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15472 SW 82ND PLACE s m � 15472 SW 82ND PLACE IF-am � /� �� CERTIFICATE OF CITYOFTIOARD ( rra� OCCUPANCY �C"YOFTNARD PERMIT a. . . . . . . s MST90-0118 COMh?PUTTY DEVELOPMENT DE.,P"# a�T OREaoa 7 � PRIM. PERMIT M. i, M�aT'�H--F111.�i . 13125SWlbtllBlvd. P.O.Box 23347,Trard,Oregon 97223(603)63EQt s DATE: IbAUEDV 08/03/90 SITE ADDRESS. ,. . s 1.5472 SW 42ND PL P4RCELs 29112CB -•06400 SUDDIV':SION. . . . n ASHFORD OAKS ZLINTNOs BLOCK. . . . . . . . . .. . L07. . . . . . . . . . . . . i 1))8 CLASS OF WORK. sNEW TYPE OF USE:. . . r SF OCCUP^LACY GRP. s R3 OCCUPANCY Ll1ADs220 4 TENANT NAME:. . . s Remarks JAY )MILLER PO BOX 23291 T I BARD OF 97223 Phone N r 684-7543 Contr.•c-tors JAY MILLER PO BOX 23291 TWORD OR 9*7223 Phone Ms 684-•7543 Reg b. . s 301.09 Occupancy of the abode building is hereby given, and vertrifies the compliance with the St•atw Of Oregon Specialty Codes for the group, � cirr-upancy, an,', use under wh i r. h the •reforPnced permit was issued. � FIRE DEPARTMENT I LDIN[3 INS)P _CIUft� BUIL NO (I .iCIAi. POq'F iN CIIN PIC'UOUS PLACE INSPECTION NOTICE 1„w ly City of Tigard Building Department \D P.O. Bax 23J97 Tigard, Oregon 9,'223 Phow 6394175 Type of Inspection --- 16 -- ----- _. -- -- ------ Date Requested __�-3�a Time_�_ A.M. P.M. Address - _� ��' "�—"`_.-- _.__..__ Permit Owner ___�._._.-____ __ Lot BuilderThe following Building Code deficiencies are required to be corrected: Presrnte.i to _ _ Approved Inspector _ 'r __ [ � Disapproved - Date -- CALL FOR REINSPECTION E-1 YES ❑ NO ram INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 972;?3 Phone: 639-4175 Type of Inspection Date Requested [ 1 nn�3 A.M. !l� —7 _ v_P.I►!!. Address Z / � � Permit di • ���� Ownerz _ __ Lot Builder The following Building Code deficiencies are required to be corrected: �.--i i 1.1.r ,y.� � 6a `�;,.- ''x �"• � [_ 49 4col GL ,A0 ,.' / z � Presented to Approved Inspector Disapproved Date _ —L.a-- -- C ' FOR REINSPF,CTION 0 YES EP-960' "W FW INSPECTION NOTIOE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. P.M. Address Permit Owner Lot Builder The following Building Code deficiencies are required to be corrected: 1017f, L401,") 1017f, /e A Presented to oft Approved Inspector 777 ��Isapptoved Date CALL FOR REINSPE(TION F-P--'ViE9 ONO ■ W1 W1 IR i � W alln INSPECTION NOTICE City of Tigard Building Oepartme.zt / N.O. Box 23397 Tigard, Oregon 97223 �,, Phone: 639-4175 _ Type of Inspection �_�2 ��2- ;,�-- a J� Date Requested__-- _._-9u 6 12y Time c_A.M. / P.M. 4.72 Address �_ Permit #� L Owner- _ Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to rA-Klp—proved Inspector �_._. Ij Disapproved Date __ CALL FOR REINSPECTION �-1 YEa C] NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- Date Requested ''� �T� Time_ A.M.�., P.M. Address /�� �. _`? -� Permit Owner _ __-�--_ �.--_--- Lot Builder The following Building Code deficiencies are required !o be corrected: Presented to Approved Inspector +!' Disapproved Dale CALL FOR REINSPECTION YES [:�] NO — INSPECTION NOTICE / City of Tigard Build ng Department R0, Cox 23397 Tigard, Oregon 97223 /1� Plone: 639-4175 Type of Inspection -- Time i[ Time A.M.. _P.M. Date Requested_ -1 --/� Permit Address _ Lot Owner ---- — - — — Builder — - ' — --- The following Building Code deficiencies are, requ;red to be corrected: Presented to — -- -- Approved InspectorDisapproved -.