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8366 SW CHAR COURT-1 ADDRESS: &A, CA= r t�ou r- i:\records\microflrn\targets\building.doc CITY OF TIGARBUILDING INSPECTION NOTICE Inspection Lint- 639-4175 Business Phone: 639-4171 Footing Rair Drain Cover/Service FINAL. Foundation ''Vater Line Ceiling -Plumb. Framing -Mach. Post/Beam Mech. Shear/Sh,ath Elect. PIbg.UndIFIrlSlab PlhInsulation g.Top Out Bldg post/Beam Stnict. Mech. Rough-in Gyp. Bd. Reins. I San. Sewer Gas Line Appr/Sdwlk Other: .__ Date: A.M. Address: Ste MST: ! QZO _ Tenant .---___— —_ - - - BLIP: _____---- MEC:_ --- GoniOwn: _—._.____---- ------ PLM: -- ELC: --- THE FOLLOWING CORRE( BIONS ARE REQUIRED. ELR: ------------ - -----.—. Date: __..__-- Inspector. — --- - - - - ------ CF CO APPROVED —DISAPPROVED/CALL FOR REIN SP. February 1, 1996 TTY OF TIGARD OREGON ROBB, ROBERT E & l L ELLIS-ROBB, ROSELLE JOY nJv 0- 8366 SW CHAR CT �r TIGARD, OR 97224 Re: PERMTi'OMST94-0205 at 08366 SW CHAR CT Inspection(s) have been conducted on this project. However, we have no record of any subsequent or final inspections within the past 180 days. Please note that permits become void if there has not been an inspection performed for over 180 days. In that case,the Building Division may require a new application and tees to continue work. The City may also pursue civil enforcement if work has proceeded without inspections or if an unfinished project is outstanding. Please advise the Building Division, IN WRITING, within 15 days, regarding the status .,f this project. You may request additional time to complete the project. Respond, 3N WRITING, to: Building Division. 13125 SW Hall Blvd., Tigard OR 97223 Be sure to include the following information: 1. Permit#. 2. Address of property. 3. ;'our nacne. 4. Your day time phone number. If you are ready to schedule your next inspection please call our 24-hour Inspection Recorder at 639-4175. Please call the Building Division ai , 39-4171 for infomiation regarding; the ucxi inspection you require. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDF, 1'503) 684-2772 CITY' OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13196 SW FUM Blvd.Tig".Otfon 97?29•0199 (603)099-4171 PERMIT M. . . . . . „ r, ME,'9 4-0205 DATE l ry UE:T)e 09/2-6/94 u r°GaRC F E_ ac81 a 1 4`ra►a 1 TIS ADDRESS. G J �� '" . a ,,.L3 36G 5tJ l';FEAC2 (.T SUBDIVISION. . . . : COLONY CREEK NO. f• " ' 7ON I NC x R.,--7 lALOCK. . . . . . . . . . r LOT. . . . . . . . . . . . . 1125 GLASS OF WORK. :NEW TYPE OF USE. . . x SF' OCCUPANCY ORP. a 5N OCZUPANCY LOADtiz i I f�•pme�r>{ : PATH I JAY MILLER r' CI SOK P31?q 1 Phone 0: 684-754:a CantractorA 1=phone 10i Reg #. . 1 30109 This Gertificaeter grants occupancy of tht+ obEye -eferenced building or portion thereof and zonfirms that the bl.lilding has beer, inspected for compliance with the State of Oregon Specialty Codes for the geOO oc�r.m I nc'y, and use �_s mpr, ti i r 17 a refererwed permit was issued. F►CiO461NGaltdr TrF� RU-i F I ,IAL. POST IN CUNSP I C:U:IUS PLACE IMSPECTION NOTIC1f �� Cit! of Tigard Building Department 13125 Ba Ball Bled, Tigard, Oregon 97123 Inspection Line (pec-o-Phone. 639-4175 Busin-Nou Phone: 639-4171 I.spection: — looting Plbg. Underslab Hoch Rough-in Appr/Sdwlk -------- Found. Plbg. Top Out Gas Line FINALi. ) Post/Beam Struct. San. Sewer Framing ;;Iaq�) Post/Beam Hoch. Rain Drain Insul.atio� 7 -Plumb. Plbg• Underfloor Nater Line Gyp. Bd. Date Requestoe-:_ r 1 —_T = `AN pN t . AAdresss Permit �-�/ �__r Builder: � TRZ FOLLOWING CORRECTIONS ARE REQUIRED: LAJ ��z�c y •tom%; \ ,�2... ,� `�'�' \ E�_�PIST LewN J Inspector: "r _ - Date:__ y ,—� APPROVED —'61SAPPROVED APPROVED SUBJECT TO ABOVE r - --Call For Poinnp. INSPECTION�A91 City of Tigard Muildinq Derartowwat 13125 BW Hall Blvd, T}.gard, Oregon 97223 Inspection Line (ROC-O-Phones 639-4175 Business Phone: 639-4171 Inspections — Pooling Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line IIIJ►7, Post/Beam Struct. San. sower Framir.7 -Bldg. Post/Beam Moch. Rain Drain Insulation - Plb7. Underfloor Nater Line Oyp. Bd. -Koch. Date Requested: _ C71 U ry Times 3 AM PM Address• L ��v .4�c/G L Permit f: - 4 Builder: 'r TTS FOT.I.OWING CORRECTIONS ARS REQUIRED: Y i Inepectgre_ APPROVED DISAPPROVED APPROVED SUBJErT Tl) A Call For Reinap. INSPECTION NOTIC$ City of Tigard Building Departsisnt 13125 M Ball Blvd. Tigard, Oregon 97223 Inspection Line !Roc-O-Phone): 639-4175 Business Phono: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line I111iLt) n Post/Beam struct. San. Bawer Framing Post/Beam Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line /Gyp. Bd. Bch. Date Requested: / Time: AM PM �_ ��Z L�, _ mit 1: ,►ear...: / Per'�-ys Buildsr:_�I-_.Ll_ _L1 �� ��- U : �✓ 1 �r.C�-tom THE FOLLOWING OORRECTIONS ARE REQUIRED: Inspector:_ _ Date:_ �G -- PRROVRD DISAPPROVED APPROVED SUBJECT TO hBOVX For Reinsp. LNS9 4ION NC Cil City of Tigard Building D. 13125 ON Ball Blvd. Tigard, ox L3 Inspection Ltne (Rec-O-PLone): 639-4175 Bus. Phones 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdw.k Found. Plbq. Top Out -*. 1,1�_) FINAL: _r Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. ad. ,-Mach. Dat.. Requested:__ Time: _ AM PM --_ Addresss_ y2 ..2 ) � Permit Is Builder:—& THE FOLLOWING C7ORREC'TIOLNLS ARE REQUIRED: �At Inspector — Date: APPt<OVEt - DISAPPROVED _ APPROVED SUBJeCT TO ABOVE Call For Reinap. j11Mcr'PIUM NOTICE. City of Tigard Building Department 13125 Sw Ball sued. Tigard. Oregon 97223 I•ispection Line (Rec-O-Phone,p: 639-•4175 Business Phone: 639-4171 Inspection: I Tooting Plbg. Undersl.ab Meth. Rough-in Appr/SdWlk j Pound. Plbg. Top Out Gas Line FINAL: I Post/Berm Strut. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plnmb. Plbg. Underfloor Water Line C"Gyp. Bd. -Koch. Date Requouted: o _ -ILyTime: Address: _ �n �._ PevrmiC : ;Q �� LI BuJ.lder: �_ TFM FOLLOWI CORRRCTYCKS ARE REQUIRED: Inspector: Dwte: 4__A11fRov7pD DISAPPROVRD APPROVIt Lnoft To An4m Call icor PAInap. IMf&Pli ON NOTICE City of Tigard Building Department 13M S1/ Nall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Pho.c..)e 639-4175 Business Phone% 639-4171 Inspections__ Footing Plbg. Underelab ( h. Rough-i> r Appr/sdwlk Found. Plbg. Top Out C` Gin Lin FINAL: Post/Beam struct. San. Sewer Framing -Bldg. Post/Bgam Hoch. Rain Drain Insulation -Plumb. P).bg. Underfloor Water ,Line Gyp, ad. -Hoch. 9L1 Ti..Date RequeetedcAH Address: � CL � �-----pH Builders THE FOLLONI. CORRECTIONS ARE REQUIRED: � � %,�-, 1, G TLP 2:4- _ Ck. CA Q 13 '.,A�C _e Inspector: Dater APPROVED `T DISAPPROVED APPROVRD SUBJECT TO RROVE C .:211 For Reinep. INSPECTION NOTT,99 City of Tigard Building Deparixstnt 133.25 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones3 -4171 Inspection: Footing Plbg. Underslab Mech. Rough-in l,ppr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Port/Beam 3truct. San. Sewer -Bldg.Framing 1 -7 Post/Ream M x:h. Rain Drain Insulktion -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. --Meeh. Date Requested: w 1 �j �` Time: AN __PH Addreen: s 1p �F V1�`l i _ P'erm`Q�f:� Qaq.5-_ Buildert- CA-k- 1 THS FOLLOWING ODRRLCTIONS ARE RMUlkgD: Inspector: - -�—Dat er _ PPROVED -_ DISAPPROVED APPROVED 3URJSfT TO kBOVE -Call For Reinap. r, /j�tI011 NOTIO[ city or Tigard Building Departannt 13125 wHall Blvd. Tigard, Oregon 97223 In.pection Line (Ree-O-Phone)f 639-4175 Business Phone 6 9-4171 Irspec.ionf_ _ Fcoting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk ' ound. Plbg. Top Out Gas LirA FINAL: list/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Undoy.11oor Matter %ine Gyp. Bd. v-Mach. ~ Date Requosted: i - I `I Time: P-- AN PK Address: a 44 i , 1 0,1 -1 . Pe mii! s - C),:� Builder:' 11 I THE FOLLOWING CORRECTIONS A REQUIRED: Inspector:__ Date: APPROVED DISAP ROVED APPROVED Stl TO ball For Re.insp. F j)ISPECTION NOTICE City of Tigard Building Depart*MMt 13125 BW Ball Blvd. Ti9acd, Oregon 97223 Inspection Line (Roc 639-41')5 Business Pho 639-41'1 Inspection:__ tooting Plbp. 7nderslab Mach. Rough-in Appr/Sdwlk Found. Plbg. TOp Out Gas Line I.NAL, �.. Post/Beam Struct. San. Sower Framing -Bldg. Post/Beam aech. Frain Drain Insulation -Plumb. Plbg. Onderf7oor Nater Line Cyp. Bd. _Noah. Cl- 1 Date Requosted, �� l 1 / TLets _[�,l�111/� C1�N 1 Address, 4 ( .1/1D� e-27 PeP i / Builderz THE FOLLOWING CORRECTIONS APE REQUIRED, Ipspector:T__ ___ �V Date,. PPROVFD DISAPPROVED APPROVED BD CT To A Tovii . Call For Reinsp. i INSEE(aloN WYTICX City of Tigard Building Department 13145 BW Hall Blvd. Tigard, Oregon 974 Inspection Line (Roc-O-Phone): 639-4175 Business Phon 9-4171 Inspections_ Footing Plbg. Undsrslab Hoch. Rough-in Appr/Sdwlk VV Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sower Framing ) -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Q Gyp. Bd. -Hoch. Date Requested: 7- 1 � Tlme: --AM PM Addrese s /n� (R �,l�l c,-,-,- c— _ PM V 1 Ll Huildsr:� 1 X O j u m THE FOLLOWING CORRECTIONS ARE,pREQUIRED: D� .vim Inspector � Datel- �APPROVED DISAPPROVRD " ED SUBJE To ABOVE `Call For Reinsp. _ I INSPECTION NOTICB ti Citi of Tigard Iloildiag Department 13125 Sw Hall Plyd. Tigard, (Oregon 97223 Inspection Line (Rec-O-Phons)s 639-4175 Business Phones, 639-4171 Inspections- rooting mpaction,_Ming Plbq. Underslab Mach. Rough-in APer/Sdwlk round. Plbg. Top Out Gas Lina FINAL, Po Baan a-~trv�ct, plan. Bawer Framing -Bldg. Mec Rain Drain Insulation -Plumb, Underfloor a Wafter. Lina �/ Oyp, ad. Mach. Date Requested,. � 7 Tisa, -An ` PN /y t Address,_99 S�1 �/j „� f - Permit #I� t�y r Buildez, ���_ TM FOLLONINO ('ORRECTIONS ARE REQUIRED, Inspector, __-PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1312S BW Ball Blvd. Tigard, Oregon 9722 Inspection Line (Roc Phoneys 639-417S Busir Le Phone: 639-4171 Inspection:Z�y40f/r (�� �/�.�&� Footing Plbg. Undorslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Strutt. San. Ewer Framing -Bldg. Poat/Beam Mech. Rain Drain Insulsi:ion -Plumb. Plbg. Underfloor Natter LlineGyp. Be. -Hoch. Date Requester•: , V cJ `7 Time: Address: Permit s J �f /1« 'L I�ZT c / f Builders / Ile r- TFM FOLLOWING CORRECTIONS ARE REQUIRED: Inspector• ..- PPROVEn nIBAPPRown APPROVED SUBJRCT TO ABOVE _,__Call For Reinap. INSP1=1011 NOTICE city of =!pard 1lnilding Departadnt 13125 = Ball. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Business Phones6 4 Inspections _ -- ►opting , Plbg. Underslab Hoch. Rough-in Appr/Sdwlk 1pund. Plbg. Top out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Ed. -Nech. C` Date Request.ds (� / Times -PH Addr...s K3 6C.�x��z Cl_ P rmi Builder= .,. . THE FOLLOWING CORRECTIONS ARE REQUIRED= Mud nco n -- Inspectors Dates �tl� APPROVED DIJAPPROVED APPROVSD SUBJECT TO ABOVE Cel l For P.e> yap. I ,r PLUMBING PERMIT I CITY OF TIGARD DATE PERMIT ISSUED: • 06/02/94 4-0E@5 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW HW 1Wd.Tigard,Orpon 97223.61199 (603)639-4171 PARCEL: 2S 1 12BB--14700 SITE ADDRESS. . . : 08366 SW CHAR CT SUBDIVISION. . . . : COLONY CREEK 1\10. 6 Z ON I NG s R-7 EALUCK. . . . . . . . . . 1-01. . . . . . . . . . . . . : 125 ----------------------------------------------------- CLASS OF WORK. . :NEW GARBAGE DISPOSAI..S. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :iR WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . :0 FIXTURES------ ---- -- LAUNDRY TRAYS. . . . . . :ib SF RAIN DRAINS. . . . . : 1 �iiNKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . .0 f0B/SHOWERS. . . . s SEWER LINE (ft ) . . . . :0 WATER CLOSE T S. . ::3 WATER LINE (ft- ) . . . . : 100 DISHWASHE.RS. . . . n 1 RAIN DRAIN (ft) . . . . :0 Remarks : PATH I UWNER: JAY MILLER TIF $ 1.520. 00 SW 06/02/94 - P 0 BOX x'3291 BPRT t 379. 00 SW 06/02/94 - BPLC $ 50. 00 SW 05/23/94 94.--252635 -IGARD OR 97281 B5PC f 18. 95 SW 06/02/9 + -- Phone #: 684-7543 SSDC $ 289. 00 SW 06/02/94 - PARK $ 500. 00 SW 06/02/94 Plumbing Cartrac,tor-:----- - ------__--- MPRT $ 43. 50 SW 06/02/94 - j MPLC f 10. 88 SW (16/02/94 - Name : i �'J� 1 / M5PC $ 2. 18 SW 206/02/94 - Address : —__ PPRT f 140. 00 SW 06/02/94 - City:_.._ __•--.._. __.-.---..._- State : P5r-'C:' t 7. 00 SW @6/02/94 - Zips _ Phonell:— ------- RF9UIRED 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. Speciaity Codes and all Post/Beam Strui,t Water Line Insp other, applicable laws. All work will be done Post/Beam Meehan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final. permit will expire if work is not started PLM/Underfloor Plumb Final. within ) BO day_ of issuance, or if war•k is Moc.,haniral Insp Building Final suspended for more than 180 days. Plumb Top Out Erasion Control Framing Insp Crawl Drain ireplace Insp Gas Insp s Line In IIn Insulation Insp K -s- Gyp Poard Insp -- 14ut prized Plumb ng I.:ontractor Signature Call for inspection - 639-4175 Contractor Notes : . w �.. 'p� PERMIT ' CITY CSF T I GARD PERMIMASTER T #. . . . . . . : MST94-0205 COMMUNITY DEVELOPMENT DOWMONT DATE ISSUED: 06 /02/94 13125 SW Hall Blvd.Tigard,Oregon 972230199 (503)630-4171 PARCEL: 2SI12BB-14700 SITE ADDRESS. . . : 08366 SW CHAR CT SUBDIVISION. . . . : r'OLONY CREEK NO. 6 ZONING: P-7 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 125 BUILDING REISSUE:MST94-9029 DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS-3 13ARAGE. . . . . . . . . . o410 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-._---------- TYPE OF CONST. i5N FIRST. . . . :1394 sf LEFT. . : 10 ft RIGHT. s6 ft OCCUPANCY GRP. :R3 SECOND. . . :728 sf FRONT. :20ft REAR. 30 ft STORIES. . . . . . . s2 THIRD. . . . :0 of REDUIRED--------------------- I V—. 3H T. . . . . . . . :2 i' f t TOTAL------•: IG22 sf SMOKE D[7TECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE.. . . . . $v 81992 PARKING SPACES— il Remarks : PATH I ------------------------------------- PLUMBING ----------------------------------------- 5INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :Q1 LAVATORIES. . . . . :4 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. , :3 SEWER LINE (ft) . :O GREASE TRPPS. . . . . . . :0 VI5HWAGHERS. . . . : 1 WATER LINE (ft. ) . : 100 OTHER FIX TURES. . . . . :O GARBAGE DJSP. . . : l RAIN DRAIN (tt) . :O WASHING MACH. . . : 1 SF RAIN DRAlN,3- 1 MECHANICAL FEES, _.______r.___...___ FUEL -------------FUEL UNIT HTRS. . :Vj type amount by date recpt /GAS/ VENTS . . . . . :0 TIF $ 1520. 00 SW 06/02/94 MOX INPUT:0 PTU VENT FANS. . - 4 BPRT $ 373. 00 SW 06/02/94 FURN ( 100K . . : I HOODS. . . . . . : 1 l3PLC $ 50. 00 SW 05/23/94 94---252635 FURN ) =100K . . :0 WOODSTOVES. :0 B5PL $ 18. 95 SW 06/02/94 FLOOR FURN. . . . rb CLU DRYERS. ; I SSUC $ C--80. 00 SW 06/02/94 — BOIL/CMP ( 3HP:0 OTHER LJNITS: 1 PARK $ 500. 00 SW 06/02/94 GAS JUTLETS: t MPRT $ 43. 50 SW 06/02/94 Owner: .-MPLC s 10. 88 SW 06/02/94 JAY MILLER M5PC $ 2. 18 SW 06/02/94 P (1 PDX 23291 PPRT $ 140„ 00 SW 06/02/94 P5PC $ 7. 00 SW 06/02/94 li(IARD OR 97281 iT)one #: 684-7543 1 ant ract or: ----- — !11Y MILLER F10 BOX 23291 TIGAtiu 6,! 97281 Phone #1 68,(1-7543 2951. 51 TOTAL This pet-sit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS lig&rd Aunicipal Code, State of Dre. Specialty Codes and all other r-oot/found Insp Fireplace Insp applicable laws. i,l) work will be done in accordance with approved Post/Beam StrUCt Gas Line Insp plans, This permit will expire if work is not started within 184 Post/Beam Meehan InstAlation Insp days of issuance, or if itark is suspendp for more than 189 da-Is. Fllm/undslab Insp Gyp Board Insp 1",LM/LJT1derf 100t.' Rain drain Insp Permittee Signature : Mechanical Insp Water Line Insp Plumb Top Out Appv-/Sdw I t( Insp Tssued By .- Framing Insp Mechanical Final Call for inspec-tinn 639-417'5 SE:WL:R CONNECTION CITY OF TIGARD �.-RMI T PERMIT #. . . . . . . : SWR94-020 COMMUNITY DEVELOPMENT UOAR"Aa DATE ISSUED: 06/02/94 13126 8W Hall Blvd.Tigard,Oregon 97223.8199 (603)639-4171 PARCEL: 2S112HB-14700 SITE ADDRESS. . . : 08366 SW C14AR C7 SUBDIVISION. . . . : COLONY CREEK NO. 6 ZONING: R-7 BLOCK. . . . . . . . . . L-01 . . . . . . . . . . . . . : 125 'TENANT NAME.. . . . . : USA NO. . . . . . . . . . : IIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS- 1 1 YPE (*'"- USE. . . . . :SF NO. OF' BU 1 LD I NGS: 1 T N STALL TYPE. . . . :LXUSWR I.MPE:RV SURFACE. . : : s f Reiharks: PATH I Owner: ----_____._.______.____._____._________.----------•----_-___- FEES JAY MILLER type amount by date recpt P 0 BOX 223291 PRMT f 2200. 00 SW 06/02/94 - I NSF? f 35. 00 SW 06/02/94 - TIGARD OR 97281 Phone #: 684-754:3 Contractor: CONTRACTOR NOT ON FILE -------------------------- Phone #: E 2235.00 TOTAL. Peg #. . . --------- REOU I RED INSPECTIONS --- ---- T'•is Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 188 days from the date :slued. The total amount paid will be forfeited if the c)ersit e.pires. 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 the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the A envy will install a lateral. e r m i t t e e f=,i.g n a t l..t r�e : _ / s S I.A e d B y • Call for inspection - E39--4175 LI TY OF T'1 C3ARD - RECEIPT I:JF PAYMF'N1 Rk-1;F:1 PI NO. t 94-25'MA46 CHECK AMOUNT' t 5136. 51 Nt 11HF.:: t JAY MILLER BU I LDFR GASH AMOUN T a 0.00 N1�1)FlF:�3Fi 1 PPYMF-:N1 DATE t Ob/02/94 E3UBD 1 V I i.i I ON a PURPOSE OF PAYMF N I AMOUNI' FSA I D PURPOSE ()F= PAYMENT AMI)UN 1' PA I U F31JII..DINC3 PERM M:'';7'�14 �.:'0'4i 3'7'-;. 00 1Jl.UM0lNVJ PERM 140. ft MF.'(,'HONICA1_ F'IF: 43. 50 ST. F:li. ILD PER r'f3. 13 PLAN f.:HF CK FE 10. 813 %--'.WF.R USA 410 F;EWW:'Ft 1NCiPF:[.'t 35. 00 PARKS SDC 500. 00 i;T'ORM DRAIN SDC: .130. 00 REfil)ENTIA1_. tRAFFIC: FFES t4141. 00 IVIW; + YRANf31T TIF FF•FS 11N. NN 14:366 SW CHAR CT LOLL1NY (""REEK lib, 1_01 1r"s!!- I t AMI)UN T PAID -- _.) 5 t 36.51 r� t 1 q Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. T'o'yard, QH 97223 (503) 639-4171 Jobsite Address: -� Subdivision: � n RP of # l� Offlo Use only .�._ � ec# valuation: Pergiit# OwV n 1 / 4� r (� Relesue of r — Address: M2p & 7L#_ �� 2- L3 0, j/ _ �-- -�•�, Apj3rovals Rectued Phone: Plannin Contractor: _ Engineering Address: :.:.Other 'stent$ �iequired ;i Ji ; Phone: utiContractorr Contractor's License # (attach copy of current Oregon license) 5, ri1§S Subcontractors: E� Plurns Ntech�Vhical: , \/ (attach copy of cuffoMt OR Contractor's Ucense) Architect/Engineer: Address: Phone: COMMS -�2 Applicant Signature & Phone number G Received by: � Date Received: Permit # Account Description Amount Amt. Pd. Cal. Due i ,/ s��rN_OrZ�`• Bldg. Permit ;BUII_Dj 3 7 • a� .37f. Plumb. Permit (PLUMB) / 1 a Mach. Permit (MECH) W3"i State Tax (TAX) .2 Bldg: Plumb: Mach: oZ � Plan Check (PLANCK) G a� � y Bldg: Plumb: Mech: /U•-W -/ �1Gv d•vSewer Connection (SWUSA) Sewer Inspection (SWINSP) Jr 3 .) _ Parks Dev Charre (PKSDC) _s�'y w _ .S✓o Storm Drainage Chg (SDSDC) _ Residential TIF (TIF-R) i ( v Mass Transit TIF (TIF-Ml) _ Ito Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Irstitutional71F (TIF-IS) Office 71F (TIF-O) Water Quality (WOUAL) _ Water Quantity .(WQLIANT) Fire District (FIRE) TOTALS-. fir.. .z• Sr6 CITY UE TIGF:RD RECEIPT OF PAYMENT FtF:.r F.It�I' N0. a94- r.'5ep- :�". CHECK AMOUNT f1 1.00. 00 r�lf►l=Ir:' a XAY MILL ER RL.DR t:AgH WOUNT a A. 1&1 a�M RF.=9S a PHYMF.NT DATE a OM/PO/94 gtJBDIVISLON a S•'IJ Rf naE UP7 PAYMENT AM(:IUN I PA:I D PURPOSE OF PAYMENT P)MOUNT PP I D Ill 014 CHECK r r RF X980"50. MA F-Lf,)N (WEC.K FF. RF I f3s OV' 50. 00 ft�� t sGG SW C14AR C,tyyiP4`Y !)r=:F: ANN I C)T A1.,. AMOUNT 1-1111D — ) 100. 00