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13758 SW MARGIA DR
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC & SUPPLY CO
8070 SW NIMBUS
BEAVERTON OR 97008
Electrical Signature Form
Permit # . . . . : MST95-0441
Date Issued. : 02/15/96
Parcel. . . . . . . : 2SI04BA-C3160
Site Address : 13758 SW MARCIA DR
SubdivisiDn. : CASTLE HILL NO.3
Block. . . . . . . Lot : 160
Zoni.ng. . . . . . : R-12 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to t e valid, the signature of the supervising electrician
is requirod.
Please have the apprepriate 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
OTKNF.�: ELECTRICAL CONTRACTOR:
DON 14ORISSETTE CITY ELECTRIC & SUPPLY CO
5000 SW MEADOWS RD 8070 SW NIMBUS
d SUITE 153.
LAKE OSWEGO OR 97035 BEAVERTON OR 97008
to Phan � 4 : 620-7538 Phone
Reg # . . : 42422
J
35g�5
Si ature o upervising ectrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC & SUPPLY CO
8070 SW NIMBUj
BEAVERTON OR 97008
Electrical Signature Form
Permit # . . . . : MST95-0441
Date Issue3. : 02/16/96
Parcel . . . . . . : 2S104BA-C3160
Site Address : 13758 SW MARCIA DR
Subdivision. : CASTLE HILL NO.3
Block. . . . . . . Lot : 160
Zoning. . . . . . . R-12 PD
Remarks :
PATH 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
4. 5000 3W MEADOWS Rb 8070 SW NIMBUS
a SUITE 151
N LAKE OSWEGO OR 97035 BEAVERTON OR 97008
Phone # : 620--7538 Phone # : Oil-,%17—
Reg # . . : 42422
as
I Signature of Supervib'Ing Electrir.ian
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
PLUM
C1W OF TIGARD PERMBTN#. PERMIT. MST95•-044 i
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/15/96
13126 SW Hall Blvd.Tigard,Oregon 9722308199 (603)838-4171
PARCEL: 2S1A4BA-C3160
ITE ADDRESS. . . : 13758 GW MARCIA DR
SUBDIVISION. . . . : CASTLE HILL N0. 3 ZONING: R-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . t160
CLASS OF WORK. . t GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . tNEW WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTk3. . : i
OCCUPANCY GRP. . tSF FLOOR DRAINS. . . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . t2 WATER HLATERS. . . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES----- -------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . . : 0
TUB/SHOWERS. . . . : 3 SEWER LINE (ft) . . : 0
WATER CLOSETS. . : 3 WATER LINE (ft ) . . : 100
DI5)4WASHERS. . . . r 1 RAIN DRAIN (ft) . . : 0
Remarks: PATH I
DON MORISSETTE SWM t 180. 00 JSD 02/15/96 96--276006
5000 SW MEADOWS RD SWM $ 100. 00 JSD 02/15/96 96-276008
SU11E 151 ELCF $ 2.35. 00 JSD 02/15/96 96--276008
LAKC OSWEGO OR. 97035 ELC5 $ 11. 75 JSD 02/15/96 96-276008
Phone #: 6�0 -7538 ELRP t 40. 00 .JSD 02/15/96 96-276008
ELR5 i 2. 00 JSD 02/15/96 96-276008
dumbing Contract:ors------ __------- APRT t 690. 50 JSD 02/15/96 96-276008
A SPLC t 448. 83 JD 12/07/95 95-273685
Nel�e t -�� 1.`�� _e_ ._ �_([.�.1"..._.____ B5PC :34. 53 JSD 02/15/96 ')6 27600£f
Address: _,.�c" _n j�� _ _. PARK t 500. 00 JSD 02/15/96 96-276008
L i t y : C1- -1 7bk__-__--._ St at e: _Q�._ _ MPRT E 4:,. -•4 JSL 02/15/96 96-276008
Zip:� � phone#: __� � MPLL i 11. �" JSD Oc:/15/96 96-276008
Reg #r: L Additional ff?es --ot shown here. . . . . . . . .
-------- REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Mr.inicipal Footing Insp Fireplace Insp
Coder State of Ore. Specialty Codes and all Foundation Insp Gas Line Insp
other applicable laws. All work will be done Post/Deas Struct Insulation Insp
in accordance with approved plans. Jhis Past /Ream Mechan Gyp Board Insp
permit will expire if work is not started Crawl Drain Rain drain Insp
Q, viithin 180 clays of issuance, or if work is PLM/Underfloor Water Line Insp
suspended for more than 180 days. Mechanical Insp Water Service In
Plumb Top Out App►^/Sdwlk Insp
U) Electrical Servi Electrical Final
Electrical Rough Mechanical Final
-� Framing Insp Plumb Final
Low Voltage Building 1-inAl
WAuthorized Plumbing Tactor Signature
'J Call for inspection - 639-4175
ontractor Notes:
CITY OF T I G A R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST95-00441
DEVELOPMENT SERVICES DATE ISSUED: 02/15/1996
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 PARCEL: 2S104BA-13000
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 13758 SW MARCIA DR FILE
SUBDIVISION: CASTLE HILL NO. 3 COpy
BLOCK. LOT:160
CLASS OF WORK.: NEW
TYPE OF USE: OF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I
Owner:
MORISSETTE HOMES
Phone:
Contractor:
DON MORISSETTE HOMES
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO, OR 97035
Phone: 620-7538
Reg#:
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W This Certificate issued 06/21/1996 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Orego Specialty Codes for the group, occ ancy, am use under which the
referenced p it was Issued.
BUILDING INSPECTOR BUILMG OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639.4171
BUP
Date Requested AM „PM BLD
Location ? b �'1G�►rz� �- nY� Suite w MEC
Contact Person Ph PLM
r
Contractor 1�'101�1`� _ ► IcZb '7S3�r SWR
1LQIMG Tenant/Owner ELC
Retaining Wall ELR _
Footing Access:
Foundation ( � Set b1d��H
rps
Ftg Drain J����-� S AnyLp
Crawl Drain Inspection Notes: SGN
Slab SIT
Post&Beam
Ext Sheath/Shear I
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
in
SS PART FAIL _—
PLUMBING
Post& Beam - `—
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam -- -- - --- - --
Rough In
Gas Line -- -------- _—_------- --
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
a Service
Rough In
NUG/Slab Y.___-_—�—
Low Voltage
Fire Alarm
J Final—,'
m PASS PART FAIL --
W SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE. [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date _ Inspector Ext
Other -- --
Final
PASS PART FAIL DO NOT REMOVE this Inspection recoed from the job site.
MASTER ERMIT
CITYOF T I GARD PERMIT *. . . . . . . : MST95-0441
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/15/96
• 13125 SW Hal:Rlvd.Tigard,Oregon 07223.81...' (503)639-4171 PARCEL: 2S 1040A-C3160
FL ADDRES�;�. . . : 13758 SW MARCIA DR
jUDDIVISION. . . . : CASTLE HILL NO. 3 ZONING: R-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 160
Remarks: PATH I
-------- -------------------------- DUILDII6 _
REISSUE: STORIES.......: 2 FLOOR ARMS---------- NIGIDENT...: 1 if RIDIIRED GETBAQIS---- Nair. -
CLASS OF WORK.:NEW HEIGHT........: 27 FIRST....: 1411 if BAAAIL....t W,, if LEFT..........1 5 SMOKL DETECTRS: Y
TYPE OF USE-0 FLOOR LOAD....: 40 SECOND...1 1617 if FRONT.........: 21 PARKINb SPACES: i
TYPE OF CONST.:5N DWELLING UNITS: 1 FINISNEUTs 1 if RIGHT.........s 5
OCCUPANCY GRP.:R3 BDRN: 5 BATH: 3 TOTAL-----s 1 if WLLE..1: 212786 NEW.........1 45
PLUNIIIN1; ----
SINKS.........: i WATER CLOSETS.: 3 WASHING MACH..: 1 LA WRY TRAYS.: 1 RAIN DRAIN ft: 1 TRIM........t 1
LAVATORIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: ! SEWER LINE ft: 1 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUBI"WERS...: 3 GARBAGE DISP..: 1 WATER HEATER5.t 1 WATER LINE ft IN BCKFLW PREIAfTRs 1 GREASE TRAPS..: 1
OMR FIXTURES: 1
------------------ ----- ----_____ _^-- MECHANICAL ---- - ---._ r—___
FUEL TYPES----------- FURN ( INN( ..: 1 BOIL/CMP ( 3IP: 1 VENT FANS.....1 4 CLOTHES DRYERS: 1
/OAS/ / / FURN )=INK ..: 1 UNIT HEATERS..: 1 HOODS.........: I O KR UNITS...: I
MAX INP.: 1 BTU FLOOR FIIRNMi 1 VENTS.........: 1 WOODSTOVES....s 1 SRS OUTLETS...: 1
ELECTRICAL - -- - ._-------------- ----
--RESIDENTIAL OMIT--- ---SERVICE/FE'EDER--- --TEMP BRVC/FEEDERS— ---BRANCH CIRCUITS--- --MISCELLANEOUS---- --ADD'L INSPECTIONS—
INS SF OR LESSt 1 1 - 211 Sep..: 1 1 - 211 asp..: 1 W/SVC OR FDR..: 1 PLIC/IRRIGATION: 0 PER INSPECTION: :►
EA ADD'L SM.: 5 211 - 401 asp..: 0 211 - 411 sop..: a lit W/O SVC/FDR: 1 SIGN/OUT LIN LT: A PER RUN......: 0
LIMITED DERGY.1 0 411 - 611 asp..: 0 411 - 611 esp..t 1 EA ADM BR CIR: 1 SIGNAL/PANEL...: 0 IN PLANT......: I
MANE HM/SVC/FDR: 0 601 - 1111 asp.: N 601+asps-1111 vs 1 MINOR LABEL -10: 0
1110+ wap/volt.: / PLAN REVIEW SECTION -_-._----.W..._�_ --
Reconnect only.: 1 )*4 RES UNITS..t SVC/FDR)-W A.: ► 611 9 +OINALs CLS AREA/SPC OL'Cs
—---------- SICCTRICAL - RESTRICTED ENERGY -- -
A. SF RESIDENTIAL——------------------- B. COMMERCIAL---------- ---------_____—��._ ----
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO I S1EAE0.s FIRE ALARM.....: INTERM PAGINBs RITI100P LNDSC LT:
DUN AR ALARM..: 0TH: :: X BOILER.........: HVAC...........: U NSE/IRRIGs PROTECTIA a11AL:
GARAGE OPENER..: CLOCK..........: INLRTRUNWATION: MEDICAL........: MHA:
HVAC...........: DATA/TELE COW.t NURSE CALL1....I TOTAL # SYSTEMS: a
Owner: ----------------------------------Contractor: --------------- TOTAL FEESH 2612.56
DON MORISSETTE DON MDRISSETTE HOMES
5010 SW MEADOWS RD 5111 SW MEADOWS RD
SUITE 151 SUITE 151
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97135
hone #: 620-7538 Phone #: 621-7538
Reg L.i 3MM
4.
nis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes end all other
N applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 181 days.
J ----------------------------------- _ ----- - REQUIRED INSPECTIONS ------------________-._� _��-----
m 'opting Insp PLN/Underfloor Framing Insp Gyp Board Insp Electrical Final
W FDundation Insp Mechanical Insp Low Vo Rain drain Insp Mechanical Final
J :ost/Bea: Struct Plumb Top Out epl Ins Meter Line Insp Plumb Final
Postibeam Mechan Electrical er : Gas ne p Water Service In Building Final
::yawl Drain Electric Rou ton Insp Appr/Sdwlk Insp Control
cmittee Cignatc:re: _ . Issued Y
_. __.
Call for inspection - 6394175
crucc
PERMIT
C11YOF TI BARD DATTEIISSUED:• 02/15/96) 05�Z►5
COMMUNITY DEVELOPMENI DEPARTMENT
13125 SW HsH Blvd.Tigard,Oregon 9779"06190 (503)6394171 PARCEL:
2S 104BA-C3160
SITE ADDRESS. . . : 13758 SW MARCIA DR ZONINGII R-12 PP
SUBDIVISION. . . . : CASTLE HILL NO. 3
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 160
TENANT NAME.. . . . .
UFIXTURE UNI'TS. . . a
SA NO. . . . . . . . . . : 0
CLASS OF WORT<. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . : 3F NO. OF BUILDINGS: 1
INSTALL TVPE. . . . :BUSWR IMAERV SURFACE: 0 sf
Remarks : PATH I
Owner: ------------------------ ------------ FEES
DON MORISSETTE— — --- type amount by date recpt
5000 SW MEADOWS RD PRMT $ 2200. 00 JSD 02/15/96 96-276008
SUITE 151 INSP t 35. 00 JSD 02/15/96 96---276008
LAKE OSWEGO OR 97035
Phone 1f: 6t,20--7538
Contractor: ------ -------------------------
CONTRACTOR NOT ON FILE
-------------------------------------
Phone #: $ 22:35. 00 'TOTAL
Reg 1t. .
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rulesand re vlatuns Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 s fromthe date issued. The total amount paid will be fori d if the — —
permit expires. The Agency does not guarantee th y acy of the __ _�___--. -----•-
vde sewer laterals. If the sewer is not loca � e measurement �__ ------ -
given, the installer shall pros 3 fee a rections from _
the distance given. If not so 1 ated, a "n er shall purchase --
a "Tap and Side Sewer" Permit an th Age ill insta
[ler r:ittee S.ignat e:
issued BY : -
Call for inspection — 639-4175
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Residential Buildina Permit plication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: ti t , )(Lot# pffICe Use only
` Contact Date / f initials
Valuation; d Z 7.SS_ Result
New Construction Only: (Square Footage) Planck/Rec
Permit#
House: 30 z Garage: � —f� Reissue of
Corner Lot? Y N Flag Lot? Y N Map & TL 0,f(34- ry'
Zone
Owner: upfJ �-IL4Ls5otc—�(�. Plat # -t
��r�yy--11 /"
/J
Address: �1Z�L,r � ����� CC'1� �1�J� Approvals Reguirerte-1'
Planning Setbacks LSolar "� "�'
C2 �� ���� Engineering
Phone: c IE-103) ( - ) ` 'E_71 Other
Contractor: 51P'N -{E �_���
Items Required
Address: Subcontractors �G
-- Truss Details
Other
Phone:
Notes
( ) --
Contractors License # 9 5" 559 -7
att ch copy of c�ument Oregon license)
Contact Name:
Contact Phone: ( jo-�2)L(p'x)
Subcontractors: Arch ltectlEngInsenilf'oA
Plumbing:-_� D1OC PL0 moi Qty
Address:
Mechanical: L02KI-I 'I je`i?•
w (attach copy of current OR C Phone:
/ontractor's License) _
C( ( ( c,%--1�-_; � L
11B DESCRIPTION:
( Z
Applicant Signature Applicant Phone number
Received by: �—""-' Uatr Received:
/tUopldpyMYCD
Permit 0 Account Description Amount Amt, Pd, Bal. DYe
#511)', Bldg. Permit (BUILD) 6'.9,0' s-
Plumb.
D, SPlumb, Permit (PLUMB) 2 a,2j
Mech. Permit (MECH) V y�
EGG �3 U
G R
Bldg: 33 U�v
Plumb: / �" '� L/
Mech: L j� `
Pla Check �LANCK)
Bldg: �/ YY3
Plumb:
v
Mech:
—2--:0:105
4 Sewer Connection (S USA) o? U U uU
Sewer Inspection (SWIN
Parks Dev Charge (PKSDC) U j
vu
Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TW-C)
Industrf;!I,TfF- (TIF-i)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
a Water Quality (WQUAL) U
t% Water Quantity (WQUANT) v v \ f o v
Fire Life Safety (FLS)
m
W Erosion Cntrl Permit (ERPRMT) ✓ �"�w
J
Erosion Planck/USA (ERPLAN) 0 " �
Erosion Planck/COT (EROSN)
TOTALS: / / 5�o a o
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ftr�rfXV
Credit No:
j
Date Issued:
IsM
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TRAFFIC IMPACT FEE
CREDIT VOUCHER
In accordance with t,,-,e Traffic /mpac!Fee Ordinance, Matrix v lopm nt
L�e e e Corporation
is entitled tot -in Traffic IMPP-ct Fee Credits that can be -applied to TIF charges
ti onlot(s)68-131ofto",eCas,'IehillNo. 2L)evelcpr,7ent. Theuseo(TIFt-,redits
are subjec!tc the fulesand limitations of the TIF Ordinance. WARNING:
This voucher mus:be presented at the time of issuance of the Building Permit, or if deferral
was granted issuance of an Occupp_rcy Permit. is
M"'TRIX 0 ElIEL OPMEN 7-CO RPOFA TIONhereby assigns all its right,
title and interest in and to that certain Traffic Impact Fee Credit to be granted
upon the Issuance of a building permit for Lot
CASTLE I-,'ILL NO. V,,Subdfvisicn, Washington County, Oregon, to to the order of.•
This assic,-,mert ct Tragic Immcac!Fe-a Credit is r;-,acle and given this
day of
�t�A,f A TR IX 0 EVE L 0 F,1/1 E/V T CORP 0 RA T/0 N,
an Oregon Corporation
Title or Position
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' 5000 S.W.Meadows Rii.,9b.151
Lake Oswego,OR 07085
Phone:(508)820.7588
FAX:(503)620-7485
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