12759 SW MORNING HILL COURT 47
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CITY OF TIGARD
i COMMUNITY DEVELOPMENT DEPARTMENT LLRTIF'ILA'rL OF
13125 SW Hell Blvd.Tigard,Oregon 97223.0199 (503)639-4171 OCCUPANCY
PERMIT #. . . . . . . c MST93-010'.'
I 63'3...%+1 71 DATE I SSUE Dit 1
PARCEL: 2G1.m4Ac".-0*75@0
SITE ADDRESS. . . a 1275'1 SW MORNING HILL. CT
SUBDIVISION. . . . : MURNING HILL # 9 7.ONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . .
CLASS OR WORK. :NLW
TYPE OF USE. . . c SS
OCCUPANCY GRE'. :R3
OCCUPANCY LOAI' : .l 19 4
I l:..NPNT NAME_, . . ;
Remarks : PATH I
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I JAY MILLER BUILDER INC;
TIC4ARD OR 97281
Phone 1b: 503•-684-•7543
Contractor: ____..... ___.._._ __. .._........_.._...__.._.._....._....._..._. ._.....
.JAY MILLER
PO Box 23291
d T I GARD OR 97201 �
i Phone #c 684-7543
Reg 1F. . : 30109
1 Occupancy of the above referenced building is hereby ,given, and cetrtiiaes
the compliance with the State (]f Oregon Sper..iaalty Cones for the group,
oc-cupancy, and use undtar which the referenced pereit was isso.ied.
I F'I RC'. DE E�APdT1iCNT ,G k I NG 5F--FCTOR
ALIILDINC3 FICIAL f
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i POST IN CONS'I CIJOI.JS PLACE.
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.LpBPBCTION NOTICB +
City of 7,19ard Building Depart-ant
13125 soli Ball_ Blvd. Tigard, Oregon 97723
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inegectiona_ \e (��1 1 U� -- --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk e
Pound. Plbg. Top Out Etas Llne FINAL:
lost/Beam St.uct. San. Sewer framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb
Plbg. Underfloor Nater Line GYP• Bd -Eh'
Date Reguestod: n 0 � 3 p Times --__-AN PH
AdCirse s a
_.� N K V"iy��Z�JI 7i ( Permit #:'_T3
Bullders
THE roLLOWING CORREC.'TIoN3 ARE REQ7IRED:
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�APPROVRD DISAPPROVED APPROVED SUB.7ECT TO ABOVE
Call For Reinsp.
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INSPE4'T:uN NOTICE
City of Tigard auildinq Department
13125 gA Ball Blvd. Tigarq. Oregon 97223
Inspection Line (Rec-O-Phones 619-43.75 Busineas Phones 639-4171 �
Inspections
looting plbg. Underelab Hoch. Rough-in Appr/Edw1k
round. Plbg. Top Out vias Line FINAL:
Post/Beam Struct. Ban. Sewer Framing -Bldg. f
post/Beam Hoch. naln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
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Date Requesteds. I (� Tkme1 ---AM —PM
Address s .2 SC� 1 wYV11V1 '.� \ Permit #1
Builder: � I,
THE rOLLOHING CORRECTIONS ARE REQUIRED:
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Inspector t_— _ ___
APPROVED D1AAP.PROVED API'k!JVED SUBJECT TO ABOVE
* 'Pi V Call Por Rainep.
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a,- INSPECTION NOTICE
City or Tigard Building Department
13126 SCI Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer,-D-Phone)t 639-4175 Business Phone: 639-4171
Inspection:____ �-
Tooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line TINAIL
Post/Beam Struct. San. Sewer Teeming -Blu9.; ,
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�'^ " Post/Bean Bach. Rain Drain Insulation -PIamb.
Plbg. Underfloor Nater Line Gyp. Bd. 14ech.
Date Requestedt ) 7� _Timer AN _ PN
Address$ 1 1 �1/'1 A l
Permit
Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED _ DISAPPROVED _ APPROVED 911MM: P TO ABOyE
— Call for Relnep.
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-PECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:i --- — --— _
Footing Plbg. Underalab Mech. Rough-in A' ppr/!5hl
Found. Plbg. Top Out Gan Line FINAL:
post/Beam Struct. San. sewer araming -Bldg.
Post/Beam Mech. Ra Ln DraLn Insulation -plumb.
Plbg. Underfloor Water Line//,l{/ Gyp. Bd. -rech.
Date Reyueateds L� l 1 1 I Time:
Address: I '� !J //� � Permit l:�
Builders --
TN? FOLLOWING cORRECTION3 ARE REQUIRED:
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Inspectors_ �-._.-- -- �
APPROVER DT:,APPROVBD �-- APPRWED SUBJECT TO ABOVE
Cell For Reinap. {
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P f+))11uh. INSPECTION NOTICE
City of Tigard Building Department
fp " �+ ',• 13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 63
Inepect.tons
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. Cas Line FINAL:
Poet/Beam Struct. San. .Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb. i
Plbg. Underfloor Water Line yp. Bd. � Mach.
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Date Requested: / Timet AM PM
Address: LI
Builder:
THE FOLLOWIN'; CORRECTIONS ARE vn RED:-
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Inf.psetore, Date: '
p b APPROVED -_- DISAPPP.OVFD APPROVED SUBJECT TO ABOVE
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Call For Reinap.
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INSPEgLTON NOTICti qn�
City of Tigard Building Department '}+
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13125 SR Rall Blvd. Tigard, Orcxlon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
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Inspection: p{
Foot.ixg Plbg. Underelab Mech. Rouqh-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beeun Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LineGyp^ ed.) -Mech.
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Date Req::eateds
Address: / (� q
T I �^l7 Y /��� IL�1�2L-�il.� !?-C/_�,Permit
Builder:-_-]
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THE FOLLOWING CORRECTIONS ARE REQUIREL:
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Inspector: q 7
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APPAOVEb DISAPPROVED !� AppAOVRb SUB,TECT Tp llgpya .,
Call For Reinap.
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INSPECTION NOTICE
City of. Tigard Building Department-
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epartment13125 Sit Hall Blvd. Tigard, Oregon 97223 .
Inspection Lane (Rec:-O-Phone): 639-41.75 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Mech. Rain Drain Insulation -Plumb. ,
Plbg. Underfloor Water Line Gyp. Bd. -Meeh. 1
Date Requested: Time: AM PM
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Date:
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"PROM DISAPPROVED APPROVED SUBJECT TO ABOVE '.
call Por Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ret-O-P ire): 639-4175 Business Phone: 639-4171
inspection: c
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Footing P1 Underalab Mech. Rough-in Appr/Sdwlk
Found. Flbg. Top Out Gas Line FINAL-
Post/Seam Struct. San. Sewer Framing -Bldg.
Post/Beam ;tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:��—/� Time:" PM
Address: z�� J /1 rmit f:�13 -y� a1
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: � _f -` - ----- --, _ Date:
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APPROVED DISAPPROVED APPROVED SUBJECT TO AB(JVE
Call For Reinep.
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INSPEMON NOTICE
City of Tigard Building DepartmRnt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6.19-4171
Inspections — --- --
Footing P_lb-gg. Underslab Mech. Rough-in Appr/SdwUt
Found. ��1t>.7. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Ltne Gyp. ad. -Mech.
Date Requested: ?7 CG��/!��� r`� �1 Time: AN PM
Address:
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED-
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Inspector:—�__ --- __. Dates
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
✓✓ __Call For Reinnp. l
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INSPECTION NOTICE
City of Tigard Building Department
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13125 £.W Hall Blvd. Tigard, Otegoa 97223
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
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Footing Plbg. Underalab �H� ech. Rough-in Appr/Sdwlk j
Found. Pibq. Top Out y Gas Line FINAL:
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Poet/Beam Struct. San. Sewer � Framing -Bldg.
j Post/Beam Hoch. Rain Grain Insulation -Plumb.
j Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requesteds 13 l,12 Times AK PM i
)" Address: it #:
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THE FOLLOWING CORRECTIONS ARE
REQUIRED:
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Inspector:_ / Date: 3"
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department -
13125 SN Ball Blvd. ,Ti ardOregon 97223
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab ech. Rough-in, Appr/Sdwlk
Found. Plbg. Top Out Gee Line FINALe
Poet/Beam Slruct. San. Sewer Framing -Bldg. f e
Poet/Beam Mech. Rain Drain Insulation -Plumb. f
Plbg. Underfloor Wat.>r Line ` Gyp. Bd. -Hoch.
Date Requested: �S Time: ___meq
Address: 2 ? l r t 1:,�
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Builder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector:.
EQUIRED:
ctor:
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APPROVED DISAPPROVED APPROVED BBBJRCT To ASO" !
___Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departoent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. pnderalab Mech. Rough-in Appr/Sdwlk
Found. (_1 Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer
Framing 1 -Bldg.
