10582 SW TITAN LANE 'a
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i.\records\microfilm\targets'6uilding.doc
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TIGARDc� OF C:E:.RTIF'ILF1!" OF
CCMMUNITY DEVELOPMENT DFVARTMENT OcCUP�ANC Y
13',25 SW Mall Blvd.Tip.rd,Oregon 97223.8199 (503)639.4171 PERMIT #. .J. . . . . i Mi'.');,
NXX1,
..4171 GATE_ ISCiUIrUa 12/10/93
E,; j
PARCEL c 2.S115AA._O/600
I T TE:
ADDRESS ' j o!`jfi`? UW TITAN 1_14 Z ON I NU.
;UBDIVISION. . . . c SERKLEY EISTATES
LOT. . s f198
1:1.ASS OF WORK. a NI W
r�'KaE: OF I.,..,E. . . a r-')17'
JCCGUPANCY GRP. s R3
OCCUPANLY I.. 1AD c 2i�.'4 4
I
TENANT NAME. . . m
Remarks,. PATH .I
lJwn a r~s . __._.._ _._..... ..
JAY MILLER
Phone Ma
Cantr•aC•t or a .
.JAY M I L.1_E P
PIC" BOX 23291
I1 TGORD OR 97281
Phone #u 684 M43
pta4 #. . : 301Q19
(Jl.:;!.:�cK��!1►r.y of thtt ahtrve 'r~�+ftarFrnt:rd builiinq iird i1ey SLTY g►v, n, ancJ c:er~te .
tt,e (:ampliari a with the State Of C)r~egnr. `3pe(-jaktty I)pCodw��� i��,or ial. �ro!�p,
c,1;!..I_tpar,r.y, and case !.►rrc.jev- which the ►~efer o rCElc1
1
......._.... _ ..__.... ! _1 INO SPECTO
FIRE: DE.PARTMFNT
BIJILDINO OFFIf.IAL
PO iT ►N L ON2P I CUOUS PLACE:
NI SPECTjON NOf'-ICE
City of Tigard Building Department
131125 BW Ball Blvd. Tigard, Oregon 9722 --
Inspection Line (Rec-O--Phone: 639-4175 Business Phones 639-4171
Inapec%ion:__ ------ ----------— _� _.—. �—
7ootin46 Plbg. Underalab Mech. Rough- in Appr/Sdwlk
Found. Plbq. Top Out GRa Line C_,INALi
Poet/Beim Struc-t. San. Sewer Framing
Post/Beam Mech. Rain Drain Insulation �--Plts b.•)
Plbq. Underfloor Nater Line Gyp. Bd. •�'Mec•i•
Ante Requested.._ J'' (I r /l Tfaet AM 1JI PN
i 1
Address.. �(-7r�5'4 2 �wi�Y, -Lf�/l ( ftrmit ft-./)
he 1A� � �
Builder:
THE POLLOWING CORRECfIONJ ARE REQUID..
J(nit!
�—
Inspectors_ /0/%
_-&S""D �- DISAPPROVED _ - APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Page No. 1 CASE HISTORY FOR CASE NO.: MST93 0464
JAY MILLER
10582 SW TITAN LN
09/09/98
Action Description Req/ Sehd/ End/ Action Notes Diap By t7odate Upd
Code Sent Done Done rate By
META007 Apnl cri a received / / / / 00/20/93 PASS JLH 08/25/93 BLT
MSTA010 Plan check deposit paid / / / / 08/20/93 PASS JLH 08/25/93 BLT
MSTA020 Plan check by 08/25/93 / / 08/25/93 PASS RT 08/25/93 BLT
MSTA030 Check for prcl. restrict. / / 08/25/93 08/25/93 :-ASS VG CB/25/93 13LT
MSTA092 (F) Issue combination permit / / / / 09/09/93 PASS JLH 09/09/93 JH
MSTA097 Issue plumbing signature form / / / / 09j09/93 09/09/93 JH
MSTA705 Foot/found Insp / / / / 09/10/03 PASS TLP 09/13/93 TLP
MSTA110 Post/Beam Structural / / / / 09/20/93 PASS TLP 09/29/93 TLP
MSTA711 Post/Beam Mecha^ical / / / / 09/20/93 PASS TLP 09/29/93 TI.P
MSTA717 PLM/Underfloor / / / / 09/20/93 PASS TLP 09/29/93 TLP
MS7A720 Mechanical inep / / / / 11/09/93 PASS TLP 11/10/93 TLP
MSTA722 Plumb Top Out / / / / 11/04/93 shower trap leaking FAIL MS 02/14/94 TLP
need gauge for water
MSTA722 Plumb Top Out / / / / 11/05/93 PASS TLP 02/14/94 TLP
MSTA725 Framing Ins[ / / / / 11/05/93 PASS TLP 11/30/93 TLP
MSTA735 Gas Line Insp / / / / 11/10/93 PASS TLP 02/14/94 TLP
MSTA740 Insulation Insp / / / / 11/12/93 PASS TLP 11/15/93 TLP
MSTA'745 Gyp Board Insp / / / / 11/17/93 STILL NEED TO INSTALL GYP. ON GARAGE PASS RT 11/18/93 BLT
WALL LEFT SIDE NEXT TO FURN.
