12622 SW 131ST AVENUE �. ..
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CITY CSF TIGARD E:E=r?TIF ICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PC:RMI T #. . . . . . . : MG1*913 -9539
1312&6W Hull Blvd.Tips•d,Orspon 07223.8109 (303)+839.4171 DATE_ :5SUED a 02/16/94
PARCEL: 2G 104AC-•-W820lZj
SITE ADDRESS. . : 12(x"'• S4) 131ST AVE: '
SUBDIVISION. . . . a MORNING HILI. NO 5 rrNlJv'3�R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s 22'45
CLASS OF WORK. :14 W
TYPE OF USC'. . . :SF
OCCUPANCY CARP. r R3
OCCUPANCY LOAD a 224 4
'TC:NAIV T NAME::. .. . :
Remarks: Pfl'fH I
Own er a
JAY MILLER IILDR INC
F' O BOX 23291
116ARD OR 97281
Phone #: 684--7543
Contractors
JAY MILLER
PO BOX 2.3251
T IUNRU OR 57261
i'hone #: 684--7:543
Rey #. . : :.30109
Occupancy of the above reforenc:ed bui idinp ip hersby given, arra certifies
the compliance with the State Of Oregon Specialty Codes for the groljP,
occ,..ipancy, and use under which the referenced permit was issued.
F 1 EZE_ DEPARTMENT Ea 1) GIN '' .C:rOR
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St -D N� i 1AL
POST IN CONSPICUOUS PLAC K
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;NSPECTIOR t70TICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 634-4171
Inspection-
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino PINA
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Rech. Rain Drain Insula:.ion -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mech.
Dnte Requested: 2_ , CL Timer AM PM
Address:1? l( L Z- 1^�� ` Permit #�3
Builders_-__-_
TBE FOLLOWING OOhRECTIONS 'RE REQUIRED:
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Inspwctor: Y�� L - r� �— Date 1 2-
—APPROVED DISAPPROVED APPROVED 3URJECT TO ARM N
—Call For Reinsp.
I SPLsCTTON NOT-SCE
City of Tigard Building Departioexit
13125 SW Ball Blvd. -1-ard, Oregon 97223
Inspection Line (Rsc-O-Phones 639-4175 Business Phones 639-4171.
Inspections___ -- - ----_ -•—
Footing Plbg. Und-ralab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: z 3 y r Timet --_AA q PM
Address: / .. Z Z r — _— Permit i s
Builder: _• _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors.—_ / — Date:- 2--S-�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Rall Blvd.. Tigard, Oregon, 97222
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inepections
Fcoting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -BBl'd`g.
Post/Beam Hoch. Rain Drain Insulation -P1. /
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: Timer _1A PN
Addrons: Z L Z L % Permit #:_��U•r
flu i]alert _
THE FC,-IOWING CORRECTIONS ARE REQUIREG:
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Inspectors - Date:
APPROVED DIAApF1eOVtD APPROM eu&n?7r To Anon
Call For Reinsp.
INSPECr1ON NOTI(-E \l
City of Tigard Buildlnq Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection. Line (Rec-o-Phone): 639-4175 Business Phones 6.39-4171
Inspections_., V�(
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out gas Line �INAL�
Post/Beam Struct. San. Sower Traming
Post/Beam Hoch. Rain Drain Insulation -Plumb. �/
Plbg. Underfloor water Line Gyp. Bd. -Meoh. /
Date Requested: G L�) f Times AN pll
Mddrass: 21e
1 �2�1`� y c^�
z nn,,,,z , Permit �tCI��`7
Builders` 14
11 1 IAA 6" �_4(( ��iL�Q 77 —ell�SC�
TAE FOLLOWING CORRECTIONS ARE REQUIREDs
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AlPwO U _j"-'DISl1PPROVED APPROVND SUBJECT TO ABOVt
1 /7ti�1� t..-Call For Reinsp.
IINSPECTION NOTICE
City of Tigard Building Departaent
13115 SR Ball Blvd_ Tigard, O•egoa 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspections_ _
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Founl. Plbg. Top Out Gas Line L-FINALt )
Poet/Beam St.ruct. San. Sewer Framing -8?4g11 I
Pont/Beam Mech. Rain Drair Insulation
Plbg. Underfloor Water Lino Gyp. 5d. -igch.
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Date Requesteds 2 - I I I Time: 'Z _M PM
AddrFsss Permit ft 7 5
Builders
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THE FOLLOWINO CORRECTIONS ARE REQUIREDt
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Inspectors �"� Date:
__APPROVED V DISAPPROVED APPRf'VED SUBJECT TD A'IOVE
_Call For Rainsp.
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1NSPECPlON NO('I(,'L+
City of Tigard Building Departnent:
13125 SW Nall Blvd_ Tigard, Orogon 97223
Inspection Line (Rec-O-Phons)t 639-4175 Buaineas Phone: 639-4171
Irapecti.on: �A)"tj L_-
Footing Plbg. Underslab MHch. Rough-l.: `Appr/Sdwtk
.7ound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sawnr framing -Bldg.
Poet/Beam Koch. Pnin Drain Incul.ation -Plumb.
Plbg. Underfloor water Line Gyp. Rd. -Koch.
Date Re.?»ested: 1 5 ~/ 1 Time: -PH
Address: Zz t J� Perwit y�#: 1 J CE J�53�j
Bu1.lder: t u-I Oar -7
THE FOLL(NdING ODRRECTION9 ARE RRQUIRED:
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t!lADV/D D29APPR:YV1t1) APPROVED SUBJRCC To ARMS,
/` Call For Rsinap.
INSI;'E(`.TION NOTICE
City of Tigard Building Department
13125 SR Fell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg, Top Out One Line !IlUII.t 1
Poet/Beam Struct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation �-
Plbg. Underfloor Nator Line gyp. Bd. -Mach.
Date Requesteds 'r C/ —TUMi AM ,�_PM
Addreee3JPe/t7lit toQ
Builders_ L ( d Q_ — �.1.�t.�� / i�� IY�C7 —
TAB MIJA WING CORRECTIONS ARE REQUIRRUt
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APPROVED %-_OI8APPROVSD APPROVED BUBJSCT TO ABOVR
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- Call For Reinsp.
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NSPF,CTION NOTICE
City of Tigard Buildirg Department
13125 SP Ball Blvd. Tigard, Oregon 97223
Inspection Line /Rec-4-Phone): 639-4175 Buoinena Phone: 639-4171
Inspection:_,
Footing Plbg. Underelab Hach. Rough-in =/8dw1�
I ound• Plbg. Top Out Gas Line 12Nl+T,t
Post/Beam Struct. San. Sewer Framing -Bldg,
Post/Beam Mech. Rain Drain Insulation _Plumb,
Plbg. Underfloor Water Line Gyp. ed. 46epb,
Date Requested: Z -Time: AM pl(
Hullders.%- ' _t'�t )c l!`/� 72d - 0 /
THE FOLLOWING OORr.ECTION3 AAE REQUIRED:
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Inspector:
APPROVED DIDAPPROVED yAPPROVND SUBJECT TO ABOVE
Call For R-einap.
INSPECTION NOTICE J
City of Tigard Building Department -
13125 SW Ball. Blvd. Tigard, Oregon 9722.3
Inspection Line�(Rec-O-Phone)s 639-4175. Dueinean Phones 639-4171
Inupection:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas l ',ne FINAL:
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beam Kach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Br. -Nwh.
Data ''Requeste(d,:, � ` 1 � � Timei AM QPM
?!dress:1�'`�+�Z 2" Permit 1:'1/
Builder:
THE FOLLOWING CORREC-TIONS ARE REQUIRED:
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APPROVED DISAPPROVED \- APPROVED SUBJECT TO ABOva
For Reinsp.
INSPECTION NCTI_ i
City of Tigard Building Department
13115 SIX Ball Blvd. Tigard, Oregon 972. '
Inspec`:ion Line (Rec-O-Phone): 639-4175 Business Ph,ne: 639-417',,
Insper_tion:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Sari. Sewer Framing -Bldg.
Poet/Beam MFr_h. Rain Drain Insulation�; // -Plumb.
Plbg. Underfloor Nater Line{ Opp. pd, -Mech.
Date Requented:i PM
Addr.eee: w Permit #s'7 -CS M
Builders 4,_l
TBH FOLi,OMI-M ODRR=CTIONS ARE PJWIRZD: 1
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APPROVED DISMPROVED ✓ APPRMRD SU&7ECT TO ABOVE
�� Call For Reinep.
INSPECTION NOTICE W
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phono: 639-4171
Inspection:�i
Footing Plbg. Underslab Hoch. Rough-in hppr/Sdwtlk
Found. Plbg. Top Out Gas Lino FINAL%
Post/Beata Struct. San. Sewer Framinq -Bldg.
Post/Beam Hoch. Rain Dtain Insulation -Plumb.
Plbg. Underfloor Water
'Ane yp. ed. -Mech.
Date Requeete/d-t__ T1eMt ` AM�-z_/ PH
Address% �2(�Z2- t JPermit
Builders Q
THE WCLL7WINO CORRECTIONS IM REQUIRED%
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Inspmotnr! � Date% IJ
APPFAMM DISAPPPOVED _�// APPROVED SUBJECT TO ABOVE
V� !•� Call For Rainsp.
INSPECTION NOTICE �\`1
City of -lgard Building Department v
13125 SW Ball Clvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phans)s 639-4175 Business Phones 639-4171
Inspection:, :
Tooting Plbg. Underalab Mic... Rough-in Appr./Sdwlk
Found. Plbg. Top Out B Line FINAL:
Poet/Beam 3truct. San. Sewer Framing -Bldg.
Post/Beam Moch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lino } GyrF, ad. -Mach.
Date RequelIsted s I l_ 2 �/ ' / 7 ime s -As j PM
Address• f 2(a2-2 � Sfi _i Permit is q3 Cl`�
Builders `��VS/1 b-S6- /I lJ I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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-A?PRCWtO DIEAPPROVIM APPROVED SUBJECT TO ABOVE
/ Call For Reinsp.
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INSPECTION NOTICE 1
City of Tigard Building Department
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Onderslab -11IMOh. Rough-id ` Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINALS
Post/Beam struct. San. Sewer 4 kXM� ) -Bldg.
Post/Beam Mxh. Pain nrain Insulation -Plumb.
Plbg. Underfloor pater Line Gyp. Bd. -Koch.
nate Requestede f 2- Io �f--5 `_Time: -------M PK
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Addr.-fesss 2ZL' ' Permit ft
St,ilder t J It
TTL VOLLOWING CORRECTION:!`A R REQUIREV:
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11PPRJVRD DIsAPPROVtD APPROVED SUBJECT TO ABOVX
Call For Rsinsp. LI'C _ 4z "
INSPECTIop NOTICE
City of Tigard Building Department
1.3125 611 Hail Blvd. Tigard, Oregon 97223
Inspection Lite (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. 111bg. Top Out Gas Line FINAL:
Pont/Beam struct. Sen. Sewer Framing -Bldg.
Post/Beam Mach. Pain Drain Insulation -Plumb.
Plbg. Underrloor (later Line Gyp. Rd. -Much.
Date Requestedt Timet AM PM
Addresetrr, Permit ♦ wt r:
Buildert� lr?. r � Ml�_� OU
TBR FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DI3APPROVED APPAOVED SUBJECT TO ABOVE /
Call For Reinap.
]NBPECTION N9ZLCE
City of Tigard Building Department i
13125 601 Ball Blvd. TigarA, Oregcm 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Pooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Pound. -Plbg. Top Out Gas Line PINALi
,Post/!team Btruot.T Ban. Sewer Praminq -Bldg.
`Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
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Date Recraisted:_ ' _/I / _—Times AM
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Addy,-essi�,t—rI-4 ��J �t Permmit is 7. J O's 3C�_
Builder:
THE MUCTIMS P.RE REQUIRED-
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EQUIRED:
�?\A ,fin„-_�� -1 ,e1 l_ - ��C_�-✓ =\ 1� Q
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Ivulpeators
DISAPPROVEL APPROVED SUBJECT TO AWWW
Call Por Reinsp.
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,INSPECTION NOTICE
City of Tigard Building Department
131.25 SR Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:) -or
Footing Mg. Underalab Mach. Rough-in Appr/Sdwlk
hound. Plbg. Top Out Gas Lina FINALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Pihq. Underfloor Water Line Gyp. Bd. -Hach.
Dete Requesterrdt � 4 ( j Time: AH PH
Address: -1 F'2-2 ��� Permitf-'Y
Ruilderi �
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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InapootorV/9 � y _ ^__ Datae_
114PlboVlD DISAPPROVED APPROVED SUBJECT TO ABOVW
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart—t
13125 811 Hall Blued. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-1171
Inapection:
Footing Plbg. Underelab Rech. Rough-in Appr/S3wlk
Found. Plbg. Top Out Gas Line FINAL:
Punt/Beam Struct. San. Savor) Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lin* Gyp. Bd. -Koch.
bate Reques
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Permit f, ( _
H.ril•iNr: �� 1.! C��� to
THIP rOLLOWING CORRECTIONS ARE REQUIRED: l
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inspector: nate: , / 1
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABrnIE
Call For Rainsp.
INSPECTION NOTICE f1
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineas Phones 639-4171
Inspections`
! Plbg. Underslab Mech. Rough-in Appr/Sdwlk
1
- Plbg. Top Out Can Line FINALS
Post/Beam Rtruct:. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater LLne� Gyp. Bd. -Meeh.
Date Requestedt7z
_ !6 -2 1 I ✓ Times AAM N,��PM
Add;-, 2- 1-3 P �- — Permit
Sts Id
,9:::' �1 .� /1_{ y 0 r DZLP�
T14P 1!OLLOWIM, OORRECTIONS ARE REQUIREDs
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Inspectors _ Date
APPROVED DISAPPR0VED APPROVED it?BJECT TO ABOVE
�/� �_A _,Call For Rtsinap.
IMSPRCTION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd., Tigard, Oregon 97223
Inspection Line (Roc-O-Phone: 639-4175 Business Phone: 630-4171
Iaspwtion s
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` / Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Lino FINAL:
Post/Beam Struct. ran. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested eM I l Times s AM PH
Address �2 �P Z C,Permit f:/")3 -0—)`!T—
Builders'-1,,117 DC� ? �`� 1_1�v
THE FOLLOWING COMMONS ARK REQUIRED:
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InsE.ectors /� Dates (73
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APPRODy DISAPPROVED APPROVED SUBJECT TO ABOVE
v/' }.� X11 For Rsinsp.
PL.UMBING PERMIT
T #. . . . . . ..
CITY' OF TIG"'ARD DATEPERMI . ..,
ISSUED: 1025M/9ST93--0531,3
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 972234199 (603)639-4171 JDARCEL.: 25104AC-09200
I,._ 111:)D R E''S 5. . . j ,::a: ' '_3 W i 1,;.'T' i i Ul
SU13DIVISION. . . . c MORNING HILL NO 9 ZONING: R-25
BLOCK. . . . . . . . . . . I-0T. . . . . . . . . . . . .225
CI-ASS O ' WORK. , -NEW GARLAAGE DISP'OSALS. . . 1
TYF:,E OF USE. . . . .SF WASHING MACH. . . . . . . : 1 BACKFLOW PIREVINITRS. . :0
OCCUr,ANCY GRP,. . -R3 FLUOR DRAINS. . . . . . . :0 T R A P'S. . . . . . . . . . . . . . :0
SI'ORIES. . . . . . . . :2 WATER I-JEA'(ERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . : 1 GF RAIN DRAINS. . . . . : 1
SI NKS. . . . . . . . . . .. I GREASE TR(-I P'S. .. . . . . . :0
I-1-1 V A TO R IES. . . . . :4 OTHER FIXTURES. . . . . -.0
TUB/SHOWERS. . . .: c.:iEWCR LII IE ( ft- ) . . . . CA
WATER CLOSETS. . .-3 WAIER ( Ft ) . . . . 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . — . .O
Remarks : r-,ATH I
OWI\4ER.-
JAY IvIll—L—EIR LAI—DR INC T I F $ 1520. 00 JI-4 10/25/93
P 0 BOX 23291 BP,RT $ 513. 00 JH 10/25/93
B1 11—C $ 50. 017, JI—I 1 10/14/93 93 51')1.
TIGARD OR 7231 B5f:,c $ 25. 65 JI-i 10/_5/93 -
P'hone ft: 664--7543 SSDc $ 121016. 00 JH I0/E5/93 -
1-,'0 R K $ 500. 00 JH 10/25/93
Plumbing Cant vact or MPIRT 1; 45. 0121 JI-I 10/25/93
MPILC $ 1 1. i:-'5 j+1 10/25/93
Name 115PC 1, 2. 25 JF-1 10/25/93
r)ddre s-> PPRT $ .155. 00 JH 10/25/93
C i t t a t e 11 7. 7'j .'!H 1.1.11125193
Z.1 P: BPLC $ 15. 510 JI'l 1.0/1'5/93,
R e g #
................ REQUIRED INSPECTIONS
C,,i.3 permit is issued si..tbject to the reg-
0.ations contained in the -ritlard Municipal Foot/found Insp Rain drain Insp
.
Code, State of Ove. Specialty Codes and .ill Flost/p;?am StI.I.,kc-t Wi!.kter I-ine Insp
other applicable laws. All work will be done r-lost /Beam Mechan Appr/Sdw1k Insp
in accordance with approved plans. This r:,Im/,-tndslab Insp IyIvL-hanical Final
permit will expire if work is not started FILM/Underfloor P'lumb Final
within IBIZI days of issuance, or if work is; Mechanical Insp Buildiny Final
suspended for more than 160 days. Plumb Top Out Erosion Control
Framing Insp Crawl bi-air.
Fireplace Insp
LL Gas LAne Insp
Insulation Insp
Ln Iit--
Gyp Puard itsp
Au ori Contract r Signature
Call for inspection -- C-39 -4:1.75
Contractor Notes .
LU
MASTER PERMIT
CITY OF TIGARD PERMIT 44.. .. . . . . . . MST93•-0531)
COMMUNITY DEVELOPMENT D00AR'ti"- T DATE I5GUED: 10/25/93
13125 SW HaNBlvd.Tigard,Oregon 97223.8199 (503)839-4171 PA RCCL.: 23 I.Q14AC--08 00
ITE f)*DDRESS. . . : lc:b2: SW 1311 ST AVr
(..)UPDIVISION. . , . ; MORNING HILL_ NO 9 ZONING: R-25
13LOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :2,R5
BUILDING _________ _..___.._______. _..._.....,__.._..............__....._.... _..._ ._ _
RE:,ISSUE: -MST93--9538 UWE.LL I NG UNITS: 1 BASEMEN r. . . . . . . . a 0 s f'I_.ArIS OF WORK. :NEW BED RMS:3 BATH'3:3 GARAGE. . . . . . . . . . ..410 5
TYPL. OF USE". . . :SF FLOOR AREAS-------_..-._..__.__ RELiU I RE:D SETBACKS---_.._..__....__._.._.
1'*YP ()F CONST. :5N F. IPST. . . . : 1634 sf LEFT. , : 13 ft RIGHT. -.20 ft
uCCUPONCY GRP. 03 SECOND. . . -.8(-4 s f f=R(3NT. :20 ft REAR. . r.41 ft;
.,,TORIES. . . . . . . r2 1HIRD. . . . :0 s RE QUIRE'D__ _._....__..___ _._._.._..__._..__._
I IE I GH`T. . . . . . . . 4 ft TOTAL 2 G 9 8 s f SMOKE DETEf...:TORS. :Y
F-LOOR LOAD. . . . :40 p5 f VAUJE. . . . . 3: 131 A.68 PARKING SPACES- 1
Rema -ks;: OATH I
PLUMBING
sINI•:S. . . . . . . . . . .* 1 FLOOR DRAING. . . . :0 BACKf LOW PREVNTRS. . :0
AVOTORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
UB/SlA0WERS. . . . :3; LAUNDRY TRAYS. . . : 1 CATCH BNSINS. . . . . . . ..0
WATER CLOSETS. . :3 SEWER LINE (ft ) . .i21 GREASE TRAPS. . . . . . . :0
01S111W(?yl•iE:RS). . . . . 1 WATER LINE t ft ) . : 1.00 OTHER FIXTURE=S. . . . . .0
3ARBAGC DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING M11110-1. . 1 SF RA 11q URA I NS. . : 1
MECHnNICAL __.--•--___.____._.._._.__..___.__.__..______...__. FEES
-UE::L TYPES.__._._.___...._w.-._ L)1\1IT HTRS. . :Q, type amol_int by date r-ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1',:X0. 00 JH 10/25/93 —
MAX INPUT:O Bl_lJ V[;NT :4 BIDRT $ 513. 00 ill 1.0/x:='5/9;3 --
F"URN ( LOOK . . :0 HOODS. . . . . . : 1 BPLC $ 50. 00 JLH ILA/14/93 93—•c'451g J
TURN ) - 100K . . a I WOODSTOVES. :0 95PC $ 25- 65 Jit 10/25/9_2 _.
