13122 SW BOUNEFF STREET ADDRESS:
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CERTIFICATE (If
''i,ITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMyr M. . . . . . . i MW94-9009
3125 SW Hall B!vd,Tigard,Oregon 97223*61RQ,403y40J*4171 DATE ISSUEDi 03/c E3/94
PAnCEL.c s'S I 04AC -09700
S ITE ADDRESS. . . 1 131,22 SW DOUNIEFF ST
SUBDIVISION. , ii MORNING HILL VO 9 ZONINGtR- Z6
IRLOrK. . . . . . . . . . i LOT. . . . . . . . . . -s40
CLnSS OF WORK. sNEW
TYPE OF' USE. . . i SF
OCCOPANCY ORP. %R3
UCCUPANCY L:OnDs2Z4 4
TEWINT NAME'. . . P
Remarkwe PAT14 I
Ownvri
JAY MILLER 00.1110 INC
P U BOX 213291
TIGARI) OR 97261
Phone #1 (,.%84-.7543
Contractora
JAY MILLER
PO Box Rae,91
,rICARD OR 97281
Phone #1 684-70343
loon *. . t 30101)
Or-cupAnt,V of the above reforpticod building is heroby uiyanq orid cortiffolo
the complianco with the State (If E)reqon Spociiiii1ty Codes for the qroiAp,
occupancy, anti us it under which the referenced permit waos issuod.
FIRE DEPARTMENT BUILDT JNSPECTAW?
SU N60
t,09T Ttl r(1NnV-Trj.jnw,, Pi nr,r..
i
Tigard
diaui NOTICE
City of Tlgard uildlnq Doper' t.
131:1 ON hall Sled. Tigard, Oregon 97223
Inspection Line (Rao-O-Phoned 639-1175 nustneae Phoney 639-4171
Inspections
Footing Plbg. Underslab Meeh. Rough-in Appr/adwlk
Found. Pltiq. Top Out Gas Line FINALI
Post/Mas Struat. San. Rower Framing � j Rldq.
Pest./Seas Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Une Gyp. ad. �
Date Requestedl�_ 4 d _._TLmwt
Addreass ��� � L -- Permit
THE VOLLOWING OORRMCTIONR ARS Mft'IIRRDo
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--- �Z
InSpa�okor� Oab*15 -q
atFwOVfD DIRIIPPROVED APPROM SOWOM to AMM
Call For Roinsn.
CITE'' CSF TIGARD GFiFtOCCU :A C OF.. Ocrl,fi�ANL"Y
COMMUNITY DEVELOPMENT DEPART ,�VT PERMIT 04. . . . . . , e M ,4 `s00''I
13125 BW Hell Blvd.Tigard,Oregon 0722398146 'j9631'3 t- 71 DArE I S SUE-D t 0 3/cElt i ''+ I
PARCEL-t 2Ci 104AG• (b'')' �y0
!i T TE: t)D1)fiT:;SS. . . t 13i,22 SW BOUNEF F" S7
9t113O I V 181(IN. . . . t MURN I NES HILL NO 9
OLOCK. . . . . . . . . . t 1.01. . . . . . . . . . . . . t 9413
CLAOU OF WORK. tNEW
r'YPE OF LISE. . . i OF
OiXUPANICY ORP. 03
R3
OCCUPANCY LOAD t 224 4
rENnNT' NAME. . . t
Rommrk%r PATH Y
JAY MILLER BLDR INC
V-1 0 BOX 23291
T WARD OR 97281
Ohunle Os faA4-7"543 y
JOY MILLER
r'CI BI.1X r:.'3K291
T I GARD Un 9728J.
Phon. Nt 684-7543
14 V g 0. . t 301.09
Occupancy of the! &buy* referenced building its hereby given, mnd c:ttrt, i fi n„
th,el roMplistic:rr with the lit^tv (]f Grepan Specialty Coder for the gr13Up,
vrrupannr,y, acrid use Lander which the referenced permit, wAs i!esUod.
1
I D 0 tCIAL
POST IN C:f')NSP:rl lllW.3 P1.Wc7
I
A.ilrlioiYJ1_NOTI Y.a
City or Tigard Bolldl-ag Depertaant.
13225 aw hall Blvd. Tigard, Ontgon 97223
Inspeation Lina (Roc--o•Phone)t 639-4.75 Businea■ Phonei 639-4171
Inspections__._
Footing Plbg. Underalab Neoh. Rough-in Appr/Mdalk
round. Plbg. Top Out Gas Line r1ttALt
LL: at/serol St t Ban. Bower Framing -Bldg.
