12862 SW VILLAGE PARK LANE k
I
12862 SW Village Park Ln _
■
C17YOF71FARD �crry >.aRD CERTIFICATE= (IF'
COMMUNITY DEVELOPMENT DEPARTMENT' one tTCC'C1F'AP�C:Y
� I 'E:RMIT # M ST91--�f1�8
13125 SW FM it Blvd P.O.Bax 23397,T1p fd,Onpon 07273(WM 490 4175 . , . . . . . :
-- DATE ISSUED: 10/08/91
-,ITE AE7DRC55. . . : 1:46r GW VILLAGE f'AkK I_N PARCEL: 151:3.iL�D-1`5�:'rhr?
IUDDIVI SIGN. . . . 9 VILLAGE AT SUMMER LAVE PARK 4 ZONING: 13-4. 5
LOT. . . . . . . . . . . . . ..
189
7LASS S OF WORK. :"NEW
i'YPEr OF US'. . . :SF"
I')CCUPANCY CARP. :R3
OC1C`11PANCY L OAD s 0'25 4
FENI)NI NAME- - .
DON MORISSETTE. BLDERS, INC.
in-555i SW SANDY RD
#?10
L.AiCE' OSWEGO OR 97035
#: X03.-baO--7538
DON MORI•SGETTE BUILDERS, INC.
15555 SW BANDY RD.
LAKE:. OVWEGO OR 97035
Phone 14: 6&0.-7538
35533
C7r.calpa+• ,v of the at—vr 1 efzrerlcec bl.0 Id-kny is herebY Viv", OT"Ll cc•1 t itiee
the c�amp.. ' an1:e with the E-itatw Of Ovellr,n 13per.ielty rodeo far the grcr.lP,
(-,.1pjancY, _ nd ov a i.mder~ which the r,ef'erenued pirr-m 1 t r res; i F g Ued.
FIRE DE=PARTM_... w_.._ __.... w, ,z i.c►IrDA;=—+wSf"-,FCrTOR
au I
POST IN CONSP I UJOVr PL'AC'E.:
I
INSPL3gTLOJL NOTICE
City of Tigard Building nepartment
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4a71
Inspection:--------- ----------- ----------
looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Peet/Beam Struct. San. Sewor Framing /Y
-e g-
Poet/Beam Mech. Rhin Drain Insulation -Plumb.
Plbq. Underfloor deter Line Gyp. Rd. Mech.
Date Requested. Timet AM(� PM
Add rees:����G�
-'1
But lder: I' �� c�i Lr�d'� L �`!i _ �✓� G�iL/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�.L./ �.,.L..:2-..t-r �if -L{ � i..t.tf l -.r�/�—Ll....f"..•tL__ -.—.. -
- --APPROVED -- ✓' LISAAPjPROVED - -- APPROVED SUBJECT TO ARO"
f/ Call For Reinep.
ji1§YjgT I ON NOT I
city or Tigard Bui)di.ng Depart3sent qJ�•-
13125 DR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Mone): 639-4175 Dun iness Phone: 639-4171
i
Inspection: A., � ------- --
i
Footing Pl,)g. Underslab Mech. Rough-in Appr/Sdwlk >
Found. Plbg. Top Out. Gas Line FINAL:
Post/Beam Struct. Sen. Sir Framing -Bldg.
Poet/Beam Mech. Rain Drain I::sulati.on -Plumb.
Plbg. Underfloor /0 --
Nater Lino Gyp. Bd. -Meth.
Date Requesteddi !/ 1 Z Times AM PM
Address t /Cr D L L�e �/ //i�Dattoit 1.
Builderi_Z:� jjj
THE FOLLLL�OWING CORRECTIONS ARE REQUIRED:
Ins AjCd
APPROVED DISAPf OVED APPROVEn SUBJECT TO ABOVE
--Call p
For Rsine .
JNu"PEG ON NOTICE
City of. Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o--Phone): 639-4175 Business Phone: 639-4171
Inspection:__ ---- --- T—
Footing Plbg. Underelab Hoch. Houqh-in Appr/Sdwlk
Found. Plbg. Top Out t:ae Line FINAL:
Poet/Beam Struct. Sari. Sewer Framingeldq.
Post/Beam Hoch. Rain Drain Insulation 'P211�f,
1-
Plbg. Underfloor hater Line gyp. ed. dech.
