15356 SW 82ND PLACE a
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---15356 SW 82ND PLACE -�
CERTIFICATE OF
OCCUPONCY
C17YOFTIGAIM rffA ERMIT #. . . . . . . . M31' 75
90-02f
I D� P
COMMUNITY DEVELOPMENT D&PART491'ff ORMON
1.1126 SW Hall Blvd. P.O.Box 73397,Tigard,Oregon 97223(603)639-4175 DAIL ISSIDE DI 12/26/9121
SITE ADDRESS. . . t 15,L56 SW 82ND PL PARCEL-$ 2G112CB-Q(5800
SUBDIVISION. . . . s ASHFORD OAKS ZONING:
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . * * 172
CLASS 017 WORK. oNEW
TYPE OF USE. . . vSF
0('.*CUPANC . GRP. t R3
OCCUPANCY LOAjs2211211 4
TENANT NAME. . . i
Remarks#
Owners ------------------------------------
JAY MILLER
L0 BOX 23291
TIGARD OR 97223
Phone #1 684--7543
Cnntrartors
JAY MILLER
PO BOX 23291
TIGARD OR 97223
Phone Na 684-7543
Req #. . t 30109
Occupancy of the above referenced bulkdiig is hereby given, snkl certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupancy, and use Under which the referenced permit was issued.
4
FIRE DEPARTMENT UILDI fNGOPPEC R
17y /BUILDING OFFICIAL
POST 114 CON11TCUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223 �
Inapection Line (Rec-O-Phone 639-4175 Business Phone: 639-4171
Inspection:_ _-
Footing Plbg. [Xidernlab Mech. Rough-in QCAppr/Sdwlk
Found. Plbg. Top Out; Gan Line FINALS
Poet/Beam 9truct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Praln Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requaot/Bd[ 1 �(c' � /�✓ Time: AH PH
A<ltireens /S 7 4, ,? h �— -- Permit
Builders �� e � L,
THE FOLLOWINr COR.P.ECTIONS ARE REQUIRED:
+ f -
Instpoctors - Datet 7
L'
APPROVED DISAPPROVED APPR(TVED 3URJRCT TO ABOVE
Cell For Ralnsp.
i INSPECT1t2N NOTICE
r/ City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223 't
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL•
Poet/Beam Struct. San. Sewer Framing -o..dg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Ltne Gyp. Dd. -Kech.
Date Requestedt % �4 �� Time: �AM--'_PH
Addrene:_ / 3.1 �_, d .� _ Permit f:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/
f
lnsper"tor::/__ _ _ Datet,/Z z
PPROVED n18APPROVBD __ APPROVRD SUBJECT TO ABOVE
T— _Call For Reinap.
aY
INSPECTION NOTICE r='
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ ' v
Date Requested____C__.ly r�C? Time A.M. P.M.
Address S 35~� ---- Permit #
Lot #_---
Builder / ' --- ---- _ ------
The following Building C,de deficiencies are required to be corrected:
Presented to �' ' Approved
Inspector � '- �" " L1 Oivepproved
Date 'o
CALL. FOR REINSPECTION
0 YES
INSPECTION NOTICE
City of TigarJ Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i Type of inspection
Date Requested
/, Time A.M. P.M.
Address .�
��_��_ h Permit #�
� 2
Lot #
Owner
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector -- U Disapproved
Date .�
ALL FOR REINSPECTION
El YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departinont I
P.O. Box 23387
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested A r� �� l ime A.M._ P.M.
Permit
Address L=_ � --- -
Lot #_
Ow ner——•- ---- --- —
BuilderThe following Build;ng Code deficiencies are required to be corrected:
Presented to - _ __..__._ / Approved
Inspector ____ r _ Disapproved
DateCALL FOR F'OR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
F City of Tigard Bu ling Department
C �f�
P.Q. 9or 23397
4 Tigard, Oregon 97223 /" j '✓�
1 (j ' Phone: 839-4175
Type of Inspection --
Date Hequpsted �U _7_ TimeA.M. P.M.
Address % "�� _ S12 Permit # _
Lot
Owner_
Builder/L��L&.g— -
The following Building Code deficiencies are regjired to be corrected:
�s Jc
LVE CR e6 tZl--eQ--Z1'-
Presented
'
2� S
Presented to [] Approved
Inspector —
Date
CALL FOR REINSPECTION
*YES I-] NO
� � 0
INSPECTION NOTICE
City of Tigard Building Department
C . Q P.O. Bjx 2339:'
Tigard, Orogon 97123
Phone. 839-4175
Type of Inspection —--
Date Requested Time �� _ A.M._ P.M.
Address � �� 3 5-/a Fd Permit #
Owner _�_. Lot
Builder
The following Building Code deficiencies a required to be corrected:
,�-
Q
Q tiC' j0 Core id O�-% c5vn'
71
7v 5 3'1` S TDA°
r wsi w311, X62�e!wp 901.—
Co
Co r ol'fc-771 OA.-'C'
� /� /
Presented to OF -[--Aftroved
Inspector ❑ Disapproved
Date �1 ( 5- 16 _
CALL FOR REINSPECTION
❑ YEi ❑ NO
INSPECTION NOTICE --��-v
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of ;nspection C--%�
J�ll C
Datc Requested__ "�a y Time. A.M. P.M.
Address .,C -� �a d _ Permit
Owns-.•__ _ _ Lot # ;2-7'J
Builder
The following Building Code deficiencies are required to be corrected:
Presented to roved
Inspector _ _ �� Disapproved
Date
CALL FOR REINSPECTION
YES L_1 NO
MOINLW w IIIII! w Iw
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 °
Tigard Oregon 9723
Phone: 639-4175
Type of Inspection —
Date Requested _ Time _ _ A.M._-_ P.M.
Address �.� Permit �
Owner 5 _'7 S i 0 �L ✓� Lot #
Builder _--- ___-- -----The following Building Code deficiencies are required to be corrected:
Presented to __ __ ___ VApproved
Inspector ----- -- --- Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTIONN0T ICE
City of Tigard Building Departmen
L P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _� ---
Time_�_ A.M. —P.M.
Address
Date Requested _._. n,,
Permit #YLC_ 1�
_ --�-�---
_ Lot #
Owner
Builder
The following Building Code deficiencies are required to be corrected:
- Approved
Presented to
Disapproved
Inspector �qV
DateCALL RE
❑ YES ❑ NO
� ar aer gar ez e� aer �
INSPECTION NOTICE
City of Tigard Buiwino Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — –
Dnte Requested _<r " Timd65A.M. P.M.
/5 J.r�o 25
Address Permit #SVR 0 _Oz9Q
Owner
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
�px
Presented to __ proved
Inspector __ _.__ ❑ Disapproved
Date
CALL F R R SPECTION
El YE! El NO
WEM
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection I `
Date Requested %'� Time
Address /5 �J ��h Permit #
Owner_ ___ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _i._ __Ile Approved
Inspector — [� Disapproved
Date
ICY
CALL REINSPECTION
❑ YES ❑ No
I
mACi'T'ER F'E:RMIT
CITYOFTIGARD CRYOF TiGARD G'EMtM3:'T #» . . » » » » : I'IS T'`:3O-O27i
COMMUNiTY DEVELOPMENT DEPARTMENT OReooN V'RIM. P'ERMI'T' #» : MS7` 0 0275
11125 SW HWI Blvd. P.O.Box 23397,ri9.n+,aeon 91M DATE ISSUED: 08/08/90
L (41)JRESS. . . : 15356 SW 82ND P11 P'ARCEL: 2SI12CEI•-O5800
SUDD:I:VISaTON. . . . : ASHFORD OAKS ZONING:
B1..0C.K. . » . » . . » . . a LO7 . . . . . . . . . . .. . . . 12
BUILDING ._........_._.__.._............
REISSUE: DWELLING UNITSi: 1 BASEMENT. . . . . . . . :0 Sf
CLASS OF' WORK. :NEW BEDRi.w :3 EIA'THS:3 GARAGE . . . . . . . . . . :460 f
TYPE OF USE. . . :SiF' FLOOR ARE:AS•-•--_..._.___. ._. REQUIRED
TYF,E OF C:ONS7'» ,-5N FIRS I'. . . . : 10:30 Sf LEF`.T'. . :6 ft: RIGI• I*. :G ft:
O(.'f'UP'ANCY GRP,. -R3 SE:(:OND. . . :706 sf F•RONT. :20 ft REAR. . .-38 ft
STORIES. . . . . .. . ..2 THIRD. . . . :O Sf REQUIRE.D _..____.____..._._.__._._..._..........
HEIGHT. . . . . . . . :20 f 7UTAl_ ---- --- : 1*136 sf• SMOKE DE1'EC7'ORS. :Y
F'••L.OOR I_f.)AD. » » » :4N p<_�,t VALUES. 811`2 IMARKING SV'ACES» .. :0
Renia•rk.s:
PLUMBING
SINKS. . . . . » . . . . : 1. IF l_(:)OR DRAINS. . » » :0 EIACKFLOW P'REVNTRS3. » :0
LAVATORIES. . . . . .3 WA'T'ER HEATERS. . . :1 T'RAP'S. » » . . » » » » . „ ,. ., . :0
'TUB/SHOWERS. . . . -2- LAUNDRY 14AY5. . . :0 C01'CH BASINS. . . ,. „ ;;(%)
WA'TLR CLOSE:•T'S. . :3 SEWER LINE. (ft) . :O GREASE: TRAPS. » „ . ., „ .. :0
DISHWASHERS. . . . : I WATER LINE"-' (ft) . : 1O0 OTHER FIXTURES. .. .. .. --,(?)
GARBAGE DISP'. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . -. 1 SF RAIN DRAINS. . -. .1
_..._.._.__._._._.____...
MECHANICAL _....._._._._.. _._.._.._.__. _...._.._..._....._ ..__._. FEES ...._....._.._._.__.�__.._.___
FUEL TYP'ES_.__.�____._...___. Uil17' HTRS. . :0 type ar.10unt by d Rte •recy'pt
/GAS/ / / VENTS . . . . . :0 P'AYM $ :100. 00 JLH
MAX INPU•T':O BTU VE'N'T' FANS. . :4 EIPRT $ 379.00 /
FURN ( 1O0K . . .- I HOODS. . . . » . .. 1 BP'LC $ 246. 35 /
F'URN )-100K .. . :0 WUUDS 1'OVE S. .0 B51--'C $ 18. 95
FLOOR FURN. . . . ..0 CLO DRYERS. : 1 S I'DC; $ 600. 00 / !
ROIL/CMV' < 3Hr':(:) C)'THE::R UNITSi:O
GASB OUTLLTS: 1 V'ARK $ 250. 00
JOY MILLER MP,LC 9. 15
F,(I I+OX 23291. 115PC 1.. 95
PPRT $ 1 .:32. 50
TIGORD OR 97223 P'FSPC $ G» (r3
,Iic)rie #: 684•-*7543 PIAYM $ 19'59. :1;3 JL.H 08/08/90
.)OY MILLER
I'O BOX 23291
T'IGARD OR 97223
I'Aiane #: 684
1tey #. . : 30109 _........_._... __._....__ .._. _. _..__._.___.._.__._....._......__..........
$ 2059. 13 TOTAL.
Ihis permit is issued subject to '.he regulations contained in the - ---- REQUIRED INSF'EC•TIUNS ____......_.
Tigard Municipal Code, State of Ore. Specialty Codes and all other Facet/found Insp Mechanical Iiisp
applicable laws. All work will be done in accordance with approved Wtr V'rtoafing Bsm Plumb 'TOP Occt
plans. This permit will eipire if work is not started within 188 Most/Beam Struc.;t Framing Insp
days cf issuance, or if marl, is suspended for more than 188 days, F'cist/Beam Mechari Fireplace Irnsp
(:trawl Drai.ri Gas I_a.ne I)1%p
I r�im.ittee c,:Lgnatccrc;, ; _._....._....._........____...... ..._ f'1mr"r.Irr(I4,I :.�b I: Imlach atiaii Insp
V'L ,",/UndertIoor Gyp Board Inrp
I.Rs S u e d D Y: ......................._......_._.._.._._....__...._..._.._......... F t;i i q Dr a:i ri I+s ni t; Rai.vi d r a i ri Iris p
C;a1. :L. fur inspec t:ican - 639 4 17 ;
---------------------------
-ITY OF 'TTGARD - PECEIF"T OF FAYMENT RECETF'I" NO.
CHECK AMOUNI ]256-4, 1
hvi, MILLEP., CASH AMOUNT 0.
A D 0 FS S PAYMENT DATE 4 0GJ8
SUPD I V 15 1 ON i
`ND PL
i5MM, SW 8w-
I-'I,J1YPO':4E 13F PAYMENT AMOUNT FAID F"I.JF'POI.--'.,E OF PAYMENT AMOUNT PAID
MSS T'9 27 771y.1)() F-L-1.1MRING PERM I:"Z. `0
MECHANICAL PE .7 9.(. f.,I ("iT. EIIJILD PER' .2 71.16.71..
FLAN CHEC'k FE t 5.6. 1 C) STRZET f3riC 600. 00
PARKS Eric 2510. (W(.�
AMOUNT Fid ID 1,504.
C17YOFTI ARD / , � `'G'WE'�' COMNECTIOM
P'L'-:F:MI'T'
CIIY0FTWARD F�IER1T1I.T #. . . . . .. . : SWk70--02`)')
COMMUNITY DEVELOPMENT DEPARTMENT ORIGO« 1-'F. Chl. F'FFtI�III' #. : SwF{'�C� -I%lr'=)
13125 SW H711 Blvd. P.O.exu 23397,Tipmld,Oregon 67M� } 4175 DATE I S si U E D q 06/29/90
SITS:. ADDRESS. 15356 SW 82ND V'1... PARCEL.- 2 5112CS—AO7i`
SUBDIVISION. .. .. .. : :ZONING:
AS L.0C:K. . . . . . . .. . .
TENANT NAME. . . . . ..
USA N0. . . . . . . . . . ..42335 FIXTURE UNITS. . .
CLASS OF:' WORK. . . '.NEW DWELLING UNITS3. . : 1
TYPEF. OF* USE- - *SF NO. OF BUILDINGS:
INSTALL TYPE:.. .. .. .. :!BUSWR IMV EF'V SURFACE. . : ;S f
Remarks
Owl-ler,. ___ _..__._...____._._._..._._ .. _..___.._.._..._._._.___ _............ _..___.._.._.._.._...._...._ FEES _...._..__. _—___.......____.
TAY MILLER type amount by date •rec pt
r:10 BOX 23291 F'AYM $ 1285. 00 ;JL..H 07/02/'')0
FIRMT !i; 1250. 01!) ! i
T'IGARD OR 9722:3 INSP $ 35. 00
Vltiorie #: 684....'7543
Cori{;•r•ar_to•r: _._..___._.......__.__.._...._.._....._.__._.._._...._...._..____...
,TAY MILLER
F:10 rA1]X 23291
TIGARD OR 97223 __......_.__._._....______._______..__...._.. _____....__..___..... ._....
F-'I•iovie #:: G84••-754:3 4 1285.00 TOTAL
Rey 1f,. ,. r ,30109
_....._.d.__. REOUIRED :INSV'ECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Instpec.tiori
of the Unified Sewage Aqenry. The permit expires 128 days from — ---•_.._...__._ ___._.__ ___ ..
