8212 SW MATTHEW PARK STREET or
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I
i
_ 8212 SW MAli'HEW�STREET _
art a �.r�•,
INnPEr.U017 NOTICE 1
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregm 97223
inspection Line (Rec-O-Phone): 639-4175 Business "hone: 639-4171
inspection:`__ // /
Footing Plbg. Underalab Mach. Rough-in Aphr/Sdwlk
Found. Plbg. Top Out Gwa Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mach. Rain Drain Insulation -Plumb.
111bg. Undurfloor Water Line Gyp. 9d. -Mach.
1 i
D&.— RequestedsZ/J ^ Timer AM __,___PM
Add:Aees ( tTPermtr �- Vim_
Builders
TBE FOLLONING ODRRflCrIONS ARE REQUIRSDs
Ins tors Date:
PROVED DIRAPPROVRO APPROVED SUBJECT TO ABOVE
Call For Reinep.
Y
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n
i
INSPECTION NOTICE r�
City of Tigard Building Depa.rtnnnt rA`
19125 811 Hall Blvd. Tigard, Oregon 97223
Inspectioi Line (Rec-)-Phone j 639-4175 Buniness Phons: 639-4171
Inspection: —
Footing Plbg. U relab Mech. Rough-in Appr/Bdwlk
Found. Plbg. top Ont Gas Line FINAL:
Float/Henn Struct. S..n. Sewer Framing -Bldg.
POs'C/BBam Mech. Rain Drain Inaulation -Plumb.
Plhn. Underfloor Water jjLine Gyp. Hd. -Mach.
Date Requested:_/ _ C!> / I, Time: AM _.___PM
Address: � =� ;92ttOf:Es,4,,=- rmit O:��—__fc��`J�
Builder:.___
TIM FOLLOWING CORRECTIONS ARE REQUIRED:
inspector:L. {il 1 I lurJl ���.---_--.-�------------ Uate:
__4'L/_APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY®F TIFA RD
COMMUNITY DEVELOPMENT DEPARTMENT 0"OKM MECHAlq1CAL
13125 SW Holl Blvd. P.O.Box 23397,TOW,Or"m 97223 (firJ)6394175 PERM I I'
PERMIT #t. . . . . . . :
639-4171 DATE ISSUED: 10/27/92
SITE ADDRESS. . . : 08212 SW MATTHEW PARK S1 PARCELS 2S112BC-1y1PK03
SUBDIVISION. . . . : MATTHEW PARK ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :3
CLASS OF WORK. . sADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . iSF UNIT HEATERS. . : VENT FANS. . . -.
OCCUPANCY GRP. . sR3 VCNTS WIO APPL: VENT SYSTEMS:
STORIES. . . . . . . . 11 BC)II.ERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. . . . : DOMES. INCIN:
i/WOD/ 3-15 HP. . . . : COMl'rlL. INCIN:
MAX INPL;7 : BTU 15-30 HP. . . . -. REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . : l
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: < 10000 cfm: GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm:
Re marks :
Owner: -------------------------------------- ------------------ FEES
DIANA WALKER type amultnt by date
82iiR SW MATTHEW PARK ST PRMT $ 25. 00 JH 10/27/92
5PCT $ 1. 25 JH 10/27/92
TIGARD OR
Phone #:
LoTitractor:
TOM BISHOP
12195 SW CANYON RD
BEPVLRTON OR 97005 ----------------------------------,._........
F' it: 644-7868 $ 26. 25 TOTAL
Rey #. . : 54696
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Murocinal Code, State of (re. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved play- This permit will expire if work is not started
within 188 days of issuan, ,,, or if work is suspended fo- more
than 180 days,
Plermittee 5ignatitre :
I ssi-iPd By
—Call ;- —
or inspection —• 639-4175
r.
