13939 SW Fanno Creek Drive 13939 SW FANNO CREEK DRIVE 1 OF 1
ADDRESS :
/3 '739 w
i.'records\micrcfm\targets\building.doc
�e CITY OF TIGARD BUILDING INSPECTION NOTICE \
�nspect nn l ine 010c-0-Phone) 639.41'75 4175 Business Phone: 639-41
Inspection:
( rki
Footing Susp Ceiling Sprink. Rough-in Appr/Sdw k
Foundation Plbg. Unders!ab ch. Rough-id..
Fireplace
Post/Beam Struct. Plbg Top Out Elec. Rough-in (- iNAC
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation echJ
Underflr Insul. She r W I Gyp. Bd -Elect.
Date Requested. 7 3 45" Time: AM PM
Address \� ?.L (i)C vvC 4'
Builder: Vic ,-- i.C1 GS- 0 1.0 -
FOLLOWING CORRECTIONS ARE REQUIRED
.4
tnspec Date:
_44(s,„
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O Phoi,ci). 639-4175 Business Phone: 71
Inspection: at l C-,
Footing Susp Ceiling Sprink. Rough-in ApprlSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech San. Sewer Gas Line -Bldg
Plbg Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
et-pec
Underflr Insul. Shear Wall Gyp Bd. act
Date Requested. Time: AM PM
Address: I 1, /112
Builder qe g - o !0 7 PJrhlit� 5-- 0 I(,,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: — Date ‘70/Cc7-
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
For Reinsp.
1
CITY OF T I OARD — RECEIPT OF PAYMENT RECEIPT NO. 195- 6650i!
CHECK AMOUNT t E6. a5
NAME t BELL HEATING, INC. CASH AMOUNT t 0. 00
ADDRESS t 15550 SE PIAZT AVENUE PAYMENT DATE s 06/0A/95
SUBDIVISION s
Cl ACKAMAS, OR 97015—
f 7015"I
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA I D
MEC HAN I(AI_ PF MFG95-•016 7 25. 00 5T. 13U T I_D~PE;R 1. 25
S I TE t 13939 SW FANNO CREEK DR
101 AL AMOUN I PAID — — — •-1 26. C'5
CITY OF TIGARD
p'L'RMIT
COMMUNITY DEVELOPMENT DEPARTMENT ERh 'T tt : MEC9501 C 7
DATr IC +rl.. 13• ,�07, 9r
13125 SW Hall Blvd,Tigard,Oregon 97223.0199 (503)530-4171
PARCEL: crv102OD-00500
IT1'E ADDPE`. >. . . . 11130 ;.,W T . ,-sr— --r
SUBDIVISION. . . . : FINLEY FA` ZONING: R-7
)LOCK a LOT
: ,.ASS or WORK. . :ADD FLOOR r LJRN EVAP COOLERS:
TVPE or USE • CF UNIT I(E TERS. . ; VENT FANS. . . :
1CCUP'ANCY SRP. . :R3 VENTS W/O APPL; VENT S`=';TCM!;:
)TORIES BOILERS/COMPRESSORS HOODS a
UEi_ TYPE^ - - — - -- 0-3 IIC'. . . . : 1 DOME`'. INCIN
. /ELE/ / / --13 Hr'. . . . : COML. INCIN:
1AX INNJT: ETU 15- 30 I.r. . . . : REPAIR UNITS:
--IRE DAMPERS'. . : 30-50 HP. . . . : tili00DSTOVE S :
"ins PRESSURE. . . : 501- HP CLO
J0. OF UNITS—-.__,_._..-..... _.- AIR HANDLING L!'4:1' OTHER UN:%. :
.
"URN ( 100k ITU: ( 12i3 IQ( afro: CAE OtlTLL-T''.
'"URN > ffi 100K BTU: ) 10000 c f m :
teloai-3• s : INSTAL.I. FL"rAOCNTIAL r)1F CONDITIONING 1I1`1.'1 .
