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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 I
i
Type of Inspection
Date Requested 3 "Time A.M. s P.M.
Hddre+s �/ 7�1 Permit *-�Yl e(-y1b
Owner_._. _ Lot
Builder
The followinq Building Code deficiencies are required to be torrectpd: i
Presented to {_ __— Approved
Inspector v (w)h,5
Dimpproved
Date
CALL FOR REIN SECTION
C' YES Cl NO
d�
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection z - {die—J
Date Requested – 91)
Time� .M. P M.
Address _ � j� 4s)—' °ermit #ZEL IF-e/21
Owner _ Lot #
Builder � �The following Building Code deficiencies are required to be corrected:
i
Presented to Approved
Inspector f�� — L Disapproved
Date
CALL FOR REINSPECTION
0 YES 1A NO
W 711 W IN
INSPECTION NOTICE
City of Tigard Building Department
P.O Box ':3397
Ti,aard, Orec,.m 97223
F;io,ie: 6a9-4175
Type of Inspection —
Date Requested_ "� - BTU Time A.M. P.M.
Address _____-_—!!L _1____.—L�. �I --. Permit #—�f-7e,
Owner_ __ _� Lot #
Builder �jZi---
The following Building Code deficiencies are required to be corm.-ted:
ti
_ _ I
Presented to _ (J Approved i
Inspector Ly_ C ❑ Diwpprovud
Date
CALL FOR REINSPECTION
YES [--1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection e
Date Requested Time A.M..-P.M.
Address Permit
Owner Lot
Builder z!a Z7.,--
The following Building Code deficiencies are required to be corrected:
All
Presented to
Inspector H Disapproved
Date CALL FOR REINSPECTION
M YES ONO
® INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection ✓ '.�1���L-'��". — -
Date Requested Time___ A.M._ P M.
Address — Permit
` ,�
Owner _ Lot #
Builder _�� v 1• ,r_.c "-L_. . ` -- --- _—
The following Building Code deficiencies are required to be corrected:
Presented to _ _ ,Approved
Inspector I Disapproved
Date
CALL FOR REINSPEC77ON
CJ YEt ❑ NO
I
i
I
it
I
INSPECTICN NOME
J
City of Tigard Building Department
P.O. Box 23397 i
Tigard, Oreg(-.n 97223 t
Phone,6'.9-45
Type of Inspection
Date Raquestede � �`- �' Tim. A.M. P.M.
;42
Address _ Permit # -
Owner Lot #
Builder _
The following Building Code deficiencies ire required to be corrected:
Presented to ( 1
, Approved
Inspector _�'�,�`� _ Diss
pproved
Date _� i- Zo
CALL FOR REINSPECTION
El YES LJ NO
I
INSPECTION NOTICE
+
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregc.n 97223
Phone: 639-4175
Type of Inspection
Date Requested.- Time A. P.
Address Per # =d
Owner--�– — Lot
Builder 1 /�i/'L�►i7�. f
The following Building Code deficienci�: .:-e required to be corrected:
Presented to P1 _ _ Approved
Inspector ' _ Disapproved
Date
CALL FOR REINSPECTION
Ll YES I.�J NO
i
INSPECTWN NOTICE
City of Tigard Building Department f,%
P.O. Box 23397
Ti d, Oregon X7223
_I'Vi.Z,� one: 639-4175
Type of Inspection � T-�
Date Requested_ �L .21� �1 Time A.M.
Address
Owner_ Lot
Builder __�L�E%t'/✓ ���� —
The following Building Code deficiencies are required to be corrected:
/ ` —
10017
Iry
Presented to Approved
Inspector ���1 [J`Disapproved
"'
Date ,� C �._
CALL FOR REINSPECTION
❑ YES ❑ NO
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone, S39-4175
Type of Inspection f<?
Date Requeste
d
�/ [� l — T P.M.
