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City of Tigard Building Department
13125 OW Ball Blvd. Tigard, Ora-Con 97723
Inspection Line (Roc-O-Phono)s 639-4175 Business Phones 639-1171
Inspections— _
tootinq Plbg. Underslab [Koch. Rough-ir Appr/Sdw\k
Found. Plbg. Top Out Gas Line •IMJ►Lt
Post/Beam struct. San. Sewer rramfng /-Bldg. .
Post/Beam Mach. Rain Drain Insulation -PI-Amb.
Plbg. Under.'loor Mater Line Gyp. Rd. -MMb.
Dtte RequestiWo I I ? z' llNt ____,MM PM
Addresst-,��.=< ti �Yr (=�1 t'1 Nlfit #t i
Buildeer„1"�_,
THE FOLLOWING COIMZCTIONS ARE REQUIRRDt
Inspectors_ _ Dater
ZAPPIh7VED ?e00' DIB1/1��PRO�/ED APPROVED SUBJECT TO ABOVE
/Y/ Call For Reinsp. t
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CI`Y CSF TIGAPD
CERTIFICATE GE'
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
1J125 SW Hall Blvd,Tlgard,Oregon 97223.9190 (503)6 9.4171 PERMIT M. . . . . . . t M5T93 033:
639•-4171 DATE_ ISSUEDI It/a2/93
� DARCEI_e 1 S i;s3EaD •04.10tb
5!'"E ADDRESS. . . : 11568 SW rFiURF:VIE.MI PL �
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SUDD I V I S I ON. . . t VILLAGE: AT SUMMER LAKE: PARE: 3 Z ON 1 NG t R-4. 3
{
BLOCK. . . . . . . . . . t LOT. .
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CLASS OF WORK. t NE:W �
TYPE OF USE:. . . t SF
OCCUPANCY GRP. t R3
OCCUPANCY LOAD t cr',25 4
TENANT NAME. . . s
Re Marks : PATH I
DON MOR I SSE::TTE HOMES
15155 SW BANDY RD
SUITE: # a01
LAKE: 09WEGO OR 97035
Phoney t#: 6,20 •733E1
DON MORISSETTE• BUILDERS, INV'.
15555) 9W SANGY RD.
tl201
LAKE OSWEGO OR 9703!
p'honr #1 620 -7538
Reg E►. . : 33533
Occupancy of the above referenced building is hereby given, Q�nd certifte-
the c impliance oii.th the State Of Oregun Opecielty Codes for the grr. up,
oc:cupitricy, and u!p under which the referenced pet-mite Hei issued.
' T IN PFIRE DEPARTMENT CPCTOR
NdUI : CIAL9
PUOT 1 iy CONSPICUOUS PLACE
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City of Tigard Building Department
1.3125 SW Ball Bled. Tigard, Oregon 97123
Inspection Gine (Rec-3-Phone)t 639-4175 Business Phonet 639-4171
I ni pect ion t__
Mooting Plbg. Undermlab Mesh. Rough-in (A"r//dwlk
Pound. Plhq. Top Out uaa Line Pima
Post/Beam Struct. San. Hewer sraminc- -aldg.
Post/Beam Kach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Ura gyp. Bd. 460ch.
Date Requented//tt` _�r _Tiret PH
Addreaa t lS I) IV'�(1( V I i l� Permlt 1 1 6 t hRuildert
ff 7 ` d
THR FOLIO/N'I/.N4CORRECTIONS APJ9 MUIIRRRD:
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Inspectors_` �� �! _>_ Dates
APPROVED aIBAPPRdVBD PROVEn SUBJECT To ABOVE
Call For RRainap.
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T i' IlI�BECPION_l?'�C6 /
City of Tigard Building Dep-rts:ent
13125 B11 Hall Blvd. Tigard, Or-Agm 97223
Inspection Line (Roz-O-Phons)s 639-4175 Justness Phoney 639-4171
Inspect ion r
Footing Plbq. Unders)ab Mach. Rough-in Appr/Sdw1k
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Found. P""lbgTop Out Gas Line FINAL:
lost/Boas Btruct. fin. iBMOr Framing -Bldg.
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lost/Mas Mach. �aifi-BlriJ Insulation -Plumb.
! Ondertloac C� Lid Gyp. Bd. -Neth.
i
Date RequesteM ,! I J Times G'�� _ PM
Addreastj .�(�' �� V'iJ�C/ �, lesslt ft v C C
Builder:_
THE FOLLOWUA ODI.RECTION'. ARE REQUIRED:
f/
.0 ,4111
Inepeetoirs Date:
r
J1lPRom 013APPROVRD APPROVED 80841ECP TO ARM, `
Call. For Relnep_
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CITY OF TIGARD AA/
COMMUNITY DEVELOPMENT DEPARTMENT `
13125 SW Hall Blvd.Tigard,Orr-Von 97223.8199 (503)639-4171
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Paye No. 1 L;SE HISTORY FOR CASE. NO.: NSTa3-0353
DON MORISSETTE HOMES
11568 SW SHOREVIEW PL
05101/98
Action Description Req/ 5chd/ End/ Action Notes Disp By Update Upd
Code Sent Dune Done Date By
MSTA007 Application received / / ! / 06/16/93 PASS JLH 06/28/93 BLT
MSTAC Plan check deposit paid / / ! ! 06/16/93 PASS JLH 06/28/93 BLT
MSTALtO Plan check by 06/28/93 / / 06/28/93 PASS RT 06/2.8/93 BLT
MSTA030 Check for prc(. restrict. / / 06/28/93 06/28/93 PASS RT 06/28/93 BLT
MSTA092 (F) Issue combination permit / / / / 08/16,193 PASS JLH 08/16/93 JH
MSTA705 Foot/found insp / / / / 08/23/93 APP GS 08/23/93 GES
MSTA710 Poet/Bests Structural / / / / 08,'30/93 SEE REPORT PENu RB 08/30/93 RB
NSTA711 Post/Benin Mechanicet / / / / 08/30/93 PASS RB 08/30/93 RB
NSTA717 PLM/Underfloor / / / / 08/31/93 PASS MS 09/01/93 MRS
MSTA720 Meckenical Insp / / / / 10/13/93 APP GS 12/10/93 GES
ASTAT22 Piunb Tot_ Out / / / / 10/13/93 water ok FAIL MS 10/14/93 MRS
no test on waste
MSTA722 Plumb lop Out / / / / 10/22/93 PASS MS 1,1!22/93 MRS
MSTA725 Framing Insp / / / / 10/08/93 NEED TO FIRE BLOCK BETWEEN GARAGE AND PEND PT 10/08/93 BLT
HOUSE
1
MST/726 Framing cREINSP> / / / / 10/13/93 UNDER-FLOOR ACCESS INADEQUATE. POSITIVE PEND RB 10/13/93 RB
CONNELTIONS. METAL PLATE PROTECTION FOR
GAS LINE.
NSTA735 Gas Line Insp / / / / 10/20/93 #87909 PASS RB 10/2.0/93 RB
NSTA740 Insulation Insp / ! / / 10/13/93 VAPOR BARRIER MISSING. UNABLE TO PEND RB 10/13/93 RB
IDENTIFY FLAT CEILING 8 GARAGE
(CEILING/FLOOR) INS'ILATION.
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FIRESTOPPING.
04STA745 Gyp Board Insp / / / / 10/20/93 PASS RB 10/2L!93 RB
NSTA755 Rein drain Insp / / / / 08/31/93 PASS MS 09/01/93 MRS
MSTA760 Water L,ne Insp / / / / 08/31/93 PASS MS 09/01/93 MRS
MSTA765 Appr/Sdwik Insp / / / / 11/15/93 I. Compact sidewalk PEND LT 11/22/93 NL
2. Be prepared to protect finish.
MSTA795 Mechanical Final / / i / 11/23/93 APP GS 11/23/93 GES
NSTA797 Plumb Final / / / / 11/18/93 PASS MS 11/22/93 MRS
MSTA799 Building Fine( / / / / 11/23/93 APP GS 11/23/93 GES
MSTA960 (F) Issue cert. of Occupancy / / / / 11/22/93 JF 12/08/93 JF
NSTA970 Case Finaled / / / / 11/23/93 APP GS 11/23/93 GES
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CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Nall Blvd.Tigard,Orogon 97223.8199 (503)979-4171
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OT T IGAR D POBox 23J97 PERMIT / .M>1 q 3-0_
COMMU�:i T Y DEVELOPMENT DEPARTMENT Tiprd,Orrgon 97LLI __7-
(503)6_19-4171 DATE ISSUED
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JOB ADDRESS: / � � � T I S l �
SUB `uw'�! LOT: LAND USE:
VALUATION
OWNER SP .CIAI NOTES
NAME: -Don nssr c REISSUE OF:
ADDRESS: C� 10� LAST REISSUE: _
_la ' ��_ / _ FLOOD PLAIN/
PHONE: _��! .1` _ SENSITIVE. LAND:
CONTRACTOR APPROVALS REQUIRED i
NAME: A_._ _ PLANNING: e fir' _ 1►
ADDRESS: _ —_ ENGINEERING:
FIRE DEPT: _
PHONE: __ _ _ OTHER: f
CONTR. BOARD : EXP DATE:
ITEMS REOUIREO
SUBCONTRACTORS: PLUMB: 14- 1 ONTRACTORS: _
f4EfN: on-
ARCH/ENGINEER
RCH ENGINES—ft `) 1-0/)7,0' CALCULATIOV
NAML: �� . ' _ TRUSS DE _
ADDRESS: _J�� � � Z __ OTFP is _ —
PHONE: Lor
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PROPOSED BLOB
COMMENTS:
APPLICANT SiGTVATURE
Received By: Date. Received: _ _ I