]wn�-•,..s _.___ __._ ... _ _...-_ ..-_- __- _ . _. -.____._.__ __ _ __ _-__.__ __,,....— FEET - __ ._ __.__
SCOTT MATTHEWS type lmount by date T w^^}
2939 SW FANNO crrr : rfURT :RMT t 45. 00 SW 06/07,'95
';PCT $ 1. .7.S SW Cr,/07/93
"IOARO on 717cJ'
i'h o.1 p Os
,ontractor: — --- _--- .._.._. .. _._ _ ._ ._.
ra. HEATING
15550 SE: PIAllA AVE
ACKAMAS OR 9701^;
'Thome 41 ; '-';G ' 1 ^4 t: t�C�. P5 TOTAL
3e 4i N. . a 00447
---------- -- REQUIRED I NSPECT I OL.4
pereit it issued Subject to the ,'eeulatione contained in the Mechanical Trp
'igard Mmicipal Code, State of Ore. Specialty Codes and all ether n otI 1n nor4
4petieable laws. Ai: heck will be Jo'. :n accordance w:tP
Ipjved plans. This perait will e.pire if work is -ct started
,it%ir :8i day! of iaslaance, ,:r if work is suaper:I,1 fr- e, r
hen tall days.
'r.ti m1 ► tee ._.iii• ro -ure : MaV
City of Tigard MECHANICAL PERMIT PlancWRec. #
13125 SW Hall Blvd. APPLICATION Permit # i\ALC, a5 -0!!v7
Tigard, OR 97223
(503) 639-4171
_----rte.—=--_ ----- -. I. r Descnpbcxi >x
Table 3A Mechanical Code OTY PRICE AMT1
emus
AdJobSS b r-35 ` 3 ,iivQ -J( 1) Permit Fee -- -- --^ -0- -0- - 10.00
2) Supplemental Permit 3.00
woes rer rem oaaraoFurna':a bo-TIT,IRRT 3T1Y
(l.IT" Y/97TMLk) S 1) incl. ducts it vents 6.00
LIMO Acer rnw -Pomace 100,00diTtr; -- - ----• __.
Owner I J9 3) ..5� 34Cry CT o. 2) incl. duds& vents 7.50
�•= ar Floor FtiThT3iice
(
T.T' -- -- -'--_-
-- �:64: . qu i 3) incl vent 6.00
Mospende f heater, wall heifer
4) or Ilnor mounted heater 6.00
mums
IIIII
� 191•1115 5� nOccupant ' � � ) appliance permit 3 00
wove MU '--Ffapaw oT heating.rani
6) (aroling, absorption unit 6 00
---
'.1. ----,
, i er or comp,TwTpemp,air condi -- - CM_
rhe ct. /J1 /kA..hr ANS- 7) to 3 HP;absorp unit to 100K BTU ( , 6.00 6
,L Boiler or comp,Twp pump,air corid.
Contractor S V 'S£ , '42 - .( �b y 8) 3 15 HP; absorp unit to 500K BTU 11 00
976,',.5—
, Boiler or comp,heat pomp, sir cond
(:i_44..... 170i,.5- 9) 15-30 HP;absorp unit 5-1 and BTU 15.00
'na wig- cisme TY MI Boiler or coin heat
D. Pump.air coricT
10) 3050 HP.ahsorp unit 1 1 75 mil BTU 22 50
I hereby acknowledge IFill i ive ra a applicatroThat at the Boiler or comp, nest pump, air cond. —_-
information given is correct, that i em the owner or authorized agent 11) > 50 HP, absorp unit 1.75 mil BTU 37.50
of the owner, that plans sutmitteid are in compliance with State --' r handing unit to 1~
laws, that I am registered with Mm Construction Contractors Board. 12) 10.000 CFM 4.50
that the number given is correct. (If exempt from State registration, 1Air fiandiig ural --- --' -'
please give reason below) 13) 10,000 CTM+ 7.50
- -----__-- - -Aon portable --
14) evaporate cooler 4 50
--- -- -- men an connected e
15) to a single duct 3.00
J Ventilation system not
hJ 1, f;. /'5 ' _y 16) included in appliance permit 4.50
MomJJJ `--Hood served by _`-
Ph - _
( i - a, 17) mechanical exhaust 4 50
'cm-xi.- w. naw • a alteration U iPpnir T-7 --I:ommercial or industrial —
to be done residen non-residential iJ 18) type Incinerator 30.00
xis,ng u- si T. - - Other re,woodstove,water --
building or property _- 19) heater, solar, dothes dryers,etc 450
Proposed use of 20) Gas piping one to four outlets 2 00
building or properly --- --- ---a-----+--
Type of fuel -oil 0 natural gas 0 LPG C) electric U 21) More than 4-per outlet
:-e---------
mum Fee SUBTOTAL ,pS(1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE 1 o»
IF CONSTRUCTION OR WORT(IS SUSPENDED OR — -- -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED ------ -
TOTAL I _ PC//11
Special ConrStions _ i
Date issued (4i4 `i 5 by ) . (A,) �- LLE„(,L10440700.10440700.11010440700.110 �-
1s
.rime..
