11645 SW 129TH PLACE I
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:MSTQ0-OOi7: 'ROJECT:VILLAGE SUMMERLK X2 STATUS:F : ITPD:12/03/90: :BCR:
PERMITIEE:DON MORiSSETTE BLDERS, INC. PRIM. . :MST90-•0017: °
SITE ADDRESS:11.645 5W 129TH PL °
GA CASE HISTORY aaaaaAAAAAAaaaAaAShd4d&ARea/SentaSchF,/DuehEnd/Donei&ByAStatAAAC
A711 Poet/Seam Innp 03/22/90 GS APP
A71 PLM/Underfloor 03/22/90 MS PASS °
° A72( Mechanical Inep 06/0elf,
A722 Plumb Tod, Out 04/05/90 MS PASS °
A72(, Framing CREIASP> 05/01/90 KS APP °
A730 Fireplace !nap A)p
A735 Gas Line Inep 04/11/90 KS PASS °
A740 Insulation Inap 't 05/01/90 KS APP °
A745 Gyp Board Inap 05./09/90 KS NO °
A745 Gyp Board Inop 05/10/09 KS APP
A755 Rain drain Inep
A760 Water Line Inep
A765 Appr./Sdwlk Ins} 05/1(3/90 CW,' APP °
A797 Plumb Final 06/06/90 MS PASS °
A799 Fiaal Inopection 06/08/90 KS PASS °
aaAaAA5A5AAAAfiAAAAAAAAAAFiAaAAAAAAgAaAAaAA�i�ab�AaaaAAAAAAaAAAAAAAAAaAAAAAAAASaA:.
CERTIFICATE OF
CITY OF TIFA RD
OCCUPANCY
CRYOFTIIi/7RD wERMIT w. . . . . . . s M�ir`�Q! 1'J®17
COMMUNfTY DEVELOPMENT DEPARTMUff 0111100H
13125SWHFJIBfvd- P.O.Box 23397,Tigard.Oregon 97223(503)630-4175 DATE. ISSUE.Ds 06/08/99
SITE ADDRE:SS. . . s 11645 SW 129TH PL PARCEL s 1 S 133DIf--0051810
SUBDIVISION. . . . s VILLAGE AT SUMMERLAKE. 02 ZONINOs
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . t500
CLASS OF WORK. sNEW
TYPE OF USE. . . sSF
OCCUPANCY URP. sR3
OCCUPANCY LOADs220 4
TENANT NAME. . . s
Rrama-. P.%a
Owner.,
DON MORTSSETTE BLDERS, INC.
P U BOX t9524
PORTLAND OR 97219
Phone 110 503-244.-9314
Contra"ators _._...__ ...,..._..._.._._.._.____..__.._._....._._____.._._._._.
CONTRACTOR K9T ON FILE
Phone Ns
Reg N. . s
Occupancy of the above referenced h'+i ld i ng is herrsb> Over',ver', and certifies
the compliance with the Staite Of Oregon '.specialty Codes for the group,
occupancy, and '-4%P under which the re erenr_Rd pwrmit was issued.
FIRE DEPARTMENT ILDING INSP TOR
E+IJ10 OFF IAL
POST IN CONSPICUOUS PLACE
I
I� I/ 1• W i
r
{ INSPECTION NOTICE
City of Tigard Building Department
P.Q. BrA 23397
Tigard, Oregon 97223
Phore: 639-4175
Type of Inspection
Date Requested_ -1�� _ Time 4.M._�P.M.
Andress �� _ ��_� Permit #- �U
Owner_. —_ Lot #
Builder :2 IZ/.
The following Building Code deficiencies are required to be corrected.
wS til0 /A/S p F c-Trio„r
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t
-----
�.3 _ -rte Presented to pproved
Inspector // ❑ Diapproved
Date
CALL FOR REINSFECTION
I ❑ YES ❑ wo f
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of :nspection __ Final Plumbing ---
Date Requested-- 6/6Z90 Time—2 x
L-- A.M. P.M.
Address 11645 129th Place Permit *90-OQ17
Owner Lot
Builder Morissette
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector El Disapproved
CALL FOR REINSPECTION
0 YE8 ONO
T
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
c"
Type of Inspection __ t/�-/ ����✓ U�t—'`' —
Date Requested_ 7-'1O Time
Address _._— ,� Ac, — Permit
Owner_ ____ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Presented to - Approved
Inspector — Ah Disapproved
Date
CALL FOR REINSPECTION
C] YES OR NO
NF
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 .
Phone: 639-4175 /J
Typc, of Inspection
Date Requested5 �G Time s_ A.M.--P.M.
Address s�� �—_�— Permit * l
Owner_ -} Lot
Builder / —
The following Building Code deficiencies are required to be corrected:
Presented to _- __ ____. approved
Inspector -- /❑ D11 pproved
Date
CALL FOR REINSPECTION
❑ YEa ONO
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 #"L'`
Owner--— -- — Lot *A0. 00 f 7 -
Builder
The following Building Co ief:^iencies are required to be corrected:
F
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r
I
i
Presented to ' — owed
Inspector _, IJ Disapproved
Date L C
CALL FOR REINSPECTION
P YES ❑ NO
WWI W1 W-1 11111111F
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223 r
Phone: 639-4175
Type of Inspection Gas pressure Test _^
Date Requested 4�11��(' _ Time xe A.M.___P.M.
Address 1 -Jane Permit #'' 90-0017
Owner G y 5'- 2 4 -11 Lot #
Builder Bell heating �10TZ.1: S;5
The following Building Code deficiencies are required to be corrected:
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E
Presented to __- - ) ' proved
Inspector ,._.._ ----------___- __-- _—
Disapproved
Date
CALL FOR REINSPECTION
C7 YEE 1:1 NO P
r
INSPECTION NOTNOE
City of Tigard Buildir.g Department
P.O. Box 23397
Tigard, Or:-gon 97223
Phone: 639-4175
Type of Inspection —
Date Requested_ G�7'G� Time_-- A.M._ nn P.M.
Address �J 4, ��5 f Permit
Owner_- , —__-- Lot #_—_ --
Builder -----
The following Building Coda deficiencies are required to be corrected:
r
Presented to — i1approved
pproved
�( Inspectors --
—
CALL FOR REINSPECTION
❑ YEI ❑ NO
X W �` ! F to
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 977.23
Phone: 639-4175
Type of Inspection
Date Requested X11. Time_ A.M. P.M.
Address __ZZ/S-�/.57 Permit
Owner —�y 9 _ _ Lot #
Builder
The following Building Code deficiencies are required to ie corrected:
Presented to _ I Approved
Inspector _ _ Disapproved
Date
CALL FOR REINSPECTION
❑ YES l-J NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
aL
Date Requested 21_z�j
Time A.M.____P.M.
Address A Permit #
Owner zi Lot #
Builder Z�
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector '2 nisapproved
Date
CALL FOR REINSPECTION
0 YES ONO
INSPECTION NOTICE L'
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
/� Phone: 639-4175
Type of Inspection __— z - k3p& s� x!Se,,C-:ArU
Date Requested_ �~ 7. Time__ A.M._X P.M.
Address _ 5 �� � `J Permit
Owner Lot #
Builder.
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
Inspector _ __._. CJ Disapproved
Date 3 --
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
Cis of i -yard Building Department
0.0. Box 23397
'7,- ard, Oregon 97223
Phone: 639-4175
Type of Inspectionr�s — -- --
Date Requested �'/y–l�' Time—_ A.M� P.M.
