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11769 SW 129TH PLACE b e v ' f t 1 � i r r 1 A ` f .r R to r 11769 SW 129TH PLACE •i1 / CERTIFICATE OF O CITYOFTIGARDf/ '..C1lPAN.;Y C17YOF11GAR�D� PERMIT r�. . . . . . . x 8UP$92564 WMMUId(TY DEVELOPMENT DE�AkrVERT oRFT PRIM. PERMIT O. a 692564 13 25 SW VWl Blvd. f'O.Box 2139. Tigard,ate,,97223 (5m)F-9-4175 j DATE I SSUED x ll' /i l/90 SITE: ADD RESS. . . s 11-t' ,9 SW 129TH PL PARC£ 'r_a 7 S 133DD-01100 SUBDIVISION. . . . : ZONING% BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 150 CLASS OF WORK. aNEW TYPE OF USE. . . xSF OCCUPANCY ORP. aR3 U.'CUPANCY LOAD: TENANT NAME. . . a Remar�csa DON MORISSETTE PO BOX 19524 PORTLAND OR 00000­0000 Phone M a 0E9® (d1�El-;%lAdFl Cuntractora __-______.____.__ ...__ ._......__...__....... DON MORISSETTE ELDERS, !NC.: P 0 ROX 19524 PORTLAND OR 9'7219 Phone Ma 583•-244-9314 Rep M. . a 35533 Occupancy of the above referer>! pd buildinp i9 hereby giver, and certifies the compliance wi.th the Stats! Of Oregon Sper_ ialty Code%; for the group, ocmipwney, and main t.tndwr which the r-r 'wrenred pwrmi.t was? 4sm.twd. ......-....._._...�.�...._...............-...._.�._._..mow._........-.,...........«.,.....�... .. .......r..:. ' .- F IRE: DEPARTM►-NT -BUILDING JM CTf?R BUILDING , IFFICIAL POST 1'N CONSPICUOUS PLACE / INSPECTI!N NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection �Y`4 ( -- Date Requested L� Time A.M._ P.M. Addr,tss 74 y � L ermit *-E Owner i'n Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to ---` --T---__` .r-"_Approved ----- Inspector ,.`' _ - I I Disapproved Date CALL FOR REINSRT TION DYES ONO I I 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 Time A.M. AddressPermit � #.�•x� I Owner Lot # Builder 1� The following Building Code deficiencies are required to be corrected: P Presented toX r Approved Inspector Disapproved Date CALL FOR REINSPECTION C� YES f�) NO INSPECTION NOTICE City of Tigard 9uilding Department ! P.O. Box 23397 / Tigard, Oregon 97223 / Phone: 639-4175 v Type of Inspection Date Requested Time _ A.M. Address Permit Owner _— _ Lot # Builder . "- _ The foil-)winp Building lode deficiencies are required to be corrected: Presented to _n — 'Ipproved Inspector _ _-_L f�121� )A) '�J� _ U Disapproved L to 16 —etc CALL FOR REINSPECTION ❑ YES *NO INSPECTION NOTICE ,. City of Tigard Building Department � P.O. Box 23397 Tigard, Oregon 97223 r"r Phone: 639-4175 f Type of Inspection Date Requested---� �-5 Time __ A.M. K P.M. Address �� � - ---.--- Permit Owner- _ ---- Lot Builder --- The following Building Code deficiencies are required to be corrected: ` f } i Presented to _ - - Approved r---. Inspector ___ z _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ONO � it r■r s � � � r INSPECTION NOTICE City of Tirl and Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested =z' )" Time- A.M. P.M, Address Permit Owner Lot # Builder Thi following Building Code deficiencies are required to be corrected: &4 t I r i Presented to Approved Ir,spector i ❑ Disapproved Date CALL FOR REINSPECTION", YES C7 NO INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Request ad K_ Time A. P.M. l 4ddress 7l' r `� Permit A. Owner_ Lot # _ Builder _---'j —L d1 EY Gu e„' ;S "rT` The following Building Code defici de.