15000 SW KENTON DRIVE ' x.xx.+wnVL.MPr�.u✓u�w+�.w+w'+x,.�i' •N�rr+xe.r.w r' MIMY!ar4�..MwA�W�WIMS4VIM..'YBMNW°/Df�WiMMi11'W�M�'MMY�IMW't ll�k/.Mr" :... ..... .,.�
S
i
1.
i
15000 SW KENEON DRIVE Y
YC."E.RTIFICTAll OF
nccuPAN(.-.
` � (crry , RD
COMMUNITY DEVELOPMENT DEpATMENT PC-RMTI.'T #. . .. . . . .
13125 8W 14WI Blvd P-0-Sm 23W)7'T19W,orogon 97223 '6G3)q0'"l-7S -- -------
ISSUED:
j:,,rj j I j,2r B-An 1 -V7
--'14TON IDR PARCEL.
R-7
'(DU[tFSG. . . I 15000 t,)W Kr ZONINE
t.,Bp1V SION. AS,;HFORV QAKS 3 . . . : 137
Si LOT
DLnc �. . . . . . . .
CJ�AcSS I-IF WOPK. 9NEW
iYPFI OF jj�E. . . sSF
OCCUPANCY GRP. :R3
OCCUPANCY LOAD1225 4
TENANT NAME. . . t
1.�p mar k 0 a
owners
JAY MILi-ir-Ft
p�fj BOX 23891
TIGARD OR 97281
Phone #4 684-7543
Cantractorl
JAY M!A-LER
pc) BOX 23291
11 C,
.A--j OR 97281
phollp #t 684-7543
0 q bijjildirg j % hereby given, alld C.'ertifies
,tp&rcy of the above r y (-od&s fot- the 91^01APi
orc, t1p state Of 'Ortagon
the complianre with I.dey, which the "Wermit siked
and tire
;0P
11-DIN- TOP
it: Mr�NT
- IRF
OU";
POST IN CONS"l[:L
Lm$P'01PA_NOTICB �/ 3
City of Tigard Building Departsient
1.3325 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-1p(de-slab
-Pho� 639-4175 Business Phone: 639-4171
Inspection: ---Rooting Plbg. Mech. Rough-in Appr/Sdwlk
L
Found. Plbq. Top Out Gas Line VINAL:
Post/Beam Struct. Fan. Sewer. Framing -Bldg.
Poet/Boam Mech. Rain Drain Insulation Plumb.
Plbg. Underfloor Water Line Gyp. rad. -Mach..
Data Requested:, _ Z—� --,—.—Tl mo: A-M _ PM
>
Addreea: > yT— Permit 1:
�v �__._..—
Builder:_ � E �■ter'—_ —_ — — —
THE FOLLOWING OL)RRECTIONS ARE REQUIPED-
=6 aLsA
,f
Insl)ector:_ LL'1x_ �i1 —�_—_ Date: ✓-�l`ale' --
APPROVED 0I8APP RD -- APPROVE) SUBJECT TO 1.90VE
Call For Reinap.
City of Tigard Bulldla9 :47223
1�{ 13125 90 Ball Blvd- Tl-90-d, Oregon 639-417]
y Inspaction Line (Rcc-o-Phone)t 639-4175 Busineeeinspection i
Mech. Rough-in Appr./Sdwlk
Plbg, Underalab
Footing FINALt
P Out
Po Gas Line
Plby• --Y"—\
Found. -Bldg.
Framing _
Post/Beam St�.ruct.. San. Sewer Plumb.
Rain Drain
Insulation
Poet/Bonin Mech. /
plbg. Underfloor Water Line
Gyp. Bd. � Ma
�
_ PN i
Timet �_-- ) �
Date Request-00' !�
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED' -
____________
Uatet�_.
Inspectors
DISAPPROVED _ APPROVED SUBJISCP To vWv"'
APPROVED "'—'-
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Buildiml Departannt
13125 SW Ball Blvd. Tigard, Mvgon 97223 r
Inspection Lino (Roc-O-Phone)s 639-4111 Business Phonef�639-4171
Inspections_
Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk
Poured. psag. Top Out Gas Line FINALS
Post/Beam Struct. Ban. Sewer Framing Bldg.
Post/Beam Mech. ...s.n Drain Insulation -Plumb.
Plbg. Underfloor 1Water. Line Gyp. Bd. -HocL.
Date Requested s
Addresnr l J ���� r 4", .`c. Permit #t5i��
Builders r_
THE rOLLOWING CORRECTIONS ARE REQULREDs
7
� 7
Inspectors -----.____— -- -------- Date:------- ----
APPROVED DISAPPROVED APP14OVED SUBJECT TO ABOVE
Call For Reinap.
.1��3.�'�9�l�� •
City of Tigard Building DOPartaent
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phore)t 639-4175 Business Phone: 639-4171
T.n-pect ion s---_— _—....___----.-----
rooting Plbg. Urderslab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out. Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drai.0 Insulation -Plumb.
Plbg. Underrloor WateL Line Gyp. Bd. -Hoch.
Date Reyuastedt //''''�� _�.(G/�1' AM PM
Address:. 1,5 (�� %J G.'7 /7L� Permit �-)
'` t� 7D'3 _
Bi iilder• �� � L.�G_ —
TF1E rOLLOWING coRRECTIONS ARR REQUIREDs
VIS L v V'6 vL 0,i J
�r�►, fA �I L _
_ IaT �erl ��►c �r.t, C n t v,
� w
Inspectors • Z-��.�Q Date:
APPROVED DISAPP APPROVED SUBJECT TO ADM
Call For Reinsp.
NSFE. ION NOTICE r
�-- -g---- L /
City of Tigard Juildi,rd �n 99727.3 ((/
13125 89 Hall Blvd. Tigard•
Inspection Line (Rec-O-Phoneys 639-4175 B,aainees Phone: 639-417
mainr
1
Inepect•ions`_--• �-__.-_.-------- — _-- !
p r Sdwlk 9
Footing
Plbg. Undereleb ch. Rough-in PP / ;
Found.
res Line FINAL=
Plbg• Top Out
Framing -Bldg.
Post/Beam Struct. Say. Sewer 1111
Insulation
poet/Beam mech. -plumb.
Dain ���
plbg. Underfloor. water Line
pyp, ed. -Meth.
-T MS:
PN
-
Date Requested 7 —'- •-s^ �� _ /�,���
Permit #:
Addrese:��
Builders2,/`� 44 x
THE FOLLOWING OORRBCTIf.)NS ARE REQUIRi.Os— - -
;
Dates _.. `--�
I n spec t n r• -_--._.----------
LISAPPROVED APPROVED SUBJECT TO ABOVE
APPROVED - -'
Call For ReinaP.
ns s In,10"AR .I-01
City of Tlga" BuildlLn9 DePsrtmMt
1315 RR Nall Ulvl. Tigard, Oregon 97223
Inspection Line (Qec-O-Pho11.. 1: 639-43,75 Ruei.ness Phone: 639-4171
Footing
plug. Undersl.ab Mach. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL%
Pont/@gem framing --Bldg.
Strutt. San. Sewer J'r -_`
post/Beau: Mach. k..,in Drain
�� Insulation-') -plumb.
?lbg. Underf� or Nater Line Gyp. Bd.
_viech.
Date Requested:
3,_ Timet `�-� -----pN
/ 5 0 D G .�' permit t.
Address:
Builders �('f'
THE FOLLOWING OORRECTIONS ARE REQUIRED: N
Date:
1 Y=Z
Inspector: _ —. —1--
APPROVED DISAPPROVED APPROVED SU3JECT TO ABOVE
Call for ReinmP.
City of Tigard EtuildtAg DeparLment
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busilieas Phone= 639-4171
Inspect ion:
Footing Pitxl. Underalab
Rough-in Appr/Sdwlk
Found. Plug. Top Out Gas Lina
PINALs
Poet/Berne Strur_t. San. Sewer -- g:Framin -Bldg.
4•
Pont/Beam H,Vch Rain Drain Insulation
-plumb.
Plbg. Underfloor Water Line
Gyp. Bd. -Meth.
Da.e Requested:_
--Timet
- — AH FM
Com_ Permit
Builder:_
TRE FOLLOWING CORRECTIONS ARE RgQUIRED=
Inspectors
��AFPROVED �j DISAPPROVED APPROVED SURJF.CT TO ABOVE
/J Call For Reinap.
INSPECTION AmCE !"
