12689 SW FALCON RISE DRIVE 12689 SW FLACON RISS' DRTVF `
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CITYOFTIGrARD cr-RT.mICATE OF
CrIYOFTkVIND OCCUPANCY
4
COMMUNITY DEVELOPMENT DEPARTMENT oftem F`Ef,ilill #. . . . . . . c MST9 I . 008
13126 SW HWI Blvd P.O.Box 23397,Towd,0mgm 9722)(SM�63W1'30-4�,76 C-7
DRTE. ISSUED: 09/17S/91
GITE ADDRESS. . . : L2689 SW FALCON RISE DR PARCEL 15133DD-09300
SUBDIVISION. . . . s VILLAGE AT SUMMER LAKE PAR'< 4 7 F!'..'I NG R- 4. 5
BLOr-j-<. . . . . . . . . . x LOT. . . . . . . . . . . . . 111-710
Cl-ASS OF WORK. sNEW
TYPE OF I ISE. . . s SF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD 3120 4
TENANT NAME. . .
Remarkt :
C)wiier- t
DON MORISSETTE BUILDERS, INC.
1155'55 �;W BANG;' RD.
#201
LAKE OSWEGO OR 97035
Phone #: 620-7538
contrartorl
DON 11ORISSE TTE BUILDERS, INC.
ls!r,.es-o SW BANrjy RD.
t-ARF OSWEGO OR 970-15
F-hunw- Its 6,20-.7538
Rep #. . i 3TZ33
Occupancy of the above roferenctad bui ldinla L% hereby given, and certif-, ee,
L-he compliance with the 9tato Of Oreq
gon Speciolty Cadet for the group,
(occupancy, anti ume under which they refpren-_rd permit wes issued.
FIRE DEPARTMENT
PTLfTNO- 7Pf�*,CT R
BU 1)1 NC-, SAI`F
P051 IN CONSPTCUOUS PLACE
INSPECTION NOTICt
City of Tigard Building Depart3wnt
13125 SM Hall Blvd. Tigard, Oregon y:223
Inspection Line 'Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _,
Footing Plbg. Underslab Mech. Rough-in Appr/Swlk
Pound.
Plbg. Top Out ,as Lina FINAL:
Post/Beam Str•uct. San. Sewer Framing Bldg.
Post/Beam Mach. Rain Drain Insulation ✓ -PIUML
Plbg. Underfloor Nater Line Gyp. Bd. (�-1let7hi�
Date Requested: .7&—Pm��� ---�
Address:
Builder:_LOA
THS IOLLowINo cORRRCTIO11S TAR RRQUIRRDs
ba 9z
- v
Inspectors Dates
s
APPROVRD DISAPPROVR.T) ROVrn SUBJRCT TO ABOVE
Call for Reinsp.
to
INSPE _ION NOTTCE
City of Tigard Building DepartlMot
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Re---O-Ph 639-4375 Business Phone: 639-4171
Inspections
Footing Plbli/Underslab Mech. Rough-in Appr/Sdwlk
L __x
Found. rlbg. Top Out ,as Line FINALi
Poet/Beam Strutt. San. sewer Framing -Bldg.
Post/Beam Mech. Raln Drain Insulation -Plumb.
Plbg. Under loor Water Line Gyp. Bd. -Hach.
- �-
Timmins AH PN
Date Requesta.ds
Address:1�_
Permit #8 2L1._.G L,[ F
Builders _
THE FO LOWING CORppCTIONS ARE REQUIREDs
Inspaotot .� Dates
//r s��,��
1
(-}J wPROVED DISArP n APPROVED SUBJECT TO ABOVE
Com' Call For Rainsp.
INSPECTILn NOTICE
city of Tigard Building Depsrta t /
13125 UP Ball Blvd. Tiqard, rregou 97223
Inapecti,on Line (Rec-O-Phone): 639-4175 Buain--a _none: 639-4171
Inspeci.ion:—___
Footing Plbg. Underaleb Meer. Rough-in Appr/Sdwlk
Found. Plbg. Top Chit Can Line FINAL:
Post/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb.
Plbg. Underfloor (/Water Line Gyp. Bd. -Meth.
Date Requested:. ! / Times %M PM
Addrenn: ... � Vt.4rt�7/ J�'LC0 == Permit
Thu i lder s
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_ /� --� _ _ Dates
APPROVRD T^ rISAPPROVED k APPR(n:iu SURJECT TO ABOVE
_—__Call For Reinap.