CITY OF TIGARD — RECEIPT OF PAYMENT RECFIFIT NO. 0P-233131
CHECK AMOUNT r 26.25
NAME: s WALKED, DIANA CASH AMOUNT 0.00
ADDRE^, : 8212 SIJ MATTHEW PARA EST PAYMENT DATE. : 10/27/92
SUBDIVISION s
T IGARD, OR 97223—
PURPOSE
7223—PURPOSE OF PAYMENT AMOUNT PAID PURPOSF OF Pfi'IMEN T AMOUNT PAID
i� c;HANdCf,1.� ST. BUILD PER _ 1.25
I
i
I
'10TAL AMOUNT PAID - - > rb.2r
i
i ,
CITY OFTIFARD CERTIFICAIE OF'
C11YOFTIMID OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0. . . M5T9j'---0054
13125 BW W Blvd. P.O.Box 23307,TlpW,Orspn 07;0.W3)1*Al 75
DATE. J5SUFA)i
,91 T*E ADDRESS. . . 1 013212 SW MATrHEW PARK 61 PARCELt
r3UPDXVJSJON. . . . o MATINEW r-"ARK 70NINGs
4LOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . s3
i ,LASS OF WORK. iNEW
"YPE OF USE. . . vSF
UCCUPANCY GRP. sR3
C)CCUPANCY LOAD 1120 4
TENANT NAME. . . a
Remarkes PATH I
um-lerl
JAY MILLER BUILDER (NC
P. O. AOX
TIGARD OR 97261
Phone Os 684-7543
['ontrac+-ors
JAY MILLER
1-10 BOX 23291
TIGARD OR l)7281
Phane Os 684-7543
Reg #. . . 30109
Ucr�mpsnvy of the above referenced tl�ti ldinU le hereby Uiveti, and certifier,
the compliatico with the State OF llre4011 SPc-4-'iAItV ClJdelA fOl" ► 110 91-01AP,
Ond LtGO i.tricler whivh the rel-'pretic,ed permit was j v,at Lie fl.
bil. A)T14(. 11 .7-1,1,r-
BLIA'i-r)IN CII"r
POST IN CONSPICUOUS PLACE
INSPECT-NOTI(�E
City of Tigard Building Departoent
13125 Sw Ball Bled. Tigard, Oregon 97223
Inspecl-ion Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171.
Inspection:_,
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINt.Lt
Post/Beam Struct. Van. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -
Plbg. Underfloor Water Line/f 1 Gyp. Bd. ch.
jjDate RequestedtJ �4y ~L/��`� Time: AM PN
Address: �r���-� '� ) S �T_ 44srmit
Builders —
THE FOLLCMING CORRECTIONS ARE REQUIRED-
i
i
s
r�
Inspector --- Date:_,f�_-jr ZL L_Z
�—_APPROVED — DISAPPROVED _- APPROVED SURJEC*T To AROVE
Call For Reinap.
INSEON NOTLG_E
City of Tigard BuIldinq Uepartimeni-
131.25 SR gall Blvd. Tigard, Oregon 97223
Insper_tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwik 1
Found. Plbg Top out. Gas I.i.ne FINAL:
Post/Benin Struct. San. Sewer Framing -Bldg.
Post/Ream Moch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Neter Line Gyp. Rd. -Hoch.
Date Requestedt. G� - �.Zy`— Time AN —VPH
Address:-_-`-�1 �_" ,�ZHxel
Builders
n
THE FOLLOWING CORRECTIONS ARE REQUIRED:
11,0,.1 C IZ E-7-'-
�f ILL
_ C
�U(/l DE Z4 tJ
inepectcr: I-It 7464 _r1gy ►1/LS __.. Dater
APPROVED DISAPPROVED _ V� APPROVED SUBJECT TO ABOVE
__,Call For Reinsp.
INSPECTION NOTICE'
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone): A19-47175 Busineas Phone: 639-4171
Inspections__,_,_,
Footing Pl.hg. Underslab h.. Rough-ins Appr/Sdwlk
Found. Plbg. Top Out O �LitTr FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mach.
Da.o Requested: / `% �� Timet
Address _
Rudder:__-- ' L
THE FOLUOWTNG COP.ARCTTONS ARE REQUIRED:
lnepectoz:_ •c=%%%%S / - 'Date: �^
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
�Nsg�crl� Nox1cE �
City of Tigard Building Department
13125 SN Hall Blvd_ Tigard, Oregon 97223
Inspectio=n Line (Rac-O-Phone): 639•4175 Business Pho.a= 639-4171
Inspection:,.___..._ -
Footing
--- --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
,
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line 'Oyp. Ed.� -Mech.