( _at/sena Maoh 40�0* Pain Drain Insulation
PIN. Onderfloot Mater Line Gyp. Rd. -Koch.
Data Mr4ueated/ AN)
Adar«.at
[�07121 1_X''k kA(\� -- (P�armLt 0..�
loilldmrt_�,,,mw (u
TM FOLLA IMG OORRBCTIONB ARM MMIUM
l - . �,.
z i 1
Inaneotott_ � / � Date
APPRLWBDy bIM1/!!1vm AMP'NOVDI WM.wr To ANOW
•� ✓ Ca11 for RaLrsp.
III/t g ON NOMa
City of Tigard building Departaant
13125 BW Nall Blvd. Tlgr-.;, Oregon 97223 r
Inspection Line (Rec-O-Phone)R 639-4175 b•sulnee• Phoney 639-4171
Inspections
Ptx�tinq Plbq. tlnderalab Mach. Rough-11i
Pound. Plbq. Top Out Gas Line FINALS
Pock/neem Struct. San. Sewer Framing _Bldg,
Post/Ream Meeh. Rain Dral.s Insulation -Plumb.
P1b9. underfloor Nater Line Gyp. Ltd. Misch.
Date Raqueeteds J
h II ___ T lsoe s AN !M
Address: '�-� ZLCro VIQ`'I �
I. � - ---_.. Permit It
Builders �'•`rT�M I r' c I 126' T
TNR. (FOLLOWING CORRZCTIONS ARZ RZQOIRRDs
Inspectors -Akw!v5
_APPROVED DIZAPPROV/D f.PP110VNb NtirJNCl����)r
Cell For ROLnup.
1.1lAPx.QTJ,4lt.�S� (r/ ,
City of Tigard Nuildlsg Deports it
1312% 110 Nall alyd. Tigard, Oregon 97223
Inspection Line
e (Rao-o-Phona)i 679-1(1`79 Buaineaa Phones 639-1171
Inspections txV
. SA
Footing Mg. Underalab Nwh. Rough-in Appr/sdwlk
round. Plhg. Top Out Can Line IIM11Lt
Pont/Bee1n Btruct. San. Bever truing •*1N•
Post/Beam Mach. Rain Drain Insulation -t111�•
Plus. Underfloor Nater Lina c��1 Gyp. Ad. "�*•
Dat• Re�seste�t� _ L7 _ f
Penult 1s `-'7 ! _
aulldera
THIt POLLOMIIIA ODUR/CTICM9 An RNOOIRDDt Pr (3-V �L . r
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Lai �i
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w•-, ta, •—gyp 7
el
Inspectors V Dates
APP%OVND bISAPPROVtO �PRCVtD 409JWt TO ASM
fl ` Call For RaLnsp.
City of Tigard Buildlsp 1lapartmant
13125 aw gall Blvd. Oregon 97223
Inspection Llne (Pec-O-Phona)e 679-4175 Bu,lnawa Phones 639-1171
Inapwc:tIoni_
rooting Plliq. UnAaralab Mach. Pouph-in Appr/9dwlk
Found Plbq. Top Out One Lina rIMAT.I
Post-/Raem Ht r,wt . flan. Bawer rraming --Rldq.
Port/Ream Mach. Rain DraLn Insulation Plumb.
i
Plbg. Undargloot Nater LLM Gyp. ad.j/ -Mach.
Date Reguestedl 1 jq� Tlaal 1'! J1M NI
, (
Addreses Z 2 �t�U_ \�\ Permit. 11� �� I
Builders�'-1
TM POLLONINO 00RRMCTIONf AAM RWU11MV a --.. --
: t
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17, k2
Ac
UP
Inspectors _ Dates ( , 4
__APPROVMD DIMAPPIIDVMD _�PPft MD 119WICT TO ANDY
VC.",/. _ --Call Por Relnsp.
jNSPECTION lIOTIQt \���
City of Tigard Building Departanot
13125 60 Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- -Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underelwb Mesh. Rough-in �Appr/Sdwlk
Found. P1bq. Top (:Jt Ows Line ►TNAL:
Post/Bema Struct. San. sewer Framing -Bldg.
Post/Beast Koch. Rain Drain s jp�lation -Plumb.
Plbg. Underfloor Nater Line c/ b. -Moh.
Data Requested: ] TLMt L'_PA _PM
Address: L21 2Z V��LL�lC'� 1 _— ftruit #I
LidJUL
f" 701.1, IIO OORAECTIONS ARE PXQUIREDI
y -
1.L`�Z�L
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— r C7�Z„_.-- � v Cmc_�.�-,.. -�..�,•r,
Inspeatort_ ��""��- Date:
APPRIWID -_ DTSAPPROVBD APPROVED SUBJECT TO ABOVE —
n Call For Reinsp.
V
1NO.P�L'TtS?!1_.tlS?TIS71i \r i
City or Tigard building Department. VV
13129 m Ma-11 Blvd. Tigard, Oregon 97223
Inspection Una (Reu-o- m r 679-41/s Husine-a Phoner 639-4171
Inayecticnl � �• � 1 �4
Footing 11bQ. Ondaeelab t,Naoh. Nouqll-LnV�Appr/sdwlk
Pound. Plbg. Top out Gas L1ne PINALr
Post/Baas sr ruct. Ban. sewerCw1 � _Bldg.
Poet/seas Mach. Rain Drain ,-InsulalL -Plumb.
Plhg. Underfloor Mater L►ne 0". b. -Noah.
Data Regriestedr - `�'.. ,'I . -Tlwet �-� �` PH
1 I V` r�
Address t, 1 PevAlt It-'
if
sulldere-)o L t Kj. &�
J_ .r,
TIDI PO[.io11IN0 CORNMIOMs APR RRQt/TR/Dt
._lcaGl t 5 Z
17
V
',.rte J �,•r ��1,�.� -4
1, LIZA -LAI
LOA S
Ile
�✓e �-<<. 1n�t. �.; �amt �.- �S w-'l-��.c�.
_ ' S �-,.raj ,
Inspeotort Dater '
AlPRcri/tD L/-*nTRAFPRAVRn APPRtPIRn stir-MMT To Anrn1R
G�( V-11-.11• Prir Rwl nap.
tliae� .u�
City of Tigard Building Department
13125 BIN Ball Blvd. Tigard, Oregon 97121
Inspection Line (Roc-O-Phons)t 679-4176 Busi.nass Phonat 639-4171
Inspsctioni_,_
Footing Mg. Onderflab Mach. Rough-in Appr/Bdwlk
Found. /IsIft. ftV_ Oft ' Gas Line FINALi
Post/Ream Rtruct. /til. Swer Framing -Bldg.
Post/Roam Hach. Itch Drain Insulation -Plumb.
Plbg. Underfloor Niter Line G] Gyp. Bd. -Nsch.
Date Requestede_ 2
Add resat��'I ►7er7Olt fi 1" 1�� rI /1C�2
Builders -- /�
TNS FOLLOWING OORASCTIONS APR RRQUIRxt)1
t
Inspectors__ Dates Z__16;'- q1'1
I APPROVED �DIBAPPROWD APPROVSD SUNJSCT To Asm
l /Call For Reinsp.
f
r
IxsPscrrOx IIOTICT, � � ,
Cit? of Tigard Building Dopar+rent ,
13125 aw MAIL Blwd. Tigard, Orwgon 97223
16160,,tlun Line (Ras-o-P no)! 639-4175 Business Phones 639_4171
Inspection,.-_ jl
Foot ifig Plbq. Onderslah Koch. -y.—_ --
1lough-in Aper/BAwlk
Pound. Plbg. Top Out t_ prB =.iM /INALi
1Beam Srruct. San. dower /raring
PurL/Roae Mach. Rain Drain Insulation -Plumb.
Plbg. U lerfloor Nater Line ] Gyp. ad. -Mohs
Data Requeatedl � '-�� "/ y
_� �
AddreasI ��� Z ZyDof lieMssit �1 /A
Builders
TBs FOLLOWING MRRECTIONS ARI.' RXQUIRRDt C 1
Inspector
Dakef_ 5 - 94
--APPRMzD DISAPPROVED �N APPROVRD sUBJtCt TO ABOVE
�1� _C&11 For Relnsp.
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i
INSPECT 1S21L1lV to \v
C1tP of Tigard Mollding Im"rtment,
13126 M Wall /lyd. Tigard, Or"m 97213
Inspection Lin. (Rr<* 0_.Pholn.)1 639-4175 "urine.. PhOns, 619-4171
Inspect Lon
Footing Plbg. Und.ralab h mech. Rat ..0
0'11 Arpr/"dw 1 w
hlu nd.
P]bq. Top that rte""� O6. LLne r'" P 1 pAE,i
Pn•t/Rema Rtruet. Ran. "ewer rmL /
Poet./Ream Naoh. Rain Drain Insulation
-P 1 410b.
Plbg. Underfloor Mater Line gni ads
Dat. Rrquestedl (., 11
Addr.0 l '
llullderl 1 n 1. erl�Yy f I J e/
THR rt)LLo+elMo�OORUCTIOPb ARM A11011RMDI t, ` C4
L�-r- avr
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APPRDVrp �� OI/ArPp�/vRn .._ APPP(WRI) nU"JINCT To ADM=
-Call ror Reinap.
i
City of Tigard Bmi],dlp Department
13125 RM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Re•z-O-Phone)o 679-4175 Business Phoned 619-4171,
I
Inspections
Footing Plbg. Undersl.ab Hach. Rough-in Appr/Bdcrlk
Pound. Plbg. Top Out Das Line FINALi
Post/Beam struct. San. Dower Framing -Bldg.
Post/swam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Line Gyp. Rd. -Neoh.
L' - �l �[
Date Requestedi ___Times AN PN
Address .L Z�, 4`` _ Permlt �!� -` o
Buildart
TFN FOLLOWING CORRECTIONS ARM RNWIREDt ,
LL -10 0
1v4k S,P.� �_ , ,`
1
tetN +--vim
S �-�✓` �'
v J2
w ; l 1 lam_ f�� � i �-' _�,.� �-1�1•..Q
At-
Inspectors
Irate
__APPROVED DISAPPROV'D APp!RMD SUBJECT To ABOVE
✓_Call For Re:nsp.
c
�4Yisa'xoN NO1'Il`E I J J
CitT of T14srd Building D%wrtasot
=125 w Ball Blvd. Tigard, oWagon 972231
Inspection Lina (Ree•4-Phane)1 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Undarslab `!soh. Rough-L — Appr/Sdwlk
Found. Plbg. Top out Gas Line PINALi
Post/Baan Struct. San. Bewez framing -Bldg.
Post/swam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater, LineC� Gyp, Bd. -Naoh,
Date ReQueatedl. L -' 1 ( _ Times �AN _pp
Addreses I 1�� Cru /1 `F-C
Permit 0.
TION POLLOWTNG CORRBCTIONs ARE REQUIRED, z�,
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c --()bc; ,
Ta-
_oc
L ) 2- c���v
h
Inspectori— - ^AA L,�I ��„_�,� Dater d 1
--APPROVED _-AeOSAPPMM APPROVED SUBJECT Tn AMWE
�� L ali For Relnsp.
3 zat�sa 1�'
City of Tigard tuildim9 Department
13125 f.1 tall Blvd. Tigard, Orrgon 9722.3
Inspection Lina (Reo-0-Phona)t 639-4175 5unlneme Phonal 639-4171
Iaspectiont
Footing Plbg. Underelab Mach. Rough-in Appr/$"Ik
round. Plb9. Top out Gas Lina FINAW
Post/Baas 5truct. Ban. /ewer Framing .-Bldg.
Post/Baas Hoch. Roln Drain Insulation -Plumb.
Plbg. Underfloor Nater Lime Otry. 5d. _Mach.
Data Requestede L1 Times
Address �' i l �L mak. --L ✓- Permit
Builders-
TIM FOI.I.OMINq OORRYCTIOl15 ARB RBQpIRtDt
(�
.�,.�,, � .--, o
T
I
AIA
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rt _AA
Inspecto Dates _L
A APPROVSD - L OIBAFPRONtD `� APPMMD MU&M T TO ABDVB
AC �� ill Par Reinep.
V V�- 6666 d..... _��._._.�..
INSPECTION Mme's
City of Tigard Building D"artmient
1312% ON Ball Blvd. Tigard, Oregon 97213
Inspection Lina (Rem-O-Phonw)t 639-4175 Business Phonal 639-4171
I nspoct ion t._.,
Footing Plbq. Underelab C16wh. Rough-in Appr/adwlk
Found. Plbg. Top Out Gas L1M 'j ►INALt
Post/Beam Struct. San. Sewer framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater ',ins 0". Rd. -Hoch,
1 G
Date Requentedt - V Tuns _JAH fM
Addceast I_ AIL_ Ll-Y'Q Pettit #t__�
Builders
TM FOLLOMINO CORRRCTIONS MM RSQOIRtDt
Inepectort. Datet
-_APPROVED O/TB�APPROVRD APPRONtD SURMICT To AWWR
Cell
For Rslnsp.
City of Tlpard Building Depertnient /
i#11B M BaII Blvd. Tioard, Orwgon 97773
Inspection Lina 1Raa-11W»-Phonelr 519-4175 nusinaaa Phonar 659-41'rl
Insprationr
tooting Plbg. Underslab Ne-oh. Rough-ln Appr/advlk
Pound. Plbg. Top Out oas tine FINALr
Lost/nose struat. sen, sarrar'N t-•aml.ng -■Idg.
Post/Bears Hoch. Rain Dtahn Insulation --Plumb.
Plbq. underfloor ' -Water Lina Grp. Bd. -Naoh.
Data Requastedr_ _ I J 11 TIaIBt _��N
AdArwas r Pac7LLt 0 I
Buildarr
THE FOLLONIMO OORR=CfIONa ARB RWITRiDr
Inspectorr
\ _A!►ROVBD -- - DIaAPPIRAIM a11R.IUM 'M AIMI
_, .Call For Ralnsp.
ZI!lY.Jffi'�.i4!lJ1SXC14� �'" -�
City of Tigard Buildiml Dope-townt
12125 Bm Ball Blvd. Tigard, Orrpn 91227
Inspection Lina (ltoo-o-Phone)i 619-4176 Ou L as Phone 679-4171
Inspections '11 , t i(,_�) { F2'� -_-_---
!onting Plbg. Underslob Mach. Rough-in Appr/sdwlk
Pound. ►lbg. Top Out Gas Lino PINALs
Post/Bean struct. son. sewer /raring ..Bldg.
Post/Bear Mach. Rain D nin Insulation -Plumb.
Plbq. Underfloor water Line Opp. Bd. 4OWh.
Dave 1Wqueatedl
A 01reoma I -J l rel i a' Permit 9s"/ .
Builders_ '
1
TMs POLI.OMING CODUCfIONs AAM RRQU1RRnl
-r ors �.-- -- — - Dste• -
APPWYVRn DIRAPPRL'!RD APPROVWD sT1NJRrT TO AMIM
call r.,r Rain■p.
I
INSPECTION NOTICE 1 �V
City or Tigard Building Departsant
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspeotl.on Line (Roc-O-Pho")t 63,9-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undersiab Mach. Rough.-In Apps/2601k
IOBAA.J / Plbq. Top Out Ga■ Line IINALt
(lost/BOY Btruct. flan. Sewer Framing -Bldg.
Wet/Boom Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor I _Nater Lina Gyp. Bd. -Neoh. A
� I t .
Drto Roqueatsdi— Time /AN
Addre■st Z� pjOsll! 01 �7 G� r rd(
TBE 1OLLO"ING O[MRBCTIMS ARE REWTREDt
J[�y ��..�-- -._-.�... � '� 'h-'l/\/�• , �� v `
Av
Inspectcrt�--��— 1.�-----r' Date:�_`_.�
APPROVED —_—_ DISAPPROVED i_ APPROVED SUBJECT 7v) Anot/E
--Call For Reinsp.
zhBPscrloN BOTrc� � �
alt? of Ti"I'd Bnildimg D.parbm,,t \�
13125 w Ball Blvd. Tigacd, orwgon 67223
Inspaation Lina (Rac.-0-Phone)i 639-4175 Business Phones 639-4171
Inspaatinns _
Footing Plbg. Underalab Hach. Rough-in Appr/Bdwlk '
Found. Plbg. Top out Gas Line TINALs
Fort/Bead Strict. Ban. BaMar Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line gyp. Bd. -Meeh.
Data Roquaateds 1 3 l
TLass ( _/w PM
Addrasas 1`� ZZ- ��1A) - � Permit 1s
Builders
THS FIDLIOMING COMMCTIONB ARE MUIRSDs
L v
CJ <7 w
Inspector: \ --- nat --C
es
APPRO RD nrBAPPROVRn APPROVED BU9.TRCT TO ABWR
1 C�� --- Call Por Rwlnnp.
C17Y OF TIGARD F,E RM°T�,# F'E. . . T t MST94 0001)
COMMUNITY DEVELOPMENT DEPARTMENT DATE: I SGUED t OA/10/94
11126 9W Hall Blvd,Tigard,Orrgon 97229.9199 (601)899.4171
PARCELt 261040C--09700
!.S 1 TE (a1)GRESS. . . : 1;.'3 1.: _ TAW BOUNEF F ST
!.)UBDIVISION. . . . a MORNING HILL NO 9 ZONINdt R-•e25
BLOCK. . . . . . . . . . a LOT. . .. . . . . . . . . . . 12410
CLASS OF WORK. . t NEW GPRBAOE D I SPOSALS. . t 1
TYPE OF USE. . . . t SF WASHING MACH. . . . . . . 11 6ACKFLOW PRE VN'T RS. . t 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS 10 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . tc WATER HEATERS. . . . . . t i CATCH BASING. . . . . . . 10
LAUNDRY TRAYS. . . . . . 11 SF RAIN DRAINS. . . . . It
!�I PIKl . . . . . . . . . . t l GREASE. TRAPS. . . . . . . t 0
L.AVATORIES. . . . . OTHER FIXTURES. . . . . t0
TUB/SHOWERS. . . . i SEWER LINE
WATER CLOSETS— :3, WATER LINE (ft ) . . . . u1@0
DIIAHWASHERS. . . . tl RAIN DRAIN (ft ) . . . . 10
Roina,,r•ks a PAIII J
(J 4NERt
)Wi MILLER BLDR INC: 'TIF 4 1'x';20. 00 IF 01 /10/94 -
t' H BOX 23291 BPRT t 0513. 00 JF" 01 /10/94
BPLC $ 30. 00 JLH 01/04/'34 94--P47258
T l('ARD OR 97251 H"SPE, f 203. 65 JF 01/10/94 -
Phane Its 694-7543 GSDC $ 280. 00 JF 01/10/94 -
PARK $ SON. 00 JF 01/ 10/94 -
1 MPRT t 45. 00 JF 01/10/94
1M��� _. MPLC t 11. 25 JF 01/10/94
Name --
Nme t (�,/ ._ ._., __ M5PC f 2. 25 JF 0l /10/914 -
Address PPRT $ 155. 00 JF 01/10/94 -
C;i t y t >3t at a t� p 5PC; f 7. 75 JF OL/10/94 --•
T_ i p 1_ _ Ph o n e M t BPLC $ 15. 00 JF 01110/94 -
-------- REQUIRF'D INSPECTIONS
This permit is issi.tod subject to the re®•-
-.11ations contained in the Tigard Municipal Foot/found Insp Rain drain Ir1sp
t,ocle, gta><te of Ore. Specialty Codes amid all Post/Beard Struct Water Line Inap
other- applicable laws. All work will be done Post�'Bemm Mechmn Appr/Bdwlk Inap
4 in accordance with approved plAnn. This PIm/undtlab Insp Mechan�-al Final
Baersnit will expire if work I % not sLArted PLM/Underflonr Plumb Final
within 180 days of issriance, or i f work is Mechanical. Insp Building Final
fil_lspended for more than 180 dray%. Plumb 'T'op Out Frosion Control
Framing Insp Crawl Drain
Fireplace Insp
` _-- - (:i a s Line Inap
Insulation Insp
J, Gyp Board Insp
la . chori red Pnbinp Contractor Signature
Call for inspection - 639-4175
Contractor Notes --
CITY OF TI`'ARD
MASTER PERMIT
COMMUNITY DEVELOPMENT'DEP%R AjNT PERMIT fit. . . . . . . s MST94-90017
13125 SW y.11 Blvd.Tigard,Oregon 07222•e1 s� • 171 DATE I SSIJED s 01/10/94
PARCEL: 2S104AC-09700
SITE ADDRESS. . . s 13122 SW BOUNEFF ST
SUBDIVISION. . . . : MORNING HILL NO 9 7.ON I NG s R-25
90-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 1240
BUILDING
REISGUF:MST93--9538 DWELLING UNITSs1 BASEMENT. . . . . . . . s0 of
CLASS OF WORK. :NEW BEDRMSs3 BATHSs3 GARAGE. . . . . . . . . . 1410 of
TYPE OF USE. . . s SF FLOOR AREAS---------- REQUIRED SETBACKS----------
TYPE OF CONST. s 5N FIRST. . . . 1 1834 s f LEFT. . : 14 ft R I GHT. s 1 rP ft
OCCUPANCY GRP. sR3 SECOND. . . 1864 of FRONT. s20 ft REAR. . -30 ft:
STORIES. . . . . . . 12 THIRD. . . . s@ s f REQU I
HEIGH•T. . . . . . . . 124 ft TOTAL.-------12696 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . v40 psf VALUE. . . . . 1s 131468 PARKING SPACES. . : 1
Remarks PATH I
---------------------------------- rLUMBiNO
SINKS. . . . . . . . . . it FLOOR DRAINS. . . . s0 BACKF=I..OW PRF_VNTRS. . s0
LAVATORIES. . . . . s4 WATER HEATERS. . . it TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . t3 LAUNDRY TRAYS. . . sl CATCH BASINS. . . . . . . 10
WATER CLOSETS. . t 3 SEWER LINE (ft ) . s 0 GREASE" TRAPS. . . . . . . 10
DISHWASHERS. . . . s1 WATER LINE (ft ) . s1070 OTHER FIXTURES. . . . . 10
GARBAGE DISP. . . III RAIN DRAIN (ft ) . s0
WASHING MACH. . . it SF RAIN DRA I NS. . s l
MECHANIC'AL -__._--___..______.-------..—.._______-._ FEES
FUEL TYPES--- -• --------- UNIT HTRr. . sO type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1320. 00 JF 01/10/94 —
MAX INPUT s 1X1 BTU VENT F ANS. . s 4 BPRT $ 513. 00 JF 01/10/94 -
FURN ! 100K . . sP HOODS. . . . . . el BPLC f 50. 0117 JLH 01/04/94 94•-247258
FURN > -100K . . : I WOODST OYES. PO BSPC f 25. 65 JF 01/10/94 --
FLUOR FURN. . . . s fa CLO DRYERS. s 1 SEDC tf 280. 00 JF 01/10,'94 —
Pin /rmp ( 3HP s 0 OTHER UN I TS s 1 PARK $ 500. 00 JF 01/10/94 --
GAS OUTLETSsl MPRT $ 45. 00 JF 01/1.0/94 —
Owner s ---------------------------------------MPLC $ 11. 25 JF 01/1171/94
JAY MILLER BLDR INC M5PC f 2. 2:5 JF 01/10/94
P O BOX 2.3291 PPRT• $ 155. 00 JF 01/10/94 -
P5PC 1 7. 75 JF 01/10/94
T I13ARD OR 97281 BPL(:: f 15. 00 JF 01/10/94
Phone Ms 684-7543
Contractors ------______----..___-._—_—..------
JOY MILLER
PO BOX 23291
110ARD OR 97E'81
F'h nr e #t 684--7543
30109
1< 3124. 90 TOT( I-.
This permit is issued subject to the regulations contained in the ------- REQU I RED I P.1PECT T ONS - — -
Tigard Municipal Code, State of 0.,v. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicabie lmi. All work will be done in accorJance with approvrd Post/Beams Strutt Gas Line Insp
plant. This permit will expire if work is not started within 191 Post/Beam Mecham Insulation Insp
days of issuance, or if work is sus end for more than 1M days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Inst,
permittee Signatures � d�/�"" Mechanical Insp Water Line JnsF)
r Plumb Top Out Appr•/Sdwlk Insp
Isftued Bys _ Framing Insp Mechanical Final
Call for insper_tion — 639-4175
CITY OF TIG,ARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT M. . . . . . . s SWR94 0007
13121 iW Hall Blvd.Tigard,orapan 97223941 d8L25"d3if Ai 71 DATE ISSUED s 01/10/94
PARCELe 28104AC-09700
SITE ADDRESS. . . t 13122 SW BOUNEFF ST
SUBDIVISION. . . . t MORNING HILL NO 9 ZONINGS R-23
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1240
-------------
TENANT NAME. . . . . c ----1—
USA NO. . . . . . . . . . t FIXTURE UNITS. . . :
CLOSS OF WORK. . . :NEW DWELL I NO UN I TS. . a 1
TYPE: OF USE.. . . . . a F NO. OF BUIL.DINGSs 1
INSTALL TYPE. . . . i RUSWR IMPERV SURFACE— e t slf
'*4e maY,ksa PnTli I
Owners ------------------------------------------------------------ FEES
JAY MILLER BLDR INC type amount by dater racpt
P O BOX 23291 PRMT ` 2200. 00 JF 01/10/94 -
INSP $ 35. 00 JF (111/1111/94 -
rIGARD OR 97291
Phone Mt 684-7543
L:ontrmct or t - -------__.-------------------
CONTRACTOR NOT ON FILE
Phone tt: f 2235. 00 TOTAL
Reg #. . o
— ---— REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rule# and regulationi Sewer Inspection
of the Unified Sewage Aqtncy. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the —�
side sewer laterals. If tilt sewer is not located at the measurement _
given, the installer #hall prospect 3 feet in all directions from
the distance given. if not in located, the installer shall purchase _ —
a 'Tap and Sade Stmer" Permit and the Agency trill install a lateral.
Pet"m i t t e e S i FI n a t I•e :�
Issued By s
I,tsJ 1 Fot- in-,pection - 639-4175
t' a l 2 ,y ti
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1::I 7 Y lot ( '.(41)hl) lqi 1,
:PI PT IN PHYMF-.N I F1E.,*I I I NI 1. 94 h-',4 7 W�y
C,HFUR IIMI.IUN I a "i,tilA'►. '►
011IF t MILLER, JAY UIPSH 1440AN I a 0. 00
iMRS 1 4a t I-AAYMF.N1 1)ATI" a Ol / 10/114
,.,FHI)IVV.iION t
I..IF2P081E CIF P(4YMF.Nf AMUCINT PATI) ,)IJHPCIl-A,. OF PAYMF..N`I' AMC)UNT F'AII)
dl.l Y L D II Nf�f�F.FtM __ _. _—• 1 3. VIN F�L�UM} ' �F E CiM `�' . 00
f-t HANICAI. 1.4. 405. OIA ST. BUILD PER 315. 6:5
I-AN CHRUX f=F. 26. 1y05 £3EiWFR WSA ?PWA. 01D
LWVP I Nf3PV*.0 I X114 NII► PARKS 4DC 0101?10. 00
TCIRM I)RA I N SOr P80. 1/10 RE13I DENT I AI.. T RAI'F I C FIELS 141(A. ON
ASS I MANS I T IIF VR-ES 1 1 W. GI(A
s
UT *P.40 MIIRNI.14I3 HILL Ny
;31 PP SW AUUNI'F F
CrIAI.. "MOUNT 1:40D 1110
Residential Building Permit D lication X
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobelte address:
Subdiv!aion: Lot 4 .�(�(-) MOUse Only
Sterid.._.--
Valuation: /.3/ Yj )1� _ Piarx*/Rec li
Permit 0
Owner. ...,..�.. L �� Reis4we of
Address:2, �J(a r;) -
C11L.. quAl ,A..pinto, y;2is Re-gtulred
Phone:
Contractor: „I Other
Addms:
Items Reaulrec I
C
Phone: Subcontracto.
Trust oukads
Contractor's License 0
(attach copy of current Oregon license)
Subcontractors: )
Plumbing: V1 LA_)
Mechanical: l,1 41iL li► _
(attach OW of cta nWW 99"onbactor's Lkense)
Ar dlocVEngirmor•
Address:
Phone:
COMMENTS: jc p ��`]S t'_LL U 3 "' -f CA
I '-
,WkaM 51driature & Ile _ter
Recelved by: _^r Date Received: �`_
Y Account Descrlptlon Amount Amt. Pd. Dal. Duo.
Bldg. Permit (BUILL,
Plumb. rormit (PLUMB)
Mech. Permit (MECH) .-.� r ��
-r
Siate Tax (TAX)
Bldg:
Plumb: 7 ��
Mech:
Plan Check (PLANCK) �J
Bldg:
Plumb:
Mech:
r'
f�✓ny MJF Sewer Conn xtion (SWUSA) av ?�v
Sewer Inspection (SWINSP) 3
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF" (TIF-R)
Mass Transit TIF (TIF-MT)
Commerci,il 'f If (TIF-C) _
Industrial 'i if (TIF-') _
Institutional TI r (T iF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: 3 qf ,
5 "3or �d
r:I 1 Y OF Y 1 C3ARD — REC,+-A P I OF PAYMi N I Rl'..t;F,I I NIL a X14-- 7c
I:;NF;I:K !'tM(.11 INT' a till.
AMf: a JAY MILLER NL.DR C*,AS•i NMI.LIN1 a 0. W�
L DRI S"It t PNYME-N f' DWI:` d 01
RUB DIVfSiLUNI s
OF PAYMEN 1" AMOUNT PA I V) PURPOSE UF NHYMFrN'T NMOUN 1 Mill)
FE 1-.-'SR ;'SV1. �1tr1
1`
TF
k
M eR UW ROUNEF F, LOT P40
F•- IS6LfF: OF Ms,r9?I--9610
OTM. MOUNT PAID QI0
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