11756 SW 129TH PLACE-1 ..iUiii UUAjLi C. .n
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756 sW ' 29th PI
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CERTIFICATE OF
C'TYOFTIFARID OCCUPANCY
I CRYOFIWA7 1.",LRM'1'1' 0 . . . . . . a r,,JP892237
COMMUNTY DEVELOPPWNT DEPAWRTAAW OREGON r �JM. PERMIT #. t 89P237
13125CW HWI W0, P.O.Box 23,397,Tir
.prd,CN,Von 972M(503)&19A 175
DATE ISSUEDs 05/04/90
SITE ADDRESS. . . s 117'56 !3W 129TH PL PARrEL: IS13HD01600
SUBDIVISION. . . . s ZONINGS
11LOCKo . . . . . * . . . I LOI.. . . . . . . . . . . . . 155
CLASS OF WORK. &HEW
T'fE,,E OF USE. . . sSF
OCCUi;ANCY GRP. vR3
OCCUPANC'v LOAD
TENANT NAME. . .
Remarkst, -reissue (-,)f 891P4( $33 for ' red line COP14111
Owney'► ---- --.. ----------------
DON MORISSL'11F
PC; BOX 19524
PORTLAND OR 000000000
Phone #o 000-00000UO
Contractors
DON M13RISWITTE YLPERS, INC.
P 0 BOX 1911EZ4
PORTLAND OR 97219
Phone OR 503-244-.9314
keg *. . 1 35533
Occupancy of the above referenred bUilditlq Is tie-ruby given, avid certifies
the Compliance with the State Of Or**Mori Specialty Co(les for the group,
occupancy, and U110 Undwr whirti the Y, foren,-&d permit was Issued.
FIRE DEPARTMENT DUILDI" CTOR
BUWbING OFFICIAL
POST IN CONSPICUOUS PLACE
I
INSPECTION NOTICE
City of Tigard Building Department t' J
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time L M. P.M.
Address 41 P1� 7
L
Owner _ Lot #
Builder — "tc.`K, ask TTS=
The following Building Code deficiencies are required to be corrected:
a
Presented to _ _ _N94-Approved
Inspector
_ - - Disapproved
Data S - S•'_9".G� _.
CALL FOR REINSPECTION
C) YES F] NO
i
i;
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ �� _ G maILL_ A.M. P.M.
/� --1 '5.
Address _._f1_2�L� _ �� � Per�iC #
Owner T_ Lot #_
Builder
The following Building Code deficiencies are required to be corrected: 1
i
Presented to Approved
Inspector ❑ Disapproved
?Date / er
CALL FOR REINSPECTION
C 1 YEs L7 NO
or I WIN
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.
AddrF-ss Permit
Owner Lot
BuilderZ.
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector El Disapproved
Date
CALL FOR REINSPECTION
E-1 YEs No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 1t,�j
Date Requested /� f
Time.__.___A.M. P.M.
Address L-1_..LfL�_ ��'r�' -', Permit
Owner Lot �Ik
Builder
The following Building Code deficiencies are required to be corrected:
y�
Presented to _ ,, 1pproved
Inspector ff I
u Disapproved
Date
CALL POR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building DepartinPnt
P.O. Eox 23397 �)
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
_ Time _ A.M. _P.M.
Date Requested L1– /i
--,� Permit
Address 1� ----- �`�`
Lot # —
Owner –
Builder
The following Building Code deficieiiries are required to be corrected:
Approved
Presented to
K [] Disapproved
Inspector
2 _ l
Date __. --- _ -
CALL FOR REINSPECTION
C7 YES 0 NO
FL:
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requeste,' () Time�.__ A.M.?� P.M.
Address __ I�� Permit # 3 r
Owner_ _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
r
0
I
Presen•na to 'Approved
Inspector
Disapproved
Date �� Jl�
CALL FOR REINSPFa,'TiON
❑ YE! 0140
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
T�.jard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested o Time — A.M..kP.M.
Permit
Address -------
Owner Lot #—
d,L�
Builder Y� G�•='�
The following Building Code deficiencies are required to be corrected:
i
r
Presented to _ —._. ------ - -- WApproved
Inspector _ -___ U Disapproved
4t I
Date - —
CALL FOR REINSPECTION
YES L7 NO
INSKXTION NOTICE
City of Tigard Building Department <_1 C
P.O. Box 23397 `
Tigard, Oregon 97223 _
Phone: 639-4175
Type of Inspection
Date Requested Time _ A.M._ P.M.
