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10559 SW TITAN LANE
ADDRESS: r t hrecords\microflm\targets\building.doc i CITY OF TIGARD CLVI CiC Cl1F'FaNC I 1-LRMIT #. . . . . . . : MST94-..0122 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/07.'94 13125 SW Nell Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL.t c Ei 1. 1 SF1A Q+t�s ldQl :3 I TE: FaDOWSS. . . 105559 SAF TITAN (_N '3UBDIVIliILAN. . . . t BE`.RKLEV ESTATES ZONINCc (.",L,AI S OF WORK. tNEW F YPE OF 1JS,,f_. . . :5F OCCUPANCY GRP. t R 3 OCCUPANCY L OAD t 2Pet 4 2 IT.NONT NAMF-. . . c F?em:{r^kcst VDATN I lWY MILLER R P C) Brix 2 3 '91 IGARD OR 47281 i hnnc+ tit (-134--7543 JAV MILLER r'O SOX L3291 ! IGARD OR 472131 Phone tit 684- 7543 0 e•g tt. . : ,30109 lr_'raaparW-v Of the above referenced ho_ftld:rig ;. -ter^eby Q.+ ven, and cer•tiF;.es he compliance iance umtth the '3taty r_1f owegnn apat_aalty Codpi: fur this gr-(Jup, ,cel.,Irancy, and Lisp 1.tndor which the reierenr.ed uel,miy was issued. ABI. 1ro G l:TUR ( I1 0 0 F CIAL_ V'M-J iN C ONSV11CUOU11 PLACE INSPECTION N'TICE Cit;. of Tigard Buildi tq Depsrto""t 13125 OW Ball Blvd. Tigard. Oregon 97223 Inspection Line (Rec-l-Phone): 634-41— business Phone: i7i _nopection s Footing Plt;. Undgrelab Hoch. Rough-in Apps/8dw1k Pound. Plbg. Top Out Gas Lina FIN�ALs Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Driln Insulation -Plumb. Plbg. Underfloor Water Line j Gyp. Bd. Date Ilequestede J I,� J Address: , 7 rC 11 Pdrwit fs�1_ Ovd-F 8- War:_ r Cl l � � � C) THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: hater` APPROVID DISAPPROVRD APPROVE[` SUBJECT To ABOVIL Call For Reinap. ' ��r Page No. 1 CASE HISTORY FOR CASE NO.. MST94-0128 JAY MILLER 10559 SW TITAN LN 09/09/98 Action Description Req/ Schd/ ?nd/ Action No:^s Uiep By Update Uri Code Sent Done Done Date By MSTA007 Application received / / / / 03/29/93 PASS JLH 04!13/94 BLT MSTA010 Plan check deposit paid / / / / 03/29/94 PASS JLH 04/13/94 BLT MSTA020 Plan check by C4/13/94 / / 04/13/94 PASS RT 04/13/94 BIT MST.i030 Check [or prcl. restrict. / / 04/13/94 04/13/94 PASS JLH 04/13/94 BLT MSTA092 (F) Issue combination permit / / / / 04/13/94 PASS SKW 04/13/94 SW MSTA095 (F) Rtprint Permit / / / / 04/13/94 04/13/94 SW MSTA097 Issue plumbing signature form / / / / 04/13/94 PASV SKW 04/13/94 SW MSTA70" Foot/found Inap / / / / 04/20/94 PPENDING- CLEAR CRAWL DRAIN WITH DEBRIS; PASS RB 04/25/94 RB MAINTAIN SEISMIC RESTRAINT. MSTA710 P•,et/Beam Strurtural / / / / 04/25/94 PASS TLP 04/27/94 TLP MSTA711 Post/Beam Mechanical / / / / 04/25/94 PASS TLP 04/21/94 TLP MSTA717 PLM/Underfloor / / / / 04/25/94 PASS TLP 04/27/94 TLP MSTA'120 Mecharical Inep / / / / 05/13/94 exhaust venting incomplete FA I1, RB 05/16/94 RB MSTA720 Mechanical Inep / / / / 05/23/94 PASS MS 05/23/94 MRS "-'VA722 Plumb Top Out / / / / 05/23/94 POA:; MS 05/23/94 MRS ,,TA722 Plumb Top Out / / .' / 05/18/94 NO TEs', ON WASTE OR WATER DIS GS 05/18/94 GES MSTA722 Plumb Top Out / / / / 05/20/94 PASS fLP 05/20/94 TLP MSTA725 I aming Inep / / / / 05/23/94 Provide additional support to bearing FAIL WEW 05/21/94 RB wall. Strap re-•iired at drain notch in living room. to be nailed each side, 24 ga. Insulation baffles req'd at master bedroom. Provide positive connection of joists to headers at bedroom. Provide