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CITY OF TIGARD CE;ROCCUPANC OF
CC;UF�AI�Y
PE:RMI T #. . . . . . . m MST95_0399
COMMUNITY DEVELOPMENT DEPARTMENT DATE: 1 i.:iSUED m 05/03/'>6
19126 SW Nall Blvd.Tigard,Oregon 07223.4199 (503)630.4171
' 1-�F�tRC'E�L m �fi l4rpF#ra-�C3L�it3
SITE: ADURNS�:,. . , m 13710 SW MARCIA DR
SUB61VIaIUN. . . . s CASTLE HILL NO. .a ZUNINC GRE 1ci' GU t#
PLUCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . 1153
CLASS.....CIF�WOF2i<. .IVE.�__...__..__..._.____.._._...._............_._._..._......__._._...._....._..__.._..._.....__..�_,..M,.....__.,. .._.._..._ _ .__ ..
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OCCUPANCY GkP. e;3N
OCCUPANCY LOAD m k
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DON MUR I SSETTE I
:5000 SW MEADOWS RD
! SUITE 151
CI LAKE O 7WEGO OR 97035
Phone #m 620-7538
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VON Ml_1RISSEI-TE 1413ME:S
5000 LAW ME.NDOWS RI)
SUI'TE 1`51
LAKE: WMEGO OR 97035 !
Phone #m 620-7536
Reg #. . v 35533
1 Ibis CertiflLatte jjr�tnts occupancy of the above re�fevenred ai_iildin4 or portion►
thAr�eaf and c-onfir•ms that the building has been ilisPected for- compliance with
the State of flra+rjon Specialty Lades fw', the yroi..t , c'r..upet yr and use under
which the r^eferein...0d pot"Mit was issued.
111.:11 DIPJO IV!^PEf"T()R BUIL.DING OrFICIAl., j
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POUT IN CONSPICUOUS PLACE.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Businass Phone: 639-4171 i^ f rat,,
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling lu
Post/Beam Mach. Shear/Sheath Framing
Plbg.Und/Fir/Slab Plbg.Top Out Insulationtt.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. Y
San. Sewer Gas Line Appr/Sdwlk Bins
Other.
Date: _ - t '� A.M. Ll P.M. Entry: _--- -- e•`�"°
Address: � :3 1(! CCU-
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Tenant: _ _ Ste: MST:
Con/Own: —_ —__ MEC:
PLM:
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: -
Inspector: -���� --- — — Date:
Vpe�APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE -- �
i Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing .-Mech.
Pibg,Und/Fir/Slab Plbg,Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bc -Bldg.
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San, Sewer Gas Line Appr/5c wlk Reins.
Other: _ a
Date:
A.M. �.
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Address: 1 ,.3� /�_—__�..�,�,'l�t-(,f�.,�.._. f r~r
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Con/Own: ------- —_�— MEC; —_
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THE FOLLOWING CORRECTIONS ARE REQUI ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE ! s
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line j Ceiling -Plumb.
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Post/Beam Mech, Shear/Sheath Framing -Mach. r'
Plbg,Und/Flr/Slab Plbg. Top Out Insulation -Elect. �,i�4uo"rp t
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Gas Line
San. Sewer A r/Sd Reins.
'Jfi'��ry,+yit
Other:
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° Date; _ A.M. P.M. Entry:
j Address:
Tenant: – — Ste:—__. MSi:
BLIP: u t �jx r °x,64
Con/Own: MEC:
PLM: r ISfySr,t
ELCI
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO ,�
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i CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
C_ "''°finn Water Line Calling -Plumb.
Post/Beam tech. Shear/Sheath Framing -Meeh.
Plbg.Und/Flr. 'lab Plbg. Top Out Insulation -Elect.
Post/Beam Sti ^t. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line ppr/Sdwl Reins.
Other:
i pate: A.M. P.M.. Entry:--_
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Address:
Tenant�.-----_------ - _ Ste: MST:
Con/Own- BLIP:
MEC:
PLM: ,
ELC: —
THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR:
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Inspector,
Date:
Date:
-- —__
P D —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Watt r Line Ceiling -Plumb.
Post/Beam Mach. Sheaf/Shee th Framing -Meth. }
Plbg.Und/Fir/Slab Plbg Top Out Insulation -Elect.
Post/Beam Struct. Meth. Rough-in ,Gyp d8 -Bldg.