Addres, /IL�-:I _(v Permit
Owner. Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector / 1 \Drupproved
Date 2 Zi
CALL POR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City o� Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97273
Ph:�n2: 639-4175
Type of Insp action
Date Re-luested_ ,�J _ �?G Time A.M. P.M.
Address ,L� �� �� �. I� Permit
Owner_ G Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to [] Approved
Inspector /22 bisapproved
v
Date '
CALL FOR REINSPECTION
L�l YES ❑ NO
INSPECTION NOTICE
City of Tigard Builo,ng Department
P.O. Box 23397
Tigard, Oregon 97223
/ Phone: 639-4175
lype of Inspection
Date Requested �+�-- �2 �C Ti p�A,,•'•� P.M.
Address Permit #
Owner... Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
[T1 Approved
InsprMor _ i - ❑ Disapproved
Date
CALL FOR REINSPECTION
D YES NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Bur 2.3397
Tigard, Oregon 97223
Phone: 639-4,75
Type of Inspection�'�`C _
Date Requested, _ P.M.
Address i Permit #,
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Q Approved
Inspector e 1 Disapproved
Date 7 C2,
CALL FOR REJASPECUON
C] YES 0 NO
I
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection
Date Requeste Tuna A.M.._ P.M.
�
Address _ � Permit
Owner Y -- -- Lot #�
Builder
The following Building Code deficiencies are required to be corrected:
Presented to .�_�._ Approved
Inspector 1 r _____� __ ❑ Disapproved
CALL FOR :tEINSPECTION
0 `/E! C] NO
INSPECTION NOTICE
City of Tigard Building Departmert
P.G. Box 23397
Tigard, Oregon 97223
Phont 639-4175
Type of Inspection
Dare requested me _ A.M. P.M.
Ad,'ress Permit
Owner _ Lot
Builder
The following Build41g Code i4ficiencies are required to be corrected:
t
-.--'7 v— '�—d yl —
��`
?resented to T7 Approved
Inspector _ T , / '�- - I I Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time AM a'/
1 , r �' _--
Address -L<.. Permit
Owner Lot #
Builder '
The following Building Code deficiencies are required to be corrected: f
i
A
Presented to .__ �_--_- ISI Approved
Inspector _ __. Disapproved
Date
CALL FOR REINSPECTION
Ej YFs 11 NO
BUILDING PEPM11-
CITY OF T'��RDF'Ic:F2M:I:T NO : 131J892237
WYOFTIGAND DATE IL.iSUEII : I/ Z4/90
COMMUNITY DEVELOPMENT DEPARTMENT 0111110cm PPIM PMT .NO 892237
13125 SM Hall Blvd.P 0 Box 23397.Tigard.Oregon 97223.15031639-4175
F
11Y`5143 SbO I.FYTH PL
(AX MAP/1-OT IS1. SUB: VLF.LI-AGE AT SUMMEALAKIE'..'_ 2 LT : '55 UK :
i. f.')Nl*) 1.15E : RA. 5P0
Ifir S'17F : VALUATY'ON : 99 , 600 SETBACKS
F'RON'T" : 20 PEAP : .7
WORK (-LASS : NEW DWELL.. . IJN:1:1*q : 1 LEFT : 12 PIGHT : 148
USE TYPE : SINCAA: f-A!'11.1 Y N(J DEAPOOMS : 4 EXT . WALL.. CQNST :
CONST . TYP.";:-. VN NO. RATH!:; . 3 N: 5 : E : W :
0('.X.UP.GPP . 143 Pi"OT .OPENINGS :
OCCUP . LOAD N: S . F* : W :
TOTAL AREA: 2200
NO. ST0111ES : 2 IST : 935 ROOF CONST : C FIPE_.". PET?
HE.I.'G'HT: 20 2ND: 1.2 6,5 AREA SEPAP'? NA T*ED:
HASEMENT7 3RD: UCCUP . SEPAP? PATIH.D :
AGF M'I
FLOOR LOAD: 4U GARAGE : 400 FIPE SPPKLP'?
