11929 SW 125TH COURT I
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11929 Svi 125TH COURT
CITY OIF T.v.4iion, )
C CFnT Y�O F T WA W
COMMUNITY DEVELOPPIENT DEPARTMENT 0"Gem
:l:fRTlFJ(.'ATE OF
13125 SW HWI Blvd.P.O.Box 23397,T%pud,Orw.--97223(5031839-4175 hTiNCY
oc(*.
X XX x PERM f I
0.139-4171
DA 11'1: ISFA.W"Pr
SITE ADDRr-.155— v 11929 131.4 1255111 CT PARCE:L.1 16 1 33DD- I 1 1.0"
SUBD I V I S 1014. . . . I VILIJ-Ifil I-'If S(Jl,lftlf-k 11110". PhRK 4 701411\10- R-4. 5
BLOCK. . . . . . . . . . 4 LOT. . . . . . . . . . . . . 1148
CLASS OF WORK. :NEW
TYPE OF I :ik. . . -.SF'
OCCUPANCY (SRP. A R3
DMAXIANCY L000vRE17 4
Rf.kmark%s PITH I
Owners
IvIORISGETTE HOMES
1-'lhorle "..
contravtorl
FAIN 140RISSE'l-1E. BUILDERS, INC,
115!555 �-,W BANW� fir).
IWO i
LAKE, Clf-jWf-L'(;O OR 9 7@35
Phone #1 620-7538
RvI4 41. . v 3S533
UCCLlpanvy of the above veforenred buildiny is hareby t4iven, and certifieg
t:hmm colur)l iallrso with the !itatp (if OreE4on (',orlei for the rp-,t)Llp,
alld I.Alke under wliich the reforent-ed purutil, war..
..................._._.__._r..,
f JPF 14-PORTMENT BUILD1141-i )W&TE-IOR
0-FICIAL.
11-
P05T M COW-31PHAJOUR Pt-(-or.,V-
INSPECTION NOTICE
City of. Tigard Building Department
13125 SU Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:____ - ---_ _.__—_----_--_
Footing Plbg. Underelab Mech. Rough-in Aper/Sdwlk
Found. Plbq. Top Out Gas Line •INALs
Poet:/Beam Struct. San. Sewer Framing _ -B g,
Poet/Ream Much. Rain Drain Insulation -Plumb.
Plbg- Underfloor. Water Line�77 Gyp. Bd. -Mesh.
Date Requesteds Q I —G d 1 Timet AM 1�PM
Addreaat 1 (�/1 ( � 1�/x �1�sC� _ Permit #s
Builders �� l a — �`7 J_ 1 1
THE FOLLOWING CORRECTIONS ARF. REQUIRED:
f
r
Inspectnr: r 1- i` Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call. For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 66339-4175 Business Phone: 639-4171
inspection:_
_� --—-
Footing Plbg. Underslab Mech. Rough.-in s -`A. ppr/Sdwlk
g' p
Found.
Plb To Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer ami.ng
-Bldg.
root/Beam Mech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Mach.
— �� �
� -1
Date Requested: -Time:
C
\ddress•
2
15ti
" Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED=
Inepertor%_ -
-V APPROVED DIBAPPROVMD APPROVED SUBJECT TO ABOVE
Call For Roinsp.
N.� SPECTION N0TI99 k f
City of Tigard Building Department
13125 SW Ball Blvd. Tigard Oregon 97223
Inspection Line (Rec--O-Phone): 9-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undo ab Mech. Rough-in l�Appr/Sdwlk
Found. Plbg. To Out. Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor slater Lined/ Gyp. Ed. -Koch.
Date Request:ed: L u� Time: AK _PM
Address: `I Permit i:�•Z�
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: A
S Z Ef/ _
Inspector: Lena ISL,./N Date:_ / ��� !✓
APPROVED DIAAPPROM APPROVED SUBJECT TO ABOVE
-6--""
ftsr Reinep.
�NEPECTI4N NOTICE
City of Tigard Buil.dinq Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4115 Buniness Phone: 639-4171
Inspection: --
Footing Plbg. Underalab Mech. Rough-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation iaTTU-
mb.
Plbg. Underfloor Water Lin/nee Gyp. Bd. -Mech.
Date Requested: /-!/ %� Time: AM PM
Address:- f�y� �rTJ Permit 1:_
Builder: u�!
TBE FOLLOMINO CORRECTIONS ARE REQUIRED:
Inspector:
Date: _
APPROVED DISAPPROVED �- APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPECTION NOTICE �(
City of Tigard Building Department
13125 SH Ball Rlvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Tor Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing =Bldg ^i
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
J
Date Roquesteds /_^ _Times AM _ PM
L I 7
Addreass !J ��_ Permit 747
r4 .
Builders -- --THE FOLLOWING CORRECf10NO ARE REQUIRED:
za� faG
Inspectors � / Dates! ~/ -3
APPROVED DISAPPROVED l►PPROVW RVR.IRLR' TO D/C�YR
--� Call For Reinsp.
1NSPBCTION NOTICE
Cit1 of Tigard Building Department
13125 SW Hall Blvd. Tigixra, Oregon 97223
inspection Line (Rec-O-Phone): 631-•4175 Business Phone: 639-4171
Inspection:- _
Footing Plbg. Underelab Mech. Rough-inAppr/Sdwl
Found. Plbg. Top Jit Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Mech. Rain Drain Insulation -Plumb.
PIbg. Underfloor Water Line 7 Gyp. Bd. -Mech. 1�
Datc Requested: � � Y 1 -_ Time:
N-
V
PM
Address: I ` G� 12-'5+v-
Permit /: -z
-7
IU
Builder: -0, � (�� LI? - -3 6
:liE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:. _ TDate:
APPROVED DISAII; R6 `. D :7X?7PPMED SUBJECT TO ABOYR
_`Call For Reinsp.
j_sj;CTION NOTICE
Cl--y of Tigard Building Department
nt
13125 SW Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec.-O-Phone): 639-4175 Buainees Phone: 639-4171
--
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top th:t Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldq.
Poet/B„am Mech. Rain Drain Insulation -Plumb.
s
Plbg. Underfloor. 7Water Line Gyp. ad. -Mech.
Date Requested: ZI ` 7 Timet9 rN
Address: �A^Z��' c� _ Permit #t z-Q1 I
Builder: ✓•,”�7 (5� �__�_._
THE FOIS OWING OORRSC IONS ARE REQUIRED:
Inspector: __ _. Uatet _
APPROVED DISAPPROVED �OVRD SUBJECT TO ABOVE
Call For Reinap.
kNuPECTION NOTICE
City of Tigard Building IfepArt-ment
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Foo'cin9 plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out / !ia FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
` -Plumb.
Post/Ream Mach. Rain Drain Inaulatian 1
1�
pibg. Underfloor Water Line Cyp. Bd. -Meeh.
rZ- � „
Date Aequeoted: Time: AM pM� L ^�
Address: Lj 'S C. Permit f=`
-
nullders_421b __ ---
TRF FOLI.OWJNG CORRECTIONS ARE REQUIRED:
Inspectorl --- _ Date9
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE C639-4171 City of Tigard Building I?epa*Y�nt13125 MI Ball Blvd_ Tigard, Orvyon 9 22
Inspection Line (Rec-O-phone): 639-4175 Busineas
I nepect ion t --- --
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer lraming� -Bldg.
Poet/Be-m Hoch. Rain Drain Insulation -Plumb.
Plbg. UnderfloorWater Leiine Gyp. Bd. -Meeh.
Date RF.+questedt /l�1� L�_ /a `2 Timet A!7 PH
Address a 0"/ /' L _ Permit I s���� �1
Builder:
THE FOLLOWING C'ORREC-'TIONS ARE REQUIRED-
Inspect or
EQUIRED:Inspector Data/
"PROMO DISAPPROVED APPROVED SUBJECT TO AB'7VE
Call For Reinap.
INSPECTION NOTICE 7Z��
City of Tigard Building DepartAbMit
13125 SW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. lT6q. Top Out Gas Line iINAL:
Post/Beam Struct. San, Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line 7 Gyp. Bd. -Hoch.