the date issued. 1hF 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 lxeasurement
given, the installer shall prospect 3 feet in all directions from
.he distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
f't�r•roi.'L1:ee c;i.yriat;t.+re
Ca 11 fo•r ins;pecti.on - 639-4175
mr ma w w w w w w
C11YOFTIGARD
PLM CHECK APPLICATION
CONIMlM1TTY OEYELOPMEMT L/
� PLM CHECK • /1!�_
u�aser.�r.c►o�s�.mw.*I�,aows•�w�^orar�s PERMIT I _h]
QATIE ISSUED
JOB ADDRERS: 5-3 S tA--- ,, L TAX MAP/LOT _2 ;i' 'Q
sue: d .S LOO: 7 2 LAND USE:
VALUATION:
OWNER SPECIAL SW
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAW
PHONE: SENSITIVE LAND:
APPROVALS REQUIRED
�
PLANNING:
NAME: Jays Miller Builder, Inc. ENGINEERING:
ADDRESS: Box 23291 FIRE DEPT
Tigard, OR 97223 OTWA:
PHONE: _LJ1 2.2 a MM REQUIRED
BUILDERS BOARD /: 52667 EXP DATE: 3/11 /91 LIST/SU1KWTRACTDR=:
BUS TAX:
ARCH/EN(�NEE'R CALCULATIO :
NAME: NS
TRUSS DETAILS:
ADDRESS: _ OT1ER:
PHONE:
COMMENTS:
SUBCONTRACTORS: PLUMB: Kpn WAttc Kng7a IECM: JW 1 ReAting nnAA7
PERMIT / ACC1r 0 DESCRIPTION IMIOUNT NOW PD. W. 01R
L.� / 10-432 00 Building Permit Feety
10-431 00 Pluwblrg Permit Fess _ , ,
10-431 01 Mechanical Permit Fees
10-23001 Stats Building Tax (51) 7
Building
Plumbing
Mach i
10-432 00 Plans Check Fee ?,5 /)L i u
Building
Plumbing
Mach t'
W202 00 Sewer Connection
20-444 00 BMW Inspection --'�'�"' •• •�•- �""
51-449 00 Street S stem Doer -
52-449 00 Parrs systrw Des Change (PDC) h
31-45000 Sb WU Drainage Syst Ben owl (a=)
10-2S006 Fire
APPLICANT SI�l1
Qecolved Bys Cab BsesieN:
sN�N»/iM ----
(:RADING/EROSION CONTRQL MF'ORMATION
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
Builder Inc PERMIT NO.:
�QS 2J291 ?nn-q7 2 21 APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR - Ila 1 91
11— Rig i 1 d er Inc
F,NAME&ADDRESS: 0
Jim Paulson Excavat-ing Tigard Or 97223'
Route 1 Box 1 062 OWNER NAME AND ADDRESS:
Hillsboro, Oregon 97124
TELEPHONE NUMBERS:
APPLICANT- 6 8 4 7 5 4 3 PROPERTY DESCRIPTION:
OWNER 684 7543 STREET ADDRESS ANDOSS STREETAA)CATE�
GENERAL CONTRACTOR: 6 8 4 7 5 41 _ S r slit/ .A-
cl 12
EXCAVATION CONTRACTOR:6 4 5-1011 1�
I
SIIW1OBL
LEGAL DESCRIPTION: 7T� �A1
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: L"T �d� Tt S '}�Oy o� a kl
COI�TAICT PERSO, N.,TITL_E,TELEPHONE:
EPHONE: 1/4 SECTION:
aoff SITE SIZE,ACR
ES:
o��lIIJ�ant
-
DISTURBED/WORK AREA,ACRES: ,� d
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:PERMSTS MAY BE REQUIRED) CATCH-BASIN I DITCH PIPE CREEK
Stumps & brush to 1isconrPH
fill area . Dirt to licensed
dump site. _ (CIRCLE ONE) PRIVATE PROPERTY
URLIC RIGHT OF WA
EROSION/SEDIMENTATION CONTROL (ESCI MEASURES
MINIMUM ESC REQUIRFM NTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCIIUN: FOLLOWING CONSTRUk.TION:
I
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COYER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITHTECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING.AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULE/STAGING POR *ISTALIATION 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 SEDIMENT ON THE CONSTRUCT70 SITE.
1
MSIGNA A2k&1WSIGM
OFFICIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY