12740 SW 134TH AVENUE a
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CITY OF T-'GARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
/ G / B{JP
Cate Requested 1o( 1 117 AM PM __ BLD —
Location /,;L-7c(C) `z3u) ( ��� 1✓ Suite MEC
Contact Person 6�_lC_v'. / (� 0�-(OY'I S.�' �— Ph �U�`-� 7 7 _ PLM
Atractor Ph SWR
JILD NG_�' _ Tenant/Owner ELC
Retaining Wail ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear / _
Framing ___ J�� `�' ✓
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: —
ASS ARTFAIL ----..--------- --_
1GI8'I G
Post& Beam — — ---- ----- — --- _._
Under Slab
TopOut ----- -------- --- —���.---
Water Service
Sanitary Sewer
Rain Drains _
Final __---- - -- ----- ---------------------
PASS PART FAIL _
MECHANICAL
Post& Beam ----- - - ---------
Rough In
Gas Line ---------- -
Sm ampers
PART FAIL
E TRICAL -- ------- ------_.-
Service
Rough In
UG/Slab
Low Voltage ---- - ----- -- -------�, V .__
V") Fire Alarm
rFinal — ---.------ - ---------------
~ PASS PART FAIL ---------- ---.--_ .- ---.---------.-____ __, _
J
r SITE
rckfill/Grading ---- '- - ---
LU 5Fnitary Sewer
J
S!orm Drain [ ] Reinspection fee of S required aefore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cntch Basin ( ] Please call for reinspection RE: ( ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date _/a - z s- inspector Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
_CERTIFICATE OF OCCUPANCY
C I�1 Y OF T IG A R D
PERMIT#: MST1999-00182
DEVEI JPMENT SERVICES DATE ISSUED: 08/09/1999
13125 S" Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104AC-11100
ZONING: R-7
JURISDICTION: URB
SITE ADDRESS: 12740 SW 134TH AVE FILE COPY
SUBDIVISION: DEER POINTE
BLOCK: LOT:002
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path I
Final Building Inspection and Certificate of Occupancy Approved
10/29/99 by Ken Schriendl, Building Inspector
Owner:
DOIJ MORISSETTE HOMES
5000 SW MEADOWS RD#151
LAKE OSWEGO, OR 97035
Phone:
Contractor:
DON MORISSETTE HOMES
4230 GALEWOOD STREET
SUITE 100
LAKE OSWEGO, OR 97035
Phone: 503-387-7558
Reg#: LIC 000355
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s This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use u der whi h the referenced permit was
issued.
BUILDING INSPECTOR BUILDINd OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGAR® MASTER PERMIT
PERMIT#: IVIST1999-00182
DEVELOPMENT SERVICES DATE ISSUED: 819199
13125 SW Hall Blvd.,Tigard, OR 97223
SITE ADDRESS: 12740 SW 134TH AVE U,�(`�GNAL PARCEL: 2S104AC-11100
SUBDIVISION: DEER POINTE ZONING: R-7
BLOCK: LOT:Of'-- JURISDICTION: URB
REMARKS: New SF - Path I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 880 at BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SIFLOOR LOAD: 40 SECOND: 1,188 at GARAGE: 420 of FRONT: 47 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: S 152,442.52
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: ., REAR: 39
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS, 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES. 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I �—
GAS FURN—100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: blu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS QU'rLETS: 1
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS E RANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amn: 0 - 200 amn: NISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: at W10 SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 000 amp: FA ADDL SR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 001 - 1000 amp: 601-amps-1000v: MINOR LABEL:
106 T•amplvolt
PLAN REVIEW SECTION _
Recol„ec'o.IV: >=4 RES UNITS. VCIFDR>-225 A.:
>600 V NOMINAL: CLS AREAISPC OCC:
!
ELEC-,RICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL -- B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO, FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH- BOILER: HVAC: LANDSCAPURRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAL• DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS.
