Permit CITY' OF TINA RD E3 D]:N �E 91 7 . 5
PERM 7: T NO EiU891.12
CR O F WARD /
COMMUNITY DEVELOPMENT DEPARTMENT OREGON vV
DATE ISSUED:' 8/29/89
13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223. (503) 639 -4175
PRIM . PMT . NO . 891725
JOB ADDRESS: 15143 SW KENTON DP' • °
TAX MAP /LOT 2S1 12 ' SUB: ASHFORD OAKS LT : 91 BK.:
LAND USE: R4.5PD
LOT SIZE: E VALUATION: : $ 95,500 , 500 SETBACKS
FRONT: -20 PEAR: : 5 •
WORK CLASS: NEW . . DWELL . UNITS : 1 LEFT : 5 :,RIGH'T : 38 .
USE TYPE: SINGLE FAMILY NO . BEDROOMS : 3 EXT.WALL CONST:
. CONST .TYPE : VN NC) .BATHS : 3 N: S: . E: - W:'
OCCUP . G4:Iz' . : R3 PROT . OPENINGS :
•
OCCUP.LOAD N: - S : E: ' W:
TOTAL_ AREA: 2078
NO . STORIES : 2 1ST: 1028 ROOF CONST: C FIRE PET?
HEIGHT: 20 . 2ND: 1050 AREA SEPAR? RATED:
BASEMENT? 3RD:' OCCUP.SEPAR? RATED:
MEZZANINE? , BASEM' T
FLOOR LOAD: 40 GARAGE: 638 FIRE SPRKLP? . ALARM?
. FLOW (GPM) DETECT? ,YES •
HEAT TYPE: GAS HDCP . ACCESS? CORR7
PLAN CHECK BY: r 1t -
REMARKS : ,
REISSUE OF NO. 880643 '
LAST REISSUE 891457
FEES: - •
O MILLER JAY . PERMIT $421.00' '
w
N p.a. BOX 23291 , PLAN REVIEW $40.00
R TIGARD OR 97223 .. FIRE DEPT
PHONE (503) 684-7543 STATE TAX $21.05
• OTHER •
C DEVELOPMENT CHARGES: `
O MILLER . JAY SDC(STORM) $250.00
N
T JAY MILLER. BUILDER , SDC (STREET) $600.00
R p . a . BOX 23291 - PDC (=8:2 ) ' $250.00
A
C TJ :GARD OR 97223 PREPAID < ,$.10.00>
T PHONE (503) 684-7543 ,
O REGISTRATION NO. 30109 • .
TOTAL: $1,542.05:
RECEIPT NO. Ck . 5 jL /Q
This permit is issued subject to the regulations contained in Title 14 ---------
of the TMC, State of Oregon Specialty Codes, zoning regulations PE
CT all other applicable codes and ordinances, and ,it is hereby ITEC,iIJ I r�i'IJ IN ,t L-CT I(JNS •
agreed that the work will be done in accordance with the plans and FOOT I NG SEWER .
specifications and in compliance with all applicable codes, and FOUNDA'T'ION WALL RAIN DRAINS , ,
ordinances. The issuance of this permit does not waive restrictive PO T• & BEAM WATER LINE
covenants. Contractor and subcontractors shall have current city
PLB.UNDERSLAB CITY APPRCH /SW
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 SLAB I" .I NAI-
abandoned for a period of 180 days any time after work has PLB . TOPOUT
commenced. It shall be the responsibility of the permittee to assure FRAMING
all required inspections are requested and approved. FIREPLACE
GAS LINE
I,NSULA T LON
. - / //. _ L ' ✓ - -- GYP . BOARD . .. .
Permitt-•- gnatur�
Issued By: :AI...L FOR INSPECTION 639 -4173
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIFARD.- 4. :::::HECK
HECK APPLICA ��' ,LL�,
COMMUNITY DEVELOPMENT DEPARTMENT , G1 1 fO f T IG ARD # X -6
, 6 \ OR M* • DATE ISSUED
13125 SW Hall Blvd. P.O. Box 23397, Nod, Oregon 97723 0503 839.4175
JOB ADDRESS: 5 r 1 4 3 5 ,l■/. e� Gh 4. v - TAX MAP /LOT J. sS I I)--
SUB: if f b Q' c\ 0 6 - _LOT: LAND USE:
VALUATION: S ,5
OWNER SPECIAL NOTES
NAME: _ . REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR I I PLANNING:
NAME: JA y Pit ll )c1 (►-. L. ENGINEERING:
ADDRESS: / pa JSO x 3...i-q) FIRE DEPT
/' ( ' OTHER:
PHONE: ( R ( 75 `3 ITEMS REQUIRED
LIST /SUBCONTRACTORS:
ARCH /ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN: '
PHONE: OTHER:
COMMENTS: Tip -1 f ) kP
"a,: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
R"9/ 72 5 10-432 00 Building Permit Fees ✓402/ iul
Rq1 ?s7 • 10-431 00 Plumbing Permit Fees - / ')7,So. Ic1 7 ,5 &
/7,5r1 10-431 01 Mechanical Permit Fees e_ S.uu #5.00
10-230 01 State Building Tax (5%) 30.6k 3U4fi'
Building /,D,)
Plumbing 7 , 38'
Mech ' A ,P,..5'
10 -433 00 Plans Check Fee ,5 /, 2.( y/) /l,,2 s
Building y0 — '
Plumbing •
Mech i J12�
30-443 00 .Sewer Connection (20%) b - S O 5O
2"q/75/
" �i/7 S /- 30-202 00 Sewer Connection (80%) /�
30-444 00 Sewer Inspection 35 ,
51 -448 00 Street System Dev Charge (SDC) ‹p 0 O7 _
52 -449 01 Parks I System Dev Charge (PDC)
52 -449 02 Parks II System Dev Charge (PDC) ' L5C) DSO
31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) - 0150 025 a
10 -230 09 TRFD (95%)
10-435 00 TRFD (5%)
10-230 06 Washington County Fire #1 (95%)
10 -435 00 Washington County - Fire- #1 —(5%)
10-220 00 Amart /Wedgewood
I ' TOTAL G D, 3 Lido A 3
REC # c-
• . APPLICA e i ,,; i _.um. •
Received By: Data, wa,rn;uLd.