12643 SW FALCON RISE DRIVE ADDRESS:
i:�.recordslmicrcWtargetstuilding.doc
,CITY OF TIGARD CERT IF I CATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13126 SW Hall Blvd.Tigard,Oregon 97223egi99 (e03)$39.4171
Xx Xx PERMIT 0. . . . . . . : MST93-0271
639--4171 DATE ISSUEDs llieG/93
PARCEL-i 18133DD-1?1')5(a0
sim ADDRESS. . . .- 12643 3W FALCON RIGE DR
SUDDIVISION. . . . s VILLAGE AT SUMMER LAKE PARK 4 ZONING:R-4. 5
BLOCK. . . . .. . . . . . t LOT,. . . . . . . . . . . . . o132
CLASS Or WORK. sNEW
TYPE OF USE. . . iSF
OCCUPANCY GRN. sR3
OCCUPANCY LUADs228 4
TENANT NAME. . . :
Remarkst PATH 1
DON MOR ISSE TTE HOMES
15555 SW BANCY RD
#Pqjl
LAKE OSWEGO GR 9703!r#
Fah otip #: 620-7538
Conttact arl
DON MOR ISSETTE BUILIDFRS, INC.
15555 SW BANBY RD.
Weill I
I-AME 08WFOO OR 97035
Phone #1 6213--7538
Reg *. . : 35333
Ourupancy of the mbove referenced building is hereby uiven, and certifies
the compliant-:9 with the estate Of Or-egos SperialtY Lod0s for the group,
occupancy, and use under which the referenced permit wAs isa:.ed.
FIRE DEPARTMENT 8 L. IN® IN OR
IL--DN(3 OFF I AL
POST IN CONSPICUOUS PLACE
Citi Of Tigard oni.ding Depart
13125 M Bs'l Blvd. Tigard, Oragdm 97223
Inspection Lina (Roc-o-phone): 639-4175 Business Phone: 639-4171
Inspection: 1, j
Rooting Plbrl. Vndarslat
Mach. Rough-in Aper/edmlk
Found. Pl,bg. Top Out
Gas Lina ��INALt�
Post/Beam Rtruct. Ban. Bower
Framing
Post/Beam Koch. Rain Drain
InsulationPlumb.
Plbg. underfloor Nater LL"
gyp. Bd. -Mach.
Data Requesteds. 3`4
1 3 \
I !" f D n T _Ties!
Addresae l�y.�l ] E (��rnL� ---__M
Permit
B:sildars (Z)I C (? 24;
Thl IJLLONINO CORARCPIONR ARE RaQOIREDt `T
--------------------
--7—_
-----------------
Inapaator:_
�/ Date: 9_.3
!L APPROVRD DIR1►ppRpysD
—-- APPRMRD ROBJECT TO AH0VE
---Call For Rainsp.
I!!lP�gl
City Of Tigard Hnildieg Depertosant
131.25 /lel Hall Blvd. Tigard, Oregon 97223
Inapeation Line (Rec--O-Phone)c 639-4175 Business Phones 639-4171
Inapections
rooting Plbq. Underalab Rech. Ltough-in Appr/ilk
Found. Plbg. Top out Qae Line rIN11L�
Post/Bees Struct. San. Bever Framing
I
Post/Beam Koch. Rals Drain Insulation -ply.
Plbg. Underfloor Water Line gyp. Rd. �MeOh�
Data Requesteds_, /1 - -'13 Times
-f
Addreaas , % (rl-(�J R,`QA ` Permit Oe�� -0G71
Builders_1� l/Jl i r�C�V- 1 A , L(> '-/I_70
TRE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors_ -4 7 S�
V --- Dater
_ APPROVEDDISAPPROVED APPROVED SUBJECT TO AROVF -
r'
--call. For Reinsp.