MSTA755 Rain drain Insp / / / / 09/21/93 PASS MS 09/22/93 MRS
MSTA760 water Line Inap / / / / 09/21/93 PASS MS 09/22/93 MRS
MSTA765 Appr/Sdwlk Insp / / / / 11/10/93 1 Be prepared to protect finish. PEND LT 12/15/93 KE
MSTA795 Mechanical Ftnal / / / / 12/10/93 PASS TLP 02/14/94 TLP
Ms'TA'797 PL mb Final / / / / 12/10/93 PASS TLP 02/14 '94 TLP
MSTA799 B, ^ng Final / / / / 12/10/93 PASS TLP 02/14/94 TLP
MSTA960 (F) Ia3ue Cert, of Occupancy / / / / 12/10/93 JF 02/08/94 JF
MSTA970 Case Finaled / / ! / 12/10/93 PASS TLP 02/14/94 7:.P
CITY CSF TIGARD PASTER PERMIT
COMMUNITY DEVELc r,MENT DEPARTMENT PERMI I #. w . . . . � - MST936.146,�
13125 SW Hall Blvd.Tigard,Ort ion 97223*8190 (503)639-4171 DATE ISSULD-, 01j/09/93
PARCEL: 251J.5AA--07(.,VlVJ
k1)DRL'S,:3. . . : 10t:8c: aW 111(4N LKI
IjUBDIVI'S ION. . . . : BERF:LEY ESTATES ZONING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .008
f.IUILDING
RE I SLUE:M5'T92&-,_'0 DWELI_ING UNI 7'S BAGEh,,,N7.. . . . . . . . :0 S
CLASS OF WORK. :NEW SEDRMSr4 BATHS:3 GARAGE:. . . . . . . . . . :438 s-F
"Yr'1E
q12" USE. . . :sr FLOOR (_)j '1Rj-jj
- �3- - RLOU I RLD !�L:'T BACK';
TYPE. CONGf. : 21N F"I RS r. . . . : 1034 S f LEFT. . .5 ft RIGHT. :8 fk
OCCUPANCY GRP. ;R3 SEZOND. . . :1396 51- FRONT.:20 ft REAR. :40 f I
STORIES. . . . . . .. •2 THIRD. . . . :0 Sf REQUIRED._ _._._._.___,__ _.
HE 1 Q,I I T. . . . . . . %,P 1i ft - - --- : 19;:317) S f 5MOKE DETUCTORG. Y
I-LOOR LOAD. . . . :40 ci s f VALUE'. . . . . $ : 96664 PARKING S F-`A C ES'. . I
PATP i
V'LUMDINC-3
G 1 r\1 1`Si. . . . . . . FLOOR DRO 1 -.0 D(-)CKr_LG)W PRE.VNTHE"i. . -0
...AVATORIES. . . wATER HEATERS. I TRAPS. . . . . . . . . . . . . . :0
TUE-,/SHOWr7,RS. . . . :3 LAUNDRY TRAY23. . . : 1 CATCH BASINS. . . . . . . Q)
WATER CLOSETS. . :3 SEWER LINE (ft ) . -0 GREASL TRAPS. . . . . . . 0
W)TE.R LINE (ft ) . : 100
OTHER rIX'TURE13. . . . . ..fl!
OARBAGE Disr'. : I RAIN DRAIN (f't ) . -0
440SHINQ MOCH. J. `3F ROIN DRAINS. . 1
ME.CHON I CAL - ,... .- - .. . -I I - I.-.. --__-_.-- - r.F L,:3
F U 1.7 1. T Y_IC UN] T I-F r 1-( y[1)0 In') .krl t L)y Cj a t;e
G A S, V EN T S . . . . . .0 TIF t 151.'0. 00 JH 09/09/93
MAX ' NIP01".0 BTU VENT PANS. . :4 RPRT $ 424. 00 J11 211'1'-/0 1)/')-*'1,
FUR ( lkoft\ HOURS. . . . . . .. 1 BPLC $ 40. 0Q1 J L H 08/2.121/93 43--2'43457
F, P,' ) nntLAOR 0 WOODS-10VLF3. :0 A5PC $ 121. 12 Q1 JH 0")
JUR FURN. . :0 GLC_) DRYERS. : 1 0 S D C $ X80. 00 JH 09/09/93
01,111-7,R UNITS: I PPRII, $ ``(1['171. 017.1 111 09103/9
UPS OUTLETSgl MPRI * 4 ;. Z16 JH 09 '09/93
Owner MIA 1: $ 10. 86 JH 101)/09/9-11
-TRY MILLE.R m5PC $ c. 18 JH 09/09/93
VPRT 155. 00 Jf 1 00/09/93
P5PC 7. 755 J14 09/1719/93
JOY MILLER
BOX
"R. 1
66)4 7ti4l
0 0 T 1)T(I L
r.,s pervit is issued subject to the requidt)ons contained in the REOUIRED INSPECTIONS
71prd Municipal Code, State of Ore. Specialty Codes and ail other Faot/fuimid Irisr) Framing Insp
applicabie laws. All work will be done in accordance with approved ;-'Io-,t/Beam Strm,,t Fireplace Insp
This pemit will #xpirp if work is vict started within 188 Posf-/DeAm (3at; Line Tnsfi
days of issuance, or if work is suspe7ded fog- sore 1han 130 days. Crawl Drain InSU18tian Insp
4,
P11n/UnEJSlab Insp Uyp Bnavd IVISF
I e PI_M/Underf loor Rain d,,-air, iri,
Me c..,h a ri i c,a 1 1 Ti s p Water Line Ir-t-
r I I!_t m h I 4)P D�xt In!-,
rl v, t-p
417`5
SEWER CONNECTION
CITY OF TIGARD PERMIT
COMM9NITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . SWR93-17390
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171 DOTE ISSUED-
PARCEL: 2S115AA-07600
i"E A 1)D RIE7 S S. . . : 10582 SW TITAN LN
SUBDIVISION— . : BERKLEY ESTATES ZONING:
Lei .. . . . . . . . . . L.01... . . . . . . . . . . . . 00&
TENIANT NPMF-'.
