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12903 SW VILLAGE PARK PLACE w L2903 SW U LLAGE PARK PLACE fr� �w re► ere• rs► �e wP e� � t AFARD CITY' OF CERTIFICATE CANC OF rCinlyOFTi ARD OCCUPANCY COMMUNl1•Y DEVELOPMENT DE QT�n ` oinoo►+ K`f:RM1'T' M. . . . . . . a MST90- CdtAi':� 13125S1Vl1eIIHhd. 4'.O.E3or1L?97,7i�ard,OraSpD �c6G3) a 6 , PRIM. PERMIT M. a M5T90 001`5 --- --- -DATE If305UEDc 6'TLu196 SITE ADDRL'iS. . . t 1._'900 5W VZL.LAGE PARK. L.!•1 PARt"Ll._e 15133DD•-025691 ' SUBDIVISION. . . . A ZONTNOD BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . 164 CLASS OF WORK. %NEW TYPE:' OF USE. . . a 5F- OCCUPANCY GRP. iR3 OCCUPANCY LOADce20 4 TE NANT NAME. . . c Rem arlfsI DON MORISSETTE BLDERS, INC. P 0 BOX 19524 VAOR t'LAND (1R 97219 Phone #fit 50J-P44-9314 Con trac,tor c CONTRAC IOR N(i-f ON FILET Phl-me He Reg ". . 1 Occupancy of the abc)%,e referenced tr-..ri ld.ir',q is hereby given, ar)d certi f ie -S the compltence with the State Of Cragon spec.! ally Codes fr_)r the v,-coup' occupan-y, and use .ruder which the referenced permit was Issued. FIRE, DEPARTMENT BUILDING INSPC7R BUILDI OFFI POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Bu 'ding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested A,M,^ P.M. Address .__ Permit Owner Lot # _ Builder The following Eludding Code deficiencies are required to be corrected: Presented to_ _ pp'�*ved Inspector - ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building ' epartment P.O. Box 23391 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspectiony,, -- Date Requested_ 2 Time /' �rJ� R.M._y P.M. Address 1�7 U S l /�f/ Permit #'4& Owner.,-- Lot # BuilderThe following Building Code deficiencies are required to be correcred: Presented to _ __ ?,pproved Inspector ElDisapproved Date _ � CALL FOR RF,INSPECTION Cl YES Cl NO I NINON INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested ����� �,y_ Time A.M,�.—P.M. Address ,�a 9 0 ,Af—eepermit #5P.0 -4'zz" Owner_ ___�___ Lot # Builder The following Building Code deficiencies are required to be corrected: 1 I V'l a `o_ ,C 1.Lk Presented to _ (� Approved Inspector M Y `e JN'Disapproved Date _ (C r n CALL FOR REINSPE N YES f NO INSPECTION NOTICE City of Tigard Building Department P.O. Box Tigard. Oregonon 97 97223 phone: 639-4175 Type of Inspection -J491') e2i4vggg / Date Requested _ G �Tim _ A.M. ^ P.M. Addresst 9 60— ---hermit #ezZ -- I— Owner_ --- -- Lot # Builder ��Y�[ l9711�/SS.�r7c The following Building ';ode deficiencies are required to be corrected: Presented to - _— _..— .�flpprnved 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 Date Requested S Time P.M. Addresses y a 3 V ��� Permit # - Owner-- --_—.—�—� --- Lot # Builder --- The following Building Code deficiencies are required to be corrected: 7 ie ev Presented to _ pproved Inspector _—_ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YE! 0 NO INSPECTION NOTICE f City of Tigard Building Departm/nt P.O. Box 23391 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection — _ — W., Dote Requested Time� AAf�.MM.