15270 SW KENTON DRIVE RUE
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15270 SW KENTON DRIVE
MR
Cl1Y®r TIFA RD
OFTM
CERTIF.TcriTE or-,
rCrrYff�A 4n�
COMMUNITY DEVELOPME14T DEPARTMENT omem OCCUFJANCY
13125 SW Hall Blvd, P.O.Sm 2M97,Tigmtd,Ongon 177223 60)&V4175 I-'rRMIT N. . . . . . . : MST91
DATE ISSUED1 06/06/91
f-31TE ADDRESS, g 15270 F"W -k"NTON DR PARCELs
'(JSD I V I S I ON. ASHFMD OAKS ZONING: R--f'
eLOCK. . . . . . . . . . a LOT. . . . . . . . . . .
CL ,.l35 OF WORK. c NEW
TYPE OF USE. . . ISF
OCCUPANCY URP. sfJ3
MUMPANCY LOAD 12e5 4
T 1-7--NAN r Nnmc
R v,Flo a r k s:
Ow"iro-1
JAY MILL-.R
PO BOX 23291
TICARD OR 97223
Phone #1 664-7543
JAY' MILLER
PO Box 23i'll
TIGARD OR 97,*123
Phone #i a,34-'%543
ReW #1. . : 30109
Of:T--U,'J1AncY of the above r9fel enc:ecl b#Ai1dinU 04 hereby given, ^nr.j Cet-tifjra,�
the complianve wi !;!, tt-e 5-)"" CJf 01"Qgun SPeciAltV Codes for the gromp,
vc!c_upancy, and use uncler which the i eferenc,ed permit was s herd.
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FIRE DEPAl-,711ENT IL...D 15N1 .1-1.1.C..T 0.R
Ea 1 Nc'. 6r
F -1AL
PM33T IN FONGP1UAJO',JG i'-ILACE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9,"223
Phona: 639-4175
Type of Inspection _.
Date Requested
� - �_ ��Time A.M. P.M.
Address �� Permit
Owner._ —_ _._ — Lot
Builder
The following Building Code deficiencies are r"U o !.e corrected:
Presented to __ — _-_pprovad
Inspector _.__��=—___ L Dlsepproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
sew ■a. �.. �. w� �. as M I Mr i ►
INSP&l.'rION NOTICE
City of Tigard Building Department
13125 BA Ball. Blvd. Tigard, Oregon 97223
Tnepecti.on Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poot/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. U loor. Nater Line Gyp. Bd. -Hoch.
i
Date Reg .eds Y � �_i � "1 Times _K__AM _PH
Addreses_ f /!J1 e`' �� Permit
Butlder:`
THE MLLOWING CORRE TIONS ARE REQUIRED:
O � �
7napectors ' / _✓ Date:_
L_APPROVED DISAPPROVED APPROVED SUR.IECT TO ABOVE
—_-Call For Reinnp.
T Na PECTIOIV'AOT
j
City of Tigard Bulldlrg Departarent
13125 M Ba.11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•Phone): 635-41.75 Business Phone: 639-4171
InspNrt l on:
,tit
g Plbg. Underalab - Mech. Rough-in> Appr./Sdwl.k
ad. Plbg. Top Out 4ias Llne PINALs
Post/Beam Struct. Sar:. Sewer Framing -Bldg.
POst/Beam Mach. Rain Drain Insulation P!umb.
Plbg. Underfloor Water Line Gyp. Bd. -Mec: .
Date Requested
=_ 7~� If __PH
/
Address:..__ /LJ 41 Permit
THE FOLLOWING ctiRRSCfIONS ARE REQUIRED:
lei
Inspectors Date:- / C
APPROVED DISAPPROVED _—.— NPPROVBI- SU"f_T TO ABOVE
---.Call Por Reinsp.
INSPBLTION NOTICE
city of Tigard Building Department r
13125 SW Nall Blvd. Tigard, Oregon 97227
Inspection Line (Rec-O-Phone): 639-4175 Business Mono: 639-4171
Inspection:-_
Fjoting Plbg. Underslsh Mech. Rough-in Appr/sdwlk
!W Plbq TOp Out �� Gas Line FINAL:
'p San. Sewer. -Framing�l -Bldg.
st/beam Mech. Rain Drain Insulation -Plumh.
Plby. Underfloor Water Lina Gvp. Bd. -Hoch.
Date Requested:__ �1.� ��I ___Time:
Address*1 �D 1� y_� _ L�Permit #s__l
THN FOLLONING CORASCTIONS ARE RSQDIRSDt
Inspector
1/�APPRO{IED DISAPPROVED -_ APPROVED SUBJECT I'D ABOVE
call For Reinep.
ta4 wr raw a: t� ew � eos sr
1_"?_*=oA_ffl_0_T ICA
City of Tigard Building Departiewrt
13125 SM Ball Blvd- Tigard, Orralon 97223
Inspection Line (Rec-O-`one): 637-4175 Burliness Phone: 639-4171
Inspection:—
FootingP Under lMech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
I
Poet/Beam Struct. San. Sewer Framing -Bldg.
1
Poet/Ream Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested `i _Timet/ LIM PM
Addreaet5 �A� Permit #t
Builder: 2-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
lnnpe.r•t1AP __. Date!
OVED __v DISAPPROVED - APPROVED SUBJECT TC ABOVE
—Call For Reinap.
p!SPB4TIGN_mol,ICE
City of 'ligand itzzl l,ling Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ruc•-O-Phone): 639-4175 Business Phones 639-4171
InsFsctLon:
__ ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fos•.n,d�... Plbg. Top 'at Gas Line FINALz
Post/Beam ;truct. \� San. Sower. Framing -Bldg.
Posit/Beam Mech. Rain Drain Insulation -Plumb.
Mg. Underfloor' Water Line Gyp. Bd. -Mech.
Date Requestods_ Y , } `; Times -,_-- AMI ` r/ PN
Addrens: i ic' .� ,�{ r v.► POnaLr
Bu i lder z
TNS FOLLOWING CORRECTIONS ARE REQUIRED:
-- -��-
Inspector:— _. __._____.-.--- -.-_-- Date: _��_L--
-_APPROVED DISAPPROVED APPROVED MUBARCT TO ABOV!'
—Call For Reinsp.
INSPECTION NOT19P
City of Tigard Building Dctpartment
13125 SW Ball. Blvd. Tigard, Oregon 97223 (-
Inspection Line (Rec--O-Phones 639-4175 Businean Phone: 639- 71
Inspection:
Footing Plhg. Undersl.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Post/Beam StruOt. 6af1. EBINC Framing -Bldg.
Post/Beam Mach. in Dra---in`, Insula':ion -Plumb.
Plbg. Underfloor water Line Gyp. BG. -Mach.
C '7
Date Requeste•dt- Time: AN I L
Address: Permit 03
Ruilder:
THE FOLLOWING COR",rTIONS ARE REQV,IREDs
Inepectotr\: _ Dete: ��
\ APPROVL'D DISAPPROVED APPROVED SUB.7ECCTT TO ABOVE
TTT"' Call For Reinep.
IKSPBTAT(M P0_TICE
City of Tigard Building Department
13125 BW Hall Blvd_ Tigard, Oregon 97223
Inspection 'Line (Rec-O-Phone): 639--4175 Business Phone 639-4171
Inspections _
lOOtlrtq Plbg. Underslab Mech. Rough-in Appr/Sdwl
Found. Plbg. Top Out Cas Line FINALS
Poat/Deasy ttruct. San. Sewer Framing --Bldg.
Poet/Deaw Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Bteci.
Date Requentodt Times
Address. _,`_ -_L�___~_' / PeTOit #f
Huilder:_
THE FOLLOWING COP.RECTIONS ARE REQUIRED:
inspectors 4 _ Dates -
APPROVED DISAPPPOVED APPROVED SUWNCT To ABOVE
Call For Reinep.
CITYOFTIGARD MASA"ER VIERMIT L-e_�
COMMUNITY DEVELOPMENT DEPARTMENT 116a1RD FIERM.11- #. . . . . . . : MST')
13t26 SW HO Blvd. P.O.Box 23397,TOW,OreW 97223(603)&39.4175 DATE ISS0:- D : 04/19/91
''I TE ADORES . I`C` 7111 GW KEN1_k_1%1 OR
SUBDIVIF)ION. . . . .- ASHFORD OARS 2 ZONING: R-7
LALOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 110
-------------------------------- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :Q1 s
IA-ASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAC-.E. . . . . . . . . . ..410 Sf
TYP,E OF USE. . . :SF r_7 LOOR AFREAS— REOUj RED
TYP,E OF CONST. :5N FI RST. . . . - 1845 s LEF"r. . :5 ft RIGH,r. 16 ft
OCCURONCY GRP,. - R3 SECOND. . . :864 s FRONT, : 20 ft REAF�. . :28 f
STORIES. . . . . . . :2 THI �D. . . . :0 Sf
lit i-16HT. - - — - - - -25 ft TOTAL— S f SMORE DETECTORS. :Y
FLOOR LOAD. . . . -.40 psf VALUE:. . . . . $ : 1,.51466 F'ARK I Nb SPACLS. . :0
P'LUMBING
9INKS. . . . . . . . . . .. I FLOOR DRAINO. . . . :0 BACKFLOW PREVNTRS. . sO
LAVATORIES. . . . . .4 WATER HEATERS. . . : 1 TRAVIS. . . . . . . . . . . . . . .0
1 UB/SHOWEPS. . . . -.3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ; . :0 GRE A,,E TRAP'S. . . . . . . ..0
1)1`311WASH[ RS. . . . : 1 WATER LINE (fti . - 100 OTHER FIXTURES. . . . . :16
Gf4RB$4GE DISP. . . iA RAIN DRAIN (ft) . :0
WnSI-1 I NG MACIA. . : 1 SF ROIN DRAINS. . I
MECHANICAL ...... FEES
1:1.)EL TYPES— UNIT HTRS. . :141 typo a m 0 LI*71 t by date rec:pt
/Uns/ 'If VENTS . . . . .. :0 P'AYM $ 100. 00 JLH 04/10/91 211838
14AX INPILYTiO BTU VENT FANS. ., :4 Sr,RT $ 31;3. 00 JLI 4 04/ 9/9- 1 --
PURN ( 1041K . . :0 HOODS. . . . . . : 1 BP,LC $ 333. 45 JLH 04/29/91 -
i-URN > =! OQAK . . : I WOODSTOVFS'. :0 9500 $ 25. 65 JLH 04/29/91 -
FLOOR FURN. . . . (.'L 0 D R Y E RS. : I SSDC $ 375. 00 JLH 04/29/91 -
POIL/CMP 3HP.-O OTHER UNITG:0 PARK $ 300. 00 JL.14 04/2'9/91
GAS OUTLETF,* I Mr,RT $ 40. 50 JLH -A4/2'9/91
Owner: mrLc 4i 10. 13 JLH 04/2'9/9 1
JAY MILLER m5FIC $ 2. 03 JLH 04/29/91
r"10 BOX I-IPF?1 $ 1 b'5. 0 LA J LH 04•!c'9/91
p5r,(, t 7. 75 JLH 04/29/91
1"Iri(IRD OR 9722'3 TTF t 135111. 00 JLH 04/2'9/91.
Phone fr: 684-7543
Contractor-.
Joy 1111-i-El2
PC BOX 232,91
!-� G3AIRE, OP 97212'31
FItione. #: 684-7543,
r eq 0. 30109
IOTAL
'his pereit is issued subject
ject to the regulations contained in the RFOUIRED INSPEC71ONG
Tigard Municipal 'ode, Stats of Ore, Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. P11 work will be done in accordance with approved V'Ost/Beam Stri-ict (vas Line Tnso'
viant. This pe-wit will expire if work is not itartev within 180 Post,'Beam Mecham Intl.ilAtion In s p
days of issuance. or if work is suspended for sere than IL4 days. Plm/Ltnu:,1mb Insp Gyp Board Insp,
-ermittee it FILM/Underf I oor Rain drain Insp
I
Merhanical Insp Water Line Insp
P"It-Imb -lop Out Appr/Sdwlk Insp
y ........... F- t',A M I n 11 Insp m@c:han1r.a1 F 1.n,-AI
Call for inspection 639--4175
Name
SEOER CONNECTION
CITY OOrTIFARD Pr-"RM I T
CnyOFTW� PERMIT #. . . . . . . : 'oWR91-0074
COMMUWY DEVELOPMENT DEPARTMENT oneft
13126 SW HWI BW. P.O.Bw 23397,Towd.Omgm qrM(FW)M4175 DATE
C'-)I T L A L)D R KENT(jo, PARCEL: 2S.112C'13-09600
SUBDIVISION— ASHFORD OAI,/,S 2 ZONING: R--7
BLOCK. . . . . . . . . . s L07.. . . . . . . . . . . . .
TE"NANT NAME. . . . . :
0SA NO. . . . . . . . . . *.43 6 i27 FIXTURE UNITS—
CLASS OP WORK. . . :NEW DWELLING UNITS. . .- 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
TMOTALL TYPE. . . . :BUSWR IMPERV SURFACE. ..
Remarks :
(Jwner: FEES
JnY MILLER type amo,,Ant by date I-erpt
PO BOX R13291 PRMT $ 1111500. 00 JLH 04/29/91 -
TIGARD OR 97223 INSP $ 5. 00 Ji'-.H 04/29/91 -
Phonp #: 684-7543
1-(Intractor :
('ONTRACTOR NOT ON FILE
1 b35. 00 TO roL
Req,
REOUIRED INSPECTIONS
This applicant agrees to coorly with all he rules and regulations Sewer Inspection
of the Llrified Sewage Agency. The permit expires 120 days free Case Finaled
the date issued. The total amount paid wili be forfeited if the
orrait excirec. The Agency does not quarantet the accuracy of the
side seller 14terals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance giver. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ltisk.ied Dy '�
Call for insPection 639-4175
moor-,
CITYOFTIGrARD PLUMBING CIE:RMIT
CffYOFT*ARDim PERMIT #. . . . . . . : MST91 -006,9
COMM!)NITY DEVELOPMENT DEPARTMENT 0"OON
13126 SW HWI RNA. P.O.Box 23397,TOW,Omgw 97223 (SM)MAI 76 DATE ISSUED: 04/19/91
CNI"ON DR PARCEL: "'S1 12CB-09600
508 D I V I S I ON. . . . ASHFORD OAKS 2 ZONING: R-7
L C,i.-H LOT. . . . . . . . . . . . : 110
CLPSS OF WOPK. NEW GARBAGE DISPOSALS— I
TYPE OF USE. . . . .-SF WF.6HING MACH. . . . . . . : 1 SACKFLOW PREVNTIr 3. :21
0 CCU PA Iq C Y 6 RP. . :R 3 FLOOd DRAINS. . . . . . . :L71 TRAPS. . . . . . . . . . . . . . :0
51"URIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
I X I'LJ R E G LAUNDRY TRAYG). . . . . . : 1 GF RAIN DRAINS. . . . . : 1
n I NKL
b. . . . . . . . . . . I GREASE TRAPS. . . . . . . :0
L A V AT Cj R,I FI!a.. . . . . .4 0 T I)*UP 1:: T XT U P c;. . . :I11
'TUB/SHOWERS. . . . - SEWER LINE � ft ) . . . . :0
WoT,17-P CLOSETS3. . -3 WATF'R LINE:' (f t ) . . . . - I
D I SHWAS14ERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Re 1,1 a r F(s %
OWNER: -----------
JAY MILLER PAYM $ 1.00. 00 JLH 04/10/9! 21 1
WO bclx 23291 B P RT $ 513- �Q JLH 04/29/91 -
EkPL.0 $ 333. 45 JLH 04/;:'9/ �I --
TTGARD OR 97223 p5PC $ c,, F5 jl-.!-4 04!,:'9/91 1
Phone 4: 684-7543 S'PsDC $ 3175. 00 JLH 04/29/91
PA P K $ 500. 110 JLH 04/29/y1
m P T k 40. 50 JLH 04/c^.9,'91
q. MPL.0 $ 10. 13 JLH 04/29/91
i"f,a m e 2. 03 JLH 04/09/11.
Addru, P p RI $ 155. 00 JLH 04/P9/91
C i t
7. 75 JI-H 1W . 1/91
35,0. 00 JLH 04/29/91
Rell
RLUL]IRLD INbPLL. I IONS
111-Is Pei'mit is if-!sued --tc )e�:t to the �,pq
.-lations contained in the Tigard Municinal Foot /found Inso Rain di,,ain Insp
e- f'It tkt P of Q,-F*- 'pec--i a I t y Codes ind a I I 1"'OSt /BOaM 5tr•I.Vt t Water Line Insp
other applicable la�ls. All work will be clone Pcst/SPam Mechem Appr/Sdwlk Insp
�.n accordancp with Approved plans. This F1lm/1.mr-4sl,.Ab Insp MechAnical Final.
oel-mit will expire if work is not started PILM/Underf I oor Plumb Final
;N i t h 1 - 1x0 drays 0 f i S s 1..ia n c,e, or if W01-k J.S Mechanical Insp Building Final
1;IAI.11 'Tided for, more thar, 180 days. 11.1lumb Top Out Erosion Control
Framinq Insp Post /Beam Meuham
Fireplar L, Insp Plm./Underfloor
/I Gs 1- ine Insp crawl Draill
// r);, InsiAlation Insp Plumbing Too Oot
Gyp Boart-1 Insp Plumb Pinal
1 L) Ure
Call for irlsr)eutior 6';9- 4175
CITY OF TIGARJ) RECEIPT OV PAYMENT RECEIPT NO. s 9 t—21�P.l'19
0-4ECK AM(.)Ijl\IT c 474'7. 51
NAME a MILLER, JAY CASH AMOUNT 0. 00
ODDRESS a PAYMENT DATE a Olt/19/9
SUSD T V I S 1 ON
f'-'HRPOSF OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT OMOUNT PAID
—DI-N--G,--PERM'—M'—�-33T 9 1 _0069 513, 00 PLUMBING PERM 155. 00
MECHANICAL PE 40. 50 ST. BUILD PER 35. 43
PLAN CHECK FE 243. 5 8 SEWER USA 1500. 00
SEWER INSPECT 315. 00 RESIDENTIOL. TRAFFIC FEES 1250, 00
PARKS SDC "500. 00 STORM DRAIN SDC 375. 00
MASS TRANSIT TIF FEES 100. 00
15270 SW KENTON DR LOT 110 A514FORD
'voTAL AMOUNT PAID 4747. 51
CITY Df- j 'G"D kLCEiPf OF PAYME.N't RELEU17 NO. 1-211
CHECK AMOUNT 100. 016
NOME JAY MILLER BLDR. , INC. COSH AMOUNT a 0. 00
ADDRE96 BOX 2329t PAYMENT PATE e 04/10/91
TIGARD, OR 97;-�23,— SUBD I V 18,ION
15270 SW KENTON DR
PURPOSE CIF PAYMENT AMOUNT PAID V-ILIRPCr)E OF PAYMENT PMOUNT P(4.1 1)
Ii
p 4-14R 100. 00
0%
"PLANCHECK DEPOSIT"
pAll)
100. 00
io
...........