11996 SW 128TH AVENUE ;.: ADDRESS:
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF'
13115 SV:'Hall Blvd.Tlpard,Oregon 97223.6190 (M)639-4171 OCCUPANCY
xxxx PERMIT 0. . . . . . . : MST94--910
039--4171 • • DATE:. ISSUED: 08/24/94
PARCEL.: 1 S 133DD-17100
I TE ADDRESS. 1 1996 SW 128TH AVE
,.;UBDIVIGION. . . . : VILLAGE A'F SUMMER LAVE PPRK 5 ZONINO:R•-4. 5
LOT.. . . . . . . . . . . . . :207
CLASS OF WORT{. ::NEW
TYPE: DF" USE. . . :SF
OCCUPANCY ORP. e R.
UCCUPANC;Y L.OAD::?r^a 4
f ENANT NAME—:
tlemarks: path i
DON MORISSETTE
t5555 SW SANGY RD
LAKE. OSWE':OO OR
Phone #: 620•-7538
,ONTRAC:.'TOEt NOT ON FILE
1.,hone #s
Reg #. . :
Occupancy of the above reFerenced bUilding it hereby given, and certifies
I.he compliance with the State Of Oregon Specialty Erodes for the group,
)ccl.lpancy, and use under- whiE:h the refer-encepermit was issued.
U L.A)INO �SPF"CTOR
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a POST IN CONSPIC:UUUS PLACE.
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July 21, 1995
Homeowner
11996 SW 128th Ave
Tigard OR
Dear Homeowner:
This is to inform you that the sidewalk and approach at the above
address was not inspected prior to pour. Inasmuch as tt .? future
maintenance of the sidewalk and approach are the responsibility of
the adjoining property owners, any problems within one year of the
C-rtificate of Occupancy should be referred back to the home
builder.
According to The Ci- r of Tigard, Engineering Department, "the
construction appears satisfactory by observation and no further
work is recommended at this time . "
Sincerely,
Jeanne Flaig
Building Department
Encl : Certificate of Occupancy
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MEMORANDUM
CITY OF T:GPRD
TO: David Scott July 10, 1995
FROM: Michael Anderson- %
SUBJECT: Sidewalk Inspections
Letha has informed me that the sidewalks and approaches at the addresses
for the attached file- were not inspected prior to pour . Inasmuch as the
future maintenance �f these sidewalks and approaches are the
responsibility of the adjoining property owner, it is our recommendation
that the Building Department notify ;.he property owner that no inspection
for this item was done and t At any problems within one year of the
Certificate of Occupancy should be referred back to their builder. The
construction appears satisfactory by obFervation and no further work is
recommended at this time.
Also, we would recommend that a copy of this memo be place each of
the .appropriate building files .
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INSPECTION NOTICE_
City of Tigard Bvildlmg Dei:artw-nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspections _ ,,,
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line IN
Post/Beam Struct. San. Sewer Framing [` .
Poet/Ream Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor. Water LL a Gyp. Bd. Mech.
Date Requested: ' qjqq� Times ,-AM pM
c.-
Address:. Permit
Builder.- 7'2 C) 771 0_5_
d FOLLOWING CORRECTIONS ARE REQUIRF.Us
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Inspectorl— DataI t--, t
VAPPROVED DI8APPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap,
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INSPECTION NOTICE
City of Tigard Building Department
13125 an Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41'15 Business Phone: 639-4171
Inspecti.on:_ ^,
Footing Plbg. Underslab Mech. Rough-in Appr//Sdalk
Found. Plbg. Top Out Gas Line ralnwt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation lamb _
Plbg. Underfloor Water LinneGyp. Bd. -Mach.
Date Requ •ated: 7 z Time: _ ,AM PM
Address: � � / G� � �1�r�, remit
Bui lder:_ Z_2__
THE KK.IOWING CirAMCfIONS ARE REQUIRED!
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.napec tort�` // ` Dater _
APPROVED DISAPPROVED APPROVED SUBJECT 10 ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13115 SR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: __
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line ��IN71Lt
Post/Bean Struct. / Sar„ Sewer Framing
Post/Beam Mech.�J o Rain Drain Insulation -p2 (g
1 . Unnrff��� ti7ater Line Gyp. Rd. VMechh..
