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CITY OF TICTFARD CLROCICATE OF
CUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . s MST -13-058,';:'
13125 SW FlaH Bird.Tigard,Oregon 9722399199 (503)639-4171 DATE ISSUED: 06/22/94
PARCEL: IS133DD-16900
911 L H-DRE L6. . . 1 1. 1.959 SW 128TH AVE
'.3UBDIVJ310N, VILLAGE AT SUMMER LAKE PARK `5 Z 0 NI N 63 c r4----4. 5
BLOCK. . . . . . . . . .
LUT' •205
CLASS OF WORK. :NE61
rYPE OF I -'W. . . %,7;F
0CCUPANC'Y GRP. :R3
OCCUPANCY L.OAD-226 4
1 i.J-1P1\J*T NAME., . . xx
Rem,,?irksi POTH I
Owner: -- .---
DON MOR15SELTTE HOMES
15555 SW RANGY RD
'iIJITE # 2'01
LAKE OSWEGO OR 97035
Phone 0: 620-7538
Contractort
CONTRACTOR NOT' ON FILE
ire y
(),:,cupancy of the ..%bave referenced building is hereby given, aimi certifies
the compliance with the State Of Oregon 1:apec"'.alty Codes far the gral.,1p,
tf�rfjpanuy, and use under which the referenced permit wan issued.
U NG SPECTOR
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fICT)ING FT ICIAL
POST IN -'ONSP1(',UOLK5 PLACE
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INSPECTION NOTICE
city of Tigard Building Departzwnt V
13125 SU Ball Blvd_ Tigard, Oregon 97223
Inspection Lir (Rec-O-Phone): 639-41.75 Busineee Phone: 639-4171
Inspections
Footing Plbg. Underalab Mech. Rough-in App:'/Sdwlk
Found. Plbg. Top Out Gas Line
Post/Beam Struct. San. Sewer Framing ` -Pll v
Post/Beam Mech. Rain Drain Insulation -Q'lumb.
Plbg. Underfloor Water Line Gyp. Bd. (`loch. -
'
Date Requested:
(� CLQ /�] Timet 93-0,'5,
PM
E2-
Address: ,5 9 !ye P. it f-7 .) D�U <
Builder: 1 YI
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THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector: A Dates I
APPROVED V bISAPPAOVED APPROVED SUBJXIT TO ABOVE
_ all For Reinsp.
INSPECTION NOTICE
city of Tigard Building Department
13175 SK Hall Blvd. Tigard, Oregon 97223
Inspection Line. (Rec-O-Phone): 639-4175 Buninena Phene: E39-4171
Inspection:_ ____
Footing Plbg. Underelab Mech. Rough-In Appr/.dwlk
Pound. Plug. Top Out Can Line FINALS
Poet/Beam Struct, San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mecls�
Date Requested: �j(dQ� Times ,S� &.AM f% PM
Address: / l O h /7Y� PeimiE 7s 9s3 O�O
Builders _
TME F"CLOW NG CORRECTIONS ARE REQUIRED: , `� V^ —2,
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p-�,►-�� gin„ ?�/�GUj
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Inspectors Dates -- I —q4
__APPROVRDBAPPROVED APPRCVEO SUBJRCP b ABOVE
2 k" Call For Nvinep.
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INSPECTION NOTICE -
City of Tigard Building Department:
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buginesa Phone: 639-4171
Inspections
Footing Plbg. UnderslaL Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Mach.
Data Requenteds _ ` Time: _AM PM
Address: ( (� •� �: ` �' 8 + Permit I:-
Builder:--
THE
:Builder•__THE FOLLOWING CORRECTTJNS ARE REQUIRED: 'Ron—
� �� �.�.�-,C •`.nom C��v�--.� l�� �C
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0 .�.�` �..�'��. ���, ���--ter"• _
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Inspectors nate: (a - , A4
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:��- Q G
—�
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL'
Post/Ream Struct. San. Sower Framing -8idg.
Poet/Beam Mech. Rain Driin Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: W - / Time' AM _4_PM
Addrossl
:_ ��L/ 0) Permit Iz 0
-1 �� _
Builder' � �1'-�
THE FOLLOWING CORRECTIONS APE REQUIRED:
47
Inspector:
%z P^PRoVED DISAPPROVED APPROVED SUBJECT TO ABOVE
- _
-Call For Reinsp.
NI SPEGTION NOTICE
City of Tigard Building Departaent
1.!125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-41.75 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in APPC/Sdwlk
Found. Plbg. Top Out Cas Line Flrx Lt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Dcain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: / Timet —LAN PM
Addreest !c_ )� 2 .) d 4 41e, Permit (t13- �
Builders t ) ) .j /) ) 1k _it_6J
THE FOLIA* G CORRECTIONS ARE REQUIRED:
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Inattoj�[/e natal
/ APPROVED DIS"PROV191)— APPROVED NUBJBCT TD AHOVt
—Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SA Rill Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4111
Inspection:.__-
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out *In FINAL:
Poet/Beam Struct. San. Sewer -Bldg.
Post/Beam Mech. Rain Lraln -Plum)-.
Plbg. Underfloor slat-r Line -Mecn.
Date Requested: �9� 9¢ Time: --.--PLM ____PM
ltd
Address: /��Sg /� Permit 1:LI.P-.
Builder: Mao*OW ��yY1�3 274=_6 2-2-3 -----
TME FOLLOWING CORRECTIONS ARE RRQUIRED:
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Inspector: bates 94
—_ APPROVKD LDISAPPROVED _ APPROVED SUB,I}rT To ABOVE
V _Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Depart3nent
13125 SW Rall Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buoinena Phone: 639-4171
Inspection: —_—
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out E:Lino AINAI.:
Poet/Beam Stru^t. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underrioor Nater Line Gyp. Bd. -Koch.
Data Recp:ested:_ _''�/ �aSf Time: AN PH
Address: Ave-_ Permit t:
Iiu l lder• _ DM
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspect _ _,_ Date. —,15"_1_77*
—__APPROVED • DISAPPROVED APPROVED SOWOCT To AHM
G11
For Reinsp.
.et.�
C40 r_ _31
INSPECTION NOTICE
City of Tigard Building Department
13125 SW hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line [y Oyp. Bd. -Hoch.
Date Roquestedt�j v - % -el TLoei AM PM
Address: /� 1 ✓�• Permit tt 95 - �
Builders .LJ
THE FOLLOWING CORRECTIONS ARE REQDIREDt
Inapectoc i — - --- natal � r_T_ -_
APPROVEDD' ISAT 14OVED APPROVED SUBJErT TO ABORM
7call For Reinap.
-------------------------------------------------
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Bal' Blvd. Tigard, Oregon 97223
Inspection Li .a (Rec-O-Pht-ne): 639-4175 Business Phone: 639-417
Inspection,
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlkl^~�
�..__may.......--�
Pound. Pltg. Top Out Gas Line FINAL:
Poet/Beam Struct. Snn. Sewer Framing -Bldg.
Poet/Be►m Mach. Rain brain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: '�- le - C'el Time: AM PM
Address: '?t4 f ,Vr ft--
1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i L1
Inspector:,—� ;— nat e:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Bled. Tigard, Oregon 47223
Inspection Line (Rec--O-Phone): 639-4175 Bueinese Phone: 639-4171
Inspection'------- — ------ --- --
Footing Plbg._Underelab Mech. Rough-in Appr/Sdwlk
Fount'.. p t Gas Line PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
/ .
Poet/Beam Mech. Rain Drain ( `Insulati___,
on -Plumb.
P_.,j. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestedi 2!Z /� Time: _ )U! PM
Addrsess /L /L ' �nn &2y'JJ /7'��"�Pet�mlt #t p( Q
Builder:/ / .L �7C; y_3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector __ --- Dates
ROVED DISAPPROVBp I 11ppROVED SUBJECT TO A8M
_Call For Reinap.
SNS?ECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171
Inspection: �f 77 � � �- Dy t c-n
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beata Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line�y / �A Gyp. Bd -Hoch.
l
Date Requested:_ `A J k - ` ` Time: AN ---PH
Addreaa: �C\���1p \Permit tt
Buildert ) ( 1 ` C'
THE FOLLMING CORRECTIONS ARE REQUIRED. �' 3c) 7 -7 O
Insect
APPROVED !_ DISAPPROVED APPROVED SUBJE TO ASO"
--___call For Reiner
INSPECTION NOTICE �r
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businees Phone: 639-4171
Inspection: ----
Footing Plbg. Undarelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top wt Gas Line FINAL:
Post/Ream Struct. San. Sewer Fram - Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
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Date Requested: / _ / —_—Times AM M
7<� C {�
Addrenn: r/ 52 /v s+ Permit f:_93 -
Builder: / Z /(_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.
11FPROVRD MPROVtD APPROVED SUBJECT To ABOVE
/ &rz- Ca11 For RBinnp.
INSPECTION NOTICE 1_
City of Tigard Ruilding Department
13125 SW F.al'_ Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueineee Phone: 639-4171
Inspection:__
Focting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sart. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insul.ition -Plumb.
Plug. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested:r_ 1�_ 2_ -01 ti —Time: _ AH _PM
Addraes: I`1 1 2- Permit
Butider:
THE FOL.LOWINC CORABCTIONS ARE REQUIP.ED: _
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1'-1�74�/L
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Inspector: Date: l
_'APPROVED L_DISAPPROVRD APPROVED SUBJECT TO ABOVE---��E
i r� Call For Reinsp.
- INSPECTION NOTICE �1
City of Tigard Ra,lldJnq Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueiyt'a Phone: 639-4171
Inspection• ( it
Footing Plbg. Underslab Mach. Rough-ice Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Ream Struct. San. Sewer ""
ewerra -Bldg.
rI
Post/Beam Nech. Rain Drain / Innulation -Plumb.
Plbg. Unde:Oloor. Water Line Gyp. Bd. -Mech.
Date Requested: G1 TLoa i AM PM
Addresstzz (( IT U/yam /))4-pl-I j---- Permit 1� ]2
Builders �,�
THF FOLLOWING CORRECTIONS ARE REQUIRED:
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W
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Inspector:_
_APPROVED DIS'APPROVED _ APPROVED SUBJECT TO ASO"
/� VPRCall For Reinsp.
INSPECTION NOTICE v
City of Tigard Building DepartAient
13125 SW Ball Blvd. Tigard, Orrgon 97223
Inspection Line (Rer-O-Phone)i 639-4175 Business Phone: 639-4171
Inspection:��_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plby. Top Out Gas Line FINAL:
Post/seam Struct.;San. Sewer Framing -Bldg.
Poet/Beata Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Met:h.
Date Requested: �ry��[f I Timet j AM _PM
Address: I 's ! 1� ' Permit fG/�
Builder: Hey
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�-
-- —- -- - -
Inspector:_ "ZC��
APPROVED DISAPPROVED T ✓ APPROVED SUB-?ECT TO AM)VE
( —Call For Reinap.
INSPECTION NOTICR
city or Tigard Building Department
13125 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-phone): 639-417 Business Phone: 639-4171
1.1spection:_ �A_. ) /)`"A I&A VIV-
rooting Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbq. Top out Oas Line FINAL:
Port/seam Struct. San. Sewer Framing -Bldg.
Post/seem Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Naterl Line Gyp. Bd. -Mech.
Data Paquesteds 21 -[�n' Tills �,K AM PH
P_jdreaa sl2�- 1 'Peraft t
I ` 3
T!(S _ ACTIONS ARE REQUIRED:
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tnepr4-tort _ Date:?- / L
_APPROVED DISAPPROVED APPROVSD SUBJECT 70 ABOVt
Call for Reinsp.
INSFECTION NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171
Inrpectiont
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beal Struct. San. Sewer Framing -Bldg.
post/Beau Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line 1� Gyp. Sd. -Rech.
Date Requestedt ^�G` �lD ' 1 Times z /Am c/ pm
�ddresas L �� L % lel�it �1i•� _611 0 L
RuIIders 11Y 4 �`,l, f 142 3 LSU�U
T'NE FOLIAVING CORRECTIONS ARE REQUIREDt
oat
Inspectors ! Dates 1 - / I
APPROVED v DISAPPROVED APPROVED SUBJECT TO KOM
Call For Rainap.
INSPECTI MNl7TICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roe-O-Phone)t 639-4175 Business Phonet 639-4171
7 (
Inspect ion t 'L_A l "L
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cr.s Line FINAL:
Post/Beam struct. San. Sewer Framing -Bldg.
Post/Beam Hach. in Drain Insulation -Plumb.
Plby. Underfloor atwr LLrA U. Gyp. Bd. -Mach.
Date Requestedt ( -� 1 Time: LQ_ c� p�(
Addrusn: ( r ( �^� V+�_ Permit 1t (1_ p C7 z— 7
Builder:
THF. POIZOWING CORRECTIONS ARE REQUIRED:
Inspector t _ n,t r a
`~ APPROVED D78APPROV3b APPROVED SUBJECT To ABOVE
Call For Reinsp♦
INS?ECTION NOTICE
GitT of Tigard Building Depaxtaant
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspect ion j
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Poet/Beam Strvct. San. Sower Framing -Bldg.