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec_O-phone;: 639-41'15 Business Phone: 639-4171
Inspection:
Footing Plbg, llnderelab oh. Rough-}.n Appr/Sdwlk
Found. Plbg. Top out. Cam Line
PINTL:
Port/Beam Struct. San. Sewer Framing -Bldg.
Poet/.team Mech. Rain Drai.. Inavlatiou -Plumb.
Plbg. Underfloor Nater /Lire Gyp. Bd. -Mach.
Date RequAeted, All
Address: Permit # �
Builders 1 c--/
THE HOLLOWING CORRECTIONS ARE REQUIRZTD:
Inspector, � -- -— Dates
_=A-APPROVED DISAPPROVED _ "PROVED SUBJECT TO ABOVE
Call For Reinap.
NSP CTION NOTTCE d K
City aY Tigard Building Depertnent
13175 SN Ball Blvd. Tigard, Ot 4_`
Inepect.Ion Line (Rec-O-.Fhune : 639_ Wn 9;7Z3
1 4175 Bueineee 1-`tone: 639_4171
Inapactione_
Footing - --
Underalab
Hoch. Rough-in A 8dwlk
Found. ' PPr/
_-FIb3 Top Out Gas Line
FINAL:
Pont/Beam Struct.
San. Stn•+er Framing
-Bldg.
POet/BOan Hach. Rain Drain
Inaulatlon _Plumb. _. •
Plbg. Underfloor Water Lina
GYP. Bd. -Rech.
Data Requsetedl
1 _Tlmet
-Jul PN
Addreee:
Ruildert__ 3)G 5-
Permit
THE FOI.IOFIINC (1ORREMIONS ARE REQUIRED-
144
-
Inepectort���'
Data t
4---APPROVED _ DISAPPROVED
APPROVED Bt•
-- -- 3JECT TO ABOVt
-- Call For Reinap.
l
i
�NSpgCTION NOTICR
City Of Tigard Bulldl,Wj p� 223
13125 811 Ball Blued. Ti9d`rd• Or'egop d Phone: 639-4171
Inspection Line (Roc-O-phone): 639-4175 Auei
Inspection: — - Sdwlk
plbj- Undecelab Nech.
Rough-in pppr/
Footing PINpLs
Plb9• Top Out
Gad Line
pound. -Sl.dy•
st/BeaM Stru San. sewer
Framing
` Insulation
-plumb.
Rein Drain dost/Nae Msoh./� Gyp• Bd. -Koch.Water Line
plpy. Undsrilaor AM PM
Timet / -----
urate Aequestedt L. p�
permit i1
pddree■� /� ��
Auildert,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_--•--
d
------��
I ' ✓��
—•--'__�'"
ehPPRMrzD Date:.Inspector --- DISAPPROVED APPROVEDSUBJECTTo
Call For P,einap. i
1
i
}
i
1.
�•NSPZCTI0I1 NOTICB _
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
I::spection L!.ne (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspection:
rooting Plbq. Undorelab Mech. Rough-in APer/Sdwlk
Found. Plbq. ':'op out Gas Line FINAL:
Poet/team Struct. San. S4"r Framing -Bldg.
Poet/Ream Hoch. Rain rrsin Insulation -Plumb.
sr•oq -Undarllnor Water Lina Gyp. Bd. -Hoch.
Am
Date Roque ted:__�,�C) - j Tim: PN
00,
s
Address: / Permit t:6
Builder:_/ V /
THE FOLLOWING OORRZCTIONS ARE REQUIRED:
------------
Inspector Date:
_APPROVED DISAPPROVED _ _ APPROVED JUBJRCT TO ABOVE
---Call For Rainap.
INSPECTION NOTICE iJ
City of Tigard Building Departtaent
Y
13125 ONHall Blvd. T1gard, Oregon 97223
Inspection Line (Rec•-o-Phone)t 639-41'5 Business Phone: 639-4171
Footing Plbg. Underslab Mech. Rouq't-in Appr/Sdwlk
Founn. Plbg. Top Out Gas Line FINALt
Poet/Boom LtruCt. n. Sewer Framing -B?dg.
PoKt/Ream Meeh. ain Drain Insulation -Plumb.
Plbg. Underfloor Water
Line
- Gyp. V. -Mech.
Date Requested:_._._ 7 __ _Timet _AM _._�KPM
Addreset _ J Permit
a
THE FOLIA)MING CORRECTIONS ARE REQUIRED:
Inspect orsDatet��
\\ I
wAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Cell For Reinsp.
