14357 SW FANNO CREEK COURT ADDRESS:
i:!records\micrcrlm\targets\building.doc
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tips o;>n 97223.8199 t5153)1139-4111 CERTIFICATE OF
OCCUPANC Y
XX MX PERMIT i1. . . . . . . . MST93--,0336
639--4171 DATE 1 SSLILD a 06/13/93
PARC:EL_s 2S112BD--14000
SITE ADDRE55. . . A 14257 Ski E=ANNO C14EwEK CT
SUBDIVISION. . . . t COLONY CREEK NO `.i ZONING:
BLOCK. . . . . . . . . ., s LOT. 1119
CLASS .OF WORK. s NEW
TYPE OF USE . . s SF
OCCUPANCY GRP. s R3
OCCUPANCY L.CAV , 1 1`r 4
TFNfPIT i 011F.
c?t,mark�r Pt4TH f;
Owner -
TUM MILLER
12454 SW FDOEWATER
T i DARD OR 97223
Phnrfe *: 6.39--9511
Contractors
TOM VAL.L.EP BUILDER
12454 SW EDGEWATER
T I GARD OR 97223
Phone #c 620-0767
Reg #. . t 37385
lJccupancy of the above refererle,ed building is hereby given, and certifies
the complianr.e with the State Of Orer.jon Specialty Codes for the group,
occupancy, and use -ender which the referenced permit was issued.
FIRE DEPARTMENT— I3 NQ SPECT'OR
L.DIN _ tical..
POST IN CONSPICUOUS PLACE
�P�CT ON N ICE ��
City of Tigard Buildl.oq Departa►ent
13125 Bw Hall Blvd. Tigard, Orad 97223
T�epection Una (Rea-o-..Phone): 6,9-4175 Buein®ss Phone: 639-4171
Inspection:
Footing Plbg. Underelab
Mech. Rough-in Appr/Sdwlk
Found.
Plbq. Top Out Gas Line
FINAL
Post/Beam 9truct. Sari. ge 1.
Framing -Bld
Poet/Beam Mach. Rain Drain
Insulation ply.
Plbg. underfloor Water Lino I
Gyp. Bd. Mech�
Date Requested:_. �I _
Address:� ?5 ��� J'Ay 7 '� E: f
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector:
Date a
Date
APP.
APPROVED DISAPPROVED n
--- OVED SUBJECT TO ABO
For Reinsp.
INHIIEC?ION N43'3�3
C.it7 of Tlgard Building 97223 Dapartm"nl-
yg115 B11 Ball Bled. tigar'd• grogon 4171
Inspection Lina (Rec-O-'Phone)s 639-4175 Business Phones -
Inspections
rooting Plbq.
Onderslab Mach. Rough-in Appy/sdwlk
(Sas Line �rINALt
round. Plbg. Tap Out
Post/Beam struct. Ban. sewer
Framing
Post/Bs&w Mach- Rain Drain
Insulation -plumb.
Gyp. Bd. -Mach.
plbg. Ondorfloor Mater Lina 1 \
2 17� Times
Data Raquastede
Permit
Address s—
guilders— Vy
THE FOLi.OMINO OORRECrIOKS ARE REQUIRED:
AP
c -
,���-mss --�-
77
-- Dates /
Inspectors
_ APPROVED D18�AppRROVVMD — ApPROVED SUHJECt To ABOVE
a�Ca11 For Aainsp-
INSP=CTIOr PMICE
City of Tigard Bailding D*partw—t
13125 ®11 Ball Blvd. Tigard. Orugon 97223
Inspection Lina (Rec-O-Phone)* 639-4175 Business Phone: 639-4171
Inspectiont_
Footing Plbg. Underelab !itch. Rough-in CA/a w1k,
Found. Plbg. Top Out Gas Line FINAL*
Poet/Beata Struct. Ban. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Und,i-floor Water Lin* Gyp. Bd. -Mwah.
Date Requested*
U If- 13 �1 ��llint AM
9M
Address* ��1CQ� ( 1 M=i! tt Mr'T y3�Q�3�
Builder*
THE FoLLOMINo OORRECTIONS ARE RMQUtREDt
Inspectors 1�5Date s _ =�
_L _—PR(ri/ED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPZCTION NOTICE
City of Tigard Building Departaant
132!5 ON Hall Blvd. Tigard, Orwoa 97223
Inspection Line pec-O-Phone�c 639- 175 Busineaa P
(2ho i 639-4171
Inspectiont
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Pity. Top Out Can Line FINALt
Post/Bead Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inotlation -Plumb.