----_ __ Date Y CALL FOR REINSPECTION [] YE= 1:1 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 "igar+ Oregon 97223 Phone: 639-4175 Type of Inspection — /�� n Date Requested �� 0 Time A.M. P.M. Address hd Permit oeL e, Owner Lot # Builder r�) The following Building Code def[wenci is are required to be corrected: Presented to Apprnved Inspector Disapproved Data CALL FOR It E WSPECTION VES ❑ NO U II INS'ECTION NOTICE City of Tigard Building Department P O Bo). 23397 Tigard. Ore lon 97223 Phone. 639-4175 Typ9 of Inspection — Date Requested--.,--- �L�L= Time � A.M.�__—c��,P•M. �> Address --- — -- -- — — Permit Owner_,_— --s�,� ---- r� Lot #_ _ Builder �+' The following BwA=iingdedeficiencies are required to he corrected: Presented to _ ❑ Approved Insp•etor �'" ❑ Disapproved Date CALL FOR REINSPECTION ❑ YE! C7 NO UUULJ- UuuLi i -io i CIIYOFT167ARD MASTER PERMIT CrTYOF TWA 0. . . . . . . ; MST90 01.1.8 COMMUNFTY DEVELOPMENT DEPARTMENT OREGON PRIM. PERMIT, 0. : "IST'90-01.18 13125 SW HeA Blvd. P.O.Box 23397,Tigsid,O"Pgon 97223 75 C, 3`:i 1)A TL 1.S 3UED; 03Z26190 SITE ADDRESS. . . -. 15472 SW 82ND FIL PARCEL: 2511.2CB---0C,400 SUBDIVISION. . . . : ASHFORD OAKS ZONING-, BLOCK. . . . . . . . . . : LOT. . . . . . . . :78 BUILDING REISSUE: DWELLING LINIT5: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . .. . . . . :467 sf TYPE OF USE. . . :SF FLOOR AREAS------- --- REQUIRED SE'T"BACKS.-._.._.._-.-.....-...._.... TYPE: OF CONST. z5N F-IRST. . . . .. 1280 sf LEFT. . :6 ft RIGHT. c6 ft OCCUPANCY ORP. -.R3 SECOND. . . :852 sf FRONT. :20 ft REAR. . s31 ft, STORIES. . . . . .. . ,:0 THIRD. . . . ..0 sf HEIGHT. . . . . . . . 20 ft TOTAL------.12132 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . -40 pf VALUE. . . . . 97950 PARKING �'PACES. . :O Rema-(+.sc PLUMBING SINKS. . . . . . . . . . : . FLOOR DRAIIqS. . , . !O BACKFLOW PREVNTRS. .. :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 100 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . .. -0 CATCH BASINS. . . . . . „ :P) WATER CLOSETS. . :3 SEWER LINE (ft) . :.0 GREASE TRAP'S. . . . . . _- o D113HWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . ::0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :O WASHING MACH. . I SF` RAIN DRAINS. . : 1 MECHANICALFEES UNIT HTRS. . -.0 type amount by date reept- /GA S/ /GAS/ VENTS . . . . . sO PAYM $ 100.00 JLH 03/,21/90 :101959 MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 427.00 FURN < 100K . . o@ HOODS. . . . . . .. I BPLC $ 277. 55 FURN >=100K . . : I WOODSTOVES. .-0 B517)(1, $ 21. :351 FLOOR FUkN. . . . :0 CLO DRYERS. : 1 STDC $ 600.00 BOIL/CMP < 3HP:0 OTHER UNITS:O SSDC $ 250. 00 GAS OUTLETS: 1 PARK $ 250. 00 Owner: III FIR T 1, 40. 50 JAY MILLER MPLI' $ 10. 12 PO BOX 23291. 115f)(11 41 r.0;? PPRT $ 140. 00 TIGARD OR 97223 P50C $ 7. 00 Phone #v 684--7543 PAYM $ 1925. 54 JLH 03/26/90 Contrac-tor: JAY MILLER R PO PDX 23291 TIGARD OR 97223 Phone #*. 684-7343 Reg O. . c 30109 $ 2025. 54 TOTAL Thi% pereit is issued subject to tie rejulations contained in the REQUIRED INSFIECIIONS Tigard Municipal Code, State of Or!. Spocialty Codes and all other Foot/found Insp Plumb Top Out applicable laws. All work will be done in accordance with approved Wtr Proofing Psm Framing Insp plans. This pervit will Pipire if io4, is not started within ISO Post/Roam Insp Fireplace Insp days of issuance, or if work is suspended for more thin 161 days. Crawl Drain Gas Line Insp PIM/Undslakh Insp IIISLIIati011 Ins f1 PI-M/ lout, Gyp Board Insp Permittee Signature: 7 , Ftng Drain Psin' t RAin drain Insp Issued Bys Mechanical Insp Water Line Insp - Call for _i1i*jLe- L ' ren 639-4175 TIN SE*..WER CONNECTION CITY OF TIGA RDCCIlY0F11WARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT � PERMIT 4. . . . . . . : 13WR90 01,26 OREGON - 13125 SW HsWI Bbd. P.O.Box 23397,1 i(Wrd,(Xogon 97223 & -4175 P RIM. !_`V:RMIJ MST9001.18 (�.3'!60�4'1W7.1. 1�_DATE SITL ADDRESS. . . : 1'j4 /i2. SW 82ND 1`11- PORCEL: 2SJ.1.2CP--0C,400 SUDI)11).1 S I ON. . . . : AGHF`ORD OAKS Z NI N C.) D L 0 C I/. . . . . . . . . . : L01 . . . . . . . . . . . . . 78 'y'ENANT NAMEK.. . . . . . I SH NO. . . . . . . 406:)O VIXTURE UNITS. C _ASS LOF` WORK. NE W DWELI 1.N G) U N I FS. I '1­(F`E OF' JSL. . . . . SF- NO. OF' BUILDINGS: ]. IN('31-ALL TYPE. -DUS411 IMPERV SURFACE. f Remarks JAY MILLER type alIMMIt I)y date rec p t PIC) BOX 23291 PIRMT $ 1250. 00 INSP $ 355. 00 TIGARD OR '97223 PAY11 $ ].20`'. 00 JLIA 03/26/90 Plimie #.- 684-7543 (.'C)NTR0C,*TOR NOT- ON F'ILE 1:11 1-1 c.)vi e 0 1285. 00 TOTAL Reg 0. RFOUIRED INSPECTIONS This Applicant agrees to cosply with all the rules and regulations Sewe-r Iiispeetiori of the Unified Sewage Agency. The per-it expires 120 days fros ...... the date issued. The total mount paid will be forfeited if the persit expires. The Agency does not guarantee the accuracy of the side sever laterals. If the sever is not locatpd at the veasurement .............. 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 Age will instal a lateral. Permittee lssmted Byl Call for iiispe(:tiovi G39-4175 r , CITY OF T 1(3ARD - RECEIPT OF PAYMENT REC Was OOI U8028 CHECK AMOUNT 77'210-54 NAMEo JAY MILLER CASH AMOUNT t .00 ADDRESS: PAYMENT DATE: 0.1--26-1�O TIGARD, OR 9.72 7r SL.l1Ck: NWADDRs 154-12 SW KND PL PURPOSE OF PAYMENT HeICIUNT PAID PLIPPOSE OF PAYMENT AMOUNT PAID __-._____..._ ____.._.._.____ BUILDING PERMIT '90-0119) 4;2''.0[1 PLUMBING PERMIT 14 0.00 MECHANICAL PERMIT 40.50 STATE BUILD PERMIT TAX (5i) 30.37 PLAN CHECV FEF 107.67 SEWER LISA (90-0126) 1.250.00 SEWER INSPECTION 37,.00 STREET SOC 6(70.0[1 PARKS SYSTEM DEVELOPMENT CH :,50,Ori ST'OR'M DRAIN SDC 250.00 I TOTAL AMOUNT PAID - - r.2to- � 1 !Nl Hls HTE ND Nf' ! N1 e C17YOFT11FARD ��` �,�,.. P_00 CHECK APPLICATION NT RYIi COMMMITY DEVELOPMEDEPAENT �w P1.M CHECK • -- r, UM ay.NO srL s a o..twos.Tlewd.Ompm Cass psa,ae4in PERMIT / in7O-O 77? DATE ISSUED JOS AODSESS: 1 S Y 7 S W• �� � � T14X MAP/LOT �� � � z C�; C Sue: ti1 l O✓5 a C. S LOT: e) LAND USE: _ VALUATION: _ OWNER SPECIAL NDTES NAS: REISSUE OF: _ ADDRESS: _ LAST REISSUE: _ _ FLOOD PLAIT/ SENSITIVE LAD: PHONE: APPROVALS REQUIRED QONTRACTOR PLAWING: NAME: Jay Miller Builder,, lnc. ENGINEERIM: _ ADDRESS: PO BQx 2 3 2 91 _ _ FIRE DELT rigard, OR 97223 _ OTHER: PHONE: 6 4 1 - 1 9 2 2 ITEMS REQUIRED BUILDERS BOARD R: 59667 EXP DATE: 3,, i 1 ,OJ LIST/SUBOONTRACTORS: BUS TAX: ARCH/ENMNEER CALOJLATIONS:NAME:- TRUSS DETAILS: ADDRESS: OTHER: PHONE: -- — ODMIMENTS: SUBODNTRACTORS: PLUMS: lean warts. 50878 : Rett Hpatinq nnAa7 Z !o PERMIT 0 ACCT if DESCRIPTION AMOUNT AMOUNT PD. IAL. DIE M>t9y•U11`h 10`432 00 Building Perult Foes 10^431 00 Plumbing Permit Foes V - yc 10-431 01 Mechanical Permit Fees - C• Z 10-230 01 Stat* Building Tax (5%) 0.3 Building21. 3� Plumbing —j 7 o_ Moch _ 2 10-133 00 Plans Check Foe ry Ruildirg P lamb i rg Mock 20-202 00 Somer Connection W-444 00 94moer Inspection 3 51--445 00 $trust System Dov Charge (SOC) q 52-449 00 Parks Sys tar Dow CharRs (PDC) t- 31-450 00 Storrs Drainage Syst Dow dvy (SEDC) �3 u 1u--230 Os Fir. TOTAL _Y < .701 U NEC • ,�? ALICANTiiiiiU� Received Sy: ,� Dsts Received: Cn/3'S87P/1 SP ! ti CITY OF TIGARD RECEIPT OF PAYME14T REC Wt 00107959 CHECK WOUNT ZOO.00 H;-PIE: JAY MILLER CASH AWILINT .00 o�`DRESS: FO BOX, 27'2'y1 PAYMENT DATE t 03-21-90 TIGARD, OR 97227, BLOCV NO/ADDRt �''PPOSE OF P(oMENT AMOUNT PAID PURPOSE OF F'At'MENT AMOUNT PAID Pi-AN CHEC,' FFE '.-c,'72w,) 100.00 FLAN CHU1, FEE, (Z.-6:7�R) 100.00 TO!f--iL AMOUNT PAID 200.00 ffff GRADiWEROSiON CONTROL INFORM TA iON GENERAL CONTRACTOR NAME&ADDRESS: CASEFiLE NO.: Builder Inc PERMIT NO.: PQ ?3 9 1 -- ='lqar OrPQnn 97221APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACT Ja i 1 1 ro r R i i i 1 r7 a r T n r NAME&ADDRESS: po 91 Jim Paulson Excavating Tigard Or 3'7223 Route 1 OWNER NAME.AND ADDRESS: Hillsboro, Oregon 97124 TELEPHONE NUMBERS: APPLICANT. 6 8 4 7 5 43 PROPERTY DESCRIPTION: OWNER, 684 7543 STREET ADD RESSANp.trRO�SS STREET/LOCATED GENERAL CONTRACTOR: 6 8 4 7 54 EXCAVATION CONTRACTOR:6 4 5-101 1 ` SrrEJJOB: _ LEGAL DESCRIPTiON: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: COLI A1CT PERSON,TTi1E,TELEPHONE: 1/4 SECTION_ a e Eickhof F SiM SIZE,ACRES— supp b39-7798 DISTURBED/WORK AREA,ACRES: _ LOCATION&ADDRESS WHERE SPOILS IEAVING SiTE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE) (NOTE:PERMTTS MAY BE REQUIRED) (CATCH-BASIN DITCH PIPE CREEK Stumps & brush to 1 i srenred fill area. Dirt to license_ dump site. (CIRCLE ONE) PRiV_A_TE PR(A-ERTY T I E A 2l7 gA"t) � L R AV t;L u_ RIGHT OF WA �R S10N/SEDIMENTATI0N CO OL (ESM MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURIrIG CONSTRUCTION: FOLLOWING CONSTRUCTION: 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 COVER PR,ACrICES ENSURE OPERATION OF PERMA:QT FACILiTffS CONSTRUCTION SEQUENCE OTHER OT HER �— PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED iN ACCORDANCE WTrn"TECIITIiCAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HA PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTAL .ATION AND REMOVAI.OF EROSION CONTaOL MEASORES.AND APPLICABLE STANDARD NOTES. I HAVE DEAD AND WILL.COMPLY WTTTI THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY ' TO CONTAIN SEDIMENT ON 77IE CONSTRl1CT10 SiTE. i SIGNA R SIG OFFICIAL USE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER_ RECEIVED BY