15334 SW 82ND PLACE 15334 SW 82ND PLACE -
CEN UF TIFA
CERTIFICATE UF'� UGCUPANCY
COMMUNITY DEVELOPMENT D T x x (, J�,
YOFTWARD PERMI T q. . . . . . . : MST90-0149
E,? �� \ 0REoo«
13125 SW Hell Blvd. P.O.Bax 23397,Tigard,Oregon 97223(503)830- 176 \
_-- --- DATE ISSUEDo 10/19/')@
SITE ADDRESS. . . r 15-334 SW 82ND PL V'ARCL.L o 261112CP- 0570®
SUBDIVISION. . . . i ASHFORD OAKS ZONINOs
BL.00K. . . . . . . . . . >t LOT. . . . . . . . . . .
CLASS OF WURK. eNEW
TYPE OF USE. . . aSF
OCCUPANCY ORA. a R:3
OCCUPANCY LOAD a 118 4
TENANT NAME:. . . s
Remarks s
JAY MILLER
PO BOX 23291
'T'I GARD OR 97223
Phon4 M1 684--7543
Contractors
JAY MILLER
PO BOX 23291
TIOARD OR 97223
Phone Ma 684-7543
Reg N. . 1 30109
Occupancy of the above referenced bt.tildir.a is hereby given, and ce,r'titipis
the compliance with the State Of Oregon Specialty Co(jes for the grni.tp,
occupancy, and tt+Br:. under which the referonrdd ,permit was issued.
._..-.. .____.__._y..._.........._..___.._....._._._........_ ._-.;;,,cam'"" .
FIRE DEPAkTMENT Bull DING INSPECT/�//�7T�T`__.. _..._ ._.._..
PUIL.DIN JFF IL"
POST IN CONSC."ICUGUS f'l_ACE.
!� 1! I7• � � f♦
INSPECTION NOTICE
(/ City of Tigard Building Departmertt
P.O. Box 23397 C
Tigard. Oregon 97
Phone: 639-4175
Type of Inspection
Date Requested �1 71me P.M.
c r
Address _ �J ��� � Permit
Owner _ Lot # t
Builder
The following Building Code deficiencies are required to be corrected:
- 00 --- _
EO 6:4
i
-- ��- 70
PI CSP.nted l0 Approved
Inspector ❑ Disapproved
Date _
CALL. FOR REINSPECTION
C1 YES F:1 NO
INSPECTION NOTICE
City of Tigard Building Department / /
P.O. Box 23397 /J'M•''�"
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
Date Requested // �� Tuna A.M. P.M.
Address zl� .3 `y C} /7 Cl Permit # -La
Owner _ Lot #
i
Builder
The Following Building Code deficiencies are required to be corrected:
Presented to
__--- – ❑ Approved
nspector _._--_--.--__—�- ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
REM iiiiiiiiiiiiiiAWNUMUM
INSPECTION NOTICE '`
City of 'Tigard Building Department l
P.O. Box 23397
Z.� Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested _ ` Time_ A.M.. P.M.
Address ._—I_s�_ 3� � n d Permit
Owner _ Lot
Builder
The fol owing Building Code deficiencies are required to be corrected:
lJ C l'Jt�T S
Presented to —� ISApproved —�--
Inspecto _ r I Disapproved
Date '�� Y ' U—
CALL FOR REIM4PF,CTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
' P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �� "0 .3 — Time_X_ AM..__. _P.M.
Address �� �_ c3 h Permit #1 l 1
Owner_ _ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ '441f0.pproved
Inspector I Disapproved
late
CALL FOR REINSPECTION
C] YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested cTime )tl-- A.M. _P.M.
Address _ /_!5� 3
3y _ _ L permit
Owner _ Lot
Builder —
The following Build;ng Code deficiencies are requi ed to be corrected:
Presented to 'JA–Approved
Inspector _ 7 _ _ -- U Disapproved
Date
CALL FOR REINSPECTION
0 YES Cl NO
i
D
W i W
INSPECTION NOTICE
C itv of Tigard Building Department
P.O. Box 23397 `
Tigard, Oregon 97223
Phone, 639-4175
Type of Inspection
Date Requested ,3 7�/ Time_.,y– A.M._ P.M. 1
Address .-1 3 y L', �Q _ Permit #-2�0_
Owner _ — Lot #
Builder
The following Building Cnde e9ficiencies are required to be corrected:
44
_ .
Presented to ❑ Approved
Inspector Disapproved
pproved
Date _ —
CALL FQR REINSPECTION
At YE8 CI NO
WMARN
XW
Xff III!
0111
mob. INSPECTION NOTICE
City of Tigard Building Department
P,O. Box 2&97
Tigard, Oregor 97223
Phone: 639-4175
Type of Inspection
Date Requested — �/G Time 'L A.M. P.M.
Address 'Di Yui
,lam-? 3 3 y �.�-- Permit # �
Owner Lot #_
Builder
The following Building Code deficiencies are requiredt��rrect : _.
�. -
w
Presented to F] Approved
t _
Inspector �-�' Dlsapproved
Date 7' 6 -
CALL POR REINSPECTION
l7 YEI: Cl NO
v
CITYOFTIFARD ® MASTER PERMIT
C11YOF T01RD P E I-�M I T #. „ » ., . . » : MSI-90
COMMUNITY DEVELOPMENT DEPARTMENT COMMPRIM. PERMIT #» : M5T�0 014'
13125 SW Holl BWd, P.O.Box 23397,TiWM,OreW 97 28,P.3)f,,4175
c�3.J �J DATE ISSUED: 05/1.6/90
SITE ADDRESS. . . : :15334 SW 82ND PI... PARCEL: 2S:112CB--0 5700
SLISDIVISION« . . . r ASHFORD OAKS ZONING:
BL.00K. . . . . . . . . . :
BUILDING _._.._.._.._.._._._._.
REISSUEc DWELLING UNITS.- 1 BASEME"N'r. „ „ . » . . . :0 s,f
CA-ASS OF WORK. :NEW BEDRMS:3 BAT'HS:2 GARAGE:. . ., . „ . . :400
TYPE OF USE. . . :SF' FLOUR AREAS RECIUIRED SET BACK S-----..._._.._......._.._. ..
T'YF,E OF (,'01';ST'. .- ill FIRST . 1.342 Sf 1.F FT. ,. :7 ft RIGHT. :5 ft;
OCCUPANCY GRP. :R3 SECOND. . » :0 S FRONT. :20 ft REAR. . '.28 f-L
STORIES. . .. . « . . :0 THIRD. . . . :0 5f REQUIRED-------------
HEIGHT. . . . . .
EQUIRED__..-___..-__HE:IGHT. . . . . . „ . : :18 ft TOTAL.-- -- 1 342 s•f SMOKE DETECTORS. s Y
1::'I OUR LOAD. . ., . ;40 ps;f VALUE:» , » » » � ,: 6 35 64 PARK INO SI-'0CES. . :0
l emar4.s:
__...._._....___........._.._..._._.._.._.._...._._._._........__._.__._._._. PLUMBING
FLO(JR DRAINS. . . . :0 BACKFLOW PREVN'T'RS. . ;0
UNIE:S. . . . . 42 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . „ . . .0
TUB/SH0WE:RS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH
WATER CL.USETS. . .2 SEWER LI`IE: (ft) « :0 GREASE TRAPS. . . .. .
DISHWASHERS. . . . : 1 WATT.' LINE (ft) . - 1.00 OTHER FIXTURES. . . . . .0
GAPBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACI•-I. . . : 1 SF RAIN DRAINE3. . , 1.
... __........__......_.._....._... M Ei:C H A N I C A L. _• __.-__._.._......_....__.,._. I_.. _....................._._..___ FEE ._....._......_. ._._..
FUEL. TYPES-__...._....._.......__.- UNIT 11TRS. . :0 type An
)c)►.crtt b date rec:pt
/GAS/ / / 1)E NTS . . . . . ..0 PAYIM $ :100. 00 J'LH 05/08/90 200632
IMAX INPUT':0 BT'li VENT FANS. . :;3 PI-J R I' $ 325. 00
(:'URN < IP)0K . » : i HOODS. . . . . . .. 1. Br)L..0 $ 211. 25
TURN )rr100K . . -.0 WOODS'TOVE.S. :0 Ei15='C.; 9i 16.25
F'L.00R FURN. . » . :0 CLO DRYERS. : 1 fa r1)C M; 600. 00
1'0IL.%CMP < 31-11=1:0 0T1.1E::R UNI TS:O 43SD[ !F 250. 00
("AS OUTLE:TSu l PARK $ 250. 00
Owner: _.............._............_. ..........._..._.............. _.._.,.._._._..........-.._......._.... MP,RT $ 36.00
JAY (MILLER MPLC $ 9. 00
f'(:) B(:)X 23291 M13PC 4 1.. 80
PPRT $ 1. 17. ")0
1 IGARD UR 9722. 3 P;''PC $ 3. 118 / J
Phone N. 684-7343 PAYM $ :1722. 68 JLH 05/14/90
Cc3ntr<at Lu•r,e ._.._----.........._...... ...... ......._.... ......._.....-._..-_..-......---__....
JAY MILLER
I'-"U DOX 23291
T'I:GARD OR 9722:3
PT►c7r1e #: 684 --75)413
Req #. . : '3010'"
1.822.68 TUTAL
This permit is issued subject to the regulations contained in the -- - - REQUIRED INSPErCTIONEi --
Tigard Municipal Code, State of Uro. Specialty Codes and all other F Oc t/fc:►und Insp McCh►anical Insp
applicable lass. All work will be done in accordance with Approved Wtr PrOOfinq Bsm Plumb 'lap Out
plans. This permit will eipire if work is not started within IN Post/Beam Iiisp Framing Insp
days of issuance, or if work is suspended for more than IN days. Crawl D r a i r► Fireplace Ins p
,.�:sm' t Slab Gals Line Ir1sp
Permittee 5iqiiature: ao_&x...-
3
✓ 1m/undersIAb i1, Insc►laticin 111Sp
PLM/Underf1oor Gyp Board :Ir1sp
l:s u e d Bye �.__._._._ _._ Ft n g D f•a i.1► B s n1' t Rain drain 11,s p
C a 1 .I fOr ar1sPec tiu1, -- 639-4175
I
ff
SEWER CONNI:'(-JION
�I�OFTIGARD r,1!1-.R 11 T 1
CrTYOFTWARD V'ERM 1.1' N. . .. . . . . : SWR90-01C.8
COMMUNITY DEVELOPMENT DEPARTMENT I OREGON
13125 SW HWI BW. P.O.Box 23,197,Tigard,Oregon 5
U,I " I. —1� -,I' - '/90
-13-!.;U ri:� )� 05/1.6
SIIE ADDRESS. . . .- IU,334 SW 82ND 1-4. V'A F�C E L 2 S 1].r C11 (357(%1(%1
SUBDIV.1SION. . . . .. ASHFORD OAKS ZONT NO
BLOCK. . . . . . . . . . » L-O'T. . . . . . . .. . . . . . ..
F E N N'T 11()111:-:,.
NO. .. . . . . . . . . . 40682 F-i x,r u r�ri.- U N I I'S)
G I (ISS OF WORK. . . -,N E.W DWELI I N G U N]:'T*S). .
T YK: OF' USE. . . . . ..S F, N(:1. 0 F* S U 11.'L D 1'.14 GS 1.
J. L L. 'T'Y F'E. . . . »B U S W R
:Sf
Renia-f,ks:
(3wiie'r". FEES
MILLLR type 'AMC)t.1 11 by cla t e -r e,c.,p t
1,0 I-3(aX 23291 1,
.RMT $ 1250. 00
1.N S 1, + ,8`.i.
3 11-*�. 14 0
I o 0 R 1) 0R 97(.?2 13 1---,()Y 11 $ 12 8".'i- X0 J I H 05/1.4/90
1:11-iorie #-. (`,84-7543
(.:(a r)t.0 A c.,t 0-r
CONI'WIC'TOR NOT' ON F:'11-.E
It 4 1285. 00 TOT'Al-
RELOUIRED 'I N S .10 N 6
This Applicant agrees to comply with all the rules and regulations 1:iewer 1r113pectiai-I
of the Unified Sewaqe Agency. The permit expires 120 days from
the date issued. The total amount paid will be forfeited if the
per4it 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 installer shall purchase
a "Tap and Side Sewer" Permit and the Al ncy will install a lateral. ----------
1. E.,r 1111.1,L e P S J.q 11 a t I.t('e» l LIOL1.0 —-----
--............ ................. ..........
I S Si tq C-c! B X ) I
................................... ................ .............
Call fo-r illspec.'tir)vi 639---4175
CITY OF TTGARD RECEIPT OF PAYMENT F.P.Cr-- I PT NO. : �'O-Zoo 78,5j
CHECK APIOLJI IT : 7007. b8
NAME x MILLER, JAY CASH AMOUNT r 0. Ocl
ADDRESS a PAYMENT DATE 05 1 90
FAISD I V I S I ON
TJOARD, O � E1 SNE, PL
PURPOSE OF PAYMENT AMCIUNT PA I D PUPP05E OF PAYMENT AMOLJNT POI
0 018ING PERM 11 7. 50
I 4�7 '2 .6 F T
M,L'.C.,H A N I r-A L. Fl. 7".6. 00 I.-YT . P U 1.L,D P E..R 27". y'
PLAN CHECi," FE 120. : 1 SEWER USA W p 9 0 16) 1250. 00
SEWER INSPECT 00 STREET SDC 600. 00
PAPK5 SiDC STORM DRAIN SIX
250.00 250. 01)
T 0 TAI AM(lUITT PA T D '.,LI(J 68
C17YOFT11FARD
PLM CHEQ APPLICATION
COMMUN TX DEVELOPMEW DEPARTMENT �� PLM CHECK ! r
am&W"Am eon.,PALew=3".T%WA boom sem pe4sr.sas PERMIT ! c
DATE ISSUED -�
JOB ADDRESS: l S33 y S.wj2 L- TAX MAP/LOT :Z ;
SUB: S U�✓—C A LS ham: / _ LAND UK:
cxANEa SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAID:
PHONE
APPROVALS RE(�IJIREO
CDNTRACTOR PLANNING:
NAME: Jay Miller Builder, Inc, ENGINEERING:
ADDRESS: 2O Box 23291 FIRE DEPT
97223 OTHER:
PF10111E: ITEMS REQUIRED
BUILDERS BOARD !: 59667 EXP DATE: 3 1 Z91 LIST/SUBCONTRACTORS:
PIIS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: _- _ TRUSS DETAILS:
ADDRESS: OTHER:
PWAE:
COMMENTS: L o
SUBCONTRACTORS. PLUMB: ,Rpn Watte 5nA7A —..TECH: M11 RPA inn nnAA7
PERMIT ! ACX:T ! DESCRIPTION NIOuNT NOW PD. MAL. DUE
10-432 00 Building Permit Fees
10--431 00 Plu6..jing Permit Fees _
10-431 Ol Mschanical Pei-sit Fees
10-230 01 State Building Tax (St)
Building
Plumbing _
Mach
10-433 00 Plans Check Fee /irl
Building _ - -
Plumbing
Mach
Se _
30-202 00
Sewer Connection ,
W-444 00 Saar Inspection
51-449 00 Street System Dew Char" (SDC) x
SZ-449 00 Parts System Dew Change (PDC)
31-450 00 stars Drainage Syst Des, Chr9 (MC)
10--230 Of Fire
TOTAL
r, NEC R
- - �-
APPLI
Receiver
-�
cn/3507►/1N Date Re"Iveds 7
-
ORA
"._ D_ i_NGIEROSiON CONTROL INFORMATION ,
GENERAL CONTRACiiOR NAME&ADDRESS: CASEFiLE NO.:
Builder, Inc, PERMITNO.:
X1 1 eX 232 9 1
Tigard, Orpqnn q 72 2 3 APPLiCANiN1 1AME AND ADDRESS:
EXCAVATION CONTRACTOR __ Tri 5i 1 1 ��i i a P r T n r
E
NAM &ADDRESS: Po 1
Jim Paulson Ex.ca ;ng —Tigard Or 97223
oute 1 Box 1 0 1 2 OWNER NAME AND ADDRESS:
Hi . sboro_, Oregon X7124
TELEPHONE NUMBERS:
APPLICANT: 6 8 4 7 5 4 3 _ PROPERTY DESCRIPTION:
OWNERS 684 7 53 STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:_6 8 4 7 5 4-1
EXCAVATION CONTRACTOR:6 4 5-1011
Si rEl)OB:
LEGAL.DESCRIPTION:
24 14WAFTER HOURS EMERGENCY TAX LOT NO.: _
COTa e AICT PERSON,TITTLE,TELEPHONE: 1/4 SECTION: _
Ei c:khQf f SiTE SIZE ACRES:
—
superintendant
b39-779
8 DiSTURBED/WORK AREA,ACRES: _
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE)
(NOTE:PFRNM MAY BE REQUIRED) CATCH-BASIN DITCH PIPE CREEK
Stumps & brush to l i scenc ed
_ fill area . Dirt to licQnsed
dump site. (CIRCLE ONE) PRIVATE PROPERTY
UBLiC RIGHT OF WA
------------
EROSIMSELAMNTATION CON7R (ESC)MEASURE
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLUGWING CONSTRUrT(ON.
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
ST'ABiLIZED CONSTRUCTION ENTRATICE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SI.T AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUc:NCE O.OTFR
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE Willi 7ECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULEJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL.CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAiN SEDiMEN-1.ON THE CONSTRUCTTO SR1. l/
EgSiGNA R SiG
• • • • • • • • • • * * ego -,a • • • • • • • • • • • • r • • • • • •• • • • i • • • • • • • • • • • • • • • • •
OFFICIAL_(ISE ONLY.
RECEIPT DATE ACCEPTED
FEE _ NUMBER RECEIVED 8;