Date Requea1ted: D I 1 �}pTimet AM '/ PH
Address: 1 1 �9 �Z Il A- Fcrmit #sx -T"c�T
Builder: 5 Z U /SCS
THE FOLLOWING CORRECTIONS ARE REQUIRED: j( 7
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Inspectors__ __- bate: �3
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
` �Qall For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 9721.3
Inspeoction Line (Rec-O-Phone): 639-41.75 Business hone: 639-4171
Inspection:
Footing Plbc,. Undsrslab Mech. Rough-in Aplpr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struck. San. Sewer Framing -Bldg-
oat/Beam Hoch. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: sit:z
LY Time: _AN _PH
Address 4� CU(0 42R 61,1� Permit
Builders.t;7 4 -Jr Z Z e)
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
L`x Call For Reinsp.
INSPECfIONNOTICE
�� ��
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 77223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspection:_ _—
Footing Plby. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Me,•h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Waster Line G Bd. -Hoch.
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Date Requented:___ / — /3 Lf Time: _ AM PN
A(Mrenn:__LL1_2- ^-- / f q Permit
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Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspect :
rDotes �'f/• /�
V APPAOHtO DISAPPROVED APPROVED SUBJECT TO AROVE
Call Po: Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.-4171
I nspect i cn:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gau Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -[dumb.
Plbq. Underfloor Water Line C�/ � Gyp. ed. -Nech. `,
Date Requestedt "!- 1 1 ` /`I Timet AN Y_'PH
11 ��nv��
Addrsss:�\ Petmit�/:.-�i1. q ) G�
Builder: )
ryl
THE FOLI.OWING CORRECTIONS ARE REQUIRED:
Inspector:Z)PaU
APPROVED DISAP ROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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CA TY CIF T 1GARIi - REt P.lPT OF PAYMENT RF-:(;f--:IF'l NO. o 94- r."i4r'Q►q
f.HU."K AMUUN F 1`S» ►lii
NOME a [)ON MORR I!iET"'TF HOMES CAbH AM(:)I)N f' 0. 00
A1)URM- o 5000 5W MF:AUt:IWS RD PAYMk:N l UIN 1 L. a 07/06/44
tiJ.tll:. 151 SLAM IVISI -.04 �
LAKE: OSWLAAJU C1121- AIN 9 70,45—
PURPOSE-
PURPOSE QF PAYMENT' AMOON f P t D PURl='OSR Ot' PAYMENT I.1MOUN 1 ►-'f1 t U
M t SCCLLANFC]Ul3 MST 94-,y 10 --157.i-0
I 1996 RW 118 f W FIVE
d I L LASE AT '-AIMMF.R L.AKF
TOTAL. NMf.IUN t' PAID - _. __ ._f 15. IZI►ZI
C,11Y C)F* TIARD RI'-:1`VTP1 (IF' PAYMENT R F'CJ11-*-,1 Nil, 94 1:'151
151 .1 41-t
• C,H F*-'(-,'K A1110 U N T 5P I)M 1.0/
AME a 11ORT!3SK l*TF., 1)(01 U;A!.-)H (IMOUN T x W. 00
P()YPII-!*4'1 DAI+ a 04/1.1-?/94
G)0 1.4 1)1 V.I.14 1.0 N
.1110-10SE CW PAY11FNT A III f')U I'l Y r'G11. I-M)RO191" OF 1--*1AYI1I--N1 01,10HI'll" C"(11D
11.1) 1.1,10 440. 1,50 PL Omylf NO Pl 1,11
IECHANICAL PF 4";. 00 61'. FOUILD I.-Il I., J 66
I AN C'HECK FE 98. 41 SEWER USA Cli.1044 W"
JN(SPF.CT 311i. 00 PARKS SDC !-AW. 00
711 R M 1)R A 1 N RDC; 80. Ro RESIDENT'IAL TRAF-1. I I: I I I '1.41.14.. 1414
111.. 1%141
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RLAKT: Wi
1996 SW 12.81H AVF
11101 AMCIIINT PAID !SP8. 411
I APT (11 PAV14.N1 NO. p 9 ..'.44 799
(IMIJI114i "'60. 00
oil, 61, 00
4A.Mj)t V ol,4
•P14 V 1-11-.r1 1 fIMOIAN I FIP 11) I.-Ijr4j'I v .1 1 11 1 11f1,11 1,11 f It'll it 114 1
IAO 111 - 11 1 s Ir11 1 0 1.