Address _ 1�—_1� i `� Permit # 11�
Owner�_ _.___ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date --
CALL FOR REINSPECTION
M YES El NO
TBUILDING PERMIT
( F'ERhITT NO. : BlJB':31846
CITYOFTIGARD I CI�VAftC
COMMUNITY DEVELOPMENT DEPARTMENT OREGON TE ISSUED: 11/ 3/89
13115 S W Mall Blvd.,P O.Box?3397.Yigard,Oregon 97223.(503)639-4175 Vol"F I M.F'MT.N0. 891846
JOB ADDRESS: 11799 SW 129TH PL
TAX MAP/LOT ISI 33AD 14500 SUB: VILLAGE AT SUMMERLAKE 2 L..T:52 BK:
LAND USE: R7PL
LOT SI?Fc VALUATION: $ 96, 102 SETBACKS
FRONT: 20 REAR: 9
WORK CLASS: NEW DWF:LI_.UNITS: 1 LEFT: 7 RIGHT: 38
USE TYPE: SINGLE FAMILY NO BEDROOMS: 4 EXT.WALL CONST:
CONST.TYPE: V11 ;13.BATHS: 3 N: S: E: W:
OCCI:P.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 2200
NO.STORIES: P. 1ST: 935 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 1265 AREA SEPAR'? RATED:
BASEMiAT? 3RD: OCCUP.SF"PAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 400 FIRE SF'RKLR'? ALARM?
FLOW(GPM) DETECT? YES
HE_AT_TYPE: GAS _ HDCP.ACCESS? CORP? _
PLAN CHECK BY: rlt
REMARKS:
$30 for 2 reel line copies REISSUE OF NO. 6569
LAST REISSUE 890134
FEES:
W MORISSET-E DON PERMIT $424.00
N po ROX 19524 PLAN RFVTEW $40.00
E-
R
R portland or FIRE DEFT
STATE TAX $21.20
OTHER $30.00
C DEVELOPMENT CHARGES:
u MORISSETTE DON SDC (STORM) $c iF3.00
N DOH MORISSETTE BUILDERS INC. SDC(STREET) $600.00
R po BOX 1 524 K''rC(M1 ? $050.00
A portland or 97219 PREPAID ( $40.00)
r PHONE (593) 244-9314
F� 2EGISTRATION NO. 35533 TOTAL.s $1,575.20
RECEIPT N0.
T his permit is issued subject to the reg dations contained In Title 14
of the VMC, State of Oregon Specialty ut.'dPs, toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the pians and FOOTING SEXIER
specifications and in compllahce with all applir.ahle codes and FOUNDATION WMA RAIN DRAINS
ordinances The Issuance of this permit does not waive restrictive G Aht
f FOaT' & BE WATER LINE
covenant Contractor and subcontractors shall have current city PLB.UNDER;;6.0 CITY APPRCH:SW
business tax permits This permit will expire and become null anrd
void If works not started within 180 days,or If work Is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced It shall be the responsibility of the permittee to assure FRAMING
Fill require spections are re P. ed and approved FIREPLACE
GAS LINE
INSUTAT ION
GYP, BOARD
Permitte ignature
Issued Oyt FLM W612194:11014 4t4l 4 -417:,
SEPARA'E PF RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
OFTIGARD
PLUMBING PERMIT
ERMIT NO. : PL891888 ,
IN
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: i l/ 3/89 [/
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Orr.gon 97223,(503)639.4175 P I M.PMT.NO. 891846
JOB ADDRESS. 11799 SW 129TH PL
TAX MAP/LOT ISI 33AD 145OW SUB: VILLAGE AT SUMMERLAKE 2 LT:52 BK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 3 TRAP PRIMER
OCCUP.GRP. e R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITSe 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
W4TER HEATER 1 STORM/RAIN (FT t
OTHER
REMARKS:
FEES:
W MORISSETTE DON PERMIT (132.50
N po BOX 19524
R Portland or FIXIURES
STATE TAX $6.63
- --- -- ---._�_... -- OTHER
c;
o SHOEMAKER HAROLD
I I SHOEMAKER'S PLUMBING
R Po BOX 250
A
estdcadd or 97823
1 PHONE 1503) 638-7728
R REGISTRATION NO. 39222 TOTALe $139.13
RECEIPT N0.
This permit is Issued subject to the regulationsccntAlned in Title 14
,if nie TMC. state of Oregon Specialty Codes. z ming regulations REQUIRED INSPECTIONS
,anii tall other applicable codes and ordinances. Arid It is hereby RLB.UNAERSLAB
;agreed that the work will be done In accordance with the plans and
sper,nccalions and In compliance with all applicable code!; and POST 8 SEAM
ordinances The issuance of this permit does not walve restrictive WATER LINE
(ovennnis Contractor and subcontractors shall have current city PLB.TOPOUI
hnsmess tax permits This permit will expire and become null And RAIN DRAINS
vied if work Is not started within 180 days.or It work 09 suspended or
,abandoned for a period of 180 days any time after work has FINAL
mrimenced It shall be the responsibility of the permittee to Assure
111 rPquir inspections are requ nd approved
tenni ignahtre
NsiiFd By �. CALL FOR IN p� ECTIOM 639-4175 -
SEPARATE PERMITS REQUIRED FOR WORK o I-HER THAN DESCRIBED ABOVE
---- _._ — � — -- - — SEWER PERMIT
C11YOFTIOARD PZF _ PERMIT NO. : SF'$91890
cfrr a neaeu
011FOON
COMMU14ITY DEVELL)PMENT DEPARTMENT TE ISSUED: 11/ 3/89
13125 S.W.Hall Bivd.,P.O.Bvr?33971"igard,Oregon 97223.(503)639-4175 �P IM.PMT.NO. 891846
JOB ADDRESS: 11799 SW 129TH PI. USA NUMBER: 39108
TAX MAP/LOT 1S1 33AD 1456 qJB: VILLAGE AT SUMMERLAKE 2 LT:52 BK:
LAND USE: R7PD
LOT SIZE:
SECTION: 33 TWP: is RNG: iw
WORK CLASS: NEW
USE TYPEe SINGLE FAMILY
The applicant ,agrees to comply with all rules and regulations of ;he Unified
Sewerage Agency. The permit expires 120 days `rom the date issued. The total
amount paid will be forfeited if the permit exli'res. The Agency does not quar-
antee the accuracy of the location of +-h- side sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet ill
ill directions from the distance given. If not so located, the installer shall
purchase a "Trop aad Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIJUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
t)WELLING UNITS: 1
NO. OF BLDGS. : 1
FEES:
I " MORISSETTE DON PERMIT 535.00
N po BOX 19524 CONNECTION CHARGE $1.250.0E
portland or LINE TAP INSTALL.
OTHER
C
0 MORISSETTE DON
N DON MORISSETTE BUILDERS .04C.
n pa BOX 19524
A portland or 97219
T PHONE (503) 244-9314
F REGISTRATION NO. 3'5533 TOTAL: i1,P85.88
RF F'F TF'T NO. -
T hip ;,ei.ntt is issued subject to the regulations conlalned In Title 14 -------------------_
of the TMC. State of Oregon Specialty Codes. zoning regulations REQUIRED INSPECTIONS
and nil other applicable codes and ordinances, and it Is hereby ROUGH-IN
agreed that the work will be done in accordance with the plans and
sTreCihcntions and In compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Ccntracto► and subcontractom shall have current city
husrness tax permits Th., bermil will expl' and become null and
void It work.'s hot starred with,n 180 days,or if work Is suspended or
ahandoned for .1 period of 180 days any firre after work has
rmmenced It shall be the responsibility of the perrnittee to assure
rn required Inspections are requested and approved
C '
1 „imine . Ig at e
Ic,urd Ay ----�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
I
I
MECHANICAL PERMIT
PERMITNO. : ME891889 G�
CITY OF TIGA RD CITY OFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
°a!°°" ITE ISSUED: 11/ 3/89
191L'i S.W Hall Blvd..P.O.box 23397.Tigard,Oregon 97223.(503)639-4175 Ij'I,F'j9T,NO. 891846
JOB ADDRESS: 11779 `3W 1i 9TH PL
TAX MAP/LOT 1S1 33AD 16500 SIIB: VILLAGE. Al SUMMEkLAKE 2 tT:�� BK:
LAND USEg R7PD
LOT SIZE: NO:
ITEMS NO:
WORK CLASS: NEW FURNACE (100K AIF: HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ 1 AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LEk
OCCUP.GRP. : R3 HEATER VENT FAN 2
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES= 2 BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITSi 1 BLR/COMO 15—:30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX.INPUT BLR/r.:OMP 50+HF' OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS? --
kEMARKSs
FFEESn
W MORISSETTE DON PERMIT f1@:�70
N pr BOX 19524 PLAN REVIEW $9.75
R portland n�r FIXTURES $29.00
STATE TAX
OTHER
C
0
N BEI.I. HEATING INC.
R 15558SE PIAllA AVE
LTA CLACKAMAS OR 97015
PHONE (503) 243-1184
REGISTRATION NO. 447 TOTALe $50. J11
RECEIPT NO. /v yyJ _
Thea permit Is lebued subject to the regulations contained in T Itle 14 -----------------
of he TMC, State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and ill other applicable codes and ordinances, and It is hereby GAS LINE
agreed that file work will be done In accordance with the plans anu
specifications and In compliance witir ?II applicable codes and POST & BEAM
ordinances The issuance of thl3 permit does not waive restrictive ROUGH--IN
covenants Contractor and subcontractc,rs shall have current city FINAL
husmess tax permits This permit will expire and become null and
vnid It work isnot started:iithin 180 d, or it work is suspended or
nhandoned for a period of 18o ra s any time after work has
commence shall be the respon of the permittee to assure
qll require ins ectlpns are regl.le ted d approved
Jv
r'prn.ittpe signature
19Vlled By r q
SEPARATE PERMITS REQUIRLD FOR WORK OTHER THAN DESCRIBED ABOVE
PLANC[tECK APPLICATION
CITY OF BOA RD c CM)OnF W�WAW PLAN CHECK N
COMMI.'::'1Y DEVELOPMENT DEPARTMENTPER�ISSUEO
css.,rs DATE _
�71?5 SW_N.a[ib LP.O_[Soi 7"Y"3.T19--t 0.rgorl77T]_('Ali oG
11..Q.� �L ;AX OAP/Lol - __--
309 ADDRESS: 1 l�.q - LAND USE: �— —
SUB: �(t A G __ 'A T' Svw�u.-C.[4 '2'LOT: 5 2-
VALUATION:�6 SPECIAL NOTES
�x9NEN' iC INC REISSUE OF: _
NAMC. LAST REISSUE:
ADDRESS: v• <�x l 0 Z i FLOOD PLAIN/
SENSITIVE LAND:
p+:�1NE: "�/ A3 y APP ROV_ALS REQUIREO
PLANNING: ---
CONTRACTOR -_ �- ENGINEERING,:
NAME: �_ FIRE DEPT ____---
ADDRESS: OTHER:
: -
MEMS REQUIRED
PI{ONE: LIST/SUBCONTRACTORS:
BUS TAX: _ -
ARpt/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: PARKING PLAN:
LANDSCAPE PLAM:
PHONE: -_--- '
n �� Qc �l til _�_ ------
C)OM_NTS: Z J - -
PERMIT It ACCT'N OE.SCkIPTION
AMOUNT (VAUNT PO. VAL. OUE
10-432 OU (3uildi.ng Pemit Fees ::'SW-- °
10-431 00 I laPermit Fees
4•� _ _ -���
_ 10-431 01 Mechanical Permit Fees
10-430 01 St-Ite Builling Tax (51) -
Nuildinq
Plumbing
10 433 00 Plans Check Fee 30j Pf
f`j.�S
tiu i I i ng
Plumbing _
Mech
30-201 00 Sewer Connection
30-444 00 Sewer Inspection
51-448 00 Street System Oev Charge (,OC)
52-449 00 Part.s System Uev Ch-Jrge (POC)
31-450 (K) StOr.n Drainage Syst Bev Chug10-230 09 1 RFD -
10-230 06 Washington County f ir-O Ht (9'7-) 5-05-a.-03
9Sx.)
10-2.20 00 AmarL/Wedgewood 3 pJ V,�3
101"nt.
REC N
nPf l_ICn S LGNnTURE -
UaLc Received: s -----
Received (3y: --
cn/3587P/18P