11976 SW 129TH PLACE • I* .1
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CITY OF TIOA G ROCfiUPANt OF
RD L�rC !✓AfJC'v
PERMIT ##. . . . . s MCii"�3��►�,,
COMMUNITY DEVELOPMENT DAERARTWNT DATE; ISSUED: 07/19/93
13125 SW Hall Blvd.Tigard,Oregon 97223.81fb9 (503)63s-11171
PARR-''EL: 1S1.33DD -1660x0
131 T L ADDRLSa. . . . 1 1 y o b SW 1`9,i h Pl_
SUBDIVISION. . . . r VILLAGE AT SUMMER LAKE: i'ARK !j
BLOCK. . . . . . . . . LUT. . . . . . . . . . . . . s202
CLASS OF WORK. sNEW r
TYPE r USE'. . . :5F
OCCUR ANCY GRP„ s R3
OCCUPANCY LOAD s LZ'2 L 4
TENANT NAME. . .
'?�-Okal ks: PnTH
Owner"
IMORISSETTE. HOMES
15555 SW DONGY RD 4'201
LAKE OSWEGO Oft 970.35
Phone #1: 6;-0•-7538
DON MORISSET'TE BUILDERS, 1�4C.
1.5555 SW B.NINGY RD,
#21(111
LAK'. Of;WE=(:;O OR 97035
Phone ##: 620--/538
Reg ##. . : 35 533
Occuparlcy of -the above referenced building is hereby given, and r_ertifies !
the compliance with the StAte Of Oregon Specialty Codes for the grasp,
occupancy, and lisp -;der which the referenced p♦ .,mit was issued.
FIRE DEPARTMENT I_ZE_1 r INSPECTOR
UILDiNG I F CIOL
PCIS"; IN CONUP I CUOUS PLACE
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TIGARDCITYOF ►�
COMMUNITY DEVELOPMENT DEf ARTMENT one"
13126 SW FWI Blvd. P.O.Banc 2MV7,TLUM,Onpon 97713(603)639-4175
PERMIT #. . . . . . . : M51-9.3
DOTE ISSUED: 03/29/gLs
a I T E (=400RE :'5: : 11976 SW 1,.4a Ti-1 ISL PARCEL: 1,5123DL, 1 . .
,UNUIVi SIGN. . , . . VILL..AGL AT SUMMER L(4KE PARK 5ZONING: R-4. 5
BLOCM,. . . . . » „ . . . LOT. » » . . . . .. . . . . . 171
______...._..__..__...., ..._..__._.___._ _._._..__..__....._ BUILDING
REISSUE. DWELi_IN13 l.11VI'r ;: 1 > PSEM,.'N1.. . . . . . . . .0 Sf
CLASS DF' WORK. ::NEW BEDRMS:4 iiA THE: :W %_. 'AGE. . . . . . . . . . :560 s i
TYPE QF' UaE:. . . :`u3F FLOOR FJlik rla_. RE GIU 1 RED SF 'Y Fri LKF i.. _ .....-
f Yl"L OF CCJNS T. :514 F I RST'. . . . : 14ZO s f LLF-T'. . : i"7 ft RIGHT. : ft
is UC;UF'ANLY e�r�r. . : R 5EUOND. . . : 1220 s i' I-ROTA' - :`its ft REAR. . :30 ft
'13TORICa. . . . . . . THIRD. . . . :0 sf REQUIRE=D- �_.._._.W__...._. ._. _._..__._ ._
1ALIGH-1 . f-t TOT AL-- _.._,..__.:�?(;31ZI s t'
