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12619 SW FALCON RISE DRIVE ADDRESS: se FQ /,fOb i:�records\micrcflm\targets\building.doc *xarscTION WTTCZ city of Tigard MULIAing Department 13126 M Ball tiled. Tigard, Oregon 97223 Inspection Line (Mac•.0-Phone)` 4639-4175 Business Phone: 639-4171 Inspection: / Footing Plbq. Dnd��-b �M—�hRo-'gh-in 11ppr/Sdwlk Found. Plhg. Top out Gas Line rIK11L: Poet/Beam Struct. San. Sewer Erasing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requesteds-t - Time: AM � 1Wdresss Permit is - U Builders THE 70-LOWING OORRSCPIONS ARE RNQUIRZDr CA C L Fr�IZ l�l/5� _—(pie /c►2_�_ C/ Ac to—rr, ApPRCriIlD `� plBppPRpyRD APPROVKD stl8 .71t1'T TO ABOVE _-G-rot! For Reinsp. CERTIFICATE OF CITY OF T c i�M, r 0. . . CIPA. 5 MST93--0027 COMMUNITY DEVELOPMENT DMMR-0MNT DATE I SSUEP s 0-1 ,'27/93 IN25 SW Hall Blvd.Tigard,Orapoa 07223x6109 (503)639-4171 PARCEL..t 1 S l;:.3DI) -0961VdQ+ '.�I.TE ADDRE::S��,. . . a 1,21619 5W FALCON RISE DR SUDD I V I S l ON. . . . e VILLAGE AT SUMMER LAKE PARK 4 ZON I N .R- 4. c5 BL..00K. . . . . . . . . . . LOT. . . . . . . . . — . 1133 CLASS OF WORK. tNEW TYPE OF USE. . . :SF OCCUPANCY GRP. t R-7 OCCUF'ANI.";Y L.QAD a c'4 4 TENRN T NAME.. . . a Remarks€ PATH I DON 'MAR I SSETTE HOMES 15555 1 BANDY RD #201 LAKE OSWEGO OR 97035, Phone #t 620-7536 contractor-4 DUN MORISSETTE BUILDERS, INC. 15555 SW SONCY RD. #201 I LAKE 0SWE00 OR 97035 Phone #s 620--7538 Reg *- 1 35533 Or:cupancy of the above rNferenced building is hereby Riven, and cert; iften the compliance with the !.Aatm Of Oregon Specialty Codhq for the gv-oty, occupancy, and 1.tse under w`@ich the r"'PPPrenced permit war, issued. ~171 RE DEPARTMENT TLDINC3 SPECTOR 1 L 17,F-i N- C)-F.. '.CAL j POST IN CONSPICUOUS PLACF IN�Ytrcrlor► r.rlcs City of Tigard DOLIAI29 DwPa�tz23 1912!% NW 11all Pled. Tigat . def» Inspection Lina (Rec-O-Phone): 639-4175 Susiness Phone: 639-4171 Inspections_ -- Tooting Plbg. Onderelab Mach. Rough-in Appr/Sdwlk round. Ylg.bvyp Out pas Line FINALt Erasing -Bldg. J Post/Seats Strutt. San. 8eurer Fain Drain Insulation -Plums• poet/Seas+ 16001.. -----�` Ylbg. Underfloor Nater Linepyp. Bd. '-Meth.~ AM estedr -� T>me: PK Requ ti- �i reit Addresst Bu. lde�: i " THE FOLD MING 0D1tRECTIONS ARE RRQOIRED: r- Datat� Inspectors - — -_— APPROVED DISAPPROVED APPROVED SDEJRCT TO ABOVE Call For Reinsp. INBPECPffi1 (rtmrr. ��� city of Tigard HaUding Department 13u5 " Nall Bl-d. Tigard, 0-9— 97223 Inspection Line (ROC-O. Phona)e 639-4175 Buo_near Phonal 639-4171 Inspeotion, Footing Plbq. Undaralabh. Naich. Rough-inFou s APPr/8dwlk �' Mg. To;, we Gas Lina �� FINALS Post/Bean Struct. San. Sower Framing -Bldg. Post/Bsam Nech. Rain Drain Inaulatlon -ply, Plbq. Dndsrfloor Water Lina GYP. Bd. Time h. Deka Ro>'qusatsd,��_�_ ,` AAdrssa: � '� A � Permit �j Z,� Builder. --,� TBE FOLI ODkREC'TI(>wS JLRL RNWIAEDt Impactors L" IFTlf� sfn�n _ Date, APPRD�/fD _ DI8/1PPROyED - APPROVED SURTZ"T yip ,#ppyE Call For Rainap. alt? or Tigard BuLIdiaq Departmeat 13125 M Sall Blvd. Tigard, oregoe 97223 Inspection Line (Ree-o-Phone)e 639-4175 Business Phones 639-4171 