15678 SW 84TH PLACE 0
Ile,
t
15678 SW 64TH PLACE
CERTIFICATE
OF
CI�OFTiGOCCUPANCYrcffryior PCRMI
M. . . . . . . t MST90--OOH4
COMMUNMY DEVELOPMENT DEPAATMM OREC03" i FRIM. PE=RMIT N. t MST9a...t 00.44
13125 5 W Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)839-4175 `� , ' DATE: I S S U E D a 85/10/90
SITE NDDRE"SS. . . a 15(J'78 SW 841H T1I_ PARCEL: 29112CC-08300
SUBDIVISION. . . . ¢ ZONINOt
BLOCK r LOT. . .
_ __
CLASS OF WORK. aNErW ..______..__.__...,..______
TYPE OF USE:. . . a SF
OCCUPANCY GRP. a Tia
OCCUPANCY LOADa222 4
TENAMT NAME . . . a i
Remrnrkst REAR DECK TO En COMPLETED BY OWNER i
_..._._----__..._.._.----------------"-•----
TITAN PROPERTIES
PO Box 6835
ALOHA OR 9/007
Phone Na 6455,6 /7
Contractors
TITAN PROPERTIES
VO BOX fie"15
ALOHA OR 97087
Phone Sia 6456477
Reg N. . a 30'58
Gr-- ipancy rif the above referenced bsri].ding is hereby q i ve17, and rerti f i ea
tlla• Cc)mpl imnce with the State Of Oregon SPe(-i.-mi.lty Codes for the group,
c►ccupancy, and use under which thw refwrencrsJ er•Nit was isxpue!d.
. /
r{ IRE DEPARTMENT BUI INT3 INSPI~C��171� --~~—._-.
IL1;1NG FICIAL
POST IN CONSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, 0,.gon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address J Permitxv
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Az -
6,Y
C-2.5 3 6-L
140 -
41
Pr,,,-,e-ited to Approved
Inspector Disapproved
Date 6r
CALL FOR RFINSMMON
Cl YEI Cl NO
{ ITS
INSPEC 7 10N NOTICE
City of Tigard Building DepartmFnt
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectionli
Date Requested , Tams _ A.M. P.M.
Address �� -�X a PermitOF
Owner -_ - - ---" - Lot #
i
BuilderL
The following Building Code deficiencies are required to be corrected:
Presented to �p /+ proved
r 00,_ 'i �– �� J �� Disapproved
Inspector
Date ! —
CALL FOR REINSPEC7�t1D1
FMO
0 YEi OO�
rt
INSPECTION NOTICE
pity of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: a^9-4175
Type of Inspection ���
D-ve Requesteei G' 1 U Time —A.M. P.M.
Nddres Z 5-4, 2S;� __—� Permit #Z—
Owner��� __�� __ Lot #
Builder
The foil wing Building Code deficiencies are required to be corrected:
XA
Presented to _ --"J
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES [_.i NO
INSPEC TION NOTICE
City of Tigard Building Departn ent
P.O. Box 23397
Tigard, Oregon 27223
Phone,,: 639-4175
Type of Inspection �����— -�T -� �-✓ —
Date Requested -F.M.
Address l LJ i"` a� —Permit
Owner _ _____ Loi #
Builder _-_The ;o6owing Building Code deficiencies are required to be corrected:
Iltmnted to ,. �Approved
Inspector _,jr r: as I I Disapproved
Date
CALL FOR REINSPECTION"
0 YEI 0 NO
INSPECTION NOTICE
City of Tigard Building Liepartmen
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 639-4175
'ryp of Inspection
Date Requested�.1L_L Time A.M.L-P.M.
Address `��`' --- Permit # �
Owner _ _ ___ Lot #
Builder��l�,.r` ---The following Building Code deficiencies arc required 6e virrected:
NN
JA
Presented to _ I Approver)
Inspector ❑ Disapproved
Date I'�`
CALL FOR REINSPECTION
❑ YEE Cl NO
ClPtOFTIFARD �a1
OOMMUNfTY DEVELOPMENT DEPARTMENT 0?
13125 SW Nall Blvd. P.O.Box 23397,Tigard,Orepl�(503)639-4175 \\1 P -7n--
ra
639-4171 PERM- �.... . . . : SWR90-0009
PRIM. PERMIT #. : MST90-0004
DATE ISSUED: 01/19/90
3ITE ADDRESS. . . : 15678 SW 84TH P. , PARCEL: 2S112CC-15
SU3DIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
.,ENANT NAME. . . . . .
USA NO. . . . . . . . . . :39172 FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW .)WELLING, UNIYS. . :1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS:1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE:. . : :ef
Remarks:
Owner: -----•----•------•------------------- ---------- ---- FEES --------------
TITAN PROPERTIES type amount by date recpt
PO BOX 6835 PRMT $ 1250.00
INSP $ 3';,.00 000
ALOHA OR 97007
Phone is 6455477
1
Contractor: ------------------------------
TITAN PROPERTIES
PO BOX 6135
ALOHA OR 97007 -------------------------------------
Phone #: 6455477 $ 1285.00 TOTAL
Reg #. . : 30558
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 120 days from
the date issuer-'. The total amount paid will be forfeited if the
permit expired. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer Is nct 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 Sewer" Permit and the Agency will install a lateral. _-_
Permittee Signature:
Issued By:
---fid---
/ Call for isnpection - 639-4175
EIRALM-UUMMIRAMMMMUMME
CITYOFTIGrARD IITO
COMMUNITY DEVELOPMENT DEPA.RTMEtN7 • . . : MST90-0004
13125 SW Hell Blvd. P.O.Box 23397,Tig-d,Orep)W 23 (503)63"175 *RIM. T #. : MST90-0004 ITE ADDRESS. . . : 15678 SW 84TH PL PARCEL: 1599999-99999
SUBDIVISION. . . . : ZONING:
SOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
-----------•---------- BUILDING ---------•---------------------------•-
':ISSUF,:892523 DWELLING UNITS:1 BASEMENT.. . . . . . . :0 sf
LASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :353 of
TYPE OF USE. . . ;SF FLOOR AREAS----------- REQUIRED SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . :950 Bf LEFT. . :5 ft RIGHT. :11 ft
OCCUPANCY GRP. :R3 SECOND. . . :698 sf FRONT. :20 ft REAR. . :30 ft
STORIES. . . . . . . :2 THIRD. . . . :0 Bf REQUIRED-------------------
HEIGHT. . . . . . . . :22 ft TOTAL------:1648 of SMOKE DETECTORS- :Y
FLOOR LOAD. . . . :40 pef PARKING SPACES. . :O
Remarks:
---------------------------------- PLUMBING -------
SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR,. . :O
LAVATORIES. . . . . :3 WATER HEATERS. . . :]. TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASII4S. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :1 WATER LINE (ft) . :1 OTHER FIXIURES. . . . . :0
GARBAG DISP. . . :1 RAIN DRAIN (ft) . :0
WASHING HACH. . . :1 SF RAIN DRAINS. . :1
- - ------ MECIRANICAL -------------- ----------------- FEES --------------
FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 PAYM $ 40.00 UEW -,;/c'1/90 106707
MAX INPUT:O BTU VENT FANS. . :4 PRMT $ 361.00
FURN < 100K . . :1 HOODS. . . . . . :1 PLCK $ 40.00 /
FURN >=lOOK . . :0 WOODSTOVES. :O 5PCT $ 18.05
FLOOR VURN. . . . :0 CLO DRYERS. :1 STDC $ 600.00
BUIL/CMP < 3HP:0 OTI4ER UNITS:O SSDC $ 250.00
GAS OUTLETS:1 PARK $ 250.00
Owner: ------------------•---------------- MISC $ 15.00
TITAN PROPERTIES PRMT $ 39.00
!PO BOX 6835 PI.GK $ 9.75
5P(-'T $ 1.95
ALOHA OR 97007 PRMT $ 132.50
Phone #: 6455477 5PCT $ 6.63
Contractor: -------------•--•-------------- PAYM $ 1683.88 JLH 01/18/90 106913
TITAN PROPERTIES
PO BOX 6835
ALOHA OR 97007
Phone #: 6455477
Reg f. . : 30558 ------ -------------------------------
1723.88 TOTAL
This permit is issued subject to the regulations contained in the ---- •-- REQUIRED INSPEC
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Sawer
applicable laws. All work will be done in accordance with approved Poet/Beam Insp Rain
plane. This permit will expire if work is not started within 1PO Plm/undslaL Insp Water
days of issuance, or if work is suspended fer more than 180 days. Mechanical Insp Appr/
Framing Insp Final Inspection
Permittee Signature: 7; z1.6l Gas Line Insp
Inpulation Insp _
Issued By: Gyp Board Insp -
Call for inspection - 639-4175
IIIIIF AN-IN
N IIIb illy
CITYOFTIGARD PIAN CHECK APPLICATION
OF TWAIM / PLAN CHECK q
COMMUNITY DEVELOPMENT DEPARTMEP'T ltl / PERMIT q "I"
13125 S W Hall Blvd.,P.O.Bot 23397,Tigard,Oregon 91227,(503)6394175
DATE ISSUED
JOB ADDRESS: l � ! V�`' J 7 _ _ •i AX MAP/LOT
Sl1H: ` " ' I OT : _ _ LAND USE::
VALUATION: - -/-(s"'f'"�L�' C)
j OWNER - SPECIAL NOTES
1 j
NAME: _ T/Ti9A) x�/.�c)R`�//f.c; �7'S I-5 REISSUE OF:— -1
l _ •
ADDRESS: '�,��. i4c�\ .�4't LAST REISSUE:
��__�[��iA 116;_ `+")c►U
FI-000 PLAIN/
SENSITIVE: LAND:
PHONE: —
j APPROVALS REQUIRED
C:ONiRACTOR PLANNING: _
NAMt.y- �`>>air✓.` ENGINILRING:
ADDRESS: - - FIRE DEPT �^
PHONE_ _...__ ITEN,S REQUIRED
LIS1/SUBCONTRACTORS: _
+ ARCH/ENGINEER BUS TAX:
NAME : _ _ �p _ CALC:UI_ATION3; - _�-
ADDRESS : i TRUfrS DETAILS:
PARIO NG PLAN:
LANDSCAPE PLAN_
PHONk : _ --_ OTHER
P�RMIT 0 ACCT N DESCRIPTION )f�' UNT AMOUNT PEI. SIAL. DUE.
10-432 UO Building Purmit Feos
_ 10-431 00 Plumbing Permit Fees
10--431 01 Mochanical Permit Fees
10--230 (11 Statu Building Tax (')X)
Building /fS' u )
Plumbing
„ Mitch Gam.._... // n
e�
W. 433 (10 Plans Check
Building
Plumbing _-
Maach w`
30 909 OU Sewer Cormecti 1n
30 -444 00 Suwor Inspoctiun
!)1- 44U 00 Struot System Oev Charge. (SOC; L C _
1
h2-449 UO Parks B stem Dev Cha►•1 a o )
Y .1 (• I1C
1
31- 4b0 00 Sl.urlm Drainage Syst Dow C:hrg
i
10 -230 09 IRFD �
10 230 06 Washint.glun Cleanly Fire q1 (915X) _
10-120 00 Amman/Wodgewoud
nl'I'1 11'nN F ti El, flllllrl' a
I
E„ -eived 11UL uaatE�7 Rerelverd: ! '/
l
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im-NAMINXNJ F �ff' il - - I
S:ltADV fait( 51 N (. N , :)I, W L�j A rtS)� -
GENERAL CONTRACTO��IAME&ADDRESS: CASEFILE NO.- --
PERMIT NO.: 4-); --42�
--- APPLICANT NAME AND ADDRESS:
EXCA.VATTON CONTRACTOR rJ p
X, OWNER NAME A14D ADDRESS: ALOHA, OR.97007-fi835
TMLEI`11JNE NiIMI3E,KSL� PROPERTY DESCRIPTION: -
API`LICF J`i I: �' -
OWNER-
�__ SIRE'~:f ADURES$AND C;dOSS STREET/►,JCATED
GE�:T:RAI.CONTRACTOR:__
EXCA IATION CONTRACTOR: G,
SITT_/JOB' LEGAL DESCRITTION:
24 HR/AFTER HOURS EMEhGENCY TAX LOT NO.:_—
coQ PERS TITL IL'LEPHONE: 1/4 SECTION: _ --
��� ( , SITE SIZE,ACRES:
DISTUKBED/WORK.AREA,ACRES__
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN �,)(�NF)f�RAWS TO:(CIRCLE ONE)
(NOTE_:PFAWTS MAY Br REQUIRr:D) (CATCH-BAW(CATCH—BASDITCH PIPE CREEK
(CIRCLE ONE
,ULIYATF PROPERIY--
PUBLIC RIGHT OF WAY
-R IN1SEnIMENTA'rION CQN'rRGL CM- INEASUU- t
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DI JRING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABIL17ED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMLTER RUNOFF CONTROL. FACILITIES
�LFARING AND GRADING RESTRICTION', CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES F_NSURE OPERATION OF PE:RMANT FACILITIES
CONSTRUCTIO"I SEQUENCE OTHER - — —
OT HER ._ ----
PLAN FOR EROSION CONTROL.PRE-.PARED AND S'JBMTITED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDWDOK".
EROSION CONTROL PLAN DRAWING.AS REQUIRED.".AS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PIIONF M)MBER. SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE.STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH TI IE ABOVF AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECE:%ARY
TO CONTAIN SEDIMENT ON TIIE CO RTRU NS
OWNFR SIGNATi1RF. APPLICANT SIGNATURE
OM- CIAL USE ONLY.
RECEIPT DATE ACCEPTED
FI:I. NUMBER RECEIVED BY _.