-s are requited to be corrected: Present(.d to _ Approved Inspector _ C" -- - - -- ❑ Disapproved Date CALL FOR REINSPECTION C_ Yus ONO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requestea_ 73 Time._ _ A.M. --P.M. Address '��' . __. Permit Owner_ ._ Lot # Builder The following Building Code deficiencies are required to be corrected: -Cie I1LJ 1 ' Presented to ❑ Approved Inspector Disapproved Date CALL FOR REINSPECTION gq"YEg 13 NO INSPECTION NOTI�.E City of Tigard Building Depa-trnent i P.U. Box 23397 r Tigard, Oregon 97223 Phone: 639-4 175 Type of Inspection Date Requested ,LC/ y Time A.M. _P.M. Address L� �� � =L�_)41�`� Permit # � Owner Lot # Builder Ths following Building Code c !",ciencies are required to be corrected: fe; P Presented to Approved Inspector — �� Disapproved Date �� L CALL FOR REINSPECTION YES I-�] NO INSPECTION NOTICE / city of Tigard Building Department P.O. Box 23397 t Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Requested Time-A A.M.--P.M. Address — iC' �� `'��' _ Permit #_,fe r t(_ Owner Lot Builder The fo!iowing Building Code deficiencies are required to be corrected: ::zz Presented to Inspector _ _ ❑ Disapproved Date CALL FUS. REINSPECTION 0 YE3 ❑ NO �I INSPECTION NOTICE City of Tigard Building Depart P.O. Box 23397 \ Tigard, Oregon 97223 Phone: 639-4175 Type of Inspecti0 _ -, 0 Date Requester; rJ� -� - c1�� Time`e M. P.M. Address —�� �lc % _. � 1 ` —--- ermlt Owner __ _ Lot # _ t Builder ---- ��7---�/ t � The following Building Code deficiencies are required to be corrected: i Presented to _ Approvod Inspector �� ❑ DINWOV d Date CALL FOR REINSPECTION 0 YEt 0 NO INSPECTION NOTICE City of Tigard Building Departme t P C. Sox 23397 Tigard, Oregon 97223 Phone: 639-4175 Type Type of Inspection Date Requested_/ �� �U T i m a A.M. P.M. Address _.,-.._.f �� Permit # Owner �_— Lot Builder The following Building Code deficiencies are required to be corrected: --- --- ------- 4 Presented to — __.__ [ Approved Inspector Disapproved Date _ CALL Ft,R REINSPECTION ❑ YES 1-1 NO t 1 INSPECTION NOTICE City of Tigard Building Department i P.O. Box 23397 Tigard, Oregon 97223 _ Phone: 639-4175 Type of Inspection _ —L Date Requested ! Ff Time _` _A.M. P.M. Address Address -1 9 _--- Permit # e . Owner_ Lot # _ Builder The following Building Code deficiencies are required to be corrected: 11 I Presented to __ _ Approved Inspector -_ ❑ Disapproved Date — CALL FOR REIN5PECUON YE! Cl NO CIT1(OF T I GA RD BUILDING PERMIT C" R B 0120M . . . . . . . . UP189256'i COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW HWI Blvd.P.O.Box 23397,Tigiud,Oregon 07223(503)6394175 PIIr:RMIT 892564 C.:A 9_ "11 7 1 r, I /i A /rill) S11 E A 1)1)R E'.S S. W I�2 9 1+1 F'L S VIARCEL- .1.S.1 33DD-0 I 100 S 1.)14 1)1:V 113)10N. . . .. . ZONING: IL)I . . .. . . . . .. . . . . . :50 ----------- RE I SSUE:BUPI FLOUR AREAS-­­­­­­ EXTERIOR WALL CONSTRUCTION-- CLASS OF: WORK. :HEW F"1:RST'. . . . : 1426 s f 14: S: E: W 'T'YK'E OF' USE. . . 