�._ P.M. Address 2 a 5;7 Owner _— Lot # — Builder The following Building Code deficienciex are required to be corrected: --tic s fir!r Presented to 2 _ Approved Inspet.tor — Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department , P.O. Box 23357 -" Tigard—Or0Wn 97223 Phone: 639-4175 Type of Inspection _ - --- — - Date Requested } ° ) Time___--_ A.M. P.M. Address Owner Lut # Builder The following Building Code deficiencies are required to be corrected: _ ------ ---- PresenteApproved Inspector �_-_ ❑ Disapproved Date — CALL FOR REINSPF,CTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Departrr..;nt P.O Box 23397 ,l! Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested /�Q Tim P.M. µ � / Address � e mit #� Owner _ Lot # Builder The following Building rode deficiencies are required to be corrected: i I d Presented to -_-_ /CT Approved Inspector = _ ❑ Disapproved Date CALL FOR REINSPE( TION ❑ Y%3 E] NO f INSPEC_ION NOTICE City of Tigard Building Deparlm3nt P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — Date Requested l /1 �Time� A.M.`_ P.M. Address _��` �y� UC.�i � ���_ Permit #_ Owner— _ __ Lot #— Builder �Ji"��!�� � _ The following Building Code deficiencies are required to is corrected: Presented to Approved Inspector �, _. _ Disapproved Date / D CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE !, � City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Typa of Inspection Date Requested � �� —��— Time A.M. P.M. Address &2 10,5--- LZ 'Permit Owner _ _-- --- Lot #_—.---- ------- - --- — Builder - --a1.� -- 'L --- ---- --- The following Building Code deficiencies are required to be corrected: Presented to _ .Approved Inspector ❑ Disapproved Date _ d CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -__—.-- // --.-------y------_—_--- _ Date Requested �� �7 Time A.M. P.M. Address ��-3 -��1J .1 � � "f`a` Permit * _ Owner_.. "' y Lot The following Building Code deficiencies are required to be rorrected: Presented to Approved _ i Inspector — ----__-------^---_---___ - C Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO C17YOF71GARDv CHYOF_ PERMIT COMMUNITY DEVELOPMENT DEPARTMENT Tri' N . . . . . : MST90-0015 13125 SWHWIBKd.P.O.E14rk23397,Fgad,OrWod==(5W)639-4175 \,-PRIM. IT I. : MST90-0015 <;-4U-4171 ---i4in-ISSU Da 03/ 2Y9O - ------__._____---- __-- SITE ADDRESS. . . : 12903 SW VILLAGE PARK PL PARCEL: IS].33DD-64 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . --------------------------------- BUILDING --------------- REISSUE: DWELLING UNITS:1 BASEMENT. . . . . . . . :0 of CLASS OF WORK. :NEW BEDRIIS:4 BATHS:3 GARAGE. . . . . . . . . . :451 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :1350 Bf LEFT. . :7 ft RIGHT. :9 ft OCCUPANCY GRP. :R3 SECOND. . . :1672 of FRONT. :20 ft REAR. . :29 ft STORIES. . . . . . . :0 THIRD. . . . :0 of REQUIRED------------------- HEIGHT. . . . . . . :20 ft TOTAL------:302.2 of SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf PARKING SPACES. . :O Remarks: ----------------------•------------- PLUMBING ---------------------•---------------- SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . :3 WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LIME (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :1 WATER LINE (ft) . :1 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :1 RAID DRAIN (ft) . :0 WASHING MACH. . . :1 ^F RAIN DP.AINS. . :1 --------------- MECHANICAL -------------- ----------------- FEES -------------- FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . :0 