r . 1
CITY OF TIGARD CERTIFICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENTDVARTMF.NT PERMIT * t M:iT94-0127
Hall Blvd.Tigard orDATL ISSUED: 07/e6/94
13125 SW H.
p �r{,on 97223.8199 (503)839-1171
PARCEL: 2S 102DD--12500
Slit ADDRESS. . . : 139:39 SW FANNIt CREEK{ DR
SUBDIVISION • FINLEY PARR ZONINf3:R--7
BLOCK t LOT :009
CLASS OF WORK. sNEW
TYPE OF USE. . sSF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:224 4
TENANT NAME. . . :
Remarks PATH I
JAY MILLER
u 0 BOx 23291
TIGARD OR 97281
Phone N: 684-7543
Contractor: •--_.._ -- . ..___ ... _ _ -. • _
JAY MILLER 1
PC) BOX 23291
TIGARD OR 97281
Phone Ns 684 -7543
Ring N. . : 30109
i
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupancy, and use under which the referenced permit was ssued.
Air
(X:f
JILDING INSPECTOR
.1 _ __
, r L t I OFF I C I AL�
POST IN CONSPICUOUS PLACE
LERIIFICATE or
CITY OF TIGARD PERMIT *OCCUPANCY
MST94-0127
OCCUPANYMST54-0127
COMMUNITY DEVELOPMENTDEPARTMENT LATE ISSUED: 07/26/94
13125 SW Hell Blvd igerd,Oregon 97223.9199 (503)639-4171
PARCEL: 25'1020D-02500
SITE ADDRESS. . 1 1;193'3 SW FANt4O CREEK DR
SUBDIVISION. . . . : FINLEY PARK ZONING:R-7
BLOCK t LOT 1009
CLASS OF WORK. ANEW
TYPE OF USE. . . t SF
OCCUPANCY (3RP. t R:3
OCCUPANCY LOAD:224 4
t i,.NANT NAME. . . :
Remarks' PATH I
Owners _.____-•-- --_
JAY MILLER
P 0 BOX 23291
I 1 uARD OR 97281
Phone M: 6134--7543
Contractors
JAY MILLER
PO BOX 23291
1-10ARD OR 97281
Phone Mt 684-7343
Rpq C . : 30109
Occupancy of the above referenced buildinj is hereby given, and certifies
the compliance with the State Uf Oregon Specialty Codes for the group,
occupancy, and use under which the referenced permit was issued.
Bl1IL I. •ECTOR�
if hi, \Nig
BU s NO 'Fl I C AL
POST IN CONSPICUOUS PLACE
City of Tim �
Building Department
13125 SO Sall Blvd. Tigard.
Inspection Line (Roc-O-Phone)t 639-4175 Business Ph�.r
71
Inspecttonr
Footing Plbq. Undenlab ---------- .—
Mach. Rough-tn Appe/SdMlk
Pound. Plbg. Top Out Das Line � PINAy�
Post/Ream strict. San. Sewer
Framing Crib
Powt/Ream Seop, Rain Drain
Insulation _
Plbg. Underfloor Nater Lino
Gyp. Bd. -IIRoh�
Date RequsKedt__ - a
Addreoo da �q Inn° rl _ •` f1_ e t'
Ru11Mr e 0 • L.��
wiWi •
THY FOLLOWING COSRIGTIOIIS ARS RIoDIRIDs -
1
OP
_
Inspectors
P11741111"
��Date
1E ;I :
Loogn1oveD DISAPPROM
APPROVED SUBJECT To
Call For Mlnap.