Date Requeste)dt�/ ! ) - 1� 71 xipNt ^--AM �/ PH
Z,
Addreaes Z.,-2,d (tom Z �/ it 0t
Ru i 1 der: (1 7 Ci.
THE FnLLOWING CORRECTIONS ARE REQUIREDt
t..-
� f
Inspectors ' ✓ _ Data: /v �" 9
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
k-/Call For Reinsp.
WIWXWjMMffWjvWx
INuPEC�. N NOTA"'_�
City of Tigard duildIM9 DO-Partsent
13115 sw Hall Blvd. Tigard, ormgou 97223
Inelection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4171
Inspection:__ _ — —
Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk
Found. Plbq. Top Out Gam Line �8 NALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -dlnmb.
Plbg. Underfloor water Line Gyp. ad. -Mach.
Date Requested: V1 ( (`� --Time= 7>" --AM ' PH
Address:_ _ V_r_�� Permit t:
Builder: � ti� 6
t1 � >1&4
THE FOlAA3VIIND CORRSCTIons ARE RRWIRSDs
--------------
InspDates_ -
APPRDVSD I!ISAPPROVED APPROVED SUBJZCT TD ABDVR
Call Por Reiner.
I
114FF= ON 01Irt•:
City of 'Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (RPc-0-Phone): 639-41.75 Bueine.ee Phone: 639-4171
Inapection:,-----____—. _--- ---._---
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Str-urt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested:_ Timet --AM G
PM
Address 1-112 -4—Ll�Q]-�( �r�K��rmit ft �—Qlo�/ _
Builder! /
THE FOLLONING CORRECTIONS ARE FM) D:
Inspecto//.,�r:��''� -- --.----OV
4-f�_APPROVED _- DTSAPPROVRD _—_ APPRRL SUB.;SCT TO ABOVE
//`` For Reinep.
lir
!F
INS P$CiI(_N NgLjCL
City of Tigard Building Depmrtment
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineve Phone: 639-4171 }
Inspections_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Bean. :truct. San. Sewer Framing -Bldg.
Poet/Berm Mech. Rain Drain Insulation -Plumb.
Plbg. UnvSeriloor W Line Gyp. Bd. -Hoch.
] __l
Date Reyt,ested:Y .J 1 Time: PH
Address:.___ Permit #s
Ar-fCL->/?'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
lr
AC v WI OVA-' C`�r�Aiz/lalc��
J.!L_jr�o U ��S i1'1vti J
Dare:
APPROVED DISAPPROVED _ _ APPROVED SUBJECT TO ABOVE
_VCall For Reinap.
aw Jill
kS BCTION NOT_1GG
City of Tigard Building D¢pertment
13125 SIi Hall Blvd. Tigard, Oregon 9727!3
Inspection Line (Rec-O-Phone)! 639-4175 Busineas Phone: 6.39-4171
Inspection:
Footing y.PlhUnderelnb Mech. Rough-inpr/Sdwlk�
Found.
Flbg. Top Out Gas Line FINAL=
�
Post/Beam Struct. San. Sower Framing -Bl.d1.
Poet/Beam Mach. Rain Drain
Insulation -Plc
Y1-)q. Underfloor Nater Lino GYp•
Bd. -Nech.
Date Requested= / Times _
Address: Pollzmit
� �Sa...a--�G-sykr"B.Sr.�"_"
But_ldert
THE FOI.LOWING CORRECTIONS ARC REQUIRED:
Lt Q, 1 ��
v
ins pector: i^i •C j / L rG� LCA
inspector:- -
APPROVED DISAPPRO �ff,>PROVED SUBJE TV ABOVE
Call For Rainsp.
qw
�h'S_PRCTTON NOTICE
City of Tigard Eh ilding Department ` --
13125 SM Hall Blvd. a'igard, Oregon 97223 1
Inspectior Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:--------------- —_-- — --
'ooting Plbg. Underalab Koch. Rough-in Appr/Sdwlk
Pound. Plby. Top Out Gia Line FINAL:
Post/Beam Struct. San. Sewer Lrr" -Bldg.
Pont/Beam Meeh. Rain Drain ttaull i)n -Plumb.
Plbg. Underfloor Nater Line GYP. Ed. -Koch.
