9558 SW JUBILEE COURT �4i.i..� 1,_. - ......»,� ,�A,.rxri�'Akv�hH!•.su,". . �hk+,witilMKdl7VyE�Wbhli+.+M.WrroYb.•:, n.e .,... .. ;.',
1
ADDRESS:
, i
y
�w
j
is\records\microfIm\t argets\buiIding.d,
y.i
1 _
b
�- C.I1Y OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW 4all Blvd,Tigard,Oregon 97223*8199 (503)639.4171
C-E-'RTIr1CATE OF
IIIA":
T
SW JUIDILEL G
SUBD I k,I S I ON. . . . . 11311ILT-L Pf ACT- ON 1 NO
SLUU,. . . . . . . . . . . . . . . . . .
...........
CLAS3 OF WORK. ;NEW
TYPE" (J' USI*... . . c GF
(JCC-'UV-"('A1J1'.;y orm. 4 KS
OCCUPANCY
r UN IN r Nilft'.
PATH I
JMV M LLE-M
TIOARD Oil 91281
JOY MILLEN
PO BOX 23,`91
TIGMIT) tip 97i2si
Phom, 4F C184-75.43
0(--Cupianry c tete a'Ahwve j)1'1j 1CjjTjf1 't t; hereby gi ism, And cart i fJ #r-;
the c^ompltaire with tho Of 131--eklon C'Udei fot- th.' !JI-oup,
of.."c u PlAncy, Alld IA!iV 1.1Ild0l' 1^!h ,.Ch I h C, V^f'0'reflued PP r,.hl i t: was i F,a U f(j
I NO 1.4 V I t, 1011.
INSPECTION NOTICE /^y[ +,
City of Tigard Building Department (C�..///w,—_'-'_
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Liu- (Rec-O-Phone): 639-4175 nurinea� Phone: 639-4171 " d
Inspection:-- �_— ------- it
Footing Plbg. Usderelab Mech. Rougi. to Appr/Sdwlk
Plbg. To Out Gas Line
Found. g• P
Post/Beam Struct. San. Sewer Framing Eldg•
Poet/Heam Mech. Rain DLaln Insulation -Plumh. wi
Plbg. Underfloor Natter Lina Gyp. Bd. -Koch. S
yDate Requested: Time: 1M _ PM '
AddrosesOi�-�'�(.�L-Xa tt,.. _ Permit V
Builder:_ �� : 44-1
i
THE FOLLOWING CORPSCTIONS ARE REQUIRED:
Date:
APPROVED DISAPPROVED APPROVES SUBJECT TO ABOVE'_'•`
Call For Reinsp.
i
EW
INSPECTION NOTICE
City of Tigard Builuing Department
13125 SA dn71 -
vd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ph ); 639,-4175 Business] Phone: 639-4171
Inapections
Footing Plbg.// derslao Mach. Rough-in Appr/Sdwlk.
Found. Plbg. Top Out Gas Line FINALS
tPost/Ream struct. San. Sewer Framing -Bldg.
i d
Poet/Beam Mach. Rain Drain Insuiation -Plumb.
fi
Plhg. Uurlsmri'lrxnr Watar i.lnn Gyr. Rd.
Date Reques..ed: 1 Times _(/_^/_AN _ PK �
Address& Permit is=
Builder:
THE FOLLOWING CORRECTIONS ARI REQUIRED
S h
x:11 Y ,'•P
r
i� i kr
---- -.--.__ C j{j{
Inspector:_ (-.� ��f-� 1 ly�'/{�rJi__ Dates 7 J? t !
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
ai r�'ti
Call For. Reinsp.
{{NpMY..:.i..Ok�N31+H9H'fWAM1iiIWbSrhiAi:LV.':fYrIAD'GiANi J:i....':n. ... '
I
INSPECTION NOTICE
City of Tigard Buil4!tn9Department
13125 SW Ball Blvd. Tigard, Oregon 97223
yInspection Line (pec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections ----' ;
Rough- in Appr/Sdwlk
Footing P'bg. Underelab Mech.