Plbg. Underfloor Water Line .gypBd. -Koch.
�/ z-
Date Requostodt� -/1 -` -Ti�eT"=" - _PM
Address: ) metmit �t J '
Builders�17
THE FOLLOWING CORRECTIONS ARE REQUIREDt
127415 _ C 5er
--- —
�- i;-a6(,e-
lq
InspectorsDatetf `-
APPROVED DISAPPROVED 1PPROVED SUBJECT TO ABOVE
Call For Reinep.
i 3a S YOP Tigard Ii g t
Ina
Peotion Lina (�- Hall Bl�' Tigan, Orragoo 97 ne,
O-Phona)f 639- 175 Bueinaa• Phone634-4171
In■pactiont
looting _ -__ -�—`_
Plbq. Dndar■lab �-IM+ ch. Rough_in
Pound. �,,.z___- � Appy/8dwlk
Plbq. Top out
CLin` FItt
Post/Baan etrvct. GAN �=f 1\Lf
Ban. Bower
Framing -Bldg.
Post/804, Nach. Rain Drain
Insulation
Plbq. Underfloor -Plumb.
Nater Line
DPP. ed.
Data Raqua■ted: - I -Hach.
Addrs■■f �C_� T Tlaef _
_ Permit ♦�� t' _�'_C_zg�
Builder:
T_RR IOLLcMING OOR"cr'ONB
ARE RaQDIRED:
SAPPROVED DISAPPROVED /
APPROVRD 8""CT To ANpyt,•
For Rel.nep.
IhBPE�TO![ KOT1�
City of Tigard 96111diug Dep.
13124 " Hall Blvd. =igard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
inspections-----
Footing
nspection: -Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIHRL:
Post/Beam struct. San. Bower F.•ving -Bldg.
�_
Post/Beam Mach. Rain Drain —Insula ) Plumb.
Plbg. Underfloor Mater Lino Gyp. Bd. / -Hoch.
Dace Raquwsted:
__j�1
7 D3-
Aedcess:,y,/i/ -"w
Builder:
THE FOLLOWING 00RRECTI014S APS REQUIRED:
Inspecto
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�F
MPBCTION NOTICB
City of Tigard Building Department
1312S on Ball. Blvd. Tigard. (rmyon 97223
Inspection Line (Rec-o-Phone)r 639-4175 Business Phones e9- 711!!:�—'
Inspection:
footing Plbg. Underslab iMjs h. tough-in Appr/Sdwlk
found. las Line FINAL:
Post/Beam street. s Ban. Deaver (� Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -plumb.
Plbg. Underfloor Water Lima Gyp. ad. , tik1 h
qu '
Date Reasteds 2 ` _� � /
Tisse:: AM PH
Ce
Address: ` _ v 334
Buildsr: f/� 1- ^ --- —
TM FOLLOWING CORRECTIONS ARM REQUIRED:
i
I
Tnepacto Date:
APPROVED DISAPPROVED - -- "PROVRD BUBJECT To I'M"S
call For Reinsp.
a
IIIBPECP�ON ".IOTICR
City of Tigard nuilding Departasnt
13125 GW Hall Blvd. Tigard, CXVW M 97223
Inspection Line (Rec-3-Phone)s 639-4175: Braineas Phones 639-4171
Inspections
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. ( Plbg. Top Out Car Line ANAL:
Poet/Deas Atruct. San. Sewer Framing -Bldg.
Poet/Beae Koch. Rain Drain Insulation _Plumb,
Plbg. Underfloor Nater Line Gyp. Bd. _MOCh,
Datu Requesteds� �� Times
AM PM
Adareess 3 ,-a -
t6Zt !s�
Builders til
TEE FOLLOWING CORRECTIONS ARE REQUIRED:
Inopecto.r: Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__`Call For Reinsp.
�lL�.g$sTI0l1 NQTICE /j'L -� ...
City of Tigard, Bulidisq Dapartowt
13125 dw Ball olid. Tigard, oregoo 97223
Inspevtion Line (Rec-o-Phonels 639-4175 Business Phone: 639-4171
Inspections _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl.k
round. Plbg. Top Out Gas Line rINAI.s
lost//sew It Ban. Sewer erasing -Bldg.
aw- Rain Drain Insulation -Plueb.
