13665 SW LIDEN DRIVE i
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13665 SW LIDEN DRIVE
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 en .
Plbg.Und/Flr/"slab Plbg. Top Out Insulation t ect.
Post/Beam S-trust. Mech. RouCI-In Gyp. Bd. �.
San. Sevier Gas Line Appr/Sdwlk91
Other:
De.te: _ J A.M._ P.M.,r__ Entry:
Address::
Tenant: _ Ste: MST: ( c�
SUP:
Con/Own: ___ M1=C:
PLM: !__—
E:LC: _ ---- ---
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspec c -N����''+.--_ ---- -- _— Date: ���
APPROVED ____DISAPPROVED/CALL FOR REINSP. GFS O
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Pgard,OR 97223 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT *. . . . . . . s IST90-0-,*A,
DATE ISSUE=D% 03/10/97
PARCEL 29104LA()--J0600
;3I TE: ADDRESS- - 1.3665 SW LIDEN DR
SURD IVIS!ON. . . . j CASTLE HILL. NO. --, Z ON I NG c R- I PD
BLOCIJ . . . . . . . . . . .. LOT. . . . . . . . . . . . . 3 ,136
GLAFiS OF WORK. c NEW
TYPE OV USE. . . :SF
TYPE Or CONSTR:5N
OCCUPANCY GRP. i RZ
OCCL1PAN(.','Y LOAD 12
141"arps ! Path I
Owner:
DON MOPISSE'TTE HOMES
5000 �-m MEADOW5 RD
,-iKr-- OSWL60 OR 910315
Eione #: 620-76"38
ontrace arl
IN MORISSETTF HOMES,
1,100 Sw MEADOWS RD
MITE 151
iiIKE O9WEG0 OR 97035
Phone #. 620-7538
#. . : 35533
cet-tificaktic, Lp-ants ncropancy of the ebcivP refer9r)Cerl b0ildil-09 Ot" pcWtic"t
)ei�eof .end confirms that the bijildi"q has been in%pe,.-t,-d for comPliakricP with
tie State of Oregon Specialty Codes for the gra, , occupancy, and use under
lich the referenceil permit was irsmed.
"O'c _. ._ _ w. __ _. .
-
U i a 1-rjlhG 0 F I C.IAT_
1:,CK;T IN CON SPICUO07, PLAUF
CITY OF "TIGARD
DEVELOPMENT SERVICES MASTER P'ERIITI_
A",UMM 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERIII-r #. . . . . . . : MEJ96-04196
DA'rF ISSLIFD: 11 /04/96
P,ARC.El 2SiO4I3A--1060!?j
STTF (ADDRESS. 1,3665 9W L.I PEN DR
SLIP;DTVIEiTON. . . . : CASTI-E I-IILI_ NO. 3 ZONlN(3: 1:'D
B1. OCV1. . . . . .. . . . . Lfl T. . .. . . . . 1 -7(-,
Reeaeks: Path I
---------------------------------------------------------------- BU T'-P I NG ------------------------------------------------------
REISSUE:
-----------------------------------------------------REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED, SETBACKS---- REQUIRED-----------
CLASS OF WOW. .NEW HEIGHT........: 23 FIRST....; 1180 sf GARAGE.....: 420 sf LEFT..........: It SMOKE DETECTRS: y
TYPO OF USE...:SF FL90P LOAD....: 40 SECOND...: 840 s' FRONT.........; 20 PARKING, SPACES: 1
'YPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5
OCC'J"ANCY GRP-.:R3 DORM: 4 BATH: 3 TOTAL 2020 sf VALUE..S: 142564 REAR..........: 23
----------------------------------—---- PLUMBING ------------------------__.--------------------------------------
SINK,S
---------------------------------------------------------------
SINKS... .....: I WATER CLOSETS.: 3 WASHING MACH-- I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES_.: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft, 0 SF RAIN DRA145: 1 CATCH BASINS..: 0
TUB/SHOWERS,. : 2 GARBAGE DISP..: I WATER HEATERS.- I WATER LINE ft: 100 BCKF'_W PREVNTR: I CREASE TRAPS—- 0
OTHER FIXTURES: 0
------------------------------------ MECHANICAL ---------------—---------------------------------------------------
FUEL TYPES-------- FURN 100K 0 BOIL/CNP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
/GAS/ / / FURN =10K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: I
MAX INP.- 0 BTU FLOOR FURNACES: 0 VENTS.......... 0 WOODSTOVES.... 0 GAS OUTLETS...: I
--------------------------------- ELECTRICAL ------------------------------------------------------
--RE-SiDENTIAL UNIT--- ---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --4DDIL INSPECTIONS.-
100e Sr OR LESS: 1 0 200 alp..: 0 0 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
E4 ADDIL 500SF, : 3 201 40e amp..: 0 201 40Q, amp., 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT- 0 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 600 alp..: 0 401 600 14 p.. 0 EA ADDL BR Clk: @ SIGNAL/PANEL...: 0 IN PLANT...... :
MANF HM/SVC/FDR- 0 601 iNO alp.: 0 Gel+aeps-i000 v: 0 MINOR LABEL -10: 0
1000+ alp/volt.: 0 ----------------------- PLAN REVIEW SECTION --------------------------------
Reconnect only.: 0 )=4 FES [NITS..: SVCIFDR)=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
--------------------------------—--------—------- E.EC1RICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AUDIO 9 STEREO.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM.....: iNTEPCOM/PlAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM... 0TH: X BOILER.........: HVAC....... ... t.ANDSCAP1E/'1RRIG. PROTECTIVE SIGNL:
GARAGL OPFNER..: CLOCK..........: IW)TRUMENIATION: MEDICAL.... ... : OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ----------------- ------------------Contractor: ------------------------------- TOTAL FEES:t 2946.79
DON MORISSETTE HOMES DON MORISSETTE HOMES
`Off SW MEADOWS RD 5000 SW MEADOWS RD
SUITE 151
,WE OSWEGO OP S-7035 LANE OSWEGO OR 97035
Phone #: 620-7638 Phone #: 64-7938
Reg #..: 35533
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty 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.
--------------------------------____-_—------------------- REQUIRED INSPECTIONS ------------------------------------•----------- ----
Footing
---------------------------------------------------
rooting Insp DLM/Underfloor Freeing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appt,/Sdwlk Insp Erosion Control
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beat Mpchan Electrical Servi Fireplace Insp Pain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line Insp Water Line Insp P1 Final
Permittee Si g ti-i t i.i i-e ;��__L ISSI-ted By :
Call f ot- ins pec -. ic)ii - F,39--417 5-
CITY OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
rIERMIT ##. . . . . . .. : SWR96-0498
13125 5W Hall Blvd., Tigard,OR 97223 (503)639.4171 r.)n rE ISSUED: 11/04/96
PARCEL.:
si,rF-- ADDRESS. . . : 13665 S14 11DEN DR
SUBDIVISION. . . . : CASTLE HILL. NO. 3 ZONING; R-12 PD
BLOCK. . . . . . . . . . . L.OT. . . . . . . . . . . . . : 1.36
TENANT NAME. . . . . :DON MOR ISSETTE HOMES
LISA NO. . . . . . . . . . - FT XTURE UNITS. .. 0
CLASS OF WORK. . . :NF 1.4 DWELLING UNITS. I
TYPE OF USE.. . . . . :5F NO. OF BUILDINGS: I
INSTALL TYFIE. . . . :Lk1JSWR IMPIERY SURFACE: 0 Sf
12etnat-ks : Cath I
Owner»: S
DON MORTSSETTE HOMES hype arnoi-trit by d at;e v-oapt
50vA0 SW MEADOWS RD PRMT 2200. 00 B 11/04/96 96-286073
INSF, 35. 01A LA 11./214/`36 96-2;86073
LAKE OSWEGO OR 97035
Phone #- 620-7638
CONTRACTOR NOT ON FILE
----------
Plhone $ 2235). 00 TOTAL
Reg
REQUIRED filSP,ECTIONS
This Applicant aqr,eet, to comply with all the rules and regulations Sewer- Inspection
of the Unified SpwaC2 Agency. The permit expires lh@ days from
the date issued. TI-e total aerunt paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the serer is not located at the measurement
given, the installer shall prospect 3 feet it, all directions from
the distance givon. If not so located, the installer shall purchase
i "Tap and Side Sewer" Permit and the Agency will install a lateral.
Permittee S i g n a t o.t t-e -
T r, lied B y
Cal 1 far- inspection 639--•4t75
Plan Check
�ITY OF TIGARD Residential Building Permit Application Rgc'd By s.
3129 SW HALL BLVD. New Construction Additions or Alterations Date Recd IL
'I+ ARD, OR 97223 Single Family Detached or Attached Date to P E. D L i�
503) 639-4171 Date to OST U-L - A
Print or Type Pemut# l r r�)JP qb-
Called
Incomplete or illegible applications will not be accepted
Name of Subdivision Lot# Name '
Job '�.�' �.t ? I f2 V V L_E?��
Architect Mailing Address
Address Site Address �i Lc, C7
amen U �t City/S,te C; Zip=� Phone —�
rlltl�
arnr;Address y NameNameOwner Mli -
�- -�A=LA L F} ��1�1�
' Engineer Marling Address
C tyr�tate Zi �. Phone C g
City/State _ Zip Phorte
Name 0f kl`I i '',
Generl I _� C,I�t'�;)c rt f�Lt->C� Descnbe work new• addition O alteration O repair O
Contr;^.tor Mailing Address to be done. –
L �� Additional Description of Work:
City/SlateZip hone Ne1(�Ir t' r-1
CJ .,
Or on Const. C nt. Board Lic. Date
Attach Copy of � ; Projert�
Cu Tent '.OT Rosiness Tax or Metrn# Earp. Date ��A
r�t �L!/"�j ce~
Valuation
_ Licrnses C U' _ �7
Name NEW CONSTRUCTION ONLY:
Mechanical —I ('��-.j 11�1�• f ,
Sq.Ft. Hou:,a: Sq.Ft.Garage:
jub- Mailing Address 411)
Cortractar I I Corner Lot Yes N Flag Lot Yes Flo
5C L �i7• n
I
City/State Zi Phone (check one) (check one)
hc�. -�-� IJ ��J`{_ jlI Restricted Audio/Stereo Burglar
Oregon Const.C nt.Board L.ic# Exp Date Energy System Alarm
Attach Copy of7_4 )I= , Ci
Current COT usiness Tax nr MetroT—# � Installation Garage Door HVAC
Licenses I ;L�j � I Opener Systems
Name (check all that Other:
''lumbing 1\ i., I'`� 1 i"� rn lot appl_�_ —
Sub- Marling Address Will the electrical subcontractor wire for all es No
Contractor �I (p (">�"u (tr^ �� restrictedenergNinstallations'� _
City/State Zip Phone Has the Subdivision Plat recorded" N/A s No
6reaon Const.Cont.Board Lic.# Exp. Reissue of MST# Solar Compliance
Attach Copy of � 01�' � "7rl _ (Calculation Attached)
Current Phirnbrnq Lir: ExD.Pate I hereby acknowledge that I have read this application, that the
Licenses (0��j }� 7' l0 3O information given is correct. that I am the owner or authorized agent of
C T Business Tai,or Metro# p a the owner, and that glans submitted are in compliance with Oregon
i 11 -_�3 I `//M7 State laws.--
Name
aws. _Name r ignature of OWnerlAgpnt r (� Date
Electrical (_=ktj
�S �. Contact Person Name Phone -J
Sub- Mailing Aecl ess
Contractor f / ( , ` FOR_OFFICE_USE ONLY:
ty SrateZi Phone — Plat# v Map/?L#:
�Vlaz.aj 4L7t �"l)l l DA
Cr gon Cans Cont Board Lic.# Exp Da __ _ _ _ G JI I LAI
Attach Copy of ��� �°I SethackZone: Sola
Current
Elect�ncal Lic. � a
Licenses 1f
J.
>~t7I Business Tax or Metro# Exo Date Engineering Approval: Planning Approval: TIF:
tsl•nstapp doc
�n $ �CCgunt Des�'i rJ amount Amt`P
Pem:;,, (BUILD) r;'r . �' �► a t�
P!umb. Permit (PLUMB)
Mech. Permit (fV1ECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX) ,LLL S/, —
Bldg: 7U 3
Plumb. I ) _
Mech: 1
ELC/ELR: ' >
Illy {� Y��ctJ
Plan Check ISI 33 �, a
MST: ' : ° .a t S:► ~<� i' ' � ' BUPPLN) 6, 1 ( 'r C 01 IO
Plumb: (PLNiPLN)
Mech.- (MECPLN)
CDC Review (LANDUS)
tr Sewer Connection (SWUSA) 2 2 u J
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) /0�"
Residential TIF (TIF-R) �ruc
Mass Transit TIF (TIF-MT)
Water Ouality (WQUAL)
Water Quantity (WQUAN r)
Erosicn Control Permit (ERPRMT) _6- q__
Erosion Planck/USA (ERPLAN) ;�V
Erosion Planck/COT (EROSN) J _ �u,��► _
Fire Life Safety (FLS)
TOTALS:
L'Astslmstacp doc
Rev 7196
SL,3F2 0'^4_�S
ISSE-10-22 1S:32 #299 P.E12/E1.3
r1'i• .� III/ \,Y '�•�/,, � •I,//% �.i` , .iI/III' �,.,.i. i•II•�j��r 1" �ii'�•
,�. . i . r i .l• i �"., r •� ,_ + r.. , iZ'' J��0:t:.:'::ri�: ."r �!' PJ��
:;:'/ 's,, r t �a�a�,�t,;ti'r;��ati . �;ra;t;:','r,:::,� ,��/�i:,;r 1..::s,�", ;."��.�tt.�tk.s.;;�; ��•.�• �' � "k .s;�, a
r:' 't:,l••;. ti•;.1 �''�:f;�, '10: „�•., s �'%'; �:`i.• _ r{ti.. . ,L•' J�';S�r� .,•..; r r tti,%Ssiit'';;� •�;�a.:.;�•
�;�.�;�; -• :��.;�:f� '�s>,,� :�:• •� �;�;: ,�� ;,;; .�:; ��:�;�:�a;�t;.� . . ,,�3��f� ,. aft;,,• .;.;:���;�,��.,��;.;.. :.,�
H:
•I�•r. DE t a issued.Nvl-
f l� r�r7� t•
a TRi;Fr!C lh1P.4 C7 Ft`M
C'�ED17 VOUCI1
In avvordanc4 w'ilh t.IB Trst'ic/.rrpact Foe Ordinance, AfatrLK >-Iolooment Corporatfpn
is entitled tojAQC)-in Trsfc IM-Cact.=ea Credits that can be eppGnd Io TiF charges
�_�;•; on lol(s168-131 of the Ce sUah,'i!l.No. 2 Uevelocment. ;he Use Of Tit"crffdttr, %r
are subject to the rv,'es 8,11lirrtltAtiOns of rhe T1,=Ordinance. WARNINS: ���•'f,
"f
iJ 777;s voucher must be prasanted at the tirr,a of issuance of the SUildi.�y^lJe,-,-7If, or ii defe,•ral
;�,N.
H'Zs granted issuance of En O::uDarcy Permit.
Jyr MATRIX DE's'=L C�rLt�rt';"CORPOFi;MON hereby assig,•1S ali its r1�7•ht.
�r
title End Interest rr rind to that cerain 7"a.ri�Imp r-seradit to be QrB?'W,
� N upon the rssuanc8 of a buildlr7g permit for L<t
CASTL.-h'IL!NO.'Rsubdvisior7, Weshlnr;ton Coun'y, C.egon, tc the Order of:
'• �J �t!
This ass; ,�t 7 rt cf?rr_t;,c Ir Ygct es Gr 2c r isra^e 2nd given this ,?r,?
��; •%•' MA i RIX DE'/- OPMENT r,ORPORAT70N,
r-r Ore,cn Corrvration
',i I'') n (�-�• fly
,r ff r i!Ip or Position ;y
�'%�' fir;'.��;•
Nml
L't. .Yi.• r�� )i�5. ����" 'i�' fr�ai�;'1 rf��1 P��:1'"�i��. •.�','Y'�''iii: :i'�::•' �•'+•�.
.s tt
S
1 �•'SS, 15 J��y 11 � L'ytiSl -.f,%'C �' ••';i•r /»i'%' ':t: � r .�i�%/� .�•�' /• ,�. a.pf' 'i>>r
>x'Y�i;j'Qi. ; Sr' •,r�':,J� !� �4ti�. •+ ;j S ��4•,. �S+�t.• .b, I rt:i�. �. .�•:ti%„ j;j. .;�::%�,
BUILDING :7ERNMIT
P L R.M"T #.. .. , . . . . U,U P S 6. 0 13 C:
CITY OF I����
DATE ISSUED: 037,1,r'7/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 rAPCr_I_- 231.042A C,31136
J'DDIVIn,ION. CASTLE 1AILL N10. 3 ZONTNG: R- :I,'.` rD
LOT. . . . . . . . . . . . . . 136
T 7)LJ r: rLOOR AREAS- EXTERIOR 14AL-L (:CI`IrTQUCT
_AGGS OF WOW. 41r,4 t-I ROT. . . . 0 of N" C: C W
'F'{3 r a —ECT 0r-17NINr "
r USC'. . . :sr OMICONr'. . . f PRO _,j
/C'E OF CON,"'r. .3N 121 S f N: S. C: W
mur,ANCY GRP'. '113 Tam_ lb s ROOT' CONST: 7I PC`
CLJr-,ANCY LOAD: 0 BPOEMENT. , QA S f AREA SEP,. RATED:
T 0 R. 0 1 IT. 0 ft GARArj". . . 0 5f OCCU 3177171. RATED
'.;MT'' ; MEZZ' REOD SLTBACKS ----- - REQUIRED
^'3R LOME). . 0 p s f LE.rT, 171 'Ft RGHT- 171 f i: rip Tm,,L: ;:IYIIOV L)177. .
AE'LLINC U'N1"'. E;. 0 FRNT: 0 ft RCAr: 0 ft FIR ALRMz I-INnTCr, ACC.
D RMS 0 LAATI 1' . 121 IMF' !',IJPrACC: 0 177.110 COPP. r,A P I'I N G. 01
'ILUE. t 200121
f,?nc:e on i-or_I{wall
FEES
�'NTUPIZ PRO17'CRTIES IMC t,pe amount by date r-ecpt
Mr,') E;W MEADOWS #151 r'RmT $ 3121. 50 civ, 03126106
P'L('1' 1, 1-11. is cis 03/26/r)6
"'.'SWrGO On 97035' SPCT $ 1. 63 CJ'C CJ' 03/;26./96. raC, . ,2 7-7
#. S 0: -C,
'3141'! A COUNTRY ruxr- CO ox
OREGON
0 BOX 44':3
LACKAMAS [IN 7)712117,
.)One !:-'J. 2"t,• TOTAL
REOUIPED I N'5"LL I Jl',15
I -As persit is issued subject to the rejulationi contained in the r-oot inw Insp
;jard Municipal CD,.,e, Stott of bre. Specialty Codes and all other rinAl Inspection
�plicable laws, All work will be done, in accordance with
r'%P'_Crvd plars. TI',, pe-mit will expirt if work it not ;tarted
�thir 180 lays cf im.arce, or if work is suspended for sort
an 180 days,
ma sled
C J P ...........
C I ft,. 630. 4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 /
,Iobsite Address: (5 � C s J(..o L �,c f :kl
Subdivision:CPtti �. t'i� 1_ _, Lot# Office Use Only
Contact Date_/_ / Initials
Valuation: ` Result
New Construction Only: (Square Footage) Planck/Rec #
: n E Permit # Zoel"IK
House
Reissue of
Map & TL# Sl0t/f'k -C 3136
Corner Lot? Y �_ Flag Lot? Y N ZoneOwner:
UE +uP�' Plat #_
Address:
0o O 6c0 LY7r acz o 5 ' (5 I Approvals Required
9-703G_S Planning Setbacks — _ Solar
�/ ---�---- Engineering
Other
Items Required
Contractor: le'-un
Subcontractors _
Address �O�Cjox 3Truss Details —
���cF_, Other —
Phone. ( 5cz 1 (o.SS _ ��5� ---- Notes
Contractor's License #
�attacl, copy of current Oregon license)
Contact Nam= rom t�tnn / C P1 L
Contact PhoneL a?� S,? Z 10 65,z0
Subcontractors: A►chitect/Enginee�er: L--rbo,)
Plumbing �� - Address ' {�O,ii 3OX (D96 5200 501 f71�7rq�{q,,rj
� yc tIZ�
Mechanical: 11�`(� _ _ Yf4 "72yt
!attach copy of current OR Contractors License)
Phone: 63 ) 2 ZI - IL es—
JOB DESCRIPTION: ~tnc.E o")
620 - -7 S,5,?
Applicant Signature Applicant Phone number
Received by: Date Received:
H u„�dnvnaoD
Permit S Account Description Amount AmL Pd. Bat. Due
Bldg. Permit (BUILD)
Plumb. permit (PLUMB)
Mach. Permit (MEC»)
Stats Tax (TAX) ,L—,3
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mach:
Sewer Connection (SVVIJSA) —
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIER)
Mass Transit 'fiF (TIF ,IAT)
Commercial T1F (TIF-C)
Industrial TIF (T1F4)
Institutional iiF (7F-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WOWANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPR,IAT)
Erosion PlancklUSA (ERP LAN)
-csion PlancklCO T (ER 0SN)
TOTALS:
CITY OF TIGARD
13.125 S.W. HALL BLVD.
TIGARD, OR 47223
IMPORTANT PERMIT NOTICE
ROSS EL TRIC
STEPHEI. LLOYD ROSS
23810 SW DRAKE T,N
HILLSBORO OR 97123
Electrical Signature Form
Permit #• • . • : MST96-0496
Date Issued. : 06/12/97
Parcel. . . . . . : 2S104BA-10600
Site Address: 13665 SW LIDEN DR
Subdivision. : CASTLE HILL NO. 3
Block. . . . . . • Lot: 13F
Jurisdiction:
Zoring. . . . . . . R-12 PD
Remarks:
Path I
Your company has been indicated as the electrical contractor for the permit indi
order for the electrical permit to be valid, the signature of the supervising el
is required.
Please have the appropriate individual from your company sign below and return t
Signature Form prior to the start of work. No electrical inspections will be au
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
DON MORISSETTE HOMES ROSS ELECTRIC
5000 SW MEADOWS RD STEPHEN LLOYD ROSS
LAKE OSWEGO OR 97035 23810 SW DRAKE LN
HILLSBORO OR 97123
Phone #:
Reg #• • : 001188
X f- __
S t e of Supervising Elec—
tric a�n
Please return tliis completed form to the address above.
ATTN: Building Dept.
if you have any questions, please call 639-41.71, ext. #310
CITY OF TIGAR"
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
A & R PLUMBING INC
2967 SE M.NPLr ST
HILLSBORO OR 97123
Plumbing Signature Form
Permit # • MST96-0496
Date Issued. : 11/04/96
Parcel . . . . . . : 2S104BA-10600
Site Addre.3s : 13665 SW LIDEN DR
Subdivisio-.l. : CASTLE HILL NO. 3
Block. . . . . . . . Lr>t . 136
Zoni.ng . . . . . . R-12 PD
Remarks :
Path I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the pliarnh;ng permit to be valid, please have the appropriate individual from your company sign
beiow and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be -author'-ed until this completed farm is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
(.)WNt,R : PLUMBING CONTRACTOR :
DON MORISSETTE HOMES A & R PLUMBING INC
5000 SW MEADOWS RD 2967 SE MAPLE ST
LAKE OSWEGO OR 97035 HILLSBORO OR 97123
i'}i,---,n, If : 620-7638 Phone # :
Reg # • • : 042286
X --
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310