Date Requested=y� -; Ti.me= _—__AM PM
Address• �YLL���Permit
rRE FOLLOWING CORRECTIONS ARE REQUIRED:
Iaepectore � � � �.� nate:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
a� .wMULwe, ww "s' ,a 1 /
INSPECTION NOTICE
City of Tigard Building Deparl:ss'nt iz
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Pt,6"P 639-4175 Business Phone: 639-4171
Inspections�
Footing P1bg'.;Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gds Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drr.in Insulation -Plumb.
Plbg. Underfloor C/t�gj►�,ter Line Gyp. Bd. -Mech.
Date Req::estadt / �// �.� Time: __-_—AN _PM
Address:Address:Builder:
THE
--
THE FOLLOWING OORRICTIONS AM MWIMMI
If
Inspector:—k _ Date:��l�_i Z
_— _--APPROVED DISAPPROVED APPROVED SUR.JRCT TO ABOVE.
__Call For Reinep.
INMMgf NOTICE
City of Tigard nuilding Department
13125 B11 Ball. Blvd. Tigard, Oregon 9727.3
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-
Inspection:_ _
Footing Plbq. Underelab Meeh. Rough-ins, Appr/Sdwlk
Found. Plbq. Top Out Gas Lino FINAL:
Post/Beam Struct. Sen. Sewer Framing -Bldg.
Post/Beton Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. ech.
/(/ - �er1 Tlmat 11M PN
Dote R�trlucaeteds ) /
Address: Ufyp���... 1ir�/'atjp—4_11Dermit #!
Builder:
THE FOLL4DWINO CORRECTIONS ARE RMIREDt
Inspector: Date$
APPROVED DTSAPPROVED APPROVED SUBJECT To ABOVE
__ ^Cal.l For Rainap.
LNSPECTiON NOT:.CE l�L� orl
City of Tigard Building Department
1.3125 SW Bali Blvd. Tigard, orogon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: A39-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. QPj1b:q:. 7TTpOut Gas Line FINAL:
Poet/Beam Struct. San. Sewer w Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ��J �}- TiNet AM PM
Address:.
Builder:
THE FOLLOWING CORRECTIONS ARE RRQUIRJEDt
Inspectors
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVN
_Call For Reinsp.
l
zN ECTiON NOTIC:@�.
City of Tigard Building Departaent /
13125 SR Ball Blvd. Tigard, Oregon 97223 ,
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 630-�14�
I
Inspect ion:
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINALS
P Rt/8 t. 1 San. Sewer, Framing -Bldg.
oat/Bean�b� Rain Drain Inaulation -Plumb.
P Underfloor ) Na r Line Gyp. Rd. -Mach.
Date ReuiWeted: � � ' ` Times AM PM
Addreees,� ( � /�'j rmit
Builder:_,__ �_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
d
Inspectors --- - --- Date: C /
APPROVED DISAPPROVED APPROVED SURJE-_T 710 ABOVE
Call For Reinep.
IN§PECTIOB MMICE
C1,1 of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223 ��/
Inspection Line (Rec-O-Phnne): 639-4175 Business Phone: *1/9-4171
Inspections—�
Footing P1bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAI,s
I
Post/Beam Struct. an. Sewer Framing -Bldgi. j
Post/Beam Mach. n Drain insulation -Plumb.
21bg. Underfloor star line Gyp. Bd. -Mach.
Date Requested.t.
Address:_ �-- s�%*[l /�(/Gtl' �� it #1 10/
Builder:---
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
7
f/
— r
Inspectors `` notes _:,Zr 1---
/ APPROVED PfSAPPRO',MD — _ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
- ,M.ownlwtln MJlu4Yi4.M104Y1Yp11MIWWrd111.vaWY'iNFMWMMNbY1MbWMFrIJCrnf<fWwMYdNMllvuu/dYWtlWitl6YRWJYtlY.FNNY9xnYYYM�wuY�wa'Wr•N`ui»strw.�avYW�wrw.,..,..r.o....... ..... ..........«.:e............«,..�...4...Y+.....a.w.w+.W.Yurn�+rwwnw.wnsww✓.a.,.tl..u.wwi...
City of Tigard Buildinq Departrnt
13125 611 Ball. Bled. Tigard, Oregon 977.23
Inspection Line (Rec-O-Phones 639-4175 Business hj 639-4171
Inepect_lon: --- -- -------_.�Y__
�ooting j Plbg. Underelab Mach. Rough-in Appr/Sdwlk {
' I
%Found. Plbg. Top Out Gas Line FINAL%
-~`r/
ot7Beam Strt%ct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. F in Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
r irt%�� E
Date Requested: TAN PK
.�� �� ��
'Addresax � i Permit
Builder: 'i� '�'_+ 7oc-1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— 1
i
a
--�jam- - �----
Dat
APPROVED DISAPPROVED Y APPROVED SU CT TO'ABOVE
Call For Reinap.
.........................
CITY OF TIFA RD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT 7`rr7MTT #. . . . . . . . MST92-1111154
13126 SW HIM Blvd P.O.Box 23397,TIPM,OrDOOM 972M(SM)636-4175
63y 4i 71 [.)AfL ISSUED: 08/05/9E
ITU. ADDRESS. 08212 SW M(--4TTHEW 1.31 PARCEL.: c-_'S112BC-MPV0
SUBDIVISION. . . . s P.IATTHEW PARK ZONING:
. . . . . . . . . . LOT. . . . . . . . . . . . . : .3
--------------- BUILDING
I.,1:�,'ISSUE: DWr-l-(,.I NG UN I TS: 1 BASEMENT. . . . . . . . :0 f
',LASS OF WORK. :NEW BEDRMS:3 SATHS:2 GARAGE. . . . . . . . . . :517 sf
YPE OF USE. . . :SF FLOOR AREAS------ REOUIRED SETBACKS
, YPE OF CONST. :5N FIRST. . . . : 1726 s LEFT. . :5 ft RIGHT. :5 ft
-VICUPANCY GRP. :R3 SECOND— :@ sF FPONT. :21-0 ft REAR. . :53 f !
,,roRiEs. . . . . . . : 1 THIRD. . . . -.0 s REQUIRED-----
417.T(':;I 4T. . . . . . -. `0 ft TOTAL : 1712() s SMOKE DETECTOR S. :Y
FL,00R LOAD. . :40 psf VALUE. . . . . >I s 88702 PARKING SPACES. . : 1
`pm,;A Ps : PATH I
------------------------- PLUMBING
I NIJ%5. . . . . . . . . . . I FLOOR DRAINS. . . . -0 BACKFLOW PREVNTRS. . :0
L V(4-10 R I E--'c.. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
1 V/5;140WE RS. . . :2 LAUNDRY TRAYS. . . - ) CATCH BASING. . . . . . . s0
4ATER CLOSETs. 2 SEWER LINE (ft ) . s@ GREASE TRAPS. . . . . . . :0
.T SHWASHERS. . . . a I WATER LINE (-Ft ) . - 100 OTHER FIXTURES. . . . . :0
,nF4BAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
.BASHING MACH. . . : I rl- PAIN DRAINF,. . 1
MECHANICAL FEES
/�,Hh4 AT960100 4A 0065/92 Ll"pt
'�)Ax INPUT:171 BTIJ Vr:.NT FANS. . :7, BPRT f 403. 00 J1 171 /05/`?
URN ( 100K . . : I HOODS. . . . . . : i BPLC $ 260. 00 JLH 07/13/92 506
T=URN > =10014. . . :0 W n 0 DS3 TO V F S. -0 L15PC $ �?0. 00 JH 08/03/9J.,
LOUR FURN. . . . *0 CLO DRYERS. : I MPRT s 40. 50 JH 08/05/92
nTi,_/cmP ( 311P-0 011-IER UNITS: I MPLC $ 10. 13 JI-4 08/1715/92
GAS OUTLETS: l M5PC $ 2. 03 JH 08/05/9e
PPPT $ 140. 00 JH 1168/05/9ic
.)c)Y MILLER BUILDER INC P5PC $ 7. 00 JH 08/05/92
BOX 23291 ` -711.)C $ J180. 00 JI-4 08/05/1%
PARK # 500. 00 JH 08/05/11
r7#11RD OP 9" 281
Jione #1 684-7343
MILLER
Box 23291
1 ,,;ARD OR 97c'A1.
