10685 SW TITAN LANE - � 1
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I IY OF T I CARD CERTI r'I CATE OF
COMMUNITY DEVELOPmEw DEPARMENTOCCLIPANCY
131 id SW Hall Blvd,Tigard,Oregon 972211911" (08),0W4171 PERMIT" #. . . . . . . : MST93-0179
-4171 DATE ISSUED:
PARCEL: 203il5AW-089121121
STTE ADDRE(53S. . . : 106t)3 SW TITAN LN
SURD IVISION. . . . z BE RKLEY ESTATES LONING-
BLOCK. . . . . . . . . . I L04 . . . . .
CI-ASS OF WORK, vNEW
TYPE Of' ILISE. , . :S-
OLLUPANCY GRP. :PS
OCCUPANCY L.OADsR22 4
TENANT NAME':. . . :
Re&Arks: POTFI I
Owner' .. ------
JnY MILLER
VIO BOX 23291
TIGARD OR 97281
Phone #s 684-7543
C,nntracl ori
JAY MILLER
P0 BOX 23291
TIGARD OR 97281
Pho-ie #s 684----7543
Req #. . s 30109
Occupancy of the Pbove referee-Wed building is hereby given, and certifie
the comp) iance with the State Of Or-090n -3,P(xcialty C"es for th P q r 0u PI
ocrupant-Y, and use under which the )-efev,-?ncPd permit war
1-7
FIRE I)EPARIMUNT ,G ECTUR
I ZDIAL
r-AOSI' IN LUNSPICUOUS PLACE
City of Tlgerd Buildingrt 97223
13125 Be Hall Blvd. Tigard. Oago
e�rt�
Inspection Line (Rec-O-Phone): 539-4175 Business pho 39-4171
lrr_rting
Plbg. underalab Mach. Rough-in Appr/Sdwlk
Frwnd.
Plbs Top Out Gas Line /INALt
lramin
tsvca, ee�. 8ewer g
Post-/Ream Meeh. Pain Drain
Insulation -Plumb•
Flbg. Underfloor Nater Line
Gyp. Rd. -Koch.
Time
Date ReguestUdl !
Permit #iZ/ 7Gl
Adrlreset
Builders-'�����/l /
THE IOLLOWIMO CORRECP10"8 11113
---------------
Inopoct or z
iAPPWAMD nISAPPR1V6D _ APPROVED SUBJRCT TO AW"
Call
For Reinsp.
CASE HISTORY FOR CASE NO.: MST93-0179
JAY MILLER
10685 SW TITAN LN
09/09/98
ACLIun Description Req/ Schd/ End/ Action Notes
Uisp By Update Upd
Date By
Code Sent Done Done
- ------------
S
PA66 JLH 03/29/93 BLT
MSTA001 Application received / / / / 03/18/93 PASS JLH 03/29/93 SLT
MSTA010 )lan check deposit paid / / / / 03/18/93
MSTA020 Plan check by
03/29/93 / / 03/49/93 PASS RT 03/29/93 BLT
PASS RT 03/29/93 BLT
MSTA030 Check for prcl. restrict. / / 03/29/93 03/29/93 03/31/93 JH
MSTA092 (F) Issue combination permit / / / / 03/31/93 03/31/93 JH
MSTA097 Issue plumbing bignatuie form / / / / 03/31/93 PASS TLP 04/05/93 TLP
MSTA705 Foot/found Insp / / 04/05/93
04/12/93 PASS TLP 04/13/9. TLP
MSTA710 post/Beam Structural / / / / PASS TLP 04/13/93 TLP
MSTA711 post/Beam Mechanical / / 04/12/93
04/08/93 PASS MB 04/08/93 MRS
MSTA717 PLM/L.iderf.loor / / / / PASS TLP 06/23/^3 TLP
MSTA720 Mechanical Insp / / 05/10/93
MSTA722 Plumb Top Out / / / /
04/28/93 'ASS TLP 05/04/93 TLP
MSTA725 Framing Insp / / 05/05/93 bathtub area window not tempered change PASS TLP 05/10/93 CLP
before insulation inspection.
05/10/93 PASS TLP 05/10/93 'CLP
MSTA735 Oae Line Inep { / / { PASS TLP 05/07/93 TLp
MSTA740 Insulation Insp / / / / 05/07/93
05/11/93 PASS MS 05/11/93 MRS
MSTA745 0'/p Board Inep / / / / PASS M9 04/0 /93 MR8
MSTA755 Rain .!rain Insp / / / / 04/08/93 PASS MS 04/08/93 MRS
MSTA760 Water Lire Insp / / 04/06/93
MSTA765 Appr/Sdwlk Inep / / / { 05/25/93 1. Be prepared to protect finish. 2. PEND LT 06/08/93 NI.
