14048 SW FANNO CREEK DRIVE-1 ADDRESS:
taw Fann�
i:lrecordslmicroflmltargetslbuildIng.doc
'.—TIGARD
CL:FtT I F�!C. aT'E UIF
CITY OF
CA CUPAN11"'Y
COMMUNIT'V DEVELOPMENT DEP R*fMr:r1T PERMIT M. . . . . . . s IMGT94- '?Vfi,;
13125 SW Hell Blvd.Tigard,Oregon 97223.8160 ' J1d36• 171 DATE 15SUED i (16/16/94
PARCEL i 2S 1 288-14800
;.;I 1 C ADDRESS. . . s 14048 SW FANNIVi' CnEER DR
:SUBDIVISION. . . . ; COLOt1Y .:REEK NU. G ZOMINf31R-7
BLOCK. . . . . . . . . .
..r.....�r_..�.�n....r.r�...r.r...........«,..M..rru... .w.r...w.... ,.r....-...w.ten..« ..rwr_..r....«.iw....�r...lrr.rir r.rr....__..-.............._............ ...................... .«....r....
LASS Or WORK. 1NEW
rypE OF' USE. . . 1 SP
OCCUPANCY QRp. 1 T13
ACUIPANCY LOAD1224 4
TENANT NAIMF. . . s
C:'omasrkoA s PATH T
.TAY MILLER
O BOX 23291
I OARD OR 97291,
Phone #1 684--7543
(MILLER
BOX 23291
1 1(3nPD OR 97281
Phone bbl 584-754.x:
1,R*q #. . 1 30109
i1.•1-Apancy of the &b(.)ve referenrel building is hereby ipiven, and certifies
s f-omplianre wiftl, the !'3tRt:w of C)r,*gnn Specialty Codes, for the tlr()klp,
1?�nry, And t.tme -mdar which tha t-,ferenct'r1 ps*rmit: wa.;. ift ari.
2
DII,. N1`3PECTOR
lllL 1 • • ICIAL
POST IN 1;0NSP I CUOUS cLAUE.
INSF-F T NOTICE
City of Tigard Huildi.ng Departei t
13125 BO Hall B!sd. Tigard, oregon 97221_.
Insper_tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-_- --- --- -- -- -- ----- --- —
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Pound. r1bg. Top Out Gas Line FINAL:)
Poet/Beam Struct. San. Sewer Framing
post/Beam Mech. Rain Drain Ineualation -Plusb.
pl`iq. Underfloor Water Line Gyp. Bd. Koch.�
G) Time: AM PH
'l�.te Requeeted:_� — --—
Addreee: L� (�v -IMOO I/`/f"KIL Pecm�ii
le
guilder: ;�(���L �L_�-.cam= -- Z.5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Lnepactor—-- --- ------- Date:1� J-� -'ice.
k APPROVED DISAPPROVRD APPROVED SUBJECT TO ARO
Call For Reinnp.
INSPECTION NOTICLi
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phonon 639-4171
Inspection r__ --. -- - --
Footing Plbg. Underelab Hoch. Rough-in ( `Appr/Bdwlk
Pound. Plbg. Top Out Cas Tine FINALi
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line q Gyp. Bd. -Mach.
Date Requested: / L_MTLme, AM PSN
Address, v • ��nU Perm
t
Buildet,,��« /� 1; //p✓ / �O- /C/�
Tim IoLI.OI+ING CORRECTIONS ARE REQUIRED,
of )T
or-
TAP, fn v g r3 LE To
o of d &2
rnspectora �= / �U/►I��S __ Date:__?
APFROVED DISAPPROVED _, ROUE.) SUBJECT TO AR-ME
Cal or Reinsp.
INSP99TT ON NOT—leg /
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 932
InspectiLn Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections _
Footing Plbg. Undsrslab Mech. Rough-in Appt/Sdwlk
found. Plbg. Top Out Gas Line FINALS
Post/Beam 3tru^t. San. Se-,mfr Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
a
Plhg. Underfloor Nater Line Gyp. Bd. s� s y. -Mach.
