12965 SW FALCON RISE DRIVE ADDRESS:
i:'recordslmicrc*ImltargetslbuiIding.doc
• C11Y OF T i r,,7ARD ,46"
4, COMMUNITY DEVELOPMENT DEPARTMENT
d, CF ROL""CtJt OCCUPANCY F
:4MI"j,
13126 sw Hof 91vd.7 ire! �10i (603)030.4171
)(x x x PERM) I" #. . . . . . , : MST93--9b09
639--4171 DATE I591JELa: 013/18/94 1
1
PARCEL: '. -7:133DD--15900
ri l I'$.- ADDRESS. . . 12965 !W FALCON RISE Lm
,iUBD I V.I S I ON. . . . R V I LLAGE7 AT SUMMER LA14E PARK 5 'X.DNI FSG I Q-%. 3
)tL()CV. . . . . . . . . . : LOT. . . . . . . . . . . . . ! 193
7 PPF_ OF :JSE.. . . $t J
OCCUPANCY GRP. :R?
DC;CUV-`i414CY LOAD:e,z 4
`rrN(-,t\IT NAME. .
.
us?nark^t : PATH .[ � TTI .,>
!.
Owner:
D[')N MOR I SSETTE' HOMES
1:x555 9W BPNCY RO
LAKE OSWEGO UR 97035
Phone #: 620- '7538
Con t ract or t
DON MOR I SSI-TTE BUILDERS, INC.
woo sw MEAtm-wFi R)1
SUITE 151
LAF;E; OSWE00 OR 97035
Phr.ne #: 620-753'8
Peg it. . : 94969
Occupancy of the above referenced bUilding is hereby given, P.tr(' cl-rtifies
the compliance with the Stmte Of Oregan 5p,7-cia:lty Lodes for the grnixp,
occupAncV, and t..tse t.tnder which th4 reforenved permit war i ed.
at IANN9"'ECTOF?
i
POST 1 N PLACE 1
S '.
CERTIFICATE OF'
CITY OF TIGARD OCCUPANCY
PERMIT *. . . . . . . s mi,rq3-95011)
COMIALINITY DEVELOPMENT DV) /,i43
RVilt T OFTE ISSUEDs 03/113 '
1312z,SW Hall Blvd.Tlgard,Orogon 9?2230'11 '-( 03) 0-4ZI
PARCEL
SITE ADDRESS. . . : 12965 SW FALCON RISE DR
SUBD I I VISION. t VILLAGE AT SUMMER LAKE PORK 5 ZUNIN�il:R-4.
TALOCK. . . . . LOT. . . . . . . .. . . . « « 1195
CLASS OF WORK. cNEW
TYPE, OF USE. . . gSF
OCCUPANCY ORP. 03
OCCUPANCY LOAD ij,, Ff+ 4
TENANT NA'iF. . . :
Remarkse PA', i I
DUN WORISSETTE HOMES
15555 SW BANGY RD
SU I TE # 201
LAKE OSWEGO UR 9703t�
Phone #1 620---7538
Contractor:
DON MORISSETTF BUILDERS, INC.
5000 SW MEADOWS RD
SUITE 1.5 1
LAKE OfIWEGO OR 97035
Pll--omp ON 1620-7Ti3ll
Req M. . 1 351333
Occupatcy of the above v,efer-enced building is her,eby given, arid cel-tifies
the complianco with the State Of Or-egon Specialty COc;(&s f0l' the group,
uccuponcy, Arid ki%e under which the referenced permit war; i ssmAd-
ITIRE DEPARTMENT bld I L4 G I R?F-(-'TnP
4"
1'.U1 1—ne C-IALIAL
POST IN CONSPICUOUS PLACE
INSPECTION NOTA Q
City of T1gar:7 Building Departs&
13125 80 Hail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-1175 Business Phone. 639-4171
Inspection:
Footing Plbg. Underrlab Mach. Rough-.(n Appr/:idwlk
Found, Plbg. Top Out Gas Line
FIN
Ct
Poet/Baas 8truct, Ban. Sewer Frosting -Hld��
Post/Beam Meoh• Rain Drain Insulation -Plumb,
Plbg. Underfloor Nater Line Gyp. Bd.
