15367 SW 82ND PLACE i!
i
I
15367 SW 82ND PLWE _
C17YOF71FARD CERTIFICATE uF:.
OCCUPANCY
COMMUNITY DEVELOPMENT DEEP C.'TYQFTWARD� PERMIT N. . . . . . . : ihJt��-�i-olII
\ OREGON , PRIM. PERMIT N. s ms,r9Ei-•A11 i
1:112b SW l4all Blvd. P.O.llcx 23397,Tigard,Orogon 97223) '9.4111
�_ -- DATE ISiSUEDs 09/14/90
SIIE ADDRLSS. . . a I bJ6 l SW 82ND PL PARCEL.s 2S 112CR-0"5206
SUBDIVISION. . . . a ASHFORD OAKS ZONINOs
]BLOCK. . . . . . . . . . s LOT. . . . . . . . vo . . . s66
---------------------------------
CLASS OF WORK. aNEW
TYPE OF USE. . . eSF
OC:CUPAVCY ORP. a R3
OCCUPANCY LC) iA a 220 4
TENANT NAME. . . s
Remarkss
Owners ._._..__.._...______..________.._.___.________
JAY MILLER
PO BOX 2:3291
TIGARD OR 97223
Phone He 684-7543
Contractors _..._____.._____._W„....._..__.________...
JAY MILLER
PO MOX 23291
I
T I OAKT Ok 97223
Phone "1 684-7543
Rog N. , a 30109
Clc:cclp,anc:y of than above referenced buildtiny is hereby given, and certifiers
the compliance wtth the ss,L-ate Of 01,e901-1 Specialty Codas for the grottp,
or_•cupanc_y, and cele* under which the* referenrod permit woo issued.
FIRE DEPARTMENT t�t�11l..UINCI'It�,EC ft
PUI LelNO 1C:IAL
POST IN CC►MgPICUPUS PLACE.
s
3r,
INSPECTION NOTICE
City of Tigard Building Department 1
P O. Box 23397
Sli�t�f Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -- _-�_I
Date Requested _ v Time A.M. P.M.
Address ___._I � 7� Permit # ' "It I I
Owner I ^^ Lot #
U
Builder J , �l X — 1 C'Vl�L!L Q ~12t,�-Q 't2' a U-VGI
The following Bukling Code deficiencies are required to be corrected: _k-1 wk
Presented to _ �_. Approved
Inspector L] Disapproved
Date
CALL FOR REINSPECTION
0 YES [ANO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397 �-
Tigard, Oregon 97223 �.
Phone. 639-4175
Type of Inspection
Date Requested — �V__�_ Time A.M. _P.M.
Address 15 .—Z0-0 Permit
Owner Lot #
Builder 4,The following Building Code deficiencies are required to be corrected:
Prasented to _ /Approved
Inspector _ k Disapproved
Date __ _
rg—
CALL FOR INSPEC?7O
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection AN A
Date Requested Time A.M. P.M.
Addres Permit *"r&, 0
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
C/"00'0 A-
55"a- mac_e _e,"ev-e 7- V/
Presented to �pproved
Inspector Disapproved
Data
CALL MR REINSPECTION
-1 YES F] NO
INSPECTION W"IICE
City of Tigard Buildinc )apartment
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection /J �l..Q ll�Gt�tl -
Date Requested– 7� o Tinte
Address . ���/ � �l Permit # -�.}( �_L—
Owner __ _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
yL/T r /f
44
Preis ited to
Inspector �'G' . /: -�" r ri ❑ Disapproved
Date
CALL FOR REINSPECTION
I#` �► I� o1I 1111` � dlfl �'
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone: 62^ 4175
Type of Inspection
Date Requested ? W�d� �CJ Tinos A.M. P.M.
Address
— Permit #fee —aL1/
Owner Lot sk
BuilderThe following Building Code deficiencies are required to be corrected: —
Presented to
Approved
InspectorDisapproved
�� .
Date
CALL FOR REINSPECTION
❑ yet ❑ NO
I
Kw wj w w IIS
(N';i!r'ECTI-ON-NOT ICE
City of "igard Building Department
P.O. Box 2.3397
Tigard, Oregon 97 223
Phone: 639-4175
TYF' o': Inspection '
Date Requested 7 —ZAL _ Time A.M. P.M.
i
Address .__ � 6 '71 h d — — Permit
Owner // Lot #
Builder
The following Building Code deficiencies are required to be corrected:
4
01
Presented to Approved --
Inspector _
Date Disapproved
_
CALL POR REINSPECTION
C� YES 1.:1 NO
rw
INSPECTION NOTICE
City of Tigard Buildirg Department
P.O. Fox 2337
Tigard, -)regon :7223
Phone. 639-4175
Type of Inspection
Date Requester' 1 5 �Cf�� Time A.M. P.M.
Address / 7 � 6 c4 — Permit # �0
Owner�. _. Lot
Builder � 'rs�i
The following Building Code deficiencies are required to be corrected:
I�
f
T�-
Presented to ,_._ _ _ ____ i_j Approved�
Inspector -__.____ . _._.. [_] Disapproved
Date
CALL FOR REINSPECTION
FI YES 1:1 WO
.ar sr sr ss as s• � � � sir
INSPECTION NOTICE
City of Tigard Building Department
P Q. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection f _
Date Requested- ._�-L T � � w-_ Time Vim'_ A.M._ _P.M.
Address _ - l� Permit # `>� 0 11.4
ovwger — - -- — ---- Lot #_
Builder ------
The following building Code deficiencies are required to be Corrected:
pre.Sented to _
Approved
Inspecter 1__"� --
x --.._---- Disapproved
Date _ - C ,
CALL FOR REINSPECTION
FJ YES 0 NO
INSPECTION NOTICE V
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972?3
Phone: 639-4175
Type of InspectionZ
_Date Requested �� t `GTi s A.M. P.M.
Address _! � Y-o►K #�G -/--�—
Owner Lot #
Builder
The followint rluilding Code deficiencies are require d to be corrected:
09
Presented to Approved
Inspector _ [ ] Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
d� ✓
� CITYOFTIGARD � MASTEf� )�'ERMI.f
CITYOF7WARD ## ,.
COMMUNITY DEVELOPMENT DEPARTMENT Oaea�oH 1 , . . . . : MST��0-01 i.i
Rl.i�. PERMIT. �i. : MST90--0111
13125 SW FW I Blvd. P O.Box 23397,Tokrd,Oregon 97223(603)639 4176
_- - --- - 63') 41.E 1 _ -- _-- 1)A_E:� ISSUED: 03/26/98
SITE ADDRE:SS. . . : 15367 SW 82ND FIL PORCEL.: 2S112CB-05200
SUBDIVISIOhj. ,. .. ., ASHf"URD OAKS ZONING:
BLOCK• . . . . . ,. . ., ., .
LOT. . . . . . . . . . . . . .66
..........._...._._.._...._...._.........._..____..____ ..__ BUILDING -__.._..__..__.____.___....-. . ._.._.._._..___.____._.._.........._.........._
REISSUE.. DWE.LL_ING UNITS:1 BASEMENT. . . . . . . . :0 sf
CLASS OF' WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :638 sf
TYPE OF' USE:. . . 'SF FLOOR AREAS-_-----------• REQUIRED SETBACKS---____..._._.....
TYPE OF CONST. :5N FIRST. . . . : 1028 sf LEFT. . : 11 ft RIGHT. : 14 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1138 sf FRONT. :20 ft REAR. . : 19 ft
STORIES. . . . . . . ..0 THIRD. . . . ..0 sf REQUIRED-
HEIGHT. . . . . . . . ..20 ft TOTAL-----•--:2166 sf SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE. . . . .: 1.02456 PARKING SPACE=S. . :O
Remarks:
_._....._._._.._.__..___........_._._.__...__._..__._ _ ..____ PLUMBING
SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . 94 WATER HEATERS. . . : 100 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :J LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . .0
WATER CLOSETS. . -J SEWER LIME: ( f t:) . :0 GREASE= TRAPS. . . . . . . ::0
DISHWASHEERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURE:S. . . . . ::H
GARBAGE DISP. . ., : 1. RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS— : 1.
__... _.____......_._.._...._. ME.C14ANICAL --_.___ ._._......... .......__ _._.__...__._______.__.. FEES _.__._.____..._.._._....._.___....