I..)rjA NO. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS Or WORK. . . :NEW DWELL,I NG UN I TS). . . 11
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :LAISWR IMPLRV SURFACE. : Sf
Remarks: PATH I
Owner. FEES
JAY MILLET tyr,e aMOIATIt by date rer-pt
PRM" $ 220COO JH 09/09/93
INSP $ 35. 04.1-1 JH 09/09/9
pl-lone
Carltractor.
CONTRACTOR NOT ON FILE
C2L'?.3-j. Q)@ TOTOL
Reg #. . : REUUIRED INSPECTTONS
This Pq;licant .green to romply with all the riles and regulations e W in r I r s 4j e C t I
of -7t Jnifitd Sewage Atip,icy. The persit expires 180 days frog
. C ..uf issued. The total count paid will be forfeited if the
perrit expires. The Agency does not guarantee the accuracy of the ......
sift sewer laterals. If the sewer is not 11,cated at tne otasurtient
given, the installer shall prospect 3 feet in all directions froa
the distance given. if not so located, the jnstal'er shall purchase
a "Tap and Side Sewer' Peroit and the latera:.
e r M I t t F.e S j.;j 11 a t LI)-P
y
tt e d
C LA I I fcot- i ri s pt n t i roc,, 41 75
vJ\
�-, �zswPLNCK/RECTCIrTY OI TIGARD PERMIT N /115/ E-3
COMMUNITY DEVZLOPMENT DEPARTMENT 7iprd.0epn97m ---
(M)63 "" DATE ISSUED
JOB ADDRESS: -40,5 E-A 5 V iiran TAX MAP/LOT sl 15AA �ll�
SUB: ✓kLe,�-j t64-�4s LOT: S LAND USE: -
VALUATION:
OWNER SPECIAL NOTES
NAME: !QA (n; I L.n Y X31 d►' REISSUE OF: mN
ADDRESS: PO 13ox, Ala,) 1 LAST REISSUE:
-1-fc co-cl. Of. C)-)aa) FLOOD PLAIN/
G
PHONE: (oaf- 5 3 SENSITIVE LAND:
CONTRACTORPP�1 ROVALS RE U`L T RED SU l-s of- l e
NAME: �JC�u ►Y) l Lkr' PLANNING: V - ___-
ADDRESS: __ ENGINEERING: _
FIRE DEPT:
PHONE: OTHER: 7—
CONTR.
CONTR. BOARD R: ^ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLIMB: /fin. U►/C-Af5 LIST/SUBCONTRACTORS:
MECH: 601 'ne. BUS TPJ(:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS: _ I
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: .1Y 70 .-9 . �, `y>f- -...-t-��-�-
NE
APPLICANT SIGNATURE
Received By: �-(� .� Date Received:
-- �k=— a_
PERMIT ACCI # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
msf 3.0 10-432 00 Building Permit Fees
10-431 00 Plumbing Perrin Fees
10-431 Ol Mechanical Permit Fees y
10-2.30 01 State Building Tax (5%) ,3/, /3
Puildiny ' ,?-V
Plumbing J Z J
Mechanical �I '
10-433 00 Plans Check Fee
Building 61
PI umb i ncr I
Mecha,tical 0,��!
10-230 06 Fire
ticc, u3d� 30-202 00 Sewer Connection auu / 61`'
30-444 00 ;ewer inspection — 3 �__ s',
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees
25-448-03 Office 111 Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees (/ lr r 1U
52-449 00 Parks System Dev Charge (PDC) -% '" _ s
31-450 00 Storm Drainage Sylt Dev Chrg
2.4-445-01 Water Quality (,ee in lieu of)
24-445-02 Water Quantity (Fee in lieu oft
TOTAL_ 5"�3��S S/f ,, 51 1
nm/3587P.WPV