11778 SW 129TH PLACE �x
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C,WRTIF ICATE OF
CITY'OF TIFA RD CITYOF116ARD1 OCCUPANCY r
COMMUNITY DEVELOPMENT DEA ORFT PERMIT N. . . . . . . r BUPA91843
3T - —� FRIM. F�Ek"i!? #. % 951803
13126 SW Mal Blvd. P.'J.Box 23397,Tigard,O•-+eon 47 t'�03) 6
SITE ADDRESS. . . : 11778 SW leJTH PL PARCE:L.e 13133DD-015E7114
SUDDIVISION. . . . I ZONIMre
BL.00K. . . . . . . . . . a LOT. . . . . . . . . . . . . 1°54
CLASS OF WORK. iNEW
TYPE OF USE. . . efF'
OCCUPANCY GRV. sR3
OCCUPANCi LOADt
TE 14ANT NAME. . . v
Remar,'-teat left emsement tan ssoul.h line
Cwnvr a
DON MORISSE:TTE
PO BOX 15524
PORTLAND OR 00000-0000
0
Phones K: 000-000-0000
I
Contractor r _____.....__.__.._.._._..,_..__,...... ..._____
DON NOR L)SETTE OLDERSe INC.
P 0 BOX 19524
PORTLAND OR 97219
Phone Mt 5P,3-244-9314
Rog 0— it 35533
Occupancy of than above uplec,pnced buildirip is; herreby pivr. and car•tifien
the Compliance w.lth the Mate Of Oregon Specialty Codes for the graup,
occupancy, and case ur+de'c, which the refe!reem a,' permit wwtl 1a81AFd.
FIRE DEP'WTT NT UILDINO I P!�TOR
NUILD
POST IN CONSPICUOUS PLACE:.
INSPECTION NOTICE
.'ity of Tigard Building Department
P.O. Bax 23397
Tigard. Oiennn 97223
Phone: 639-4175
Type of Inspection 114 cl.,�—
Dot- Aequested--A-- t Z. - Ci C Time-- A.M.
Address 1 1 7 7 Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
, }Approved
Inspector U Disapproved
Date Z/— I
CALL FOR REINSPECTION
DYE$ ONO
1 ff W fff 1W
W NZW1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, OrAgon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time--- A.M.— I-- P.M.
Address V 11 779- 2 9' Permit # 169 9*3
Owner Lot
Builder L 1 '2S LET T-Z—::-
The following Building Code &-ficlencles are required to be corrected:
9A2 A-T-Z FZ—' L-4 E
LLD
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
ED YEI El NO
INSPECTION NOTICE
City of Tigard Building Dcoartment
P.O. Box 23397 -
Tigard, Oregon 97223
Phone: 639-4175
v
Type of Inspection
.Date Requested 36 A.M. P.M. i
Address — If 7 - /-2 0 _. Permit #.
Owner Lot #
Builder T�l/IZI, -fie— -g _
s
The following Bunning Code deficiencies are required to he corrected: K
r
r
Presented to _ Approved
Inspector Disapproved
Date
_ CALL FOR REINSPECTION
❑ YL! ONO
i
i
W W
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
r�-
Date Requested _ Time A.M. P.M.
Address2
C- �
Permit #t 1Z
Owner Lot #
Builder
rhe following Building Code deficiencies are required to be corrected:
OL_ -7-7=1 elt � r�
Presented to5Approved
Inspector _ _Y [] Disapproved
Date
CALI, FOR REINSPECTION
0 rye 0 Ivo
If• fis a m
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 „fi•r
Tigard, Gregon 97223 ( /y
Phone: 639-4175
Type of Inspection
Date Requested -0 Tuna A.M. P.M.
Address �L7 .7 �iPermit
#
Owner Lot #
Builder 7 LL/'—zC.
The following Building Code deficiencies are required to be corrected:
Presented to Q Approved
InspectorT —_ __ ❑ Disapproved
..—
Date 'J � - � 7
CALL FON REINSPECTION
C_l YIES 1 .1 NO
I
i
INSPECTION NOTICE
I
City of Tigard Building Department ��}.
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �� `"�� ���� -- -- --
Date Requested l /v (rime Z A.M. F M.
Address ' ����J /� Permit # �6�D—
Owner / Lot #
Builder —_
The following Building Code deficiencies are required to be corrected:
c
i
Presented to _-------------—_ --__ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
sit
INSPECTION NOTICE ,
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
u c 'hon : 639-4,175
Type of Inspection ` 71E A'^
Date Requested�� _��_ Tl ins A.M. P.M.
AddressPermit #Owner Lot
Lot #
Builder .,
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector �_ ._ i Disapproved
Date
CALL FOR REINSPECTION
El YIN Z1 NO
UUUU C
TNSPEC750N NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection a-""
Date Requested Time A.M.-P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ------ "4p(,f Approved
Inipector Disapproved
Date Z/
CALL FOR REINSPECTION
El Y18 0 NO
www w w w
2NSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 91223
Phone: 639-4175
Type of Inspection ��-
Date Requested 7 '�(� Tim LLA.M. —_P.M.
Address � �_� �� � Permit 0_
Owner _. _ Lot #
Builder
The following Building Code deficiencies are .required to be corrected:
i
I�
Presented to Approved
Inspector P — Disapproved
f
Date
CALL FOR REINSPECTION
❑ YEa ❑ NO
BUILDING PERMIT
CITY OF TIGA RD
"CITYOFTWARD
RMIT NO. : B(1891843
4.COMMUNITYDEVELOPMENT DEPARTMENTTE ISSUEDs 11/ 3/89
13125S.W Haii Blvd.,P.O.Box 23397,Tigard, )regon 97223.(503)639-4175I M.PMT.NO, 891843
JOB ADDRESS: 11778 SW 129TH PL
fAX MAP-11-OT 1St 33DD SUB: VIL.I AGE AT SUMME:RL.AKE 2 I._T:54 BK:
LAND USE:
LOT SIZE: VALUATION: $ 121,843 SETBACKS
FRONT: 20 REAR:
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: RIGHT: 40
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 4 EXT.WALL CONST:
CONST.TYPE: VN 1,10.BATHS: 3 N: S: C: W:
OCCUP.GRP. : R3 f'ROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL. AREA: 2837
NO.STOFIES: 2 1ST: 1347 ROOF G9NST: C PTFE RET:
HEIGHT: 20 2ND: 1490 AREA SEVAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 400 FIRE SPRKLR? ALARM?
FLOW(GPM) DETECT? YES
_ HEflJ: 1 YPE: GA;_ __.— HDCP ACCCS$" -_-_ ---
PLAN CHECK BY: rlt
REMARKS: REISSUE JF NO.
10ft easement on south line
LAST REISSUE
FEES:
O MORISSETTE DON PERMIT $488.00
N Ilia BOX 19524 PLAN REVIEW $3t7.20
E portl3nd or FIRE DEPT
R STATE TAX 124. 40
OTHER
-- DEVELOPMENT CHAkGES:
C MORISSETTE DON SDC(STORM) $250.00
o DON MORISSETTE BUILDERS INC. SDC(STREEI ) $600.00
R pa BOX 19524 PDC(N1 ) $250.00
A portlan'� or 97219 PREPAID ( $100.001,
T PHONE (503) 244-9314
R REGISTRAVION NO. 35533 fOTALs $1,A29.68
-�--- RECEIPT NO. /1)S-e1,(1e1
This permit Is Issued subject to the regulations contained In Title 14 ---- •---------------
of the TMC. State of Oregon Sprlclalty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances and It Is hereby F(101 ING SEWER
agreed that the wcrk will be done in accordance with the plans and
specifications and in compliance with all applicable codes and FOUNDAI ION WALL RAIN DRAINS
ordinances The issuance if this permit does not waive restrictive POST R BEP" WATER LINE
covenants Contractor and subconlractors shall have current city F'LB.UN'!t i:' !o( CITY APPRCH/SW
bus, ass tax permits This permit will expire and become null and SLAB FINAL
void it work is not started within 180 days.or if work is suspenued or
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced.1100 he the respon)kily of the permittee to assure FRAMING
all required pections au s
Fite reqte nd approved F IREPLACE
GAS LINE
TNSIII.ATTOH
GYP. POART)
Permute nater(
Is511ed By C7T<T -.-ff49 "r - "i )" r, �-''! ;J111—
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY F T167A � SEWER PERMIT
��,,,�� PEP .. i NO. : SES91894
CITt'3'rAlt1D
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 11: 3/89
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223.(503)639.4175 p IM,RMT.IVO. 891843
JOB ADDRESS: 11778 SW 129TH PL USA NUMBER: 39107
TAX MAP/LOT 1S1 33DD SUB: VILLAGE AT SUMMERLAKE 2 LT:54 BK:
LAND USE:
LOT SIZE:
SECTION: 33 TWP: is RNG: Iw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
I
The applicant, agrees to comply with all rules and requlations Of the Unifieu
Sewerage Age-icy. The permit expires 120 days from the date issued. The total
amount paid will be forfei`.ed if the permit expires. The Agency does not quar-
antee the accuracy of the -ocation of the side sewer laterals. If tine sewer is
not located at the measurrAent given, the installer shall prospect 3 feet in
all directions from the eistance given. If not so located. tha installer shall
purchase a "Tap and Side Sewer" Permit and the Agency will install a .late-al.
