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11601 SW 129TH PLACE �1 1 � f . V � y q i e ,I. 1 A -11601 SW 129TH PLACE L^ 1 CERTIFICATE OF CITYOFTIGARD OCCUPANCY CIi TWA 11D °ERMIT N. . . . . . . a MSf90-_h�a1Fl COMMUNITY DEVELOPMENT DV� �+ PRIM. PERMIT M. a MST90•-CO r 8 13125 SW Holl Blvd, P.O.Pax 23397,Tigard,Oregon 97 ) 5 / b f i T E I 5 f,U E:D a (96/05/90 SI'T'E ADDRESS. . . a 11601 SW 1-291H PL PARCEL a 15133DD._-00 304 >UPDIVISION. . . . a ZUN:TNt3a I BLOCK. . . . . . . . . . a LOT'. . . . . . . . . . . . . 942 CI.ASS OF' WORK. s NEW TYRE; OF USE. . . aSF OCE:UPANCY f3RF�. aR;3 OCCUPANCY LOAr); i.1A 4 TF-HANT NAME. . . a Per ia•rks a Owne DON MORISSETTE BLDE.RS, INL. P 0 BOX 19524 PORTLAND OR 97219 Phone Na 503•-244--9314 Contractor a CONTRACTOR NOT 0A FILE Phone No Reg 0. 41 Occupancy of the above referenced building is hereby given, and certifies thou, compliance with the f:3tate Of Oregon Gpecialty Cadres for the group, ur..cupancy, and use under which the referenced permit was irsued. ._.._....._____. .. ......_..__..._. _....L ,.L� .....ice � .l�:e!...�!. rFIRE DEPARIME:NT 11-DINO I RUILDIN OF'FIC'. POST IN CON13PIC0003 PLACE I 1 AMMILKWIM INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: _639-4175 Type of Inspection Date Requested_— _ dG�G Time Aklf_ P..M P.M. Address _�� -._�X-2 Permit Owner_.— ___- Lot # BuilderThe following Building Code deficiencies are required to be corrected: ---- Presented to _ -Approved Inspector Disapproved Date CALL POR REINSPECTION rl YES ❑ NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection 4: Date Requested 0�.3 �� Time L A.M.-- P.M. � Address _ ��Q/ �� C�l✓ Permit Owner �/J _ mot # Builder --.[�_�5� 7 � The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector �� = _� Disapproved Date. _ Z ✓ ^�_ CALL FOR REINSPECTION ❑ YE! ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ jo�� S L-4,)`f _ Date Requested 45z6-- Time__— A.M---1eAWMM. Address 1 _—_ y_ — Permit #-ze-, Q Owner Lot # — Builder The following Building Code deficiencies are required to be corrected: _ - � -- r - Prerented to Approvod Inspector _ _.�` _. Disapproved Date ---- CALL FOR REINSPECTION F] VES 6A NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639'�-499175 1 , D Type of Inspection Date Requested Time . A.M. P.M. Address _1�SL�__ ��74 _ Permit #?Z" V Cwner ^_ Lot # f Builder —2zL The following Building Code deficiencies are required to be corrected: lam' Presented to __ � ,KApproved Inspector �t - _ _, _ � i Disapproved Date __ _ ^s — CV _ CALL FOR REINSPECTION C] YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 22397 Tigard, Oregon 97223 7 Phone: 539-4175 --� f Type of Inspection Date Requested__. .aD J'�� q y" L V Time � A..A. _P.M. Address _— �I�3 �� yy�_. Permit Owner Lot #_ Builder The following Building Code deficiencies required to be corrected: t Presented to -. 1� pproved Inspector - I I Disapproved Date CALL FOR REINSPECTION ❑ YES i J NO INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection �Z�-/ 05� Y A.M. Da'e RecTi ,uested L —�^d _ me - __ P.M__ Address , f foZ 9 l?!�. Permit # A Owner---------- Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector :�` s • ._ ❑ Disapproved Date `/l CALL FOR REINSPEWTION C7 YES 1-7 NO i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — 223-1 —' Date Requested��__ y-� � ' Time A.M. P.M. Address 1L1�0 � _ Permit Owner. Lot # _ Builders The following Building Code deficiencies are required to be corrected: �/GG!! PTI- %/L r— " A L A .4 L c 1 T`�Lyr� —,L-11 CD LI L l., S 77.1 t LL 1't'o 1/1 Dti: 6�-tZ- S e,^N TLA' ,A l -7-.L---f"' /'/�`f T?7t C'iA , vaz-IL Jr Presented to ❑ Approved Inspector _ i_:.'`"r -0 Disapproved Date !;Joe" � ` `I C' CALL FOR REINSPECTION YEA O NO i _ I INSPECTION NOTICE CI'y of Tigard Bulldinj7, Deportment P.O. Box 23397 Tigard, Oregon 97223 Ph;me: 839-4175 �y Type of Inspection Date Requested //--.?_� `_G— Time____ A.M. P.M. Address —_�1��— ._—L Permit # — Owner / _ Lot # BuilderThe following Building Code deficiencies are required to be corrected: Presented toApproved Inspector [�blapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO ii�� s e■► IF INSP►C-ION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _;!2n"' Date Requested Time_, A.M. P.M. Address _... /�L_to�i/�Z (�� C Permit *C l_t J Owner- _ Lot # Builder The following Building Code deficiencies are required to b corrected: <-Z'W-ev s2Z -2 Z' _Pz-G — (:�-- err-7- -`rte,v ..t ��► t j k uL&n,bl ni Presented to �� Approved Inspector Disapproved Date ,, /` CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE City of Tigard Buildin Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Time A.M. P.M. Date Requested Permit #� Address _.—L-�-� Lot #—_ Owner ---,4— ----- Builder �.� -- -_ The foclowinq Building Cod�deficiendes are required to be corrected: -------------- Presented to Approved Inspector _ Date Qisapproved ••, `� _ _� CALL FOR REINSPECTION U YES ❑ No INSPECTION NOTICE ✓��!' //�, City of Tigard Building Department / /e�` P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4,75 I Type of Inspection Date Requested-- j�`� Time A.M. P.M. Address / _ Permit #_// Owner_.- —:2k-c-, l;2 i' t � Lot # Builder 'The following Building Code deficiencies are required to be corrected: I — – i Presented to _ Approved Inspector Inspector --- Disapproved Date r CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Buildirg Department P.O. Box 23397 Tigard, Oregon 97223 , Phone: 639-4175 Type of Inspection _ Date Requested �/� Time A.M.__ �^P.-I_A. Address % A/�._ % °(rte i Permit ''�=�1�I76)1 Owner Lot # Builder The following Building Code d:.4iciencies are required to be corr acted: ^•esented to �74pproved Inspector Disapproved Date CALL FOR REINSPECTION 0 YES ❑ NO r W CITYOFTIFARD PERMIT , . , . . : MST90-0018 COMMUNITY DEVELOPMENT DEPARTMENT , PRIM. B- IT iE• : MST90-0018 13125 SW Nall Bbd.P.O.Baa 23347.Tigard•(re4mion (5031639 X175 -----------�-''g=41'11-------_- ------ �_.1s.S .nom-02/-27/�0_------ ------- -- - -� SITE ADDRESS. . . : 11601 SW 129TH PL PARCEL: 1S133DD-42ZONING: SUBDIVISION. . . . : BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . : ____ ____ _____ BUILDING -------•--------------------- ---------- Rz;ssuE,:892532 DWELLING UNITS:1 BASEME14T. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :420 of TYPd OF USF.. . . :cF T 2'1,0:)R AREAS---------- REQUIRED SETBACKS-------- -- 'I'YPF, OF CONST. :5N FIRST. . . . :1519 sf LEFT. . :5 ft RIGHT. :19 ft OCCUPANCY GRP. :R3 SF.COND. . . :0 sf FRONT. :20 ft REAR. . :34 ft STORIES. . . . . . . :0 THIRD. . . . :0 sf REQUIRED----------- HEIGHT. . . . . . . . :18 ft TOTAL------: 1519 sf SMOKE KINGESPACESS. :O FLOOR LOAD. . . . :40 psf Remarks: PLUMBING --------------_---- ---- --------- SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . •0 BACKFLOW PREVNTRS. . :O I.AVA:ORIE5. . . . . :2 WA'T'ER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CI.OSFT;. . :2 SEWER LINE (ft) - :0 GREASE TRAPS. . . . . . . :^ DISHWASHERS. . . . :1 WATER LINE (ft) - - 1 OTHER FIXTURES. . . . . : 1 GARBAGE DISP. . . RA N DRAIF (ft) - :0 WASHING MACH. . . SF RAIN DRhINS. . :l FEES ---------- --------------- MECHANICAL --------- -- ----------- -- - P--- FUEL TYPES----------- UNIT HTRS. . :O .type amount by date rec t /GAS/ / / VENTS . . . . . :0 P)1" $ 0 .00 OOW / / 000000() MAX INPUT:C BTU VENT FANS. - :2 PRMT $ 0.00 FURN < 100K . . :1 HOODS, . . . . . : I PRMT $ 349.00 FURN >=100K . . :0 WOODSTOVES. :O PLCK $ 40.00 FLOOR FURN. . . . :0 CLO D-1YERS• :1 5PCT $ 17.45 BCIL/CMP < 3HP:0 OTHER UNITS:1 PAYM $ 40.00 DEW 01/04/90 106725 GAS OUTLETS: 1 STDC $ 600.00 ------------- -- ---------- SSDC $ 250.00 Owr�r: ---- ----- ' DON MORISSE,:,-E BLDERS, INC. PARK $ 250.00 / P 0 BOX 19524 MISC $ 30.00 MRS 01/08/90 PRMT $ 37.50 PGdrLAND OR 97219 PLCK $ 9.38 Phone #: 503-244-9314 5PCT $ 1.88 Contractor: ------------------------------- PRMT $ 117.50 CONTRACTOR NOT ON FILE 5PCT $ 5.88 PAYM $ 1668.59 JLH 02/27/90 107510 Phone. # -------------------- Reg 1. . : $ 1708.59 TOTAL This permit in issued aubject to the regulations contained in the -----' Tigard Municipal Ce'_ �, State of Ore. Speicialty Codes and all other Foot/f• applicable laws. All work will. be done in accordance with approved Poet/Beam itiol Sewt plane. This permit will expire if work is not started within 180 Plm/undslab Insp Rain Saye of issuance, or if work is suspended fo:- more than 180 days. 'nap Insp Water Framing Insp App /.Sdwlk ne p Permittee Signature:, Fireplace Inep Final Inspertion Gas Line Inep Issued By: _ �� __ — Insulation Inep CITYOFTIFARD �� EWER COMMUNITY DEVELOPMENT DEPARTMENT —(CML VECTION 11125 SW HW Blvd P.O.Boot 23397,Tiwd.Omgw?*M(503)6WAI75 . RMI T 639-4171 _..__ —._-- . SWR90-0007 PRIM. PERMIT #. : MST90-0018 DATE ISSUED: 02/27/90 SITE ADDRESS. . . : 11601 SW 129TH PL #42 PARCEL: 1S133DD-42 STIBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ---------------------------------------------------------------------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . :40470 FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . :1 7,11E OF USE. . . . . :SF NO. OF BUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :of Remarks: Owner: ----------------------------------- ---------------- FEES --------------_ DON MORISSETTE BLDERS, INC. type amount: by date recpt P 0 BOX 19524 PRMT $ 1250.00 INSP S 35.00 MRS 01/08/90 PORTLAND OR 97219 INSP $ 0.00 BLT 01/09/90 Phone #: 503-244-9314 PAYM $ 1285.00 JLH 02/2.7/90 Contractor: ----•---------•------------------ CONTRACTOR NOT ON FILE -------------------------- I'hr,ne #: $ 1285.00 TOTAL ------- REQUIRED NSPECTIONS ------- Th' n ,+applicant agrees to comply with all the rules and regulations of the Un..Fied Sewage Agency. The permit expires 120 days fromthe date issued. The total amount paid will be forfeited if the permit expires. The Agency doei not guarantee the accuracy of the si•ie sewer laterals. If the sewer is not located at the measurement givan, the installer shall prospect: 3 fee, in all directions from _the distance given. If not so located, the i..staller shall purchase — a "Tap and Side Sewer" Permit and the Agency will install a lateral. Permittee Signature: Iouued By: ----- --- ---- ---- — �— --- -- Call for inspection - 639-4175 i f I I r CTTY OF TIGARD — RECEIF,I OF PAYMENT REC NU: 00107510 CHECK AMOUNT : 2953.59 NAME: DON MOR I SSE TT!: CASH AMOUNT . .00 ADDRESS: P.O. BOX 19524 PAiMFNr DATL : 02-27-90 PORTLAND, OF, 972`19 BLOCK. NOi ADDR t 11601 S.W. 129TH PLACE VILLAGE AT SUM.LAKE: *42 PURPOSE OF -AYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BIJIl_DINO F'E MIT (MST90-0019) '49.00 PLUMBING PEPMIT 11'7.50 MEC:HANIZAL PERMIT' 37.50 STATE BUILD PERMIT 'rA +5%) 25.,"_1 PLAN CHE:C; FETE 39.78 SEWER USA (S�4p-90-000'+ ) 11250.00 5EI,4 P INSPECIUo! -!x.00 STREET SDC 600-00 PARKS SYSTEM DEVELOPMENT CH 250.00 STORM DRAIN SfiC 250.00 I 1 ITOTNL AMOUNT FMD 2,'''.i .5- C11YOF T11FARD I aA�ND PLAN CHECK APPLICATION , COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK q 1]1]5 S.W.wr Bird_P.O.Box?].197.T►gwqt OR9o^9Tm,(SM)6'f9-417�j n}� � PE RM7T q fJ n l`� D/1TE ISSUED JOB ADDRESS: _11L O I TAX M'1P/l_OT SUB: Vkl �.� ��..�-�_lcik��M LOT: _-4 L LAND USE: VALUATION: - OWNER SPECIAL NOTES NAME: / ` s 4 REISSUE OF: ADDRESS: V . CQ-A I q S24 LAST REISSUE: �w r � CI 7 2 lFt_000 PLAIN/ SENSITIVE LAND: PHONE: `� 2", I Q APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: ENGINEERING: ADDRESS: FIRE DEPT OTHER: PHONE: ITEMS REQUIRED BUILDERS BOARD N: EXP DATE: _ LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: T C I TRUSS DETAILS: ADDRESS: OTHER: _-- PHONE: - COMMENTS: 1uc I SS t.e ��KIN i W jj it SUBCONTRACTORS: PLUMB: _ MECH: PERMIT q ACCT q DESCRIPTION AMOUNT AMOUNT PD. HAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Perm't Fees - - ---- �� 10--431 01 Mechanical. Permit Fees - 10-230 01 State Building Tax (5%) Building P 1 umb i nq -- _._--- Mech -- I 10-433 00 Plans Check Fee Building Plumbing - - - Mech to r1fe .006 30-202 00 Sewer Connection T_ 30--444 00 Sewer Inspection —' 51-448 00 Street System Dov Charge (SDC) -- 52--444 00 Parks System Dev Charge (PD(,,) -450 00 Storm Drainage Syst Dev ChM (SSDC) 10--230 06 F i re TOTAL REC N APPLICW SIGNATURE - Received By: � Date Recoived: cn/3'387P/18P i GRADING/EROSION CONTROL, INFORMATION GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: PERMIT NO.: M6 DO/ AP. CANT NRME AND ADD SS: EXCAVATION CONTRACTO =o (l )t'r"I- ,A L YS NAME&ADDRESS: - -9 L4 OWNER NAME AND ADDRESS: Y7YL _ Tr_LEPHONE NUMBERS: APPLICANT_I f PROPERTY DESCRIPTION: OWNER` 2 _ STREET ADDRESS AND CROSS STREET/LOCATED GENERAL.CONTRACTOR:_ EXCAVATION CONTRACTOR:11ii I I ' SI•ITpOB:_ _ LEGAL DESCRIPTION: PS • �:�D� 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: f ' r SITE SIZE,ACRES: I SIL DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL.BE TAKEN SITE RUNOFF DRAINS TO: (CIRCLE ONE) (NOTE-PERNM MAY BE REQUIRED) QC ICH-BAS?lq-)DITCH PIPE CREEK (CIRCLE ONE) PRIVATE PROPEM_ PUBLIC RIGITT OF-WA EROS10N/SEDIMENTATION CONTROL (ESC) MEASu$E MINIMUM ESC REQUIREMENT'S MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE RLMOVE AND RESTORE IT:MPORARY FSC PERIMETER RUNOFF=CONTROL. FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE O•TFIER`_ OIIIER PLAN FOR EROSION CONTROL,PREPARED AND iUBMITTED IN ACCORDANCE WI i H"TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PIAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PIIONE NIIMBF.R. SCHF.DULF./STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL.MEASURES,AND APPLICABLE,STANDARD NOTES. I HAVE READ AND WILL.COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMI:N•T ON THE CONSTRUCTION SITE. OWNER SIGNAll IRI•, APPI ICS/ T SIGNATUkE . • • • • • • • • • • • • • • • • • • • • • e • • • • • 1 1 • • • • 1 • • • • • • t • f f • • II • • • • • • • • • • • • • • • • • • OFFICIAL USE ONLY. RECEIP"T DATE ACCEPTED Il t. NUMBER RECEIVED BY i i tilt[ P.O.Box 19524 Portland,OR 97219 (503)244-9314 The Foundation For Affordable Homes o LU I ' 2U IGA 1 i rn VIU-A( � VV uv; Me(e-r_nb; C 17IC>A�� /J C• J/J C V V on ,v v j -4r„ 0' V. Z' J I^ r ��Z 20 r'u / 1orvr f r'. I C la ' . J I � M J ��? a M J � �} LeT r , 1 r w