Data PAR uestedt__ // Times AM PM
Addreesr1 � Y 7 C Gam/` �L tip
Permft !: 1� '
Builder:
THE FOLLOWING CORRECTIONS ARA REQUIREDs
_ %
L
Inepsctort,:�
' Date:
_APPROVED DISAPPROVED JIPPRMsiD SUBJECT TO ABOVE
Call Fnr Rainsp.
INBPECT70N NOTICE \)�
City of Tigard Building Do".twont
13125 M Ball Blvd. Tigard, Oregon 97223 I
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone% 634-4171 I!
Inepectiont _
Footing Plbq. DnderslAb Koch. Rough-in Appr/Odwlk
Pound. Plbq. Top Out Oar♦ Line FINALt
Poet/Beam Struct. Ban. Bower iraeinq Bldg.y" i
Poet/Beam !tech. Rain Drain Insulation -Plumb.
Plbq. Underfloor. Nater Line gyp. Bd. i -Neeh.-__
_�L ,
Data Requeetedt_�- _Times }M
7- rNi Af—el-�'o
Addreess�v��1 G e�rmit i
Bui.idert )221__
THE lOtJ ONINU CORRZCPION6 ARE PSWIREDt
Inspectors ,_Al Datet_ >_� 1 11 A
___APPROVED L DIPAPPROVED APPROVED SUBJECT To ABOVE
7r �� L--'Call For Painap.
IMBP6CTIOM NOTAL
C'
City of Tigard Building D VW team
13125 BW Ball Blvd. Tigard, of %on 97223
Inspection Line (Rec-O-Phons)s 639-4175 Rus,i.nestsa Phones 639-4171
Inrpections
rooting Plbg. Underslab Mach. Rough-in Appr/Bdwlk
round. Plbg. Top Out Gas Line riMRLs
Post/Swam Struct. Ban. Bewer Framing =Bldg. '
I
Port/Seas Mach. Rain Drain Insulation -Plumb
Plbg. Underfloor Nater Line Gyp. ad. v Mach.
Data Requaateds� - Times — RM
Addreas / l.L:'S _ Cc�r' x p mit
Builders
TM FOLLONIM COR114CTIOMS J19w RSQUIREDs
CC'J ( SQL' V`�y� � 7� '� �
Inspectors Date is✓�`�
Dates
APPFJViD V DISAPPROM APPROVED BDSJECT To Abova
��� C �� �/ Call For Reinap.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 EW Hall Blvd.Tigard,Oregon 97223.8109 (503)030-4171
PLUMBING PERMIT
PERMIT #. . . . , . PLM94-014-i41
639-4171 DATE ISSUED: 03/14/94
PARCEL: 1S1.33DD-15900
SITE ADDRESS. . . : 12965 SW FALCON RISE DR
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . , LOT.. . . . . . . . . . . . . : 195
CLAS; OF WORK. . :NEW GARBAGE L'.SPOSALS. . : MOBILE HOME SPACES. :
TYPE OF; USE. . . . :SF WASHING Mf4CH. . . . . . . : BACKFLOW 'dREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOP DRAINS. . . . . . , . TRAPS. . . . . . . . . . . . . . .
STORlES. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES--------- ----- LAUNDRY TRAYS. . . . . . : Sr RATIN DRAINS. . . . . :
SINKS. . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRNPS. . . . . . . .
LAVATORIES. . . . . : 01-HER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : !DATER LINE (ft ) . . . . :
DISHWASHERS. . . . : MAIN DRAIN (ft ) . . . .
Remarks : PATH I
Owner: __—_____________ _____--__-_------__.._ _— FEES --------------
DON MORISSETTE HOMES type amo�.lnt by date recpt
15555 SW RANGY RD PRMT f —25. 00 MAB 03/14/94 —
SUITE # 2:01 SPL;T f 1. 25 MAB 03/14/94 —
LAKE OSWEGO OR 97035
Phone #: 620--7538
Contractor: ---------------------__—__—_—_
�-;HOEMAKER' S PLUMBING
P 0 BOX 250
ESTAC:ADA OR 97023 ----------------------- _--------- ---Phone #: 630--7728 $ 26. 25 TOTAL
g #. . : 56135
--- - -- REQUIRED INSPECTIONS
-----This permit is issued subject to the re,ulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Sp+cialty Codes and all other RP/Backflow Prev
applicable laws. All work will be done in accordance with
approved plans. This permit rill expire it work is not started
within 188 days of is- nce, or if work is suspended for more
than 188 days.
Permittee Signati_tre:
Iss,1-ted By:
Call for inspection — 639-4175
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Nall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639••4171
_—_—_ esrnj— ptian r�
_tv�t ONS 814.21.610 - OTY PRICE -AMT
-1115A M.lob ( 2,-. ��((¢.f� RR FIXTURES
Address -- -_- _
_-- wcx
- Water CloseT--_
Owner ��2ST?17, _ warmer����_�
tt /�� roa`ga isposa
L —
—---_ A(z (_h G/J J z UI�. Washing acbine
� -
-+ -tam. rain "T5
Water Heater — ^—
OCCU�Idttt Lsdndry-Hoorn racy _-
U rna -
/ ---_��-� �-- OtherFixtums
7.50
.. � J
Contractor -S-�Ls�� MISCELLANEOUS
star Service S —�..— .- 20.00
13M
r• FTiie is pTrH�ac now
ais ( - __—
Water Service on. Addit. 200' 15.00
intonnation given is coned,that I am the owner or nuthotizPd agent of
the owner,that plans submitted are in compliance with State laws,that I �Stoim b Rain Drain Int 100' ^30.00
am registered with the Construction Contractor s Board,that the number Stmt d Rain Drain Addit. 100' — 15.00
given is caxmct. (If exempt from.State registration,please give reason
below.) Motile HomeS ce 25.00
_ __ — - MckFlow Pievontion
Device or Anti Pollution Device 7.50 rl i
y— -- — 1
_
Any Trap or WqsIP
Connected to a Fixture 7.50
Describo wor cT— new -e3dii�rt— T-a t ra n repair atcTTgasin-_..__--— --TST— --
to bo done residential 1\& non-residential Q - _—� -'- + -
Insp.of Exist. Plumbing per hr
Spedalfh;Requested Ins:pectiais per hr
Existing use of m ram,singe amity `~ �-
building or property��— _ dwelling 15.00
_ nsUenbaT FacklTow prevents -
devices 15.00
Proposed use o`.
building or rxnporty —
xce�ro -
pnrentTon devie4w)
NOTN:E 'Minimum Fee 125.00 SUBTOTAL
PERMITS BECOME VOID IF "K OR CONSTIUCTION 5%SURCHARGE
AUTHORIZED IS NOT t,64 .IENCE-D W1THN 180 DAYS,OR IF
CONSTRUCTwON OR WOP .IS SUSPlNDFD OR ABANDONED
FOR A PERIOD OF 180 15i YS AT ANY TIME AFTER WORK IS PIAN REVIEW 25%OF SUBTOTAL
COMMENCED. v J
TOTAL
Special Conditions — --
-, Date issue(; by
W.ftUMNruT
NSPECT+ IN NOTICE
city or Tigard 6uildioq Department
1-3125 SW Ball Blvd, Tigard,
Inspection Line (Rnc_O-Phone): 639- � Oe 87223
1175 Business phone: 639-4171
Inspection:
Footing Plbg. Underelab
Mech. lough-In Appr/84wlk
Pound. Plbq. Top out
can Line <It1ALt
Poet/Ream Struct. ! in. Sewer
Framing -Bldg.
Poet/Deam Mech. Rain DrainInsulation
Plbq. Underfloor water Line
Gyp. Bd. -Meeh.
Date Requested:
n ��7 Timet
Address:���/AS rll Y�f7V� �1 i:c r�Vm
n/� Permit
Builder- �1. f "
THE FOLLONINa ODRRECTIUNS ARS RP.QUIRED:
------------
----------
Inspector:r�Z_
�~ -- ---_ Date:_
!APPROVED nISAPPROVBD l�� -+�-
-- APPROVED SURJEC`f TC ABOVE
Call For Reinap.
INS PECTION NOTI(`E
City of Tigard Building Department
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phoru): 639-4175 Business Phone: 639-4171
Inspectlon:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plhg. Top Out Gas 'Ane FYNALiD
Post/Beam Struct. San. Sower Framing
Poet./Beam Hach. Rain Drain insulation -Plumb.
