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11935 SW 128TH AVENUE-1 i Q t I f CERTIFICATE OF CITYOFTIFARDi'� OCCUPANCYCfiXOF11GPERMIT �k. . . . . . . t M5T91 COMMUNITY DEVELOPMENT DEPARTMENT oinoonAllD 13125 SW FW I Blvd. P.O.Box 23307,TOW,Or*W gv (603)dN-M 75 — ---- — ------- 1 u'��n� ITE: ADDRESS. . . : 11935 5W 128TH AVE PARCEL t 13133DD•-,16800 :;UPC?I V I S I ON. . . . a VILLAGE A7 SUMMER LAKE NARK, 5 ZONING: R4. 5 RL_OCK. . . . . . . . . . LOT . . . . . . . . . . . . :204 C:LAS',: Or WOhK. c NEW TYPE l.lF USE. . . .5F OCCUPANCY GRP. 03 OCCUPANCY L-C rr):220 4 TENANT NAME- 1�0m -lrks DON MORISSETTE BUILDERS, INC. 1 555 SW SONGY RD. ic:0) IJIKE OSWFC::,O OR 97035 Nhono #.- t,r''0 1�i311 Contractorr DON MORISSiF_.TTE: BUILDER 3, INC,'. I5.`455 %) BANGY RP. #201 LAKE. OSWF.GO C1R 9717135 Pho►ra #: 620--7538 Reg Mt. . : 3,5533 Occupancy of the Abuvn refcorenced building is hereby given, unci c:f • tifles the compliAnc:e with the State Of Oregon Specialty Codes Fn►• the k)r:. up, nt.f,,ll')ancy, and use mnrler which thou rvferenc.ed permit woks issued. ALW... f IRE UEG�AR'CME'NT I1 1-t1 I NC' I Nrr OR FaUILDIN F'FIC fAL ___ _.._...._.._._. POST ;N (-,ON9P 1 Ckju J!i PLACE: INSPECTION NOTICE City of Tigard Building Departssent 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec:-O-Phone: 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. : Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. �✓-% Date Requested:_ � � _ �� Time: y AM PM Address: f I �`'7 Z�2 hermit 1: Builder: �A/. _ })I THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspsrtor:__ ,� -- - - Datsrr_f_2 —1_ APPROVUD DISAPPROVED APPROVRD r4118JECT TC ABOVE _—Call For Rslnep. iI w ff w ! i w It: PECTION NOTICE City of Tigard Building Depa_titent 13125 SM Ball Blvd. Tigard, Oregon 97'-23 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I aspect for --- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk b4 Found. PI . TOP Out Gas Line FINAL: Past/Beam Struct. Ban. 8eaer Framing -Bldg. Poet/spam mech. Rain Drain Insulation -Plumb- Plbg. Underfloor Nater Ane Gyp. Bd. -Mach. 4A _�� Timet AM `_PM Date Requestedt � i 01-4— Permit �s�/ — �1•�7 Address•_� - Buli.ders�_ _w ` THE FOILOMIMO CORRECTIONS ARE REQUIRED: II Inspectors X _APPROVED DISAPPROVED _ APPROVED SUB.TErT TO ABOV2 Call roi- Reinap. iNSPLCT�ON NOTICk; City of Tigard Buildi-ng Depart-t 13125 SM Gall Blvd. Tigard, Oregon 97223 Tnepection Line (Rec-O-Phone): 639-4175 Bueknese Phone: 639-4171 Inspections Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk , Pound. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date RecI:iesteds 9�� - 7� _Times AH PM Address:�� 17 Z=Pf of t- Permit �t��' a 04 Z THE FOLLOWIN, CORRECTIONS ARE REQUIRED: 1 2 `E )tti `, ` {-(s; ilt.l �L S leiLk L' 7L, a:iC/_ InspaotoCt (IL L !l C�<s l _ Datet _APPROVED DISAPPR D )APPROVED SUBJECT TO ABOV1 _Cal' Fcr Reinsp. i INSPECTIOY7_NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639--4'75 BunLnees Phone: 639-4171 Inspecti.on:-_---_— Footing Plbg. Underslan Mech. Rough-in Appr/Sdwlk Found. Plbg. Tc Out Gan Line FINAL: Poet/Beam Strurt. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. ed. , -Me--h. Date Requested: I Time: __-AM PM Addresses 2 -7 Permit -_-- BuildersTHE FOLLOWING ")RRECfIONS ARE REQUIRED: Inspector: �! ------..— Datee,C_L Z. - APPROVED DISAPPROVED APPROVED SUBJECT Tn ABUVE ^-Call For Rainsp. �NSPECIiON NOTICE City of Tigard Buildini Department 13125 E11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:, Footing Plbg. Undsrelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Ltue FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Po9t/Beam Mach. Rain Drain noulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requeeted: /I/'.2 y —,/,p / _,�-Tllsat ^� AAM7 C PM Address:._.. �� '7 3�� J � L�(cT/� sloit Builder: THE FOLLOWING CORRECTIONS ARE REQUIR201 Inspector: T- APPR()VftD DISAPPpovxl) `� APPROVED SUBJECT To ABOVE For Reinap. INSPECTIOI. NOTICE City of Tigard Building Departsaent 13125 SN Hall Blvd_ Tigard, Oregon 97223 Inspection Line (RFa-O--Phone): 639-4175 Bueineas Phone: 639-4171 Inspection: Footing Plbg. unUerelabsch.�Rougl�in Appr/Sdwlk Found. Plbg. Top OutGa' s Line FINAL- Post/Beam Struct. San Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Ja.te Requested: �.�> ��'` /`_Time: AM PM Address: f ��J /_ ,`�&i srmmit #:!:2 z Builder:.- TMs FOLLOWING CORRECTIONS ARE REQUIRGCs u J _ Inspector: J DA, of y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Relnep. INSPECTION NOTICfi City of Tigard Building Lepartment ' 13125 SN Ball Blvd. Tigard, Oregon 9722 i,— Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr-/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Mech. Date Roquestedt iz —I/ _ -Time: Address: /1 3J �� ti� — Permit 1: LL Builder: �� 1Y L11 r1lE FOLLOWI140 CORRECTIONS ARE REQUIRED: Inspector: _. nate: •, PROVED DISAPPPOVRD APPROVED SURJECT TO ABOVE _ _Call For Reinep. ■ I JNSPECTIOU 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 Plbq. Underelab Mach. Rough-in Appr/Sdwlk Found. by. Top Otit Gas Line FINALi Post/Beam Struct. an. 8wtar Framing -Bldg. Post/Beam Mach. Rain Drain insulation -Plumb. Plbq. Underfloor Water Lint Gyp. Bd. -Koch. Date Requosteds /_X -_s-21 Tlmet AM PM / ^� &5-12 Address: /�lPa1711t / 1 Builders4.r— TM NUUA VINO CORRECT10N6 ARE RRQUIRRDt LJ Inspectors�.� Dates Z, -_S APPROVED DISAPPROVED API-ROVED SUWgCT To ADOVR ` Call For Reinsp. WFIN �► NS ECTION NOTICE City of Tigard Building DepartAwnt 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection _ -- --- Footing Plbg. Underelab Mech. Pnugh-in Appc/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam 8tru1;) San. Sewer Framing -Bldg. Post/Be= Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. --Mech. Date Requestedt / /�^L 'L Timet AM PM Address: Builder: / /� THE FOLLOW74G COMMMONS ARE REQUIRED: --1� EriOAweG��a l Inspector: Date:__.�___�_ _ PPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVF_ Call For Reinsp. NS_PECTION NOTICE City of Tigard Riuildiag Department 1-'125 Sid Ball Blvd. Tigard, L.-9gon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found_- _ Plbg. Top Out Cas Line FINAL: i (post/Baas struct. San. Sewer Framing -Bldg. ost/Beam Mach. Rain .rain Insulation -Plumb. Plbq. Underfloor Water Lina Gyp. Bd. -Merh. Date Requested: z 1 _Times AM x PM Addreesc �Gj'/ t LS+i'- &O- _ Permit #/.I- But. f ~ 2.4 3 - �-70Autldecs_ TKZ FOLLOWING (YAMXCTIOMB ARE REQUIRED: a i�,t-j s� Inspector! Data! APPRt1VED DISAPPROVED ►1'1oIkavii SUBJECT TO ABOVE Call For Raiffep. ■ ■ ■ ■ ■ !■ ■ ■ W ■ INSPECTION NOTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oreton 97223 Inspection Line (Rec-OJPhone)t 639-4175 Business Phone: 639-4171 Inspection: `� Footing P).bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAI.t ?oat/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Meeh. Date Requestedt _Times _A�Nh PM Address: A. �O� J I2+� / ty � Permit #t -1 7D Bu1.lders TRE FOLLOWING COR2tECTIONS ARE R20IRED: Inspnctort —. __�_... Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE —_Call For Relnsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone': F:>-4175 Business Phone: 639-4171 Inspection:__„ _ Footing rlbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Punt/Beam 3truct. gan. Framing -Bldg. Poet/Ream Mech. ta lneulatlon -Plumb. Plbg. Underfloor Line C Gyp. Bd. -Mech. Date Requested: �J I Timet re •- PH Address:_ zka—k _�_ \ __ Permit 7 Guilder: THR FOLLOWING CORRECTIONS ARE REQUIRED a r xnepector Date: APPROVED DISAPPROVED APPROVED SUB.IECT TO ABOVE ___Call For Reinsp. INS PECTj_0_1LNOTICE City of T:gard Building Depart-ent 13125 SN Ball Blvd. Tigard, Oregon 97223—N,_ Inspection Line (Rec-O-Phone): 639-4.175 Bueineas Phone: 639-4171 Inspection:____ -- Footing Plbg. Undorslab Mech. Rough-in Appr-/Sdwlk Found Plbg. Top Out Gas Line FINALa vo.t/roam struc+.. San. Sewer Framing -Bldg. Post/Beam Mede. Rain Drain Inoula..Lon -Plumb. Plbg. Underfloor water Line Gyp. Bd. -Mech, Data Ragiroetad t-. /r/l -�,��`�-____�'/ _ Ti,aa /�AM P!► Address:_ f��>'3 ��`�r ----- 1`..rmit 1: ois ? Builder:.-- THE FOLL40WING CORRECTIONS ARE REQUIRED: I nRlK+t•f rrf - _. IIA rr• nrrlar�F.lr nrr,p!•I•l+nv[rh APPROVED SUBJECT To MMN �-ill P•r Hninnt' 0 vi 1TY0F TIGARD CrnroF n�.aRc MA 1 k F-Ew Fl lel I T COMIVAJNITY DEVELOPMENT DEPARTMENT �0"GO« PERMIT #. . . . . . . : M ST91 -015'i 13125 SW HAII Blvd. P.O.Boz 23397,Tgw d,Oregm 97223 (6031 ei39.4176 SITE ADDRESS. . . : 1. 19':;5 SW 126TH AVE PARCEL: 1513,DD-1E,82iIZi SUBDIVIE3%ON. . . VILLAGE A'C SUMMER LAKE PARK 5 ZONING: R-4. 5 BLOCK. . . . . . . . , . . LOT. . . . . . . . . . . . . :.R04 BUILDING REISSUE: DWELLING UN I TC3: 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS: BATHS:;3 GARAGE. . . . . . . . . . :393 s f TYPE OF USE. . . :SF FLOOR AREAa- -______._-- REQUIRED SETBACKS-------------- TYPE OF CONST. :5N FIRST. . . . :680 sf LEFT. . :7 ft RIGHT. :26 ft OCCUPANCY GRP. :R3 SECOND. . . :620 sf FRONT. :C20 ft REAR. . :40 ft STORIES. . . . . . . :2 THIRD. . . . :0 S REDUIRED---•----------_------. HEIGHT. . . . . . . . :20 ft TOTAL__- - ---: 1 500 s f SMOKE DETECTORS. :Y FLUOR LOAD. . . . :40 psf VALUE.. . . . . f : 76074 PARKING SPACES. . :0 !Remarks : -------------------------------------- FLUME I NCy SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 i'RAPS. . . . . . . . . . . . . . •0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BANNS. . . . . . . .0 WA CER CLOSETS. . -3 SEWER LINE' (ft ) . :0 GRE=ASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DI SP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 __.__._ ---------- MECHANICAL --__.____.______. _..--_---_______-_ FEES FUEL TYPES--------__._-- UNIT HTRS. . :0 tYpe amol_1r1t 1)Y date- _recpt ` /GAS/ / / VENTS . . . . . :0 TIF t 1380. 00 JLH 10/2.1/91 MAX INPUT:O BTU VPNT FANS, . :4 BPRT 4 364. 00 JLH 10/_1/`31 - FURN ( 1O0K . . : 1 HOODS. . . . . . : 1 BPLC. !, 236. 60 JLH 10/2'1/91 - FURN i =10011, . . :0 WOf*"3TC VE::S. :0 85PC b 18. ' 0 JLH 10/2'1/91 FLOUR FURN. . . . :0 CLCI DRN'ERS. : 1 SSDC $ 375. 00 JLH 10/21/91 - BC1IL-/ChIP ( 3HP:0 OTHER (.!NITS: 1 PARK $ . * JLH 10/21/91 -�2T0.00 GAS OUTLETSs1 MPRT $ 43. 50 JLH 10/21/91 - Owner: --- - ---_.._._._____._______._-__.._._---_.__._____ MPLC 1, 1O. 88 JLH 101/21/91 - DON MOP,ISSETTE BUILDERS, INC. MSPC $ 2. 18 JLH 10/21 /91 - 1 55 5 RW RANGY RD. r PRT 1 132. 50 JLH 1.0/241 ,191 - #201 P5PC f 6. 6.3 JLH 10/21 /91 - LAKE OSWEGO OR 97035 ti'11nne fit: 620-•7538 L:not r-,,c.�t or: ___.____._____._._____._______.___--• 1JUN MORISL,ETTE BUILDERS, INC. 1 555 S)W BANDY RD. I_ AKE. OSWEGO OR 97035 Phone 4: 620-7538 flap 111. . 35533 -------------- ------------------------ $ __----------- --.----......__...__..----.•-__$ 3069. 49 TOTAL- This permit is issued subject to the regulations contained in the ------- REQUIRED INSP'E'CTIONS -------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fo1.lnd Insp I11sulat ion Insp applicable laws. All work will be done in accordance with approved Post/Seam Str1.lct Gyp Board Insp plans. This permit will expire if work is not started within 180 F'ost/Beam Mechan Rain drain Insp nays of issuance, or if work is suspended for more than 180 days. PL_M/UnderfIorr Water Line Insp Mechanical Insp Appy/90wIk Insp 1- ev�mittee 13ignat (2Lft,-, F-111.1mb Top O1_It Mer_haniral Final --nr Fr-aming Insp Pll.imb Final -------_.__,----_-.__-. 1:,,.A w i_ t h e I n s p B I_I i l d i n q I i n a 1 Call for inspection - 639-4175 �� TIFA RD � SEWER CONNECTION PERMIT CrFYOFWARD PERMIT #. . . . . . . : SWR91-01611 COMMUNITY DEVELOPMENT DEPARTMENT OR100N 13126 SW FWI Blvd. P.O.Baan 23307.T4wvf.Orpon 9=,1603 E3!}4176 b �.+ - +1 ! J. DATE ISSUED: 10/21/9i '311'L ADDRESS. . . : 11935 SW 126TH AVE PARCEL: 1S133DD-16600 SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE RARE', C ZONING: R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :204 TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNIT5. . . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 'T Y[='E OF USE. . . . . :SF NO. OF SU I LD I NGS: 1 INSTALL TYPE. . . . :BUSWR I MRF_RV SURF=ACE. . : :s f Remarks : Owner -----_._____.______________._ ___---_-.___ ______ FEES -__----_.-__--_ CON MORISSETTE BUIL_: ERS, INC;. type amo1.knt by date r•erpt 15555 SW RANGY RD. PRMT $ 1900. 00 .JLH 10/21/91 -- #201 INSF' $ 35. 00 ..JI_H 10/21/91 LAKE OSWEGO OR 97035 1=1hone #: 620-7536 Contractor: CONTRACTOR NOT ON FILL:. 11-ione #: S 19:35. 00 TOTAL Rey #. . . _-_- --- REQUIRED INSPECTIONS --_--.._ l;us Applicant agrees to comply with all the rules and requlations Sewer Inspection of the Unified Sewage Agency. the permit expires 128 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side 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. i` not so located, the installer shall purchas! a ''Tap and Side Sl.aer" Permit and the Agency will install a lateral. I r,r^m i t t e e til i q n a t 11 r•e ] s y 1j e d By : ___.__.... Call for inspection - 639-4175 CITY OF' TIGARD RECEIPT OF PAYMENT RECEIPT NO. :91 -218870 CHECK AMOUNT s 4504. 49 NAMC a 1-40RISSETTE, DON C(*3H (AMOUNT 0. 00 PAYMENT DATE ADDRESS s SUBD I Y IS 1 01\1 PURPOSE OF PAYMENT AMOUNT PAID rURPOSE OF PAYMENT AMOUNT PAID BUD DINGPERM 364. VA Pl-.UMBING PERM 4 F BUll 27. 01 MECHANICOL PE 3. 50 iT. -1) PER t9oo. 00 PL.0N CHECK FE -2. 50.1 SEWER USA 1-4'Wr 35. 00 RESIDENTIAL. TRAFFIC FEES 80. (110 EP INSPECT PARKS GDC 250. 00 STORM DRAIN GDC 375- 00 MASS TRANSIT T:(F 100. 00 1193:5 SW 128TH AVE TOTAL_ AMOUN'f PAID 4504. 49 CITY OF TIGAPI) — RECEIPT OF PAYMENT RE CE WT NO. 9 1--c'1'70 71 CHECK AMOUNT 250. 00 NOME MOR ISSETTE, DON CASH AMOUNT 0. LAO PI)DRESS a PAYMENT DATE 09/05/91 SUBDIVISION PURPOSE OF PAYMENT AMIJUNT PAID PURPOSE OF' PAYMENT AMOUNT PATI.) PI-AN CHECK FE 250. ofa 9,3", SW 128TH AVE 101AL. AMOUNT PAW ;7,50. 00 U I T Y (')F 1'1 .91RD — RECEIPT Of' PAYMENT IIFC',Flr:'-r NO. :9 1---P 17051? c1-4L-ct/, AmnUNT a 53. 03 NEaME OUINN, JEAN CASH AMOUNT 0. 00 ADDRESS 10 75 SW 6 1)TN 0 V E POYME1,T DATE s 09/05/91 SLJSf,!VISION 1ARn, OR 97223-- 1''LifjpC,;SE (IF PAYMENT OMOLIN't 1`01 Ci P"URPLISE OF PAYMFNI AMOUNT PA 11) PLAN CHECK FE 3 101"AL AMI. UNr l-,Aw 53. 0i CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT No. u 91 -2170,-!;1 UUINN, mmF- CHECK AMIJUNT 0. 00 CASH AMOUNT a 51A. 00 10275 Sw 69TH AVENUE PAYMENT VATF 09/04/91 1'IGAPD, OREGON 97P23— SUBDIVISION SOME AS CHECK WRVUSE OF r--A'YMF NT (AMOUNT PAID PURPOSE OF' P'AYME'NT AMOUNT PAID ....... ... 9-3R 40. (,3 TUALATIN VALL 9. 37 15 ADDITION TO BEDRO(-)m TUTAL AMOUNT 00