14867 SW KENTON DRIVE M.,+»+wwww.w...wwrwuwrw�A+.W w+�.<�-..w,.wwr.ww.... ,.. s»++w a4wYawM�ilYiW W �M►+Wr,�,++1atW6tik�<++1w4 :�HR�1.�'�FAdk�N ..:., " ,.
I
1
i
i
t
I�
f
t
4
i .
14867 5W Kri"TX)tl DRIVE _
C17YOF TIIFAPD Wy RD na
COMMUNITY DEVELOPMENT DEPAFrMENT T00w CERTIFICATE C,F
040 "
1312,-BW HWI Blvd. P.O.Banc 23307,TOW,L*sW 97M(143)W94176 ry 0C CUPANCY
— I— - .
E, .41'71
DATE ISSUED: 05/18/92
SITE A')DPFqS. . . : 1.4867 1z,'W KENTnN DP PARCELa
SU,*tAD I V I S 1 ON. . . . : AI:Hi-uRo OAKS 3 7ONlNG: R7
BLf,CK. . . . . . . . . . t _0T. . . . . . . . . . . . . s 175 1
CLASS OF WORK. sNEW
TYPE OFUSE. . . x SF'
OCCUPANCY GRP. i R3
OC'CUP'ANCY LOAD- 11,.-
TE INIAN I' NAME.,
e mm t-14.
JAY MILLER
P10 LAOX 23291
TIGARD OR W281
Phono *z 684-7543
JAY MT1_LFR
Pu BOX r23291
TIGAW-P OR 97i?el
Phone #% 684-7543
Reg *. . 1 30109
Occupancy of thG abt.vc.., building i% her-eby given, and cpv-tifie=
the compliance with t1--e State Of Oregon Specialty Cod-!,.k for-, the gv,oup,
otx,mparvy, and usf, (inder which the permit was i r,s u ed.
r1RE DEPAP,rwwr
DOILP N4INSVIi. inp
BUILDING "F I C I A
POST IN CONISPIGUOUS PLAr-E'
IN tON_�d�-ICE t �.�J
City of Tige Lldin9 �''
Yigerd, Ocegon 97223 8171
gall.Rlvd' 4]7� Bu Ines" Phone ti3y-
].31T.5 SN ne)t 63y_
In
Line (Rec-O-e
�_-
inspections - h-in
Mach. Roug Appr/Sdwlk
�.�--- --
pl , UndetelaU �
FootingP 9• To, Out FINALS
One Line i
Found.
Framing -Bldg.
Poet/Seem
Strut San. Sower -plumb.
Ineu lat l.on
Rain Drain _Hoch. �
Poet/Beam Meth- GYp, gd.
hater Line YpM
nlbg. Underflocs- � '
Date Requan ed _ permit
J
Addreae s _"_�_----
Builders
c..T IONS 'RC _,_-----"—_---._
T'HR FOLLOWING CORRE.• --- ---- —
--
I )/ 7
Date:
Inspectors APPROVED SUWZCT TO ASOVE
{ pPROVED DI SAi'PRO M C
call Fur Reinep•
INeR=C7'ION NCYfICt
City ct Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97273
Inspection Li.:' (Rec-O-Phone)s 639-4175 Suaineas Phone: 639-4171
Inspection:— _�--- �— — -- ------
Footing Plbq. Under lab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam .^.tract. San. Sower Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation Plurssb��
Plbg. Underfloor water Line Gyp. Bd. 1\-M�l
to RequestedsC _Times AM PM
.ddresss / / � sJPermit f: 9.2_ce)o
THE FOLLOWING CORRELTIONS ARE REQUIRED:
r
Inspectors Date-
APPROVED pISAPPROVED �- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPLCfI_. pp��
City of Tig,u d Building DePa.�teant
13125 SW Ball Blvd. rigarc:,
Wn
Inapecti n Line (Rec-O-Phone): 639-41.75 Busine a7 Phone: 6J9-4171
4171
ec
Footing
Plbg• Underalab Mech. Rough-in A
-ppr/Sdalk
Found. Plb To `-
g' p out Gas Lino
FINAL:
Post/Beam Struct.
San' 9ewPr Framing
-Bldg.
Poet/Beam Mech. Rai,7 Drain
Insulation -Plumb.
Plbg• Underfloor Water Line
�7-7 GYP. Bd. -Mech.
Date Requested: - G C_�Z-
1 q� T1me: _ PH
Address: -7 Ka v ��y,_ _
-7 ���(((JJJ 11►"'��� `Cx Permit i s n.
Builder:
TBE FOLLOWING CORRECTIONS ARF. REQUIRED: ----__
Inspectort
rte_
ROVED DISAP
APPROVED SUB.TECT TO ABOVE
Call For Reinap.
INSP=ION NOTICE
City of Tigard Building Department
13125 811 Bali. Blvd. Tigard, Oregon 97223
Inspection Line (Rbc-O-Phone)s 639-4175 Business Phones 639-4171
Inspections_ —_ -
Footing Plbg. Underelab Mach. Rough-in AiVr/Sdwlx
Found. Plbg. Top Out Gas Line FINALS
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plund).
Plbg. Underfloor Water Line Gyp. Bd.�' -Hoch.
Date Requested:_,_ �! �G- __Times AM _PM
i
Address: LL Lt-C ' 1^� [�-Er Permit
Builders tA �><1✓Y __
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspect
s — -- — Date:_��
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
INS�'ECTION k-OTI,�.'�
City of Tigard Buildiuq 90PI nt
97223
1.3125 SW Ball Blvd. Tigard,
oreMon Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Jnspection:
_ —. ----
Underslab Mech. Rough-in Appr/Sdwlk
Footing Plbq. --•--.
`51--b-. Top Out Gas Lina
FINALS
Pound.
:)
post/Beam Struct. San. Ser
F.ranoi.ng -Bldg.
ew
Poet/Beam Meich• Rain Drain
Ineu_atlon -Plumb.
plhg. Under.f.uor Water. Line/ L2, GYP. Dd.
.-Mach.
—e0l, 1TimetPM
Date
permit r��
Addras s:_�/
Bulldet:_ -pd,fy��
c'
THE FOLLOWING VRRECTIONS ARE REQUIRED:
�j�
Date,
^-
I nspect Dr s__�__N�--_ --- -- —
PPROVED
DISAPPROVED APPROVED SUEJF.C'r TO ABOVE
� -----
Call For Reinsp.
INSt'ECTION NOTICE
City o`: Tigard Biulldl.n'_4 Department./✓/1�
13125 i,n .ball Blvd. TlgasdOregon regon 972
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection s
Footing Plbg. Underslab Hoch. Rough-in A
Apr/Sdwlk
Pound.
Plbg. Top out Gan Line
PINALs
Post/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mach. Rain Drain
Ineulatlon -plumb.
Plbg. Underfloorhater Line OYp• Bd.
P.B(I. —
�. -Hach.
Date Requested,
._.__Time: -AM __PM
Address: )
Builder:
Permit. fir; __I J
THE FALLOWING CORRECTIONS ARS REQUIRED, r
Inspectar, --- — —� __••,r_--
__ Date:
APPROVND DISAPPROVED
AhhROVED SUBJECT T AROVE
C811 For Reinnp.
INSPECTION_NOTLCE
Clty of TiSard Building Depart-arxtt 4
13121.5 SM Sall Blvd. Tigard, Oregon 972.23
Inspection Line (Rec--O-Phone): 639-4175 Buninoss Phone: 639-4171
Inspect ton,-_
Footing Plby. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out s Lin y/� FINAL-
Post/Beam Strutt. inn. Sewer. �-psaming -Bldg.
Post/Rear'-) Hoch. Rain Draln insulation -Plumb.
PL.by. Underfloor Water Line Gyp. Bd. -Hoch.
Date Re.Iuested: � Timet / AH &"21 PH
Addrann: L ire V ermit f/ L���
Builder:
C
THE FOLLOWING CORRECTIONS ARE REQUI
tiri vLt
, X24
l�
Inspeotort Datet�
APPROVED _ DI'3APPR rED APPROVED SUnJECT TO ABOVE
Call For Reinsp.
�NSP1d�lON____NOTICa _ '-�
Citlr Of Tigard Building DeDarr nt
13125 BW gall Bl TM
inspection �. Tigaid, �
Line (Rec-(>_Phone): 639-4175 Orman 97223
Business Phone: 639_4171.
Inspection:
Footing
Plbg. Underslab h. Rou h-in
Found. Appr/Sdwlk
Plbg. Top out Oas Lino
Poet/Beam
S t ru is t. FINAL;
`�
San. SAwer Framing
Poet/Beam Mech. -Bldg,
Rain Dain
Ineuletlon
Plbq. Underfloor -Plumb.
Water Lino GYP. Bd
Date .
Requested: -Nech.
Address: L Times AH
Builder:
Permit I
TNF FOLLOWING CpRPiaCTIONS ARE REQUIRED,
r
--_.-- --
Tnarrct:ori -- _
__APPROVED
DISAPPROVED
AYT+ROVED SUBJECT '!Y) ABOVE
Ca11 For Re(nsp.
INSPECTION NOTICE_
City of Tigard Building Depart—t
13125 RM Ball nlvd. Tigard, Oregon 97223 (
Inspection Line (Rec-O-P ne): 639-4175 Bussineas Phone: 639-4171
1
Inepertion:„__ - -
PL Underslab Herh. Appr/Sdwl.k
Fo•.nd.
1N bg. Top Out Gas Lire FINAL:
mi,�
Poet/Ream Struct. Sap. Sewer Prag -Ridg.
Post/neem Hech, Rain Drain
In%uIation Plumb.
Pl.bg. Underfloor Water Line Gyp. Bd.
-Rech.
Time:
� PH
Date Requested: --��_, —/--J'— /�—
,L Permit #a'r (1
Address:
Builder: ` Y
TNM FOLLOWING CORRECTIONS ARE REQfvIRED: —_
Inspector: Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION N 'T!� �j
City of Tigard Mild Departaent
13125 UK Ball Blvd. Ti. 1. Oregon 97223
Inspection Line (Rec-Oi-Phone)f 639-4175 Business Phone: 639-4171
Inspection:----.
Footing Plbg. Underelab Mach. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALr
;�wt/;S�tlMwh.
San. Sower Framing -Bldg.
Rain Drain Insulation -Plumb.
Pltg. Underfloor Water Line Gyp. Bd. -Meth.
Date Requested:_
Addrenn: i Z� Permit #:.,q ^C-)00�
B.ilder:__�j�_
TBE FOLLOWING CORRECTIONS ARE REQUIREDi
tnepectorr ��—' -� __— Dates___,___
L
A➢PROVED _ DISAPPROVED _— APPROVED SUBJECT TO ABOVE.
Call For. Reindp.
INSPZCZion NOTICE
City of Tigard Building Department
13125 RW Ball Blvd. Tigard, Oregon 97223 �r
InePection Line (Rac--O-phone): 639-4175 Business Phone: 639-4171
Inspect Loi t s
ting Plbg. t:nderslab !tech. Rough-in Appr/sdwlk
n4• P1 . Out
b9 !Top Gan Lina 7Ipu,=
Post/Ream struct. sari. sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina
Gyp. Bd. -Mach.
Date
Date Requested: '� L� l `
_T1ab 11M PN
Address: Plrmlt
1:1i2 /TLS
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: V _ _ Dates
PROVRD DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
CITY OF TIGA RD WD MASTER PERMTT
COMMUNITY DEVELOPMENT DEPARTMENT ~Ai'E #. . . . . . . :
13126 SW HWI Blvd. P.O.Box 23397,TlgeM,Oregon 97 (S93)m39.4176 C
A:�Rq--ALI 71 r.1 IQTV T r,�I P 1) ih i=CA19r:
ADDRESS. i/0567 SW KENTON DR PARCEL. 25112CB-n015, J.
SUBDIVISION. . . . : ASHFORD OAKS 3 70NING: R-7
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . 151
BUILDING
REISSUE. DWELLING LIN ITS: 1 BASEMENT. . . . . . . . :11 s
CLASS OF WORK. :NEW BFr)RMS:3 BATH9:2 GARAGE. . . . . . . . . . .40LA sf
TYPE OF USE. . . - SF FLOOR AREAS REDUIRED
lYwi-i OF' CONST. :5N FIRST. . . . .- 1586 s I-EFT. . :40 ft RIGHT. -5 ft
OCCUPANCY GRP., :R3 SECOND. . . :12) s f F'P 0 N I . -'2'4 Ft REAR. . -. 15 ff
STORIES. . . . . . . : 1 THIRD. . . . :0 S f REQU I RED----
HEIGHT. . . . . .. . . : 16 ft TOTAL-: 1,3)86 S f F;MOI-/,E DETECTORS. :Y
FLOOR LOAD. . . . :4Q. pt--f VALUE. . . . . $ : 80156 PARKING SPACES. . :Q'
Remar-ks :
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :Q, BACKFLOW P,REVNTRS. 0
LAVATORIES. . . . . :3 WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . .0
TUB/SHOWPERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BnGiNis. . . . . . . :o
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE;' TRAPS. . . . . . . :0
DT'3HWASHEPS). . . . : 1 WATER L. I14E (ft ) . : 100 OTHER FIXTURES. . . . . .0
GAR9AGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1. SF RAIN DRAINS. . I
MECHANICAL FEES
FUEL TYP'ES------------ UNIT HTRS. . :0 type amol-int by date V,er:ot
/GAS/ VENTS . . . . . :0 TIF $ 1360. 00 JLH OL1201%i:
MAX INPUT :0 BTU VENT FANS. . :3 RPRT $ 7,76. 010 JLH
FURN ( 100K . . : I HOODS. . . . . . : 1 BPLC $ 2`44. 40 JLH 02/11/92
TURN ) =IWOK . . .0 WOODSTOVES. :0 B5PC $ 18. 80 JLH 02/20/92
FLOOR FURN. . . . :0 CLO DRYERS. : I GSDC $ 280. 00 JLH 02/20/9E
nOIL/CMP ( 3HP:LA OTHER UNITS:Q1• PARK $ :-;0'11. 0171 J!..H 01/20/1)21
GAS OUTLETS: ; MPRT $ 36. 00 JLH 02/20/92
1 . 00 JL. 0/92
014ner-: l%1PLC $ C-.1 H 01
JAY MILLER M5PC t 1. 80 JLH 02/20/92
6'10 BOX 2_131'=191 PPIR r f 125. 00 JL.H 0il`/20/92
PISPC � 6. Z`5 JLH 02120192
TI(BARD OR 97223
Phone #. 684-7543
Contractor,:
JAY MILLFR
PO BOX 23291
TIC ARD OR 972123
P'110ne #: 684-7543
Reg #. . : 30109
$ 2'.)77. 2'95 T 0 T A L
This permit is issued subJect to the regulations contained in the ------- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Dre. Specialty Codes and all other Foot/fol_tnd Insp Fireplace Insp
applicable laws. All work will be done ii accordance with approved Post/Seam Stv-ktct Gas Line Insp
pians, This permit will expire if work n not started within IN Post/Ream Mecrian Insulation Insp
day- of issuance, or if work is suspe.ided "or more than 180 days. Plm/Ltndslab Insp Gyp Hoard Insp
PLM/Under,flooi- Rain drain Insp
Me0iariical 111-�p Watel- Lille Insp
Plt.tmb Top 01-it Appt,/GdW1k Insp
j i.t ex d S y - Ft-aming Insp Mechaiiic-,al Filial
Call for, irispertio,i (,39-4179
CITYOFTIFARD
SEWER CONNECTION
F'f;RMIT
COMMUNITY DEVELOPMENT DEPARTMENT 41ft'on r r.:RIAI r #. . . . . . . : SWR9 _0mh7
13125 BW MM Blvd P.O.Bam 23W,ttpnd,Oregon Of (SM)S3064175
:-:ITL ADGnEf3S. . . : 14867 SW KENTON DR PARCEL: 2S112CB-AO1
51
SUBDIVISION. . . . : ASHFORD OAKS 3 :ZONING: R_.7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 151
------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UN I T5. . .
CLASS OF WORK. . . :NEW DWELL I.NC UN I TS. . : :1
-1 YPE OF USE. . . . . :SF NO. OF BU 1 L.D I NGS: 1
INSTALL TYPE. . . :B1JGWR IMPERV SURFACE.. . : : Gf
Remar-ks :
FEES
TAY MILLER type .Amo-(nt by date r^er_-pt
;:,0 BOX 23291 PRMT $ 1900. 00 JLH 02/20/91' -
I N5P $ 35. 00 JL_H 02/2`0/92 --
IGARD OR 97r"_23
;)hone #: 684-7543
CIONTRACTOR NOT ON F-11-r--
h r r? #: E 1'3;"�T). 00 TOTAL
sell #. . :
-_.•-----.- REOUI RE:D INSPECTIONS _
'this Applicant agrees to comply with all tho rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 160 days froe
the date issued. The total amoant paid will be forfeited if the --
permit expires. The Agency does not guarantee the accuracy of the �_ �_. - - --- • —
side sewer laterals. If the sewer is not located at the measurement ----•-•_-
given, the installer snall prospect 3 feet in all directions from _ .� _ ---• - --•
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the Agency will install a lateral. -- ------- - -
P e r m i t t e p
d 19
Ca►1 I f or inspect i on - 639-4175
ITYOF T167ARD PLUMBING VIERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PFRM IT #. � �'. � . . .
