15438 SW 81ST AVENUE i
15438 SW 81ST AVENUE
INSP>ION NOTICE ��
City of Tigard Building Department ��-
13125 SA Ball Blvd. Tigard, Oregcin 9722
Inspection Line (Rec.-O--Phone)s 639-4175 Business Phones 639-4171
Inspection: � �`
Footing Plbg. unders Mech. Rough-in Appr/Sdwlk
7
Found. Plbg. lop Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/neam Mech. Rain Drain Insulation -P.umb.
Plbg. Underfloor Water Line Gyp. Bd. --Mach.
Dml.eRnquosted:_,
Address:
13u 1 ldsr:_.—__—_ ---
THS FOLL3WIWG CY RRECTIOMS ARE REQUIRED:
Inspector: ——_ Date:-2-- bo - %oe/_
APPROVED DISAPPROVED APPROVED SUBJEcr TO ABOVE
Call For Reinep.
I
CITYOFTIFARD ®
CrFYOFTMRD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW FW1 SPA. P.O.Box 23397,ngmM,Orepn 97223(6W)834 4176 EERMIT
. . . . . . . . PLM91 1c0
DA"rE, ISSUED: CA7/11/91
11 IS1438 SW 81ST AVE PARCEL- ;n112CB1212I(A1Z1
ASHFORD OAKS 2 ZOt\IlNb.- R-7
LOT. . . . . . . . . . . . 134
CLASS OF WORK. . NEW GARBAGE DISPOSALS. . : MOBILE 1-40ME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : SACKFLOW PREVNTRS. . : 1
JCCUPAN(..Y CARP. . : R3 FLOOr-! GRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
i FUF4
IlLb. . . . . . . . s c WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
I XTURE13- LAUNDRY TRAYS. . . . . . : 9F RAIN DRAINS. . . . . .
.'INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . .
LAVATOR I ES. OTHER —ix'rURES. . . . . .
r'UB/SHOWERS. . . . t SEWER LINE (ft) . . . . :
IAT ER CI_.OF
.;pFTS. , WATT-"R LINE (ft ) .
Q SHWASHE RS. . . . RC)IN DRAIN (ft) . . . .
�emark, : tipr-inkler System
FIFES
t ypr- .A in o ..I n t by date V,
SIS4 PRMT 15. 00 JLH 07/11 /91
1- 1 0. 75 JLH 0,711119 !
16PRI) Op
'hone #-
:cint rac:t or: ---—--—————————— -———————————————
-IUDY FERRANI'E, LANDT)CAPING
1155 NF HALSEY
IURTLW1\11) OR 97220
-!ey 10241
REQUIRED INSPECTIONS
-his permit is iisutd subject to the regulations contained in the Top—rji.tt Insp
'i9ard Municipal Code, State of Ore. Specialty Codes and all other Final Tvisr)ect ion
applicable laws. A!. work 9411 be done in accordance with
___—
approved plans. This vereit will expire if work is not starred
within 180 days of issuanre, or if work is suspended for tort
,han 18@ days.
.............. ......
inlm i t t e e 9)i n"at tal
�Pd f3v
i. a I I fn inspection
ff W W W s W W
CITY OF TIGARD
PLUMBING PERMIT 131.25 SW HALL BLVD.
P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing T I GARD, OR 97223
business or must be property owner/operatoe not hiring outside Iselp_ (5 03)6.39-4175
Herne of Development
Plumbing Permit No.
Addnhs T,(�-- - ( Description
i QUAN. PRICE AMT.
Jc.4) 1 ax Lot Nap No - -
Address _ -, FIXTURES
W Block Subdivision - -Si75Sink. _ _
- ams or nerve Lavatory - - 7.50
L V 2✓ Tub or Tub/Shower Comb. 7.50
Address -
Shower Oroy 7.50
I S 1-t 3 k 5 S/ ::_aVJrrterCloset -- 7.50
Owner cry/ a ip
G ihwashe( 7.50 -
Mom G arbage Disposal 7.50
Name %fasthing Machine V _7.50
Floor Drain
)KvlwhgAddiess Phone Wat"rHeater 7.50
Lahaxky Room Tray 7.50
Occupant City/Stale rip 7.50
trial
Hope ---phone Other Fbrko"(Specify) 7.50
7.50
.1 Phone7.50
Contractor /State Zip
`"/ i MISCELLANEOUS
City Bue.Tax No.