INSTALL. TYPE: BIJILDTNG SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TFNANT IMPPOVEMF_NT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
FEES': I
W MORISSETTE DON PERMIT $35.00
N po BOX 19524 CONNECTION CHARGE
E
partland or LINE TAP INSTALL.
i
OTHER
C
O MORISSETTE DON
T DON MORISSETTE BUILDERS INC.
R po BOX 19524
A
C portland or 97219
T PHONE (503) 244-9314
R REGISTRATION NO. 35533 TOTAL: $1,285.00
1"hIs permit is Issued Subject to the regulations contained in RECEIPT N0.Title 14
of the TMC. State of Oregon Specialty Codes,toning regulations
tnd all other applicable codes and ordiner^es, and it is hereby REOUI'?ED INSPECTIONS
rgreed that the work will be done in accordance with the pians and ROUGH_.IN
.pecifications and in compliance with all applicable codes and
,,rdinances. The issuance of this permit does not waive restrictive
ovenants. Contractor and subcontractors shall Neve current city
nosiness tax permits This permit will expire and become null and
uid if work is nM Started within 180 days,or If work is suspended or
rbandoned for a period of 180 days any time after work has
ommenced It shall be the responsibility of the permittee to assure
Ill required In a Mons are reques nd approved
c
Permittee Signature
199r1Pd 0y ���- FOR ?N0P6rZ1QW 629-44
i. __— - - ----
SEPARATF PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T117A RD PLUMBING PERMIT
�,�, PERMIT NO. : F'1-891.892
CITY CW TWARD
COMMUNITY DEVELOPMENT DEPARTMENT OREGON TE ISSUED: 11/ 3/89
13125S.W Hall 81vd..P.O.Box 23397.Tigard.Oreyon97223 ,503}539-41.75 IM.PMT.NO. 891843
JOEL ADDRESS: 11778 SW 129TH F'L
TAX. MAP/LOT 1S1 33DP SUN: VILLAGE AT SUMMERt_AKE 2 LT:54 BK:
I.I;ND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BK,FLG`ii PRVNTR
CONSi.TYPE: VN LAVORATORY 3 TRAP [ RIMER
OCCLIP.GRP. : R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1.
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUNDRY TRAY BLDG.DRAa4 (DIA
FLOOR :.RAIN
SINK ] SFWUR (FT)
WATER HEATER 1 STORM/RAIN (FT 1.
OTHER
..--
REMARKS:
10ft easement ,)n Sauth line
O FEES%
IN MORISSETTE DON PERMIT $1:32.50
N po BOX 19524
E Portland or FIXTURES
STATE TAX $6.63
OTHER
C
N SHOEMAKER HAROLD
T SHOEMAKER'S PLUMBING
A po BOX 258
A
IS estaicada or 97023
TT PHONE (;jO3) 630-7728
N REGISTRATION NO. 3922 TO1ALt $139. 13
RECEIPT N0. ��,- -ee,
Thry permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Ccdes,zoninq regulations REQUIRED INSPECTION i
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and F'LB.LINDERSLAB
specifications and in compliance with all applicable nodes and POST d BEAM
ordl,iances The Issuance of this permit does not waive reshict+ve WATER LINE
covenants Contractor and subcontractors shall have current city PLP. Tf1P011T
nosiness tax permits This permit will expire and become null and
void if work is not et.-ted within 190 days,or if work Is suspended or RAIN DRAINS
ahandoned for a pert(,' of 190 days any time after work has FINAL
comme cP0 It shall be the responsibility of the permittee to assure
all regwrnrl inspections are requested and approved
t
a
I'rnrnithpq gnature
w
l-;,mod By ~ - Flat- GT ION 449-41-/F4 _.