141 il. 1 it 1111 1
d it HAI I;1 11 1
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone►: 639-4.175 Buniness Phone: 639-4171
Inspect+on:_�
PootLng Mg. Onderalab Mech. Rough-in Appr/Sdwlk
Pours_ �-' L� �'� Pl'.jy. Top out Cas Line FINAL:
� 7 3
+San. Sewer Framing -Bldg.
Poe — h. � Rain Drain Insulation -Plumb.
r Water Line Gyp. ed. -Rech.
Date Requested: / '7-5--?q -
+ 5 ?q, �o hT,i(m , ----Am PM
Permm it __ o� c':5
Builder:�JL YJ /� �e� j/Y.3 - 0 k
THE FOLLOWING /WRRECTIONS ARE RREMINEDt pl� cy
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Inspectors Date!
APPROVED nISAPPROVRD APPROVED SVBJvvT TO ABOVE
-- Call For Reinsp.
INSPECTION NUTVIV (�
Cita of Tigard Building vepartamt
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections `
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. / Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lira Gyp. Bd. -Meeh.
Date Requesteds n Time: AM _PM
Address: y/(, c iV 1o�6 t� Per—it"� 'o- 2'/o5-
Builder: ualLy—ri'se-tie
THE FOLLOWING CORRECI'ION8 ARE REQUIRED:
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Inspectors \� /� �- Date: v/ l
11P151tMD 1i9APPROVED APPROVED SUBJECT TO AHOVE
�� ✓ Call For Asinsp.
INSPECTION NOTICE �_ !
City of Tigard Building Departmmmt
1312 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6:19-4175 Business Phone: 639-4171
Inspection:
rooting Plbg. Underelab Mech. Rough-in Appr/gdwlk
Found. Plbg. Top Out Can tine 1FINAL:
Post/Beam Struct. San. Sewer `rraming V -Bldg.
Poet/Beam Mech. Rain Drain ( Ineuls ion -Plumb.
Plbg. Underfloor Water Line Gyp. Hd. -Meeh.
Date Requesteds _ / Time: AY PM
Address:_, �//���_, I/lrld� r Permit 1:
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Builder: \ / ( I TI & 4')'tb 7 � (l_�
THE FOLLOWING OORRUVIONS ARE RNMIREDf
C417 LIC21�= - 1.42ill en.
LLJ�1
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Inepectnr: _) a nate.
Y APPROVED __ DISAPPROVRD APPROVED SUBJEt-r To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard 80.14 ng Department
13125 SN Ha-11 Blvd. Tigard, Oregon 9722';
Inspection Line (Rec-O�-yPhone): 639-4{11755}[AIL
Buss�ines/s nPhon/neQt 6339-4171
Inspection:1 �, _il 1 1, I L 01--h 11 . I Pj f f _
Footing Plbg. Undersl a Meeh Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL.
Poet%Ream Strict. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
1.by. Underfloor Mater Line Gyp. Bd. -Meeh.
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Date Requested: Timet AM PM
Addreass 11 qg(1 J h)
BuiIde-=Dim At) Afld - tn —
(THE FOLLOWING
�CORRECTIONS ARE REQOIRM
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ALP, WAAi4e
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Inspecto _-_------ nater (
APPROVED V DISAPPROVED Y APPROVED SUBJEC" ro Ah'OVE
Call For Rpinsp.
INSPECTION NCTICE
City of Tigard Building Departimmt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ion:.__ _-
Footing Plbg. Underelab !tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer Framing ,�' -Bldg.
Pont/Beam Mech. Rain Drain ` Insulation -Plumb.
Plbg. Underfloor Water Line y C�// Gyp. Its. -Hoch.
Date Requested: (L+ ` vo e-7q 7 Time: AH /l PH
Addre9P! 9 9 I:�) �J ,y �V� Petiai/t #
Builders ,- ��l / /� �� /3-
THE FOI.I OWING CORRECTIONS ARE/RMQUIRBDs /
r. At p-4 i F PLC e./� _
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Inspea.'or s Dates1Q—,C
APPROVED DISAP D APPROVED SUBJECT TO ADM
Call For Reinep.
INSPECTION tLOTVCF
City of Tigard Building Departnient
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: `^ _
Footing Plbg. Underelab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line: _ FINAL:
Poet/Beam Struct. San. Sewer Framing 1 -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
II Plbq. Underfloor Water Line Gy-p. Bd. -Hoch.
