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cily OF TIGARD G! r,T OCCUPANCYUNCUPANC o�
A (::Y
COMMUNITY DEVELOPMENT DEPAI3TMENT PERMIT' 0. . . . s MST93--0185 e
13125 SW Mall Blvd.Tigard,Oregon 47223.9100%J603)63®-#171 DATE ISSUED; 'b81 1 2193
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SITE ADDRESIG. . . : 09-567 SW JUBILEE CT ■
SUBDIVISION. , . . e JUBILEE. ZONING:
CLASS OF WURK. aNCW �
TYPE OF USE. , . s qF
OCCUPANCY GNP. , 3
VAIN
OCCUPANCY LOW)l ? 4
TENANT 'JAM[:. . . :
Remarks : PATH I
Ownfrr; _.._ .. .. .__ ..... _..............__....._..-_._..._..__.._____.__.
TAY MILLER
TIGARD OR 91sie81
Phone #Is 684. 75'4:3
Contractors
j JAY MILLER
PC BOX -23291
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TIGORD OR 97�a1
Phone #!: 684- 7543
` Re(l #. . c 301101)
1 Oc.cuppncy of the above r•eferenc,rd buildinr� is hereby gi yen, and certifies
the r_op►pliancn with the litate UP Cr•eqon Specs.ally (..odds For the growl,
o cupeincy, and use �mder which the re'rerenr.edpsr•mit was issued.
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INSPECTION NOTICE �.
c'i-cy of 'Gard Building Department i
13.1.23 SW Hall ?ivci. Tigard, Oregon b:9'j C.`�&9'J= 7 ,
i Inspection Line (Rec-O-Phonta). 639-4175 Business Phones.
Inspection:___
Footing Plbg. Underelab Mech. Rough-1n Appr/sdwlk
Found. Plbg. Top Out Gas LiieINAL
Post/Beam Struct.. San. Sewer �'ra.ning � Bld 1
Poet/Beam Mach. Rain Drain Insulation -P
Plbg. Unc;^_floor Water Line Gyp. Bd. - ch.'
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Pate Regnested: -Time: M PM
Addrees: s.�,-1, --X--L 1Permit
Builder:—
THE FOLLOWING CORRECTIO08 ARE REQUIRED:
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____APPROVED DISAPPROVED - APPROVED SUBJECT To ABOVE
Call For Reinap. r
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INSPECTION N0f.1C8
City of Tigard Buildi-9 ":.jart-ment d'
13125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4 1 ;.
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Insp-_,tions --
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hooting Plbg. Underelab Mech. Rough-in ApFr/Bdwlk
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hound. Plbg. Top Out Gas Line From$
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Poet/Beam Struct. San. Sewer Fraainq
Post/Beam Mach. Rain Drain Insal.ation -Plumb. j.
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Plbg. Underflour Nater Line Gy*p. Bd. -nosh.
Date Requestads C7 Time: p'i °Y �r, ai' •
Addross: l�hq l
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Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors.
_"PROVED DI%kPPROVED APPROVED SUBJECT .7 ABOVE "
Call For Reinsp.
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INSPBCPION NOTICB
City cf Tigard Building Dopartasnt
13125 ati Ball Dltd. Tigard, Or-Ion 97223
i
inspection Line (Roc-O-Phone): 63^ 4175 Business Phone: 639-4171
InspectionsNEF MEM,
-
Footing Plbg. Underelab each. Rough-in Appr/Sdwlk r
T„and. Plbg. T.3p Out Gas Line FINALS
Past/Bean Struct. San. Sewer Framing -Bldg.
Post/Beam !loch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
Date Requestodst�— 1 - ( -T.imo: _:�:,_AH PN
oadrese: ✓� lL �--1-� e C `lIt 4 —� Permit ie 21
Builder: 1
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TBE FOLLrOWING CORRECTIONS AItE REQUIREDt
Inspector:T��� ��jDatse�=�_ /
APPROVED nISAPPRUVED APPROVED SUBJRCT TO ABO''1!
r Call For Reinsp.
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INSPSCT10N NOTICE , E
cit_• of Tigard Building Dep--t—tii�f- t
11125 ;M Hr11 Blvd. 7'_9ard, Or"p¢ 97223`,
Inepectior Line (REc-O-Phone)s 639-4176 Bue .ness Phones 639-4171
it Inspections _
w' Footing Plbg. Undorslab Mrch. Rough-in Appr/Sdwlk .
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Lound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sa•.t. Sewer Framing -Bldg
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Post/Beam Hoch. Rain Drair Insulation --Plumb.