211OKEE IJE TkCT"L!r?.'i. :Y
F LUOR LOAD. . . . :40 Fps f VALUE:. . . . , $: 131980 PARK I NG SPACE:S. . : 1
R e rl a r,k-ii . F' A'r 1-1 I
Ir`1KC;. . . . . . . . . . : 1 FLOOR DRAINS. . . » :0 BACKFLOW PREVN"I'RS. . : b
LAVAT'UHIES. . . . . ..3 WAfE R HE ETERS. . . : 1 TRAPS. . . . . . . . . . . . . . :111
'i(J3/S1A0WE:.Q5. . . . :4 LAUNDRY TRAY.;. . . :o i:.ATCH BASING. . . . . . . ..4'1
WAT: R CL053E'rEi. . :zi SaE.WE,R 1-INE (ft ) . .0 GRE.ASL TRAPS. . . . . _ io
D I SHWA;3HLRS. . . . . 1 WATEA4 LIN (f r ) . : 100 OTHER F'I x TURF 5. . . » , :0
GAR194GE DISE. » , : . RAIN DRAIN (ft) . :0
1 SF- RAIN DR14IN,'i3.
MLCHNN! (4L FEES
ULL T'YFLi— .... UNIT F1TR'S. , .0 ty{:re amoI.lnt by date
6ALS,/ / % VENTS . . „ . . :0 T :F-' $ ?461b. 00 JH 03/29/9:3 -
MOX 1NF'i,1'T'.'0 L,T U VENT FANG- . :4 DPRT 1, 51 ;:3. Q10 i1i 0:3/49/'35;
AN i LOOK . , :17.1 HQODS. . . . . . : 1 8F-,,-C .$ 33;. 45 JLH 01/14/93 9;b• 2 3561i',
URN ) - LOOK . » - I WOOi)STOVES. :ili B5pC: $ c''. . 65 JF1 03/29/93
LOOR f URN. . . . .14 LLO DRYERS. I .aSDC $ c8vi. L40 JFI 03/29/9-a
IIL/CMT ' f :0iP-.0 OTI 1113 UNiTS: I i-44141; $ 2;'0. 00 J1 03/i29/133
GPG UUTLE:TSi I 14PRT $ 45. 00 JH 413/29/93
_111PLC:: % 1. 1. 2"1 J11 0.3129/9,.?,
"TOR T SSET TE. HUME'�"S m5PC, $ JH 03/a9/93
`i55 SW B(INGY RID #201 PPRT 4 147„ `..:rill JH 0.:3/2!)/`3.'3
P5PC f 7. 38 JFf 03/29/93
racto-. _._.._.»_......._.._ ._...__._..__._._._._._..__....-
I 1)OV MLM,1L�;..i;:-J Tl ►UI1_DFIf `31 INC.
V) 11i;r:J5 LiW BONGY FAD.
>- # .0 i
�_,PKL QSWLG0 OR "17035
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This ptrmit is issulyd tubject to the regula'ians r1'n1,:'ned in the - - RLQUIRED INSPECT IOrNa
Tigard kinicipal %ode, State of ure. Specialty Cele! And all other FOL1, found Insp r'iveplaac,e Insp
applicable laws. Ali wor4 will be done in accer,+ance path approved Post/?"cram Str^uct Gas Li.nv Ins[)
p1am This pertit will eNpire w not tta-ted within l&@ Port/Seam Mecha►n Insulation ins;-,
days of issuance, or 1f wort• i, Anc:- nr eerF than !N1 da�S. f:rlm/urldsiab Insp Gy,j Board Insp
IW'l_i�f/Urid�? t�loor Frain drain In ,I,
tr?e 3igrlat hr ct-1anic.:asl ins[) Waster Line 1nsF
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CITY OFT167ARD
COMMUNITY DEVELOPMENT DEPARTMENT CITY TMRD
13126 SW HWI BW. P.o.Box 23m,ripm,oregon 97=(603)&w4i 75
SEWER CONNECTION
PERMIT ##. . . . . . . . SWR93-00,;.-
1 `,'L ADDRESS. 11976 SW 129TH PL PARCLL;
UbljZONING: R -4. 5
IVISION. . . . VILLPE)E A7 3UMMER ' PKE PARK
. . . . . . . . . . .. LUT. . . . . . . . . . ... . .. ..i:02
VENANT NAME. . . . . :
USA NG. . . . . . . . . .
FIXTURE UNITS. . . :
CLAG2 OF WW"kiA. r\l"--'W DWIJ..LING UNITS.
T'YP'E 0 F' U'5 E.. Sl
I NO. OF BUILDINGS-. 1
I NST;')Li.. TYPE. Lid,J"WFi IMPERV GURIZACE.
PAII.-I
FCES
1A0r%ISGLT1*E HOMES type Amutirit by data
'5552 SW RANGY RD OaOl
PIRMT Is iR I wO. 0- 1 03/29/93
3511 0 13/C1,21 1:3/9 3
LOKE USWLLO OR 970,:j'-1
Pl-tone #.- 6a`0-7538
Uontt-actw,.-
L LONTF44CIOR NOT UN 1:--'ILE
V1 0 TUTP L.
Req
REWIRED INSPECTIONS
This Applicant agrees to cospiy with all the rules and regulations li-iewev, lrlspec�tion
cf time Unified Sewage Agency. The permit expires IN days from
the oat# issued. The tota, oaoul)t paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
si-i# sewer isterils, If the sewer is not located at the seasirement
given, the instal'.er shall prose, n all directions from
tne distance given. if not so jo i�nstaller shall purchase
'Top and Side Sewer' Permit ai insta'' a lat;,rAl.