FLOW(("'Pm I 1*.)E TI:C-T7 Y V 1:i
PEAT TYPE; ('NAS HDCP .ACCESS? G014.0
Cif 891,eAle)
PF-TSSUE OF NO. 6569
$30 fai- 'f:.' red line onp)im!:; LAST PEISC;IK: 891846
MOPISSE'TTE DON PERMIT 1111114133. 00
0 pin BOX 19524 PLAN Ak::VJ:C-*W $40 . 00
W Portland or F*1k'4P-*' DEPT
N
E STATE 'I AX 111111121 . 65
R OTHER $30 .00
DEVELOPMENT CHAMES :
CSDC 1ST(-.)PM) 111111250 . 00
DIN MO I.,SETTE BM-K
UILPS INC . SDC 11 STREET) $600 . 00
0 T" .i
N riu ROX 19524 PDC I*1
T $2.1150 .00
R Par t I UI'ItJ or 197219 PREPAID < $40 . 00>
C A PHONU ( 503) 2A41-9311
7 RE'f;ILiTAATJjUN NO TOTAL: $I 58A . 6.5
0
R
PFCEIPT 11%110.
0-1/
This permit is issued subject to the regulations contained in Title 14 REQUIRED INSPECTIONS
of the TMC, State of Oregon Specialty Codes,zoning regulations F(]OTIN(.; SEWER
and all other applicable codes and ordinances, and it is hereby )'OUNUATION WAI L PAIN DRAINS
agreed that the work will be done In accordance with the plans And
specifications and In compliance with all applicable codes Find 1-30ST & Bf�.:Alvl WA71--il LINE
ordinances The issuance of this permit does ,iot waive restrictive PLR UNDEP!.iLAR CT'TY APPRCH/SW
covenants Contractor and subcontractors shall hav, current city SLAH FINAL
business tax permits This permit will expite and become null and PI-S . TOPOU I,
void if work is not r1curted within 180 days,or it work is suspended at F;.PAM ING
abandoned for a period of 180 days any time afti-r work has
commenced It shall be the responsibility of the permittee to RSSUrp F. 1:AF_P1.Ac'E-�
all require ecticnis are re ad And approved GAS LINE
INSULATION
G Y P HIIJAP0
Permittee Signature
,,tIcn.9 are
Issued BY: 4 UAI I. F:014 INSPECTION 639-4173
SEPARATE F'ERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Bill
SEWF'.P PERMI' T
CITY OF T IGARG VIL*HMIT NO. : GEE192,Q-11
COMMUNITY DEVELOPMENT DEPARTMENT "YOFTWAIM DATE ISSUED: 1./ -4/90
13125 S W Hall Blvd_P O.Box 23397 Ticidid Orptjon 97223 (503)630 4175 PRIM. PMT .NO . 892237
JOB ADDPESS : 1.1756 SW 1.291+4 Pj_. L)GA NUMBE.P39159
TAX MAP/1 OT IS1. 331.)11 SUB : V'TI.I.AGE A'i ':iUMMERL.AI<k:. Z2 i.-r: 5"5 BK .
LAND USE: Rlf4. bPD
LOI SIZE:
SECTION: 33 TWIG : Isi 1ING , 1w
WORK (*.LASS : NEW
USE TYPE : SINGLE FAMILY
'11he appliciii'l-it tr.) (.:cimply With a'.1.1 r,llletli ak.nci relptilaticins; of the Unified
Sewerage Agency . The permit expire% 120 ditys fr-ain the datfie imn- Lied . Th- total.
i!1.11111.111.111t paid will be if the p"r-m:i.i, Thom ()( 1Prir_-y doe!:t nat. 9mar—
rantee the cif the location of the !!fides sewer- lirttenr-alsi . If then !iiewei- it%
licit lcic.atoad rift. the t1i" irI!4taj. j."
. 1, 1 jii,ci-:;pec,t 3 Fp.*-t in
all diref.1tion4i frain the dis;tanc!a given If not vici located , the in%taller, tshiall
V)LIrchane a "Till.p eind 5i.de ciewiv.-!,, r)f*_rIn:i.t ancl the Agency will in%tall as liatercil .
INSTALL , TYPE : BU I I DING SEWER IMPEPVTOUS AREA:
F:'IX*TUF)I--' UNIT!.', ' TENANT IM MOVEMENT
DWELLING UNITS: 1.
NO. OF BLUGS .
[FEES :
14011. 1'.SSE1 TE. DON PFPMI.1
W $35 . 00
N PQ BOX 1952A 11:3314NUCTION E.HARGE $1. 1250 00
E
R P c)r,t 1.a n(.1 c)r* LINE TAP INSTALL .
OTHER
C
0 140PISSIETTE, DON
N
T DON MOPISiSETTE.' BUJI DEPq :INC:.