#t 684-7543
0. . '. 30109
$ 3119. 66 TOTAL
permit is issued subject to the rtoulatio"i Contained In the REQUIRF1.) INSPECTIONS) ------
ioari Nuqicival Code. State of D'e, Stlecialty Codes and all other Foot/faklnd Insp Fireplace Insp
�vol:cablv laws, All work will be done in accordance with approved Past/Beam Stt-r_kct Gas Line 11.1sp
,-lens. This permit will expire if work is not started within 180 Post/Seam Mechan Inst.0stion Insp
of issuance, or if work is cusaert0d fmr more than IF.@ days, Plm/Lindslab Insp Gyp Soar-d Insp
PLM/Unrle -f loov- PAiti ci1-aiii Tr)np
f-tl All I C' 1119 p Water L 4 T1 P I Tl S-r,
: '11.141b TOP OLIt Appt-/Sciwlk Insp
CCS/' F amiriq Insp Mp(JianIcal F it-a1
Call for639-4175
CITY O' TIGArRD
COMMUNrTY DEVELOPMENT RD SEWER CONNECTION
13125 SW H@11 Blvd. p.0.am 23397.TOW,0moon 07223(5W)&V4176 DEPARTMENT` 6m PERMIT
PE RM 1 T #
'3I TE ADDRESS— : 639-4171 DATE ISSUE-1):
0821-7-- SW MOTTHEW ST
--'ULAl)I V I S I ON. . . . : MATTHEW PAPP, PARCEL 2S112BC-MPK0'-,
SLOCK. . . . . . . . . . 2 1-OT. . . . . . . . . . . . . 23 ZONING:
TENANT NAME. . . . .
IJSA NO. • . . . . .WORK. . . -NEW
01:
CF'IXTURE LINT TS.CLASS -'
IYPE OF USE. . . . . :SF., DWEL.L.I NG UN I TS.
INSTAL-L TYPE. . . . ..SUSWR NO. OF BUILDINGS: 1
Pematlks: PATH I 'MPEPV �31JRFnCF. S f
(.1vinpr: ----------------------------------
M11-1-ER LAU11-DER INC
'r-4y FEES
(J. BOX 23291 t ype amol.mt lav date t,ecpt
PRMT $ ajoC, 00 jH'
'TIGARD OR 97.�81 INSP $ 35- 00 JI-4
Phone #: 684--7543
Cant r,actot'..
C:ONTRACTOR NOT ON F'ILF-
Phone
Pen -7 1755. k10 TOTAL.
This Applicant agrees to copply with all the rules INSPECT1ONrG s and regulptions `'ewer IT)Sper-ticin
Of the Unified Sewage Agency, Ine vfrpj*� @xpjr,..j 180 days frog
the date issued. The total avourt paid will be forfeited if the
DIrlit expires. The Agency does not guarantee tre accuracy of the
lidP sewer laterals. If the sewer is not located at the leasuresent
91YO", the installer shall prospert 3 feet in all directions fro*
the distance given. If not 5o located, the installer shall purchase
"Tap and Side Sewer" Pirvit and the Agency will install a lateral.
17/ ......
5 art By:
I for inspection 639-4175
61 -7
ITT OF TIGA RDNL.UMB I NG PERMIT
No PERMIT MST92-0154
COMMUNITY DEVELOPMENT DEPARTMENT Comm
13126 SW Hd Blvd.P.O.Bac 23W,TWod,OnWn 97223(603)6304175
T47, DA"IF ISSLJFD.- 08/05/9-"
CITE' ADDRESS. . . & 08212 SW MATTHEW ST P A R C E L c '"SI I F3 C' -N P K 03,
susDIvIstrN. — it MATTHEW PARK ZONINGs
BLOCK. . . . . . . . . , I
CLASS OF WORK— tNEW GAHBAGE DISPOSALS- 91
TYPE OF USE. . . . 38F WASHING MACH. . . . . . . : 1 BACKFLOW PRE VNTRS. . 10
n(,CUPf4NCY GRP. . #R3 FLUOR DRA114S. . . . . . . CO TRAPS. . . . . . . . . . . . . . 10
I(7R I ES. . . . . . . . 11 WATER HEATERIT I J CATCH BAS INS. . . . . . . 10
I xTU LAUNDRY -"BAYS. . . . . . 31 SF RAIN DRAINS. . . . . 31
I NKS. . . . . . . . . . I I GREASE TRAPS. . . . . . .