[NSPECPION NOTICE
City of Tigard Bui.ld1mg u-partnent j
131.25 SW ball Blvd_ Tigard, Ot%jon 97223
Inspection Liae (Rec-O-Phone): 639-4175 Busineae Phone: 639-4171
Footing Plbg. Underslab Hoch. Rough-in ( Appr/Sdwlk~
Found. P1bg. Top Out Can Line FINAL:
Poet/Beam Struct. Gnn. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plby. Underfloor Water Line Gyp. Bd. -Mach.
Data Requestedt ~�- Time: AM �_PM
Addrenat Z(D 1 Permit #t l az
cl
Builders — 4
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
L4 C
1
i
Innpector:.� `t Datet - }V e��
__._APPROVED DY8AP['POVt . P""D 8
118
JECC TO ABOVE
Call For
R�ainsp.
INSPP:CT�ON NOTICE
City of Tigard 1ailding Department
13115 SW Ball Blot. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639--4175 Buei.neee Phones 639-4171
Inspect i-on t
Footing P1139. Underelah Hech. hough-i Appr/Sdwlk
Found. Plb9 Top Out ` Cas Line FINALt
Roe._;;eam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rair Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Hoch.
Dutp Requestedt r`y� ----�-- Times AH PH
.emit tt_�1'�—UU -/
Buildor:_
THE FOLLOWING CD U=IONS ARE REQUIRED:
Inspoetort'- �
-- Datet
APPROVED DIBAPPROVRU APPROVED SUBJECT TO ABOVE
Call For Rsinep.
ys
IlISPECTION NOTICE ��
City of T1.9ard 9uilding Dwpartment
13125 SN Ball Blvd. Tigard, Oregon 97723
Inspecti-)n Lina (Ree-O-Phone)s 679-4175 Business Phone: 639-4171
Inapect.ion:--.--- --------—
Footing Plbg. Underslab VAch. Rtx.gh-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. S-in. Sewer C Praetitlgl -Bldg.
ti
Poet/Roam Meeh. Rain Drain Inaulaticn l -Plumb.
Plbq. Underfloor water Line a". Md. -Koch.
Da!P Requestedt__/
Address: W ==L7 ^s1Dit
Ruildert �7 —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IRSpeCiOi! Dates
APPROVlD DISAPPP40M APPROVED SUB.TECT To AnnVE
Call For Re)nep.
I_NSPEC_T_ION NOTICE
City of Tigard Building Departsent
13125 SW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Uuniness Phone: 639-4171
Inspection:
Footing Plbg. vnderslab Mech. Rough-in Appr%Sdwlk
�TopFound. lGas Line FINAL:
Post/Beam Strict. San. Sewer Framing -Bldg.
i
Poet./Beam Moch. Rain Drain Insulation -plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Datp Requested:. 2—_2� _ -filmes AM PM
Addreis:„�/, ' / ) ermit 1: Cfz` 6rz)
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- F
Inspector:
9LAPPROM DISAPPROVED APPROVED SUBJE^T TO ItSM
(((7 —Call For Reinap.
AIRM
INSPE_Cf10N NOTICE
City of Tigard Building Department
13173 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusinees Phone: 639-4171 /
.t d
Inspection:_
Footing Plbg. Underelab Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
'�/lBae Struat. San. Sewer Framing -Bldg.
CPost/Ream Mech.) Pain Drain Insulation -Plumb.
Plbg. Underfloor Fater Line Gyp. Bd. -Meeh. Q
i
Date Requested:_ Times AM ��TPM
Addrena: 4�) '—'= 6Z�--� Permit
Rui lder:jQ 't l�
THE FOLLOWING CORAEI'TIONS ARE REQUIRED:
61 l., .Sc]1.%-r -,-b
ter' lit!
,,v 1, /�' ;.min,w4!� (d i 4,1-- lea uiL -Su t
Aa r
Inspectors /---�--�-y `9--?1-
// /
APPRO*,ISD DISAPPROVED " APPROl:1SD SUMMPT To ARIVE
Call For Reinap.
1
1
NG - IO--r-ca- Gam' !r/
City of Tigard Building Department
13125 SM Hall B1v%1. Tigard, Oregon 97223
InspErctl.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 j
i
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
post/Beam Strtact. 8an�t� -Bldg.
9•
Poet/Beam mech. ` AaIn Drain Insulation -Plumb.
Plbg. Underfloor `Nater Lina Gyp. Bd. ^-Hoch.
Date Requestedt Timet AN
Address: "Plrmit
' L
Builders
THE FOLLOWING UORRECTIONS ARE REQUIRED:
evInepectortl / —' Dates `��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
IN5PFCTIUN NOTICE l;�
Pity of Tigard Building Dorartaent
13.125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O--Phone): 639-4175 Businene Phone: 639-4171
Inspections
Footinq Plbg. underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg- Top Out Gas Line FINAL:
Post/Ream 3truct. Sen. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
1,P bg. Onderfloo?• Nater Line Gyp. Bd. -Mech.
Date Requested:_ 1'ime
t PM
r
Addreset . Permit #s -�Z)G i7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspectort '"���-''�_, t ate:_-/ ---i-----
�7
�( APPROVED _ DISAPPROVED APPROVED SbgJECT TO ABOVE
��TT
call For Reirep.
INSE.KiCTICk NOTICZ
City of Tigard Building Depnrtav-_at
13175 SW Hell. Blvd. Tigard, Oregon 97223
Insr'tction Line (Rec--o-Phone): 639-4175 Busi-n_ v Phone: x.39-4171
Inepectiont---•------Footing Plbg.Plbg. Underelab Mech. Rough-in Appr/Sdwlk
o::nd Plby. Top Out Gas Line FINAL:
Poet/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
Date Requested: 7_ _'""� ,Timet /_�AM PM
It���
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
lr: 4Z-7
'T C -�UrLti w.
e_
Inspector:_ _—_-. _--- �__-- Datet__J-
(-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
i;
i
F.
MASTER P,ERmj,r
CITYOFTIFARD CRY P.-RM iT M'73T 1i
COMMUNrTY DEVELOPMENT DEPARTMENT4AIIIImm M
13125 SW�UJI RWI . P.O.Box M. 97,TigsM,Or"m 97223(6103)e.3&41 75 ;7' DATE ISSUED- 06/25/91
17 SW FPI_=N RV3E DP
,:.)I T E A D I)RZ E S3 8 9 0 PARCEL-
SUBDIVII-3310N. . . . : VILLOGE AT SUMMER LAKE PARK 4 ZONING- R--4. 5
!3LOCK. LAIT. . . . : 1 30
BUILDING ...... ----
i S'-' DWELLING UNI P._i.- I. BASEMENT. . . . . . . . : 0 f
CLASS OF WORK. NE14 BEDRMS:4 SATHS:2 GARAGE. . . . . . . . . . :440 sf
TYPE OF USE. . . :SF FLOOR ARE(,S- PEOUI RED SETRACKS-
TYPE OV CONST. :5N FIRST. . . . ?, 1940 sf LEFT. . :6 ft RIGHT. .- I@ ft
OCCI-IPANCY GRP.'. : R3 SECOND. . . :Q, S f FRONT. :i?0 f t REAP. -'3 f!.
LiTURIES. . . . . . . . I THIRD. . . . .-O S f HEIDU I
HEIGH7. . . . . . .. . :20 1=t TOTAL.--- -- - - ,-, 1940 _-f SMOKE PETEC.TOR'73. -Y
'-LOOR LOAD. . . . t40 osf VALUE. . . . . $ : 47160 11:1'4�KING SPACES,
!,'c-:d--i r,k s -
PLiJMFJNG
I NI,S. . . . . . . . . . : 1 FLOOR DRAINS. . . :0 BACKFLOW 'PREV11TRS). . :0
_AVPT0RIE1_:z. . . . . *2 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . ..0
1'0LA/r3H0WLHC3. . . . :c:' LAUNDRY TRAYC-. . . :0 CATCH BASINS. . . . . . . :0
W(4_TFR CLOSETS— :2 SEWER LINE ( +'t ) . :@ GREASE TRAPS. . . . . . . :ef
1)1 SHWA5HERS. I WATER LINE ( ft ) . 11110 oTHrR F.,i xTURF-.;. . . . . .0
)'ARHAGE DISP. : 1 RAIN DRAIN (ft ) . a@
SHING3 MACH. . . 11 SF RAIN DRAINS. . : 1
.- -------- MECI-IANIC(-)[- --------------- FEES
UEL TY('LG-- UNIT HTR'3. . :0 tvPFI mmol-Int t)y, date ro'cpt
/Lips/ VENTS . . . . . .CA T 7 F ' 3tokA, 00 JLH Ob/?b/9 1
MAX INPUToO kA 1 0 VLVII 1-1-41'Vi, . : _5 L4 I.-I R T 4 E,I,. Ii,v J I-H 0 6/,=,7/'ii
!`URN ( 100K . : I HOODS. . . . . . : 1 FPLC $ 277. 55 JLH 05/15/91 213279
1RR11,I N =100K . -0 WOODSTOVE9. -0 P5,PC 1. 21. , 3!5 JI.AA 06/,"'5/c) 1. --
VLOOR FURN. . . . i0 CLO DRYERS. : I 1,33SDC, $ 375. 00 JLH 0E .'v/91
I-10IL/r-Mr., 3HP:0 OTHER UNIT S- 1 PARK S 1250. 00 JI-IA 06/;::,5/^ 1'
GAS OUTLF.`TS- I MP R T S 40. 50 JL.H 1�6/25/141.