96F SECOND— . : 1727 sf P'ROTECT' WENINGS? --- TYPE OF CONST. -'5N THIRD. . . .. : Sf N: S: E: W UC CUI*qNC',' GRI'. :113 TOTAL—–..........**,*: S1 ROOF CONST"'C FIRE RET?- OCCUPAWY LOAD: 13ASEMEN1 . : Sf AREA SEP,. RATED: E)TOR. s 2 HT. : 20 ft GARAGE. . . 441 c.;f OCCU SEP,. RATED: BSM V" C MEZZ"! READ REQUIRED ___..._....___....._,_.__._._... FLOOR EQUIRED– FLOOR LOAD. . . . .. 0 psf LEFT: 9 ft RGHT : 6 ft FIR SPIKL: S11OK DET. . Y D W F L L I N G UN 1:TS 1. FRN T".20 ft REAR-.35 ft FIR ALRM: HNDICP, ACC: BEORMS.- BATHS c 3 IMF' SURFACE: PRG CORR: PIARKINGr VALUE 140472 F7EES DON MORT SSET*T+_* type A 1110 Lt 11 t, IDy date -recpt U B U X 1':30;''4 PIRMT $ 535. 50 MAN F'L.CK $ 348. 08 MAN T 1; 26. /8 ITIAN F CW FLAND OR 00000­0@00 151P"C 441 000­-.000-0000 [.,OYM $ 100. 00 MAN SSDC $ 250. 00 MON Colit-ractors STDC $ 600.00 MON DON MORISSETTE FILDERS, INC. P'DCF $ 250. 00 MAN Kl 0 BOX 19524 F-,A y 11 $ 1.91.0. 36 JI...H 04/21./90 V'ORTLAND OR 9*1219 Vlfic)rio! #-, 5011-244 931.4 2010-36 TOTAL Req #. . c 35533 REQUIRED IMSP"LCTIONS This permit is issued subject to the regulation- contained ii the ........I................................. 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 it work is not started within Joe oars of issuance, or if work is SL.-,pended for more .................... than188 days. ...... ........................................ ................. ....... ....................... IL SSUPC1 Hyl .................. ........... Call fo-r irispec-tian 639 41'75 P'LU111"IBING PERMIT CITY OF TIOA, RD COMMUNITY DEVELOPMENT DEPARTMENT CITYOFTWARD� PIERMIT #. . . . . . . .. V-11-M892595 13125 SW HWI Blvd. P.O.Box 23997,T4prd,Or"m 97223(603)6344175 FRIM. VIERMT.'r #. - 892564 C.,3 r4DArE -rsqm---D* 01 /24/90 — 9 T H FAL. P,A R C E L-. I SI 3 3 D D 0 10 0 1.1'7G`:) S W I c-? sUBDIVISION. . . . - ZONING: ltl_0CK. . . . . . . . . . . LC T . . . . . . . . . . . . . S50 .............. .......... CLASS OF WORK. . cNEW GARBAGE DISPOSALS. . : I MOBILE HOME SPACE.:::). . TYPE (IF USE. . . . : WASHING M0CH- . . .. - - - I BACKFLOW PREVNTRI3.— UCCUPIANCY GRP'— -,R,3 FLOOR DRAINS. - . TRAP'S. . . . . . . . . . . . .. . .. STOR I ES. . . 2 WATF..'.R HEATERS. . . . ., CATCH BASINS. F1 XT U R E S......................... LAUNDRY TRAYS- -- SF RAIN DRAINS. . . .— SINKS. . . . . . . . . . URINALS. GREASE TRAPS). . LAVATORIES. - - . ,. . 3 OTHER FIXTURES. . . . .. TUB/SHOWERS. ,, . .. :: 3 SEWER LINE WATER CLUSEI S. - - 13 WATER LINE (ft) . . . .. DISHWASHERS— . -. I RAIN DRAIN Remarksi Owiier: FEES DON MORISSETTE type aMOUI-lt by date r e c 1) 17,0 BOX 19524 P,RMT 140. 00 MAN 51::,C'l 1, 7., 00 MAN I.-IORTLANT) OR 0F,000----0000 PAYM 1.47.0 0 JI...H 04/21./90 Plhorie 01 000-4100-0000 .. . .................... SHOEMAKERIS PILUMBING 1: C) 1.4 0 X 2',;0 i:..;.)T'OCPDA OR 97023 Vlllcme Ift 503---630-7728 J.47. 00 TOTAL REQUIRED I N 6 V,E:CI 10 N this persit 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 ___,,,•,,,.,-.