INSPtgrig NOTICE
City of Tigard Building Depart.eot
13125 Be Mall Bled. Tigard, Oregon 97223
Inspection Line (Rsc-O-Phone)* 639-4175 Business Phone, 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk N
Found. Plbg. Top Out
4•a Lino FINAL:
Post/Beam struct. Ban. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Mater Lite Gyp. id. -Mech.
Date Reque.ted,___ .J 9 q Times AM
Address: L.393 �I tni Ct tr `C. e .I
h!a 17i�!
Builder: -0 </ /'Y) 11e� 7 -7w,
THE FOLLOWING OORRECTIONs AAE REQUIRED*
Xe-(€An6 071 404.5-/o f ociAi vw A1EC�I f T
� NE
De.
~..�� /NST
10577 A16--
/? �aAc-174
Inspector, I Thain S
DatetV`/
APPROVED `r DISAPPROVED APPROVED BUBJEr_'P TO ABOVE
_ca11 For Peinsp
j( ptCT�ON NOTICs .)/11' ,
City of Tigard Build1uq Departwont
13125 ARI Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab Mech. Rough-ln Appr/Sdwlk
Pound. Plbq. Top Out Gas Lim' PINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Ply,
Plbq. Underfloor Mater Line � � -Mach.
Date Requested* -3- 9'! Time
AN /`/
Address* is 3 9 3 9 r�l/1,-k, VL.C-c k. remit •* 9,- 0/J2
Builders C< <f J)1/ //C'/
Till FOLLOWING CORRgCTIONS ARE REQUIRED:
eff C217--- glet&a./it'Ke--t+ ,41/
"lf,//d, AP/ 0 /
Insp.ctor* fo ,3 ilr
Dates �f
APPROVED DISAPPROVtD APPROVED BUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTiQ
City of Tigard Building Department
13125 SW Ball Sled_ Tigard Oregon 97
Inspection Lin. (R.c-O-Phon.): 639-4175 Business Phone: 639-4171
Inspection,
Footing Plbg. Und.rslab Bach. Rough-in Appr/edwlk
Pound.
Plbg. Top Out ams Lin.
FINAL'
Poet/Bean Struct. Ban. Sower framing -111.1g.
Po.t/O.am Mech. Rain Drain
Insula! -Plumb.
Plbg. Und.rfloor at.r Lin. gyp. Rd.
r -Hoch.
Dat. R.qu.et.d: S / 9 Times AB '�'(l/ 19
Address* 13 73 9/ J,'�U C . `�
/ / f.rt■tc t �j l 7
Ru Idol.' j7/ /L42 /
TR, POLLOBIKa OORRECTIONS ARE REQOIRID,
Inspector' dZ ..
Datet
air
DISAPPROVED APPROVED SUOJOCT TO A
uks
Call for R.insp.
INSP6oIOi moms /
City of Tigard Building Department
13123 SW Ball Sled_ Tigard, Oregon 97223
In.pection Lin. (R.c-O-Phone): 639-4175 Business Phone: 6- -4171
Inspections—
rooting Plbg. Und.r.lab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out gas Line FINAL:
Post/Beam 3truct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation ) -Plumb.
Plbg. Underfloor Nator Lin. Gyp. id. •M.ch.
Data R.qu.ut.d t S' 7 5 p YTimes
r
`1M
.p
Addr.sst /393 ! Fr9nnv CA-et /. ?25tft Q / O/.)
Builder, X1 1I / ! /e7i1/5"
TRE POLILl
CORRECTIONS APR RRQlilRRD:
Inspectors -// Dat•sil;Z2vi*
DISAPPROVEDy APVIOYiO SOi3/C1' TO
- call For Aeinsp.
INSPECTION NOTIc
City of Tigard Building Departmmot
13125 stn Sall Blvd. Tigard, Oregon 97223
Inspection Line (Rsc-O-Phonsis 639--4175 Business Phones
Inspect ion ---_—._^-- --- _ ---
Footing Plbg. Underslab Noah. Rough-1 \ Appr/Sdwlk
Found. Plbg. Top Out igmerimp.
r FINAL:
Poet/Beam Struct. San. sewer Framing -Bldg.
Post/Beam Piech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Q /Opp. Id. -Piech.
Date Rsquwsteds 9 c�-& ` - / t /, Tl/massJs 4 A14 �__7„
AAAresss 1 qi FYI 9eckDryit�t I9- O/,
jP1 Zei/ /fra-b) 654, - p-/'
THE PO COIIRECTIONE ARE RIQUTRIDs J1
inspector' i _ Dates___ (� .
. D !_— DISAPPROVED APPROVED SUBJECT ABOVE
Call For Reinsp.
INSPECTION NOTICE fig#11/./.
City or Tigard Building Department
13125 A Bull Blvd. Tigard, Oregon 97223
Inspection Line (R.c-O-Phone): 639-4175 Business Phone: 6
Inspection:
Footing Plbg. Undarelab (ILch. Rougtr-Z'R--- Appr/Sdwlk
Pound. Plbg. Top Out Oa. Line FINAL:
Poet/Beam Struct. San. Sewer ►taming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line/7 C� /Gyp. Bd. -Mech.
Oats Requested. w , J Time: AM PN
Address. 130139 F9nuic CALck 9q- 0/.27
Builder. f� _ Ju y kr - 951
THE roLIANINO CORRECTIONS ARE REQUIRED.
•
Inspector._ Date. 'fir ffir
APPROVED DISAPPROVED APPROVBD SU. TO A..
Call For Reln.p.
INSPLCfl0!1 NOTIcE
City of Tigard Building Department
13125 SW Rall Bled. Tigard, Oregon 97223
Inspection Line (Rem_-O-Phons)t 639-4175 Buair-^e• Phone: 639-4171
Inapoctions --- —— — --------
Footing Plbg. Onderslab Mech. Rough-in Appr/Sdwlk
_
Found. Pllq. Top Out Gas Line FINAL
Post/Beam Struct. -8ewer-'� Freeing -tlldq.
Post/ h. Rain Drain Insulation -Plumb.
Plbg Mater Lino Gyp. Bd. -Neoh.
s
Dat queated s 5 b?- 5v /� Times . AM PI
Addreua s /3'739 inric) Otee k a ,h"a.`(.. 91/ G)/.2 7
guilders kerl i )a/A L$'c1- yy3
TRX FOLLONIso Oo11AICPIOMB APR RFQOIREDt LO/
9
F/' r' /
d,0n1, I. ciddres s in ('vni jokier- / :i
i:73 o cCAA., kr , ,bu.I ,s�L ccakci 11-
i 4
1-
/ti as flet e/ n-c,
if
r
1
7/ ' -
Ins Dates_--�' L
_APPROVEDDIaAPPROVtD lr
APPROVED suBJv r To ABOVE f
_____call For Relnap
INSPNC'TION NOTICECS /
City of Tigard Building Department
1.7125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections — — --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound.
-�'��� Plbg. Top Out flan Line FINAL*
NaT Rcua
•st/ t. j San. Sower Freeing -Bldg.
X Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested s 4-2-2---CA Time /� AR PM
Melones ` T1 � M�
ts � � Permit I:(3"� — 0` 2-1
Builders �J • WN.` v ,
TEE ?OLLowIPO CORRICTIOW$ ARE REQUIRED*
0 no.....r t....1,-,
L,., :4--v\ cam. ,-..�.. ) .
C2 _5 c Q.
tl,i`e V ,c,..cz c,,r ti---r-c v Ae—✓ --Ali—
...,‘v QTS V--+ti pX.A-"-,-J L.
) V(....42",, ,....,„,.-e_ w u-s &_ cL. :.4 cry-v."-
. n
Inspectors V 2' �__ Dates 4-7-7.- -51
After DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rninap.
INSPP� TION NOVO; ���
City of Tigard Building Department
1312S SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
In.p.ctior:: --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Ins FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Poet/Beam Mech. wain Drain Insulation -Plumb.
Plbg. Underfloor Mabr Line Gyp. Bd. -Mech.
Dat. Requested: AR / / Time: AM 0/.2_ 7
PM
Address: /.3 Y 9 C1�-t.-,nn o 1/�t«L hrBit f: 9v-
Bulld.rt 7 FV-- 7
Tlit FOLLOWING CORRICfIOMS ARR RtQUTRRDt
__APPROVE)x..,__ : / 7
_ DIBAPPROVlD APPROVED ADBJRC? TO ABOVI
Call For Rein.p.
i!gpSCTION NOTICE
City of Tigard Building Department
13125 BB Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone):
/639-4175 Dusineas Pho -4171
Inspection: t )6<-
rooting
<.Footing Plbq. Underalab Mech. Rough-in Appr%Sdwlk
Ioued. Plbg. Top Out Gas Line FINAL:
Post/Seam Itruct. San. sewer Praising -Bldg.
Poet/Beaa Nech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line� Gyp. Bd. �-Mech.
/a ( p,/
Date Requested: - / / / ' Timer /�►J1N PM
Address: !3 7 !JGy'-7 /n 111 1. P f k irmit i t /7 a.?
Buiidert CLy //if r a) •
- 6 . /
TN: IMO CORRECTIONS AREPOI')
)') REQUIRED:
/LCA -c /�%�.Y� /?OD Vt. .
1
Inspector: Data:
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_,Call Por Reinap.
IR&PECTIOB BOTICI
City of-T19ard Building Department
13125 N/ Ball Blvd. Tigard. Dragon 97223
Inspection Lina (Rsc-O-Phones 639-4115 Business Phones 639-4171
Inspections
/ Plbq. Undaralab Nisch. Rough-in Appr/Sdwlk
Plbq. Top Out Gas Lina PIMALs
Post/Bea. &trust. San. &ewer Praising -Bldg.
Post/Bea. Mech. Rain Drain Insulation -Plump.
Plbq. Underfloor Nater Lino Gyp. Bd. -Mech.
Data Requested: / p/ -7 qTimes Y.,AN PN
/�
Address: 3939 Thea �I k Or !.snit is 9V--O/1 7
Builders 4 I . I, ' .'/_ G (. / ^ Lei ,,
__TPh CoOORRECTIOMS APR RBQUIRRDs
RE
C •• i. / # Jet :( //W _
.S
x---ev--r...-J Q.a...../1/4... s- e z; -±• '
______a_. --0 ;:-%\:- - 12----- ONI..1
0 T
AA111-.��r -6-.,_;--, 5.A2 .S vw--c, •re S 'Vr' A
'G C N [5..A..."-c _*c.r,-cr‘.,.J elfi1/4 S
Biu SA--2-LA 4-r p S �,n e„,...¢ t ----)
CA.ci .c.-t, owe s
Inspectors • Date: 4` 1I- -544
APPROVED __ DISAPPROVED ✓ APPRovED SUBJECT TO ABOVE
nnd
IMCall Por lf.p.
�
-_
. 7
CI1"YOFTIGARD ERMIT PERMIT NSTER P • MST94 -(7“ ,-:"
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/13/94
13125 SW Hall Blvd.Tioard,Ougon 97223.8199 (503)839-4171
PARCEL: 2SIO2DD-02500
SITE ADDRESS. . . : 13939 SW FANNO CREEK DR
SUBDIVISION. . . . : FINLEY PARK ZONING: R-7
BLOCK : L11 T •009
- - BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT •0 at-
CLASS
fCLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE •552 , '
TYPE OF USE. . . :SF FLUOR AREAS--- - REQUIRED SETBACKS
TYPE OF CONST. :5N FIRST. . . . :918 sf LEFT. . : 12 ft RIGHT. :9 ft
OCCUPANCY GRP. :R3 SECOND. . . : 11922 sf FRONT. :20 ft REAR. . :22 ft
STORIES •2 THIRD •0 of REQUIRED-
HEIGHT •24 ft TOTAL :2110 sf SMOKE DETECTORS. :Y
FLOOR LOAD •40 psf VALUE $: 106996 PARKING SPACES. . t1
Remarks: PATH I
- ------- ----
PLUMBING -•
SINKS : 1 FLOOR DRAINS •0 BACKFLOW PREVNTRS. . :0
LAVATORIES •4 WATER HEATERS. . 1 TRAPS :0
TUB%SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS •0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1O0 OTHER FIXTURES •0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---- MECHANICAL -- - - ---- FEES -
FUEL TYPES--- -- UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS :0 TIF $ 15c0. O0 SW 04/13/94 -
MAX INPUT:0 BTU VENT FANS :4 BPRT $ 450. 50 SW 04/13/94
FURN < 1OOK . . :0 HOODS : 1 BPLC • 292. 83 JLH 03/28/94 94-25057(
FURN ) Y1OG.IK . . : 1 WOODSTOVES10 BSPC $ 22. 53 SW 04/13/94 --
FLOOR FURN. . . . :0 CLO DRYERS : 1 SSDC $ 280. 00 SW 04/13/94 -
BOIL/GMP ( 3HP:0 OTHER UNITS: 1 PARK I 500. 00 SW 04/ 13/94 --
GAS OUTLETS: 1 MPRT $ 45. 00 SW 04/13/94 -
Owner: _._ -..--__..___.__.--.-- .---.__--. MPLC $ 11. 25 SW 04/13/94 --
JAY MILLER M5PC f 2. 25 SW 04/13/94 -
P 0 BOX 23291 PPRT $ 140. 00 SW 04/13/94 -
PSPC $ 7. 00 SW 4)4/13/94 -
TIGARD OR 97281
Phone Nt 684-7543
Contractor: --- ----
JAY MILLER
PO BOX 23291
TIGARD OR 97281
Phone N: 684-7543
Reg N. . : 30109
$ 3c^_71. 36 TOTAL
This pereit it 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 work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This persit will tapir: if work is not started within 181 Post /Beam Meehan Insulat ion Insp
days of issuance, or If work is suspei d for sort th 181 days. Plm/undslab Insp Gyp Board Insp
/�'I,` PLM/Underfloor Rain drain Insp
Permittee Signature: _l � J___
Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Is sited By : _._._ _ .______ ._r____...__._-._.__.____ Framing Insp Mechanical Final1
Call for inspection - 639-4175
SEWER CONNECTION
CITYcF T PERMIT *PERMIT • SWR94-0132
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/13/94
13125 SW Hall Blvd.Tigard,Dragon 97223.8199 (503)639-4171
• PARCEL: 2S102DD-02500
SITE ADDRESS. . . : 13939 SW FANNO CREEK DR
SUBDIVISION • FINLEY PARK ZONING: R-7
BLOCK • LOT :009
TENANT NAME •
USA NO • FIXTURE UNITS. . . :
1 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE :SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE. . : : sf
Reeta►rkse PATH I
Uwner: ----- – ----- FEES
JAY MILLER type amount by date recpt
P 0 BOX 23291 PRMT $ 2200. 00 SW 04/13/94 –
INSP $ :;5. 00 SW 04/13/94 –
TIGARD OR 97281
Phone N: 684-7543
Contractor:
CONTRACTOR NOT ON F=ILE
Phone N:
Reg N. -
$ 2c-'35. 0�1 TOTAL
-- – --- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires I98 days from _
the date issued. The total amount paid mill be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _
side sewer laterals. If tt.e sewer is net located at the measurement —�
given, the installer shall prospect 3 feet in all directions froe
the distance given. If not so located, the installer shall purchase
a 'Tap and Side Sewer" Permit and the ency will tall a lateral.^
l_,ermittee Signatures IJtJ� --
Call for inspection – 639-4173
2"5 / 2- 2_ /
. . .
• CITY OF T I OARD RECF.IP (W PAYMV NI kr CE JP1 NO. e941P1
CHEUK AMOUNT 5P%. 36
APIE JAY MILLER DI_DR, INC. CASI4 AMOUN1 •OS
•
DDRFS8 i P. 0. BOOX 23P91. PAYMENT PAl F I 04/13/94
PORTLAND, OR SUBDIVISION s
972/41
URPOSE PAYMI Ni AMID1NI PA'.D PURPOSE OF PAYMF:N1 AMUIIN t PA.1 D
• • ........
'VII DINO P1 IM MS.1"94-01 P1 450. 1'M PI LIMB.I NO P1 RM 1 4H. ON
ECI-4ANI CAL PE 45.00 ST. DU LLD PF.k .41... ?El
LAN CHFCK FE 54. OH HI WER USA SWk94 -01 .4P 2200. 00
'EWER INSPECT 35-00 PARKS SDC 50[4. 00
I ORM DRAIN SDC PRO. HO Rt.SI DI N1 I AltKAIFIh. 11,F 1410. 00
ASS 1RANSIT III FEES 110-00
39.49 SW lASSO Ck1-11c DR
DIAL. AMOUN:1 PR ;IP'it.. M.:,
PLNCK/RECT / ?� 5�
CITY OF' TI GARD "'u S'"`"u°BKd `` _--
COMMUNITY DEVELOPMENT DEPARTMENT rP a ,v7zu
PERMIT / 0.579V- C Z.71, 7
(5W)63¢41
" DAT'= ISSUED
015170
T‘ADDRESS: / 3 3i 9,5 LAD to 1')) K-- Dr. TAX MAP/LOT .425 LOAct- floefo_i_
lB: J-t V)1IL pv)[ LOT: LAND USE:
'VALUATION: /Uty/ 9,6:.
NKRSPEC LL NOTES
`NAME: dr\Le-Ty) t Pr REISSUE OF:
ADDRESS: I C . v.) i 2 2 q 1 LAST REISSUE:
(-)o-(-)o- rd_ U1� ' q /7Zd(E) FLOOD PIAIN/
PHONE: /y 1C1 ' 7S-4/ 3 SENSITIVE LAND:
CONTRACTOR APPROVALS RLQU[RED
NAME: /� 1Y�—�. _ PLANNING:
ADDRESS: ENGINEERING: _
FIRE DEPT:
PHONE: �/ OTHER:
CONTR. BOARD I: U/ EXP DATE: 14/I g) /�[ r
1
ITEMS REOUIRED
5U8CONICTORS:. PLUMB: . t (bJAt1' LIST/SUBCONTRACTORS:
MECH: 1) ZC II I LA,} t t = �� BUS TAX:
ARGHlENGINEER CALCULATIONS: —
NAME: - TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: _--
PROPOSED BLDG. USE:
COMMENTS: 2 Ct2Er&S 7Q S..ZIA
APPLICANT SIGNATURE
Received Ry: _ _ _ Date Received: ,4/.
)e _
.
PERMIT N ACCT A DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
11/504 .0/-'-? 10-432 00 Building Permit Fees .�� __ di5o.
10-431 00 Plumbing Permit Fees No.'
10-431 01 Mechanical Permit Fees � � �•`"" ✓
10-230 01 State Building Tax (5%) 21111 34 78r
Building
Plumbing 7.0 S
Mechanical 07. 2C-
30(1. 0/(e----
7. 2CSoy. o/(r' 51/, Of
10-433 00 Plans Check fee .46149;he ✓ 43' _
Building (P-92.(Y-36,/
Plumbing
Mechanical _/_/L,_2"---
10-230
L!-. ,_ "---
10-230 06 Fire
...S /4-03e 30-202 00 Sewer Connection 6.9‘200 .24?-00
30-444 00 Sewer Inspection 3_, _ �_
25-448-02 Commercial T1F Fees
25-448-04 Industrial TIE Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /ll/ ° /q/0 :•
25-448-05 Mass Transit TIF Fees // U _ (/0__:
52-449 00 larks System Dev Charge (PDC) Jtti Svu
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) , eD e0 ✓-
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL55D(D• Sie. ,)
nm/3587P.WPF
V '
i
. 1
1. I I Y 1H 1 1 1411.0) k1 ( 1 i O 1 OF I'l1 YMI N I I I•t:F J I'1 N . : .,41 .-i".-10!-.76
CHECK A11(111N1 . r'.')M.OP,
.1fit'IF r II LI.L..1-.K, JAY I: . 3N AMU'1N 1 . N. OW
41)1)40:1.3% r l'AYMF.NI 1)AIF 114/i'8/94
'011110IV.l1iLON
IJF.PO11F. 11F I'AYMETNT AMOUNT PA l I) P111- Pt0-*F; III I'AYMF N I ()MOON I I'A ID
;LAN CHECK F F i":41., op;
cl Vo 'AW I riNN11 I;HI 1 K
111 ill iU 1.0111I IN I PA 11► - ) i ",H. NO