Address . Z' (o 4�.� �a�n Permit #E/x' '00 7
Owner__ _ Lot —
i
Builder lee;04 5.56'77E
The following Building Code deficiencies are required to be corrected: ft
V Ca i irY[T y 7-�>Zaj Az [
Y/
Ixy
,I
Presented to Approved
Inspector Disapproved
i
Date —
CALL FOR REINSPECTION f
❑ YE3 ❑ NO i
MASTER PERMIT
PERMIT t. . . . . . . : MST90-0017
xsxx PRIM. PERMIT if. : MST90-0017
639-4171 DATE ISSUE.: 03/01/90
SITE '.DDR.ESS. . . : 11645 SW 129TH PL PARCEL: 1S133r,D- 2900
SUBDIVISION. . . . : VILLAGE AT SUMMERLAKF PARK. 2 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6;8
--------------------------------- BUILDING -------------------------------------
REISSUE:892619 DWELLING UNITS:1 BASE14ENT. . . . . . . . .0 Bf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :451 of
TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS----------
TYPE OF CONST. :5N F'IRF,T. . . , :3.066 Bf LEFT. . :7 ft RIGHT. :9 ft
OCCUPANCY G:tP. :R3 SECOOD. . . :894 of FRONT. :20 ft REAR. . :44 ft
STORIES. . . . . . . :0 THIRD. . . . :0 sf REQUIRED-------------------
HEIGHT. . . . .. . . :20 fc TOTAL------:1960 of SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf PARKING SPACES. . :O
Remarks:
------- PLUMBING -----------
-------------------------
SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . •0 BACKFLOW PREVNTRS. . :0
LAVATOnIES. . . . . ;I WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWEI - . . . :2 LAUNDRY 1PAYS. . . :0 CATC" BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) - :0 GREASs TRAPS. . . . . . . :0 `
DISHWA4HERS. . . . :1 WATER LINE (ft) - :1 OTHER FIXTURES. . . . . :1
GARBAGE DISP. . . :1 RAIN DRAIN (ft) - :9
WASHING MACH. . . :1 SF RAIN DRAINS. . il
----•--•-------••- MECHANICAL ----------- -- ------------------ FEES --------------
FUEL TYPES----------- UNIT HTRS. . :O typ- amount by date recpt
/GAS; / / VENTS . . . . . :0 PAYM $ 0.00
MAX INP11T:0 BTU VENT FANS. . :3 PRMT $ •+06.00
FURN < 100K . . :1 HOODS. . . . . :1 PLCK $ 40.00
FURN >=100K . . :0 WOODSTOVES. :0 5PCT $ 20.30
FLOOR FURN. . . . .0 CLO DRYERS. rl PAYM $ 40.00 DEW 01/04/90 106725
BUIL/CMP < 3HP:0 OTHER UNITS:1 STDC $ 660.00
GAS OUTLETS:1 SSDC ; 250.00
Owner: -------------------------------- PARK $ 250.00 /
DON MORISSETTE BLPERS, INC. MISC $ 30.00 BLT 01./0N/40
P O BOX 39524 PRMT $ 40..50
PLCK $ 10 13
PORTLAND OR :7219 5PCT $ 2.03
Phone N: 503-244-931 PRMT $ 132.50
Contractor: -•-------------------------- •-- PLCK $ 0.00
COFTRACTOR NOT ON FILE 5PCT $ 6.63
PRMT $ 0.00
PAYM S 0.00 :LH 03/01/90
PAY11 $ 1748.09 JLH 03/01/90
Phone V
Rey1. . : -- ---•---•----------- -----------------
$ 1788.09 TOTAL
This permit is ienued subject to the regulations contained in the ------- REQUIRED INSPEC
Tigard Municipal Code, Stare of Ore. Specialty Codes and all other Foot/found Inep Gyp B
applicable laws. All work will be done in accordance with approved Poet/Beam Inep Sewer
plans. This permit will expire if work is not started within 160 Plm/undslab Insp Rain
days cf issuance, or if work is suspended for more than 180 days. Mechanical Inep Water
Fr:7:jno In^-g Appr/Sdwlk Insp
i� .-mittee 8ignature:�� ��� - _-_� Fireplace Insp Final Inspection
Gas Line Insp
Issued By^ _ Insulption Insp _
Call for inspection - 639-4175
i
C17YOFTIGARDWER40mom
COMMUNITY DEVELOPMENT DEPARTMENT ECTION
13125 SW HA Blvd P.O.Haat 23397,r0ud,OM90N F-1 (503)6394175 P RMI T
r. — ---
PRIM. PERMIT N. : MST90-0017
DATE ISSUED: 03/01/90
SITE AL'DRESS. . . : 11645 SW 129Th PL PARCEL: 1S133DD-
SUBDIVISION. . . . ZONING:
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . .
---------------------------------------------------------------------------------
TENAyT NAME. . . . . .
USA NO. . . . . . . . . . :40472 FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . :1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS:1
INSTALL T"PE. . . . :BUSWR IMPERV SURFACE. . : :of
Remarks:
Owner: ---------------------------------- ----------------- FEES
--------------
DON MORISSETTE BLDERS, INC. type amount by date recpt
P O BOX 19524 PRMT $ 0.00
PRMT $ 1250.00
PORTLAND OR 9729 INSP $ 35.00 BLT 01/08/90
Phone N: 503-244-9314 PAYM $ 1285.00 JLH 03/01/90
Contractor: -----------------------------
CONTRACTOR NOT ON FILE
------------------------------------
Phone #: $ 1285.00 TOTAL
Reg N. . .
------- REQUIRED INSPECTIONS -------
This Applicant agreas to comply with 311 the rules and regulations
of the Unifie(l Sewage Agency. The permit expires 120 days from
tho date issued. Iae totel amount paid will be forfeited if the
vernAt expires. The Agency does not guarantee the accuracy of the
side vewer laterals. If. the sewer is not located at the meaaurement
given, tha installer shall prospect 3 feet in all directions from
the distanc.-� given. If nct so located, the inetal.ar shall purchase
a "Tap and S1 .iP Sewer" Permit and the Agency will 1.3tall a lateral. —
Permittee Signature: �I�s_1_JbY_l.L_t f ( —_— —. - - ---= --- ---
Iesued By:
Call for inspection - 639-4175
CJI
CITY OF 11GARD PECEIPT OF PAYME111T RFC NOc 00 107 536
CHECK AMOUNT : 7;-U'-3:3.09
NAME t DON mopjs,.wrTE CASH AMOUNT : .00
ADDRESS: PAYMENT DATE i 0-'-01-90
PORTLAND. 5k 97719 BLOCK NO/ADr)F,,t
11645 SW 129TH
PURPOSE OF PAYMENT AMOUNT PAID PURPOSEOF PAYM�NT AMOUNTAID
----------------------------- -----------
BUILDING PERMIT (,'�O-0017, 406.00 PLUMPING PERMIT 1-12.50
MECHANICAL PER-MJT 40.50 STATE SUILD PERMIT TAX 201Q6
PLAN CHECK. FEE 40. 13 SEWER USA 11250.UD
SEWEP INSPEC1014 :55.00 STREET SDC 600-00
F'AF*'-; S'%;-TEM DEVELOPMENt CH 250.00 STORM DRAIN SDC 25r).00
'TOTAL AMOUNT PATD 0 37.0
CITYOFTIFARD 441 CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK M _
13125 S.W.Hal Olvd-P.O.Boa 23397,T19ank Oa9m 9TM.(W3)63H17S PERMIT N t;,"
DATE T.SSUED
JOB ADDRESS: I I'GI, S �' �� � TAX MAP/LOT
SUB: Ulll—!4� ujT;1,=h�w��Kti #? LOT: 44 LAND USE:
VALUATION: o r —
OWNER SPECIAL NOTES G
NAME �, REISSUE OF:
ADDRESS: = 2A _ _ LAST REISSUE.,-,
-— , -- C FLOOD PLAIN/
SENSITIVE LAND:
PHONE: 314
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: -- ENGINEERING:
ADDRESS: FIRE DEPT
OTHER:
f" ONE: — ITEMS REQUIRED
BUILDERS BOARD b: EXP DATE: LIST/SUBCONTP.ACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
TRUSS DETAILS: _
