11553 SW SHOREVIEW PLACE i
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11553 SW SHOREVIEW !3LACE
INSPECT ON NOT_ICE 4
City of Tigard Building Dcpartwent. L�
1.7125 911 Ball Blvd. Tigard, Oregon 97223
Inepaction Line (Rec-.CrPhons(tt 63399-4175 BuBusinous Pham,: 539-4111
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plby. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
t
Poet/Beam Mach. Rain Drain insulation -Plumb. I
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Dat-P Requested:".--, 'c!!` 7" „ _!Times AM __PN
Address: / i S _t:.. ..�+'1Ly'�i�--� �_�� Permit is/�•_'`'i� cJ/Si'
Bui:dert P cl �—
TRS FOLLOWING CORRECTIONS ARE REQ'./?RED:
i
Inapect 7r:
�"PROVZD _ — DISAPPROVED APPROVED .,t1HjRI*T 'ro p.,SOvF. `
For Rei.nsp..
I
PI—UIYIEAING PERMIT
CITYOFTIIFARD CRYONWARD PERM I T' #. . . . . . . . PLlyl9i2-0ItJ;2
COMMUN" DEVELOPMENT DEPARTMENT TROOM
"
13126 SW HWI Bk d. PO.Elm 23397,TiVaM,Oregm 972M'/W3)(i*41115 I DATE ISSUEDs 10/05/9P
SITE ADDRESS. . . : 11553 SW SHOREVIEW PL PIRCELs 1SI33DD-04700
SUBDIVISION. . . . a VILLAGE AT SUMMER LAKE PARK Z )NINGo R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :La
----------------------------------------------
CL:)SS OF WORK. . PNEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . ASF WASHING MACH. . . . . . . : BACKFLO60 PREVNFRS. . el
UCCUPANCY GRP. . eR3 FLOOR DRAINS. . . . . . . • TRAPS. . . . . . . . . . . . . . P
STORIES. . . . . . . . 11 WATER HEATERS. . . . . . : CATCH BANNS. . . . . . . :
FIXTURES------__--__-- LAUNDRY IRAYS. . . . .. . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . GPEASF: TRAPS. . . . . . . .
LAVATORIES. . . . . a OTHER FIXTURFS. . . . . c
TUB/SHOWERS. . . . % SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WATER LINE
DISHWASHERS. . . . : ROIN DRAIN (ft ) . . . . :
Peirari(s: LAACKFI-Olo: PREVENTOR
Owners ------------------------------------- FEES
MARY KJNIS type amount by date recpt
11553 SW SHOREVIEW DR PRMT $ 15. 00 BCR 10/05/92
5PCT $ 0. 75 BCR 10/05/92
I-IGARD OR 97223
Phone #:
Contractors
BK SPRINKLRS
10950 BE GREEN VALLEY DR
SANDY OR 97055 -_--_....--------------...
Phone #: 229-9182 15. 75 TIJT�aL
Reg #. . - 11530
REUUIRED INSPECTIONS
This permit is issued subject to the regulations coi,�ainrd in the Final In. pect ion
Tigard Municipal Code, State of Ore. Specialty Cries and all other
applicable laws. All work 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 more
than 180 days.
Plermittee Si gnat i-ire :
Issi-ted LAY :
LrII for inspection 639-4175
MJ
" F
CITY OF TIO ARD Ci;. OF VIAY Mt- P E C E r W 32
NO. 2 j'� ` 1
)
CHECK rIMOUNT : 1.5. 75
NOME o BK SIP R I NKL _'R SCASH AMOUN T, 0. 00
PAYMENT L)F,1'1' 10 1715)/*9
ADDRESS joq�-;kl SW GR5,EN VALLE� Etli'VE
SANDYOR SUBDIVISION
,
9 105!'5
PURPOSE (IF F"AYMENT AWYUNT PA I D PURPOSE OF POYMENT AMOUNT PAID
..........
{'L11M11I NCS �'E Rhe
M-9.2-0 1 5P 150. 00 ST. btill-D rlr.---R 0. 75
'PITAL AMOUNT PAID
-
CITYOFTIFARD WY CERT•_: F'1 GATE OF
COMMUNrTY DEVELOPMENT DEPARTMENT area�A��
carruPANc;Y
Q126SWHW41vd. P.O.Box 2W97,Tiumd,Onpon x223(600)M +F176 PERM IT ##. . . . . . . . MST9�='— 048
k 1 4111 -
DOTE 113SUi—A,4 7+9/ 16/92
SITE ADDRESS. . . ; 1 155.E 5W SHORF V IL=W PL PAIRCE'L: l5 I.3 39D •04'7
UUBD I V 1631 ON. . . . I V I LL-AGE kT SUMMER LAW.". PARK 3 ZONING: R-•4.
BLOCK. . . . . . . . . . .. L.O'f. . . . . . . . . . . . . .136
GLASS OF WORK. :NEW
TYPE: 01" USC. . . :SF
OCCUPANCY ICRP. I W3 I
OCCUPANCY LCIAD: 1201 4
T E.NANT NAME. . . :
Remar^k s; : FIAT'H I
Owner,: ........_-
DON MORISSETTH BUILDERS, INC.
15555 SW BANGY RD.
#201
LAKE 0SWEGO OR 97035
Rhone Ps 620-75,38
H
Contractor)
DON MORISSETTE SUILDI~RS, Biel..
15555 SW HANDY RD.
#20 1
LAl-l% " OSWEGO OR 97035
' rlh o n e #: 620--753(3
Rory ##. . . :3593:3
Oc:.cupanry of the aheve -eferenred building is hereby piven, and r.ertifie�:
the r_clmpl irknce witfj the `.-itate Of Oregon Specialty Cadens for the group,
or..c:r.ipancy, and Esse under whicho the rf frrenr_.ed permi "": wars issmed.
FIRE DEPARTMENT T I NG IN-E:l�-f-TAR
HIJIL.V114. f 'I1"lAI
r-,OST IN I-ONSP 1 r UOUS PLACE
IRK
SHOEMARER'S PLUMBING INC.
350 S.4. ZOBRI ST
ESTACADA, OR. 97023 (P.O. BOX 250)
I
TO: C _TY OF TIGARD
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR. 97223
TO WHOM IT MAY CONCERN,
SHOEMAKER'S PLUMBING INC. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING; INC.
SINCERELY,
HAROLD B. SHOEMAKER FRES.
INSPECTION NOTICE
City of T19i.rd Building Department f
13125 SW (Ball Blvd. Tigard, Oregon 111223 `
Lripect.ion Line (Rec -Phone): 639-4175 Busirlerls Pho:.e: 639-4171
Inspection:
Footing JMlbg. Underelab Mech. Rougl-- n f Apps'/Sdwlk
Found. Pl.bg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Slag.
Post:/Beam Mech. Rain Drain Insulation -PIa:rb.
Plbq. Undarfloor /Water
Line Gyp. Sd. .-Hoch.
DaLe Requested: r ✓ � Timer —AN _ PN
Addreees Zelf�tGl.-- Permit is
Builderi �____,
THE FOLLOWING rORRECTIONS ARE REQUIRED:
tAa
Inepectorl —Dater Z�
APPROVED DIBAPPWYftD L, -X-PPROVED S*IRJECT TO ABOVE
Cell Por Rninap.
�f8ON NOTICE
City of Tigard Building Departwent
13125 Nil Hall Blvd. Tigari, Oregon 9712.3
Inspection Line (Rec-O-Phone): 6e9-4 '. Bui:inese Phona: 639-4171
nspec:t.ion: --_�_-__-------_-------------—---
Footing Plbg. Underslab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lim± FINAL:
Post/Seam :eruct. San. Sewer Framing -Bldg.
post/Beam Mac%. Rain Drain Insulation --P'-und)•
Plbg. Underf.00r Wat-ar Line (� Gyp. Bd. ) -Mach.
Date Rer upsted: S-7 -/,f- =y —._.��/�Time-i --- PM
Address:,_
Permit f:�' � !
THE no CORRECTIOINS An REQUIRED:
Inspectors — /+ Dat*1-- Zi
11PPROHYD DISAPPROVED APPROt/!,D ;UBJW,! -`J ARM,
Ce11 For Reinsp.
INSPE4MJ3N NOTICE
City of Tigard Fnti)din7 Department
13125 SW Rall Blvc.. Tigard, Oregon 97223
Inenrct.ion Line (Rec-O-Phone): 639-4175 Dusineae Phone: 635-4171
Inepertton:
.____
_'noting Plbg.. Underslab Mech. Rough-in Aper/gdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/beam Struct. San. sewer Framing Aldg-�
post/De.rm Mech. Rain Drain Insulation -Plumb.
Plbg. ider!'loor Water Line Oyp. ad. ••Naph
Dare Requuetedt_ ��. -Timet AM Ph
Aldrede 1��S 3 Permit #t - � r
Bui Ld<•rs
THE FOLLOWING OORRECTIONB ARTS REQUIRFJt
DaCP: /h
�APPRO`;6D - DISAPPR'JtrED - - APPROVED 8DBJECI TO ABOVF.
For Reinap.
1peP _jIC%N_NOTICE
City of Tigard Bulldiog Department
.131.25 HN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rea-Cl-Phone): 639-4175 Fusinees Pnone: 639-4171
Inspection:__ --
Footing Plbg. Underelah Mach. Rough-in Appr/Sdwlk
Found. Plbg- Top Out One Line FINAL:
Pomt/beam Struct. San. Sewer Framing -Bldg.
Post/Bear.: M. 1. Rain Drain '.nnnlation Plumb.
Plbg. U.ndecflanr Water Line Gyp. Bd. -Neuh.
Date Requested:_ Tines: _�_AM _ _PM
Addreees__T
n/i��Permlt #: �t �
Builders �� _ —_�_
THP F0L),OWI,4G ODRRFCTIONS ARE REQUIRED1
Inspector: Da-es—
APPROVED _! DISAPPROVED APPROVED 9UBJECf TO ABOVE
—Call Ft,. iloinsp.
INSPECTIQ•• NO'T'ICE
City of Tigard Building Department
13125 AW Hall Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O--Phone: 639-4175 Business Phoru•r 4:71
Inepectlon: \
Footing P1hg. Undereleh Mech. Rough-in ('� 'fpr/8dwlk `1
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. Sen. Sewer Framing -Bldg.
Poet/Seam Mach. Rain Drain Inculation -Plumb.
Plbg. Underfloor tJateerr Line Gyp. Bd. -Mach.
Date Requested: / � Time: �j AN PH
[J
Address: fly d' Permit #: /�—y -1 --
Builder:
THE FOLLONINO OORT$CTIONS ARE REQUIRED:
z'�VLPPI
vAI C, V�c� Vim,
-17 _Wit__1-- r±
Inspector: Q,u. (' _ .,LG Data:_5,^�f-Cf-
APPRO%AD —_ DISAPP D (let_.: APPROVED SUI7ECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICC
City of Tigard Building Dr.;sartment
13125 SW Bail Blvd. Tigard, Jregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:------,.
Footing Plby. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Port/beam St:uct. San. Sewer ti r�aminq --Bldg.
Pont/Beam Mech. Rain Drain / Inoalatl.on \ -Plumb.
Plbq. Underfloor �yWater Line Gyp. ad. -Mach.
Date Requesteds 1 r/ T1IDat AM f /�PM
Permit #t
Buflaer'
THE *nLIOWING CORRECTIONS ARE REQUIRED:
ctor:�_�_ , Dates F- 742--
[nspc. . _
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
�A w6
SP6C'PIyN NOTICE
City of Tigard Building Department:
131.25 SW ne,11 Blvd- Tigard, Oregon 9727.3
Inspection Line (Rec-O-Phone): 6-;9.-4171, Business Phone: 639-4171
Inepect.ioil:
pootl„g Plbg. Underalab �,,j�ech. Rough- Appr./Sdwlk
Found. ?lbg. Top Out Gas Ltn� FINAL:
Past/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Ream Me(-h. Rain Drain Insulation
-Plumb.
Plbq. M,derfloor Wats: Line Gyp. Bd. -Mach.
Date, ROT-steds l y� —.L--M—.L--MJ
Times _ PM
Permit �s - !�
Addresa•
BiAlders
THE POLLOWINO CORRI4CTIONB ARE REWIRED
Inepectors_ --- --------
Datot
APPROVED Ul SAPPROVRD _ - APPROVRD "FFRJB(-f' Tf) AH061`
Call For Ralnep.
INSPECTION-NOTICE.
City of Tigard Buildinq Departmian!
13125 SW hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buei-neve Phone: 639-4171
Inspections— _—� ---- — ---- ��---------- --
Footing Plhg. Underslab Meeh Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line--� FINAS.:
Poet/Bea gtruct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Koch.
-
Date Requested: L --
Times _ �_AM PN
// Ke /
Address:__. ••il,nC•-�J`t�.(rlJ� Permit is
Builders—
THE FOLLOWING COIjp2CTION8 Ali RIQUIREDs ns
:nepectors Data:
_
i
APPROVED D:8APPROVEIi ✓ APPROVED 'UBJECT TO `R-vg
Call For Reinro.
I
INSPECTION NOTICE ���
r:ity of Tigard Bnildinq Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection lire ;Ree-O-Phone): 639-4175 Businass Phone: 639-4171
Tnapection:—__.,---- — --- — - ----------- —
Footing Plbg. Underalab Mech. Rough-in Appr/Sdw)k
Found. bg. Top aCas Line FIIIALt
Poet/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Uyp. Bd. -Mech.
Data Requested: —Timet ___�L—AM PM
Address: _- ti �! ��_ �Z i��'r_ [J_•z/ ' Permit I: T. I
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L
,{ G
APPROVED ^ DISAPPROVED APPROVED SudJXCT TO AB,VE
Call For Reinap.
IWI W1 PIWX MR
�I18PRCTSON N_Ml CF_
City of Tigard Buildinq Department
13125 SUI Ball Blvd. Tiga-rd. Oregon 97^.e.1
Inspection Line (Rec-O-Phone): 639-4175 Busi%ess Phone: 639-4171
Inspect Lon-._____
Footing Plbn. Underalab Mach. Rough-in Appr/Sdwlk
Found. :lbg. Top r.rt Gan Line FINALt
P et/Beam Struct. San Sewer Framing
Post/Beam Hoch. ) Rain Drain Ineilation -Plumb.
Plbq. Underfloor Water Tine Gyp. Bd. -Meeh.
/ �!
Date Requested:_,�__�i�� T�,el AM pM
Addrase:
Builder-:
THS FOLLOWING OORRSCTIONS ARE REQUIRED:
_ J
G
Inspector:_
--- —�-� =-- Date:
v
_APPROVED DISAPPROVED - APPROVED SUB,I6Ci' TO ABOVE
^__:'all For Relnsp.
W1 1W
�1¢�CT ON SOT I CF. ✓�
City of Tigard 8UA) lino, Department
13125 SW Hast Blvd. Tigard, r--regon 97123
Inspection Line (Rer_-O-Phone): 639-4175 Bueineee Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
''Ost/Beam Struct. Framing --Bldg.
Poet/Beam Mach. Rain Drain� Irsulation
_f��
Plbg. Underfloo (dater Line Gyp. Rd. -Hoch.
�_ �^ __^ 1
Date Rnquested:— 6- 5 '(� Times �• ry� ASR _1PK
ikWrens- `) `) SLc� 1.►1L�`�1):sc� 4- .rmit 1: J`JS7 ')•n -bo'lr?
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIR.):
fnspec
tors
APPROVED - DISAPPROVED APPROVED SUB.IRCT TO ABOVE
---`Call For Rainsp.
71 PH N,OTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Orogon 9.1223
Inspection Line (Rec-O--Phone): 639--4175 Business Phone: 639-4171
Innpect inn:]__ _ ---
Footing Pi.bg. Underslah Mich. Rough-in Appr/Sdwlk
(Found. Plbg. Top Out Gas Line P7NAL:
Post/eeam Struct. San. Sewe. Framing -Bldg.
Poet/Beam Rech. Rain Drain nnulation -Plumb.
Plhg. Underflecr �Water
Line Gyp. 6d. ) -Hoch.
Date Requaetpd: J.L[-� �s� —Time/L_-_L1_M1 - ^ —PH
Address: .5 #1
Builders-
THE
f:��G�
Builders
THS FOLLOWING rMR3CTIONS ARE REQUIRED:
Inepnctor:_ ,� Date: t/,- zz-
I' APPROVED DISAPPROVED APPROVED SUBJECT TQ ABOVte
—Call For Reinsp.
lI
CITY OF TIGARD Nr-r.CFIPT OF P()YMfNl- REG[---IP*T* NO.
NAMEMORiSSETIE, DON CASH
AMOUNT 4517. 0,&
ADDRESS CASH AMOUNT V1. 00
PAYMr-NT DATE: c 06/15/92
SURD I V 19I ON
1 PURPOSE OF F A YME141 AMOUNT PAID PURPOSE OF PAYMENT AMOUNI PR D
BUILDING PEIVI
wi,i 00 PLUMBING
MECHANICAL 'r-l- 36. 00 ST. BUILD V,ER 30. 08
;:"L.AN CHECK FE 40. /4-5 SEWER 1.1c,30A 1900. GO
SEWER IN(3PECT 35. 00 REqlDFN'rIAL 'TRAIz-FIC FEES 1280. L710
PARKS SDC 12,50. L710 STORM DRAIN EDC k A0. 013
MASS TRANr,!,T TIF F-'E-.EC, 100. 00
LOT 86 VTLLAGE AT SUMMEPLqKE *---I
11553 SW SHORFVIEW Pl..
!0TAL AMOUNT PAID 451 0:'
d
CITY OF TIGA RD CffYOF,�ARD � .rE_R PERMIT
F2M1,
MA.�
COMMUNITY DEVELOPMENT DEPARTMENT MOM #. . . . . . . :
13125 SIN HWI Blvd. p.0 Boil=97,1,A v ckpon 97229(meq&XQ-4175 �
�J
-- —-
- -- — ,1-41 1 uta i L i SUr=L�: 06/11/92
(')L1ref. a?�. . . 115013 aW 1!OREVIE W FL PARCEL: IS133DD--04700
ON. . . . . VILLAGE= AT SUMMER LAKE PARK 3 ZONING: R--4. 5
. . . . . . . . L.0 T„ . . . . . . . . . . . . :
BUILDING
DWEL I_I NG UNITS: ] 13P' EME:N I'. . . . . . . . :0 r,f
U1 WURK. :Ivt_W BLURMS 13 BATHS 92 GARAGE:. . . . . . . . . . :590 S
"F U5E. . . :SF= FLOOR ARE(1S.-_.._.__...-_..._ .- REOUIRE:D SETBACKS-
5
CC r'ON9T. :5N FIRST. . . . : 1940 ��f LEFT. 15 ft RIGHT. : ft:
I iNC'v GRP. :R3 SE('ONP. . . :0 ,'F rRrN 1'. :20 ft REAP. . :2 5 1 '-
E: . . . . : 1 THIRD. :0 S f -
1 . . . . . . . . :C_-O f`t: T CITAL_-_- : .1`�4') ;F M0KE� D1-TCCTORS. :y
if• LOAD. 40 psf VALUE. . . . . $ : 1.1 860 PARKING SVIACES. . :0
a, k�; : PATH I
PLUMBING
r! !I ;a. . , . . . .. . .-, . FLOOR DRAIN a. . . . :0 BACKFLOW PRI_Vhd•rR9. . :0
iiVO ORIE5. . ::3 WATER HEATERS. . . 11 TRA;-'S. . . . . . . . . . . . . . :IVA
.1F'/'..110WE R S. . . . :3 LAUNDRY TRAY . . • :0 CA'1 rH E3ASINS. . . . . . . ^@
,i l I LH t,l_.0*bE 1.i. . ;._ ISLWE:K LINE: ( ft ) .. s 0 GREASE TRAPS. . . . . . . ..0
,FHWASHF-:RS. . . : 1 W0I,E1H L-INE: (ft ) . : 1O0 01IF.P 1 IXTUREa. . . . . :!11
.IWBAGE DISP. , . 1 RAIN DRAIN (ft ) . 20
11- illiN(7 MFT��'Fi. . . : 1 SF RAIN DRAINS'. : 1
ME:L HANICAL ____...__..____._ ._.._._.,_ _. F'EEF,
UNI'i H T R'i:. . :k1 f y p e a m p r_t n t b Y At c
Ty
VENTS . . . . . :0 TIF $ 1380. 00 JLF' O6/11/�i
Oi-o• INPUT20 PTU VC=Nl FANr;. . : 3 BPRT f 433. 0It) .J l..ri 06/ 11 /9,:
r URN ( 1O0K . . : 1 HCODS. . . . . . : 1 BPUC $ 2E3.1. 45 .T'_H V!;3/18/9 :'
URN ) - 100K :0 WC ODST OVE='f . :I? D5PC t ;::1. 1l.
, /I_l i Oi�/ 1 ] i gel
i. trl:)R FURN. . . . :0 CLO DRYERS. : 1 SGUC. $ 280. 00 JLH 0r/1 11 r, -
IL.iC:MF' OTHER UNITS.-O PARK OP. JLH 06/ 11. /' r'
CAS CUTLETS: 1 MPRI $ 36. 00 JLH 06/J 1 /9j'
Mf'I...0 9. '10 .1!_I l 17E,r 1 _/1)7,
!iH ill(IRISSETTE BUILDERS, INC•. M5F'G $ 1. 60 JLH 06/11/n =' -
':aW E4-iNr(.:i'Y IRL). PPRT $ G'. '. 0 .i l_,H 06/1 1 i
t n 1 P5PC1 $ 6. E, JLH 06/J 1/1)2
-
.f,1-j w:iWEGO OR 97Ou_'l
,,Ur1e #: 620-75:3P
., SW MANGY RD.
OSWE:GO OR 97;CA 3;',
i i1o* r� #: 620---75'.11-M
35533 _,
4 �F3I-_ 03T CITAI_
___..._._.._- ._._..___..
lnis permit is issued subject to the regulations contained in the R JIUIRED INSPECTIONS
Tigard Municipal C^.de, Stat! of Ore. Specialty Codes and all other Foot/f c1l.ind I n S p Fir'a rl ace 1 n si p
aonlicabie laws. All wort will be done in accorda:lce with approved C10S+./Bpam 8truct• Gas i-ine insp
Oars, This permit will e>tpire Mer not st;rted within IN po-t /Beiini Mechan Ins;'.tlat ion 111Sp
days of is5uanr_e, or if work s sllsnended f more tha 80 days. �rl rr1/1_tnciss l a b I n T p Gyp Boar-d I n,p
. \ !"I_.h1 �llnrlr+rl`Io+,r Rain clr-ail) [n ,_
mltft?k `-' °tlri•tt , r- „/[, ltd V+1c�c1)"Ali 1t_aI 1n Ia Wrr1<, rt1 I._tr,e Inl.p
r 11_tmb Trap ()(-it App r/SdwIk Itisp
. ..i.IB11 F�Vr 'r'olml.M) 11, ..
(_a I I f C 1 fl:=.(:)e C:t i.U T, (,,5 U . t171, --
13FWER CONNECTION
C'TYOFTIFARD
CAYOFTMRD P E R N I'T
M 7
COMMUNITY DEVELOPMENT DEPARTMENT MOM #t. . . . . . . : SWk92-011
13125 SW HWI BNd. P.O.Bac 23:77,Tip",Ompon 07223(603)M41715
------ —11rIlF. 10SOET77=157117,37,
ADDRESS. — 11553 SW SHORE VIEW r PARCEL: IS133DD-04 70o
DDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 3 ZONING: R-4. 5
bLOCK. . . . . . . . . . ..
LOT. . . . . . . . . . . . . :86
TENANT NAME. . . . -
:JSA NO. . . . . . . . . . . FIXTURE UNITS. . .
OF WORK. . . :NEW DWELL I NG UN ITS. . - I
TYPE OF USE=. . . . . :SF NO. OF BUILDINGS: 1
tNISTPLL TYPE. . . . .BUGWR IMPERV SURF'kCE. . f
,enlatlkS: PATH I
,Jwner,: ------------------------------------ FEES
DON MOPISSETTE BUILDERS, INC. type amal-Int by date l--ecr-
15555 SW BANGY RD. P RMT t 1900. 00 JLH 06/11/92
1*20 1 .1 N 13 V--, 315. 00 it-1-4 06111192
AKE. OSWEBO OR 97035
,UNIRACTOR NOI ON FILE
Phone #t 1935. 00 TOTAL
REOUIRFD INSPECTIONS
Porlicant agrees to corply with alll the rules ;i-od rerulations Sewer, Inspection
Linified Sewage Pyercy. The pprnit expires 180 Ojyt from —------
,late issued. The total amount raid wi'! be for4-'ted if tht.
tit #yPires. The Agency does nct guarantee the accuracy J the
!.'e mpooer laterals. If the sewer is not locate,, at the seasuresent
-- the installer shall prospect 3 feet in All dir?ctions trot
-e iistance given. If not so located, tho instal)2r shall purchase
Teo and fide Sewer" Permit and enc will instal a lateral.
V
t ea G i t -t 1.1 A-A�/13
.ITIA
Lall fav-- inspection 639-4175
All
C'0'Y OF "IC307IR1,1 -- RSCEIFIS OF V.,OYMEN'T RECE I PT 114C).
CHECK AMOUNT s 250. 00
NPME. : DON MoRTF3SLJl"i.--:. HOMES CASH AMOUNT c 0. 9ke
1")11 R[7 tit", 15L 711 PAYMEN'r DATE :
: 11, 555 SW DANGY ROAD #2Q
LAKEE 013Wk--G(-1, OR SUSD T V I S I ON
PURPOL31- OF PAYMPNI AMOUNT PAID PURPOSE OF WYMENT AMOUNT PAIn
L--F—N -C-,:-F-f E—CK PF
11557 S3W fSHOREV!F-W 4.L . L(Tt 86
AT SLJMMFR,..0l,,F-.
MVAL. �'-)MIJUNT PAID .-50. 00