11494 SW LAKEVIEW TERRACE 'Maw�w„v�+uwrL x......,,:.YAY,waww��.�,r ""'"""'"N�wiY4iw...�w..eswi,wAWYWiMnwwar.r:...:..aa':+YY%WlffiYlM�MM/N4 � '�I�IWMYIY44�4�.� UA�':YAYNddY�4 ti':l:iwtlYsr.iv4 ann��.Y.,.
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— 11494 SV LAKEVIEW TERRACE ._
INsPSCTION POTXy'=
C!.ty or Tigard PO`ding M_iwrtment
13125 SII Hall Blvd. Lgard, Oregon 97223
Inepection Line (Ree-O-P'one): E 41'75 Budinens Phone: 6310-4171
Inspection:-,— _—_—--_--- — -- ---
Foot. ::q Plbg. Underelab < sch. Rough-in Appr/Sdwlk
F.-,wad. Plbg. Top Out ( FINAL:
Polt/Beam struct. San. Sawa: Framing -Bldg.
i^:.c/Bt)am Hoch. Rain Digin Ina�Lation -Pirr,.
Plbg. Underrlocc Ater Lino Gyp. Bd.
Date RoTieetee(d: /�-f Z Time: —�-_,-AN --.PH
.ddress: f3� /��� /L _ Permit
Builder:— e
THE FOLLOWNG (.ORRACTIONS ARE RRQUIRRD:
15-7
Inapecto : _ -_-__ Date:
APPROVRD^ DISAPPROVRD APPROVRD SIBJkrT TC ABOVE
Call For Reinsp.
f�l//�'•-�/
INSPECTION NOTaCE `J
City or ""gard B'ulldi-iq I►epartaeat
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-41,_ Business Phone: 639-4171
Inspect .ons__ .— — - --- —�
Fo. L'-.q Plbg. Underalab ('kech. Rough-in Appr/Sdw.lk
Founa. Plbq. Tnp Out Gas Line 'PINALs
Post/Bet+m Stru(•t . San. Sewer Framing -Bldg.
Post/deam Mech. Rain Dreln Insulation -Plumb.
Plbg. Underfloor %ater Line Gyp. Bd. -Mach.
Date Requested:, _ ,--Time: AN PM
j�// 3
Address:----VSs--�-�-'R-1 �� Perwl.t 1:
7 _�� /
Builder: .���� s : —.__.— �(O ZZ —
THE FOLLOWING CORRECTIONS ARE RFQUIRED:
,spector.: -- Datet�-` �Z.
APPROVEDDIS_. APPROVED APPROVRt) ',UBJ,e(`' TO ABOVE
s..'rt..
-Call For Relnep.
�IT�0F TIOARD C F T Yk�Fy MW I MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT 00140"
13126 SW HWI Blvd- p.0.BCW 23397,TkW,Oreqw 97223(6W)639-4175 t7,�/
ccmi
6,31;-41.71 r,P.IE ISSUED:
SITE ADDRESS. . . : 840:� SW LANGTREE PARLEL . R-12
-.
GUBDIVISION. . . . : [ ANGTREE ESTATES ZONING
BLOCK. . . . . . . . .. . : LOT. . . . . . . . . . . . . s35
EVAP COOLERS:
i.;LASS OF WORK. . :ADD FL 001" FURN.'JNIT HEATE[W- - C VP-'.I\11' . . . :
1-YF-,E OF USE. . . VENTS w/o APPL: VENT SYSTEMS:
''CCUPANCY GRP. . 3R3 HOODS. . . . . • . ! I
-.�TOIITES. . . BOILERS/COMPRESSORS DOMES. INCIN:
LILL rYPES------------ 0-3 HP- o - - INCIN-
3-15 Ear.. . . .
. /ELE/ BTU I5-30 HP. . . . s REPAIR UNITS:
IMAX INPUTI 30-50. HP- - - - WOODSTOYES. - -
FIRE DAPIPERS , 50+ HP. - - - CLO DRYERS. . '-
GAS PREjiSURE. niij HANDLING LIM I T S OTHER UNITS.
wo' OF UNITS------ 10000 cfm: GAS OUTLETS.