')ate Requestedt lL' �� 9v
_Times AH _ PH
IT
Aldre0s: Permit
`
B tilder:, )1 Y J C k) /�r)7"1 0 2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CC - - — ---- -
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Inspectors
"PROVED �_ DISAPPIOVRD � APPROVED SUB.TI T TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departzment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing plbg.- Underslab Mach. Rough-in Appr/Sdwlk
Found. Pt lbg. Top Out Can Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line 3yp. Bd. -Mech.
l ,
Uatw Requested: ,Q - � / 11 isees AM PN
Addreeas 9 �� ZC Pe it
Builders 1Uf'mcl�e r'ITHE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Oats
Jl APPROVED DISAPPROVED NPPNO'VSb SUWUM TO NKMI
_--Call For Reinsp.
LNSSPECTION NOTICE
City of Tigard Building Department
13125 SW Bahl Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
= --
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line (2yi). Rd. -Mech.
Dnte Requessted: / G1 �G)_-/// Times AM PN
C�
��1rl rase: [ /9 / ld �r�[I ` Permit #A. /q/65
Builderiy/11 /I /�C >.�` J(/ 3` OLT
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
_�=����� 9� �J�, � j.""a. G /79� SNS•� _
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17 --_
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Inspector Date:6_ -
APPROVan DISAAPPROVED APPROVED SUBJECT TO ABOVE
r Call For Rainsp.
INSPECTION NOTICE
City or Tigard Building Department
13125 80 Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 633-4175 Business Phone: 639-4171
Inspection:_ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam St:ruct. Ban. sewer Framing -Blig.
Poet_/Beam Mach. (Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LLn`e [� (, Gyp. Bd. �,Vmech.
Date Requested: �- / / 7 Times _ AMn PH
Addrsaes � Permit f:
Builders- �Pu /z -THE FOLLOWING CORRECTIONS ARE REQUIRED:
Innpecto
eD
DTSAPPR()VRD APPROVED SUBJECT TO ABOVE
Call. For Reinep.
INSPECTION NOTICE
City of Tigard Building Departmwt
13125 SN Ball Blvd. Tigard, Oreigon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam r „h. Rain Drain Insulation -Plumb.
Pltx7. Underfloor Water Line /� Gyp. Bd. -Hoch.
Delra Requested:: _ Z� 4 Time: _ANc7�_ PM
Address: , Igi 10" ,Z Permit �: � _ /-�
Builder: W7,4AC __- -2-1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CC
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJEi T TO ABOVE
----Call For Reinsp.
INSPECTION NOTICE 0140/
City of Tigard Building Department
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 6.39-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
W1:3. San. Sewer Framing -Bldg.
�. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. 1-Hoch.
Date Requested: / c� f� Times: )�i1M — PM
Addre�estf/_ Permit
ll /c C/
Buil.eNrtjla- �.;)o)
TtiE FoLrAwrifi ooRRECTIONS ARE REQUIRED:
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Inspector: E+s�E Datet .02
_ _APPROVED D►' 28RPP OVSD "PROVED 8UwzCP TO ABOVE
-7all For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departient
13%25 SW 'aall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-d.)-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Undarelab Mech. Rough-in Appr/Sdwlk
Found. 11 Pl:,g. Top Out Gas Line FINAL:
Post/Beam Struct'\ X San. Scwer Framing -Bldg.
Poet/Beam Mech. (l\\ Rain Drain insulation -Plumb.
Plbg. Underfloor Water Laine / Gyp. Bd.. -Mech.
Data Requented•__ 1 _Z,�. 1� I Time: AM —PM
1 !'
Address: 1 1 �� � \ � � — ------ Permit
Builder: -- —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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W
� Dates
Inspectors _— __-_-
APPROVRD DISAPPROVED APPROVED SURJErT TO AAOVI,
Call For Reinep.
INSPECTION NOTICE w
City of Tigard Building Dapartaent
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (R -O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Eft.n5d _
P1bg. Underelab Nech. Rough--in Appr/Sdwlk
1 I P1bg. Top Out Gas Line FINAL:
!lost/seam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Mach. Fein Drain Insulation -Plumb.
Plbg. Underfloor Water Line (� Gyp. Bd. -Hach.