SFPARAI E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I
CITY OF TIFA MECHANICAL PERMIT
RD r-,
PERMIT NO. : ME891893
aTrocrlrraftn
COMMUNITY DEVELOPMENT DEPARTMENT o.faT TE ISSUED: il/ 3/8'3
13125 S'N.Hall Blvd.,P O.Box 23797.Tigard.Oregon 97223.(503)639-4175 P I M.F'MT.NO. 891843
SOB ADDRESS: 11778 SW 129TH PL
TAX MAPiLOT 1Si 33DD SUB: VILLAGE AT SU!IMERLAKE 2 LT:54 BK:
LAND USE:
LOT SIZE:
ITEM: NJ: NO:
WORK CLASS: NEW FURNACE(100K AIR HANDIER 00
USE TYPE: SINGLE FAMILY FURNACE 100K+ i AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCIii''.GRP. : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
BLR/COMP (3HR HOOD 1
NO.STOkIES: 2 BLR/COMP 3. 15HP INCINERATOR(DOM
DNELL.UNITS: 1 BLR/COMP 15-70HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX.INPUT iiLR/COMP 50+HP OTHER 2
rIr.E DMPRS? GAS PIPING OUTLETS 1
4IGH PRESS?
LOW PRESS? —__-._-- _-- —_-
REMARKS:
10ft eaSL'ment on sumth line
FEES:
VV MORISSETTE DON PERMIT $10.00
N po BOX 19524 PLAN REVIEW $10.50
portland or FIXTUREr $32.00
STATE TnX $2, l0
OTHER
C
0
N BELL HEATING INC.
R 15550SE PIAllA AVE
C CLACKAMAS OR 97015
T PHONE (503) 243-1154
R REGISTRATION NO. 447 1"rITAL: 454.60
This permit Is Issued subject to the regulations contained in Title 14 RECEIPT' N0.__.ERRE__ _RECEIPT__
of the TMC. State of Oregon Specialty Godes zoning regulations REQUIRED INSPECTIONS
all other applicable code:: and nrdinanr^_ a,;�! it Is hereby
Agreed that tht work will be done in accordance with the plans and [IAS LINE
specifications aid in comullance with till applicable codes and DUST 8 BEAM
ordmances The issuance of this permit does not waive restrictive ROUGH—IN
covenants Contractor and Subcontractors shall have current city FINAL
husiness tax permits This permit will expire and become null and
void if work Is r" started within 180 days,or if work is suspended or
,handoned $.or a period of 180 days any time after work has
commenced. It shall he the responaibllity of the perrr.ttee to assure
ell require sp.
ections are reques and approved
L
Pr,rnit a Lure
Issued By _ .4W1- F4 1W71FT>TIA4 494-4$7ar-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
( PLAN a{ECK APPLICATION
CITY OF TWA RD
� 1 ���RD PLAN CHECK b
COMMUNITY DEVELOPMENT DEPARTMENT It
r�tu:w_rr.csa�P.o.a.�zs�vr.i�. o..Q«.srm•(swlasv-rrrs ,G y DATE: ISSUED
JOB ADDRESS: I --7-7 o S'�^' 2R} ('(_. TAX MAP/LOT
,UB: 'JILL-Ak- AT Sjm --1,-C4M:'?, LOT: ��r�; — LAND USE:
VALUATION:
OWNER SPECIAL- NOTES
NAM[: REISSUE OF: --- --
ADORESS: v °X I q5 _ LAST REISSUE: +_
027 t✓���O o7 2 --_-- FLOOD PLAIN/
---`- �- _ SENSITIVE LAND:
PHONE: - 314-J- - APPROVALS REQUIRED
CONTRACTOR PLANNING: -
NAM[: — ENGINEERING: `
__- - C 14E DEPT
AOORESS: _
- (, .TIER:
ITEMS REQUIRED
--" LIST/SUBOONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: ---- - CALCULATIONS: _ -
ADDRESS: TRUSS OETA_l_S: -
PARKING PLAN: -_
---_ LANDSCAPE PLAN: -- —
PHONE: .v--- — ---,_-- OWER: ---
Lj
PERMIT N ACC.:T It DESCRIPTION AMOUNT AMOUNT PD_ DAL.. DUE
10-437. 00 Building Permit Fres
1.0-A31 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
----- 10-230 01 State Building Tax (57.)
nuildiny
Plumbi•iy _
Me%h _ _ _
10-433 00 Plans Ct.eck Fee /04. '
Bu Id ing
Plum`-ing -
Mech
_ 30--201. 00 Cower Connection
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PUC)
31--45^. 1K) Storm Drainage Syst Oev Chrg
10-230 09 TRFO -
10-230 06 Washington County ! ire (11 (957.)
10-7.20 QO Amart/Wedgewood _
101(11
APPI NT :IGNA1uaE y
Received By: - - -- Uate R-!ceived:
cn/35871'/I nP