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INSPECTION NOT'.CE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
"type of Inspection
Date Requested--_ = aQ� -�--�— Ti M• P.M.
Address _,1�1_ —,(����— __ Permit
Owner_ —_ _ Lot # �
Builder
The follow; wilding Code deficiencies are required to be corrected:
71
�
Presented to ---�_� Ar
Inspector _ L-1-01sapproved
Date — ---
CALL FOR REINSPECTION
M-Val ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
'Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection --
. a Date Requested_ / /f /I /� Ti ` A.M. r M.
Permit # cam(
Address
# --
Owner Lot
Builder
E
The followin Building Code deficiencies are required to be corrected.
- 15- LL-L/0,' s-;
Prevented to -- •-Aplxoved
� ----
Inspector _ Disapproved
DateCALL FOR FOR REINSPECTION
❑ YEA ❑ NO
INSPECTION NOTICE
City of Tigard Building Department�� �
P.O. &,x, 23397
Tigard, Oregon 97223
Phone: 639-41
Type of Inspection
Date 3equcsted Y _ Ime A.M. P.M. fj
Permit
Address 1
Owner
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __ — Approved
In �� —_ Disapproved
Inspector _.,C�n
beta —
CALL FOR REINSPECTION
C] YES 0 NO
C 1 ®F TIFA
RDPERM11BUILDING PERMIT
NO. : BU892103
C OOFF hili
COMMUNITY DEVELOPMENT DEPARTMENT D E ISSUED: i9/18/89
1;1125 S W Nall Blvd..P.O.Box 233117,Tigard.Ore5nn97223,(503)639-4175 IM.PMT.N0. 892103
JOB ADDRESS: 15496 SW +3f+&-PL-
TAX
3f?D-PLTAX, MAP/LOT 2S1 12CP SUR: ASHFORD OAKS LT:SA FK:
LAND USE: R7
LOT SIZE: VALUATION: $ 71,450 SETBACKS
FRONT: 20 REAR: 10
WORK CLASS: NEW DWELL..UNITS: 1 LIFT: 5 RIGHT: 45
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 3 EXT.WAIL CONST:
CONS7 .TYPE: VN NO.BATHS: 3 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S: E: W:
TOTAL AREA: 15'40
NO.STORIES: 21 1ST: 864 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 726 AREA SEPAR7 RATED,
BASEMENT? 3RD: OCCUP.SEPAR7' RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 400 FIRE i PPVI.R? ALARM?
FLOW(C.10 DORvES
CR
HEAT TYPE; GAS HDCP.ACCESS? CARR?
PLAN CHECK BY: rIt _
REMORKS:
re-issue of 890359 RuIFSUE OF NO. 880629
LAST REISSUE 891719
FEES:
O MILLER JAY PERMIT $349.00
W
N p.o. BOX 23291 PLAN REVIEW $40.00
E TIGARD OR FIRE DEPT
F1
STATE TAX $17.45
OTHER
C DEVELOPMENT Cl`!AR0L9:
C MILLER JAY SDC(STORM', $250.00
T JAY MILLER BUILDER SDC(SIREE'F) $600.de
7
A p.o. BOX 23291 PDC(M2 ) $250.00
' C TIGARD OR '37223 PREPAID f $40.00)
T PHONE (503) 684- 7543
u l RFGISTRATIUN NO. 30109 TOTAL: $1,466.45
R
RECEIPT NO. 10 5-74,
This Hermit is isFuad subject to the regulations contained In Title 14 �_____
of the TMC. State of Oregon Specialty Codes,zoning requlstions REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and it is hereby FOOTING SEWER
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and FOUNDATION WAIL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST 8 BEAM WATER LINE
covenants Contractor and subcontractors shall have current city F LB.UNDERSLAB CITY APPRCH/SW
business tax permits This permit will expire and become null and BLAB FINAL
void if work is not started within 16C'days,or If work is suspended or
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced It shall be the responsibility of the permittee to assure FRAMING
Fill required inspections are requested and approved FIREPLACE
r GAS LINE
INSULATION
GYP. BOARD
Perm Signafu
1 ! .
Issued Py
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWER PERMIT
FFRMIT NO. : SE892148
CI TYON TWA clrrorit
nGslltp
COMMUNITY DEVELOPMENT DEPARTMENT D TE ISSUED: 10/18/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 I M.PMT.N 0. 892103
Il 4
JOB ADDRESS: 15496 S14 -43ft PL USA NUMBEF:
TAX MAP/LOT 2S1 12CB SUP: ASHFORD OAKS l_T:80 BK:
LAND USE: R7
LOT SIZE:
SECTION: 12 TWP: 2s RNG: 1w
WORK CLASS: NEW
USE TYPE: SINGLE F 'MILY
The applicant: agrees to comply with all rules and -regulations of the Uniiied
Sewerage Agency. The permit expires 120 days from the date issued. The total
amount paid will be forfeited if the permit expires. The Agency does not quar-
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at the measurement given, the installer shall rrospect 3 feet in
all directions from .he distance givntl. If not so located, clie installer shall
purchase a "Tap and Sade Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDING SEWER IMPERVIOUS AREA:
FIXTURE UNITSs TENANT IMPROVEMENT:
DWELLING UNITS: 1
NO. OF BLDGS. s 1
FEES:
r? MILLER JAY PERMIT $35.90
TIG PDX 23291ARD OFt CONNECTION CHARGE
F IG $1,250.00
h LINE TAP INSTALL.
R
OTHER
C
MILLER JAY
N JAY MILLER BUILDER
R p.o. BOX 23291
A TIGARD OR 97223
T PHONE (503) F,84--7543
`) REGISTRATION NO. 30109 TOTAL: $1,265.00R
--- RECEIPT NO.
This permit is iss,it'd subject to the regulations contained in Title 14 ___________ _—______—
of the TMC State ct Oregon Specialty Codes.tonins regulations REOUIRED INSPECTIONS
And all other Applicable codes and ordinances And it is hereby ROUGH--IN
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The ms.rance of this permit does not waive restrictive
covenants Contractor and subcontractors shall hAvc 0lirrent city
business fax permits This permit will expire and become null and
void it work Is not started within 1Gu days or it 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 assure
all required inspections are requested and approved
Permlt gnalur ��hc
issued By
f13EL_INSlEP TI N-TI N h39 5
�41� - --
SEPARATE PERMITS REQUIRED FOR WORK 01 HER THAN DESCRIBED ABOVE
t
O'NOFT11FARD
PERMIT
O.MECHANICAL PERMIT
F'EF(MTT tTO. : ME892147
(CITY tm
CJMMUNITY DEVELOPMFt T DEPARTMENT °"° D 'E ISSUED: 10/18/89
13125 S.W.Hall Blvd-P.O.Box 23397,Tigan uregon 97223,(503)639-4175 1 M.F'MT.N0. 892103
JOB ADDRESS, 15496 , "Al I&M PL
TAX MAF'/LOT 2S1 120 SUB: ASHFORD OAKS LT:80 BK:
LAND USE: R7
LOT SIZE:
ITEM: N0: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDLR (10
I USE TYPE: SINGLE FAMILY FURNACE 108K+ AIR HANDL.R 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRF'. : R3 HEATER VENT FAN 4
'DENT 911FIT.SYSTEM
BLR/COMP (3HP HOOD i
NO.STORIES: 2 BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 9LR/COMP I5-30HP INCINERATOR(COM
FUEL TYPE GAS ALR/COMP 30-50HF' REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHLR 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIG;4 PRESS)
— ^--LOW—PRESS? -----�--- -- ------.._._
REMARKS: -----
I
FEES:
W MILLER JAY PERMIT $10,00
N P.O. BOX 23291 PLAN REVIEW $10.88
E TIGARD OF; FIXTURES $33.50
R
STATE 'TAX $2. 18
-_
OTHER
C
0
N BELL HEATING INC.
R 15558SE PIAZZA AVE
C CLACKAMAS OR 97015
C
T PHONE (503) 243-1184
REGISTRPTION NO. 447
F1 TOTALt $56.56
f j Z
This permit is issued subject to the regulations contained in title 14 __.._________,_________
RECEIPT NO. 17(o
of the TMC. State of Oregon Specialty Codes zoning regulations REPUIRED INSPECTIONS
and all other applicable codes and ordinances and it is hereby GAS LINE
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and POST R BEAM
ordinances The issuance of this p:rmit does not waive restrictive ROUGH--IN
covenants Conhactor and subcontractors shall have current city FINAL
business tux permits This permit will expire and become null and
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
comme,ced It shall be the responsibility of the permitter to assure
all required inspections are requested and approved
Permdl gnatul�+�
Issued by, .- ALL FUR IN SPECTION-_:•3a_4175
SEPARAI'E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFT167ARD PLUMBING PERMIT
PERMIT NO. : F'L892146
•crnryoF ac
COMMUNITY DEVELOPMENT DEPARTMENT °"11°°" D E ISSUED: 10/18/89
13125 S W Hall Blvd..P O.Box 23397.Tiqard.Oregon 97223,(503)639-4175 IM.PMT,NO. 892103
JOB ADDRESS: 15496 SW &3ft9 PL
TAX MAP/LUT 2S1 12CB SUB: ASHFORD OAKS LI:80 BK:
LAND USE: R7
LOT SIZE:
ITEM: NO: N(1:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAPILY URINAL RK.FLOW PRVNTR
CONST.TYPE: VN L.AVORATORY 3 TRAP PRIMER
OCCUP.GRP. : k3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL, 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUND11Y 'TRA:' Bl_DG.DRAIN (DIA
FLOOR T'RrIN
SINK 1 SEWER (FT)
WA1ER NEATER i STORM/RAIN (FT 1
OTHER
FEES:
0 MILLER JAY PERMIT 3132.90
N p.o. i(OX 23291
rs IIGAFD OR FIXTURES
STATE 'TAX 36.6;3
OTHER
C
WATTS YEN
T KEN WATTS PLUMBING
R Po BOX 230925
A tigard or 97223
T PHO14E (503) 684-6626
O
R REGISTRATION NO. 50878 TOTAL: $139. 13
kECEIPT NO. -7', ( Z,
This permit is issued subject to the regulations contoined in Title 14 -----------
of the TMC. State of Oregon Specialty Codes.zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and it is hereby PL.El.UNDEkSLAB
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and POST A REAM
ordinances The issuance of this permit does not waive restrictive WA1 ER LINE
covenants Contractor and subcontractors shall have Current city PLB.TOPOUT
business tax permits This permit will expire and become null and RAIN DRAINS
vend it work is not started within 180 days or H work is suspended or F I NAL
for a period of 190 days any time after work has
commenced It shall be the responsibility of the permittee to assure
All required inspections are requested and approved
Permit Senator
Issued By __ - CAI I _EnR-1NW?EGIIDH j&3q-41;!S_,__,�_.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
r
JIM
1"Y
PLAN CHECK APPLICATION
CIOFTIGA7RD,
® PLAN CHECK It /G A/le--
WY(FOGRp PERMIT 0 -, 1/D 3
COMMUNMY DEVELOPUENT DEPARTMENT h,; oeEoow DATE ISSUED
$3125 8W Fw ewd.P.O.am nW.TbmK 0mgon torn Fo01 a3min , a ---
JOB ADDRESS' I S�l Q (� S.I ti / TAX MAP/LOT
SUB: - /1-il u LOT: _ o LAND USE:
VAL ATION:
OWNER -PECIAL NOTES
NAME: _ ���/G� �1 REISSUE OF:
ADDRESS: T- LAST REISSUE:
FLOOD PLAIN/
--_ SENSITIVE LAND:
PHONE: _
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: JAY MILLER BUILDER, INC. ENGINEERING:
ADDRESS: YO BOX 23291 FIRE DEPT
TIGARD, OR 97223 OTHER:
PHONE: 684-7543 ITEMS RE UIRIED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: M Z CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN: _
LANDSCAPE PLAN:
PHONE: HER:
� / U i
q _ ^ ( __
COMIENTS: .f l.�_ P - � S P L'�7 7 I
(L� ' it
I
PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
10. 432 00 Building Permit Fees
lid-431 00 Plumbing Permit Fees
ry � / Y 7 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (51)
Building a
Plumbing G 3
Mach
10 433 00 Pians Check Feecp
Building
Plumbing
Mech
30-443 00 Sewer Connection (20X)
2� 30-202 00 Sewer Connection (607) _
30-444 00 Sewer Inspection
51-449 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (FDC)
52-449 02 Parks II System Dev Charge (P[1C) 5Z
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 IRFD (95X)
10-435 00 TRFD (5X)
10-230 06 Washington bounty Fire N1 (95X)
10-435 00 Washington County Fire N1 (5X)
10-220 00 Amart/Wedgewood
TOTAL 6r/n
REC M & -
rLt-
APPL