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Cluil"I OF TIGARD
CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
1312E 8W Nail Brvd.Tigard.Orogen 97223.8199 (503)139-4171 PERMIT. . . . . .. . : MST94-•0130
(�39-41 71 DATE IOSUE riv 09/13/94
PARCEL i 191331)01-04200
SITE ADDRESS. . . : 11574 SW SHORE:VIE14 P1. �
SUBDI V IG o DN. . . : V ILLOGE. A'f 'SUMMER LAKE: PARK 3 XONINB t R--4. 5
BLOCK. . . . . . . . . . t LOT. . - . . . . . . . . . . 181
CLAS Of- WORK. :NEW _..____ ._ •
TYPE Ot. U'JE:. . . IGF
OCG1JPPNCY ORP. :R:i
OCCUPANCY LOAD t 228 4
1ENANT NAME. . . t
J Romeir-ks r PATH I
i ( Owner: _._.._...._._._ ..__._�.__._ _....�_ ..._.._....__ ._.._ _..
DON MURISSETTE
3000 MEADOWS RD
151
LAKE; OSWE GO OR 97035
Phone 4i: 620--7538
ant r-act qtr a
UN! '10RISSE::T'TE BUILDERS, INC.
001111 SW ME:ABOWS Ftb
,llIYE: 151 �
ARE: 0SWE:GO OR 97035
'hone #: 620-7538
'erg M. . t 94969
Ircupancy of the above referWnc:ed bi.li :lding is hereby giveti, and certific.,
! he compliance with the Fitate Of 01--eq Spar-.ialty Codes for the group,
ce�.lpanry,
and use under which the re .,renr.ed pFr•mit as issued.
U 1 NG N S --_.OR
UI _pI ra - •ICiAI.
POST IN C ONSP I CUOU3 PLACE:.
_ iN�,M+WP;.xrMwn,w»:,.-MAin+.:.wna.4ax -.SMT"'Rts-1+.[Pa1..F.mRaasn.:�-.,..,m.�.•,n+v, I
City of Tigard Building Department
13125 Sff Ball Blvd. Tigard. orwgou 9-1223
Inspection Line (Red o-Phone): 639-4175 Businens Phone, 63q--4171
Inspection: .— _ — —_.—
Footing Plbg. Underslab rAch. gh-in Appr/Sdwlk
i
Found. Plbg Top out
Post/Beam Struct. Tian. Sever Framing Hld
Poet/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor waterLino Gyp. Bd. -Nec
Drrw Requestsdt /� � Time:
Permit 1:
Address: O
�l!1�—�" . �3�(3�"-_.
Builder: (G'_-26)
THE FOLLOWING CORREt,'f1ONS ARE REQUIREDI
7
�/ � - '—
Inspector: 1 Date:
APPROVBD DISAPPROVEn APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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IL _M
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INSPECTION NOTICE
City or Tigard Building DeperLrsnt
13125 BM Hall Blvd. Tigard, Oregon 47223
Inspection I.ine (Roe.--O-Phone): 639-4175 Duufnens Phone: 639-4171
Inspectiont___—_A ------------- -
Footing Plbg. Underaleb Mech. Rough-in lAppr/Sdv�
Pound. Plbg. Top Out Gas Line 1INAL:
Pont/Ream Struct. San. Sfwer Framing -Bldg.
1
Pont/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Undurrlaor Water Line Gyp. Rd. -Koch.
Date Requested: O a -5LA Time= ANPM
AddresesM� 1 LI 1`nr'f,_ PeZi 5A (D' �t_r_oon
Builder:s.�ip�—�
I THE FOLLOWING d)P"CTIONS ARE REQUIRED:
i
Inspector: �N_. _ Date:_ 1G
:PPROVED DI 'ROVED y.PPROVED SUBJECT TO ABOVE `
Call For RRe'i4nsp. !
� xf
i
INSPECTION NOTICE
City t Tigard Building Departs.ent
1.3125 SM W1 Blvd. Tigard, Oregon 97223
Inspection Line (Ree-(-Phone): 639-4175 Business Phone: 639-4171
Inspect ion:-_
Footing Plbg. Undermlab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Lire FINAL: .
Post/Beam Struct. San. Sawar Framing -Bldg.
Po ':,'Beam Mach. Rain Drain Insulation -Plumb.
P1'ng. Underfloora�Un, C� Gyp. Rd. -Hoch.
Data Raquestod( '7 Time. AN PH
Addrssat ��/ / �f X57/ ore/ o f t. /?.Peron !i
Builder:
TU POLLONING OORRECTIONS ARC REWIRED:
Fns �tor _ —_— - Data:---��
APPROVED DIEArPROVED APPROVen SUBJECT TO ABC"
-_—Call For Reinsp. I ,
i
T'.
i ,,J fy.b, a R ' � ty• ,I
SFWER CONNECTION
CITY OF V GARD . . . .
F'cRMYT di. . . . . . . SWR94-01.35
COMMUNIn' DEVELOPMENT D&AR`ARLW DATE ISSUED: 05/04/94
13125 SW Hall Blvd.Tigard,Ortgon 07223.3100 (503)639-1171
PARCEL,: 1 S 133DT)--04200
>1'TE, ADDRESS. . . : 11514 5W SHOREVIE:W RL
�;UBD I V I S I UN. . . . : V I LLAUE AT SUMMER LAKE PARK 3 ZONING; R-4. 5
13LOCK. . . . . . . . . . : 1_0T. . . . . . . . . . . . . :81
TENANT NAMc. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS UF" WORK. . . *NEW C WELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF SU I LD 1 NGS: 1 �6:►
INSTALL TYPE. . . . :EIUSWR I11PERV SURF-ICE. . : sf
Remarks : PATH I
Own er; FEEg
OON MORISSETTE -Y�_- `-_-- type amal_int by date r-ecpt
5000 MEADOWS RD PRMT $ 2E,00. 00 SW 05/04/94 -
iUIT'E 151 INSP $ 35. 00 SW 05/04/94
LAKE OSWEGO OR 97035
='hone tt: 600-7538
Contractor:
COOTRACTOR NOT ON FILE.
felt on 1' # s t 2235. 00 TOTAL
-- -- -- REOU I RED INSPECTIONS
- -This Appli^ant agrees to comply with all the rules and regulations Sewer Inspection
of the .reified dewaga Agency. The permit expires 182 days from
the date issued. The total amrunt paid will bi forfeited if the
permit expires. The Agency d-rs not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measuremert
given, the in5tallsr shah praspect 3 feet in all directions from
the distance given. if not so 1 ated, a installer shall purchase
a "Tap and Side Sewer" Permit nd the lge cy wil i ?tall a lateral.
i e r m i t t e e \( '��
Call for inspection - 639-4175
0o,
CI1Y OF TIGARD h1AraT'LR PERMIT
r�l_:RMIT #. . . . . . . MST94•-01 30
COMMUNITY DEVELOPMENT DEPARTWENT DATE ISSUED: 05/04/94
13125 SW Hall Blvd.Tigard,nr*gon 97223.0199 (503)639-4171
PARCEL: 1 S 1;s3DT)-04
SITE ADDRLISS. . . : li"J/4 bW '_—HUHEViL:W P1
SUz31)I V I S 1 ON. . . . : VILLAGE AT SUMMER L lr4KE PARK 3 ZONING: R-4. 5
BLOCK 1-131 . . . . . . . . . . . . . :81
___---.-------"----_--.-----_-____ BUILDING
RE T.SSUE: DWELLING UNIT'S: 1 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . ..400 sf
T7PE OF USE. . . :SF FLOOR AREAS---------- - REQUIRED SETBACKS---------------
TYPE
ETBACKS----•---- -_-_TYPE OF CONST. :5N FIRST. . . : 1032 sf LE:.F T. . :5 f t R I GH'i , :5 ft
OCCUPANCY GRE'. :R3 SECOND. . . : 1098 sf FRONT. :::_O ft REAR. . :32 ft
.3iuRIES. . . . . . . :2 THIRD. . . . :0 sf REG)UIRED-__._.__--_------_____._
HFwIGMT. . . . . . . . :L8 ft TOTAL-------:2130 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . : 105180 PARKING SPACES. . : !
Remarks: PATH I
---•--- -----__.._____________ __-_._ PLUMS T NG --
SINKS. . . . . . . . . . : 1
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNT'RS. . :N
LAVATURIES. . . . . :;3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWFRS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 uEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
JI':1'HWASHERS. . . . - 1 WATER LINE (ft ) . : 100 OTHER FI XTURE5. . . . . :0
GARBAGE DISF. . . 41 RAIN DRAIN (ft ) . :0
WASHING MAL .. . . : ! S4 RAIN DRAINS. . : 1
MECHANIC.PL ._____.____._____._..____----.-.-.-----____-- FEES - ---- --------_ _.
F'UE:3._ TYPES- ---------- UNI I- HTRs. . :0 type amaunt by date rerpt
/U-IB/ / / VENTS . . . . . :0 TIF $ 1520. 00 SW 05/04/94 -
MAX INPUT:O BTU VENII FANS. . : 4 SPR1 I 448. 00 SW 05/04/94 -
TURN ( 1100K , w :0 HOODS. . . . . . : 1 BPLC E 291. 20 JLH 03/7!71,'9 4 94-2510667
FURN ) -10011. - 1 WOODSTOVES. :0 B5P_ $ 22. 40 GW 05/04/94 -
FLOOR r URt'. . . . :0 CLO DRYERS. : 1 aSDC f 280. 00 SW 05/04/94
BOIL/CM{ ( �.FIF':0 UiHER UNITS: 1 BARK .LS°5d►dr'Q 8W 05/04/94
SAS OUTLETS- 1 MPRT s 45. 00 SW 1115/04/94 -
Owner-: ------------------- -----------------MALL 't 11. '25 SW ;05/04/9 4 -
DON NORISSETTE. M5F'C $ 2. 25 SW 05)/04/94 -
5000 MEADOWS RD PPRT $ 132- 50 SW 05/214/94 -
SUITE .151 F15F'C $ 6. 63 SW 1215/04/94 -
LARE OSWE'G() OR 'i7035
Phone ##: 62-m-7538 - �'f I� 0
Conteactor: ----------------------- _____ _ ✓1
DON MONIS'3ETTE: BUILDERS, INC,
1�b00 SW MEADOWS RU
SUI!"E 151
I-AKE OSWE(30 OR 91035
Phone ##: 620--7538
Rey_ ##. . : 94969 ___________________.___-_._________._____.._
9 3259. 23 TOTAL
This pewit is issued subject to the regulations contained in the -----•- REPUTRED INSPECTIONS ---- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.lnd Insp Fir-eplace 1-isp
applir,;le laws. All work will -done in accordance with approved Post/Ream Stm%ct Vas Line Insp
plans. This permit will enpir tf work i not start?d within 188 Post;Dpam Meehan Insi_ilat ion Insp
days of issuance, or if work s suspended for mor than 189 days. P 1 m/l.in d s I a h Insp Gyp Bo ar•d Insp
GLM/Underfloor Elaut drain Insp
Pe"mittee Sipnektl-1r^e: c J �_ Meehanir_al Insp Water Line Insp
P11_1mb Top Op-1t Appr/Sdwlk Insp
I s�.ted BV : �.— _ _ Fr,ami.ng Insp Mechanical Final
Call far inspection - 639-4175
'J
1��.r
Residential Building Permit Application //✓
City of Tigard
13125 SW Halt Blvd.
Tigard, OR 97223
(503) 639-4171
Abbsite Address:
Guice Use On! �
-�'tubdivlslon:'2 A Y"rl Y ► Lot N — >
��y Planck/Rec #
Valuation:
Permit#J7115 I `
caner. �'1 �� - �� Reissue of
[� Address: .. It C.� �'-�N� � `. 0 4C (J i Map & TL #
Y� c
Approvals Required
Phone: Cy�CJ
Planning f lam• Lrcl � _ �.',�
Contractor: Irl"L cd-jr) � Engineering_
Address: Other
Phoneitems RNOL� d s
: ��. � � '�� -1
�f I Subcontractors
L Contractor's License # y y 1p y t�'(attach copy of current OregonIiosnse) Truss Details _—
Subcontrar:tors: tither_
✓ Plumbing:a-)i�Sj,v L(1fill 1/5
✓Mechanical:
(attach copy of current OR C.ontractor's U' cense)
Architect'Evg:.-"r: j 1411)
Address:
Phonr;:
COMMENTS:
Applicant Signature & Phone number
Received by: _ __i� _ Date Received:
•
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•
1
Permit # Account Description Amount Ar t. Pd. Bal. Dug
U Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 13Z )i _
Mech Permit (MECH)
s
State -ax (TAX) j 3/' y✓�
0
i
! Bldg: �.2 .4 U ✓/
Plumb: 3
Mech: Z
Plan Chf- (PLANCK) A)2, C;- Sy 5;1. U ) ✓r
Bldg: 'r�, 2 • V
Plumb:
Mech:
Sewer Connection (SWUSA) u U
N11 Sower Inspection (SWINSc')
Parks Dev Charge (r,K:+DC) _ 5��y S�,
Storm Drainage Chg (SDS:)C) ��v ✓�
Residential TIF (TIF-R) / l U
Mass Transit TIF (TIF-MT) // U
Commercial TIF (Tl.---G)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quardy (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: S r •7 3✓ s U ✓ tl, ? 3
Page No. i CASE HISTORY FOR CASE N0.: MS794.0130
DOW MORISSETTE
11574 SW SHOREVIEW PL
05/04/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update UPd
code Sent Done Done Date By
--- ------.------------- -------- --------
NSTA007 Application received / / / / 03/30/94 PASS JLH 04/13/94 BLT
MSTA010 Plan check deposit paid / / / / 03/30/94 PASS JLH 04/13/94 BLT
MSTA020 Plan check by 04/13/94 / / 04/13/94 PASS RT 04/13/94 BLT
MSTA030 Check for prct. restrict. / / 04/17/94 04/13/94 PASS RT 04/13/94 BLT
MSTAD92 (F) 139ue crnbination permit / / / / 05/()4/94 PASS JLG 05/04/94 SW
MSTA705 Foot/found snap / ! / ! 05/06/94 pending- PASS RB 05/06/94 RB
seismic restraint; additional
ventilation; footirg drain.
NSTA710 Post/Beam Structural / / / / 05/19/94 APP GS 05/19/94 GES
KSTA710 Post/Peam Structural / / / / 05/20/94 PASS RB 05/22/94 RB
19/94 GES 05/
MSTA711 Post/Beam Mechanical / / / / 05/19/94 APP GS +•
MSTAT17 PLM/Urdcrftoor / / / / 05/19/94 APF ;S 05/19/94 GES
MSTA717 PLM/Underfloor / / / / 05/20/94 PASS RB 05/22/94 RB
MSTA770 Mechanical Insp / / ! 1 07/29/94 shear at gerage wing walls; metal plate FAIL RB 07/29/94 RB
protection of gas line; door jams- nail
1- 16d at 24" oc.; soffit heating duct
in utility; exhaust venting incomplete;
fireplace not installed; positive
,r
connections; metal plate protection of
plumbing upstairs; h-3 clip req;d to be
fully nailed; chase return si,; extend
attic access to height to w—omodste
insulation.
MSTA120 Mechanical Insp / / / / 08/03/94 see framing this date. FAIL R8 08/03/94 RB
NSTA720 Mechanical Insp / / / / 08/10/94 PASS WEW 09/12/94 RB
NSIAT22 Plurb Top Out / / / / 06/23/94 PASS MS 06/23/94 MRS
MSTA725 Framing Insp / / / / 07/29/94 see meth, this date FAIL RB 07/2 B
MTTA726 Framirg <REINSP> / / / / 08/03/94 MAKE CONNECTION TO B-VENT; FIREPLACE FAIL RB 0003/94 RB
STILI NOT INSTALLED; SEAL HEATING DUCT
IN AFT BEDROOM; ENCLOSE LID OF CHASE
HOUSING RD. HEkTIN6 DUCT; METAL PLATE
PROTECTION AT RA SHOua7; REPAIR FRONT
FORCH.
04STA725 Framing <REINSP> / / / / Oa/10/94 PASS WEW Oe/10/94 RB
04STA735 Gas Line Imp ; / / / D9/13/94 PASS RB 09/14/04 RB
14STAT40 Insulation Insp / / / / 08/03/94 PASS RB 08/03/94 R8
LLv_, ,,..�..
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.._.- ,.... .. ,... ,.. ...,,:her t;,._::.t..,6rFrfrn•M>.NwprMi�^..,r..�M
Page No. 2 LA--E HISTORY FOR CASE NO.: MST94-0130
DON MORISSETTE
11574 SW SHOREVIEW PL
1
05/fN.!98
Action Description Req/ Schd/ End' Action Not" Disp 9y Update Upd
Code Sent Done Done Date By
r 1
MSTA74C Insulation lfup / / t / 08/08/94 Provide thorough fireetop at plbg vent FAIL WF.W 08/08/94 RB
n•rt to stair, at drains in living room,
at first floor bathroom. Provido
continuous na't protection full depth of
double plate at living room. Mechanical
approved.
i
PSTA740 Inaulatinn Insp / / / / 08/10/94 PASS WEA 08.110/94 RB
MSTA745 Gyp Board Insp / / / / 08/11/94 Complete gyp bd installation behind FAIL WEW 08/12/94 RB
furnace and repair/replace opening at
fireplace. Pr.)vide adequate attachment
as ma-ked at corners in forward bedrooew,
arvi master bedroom.
I
MSTA745 Gyp Board Inap ! / / ! 08/15/94 Pending: Provide adequate attachment as PASS WEW 08/16/94 WW
marked on second door.
MSTA755 Rain drain Insp / / / 05/09/04 PASS MS 05/09/94 MRS
MiTA760 Water line Inap / / / / 05/09/94 [ASS MS 05/G9/94 MRS
NSTA765 Appr/Sdwlk Insp / / / / 08/02/94 1) Dig out full 16" depth for curb PEND LT 08/12/94 KE
replacement west of approach. '•
2) Be prepared to protect firish.
MSTA795 Mechanicrl Final / / / / 09/12/94 see build. p FAIT- RB 09/13/94 RB
MSTA795 Mechanical Final / 1 i 09/13/94 PASS RB 09/ 14/94 RB I�
I
IISTA797 Plumb Final / / / / 09/09/94 clean-out needs to be fl, PART MS 09/12/94 MRS
I �
concrete
MSTA797 Piumb Fi-�sl 1 ! / ! 09!14/94 PASS MS 09/14/94 MRS
MSTA799 Building 0 nal / / / 09/12/94 firestop Thru penetrations at gareee; FAII RB 09113/94 RB
fireplace inoperative; handraits; %ove
dedris.
MSTA799 Buildir, / / / / 09/13/94 PASS RR 09/14/94 RB
MSTA960 (F) Isatm / / ! / 09/13!94 PASS RB 09/14/94 RB
MSTA970 Case Final / / ! / 09/13/94 PASS RB 09/14/94 RB
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