Date Request.ed:L--, 3- 4? Time:
Addreea:
Bulldert,z222
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepactort� �.• /� Datot ~3� ��
G-�►rn+ovsD DISAPPROVED APPROVED EUE,IEGT TO ADOVE
___call for R nap.
INS_P3C'fION NC/l'ICE ��il
City of Tigard Building Department.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection'-- -- ------- --- -- —
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. loq. Top Out Gas Line FINALt
Poot/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mei.h. Rain Drain insulation -plumb.
Pibq. Underfloor (y1 Nater Line
GYP• Bd. -Neeh.
Date Requested: y -��-�1�/e� -Timet __AM/- _PM
Address: ,
Builders ---
TBS FOLLOIIIno 30p"eTIe)NS ARK REQUIRED:
'i
- A
Inspector:_ _- Date:-_ --1
�APPAOVRD _` DISAPPROVED _ APPROVED SURMMT TO ASOVtt
4. ii Por Relnep.
INSPECTION NOTICE _
City of Tigard Building Department.
1.3125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-417F Business Phone: 639-4171
Inspection:-- -s_--.�— - —_—_-- _
Footing Plbq. Underelab Mech. Rough-in Appr•/Sdwlk
Found. Plbg. Top Cut Gan Liras FINAL:
'(Post/Beam &true Ban. Sower Framing -Bldg.
out/"am Ilea Rain Drain Innulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Much.
Date Requeuted: 7- .7 S Time: —._AAM M---
Address: I Z L Vi Litt 5� !�/QlZdC Permit f:��- or a8
Builder: LL:
THE FOLLOWING COPRECfIONS ARE REQUIRED:
Inupector: --- __�— Date:_ �ti
_APPROVED DISAPPROVMD -� APPROVED SUBJECT TO ABOVE
Call For Reinup.
. .........
1N§M-VON NOTICE (/
City of Tigard Building Department �f
33125 SR Hall Blvd. Tigard, Or Wn 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:___--------..--- --
Footing Flbg. Underalab Nech., Rough-in Appr/Sdwlk
Found. Pl.bg. Top Out Gan kine FINALS
Post/Beam Struct. San. Sawa Framing -Bldg.
post/Beam Hoch. gnr Innu]ation -plumb.
Plbg. UnderfloorGYp• W. -Mach.
Date Requeated: �L Tim. 1iM / PN
Addreeet ��
Builder: --
THE VOLLOWINO CORRECTIO148 ARE REQUIRED:
11
lw3pector:__. r __ Dater 11
APPROVED _ DISAPPROVED APPROVED SUBJECP TO ADM
Call For Reinsp.
Testing,. c
Carlson Inc.
It-OCATION
PO. Box23814 Tigard.Oregon 97223 7 ?� —JnPhone(500)684-3460 FAX 684-0954 RO'EC� 3,
2'0y
CONTRACTOR OWNER
TO
WEATHER -TEMP. Oat AM
°at PM
PRE5EN1 AT 51fF
THE FOLLOWING WAS NOTED:
IAC-' �/' ��U ' L J�.•t. G,
J
,� �,4 y
/ 1 ►
a
COPIES TO � jv1` )m��O��� r
SIGNED .�(a,f
1NSPErTION-NOTICE
City of Tigard Building Departsient.
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (.Rec-O-Phone): 639 -4175 Business Phone: 6.39-4171
Ins��pe'�ction: __ _ -- --------------
t6oting Plbg. Underelab Mech. Rough-in Appr/Edwlk
found. Plbg. Top Out (Lae line FiNA;
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulrtion -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested:
Bull der s 2 L__ ----------- --- -
TtM. FOLLOWING CORRECTIONS ARE REQUIRED:
—
.vfinrer,s
X1177 a)-I—A Ctr� -D
1�-
-��-L�.__�-�r�y� "P2o r���'.��P�.S G�c.:�•r- met.,_ -'�,---
Inapector: _ -- -- --- Date:—
APPROVED DISAPPRCVSD RCri/ED SUBJECT 7b ABOVE
Call For-Reinsp.
�OFTIFARD MASTER PER �/
M1r
cffy RDA
COMMUNITY DEVELOPMENT DEPARTMENT PE RM IT #. . . . . . . : MS191-0108
13125 SW HWI Blvd. P.O.Bar 23397,Tigad,Orogm 97223(E03)0394175
no T= T g ci jc n. rA;Z 4 1 ;z 4 9
i E I c.'66 2 SW V I LLAGE PARK LJ:i PARCEL , 1SI33DD-15200
3USDIVISION. . . . : VILLAGE AT SUMMER LAKE PARkK 4 ZONING- R--4. 5
(.aLOCK. . . . . . . . . . LA)T. . . . . . . . . .. . . . : 1119
BUILDING
`RE I SSIJI-*:7:MS T9 1-0024 DWELL_INCS UNITS: 1 BASEMENT. . . . . . . . :0 S f
OF WORK. :NEW BEDRMS:3 BAIHS13 GARAUF. . . . . . . . . . .bi�llb St
f YPE OF USE. SF FLOOR RE06UIRED 5E1'PACK3--------------
YPE OF CONST. -.5N F1 RST. 862 S , LEFT. . : 13 ft RIGHT. :7 -Ft
]CCUPANCY GRP. :R3 SECOND. 10,33 c f FRONT. -_:_10 f t REAR. . :43 ft.
. . . . . . . ..2 I'HI RD. . . . 0 Sf
1E."GPT. . . . . . . . ..25 ft TOTAL—-------: 1895 -,f SMOKE DETECTORS. -
1::LOOR LOAD. . . . :40 psf VALUE- - $ : 96530, PARKING SPACES. . .-O
mav,ks :
PLUMBING
i 1\1 I",S. . . . . . . . . . : .1 FLOOR DRATN'F. -0 13ACKFLOW PREVN*TRG. . :0
LAVAIDRIES. . . . . :3 WATER HEATERS. : 1 TRAF',S. . . . . . . . . . . . . . .0
'IJS/SHOWERS. . . . 12 I.-AUNDRY TRAYS. . . '0 CATCH BASINS. . . . . . . -ill
WATF-R CLOSE'FS. . :3 SEWER LINE (ft) . -.0 GREASE TRAPS. . . . . . . :0
DISHWASHEPS. . . . .. I WATER LINE (ft ) . 1 100 OTHER FIXTURE=S. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 '3F PAIN DRAINS— I
MECHANICAL FEES
FUEL TYPES-------- UNIT 117PS. . :I) t y op alia'_int by (late
/GAS/ VENTS . . . . . :0 T*zF $ 1350. 00 JLH 07/17/91
AAX ll\[PIJT:O BTH VENT FANG. . :4 RPRT $ 424. 00 JLH 07/17/91
::*URN ( 1008, . . zA HOODS. . . . . . . I SPLC $ 40. 00 JLH 06/06/91 1,21 -406b
1JRN ) =100V. . . rO WOODSTOVES. 0 B5pc $ 21. C'�O J L.H 07/17/9 1
LU1JR 1-URN. . . . r0 CLO DRYERS. I BPLC $ 30. 00 JLH 07/17/91
3011_/CMP < 3HP.-0 OTHER UNITS:0 GSIDC $
3i5. 00 JL.H 711/./ 1 7/91
GAS OUTLETS: l PARK % 250. 00 JL.H 07/17/91
)w n e t- MDPT i, 39,. 00 T L.H 07/17/91
JON MORISSETTE BLDERS, INC. MPLC $ 9. 75 JLH 07/17/91
15555 SW BANDY RD M5PC t 1. 95 JLH 07117/91
f*c'10 PPRT $ 132. `30 JLH 07/11/91
AVIE USWEGO OR 9,7035 P51-1c $ 6 , 63 JL11 01/ 1 //41
Iaone 4t: 503--620-7538
�)C)N MURISSETTE BUILDERS, INC.
!.55',31_1-' GW BAKliY PD.