Inapeations rooting Plbg. Underolab Nech. Rough-in Appr/8dwlk Pound. Plbg. Top Out Gas Line FINALt host/Bears etruct. San. Sewer pressing -Bldg. I Post/Beau Nech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line • b• h. Date Requesteds� Tlass AK P9 Addreaas ._„) Builders TQM Y<nJANING OORRECTIONS AM REQUIRM t� / �� ~-� ` Inapectors Dates— �APPROVEO DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. Citi or Ti"Cd Building Departamnt 1312S On Ball blvd. T19atd, Ocagon 97223 Inspection Lina (Roc--O-.Phona)e 639-4175 Business Phone? 639-4171 Inspections-_____ �- Footing Plbg. Onderslab Mach. Rmgh-!.n Appr/Sdwlk Ftnind. Plbg. Top Out Gas Lino FIMALt Pos BOANm Struat. San. Rawer Framing -Bld 9• Post/Beam .Hoch. Ra:a Drain Insulation -Plumb. Plbg. Dndmrrlocr taster Line Gyp. Bd. �/J -�h. __ _ Cats Requested -� Timee PM Permit — Buildor��+ THR FOLLOWIMIi ODRRECTIOMS ARE REgUIRSD3 Inspector: _ v r 'V APPRO_ VID ATSAPPROVED APPROVRD BU&QCT TO ABOyE _--Call For Roinsp. jNSPiCTION NOTICE v City of Tigard Building Department 13125 gM Ball Blvd. Tigard, Onagon 97223 Inspection Line (Rec-o-Phons)t 639-4175 Business Phones 639-4171 Inspections rooting Plbg. Underelab lbod. hough-in-) Appr/&Wlk am— round. Plbg. Top Out s Line FINALt Post/Bean Struct. San. Sewer rreminq -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Mater Line Gyp. Bd. -Nech. Date Requestedt , Time: AM PM Address ' C Permit is �� Builder: f ln TR= FOLLOWING CORRECTION'S ARE REQUIRED: InspectoFs.__ry� ��— APPROVED DISAPPROVRD APPROVED 9"BJECT TO ABOVE Call For Reinap. Cit, of Tigard RuiIdUin DepattMent �I 13125 611 Baal Blvd. Tigard, O—VOn 97223 Inspection Line (ROC-O-Phona)t 639-4175 Business Phonat 639-4171 InsPeations Footing Flbq, Underelab _ Mach. Rough-in Appr/Sdwlk Found. Plbq, Top out Gas Line FIMALs POet/Beata Struct. Ban. Sewer 'r_--_ - �( �Mi�� -Bldg. Post/Beam Mech, Rain Drain Insulation _Plumb, Plbq, Underfloor Mater Line EYP. 6d. -Mach. D;te R+queatede - - / Tl�ter __Y__P): Buildartr}� T" FOLUM11'a CORRECTI—offs ARE R2QUIREDs ------------- _--_i-"- f --------------- ------- -.- .-_ Inspectors_ Dater ----APAOVtp --_.1 DISAPPROVEb Lcall For Reinsp. city of Tigard Building pepart"t 13125 SR gall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)t 639-4175 Business Phonee 639-4171 Inspections — q — FootinXlbq._ Onderalab Mer:h. Rough-in kppr/Sdwlk found. Cl Plbq. TOP Out Gan Line FINALS � Post/swam Struat. San. Sewer Framing -Bldg. n post/Swam Mach, Rain Cain Insulation -Plumb. Pl.bg. Underfloor Water Line g1rP• Vd• -N&ch. Times _ AM PM Data Requesteds Addresat - ^ G' Permit #i�l, D Z Builder: THE FOLIANINQ CORRECTIONS ARE RYWIRRDt i Dates Inspectors_ ----- — - 11PpROVED - DTSAPPROVRD APPROVED SUBJECP TO ABOVE Call For Reinsp. INSpgCTFon noTzcR Ll:� City of Tigard Buil:iing Departaent 13125 Sw Ball Blvd. Tigard, Or*Wn 97223 Inspection Line (ROC-O-Phone)c 639-4175 Busineos Phone, 639-4171 Inspection: Footing MO. UbdkWSlab Hach. Rough-in Appr/Sdwlk Found. Mg. !pp put vas Lino FINAL, Poet/ee&m Struct. San. Sewer Framing -.Bldg. Post/Seam Hoch. Rain Drain Insulation -Pl:uob. Plbg• Underfloor Mater Lim Oyp. Bd. -Poch. Date Requested, 15 -11 Ther _ AN _PH Addreas: _ Buildert TAS FOLLOWING CORRECTIONS ARE REQUIRED: -- - 1,7 i lnspectryrs i, -- --- _ Date, _APPROVED DISAPPRCrM APPROVED SUBJECT TO ABOVE -- Call For ROinsp. .L!!