12843 SW VILLAGE PARK LANE r
12843 SW VILLAGE PARK f,ANE -
'*
C11YOF TIFARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW FWI Blvd. P.!) Box 23307, 1Iga d,C*ngw 97223(503)834-4175
PERMIT ##. . . . . . . : PL-M9 1 —1711.7111
639-417' DATE ISSUED: 09/23/91
SITE ADDRESS. . . : 12843 SW VILLAGE PARK LN PARCEL: 1 S 13 3DD-15300
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4, 5
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . : 19O
CLASS OF WORK. . :ADD GARBAGE D I SPOSAI_S. . : MOBILE HOME SPACES.
TYPE. OF USE . . . :SF WASHING MACH. . . . . . . : BACKFLOW FIREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES--------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . , . . . . GRf:ASE. TRAGUS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE. (ft ) . . . . :
WATER CLOSETS. . : WATER LINE' (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . a
Remav-ks : SPRINKLER SYSTEM -- BACKFLOW DEVICE
Owner,: _____.____.__.___,__-_--_--•- ----_._____.___ __..____---._.____.___ FEES -
_------ ------
K,I type amount by date recpt
1 :843 SW VILLAGE PARK WAY PRMT $ 15. 00 JLH 09/23/91 -
5F'CT E 0. 75 JI...H 09/23/91 -
TIGARD OR 97223
Prone ## :
Cont rac-,tor:
DIVERSIFIED LANDSCAPE CONT R.
18805 CAMELOT LANE
HILLSF10RO OR 97123
Fah o n�.- #,- E+28-•0158 t 15. 75 TOTAL.
Reg ##. . : 5877
--_._....._._. REQUIPED INSPECTIONS ------
This permit is issued subject to the regulations contained in the Final Inspecti.in
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 188 day! ...—_._._...�...__..._. _ �_.—
F,et-mittea Signature •
Issi-ted By ,
Ca111 for inspection - 639-4175
CITY OFTIGARD CERTIFICATE OF
COMIAWTY DEVELOPMENT DEPAPTMENT CAYoReoow
OF 40AND, OCCUPANCY
13126 SW HiWl Blvd. P.O.Box 233W,TolgeM,Ovogan 07223(603) 75 1h. . . . . . . : MST91 0055
DATE ISSUED: 07/25,19' -1
5I TG POURESS. . . : 12843 SW VILLAGE PARK LN PARCEL: 1"-,1331)1)-15300
oUBD I V I S I LIN. . . . t VILLAGE AT SUMMER LAKE PARK 4 ZONING: RW-A. 5
BLOCK. . . . . . . . . . . .. . . . . . . . . . . . .
CLASS OF WORK—NEW
TYPE OF USE. . . ;5F
OCCUPAN(7 .' GRP. :R3
OCCUPANCY LOAD-P20 4
rENANT NAME. . .
Remarks :
Ownert
DON MOR ISSCT rE BLDER3, INC.
15!:'65 SOW RANGY RD
uXE I OSWEGO OR 97035
Phone #: 503-620-7538
Cot)t jr,aCt or t - --- —
DON MORISSErTTE BUILDERS, INC.
lt5555 SW MANGY RD.
#201
(JARE. OSWEGO OR 970,35
0hone 620-7536
Reg) 0. 35521,1
(.1c.,Lmp*mc,y ol the above referenced building is hereby givers, and c,e rt i f i e
the compliai-oce with the Mate Of Oregon Specialty Cojjpq l'ol- tin" qt.()'Ap,
oc.'c'u'pancy, and use milder which the refe,-pnr-erl permit- was iq;gsupd.
FIRE DEV-)PTMENT aUll.,DJNG_ TOR
i4c", OF AL.
POS! IN CON SPICUOIff., PLACE
INSPBCT ON NOTICE
City of Tigan Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Buminess Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sd%ilk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer FramingBlda.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. Mech.
Data Requested: -�OJ'� 2! himet A71 PM
Address:
Builders
THE FOLLONINO CORRECTIONS ARE REQUIRED:
J
----------
Inspectors \ J
�--i1PlNOIiD DISAPPROVED APPROVED SUBJECT TO ABOVE
--call For Reinap.
J.NSPECTION14QTIO nt �v
City of Tigard Building parl.nsner&t
13125 SN Hall Blvd_- Tigard. Oe
W.
Line (Rec-O-Phone)! 639-4175/ Business Phone:97223 639-4171
Inspections_ ------^-' �
Q.A PPC
plbg• Underelnb mech. Rough-in PP
Tooting FILL�
Plbg. top out Gan Line
Found. -Bldg.
eSan. Sewr'
Framl.ng
post/seam Struct. -Plumb.
Rain Drain
Ineulat.lon
Poet/Beam Mech. -Math.
Lina Gyp. Bd.
Natter
Plb4. Underfloor AM PM
� Times -
Date Requested
perm
�cz it fI
Address:
milder: ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-------------------
---------------
Dates r� /
Inspector:_
APPROVED
DISAPPROVED APPROVED SUBJECT TO ABOVE
- - Call For ReinaP.
I
INSPECTION NOTICE
City of Tigard Building Department
13125 B# Ball Bled. Tigard, Oregon 9722?
Inspection Line (Rec-O-Phone): 639-4175 Bus+nese Ph, :: 639-4171
Inspection:___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain nrain Insulation -Plumb.
Plbg. Underfloor Water
�Line
/� Gyp. Bd. -Hoch.
Date Requested: 2 � - �7� _Timet
Address: ZwX 4-�' it f:_,
Builder.
THE FOLLOWING CORRECTIONS ARE REQUIRED4
Inspnators — . Date:
Ah!'RnVF.n _ DISAPPfbDVlD APPROVED SUBJECT TO ABOVE
_Gill loe IMinep.
i
1 INSPECTION NOTII'ff �
City of Tigard Building Twaartssent.
131.25 1411 Hall Blvd. Tigard. 4agon 97223
Inspection Line (Rer_-O-Phone)s 639-4175 Business Phone: 635-4171
Inspections_.
Footing Plbg. Underslab Koch. Rou
�gh.-Ln Appr/Sdwlk
Found. Plbg. Top Out Oa- Lin- ) FINAL%
Post/Beam Struct. San. Sewer Framing -/ -Bldg.
Post/Bram Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line) Gyp. Bd. -Meeh.
Date Requenteds ( _Times AN )K/,PM
Addreess_,
Builder:_i �THE FOLLOWII40 CORRECTIONS NRS REQUIRED: c-
Inspectors_ / Date:_?
L� APPROVED �= DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IM ___ __ - 1 __ _ M
INIjp3ggT ON NOTICE
City of Tigard Building Departeient
13125 an Ball Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O•-Phone): 639-4175 Bues.nesa Phone: 639-4171
Inspection:-_ -- \
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found-
Plbg. Top Out Gas Line FINAL:
_
�� -81d
Poet/Beam Struct. San. Sower Framin / g
Poet/Beam Meeh. Rain Drain
nsu ation -Plumb.
Plbg. UnderfloorWater tine Gyp. Bd. -Mach.
Date Requeateds [l//ow--62& l Times
Address: 1 -2- Permit
Buil der: �-./L1L OLE'THE FOLLOWING CORRECTIONS ARE ilEQUIRED:
L
Inspector: _____�_ Dates go `•����i
APPROVED __ DTBAPPROVBD _- APPROVED SUBJNCT TO ABOVE
Call For Reinsp.
INSPECTION NCTICE
City of Tigard Buildl-ng Department
1.3125 till hall Blvd. Tigard, fXvgon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _-- --
Rooting Plbg. Underslab Mech. Rough-in Appr./Sdwlk
Pound. < Plbg. -Top Out 1r Gas Line PINALr
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
//Line Gyp. Bd. -Meeh.
