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Case File .r.1 n�w+WWW.V++wiy�l4�n ue-1�'MiY1ogWIMVYM'l��M�JMw4WM.1Yiu�gNfAY11Kl�M{l�MW4WMitMWH.NWW;%,MI#Md�IOM' /MMWiWrWo•��MwzrYn�4�'wMw.Wry�iMaYWWYMi1WwM'LyMMWM�M4WMNMIW+M�y' I I I 1 0a I f� I �•••- 8454 SW ASHFORD SIMEOT -- September 29, 1992 CITY O� TIGARD OREGON Greg M Neil \ 8454 S-4 Ashford Street Tigard, OR 97224 Re: 844 SW Ashford Street Permit # MGC 0121 On July 11 , 1991. a permit was issued for the above proje, �s of this date, there is no record of :iny inspection hay been recorded. Please advise the Building Division of the• status of this nro�ject as soon as possible so that the file may be kept. Curren' . Please note that any permit without activity for over k:u days becomes void. if you need addit-.onal time to complete the project, please contact this department so an extension can be discussed. Sincerely, Robert Thompson Building Department Noticeb..rev 13125 SW Will Rlvd., Tigard. OR 97223 (5,131639-4171 TDD (503) 684-2772 _ C11YOF TIGARD MECHANICAL COMMUNiTY DEVELOPMENT DEPARTMENT 1--IERMII ')ATE ISSUED: 07/11/91 SITE ADDRESS. . .. x 8454 SW ASHFORD S` PARCEL: 2S112CB-0371710 � SUBDIVISION. . , . : ASHFORD OAKS � ZONING- R-7 8LUCM. . . . . " . . . . : LOT. . ~ . . . . . . . . . :51 . � CLAGG- OF WORN. . :ADD FLOOR FURN. . . . x EAAP COOLERS: � TYPE OF USE. . . . :SF JN IT HEATERS. . : VENT FANS— : OCCUPANCY GRP. . :R3 VENTS W/O APPLu VENT SYSTEMS: "'-ORIEC3. . . . . . . . :2 BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES------------ 0-3 NP. . . . o1 DOMES. lNCIN: ; /ELE ' / / 3-15 HP. . . . u [OMML^ INCIN: | MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: / F1 RE DAMPER5?. . : 30-50 HP. . . . : WOOD51'OVES' . : GAS PRESSURE. . . : 50* HP. . . . : CLO DRYERS— : | NO. OF AIR HANDLING UNITS OlHE,R UNlTS. : | . FUAN < 100K BTU: 10000 cfm: GAS OUTLETS. : FURN > =100K BTU: > 10000 cfm: Remarks : 3 TON AIR CONblTlONER Uwnero ---------------------------------- ---------------- FEES -------- UREB MCNEIL type amount by date 8454 SW ASHFORD PRhT $ 16. 00 JLH 07/ 11 /91 — 5PC1' $ W. 8N JLH O7/11 /91 Tl8ARD OR 9721'-�4 | honm #: | ' Lontr�ctmrx ----------------------------- / BELL HEATING YAC 1555N SE PIA31A A4E � cL��hMAG OR 97015 ----------------------------- | � Phone 243-1184 $ 16. 80 TJTA | - | ppg 0. . o 447 ------- REQUIRED INSPECTIONE ---- `^iu permit is issued subject to ��o 'equlat`onu contained ir ��� Final Inspect i on / .~v Tigan Municipal Code, State ofOre. Surim\tyCodes InduU other ...... ...... ____ acpUc0lo laws. All work will bmdmo in accot-dance with approved plans. Thiy permt will expire if work is not started within 180 days cf iaoonro' or if work is suspended for mo,o than 188 days. ---- - '-- -- — - ---- Perm ttep Signature : Iseued By: (� Call for inspection — 669-41 'D CITY OF TIGARD MECHANICAL P:RM1T Receipt # _- 13125 SW HALL BLVD. Penn-t #P. O. , :sOX 23397 Oescrlption T T GARD, OR S 7 2 2 3 Table 3 Mechanical Code aTY PRICE AMT (503)639-41 ;'5 1) Permit Fee -0- -0- 10.00 Name of Development f 2) Supplemental Permit 3.00 6,4`� elf`` we / Furnace to 100,000 Lar;i—__—_ s.00 — Job res -- 11 Address ys r 5; ,� ,/_ incl.ducts&vents Tax Lot Map No. 2) Furnace 100,000 B i U + 7.50 Lot Block subdivision _--incl.ducts&vents------ -------__ --. Name(or name of business) 3) Floor Furnace 6.00 rM r incl.vent -- 4) Suspended heater,wall heater 6.00 llriAddress Ptgrb or floor mounted heater Owner � � � Vent not incl.in Cty/state zip 5) 3.00 appliance permit Repair of heating, trig., Nam or name of business) 6) b 6.00 cooling,absorption unit 3 " �?.- / ,•O Mailing Address Phone 7) Boiler or Comp to 3 HP 6.00 Occupant absorp.unit to 100,000 BTU -- City/State yip 8) Boiler or comp to 3 HI - 15 HP 11.00 absorp.unit to 500,000 BTU Name 9) Boiler or comp 15-30 HP 15.00 i absorp.unit Y--i million Mailing Address t�ho,ts 10j Boiler or comp to 30-50 HP 22.50 absorp.unit 1 -1.75 million ) Contractor Boiler or comp to 50 HP city,state ftp 11) 31.50 ��k. l�st��� � w,1 absorp.unit 1,750,000 BTU _ -- Air handling unit to State Registration No. City Bus.Tax No t 2) 450 10,000 CFM 13) Air handling unit 7 50 I t�reby acknowledge that I hhve read this application that the information given is 10,000 CFM + correct,that I am the owner or authorized agent of the owner,that plans submitted are in — — compliancx with State laws,that 1 am registered with the State Builders'Board,that the 14) Non portable 4.50 number given is correct (If exempt from State registration please gi%e reason below). evaporate cooler 15) Vent fan connected -3.00 to a singe duct Ventilation system not '^ I 16) included in appliance permit4.50 ) 17 Hood served by _ 4.50 .__, '�'- mechanical exhaust signature fbwner or agent) Date 18) Domestic type 7.50 Describe worts ❑ addition U alteration F-i repair ❑ incir.arator to be done residential F non-residential d19} Commercial or industrial 30.00Existing use of r type incinerator — --- building or properly�� S _�- 20) Other i.e.,woodstove,water 4.50 heater,solar,clothes dryers_,etc_. Proposed use of — - building or property 21) Gas piping one to four outlets 2.00 Type of fuel— oil O natural gas ❑ LPG U electric. ❑ - 22) More than 4-per outlet NOT.1�� — --- SUB-TOTAL r/ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- ---� -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 -- _ 516 SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENCED OR PLAN REVIEW 25%OF SUB.-TOTAL '— ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- -- — WORK IS COMMENCED. TOTAL p Special Conditions_ -- — -- -- ------ — Date issued by -- OCCUPANCY 17Y F TIGA CERTIFICATE OF OF PERMIT M. . . . . . . a MST98-6467 COMMUNITY DEVELOPMENT DEP,A= NINON 13126 OWHWIBlvd P.O.Baa MV,TW",Oregon 9? (603)e39-4176 DATE ISSUEDa 11/26/96 SITE ADDRESS. .. t 8454 SW ASHFORD ST PARCELS SS112CB--93760 SUBDIVISION. . . . a ASHFORD OAKS ZONINOt C+LOCK. . . . . . . . . . a LOT. . . . . . . . . . • • « t51 CLASS OF WQRK. tNEW TYPE OF VdE. . . %SF OCCUPANCY ORP. sR3 OCCUPANCY LOADs229 4 TENANT NAME. . . a F'emarks t Owners _._.______.__w_._....-_.._._._w___.____,__.._..__ .TAY MILLER PC) BOX 23291 T IOARD OR 97223 Phone Kt 684--7543 Contractors JAY MILLER PO BOX 23291 TIGARD OR 97223 Phone Os 684-7543 Req N. . t 36109 Occupancy of the above referenced building is hereby Riven, and certifies the compliance with the State Of Oregon Specialty Codws for the group, occupancy, and use under which the referenced permit wos issued. FIRE DERARTMENTBUI O IN&PEC' _ BUILDING )W F l C .. _._._.._.._._._.... . POST IN CONSPICUOUS PLACE I ffl—QfION. City of Tigard Building DOPar "nt 13125 as Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)' t39-4175 Bueineeu Phone: 639-4171 Inspect ion: Plbg. Un atalab Mech. Rough-in App�"Wik Footing Found. Plbg- Top Out Gas Lina FIKALs Poet/Bea, Struct. San. Sewer prrming -Bldg. Poet/Beam mach. Rain Drain Insulation -Plumb. Plbg• Underfloor Nater Line Gyp Bd. -Mach. �� 2/ —.Timet qe �_�M _ PM Date Reuet_edt ^n y/�Z L Permit #8 �iJ Addresst Builder:, THE FOLL.OWI14G CORRECTIONS ARE REQUIRED' f J A 1 00 c ----------- 1 Datat _1 Inspectors APPROVED DIFAPPROVlD APPIAED suwiccr SPO ABOVE Call for Neinep. i I �,/ INGP��ON NUTICS � Citi of Tigard 3ailding Department 13125 811 Ball Blvd. Tigard. Oregon 97223 IneperionLine (Rec-O-Phoney= 639-41'75 euaineae Phon*99-4171 Inspections —-- — ?sooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt post/Beam StruCt. San. Sew9r Framing -Bldg. Poet/Beam Mach. Rein Drai,i Insulation - Plbg. Underfloor stater Line Gyp. Bd. D_tp Requestedt �� �L9 Time PX Addreasi1Perr!.t #f1D �✓�G 7 guilder— THE FOLLOWING CORRECT1.)M9-RIM 1"tOMWE"z" 1 Inspectors +, Dates"r APPROVED DISAPFROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. I, 4 i I INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 9722.3 Phone: 639-4175 Type of Inspection Date Requested sL limaA.M. /./�P.M�. Address _ Permit Owner_ Lot Builder The following I.-Wilding Code deficiencies are i quired to be corrected: I - Presented to 'Approved Inst Pctor -_ — Disapproved Date CALL FOR REINS CTION ❑ YES 0 NO i I ! INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 i igard, Oregon 97223 Phone: 539-4175 Type of Inspection Time A M __ P.M. Date Requested Permit # — -- Address __ --- Lot #�------ Owner_ __--- -- Builder ��"`�'"d�-�-�-- - � The following Building Code deficiencies are required to be corrected' r-" ---------- ------------- Presented to pisapproved Inspector Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 �/D ,1t Slr7 Phone: 639-4175 Type of Inspection Date Requested P.M. Address C' _ Permit #�� Owner _ Lot # Builder The following Building Code deficiencies are required to be corrected: w 3 I Presented to _ CY �- � ---- - Approved E;:opector y ` Fg-Mapproved Date CALL. FOR REINSPECTION s ❑ Na r INSPECTION'SIC City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4171.3 JE- Type of Inspection - A.M. P.M. - Time Date Requested _/t Permit # Address . _ I_ot # _7---------- Owner_ J _ _ Builder 1z� i The following Building Code deficiencies are required to be corrected: - �_—___--- -- ----------------------- --- - - - .__-.�--------- �Approved r,asented to C I Disapproved Inspector � Date V CALL FOR REINSPECTION [] YES [A NO I I I INSPECTION NOTICE City of Tigard Building Departme it P.O. Box 23397 Tigard, Oreqon 97223 Phone: 639-4175 ✓� Tyoe o. Inspection — Date Requested____ �h � — Time— Af.M.7_—j P.M. Address l _ -- Lot # Owner --_ _-_--- � BuilderThe following Building Code deficiencies are required to be corrected: Presenter] to �_-- — �°j Approved I Inspector U Disapproved i Date CALL P)R REINSPECTION C] YES ❑ NO i I i INSPECTION City of Tiga-d Building Dwpartment (/A P.n. box 23397 Tigard, Orege- •27'' Phone: 63' a'7 i t I Type of Inspection --- - — 0 Date Requested_ 1--- _ ime -lit Address — Owner_ Lot #. - BuilderThe following Building Code deficiencies are required to be corrected: LIC_7 Presented to _.— k}'"—Proved Inspector L� Disapproved Date -.-_- - CAL�LF REINSPECTION ❑ YES ❑ NO INSPEC-AON NOTICE City of Tigai j Building Department F'.O. :iox 23397 Tigard, Oregon 97223 Phone: 639-4175 Type --7—of Inspection Dat `�-�'��� e Requested_ L— Time �A;M P.M -- . q ^ c Permit Address Lot OyLner BuMer The following Building Code deficiencie •dfe required to ba corrected: _ 1 --------� �,,, S n_ uOFF.7 i Presented to pproved Inspector Date, ------ -- CALL FOR REINSPECTION ❑ YES ❑ NO ....,._,..»+arc.r.rs..w.....»...+w...a.......u......._ - , i ti;; �„r� INSPECTION NOTICE City of Tigard Building Departmen! P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-417F Type of Inspection Date Requested Requested Tim --A.M. P.M. Address Pe reit Owner __- Lot # Builder 7 The followin,, Building Code deficiencies are required to be corrected: i Presented to — -_ _ Q��oved Inspector Disapproved Date ----- � �� �/ CALL OR REINSPECTION 0 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.M. P.�M.,, -7 Address -__ - -� _ . -- Permit Owner — -- Lot # - -- BuilderThe following Building Code deficiencies are required to be corrected: 7 v Presented to — -_ ----- - --�--�� Approved Inspector "4v 4yf01— - — F] Disapproved Date - CALL FOR REINSPECTION ❑ YEa 0 No INSPECTION NnTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 z 511 Type of Inspection _� - - --- Date Requectad[ _ 1 � I� Time A.M. �'L` P.M. Address - 1L1 Permit # Lot # >o -oat, —_— r , Builder The following Building Code deficiencies are required to be corrected: ---------------- Presented to —_ -_ ----- �`T Approved Inspector -� '' _- Disapproved Date - — — A- CALL FOR REINSPECTION 11-] YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 , Type of Inspection(�/ v'I ��1 -L �_____— Time - A.M. P.M. Date Requested 5� Ie L� Permit 91)—# Address _�L -- ------ ' Lot Owner_—_- -—----�---- - Builder -� —���I�-�-� The following Building Code deficiencies are required to be corrected: KApproved Presented to _____- — Disapproved Inspector 7i Date _ ___--- CALL FOR RE NSPF,CTION CI YES ❑ NO ,. I INSPECTION NOTICE �y �� •��" City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested _ Time Address Permit Owner _ Lot # Builder The following Euilding Code deficiencies are required to be corrected: Presented to Inspector � _ -� -- �.�Approved Date _ �- - — � I Disapproved CALL FOR REINSPECTION U YES 0 NO �-0'E R P E R III I'T 0 P 6, CITY OFTIFARD . . . . . . . .. )0 026 COMMUNITY DEVELOPMENT DEPARTMENT TOW,OmWn 97PA -Wlvd P.O.SM 23397. 75 13125 SW' 1 B 1)R ES S- 8454 SW ASHF:'CIRD SIT 5 1 r E (.)GIAF-'ORl) C)AKS SUBDIY1131011- ­ I 151 BLOCK. . . . . . . . . . BUILDING ------ S f DWELLING UNI75: 1 BOSE"MENI.. . . . . . . . RE I ISSUE% P GARAGE. . . . . . . . . .. 460 f CLASS Or" W(JR111, NEW .EDRMS 13 BOTHS REQUIRED SET BACK S­­­­— ­� 'T'YP'E OF USE:'. . . SF' F'L.L)OR AREAS­­­­ ft RIGIAT. ".5 f I.: 'TYPE OF' CONST. :51q F'IRST. . . . .. 1044 Sf E F­7 1'. 5 ft REAR- 1135 ft S f FRONT. -2 0 OCCUPANCY GRP'. R3 SECOND. . . :800 'T 111 R D :0 Sf R E C-4 U 3:R 111) sTORIES. .­­ ­2 1844 Sf SMOKE' DE-TECTORS. c Y ­ HEIGHT. . . . — :20 ft T 0 T 0 L------•­­ - F-LOCIR LOOD. . . . :40 psf VALUE. . . . , 85728 r,ARKING SPACES. Remarks" pL.UMBING .___-_.____._._.._...._._....-_..__..W_..__._____.. ------- 0 BACKFLOW PREVNTRS. .. 1:V SINKS. . . . . . . . . .. .. I FLOOR DRAINS. . . . TRAPS. . . . . . . . . . . . . . ...0 LAVATORIES. . . . . ..4 WATER HEATERS. . . CATCH T(iF.4/SHOWERS- - - -, :2 LAUNDRY TROYS— t-0 GREASE TRAP'S. . . . . . . WATER CLOSETS. - :3 SEWER LINE (ft) - :0 OTHER F'IX*rURES. - . ­ '-'0 R LINE (ft) . ' 100 1)ISHWASHERS WATF--" !'..iARDAGE DISP- - - : 1 RAIN DRAIN (ft) - »Cd RAIN DRAINE.B. . . I WASHING MACH— . 1 SF ------------- MECHANICAL type arnomit lay date rec pt FUEL TYPES-------­-­ UN I T HTRS. - :0 PAYM $ 100. 00 JLH 08/02/90 203341 /GAS/ VENTS . . . . . ..0 391- 00 MAX INPUT:O P T U VENT F'ANS. . ".4 BPRT $ F'URN ( 100K HOODS. . . . . . .. i BPLC $ 25 4. 15 5ti FURN >=100K WOODSTOVES. 0a B5PC $ F1.0 0 R F-U R N CLO DRYERS. : STDG it, 600.100 1 375.00 3HFI..@ OTHER UNITS: GSDC $O GAS 'OUTLETS11 PARK $ 250- 00 11 P R T. $ 39. 00 Owner.". MPLC, $ 9. 75 j,AY MILLER MrPc $ 1.95 PIC.) BOX 23291 PPRT $ 140. 00 P5PC $ 7.00 lo A R D 0R 'x•7223 pAyM $ 1987. 40 BCR 08/06/90 1.1t :,hoj , #: 684 Contractors jAy MILLER po Box 23291. T-T.C.4ARD OR 9*7223 Phone 01 684.-*7543 Reg 0­ 2 30109 $ 2087. 40 TOTAL contained in the -------- REQUIRED INSPECTIONS This petit is issued subject to the regulations con found InSP Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/Wt-r Proofing Bsm PlLtmb Top put laws. All work will be done in accordance with approved post/Beam StrUct Framing Insp plans. This permit will expire if work is not started within 188 Beam Meehan Fireplace Insr) , sore than I I days. Post/ days of issuance, or if work is suspended forn I Crawl Draill Gas Line Insp r' l.njAindslab Insp Pc?,rmittee P,LM/Underf Inor Gyp Board 111!511 L/ psm, t f�ain drain InSP ISSUed BY" Call for inspection _ 639 417 -A -- A SEWER C0NNE('.;TION CITY OFTIFARD CITWO-F AD COMMUNITY DEVELOPMENTftew DEPARTMENT C7�!�7 FIERMIT 0318 13125 SW HWI 86d. P.O.Bw 23397,Tiprd,Orqpn 97223(603)6310-41-5 PRIM.. PERMIT I#. .- 11ST90 0 2 G 7 1.,-),4- 4 1 �4 W1.16 4LI)SHED. 48-1106719H S ADDRESS. . . : 8454 13W ASHFORD ST PORCE-1- 251.12CD 03700 SUl.'IDIVIS 1(.)N. . . . : ASHFORD OAKS ZONING: HLOCK. . . . . . . . . . : L.&T•.. . . . . . . . . . . . .. :51 .......... T F:.MINT NAME::. . . . . « USS) NO. » . . . . . . . . :42349 F*I XTU RE UNITS. . . OF WORK. 14 E W DWELI I N(3 UN ITS. : I TyI-'4:* OV, USE:. . . . . ".3 F, NO. OF [AU11 DI NGS.-I I N!a T A L L TYPE. . . » e B(.1SWR IMF ER'V SURFA(."E. -.sf Renlarks'. JOY MILLER tyle iA ni c)ct i t I)Y , date r e c�r.)t PO BOX 23291 1, .1500 00 0 Ii 00 TIGORD OR 97223 r i.:1;3' 00 JLH C48/06/90 Pliorie ##: 684--.7543 C c)IIt.r Aet(J.P'. C(INTRACTOR NOT' ON FILE 15;35. 810 TOTAL R EU U.T R ED INSPECTIONS This Applicant agrees to complywithall the rules ana r ulations SpWe-�inspec:t-.iat7 of the Unified Sewage f4ency. The permit expires 12@ days from the date issued. The totkk,amount paid will be forfeited i the permit expire=. The Agency Does not ituarantee the accuracy the ........... 61 d yu&rtth t r b Ir rules s permit e e ue a 1 2 w e for fei A ee the accuracy 0dr days ted i u uracyfrom r t o side sewer laterals. If the se)WT is not located at the meas resert given, the installer shall urospiot �3 feet in all directions from the distance given. If not so locateN-the installer Shall p rchasp —---------- A ;kc A "Tap and Side Sewer" Permit and the 14�y will inStPl a ateral. y ----------- ............ I i-i-is;t.t e d 14 ........—------ ............ Call fo-r insr)ectiaii 639--4175 C17YOFIFARD PLA. CHEa APPLIOMTIN COMMLINFTY DEVELOPUBW OW pit MW GONE Pur cHECK • ane&W.Nasew&VAS on SEW.T%NPl4ee WftP N"@We PERMIT • V , DAit ISSUk1 JOB AOONE 5 y S' ' f 1 s '1 �'- 0� s� TAIL MNP/LOE ,�-5 _ /- r fj SUB: o.� © u LOQ: S LAND USE: VALUATION: OOMER jPECIAL WTE§ 444IE. REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ SENSITIVE LAW: PHONE: APPROVALS Rfa'JI CONTRACTOR PLANNING: NAME: Ja�LMiller Builder, Inc. ENGINEERING: ADORESS: PO Box 23291 FIRE DEPT Tigard, OR 97223 OTHER: PHONE: 641 -1992 ITEMS REQUIREQ RUILDERS BOARD •: 59667 EXP DATE: 1, 31 91 LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENQNEER CALCULATION: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: COMMENn: SUBCONTRACTORS: PLUMB: EelwAtte Sne7a P]ECH: gpll Raatin9 nnaa7 /o PERMIT I ACCT / DESCRIPTION AMMW NOW P0. BAL. DUE 10-422 00 Building Peruit Fees 10-421 OO Plumbing Permit Fees 10-421 01 Mechanical Permit Fees '3—_ _ , 10-220 Ol Stat. Building Tax (51) —2 Y,,)z Building Plumbing Mach 10-422 00 Plans Chen Fee Building 1 .a . t)' --� Plumbing lMsh � ?� 20-202 00 Sear Connectl_4A W--444 00 Sear Inspection 5 51-445 00 Street System Des Chary (SDC) —fl 52-449 00 Perks System Des Charge (PDC) 21-450 00 Stere Drainage Syst on Cowl (SWC) 10-220 06 Fin TOTAL 0 KC • 'i e / Received en/25B7P/1B► ! m� ---- '--- -- -- ---- - -' | } � | | | i::lTY OF TIGARD - RECEIPT OF PA(MENT RECEIPT NO. :90-In343t | CHEC|( AMOUNT : 352Z. 4(' � P|AME u JAY MILLER BLDR, INC. CASH AMOUNT I ('. P.O. B8X 2329t PAYMENT DATE x SUBDIVlSION : | | TIQAPD. OR 97223~ | � \ � PURP0SE OF PAYMENT AMOUNr PA 11) PURPOSE OF PAYMENT AMOUNT PAID | | | ' -- i40 d0 | | BUI � )rNG PEPM 9(+0267 391 . 00 PLUMBING PERM " �9 0( S� BUILD P�� �� | MECHANICAL P2 ^ / ^ ' | | PLAN CHECK FE 163.90 SEWER USA 90-0718 150O^00 � | SEWER INSPECT 35.00 STREET 8DC 600.00 | � pARk� 8D� �5O O0 �TORM �RATN �DC -75"00 � { | | `_:4454 -W ASHFORD STPEET. LOT 51 � ��� p1,MN CHEM APy1,ICATION 13,ss or ►w 972sCITYOFTIGARDP.o �2JJ97 PIAN n� # m6�o1a oreQa�vn23 �*r # ------ (503)639-4171 DATE ISSUED —r COMMUNITY DEVELOPMENT DEPARTMENT TAX MAP/LOT JOB ADDRESS: DOT: �/ IAtID - SUB. VAILPMCN: pWNIIZ �'G2� OF: — NAME: __,,....5... � LAST REISSUE: ADDRESS: F71XX? P II`1/ _ - SEjqSrrrJE 1AND: pLANNIM: OM?MAMB — FIRE DEPT tum: ADI : OrDi R: _------- YPII+F RDS Ili: EXP OMTE. Kz TAX: kVS: --- AFtC11IIJGIN R _ ZTWSS DEMUS• - NAME: arliER: AIliRESS: — --- ------------ arrS: AM"--- S[J�IJIRACZORS PI.II� Ir f1` M. BML. DUE PFT ,# ACCT' # DESCRIPEION 10-432 00 Building Permit Fees - 10-431 00 Plumbing Permit Fees 10-431. 01 Mechanical Per Fees _- 10-230 01 State Building Tax (5%) -- Building Plumbing Medi — 10-433 00 Flans Check Fee Building Pltmbirig Medi <ix ' 4q1 30-202 00 Sewer OonnecLion 30-444 00 SP-Wer Dr;Peck1Dev rge (SDC)51-448 00 Stx� System - 57.-449 00 Parks System Dev Chaff (PDC) 31-450 nn rt(rrm T)rainage Syst Dev Chr9 (SSDC) 10-230 06 Fire Tom RDC # APPISCANT slrNARW, Date Received: Received By: �____ ------ ------------ ef/3587P.WPF SEWER CONNEC'TlOI%I RD V,ERMIT : C17YOF71FA C117YOFTMAD v�-I.-:*N MIT 0. ... . . . . 6 7 COMMUNFTY DEVELOPMENT DEPARTMENT MGM VIE.Rlill'T #. : 13WR90 0 4Z-� 13125 SW Hell Blvd.P.O.BOX 23W, TOM.OMM'R 1,-,4T/176 SYTE ADDRES�.�-- 8454 SW ASHFORD ST' ZONING% R---7 ASHFORD OAKS I I OCK. LO1 Tr-.'NANT NAME. FIXTURE UNITS. . . U S A N 0. . . . . . . . . . .42327 DWELLING UNITS- - OF' WORK. - - --NEW NO. OF' BUILDINGS', I Y1,E OF USE., " 'S' IMF*ERV SURFACE. . " 1.N S TO L L Ty IP'E B U S W R IF E E S Owiler.. type aMOUI-lt by (fate JAY MILLER p,Aym $ J.285-00 JLH 07/01/90 r1r.) BOX 23291 FIRMT $ lir)50» 00 $ 35- 00 TIGARD OR 97223 Phone #s 684-7543 C c)titr actor: J'(,)Y MILLER V-(,) BOX 23291. j—.H.if)kD OI; 97223 $ 1.r85. 00 TOTAL 684-7543 0. REQUIRED INSPECTIONS This Aoplicant agrees to any with all the rules and regulations sel4er 11-1spection of the Unified Sewage Agency. The permit expires 120 days from ........................... the date issued. The total amount paid will be forfeited if the oermit expires. The Agency does not guarantee the accuracy of the t side sewer laterals. If the sewer is not Incited at the measurepen given. the Instiller shall prospect 3 feet in all di,ections from the distance given. If not so located, the ii.staller shall Purchase 6 "Tap and Side Sewer" Permit and the Agency will install a lateral. ............. J t t :j.tan A t U('P ........ ...... ...... Lssued BYL ......... Call fc).f, jyjSf)ec,tjon 639--417`:1 i .GRADING/EROSION CONTROL INFORMATION . GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: _JaX Millpr Builder, Inc. PERMIT NO.: OreQon 97223 APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR Jay 1 NAME&ADDRESS: _ Tigard Or_97223 Jim Paulson Excavating =route 1 Box 1062 OWNER NAME AND ADDRESS: Ni s oro, Oreqon 97124 _ TELEPHONE NUMBERS: APPLICANT: 6 8 4 7 5 4 3 PROPERTY DESCRIPTION: OWNER: 684 7543 STREET AD S AND CROSS- R�OSS GENERAL CONTRACTOR:_6 8 4 , 43____ 7S `��JJ )) EXCAVATION CONTRACTOR:6 4 5-101 1 SITEIJO13;_ LEGAL DESCRIPTION: T 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: L a I S' �S� �0✓� yQ S COLT A�T PERSON,TITLE,TELEPHONE: 1/4 SECTION_ COW e Eickhoff SITE SIZE,ACRES: Sao d _—b'3�3_ ��s�.r�t.endanr _._. DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS I1.AVIR'G SITE WILL BETAKEN SITE RUN FF DRAWS TO:(CIRCLE ONE) (NOTE:PER?. 5 MAY BE MUMED) CATCH-BASIN DITCH PIPE CREEK Stumps & brush to liscenc ed fill area. Dirt to licensed dump site. (CIRCLE ONE) PRIVATE PROPERTY PUBLIC RIGHT OF WA EROSIO ISEDIMENTATION CONTROL 0MABASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY FSC PER METER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTI(T-S ENSURE OPERATION OF PERMANT FACILITELES CONSTRUCTION SEQUENCE OTHER OTHER PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WON'TECHNICAL GUIDANCE HANDBOOK'. EROSION CONTROL.PLAN DRAWING.AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MLASORES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASUFES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTIO SITE. -GNAI RT SIG OFFICIAL USE ONLY, RECEIPT DATE ACCEPTED FEE NUMBIR RECEIVED BY