Date Requestedt____ `.J /] . I�/��//�� /! /l/_Time: JIM rte/ PN
Address:___1 �/7/���l/ a&it dJ/Permit ii: ��Ud 1
s _
Builder: '� �e r
THE FO ' NO CORRECTIONS ARE REQUIRED:
Inspector:__ a V Date l
L.,JAYP'ROVED DISAPPROVED APPROVED SUIL VE
_call
For Reinsp.
INSPECf_����
City Of Tigar•1 Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-A-Phore)= 639-4175 Bualuass phone= 639-4171
Inspect ion:_____.._ -
Tooting
Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found.
Plbq. Top Out Gan 'Ana FIMAL:
-Bld
post/Beam Struct. San. Sewer Framing g
Post/Beam Mech. Rain Drain
insulati:,n -plumb.
-Mech.
P1.bg. Underfloor Nater Line 6:GYp•- •
Deter Requested=— Time:�t
In--r
�Y n �/
�f:Z-!2--"7'_70:Z-!2--"7'_70 �P k Dk.rmit
Address: / �'�
Builder:'-=7 /� r/
THE FOLLOWING CORRECTIONS ARE REQUIRED=
--- Dater
Inspector= -------
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp.
�+�PEcrIOM nares
Citi of Tigard Building Departm—t
13129 SW Ball Blvd. Tigard, orogen 97223
Inspection Lina (ROC-O-Phons)s 639-•4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Meeh. Rough-in Appr/Bdwlk
Pound. Plbg. Top Out Oa- Line FINALS
Post/Baas Struct. San. Bower framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation. ' -Plumb•
Plbg. Underfloor Nater Line Oyp. Bd. -Meeh. lV
Pate Reque tads L Tiles PM
Addrese: L I rmit 1:
Builder: I L� -
TBE
Cnj"CTIONS ARE REQUIREDs
i
Inspector Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE_
City of Tigard build` , iNspartment
13125 FM Ball. Blvd.. Ti, d, Oregon 97223
Inspection Line (Rec-A-Phones 639-4175 Buaineen Phone: 639-4171
Inspection:__.___ �—
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALS
Post/Beam Struet.. San. Sewer Framing _Bldg.
Past/Beam Mech. Rain Drain. Insu.latl.on , .-Plumb.
Plbg. Underfloor Water Line Gyp. Rd.
Date Requested:— `>�_d _Tinct AM PM
Add.7098: Iq c / j /Ino `/jf'C/� D�_ Permit
Bui'LderssL�G�4:�7-a-( _1--
THE M!—"WING CORRECTIONS ARE REQU1REDs
Inspector:
Datr±:
-.----APPROVED —_ " DISAPPROVED - APPROVED S11R.7ECT 7" ABOVE
— all For Reinsp.
PMfICTInN NOTIL-1
City of Tigard Building DepartsAnt
1312!i SW Hall Blvd- Tigard, Oregon 97223
Inspection Line (3ec-O-Phone: 639-4175 Business Phone: 639-4171
Inspectlon:-_.— -----
Footing Plbg. Underelab ( Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out ( Gas Line, FINAL:
Pout/Beam Struct. San. Lawer \ 4 Framing -Bldg.
Poet/Beam No-ch. Rain Urain Insulation -Plurab.
Plbg. Underfloor Nal/tier Line C/- !z
J(/ Gyp. Bd. -Hoch.
Date Requeste
(d: (i / � (Y / //' Time: AN PH
Address: /LIC �C' . 7/�L CccCk _sem'
Permit
Builder: lL'�F�C� /1!I't! i
THE FOLLOWING CORRECTIONS ARE REQII RED:
3c, (? -
Inspecto —' _ ---- --. -. Date._
PROVED ISAPPROVED APPR4 ID SUBJECT i0 ABOVE
Cr.;1 For Rainap.
INS:E(`TIUN NOTICE
City of Tigard Building Departawnt
13125 BW Ball Blvd. Tigard, Oregon 972
Inspection Line jRec-O-Phone): 639-4175 Business 139-4111
Inspect.ion:_____
Footing Plbg. Undocslab Hoch. Rough-in Appr/Sdwlk
z%
Found. Plbg. Top Out Gas Line FINAL:
Past/Dean Struct. San. Sewer gaming` -Bldg.
Poet/B-eam Mech. Rain Drain Insulation -Plumb.
P113g. Underfloor Water Line c] Gyp. Bd. -Hoch.
Date RequestediU__ n Time: _AH
Address: NO7 Qv ! /7/�U (�Pf /C y/rr Permit
Ruil.der: /r�[
THE FOLLOWING COR—RECCTIONS ARE REQUIRED.
WDTSAPPROVED
Inspector: Date:zz
2
PAPPROVED 9U ABOVE
Call For Reinsp.
INSPECTION NOTICE
Cit? of Tigard Building Department
13125 SO Ball Blvd. Tigard, Oregon 4'1223
Inspection Line (Rsc-O-Phon.)s 639-4175 Bu.ingas Phones 639-4171
Inspections ---
Tooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
round. P1bg. Top Out Ga. Line rINALs
Post/Bea. Struct. San. Sewer creaming -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Hoch.
Date Requested s_-- '- Times AM �^� p JPH
Addr.. Permit i s 'Al- 9L/ O Cl
Build
TBE ING CO IONS AIWRZQUIREDs
NO
0
Nlly
Inspectors___ _. Dater
APPR0IED DISAPPROVED APPROVED BUBJRCT TO ABOVE
Call For Relnap.
INSPECTION NOTICE
Citic of Tigard building Department
13129 811 Ball Blvd. Tigard, oregoo 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 39-4171
Inspections
* oting Plbg. Underslab Hoch. Rough- --"Appr/8dwlk
Found. Plbg. Top Out Gas Line FINAL/
Post/Beal Strutt. San. sewer Framin j -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. M.
Date Requested: "s-�,z --114 rTi.mes
Addresse1 •y"L II ✓1 U Permit.
Builders-3• tMAI •
TBi FOLLONIWO OORRECTIONS ARE��R((E_�QUIRBDs
I _ —YLe c'-� x,11 e.
v�
W AAin-\CAPN -\12
vl roc .
Ti -2-1 -L- L rsGIt LA3 v,., e,-���
PizInspector: l./1/ l'� "� Dates ZZ- --7
APPROVED LI-DISAPPROVED APPROVBD SUSJB<.T TO ABOVE
/j -C'L' all For Reinsp.
114SPRCT. 0 Na�Ics
City of Tigard Building D�5Ek3
%
1311S SM Ball Blvd. Tigard,Inspection Lina (Rac-o••Phone�)! 639-4175 G39-4171
ln-uectlons -
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. ( Plbg. Top Out i vias Line FINALt
Post/Beam Struct. San. Sewe: Framing -Bldg.
Poet/Team Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mach. K/ ,,,.
Date Requestedf_ �_� —Timens� -� (�_ M M
Addrwes sLA L r� `: 'i���- `' `�1� Panoiit,f s1 t `i q�✓u
Builders t��-_\_1� ���« R'uw.
THE FOLLAW1140 CORRECTIONS ARE REQUIRED:
Inspector sv, Dates
ev
Y APPROVED DIBAPPROV=D APPROVtD dUS.ISCT TO
Call For Rainap.
11fonCTiON NOTIA
City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 9722
Inspection Lino (Rec-O-Phones 639-4175 Business ones 639-�
Inspections —
rooting Plbg. Underslab Mach. Rough-in Aypr/Sdwlk
round. Plbq. Top Out Gas Line rINALs
st/Beast Stn Ban. Sewer Framing -Bldg.
v
Poet/Be "Ma Rain Drain Insulation -Plumb.
1b4. Ondertioor\ Nater Line (/ Gyp. Bd. -Hoch.
Date R*Weetede 22 �I �f/J Timet
Addreass l �'1 , ���1� ����F P.r.it to
Buildert �!_
THE POLLOMING OORRECTIONS ARE REQUIRED:
"Y 7-e7el�7 gay-
Inspector:. ' _ Dat3:
AOVEO QIS/APPROVED APPROVED SUBJECT TO ABOVE
4 Call For Reinsp.
JA$PECfION NOTICE •J'17
city of Tigard Building Department
13125 SW Ball Blvd. Tigard* Oregon 97223
Inspection Line (pec-O-Phone): 639-4175 Business Phones 639-4171
Inspection �— --- -—-
looting Plbg. Underslab Hoch. Rough-in Aprr/Ed1k
round. Plbg. Top Out: Gas Line FINALt
Post/Beam Struct. an. lB1N! J Framing -Bldg.