17LOOR FURN. . . . r0 CLO DRYERS. a .1 55DC: $ C.80. 1410 JH 10/25/93 --
i)OIL/CMP ( 31-117- :0 OTHL—r•t UIVI TS: 1 PARK $ 500. 014) JH 10/25/9:3 --.
GA;j OUTLETS: 1 MPRT $ 45. 00 JH 10/25/93
$ 11. 25 JH 10/215/93 _
'AY MILLER 6LDR INC M5PC; $ 2. 2:5 JH 10/25/93 —
0 LUX 23291 PPRI $ 155. 014 JH 10/1::5/9,3 -
P5PC $ 7. 75 JH 10/25/93 —
I CARD 0:1 97281 DPLC $ 15. 00 JI
hone #: 684-7543
fPY MILLER
'Q FOX : 3291
IC ARD OR 97281
hone #: 684-7543
ncj
$ 3124. 90 TOTAL.
lis perait is issued subject to the regulations contained it the ---- -- REQUIRED INSPECTIONS ---------
:gard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.tnd Insp Fir-eplace Insp
c -oplicable laws. All work will be done in accordance with a-proved Post/Beam StrLict Gas Line Insp
fans. This persit will expire if work is not started within 180 Past/Beam Mechan Ins,_ilation Insp
Sys of isfuance, or if work is suspended for sore than 180 days. Plm/Ltndslab Insp Gyp Board Insp
PLM/Under•fiaol- Rain drain Insp
ermittee Signiatul-e : Mechanic:ai Insp Water Line Insp
Plumb Top Out Appr/l dwIk Insp
P' : Fiaminq Ince rr t , nit_ i Fina
Call fat- inspection — 639-4175
SEWER CONNECTION
PERMIT'
CITY' OF TIGARD PERMIT #. . . . . . . . SWR93---0465
COMMUNITY DEVELOPMENT DEOAFftMtNT DATE ISSUED: 1.0/25/93
13126 SW Hall Blvd.Tigard,Oregon 972234199 (5031,639-4171
It PARCEL. 2SI04AC-08200
S11"E ADDRESS. . . : 12622 SW 1,11IS1 AVE
SUDDIVICION. . . . . MORNING HILL 11,101 9 ZONING:
IALOCI.... . . . . . . . . . LOT. . . . . . . . . . . . . ..225
TI WANT NAME:. . . . . :
USA RIO. . . . . . . . FIXTURE UNITS. . . -
CLASS Or WORK. . . -NEW DWLLL I NG UN 1 TS. . : I
TYPE Or- USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL_ TYIDE. . . . -BUSWR IMPERV SURI-ACE. . :
Remar-kis : PATH I
Owner— FEES
JAY MILLER BLDR INC type amount by date r-ecpt
V, 0 SOX PRMT $ 2200. 00 JF1 10/25/93
-
INSF! $ 35. 01 j I-A IIIV 25/93
YIGARD OR 97281
–'bone 4- E,84--7543
Cant r-ac:t
criNTRACTOR NOT ON r"11LE
r,fiane it: z2235. 00 TOTAI–
Reg
REUUIRLA) I N'Ei E C T'l 0 N S
This Applicant agrees to cooply w;th all the rk,]Es and regulations Sewer Inspection
of the unified Sewage Agency. The permit expires 180 days from
the date issied. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
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 given. if not so located, the installe!- shall purchase
a 'Tap And Side Sewer" Permit and the Agency will install a lateral.
Pe T..m i t t e o S i y n a t 1-i i--e
S S.1-t e a IA y
Ca I I for inspection 639-41'75
LI I CIF: II(,HI4D — W t.'E:IV'T Cit PAYMF.NI HF:t:l Il I NO. a9:�,-
AMOUNT a �304. 90
NAME: q MII_.L+.H, JAY CAl44 AMOUNT : 0. WLA
ADDRESS a PAYMENT DAT U a 10 r`.'r/93
UBD I V 181 LIN a
PURVIC)SE OF PAYmF.NF AMOUN F' PAID PURPOSE* OF F'AYMF_N1' AMCILINt PPI 11)
13U H-DING PERM 51:.3. WA PLUMBINU PERM 1515. 00
MF( .Ht1NICP!._ PE' 45. 00 ST. BUILD PER ,3;5. tll5
r PLAN CHFCK FE 26. P?5 SEWER USA 2PIA0, 00
n
t -WF.R I.NSVI .C';'1' 35. 00 PARKS SDC boo. 00
STORM DRAIN 9DC PA0. 00 HE S I DEN t I AI._ T RAF F I C F TEES 1410. 00
MASS TRANSIT TIE FEES 110. 00
r
D
7
J
J
1-01 225 MI.IHN.F NU WILL #9
l;?6;?C- 51W 131.ST AVF-.
T E)J til. NMUUN 1 5309. yN
• MY OF 11WARD RECEIPT (IF PAYMP-Ni RECF.-.1PT ND. 9 3--i?4.`,J.L)I
CHECK AMOUNT t ov.10. 00
NAME. t JAY Mll-1J-.R CASH AMFII.IN T a IA. 00
ADDRLSS t P0 BOX L.`3P91 PAYMENT DAM a 10/14/x! -
SUBDIVISION
TIGARD, OR 972P3—
i ,I.JRPOqE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMF*Nl AMOUNT PAIL)
i,LAN CHECK FF P-50. oel POIN CHECK FE
c.
rr
rr
ui
-j
t2634 13W MORN IN13 HILL
! SW I31S7 AVI-.*
i - ff-IL AMOUNT PAID 300. vio
Residential Building Permit Application At `�" /
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: Lc) t .3 j -
Subdivlslony�/? { f Lot #�c3�_ 0111co usa UNy
�3/ �� --� Planck/Rec# f�_` e✓
Valuatic,,. q
Permit #
Owner: .�'�1� �
�-�� Reissue of
Address:
Approvals Required +�
Planning & '�7`
Phone: _
Engineering
Contractor: _ per
Address:
Items Required
Phone: Subcortractors
4'
Truss Details
Contractor's License #
(attach copy of curreni Oregon license) �f
Subcontractors:
Plumbing: ��iy�___L.•�--
C[�t�
Mechanical:
(attach appy of current OR Contractor's tJ8Anse)
Archltect/Englneer: _
Address:
s
`V Phone:
J
t;
COMMENTS: r UE
Applicant Signature B�Phone number
///o
// /,
Received by: — Date Received: 0 ~�`7 7
Permit # Account Description Amount Amt. Pd. Bal. Dlie
ps39
Bldg. Permit (BUILD) S/3 `--'
Plumb. Permit (PLUMB) /5 j
Mech. Permit (MECH) 4>�
State Tax (TAX) 33-1 j 3-51-1 li
Bldg: S ��
Plumb: 7• i) /
Mech: 2 J
Plan Check (PLA CK) 76. z)—
:
9
Bld
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3-)
Parks Dev Charge (PKSDC) .70o
dorm Drainage Chg (SDSDC) ,�
Residential TIF (TIF-R) /L)
Mass Transit TIF (TIF-MT) r I o—I U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O) -
F-
Water Quality (WOUAL)
J _
J
Water Quantity (WQUANT)
w
Fire District (FIRE)
TOTALS: S3 5 0 50 530
.i