1 r aor Water Line Gyp. Bd. -Koch.
Date Requestede TLmt AM_ PM
Addreass / 5 - r■it �t('L ,
Builders_
TBE roLLOWIMO CORRECTIONS ARE REQUiREDs
Inspectors )/ -- Datos �
y _APPROVRD OSSAPPRONED APPROVED SUBJECT TO ABOVE
ICall Fir Reinsp.
INBPscT M /�v
City of Tigard building Depactsrsut
1312S s0 Ball Blvd. TigniMI, Oregon 97223
Inspection Lina (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
footing Plbg. Onderslab Mach, Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
r—
Poet/Baas: Btruot. an. /rmNr Framing -Bldg.
Post/doom Hoch. - in Draln Insulation -Plumb.
Plbg. Undortloar tar Lire Gyp. Rd. -Koch.
Data Requested:
-- Timi: ./�t� AM _PH
Addresst "zt� �/ Permit 1:�1
1
Builder:
'7
TFIL FOLLONING ODRRECTIONS ARR REQUIREDt
777
Inepectortl// " Dates
7� APPROVZD DIBAPPROVRD APPROVRD SUBJECT TO ABOV2
777�"� _—_Cali For Reinsp..
INSPECTIop 140TICk
city of Tigard suildinq Department �
I.'12S SW !tall. Blvd. Tigard, Ore7m 97223
I11/peatiOn Line (sec--O-Phone)t 639-4175 Business Phone: 639-4171
rpptLOW�\ Plbq. Onderslab Mach. Rough-in Appr/sdwlk
Plbg• Top Out Gas Line FINAL:
lost/Beam Struct. San. Sewer Framing -Bldg.
?ost/Beam Mach. Rain Driin Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. 4bob.
Date Requested: /1 Time: —�. lM
Address:
Builder:
TUN FOLLOMING CORRECTIONS ARE RRWIREDt
Inspectors --� Datol
�l.L-.-
PPROVED DISAPPROVED APPROVED SUSJ1WT TO AScr4X
Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT UFS i 1:5 :i_s �; vrl'i tF>
1!196 SW M.a Blvd.Tigard.Oregon 972/308199 (503)639.4171
i
. . . rlc
�{ ''bi[ Vit .. � : -:l #�,-vvl.. lJd �1-'u tw�._•;a.. . 1 ""''t ;'` „; �� `
�. . IJ .'. . . . .:,r WASHING Ir'i ICH, . . „ . . . a,tr r{ACR FL(Do W fi'WLVN'i f1S.
�• . . . .L i�iF�1 __IY t-il:.Ca�''t:'i�!5. . . . . . , 1 i..r i , k:.ri::. r.._ .. « . . . . . V7
HAIN
� �. . S WER LINE
PER . 1_'0.E:1 i. . . Wit'Eh' 1.„L AIL ft 2 hth 4
-
:
unta.trl dr t „e M}}tl Ci d1 ppt �1 x1 n�; rA:in L9, ctrl
slf '.,r t . r�4,, : d7. r,v r -.0 LJ(ls Ar)_� al Pfol
'15t1/F3t-1.or :,t.t .r# ►'J�t. �r r_ A.rrf 9. .
1:
?7 I Aw5. i-41 i rte,.3 "R w I ! be doilGsKEiti� l$a�IR i�k"Cil:�Tr :151 '"/J4111x}< �rl:
"pp, ovocf pld>;As. il)t, :' kv`#j idSIfz4 b 1111sp i.•.. [.f�a I} ( in a3.
11111 130 doyz J511 f, -” at A. '. I et
,I,;;c.wd for no. ,}an 180 :;,aryls. up Cut
,In1t Irr4F?
e Ll
r�: Jr• .
-. _ ..._.
r
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*0199 (603)679.4171
4:111 r_ iJ tJE`i�r 3C+i 1 !y
E. r?,.L,l I: i_• • , l '1_0.i '--jW Q GRED CT �'►�i�4:t-�i._ �'�llt=
7I V I �i. . . . • C:!`LONY CRL--E-,, NO ` r C_"!N f NC
_ .... .._.._._. _ __..........._ _ bLJ i LIJ i.iNcj
NO UN 1 TS i i Eft Vii"a!iCW'tii i tii t,
WIRE* :NL., DEVROIS:3 134TI-IS:i' Gc4i( l'A. . . . . , . „ . . ,:_,0 Sf
AREAS H EX,
r,r N F1 REST. . • • : I 1:� f LEVT, ft
areCC)!Vi). . . :!TJ s 1 r RE)I 'T. :Pq' fi f T;
'C;. . . • • . . a 1 THIRD . . ., :lb sf Rt '01_11 NED �.:�._.._._., _�....
„tr+0.)SJ LL4:1.'.. . . . :40 psf VAL•UE.. . . . . 8 : 6 980 PARK114(3 r--;4C:PL:,. . : 1
F`LL;wtln}I NCS
A NKS y'•.,r , . . . . . . . 1 F"L_OU P W6',.i.N:_ . , - A 0 13 A'..l;Ft,OW �.O
wb C]�2IEs. • . . . :c WfaTER HLATERS. . . : 1 THPPF .,. . . ,. . . . . . . . . . .
11 °::: LFiUNMY TRP".,-3. . • :lb I..(41 IE i )0 TNr. . . . :Ilr
SE,WCA LINL ( ft ) , r!r ciRLO:_,. fA' r4
t•lI�FK��'FiF:R..,w , . . . �. v7=t'1-.�Ir a._INc: ( t t ) . . i��v t_�T� ,. , ,.i ,i:.;ii. . . . ., 02
t ti3 IJ1 RAIN DRAIN ( ft ) e0
:46 NIALH. . i 9F" I,441N DRAINS. , ; 1
.:_..:_ ..`.. _. ;;.. r'1+..Cr-IriQaI`';Hi.. _.".._ .._. —
+!NIT tifRS. , t0 typs? ?.nitay.ttL u'/ t.ia': a t ,p1:
1 v EN T f I r' 4 146+0. 00 JF 06 i I E,/91;1 -
t :lv i r r3. • LAPR T F +Qdl7
: 1 HUCA)-. . . . . . .. ). UPi— 40. 00 .JLH 0E+/08/9.3 9
14iir w 14:4#0' . .. :Ql Mdi.IUG�T'fJ+yi_:a• :ti 1?`,.:►'C T 3.J 1. " .,Tf
.:.R N. x0- Ci_i) ImYEr ts+ r I ;C.l; i4HN. oet jr-, Wc,i 1L,/4z
.SF"Ql•' (4i . " �.)4".tk- 00 J F
bAa (?UQLE'r'S: i 111E+Y7 ;. 40. bit, JF kitC, 'IFw,i , -
l'ri dr1 a a� ► at �: u.+ ., _. ._ _. ._.._.. . Mi'=LC 4 i u.
13 1 "'
J i- i 6/1)3
06LWP I Lit, 117.
JW El)M H i'1-:H
-9511
�'7-0.
40PA i# 7-sued subjtt:t ;;1 the rlgul,itiehs Contained in Lit — RLUU t+'L•?L) 1NSPC(_ ;'I ON5 -
p7, State of Ctrl, apet:Fa!tp@w#s.and all her F'caf:dfOtt M 7 '" >J F7it-epla7r!o I'*ysp
ra,�aL:F: laPi. Ri! wa!-N Will dG�F l ";G"Ga*tCR !V?th 2l'pmod P0!4t ✓Tte!Air, `.'ite-Lict 6. 5 ;._lite 1?)S :1
3715. Fhl'3 Cel'C)t MliF MO i t ni'i,tG iiithi, p1Ust "}3e•_lpl Ott+rh$Tl I1:SI.:Ic1l' 1U71 :i '5p
,V5 of F55J89C!rte 0" if i4o An rk is l45 for - `. �L Plm/wici! 1I v' ' risp Gyp jl,iar"d TY, --;,
LM/Ui,dacflulit- RA3it
a d'i w c , ; , �—�.� mer-'11,R71 ica I 111 1, W+ qt el
F'1+.77eb TttF:' (lit Appe/;,C)#lltt ,in
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT E W,1 ' . ' . . . . `
18125 SW HeN SWd.Tigard,Oregon 97223oli99 (608)604171
�. . . 14357 3l t"ANN-0 CREEK 1,1' PEIRi'LL
COLONY CREEl', NO
�; . . ., . . . . . . . LUl'. . . . . . . . . . . . . .. 1 .1rc>
WNV t NP SIL. . . . .
