15358 SW 81ST AVENUE i�
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15358 SW 81ST AVENUE "�'
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INSPECTION NOTICE
City of Tigard Building repartment
13125 Sit Ball Bl.wd. ^.igard, Oregon 97223 `c,
Iaaspection Line (R�c-O-Phone): 639-•4175 Buni.neen Phone: 539
Foot-i•.g PIN. Underelab Mach. Rough-in Appr/Sdwlk
ro, Plbq. Top Ott Gas Line FINALS
Poet/Beam Struct. San. Bauer Frvauing -Bldg..
Poet/Baum Mech. Rain Drain Insutnt.lon -pl''m'''n'��b.
Plt.r. c'nderfloor Nater Line C1,9, *A. I--N.h.00
bate Aequentedt � ^ `' Tlmst AM pM
1 � S `> MSL � �-
Address: G7 f ' Permit h+ L)L
Bu .lder•
�-20
THE FOLLC401v. OOIU LEC1IORS ARE REQUI'N D t
Lnspictor Date
APPROVEb DISAPPROVED APPROVED BUBJICP TO ABOVE
Call For Reinop.
W W I!Lw w
_INS_PECTION NOTICE /
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41.71
Inspection:
Footiry vlbg. Underslab Mech. Rough-in Appr/Sdw11t
Found. Plbg. Top Out Cas Linc FINAL:
Post/Beam ctruct. San. Sewer Framing -Bldg.
Poet/Br:am Mach. Rain Drain Innulatlon -Plumb.
Plbg. Underfloor Water Line Gyp. Ud. -Koch.
Date Requested: 4:vp-z — �� --- Time= ,—AM /— kM
Address:__ l., c , _5 7'
�y /
Builder:
THE FOI.I.OWING CORRECTIONS ARE REQUIRED:
CAI,
G_.sL u�rziv4c�
-7
Inspector= _-- Date:
APPROVED —� DISAPPROVED _ APPROVED SUBJECT TO ABOVE
_Call For Rpinnp.
CITYOF T167ARD `
ccff 6ARD MEC;HF�NICAL
COMMUNITY DEVELOPMENT DEPARTMENT ama" PERMIT
13125 SWFWIBlvd, P.O.Box 23397,Tigard,Oregon 97223 106"9-4175 ``rte, PERMIT #. . . . . . . : MEC91-0295
6:39-4171 DATE ISSUED: 12/10/91 1
SITE ADDRESS. . . : 15356 SW 81ST AVE PARCEL : 2-'S112CB-0010.-5
SUBDIVISION. . . . : hSH1-'ORD OAKS 10N 1 NG
BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . . 130
CLASS OF WORK. . !ADD FLOOR FURN. . . . : -- - 'EVAP COOi_EkS:
(YPE OF USE. . . . :SFUN 11' HEATERS. . - VENT FANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : DOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 'fYF'ES- ----- —_---- 0-3 HF'. . . . : 1 DOMES. INC?N:
:/ELE/ / 1 3-1, HP. . . . : COMM1._. INCIN.
MAX INPUT: PTU 15-30 HP. . . . : REPAIR UNITS: j
FIRE DAMPERS?. . : ,0--50 HP. . . . : WOODSTOVES. . : I
GAS PRESSURE. . . : 50+ HP. . . . : C'LU DRYERS. . :
NO. OF UNITS------------__ AIR HANDL I NC= UN I TS OTHER UNITS. -. !
TURN ( 100K PTU: (= 10000 cfm : GAS OUTLETS. :
TURN ) =100K LTU: > 10000 cfm:
I
kemar-ks : 3 TON AIR CONDITIONE=R/AIR CLEANER
Owner,. —________________ FEES
RICK GOLDSMITH type amount by dat? r^ecpt
13358 SW 81ST AVE PRMT t 25. 00 00 JLH 12110191
-rIf;ARt'� OR 97� , �4 -
��PCT f 1. 25 JLH 12110/9 1 -
j
Fh'one #: 620-0635
Contr'•aictor-: _--------______---_—_—_.---_.-----
BELL 14EAT I NG INC
1551.50 SE PTnLa.A AVE.
(.LH('KMAF3 OR 97015
Phone #: 243- 1184 � 26. 25 TOTAL
Reg #. . : 447
I ------- REOU I RE'D INSPECTIONS --------
This persi` is Issued sub iect to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Oro. Specialty Codes and all other
applirablo laws. All work will be done in accordAnce with
approved plans. This pewit will expire if work is not started
within 188 days of issuance. or if wort( is suspended for sore
than 1B0 dav5.
F'p r m i t t e e S i y n a t i_i r•e :
(7/j
Issued P y •
Call for insopetion - 639--417°.l
ff
q�--fffiffw
CITY OF TIGARD RECEIPIT OF PAYMENT RECEIPT NO. :91-220501
CHECK AMOUNT 26. 25
NOME ! BELI.- Hii-f4TIN(-3 INL CASH OMOUNT 0. 00
ADDkL:E';S : 13550 SE PIAllA nVE IJAYMENT DATE a 12/10/91
t':')USDIVISION
Ct-ACKAMAS, OR 97015-
f URPIOSE OF 04�11FA%IT AMOL IN I" FIA 10 PURPOSE OF PAYMENT omnL.INT V,AID
25. 00 ST. BUILD PER
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1':; 15a SW 81ST AVE
I04rat (111SUN I PAlD P6. P115
W W W W tW-LTLF1M&q01L
CITYOF TIVARDCERTIFICATE, OF
(CF1YOr?Ev'AItD (ICC!IPANU :
COMMUNITY DEVELOPMENT DEPARTS \ onauora / PERMIT N. . . . . . , a M�>T'��1 f�a2�i
13125 SW Hell BW. P.R.Baan 23397,Tigard,Oregon 97023' 440
(k3)6975
- - - _ r)nrr' T(;!R11rng f4fi/f
S i 1 E:: ADnRESS. _ . It-'358 SW 91ST AVE PARCEL a 25311.2C D-0H 1.U.i
SUBDIVISION. . . . . ASHFORD OAKS 20NINGi
BLOCK . r . E__.._._.._.....,._LOT_.___...._...___`..,
• • • • r ■ ■ w • r •
CLASS OF WORK. cNEW _......_..__..__._._,
TYrE OF USE. . . aSF
OCCUPANCY ORFS. cR3
OCCUPANCY LOADePRO 4
TF."NANT NOME. . . a
Penta rH.S a
Owners
JAY MILLER
P. O. PDX 2:3291
T I OARD OR 97223
Phone #1 503-684--7543
Contractcra
JAY MILLER
P(7 PDX 23291
1'I OARD Ok 97223
Phone Ma 9114-7543
Req #. . 1 30109
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for thir group,
Occupatncy, aid use under which the referenced permit was issued.
FIRE DEPARTMENT BUILD NO IN�,
JkUILDI OFF,-Mpj..
POST IN C:ONSPICUOU9 PLACE
X 503 684 0671 J MILLEP BL.DP P.O;
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 9722.1
Phone:639-4175
TIVpd of Inspection
D&t& Requested
Address Tl me 4K- A.M. P.M.
Permit M.
Owner
Lot
Builder--
The Jollawing P-jilding Code dof Idencies are required to be corrseted-
Ae 0of
Ad-
Presented to �Apprcovsj
Inspemoi
E01110PProved
77U
Dw
�__
1 E A1,17,11,
CALL 0 nEiNspEc
Tiojv
YES L-1 No
9
W n W ,
INSPECTION NOTICE
City of Tigard Build-rig Department
P.O Bax 23397
Tigard, C.iregon 97223
Phone. 639-4175
Type of Inspecflon ---
Date Requested --_ _� — Time A.M. P.M.
.5 permit
Address __....._�__—_�..2 1 —
Owner —__ _ — Lot #� —
Buildor
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector s __ U Disapproved
Date
CALL FOR REINSPECTION
C1 Y E 1 0 NO
W w il[ w w IQ w w
INSPECTION NOTICE
City of Tigard Building Department v
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 /
Type of Inspectiont�--
Date Requested �Q/
Address � �) 0y ` Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
7 i i 7 t!� �O`✓k.(� GZi1� fL��
Presented to •' i-
�+ �A�pproved
Inspector (� / ❑ Disapproved
Crate _ / �1n
CALL FOR RF;INSPFFCCTION
F-1 YES lk-NO
--------------
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
(I Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
y/� _ Tlrryt Gld Q.M. P.M.
Date Requested /
Perm
Addressit #_�_—L�i..._5
Lot —
Owner— —
Builder
The following Building Code deficiencies are required to be corrected:
�}
Presented to Approved
— �—�'T-�-�'�
Inspector ' ! ' /1 C _ ❑ Disapproved
Late _..
CALL FOR REINSPECTION
L1 YES 5 -ND
! '
INSPECTION NOTICE L
City of Tigard Building Department
P.O. Box 93397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 4�6S� � �� ---- ---_— —
Oat Requested Z= Z 2— ri �� __ Time-- A.M.----P.M.
sr G ChZ�
Address � � ?�� g� �-_�_ � Permit
Owner ____ ___ _ Lot #
Builder .-_---�-- y 7
The following B•ailding Code deficiencies are required to be corrected:
Presented topproved
Inspector —Z' —_ U Disapproved
Date '2- -2 2-�U --
CALL FOR REINSTECTION
0 Y'E$ ❑ NO
INSPECTION NOTICE
City c Tigard Building Depnrtment
P.O. Box 23357
Tigard, Oregon 97223
Phone: 639-4!75
Type of Inspection
Cate Requested v �J / a Tima _A�.M/. P.M.
Address 1.5
Owners /i' _ Lot
Builder _ U �_—
The following Building Code eficiencies ;7ired to be corrected:
77
Presented to '--)2�Appmved
Inspector Ci Olappt'oved
Date r ��
CALL FOR REINSPECTION
0 YES ONO
CITYOF TIOARD
CC'MMUNfTY DEVELOPMENT DEPARTMENT ClTYUFTItsARD
OREGON
1312.1 SW Hell Blvd. P.O.Box 2.3397,Tigard,Oregon 97223 (503)639-4175 S
xxxx PERMIT ---
639-4171 PERMIT #. . . . . . .: SWR90-0023
PRIM. PERMIT 1. : MST90-0025
DATE ISSUED: 02/01/90
S TE ADDRESS. . . : 15358 3W 81ST AVE PARCEL: 2S112CB-0010:
S BDIVISION. . . . : ASHrORD OAKS ZONING:
DOCK� IAT130
------------------- --------------
--- -------------------------
----------
T NANT N.AME. . . . . .
U A NO.. .. . .. . . . :3>>87 FIXTURE UNITS. .
C SS OF WORK. . . :NEW DWELLING UNITS. . :l
T PE OF USE. . . . . :SF 110. OF BUILDINGS:1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :of
R�marka:
ner: ----------------------- --- FEES
---------- -----------•-----
J Y MILLER
type amount by date recpt
P O.BOX 23291 P1+MT $ 1250.00
INSP $ 35.00
T GARD OR 97223 PAYM $ 1285.00 JLH 02/01/90
P one is 503-684-7543
C ntractor: ---------•--------------------
R N WATTS PLUMBING
P BOX 230925
t GARD OR 97223
P one #: 5036846626 $ 1285.00 TOTAL
R g a1. . : 5n878
----- - REQVIRED INSPECTIONS -
I' is %pplicant agrees tc comply with all the rulfwa and regulations Sewer Inspection
the Unified Sewage Agency. The permit expires 120 days from Sewer. Inspection
t s date issued. The total amount paid will be forfeited if the Sewer Inspection
rmit expiree. The Agency does not guarantee the accuracy of the
s de newer laterals. If the Sewer is not locat J Fit the measurement
9 ven, the installer shall prospect 3 feet in all directicna from -
t e distance given. If not eO located, the installer shall purchase
a "Tap and Bide Sewer" Permit and the Agency will install a lateral.
P rm:.ttee Signature: f ("A
L ---- - -- '
I iaued By: -- ----------
Call for inspection - 639-4175
■i gkw_&Wxw�� FEW
CITY OF T16A RD
1 CITYOFTJGARD
COMMUNITY DEVELOPMENT DEPARTMENT �g� R RMIT
13 125sw:�i Blvd. RO.Box 23397,Tigard,Oregon 97273(503)s39-4t 7'
PE .. . .. : MST90- ,025
xxxx PRIM. PEP1IT .: MST90-0025
639--4171 DATE ISSUED: 02/01/90
SITE ADDRESS. . . : 15358 SW 81ST AVE P,'1RCEL: 2S112CB-00103
S BDIVISION. . . . : ASHFORD OAKS ZONING:
BIOCK. . . . . . . . . . - LOT. . . . . . . . . . . . . :130
--------------------------------- BUILDING -------------------------------------
_"ISSUE: DWELLING UNITS:1 BASEMENT. . . . . . . . :0 of
A U^ WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. .. . . . . . . . . :506 of
IT PE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS-----------
T PE OF CONST. :SN FIRST. . . . :1360 of LEFT. . :S ft RIGHT. :B ft
TI
GRP. :R3 SECOND. . . :740 of FRONT. :20 ft REAR. . :26 ft
S RIES. . . . . . . :0 THIRD. . . . :0 of REQUIRED------•--------------
H IGHT. . . . . . . . :20 ft T0TAL•------:2100 of SMOKE. DETECTORS. :Y
FLOOR LOAD. . . . ..40 pef NARKING SPACES. . :O
Remarks:
----------------------------------- PLUMBING
S NKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
VATORIES. . . . . :4 WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0
T B/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :1 CATCH BASINS. . . . . . . :0
W TER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
D SHWASHERS. . . . :1 WATER LINE (ft) . :1 OTHER FIXTURES. . . . . :0
G BAGE DISP. . . :1 RAIN DRAIN (ft) . :0
W SHING MACH. . . :1 SF RAIN DRAINS. . :1
--------------- MECKANICAL -•------------- -------------••-- FEES ---- ----------
F EL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . , . . . :0 PRMT $ 427.00
MkX INPUT:O BTU VENT FANS. . :4 PLCK $ 2.77.55
F RN < 100K . . :0 HOODS. . . . . . :1 5PCT $ 21.35
F RN >=100K . . :1 WOODSTOVES. :O PAYM $ 100.00 .GLH 01/16/90 106880
F OOR FURN.• . . . :0 CLO DRYERS. :1 STDC $ 600.00
B IL/CMP < 3HP:0 OTHER UNITS:O SSDC $ 250.00
GAS OUTLETS:1 PARK $ 250.00
Owner: -----------••----------------------- PRMT $ 40.50
J Y MILLER PLCK $ 10.13
P O.BOX 2329! 5PCT $ 2.03
PRMT $ 155.00
T GARD OR 97223 5PCT $ 7.75
P one #: 503-684-7543 PAYM $ 1941.31 JLH 02/01/40
ntractor: -- ---------- •----------------
.N WATTS PLUMBING
BOX 230925
IGARD OR 97223
Phone #: 5036846626
Reg #. . : 50878 ------------------------------------
$ 2041.31 TOTAL
This permit is issued subjecr to the regulations contained in the ------- REQUIRED INSPEC
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Inep Gyp R
applicable Laws. All work will to done in accordance with approved Poet/Beam Inep Rain
Flans. This permit will expire if work is not started within 180 :'lm/undslab Inep Water
aye of issuance, or if work is suspended for more than 180 days. 'echan+.cal Inep Appr/
Framing Inep Final Insp on
ermittee Signatures i _ Fireplace Inep
Gas Line Inep
estied By: Insulation Inep
CITY OF TIUARD - RF(XIFIT OF PAYMr4T REC NO-. 00107192
CHED AMOLIN1 ten."1
NAME; JAY MILLER CASH AMOUNT .00
ADVF�'-;- PAYMENT DATE; 041-.n-I--cO
T16ARD. OR :7227 BLOCK NO/ADDR:
15358 SW 81ST
PUPPOISE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AML.)jjNT PAID
----------------------- ------------
?LIIL.DING PERMIT (90-0025) 427.Oi) PLUMBING PeRMIT 155.00
MECHANICAL PERMIT 40.50 So-ATE BUILD PERMIT TtIX (51io 31. 11T
PLAN CHECK FEE 187.68 GEWEF' USA (90-00213) 1 .12150.00
SEWER INSPECION 75.00 STREET SDC 600. 70
-511.OCI STORM DRAIN -BDC 250.00
P'APi:S SYSTEM DEVELOPMENT CH
Torpit, AMOUNT PAID - 226.31
CITYOF T
{' COMMUNITY DEVELOPMENT DEPARTMENT, / °' PLAN CHECK APPLICATION
1 125 S.W.HBO BNd..P.O.Bo,27W7,Tgu4 ohyor,91 (S03)639417S / PLAN CHECK M 7r
PERMIT N 1), f jc+ _ e 1•�
D/TTt ISSUED
JOBADDRESS: S S I B ►ti I S'r67 VC' TAX MAP/LOT
SUB: o j (. rjLOT: LAND USE
VALUATION: cl J 1 �(�,,� `-
OWNER — SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: �— LAST REISSUE: _
- ------ FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
CONTRACTOR —
APPROVALS REQUIRED
PLANNING:
NAME : — Mil 1 Pr utt i ,rjpr, rnr- ENGINEERING: _
ADDRESS: _ P.O._.Box 2 3 2 9 1 _ FIRE DEPT
__ Tigard. Or 97221 OTHER: —
PHONE: 684-7541 _ ITEMS REQUIRED
BUILDERS BOARD N: 3[l 1 n 9 EXP DATE: _ 1 2-i R_#Bl Le' LIST/SUBCONTRACTORS: _
ARCH;ENGINEER BUS TAX:CALCULATIONS:
NAME . TRUSS DETAILS:
ADDRESS: OTHER:
COMMENTS:
SUBCONTRACTORS: PLUMB: Ken Watts Plmb. 50878 MECH: 13ell Heating nogg] /o �y Y�
PERMIT M ACCT N DESCRIPTION � � r�
AMOUNT AMOUNT PD. AAL. DUE
10-432 00 Building Permit Fees ✓ ,
10-431 00 Plumbing Permit Fees -
10-431 01 Mechanical Permit Fees ,V -�_
1.0-230 01 State Building Tax (5%) � 13
Building
Plumbing --✓
Me c h �-
10-433 00 Plans Check Foe b'7
Building '77.
Plumbing -
Me c h
( 30-202 00 Sewer Connection 1'� r
2S
30-444 00 Sewer Inspection Lh
51-448 00 Street System Dev Charge (SDC) i
52-449 00 Parks System Dev Charge (PDC) _5 `
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire
TOTAL .3
REC M
APPI ICANT &INAfURF rt—
RPCPivPd By: Date Received:
cn/3587P 18P
I
F
GRADING/EROSION CONTROL INFORMATION
GENERAL CONTRACTOR NAME&ADDRrSS: CASEFILE NO.:
y ,I l)1-)/,P! PERMIT NO.J I I -1
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR )
NAME&ADDRESS: -1,-s
_��r�r1 �a��\�✓r : lcuv�afl��a 1-7C.;j._ -
1 i r7-civ I o(, L OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS: _
APPLICANT: it PROPERTY DESCRIPTION:
OWNER: STREET ADDRESS ASND CROSS STREET/LOCATED
GENERAL CONTRACTOR: i `� r- , _ � /At _
EXCAVATION CONTRACTOR:
SITE/JOB; _
LEGAL.DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: 131D - A S N Fr lt-p c AIC,5
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION:
SITE SIZE,ACRES:
DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN DRAINS TO: (CIRCLE ONE)
(NOTE:PERMITS MAY BE REQUIRED) �ATCH-BASIN DITCH PIPE CREEK
SiUnl _ 't L t(c1)
1 10 Nle U k I(i u\`
i i ou 1 L,l(wL (CIRCLE ONE) PUYA7-PRO_PER
PUBLIC RIGHT OF WAY.-
EROS JON/SED1
AEROSION/SEDI M E NTATION CONTROL (ES ) MEAS IR .S
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION F:NTRANCI: REMOVE AND RESTORE TENIPORARY ESC
PERIMETER RUNOFT CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL..PREPARED AND SUBMI TIED IN ACCORDANCE W3TH'TECHNICAL GUIDANCE HANDROOK".
EROSION CONTROL PLAN DRAWING,AS RFQUIRFD. IIAS PLAN CONSTRUCTION NOTES COMPLETE,MCLUDING EMERGENCY
PHONE NUMBER, SCNEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRU( AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THF CONSTRIKTION SITE,
OWNER SIGNATURE ��
4PPLICA W SIGNATURE
OFFICIAL USE ONLY
RFCt lf'"T DATE A."EPTED
FEE _NUMI3I:F: RECEIVED BY