Plbg. Underfloor Nater Lina• Oyp. sd. -Rech.
Date Requestedt�
Address: Permit �5--
�, -
THE FOLLOWING CORRECTIf`NS ARE REQUIRED•
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Inspector Date: f
APPROVED DISAPPROVED APPROVED SUBJRCT To .VBOVE 7—
Call For Reinwp.
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IMSP3QjjON NJTICE _ _..
City of Tigard Building Department
1.3125 MBall 81rs9. Tigard, Oregon 97223
Inspection Line (Roc-d-Phone)i 639-4175 Business Phone: 639-4171
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Inspections_
looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk i
Found. Plbg. Top Out Gas Line FINALS
Post/Beam stcuct. San. Sewer Fraeing -Bldg.
Post./Beam %ech. Rain Drain Insulatio -Plumb.
Olirg. Underfloor Water Lin- Opp. Dd. -lysch.
Date eatede Time: —/--I- AM
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Addreus n', C� / `��`Z-CC_/ Permit !:
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TEAM BOLLOWING 0ORRECTIONS ARE REQUIRED:
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Inspectors_ Dats.:
APPROVED v DISAPPROVED APPROVED SUBJECT TO ABOVE
4 (eefil ?or Reinsp.
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INSPRG73ON NOTICE
City of Tigard Building Departaent
13125 SR Hall Blvd. Tigard, Oregon 97223(-,,-
Inspection
7223 Inspection Line (Roc-40-Phone): 639-4175 Business Phone: 639-4171
;e
1. ._ .- Inspections
rooting Plbg. Rndorsl�b <Tfach_ Rough-i Appr./sdwlk
Found. Plbg. Top Out Gas Line lLVAL:
Post/Beam Struet. San. Sewer Framingf -Bld7. 4
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Post/Beam Hec:h. Rain Drain Insulation -Plumb.
{ Plbg. Underfloor Water Line Gyp. Bd. -Mach.
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Date Requested: G' �_ Time: AN _PM
Address: �/sCL� / - L [! /.-y_.F� J Permit i:'%y� [JL eKS
Builder:_
THE FOLLOWING CORRECTIONS ARE SQUIRED:
_ _
Inspector: _ Date:
APPROVED DISAPPROVRD APPROVRD SUBJECT TO D',OVR
Call For Reinep.
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�NSPE.`TION NOT LE
City of Tigard Building Denertssent r'
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13125 811 Ball 91td. Tigard, Oregon 97:123',' e
Inspection Line (Rec--O-Phone): 639-4175 eusinea,% PhdnM• 639-41*11
Inspect p� .� _
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Footing Plbg. Underelab �Neoh. ; Appr/Fdwlk
round. PlIn. Top Out Gas Line FINAL=
Post/Ream S:ruct. Sas. Sewer raminq -Bldg. I
Post/Beam Hoch. Rain Drain Insuliti)n -plumb.
Plbq. Underfloor water Line Gyp. Pd. soh.
Data Requeateds_ `� / Time: AM PM
Address:
Permit
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Builder:T ��
TNS lOLLOWING (X)T"CTIONS ARE REQUIRED:
-
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Inspectors — Dates
APPROVED DIBAP?AOVSD APPROVED &UBJRCT TO ABOVE
!.all For Reinsp.
.{ ;J�i$JKMT4�.1115?Pva+aG�'I�.nlaan..wwa+aatwrorexCl/Ai�,+YliaG��AkWi4Y�T1T,�4R•r1:5i.�«fiWaa:r:�w:rro..,;n,wn..r...
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INSPE TION NOTICE
City of Tigard Building Department G.� .
1312 sR Ball Blvd. Tigard, Oregon 97223 n?
Inspection Line ,;Rwc-O--Phons)z 639-1175 Business Phon' (((639- F�
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Inspection: —
Tooting Plbg. Underslab Hech. Rough-in Appr/Sdwlk
Found. �'Plbg. Top out Lias Lino FINAL: I
Post/Beam Struct. San. 14ewer Framing -Bld(t•
rust/9eam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. - h• Y
Date itequestod: Time: -�1 AIS — PM
`)
is Address:
'I-)
Permit
Builder:—
TU FOLLOWING OORRECTIONS ARE REQUIRED: q
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r Inspector: _ Date: / l
�—APPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Roinap.
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May 4, 1993 CITY C1j F TIGARD
Vii° I
OREGON
.Tay Mil.Lvr Builder, Inc.
Jay Miller
P.O. Box 23291 / M
Tigard, OR 97281
Jay,
P.fter your visit of April 29, I discussed with Chris Davies, Priv.-lte Development
fmgineer., the problem of the hcuee foundation on Lot 4, Jub:;.lee Pl.ace, existing
within the public storm drain easement. Chris and I reviewed the use of a
provisional--u3e license and that of the public vacation process.
Chris has no problems proceeding to City Counsel with a provisional-use license
agreement- . The license would grant the existing fcund.stion the right to occupy
the easement as shown on the mortgage loan inspection, by Centerline concepts
Inc.
a
This license agreement is contingent on you making application tc vacate the
southerly 5 feet of the Public Storm D__ain Easement on Lots 4 and 5, Jubliee
Place, and paying all applicable fees. For further information about the
vacation process contact Ron Pomeroy in the Planning Department.
To proceed with the licensing agreelaent, havA your attorney draft the licenses
agreement Please include the following exceptions by which the license
agreement will be invalidated or revoked.
1. Should the nonconforming atrurture be det+troyed by any means to an extent
of more than 60 percent of its current value as assessed value by the
Washington county assessor, this provi3ional-use license shall expire as
per the Tigard Commurity Development Code for Nonconforming Situations,
Chapter 18.132.
2. The easement is either abandoned or vacated through tha public vacation
procrass as described in Oregon Revised Sta*.ues concerning public .Lands, x,
this Provisional use license shall expire
After license dooumeni, is recoived and approved by the City• s Engineering Staff,
the proposal with be sent to the City Counsel for their a-pproval. During this
time you should to start the vacation process through our planning department .
If 1 or Chris Davies can be of any further a,3sistance please give us a call at
539-4171.
Sincerely;
Bill Baier3ki.
Engineering Technician III
c.Chris Davies
George Steel
Ron Pomeroy bill\jmiller.ltr
13125 Al Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
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Centerline CC)nle apts, Inc.
640 bZnd Drive Gladstone,Oregon 97017 503 650.0188 'max.503 650-0189
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CLI-NIT NAME: JAY MILLER BUILDER iNC, DRAWN'9TA
ADDRESS- 9567 S.W. JUHii EE rLHCE SCALE. '
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LOTS � Ju6II.EE PLACE
PAT E:4--8_093
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S-_89"57'13" W 13L.54' h
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Q 5TOtM DRA{N EASEMENT
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---SIX FOOT PUBLIC UTILITY EASFMENT
IALONG FRONT LOT LINES. i
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MORTGAGE LOAN INSPFCTION I
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640 82nd Ddve Gladtlor,Oregon 97027 503 650.0188 tax 503 650.0189
CLIENT NAME: JAY MILLER BUILDER INC. DRAWN:BTA
ADDRESS: 9557 S.W. JUBILEE PLACE SCALE:1"=20'
LOT: 4 JU811_Ee PLACE DATE:4_8-93
W
S 89'57'13' W 138.54'
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I ---SIX FOOT PUBLIC UTILITY EASEMENT
ALONG FRONT LOT LINES.
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MCRTGAGE LOAN INSPECTION
I HENEBti DECLARE THt REAL IMPROVEMENTS TO THE ABOVE SHOWN PROPERTY TO BE SITUATE iHEREOII AS SHOWN, THERE ARE NO APPARENT
I ENCROACHMENTS By OR AGAINST THE DEPICTID PROPERTY, EXCEPT AS NOTED HEREON, This LG:AISC7N IS BASED UPON MONUMENTS
FOUND,IN PLACE, THAT APPEAR to BE NOT
To BE CORNERS, THIS DECLARATION IS MADE AT THE REQUEST,K4D FOR THE EXCLUSIVE USE,OF II
THE ABOVE NAMED CLIENT,AND IS NOT Tp BE USED FOR FUTURE IMPROVEMENTS. LAND DIV1;ION OR BOUi!OAAY IOCAl10N. PROPERTY k
SUBJECT TO EASEMENT'_OF RECORD.
SURVEYOR:
L.S. r
ACCOUNT NAME:
' INVOICE NO.:
11-7
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INSPECTION NOTICE
City of Tigard Building DeFsartasnt
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Ph. 639-4171
Inspections �/���✓ �f1,1 /4 iiy ��
Doting Plbg. Unde:elah Mech. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
d 1
.Y. P /seam 8 Sar.. Sewor Framing -Bfi-dg•
oat Beam Mech. ) Rain Drain Insulation -Plumb. -
(:Plbg. Underfloor ,, Water Line Gyp. Bd. -Mech. V
Date Requested:_ _—Time: _ _AM —PM
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AddreassJ �_—
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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(75 A L! C G.1Le_ i
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Inspector
APPROVED DISPPPROVED APPROVED SUBJECT TO ABOVE
gall Ror Reinsp.
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.._ .. .. .. ,� �.,.,�' ��• � ,iL..:1...Y+f•.. .y�h�8lq yyu4:d�rw,w,�. �'�
•` INSPE•C�' ION
44,
Cit? of Tigard Buildisaq Departssent ',
13125 SM Hall Blvd. Tigard, oregon 97223 ,
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
F
t Inspections_
Footin Plbg. Underalab Mach. Rough-in Appr/Sdwlk
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i Found.
Plbg. TOP Out Gas Line FINALS
Poet/Beam struct. San. 8 Framing -Bldg.
Rain Dr
Ina•ulation -Plumb.
Post/Beam Hoch. '
i Plbg. Underfloor Water Gyp. Bd.
-Hoch.
01_3 Time: _AM _PM
Date Raquaet _}ds r
Address: 5 Permit #:
Builders - ■
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector s/4�,��I Dates --�
—_APPROVED _— DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinap.
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CITY OF TIGARD ,r
.
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oreyon 07223.8100 (503)830-4171 1tiAS" Efl F' rl(~I I? 1
T-iSL I"fi{''i i h }�. . r . . . . . I�IJ 1..., _, —3/'•7�{.
+ay 41`l DATE, ISSUED: 03/30/':)
'31 1E ADI')RESS. , . : 09 61' .;W :JUBIL,L•E r-L PARCEL.
SUBDIVISION� . . . : JUEIILEL 2,')NINGi
I3L(JCK, . . . . „ . . . Lu .. .. . . . . . . . . . 14
BUILDING
RETS1;UE:MST;Z-01 10
' DWELLING LJNI T'3. i BALEMLN'i'. . .
CLASS OF WURK. :NLW BEDNMEi:3 BATHS;3 UPRAGE'. .. . . . . . . . . :418 s t
TYPE OF UaL:, . . ,SF FLOOR ARL`05- __..._.__... Rf:OUiFi.ra
ryPE OF CONST. -.5N FIRST. -970 sf LEF-1. 1 :6 f-t RIGHT'. : 10 ft
OCCUPANCY GRP. -.H3 iL.00111413. . . :6C,/; r,F FRONT. :,53 f t RLAR. . .60 f't
A 5'TOFJIES. . , , . . . «2 'THIF11). . . . 0 sf` RI:C.Ulhcf"L...__.._._.._... _ .._... ......__._,_...........
IGH'i' . . . . ..i':!2 ft TO F17,11- : 13, fit: 6IVQKL DETECTORS. «Y e
.-JOR LOAD. . . . :40 psfi VALUE. . . . 6a 31Gs8f3 �'ARIs.IN[� SGF10Ea. . : 1
tem,>t ks : PATH 1
_._.__.._._.... ... _........_.__...... . ._._____..____._.. PI_U DING _._..____._ ..._,. .._ __. __ ._..___.... ._..... .....___._._._._...
3INKG. . . . . . . . . . . 1. F t OGIIR DRAIN�0. . . . :0 FSH VNTrctii. . :0
1.AVA'TC'JRIES. . . . . :4 WATER HLATE:RS. . . « I 7 RAPS. . . . . . . . . . « . . . 10
T111:+i''�:FIp4�IL":rt'S. . . . . L.: A1.A`JIARY '1'iOYS. . . c 1 CATLH LEASING. . . .. . *.0
WATER C:LUtaEI S. . :3 SEWER LINE (ft ) . :0 UREASE TRAPS. . .. . . . . .0
I 1 GHWAfiF•It:r�a. . . t; i WW'L H LINE (i` 1 . ; 1 LIQ U T'HLF2 E I X'T URl:S. . . . . :0
UARBAUE DISP. . . : 1 RAIN DRAIN (ft ) . :0
445141NG 1yWL;l'-i. . . ;: 1. a:"' RWN DWIIN i. . 1
I _, _._._._.___...______.......... MECHONILAL
!r-L_ :Yf• f:Fa .__.._ .._...._..._ ..__. UNIT HTWi. . c type am0UT1t by date rE:upt
VENT' i . . . . . ..0 TIF' t 14E�0, QJQI .TM I[la/ 3 /9
MAX INPUT :0 BTU VL611 F"AN,S= , y4 Dr' $ 409. 00 JFK 0,1 1) a
"URN ( 100K . . .- I HOODS. . . . . . : 1 BPLC S 40. Q10 ,JLH �103/29/9;i 13 3
UI�114 ) =100K . . :0 WOODS''UVLF3. :VA B5PL $ x_0. 4'::1 JF-i 14)3/30/9L�
LUL)k F=URN. . . . 10 GLC) DRYER15. : 1 SSDC: $ .`80. Owl JF-t O�;/30/93
01"iIER UNITS.i! F'Fir(I; b _11L) 1. 04! ,7)I li"�
GAS OUTLETS: 1 Mrr`R T' $ 40. 50 JH 031JO,o ).:,
Jr, 03/31A1 ':, '
JAY MILLER m5i1C. $ 2. 0j JN 0311301"13
i F!C) BU K 1-,:13ccll 1 PPR f 1 I`.J'j.. e1Q.1+ JP 1031130/,313 _
SPL 'b 7. 75 Jr I
F' 03/3fh�`3
T l�iAFRD LJIY 97L81
-'horie #: 604-.7543 ,r
TAY MILLER
Pr) B t)X
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;"IIORD OR 97EOI
76dEfE, 3010j _ ......_...._._... .__..__.._._... _. __.__..._.._....,__..._........__._.._..
Nf:� rO Tire;..
'hit rirmit is issued subject to the rejuiat-,.rs contained in the - - - - REQUIRED INSGLGT IONS -- - -
igarG ?unicipai Cocie, State of Ore. Specialty Codes and all other F•o o t/ftp mild r n s p F i re p 1 ac e I n s rfi
applicaele laws. All armil will be dole in acccrdance with approved r'ost/BP,am Str",ltit Ua s Line Insp
pians. chis pervit will expire if work 1s not started w:tnir 160 [lust/Beam Mectiati 111I.i.i.art i nn i n�---p
aSyl< of issuar!ce, or if Bork is so'. 'led for gore than 160, days. Plm/w-idsIlats 1.nsp byp 6ualyd Irrsp
L.M�!wr.,tc�r gialar' R401 drai.n 1ns.F
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TIGARDc�TY OF
SEWER R CONNE G i ':LJN
COMMUNITY DEVELOPMENT DEPARTMENT K`C:Rh1I
13126 SW Hall Blvd.Tigard,Oregon 97223.6109 (503)630-4171
Drift.':: 1 GUL)I*D: 01", ,kri
l 7
9567 SW JUBILE:L 'L PARCEL: :gal l LPO—.rT:r;�0 .
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SULAD I V I S I UN. , JUBILEE. 7UNt'NG. ,
BLOCK. . . . . . . . , . . LOO . . . . . . . . . . . . . :4
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TENANT* NAME. . .
USANU. . . . . . . . . . . F11,, 'JRE: UNIT.13. . . s
(CLPSZS (IF W(1HK. . . :taI.W UWE,...L I \16 I_IN 7: T G. . : .i
TYt+`,' (f" USE-— . . . :SF NO. OF BUILDINGS: 1. A
BUI SWR Ih:PLRV SUFIFH UE,
Reinert-Ks : PAl'-i T
Ej
JAY MILLER cy,pe ainof.ant by date, recpt,
PU BOX PRMT $ 2100. 00 JH 03/30/93
Phune #t 664-754 i +�
tw
Co V,act oro
UONI H4CT P'", NOT' ON F 7 i_L'
Phor,e 4. A ' 3;_i. 021 i UTAL.
Sieg
RLIJUIRLU INSVILCI1L.'i'+,.,
This Applicant agrees to comply with all the rules and regulations Sewer- 1n5p,rct ton
of toe Unified Sewage Agency. Thr pewit expires 130 days tram
the cate issued. The total amount paid will hp forfeited if the
pprilt expires. The hgency dues not guarantee 0e accuracy of the
side sewer laterals, If the sewer is not located at the measu-ement
given, the instiller shall prospr,c 3 feet in all direction~ frau
the distance giver., if not so located, the installer shall purchase
a "Sap and Side Sewer" peruit and t;o Agency will install a Lateral.
