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10606 SW TITAN LANE 'WE NEW ADDRESS: i:\records\rr.icroflm\targets\bui Wing.doc r �— - CERTIFICATE OF CITY OF T I GARD GERM 11 #OCCUPANCY. T I.►?--Nr't COMMUNITY DEVELOPMENT DEPARTMENT DATE 13FUED: 02/03/93 19125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 j PARCEL. ��'�i l'SAf-i--Qt7arltl�� i I TE ADDRESS. . . 10606 SW TITAN LN a'JBDIV'1SION. . . . . BERKLEY F-STATES ZONING: );L.UCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :007 i;:LASS OF WOR.N.. s IEW ''YF"E OF USE. . a SF ,3CCUPANC`r GRP. a R3 ;.)L(,UPANCY LOAD:202 4 )ENANT NArtL— s Remarktse PATH i IT FT EASEMENT 014 WEST SIDE TOY M I I.LL R " l SOX 23291 : iUARD OR 9728.1 0hune #a 684-7543 :ontrac:tor: --- ......_._... ._..._...._.._ _..__ .... _. _ _....._. ... -. lk'Y MILLE.k ' 'I] BOX 230459 CIGARD CR '37281 'hone #1 684-7543 +e g *. , : 30109 Iccupency 0f ttte above r-NFerenced b,ti1.1ing iherehy given, wid ce►rtI it t1-1e compliatnce witch tha '.3t®,til (:If Ore po) Spe ialty Lodes for the! 141-o up, "r_•r_cIprnt .'y, and use ttrider whaic"i the ri,ferencvd rer�mit. WAe: i13al1ed. � I L+UI!_IiTNAO C► IN.y �ECTOR PU LDIN ` I=IOST IN (-,0N 3P 1 C:UOUS PLACE I l 67, ECTIo NOTICE city of ?igmrd Building Ifepa�tm"nt /x ^ 13125 BR Hall Itivd. Tigard. Oregon 97223 Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 63-?'4171 Inspections__`_. ----- Footing Flbg. Underulab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gan Line FINALS -Bldg. Poet/Beam St:ruct. San. SP•�er Framing � Post/Beam Mech. Rain Drain Insulation Plbg. Underfloor water Lino�� Gyp. ad. -Mech. Date Iu,questeds - - �_L�-- Time- AM PN U _ Permit #t_l2,a U Addreee:. Builders_ THE FOLLOWING CORRECTIONS ARE REQUIRiUs —Z '7 Date: Inspector: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinep• t Page No. 1 CASE HISTORY FOR CASE NO.: MST92-0215 JAY MILLER 10606 SW TITAN LN 09/09/98 Action Description Req/ Schd/ End/ Action Notee Disp By update Jpd Code Sent Done Done Date B' MSTA010 Plan check deposit paid / / / / 09/29/92 09/29/92 BLT MSTA092. (F) Issue combination permit / / / 10/07/92 JF 10/07/92 JH MSTA092 (F) Issue combination permit / / / / 05/08/93 05/08/93 JH MSTA097 Issue plumbing signature form / / / / 10/07/92 JLH 10/22/92 JH MSTA705 Foot/found Insp / / / / 10/14/92 PASS TLP 10/15/92 TLP MSTA710 Post/Beam Structural / / / / 10/21/92 PASS TLP 10/26/92 TLP MSTA711 Poet/Beam Mechanical / / / / 10/21/92 PASS TLP 10/26/92 TLP MSTA717 PLM/Underfloor / / / / 10/21/92 PASS TLP 10/26/92 TLP MSTA7e0 Mechanical Insp / / / / 11/20/92 PASS MS 11/23/92 MRS MSTA722 Plumb Top Out / / / i 11/24/92 FAIL MS 1:./25/92 MRS MSTA722 Plumb Top Out / / / / 11/25/92 PASS MS 11/25/92 MRS MSTA725 Framing Inep / / / / 11/25/92 PASS TLP 11/30/92 TLP MSTA735 Gas Line Insp / / / / 11/20/92 PASS MS 11130j92 TLP MSTA740 Insulation Inap / / / / 12/02/92 PASS TLP 12/03/92 TLP MSTA745 Gyp Board Inep / / / / 12/04/92 FAIL TLP 12/04/92 TLD MSTA745 Gyp Boird Insp / / / / 12/04/92 PASS TLP 12/11/92 TLP MSTA755 Rain drain Inep / / / / 10/19/92 PASS TLP 02/04/93 TLP MSrA7oU Water Line Inap 1 / / / 30/19/72 PASS TLP 02/04/93 TLP MSTA765 Appr/Sdwlk Inep / / / 02/04/93 FAIL LT 02/04/93 JH MSTA765 Appr/Sdwlk Insp / / / / 12/15/92 PFND LT 12/23/92 NL MSTA795 Mechanical Final / / / / 02/11/93 PASS TLP 02/U4/93 TLP MSTA797 Plumb Final / / / / 02/03/93 PASS TLP 02/04/93 TLP MSTA799 Builcing Final / / / / 02/03/93 PASS TLP 02/04/93 TLP MSTA960 (F) Ieccc Cert. of Occupancy / / / / 02/03/93 JF 04/20/95 JF MSTA970 Casa Finaled / / i / 02./04/93 TLP 023 02/04/93 TLP CITYOFTIFARDMASTER PERMITi C1TYOFTWAItD PERMIT #. . . . . . . : MST92-0215 COMMW,'..y DEVELOPMENT DEPARTMENT l. ORE90H 131259WK"'A. P.O.Box 23397,TigaM,c...a„o 974WIM3l"41TS DATE ISSUED: 10/07/92 SITE ADDRESS. . . : 10606 SW ] [TAN LN PARCEL: 2S115AA- 917 SUBDIVISION. . . . : BERKLEY ESTATES ZONING: BLOCK. . . . . . . . . . . ' OT. . . . . . . . . . . . :7 --------------------- -------------- BUILDING -----•----------------•--------------------- RE I SSUE:MET92-0107 ')WELI .JG UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GANA13E. . . . . . . . . . :416 sf TYPE OF USE. . . :SF FLOOR AREAS-- -------- FEQU111ED SETBACKS----------- TYPE OF CONST. :5N FIRST. . . . :9 70 sf LEF T. . :6 ft RIGHT. : 11 ft OCCUPANCY GRP. .-R3 SECOND. . . :864 sf FRONT. :20 ft REAR. . :56 ft STORTF:S. . . . . . . :2 THIRD. . . . :0 sf REQUIRED----- ____.._____.__.____ HEIGHT. . . . . . . . :22 ft TOTAL-----•-: 1834 sf SMOKE DETECTURS. :Y FLOGR LOAD. . . . :40 psf VALUE. . . . . $: 91888 PARKING SPACES. . : 1 Remarks: PATH 110 FT EASEMENT ON WEST SIDE ---------•--------------------------- PLUMBING - ------_--_ _-__----------- -- ----- --- SINKS. . . . . . . . . .. : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR�-j— :0 LAVATORIES. . . . . :4 WNTER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : i RAiN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRA I NS. . t 1 --------------- MECHAN J CAL - ------- ------ ------- --------- FEES FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF t 1460. 00 JH 10/07/92 - MAX INPUT:@ BTU VENT FANS. . :4 BPRT f 409. 00 JH 10/07/92 - FURN ( 100K . . : I HOODS. . . . . . : 1 BPLC ♦ 40. 00 JLH 09/21/92 231841 FURN ) =100K . . :N WOODSTOVES. :0 B5PC f 20. 45 JH 10/07/92 - FLOOR FUr4N. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 JH 10/07/92 - BOIL/CMR ( 3HP:0 OTHER UNITS:@ PARK $ 300. 00 JH 10/07/92 - GAS OUTLETS: 1 MPRT $ :39. 00 JH 10/07/92 - Owner: ----------------------------------- MPLC f 9. 75 JH 10/07/92 - JAY MILLER M5PC 1. 95 JH 10/07/92 - PO BOX 23291 PPRT f 155. 00 JH 10/07/92 - P5PC f 7. 75 JH 10/07/92 - T.IGARD OR 97281 Phone #: 684-7543 Contractor: ------------------------------ JA'r MILLER PO BOX 23291 . IGARD OR 97281 Phone #: 684--7543 Reg #. . : 30109 --------------- ------------------------ $ ----•-- -- ------------------------ $ 2922. 90 TOTAL This per-mit is issued subject to the regulations contained in the ------ REQUIRED INSPECTIONS ------- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foi.ind Insp Fireplace Insp applicable laws. All Mork will be done in accordance with approved Fast/beam Struct Gas Line Insp plans. This permit will expire if work is not started within 198 Nosh/Beam Meehan Insulation Insp days of issuance, or if work is suspended for more than 198 days. Plm/undslab Insp Gyp Board Insp PL.M/Underfloor Rein drain Insp Permittee Signature : _ _ �'�'� _ Mechanical Insp Water Line Insp p i Plumb Top Out Appr/Sdwlk Insp Issued By: 4 Framing Insp Mechaiiical Final Gall for inspectiln - 639-4175 - +7 SEWER CONNEECIION PERMIT CITYOFTIVA RD PERMIT >11. . . . . . . SWR92-0300 C11YC>�TlfriA4m COMMUNITY DEVELOPMENT DE�'A �" DATE ISSUED: 10/07/92 13126&W FWI Blvd. P.O.Bar.23397,TOW,Oregon 97&"(E) 196 SITEADDRESS. . . : 10606 SW TITAN LN PARCEL: 2S115AA-BE SUBDIVISION. . . . : BERKLEY ESTATES ZONING: BLOCK. . . . . . . ,. . . . LOT. . . . . . . . . . . . . :7 TENANT NAME. . . . . : USA h0. . . . . - • • - • : FIXTURE UNIT'S. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 �"YPE OF USE. . . . . :SF NO. OF Ei1J I LD I NGS: 1 INSTALL TYPF_. . . . :BUSWR IMPERV SURFACE. . : :sf Remarks: OATH I --- -- FEES --------------- JAY MILLER type amount by date recpt PO PJX 23291 PRMT $ 2100. 00 JH 10/07/92 - INSP f 35. 00 .1H 10/07/92 - TTGARD OR 97281 Phone #: 664-7543 Lontrantor: CONTRACTOR NOT ON FILE --------------------------------------- Phone M: $ 2135. 00 TOTAL Reg #. . - -------- ------- REQUIRED INSPEC-TIONS This Replicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified sewage Agency. The permit expires 180 days fTc! __ _ _ _.._._._ ___-•—.the date issued. The total amount paid will he forfeited if the permit expires. The Agency does not guarantee the accuracy of thR �_-. _--- ---- - --- —" 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 givtn. If not so located, the installer, shall purchase _.-- a 'Tap and Side Sewer" Dermit and the Agency will install a lateral. - - P(-r m i t t e p S i gnat ure: Issued B y: Cali for inspection - 639-4175 b i ci,-rA/,, / 13125 Sw lienBwd. PLNCK/RECT # yt Or TIGARD PO[lox Z3397 PERMIT # n-5 a �s COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon 97223 (503)639- 171 DATE ISSUED JOB ADDRESS: .�. 1. _ TAX MAP/LOT SUB: d¢rkle(l LOT: i LAND USE: _ VALUATION: C1/ i??fes � OWNER SPECIAL NOTES NAME; "Tai miller !dr- REISSUE OF: ADDRESS: 1080)( LAST REISSUE: 4�1i q0 r(iy (' O 12 z 3 FLOOD PLAIN/ PHONE: b ----7S, y3 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED SU(5gj-bo18 NAME: ir) Ilex PLANNING: 014 ADDRESS: .L) K 21 �� J _ ENS JEERING: 7 �yd FIRE DEPT: PHONE: ')6 �3 OTHER: CONTR. BOARD #: EXP DATE: ITEMSREE UIRED SUBCONTRACTnRS: PLUMB: r LIST/SUBCONTRA.CIOR--: MECH: _ BUS TAX: _ ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: _— y1 PROPOSED BLDG. USE: COMMENTS: � 1 [u �n►�..��'.,�. �� 5 c c�� — — APPLICANT SIGNATURE -�ct-c< Date Received: Received By: .— ��n"M = PERMIT # ACC1 # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE j)L. -u21' 10-431 00 Budding Permit Fees _ 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) U,1S. Building - .(/ Plumbing ti 7• ?)^ **;' Mechanical 10-433 00 Plans Chick Fee tq 7>' Building v � Plumbing Mechanical y '� 10-230 06 ' ire .3w u,J(-v 30-?C; 00 Sewer Connection 30-444 00 Sewer Inspection 3 2.5-443-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448--01 Residential Traffic Fees / SD.Oo /3Sv 25-448-05 Mass Transit TIF Fees /0•p� ' � U _ 52-449 00 narks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dcr, ChrS (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL. � �J � - _Sosl nm/3587P.WP1