adequate support at header at stairs. Approved plans to be on site. MST'A726 Frar --REINSF> / / / / 05/27/94 PASS TLP 05/31/94 TLP MST'A73S Gas l,,.nr• Insp / ! / / 05/13/94 4# FAIL kB 05/16/94 RB MSTA735 Oas Line Insp / 1 / / 05/l0/94 AFP G9 05/18/94 Gl,S MSTA740 Insulation Inap / / / / 05/27/94 PASS TLP 05/31/94 'ILP MSTA145 Gyp Board Inap / / / / 06/03/94 PASS WEW (6/03/94 RS MSTA755 Rain drain Inap / / / / 04/21/94 PASS MS 04/22/94 MRS MSTA760 Water Line Inep / / / / 05/20/94 PASS TLP 05/20/94 TLP MSTA795 Mechanical Final / / / / 07/07/94 PASS TLP 07/11/94 TLP MSTA797 Plumb Fina` i / / / 07/07/94 PASS TLP 07/11/94 TLP MSTA799 Building ?anal / / / / 07/07/94 PASS TLP 07/:.1/94 TLP MSTA960 (F) Issue Cert. of Occupancy / / / / 07/0'//94 PAS,' FKW 07/13/94 SW MFTA970 Case Finaled / / / / 07/07/94 FASB TLP 07/11/94 TLP Y 7 CI1Y OF TIGARD PERMITS#ER. ... . ITMST94-12128 COMMUNITY DEVELC"C'AENT DEPARTMENT DATE ISSUED: 04/13/94 13125 SW Hall Blvd.71pard,C. .,on 07223.8190 (503)83';4171 PgRCEL: 2S115AA-08200 ODDRES S. . . 1055'3 jw .I I TAN l_-N SUBDIVISION. . . . : BERKLEY ESTPTES ZUNING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 £UILDING -.-----___--____-.___.--.-__--_-_--_- REISSUE:MST9 4--01 ?7 DWELLING Ur i i TS BASEMENT. . . . . . . . :0 sf CLASS OF' WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :552 sf 'TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS------- TYPE OF CONST. :SN FIRST. . . . :918 sf LEFT. . : 12 ft RIGHT. :9 ft OCCUPANC ,' GRP. :R3 SECOND. . . .- 1192 sf FRONT. .-20 ft REAR. . :c'2 ft STORIES. . . . . . . !P THIRD. . . . t 0 s f REQUIRED----- - _ -------- --- HEIGHT. . . . . . . . :2`4 ft TOTAL-•------:2110 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 106996 PARKING SPACES. . : 1 Remarks : F)ATH I PLUMBING ------------------------------------- - SINKS. . . . . . . . . . : 1 ----------_--_________________-._-_.. _SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . * . . . . . * :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL ___...__. ___._____.--.---•_____________ FEES FUEL TYPES- _ - - ----- UNIT HTRS. . :0 type amoi.tnt by date recpt /GAu./ / / VENTS . .0 TIF $ 1520. 00 SW 04/13/94 - MAX I1,PU" :0 BTU VENT r=ANS. . :4 BPRT $ 430. 50 SW 04/13/94 - FURN ( 1 b0K . . :0 HOODS. . . . . . : 1 BPLC f 50. 00 JLH 03/30/94 94-t'50678 FUF l ) =100K . . : I WOODSTOVES. :O BSPC t 22. 53 SW Ob-/13/94 - F JR FUF'N. . . . :0 CLO DRYERS. : 1 8 SDC $ 280. 00 SW 04/13/94 JIL/CMP ( 3HP:0 OTHER UNITS: 1 PARE: f 500. 00 SW 04/13/94 -- GAS OUTLETS: 1 MPRT f 45. 00 SW 04/13/94 - Owner: _.._._-----_---.._..__..._.._.____..____.___.__._.____._.._.. MPLC f 11. 25 SW 04/13/94 - JAY MILLER MSPC $ 2. 25 SW 04/13/94 P 0 BOX .'3291 PPRT $ 140. 00 SW 04/13/94 PSPC f 7. 00 SW 04/13/94 - TIGARD OR 97281 'hone M: 684-7543 Contractor; JAY MILLER PO BOX 2,32:91 TIGARD OR 97281 Phone If: 684--7543 Reg #. . : 30109 # 3028. 53 TOTAL This permit is issued subject to the regulations contained in the - ------ rREQUIRED INSPECTIONS --- -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/f o i.tnd Insp Firep1aca Insp applicable laws. All work will be done in ac:ordance with approved Post/Beam St,•uct Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Mecha! Insulation Insp days of issuance, or if work is suspen d for more than)A8 days. P1m/•ands1ab Insp Gyp Board Insp /,',�� PLM/Underfloor Rain drain Insp Permittee Signature: �`� yl lti4 Mechanical Insp Water Line Insp Pli-imb Top 01_it Appr/Sdwlk Insp r ted By : ` _...._._.__ _- __. F,-,.Aminq Insp Mechanical Final Call For insper_tion - 639--4175 SEWER CONNECTION CITY OF TIGARD PERMIT #PERMIT . SWR94-0133 COP IMUNITY DEVELOFMENT DEPARTMENT DATE ISSUED: 04/13/94 1312 i SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL-: ;2S 1 1,5AA---08r 00 10;:5`3 LjW f 1: i alV LN SLJBD T I S I ON. . . . : BE RKLEY ESTAT1=S ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . »014 1ENANi NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF" WORE;. . . :I',IEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BU I LD I NGS: 1 INSTALL.. TYPE. . . . :DUSWR IMNERV SURFACE. . : : s Remarks : PATH I Owner; -__.....__..______..____________.__.__._.____---...----__.______-_.____--•- FEES my IhILLER type tmoi_rnt by date recpi, P O BOX 23291 F'kMT t 2200. 00 SW 04/13/94 INSP $ 35. SW 04/13/94 T I GARD OR 97281 Phone #: 684-7543 Contractor. CONTRACTOR NOT F)N FILE i 'I-1 rr n e #- 2235. 00 TOTAL_ __....... REOU I RED INSPECTIONS Llys Applicant agrees to ceaply with all the rules and regulations Sewer Inspection —__•__� ___. of the Unified Sewage Agrncp. The pet-sir expires 1B0 days frog _�---- tt, `.e issued. The total asnunt pain wi.l be forfeited if the __�..._. expires. The Agency does not guarantee the accur:,cy of the side sewer laterals. If the ,ewer is not located at the aeasureaent 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" perut and the Agency will instal ia/laatterrall. I f.'r m ,.t t e e Si gnat f_r r e : ���i I s s rA e d E y : ...... Call for inspection - 639- 417`=; Residential i3uildinG Permit Application V, City of Tigard I' ► 13125 SW Hall Blvd. \ Tigard, OR _97223 (503) 639-4171 Jobslte Address: /� 5�� _sV✓ l �C'`'� ' office use Only subdivision: / .Q.�_�5toA s Lot #`�'t -- ' c, PlanduRec# Valuation: lJ l Perrrit #in, � �(.� Yn i'I L r 61 d r • Zl�� _ Reissue of Owner: _ Address: PC) 5-1L2x 3a �p ,I — Map & TL # Approvals Rnuired Planning /C– Contractor: IK =!ZX=,k- Engineering Address: - --------- Other Items Reg+.+lred Phone: — ---- Subcontract-3 s r_ — Contractor's License # 3oI Q�`� -- (attach copy of current Oregon license) Truss Details— Subcontractors: etails._Subcontractors: Other _ Plumbing:—KG,YI Mechanical:, Ll l— t/ (attach copy of current OR Contractor's License) Architect/Engineer: Address: _ ----- - Phone: — f !(1 ,r --- ��GY �lL� �`�• "75 J_3 ,4Tlicant Signature & Phone dumber G Received b Date Received: _.-"-------..---- i Permit tt Account Descriptio, Amount Amt. Pd. Bal. Due r115f y - vii Y Bldg. Permit (BUILD) Sv, SCS X-Sv- r Plumb. Permit (PLUMB) U ` `✓ Merh Permit (MECH) State Tax (TAX) 31. 7p/ � 3/ � ✓ Bldg: 5 3 ✓ Plumb: 7,u D Mech: Plan Check (PLANCK) ��. 1�� ,✓ ��� ✓ � � ,�` S.r-- Bldg: Sd. ✓' Plumb: Mech. / .�S ✓ U )3 J Sewer Connection (SWUSA) u U Sewer Inspection (SWINSP) 3> s Parks Dev Charge (PKSDC) .5 u 0 Suy Storm Drainage Chg (SDSDC) a.�--rl Residential TIF (TIF-R) Mass Transit TIF (TIF-M-n !/y Commercial ,rlF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TiF-IS) Office TIF 71117-0) Water Quality (WOUAL) _ Water Quantity (WOUAfM Fire District (FIRE) 1 TOTALS: 3,S.3