14887 SW KENTON DRIVE �-Mv�� .w�.�..w Mir+�+w�wwL.�wu�w Nw,. YW:w.a�.r�ra.�:v.w'YwYWiM.�WYtWIMfiWrAw Mfii4WMf1�dMM�CMM1sgy4MM�h+,w'•wif ...11(4��J4'WiJIWMYMLr'A3�':AY'1'L�II@�7YYI�IIA'i�
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14889 3W KENMI DRIVE
--- CERT i"-ILPTE OF
CITYOFTIFARD CfTYOFTMRD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT
06ltODN 1-("•i,MIT
19125 SW Wall BNd. P.A,B0x 23397.T1PW'd. +n 4 ��i 76 — '�
4�ialR(";EI._o ��ii 1$��8•-A01`.5��'
.>ITE. ADDRESS, . . s 1�rFSi3'r 5W !'EN"fOiV GF? ONINGs r--7
SUBI:)i k;151 ON. . . . r ASHF'MD OAKS 3
BLOCK., ¢ LOT. . . . . • , z 1� __ __...._.
Ci-ASS 0;- WORK. :NEW
TYPE OF USE. . . n 4F
OCCUPANCY GRP- 1113
OCCUPANCY LOAD n 222 '*
TENANT NAME. . . a
PMmrk$ a PATH 1
.JAY MILLER
vn vAox 2,3291
1-I(:N" PT) OR 972'81
pt►une Ms (%6.4-•754:
Cantr act ar•; ._.-.__.__..__...______..._._.__.._.�.w_.____.__..
Jqy MILLE=R
1*1f l 00y. a 329 1
T IGARD OR 9 281
nht�n� 41n 684-75-1'3
Reg 11. . s 2i'6117j9
t7rc~,.rpanr..y of thc• a+t►uve ,�t�fQr-pnc:eti buil�iir►g in hr��r^eby given, and c�er•tifir�s
the compliance with_�ut��r ofr. h.ic�h the ryre~eferenvedgon aPermitlty dw�►a��issued. �ra,Ap,
crr.•c_upancy, end
f'
F Y Pt" I)EPARrRlE~N r'
BUILDING (IF'F/�CIAL_
POST IN CONSPILJOUS PLACE. �
I
INSPECTION NOTICE
i
J1�'+ C4tq of Tigard Bul.ldinq DeP--t—t --
1i 3L3",S g11 Ball Blvd. Tigard. Oreyon 97223
Inspection Line (RW-_G-Phones 639-4175 Business Phrnes 639-4171
A r/Sdw_k
Tcwting Plbg undernlay Mach. Rough-in PP
Gas Line rte~ +
Pound.
?ibg. Top Out
Framing -BI-4q. i
Poet./germ ,t.ruct. San. Sewe1. Qy_�.,r<�
Insulation � Plumb
Poet/beam Mech. Rain Drain
PIbq. underfloor Nater Line OYP. Bd. ��
Times AM �,--PM
Date Requestedt -� /
Permit f= r _G —
Addresst
e. ---
Bu41der t
THE FOI.LOWINO er.ARECTIONS API RZQUIREDt
��--- -
-----------
Dater_
Inspectors --
APPROVED DISAPPROVIt) APPROVED SUBJECT TO ABOVI.
Call For Reinep.
I SECTIO"PTTCE �.•-.
City of Tigard Building Departaent
13126 B11 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rr o-Phone): 639-4175 Business Phone: 639-4171
Inspection:-----_--- _----_—�._�_---- —
Footing Plbg. Underalab Mech. Rough-in Appp--r'�/Sdw1k
Found. Plbg. Top Out Gas Line 11NALt�
Poet/Beam Struct. San. Sewer Framing - dg.
Post/Beam Meeh. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. �Mech. i
Date Requested: 'c� Tom!
Address r f .. Permit 9 s
Ruildee• e
Tqz FOLLOWING CORRECTIOtiS ARE RBQUIREDs P �i
y/7/cam rI/UC'-'
7
Inspectors `---
Data:
APPROVED DISAPPR D APPROVED SUBJECT TO ARM
,-/Call For Reinep.
�NSpgCTInN HOTII`R �
City of Tigard Building Department
13125 99 Hall Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Ins?ectiontl�— _— — --
Tooting Plbg. Underslab Hoch. Rough--in l -Appr/Sdwlk )
Found. rlbg. Top Out Gas Line F� FIHAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -t'lumb.
Plbq. Underfloor Water. Line Gyp. Bd. -Hwch.
Date Requested: ���i-' Timns _.2—<- AM _ PH
w _
Address: ?t �L�,J _ Permi.t #s�— ee ,
THE FOIAAYA1140 CORRECTIONS ARE REQUIREUs
i
l 41
Le, a -- �
�. __i w E -- _ Z�r11 lL tL L i —
lnspectort i/ L 2 �.v Date
__APPROVED _ DISAP 4PROVED SUBJECT TO ABOVE
Call for fteiaap.
INSPRCTIOMA }
City of Tigard Building Departs..nt ft-�`�
13125 BW Ball Blvd. Tigard, Oregon 97223 fi/:
Inspection Line (Rec-O-Phones 639-4175 Business Phone:( 9-417]
Inspection:__—!A
Footing Plbg. Underelab Aech. Rough-in Appr/Sdwl)t
wound. Plbg. Top out Cas Linc FINALt
!'oat/Deam Struct. San. Sewer Framing -Bldg.
Post/Seam Mach. Rein Drain Insulation -Plumb.
1
Plhq- Underfloor Nater Line yp, gd, `1 _Koch.
Date Ra:
qu.sta,i: Timst .�1►N PM
Address: LrrL Permit
Builder:
TBE FOLLOWING COEiRECTIONS ARE RRQUIREDt
2VA Lee, A14
Inspector.`_
___APPROVFD _-- DISAPPROVED AFPROVF,D SUBJECT TO ABOVE
_--Call For R.insp.
INSPECTION NOTICE
City of Tigard Building Depertmert 11
'Y
13125 SW Bali Blvd. Tigard, ix-agon 97213 �
Inspection Line (Rec-O-Phone): 639-4175 Buaineee Pho 171
Inspection:_-_--
Footing Plbg. Underslab Mech. Rough.-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Strucc. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain - Baulation --Plumb.
Plbg. Underfloor Nater Lies Cyp. ad. -Hach.
Date Reouestedt %L VM
-- :
Addrasntis. ��.� --7 / Pailnit ft
Builder:_-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
litr-jijAPPR09VLF-D----DTS—APP—ROV—ED--------APP—Ro-vr.n
Dates SUBJECT-��� TO ABOVE
Call For Reinap.
I�NSPECTIO_"P ics
City of Tigard Building Department
13125 BW W.11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-r ^.wne): 539-4175 Business Phone: 1 39'417 `_/
Inspection: --
Footing Plbg. UBderolab Mech. Rough-in Appr/Sdwlk
Found. Plbg, Top Out Gas Line FINAL:
Poet/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested,- �`/ -/�� Times _---AM -2�-PN
G
Address:- ��. -ZFz
3 t� �� fL"��-�� Permit is L,( ���
BnlIder:--- � -_�THE FOLikVING CORRECTIONS ARE REQUIRED.
I
I
I
Inspectors -____---_.-_---- Dates_
PPROVED DISAPPROVED APPROVED -,UHJVCr TO ABOVE
Call For Reinsp.
INSPECTIor NOTICi ti
City of Tigard Nuilding Department
13125 SW Hall Blvd. Tigard, Oreq.3n
97223 u l
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ __ I v
Footing Plbg. Undoralab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL'
Poet/Beam Struct. Sen. Sewer Llpram "
-Bldg. �
Poat/Beam Mech. Rai., Diain insulation ^Plumb.
Plbg. Underfloor Nates Lina Gyp. Ed. -Koch.
3 Z -Times + PK
Date Requested%/x1�}/�f ,,T^
Address: 1 o +' - 1 V "" • - -- Permit 1
q 7
Builder.-- I `
THE FOLLOWING CORRECTION3 ARS R.EQUIREDs
i
Inspectors
APPROM __ DIFAPPROVRD APPROVED SUBJECT TO ADM
Call For Reinsp.
11
Ifispr:TION NOTICs
City of Tigard Building Depart>aent
13124 BW Hall Blvd. Tigard, Oregon 97223
Insp..tion Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab ,k!ech. nwq int Appr/Sdwlk
c
Found. Plbg. Top Out Oam Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beat: Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestods �'� - t�/—G1 T Timet q AM PH
Addresm: (� U�� �`-0.4,J rt•^, � �_ Permit �s ( Z- COO 7
Builder: (156• tA t1f — —_
TM MLIAgINa COPRECTIONS ARE REQUIRED:
Inspectortj ____^_, Date:_
.v7 L
APDISAPPROVRD APPROVED SUBJECT TO ABOVE
-- Call For Reinsp.
I-���4�'1ON NOTICE
City of Tigard Building Dep,-,.t.. nt
13125 am gall Blvd. Tl
Inspection Line (Ree-o_phone 9�, 0,:090? 97x23
): 539-4175 B:Bineas Phones63 -4777
Inspections
Footing � ---'--------
Plbg. Underslab Mech. Rough-in
Appr/Sdwl.k
Found.
Plbq- Top out Cas Line
_ PINAL;
Post/Beam Struct.
Sewer Framing
-Bldg.
Poet/Beam Me-6.
,CLMn Drain
UL on Insuletl
-Plumb.
Plbg• Underfloor ater Line C
GYP. Bd. -Meeh.
Date Requested: �' �/
Address:
/ -=J Times AM C3�) PM
—L L
Permit fit,/tom?
Builder:_
THE FOLLOWING (MRRECTIONS ARE REQUIRED:
------------
Inspector: -
- Dates_
L
---.APP oVED DISAPPROVED --
APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
INBPECfION lIOTICZ, ' J J�
City of Tigard Buildi-ng [>apartment
13125 SH Ball Bird. gard, Oregon 97223
Inspection Line (Rsc-)-Phone): -4175 Business Phone: 639-4171
Inspection:._____
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg, Top Out Gas Line FINALS
Poet/Beam Strur-t. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
P.i�. Underfloor Water Line Gyp. Md. -Meeh.
Date Requeetod: — cT��- Time: AN /y PM
Addreess1-�� � �;Z^w��_/' Permit 1 _(CJ111�
Builder.•
THE FOLLOWING CORRECTIONS AIDS REQUIRED:
Inspector: _ — Date:
2LAPPROV8D DISAPPROVED -- - APPROVED SUBJECT TO ABOVE
-Call For Relnsp.
INSPECTION NOTICE /
City of Tigard Building Department ( /
13125 SR Ball Blvd. Tigard, Oregon 972
Inspe:tion Line (Rec-o-Phone): 639-4175 Busyness Phone: 636-4171
Inspectloa: _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
F3und. Top Out Gas t:ne FINAL#
/
Post/Bk.am St ct San. Sewer Framing -Bldg.
'Po.t/B.a. Hells. ' Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:—__ j1 __., Times AM __ `PM
Address: Perm l.t #
Builder: ' —�� __�_� `��✓
t
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i
r,
Inspecto - _-_—_—_ Dates_ J
_,APPROVED DISAPPROVED APPROVED SVBnCT TO ABOVE
Call !or Reieep.
i
INSPECTIOTI NOTICE
City of Tigard Building Departsent
131125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc---O-Phone)s 639-4175 Businecq Phone: 635--4171
Ina:>ect lo:.:__ —— ---- --- --- .�-
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. 8eaeFraming -Bldg.
Post/Ream Mach. Rain sin \ Insulation --Plumb.
Plbg. Underfloor Water Line i Gyp. Bd. -Hoch. �r
Date Regueeted:--._-_:_� ! Time! AM
Addreee:_ / �JPermit #!2—
Builder: _. �O�-/-S-to 3 �
THE FOLLOWING CORRECTIONS ARE RRQUIRED:
i
F
-— -- --
r
tnepe�t Dater' ? G
APPROVED DIBl1PPlIDViD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
rss6PiCI'IOII IN��:s ILL-_City of Tigard BuilAing97223
13125 SM Hall Blvd. riW 1, own
Inspection Gine (Reo-O-Phone= 639-4175 Business Phones 639-4171
i
I nsvogt ion:
Tooting Plbg. Underslab Nech. Rough-in Appr/Sdwlk
'Found. Plbg.
Top Out Gas Line FINAL$
Framing -Bid g
Poot/Beam Struct. San. sewer
Post/Beam Nech. Rein Drain
insulation -plumb'
Plbq. Underfloor Water Line
Gyp. Bd. II --I-Z" -mech.
C `Ti I "=AM Ph
Date Requested$
Address: permit
o7 --
Builder: / % r
TM YOLLOWING CORRECTIONS ARE REQUIRED$
---------------
----------------
I i n e pacto r:� ---------
DISAPPROVED APPROVED SUBJECT 7O ABOVtS
_ �},PPAOVED ---
Call For Roinsp.
C17YOFTIFARD ® MASTER PERMIT ---�"
;7-
1M91RD L.I::.I?Ml1 #. . . . . . . : M519c-iZ14Z11D7
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW HYI Blvd. P.O.Bac 23M,TOW,Or*W 07223(609)OP"176
- f 1 /1 DATES ISSUE=D: OE/LO/9,-.
'ITTE ADDRESS. . . ! 14889 aW KEN'TON DR PARCEL: 2S 1 12CB-A0152
,081)1 V I S I ON. . . . : ASHFORD OAKS 3 70N I NG: R-7
LNLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 152
_____________-.---.-_---------__ BUIL_DING ----_-------------.__..-__-____-___._____--.
RC I SSUE: DWELLING UNITS- 1 BASEMENT. . . . . . . . :0 S f
Ct ASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . „ . :410 S f
i "'E OF UfSE. . . :SF FLOOR AREAS ----- RFO,.(.J I RF D -
1 �4-'i- OF CONST. :5N FIRST. . . . :H94 s f LEFT. . :5 tt F?I GHT. :5 ft
OC,C(JPAN(.-.Y ()RP. :R3 SF_.COND. .. . :796 sf r--PONT. :20 ft REAR. . :27 ft
STORIES. . . . . . . ..2 THIRD. . . . :0 sf REQUIRED----_.---_-----_---_--
H,'IGHT. . . . . . . . ..2a ft TOTAL-----------: 1690 sf SMOKE=. DETECTORS. :Y
F'LOOR E-DAD. . . . :40 F s f VALUE. . . . . $ : 85120 PARK I NG SP'AC'E=S. . :0
Remarks : IDATH 1
FLUME I N[7
51NKS. . . . . . . . . . .. l FLOOR DRAINS. . . . :it) HACKFLOW PRE:VNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAVIS. . . . . . . . . . . . . . .0
TUB/SHOWERS. . . . l_ AUNDRY TRAYS. . . r0 CAT'rl-i BASINS. . . . . . . :2)
WATER CLOSETS. . -.3 SEWER LINE= (ft ) . :0 GREASE TRAVIS. . . . . . . ..0
DISHWAS14E:RS. . . . : l WATER LINE (ft ) . 2100 OTHER FIXTURES. . . . . :0
GARBAC;i-- DISP. . . : 1 RAIN DRAIN (ft) . :Q+
WASHING MACH. . . : 1 5F PAIN DRAING. . : 1
MECHANICAL ._ ._ _..__.___.__.__. _-_ -..____ ______._ FEES
FUEL TYP'F5_._._._____._.-.-.. UNIT IATRS. . .0 type amol_rnt by date rec of
/GAS/ / / VENTS . . . . . :0 "PIF f, 1380. 00 JLH 02/:0/9" -
MAX INPUT:O PTU VENT FANS. . :4 SPRT t 391. 00 JLH 02/20/9a -
FURN ! 100K . . : 1 HOODS. . . . . . . I BPL.C' q 254. 15 ,JLH 0,=.'/07/92 c' :,71;TVo
FURN ) =100K - -0 WOODSTOVE9. :0 B5PC $ 19. 55 JLH 0;-.'/;='0/92, -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 02/20/92 -
SOIL/GMP ( 3HP:O OTHCR UNITS-0 PAF?K $ 7-500. 00 JLH 02/;'0/9;2 -
F;AS OUTLETS: 1 MF'RT $ 39. 00 JLH 02/20/92
Owney.: ---.__._.._-__. ____..-_-.___.-._________.___._ ___._ MPI_C $ 9. 75 JLH 02/20/9L
JAY MILLER M5P'C $ 1 . 95 JLH 02/20/92 -
Vl() BOX 23291 4-`PRI $ 140. 00 JLH 021 0/'3c
PSPC 7. 00 JLH 0;C�/K2.0l92 -
T I GARD OR 97 3
Phone #. 684-7543
Contractor: - --- ___._.__..._.___._---_-_-_____--
JAY MILLER
i='O BOX 23291
I1GARD OR 97223
1-11-ione 684-7343
Req_ #. . 30109
$ 3022. 40 T01 AL
This oereit is issued sub ect to the regulations contained in the - -- - - REUUIRED INSPECTIONS
Tigard Municipal Code, St A@ of Ore, Specialty Codes and all other Foot/focind Insp Fireplace Insp
applicable laws. All Noik will be done in accordance with approved Past/Seam Strutt Gas Line lnsp
plans. This permit will expire if work is not started within 189 Post/Bear, Meehan Ifr,:.;lation Insp
days of issuance, or if work is suspended for more than 160 days, Plm/klndslab Insp Gyp Board Insp
P(.M/Underf1oor Rain drain Ir.sp
("ermittee Si _,lnatt_ire : _ „r _ Mpchanic:al Insp Water L_irre Inso
P'l(_rmb Tap Olat Appr/adwlk Insp
.!Pd Dy .__._ _- ..-_._._.__.... -_--.-- Framing to p Mer.hanicaI I Ins
l Call for inspection - 639--4175
COMMISSIONS!
SEWER CONNECTION
CITYOF YIFARD OF RD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT one" PERM1T #. . . . . . . : SWR92-OL7159
131253W HBO Did p.o.em 233g7.TOM,Oregon 97 (5W)630 4175 %3 c:
—
T mfft 1� —
ip,'
91TE ADDRESS. . . : 1488DR ZONING:SW KENTON DPARCEL. 2S112CB--AOi5E
ASHFORD OAKS 3 ZONING: R-7
,1JBD IV IS ION. LOT. . . . . . . . . . . . . : 152
FiLOCK. . . . . . . . . . .
IENANT NAME. . . . . F I xTuRE UNIT'.. . .
USA NO. . . . . . . . . . DWELLING UNj,TS. . : i
CLASS OF WORK. NEW NO. OF' BUILDINGS- 1
TYPE OF* USE. . . . . :SF IMPERV SURFACE. -. sf
INSTALL... TYPE. . . . :BLISWR
Remi r-kst PATH I
FEES
Ownet-: ------- type amol.int by (fate t,ecpl;
.JAY MILLER PRMT 1900. 00 JLH 02/#20/92 -
po BOX 23,291 11\15P 00 JI_-H L
/20/92 -
'A;-2
TIGARD OR 97222
oialie #-. 684-7543
Cont r,Ac:t or- -------
CONTRACTOR NOT ON FILE
-~- 1935. 00 TOTAL
REQUIRED INSPECTIONS
Th;s Applicant agrees to comply with all the rules and regulations Sewer Inspectioy,
Qf ,-he Unified Sewage Agency. The permit expires 180 days from
ittle'date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
tide sewer laterals. If the sewer is not located at the measure;ant
qiven, the installer shall Drosoect 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.
r,M i t t 0 e q Ti a
i P(I B y
4 175
,All for inspprtion 639
.yrw-.rw^n.w.Wtl.W.!'�1M"u.:.0.....,r..W.'+Mb.w.«.._+--......r.+,.. r... ..,....>r......._,. ..y.+..-.n.-....n....n.w+n..•�w�..._-.r_-..-......._....w..-+.ry.+.».w•.+.wv+n.r. ...+r w+r�.yn�or+.+�
OF T'FARD PERMIINC tkGf'PMTC17Y
PERM 1'T . . . , . . . . MST92-0007
COMMUNITY DEVELOPMENT DEPARTMENT uta rr IS:�u�I►: t:,',.:�T��c ;.
t 31258W Hd Blvd.P.O.Bir=97,T%Wd,orWn 07(60.1)X4176
. . . . t tr 8 v 1 1W MCI! _ r_ c . r.