W. I � JLH IA b c"i
L)UN MORISSETTE BUILDERS, INC. M5PC $ 2. 03 JLH 06/25/91
15555 73W SANDY RD. PPRT $ 117.. 1 t0 JL IA @6/,='5/91
4201 P5PC $ 5. 88 JLH 061E5/91
AKE OSWEGO OR 970,35
.,hone #: 62LA-75313
ON IVIORI'3SETTE SUTI-PFARS), INC
15555 SW RANGY RD.
41-o I
JAKI' USWEbt) UR )7035
,honor 6FO-P5313
t, 2376-, '_14 TOTAL
-his permit is issued subject to the regulations contained in the REUUIRED INSPECTIONS
Tigard Ihmicipal Code, State of Ore. Specialty Codes and all other Foot/fol.ind Insp Fireplir--p Insp
applicable laws. Ali work will be done in accordance with ooproved Post /Spam St rk.tCt Gar, Line Insp
plan;. This permit will expire if work is not started within 180 Post/Beam MPL-han InSUliEltiOn Insp
days of issuance. or if work is suspo +ar r- than 80 days. DIM/Undslab Insp Gyp Boarcl Insp
;
Un(J e r f I a o r Pain irain 1 yi to 0
I.T)',P Water Line Insp
L UAI
3 C
�J �Aumb Top DI.tt Appr/Sdwlk Insp
d F,v 1-W-iminq Insp c.11,1111 t7 iA I F i
CPI for inspection -- 639-4175
CITY OF T GA RD SEWER CONNECTION
PERMIT
CnY RD -ERMIT #. . . . . . . : SWR91-009b
COMMUNITY DEVELOPMENT DEPARTMENT COMM
13126 SW Hall Blvd. P.O.Bow 23307,Tlgardl,Oregon 97 (6W)&194175 DATE ISSUED: 06/25/91
j. -,6t3,j cjw F14L1AJ114 H1 SE Dry PARCEL:
,,I I 1-AGE AT SUMMER LOKE PPfRK ZONING: R--4. 5
LOT. . . . . . . . . . . . . : 1:30
FIXTURE UNITS. . . i
NF'W DWELLING UNI I-S. . : t
NO. OF BUILDINGS: I
Y1 BUSWR IDIFFER V 15URFACE. : Isf
FEES
TT- . 1?(JILDERS, INC. type 'Amoo-It by date recpt
F�rIF,16Y RD. PRMT $ 1500. 00 JLH 06/25/91
INSP $ 35. 00 JLH 1116/25/91
OP 970,35
J,3 El
In
(- ILE.
t535. 00 TOTAL
REQUIRED ",NSPECTIONS
-,-t io-fes tc -ov.vly with all the rules and regulations Sewer Inspection
PAaae Plgency. The permit expires 126 days from
"be Ictal amount paid will be forfeited if the
The agency dotes not guarantee the accuracy of the
it val's. If the sewer is not located at the seasnremo?pt
—ttAiller shall prospect 3 feet in all directions from
givFn. 1% not so located, the installer shall Durchaie
qi�,e Serer" Pe-vit and the Acency will install a lateral,
0 U.
Cal I f n r inspect ion 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RFCEIFST NO. P91-214694
CHECK AMOUNT t 4311. 94
NAME MPR ISSFITE, DON Cf4SH AMOUNT a 0. 00
ADDRESS t PAYMENT DATE t 06/25, 91
SUBDIVISION
PURE-10(3E OF PAYMFNT (-)MO(JN'f PA 11) PURPOSE. OF PAYMENT AMOUNT PAID
BUILDING PERM 4,27. 00 Pl-UMBINCS PERM 117. 50
MECHANICAL FIE 40, 50 ST, SUILD PER 29. ec,
Pl.-AN CHECK FIE. 187. 68 SEWER USA 1500. 00
SEWER INSPECT 35. 00 RESIDENTIAL. TRAFFIC FEES 1250. 00
PARKS SDC -.'50,, 00 STORM DRAIN SDC 375. 00
MASS TRANSIT TIP FEES
126A4 SW FAI-CO14 FA I SE
TDTAL AMOUNT PA I D 431l . 94
CITY OF TICARP RECEIPT OF PAYMENT RFCEIPT NO.
CHECK AMGIJN*f 100. 00
NAME MOR TS133F.TTE, DON (.',ASH AMOUNT c 0. 00
ADDRESS PAYMENT DF4"rE 05/15/11
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID 1-1JRPOSE OF PAYMENT AMOUNT PAID
100.00
12689 SW FALCON RISP. DR,
I
1'0-f Al.. AMOUNT VAID 100. 00