Owner: Contractor: TOTAL FEES: $ 1,665.36
This permit is subject to the regulations contained in the
CON MORISSETTE HOMES DON MORISSETTE HOMES Tigard Municipal Code,State of OR Specialty Codes and
5000 SW MEADOWS RD#151 5000 SW MEADOWS RD all other applicable laws. All work will be done in
LAKE OSWEGO.OR 97035 STE 151 accordance with approved plans This permit will expire if
LAKE OSWEGO,OR 97035 work is not started within 180 days of issuance,or if the
Work is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law req ires you to follow rulers adopted by the
0- Oregon Utility Notification Center. Those rules are set
rX
Rep 0: LIC 000355 forth in OAR 952-001-0010 through 952-001-0080 You
fes- may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
_ REQUIRED INSPECTIONS
Erosion 844-8444 PosUBeam Mechanical Mechanical Insp Shear Wall Insp ApprlSdwik Irsp Plumb Final
Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Urh St Tree Certif Llr P Final Inspection.
LO Footing Insp Crawl Drain/Backwater Electrical Service Insulation Insp Backflow Preventor Building Final
w
-I Foundation Insp Footing/Foundation On Electrical Rough In Rain drain Insp Electrical Final
Post/BeaM-SNuetaral_ PLM/Underfloor Framing Insp Water I-Ine Insp Mechanical Final
I
• C Permittee Si nature
Is ued By : „��I �'�1,Qf�1 9 ,- - -
Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day
Uf4sewerage• SAN ITARY• D o]
a e�nc N. First Ave.,Suite 270, Hillsboro. Or.,97124 SURFACE WATER �
503 648-8621
l tJt?t!F-:(,' r ti.►t; PFF.RM1' T
CIAI'f 000999 EXPIRATION l:tsa'fF' 0:70500 [:C C?r., 1)AI'1: ()(3()SOt r'F:r(MXT 11i3:iE,
STRUCTI)RE ADDRESS 12740 VROJr(,'1 8173
STRUCTURE STREET W 134TH AVE:
L11T 2 BLOCK
'rYPf:; C1.1NNI;CT CC)P4 NEW CJF T.IF17.R POINTE
TYPE INSTALLATION.- ( 19) BLJI SWR/ERG CON./FMC,
T'YF't: ()(wCI.IPANC:Y-- ( t ) S:fNOIJ.. F AMIL `f r'ARCf=:L 2!il 4AC 11100
OTR SFC 4316 MFS 26743
OWN:_R DON 140RI SSE"TTE IAOMES
AT.II)RE SS 5000 SW MF-AI)OWS RA TRF.ATMF•'NT F'I.ANT DURHAM
I—AKE OSWEGO OR 970'.75
PHONE 620-•7536 WATFR DTSTRI'CT' T IG61,'D
I=IX,'TURF E:[lUIVALENT IIWELL.INGi RFS IIIF"N1IA(_
1.1NI:TS 3F.:RVII:;F: 1101 V a 0,0 UNITS 1. SERVICE UNITS 1
CONNECTION FF:F.'S SLIF,F'A(.F' I+ MIR 11FVF'I. OF'M.NT FIFES
SEIALR CONNEC'TT.ON ?:100.00 WATER OIJA1. ITY 210,00
IXM'i CRF EIIT 110 ,00:
W,'trrR OUANTITY 290.00
L E SS CREIsIT 58,M,
EROSION CONTROL.
INSPECTION -54 , 00
FLAN CHECK 41 , 60
51.10 F11TAL 2300,00 5118 TO l At.. 337.60
1'OT 41.. 2637,60
LL APDL. NAIIC PUNA PHONE _..- .._. ...� ...... ._
AFF 1'LLIATION REF'
REMARKS LOT 2 PPOJ 0173 DEER POINT
-t *24 HOUk NOTICE= FOR F'ROSION CONTROL INSPECTIONS REQUIRED
L *>Ir*
Num n rkaI. 1. 0r T NSF.,FG I N--844-11,0#4 ******
C7 C' r
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Permit Conditions: The applicant agrees to comply with all rL,s and regulations of the Unified Sewerage Agency.inCluding those regarding erosion control.
A 24-hour notIte Is required for erosion control Inspections.The inspection request number Is 844-8444.When cplling for an Inspection,please refar to
the permit,project and lot numbers.
Tile permit expires one hundred eighty(1801 days from the date of issuance.The Agency does not guarantee the accuracy of the location of side sewer lateral.
7/93 WHITE - USA, BLUR - Accounting, GR.EN -Inspection, YRLLOW - Customer
CITY OF TIGARD Resider'%Js! Building Permit Application Plan Check# `7
131'25 SW HALL BLVD. Additions or Alterations Re,,`d By
Date Recd
TIGARD„OR 97223 Single Family Detached or Attached (Duplex) Date to P.E,c
V 503-639-4171 Date to DST
F 503-684-7297 Permit#01 Hq'I- ('XL
Print or Type (14-6 Called `�•-
Incomplete or illegible applications will not be accepted
I ame of Proled Name
Job 'C`�r � t ' �" c;1 Address
:r
Address Architect Mai ddress
rte Addre s, 4 c r
ame itylsyate ip,,._ Ph ne-
__t -t --
Name
Owner Mailino Address + I
itylSiate P ne -ttEngineer Mailing Address
r ��C —f—Zj City/State Zip Phone
General Name '
Contractor �- M= ME Describe work New Addition O Alteration O Repair O
Mailinq Add to be done: _
Prior to permit ' Additional Description of Work:
issuance,a copytty/St to Zip P one
of all licenses �o
are required if Oregon C nst. ort. Boar, E)p. Date PROJECT ��•
` expired in COT Lic.# '56"-,C� �2 '5 llD ( VALUATION } 2� �� '
database ✓✓ JJ -_
Mechanical Name NEW CONSTRUCTION ONLY: ^Z
Sub- Sq. Ft. House: Sq. Ft. Garage 1
Contractor Mailing Address
Prior to permit COE ' Indicate the restricted energy installation by the electrical
issuance,a copy it /St� ip Pho a subcontractor in the following areas _
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont. Board Exp.Date Energy System �— Alarms
expired in COT I_ic# /� 3 Installations Vacuum lrrigaiion
database -7 5Ltag -� bleb S stem S ristem
Plumbing Name (check all that Other:
Sub- Turn I2 __apply)
Contractor Mailing A dress Corner Lot �S Flag Lot YES NO
t`Iq
(check one) (check one) _
-70-7 �A ff Y/ Has the Subdivision Plat recorded? N/A
Prior to permit tylState1 )c Zl hot e
issuance, a copy 1 C — —
of all licenses are Oregon Const.'Cont Boarr Exp. Dal
required if Lic.# �y /y �
to � l I
expired in COT �-1., ► t I hearby acknowledge that I have read this application,that the
database Plumbing Lic # Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submittAd are in compliance with
Ore on State laws.
NameSi u
;Ln �, ne Age
Electrical _qV
Cal
Contact Person Name hone
Sub- Mailing
` l
Address ` J
Contractor
h'
G 1c� lx�
City/State Zip Phone
Prior to permit l_
issuance,a cc.py ��I1 r� U-1d FOR OFFICE USE ONLY:
cv of ail licenses ire Oregon ConstCont Board Exp Date
J required if Lic# Plat#: qg� ;
expired in COT I V l.E� I 2tr 1 r
I database Qect ical LiG # ~� �;pl D t� I — etac r tB Zon Sohl:r w-
Electricals es ur Lic # l l D�tl�l ' ngjneefin�Approval- Pla j ing Approval: TIF:
i:tdsts\forrnsWaddalt doc 11/20/98
r
lotDON • MORISSETTE
11 Om Z Q I N C O H P O Z A Z 2 D
a000 LT IISADO ' Q ROAD ODITi Ii 1
LAZS 0 8 V I CO, 021O0N 070a5
(ppa) Sao - 7bab FAX (603) § 20 - 7446 OBE : � ^J{��
WNGRETE PORC�4 l}
12140 S.W. m LOT: 2
-� i�p DATE: 4/7/98
134th Ave. �A z PROPERTY: DEER—POINTE
CA=: TIGARD
SCALE: 1'=20-
19.92' PIAN No.: 712
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