Plbg. Underfloor "start Line Gyp. Bd. -Hoch.
Data requested: �� /� /tr
.[� r'. �,�[j �e T L:oe: AN pN
Addresa: 1 Z 1 f� J i�il��[ /fl,/�, 1\1 �e �� - Permit f t
nuilders - —L.Y1YJ
TVE FOLLOWING OURRECTIONS ARE -MUIRED:
Inspector:_
3 ��- 94(._
APP,OVED L-�DISAPPR048D APPROVED SUBJECT TO ABOVE
Call For Reinep.
IMBPBClIOM_AnI(a
City of Tigard Buildlag Department
1312S FM Wall 51 Yd. Tigard, Oresyoa 97223
Inspection Line (Roc-O-Phones 639-4115 Business Phones 639-4171
Inspections
Footing Plbg. Dnderelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
Pont/Beu Struct. San. 84swer Framing -Bldg.
Post/Boam Koch. Rain Drain InsulatioB -Plumb.
Plbg. andortloor Nater Line -Koch.
date Requesteds tri Timet L-AK 7 PK
Address: -`�_,-�'"� ( 1,�(1��11/� f�Q �1�1 Permit 1: `)7� y)`��)L/
Builders
TBE FOLLOWING CORRECTIONS ART. RFQMIREDs
c
It 5
U L<
Inspectors �� "` '� Dater 7 - �-
ATPa0vin DISAPPROVRD ✓ APPROVED SD&TELT TO ABO:'R
-Call For Reinnp.
INBPECTIO FOTICs
City of Tigard building Departs:ent
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-.Phone)) 6399--4175 Business Phone: 639-4171
inspection:
looting Plbg. Underslab Neoh. lough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line
FINAL:
Post/Beau t ^uct. San. sewer Framing -Bldg.
Yost/Beam Mech. train Drain Insulatio: _Ply.
Plbg. Unuerfloor "star Line gyp. ad. -Koch.
Date Requested, __-- 7 - 5 Gr Time:
Address: (pS (,Q�� �:SP Permit 1rll 3_q Cde —
Dui.lder:� V7Y t
TRI FOLLOWING CORRECTIONS ARI 111Q IID:
Inspector: a / C
Dates,( l
A_APPROVzD
DISAPpROVID APPROVED RURJRCT TO ABOVR
_Call For Reinsp.
r\
INSPECTION NOTICE � `"C� i
Ci'l of Tigard Building Dkgaartsr (J' /
13125M Ball Blvd. Tigard, Oregon 97223 V Y�'-73kf-
Inspection Line (Rec-O-Phone): 63^-4175 Business Phones-4171
Inepaction:__Y_
rooting P1bg Underslab Mach. Pough-in App./Sdwlk�
Found. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation _Plumb.
P1bg. Underfloor Nater Line / Gyp. Ed. -Hoch.
Dake Requested: L
_� � T�un�s sv q NH L-'��PM
Addross:_ �.�to i_j(� L'1 T �br�KiE'f e 1 3 -9 JO�
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
_
XbAY
F .^
InepRctor:.! Dato tX, / T
.APPROVED DISAPPROVED --- . 7gROyED SUBJECT TO AM"
____Cali PorPeinsp.
ILISP�792ICR y
City of TLgard BeLl4imq Daprtaant J
13115 W Rall Blvd. TL4ard. ne4a 97223
Inspection Lice (Roc-o-Phones 639-4175 Business Phone+ 639-4171
Inspeotiont
rooting Plbg. Undersl lleoh. Rough-in Aper/Adwlk
Fouad. Plbg. Top Out Oas Li FIR"I
Post/Deas 8truct. San. Bever tea -Bldg.
Post/seam Koch. Rain Drain Iasulati -Plumb.
Plbg. Underfloor Nater Lina -Mech.
Gate Requested -Lj L�� Tiaas AIL �-PM
Address.
1�2�(0� f L/��C l� 1" t`� _ Permit t s,13 15M
Builders
TBR rotloMING CONUICTIONd ARE REQUIREDs
Cv
= - -
Inspector: — Daters�'
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinep.
IRBPBClION BOTICB V
.,tT of Tigard Building Depsrtmeat
1]125 w Ball Blvd. Tigard. Oavrgom 97223
Inspection Liao (Ran-O-Phono)t 639-4175 BurinNas Phrnas 639-4171
Inspections — —
looting Plbg. Undorslab Mach. Rough-in Appr/adwlk
Pound. Mg. Top out Gas Lina PIMALs
Postiowan struat. Ban. Bower ��i -- -Bldg.
Post/Baan Mrch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
F
Date Requestels,
r C ` ` ��
Addresrs �Z4)� _� C �1 `t (�Permit f c
Bullders„�' �Q I•'�.YL� LI 2�7�/�� L.�_
THE IOIJoMIMo OORRiCTIONB ARS R1WIRiD2
� CJ
Co
2t, 11 Nei,✓ � ;' �,c11.c
Inspectors
V s^- -�,�--" Dates
i
APPROVED DISAPPROVRD APPROVED BUBJRM TO ABOVE
- -1LC�is11 For Rai.nrp.
IBB ION OOTICi \,
City of Tigard Onildiaq Department
13125 M Sall Blvd- Tigard, Oregon 97223
Inspection Line (Sec-O-Phone)s 639-4175 Business Phones 6351-4171
Inspections
rooting Plbq. -. -arslab Meeh. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Lino rIMBLs
Post/Beam Btruct. ease. Bestir Training -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requasteds Z Times 11M Ptl
Address s - "s -� � �-� ' � L( Pera,t 0, - U
Builders
TOM POLLMM OMUCTIOMB ARB R2VZRSDs
�'��;�,.�.._-.� �1.-v�.,✓ v� _
t S eo jq i2
4 w/1 r__r Lt
Inspectors - _ Dates I — ( �r
1lPPROYID -�61l111PPRf)VRD QPPROVRD BUBJNC! To MMU
Tor neinsp.
INBPtCPION NOTICt f ...—==•
City of Tigard Baildlaq Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)t 639-4175 Gustiness Phones 639-4171
Inspections_
Footing Plbg. Underslab Meoh. Rough-in Appr/"t••?k
/o+end. �l1bq`Top Out Gas Lina FINN.s
Post/Beam Btruct. Ban. Bawer Framing -Bldg.
Post/Baas Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Lino Gyp. Bd. -Mach.
Date Requested, q Timet 11M PM
Address,• 2 ( �L'c) 4C /\ �� Permit #s
Builder, �S JEE__-__ -JO
THN VOLIAWING CORRZCTIONB ARE RWUIREDs
Inspectors__ / _ Dates
.,(_____APPROVED DIB"PROVED APPROVRD BdBJdCT TO ABOVE--
—mall For Reinap.
INSPECTION NOTICE
City of Tigard Building ing Depar}mept
13125 BE Ball Blvd. Tigard, Oragm 97223
Inspection Lina (Rae-O-)hone)s 639-4175 Business Phones 639-4171
Inspection,_
Footing Plbg. Ond`erslab Mech. Rough-in Appr/Sdwlk
Pallid• Plbg. Top out Gas Line
FINALS
Ef... Etruct.%"San. Sewer
Framing -Bldg.
Post/Boam Meeh. Rain Drain Insulat.i-on -Ply.
Plbg. Underfloor Nater Line
GG Gyp. Ed. -Menh.
Date Requested: Tills: h
} � PN
Address ,I (F�> f [i fr`V� I , tAL�T C-j JSO/'1
�t ,, ^^,^Per�it 1:_ ;
Builders (IY '��-'LV-�G Lf2 3'
TBE FOLLONING CORRECTIONS ARE REQUIRED:
....... �J
Inspectors
-----_ Dates L
-APPROVED DISAPPROVED APPR:riRD St T TO ABOVE
Call For Reinsp.
INSPECTION {MICE l V
City of Tigard snildiag DepWaaot
13i2S fM Dall Blvd. Tigard, Oc+9oe 97223
Inspection Line (Ras-4-Phona)s 639-4175 Sualnaaa Phonal 639-4171
Inspections
rooting Plbg. Underalab Neoh. Rough-in Appr/Sdwlk
Found_ ~l—� Plbg. Top Out Oaa Lina FIUALs
San. SMwr Framing -Bldg.
C
Post/Beam Mesh. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line OYp• ad. -%sch.
TiPM
Date Aequeate3i sb�[ J i11i
Addsansa
Permit 9t`,rS
BuLiders�
TBE IOLLOMINo OORRZCTIONS ARE RSWIMM3
•� 1 a a —7 N d CTI.tik
�l r t- f -V-A 0
Impactor!_, Date: ��
APPROVED o18APP1�d/�VBD APPROVED SUBJECT TO ABOVS
l�Call For Rainsp.
IUPSCTIOM HOTICA
City of Tiga[d Hnildiaq Departarant
12123 W Hall Blvd. Ti9atd, Oregon 97223
Inspection Lino (PAC-O-Phons)r 639-4175 Ouainems Phoney 639-4171
Inspoationr_
Pootiaq Plbq. Underalab Mach. Rough-in Appr/Sdwlk
/POmsA..-- / Plbq. Top Out gas Lina FISALR
most/H•aH St^wt. San. Sewer Framing -SX49.
ost/Nay Mach. / Rain Drain Insulation -Plumb.
Plbg. Underflo
�/(ypor Mater Line gyp. Rd. -Mach.
Data Roquestii� 1 �C7 l fin) Timer AM /.—PM
Addrean r JT I� ! ) � i PJy� `\_k,14P i Permit ti
Suilderr 1C� �L�CI� �. I`/ -e. 2 `1`17u
THs FOLLONIMg CORRSMIOMS ARE REQUITED: i
7/ 777
C _ -C-\"
�s? S
Inapector r .G_ Date:
APPROVED DI�SAPP�ROVID ApoRo"D sUEJECP TO ABOVE
1 �' Csll Por Rainap.
�ti�
jdBPECTII,?ll NOTICE �' v i
City of T'gard Ma ld nq Department
13115 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Aec-O-Phone)= 639-4175 Business Phone= 639-4171
Inspection=
Footing p1bg. Undwelab Meeh. Rough-in Appr/9dwlk
found. Pllq. Top out oma Line FINAL=
Post/Beam etruct. Ball. framing -Bldg.
Poet/Boma Hach. Bain Or Insulation -Plumb.
Plbg. Underfloor Nater Lind-}?�� Opp. Bd. t -Meeh.
Date RoWasted= 2 d^ `J Tlme= 1�� 1M fM
Address= ��L_'1(�(J�1Q Permit
Builder=
THE FOLLOWING COPUCTION/ ARE RBQOIRED=
I
1i
1
I
Inspector= C Date=
APPROVED 018"PROVBD APPRO'VND Stsincr TO ABOVE
Call for Reinep.
City of 4igard DR13AL" Bs+rpa
1]1]S 90 Hall Blvd, yard' B�' 97
as Phone' 639-*171
Inspection Lina (�..0_Phone)s 639-6176
Inspections r
Victim 41bi Onderslake
Rough-in Appr/8dwlk
Plbq. Top Out
Gas Lina FINAL$
Freeing -Bldg.
Post/Seas Strucl. San. aemr
Tost/Mwsi Bch, Rain Drain
Insulation -Plumb.
-Hoch.
Tlbq. Underfloor Nater Z!»e Gyp. Bd.
Tim
Data m
2�t Per.it
Addrese s
Builders
THE *f1UOWINp DORRSCTIO118 ARE REQDIRED1
Dates �
Inspectur.l - -
/ APPROVED
r DISY APPROV=D Ss]BJECT TO ABOVE
1�pRONE
+ Call For Reinap.
CITY OF TIGARD MASTER PF_RMIT --'�
COMMUNITY DEVELOPMENT Dq�T NT PERMIT #. . . . . . . a MST93-9509
19126 8W Hell Blvd.Tigar 1,Oregon 97223•81 o 171 DATE ISSUED: 11/29/93
PARCEL: 1S133DD-15900
3I TE ADDRESS. . . : 12965 SW FALCON RISE DR
-;UBDIVISION. . . . e VILLAGE AT SUMMER LAKE PARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . : 195
-- ------___ ----- - ---------- ---- BUILDING ----------------------•-------------•----
REISSUE: DUELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:S BATHS:3 GARAGE. . . . . . . . . . .420 sf
TYPE OF USE. . . :SF FLOOR AREAS------- --- REQUIRED SETBACKS----------
TYPE OF CONST. s 5N FIRST. . . . s 13 58 s f LEFT. . :7 ft RIGHT. :8 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1552 s f FRONT-20 ft REAR. . :38 ft
STORIES. . . . . . . 12 THIRD. . . . e0 s REQUIRED---------------------
HEIGHT. . . . . . . .
-------------•------
HEIGHT. . . . . . . . 124 ft TOTAL--------:2910 s f SMOKE DETECTORS. t Y
FLOOR LOAD. . . . e40 psf VALUE. . . . . $: 141420 PARKING SPACES. . : l
Remarks: PATH I
- ----------------------------------- PLUMBING -------•-------------.-------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :@ BACKFLOW PREVNTR^. . e0
LAVATORIES. . . . . :3 WATER HEATERS. . . el TRAP'S. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :@ CATCH BASINS. . . . . . . e0
WATER CLOSETS. . a3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :@
DISHWASHERS. . . . ii WATER LINE (ft ) . : 100 DT:iER F IXTURES. . . . . s0
GARBAGE DISP. . . el RAIN DRAIN (ft) . :O
WASHING MACH. . . el SF RAIN DRAINS. . cl
---------•------- MECHANICAL ---------------•------------------ FEES ---------------
FUEL TYPES---- --------- UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF t 1520. 00 JH 11/29/93 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 538. 00 JH 11/29/93 -
F URN ( 100K . . :@ HOODS. . . . . . sl BPLC t 349. 70 JLH 10/01/93 93•-244
FURN ) =100K . . el WOODSTOVES. :O 85PC $ 26. 90 JH 11/29/93 -
FLOOR FURN. . . . sO CLO DRYERS. : 1 SSDC t 280. 00 JH 11/29/93 -
DOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 250. 00 JH 11/29/93 -
GAS OUTLETS: 1 MPRT f 45. 00 JH 11/29/93 -
Owner: --.--_------.---------.----_.----------MPLC f 11. 25 JH 11/29/93 -
DON MORISSETTE HOMES MEPC f 2. 25 JH 11/29/93 -
1.5555 SW BANGY RD PPRT f 140. 00 JH 11/29/93 -
SUITE # 201 PSPC f 7. 00 JH 11/29/93 -
LAKE OSWEGO OR 97035
Phone #: 620-7538
Contractors ------ ------- ---- --- --__._____
DON MORISSETTE BUILDERS, INC.
15555 F,W BANGY RD.
#201
LAKE OSWEGO OR 97035
Phone #: 620-7538
Rep #. . : 35533 --__-_----- --•.-- -------------- ------- -
31-70. 10 TOTAL
This permit is issued subject to the r-,,ulations contained in the ----- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all othrr Foot/found Insp Fireplace Insp
applicable lass. All work will be done in accordance with apprr:ed �'ost/Bea:« Struct Gas Line Insp
plans. This permit will expire if r s not started withf-a 194 Post/Beam Meehan Insulation Insp,
days of issuance, or if work is spend for more than lo! mys Plss/undslab Insp Gyp Board Insp
7 FLM/Underfloor Rain :rain Insp
Permittee Signature : _� _ Mechanical Insp Wa1:r•r Line Insp
Plumb Top Uut Appr/Sdwlk Ins-
Issued P1 ' .' _ Framing Insp Mechanical. Final
Call for inspection - 639-4175
ARD
SEWER CONNECTION
CITY OF T PERMIT
COMMUNITY DEVELOPMENT DEItWT PERMIT #. . . . . . . : SWR93-0440
13125 8W Hap SWd.Tigard,Oregon 97223.51 3 3 . 171 DATE I SSUED s 11/29/93
PARCEL: 1S133DD-15900
SITE ADDRESS. . . : 12965 SW FALCON RISE DR
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 5 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 195
-------------------------------------------------------------------------------------
TENAN' NAME. . . . . s
USA N[ . . . . . . . . . . I FIXTURE UNITS. . . s
CLASS OF WORK. . . sNEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO.. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarks: PATH I
Ownerr -------------------------------------------------------- FEES --------------
DON MORISSETTE HOMES type amoun* by date recpt
15555 SW BANDY RD PROT $ '::200. 00 JH 11/29/93 —
BUTTE # 201 INSP $ 35. 00 JH 11/09/93 --
LAKE OSWEGO OR 97035
Phone #s 620-7535
Contractors -----------------------------_—
CONTRACTOR NOT ON FILE
--------------------------------------
Phone #: $ 2235. 00 TOTAL
Reg #. . :
--------- REQUIRED INSPECTIONS ---•------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from _
the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does nct guarantee the accuracy of the _
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect d foot in all directions from
the distance given. If not iv lot ed, the nstaller shall purchase
a "Tap and Side Sewer' Permit ah.the Agent will install a lateral.
C e r^m i t t e e S i g a t u r n_ ..
77--_Issued By:
Call fur inspection — 639--4175
i
uusswHa PLNCKJRECT 0 AlCITY TIGARD
OF ro um PERMIT 0 /71.5
COMMUNi[YDEVELAPMENTDEPARTMF T
�sos� ,rn DATE ISSUED
JOB_IDDRESS:
TAX HAP/LOT
JJ �
SUB: 1'-�u�v .k�� LOT: LAND USE:
VALUATION: 1��, q_7,0
Qm SPECIAL NOTES
NAME: �n�, -►''1 SSP , REISSUE OF
ADDRESS: LAST REISSUE:
p r ,,� FLOOD PLAIN/
PHONE: _�JC�1 SENSITIVE LAND:
QONTRACTOR APPROVALS REGUIRED
NAME: PLANNING: T�
ADDRESS: ENGINEERING: '
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD 1: ._ EXP DATE:
NEMS REQUIRED
5UBCONTRA QRS: PLUMB: LIST/SUBCONTRACTORS:
HECH: M US TAX:
ARCHIENGII9_ER T ��, CALCULATIONS:
NAME: �� ( ( 1 TRUSS DETAILS:
ADDRESS: 1K OTHER:
_ U D
PHONE.:
PROPOSED BLDG. USE:
COMMENTS:
Qftq • -
A P),ANT IG TURF
Received By: Date Received:
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PERMIT / ACCT DESCRIPTION AMOUNT AMOUNT PO. BAL. DUE
i�j10-432 00 Building Permit Fees ���,c?�: 5 �Y�'r
10-431 00 Plumbing Permit Fees I V)
10-431 01 O1 Mechanical Permit Fees '^—
f 10-230 01 State Building Tax (5X)
Building
i
Plumbing
I ,
Mechanical
10-433 00 Plans Check Fee / Aw,4�
Building
Plumbing
Mechanical Z �`
10-230 06 Fire
5�,i:¢3 30-202 00 Sewer Connection .2
30-444 00 Sewer Inspection 3f-
25-448-02 Commercial TIF Fees
y 25-448-04 Industrial TIF Fees
25-448-06 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 Oev Charge (POC)
31-450 00 5tu,in Drainage Syst Oev Chrg
(SSDC) S c' �'•
24-445-01 water Quality (Fee in lieu of)
24-445-02 Water Quan`.ity (Fee in lieu of)
TOTAL . r l D S_v S/S s
1,5 1 u i
nm/3587P.WPF
r
Cl TY CIF' T I GARU - PIE( E:I FST OF PAYMENT RECEIPT NO. a 9 3-246PI118
CHEI:;K AMOLIN t a `51:5 5. t 0
CASH HMOWN T 1 17.1. Wd
NAME: t t4(JRISSEJ 1E, DON PAYMEN I DHI F, a I t/E9/93
il.IBD I V.US 1 UN e
PURP43SE=, OF RAYMF-14 r Moll IN I PAI E) PUttF OHE. AF PAYMENT 1-11111111N r PP I t O
IaUI1.1)1.NO- PERM 5.314. 00 PLIIMHIN(4 PERM 1411, 110
ME-.1"FWNICAI_ V* 45. 00 67. EAU11_1) PI�R 36. I;•i i
PLAN MME CK FE 11111. ' 5 SEWER USA i'_pl1111. 11110
SEWER INf3PECI :35. 1710 PARKS SDC 250, ovi
STORM DRAIN SDf:, 280. 111111 RES I EyE::NT I AL. 'rRAFF I C F E~E q 1410. 17110
MASS TRANSIT TIFF'EE S J10. 00
.0T 195 VILLAGES AT 91JMIMFRL.AKL' 5
1 P96 5 SW F'AI_CON RISE DR
TOTAL AMOUNT PAID to