Urate Requested: 9 7 Time: AN PH
Q ^� 3`� V p YM`t 7 c/ _
Addrene: f 1 ( q (s/L C G ` Permit f._
Buildor: v�h Q t/ ' �J [1 •� —
T[IF. FOLLOWING CORRECTIONS ARE REQUIRED:
V,
SCS 2 C 1,/,c�_r�
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Inspector: U-'(' Datat N — 4 —`L y
_APPROVED DISAPPROVED XPPPoVRV gVWgCP To A9M
`_Cell For Reinsp.
I CITY OF TIGARDMASTER
LFihI TtlPERMITIhS'T94 -910:-;
COMMUNITY DEVELOPMENT DEPAF3T11 NT DATE ISSUED: 04/12/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8/80 (503)839-4171
PARCEL: 1 S 132DD--17100
Sl i E PUDRI'S:,. . . . 1. 1.")`)6 `-;W 128TH AVE
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE F'ARK 5 ZONING: R-4. 5
BLOCK' . LOT. . . . . . . . . . . . . :20..7
BUILDING
REISSUE: DWELL I NG UN l: T S: 1 BASEMEN7. . . . . . . . :0 s'F
GLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :400 S
TYPE: OF USE. . . :SF FLOOR AREAS---------_._.-_ REQUIRED SETBACKS--_----------
TYPE: OF CONST, :5N FIRST. . . . : 1180 Sf LEFT. . :6 ft RIG,-IT. : 10 ft
OCCUPANCY GRP. :R3 SECOND. . . :900 sf FRONT. :20 ft REAR. . ;:=0 ft
S'TORIES. . . . . . . ..2 THIRD. . . . :0 sf REQUIRED--------------.-.----
HEIGHT. . . . . . . . :2,8 ft TOTAL--.-------:2080 5 SMOKE DETECTORS. :Y
FLOUR LOAD. . . . .40 psf VALUE. . . . . ; 10 8 a 0 PARKING SPACES. . : 1
Remarks : path i
--------------------------------- 'I_UMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACI-,FL.OW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHt)WERS. . . . :4 LAUNDRY '1 RAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER ULOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE: DISK'. . . ; i RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL _____.._._.______.___.---_.___________-- FEES
FUEL T'YPES-----___.__.- UNIT HTRS. . :0 type amor_rnt by date r-ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JG 04/ 12/94 -
MAX INF='UT':0 BTU VENT FANS. . :4 BPRT $ 440. 50 JG 04/12/94 —
FURN < 100K . . :171 HOODS. . . . . . : 1 BF'LC t 286. 33 JLH 03/08/94 94-249799
TURN ) =100K . . ; ). WOUDSTOVES. :0 135PC E c'.."'. 03 JG 04/12/94
I-LUOR FURN. . . . .0 CLO DRYERS. : 1 SSDC $ 280. 00 JG 04/12/94 --
BOIL./CMP ( 3HP:0 OTHER UNITS: 1 PARK E 500. 00 JG 04/12'/94 -
GAS OUTLETS: 1 MPRT E 45. 00 JG 04/ 12/94 —
Owner: ____—__.__.____._.___.____—._ ____.__.—_.___MF'L_C `K 11. 25 ,JG 04/12'/94
DUN MORISSETTE M5PC $ 2. 25 JG 04/12/94
15555 SW RANGY RD F'P'Fl1 $ 147. 50 JG 04/12'/94
P5PC f 7. :38 JG 04/12/94 -
LAKE. OSWEGO OR
Phone #: 620--7538
Contractor: --------------.--_._--_---.-----
DOI`! 11ORl:S rE'rTC BUIL..DERS, INC.
5000 SW MEADOWS RD
SUITE_ 151
LAKE 05WEGO OR 97035
Ca Phnne #: 620 -7518
Reg #. . . 35533 ------------------------------------------
3262. 24
----------•-------------------------..---
32:62. 24 TOTAL
F This pereit is issued subject to the regulations contained in the ------- REUUIRED INSPECTIOn16 -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all ot' er Foot/foi.ind Insp Fireplace Insp
applicable laws. All Mork Mill be font accordance with approved Post/Beam ,trl_tct Gas Line Insp
plans. This pereit will expire work is not started within JA F'ost/Beam Mechan insr_rlation Insp
days of issuance, or if work is suspended or is a than 180 days. P1m/1-mcisl.ab Insp Gyp Poar^d Insp
T _.f PLM/Underfloor Rain dr ,:lin Insp
F'er•mittee 3iynatr.irn: _ �� E✓f`J�r��1 Mechanical Insp Water- Line Insp
Plr.imb Top DLit Aper^/Sdw! k Insp
Issued By Fr-aming Insp Mechanical Fir,al
Call for inspection - 639-4175
SEWER CONNECTION
PERMIT
CITY OF TIGARD
PERMIT #. . . . . . . . SWR94-0:1 i4!I
COMMUNITY DEVELOPMENT DR.PARTMFENT DATE ISSUED: 04/12/94
13125 SW Hell Blvd.Tlgard,Oregon 97223.8199 (503)839-4171
PARCEL: :l S 1?.ADD-.17100
TE ADDRESS. . . : i 1996 SW 1:'8TH AVE ZONING: R-4. 5
_,UBDIVYSION. . . . : VILLAGE AT SUMMER LAKE PARK 5
BLOCK. . LOT. . . . . . . . . . . . . :X .7
'TENANT--NAME.