Date Requested- L — Times — M 7 PM
Addreen•� � - f_- Permit 1: I/V
Builder-
THE FOLLOWING CORRECTIONS ARF REQUIRED:
inspector s /� Oats: l/-L jr—
"PROVED
APPROVED nISAPPRUVED APPROVED SU ,SJJNM TO
A8M
Call For Reinep.
INSPECTION NOTICE
v
City of Tigard Building Gelmrtmmnt
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection _—
Footing Plbg. Underalab Mach. Rough-in Appr/ndwlk
Found. bq. Top Out�1 Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watery Line Gyp. Bd. -Mech.
Date lequeated: / -`! -2— __Timet AM PM
Addrwis: C ,� Permit
Bui.l.dor:
T11E FOLLOWING CORRECT IONS ARE REQ41RED:
— 04
Inspectort � Jata:_
APPROVED DISAPPROVED _ !_'�1llPRUVRD EUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departs[+.nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone.: 639-4171
Inspection-
Footing
nspection:Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. plbg. Top Out Gas Lino FINALs i
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Edam Hoch. Rain D.:aln Insulation -Plumb.
Pibg. Underfloor Water Line Gyp. Bd. -Hoch.
Date F,equested: Times AH
" 1Address: �� Permit
Builder
THE FOLLOW�,•O CORRECTIONS ARE REQUIRED:
i
1
i
Inspectors../____�_ _ _ Date
i
x APpROVRD _ _ DI3ApPROVItD APPWDVISD SUBJECT TO ABO{/R
Call For Rsi....,.
INSPZCTION NOTICCI
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4111
Inspection•_
Footing Mg. Qnderelab Mech. Rough-in Appr/Sdal.k
Found. �f,cfflbq. Top Out 1 Gas Line PINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lines Gyp. Bd. -Mech.
Uate Requested: ^ / Times AM PH
Address: S Permit __/
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIREDs
Inspector r Dates �� ^� �✓ l�
APPROVED DISAPPROVED APPROIED nUH.TECT TO ADOVF.
_call For Reiner.
INSPECTION NOTICE
City of. Tigard Building DepartAon.:
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•..______
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINAL:
Post/Beam St-:act. sen. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
7,:'.,q. Underfloor Water Line Gyp. Bd. -Koch.
Date h,4queeted:__ 1 C 3 �� _Times AM __PM
Address: �a �S _ Permit i s 21,
Builders- - -------- j
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
67
j
-----
� v
1-�
i
Inspectors --- ---- -- Da
APPROVED DISAPPROVED APPROVED 3UBJRCf TO ABOVE
Call For Relnsp.
INSPECTION NOTICE
City of Tigard Building Departanent
13125 SW Ball Blvd. Tigard, Oregin 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
at/Beam Strutt. San. Sewer Framing -Bldg.
at/Beam Neth.` Rain Drain Insulation -Pl:unb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requosted• .�L' Zc� 1 _—Times AM _ PH
Permit !:
Builder: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
✓l/
t
p`t
D y �
Inspectors ��L �7 _ Date 1 1 U
APPROVED ` DISAP,ROVED __ APPAUVED SUBJECT TO ABOVE
4-11
Call For Nainep.
S
jjfSPiCTSON NOTICS
city of Tigard W_ilding Depart wmt
13125 an hall Blvd. Tigard, Oreion 97223
Inspectio:. Line (Rec-O-Phone): 639-4175 Bueiwrss Phone: 639-4171
Inspection:
Footing Plbg. Underalab .tech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sr Framing -Bldg.
Poses/seem Mech. tn.D in Insulation -Plumb.
Plbg. Underfloor Wats Line GBd. -Mach.
�� _ l L Gyp.
