12799 SW FALCON RISE DRIVE 12799 SW Falcon Rise Drive -
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CITYOFTIO. IRD CERTIFICATE OF
�CWOFTRIM OCCUPANCY
COMMUNRY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . i MST)1 -03030
13125 SW HWI 8W. P.O.gm 23307,Tipped,Oregon W=(Sqk6p;4I 76 \:
ISSUED3 05191
�31 TE ADDRESS. . . : 12799 SW FALCON RISC DR PARCELA 19133DD--0880(11
SUBDIVISION— — a VILLAGE AT SUMMER LAKE PARK 4 ZONINGw R-4. 5
13LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . a125
CLASS Or WORK. tNEW
TYPE OF 1'rE. . . sSF
OCCUPANCY GRID. iR3
OCCUPANCY LOADtIE17, 4
TE14ANT NAME. . .
Remarks:
Owner
DON MORISSETTE BLDERS, INC.,
11555 OW EIANGY RD
0-201
LAKE OSWEGO OR 97035
Phone #1 503-620-7538
Contracto-s
DON MORI313ETTE BUILDERS, INC.
15555 �',W BANGY KI).
#Z:w I
1..AKP. OSWEGO OR 97035
Ph-)rsip #r 680-75,38
Ron Ill. . - 3515`1�3
Occupancy of the above raforenced bUildinp is huretvy given, and cprtifjes
the compliance with the State Of Or(?t4on Specialty Codes for the grulAP,
occuparicy, and uise under which the, rL-ferpncrd prrmit was is%med.
POST IN CONSPICUOUS PLACE
Jti
INSPECTION NOTICE Lam'
City of Tigard Building Departwmt
13125 SW Ball Blvd. Tigard, Oregot. !7223
Inspect on Line (Rec-D-P!One)t 639-4175 Businefs Phonet 639-4171
Inspection:__.
Footing P1 Underelab Mech. Rough-in tpr/Sdwlk \
I_
Found. Plbg. Top out Gas Line FINALS
Post/Seam Struct. San. Bawer Framing .11dg.
Poet/Ream Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lane Gyp. Bd. -Koch.
Date Requestedt'5 — _I _ Times
Address s �1 rmit #I
His t Idor r
THE FOLLOWING CORRECTIONS ARE REQUIRED,
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__�APPROVRDipISAPP -- APPROVED SUBJECT TO ASM
(Z6.11 For Aeinsp.
INSPECTI6N N(YI10E
City of Tigard Bui`_ding Department
13125 He Ball Blvd. Tigard, Oregon 97223
Inspection Line. (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ — -- -------- -----
Footing Plbg. Underal.at Mech. Rough-in Appr/Sdwlk
Found. P1Y1. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Vraming -Bldg.
Pos�;deam Nech. Rain Drain Insulation ` Plumb.
-.
Plbq. Underfloor water Lino..�J Gyp. Bd. -Mech.
Unle Requesta2 `� 1L� _Time= AM —PH
Address: ��� l C '' l GL/� �'� Pera:it is Cl J << '_�
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Builders
711E TrOLTAMING CORRECTIONS ARE REQUIRED:
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Inspector: � Dater��4 ? t
APPROVED DTSAPPROVED APPROVED SUBJICT To ADM
Call For Roinap.
aw
INSPECTION_N-YPICS
Cf-ty of Tigard Building DepartsrxN.
13125 B11 Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Ruai.ness Phone: 639-4171
Inspection•------ ----.�_— -----
Footing Plbg. Underslab Mech. Rough-in / Appr/edwlk ,
Pound. P).bg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain insulation -Plumb.
PIN;. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: Lj L� _ T1a1et AM (ESdfL_pN
Q �y
Address s 7 �� 61l.� -L�L-l}}L C l� i 1`J9 b✓. c� permit i 1 `� '606 3D
Builders 0' t" f l`>`,3�,1��.Q (/4� 3 D�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors_
APPROVED -^ DISAP ROVED (2C70PROVKV 8MUCT TO ABOVE
call For ReRei�nnsp.
INSPELMON NOTICI*
City of Tigard Building Deppxtwont
13125 RK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171
Footing Plbg. Underelab Mech. Rough-in Appr/Stlwlk
Found. Plbg. Top Out Gas Line FINAL.:
Post/Ream Struct. San. Sewer Framing -Sidg
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line CGyp. Bd. , -Koch.
