11983 SW 128TH AVENUE-1 i
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1198? SW 128tn AVEME
INSPECTIGN NOTICE
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 9722.3
Inspection Line (Rem-O-Phone%: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwll:
Found. Plbo. Top Out Gas Line FINALS) y
Poet/Beam Struct San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain I• sulation plum$
Plbg. Underfloor Nater Line Gyp. Rd. -Meeh. -�
Date Requested: i -_- _Time: __—AM _PM
Address/ G�/ ( _ Permit f;J2__.40 v
Mullder:
THE FOLLOWING OORAEC11ONS ARE PFQUIRED:
Inspecto : _-.__�---- --— - Date:- —. --- —
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Acinap.
r r4
CITYOFTWAARD
CIIYOf T16�4RD CER I I C.AT F OF
COMMUNITY DEVELOPMENT b!.PARTMENT eRceoN OCCUPANCY
13125 SWHWIBlvd. P.O.Box 23397,TigwyJ,Oregm97723(603)s3�1�76 F'EFihlIT. #. . . . . . . 6 M"3T' 01vI9
DATE. ISSLJEDs 10/19/9i?
SITE:' ADDRESS. . . I L L983 SW 128'TN AVE PARCEL.a L 5133DD-- 1070VnGs
SUND M S I ON. . . . 1 V 11_L nGF. AT' SUMMER i_.x;KE PARK 5 c(314 J NG-3 s i+- 4. 5
BL.00K. . . . . . . . . . s LOT . . „ 1 x(-06
!
CLASS OF WCIRK. s NE.W
T-YPE: OF USE'. . . s SN
OCCUPANCY GRP. %R3
OCCUF'ANC:Y L O0J)s 1224 4
TENANT NAME. . . /
Remarkvt PAT44 I
Owners
DON MOR I SSE T'1'E BUILDERS, INC%
15555 SW BAN13Y RD.
#201
1_441<E O,WL CACI OR 97035
1-'hone 01 620--7539
Lontrasr,trirs _._.._ -...._�_.._.... ._.._ -...__.._._._ _
DON MOR I SSE-f T[. BU I I DERS, INC.
15553 51' SANGY RD.
#x='01
L.AKE 0SWI-;t0 OR 5174135o
Phone Op f+20-7539
pe?u *. . t 35333
'-,rcupmrw.- of the above referenced builclinU is here bt/ yiwers, and c:ertifie=
the comp , lanr.e with tho State Of Clrle�lun Specialty Cn1Jf'f% for the yr,OuP,
ocr_�upanr v, and mato uncle- which the refer-enced permit; wen igt tseecl.
V i RE DEPARTMENT �.. J I I_D 1 NO - TOR
s-
POST 114 CON aP`t CI.JUU5 PLACE E
US03 ZZlcs
INSPECTION NOTICE
City of Tigard Buildiug Departnieot.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection: -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found Plbg. Top Out Gas Line FINAL:
Post/Beane Struct. San. Sewer Framing / - d9• /`1
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:� _V 7_ _-__rime: AM -2—
Address: PM
//I O Permit /:
THE FOLLOWING CORRECTIONS ARE REQUIRED=
1
Inspector: e..=1 - Date r /U`/9'
(/ :+:PROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
,ISF'ECTION NOTICE
Cil:y of Tigard Bonding Dep-1jeent
131.25 SN Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639--4175 Business Phone: 639-4171
Inspections
Footing Plb3. Ucdorslab Mech. Rough-in App
r adwlk
Found.
Plbg. Tap Out Gas Line 1INALr
Poet/Beam Struct. Ban. Sewer
Framing -Bldg.
Post/Ream Much.. Alain Dcain
Insulation -plumb.
Plbg. Undo-lbxsr "later S..tna Gyp. 8d.
-Koch.
_ Times _ AM PM
gate Requoutedi �---�—^ p
s 1/ k77 Perms_.��
Address: - it f / 07
Bu uaer:
TNS POI.IAWING -4,,OR.RBR'R/IJONS AAE REQUIRED:
Dates1Q 'Y
Inegectors_ ���
APPROVRD nI/S11/PPROVBC APPROM BMW? To RIK"
v Call !or Relnep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, nregon 97223
Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 639-4111
Inspection:.__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. fop out Gas Lino FINAL:
Post/Beam Struct. San. Sevier Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Nater Line Gyp. Bd. -He
.