Poet/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Hoch.
Date Requested:- c G�
—Time: AM pU
Addresat � � 7�y
Builder:
THE POLLOWZ ING CORRECTIO,vS ARE REQUIRED:
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Inepecto i
Date:
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66 APPROVED DISAPPROVED APPROVED SUB,JSCT TO ABOVE
Cell For Reinep. I �
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11 . INSPECTION NOTICE
City of Tigard Building Departrsnt
13125 SW Hall Blvd. Tigard, Oregon 97223
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Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection: _� I
Footing Plbg. Underslab Mech. Rough--in A
pnr/&dwYk
Found. Plbg. Top Out Gas Line FINAL:
�oet/Beam 8truc�. San. Sewer Framing
-Bldg. a
et/Roam Neches
Rain Drain Insulation
-Plumb.
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Plbg. Underfloor Water Line
Gyp. Bd.
22 —// -Meeh.
Date Requested: J C)—I
Time: AN PM
Builder:_�� �`% _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_
Date:? /C7 92
APPROVED DISAPPROVED APPROVED SUBJSCP TO ABOVE
i Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department I
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
q Inspections
i� looting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
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Poet/Beata Struct. San. Sewer Framing -Bldg.
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� Post/Beam Mech. Rain Drain Ineulatian -Plumb.
P!bg. Undertl Water Line Gyp. Bd. -Hech.
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Date Itsquestedt_a__1_/_A _Times _/<-AM - PM
Address: _ Permit /
2'18L lOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED -_ APPROVED SUBJECT TO ABOVE
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NNSPECTION NOTICE
City ofTigard Building Department t�
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13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
ash Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
ti < Iil Post/Beam Struct. San. Sewer Framing Bldg.
Alll,.fft
Poet/Beam Mach. in Drain,, Insulation -Plumb.
Plbg. Underfloor
Water Lamin`, Gyp. Bd. -N h. I(
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Date Requested
7� — Time: AM _ PN
Address: /� `-� rm i t # C f
Builder: / r
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspector - Date: /
APPROVED e — DISAPPROVED — APPROVED SUBJECT TO ABOVE
_Call For Rainap.
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}".'. INSPECTION NOTICE
City of Tigard Building Dep■ tEvant
13125 SB Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Business Phone: 639-4171
Inspection:
ooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
oun�d� Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Cvp. Bd. -Mach.
Date Requested: �'��� Time.a AM PM
Addreas: ,L-12 -_s[ � �rmlt
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Builder:�/GG��1i� J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectnr:—_.__—,ez _—_ Date.--.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinap.
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CITYOFTIFARD
CITY 11ir'IIRD PLUMBING NV PERirI I T
COMMUNITY DEVELOPMENT DEPARTMENT .room PERMIT #. . . . . . . : Ids t< -k71 ili9
19126 BW FWI BW P.O.Box 2.'3;107,719W,Ornpon 07229(609)M4175
'31 TE ADDRESS. , , : 12759 SW I*1IORN I NG HILL CT PARCEL.:
'iUBDIVISIC11u. . . . o MORNING E•41LL # 9 ZONING:
BLOCK. . . . . . . . . . .. LO'T. . . . . . . . . . . . . a 218
CLASS OF WORK. . NEW GARBAGE= DISPOSALS. . : 1
TYPE OF 115E. . . . :SF WASHING MACH. . . . . . . a i BACKFLOW 4 ARE V N I'RS. . :0
OCCUPONLY URR. . : R` FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . : i WATER HEATERS. . . . . . al BATCH BASINS. . . . . . . :0
LOUNDRY TRAYS. . . . . . . 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . .0 J
LAVATORIES. OTHE=R FIXTURES. . . . . :0
T UE/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 a
WATER C.:LOSETS. . :2 WATER LINE (ft) . . , . : 100
1. ISHWASHERS. . . . : 1 RAIN DRP IN (ft) . . . . :�L�
Remarks : PATH I
OWNER: - _.-----.____ ..___._____._-____._..._____ TIF+_ __.146-- ---JHEES------ -
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Jf)1 MILLER BUILDER INC
P. U. BOX 23291 E1PRT $ 382. 00 JH 0,?/26/93 -
BPLC $ 40. 00 JLH 02/22/93 93--E36964
I I1GARD OR 91281 B5F'C $ 19. 10 JH 02/26/93 -
Phone #: bIZ13-684-7543 SSDC $ 280. 00 JH 02/26/9,3 -
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PARK $ 500- 00 JH 02/26/9 s -
Plumbing C',ontractor:__........._...._. ..___.__.._._______._._.. HPRT $ 40. 51, J1-1 02/26/93 -
I 11PLC $ 10. 1.3 JH 02/26/93 -
N Ga m e: W/�G�.��f/J!