Date Aegveet:ed: -_ Time: AM PN
/ G� c - 0
/ '7 �
Address: ( [ _.� Permit f:�`--- r —
Builder: ----�.--_._�--
TAS FOLLOWING CORRECTIONS ARE REQUIRED:
117
i
i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
10m.-rIo1IOTICE
City of Tigard Building Department !/
13125 ON Ball Blvd. Tigard, Or•Agon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undersl.ab Hoch. Rough-in Appr/Sdwlk �
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
01
Date Requested: J �1" T1ak : —AN —PH
Addraes: /� _ 42qPermit #:
Builder:
TRE FOLLOWING CORRECTIGNS ARE REQUIRED:
f
i
Inspector: L��'< ---- Date:-
--/.--APPROVED DISAPPROVED -- APPROVED fiURJECT TO ABOVE
__Call For Reinsp.
IMULNUM
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found.' Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: t_ s_� Timei -PH
Address:_
Builders
Z� J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector s_. ._1:.,% � - Dates_
r APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
city of Tigard Building Departnimt
13125 Sit 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
mound. Plbg. Top Out. Gas Line FINALt
Pont/Beat. San. Sewer Framing -Bldg.
/'Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Line Gyp. Bd. -Koch.
Date Requested: & / Z _ Tir:e: _—._AM __-XPM
Address: LV2v -- P erm
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Innpnctor: j � Date:
APPROVRD DISAPPROVED _ APPROVED SUBJR('r TO ABOVE
kPPcall For Rei nap.
CITY OF' TIG RD
CrfYOFTWARD MASTER PERMI-1*
4
COMMUNrrY DEVELOPMENT DEPARTMENT OR
PERMIT #. . . . . . . t IYIST92-0179
13125 SW HWI SWd P.O.Sm 2MW,Tipml,Orepn 97223(SM)6394175
6,39-4171 DATE ISSUED: 09/30/'.)2
2
lo!IE ADDRESS. . . : 11929 SW 125TH CT PARCE'l_.: 1S133DD-11100
SUBDIVISION. . . . . VILLAGE AT SUMMER LAKE PARI{ 4 ZUNING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 148
BUILDING
REISSUE: DWELLING UNITSil BASEMENT. . . . . . . . ..0 sf
CLASS OF WORK. :NEW BEDRMSv4 BATHS:3 GARAGE. . . . . . . . . . :430 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REUUIRED SETBACKS------------
TYPE OF CONST. c5N FIRST. . . . :935 sf LEFT. . : 17 ft RIGHT. -.5 ft
ULLUPANLY URP. :R3 SECOND. . . ali?65 sf. FRONT. -.20 ft REAR. . :26 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-------___--_______
HEIGHT
EQUIRED-------------------
HEIGHT.. . . . . . . . :27 ft TOTAL-------.*2200 sf SMOKE DETECTORS. PY
FLOOR LOAD. . . . s40 psf VALUE. . . . . 108940 PARKING SPALES. . : 1
Remarkse PATH I
---------------------------------- PLUMBING ----------------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :O BACKFLOW PREVNTRS. . .'0
LHVR10RIES. . . . . :3 WATER HEATERS- 11 TRAPS. . . . . . . . . . . . . . .0
IUB/SHUWERS. . . . -.2 LAUNDRY TRAYS. . . c@ CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . s@ GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft) . e100 OTHER FIXTURES. . . . . :0
UHRBAUE DISP. . . .- I RAIN DRAIN (ft) . a0
WASHING MACH. . . : 1 SF RAIN DRAING. . ., l
--------------- MECHANICAL -------------- ------------------ FEES ------------_-_
FUEL ui\ii r HTRS. . :0 type amount by date V'eLpt
/UAS/ i i VENTS . . a0 TIF $ 1460. 00 JH 09/30/92 —
MAX INPUTaO BlU VENT FANS. . 14 BPRT $ 455. 50 JH 09/30/92 —
FURN ( 100K . . :0 HbODS. . . . . . : 1 BPLC $ 296. 08 JLH 08/13/92 230559
FURN ) -1001K . . : I WUODSTOVES. s0 B5PC $ 22. 78 JH 09/30/92 —
FLOOR FURN. . . . s@ CLO DRYERS. a I SSDC $ 280. 00 JH 09/30/92 —
BOIL/CMP ( 3HP:O OTHER UNITSol PARK $ 250. 00 JH 09/30/92 —
GAS OUTLETSil MPRT $ 45. 00 JH 09/30/92 —
Owner,: MPLC $ 11. 25 JH 09/30/92 —
MUHISSETTE HOMLS M5PL 1, 2. 25 JH 09/30/92 —
PPRT $ 132. 50 JH 09/30/92 —
F-15PC $ 6. 63 JH 09/30/92 —
Phone
Lontractor: -----------------------------
DON MURISSEIfE BUILDERS, INC.
15555 SW BANDY RD.
#201
LAKE OSWEGO OR 97035
Phone #: 620-7538
Reg #. . : 35533 ------------------------------------
11 2961. 99 TOTAL
This pewit is issued sub'ipct to the regulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ure. :,penalty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Pust/Beam Struct Gas Line Insp
plans. This persit will expire if work is not started within 189 Post/Beam Mechan Insulation Insp
days of issuance, or if work is suspended for more than I days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee LliijnAturp : Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By : Framing Insp Mechanical Final
Gall for inspection 639-4175
CITY®F T167ARD CCr7rYOF 17MRD SEWER CONNECTION
COMMUNITY nEVELOPMENT DEPARTMENT
13125 SW HWI Bw P.J.Bac23397.Tjgmm,On,,w,,2m(603)63"176 PERN I T
PERMIT #. . . . . . . : SWR92-0274
639-4171 -NATE ISSUED: 00 /30/92
SIIE ADDRESS. . . . 119,29 SW 125TH C'T PARCEL: IS133DD-11.1.00
SUBD I V I S I ON. . . . : VILLAbE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 00
bLUCK. . . . . . . . . . : L07. . . . . . . . . . . . . : 148
'I ENANT NAME. . . . .
USF-1 NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NCW DWELL ING UN JTS. .
I YPE OF USE. . . . . :St.- 1\10- OF BUILDINGS: I
INSTALL TYPE. . . . :BLJSWR IIVIPERV SURFACE. S f
kein.irks.- PATH I
Owner: ------------------------------------- FEES ----------------
1110HlbSETIE HOMES type amol.tyit by date recpt
PRMT $ 2loo. 00 jlA 09/30/92
INSP $ 35. tiro JH 09/30/92
Plione
C 011tractors
(-UNTRACTOR NOT ON FILE
ReEj $ 213
5. 00 TOTAL
REQRED — -
1his Applicant agrees to comply with all the rules and regulations Sewer IrispectUIion INSPECTIONS ----- -
of ":tL" lied Sewage Agency. The permit expires IN 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 "lap and 1,d@ Sewer" Permit and the Agency will install lateral.
1-1 e r m i t t e e St g ri a t
lsso-te(J By :
for Ins;Pec-tion 639-4175
3,2 L7 :7
CITY OF TICARD REC'EIPT OF PkYlYlFN"l' RECF I V11 NO. a 9 2—c'-.%sP 179
CHECK AMOUNI" 4864. 18
NAME MOR ISSE TTE, DON CASH AMOUNT Ia., 00 `:
ODDRESS PAYmEi\j"r i)A,rE 09f30/9R
SUBDIVISION i.
PURPOSE OF PAYMENT AMOUNT' PAID PURPOSE OF PAYMENT 0M LJNT PAID
4,055. 50 F.A.UMBING PERM r 138. 521
ME[-.,HAN)CAL PE 45. 00 ST. BUILD PER 31. 65
FLAN CHECK FE 75. 13 SCEWER USA 2100. 00
SEWER INSPECT 35. 00 PARKS SDC 250. 00
STORM DRAIN SDC 2180. 00 RESIDENTIAL 111APFIC FEES 1350. 210
MA SS TRANSIT TIF FEES 110. 00
I OT 148 VILLAGE AT 9UMMEPLAKE 4
11929 SW 125TH CT
TOJ'AL AMOUNT PAID 4864. 78
uus SW HA B&& PLNCK/RECT /
CITE' OF TIGARD To�� PERMIT / /��S��Z- � 1-7
COMMUNITY DEVELOPMENT DEPARTMENT
(50)639-4171 DATE ISSUED
JOB ADDRESS: U `� a ��U I 5 0— T- TAX MAP/LOT ;' l 33 U D
SUB: S!► A ,t W1T 42-�A:Or►c:zcA e i OT: LAND USE:
VALUATION:
OWNER P CLALAOTES
NAME: ���— l�r�s 9-rI-�r�rn� S REISSUE OF:
ADDRESS: /S S #lo/ LAST REISSUE:
FLOOD PLAIN/
PHONE: 3 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: _ PLANNING:
ADDRESS: ENGINEERING: _
FIRE DEP1:
PHONE: _ __ OTHER: 7"'/?r-
CONTR.
'/F-CONTR. BOARD 0: EXP DATE: —
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: �� LIST/SUBCONTRACTORS: -
MECH: " US TAX:
A-RCH/ENGINkER 0 � 0' CALCULATIONS:
NAME: _ ( L'Z �s�.,c- 1 ro' . TRUSS DETAILS:
ADDRESS: OTHLR. _
^SzJra4,
rng! c9
PHONE:
PROPOSED BLDG. USE: (
COMMENTS:
APPI��ANT �1G�IATURE `�'-
Received By: Date Received:
i
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
05/9:.7-001y 10-432 00 Building Permit Fees 5S S7� SSS', JZ
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees y 5• !�� -
10-230 01 State Building Tax (5%) �s
Building 2, 7 `
Plumbing �•lv3 �'
Mechanical Zs
10-433 00 Plans Check Fee Z' ��7 3
Building
Plumbing 3
C?
Mechanical
10-230 06 Fire
-u,L � 30-202 00 Sewer Connection
30-444 00 Sewer Inspection -
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448 06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIF Fees r/0• . 'c•
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
i
7
nm/3587P.WPF
����SN,11,u nwa PLNCK/RECT # --.
CITY OF TIG�D rOBox"397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tigard.Oregon 9nD
(5W)639A171 DATE ISSUED --
JOB ADDRESS: _
TAX MAP/LOT
SUB:
LOT: LAND USE: –
VALUATION: —
SPEC_I_AL NOTES
OWNER
REISSUE OF:
NAME:
LAST REISSUE: _
ADDRESS:
FLOOD P!AIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR
- PLANNING: -
NAME: _ __
ENGINEERING:
ADDRESS: _ --�—
FIRE DEPT:
OTHER: ------
PHONE:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB:
LIST/SUBCONTRACTORS: _---
MECH: — _ BUS TAX:
ARC!!/SNGINEER CALCULATIONS: __
TRUSS DETAILS: _ ---
NAME:
ADDRESS: OTHER:
PHONE: —
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: Date Received:
CITY UF TIGARD W. RECEIPT OF PAYMENT RECCAPT NO. 02-c,305E59
CHECK AMOUNT 5 O. 52
NAME DON MON issf--.,r*I*E CASH AMOUNT' N. 00
f)DDRESS a 15555 SW RANGY ROAD, #2'01 PAYMENT DHTE 08/t3/92.
LAKE OSWEGO, OR SUBDIVISION
97035-
PURPOF;E OFPAYMENT' AMOUN'r Pow PURPOSE OF PAYMENT AMOUNT PAID
BUILDINC' FSE'RM 450. 50 PLUMBING PERM 140. 00
11EGHAN I CAL. PE 40. 50 ST. 91JU-1) "ER .31 . 56
PLAN CHECK FE 52. 96 SEWER LISA 100. 00
SEWER INSPEXT 35. 00 PARKS GDC 250. 00
STORM DRAIN SDC 280. vlo PESIDENTIAL. TRAF'F'IC FEES t 2po. OVI
MASS TRANSIT TIF-Y-IfL-S 100. 1,110 PLAN CHF-.'.CK FE 8-,34R
PLAN
- ig
(7.1-IFCK FE 250. 00
TOTAL AMOUNT PAID 57'
CI'f�' OF "ris7 )Nr) RECEIPT OF' MYMUNT RLE;EIPT NO. :'���_c'rcQifa^r�►
C:HFC K AMOUNT
HPME x moo Z ssE TT-E:, om CASH AMOUNT A 0. 00
ADOR Cis t PAYMENT DATE s 04/06/92
SUBDIVISION
oimr,C)SE OF PAYMENT AMUl..INT PAID P1)FZG'OSE OF PAYMF-hlT PMOUNT PAIT)
97W 1251,11 rl
1 i FAL AMOUNT PA I Ct