::iy1)a t;'.A t L, --------
AW
Lrri,,te(.J LAY ."
Call fat- irispec.-tion 639--41 . 5
C-0
25 SW Hall 81vd PLNCK/REC r
CITYOF TIGARD PO Box 23397 PERMIT o131 .3/
COMMUNITY DEVELOPMENT DEPARTMENT Tprd,"on 9n23
(503)6394171 DATE ISSUED
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JOB ADDRESS: ���7 7z4 �� �c�7 P/ - TAX MAP/LOTl3�-
SUB: LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
I�Y�'- �'S REISSUE OF:
NAME: ,E)�IZ_—.u�L�t1t 1-t�Y�(� --
ADDRESS: ��`, � LAST REISSUE: _
-1-at �� - FLOOD PLAIN/
PHONE: _.— SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: —, _-- PLANNING: 0(/-- -�--
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: __ OTHER:
CONTR. BOARD N: _ EXP DATE:
ITEMSREQUIRED
SUBCONTRACTORS: PLUMB: Q LIST/SUBCONTRACTORS:
MECH: fko+i Y71VUS TAX: - --ARCH/ENGINEER o CALCULATIONS:
NAME: f_ �L.� �- -r -h rx-A, _ TRUSS DETAILS:
ADDRESS: _C?02OTHER: _
PHONE:
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N PROPOSED BLDG. USE:
COMMENTS:
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Received By: __ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. GAL. DUE
ln1 4 92-o03f 10-432. 00 Building Permit Fees s/= — ._ ,
lu-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees_
10-230 01 State Building Tax (3%) 3S-,2 . 335.2 Y _
Building ,,5.4,5
P1 umb i ng 7 3Y
Mechanical
10-43:1 00 Plans Check Fee 3q/ , 7o
Building .33.x, q
PIurbing _
Mechanical A >
10-230 06 Fire _
5wk93 -002Y 30-202 00 Scwer Connection eZ/u /uu
30-444 00 Sewer Inspection j�, 3�
25-448-02 Commercial TIF Fees _ —
25-44V-04 Industrial TIF Fees
25-448-06 Institut;onal TIF Fees
25-448-03 Office TIF Fees
25-448--01 Residential Traffic Fees 1350 ._ / 5v
25-448-05 Mass Transit TIF Fees 11 l V
52-449 00 Parks System Dev Charge (PDC) _
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC) _ 3Z' _ V
24-445-01 Water quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 252— 5a/U.
nm/358711.61111-
CITY OF
m����� �3iZs sw lieu isNe. PLNCK/RECT # --____— --
1Turd Oregon 97223 PERMIT # _. — --._-----
COMMUNI it DI I,L��1 M{:�"t DGI AR"tMEN"I'
(503)674-4171 DATE ISSUED _
JOB ADDRESS: -_._ TAX MAP/LOT
SUB: _ LOT: _ LAND USE:
VALUATION: _ —
OWNE1' SPECIAL_ NOTES
NAME: �^ _ __ ._ REISSUE OF: — _ —
ADDRESS: � _—__ LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR AFOROVALS REQUUIRED
NAME: _ PLANNING: --
ADDRESS: __ ENGINEERING:
FIRE DEPT: _.------__-_ - _
PHONE: _ OTHER:
CONTR. BOARD #: EXP DATE: _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ T LIST/SUBCONTRACTORS:
MECH: ____ _ BUS TAX:
ARCjjZjENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: --- _ __ OTHER.
PHONE: _
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PROPOSED BLDG. USE:
–� COMMENTS:
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APPLICANI SIGNATURE _
Received BY: _ Date Received: -----_-__--_-____
INSPECTION NOTICE'
City of Tigard Building Department
13125 SW Ball. Blvd. Tigard, Or -ton 97223
inspection Line (Rec-O-Phone): 639-4175 Buainesa Phone: 639-4171
Inspectionty —
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Post~/BBeam 8truct. San. Sewer Friming -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
:11bg. Underfloor Water Line Gyp. Bd. -Koch.
�VVV
Date Requested: Time: _ lllt
Address: Penait #: v C)
Builder:- �u
THE FOLLOWING CORRECTIONS AAE REQUIRED: /
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inapectcrl
"PROM DIaAPPROVED APPROVED 5UP.ircT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspect ion: —---
Footing Plbg. Underslab Mach. Rough-in Appr!Sdwlk
Found. Plbq. Top Out- Gas Line
FINALS
Post/Ream Strutt. San. sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain
Insulation -Plumb.
Plbq. Underfloor. Nater Lina
Gyp. ad. -::ech.
y — Timet AM
Date Requasteds�7 z �7
Address: 'A / /r� / _ Pe mit I t �^'� '
Builder: -
THE FOLI.OWINo CORRECTIONS ARE REQU2 D
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APPROVND DISAPPROVED APPROVED SUBJECT TO ham
Call--- For Reinrp.
INS?E4TIUN NOTICE
City of Tigard Building Department
13125 511 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Ineulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd -Hoch.
Date Requestedr,�f _ Time: �---Am PH
Address:1L 7e, SCS �« % T r�_ P^rmiC Iy`l
Builder:-,—`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector) Date: G
"PRO'VSD DISAPPROVED APPROVED 6UR.IECT TO A20YE
— `Call Par Reinsp.
INSPECTION NOTICE
City of Tigard Building Departs t
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection ':.ine (T.ec-O-Phones 639-4175 Dueinees Phone: 639-4171
Inspection:, —_ —.--
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL.:
Poet/Ream Struct. San. Sewer /�-� ir= nq -Bldg.
Post/Bosm Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Sd. --Nsch.
Date Requested: '5 L Timet // \ AN PM
Address: /Z 17 Permit #1
Builder;,/D' 1-7
THE FOT.I.OwING CORRECTIONS ARE REQUIRED:
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Inepectors � _. Date: s' 2 7— 9 S'
APPROVED DISAPPROVEII ` APPROV=D SUBJECT TO ABOVE
Call for Reinsp.
INSPECTION NOTICE
City Of Tigard Building Deti+rtMFMt
13125 BN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struor. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Pl:unb.
Plbg. Underfloor Water Line Gyp. Bd.
Data Requeste[,d�: _Tom= �/ _/ )_�_
Addreast Petrit 0:
Ai:1 lder s ��
THE FOLLOWING CORRECTIONS ARE REQt1IRXDt
-��� GLI`1 l�� .r-y-lit - •�.vL,/R,.y Lsn �X[/(f� �/t%�'�
Inspectors Date:_,]
APPROVEDy'DISA.PPROVED APPROVED 8UBJEl'T TO ABmz
�l Call For Reinsp.
INSPECTION NOTICE <%
City of Tigard Building Derartment
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: L—z .� — ------
Footing Pbg. Underslab Mach. Rough-4..: Appr/Sdwlk
Found. TIFiC-Top Gas Line FINAL:
Poet/Beam Struct. San. -5Lwer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor `Water Line
Gyp. Bd. -Mech.
Date Requenteds _-/ Time: _ AM _ PM
T"
Add re
ss• �� Permit �s�_�v
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Builders —
THE FOLLOWING CORRECTIONS ARE PEQUIREDs
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Inspector:
XAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of. Tigard Building Depurtmeat�
1.31.^.S M Ball Blvd. Tigard, Ore Ton 9722
Inspection Line (Rec-U-Phone): 639-4175 Business Phone: 639-4171
Inspection:- _
Footing Plttg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
ost/Beam Structl San. Sewer Framing -Bldg.
ost/Beam Mgoh:" Rain Drain Insulation -Plumb.
Plbg. UnderflcK:r ater/Line Gyp. Bd. -Mech.
Date Requested T Timet AM P14
Address: l a g ^'� Permit f: y n
Builder: v Q(�3���v
THP FOLLOWING CORRECTIONR ARE REQUIRED:
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Inspector t Datss _
Inspector
DISAPPROVED _ _ APPROVED SUBJECT i
mall For Reinap.
INSPE TION NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inepaolion Line (Rec--O-Phone): 0,39-4175 Business Phone: 639-4171
I napect iok.t__ --
Footing Plby. Underalab Mech. Rough-in l.ppr/Sdwlk
Fund. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Ra'.n Drain Insulation -Plumb.
Plbg. UnderfImr Water Line Gyp. Bd. -Mech..
Date Requested:_ t —_flmes —�AM PM
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Address: C-�.� 1Y Permit #:cZ-3 U70 3(
Builders— l� e-L-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:— —. ------- -_ --- Date:G( l
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
----Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW 0411 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Int pact ion:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line F1 4L:
Poet/Beata Struct. an. Sewer_ Framing -Bldg.
