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11252 SW 106TH PLACE i i ADDRESS: HAL �z r_ w _J i:\rec;orris\micro(Irn\targels\bnildin��.da� CIT' OF TIGARD DEVELOPMENT SERVICES 13125 3W Hall Blvd.,Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY I-,ERM I T #. . . . . . . , MS T91-0202', DATE ISSUED: 02/04/97 PARCEL: I S134DA--05300 SITE ADDRESS. . . : 11252 SW 1.0 5TH PL SUBDIVISION. . . . : NODAK SURDIV.SION ZONING: r•-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 CLASS OF WORK. :114EW TYPE OF USE. . . :5F TYPE OF CONSTR:51V OCCUPANCY GRP. :R3 OCCUPANCY LOAD:L Remarks : v Owner; --__—_______._._________.________._________ JAY MILLER I PO PDX 23291 l"IGARD OR 97223 Phone #: 664-7543 Contractor Phone #: Reg #. . : 30109 This Certificate granty occupancy of the above referenced building or portion :hereof and confirms that the building has been inspected fp - compliance with the State of Oregonecialty Codes for the group, occupancy and use under- whir i r efer•enr_ e t was issued. ti BUIi_ ING INSPEC R BUILDING OFFIC L FROST IN CONSPICUOUS PLACE _J CITY OF TIGAFID BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINA iI Foundation. Water Line Ceiling PostiBeam Mech Shear/Sheath Framing > Plbg.Und/Flr/Slab Plbg. Top Out Insulation I-Ject Post/Beam Struct, Mech, Rough-in Gyp 9d. I San. Sewer Gas Line Appr,'Sdwlk Rei u. Other: Date: _T — A.M. P.M. Entry: Address: /_Z�Z . C✓ � Tenant: - - _ Ste: MST 9�^OMY Con/Own: BUP: - _- - --_-- MEC:---- --_—_ PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR Inspector. -- _ Date: _�ITWTVED --DISAPPROVED/CALL FOR REINSP. CF CO ��wj CITY OF TIGARD DEVLLOPMENT SERVICES 13125 SAN Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : MS T91 DAwE ISSUED: 02/04/97 PARCELt IS134DA-05300 SITE AODREGS. . .. -j 11252 SW 10-IJTH PL. SUBDIVISION. . . . s NODAK SUBDIVISION ZON ING nR--4. 5 BLOCI.. . . . . . . . . . s LQ'T. . . . . . . . . . . . . s -I-ASS OF WORK. :Nr--'W IYPE OF USE. . . :SF TYPE OF CONSTRg5N OCCUDANCY GRP. -. R3 OCCUPANCY LOAD12. Remarks : Owner- JAY MILLE'R PO BOX 2,3291 TIGARD OR ?7223 Phtne Ot 684-7543 Contractor: Phone #i: Reg #. . 1 30109 'rhis Certificate grants occupat-,cy of thk, above i eforenced wilding Q, 1,c') i thereof And confirms that the buil-Jing has beer, Thspectem"a d f9w compliance with -" T9' the State of 01 on �jpocimlty CodeL- for the group, occupan,e�y and Use sande - I - whwhir. ve-ferm-0 t was tsso.lec 11:1i 1 N-63 I N S-pL SU I LD I NG OFE I tx1L z- -- POST IN CONSPICUOUS PLACE . CITYOFTIGARD MASTER PIERMIT (Cny RD PERMI "l #. . . . . . . : MST91--VAe0,3 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW H611 Blvd. P.C.Bcjx 23397,Tigam,Oregon 97223(SM)639-4175 t, J--,� J, ( A DATE ISP,11P-rj% 01 /0&=VCIP SITE ADDRESS. . . : 11.2,52 5W 10'�`JTH P,L F1AR(-1'F[_ 15134DB__057;00 SUBDIVISION. . . . : KODAK ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . : 1 BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . ..14) S CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :6 76 s ( YPIE OF USE. . . :SF FL001-i AREAS RE OUIRED SETBACKS-- FYPIE OF CONST. :5N FIRST. . . . : 12 J2 5 LEF*T. . : 10 ft RIGHT. ., 10 ft 0'_.CUP,ANCY GRP-. :R31 SECOND. . . :510 s FRONT. :20 ft REAR. . :80 ft Ei 1*ORIES. . . . . . . :2 TH!RD. . . . :0 Sf REQUI F;E'I GH1.. . .. . . . . . :E'5 ft TOTAL-------- -4.782 S f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf* VALUE. . . . . $ - 94140 PARKING SP'FiCES. . :21 Remarks : -------------------------------------- P'LUMBING SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0 WATER CLOSET'S. . :3 SEWER LINE 'ft ) . :O GREASE TRAP,S. . . . . . . :0 D I SHWASIAERS. . . . : ? WATER LINE (-ft ) . : 100 OTHER FIXTURES. . . . . ..(A GARBAGE DISP,. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . .- 1 SF RAIN f;RAING. . : l MECHANICAL ----------------- FEES FUEL. UNIT IAT RS. . :0 type Amoi..Int by date recpt /GAS/ VENTS . . . . . :0 "r I F $ 1380. 00 JLH 01/02/92 MAX INPIUT:0 BTU VENT FANS. . :4. SFIRT $ 418. 00 ..JLH 01/02/92 FURN ( 100K . . : I HOODS. . . . . . .. I BF`LC $ 271. 70 JLH 12/13/91 &20696 FURN > =100F, . . :10 WOODSTOVES. t@ B5PC 4, 20. 90 JLH 01 /02/92 - FLOOR FURN. . . . :0 CLO DRYERS. : I S cl;1)C $ 280. 00 JLH 01/02/92 - BOIL/CMP ( 31AP:O OTHER UNITS:O PARK $ 500. 00 JLH 01/02/92 GAS ouTLETS: 1 MP'R'f $ 39. 00 JLH 01/02/92 Owner: Mr-I C $ X3. 7'3 31-11 01/0,2/132 JAY MILLER M5P,C $ 1 . 95 JLH 01/02/92 P,O BOX 23291 p3PIC $ 7. 38 JLH 01/02/92 P,P,RT $ 147. 50 JL.H e1/02/92 TIGARD OR 97223 V-1hune #: 684-7543 Contractor: JAY MILLER PIO BOX 232'91 116ORD OR 97223 LrI P .one #: 684-7543 Rey #. . : 30109 3076. 18 TOTAL This permit is issued subyect to the requlatiu..c contained in the ——————— REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. q,ecialtv Lod?s and all other Foot/foi-ind Insp Gas Line Insp applicable laws. All work will he done in accordaice with aouroved Post/Beam StrIACt InsiAlation Insp plans. This permit will expire if work is n;- .carted within 180 Post/Spam Mechan Gyp Boar-d Insp days of issuance, or if work is suspended for more than l6e days. P'IM/Lind slalb Trisp Rain drain Insp V"441 j PLM/iJnder-,f I oor Waterri Line I ,ip P't�t-ln i t t ee Si qT)At'At-e Mechanical Insp Appr/SdwIk Insp FIlLimb Top Out Mechanical Final Issi.(ed BY : _.__ _-_-_ ..._._ Framinq In%p Pliumb Final Call f o* r inspection 639-4175 SEWER CONNECTIO[A CITVOF TIfirARD F-1E RM I T COMMUNFTY DEVELOPMENT DEPARTMENT �01TWARD F:ERMIT #. . . . . . . : SWR91-0223 13125 SW Hell Blvd. P.O.Box=97,TqrA,Oregon 9=(500)6394175 DATE ISSUED: 01/02'/92' SITE ADDRESS. . . : i1252 SW 1171`,TH F-,L. PARCEL: IS134DB-05300 51 jBD I V T S I ON. NODnK Z 0 1 q I N G:7 13LOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . : 1 1ENRNT NAME.. . . . . USA NO. . . . . . . . . . : FIXTURE UNITS. . . C-.LASS OF WORK. . . :NEW DWELL I 1\JG LIN I TS. . I -I YF'E IYP,E OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYP'E. . . . :BU5WR IMF-'ERV SURFACE. . : Remarks : owner: FEES --------------- JAY MILLER type EAMOIArlt by ci�i t e recp-� F,O BOX 23291 F.,RMT $ 1900. 00 JL+1 QAI/02/92 — -rmArm OR 97223 INSPI 35. 00 JLH 01/02/92 — F-Itione #: 684-7543 Lurltractor: CIONTRACTOR NOT ON FILE $ 1935. 00 TOTAL. Reg #. . . ------- REOUIRED INEI:,ECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency, The Permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer 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 "Tao and Side Sewer" Permit and the Agency will install a lateral. Permittee Signati.(re - Issi-ted By Call for inspection 639-4175 • PLNCK RECT # / CITY OIC TIG ARD 13175sWc2-1 f11vd. / 1013ocz1397 PERMIT # 1U1 'F/- o ao 3 COMMUNITY DENFLOPME"NT OFTAR`I'MI'.NT Tipid.Oregon 97M (503)639.4171 DATE ISSUED JOB ADDRESS: _LI IV72 L :5. W �(.�`y TAX MAP/LOT 151 3Z23 (3 -e, 30() - SUB: � �(�� LOT: LAND USE: _ VALUATION: OWNER SPECIAL NOTES NAME: SAV M 14 >d C.. REISSUE OF: _ ADDRESS: 'P.0 . f3m 2-:52LQl LAST REISSUE: .At hd Q") FLOOD PLAIN/ PHONE: Cod`� '-1 J�'3 SENSITIVE LAND: `CONTRACTOR APPROVALS REQUIRED NAME: Jay M1 LLan blciA- PLANNING: 5u,690alc03_ ADDRESS: l� U SOX "7_'j z�1 ENGINEERING: `TtGgl1D1 Cl iii �1r12-Z3 FIRE DEPT: PHONE: ��-rl j4 3 OTHER :1� ✓t'C CONTR. BOARD : 3d �� EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: I`7C rl WQf`, C071&k_ hC LIST/SUBCONTRACTORS: �MECH: _ ell I-lec�t�n4 BUS TAX: �/, ARCH ENGINEER CALCULATIONS: NAME: _ _ _ TRUSS DETAILS: ADDRESS: _ OTHER: NPHONE: -------- --- — PROPOSED BLDG. USE: 1' P 5 Cle r"tLtCO CIO - w COMMENTS: 7 [--,v r�inr'CM' �. ?.l?FG"Cy�11LC__ro '7, 'cc -------- J APPLICANT r NATURE 1 Received By: Date Received: ' PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.- DUE 0/ a.to3 10-432 00 Building Permit Fees 41y, 10-431 00 Plumbing Permit Fees U750 So /Y75u 10-431 01 Mechanical Permit Fees 3 •�,#u 10-230 Ol State Building Tax (5%) 3v,2-3 2,.3 Building >2,0—.1 � Plumbine Mechanical �,�✓ 10-433 00 Plans Check Fee v�g/,AIJ Z 5� , Building . Zov Plumbing Mechanical �� ✓ 10-230 06 Fire 5 r -6.W30-202 00 Sewer Connection 4/v 30-444 00 Sewer Inspection _ 3 S _ 2.5-448-02 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 O.nn _ /2 Y1 25-448-05 Mass Transit TIF Fees /on•A�_ _ A/y 52-449 00 Parks System Dev Charge (PDC) - S o U 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) L 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) J r TOTAL -2 nm/3587P.WPF CITY OF TIGARD - RE(.r.1r.§T OF PnYMFNT REC'E*IPT NO. c 9".1-22 11M)a CHE(:K AMOUNT % 47(,- 1. 18 N NAMFIAMU: M0A!(,.A2)TLF ;1OME.3 (-,A.'sH AM(.)I,,)Nl' 1 0. 00 AFaUltf PAYMENT rion: ki i a oa,, i2 SUB01 V 1 S 1 ON URPOSFE Of" V-14YMENT AMO1..I191 PATI) VIMP(MIE. OF, PAYMENT AMOUNT V-1A I D 4111. 00 PLUMB I H'O PERM 14Y. 50 -ILCHANIUAL PE 39. 00 IAULLD PER 30. 213 AL PN CHECK F=C 31. 45 SEWER Uf;A 1900. 1,10 WWR 35. Oo DENT 101. TRAFFIC; FEES t 2-1 a L7.1. 0 qj f.lrKS GIA. 5110. 00 STORM DRAIN r;I)C; T T F I r-,F.9 100. 00 LOT I NOMIK 11a5a sm tiArj,rH PL- rlOTAL PMOUNT PAIU 4761- 18 Y CITYOF TIFARDCRY flMASTER PERMIT 6Y, COMMUNITY DEVELOPMENT DEPARTMENT .Rtoa, / :'LRM 1l- #. . . . . . . : M�r^ r7� ; 1 n 3125 SW FW I Blvd. P.O.Box 23397,Tigm i.Oregon 07223(503)839.4175 / SITE ADERE:SS. . . . 1125 2, SW 105T1-4 PL. PARCEL: 1S134DB'-'-0 SUBDIVISION. . . . : NODAK ZONING: ELOC'K. . . . . . . . . . . LOT. . . . . . .. . . . . . . : 1 ---------------------------------- BUILDING REISSUE: DWEL.I.I NG UN I TS: 1 BAS:: MENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:O BATHS:O GARAGE. . . . . . . . . . : 1002 sf TYPE OF USE. . . :SF r-LOOP AIREAS._._..._-._.__._._ REQUIRED SE=TBACKS-_-._--..-_.__..._--. TYPE: OF' CONST. .-5N FIRST. . . . :0 s LEFT'. . :., ft RIGHT. :0 ft OCCUPANCY GPP. :R,3 SE:.COND. . . :0 Sf FRONT'. b ft REAR. . :? ft ST OR I ES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED______----._____._.__..._ HEI CHT. . . . . . . . :21 ft, TOTAL. __.....__..- :0 5-F SMOKE DETEC1 UH,6. :Y FLOOR LOAD. . . . :40 ps f VALUE:. . . . . f : 16036 PARKING SPACE:S. . :0 Remarks : ADDING 112)02 GQ r'T DEWTPCHED GARAGE AND STORAGE BUILDING CAN NOT BE US-,r-,' PLUMBING --__--_-_-_-._-___-----.---__---__--- 51NKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW PRLVIVTR(G. . :111 LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWE=RS. . . . 1.14) LAUNDRY 'TRAYS. . . : 1 CATCH BASINS. . . . . . . :171 WATER CLOb '1S. . : 1 SEWER LINE (ft ) . :0 GREASE TRAPS. . . :. . . :0 DISHWASHE=RS. . . . ;0 WATT.=R LINE (ft ) . :0 01-1-IE R FIXTURES. . . . . .vl GARBAGE DISP— :0 RAIN DRAIN (ft ) . :O WASHING MACH. . . -0 G1= RAIN DRAINS. . : 1 MECHANICAL _.____.___...___._.__ ---_._.__.___.__.__.._.__ FEES FUEL_ TYPF_"S_-.--------- --- UN' f HTRS. . -0 type amol_tnt by date r,ecpt /GAS,/ / / VENT'S . . . . . :171 BPH 1 i; 1.54. bO JLN 06/11/92 - MHX INPUT :ID 1:31U VENT FANS. . :0 PrIL.0 $ 117. 4; 3L-H 06/09/9 2c_£3186 F URN ( 100K . . :N HOODS. . . . . . :0 B5PC 8 6. 73 JLH 06/11/92 - 1=URN ) =111I171K . . :0 WOODSTOVES. :0 GPRT ? :31 . 00 .II_H 06/1 1/92 — FLOOR FURN. . . . :0 CLO DRYERS. : 0 BOIL/CMF ( 3HP-.0 OTHER UNIT5:0 GAS OUTLETS:O Own er1 J`N Y MILLER �tt , PIC OX 2: 291 1 ?6ARD 97223 P- tore #. 6 -7543 Cont r,act or: YMIL L. _R P "UX c:,c9l rt TIGARD r 'hone i1: 6 -7543 Req 301 , 4 6 TOTAL_ G, This pe,vit is issued subject to the regulations contained in the ------- REGUIREI) INSPECTIONS ----- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foutnd In5p Water, Line, Insp 1i1 aopl icable laws. All work will be dent in accordance with approved F I m/utn d s l a b Insp Plumb Final E= J plans. This persit mill mire if work is not started within 188 LM/Underfloor Bui lrting Final days of issuance, it if work is susoe ded for sore than 188 days. Plutmb Top Out Erosion Control -r Faminq Insp L e, of I t t +e i i tj I st 'iI'n : ..Q�Q�Ni-�"'�.. Ir1SUlat lurl InS13 __.. .. Gyp Bogard Insp _ _ ...._.. _. _.. Rain drain Insp _ tl 1 fUr' in5pPCt ion ire i -7 CITY OF T'IGARY) — RE"CE_IPT OF P0vMFIVT RECEIF,'f PJCI. t9c:-228 t8L- CNE('-K AMOUNT 87. 43 NAME s NE::WCASTLF_' HOMES CASH AMOUNT c 0. 00 OD! RESS t RAYM1'NT DATE s 06/09/9k SURD IVISION PURPOSE OF PAYMENT AMOUNT PAIL) PURPOSE. OF PAYMENT AM(lUN T PAI D Pl-AN CHECK F=F=. 87. 43 1252 SW 105TH PL A7 TACHED GARF1S TOTAL_ (1MCILIN T T'o ci'ry OF TICARD RECEIPT OF' PAYMENT RE*C'FIP"lNO. CHECK AMFKJNT a 17 j; NAME - INILWCASTLE HOMES CASH AMOUNT a 0. 00 A 1)D R F s - V10 BOX P3291 PAYMENT OPTE 06/1'5/9iF' SWID 1 V I S I ON I .(CARL), OR 97;-.S1— VIURPOSE OF PAYMENT AMOUNT PO I PLIRPOSF OF PAYMENT AMOUNT PPID SUILDINGPFIRM 13-3. 90 ST. BUILD PER S. P3 PLUMBING PERM 30. 00 Cil itc,52 SW 1105114 T*O,rAt. (.)MOUNT PAID 172. 13 CITY (IF TIGORD REcEirxr OF PAYMENT RECEIPT NO. »91-220698 CHECK AMOUNT » 250. 00 NAME NEWCAGILE HOMES, INC. CASH AMOUNT 0. 00 A 4 P�)VIE J)Rr -Nl' DATE 12/ 13/91 PDDRESS V . O. BOX PAYlyff TIGARD, CIR SUBDIVISION 97R2,3- L PURP05F OF PAYMI-NT AMOUNT PAID PURPOSE OF PAYME'N'T AMOUNT PAID PLAN CHEGR FE I P -.216 R 1?50. 00 TOTAL AMOUNT PAID 250. 00 `1 13125 SW Hall BNd. PLNCK/RECT # CITY OF TIGARI� VO Box 23397 C0MMUNI1Y DEVL:LOPNIG`•T DEPART4IENT Tigard,Oregon 97223 PERMIT # (503)6.39-4171 DA,E ISSUED JOB ADDRESS: _ �Gi3 Sc,� %(,1St 7' /�l TAX MAP/LOT p5/-3 SUB: LOT: LAND USE: �VAUATION: / l OWNER / (�c��wJ1"� l�U�"u� /,? SPECIAL NOTES NAME: - - REISSUE O(-: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: CONTRACTOR / '��``1�L� /"r� `; APPROVALS REQUIRED NAME: _ PLANNING: s ?� r�0,),�GL� SPr►t~�. ADDRESS. C ��1. ,Y �j/ ENGINEERING: p �1.) FIRE DEPT: PHONE: [a - -ZjL3 OTHER: _,d)P iii' - CONTR. BOARD #: - EXP DATE: _ ITEMS REQUIRED SUBCONTRACTORS: PLUMB: L( r 1 ��tot, _ LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: 01HER: PHONE: PROPOSED BLDG. USE: COMMENTS: SV(9Als 9 2 civ'_ APPLICANT SIGNATUTFE Received By: ��" Daae Received: `� �� PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE r?tyZ_•Ullv 10--432 00 Building Permit Fees I 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building lax (5%) Building (p• �3 ✓ �' �� `D Plumbing /- 517 ✓ Mechanical r 10-433 00 Plans Check Fee ? `�� 7' 3 Building Plumbing Mechanical 10-230 06 Fire _ 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 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 3I-450 00 Storm Drainage Syst Dev Chrg =; (SSDC) N 24-445-01 Water Quality (Fee in 'lieu of) 24-445-02 Water Quantity (Fee in lieu of) .J Cal TOTAL �[ � 7,Ll nmf3587P.WPF