015 P l: 'r• 2. 03 .J hl
02/26/93 -
Addr^ess a PPRT $ 132. 50 JH 02/26/9;3 -
Citya _ RcM�.__......_..._.�._ .. P5PC $ 6. 63 JH 02/26/93
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R e g #a C7°AAb,OAECQ9�b -___...____
--_-- - REQUIRED INSPECTIONS -
111.is permit is issued subjec.,t Lo the rera-
1 Ul.c-rtl.ons contained in the "fiyard lylunir_�ipc-rl Font/foUnd Insp Resin drain Insp
i
Code, State of Ure. Specialty Ludes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/beam hlechan Appr/Sdw1k Insp
01 accordance with approved plans. This Plm/undoslab Insp Mechanical Final.
!' permit will expire if work is riot started PLirl/Underfloor I.-Il imb Final
1 within 180 days of issc►ance, or if work is Irlechanic-al Insp Building Final
} e,,_ispended for more than 160 days. Plumb ?'op Out Erosion Control
Framing Insp Lrawl Drain
Fireplace Insp j
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Gas Line Insp
lns
.. l. 1Z._ __ Gyp`rBnar dnInsp
Pp
Autt or izeci �_mbing Lontrarctor Signature
Call for inspection - 639-4175
Contractor Jotes :
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CITYOFTIFARD N h
COMMUNITY DEVELOPMENT DEPARTMENT � N MASTE=R F'ERM11
13126 SW Hell Blvd. P.O.Ban 2XW.Tipad,Oregon 972Mt6031$304175 PERMIT' #. . . . . . . : f*iC;"fcj;s-W' 1r1i9 {ti;
417 L DATE ISSUED: 08/26/93
SITE ADDRE.n'S. . . : 12759 SW MURN 1 IVb HIL-1- CI' PARCEL: 2ca`104AC:--lYlH2.L 8
SUBDIVISION. . . . . MORNING 1111._1._. tI 'i Lt)IiTIVCi:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :219
BUILDING
REISSUE:Iv1ST'92-0151 DWELLING UNITS: 1 Bf1SEMEN'T. . . . . . . . :0 s f
CLASS UF' WORK. :NEW BE:DRIvIS:3 BATHS:2 GARAGE. . . . . . . . . . .450 5 f �
TYPE OF' USE. . . :SFFLOOR (AREAS------ ---- RE UU1 RED SETBACKS--._-_..__._.-_..__-
1-YF'E: OF CONS 1. :5N F'I RST. . . . : 1624 s f LEFT'. . a 1 1 ft RIGHT. : 10 ft
UCCUF'AIVCY GRP. :R3 SECOND. . . :0 sf FRONT. a2@ ft REAR-26 ft
S TORIES. . . . . . . : 1 THIRD. . . . .0 s f RE61U I
HE:I GHT. . . . 1. . . . : 19 ft TOTAL----: 1624 s f SMOKEc. DE:TECTORS. :Y
FLOOR LCWD. . . . :40 p s f VALUE. . . . . '4 : 82804 PORK I1\16 SPACES. . : I
Remarks : FNH-1 I
PLUMBING
SINKS SINKS. . . . . . . . . . : l. FLOOR DRAINS. . . . :0 BACKF'LUW PREVNTRS. . -0
LAVATORIES. . . . . :,3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . , . :2 LAUNDRY THAYS. . . : 1 LATCH BASINS. . . . . . . :0
WN1 ER CLOSE: I'S. . :2 SEWER LINE; (f is) . :O GREASES TRAPS. . . . . . . :V1
DISHWASHERS. . . . . I WA'T'ER LINE (ft ) . - iV1 i OTHER F'IXTURE:S. . . . . ..ui
GARBAGE DISP. . . a1 RAIN DRAIN (ft ) . :0 ,
WASH I NG MACH. . . . 1 53F RAIN DRAINS. . : 1 A:
MECHANICAL -------------------------------------- FEES
F='UEL TY'k'ES-.-.-.-••-----_-_.•.. Ulu1T H'TRS. . ao type amount by date re(-,pt
/GAS/ / / VENTS . . . . . :0 -CIF $ 1460. 00 JH 0 :/26/93 -
MAX INp''UT:O BTU VE:N'T F A 1\1 S. :3 BPRT T 38el. 00 JH oip-/26/93 --
FURN ( 100K . . : I HOODS. . . . . . . 1 BPLC, $ 40. 00 JLH 02/22/93 93-236964 t ...`
FURN ) =-.LOOK . . :0 WOOD5TOVES. e0 B5Pf_; $ 19. 10 JH 02/26/93 -
F LOOR FURN. . . . :0 CLI:) DRYERS. a 1 SSDC $ ;_'80. 00 JH 02/26/93 -
BOIL/CMP ( 3HP:0 OTHER UNITS: l PARK $ 5011x. 00 JH 02/26/9:3
GAS OUTLETS- 1 MPR'T $ 40. 50 JH 02/26/93 -
Owner: -___.__ .._____.___._ ...__.__._______.__.___.__.__._.IvIF'LC $ 10. 13 JH 02/2:6/93 -
JAY PULLER BUILDER INC M5PC: $ : . 03 JH 02/26/93 _ !
E'- U- BUX 23291 PPRT $ 1:3._. `°,V_l JH 02/26/93 -
P5PC $ 6. 63 JH 0x'/26/93 -
TIGARD OR 97291
VIVione #: 503-684-7543
Contractor: __._._ __.__.._._.__.._..__..-....._..._____.______.........
JAY MILLER
PIC) BOX 2329t
h.
TIGARD OR 97281
Phone #a 684-7543
30119 _.__-._---------------------------------
1, 2872. p9 TOTAL eT
This Permit is issued subject to the regulations contained in the - - --- - REUUIRED INSPE:CTIONS --------
Tigard Municipal Code, State of Dre. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved F'ost/Beam Struct Gas Line Insp
plans. This persit will expire if work is not started within IN Post/Beam Mechan Insulation Insp
days of issuance, or if work is suspended for sore than IAN day-i, P m/undslab Insp Gyp Board In,..-,p
PLMiUnderf loot, Rain drain Insp
I prm:it;t:ee irinatItri:a ; JAaeuz cou, Ivlec:hanical Insp Water, Line Insp
Plumb Top Out Appr,/5dwlk Insp
L � sr_ierj Ny � _ _ F'r•aminy Insp tvlecharrical Final
91 F
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CITYOFTIGARD
CRYOF RD SEWER CONNECTION
'COMMUNITY DEVELOPMENT DEPARTMENT 0116M PE:RIhI'T r`
13126 BW Mdl Blvd, P.O.Bac 23347,Tlpod,Or@W 47223(603)639-4175 I.'E R P1 I T #. . . . . . . SWR 9 3—0 Qr 9 9
DATE ISSUED: 02/26/93
v
S1 FE ADDRE=SS. . . 1c_.i53 5W II(URIVIIVG HILI... (.. 1 FNRI.FLe 25104iaG—I41Hc.ltl �
sUBDIVISI0I1I. . . . ItORNING HILL # 9 ZONING. C
HLOCwr. . . . . . . . . . . LOT. . . . . . . . . . . . . :. 16
--_------------_ -__-__._.______________.____.____._._____.._..______________._____�.______.___.
TENANT NAME.- . p . . . I
USA NO. . . . . . . . . . . F'1XTURE UNI'TS. . . : `r
CLASS UF' WORE. . . :NLW DWEL LING UN I I S. 1 „�
*1
L YE OF USE.. . . . . .SF IVO. r)F HIJ I LDI NGS: 1
INS FALL F YPE:. . . . .NUSWR IMPE.RV t.AJRF:ACE:. . :
Remarks: PATH I
Owner:
JAY MILLER BUILDER INC type afnt) int by date recpt
P. U. BOX 23291 PRMT $ L100. 00 00 JF-1 02/r.'6 93 -
INSP $ 33. 100 JH 02/26/93 -
1 IGARD OR 97281
PI-ione #: 503-6E34-1543
C;011 t Tactor,
C[:INI-RACTOR NOT ON FILE
i
I
1=froom #a 2135. 00 'TOTAL
Reg #. . .
REUUIRED INSPECTIONS -- -----
This Applicant agrees to comply with all the rules and regulations 5ewnr^ nspect ion
of the 1,1crfied 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
C
the distance given. If not so loceted, the installer shall purchase _,.,,�____.__•,__.�__.___, _,_._ '
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
! F'prmiti e ruI L _r, t aC(�(
0011 I
[<.s s 1_1 e rd D y
CA 11 for inspection - 6.x;9--4115
1
Limai
t �
VA
13 125 I
PLNCK/
RECIT'n#S t cl 3 3- iU,/o
3 .234 94
Pd,Box2.3197CI OF TIGARD Tipprd,Oregon J PERMIT #
COMMUNITY DEVELOPMENT DEPAR-TMENT (507)679-4171
DATE ISSUED
JOB ADDRESS: /2-7-59 6W fP6 yn x.09 -AW C-'• _ TAX MAP/LOT 7 S/O YAC-MI4 ;2 if
SUB: lftyn+'n9 7q0) 9 LOT: l8 LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: :ja- L, fYl 1),L( 6)d r. _ REISSUE OF:
ADDRESS: o �x 2
LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTO", APPROVALS REQUIRED
NAME: _T_L"q_Y71ille.r PLANNING: r/ A
ADDRESS: ENGINEERING:
FIRE DEPT.
PHONE: _y _ OTHER: r/E
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS' PLUMB: _ h'�n wa#�5 LIST/SUBCONTRACTORS:
MECH: 3C BUS TAX: —
ARCHZENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: _— OTHER:
PHONE: _
PROPOSED BLDG. USE: i
COMMENTS:
APPLICANT SIGNATURE
Roreived By: -4 �- Date Received: C,.>
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�- 3"��/04 10-432 00 Building Permit Fees Y.7.. `" <�
10-431 00 Plumbing Permit Fees /32 -s� ' 32• s'L
10-431 01 Mechanical Permit Fees y 0 P
10-230 01 State Building Tax (5%) _� 7.7L a 7, 7� .�
Building _/9•iy
Plumbing G to
Mechanical .2•03
10-433 00 Plans Check Fee �� �� _ u• 3
Building 40
Plumbing
Mechanical __jL,0,0 i,
10-230 06 Fire 11
,Swum y 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 l3 S -1,35o
25-448•-05 Mass Transit TIF Fees // u
52-449 00 Parks System Dev Charge (PDC) 5 ° S UL)
31-450 00 Storm Drainage Syst Dev Chrg
I
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 7,rr
nm/3581P.WPF
I
��( '..i. y+„•, t .lr•. lei '- + �>
CITY Of- 'T1 , ;iPj) - REGE;IPT OF F'AYMF:NT REC:LIFr1 NU. 293 -,a31216 I
CHECK AMOUN I' a 496, . 89
MILLER, JAY CASH AMIJUN I" r 0. 00 �I
PAYMENT DATE c OP 26/9 3
SUM)IVISION r
�I
PURPOSE' OF f='AYME1,4T AMOUNT PAID PI.MPOSEA ('lF PAYMENT AMOUNT F'AII)
MF"rtiAhl I C Al. E'F=: 40. 50 ,T.. WILD PER 27. 76 •�
Pl_faN CHECK F=E 10. 13 S1 WER USA 2100. 051)
'`f"WF_R I N�PE.CT 00 PARKS SM 500. 00
C+.'1RM DRAIN SDC 80. 1-!0 RESIDENTIAL TRAFFIC F E'S 1350. 00
IIfIr;5 TRANSIT TIF= FEES .1. 10. 00
t
i_CIT 218 MORNING Hill., 9
1 i`759 SW MOONING HILL GT
I '
TOTAL A:iotoj'r PAID - - _. __> Ai':K,7. r.ti.► iI
j
I
.
..
f".I 1Y OF "I 1'C;NF"�D F�f (::I .l'I- 7' C_1F I-►•a1'MF�.hll' F?F_CE� Fi''T t'�Ir:1. g rl;.r ,C,1ik,4
CHk:I..K MOUNT c0- . OIA
hifaME: a If1Y MILLER NUII.DFR l.'ASH AMOUNT a 1 00
r rirlRr,-"'.;S a C''AYMF:N'T DATE: a
g IAC) Pox 23891. 11"llU 8 r)I V 151 01V s
t PAYMENT AIVIClUN I P4411) PURPCJ`:SE Or PAYMENT AMOUNT PAID
►'1..f1I�I C;HEC'K FF: 4kI. tA0
I 1
I
i
i
RFI'w (1F` I.IT 1 MATTHEW PnRK
PLAN LHkCK M t. C.,3P 1::759 SW MH CT, LOT 81A MH 419
'TOTAL AMOUNT PA I D 40. 00
a pry l i. a A