PAYM $ 100.00 DEW 01/04/90 106725 MAX INPUT:O BTU JE14T FAN5. . :2 PRMT $ 0.00 FURN < 100K . . :0 HOODS. . . . . . :1 PLCK $ 339.95 FURN >=100K . . :]. WOODSTOVES. :O PRMT $ 523.00 FLOOR FURN. . . . :0 CLO DRYERS. :1 5PCT $ 26.15 BO, - ', MP < 3HP:0 OTHER UNITS:O STDC $ 600.00 GAS OUTLETS:1 SSDC $ 250.00 Owner: ----------------------------------- PARK $ 250.06 DON MORISSETTE BLDERS, INC. PRMT $ 34.50 P O BOX 19524 PLCK $ 8.63 5PCT $ 1.73 / PORTLAND OR 97219 PRMT $ 1.32.50 Phone #: 503-244-9314 5PCT $ 6.63 Contractor: ------------------------------- PAYM $ 2073.09 JLH 03/12/90 CONTRACTOR NOT ON FILE Phone #: Regi. . . ------------------------------------- $ 2173.09 TOTAL Thie permit is issued subject to the regulations contained in the ------- REQUIRED INSPEC Tigaxd Municipal Code, Stata of Ore. Specialty Codes and all other Foot/found Inep Gyp B applicable laws. All work will be done in accordincr tth approved Post/Beam Insp Sewer plana. This permit will expire if work is not starts ithin 180 Plm/undslab Inep Rain days of issuance, or if work is suspended for more than 3.80 days. Mechanical Insp Water � � Framing Insp Appr/Sdwlk Insp Permittee Signature: _L t�tL 1 01replace Insp Final Inspection Gas Line Inep _ IBnued PI : Insulation Inep _-- — ✓ CITYOF TIGARD C=0F WER COMMUNITY DEVELOPMENT DEPAMMENT oaEcou� ECTION t 9125 SW Hall SNd.P.O.Bac 7!397,1i9Wd,0r09oiK W-#=(509)MA'75 RMI T ___639-41 7_t ---- PRIM. PERMIT #. : MST90•-0015 DATE ISSUED: 03/12/90 SITE ADDRESS. . . : 12903 SW V7LLAGE' PARK, LN PARCEL: 1S133DD-64 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . TENANT NAME. . . . . : USA NO. . . . . . . . . . :40602 FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . :1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf Remarks: -------------•--- FEES -------------- DON MORISSETtE BLDERS, INC. type amount by date recpt P O BOX 19524 PRMT $ 1250.00 / INSP $ 35.00 000 PORTLAND OR 97219 PAYM $ 1285.00 JLH 03/12/90 ?hone #: 503-244-9314 PAYM $ 0.00 JLH 03/12/90 Contractor: -------------------------•---- CONTRACTOR NOT ON FILE --------------------------------•---- Phone #: $ 1285.00 TOTAL Reg V . : ` ------- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with the rules and regulations Sewer. Inspection of the Unified Sewage Agency. The per _t expires 120 days from the date issued. The total amount paid will be forfeited if the —� permit expires. The Agency does not guarantee the accuracy 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 not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install. a lateral. 11 �I Permittee -Signatures Isaued By: Call- for inspection - 639-4175 i CITY OF T I GARD - REC1=I PT OF PAYMENT REC Not 001077:55 CHECK AMOUNT t 37.58.09 NAME: DON !XIR I SSE TTE, CASH AMOUNT t .00 ADDRESSt PAYMENT DATE t 0:--12 j PORTLAND, OR 9? '1'y NI.Ot:1. P►O!Al?DF't 12907, SNI t;II_I..AIjE PAFI- PURPOSE OF P A v MENT AMOIJVT PAID PURPOSE OF PAYMENT AMOUNT 9'A I D hU I I.II NO PEP111 T '90-0015) 323.00 PLUMBING PERP11'1 1'2.50 MECHANICAL PERMIT 34.50 STATE .BUILD PEPMIT TAX 05%1 7,4.51 PLAN CHECI; PEE 148.58 SEOEP USA (90•-0015) 1.'2050.00 KWER I NSPEC I ON x5.00 STREET' SDC 600.00 !"Wit-S SYSTEM DEVELOPMENT C.H 250.00 STORM DRAIN SPC :'30.00 TOTAL AMOUNT PAID - - 3.358.0 CITYOF T117ARD OFMA� PLAN CHECK