11356 SW SUMMER LAKE DRIVE r
y
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--- 11.356 .SW Sutmxirlake Dr.
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CITE' OF TIGARD
OREGON µ a
Don Morissette 8301104
Owner: Permit No. -
'`+ t Address: PO Box 19524 Portland, Oregon 97219
i
I'f I Building Address: 11356 SW Summerlake Dr. 'f
R3 R7PD VN IL'
Occupancy: Land Use Zone: Bldg. TypeComm
11,'!4}� :J -ir FP: `:-•a
{ Certificate is hereby given this 10th January 9 0
y g day of 19
that said building may be occup.ed and that it complies with all
q v y g approved
requirements o_ the Buildin ' Code for the Cit of Tigard, as a 14
by the Tigard City Council.
+!r Fire Dept. Building Ins
hy
}P=,'��� � �� Bttiiding fflcial ��_ r-•'-�- �`''�
Post Certificate
in Conspicuous Place
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w w w 9■r w w■r w av �' w
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Request6cfLLS�'� �� TimeM. P.M..(�
Address
Owner _ Lot #
Builder ---- -- —The following Building Code deficiencies are required to be corrected:
Presented to A ved
Inspector -- ---- — U DINPPrOMed
Date --
CALL FOR REINSPECTION
❑ YES ❑ NO
,i
WW
INSPECTION N07 ICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection uiy
Di,?e Requests Time A.M M.
' 4
Address
Owner-- ___ Lot #
BuilderThe following Building Code deficiencies are requii ed to be corrected:
Presented to _ _ !Q--Approved
r7
Inspector 1 —,•N" — -- -- ❑ Disapproved
Date _ --
CALL FOR REINSPECTION
[] YES 1.-1 NO
WII�LwLUXI�
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
`P`h�one: 639-4175
Type of Inspection V(�vG�C'�'�"�-
Date Requestod�� —o 7 o ( �C rime _A.M. P.M. +--
Address `J <A ..�,n-tr Permit #2'� ���
Owner_ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
, - --- LTApproved
Inspects- y
- - -- ❑ Disapproved
_
Date �
CALL FOR REINSPECTION
❑ YES ❑ NO
.r
Milk
INSPECTION NOTICE_
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested •�—� �Time A.M. P.
r
Address !1 3_J.�G �( '� ria w t!� `err it # 1
Owner_ / v Lot 'k—_— --
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector _—_ L Disapproved
Date i - '-k_
CALL FOR REINSPECTION
❑ YES ❑ NO
WN
W !
INSPECTION NOTICE ( G
City of Tigard Building Department
P O. Box 23397
TWard, Oregon 97223
,., t,, ,.P.bone 639-4175
Type of Inspection —
Date Requested �Z -Z/ T{i � P.M.
Address--�,, 2" l Permit #
Owner .. _�,_,�r Lot #
GuilderThe following Ruilding Cede deficiencies are roquired to be corrected:
_ I
- I
Presented to _ ---._.---._ - _- Approved
Inspector _-____ Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
II< i1e N
INSPECTION NOTICE
City of Tigdrd Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phune: 639-4175
Type of Inspection
Date Requested �� /y7 erg _ e
Address
Owner._ _ Lot #
Builder
The following BuilOinn Code deficiencies are required to be corrected:
Presented to ---..__- _ I �'Approv,.d
AV
Inspector ='� _ �_{ Disapproved
Date - !—.S O 4-, —
CALL FOR REINSPECTION
El YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —_
Date Requested — Time_—_ A. ._ _�P.
Address _
Owner _ _ Lot
Builder
The following Building Code deficiencies aro required to be corrected:
fol
Prese.ited to
_ El Approved
A
Inspector —. Disapproved
Date _ / /- F 19
CALL FOR REINSPECTION
R�f'YEB ❑ No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection _ 1/A"�- /
Date Requested Time—__ A.M. P.M.
��/
Address Permit
Owner _ Lot #
Builder ---
The following Building Code deficiencies are required to be corrected:
v'
Presented to - __ Approved
Inspector Disapproved
Date _ d. _
CALL FOR REINSPECTION
❑ YES ❑ NO
WIN
INSPECTION NOTICE
L
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175
Type
Type of Inspection —
Date Requested Time_��_ A.M. _P.M.