USA N0. . . . . . F'I X (URE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF N0. OF BU I LD I NG5: 1
T NP)TAL1_. TYPE. . . . :BUSWR I IhF'ERV SURFACE. : : s f
Remarks : PATH I
------------------------
FEES ------------- ...
DON MORISSETTE type amol.int by date recpt
15555 5W BANGY RD PRMT $ 2c00. 00 JG 04/12/94 -
INSP $ 35. 00 JG 04/12,/94 -
LAKE OSWEGO OR
Phone #: 620-7538
-------------------
t'ONTRACTOR NOT ON FILE
_-_ 22-15. 00 TOTAL
ITIDTIP
I?eg #. .
----•-- -• REQUIRED INSPECTIONS ----------
'his Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency, The permit expires 180 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 _ ----
�ide sewer laterals, if the sewer is not located at the measurement
riven. the installer shall prospect 3 feet in all directions from -----
the distance given. If not so I Ated, the installer shall purchase _
a "Tap and Side Sewer" Permit and the Agen y will install a lateral.
,-m i t:t e e S i g n a t I-i r e :
a I.t e d B y
Call for inspection - 639-4175
Residential Building Permit Application ,
City of ,Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 6394171
Jobsite Address: �` (' `_>VV
i xs
6x y R•.f'• S > > rA.
f
Subdivision: Lotif
GU ec]f' ✓ i .Y ..Jfs Ifo- < »fa +'
Valuation; LI
+a
<
>< g? rs
owner: of
f > {.
Address: �SSS� Scc� cs,�acu�
Phone: (Od _�_ 3<,-
Contrf)ctor:
Contractor: ''F
Address:
Items R"Mired
<��.7LI�JS+ilnt .z>.ty ..cr. Y. M���AWiiltiMva..t. 'y.
Phone:
Contractor's License 1!
(attach copy of current OrVon license) f:
Subcontractors:
Plumbing: sh iM R Ke P-5
Mechanical:-TL-0Uy&rT 7-,�:M p•
(attach copy of current OR ContrarWs Lkense)
Architect/Engineer: 7,—c L z i—wt, __,
AcAress:
Phone:
.r
COMMENTS.-
Applicant
OMMENTS:Applicant Signature & Phone number
Rived by:_ Date Received:__ _
Residential Building Permit Application
City of Tigard
13;25 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: _
Office Use Only
Subdivision: Lot# -
Pianck/Rec#
Valuation:
Perrph #
Owner: Reissue of
Address: Map&`TL#
Approvals Required
Phone:
Planning
Contractor: _ Engineering
Address: Other
Items Required
Phone:
Subcontractors
Contractor's license #
(attach copy o!current Oregon license) Truss Detaiis _
Subcontractors: Otter
Plumbing:
Mechanical: _
(attach copy of current OR Contractor's Lioense)
Architect/Engineer:
Address:
cc
Phone:
J
L
COMMENTS:
J
Applica.it Sigoature & Phone number _
ReNived by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
0 el Bldg. Permit (BUILD) L/ U,S
Plumb. Permit (PLUMB) 57/
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb: 7
Mech:
7
Pian Check (PLANCK) �� 2 L
Bldg:
Plumb:
Mech:
`,« sewer Connection (SWUSA) „�,"� �% p��Oy
Sewer Inspection (SWINSP) 3 ��
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (rIF-R)
Mass Trdnsit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial,TIF (TIF-1) _
a
Institutional TIF (TIF-IS)
N Office TIF (1'IF-0)
r Water Quality (WOUAL)
J
n Water Quantity (WQUANT)
co
Fire District (FIRE)