�NSPac�Iox �,
cit? of Tigard Bsi 1ding papartm Mt
13124 " Ball Blvd- Tigard, Oregao 97223
Inspection Line (Roc-A)._Phons)e 639-4175 Business Phones 6�9-4171
Inspections
tooting Plbg. Underslah Mach. Rough-in Aper/Bdvik
Found. Plbq. Top Out Gas Line IMLs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Mach. Rain Drain Inculation -pl�,
Plbq- Underfloor Nater Line Gyp, ad, -Mach.
Data Requestede
�"
r-- k X111 �_11f
Address. 2-C 43 0.QC`!1►� i�l Permit f i3 ca2" 7 i
Builders � �SCj
TBI FOLLMING CORRMCTIONS ARR REQUIRIDs
'
Inspector:
_ nate:
"PRCMMD - DISAPPRbvj4 APPROVID SUBJRCT To ABOVE
Call For Rainsp.
_________ - MpECT7d>t11toTICs - - _ --Y-----�—
city of Tigard UnUding Departsmmt
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rsc-O-Phone)z 639-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. Underslab Mach. Rough-inAppr/Sdwlk
Found. Plbg. Toy Out Gas Line FINAL:
Post/Beam Stru�t. San. Sews Tram?.ng -Bldg.
Posthleam !loch. Rai-k Drain Insulation -Plumb.
Plbg. 7nderfloor Nater Line Gyp. Rd. -Neth.
�( -G
Date 1Grqueste/d:_/ f��� 1 i Time: 'era
Address: 1�i� s �IQCl'7ti� \ \l��Q \
Permit r: 13 � (�Z?
Builder:, .,Mcv���
THE /OLLOWINO CORRECTIONS ARE REQUIRED:
Inspector t_4_11—AL)1 ll� Data: LI' 8 -�
_APF4Cri/ED __ DISAPPROVED /APPROVED SUBJECT TO ABOVE
Call For Reinsp.
City oS Tigard Building Department
1312S M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O--Phune)s 639-417S Rusinos■ Phones 639-4171
Inepero-Lon r_�— ---• ----
Footing Plbq. Onderslab Merh. Rough-in Appr/Semlk
round. Plbg. Top Out Gas Line lIRALs
Post/Beam atruct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water Line C bn Bd• J -Mech•
Data Requuted s J 4-----~� TimesAM _PM 4
Address /C Y G Permit #t f -'?/ I
I !�
Builders
IIS rOLLOM]W OORRBCTIONS ARK RKQOIRRO,
CQ
Inspectors Date:
APPROVKD DISAPPROM119D y APPROVED 90BJKCT TO ABOVK
n\ C� Calx Per Reinsp.
City or Tigard Haildi V Department
13125 Sw Hall Blvd. Tiger-4, awagon 97223
Inspection Lino (ROO-o-PhOnOl 639 , 8usines• Phone! 639-4171
Inspections
Footing Plbq. Underslab Mach. Rough-in Appr/Siwik
Pound. Plbg. Top At Gas Lino PIMALs
Post/seas struct. San. sower Pram -Bldg.
Post/seas Hoch. Rain Drain 211r1llatio� -.Plumb.
Plbq. Undorfloor Nater Line �P• b• -Moab.
Date :7oqlseated! � � _Tiers
Addreass t( � ry Permit ti i ) -02
Builder! `X'� 1 .Qh��� �1_l� _ �JA V0�
1Oi.IAAR
WlNG CORRECTIONS S RSQUIRSDs
V� -� V'2...,/l•lig ---'� /_�1` � �'n��4f-� c �Z-./��S
C"1- /��l � t�•-1/1/��� ��1 � 4� tar � /_
C L2
cn,j V-\ -
Inspector! `—^^- _ Dates
APpNpVEp DISAPPROVED APPROVS9 SORJECT 110 ABOVE
(A ,, Call For Roinsp.
INSPECTION NOTICE
City of Tigard Buildin4 pepartasmt
13125 SH Hall el�d. Tigard,
oregou 97223
Inspection Line (R--O-Phone)l 639-4175 Business Phones 639-4171
Inspections — --
/Dating Plbq.
Underslab Mech. Rough-in Appr/edwlk
round. Plbq. Top Out
ass Line FINAL:
Poet/Beam Struct. San. ge-r
.-ming -Bldg.
Post/Beam Meeh. Rain Drain
Insulation J -plumb.
c; ed. -Mach.
plbg. Underfloor Water Lineyp
PM
Time: AN —
Date Requested:_.- — ! c n /J ,
Permit #: `j' V
Addresses
Builder:_
THE FOLUMINO CORRECTIONS ARE RZ(UIRED: C
1 A-I
/'1 -2_C, a
Inspector: Date:
_-APPROVED -- DISAPP4 APPROVED SUB,TECT ""0 '\BO"rE
r-) �' Call For Poinep.
IIi�.EEg1:on NOTTCR ��.
cit? of Tigard fluildin9r Depet tmeat
1312w SW Ball Sled, Tigard. Oregon 97223
Inspection Line (Rec-O_.Phone)i 639-4177, Business Phonaa 639-4171
Inspections_ - 1 c2G
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
FOund. Plbq. Top Ou� Gas Line
FINAL[
Post/Bean Struct. fan. Sewer Framing -Bldg.
P08t/00am Mach. Rain Draln Insulation
-Plumb.
Plbq. Underfloor Nater Lbw Gyp. Bd.
-Mach.
Date Requested s `?-`�l - ,
�. p(� pp� \ Times AM PM
Addresnw_�Z�S�� '� �rt�tC47✓� f�( 1�r Permit #1"1 -Oz-71
Builders -YAlt It
TM FOLLOWING' IORRECT ONS ARE
REQOIAEDt
Inspectors
—'—" Dates
—APPROVED _-- DISAPPROVED
APPROVRD 8t]8JEC!' TO ABOVE
-call For Rein.p.
IxSPLCTION NO'I_%
city or Tigard Building Department
13125 MI Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Aec--o-Phone)t 639-4175 Business Phonet 639-4171
Inspectiont-
looting Plbg. Unders)ab Mech. Rough-in Appr/Sdwlk
found. Mg. Top Ou Can Line IINALs
Poet/Been Struct. San. Sewer Framing -Bldg.
Port/Beam Koch. Rain Drain -Plumb.
Plbq. Underfloor Waster Line gyp. Rd. -Mach.
Date Requosteds / (7 J Time: „(
Addreest ,� { �71 �'t R((?TV !jQ L� , Permit. to
Buildert17-
TBR /OI.I.OMING COR1ARCTIONS ARB RBQOIRSDs
i J L.. ►.A.it /
Inspectore^�/ V r�}Yl-^ Date,
`__APPiN,,p _ G DISAPPROVBp --- APPROVED SOBJBCT TO ABCMR s-
Ce11 for Rainsp.
City of TIOM42 Baildimq Departsaint
1312S SM Ball blvd. Tigaad, Oregon 97223
Inapecticn Lina fRec-a-Phono)i 639-417S Business Phone. 639-4171
Inspectione�
Footing Plbq. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out `` Gas Line / FIBAL:
Post/Beam Struct. San. Bawer Framing -Bldg.
Post/Be u loch. Rain Drain Insulation -Plumb.
Plbg. Ofnderfloor Wate-r'7 Line Gyp. 8d. -loch.
Date Ruquestede �� /- (I Time:
Address s -�c�LE^/ Q�/�1 ,.C��f Penni G 1 t C?7 ..� )(
BuilderzISl/�
TSU FOL1,OMIMG 00RRUCTI0116 ARU RU(IUIREDt 2 -r
I .101)-I S �T�-✓ Y�� u c:�t.-�.-.r< <� �{/(,L2.
Ax
_ !J�.J� a-,� - s
Inspectort L../'�.r-�— Dates
APPROVED ,_VDISAPPROVUD APPROVED RUBJECT To ABOVU
CJ� 1 Call Por Reinap.
INSPECTION NOTICE s ,!
city of. Tigard Building Department.