4201
_PKE CISWEGO OR 97035
Ohnnp #- 620 7938
0. . ; 35533 ------------
$ cF680. 03 TOTAL,
'his permit is issued subject t, the regulations contained in the REOUIRI,-11 IN16WEL1111NI,
rigard Municipal Code, State of Ore, Specialty Codes And all other Foot /found Insp Fit,er_.lace Ins-p
applicable laws, All work will be done in accordance wa;Lh avii-eyod Post/RPAM Gas Line Irisp
ulans. This permit will expire if work is not started within 188 Post /Peam Mecham Insulation Insp
jays of issuance, or if work is sus ed for more thpi IPA days. Plffl/undslAb 17"SP GYP Boar,d Insp
r-`1 .M/UnL1ev-f loom Rain dr-ain Invip
Mer:haniral ITISPP
Watpr, tine Tr
,>;p
Top Otit Appr/Sdwlk Insp
mv ! Framing Insp Me&iAn i ca 1 Final
r T, 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 91—215446
(. -Jf--CV AMOUNT a 2640. 03
NAME MURIqSETTE, UON CASIA AMOUNT a 0. 00
ADDRESS PAYMENT DATE 07/17/91
SIJBDTVISION
PURPOSE. OF PPYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT F."Alt)
PERM—-------- 42'+. 00 PLUMBING PERM 132. 50
MECHANICAL. PE 39, 00 54T. BUILD PER 29. 78
PLAN CHECK FE 39. 7!!- RESIDENTIAL TRAFFIC FEES 1250. 00
w4ss TRANSIT TIF FEES 100. 00 PARI/Iq SnC
STORM DRAIN SDC 37 . 00
12a62 SW VILLAGE VIORK LN
TOTAL AMOUNT PAID L?640. 0"71
CITE`'OFTIFARD SEWER CONNECTION
C117YOFTMID PEHMIT
COMMUNITY DEVELOPMENT DEPARTMENT 011110M PERM II 0#. . . . . , . : SWR91-01bb
13126 SW Hell Blvd P.O.Box 23397,Tkoml,Orepon 97223(603)63G-4175
—-- -- I,3 7—Z+1 7 1
'31TE ADDRESS. . . : 12862 SIJ VILLAGE PARK L.N PARCELs IS133DD-15200
SUBDIVISION. . . . : VILL-AGE AT SUMMER I-AKE PARK 4 ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 1189
IL-N(4NT NAME, — . . :
USA NO. . . . . . . . . . :, FIXTURE: UNITS. .
CLASS OF WORK. . . NEW DWELL.I NG LIN I TS. . : I
TYPIE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR TMPERV SURFA('E. . S f
Remarks:
Owner: ———————————---——————————---—————---—— F'EES
DON MORISSETTE BUIL-DERS, INC. tvoe amoi.int by date t,e C Pt
15555 SW RANGY RD. F-IRMT $ 1°40. 00 JLH 07/05/91
—
#r:01 I NSP $ 5. 00 •JI.-H 07/05/131
LAKE OSWEGO OR 970.3,5
Phone #: 620-7538
DON MOR ISSE'rTE BUILDERS. INC.
15555 SW RANGY RD.
#010 1
LAKE OSWEGO OR 97035
Phone #: 620-7338 $ 1535. 00 TOTAL
Pen 1'#. . 3 35533
PEOUIRED INSPECTIONS
Popl,icant agrees to comply with all the rules and regktiation! Sek-jer- lnsper.tion
of the Unified Sewage Agency. The permit expires 126 days from
the date issued. The total amount paid will be forfeited if the
permit expires. T4 Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located it the measurement
given, the irstallir shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer' Permit and the Agency will install a lateral,
is,i,.!ed By:
Call for- inspection 639--4175
CITY OF TIGARD - RECEIPT OF=' r-*,nYMENT RECEIPT NO. :91-214068
CHECK AMOUNT a 307. 75
NAME s NOR I SSETTr`, DON CASH AMOUNT % 0. 00
AWDRF'SS a PAYMENT DATE D 06%CAA 9 1 j
SUBDIVISION '1
• � I
f-':,URf-"'OSE of PAYMk"N'r i4MOUN'T PAID PURPOSE OF PAYMENT AMOUNT PAID
�l_AN CHE GI< FF= 6-- l A R 4Q1, t?�Q► {}I..AN CHF:rK EE -13ft
PLAN CHECK FE: 6-14R 417. 00 PLAN CHECK FE 1--24R 187. 75
Pl-ANCKS - 12753 WINTERLAKEE j 1280E: FALCON RISE �
r 11663 VILLAGE- PARK LN j
TOT AI_ AMOUNT PAID - - ? 307. 75
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
I
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 ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAAPOLD B.nSHOEMAKER PRES.
/�7 a.,•�t.� �J r ti�l�ue
630-7728