. . . . . . . . . . o FIX'T'URE .AWN:T1i;. . . ,
..ir G� �i'•., Ni�W UWF-LL,INo' 1.NITIS.
. :
OF Utile. . . . . ,ba fiVIU, e7F l�1Ji1.;7�'n!!", i
i L i r-:. . , . :LL'!ti WR
{'NTH 8
FECSw
pe ct rIl� !�-�;. i.:cl t
.r;.c ,
i
-_N i hHL i i�r► NUT ON FILL
_._ RZ;:()U
eg eas to comply Mi it al' the rules and reg4iafiions ::sewer« Inspoc!t ion
:t.s ao,ed 84wage 4gencv. . Tho it lwpii es 168 cat� frur
:.ata issc,ec. ?he total aunt paid sill be forfe:ted if the
t exoire5. 11�e Agency dee, not guarantee the accuracy of t`e
saner latera:=:. if the seder is not located at the eeasureaent
Jim, the itrstaller shall poospert s et in ill duectie74;-\t it
o elslanco given. If lfet so lace
'7--, -:J Gide Sewer" pere:t and the
eaIi f'or« 11 639--4i
1 ,
t .
CITY OF TIGARD -, RECEIPT OF PAYMENT RECEIPT NO. t93--241368
CHECK AMOUNT a 4889. 14
MILLER, TOM CASH AMOUNT 0. 00
W)DRESS t PAYMENT DATE 06/16/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BU --1)ING PERM 32'F. 00 PLUMBING PRRM 117. 50
ECHANICAL PE 40. 50 ST. BUILD PER 24. 01
PI--AN CHECK FE 10. 13 SEWER USA 2 100. oQl
SEWER INSPECT --;Fp. 00 PARKS SDC 500. 00
"TORM DRAIN SDC 01,60. 00 RESIDENT IAL TRAFFIC FEES 13 50 00
Mi.-ASS TRANSIT TIF FEES 110. 00
OT 119 COI-ONY CREEK 5
1.4357 SW FANNO CREEK CT
'TOTAL AMOUNT PnID 4889. 14
13125 SW N,0 BN& PLNCK/RECT #
CITY OF TIGARD PO Box 23397 PERMIT #)ZH3_O .3j�
COMMUNITY DEVELOPMENT DEPARTMENT TiprAOregon 9nu
(503)6394171 DATE ISSUED
G�
JOB ADDRESS: TAX MAP/LOT ZS I tZ(M I go00
SUB: LOT: /' l� LAND USE: Rc-1 ;I—
VALUATION:
I -
VALUATION:
SPECIAL NOTES
NAME:
�(-Tf f i"�1/�'('r REISSUE OF:
1 Cs
ADDRESS: i ;2 't' 1 LY Ste' ,�'�r1 ��/9�r✓ _ LAST REISSUE: �1
PL D FLOOD PLAIN/
PHONE: P o -`" SENSITIVE LAND:
CONTRACTOR ` APPROVALS REQUIRED
NAME: _ _��� `�: ��/ w PLANNING: 5Er-
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: be6--
CONTR. BOARD 0: EXP DATE:
ITEMS R�QU�R�Q
SUBCONTRACTORS: PLUMB: , Ale" LIST/SUBCONTRACTORS:
MECH: SS BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: � 44- /
COMMENTS: 8 PutD40 MUST AtCEs.S C,4AA"0 c01�6&tcr
la V- -�
ffK1CAN1T`StWU1tE
Received By: Date Received:
PERMIT A ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
/r►s U3 334 10-432 00 Building Permit Fees 3ZZ _ 3-�,0
10-431 00 Plumbing Permit Fees / , 3� '� 1/ 7,jo
10-431 01 Mechanical Permit Fees �- -v r _ 40,-3'4
10-230 01 State ouilding Tax (5x) .2 q, v
Building /,�,/v
Plumbing 5,rY
Mechanical a7,u 3
10-433 00 Plans Check Fee r ��/ 3 10,13
i
Building Ale)
Plumbing
Mechanical /Z.rte
10-230 06 Fire
sn►.R43-u��) 30-202 00 Sewer Connection -A/ey al&U
30-444 00 Sewer Inspection 3 3
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
i
25-448-01 Residential Traffic Fees / 350
i
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Cev Charge (PDC) 3:,(,
S
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)
nm/3587P.WPF