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�YNSPECTION NOTICE
7y ity of Tigard Building Department
P O Box 23397
Tigard, Oregon 97 223
Phone: 639-4175
l
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Type of Inspection
Date quested Time A.M. P.M.
A.'gfi 5;2 Permit # ��
Owner Lot #
Builder 02—
The following Building Code deficiencies are required to be cor ated:
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Presented to _ _ _ Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
CITY OF T10A RD BUILDING PERMIT
Aft— PERMIT NO. : BU892001
COMMUNITY DEVELOPMENT DEPAR'fMEu�T
QCllyoansafm
�rOON
_ 13125 S.W Hall Blvd..P O-Box 23397.Tigard,Oregon 97223.(:,b3)639:{175 E ISSUED: 10/10/89
- — ---- T — M.Plht,ll4�__89 00
JOB ADDRESS: 15389 5W - PL.
TAX MAP/LOT 2S1 1,2CB SUB: ASHFORP- OAKS Lf--65 BK:
USE: R4.5P1r
LOT SIZE: VALUATION: E 83,333 SETBACKS
WORM, CLP^S: NEW FRONT: 20 R,-AR: 5
nWELL.UNITS: 1. LEFT: 6 R".GH'f: 28
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 3 EXT.WALL CONST:
CONST.TYRE: VN N0.BAI'HS: 3 N: S: E: W;
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCU'P-LOAD a
N: s:
NO.ST
TOTAL AREA: 1876 E: w:
HEIGHT-
S: 2 IST: 1096 ROOF CONST: C FIRE RET?
i HEIGHT: 202ND: 780 AREA SEPAR?
BASEMENT", :SATED:
3RD: OCCUP.SEPAR? RATED:
MEZZANIN:? BASEM' T
FLOOR LOAD: 40 GARAGE: 41A FIRE SPRKLR? ALARM?
- �IiEAT TYPE• t1.OW(GPM) DETECT? YES
PLAN CHECK BY , rlt
REMARK5:
REISSUE OF NO. 881325
LAST REISSUE 89161'9
o � FEES: ----_----___�—
MILLE.R JAY PERMIT
NP.O. BOX 2.3291 $385.013
F
TIGARD PIAN REVIEW $40.00fJR FIRE DEPT
STATE TAX $19.25
--- - - OTHER
N MILLER JAY _ — DEVELOPMENT' CHARGES:
T SDC(STORM) $250.80
R JAY MILLER BUILDER SDC
(STREET)
A P-0- BOX 23291 ''DC(N2 ) $600.00
T TIGARD OR 972223 5250.88
O
PHONE (503) 68..-7543 PREGAID ( $40.08)
R REGISTRATION NO. 39109
-- ---- --- ---- TOTAL: $1.504.25
This I)grnlit is issued 5ubleact to the regulations contained in Title 14 RECF IPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations "" - --- --- ---- J (�
arid r;II ether apphi;able codes and ordinances, anti it is hereby REUUIRED INSPECTIONS
Agreed that the work will be done In accordance with the plans and FOOTING
specifications and In compliance with al. applicable codes and SEWER
ordinances The issuance of this permit does riot waive restrictive FOUNDATION WALL RAIN DRAINS
covenants Contractor and subcontractors shall have current city POST & BEAM WATER LINE
business tax permits i i,ia f,drmit will expire and become null and rL.B.UNDERSLAkt CITY APPRCH/SW
void if work is not started within 190 days or If work Is suspended or SLAB FINAL
abandoned for a period of 190 days any time after work has PLB.TOF'0!iT
commenced It shall he the relsponsibility of the permittee to assure
111 required inspections are requested and approved. FRAMING I
FIREPLACE �
i GAS LINE
INSULATION
.� ,inahere GYP. BOARD
((�✓/
v /
7 _ .._ ttt_t f f?R i M!3PiefiltTf
SEPARATE PERMITS REQUIRED FO`i WORK OTHER THAN DESCRIBED A 30VE.
W 11111111! •�
C11Y OSEWER PERMIT
��k, PERMIT NO. SE892(3ii6
CW'Of TWARD
COMMUNI'EY DEVELOPMENT DEPARTMI.NT OWMON D TE ISSUED: 10/18/89
13125 S.W.HAII Blvd.,P.O.Box 23397.Tigard,Oregon 97223.(5(13)639-4175 'R I M.PMT.NO. 89FOOl
JOB ADDRESS: 15389 SW $MH PL USA NUMBER: 39080
TAX MAP/LOT 291 12CB SUB: ASHFORD OnKS LT.,65 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 requlations; of the Unified
Seweraqe Agency. The permit expires 120 gays from the date issued. The total
amount paid will be forfeited if the permit expires. The Aqency does not quar-
antee the accuracy of the location of the side sewer laterals. Tf the sewer is
not located at the measurement giver), the installer shall prosper-t 3 feet in
all directions from the distance given. If not so located, the installer shall
purchase a "'Tap arid S.tde Sewer" Permit and the Aqency will install a lateral.
INSTALL. T7PE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. : 1
C
FEES;
MILLER JAY PERMIT
W $35.00
E p.o. BOX 23291 CONNECTION CHARGE
R TIGARD OR LINE TAP INSTALL .
-- ---------_ __.__—. OTHER
c
N MILLER JAY
N
T JAY MILLER BUILDER
R
p.o. BOX 23291
C TIGARD OR 97223
T
O PHONE (503) 684-7543
R REGISTRATION NO. 38189 TOTALi $1,285.09
RECEIPT N0.
This permit 1s issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,toning regulations
and all other applicable codes and ordinances. and it i9 hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH--IN
specificnt,ons and in compliance with all applicable codes and
)rdlnances The issuance of this permit does not waive restrictive
ovenents Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null 01.7d
void If work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to ss.iure
ill required Inspections are requested and approved
1 _ q �,.
Permltl nature,
r
Issued By --f$R- 1N9PE£T1W fr39-4J-?5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MIM1I!!11W
17Y
OF
TIFA
RD i aRMECHANICAL PERMIT
/,,,�� F�FRh'I T N0. : ME 892015
c TYOF TWa
COfViMUNITY DEVELOPPAENT DEPARTMENT E ISSUr'D: 10/10/189
13125 S w Hall BW-4.P.O Bos 23397.Tigard.OreK��'P
gon 97223.(6031639-4175 I M.PM T.110. 892001
JOB ADDRESS: 1.5389 SW 53RD PL
TAX MAD/LOT 2S1 iFCB SUB: ASHFORD OAKS LT:65 FK:
L.ANo USE: Fi4.5PD
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE <1.00K 1. AIR HANDLF: (10
USE TYPE: SINGLE FAMILY FURNACE 100K4 AIR HANDLR 10K
CONST. TYPE.: VN FLOOR FURNACE EVAP.COOLER
(jCrito,.GRP. : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
PLR/COMP (3HP HOOD 1
NO.STORIES. 2 DLR/COMP 3-15HP INCINERATOR(DOM
VULLL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(COM
FUEL. TYPE GAS BLR/COME' 30--50HP REPAIR UNITS
MAX. INPUT PLR/COMP 50+HP OTHER
FIRE DMPRS? GAS PIPING OUTLETS i
HIGH P.-.'ESS?
REMAPKS:
FEES:
W MILLER ,TAY PERMIT $10.00
N p.o. BOX 23291 FLAN REVIEW $10. 13
R TIGARD OR FIXTURES $30.50
STATE TAX $2. A3
'OTHER
C
C
N BELL HEATING INC..
A AVE
15550SE PIAllA
C CL ACKAMAS OR 97015
TT PHONE (503) 243--1184
p REGISTRATION NO. 447 TOTAL: $52.66
RECEIPT NO.
This permit is issued st-olect to the regulations contained in Title 14
of the TMC, State or Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIONS
arid all other applicable codes and ordinan,es. and it is hereby
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and POST & BEAM
ordinances The issuance of this permit does not waive restrictive ROUGHIN
covenants Contractor and subcontractors shall have current city FINAL
business tax permits This permit will expire and bpcorne null and
void if work is not started within 180 days,or It work Is suspended or
abandoned for a period of 180 days any time After work has
commenced It shall he the responsibirlty of the permittee to assure
ail required inspections are requested and approved
pprr IgnAhl�
Issued By .CALL_EDR INSPEGI.IDh _&ab -A1_ZS_--
SEPARATE PERMITS REQUIRED FOR WORK OTHER 'rHAN DESCRIBED ABOVE
w W W -i
� PLUMFIIIJG PERMITC'� F T167A
RD j,1wt; PERMIT NO. : PL892014
cmO rtsar'o
COMMUNITY DrV'ELOPMENT DEPARTMENT
I 13125 S Hall Blvd.,P.(i Uar 23397.Tigard,Oregon 97223,(503)639.4175 E ISSUED! 10/10/A9
F'(.1IM.PMT.h10. $92001
JOB ADDRESS: 15389 SW 63340 PL
TAX MAP/LUT 2S1 12CP SUP: ASHFORD OATS LT:65 BK:
LAND USE: R4.5PI)
LOT SIZE:
I TEM: NO: W0:
WORK CLASS: NEW WATEk CLOSC1 3 TRfiP
USE TYPE: SINGLE FAMIL', URINAI- BKFLOW PRVNTR
CONST.TYPE: VH LAVORATOki 3 TRAP PRINEF'
OCCUP.GRP. : R3 TUB SHOWL_ k 2 GREASE: TRAPS
DISHWASHER 1
GARBAGE: D11POSAL 1
NO.STORIES: 2 WASHING MV'H!.NE 1
DWELL,UNITS: 1 LAUNDRY TPAY I BLDG.DRAIN (DIA
FLOOR DRAIN
SINK
, 1 SEWER (FT)
WAFER HEI;".k 1 STORM/RAIN (FT 1
OTHER
--— —------
IPTMARKS:
O FEES:
W MILLER JAY PERMIT
N p.o. BOX 23291
E
TIGARD OR FIXTURES
STATE TAX $7.00
OTHER
G
O WATTS KEN
N
T KEN WATTS PLUMBING
R 00 PDX 230925
C tiaiii ur 97L23
T PHONE (593) 684-6626
c�
_ REGISTRAI:ON NC. 50878 _ TOTALs $147.00
This hermit is issued sublecI to the iegulat!ons contsin4d in Title 14 RECEIPT NO.
(it the TMC. Statr of Oregun Speclatty Codes, zon!ng regulations _---`---_------- "—`—
and all other applicable codes and nrdinances, and it Is hereby REQUIRED INSPECTIONS
egreei that the work will be done in accordance with the plans and PLN.UNDERSLAB
specifications and in rompliance with all applicable codes anti POST A BEAM
ordinances. The issuance of this permit does riot waive restrictNt, WATER (_INE
covenants Contractor and subcontractors shall have current rity
business tnr permits 1 his permit will expire and become null enri PI-P.TCPOUT
vold if work is not s'arted within 180 days,or if work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has FINAL
c)mmenred It shall be the responsibility of the permtttee to assure
all r--yutrr-e--d inspections ale requested and approved
Permitj /liFignatur
Issued 9y. INGPEGTION 639—A17�
SEP6 LATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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PLAN CHEM( APP'LI�-nT ,Ow
C11Y0FT1GArRD-- PLAN CHECK.& ,, / `�
r MY TMIM PERMIT 0 _ :2,
COMMUNITY DEVELOPMENT DEPA�RTMEMr��^ - �oa+wM f Do rE 7SSUELI
171258WHdR4 P.0.Fa%27:p,Ta&jtC%,gn W=(i01)Bili Jj /
JUB ADDRESS: �_ J �" - `� L ✓ TAX MAP/LOT _
SUB: !�f h{C c> u ` S _ LOT: S LAND ►SSE
VALUATION:
OWNER SPECIAL NOTES
NAME: _ REISSUE #U',
ADDRESS: LAST REISSUE _
FLOOD PLAIN/ ,--�
_�_. ---- -- SENFTIIVE LAND:
PHONE: `
------�- ____.� -- APPROVALS_K.gIIREG
CONTRACTOR PLANNING:
NAME: JAY MILLER BUILDEP, INC. IENGSNCERT.NG:
ADDRESS: ?0 BOX 232 '1 _ FIRE DEPT _
TIGARD, OR 97223 _ OTHER:
PHONE: b 8 4-7 5 4 3 _ ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
ARCH/ENGINEER BUS TAX: _
NAME: l -- CALCULATIONS:
ADDRESS: — _ TRUSS DETAILS: _ II
PP'tKT%G PLAN:
LANDSCAPE PLAN
PHONE: OTHER.
� I
COMMENTS: _
o I
PERMIT A ACCT M DESCRIPTION AMOUNT AMOUNT Ph. SAL . DUE
1 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tar (5X)
Building —`
Plumbing
Mach
10-4s3 00 Plans Check Fee
Building
Plumbing ��—
Mach
30-443 00 Sealer Connection (20X)
_�— 30-202 00 Sewer Connection (90X) ------_.__
30-444 00 Sewer Injpoction
51-449 00 Street System Div Charge (SDC) -
52-449 01 Parks I System Bev Charge (PDC) _-
52-449 02 Parks II System Bev Charge (PDG) — —' - -�
31-450 00 Storm Drainage Syst Uev Chrg (SSDC)
IG-230 09 09 1RFO (95X)
10-435 00 TRFD (5X)
10-230 06 Washington 0 mty Fire 01 (95x) -- —
IC-435 00 Washington County Fire /1 (SX)
10-220 00 Annart/Wodgwrodd
TOTAL
KC 0
' Mara i va.1 �• .. _ '