Address _-Z/ 3s.:i Permit 0
Owner _ Lot #_.
Builder �-
10,
The following Building Code deficiencies are required to be corrected:
Presented to
-- ---- - — Approved
Inspector Disapproved
C
Date z
CALL FOR REINSPECTION
❑ YES ❑ NO
WIF i
ill Illl�=
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
1 igard, Oregon 97223
Phone 639-4175
'Type of Inspection __ _ ,_ ..,. ._
Date Requested_� Time _A.N P.M.
Address ._ e Pormit
Owner _ Lot
Builder
The fcllowing Buitding Code deficiencies are required to be corrected:
Presented to U Approved
Inspecto — — ❑ Disapproved
Date
CALL FOR REINSPECTION
YES 0 NO
ill► ! !' ! I� ,is ! ! !
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection =; Z� �--
Date Requested/ J- � Time A.M P.M.
Address _-1 S r{�-y�3�2z:t-f� e"'f�trmit �k
Owner _ Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to __ L1 Approved
Inspector p ____ _-_ U Disapproved
Date Q C
CALL FOR REINSPECTION
C7 YES U NO
SEWEN VILAM.1-T
1:11FI11*1111 NO. EA391 107
CITYOFTIFARD
crry&fW4RD
COMMUNITY DEVELOPMENT DEPARTMENT 0111DON
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(303)639-4175 DAIE. ISSUE[): 6/ f/R19
"IMIX NO - 1391 1041
JOH AU11111:41-SS : .113.56 SW SUMM17PLAKE UP USA NUMBER: 1--19012
'TAX MAP/I-O*T 1,51 *33AD I-P-J100 SUB: GUMMEALAKE, I-T : 5 RK :
L-AND USE : P7PD
LOT SIZE:-, I
SEATION : 33 IANIG : 1w
WORK CLASE-i : NEW
USE. *rYVIE : SINGLE FAMILY
The app3A.C:owt, tIJ CNARPIy WJA,h iAl.l. f;.Lnd r*ngi.iiin ti ciris of the. Urii-fiecl
Sower,ayc.y Aqjeric::y , Thai i3er-mit eoxp:i.i,or.,vi JA?0 datim fr-ain thet dato itasluo(J . *The. total.
amr.mint pa0A wil.]. L)s.4 Tor--Feit*�cl :i •P i"lle pq#l�mit Aclellc,4,4 closs ricit yt.lel.l
arlte" th ? aacmlr*ar-y (..)f then Dic.:&tiori c)-P th— inide tnvwiv�r- Iiater-als . If tho !oy.?wer, is
iiat at thkn giveiii , ti-io iriv;tilkiiell Isihial.l. Prloiar)esut 3 -re?t-±t -0-i
all. (1ir-oicticiiia fr-aia tho clist,81411CO-1 yiv*nn . :I:+ rill3t ii;o Ior:�atecl , th". Ji.nti;t&*I.:I.%-r-
Fwt'ahamw.4 Ia. "Tup arld !.:iicle Sewer"' Pei,in:l I. ai.ncl tl-1o4 AqciIiit-,y wil.l. iriinta)A at J.Lak.ei,ul—
INSTALL . TYPE: F 'III DING SP-Mr.11 IMPEAVIOUS AWEA:
FIXII'UnE UNITS : IMPPOVEMIENI'
UWE".1 I-ING UNITS : 1.
NO . OF BLE)GS . J.
ID FEES :
w flOPISSE'TTE: DON P E,1:11M I'T 111*3115 00
N pt:) S 0 X 19 5 k�4 CIONNEC"I'V3N CHAD(., $I. 2,ri0 . oo
E
R j;)0 1-t'l.a r1l Cl 011 LANE TAP INSIAI-L. ,
C
0
N M0AIS!:iE'V*YT. DON
T DON 11014ISSE11-11E BUT'l-DEP15 .11"N1,
R
A I P0 DOX 195PAJ
C p o r t].a ii d (3r 97P1.9
T
o PHONE. ( 503) :.'MA-•1i 31
R REA-,I i!:0 PAIA.ON NO . 3--, TOTAL $11285 . 00
Tois permit is Issued subject to the regulations contained in Title 14 1:40'AK IPT NO.
of the TIVIG, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby PEQUTPk*-*.0 M-iPECTIONS
agreed that the work will be done in accordance with the plans and
specifications and In compliatc, with all applicable codes anJ
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits.. This permit will expire and become null and
void If work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requir"I)ectlons are requeste approved
PermitteeqntXe/---
Issued Byr
L/11•I I ( :f 11 1 1 (111 TNSPE(*.17.L0N
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIL-0 ABOVE
CITYOFTIGrARDCITi&-TW'ARD�
OON
M44WLT NO .
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O A.x 23397,Tigard.Oregon 97223,(503)639-4175
1-11-ITM PMT' NO 8911.0A
,.JOB ADDPES!i : 11356 5W '-.RJMMEPI AKI-i". DR
'TAX MAP/L.0'T Visi 3*.3A1:) SUB: SUMIv1L-..I-4I—(:NKf- L 5 BK :
I.-AND USE, : P,M)
51ZE :
NO : NO:
WORK (I ASS : W.M WMEP CL OSEA' TWAVI
USE TYPE: 511SIGLE: VAM11-Y U11-11NAL NKF'LOW FSA TA
('.,'ONG'T TYPE. VN LAVOPA'T ORY 1 PAP PPIMEP
1:43 TUB SHOWED P. GRIE.ASE T'RAPS
(:)I(--)HWA5HE:P
(;AI:4HA('.;K 131SPOSAL
NO . 151'01411111S : 2 WA51-11NGA MACH:[NE I.
DWEL.L .LIWITS : 1. LAUNDAY TPAY FILDG . DRA'1N ( D.J'A
F1.00114 DRAIN
SINK 1. SE WEP W I
WA'VF-W 1-11EATE"l-4 .1. SIOPM/114AIN (F'T
I:A::MAPK!5 :
o W F EE:!;
NDUN PE.AM11, $13P ")0
r.:
E
11 Pcl BOX 1952/1
part,liarid Cl I` FT X'T'U P F:!5
S'T'A'T'E 'TAX $
C 01 HE P
0
N
T SH(' EKM A- 11<1114 HAROLD
R ,
A il-101ii'MAKEP ' S PLUMBING
C P41 H('.)X Pbo
T
0 ar 9702.3
R 11:4-10NE (!*503) 630 71P-0
P171:71.5 I R A I of(IN N(T-7-77777 O'TAL_ :
This permit is issued subject to the regulations contained In Title 14 RIE.CMI.P-T NO ,
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and PF1.:(4LJ):AF.-,L) INC.53PECTTONS
specifications and In compliance with all applicable codes and PL B UNDEPSI AB
ordinances. The issuance of this permit does not waive restrictivc, 1:10%1* & BEAM
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and WA'I*F:'P LTNE
void if work Is not started within 180 days,or If work is suspended or PLI4 . '11111130UT
abandoned for a period of 180 days any time afW work has PAIN I)PAINS
commenced It shall be the responsibility of the permittee to assure FlINAL
all required,&,instions are re I quested and approved
Permittee
ISSLA)d By
SEPARATE PERMITS REQUIRED ABOVE
.. Uu.uu LJUUU CU 4-7
M1;--C',1--lAN*TCA1 ISE 91T C'TYOFTIOARD 1:)El:',,MI'Y' NO . ME6913.06
CIT'�&'WARD
Y
COMMUNITY DEVELOPMENT DEPARTMENT oRto0#4
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 1 5 S t J F'.D S/ 7/09
4L QM1 NJEJ Will 3 OA —
--I -LM
JOB ADDPE'SS : 11356 SW 5LJMMEPl...AKL. DP
TAX MAP/1-01 :1.5 1 3:5AD 12,100 SUB. I. '11' 5 BK
I AND USE : V'47131)
0,11 S:KZr.-::
NO: NO
WUPK CLASS : NEW F1.J14NA(:A:: 0.00K :1. A:IR FIANDI 1:4 <1.0
USE TYPrK' : SINU IF. FAHTLY FLJPNA('A:. 1001<+ AJA:2 HANDI-P 10K
CION51 . 'T'YPE: : VN E1...001:4 F'k.)r4NA('.',E EVAI:'- . C0('.)l..!:..P
OCCUP.GAP. : P3 I-qEA1'E:P VF..-.N*T* FAN 11
VEN'T' VENT . SYSTEM
UL.R/CoMV, <311P 1-400D :1.
N0. 511)RIES : P. BI P/GUMP 3-131-11P 1144(D('V11
1'.)WELL.. UNI'TS : 1. 1:311-54/10,0mr.) 1.5-301-11P 1N(: :l:NE:PA*I'(31:,'(U UM
F1*111- 'TYPE. (.;AS 81 R/(:C)MP "30-,50HP PFI*-1A'.1:P UIN11's
MAX - T NPLYT HIJ41COMP 504-1-4r) OTHEP P.
F' :1:11-E: 1'.)MPPSI? GAS P1PJ'NG OL111 E*T!:) 1.
111UH Pl:'4I;:-4'
MA14KS
V'EES :
W M0R*l'.'1"511:-;'.T'TE DON PERM T'r $1,0 . UO
N F)Cl BOX PLAN r-4EVII-':W 111.0 OIL)
E
R 1.)cl r,t I Pik n d lar F T.X'T ol:2ES) $ 3:3 :.i0
STATE TAX 10
1:4
C
0
N
T PELL. 1-**.-.A*1JNl1m INC: .
R
A J.5550Sr-.. 1:11:AZZA AVE
C CI Ac I<()M A- ts Or-4 9701".1
T
V+
0 10NE (:'5031 12413 1.1E34
" I l4EG,:ES*Tl:,1A'1 .l0N NO , %IA17
This permit Is Issued subject to the regulations contained in Title 14 PEC.I.E.1VT NO .
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby TMSPE-CTIONS
agreed that the work will be done In accordance with the plans and (.-,AS L.:1:NE
specifications and in compliance with all applicable codes and
ordinances The issuance of this peronit does not waive restrictive
covenants Contractor and subcontractors shall have current city A0UG'lA--1N
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or if work Is suspended or
abandoned for a period of 180 days any time after work has
enc94,11pshell be the respors;,i.b, j;f
and
permittee to assure
cornm ui,_,_ I u 31 1 IPa-*-n roved
all req pert ons are req e
Perms nat.
Issued By' CALL FOP 111%111�ii 1::X,I TON -�;-39-41 4-5--
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
N a ff W W WFUJIIF-� W
C11'Y OF TIGA RD BUILDING Pl::PM.I.I'
P PFIRIM11, No. : BU8911.
CITYOFTWAFM 0411
COMMUNITY DEVELOPMENT DEPARTMENT ORIGO04
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 DA TF: .'r(3'iUl%.,I) E3 7/09
JOl--j 11-3-56 SW SUMME1:41 AKIIH. DP
VAX MAF-"/l-O'1' :1.5:1. ;cml:) tilzloo 15UH : InUMMERLAIM
I-AND USE: 1:17PD
1...01 5 1 Z E VAL-L)ATION: fill '7'7,634 5ETk3A- (:,KS
F-RONI' : c?O 14EAP :
WORK (N—ASS : NEW Mi"Ll... . UNI,rs : I 1...1*-,1::,7*: 7
USE' I*YPI:_:: : 5TN(.--',L.F-. FAMILY NO. Hl::.DROOMS : 3 FXV - WALL. CO* Nss,r :
(UMST . TYPE : VN NO . BATI-IS : 3 N E : W
G141.) 1:43 PHOT . OPK-NINGS :
(JIUMILIF). I OA0 IN E. W
1,01 Al.. APEA: 1-74,3
NU. S113 RT 2 ls'y' : 769 POOF (NJINS-T : G F,JJ*.*., RF:T"?
HEIGH1 20 2ND: 197A AREA SSEPAR? RAI 1.;:0
ME.ZZANTNE7 BASEH'T
[A-00P LOAD: SIU GAl:1A(;+.': : 4400 F"TRE SPIPML-Fil'? ALAI;IM'?
GAS- FLOW((.vPM) DETE(:J? YEL.)
1-1-AN (",HEC,K PY:
PE*MARKS :
rAEISSLJI;:' OF' NO . 802512
LAS'11' RI:1TS!AJE
01 FES :
W MOM S!ii ETT •E DON PF.*44MI T,
N pn 13UX 3.9 5 a lei $367 .00
E V-1-AN ;41:::V7:E:W */do . 00
R p ti r t A.to ri cI FIRE 1:)I-.P'I'
.0 All::: 'FAX 11111a. 3!15
C O'T'HF:1:4 *30 . 00
1
0 'EVELOPMENT (�'HARGES :
N MORI S sl�..r1*1: SDU( SI'Dr4m) 111112.5 0 0 0
T D(-.)N MOPTSSI:.J-J,F:: F3U.1-1 INC . 51K,( L.*sTPI::*IH:*T)
111600 . 00
A Pa PDX 1.9!U-24 PD(::(*1 $250 . 00
C li a 1-t I ek 1-1(.1 0 V 9,7 12 19
T PREP61A) < $40 . 00)
0 PH(INE (50 3)
R . 14:33-15114ATION N(J 723 . 90
This permit is issued subject to the regulations contained in Title 14 r4F:c,,E-TP1- NO .
of the TMC, State of Oregon Specialty Codes,toning regulations
and all other applicable codes and ordinances, and It is hereby 1*.NSPE(:,1*1:ON!j
agreed that the work will be done in accordance with the plans and F!X]T-I.NG SEWER
specifications and in compliance wit" all applicable codes and FOUNDATION WAL.L. PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city WA11KP I...INI:;'
business tax permits. This permit will expire and become null and r)i...ija . UN[MASLAH (,'I'T'Y APPAUH/SW
void If work Is not started within 180 days.or If work is suspended or SI AD F:I.NAL.
abandoned for a period of 180 days any time after work has PILD , TOPOU'T
corrimptired It shall be the responsibility^e permittee to assure
all required I ctions Fare requested a F*I4AM*TN[.,
requested roved F: T RE:
GAS L.INE:
I NS U1 A TJ ON
PermitLteen re (."YP. BOAPD
Issued By
r?9 1 -7011 J7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1MEN
Clef"of TI
GA R
�� PLAN CHECK APPLICATION
amroFrw�aeD �'
PLAN CHECK N
COMMUNITY DEVELOPMENT DEPARTMENT SS/��� PERMIT N /
1�125S.W.Kmgrivd-P.O.Boi2].T77.TIyardOR4o^ �'J DATE ISSUED
JOB ADORES!;: _ I 1�S �4 — -- -(AX MAP/LOT
SU13: S�_ b� L C v1 IC,� LOT: LAND USE:
VALUATION:
SPECIAL NOTES
OWNER14 REISSUE OF:
NAME: [)C ,
ADDRESS: LAST REISSUE: _
✓« Z i I _ FLOOD PLAIN/
SENSITIVE LAND:
PHONE: -�l�t -(t ?�I I
APPROVAL: REVUlKtU
CONTRACTOR PLANNING.
ENGINEERING: _
NAME: FIRE 7EPT
ADDRESS: _ OT14ER:
PHONE: — , __ ` ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: _ �1 —
CALCULATIONS: _
_ TRUSS DETAILS: _
ADDRESS: — PARKING PLAN: —_
—� LAN9SCAPE PLAN:
PHONE
OTHER: — ------_
COMMENTS:
PERMIT N ACCT N DESCRIPTION (AMOUNT AMOUNT PD. DAL. DUL
'C 10-432 00 Building Permit Fees
/
$ 10-431 00 Plum`iing Perm�jejlit Fees 137• ,t -- - =-
/BGG 10-431 01 Mechanical Permit Fees
10-7.30 01 State Building Tax (5% _ 1_ -------
Building ( � 1`� J7.140
Plumbing
Mech
10- 433 GO Plans Check Fee
Building ' L
Plumbing
Mech /C7nt a
G 30-207 00 Sewer Connection _
30--444 00 Sewer Inspection
51-448 00 Street System Dev Char7je (SOC) �6, t,
52-449 00 Parks System Dev Char.3e (POC) ` SU _ a�✓
31-450 00 Storni Drainage Syst Dev Chrg (SSUC)
10-230 09 TR 17D -- -
10-730 06 Washington County fire N1 (95%)
10-770 00 Amart/Wedgewood —
___ - -- z 341D DY
APPI-1CA T SIGNATURE 3 Qv
q f
Received By: ��_ _ Date Received: sr�2"� L r Qy
cn/3587P/18P