13644 SW LIDEN DRIVE IM►'-a.�•y�/Il�op�1'7e�' IM/•t�af++l•M/wNWa h'"'FMF••'/1M ♦'•'•7'^..c .�ti.R.nr+K�M �we.m^. 've!'e.xM.ks vw.xr
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CITY OF TIGARD r:E:ROCCUPANC OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . a MST'a!:-) -0404
13125 SW Hall Blvd.Tigard,Oreacn 97223.6199 (505, 139.4171 DATE 15SUED a 05/22/96
VIARCEL a 2511214BA--03189
CITE ADDRESS. . . a 13644 SW LIDEN DR
SUDDIVISION. . . . a CASTLE HILL NO. 3 ZONINGaR•--12 GLS
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . : 189
CI—ASS OF WORK. r NEW
TYPE_ OF USE:. . . a Si= ? �
OCCUPAN�"r GRP. aSk
OCCUPANCY LOADa2
Femarks a PATH I
OwnRr,a
DON MORISSETTE
5000 SW MEADOWS RD �
SUITEN 151
LAKE: OSWEGO OR 97035
Phone ##a 6207536
Contrar_.tora -.,_...._._..__.._ _....__. ......_...__...__._. .____.__ -.._
DON MORISSE.TTE HOMES
5000 SW MEADOWS RD
'.301 TE 151
1'rAKE 0SWEGO OR 97021'75
Phone #a 62075,38
Reg #. . a 35533
This Certificate N►^cint,F occupan—y of the above rPfet-enced building or, portion
thereof and ronfiY-ms that the buildAng has been inspect t3ci r' compliance with
the State of Or-egon Specialty Coder, fnr the [group, Crc:cupancy nc:l �_Isp uncJer,
which the r-efar^eI`icod pei,mit was itu—% od.
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BUII..DING INSPECTOR BUILDING OF 1' IC IAL.
POel IN CONSPICUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE '"' ° �rtit��ybk"
Inspection Line: 09-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
i Foundation Water Line Ceiling Plumb.
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Post/Beam Mach. Shear/Sheath Framing ech
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PIbg.Und/FIr!SIab Plbg.Top Out Insul2tion Elect. , n �; £`
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Id
San. Sewer Gas Line Appr/Sdwlk Reins.
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Date: 2?/ rf�O A.M.—P.M. Entry: ��t1 a '+,�� y� �� �k ■
Address:
Tenant: `----.._._— Ste:__A MST:
BLIP: v��G
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Con/Own: _ PLM.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date: Z i � •
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CITY OF TIGARD BUILDING INSPECTION NOTICE
In,pection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling PI
d , Post/Beam Mach. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bd. Id
San. Sewer Gas Line Appr/Sdwlk C9eTn:j> t
Other: ■
Date: -yr A.M. P.M.
Entry: och
Address:
Tenant: Ste: MST:
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PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: �y
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Inspection Line: 639-4175 Business Phone: 639-4171i;� � {t.
Footing Rain Drain Cover/Service FINAL: t,',,��,j�
-Plumb.
Foundation Water Line Ceiling
Post/Beam Mach. Shear/Sheath Framing Mach.
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Plbg.Und/Fir/Slab Plbg.Top Out Insulation Elect. i
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Post/Beam Struct. Mach. Rough in Gyp. Bd. 9
San. Sewer Gas Line ppr/Sd Reins. ry,
Other.
Date: — A.M. P. Entry:
I Address:
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Tenant: Ste: MST:
BLIP
Con/Own:__ _— MEC: i
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling eTum
M+ , Post/Beam Mach. Shear/Sheath Framing - ec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk V/ Reins.
Other: —
Uate: _�S_ J/ (0 .�_ A.M. P, Entry:_ r
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Address:
Tenant:— Ste: MST:
BUP:
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Con/Own: -
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PLM: _
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
_APPROVED '151SAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
Post/Beam Mach. Shear/Sheath Framing Meth.
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. y4k
_ I>i M� I Y1pwr.1 c.
