11561 SW SHOREVIEW PLACE I
I
I
11561 fel SUK)REVtM PIACE
INSPLCTInN l7UT7%F
City of Tigard 9uilding Department.
1.3125 SM Ball Blvd. Tigard, Oregon 97223
Lnapection Line (Reef-0-Phone): 639-4175 Business Pnone: 639-4171
Footing Plhg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line "INI.L:
Post/Beam Struct. San. Sewer. Framing -Bldg,
Pout/naam Mich. Rain Drain Inculaelon -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Recpaesteds �V / ---Time: PN
_____
Permit
Builder: ----------- ----- -
THE FOLLANINn CORRECTIONS ARE REQUIRED- /
oce
Lnepector O �—�L��-� Dates_��L+_.`•�_
<9;PMw
DISAPPROVED APPROVED 3UPJECP TO ABOVE
►I1 For Reinsp.
r
I1ISPECTION NOTICE
V1 City of Tigard Building Department
13125 59 Ball Bled. Tigaru, Oregon 97223
lnspectinn Line (Rec-O-Phone): 639-4176 Business Phone: 639-•1171 1
I,u
Inspection: _
Footing Plbg. Underslab Mach. Rougl.-in Appr/Sdwlk
Found. Plbg. Top Out Gia Line FINALt
Poet/Beam Struct. San. Sewer Framing J/�S1dq.R
Post/Ream Mach. Rain Drain Insulation -Plslasb.
Plbg. Underfloor Water Lino cpp. Bd. =-M--h.
Date Reque.teds _ -< < Times AM _ gM
Address: Permit
i-
THE FOLLOWING CORRECTIOI'S A}se REQUIRED-
�'� .--i'� .QjVP I//�G l r`Tl/'!s-f rs�y 4.,.✓cF,[.��t �4�r57 -
G'j
4
CA
�J �(
Ji
Inspector•. — ` Date14--
APPROVED
4--APPROVED DISAPPROVED L APPROVED SUBJECT TO ABOVE
Lill For Rainap.
1
i
t
a
It W 1L'' v l W tEmwmxm
Cl Th Y OF TIVA RD
GF.ROCCUPANCY I F I PANG UF'
CIT1f Ofr 116/9RD f?C r IJ1='ANC.:;Y
COEIMMUMTY DEVELOPMENT DEPARTMENT :0cm PF RM I T fit. . . . . . . : MST90 -0284
13126 SN FWI Blvd. P.O.Bwi 23397.TOM,Onigm 972M 15031 63114176 On
SITE ADDRESS. . . : 11561 UW ,140PFVIEDW F'1_. i-AFCELs 15l33t?D--1714300
SUB 0.1 V IS ION. . . . : VILLAGE. AT SUMMF"R 1._AKE NARK 3 70NI NS r P-4. 5
BLOCK. . . . . . . . . . r LOT. . . . . . . . . . . . . C84
CL.AG'S OF WORK. :NCW
TYPUE, OF USE. . . :SF
OCCUPANCY GRP. :R3
(1UZUPANCY 4
r FNANT NAME. . . :
Nemarkb -
DON MORI95E'rTE BLDERS, INC.
l•, 0, LOX 19524
PORTLAND OR 97219
of-ione Ot 1503-620-7538
Cont),actor: _...,._...._......... _-.__..._...._..___ _.... ....._,__.....
OLIN MORlSSE"TTF BUIL.DE:Rr, INC.
i355!.5 5W SANDY RD.
0201
I...A;IE C19111A10 OR 97035
Phone it: 62-0-•7538
35533
(Jcr-mpithry of the above r,ef#:vpnced building is hereby givprl, Ar1ci certifier
the compliance with ti-le l3ta,te Of Or egon specialt•�+ Codes for, the yr,ol.Ap,
anti kisp under- olhich the r,efev,enc:ed per,mi,t was isr�uec.l.
F*IFF" DEPORTME=NT DU I'..DING/tE4'E'C'TOR
rdC�21_.i,It0 OFr"IC:IAt...