@pi. city of Tigard 1312S 611 Hall Blvd 97223 �i�, Inspection Line (Roe•-O-Phone)s 63v-._._. ..uninews Phone: 639-4171 Inspections !. Tooting rlbg. Underelab Nech. Rough-in Appr/Sdwlk round. Plbq. Top out Gas Line FINALS et/Beam Struct.� San. Better Framing -Bldg. st/Beau Mech. Rain Drain Insulation -Plumb. fslbq. Un"Irtls�Nia; `Water Lino Gyp. Rd. -Noah. Date Itoqu�istedt / L� xlmus J1H rel Address s.L_" IC Permit Builder: C`— "71 -7 , THR FOLLOMING CORRECTIONS ARE REQUIRED: Inspector: Fvlpw:LD —� DISAPPROVED APPROVM SUBJECT TO ABOVE _—Call For Reinsp. (K V IN PECTION NOTICE City of Tigard Bui.diog Department 13125 SN Hall Blvd_ Tigard. oirogon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buginese Phone: 639-4171 Inspectiont -- ----'— �� Footing Plbg. Underalab Mech. Rough-in Appr/Sdwl.k Found. Plbq. Top Out Gas Line FINAL: i IPost/Beam 5tcuct. an. eldBi� Framing -Bldg. Poet/Boom Nech. Inuulation -plumb. Plbq. Underfloor tar a Gyp. Rd. -Koch. i px Date Roquestedt _L Timat �j , a Addrees:1l /_A�� T �� •� �� Po�rmit `1 THE FOLLOWING CORRECTIONS ARE REQUIRED: � hater Inspector: - 1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE `r�'� call For Rainap. e PEKIIT # ACCT # DESCRIPTION AMOUNT .AMOUNT PD. BAC. DUE tj13� �fi?7 10-432 00 Building Permit Fees .'�.5 S+ Su _ C 10-431 00 Plumbing Permit Fees U G" _ l4�u, • i 1D-431 01 Mechanical Permit Fees 10-t30 01 State Building Tax (5%) Cuilding �, / Plumbing i Mechanical ._ Y 10-433 OJ Plans Check Fee Cuilding Plumbing r Mochanical P.L� ; 10-230 06 Fire ; R )-ur►xk130-202 00 Sewer Connection !�� ��� 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees _ 25-448-04 Industrial TIF Fees 1_5-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees - 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (ssoc) to_ _ 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL .fid?7Z ,8� .S O �40 t2 1 � nm/3581P..WPF INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, 01-911- 97223 Inspection Line (Rec-O-Phone): 639-•4175 Business Phone: 639-4171 Inspection: rcotii Plbg. Underslab' \ Mach. Rough-in A ppr/Sdwlk ound. Plbg. Top Out Gas Lina FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Sd. -Meeh. _ Data Requested: 3 C 1 / Time: AM / PM Address:�/T����C�j�J9 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: -------------------- Inspectors-----rt =�1 f_ � - Data: __APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE ___Call For Reinep. CITY OF TIFA RDA ./ ny COMMUNITY UEVELOPMENT DEPARTMENT ORi A MAGI ER PERMI , rt y 131P&W14d&A P.0.6=7"X1.T4Wd,0mm1pn V=(SM)639-4176 . . . . . . . I S U F'D, , 02, 13%93, :moi i L vi 0 1) t)W I HLL(J1\i k1;.-)L bi', i4iricL�- 1,. 11331)0 09b,Z(0 LiUBDIVISION. . . . VILLAGE AT SUMMER LAKL PARK 4 ZONING: R--4. 0 BLOCK. . . . . . . . . . : LO'-.'