R pr.1 BOX 1952Z4
A
C
, partland or- 972I.9
T PHONE (503) 2,4,4 ..931._q
0
REGISTRATION NO. 35533 TOTAL : 11111 ,285. 00
This permit is issued subject to the regulations contained in Title 14 PF.:.(-.ETP'T* NO.
of the TMC. State of Oregon Specially Codes.zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUIRED INsmutICINS
agreed that the work will be done in accordance with the plans and ROUGH IN
specifications and In rompliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is not started within 180 dayel.or if work is suspended or
aba Boned for a period of 180 days any time after work has
commenced It shall he the respon b of the permittee to assure
all required i lions are reque A
a apprr4ed
:d Sil i ere d a
Permittee.. re
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1 ir
PLUMB I:N(., PEPMIT
CITY OF �'��RD F-Ti14MIT NO. : PI—(39243Y
COMMUNITY DEVELOPMENT DEPARTMENT DATE 1:!:i!'OHM I/ A/90
13125 S.W.Hall Blvd,P.O Brix 23397 1 iciard.0mcion 97223,(503)639-4115 PRIM. PMT . N0. 892237
JOB AVDPESS : 11756 5W 1-2911"1 PL
TAX MAP/1—OT icil 3318) SOD : VILA.-AGE' A'11 SUMMEALAIel" 2 1—'T* . ")5 HK :
LAND USE: PA.15PI)
LOT SIZE : NO
.1:'T LM: NO
WORK CLASS : NFW WA'T*k-.:W Cl.-05r-'T 3 TRAP
USE TYPE: SINGI E:' FAM I I. Y UPTNAL liWFLOW PIQVNTR
GONS'i IYPE ' VN LAVOPATOPY 3 1 PAP P1411i
OCCUP.GAP. : 143 TUB SHOWER P. I RAPS
DI-ill-11WASH11-1-4
GA14BAGE DISPOSAL 1.
STOPIELS : 2 WA5HING MACHIM..
DWELL .UNITS : I LAUNDRY TRAY RLDG . DRAIN (DIA
FIAJOW DRAIN
SINK 1 SEWED (F-11
WA'T'ER HEATER
OTHER
PEMA141K!;.) .
FFES :
mon I ssvi"TTIE DON PEPWIT $132 . 50
W
N PO BOX 11.952.1fl
E 1:)ci r t 1.111L n cl
R ST'AT'E:S TAX $6 . 63
OTHER
0
N
T
R
A
C
T
011'OTAL; $139 . 13
REUVISTRA11.111IN NU.
AECEIPI NO. 16,617,L
This permit is issued subject to the regulations cr.ntnined in Title 14
of the WC, State of Oregon Specialty Codes, zoning regulations E Ul:P_D INSPECT IONS
and all other applicable codes and ordinances, and It Is hereby E
agreed that the work will be done, in nccordanre with the plans:nd PI.A.3 .UNDER15LAR
specifications and in compliance with all applicable codes and PUS T & REAM
ordinances The issuance of this permit does not waive reStrictivi, WA11144 LINE
covenants Contractor and subcontractors shall have current i, PLO. TOPOUT
business tax permits This permit will expire and become null And WAIN DRAINS
void if work is not started within 180 days or if work issuspended or
Abandoned for a period of 180 days Any time after work has F INAL
commenced It shall be the responsibility of the permittee to Assure
All required Insp ns are requested a approved
I ns ppn
Permittee Siq tire
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MFGHANTCAL PERMIT'
CITY OF TIFA RD F)ER1111 NO. : ME892,e4d10
C
(ITYOFTIfARD
OiFOON
COMMUNITY DEVELOPMENT DEPARTMENT I)ATIH-' ISSUED: 1/ 44/90
13125 S W Hell Blva P 0 Box 23397 1 qmrd Oregon 97223.(503)639-4175 -PRIM. PMT.NO. 892237
JOB ADDRESS : '11 7546) SW 129TH PL
T(.X MAP/L01* 11.51. 3301.) SUB: VILLAGE A GUMMEPLAKE- 2 LT :55 BK :
LAND USE : Aq .SPD
LUT STILT :
ITEM: NO: NO:
WORK CLASS : NEW FURNACE <100K AIR HANDI—P < 10
USE TYPE: S]NUI-L'. FAM11 Y FURNACE 100K+ 3. AIR FIANDLP 10K
CONS'r , i-rw . VN FLOOR F URNAC'E E.VAP. COOLER
OCCUP . GRP 143 HEATER VENT FAN 2
VENT VENT . SYS TLM
BLP/COMI*-' <31-1P HOOU 1.