___..._........ ................. approved plans. This persit will expire if work is not started .•...... -4ithin 180 lays of issuance, or if work is suspended for 010rp !;ha,, I!? days. .............. ...... 17,ermi.ttee Sj.q)-1AtU-rFs: _. ...... ......................................... .................................. ...... C;ail. fc)-r ivispec.,t:imi E,39-.--4175 N MECHANICAL CITYOF T'GARD CrTYOFTWARD PERMIT "i PERMIT ##. . . . . . . : MECS92596 COMMUNITY DEVELOPMENT DEPARTMENT 02160N 'A 13125 SW HWI BW. P.O.Box 23397,Tigwd,Oregon 97223(503)6394176 PRIM. PERMIT #. . 892564 (L-V) 4 1 Zl- MQTF T-qqJJKn- 01 /P4X91A SITE ADDRE'3S. . . : 1.1. 769 SW 1.29TH PI_ PARCEL: IS1.33DD-01100 I-' SUBDIVISION— . : ZONING: BLOCK. . . . .. L O'T.. . . . . . . . . . . . . ..50 CLASS OF* WORK. . :NEW FLOOR FURN. . .. . -. EVAP COOLERS: TYPE OF USE. . . . :SF' UNIT HEATE'RS. . - VENT FANS. . . : 3 OCCUPANCY GRP— -.-R3 VENTS W/O APDL: VENT SYSTLMS: STORIES. . . . . . . . 2 BOILE:RS/COMPRLSSL;RS HOODS. . . . . . . . I F'UEi. 0 3 HP. . . . : DOMES. INCIN: GA!3 3-15 HP. . COMML. INCIN: RX INPUTBTU L5---30 H1--'. RLPAIR UNITS: FIRE: DAMPERS?. 30-50 143='. WOODSTOVES. . : GAS PRESSURE. 50+ HP. CLO DRYERS. . : 1,K). OF AIR HANDLING UNITS OTHER UNITS. : 2 TURN ( 100K BTU: <= 10000 eftnt GAS OUTLETS. : 1, TURN )--1001,, BTU: I > IOWA() eft: R e ni ek-r k s Oi,jne-r: FEES DON M(*.)RYSSE---TI'E t y Pe+ anlot.tnt by date -reept P,'J BOX I.W`124 PIRM'T' $ 10. 00 mn-; Pl...CK $ 1.0. 50 MAN PORTLAND OR 00000-0000 15 ID C I 1; 2. 1.0 PIAN P'lone 0.- 000 000-0000 PRM r $ 132.00 MAN POY11 $ 54.60 JLH 04/21/90 Cont-racto-ra BELL HEATING INC 15550 SE: PIAZZA AVE. ("LACKMAS OR 97015 Phone #-. $ 5 4. 6 0 'TOTAL Reg It. . - 44'7 ...... REOUIRED INSPEL;! IONS This permit is issued subject to the regulations contained in the .......I................... ------1--............ Tigard Municipal Code, State of Ore. Specialty Codes and all other ......—1...... applicable laws. All work will be done in accordance with ....... approved plans. This peroit will expire if work, is not started ............. within 189 days of issuance, or if work is suspended for store ........... ................. than 180 days. ........... f-'ey,nil.ttep 5j.qiiAt-Lvre-. ... ............................................ .................. S t.k e d ....... ............ Cali. for insp(-rtion - 639-4175 kv N X1 W 1W F- CI SEWER CONNECTION��� ����� CM PERMIT A nYOF7WARD COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . .. SWR89259-1 13126 SW Hell Blvd P.O.Box 23397,TlsqaRl.OrogDn 97223(603)&V4175 P'R I M. PE RMIT #. ." 892564 SITE ADDRESS. . . : 13.769 ',;;W PARCEL: 1.61.33DD--.01:1.00 SUEiDIVISION. . . . : ZONING: BLOCK. .. . . . . . . . . .. . . . . . . . . . . . . . ..50 ............. TENANT NAME USA NO. . . . . . . . . . :39180 FIXTURE UNITS. . . Cl ASS OF WORK. . . :NEW DWELLING UNITS. . : I'YPE OF USE. . . . . S SF NO. OF' BUILDINGS: I 111 ST A L L TYPE. . . . :BU E)WR IMPERV SURFACF. f Remarks Owiierll FEES DON MORIS'3E'TTE type .knl(:)L4l1t by date -r e c.,T)t; PU BOX 19524 VIRMI $ 35.00 MAN PORTLAND OR 00000-14000 PR MT $ 3.250. 