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15370 SW 81ST AVENUE W wx wx Wsyl IWI 15370 SW 81ST AVENUP, CERTIFICATE Or- OCCUPANCY CITYOFTIGARD GIT1f PERMT ► k. . . . . . . s MST90-0023 i4� FRIM. PLRMIT #0. : MST9W-0023 COMMUNITY DEVELOPMENT DE PATMEW OREGON 13125 SW Hall Blvd. P.O.Box 23397,Tigoud,Oregon 97223(503)639-4175 ` , ' I DATE I S a U;--D o 05/23/90 SITE ADDRESS. . . s 15370 SW 81ST AVE PARC --Ls 2S112CB-11700 SUBDIVISION. . . . s ASHFORD UAKS ZW-ANGs BLO+CK. . . . . . . . . . s LOT. . . .. . . . . . . . . . v131 CLASS OF WORK. sNEW TYPE; OF USE. . . s SF OCCUPANCY GRP. eR3 OCCUPANCY LOADS 118 4 TENANT NAME. . . s Remarks: Lot #131 Ashford Oaks JAY MILLER PU BOX 23291 T I GARD OR 97ee3 Phone Ns 684"-7543 Contractors JAY MILLER PO BOX 23291 t I raAR D OR 97223 Phone Ms 684..-7543 Reg M. . a 30109 Occupancy of the above -referenced bmi1xving i5 hef•eby given, and certifies the compliance with the State Of Oregon Specialty Codeg for the group, occupancy, and utse under which the referenced permit we+e it's Lied. FIRE DEPARTMENT LDINO_ K5 BUILD,PM OFFIC . A1. _.. POET IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department U� P.O. Box 23397 L� Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requested-- 7 r�3 �_ Time A.M. P.M. Address _ -� _�U__ � S - Permit #.�&'. Owner ` _ Lot # Builder The following Building Code deficiencies are required to be corrected: �n __----- --------.. - -- -ate---'--- Presented to Approved Inspector -_- L Disapproved Date _ CALL FOR REINSPECTION 0 YEI O NO IA lEl AR INSPECTION NOTICE _ 7 City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 rl Type of Inspection D+ate Requested Time_�A.M. P.M. Address __ S–1 S7- Permit Owner —�_ Lot # BuilderThe following Building Code defWancies are required to be corrected: Presented to _ �_ pproved Inspectnr . Disapproved J Date CALL FORIRINSPECTION DYES ❑ NO INSPECTION NOTICE cZO1� City of Tigard Building Departmen( P O. Box 23397 Tigard Oregon 97223 Phone. 6,19-4175 Type of Inspection Date Requested Time A.M.--P.M. I S 3 7 0 �/ sr , Address - - ------ -- ----------....--___-- Permit #�d GU _ Owner .. ---------- --- Lot #—-- ---— Builder _ IM L 4�2y-- - --- -- ---- —The following Building Code deficiencies ;re required !o be corrected: 1 Presented to _ __- _ -_ _ _ — rr-11 Approved Inspector / _ __ LJ Disapproved Date — CALL FOR RF,INS1'F,C.,ION 0 YES I-] NO t INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 6394175 Type of Inspection —� "y'- ---- - ' -/ Date Requested_ .,� �� --- Time A.M. ,P-MM.,I Address --C1y-- _ Permit #_. �Lfl Owner _ Lot #—_! Builders--1 The following, ildi Code deficiencies am required to be corrected: v >— —�--- ,I Presented to - - --"proved Inspector ) _ //�� - -- ❑ Dlupproved CALL FOR REINSPECTION O YES 0 NO r IN iPECT!ON NOTICE City of Tigard Building Department P.O. Box 23397 T gard, Oregon 57223 !hone: 639••4175 Type of Inspection ¢_.._ ` 'yr✓ Date Requested_ :�d Time x A.M. P.M. Address � � _ Permit # �� Owner _- --- _--�_ --___ Lot #-- --- l� Builder �` Tho! following uil ng Code deficiew4es are required to be corrected: / C Presented to _-- - _- Approved Inspector —� ---- U isapproved Date s --— ---- - CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. P.M. ��r� $r ~ Address �7 1� �i�('a� _ Permit # `� Owner ' Y , __ Lot Bull _--- --- --- The following Building Coded tic' ncies are uired to be corrected: Presented to Approved Inspector f� ' '-_ ._.__—v__ — j Diu pproved Date CALL FOR REINSPECTION C❑ YEIZ C] NO CIIYOFTIFARD CrrY -� COMMUNITY DEVELOPMENT DEPARTMENT \\�� OR PERMIT 131'25 SW HAI Blvd. P0.Box 23397,Tigard,Oregon 97223 (503)839-4175 i?ERMIT � • • • : MST90-0023 . . - -- -- - -- -- xxxx-_ - PR±K. #.s--M.STyI` fl023 ---- L 639-4171 DATE ISSUED: 02/07/90 SITE ADDRESS. . . : 353.10 SW B1ST AVE PARCEL: 2S132CB--1170 SUBDIVISION. . . . : 0000-ACRES /V:,//491',—/ ZONING: R-4.5 LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 " 1 --------- BUILDING ---.-..-----•------------------ --------- EISSUE: DWELLING UNI;S:1 BASEMENT. . . . . . . . :0 of LASS OF WORK. :NEW BEDRMS:3 BAThS:2 GARAGE. . . . . . . . . . :400 Bf �YPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------- i�YPE OF CONST. :5N FIRST. . . . :1568 of LEFT. . :5 ft RIGHT. :5 ft t)CCUPANCY GRP. :R3 SECOND. . . :0 of FRONT. :20 ft REAR. . :28 ft OCRIES. . . . . . . :0 THIRD. . . . :0 of REQUIRED--------------------- {t�"EIGHT. . . . . . . . :18 ft TOTAI,------:1568 ef. SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 pef PARKING SPACES. . :O emar.•ke: Lot #131 Ashford Oaks --•-------------------- •------- --- PLUMBING ------------------ ----------------- INKS. . . . . . . . . . :l FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O AVATO:",IF,S. . . . . :3 WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . . :0 UB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0 ATER CLOSETS. . :,, SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 7SHWASHERS. . . . : 1 WATER LINE (ft) . :1 OTHER FIXTURES. . . . . :0 ARBAGE DISP. . . :1 RAIN DRAIN (ft) . :0 ASHING MACH. . . : 1 SF RAIN DRAINS. . :1 -------------- MECHANICAL --------------•- ---------------- FEES -------------- UEL TYPES----------- UNIT HTRS. . :O type amount by date recpt rGAS/ / / VENTS . . . . . :0 PAYM $ 3.00.00 JLH 01/17/90 X INPUT:O BTU VENT FANS. . :3 PRMT $ 355.00 TURP < 100K . . :1 HOODS. . . . . . :1 PLCK $ 230.75 'URN >=100K . . :0 WOODSTOVES. :O 5PCIT $ 17.75 O",OOR FURN. . . . :0 CLU DRYERS. :1 S'.DC $ 600.00 BOIL/CMP < 3HP:0 OTHER UNITS:O F,SDC $ 250.00 GAS OUTLETS:1 PARK $ 250.00 ner: ---------------------------------- PRMT $ 36.00 AY MILLER PLC.K $ 9.00 O BOX 23291 5PCT $ 1 •80 PRMT $ 125.00 IGARD OR 97223 5PCT $ 6.25 hone #: 684-7543 PAYM $ 1781.55 JLH 02/07/90 ontractor: --------------•---------------- AY MILLER O BOX 23291 IGARD OR 97223 hone #: 684-7543 eg #. . : 30109 -----------------------------•------- $ 1681.55 TOTAL hie permit Is issued sibject to the regulations contained in the ------- REQUIRED INSPEC igard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Inep Gyp B applicable laws. All work will be done +n .accordance with approved Poet/Beam inPo Rain Nlane. This permit will expire if work is nct started within 180 Plm/undslab Inap Water ays of issuance, or if work is suspended for more than 180 days. Mechanical Inep Appr/ Framing Inep Final Inspection ermittee Signature: siireplace Inep l� Gee Line Inep ltesued By: �� Insulation Inep �_ WW W CIWOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENTI cmoFT1 ER \, OREGON 13125 SW Hall Bbd. P.O.Box 23397,Ti{,ard,Oregon 97223(503)&194175 CO" CTION xx - ._. PE 639-4171 PERMIT k. . . . . . . ; SWR90-002.1 PRIM. PERMIT #. : MST90-0023 DATE ISSUED: 02/07/90 ITR ADDRESS. . . : 15370 SW 81ST AVE PARCEL: 2SI12.CB-XX131 'UBDIVISION. . . . : ZONING: LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ----------------------------------------------------------------------------------- ENANT NAME. . . . . : SA NO. . . . . . . . . . :39193 FIXTURE UNITS. . . : yG,LASS OF WORK. . . :NEW DWELLING U'NITS. . :1 �l'YPE OF USE. . . . . :SF NO. OF PUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf Remarks: Lot. #131 Ashford Oaks ner: ----------------------------------- ----------------- FEES AY MILLER type amount: by date �,?cpt , O BOX 23291 PRMT $ 1250.00 INSP $ 35.00 IGARD OR 97223 PAYM $ 1285.00 JLH 02/07/90 hone #: 684-7543 ,ontractor: - ------------------•--------- ONTRACTOR NOT ON FILE hone #:leg - $- 1285.00 TVr..i ------- REQUIRED INSPECTIONS ---.---- his Applicant agrees to comply with all the rules and regulations f the Unified Sewage Agency. The permit expires 120 days from he date issued. The total amount paid w.-' Il he forfeited if the rmit expires. The Agency does not guarantee the accuracy of the �a ide sewer laterals. If the sewer is not located at the. measurement - given, the installer shall prospect: 3 feet in all directions from khe di3tance given. If not so located, the installer shall purchase _ - �S "Tap and Side Sewer" Permit and the Agency will install a i_Pteral. �ermittee Signature: -- .[1]wr Issued By? Call for inspection - 639-4175 l Ltw Im s CITY OF T'TGARD — RECEIPT OF PAYMENT PEC NO, 00107274 CHECK AMOUNT ; ?066.55 NAME: JAY Mit—LER CASH AMOUNT t .00 ADDRE'ISS" PAYMENT DATE : 0.2-07--90 T I CARD, OR `37227 BLOCK NO/ADDR: i 1.5'70 5W OlST AVE PURPOSE- OF PA r'MENT AMOI -1T PAID PURPOSE OF PAYMENT AMOUNT PAID k�U1LDiIJfi F'FF'MIl�i90—p0 'i! —_ ___W—'55.00 w'LUMBING PEF,MIT---+ ------- —1 5.0-0 MECHANICAL PEPMIT 7,h.00 STATE BUILD PERMIT TAX (5%1 25.so PLAN CHEC1:. FEF' 139. 75 SEWER USA 90--00"211 1,250.00 SEWER INSPECION 35.00 STPFET SDC 600.0+) F'ArI1 LS1'STchl DEVELOPMENT CH 250.0-0 ;3TOF'M DRAIN SDC 250.00 I� I TOTAL a4MOUPI T PAT 11 — — }.OG6.' CITYOFTIGrARD 1 COMMUNITY DEVELOPMENT DEPARTMENT } ct easr m PLAN CHECK APPLICATION 13123 SM.Nd Blvd.•P.o.@M nasr.Tprd,Owpon�'7T?3r03)1p�-�7Ts �~ PLAN CHECK N � k l . PERMIT M DATE ISSUED JOB ADDRESS: , (S3�0 S W 3 '7 v� TAX MAP/LOT SUB: LY1 6 c, r LoT: 5 / LAND USE: VALUAtION: OWNER ;PECIAL NOTES Nom' — —. REISSUE OF: ADDRESS: — LAST REISSUE: — --- -- _ FLOOD PLAIN/ SENSI'14VE LAND: PIiMIE: — APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: TA 3j Mid 1 Pr Bil i l dee p Inc: _ ENGINEERING: -_ ADDRESS: P.O. Box 23291 _ FIRE DEPT -- --T1;7 a r d. Or 97223 OTHER: PHONE: 684-ZS 4 3 _ ITEMS REQUIRED BUILDERS BOARD N: _3P.1 O 9 EXP DATE: LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: _ NAME - __ _ _ TRUSS DETAILS: _ ADDRESS: _ OTHER: COMMENTS: SUBCONTRACTORS: PLUMP: Ken Watts Plmb. 50878 MECH: Bell Het+tin �L 00447 PERMIT 4 ACCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit FeesSs .. sc, r. # 10-431 00 Plumbing Pera ;t Fees ,^ 1-43Y-1-011i 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) V—" - Building i• '7� —_ i v Plumbing Mach --lao 10-433 00 'Plans Check Fee �� Building j Plumbing - Moch 30-202 00 Sewer Connection 30-444 00 Sower Inspectlan 51-448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst new Chrg (SSDC) v _ 10--230 06 Fire "JP 0 TOTICtA ! I REC IN APPLICANT SI A RE ---__ Received By: Date Receival: cn/3587P/18P -r —� P1,1JME31NG I�(:IZMIII 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must �otd Oregon Registration to coradrx] at plumbing TIGARD r OR 97223 business or mus(t,c property oy cw/operator not hiring outside taelp- -- Nems ofDevekoprnent (503)639-4175 PlumbinµPermit Na- Address Description ORS 814-21-1710 DUAN. PRICE AMT. Job Tax w Map.No - --Address _ FIXTURES tot tllod� — Subdvlslon Sink `- 7 y� 7.5 o Name or nertte—o-1 ss amatory Tub or TubfShower Comb. Z 7.50 aiTx7-T3drass ShowstOnly ^� 7.50 - OwnerWaterClosel 7.50 ('.tty/State Zp - �. Dishwasfae, 7.50 2-5 - ----- plane Garbage Disposal 7.50- _ - - Wastwng Machine 750 s Name "- Floor Drain 7.50 _ rlf press-- Pfane WaterFieater - V 750 7,5 Laundry Room Tray -- 7.50 -- Occupant City/State- LP Urinal - -- 750 - --- _--_— Name - -- Odd Fodtxes(Specify) - -- _ 750 7.50 1 19 ass ..._- _. 7.50 7.50 Contractor City/State -- ----- ZIP MISCELLANEOUS _ Sewer 1st too41 ' __ 90.(>✓ Swr-0i .Addit100' 115.00 Uvitte�l3oar3Flux---- tate --�nic. ee -- «�� (Residential) service. 100' -- --` 20.00 A I Nosby acknowledge that 1 have feed rtis applicsd-'.Uaaf rag int""--o^,'. W'"w=°rw°s ea.Addit )r _ --15.00 grVen is coned,that I am registered With tae State OuikWs Board.and also Storm d lain Drain 1 st 100' _ -►��00 taave a Jwe M'mt bargee that tae raur*ws given we oorTee'a-that an I*nnbng work%rd bo done in soeororance with v>p"As provisions of Oro- Stam b P.yn Dmin Addit.100' 15.00 - gnn Revised Slatules Chapters 447 and r e,and apPQcsb►e-$-aid haat Moble Hort s Space 25.00 no help wW be w"played unless kcermad WOW ORS(93 (h exempt from -- - `_;tale registration.please give reason bekyw)- Bards Fla"Preventy3n 7.50 Iu)M EOWHERS-1 hereby certify dvd I am the owner of the pxaneny de pew or Anti pollrtionOsvice g,:,,ne above.at Witch Iocaon 1 propose b maks a Plunt*V k+etalladon Io' Any Trap or Waste Not my own use and refs property Is no(bekag oonstrualad kir gale,tease a tont Connected Io a F m" 7.50 _ Cakh Basin 7.50 - knp of Eidel Plumbing 40.00 Par Nr Specialty Requestedb"pect as --W 40.00 Par Nr Akar.d plinbhg w40k1 - --- an Exls"1309 15.00 mM ALM40RIZF-D SIONATUPE� Dam Naw B140.or Build.Addtlon - 25.00^'ln _ --- Frain M-djnrSiM1C f�rtlily Deocrtbs troth new C addition[] altmatx 1 r"P`lf F j (Leu irg v`L_ 15.OD ) txts tQ be dresidential r� ti)n-mskfenttal j 1___- `- - Fjr!aUttp usu of k- f kfkV«r,KoIMrly __ -- -. ___.___.._ SUB-.TOTAL 1 use - ' SURCHARGE: (� t�txt>roptwrly -_ - 25% FLAN REVIEW- � This pem*beoMW4 mull and volt r work w axagtruolkxt auoxrized Is-Acorn z TOTAL. ��- mannad*vtia 1 w dart,'or nrrtaAudlon ry work r ww www or abandoned lx a ped"d M IM d"M arty 64110 afbx w"i♦is(onarwa•a', trtGW (x)W)(IKM9 04104 Msrxft7 �,}. w w se w w w lne w w w CITY OF T:GAR® MECHANICAL PERMIT Hrxoip'" -- - I Permit a Ocautplton — ----- Table 3A Mechanical Code OTY PRICE AMI City of Tigard -- 13125 SW Hall Blvd. 1) Perm t Fee -O- -O 10-00 P.O_Box 23.897 Tigard.OR 97223 2) Sr rppleme ntal Permit 3.00 639A175 Fumace to 100,000 BTU - 1) incl-ducts&vests G"00 liv r Furnace 100.000 6171+ — `) ind.ducts&vents 7 0 Name of -- 3) Floor Furnace incl-vend 6.00 Job AIM.+ss - `-- Suspended heater.watt heater Address4) or floor PxKtr hod heater G 00 Tart tAX — µap No. `- 9) Vent not incl in 3.00 Lor U30cirSub6ni::ort —aw�`� pmit thane(or name or tX mkx ss) G) Repairof Ilea kv.n frig- 6.00 coofuig.absorption unit M&&V Address Mone LI-ler or comp to 3 HP Owner z �-xp-unit to 100.000 BTU G_00 r-'syrsa(e - - - -- 7-K) 1 cAllerorcomp to 3 NP-15 HP -- ----- II) al soM.unit to 500,00_BTU 11.00 -- -- Name - --- - Boilerorcomp 15-3011P - �) absorp.unit aft-1 million i 5 x.00 Me�:+pAddess �- - Phone10) BolerorconlptoW-501417 2zs0 atx;otp.unit 1-1.75 rtulfion Conti a r-1 o( crryrtate - - Tp 11) l3o(lerrorcot 750300BTU — 31.50 p. sute neyisr tion No-- — city Plus.Tu No. 12Air tun ling unit to 10AW CFM _ 4.50 v+rety.i--yMe "11W I t%ar..ead Vis.�al,on a.0 ere Worn Mian�is 13) Air000Crx)unit I t mreQ Vvn 1 aun Qro ow...+r rr acitarized agerM of tl.e o».+er.M+al Ielant sub�Ntet)an ii 10,000 CF.M + --__--- 7-50 _ o0rt%1%.r.rV..m,state taws.that I am mjistered with aM Slat,milder*Board,Vial Viempt MNon portable rrahber given is oomecl (r e.eom State m9nuation piaate vim"mason betowl 14) evaporate cooler 4.50 Vent tan connected —-- ----- - - - - 15 to a single dud 3.(>V -- -- - _- lton stem t 1G) Venti 4.50included in appliance pennit f food served by 1 mechanical exhaust 4-50 4 t)7l -Sink-11 to 6"ll ---_ _— Oale 16) Dowestictype -— 7.50 DoscYbe work U sddition 0 alteration [ 1 repair f7 incinerator to be done residential ❑ non-residential 0 Commercial or industrial _ Existing use of — - 1 g) type incinerator 30.00 Wilding otproperty Otheri.e.,�N/Mw�waler ('rt><xosod use of - - 20) heel—,-1-w.clothes dryers.etc. 4.50 ,S r building or property 2 t) Gas piping one to tax outlets 2.00 2 Typo of fuel oil LI natural gas U LPG O electric I I — �- 22) More than 4-per outlet NOTICE SU13-TOTAL .3& U U THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - -- SIRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 160 _ 5% SURCHARGE J DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 2S%L Ifs-TOTAL U(/ ABANDONED rn11 A t'f ItloD r)I 1110 DAYS AT ANY 11ME AFTER WORK IS COMME.N(a:U. TOTAL Special Conditions — CITYOFT167ARD � PLAN CHECK APPLICATION CiTYOFTWARD PLAN CHECK COMMUNFTY DEVELOPMENT DEPARTMENT PERMIT l - 13125SWHal 6hdP.O.Bac=-s7,Tlga, o,.9„Vnn(60163"I s - DATE ISSUED TAX MAP/LOT JOB ADnQHSS: _ __ .� . SUB: LOT: LAND USE: VALUATION: Q _SETBACKS: FRONT: REAR::L LEFT: S RIGHT: WORK CLASS: v HEIGHT: �' TOTAL AREA: USE TYPE: '`� FLOOR LOAD: oq 0 1ST: CONSTR TYPE: HEAT TYPE: 2ND: OCCUP GROUP: DWELL./i1NITS 3RD: OCCUP LOAD: NO BEDROOMS: BASEMENT: NO STORIES: �� NO BATHS: _ GARAGE: D J IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: _ REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: LAST REISSUE: BnS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.: TRUSS DETAILS: PARKING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: O;HFA'COMMENTS:--,- DESCRIPTION OMMENTS:--, DESCRIPTION AMOUNT OWNER 10-432 Building Permit Fees s ?.S Nom: 431-600 Plumbing Permit Fees ADDRESS: 10-431-601 Mechanical Permit Fees 10-230-501 State Building Tax (5x) 1T7b` 10-433 Plans Check Fee .� ' " a73_��-j_ PHONE: 30-443 Sewer Cornection t - - -- — 30-202 ea a CONTRACTOR 30-444 Sewer Ii fiction t '- NAME: 51-448 Street System Dev. Charge (SDC) s o U ADDRESS: '52.-449-610 � 52-449-620 Parke System Dev. Charge (PDC) _ V 31-450 Storm OrainagA Syst Dev Chrg(SSDC) = J S U PHONE: _ 10-230-505 TRFD (95x) 10-435 TRFD (5x) ARCH/ENGINFER 10-230-506 Washington County Fire /1 (95X) s Nom; _ 10-435 Washin*ton County Fire 11 (5x) ADDRESS: 10-220 Amart/Wedgewood TOTAL t I GCw S PHONE: �- -� PREPAID RFC d GnlANCF. [IIF ! ''�/)✓'/ � APPLICANT SIGNATURF "eceived BY: bate Received: __ ■ GRADI ER Si TR LF RMATI -N GENERAL CONTRACTOR NAME&ADDRESS: CASEFIL.E NO.- Builder, Inc. PERMIT NO.: regon 972-23— APPL.iCANT NAME AND ADDRESS: EXCAVATION CONTRACTOR Jin i l dor T nr NAME& ADDRESS: _ Ti Jim Paulson Excavating Tigard Or 9722 route 1 Box 1 062 OWNER NAME AND ADDRESS: HITIsboro, Oregon 97124 TELEPHONE NUMBERS: APPLICANC: 6 S Q Z5 4;1 PROPERTY DESCICIP'CION: OWNER 6 8 4 7 5 4 3 STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRA(`MR: S 8 4 7541 --� EXCAVATION CONTRACMR:6 4 5-101 1 - S ITEpOB- — LEGAL DESCRiPiTON: 24 HR/AFTER HOURS EMERGENCY T'AX LOTNO.; <07 COi�T f PERSON,TITLE,T ELFPHONE: 1/4 SECTION: _ a e Eickhoff SITE SIZE,ACRES- JOD ACRES-su erintgndant H — DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SiTE WILL BE TAKEN SITE RUN FF DRAWS TO:(CIRCLE ONE) (NOTE:PERMiI'S MAY BE REQUIRED) CATCH-BASIN DITCH PIPE CREEK _ Stumps & brush to 1 i Gr_nnrnd fill area. Dirt to licensed dump site. (CIRCLE ONE) PRIVATE PROPERTY TICeARl7 UBL}CRIGHTOFWAi EROSION/SEDIMENTATION CONTROL (ESC) MEASUMS MINIMUM ESC REQUIREMENTS MiNiMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE- TEMPORARY FSC PEPdMETERRLRJ^FF CONI' OL FACILITIES CLM ARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SiLX AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES ' CONSTRUCTION SEQUENCE OTHER_ OTHER` PIAN FOR EROSION CONTROL PREPARED AND SUBMITTED iN ACCORDANCE WiTH TECHMCAL GUIDANCE HANDBOOK-. EROSION CONTROL PLAN DRAWING,AS REQUiRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULEIS'TAGING F:`R iNSTALLA71ON AND REMOVAL OF EROSION CONTROL MEASURES.AND APPLICABLE STANDARD NOTES. I IIA`M READ AND WiLL COMPLY WiTH THE ABOVE AND WILL CONSTRUCT'AND MAINTAIN ETC MEASURES AS NECESSARY 1'O CONTAIN SEDIMENT ON THE CONS iRI1CTi0 SiTE. —t _RE - SI(' OFTICiAL USE ONLY. RECEIPT DATE ACCEPTED TT.1: NUMBER RECEIVED BY A730 Fireplace Insp A735 Gas Line Inep 03/30/90 KS PASS o A735 Gas Line Insp 05/01/90 KS APP A740 Insulation Insp 04/20/90 RT PASS ° A745 Gyp Board Insp 05/01/90 KS PASS ° A745 Gyp Board Insp 05/01/90 KS APP ° 8755 Rain drain Insp 02/26/90 GS APP ° A760 Water Line Insp A765 Appr/Sdwlk Insp 04/03/90 CVW PASS A799 Final Inspection 05/25/90 KS APP ° aaaaAAA$$aA$$AAAvA$AA$AAAAAAAAA$AaAAAA$A$AAA$$AAAAAAAAAAAAAAAAA$AAAAAAAA$AAAAAi HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 6AMASTF.R PERMIT$$$$$$$$$AAA$$$$$$$$$$$$$$$$$$A$$$$$$$$$$A$$A$$$$$$AAAAAaAAAA$AG :MST90-0023: PROJECT:ASHFORD OAKS STATUS:I : UPD:02/08/90: :JLH: PERMITTEE:JAY MILLER PRIM. . :MST90-0023: ° SITE ADDRESS:15370 SW 81ST AVE ° oa CASE HISTORY AS&SAAAAA$$A$$A$$A$$A$AAReq/Sent$Schd/Due$End/Done$AByaStat$$$C A092 (F) Issue combination permit 02/07/90 JLH PASS ° A705 Foot/fo"nd Insp 02/08/90 TLP PASS A710 Post/Beam Insp 02/22/90 KS APP ° A715 PU&/u1fid%1&b-Usp A717 P�ndezfloor 02/20/90 MS PASS ° A720 Mechanical Insp / 02/22/90 MS PASS ° A725 Framing Insp 03/20/90 TLP PASS ° A730 -P+� �Iaap- _, A735 Gas Line Insp / 04/06/90 TLP APP ° A740 Insulation Insp 03/26/90 TLP PASS ° A745 Gyp Board Insp U 03/29/90 RT PASS A755 Ran drain Insp A760 Water Line Insp A765 Appr/Sdwlk Insp A799 Final Inspection 05/23/90 TLP PASS ° ��SaAA$A$$fi$$AA$$$AAAA$A$$AAbAAA$$$$AA$AAAA$$fiAAA$AbAA$$AAAA$$AA$A$$$A$$AAAA$$i HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 64MASTER PERMIT$$$$$$$$$AA$AaAft$aAAAaAA$AAaA$b$A$A$AA$A$$$AAAAAaAAii$$$$$4$$AaAt :MST90-0023: PROJECT!ASHFORD OAKS STATUS:I UPD:02/08/90: :JLH: ° " PERMITTEE:JAY MILLER PRIM. . :MST90-0023: SITE ADDRESS:15370 SW 81ST AVE oA CASE HISTORY $$$A$A$AA$A$A$$A66AaaAA$Req/SentASchd/DueAEnd/Done$Aey$,,,tat$$3C A092 (F) Issue combination permit 02/07/90 JLH PASS A705 Foot./found Insp 07./08/90 TLP PASS ° A710 Post/Beam Insp 02/22/90 KS APP i e A'715 Plm/undelab I:.ap A717 PLM/Underfloor 02/20/90 MS PASS A720 Mechanical Insp 07./22/90 MS PASS ° A725 Framing Insp 03/20/90 TLP PASS A730 Fireplace Insp A735 Gas Line Insp 04/06/90 TLP APP ° A740 Insulation Insp ��1 03/26/90 TLP PASS ° A745 Gyp Board Insp 03/29/90 RT c-ASS ° A755 Rain drain Insp A760 Water Line Insp_ A765 Appr/Sdwlk Inmp 4749 Filial InipecL on 05/23/90 TLP PASS