12921 SW FALCON RISE DRIVE-1 :•�,w.w.wy.yruwra..+�:�.:;.,,:wir,,�yy�f,wr;..ai�a�uiisNae� WwwdwitlrAW:Yw.tiuu;wiw:�.a�ualwt+dx'Y�IJ�+&ivwWnitir+n�:✓dui3�iWiNktll�liGbriawAt'6lBiaRi9)n�E'dw.:w�.w.tti.H;ajyiisu .� ,.
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1.2921 SW FALCON RISC DRIVE;
ass wn w 'aw ,low, NMI IMF %I
"'ERTIFICOTE OF
Colkol T my OAF T'��RDC.i1YOF11NOCCUPANCYM� PERMIT #. . . . . . . : MS) 92-0041
COMMUNUY DEVELOPMENT DEPAWMENT
13126 SW HWI Blvd. P.O.Box 2W97,Tiqwd,Oro�w 97223(SM)0304175 DATE Iq-SUFI.Dv 08/10/9P
it;:92i "W f-t,iL(,UW Rll-A- DR VIARCEI-s I5133DD-157011h
,30DI)J 1)1 fli 1014. . . . a VILLOOF OT SUMMER PARK 5 ZONT1031 R-4. 5
. . . . . . . . . . o L.07.. . . . . . . . . . . . . 0193
. .........
CLASS OF WORK. xNFW
TYPE OF u6F. . . sr
OCCUPANCY ORF". *R3
OC"UPnNCY 4
TENANT NAME. . . r
Remarkmv PATH 1
Owners
DON mc.)Rv'.,,.jscr"rr. BUILDERS, INC.
15555 SW BANSY RD.
02101
LAKE OSWEGO OR 970,55
Phone #o
Lontrartors
DON MORISSFTTE BUILDERS, INC.
15555 SW SANDY RD.
#Pei
LAKE OSWFC'sO OR 9701.'-!!
Phone #1 ('20-75,36
Rem #. . 1 35533
Uct-opancy of: the ahove referenced hl.01ding It, her olly Divan, and certifies
thvl compliance with the 13tate Of Oregon r4pecialty Gode!3 for the qrlup,
Occupancy, and ttme iinder which the referenced permit was issited.
FIRE DEPAR'TMFI\17' L.-DING INSPRL.WR
Pu.-il IN CONSPICUOUS t-*,1-0(:F
A A#
INSPECTg,ON�"�1�ICE
City of Tigard Building Department.
13125 M Ball Blvd. Tigard, Oreqon 97221
Inspection Line (Ree-O-phone): 639-4175 Bun'-neon Phoie: 639--4171.
Inspection:_
Footing Plbg. Underslab Mech. Rough--in Pppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet./Beam Struct. San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation plumb.
Plbg. Underfloor Water Line Gyp. Bd. < -Mech J,
Date Requested: �� G� Z Tom= AM PM
Address:
ermit �s�_� Q
Builder:.-�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ALL -L•. L-:l frC.�W Vl, y'!t A .fT b .�.� +J �-'(�'"��"✓�
Inspector: Dates
APPROVED DIBAPPROVED APPrMn BIIWIM To AMU
__call Far MaLnep.
INSPECTION NOTICE
City of Tigard Building Depnrnt
131:5 SM Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__---_-• -�---.._�__ __ .-------
Foot ing P1bg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: 3
?oat/Beam Stru.:t. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Sd. -Mech.
Time: _AN PM
Dato Requesteds _ ---
Add. sass �-L.G'Yl_1� ermlt
Builder — �— —
TNM FOLIQWING CORRECTIONS ARE REQUIRED:
Inspector: --� / ✓� Dates
�/__ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
call For llein"p.
IN6_PF_.CTION NOTICE
City of Tigard Building neparts int
13125 OF Mall Ellvd. Tigard, Oregon 972.3
Inel_``:..n bine (Rec-O-Phone): 634-4175 Buni +eee 11iom: 639-4171
InepectLonz___—..__
Footl.g I-bg. Underslab Mech. Rough-in _ Appr/Sdwll�
Found. Plbo-. Top Out Gas Li:in FINAL-
?oat/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain IneulatLon -Plumb.
Plbg. Underfloor Water
Line Gyp. Bd. -Mech.
Date Requested- _ 'i /% Time- _ _
Address: 1 Permit #_ �
THE FOLL.=1WING CORR-.CTIONS ARE REQUIRED:
4 1-7L —� _ — ------ _
_
Inspector:__(
APPROVED DISAPPRO APPROVaO SUB.IECT Tin ABOVE
call ftr 11ainep.
INSPECTION NOTII_E
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:' —- - -- ------ ------
i
Footing Plbg. Underelab Hoch. Rough-in Appt/adwlk
Found. Plbq. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Hoch.
Date Requested: Tiost AH PH
Address•, ��. ��Permit #z2,9
Builder:
THr FOLLOWING CORRECTIONS ARE REQUI t
Inspector: Dute:
APPROVED DISAPPP,OVF.D kPPROVED SUBJECT TO ABOVE
Call. For Reinap.
INGMTION NOTICE
City of Tigard BuildAcg Department
131.25 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-J-Phone): 639-4175 Busineas Phone: 639-41
Inspection:
Footing Plbg. Undarslab Much. Rouch-in Appr/Sdwlk
Found. Plbg. Top Out Gas Llne FINAL:
riot/Beam Struct. San. Sewer �Framiag -Bldg.
Post/Beset .4eeh. Ruin Drni.: (^ Insul:rion -N.umb.
Plbq. TInderfloor Water Line Gyp. Bd. --Hoch.
D.:te RoqueoteO: Time: --AH PH
Addresseit
_.
THE 1FOLIOWING CORRECTIONS ARE REQUIRED:
Inspect or: 5w' =.>a— -- .-- ----- -- - Dates �i•
___ APPROVEU _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For ReinsP.
INSPECTION NOTICE
City of Tigard Building DeImrtment
13125 BN Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 nusiness Phone: 639-4171
Inspection: ---------,—��—
Footing Plbq. UnderslahMech. hough-in Appr/Sdwlk
Found. Plbg. Top out Gas IIne FINALS
Poet/Ream Struc.t. San. Sewer i-ng -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -M h•
Datil Requested: �G, Tc Timz
Addreen:� `[ / .fr�L Permit
Bu i 1.der:.� //L 1
THE FOLLOWING CORRECTIONS ARE RXQ $D:
i
Dates
Inspector: _-�—
l APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSU CTION .NOTEZE
Citv of Tiyarsl Bui,iding Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rer-O-Phone): 639-4175 Businakis Phone: 539-4171
f
inspa�ctions _.__._
Footing Plbg. Underalab � Mock Rou� Appr/Sdwlk
Found. Plbg. Tap Out Gas Line FINAL:
Post/Beam struct. San. Sewer �- Framing -Bldg.
Poet/Beam Mech. Rain Drain Tnaulation -Plumb.
Plbq. Underfloor Nater Line Gyp. ad. -Mech.
Date Requeoteds 7 —/ _Times _AN PA
Address:..
omit 1 s
Builders
THE FOLIGWINO CORRRCTIONS ARE nEQUIRED:
inspe tore_ Date:
_ APPROVEL `_ DTS;.PPROVRD APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard. .)rogon 97223
Inspection Line (Rec-o-Phone): 639-•4175 Rusiness Phone: 1•39-4171
�Footing Plbg. Underel.eb Rech. Rough-L, Appr/Sdwlk ri
Pound. P1bg. Top Out /Gas Line PINALt
C �
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Ream Ner_h. Rain Drain Insulaticn -Plumb.
Plbq. ,nderfloor Tr Line Gyp. Ed. -INOh.
Date RequebtedtTimet AM —PH
Addross r__ t^ Z�4�ffiG� Permit #t `>
Builder: C-L
THE POLLOWING OORRECTIONS ARM RJR. r .D:
L -
i
_ -
Inspector:_-- _—_ --- Data----
"PROM
ata: --"PROM R�DI611PPAO"D APPRMED SUBJECT TO KBOVE
t_—Call Por Reinso.
INSPECTIQN NOTICE
City of Tigard 9ni)dirng Depwrt-0ent
)3125 M Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)= 639-4175 Business Phone: 639-4171
Inspection= e— -- — -- — - _--
rootingPlbg. L'nderelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
�ost/seas Struct. San. Sewer Framing -Bldg.
lain Drain insulation -Plumb.
Plbq. Underfloor Mater Line Gyp. Bd. -Mech.
_ Z � �
Date ReAl�quosted: ter__ Ti=GalFA'`'✓` _. __-PM
_
Ait 71Y
Address: jig-
Guilder=
TBZ POI.LOWIIIG 00Rpj=101jS ARE REQUIRED=
a
r _C' 4x_`-3_1 _tom A
40
i
Date-
inspector
- �—---
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_V .Call Por Reinap.
;o
0
I
INSlECTION NM—CE '
Citv of "igai-I Building DapertgMut23
13125 8N Ball Blue. Tigard, Oregon
Inspecti. .l Line (ReC-O-Phone): 639-4175 6uainess Phone: 639-4171
Inspection:_ _--- — ------
Foutf.nq
pibg. Underelab mech. Rough-in 4ppr/SdwLk
Found. Flbg. Top Out
C.as I.A ne FINAL$
' San. Sewer ra -slag.
po /gem straot.
at�Be� N h Rain Drain
I la*io� plumb.
' -Mach.
p1 Qnderfloor Water Line GYP• �•
__�/ ��-- Tiro$ 1►Msrn
Date Requested[ -
1►ddzaae:
Permit #f
A
Duilder�,��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inape.r..�rt
APPROVED DISAPPROVED APPROVF.D SUBJECT TO ABOVE
Call Frr Reinep.
INSPEMI-0-1SUTLCR
city of Tigard Building Depnrtaant
13125 8% Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phoned 639•-4175 eueiness Phones 639-4171
Inspection:_ ---
Footing Plbg. UnderLlab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALt
Post/Beam Struc_t. San. Sower Framing -Bldg.
Post:/Bsam wench. Rain Drain Insulation -Plumb.
P1bq. Undetfloor Water Line h Gyp. Bd. -Nech.
Date Requou'.0d:__ &'.AM --PH
Address:
Builder:L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7
Inspector: L-- Date:____I
, APPROVED - DISAPPROVED --- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
�NRPBcTION NOTIC@c
��,•?Y
city of Tigard Building 1kq-rterr-nt
13125 fill Ball Blvd. Tig,+rd, Oregon 97223
Inapection Line (Rec-O-Phone)s 639-4175 Buaineea Phone: 639-4171
InspectLon:--_. --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas L1.ne FINAL:
Post/Beam Struct. (San. Sewer Framing -Bldg.
Pnst/Beam Mech (:Ba—in drain insulation -Plumb.
l
Plbg. Underfloor tar Lion Gyp. all. -Meeh. l
Date Requested:_ ✓ Z =W4—TimetAddress: -2q Z.-� � c 7^ Permit #f.,
Builder:-
THE FOLLOWING cORRECTIONS ARE REQUIRED:
Inspector: --— Date- Z
APPROVED DiSAPPROVPD Al^ROVED SUBJECT TO ABOVE
Call For Re'.,nsp.
INBP%CToH NOTics
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Insp.�ction Lino (Roc-O-Phons): 639-4175 Business Phone: 639-4171
Inspectinn:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
laund. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct, San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Koch.
Date Roquested:�_ �� Time: /1-- Pit PM
'Z Addrysa:� ' ermit ft =rte
THE FOLIMPING CORRECTIONS ARE REQUIRED:
Inspector: /
APPROVED DISAPPROVED APPROVSry SURJRCT TO RROVE
C�11 For Reinep.
Cin O Ties RID
7CflY0'FT 6 1 D MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . .
13125 BW HWI Blvd. P.O.Bac 23397,T%pW,Oregon 97 (603)6394175
0 2i 4) _! I?I t r1IT170 I niStIED 4 V,
X71 TE ADDRES15- . . .. 12.921 SW FALCON RISE DR PARCEL: 1L;133DL-15700
SUBD I V I S I ON. . . . : VILLAGE Al SLIMMER LAKE PARK 5 ZONING: R--4. Fj
BLOCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . : 1?5
BUILDING
REISSUE: DWELLING UNIT5: 1. BASEMENT. . . . . . . . :0 sF
CLASS OF WORK. iNEW BEDRMS:3 BATH5:2 GARAGE. . . . . . . . . . :417,0 sf
TYPE OF LIGE. . . :SF F=LOOR AREAS–------ REQUIRED SETBACKS--_....__--.__
1 YPF
FTBACKS-----------
VYPF OF' CONST. :5N FIRST. . . . -231,li sf LEFT. . :5 ft PIGHT. e5 ft
OCCUPANCY GRP. - R,-.11 SE.COND. . .. :0 sf FRONT. :2:0 ft REAR. . .'32 ft
STORIES. . . . . . . : 1 THIRD. . . . :0 sf
HEiGHT". . . . . . . . :24 f t TOTAL-------v2,_' -6 sf SMOKE I)ETFCTORS. :Y
LUOR LOAD. . . . :40 psf VALUE. . . . . $ : 113736 PARKING SPACES. . :0
!,emavks : PATIA I
---------------------- ----------- PLL4BING
TNKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
L.AVFOORIES. . . . . :2 WATER HEATERS. . . : 1 'r RAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. - . !0 (.,Al'(".H BA�-.3311\15. . . . . . . :V1
WATER CLOSETS-2 SEWER LINE (ft ) . -0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISF-,. . . : l RArN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAA'NS. . : t
----------------- MECHANICAL --------------- FEES
FUEL UNIT IATRS. . :0 type iimol.int by date I-ecpt
/GAS/ VENTS TIF $ 1380. 00 JLH 04/30/92
MAX INPUT-0 BTIJ VENT FANS. . SPRT $ 46(:i. 00 JLH 04/30/9E
FURN ( 100K . . iO HOODS. . . . . . : 1 BPLC $ 304. 20 JLH 03/12/92 224511
FURN )-100K . . - I WOODSTOVES. :0 115 PC $ 23. 40 JLH 04/30/92 --
FLOOR FURN. . . . :0 CLO DRYERS : I SSDC $ 280. 00 JLH 04/30/9?
BOIL-/CMP ( 3HP:0 OTHER LINITS:0 PARK t 2:50. 00 JLJA Ilo4/30i92 -
GAS OUTLETS: I PPRT $ 12`,. 00 JLH 04/30/92
Owner: P5PC $ 6, 5 j1_H 04/30/92:
DON MORISSETTE BUILDERS. INC. MPRT $ 37. 50 JLH 04/30/92
1.55555 SW BANGY RD. MI:)1_(_ $ '). .3b JLH 1A 4/35 0/9 2
#Eel M5PC $ 1. 68 JLH 04/30/92
LAKE OCSWEGO OR 97035
Phone #a 6L'0-7538
Contractor:
DON MOR lSSE:TTE BUILDERS. INC.
1.5555 SW UANGY RD.
#201
L.AKE* OSWEGO OR 97035
PI-lone #: 620- 7c.i38
Req #. . - 35533 ----------------___--------
t Z,889. 6 1 TOTAL
This permit is issued subtort
tort to the regulations contained it, the ------- REQUIRED INSPECTIONS
',xgard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fit-evlace Insp
applicable laws. All work will be dale in accordance with approved j,ost/Bpam c3ty-i.tet Gas Line Tnsp
plans. This permit will expire if wore is not started within 1% Post/Beam Mechan Insulation Insp
days of issuance, or if jrk is suso than 180 days. Pim/1-indslab Insp Gyp Boat-cl Insp
PLM/LJnder,flonr Rain drain Insp
pet-mittep Mecliaiiical Insp Watev, Lj.ne Insp
Pli-tmb Top Out Appt-/Sdwlk Insp
ssi..ted Bv : Fv-aminq Insp Me0tanical. Final
Ca-11 for inspection – 63'9-417(5
CITY CNTIGARD SEWER CONNECTION
(Cc ff YA'i F��Twwa i w PE:RM I T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . c SWR92-0102
13125 SW Hd Blvd. P.O.Bm 23397,TtPW,Ompn grM(503)M-4175
�DZ71-41 rr--- —=1 E 7j73uLv--T=,+ 7079E.,
P"IDRESS. . . . 1c-:921 SW FALCON RISE DR PARCEL: IS133DD-15700
5UBDIVISION. . . . .. VILLAGE AT SUMMER LAI-1,E PARK 55 ZONING. R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 193
IENANT NAME. . . . . :
USA NO. . . . . . . . . . s FIXTURE UNITS. . .
CLASS OF WORK. . . :NFW DWELLING UNITS. . : 1
I YPE OF' USE:. . . . . :SF NO. OF BUILDINGS- 1
INSTALL TYPE. . . . BUSWR IMPERV SURFACE. . : f
1•iemarks.- PATH I
Owner: FEES
DON MORISSETTE BUILDERS, INC. type amol-knt by date recpt
15555 SW BANDY RD. PRMT $ 1900. 00 JLF1 04/30/92
#R01 INSP $ :5. 00 JLH 104/30/9,2
LRKE. OSWEGO OR 97035
Flhcne #. 620-75.36
t-(jilt ract Or:
FOATRACTOR NOT ON I J1..F
Phone #: $ 191-35. 00 TOTAL
Rep
REQUIRED INSPECTIONS
This f'loplicant agrees to comply with all the rules and regulation; Sewer Inspec:titin
of the tJnified Sewage Agency. The permit expires IN days from
the date issued. The total amcunt paid will be forfeited if the
Dereit expires. The Agency does not guanintee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
giver, the installer shall prospect 3 feet in all directions from
the distance viven. If not so l-:ated,—the-,,installer shall purchase
a Tap and Side Sewer" Permit and Ageiiev will instal a lateral.
fn r M i t t e P S i q Ti Fk f,'.A r e : dr tQ -__ __�___ __ ___ ___._..�._._�
A1111" W11 I
s�se
d By
Call for inspection 639--4: 75
CITY OF TIGARD 1ECEIPT OF PAYMENT RECEIPT NO. x 9 2--P;?6 7p. 1
CHECK AMOUNT t 4570. 61
NAME. MOR TSSETTE, DON CASk AM01 JN,r' 0. 00
ADDRES5 PAYMENT DA*TF a 04/30/92
SUDDIVISTON
PURPOSE (IF' VIAYMENT AtlioUrl r PAID PURPOSE OF PAYMENT AMOUNT Pr- ft)
468. 01A PLUMBING PERM 125. 00
MECHANICAL PE 37. 50 ST. BUILD F'r-..R 31.. 5.E
PLAN CHECK FE 6.3. "8 SEWER 013A 1.900. 00
51�'WER IP49PECT 37:,. INA RESIDENT. AL T'RAF'FIC; FEES 12891. 00
PARKS SD(; 21-50. lb III STORM DRAIN SIX, lAq,
MFR'S T Rn
f4!'-2 NSIT T I F F -F I- -.,Fi 100. 00
LOT 193 VILLAGE AT S1111MERI. PKE #5
IP921 SW FALCON RIESE-1
AMOUNT I'-IATD 61
C I TY OF T I GARD _ REGF I PT QI" PAYMIEN`f REC:E I PT No. n 92--cr2451 l
NAME a MORISSET'TE, DON t;Igf;-CK AMOUNT n soo00
ADDRESS ¢ CASIA Atl()IJIJT' n 0. 00
PAYMrN`r DATE
9IJ80 I V 15I ON n
oop.pCIsLr OF PAYMENT' AMoo. 11, PAIry F'IJRP')9Q Or PAYMENT
AMOUNT T CAI D
r''I_At,I C I-IkC.:K F1. _ 5V►. X71 _ __.__...,._......_. _�.__._._. __... __... ___....._.._.___�
t
SW FALCON R I GE I
11574 74 SW 9HOREVT W �
1'C1T'AI_ AMOUNT POT 900. 00 I