POST IN C ON P I GUC U PLACE
I
I
. � lid � � � � t�• IIP
INSPS_CTION NOTICE T
city of Tigard Pail.dinq Departsent
13125 SW Hall. B]vd. Tigard, Oregon 97213
Inspection Line (Rec- -PhoyiO)t 639-4175 Bueineas Phone. b39-4171.
Inspection:!__,_.
Footing Plbq., nderslab Mech. Rough-in Appr/Sdwlk \
i
�'
Found. Plbg. Tap Out Gns '.ins FINAL:
Post"Beam Stcuct. San. Sewer Framing -•B).dg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbq- Underfloor Wags Line Gyp. 9d•
a
Date Requestedt - Timet — '�_1lM/ �PN
'j GO/ Jik'� Permit
Address:
Builder t -
THE FOLLOWING OORRECTIONB ARE RRQUIRF.D:
r1•4
J _y^
Inspectors L'�r�yv �+ _ Dates —5
APPROlED DIBAPP _— APPROVED RUBJEc'T TO ABOVE
-- /
_ 11 For Reinap.
INSPECTION NOTICT_
City of Ti-;:..d Building '.)Ppar _nt
13125 SW Rall Blvd. Tigan, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41'!5 Business Phone: 639--4171
Inspect ion:
-_�___ _ - _ --- -------------- --
Footing Plbg. Underalab Mech. Rough-in Appr/3dw1k
Found. Plbg. Top Out Gas Lino FINAL:
Post/Beam Struct. San, Sewer Framing -Bldg
Pont/Ream Mach. Rain Drain tnaulation -Plumb
Plbg. UnderflcK.3r Water Line Gyp. Ed. -Koch.
Date Requested•_,_= r Time: 11K _ ✓�`PN
Permit t i
Address•'_�"""
t
THF F0I.1.()WING CORRECTIONS ARF REQ11TRED:
Tnevacto�r(/:_ _ _ Date:.
/ APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinep.
�Pscrlon NOTICE
CJ.ty of Tigard Building Deps-:toent
13125 W Ball Bled. Tigard,. Oregon 97223
Inspection Line (Pec-o-Phone)s 639--4175 Business Phone: 629411
Inspection:r____,
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -bldg.
Poet/Beam Mech. Rain Dratn Innulaation -Plumb.
Plbg. Underfloor Mater Line 'Gyp. .id. -Hoch.
77
Date Requesteds �O� TLmes _ JL. AM PH
_draw: A2 4 ..�'7' �'�� �Ge./A/ Permit
BuI16.r:� _
THE FOLLOWING CORRECTIONS ARE REQUIRED-
r�
MAL /" lrly�4rZi>lxrC'G C r cb Z-mac:_�
Innpector- _ .�- --_ Dates
APPROVED DISAPPROVMD APPROVED SUBJECT TO ABOVE
Call For Reinep.
■ ■ ■ ■ ■
r'
NSPE'1_LON N?TI ZE-
City of Tiqard onilding Department
13125 OW Ball 111ed_ Tigard, orngon 97223
.^.epec',Aon 'Line (Re(,,--o-Phone): 639-4175 euetness phono: 6.19--4171
Inspecticn:, �- - ---__-_
Footing Plbg• Underelab Mech. Rough-in�, APPr/Sdwlk '
Found. Plbg. Top Out (tae Line �-FINALs
Poet/Beam Strut. -Bldg.San. Sewer draminq g•
Poet/Beam Moth. Rain Drain Insulation -.Plumb.
plbg. Underfloor Nater Line Gyp. Bd. -Mach.
ilme: AN _--PH
Date Requested: 17"'.1.L.. -- •- --
/ `
AddresesJ`
�/ ��� !� Permit t:�/1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ri �a,/Z/
jw-
�-
Inspector:__� Date:
"PROM DISAPPROVRu APPROVED SUBJECT TO ABOVE
Ca l For Reinsp.
9
111SPLUXON NOTICE;
City of Tigard building Department
13125 iib gall blvd. Tigard, Oreyun 9122.3
Inspection Line (Rec-O--Phone): 639-4175 Busineas Phone. 639-4171
Inspection:_
Footing Plbg. Underslab M h. Ro:gh-in Nppr/Sdwlk
Found. plbg. Top Out/ Can Line FINALt
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Poet/Beam Mech. Pain Drain Innu)at.Ion -Plumb.