00 MAN V11.ione #c 000-000-0(400 Corlt-racto-ru ..................——— DON MORISSETTE BLDE:RS, INC. V' 0 BOX 1.9524 PORTLAND OR 97219 ............... ......... Pltiorie #: 503-244-931.4 f 1285.00 TOTAL Reg 0. . : :35533 REOUIRED INSPECTIONS ......... . . This Applicant agrees to comply with all the rules and regulations .. ..... of the Unified Sewage Agency. The permit expires 120 days tram the date issued. The total amount paid will be forfeited if the ................ permit expires. The Agency does not quaranter the accuracy of the ...... side sewer laterals. If the sewer is not located at the measurement ------ given, the installer shall prospecL 3 feet in all directions f-om the distance given. If not so located, the installer shall pur hase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ——--------------------- I­-'e r n)J t t e 13iyntat;l.l-rea ......................................... ...................... ............ ------ Call for illsPectioil 639-4175 CITY OF TIGARD RECEIPT OF PAYMENT PEC NO: 0010705o CHECK AMOUNT : '1 396.% IXiME. DW HOMES INC CASH AMOUNT : .00 ADDRESSs PO b9X 19524 PAYMENT DATE 1 01- 2 4-90 PORTLh"lr-. OR 97219 BLOCK NO,'ADDFt PURPOSE OF PAYMENT AMOUNT PAID PUFF-OSE OF PAYMENT AMOUNT F(410 PUILDING PEF'MlT 5:75.50 PLUMBING PFFMIT 140.00 MECHANICAL PERMIT 42.(:10 STAlF- BUILD PERMIT TAX (5%-1 7M F)e FLAN CHECK FEE 250.38 SEWER USA 1,250.00 'SEWER INSPECION 35.00 STREET SOC 600.00 PARKS SY6TEM DEVELOPMENr CH 250.00 STOI~M DRAIN 5DC l'OU. 'OTAL AMOUt"r PAID 3.:?96.96 CITYOFTIVARD4 ptlro0N PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT °M°" PLAN CHECK N — 13125 S.W.Hao Wwd-P.O.So.,23391.Tigard,Oregon 9rn3,(503)639-Nn PERMIT N DATE ISSUED JOB ADDRESS: TAX MAP/L07 SUB:Vj�. LOT: ��I - LAND USL: P- U. VALUATION: ' j tf�2 ...• - OWNER SPECIAL NOTES NAME: --X), 1 r'�n bzf DLrL C h/ - , _ REISSUE OF: _ ADDRESS: �. XIC C a LAST REISSUE: �- FLOOD PLAIN/ - SENSITIVE LANG: PHONE: APPROVALS REQUIRED CONTRACTOR PI.ANNING: NAME: _ _ ENGINEEF-NG: _ ADDRESS: - - _ FIRE DEPT -- --..-- OTHER: - --- PHONE: ITEMS REQUIRED BUILDERS BOARD p: EXP DATE: -1(�..0/c; LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULAIIONS:v TAME.: Tet C � _- _ TRUSS DETAILS:-------- ADDRESS: _ - OTHER: --- `-- PHONE: COMMENTS: SUBCONTRACTORS: PLU­MB:^ - MECH: -- PE=RMIT N ACCT M DESCRIPTION AMOUNT AMOUNT PD. 6AL. DUE + ; 10 432 00 Building Permit Fees z X15 10-431 OO Plumbing Permit Fees - �` 10 4,t 01 Mechanical Permit Fees Q 2- 10-230 Ul State Building Tax (5%) J �A� Building _ - Plumbing - -- Me c h --- g;6. ! y �. 10 433 00 Plans Check Foe 3 hr. 11 ;1 Jy : S,} Hui Idirig Plumbing Mech - r' 30-202 00 Sewer Connection 0-30 30-444 00 :ewer Inspection T�= --`-_- 51-448 00 Street System Dev Charge (SDC) ` 52-449 00 Parks System Dev Char-go (PDC) � ; � J 31-450 00 Storm Drainage Syst Dev Chrq (SSDC) 230 06 lire APPI I r.AN GNATURE Received By: _ - �- _ Date Received: c:n/3581P/I8P