I d lily
i"
Cala i cxr, inspect i ort 639 41 l
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CITY OF TIGARD "' 0Box2 25 SW I i 397
PLNCK/RECT N
rou�xz3397 PERMIT N /'115fG3 " !Jf�S
COMMUNITY DEVELOPMENT DEPARTWNT TFgard,Oregon 97223 I
(503)6394171 DATE ISSUED
,� u TAX MAP/LOT -��l 1//_ !/ - J 8 Oji<
JOB ADDRESS: r
SUB: Ju — LOT: LAND USE:
VALUATION:
OWNER SPECIAL—NO—IES rF
F REISSUE OF: 1gK.- /O4vD4v S �✓ %ifs L+►
NAME: �CL� 1'Y1 i I L�.r Sid Y
ADDRESS: LAST REISSUE:
_'j LayCi (9 C1 7 a8 1 FLOOD PLAIN/
PHONE: 6 fy - 3 — SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED AGI &,j
i
NAME: PLANNING: ��r"
ADDRESS: __ __ ENGINEERING:
FIRE DEPT:
—_—_
PHONE: OTHER:
_
CONTR. BOARD 1i: — EXP DATE: —
�qF.
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Wit S LIST/SULIST/SUBCONTRACTORS:
�2n t
MECH: C�E!! -NCat7n G . — BUS TAX:
�C�EIVGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: — OTHER: —�
I
j PHONE:
I
PROPOSED BLDG. USE:
1 COMMENTS: _ _ --
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i
APPLICANT SIGNATURE
Received By: _ Date Received:
— 7
a
1
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. 011r
i
-U/ 5- 10-432 00 Building Permit Fees _/ > o
10-431 00 Plumbing Permit Fees 1=>s Y`- f _ S.;'
Mechanical Permit Fees
_— 10 431 O1 Mec /
10-230 01 State Building Tax (5%) -�'U, 2% f - 3(Az%
BuildingrJ �l
Pl umhi ny ` 7, 7
Mechanical
s�
10-433 00 Plans Check Fee ''�U''3 —
Building `� y ■
Plumbiny
Mechanical —/0, 13 ;
10-230 06 Fire — —
SW2g3-01S9 30-202 00 Sewer Connection v2/oy r �t/uu
30-444 00 Sewer Inspection _ 3 _ 3�'
25-448-02 Commercial TIF Fees
25-448-04 industrial TIF Fees
+e,p
25-448-06 institutional TIF Fees
^_5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 13S,) r 312
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) _�'U U S°o._
31-450 00 Storm Drainage Syst Dev Chrg
(SSUC)
24--445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
I
CITY OF T 1 CARL► - RECEIPT OF PAYMENT RECEIPT NO. r q�. �:3�340�►
CHECK AMOUNT s 5019.
NAME:' ;t NEWCAS TLE H01Y F.:S CASH AMOUNT a 40• (30
. ,
ADDRESS 0 PO BOX 3, 91 PAYMENT DATE s S2r3r
T I BARD ORI" SUBD T i)T.71 ON
97223-
PURPOSE
"7223--
PURPOSE:. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA 11)
EfUIL_nING PE:F!M _...._.._.__.4
9, 9, PL.Uh1BIIVG4PERMIT
µ
MECHANICAL. PERMIT 40. 50 ST. BU I L.D PERMIT TAx s% sO. .' s 1
S PL.AN CHEC k F--El'
'El= 10. 13 SEWER USCF 2100. 00
SEWER I MSPE.CT'1 7N 3,5. 00 RES I DENT I AL. TRAFFIC F EE;S 1:3:50. 00
MASS TRANtiIT TIF FEES 110. 00 PARKS SDC 50f& 00
$TURM DRAIN SOC 2311. 0111
II PUILZING PERMITS AND SEWER PERMIT
�I
TfrrAL AMOLINlPA D — .. —> 5019. 86
I
CITY Or T I L7ARD RECEI p'r OF' PAYMENT RE:.C:C;T PT NO. a 93-238344
CHF'r Ch el!',jUNT s 40. 00
f•Ir�f�lE tr JAY MI I_l.r R BLDR, INC", CASH AMCJUNT s IZ;. O0
p (;UDRE SS t PO BOX 23:719 1 PAYMENT DAT k R 0 /r_'9 9?.
F TIGARDy OR SLISDIVISION a
9.7281
F.URPOSET OF`PAYMENT AMOUNT.^rA t 1) PLIF2P09E^ OF PAYME:.N— ONOUNT PA 11)
PLAN CHECK FE~ 40. 00
,)56'7 GW fUBIi.f_7s_. PI—Ar-E, 1. 01- 4
RL ,SUE'. OF t.o,r 7
t
1 OTAL. AMOUNT Pf.)I U — — ► 41A. 01121go"W '
,.. ^,,
n yi �}nif it S,e 174V
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