Found. Plbg. Top Out Gas Line FINAL:
r -
.i
t Poet./Berm Struct. San. Sewer Framing tplBldg.
Poet/Seem Mech. Rain Drain Insulation �
Plbq. tnde•.floor Watsr Lino Gyp- Bd. -Mech. �
Dake Requested sTime: AM —PM
Address: /�[��; /`�L-_ Permit 1:
Builder: • �` 4
THE FOLLOWING CUxutF.CTIONS ARF. REQUIRED:
°
J• � ` 1k
j
Inspector:_
-� APPROVED DISAPPRO D hPPRO1M.D SUBJECT TO ABOVE
i
Call For Reinsp.
i
6 h,
4
r
1 .. ..
1 � a
4
i
Int°
i
I
f
•fv' {J Ian, .k��.'' I ,�i:;i^� 0 .p: - � �N� "�'d ,U ;on}>ry�': �' '7Fti �ii �
� .� �} ';a:±g•,.�.,,y.y .;��� ',�';1
1 ;
INSPECTION NOTICE g4 ~��' i
City of Tigard Building Departs+e�
I `M�
13-125 SW Ball Blvd. Tigard, Grego n 9722
Ijaper_ti.on Lint (ReC-O•-Pho,ra): 639-4175 Bueinesa Phones 639-4171
�1
Inepecl
Footing Plbg. Underelab Mech. Rou g h-in )+ppr/Sdwlk d
g•�;
Found, Plbg, Top Out �ae Llne FINALS
Poet/Ba _Bldg.
am Struck. San. Sewer Framing
'' ..r/RRARI Msarh
R.h-r I)rA i n `netslat).4r —Pl.umb• in,
-Hoch. 'YNR
Plbq. Underflcu - Hater Line Gyp. Bd. u�
PK
Date Requoete ::._ �: �--� —Times — AH -- o
Permlt
w
Builder.'-_ ,^`/ f _ —
�1
Tl1X FOLLOWING CORRECTIONS ARE REQUIRED: �
f.
".,i�,a
Ine ctor:
_APPROVED DISAPPROVED MOVEU SUBJECT Td ABOVE
Call Foi Reinep.
INSPECTION NOTICE
_
City of Tigard Building 7epartaoenf. U. Y
33125 SSI Fall Blvd. Tigard, Oregon 97223 i
.inspection Lina. (Rec-O-Phone)s 639-4175 Business Phone: 639-417
1 iai�ll
Inspection: _ — _ _
Footing Plbg. Underslab Mech. Rough-in �Appr/Sdwlk FIRM �
Found. Plbg. Top Out Gas Line FINAL%
Poet/Beam Strict. San. Seger Framing •Bldg. 4
r
Poet/Ream Hoch. Rain Drain Insulation -Plumb.
i
r
Plbq. Underfloor Water Line Gyp. Bd. -Meeh. �M
Date Requested-= Tom: --
P Address: �J � � t - Peemit
Builder.:
.:....:
THE FOLLOWING CORRECTIONS ARE RRQUIRED:
r
i
S
Inspector: 7 rl�.� /rk �,[� Date:
u,
w APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinap. �)
c
;.
�
i
ore
INSPECTION_NOTICE
d City of Tigard Building Depaz;--ent
13125 SW Ball Blvd_ Tigard, Oregon 97223
.� Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_— ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk a!
Found. Plbg, Top Out Gag Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. j -Meth.
Date Requested: Time: AH P14
Address: >
Addreae: Permit #s�CJ��L ; ,
Builder:_—
THE FOLLOW.,iG CORRECTIONS ARE REQUIRED:
- -- —_
3
Inepectar: ---------__ �---- Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinnp.
Tt
`ryx
i
INSPECTION- NOTICE
city of Tigard Building Department /
L4125 Sw Ball Blvd. Tigard, Oregon 972 23/
Inspection Line (Rec-O-Phone) . 639-4175 Businr,ns Ph '�I171
Inspection:__
p Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk J'
G Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mevh. Rain Drain (--insulation -Plumb.
ll I
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_. TVi fes:- `_9—AM PM a
Address: J Permit t:
�y
y ■
THE FOLLOWING CORAEI7,IONS ARE RL+'QUIRED: i
•
lry
i�
l
- - y -_-
1 �
Inspector: Date;
APP-1-1 -- DISAPPROVED APPROVED SUBJMCT TO ABOVE
I Call For Reinsp.
AL
30 Rej
... ..... .........
T ,
1
Y •IY
�� <r
INSPECTION NOTICE $
City of Tigard Building nepart-ment. � .
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 65:sineaB Phone: 639-4171
1
Inspection: vi ----•- Y
Footing Plbg. underslab /Piech."Rough-in) Appt/sdwlk
Fou,.d. Plbg. To Out Gas Line�- FINAL:
9 P
Post/Beam Struct. San. Sewer Framing�� -Bidg•
Poet/Ream Mech. Rain Drain Insulation -Plumb. ,
Plbg. Underfloor Water Line Gyp. Bd. -Much.
_ 7
Date Requested:—. � 1_� Timers AflM
G /fL�"" ■
Addreeet_ ��� t '____ Permit is I..�
Builder:
THE FOLLOWING CORRECTIONS ARE REQtI_kED: •
I,
�I
r
4
+gyp 1 Sb yfl
F
t
Y
fIR i
[[T U
Inspector: - - Date:
( 9hi
APPROVED VISAPPROVED APPROVED SUBJECT 110 ABOVE h wtl '�<i Y`jt •
�a
Call For Rei.nap.
5ai,f�a v
,
�s +t
y�fe�.rr
,i
ri
�I
t4, v. K
,R
F ARr'
INSPECTION NOTICE
City of Tigard Building Depr.rt-ent
13125 SW Hall Blvd.. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Busineas Phone: 539-4171
Inspvet ions__ — --.
Footing Plbg. Uuderslab Mec:.. Rough-in Appr/Sdwlk '
Found. Ibq. Top out Cara FINAL: I
Post/Beam Struct. San. Sewer Framing -Bldg.
o'
Poet/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_,,;,)- v,... .5 Time: ____-AM�"- - ` PM
rddressx
Formic
1: �
Builder: tC1
THE FOLLOWING CORRECTIONS ARE REQUIPED:
1
In:,sectors _�__ --- Date: _ �1
APPROVED DISAPPROVED _T APP-OVED SUBJECT TO ABOVE k
_Call For Reinep. ('
S �
,s
1
aCE
INSPi.CTION NOTI
city of Tigard Building Department
13125 SM Ball, Bl.vtl. Tigard, ora:gon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buminess Phone: 639-4171
Insp ction:---
Footing Plbg. Under. lab �Mech. Rough-in.; Appr/Sdwlk
9
Found. Plbg. Top G t _Gas Lis,16��� FINALS
Pont/Bean Struct. San. Sewer Framing -Bldg.
Poet/B9 m Mech. n*tn Drain Insulation -Plumb.
P:bg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: I Y' Times _ AM - -PM
Addrosa:-Z�r i� y��A�g�a� Permit #:__:_.S
�—
Builder:
TWA FOLLOWIIiG CORRECTIONS ARE REQUIRED, N
x -
Inspector:._ —_ Dates-L.-
- APPRO%TM DISAPPROVED _ APPROVED SUBJECT TO ADOVE
t.
-_Call For Reinap.
e,.
1
i
r
_J
}NSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9722.
Inspection Line j ey-0-Phone): 639-4175 Business Phone: 639-4171
Inspections --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. '.Pop Out Gas Line FINAL: '
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Pnam Mech. Rain Drai:; Insulation -Plsa h.
Plbg. Underflo•ir Water Line Gyp. Bd. -Mech.
Date Requested:_ 7 Timet AM PM
Address:_� Permit it13 4a i
Builders
THE FOLLOWING OnRRECTIals ARE REQUIRED:
t D
yy3
IL
l
7
4
S
^
1
inapector i ___ — Date:
APPROVED DISAPPROVED APPROVED SU93ECT TO ABOVE
Call For Reinsp.
t.,
Y� � � MML
INSPECTION NOTICE
�� f) �City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223 A
inspection Line (Rec-O-Phone): 639-4175 Businesb Phone: 639-4171
r
I
Inspection•
Footing Plbg. U:dervlab Mech. Rough-in Appr/Sdwlk
r �
Found. Plbg. Tot. Out Gas Li:., FINAL:
_ r
� •. r a
�-�'
Poet/Beam Struct, ia'6 n. sewer> Framing -Bldg.
Poet/Beam Mech. / inRaInsulation -Plumb.
�.. Drain Insulation
Plbg. Underfloo Water Line Gyp. ed. -Hoch. } '' t h'rtl5rf I ri
t•a aA�
Date Req:,+etect:—_ _..�AN [lC'vS4�PM .
Add:saer &� tY�z#al
Permit
1 p ^1y � Ir is
Builder:
� q1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r.Y
I
1
i
C'
"ter_ Inspector:I' _ ---- - Date-
APPROVED __ pI;APPROVED APPROVED SUBJECT TO ABOVE
i
Call Far Reinsp.
tl`
rrrr ,>rI t
n I„
I
.. I
' INSPECTION NOTICE �
City of Tigard Building Departmea
13125 BW Hall Blvd. Tigard, 22
Inspection Line (Rec-O-Phone): 639-4175 Bus n P 6171
Inspection:_ _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAT.:
oat/Beam StrutSan. Sewer Framing -Bldg.
P Beam Hoch. Rain Drain insulation -plumb.
Underfloor I Water Lino Gyp. Bd. -Hoch.
Date Requested: � / Timet __AM —PN
Addrese: k hermit #t03-7A44L ■
Builder: 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
----
Inspector: Date:
APPROVED -— DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
l a...
i
i
Y
u
C17YOFTIGARD :LUMBING PERMIT
I COMMUNITY DEVELOPMENT DEPARTMENT «ioo �
PERMIT #. . . . . . . : MST93-0039
1 13126 SW Hrl BMd. P.O.Banc 2339r,',Tipwd,Grpon 97223(603)639.4176
- �_ ;
SITE ADDRESS. . . . 09558 SW JUBILEE Cl* PARCEL. 2S 1 1 l BES -JP'V1Q") ■
5,.IBU 1 V 19 I ON. . . . : JUB 1 LEE PLACE ZONING.
LOT•.
FLOCK. . . . . . . . . . . . . . . . . . . . . . . :9
CLASS OF WORK. . :NEW GARBAGE D 1 SPOSAL S. . 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW P'REVIJTRS. . .0
OCCUPANCY GRP'. . : R:3 F=LOOR DRAINS. . . . . . . :V1 T RAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . :0
FIXTURES ---_ _.________, LnUNDRY 'TRAYS. . . . . . .. 1 SF RAIN DRAIN'cl. ., . . . : 1 f ■
SINKS. . . . . . . : 1 GREASE TRAP'S. . . . . . . :0 I
LAVATORIES. OTHER FIXIURE_S. . . . . .0 �
TUB/SHOWERS. . . . : SEWER !._INE.. (ft ) . . . . :0
■
WATER CLOSE=TS. . :3 WATER LINE ( ft ) . . . . : 100
DISHWASHE:RS. . . . : 1 RAIN DRAIN (ft ) . . . . .O
Remarks : PIATH I
i
OWNER: _._____..____._._..___.____ _________.._.____ ___.__..___-.__.______._F:EES--_--_-_-•--_.-_-__ l
JAS( MILLER TIF i 1460. 00 JH 01/25/93 -
F'0 BO., 23291 PF'RT $ 409. 00 JH 01/25/93 -
BPLC '4 40. 00 J11 O l/x=5/9,3 -
'TIGARD OR 9781 B5F'C $ 20. 45 JFT 01/2:5/93 -
Phone #: 684-754.3 SSDC $ 280. 00 JH 01/5/93 -
P'ARK $ 500. 00 JH 01/25/93 -
P11.1mbiny Contractor :_...._______..._....__.._........__..._._ MP'RT $ 39. CLIO JF1 0 1/2 5/9:3 -
'
MV-,LC $ 9. 75 JH 01/25/93 -
_Name :. ��_J� .__ 115F'C $ 1. 95 JFI 01/25/93 -
Address : _ P'P'RT $ 155. 00 JH 01/5/93
City :_ State :_ P'5P'C $ 7. 75 JH 01/x`:,/9:_, -
Zip:_._ F1hoil e#
Reg
REUUIRFD INSPECTIONS
This permit is issued subject to the reg--
Lklations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Deam Struct Water Line Insp
other applicable laws. All work will be done host/Beam lylechan Appr/Sdw1k lnsp
in ar..c_ordance with approved plans. This P'lm/undslab Insp Mec.11anical Final
permit will expire if work is not started P'Llh/UnderfIaor F'lUmb Fina 1.
within 180 days of is!-,uance, or if work is I'lechanical Insp Building Final
Suspended for more than 180 rjays. P'lUmb Top Out E=rosion Control
Framing Insp Crawl Drain
Fireplace Insp
j Gas Line Insp _.
.� InSUlatinn Insp
byp BoArd Insp _- ---- --
horized Mum ingContrar_tor Sig11at'..Ire
Lail for inspection 639-4175
Contractor Notes :
s.9 CITYOFTIGAnW ` ..
COMMUNITY DEVELOPMENT DEPAFn MENT so m) MASTER PERMIT r
13125 BW Hdl Blvd. P.O.Box 2X W,T%PM,Onpon 97273(603)639-4116 1-'F Fi lYl I'F #. . . . . IYI i T 5.3-00 3'3
1 —
639-41%1 DATE ISSUED: 01/25/93
a
SITE ADDRESS. . . : 09558 SW JUB I LE:L CT PARCEL: 2S 1 1 1 PA--JP009
SUBDIVISION. . . . : JUBILEE PLACE ZONING:
I
r
BLOCK. . . . . . . . . . . LO(.. . . . . . . . . . . . . :9
BUILDING
RE I SSUE:MST92-0107 DWELLING UNITS: 1 BASEME<NT. . . . . . . . .0 s f
+
CLASS OF= WORK. :NLW BEDRMS:3 BATH!-).3 GARAGE:. . . . . . . . . . :418 s f
TYPE OF USE:. . . :SF FLOUR AREAS-- - __---- REQUIRED
T 1•PE OF CONST. :5N FIRST . . . . .970 s f LEFT. . : 12 t t RIGHT. :5 ft �
OCCUPANCY GRP. :R3 SECOND. . . :864 sf FRONT. :20 f t REAR. . :33 ft '
STORIES. . . . . . . :2 T'H I RD. . . . :0 s f REQUIRED
HEIGHT. . . . . . . . .22 f t TOTAL-•-- _ - : 16,",4 s f SMOKE. DETECTORS. :Y
FLUOR LOAD. . . . :40 psfVALUE. . . . . : 1)1888 PARKING SPACES. . : 1 ! �
Remarks: PATH I +
____.__.___.___.___ __.__.__.___._.__---.•-___-_ PL JIYIB I NG
KS. . . . . . . . . . . I F=LOOR DRAINS. . . . :0 BACKFLOW PRE"Vhl'TR5. . :0
LAVAL-ORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0 �
TUB/SHOWERS. . . . .3 LAUNDRY TRAYS. . . : 1 CATCH 13AG I NS. . . . . . . :11.1 r
WATER i::LOSETS. . :3 SEWER LINE_ (ft ) . :Q1 GREASE TRAPS. . . . . . . :0
! DISHWASHERS. . . . : 1 WATER LINE" (ft ) . - 100 OTHER FIXTURES. . . . . :LA !.
GARBAGE DISF'. . . : 1 RAIN DRAIN (ft ) . :0
WASH I NG MACH. , , : 1 SF PAIN DRAINS. . : 1
MECHANICAL ------.___......____._.__________.__--__-_-- FEES
FUEL_ TYPES•---------_._..___._.___._ (.)MIT HTRS. . :0 type amo+_mt by date recpt ti
{ /GASi / / VENTS . . . . . .0 `fIF $ 1460. 00 J 01/25/93 -
MAX INPUT':111 BTU VENT FANS. . :+ BPRT $ 409. 01 JH 01/25/93
FURIA ( 100K . . : I HOODS. . . . . . : 1 BPLC $ 4-0. 00 JH 01/25/93 -
FURN ) =1.00K . . .0 WOODSTOVE.S. :11, RSPC $ L:0. 45 TH 01/25/9:3 -
FLOOR FURN. . . . :0 CI-O DRYERS. : .L SSDC $ 280. 0, JH 01/25/93 -
BOIL/ChIP ( :?HP:O OTHER UNITS:0 PARK $ 500. 00 JH 211/25/9,3 -
GAS OUT LETS: I MF'RT $ ,:39. 00 Jli Oi/25/93
Owner-: 9. 75 Y-i 0) /2.5/133 -
4
JAY MILLER M5FC $ 1. 95 JlA 1711/25/93 - )
PO BOX 23291 PPRT $ 155. 00 JH 01/25/133 -
P5PC $ 7. 75 JH 01/25/93
TIGARD OR 97281.
Phone #: 684-754:3
JAY MILLER
PO BOX 23291
i
7IGARD OR 97`:81
Phone #: 684-7543 t
Req #. . : ?,0109
$ 2922. 90 TOTAL_
This pereit is issued subject to the regulations contained in the ---- -- REQUIRED INSF'ECTIONE -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fotmd Insp Fireplar_e Insp
applicable laws. All work Hill be done in accordarce with approved Post/Beam Strr_rCt Gas Line Insp
plans. This pereit will expire if work is not started within 180 Post/Beam Mectian InsLrlation Insp
days of issuance, or if work is suspended for more than 180 days. Pim/+.Indslab Insp Gyp Board Insp
L_mIUnrler 1 Oa�rr dt ain lns
er Fr
fIvI m i 1,tee iignat+_Ire : lan tCa Ior,nsp a er lLine ns�
111 +.r1nb T'op O+..It Appr /Sdwl1< Insp
Iss+.red lay : ft-ami.ny Insp Mecf+anic.al Fina1
t Call for- insper.tiorr 639-4175
k�
Wei..
i
4 ',tit
piql
-_.k n'.Ye.�t�irt.YNM1
CITYOFTIGARD �ILSEWER CONNECTION
Gi�TMMND
PERMIT
CIDMMUNITY DEVELOPMENT DEPARTMENT PERMIT it. . " . . " . : SWR93-•0037 i
13126 8W FWI BMd P.O.Box 23347,Torrid,Cftgon o7?23(603)6304175
P
i
639-4171 Dl Il E: ISSUED: 0i/c5/93
SITE ADDRESS. . . : 09558 SW JULA I LLE. (_,T PARCEL: ?S 1 1 1 BA-JP009
SUpuIVISION. . . . : JUBILEE PLACE_' ZONING:
BLOCK. . . . . . . . . . : LO"f. . . . . . . . . . . . ;9 f
..............__...._................._.__.__..__.__._.___......_________._..__._
TENONT NAME. . . . .
USA NO. . . . . . . > . . . FIXTURE UIV7:"fS. . . .
CLASS OF' WORE. -NEW I:iWELL_.I'NG UN ITS. . : 1
TYPE OF USE. . . . . :bF NO. OF BUILDINGS: 1 !
INSTALL- TYPE. . . . :BUGWR I MPERV SURFACE. . : f
Remarks: : PATH I
k •
JWncr. ____________.._.____.___________.____.______________._.______-- FE=ES
JAY MILL.C.R Lvpe amal_rnt by date r�ecpt
PO BOX 23291 PRMT s 2:100. 00 JH 01/25/93 -
INS�' $ ,�:7. SIN .'H 01 /`5!9.� '
TIGAF2D OR 9"7281
Phone #: 684-7543
Cantr-actor :
CON'TRACT'OR NOT ON FILE
$ 1::5. 00 'TOTAL
Reg #. .
------- REQUIRED I NSf-'ECT I ONS
Sewer
This Applicant agrees to corply with all the rules and regulations Inspection
«,
of the Unified Sewage Agency. The permit expires 188 daps from
the date issued. The total amount paid will be forfeited if the --
I permit expiis. The Agency does not guarantee the accuracy of the
side sewer lateral!;. If the sewer is not located at the measurement
given, the install-r shall prospect 3 feet in all directions fromthe distan^a given. If not so located, the installer shall purchase
a "Tap and Side Sewer" P,!rwil and the Agency will install a lateral.
F'er m i I-,tee .;>i gnat l_r r e ;
Issi_red By:
,
Call for inspection - 63,9 4175
I
I
i
H
�ifii'J'. �d +dt ''•' vt., _ .j ,,. . iJ ,� ,4; i ,q',.7t., _
RECT #
PLNCK
OF
j(� A �� 13125 SW Hall Lilvd. /CITY TIGAR PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tigard Oregon 97273
(503)639-4171
DATE ISSUED .
JOB ADDRESS: _9155 E :5p-) ) &-j 00 Cc...)
TAX MAP/LOT .2 S 5#1 "J
• C�. -) LOT: LAND USE: —.
SUB. fUb!�.2�. CL -- -
VALUATION: `I �Y
OWNER SPECIAL NOTES ■
NAME: REISSUE OF:
�C� ,Z 3 "L� l LAST REISSUE. '
ADDRESS: —
■
FLOOD PLAIN/
PHONE: C4� - 76 V J _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: -�aA. l»�l �''-� _ PLANNING: _
ADDRESS: ENGINEERING: _
FIRE DEPT:
PHONE: OTHER: _—
CONTR. BOARD #: EXP Gi,YE
/ ITEMS REQUIRED
SUBCONTRACTORSW_: PLUMB: /� n a--h s LIST/SULICONfRACTORS: _ —
MECH: _ > /I BUS TAX: .
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: ��E'(l� _L� ��� 4/D -7
COMMENTS:
APPLICANT SIGNATURE
Received By: by _ _ Date Received: --
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
IrAIL"I. 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 Oi, Mechanical Permit Fees
■
10-230 01 State Building 'iax (5%)
Building
Plumbing 7. 7
Mechanical /19)
■
10-433 00 Plans Check Fee �y' 7 1�' L.L
Building 'f' O
Plumbing _
Mechanical 107)"-1
10-230 06 Fire —/
*RU-003? 30-202 00 Sewer Connection v� 1 0
30-444 00 Sewer inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Foes
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees ASO
25-448-05 Mass Transit TIF Fees /10_-
52-449 00 Parks System D,.v Charge (PDC) S Od �� �• _
31-450 00 Storm Drainage Syf�t Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in lieu of)
TOTAL soJ ► SG I " el
nm/3587P.WPF
z
, I
r
I
I
s,
+ 1
I
t1
CITY OF l l bAkp kEC'L I PT OF PAYMFNT QLC L I PT NCI. :143-L,595')
l HECM AMDUN'T 5017. 90
NAME NEWt~N: 1'L.E IiUME S CA'3H AMUUN r s �r"'r. 00
rlE�lal2E>!�i PAYi4U0 DATE, 5,'�a::.
SUBIM I'S J UN a +1
PURP08F OF PAYMFN I' AMOUNT PAID PURPOIS',E OF PilYMENT AMI U,1NT PAID � t
_ I
!?�l.J I LU I NG F'f C2M 409. 00 1:11_UM13I NU� PERM
If 1'1E:C HANI CAL PU. 39. 00 I-T. BUILL PIED.:I�( N�E `Qr. 15
PU4N CNCI `' F
�!. 7 kiJF:n WAtoo. OA44
SNEF'E'C:'1' ;:;`�. ON !-'r;rRE',E� £iiaC:
501A. 00
TCIftM DRAIN ;3E"�r' C-180. 00 RESIDIENTIAL. 'TRAFFIC: F'I=r*S 1330. 00
114ISS 7RANcsIT TIF FF.E:.S 140. 00
1. 0T g ,JUSIL_rEE PLACE
TOTAL AMOUN t' PAID 9
r,
+
I
1.,
1