep.
9
5
XNSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
------
Footing PlF:g. Underalao <2!!i' Ijn j Appr/Sdwlk
ate'`
Found. Plbg. Top Out Iffa�zLin FINAL=
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation, -Plumb.
tr3. Underfloor Water Line Gyp. Bd. -Nech.
Date Reques/teddi_ ) 1 —17 �G�I `r1^ Time: !1M �PM
Address s / %?``7 Permit l: A T
-�-
-M FOLLOWING CORM.TIONS ARE REQUI:tP.'D:
xj 4W
Inspectors Data
":rAPPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPEc'TION NOTICE
City of Tigard Building Department.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Bueiness Phone: 639-4171
Inspections_ ---
Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
-`
e�t�/Beam Struct. - San. Sewer Framing -Bldg.
Aoet/Beam Neth Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
,Line
� Gyp. Bd. -Hoch.
Date Requested: _�v ` Timet __PH
LV
Address:�_���
Builders_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- _ -
Inspectorss _____ Dates
9505A—
PROVED DISAPPROVPM -----KPPROVED SUBJECT To ABOVF.
Call For Reinsp.
XNSPECTION NOTICE
City of Tigard Building Department �
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 63F--4175 Business Phone: 639-4171
Inepection: _--
footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Btruct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
lbq. Ond_orf a Water L1ns Gyp. Bd. -Mech.
Date Requeatedi 'F/yam U /1 Times iW PM
Address: �� ��Y -� "rmit #s lw��
Builders -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
Inepsetor: � _ � Dates ~
APPROVED DISAPPROVtD APPROM SUBJNCT TO ABOVB
/ Call For Reinep.
r• ,
INSPECTION NOTICE
City of Tigard !wilding Departaent
13125 SN Ball Blvd. Tigard, Oeegon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bu-iness Phone: 639-41.71
Inspection:
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. Framing -Bldg.
Poet/Beam Mech. Rain Drain imiulation -Plumb.
Plbg. Underfloor Water Line G". Bd. JJJ -Mach.
Date Requeatedt , / Times j AN __PH
Address: �� �y / � Permit is
Builder:
THE FOLIAMiING CORRECTIONS ARE REQUIRED:
Inspectors __�---_ .. �- DA 9: —
�� APPAOV�b DISAPPROVED UBJRCT TO ABOV19
`Call. For Relnsp.
INSPECTION NOTICE
City of Tigard Building DepartNent
13125 SN Hell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Basineas Phone: 639-4171
Inspection$ — -- --
tooting Plbg. Uaderslab Mach. Rough-in Appr/Sdwlk
-�\
tend / Plbg. Top Out Gas Line tIMl1L$
post,/Beam Siruct. San. Sewer Framing -Bldg.
pout/Beam Mach. Rain Drain Insulation -plumb.
P•lbg. Underfloor Water Line Gyp. Bd. _-Meeh.
7 _
Date Requested: c T i. AM PM(� •
Address:_—T/CI� / -^'-- permit it
Builder: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/Y• /' T! �'� /i 7,.//h �TC��I�r'.
rJei.Irt�i"IA.r
y'kiL '22-' /il:Jyc
r
Inspector: nate:
- � __—__-- ---
AppNDyBp DISAPPROVED L_.. 11PPR0VVrJ1 SUBJECT TO AROVP
call Ror Reinap.
I
F111"NAM I
C'TYOFTIOARD cnLt RD MASTER PERMIT
COMMUNITY DEVELOV,-AENT DEPARTMENT 001141001 PERMIT #. . . . . . . . MST91 --012q
13125 SW Hall BW. P.O.Box 23397,Tigard,Oregon 97223(500)MA"I 75 0,
T / 1 L)HIL JL55LJEA):
2,.).. 08/VIT/CY
1 2T
SITE RDDRES: S. 11.924 SW I28TH AVE PARCEL: IS133DD--17400
SUBDIVISION. . . . VILLAGE AT SUMMER LAKE PARK 5 ZONING: R- 4. 5
SLOCKP . . d ! LOT. . . . . . . . . . . . . :2 10
BUII.DING
SUE.: DWELLING UN BASEMENT. . . . . . . . :0 s F
RE I S
CLASS ..OP"WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :610 Sf
TYPE OF U5E. . . :SF FLOOR AREAS—----- REOUTRED SETBACKS-------—--
T'YPE OF CONST. :5N FIRST. . . . . 1024 s LEF-r. . :5 ft RIGHT. :7 ft
OCCUPANCY GRP. R3 SECOND. . . :728 s-F F RON 1% :.-0 -f t REAR. . :2c' ft
STORIES. . . . . . . :2 'r HI RD. . . . :0 S f REQU I RED—
HE I GHT. . . . . . . . tR'2 f t TOTAL----------—: 1752- S f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE:. . . . . 91572 PARKING SPACES. . :O
Rem at-1�s :
PLUMBING
S I NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW P1REVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERF. . . : 1 TRAPS. . . . . . . . . . . . . . :0
T'UB/SHOWERS. . . . :3 LAUNDRY TRAYG. . . :0 CATCH BASING. . . . . . . ...V1
WATER CLOSETS. . : 3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
D I SHWASHERS. . . . : 1 WATER LINE ('Ft ) . : 100 01-1-IER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WAGI i ING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL TYPES—. UNIT HTRS. . :0 type amol.tnt 1)y date rept
/GAS/ VENTS . . . . . :0 T I F $ 138CL. 00 JL.H 08/01/91
MAX IINPUT:0 BTU VENT FANS. . :4 BPRT $ 409. 00 JLH 08/01/9-1
F*URN ( 100K . . : I HC1ODc;. . . . . . : 1 BPLC $ 265. 65 JLH 07/02/91 EJ494B
TURN ) =-101bK . . :0 W0005 , ,.VES. :171 B5PC $ x_0. 45 JLH OB/01/91 —
F LOOR
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SEDC $ 375. 00 JLH 08/01/91 —
BOIL.../CMP ( 3HP:0 OTHER UNrrs. 1 PARK $ 250. 00 JLH 08/01/91
GAS OUTLETSil MPRT $ 43. 50 JLH 08/01/91
Owner. 114.'L-C, $ 10. 88 JLH OB/01_/91
DUN MORIS.-iETTE BUILDERS, INC . M5PC $ 2. 18 JLH 08/01/91
15535 SW BANDY RD. [-'.I P R T $ 140. 00 JLH 08/01/91
#201 r-5 F C $ 7. 00 JLH 08/211 /-It
I.-AP,E OSWEGO OR 97035
Phone #: 620-7538
Contl'ac:tol—
DON MORISSETTE BUILDERS, INL-,.
15555 GW RANGY PD.
LAKL OSWEGO OR 97035
Phare #- 6,10-7336
Req 35533
1. 2903. 86 TOTAL
This pervit is issued subject to the regulations contained in the REDUIRED INSPECTIONS
Tigard Municipal lode, Stitt of Ore. Specialty Codes and all other Foot/foi,tncl Insp Fir-eplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Gtr-Lict Gas Line Insp
plans. This permit will empire if work is not started within 180 Post/Spam Meehan Ins'..klation Insp
days of :ssuarcv, or if work is suspended for sort than 180 days, PIM/ands lab Insp Gyp Hoard Insp
IDLO/Under-f loor- Pain drain Insp
Permi ';tee `J1qllat4.kV % Mechanical llisip Water- Line Insp
Plmmb Top OI_tt Appt-/Sdwlk Insp
lss,..ted Lkv - f Fr�Aminq ]lisp Mechanical Final
C.all for inspect ion -- 639-4175
CITY OF TIGARD RECEIPT OF PAYMEN'r r(ECEIPT NO. :91-EI5939
CHECK AMJL)N'T 21 6 5 3. Q6
NAME IWIRISrETTE., DON CASH AMOUNT 0. 00
ADDRESS t PAYMLNT DATE 08/01 /91
GUBD I V T8101\1
PURPOSE OF POYMEN-1 AMOUNT I-AID PURPOSE OF PAYMENT AMOUNT PA I D
tau lI-r.lr!\l(3 PERM 409. 00 PLUMAING VERM 140. 00
-If: .
MECHANICAL PE 43. 50 ST. BUILD PFR k�:. 63
PLAN CHECK '-Y 26. 73 RESIDENTIAL- TRAFFIC FEES 1880. 00
MASS fR('WdT TIF VFFq 100. oel PARKS SIX' 2"")0. 0171
�;Topm i)Pf*ilN SDC 375. 00
1 1 ")1:7'-4 %J 128TH AVCS
104 AL MOUNT PA 11) P6531. 86
po
CITY OF TIGARD -- RFCFIPT OF PAYPIENT RECEiv,"r NO. :91-214945
CHECK AMOUNT . 25o. q0
NAME MORISSETTE, DON CASH AMOUNT - 0. 00
nPIDRESS I PAYMENT DATE 07,Oi?/c)
SUBDIVISION
PURPOSE OF PAYMENT AMOUNTPAID PURPOSE OF PAYMENT AMOUNT PAID
F-T.,I)N CHICKFF00
11984 SW 1 8T AVE
1'07AL AMOUNT PAIL) 00
w eels' elf
C'TY OF T' A R SEWER CONNECT;CSN
C�TYOF PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 'ERMIT #. . . . . . .. : SWR91-0153
13126 SW Holl Btvd. P.O.Box 23397,Tig",0mQDn 97223 (603)630-4175
SITE ADDRESS. . . 11924 3W 128TH AVE PARCEL: :IS133DD-17,'.O,"'
SUDD I V I S I ON. . . . k)I LLAGE AT SUMMER LAKE PARV, 5 !OINIING: R-4. 5
IAL-UCK. . . . . . . . . . LOT. . . . . . . . . . . . . .210
TENANT NAME.
USA NO. . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELL I NG Ulq I TS). . :
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR 1MPERV SURFACE. . :
Remarks s
Owler : —--—- - FEES
DGN MORISSETTE BUILDEF;'i. IHC. t vre amcant by date P t;
15555 SW BANDY RD. FIRMT s 1500. 00 JLH 07/05./91
-
#'r.,01_ T NSP 35. 00 j1_11 07/05/'`l
LAKE OSWEGO OR 97035
F+ione Ji- 6:=0—"I"'.
Uontr-ac,tor:
CONTRACTOR NOT ON FILE
Vfi,)ne #: 00 TOTAL
R
REUUIREL' INSPECTIONS
IhIS Replicant a'DI-PeS to cooply with all the rules aid regulaticrs ServerlnsF)ectian
of the Unified Sewage Agency. The permit expires 120 days frus
the date issued. The total amount paid will be forfeited if the
permit Mires. The Agency does not guarantee the &ccjracv of the
t,p sewer laterals. If the sewer is jac;ted at the gemreggrt
given, the installer shall prospect 3 feet in ill directions frog
the distance given. If not lc� located, the instoiler shall purchase
a "Jap and Side Sever* Pereit and the Agency will 11.5tall a lateral.
m I t;t e e Sign ..w
Ca I I fot, i nspect i uti 639-4175,
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
LETT DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING IhC.
SINCERELY,
HAROLI) B. SHOEMAKER 11RES.
ge
630-7728
I