San. Sewer Gas Lino pr/Sdwlk .l Reins. ,
Other: —
Date: A M. P.M. Entry:
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' Address: � , ` � "'` , --
Tenant: Ste:_____ MST: ,��_��
BUP:
Con/Own:_._ MEC:_—
PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE ',i', at1pc r
Inspection Line: 639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
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Post/Beam Struct, Mech. Rough-in yp, B -Bldg. ;{
San, Sewer Gas Line Appr/Sdwlk Reins.
Other: ^r
Date: T A.M. P.M. Entry'
Address:
Tenant:-- --- —_ Ste: MST: Li
BLIP: _
Con/Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
i L APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cuver!Service FINAL:
Foundation Water Line Ceiling Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
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Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer as Line Appr/Sdwlk Reins. 4
Other:
Date: _ A.M. P.M. Entry: _
Address: l ,
Tenant: Ste: _ MST: _ —_-�--
Con/Own: BUP:
--- __ MEC:
PLM:
T E FOLOW3G CORRECTIONS AREBEQUIRED: ELR: ___--_–
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-- — Date / It
��—APPROVED —DISAPPROVED/CALL FOR REINSP, Ij CF CO
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Inspection Line: 635-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.
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Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath ra in -Mech. } 6`
Plbg.Und/Flr/Slab Plbg.Top Out nsulatio / Elect.
Post/Beam Struct. 1vlech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk
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Other:
Date: �� �f 9 (o A.M. P.M._ Entry:
Address: T:?2(a—
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Tenant:- --_—_-- _.-.-- Ste:_—._ MST:
BLIP:
Con/Own: MEC:
-- — PLM:
THE FOLL WIN^ CORRECTIONS ARE REQUIR L' ELR:
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APPROVED _DISAPPROVED/CALL FOR REINS P. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
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Footing Rain Drain over ervice FINAL: c'
Foundation Water Line Ceiling -Plumb.
Post/Beam I'.13ch. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd, -Bldg.
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San. Sewer Gas Line Appr/Sdwlk eins
Other: _ _ 1`1� ■
Date: d A.M. P.M. Entry: a
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1 Tenant: Ste: MST: � '(
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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Inspection Line: 639-4175 Business Phone: 639-4171
;btu Footing Ral'fL Drai Cover/Service FINAL:
"oundationWater ine Coiling -Plumb.
Post/Bearn Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Ckbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg.
t 1fDt y IC F •.
San. Sewer Gas Line Appr/Sdwlk Reins. ,l
Other: .,
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Date: M. P.M. Entry: t}x'r ■
Address: ( 3 L/
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Tenant: _ _ Ste: _..- MST:?,� _GVO
BUP: fpr
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 'Y
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APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Draln Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/SheathFraming -Mech.
Plbg.Und/Flr/Slab Plbg.To Out Insu on -Elect.
Post/Beam Struct. ech. Rough-I Gyp. Bd. -Bldg.
Sari. Sewer Gas Line Appr/Sdwlk Reins,
Other:
Date: M. - Entry:
Address: _13(e Y SC(J /'r�E.sc
I Tenant: Ste: MST ff s -ot/04
BLIP:
..n/Own:_ � � '"Qc(VIEC:
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THE FO11OWI11G CORRE TIONS ARE REQUIRED: ELR: _
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CITY OF TIGARD BUILDING INSPECTION NOTICE 4
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain �ry ��
C Cover/Service FINAL: ,
Foundation
Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
-Mach.
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Post/Beam Strurt. Mach, Rough-in G Bd. ,
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San. Sewer Gas Lino Appr/Sdwll< Reins.
Other:
Date: / A. r P.M. —
try: �.
Address: -
Tenant: St<1: MST: -i'l=—i--v
Con/Own: BUP: _
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! PLM:
ELC-
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Mach.
Plbg.Und/Fir/SlabC g,1PfC�o O Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp, Bd. -Bldg.
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San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date:
ilk'-- A.M. P.M. Entry:
Address:
Tenant:
Ste:_ MST:
BLIP:
Con/Own: MEC:
PLM: '
ELC:
`k THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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__APPROVED APPROVED/CALL FOR REINSP. r CF CO
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CITY OF TIGAPD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6d9-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Fi^c. Rough-in FINAL:
Post/Bearn Mech. San. Sewer Gas Line -Bldg.
Plbg. Und.--floor Rain Drain Framing -Plumb, w
Alarm Water Line / Insulation -Mech.
Underflr. Insul, hear Wa Gyp. Bd. -Elect.
Date Re Z I I �-- ■
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Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE _
V,/Footing
Inspection Line: 6394175 Business Phone: 639-4171
Rain Drain Coyer/Service FINAL:
Foundation Water Line %Ceiling -Plumb.
Post/Beam Mech. �S�eFraming Meeh,
Plbg.Und/Flr/Slab PInsulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: __ _� _ ___ ■
Date: l �� --- A.M. _P.M.--- Entry:-----
Address: A— -_ //11 tet_
Tenant - --- Ste:_ MST: v Q _
BUP: --
Con/Own -- -- -- --- -- MEC:-----
PLM
ELC ----
THE lFOLLOWING CORRECTIONS ARE REQUIRED: ELR:
`(Y'N' Le _ ''S�'
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Inspector - --- --_-__- Date:
__-APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE 1
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
,I
Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
st/Beam Struct,` Plbg. Top Out Elec. Rough-in FINAL:
st/Beam Mec San. Sewer Gas Line -Bldg.
�P(bg. UndertlooJr�' Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
t
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / l Z - (�w Time:_ r, AM PM
Address: 7 _ � .r'-; I, �1-5-f-
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ _ Date: / '_ Lc ��4
APPROVED DISAPPROVED / APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Sus;). Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
P".-Unerflood> Rain Drain Framing -Plumb.
aAI rm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I � �Time: AM PM
Address:
Builder: Permit 0:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
nspector: Date:
^('ROVED DISAPPROVED APPROVED SUBJE T TO ABOVE
Call For Reinsp.
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S V CITY OF TIGARD BUILDING INSPECTION NOTICE I
pection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
00' Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundation ` Plbg. Underslab Mech. Rough-in Fireplace
os/ earn Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall
l Gyp. Bd. -Elect.
Date Requested: I�\�-1 `'L Time:—.--AM PM
Address: 44 5 .) l., l <✓�
Builder: Permit #: N�.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins Date: I Allo
APPROVED 41ISAPPROVED _APPROVED SUBJECT TO ABOVE
-1 _Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE I
�.Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
ootin / l ,Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
(f=oundation /� l Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth. 5
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
` PM
Date Roquested: I Time:---ttt/-----ffTTTAM
2. .Li� `-
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Address: 1 ��= �-/
Builder: —
Permit #: V
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1/4 ASQ
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Date
lj j t
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to Ins actor:
p _
'' f� , _APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD P'ERMBITN#. ... . . . MST95-0404 1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01 i 10/96
13125 8W Hall Blvd.Tlgud,Oregon 97223.8199 (503)839-4171 i
P'ARCI`L z :S I Q.)Zl 3A -(:3189
40
SITE ADDRESS. . . : 13644 SW LIDEN DFS
SUBDIVISION. . . . : CASTLE HILL NO. 3 ZONING: R- i=' Pf)
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 189
CLASS OF WORIA. . : GARBAGE DISP'OSALS. . : 1
TYPE. OF USE. . . . :NEW WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :'SF FLOOR DRAINS. . . . . . . . 0 TRAP'S. . . . . . . . . . . . . . . 0 ■
STORIES. . . . . . . . : WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . : 0
1='IXTL1RES------.---.--_ ..--- LAUNDRY TRAYS. . . . . . :0 S1= RAIN DRAIN'S. . . . . : l
riT1%)KS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
I_.AVATORIES. . . . . : 3 OTI1ER f"I XTURrS. . . . . : N e
'FUB/SHOWERS. . . . : c SEWER LINE (ft ) . . : 0
WATER CLOSETS. . . 3 WATER LINE (ft ) . . : 100 '
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . : 0
Remarks : PATH I
1
UWNER: --_--___________________.._.______.. -. _.--__-_____..____»FEES_____.___----___.__ d
DON MORISSETTE CSWM $ 1.80. 00 JSD 01/10/96 96--2:7477.1.