Sewer s1 100'- __-- _ 9000
L
1
.,tete, s tate Sewer�a Addit.100 t 5.00
(Residential) Water Service i st 100• 20.00
I hereby acknowledge that l have reed V"applicatIm that She bhtxmatkxh Water Service ea-Addif 15.00
given is correct,that t am regiviered with the State Outldefs tlOwd.and also Storm 6 Rain Drain 1 sL 100' 90.00
he"a Stale PkmhbbV liionnse that the nun""given ars coned.that all
pkxnbing work will be done in ec000dance Stith spplicabfu prvv"xhs of Oro. Storm&P:yn Crain Addit.100' _ ISM
gon Revised Statutes Chapters 447 and fh50 and appticsble codes and that $AotA@ dome Speee 25.00
no help wfq be o"Vlayed unless licensed ORS 10pt 9.(t1 exemf"-
be -- ---
State registration.please give reason be". Back FVPwPrvvenbon
IKWCOWNERS- 1 thereby mVy than I am owner of ownof the pr%"de-
Device crMti t'blkAion Osvwae 750
"--,ed above.at W41clh lomdon 1 pnvoae to make a pkx i*V k ,$XWkxh fur Arty Trap or Waste Nal
my own use and thLv property Is viol belry arsstru led for sale.base or rent Connected to a Fb*" 7.50
Catch Basin - --- 7.50
InW.of Exist.PkxnbkV - 40.00 Per K.
- - -_.---- -- Specia*/P4gmw ed Inspecllorhs 40.00 Per W.
---_---- Alter.of Plumbing wAtha h ---
N Ex"V B'd0 15.00 min.
A0tNbnVY0 SIGNATURE Dat" New 13rridgg..or Bu1kt.Addition 25.00 min.
- - •_�f S1f1 fani1
Describe work new E) addition❑ akerntion❑ reptilr 1] c3.i�11irt15.00
be done resklerttial a non-moldontial j 1 -
Er4stkV the of
building fxtxotxxty_r ;
CITY (IF TIGARD RECEIPI OF PAYMENT RECEIPT NO. 01-2175246
CHECK AMOUNT 0. 00
NAME FERRANTE I—ANDSCAPING CASH AMOUNT 15. 75
ADDRESS a PAYMENT DATE : 07/11/91
SURD IVIG(ON t
PURPOSE OF PAYMENT fAMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLUMAING PERM 15. 00 ST. BUILD PER 0. 75
15438 SW 81ST
TOTAL AMOUNT PAID 15. 7I'5
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23,197
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection a,) -.- --.-
Date Requested TlmeA.M. P.M.
Address Permit #t_
Owner Lot #
Builder
The following Building Code deficiencies arf, required to be corrected:
ZLL�a
ILI
I IZ
Presented to FT'Approved
Inspector Diapproved
Date
CALL FOR REINSPECTION
D YES P-11ro
INSPECTION NOTICE
City of Tigard Building Department
P.O. - -x 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - -�
r
Date Requested ,; - d Time AMP.M. /
Address _ �� '�� �G/2lsc:- Permit
Owne' Lot
The following Building Cpde fi en es=arquirto be Corrected:
Presented to _� .. M(>pproved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
El YES ❑ NO
XVjUW
If M
INSPECTION NOTICE
City of Tigard Buiidmg Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4171
f
Type of Inspe,:tion —
� i
Date Requested — Time__. A.M. P.M. f I
Address _4/, n L� GL�2l�C_' Permit
Owne' l �, Lot #
Ruil�
The following Building de fipfen 'es ar require to be corrected: i
---- 1 - --- - -- ---- - I
-- - - - --
i
v
Presented to _ ,,�1 pproved
Inspector _. _ L] DI proved
• t .
Date -
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department �-
i
P.O. Box :3397
Tigard, Oregc o 97223
Phone: 639-4175
Type of Inspection __ - - - fl2v �`��7�`'—� --
Date Requested _ c.�l �-- Time /` A.M. P.M.
Address ..___ S (JJ 5+ Permit * 2__L
Owner Lot #
Builde!
The following Buil C deficiencies are required to be corrected:
Presented to Approved
Inspector ElDHapproved
Date __ —��✓ r
CALL FOR REINSPECTION
❑ YES ❑ NO
l
BUILDING PERMIT
CITYOFTIGARDPERMIT NO. e BUS92124
Cm of TWArtn
COMMUNITY DEVELOPMENT DEPARTMENT °PEODN
E !SSUED: i�/ 1/89
13125 S W Hall Blvd_P O Boy.23397,Tigard,Oregon 97223.(503)639-4175 T
MT.NO. 892124
JOB ADDRESS: 15438 SW 81ST AVE
TnX MAP/LOT 2S1 12CB SUB: ASHFORD OAKS L.T:134 BK:
LAND USE: R4.5PD
LOT SIZE: VALUATION: $ 72.000 SETBACKS
FRONT: 20 REAR: 5
WORM. CLASS: NEW DWELL.UNITS: i LEFT: 5 RIGHT: 46
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 4 EXT.WALL CONST:
CONST.TYPE, VN NO.BATHS: 3 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGSe
OCCUP.LOAD N. S: E: W:
TOTAL AREA: 1596
NO.STORIES: 2 1ST: ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 404 FIRE SPRK,LR? ALARM?
FLOW(GPM) DETECT? YES
HEAT TYPE* GAS _ Wn _P_Ar .ESS'7 PnRR'd
FLAN CHECK BY: r1t
REMARKS:
re issue of 891799 REISSUE OF NO. 6829
LAST REISSUE 891799
FEES:
W MILLER JAY PERMIT $349.00
N p.o. BOX 23291 PLAN REVIEW 440.00
C
TIGARD OR 97223 FIRE DEPT
PHONE (503) 684-7543 STATE TAX. $17.45
—_ 01 HER
C DEVELOPMENT CHARGES:
N MILLER JAY SDC(STORM) $2541.00
T JAY MILLER BUILDER SDC(STREET) $600.00
A p.a. BOX 23291 PDC(N2 ) $250.00
C TIGARD OR 97223 PREPAID l $40.00)
T
0 PHONE (503) 684-7543
R
REGISTRATION NO. 30109 TOTAL: $1.466.45
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO.
--------------------
of the TMC. State of Oregon Specialty Codes,toning regulations
and all other applicable codes and ordinances. and it Is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and In compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The isnuance of this permit does not waive restrictive POST A BEAM WATER LINE
covenants. Contractor and subcontractors shall have current city PLB.UNDER9LAB CITY APPRCH/SW
business tax pe►mitil This permit will expire and become null and
void If work is not started within 180 days,or it work Is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced. It shall be the responsibility of the permittee to assure FRAMING
all required Inspections are requested and approved 9IREPLACE
GAS LINE
INSULATION
GYP. BOARD
Permittee Signafu
Issued By ,II�jv 639 4t
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
!• F KI
CITY F T167A
� "0?F_TfWA1RWD,
SEWER PERMIT
RMI f N0. : SE892168
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 12/ 1/89
13125 S W Nall Blvd..P O Box 23397.Tigard.Oregon 97223.(503)639-4175I M.PMT.NO. 892124
JOB ADDRESS: 15438 SW 81ST AVE USA NUMBER: 39131
TAX MAP/LOT 2S1 12CB SUB: ASHFORD OAKS LT:134 BK:
LAND USE: R4.5PD
LOT SIZE:
SECTION: 12 TWP: 2s RNG: 1w
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
the applicant agrees to comply with all rules and regulations of the Unified
Sewerage Aqency. The permit expires 1.20 days from the date issued. The total
amount paid will be forfeited if the permit expires. T,e Agency does not quar-
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement given, the installer shall prospect 3 feet ill
all directions from the distance qiven. If not so located, the installer shall
purchase a "Tarp and Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
FEES:
O
w MILLER JAY PERMIT $35.00
N p.o. BOX 23291 CONNECTION CHARGE i1 ,250.0H
R TIGARD OR 97223 LINE TAP INSTALL.
PHONE (503) 684-7543
-- ---- -- -- ---- OTHER
C
O MILLER JAY
N JAY MILLER BUILDER
A p.o. BOX 23291
C 11GARD Of. 97223
o PHONE (583) 684-7543
R REGISTRATION NO. 30119 TOTAL: $1.285.00
/
This permit is issued suh)ect to the regulations Contained in TaRECEIPT NO. IC)IV le 14 ______ � 33_`57
____________
of the TMC. State of Oregon Specialty Codes. zoning regulationsRE[IUIRED INSPECTIONS --
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and ROUGH-IN
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
vcid if work Is not stated within 180 days or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required inspections are requested and approved
% hZA
I'ernnttt,e Signature
Issued By _ IINSPEGFION
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Aim
ITYOFTIFA
MECHANICAL PERMIT
CRD
PERMIT NO. : ME892167
c OOFFYW4RD
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 12/ 1/89
3,12,S'N Hall Blvd..P.O.Boz 23397,Tigard,Oregon97223,(503)639-4175 P IM.PPI T.NO. 892124
JOB ADDRESS: 15438 SW 81ST AVE
TAX MAP/LOT 2S1 12CY SUB: ASHFORD OAKS LT:134 BK:
LAND USE: R4.5PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE. (100K I AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 10OK+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE. EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN
VENT VENT.SYSTEM
E1LR/COMP (3HP HOOD 1
NO.STOR;ES: 2 BL.R/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 BL.R/COMP 15--30HP INCINERATOR(COM
FUEL TYPE GAS BLR/COMP 30•-50HP REPAIR UNITS
MAX. INPUT BLR/COME' 50+HP OTHER 2
fIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS"
PRESS?
REMARKS:
FFFS:
W MILLER JAY PERMIT $10.09
N P.O. BOX 23291 PLAN REVIEW $10.88
R TIGARD OR 97223 FIXTURES $33.50
PHONE (503) 684-7543 STATE TAX $2. 18
- - — -- - OTHER
C
O
N BEL.L. HEATING INC.
fa 15550SE PIAllA AVE
C CLACKAMAS OR 97015
T PHONL (503) 243-1184
R REGISTRATION NO. 447 TOTALS $56.56
This permit is issued subject to the regulations contained In Title 14 RECEIPT NO.
of the TMC State of Oregon Specialty Codes, toning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
agrer-d that the work will be done in accordance with the plans and GAS LINE
specifications and In compliance with all applicable codes and POST d BEAM
ordinances The Issuance of this permit does not waive restrictive ROUGH-IN
covenants Contractor and subcontractors shall have current city F I NAL
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
rl (� _�LL�
Permittee Slgnature
V
Issued By l ' CALL 1 UR INSEIE.CI ION 1639-4.17a
J SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF T117A RD
PLUMBING PERMIT
PERMIT NO. : F'L892166
CITYOF�ilA01tD
COMMUNITY DEVELOPMENT DEPARTMENT E ISSUED: 12/ 1/89
13125 5.w,Hall Blvd..P.O.Boa 23397,Tigard,Oregon 97223,1503)639-0175 P I M,PMT.N0. 892124
JOB ADDRESS: 15438 SW 81ST AVE
TAX MAP/LOT 2S1 12CP SUB: ASHFORD OAKS 1-1 :134 BK.:
LAND USE: R4.5PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER I
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
FEES: `
u
w MILLER JAY PERMIT $1.40,00
N p.o. BOX 23291
Fa fIGARD OR 97223 FIXTURES
PHONE (503) 684-7543 STATE TAX $7.0[1
OTHER
C
0 WATTS KE14
N KEN WATTS PLUMBING
R Po BOX 230925
A
C tigard or 97223
T PHONE (503) 684-6686
R REGISTRATION NO. 50878 TOTAL : $147.00
_
This permit is issued subject to the regulations RFCEIPTNO. 1t7�,5 7
onscontained In Title 14 _._____________
of the TMC. State of Oregon Specialty Codes.Zoning regulations REOUIRED INSPECTIONS
and all other applicable codes and ordinances and it is hereby
agreed that the work will be done In accordance with the plans and PLB.UNDERSLAB
specifications and in compliance with all applicable codes and POST 8 BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants. Contractor and subcontractors shall have current city F'LB.TOPOUI
business tax permits This permit will expire and become null and
void If work Is not started within 180 days,or if work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has FINAL
commenced It shall be the responsibility of the permittee to assure
All required inspections are requested and approved.
.. _ �T
Permittee Signature
Issued BY INCPECT1-A1M-Gas) 41 1�4 --- --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLAN "ECK APPI.,,.ATION
CITYOFTIFARD ® PLAN uIECK
Y CifYOFk1671ND PERMIT 0
COMMUNITY DEVELOPWNT DEPARTMENT `G an*" DATE I:MED
1 125 6W FY Bbd P.O.Ba z]OW,T�4 Qpon p??1¢0�) 17i T
JOB ADDRESS: I S I j g S.V1'. S T 1 I U TAX MAP/LOT CB
SUB: 1\ c• a c,�-S LOT: 13 Y LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: _ LAST REISSUE:
FLOOD PLAIN/
SENSITXVE LAND:
PHONE: _
APPROVALS REQUIRED
CONTRACTOR PLANNING: _
NAME: _ JAY MILLEF BUILDER, INC. ENGINEERING:
ADDRESS: PO BOX 2-3.-:91 FIRE DEPT
TIGARD, OF 97223 OTHER:
PHONE: 684-7543 _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS: _
ADDRESS: TRUSS DETAILS:
PARKING PIAN:
LANDSCAPE PLAN: _
PHONE: OTHER:
WIFIENTS: RP I d l g c
t i
I
PERMIT N ACCT N DESCRIPTION N10UIIIT NOW PD. DAL. DUE
Ir"ef 10--432 00 Building Permit Foes
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10--230 01 State Building Tac (5%) re G _ -2G,
Building _ /7, U7_ .-
Plumbing
Mach .2,1 k, _
10-433 00 Plans Check Fee ✓ Sy,�fr /0,
Building 00
Plumbing
Mech _ ::`
30-443 00 Sower Connection (201)
30-202 00 Swrer Connection (90%) I
30-444 00 Sewer Inspection 3s-
51-448 00 Street System De.v Charge (SDC)
52-449 Ol Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst now Chrg (SSDC) _
10-230 09 1 W (951)
10-435 00 TRFD (51)
10-230 06 Wast.ington County Fire 01 (951)
10-435 00 Washington County Fire 01 (51)
10-220 00 Anart/Wedgewodd
I TOTAL S u r.55,
AI NEC N
APPL