SUBDt V I S I ON. . . . t ASHFORD OAKS 3 Z ON I NG s R-7
BL.00K. . . . . . . . . . i LOY. . . . . . . . . . . . . 8152
CLASS OF WORK. . :NEW 13ARBAGE DISPOSALS. , tl
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY ORP. . a R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . ;. . . . . . . . . . :0
5TORIES. . . . .7/. . e2 WATER HEATF.RE. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I X TI.IRES----+-------•—- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . e 1 GREASE 7 RAPS. . . . . .. . :0
I-AVATORTES. . . . . e4 OTHER FIXTURES. . .. . . :0
TUB/SHOWE:RS. . . . a E;FWER LINE: (ft) . . . . :0
WATER CLOSFTS. . e3 WATER LINE
DISHWASHERS. . . . t1 RAIN DRAIN (ft) . . . . ow
Ppmarks : PATH '1'
UWIgLR: - -_..w _.. .___._. _..,,..--_---____-_...__
.JAY (MILLER " t 1'IF t 1380. 00 JLH 02/20/92 -
ry sox P329,1. BPRT f 39 JLH 02/20/92
BPLC $ 254. 15 ,JI-H 02/07/')L--- 22,304"T �
'rlGARD OR 917223 B15PC f 1.9. 55 JL.H 02/20/92 -
Phone #: 664--7543 SSDC t 280. 00 JL.H 02/20/92 -
PARK f 500. 00 JLH 02/2',0/92 -
Plumbing MPPT t 39. 00 JLH 02/20/91
KEN WATT S MPLC $ 9. 75 JLH 02/20/92 -
Name': p.0: BOX 230925 MEPC t 1. 93 JLH 02/20/92 -
Address a TIGARD, OR...97223 __ __ _ ... _ ='PRT $ 140. 00 JLH 02/20/92 —
CitY . _-'S'tatet _ GRpC 4 7. 00 JLH 02'/20/92 —
Zip: __ _ _ P'hone#i_ (8.V
Reg #1--._:____��•1?�
REOU I RED INSPECTIONS
This per mit is issued subject to the reg-
ulations r_ontained in the Tigard Muttir-ipral Foot/found Insp Ra-'.n drain Insp i
Code, State of Ore. Specialty Codes ,end all most/Beam Str-.;--t Wa er, Line Insp
other applicable laws. All wor!; will be done Post/Peam Meehan Ap, ,r/Sdwlk Insp
in accordance with apprOVOd plant .. This' Plm/undsTab Insp Mechanical Fir-1
permit will expire if work ie not started PLM/Underfloor Plumb Final
within., 180 days of isso_ianr_e, or if work 16 Mechanical Insp Building Final
i_rsppnded for more th,4n 180 clary;. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Ras Line Insp
Insulation I TI s P
Gyp Board Insp
01.1 oriztrd Plumbi iq Contractor Signatit►•e
Call for inspection - 639-4175
ont,-act or Notes •_._ r.._._____r___ _...___..... . —._ _.___._ _.____ _.-,�__._r�_________._---------
XEIPT N 9 a-
CITY OF RECEIPT OF PAYMEN'T RE 0 2 ,2 39, 07
CHECK A110UN T 4 70 7. 40
NAME t JAY MILLER, BUTUDER, INC CASH AMOUNT » Vt. 00
A DO REF-11b, P. 0. SOX PAYMENT DATE 0;?/;!70/9P
I-IGARD, OR, 'E"Uso I V I f!1 ON
9 7P23---
PLIPPOSE OF PAYMUll AMOUNT PAID PURPOSE. OF PAYMENT AMOUNT PA 11)
_0 391. 00 PLAJMBING PE'PM 140. CIO
MECHANICAL PE 39.00 ST. BUTLD PER 28. 50
Pl.-nN CHECK FEE 12. 90 SEWER USA 1900. 00
St WE INSPECT 3r5. 11111) PARKS SDC 500. 00
sluipm DRAIN F111)(1 280. 00 RES'l DENT I AL TRAFFIC FEES 1280. 00
MASS TRANSIT TIF FEES 100. 00
TO PL. AMOUNT PAID 4707. 40
G ry OF TIC-41RD RECEIPT (IF PAYMENT RF.CEIPT NO- s
CHECK AMOUNT : 250. LAO
NAME a MILLER, JAY c.PSH AMUJNT « 0. 00
F)AYMENT DATE 02/07/9-�'
1.)D R F plo PDX 23291 s
sUBWYLSION
TIGARD, OR 97223-
PUfo,USE OF PAY ME-117 AMOUNT PA 11) ')URF OGF OF PAYMENT AMOUNT PO I D
PLAN CHECK FE iy50. 00
V�
PI-AN CHECK 7R
2 4F36 SW KENTON VRIVU ASHFORD OAKS III, L.()T I5, ?
TOTAL A4()t)Nl' PAID > 250. 301..