Post/Beam Mech. Main Drain 1 Insulation -Plumb.
Plbg. Underfloor Nater Ling Gyp. Rd. -Hoch.
-�_�j� ICS
Dote Requestede_ Timet AM PM
l 1�C
Address- I t"�C1� V 1 �yjV1, Oy _ Permit
Builders -- ----
TNM M LOVING CORRECTIONS ARE REQUIRED:
L�
Inspector: _ natal
� -
"PROVED DISAPPROVED APPROVE^ SUBJErT TO ABOVM
���� call For Reinsp.
INSPECTION NOTICE
City of Tigard Build1mg Department ^�
13125 Bw Hall Blvd. Tigard, Orw,gon 97223
Inspection Lina (Rec-Ol-Phone^)in639-4175 Busiress Phone: 639-4171
Inspection: �1_ .�r —� -----------
Plbg. Underslab Mach. Rough-in Appr/Sdw1k
Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Rf quosilk- AK
[ �� ( I 1 I: T Y Time: `l- AK PM
Address 1 `C t"' t 1 _a-0�� (-n 4 C 4 K� Permit /,GI LI -`I()
ff c,
Builders� -tiL )s 1 —� �Q
TB= POLLONIHO CORRECTIONS ARE REQUT..RED:
Inspector: Dates
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVP.
Call
For Reinap.
INSPECTION NOTICE '
City of Tigard Building Departrent /
131ZS Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phonal 63
inspsotions -- ----
Iooti Plug. Underslab Hoch. Rough-in Appr/Sdwlk
�ound.
\ Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
i
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Rd. -Mach.
Date Requested: ,� (� Tom"° C7AM
77
Address: In 1 V Permit #1
Builders _
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector JL
Date:,
PROVED _ nISAPPROVRD APPROVED SUB.IECT TO ABOVE
Call For Relnap.
CITY OF TIGARD PERMIT #. . .. . . .C: MST94--908
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/07/94
13126 8W Hall Blvd.Tigard,Oregon 97223•!190 (503)639-4171 PARCEL: 2S 1 12BB—CC 126
'.-)ITE ADDRESS. . . : 14048 13W FANNO CREEK DR
�:;UBDIVISION. . . . : COLONY CREEK NO. 6 ZONING: R--7
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . . 126
Ca_ASS OF WORK. . :NEW GARBAGE D I SPOSAL.S. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIEi. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
LOUNDRY TRAY-';. . . . . . 1. 1 SF RAIN DRAINS. . . . . : 1
LINKS. . . . . . . . . . : 1
GREASE TRAPS. . . . . . :Q
LAVATORIES. . . . . s3 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 100
UI8HWASHE:RS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
OWNER: -------------------------------- - _____ _ FEES--
JAY MILLER TIF $ 1520. 00 JH 03/07/94 -
P 0 BOX 23291 BFIRT $ 385. 00 JH 03/07/94 -
BPLC: t 250. 25 JLH 02/24/94 94-249312
TIGARD OR 97281 B5PC $ 19. 25 JH 03/07/94 -
Phone M: 684-7543 SSDC f 280. 00 JH 03/07/94 -
PARK f 500. 00 JH 03/07/94 -
Plumbing Contrartar,:-__ --------- - - MPRI $ 43. 50 JH 03/07/94 -
MPLC $ 10. 88 JH 03/07/94 -
kJame : _k� ( (iG —~ MSPC $ 2. 18 JH 03/07/94 -
Address _ PPRT $ 140. 00 JH 03/07/94 -
City: Mate : P5PC: 9 7. 00 JH 0.3/07/94 --
Z i p: Phone M•_
- ------ REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Seam Struct Water Line Insp
other- applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
ill accordance with approved plans. This Flm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of ii-i-Cance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plt.imb Top Out Erosion Conti^ol
Framing Insp Crawl Drain
Fireplace Insp
ter' Gas Line Insp
Insulation Insp
r, Gyp Board Insp
Ak or ized Plu bing" Contractor Signature
Call for inspection - 639-•4175
Contractor Notts:
CITY OF TIGARD
MASTER PERMIT
COMMUNITY DEVELOPMENT D PERMIT #�. . . . . . . : MST94--9084
Ip Oregon o7223•e190 (693)e3
13125 SW Flail Blvd.Tigard,o 9( �0.4171 DATE ISSUED: 03/07/94
PARCEL: 2S112BB-CC126
SITE ADDRESS. . . : 14048 SW FANNO CREEK DR
SUBDIVISION. . . . : COLONY CREEK NO. 6 ZONING: R-7
BLOCK. . . . . . . . . . s LOT. . . . . .. . . . . . . . : 126
----------------------------------- BUILDING --------__- -------- --___------------ -
REISSUE: DWELLING UNITStl BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :440 sf
TYPE OF USE. . . :SF FLOOR AREAS----- ---- REQUIRED SETBACKS----------
TYPE OF CONST. ;5N FIRST. . . . 2746 sf LEFT. . s 10 ft RIGHT. :6 ft
OCCUPANCY GRP. :R3 SECOND. . . t 892 sf FRONT. r 2O ft REAR. . t 44 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-------------------
HFIGHT. . . . . . . . :24 ft TOTAL----------: I638 sf SMOKE DETECTORS. sY
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ 1 83268 PARKING SPACES. . : 1
Remarks : PATH I
---- ---- --------- ----------- ---- PLUMBING -------------------------------------
SINKS. . . . . . . . . . : 1
-------------------------•-------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . tO
LAVA70RIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWER 3. . . . :2 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . a0
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1.00 OTHER FIXTURES. . . . . :2
GARBAGE D'ISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 Sf- RAIN DRAINS. . : 1
- -------------- MLCHANiCAL -_._____.------_--_____.---______..___._ FEES
FUEL TYPES------------- UNIT HTRS. . :0 type amount by date recpt
/GAS: / / VENTS . . . . . :0 TIF f 1520. 00 JH 03/07/94 -
MAX INPUT:0 -U VENT FANS. . :4 BPRT f 385. 00 JH 03/07/94 -
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC $ 250. 25 JLH 02/24/94 94-249312
FURN ) =100K . . :0 W00DSTOVES.. :0 B5PC $ 19. 25 JH 03/07/94 -
FLOOR FURN. . . . :0 0_0 DRYERS. : 1 SSDC $ 280. 00 JH 03/07/94 -
POIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 JH 03/07/94 -
CAS OUTLETS: 1 MPRT $ 43. 50 JH 03/07/94 -
Owner: -- -_._.____._..__._----.-----_._-----____---MPEG $ 10. 88 JH 03/07/94 -
-JAY MILLL(I M5PC $ 2. 18 JH 03/07/94
P 0 BOX 2322291 PPRT S 140. 00 JH 03/x7/94 -
P�PC $ 7. 00 JH 03/07/94
TIGARD OR 97281
Phone ##: 684-7543
Contractor: ----- --- ---__-__ --------------
.JAY MILLER
Fila BOX 23291
TIGARD OR 97281
Phone ##: 694-7543
Reg M. . : 30109 -----------------------------------
f 3158. 06 TOTAL
This perait is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -- -- - --
Tigard Municipal Code, State of Or?. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This persit will expire if work is not started within 180 Post/ream Meehan Insulation Insp
days of issuance, or if work is suspended for wore than 188 days. Plm/undslab Insp Gyp Board Insp
PI_M/Underfloor Rain drain Insp
!-permittee `;ignature :-- -C _ Mechanical Insp Water Line Insp
Plumb "Top Out Appr-/Sdwlk Insp
Is sued By : C Framing Insp Mechanical Final
Call for inspection - 639-4175
CITY OF TIGARD `-''EWER CONNECTION
TICJN
PERMIT
COMMUNITY DEVELOPMENT D �p��c T DPERMITTSUED i . . SWR94-0090
13125 SW Full Blvd.Tigard.Oregon 97223.9199(02)639-41 t DATE ISSUED' 03/07/94
PARCEL: 2S; 12BB--CC126
SITE ADDRESS. . . : 14048 SW FANNO CREEK DR
SUBDIVISION. . . . : COLONY CREEK NO. 6 ZON I NCS i R--7
DLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 126
-----------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : af
Remarks : PATH I
Uwner: -----•-------------------------------------------------•• FEES
JAY MILL.F_R type amount by date recpt
P 0 BOX 23291 PRMT $ 2200. 00 JH 03/07/94 —
INSP $ 35. 00 .JH 03/07/94 —
TIGARD OR 97281
Phone #: 684-7543
Contractor: -----•--------------------------
CONTRACTOR NOT ON FILE
-------------------------------------
f-'h u n e #: $ 2235. 00 TOTAL
Reg #. . .
--- --- REQUIRF_D INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Insper_tion
of the Unified Sowage Agency. The permit expires 181 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 eeaslirement
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.
P e r in i t t e s .,i g n a t u r e:
Issued By : — — — --- _
all for inspection — 639-4175
Ll FY OF 1 U11110) RECl-.IPI OF POY*.NT Rl---(-(-'.JPT NO. a94--04969'7
(;HFLK AMC)UN r o 5143. (at,
AME s JAY MILLER BLUR C3*iH AMOUN 1 a 0. 00
P14YMFNI DATF`i a 03/07/94
SUHO I V I I-)I ON
,lik'POSE OF PAYMENT' AMOUNU PAID PI.JRPUc+, -' 11F PHYMENt HMI)LIN r P(A(o
11-DING PERM MST(34-9084 313'.i. 00 PLJJMBIN(�3 PERM 140. laO
I t HAN I CAL PE 43. 50 S7. bUll D P4..R PH. 43
.'I- f4N CHFCV, FF. it. 113 SEWER UBA 2p01L1. IMA
f.Wf-:*F? I NSPF'C'T 35. 00 PARKC, I-!DL 51"AO. . V) I
`TORM DRAIN SIX P-80. 00 RFf-.;If)ENTIAL 'TRAFFIC FLEL) 1410. OkA
O�IR TRANSIT' TIF FEV.S i I V.I. Oo
IL049 SW FANNU CREEK DR, CULONY 1-..RV.EK #6, LOT #U.,E,
, M)l AMnlJNl* Ptill) 5143. 06
Residential Building Permit Application
City of Tigard X7
13125 SW Hall Blvd. i
Tigard, OR 97223
(503) 639-4171
Jobslte Address• y0y� FAvtiy 0 ,'c,v- ,
515 �ICe use only N
I al [e l_ot# l 2
Subdlvision:�IV►1�
valuation:
M��1 �d r ► c. T ) .
Owner: '
x: Y q d#
Address: Zq
A rovals Required
Phone: - 3
Planning
Contractor: _ Engineering
Address: W1^-� pthe
r ItbIn9 pepu1
Phone:
f flRullW�l llrol.� N 3� > k? a .
Contradors license# 7 k m a
(attach copy of current Oregon license)
Subcontractors:
Plumbing:-� /�cis l,�61tSiYU�%i7 0'1'1 t k
> r Sk�.•
Mechanical:
(attach copy of currerCPR Contractor's License)
Architect/Engineer:
Address:
Phone:
COMMENTS:
"icard Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Fd. Bal. Due
1115�r1 0f _ Bldg. Permit (BUILD) 'i���/ _ 3s,
°tl �
Plumb. Permit (PLUMB) y� U, 140
Me.,h. Permh (MECH) I—1V
State Tax (TAX)
Bldg: l q•?s
Plumb. v /
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: _ !b
SCvle4(/-cd y'U Sewer Connection (SWUSA) o�v0 a 2V D
Sewer Inspection (SWINSP) S 3j'
Parks Oev Charge (PKSOC) 500 / ��0---
Storm
Storm Drainage Chg (SDSDC) y / V
Residential TIF (TIF-R) U
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0) _
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: S3q3, 0 �� sr ?,
('I I y OF RELSIV"I Lit P44yfv1bM Rf--t.;F.-.IPT NO. t94--P49 3 1i
CHECK AME)UN I s P-110. 00
MILLER, JAY U148H AMOUN 1 0. 140
DDRESS a PAYMNI DiM. s 08/P4/94
SUBD I v I IS 11014
,I INPOSE OF r,PYMF-Nr f mf)UN r VIA 11.) PURPOSE OF PAYMF:Nl* �IMIAIJNF PAID
#C-All CHECK r:F 250. LAO
(1041.3 9W FONNO CIRU�.V, DP
Oli-IL. AMOUNI VIMI) > P1.50. 00