FURPJ ( 100K i""." 10000 cfm:
1=URN ) =I !ZOK BTU.-
Hemarks'. &. 5 TON AIR L,,jNDITIONER
F- "S -------------
Owners typeAmoi.tnt by date rerril
MlC.i1-0.-.:.L STONE PRM1 $ 25. 00 JLH 04/16/92 —
8405 SW LANGTREE 5Pf"T $ 1. 25 11-H 04/16/92 —
TIGARD JR 97E24
Ptior v 0:
Contractor:
BELL HEATING
15550 BE PIAZZA AVF'
!.;LAURAMAS LIP 9701.5 ._—_-2c,. 25 TOTAL
phorls.- #:
Reel #. . n 00447 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final InspectiOT)
Tigard Municipal Code. state of Ore. Specialty Codes and 911 other
applicable laws. All work will be done in accordance with
approved dans. This permit will expire if work is not started ------- --
within !;# days of ils'Jance, or if work is suspended for more
than 180 daYs,
pey,mittee Silinati-Are: 4— ,1Z4"U
for j,,,%I-ection 6.39-41-15
IF
MECHANICAL PERMIT Pianck/Rec. #
City of Tigard Permit #
13125 sw Hail Blvd. APPLICATION
po Box 23397
Tigard, OR 97223
(503) ():;9-4171
_ scnpann QTY PRICE AMT
Table 3A Me< anical God"
.« -0 -0. i0.00
�Q,.L -Ile 2 Y 1) Pemril Fee
Job �`;: a�J ,.�
LAddress "" 2) Suppl"montal permit 3.00
umace to 0
._2 v -5.00
1) incl. duds 8 vents: .—
1G' , 100,000 *
7.50
2) incl. duds d vent.
ownef - ct.�t x umance
6.00 -
- vent
i r c w, arid ester,wester
6.00
4) or floor mounted heater` ent rr�t tine
in
c «„ 3.00
Occupant t) appoanno permit_
`T— fiepnir oTlie:rb(q, re _— -_ 5.00
uy�w•
6) cooling absorption unit
_ — filar or comp tn'i�71r— ti /x 6.00
7) abs orp.unit— 100,000 P T�U,�� t�_ -
_ �nr comp!0 31 15 FiN - 11.00
81 absorp unit to 5o0p0o BTU
��
Contractor - �n er or comp b 1 1500 —
�1 g) .L,-orp.unit.5 1 million BTII
..rb rr or comp w
w $RAW i 22.50
lig: 10) a..:. m.unit 1 � 1.75 million BTU
eaial/ rave rea us ap rcat�on iat "r c�p ���— 31.50
wire y ac ow g —
infoimation given is correct,that I am the owner or authorized ageiit 1_�Ibsofl urng uM B
of the owner,that plana submime l are in compliance with State 000 CFM I 4.50
laws,that I ar registered with the State Builders 10
Board,that the 12) __._-------
numbiw !Ivan is correr 1. (If oxampt from State registration,please 13) 1 r 7.50
o,oclo CM*i'rt
givo reason below.) --14-opor
�—n---�..—.—___.
14) avaporrie coole4.50r
15) to a singly dud 3.00
--- "nd anon rystem not 4.50
;6) irx*uded in appliance permit
•T^"^'" — ' 17) mechanical exhaust 4.50
ee
sat or, new 8cnn;cxr� a taranon repair ��masG type 7.50
18) incinerator
to be cine risidenfial(3L, nun-residential C) ommerrsa or rn stna
xrsUng use a 19) type incinerator — 30.00
building or properly stove .�a er
w 4.50
Proposed use of 20) heater,radar,clothes dryers,etc.
S 2.00
building or property _ --- 21) Gas PiPKig one to four outlets —
Type of hrel nil Q natural pas O LPG C electric,9
22) More than 4_per outlet —
-NOTICE
Minimum Fee 525 00 SUBTOTAL
PERMITS BECOME NULL AND VOID IF WORK OR 5%SURCHARGE •'1
CONSTRUCTION AUTHORIZED IS NOT COMMENCED
WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 PLAN REVIt VII 25%OF SUBTOTAL
DAYS AT ANY TIME AFTER WORK IS COMMENCED TOTAL
Special Conditions• -- ---
Dat"issued by —
k•NFQ14.rf
Ifo Ar.
IF
1 7
CITY OF -tIGORD pE,UF.IPT OF POYMENT RFUFCK I PT NC, L?6 6.P-�, � I
CHEpMOUNT
CASH AMOUNF 04/ 16/92
NAME '8ELL 4J.'(WING r-AYMENT DATE
1055--o SE PIAllA AVE. (,-,LJTADIy'jSi0N
r-L.1' ('.K(7,MAS, OR 9,1015J.-
j.jmnj.lNT PAID
iI
PLJRPl,SF OF PAYMENT (4MOUNT PAID PURPOSE OF r,f%YMENI
A - 25
Mjr
,p-IAEI-
C405 LPNOTREF
TDrAL, VA")
IF
CIrf OF TIGA,RD
-'� OREGON
December 4, 1991
A
Don Morissette Homes
15555_ SW Bangy Road
Lake Oswego, OR
Re: 11494 Lakeview Terrace
Permit #MST 90-0222
Dear. Sirs:
7'ne last in-,pert-i-on conducted on the above project was a gypsum
board inspection on 10/1/90. The next required Inspec--ion will be
a final inspection.
Please advise the Building Division of the status of this project
as soon as possible so the fire may be kept. current.
Please note that any permit--without activity for over 180 days
becomes void. If you need additional time to cor:plete the project,
please contact this department so that an extena:.-in can be
discussed.
Sincerely,
R.L. Thompson
Building Inspector
Notice.A
(503j b39 4171
13125 SW Nall Blvd.P.O.Box 23397,Tigard,Oregon 97223 -- --- —
IF
I
Immsumo NNOTICE
City of Tigard Building Deem-tale C
13125 SN cell Blvd- Tigard, rregon ',7223
Inspection Line (Rec-O-Phone): 639-1175 Business Phone: 639-4111
Inspection: _-----• --
hxotir-I Plbg. Underslab Mach. Rough-in
pppr/Sdwlk
Found. Plb9• TOP Out
Gas Line FINAL%
,_Bldg.
Poet/Beam Struct. San. Sewer
Framing
insulation -Plumb.
Poet/Beam Mach. Rain Drain
Gyp Bd. Nech. )
['lbg. underfloor we er Line
` -
PM
_"LJ Time: —_- --
oat.p Requested:—
` Permit t:_ �_.
Address:__��( -
Bull.der:__-Jw-��--- ---
THE
M'01.1.0WING CORR,,,CTIONS ARE RBGUIR1CD: - -- -
y'---1✓t :�acs _ — a -------- - 1
�Date�
Inepsato ---- .r—____ ----- -
DI - mlimovED SUBJECT TO ABOVE
APPROVED --
INC_,'XC ION NOTICE
City of Tigard Building 0"Pen'��223
13125 BD Ball Blvd- Tigard,
Inspection Line ec-Q-Phone): 639-4175 B .sineee Phone: 639-417'-
' � --- --'--- _--._
Inapection:_____�(
J Underalab Mach. Rough-in Appr/bdwlk,�
Footing G Plby'
Gas Line
(tINAL�j
Found. Plbg. Top Out ._
Poet/Doom Struct, San. Sewer
Framing -Bldg.
Poet/Beam Mech. Rain Drain
Inaulaticn -Plumb'
Plbq. Underfloor water/Line Gyp. Bd
-Mach.
—_1 -�f Time: _AM —PM
Date Requented:__- ___-
Permit
T.ddraaa:^�
Builds
THE FOLLOwI' 0 CORRECTIONS ARE REQUIRED: _
—__—
__ --
----,
1
—_..�.— /,e�' 1 • .mac " ___. ,�-_ : �n -� _
?nepector: �. d Date
APPROVED —__ DISAPPROVED APPROVED SUBJECT '10 ASM
Ca:' For Roindp.
HISTORY: VIEW UPDATE DELETE ESC
View comments for selected item
(S&MASTER
:MST50-0222: PROJECT:VILLAGE AT SUMMERLAK: oTATUS:I L'PD:0,1/07/90: :JI:1: °
PERM;ITTEE:DON MORISSETTE BLDERS, INC.
SITE ADDRESS:11494 SW LAKEVIEW TERR PRIM. . :MST90-0222: °
06 CASE HISTORY &&&&"&6&&&&&&6a6&6666&6&Req/Sent&Scttd/Due&End/Done6&By&St.at&&&C
A705 Foot/found Inep
A707 Wtr Proofing Bsm',: Walls 08/13/90 F;S APP °
A710 Post/Beam Structural
A711 Poet/Beam Mechanical 08/21/90 F::' APP
A713 Crawl Drain 08/21,"f r) KS APP °
A715 Plm/undslab Insp
A717 PLM/Underfloor
A718 Ftng Drain Clam•t Walls 08/21/90 MS PA::S °
A72.0 Mechanical Insp
° A722. Plumb Top Out:
A725 Framing 3nao 09/20/90 MS PASS
A730 Fireplace Inep 0`-`/24/90 KS APP
A735 Gas Line Inap 10/10/90 KS APP °
° A735 Gas Line Insp 09/18/90 KS DIS
A740 Insulation .InEp 09/2e/90 KS APP
6&6&A646aAs&&&&LiAAIAd&AaArk&AASAA&&&65666.6&666&5S;a665565609/24/90aKSAPP
5665�
HISTORY: VIEW UPDATE DELETE EsC
Delete selected item
O&MASTER FERMTT5666666t3666&&566A6A6A666&&&&&6&&&6&&656&&6&A66&&&5A�,5&655&66A&AG
:MST40-0272: PROJE("C:V)..,LAGE AT SUMMERI.AK: STATUS:I UPD:08/J1/90: °
PERMITTEE:L'ON MCRISSETTE BLDERS, INC. ;JLH:
SITE ADDRESS-11494 SW LAKEVIEW TERR PRIM. . :MST90-0222: "
66 CASE HISTORY AA6666666&65545&6li6&AAhAReq/Sent6Schd/Due6End/Done&&By6Stat&&4:
° A755 Rain drain Insp
A760 Water Lire Inep 09,'04/°0 MS PASS' °
A765 Appr/Sdwlk Inep 09/04/90 MS PASS °
A765 Appr/Sdwlk Inep
A795 Mechanical Final 10/19/90 CWV PASS °
A797 Plumb Final
° A799 Build;ng Final '0/29/90 M:, PASS °
$AA&A6&Aa&&&&its&A6666&&666�5g&A6A65&&A&AA6&55&A6A5&A6&3&AA&AaA&&&6666665&&&&Ai
INSPECTION NOTICZ
Cite „ Tigard Building Departo.,3nt
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested T LL_ .! Time A.M. P.M.
Address Permit
Owner _._ Lot
Builders�v
The following Building Code deficiencies we required to be corrected:
Presented t __ .Approved
Inspecto } .. _ L_ Disapproved
Date --
CALL FOR REINSPECTION
0 YES EJ NO
i
I
INSPECTION NOI E
City of Tigard Building Department
P.O. Boy 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ---
Date Requested_fir e Time
Address Permit
Owner __ __..--_._ Lr)t #
Builder ?`1I --------
The following Building Code deficiencies are required to be corrected:
Presented to .� — ----------- (�ylpprcved
Inspector - - __. ! D`rapproved
Date -- -- --
-L CALL FOR RFIi;SPF,'CTIOi�
❑ YES ( 1N
INSPECTION NOTICE
I
City of Tigard Building Department
F.O. Box 23397
Tiqard, Oregon 97?.13 ✓
Phone 639-4175 y-
Type of !nspection
Date Requested q_ Tirt» A.M. � P.M.
A idress ` lJ`-[/1a Permit 415 +�
Owner __-- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to proved --
Inspector _ ❑ Disapproved
Date �
CALL FOR REINSPECTION
YES I 1 NO
i
I
INSPECTION NOTICE
City of Tigard Building Department
PO Box 23397
Ticard, Oregon 97, -)23
Phone. 639-4175
Type of Inspection ,_
Date Requested_16) , lL/ --7�------
Time
Address Q
Ow;:er
—--� i Lot
Builder
The following Building Code deficiencies are required to be corrected:
' iia i� �4 oos ST$TCt45
�11c�17 AS ✓O
Presented to
Approved
Inspector i
�ry Disappru,cd
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSNOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection P.M.
�G7 _ Time A.M._ —
Date Requested
Permit #- � z
Address Lot #
Owner
Builder "rT.�.—.----------
The following Building Code deficiencies are required to be corrected:
r
------ -
>4pproved
_r
Presented to _ � I Disapproved
Inspector s.
--
Date
CALL FOR REINSPECTION
0 YES 0 NO
I
INSPECTION NOTICE
City
of Tigard Building Department
P.O. Box 23397 �
Tigard, Oregon 97223
Phone. 639-4175 /
Type of l" pection i( A.M..—
L, - 11.1-- Time
Date Requested J permit
Address — Lot #—-----
Owner y--�------'
Builder �-----
The following Building Code deficiencies are required to be corrected, --`-- --- --
Approved
— ----1 _ �] Disnpproved
Presented to _ 1
Inspector
DRte (.'ALL FOR REINSPECTION
�I YES L.] NO
INSPECTION NOTICE
City of T Bard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time.max A.M. P.M.
Addruss ZI Permit
Owner Lot
The following Building Code deficiencies are required to be corrected:
Presented to r4 Approved
Inspector
H Disapproved
Date
CALL FOR REINSPECTION
YES E-1i No
INSPECTION NOTICE ��-
City of Ti and Building Department
b. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of
Date Requested `�i'd Time A.M. P.M.
Address ���� � ermit
Owner_ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
G
Presented to --_ '/Approved
Inspector Disapproved
( Disapproved
Date _ _ ,24
____ ----
CALL FOR REINSPECTION
0 YES ❑ NO
IF
INSPECTION NOTICE
artment
City of Tigard Building Dep
P.O. Box 23397 ,.
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection _-- A.M._____P.M.
Time_ Q 2
Date Requested permit #(_d-d
Address
__—_ Lot ---- —_
Owner
Builder
The following Building Code deficiencies are required to be corrected:
I S iI_.st-ems— --
t
-Approved
Presented to __ ( � Disapproved
-�
Inspector
Date / CALL FOR REINSPECTION
El yES L _l NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — - - -
9 0_ Time ��_ A.M. P.M.
Date Requested = ��
Permit
Address
-- ---- -
Lot
Owner `_l.___-_._-.----
Builder
The following Building Code deficiencies are required to be corrected:
-- - - --- - - -- ----- �I Approved
Presented to �qfTl
___ �_� Disapproved
Inspector q-
Date --
CALL FOR REINSPECTION
[] YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 '
Type of Inspection -
PC,_ -L tJ
Date Requested_ �-'� " -- Time -- A.M.-P.M.
Address l.L JSP._-�R�''"� �''� Permit # --
Owner _ Lot #
Builder &2&&The following Building Code deficiencies are required to be corrected:
1__'2,�G�_
I
� I
Presented to ._ '�4 Approved
Inspector �� _ L_[ Disapproved
Date 3--L- --
CALL FOR REINSPECTION
0 YES n NO
I'DERMIT
MG1.90-022L,
MST,90-0222
CITf OF TITARD CMOFTMRD PERMIT N. I
0"em 1,: StJr--D-. 08/07/90
COMMUNITY DEVELOPMENT DEPARTMENT 3
13125 SW HWI SlA p.0.6,23397,TOW,019W W�2y(6W115694- 475 ___ PARCEL" -lS133DD--PJ5:L0@
:.w�']'ERR ZONING9
L ��
tiil L A D 1)R L 5 S 11494FW LAKL�V:[E
. . . SUpIpIL.RLAKE
SjjBDIvISION. . . . VILLAGE-. A1'
LOT. .. . . . . . . .. . . . .
