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15483 SW 82ND PLACE 1 1 Q r 15483 SW 82ND PLACE - k ff ■ CERTIFICATE OF CITY OF TWARDL oGRYOF11Rp OCCUPANCY � PERMIT N. MITI"-,*"" COMMUNITY DE1'cLQPMENT DETT \ oa+ PRIM. PERMI7 #. s M5T`:aO i�]5:3 13125 SWtWIWA. P.O.Ea(23397,Tigard,Oregon g7223(SO3)83"l.75 77 DATE ISSUEDa 09/10/90 SI T'E ADDRESS. . . a 15483 SW 02ND PL PARCELa 2SI12CP•-•04908 SUBDIVISION. . . . a ASHFORD OAKS ZONINOa 14L.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . aa63 CLASS OF WORK. iNE:W TYPE OF USE. . . aSF OCCUPANCY ORr,. a R3 OCCUPANCY LO"Da220 4 TENANT NAME. . . z kf• marks: REAR DECK 'TO BE COMPLETED BY OWNER Owner: ,iflY MILLER 1"'O BOX 23x''.91 T IGARD OR 9722-4 I Phone Ma 684•-•7543 C ontr•aictor a JAY MILLER PO PDX 23291 TIGARD OR 97223 Phone Hs 684•-7543 Req N. . a 301.09 Occupancy of the Above refetrerrced bL01clinp is he- eby y{veru, And r e� rt .tflew thp eampl.f.anc,e with t:l•iw Stater Of Orwgnn Specialty Codp.-d for t;he ycoltp, rar_crr;pAncy., and rise under which tho rip fe-r *need permit was laaiwd. FIRE. DFPARTMEN•' DING IN (:TUR BUILDING OF IAL POST IN CONSI.1ICUOUS PLACE II IA IM INSPECTION NOTICE City of Tigard Building Department P.O. Box 7.3397 Tigard, Oregon 97223 Phone:839-4175 Type of Inspection --- Date Requested.— ��1 Time_ ..__ A.M. P.M. Address .45�8 � � 1'ennit #__—.._ Owner--- Lot Builder The following Buildi iciencies are required to be cdtreeted;_ L77 Presented to __—___- - — Approved Inspector Disapproved Date _ CALL FOR REINSPECTION ❑ YES ONO i JIMff 1Mefi INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection . - _ G — `1!1 Time—_— A.M. PA Date Requested Address Permit # Owner —_ Lot # —_. Builder The following Building Code deficiencies are required to be corrected: r h�• Presented to _ Approved Inspector __ r� Disapproved Date CALI, Ft REINSPECTION ❑ 2 ❑ NO c MR INSPECTION NOTICE t �✓ City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phoney: 639-4175 Type of Inspection Date Requested,__ — �lf —.—_ Time _. A.M.-_ P.M. Permit #_ v�` - Address c1a� Lot #---- Owner -- — Owner - -- - 1J - Builder --------------�� The following Building Code deficiencies are required to be corrected: 4 Approved Presented to �-- Inspeatot Disapproved Date --ZL� 7G CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigarc, Oregon 97223 > f PhL ne: 639-4175 Type of Inspection Date Requested Time '—____. A.M. PX Permit Address Owner Owner -- -- " Lot # BuilderThe following Btt"Wing Code i iciencies are required to be corrected: -- _. ,� < _•-Cam �' "`.: (? - �__�.�— Presented to R-Wicived Inspector ice - f.` ❑ Dimppcoved lir �r� Date z - — CALL FOR REINSPECTION ❑ Yes ❑-we t f W W 111 eR W INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection i —/D ell Time �LIVt .M. Date Requested__ �j Permit Address ` Owner Lot # — -- --- Builder The following Buildirq Code deficiencies are rryuired to be c^rrected: Presented to — - – -- -- Approved Inspector _- [J Dbepproved Date CALL FOR REINSPECTION ❑ YEi 0 NO J i' i s i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 �t. © ✓`� Type of Inspection �--- Date Requested ` S - Time ---A.M. P.M. Address _.. : y7,rd °L Permits Lot Owner Builder --- � -- The following Building Code deficiencies are required to be corrected: Presented to Approved Inspecto. U Disaptiroved Date _`f� CALL FOR REINSPECTION 0 YES Cl NO MEN INSPECTION NOTICE City of Tigard Building Department \ ,� P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection . •�' " " 'r---- Date Requested s' .�S' ��- Tine-A.M.--P.M. Address Permit #rnS1' U �•5 Owner-- ._ �- _ Lot # Builder , --- The following Building Code deficiencies are requ'red to be corrected: t - - Presented to �pproved Inspector Di3approved Date o CALL FOR REINSPECTION ❑ YE= 0 NO ■ PIASTER PERMIT CITY OF TIGA RDro I F'I: R11IT' #. . . . . . . « MS-T9O- (�1:1.`.,,i TTYOFTWAPRIM. PERMIT #i. « MST9O 01 COMMUNITY DEVELOPMENT DEPARTMENT OREOON DA'T'E': ISSUED: 0`,/16/90) 13.25 SW Hall Blvd. P.U.Box 23397,Tipped, 7'23 d,Oregon 97 '(503)899-4176 SIVE ADDRESS. . . .- 15483 SW 92ND PL. F''ARCEL: 2SI12CB--04900 SUkiD M S I ON. . . . « ASHFORD OAKS ZONING: BLOCK. . . . . . . . . . : LOT. . . , ,, ,, ,. ,, ,• ,, . . . :6:3 _.....___..__..._...._.__._._...___._._,.. __..._._.._........„._.._...._.._ BUILDING ._._._._......._._•..._...____.__.w.___._.__._.__..._._._._._.______........._... REISSUE::MST9O-00:31 DWELLING UNITS.-I BASEMENT. . . . . . . . ..0 sf CLASS OF WORK. :NE'W BEDR11S:3 BATI-IC,:3 GARAGE. . . . . . . . . . :410 s T'YP'E: OF USE. . . :SF FLOOR AREAS------............... REQUIRED - 'T'YPE OF CONST. -.511 1"'I PST. . . . :864 S LEFT. . : 10 -Ft RIGHT. :5 ft OCCUPONCY GRP. :R3 SECOND. . . :'726 s1' FRONT. :20 ft REAR. . :39 ft S'rURIE"5. . . . . . . ..0 THIRD. . . . «0 sf REQUIRED _.._._.._ ._.�.__._._.._._____..... HE:lGH'T.. . . . . . . . ..20 ft 101,AL- - « 1.590 s-F SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 741u0 PARI/1111 :, .a1='AC:F.::S. . «0 Rema•r•ks: ._............................__....._.._...._........._.._.._._.._.._ ._.... PLUMBING _._.___.._.__._.___._.._....._._......_._..___.._._.._.......__..__.._____. SINKS. . . . . . . . . . .. 1. FLOOR DRAINS. . . :0 BACKI-LOW P'REVNTRS. . :O L..AVAT'ORIE'S. . . . . ..4 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . «2 LAUNDRY TRAYS. . . «0 CATCH WATER' CLOSETS. . :2 SEW-R L_INEe (ft) . «0 GREASE: TRAVIS. . . . . . . :0 DISHWASHERS. . . . « '1 WATE:.R LINE (ft) . : 100 OTHER FIXTURES. . _ ,. . :0 GARBAGE DIST'. . . : I RAIN DRAIN (ft) . :0 WASHIND MACH. . . : 1 S1:.' R n I N I)RAI:N13. . « :1 MECHANICAL_ _. _._....-._....w....._.__. _._._.._........._......__....._.__._..... FEES _.._..__....___..__._._.....__..___ FUE.f. TYPES- - - UNIT HTRS. . :0 type amount by date rec:pt /GAS;' / / VENTS . . . . . :0 P'AYM $ 40. W1 JLH 05/06/90 200632 MAX 1N1'U1 «0 BTU VENT FANS. . -.3 BPRT $ 358. O0 I URH < 1001•: . . : 1 HOODS. . . . . . « 1 BF'L C $ 40.00 1"URN )=100K . . :0 WOCIDSTOVE'.S. :0 B5r'C $ 17. 90 FLOOR F;URN. . . . :0 CLU DRYERS. : 1 STDG: $ 600. 00 TWII.../C:MP < 3HF':0 OTHER UNITS«0 SSDL $ 250. 00 / (3W) 0U1"LETS PARK $ 25O.O01 1 i Owner: _ .._ _...__.._..........__......_.............._..._...._....__...._.._._......_. .........._..... 11F'R'T $ 36. 00 :JAY MILLER MPL..C: $ 9. 00 F10 BOX 83291 M 5 P-1C $ 1.80 PPRI $ 132. 50 T I.GARiD OR 9712213 F 1131:1C $ 6. 6:3 / F:'I,cmt., 04 684-V543 PPYM $ 1661. 63 J1_H 05/14/90 ontraetor: _............. .......... ............_.._........... ................_._..........._..... ,JAY MILLER i'(7 BOX 23291 TIGARD OR 97223 Phone N: 684-- 75411 Req #. . g 30109 $ '1701.83 TOTAL_ This persit is issued subject to the regulations contained in the -- REOUIRED IN8PE:C7':CN8 - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Me^hanica l Insp applicable laws. All work will be done in accordance with approved Wt r• Prc)c:,firiq P s m P'lc.cmb Top Out dans. This persit will e«pire if work is not started within IN Fast/Beam Irfsp Framing Insp days of issuance, or if work is suspended for sore than IN days. Crawl Drain Fireplace Ins11. t Slab Gas i_.i ne Insp Permittee '1.III!c.crlderslab in TnsuIAtion Insp M/Underfloor Gyp Board Insp lsstued by: L Ft-nq Drain i+sn►" t Rain drain Insp Call for inspection 639-4175 waw www SEWE.R (:TONNE::(:; C'7YOFTIFARD 1:�,E8111:1' # E;WR90-0 rNOF71MRID) ::, N COMMUNITY DEVELOPMENT DEPARTMENT (C OREGON R 1: 01'5 3 13126 SW HOJI Blvd. P.O.Box 23397,TigRrd,Oregon 97W3(&WJMQ:4175 DATE: !GERJED: 05/1-6/90 SITE:: (11)D R E S 1.5483 SW W 82ND 1='I.., 231,12C,8--04900 ASHFORD UAKS ZONTNG: 14L 0C1°:. „ „ „ . . „ ,. . . : I O'T*. . . . . . . . . . . . . ..63 NAME M-) NO. . . . . . . . . . 406-18 F-*TXIL)RE UNIT'S. . . CL()GS OF' WORK. . . I A F--'W DWELL I N3 LIN ITS. . 'TY r.,F.- C)F USE. . . . . »5F' NO. M:' PU1LD1NGE)- 1 1:N S'T L. 'TY PE,. . . . .Li W R T M R V 3(JRFo ('[*:.* S f Reim-rks: Owl-le.r.- JAY 1111 LER Ly I)e AniOU11t by date rec r.) I F,0 1.4 0 X 23329:1 1..R M'T $ 1250- 00 T I G()R 1) 0 R =)7c'2 3 1---,()Y 11 1285. 00 JLH 05/1.4/90 l-"hovie 0: 684-7543 Cor-traetor: (:,C)I,I*T*ROC'T*OR NO'T' ON F-11-L. V,h vi o It 1.285. 00 'TOI'Al Reg Ii. . REWIRED .1NS[:1E.C1'1ONE; This Applicant agrees to comply with all the rules and regulations Ejewer Inspec-tiol-I .. .... ............. of the Unified Sewage Agency. The permit expires 120 days frum ....... ......... the date issued. The total amount paid will be forfeited if the permit expires. the Agency does not guarantee the accuracy of the side sever laterals. If the sewer is not located at the measurement 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 Sever" Permit and the Agency will install a lateral. F'e-r ni i t;t e r S i ra riA t u-r e 1,;c,ued Dy ................. C, %I I for :Ljjspect1ri11 E,39 4175 CITY OF TlGo'4RD RECEIPT Ol' PAYMENT RECEIPT NO. 90-2007 74 CHELK, AMOUNT 2946. 03 WOO CASH AMOUNT e 0.00 APi d f-:' PAYMENT DATC (a'5 16/9(1 SUDD I V I S I ON T JOARII, OR -2 2 a;._ .1.548.'..: 8 N Ft PURI'OSE.' OF' PilYMENT AMOUNT PA 11) PURPOSE OF- F-AYMEPIT AMOUNT PAID RUILDING PERM MST90-01577, :7 5 H- .of) PLI.AlISINO PERM 1717.5x7 MECHANICi-4., P b.CiC1 ST. BUILD PER 71 Pl...f-'+N CHECK F*E of,:) SEWER USA 12,150. 50.00 SEWER "215.00 3T P E E'T a1)C 00. 0(1 PARKIEZ, SOC 2513. OG CTOPM DRAIN SDC 250. 1-0 1(.1 T(A- AMOLIN Y, PA I D AL CITYCT �RD PEM CHECK APPLICATION COMMUNRY DEVELCo MENT EIEPART3ENT PLAN CIE(X • "M aW.me 01111111.PAX e« T4-4 o-«srsm Rgas+ns PERMIT R - S DATE ISSUER JOB ADD SS: I.S V Z.j 5.[AL,• ✓ �1 � T'Ax MAP/LA? 1 ZG 6 V9'yy SUB: f S l��nv J G o��J LOT: T LAND USE: VALUATION: _ 7c//4;- =• o � OWNER SPECIAL NdTES NAME: REISSUE OF: ADDRESS: LAST REISSUE: FLOW PLAIN/ PHONE: SENSITIVE LAND: APPROVALS REQUIRED 0DWRACT01t PLANNING: NAME: _ Tay MMiller guilder, _Inc. ENGINEERING: ADDRESS: -ZQ Box 23291 FIRE Ex" Tigard, OR 97223 OrTNER: PHONE: —} .g,Z r/3 _ ITEMS REQUIRE1) BUILDERS BOARD 0: 5 9 G 6 7 EXP DATE: I/?p /2 1 _ LIST/SUKWRACTORS: BW TAX: ARCH/EIMQNEER CALCULATIONS: NAME: TRUSS DETAILS: -- ADDRESS: OTHER: PHONE: -- COMMENTS- SUBCONTRACTORS: OMMENTS:SUBCONTRACTORS: PLUMS: /tPn Watts SnA7A w eECH. SP11 Rpatinq n04A2 /�y'�liJ 3 4, H i PERMIT / ACCT R DESCMRIPTION AMOUNT NWW( PD. SAL. DUE 10-432 00 Building Permit Fee• ✓_ .3Sh 10-431 00 Plumbing Permit Fees �' / .2. 10--431 01 Mechanical Permit Fees 10--230 Ol State YulLdin! Tax (5�) Building / 1,y, Plumbing G,C-3 L? Mach 10-433 00 Plans Check Fee �-� d U Wilding - Plumbing Mach 30-202 OO Serer Connection 20-444 00 So~ Inspection 51-44. 00 Street System Dov Charge (80C) i/ C ,> 52-449 00 Park$ system Dov Charge (POC) 31-450 00 storm Drainage Syst Dew av,% 10-230 Os Fir-* TXYTKC 0 APPLI --- Receiver !y: Oate Received: A) en/35�»na - QRA Di ' R ST�}N ('ONTROI iNFORMATT GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: Builder Inc PERMITNO.: 9 7 2 a-� APPLICANT NAME AND ADLRESS: ' ]fir Riii lr _ EXCAVATION CONTRACTOR 0 3p ^ Tnr 2 91 __ - TIAME& ADDRESS: Tigard Or 97223 Jim Paulson Excavatin� --Route 1 BOX 1062 OWNER NAMLAND ADDRESS: —Hi sboro. Ore9ori 9712.9._._ TELEPHONE NUMBERS: A6 8 4 7 5 4 3 PROPER TY DESCRIPTION: PPLiCANTi OWNER 6 B 4 7 5 4 3 STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRACTOR: 6 R 4 7 5 4 3 �- --_ EXCAVATION�.`OPTMACPOR:6 4 5-101 1 _ SFrE/IOB- -• LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: C OPLI A1C:T'PERSON,TITLE,TELEPHONE: 1/4 SECTION: _ a e Eickhcf f _ _ SIT`✓SD_E,ACRES. I -U-- e��fPnrlant _ -�7 DISTURBED/WORK AREA,ACRES: _ LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BETAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE) (NOTE:PERMITS MAY BE REQUIRED) CA 1�AF, B SW� DITCH PIPE CREEK Stumps & brush to i sr PncPrl fill area. Dirt to licensed —dump site. (CIRCLE ONE) PRIVATE PROPERTY TIGARD BAND L2AVLL UBL.ICRIGHTOFWA EROSiONISi DIMENTATION CONIRQL—fU0 1-E—A2L U MIMMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATiON FACILITIES STABTLIZr ry?OSED SURFACE STABIL—D CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARiNG AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERA TION OF PERMANT FACILITIES CONSTRUCIION SEQUENCE OTHER - OTHER_ PMN FOR EROSION CONTROL PREPARED AND SUBMITTED M ACCORDANCE WT M'TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOVES COMPLETE.INCLUDiNG EMERGENCY PHONE NUMBER. SCHEDULE/STAGING FOR INSTAUAiiON AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NO'T'ES. I HAVE READ AND WILL COMPLY WTTII THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSiAUCTIO SITE. ALE$SIGNA OFFICIAL USE ONLY. RECEIPT DATE ACCEPT , FLE NUMBER RECEIVED --�_ BY— - I NUA CTTY OF TIGARD PECEIFT OF PAYMEti,r PECELV'T 1`40. .90-2,006"2 CHECK AMOUNT . 440. 00 Nr htE MILLEP. J A CASH AMOUNT CIO r,D R,E, S) P0 ECYN 2'.,291 PAYME0 DATE WS/08,'VO T I GARI!, [:iii 972-2 SUBD I V I Si I ON FUR'POSU OF PA(MENT AMOUNT F,A I f) PURPOSE OP' r-"AyPlF-,NT ArlOIJr,lT PAID PLAN CHE0C FE 5-16P 100. 01) PLAN CHECK FE--". P I i3o. 00 V-1-AN CHE(_':i FE T5-I BP 1.Oct. 00 PL.AN CHECK PK °5-19R' 100. 00 Fl-i--'IN CHECI:'. FE 5-';:R, 413. 00 H."T AL AMOUNT PfA I D 440, 00 GRADING/EROSION CONTROL INFORMATION , GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: — Iiuilder, Inc. PERMITNO.: Tigard, O_regnn 9 7 2 2 1 APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR NAME&ADDRESS: p`b 1 - Tigard Or 97223 _ Jim Paulson E cavatinq —' Route 1 29X_1062 OWNER NAME AND ADDRESS: _ Hillsboro, Oregon 97124 TELEPHONE NUMBERS: /lL�.kj L)J:. - APPLICANTL___o.P 1 7 5 4 3 PROPERTY DESCRIPTION: OWNER; 684 7543 STREET ADDRESS AND CROSS STREETAJDCATED GENERAL CONTRACTOR: 6 8 4 7 5 4 7 EXCAVATION CONTRACTOR:6 4 5-1011 StIEpOB_ _ LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: COI T fi ff PERSON,TITLE,TELEPHONE: 1/4 SECTION: a e EickhQff _ SITE SIZE,ACRES: JOO '� insnant`— 98 DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BF TAKEN SITE RUNOFF DRAIN'S TO:(CIRCLE ONE) (NOTE:PERMITS MAY HE REQLnRED) ICATCH-BAS&I DITCH PIPE CREEK -- Stumps & brush to lisrenced _ _ fill area. Dirt to licensed durr4 site. (CIRCLE ONE) PRIVATE PROPERTY PCUBLIC RIGHT OF WA EROSION5EDIMENTATION CONTROL (,SCI MEASURES MINIMUM ESC REQUIRE-MENTS MINIMUM ESC REQUIREMENTS DURING O:)NSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILEZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CUFARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT'AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER OTF ER PLAN FOR EROSION CONTROL PREPARED AND SUBSTI TED IN ACCORDANCE VIM]'TECHNICAL GUIDANCE HANDBOOK". EROSION 0)NTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES CAMPL IE,INCLUDING EMERGENCY PHONE NUMBER. SCHEDULE/STAGING FOR INSTALLATION AND REM(.' AL OF EROSION CONTROL MEASORES,AND APPLICABLE STANDARD NOS ?S. 1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONST tucn SRE. �_ 6A — SIGNA OFFICIAL USE ONLY_ RECEIPT DATE ACCEPTED FEE NUPIBER RECEIVED RY