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11623 SW 129TH PLACE e t V aw "623 b2 3 SW 129TH PLAC'W w - (1 IdSPBCTION NOTICE VVV city of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 � .pection Line (Rec-c•Phone): 639-4175 Bunineas Phones 39 1 Inspections_1. /. a-�:�f�r2_`� — Footing Plbci. Underelab Mech. Rough-in Appr/Sdwlk Fund. Plbg. 'fop out Ga• Line FIM11Ls Post/Beam Struct. Sac:, Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water islg Gyp. Rd. -Mech. !! �. ' Date Reqursteds Times AM JJL-" Addrese:, P7 e. f: Builder: _ -- THE FfLLOWINO CORRB'TIOMS ARE RE411*RFD I, Inspectors Dates r/—A-PROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE Call Por Ramal, CITY®F TIGA RD CITYOFTWADD PERIITT 0. . . . . . . . IIIEC,'90--0266 OR COMMUNITY nEVELOPMENT DEPARTMENT 13126 SW HWI Blvd. P.O.Box 233971 1giud,Oregon 972M(OW)PWAJ76 _-7�77 DAT'L" I'S'S IA".."D- 11/1.9/90 13 I'TE A D D R E S)S. . . ;: :1..1623 SW 12 9 T'H P,L PARC.El_� LS133DD-01200 SUPDIVISION.. . .. . Z C)N IN G: ['4AXI... . . . . . . . . . t LUT*. . . . . . . . . . . . . :43 (:LASS OF-- WORK.. . :ADD F'L.00R I"URN. . EVAP COOLERS T Y 1-1 F` OF USE. . . . ..SF: wirT I­iE0TER!:*,. VEN'T' FANS. . . [)CCUPnNCY W<P. . »R3 VEENTS WIO APPL.: VEN1' 13YS'rEMS: S T'O R I E S. . . . . . . . D 0.i. S/C 0 M P R E S S 0 R 5 HOODS.. . . . . . . - * FUEL 0-:3 HP NCINc. . . . . DOMES. 1, 3-15 VI V-1. INCIN: /I OD/ III I X I N PL) D"I U 15-30 11P. REPAIR UNITS: 1".iRE. DAMPERS"?. . 30•-50 HP, . . . WOOD9'T(JVL 1 Gf4S PRESSURE., 50+ HP., . CLO DRYERS. . -. 1-10. OF LJNTTS-­-----........... AIR HIPINDLIM, U IIII TS OTHFLR UNII'S. 1:"t.)Rl%l ( 100K B"T'U-. <= 10000 rfni: CTAS 0 U'H ETS. r t i R H >=t o La v.. '1+TU» 10000 (-fill: Renia'(+S: WC)C)CN'tave pe'('Mj. I; i_.EJFF PAL',)ORSON tyl3ca amocir)t by date -r e c:P 11.C'.)2 S 6 J :L 2 91 H 1. P A Y III $ 15. 2.3 JL.H 11/1.9/90 P R M'T' $ 14.50 TIGARD OR 97223 5 P C'1* $ 0. 73 Pborie fig 223--623'7 C"0 1.1 L.--P.C t 0-r: -....---­­ -­---....---- ....- - - -. -- -.......­- CAsCi,VE' CHTMNEY (,ARE hl(-,l L. P(IIAILI L UREASHAM 'JR 970130 175. 23 101*AL REOUIRED INSPECTIONS This persit is issued subject to the reaulations contained in the I"illal neper. Bart -------- ...... Tigard Municipal Code, State of Ore. Specialty Codes and all other ............. .............. ............ app!icable laws. All work will be done in accordance with approved plans. This persit mill expire if work is not started ...... within too days of issc,arce, or if work is susoended for NOTe ....... 4Ar 180 days. ....... .......... ................... ............... ...................................................... .................. ................................. ....... ...... ('all fa-r irisr.)evtj.ori 639-4.175 :YTY OF' 'rT(3ARD RECEIPT OF PAYMENT RU(..r,-Tr,T NO. 90-206922 Clir--Ci,*' AMOUNT a 15. 27.1 NAME s HALVORSON, LES IF CASH 'AMOUNT s 0.00 ADDRESS I t62,"5 SO) 1291 14 PL. PAYMENT DATE i I 1 19/90 SUBDIVISION TIGARD. -0P 97'- —' FURP09E OF' PA.'MENT AMOUNT F`AID F'ORr'OSE OF PAYhF714"F AMOUNT PAID MECHANICAL PF 14. 50 91". BUILD PER 0. 77 1 1 WOODSTME Purqli,T TOTAL AMOUNT PATD In. 27. UM MR. LEIF M. HALVORSON 11623 S.W. 129th Place Tigard , OR 97223 November 8 , 1990 City of Tigard P.O. Box 23397 Tigard , OR 97223 Attn : Building Clerk - Jerree H . Dear Jerree, Enclosed please find submitted my check for $15 . 23 and a c-py of the invoice from the woodstove installation 1 recently had complptpd . I would appreciate it if you would set up ail Inspection for my woodstove Thank you for dour advice (on our phone conversations) - it aided me in locating an installer that I felt comfortable with and more important that both the City of Tigard and my insurance company will feel comfortable with. I can be reached either using the mailing address above or by phone at home 641-3308 or work 223-6237 . Again , thank yuu for your help throughout this process . Sincerely, Leif M . Halvorson i 1990 enclosures q, CamC ioe PROPOSAL i CHIMNEY CARE e s + E t S r P O w E LL (503) 666"-2769 := G R E S H A M. OR 9 ; 0 30 SUBMITTED TO: PHONE: ADDRESS: :OB ADDRESS: CITY, STATE, IAND 'LIP: WE PROPOSE: �t�r-►---iii J Cl' �''✓%/t`i.����.r' (i/ C:f r /! /' �/ C' �L> -'i l r i LABOR c' TERMS: CASH OR CHECK UPON COMPLETION UNLESS PRIOR ARRANGE- --- J MENTS ARE MADE IN ADVANCE. DELIVERY G J — NOTE: IF PAYMENT IS NOT RECEIVED UPON COMPLETION THERE OTHER //' WILL BE A $20. 00 PROCESSING FEE PLUS INTEREST AT 20 PER MQ. TAX v WE PROPOSE TO COMPLETE WORK SPECIFIED ABOVE FOR THE SUM OF: TOTAL ALL OF THE ABOVE; WORK WILL BE COMPLETED IN A SUBSTANTIAL AND WORKMANLIKE MANNER ACCORDING TO STANDARD PRACTICES AND THE UNIFORM STANDARD CODE. WE GUARANTEE OUR WORK TO PASS INSPECTION UPON COMPLETION. WE WARANTEE ALL LABOR FOR A PERIOD OF ONE YEAR FROM DATE OF COMPLETION. ANY ALTERATION OR DEVIATION FROM THE ABOVE SPECIFICATIONS SHALL BE EXECLTED UPON WP,ITTEN ORDERS ONLY, AND ARE SUBJECT TO ADDITIONAL CHARGES. ALL AGREEMENTS MUST BE MADE IN WRITING AND SHALL BE CONSIDERED BINDING. A C C E P T A N C E O F P R O P 0 8 A L YOU ARE HEREBY AUTHORIZED TO PERFORM SIGNED PROrOSAL AS OUTITNEr ABOVE. WE AGREE TO TERMS SPECIFIED HEREIN DATE I CUST014ER AGREES TO OBTAIN ANY PERMITS REQUIRED TO COMPLETE JOB REFERRED BY: r-. 1.1�- lr �1 ' P DATE RECEIVED: I J BID DATE: fi DA'Z'E CALLED IN: INSTALL DATE: DATE PAID: WORK DONE BY: �'� NOTES: 3�, OREGON BUILDERS BOARD ' 60089 WASHINGTON LICENSE , CASCACC 11OKW i _ - — ` CERTIFICATE OVGISCFTINARD OCCUPANCY Cmr�ea4FMIT . . . . B3c 623 COMMUNTDEVELOPMENT DEP49TW* FIRIM. PERMIT 892E23 13125 SW HeJ1 Blvd. P.O.Box 23397,Td,o ,97223�5o3�s39a,�5 _ DATE ISSUED: 06/15/90 SITE ADDRESS. . . a 11623 SW 1291H N NARCE:L s 1 S 133DD-01200 , SUBDIVISION. . . . t ZONINGS � BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s143 CLASS OF WVRK. s NEW TYPE OF USE. . . sSF OCCUPANCY ORP. sR3 OCCUPANCY LOADS TE-:.NAN T NAME:. . _ Rem,arP.s u Owners DON 14ORISSETTE PO BOX 19524 PORTLAND OR 97219--0000 Phone Ms 503-244 .2449 Contractors _......._.._. ............. _-_._ ...-....... ..__._...__..__._...___._.... DON MORISSE71E: PLDEkS, INC. P 0 BOX 19524 ;)ORTLAND OR 97219 Phone *a 503--620-.7538 Reg M. . s 35533 Occupancy of the above referenced building is hereby given, a11d cortifte s the compliance with the Stats_, Of Oregon Specialty Coders for the group, Occupancy, and tASW U►►der whict• the referenced permit was iesalued_ FIRE DEPARTMENT ILDING INSPE7P _._.___....._ NU I L D 0 OFF AL POST IN CONSPICUOUS PLACE i ff WJFWJFW INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phpne: 639-4175 Type of Inspection ✓-. �� -----�_._.. -_.-. -----__.—.-- —.._-- Date Requested Time. -- A.M. P.M. J Address __._..�� _ � / Permit # � Owner __^ —_ Lot #-, BuilderThe following Idinq Code :�Rficiencies are required to be corrected: Presented to - _ __-_-- -'KApproved Inspector -__ ❑ Disapproved Dais - CALL POR REINSPECTION 0 YES (-�] No INSPECTION NOTICE City of Tigard Building Department f P.O. Box 23397 Tigard, Oregon 97223 Phone: 539-4175 Type of Inspection Final Plumbing Date Requested 6/6/90 Time xx. A.M._. P.M. Address 11623 129th- Pl . permit # F0.-2623 Owner_ _ Lot # Builder _ Morissette The following Building Code deficiencies are required to he corrected: Presented to ❑ Approved Inspector ,_.. _- ❑ Disapproved Date CALL FOR REINSPECTION DYES ONO INSPECTION! NOTICE — cr- City of Tigard Building Department P J. Box 2.3397 i iojrd, Oregon 97223 Phone: 639-4175 Type of Inspection F- �-�_�L/ Date Requested ��_L% Time _ A.M. Address �� _� � ` Permit # e Owner Lot #_ Builder ' The following Building Code deficiencies are required to be corrected: Presented to r ,�� '��j, Approved Inspector I VySGk^+5 ----- _ ❑ Disapproved Date — CALL FOR REINSPECTION 0 YEII; KNO IN I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 - Tigard, Oregon 97223 G - Phone: 639-4175 Type of Inspection Date Requested - Time A.M. P•M• C Addr,iss / l �� Permit I �� Owner — Lot Builder The following Building Code deficiencies are required to be corrected: Presented to roved Inspector L] Disapproved Date CALL FOR REINSPECTION ❑ YES FJ NO EliWAN XW INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. P.M. Address Permit # Owner Lot Builder 44�J In7l—,t5 The following Building Code deficiencies are required to be corrected-. Presented to --,><Approved InspectorDisapproved Date CALL FOR REINSPECTION P YE8 0 No INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 635-4175 Type of Inspection �� - ---- - --- Date Requested Time A.M._ P.M. Address _T_�1 42:1 Permh. Owner —_ _ _ Lot # Builder — -� 4-, —The following Building Code deficiencies are required to be corrected: gg Presented to —t _ _ __— ---_.—.— --__ [Approved i Inspector ���,—_.__—_---- —_. .. ❑ Disapproved Data ---- CALL FOR REINSPECTION 0 YES U NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 J � 1 Type of Inspection ---- ,,// — Date Requested. �L1-4 Time—/L A.M. P.M. Address ------ L��,2� ----/ Permit # Owner,-- Lot #.— Builder ,2-21aic ,-- The following Building Code deficiencies are required to be corrected: t /?1 4,5 Win!/� \ Presented to _- - _ j- 1approved Inspector _...-__--.__ - - Disapproved Date CALL POR REINSPECTION ❑ YES l_.l NO i • INSPECTION NOTICE / City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 7223 Phone: 839-41175 Type of Insps,&ion L" 1�— L— Date Requested_ Time_—A.M. _—P.M. Address ___—L,[L.a�.� Permit #_4B 1&� Owner__..__ Lot # Builder — 7� =','ClZrtr:•[.��" — _ The followint. Building Code defic;encies are required to be corrected: ----------- — — Presenter+ to moo— _ 4 Approved /^ r/ter Inspector �'. --_ (� Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO i i i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 \ Type of Inspection 7 SL (- Date Date Requested 3D -c/`� Time-- A.M.—P.M. Address _���'�� —��-�e/ Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to� _ Approved Inspector --- Disapprov..d 76 Date Y � -_-- CALL FOR REINSPECTION YES LAND INSPECTION MOTICE City of Tigard Building Departs, P.O. Box 23397 Tigard, Oregon 97223 ..cc Phone: 639-4175 Type of Inspection Date Rcyjested �.yL� Time A.M._ P.P.M. Address 4? Permit Owner_._ 7 _ _ Lot # Builder The followinq Building Code deficiencies are required to be corrected: lice •-?-,Oy�r� •/�c+sr" rra ��E2� cJUc"�.0 _�.(.�'�Z i tyL�_ �Y�Lt/�'S —4'c� � S✓ac /fir a f i-%'Peyc 12 41; &Pe--T2= Presented to Approved Inspector r Disapproved Date CALL FOR RE,INSPEC77ON L' YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspectl Date Requested Time A.M. P.M. Address Per-�:t Owner Lot -�7 Z'g Builder The following Building Code deficiencies are required to be corrected: 771 Presented to Approved Inspector111spector -Z Disapproved Date CALL FOR REINSPECTION YES El NO n � i INSPECTION NOTICE City of Tigard Building Department ` P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection yl�LCl — Ddt9 Requested Time A.M. P.M. Address /2 Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _ —_—_ _ Approved Inspector _ �� � Disapproved ' ► � r Date — CALL FOR REINSPECTION VES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box Tigard, Oregonon 97 97223 Phone: 639-Q 175 %j Type of Infpection Date Requested ��' G�'/��� Ti A.M. P.M. Address //k i-P 3 !��� Permit #E1,2� Owner_ Lot # _- Builder i The following Building Cods deficiencies are required to be corrected: i Presented to Approved Inspectorp ._ __ ❑ Disapproved Date -fir T d CALL FOR REIN"PECTION F] YES Ll NO w w C17YOFTIGARD A6�� BUIL..DING PERMIT C�YOFTWARD PERMIT tt. . . . . . . .. BIJP892623 COMMUNITY DEVELOPMENT DEPARTMENT + PRIM. PERMIT H. : 892823 13125 SW FW I Blvd. P.O.Bax 23397,rlgwd,Oregon 97213 DATE ISSUED: 03/01/90 ADDRE:iS— : 11823 SW 129TH F'l.. C,AR(:;E:L_: 151. 33D--D SUBDIVISION. . . . : VILLAGE AT' SUMMERLAKE. 2 ZONING: R--4.5 PD 1:BLOCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . :51 RE I';iSUE:BUF'881O48 FLOOR ARE:Aa3_...__...».__......_.._..._ EXTERIOR WALT... CONSTRUCTION CLASS OF WORK. cNEW FIRST'. . . : 1.149 sf N: S: E: W: TYPE OF' USE. . . :SF SECOND. . . : 960 sf PROTECT TYPE OF CONST. :514 THI:RD. . . . « �f N: S: E« W: OCCUPANCY GRP. :R3 .1'O1'AL-� of ROOF CONST«C FIRE RE:T OCCUPANCY LOAD: BASEMENT. : sf AREA SEF'. RATED: ST(1R. : 2 HT'. : 20 ft GARAGE. . . : 440 sf OCCU SEP. RATED: P. ')MT?: I'IEZZ?: REOD SE:THACKS--_...._.___. RE0UIRED- _ _-.._._._._._.�............._......_..._ FLOOR L.OAD. . . . .. 40 psf LEFT: 9 ft RGHT: 7 ft FIR SPKL.: SMOK DET'. . :Y DWELLING UNITS: 1 FRNT-.20 ft REAR:41. ft FIR ALRM: HNDICP ACC: BEDRMS: 3 BATHS: 3 IMF' SURFACE: F•RO CORR: PARKING: VALUE. lit. 96498 Remarks: reiSSUe Of 892233 $3O for twco red l i.1.1e ccapies Owner: _.___._.. .»__..__. ........__-_„_.....__...___.._.. ._._......__..._..__..._ _____._..__..._...._.._.__._._. _. FEES ......__....._»..____._..._ .._. DON MORISSETTE type AMOUnt t,y date recpt I'O BOX 19524 PRPI1, '.1'> 424.00 MAN PLCK $ 40.00 MAN PORTLAND OR 9721.9-0064 5PC.;T $ I?1. 20 MAN Phone tt« 503-244--2449 PAYM $ 40. 00 MAN SSDC 1; 210. 00 PIAN Co)itractcora --_._.._._____._.__....__.._.._.._...._......_.... __..._._..._...._.... STDC: $ 600.00 MAN DON MORIS SETTS BLDE:RS., INC:. F'DCF $ 250. 00 PIAN I! O BOX 1.95P4 MI13C $ :30. 00 MAN 1:1AYM $ 1575. PO JL.H 04/18/9(d PORTLANDOR 9*7219 _.._._ ......... ......._......_.___ ___._....._._..._.._...._......__...._.._.........-_ . Phone N: 503-244-9314 $ 1615.2O TOTAL Re11 It. . « 35533 __._.._........_.. RE0UIRE1) INSPECTIONS -This permit is issued sub)ect to the regulations contained in the Tigara %niclpal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with _......_....._._.... _ __. _._.._.._..__..__........_._. approved plans. This permit will expire 1,f work is not started within 198 days of issuance, or if work is suspended for more than 198 days. ..................................................___....._..... F'e+rrlitt:ee Si.yrlatt.lre+: Call. fco•r irlrpect:ion - 639-4175 CIWOF TIGARD F--'LUMPING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT CffV OF TWARD r:'F..R M I T 0- PL 1189r G 3 Z 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97M Q./4176 MOON r,R M PERMIT 892623 T- 03/01/90 SITE ADDRESS. . . : .11623 SW 129TH PL PARCEL: 1ST 33D-D SUBDIVISION. . . ., r, VILLAGE AT SUM111_RLAKE 2 ZONING: R-4. 5 PID BLOCK. . . . . . . . . . LOT. . . . . . . .r............... CLASS OF WORK. . :NEW GARBAGE DISPOSALS. .. . 1. MOBILE HOME SPACES. : TYPE OF USE: . . . . - -,* .S1 WASHING MACH. . .. . . . . BACKFLOW PREVNTRS. . OCCUPANCY GRP. .RJ FLOOR DRAINS. . . . -- TRAPS. . . . . . . . . . . . . . STORIES. . . . . . . .. 1 2 WATER HEATERS. .. .. . . ., : t CATCH BASINS. . . . . . . F1 X T URE S LAUNDRY TRAYS. . . . .- - SF RAIN DRAINS. . . . . SINKS. . . . . . . . . . . 1. URINALS. . . . . . . . - .- -, GREASE T'RAM'S. . . . . . . : LAVATURIES. . . . . : 3 OTHER FIX'T'URES. . . . _ TUB/SHOWERS. . . . : 2 SEWER LINE (1*4-) . . . ., -, WATER CLOSETS. . : 3 WATER LINE (ft) . -- DISHWASHERS. . . . .. 1. RAIN DRAIN Remarks: Owrier.. FEES DON MORISSETTE type aniOL111t by date rec!pt PO BOX 19524 PRMT 132. 50 MAN 5PCT 4; 6. 63 MAN PORTLAND OR 9721.9-00001 PAYM $ 1.39. 13 JLH 04/19/90 Phone #s 503-244-2449 Contracto-r: SHOEMAKER'S PLUMPING 0 BOX 250 OR 97023 503-630-7728 E 139. 13 TOTAL 56135 This permit is issued subject to the regulations contained in the REUUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days 0. issuance, .7r if work is suspended for more ......... than 108 days. Pr.-�rnii.ttee Siqiiatt.vre: -------- 11:,SLIed By: .................. ........... Call f'o-r 111-IsPertiori 639-..4175 MLCHO c'rrOF T11FARD j P E R M IT NICAL Ccny!4 R�D PERMIT #. . . . . . . .. MEC892641 COMMUNITY DEVELOPMENT DEPARTMENT 00190H PRIM. PERMIT #. : 892623 13125 SW HWI Blvd, P.O,Box 23397,Tigam,Oregon 97?9 1..5 LPAIE ISSUED. 03/01/90 SITE:: 0D D R ES)S. . .1.1.623 SW 1.2 9*11.1 1'I._ PARCEL. IS1 33D----D I -JF4D IVISION. . . . VILLAGE AT SUMMF.':'.RL.AKE 2 ZONING. R-4. 5 PD B L.0 CK. . . . . . . . . . 1-01.. . . . . . . . . . . . . :51 CLASS OF WORK. . :NEW FLOOR FURN. . . . » EVAP COOLERS- TYPE OF USE. . . . .SF UNIT HEATERS— : VENT FANS. -- 4 OCCUPANCY GRP. . .-R3 VENTS W/O ADPL. VENT SYSTEMS: STORIES. . . . . . . . » 2 BOILERS/COMPRESSORS 1-40ODS. . . . . . . .. I FUEL 0-3 HP. .. DOMES. INCIN: -GAS 3-15 Hr' _ . .. : COMML. INCIN: MAX INPUT: BTU 1.5---30 H1%. REPAIR ut-irrs: FIRE DAMPERS?. . » 30-50 HP. . .. .. » WOODSTOVES. . GAS PRESSURE. . .— 504- HP. . . . - CLO DRYERS. . .- NO. OF AIR HANDLING UNI'T'S OTHER UNITS. : 2 FURN ( 100K BTU: < 1.0000 cfni: GAS OUTLETS. : I FURN ):=100K PTU.- 1 > 10000 eft: Renia-rks-. 0 w ri e-r s -.----....... ........... FEES ........... DON MORISSETTE type an)OL(Ilt by date e p PO BOX 19524 PRMT $ 10- 00 MAN PL.CK $ 11.. 2 ; MAN 11ORTL.AND OR 97219---e(AW.i 5FICT $ 2.25 MAN P11c)rie #a 503-244-2449 PRMT * 35. 00 MAN C 0 11 t T'A C.t 0-(1: —------ -----------------....-------------....-... POYM $ 58. 50 ,TI...H 04/1.9/9P) BELL HEATING INC 1.55950 SE PIAZZA AVE CLACKMAS OR 97015 Phone! Na $ 58- 50 TOTAL. Reg 11. . a 447 R EU U11 R ED INSPECTIONS This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with ......... appl-cyed plans. This permit will expire if worP is not started ........ within 168 days of issuance, or if work is suspended for more than 188 days. ............. .................... ................ ................ ................. 1iii!3Lk1FNJ Call fo-r illspectioii 639-4175 W R ! WMWWffWff1kFffMF CITYOFTIOARD SEWER ERMITCTIUN PERMITRMTT CITYOFTWARD V,LR11I T #. . . . . . . : SWR892642 COMMUNITY DEVELOPMENT DEPARTMENT aeeoon / 1' R, PERMIT #. : 8'���t,f 3 13126 SW FWI Blvd. P.O.Boa 23397,Tiprrd,Or p 97223(¢03�83i�y{t76 -- r,,.1 DATE ISSUED: 03/01/90 S l:TE ADDRESS. . . : 11(:,2 3 !•iW 129TH FSI_ PARCEL: 1 S 1. SUBDIVISION. . . . : VILLAGE: AT SUMME:.RI...AKE:: 2 Z01,11NG-. R-4. 5 F'V BLOCK. . . . . . . . . . TENANT NAME". „ . . . : USA NO. " . . . . . . . . :4E1477 3 FIXTURE: UNITS. . , CLASS OF' WORK. . . -.NEW DWELLING UNIT'S. . : TYPE OF USE. . . . . -.SF NO. OF' BUILDINGS: 1 INST'AI...I... TYPE. . . . .Bt.1SWR IMF'ERV SURFACE. . : :sf Rema-rks: Owne-r: -_.._.__._._... _.._.._.._.._._.. ___._»......_._.._.__._._..._......_._.._._._._..... _.Y p_.__. _._ F'E"E:S DON MORISSETTE t _____...._..._.__...._..._._... e amOLt11t by date •reept PO BOX 19524 PRMT $ 35. 00 MAN PRMT $ 1250.00 MAN PORTLAND OR 9721.9-•0000 F'AYM $ 1.285.. 00 JLH 04/1.9/' 0 Phone #s 503- 244-2449 Contractor: DON MORISSETTE HLDERS,i INC. I' 0 BOX 19524 l::10RTl_AND OR 97219 __._.....___.._._._..........___.._.._..__»__._.._.._...._......__ __._.__._._.._.._. F'hclrie #: 503-244--931.4 $ 1285.00 TOTAL Reg #. . : 3:5,533 This Applicant agrees to comply with all the rules and regulations RE:(4l1IRE:D INSPECTIONS of the Unified Sewage Agency. The permit eipires 120 days from the date issued. The total arount paid will be lurfeited if the permit e►pires. 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 fro* the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. _.._...._..__._......_.......... ..._.___._.. E'crrn►ittee r�iyrlatl.lrea-. CaII for ins F)e!c.,tion - 8:39••-417`:; CITY (-',F TIGARD RECEIPT OF PAYMENT RE-.0 NO. 001077537 CHFCh AMOUAT 3057.8', DUN MOR ISSETTE CASH AMOUNT CID PF:-,b PAYMENr DATE 03-01"0 PORTLAND. OR -0219 FILM NO/AVDR: 11627 '5W 1,210TH PURPOSE OF PAYMENT AMOUNT PAID PURP13SE OF PAYMENT AMOUNT PAID BUILDING-PERMIT (892623) __^+__4424.00 PLUMPING PERMIT (892637) t"'2.50 MECHANICAL PERM (892641) 45.00 STATE WILD PERMIT TAX (5%) FLAN CHEC►;'. FEE 41.25 SEWER USA (892642) 1,250.00 SEVIE-P INSPECION 7-5.00 STPEET SDC 600-00 PARKS SYSTEM DEVELOPMENT CH 250,00 STORM DRAIN SK :50.00 TOTAL AMOUNT PAID 7.037.8 C17YOF711FARD 2�� CaT4YOFTWARD PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK N. G �. 13126 S.W.HW Blvd,P.O.Box 2n9r,Tigant 0m9on erm.(sw is-t1 rs PERMIT N DATE ISSUED JOB ADDRESS: b 23 S.L- . 12q4-:�- PC . TAX MAP/LOT SUB: V t t-k-4L.Q 10.T SuwN-++L4 LOT: LAND USE: _ VALUATION: �C OWNERSPECIAL NOTES C NAME: OIJ SAP- _ 14�S IN c, REISSUE OF: 53_3 ADDRESS: P c 1 45—u LAST REISSUE: Ir FLOOD PLAIN/ SENSITIVE LAND: _ PHONE: Z111i `— APPROVALS REgUIRED CONTRACTOR PLANNING: NAME: _ ENGINEERING: ADDRESS: FIRE DEPT OTHER: PHONE: _ — ITEMS REQUIRED BUILDERS BOARD N: S EXP DATE: o LIST/SUBCONTRACTORS: BUS TAX: ARCE1/ENGINEER CALCULATIONS: NAME:: G / _ TRUSS DETAILS: __— ADDRESS: OTHER: PHONE:COMMENTS: 1�-�:• I S,SU(� n F ��14M G tSC K- _�_� 1 IZ 'OBCONE RACTORS: PLUMB: MUCH: PLRMII N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DU 10-432 00 Building Permit Fees tj - �j 10-431 UO Plumbing Permit Fees43,1iv J2fsL 10-431 01 Mechanical Permit Fees 4L,G U L ll 10-230 01 Stale Building Tax (5%) -3 ?a, oy Building ------ Plumbing -_Plumbing --- __ Mech oo 10-433 00 Plans Check Fee ,} .� Building Plumbing Mech _ 30-202 00 Sewer Connection 30 444 00 eewer Inspection 51-448 OU Street System Dev Charge (SDC) u U 1.2 449 00 Parks system Dow Charge (PUC:) 31- 450 00 SLorm Drainage Syst Dev Chrg (SSDC) �,j 0 ?;;1 10 230 06 J 101 At" $3 �. R1 C N N n I �Z APPLICANT SIGNATUR Received By: Date Received: cn/3587P/18P