L 9
Date F-e3uaetedit - __Times AM _PM
/�� 1
AddroRn: Cl yiCr] �i 3 P� Permit sol/
Huilde:-: Djj 1,
THE FOLs,oWINO COMICTIONB ARE REQUIREDs
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Inspectors _ G/ 3
Datli,cf
!_APPROVED DIBAPNnMVD UBJECT TO ABOVR
—Call For Reinsp. {�
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9
INSPECTION NQ-TLCE
City of Tigard Duilding Department
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Tine (Rec-O-Phone): 639-4175 Business Phone: 639-4f7
Ins.-action:
Footing Plbg. Underelab Mech. Rough-,n Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Post/Betim Strutt. San. Sewer ramin't. -Bldg.
Post/Beam Mech. Rain Drain eulatlon -Plumh.
Plbg. Underfloor water Line gyp. Bd. -Hach.
Date Requesteds `� 1� Times AM PM
Address: 7� � P.:rmit ,►e,_
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
A
Inspector:. ! —------- ------ Date.. 'I
/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinar.
A
INSPEL-TjNOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Susinena Phone: 639-4171
Inapection:- — -- --- ----- -----
Foot±ng PPllbg. Dnderslab Mech. Rough-in Appr/Sdwlk
Found. Top Out Gan Line FINALS
Poet/Beam Struct, San. Sewer Framing -Bldg.
:oat/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Req-uestedt 4,1--7-- _ Tlmet AM PM
Addr4na'_ Permit it C1 --�—
c
oJet
Builder:
THE FOLUMINO CORRECTIONS ARE REQUIRED:
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Dltet �. s
Arrtt�ivFet _ DISAPPAOVlD APPBOM /DWECT To Man
_Call Por "La".
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INSPECCION_N OT ICE
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inape^.tion Line (Roc--O-Phone): 639-4175 Busineea Phone: 639-4171 1
4
Inapec tion -----_--'—
Footing Plbg. Underslab Appr/Sdwlk
Found. Plbg. Top Out (Ota Lin FINAL:
Poet/Beam Struct. Ban. Sewor Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requeeteds [; Times ___U4 PM
Addreaas , armit f t C /lL1Z
Builders—- --
TBE FOLLOWING C)RRSCTIONS Ms REDS
7`f/.- /p /�'. S/, f•o7'� /� /tel_,'.;�. c i-L-`'Z' ..
6i_7 R'o"__me. i friC -
Inspector:
APPROVLD DISAPPROVRD APPROVED SUBJRCT TO ABOVE
Call For Reinep.
,INSPECTION NO ll CA.
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:____ _--
Footing Plbg. Underalab Rech. Rough-in Appt:4dwIk
Found. Plbg. Tose Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requasted:_ 3 —9k / Timet _AM ---- .-PM
� �aaflt 4: C�i c �z'x7k
AMorons: � _
Lel.
Builder =; _ - -----
THE FOLLOMING CORRECTIONS ARE REQUIRED:
Inspectors
APPROVII) oIBAPPROttlo APPROVED SUB.TRCT To ABOVE
G1I Ior PALnep.
MRKMUIJM�K M
1
INSPECTION NOTI99 I
City of Tigarn Building Departs:ent ,.
13125 811 BAtll Blvd. Tigat_d, Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: a171.
is
I n ey,ect ion:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found.- Plbg. Top out Gas line FINAL#
Post/beam Struct. San. Fewer Framing -Bldg.
MPost/Beam Mach.1 Rain Draia Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Hoch.
Date Requested:
�1� J
Address: 1A51� `/kL. i-- Permit �t�'-�� f---
Builder: MG'( t55� 4 f�i Z(A 22 22
THE FOLLOWING CORRECTIONS ARE REQUIRED#
Inspectort.
---.-.-- Datet /7
APPROVED D)SAPFRoVED - APPPR�ED 8UwRCT TO ABOVE
Cali For Roinap.
INSPECT ON -POTICE �
City of Tigard Building Depar- t
1'125 Sw Ball Blvd. Tigard, Orxsgon 97223
Inspection Lime (Rec--O-•Phone): i39-4175 Duainean Phone: 639-4171
Inspections — _.�---- ----
Footing Plbg. Underalab troch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Pont/Beam 3truet. Sart. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Inaulation -Plumb.
flbq Undofr 1� Nater Line Gyp. Rd. -Mach.
Date Requent:eds_, / _�__Ti.s PN
Addreea:,. 1'5� -- GS rmit
Builder:
1'M FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspectors `----- _. Dates
42"MMMA DISAPPPOOM APPRObIND SUEJECT TG ion
call For Reinep.
p!SPECT ON_ NO'PIC61'
City of T!.gard Building Departaent /
13125 Brs Hall Blvd. Tigard, Oregon 97223
fr..pection Line (Rec-O-Phone)s 639-4175 Rusine, Phones 639-4171
Inspections_ ----
Footing Plbg. Underslab Mech. Rough-in App!/aft1k
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam struct. n. Rower Framing -Bldg.
r
Poet/Beam Mech. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
-^Gv
nate Requesteds - G _ Timet 4L' � AM PH
Ad•]reedt1J Permit #:
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Buil-der:
THE POLI.OWMG CORRECTIONS ARE REQUIREDs
lnnpPc!tnc / r,�i -. ---- Dater —/ I � p
APPROVRL DISAPPROVRD APPROVED BOBJNCT TO ADM
—_G11 For Reinap.
{1SrE+TION NOTICE
City of Tigard Building Department
1_''125 BN Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inapectioni- ------
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
=-P—nd. Plbg. Top Out Gas Line FINALt
Poet/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ed. -Koch.
Date Aequwetede 1� Timet ""
Rddreee• lZ�a.`� ��s�.`Drr, P.r.it #s�^bT�il-e�3g
Aui.ldevt
27 FOALLOWING OORRBCTIONS ARE REQUIRED1
/ �_
���� �,(�.r. i/[i•�tea --
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-TV /,dL✓tr/C. /IAL��
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inspectors.. _ Dato:
"PRO= DIBAPPROVBD FPPRMD BUBJUCT TO ABOVE
Call For Reinsp.
I7Y®F TIG !RD MASTER PERMIT
CITYOFTMRD F'RM T T #. , . . . . . : MST91-003C
COMMUNITY DEVELOPMENT DEPARTMENT 0116MON
13125SWAW1 Blvd, P.C.BoX23397,T1gwd,0r*W 97223 (SM)6394175
If 1. 1 :)ATE IS!;UED•, 031041,91
SW FFILCON RISE DR PARCEL: 1S!33DD-0860V'
LAKE PARK 4
Uh_.;_AGE AT SUMMED LAKE R-4. 5
i..OT. . . . . . . . . . . . . . I C"5
BUILDING
OWEL-1-UNIG 1JNI7',3: 1 BAt:3EMEN'T. . . . . . . . ...0 sf-
BEDRMS:3 BATHS: GARAGE. . . . . . . . . . :400 Is f
1:]_OOP AREAS—- R[7Ej(jl17ED SETBACKS-----
FIRST. . . . .- 1705 s LEFT. . ".21 ft RIGHT. e6 ft
SECOND. . . .-O I;f FRONT. :20 ft REAR. . -E4 fl
THIRD. . . . :0 S f FIEUU I RE D------
TOTriL - -------- : 1 /05 s SMOKE DE-JECI OR). :Y
t VALUE.. . . . . 1$ - 856 ','0 PARKING SPACES. . :0
r."LUMBINE;
F*L.00R DRAIN.`.>. . . . :0 BACKFLOW "REVNTRE. . :0
WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . :0
LAUNDRY TRAYS- -@ CATCH BASINS. . . . . . . :0
SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . ..L71
WOTEP LINE ('Ft ) . ., 100 OTHE7 PIXTURES. . . . . :0
RAIN DRAIN (ft ) . :O
SF RAIN DRAINS. . : 1
ml LIAPNICAL FELS
UNIT HTRS. . :0 type amount by date I v
VENTS . . . . . :0 PAYM 4 100. 00 JLH 02/27/91
[tTlj VENT FANS. . :_ BPR T 4. 391. 00
HOODS. . . . . . .. I BVILC 254. 15
-S.
WOODSTOVE LAtir-IF I')- 55
CLO DRYERS. I 5SDC' 375. 00
OTHER UNIT13:0 Flf)RV I 250. 00
GAS OUTLETS% i MPRT 4, 36. 00
MPL.0 $ 9. 1210
P1 DI RS. INC. M5PC $ 1. 80
PPR T $ ic'5. 00,
P5PC 1 6. 25
TIF 1$ 1350. 00
PAYM A 27t7. 75 JL H 03/04/91
01-DERS. INC.
�A
2:1817. 75 TOTAI.
jP1 C�Ibii& to the regulatiors rortained i- tit R[-_'0UIRED INSPECT TONS
,de. [tate of Ore. Specialtv Codes and all otier Foot/found Insp Fireplace Insp
PH work will be done in accoodance with approved Pocit/BeAm Stv-utzt Gat, Line Insp
wi . ear:re if cork is not started within 180 Post/Pearn Mec'han Insvlatior insp
il mv is suspended for tore th days. Plat/undslah Insp Gyp Board Insp
FILM/1.1ndev-f I oov, (;ain drain Tnsp
Mechanical Insp Watpv- Line Insp
Plumb Top Out Appr/Sdw11a Insp
Piaminq Insp MechAniral Final,
C,ill for- inspection --- 639-4175
SEWER LZ. NNECT I ON
RE:RMIT
CITYOFTIGrARD CRYPERMIT #. . . . . . . : SWR91—ibij,41
OF 111PARD
COMMUNITY DEVELOPMENT DEPARTMENT anooN
13126 SWFWIBlvd P.O.Box 23397.T;gaid,Orpcvlg7l2100"4 +4176 DPTE ISSUED- 03/04/91
ADDRESS. . . c 1 3 ,H FALCON RI JSL DR PARCEL: 1 S1.33DI`-0664,0
I. BD I V I S I ON. . . . c VILLAGE AT SUAMFR LAKE= PARK 4 ZONING: R-4. 5
V�1-OCK. . . . . . . . . . ; LOT. . . . . . . . . . . . . . 1P5
NANT NAME:. . . . . .
l�iF-i NO. . . . . . . . . . c 43190 FIXTURE UNITS. . . :
. OSS OF WORK. . . :NEW DWFLI. I.NG UlsirTl:). . : 1
V PE UE- USE. . . . . :SF NO. OS BU I LD I NGS c i
T NEST P-L TYPE. . . . :BUSWR I:MPE R V SURFACE.
Remarks:
(7wn err. ------------- -----_—__._________ .__ _____-__.__.______._ FEES —._____________
,)OIV MORISSSE:TTE BL.DERS. INC;. type amo"Int by date recpt
5555 SW BPNGY RD PRMT t 1500. 00
INSP 1 35. 00
_OKE OSWEGO OR 97035 PAYM 4 1535. 00 JLH 03/04/91
Phone #: 503 -6EO--15:38
contractor: ----------•---------------------
CONTRACTOR NOT ON FILE
-ion e #: $ 1535. 00 TOTAL
`?erg #. . .
REOUIRLD INSPECTIONS •-------
"hie Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. fie permit expires 128 days from _ _ _ _ ____._
}he date issued, The total amount paid will be forfeited if the
permit. expires. The Agency does not a_uarantee the accuracy if the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall procnect 3 feet in all directions from
'he distance given. If not so located the instI er
a "Tap and Side Sewer" Permit and th Agpnev wit.1 irst a lotera
i'-�rmittee Signat.ire ;
Call for inspection — 6.39-4175
i
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CITY OF T I UARD - RECEIPT OF PAYMENT RE'CE I P7 NO.
CHECK AMOUNT a 4P52. 75
Pdr-af11' : MOR I SSETTE, DON CASH AMOUNT t 0. 00 i
()DDR Lifii C PAYMENT DATE a 08/04/91.
SURD M S I ON s
12799 FALCON RISE DR
PURPOSE OF PAYMENT AMOUNT 3A 11) PURPOSE OF PAYMENT AMOUNT PAID
_.__...____-__ _.__.._...._._ ,)1. 00 PLUMBING PERM_
NI.IILDINa RE:RM MST91 •�003�9 "•'' 0Q►
MECHANICAL PE 36. 00 ST. BUILD PER P7. 60
PLAN CHECK FE 1 6: . f r SEWER USA 1500. k»!
SEWEE:R INSPECT :1,5. 00 RESIDENTIAL 'TRAFFIC; FEF�l 1250. 00
PARKS !SDC 51b. 00 STORM DRAIN SDC :a7 a. ON
MASS TRANSIT TIF" FEES 1 V10. 00
TOT 01- AMOUNT PAID - _ -- - > 4252'. 35
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
13125 S.W. BALL 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 ALI. PLUMBING
PERMI`PS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD B. SHOEMAKER PRES.
630-7728
jNBPSCTI011 NOTICE
city of Tigard Buildlag Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc: Phone): 639-4175 Business Phoma: 639-4171
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Inspection:_ ``� I✓��70: _ __
F-oting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Fount. Plbg. Top Out Can Line �FINALt
Post/Beam Pt.ruct. San. Sewer Framing Z_Fi,7�9_
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: _Time: _AM PM
II 1 C,,
Address: �2 11,`��1I ` � Y_L_. Permit is
Builders-IL.� Y'-��Y` �
THE MLL0WIAG CORRECTIONS ARE REQUIRE[l:
J-/L, -n' vn L►,.r t3 t
--���, �iJ D t►T'
0
Inspector:_ ---� Dater :5—L;O
"Imphown DISAPPROVED APPROVED SURJKCT Tn ABOVE '
Call For Rainap.