INBP
City Of Tigard Beildi.ny Bepartaat
13125 BW Ball olid. Tigard, oregon 97223
Inspection Lina (Rec-o-Phone)t $39-4175 Business Phone: 639-4171
Inspections
Footi
Rppr/sdwlk
plbg• Underelab Mech. Rough-in
� long
ound) P1.bg. Top Out
Gas Lin@ FINALS
Framing -Fildg-
Post/Beam Struct. Ban. s-#er
Rain Drain Insulation
-plumb. y
Post/Beam !tech.
plbg. Underfloor Nater Line
Gyp, ed. -Neth.
PM
Timet � ._---
Date Requested
Permit
Address'
•�_ !a_�:---- --
Builders -- a
TNM FOLLOWING OORRECTION3 ARE RMQUIREDs
pate: --�-•-
Inspectors—APPROVED DISAPPROVED APPROVED SUBJECT TO kno"
V i_— --
Call For ReinnP•
MASTER PHRMIT
TIOAR® C1FTRv RMIT #- MSTQA -0IICIYr,E
�COMMUWY DEVELOPMENT DEPARTMENT ON00"
DATE rqqIIPf)!
M26 SW HIIII B�4& P.O.Box 23397.Tig".Or0W 9=V 40?",
------
.1-000 SW KENTON DR PAR( _.. c:q112CB-A01.37
SITE i:-4DDRESS. . . : J ZONING: R-7
SUBDIVISION. . . . : ASHFORD OAKS 3 :LOT. . . . . . 1.
--
57
BLO(, . . . . . . .:/.. . . . . . . . . . . BUI[X)ING
BASEMENT. . . . . . . . :0
REISSUE: DWELL I NG UN I T' . . . . 412 S1
3 GARAGE. . . . . .
REOUIRED SETBACKS-----
CLASS OF WORK. :NEW BEDRMS:4 BATHS:
TYPE OF HSE. . . FLOOR AREAS-_._._._.______...__6 -F I-EFT. 0 f t R I GHT. -6 ft
TYPE: OF ',ONs,r. :5N FIRST. . . . '-? " ft REAR. . :39 ft
nr,r,�jpANLY OPI"'. :R3 SECOND. . . :1367 f FRONT. 0
THIRD. . . . : sf REQUIRED-------------
STORIEE. . . . . . . 2 s f
r.)F._TC7.CTORS- :Y
HE I GHT . . . . . . . *e5 F t TOTAL
F1_OOR LOAD. . . . :40 05f VALUE. . . . . 89894 PARK ING SPIACFS. 0
Rem-lr•ks ". PLUMPING
BACKFLOW PREVNTRS. - :0
S'I NK S. . . . . . . . . . : 1,u
FLOOR DRAINS. . . 0' T RAPS. . . . . . . . . . . . . . .0
LAVATORIES. . . . . .4 WATER HEATERS. . . : 1 CATCH PAS TNS. . . . .. . . . . . .
i-UB/SH0WE-RS. . . . . '_AUNDRY TRAY`;.. - *0
WATER CLOSETS. . : 3 SEWER LINE (ft ) - :0 GREASE TRAPFXTURES. . . . - LO
. . . . . . . ..W1
1 GHWASHE R(.3. . . . : 1 WAIER LINE (ft ) - : 1010 OTHER FI
L)
(IARBAGE DISP- - - : 1 RAIN DRAIN (ft ) . 10
WASHING MACH. . . : 1 S-F RAIN DRAIN 3. : J FEES
----------------- MECHANICAL amol.trit by date
IJN I I' HTFIS. - :0 type
1'-UE�L T IF $ 1380. 00 JLH 01/22/92
/GAS/ VENTS . . . . . :0 403. 00 JLH 01/22/92
LATU VEN I' FANS- -4 BPRT $ -./IC)/91 01
11AX 1.NP1..JT;O BPLC $ 261. 95 JLH 7.
