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INSPECTION NOTICE
�� C'ty Of Tigard Building Department
P O. Box 23397
�
Tigard, Oregon 97223 Phone: 639-4175
Type of I spection
Date Requested Time _.._ A.M., P.M.
Address /✓. _ �'�t—tC1c/
- --- ---.—_-- Permit
Owner
r- --------- --- .------- Lot #
Builder � �_ � —Th,- fnllowing ildi _ CodP deficiencies are requireo to be corrected:
Presented to Approved
Inspector
C� Disapproved
Date _.._ •- _ __
CALL FOR .REINSPECTION
177 YES O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23357
Tigard, Oregon 57223
Phone 635-4175
Type of Inspection -- --- -
Date Requested Time__✓_._ A.M.--.P.M.
Address i ...� /�-�. ''-�.—_-- ---., Permit
Owner.._� Lot #
/4-4—:�_Builderr-
The following Building Code deficiencies are required to be corrected:
A
Presented to Approved
Inspector - _ I_kpisapptoved
Date •-.
CALL FOR REINSPECTION
DYES ONO
W
IN;,PECTION NOTICE
City of Tigard Building Departnibnt
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -—yc .y�• i�_ ._,
Date Requested lime__ A.M.
Address 1'.S�'%{ /3n�'�'v�, permit #t`
Owner __._ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to /Disapproved pproved
Inspector — - _
Date �r-� -
CALL F .r REINSPECT ION
YES Cl NO
estr +t � � ss7r +esa w e• � ass
INSPECTION NOVICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6.3399-4175 f
V' � `� �Lf G_21t--G_' i
Type of Inspection _—.—
Date Requested . _LL�Z_ - Time . A.M.--P.M.
Address -`� �� �- Per
Owner— /- �� -- -- – _ _� Lot #-------------------
Builder _ _VE:� --------------____ _
The following Building Code deficiencies a-e iequired to be corrected:
Prest nted to /Approved
Inspector pe � �_� Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
C11YOFTIGARD BUILDING PERMIT
� �# PERMITr�10HU8+2033
C47YOF TtGARD
COMMUNITY DEVELOPMENT DEPARTMENTOOf ON C
� TE IS.'UED: 10/ 6i89
13125-,.W Nall Blvd,P O.Box 23397,Tigard,Oregon 97223.(503)839 4175 _--` P I M.PMT.N0. 892033
JOE; ADDRESS: 15121 SW KENTON DR
TAX MAP/LOT 2S1 12 SUB: ASHFORD OAKS LT:92 BK:
LAND USE: R7PD
LOT SIZE: VALUATION: $ 86,496 SETBACKS
FRONT: 20 REAR: 8
WORK CLASS: NEW DWELI_.UNITS: 1. LEFT: 5 RIGHT. i8
USE TYPE: S114GLE FAMILY NO.BEDROOPIS: 3 EXT.WALL CONST:
CONST.TYPE: VN NO.PATHS: 3 N: S: E: W.
OCCUP.GRP. : R3 PROI.OPLNINGS:
OCCUP.LOAD N� S: E: W:
TOTAL r',REA: 1939
NO.STORIES: 2 19T: 101.4 ROOF CONST: C FIRE RET'?
HEIUHT: 20 2ND: 916 AREA SEPAR? RATED:
BASEMENT? eRD: OCCUP.f1EPAR.) RATED:
MEZZANINE') BASEM'T
FLOOR LOAD: 40 GARAGE: 473 FIRE SPRKLR? ALARM?
FLOW(GPM) DETL'CT? YES
HEAT TYPPEL GAS �.�,itCE .ACI:.ESa3 __ _�.----SDR$?
PLAN CHECK. BY: rlt
REMARKS:
reSSUe of 891901 REISSUE OF NO. 881172
LAST REISSUE 891901 — --1
FEES:
W
w MILLER JAY PERMIT $394.00
N p.o. DOX 23291 PLAN REVIEW $40.00
E
TIG,ARD OR FIRE DEPT
STATE TAX $19.70
-- --- — —._ --. OTHER
DEVELOPMENT CHARGES:
N P11LA-FR JAY SDC(STORM) $P' 0.00
T JAY MILLER BUILDER SDC(STREF-, ) $600.00
A p.o. BOX 23291 � PDC(N2 � $250.00
A
C TIGARD OR 9722223 PREPAID l $40.90)
T
PHONE (503) 684 7543
p REGISTRATION NO. :30109 TOTAL: $1,513.70
This permit Is issued subject to the regulations contained inTitle14 —_RECEIPT—NO- /vJ-- nq,
of the TMC. Slate of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby REOUIRED INSPECTIONS
agreea that the work will be done in accordance with the plans and FOOT I NP SEWER
specifications and In compliance with all applicable codes and FOUNDATION WALL. RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST R BEAM WAFER I.INF
covenants Contractor and subcontractors shall have current city POST &DERSLAH CITY A1.1NE /SW
businoss tax permits This permit will expire and become null and
void if work is not started within 180 days.or it work is suspended or SLAB F I NAL.
Abandoned for a period of 180 days any time after work has PLP. TOPOUT
con-meoced It shall he the responsibility of the permittee to assure FRAMING
all requir3d inspections are requested and approved. FIREPLACE
GAS LINE
INSUL ATTOw
---- C � { GYP. BOARD
Perrnittee Signs u a
Issued By ___ .___ �f';f L.t- FOR INSHECTTQH 639-417") �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
_ V
CITY OF T167A
SEWER PERMIT'
RD ��_� PERMIT NO. : SE89296(
C11YOF TI6ARD
COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 16/ 6/89
13125 S.W.Hall Blvd.P.O.Box 23391,Tigard,Oregon 97223,(503),139-4175 N I M.PMT.N0. 892033
JOB ADDRESS: 151.2:' SW KENTON DR USA NUMBER: 39079
TAX MAP/LOT 2Si 12 SUB: tSHI-ORJ) 01KS t_T:92 BY.:
LAND USE: R7ND
LOT SIZE:
SECTION: 12 TWP: 2s Rwr: lw
WORK CLASS: NEW
USE "YPE: SINGLE FAMILY
Ttie applicant agrees to comply with all rules and requlatiOils of the Unified
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency dyes not quar-
antee the accuracy of the location of the .iide sewer laterals. If the sewer is
not located at the meASAtremient given, the installer shall prospect 3 feet in
all directions front the distance given. If not so located, the installer shall
purchase a "Tap and Side Hewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPEPVTOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLIt;3 UNITS: 1
NO. OF BLDGS. •. 1
FEES:
W h TLLE.R JAY PERMIT $35.00
N p.o. BC, 23291 CONNECTION CHARGE 1,a50.H0
H TIGARD tip LINE TAP INSTALL.
OTHER
C
O MILLER JAY
N JAY MILLER BUILDER
A p.o. BOX 23291
G TIGARD OR 97223
T PHONE (503) 684-7543
q REGISTRATION NO. 30109 TOTAL: $1,265.84
---- --- RFCE:PT NO.
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations REPUIRED INSPECTIONS
and ail other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and ROUGH--IN
specifications and in compliance with all applicable codes and
ordinances The, issuence of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null slid
void if work is not started within 180 days,or it work Is suspended at
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
permittee Signature l \
Issued By � L1ILL- F(lR--INSPELTU1N-133-41-717..._
l�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w w w w
MECHANICAL PERMIT
CITY OF TIGrA
RDFERMIT NO. : ME892065
c11v oc r1c.>!an
MOON
COMMUNITY DEVELOPMENT DEPARTMENT D E ISSUED: 10/ h/89
15125 SJV Hell Filvd..P.Q.Floc 23:147.ligard.Oregon97223.(503)639-4175 � IM.PMT.NO. 892033
JOB ADDRESS: 1512.1 SW KENTON DR
TAX MAP/LOT 2S1 12 SUB: ASHFORD OAKS ':92 BK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE <100K 1 AIR HANDLR <10
USE TYPE:: SINGLE FAMILY FURNACE 1@0K+ AIR HANDLR I@K
CONST. TYPE: VN FLOOR FURNACE: EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
BLR/COMP <3HP MOOD 1
NO.STORIES: 2 BLR/COMP 3-15HP INCIHERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15•-30HP INCINERAiUR(CCM
FUEL TYPE GAS BLR/COMP 30--50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 2
FIRE DMPRS'' GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS'--- - - – -- --- --- — —�
kEMARI<S:
reSSUe oY 891901
FEES:
O MILLER JAY PERMIT $10.00
N p.o. BOX 23291 FLAN REVIEW $10.13
t TIGARD OR FIXTURES $30.50
R
STATE TAX $2.03
01HER
C
O
N
T BELL HEATING INC.
H 15550SE PIAllA AVE
� CL.ACKAMAS OR 97015
T PHONE (503) 243-1184
a REGISTRATION NO. 447 TUTALn 652.66
----- ---- -
RECEIFt N0. /D 5e-'o
This permit is issued subject to the regulations containA in Title 14 ____...__-____-,__--l__-
of the TMC. State of Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIO'1S
and all other applicable codes and ordinances. and it is hereby
agreed that the work will be done in accordance with the plansand GAS LI�o'
specifications and in compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive ROIIGH-IN
covenants Contractor and subcontractors shah have current city FINAL
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after vrork has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
......-._ ajv__�� —(;6(- -
...-..
Permittee Signature
Issued By: .. -_ _ �bISAiECI�L1M--f►39=41 5 — —
I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w s
CITYOFT167ARD
% PLl.J19llihl(.i P11-89 T
K1� PERMIT W0., : P11-890064
CITra TWARD
COMMUNITY DEVELOPMENT DEPARTMENT "Wr°°"
E ISSUED: 10/ ',/89
13125 S.W.Hall Blvd.,P.O.Box 2339'',Tigard.Oregon 97223.i503f 6394175 P I M.PMT.NO. 69203:i
JOB ADDRESS: 15121 SW KENTON DR
TAX M4P/LOT 2S1 12 SUP: ASHFORD OAKS LT:92 BK:
LAND USE: R7PD
LOT SIZES
ITEM: NO: NO:
JORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL PKFLOW i'RVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP DRIMER
OCCUP.GRP. : R3 TUB SHOWER 2 GREASE' TRAM'S
DISHWASHER
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE I
DWELL.UNITS: 1 LAUNDRY TRAY 1 BLDb.DRAIN (DIA
FLOOR DRAIN
SINK ]. SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
rescue Of 891901
FEES:
O
W MILLER JAY PERMIT $147.50
N p.o. BIX 23291
E
TIGARD OR FIXTURES
STATE TAX $7.38
OTHER
C
O WATTS KEN
T KEN WATTS PLUMBING
R po BOX 2?0925
C tiqard nr 97223
T PHONE ('503) 684-66ct-:
R REGISTRATION NO. 50878 TOTAL: $154.88
RECEIPT NO.
This permit is issued subject to the•egulahons contained in Title 14 ___________.,_____ __
of the TMC. State of Oregon Specialty Codes,toning regulations REOUIRED INSPECTIONS
anal all other applicable codes and ordinances. and it Ir hereby
agreed that the work will be done in accordance with the plans and PLR.UNDERSLAB
specifications and in compliance with all applicable codes and POST A BEAM
ordinances. The Issuance of this permit does not waive restri;rivre WATER LINE
covenants Contractor and subcontractors shall have current ^ity PLB.TOPOUT
business tax permits This permit will expire and become null and RAIN DRAINS
void it work Is not started within 180 days or If work 19 suspended or
abandoned for a period of 180 days any time after work has r1.MAL
r.ommencad It shall he the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signaturr.
Issued By FOR INSPECT111N-b394175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
t.
CITYOFTIGARD- PLAN CHECK APPLICATION
IeLAl1 CHECK. N
C1YOF TIMI 0 PE RMI 7 N
COMMUNRY DEVELOPMENT DEPARTMEW DATE ISSUED
atisawHdnod P.O.@"2=W,TM40,Vq o 9vaas t�)a>NnAS
3138 ADDRESS: S I� II S 1 K h ��•, ��r TAX MAP/LOT61.18: -___�1 h �Y cJ o 1` 1 LOT: 4 _ LAND USE:
VALUATIM:
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE
FLOOD PLAIN/
SFNSITXVE LAND:
PHONE:
OONTRh�CTOR APPROVALS REQUIRED
MANNING: _
NAME: JAY MILLER BUILDER, INC. E1IGINEER14C: e -
AODRES5: _ PO BOX 23291 _ FIRE DEPT
tiGARD, CR 97223 OTHER:
PHONE: _ 684-7543 _ ITEMS kEIRED
LIS'1/SUBCONTRACTORS:
ARCH 3 � NUS TAX: _
NAME::ENGINEER CALCULATIONS: w
ADDRESS: - TRVSS DETAILS:
PARKING PLAN:
PHONE: LANDSCAPE PLAN:
-- _
OTHER:
COMMENTS:
I? PERMIT N ACCT N DESCRIPTION AMOUNT AMOUN" PD. DAL. DUE
10-432 00 Building Permit Fees --�,L--
10-431 00 Plumbing Permit Fats /y
p J 10-431 01 Mechanical Permit FQas
10-230 01 State Building Tax (5X)
Building _ /q''':T—
elumbing _ -7 3y
Aech
10-433 00 Plans Check Fee 03 "Sc 13
Building /
Plumbing
Moch
34-443 00 Sewer Connection (2(X) /�2 S-?)
G' r 30-202 00 Sewer Connection (90%) -'—�
30-444 00 Sewer Inspaction S
51-448 00 Street System Dew Charge (SDG) - V
52-449 01 Parks I System now Charge (PDC)
S2-449 02 Parks II System Dev Charge (PDC) -S U
31-450 00 Storm Drainage Syst now Chrg (SSDr.)
10-230 09 11Fn (95X)
10-435 00 TRFD (5X) -
10-230 06 Wshington County Fire N1 (9E,%)
10-435 00 Ycshingt m County Fire M1 (5'1)
10-220 00 rt/Wedgewood
TOTAL
REC 0
APPLIC"T
ParaiumA aw• _