12721 SW FALCON RISE DRIVE-1 12721 SW FALCON RISE DRIVE
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CITY OF TIGA RD GERTIFI.A.'ATE OF'
MY*OFRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT omew PE-RMIT -008(,!
13125 SW I-Wl Blvd. P.O.Sm M97,TiriM,Oregon 9722?, 75
-----T)-nlF ISSULDn 107VP/91
::iXTE ADDRESS— n li-l-Ml SW FALCON RISE DR, PARCEL3 IS133DD-09200
SUBDIVISION. . . . a VILLAGE AT SUMMER i.-AKE PORK 4 ZOMIN0% R-4„ 5
DL(I C K. . . . . . . . . . .. LOT.
CLOGS OF* WORK. PNEW
TYPE OF W-E. . . a 5F,
OCCUPANCY GRPI. a R3
OCCUPANCY
DON monm,3,sEr,rE BUILDER"i). INC,,
15FZ-5 Gw F041-16Y RD.
0201
AKI,': OSWFG0 OR
DON moRissEvrc: BUILDERIG, 1:14C.
1!5555 SW EIA14(.',)Y W,
"P-01
LAKI.-'.: OSWLGO OR l"-,-/AJ5
1-11-1cme #I fji'@-1536
ki,el4 W. . - 35533
OCCMr)mnvy of t,--P Above vo-ferenved building is he-f-eby q.l.velt, And c4F%vtj fle�,
(Ale •..olnpliarlce w+ Ll., 'Jt" Of 0'regoll Spmciiiilty Codsn% for tll* group,
I
lecupancy, aml use amide wV11.1ch the refe-ronced poi+ljvlit waits .114cutml.
.......... T'``. ...._..•...._........... .. ._
...............
11A)IN0, INS R
,FIRE DEPARTMENT
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F,usr IN
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INSPECT ION NQZLCE
City of T39ard Build1mg Department
13125 SW Hall Blvd. Tigard, Grogan 9727.3
Inspection Line (Rjc-O-Phonj): 639-4175 Runinena Phone: 639-4171
Inspacti.on:_,_
i
Tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
i
Pound. Plbg. Top Out: Van Line FINr1Lt
Post./Ream Strurt. San. Sewer Framing ldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watcr Line Gyp. Bd. Hoch.
Date Requested:_ r'/�� rT_� Time: _ :AN
Address:_ ��7.2Z !::A `�n,l permit 1: 5F/
13u11der: 2/12
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
Ap
Date: �Z1
/U - �U
APPROVtO
0I3APPROV11D "PROM dtlbJIM TO AMM
Call Por R111Bep.
MEN MEMENINSp$CTION NO"ICS
City of Tigard Auilding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Gine (Rec-O-Phone): 639-4175 Business Phone: 639-4171
InepactJon:
__�� ---
Footing Plbr. Underalab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Ctut Gas Line FINAL=
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. 11nderf1o+ r Water Line Gyp. Bd. -Hoch. Dom,
Date Requested=— Time=
Address: «.!'.C�7"l � ermit #:
Builder:- 27
THE FOLLMING CORRECTIONS ARE REQUIRED:
tn
_.
. J
1
InspectOCI �' _._ Date: tt _2
APPROVRD DISAPPR D APPROVED fiUBJEC'r TO ABOVE
Call For Reinep.
INSPECTIol, NOTICE
City of Tigard Sul-ding Depnrtsient
13125 BM Hall Blvd. Tigard, Oregon 77223
Inspection Line (Ree-O-Phone): 639-4175 Bvst - + Phone: 639-4171 Y
Inspections_�_�—_ _ — ---_--
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam st-ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Water Lina Oyp. Bd. -Nech.
Date Requested: Time: ---Z_—#N PH
Address t
Builder: /^�� '-`J --
I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-ctore -.-----------_ --_.- _---------�: �-irs"tee —oK��-..ca/
inepn. �.
APt'ROVFD DISAPPROVED APPROJEt' SUBJECT TO ABOVE
Call For Reinsp.
MaRAMIKA
am
1NsraCTIO�( NOEL
City of Tigard Bu`lding r:-pa.rtment
13125 BW Hall Blvd. Tigard, orbg^n 97223
Inspection Line (Rec-O-Phone): 639-4175 Buainoss Phone: 639-4171
Inspectl.on:._
Footing Plbg. Underalab Mech. Bough-in Appr/Sdwlk
Found. Plbq. Top Out/ Gas Line FINAL:
Pout/Beam Strur_t. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Noah.
Date RequFsteds
_ Timet AN PM.
Address:
?t rmit eX�Z
Builder:_. ---•---
TME FOLLOWING OORRECTIONS ARE REQUIRED:
i
Inapoctor: _ � --- — Date: `'f'_e—M
ROVED DISA?F1uO'I6D APPROVED t4UBJECT To ABOVE
Call For Reinsp.
