15412 SW 82ND PLACE i
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15412 SW 82nd PLACE _
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CERTIFICATE (:)F'
CITY
OF TI GA RD � OCCUPANCY
X) x GITYOFTC6ARD PERMIT !#. . . . . . . >: M ST'30-01 31
COMMUhFTY DEVELOPMENT DW#JRTMEV \ ORtood PRIM. PE EMIT N. t PIS 1'90--0131
13125 SW 4all Blvd. P.O.Box M. 97,Tigard,Oregon 97223(503)6394175 — i DATE. I s S U E D c 08/Pt/90
SITE:. ADDRESS. . . t 1341E SW 82ND P!_ PARCEL: c'S 1 12" 0F�1NH
SUBDIVISION. . . . t ASHFORDI.ONINOe
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . 175
CLASS 'IF WORrK. tNEW
TYPE (:)V USE:. . . a SF
OCCUPANC r' CARP S R:3
OCCUPANCY t.OADt220 4
TENANT NAME . . . e �
Roma rksI
TAS\' MILLER
P�') BUX 23291
T I OARD Oft 97223
Phone Ma 584••-7543
Contr*ctor t - ------------
JAY
---- .____.._JAY MILLER
PO BOX 23291
T WARD OR 9 72e 3
Phone Oe 684- 7543
Reg ". . p 30107
Occupancy of the above reteren._ed building is hereby given, and certifies
the compl i alnr_e with the State Of Oregon Specialty Code; for the prWAP,
occupancy, And tMe 0 -- er which the refa-rence pe'roit was issued.
FIRE DEPAPTME:NT ULMDING) YNbrTCLQLp
-%11,
/
POST tN CC!1+7-p1CUDU'3 PLACE
i
INSPECTION NOTICE
City of Tigard Building Department
i
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested c., .�' Ti A.M. P.M.
E1ddrnss —glPermit
Owner Lot #
Buildar
'The following Building Code deficiencies are required to be corrected:
r, r
Presented to -__–_ –Approved
Inspector _ _ ❑ Olsepprowd
Date
L FO L APECTION
❑ YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Y -.Ycfj /I ---- —
M
Date Requested—.7 �7 Time A, ' Tj_P.M�.
Address ._ ��� _. Permit #7CJ—LJ
O,vnei _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
!u
" Cy
Presented to
K}—Approved
Inspector '
_- _ �_� Disapproved
Date --- 6—5'y
CALL FOR REINSPECTION
❑ YES ['!!rF0
ti
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested�`/a-" Time_____` A.M. P.M.
Address /J���a. O,/1 � Permit � ��
,w
#9y
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �^ t
�[J Approved
Inspector
C.._1 Disapproved
Date !!!
CALL FOR R&NSP crw,,v
Li YEt R- No
INSPECTION NOTICE z'
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
rype of Inspection
Date Requested C.� ' Time ` A.M._ P.M.
Address _. �� ' ��` ham_ __ Permit
Owner Lot # _
Builder 'f � _ .. ----- -----
The following Building Code deficiencies are required to be corrected:
i
i
Presented to�-,T Approved
Inspector ❑ Disapproved
Dnte
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested /—�–C-I� Time_ A.M. P.M. , z
Address ._� --- — -- Permit
Owner Lot
FuilderThe following Building Code deficiencies are required to be corrected:
P- +anted toys _ Approved
h»pector j/6/� Disapproved
r1
Date
CALL FOR REINSPECTION
F] YES 0 NO
SEWEK CONNEC'T'10.4
CI1YOFT
IC�ARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT �WYLOFTWARID PER111T #. . . . . . . S W R 9 0-0.1.413
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97M (603)M4175 PRIM. PERMIT #. « MG190-0131.
------ E.-i ....4 1 / I - 04-49,-�90
SITE: 0 1)1)R E SS. . . 1.541.2 SW 8 2 N 1) P L PORCEL: 21.12CB 06:1.0(%)
r
SU13D1VISTON. . . . 0SHZ(
F-0RD .)N I NG:
BLOCK. 1—c)1'. 75
NOME—
U G A NO. . . . . . . , . . :40658 F:1 X T U R E U N 11 S. . .
CL(liSS OF: WORK., .. . .NEW D W I:--.L LT N C; UN 11 S. . : 1.
TYPE OF' USE. . . . . ..S F' NO. OF' BUILDINGS: 1
I N S)T A L L I 1-.'11.)G)W R IMI.JER0 SURFACE:. . : f
Fit mark.si
Owl-ler: .........- FEES
JAY 111.1—LER t Y F)F., a III c)Lit),I t; by date re pt:
P0 FWX 23291 P R rl'T $ 1250. 00
1 N P $ ,'35. 00
'I 1GORD OR `3'`3'722;3 V*722P Y M $ 1.28"`i.. 00 04/19/90
Phorip #-. 684-7543
Coritri-.kc!tor-
CON'TJ-.'PC'TOR NOT Q'q FILt.:.
$ IP85. 00 T'014)1—
Reg ilt. .
REOUIRED INSPEC71ONS
This Applicant agrees to comply with all the rules and regulations 'Sewer Ivisq)ertic)ii
of the Unified Sewage Agency. The permit expires 120 days frow
the date issued. The tots amount paid will he 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 measurement
given, the instalier shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a 'Tip and Side Sewer" Permit and the Agency will instill a lateral.
f'e-r 1))i t t to e S i q 11 a t t.i r c,? ------
TSSUL-d 14y-.
Ca I I fur i ri�pec..,t i ori 6:3''3._417";
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CIIYOFTIFARD
MASTER PERMIT
' GiTYOFTRD 1='F:::RIIIIT N. . . . . . . : MST9O ••01::31.
COMMUNITY DEVELOPMENT DEPARTMENT OREUONI6:AF'f�:l:rl. PERMIT ft. » MST9O•-01:31
,a,assn ►+,Jietid. P.o.Box za3ei,Tigard.aaWno7 } jys DA'TC. ISSUED: 04/1.9/90
SITE ADDRESS. . . : 15412 SW 82ND f''L PARCEL.: 25112CB•-06100
SUBDIVISION. . . . : ASHFORD :ZONING:
BLOCK. . . . . . . . . . a L.OT. . . . .. ., ,. . . . . . :75
BUILDING _...___..__..__....._._. .__......._..__
REISSUEc DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 sf
CLASS OF' WORK. :NEW BE:DRMS c 3 BATHS:�i GARAGE. . . — . -- . :420 S f
TYPE OF USE. . . :SF FLOOR AREAS- - _._.._.._ ._. REQUIRED aE'T):�ACM: , _._....._...__.._..._........
TYPE OF CONST. »5N FIRST. . . :990 sf LEFT. . :5 ft RIGHT. :B .f.l',
OCCUPANCY GRP. :R3 SECOND. . . :950 sf FRONT. a2O ft REAR. . :26 ft
'a'JC)RIES. . . . , . . »0 THIRD. . . . -0 5 Rl10UIRED-
HEIGHT. . . . . . . . :20 ft TOTAL_•_•--•---.-: 1940 sf SMOKE DETECTORS. AY
FLOOR LOAD. . . . :40 ps f VALUE. . . . . `k: 8'3P-+0 1='ARK I NG SPACES. . :0
Remarks:
PLUMBING
j
SINKS. . . . . . . . . . . I FLOUR DRAINS.. . . . :9 BACKFLOW PRc_VNTRS. .. :O
LAVA'T'ORIES. . . . ., :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . .. .. »0
TUB/SHOWE:RS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . --- .. :0
WATER CLUSET S. . :3 SEWER LINE (ft) . a0 GREASE TRAPS. . . ,• .. .. . :0
DISHWASHE.RS. . . . : 1. WAf'ER LINE (ft) . : 1.00 OTHER FIXTURES. . » .• . :0
(30RBAGE DISP. . . : t RA114 DRAIN (ft) . :0
WASHING MACH. . . : 1. SF RAIN DRAINS- 0.
_.._...__.___..____..._.__.._.
MECHANICAL ._._..__..___._ _______ _..__...._.._...__......__..._.__...___. FEES
FUEL TYF'E:S- - ............. UNIT HTRS. . aO type ani punt by date •rec pt
/GAS/ / / VENTS . . . . . :0 PAYM $ 100. 00 :JLH 04/04/90 200004
MAX INPUT c 0 B'T'L) VENT FANS. . a 3 BPRT $ 40:3. 00 / 1
FURN ( 1O0K . . c 1 HOODS. . . . . . c 1 B1:1LC $ 261. 95
FURN )=1O0K . . :0 WOODSTOVE.S. :O B5F-'C $ 20. 15
F:I_.(:1(JR FURN. . . . :0 CLO DRYERS. : i S'f DC 9 600. 00 ! /
BOIL/CMP ( 3HP:0 0 TIA E R LIN ITS:0 SSD(:' $ 250.00
GAS OUTLETSa1 PARI: $ 250. 00
Ownera __..__....._._.._..._.._........_....._..____.._...._._...._......_..._.........._.._......_._._.._. MPRT $ 36. 00
:JAY MILLER MF'LC $ 9. 00
PO BOX 23291 115F'C $ 1. 80 / !
PPRT $ 140. 00
T l:GARD OR 97223 PSPC $ 7. 00
Phonv-+ #: (.;84••••7543 PAYM $ 1.878. '30 .1LH O4/19/90
Contractor: _......__ ................ ................._......_....._.._
JAY MILLER
PO BOX 23291
T IGARD OR 9722,3
P17one flu G84 1543
R e n
$ 1978. 90 TOTAL
This perait is issued subject to the regulations contained in the --- - RE14UIKILD INSPECTIONS -
Tigard Municipal Code, Mate of Ore. Specialty Codes and all other Foot/foi.ind Insp Plumb Top Out
applicable laws. All work will be done in accordance with approved Wtr Proofing Bsm Framing Insp
plans. This pereit will expire if work is not started within 189 Post/Beam Insp Fireplace Insp
days of issuance, or if work is suspended for more than 189 days. Crawl Drain Gas Line Insp
Plm/undslab Insp Irlsulatiall InSf)
f'ermi.ttep Signature: ..._._....... r-''L_M/UndeY`flciar Gyp licoard Insp
F'tng Drain Bsm' t Rain drain Insp
I!59ued Py: _ ._ Mechanical Insp Water Line Insp
Call for inspection - 6:39••-4175
CITY OF TIGAPD RIECEIPT OF F"-'AYMF14T F,'E(--EIF'T NO. :90`200`500
CHE*.Cl,-.: AMOUNT : 71. 90
MILLER. JOY CASH AMOUNT 0.00
0 F,E':'-i Po)YMENT E44TE : 04 19i90
SU'r)t)I V 15 1 ON t
154,112 SW R2ND PL
T I OARL). Clk
PI 11A I]ISE OF PAYMENT AMOUNT PA 11) PURPOSE OF' PAYMENT AMOUNT PAJ 1.)
PJTL.DP,1(3 PERMIT 407. 00 PLL)MBING PERMIT 140. 00
11ECHANICAl PERM 17 36. CIO Sr . BUI',L,D PERMIT TAX 5".' 128. 95
Pi-AN CHEU1: FCE 170.',75 5 E iW EP USA 112t.10.00
�,EWEP lNSPFCTJ(JN -,!;5.00 STkEET SDC 600. 00
F4.414t 5 ',-)Dc 250.00 GTORM DRAIN 5DC 00
1'COAL. AP101.1147 PAID 0
r w MKLIWN-
CITYTIFA
PLAN CHEQ APPLICATION
COMMUriTY DEVELOPMENT DEPARTNEXT �� !PLAN CHEC[ • 4
utas&How.a.ra �
s►w=W.w ��s�ns PERMIT / 121-S I,& _01—
DATE ISSUED
JOB ADD S: I Sy ( � Salt., �- TAX MAP/Lar .75/-12.c8 _45/0 0
sue: _ 6 e✓6 046—S LOT: �_ ,t'- LAND USE:
VALUATION:
-*WER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: LAST REISSUE:
FLOW PLAIN/
PHONE: SENSTTIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: Jay Miller Builder, Inc. ENGINEERING: _
ADDRESS: -PO Box 23291 FIRE DE" .
Ticrard, OR 977123 OTHER:
P40NE: _641 -1922 ITEMS REQW ED
BUILDERS BOARD N: 59fi67 EXP DATE: 3111 /g I LIST/SUB0019TRACTORS:
BUS TAX:
ARCH/ENGU:EER CALCUL-AT IONS:
Nom: y_ _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
COKIWNTS:
SUBCONTRACTORS: PLUMS: men yarn �na7a _3- (, G I !ECM: Reit Rew*in9 nnaA7 Ai -:2v-,96
PERMIT 0 ACCT 0 OESCRIPTION NOW AMOUNT PD. BAL. OW
3/ 10-432 00 Building Perult Foss 0
10-431 00 Plumhlry Psrw.lt Fess - A/0 �,! 6
10-431 01 Mechanical Pvruit Fees T
10•-230 01 State Buildiiq Tax (Ss) 71;73-
, -
Building
Plumbing 0 0
Much __ a
10-133 00 Plans Choct Fee ,� 0 J12 0.
auiIdiny ��G%�1� ✓
Pluabirg
!Asch
30-202 00 sewer Csnnsction 71
30--144 00 sewer Ins,voctlan +—�
A1---44si 00 street Syl tea Dov Charge (80C) o U
52--440 00 Parts Syst.er ,1ev amwVs (P0C) '�.
31--430 00 stun! Dra;nage syst Dow ChM (ssOC)
10-.2 3O Oe fire _
TOTAL -3163 9
APPI-I� DI
Received By: �,� Date Received:
cn/3S87S/1SP !
�r
GRADING/EROSION CONTROL F RNlA-f!QA
GENEF kL CONTRACTOR NAME&ADDRESS: CASEFILE NO.------
.'Ta
O.: _ __.7a Miller Builder, Inc._ PERMIT NO.: —
PQA 21291
i7aar(3 ' 4on 97221 — APPLICANT NAME AND ADDRES;>:
EXCAVATION CONTRACTOR Jay M i 11 P r Ri i i l ex !n r -
0��291 —.
NAME& ADDRESS: Tigard 972 3
Jim Paulson Excavating
Route- 1 Box 1062 OWNER NAME AND ADDRESS:
H=1 ,born, Oregon 174
TELEPHONE NUMBERS:
APPLICANT- 6 PROPERTY DESCRIPTION:
OWNER�_�_gg 7 5 4 3 STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:-JL 4 -, ')43
—
EXCAVATION CON TRACTOR:6 4 5-101 1
LEGAL_DESCRIPTION:
24 HR/AFTER POURS EMERGENCY TAX LOT NO.:
CO�TAICT PERSON,TITLE,TELEPHONE: 1/4 SECTIONS
a e Eickhoff _. SITE SIZE,ACRES____._., ®�o
� j�eLLIltenant..
b39-7798 - DISTURBED/WORK ARRA,ACRES SD !J D
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL.BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE)
(NOTE.:PERMITS MAY BE REQUIRED) CATCH-BASIN I DITCH PIPE CREEK
Stumps b brush tQ 1 ,�5cy-acpad
fill area. Dirt ,`o licensed
dump site. _ (CIRCLE ONE) PRIVATEPROPERTY
TIEARD 2AV1=L FUBLICRICUI.OF WA
05IQN/S EDT ME CONTROII (ESC) MEASURII,�
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILUT-D CONST",2UCTION ENTRANCE REMOVE AND RESTORE IT..MPORARY ESC
PERIMETER RUNOFF C'Of ITROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT ANT.:DF"F.IS
COVER PRACTICES EN`:URE OPERATION OF PERMANI FA(7,-nns
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN Acr.DRDANCE WITH TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS RAE UIRED,HA4 PLAN CONS1RUCTTON NOTES COMPLETE INCLUDING EMERGENCY
PHONE.NUMBER. SCAEDUL.E/STAG(NC fUR.INSTA)LLAT I Nd AND REMOVAL OF EROSION CONTROL MEASORES.AND
APPLICABLE STANDARD N(7ITS.
I HAVE READ AND WILL.COMPLY WITH THE ABOVE AND WiLLCONSTRUCT ANT)MAINTAIN FSC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCIION�SITE.
ELt SIGNA 'NF SIG
OI-ICIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY