15405 SW KENTON DRIVE-1 s
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—` 1505 8W Kenton Dr. --
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tiqard, Oregon 97223
Phone: 639-4175 i
Type of Inspection �l�.L�.
Date Regk;dsted ��--^^ Tina-__ A.M. P.M.
Addre., —/ `J /Q. �/--F—�" L fL7L_/� Permit #__Owner Lot----_-_ — Lot #—
Builder , — - - --- — --------The following Building Code deficiencies are required to be corrected:
Lid.�sT Fwc�
Re '
Az
Prevented to —. Vl�-Approved
C�
Inspector �� Di,a{.-aroveti
Date
- 9113 —
CALL FOR REINSPECTION
DYE$ ONO
CITYOFTIGrARD F'F R 11"1.--T
COMMUNITY DEVELOPMENT DEPARTMENT 0111100H RTrI_ . . . . . . . ..
13125 SW Heil Blvd. P.O.Box 23397,Tigard,Oregon 97223(W)BN4176 I IIEC900 16
D0 'FE .1(35UED: 08,, 13/9(8
`;TT'E ADDRES5. — :: 1,5405 '.31! KLAIT10H DR I:L..» 2S 1,.1 2 C F1—
,3t-)DDTl)-SICH. . . . AE'l-IVORD OAKS z 0 14 114 G R-••7 PD
1-4I- 1C'1K,. , . ., .. . , .. . .. s L_01'. „ . .. „ .. , . _ _ . . . »
—I---I..................................
('X.ASIG (.)I::' WORK. .. ”.ADD FA OOR FURN. . . . » F;'.VAI::' COOI ERE
'T'YPE (JV* 1.1,5E. . . . s SF UNIT' HLAI'ERS. . r V V-*,N'T FANS. . .
OCUIPANCY ORP. R3 VENTS W/O APPIL-0 Vl:"N*T SYS71AYIS.
S J'O R I E*13. . .. . . . . BOIL(7 RS/*COMPRFSt3ORS HOOV'). . . . . . .. I
:JJELTYPILf.;..........._.__..__.____....._. 0 3 HI
/W(,)D/ 3—:1.5 HP. COMMI.— INCTN-.
III A x 1111"'U B'T'(.) J.5 30 Iff". REPAIR UNI.-TF:
FIRE DAMPELRS?. 30-50 HP. WOODS'TC)VL-,A-.;.
(:i A;3 P FI' '3GURE. . . 50.4- (A.0 DRYf.:,.RS.
ND. OF' IJN1*TS------1-- AIR HANDLIM", LIN 1 S 07HER UN I
I=URN < 10014 10000 vfn)-. G A'') OL)TL EJG G.
FURN )�:::LOOK PIL). J.0 P�0 0 ei`ni
R P iri),a-f,P.s
Owvie'r- FL.E.13 .......—------—
1)0 V 1,1) 14 L)N T,E.R type AnICK111t by (J'A t e -rec,pt
1540v."i SW KENT ON F"'Ayll $ 15. 23 JL.F1 08/13/90
P R 111* q, J.4. tio
T1C;(-)PD Or: 97224 5 P UT 1i 0.. '13
0 W 111-,'R C 0 N'T RA C 7*0 R
e $ 15. 23 T0'I'0L
R e 44 (1 W N I'*:R
REQUIRED 1N8PEC'TIONS
this Permit is issued subject to Lne regulations contained in ti,-P
Tigard Municipai Code, State of Ore. Specialty Codes and all o;n@T
applicable laws. All work 1pill be done in accorddnrp with
ipproyed plans. This permit will expire if work is nOL started .......
within 180 days of icivance, or if woT* is susptnided for more
than 180 days.
............................. ...............
Perini ttery c5i iT riatt.-(,e:
................ -•__....._..._._---_.............
6139-4175
.'IT"( (IF' TIGARD FfCEIPT OF7 PAYMEN'r PSCEA P"r NO. Y 9
(".,HFz',CA (V101.11,41 -
C s HUWEr . DAVID CASH i-MoUt'j"r r 15„ :;..