13125 SM ball Blvd. Tigard, Oregon 97:123
Inspection Line (Rec-rO-Phone)t 639-4175 Business 'honer 639-4171
Inspection: _ — --
Fcc,Litq Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. rlbg. Top Out (` :as Line FINAL:
Post/Beam Struct. son. Sewar Framing > -Bldg.
Post/t+oam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater cLLine L, Gyp. Bd. -Hoch.
Date Requestedt__ -1^ , r Time: AM ___PH
19 3Y � 2 �
Address: I Z-(v �^�-�/� �- Permit
Builders
J(
TRE FOLLONING CORRSI'TIONS ARE REQUIRED+
--T
,ol c 41 C 2-cc S'5 '
Inspector: Date:_
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
sL�rBcgroL Logics r;�
City or rf gate Buudlaq Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone), 639-1175 Business Phone 639-1171
Inspection,
Footing Plbq. Underslab Mach. Rough-in Appr/sdwlk
Pound. Plbg. Top out Gas, s Line i PILALt
Post/seam struct. Dan. sewer Truing -Bldg.
Post/Beam Mech. Rain Drain Insulation _Plumb.
Plbg. Underfloor Mater Line) Z Gyp. Rd. -Xwh.
Date Requested, GI _J Timet `/ �•• pB
Address, 12 —�li y 2 �l
(� /Permit 5t
Ru'Ader,
TBE POI.i.MMQ CORRECTIOLs ARE REQUIRED:
, 1, ✓�e \ T --`>~ 1-2-
L f7w 0 a
1,') t e cue k
Inspector:
Dates
APPROVED DIBAPPROVlDAPPROVBD BUBJRCT TO AAOVE
G't Call For Rainsp.
y8pacrioN NOTIga a
City of Tigard Bnildiep Department
L112S ag Ball Blvd. Tigard,, Oregon 971,23
Inspection Line (Rao-O.-Phons)i 639-4175, Business 1Phonss 634-4171
Inepectioni �C-'i/L� L'I�l�V -
Footing Plbg. Underslab Koch. Rough-in Appr/8dwik
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Sari. Sewer ( Fruinq -Bldg.
Post/Beam Nosh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lias Gyp. Ed. -Xwh.
Data Requested$ 7-0 11
Timet AM ht
I' r" /� x y
Address• , n`t,�;� f �9 rev, R,.,v1)y , Permit 9 s ll-J
Builders
TIM FOIJANING OORRRCTIONS ARE RBMIRED1 o
1
Nr
V..�C 4) G .� C
1�1 �v� �� ILQ ck - -
V ut a t- c-✓ k.) ;e� l 1
L1,1 -e-t c) L t v-S rye a �c e CA
S S >�V 2,1. 1
05)
Inspectors
APPROVED DISAPPsom APPROVED SUBJECT TO ABOVE
/ , V/Call For Reinap.
I BPECTIQK KOTICE
City of Tigard Building Department �
13125 ON Ball Blvd. Tigard, Oregon 97222
Inspection Line (Rec-G-Phone): 639-4175 Business Phone: 619-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIKALs
Poet/Beam et-uct. Ban. Sewer reining -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requestodd: t _n Time: AK PM
Address: /i`-P Permit 0.
Builders
THE FOLLUwIKG cORREcTIOBB ARE REQUIRED:
civ t : c l.� C�—r ✓ Q r
IA
rT
i
i
inspector:
_ Date:`
{_APPROVED DISAPPROVED _ r-.•-,VTD BttaincT TO ABOVE
Cill For Reinep.
iMBpBCfIOR 1193ISai
City Of tigard gt.�1dt1+s5
31.331.215 sw gall Blvd. Tiyascd, OCOOM 97223
Inspection Lina (PAC-0-Phona)' 639-4175 Raainews Phone+ 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/edwlk
pound.
Plbg. TOP Out Gas Line tIYOA s
poet/Beam 8truet. sane sewer
training -Bldg.
met/Seas Nech, Rain Drain
Insulation -Plumb.
plbg. Underfloor Nater Lina GYp• Sd•
-Neth.
Tues PAN
Dat. Rps
ut.de 2e, ,
• �1 ('� (� � -- -1
Dddre.. 2� 13 1 Permit ,s
B�silders,� •\`fix lS��J�-u-
TM tOLLOWIpo CORRECTIONS 1185 RBQUIRBDs
I
i
Data 1 J
Inspectors
APPROVED DISAPPROVED APPROVED 8UBJECT TO ABOVE
Call
For Reinap.
�.1 f
INB 2jm_XMZ4j
City of Tigard Badding Departmaet
17125 W Ball Blvd. Tigard, Oregod 97223
Inspection Line (flea-3.-phone), 639-4175 euuine.. Phone, 639-4171
Inspection,
Tooting Plbti;. ander.lab Mwah. Rough-in Appr/sdwlk
Found.�. Plbq. Top Out Oa. Line IINALs
II
post/seas struct. San. Hewer irssing -Bldg.
Post/Bram Meth. Rain Drain Insulation -Pluseb•
Plbq. Underfloor Mater line Gyp. Bd. h•
Date ReWeeteds�1 __7r---Tims AM PM
Address,
Builder,
TM TOLI.ONING OORRlCTIONS ARs RNQUIRSDs
Inspectors Dates �" 2 �J�•�
AYPRONSD DISAPPRONBD APPROM SDBJXCT TO ABOVE
Call for Relnep.
INSPECTION NOTIGE
Cit? or Tigard Ruildisy Dspwrtwout
13126 aw Call Blvd. Tigard, Oregon 97213
Inspection Line (Rec-o-Phone), 639-4175 Business Phones 639-4171
Inspectiort _ --
Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Poand. Plbq. Top out gas Line FINALt
Po /Beate struct. i Ban. Bower Framing -bldg.
rt Beam Nath Rain Drain I1811141tion -Plumb.
Flbq. Underfloor) Nater Line gyp. Bd. -Meeh.
Date Requested
7 l�� _Tice, AN PN {
Addreas �' /_f�Cel /� �.r2�Is�it #I 2
builder: �rh
TBR FOLDMING CORRECTIONS ARE RBOUIRRO'
Af
r
_ r—
Inspectors_ Dates 7— /
_APPROVED 4 D;77
APPROVED SUBJECT TO ASO"
1 For Reinsp.
INSPECTION NOTICE ` '
City of Tigard Beildiaq Department
1312S ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rae-O-Phone)i 639-4175 Business Phone: 639-.4171
Inspection:
Ming Plbq. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Bean Struct. an. Swwe Framing -Bldg.
Post/Bean Mah. in Orain� 1naulation -Plumb.
Plbq. Underfloor (rater Line Gyp. Ed. -Meoh.
Data Requested: -h Two Y PN
r
Addreaer� / 7 :�Lt t:
Builder:
THE FOLLONING CORRECTIONS AAS REQUIRED:
1
I
Inspector: �7_ /j
Date: 1 w
/�APPROVED --- DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Rainsp.
_;;,ezCT121 NOTICE
City of Tigard BmUdlmg Dspartmwwt
13128 M Ball Blvd. Tigwtd, Oregon 97223
Inspection Lina (Rao-4-Phone): 639-4A75 Business Phonal 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/sdwlk
Foand. ) Plbg. Top Out can Line FINALE
Poet/Bean Struct. Ban. Bower ?rowing -Bldg.
Post/Be" Koch. Rain Drain Insul^"^- -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Hoch.
�1
Date Requestadt 1 (3 3 I o m PM
Address s 12-1,Y3
`A l�7-�"L�XJ 1 11d�x Permit t
Builders� ( (/_
Teo FOLLOWING CORRBCPIONS ARE RBQUIRSDs
Inspectors Dates 7
-19
APPROVED DIBAPP1l0YND �APPROVRD SUBJECT To ABOVE
Call For Reinsp.
PLUMBING PERMIT
CITY OF T IGARD pj:jRMj r #. . . . . . : MST93-0271
COMMUNITY DEVELOPMENT DEPARTMENT DA FL ISSUEDt 07/12'/92
13125SWHd8kd.T1gwd,0rW,a 9TWO8199 (603)639-4171
SITE ADDRESS. . . : 12643 SW FALCON RISE DR Pt�t(CELv IS13-IDD-1219500
SUBDIVISION. . . . .' VILLAGE AT SUMI"IE-P LAKE PARK 4 ZUIqINGc R--4. 5
BLOCK. . . . . . . . . . . Lor. . . . . . . . . . . . . : 132
CLASS OF WORK. . :NEW GARBAGE DISPOSOLS— : 1
TYPE OF USE. . . . uSF WASHING MALH. . . . . . . : 1 BACKFLOW i' REVNT -0
OCCUPANCY GRP. . :R3 1..'LOOR DRA1146. . . . . . . :0 T PAPS. . . . . . . . . . . . . . ..0
STOR,tES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH PASINS. . . . . . . :0
F 1. --- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. .. . . . : 1
SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :3 01HER FIXTURES)— .0
TUB/SHOWERS. . . . : SEWLR LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WPTLR LINE (ft ) . . - - - 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
[temarks - POTH I
OWNER:
DON MORISSETTE HOMES TIF $ 1460. 00 JH 07/12/93
15555 SW BANDY RD BPRr $ 470. 50 JH 0-1/12/9-3
#x_101 BPLC $ 305. 83 31-J-1 05/ 11/93 )3 39691
LAKE OSWEGO OR 97035 85pc $ 23. 53 JH 07:
112/13312/93
Phone #: 62.0-7538 SSDC $ 280. 00 JH 07/
PARK $ 250. 00 JH 07/12/93
Plumbing Contractor : MPRT $ 45. 00 JH 07/12/1)3
MPLC $ 11. i25 JH 07/12/93
N am e
M5PC $ 21, JH 0
A d d v-e s c; !T $ 140. 00 JH 07/12/93
C i t kle -S t a t e V-15PE $ 7. 00 JH Q17/1E/9 3
zip3-.-- Phone#t
Reg
REQUIRED INSPECTIUNS
r[lis permit is issued suh.ject to the req-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of: Ore. Specialty Codes and all Post/Seam Struct Water Line Insp
other applicable laws. All work will be done v,ost/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Merha.nical F'inal
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of iSSIAance, or if work is Mechanical Insp Puilding Final
suspended for more than 180 dais, Plumb Top Ot.tt Erosion Control
Framing Insp Craw). Drain
Fireplace Insp
Gas Line Insp
Insulation Ins[.,
Gyp Board Insp
orized F'lUmbing Contractor, Signature
Au h Call for inspection 639-4175
Contractor Notes :__--,
i
f; SHULMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
.t
Wit
T °CITY OF TIGARD
� 3125 S.W. HALL BLVD.
1iati�.0. _BOX 23397
t . TIGARD, OR. 97223
TO WHOM IT MAY CONCERN,
VOEMAKER'S PLUMBING INC. GIVES THEIR PERMISSION TO
�� .jET .DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
z
xw ..
RirK;
SINCERELY,
HAROLD B. SHOE-MAKER PRES.