NO. STORIES : 2. ULP/COMP 3-1t1HP :LN(".INEPA'T(:)V 'L)UM
DWELL . UNITS : 1. BLR/COMP 15---30HP INCINERATOR(COM
FU L_ 'A!- bi-r-4/COMP 30-5011-11P REPAIR UNITS
MAX . 'ENPUT 811-1.1/COMP 30+HP OTHEP 2
FIRE OMPH".77 GAS PIPING OUTLE'T'S 1.
FlIGH PRESS?
I (.)W_ PRE we
REMARKS:
O M('.)P'1SSE1*1'F.:: DUN PERMIT $10 .00
W7t4 $9.'75
N P BOX :1.9524 P1 AN RE:V I F
E pc)i-t1otin(i nr FIXTURES $29.00
R S'FATE TAX $1 . 95
OTHER
0
N
T M.:.11- Hl-"-A'I*,I:N(', INC .
R 3.5550SE PIAZZA AVE:
A
G CI.-ACKAMAL.) ()P 970.1'5
T PHONE (503)
0
RF:GISTHAT ION NO 1147 TOTAL: $50 .70
nLr-EIP-T' NO. -7.L
This permit is issued subject to the regulationscontained in Title 14 ........ ------
of the TMC, State of Oregon Specialty Codes,zoning tegulations PEWUIREO INSPE01 XONS
and all other applicable codes and ordinances, and It is hereby
agrees :hot the work will be done in accordance with the plans and GAG LINE
4pecifications and In compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive M.1111,111'.ill-1 ITN
covenants Contractor and subcontractors shall have current city FINAL.
husinese tax permits This permit will expiri and become null and
void if work Is not started within 180 days or it work is SLISPIRrided or
abandoned for a period of 18o days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
MUM By 639 411?A4
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I PUP
MU
OF
���� PLAN Ct{ECK APPISCATION
CI` Yc1rr PLAN CHECK N fd -5� --
�� PERt1iT
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED
tst7S S.W.it f OI.Q-P.O.6097X9 T-114'^10-9 "
r� F( -i AX MAP/LOT
JOB ADDRESS: LAND
`' ' LOT: S �i LAND USE:
SUB'
It
Lvlre � -
VALUATION:
SPECIAL NOTES
OWNER REISSUE OF: X Gf 0 y
0 7G
N��. ►'V) 2 i S s �Q��t --�" _ LAST REISSUE: w
ADDRESS: O 0_ , �Lq�� �7 J 1 j fL0O0 PLAIN/
----_- --- — SENSITIVE LAND:
ti
PHONE: — 2Q`� ---- - APPROVALS REQUIRED
PLANNING:
CONTRACTOR ENGINEERING: _-
Na E: _ , _ FIRE DEPT -
ADDRESS: -- ) OTI LER:
_ --------- ITEMS REQUIRED
PRONE: _ LIST/SUBCONTRACTORS: _
BUS TAX:
AR(-.H/ENGINEER CALCULATIONS: _
TRUSS DETAILS:
ADDRESS: _ PARKING PLAN:
- ---- --- LANDSCAPE PLAN: _
.----- q-3`
44S-
PIIOIUE: __
COMMENTS: -
PERMIT N ACCT 11 ---- DESCRIPTION AfIOUNT AMOUNT PD. PAL_ DUE
10-432 00 Building Permit fees0 1 ��
18-431 00 Plumbing Permit Fees y--�-=
ti
10-431 01 Mechanical Permit Fees r `� 3
I0-230 01 State nuilding Tax (5X)
Building
Pl��mhing _� G3
f,e ct1 s y, 25'
10-433 00 Plans Check Fee - ---
Buildinq
Plumbing
flesh _ - 31
r7! � - r
30--207 00 sewer Connection - 3
1 30-444 00 Sewer Inspection j1
51-440 00 Street System Dev Charge (SDC)
C stem Dev Cha c SSG .75u
52-449 00 Parks y r' POC9' ( ) --
31-450 W Sturm Drainage Syst Dev Chrg ('SOC) 3 U -
10-230 09 TRI-1)
10-230 06 WasIlingtc+n County Fire, N1 (957)
10-220 (x) nn,art/Wedgewood � -yy Xy'
lUl"nL � yr Tc:)
Rl:t it
APPLICANT SIGNnTURE
Received By: _ -�_,__,____ t»tc Received: _� �/=� -
cn/3507P/10P