. . . . . . . . . . . . . Z133 BUILDING [REISSUE: DWELLIN(.; UNITS: 1 BASE11FIEN'T. . . . . . . . :10 s CLASS OF WOR11- *NEW DEDRMS c 4 1:iwms,3 GARAGE. . . . . . . . . .. ..4-40 7'YPE fJF* UGE. . . :SI: i'LOOR AREAS------- REL,'!IJ114ED , YPE OF CONST. g 5;N FIRST. . . . . 1568 ,f LL-.F 5 rt RIGHT. :5 ft -f t REA R. . - 4 320 4 f t ,)CCUPANCY G D. IR3 (S-E.00ND. . . 14 10 Sf F R JNT. : 13TORILS. . . . . . . :2 THI RD. . . . 0 S f RE.UUIRED_ HEIGHI.. . . . . . . . :�,+ f't TOTAL---. -- 2970 S f SMOKE DETLUTORS. -Y f=!-OOR LOAD. . . :40 P;f VALUE. . . . . 144540 PARKING SPALES— il F�emav,ksi PATH 1 PLUMBING SINKS. . . . . . . . : 1 FLOOR DRAINS,, . . . .0 BAC'KFI-OQ PREVNTRF3. . 90 ;-,AVATORIES. t3 WOO ER HEATERS. . . il 7 RAPS. . . . . . . . . . . . . :0 LAUNDRY TRAYS. . . :0 CAICH UPS i As. -10 WATER CLOGIETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . .0 ,iISHWAIBHERS. - 1 WATER LINE (ft ) . % 1@0 OTHER F I X1 .ARBAUE D.19P. . . 1 RAIN DRAIN (ft ) . :O MACH. . . : 1 3F FRA IN DRAINS. . : 1 MECHANICAL FELS f--IJEL UN 1 T H'(RS. 0 type amolint by date V,LU r-P t 'GAS/ VENTS . * . . . Q, "IF 1 1460. 00 P[-L 03/19/W MMX 'ANPUT:0 r,'(U VENT FANS. . :4 BPRI $ 1545. 30 PI-I- 03/ 19/': -," - FORN % 100K . . -.0 HOODS. . . . . . : 1 B P L G $ 354. 58 JLH 01/05/9.3 93-2235288 (:URN ) -100K . . : 1 WOODSTOYES. :0 B5PC $ 27. 28 PLL 1153/19/9:3 - FLUOR FURN. . . . :O CLU DRYERS. : I BPLC $ 15. 00 PLL 03/19/93 - BOIL/CMF C SHPIVI OTIIER UNITS-. 1 IS S D C' $ 280. 00 PLL 03/19/93 GAS OUILETSol PARK 1, 250. 00 PLL 03/19/93 Dwnpr- 45, 00 PLL 03,119/93 DUN MOR ISSETTE HOMES NPI-C 11. L5 PLL 03/19/93 - IS 555 5W BONGY RD #6:201 M'-9PL c::. 25 PLL 03/19/93 - PPRT 4 1-+0. 00 FILL 03/19/93 - LAKE OGWEGO OR 97035 P5PC a 7. 00 PLL 03/ 19/1-)3 - Phone #: 620-7538 Contr,actot-: DON rvJ0rx113SEJT-E BUILDERS, 11\1r 15555 15W DANGY RD. #C-10 I LAKE OSWEGO OR 9703t� PI-ione #: 6r:0.-.7538 Rep 35533 --------- S 3137. 86 TOTAL This ptreit is issued subject to the regulations contained in the REUUIkED INSPECTIGNS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp F0-pplAt--e Incip applicable iaws. All work will be done in accordance with approved Plost/Beam Stri.tet (jas Line Insp plans. This persit will exiif ml kis ,t started within 180 Post/Beam Meehan Inskilation Insp dayi of issuance, or if war . n 0ed `or more than 186 days. Plm/undslab Ins) Gyp Boar Tnsp � PLM/Un d e r-f I o ci t-- F'ail-I drain Insp Pet-mil:tee I- Insp Water, Line nsp ,;i gnat 1.�I PlLimb Top O�.it iAppv�,/Sdwlk Insp is ;-ti-d By , r,t-amillq Insp yv- 'Finsi Call for inspection - 639-4175 CITY OF TIGARD AJ60 SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT MOM PERM IT 13125 BW Hall BNd P.O.ft 2=7,TlWd,Ompn 07 (SW)636-4175 PERMIT #. . . . . . . . .WR93-002,4 b39--41.7 i DATE ISSUED: ITE ADDRESS. . . t 12619 SW FALCON RISE DR PARCEL 15133L)D-09600 :3UBDIVISION. . . . V VILLAGE A1 SUMMER LAKE PARK 4 ZONING: P-4. 5 R'.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . 3133 ii,'NANT NAME. . . . . . USA NO. . . . . . . . . . i F!X1 U RE UNITS. . CLASS OF WORK. — tNEW DWELLING UNITS. . -. 1 7vPE DF USE. . . . . :SF 1140. OF BUILDTNGS: 1 1 NSTALL TYPE. BJGWR IMPERY SURFACE. Remav-ksi PATH Owner: 1: LLS DON 140RISSETTE HOMES type ar .aunt by date recpt 15555 SW RANGY RD #201 PRMI $ 2100. 00 PILL 03/19/93 IN13P $ 35. 00 PILL 03/19/D3 L(AKE OSWEGO OR 970,Y", Phims? #* 620-7538 ULint race or: CUNTRACTUR NOT ON FILE $ 21 ;:,5. 00 TOTAJ_ REQUIRED INSPECTIONS his Applicant agrees to cosply witli all the rules and regulations Sewer inspection of the Unified 3swage Agency. The pervit expires 180 days froi the date issuer,. The total asourt paid will be forfeited if the pereit expires. The Agency does not guarantee the accuracy of the 51ce sewer laterals. If the sewer is not located at the smurement given, the installer shail prospect -i et it all directions frov installer the distance given. If not so loc ,Qd, . ler shall purchase a "Tap and Side Sewer" Pervit an the Agen y will irstali a lateral. Permittee Signakiti-c-, !i S,.k e(I By Cal I for insplect ion 639-4175 &) CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. z93-238031 ('HFCK AMOUNT 502P. ac-, DON NORISSETTE� HOMES CASH AMOUNT a 0. 00 ADDRESS a J5555 SW BPNGY ROAD PAYMENT DATE-' a ►3119193 SUITE #20t 9L)BD I V 161 CIN LAKE OSWEOFI, OR 970351-1 Pl,.)RPOSr-- OF PAYMENT 0M1JUNT PAID PURPOSE OF PAYMENT AMOUNT PAID IltJ—IL D-i—N—ITPE--R,-M,— 545. 50 PLUMBING PERM 140. 00 MECHANICAL PE 45. 0q, ST. BUILD PER 36. 53 Pl-F-,N CHECK FE 130. 83 SEWER USA 21010.00 SEWER INSPECT 35. 00 PARKS SDC 250. 00 STORM DRAIN SDC 2180. 01A RESIDENTIAL TRAFFIC F(FES 1350. 00 MASS TRANSIT TIF FEES 110. 00 12619 SW FALCON RISE 1.)RlVf--- LCIT 0133 TOTAL.., AMOUNT PAID — — — — CITY OF TIGA" U125 SWIMak,a. PLNCI(/RECT #� _ x08=23 9' PERMIT / /" COMMUNITY DEVELOPMENT DEPARTMENT 71pr4or"m"m (50)6394171 DATE ISSUED JOB ADDRESS: + f � -� TAX MAP/LOT 1513 3 t)rD - v S z oQ SUB: ��-� '�� } LUT: / 3 LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: T)Ln_io]Drjf2sff lk Llomr- REISSUE OF: _ ADDRESS: rJSsS S) �� fir„/'W10/ LAST REISSUE: .ad..Y FLOOD PLA I N/ PHONE: _11L_ SENSITIVE LAND: _ CONTR CTOR ,�- APPROVALS REQUIRED NAME: PLANNING: — ADDRESS: / 5 " .� 51-AJ � �^� ENGINEERING: eAY_ �� _ FIRE DEPT: PHONE: G� _' 3'� OTHER: CONTR. BOARD /: _ EXP DATE: ITEMS REOUIREO SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: j �US TAX: ARCH/ENGINEER o '?"to' CALCULATIONS: NAME: _ [ ./ �� TRUSS DETAIL.: ADDRESS: P, ne OX 1 e 3 OTHER: _ PHONE: C3 PROPOSED BLDG. USE: � �_ ��_ �• �! �- - �� COMMENTS: PLITA APNT Received By: _ Date Received: L .. � .. .. y ��C./ +.rw,�...�. , . . � r CI� OF mIGARD �3�zs Box 7.3397 PERMIT ECT # 1 �'�°a°`y'97 PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT Tprd.Orrgon9rzz; (505)639 171 DATE ISSUED JOB ADDRESS: �_ TAX MAP/LOT SUB: LOT: LAND USE: VALUATION: OWNER =IAt. NOTES NAME: REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: CONTRACTOR APPROVALS R UIRED NAME: _! PLANNING: ADDRESS: __ ENGINEERING: FIRE DEPT: PHONE: _ _�. OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONT 0 S: PLUMB: LIST/SUBCONTRACTORS: _ MECH: BUS TAX: _ ARCH/ENGINEER CALCULATIONS: NAME: _ _ — TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: —_ COMMENTS: - APPLICANT SIGNATURE y Received By: Date Received: