10640 SW SUMMER LAKE DRIVE i
V)
r�
r,
10640 SW Summerlake Dr. --
ITY
n CERTIFICATE OF
�I!°'F TIFA RD OCCUPANCY
COMMUNITY DEVELOPMENT DEF. T Cr1Y � PERMIT M. . . . s MaT'91i1-0c 30
estowi
1.3125SW Flnll l W. P.0,(3au 23397,Tigard,Oregon 972
DATE ISSUEDt 02/11/91.
:r1 I ADDRES'a. .. . a 10640 SW GUMMERL.AKE DR PARCELo IS13:3AD-02900
SUBDIVISION. . , . - AMART SUMMERLAKE: ZONING: R--7
BL.00K. . . . . . . . . . o L[l 1". . . . . . . . . .
________—___,_._._._____.._.__�__�___._._ ._.
CLASS OF WORK. sNF'W
TYPE OF USE. . . sSF
OCCUPANCY GRP. s►43
OCCUPANCY LOADs220 4
TENANT NAME. . . s
Rommarkas pas fir'eplace.- added to mechanical permit li?--17-919
Oworers
DON MORISSETTE BLDERS, INC.
P O BOX 19524
PORT'i AND OR 97219
E*hone #s 503-620-;'53E1
Contractors -.____..... __.___-...___w_______
DON MORISSE:TTE BLDERS, INC.
15555 SW BANDY RD
M?10
LAKE OSWEGO UR 97035
Phone Ms 503-6?0-7538
Ren *. . 1 33533
Occupanry of the above referenced building is hereby given, and certifies
the compliance with tho State Of Or-eyon Speciml.ty t'.uciea for the yrWIp,
or-rirpanc:y, and rise unr+rer which the ref,aronred peri f.t e.as jostle
FIRE [?EPARTw-ii TBUIL.DING IWSP�TOR
BUIL_ NEI O ILIAL
POST IN CONSPICUOUS PLACE:
I
�y NSP CTION NOT_ICI
(V) City of Tigard Building Depart rant
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec--O-Phone)t 639-4175 Business Phones 539-4171
Inspections..._
Footing Plbg. Underslab Mech. Rough-in App-r/Sdwlk
Found. Plbg. Top Out Gas Line � aN11L1Y�
P,.3st/Roam Struct. San. Sewer Framing
Post/Beam Mech. Rain P rain Insulation -Plumb.
PIbQ. Underfloor Nater Line Gyp. Bd.
AMI FSM
Date Requested: 1 I - c /_ //__/� ' _.-Timet
Addresst_ I Q SSJ 4D_�[1 .l' AyI_ IeL'A k2- Permi>n #t Q Q Z G'_
Builder: I_> Wl V JL_ Ls S`TTL
THE FoIJtMiING CORRECTIONS ARE REQUIRED:
Inspectors _ i ---------- Date:, 4==
t��FlPAuVEO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Iteinsp.
Delete selected item
64MASTER PERMITA$$A$bbbAa;lbbbbbbfib3bbbFiabibb3bbbabbbbbb5aA35bb5i5$b$b$bbbbbbbbG
" :MST90-0280: PROJECT:SUMMERLAKE STATUS:T : UPD:01/17/91: :BI,T:
° PF,RMITTEE:DON MORISSETTE ELDERS, INC. PRIM. . :MST90-0280: °
" SITE ADDRESS:10640 SW SUMMERLAKE DR "
64 CASE HISTORY AA$AbAbbAAAAAASAi&AAAbbbReq/SentbSchd/Due$End/DoneAABy$StatA$AC
° A735 Gas Line Insp 12/13/90 KS UIS °
° ,1,35 Gas Line Insp 12/17/90 ICS DIS °
A735 Gas Line Insp 12/27/90 KS DIS °
° A735 Gas Line Insp 01/04/91 KS DIS °
A735 Gas Line Tnsp 01/07/91. KS DIS °
A735 Gas Lir.- Insp 01/06/91 KS APP °
A'740 InSUI.Bt.'.on !nsp 10/22/90 KS APP °
A745 Gyp Board Insp 10/31/90 KS APP °
` A755 Rain drAin Insp
° A760 Water Line Insp
° A765 Appr/ndwlk Insp 11/07/90 CWV PASS °
A765 Appr/Sdwik Insp 12/07/90 CWV PF.SS °
A795 Mechanical Final 12/05/90 KS DIS °
° A797 Plumb Final 11/30/90 MS PASS °
A799 Building Final 12/05/90 KS DIS
abbAAfiA55bAbbAAAAbAAAAbAaAAAbAAbAAAbbAbAbaAbAAAaAbbAAbbbAbaSbbAAAAAAAbaAAbbAAbi
HISTORY: VIEW UPDATE DELETE ESC
Delete Bele-ted item
6AMASTER PERMIT$AAAA$Abbbti b$AAAAAbAbbAA�bSbAa$3bbbAAAbAabS$AA°.bbbAb(S$A$$el$$C
:MST96-0280: PROJECT:SUMMERLAKE STATUS:T UPD:01/17/91: :BLT: °
PERMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :MST90-0280: °
SITE ADDRESS:10640 SW SUMMERI.AKE DR °
oA CASE HISTORY A6AAAAAAaA6AAAAAAAAAabb,-'.Req/SenttSchd/DueAEnd/DoneAABy$StatAAhC
A707 Wtt Proofing Bsm't Walls
° A710 Post/Beam Structural 09/11/90 KS APP °
° A711 Post/Beam Mechanical 09/11/60 KS APP °
° A71.3 Crawl Drain
° A717 PLM/Underfloor 09/11/90 MS PASS °
A718 Ftng Drain Bekn't Walls
A7,0 Mechanical Insp 10/22/90 KS APP °
A720 Mechanical Insp 11/08/90 GS DIS °
A722 Plumb Top Out 10/12/90 MS FAIL °
° A725 Framing Insp 10/15/90 KS DIS °
° A725 Framing Insp 10/1.6/90 KS DIS
A726 Framing <REINSP> 10/19/90 KS TS °
A726 Framing <REINSP> 10/22/90 KS -'SPP °
A730 Fireplace Insp 10/31/90 KS N/A °
A735 Gas Line Insp 11/08/90 GS APP
AbfiAbaAAAbAAbA3AbAAAAAAAAAAAAAAAbbAAAAAAbbAbbAAAA.AAAAAbAbAAAAAAAbAAAb$AAAAAaAAi.
INSPECTION NgTIGB
City at Tigard Building DepartA ent
13125 SA Ball Blvd. Tigard, Oregon 97223
Ineoection Life (Rec-O-Phone): 639-4175 Runinens Phone: 639-4171
Innpection-
Footing Plbg. Underslab Mach. Rough.-in Appr/Sdv►1k
Round. Plbg. Top Out / asLine ?INA:.:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Heck. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Rats
t
Date Requested: 1 ~ Time: _Am PH
Address:_ 7� ? _ Permit �t
Builder:
THF FOLLOWING OORRECYONS ARE REQUIRED:
r
P
Inspectoors Date:_l
V_APPMIVED DISAPPROVED _ APPROVRD SUBJECT TO ABOME
Call For Reiner.
CITYOFT167ARD ,1�
CI WARD1*-1FRNT'T' '•. .. . .. . 11131"90 0P80
C
COMMUNITY DEVELOPMENT DEPARTMENT MOM
13125 SW HvJ1 Hb J. P.O.Box 23397,Tiprd,Onigon v=(SM);Z1 76
7-,,-/ DO'TF:-. ISSUE:1): :12/17/90
,;1 DRE J ,. 'fPJ SW 5(-JI'WkJ,A-AKI:: uki,Vl I::1r)RCJ--J-a IS1.33AD-02900
011AR'T SUIvII1ERLAKE-. ZONING,- R-7
-3
BUI'LDING
LY S S U E DWEA-1-TNC; UNTYS.- I B A G E'M I"'N I'. . . . . . . . ..0 f
(;LASS OF WORK. cNLW 13EDRMS-3 PATH5c3 GARAGE:. . . . . . . . . :480 Sf
f YPE OF' tJgr.:-. . . n SF FLOOR ......_.._._I....._.... RE"QUIRE'D
TYP'F (IF CONS'F. -.ON F1 R61'. . . . 1738 sf L EF T. . -."7 ft R1 G H'T. 5 f-t-
CMP. a R.3 >1::.0 0)141) (:)4C, f Fp()N'T -PP) f t R V.'()R C)0 f is
D-
HE 1 GI-11 0 ft 1'014)L.- Q I/F DF:741--C T 0 R'S. Y
tt?n, ,y*P 9,. L f 1.-rc.-I 1,1.ace. Edda( tc) nie?cliarli(."al r)L-y-olii.- 1.2-
I FIKS. . . . . . . .. . . F1 C)OR DROIHS. . 0 E4 A C':I/k F L 0 14 P R V Iq Y R S,
PvA7*OR I E S. . . . . 3 „ATLP HUYTE,RS. . . 'TRAPS. . . . . . . . . . .. . 0
LJD/f:-',HOWERS. . . LAUNDRY TF-J)YS. ( (11'C 1-1 P A S 111 S
k1Aj'ER CLOSETS. a 13 SE:WER L.] ME (f t) -.0 GRE-:ASE 'TRAPS. . . . .
W(-)'T'F'R LINF, ( ft) . : 100 0 1+1 E R F'I Y'r IJ R E f:)..
ARBA(37E DISP. RAIN DRAIN (ft) . 4@
,1 A.G)IA I N G 11 A c 1.1. SF RAI,N DKOTNS. .
.. ......... F FES -------------
H'TRS. . :0 t-ypfm ;inicit,trit by (J,i te c p t
GAS/ V I-*.hI T S . . . . . .0 PAYM $ 100. 00 JLH 08/1.4/90 2036711
,!OY
0 U Vl:.'N*T' VONs). DPR'r, $ 30,.1.. 00
URN < 100K IAGODS. P I':,L C 11; 2341. CIS
U R11 ):=1.001', W 0 D 1)c3,10 V L 5 0 P 5 PC q, 1.8. 05
LOOR TURN.. . . . (;Lo DRYERS. T ST D C 600. 00
14011./CMP ( 3HP-.0 0TIA[.:R UNI''TS-. 1 SSM, :37";. 00
3013 OUTLE TS 2 PARK $ 250. 00
- ------ PPRT' q, I.3 P. ',--;0
DON MjR18SE'TJE1* 14LDERS, INC. V15FIC $ 6. 613
P (I PDX 195P.4 I.-,A Y 111 1, 1 1.C,» 83 17-11 L 08/1.9/90
PAYI1 0. 00 JLH 08/1.9/90
['0N*T*I...AN 1) OR '97219 1--,AY 11 0. (40 ')1-H 08/1.9/914
III. 50-3-6VO-7538 M P R,'T" It, 134. 50
CL(i vi t-r a c t a r t ......-- 1117,1..C 1, 8. 63
DON I1(JRTS6E'T7+' PLDE-RS, INC. $ 1. 73
C, 0 BCD,( t9524 171 P Y 11 $ 5. td 6 PCR 1.2/17/90
PORT'LAND OR 97PA.9
Ila 503-6c'?07538
Reg 35533
This permit :s issued subject
ject to the regulations contained in the ......... REOUIRE:1) INSPUIJUMS
Tigard hunicipaj Code. State of Ore. Specialty Codes and All other F c)(ot/fr.)t.tttd Irtsp Ilechi-xi-licAl 11-1sp
apoiicable !aws. All work will he done in accordance with, 'a "ed Wt-r Prc)c)f:jjjp IRTM t:*"1!--mb 1'r)p Ot.it
plan,.,. This p-rait will expire if work j,, -if tarted hi in I
work s rpn,i rim I
days of issuance. or if
th n eAY g Insp
Cy,Awl. n) 4 <R F I N OV,
11/Ll i i(I e-r f 1.t.)c.)T, F-v-m ni i vi kl <R F:T 14 G P
1.si;i"i t.t e d 13 Y Ftliq Drain Bsnivt Firer)lace Ttisp
-,-�Chanicai 111sp -A -
........ Mr Gas I.J.iie 1115,P
C a C)-0 i.tt15 P e Ct-10 11 639-4:175
All,
GITY (T TTGAU-1) OF FlAYMENT r�EcEirl' NO. 17 C17, 1',CHECK AMOUNT : 15. 06
NAMrF. r. moriisvii-rTE, M)N HOMES INC CASH sVI(. UNT s co.,(.',)C)
A 0 L)R E S n 5555 'SW f3AN6 . ROAD F-AYMVTJ DA"rE c I,,,,t 90
BUT-M 20,1 '41 Ignik)111-T-Ghl
LAK'E' OGWL-''CO, 133
SUIMMER! A r-
Flt-lf 05E OV" PAYMEN"r 61.1(11-110, PAID r"URPOSE UF FAYMEN r riM(-,1.IN7' F",ATD
iN i cAi.. rs 4. 5. ......_,_._.........._.._.� _ '�.
0 rLAN CHM..', FE
I BU I L V FS P
til.A-11 YON Top M94,90
'11110L. AMERINT rAll",
114SPRfl:11�1 NOTICE
City of Tiga�_d Bui ding JeparLwenl.
13125 811 Ball Bled. Tigard, Oregon 37223
Inspection Lino (Rsc-O-Phonn)s 639-4175 Business Phone: 639-4171
1napection s��_.�
Footing Plbg. Underalab Mech. Rough-in App!/gftlk
Found. Plbg. Top Out Gan Line
Poet:/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: l`L- t1' `t — Timet --- RM PH
Addresn:�( J(v �4 U `SCS (.n.�sas LfTLL.A JC& Permit f s O Z 8 U
Builder• (1.1 (1 (Z: S,S r iii =
THE� F\OLI.OW+IMG CORRECrIOMS ARE REQUIREDs rl A41 c 14 A: k7'4t]r"%4 C fit.=- -a ��eL1 fr'�i ig [ ieia. �� y%7-
ceR -s. U
Inslpectors_ _ Data:
`'�-`-APPROVED DISAPPROVen APPRCriIED SUBJECT TO ABOVE
y_Call For Reinap.
m_�
�N��CT,I ON_NOT I CIl
City of Tigard Building Departraent.
13125 811 Ball Blvd. Tigard, CWw)on 97223
Inspection Line (Ree--O-Phone): 639-4175 Businems Phont?: 639-4171
Inspections �._— ------- ----_._�..��---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdvl.k
Found. Plbg. Top Out Gas Line FFIINALS
Post/Beam Struc!.. San. Sewer Framing (J. 1�• '
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ad. Mach.,
Dato Requestedt - Lf� _, f�� Times
Addr-wa: ���'7� //l7/J)L1iL Permit
Builder. '� � � --
� III
TBg FOLLOWING CORRECTloNS AAS RSQUIREDt
> 4SL
r ' �
Inspertort
APFROVRD DJSAPPROVSD APPROVED SUBJECT TO ABOV1
Call For Reinsp.
i
INSPECTION NOTICE
city or Tigard Building Depwartoent
13125 an ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinens Phone: 639.4171
Inspections_
Footing Plbg. Underelab Mach. Rough-in Appr/BdWlk
Found. Plbg. Top Out Cas Line %TINAL�
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain insulation `Plumb.
Plbg. Underrloor Nater Lina Gyp. Bd. -Neoh.
Date Requested: _Times _.,�K_AN PN
h D
Address: r, rt rmLt #s �
Builder: ,J, (y \/��(�/��(� 71+5
THE POLL40WING OORMCTIONS AM UQDIRSDs
Inspectors Dates f(— I a" eel,
/\ AF'PrtOVSD DISAPPROVED APPROVED SUBJRr.'r TO ABOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 63/9-4175 -
Type of Inspection
Date Requested 11—g Time A.M. P.M.
Address _ Permit 0 20 �'8b
Owner _ Lot
Builder
The following Building Code deficiencies are required to be corrected:
rl
Presented to [Approved ;
Inspector / I,HDisapp►oved, +i1*1-/L
Date
CALL FOR RUNSPECTION
(SEs Cl Ira
i
�NSPEC'CxGN NOTA � \
City of Tigard Buildinq DRpar-taent
13125 SN Ball Blvd. Tlgarl, oregon 97223
Inspection Line (Rec-o-Phone)c 639-4175 Business Phones 639-4171
Inspection: -_ - —
F«,3tIng Plbg. Underslab Mech. Rough-in �.,y Appr/Sdalk
Found. Plbq. Top Out Gas Line FINAL-
pont/Beam Struct. San. Seorer Framing -Bldg.
Poet/Beam Mach. Rain Drain
Insulation -Pluab.
Plbq. Underfloor Water Line Gyp. Bd. -Me,-h.
,PQ�
� �'a D Time: AM PM
Date Regr:estedc��( ��/: ! -
7 � 17 ice'
Addreen:
1f�(a L{D Lir AAAA-J4A�.0 v Permit t: 9d•D Z 6
Nu f.lders�L -
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
— I
C4 1
Dates
APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
Call For Reinap.
IN3PECTION NOTICE
City of Tigard BuIldinq Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Aveineso Phone: 639--4171
Inspection: - —V - -—
Footing Plbg. Underslab Hoch. Rough--in Appr/Sdwlk
Found. Plbg. Top Out. Gan Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Boam Morh. Rain Drain Insulation -Plvmb.
Plhg. Underfloor Nater Lina Gyp. Bd. -Hoch.
Date Regueet/ed:, 1�Tia"tesu A�M1 PM
Addroeet_--/� � llygimrc
Builders) - --`
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i Is-- ]JL/ .cJ7-
-„t.�l T , nl -
/ ,.1C-/V Z44r4 2�.yft<.% ro
lnelx+r•tnrc- ( _ '/ Deas:
__APPROVED DTSAPPR7VEn f— APPROVFD SUBJR(9' TO ABOVE
__call For Reinsp.
�.
i
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ ,/� cid " �Q nmv x A.M. P.M.
Address ,L� df, s rr�r., fir,� Permit #fD -l�co S-,d
Owner_
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
Inspet.tor
Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ No
I
INSPECTION NOTICE ,
i
City of Tigard Building Department
P U. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
Type of Inspection
Date Reque i_. �� d ��/ Time—A.M.--P.M.
Address - - Permit
Owner - - — — Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
------- ------_ _-__ Approved
Irotrector .. ___ isapproved
Date —
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 "�4
Phone: 639-4175
Type of Inspection
Date Requested // Time A.M._ P.M.
Address
Owner— ---_-_-_--- —_---- _-- Lot # --
BuilderThe following Building Code deficiencies are required to be corrected:
-ri.1 4- '7"� " ter Lit O t%i
Presented to _ pproved
Inspector _- �� �..� Disapproved
Date
CALL FOR REINSPECTION
YEs Cl NO
INSPECTION NOTICE �....,
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
y� Phone: 639-4175
Type of Inspection _��Z�'u �-��'
Date Requested ' �" C _ TiE A.M. P.M.
Address I v y rtt
mi ~6�
Owner Lot #►_
Builder .
The following Building Code deficiencies are required to he corrected:
Presented to _ -_- - _ _---.-- ---VApproved
Inspector '� � -_ �___ Disapproved
Date
CALL FOR REINSPECTION
❑ YES C❑ NO
INSPECTION NOTICE /.
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested _ .M lO rme_4-A.M. P.M.
ry -Permit #
Address I
Owner
Lot #
— - --� —J-J
Builder �1 -----__The following following Building Code deficiencies are required to be corrected:
Presented to [}Approved
Inspector / C� Disapproved
Date —4
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-41 '5
Type of Inspection . --'' -- -
r
Date Requested__ A.M.— P.M.
-r' Permit
Address --
A
Owner "'Y1 Lot #
Builder
The following Building Code deficiencies are required to be corrected:
la' �tM+tO✓G. fjl / Lzrc�SL� /YIf�TSf 144
.._ Er-L'AVUn %��E•2 /a�_SAc� l��o�,�— "3A v T(1—t4cL.+c�f�.
�S' -Cow 'F'o� v'r`- • -�i7.Q.� / �?oao ,N S,�' y�✓C�.�
Presented to — Approved
Inspector _ _ D Disapproved
Date --
CALL FOR REINSPECTION
YES E] NO
C17YOFTIGARD MAS'TE:Fti �:'� RMI r ,0
CITY I III�Ia:T a« . ., . . « . » I'ILr�'T 90 01'13(,
COMMUNITY DEVELOPMENT DEPARTMENT ommm I R II*I. PER1111 a. a K'IS'T 90- 0580
13126 BW FMII Blvd. P.O.Bac 233W,Tlpmcd,Onpon Q7 �r f5 I?ATE:: I`;S U li:U» 08/21/90
SITE AI)DRE'SS. « « ; 1.O640 SW 5ul'11111RLAKE: :DRIVE:: PARCELa :1513.3AD-0L`,)0Pj
SUBDIV11SION. . . . » 0M0F�T 9UIll Ill E:.RLAKE 7.CJNINGe R-•7
BI-.00:K. . . . . . . . . . I LOO.. . . . . . . . . . . . . :,3
........._._._...,_. ._.._._.._ BUILDING _._.._....___. .__...-._ -.___._......._- _..,__.___..-...._.._ ..,._.
RE:ISSUEe DWE:L.LING UNITSa1 BASE.ME.NT. . . . . . . . »0 sf•
01" WORK. a NEW BEDRMS a 3 BATHS:3 G A RO G F. . . . . . . . . . ..480 !:i f
TYPE CIF' USE. . .. a SF F L.00R RE.C.4 URE.D SE'TBACKc;--_....--..._-.....-.-.._.
T'Yr-',E (IF CONST. t:5N FIRST. „ ,. » 738 ssf L..EI`-T« . »7 ft R1GHT. »;; fi;
OCCUPANCY GRI:'« »h 3 SECOND. .. . a 846 p'f FR0NT. 12 0 •f t REAR. . »60 •f L
TOR1F:S. ., « . . . t;r:. •T'HIRD. . . 0 f RF:(.4UTRED._...._ ._._.....-.._ .- _.._......
1-IE::7 GHT. . « « « . . -.20 f TOTAL------- -•-. r. 1584 f SMOKE: DE.TE CTORS. a Y
FA OUR L-OAD., « . ”40 p s f VAI...LIE". . « ,. „ $~ 751G8 PnRK 1NG SPAC:E:S. . 90
PLUMPlNG
l:NKS. . . . « . . . et .
1. F'I_.n0R DRAINS. . ., ., »(a BAC:KI"LOW I�'RE:VNTRS. . a0
i._AVATO RIES. . . . . . 3 WATER HEATE:RS. . ., : 1 T R A P S. . . . . . . . . . . . . .0
I U1-3/SI-40WERS. „ . ., »R LAUNDRY 'TRAYS. . . :0 CATCH fsA'.'i 1N'.3. « . „ . . :0
WITE:R CLOSETS. « -.3 SEWER LINE (-ft) « e0 GRE.ASE TRAPS. . . . . . .. a0
1:),I:Sk•IWASHERS. . .. . r, 1 WATER L..INE (ft) .- a i.00 OTHER F-IXTURES.. « . „ . »0
1:14•iI:cAGE. D:ISP. . . 91 RAl:N DRAIN (ft) . a0
WASHING MACH. . . : 1 l3F• RAIN DRAIN:"%. . a 1.
-----------_.... MECHANICAL •-...__......._._._._.... .-. _. _I_..-......-...._.. .-....,_..» _ F:F ci .—...._.._._.... __._._.......
FUEL_ TYPES•-•-••------•..-••-•...-. UNIT H'T'RS. . a0 type amvc.cnt by date •reept
/( AS/ / / VENTS . . « . « »0 PAYM '(+ 100. 00 :JI-H 08/1.4/90 203677
MAX INPU1 a0 Ti'TU VENT F'ANS. . » J. 9 P R T 1, :3(:,:1.. 00
F*URN ( 1.00K . . » :I. HOODS. . . . . . : I. BPLC $ 2134. 65
l (JRN )=1.00K a 0 WOODSTOVEa. a 0 B55 PC, 1; 1.8. 05
F"LOOR F'URN. .. . „ ;;N CLC) DRYERS. a 1 S•rDC s 600.1 00
»0 (JTHE::R UNITSaO SSDC $ .3'75. 00
13AS OUTLETS I 1 PARK q; 2 i0. 0 0
Owrit-gra IlPR1 :30. 00 /
I)ON MCIF:ISSET'T'E BLDE:RS, INC;. MPLC 7. 50
1 0 PDX 1.9524 115PC I; 1.. 50
PPR'T' ,g 132. 50
VIOR'T•LAND OR 9721.91 P5PC F.,. 63 / 1
F'hoiie:+ N» 503_••620-7536 PAYM $ 1916. 83 PL-L 08/19/90
Corrtrac_i:co•r» _._..._......._...._....__......._...................._....... _ ......_._._._...... PAYM `fi 0. 00 .JI_.H 08/19/90
DON MORISSE:'T'•T'E BL.DERS, INC:. PAYM $ 0. 00 JL.H 08/19/90
I::' 0 BOX 195;24
PORTI._AND OR 97219
Phorie a'. 503•-620--7538
201.6. 8:3 TOU-111..
This permit is issued subject to the regulations crrntained in the — - REGUIRE:D :TNSVIEUT IONS — - - -
Tilord Municipal Code, State of Ore. Specialty Codas and all other Foot/foc.cnd lns>p Mecharii.cal. Insp
appl'.cable laws. All work will be done in accordance with approved Wt•r Proofing Bsm Plumb Top OL(t
plan!,. This permit will expire if w P is not to*ted wit '. IBA Post/Beam Strutt F•raminq Irisp
day. of issuance, or if work is cusp. ed fo m re tha b d vs. Post/Beam Mecham Fireplace Inl:r
Crawl Drain Gas Limp 11-11:4)
I'prmitteAe S j.q 1-1 a t 1.k r e Pl.m/c.crids:lab Irisp I11sulatiati•1 l:risp
PLM/Underfloor Gyp Board Insp
Tssued B a _ ... .......... _ Ftnq Drai ri Bsm' t Rain drain In�slf
Y M. -._._.-.... . ..
Call fr)r :inspection 639--4175
SEWER CONNECTION
CITYOFTIGrAILO P L-.,:R 111'T
CITYOFTWARD) #. . . . . . . c SWR900338
ffy,
COMMUNITY DEVELOPMENT DEPARTMENT C)RFqC)N PES01111 11131,90 0 P.8 0
C
13(25 SW HWI Blvd. P.O.B.23397,Tip",OM-97�Zq
1.75 DATE:: ISSUED." 08/2:1/90
31IF':.' ADDRESS. „ . : 1.0640 13W SUMMERLAKE DRIVE. VIARCEL -. I.S1.31301) 01:.'.)W0
SUDDIVISION.- AMAR I' SUMMERLAKL. ZONING: R..-*?
TE NANT NA11L. . .
USA NCI. . . . . . ,. . . . . FIXTURE' UNITS. . . c
(:;LASS OF WORK. . . -N F.::W DWELLING UNITS. . 1: 1
I YP[`* OF USE. . . . . ..SF NO. OF BUILDING5: 1
1:14S1 A L L T Y r-'E. . . . ..)H U I,)W R IMPERV SURFACE. . z 4 S f
Re ni a(,k,:;r.
0wrie-raFEES
DON MORI*SSETTE BLDE_RS, INC. type 'A ni()t.t ri t by diate .1,e e p t
P 0 PDX 19524 PRMT $ 1500.* 00
INSP q,, :35. 00
P 0 R T L.0 N 1) 0R '33721.9 1":,nYM 1.5 315.0 0 I-L-L 08/19/90
Phone ##:: 503 620-7538
C',wit-racto-r.n
C.,C)NTRACTOR NOT 014 FILE
$ 133 ;,. 00 'T'O TA L
REH*CIUIRED INSPECT"IONS
This Applicant agrees to comply with all the rWe� and regulations Sewer I risr,pect j.ari .........
of the Unified Sewage Agency. The permit expires 120 days from ..........._..._,.,_.__........................ .......
the date issued. The total amount paid will be forfeited if the ..............
permit expires. The Agency does not guarantee the accuracy of the ....................
,09 sewer laterals. If the sewer is not located at the measurement
ujvpn, the installer shall p-rospect 3 feet in all directions from ..........
the distance given. If not so located, the installer shall P"ase .......
a "lap and Side Sewer” Permit and the hiiency i I instal a at al.
P j.t t G.1. Y)a t U'('P ..............
4. ............................
-----------
1 5 S U P(I t.'A c ...........-
C a]..1 f o-r :i.risipe:tion 6 3 9-4:1'7 5
07 TTGARI) --- PECEIPT OF PAYOENT REC.ETFJ No.
CHECk:: AMOUNT e -.45,1 F3.*
EIM MORICE"TTE- HOMES�. I W'. CASH AMOUNT
U L) E SO P.(3. 80)1 19524
PAYMENT DATE 3 )19 ' 21
SUDD I V I S I ON c
PORTI-AND. 0S., 977"1 Cl� - If-1640 SW $UMMERL.At C'
5-'-IJPF'0SE (IF PAYMENI" AM OIJINIT PAM f`t.JFF`W--,E OF PAYMENT AMIJUNr PAio
F�-IJIL-011`40 PEPM 1),8+., 1)T77�, FE'U6i 7m-i�73F 71E—P.i 0
Pit.-("HANI CAL PE 30. ()(p S7 . V IJ I L D PE P .18
PL (.-,HUV� FE 14.2'. 15 SEWEP USA
SFIdEP Il`lU'r (-T _.S.04) STPEE-rT SDC
F,,.,,rl q, SK 2t)"). Sl'npm DRAIN WC
t 1l`I11t7-,RL.AI`E Lr)T #Z"
I-OTOIL AMOUNT PA I Ew
I TY OF T I GAFT I�ECCAF`r' OF PAYMENT RECEIPT NO. A 9 4s
CHEC-11.: P IOUN'T so 1,00.
OLItIT
141 17S)s F. E4 CJ I 9!S2 4 PA�MENT DATE t
,S)UPri I V I S 1.ON
IF FIISE OF'
PAYMEtIT AMOUNT PAID HAPPOOE OF PAYMEHI AMOUNT PAU)
SM SIJIIIIIEF;I—AFT7 DP 1 lll%:'. c.,01 447
l !'OfA- 0MOUNT FlFilO
C11Y0FT16;A` RD
� PLAN 04CCK APPLICUTION
tCi
rnrcx��an PLAN C1tC(:t( N 0 -/
COMMUNITY O[VELOPMENT"DEPARTMCW PERMIT Il !I - d Z
�»>xsw.��.�a e_P_o.as.zissr.Tb-Kl�v�^srm.(sn�l���rs DATE ISSUED
J; 5 r_ -i AX MAP/LOT J f 041
JOB ADDRESS: LAND USE:
SUB.
rl OT: ---- --
VALUATION: �, <>�1 ------ SPECI(1L NOTL-S
(YANER REISSUC OF:
D01�=-I S<, f �—� --� LAST REISSUE: -- -
A00RESS: _ 41 1L-J----- -
tG �,I `L��,� r - FL000 PLAIN/
__. __-----_.--5�--� SENSIT-IVE LAND: --
PIIONE: w�'� �L�- - — APPROVALS REQUIRED
PLANNING: — -
MNTRACTOR _ ENGINEERING: _
NA -. — — FIRE DEPT
AOORErSS: _ OTHER: _.
IMMS RFQUIRED
PHONE: - .� ..... LIST/SUBCONTRACTORS: _
BUS TAX:
ARC11/ENGINEER ,- F-TI1.1 CALCULATIONS:
TRUSS OETAILS: _ -
AOORES�: - PARKING PLAN: --_---
_ J LANDSCAPE PLAN: ----
-
PRONE: —�2U - ---
OONMENTS: —_— —
PERMIT H ACCT H DESCRIPTION A"JUNT AMOUNT PO. RAL. DUE
10-432 00 Building Pr,,mit Fees
10--431 00 Plumbing Permit Fees ----
10-431 01 Mechanical Permit Fees
10-2.30 01 State Building Tax (SX) y�.� --
B(jilding /E-1 �
Plumbing
Mech _ Q o- ,! - t ,)Or-, �
10-4333 00 Plans Check Fee '
Building a J,ti,
Plumh:ng
neck - )o �v
l 30-201. 00 Sewer Connection -
30-444 00 Sewer Inspection
`v
1-4 4 0 00 Street System Bev Charye (SOC) G�
52-449 00 Parks System Dev O'karye (POC) �- —_- _ '" v,
31-450 00 Storm Drainage Syst Bev Ctir�g (BCUG) 5
10-230 09 TRFO --�-- -
10--230 06 Washington 0,100ty Fire U1 (95X)
10-220 00 nmart/Wedgewood
101-nt zoo
RI=G
nPPt iCnNT sfCNnTURE —
Received By: Uatc Rt!ceived: T -_
cn/3587P/181'
w w m - 0 -
GRADINGILROSION CONT WL INFOIZNl l LQJ,
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.:�
t�,i I I L lly
PERMIT NO.:
L�c.l � `c -
_ '� �' ►-±w l APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR TEL -ilLOLr
NAME& ADDRESS:
pp,,IL -2r-1-4 om('-T-
'" Y .) vi vv V ayu O MER NAME AND ADDRESS:
rr)t,I L-'_lnLj SL i 7TH
TELEPHONE NUMBERS:
c• (�yj�('; RTY DESCRIPTION:
APPLICCPROPE
OWNER Ly 1''1 L 1°� �'.L.�TI E'x C�1-''__ STREET ADDRESS AND CROSS S'EREETIL.00ATfip
GENERALCONTRAC OR:'Lf,E', t"1('1:-L-1 11t
EXCAVATIONCONTRACT)R:i_-'.il- tom
STTE/JOB: _—
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMETtGENCY TAX LOT NO.:�
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION_
SITE SV_E,ACRES: (�%!
DISTLTBI-.D/WORK AREA,ACRES:
LOCATION& ADDRESS WHERE SPOILS
LEAVING SITE WILL.BE TAKEN SITE RUNOFF DRAINS TO: (CIRCLE ONE.)
(NOTE:PERJAM. MAYBE RFQMRED) ATCE-T13ASIN DITCH PIPE CREEK
(CIRCLE ONE) PRONATE PROPERTY
"LIC RIGHT OF WAY
EROSIQNISEDIMENTATION CONTROL SO MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DUR iNG CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIN -NTAT10N FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY FSC
PERIMETER RUNOFF CONTROL_ FACILITIES
CLEARING AND GRF DING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITMS
CONSTRUCTION SEQUENCE OTHER_
OTIIER _
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IP,ACC-DRDANCE WITH'TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL.PLAN DRAWING,AS REQUIRED,HAS PLAN'ONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE NIJMBFR, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL,OF EROSION CONTROL ME ASl1RES,AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WELL CONSTRUCT AND MAINTAIN FSC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE API'LIC aNi SIGNATURE
OFFICIAL.USE,ONLY.
RECEIPT DATE ACCEPTED
FLE----_-_----. -- NUMBER _ RECEIVED_ --- BY
I