j_-URN ( 10OK HOODS. E-@. 15 JIJA IZI112iR192
F.7URN ) =100K "Z' WOODSTOYES. :0 05P(. $ 2-8 0. qI 0 JLH 01/22/92
CLO DRYERS. S,5 D C $
f7LLJOR FURN. . . . :0 PARK LAO. ';.'i it) JLIA 01/x2/92
BOIL/CMP OTHER UNII-71:0 MPIRT 39. 00 JLH 01/22/9-2
oAs OU-TLETS..,: I MPI C 41 9. 75 JLH 01/22/92
M5PC $ 1. 95 JLH 1P.1
J Y
MILLER r--PRT $ 140. 00 JLH lal
f, 11r)x 2:::3291. $ 7. OVA JLH 0 1
T I I iOPL) OR 972.2 3
Pl-rune #: 684-7543
Cciritrac.,tw':
J A y MILLER
P.() PDX 23291
TIGARD OR 972.23
Ruane 684-7543 -----------------------
Rep 0. . 35010c) 304,-_'. 80 TOTAL
T1, ermit is issued subject to the regulations cOntainea it, the REQUIRED INSPECTION93
.1 other Foot/found Insp Fireplace ITISP
_-.-.._-
This
ine Insp
Tia d Municipal Code, State of Ore. Sptcialtv Codes and ai
with approved post/BPAM Stv"Act Gas L
ap�lin&blt 13.5. All work will be done in accordanceIn Mechan Insi.t1ilticin 1TISP
not started wit',ir, 180 Post/Bea
11q, prsit will eoPir@ if work is Gyp Boat-d Insp
plans.days than 160 days. pim/i.mdslab Insp
of I -flor . Pdln drain Insp
it,
suancl, or if work is suspended for sore
pi-M/0"det
X1W6t:hrn�cal,ltn
;t) Water
BtPI Line
ine IISP
Vevmittee qiEInat11r,p 1AIn 0 App -/Siw1k Insp
Final
1-t e d
Call fc)r, inspection 639-4175
!-)[--.WER CONNECTION
PERMIT
C IYOFTIOwA Cny RD PERMIT #. . . . . . . : SWR91-0233
I 01110W
COMMUNITY DEVELOPMENT DEPARTME 75 GA TF. ['�;SUED: 01/22/92
C I -
r-J
PF R
PERMIT I T
f IGSt jEr,
L-. -'S '-'CEI-,'10 137
7(-, F --�77
M 23397,TOW.Gmgm
131258WHW16Wd P-0-9=
PARCEL-
SITE ADDRESS. . . : 15000 SW KENTON DR znNING: R-7
SUBDIVISION. . . .
IVI, : (40,HFORD OAKS .3
UBDIVISION- LOT. . . . . . . . 1137
BLOCKr
n 14. .
. . . . . . . . . . .
TENANT NAMC. - - - - FIXTURE UNITS. . -
USA NO. • . . . . . . . . DWFLLING UNITS.
(-jA(5S OF WORT-. . . :NFW NO. OF BUILDIN5S: 1
TYPE OF USE. . . . . :S F E
IMPRV SURFPCE- - f
TNSTAL.L "ryr-,F. . . . .B'Jf-)wR
remarks: FEES
Uwner: ----------------- -------------------- type-
ype amoont by date
JAY MILLER PRMT $ 190o. 00 JLH 01/22/92
�-.,O BOX 23291 11\15P $ 35. 00 JLH ib1/22/92
j-I-C:',ARD OR 972'3
Phone #: 684-.7543
Cont;r'EICt QY't
CONTRACTOR NOT ON FILE
---------------------------------------
$ 1935. 00 TOTAL
Phone -------- REQUIRED INSPECTIONS _--___-
Req #. . * Sewer Inspection
,his Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency, The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
pereit expires. The Agency does not guarantee the accuracy of the
ride sewer laterals. if the sewer is not located at the Has"vev"t
elven, the installer shall prospect 3 feet in all directions from
If not so located the installer ,hall purchase
the distance given.
"Tac and Side Sewer" Permit and the Avrcy will install a lateral.
A t I I-
On 639-4175
L
� ,��'�� �'��� PLUMBINC. PERNIT
PERMIT #. . . . . . . . MST91 021J
COMMUNITY DEVELOPMENT DEPART!:ENT one" DATE ISSUED 01 /22/92
13125 BW HW Blvd. P.O.Bac 23397,TWW,Omgon 97223(503)M 4175
,:,tJBr)I V 15 ION. . . . . 0��MFOPD OAKS 3 ZONING R7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s137
------------------------------------------------ -------------------------------------
CLASS OF WORK. . iNEW GARVAGE D13POSALS. . 91
IYPE OF USE. . . . 1GF WASr-i I NG MACH. . . . . . . : 1 BACKFLOW PRFVNTRS. . s0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . 10 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . :2: WATE R HEATERS. . . . . 11 CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . t SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L A V A TO R I E 9). . . . . .4 OTHER FIXTURES. . . . . 10
TUD/SHOWERS. . . . - SEWER LINE ( ft ) . . . . jO
WATER CLOSETS. . : 3 WATER LINE (fti . . . . 1100
DI'LiflWAGHERS. .. . . . I RAIN DRAIN (ft ) . . . . :0
uWNERt
JAY MILLER TIF $ 1380. 00 JLH 01/22/92
r-1,O LAOX 23291 BPRT $ 403. LAO JLH 01/22/92
0GARD OR 972E3
FPLC $ 261. 95 JLH 12/19/91 2r1016
85PC $ 20. 15 JL,H 01./22/921. —
684-7543 SSDC $ c"_80. 00 JLH 01/22/92 -
PARK $ 500. 00 JLH 01/22/92
PIUMbing Contractor: MPRT $ 39. 00 JI.-H 01/22/92
MPLC, $ 11 9., 75 JLH 01/P2/92
I. -
lam t-:.______,_KEN_WATTS. M15PC $ 1. 95 JLH to 1 /92
Oddress t P.O.BOX.23,0Q5 PPRT $ 140. 00 JLH 01 12F.,l 92
is i t y I OR 972eg te : PSPC $ 7. 00 JLH 01/2'2/92
Zipi Ph a n e
i4eq
F1F'QUI1?ED INC73PVCTIONS
'-his permit is j.SSLied suh,ipct to the req
'il,R.% ions c-.-ontained in the Tigard Municipal Foot/ Fvund Ynsp RAin drain Insp
[;ode, State of Ore. Specialty Codes and All Post/Seaon ruct Water Line Insp
other applicable laws. All work will be clone Post/Seam Mi,chan Appr/qdv4lk Insp
in acrordAnr:e with approved plans. ThitE Plm/undslab Insp Mechanical Fina)
permit will expire if work is not started ['(...M/Underfloor Plumb Final
14i"in 180 days of issuance, or if work is Mechanical Insp BUilcling Final
su*pended for more than .180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Firepjac:e 111sp
Gas Line Insp
Int,ulation Incri
Gvp board Insp
Author12ocl Plumbinq Contractor Siynat,�t,e
Call for inspection 6313--4175
f-ontrarest or Not ess
ryR
r.
M1.
is
CITY OF i I GARD PECE- I PT 'C-1F PAYMENT RF f:E A LST NO. d fit;^"e'r'r 191
CHECK AMOUNT d 47i:''7, 80
NT MI- o MILLER, JAY GASH AMUUNI d 0. 091
j
ADDRESS v PAYMENT 0A.TF'" d 01/t°1:'/9P
stjo )IV (SION
i
PURPOSE OF PA'r,•,:::NT AhIOUNT fN 41 D PURPOSE: OF PAYlrlt'::NT !-)MnUN7' G)W i U
I'3l_tll-DING PERM 4+x.:,. 4.0 PLUMBING PERM 140. 00
I MEZLHANICAL. PF,-. 1,39. Q10 sT. BUILD PER P9. IV,
PLAN CHECK FE 21. 70 C3EWC'R t GA 1.'300. Gym
SEWER INSPECT 35. 00 nF.SiDr-NTIAI TRAFFIC Fr:X' i 1e'60. 00
PARKS GDC: Wo.00 STORM DRAIN SD( 800. 00
MASS TRANSIT T I F E'E:F c:> 100. 00
15000 SW KEwNTON DCS
AMOUNT EIA 1'I7 - > 4787. HVA
i
TIGARD RECEIPT Of- 1"'AYMENT RECENO.
cj4Eclj,,,IPT AMOUNT
CAsj-j AW)UNT
NAME .1t)Y 111US'P BLDR. , INC. PAYMENT DMTE
ADDRESS a P. O. BOX 23e9i g1jiADIVISION
T16PRD, OR L) PAYMENT 97E23--
OMOLINT PAID pUR;,oSC ()F vAYMEN'T AMOUNT PAID
v
AN C'HECK FE 1 7 R
_u'r-tv SW KENTON VRIYE
TAL (IMOUNT PA I D 00