Date Requested: !� U �9I Times All/+-
Address: �L Permit ♦:
C1L/~L./G/4✓ y
Huil<ler: 7?: �� _l` ...+..—
ME FOLLOWING OORUCTICOS ARE MUIMMS /Cx�y.3�
L i
r
Inspector: bate Z, -u
APPROVED DISAPPROVIb APPROVED SUBJECT TO ABOVE
Call For Reinsp.
.e
INSPECTION OOTICB
City of Tigan! Building Department ,
13125 SII gall Blvd. Tigard, Oreigon 97223
Inspection Line (Rec--O-Phone: 639-4175 Business Phone: 639--41
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
FWi1d. Plbg. Top Out Gas Line FINAL:
pyst/Bears Struct'- San. Sewer Framing -Bldg.
oat/Beam lMoh`� Rain Drain Insulation -Plumb.
Plbg. Und*rfloor Nater Line Gyp. Bd. -Noch.
Date Requeetedt_15 - 2-1- 4?r Time: AH _ PM
Addross: L Z S((5 V14Aa5:.' Permit fs
eu:1 der t_
11HR FOLIA)WING CORRECTIONS ARE RF,QUIRED:
Inspectors i L Dates
L--A�PROVtD DISAPPROM APPROVED BUBJLCT TO ARM
__Call for Reinep.
INSPECiJ_ON No TCE
City of Tigard Building Departasnt �J
1312.5 SIR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection: -- -------- ---------
Footing Plbg. Onderslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL-
Post/Beam Struct. CRain
Ban. Bower Framing -Bldg.
Post/Beam Mech. Drain Insulation -Plumb.
�bg�- erfl Nater Line Gyp. Bd. -Hoch.
Date Requestted: Timet AM _PN
Address: I Z q)) '1I 3�' �) ��\L�G�IZ �Y 1`• {/4 Permit �: r C ' %�_
Builders C')(
TBR FOLLOWING CORUCTIONI ARB RNQUIRROt
Inspector:-- Date: j
APPROVED DISAPPROVED _— APPROVED SIIBJFCT TO ABOVE
— Call For Reinsp.
INSPECTION NOTIC$
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: ---
looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
•nand. Pl.bq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor cc��Water Line Gyp. Md. -Koch.
Date Requested: 5 �� 7 —�Time: AN PK
Address: 1 / �-'f�'i'ermit `r: ,�(�� J 5
Builder.:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_` ...__ _ Datet Z-5
APPROVED DiSAPPROVF.D APPROVED SUBJECT TO ABOVE
Call For Reinep.
CITYOFTIFARDPERMIT
MASTER
CITYOFTNvA r;.: 1 --4 .t ,.
COMMUNITY DEVELOPMENT DEPARTMENT oaeallo+� � r_RIhIT #. , . . . . . . I.a F 31 �
13126 SW FWI Blvd. p.0.Ba 23397,TOW,Onpon 97223(15W) 3D-4176 DATE
;ITE ADDRESS. . . : 1, 84..:, SW V I LI..A(3E PARK LN PARCELS 1 S 13.:3DfJ�-1
',UPDIVISICIN. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
L-OCK. . . . . . . . . . : L(]T. . . . . . . . . . . . . : 1910
_._.________.___________.__..__.•_____..-- BUIL.DING -----------------------._---___----..---
f-' DWELLING UNITS: 1 SA(3F_MENT. . . . . . . . SO S f
LASS OF WORK. :NEW BE'DRMS:3 BATH13:3 GARAGE. . . . . . . . . . :420 sf
1-YPE OF USE. . . :Sr FLOOR AREA5-_ ----_.--.-..-..._-- REQUTRED SETBACKS--- -- ---. -..__.__.
f`YPE: OF CONST. :5N FIRST. . . . . i024 5f LEFT. . :6 ft RIGHT. :21 ft;
)CCUPANLY 6RP. -R3 SEC:OND. . . :748 Sf FRONT. -20 Ft REAR. . :3,?, f
:�TOR 1 E:S. . . . . . . :2 T'H I RD. . . :0 s f REQU 1
iEIGHT. . . . . . . . ..20 ft TOTAL ..___ ._ _^ 177c +;f SMOKE DETE(_.TOR( ;, .'Y'
�-L-OOR LOAD. . . , :40 psf VALUE. . . . . 89O172 PARKING SPACES. - 3,0
11"m Alk, :
PLUMblNG
i1.NK ;i. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 PO C1:FLOW PREVNTRS. . :0
I._AVATORIEG. . . . . ..3 WATER HEATERS. . . : i TRAPS. . . . . . . . :0
IULI/rIHOWERS. . . . .3 LAUNDRY TRAYS3 . . :0 ('_ATC I; BASINS» . . . . . ,. :0
WH I r.ii CLOSE:.-TS, . 13 SEWER LINE (ft ) . SO1 GREASE TRAPS. . . . , . . :01
1.'1 5HWASHE.RS. . . . : l WATER LINE= (ft ) . : 100 U I H11- J-,K T UHE`i. . . . . .0
(: ARBAGE DISP. . . 11 RAIN DRAIN (ft ) . :0
WASHING MA(-,H. . . : 1 SF RAIN DRAINS. . : 1
..__.._--____---.__ MECHANICAL -_._._._ _.__.____..__ __._____._.______-_ FEES -------------.-
F'Uf_L TYPES-_-. UNIT HTRS.. . :O type amra;_tnt by dat a t'ec-I.,
CA5/ / 1 VENTS . . . . . SO PAYM f 40. 010 JLH 03�/C:6/91 ::11c
AAX INPUT:0 B i U VE:N1 I`Ohih. .. c 0Pri1' s 40— 00 JLH 05/0 3/9 1 --
�'LIRN ( 100K . . e 1 HOODS. . , . . . .. l BPLC: t 40. 00 JLH 05/013/91 -
F•IJRN ) =100K . . 0 WOODSTOVE5. :0 L15PC: 20. 15 JLH 05/03/91 -
FLOOR FURN. . . . 10 CLO DRYERS. : 1 BPLC $ 30. 00 JLH 05/0.3/91 -
BOIL/CMF < 3HP:O OTHF_R UNITS-0 SSDC $ 375. 00 ILIA 05/0.'./91 -
GAS OUTLE=TS: 1 PARK i- 250. 010 JLH 05/0:3/91 -
�lwhel: -- - --- - -- ..______._..___.... -- .___ ..___ .. . -.._.__... MPR I- 4 6. 00 JLH 05/0:3/')1 -
1JUN MORISSE:.T'TE BLDERS, IN(.-. MN.0 $ 9. 00 JLH 05/03/91 -
=:F555 �-)W PA1\1By FAD 1,1�11-'(, $ 1. 80 JL.1-4 05/0i/')1 -
+#E1711 PPR r 4 140. 00 JLH 05/03/91 -
LORE OSWEGO OR 97035 $ 7. Oki JI-11 05/03/911
Phone #1 5013-620-7538 TIF f 1350. 001 JLH 015/O13/41 —
C,rintractn�,: __--- ._._._ -... ..._. _____..._. _.__ PAYM $ '_F_+C- 1 . 95 JLH 04/01/91
DON MOR 1 SESETTE BUILDERS, INC .
15`.55 SW BANGY RU.
1*.--'V 1
i._1-Ki-. (:IE WE GO OR 971A35
Itc1, ea #s 620-753A
{e,t[ #. . 35533
t L' 1 . 95 TOTAL.
This nereit is issued subject to the regulations contained in the - --- - REQUIRED INSP_ C:TIONE, - - - -
Tigard Municipal Code. State of Ore. Specialty Codes and all other F=oot/f o Ltnd Insp F i t,e p 1 ac e I n ii r:,
applicable law,. All wor4 will be done in accordance witn apvroved Pc)4t/Beam .)tr'ltct las; Line Insp
plans. This ►ieroIt will expire if work is net started i+ithin 1W Pc' st/Beam rle&la<n Ins Ltlat ion Insp
days of issuance. or if work is suspended for sore than 180 days. Plm/Ltncislab Insp Gyp Soard Insp
Pl_M/Underf1oat- Rain dr,-iin
McCflan.iCal Insp Water Lin!~ iii( ;.
P11.M1 Top OlAt Appr/Sdwlk Iiisv
i. s _ted By : Wim_...__...___-_.. rraminy [r»p Itiprh .nic_ai I Ilia.[
("al ! fa) inspect i cri 639-4175
SEWER CONNECTION
CITYOFT167ARDPERM 1 T
C17Y4FTN�AItF"� ::'ERMIT #. . . . . . . : SWR91 - 0062
COMMUNITY DEVELOPMENT DEPORTMENT ORNOKM
13125 SW NO OW. P.O Box M97,Tlpen'.Oroyon 97223(F/J3)999-4175 / A r E ISSUED- 05/03/91
,I L. i.'aDDRESS. » 1284:3 SW V I LLAGE PARK LN PARCEL: 1 S 133DD-15300
,UBD I V I S 1 ON. » . . t V I LLAGUE AT SUMMER LATE PARK 4 ZONING- R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 190
TENANT NAME. . . . . :
USA NCI. . . . . . . . . . :43636 FIXTURE L1N I 7'S. . .
.LASS OF' WORK. . . :NEW DWELL.I NG UN I TS. . : !.
TYPE OF' USE. . . . . :SF NO. OF BUILDINGS: i
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remark y:
Owner: --------------------------------------- __—__—____.____—__ FEES
DON MORI` GETTE. I31_DERS, INC. tune aMOI.Ant I-ly date
15555 SW BANDY RD PRMT t 1500. 00 ,JLH 05/03/91
#2301 INSP :5. 00 .JLH 05/03/91 —
LAKE OSWEGO OR 97035
Phore #: 503--620-7538
Contrar.t or: ---_.---.------------------.______
CONTRACTOR NOT' ON FILE
Phone #: f 1.5-35. 00 TOTAL_
Reg #. .
--- — -- REOU I REL INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 12A days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Acenev does not guarantee the a^curacl) 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 distance given. If nog so located, the installer shall purchase
a "Tap and Side Sewer" re' 4' and the Agency will a'1 a lateral00
`
f=a r' m i t tee S i.n n• Ge- L
1sni.led By.
Call for inspection — 639-4175
(','ITY OF TIGARD - RECEIPT OF PAYMENT REC[.'-'l PT NO. 19 1- 1 2soo
CHECK AMOUNT 7 4156. 95
NAME MOR IBISETYE, DON CASH AMOUNT z 0. 00
A L)T)R E PAYMENT DATE z 05/03/91
GURDTVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENI AMOUNT PAID
EiEJ 11.111 NC3 PERM 403. 00 PLUMBING PF-'.RM 140. 00
MECHANICAL PE 36. 00 r.T. BUILD PER La. 9!j
PLAN CHECK FE 39. 04) SEWER USA 11,517.10. 00
fXWr-.'R INSPECT 35Y. 00 RESIDENTIAL TRAFF71C FEES I c15)0. 00
PARKS SDC 250. 00 S)TORM DRAIN SDC, 375. 00
MASS TRANSIT TIF FEES 100. 00
12843 SW VILLAGE PARIA LANF.-
LOT #140
TOTAL AMOUNT PAII-, 4156. 95
i
- \\ - q )
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250,N
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR. 97223
TO WHOM IT MAY CONCERN,
SHOEMAKER'S PLUMBING INC. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALIS PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD B. SHOEMAKER
` PRES.
630-7726