r
630-7728
CITY OF TIGARD
MASTER F'E.RMIT
COMMUNITY DEVELOPMENT DEPARTMENT 111-RM I 1' 11. . . . . . . : M ST93-0;71
13f25 8W Hall Blvd.Tigard,Oregon 97223.8199 (603)030.4171
639--4171 DATE ISSUED: 07/12/9:
:SITE ADDRESS. . . : 1 c�6 43 SW F=ALCON RISE DR F TRCEL: 1 S 133DD--09500
L=UBD I V I S I ON. . . . : VILLAGE AT SUMMER LAKE PARK 4 Z'JN I N(;: R-4. 5
bLOCK. . . . . . . . . .. . LOT. . . . . . . . . . . . . . 1
32
------- __._._._._ BUILDING
RLI a55UE: DWELLING UN I T5: 1 NA(-3FME_1\1T. . . . . . . . .0 s f
CLASS OF WORK. .-NEW SE:DRMS:4 BATH5:.3 GARAGE. . . . . . . . . . :538 s f
TYC•-,i* OF USE. . . :SF FLOOR AREA- ----_._.____.... REQUIRED SETBACKS--•-_.-------
T YPE OF CONST. ::51\1 FIRST. . . . .- 1230 s f LE.FT. . :5 ft R I GHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1050 st FRONT. :-::'O ft REAR. . :47 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf
IIE I GHT. . . . . . . . ..29 ft TOTAL- __.__..._--:2280 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE114564 PARKING SPACES-:1
Remarks: PATH I
PLUMBING --•---.____..__._-____----.___--
SINKS. . . . . . . . . . . 1 FLOOR DRAINS. . . . :0 BACKFLOW PRE.VNTRS. . :0
LAVOTORIES. . . . . :3 WESTER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . :0
TUI /SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ..14)
WA11-:R CLOSE fS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . .0
DISI4WASHERa. . . . : 1 WPIER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . ..0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WAST 11 NG MACH. . . : I SF- RAIN DRAINS. . : 1
MECHONICAL _.-.- ......____...._..__.___...____.._____.,_.___..__---.__._- FEES
FUELTYPES- _._.____--•--..._ UNIT HTRS. . :0 type amoi.(nt by date recpt
/GAEL/ / ! VENTS . . . . . :0 TIF $ 1460. 00 JH 07/12/93
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 470. '50 JH 07/12/9.3
FURN ( 100K . . :0 HOODS. . . . . . : 1 LAPLC $ 305. 83 JI_H 05/11!93 93-239691
FURN ) -=100K . . : 1 WOODGTOVES. :O B5PC $ ;-'.,. -)3 JI-1 1417/12/93
FLOUR F URN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 0121 JH 07/12/93
BAIL-/CMF' ( 3HP:0 OTHER UNITS: 1 PARK $ -50. 0171 J111 07/12/93
GAS OUTLETS: 1 MPRT $ 45. 00 JH 07/12/9:3
Ownev,: ___.._.__._..____._..______ -._.__._..__.__.___..___._..._.._.HPLC' $ t 1.. 25 J11 07/12/93 .,
DON MORISSE_TTE HOMES M5PC $ 2. 25 JH 07/12/93 ..
1 ;a95 SW PANGY RD P P R T' $ 1.4!x. 00 J! 1 07/12/9:3
#201 P5PC $ 7. 00 .JH 07/12/9 ,
LAKE OSWEGO OR 97035
Phone #: 620-7538
Contractor:
DON MORISSETTF BUILDr'Ra, INC.
15555 8W BANGY RD.
4201
LAKE OSWEGO OR 97035
Phone #: 620-7538
Reg #. . :355313
$ 2995. 36 TOTAL
This permit is issued subject to the regulations contained in the — ---- -- REDUi RED INSPECTIONS
Tigard Municipal Code, State Qbd
alty Codes and all other Foot/fOL(n i InapFireplalce Insp
applicable laws. All work waccordance with approved Post/Beam Str,�.(ct Gas Line Insp
plans. This permit will expnot started within 180 Post/beam Mechan Insulation Insp!days of issuance, or if workfor mor an 180 days. 1Im/t(ndsi �b Insp Gyp Board Insp
F'I_M/Und?rfloor Rain drain Insp
! ermil + ep ; [.lnrat; _ Mechanical Insp Water Line Insp
P1i.(mb Top Ol.(t Appr/SdwlF( Insp
Is 1.(ed By: _ __._. Framing Insp Mechanical Final
Call. for inspection - 639-•4175
SEWER CONNECTION
I TY OF T IGARD PERM17 #PERMIT SWR930235
COMMUNITY DEVELOPMENT DEPARTMENT
10125 SW Hall Blvd.Tigard,Oregon 97223ell11Wr*02j M14171 DATE ISSUED. 07/12/93
'TE ADDRESS. . . : 12643 SW FALCON RISE DR PARCEL: I5133DD--,09500
3IJBDIVISION. VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 132
TENANT NAME, _ :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . i
C LASS OF WORK. NEW DWL_LLING UNITS. . : 1
TYPE OF USE. . . SP NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . :
()emarks : PATH I
Ok-111ev". --- - .- ---- -_ - —--—- -— -- - FEES
DON MORISSETTE 1401111S type amoiint by date reept
t'_)555 SW RANGY RD PRMT $ 00 JH 07/12/93
INSP $ ,,1. 00 JH 07/12/93
1-01l<E OSWEGO OR 97035
Pione #- 620--7538
Contractor: ------------
LONTRACTOR 1\107' ON FILE.
1-11-one 22_'35. 00 'TOTAL
Reg
---- RFQUIRED INSPECTIONS
!his Applicant agrees to comply with all the rules and regulations Sewer Inst ecticim
of the Unified Sewage Agency. The permit expires 180 days from
the date issusd. 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 instiller shall prospect 3 feet in all directions from
the distance qivm. If not I I installer shall put-chase
a "Tap and Side Sewer" Permit
it ind the Agenly will Istall a lateral.
Permittee 'Signattt
r
By -
Call for, inspection 639--.4175
V,
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. e93-242003
CHECK AMOUNT s 49AO. 36
C,01,4 MOR ISSETTE HOMES CASH AMOUNT 00
DDRESS s 15555 SW MANGY ROAD #2,01 PAYMENT DATE a 07/12/93
LAKE OSWEGO, OR SURD V 15 1 ON
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
-UILDING PERM y MST93-0271 470. 50 PLUMBING PF PM 140. 00
ECHANICAL. PF 45. 00 ST. BUILD PER 32. 78
LAN CHECK FF 67- 08 SEWER LJRA j,200. 00
3EWCR INSPECT 35. 00 PARKS SDC 250. 00
NORM GRAIN SDC 280. 00 RESIDENTIAL. TRAFFIC FEES 1350. 00
ASS TRANSIT TIF FEE110. 00
12643 14W FAIXON RISE DP
ILLAGE AT SUMMER LAKE PARK 4, LOT/----,o.-
OTAl- �IMOUNT PAID — — — —> 498+'1+. 3[,
uixs sw Hau Blvd PLNCK/RECT / :3 �
CITY Off' TIGARD POB"Z3� �
PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT 'twaAo'crmv23
DATE ISSUED
JOB ADDRESS: I �?�� �' — / -' TAX MAP/LOT /513 v
SUB•C� � LOT: LAND USE:
VALUATION:
owNER SPECIAL NOTES
NAME: ��r 1'ISSP YYl _ REISSUE OF:
ADDRESS: LAST REISSUE:
Q FLOOD PLAIN/
PHONE: _ SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING: 5,i1,3r�<S C/C
ADDRESS: _ _ ENGINEERING:
FIRE DEPT:
PHONE: __ OTHER:
CONTR. BOARD EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: US TAX:
&RCH/ENGINEER v TSA' CALCULATIONS:
NAME:
i' TRUSS DETAILS:
ADDRESS: ^�k 3 � OTHER:
(� D
PHONE: 3q q5
PROPOSED BLDG. USE:
COMMENTS: ItO/ iklt U Slit_
APPLE-ANT IG ATURE
I ,
Received By: J _ Date Received: '
PERMIT k ACCT # DII-SCRIPTION AMOUNT AMOUNT PD. BAL. DUE
i
en50/3--0A?j 10-432 00 Building Permit Fees 4170,SU
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building X3.53
Plumbing
Mechanical ;? -Z y
10-433 00 Plans Check Fee 0/ ,UY �� ._ `%=Y
Building vj, 3
Plumbing
Mechanical
10-230 OE Fire
5wj6g5-00) 30-202 00 Sewer Connection
30-444 00 Sewer Inspection _ s� / 31'
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 13.-0
25-448-05 Mass Transit TIF Fees �_C1 / _ �/U
i
52-449 00 Parks System Dev Charge (POC) 5-0
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) �
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL
Cy9�a, 3�
nm/3587P.WPF