C)tip E'.1S . I
flAYMENT 06TE, s 0(,A '.7 '4
:USP- TVISIC41
T I G(W 117”'
i'i
AMCRIN"(, PAID OF- P,--lYMENT ANOUNT PAID
JPFTY E OF PAYMI-' Nt'
CAL. PE 1.4.151) "51'. W.111-1, PEP 7
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection % rct�!! /C / e0 G? t_
Date Requested Time` A.M. ---P.M.
Address Permit # z/( T—
Ownar )4� .'' "r L..
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to tt --
-- l�'Approved
Inspector _ _A
- — Disapproved
Date
CALL FOR REINSPF,CTION
❑ YES fz Wi
IPERMIT
CITY OFTIVA RD
inVl, PERMMIT T N NO.. :: BU892109
CITY OF TWARD
ORlR.ON
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 10/18/89
13125 S.W Hall Blvd..P O.Box 23397,Tigard,Oregon 97223.(503)639.4175 F� I M.F'MT N0. 892109
JOB ADDRESS: 15405 SW KENTON DR
TAX MAP/LOT 2S1 12CB SUB: ASHFORD OAKS LT:122 BK:
I.-AND USE: R7PD
I-OT SIZE: VAIL101IOM: $ t00,429 SETBA1,KS
FRONT: 20 REAR: 5
WORK CLASS: NEW DWEL_L.UNITS: 1 L.r.FT: 5 RIGHT: 30
USE IYPE: SINGLE FAMILY NO.BEDROOMF: 3 EXT.WALL. CONST:
CONST. TYPE: VN NO.BATHS: 3 N: S: E: W:
OCCUP.GRP. . R3 PROT.OPENINGS:
OCCUP.LOAD N: S. E: Wit
TOTAL AREA: 2218
NO.STORIES: 2 1ST: 1122 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 1096 AREA SEPAR? RATED:
Bn4FMENT- 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASLM'I
FLOOR LOAD: 40 GARAGE: 600 FIRE SPRKL.R? ALARM?
F L_OW(GPM) DETECT'' YES
I_.._. _._.—HEAL_TYPEe GAS HDCP.AGCESS?
PLAN CHECK BY: r1t
REMARKS:
REISSUE OF NO.
LAST REISSUE
FEES:
W PERMIT $435.50
N PLAN REVIEW $283.418
E-
ft FIRE DEPT
STATE TAX $21. 78
OTHER
C _ DEVELOPMENT CHARGES:
r3 MIL.LEt< JAY SDC(STORM) $250.00
N
T JAY MILLER BUILDER SDC(STREFT) $600.00
p.o. BOX 23291 PDC(#2 ) $250.00
� TIGARD OR ?7223 PREPAID ( $100.00)
o PHONE (503) 684--7543
R REGISTRATI'JN NO. 30109 TOTAL: $1,749.35
�� ,
This permit Is Issued subject to the regulations contained In Title 14 RECEIPT_.NO. /0 7G
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It Is hereby REQUThED INSPECTIONS
,greed that the work will be done in accordance with the plans and FOOTING SEWER
pecifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
,rdinances The issuance of this permit does not waive restrictive POST R BEAM WATER L 1NE
ovenants. Contractor and subcontractors shall have current city pLB.UNDERSLAB CITY APPRCH/SW
,,uslness tax permits This permit will expire and become null and
oid if work Is not started withir 180 Jaya or If work is suspended or 91-PB FINAL
,t,andoned for a period of 180 days any time after work has PLP.TOPOUT
ommenred It shall be the respoi islbility of the permittee to assure FRAM NG
ill required Inspections are roolits ted and approved F IREPL.ACE
GAS LINE
INSULATION
GYP. BOARD
Permnt iynaturD.�/
Issued By '�
ff ._.__ -1l1SP`EC-TT9N F39-4135 �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWER PFr,rllT J
CITY OF TIFARD
F'FRh1IT NO. : 5E892154
411'.
cl7r a 7►�elto
COMMUNITY DEVELOPMENT '?EPARTMENT r) E ISSUED: 10/18/89
1312;.S Hall Blvd.,P.O Box 23397,Tigard Oregon 97223,(503)639-4175 I M.PMT.NO. 892109
JUB ADDRESS: 15405 SW KENTON DR USA NUMBER:
TAX MAP/LOT 281 12CB SUCi ASHFORD OAKS LT:122 BK:
LAND USE: R7PD
LOT SIZES
SECTION: 12 TWP: cos RNG: lw
WORK CLASS: NEW
USE TfPEc SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 1.20 Bays from the date issued. The total
&Mount paid will be forfeited if the permit expires. The Agency does not quar-
antee the accuracy of the location of tti� side sewer laterals. If the sewer is
not located at the measurement given, the installer shall 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.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREAS
FIXTURE UNITS: TENANT IMPROVEMP:Ts
DWELLING UNITS: 1
NO. OF BLDGS. s 1
FEESs
PERMIT (35.00
N CONNECTION CHARGE f1,2S0.00
E LINE TAP INSTALL.
R
OTHER
C MILLER JAY
N JAY MILLER BUILDER
T
R p.o. BOX 23291
A
c TIGARD OR 97223
T PHONE (503) 664-7543
`)
R REGISTRATION NO. 30109 TOTAL; $1.285.00
RECEIPT NO.
This permit is isatled subject to the regulations contained In IItie 14 —.------______._______ I
of the TMC. State of Oregon Specialty Codes, zoning regulations ItE(JUIRED INSPECTIONS
and all other applicable :odes and ordinances, and It is hereby ROUON-IN
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The IESuance 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 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 work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Fermi ,ignat re
Issued BY OR INS ECTtON __U9
J,
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
w sen �► 11>t s
CITYOF
TIFA
RD t PLUMBINGPERMIT
RMIT NO. : P1.89c.'.1 50
ctTr a tw;ana
COMMUNITY DEVELOPMENT DEPARTMENT 04100N
E 1 SSUED: 10/18/89
13 125 S W Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)839-4175
JOB ADDRESS: 15405 SW KENTON DR
TAX MAP/LOT 251 12CB SUB: ASHFORD OAKS LT:122 BK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY 7RINAL BKFLOW PRVNTR
CONST.TYPE: VN L_AVORATORY 4 ,RAP FRIM("R
OCCUP.GRP. : R3 TUB SHOWER 3 GREASE TRAPS
DISHWASHER 1
GARBAGE D15POSAL '
NO.STORIES: 2 WASHING MACHINE 1
DWELL..UNITS: 1 LAUNDRY TRAY 1 BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN !rT 1
OTHER
REMARKS:
-� FEES:
W PERMIT $155.00
N
�+ FIXTURES
STATE TAX $7.75
— --_ _ _ ----------- -- OTHER
C
u
N WATTS KEN
T KEN WATTS PLUMBING
A Pct BOX 230925
T tigard or 97223
o PHONE (503) 684-6626
RI REGISTRATION NO. 50878 TOTAI_s $162..75
This permit is issued subject to the regulations contained In 1 ltlel 14 RECEIPT NO. 105
of the TMC. State of Oregon Specialty Code^ zoning regulations
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and PI"B.UNDERSLAB
specifications and in compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive
cover ants Contractor end subcontractors shall have current city WATER LINE
business lax permits This permit will expire and become null and PLB.TOPOUT
void if work Is not started within 180 days,or it work is Suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has FINAL
commenced It shall be the responsibility of the permittee to assure
Fill required inspections are requested and approved
Permit kastu�reK
Issued By -____----
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL PERMIT v
1�
CITY OF TIGrA RD / PERMIT N0. : ME892153
cmocttiraltA
COMMUNITY DEVELOPMENT DEPARTMENT D E ISSUED: 10/18/89
13125 S W Hell Rlvd..P O Box 23397,Tigard.Oregon 97223.(503)639.4175 I M.PMT.NO. 892109
JOB ADDRESS: 15405 SW KENTON DR
TAX MAP,1'_0T 2S1 12CB SUB: ASHFCRD OAKS LT:122 BK:
LAND USE: RfPD
LOT SIZE:
ITEM: NO: 140:
WORK CLASS: NEW FURNACE (100K AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ 1 AIF HANDLR 10K
CON5"F.1YPE: VN FLOOR FURNACE.. EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN 4
VENT VENT.SYSTEM
BLR/COMP (?HP HOOD 1
NO STORIES: 2 PLR/COMP 3-15HP INCINERATOR(DOM
DWELL..UNITS: 1 BLR/COMP 15-•30HP ;NCINERATOR(COM
FUEL TYPE GAS DLR/COMP 30 50HP REF4IR UNITS
MAX. INPUT BLR/COMP 50+-HP OTHER 2
FIRE DMPRS') GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS? _----- —--- — --- —-
REMARKS,
FEES:
O PERMIT $10.00
W PLAN REVIEW $11 .2;
F FIXTURES $35.00
R STATE TAX $2.25
OTHER
C
O
N BELL HEATING INC.
t3 15550SE PIAllA AVE
A CLACKAMAS OR 97015
T PHONE (503) 243 1184
R
REGISTRATION NO. 447 TOTAL: $58.50
RECEIPT NO. /v
This permit is issued subject to the regulations contained in Title.4 - - -
of the TMC. State of Oregon Specialty Codes.toning regulations REQUIRED INSPEC r. NS
and all other applicable codes and ordinances. and it Is hereby GAS LINE
agreed that the work will be done In accordance with the plans and
specifications and i compliance with all applicable codes and POST R BEAM
ordinances The issuance of this permit doer,not waive restrictive ROUGH- IN
covenants. Contractor and subcontractors shall have current city F INAL.
business tax permits This permit will expire and become null and
void it work is not started within 180 days,os if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permitter,to assurr
all required inspections are requested and approved
C, &
u -qn"attire
Issued By - FGR INSPLCT101i 639-4175
' ---
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD 11AE � Receipt #
13125 SI-1 HALL BLVD. MECHANICAL PERMIT Permit At
P. O. BOX 23397 c r5 Description
I able 7A Mechanical Code OTY PRICE AMT
lIGARD, OR 97223 —
(5 n3)639-4175 ' 1) Permit Fee -0- 0- 10.00
Name of Oowkpnent
/ ���`��eP 2) Supplemental Permit 3.00
Job Address 11 Furnace to 100,000 BTU
Address %.S Ll0O 5" 5 (,t' 'et"A-7v _incl.ducts&vents 6.00
rax t of MV No. Furnace 100,000 BTU 4
2) incl.ducts&vents 7.50
lvf Bbck Subdivision — -- —
Name(or name a brutiness) ) Floor Furnace 6.00
�h?t/i/P C h v>'-'�-/� 3 incl.vent — —
Mawrq 4
Address - Phone Suspended heater,wall heater
7, �- S �r'w7!r�c_, ) or floor mounted heater 6.00
LOwner
calyr9ute zip 5) Vent not incl.in 3.00
/� �l�D (2 AC 5;1.%' .7-2 � appliance permit -
Nai no(or i%me or business) 6) Repair of heating,reit 1g.,
�' ,E- 6) cooling,absorption unit 6.00
Mailktg Ado ass Phone - Boiler or comp to 3 H P
O,cxupont 7) absorp.unit to 100,000 BTU 6'00
cn�istate ZIPBoiler or comp to 3 HP-15 HP
8) absorp.unit to 500,000 BTU 11'00
Name — Bo" or comp 15-30 HP
9) absorp.unit'h-1 million ------ 15.00 —
M,.tirtp Address Phone — 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor City/State — 7ip 1 1) Boiler or comp to 50 HP - — 31.50 —
absorp.unit 1,750,000 BTU _
State Registration No — City Bus.Tax No7" Air handling unit to
1'`' 10,000CFM 4.50
I hereby acknowledge that I have read tf,i< ^,ohcation that the information given is 131 Air handling unit 10,000 CFM 4" 7.50
correct.thal I nm the owner or auft wize,,agpo of Uro owner,that plans suhnOtted are in -- —
axrW*ance with State taws,that!am registered w th tfto State Builders'Board,that the14) Non portable 4
rMxmber given is mrect.(h exempt ft-An State regis'ration please give mason below). evaporate cooler
50
Vent fan connected 15)
to a single duct 3.00 )
- --- -- - - - --- ... - - - 1 G Ven'ilation system not 4.50
incluocd in appliance permit
Hood served by
17) mechanical exhaust 4.50
so"litire( br ar ,U Date Domestic type
18 7.50
Describe work I I addition FJ alteration I I repair I i
) ) ncinerator — —^-
to be done resieential p non-residential L I Commercial or industrial —
Existing use ,f---__,___. ------- -- — 19) type incinerator -` 30.00
building or pri,perly_ _ Other i.e.,woodsto water
20) Other
solar,r;k)(hes dryers,(rc 4.50Proposed use of --- --.— -- —_
building or pn perry __--
----- -—-- 21) Gas piping one to four outlets 2.00
Type of fuel-" oil 1.1 natural gas O LPG IJ electric 11
— — — 22) More than 4-per outlet
NOTICE -- �-
_
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- — SUB-TOTAL
- ----
STRUCTION AUTHORIZED IS NOT COMMENCEf) VV:THIN 180 5%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL.
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER --- ----- —
WORK IS COMMENCED. TOTAL
Special Conditions
-- -------- --- Date issued, -- _—by—
.�r a� ■.r s ,..r rt .. .. ,p
SG 8 9•
r�Gn PLAN CHECK APP f, T .ON
CITYOFTIGARD,- -
PIAN CHECK � I �
Cr PERMIT N
COMMUNSTY DEVELOPMENT DEPARTMENT � Nam DATE I, SUE
13125 SW HO OW P.O.8w 2=1.Tina Oregon Wen 1o1 43041M —
JOB ADDRESS: l S`�D S,w_ J<Pu �J r_ TAX MAP/LOT < ��� /._?. C'_ L 3
SUB: �1�� oG — LOT: _ LAND USE:
VALUATIAN: Y 2
OWNER SPECIAL NOTES
NAME: _ REISSUE OF:
ADDRESS: ^� LAST REISSUE: _
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: JAY MILLER BUILDER, INC. ENGINEERING'
ADDRESS: PO BOX 23291 FIRE DEPT
TIGARD, OR 97223 OTHER:
PHONE: 684-7543 •-1 F p ITEMSREd1UIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER_ ^US TAX:
NAME: CALCULATIONS:
ADDRESS: _ TRUSS DETAILS: _
PARKING PLAN:
LANDSCAPE PLANS _
PHONE: _ OTHER:
i
COMMENTS:
?: PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees 413�',5
S` 10-431 00 Plumbing Permit Fees 1:» /,5
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x)
Building 7d-
Plumbing
Mach _. 2-
10-433 0 Plans Check Fee - ZI
Building �63,DSI 1994. 3 .5 /1//, 33
Plumbing
Mach
3tr-443 00 Sewer Connection (20x) /��O /Z
30-202 01i Sewer Connection (60x) _
30-444 00 Sewer Inspection
51-448 00 Street System Dev Charge (SDC) > > p v
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Day Charge (PDC) .x S c7
31-450 00 Sturm Drainage Syst Dev Chrg (SSDC) -50
„
10-230 09 1RFD (95x)
10-435 00 TRFD (5x)
10-230 06 Washington County Fire N1 (95X)
10-435 00 Washington County Fire NI (5%) -
10-220 00 A t/Wedgewood
/ TOTAL /, b
' Dern i vor� Au• � - •