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14320 SW 97TH AVENUE • n ' _ wont JJ R •4 t 1 _ Page No. 1 CASE HISTORY FOR CASE NO.: MST93-0034 JAI- MILLER 14320 SW 97TH AVE 12/14/98 Action Description Rey/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 01/19/93 PASS JLH 11/15/93 TLP MSTA010 Plan check deposit paid / / / / 01/19/93 PASS JLH 01/21/93 BLT MSTA020 Plan check b'I 01/21/93 / / 01/21/93 PASS RT 01/21/93 ALT MSTA030 Check for prcl. restrict. / / 31/21/93 01/21/93 PASS RT 01/21/93 BLT MSTA092 (F) Issue combination permit / / / / 01/25/93 PASS JLH 01/25/93 JH MSTA097 Issue plumbing signature form / / / / 01/25/93 01/25/93 JH MSTA705 Foot/found Insp / / / / 02/08/93 PASS TLP 02/16/93 TLP MSTA710 Post/Beam Structural / / / / 02/16/93 PASS TLP 02/=2/93 TLP MSTA711 Post/Beam Mechanical / / / / 02/16/93 PASS TLP 02/22/93 TLP MSTA720 Mechani-_al Insp / / / / 03/15/93 PASS TI,P 03/15/93 TLP MSTA722 Plumb Top Out / / / / 03/09/93 PASS TLP 03/09/93 TLr MSTA725 Framing Insp / / / / 03/17/93 FAIL TLP 03/18/93 TLP MSTA725 Framing Insp / / / / 03/25/93 PASS TLP 03/25/93 TLP MSTA735 Gas Line Insp / / / / 03/15/93 PASS 'CLP 03/15/93 TLP MSTA740 Insulation Insp / / / / 03/26/93 PASS TLP 03/29/93 TLP MSTA745 Gyp Board Insp / / / / 03/30/93 PASS TLP 03/31/93 TLP MSTA755 Rain drain Insp / / / / 02/16/93 PASS TLP 02/18/93 TLP MSTA760 Water Line Insp / / / / 02/16/93 PASS TLP 02/18/93 TLP MSTA795 Mechanical Final / / / / 05/14/93 FAIL TLP 11/15/93 TLP MSTA797 Plumb Final / / / / 11/10/93 PASS TLP 11/15/93 TLP MSTA799 Building Final / / / / 05/14/93 PASS TLP 05/18/93 TLP MSTA960 (F) Issue Cert, of Occupancy / ! / / 11/10/93 JF 12/08/93 JF MSTA970 Case Finaled / / / / 11/10/93 PASS TLP 11/15/93 TLP v 0�j9CITY OF TIGA►RD BUILDING INSPECTION DIVISION MST " ..4 Hour Inspection Line: 639-4175 Business Line: 639-41 i1 A,A4 BUP 0 Date Requested_ AMO • PM _ BLD Location 141-32-C) S w "? iQt Suite (9�) 9? Contact Person Ph PLM Contractor �i _ Ph � �D X75 SWR _ WILDING Tenant/Owner 2-74, Retaining Wall I ELR _ Footing Access" ` Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes-. , - Slab _ ��. UO -/'!� TT�� SIT post& Beam IExt Sheath/Shear _ lnt Sheath/Shear gaming Insulation Drywall Nailing 14 Firewall Fire Sprinkler R - Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL PLUMBING ---- --- PLUMBING Post& Beam - '-�- --- - — — Under Slab ------ Top Out Water Service Sanitary Sewer Rain Drains Final --D T FAIL ----- - --- ---------. _ _-- ��.�--- MECHANICAL Rough In Gas line ---- -- ------ ---- ----- ------ Smo'<e Dampers Final RT FAIL Service Rough In UG/Slab _- F Low Voltage Fire Alarm F-i KSS PART FAIL ..J Backfill/Grading - Sanitary Sewer Storm Drain [ I Reinspection fee of$_ required before next inspection. Pay at City Hall, 131.25 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date J _Inspector_ Ext _ Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site. CITE( OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SIN Hall Blvd., Tlgard,OR 97223 (503)639-4171 PERMIT ff. . . . . . . : MEC'38-0 DATE ISSUED: 06/04/98 PARCEL: 2SI. 11BO-07300 SITE ADDRESS. . . : 14320 SW 97T1-1 AVE . 0 --- SUBDIVISION. . . . : JUBILEE ':LACE ZONING: F 4. 3 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :00'i JURISDicrION: TIG ------------------------------------------------------------------------------------------ CLASS OF WORK. . :0TR FLOOR FURN. . . . . ID EVAP COOLERS: 0 TYPE OF USE. . . . .SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRr-,. . : R.'3 VENTS W/O APDL: 0 VENT SYSTEHS: 0 Sf'ORIES. . . . . . . . : 0 BOILERS/CC)MPRE9SORS HOODS. . . . . . . : 0 FUEL TYPES--- ---------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 3-15 HP. . , . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . . 30-50 HP. . . . : 0 W[InDSTOVE5. . : 0 GAS PRESSURE. . . : 504 HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UN TJ S OTHER UNITS. : 0 FURN ( 100K BTU: 0 1.0000 rfm : I GAS OUTLETS. : 0 FURN i --tOOK B10- 0 10000 c..fm: 0 Re mpi-k s : Exterior A/C unit mt!st not encroach into 51 side or rear yard setbacks. Owner: --------- ------------------------------------------ FEES3 BILL CHEN type 4MMOI.Ant by date r -rpt 14320 SW 97TH PRMT $ 25. 00 9 06/04/98 9B-1306263 TIGARD OR 971:.?2 'f 5PCT $ 1. 25 B 06/04/98 98-306263 Phone 4: 9EB-6EB0 Contractor: ------------------------------- 8 8 T GAS SERVICE INC KEITH TEASDALE --------------------------------- 8528 SW 190TH AVE $ 26. 25 TOTAL BEAVERTON OR 97007 Phone #: 642-7;:-'43 Reg #. . : 000911, ------- REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Misr. Inspertinn Tigard Municipal Code, State of Ore. Specialty Codes and all other Final. Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IPA days of issuance, or if work i5 suspended for more than 180 day3. ATTENTION: Oregon low requi,--s you to follow rules adopted by the Oregon Utility Notification eerie,-. Those rules are set forth in OAR 952-00I-0010 through OAR 952-00I-0080. You may obtain copies of these rules ir direct questions to OUNC by calling (503)246-9187. 0 1 By - __ Permittee Signatl.tr-e: (A40 "M +++............................4.......................................4.......4 Call. 639-4175 by 7:00 p. m. for~ inspections needed the np)(t bi-isiness day .........................................I................4......4-44......4++4-++++l ua Plan Check#_ CITY OF TIGARD Mechanical Permit Applicatic�DENED Recd By ---,---- 13125 SW HALL BLVD. Commercial and Residential Date Recd ;a TIGARD, OR 9 i 223Date to P.E.--_ 1503) 639-4171, x304 JUN 01 i998 Date to DST Print or Type Gp,5-,r ,,MUNITY DEVELONMENT Called jIncomplete or illegible applications will not be accepted Named Description r t? /,� Table 1A Mechanical Code QTY PRICE AMT Job Street Adareft SrrRes A) Permit Fee -0- 0- 10.00 Address ` .1>L aUA) 1 eiagrr CNyI�aM Lp B) Supplemental Permit 3.00 Name(or name of buslims) 1.) Furnace to 100,000 BTIJ 6.00 Owner �� ) J-1LOincl.duds&vents Mai"Addmn �. 2.) Furnace 100,000 BTU+ 7.50 1 I - - �,�� _ incl.duds•'�vents c rstats ZpI PhM /- 3.) Floor Furnace 6.00 incl.vent _ rvarrha( dbhraYrae) 4.) Suspended heater,wall heatar 6.00 A('IA,4 or floor mounted heater i Occupant Ma+wrp Ad&ws 5J Vent not incl.in 3.00 appliance permit crtyrswe zip Phare 6.) Boiler or comp,heat pump,air cord. 6.00- to 3 HP;absorp unit to 100K BTU --- Narne 7.) Boiler or comp,heat pump,air pond. 11.00 V)i ^ -1c,u1(- ) 3-15 HP;absorp unit to 500K BTU_ Contractor Pit 11!hfl��f I J A. /� 1 8.) Boiler or comp,heat pump,air coed. 15.00 � 1 �) ! J f 1WC 15-30 HP;absorp unit.5-1 mil BTU Attach copy of c4081111111111 Phoria 9.) Boiler or comp,heat pump,air coral. 22.50 - Current Lloen 3(C--Rver-_rc l.) ok 1110 W--j 1) 4&50 HP;obwp unit 1-1.75 roll BTU Orepon Conal t:ord 9ord l k s Ern.rate 10.) Boiler or comp,!seat pump,air Gond. 37.50 (+ I c]' C _>50 HP,absorp unit 1.75 mi!BTU �BrrerwTaxa s Exp.04ft 11.) Air handling unit to 4.50 c Nyx) /0 _ 10,000 CFM - ---- (I Architect Norm 12.) Air ha ,fling unit 7.50 ' 10A CTM+ or M&HOW Addrm 13.) Non portable 4.50 evaporate cooler _ Engineer crhymde Zip I Phone 14.) Vent fan cornedij ^ _^ 3.00 Ii to a sirgle dud Describe work New O Addition O Alteration O Repair O 15) Ventilation system not 4.50 to be done Residential O Non-residential O included in appliance permit Additional Description of work 16) Hood served by _ mechanical exhaust A50 17)'Domestic indneraMmk �-_- 7.50 Existing use of 18.) Comroerkard or industrial 30.00 building or property_v ---- type incinerator -- _ 19) Ckdhes dryers,etc 4.50 Proposed use of 70) Other units �- 4.50 building or property i -- Type of fuel-oil O natural gas O LPG O electric O 21) Gas piping one to four outlets 2.00 I hereby acknowledge that I have mad this application,that the 22) More than 4-per outlet (each) .50 information given is correct,that I am the rnnrw.r or ruthorized agent of the owner,that plans submitted am in compliance with Oregon State QTY.SUBTOTAL laws Signature of OwneriAge it Date 'SUBTOTAL n r Q L 6%SURCHARGE #f t • .+5-r. 4 Contact PrKsoih N111014V PANNO PLAN REVIEW 25%OF SUBTOTAL k Lit 1 11 _TOTAL i:tdsmnechpmt.doc 'Minimum permit fwe is$25+5%surcharge Rev 71% & T GAS SERVICE (503) G42-7243 8528 SW 190th Ave. FAX (503) 642-2802 Beaverton OR 97007 &LL 0, l C-0 I W320 -SLJ q -T l WD. I .' 10 (fe CL i I 1 a N Y H 1�1 J G0 W CITY OF TIGARD DEVELOPMENT SERVICES EPERMIT' FBFERM I RMIT CAL T #: ELC98-0: 76 13125 SW Hall Blvd., Tigard,OR 97223 1503)539-4171 DATE ISSUED: 05/26/:.�B PARCEL: 2 5 1 1 1 BA-07 ;00 SITE ADDRESS. . . : 14320 SW 97TH AVE SUBDIVISION. . . . :JUBILEE F,LACE ZONING:R-4. 5 BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :OO1 JURISDICTION: TIG Project Description: CHEN iC7 X11051 ----------------------------------------------------------------------------------------- ---RcS I DENT I AL UNIT---- - --TEMP' SRVC/FEEDERS---- --------M I SCF-LI..ANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,/I RRI GAT I ON. . . . : 0 EACH ADDS L 500SF. . . -. 0 201 - 400.E amp. . . . . . : 0 SIGN/OUT LII'JE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601.+amps-1O00 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----F3ERVICE/FEEDE.R----- ------BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . : 0 1st W/O SRVC OR FVR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 601b amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN F'LANT. . . . . . . . . . . . 0 601 - 1000 amp. . . , . : 0 -------------------FLAN REVIFW SECTION----------------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . 0 SVC/FDR ) = 225 AMPS . . L,'...PS3 ARF-.A/SPEC OCC. : Owner: ----------------------------------------------------------- FEES ----------.------ BILL CHEN type amoi-int by date recpt 14320 SW 97TH FIRMT $ 40. 00 ..TSD 05/26/98 98-30601k:' TIGARD OR 97:24 SPCT L 2. 00 JSD 05/26/98 98-306012 Phone #: Contractor: ------------------------------ JARMER ELECTRIC INC $ 42. O0 VOTAL 5*105 SW 45TH AVE ------ - REQUIRED I NSF'ECT IONS -- -- FIORTLAND OR 97221 RoLigh-in Elect' 1 Final Phone #: 246-5381. Elect' 1 Service Reg #. . : 000069 This permit permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Odes and all other applicable laws. All wor, will be done in accordance rith approved plans. bis permit will expire if work is not started within 180 days of issuance, or if work is suspended for more thandays. ATTENTION: Oregon law requires you to follso he rules adopted by the Oregon Utility Notification Center. Those rules are s fort►r'n OAR 952 MI-010 through OAP 952-"1-':M7.Q You say obtain a copy of these rules or direct questions to OX by ffa llinlg ( )246-/997. / �J A�_,� ol"IAi Permittee Si gnat :- ' Issi.ted By i / ;:. v ---------------------------OWNER INSTALLATION ONLY----------------------------- Tlie installation is being made on property I own which is not intended fir kale, lease, or rent. OWNER' S SIGNATURE- DATE c.D -� ---------------------------CONTRACTOR INSTALLATION ONLY-----------------•------------ SIGNATURE OF SI..1FIR. E' EC' N: � DATE; LICENSE NO: +++++++++++++++++++++++.++++++++++++++++++++++++++++++f++++-F -r++H+++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the -iext business day +++++•++++++++++++++++•+++++++++++++++++++++++++++++++F+•+++++++F+++++++++++++++++ CITY OF TIGARD Electrical Permit Application Plan Cheek y 13125 SW FALL BLVD. RECE" Rec'd B TIGARD OR 97223 Dare Redd ? MAY � ' Date to P.E. Phone (503) 639-4171, x304 Date to DST_ Print or Type .� Inspection (503) 639-4175 L~licoi-Olete or illegible will not be accepted Permit a Fax (503) 684-7297 Called- 1. Job Address: 4. Complete Fee Schedule Bek,-f: Name Of Development_ Number of Inspections per permit allowed - Name(or name of business) ri Y) E ki Service included: Items Cost Sum Address I �1 3 -Q 5 u✓ g r h 4a. Residential-per unit 0 1000 sq.ft,or less _ $110.00 _ 4 City/State/Zip-I f c[r 0 7 1 3 Each additional 500 sq.ft.or Commercial ❑ Residential portion l $25.00 1 Limited Energy � $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 - 2 2a. Contractc,r installation only: (Attach cop/ of all current tic arses 4b.Services or Feeders Electrical ContractorInstallation,alteration,or relocation �_. ` `�- 200 amps or less $60.00 2 Addr 201 amps to 400 amps $80.00 _ 2 Citp-V - State a Zip r -7 ,73) 401 amps to 600 amps - $120.00 2 Phone No.,:T-, IC-3 601 amps to 1000 amps $180.00 2 I,,CL ] �S Over 1000 amps or volts $340.00 2 Job No. I u i Reconnect only $50.00 2 Elec. Cont. Lice. No. :_d Lo- 1 4 y L Exp.Date-. I --- OR State CCB Reg. No.�"I 1� Exp.Date , _ 4c.Temp rary Services or Feeders COT Business Tax or Metro No. x ate Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 _ 2 Signature of Supr. Elec'n_ �� 401 amps to 600 amps $10000 2 Over 600 amps to 1000 volts, License No. J xp.Date 1- 3 _ see"b"above. Phone No. L 3 __ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of servl;e or Print Owner's Name_ feeder fee. Address _ Each branch clrcwt $5.00 2 Ci StateZip b)The fee for branch circuits 1y _ p without purchase of Phone N0.- service or feeder fee. First branch circuit _1 $35.00 35 CC- The installation is being made on property I own which is not Each additional branch circuit 1 $5.00 S intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature_ A __. Each pump or Irrigation circle $40.00 - 2 Each sign or outline lighting $40.00 _,. 2 3. Plan Review section (if required):* 5lgnal 1,alteration or or limited energy penal,alteration or extenelon $40. 0 Minor Labels(10) $100.00 -- Please check appropriate item and ,er fee in section 51B. 4 or more residential units In one stru,,ture 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 = Classified area or structure containing special occupancy Per hour $55.00 as desce-ibed In N E.C.Chapter 5 In Plant $55.00 r. "Submit 2 sets of plans with application where any of the above apply. 6. Fees: Not required for fempornry construction services. Be.Enter total of auove fees $ -r 5%Surcharge(.05 X total fees) $ NOTIQE Subtotal $ 5b.Enter 25%of line 5a ft r PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Revi3w if reuuirg_r'(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OP WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ TnrAccount Total balance Due 1:1DST9\ELCA6.A1`P Rav W98 C11YOF TIGAR® 7 V7 MASTER PERM: f CITYOFTWA C,OMMUNITY DEVELOPMENT DEPARTMENT 011119M PERMIT #. . . . . . . : MST93-0034 13126 SW HWI Blvd. P.O.Box 23397,TgsM,Oregon 97223(60918.'+'.-.176 639-4171 DATE ISSUED: 01/25/93 SITE ADDRESS. . . : 14320 SW 97TH AVE PARCEL: 2S111B0--JF'1Z101 SUBDIVISION. . . . : JUBILEE PLACE ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 BUILDING REISSUE:MST92-0177 DWELLI14G UNITS: 1 BASEMENT. . . . . . . . :0 5f CLASS OF* WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :410 Sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS------------ TYPE OF CONET. :5N F'I RST. . . . :894 5f LEFT. . :26 ft RIGHT. : 12 ft OCCUPANCY GRP. :R3 SECOND. . . :796 sf FRONT. :20 ft REAR— :33 ft STORIES. . . . . . . .2 THIRD . . . :0 Sf REQUIRED--_– __.____---_ HE I GHT EQUIRED-------- ------------ HEIGHT. . . . . . . . :02 ft TOTAL---- —. 1690 s SMOKE DETECTORS. :Y FLOOR LnAD. . . . :40 psf VALUE. . . . . $ : 85120 PARKING SPACES. . : 1 Remarks: PATH I ---------------------------------- PLUMBING- -------------------------------------- SINKS : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . .-O LAVAT�" ' * SINKS. . . . . " " " RIES . . . :4 WATER HEATERS. . . s :1 TRAPS. . . . . . . . . . . . . . ::0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DIS11WASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :Ql WASHING MACH. . . : 1 SF RAIN DRAI1\1S. . : 1 --------------- MECHANICAL ------------------------------------ FEES ---___–_______ FUEL TYPES------------- UNIT F1TRS. . :0 type amount by date reept /GAS/ VENTS . . . . . :0 kF $ 1460. 00 JH 01/25/93 – MAX INPUT:O BTU VENT FANS. . :4 BPRT 1, ,391. 00 JH 01/25/93 – FURN ( 100K . . .- I HOODS. . . . . . cl BPLC $ 40. 00 JLH 01/19/93 93-235716 FURN ) =100K . . "0 WOODSTOVES. .*O B5PC $ 19. 55 JH 01/25/93 – FLOOR FURN. . . . :0 CLO DRYERS. ., I SSDC $ 280. 00 JH 01 /25/93 – BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK $ 500. 00 JH 01/25/93 – GAS OUTLETSol MPRT $ 39. 00 J1.1 01/25/93 – Owner: --------------------------------------MPLC $ 9. 75 JH 01/25/93 – JAY MILLER M5PC $ 1. 95 JH 01/25/93 – PO BOX 23291 PPRT $ 140. 00 JH 01/25/93 – P5PC 4, 7. 00 JH 01/25/93 TIGARI) OR 97281 Phone 0: 684-7543 Contractor: ------------------------------ JAY MILLER PO BOX 23291 TIGARD OR 97281 Phone #s 684-7543 Reg #. . : 30109 $ 2888. 25 TOTAL This iermit is issued subject to the regulations contained in the ------- PCUUIRED INSPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOLInd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Meehan Insulation Insp days of issuances or if work is suspended for more than 18P days. F-Ilm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Signature : Mechanical Insp Water Line Insp Plumb Top Out qppr/Sdwli( Insp Issued By : y Framing Insp MechanAt:al Final L_ 1;a 1 1 f nt- i n pari i an AA14-4 1 7_22i cITYOFTIFARD SEWER CONNECTION WYOFWARD), COMMUNrTY DEVELOPMSNT DEPARTMENT FIE RMIT 13125 SW HWI FJW. P.O.Box 2M97,TigsM,Oregon 97223(6W)6304175 PERMIT #. . . . . . . . SWR93-0032 DATE ISSUED. 1211/25/93 SITE ADDRESS. . . : 143LO SW 97TH AVE: PARCEL: 2S111BA—JF-',Qi01 SUBDIVISION. . . . : JUBILEE F)LACE ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . I TENANT NAME. . . . . : USA 1\10. . . . . . . . . . : FIXTURE UNITS. . . CLAS'S OF' WORK. . . :NEW DWELL I NG UN I T5. . . 1 TYPE OF USE. . . . . :,F NO. OF BU:LDINGS: i I NS TALL T'Yr-'E. . . . .BUG14R IMP,ERV SURF ACE. . : S f Remarks : PATH I Owner: ----------------------------------------------- FEES JAY MILLER type arnount by dare r-eupt F:,O BOX E!32,91 I-`R1ylT $ 2100. 00 JH 01125193 — INSI-' $ ,.35. 00 jH 01/25/93 TIGARD OR 97281 Phone #. 684-7543 Cunt r-act ot-.- CONTRACTOk NOT* ON FILE 2135. 00 TOTAL Reg #. REUUIRED INSF,LLTIONS This Applicant agrees to comply with all the rules and regulations Sevier- Inspection of the Otified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. Thr Pgency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement giver, 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. Fler,Piittee TssLte(J By : Call for inspection 639-4175 / V✓ V CIrfY OF �i�T� A �� ulzs:.wliauliwa. PLNCK/RECT #I AR PERMIT # P65 00 COM1'FMUNITI'I)I VELUI'M11I?N'1'I)1'sl'AR"f'M11EN"I' Tigard,Orc Son 97M — (503)639-4171 DATE ISsuEn JOB ADDRESS: /9(32--D �5��> �y�7 IVC. TAX MAP/LOT aS/ A FPO SUB: fiJ , I e�'- `phc el LOT: _ LAND USE: _ VALUATION: 2,0 OWNER SPECIAL NOTES NAME: REISSUE OF: -_ ADDRESS: PO A 232-19l _J LAST REISSUE: Z �/ i_ FLOOD PLAIN/ PHONE: y - 75 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: C1. 11e r _ PLANNING: ADDRESS: _ ENGINEERING: FIRE DEPT: PHONE: _ - p - OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: ICQn lk)at 15 LIST/SUBCONTRACTORS: MECH: 7ew 4f4. BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: _ _ TRUSS DETAILS: ADDRESS: OTHER: PHONE: _ PROPOSED BLDG. USE: COMMENTS: -_ ------ ---— --- -- ------- APPLICANT SIGNATURE Received By: _--_-.� _ _- ___._� Date Rece i ved: / / -' PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE tj'& ',*& Y 10-432 00 Building Permit Fees 3rfs• �� y� �' 10-431 00 Plumbing Permit Fees i 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building Tax (5%) Building Plumbing � 00 Mechanical 10-433 00 Plans Check Fee Buildingy N Plumbing Mechanical r. 7y 10-230 06 Fire ;tvP93 -ao 2, 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /3 SL /,3,J"y 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) > S v 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTA. nm/3587P.W111 INSPECTION NOTICE City of Tigard Building Depsrt>tmlt 131.25 8w Ball Blvd. Tigard. (h egos �°l�� fnepection Line (ROC-O-Phone)s 639-4175 Businees Ph nes 639-4171 Inspections Footing Plbg. Underslab Mach. Rough-in Appr/—TSdwwlkk Found. Plbg. Top out Gas Line IR11' Post/Beam struct. San. Sewer Framing Post/Beam Mech. Rain Drain Insulation -4 Plumb. Plbg. Underfloor Water Line gyp. Rd. ��?MeYO–hr i 11 i Date Reque`` � s`tledoi /��!–�}(�,u _ Time: \� PK Address s l`l 510 1 1'"j(1 Permit i s Builders �_ 1_lF_W &S11 (f l (O LC`' A", THE FO1.I.OWINO CMRWTICNs ARE REQUIREDs F_ v. y- H J 0 w J Inspectors `^ _ __-- _ ._ Date _ APPROVKD DISAPPRnVED APPR MD •unjam To ADM Call For Reinsp. 4 CITY OF TIGARD I COMMUNITY DEVELOPMENT DEPARTMENT CERI 1(- I CATS OF 13125 SW Hell Blvd.T.,jard,Oregon 97223.8199 (503)839-4171 OCCUPANCY � xxxy; PERMIT 4d. . . . . . . : M131'93--00.3" 639•-41'71 DATE ISSUED: 11/10/93 I PARCEL: 2S 1 1 1 BA••-07300 SITE ADDRESS. . . : 14320 SW 97TH AVE SUBDIVISION. . . . : JUBILEE PL.ACF 7..C)N I P1Cy: BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . CLASS OF WORK :NEW TYPE' OF USE. . . :SF � OCCUPANCY ORF'. a R3 OCCUPANCY LOAD:222 4 TENANT NA!►IE, . . Remarks, : PATH 1 TAY 11I!_LER i-10 BOX c3291 TIOARD OR 97281 Phone 4: 684- 754:1 I i JAY MILLER PO BOX 23291 T I GARD OR 97281 Phone Ida 684-754:3 j Eley dd. . a 30109 Occupancy of the .above referen�-�ed building is hereLy given, and certifies tl-se compliance with the '.'tate Of Or090n Specialty .:odes for- the group, oc,cr.rpancy, and use 13nder which the referenced pe+~mit was i >asausrd. FIRE DEPARYMENT 61 INS TOR ICIgL �! _ POST IN CONSPICUOUS PLACE