11263 SW SUMMER LAKE DRIVE Ik
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�.�S$51- M.
J�'r g F" L; T�n•'f' r`�' �► — Mr•J•i • ��'Si •S ,
4Jr, P'' �flNlrl _ �•• h' —�4rbA�
-r OF OCC
CITY OF _.i IGS
a,,roti •tilt
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a
_ Owner: Don Morissette permit No. 89080` 'x` '
PO Box 19524, Portland, OR 97219
Address:
Building Address: 11263 SW S umm rl ak Dr-
Occupancy:
r_Occupancy: R3 Land Use Zone: R;PD Bldg. Typc "N
4,°,',£ Comments:
t 4 S
i'tv Jam- �!�,a•4.m�4�>r
Certificate is hereby given tjs lg 8927th dayofSeptember
that said building may be occupied and that it complies with all _
requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
Fire Dept. Building In�• 4
91
Building Official
Post Certificate in Conspicuous Place
g x r� - - - �_ -�,. 1: +13.s �. :l i -r3��s�' '��,- ►i �?f-t. >��- Y,11,:' _ ;G; ��7's�S,',isN\��
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P,4�q�� i Kr ..ck@YyyY�� y hi�4�•.�� ✓�� A��
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection ---� — --- _—_.--_.
Date Requesste�dr� ,-`C'2 Time A.M. !- P.M.
Address _/L Permit #yL 5J0 Z _
Owner— _ Lot
Builder --- — ------The fah-wving Building Code deficiencies are required to be corrected:
r
i
Presented toproved
InspectorDisapproved
Date
CALL FOR REINSPECTION
Cl YES 0 NO
INISPECTION NOTICE:
City of Tigard Buildinv Department
P.O Box 23397
Tigard, Oregon 972:3
Phone: 639-4175
Type of Inspecti,.n 1z;;=L a -------
Date Requested_ �-7 L -- �me_ A.M. / P-M.
Address
Owner Lot # _
Builder_---�/
The following; Building Code deficiencies are required to be corrected:
j�,�¢r,�_L�L���./�/r�X�-,�,... fir*�u',� G•�- —
c1d. 11011
o
41
d�e
�-
�y�c
- -7 ;
fit/ f� �.✓_ _ -_ _ —
LIZr.1
Presented to _ �-- [_� Approved
Inspector _� 1h .•ice [_ isapproved
Date. ---
CALL FUR PECTION
L�'f YES f l NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectionDrywall and Nailing
Date Nequested --_— 9/14/89 Time A.M. P.M.
iddress —0263 SW Summv r l ake Permit # 890802
Owner - -_ Iron Morissette Build,•:rs Lot
Builder _...--- --... --- -----The Following Building Code deficiencies are required to be corrected:
,/� c• c Gr� -J'/o f0 1h�
Presented to _ [� .'lpprove�__- _.
Inspector ,� [c pproved
Dh
CALL FO"RJSPE&10N
❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phore, 639-4175
Type of Inspection r
Date Requested. Time
Address / / " G� r� 1� mit
Owner__-- _– — Lot
BuilderThe following Building Code deficiencies are requited to be corrected:
Presented to LJ Approved
hm)-.(for _� q ❑ Disapproved
Date —
CALL FOR REINSPECTION
❑
YES ❑ NO
..rUILMMIA
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
(Z Type of Inspection -
Date Requested,_ Time A.M. �P.M.
Address f 4 tq __._._------ Permit #_
Owner_ -- ----- ----- -- Lot
Builder 4
The following '3uilding Code deficiencies are required to he corrected:
Presented to
i
Inspector —
J Disanproved
Date
CALL FOR REINSPECTION
❑ YES 0 N
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
-Tigard, Oregon 97223
Phone 639-4175
Type of Inspection '' A�- — - I
Data Requested __ Time _ A.i1� — P.
Address -_ //--� Permit # 6
Owner , /! �__- Lot
Builder -------
The following Building Code deficiencies are required to be corrected:
Presented to _ -- ❑ Approved
Inspector �� isapproved
Date - -- �—
CALL FOR ROMMMON
L&I'l9i O NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
Type of Inspection
Date Requested / ��— Time_ - A.M.-__ P.M.
Address ' /� 3 Permit # ��G-�
Owner _ _ Lot #
Builder ---
C,
The following Building Code deficiencies are required to he corrected:
1
Presented to
Inspector _ ❑ Disatiproved
Date ------ ' .-
CALL FOR REINSPECTION
Cl YES O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection /�i� l' � � Fa -'c �- -y- &W,
-�
Date Requested �2 -_ Ti7- .M. P.M.
Address ; K-1 4-Z-11 Permit #► __
Owner7� Lot
/r/ � #
Builder �� M_—' G -s'.:
The following Building Code deficiencies are required to be corrected:
y
1 .
Presented to -,,proved
Inspector / ❑ Disapproved
Date _ ,r
CALL FOR REINSPECTION
❑ VES ❑ NO
t
INSPECTION NOTICE
Cite of Tigard Building Department C
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _�_ Tim _ A.I _ P.M.
Address __1 _ _ Permit #
Owner ._ --- -- __ Lot #—
,�
Builder ---
The following Building Code deficiencies are required to be corrected:
Presented to __.- [JApproved
Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
CI ®F T'�� L'E:WE:'P PERMI T'
.1
RD CC I TY OF TWA WD RMIT NO. : SE(390el/
COMMUNITY DEVELOPMENT DEPARTMENTXSC3UED : 6/ 1/89
13125 S.W Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)E304175 PPIM� PM*T' -NO R9()ROP-
IJ(:lD 1.1263 SW SUL
MMERAKE OS
il UA NUMBER'-4 : 037528
TAX MAF)/LOT 151 33AD :1.5900 SUB: SUMMEN I AKI::'. LT : 40 RK :
LAND USE: 11417'1PI11
L 01, S I Z E:
liE-C-11'10N: 33 TWP . 1% I-IN(.; . :I.w
WORK C.LASS : NEW
USE TYF.11:.:: SINGLE FAM1I Y
'Th P4 Plippl.:Lciant iagi-�vetil tu c:cjlnply with HLI.A. rmlem land i-egii-iii;Lti.corivi rif I.he I.Jri:i.f:I.c-icI
Agcoric.-y .. The.) pe?i-ini.t. expi.r-evi 120 dittyin -FrOl" th'D ClMtO :i.xi!aie�cl . TI-le, t(3tal
iiLiticsullt piiki'd W:1.31. I.)0. the-? I-Ier-init oxpi.r,em . TI-1o. A( cmic4 (1(3e*; rii:)t quirLr---
ill,11t(00 thda cji° thm :I.C)(-.!1ILtJ.cir1 .1-11' tht.-ft vd.dev metwer- T
ifij
nett. :1.nr..lilt.te'd F.kt the g:i.ven , the :Inw1,F0A.ei, shpitl]. 3 'FIERCilt J.11
i13.:1. d J.r,e c.,t i ct n!3 f i-,u m t h sm c'i 1.m t a n c.?4- j-I.ver.n If riot, 111,13 3.cic::a ted thre :Lrimtia.'.IlelMI-169.I3.
4a "Tiap and 53'cle S"Wo'll.", Pel-111:1.t nrld the? (- gVI-lc!y wj.I:L J.l111;-t'i;lL3A Ill. I.Fatc.11'aLl .
INSTALL.. SI*-:WEP 1MPr:FPV1(X.JS A14EA:
IANJ'Tt7 TENANT XMPROVEMENT :
DWELLIA(3 UNITS : I.
NO . C)F BLAX'A . 1.
0 1 T F I:i
W DON 00
N p c) 130X .1.932-1 (:'0NNE(:,T10N CI-IAI.I(.,E $1 100 . 00
E
R p n ir�t].a ri d 0 1*1 1 3'Ni-.: TAP 3 ISILSTAL.L .
T'HI::J-4
C
0 M(:ORI SSETTE DON
N
T DC.]N MONISSETTE SUJAAA--.PS
R
A INIX 195PA
CF)(3 1"tl at n d 97211.9
PHONE (503) F-2,41/4-931A
0
R 141VOISTPATION NO. 355.33 TOTAL . $113.35.00
This permit is issued subject to the regulations contained In Title 14 A r--V.'E.1:PT NU
of the TMC, State of Oregon Specialty Codes,zoning regulations ......
and all other applicanw codes and ordinances, and It Is hereby REWLI'llIlEt.) INSPE11 IONS
agreed that the work will )e done in accordance with the plans and GAS LANE
specifications and In crimplIance with all applicable codes and POST & REAM
ordinances. The issuance of this permit does not waive restrictive ROUGH IN
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and FT NAL
void If work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days ar time after work has
commenced. It shall be the responsibility of the permfttee to assure
all required I ctions are requested and approved
'' c"or
clu're'e,
Permitte ature
Issued By A
:rm
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CIT"Y OF T11FA RD PLUMBIN(*., PF-PMIT
PE'SIMIT NO . : PI-8r/0812
O
rCrTYFTMRD
COMMUNITY DEVELOPMEOT DEPARTMENT
13125 S.W.Hall Blvd. P.O Box 23397.Tigard.Oregon 97223,(503)639-4175 L)ATE: ISSUE M: 6/ :1. /E119
N(3 . 89086H
JUD ADDRE.S5 : 11263 SW St.JMML'.Pl.-AI<F DI:4
TAX MAP/L.OT 1.51 33AD 1!5900 SUB : SI.JMMI:::P L.AKF-:' L-T : /10 VW :
LAND USIE' : 1:47F-11)
UJIT SIZE.'
C,T'I-.,-M NO : NO :
WORK MASS : NIEW WATIE.44 CL.051-ii-I A? TNAV,
USE, I'YPI-.: : F"AMILY UPAINAL BI<F*I.-('.)W I'PVNTA
CON51' .TYPE: : VN LAVOPATO114Y 4*2 TPAP PRIMER
OC(:*UP.GRID. : P3 TUH :*A--lOWEA UPFASE TRAPS
1)151-11WASHEA4 1.
GARDA('Ai: DISP411SAI 1.
NO. tiTURIE:S : I. WASHIM... MACHINE 1.
DWELL.UNITS ; I LAUNDPY TRAY EILOGA)PAIN I DIA
FLOOR DAAJ:N
SINK I 15EVEA1 (F*T)
WATE'A HEATEA 1. ST(: WW (rr
OTHEA
-T
0
W MUPI SSE111: DON PEAMIT $1.:1.7 . '150
N
E 1:)r.1 BOX 195alm
R r,t:I.at n(I 11 1*1 FIXTUPFS
STATE. TAX 00
C
0
S
N H 0 1---M A K 1:-.:A I-AAPOLA)
T SHOFAIAKEPI S PI L I M I'.J I N
R
A PO PDX 2150
C V.*%I t I!Lc.!a(I R CI I" 4970P*3
T
0 FIVIONE' (503) 630-7721113
R1 I:1F:G:I:5TPA'1':I'ON NO . 39122 T OT 041 1111.23 3H
This permit is issued subject to the regulations contained In Title 14 14F.'CEAPT NO.
of the TMC, State of Oregon Specialty Codes. zoning regulations
and all other applicable codes and ordinances, and It is hereby 111E.QUIRFA) INSPECTIONS
agreed that the work will be done in accordance with the plans and PI-9.UNDEASLAP)
specifications and in compliance wlttall applicable codes and POST & PF-AM
ordinances. The issuance of this permit does not walve restrictive
covenants. Contractor and subcontractors shall have current city WATEA LINE.
business tax permits. This permit will expire and become null and P 1 0 . TOPOUT
void If work Is not started within 180 days,or if work Is suspended or PAIN MIA INS
abandoned for a period of 180 days any time aftrr work has
commenced It shall be the responsibility of the permittee to assure
all require nspections are. requested and approved.
Permit e S ature
Issued By IX�i
CALL FOP INSPECTION 639--117!p
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIVA MECHAN IC Al T PERMI
P"EAMIT NO. ME'R90813
RD
CITY OF 711GARD
COMMUNITY DEVELOPMENT DEPARTMENT DATE' 'l.'SSLJE:I.*): 6/ 1/89
13125 S.W.Hall Blvd..P.O.Bow 23397,Tigard,Oregon 97223,(503)639-4iM I:1[41M-PMI1 N1:)
1:19ORM3
JOH ADIIAESS : SW UUMME:PLAKE OR
TAX MAP/LOT J.SJ, 33AD 15900 SUB: SUMME.'P I AKE LT :A0 BK .
LAND 1--4*7 P 1'.)
LAYT SIZE :
1TEM: N(.'): Nil
W01-W CLASS : NEW FURNA(A: <100K J. AIR HANDLP <10
USE. T'YK'E: : %IN('xI.-E FAMILY FU114NAE.E., 1001<.f. AIR HANDL.P 10K
CONST . TYPE : VN FLOOR 1::*UI'4NACI-. ELVAP.COOLE-P
OCCUP.(MIRP. : P3 HEWT I-:P VENT' FAN
VENT VENT . SYSTF--:M
DI—A/C',UMP <3HP HOOD
NC) . STOPIES : 1. Ell A/(:10MP INCINFRATOW(DOM
DWELL.UNITS ; 1. BI H/C'.011P 1.3-30HV" INC INE.PATOR(CUM
FUEL TYPE' (:;AS F.4I—P/C,0MP 30-150HP PEPAID UNITS
MAX . INPUT OLIA/ClOMP 50+1-0) OTHER
VA.'PE: DMPAS'? GAS P*I:P]:NG OUTI E T I
I.-IIGH
0 r-.:ES :
W MORISSETTE'. DON PE11:4MIT *10 . 0V
N pcl HUX 195i*-',ei PLAN PEV.(EW $9 .39
E
R (:tcj r t 1.aL n d tar, FIXTURES 4;�.2'7 . 1.5 0
STATE 'T'AX 1111 . 08
C
0
N
T 1:il E",L I HE-W)"INC, INC.
R
A 15550SCK VDIIAZZA AVI*4.
C CI A,:;'(AMAS 0P 9701'r-.',
T
O PHONE'. (503) 243-11,113A
NEUISIsPATION NO, AA '7*0TAI $4111 . 76
This permit is issued subloct to r'-e regulations contained In Title 14 RECEIPT NO.
of the TMC, State of Oregur ;neclalty Codes,zoning regulations
and All other applicable codes arid ordinances, and it Is hereby RE QUIVIE.D INSPECTIONS
agreed that the work will be done� iccordence with the plans and (:,AS;; L:LNE
specifications and in compliance vilth 811 Rpplirable codes and P013T & 81:-"AM
ord.nan(.es The issuance of thi: permit does not waive restrictive POLIC44—I N
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and I TNA L
void it work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requireedtions are requested and approved
'I
Permitte Ule
T 9 17.T T T-1-(714—777 9 V 7
Issued By-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
cin or Ti6A RD PF'-*PM1T NO. : 131.031901130P.
C VC04
0�m
COMMUNITY DEVELOPMENT DEPARTMENT 0111,11411,0141
frr�
DA'11: J1:%SLJE:D : 6/ 1 /09
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(5031539-4175
J01:4 ADI)PESS : 3.11A263 sW 5UMMEPLAKI ON
'11 AX MAP/LOT :1 !iO. 33AI'.) J-5900 1.5 U B: r)UMMEP I A K 1:;'. L.T /10 1:;:K
I ANU L)!!E: : 1471-111')
1 ITT Fis:[ZE : VAI UATTON : $ 641,(41.7 Lil!:A'I:3ACK5
F'PON'T 20 1: F.:A P
W011K NEW DWELL .UN]"T"n : 1 1. EFT : 1.3 29
IJ15E TYPE : Si]:NGLE F:'AM:I:L.Y W.) . BEDROOMS-i : 3 E.XT .WALL (',ON51
CONST . TYPE VN Ni) . F?ATHS 2 N: SI : W
LKIGLIF).GI-4F.". P3 PROT .OPE:N1N(.-,S :
(X:X."1JP.LOAD W 5 F : W
"IT)"I'Al APEA: :1.40(1
NO. Sil'(JPJXG : 1 I.ST : 14108 POOF (:',ONST : (I 1141---r7
HLJUHT : 1R 2ND: Allk:.A Sf.;:PAP'? PATED:
DASEMEN'r? '3RD: (JCCUP. 5EPAP7 PATED:
MEZZANTNE7 BA5E:M' V
lF"LOOR LOAD e.10 GARAGE:: 41410 FIRE SPAKLR? ALAAM'?
FLOW(GPM) DF*KTIECT? YES
1-M,AX 1xi2w- GAM
PL.AN (J-lI-.*.GK BY : l'It
114111MAPIKS :
111'30 Tcjr ray x-to-9 rimcl liri*! C23 nE:1%5IJF.;: OF:' NO. 801.730
L.At5'T PEVisurit'. (390172
FTA"*S
MOPISSEKTTE 000 P E.r-11 M 1. IF $3��11 00
N iter BOX PLAN AI::'V:I:I-':W $40 . 00
F
11 inirtland C)I FlPF-K 1.)EANT
S'T'A'T'E: TAX
) - $J.e Al
(11,11AE'1l $30 , 00
':L.OPMEN'T*
N DON 50(11(STOPM1 dl .5 0 . 0C
T DON MOPTLs5E.IA*I::: F-41.13:1 0FKR5 :I:N(', 5E(:,( STRE-T''T' ) $600 . 00
R
A 1>uLROX 11.952-1 1111r.?3 0 . 00
C p a r t:1.a n cl a 1, 19,721.9 nPF PA 1'.D < !p40 00)
T ("503 I p44 ',x;31.A
0
R PEX,0S'TPAIA'XIIN NO . 31.5,53*3 'TOTAI *I ,4,14. 40
ThiS permit is issued subject to the reguiations contained in Title 14wL--cEiPr NO. 16
of the TMC, State of oiegon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby REQUiRED 1N!iPI:'-ET'T(:IN5
agreed that the work will be done in accordance with the plans and F 0011'NU S E.W E.R
specifications and in compliance with all applicable codes and F*()IJNI:)A'T':I'(.)N WAI I RAIN DPA1.1NIS
ordinances The issuance of this permit does not waive restrictive, PW.0' & HEAM WATEP L'[NE
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and 10I-13 .IJNI:*'TZ!;A..A8 CITTY APPW*11-4/5w
void if work Is not started within 180 days,or it work is suspended or ti L.A 8 F TNAI
abandoned for a period of 180 days any time after work has PI,..N . TOPOILIT
commenced.It shall be thu responsIb11JI"qf the permittee to assure F V-11 A M I NI,
nil require n actions are e, n)approved. F'T P lli-1)I ALIR
"D GA5 1 1'.NE
L7, TNSIJI Al-1 ON
(.;Yl:". BOAPD
Permittee ature
Issued By: C��:X.1't!J
639 /117 5
SEPARATE PERMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIG;AO'r
RD
r6 � PLAN CHECK APPLICATION p -
� (CarT��or�w-artfl PLAN CHH
ECK
COMMUNITY DEVELOPMENT DEPARTMENTS a P1:RMIT H
1312Ss.w.HoftG%d_P.O.eo.un7,rki-d.o,o^9rM.cW31fi" �4' DW ISSUED
i e-� 41 0l� �iAX LIAR/LOT �1�3AD !SJOO
JOB AODkESS:
SUB: _�,.h,Y1�e l vJl��— L01: LAND USE: _
VALUATION:--�]'Q S/7 p• SPECIAL NOTES
'OVER N l S C-i /UC REISSUE or:
LAST REISSUE:
ADDRESS: _ l ,—L FLOOD PLAIN/
- SENSITIVE LAND:
PHONE: _
APPROVALS REI�UIREO
PLANNING:
CONTRACTOR ENGINEERING:
NAME: — — __ FIRE DEPT
ADDRESS: OTHER:
-- ITEMS REQUIRED
PHONE: —_ LIST/SUDOONTRACTORS:
BUS TAX: _
ARCI1/ENGINEER CALCULATIONS:
NAM[-- 1 (., I 1 —
�-'"-- TRUSS DETAILS
ADDRESS: PARKING PLAN:
LANDSCAPE PLAN:
` OTHER:
PRONE:
1MENTS'
PERMIT R ACCT N DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
3oZ��u t+ Azz:.00
7- 10-432 00 Building per Fees / --- _ , <<�
p i L- 10-431 00 Plumbing Pei snit Fees — o
C / 10-431 01 Mechanical Permit Fees 3 1.5° �
` 10-230 01 State Building Tax (5X)
Bu i Id i ng —
PlumbingMech
C u
39
10-433 00 Plans Check Fee
Building
Plumbing
MCrh
�09/Y 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3•Z- - _
51-448 00 Street `•'Ystem Dev CIIAMe (S11C) C�-
52.-449 00 Parks System Dev Charge (PDC) .►2 n —'��� -
31-450 OU Storm Drainage Syst Dev Chrg (SSDC) _1—_2 - --
10-230 09 TRI-0 — --
10-230 06 Wast,ington County I ire H1 (95X)
10-•2.2.0 00 Ammer . Wedgewood -�
APP1._..ANT SIGNATURE �
Date Received:
Received By:
cn/3587P/18P