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10654 SW TUALATIN DRIVE
ADDRESS: Sly TuoA Ln i:\records\microflm\ta rgpts\buil,+ing.doc CERT1F1r*f!TF Or" C17Y OF TIGARD OCCUPAN(-,%, PERMIT #. . . . . . . : MST-)40307 COMMUNITY DEVELOPMENT DMRTMENT DATE ISSUED: 0'5/12/95 13125 SW Hall Blvd.T!jard,(Dragon 972234199 (503)639-4171 PARCCLI aITE ADDRESS— : 10654 SW TUALATIN DR ,A)BUIVISION. . . . : DOVER L.ANr)lNfj' 70NWGtR--4. 5 . . . . . . . . . . : i-OT. . . . . . . . . . . . e9 ,.LASS Or- WORK. :11JEW YPE OF USE. . . %5F )CCUPANLY GRP. cF.3 0CGU(4NCY LOADC23111 4 TENANT NAME. R!gmaswks : PATH I Owner.- lAY MILLER 0 BOX 23091 IGARD OR 97281 11hovie #s 684-7543 CONTRACTOR NOT ON FILE 1-'hone #1 phis ('ertific"Ate cet'tif ies th:�.t the above r,eferenced bk.lildilly op- portion thereof has been inspertpd for comoliance t-4ith the Tigar-d Building Code for- the group and division of And UsF..- for Which the above pcwmit wam xisued, and or(;'ApillnCy is her-@by a�. 4j ,&nte1j DINU 1NcX[_CT()R IN AC: IAL. POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phyq e: 639 44171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in &INALPos' Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing umb. Alarm Water Line Insulation ch Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: ��/z r� Time: --AN' _1M Address: 1&6 Builder: i r Permit #: THE FOLLOWING COFfR Moi", ARE REOUIRED: i Ins ector: APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0307 JAY MILLER 10654 SW TUALATIN DR 09/10/99 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 07/27/94 PASS JF 08/04/94 BLT MSTA010 Plan check deposit paid / / / / 07/27/94 PASS JF 08/04/94 BLT MSTA020 Plan check by 09/04/94 / / OB/04/94 PASS RT 09/04/94 BLT MSTA030 Check for prcl. restrict. / / 08/04/94 08/04/94 PASS JLG 09/04/94 BLT MSTA092 (F) Issue combination permit / / / / 09/05/94 JF 08/05/94 JF MSTA092 (F) Issue combination permit / / / / 09/07/94 09/07/94 KS MSTA097 Issue plumbing signature form / / / / 08/05/94 JF OB/LS/94 JF MSTA705 Foot/found Insp / / / / 09/19/94 FTG APP GS 09/19/94 GES MSTA705 Foot/found Insp / / / / 09/23/94 FOUNDATION PASS RB 09/26/94 RB MSTA720 Mechanical Insp / / / / 01/25/95 connect all bath vents before insulation PART TLP 01/31/95 TLP MSTA720 Mechanical Inrp / / / / 01/31/95 same correction as beior�: FAIL TLP 01/31/95 TLP MSTA722 Plumb Top Out / / / / 01/1'1/95 PASS TLP 01/17/95 TLP MSTA725 Framing Insp / / / / 01/31/95 reconne^t roof rafters PART TLP 02/06/95 rLP with approved ties MSTA726 Framing �REINSP> / / / / 02/06/95 PASS TLP 02/06/95 TLP MSTA73�i Gas Line Insp / / / / 01/25/95 PASS TLP 01/25/95 TLP MSTA740 Insulation Insp / / / / 02/02/95 PASS TLP 02/06/95 TLP MS-A745 Gyp Board Insp / / / / 02/13/95 APP 08 02/13/95 GES MSTA155 Rain drain Insp / / / / 09/26/94 PASS TLP 05/15/95 TLP MSTA760 Water Line Insp / / / / 09/26/94 PASS TLP 05/15/95 TLP MSTA765 Appr/Sdwlk Insp / / / / 07/21/95 PASS LT 07/27/95 NL MSTA795 Mechanical Final / / / / 05/12/95 PASS TLP 05/15/95 TLP MS' '797 Plumb Final / / / / 05/12/95 PT.SS TLP 05/15/95 TLP MS1 3 Building Final / / / / 05/12/95 PASS TLP 05/15/95 TLP META?60 (F) Issue Vert. of Occupancy / / / / 05/12/95 JF 08/07/95 JF MSTA970 Case Finaled / / / / 05/12/95 PASS TLP 05/15/95 TLP MATER PERMIT CITY OF TIG��� PERMIJ it. . . . . . . : MST94-0307 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEO: 08/05/94 13125 SW Hall Blvd.Tigard,Or*gon 972,23981199 (503)639-4171 PARCEL: 2'113115AD-02800 SITE ADDRESS. . . : 10654 SW TUALATIN DR SUBDIVISION. . . . : DOVER LANDING ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :9 BUILDING ----------------------------------------- RElSSUEP DWELLING UNITS: 1 BASEMENT. . . . . . . . :960 sf CLASS OF WORK. aNEW BEDRMS:3 BATHSt3 GARAGE. . . . . . . . . . ..beg sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :966 sf LEFT. . :5 ft RIGHT. a5 ft OCCUPANCY GRP. :R3 SECOND. . . -660 sf FRONT. -20 ft REAR. . : 15 ft STORIES. . . . . . . ..2 THIRD. . . . :0 sf REQUIRED------------------- HEIGHT. . . . . . . . :30 ft TOTAL - : 1626 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . 140 psf VALUE. . . . . $: 177119 PARKING SPACES. . : l Remarkst PATH I ------------------------------------- PLUMBING SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : l LAVATORIES. . . . . ..4 WATER HEATERS. . . : 1 TRAPS. . . . . TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . tl CATCH WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE 'rRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . -. 100 OTHER FIxruRE9. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . 11el WASHING MACH. . . : 1 SF RAIN DRAINS— i1 MECHANICAL.. FEES FUEL TYPES------------- UNIT HTRS. . :0 type ainal-int by date___.._ iat9 reept /GAS/ VENTS . . . . . :0 TIF $ 1550. 00 JF 08/05/94 MAX INPUT:O BTU VENT FANS. . :4 BPHT $ 628. 00 JF 08/05/94 FURN ( 100K . . .-0 HOODb. . . . . . : 1 l3PLC $ 408. 20 JF 07/27/94 94- ) =100K . . .- I WOODSTOVEG. aO B5PC $ 31. 40 JF 08/05/94 -- FLOUR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280- 00 JF 08/05/94 - 80*A'L/CMP ( 3HP:0 OTHER UNiTSil PARK 1 500- 00 JF' 08/05/94 - GAS OUTLETSil MPRT $ 45. 00 JF OE/05/94 11. 25 JF 08/1215/94 JAY MILLER M! �,C s 2. 25 JF 08/05/94 P 0 BOX 23291 3BTH = 225. 00 JF 08/05/94 P5PC 11. 25 JF 08/05/94 I'IGARD OR 97281 EROS 64. 00 JF 08/05/94 f-110119 #: 684-7543 ERPC 20- 80 JF 08/05/94 (]OTItractor- 20. 80 JF 08/05/94 JAY MILLER r10 Box 23291 1* 1CARD OR 97281 11hune E,84-7543 30109 $ 3797. 95 TOTAL 'his permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Figa-d Municipal Code, State Of Ore. Specialty Codes and all other Foot/foo.tnd Insp Fireplace Insp appi,cable laws. All Pork Pill be done in accordance with approved POst/PPAM Stt-(-(c!t Gas Line Insp plans. This permit Pill expire if work is not started within IN PostlSeam Mechan Insk(lation Insp days of issuance, or if work is suspended for more than 180 days, V'.lm1o.iy)d-,lab Insp Gyp Boarid Insp " 17'LM/Underf I ojlRain drain Inspr1e) Mittep Signat1-tre . ( Mechanical .111sp Water Line Insp !SS((Qd PY ! 9 Plumb Top 0i-It Appr/Sdwlk Insp Framing Insp Mechanical Fin,, l Call for inspection 639.-4175 J PERMIT � ;,\ � PERMITI"I" #. . . . . . . ; S�JR94-027` CIN OF �� ! DATE ISSUED: 08/05/`34 COMMUNITY DEVELOPMENT D ' AR ANT 13125 SW Hall Blvd.Tigard,Onpon 97223.8199 (503)839-4171 PARCEL: 2S 1 15AD-0:-Lc100 ;�.1'l_. ADDRL:afa. . . 1�1E+54 SW TUO LATIN DR -4. SUBDIVISION. . . . : DOVER LANDING ZONING: R I_.0 T'. . . . . . •9 BLOCK . . ' . . . . . TENANT NAME. . . . . : : FIXTURE UNITS. . . USA NO. . . . . . . . . • I)WELL-ING UNITS- - : ]. CLASS OF WORK. . . :NLW NO. OF BU I LD I NGS: 1 TYPE OF USE. . . . . :SF INSTALL i-YI�E. . . . :LAUtWR IMF'ERV SUI�FACF_. . � > I R^marks : PATH I FEES Owner: .-__...__._____-----_--.__..____._ --- MILER PRtyfoe _._aMOIAnt by date recpt JAY F' MT $ 2200. 00 JF 08/05/94 - O MIL 2'3291 ` INSP $ 35. 00 JF' QI(3/05/94 - I' l(.;PRD OR 97C''61 'hone #: 684-7,543 Cont Tactor : c.ON 1-RACT OFA NO1 Url f"ILE 2235. 00 TOTAL R e L.j 1t " ' REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer, Inspection �- of the l)nified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid w6 l be forfeited if the �. _ - ---- ---- - permit expires. T"e Agency does not guarantee the accuracy of the -- side sewer laterals. If the sewer is not located at the measurement given, the in�'aller shall prospect 3 feet in all directions from the distolre given. If not so located, the installer shall purchase �— -- — a "Tap and aide Sewer" Permit and the A ency�will install a lateral. I e r,m i.t t e e U i g n a t r.r r•e : 1 ,-s t.r e d P y : Call for inspection 639--' 175 Residential Building_.Pehmit Application City of Tigard 13125 SW Hall Blvd, Tigard, OR 97223 (503) 639-4177 Jobsite Address: �� ( �w I IL�k"/l h✓1 Subdivision: V Lot# _— Office Use Only / Valuation: 17 /_ti N 5,1/,07V–// y, Planck/Rec # Corner Lot? Permit #��� (1 .36 7 Flag Lot? Y N Reissue of Map & 7 L ) L„1 Owner: (� Approvals Re uir�)d Address: tU I -- Engineering Phone: Other Contractor: Items Required Address: A A 0 Subcontractors -- Truss Details Phone: — ---- Other Contractor's License # _ (attach copy of current Oregon lirense) Contact Name & Phone.) Of(ASCQjAYJ Subcontractors: Architect/Engineer: of Plumbing: Address: _ �U se)x. Mechanical d1L.L' AI-Jt_L_�� _ Ilutiri , (attach copy of current OR contractor's License) Phone. ���V f � JOB DESCRIPTION Applicant Signature & Phone number ~" Recuived by _. _ __ Date Received: N MORD\COMOMRESAPP i i i Permit# Account Description Amount Amt. Pd. Bal. Duce j �C - u7 Bldg. Permit (BUILD) .;z(y, w �'�'� v� _ Plumb. Permit (PLUMB) "���, G J Z S� Mech. Permit (M7=CH) State Tax (TAX) CHI U r1 X10 ✓ Bldg: _ —3 Plumb: Mech: Plan heck (PLAPICK) 7`/ `� �J ✓ _2_7v �" I� `�) J Bldg: Plumb: Mech: u Z7 Sewer Connection (SVJUSA) �' Sewer Inspection (SWIN3P) 3 ) .3 ) / Parks Dev Charge (PKSDC) _ Storm Drainage Chg (SDSDC) ✓ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) _� 0 Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office ' IF (TIF-0) _ Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) G Erosion Planck/USA (ERPLAN) _ 0 �y Erosion Plan%k/CUT (EROSN) 1211 - TOTALS: 7 <