FUEL •T'YPES.___.____.._.___..._-• UNIT HTRS. . :O type amount by date re(^pt
/GAS/ / / VENTS . . . . . :0 PAYM $ 100. 00 JLH 03/21/90 101964
MAX INPUT :O BTU VENT FANS. . :4 BPRT t 440.50
FURN ( 100K . . :0 HOODS. . . . . . .. 1 BPLC $ 286. 33
FURN )-100K . . : 1 WOODSTnVES. :O B5PC $ 22. 03
f'LOOR F'URN. . . . .0 CLO DRYE=RS. : 1 STDC $ 600. 00
BOIL/CMP ( 3HP-.0 OTHER UNITS:O SEDC $ 150. 00
GAS OUTLETS: 1 PARK fi 250.00
Owner: _..._._,_____....___....._._....__.._.._..._....__...._..._.__......._.._.___..__ MPRT $ 40. 50
JAY MILLER MPLC $ 10 . 113
PO BOX 23291 M5PC $ 2.03
PPRT $ 147-50
TIGARD OR 97223 P5PC $ 7. 39
1 Phone 1t: 684-7543 PAYM $ 1956. 40 JL.H 03/26/90
Contractor: __. ..._........._..__.._._....,__._.._..____..__.._.___._.
JAY MILLER
PO BOX 23291
1IGARD OR 9722:3
Phone N: 684-75413
Rap N. . : :30109
$ 2056. 40 TOTAL
This permit is issued subject to the regulations contained in the -•---•--- REQUIRED INSPECTIONS ---------
Tsgard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp PlUmb Top Out
applicable laws. All work will be done in accordance with approved Wtr Proofinq Bsni Framing Insp
plans. This permit will expire if work is not started within 186 Post/Beam Insp Fireplace Insp
days of issuance, or if work is suspended for more than 168 days. Crawl Drain Gas Liner Insp
Pirn/undssl.ah Insp Insulation Insp
Permittee Sipr)atLit e L tr„f� PLM/llndRrfInor Gyp Board Insp
F'tng Drain Bsm' t Rai.ri drain Insp
l ss(.ted By: .........._._......._...___._.__.___.m..._._..._.__.. .. Mechanical I r1 s p Water Line Insp
Call for insp_e,�ctign 639-,4175 _
�� I
tri
CITYOFT167ARD SEWER CONNECTION
I-:'E Fi M I T
01YOFTWARD FIERMIT N. . . . . . . : SWR90•-01P7
COMMUNITY DEVELOPMENT DEPARTMENT oRsoow
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 07223 r(609)E3Q417s I�,R I M. Fl i.R ll I T #. .- hl S T 9 0--01. 1.1.
(, x....41 1 - DATEr�;�;t[F n• [�'t�.,w.: a
SITE ADDRESS. . . : 1536Y SW 82ND F11_ FIARCEL: 2S112C:P---0;':;200
SUBDIVISION. . . . : ASHFORD OAKS ZON'T.I,IG:
PI-OCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . :66
TENANT NAME. . . . .. 9
USA NO. . . . . . . . . . ..4062"9 FIXTURE UNITS. . . :
CLASS OF WORK. . . :111: W DWELLING UNITS. . : 1
TYF''E OF' USE. . . . . :SF NO. OF PUILDINGS: 1
INSTALL TYPE. . . _ :1.'4U 3WR IMPERV SURFACE. . : :sf
RP IIIa.(,kss:
(:lwrie-r: --___._.._._.__.__.._._._._.._.__....___._ _.. ._._...._..___..__..._ _._.. _.__ ___._ _._.__. FEES
,TAY MILLER tree amount by date -veC.,pt;
1:11 DOX 2329i PRMT $ 1250. 00 ! /
I NSE' 4 35. 00
TIGARD OR 9722:.3 l•'1':YM $ 1285. 00 71._0 03/26/90
Plicarie H.- 684•-•7543
C:ON'T RACTOR NOT' ON FILE
t
l'I1r.111r ##: 1285.00 TOTAL
REQUIRED INSPECTIONS --- _.....__....
This Applicant agrees to comply with all the rules and regulations ewer Inspection �.,__.___•_.___ __.._._._.._
of the Unified Sewage Agency. The permit expires 128 days from
the date issued. The total amnurt paid will be forfeited If the .__.-._._.a._.
permit expires. The Agency does not guarantee the accuracy of the
,ide SPver laterals. If the sewer is not located at the spasureeent
given, the installer shall prospect feet in all directions fros
the distance Given, If not so lccated, the installer shall purchase
a "Tap and S!de Sewer" Permit and the Aency will install a lateral
#!c.�r m:i.t t e e S i y i i a t i.i r E�e -1�;..__. )/7/)L),>C1
t � l.lrad By.
Cal I for iii!spe+ction .- 639-4175
i
I
CITY OF T167ARD — RECEIPT (IF PAYMENT REC NO. OOICf8027
C.HECV. AMOUNT s .74-41.7!3
NAME% JAY MILLER CASH AMOUNT a .00
ADDRESS- FAYMENT DATE 03-26—Q0
TIGARD. OF' 'i7L2.'1 BLOCV NO/ADDha
11 1577b7 5W 62ND Ft
JI PURPOSE OF PAYMENT AMOUNT' PAID PURPOSE OF PAYMENT AMOUNT PAID
'DUIL,DIfJG F'EhMIT�rRCJ-0111) 440.50 PLUMBING PERMIT 147.50
IMECHANICAL
MECHANICAL FERVIT 40.50 STATE BUILD PERMIT TAX (5%) 1. X11
PLi'44 CHE0. FEE 196.44 SEWER USA Ci0-0127) 1,250.00
EE,WEF INSFECION "5.00 STREET SDC b0o.00
PARf S SYSTEM DEVELOPMENT CH 250.00 STOPM DRAIN 5,0C
I
I
TOT6L AMOUNT PAID - 7,2 41..'�";
CITYOFTIFARD
PLAN (HEO>1 APPLICATION
COMMLNMY DEVELOPMENT DEPAATIENT ...� PLOW MEQ R �---,—G-
:ras a.w.he sn a �aD er.asss,l*dl Owl tassl 7s PEOU T it -
D,pTE ISSUE _
JOB ADDRESS:,_ 1.S3 -7 S �'' g 1�� � TAX MAPADT
SUB: C' LOW: LAIRD USE:
V,%LUATIOM: f -
OWNER SPECIAL MOTES
NAME: REISSUE OF:
ADDRESS: _ _ _ LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAD:
PHONE:
APPROVALS REQUIRED
0ONTRACTOR PL NXIMG. _
NAME: __J Ly Miller Builder, Inc. ENGINEERING:
ADDRESS: -J)Q Box 23291 FIRE DEPT
Tigard, OR 97223 OTHER:
PHONE: 6 4 1 - 1 9 9 2 ITEMS REQUIRED
BUILDERS BOARD /: 59667 _ ECP DATE: i/j i /9 i LIST/SUBOOMTRACTORS: _
BUS TAX:
ARq!Lf�NGI NEER CALCULATIONS:
NAME: TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
COMMENT'S:
SUBCONTRACTORS: PLUMB: Rpn Watte �jnR7A _ NECM: 14P11 RipBtina nnA 7
PERMIT / ACCT 6 DESCRIPTION AMOUNT NCUMT PD. W. Ow
10-432 00 Building Permit Fees -'
10-431 00 Plumbing Penia F*45 47
10--431 Ol Mechanical Pentit Fees Al v,it u• o
10-230 01 State SuIIdirq Tax (51) �i• / T
Building ';t-4'v
Plumbing 11
1
Mach ;2.u L
10-433 00 Plans Chac;t Fee
Building
Plumbing; -
Mach
1' fir v l z 1 30-202 00 Seb ar Connoction 0
20--444 00 Saws Inspection _ - 3T
51-44. 00 Street System Dew Charge (SOC) c c'
52-449 00 Parts System Des ChwV* (POC) Ga 57
11--450 00 Storm Dra!nags SySt On Chr9 (SM) d j
10-230 OS Fire
TOTAL
KC /
APPLICANT SE - _`--�
Received Ry: J� _ Date Roceiwed:
en/1sB7P/lBP
CIT'r' OF TIGARD — RECEIPT OF PAYMENT FEC NU: 00107964 �
CHEGhl AMOUNT 1.40.00
PJ aPir c JAY MILLER CA�0 AMOUNT .DO �
PAYMENT DATE Cl: ._ 1—90
TIGARD, Ok -72't KOCK' N0/ADDR-
� 1.1FFOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
FL�jhI CHE.C"I: FEE ---h5F') (OO.OIi PLAFI CH('0. FEE 0-66R) 413.00
I
TLITA1. AMOUNT PAID — - 140.CIO
i
1