BLOCK. « « » » « . • » • B U I I DING sf
DWELLING UNITS: ]. : . . . :476 refRF�.ISSUE:MS1*90-01*10 BATHS: C.,A R(-)GA.-
CLASS OF WORK. -NEW BEDRMS 12 RLQLJIR[:.D SFTBACKS, f'A.
F LOoR AREAS- LEFT 10 ft RIGHT. :
TYV-1E OF USE- "c-)r 1:!'I R S T. . . . .. 1570 15 f
TYPE* OF C�ONST. :5N Sf V.-RONT. :20 -f--t REAR- - 38 1 f'(-
(-.)(.',CLJV'AN(',y ORP. DR3 SELOND. . . :0 f RE QU I R E D
THI:RD. . . - "-O f SMOKE DETECTORS- ly
STORIES t
h•Iu.J'G H I.. . . . . . .. it, ft *J'O TA L�3sf VOLUE $: 741,508 PnRKING SP
V,L 0 0 R 1_0A1)« 4
F.:P.ma,r k is ......- ----- P L U M 14 1 N 6 BACKFLOW PREYNTRS.
........... FLOOR DRAINS. . . . ..0 . . . . . . . :0
o)INKS- - - - " , " I TRAPF
WATER HEATL`RG. . . ( ATCIBAS1141:11
I y A-I*C.)R'l E S. . . . . :2? LAUNDRY TRAYs. 0 GREASE TRAPS. . . . . . . ..0
T(jB/,jJ-4OWERr5. . . . .. SEWER LINE (ft) -- 0 0 T H E V_� F1 X T U R ES
- t) .. : I
WATER CLOSETS— 4P WAT1::1R I-INU... (f
DT.SHwnsHLRS. . . . . I
GARBAGE DISP- « « a 1 RAIN DRAIN (ft) - C@
SF RAIN DROINS— -I FELS
WASHING MACI'4- MECHANICAL -_.-,_....- 'A lit �,y ' date
H (.i . -.0 type MOU
UNIT TR, PAY11 40-00 J04 06/04/90
FLIEL VENT'S
. . . . . :0 BV.,RT 35 8-P)0
/ups// RTU PENT' FANS- - :i? 40.00
MAX INVII-IT-. 1-00 * 21 B r.,L C 1. 1. 1)0
V1JRN < i 00K WOODSTOYES- 10 F.45PC $ 30. 00
FURN >-m:.J0WK .0 CLO DRYERS. % E(PLC $
0.00
FLOOR FURN. . . . co OTHER UNIT S:0 (13TDC
.
POIL/CrIf- 3HP:0 GAS OUTLETS11 sSDC 250. 00
mPR'J '33.00
DON MORISSETTE ?LDERS, INC. MPLC 8.12 5
F-' Cl F.j(:)X 1.1-)52 4 M5PC 1.65
PPRT 11'7.'30
F-(3RTLOND OR , P.5f:,c 5.88
PhoTIP 0: 503-620-?5.38 pf)yM $ 1 8
C,
qgE,1,TE BLDERS-) INC.
1)()I,l MORI-,,*, -
0 BOX 19524
1::-ORTLAND OR 972:19 538
Orle 0: r-
5
35533
FE(IUIRE.D INSPECTIONS
is issues subject to the regulations contained in the /fOLklid Ivist) Insp
ihis veT01t ode, State of Or other Fo a t Of i B a F-flumb Tc-p OUt
figard Municipal � p. Specialty Codes and all oth ed Wt-r -11q ..jm
All 000 Mill be done in accordance with app roy Ll Ct F-ranlii-14 Jn%P
Milcablt laws- if VOTI' is not Started within Ise Post/Beam -')t,r . Fi*rLoplace- 111sp
ne ppralt will expire I F'o'rt/Team Jyj v(,h A 1-1 Gas -1.1-1 S r)
plans. This oT if work is susp for J0T@ that ys.
Crawl. Drai",
'IT
day" IssuancP. 3.ab I T,-,P 11 s 18 t 1'0 11 Tet
-rd IYITP
i.14 1 jA t%.t'('e PLM/J.Jnde-ff.Joo-r GYP Boa
In j,t t E, i rl B,.-, d,r a j.I I I11 P
F t 11 In, t R
is
sLted LAY
UAII fo-r il'SPPC 63':a'_4:1.'75
.. ., .... .. �... -f4!
I'TY OF TIGAi"O - PEC:E IPT OF PAYMENT RECEIPT No. �'i'iJ w�;►=;4t. l
C'HFCt,." AMOUNT t 1.4 1.f:
NAME s MOS:I SSET T C« DON; Cta iH AMOUNT �:►. ':1'.'
r1QDF;E:I�i' o PAYMENT DATE:. a "A3 �4"I
SUBDIVISION c
f-OPTLAND. O 97219—,--
PUr'r-OSE OF PAYMENT AMOUNT PAID F-1.)RF 05F nF PAYMENT AMOUNT PAID
E�I.1 I l..D I tk-i T PEpM �lylSr'�►,,..,,,;,;:�_ w�.�:�►:► PLUMBING PE PF: �.._... 1 ] '�5(:►
h1EZHANIC(AL. 33. r)o ST. BUILD F'F_1= 2,5,` 3
PLAN CWEC'f FE: ?p.25 STREET 9DC
F'AFt)c,:s L31K 250.()0
I
i
1 l 49-,4 SW ;.Ak,E:V I FE.W CT
1 OTAL AI'101_II`JT PAID __ _ .. 14 ''.2. 1 t:l
CITYOFT16ARD PLJW b{1:CK 11P(' CATIO
CMO( "Im PLM 04EC1( K — 8
PERrtUf it - l ZZ
G�OMMUNITY nEVELOPMENT DEPARTMEt�1T r;'` OATS iSSt1E0
psL'Lw+.H�t M.i�O.a�as9 r.Tvr4p,�y°^17227 Ssd)a►��7s
YAX HAP/LOT
106 ADDRESS: S w ^• LAND USE:
i !J-OT
We: �.�-w+�--�—
VALUATION: Sp[CIAL NOTES �
--^-ER rV1O(L I S� 12( D� f Ju C• •R.QSSt1E OF: -
NAME: G 5 LAST REISSUE: --
ADORESS: FLOOD PLAIN/
SENSITIVE LAND:
APPROVALS REQUIRQI
PLANNING: -- -
j R ENGINEERING: _
NAME: FIRE DEPT
ADDRESS: OTHER:
tiS REOt1IREID
PHONE: _ •. LIST/SUBOON'TRACTORS: '
BUS TAX:
.A`,'INFER !=1�(1J CALCULATIONS:
NAME: S`JT—�r- TRUSS DETAILS:
AOORFSS: PARKING PLAN:
LANDSCAPE PLAN: _
_
OTHER: ---
(��4
4tot
OONticm: - - -
AMOUNT
DESCRIPTION C"10UIUT Pfi• SAL. DUE
PERMIT IN AOCT R
j S
10-432 OO Building Permit Fees / Su
10-431 00 Plumbing Permit Fees 3-3, 3 ,,.So v
10-431 01 Mchanical Permit Feesoc
,
3
"-`
104300, State Building Tax (5%) �-
Building
Plumbing
nech
10-433 00 Plans Check Fee l.E'rJ Thr
10uiIding _-:Y
Plumbing
tlechlJ
Sewer Connection
1.34 30-202 00 3_
30--444 00 Sewer Inspection U
r
-
51-A49 00 Street System Oev Charge (-0C) u` -- v
52-449 00 Parks System Oev Charge (POC)
31-450 UO Storm Oraina9c Syst Dew 0%rg (SeUC) -
10-230 09 TRFO
10-230 OG Washington CA'Unty f ireN {x) -
10 220 OO A,nart/Wedgewood
11OTnl. - _ --
EC
4E.0
f1PP tib .it t�►+ATURE
S E W F,:'R C, N N E C1 U N
CION OF 716A RD CRYOF RD PEJ&l1'T' 0. . . . . . .. .. S W F"'.3 0 0
COMMUNITY DEVELOPMENT DEPARTMENT 0"Mm PRI lyl PE.R 1111* "- -* I'l 51 9 0 0 2
1)�)I E S S U f-'�1)-- W 6
13125 BW HWI Blvd. P.O.Sm 23397,Tow,omoon 97FI'M4TI,
C,
vsm
1 494 SW I A 1/1 E-v T L ZONING:
(MIAL
SUHID1 S.1 ON., VILL.AG[7. AT SUMMERLAKE 443
BLOCK. . . .. . »
U 14 YT 5
1J.'.NAN'T HOVIl:.:.. ., F I X'f U N 11
USfI NO :41652 1)W E-L L I N G U N 3-1 S-
:'
("LASS OF:, wut%l N F."W NO. Of:* BUILDING' : 1
E OF USE:.. . ., SF IIIPLF%`v SURf.(.)CE:. » « C S f
1`3 k j S,W R
IF
.......... liy da t -reer)t
type
DON ,0 S P 0
INC.
P R M1
J (.)X 19524 1 N S P
1:)Oym 8"7;
1",(1)WTIANT) OR 9-721.9
0.-, '503-620-7538
CONTWICIOR NOT (.ill FIL.E.
$ 1.0(15.(d0 10'TOL
Phalle
0 (,.4 U I R E 1) INSPL[ I-IONS
fresApplicant agrees to comply with all the rules and regulations jewe-r Jllsv)ectiall ......
j,)@ Unified Sewage Agency. The permit expires 120 days from .......................---................. ........
J,hp date issued. The total amount paid will be firfeited if the .•........
permit expires. The Agency does not guarantee the accuracy of the ........
side sever laterals. If the Sewer is not located at the measurement
feet in all directions from ........ .......... ..........................................
given, the installer shall prospect 3
if not so located, the installer shall purchase . ........
the distance given, Stall a lateral.
a 'Jap and Side Sewer" Permit and the Agency will in ......................
Perini.tts?e .............. .............. ..a........_.._...____.__.__..__.. ......... .................
.................. ........
f ca r i. -is;:)ec:tic)" 4175
�i2ADiNC/ERne-InN CON"1 INh >'Icn���LY
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:PERMIT NO.:
c - �
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR e',7)c- _
NAME& AODRFSS:
1D(': p R NAME AND ADDRESS:
LS
TELC,PHONE NUMBERS: 1
APPLICANT,;_L� M C)C'_1��`�l-T -- '�X.. .
PROPERTY DESCRIPTION:
,.�: STREETS'AND CROSS STREET/I,oCATED
OWNER;_�— I['ILS c_r
GENERAL CONT'RACIbR:- .1-�--_
EXCAVATION CONTRACPOR:LLt
SI'I'E/IOB: - LEGAL DESCRIPTION:
24}WAFTER HTAX LOT NO.,
OURS EMERGENCY L/q SECTION:
CONTACT PERSON,TTTI E,TELEPHONE: SITE SIZE,ACRES;_ _L
tL DISTURBEDIWORK AREA,ACRES_
LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF DRAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE.TAKEN A I-�–li:TFA.$,iJ DITCH PIPE CREEK
(NOTE;PERMITS MAY BE REQUIRED)
(CIRCLE ONE) PR VATS PROPERTY
"LIC RIGHT OF WAY
EROSION/SFDIMOL (ASCI MEASURES,
MINIMUM ESC REQUIREMENTS MMM AI 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
CONSTRUCTION SEQUENCE OTHER_____—__—_.
OTHER_ --
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL-GUIDANCE HANDBOOK'.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDII4r#EMERGENCY
PHONE NUMBER, SCHEDULEISTAGING FOR PINSTALLATION RD MOV OF EROSION CONTROL MEASURES,AND
I HAVE READ AND WILL COMP' WITH THE
HEABOVE
SEDIMENT WILL
THE CONSTCONSRUCT
AND SITE. ESC MEASRES AS NECESSARY
TO CONTAIN
OWNER SIGNATUT,: APPLICANT SIGNATURE
• • • • • • • • • • • • • • • • • • • • • • Osseo 0 • • • • • • • • • • • • • • • • • • • • • • • • • • •
OITICIAL USE ONLY.
RECEIPT DATE. ACCEPTED
FEE
NUMBER RECEIVED
-- —
1 P.O.Box 19524
Portland,OR 97219
(503)244-9314
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