INSPEC (T K.N0TI,'A
City of Tigard Building Depnrt�eent
(3125 SK Hall Blvd- Tigard, Oregon 97223
Inspaction Line (Rec-O-Phone)s 639-4175 Buniness Pbone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in A?pr/Sdwlk
Pound. Plbg. Top Out Gas Line F7NALs
Post/Beam St.rur_t, San. Sewer Pram -Bldg.
Post/Beam Mach. Rain Draid/
Insulation 1 -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Data Requcated: T .#M _PM
Addresar 4412 Eirmit 1:�C l U lJ -
Butlderr
THE FOLLOWING CORRECTION$ ARE REQUIREDr
r'
1
Inspectors- Dater d?/,1 - 9i
-APPROVED DISAPPROVED APPROVED $OBJECT TO ABOVE
Call For Reinep.
1NSPRCPION NOTICE
City of Tigslyd Building Departsaent
1.3125 811 Bell Blvd. Tigard, Oregon 97223
Inspection L'ne (Rec-O-Phcne): 639-4175 Business Phone: 639-4171
Inspections ----
Footing Plbq. Underelab Mach. Rougt, in Appr/Sdwlk
Found. Plbq Top Out/ Gan Eine FINAL: ro
Pont/Beam struct. San. Sewer Frami.ng -Bidg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Uate Regxieeteds _Time: '/`'AM __,�PH
Addreee: / Permit #1
Builders_y�.
THE FOLLOWING CORRECTIONS ARE RRQUIRF.D%
do
/ /�
Inepectors_�' _ —� _—_ Date
,.4__,APPROVLD _ DISAPPROVED _ APPROVED SUBJECT TO ABOVR
Call For Reinsp.
Ass
�N_S_FBCTION NOTICE
City of Tigard Building Department
13125 BW Ball. Blvd. T.tgard. Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Bus ineas Phone: 639-4171
Inspection: i
Footing Plbg. Undarelab !tech. Rough-in Ap)?r/Sda,lk
I
Found. Plbg. Top Out gas Line FINAL:
Past/Beam Struct. San. Sewer �aslnq -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line gyp. Bd. -Mach.
D7ta Requested: L� L' �'7/ Tim: 7t AN PK
Addrese:
Builder: l
THE FOLLOWING OORRocTIONS ARE REQUIRED:
Ae 93-4,
i.
Inspector: _
-------------- Date: _
APPROVED PROVED �' l APPROVED 8UBJ6CT TO A(tOVR
Cali For Rainep.
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INSPECTION NOTICE
City of Tigard Building Department lj
13125 SM Ball Blvd. Tigard, Oregon 97223
Cnopection Line (Rec-O-Phone): 639-4175 Rusi-nPes Phones 639-4171
i
Inspect ion s
Footing Plbg. Underelah Mech. Rough-in Appr/F(",
Found. Plbq. Top Out Gag Line FINALS
Poet/Beam struct. San. Sewer Framing -Bldg.
Post/gem Mech. ' Rain Drain insulation -Plumb.
Plbg underfloor Nater Line G'1P• Pd. --Mech.
q
Date Aequogted• Times—__ AM
1
Address: / ?_-7,.P 1 �• y�'7E l$�? _ Permit f s Cie C,
Builders/2" At- t SL t'Tt_`____._---___ 1I
TBE FOLLOWING CORRECTIONS ARE REQUIRED: 1
— j
l
l
r �
Inspectors ---- Dates
APPROM DISAPPROVED Iu 0—ROV8D BUBJNM TO ABM
Call For Reinap.
INSPEt;TiGN N07'ICE �''l�Zs
City of Tigard wilding Derartaent.
13125 SU Hall Blvd. Tigard, Orngom 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phnne: 639-4171
Inspection: �---.� ---------- --_ ---- ------
Footing Plbg. Undarslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL=
Poet/Beam St:ruct. S..n. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
bq. Underfloor ) water Line Gyp. Bd. -Meeh.
Date Requested: Timet -2—e-1 AM PM
Addreses
Builder:_ r�
THY FOLLOWING CORRECTIONS ARE REQUIRED:
9
Inspect art —-__--- -------- Date: ---"¢--!
APPROVlO DISAPPROVED APPROVED SUBJECT TO ABOVE
ail For Rpinsp.
1I,NSP1•�fTON NOTICE
L;.~Y of Tigard Building Departasmt
13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineae Phone: 639-4171
Inspection:
Footing Plbg. IJBderslab Mesh. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Strirr_t. /San. Sewr ) Praming -Bld(►.
Poet/Beam Mech. `.Rain Drain) Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Ed. -Mach.
