13839 SW FANNO CREEK DRIVE ADDRESS:
/3 93 9 �S c.V I�ahnt� C n�.Q� ��,•u�
i:!record s\micrcflm\targets\bc ilding.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw k
Foundation Plbg. Underslab ech. Rough ir1 Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in e--7 INAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Ur,derfloor Rain Drain Framing -Plumb.
Alarm Water I-ine Insulation Mech.
Underflr. Insul. S/ I he r W Gyp. Bd. -Elect.
Date Requested: / �� Time: AM PM
Address: —
Builder."1 Cl �—} L-1
l Permit
FOLLOWING CORRECTIONS ARE REQUIRED:
ove
Inspect
PPRO
VED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 - 71
Inspection:__ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer uas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation lAe�c�)
Underflr. Insul. Shear Wall Gyp, Bd. ;t
Date Requested: -y 9 Time: AM PM
Address: C
Builder:__ Q`_ �Q -7 PdiC�' �/ S- 0 1 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ko r'-r
Inspector: ~ Date:-
-APPROVED
at_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
�"insp.
CITY OF TIGARD — PEZEIPT OF PPYMENT RFCEIP*T NO. t 95-26650,2
CHECK AMOUNT a e.16. a5
NAME c BELL HEAT TNG, INC. CASH AMOUNT t 0. 00
ADDRFSS i 15530 BE PlIA77 AVE14LIF PAYMENT DATE' c 06/08/95
.,UBDIVISION
CLACKAMAC34 OR 97019---
PURPOSE OF PAYMENT AMOUNT PA I PURPOSK-,- OF PAYMFNI AMnUN7 PAID
—E"
mi
SITE.t 13939 SW PONNO ("!REEK DR
TI)TAL AmntJN,r mir) 26. P5
MECH'(-)NTCAI.
CITY aF TIGARD PErIMIT
!�IERMIT #. . . . . ..
COMMUNITY DEVELOPMENT DEPARTMENT DATIC ISSUED; . . p 7IL'.C
13126 SW Hall Blvd.Tigord,Oregon 97223*8199 (503)839-4171
PARCFI-:
SW t-Cd,:4�j CREEK DR
JBI)I V 1 S1 ON. . . . C FINLEY PARK 7OWNG.,
OCl/. . . . . . LOT. . . . . . . . . . . . . .009
ASS Or- WORK. . s ADD FLOOR FURW . . . . EVAP C'OOLERIEC:
'VP E Or LISE. . . . ,s r UNIT HUATCW . . VENT FANG. . . i
GRP. . :R
VENTS W/O Prjrl-; VENT SY7jTEMO:
'ORIC-S. . . . . . . . :J` SO I Lr RS/COMPRESCSORE: HOODS. . . . . . . :
!SL TYPES 0-3 1 if,". Il DOMC7, INCTW
'ELE/ 1' --.IS Hr'- COMML. INCIN:
-.X INr--,UT; P,T U I 14r, N[..PATr1 UNTTc;.-
,R. E DAMPERS'% . : 30 -50 1AP. WOCDSTOVES,
P13C75SURE. . . 501- HP. . . . CLO oqyrlr,(,,,,
1. OF AIR 14ANDLING UNIT1 OTHER 0NITs.
MN ( 1001' BTU-. 10000 cfm: GAC 0LM.1-T!.3-
!RN ) =-1174121K PTUr > 10000 cfm:
mii ; s . INSTAL.L. RESIDENTIAL i--41rq-. 'i0NDTTI0NIN1G UNTI.