Poet/Beam Mech. a D D! Insulation -Plumb.
Plbg. Underfloor /Wa r Lina ~/` Gyp. Bd. -Mech.
Date Rucpiestad:__ }��rwv� Time: �1►M PM
Address:-1 ( 1 � ��C- Y Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Tnopertor: --� - --- Date:
APPROVED DISAPPROVED APPROVED SUR.JECI' TO ABOV=
Call For Reinap.
INIPE0I6R NOTICE
City of Tigard Building Department
13125 8R Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e 639••4175 Business Phones 639-4171
T^sections_ -_
Footing Plhg. Underslab Mach. Rough--in Appr/sdwlk
Found. Plbg. Top Out One Line FINALS
Pact/Beam b;ruct. San. sewer FramingBldg.
Post/Beam Mech. Rain Drain Insulation
iib-
Plbq. U„derfloor Mater Lira gyp. ed. �
Date Requesteds Times AMt
�pm
Addrasn:- ` ' Permit. is! JDD /
Bu!lder:��' 1
THF POIJAMING CORRECTIONS ARE RBQUIRBDs
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Inspectors bats:
--� - - -—
A�- APPROVtD DISAPPROVRD �APPROVRD SUBJRCT TO ABOVE
Call Por Relnsp.
XNSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rao7T-77,.,�_-'
Os)t 639-4175 Businera Phone: 639-4171
Inspection:
Footing Plop�Tnderslab Hoch. Rough-in p/sdylk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Strucct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Draln Insulation -Plumb.
Plbg. Underfloor Waatte^r Line Gyp. Bd. -Mach.
Date Raqueste.l t_ ( - Timet AM PN
1
�,� r
Addrwsst ` f /(� �r�'`/ �—� /� Permit it 7�rz')b,3/
Buildert
THE FOLLOWING WRRECTIONS ARE REQUIRLO,
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Inspector!
_APPROVED DISAPPROVED APPROVED SUBJRCf TO ABOVE
Call For Reinsp.
-INSPECTION NOTICE
City of Tigard Building Department
13125 BR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phore)t 639-4175 Business Phone: 639-4171
Inapectiont
Footing Plbg. Undorelab Mech. Rough-in Appr/Stdlj.,)
Found. Plbg. Top Out Cas Line FINALt
Post/Beam Struct. Ban. Sewer Framing -Bldg.
PC.!t/Beam Hoch. Rain Drain Insulation -Plumb.
rlbg. Underfloor /Water,zLine Gyp. Bd. -Hoch.
Date Requeatodt / L" ,J G� J Timet AM _M—PH
Addrvan: �� / � Permit #t 003 f
Bui.ldwr: LjL-o4?-,LS s E-/y�`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
17FyvGq/' IV 4 �` � �i DUB
1?ZAJ -
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Inspector:1 eT A I#V/l LA--5 Datet �2
APPROVED DISAPPROVED __j,,F(�PROVED SUBJECT TO ABOVE
Call For Reinsp.
• INSPEMON NOTICE
City of Tigard Building Department
13125 MM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
Pest/Beam Struct. San. Sewer Framing -Bldg
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Koch.
nate Requested:) C� � 1 3 Time: AK PK
Address s !� ? a-c^ Permit #: 3-&); I
Builder:
THE roLLowimG CORRECTIONS PRE REQUIRED:
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Inepectors- Dates
11tlwOVED __ DISAPp�/VMD APPROVED SUBJRCT To ASOVR
Call For Reinep.
CITY OF 'TIBARD RECeIEST OF PAYMENT RECEIPT NO. e 9 3--238,340
CHECK AMOUNT wi21.IA. 4A
NAM:. = DON MOR ISSE TTE HOME-sp CA SIA AMOUNT a fA. 00
155bS SW BANDY RD r,nYMFNT DATE 03/ .,9/93
LAKE OSWEGO, OR SUBDIVISION
47035—
)Sr. OF r-,AYIYIFNT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
II M-111. ))ING PERM MST"-43-0031 1-513. 00 V-11-LIMBINE-P PERM 147. 50
MF-J.'140NICAL. PE 45. LAO ST. BUILD PER 35. 28
Lrl P1.4--iti CHECK FE. 94. 70 SEWER USA E:100. 00
>- ';VWER INSPECT 35.00 PARKS SDC 500. 00
F0()PM DRAIN SDC 2a0. 00 RFSIDENT IAE. TRAFFIC FEES 1350. 00
MnSS TRANSIT TIF FF,Z-S 110. 00
LLL
11076 SW 1�.'-.'9TH PLACK
TOTAL AMOUNT PAID 521411. 48
OF PAYMEN-I RECAAPT NO. : 3- 0.,
CHI-_i_i AMOUNT : 00
IMME DON MURISSETTF rf-1,,-)-H WWII T v id. OLA
(1111:1 Ft EiEt t MI '1 9 2,
15"MM EM BANOY RD. PiTYMFIlT DOTE :
L-nKE k]A,-WF(--(J, CI ft I V IS I UN
9*70.315-
NINFO SE OF r-()YML-r4T AMOUNI PATD puppotir UV PAYMLN'T' AMOUNT PAID
I ON CHECF, FF I- i9P 00
CL.
V)
Lo
ui
-j
j i.9 7
,W 1.29TH
IDTAL AMOUNI PAID
ZUTYOF
I'��� TcnYAMRD P-*'LUJy1BlNG PV-ZMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . M57'92" V, 1
13126 SW HWI BNd P.O.Bat 23M,Tigard,Oregon 07 (6W)639-4175 7�F7 DATE 11Sc�'UEDm 03/�-'4/4---'
-1 ")TH 1-,'L
..�D I V I G I ON. VI LLOGE AT SUMML.R LAKE RARE-" 5 ZONING: P- 4. 5
C,K. . . . . . LOT. . . . . . . . . . . . . .v'I'l 6-2'
,LASS OF WORK. DISf.'USALS. - 1
0-'E OF UbE, Gf-" WASHING MACH. . . . . . » : 1 BACV%FLUW PRL041"RS. . .0
.XU11AN'-YGRI' . R.a I-L-GOR DRC)INI- .
T 13()P i. . . . . . . . . . . . . . .0
I ORIES. . . . . . . . ..2 WATLR HLATERS. . . . . . . 1 CiITCH BASINS. . . . . . . a0
L\I*URES------ LAUNDPY 7 R.AYS. 0 RAIN DRAINS. . . . . I
1.1,1NKS. . . . . . . . . . .. I Ci R,EASE T RAPS. . . . . . . ..0
i-i'a v A'r 0 R IE 5. . . . . . :
Q"I'l-I E R 1':*1 X T IJ R E 6. . . . . :0
IB/SHOWERS. SEWER LINE (ft ) . . . . !0
ER C L US E Will"ER LINE (ft ) - 100
3HWASHERS. . . . : i RAiN DRAIN (ft) . . . . :0
WNLR:
ifliSSFI-11T T*i r s 14:'110. 0 Q'i JH 03/29 /93
15L155 5W DANGY RD #E01 SPIRT $ 513. 00 JH 03/29/93
1-1 P 1.-C" t 333. 4-5 JLH 01/14/913 1),", -2556 0
()1,iWL6-(.1 ,U!R 97035 135[''C 25. 6W JI-1 03/29/93
•,jne #: bc-0-7538 S fS,F)F, 200. 01h JH 03/'.9/93
PARK :'100. 0171 11.4 03 /r9;3
-.imbillq MPIR V L X5. 012) JF1 03/x '9/"),3
MPLC 1. 25 JH 03/E9/93
AMP . '6hot L44LI E'5 .11-1 03/29/9:x;
I'l d r 6?E- 0 P='E'RM 147. 50 JH 03/29/93
e Pipc 1h 7. 38 JH 03/a9/93
RECIJIRLD ii%is;*-',Ec'rioPjs
t11% pel'mit ir' isFrupd subject to tilp 1-F'y-
ationa contained ill the Tigard Municipal Foot/found Insp Rain drain Insp
State of Ore. Specialty G' des and all Post/Deam Stluct Water Line I n si p
(-li-her applicable laws. All work will be dune mast/beam Machan Appr/Sidw1k Insp
i - aCcovda,ice with tpprovecl plans, Thj �i Plm/lindslab lrl,.;p Meenarlical final
pe,)--mit will expire if work is not started PLIVI/Un d e r-f 1 a u r Plumb Final
- ,i-hiti 1130 days of at, it work is Mechanical In :p building F,'inal
jerided [or more than 10- 0 days. Plumb Top Out Eros.Loii Control
Framing Insp Cri-.%wl Drain
Fireplace Insp
Gan Line �T')Sp
In%ulation insp
Gyp Duard Insp
i' hov*izad Plumbing Contr4actur Signature
639 -A175
SHOEMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR.. 97223
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,
HAAROLQD� /B. SHOEMAKER PRES.
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63U--7728