ADDRESS-. -- - __—Y __ _ _ OTHER:
1'I ION C: _ (� C1
COMMENTS:
:UHCONI RACWRS: PLUMB: MECH:
III RMI 1 N ACCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. OUF
10--432 00 Building Permit Fee,
-- 10-431 00 Plumbing Permit Fees Z3a.,5• ___ _.._
10- 431 01 Mechanical Permit Fees ^fu ri
10-230 01 State Building Tax (5%) X,
Building .;4j,.3u
Plumbing w, G 3
Mech V,u 3
10-433 00 Plans Check Fee ��,; lµ l 3 4 C U , 3
Building 41u
Plumbing
Mech
"�1L,00p6 30-202 00 Sewer Connection 1Z5L' _ v_
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) 4�cu
52-449 00 Parks System Dev Chargo (PDC)
11-450 00 Storm Drainage Syst Dev Chrg (SSDC)
230 06 Fire G
I O I AI
RI C N Qom_
APPI.TCAN _ ATURE
Received By . '4 r O ( ) Date keteived: ,
cm/3597P/19P
(;RADIryU;/FROSIQN�I�LTRS)1, INI�ORMA'1'1(
—
GENERAL CON-FRACTOR CASEFILG NO.:
RACTORNAME ADDRESS: PERMIT NO.
ILICANT NA
AND ADDRESS:
EXCAVATION CONTR ACTOR il
;�/y uYlu
NAME do ADDRESS: —r -
B�t✓� `'}'R�� - - OWNER NAME A14D ADDRESS:
TELEPHONE NUMBERS: PROPERTY DESCRIPTION:
APPLICANT: STREET ADDRESS AND CROSS STREET/LOCATED
OWNER:— iJV VJ
GENERAL CONTRACTOR:_
EXCAVATION CONTRACTOR:,' I
SITE/JOB: __ LEGAL.DESCRIPTION: I S 13
NO.: �� -
24 MATTETAX LOT U R HOURS EMERGENCY L/4 SECTION 5E I/'•0 --
CONTACT PERSON,TITLE,TELEPI IONS: SITE SIZE,ACRES:
- DISTURBED/WORK AREA,ACRES:
LOCATION& ADDRESS WHERE SPOILS SITE RUNOFF DRAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN
CC
(NOTE:PERMITS MAY BE REQUIRED) _TCASINAH-BDITCH PIPE CREEK
(CIRCLE ONE) PRIVATE PROPERTY
P1T$L1C ISIG?iT OF
�RQSI N1 IM -NTATION CONTROL. (I SCS MEASURES
MINIMI IM ESC REQUIREMENTS MINIMUM ESC R7-QUIREMENTS
IN WING CONSTRUCTION: FOLLOWING CON:TRUCTION:
SEDIMENTATION FACILITIES STABILIZE;-'XPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE.aND RESTORE TEMPORARY ESC
FACILITIES
PERIMETER RUNOFF CONTROL
CLEARING AND GRADING RESTRI('TIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OILIER _ --
OTHER_
PIAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLf 7i!_%,INCLUDING EMERGENCY
PHONE.NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES.AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILLC'ONSTRUCT AND MAINTAIN IrSC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
OWNru SI(:NA'TIIRF APPLICANT SIGNATURE
• • • • • • • • • • • • • • • + • • • w • • • • • • •OF•1~IC[AL USE ONLY. • • • • • • • • • • • • • • • • • • • • • • • • • • •
RECEIPT DATE ACCEPTED
NUMBER RECEIVED BY
I .I. __ --- -
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t P.O.Box 19524
Portland,OR 97219
(503)244-9314
The Foundation For Affordable Homes
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