APPLICATIOI1y COMMUNITY DEVELOPMENT DEPARTME 41� PLAN CHECK N u1zss.w.HriBlvd-P.o.Box u3v7.Tyisdo�eyon9rm,csaal �l1 PERMIT N /V57 •DU/S _ DATE ISSUED JOB ADDRESS: 1 2 Q ?, S l Jf IS Sic e �'42 k C hJ. TAX MAP/LOT SUB: Vt"4 �2 LOI F — _ LAND USE: VALIJAfION: /-3� ,��/Z OWNER SPECIAL_NOTES NN 1E REISSUE OF: ADDRESS: LAST REISSUE: - � - FLOOD PLAIN/ -�-- SENSIIIVE LAND: PHONE: ��9- 9.3 /4 _ APPROVALS REQUIRED IRED CONTRACTOR PLANNING: NAME: ENGINEERING: _ ADDRESS: FIRE DEPT OTHER: --- PHONE: _ ITEMS REQUIREO BUILDERS BOARD N: EXP DATE: _ L.IST/SI:BCONTRACTORS: BUS TAX: AR;.:H/ENGINEER CALCULATIONS: NAME: 7(L 1 C I T TRUSS DETAILS:- ADDRESS: ETAILS:ADDRESS: _ iT —i OTHER: PHONE: _--- �o s y 344 — COMMENTS: ��---- -- — -- - - ----- SUBCONTRACTORS: PLUMB: MEC": PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE _ 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10--431 Ol Mechanical Permit Fees 10-230 01 State Building Tax (5x) `tl,sl 5 Building " (, 15' Plumbing _ -,y2 Mech ;/3 10-433 00 Plans Check Fee Building Plumbing Mech - �- 30-2.02 00 Sewer Connection iL j p c� 30--444 00 Sewer Inspection 51-448 00 Street System Dew Charge (SDC) p U 52-449 00 Parks System Dew Charge (PDC) ^ ail yy 31-450 00 Storm Drainage Syst Dew Chrg (SSDC) , 10-230 06 f irt, G 10TA1_ ,p ✓J�,UC, RFC M APPI T , T SIGNATURE Received By _ Date Received: cn/3587P/18P '-�- gjzAr)I - ER SIGN ( OIYI'ROI TNI ORRIATION GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.: IJh r, 1�1 d r ` .� I'I:RMIT NO.: t-D <, r G a rZf�/ jO t-)C `) t 12 APP1,1CANT NAME AND ADD S- EXCAVATION CONTRACTOR LT—X) C n( )r i `iC'`t NAME& ADDRESS: _ — ->i ��, F}►:v,i t� OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT:) ,e 1�1[> I� 1=. £ �JLI IL DE PS PROPERTY DESCRIPTION: OWNER 1 >if STREET ADDRESS AND CROSS STREET/LA)CATED GENERALCONTRACTOR: `,L)Mr —/ ?`i`L :% -.`3ts : L , IIv ("t-, Lck ke Z') . EXCAVATION CONTRACTOR: 'ii 1 L >e4- SITE/JOB__ LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX L'JT NO.: ,= r- CONTACT PERSON TTTL$,TELEPHONE: 1/4 SECTION: t SITZ SIZE,ACRES: DISTURBED/WORK AREA,ACRES: _ LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BETAKEN SITE RWOFF DRAINS TO:(CIRCLE ONE) (NOTE:PERMITS MAY BE RF,QUI 'ED) ( PCH-BASIN ' DITCH PIPE CREEK k Mlt (CIRCLE ONE).PRjVATE_PROPERTY PUBLIC RIGHT OF WAY— ER "I N 't)NIROL (E��1—MEASURE MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING 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 CONSTRUCT ION SEQUENCE OTHER OTHER-------- PLAN THER — —PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED M ACCORDANCE Wfl'H-TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRI .T AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THF.CON5 -TION SITE. C1/0. OWNER SIGNATURE. APPIJCANI'SIGNATURE OFFICIAL.USE ONLY. RECEIPT DATE ACCEPTED ITIT NUIv.BER RECEIVED BY --- 1 , ' 1 P.O.Bax 19524 1 Portland,OR 97219 (503)244-9314 1h Foundation For Affordable Homes ScaLE 1 = 20 Oi&E R W N *- ) 7-A Fi aw(64 C p- F112 757 w1VaSu�j 1-1- I„JWpRoo►= Lr'r GQ — GE4 ' 7 5 uw1414 ,-wr 1.�rof^�� AJa)k ViU 'A g� 2 LV 2 1_ C G 1 MT S G 177�a F 't rG A Q 0 lr��SNInJGIbnJ �UV/�T`� E P4 EL v Lug l Cont-it e ns 4K� Up��WiM>C� ZZ. r � U 7s' GAIL 7�. Vk IN C` `r' I J.? 1::,141 k 12 20, to xro' c yY 1 'rL f V PCOTI (OT S I Z.E' toi 1 `•� 102 'UZq b