12621 SW SORREL DOCK COURT-1 r
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CITY OF TI GARD
OREGON
A Owner: Don Mloris5ette
Permit No. BU890977
j
Address: 20 Box 19524, Portland, OR 97219
(I: '..........
Building Address: 12621 SrW Sorrel Dock Ct.
Occupancy: R3 Land Use Zone: R7PD Bldg. Type
VIN
Comments:
Certificatey
Is hereby given this 26th da of October 19
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.
WN-1
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Fire Dept. BuildiZa Ins7 tor
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Buildin _aI
Post Certificate In Couspicuous Place
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7-06—ReL.,65, -S
INSPECTIO�v NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Orego 1 97223
Phnne: 639-4175
Type or Inspection
U - _S Time_—__ AM
Date Requestad ___�
Address _�L_'�l�1�--- P':c!^;t #�'L_L Y_-2
Lot #-•
Owner
Builder
'The follotving Building Code deficiencies are required to be corrected:
— ------ r IA./11
Presented to —___ _—_.— "pproved
Inspector �_..� Disapproved
—_ ---- n C-- —
Date. —
CALL FOR REINSPECTION
L-7 YES 0 NO
11111111 11111
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 9722?
Phono. 639-:i r o
of Inspection r /
Time A.M.
/� _ P.M.
Date Requested_
Ac i.ess -112-4:2—
armit
-ot #
O,vner
Builder
The following Building Code deficiencies are required to be corrected:
Presented to —/ P-Approved
inspector 1!—`- ---
Ll
Date _
CALL FOR REINSPECTION
❑ YES 0 NO
1
1
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 57223
Phone: 639-417-
Type of Inspection .
Date Requested ,/U ' TI
!� P.M.
J
Address ___� :: � ��Q 1:�Lh_ Permit
►3uilder
i he following Building Code deficiencies are required to he corrected
1
Presented tai
Inspecto. �_ �"' T� -- ❑ Dlwpproved
Dass
CALL FOR RVINSPECTION
YES n PIo
iNSVECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
pe of Inspection __—_ -� ----� —
i
Date. Requested Time _._� A.M. P.M.
Address Permit
Owner / Lot
BuilderThe foll ing Building C de deficiencies are required to oe correctee:
---
Presented to _ — [,e_APKo-ve'd
Inspector Diss_ � .� PProved
Date _
CALL FOR REINSPECTION
Q YEt ❑ NO
INSPECTION NOTICE
City cf Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested��'�� Time _ A.M. -` P.M.
Address . , a� __ Permit
Owner _ Lot #
Builder-
The `ollowing Building Code deficiencies are required to be corrected:
Presented to /--���—
�.f4phioved
Inspector _ — �_� Disapproved
Date — --
CAL FOR REI SPECTION
[] VES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 �1
Type of Inspuction J9,--I� a - _,:rd1c'r.��
Date Requ"%c: Time_�__ A.M. P.M.
Address . - Permit # / 7
Owner Lot #
� t
The following Building Code deficiencies are required to be corrected:
APIC-4 . -
Presented to _ [� Auproved
Inspector �� 1 /- roved _~
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
ssieralaov�r�s■r.�.
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - ----
_
Gate Requested _ Time — A.M P.N,,/
_ -
Address ZI - Permit # 7
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
�G
Presented to ❑ Apprnv-i
Inspector / �' — C Disapproved
Date
CALL FOR REINSPECTION
0 YES C=l NO
MSPECTION NOTICE
City of Tigard Building Department
P.O. Eox 23397
Tigard, Oregon 97223
Phone: 639-41x75
Type of Inspection . „46�� -1-A*' —.
Date Requested .� — ..__, Time A.M.----P.M.
Address /',� '� ' Permit #=
Owner Lot #
guilderThe following Building Code deficiencies ate required to be corrected:
7-71
Presented to ❑� Approved
Inspector p __ [ Disapproved
Date
CALL .FOR WNSPF,CTION
0--IiS ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -.4'-.4-
Date Requested 11me A.M. P.M.
Address permit #
Owner Lot
Builder
The following Building Code deficiencies are tequirerl to be corrected:
Presented to
Pr�Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
fi I' ard, Oregon 97223
P`lone: 639-4175
Type of Inspection
Date Requested / "/d Time_ _ A.
r
Address J � Permit � 22
Owner. r _ Lot #__
BuildEr
The following Building Code deficiencies are required to be correctea:
Presented to
Inspector _ � — ---_ ❑ Disapproved
Date r�-
CALL FOR R INSPECTION
0 YEs ❑ No
LRUILDING PE:PMIT
C17YOFTIFARD crry4o'Fm PEPMIT NC). : 1311.1690977
A*— 0
110D
COMMUNITY DEVELOPMENT DEPARTMENT ORIOM
1112)SW Hall blvd.,P.O.Box 23397.Tigard Oregon 97222.(903)639-4175 DATF.: ISSLWA): 6/29/89
r)nim-i:)m*y Nn R909117
AUL)WILSS : I.e.2621 %W SUPPE-1- DOCK 0'1'
TAX MAP/LOT 1.51. 33AD 1.3,500 SUB: 51JMM1:-:P I AKE:., L.T: :1.6 EW
LAND USE: : W710,11)
1 (TT %J:ZE VALLIF)"I'ION : ill H3,A11.3 SETF.i[ACKF;
F'PUNT : F-0 PLAP :
W0PK C.I.-ASS : NF.W DWEUA. ,UNITS :1. I—EFT : 5 RIGHT :
LJ5F-". TYPE : SINGA.A.: F'AM11 Y Nu 1*.*:DI-";i0C)MS 4*2 EXT .WALL, CONST
CONST T'YF)r.:-' VIN NO BA"!11-15 E-2 N S E.: W
OCCUP GNP . 1:43 PROT .OPE:N:I:NGS :
OCCUP L.C)AD N S 1:-;, W
TOTAI ()1:4h:A 1.11*36
MC)- STC.1111:41F-S 1. 1.ST - 1.896 ROOF C' JNST C., F*11-11.:: Ar.-'A
PNO: AI:4E::A SPEPAP7 PATFED:
3PII) : C11C.I.CUP . SF.*.I*-"AP'? PAT D
Ml;:ZZA NI NL ? DASEM'T
IFA 00P I.-OAD: e.l() G',A 1.1 A 'eM F11-11FE SI'-'RKl P? Al AAM?
F LOW(CA:-`M) M.A-EC:I-7
T*yl,)I:;*, LAS HUM).Al*]t'-1L(-:i(;'j
1:)1 ON (' I--11::C,K BY : tr•:Lt
$30 Ntar red Iii-iintl 2 extry c.upivm PEJ5SUF: OF NC.) . W.1061;.*-2
1 AST PEI%StJF.: 813:1.930
F L:E!--.I
0
W HOP ISSEi.:'T 1.)(:1N 111385 . 00
N 1,1 AN r4FV*.I:I::*W 1111140 , 00
Ecar t:L�1rn11 as 1^ FIRF*.
R P
T A I IL
.1 .: TAX
OTHEN1 0 0 0
C I:*:VF-.A C)Pll,�ENT C*,HAP('A.:.5
0 I)ON SI:)(::( STO 11111) $e.?.r'0 . 00
N
T DC)N MOPISSE11"11% 1A.11:1 INC' SIX,( 511,4F.E:**Y,1 1110100 . 00
R j:)(3 DOX M5241 $a50 . 00
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C I:)c)r ti 11L I-I d (-)1- 9721.9 PPE-J)AI D < $40 . 00>
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R PF.:.GJ:S7'I:1AT:!1:(.)N NO. 315533 Al $1 „".1;3/4.
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This permit Is issued subject to the regulations contained in Title 14 PF-CF-UPT NO. 16q3 -"4............................................
of the TMC, Slate of Oregon Specialty Coues,zoning regulations
and all other applicable codes and ordinances. and it is hereby PEQU!Pr.-'D :l'N!;;PF.::C-T'T0NSi
agreed that the work will be done in accordance with the plans and F;'(:)(:)*Y':I:NC, S L,W F,R
specifications and in compliance with all applicable codes and 1:--(:)tJNI"'4*T'1:(')N WAI I- PAIN DPA'INS
ordinances The issuance of this permit does not waive restrictive P01,1 & EilEiIAM WATFJ) LJW.'.
covenants Contractor and subcontractors shall have Current city IN to . t.)Nr)r-.:P!il AP ("ITY API"PCII-4/Sw
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or It work is suspended or I 4^1 FA:NAI
abandoned for a period of 180 days any time after work has VIL.F*4 T(7G)OUT
CL menLed. It shall be the responsibility of the permiltee to assure V 1:4 A MI IN C.,
all required iris tions are requestpn approved.
VAN
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C',A 5 L I NF::
TNSUI ATI CIN
I�y P POAPIII)
urs
Pernlittees
Issued By ON 6.39-41. 7.3
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWEA PEPM1'T
j--:
C11Y OF TIFA RDctrp-AMIT NO. : SEA391.052YOFTWAND j DA'T'E' ISSUED: 6/29/09 ,
0910ON
COMMUNITY DEVELOPMENT DEPARTMENT' 1:44"IM . POKY' .NO. 8909'77
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 972.!3.(503)6394175
JLJIII:. ADEMESS : 1.P62.1. SW !'.iOl:';fP1 .1 DOCK USA NUMBEKA : 3*7!W.)6
'Y'AX MAP/1 CYT 11:0. 33AD :1.3500 SUB: SUMME44 I o K V* BK
LANE) USE : 117PI)
L-CIT 4-.i:I:ZE:
51E(wTIUN: *33 *rwl,.) : 1.it; PNG : 1w
Wl')P,K CLASS : NEW
USE TYF)E : GINGL.F: F'AMIA Y
'The ift.greem to wj.th gtll 1`11.11(Viii ilki-KI Rliti.U 111:11 Of thel
Agenc�y .. The 1.)ef..Mj.t 1.'e20 daijui fr'Urn thea 'The. -tmtal
1-tinclol-It puk:ld wi.1*1. be :1.41 t.hei parin:kt Acleric.,y ticieiii nets. LI n I
atiitcie tho-P amt:!mr,aitc,i,i oil th(m (.-)-P thVII l4i(:10 !11011AIC-131If thea 14ii?Wel' 1.19
1-lult 14:11iAted ifitt the.-I gi.vinort , thoo J.ritlitut.11*11 3 -Fev:�t J.1-1
,itll di,rcic!t1l.arim 4"r-clin t.he 14' !:i(a b3(.'.mLt6cJ , the tma-t.ialler- 4.4- hall
j*)t.lr-C.!h.I11:l(► lit "Viiip mrid 54:11.clo* sfiwer- r)el--InJA Krid thcl w:1.13. J.rm-tall at livieirl'i'l .
I.MPETIMAJU 3
UNJA'S :
DWEI I..."IM, UNI T•5 . I
NO . OF b1l DC�E-i . 1.
Iii:*L E:S
MCMISSF-1-1 E DON PERMY'l,
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W 1:)13 BOX 195(.211 (XIINNIECTION GHAAGE 1111 100 . 00
N 1:)tj I"t.1'ilk ILI(j 1 ]:NE: 'TAP INS'TAI L
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PE.GWYMAIJON NO '35.1533
:1.M.li . 0 0
phis permit is issued SUbiect to the regulations contained in Title 14 REQUIPF-J) INSPEC-7-JAY
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby MI(•)CA-4--.11:N
agreed that the work will be done In accordance with the plans and
�pecifi,tllons and In compliance with all applicablt, codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractom shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or it 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 required, I actions are I reqpuend approved
Permitt(a Si attire
FOR 1N5PE-.*(:,1''1".)N 639---- rl�
ISSLJeQ By ---.-— - . - - ------ -- - --.1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF TIGARD PF:PMJ:*T* NO . ME891.0511.
&1-1�ARD
CrrY OF TtW�AV DATE ISSUED. 6/29/89
COMMUNITY DEVELOPMENT DEPARTMENT 0111100141 1:441M PKT .NO. (390977
13125 S.W Hall Blvd.,P.O.Box 23397,Tigard.On:?on 97273.(103)5394175
,.JOB A1'.)DI:*!iii S5 : 12621. SW —IXTEK (-,'T
—
(AX MAP/I Uf 1'3:1, 33AD 1.3,1500 SUB: SUMMIIJ-4 I...nKV:. 1...1': 16 BK :
I.-AND LISE: 1:47PI)
T.TEM : NO NO:
GI(: AK (:'I ASS : NEW FURNA(:X: <1.001( J AIR HANDI-P <11.0
SINGLI::: FAMILY I::*1JI4NA(..'I'-': 1()01<+ AIP HANOI-P 1.0K
*TYPE : VN E V A P-0 .COOL It-R
(NA.I.1C.11.GPIP. : 143 1-1EA Y*P*.:1:4 VEN'T' FAN 3
Vl:::N*I' VEN 1' . SYSI*EM
Bi AM1011011:', <311-11P
NO . S,R)PIRFI : :1. "1.J4/(:X)MP 3 1.'115H V, 1:N(: *.I:NI;:.:WATOI:4(DOM
DWIl'E'L.L .1.1N:1:'15 1. HLA MIUMP 1.15-301-11P I ((»011vll
GA S i P/C00MID I-A:PA I R LJIN.' 1'Si
MAX . :I'Nl:)I,J'T' BI 11. /(:,()Ml:) 150+11HIP UTHEP
I'- .1:PE DmPp!5-1
GAS (XIIIII E'T'!-i 1.
I Ow
DUN $1.0 . 00
W p C) 1.93Pell PLAN PEV:r.FF*W $10 . 1.'.3
" p C)I"t 3.ilk I'%d F T X TL)1:11-*.'.S 1111130 150
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R S'T'A'1*F.-*.' 'TAX $ 3
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R G1 ACKAMA5 (:ICT 9101.1115
A
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T NO . 41.7
0 11111'AL : 2
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No,
.....................
................... .... lo
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations 11405PECTIONS
and all other applicable codes and ordinances, and It is hereby L.I'Nti:
ag eed that the work will be done in accordance with the plans and 11`4a:Aljvl
specificalionf% end in compliance with all applicable codes and IN
ordinances The issuance of this permit does not waive restrictive 1::"r.NAI
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
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
cimmenced. It shall be the responsibility of the oermiftee to assure
all required in ctions are requested and approved
Permittee Sig attire
Issued By ALI INSPE.UTION 639--1175
SEPARATE PERMITS REQUIRED FOR WORK OTHEn THAN DESCRIBED ABOVE
PI.A.JMFVTNGo PE;'I'MIT
C'TYOFTIFARD PEEAM11' N(:) . : PLA191050
CITY OF RD DATE- TrEiSUED 6/'29/09
COMMUNITY DEVELOPMENT DEPARTMENT ORMON
13125 S.W.Hall 81-id.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175
J013 ADI)PLI65 : 1.2623, SW SOPPEA.- DOCK CT
TAX 1`110PA-01' ZMAD 13,500 SUH: SUMMEP I AKE
L'T : 16 V:l<
LAND UGE' : P'7P0
I 0'I !:A:ZE :
1 M . NO NO
WOW< C'LAS5i : Nl*::W WATEA (A-C)!SET 2
UGIr.': TYPE : GTISIGIL.E'. 1=AM11-Y UP.T.NA. L., 1-"$Kl:;; OW PPVN1'P
CONST , TYFIF' : VN LAVOPATOPY 2 1PAV" P141MER
OU"UPAIMPIP. : P"i TUB 51-10WEA P (aREWFAK TRAPS'
01 5I--IWA5HI;-::P :1.
NC) . 5T(:)PJ:F'.5 : 1. WASI-CLAC, MAUAINE:
DWELL— UNIT!:I : 1. 1. AUND11Y 'TPAY HUM'. DRAIN (DIA
FI 0(:114 1:)1:4A*I.'N
!31:NK 1. 5EWER (F.-T)
WATEA 1. !iTOAM/PAIN WT
OTHER
MORY t-'0:A;'1TE: DON VIE.11m].T
0 BOX 1.9:
W
N p I-.)I-,V1.m.ri d ci h F J.,X I'U WE r,
E
STATE: TAX
C)THEP
C M A I<E:14 HAMA 1.)
0 !-.iI--IC)I;::MAI<ErVS PLAMB11SIC.,
N
T pca
.)(.)X 250
till.121ILdill 1:11- 971 '3
A
PHONE (503) 630-7721)
T NC). 392',.? "I(:)TAL. ; 411 1*3 0
NO .
..........
This permit Is Issued subject to the regulations contained In Title 14
GIF:W11PED TN5Pt.-.':1:.'IJ(:)N!i
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby G�LUNDEPSil—AR
Agreed that the work will be done in accordance with the plans and PC)!:i'T' & BEAM
specifications and In compliance with all applicable codes and WATEH LAME.
ordinnnees The issuance of this permit does not waive restrictive I)1...1.4. 'Tar ; l
covenants. Contractor and subcontractors shall have current city GIA 1:N E'�ATN!-.)
husiness tax permits This permit will expire and become null and I::-.r.
void it work is not started within 180 days,or if work is suspended of NAI
Abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
dl require Pctlons are req as )nL'approved
'q
Permilt gnature
(',Al L. F01-1 JAIWEC1111IN 639-411.7,15
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
cine' TIFARDAL/:�\ PLAN CHECK APPLICATION ,o
{� (CMOr�M�AW) PLAN CHECK 11 q-COMMIiNITY DEVELaPMENT DEPARTMENTT�. "` � PERMIT N � �7-]T
13125 S.W.IUM Blvd-P.O.Doc 21397,iioarct Omgon 97223.(503)63941750
JJ DATF ISSUED
JOB AODRCrS: '_` (C, Z w Si r✓f L t C f 1 A•t MAP/LOT / /3 S Uv
SUB: _ r,Sults N-� LOT: - LAND USE: � 7
VALUATI N:
OWNER SPECIAL NOTES
NAME: " ) accl" I IN( REISSUE OF:
ADDRESS: _ 1 /' LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: _ q 31 -
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: _ ENGINEERING: _
ADDRESS: - _ FIRE DEPT
OTHER:
PHONE: A_ ` - ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARC14/ENGINEER BUS TAX:
NAME: I J - � "- -
`. �L C r LLJ __ CALCULATIONS:
ADDRESS: — TRUSS DETAILS: _
_ PARKING PLAN:
--__ _ LANDSCAPE PLAN:
PHONE: _ -_ OTHER: _ _ -
COMMENTS' -- s y'
PERMIT 0Y ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees �f% �/7
10--431 01 Mechanical Permit Fees
10•-230 01 State Building Tax (5X)
Building
Plumbing
Mech _ _
10-433 00 Plans Check
Building
P 11 mb i ng
Mech -- '
30-207 00 Sewer Connection UU
30-444 00 Sewer Inspection - -'
51-440 00 Street. System Dev Charge k OC) �- y G0
52-449 00 Parks System Dcv Charge (PD,.) ,, 5
31-450 00 Storm Drainage Syst Dov Chrg
10-230 09 TRFD -"
10-230 06 Washington County Fire #1 (95X)
07 (i�i 0 00 -Amart ed<Tewood L.
TOTA
�` RI-C b
Z-3y .Zai
APPLICANT1RF - --- --- --- '
• 4.
Received Hy: /JLJG.'�� Date Received:
cn/35B7P/IPP _ _ - __