Data Hequeiteds I D 1,5 L �Times __PM
Address: '^�-'I•�, J, V /� I \Permit 1 s
Builders l`�llM Z ������ l AJW 10Q ) 4W7
Ti.S FOLLOWING CORRECTIONS ARE REQUIREDt
i
Inepectors��r�l-1r2_�L_L1LC1J1�.G�.-,----- Dates
T
- APPROVED DISAPPROVRD _ !\PPROVRD SURJR('T TO ABOVE
!_Call For Reinap.
SPBCTION N-I "E
City of Tigazd Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I r apect iun s_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
P11x;. Underfloor Water Line Gyp. Bd. -Mech. v
Date Requested:_ /_) — Times �/�f��L_ _PM
Address: / 1 1_._S —_—_ Permit Is1
Builder:— — 'i _L-'SL0
THE FOLLOWING CORRECTIONS ARE REQUIREDt
v� 4 CuNC96TE 45 OREgUIL&D 1N'
t_o c Q. oXI,3--. 'P f'A//O
InspectorsT qA /�,i Dater
APPROVED DTSAPPROVRD LZAPPROVED SUBJR17T TO ABOVR
Call For Painap.
IMMIRAM I -- 7
I 0SP KCTIOtL NOTICE _ z
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171.
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdw1k
Founa. Plbg. Top Out �GasLln. FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Sd. -Meeh.
Date Requested: Al / _ � Time: /_z AM _PM
Address:_ Z/47�� � Permit i:� _r[
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIPRD:
Inspectors \v Date-
APPROVED DISAPPROVED ^^ APPROVED SIIB.iRCT Tin ABOVE
For Reinnp.
INSPECTION NOTICE
City of Tigard Building DepaAment
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection _ - --- –
Date Requested –G Time_.M_— A.M. P.M.
Addross z_. __-1�� l Z'9 _ Permit # Z Zo 9
Owner__-- Lot #_
BuilrierThe following Building Code deficiencies are required to be corrected:
Presented to - _ _ -- - Approved
Inspector G� L__I Disapproved
date
CALL FOR REINSPECTION
❑
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd Tigard, Oregon 97223
Inspection Line (Rec-.p-.Phone): 639-4175 Business Phone: 639-4171
Inspection t_ _
Footinq Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINAL:
Poat/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina �^ Gyp- Rd. -Mech.
Date Requested: �L' -T-Timet M�-'ts"_
/- A
Andress: ��� � .� Permit i s C,� 0��7
Builders
TIM MLL40WING OORRECTIORB ARE REQUIREDt
did a
4
inapectors _ Dates_
APPWMND _- DISAPPPOVED APPROVED SUBJECT TO ABOVE
For Relnsp.
71
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:,
Footing Plbg, Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out � Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Ba,m Mach. Rain DrainT�naulati) -Plumb.
Plbg. Underfloor slater Line Gyp. Ed. -Mach.
Date Req»ested: !� �� a7/�. T,.,. AM p11
Address:_) / ! d 4.) d Zr/ -Petmit #/ �., �✓(J�7
Buiidor:,
THE riLLOWING CORRErTIONS Akh REQUIRED:
Inspector: -Dater / ��
------ - r
APPROVED DISAPPROVED _ APPROVED St19.1RCT TO ABOVE
For Reinep.
INSPPE_CTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Q&��-
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection,,__
Footing Plbg. Underalat M:Pch. Rough-in Appr/Sdwlk
Found. Olbg. Top Ovt Gas Line FINAL:
Poet/Beam 5truct. San. Sewer !taming -Bldg.
Poet/Beam Mech. Rain Drain Ins on -Plumb.
Plbg. Underfloor Water Lina Gyp. ad. ech.
Date Requested% �// �� Tim% AN PH
AddreQe: ,LL�1c� 4.2� �!t°�._ Permit #4,?
Builders��.
TM POLIAWING OORRECTIONS ARE REQUIRED:
'(--�
Ynspector%� _ _-- Data%_1C���
PPOV
ROVED DIRAPPROVED �J APPROVED SURD CT TO ABOVE
Call For Reinsp.
V
I
d
T)
IN&?ECTION NOTICE ( �
City of Tigard Building Departarnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O_.Phone): 639-4175 BueinPss Phone: 639-4171
Lispection:
Footing Plbg. Undolalab Mech. Rough-in Appr/Sdwlk i
Pound. Top Out Gas Line PIP%Lt
Post/Roam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plush.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Reque..teds % J� % �..� Time$ / 'AM PM
Addre.•e
Builde �� 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
i
G
In.pacto � !—
-- Date _
APPROVED _— DISAPPROVED APPROVED SUBJECT TO ABOVE
TTT����� _—Call For RUn.p.
i
I
1NSPSCTIOL�IGTICE I� S
City of Tigard Building Department
13125 SW Hall BI'vd- Tigard, orcoon 97223
Inspection Ltne (Rec•-O-Phone): 639-4175 Buozness Phone: 639-4171
Inspection:
Footing Plbq, UnderslanRou h- i
t g� Appr/Sdwlk
Pound.
Plbg. Top out Gas Line FINAL:
Poet/Beam Struct_ Ser.. Sewer
Framing -Bldg.
Poat/Ream Meds. Rain Drain
Insulation -Plumb.
Plbg, Underfloor Water Liffe Gyp, ed.
-Mech.
Date Requegtr_r ^p2 —e
19� Times AM PN
Permit to 7� �
Builders �-z
THE FOLLOWINs OORRRCTIONS ARR PUIRED:
.e
InSPOCtor1
��-- Dater
-APPROVED DISAPPROVED APPROVRD RUBJNCT TO AM"
GL1 Pbr Reinsp.
1NSP IO NOTICE
City of Tigard Building Dep"r+ lent
13125 Sp Hall Blvd. Tigard, Oregon 97223
Inspection L.r:e (Rec--O-Phone) 639-4175 Busineas Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fount,. Plbg. Top Out Gas Line FINAL:
6t/Beam Struct. San. Sewer naming .-Bldg.
?oa am ac Rain Drain Yneulation -Plumb.
P1W.--Vndert`1oor Water Lina Gyp. Bd. •.lech.
Date Requested:_' M
�Q —` Z Time GP
/ / G
Address: / `�/ d -±> Permit 1 t — LSs=L
guilders�+-- �C/-3 / L, 74)
THE FOLLOWING CORRECTIONS ARE REQUIREDS
i q
Inspectors Date: —�� -/ -A
y APPROVED DISAk.ROVRn APPROVED SUBJECT TO ABOVE s
Call for Rainep.
jUSPEE,CTION NOTICE.
City of Tigard Building Department
13125 SM 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 i
i
Pound. Plbg. Top Out Gas Line FINAL: I
Postt694mw.__BtruCt,' San. Sewer Framing -Bldg.
Pool /so" Meohd Rain Drain Insulation -Plumb.
_ _...................... .....
Plbg. Underfloor Gwater Line Gyp. 11. -Mech.
Date Requestedt D S `� Tlstet _AM PM
Addresss_ / li1(�Permit #1-/s�
BuildertL22U
i
THE FOLLOWING CORRF,CTIONS ARE REQUIREDs
-
zedee J_
,'�
Inspector s_— _ -- --- -- Dates
APPROVED DISAPPROVED APPROVED SUBJECT To AWWR
-,Gail For Ralnep.
JtLS OtL NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspecti-on Line (Rec--O-phone): 639-4175 Business Phone: 539-4171
Inspection:_ _ _ _ _
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam loch.` Rain Drain Insulation -Plumb.
Plbg. Underfloor 1 hater Line Gyp. Bd. -Mech.
Datw-K4quested: --' /�7 TLoot _�1�1t J PN
Address: I�! ! /T, _ Permit
Builder: C�%_,�21
THE FOLUVING CORRECTIONS ARE REQUIRED:
i
}
✓
Inspector _ Date! I
APPROVED DISAPPROVED APPROVED SURJE('T TO ABOVF,
Call For Reinnp.
0
City of. 7 Bard Buildingi_ICE
13125 SN 9D�epartaent
Ball Blvd. Ti ard, Oregon 97223
Inspection Line (Rec-0-Phonel: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab
•ch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line PINALi
Post/Beam Struct. `�S
Framing --Bldg,
Post/Beam Mech. ain Drai
Insulation _Plumb.
Plbg. Underfloor
ater Lin Gyp. Bd.
-Mach.
Date Requested; -s. _,- !�;
Time: ��-� —
AM PH
Adr3reeer���' � � �
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
--------------
Inspector�/L� ---
Dater
APPROVED DIS7PPROVED
APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IXSP3gTL H NOTICE
City of Tigard Building Department
13125 Sp Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639•-4175 Busineas Phone: 639-4171
Inspection:
looting Plbg. Underalab Mach. Rough-in Appr/Sdwlk
ou Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. lld. -Mach.
Data Requested: 2 T/ 5;�14• Time: _ / �AM PH
Addreee: f �l Permit ts�;J7 G t
Builders �� �
TME FOLLOWING CORRECTIONS ARS REQUIRED: v
Inspectors Date: 7- 1 Y- 9 v
"MOM DISAPPROVED APPROVED SUBJRCP To ABOVE I
Call For Reinsp.
I
- E
CnYOFTIFARD
COMMUNITY DEVELOPMENT DEPARTMENT qN MASTER PERMIT
13125 8W MW1 Blvd. P.O.Bax 2XW,TOW,0►pon 47223(503)OW4175 PERMIT #. . . . . . . . MST 9 c-010 9
639-4171 DATE ISSUED: 07/28/9c'
TTC_ ADDRESS. . . : 11983 SW 128TH AVE_ PARCEL: IS133DD-17000
:.)Jr3DIVISION. . . . : VILLAGE AT SUMMER LAKE. PAPK `i ZONING: R-4. 5
9LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :206
__________________._._.__-----•___.--- BUILDING _-----____.____------____.__------•--____. .
REISSUE: DWELLING UNITS: 1 BA SEMENT'. . . . . . . . :O s f
CLASS OF WORK. sNEW BEDRMS:4 BATH5:3 GAWArE. . . . . . . . . . :420 sf
TYPE OF USE. . . :SF FLOOR AREAS ---- ------ REQUIRED
!'YPE OF" CONST. :SN FIRST. . . . : 1180 sf LEET. . :5 ft RIGHT. :6 ft
OCCUPANCY GRP. R3 SECOND. . . .-564 r'F FRONT. :20 ft RE=AR. . :57 f
7TURIE:S. . . . . . . : THIRD. . . . :0 Sf
HEIGHT. . . . . . . . :24 ft TOTAL------: 1744 s f SMOKE DETFC i'ORS. :Y
F=LOOR LOAD. . . . s4O psf VALUE. . . . . $ : 87784 PARKING SPACES. . :0
Remarks: PATH I
------ ------------------------------- PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWE:RS. . . . 1--HUNDRY TRAYS . . :0 I::H1'C;H BASINS. . . . . . . :Qi
WA E E=R CLOSETS. . :::'. SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER F I X TURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . ,-. 1
----------------- MECHANICAL -- __________.__ _ _-._-____---_____ FEES ------___
FUEL TYPES--.--- UNIT HTRS. . :0 type amount by date rec.pt
/GAS/ VENTS . . . . . ..0 TIF= $ 1380. 00 JH O7/28/92 -
MAX TNPU1 :0 BTU VENT FANS. . :4 BPRT t .397. 012.1 rH 41-7!i:Fk/9;-' -
='IJRN ( 1O0K . . : I HOODS. . . . . . . I SPL.0 L .-'58. 05 JLH 06/04/92 22
FURN > =100K . . :0 WOODSTOVE:S. :0 P5PC $ 19. 85 JH 07/28/9' —
f:LDOR FURN. . . . :0 CLO DRYERS. : 1 EiSDC $ 280. 00 JH 07/28/92 —
BOIL/CME' ( 3HP:0 OTHER UNITS:0 PARIS 4 500. 00 JH 07/28/%?8/%? —
GAS OUTLETSs1 MPRT f 39. 00 JH 07/ii8/92 —
()wner: ---____ ._____.__._____ ____._-____-__ MPLC $ 9. 75 JI-1 07/28/9c'
DUN MORISF;ETTE BUILDERS► INC. MEPC $ 1. 95 JH 07/28/92 -
15555 SW I+ANG'/ RD. PPRT $ 132. 50 .JH 07/2'8/L)I
#201 P5PC $ 6. 63 JH 017/28/92 -
LAKE OSWEGO OR 970: 5
Phone #: 620-•7538
Contractors -_--_______._______.__.____.__-•_-
DON MORISSFTTE BUILDERS, INC.
15555 SW RANGY RD.
LAKL OSWEGO OR 97035
P,lione #: 62:01-7530
Ren #. . s 35533 ____.________._________-_.-.--_.._--.--_._._..
0 3024. 73 TOTAL..
Thio pereit is issued subject to the ropulations contained in the -- ----- REQUI FED INSPECT I ON! ---
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fnot/fa►lnd Insp Fireplace Ins��
applicable laws. All work will be done in accordance with approved P( s t/Beam St rust Gas Line Insp
plans. This pereit will expire if work ,s not started with' 180 H'oat/Neem Meehan InSULAtion Insp
days of issuance, or. if work is suspended for wore than 181 aye. Pl m/unds;lab Insp Gyp Board Insp
Q(� P!_,M/Und'!rfloor Rain drain Insp
i"lermittee Siynat«re : ski, _ __ Mechontral Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
19supcl Hys E V,ominr) 111sp hlpl-hanirat f i.naI
Call for inspection - 639--4175
W
ci7Y0FT1GArRDC
6A COMMUNrTY DEVELOPMENT DEPARTMENT PE
SEWER I:.UNNE C, r I C1N
13126 SW HWJ BAd P.O.Boot 23397,Tom,Q'+ M 87223(6 . i.l
03)639-4175 PERMIT��E R hi 1 T #. . . . . .
SWR9c' -0.14
>`j-41 ! DATE=' ISSUED: 07/28,,'gj2
;LTTE ADDRESS. . . : 11963 SW 128TH AVE
3UBD I V I S I ON. . . . : VILLAGE AT SUMMER LI IRE PARK � PARCEL: 1 S 1."s3DD-1 71�1�4
BLOCK. . . . . . . . . . ZONING: R-4. 5
iENANT NAME'. . , . . ......_-------__.••-_.---_.___ __.._.
USA NU. . . . . . . .
CLASS OF WORK. . . :NEW
FIXTURE UNITS. . . :
TYPE OF USE. . . . . :SF DWELL I NG UN I TS. .
7N9TALL TYPE. . . . :SUSWR NO. OF BUIL.DINGS: I
I MISER V SURFACE. . : ;s f
Remarks : PATH I
Owner:
DON MORISSETTE BUILDERS, INC. _- FEES _----- ----.____--
15555 SW BANDY RD. tYE)e amol.tnt by date ret--pt
#2101 PRMT E x'100" N0 JH 0.7128192 —
LAKE CJSWE:GU OR 9 70,'3 INSP 6 5v- 00 .JH 07/28/9p- --
Phone 40: 6E.,0-75538
1'ontractor: --___._—.w_—______—_
'()N7RACTOR NOT ON FILE --____—__~�_
F'hnne Ms
Rey #. . s 2135. 00 TOTAL.,
This Applicant agrees to c0101y with all the rules and regulations Sewer— eInspUctiionD INSPECTIONS - -
of the Unified Sewage Agency. The pereit expires 188 days fro@
the date issued. The total a@ount paid will be forfeited if the
Per@it expires. The Agency does not guarantee the accuracy of the
aide sewer laterals. If the sewer is not located at the @easure@ent
given, the installer shall prospect 3 feet 1r all directions fro@
the distance given. If not so located, the installer smallp
urchase
a "Tap aid Side Sewer" Per@it and the Agency will install
Call f'or inspection — 639-417
-----------
CITY OF TICARL) RE-CEIPT OF PAYMENT RECEIPT 140, t 92-2,1,.9943
04AME a MORI SGF:.7'FE, DON CHECK AMOUNT x 490S. 73
ADDRrSq CASH AMOUNT f 0. 00
PAYMENT DATE r 07/28/92
GUOD I V 1 G I Ojj
I-)URPOSE OF PA.YMFz-.Nl- AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING- PERM—PERM-
MECHANICAL PE 319. 00 -UMBING PEPM 13 F5 0
Pl-AN CHECK FE 17. 80 ST. BUILD PER 28. 43
SEWER INSPECT 9EWER LJS() 21 ow.0
3115. 00 PARKS SDC 0
00
STORM DRAIN SOC 280. 00 REST DENT IAL TRAFFIC FEES 500. 00-_)
MASS TRANSIT TIF FEES I Q10. r 77�"l o
C)u
LOT VILLAGE AT SUMMI---RLAKE #!Tj
11983 FjW 128TH AVE
1'0*1 (41- AMOUNT PAID 4909. 73
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 91023 (P.O. BOX 2.50)
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. .BOX 23397
. TIGARD, OR. 97223
WW
TO WHOM IT MAY CONCERN,
SHOEMAKER'S PLUMBING .INC. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD B. SHOI•:MAKER FRES.
630-772.0