13125 SW Ha p1qd p.0.80 ZW,TjWd.Oregm V= MST92--iiii/i
DATE ISSUED: 021aolc;
SITE ADDRESS. . . 1 14867 SW KENTON DR
777�w
SUBDIVISION. . . . : ASHFORD OAKS PARCEL: 2SjI2Ca_p0j7_jj
BLOCK. . . . . . . . . . .. . . . . . . . . . . LOT. . . . . ZONING: R-..'7
. . . . . . . . 15 1
CLASS Or WORK. . .'NEW
GARAAGE 'DISPOSALS, . .14
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :: 1
r.r BACKFLOW PRFVNTRS. . jo
OCCUPANCY GRP. R3 FI-OOR DRAINS, . . . . . . :o
STORIES. . . . . . . . 1 1
WATERHEATERS. . . . . . TRAPS. . . . . . . . . . . . . . .0
FIXTURES-----_.__.__.__.w_ LAUNDRY TRAYS :0 CATCH BASINS. . . . . . . :0
SINKS. . . . . . . . . .
SF RAIN ,DRAINS. . . . .
LAVATORIEF. . . . . :3GREASE TRAPS. . . . . . . jo
TUB/SHOWERS. . . . : OTHER FIx,rURE.E . . . . . .0
SEWER LINE (ft) . . . . :0
WATER CLOSETS. . t2 WATER I_INE (ft ) . . . . gIOV.1
DISHWASHERS. . . . : 1 RATN DRAIN (ft) . . . . :0
R'?m a r ks
OWNER:
-JAY MILLER
PO BOX P-3291 TIF 1380- 00 JLH 0212019p
8PRT 1 376. 00 JLH 02120192
TIGARD OR 47223 BPLc t P44. 40 JLH 0.2/11/%R
F'h►vna Mt 684-75436 B5PC $ 18- 80 JLH 02/20/92
SSDC $ '7'8 LA- 0 kA JL" 08'/20/92
Plumbinq Contractors, PARK $ 300-00 JLH 02/210/9&1
MPRT t 36, 0 0 JL.H 021201gip
Namee-- KEN WATT S MP(..c $ 9- 00 JLH 02/20/gip.
_4_
Addr e s s P-0A30X-2309'25------- M 5 V SO JLH 02/20/92
cityg TIGARD-1M,, V.7223 PPRT $
, "1 12:,. 00 JLH OiP/20/c -
Z i P I P5Pc $ JLH 02/20/9j2
#I
.,v y 3v.
Thi-A permit is i9so-led S"b RF(IUIRF.--D INSPECTIONS
contained in the Tigard m,.(nic,ip.I
I.A.ttl"'s JOC:t to the �,eg
C"PI State Of Or@- Specialty Codes and All FOOt/found Insp Rarity draij) Incri
Eater
OtFet' applicable laws. Pout/Beam r1tv"ACt ter LirL. In, ,,
- All work will be done P I
in accardan,�-e with , Ost/Bsam Mechar) APPr/Sdwlk Insp
�IF7P"Oved plans. This PIm/Ur)dslab Inst; Meclianir
""'t Will if- work it not stal. a, Fin-41
"Jithin ISO days of issIlance, 01 'ted PLM/Underf If)at.,
J. _ if wo rk is Plumb FiniAl
sUspended for more than ISO Hays. Mec-'hRrlic.-al In%p Building Final
Plkimh Top, Ocit Er•osion control
Framing Insp Crawl Drain
Insp
Gas Live Insp
Insulation Ins,,
P11--umb. ng C 1-firactor Si gnat uv"e, GYP Board Insp
t-ontrActor Notes: Call for insliection 639-.4175
II,
. f
C:I TV OF T I CA RD RE( I PT OF' F>AYMIiNT ftl=GF,I t''T NO. :92—P2,30� 1�
CHECK AMOUNT Q 146662. e,'5 �
NAME JAY M C L I.,k:tt BUILDER, INC. CASH AM01-111;7, 0. 00
i
ADUft '; n p'. 0. BOX 23291 PAYMENT DATE=: o A;p/P0/9;?
TIGARI)l OR SUBDIVISION ,
97r,LL V
I
Pl. RPUSE. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
DUJL17ItJC f~' fth1
376. OCA PlAIMBINCI MERM 125. 00
MF t'HANTGA1.. PN 36. 00 ST. BUILD PER --"6. 8''5
PLAN Aid (':HECK FE 3. 40 SEWER ORA 1900. 00
:3KWE R INSPECT :35. 00 PARKS 60Cw 500. 00
IORM DRAIN SOC 2A0. 00 RESIDE:NTIAL.. TRA F(C: F=EES 12E01. 00 �
MAW. TRANS rr 'TIF: 100. 00
�
I
OL AMOUNT PA I D 4662. 25
J� 1i
4
l
i