5000 SW MEADOWS RD SWM It 100. 00 .JSD 01/10/96 96-274771
iL 40" :U I TEIV 151. EL("F` $ 18'). 00 JSD 01/10/96 96--2'74771
I._AKE OSWEGO OR 97035 ELC5 9+ 9. 25 JSD 01/10/96 96-274771
'Bone : 620--7538 ELRP t 40. 00 JSD 01/10/96 96••-274771
ELR5 $ 2. 00 JSD 01/10/96 96--274771
Plumbinn Contractor:__ __...._....__..__...____.._... ._ BPRT $ 633. 00 JSD 01/10/96 96--274771
RPLC f, 411. 45 JSD 01/10/96 96-274771 I'
Name : „J �//�� e�•(�(MriSl� _ BSP'C $ 31. 65 JSD 01/10/96 96-274771
00. 00 JSD 01/101/96 96---27 +771
raddr,e,�. : p.v, fox_.. I�S6 _ PARI-'s 9, 5 � �
ij i i,V !!
,Stat e c O� MPRT $ 45., 00 JSD 01/1.0/96 96--2^_74771
L i : P'honeM e _6'3Q Sym _ PIPLC $ 11. 25 JSD 01/10/96 96-274771
Req 4. m . .. �L� _-_ ._. _ Additional fees not shown here. . . . . . .
--------- RE UU I RED I NSPEC'T I ONS --------
This c)ermi.t is isso..led sub.jer_.t to the req.--
!llations contained in the Tiqard Municipal Footinq Insp Low Voltaqe
Codp. State of Ore. Specialty Cedes and A11 Foundation Insp Fireplace T.nsp
other applicabl• laws. All work will be done Post/Ream Struct Gas Line Insp
in accordance with approved plans. This Post/Seam Mechan Insulation Tnsp
oermi•t will expire if work is not started Crawl Drain Gvv Board Insp
within 180 days of iss1_1anc:e. or, if wnl-k Is P'lm/undslab Insp Rain drain Insp
5itspended for more than 180 days. PL.M/Underfloor Water Line Insp
Mechanical Insp Water Service In
Plumb Top Out ADDY-/Sdwlk Insp
Electrical Servi Electrical Final
Eler.trical Rough Mechanical Final
x Framinq Insp Plumb Final
(d!lthori ed F'll:mbinu C, � aLtor• Or
` Call fore inspection - 639_-4175
Contractor Nuteti :
96�
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TIARD
Cr,
ITY
OF MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1/10/96
131213 BW Hall Blvd.Tlgard,Orpon 97223.8109 (603)639.4171
PARCEL:: 51 V14HA -C w 1[i9
5I11:7 ADDRE5(*. . . . 13644 SW LIDEN DR
F31JBI)TVISION. . . . .. CASTLE HILI_ N0. .3 ZONING: R-12 GD
NL OCaK. . . . . . . . . . . LOT. . . . . . . . . .. . ,. . i
Remarks: PATH I
_--•-------------------------- BUILDING ------------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REOUiRED------ - -
CLASS OF WORK.:NEW HEIGHT........ 28 FIRST....: 1280 sf GARAGE.....: 440 sf LEFT........... 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LORD....: 40 SECOND...: 1380 sf FRONT.........: 20 PARKINS SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 5f RIGHT.........1 6
OCCUPANCY GRP.:R3 BDRM: 4 BATHS 3 TOTAL------: 0 sf VALUE..}: 179155 REAR......,...: 31
-------.---------------- PLUMBING -------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.. 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIE5....: 3 DISHWASHERS...., 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
'UB/SHOWERS...: GARBAGE DISP..: I WATER HEATERS.: i WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: @
---------------------------------------------------------------- NFCHANICAL -------------------------
FUrL TYPFS----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
/GAS/ / FURN )=1@0K. ,.: 1 UNIT HEATERS..: 0 HOODS.......... 1 OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: @ VENTS.........: 0 WDODSTOVES...... 0 GAS OUTLETS...: 1
- -- - -----------_------------------------------------------ ELECTRICAL ----------------
RESIDENTIAL -----------
UNIT--- ---SERVICE/FEEDER----- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MI'CELLANEOIIS---- ---ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - c00 asp..: 0 0 - 200 amp.. : 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF. : 3 201 - 400 amp..: 0 201 - 400 anc..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0
L.IMITFD ENERGY.: 0 401 - 000 ago.. : @ 401 - 600 aep..: 0 EA ADDL nR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+8105-1000 v: 0 MINOR LABEL -10: 0
10004 app/volt.: 0 ------------------------------------ PLAN REVIEW SECTION -----•-----------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.1 ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------ _--------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------------------------------------------
A.
------- ------ -----------------------------•-------_A. SF RESIDENTIAL---------------------------- B. COMMERCIAL------------------------------------------------------------------------------
AUDIO b STEREO.: VACUUM SYSTEM..: AUDIO 4 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :s X BOILER,........: NVAC............. LANDSCAPE!IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........ OTHR•
HVAC............ DATA./TELE COMM.: NURSE CALLS..... TOTAL # SYSTEMS: 0
Owner: -- ----- --- -- -- ------------- Contractor: TOTAI. FEE;:1 r"'54G.70
DON MORISFETTE DON MORISSETTE HOMES
5000 SW MEADOWS RD 5000 SW MEADOWS RD
SUITEN 151 SUITE 151
LAKE OSWEGU OR 970:5 LAKE OSWEGO OR 97035
Phone N: 620-7538 Phone i): 620-7538
Reg 0..: 35533
1
This permit is issued subiect to the regulations contained in the Tigard Municipal Code, State of Ore. Soecialtv Codes 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.
t
----
-.----
------------------•---------p- ---------------- REIRED INSPECTIONS -------------------------p-----
------------- --_ _--
Footing Inso Plm/undslab Ins Electrical Rough Insulation Ins poor/Sdwlk Ins Erosion Control
Foundation Inso PLM/Underfloor Framino Insp Gyp Board Inso Electrical Final _
Post/Beam Struct Mechanical Insp aue Rain drain Insp Mechanical Final
Post/Beam Mechan Plumb Too Out Fi ace so Water Line Inso Plumb Final _
Crawl Drain Electrical Se s Lin nso Water Seryice In
Permittee Sigriati.lr~e :
Cal for- insnec:tiorr - 639-4175
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CITY' OF TIGARD DATEI ISSUED. . 0l /10/9�J __0459
COMMUNITY DEVELOPMENT DEPARTMENT I
13126 BIN Hall Blvd.Tigard,Oregon 97223.6109 (603)639-4171 PARCEL: c_'S 1414BA—C31 E19
SITE ADDRESS. . . . 13644 'SW I_I DEIN DR
SUBDIVISION. . . . : CAS1"LE HILL NO. 3 "ZONING: R--lc FAD
131-..00K. . . . . . . . . . . 1-0T. . . . . . . . . . . . . . 189
-------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NI W DWI LL I Nr UNITS. . : 1
TYr1E CIF USE. . . . . :SF= NO. OF BUILDINGS: 1
TNSTALL TYPE. . . . .SIJ 1,41? IMPERV SURFACE: 0 sf
-i
Remark-, : PATH I �
FEES
DON MORI SETTE tvpe amoutTyt t,v date recpt r
5000 SW MEADOWS RD PRMT $ 22:00. 00 JSD 01/10/96 96-274771
SUI TEN 131 I NSP $ :335. 00 Y3D 01/ 10/1)6 96--274'771
LAKL 5SWEG0 OR 97035
cuntractor:
C;ONTRACTOP NOT ON F=ILE
V�
(11-10r1e #: $ ':c'a:'`,. 21Q! 'Tf7TAl_
Req .
,
REQUIRED INSPECT IONS
This Applicant agrees to comply with all the rules and regulations Sewer Irisspect i on
of the Unified Sewage Agency. Thr permit expires 180 days from
the date issued. The total amount paid will be forfeited if the '
a?rmit expires. The Apencv does not guarantee the accuracy of the
side sewer laterals. if the sewer is not located at the measurement
Oven. the installer shall prospect 3 feet i roc 'or from _-_ _
the distance given. if not so locate , t in alleys 1 purchase
a "Tap and Side Sewer' Permit and re encv will i lateral.
(,71p -,Mil tee Si5TI
I s y t_r a ci 0
Call for ins>Frect. ion E•-'9-417`;
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CITY ELECTRIC & SUPPLY CO `
8070 SW NIMBUS
BEAVERTON OR 97008
Electrical Signature Form
Permit # . . • . . MST95-0404
Date Issued. : 01/10/96
'$ Parcel . . . . . . : 2S104BA-C3189
Site Address : 13644 SW LIDEN DR
Subdivision. : CASTLE HILL NO.3
Block. . . . . . . . Lot : 189
Zoning. . . . . . . R-12 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
DON MORISSETTE CITY ELECTRIC & SUPPLY CO
5000 SW MEADOWS RD 8070 SW NIMBUS
SUITEN 151
LAKE OSWEGO OR 97035 BEAVERTON OR 97008
Phone # : 620-7538 Phone # :
Reg #A. . : 42422
' j � r
x L/Z' 35
Signature o pervisingec rician
Please return this completed form to the address above.
ATTN: Building Dept,
If you have any questions, please call 639-4171 , ext. #310
cF 7
Residential Building Permit Application
City of.Tigard I
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: (�) L
Office Use Only
Subdivision: _�1y�1`�- - ��l 1 Lot#
pp
;� Planck/Rec fes.
Valuation: 174. /-ry, >�
`1 Permit# Sf' � 0 C d y
Corner Lot? Y N/
j� Reissue of
Flag Lot? Y (�
Map & TL# -2151dg3A-C3/oV9
Owner: �DoKJ �-' QC1 b&e-rm Approvals Required
Address: 150M bV\l MOdWn `71E 151 Planning
L-IE — - Engineering
p� j r.
Phone: �Oo�U " �"�J?J� OtheF
Contractor: _ ayE Items Required
Address: Subcontractors
Truss Details
Phone: Other _
Contractor's LIcE,ise # b f 5 32i 15v/4 j- 14- 41G It-
(attach
(attach copy of current Oregon license)
Contact Name & Phone:-tl�N (Po-0=- 5
Subcontractors: Architect/Engineer:-_Og(�
Plumbing: ,Pct j0I t,1 C�L.V I:j Address: QMCbNJ 10• �;ll• IS !
Mechanical: ,l_� y _T�,��• 1-- E t a �JS
(attach copy o.`current OR Contractors License)
Phone: LOOO -+5 3
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: I' [t t-Qyl0/� v -- Date Received: I
N IMMCOMDEWiESAPP
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Permi<d Account Description Amount Amt.Pd. Sal.Uus.
a Bldg. Permit25
Plumb.Permit (PLUMB) Z -- -- '!
Merh, Permit (MECH)
sbrt■Tax._ .. L o SL, :•:._
Bldg:
Plumb:
Mach: 1•Z'
Plan Check (PLANCK) "� .
Bldg:
Plumb:
Mech:
iT •,',r Sw 1- sewer Connection (SWUSA) ,�
S --
Sewer Inspection (SWINSP) —
i Parks Dev Charge (PKSDC) S '----—
�L_�
�'°•
Residential TIF (71F-R) - '—'--'—
Mass Transit TIF (TiF-alA'il
i
Commercial TIF (TIF-C) G
Industrial TIF (TIF-I) -- •
Institutional TIF (TIF-IS) --
Offlcs TIF MF-O) I
Water Quality (WQUAL) --
Water Quantity (WQUANT) --
Fire Ufa Safety (FLS) --
Erosion Cntri Permit (ERPRMT) Y--------
Erosion Planck/USA (ERPLAN)
Erosion PlancldCOT (EROSN)
7^ U
TOTALS: �72 7,1
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5000 S.W.Meadows Rd.,Ste.151
Lake Oswego,OR 97035 a.
Phone:(603)620-7538
FAX.(503)620-7485
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