15403 SW 81ST AVENUE �i
15403 SW 81ST AVENUE
r r � r
'
CITYOFTIFAIPCE.�iTIf lL;l�i�lE: OF- :�
�CITYOFTi�i.4RD f EFlMIT' M. . . . . . . s M37,90'0119
COMMUNITY DEVELOPMENT DEF#4FlT.eMW \ opaa>oe /
13126 SWHWlBW. P.O.Box 23197,Tgwl,Oregon 97223(603)839-4176 DATE 185UEDa 09/17�'9C+
SITE ADDRES';. . . a 15403 SW IIIST AVE PARCELa 2S11PZb--G7@N@
SUBDIVISION. . . . a ASHFORD OAKS 1.ONINL3a
]BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . s84
CLASS OF WORK. sNEW
TYPE: OF USE. . . sSFF'
G CUPANCY ORP. aR?
OCCUPANCY t.naD v 22@ 4
TENANTNAME. . . a
Remarksa
Owners
JAY MIL_LE.F,
PO JOX 23291
T IOARD OR 97i!23
Phone M a 684--•7543
Contractors --_______. .____. _._.________,_..._._•
JAY MILLER
PO PDX 23P91
T 1 OARD OR 97i:!23
Phoney Ma 684-7543
R j. N. . e 38109
Occupancy of the above referenced building is hereby given, And certifies
the compliance with the State Of (dragon s.;per_iaalt:y Codes for the group,
occupancy, and use under ohich the referanced pe•r-elit was i%sued.
FIRE DEPARTMENT AFE .T
S E.0 TOk
POST IN CONSPICUOUS PLACE.
Ie
INSPEC7 ION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
' h
Type of Inspection i --
Date Requested Time A.M. /.P.M.
Address 1� Ll�� / 5 ----- Permit
Owner __ Lot
Builder . �C..The following Building Code deficiencies are required to be corrected:
Presented to
Inspector ��-��L �f — ❑ DisappMe"d
Date _ Z
CAL'. FOR REINSPECTION
❑ Y18 ❑ NO
INSPECTION NOTICE
,City of Tigard Building Department
Il 1r�� P.O Box 23397
V Tigard, Oregon 175
Phore: 639-417:
Tyre of Inspection
Date Requested^. � y�� Tiitie_ _ A nn P.M.
Address _-1.Z_LL51—� — a 5 Permit
Owner _ --- _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
Ilk
it t
1
Presented to
1-Approved
Inspector ... m Oinpp►oved
Date
('ALL FOR REINSPECTION
❑ YE! ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.G. Box 23397
�`� `J Tigard, Oregon 97223
f ;• f� �� _L�r� Phone: 639-4175
Type of
Date Requested. r 9 Ti� .M. P.M.
Address l_J .Z_ S Permit
Owner---}- ------ ---- - - -- -- .._.__�.a Lot #
Builder ?1 LL` t'�e�
The following Building Code deficiencies are required to be carrected:
— T i
I
r
Presented to �J Approved
hiapvctor _.. < i 4 �'�- DIO'pproved
Date Z G2
CALL ,USPECTION
FOR
0 NO
IriSPECT:ON-NOTICE
Ci,v of Tigard 7luilding Department
l1".O. Bo.:2339-1
Tigard, Oregon 97223
Phone:6394175
Type cf Inspection
_ — L� Time_ �`' A.M._ P.M.
Date Requested_� t
__ �S - Permit #
Address .__.��Z-�t-�--�- ------
Lot
Owner _. _ -- -�"--
BuilderL � ---
1 he following Buildinq Code deficiencies are s-�-luired to be corrected:
Presented to _— —�Approved
" / ❑ Disapproved
Inspector _ —'-i"
Date _��
CALL FOR REINSPEC170N
❑ YE>s LJ NO
h
r �r �► ger �► sr s Iilir � +�
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 9722:3
Phone. 639-4175
Type of Inspection '�l�!-� y' ------ -
r
Date. Requested_ �` �� Time_—.__ A.M.____P.M. G
Address � 5t Permit
Owner---- _-)—/ Lot #------ _
Builder / A- 145 "_ — ------ ---
The following Building Code deficiencies are required to he corrected:
I
Presented to ----- [ Approved
l
Inspector —,_. -. ____ _ r___-_ ❑ Disapproved
Date —
CALL FOR REINSPECTION
❑ YIES 0 NO
INSPECTION NOTiCE
City of Tigard Budding Department
P O Box 233 i
T igard, Oregon 97223
Phone: 639-4175
Type of Inspection �,Gc
Date Requested �� Timik4i"Sls,'A.M._ P.M.
Address _ �S _S S __— Permit
Owner _ Lot #__---
Builder
_Builder
The following Building Code deficiencies are required to be corrected:
Presented to __ Approved
Inspector !' ❑ Disapproved
Date.
CALL FOR R F;INSPECTION
0 YES ONO
INSPEOTION NOTICE I
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97 '.23
Phone: 639-417,--
Type
39-417,=Type of Inspection _10,
Date Requested____1_� — �--- Time - A.M. P.M.
Address —___L L /L��__._.—JEL----- --.-- Permit f
Owner - _—_ Lot # —
Builder I
�- — --
The following Building Code deficiencies are required to be corrected:
i
Lf
Presented to — — Approved
Inspector y��—._ Oiapproved
Date --
CALL FOR REINSPECTION
S YEi Cl NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
'type of Inspection - ---
Date Requested /J Time A.M._ P.M. /
Address -3 " __ Permit
Owner /'. _.�__ Lot #_
BuilderThe following Building Code deficiencies are —quired to be corrected:
12lWM
/_✓1_�T
Presented to Approved
liispector Disapproved
Cate _ G
CALL FOR REINSPECTION
L Ell F] NO
IN5PECTIUN NUTICE
City of Tigard Building Deoartrnent A�
P.O. Box 23397
97223
Tigard, Oregon
97223
Phone: 639-4175
Type of Inspection V"z i —
Tim �A•M• P.M.
Date Requested ~I _ �---._----
Ind L/y+`' Permit #_ -----�—
Address ' � "' �'
Lot #
Owner -
Builder-�
The following Building Code deficiencies are required to be corrected:
-- - — &Approved
Presented to
Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE A
City of Tiga-d Building Department Ott)
P.O. Box 23397
Tigerd, Oregon 97223
Phone: 639-4175
Type of Inspection . l-
Date Requested Time A.M. P.M.
Address �/U—� 5� ,. Permit
Owner-... ..__ _ _ Lot # —
'LG'L
BuilderThe following Building Code deficiencies are required to be corrected:
----------------------
etlAA
Presented to ray
APPr d
'J2
Inspertor isapproved
Data. _ -. —
.ALk FqR REINSP£.CTtON
Ir, YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection I
Date Reques'ed .. U _ l G' Time A.M. P.M.
Address_ t�=3 s ___ Permit # =
OwnerLot #_____
r
13uilder '�//
The following Building Code deficiencies are required to be corrected:
Presented to pproved
Inspector Disapproved
Date
CALL. FOR REINSPECTION
(=7 YE• 0 NO
INSPECTION NOTICE
City of Tigard Buildinq Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — � --
Date Requested Time A.M. P•M,
1 Permit #
Address --
Ownei __ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
01
Presented to ------ Approved
Inspector " ___ Disapproved
Date
GALL FOR REINSPECTION
❑ YEi Cl NO
INSPECTION NOTICE
City of Tigard Building Department
P.0 Box 23397
Tigard, Oregon 97223
Ph e: 639-4175
Type of Inspection
Date Requested_' ' �IC'' / (Time��! .M. _�P.M.
Address 1 `��U =� �l P t #
i
Owner _ _ Lot # _
Builder
The following Building Code
deficiencies are required to be corrected:
I
Presented to _..� ❑ Approved
Inspector _ q ❑ Dlapprovvd
Date —
CALL FOR REINSPECTION
C7 YES 1�1 NO
ELI
CHY OF TOGA RD MASTER PERMIT
CfTYOFTWA
COMMUNITY DEVELOPMENT DEPARTMENT CZ RD 1::IERMIT #. . . . . . . .. msTgo 01.1'
PRIM. PERMIT #. - 1"'-T900119
13125 SW H*J1 Blvd. P.O.Box 23397,Tigsid,O"Von 97M 75
6,3 ^1 .1 I DATE ISSUED: 04/04/90
SITE ADDRESS— : 15403 SW 81ST AVE PARCEL: 2SI12CB--0*7000
SUBDIVISION. . . . : ASHFORD OAKS ZONING:
FLOCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . :84
BUILDING
REISSUEosTgo-011i. DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. .-NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :638 Sf
IYPE OF USE. . . :SF FLOOR REUL'IRED SETBACKS----__
TYPE OF' CONST. :5N FIRST. . . . : 1028 Sf LEFT. . -5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . -. 1138 Sf FRONT. :20 ft REAR. . c38 ft
STORIES. . . . . . . :0 THIRD. . . . .-0 Sf REQUIRED -------___..__.__..____...__
HEIGHT
EQUIRED-
HE'IGHT. . . . . . . . ..20 ft TOTAL 2 1 f,6 S f SMOKE DETECTORS. :Y
'ES. . -.
FLOOR LOAD. . . . ...4 0 [)-,f VALUE.. . . . . $:; 102456 PARKING SPA(, 0
Renia-f4s:
PLUMBING
SINKS. . . .. .. . . . . . '. 1 FLOOR DROINS. . . . :0 BACKFLOW PREVNTRS. . :O
L.AVATOkILS. . . . . :4 WATER HEATERS. . . : 100 TRAPS. . . . . . :0
T*UB/SHOWEPS. . . . ..3 LAUNDRY TRAYS. , . :O CATCH
WATER CLOSEETS. . :3 SEWER LINE.* (ft) . :O GREASE. TR(4."S. . . . . . .. .0
DISHWASHERS. . . . 1 WA Ti:--'.R LI:NE (ft) 100 OTHER FIXTURES. . . . .. .W
GARBAGE DISP. . . 1 ROJ.'N DRAIN (ft) . -0
WASHING MACH. . . I SF RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL. TYPES-_..___.._.._._.._._-- UNIT HTRS. . -.0 type amount by (late reept
/GAS/ VENTS . . . . . :0 PAYM q; 40. 00 JI-H 03/r?1/90 107964
MAX INP10T.-O BTU VENT FANS., . : 4 BPRT $ 440. 50
FURN ( 100K . . cO HOODS. . . . . . - 1 F'i r-*,I-C $ 40.00
FURN )-ILOK . . -. 1 WOODSTOVES. :0 BSPC $ 22.02
VI_U 0 R TURN. . . . 18 CLU DRYERS. C1 STDG 1, 600. 00
BOIL./Cllr) < 3HP:0 C)THE7R UNITS:0 SSDC $ x!50.00
GAS UUTLETSsl PARK $ 250. 00
Owners - MPIRT. $ 40. 50
,.JOY MILLER MPLC $ 10. 12
PO BOX 23291. M5PC $ 2.02
PIVIRT $ 147. 50
TIGARD OR `:072213 P15PC $ 7. 37
Ptiovie 0: 684-7543 PAYM $ ].'710. 03 JLH 04/04/90
C,a ri t r a c-,t o r u
'JOY MILLER
PO L40X 23291
'TIGARD OR 97223
F.tiane 14: 684 7543
Reg ft. . . 30109
$ 1810.0.3 TOTAL
)his permit is issued subject to the regulations contained in the RLUUIRED INSPECTIONS
ligard Municipal Code, State of Ore. Specialty Codes and All other Foot/found Insp Phtnib Top Out
applicable laws. All work will be done in accordance with approved Wtr Proofing Dism Framing Insp
plans. This permit will expire if work is not started within 180 Post/Beam Insp Firef),Iaee Insp
days of issuance, or if work is suspen,; d fpr more than 180 days. Crawl Drain Gas Line? Insp
PIM/L111CISlab Insp InSU1.4ti011 II-Isp
Permittee Signature O4—LM/Underfloor Gyp Board Irisj.)
Ftvig Drairi Dism" t Raiii drain Insp
Issued Byi .................................................................. Mechaiijxal li-isp Water I_A.vle Ins
Call for iiispectiuri --- 639 4175
SEWER CONNECTION
CITYOFTIGARD I-ERN IT
cnyOFTWARD VIERMI T 0. SWR90-0128
COMMUNITY DEVELOPMENT DEPARTMENT 0011410H
13125 SW FW1 Bivd. P.O.Box 2M97,Tiqwd,Oftgon 97223(503)6304175
--- 639-4171 DATE ISSULT)w 04/04/140
,iIVE ADDRESS— % 1.5403 SW 81ST AVE.:' PORCEL: 2S112CB---07000
SUBDIVISION. PE HF7
ORD OAKS ZONING.-
PLOCK. LCH.. . . . . . . . . . . . . :84
...........
I EN A 11 T 11 A 11 E'.
USA NO. . . . . . . . . . ..40644 FIXTURE UNIT'S. . .
('."LOSS OF WORK. . . ."NEW DWELI INC) UNI I'li. I
TYPE OF USE. . . . . :SF NO. OF" BUILDENGSgI
INSTALL TYF1E--.. . . . :BUSWR 11111--'ERV 13URI-ACI-.*-*..
Reniarksa
()wrier: .......------ ---- FEES
JAY MILLER type 'Amot.tllt by date recpt.
FIC) BOX 23291 F,RMT $ 1250. 00
INSV, $ 35. 00
TIBARD OR 9*7221-:1 PAYM $ 1285. 00 JLH 04/04/90
Vlhorie #: 664-7543
Contractor-.
CONTRACTOR NOT ON FILE
Phone Ht $ 1.285. 00 TOTAL
Reg
RF:*J1UIRF--.D I N 9 V,Ec, 0 N S
This Applicant agrees to comply with all the rules and regulations G)Pwer frispeetiori
of the Unified Sevage Agency. The permit expires 120 days from
the date issued. 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
qiven, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
...................
I SSIAed By
................ ...........
C a 11 for irispeeticiii 6;39•-41'75
w w N w w W w rw
CITY OF TIGAPD RECE"'IFIT OF PAYMENT PECEIF"r NO. :90-001111
CHECK AMOUNT s "0.5,'r. m
Ji:iY MILLER CASH AMOUNTo. yo
oW)ORES(S PO ROX 23291 PAYMENT DATE 04/04,'90
I
SLME)I V I S I nN
T I OARD, OR 97223-- 154C) S SW UIST
FURPOSE OF' PAYMENT AMOUIAT P Ai D PURPOSE OF F,AYrIF-.'.Ni AMOUNT PIAID
a-Uf EFf PERMIT 440. TO P L 1-i M B I N G PIZ F-,M.t T 1,47. 50
MECHANICAL PERMIT 40. 50 ST. BUILD PEk'MIT Ti-,% !'I'.
PLAN CHECK FEE 10. 1211 SEWER USA
".:50.00
SEWER INSPECTION 7,5.or.) STREET SDC h00. 00
PARKS 50C VIM. 00 STORM DFAIN SDC 2130. 013
AMOUNT PA I D
CITYOFTIFARD
PLM CHECK APPLIGATI
COMMIi*i " DEVEL.OPMEMT DEPARTIEMT PLM QIE42c / - !.
zeros ar.me sem..,r a a..seer,Te+r*+s�gss►ans PERMIT E
le-
Q/1TE ISSUER
Joe ADORES: S 6 3 S,w• -STa�,(, TAX MAP/LOT ,25/-/z c-
SUB: rf�5 7,71 �-)d P3 LOT: _ LMS USE:
VALUATION:
OWNER '
SPECIAL MOTE_
NAME: REISSUE OF:
ADDRESS: LOW REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAW:
OtJNTRACTDR
APPROVALS REWIRED
PLMIIMG:
MAME: Jay Miller Pailder, Inc. EMGTUEERIRS:
ADDRESS: PO Box 23291 FIRE 0L-PT
Tigard, OR 97223 GTHER:
PHONE: -6 9 1 - 1 9 9 2 ITEMS RE_ QWRED
BUIL." RS BOARD 0: 5 9 6 6 7 — EW DATE: 3/11 9 1 LIST/SUNCONTIRACTORS:
BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
COtMENTS:
SUBOONTRACTORS: PLUMB: Ken Wattc Sna7a TECH: >ke11 Rewting nnsa9
PERMIT / ACCT 0 DESCRIPTION AMOUNT IMDUNT PD. W. WE
10-432 00 Building perwit Fess
10-431 00 Plumbing Permit Foes
10-431 Ol Mechanical Permit Fees
10-230 Ol Stwte Building Taft (51)
Building 2 , -L
Plumbing
Mach v .
10-433 00 Plans Check Foe
Bull-ding
P l u■11 i rg
Me ch �> z
i
30-202 00 sewer Connection / Zr
p"44 00 sever Inspection
51-445 00 Street system Dew Cher" (SVC) 3.)
.. .
52-449 00 Pari a system Dov Ch" (pop C
31--350 00 storm DraLnmge Syst Awe OWV (SW) —2 �
10-230 Oi Fire
TOTAL
NEC 0 y(�)t`
APPLICANT
Receive/ Ry: Deb Received:
cn/2%?P/1BP