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11735 SW 128TH AVENUE-1 f r f 1 yeti +I I' jsC 11735 SW 128th Ave ' i t CERTIFICATE OF C17YOFT167ARD OCCUPANCY COMMUNITY DEVELOPMENT LFPARTMENT OR100N PERM1�� ",_IT li. . . . . . . c Ihr T r)1 .-00r.5 13125 SW FWI BMd. P.p.Box 23397,Tlpod,OnQon 9)3."r(693)639,4175 -9i SITF ADDRESS— : 11735 SW 128TH AVE f-'ARCErL.c IS133DD-1:: 000 SUBDIVISION. . . . I VILLAGE AT SUMMER L.AKF PARK 4 Z ON I NGi s R--4. 5 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . 1187 CLASS OF WORK. :NEW 'TYPE OF USE.. . . I SF OCCUPANCY GRP. I R;3 1C:CURANCY LOAD:225 FE:NAINIT NAW'. . ?r ni'm r ftp s I DON MOR I SSETTE BU I LDEPS, INC. 15555 GW SANDY ESD. tti?01 LAKE QSWF'(3O OR X7035 7"hone lis 620 ..75)38 CION MORISSF"TTE BUII_L?l:F?.S-,, INC. 135 6 Sw SONGY RD. 1_f4KI_ OSWEGO ClR 97035 !hone 11: 620--7538 Cir_r.upenry of the atoove refer^enr.ed building is hereby given, and rrrtifiel: I.he r_omplianc:a with the State Of Oreyon Specialty Codes for the group, �r.c:upancy, anti use unds+r whic.,h th* r-Nferenc ed- permit was irm�ar?cE. FIRE DEPARTM1=NT [k I I 1*1 (N(; I OR Lill ((...1);ty1G or r f C: Co. POST 11\1 C1. .6V,i GUOUS PLACE 1 1 1 INSPECTION NOTICE � 7 , City of Tigard Building oepartAent 1.3115 SW Hal, Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phure: E'9-4171 Inepection: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdw).k Found. Plbg. Top Out Can Line FINALt Post/Beam Strutt. San. Sewer P-aming Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Wn. er Line Gyp. Bd. -Meth. Date Requested: _1/ Time: A!1 PM Address•_._1LZs.ra /"6 /!35 '' y Pormit Huilier: Ic �/Jj �lhJ��O THE FOLLOWING CORRECTIONS ARE REQUIRSDI r 7 Inspectors Dates -�/ ,APPROVED DIBAPPROVBD APPROVED SUBJECT To ABOVE Call tar %Sinop. M W W r IM NNE INSPECTION NOTICE City of Tigard :eildijmg Departmpnt 13125 SW Hall B.rd. Tigard, Oregon 97223 _ Inspection Line (Rec-O--Phone{: 639-4175 Business Phone: 639-4.71 Inspections____ Footing Plbg. Underelab Mech. Hough-in Appr/Sdwlk Found. Plbg. Top out Cas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulattioonn -Plumb. Plhg. Underfloor Water Line r /\ Gyp. Bd. 1 -Mech. Date. Requested �Zf 3� 7�-(� _Time: _ A:� PN Addrene: 1Z r -11 � �'�- Permit 1'0�Ly Builder:_1 � THE FOLLOWING CORRECTIONS ARE K?QUIRED: InepectorrDater �C:� ; 'C41 APPROVED UI:.Af'�'HrrVR.ir 1PPHOVED SUBJECT TO ABOVE __Cell Por Pelnrrlr. s { r v t !r �/' �/ INSPECT►JN NOTICE City of Tigard Building Departmr_nt V 13125 STY Ba11 Blvd- Yigard. Oregon 97223 Inspection Line (Rec-O-Phone). 