_-'
Date Requeetad: TSalet PN
7
Address t ";
Pereit ��—
Builders
THE FOLLOWING (`ORRF.cTIONS ARE REQUIRED:
Inspectors_1 -- - ------- — Da`e:
APPROVED DISAPP7.OVRD APPROVED SUWNCI TO ABOVE
_Call For Reinep.
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!,NSPECT I 2tL NOTICE 1 `
City of Tigard Building Depar msnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inenection Line (Rec-O-•Phone): 639-4175 BuaineaB P. rise: 639-4171
Inspections_ _ - I
Footing Plbq. Underelab :tech. Rough-in Appr/Sdwl
-/y t L 'S Plbq. Top Out Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
r
Pi". Underfloor Water Line Gyp. Bd. -Koch.
Date Raclueeted:_
/ %/ Times —PK
Addrena:_-_.`-' y =I/ 7'�:�CG.�/ �F�-s.-- Permit is _
Builder:
THr jLj OWIPG CORRECTIONS ARE REQUIRED;
Inepeator� -.. - Dates
APPROV111 —, DISAPPROVED APPRob`En SUBJECT TO ABOVE
Call For Rvinep.
HI SPEcTION N ICE r,
City of Tigard Building Department
13125 Bid Ball, Blvd. Tigard, Oregon 97223 l.t
Inspection Line (Rec-O-Phone): 639-4175 BusineRs Phone: 639-4171\y
Inspection:—_-- -- ---`--- /.�1I
Footing Plbg. Underalab Mech. P.ough-in Appr/Sdw k
Pl.bg. Top Out Gas Line PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. �-Hooch.
Date Requesteds '/ � %'�--I//J�-� 'rimei ` �_ PH
�.►+_Naa: '�.��� L i.GC:L�Y1 ���C1 Permit 1t rZ�
Builders
THE FOLL4oi1INO ODRRSCTIOHS ARE REQUIRED:
'oc3-, ...-7�?0�r:p� o'�'- r'�'4 = r�'�'b,a/cS " `27 C�✓� c S
i
CbsI/`i c u c,L v�7,,.r 7o4cZ4L_ yu P-"7.y�
�'rS ('As; L 2 �l�L /NSi�c�Gc7
Inspectors __ _s— Date:-2
APPSOM DISAPPROVBD (._ APPROVED SUBJECT TO ABOVR
Call For ltsineap.
CITY OF I'GA RD MASTER PERMIT
COMMUNrTY DEVELOPMENT DEPARTMENT PER11TT. #. . . . . . . : MST91 -008E
171 25 SW 4 1 6W.. P.O.Sok 23397,Tip W,OvW 91 (M)63941 75 1 W1,76 16fil'Fn 11- 146,41.44,90-1
':-.W FALLON DR P(%iRCEL: 1'S133DD--V192V
r(.LAGE Al SUMMER LAKE PARK 4 ZONING: R-4. 5
. . . . . . .. . . . . . . : Ir")
BUILDING
DWELLING UNITS! 1 EASEMENT. . . . . . . . :0 czf
qi W BEDRMS:& sATHS:3 GARAGE. . . . . . . . . :566 S(
(=LOOP AREAS--, REPUI RED SETBACKS--
rIRST. . . . - 1566 S f L EFT. . .5 ft RIGHT. :5 ft
SECOND. . . - I n4 D o FRONT. .-20 f t RFAR, . :39 f
THIRD. . . . :0 C;f REOU I RE-*'D----,-
' t TOTAL --- . - --1"4114 1.;f SIMOVE DETECTORS. t
n s f VALUE. . . . . $ : 16"7232 PARKING SPACES. . iO
PLUMEAING
1-1 (JOR DRAINS. ., . . -0 BACKFI.OW PREVNTRS. . :Qf
WATER HEATERS. . . ! I TRAPS. . . . . . . . . . . . . :0
i OUNDRY TRAYS. . . :0 CPT('H BASINS. .. . . . . . :0
SEWER LINE ( ft ) . :0 GRE.ASE TRAPS. . . . . . . io
WATE.R LINE ( ft ) ., - 100 (.)TV!FP F'I :KTUPEf-j. . . . . .0
RAIN DRAIN (ft ) . -T
SF RAIN DRAINS. .
�40NICAL FEES
".)NI I 1..11 R -0 1, v(if? amouq. t by d At f? 4-pc-1
VENTS . . . . . .IT TIP 1350. 00 JLH 1216/04/91
v.'.'NT FAI\K3. . . 41 )T)Dc 4 7-75. 00 Jl,.' , 06/04/141
-
HOODS. . . . . . : 1. PARK E 250, 00 !...H 06/04/91
W00DGT0V[--
-0 M P RT 45. 00 .II._;4 0 b/014/4 1
CLO DRYERS. i I MPLC 1 1. E*5 JLH 06,104/91
THE R UN175- 1 m5p(- 1 JLH 06 04/131
GAS OUTLETS: 1 PPR I I 4kj. 1{1 11 j 1._kj Lftt L14/Ll I
I PFR , INC. BPRT 4 64'1;;. 00 JLH 06/04/91
PPLC $ .;9; . 95 JLI-4 0,-,/0 4/,)1,
B5P(-- $ .0. 15 JL H 176/04/91
INC.
lt,s!ct to the regulations contained in the REQUIRED INSPECTIONS
1;1te rf C-o.. Specialty Codes and all other Foot/found Insp Gas Line Insp
t)t dore in accordance with approved Post/DpAm qtrL(C'+ IrSLIlAtiOn Ins[
F.n:-a i� work is not 5tarted within IN Plost/Ppam McGhan Gyp Boav,d Insp
t—k 1R C, lod forpor@ than 180 days, VILM/Unclev-f I uot, R.min dt'ain Insp
MeChani(7ai I-n 44 p Water- 1-1tiv 11-1�p
u
Ajjpr/S(jWik. I n S 13 r C- IJ Fv, a m uI 0 ming p � t Insp up Mochmmical Final
Fir—I liue lticp V`i u m b F i ti A I
1-a.11 far J.nspection - 639-4175
SEWER CONNECTION
CITY OFTIGARD PERMIT
C11Y0FTMRDj PERMIT #. . . . . . . : SWR91-00,96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hd)Blvd. P.O.BcK 23397,Tig",Or"on 972M(U)3)6394175 DATE ISSUED: 06/04/1)l
e: PL)UkLtDb. 12721 bw I-HLLU114 R ISE Ilk PARCEL: IS133DD-09200
jBDIVISION. . . . VILLAGE. AT SUMMER LAKE PARK 4 ZONING: R-4. 5
OCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 1229
TENANT NAME, . . . . t
USA NO. . . . . . . . . . : FIXTURE UNITS. . . I
LL.14S3':3' OF WORK. . . CNEW DWELL. ING Uill Il-TS. . ' I
IYPk UF USE, . . . . :SF NO. OF' BUILDINGS% l
I N531 AL.L TYPE. BLJSWP IMP RV SURFACE— : - Sf
We iiiark s i
Ownert FEES
DUN MORTSSETTE PUILDERS, INC. type a m o t.i ri t by date r-ec-pt
15555 SW BANGY RD. PRMT * 1500. 00 JLH 06/04/91 –
#j101 INSP $ 715. 00 JLH 06/1'AA./91 –
;..AKL OSWEGO OR 97035
Phone *: 620 -7538
fontt-actors ----__r_______.-_–__.__._____–___.
CgNTRACTOR NOT ON FILE
V,hone 1k: f 1535. 00 TOTnl-
Peg #. . C
-------- REOUIRED INSPECTIONS
T"his Applicant agrtfs to comply with all the rules and regulations Sewer Inspect irjn
the Unified %jalt Agency. The pet,tit expires l?e day: from
date issued. The total amount paid will be forfeited if the
,,ermit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not I :atpd at the Peasurtient
given, the installer shall arosoect 3 feet in all directions from
the distance Oven. If not to located, the installer shall purchase
"Tap And Side Sp"W' Permit an the g cy III all a laterj
I 4:1--mittee siqnektl_(t-
!;i.ied By
Call for- inst ert ion 639--4175
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C'IT'Y OF T I GARD — RECEIPT OF PAYMENT RECEIPT NO. s 91—P 13949
C".HEC,V AMOUNT 4640. 60
NAME MCIRRISSETTE, DON CASH AMOUNT 0. 00
ADDRESS s PFIYME_NT DATE 06/04/91
SURD I V I S I ON
PURPOSE OF PAYMENT AMOUNT PAIL) PURPO G(= OF P(AYMF:Nl' AMOUNT PAID
81.1ILE)IN[3 PERM 603. 00 PLUMBING PFERM 141A. Q10
ME.C:'HANIC;AL PE 45. 00 ^T. BUILD PER 39. 40
Pl...AN CHECK FE 303. L'O SEWER USA 1500. 00
GF WE R INSPECT ;35. 00 RES I DE NT I Al_ T RAF F I C F E L"l) 125k . 4V i
NARKS GDC L-150. 00 STORM DRAIN SDC. 375. 00
MAS; TRANS I T TIF FEES C 0Ch. 00
i
1.2701 S6J FALCON RISE j
TOTAL. AMOUNT PAID 4640. f�0
i
'2 g
SHOEMAKER'S PLUMBING INC.
.35J S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR. 97223
TO WHOM IT MAY CONCERN,
SHOEMAKER'S PLUMBING INC. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD B. SHOEMAKER PRES.
630-7728