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12865 SW VILLAGE PARK LANE �a N Q� U' C� C' I � r I __12865 SW VILLAGE PARK DANE - CITYOFTIVARD CERTIFICATE OF OGCUPkINCY (c. 'OF � PERMIT M. . . . . . . o MST`3fd_t�fd,�:s COMh1UNITY DEVE.LOPME14T DEPARTIM�"�`P OR14M 13125!;wHk,nWvd PoRox"�IT7 i�ym,OroWn97kPl'j�GJJ S►lt+b5 GRIM. PERMIT #. o MST90-0033 nary T RCA1 iF n 2 1Ak11Q151d SITE ADDRESS. . . a iwaLN SW VtLL1AUE NARK LN PARCELs IG133DD-2300 SUBDIVISION. . . . a VILLAGE W UMMERLAKE PARK 2 ZONINCia BLOC:K. . . . . . . . . . o LO1 . . . . . . . . . . . . . sCit CLASS OF WORK. sNE.W TYPE OF USE. . . sSF OCCUPANCY ORES. aR.3 OCCUPANCY' LOADs2218 4 TENANT NAME. . . a Rem.+ rl-.s c DUN MORISSE;TTL ELDERS, INC. P 0 BUY. 19524 PORTLOND OR 97219 Phone On 503--244-•9314 Cortt•ractor a DON MURISSETTE PLDERS, INC. P O PDX 19524 POR11_PND OR 97219 Phone Me 50:3 62FJ-715:38 Reg li. . a 35533 Oc.cupaknr..y of the above! 4reft"rencted building is hezrby given, and catti.tir..s the crimpliance with the State Of Oregon Specialty Coders for the group, oect.tpa+nry, and use under which the reforericed permit was issoled. FIRE DEPARTMENT IL.DIiRfiP!"( TOi< PU UA INT) dKICIAL� POST IN CONSPICUOUS PLACE: I� 1 It Y INSPECTION NOTICE i City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection / `�_ ---- - Date Requested_--6- 6 — _ Time A.M. //!�f-P.M. Address hermit Owner Lot #. Builder . — — — The following Building Code deficiencies are required to be corrected: Presented to _ approved Inspector — ❑ Disapproved 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 _ --- — m,,_ A.M. P.M. 11 Date Requested f�____ �� Tii - �• Address ��� a� S`�.—�� Permit # ' OwnerLot #_ Builder , -----The following nuilding Code deficiencies are; required to be corrected: i ---- ----------------- I Presented to - ----� �Approved Inspector _ _ Disapproved Date - - -�( - CALL FOR REINSPECTION DYES ❑ NO INSPECTION NOTICE_ City of Tigard Building Department P.O. Box 23397 Tigard, Orecon 97223 Phone: 639-4175 Type of Inspection Date Requested '�� - Tiros A.M. P.M. Address Owner _r Lot # _ Builder --- The following Building Code deficiencies are required to be corrected: 31 Presented to Approved Inspector `��I �J f�`^'�° — -- ❑ Disapproved Date CALL FOR REINSPECTION ❑ YE8 $ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 + I Phone: 639-4175 Type of Inspection �.0 �1 � — Date Requested _ Time A.M. .M. Address _ � e�[(GX. Permit #� Owner ._ LS�o _— Lot #_- --ThBuilder e following Building Code deficiencies are required to be corrected: ��–' -__ �C to h /J`K-'cacJ,uz���1c .11�,��1 1�•a.�'���QTT,� Presented to Flpproved Inspector _ `�G ❑ Disapproved Date —�� -'7 CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 P one: 639-4175 Type of Inspection —4--- Date 4`Date Requested �i ff _ Time A.M. __ P.M. Address Owner --yam -- - -- Lot # BuilderThe followirg Building Code deficiencies are required to be corrected: A00 I .1- .)o I sT' --r--o A hov - aA1z A!�<<- E*7'-t5nra 7CUTL�Iac %=NT— �O�ru �o A 124AC-:i-o— — Presented to Approved Inspector Disapproved Date. CALL FOR REINSPECTION 0 YE= 0 NO INSPECTION NOTICE City of Tigard Building Departrrtgnt P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection - _ �'{ •/WSUA/I /oj Date Requested a. � Time A.M.--//,—P.M. Address LL� Permit Owner----- _ — Lot Builder The following Building Code deficiencies are required '..a be corrected: _—k oUa✓ t�`� �O�Z�vt�� _ _ - Presented to iApproved Inspector ❑ Disapproved Date CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.G. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested r- '' U / Time-- A.M.-P.M.�,1 Address �L(1�-iib© -c- it #*V,-1233 Owner _ Ut # Builder . __. __ �Q--�d l The following Building Code deficiencies are required to be corrected: n, Piesented to -_-__ _---_ _ __ _ _ Approved Inspector ✓ �.-� Disapproved Date CALL FOR REINSPECTION ❑ YES C7 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 I igard, Oregon 97223 Phone: 639-4176 Type of Inspection _ = `y�JY` --fir --�----- Date Requested___..._— =.2�`l/ — � Time.—.td A.M._ P.M. Address 4�s _ / Permit #i;22 3 Owner —.___ Lot # Builder The following Building Code deficien s are required to be corrected: Presented to _ -- ----- -__ _—. N Approved Inspector ti _ __ _ P'sapproved Date CALL FOR REINSPECTION CJ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 635-4175 ,/� Type of Inspection s.�G�ic. oez- Date Requested C:5) G1 3� /— ,�, [�_ Time �` A.M. P.M. Address ��'� lo� « C?O, Tom — Permit Owner Lot # _ BuilderThe following Building Code deficiencies are required to be corrected: Presented to _ � -_ _- Approved Inspector ❑ Disapproved Date CALL FOR REINSPECTION C� YES O NO INSPECTION NOTICE City of Tigard Building Department P.O. Box ;3397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- i Date Requested /,,� �" � -�e _ Time ._ A.M. P.M. Address _ v Owna► _ Lot #_ Buileer The following Building Code deficiencies are required to be corrected: Presented to ,t Approved Ir;pector _! LI Disapproved Date z•C�— Qb CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE � /) City of Tigard Building nepartment G P.O. Box 23397 Tigard, Oregon 97223 Phone: &19-4175 Type of Inspection — G Date Requested ��� Time.�A.M. P.M. Address _`� -- 1 ' =� �Permit Owner _ ,L- — Lot # Builder The following Building Code deficiencies are required to be corrected: ----------rte— — Presented to __—._._,-__ ___— ❑ Approved Inspector _ (_( disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phono: 6394,,115__-• 'Type of Inspection Date 'riequested. -3,—/S __ Time i�A A.M. P.M. Address l� L ���I + -�'ermit Jwner Lot Builder --- The following Building Code deficiencies are required to be corrected: y Presented to �� __ pproved Inspector ��� [� Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO CITYOFTIFARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT �' • • • • • : MST90-0033 13125SW14d1BNaoc d P.O.B =w.T*wd.Aspo9VAM(5W)63D-4175 PRIM. P� IT #. : MST90-0033 -- -- —-- ——__—__G3a_41 T� -----e. Ds—W/12/�3A-------- --SITE ADDRESS. . . : 12865 SW VILLIAGE PARK LN PARC"' 1S133DD-2300 SUBDIVISION. . . . : VILLAGE AT SUMMERLAKE PARK 2 ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :62 ------ BUILDING ------------------- REISSUE: DWELLING UNITS:1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :450 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS----------- TYPE OF CONST. :5N FIRST. . . . .1106 of LEFT- 0 ft RIGHT. :9 ft OCCUPANCY GRP. :R3_ SECOND. . . :1100 of FRONT. :20 ft REAR. . :36 ft. STORIES. . . . . . . :0 THIRD. . . . :0 sf REQUIRED-------------------•- HEIGHT. . . . . . . . :20 ft TOTAL--•----:2206 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf PARKING SPACES. . :O Remarks: -- PLUMBING ------------------------------------- SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTPS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . r.0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . . WATER LINE (ft) . :1 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :1. RAIN DRAIN (ft) ., :0 WASHING MACH. . . :1 SF RAIN ORAINS. . :1 --------------- MECHANICAL --------------- ---------- ___-_- FEES -------------- FUEI, TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . :0 PRMT $ 435.50 MAX INPUT:O BTU VENT FAN3. . :3 PLCF $ 283.08 / F11RN < 100K . . :0 HOODS. . . . . . .I 5PCT $ 21.78 FURN >=100K . . . _ WOODSTOVGS. :O PAYM $ 100.00 JLH 01/17/90 10691-7 FLOOR FURN. . . . :0 CLU DRYERS. :l 13TDC $ 600.00 BOIL/CMP •c 3;I13:0 OTHER UNITS:O SSDC $ 250.00 GAS OUTLETS:1 PARK $ 251,.00 Owner: ---- PRMT $ 37.50 / DON MORISSETTE BLDERS, INC. PLCK $ 9.38 / P 0 BOX 19524 5PCT $ 1.88 / PRMT $ 132.50 PORTLAND OR 97219 5PCT $ 6.63 Phone #: 503-244-9314 PAYM $ 1928.25 JI.H 03/12/90 Contractor: -•----------------------•------- DON MORISSETTF. BLDERS, INC. P O BOX 19524 PORTLAND OR 97219 Phone 1: 503-244-9314 Reg #. . : 3'_,533 ---------•---------------•------------- $ 2028.25 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED INSPEC Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Inep Gyp D appli^able Taws. All work will be done it accoruance with approved Poet/Beam Inep Rain plane. This permit will expire if work is not started within 180 Plm/undslab Insp Water days of i3auance, or tf work is suspended for more than 180 days. Mechanical Inep Appr/ Framing Inep Final Inspection Permittee Signature: L ���� Fireplace Insp Gas Line Inep Issued By: ___ __ __ Insulation Inep CITYOFTWARD CRYOFTWAR& WER COMMUNITY DEVELOPMENT DEPARTMENT ORE00"CO ECTIO14 19125 SW 1-W 6k4d.P.O.Bm 23397,TQwd.Omgo*(W=(501)684175 P RMI T --- ----�i33-4,�, ------- — �_ -SWR90-0024 -- ---1 PRIM. PERMIT #f. : MST90-0033 DATE ISSUED: 03/32/90 SITE ADDRESS. . . : 1.2865 SW VILLIAGE PARK LN PARCEL.: 1S133DD-0062 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ---------------------------------------------------------------------------------- TENANT NAME. . . . . . USA No. . . . . . . . . . :40603 FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . :1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf nomarks: Owner: ------------------------------------ ----------------•- FEES -------------- DON MOHISSE'1TE BLDF.RS, INC. type amount by date recpt P 0 BOX 1957.4 PRMT $ 1250.00 INSP $ 35.00 PORTLAND OR 97219 PAYM $ 1285.00 JLH 03/12/90 Phone Y: 503-244-9314 Contractor: ------------------•----------- CONTRACTOR NOT ON FILE -------------------------- Phone 1: $ 12.85.00 TOTAL Reg . . . ----- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 120 days from the date i-ssued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the — — Aide sewer laterals. If the sewer is not located at the measurement g1ven, the installer shall prospect 3 feet In all directions from the distance given. If not so located, the installer shall purchase — a "Tap and Side Sewer" Per t and the Agency will install a lateral.. Permittee Signatures Issued By: -- -- --�—--- -- Cal.l for inspection - 639-4175 I CITY OF TIGARD — RECEIPT OF PAYMENT REC NO 00101776 CHECf:.'. "AMOUNT 21 25 14AME t DCIV MOR15SETTE CASH AMOUNT a .00 ADDRESS: PVMFNT DATE a 03-12-90 PORTLAND. OR 9721 ' BLOD NO/ADDP. 12@65 SW VILLAGE PAR11, L PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMf.lUNT PAID BUTI-DING PERMIT ('30-007,71 435.50 PLUMBING PERV 17.2.50 MECHANICAL PERMIT 7.50 STATE BUILD i-+.6'h(T TAX 1,510 -.O.,29 PLAN CHECV FEE 1921.46 SEWER USA (90-00241 1.250.00 SEWER INSPECTION '15.(10 STREET SLIC 600-00 PARI,9 5,C3TEll DEVELOPMENT CH 011 '-;TOI'-"M DRAIN SDC 250.00 TOTAL AMOUNT PAID 27 5 T167A PLAN CHECK APPLICATION CITYOFRD aro«ncxm PLAN Ct1ECK a�� PERMIT S iM6►9-'UNITY DEVELOPMENT OEPAl1TMENT C=ON DATE ISSUED vn'sSW 4.,eti.s..eA.G"23"r.Ths�lt 9O1 TAX MAP/LOT 708 AO ORESS:1�'�� 5 W \� "`� LAND USE: SUB: �r� VALUATION: / SPECIAL NOTES OWNERREISSUE rm ____ ( p f u c------- NAME: LAST REISSUE: i ADDRESS: 7?1 FLOOD PLAIN/ 1 p - SENSITIVE LANG: --------4-zi 31 —.-:—_ ZQ PHONE: APPALS REgIIIRED PLANNING: OR ENGINEERING: NAME� FIRE DEPT ADDRESS: -- OTHER: _ LIST/SL8O0NTRACTORS- BUS TAX: — ARCHS�G (LLEqCALCULATIONS. - -- NAME' T� TRodc-S OE.TAILS: - ADORF-S: — M 'NG PLAN- LANDSCAPE PLAN: _- ---- OTHER: — PHONE: 9 A "-Y Cot AMTS: -- '— AMOUNT AMOUNT PD_ BAL. DUE PERMIT N ACCT DESCRIPTION - , , S 1p_..432 O0 Building Permit Fees ✓ ���' �—. ✓:.7' _ 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit- Fees 10-230 01 State Building Tar. 4 Building �r Plumbing _ mc!ch 10-433 O0 Pians Check Fee 8ui ld ing Plumbing - Mcch �,;• ,o)`j 30-201 00 Sewer Connection 30-444 00 Sewer Inspection r Street System Oev Charge 51-448 00 52-449 00 Parks System Dev gharge (POC) Ctorm Drainage Sysl Ocv 0'r3 (SSUC) 3 1--4 50 C10 - 10-230 09 TRFO 10-230 OG Washington C-001,Ly fire 10-220 00 nmart/Wedgewood 101"nL Rf---C 11f L�--- APPI-1LANT SIGNATURE Ua to Received: _ l _._----- Kcceived By: - S,IIAI)INGiF R( SION CONT' I INFI MATION 7m;ggi &ADDRESS: CASEFILE NO.: PERMIT NO.:APPi.ICANT AME AND ADDRESS. EXCAVATION CONTRACTOR NAME& ADDRESS:,. r _ 1 L OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: ? l PROPERTY DESCRIPTION: APPLICANT: STREET ADDRESS AND CROSS STREET/LOCATED b' GENERAL CONTRACTOR:_�J-,l 1 EXCAVATION CONTRACTOR:L I - SITE/JOB: LEGAL,DESCRIPTION: S :3 24 HR/AM- R HOURS EMERGEN(:'Y TAX LOT NO.: : ~�C' CONTACT PERSON,TITLE,TELEPHONE: I/4 SECTION: `,S- ), - _ SITE SIZE,ACRES_(,j„��!X'' _"> DISTURBED/WORK AREA,ACRES'--- LOCATION CRES_LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF.DRAINS TO:(CIRCLE ONE) LEAVING SITE Will,BF.TAKEN -_•) (NOTE:PERMI'T'S MAY BE REQUIRED) CAT .BASttt DITCH I PIPE CREEK C (CIRCLE ONE) PRIVATE PROPERTY - BLFC RIGHT OFWAT-- EROSIQN�'�EDIMENTATI N 'S�NTRUL (E��1�NA; MINIMUM ESCREQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOW WG 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,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULEJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND r:PPLICABLE STANDARD N(TTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN E:;C MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. �`7L/0 — --- iLWNF..RSIGNATURE r APPLICANT SIGNATURE • • • • • • • • • • • • • • • • • • • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • OFFICIAL.USE ONLY. RECEIPT DATE. ACCEPTED FL"E NUMBER RECEIVED_ — BY----- i 1 P.O.Box 19524 Portland,OR 97219 (503)244-9314 i The Foundation For Affordable Homes Sc e' ► =Z0 73Ti cS, � h�PSuN� l ' wtw�JQaoz Q C-t-.t rJ OU k. L o7 G 2- Ft" FGt.¢ o c i -r-//Z v I(o W C..,e#1 i 1 c177opTIC- O(LC) t�,-�aSHluGlurl cc„��T� I I PPfLo�a� la � ��ro Lo w LX l Fbiml 7 N i t�) z,• r� FFk1U_I � 21�: i3►r;i la n , 1 3t ' �}c' 10311' C) 1'11Lt C C% L 4 l 2 p 6' I0'116' V 107 9 U)T (0�n fc2 6� lug, 60 � I�____