Remove "sugar water" from approach
before pouring. 3. Install one more
drain line to curb.
06/21/93 PASS TLP 06/23/93 TLP
MBTA795 Mechanical F1,.a1 PARS TLP 06/23/93 TLp
MSTA797 Plumb Final i { 06/21/93
06/21/93 PASS TLP 06/23/93 TLP
M6TA799 Building Final / / / JF 08/10/93 JF
MSTA960 (F) Issue Cert. of Occupancy / / / 06/21/93
sTA970
-see Finaled / / / /
PASS TLP 06/23/93 TLP
06/21/93
CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)639-4171
:.A7E ADDRI%`6 - - *
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CITY OF TIGARD L:f11,11 f . . . . . . . . 'AJ R 1)3 0 15 8
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)839-4171
jWjL 44RL[*.L -
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.LJLK. . . . . . . . . .
Ni-INT NAME:. . . . . I i; .IXTURE UNIT�—
NU. . . . . . . . . . .
-03'3 ul kir[). Of-- DUILDINGS.
j"_IL OF USE- - - - - :`A--
L Pe
00. 00 JH
BOX
NU i' UN I ILL
Lj RLUUIRED I N 3I-'L L f
is Applicant alli-vis to comp.'y wit, ail the r,aiei ono regulations e we I j 5 Vi e C:t 10T, __,•_._ ..� _...—__._._..
tae
------
tap Unified Sewage 4jenCy, ',oe i;!.r!w expires A days fral
e date issued. The total alount paid "114 be forfeited if the
"rolt ehpi'es. PIZ H&ency duos not guarantee the accu-racy of trip
.at sewer Itterals, if vii: sewer is iW 14matea at the Peasu"elent
.yen, the insta,',er shall prospect 3 feet in all directions ft-Gle
distance given, ;f not so Aocatea, the mstaller shall purosse
"Tdp and bldt Sewer'` P9V1111 -Mt" lnsta?'
nI �,Lari
41
3F
PV
i i»u SW Hall Diva PLNCK/RECT #
CITY OF
1 1�.. ARD PERMIT 0 /775 1f3- 01 U
COMMUNITY DEVELOPMENT DEPARTMENT Tyud.Or"m97M —
(SO))&"41" DATE ISSUED
JOB ADDRESS: /0&2 5 5 V/ -TL EO 0. k-rZ TAX MAP/LOT g2.5) 15'44--9670 a I
SUB: Zerke 1 c �.o FCS l�� LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: ��IL —Y'Y-t(.LQh.. (.SIA - ,Qr11 P REISSUE OF ��Lj !� --
ADDRESS: D BOX Z_3 2f7 ( LAST REISSUE:
FLOOD PLAIN/
PHONE: �r �> � SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: �- 1C =, 1-4 C PLANNING:
ADDRESS: ENGII' RING:
FIRE DEPT:
PHONE: OTHER: :�'r F
CONTR. BOARD #: ��( i0�� EXP DATE: 3
l STEMS REQUIRED
SUBCONTRACTORS: PLUMB: P) t/ LIST/SUBCONTRACTORS:
MECH: �3c L 9 4 T )C BUS TAX: -
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHuNE:
PROPOSED BLDG. USE: A
COMMENTS:
.1-2, "'If�t. •/CJ!"r �EfCI c r � t
APPLICANT SIGNATURE
Received By: _ sic.- Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT A14OUNT PD. BAL. DUE
10-432 00 Building Permit Fees 0 -
10-431 00 Plumbing Permit Fees it _ sJr
10-431 01 Mechanical Permit Fees 311
10-230 01 State Building Tax (5q) 6
Building d
Mechanical
10-433 00 Plans Check Fee
Building U /
Plumbing
Mechanical 2 )
10-2.30 06 Fire
5a 15,5 30-202. 00 Sewer Connection
30-444 00 Sewer Inspection _3 >� 33-
25-448-r2 Conuuercial 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 /3So _ l3S U
25-448-05 Mass Fransit TIF Fees —110 /t V
52-44S 00 Parks System Dev Charge (PJC) JU U
31-450 00 Storm Drainage Syst Dev C rg
(S50C) U ,
24-445-01 Water Quality (Fee in lieu of)
24--445--02 Water Quantity (Fee in lieu of)
TOTAL �u
C
nm/3587P.WPF