63)-•4175 Business Phone: 639-4171 Inspection: — Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk Pound. plbq. Top Out Qaa Lina FINAL: raminq -Bldg. post/Beam Struct_. San. Sewer nsulation -plumb. Post/Beam Meeh. Rain Drain e -Meeh. plbq. Underfloor nn Nater Line Gyp. Bd. �L/ - • I Tiros t Date Requested -- 7 Permit #I Addresst IJ .7 Builder: T1lL POLLO nwo OOIlN=1(08 Us NWIMDt inspectorate._ Date++ — APPROVtD DISAPPROVED APPROVED SUBJECT TO ASOVR Call rot Reinap. W INyP$CTIUN NOTICE city of ?igard Buil9ioq �Pa�97223 13125 SW Bnll Blued. Si ard, Are9�' Inspection Line (Rem-O-phone), 639-4175 Business Phone: 639-4171 Inspection: Foot i.ng P lbg• Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg• Top Out Gas Line FINAL: Framing -Bldg. Poet/Beam Struck. San. Sewer � , Poch./Beam Nech. Rain Drain Insulation -Plumb. Bd. -Meth. Pibg. Underfloor water Line Gyp. B Time: hM - PN Date Requested: 7/D_�__--r-�--� 4`?1 i "/ permit t: iv A.7dress:_ Builder�y��� 2 �� G TAE pO-.LOWING CORAEC'TIONS ARE REQUIRED: i Date: Inapectors� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinnp. SUN JtWLWLWMMW XWXWF V ,�NSPECl�ON NOTICE. City of Tigard Building Department 13125 SM Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buoinese t 6 - 171 Inepectionc Footing Plbg. Underslab lt. Aough-in�/ Appr/Sdwllc Found. Plbg. Top Out baa W.t.a FINALt Poet/Baam Struct. San. Sewer Framing -Bldg. Pont/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:_ Timet AM pM Address t //2y/O �POartait is t Bulkier: '0 THE FOLLOWING CO.RRRMIORB ARZ RROUI Inspect�i—APPROVND Dates APPROVRD RUWNCT TO ARM all For Reinsp. 3 SPE ION NC ICE / City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 i Inspection Line (Rec-0-Phone): 639-4175 nusinesa Phone: 639-4171 Inspection: - -- —--- Footing plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. /P1Bbs Out �i Gas Line. FINAL: Poet/Beam Struc, . San. Sewer Framinq -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. P.bg. Underfloor Mater Dina Gyp- nl. -Mech. Date Requested:__L�� _Ti.: AAM -- PM Address Builders TBS FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors ^ _ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call per RL: Isp. INSPEGTIuN NOTICE City of Tigard Building Department 13125 SR Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Undor•lab Neth. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FINAL: st/Beam Struc San. Sower Framing -Bldg. • Beam Mech. Rain Drain Insulation -Plumb. Pig.—Undorlloor Water Line Gyp. Bd. C� -Nech. Date Requested: ng_✓4 _ Time: ` PH Address:��/ _�� __Permit 1: Sul lder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Tof i f-0 R kc A,c,- "t'[ :::�o u1 t In•pactor: i APPROVED DISAPPROVED APPROVRD SU&IRrT TO AB7VR —Call Por Reinsp. INSPECTION N0 ICF.' City of Tigard Building Department 13125 SW Hall Blvd_ Tigrrd, Oregon 97223 Inspection Line (Rec-O-Phune): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found, Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sana SsnA� Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. _ Plbg. Underfloor C Nater LineGyp. Bd. -Mech. Date Requested: J Time: AN `_PM Address'___ Y/ > _ Permit f: Bullder:��E_-% THE FOI.I.OWING CURRBCTIONS ARE REQUIRED: Inspector:_. r_...1--.-_._.-- --......_..-. Dat":_-Air"41 --- APPROVED DISAPPROVED APPROVED SUIIJECT TO ABOVE Call For Reinnp. INSPECTION. NOTICE City of Tigard Building Department 13125 BW Mall Blvd. Tigard, Oregon 91223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171 i Inspection:__- F'otilm Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. . Flbg. Top Out aas Line FINAL: Poet/Beam Struct. San. Sewer Framing -bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Pllg. Uoderfloor Water Line Gyp. Bd. -Mach. � AM PM Date Requested: Permit #: - Addrene: 1L - Builder:. THE FOLLOWING CORRECTIONS ARE REQUIRED: 7d:0 10VI SGic//Z .✓ A G ..c. nate: tnepectorl L�pppy�p DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. ---------- a NOF TIGARDMASTER FERMI"F' Gt1IYOF 1164RD COMMUNFTV DEVELOPMENT DEPARTMENT oaFT / I='ERMIT #. . . . . . . : Ma'f91 -jzio 13126 3W HW1 Blvd. P.O.Bou 231997,Ttyad,Oregon 972 (603)636.4176 SITE ADDRESS. . . : 11735 SW 12B1+4 AVE FIARCEL: 1S133DD-45000 000 SUBDIVIEiION. . . . : VILLAGE AT SUMMER LAKE F'ARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 187 BUILDING REISSUE:MST9 l --0083 DWELL.', NG LIN I TS: 1 BASEMEN 1". . . . . . . . :0 s•F CLASS OF WORK. :NEW BEDRMS:4 BATHS:.3 GARAGE. . . . . . . . . . .610 s l"YF'E OF USE. . . :SF FLOOR AREAS------------- RE(IUIRED SETBACI-.S-.._--.---__._._ •1 YF'E OF' CONST. :51\1 FIRST . . . : 1289 s f LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP'. :R3 SECOND. . . : 1224 s F FRONT. :20 ft REAR. . :69 ft STORIES. ., . . . . . :2 THIRD. . . . :0 sf HEIGHT. . . . . . . . :c.5 ft TOTAL - _---:.' 13 s SMOKE DETECTORS. :Y FLOOR l-DAD. . . . :0 psf VAL.UE. . . . . $ : 1 ='6578 PARKING SPACES. . :0 Remark s : PLUMBING SINKS. . . . . . . . , . : 1. FLOOR DRAINS. . . . :0 BACKFLOW F'REVNTRS. . :0 LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0 TUE/SHOWERS. . . , :3 LAUNDFRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSEI S. , : 3 SEWER LINE (f! ) . : 100 GREASE TRAP'S. . . . . . . :0 DISHWASHERS. . , . : 1 WATER LINE ( Ft ) . :0 OTHER FIXTURES. . . . . :0 GARBAGE DiSF'. . , : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL - ___..__..__.___._ _..___-.---•-•--__._._.__._ FEES' FUEL TYPEc;.._____-"_____._ UNIT HTRS. . :0 type amol-int by date r•ecpt /GAS/ / % VENTS . . . , :0 TIF $ .1350. 00 JLH 08/22/91 - MAX INPUT :O BTU VENT FANS. . :4 BF'RT 4, 500. 50 JI-1-4 08/22/91 -- FURN ( 100K . . :0 HOODS. . . . . . : 1 HPLC $ 40. 00 JLH 05/09/91 21.3089 FURN ) =100K . . .- I WOUDSTOVES. :0 LaSPC $ t- 0'� JI_H 08/22/`?1 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 375. 00 JLH 08/22/91 - BOIL/CMP ( .3HP:0 OTHER UNITS: 1 PARK 9, 2310. 00 JLH 08/22/91 - GAS OUTLETS: 1 MP'RT $ 45. 00 JLH 08/22/91 - Owner; ___._._._______._.__._______.__._.____._____.__ MPLC $ 11. 25 JLH 08/241/91 - DON MORISSETTE BUILDERS, INC. M5F'C $ 2. 25 JLH 08/2'2/91 - 1555J SW RANGY RD. PP'RT $ 1517). 00 JLH 08/22/91 - #L01 P'SF'C $ 7. 50 JLH 08/22/91 LAKE OSWEGO OR 970;33 rAPLC $ 30. 00 JLH 08/22/91 Fw'h on e #- 620-7538 DON MORISSE:TTE BUILDERS, INC. 1.5555 SW RANGY RD. #201 I.-AKE. OSWEGO OR 97035 Phone #: 620 - 7538 Hey #. . . 35533 $ 2786. 53 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS --- - -- Tigard Municipal Cooe, State :f Dre. Specialty Codes and all c'' Foot/found Insp Fir-eplace Insp applicable laws. All work will be done in accordance wt!� i,vd v'ost /Ream Str't-Ict Gas Liffe Insp plans. This permit will expire if work is not started within 190 F'Ost/BPam Mechan Insulation Insp days of issuance, or if work is suspended for more than IN days. F'1m/undslab Insp Gyp Soar^d Insp c PLIrI/Underflout- Rain d�Ain Insp I'er-mittee Si_ atut-e - "_ C� ({ � Mechanical Insp Water Line Insp P'11.1mb Top Out Appr^/SciwIk Insp Isy1..led By : t/.._.__...___--•- -_-._ Framing InspMer.hani.r.'al Final Call for- inspection - 639-4175 Kill!f f -01 CITY OF TIGARD RECFlPT OF PAYMENT RECEIPT NO. 19l--216567 CHECK AMOUNT 2746- 53 NAME o MORISSE TTE, DON CASH AMOUNT 0. 00 ADDRL'Scct PnYMENT DATE 08/22/91 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 500. 50 PLUMBING PERM 150, 00 MECHANICAL PE 4!5. 00 ST. BUILD PER 34. 70 Pt-AN CHr.-*,CK FE 41. 25 RES IDENT IAE_ TRAFFIC FEES 1250. 00 MASS TRANSIT 'TIF FEES 100. 00 PARKS SDC 00 STOPM DRAIN SDC 375. 00 11735 SW 128TH AVE TOTAL AMOUNT PAID 2746. 53 Ipw W W��Iw CI OF TIFA RD SEWER CONNECTION CITY OF TWARD PERMI-r GON 'COMMU14rrY DEVELOPMENT DEPARTMENT OH�77 PERMIT #. . . . . . . .. SWR91-011?�-; 13125 SW Amit 3W. P.O.Box 23197,Tiqwd,OtwjDn. 97223 (SM)63"175 E 17; 121 b 7 2 S 7 11 SITE ADDSESS— i 11735 SW 128TH AVE PIARCEL: IS133DD-1500571 SUSI)I V J S I(IN. . . . : VILLAGE AT C,.jMMER LAKE PARK 4 ZONING: H-6. BLUCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 187 TENANT NAME. . . . . USA NO. . . . FIXTURE UNITS. . . : CLASS OF WORK. . . .-NEW DWEL!-ING UNITS. . .- I TYPE OF USE. . . . . ..SF NO. OF BUILDINGS- 1 N3 ,HLL I vF-'F- HLJSWR TMr'FRV SURFACE. . f HeMat'ks Owner- ------------------ FEES DON MORISGETI"E BUILDERc�. INC. t",p e amoont by date 15555 SW BANDY RD. J:IRMT $ 1500. 00 JLH 07/05/91 - #201 1 N P 4 5. 1110 JI—H 07/05/91 LAKE OSWEGO OR 97035 Phone #: 62'0-7533 C'ontractor: CUNTRACTOR NOT ON FILE 3535. 00 TOTAL Rep #. . z REO,UIRED INSPECTIONS This Applicant agrtei to comply with all the rules and regulations SewEr Inspection of the Unified Sewage Agency. The permit expires 129 days from the d--,te issued. The total amount paid will be farfoited if the rtreit expires. The Agency does net 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 difer.tions frol the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" permit and the Agency will install a lateral, 1-'er In 1 1. ( e e 1.o I e y Lat 1 1 f rjv� i t)S Pect i on 639-4175 IL