Poet/Beam .!loch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date RwVestod: _Time: AN PM
I
Address: �'"1�G� 1 7 Permit
Builder: q -7 I - SS3
THE FOLLOWING CORI.ECTIONS ARE REQUIRED:
Inupectors___ � A 19.1 _
v APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
Call For Reinsp.
Ul VY (IF T IGARD - Hl'( U I I IT (.if r-)wf MFNT RECEIPT No. s 94—c"'48,?76
CHEM AM(.)LJN,r o 49RN. 89
AME a DrIN M0RISSFJ'Tf- HOMES' CASH OM01 IN7* 4 0. 06
11M)RUSS PAY*-.N'T DRTE I OP/N1/94
131MA 1)1 v I:y'1 ON
URPOSE OF PAYMEN"V AM01.11"ll PAID l-UHPOSL-.' LJI-- lJOY04-141 (IMS ILK41 PWIL)
I IJMBIN(3 PfERM 13?. 50
111fl-DINN
IN I CAI VIE 4 S. 50 W . BUILD 01
Fti
1,01\1 (',Hf-A-XFE' 10. 88 HEWER USA 410
Ln L I II I M-3,1 IL C I OCA PARKS SUL: vio
>- ilHll DRAIN �,J)C POO. (00 RESIDENrl0t. INAFFIC. 1 414 . IM
rkANSIT' ( IF I 10. INA
'2
O'l-) �3W tc?8-11I AVR, VILLAIiE Ar SUMMEHLAW-E
A I I -05
TAL F)MOUNI 49e5. s4
CITY GF TIGARDMASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT E.)ERMI T #. . . . . . . : I19T93-0582
13125 SW Hell Blvd.Tigard,Oregon 97223.814`.Jp31(p?974171 DATE ISSUED: 0,2/01/94
PARCEL: I S 133DD-.-16900
SITE ADDRESS. . . : 11959 SW 128TH AVE
SUBDIVISION. . . . : VILLAGE AT SLIMMER LAKE PARK 0 ZONING: R-4. 5
BLOCK. . . . . .. . . . . . LOT. . . . . . . . . . . . . ..�0
BUILDING
RE I SSUE::MST93-0540 DWELLING UN I'T'S: 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:3 HATHS:3 GARAGE. . . . . . . , . . :430 sf
TYPE OF USC. . . :SF FLOOR AREAS— ---- ---— REQU I RED SE=TBACKS--._....--.__ ._._.
TYPE OF CONST. :5N F T RST. . . . :925 sf LEFT. . :9 ft R I GHT. :7 ft
OCCUPANCY GRP. :R3 SE.COND. . . : 1015 sf FRONT. :20 ft REAR. . :38 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED--
HEIGHT. . . . . . . . :26 ft TOTAL_- : 1940 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . 96980 PARK ING SPACES. , : 1
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . ..3 WATEP HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : i RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1. SF RAIN DRAINS. . : 1
------ --------- MECHANICAL ----- _—__— - FEES
FUEL TYPES•-•-----•------•- UNIT HTR S. . :0 type amol_rnt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 JH 02/01/94 —
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 424. 00 JH 02/01 /94 —
FURN ( 100K . . : I HOODS. . . . . . .. 1 BPLC $ 50. 00 JLH 11/29/93 93-•c4f:J.'13
FURN ) =100K . . :0 WOODSTOVL5. -0 B5PC $ El. 20 JH 02/01/94
FLOUR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 02/01/94 —
BOIL/CMC' ( 3Hr':0 01HER L11\IITS: 1 PARE; $ '`0. 00 JI-4 0:::/01/94 —
GAS OUTLETS.- 1 MPRT $ 43. 50 JH 02/01/94 —
Owner.: __________..... ........__.._...__.___.___..__._.._.___.__._.___MPEG $ 10. 88 JF4 02101 /94
DON MORISSETTE HOMES MSPC $ 2. 18 JH 02/01/94
15555 SW RANGY RD PPRT $ 132. 50 JH 02/01/94 -
SUITE # 201 P5PC $ 6. 63 JH 0,2/01/94
LAKE OSWEGO OR 97035
Phone #: 620-7536
Contractors
DON MORISSETTE BUILDERS, INC.
5000 SW MEADOWS RD
SUITE 151
LAKE OSWEGO OR 97035
Phone #: 620-7538
Reg #. . . 35533
ti $ 2740. 89 TOTAL
This pewit is issued subiect to the regulations contained in the ------- REG!UTRED INSPECT'IONF; --
Tigard Municipal Code, State of Orb+ Specialty Codes and all other Foot/found Insp Gas Line Insp
applicable laws. All work will done in ccordance with approved Post/Beam Strutt Inst-dation Insp
plans. This permit will expire if work is n t started within lAe Past/PearnMeehan Gyp Board Insp
days of issuance, or if work is suspended fo arae than The days. �F 'LM/Underfloor Rain drain Insp
Mechanical Insp Water Line Insp
Permittee Signati.rre : Plumb 1-op Out Hppr/Sdwlk Insp
rr Framing Insp Mechanical Final
Iss,.red By : Fireplace Insp Fllr_tmb Final
0 Call for inspection - 639-4175
SEWER CONNECTION
PIE RM 1 T
CION OF T IG,AR'LD P,ERMIT #. . . . . . . : SWR93-0502
COMMUNITY DEVELOPMETKIT DATE ISSUED: 02/01/94
13125 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639-4171 P,(IROEL: 15133DD-16900
SITE ADDRESS. . . 111)59 SW Ic"'.8TH AVE
SUBDIVISION. . . . VILLAGE AT SUMMER LAKE PIARK 5 ZONING: R-4. 5
BLOCK. . ,. . . . . . . . LOT. . . . . . . . . . . . . 12105
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
CLASS OF WORT;. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: i
INSTALL TYF,E. . . . :BUSWR IMP,ERV :SURFACE. . : S f
Remarks : PIATH I
Owner: FEES
DUN MORISSETTE HOMES type amol-tnt by date t-ecpt
15555 SW BANDY RD PIRMT $ 2200. 00 JH 02/01/94 —
SUITE # 201 INSF., $ 35. 02.1 JH 02/01/94 —
LAKE OSWE(3O OR 97035
PIhone #: 1520-7,338
CONTRACTOR NOT' ON FILE
Phone $ 2235. 00 TOTAL
Reg
------- REQUIRED INSPIECTION5
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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 sever 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, @ installe.- shall purchase
a "Tap and Side Sewer" Permit and the A yen y will inst later&),,
� �� �
r--,vv-m i t e G i gnat 1-1)('e
(.1 By
Call fov^ inspection 639-4175
7
Residential Building Permit Application
City of Tigard
13125 SW Hall !_iIvd.
Tigard, OR 972^3
(503) 639-4171
Jobslte Address:
S OIflCe
Subdivision: use only
Sam Lot# c�Q
Plandc/Rec#
Valuation; � � �(J . ✓f
Permit # LZI ""
Owner: Reissue of V
___..
Address:
APM.Yals Required
Phone:
't=rt�ine� ring _
Contractor: .,�,��,� _ Other— _
Address:
Items Requirad
Subcontractors
Phone:
Truss Details
Contractor's License #
(attach copy of current Oregon license) Other
Subcontractors:
Plumbing:
Mechanical: ( .A-ti
(attach copy of current OR Contractor's Ucense)
Architect/Engineer:
Address:
Phone:
COMMENTS: /c1�� �ZL_ C �,�) _.
Applicant Signature & Phone number
Received by: ;'t - Date Received: ��� ^
i
Pcrmit # Account Description Amount Amt. Pd. Bal. Due
U .',, L Bldg. Permit (BUILD) _ -----
� V
Plumb. Permit (PLUMB) 3 / 3Z
Mech. Permit (MECH) •S U 3•
State Tax (TAX) C•U ✓ r
i
Bldg: LG /
Plumb: G•�3
Mech: /
Plan Check (PLANCK) 40 U
Bldg: ' o /
Plumb:
Mech:
,i/Zy 3 0 Su 2 Sewer Connection (SWUSA) uU '2 w
Sewer Inspection (SWINSP)
.3S
Parks D%v Charge (PKSDC) J c.
—, —�-��
Storm Drainage Chg (SDSDC) -
� J v
Residential TIF (TIF-R)
U
Mass Transit TIF (TIF-MT) j
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) ---
Institutional TIF (TIF-IS) —
Office TIF (TIF O)
H Water Quality (WQIJAL)
c
Water Quantity (WQUANT)
J Fire District (FIRE)
TOTALS: •�,���