ski
I-AVATORIES. . . . . 14 OTHER FIX'TLJRF-.F*. . . . . 10
TUB/SHOWE RS. . . . I SEWER I-INE f It ) . . . . :0
WATER CLOSFTS. . #2 WATER LINE (ft ) . . . $ L0101
DISHWASHERS. . . . 11 PAIN DRAIN (ft ) : 30
I. i
Hemarkso F-IAT14 I
OWNED
JAY MILLER BUILDER INC TtF $ 1460. 00 JH 08/05/92
0. BOX 23291 IAPRI $ 400. 00 JH 08/05/9iP
BPLL $ 260. 00 11-1-4 07/13/92 229506
TIGARD OR 97281 R15PC $ 2'0. 0111 JH 08/05/92 ---
Phone #i 6194-7543 ME-SRT $ 40. 50 JH 08/05/92
MPLC $ 10. 17 JH 08/05/9P
Plumbing Can i-ri-art or m5pc $ ?. 0.3 JH 08/05/92
PPRT $ 140. 00 JH 08/05/92
I'la pie 1, P!5 P C, 4; 7. 00 JH 08/05/91:'
Add r e s s i LA. 0e) JH 08/05/9j'
St At e a PARK $ 500. 00 JH 08/05/92
Zipt —.--Ph ro n e#t
REUUIIItEl) IN6V1EC1I0N,:-)
jr1t.is permit is issued subject to the rew-
- c -i 1.1a Foot/fai-ttid Insp Pain drain Insp
tlativyki rantained in the Tigard Munic I
rode, State of r3j�e. Specialty Codes cAnd all post/Ream Struct Water Line Insp
tither arplivable laws. All work, will tie done Post/FAeAm Merhan Apprisdwlk Insp
in acrardance with approved plans. This P1111/fAlIdSlab Insp Mechanical Fiy) .) l
pot-mit will expire if' work it; not started PLM/11-Inderf) oor Plumb Final
oi, {in ISLA days of issuance, or if work is Mechanical Insp Building Final
.a4spendod for mare than 180 days. Plumb Top Out Erosion Centrol
Framing Insp Crawl Drain
Fireplare Insp
Gas Line Insp
ln%ulmtion Insp
Gyp Board Insp
,'()rlzed Plumb�nivp-,-Ontrikvt—or gii��Ture
Call for inspection -- 639-4175
1 ontrArtor
CITY OF TIGARD — RFCFIPT OF VlAYME"NT RECEIPT NO.
CHECK AMOUNT a 5004. 66
NAME s MILLER, JAY CASH AMOUNT IA. 00
A L)D R F E-3,S a PAYMENT DATE a 08/05/92
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF" PAYMENT AMOUNT P01
BU
-i 400. 00 PLUMBING PERM 140. 00
MLCHriNICAL PE 40. 5el ST. TAUILD PER &19. 03
AN CHECK FE �0. 13 !--',EWER USA 2100. vlo
-WE:R INSPECT 35. 00 PARKS GDC 500. 017,
.TORM 9 )RAIN SDC C280. 00 RESIDENTIAL rRAFF'TC FEES 135,71. 00
MASS TRANSIT TIF FEES 110. 00
1-01" 3 MATTHEW PARK
14LI2 SW MATTHFW ST
TOTAL. AMOUNT PAID ;)N04. 66
rITY OF TICARD RECEIPT OF PAYMENT ST.1 F I PT NO. :92--229506
NAME x JAY MILLER BLDR. 9 'INC. CHECK flMOLJNT e 230. 00
ADDRESS P. V. BOX !?3P9 I Cr`EH AMOUNT 0. 00
POYMENT DOTE
TTGARD, op 9,7223— BUBO).')I F3 ION
OURPOSE OF PAYMUNT AMOUNT PAID r,LJRPOSF OF' PAYMENT AMOUNT PAjr)
mArTHFW PARK UOT #3
'rOTM- PMOUN'r FSA it,