incir.,
,OTT MATTHEWS t V PC: Amolmf - ')Y dat 0 V-et:pt
'939 SW FANNO CREEK COURT PRMT $ .2ml- 00 0
—W 06/07/9515
7)PCT $ 1. 21 Ow OWO'7/93
,.CARD on t)78-23
Torlp #1
L10-L.. H-ATING
L
15FJ50 St. r' 1AllA AVE
ACKAMAS OR 1701n
PGi, OTnt-
eq It— : 00447
REDUT RFD I NSPECT I DNS
,s pprait is issued lubjert to the regulations contained in thi Mpvtv,iii.r-ml Insp
yard Xljnicipall Code, Mate of Ore. specialty Codes and all ithr FinRl lvi�,vecti ,,ii
zrplicable laws. All xo-k will be done 4n accordance with
,.-oved Glans. This persit will expire if work is -,et started
11 ijr U days of issuance, or Jl.` work is suspended for stare
:t-- Is@ dam
6 ije Lx IN
39-4175
;;al 1 dnt ins ppc t 1()11 6
City of Tigard MECHANICAL PERMIT PlanclVRec. #_
13125,SW Hall Blvd. APPLICATION Permit # p5 -01�
Tigard, OR 97223
1503) 639-1171
germ---
ecnpoon -
Table 3A Meduutical Coda CITY PR;CE AMT
Job - h q U L o 1) Permit Fee -0- -0- 10.00
Address L -`"-
2) SLpplaniental Permit 3.00
umacti to 100,DW BTU --
1 LQ 1) Incl.ducts&vents 6.00
umaca + -
Owner (ti( Or, '"j"' 2) Ind. ducts&vents 7.30
—� umance
�T'T(,/+ac� �f'1�. 3 3) incl.vent 6.00
rided heater,wall healar-
4) or floor mounted heater 6.00
Vant not Ind.in
Occupant �Criyr�Q-� 6) appliance permit 3.00
epair o hesting,reTng.—
6) coolirg, absorption unit 6.00
Boiler of comp, a.pump,eir co
L� r, 7) to 3 HP;absorp unit to 100K BTU,41( 6.00 r
rnww - Boller or comp,heat pump,air cond.
ContractorS V=� ASSN 8) 3 15 HP;absorp unit to 500K BTU 11.00
�^ 951101 or complies pump,limp arc cond.
L/l6k- '7%G!-� 9) 15.30 HP;absorp unit.5-1 mil BTU 15.00
^ go-tier or comp,heat pump,air coiiT-
4 10) 30.50 HP;absorp unit 1-1.75 mil BTU 22.50
ere,y ac ow ge liat I have i•4- rs application, that i er or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP:abaorp unit 1.75 mil BTU 37.50
of the owner,that plana submitted are'.i compliance with State it handing undo
laws,that I am mglstered will-,the Construction Contractor's Board, 12) 10,000 CFM 4.60
that the number given Is correct. i If exempt from State registration, it handling unit
please give reason below.) 13) 10,000 CTM + 7.50
on porta e�
14) evaporate cooler ( 4.50
�- - ---- Vent fan connec
15) to a single duct 3.00
Ventilation system no
hf �� - yrr 16) included in appliance permit - 4.50
Hood served by _-
rr 17) mechanical exhacst 4.50
-79--scnoe work now U ackpoo= n eraaon U repair ommeicra of r i n:,istnnT--"
to be done residents noon-residential Q 18) type Incinersto; 30.00
Exis ng u-6 seT- --- ---- Other i.e.,wo s eve,w- 5-
building or property _ 19) heater,solar, clothes dryers,etc. 4.50
Proposed use of 20) rias piping one to four outlets 2.00
building or property
Typs of fuel•oil Q natural
More than 4-per outlet gas Q L.PG Q electric Q - - -
--* I(
Minimum Fee / SUBTOTAL rid
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —�
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE (sa
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions---rN __4� F-- _---�_-•- 1 / , -
-- Date Issued 4e j by
�riatorwrr
CITE( OF T I GARD CF ROCCUPANC OFOCCUPgC:Y
DwNAMUN11Y DEVIELOPM2UT DEP PERMIT 0. . . . . . . j MST94. 0127
13125 SW Mab?wd.'rigard,Ora^-.;, 07'?3*619b, 3� 71 �Z1�/�`�rjk: I�afa�UyE:13�af 0{7�/c6'6ry1�r9747
PARCEL a 2S 1'Jl2DD-�bY_'500
1 f'E ADDRE s S. . . s 13939 SW FANNO CREEK DR
L4JBDIV161ON. . . . I FINLEY PAPK tONINOaR-7
BI-OCK. . . . . . . . . . 3 LOT. . . . . . . . . . . . . 1009
.......------._._ ,...._ ...,-- __,..._.----_---_-_..._..,_._---.._ ,.... �«. .._ .:�_.__..
"LASS OF WORK. G NEW .
TYPE OF USE. . . a SF
�)i:l"UPANC:Y GRP. :R3
OCC:UPPNC:Y LOO t C24 4
TENANT NAME. . . ,._. . ..:.
Femur-ils a PATH I
JAY MILLER
p p BOX 23291
F I CARD OR 97L81
1"'hone #a 684-7543
Contractor,.
rAY MILLER
t,O qOx %.3r^-91
7 TGARD OR 97281
Phones #e 664- 7543
Peg #. . a 30j.09
Uccupanr:y of the above refer-enr.ed building ik, hereby given, and c.e►^tifies
the crmpiianc.a witH the State Of Oi^egon Spv(c imlty Code-, for- thm grIoup,
orc t,panr_y, rind Mase under- whir_h the refev^pnrwcl pprmit wA %5olPd.
i
ILD'iNQ INSPECTJR
POST IN CONSPICUOUS PLACE.
CERTiFIC ATF 01-7
' CITY OF TIGARDOCCUPANCF�er�tMi T # YNUT'34-0127
COMMUNITY DEVELOPMENT DPPARTt&NT DATE ISSUED: 07/21•/94
13125 3W Hall Blvd Tigard,Oregon 97223.8199 (503)830-4171
PARCI_L 3 c'c;10c[ f► -102'�H1�i
`aI TE:' ADDRESS. . . I 1:5939 SW FANNCI CREEK DR
jtJSDIV!21Q 1. . . . I F;NL.E,Y PARK ZON1PIG i ;-7
SLOCK. . . . . . . . . . I L01.. . . . . . . . . . . . . 1009
C:l_A a OF WORK. I NE.IA)
TYPE OF USE. . . t SF
OCC:'UP 7NCY ORP. I R 7
OCCUPANCY LOAD 122 4 4
F NAN s NAME. . . s
Remarks I PATH I
TAY wik.LER
P T] BUX Z?3w 91
"f IGARD OR 97281
Phone #: 6114•-'7543
Contractor: -_ --.__.,.._...__._.._.w....__..__ __.___...,...... _._..._
JAY 1�471_LER
V-10 BOX e5291
T I GARD OR 97291
'hone Os 684- 76543
Reil #. . 1 30109
Occupancy of the above refertenced building is hereby given, and certifies.
the compliance with the State Of Oregon Sper_ixlty C:odrri. for the group,
occuparkuy, and use cinder which the referenced permit wca isst!ed.
BUIL I t� I. Fc:CTr..]R
i"
AU N133 F=F I C, ill.
POST IN CONSPICUOUS PLACE:
ML
,mY%C ON NOTICE
City or Tigard Building Depert,,,,t
13125 R1/ Ball Blvd. Tigard,
Inspection3
ff
Line (Rac-O-pfions)s 639- 175 BuOr Amine 7 ePh�:
71
Inspect Lor.s
Footing '•�
Plbg. Underelab .Mach. Rough-tn Appr/Rdwlk
Pound. PI.bg. To Out -`
P (iea Line r. lIaIKALs >
POst/Beam Strict. Sen Sewer -Bldg.
P"st/Beam Nevh. .fain Drain
Insulation -P1 +
S
Plbg. Underfloor Nater Line
VYP• ed. ; _Koch. �
Date Requested,__ - •••�
I ( X111 f Time, AM PN
Addrase:—j_i-Ajq_-a� j,
Builaers
<�a � c ✓" �fit' I C� I riq
T" lOLLCNINO CORRBCTIONS ARE RRQUIRXD,
---------------
------------
~' --
-- ---
Inepector,
--- - Date
_LI_ _PPRt;VSD DISAPPROirRp
hZ72
APPROVED 18.TECT TO A
y�Cll Por Rei.nsp.
_ MSBF_gT ON NOTICE
City of Tigard Building uepartaent
13125 8W Roll Blvd. Tigard, Oregon 97223
lnepection Line (Rec-0-P',one): 639-4175 Business Phone! 639-4171
Inn;:rction�
Footing Plbg. Underalab Hoch. .tough-in PP //A r 8dwlk
�
round.
Plbg. Top Out Gas Line FIN!-_'
Past/Ream Struct. San. Sewer. Framing -Bldg. I
Post/Ream Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Laine > Gyp. Bd. -Hoch.
Date Requeatedt -4J �/ f� _ T1met _ AM PM
Addreas t— 1 C /��'����' ��
Permit 1:
Builder: t
THE FOLLOWING CORRECTIONS ARE REQUIRED: —
-------------
I
. - - -
— "-y C' ._-----� Date:
_. APPROVED — DiSAPYROVRU A70"nVrD SUBJECT TO ABOVE
YCall For Reinsp.
City or Tigard Nullding Departamt
13125 M Sall Bled. Tigard. Oregon 97221
Inspection Line (Rec-O-rhonal: 639-4175 Business Phone: 639-•4171
Inspection:
(tooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Ftmand. Plbg. Top Out Gas Lina FINAL:
^=Z'/Beam Struct. San. Sew-++r Framing -Bldg.
P•)st/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor "star Lina YP• ed, ? -Hach.
Data Raquseted: 9`/ _Tl.me: __AM r/ pK
Addreaat—Z I3 9 F,11"o C uc k Permit
Builder:_ J�-�je/r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 70-
Inspectors
- Date:
APPROVED DISAPPROVRn -1 APPROVED SUBJECT TO ABOVE
--_Call For Relnep.
IIS�Fi�O�4�c� -
City of Tigard Building Department
13134 x111 Ball Blvd. Tigard, orogon 17
Inspect Lon Line (Ra:--o_Phone): 639-1175 Business Phonet 639-4171
Inspections
Footing Plbg. Underslab Koch. Rough-in�] Appr/Sdwlk
Found. Plbg. To out
Top Gas Line lINALt
Post/Beam Struct. San. Sewer
!ruing -Bldg.
Post/Beat° Koch. Rain Drain -_�,
Insulatl -Plumb.
Pl.bg. Underfloor &ter Line Gyp. Bd.
-Koch.
Date Requested, o]
-� f _-,--T ime t —_AN PM
)ddres. :
Permit ♦s
Builders
THE IOLIAWrma CORRECTIONS ARE M QUIRSns
Inspectors -
Date
r
— nISAPPROVRn 'PPROWD SUBJECT TO
_ Call For Refnep.
rtt
I
MG 1011 N(.rPICE II
City of Tigard Building Departumt.
13125 XW Ball Blvd_ Tigard. Oregon 9722.1
Inspection Line (Rec-O-Phr.ne): 639-4175 Busineer Phone: 6 -4171
Inspection:— -------- --.. -- - -------- i
Footing Plbg. Vndsrslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. 6d. -Mach.
c� i
Date Requestedt � S / �� L Time- j/.'Am _PM
AddroHn! 893 1/10 CA-ek J C. Perm t f:
Builder:- Cc l/ P )L /� `/ /5
THE lOi.I.ONING CORRECTIONS ARE REQUIRED-
Inspector:-
EQUIRED:
i
Inspector Date:
D DISAPPROVED APPROVED SUBJECT TO
Call For Reinnp.
INSPECTION NOTIcE
Cit? of Tigard Building Department
13145 aw Hall Mvd. Tigard. Oregon 97223
Inspection Llnu (Rec-O-Phones 639-4175 Business Phone:oil
1
Inspections
Rooting Plbg. Underslab Hoch_ Rough-inn Appr/8dwik
Round. Plbg. Top Out Gas Line 111 FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Und :floor Nater Line ) /Gyp. Pd. -Hoch.
Data Requested: d el- C/ �/ —Times AM PR
AddresPGOORRXCTIOMS
/ /7/��7L' eC YL_gPermit.fBuildePTHE Fp An RRQUIREDs
Inspector: _— Date:—
OVER W DISAPPROVRD APPROVHD SURJECf ASOVF.
Call Por Reinap.
INSPECTION F911cm
City of Tigard Building Department
13125 Bw Ball Bled. Tigard, Oregon 97223
Inspection Line (Aec-O-Phones 639-4175 Business Phone: 6
Inspection:__
Rooting Plbg. Underelab Mach. AovS Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Btruct. Ban. Sewer Frinq -Bldg.
Post/Beam Nash. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line ( Gyp. Bd. -mech.
Data Requesteds 1�00 /9 7 Timet AN PM
Address:�32� / )_C;911110 ( �7 OO_ &.Pnrmiti=_2l�'��
Builders
V �e - �.JG�ZD' Her 7,Yl- 9/Sq
THE FOLLOWING CORRECTIONS ARE PJWIREDs
I
i
Inspector: Date.---
APPROVED
ate:APPROVED DISAPPROVED APPROVED SURJE_ TO ABO
_Call For Reinsp.
INSP=CPIQN NOTICE —��
City or Tigard Building Deparbsert
13125 BM Ball Blvd. Tigard, Oreo-.w. 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ —„
tooting Plbg. Und^ eer\ab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL
Post/Beam etrimct. Frswinq -Bldg.
Post/Bjfam Mach. Rain Drain Insulation -Plumb.
Plbg > Nater Line Gyp. Bd. -Mach.
r
Dat Requested:_ �- IU l Times
_ AM PM
Address_ /�J / j7i% /P r`- elv3Permit. 6 s ` -—
Builder: kclo
elv,31
TAE FQLLONING CORRECTIONS ARE REQUIRED:
��a•�,-�� f �-
/
Inspec or _/[ 1101
APPROVED r_ DISAPPRnVED APPROVED S'U&MCP TO ABOVE
_call For Reinsp.
jNSPECTIOH NOTICE
city of Tigard Baildiog Deparia cost
13125 BB Bali Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phons)s 639-4175 Business Phone: 639-4171
Inspection: _—
Footing Plbg. Underalab Hoch. Rough-in Appr/adwlk
Found. Pibg. Top Out sae Line FINAL:
at/Beam pct_,/k• San. Sewer Framing -Bldg.
—��
cat/Beam Mech. ) ,�,
Rain Drain Insulatlon -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Nosh.
Date Requested:— �' 2-2--04 Times AM _1 PN
Address: 1 � � `^t� C�,�.�.�Permit
Builder:THE FOLLOWING CORRECTIONS ARE REQUIRED:
Com_ —
XK
Inspector: �' � Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�,'�-L'. `�1. Call For Reinsp.
INSPECTION NOTICE
city or Tigard Building Departaent
13125 Sty Ball Bled. Tigard, Oregon 97222
Inspection Line (Roc-O-Phone)t 639-417fi Business Phone: 639-4171
Inspectiont_ -
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdvlk
Pound. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. Sen. Sewer Framing -BIdg.
Poot/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Linty �7 pyp. Bd. -Moch.
Data Requested:_ C} _Time: --AN _PN
Address: 1..3 1�� / SLrC nn cJ
p Permit t�� _
Suildert O ��� ��
THE FOWAMING CORRECTIONS ARE REQUIRED:
Inspector. •ifs/ Datet_�
APPROVED R DISAPPROVED APPROVED SURJECT TO ABOVE
Call
For Peinep.
I118PEGTIQM NOTICE
CItT Of T19ard 11ei1Qia9 Departiment
13125 Sw Ball Blvd. Tigard, Oregon 97223
inspectiun Line (Rea-O-Phones 639-4175 Business Pho -4171
Inspections / 1cll- 4
Footing Plbg. Undarelab W ;h. Rough-in Appr/Bdwlk
found. Plbg. Top Out u:• Line FINAL.s
Post/Ream Struct. Ban. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plunb,
Plbg. Underfloor Nater Line gyp. Bd. -Noah.
Date Requested: _/9 - y Times _ AM PN
Addreses /L/1CJ k r■it is ���_
Builder:
TB= FO INC CORRECTIONS APS RRWILZDt
i
I
Inspectors Dates
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
��-Call For Reinep.
INSPECTION KOTICs r ' � ` v
Citi ot_Tigar6 Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-.Phone): 639-4175 Business Phone: 639-4171
Inspections
noting Plbg. Undorslab Koch. Rough-in Appr/Sdwlk —r
Plbq. Top Out Gas Line lIKALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Ply.
Plbg. Underrloor Water Line Gyp. Bd. -Koch.
Date Requestod:._y�
�A II^^,, Time: /�►� pK
Addres4MG
r C4 OrPermit 9/s
BuildeV � (o�(p PdYI�
TBE !OOORRXCTIOKS ARE REQUIREDt
&C c( L):Uy )wyk
S
r l
-c
Inspector:—
Date: �'"f 4 _ 1 C�`i1,
__APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
_Call For Relnep.
l
CITY OF TIGARD PERMITS#ER• . . . . :TMST94-0127
COMMUNITY DEVELOPMENT DEMR;MENT DATE I SSUED s 04/13/94
13125 SW NO Shd.Tigaij.Omgon 97223•&199 (503)639.4171
• PARCEL: 2S102l)D-02500
SITE ADDRESS. . . : 13939 SW FANNO CREEK DR
;SUBDIVISION. . . . : FINLEY PARK ZONING: R-7
BLOCK. . . . . . . . . . , LOT. . . . . . . . :009
----------------------------------- BUILDING ---------------_-___-------------.___-__--
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sF
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..552 sf
TYPE OF USE. . . :SF FLOOR AREAS----- ---- REQUIRED SET BACKS---•---•-•----
'T'YPE OF CONST. :5N FIRST. . . . -918 sf LEFT. . : 12 ft RIL31-4T. s9 ft
OCCUPANCY GRF'. :R3 SECOND. . . : 1192 s f FRONT. :20 ft REAR. . :2 2 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-------------------
HEIGHT. . . . . . . . :
-------------------
HEIGHT. . . . . . . . :24 ft TOTAL-------- --:2110 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . * 1 106996 PARKING SPACES. . s1
Remarks: PATH I
-------------------------------------- PLUMBING ----------------------------------------
SINKS. . . . . . . . . . . I
----------------------- ----•-----•---
SINKS. . . . . . . . . . . 1 FLOOR DRAINS. . . . -Q) BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . -0 GREASE TRAPS. . . . . . . 10
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DI SP. . . it RAI s: DRAIN (ft ) . :0
Wf)SH I NG MACH. . . : 1 SF 4A I N DRAINS. . : 1
- --_---- ME:CHANICAL -- __.____.__.____----.------_.__,______ FEES
F=UEL TYPES-------------- UNIT HTrRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 SW 04/13/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 450. 50 SW 04/13/94 -
FURN i 100E- . . :0 HOODS. . . . . . : 1 BPLC $ 292. 83 JLH 03/28/94 94-250576
FURN >=100K . . : 1 WOODST0VES. :0 B5PC % 22. 53 SW 04/13/94 --
FLOOR FURN. . . . :0 CLO 'DRYERS. : 1 SSDC $ 260. 00 SW 04/13/94 -
ROIL/CMP ( 3HPs0 OTHER UNITS: 1 PARK. $ 500. 00 SW 04/13/94 -
GAS OUTLETS: 1 MPRT $ 45. 00 SW 04/13/94 -
Owner: __________.___.__._._._.______.____._. -----.-..-MPLC $ 11. 25 SW 04/13/94
IfY MILLER M5PC $ 2. 25 SW 04/13/94 -
F 0 BOX 23291 PPRT $ 140. 00 SW 04/13/94 -
P-PC $ 7. 00 SW 04/13/94 -
TIGARD OR 97281
Phone #: 684-7543
Contractor:
JAY MILT-ER
FSU' BOX 23291
TIGARD OR 97281
Phone #: 684-7543
Reg_ #. . : 30109 _.___-----_______.-------------___.__----____--
t 3271. 36 TOTAL
This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All Mork will be done in axordance with approved Post/Beam St r uct Gas Line Insp
plans. This permit will expire if work is not started within IN Post/Bears Mechan Insulation Insp
days of issuance, or if work is suspended for sure thm IN days. Plm/undsla►b Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permitter Signature- _ CyLv2 - MFehanical Insp Water Line Insp
F'll_tmb Top Out Hppr/fidw1F< Insp
Ir, iter' P1' : _ Framinq Insp Mel icaI Final
Ca11 for insper_tion -- 639-4175
SEWER CONNECTION
PERMIT
CITY OF TI%VARDAPERMIT #. .. . . . . ` SWR94-0132
elnMMUNITY DEVELOPMENT DEMRVVENT DATE ISSUED: 04/13/94
13126 SW Hem Slvd. rigard,Oregon 97223•m199 (603)439-4171
PARCEL: 2S 1 OEDD--02500
SITE ADDRES'. . . .- 13939 SW FANNO CREEK DR
SUBDIVISION. . . . : FINLEY PARK ZONINGi R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s009
---------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . sNEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarks: PATH 1
Owner," __._____----_______________.___--------•-_-•---"----------- FEES ----__._----_--
JAY MILLER type amount by date recpt
P 0 BOX 23291 PRMT f 2200. 00 SW 04/13/94 -
INSP f :35. 00 SW 04/13/94 -
TIOARD OR 97281
Phone #: 684"-7543
Conte•actor: --------------------- ----------
CONTRACTOR NOT ON FILE
Phone #: 2235. X10 TOTAL
Reg #. . -
-- -- ---- REQUI RED INSPECTIONS
This Applicant agrees to cosply with all the rules and reyulatinn Sewer- Inspection
of the Unified Sewage Agency. The permit expires 188 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 "Tap and Side Sewer" Permit and the �en��c//y/will i t�alll�aa lateral.
Per-mittee 5ignat��re Wvu� �Cl[1C1111�✓/ _ __ _ —
Issued B y :
Call for inspection - 639-4175
t
(:I'T'Y 01 TI6ARD - RFC:F:1.M1' OF PAYMENT RF'CF'.J 'l NO. #94.-P51P-PJ
1%l`4V ',K AMM IN T' % 5iy!i6. ;36
AhiF: a JAY M:1:1_L.F:R >:LDR, INC. CASH A1,10 )NI a 0. (40
DDMF'S8 a P.U. D(:)C)X V3291. PAYMF:N C DOW k 04/3 3/94
PORI-LAND, OR ;'31)ADIVTSION a
97C?H1-
lURPOSE OF PAYMENT AMOUNT PAID PURP013F OF VIAYMFNC AMOUNT PAID
_...._.._ - . ..__._...............__._... .._........... ....._..._..__._._....__.._..._._..._�...._..____. __.._..._____..._ _......__.
WILDING PERM MST94---@)P7 450. ;50 PI.IIMHJNCT PERM 140. AQP
F:CHANICAL PC 45.00 ST. BUILD PER 31.. 78
4I._AN CHFCK FES 54. 0!3 SVWF R 1.18A SWR94—01:3P Peop). 00
*)FWF.R INSPECT i5.t3H PARKS SM, ',5910.093
31(1RM DRAIN SDC: 280. 00 RF:'SIDVNTIAL TRAF'F'IC; FF'FS 1.41.0. 910
10813 TRANSIT TIF FEES I M Ho
:39:39 SW FANHO (:,RF:F:K DR
OVAL. AMOUNT PAID :36
PLNC RECT Y
CITY OF TIGAR D „' `"�"° IT
COMMUNFTY DEVELOPMENT DEPARTMENT 1�4olow "m PERMIT 1 � � - d Ic 7
DATE ISSUED
�
/ 2 J 0.2 spa
EJ06B ADDRESS: 1 3 9�3 InJ'l,n TAX MAP/LOT
AB: JLVI IL 1( , LOT: LAND USE:
ALUATION: �� �• _.__
OWNER SPECIAL NOTES
��IAME.: .J.�� JYYI l ��1' �-� ,�P r ✓ REISSUE OF: _
ADDRESS: Z I LAST REISSUE:
f (k rA, 7 FLOOD PLAIN/
PHONE: (��9 ' 75 SENSITIVE LAND:
�QKEMCTORPA PROV&S REQUIRED
NAME: �J� YY�-C'.J _ __ PLANNING:
ADDRESS: _ ENGINEERING:
FIRE DEPT: _
PHONE: — _ OTHER:
CONTR BOARD 0: 6'0 EXP DATE:
ITEMS REQUIRED
CO CRA TORS:, PLUMB: Vti LljA I�`� ✓ LIST/SUBCONTRACTORS: _
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER: _
PHONE:
PROPOSED BLDG. USE-
COMMENTS:
SE:COMMENTS: �, ` (�Jl. b ZCAVA -
APPLICANT SIGNATURE
Received By: — Date Received:
PERMIT 0 ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
X77504, .,;t7 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees / o "' U ``'✓
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5x)
Building 2,z-,53 ,.✓
Plumbing Z. ✓
Mechanical 9? 2?✓
10-433 00 Plans Check Fee
Building3✓
Plumbing
Mechanical
10-230 06 Fire _
s�e�oLz 30-202 00 Sewer Connection , u0
30-444 00 Sewer Inspection 33� 33
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-Ul Residential Traffic Fees
25-448-05 Mass Transit TIF Fees U 0
52-449 00 Parks System Dev Charge (PDC)
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)
TOTAL �l5plp.3� S'(�r 5(o. F
nm/3587P.WPF
UI I Y (W* TIC40RD RECKIPT OF' POYMI-NT' RF.-'C:f-)VYI NO. 1.)4 . PS015 16
G1*,*f',K MIUMN I p 1,11,4 0 0
AME. a
1111.L V'R y JAY CASH WIDUM V P).oth
DUKE SS a PAYPIVNI DAIF a 0.4/Pfl/94
1.1 B 1)1 V.(Is,11)14
CF POYMENT AMOUNT FSA ID PUK-101:E OF* PAYMP'.Nt* AIIOUNV PAID
....... .... ............... ........... .......
.ON CHFCK F-F: f.50. 411)
V.)T3 l'!)W PANNI)
01 AL APIOUNT PAID > P:M. MIA