San. Sewer Ga3 Line Appr/SSddwlk� Reins.
Other: 3 - i S-- 54 " "7 LU
Date: _. A.M. _P.M. Entry:
f Address: _� 32 10, s W MQit.t�.t.c
1 Tenant: ^^AA Ste:--- BMS
UP:
Con/Own:/-49392 MJiU�O'LQ,c �t A_ — MEC:
PLM:
ELC: --THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Ins?actor:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
lnspPction Line: 639-4175 Business Phone: 639.4171
Footing Pain Drain Cover/Service FINAL: ,4naW'
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheathremin -Mach. '
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Plbg.Und/Fir/Slab Plbg. Top Out
dnsulaY tio W l' Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer as n Appr/Sdwlk
Other: _ —N
t Date: 3� $
A.M. P.M. Entry:—_
Address: L[(J
Tenant: Ste: MST:
BLIP: _
Con/Own:.—_—e — MEC:_ _
PLM: —�
ELC:
THE FOLLOW114G CORRECTIONS ARE REQUIRED: ELR:
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_—APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 I
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Footing Rain Drain over/Service FINAL `
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FosUBeam Mech. Shear/Sheath
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Plbg.Und/Flr/Slab Plb To Out
9 p Insulation -Elect. '
PosrJBeam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line
APpr/Sdwlk Reins.
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Entry: r
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- Ste:_.__ MST: 6.32
Con/Own: e Y/= .___Le S`� ). BLIP:
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PLM:
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THE FOLLOWING CQJ3hECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICEs y...... f
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL: , ,`:i }
Foundation WaterLine Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath cffim> -Meeh.
PIbg.Und/Flr/Slab Plbg.Top Out� Insulation -Elect. t,r
Post/Beam Struct. ech. Rough in ',,typ. Bd. -Bldg.
San. Sewer as Line Appr/Sdwlk Reins,
Other:
Data. �7 A.M. _ P.M. Ent,y •^ ` `
Address: 1Z
Tenant: �— MST: Uy
Ste: BLIP:
MEC: t •
Con/Own:_ — PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE UIRED: EL(R
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Inspector:
Date:
_ APPROVED DISAPPROVED/CALL FOR REI NSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. t y s
Post/Beam Mach, Shear/Sheath Framing -Meeh. `
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Fiect. 1
Post/Beam Struct. Mach. Rough-in I tot t�
9 Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
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Date: — A.M.—�P.M. _ Entry:
Address:
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Tenant:—_ — Ste:-_-- MST:
Con/Own: _ MEC:
PLM:
THE FOLLOWING CORRECTIONS AR REQUIRED: ELR:
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Inspector:
Date:
___APPROVED 4DISAPPROVE D/CALL FOR REINSP. CF COyo
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 659-4175 Business Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Fourdation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Pgl 9 O ' Elec. Rough-in FINAL:
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Pibg. Underfloor -lain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. losul. Shear Wall Gyp. Bd -Elect.
Date Requested: 2- ' Time: AM PM {
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: t
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Inspector: Dat
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Incpoction Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling S rink. Hough-in A /Sdwlk
p 9 PP�
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plhg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Wager Line Insulation -Mech.
Underflr. Insul. < hear W�> Gyp. Bd. -Elect.
Date Requested: ,� Z �� Time: AM
Address:
Builder:_ Permit tJ: �7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp for _ Date:2 �- ?�)
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businese Phone: 639.4171 V
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw!k
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bram Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Fldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ch.
Underflr. Insul. Gyp. Bd. I -Elect.
Date Requested: �.�� I I Time.�A PM
Address---) 7 -Ilia,
Builder: Permit #: 2s- 6 —5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: I / 't cD
`APPROVED XIDISAPPROVED _APPROVED SUBJECT TO ABOVE
�� / gall Fur Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4'71
Inspection:
FootingI
I
Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain
Framing Plumb,
Alarm Water Line Insulation
-Mech.
Underflr. Insul• hear W Gyp. Bd.
Elect.
Date Requested: -� 1 ���'� Time: AM PM
Address:_ ---
Builder. _Oermit
TH 'FOLLOWING CORRECTIONS ARE REQUIRED: en7f-2,
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Inspector: 2
Date: e � �7
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
lCall For Reinsp.
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f CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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4. Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mer;h. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp, Bd. -Bldg,
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: _ A.M. P.M._ Entry:
Address:
I
Tenant: •-
r „ •: _—._._ — e Ste: MST: D3
BLIP: - t
Con/Own: MEC: _
PLM:
ELC: -------
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: 2 `
----_ _---- --_- -_ Date:-- - _
—.APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-7-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-ii Fireplace
(post/Beam S� Plbg. Top Out Elec. Rough-in FINAL:
POST/Beam Mech;::) San. Sewer Gas Line -Bldg.
bg. Underflo4r_? Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: +1, '=l Time: AM PM
Address: l _� / i .
1� } l CA
Builder:— G` - C4 �/ �7 Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InZPPROVED
f Date:-
_DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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F Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 f
Inspection:
Susp. Ceiling 5prink. Rough in AppNSdwlk
ry�.a•� �1 i
Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Slruct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: t/ / r r1 Time: AM PM
Address:_ �.-
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Builder:
Permit q: ; - C' i 17 c71
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
- Dater
`--Af'F'AOVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF 'i IGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
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IMPORTANT PERMIT NOTICE
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CITY ELECTRIC & SUPPLY CO
j 8070 SW NIMBUS
BEAVERTON OR 97008
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Electrical Signature Form
Permit #. . . . : MST95-0399
Date Issued. : 01/04/96
Parcel . . . . . . : 2S104BA-C3158
rite Address : 13710 SW MARCIA DR
Subdivision. : CASTLE HILL NO.3
Block. . . . . . . . Lot : 158
Zoning. . . . . . . R-12 PD
Remarks :
PATH I !i
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required. ,
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR: '
DON MORISSETTE
CITY ELECTRIC & SUPPLY CO �1
5000 SW MEADOWS RD 8070 SVI NIMBUS . z
SUITE 151ti
LAKE OSWEGO OR 97035 BEAVERTON OR 97008
Phone # : 620-7538 Phone # :
Reg # . . : 42422
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S1- ure o upervising ect�i n ,
Please return this completed form to the address above.
ATTN: Building Dept.
A
If you have any questions, please call 639-4171 ext. #310 'w7
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011Y OF TIGARD RERMI T . . : MST95--0399
KATE ISSUED: 0:1 /04/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104P(Y-03158
13125 SW Nall Bbd.Tigard,Oregon 87223.8199 (503; 639.4171 ?�
SITE ADURI ::iS. . . . L1 , : f) '."W MAIRCTA DR
SUBDIVISION. . . . : CASTLE: MILL_ N6. 3 ZONING: R-1 PT)
1
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . .
CLASS OF WORK. . : GARBAGE D I SPOSAI_.,'-J. . : 1
7 YPL:. OF: USE. . . . :NEW WASHING MACH. . . . . . . : i BACKFLOW F'RE'VNTRS. . : t /
OCCUPANCY ICRP. . :SF i-i.OoR DPO T hlr3, . . _ . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . :2 WATER I- EATUR� CATCH BASINS. . . . . . . . 0
F1'XTIJRES- ----__ -- -- I_AUNT)RY TRAYS. . . . . . .0 SF RAIN DRAINS. . . . . : 1
X31 NK S. . . . . . . . . . . 1 GREASE -RAPS. . . . . . . :0
L.AVATORIrS. . . . OTHER FIXTURES. . . . . . 0
l"UB/SHOWE_RS. . . . : Z SEWER LINE (ft ) . . : rr~. p
WATER CLOSETS— : 3 WATER LINE (ft ) . . : 1r7.11n
DISI AWASHERS. . . . : 1 RAIN DRAIN (ft) . . : 0 a
s
Remarks: PATH I
OWNER: _______.____...___.________..____.___.._. ___._._...
' DON MORTSSETTE SWM t 1RO. 0W, JSD 01/1214/96 96-274615
3000 SW MEADOWS RD SWM $ 100. 00 JSD 41/04/96 96-274615 a
SUITE 15). CLCF $ 21.0. 00 JSD 01/04/96 96•-274615
LAKE OSWEGO OR 97035 ELCS $ 10. 50 JSD 01/04/96 96--274615 L�
Phone #: 620-7538 ELRP $ 40. 00 ,JSD 01/04/96 96--274615
Ft.R5 f 2'. 010 JSD 01/04/96 96-274615
j F l�.lmbinq Contractor :- ---- W - -- -- _- -- BPRT $ 6!,3. 00 JS 1711/014/96 96-274F,15
BGLC $ 411. 45 JD 10/31/95 95-2272332
Namo : _. �`� / (//7?�/ti� 815F'C $ 31. (05 .JGD 01/04/96 96--274615
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Address : p%�/
BF'LC 50. 00 JSD 01/04/96 X36-274615
I-'
y�,I'y3tat e : . v e PARK $ 1.5061.. 00 JSD 01/04/96 96-2"74615
Zip: �
a / MPRT $ 45. 00 JSD 01/04/96 96-274615
..___.Ph1,�ro#:.l�'��5..�-�' .. .�_
Ren #a ��(� Additional fees not shown here. . . . . . . . .
REQUIRED INSPECTIONS
This permit is issued subject to the reqs
Alations contained in the Tigard Municipal Footing Insp Low Voltage
Code, State of Ore. Specialty Codes and all Foundation Insp Fireplace Insp
other applicable laws. All work will be done most/Beam Struct Gas Line Insp
in accordance with .approved plans. This Post/Seam Mechan Insulation Insr)
permit will wupire if work is nnt: atartari C*-awl 1')rain Gyp Board Insp
within 180 days of issuance, ar if work is Plm/lAndslab Insp Rain drain Tn%p
suspended for more than 180 days. PLM/Underfloor Water Line Insp �
Mechanical Insp r,lAter Service In
Plumb Top Out Aopr/Sdwll< Insp
Electrical Servi E, ectrical Final
` Electrical Rough Mechanical Final
Framina Insp FI1umb Fiyw_kI
Ai-tthorized P1umbinq Lontractor Siqnature
Call for inspection 639--4175
Contractor Note%:
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#. . . . . . . MST9 5•-0.x99
CITY OF TIGARD DATE ISSIJE:I7: 01/ 4/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCFI—: 2,3104BA•-C31 G 8
r 5rTH31003AWil,IGtllkd_TJpard,tkWaha7glosioorI(60JM94",i
i SUBDIVISION. . . . : CASTLE" HILL NC). ZONING: F1-12 PD
i BLOCK. . . . . . . . . . . LCT. 1=11 r
Remarks: PATH 1 . , . . . . . . . . . . /3-7�0 _ '
bUii�ING -__--- --____--
REISSUE: STORIES.......: 2 FLOOP AREAS-------_--_ PA';rMFNT...: 0 sf REQUIRED SFTBACYS---- REQUIRED------------
CLASS OF WORK, :NEW HEIGHT.........: 27 FIRST....: 1280 of GARAGE...,,: 440 sf LEFT........... 6 SMOKE DETECTRS: Y
TYPE OF USF...:3V FLOOR L.OAD....: 40 SECOND...: 1.380 sf FRONT.........; 20 PARKING 9,ACE17: 1
i TYOF OF CONST.:SN DWELLING UNITS: I FINBSMFNT: 0 sf RIGHT.........: 5
OCCUPANCY GRA:R3 BDRM: 4 BATH: 3 TOTAL,-.7-----: 0 sf VALUE—$: 179155 REAR,.,..,....: 45
---------------•-------------------------------------...a. ------ PLUMBING -----------------------------------------------------------------
"NKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS,.....,.. : 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 7 RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWFRS...: 3 GARBAGE DISE)..: 1 WATER HFATF.RS.: WATFP LINE ft: 100 BCKFLW r,,RF.'JNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
j ---------------------------------------------------------------- MECHANICAL ---------------------------------------------------------------
FUEL TYPES-------- -- FURN { IW, ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS......,,.: I OTHER UNITS...: 1 f`
MAK INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
- -----------------------------.._•------------ - -------- ------- ELECTRICAL -------------------------------------- ------
RE5IDENTiAL
UNIT--- ---SERVICE/FEEDER---- TEMP SRVC/FEEDERS-- ---BRANCH C1RCt)175--- ----MISCELLANFO(A---- ADD'L INSPFF.TION5•-
i000 SF OR LESS: 1 0 - 200 aao..: 0 0 - C00 ago..: 0 W/SVC OR FDR..: 0 PUMPIIRRIGATION: 0 PFR INSPECTION: 0
EA ADD'L 500SF.: n 201 - 400 ago..: 0 Pet - 400 ago..: 2 Ist W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 '-'ER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 ago,,: 0 401 - 600 amp..! 0 EA ADDL BR CIR: 0 SIGNX/PANEL...: 0 IN PLANT..,... : 0
MANF HM/SVC/FDR: 0 601 - 1000 ago.: 0 0 MINOR LABEL -10: 0
1000+ ago/volt.: 0 ---------- - ----- ------ PLAN REVI W SECTION -------------. ----.__..------_.________
Reconnect only.: 0 )=4 RES uHITS..: SVC/FDR)-225 A.: ti 600 V NOMINAL: CLS AREA/SPC OCC:
-------------------------------------------- ELFCTRICAL - RFSTRICTFD FNFRGY -- ------ ----------------------------------- ------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL--------------------------------------------------------------------------------
PiJDIO & '1ERFO.: VACUUM SY'dTFM..: AK IO 8 STERF0.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM—: 0TH: :: X BOILER,.......,: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGN:
GARAGE OPENER..: CLOCK.,.,,,....: INSTRUMENTATION: rEDICAL........: OTHR: ;:
HVAC...........: DATA/TELE COMM.: NURSE CALLS...., TOTAL N SYSTEMS: 0
Owner: ----------------—.------------- ----Centractnr: --- ------------_ - ----- TOTAL FEES:t 2568.95
DON MORISSETTF DON MORISSETTE HOMES
i
5000 SW MEADOWS RD 5000 SW MEADOWS RD
�IJITE 151 SUITE 151
La,'E OSWEGC OR 97035 LAKE JSWEGO OR 97035
"rcne N: 6r0-753 Phone N: 620-753A
Rea t... 35533
This permit is issued subject to the regulations contained in the Tigard Municieal Code. State of Ore. SpPClalty Codes and all other
aaalica,ble laws, All work will be done in accordance with approved plans. This pen i+- will Prnire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
REQUIRFD INSPECTIONS
Footing Insp Plm/undslab Insp Electrical Rough Insulation Insp Aoor/Sdwlk NKD Erosion Control 1
Foundation Insp PLM/Underfloor Frasing Inco Gyp Board Insp Electrical Final t )
Post/Beam Struct Mechanical Inso Low Vnitage Rain drain Insp Mechanical Final _
Post/Beat Mechan Plumb Too Out Fireolace Ir<n, Water Line Inso Plumb Final
Crawl Drain Electrical Servi s 1.1 a In dater Service In Buildin Final
P"ermittee Signiat:t.rr-e Is 43 1-1aci Dy :
(-a11 for inspection 639 4.17,,
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PERMIT #. . . . . . . . SWR95•••045::
',•� CITY OF TIGARD DATE ISSUED: r7r1/E,?�4/")r.
M
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL. 2S 104Itn-c 1 5r3
G I Tra3/ a9ciwd.-Po&►d,bei4o"WzbnibW*F-JWo iad*71
SUBDIVISION. . , . - CnS-I-L E_ HILI_ NO. 3ZONING: P--12 FID
BLOCK. . . . . . . . . . .
LOT. . . . . . . . Y . . . . 158
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
f ('LASS OF WnRI:. . . :ww OWF'1-1- I NG UN ITS. . : 1
I-YPE OF USE:. . . . . .SF IVO. OF BUILDINGS: 1
INSTALL TYPE. . . . :B1.1---14R IMP ERV SURFACE-': 0 S f
"
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Remarks . PATH I
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Owner-, - .__._____.._.__.________._______._____.__.___----.___.___._.__.._.__.___.. FEES
DON MORISSL"=TTE type �mnl-rnt by (late r-er..pt
°:000 SW MEADOWS RD PRMT V: 2200. 00 JSD 01/04/96 96-274615
!-'UTTE 151 INSP .7.- 5. 00 .TSD 01./04/96 1)E,---;_'74015
I AKE: OS14E:I30 OR 97035
Plnone
1
Contractor—
CONTRACTOR
;ont:r a torCONTRACTOR NOT ON 1'-I1...E
2235. 00 TOTAL
r
Pecs
- --- --- REOU I RED IONS _-- ---
'his Arolirant aorees to comply with all the rales and regulations SawPr, Inspection
j of the Uniried Sewaoe Agency. The permit expires 180 days frac
the date issued, The total amount paid will be forfeited if the °r
oereit expires. The Aoencv does not varantee the accuracv of the
_.__..._._.........
.........._._....._...
side sewer laterals. If the sewer is not located at the measurement
uiven, the installer shall orosoect 3 feet in all directions from
the distance Oven. If not so located. the installer shall ourchase
a "Tap and Side Sewer" Permit and the Aoen- 11 install lat
�. r..rv.1. ttee
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Call for^ insoec.,tinn - 639--4175
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0' 3/1995 14:37 5036207485 DON MORISSETTE HOMES PAGE 01
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' Credit No:
r'J Date Issued.' a cl
TRAFFIC IMPACT FES
CREDIT VOUCHER
In accordance with the Traffic Impact Fee Ordinance, Matrix Development
is entitled to -' Corporation
$. SS in Traffic InpEct Fes Credits that can be applied to TIF charges
on 10t(s)6d-131 of IPG Caste h'"!!No. 2 Develop ,Hent. The use ofi!F credits
are subject to the rales and limitations of the TIF Ordinance. WARNING: �`�%'
This voucher must be presented at the time of issuance of the Building Permit, or if deferral
f
was granted issuance of an Oc.~upancy Far,nit. a r
MATRIX DEVELOPMENT CORPORA TION hereby assigns all its right,
1/118 and interest in and to that tonin Traffic Intact Fee Credit to be granted
upon the Issuance of e building permit for Lot
T. CAS 715 h'ILL NO. 8 su'_^divisivn,
3 Washington County, Ore.on, to the order of: '
Ihis ass" Hent of r'r2 ';c lr~�^ oo
-��•�c. FC,acil is made and given this
day of
I
;�''• MATRIX DEV-EL OPMENT CORPORATION,
an Oregon Corporation
Title or Positicn
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Residential Building Permit Application
City'of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
H
Jobsite Address:
Lot C Office Use Onlv
Subdivision: tv
C s.
L)y
Valuation:
Planck/Rec
L9 5 �
Permit# J � Ca 3�/�/ 21��.
Comer Lot? Y N � X,t,OV
Flag Lot? Y (N Reissue of � !
Map & TL# IC��B _ C�3 )5�
Owner: I h1� 'A
Address: Approvals Required auk
Address: vVV MAWS �• I� I�j
Planning
LOrK:E
Engineering
Phone: Other
I
Contractor: `JPT1"1 Items Required
' Address: Subcontractors
Truss Details
Phone:
Other %
Contractor's License # �JrJ5?JJ e1l?•
(attach copy of current Oregon license)
Contact Name & Phone: t� COAD' Jj8
E,
Subcontractors: ArchitectlEngineer:--TIQj`-- EZaN�-12
Plumbing: EH Pr EM-b PL UM 2)11`)0 Address: � ! /�VM�rt�"jVy`j �. �jl�. 151 �
Mechanical:7K.1 CVUNPr-J 76—i P- LOvK•E
(attach copy of current OR Contractor's License) pp��
Phone: Lac
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JOB DESCRIPTION:
t
Applicant Signature & Phone number'
Received by: — L-- „ Date Received: _
WWORMCOMOEWIESAPP
et
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Permit# Account Description Amount Amt. Pd. Bal. Due
�'Sf�i�-1J3 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) .?
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
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Bldg: q tj�^ ZL y ,..
Awob 5?)
Mech:
Sewer Connection (SWUSA)
u
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) .SOO s
5�
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) � �—
Mass Transit TIF (TIF-MT)
essimmciat f ('Pr-tT
CIC 5u1'c,(4►.9e
Water Quality (WQUAL)
Water Quantity (WQUANT) 'G�
iren'�t (FIRE)
Erosion Cntrl Permit (ERPRMT) G��
Erosion Planck/USA ERPLAN T;
Erosion Planck/COT (EROSN)
TOTALS:
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l ' 6000 B.W.Meadows Rd.,Bt;o. 161
Lake Oswego,OR 97086
Phone:(608)620-7688
7.0 FAX:(60.9)620-7486
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5000 SW 14t,- f)vjWl; I04
LAKE 113SWE011 OR I.A.180 i V i l:)1.ON n
9 70"1';-
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection: (,j
i
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Flough-in FINAL:
Post/Beam Mech. ' Gas Line -Bldg.
Plbg. Underfloor -Rain Drain Framing -Plumb.
Alarm C_Wafer Lim,- Insulation -Mach.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:
Time:_ZAM PM
Address:
Builder: r"
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector_ Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
__Call For Reinsp.