Plbg. Underfloor W%ter Lina Gyp. Bd. -Meeh.
Date Requestedt _ 107., Times AN PM
idrenet zz
ta bag ermit It _ _
Builders
I'3F. POLIA)MING CORRECTIONS ARF, REQUIRED:
I nor.."?f.1
APIrROVbD i� DISAPPROVED APPROWD SUFI JF.T TO ABOVE
call For Re.insp.
a
IpSPBCfION NOTICE `�
City of Tigard Building DepartAsent
13125 fN Ball Blvd. Tigard, Oregon 27223
Inspection Lire (Rsc-O-phone;: 579-4175 Business Phone: 639-4
Inky- ztiun:
Faxing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plby. Top Out Ou L FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain O.rain Insulation -Plumb.
Plbq. Underfloor ! Water Line Gyp. Bd. -Mach.
Date Pnquested: AM ___PN
Addreen:__ - ' c V"GL'-)P'.it
Builder: _ _ LZC 1F�1�Sr
THE FOLLOWIN3 CORRECTIONS ARI; REQUIREDt
Inspectors —Y— — -- v Date:_(/11 -r
-' DISAPPROVED p APPROVED SUBJECT TO ABOVE
Call Por Reinsp.
LNtiPSGTIO�t NOTICE_
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec--o--Phone): 639-4175 6uei.nees Phone: 639-4171
::no. 4ction:___ — _ -- —
Footing Plbg. Under•lab Mach. Rough- Appr/Sdwlk
Plb To Out •Lina` FINALs
Found. g• I'
post/Beam Struct. San. Sever Framing -Bldg.
Poet/Beam Mech. Raln Drain InerolatLon
-Pl,unb.
Plbg. Underfloor Water Lina Gyp. Bd. .-Koch.
Times AM _ PN
Ditto Requested:
G
Addreess�J�F'J,.. J/A?� Pacmit #� ---1--
nuilder
-,jig
�FOI.I.OWING CORRECTIONS ARE REQUIRED:
OCR
Inspectors T Dates
APPROVED711
OVED APPROVED SUBJECT TO ABOVE
ll For Rein•p.
INSPSGT1ON NOTICE
City of Tigard Building Departoent
13125 80 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rvc-O-Phone): 634-4175 Buainesa Phone: 639-4171
Inspection:
Footing Plbg. Unde,:slab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Frar.ing -bldg.
Post/Beam Mech. Rain Drain Insule:lon -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Wech.
Date Requested:_1"' _—Time: AM
Address: Permit #:
Builder:
THE FOLLOWING CORRECTIONS AP.E REQUIRL71:
J--
�.Ll �C L
Inspector:_ ` ( L.�L �Y� _._ Date:I `l 1
APPROVED _-_ DIg" \APPROVED SUBJErT TO ABOVE
Call for rAinep.
INSPECTION NOTICE
city of Tigard Buildinq DepactOOnt �.
132.25 Bit Ball Blvd. Tigard. Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 4
Inspect ion: JC
Footing Plog. underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framin -Bldg.
Poet/Baam Mech. Rain DrainInsulation -Plut'a.
Pltq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested t_��
C Timet . PH
AH
Permit f:
Builders
THE FOLLONINO CORRECTIONS ARE nZQUIREDt /
-
(.r'l/- ,�
Inspectors e 4nata: ��
APPROVED DISAPPROVED Z' -'APPROVF.D SIIBJECr TO ABOVE
Cr 11 For Reinsp.
�WS�ECT_�UN NUTICE f•
City of Tigard Building Dep.taent
13125 Sir Nall Blvd. Tigard, Oregon 47223 1
Inslxactian Line (Rec-O-Phone): 639-4175 Business Phone:
Inspection:
Footin Pibg. Underslab Mech. Rough-in Appr/Sdwlk
9
Found. �, P).bg TOP ,ut Can Line FINAL:
d
Past/Btram StrucY.. San. Sewer Framing -Blg•
Poet/Beam Mech. Rein Drain
Insulation -Plumb.
Plbg. Underfloor Water Lina
Gyp. Bd. -Ne( I.
AN
Date Requested: ---_Times
---Time s PM
APermit #
ddreea:
nuilderi
5
THE FOLLOWING CORRBCTIONS ARE REpUIREDS
Inspector:h G_ DateiL-
PROVED DISAPPROVED _ APPROVED SUBJ"I" TO ABOVE
Call For Reinap.
'UPPRCTIUN
City of Tigard Building Department
13125 BW Fail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:^__— _-_--_ -- - ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALt
Poet/Beam Struct. Ban. Sower Framing -Bldg.
Post/Seam Meeh. Rain Drain Insulation -Plumb.
Flbg. Underfloor ) Nater Line Gyp. Bd. -Mech.
Date Requested- �' / - Times f AM PN
Address-_ ' � //A_ Permit #t i6
Builder:
TRW FOLLOitINO CORRECTIONS ARE REQUIRED-
Inspectors Dates �
PROVED DISAPPROVED - APPROVED SUBJECT TO ADCI+F:
Call For Reinap.
I
I
bILB.C�cT���r c�
city of Tigard Building Derpartaent
13125 SM Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Runinees Phones 639-4171
Insrection i —_ -------- - -
footing Plbg. Underslab Hoch. Rough-in Aper/Sdwlk
Pound. Plbg. Top Out Gab Line FINAL:
post/Beam Struct. San. Sewer :gaming -Bldg.
Poet./Beam Mech. Rain Drain Insulation -Plumb.
PibS. Underfloor Water Line Gyp. Bd. -Mech.
e-1 Time:
PN
Date Requested:
Addressi_ y'� Permit 1:_�L _fes_���•f
Builder:_`/ S—._—�— ------ —�_�_�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
:nepector:� �
APPROVED DISAPPROVED APPROVFD S1)BJSCT TO ABBY
Call For Reinap.
r
i+
1
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 r
Phone: 639-4175
Type of Inspection �5'7- �=—��• ��------
' Time A.M. P.M. t
Date Requested_����
Permit #
Address —.
Lot #
Owner -—— -- —
Builder
The following Building Core deficiencies are required to be corrected:
QZ- AJ
vI'r',PL �c•�L_ ASS_ 'vim---� -�
Presented to _ —
—_�.�•-Rpproved
Diapproved
Inspecto.
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
IN;3PECTION NOTICE
city of Tigard Building Depart2l"nt
1:�k25 S11 Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business phone: 639-4111
Inspection: -
Footing Plbg. Undet.lab Mech. Rough-in Appr/Sdwlk
�• P
Found. P1 To Out Gas Line FINALS
Post/Beam struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain
Insul..tion -Plumb
///Plbg. Underfloor Water L Gyp. Bd. -Mach.
/y�7�
�— Timet C, A PM
Da\:P Regs:aetedt
' Permit t
Ad:1L'P.BOY
Buildert_ -
THE FOLIkMING CORRECTIONS ARE REQUIREr`:
� Date:
J
Is,s;pector:----'
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinsp.
7N8PRCTION NO�ICP,
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inepcotion Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 1
Inspect ion s -- ----'
Footing Plbg. Underelab Mech. Rough-in Appr/sdwlk
Plbg. Top Out Gas Line FINAL:
Poet/deem Struct. San. Sewer Frsming --Bldg.
Pout/Beam Mech. Rain Drain Inno;t-ion -Plumb.
Pibq. Underfloor Water Line G,,p. Rd. -Mach.
Date R"iesteds 1L-L - Timet/c1AM
Address: ,
/ Permit #s
Builder,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: T Date:
G�TPROVRD DISAPPROVED APPROVED SUBJECTT TO ABOVE
_—Call For Rsinep.
FWFWFW
ffam
OLUMBIM6 PERMIT
CiT1(t)F TICA RDERM;tj, MG190-0284
CrCrrYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 02100" DATE..' ISSUE D% 11/06/90
13125 SW Hall Blvd. P.O.Box 23397,Tiqwd,Oregon 97223(rAyJ)639-4175
S
LLOGL AT '5;:1ME*,RLAKE ZONIM6%
SUBDIVISION- : .' - : Vl�'
BLOCI.. . . . . . . . . . I LOT. . . .. . . . . . . . . .. :84
CLASS OF: WORK. . 1NEW GARBAGE DISPOSALS) c I
TYPE OF USE. . . . I SF WASHING MAC'-I. . . . . . . 01 BACKFLOW PREVNTRS- - c0
? IRAPS. . . . . . . . . . . . .0
,�,CUP
OCCUPANCY GRP. . ,R3 FLOOR DRATN5. . . . . . . :0 . . . . . . 10
(3RI� WATER' HEATLRS. . . . . . c CATCH BASINS.
LS. . . . . . . . 12
IF I XTURES---------- LAUNDRY rRAYS. . . . . . ..0 SF' RAIN DRAINS.
STINKS. . . . . . . $I GREASE TRAPS. . . . . . . ...0
LAVATORIES. : : o3 OTHER VIXTURES. . . . . ..0
TUH/SHOWERS. . . . I SEWER LINE
WATER CLOSETS. . C3 WATER LINE ( ft) -- : 100
DISHWAsHr.'RG. . . . 11 RAIN DRAIN (ft) --0
Remarksi
DOH MORISSETI-E BLDERS, INC. PAYM $ 100.00 JLIJ 08/11/90 20.4867
P IJ BOX 19524 BPRT $ 605. 50
BPLC 1; 393. 58
f-',0RT*L0ND OR 97R19 B5F*'C 1, 30. PA
Phone #In 503-620-7538 STDC 4, 600. 00
SSDC $ 375.00
MPRT $ :37. 50
MPL.0 $ 9. 38
III clk III eo c M5PC 0 1. 88
Add
$ 140. 00
p5v,c: 7.00
s s
............
PAYM $ 2100- 1.2 JLH 11/136/90
7 J.p h c 11 e#A
Reg
REQUIRED INSPECTIONS ............. ...
This pey,mi.t is issued Subject to the 'rep r-
LtIatiolls ccintained 4n the Tigard Municipal. F-oot/found Insp Water Line InSP
Code, State of 0.r(-. ,Speci,#lty Codes and all post/Ppam Struct Opp-r/Sdwlk Insp
other applicable 1mWc4- All work will. be done p(-.)1%t/.r4 e a m M P cl,h a n Mechanical FinAl
J.ri acrordmilvp with approved pl*ns. This Crawl. D,(,&I.11 1:1.1.u m b Final.
j)e-(,mjt will expire if work. in riot wtA-0ed PLIVI/I.Inderfloor Bui.1ding Final
j,)J.thjy% 180j. 11c-challical. Insp Erosion Control
days Of iSSUallCe, 01� J.f
sk,j%pp r re Plumb Top Out post/Peam Meehan
fo more thAn .180 claYs- Framing Insp p I m/Und or f 1.(-)or
(3as Line Ills;)
I YIS U.1 a t J,n n I n%p ..........
Gyp Board lvisp
Rain drain lvi%p
A 1.1 iRa f zed Plumbing Contractor Si griatt-t"r
Call for inspecti.m.1 639-.4175
Contractor Notes Ir...__._..._-__.-
.............
IN
CITY OFTIFARDITYOF RD 1:1 1.:'R 111-T 0.- 1115 T 9 0 0(P 8
COMMUNITY DEVELOPMENT DEPARTMENT OR100N ,
13125 SW HallBNd, P.O.Box 23397,T19md.Or99on 9722? (503)8391175
D A J I S S
513 3 1)1) 0 45 0 P
W IORBJII:�w PL
VJ.LI-AGE (41' SL)I1IIIF.RI-AKk-:* ZONINGc
01-OC1', .. . . . . . . . . . . . . 284
BUILDING ......-
V:LI 9 S 1.1 Er DWEA-A.-ING D AG KAI N Tf
. . . . . . .. .. .
C',LASS OF:* WORK., »Nk::W BLDRIVIS:6 Ef A'T H S 3 GARACirK. :574 Sf
T Y PIE* D F:' U S L S F:' I:--I...00R PULQUIREU)
VYPIF'.* OF:' CONS1'.. I%I IRS7'. 1593 scf L.E F:*'I* 8 ft; RIGHT. -IJ -f t
0 C C 1.)PA N C Y ("t R V'., ^RJ S E:*COND.. . » : 1848 s T 1`RON T*. sr. 0 ft VO AR 14 f
--2 'TH I RD. . . -.0 rf REK P U I R E.'1)---
IA FI UP 1-1 T. .. . . . . . . R0 1J, 1*O1'0L-- a 3441. ?:>f SMOKE" DE TF(''TORS. a Y
FA.*(JOR L.OAD. 40 Dfif VAL-UE::. . . . . q"- .1 C',8 el 18 PARKING S P A C E 0
PLA)MVING . .............................-------
114K9. . . . . . . . . . : 1 F:L..O(:)R DR01W 0 D A ',KF'l OW P R EV N TR0
I.-OV01 ORIES., . . W A'I'E,R HL*.0TF.'.RG. .. . -, :1 1'RAPS),. 0
I U 11/9 H()W E R S 3 1-()(.1N 1)R Y 'TRAYS-- -, - �0 CATCH BASINS. 0
W A 11:'R C.L.0 S E'T S- - Ski`
3 .WEN LINE (ft) - .0 GREASE: 0
D 1:S I'l W A,(.);-11:"-R S W AT1:'R 1.-1.N f` ( ft) 1.00 0 0144 F R F- IX HJR V: 0
Gn, RDAL.4' DISP. RAIN DRAIN (ft) - -0
WASHING MACIH., SV' RAIN DRATHS),- - : :I.
................... 11 L, "HAN 1(101... ......... ..... .. .'L E S
L 'T Y1 1=:S- ........- U N I'T H*1*R S 0 type r11110k.tvlt by date rF3t:1:1t
%C.;A . . . . . ..0 PAYM 100 . 00 JI-H 08/1'7/90 203867
3 J Lo
MAX IN I IYV:0 VV I,i v 11 V F:,A N S 11 P R'T' C 05. 50
rA.)R bi < 1.00K 1-4 0 0 D BPLC $ 393. 58
11RN ):::!:I.@0 WOODSI(Jvk;,.S. 0 :30,• i.?8
1.,..00R' F:URN. (.1.1) DRYERS. a I SPDC $ 600. 00
D 0 1 L C 11 P < MAP-0 0141E'R UHTT1*.,).-.0 S3)S 1)(1 $ .375. 00
GAS OU'1A-[:.TS-. 1 I1PR f $ 37. 50
0 W 1.10 .......... ....... ............- 11PI (I $ 3. :38
DON MORTSSE111 1{I-DK'RS,, INC. M5PC 1. 88
C) D 0 X 19'...-J24 [---,PR T $ 1.4k, .00
r,5PL 7. :30
JI-1-4 11/06/90
V,OR TI AND OR 97P.1-9
Phc)rie 44- 503-620-Y5138
C)T ' ............................. ......................
DON MORISSE111' BI 1:0E:RS, ING.
1, 0 D 0 X 1.9 5 2 4
PORIA-AND OR 97219
0.. .. : 35533
$ 2200. 12
Thi,.; permit is issued subject to the regulations contai.itd in the RE*OLj.T.R[-'.-I) INSPF.C.J.1ONS
Tiovd Municipal Lode, State of Ore. Specialty Codes and all other F'0L1t/fOt.t1-1(j 111SI:) Gas Line 11-1sp
4DPli-.4ie laws. All work will be done Iq iCCOTdanCe With approved Ptist/Bean% St-rt.tvt; Jii-,t.i.la-Uoll I 11S P
plans. This permit will expire if worl:. is not started withimAll o%t/Pei-Am Mechavi Gyp 14aa-(,d I ns p
dayt of issuance, or if work is suspe ed for m re thanan days, Crawl DrainDrainRairi cl-f-aiii I I-)S j:)
P U 11 d Fa.(,1*1.f:)C) I-)e
1:)e-rnit tter? i,l 1 f 11 mec I-av)J.(-A 3. 1 vlr:,r) -r S(I W 1.P. T 1),.3 r)
1:13.t.tnib Top Out M e 1-1 111 C a I FA.n a 1
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3 9 41-75
aF:WE::h C;RMITC;T'IC1N iCITYOff' TIGAR ( ,i�
V'L:f;M:C T
I�'F:hMIT ti. . . .. .. . , : SiWFi90--0340
CI OF TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 001110M DATE.
13126 SW Oregon Blvd. P.O.Box 29307,rlyd, .00n lam(603)SX 4176 n A r E I S 5 U F D a 11/06/90
`41E ADDRESS.. .. .. ., 11561 SW SHORFV1E.W PL_ PARCEL: IS133DD-04 00
S1lJD1)T.VJSION. » . .. .. VILLAGE AT SUMMERLOKE 1.ONINGr.
T:+LOC:i:.. . ., .. . . . . .. .. ; LfJ'r. . . . . . . „ . „ » . . .134
TENANT NAME. . . . . :.
(JSA F IXIUi'E UNITS. . . ..
CLASS OF WORI," . ., „NI:;W DWELLING IJNIT5.. . . I.
I YPE Of" USF'. . .. .. .. a 5F NO. OF KJILDI N(3S'a .1.
T I,ISTAI._I_ TYI-, ,. ., „ .. :NI.1SWR IMPERV SURFACI:::. .. , a s f
P;'eina -rk.,>a
OwnersFEES
DOOM MCIRISSF T'TE T:11_DERS, INC. type aIn0U11t by ^ t,
date r e, p
t' 0 DOX 1.9524 VRMT $ 1.500, 00
INSP 4, :3`.1.00
V"ORTI..OND OR 9721.9 PAYM 1+ 1,535. 00 JI 1-1 11/06/90
IIhortr--.. H.. 503--620 75JF1
Lclntratrto•ra w...__....__�. _.w..__..,..- ..............._..._.........._...... .._._.
CONTRACTOR N()'• ON FILE
i' hctrtt� its
1535.00 TOTnL
r:rJq H. „
..____........ REQUIRED INSPECTIONS
ih)s Applicant agrees to comply with all the rules and regulations Sewer
of the Unified Sewaoe Agency. The permit expires 128 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the acrurac,y of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the dista•.ce given. If not so located, Oe installer shall rchase
a "tap and Side Seuer" permit and the Agency w 1ins al a pte�ryal.
U r F`.. il- ...........
T. t.t ra d H Y a _._....._ ..._.._.._..._._...._ ................._..
C;,-.0.1. f'ct•r i.rt!sper~ticln - 639 417
4
CIVY OF TICIARD RECEIPT (If' f-s-)Ylllf-"—Nl RECEIPT NO. a 90 206546
CHUCK AMOUNT 1,2
MORI SSE I I-E, voti 1.CASHAMQLJ14T C).4-
I)DRESS PA'�MENT DATF a 1. J../(.'.)6 90
SULID I V I S I ON
11561 SHOREVIEW FL.
PURU-093E OF PAYI-ILENT AMQLJN1 I'AID PURPOSE OV PAYMENT AMOUNT PAID
MRM MG790-C"284 6 Q 3 5 P[A.IMPING PERM 140.
IIECHANIC.'AL PU 37 15) 73T*. BUILD Pr-."R 319. 16
PLAN C.HECk.' FU 302. 96 SEWER USA 1500.0c,
SEWER INSPECT 7.5.(1c) STREET SOC W.,K).00
--.TCJPM DRAIN 7.705.t]")
T
)TAL. AMOUNT PAID 6 3 1
:ITY CW" TIGARD RECEIPT OF PAYMENT RECILIPT NO.
CHECK AMOUNT s 140.00
CASH AMOUNT 9 1,)� ()i")
S i PO BOY. 19524 PAYMENT DATE
SUBDIVISION
F,ORTLAND. OP 9721 1
PURPOSE OF PAYMENT AMOUNT SAID PURPOSE Or PAYMENT AtMUNT PAID
140.00
r:1 o.,irl CHCCK 8—:79P
140. 00
low
i ;
( PLAN C!((:CK APPLICATION
RDCITYOFTIGA y C' 'aw ,t��w+m PLAN CH(:cK a
PERMIT N /115 f q!I k y
GJMMU.4ITY DEVELOPMENT DEPARTMENT OAS ISSUER —
�
117 t 2S Bl.d..PA.Boa 2S2f 7,77yrd�'4o"
-i AX MAP/Lor
706 ADDRESS:
(,J LAND USE:
-
- �OT.
SPECISL ETES
OM.. ER 1 V C . REISSUE OF:
NPtLE: �0fj moRISS LAST REISSUE:
15�c t S y� ' D FLOOD PLAIN/
�•�� cJ,ENSriIVE LANG:
PH0.UE: - S
APPROVALS REQUIRED
PLANNING: _ -
()oNTRACToR - ENGINEERING:
FIRE DEPT
ADDRESS: ------ OTIAER: —-•-----
ffqqjRco
PHE: - _ - - ---`-��+ LLITEMS
ONSUBOONTRACTORS:
BUS TAX: --
ARWENGINEER !T� ^� �� CALCULATIONS: _--_
NAf1E: TR_► � !{ _ TRUSS DE-.TAILS: _
ADDRESS: - PARK--NG PLAN: -
--- LAN(jsW,E PLAIN:
__- _-__---- - OTHER: —
_------------ ._
Coc cerrs:
--� AMOUNT AMOUNT PP. BAL. DUE
PERMIT N ACCT N DESCRIPTION �0 5v
.�; 10--432 00 Building Permit Fees /lfe,, c✓
�C D.vu
10_.431 00 Plumbing Permit Fees ; 5u
10-A31 01 Mechanical Permit- Fees „• /
— 1"30 01 Stale Building Tax (SSG) -
Building
Plumbing G
Mech
10-433 00 Plans Check Fee
Building 39
Plumbing
Mech - 63 SL o
30-202 00 Sewer Connection
30-444 CO Sewer Inspection
51-440 00 Street system Qev Charge (SOC) 'd u �
�'Dev (urge
System (PUC) 5 —
52--449 00 Parks c y ,
31-A50 00 $tor-vl Drainage Syst Ocv Clu� (SSDC)
10-230 09 TRF()
10-230 06 Washington County Fire Ill (951) — --��
I0-220 00 Amart/Wedgewood 0 �1
I OV nL -1�— _
Qrc If 16_-?,e3�L7 �5• l•�
APPI_I%ANT SIGNATURE
Date Received:
Received By: _.
1! WE R R s
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.:
�;► ► n;- � PEP MIT NO.:
_�,�, ►�w,l ' c - ��- APPLICANT NAME AND ADDRESS:
F :AVATION CONTRACTOR `I A M DC_' 1_` D—LAr.
& ADDRESS: 1411 5.D4 7-
�42TLf: -
1L�" DC' NAS OR NAME AND ADDRFS�:
,TELEPHONE NUM73ERS:
APPLICA` ���1 M O{ �S�1LT1 PROPERTY DESCRIPTION:
OWNERS � `:-I �t > STRFF'T ADDRESS AND CROSS;TREF.TA_.00ATE�
GENERA.- 4
EXCAVA' 'NCONlPACTOR: >>L i _ OL ► ,"L l -
SITE/)OB: —
LEGAL DF:SCRTPTIGN:
24 HR/r'kF''TER HOURS EMERGENCY TAX LOT NO.:_
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION:
SITE SIZE.ACRES: I _j r^1
DISTURBED/WORK AREA,ACRES:
LOCATION& ADDRESS WHERE SPOILS
LEAVING SITE WH..L BE TAKEN SITE RUNOF}-DRALNS TO:(GARGLE ON-L.'
(Noir:PFRMrTS MAY BE REQUIR-ED) (ATC'N•-RA, IN DITCH PIPE CREEK
(CIRCLE ONE) PRIVATE PROPERTY
UBLiC RIGHT OF WAX
_EROSION/SEDIMENTATION CONlRQL ffZ MEASURES
MTMATLTM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRI.JC71ON SEQUENCE OTHER_
OT HER_ —e_
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANC7 WITH-TECHNICAL GUIDANCE HANDBOOK%
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEAS(1RES,AND
APPLICABLE STAIWARD NOTES.
HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIV SEDIMENT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE v APPLICANT SIGNATURE —
• • 9 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • t • •
GTFICI,AL USE ONLY.
RECEIPT DATE ACCEPTED
f•LF NUMBER�__'__ RECEIVED --
i
t
' P.O.Baa 19524
Portland,OR 97219
(503)244-9314
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