15038 SW KENTON DRIVE �s
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15038 SW � rn �L • --
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/ CE.RTIVIC;ATE:' OF
� OCI-UPANCY
CITYOF TIFAi ,r� II
`WYOFTE6ARD PERM?T 6i. . . . . v PUP892('Flt
COMMUNITY DEVELOPMI=PT DEQ \ ORiaa+ PRIM. PE»F:i9I 1 M. . 892 682
13125 SW Hall alvd. R.O.Box V3,197,l;prrd,Ow., 97 ( 3) b4 7s \_ DATE Y SSUE D e 04/18,/90
---
EtI = ADDfS�. . . 1 "03n Er KLhTCd DFFARCE1.I 2'111i_'CEI--08101
SUBnI'JISION, . . . I ZONIKat
F)L.00:K. . . . . . . . . . I L.O I . . . . . . . . . . . . . 998
8
.-ASS OF WORK. INEW
TYPE OF USE:. . . :SF
()CCUPANCY CRP. IR3
OCCUPANCY LUAU I
TENANT NAME. . s
Remark s I re
Owk1erI ........_.._--__..._. _.....__..__..... ._.. ._......__.. .._.._.._...._._.._..._._._.
JAY MILLER
P. (). BOX 232TI
T I C3ARD OR 0OC4910 0000
Phone MI 000- 000-0000 Elr
Contractors __...__..._.__.._..__...__............ _._....__._..__
JAY MIL_LFR
PO BOX 23291
I I OARD OR 97223
Phones !Ia 684_75,,,',
Reg ". . I 30109
OCCIApancy of thk ahuve referenced brt:i l d.i np is hr c re'.,y given, and Certifies
the compliance with erre 6tate Of 0-vegrin Sapr, ial ty "odom fear the group,
oc.cLipalley, and use under whir.h tho r*fer•e;►a Fpd- permit uaR isSLIO.!d.
FWIRL DLPAP7MfNT BUILDING INS
pt I T 1 1)uw OFF l ll-
POST IN CONSPICUOUS PLACE
f
INSPECTION NOTICE
City of Tigard Building Department
P a Box 23397
Tigard, Oregon 97223
!'hone: 639-4175
--�i 11)
Type of Inspection
Date Requested Tinie--- A.M. P.M.
Address 3 Permit #
Owner Lot
Builder
The following Buildim, C::je deficiencies are required to he corrected:
Presented to 0pproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 140
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
r ;
Type of Inspection - _ vc- _
Date Requested - J_ Tintq/. M. P.M. e
Address �� e�-L A� PermitZ-
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
�•(° � J i
Presented to P-950'provad
Inspector s ❑ bisepproved
Date
CALL FOR REINSPECTION
0 YEl; 2 ii0
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. rregon 97223
Phone: 634-4175
Type of Inspection ___-- c -C �__ ,�1,3�•�
Date Requested •� — S Time_ A.M.— P.M.
Address G �.y2_—�_.....__..___-_-_--- Permit # .� :7/.0
Owner Lot #
Builder __--
The following BuiA14 Code deficiencies are required to be corrected:
Presented to w 4N,-approved
Inspector U Disapproved
Date
CALL FOR REINSPECTION
C YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.G. Box 23397
Tigard. Oregon 97223
Phone 139-4175
Type of Inspection L14"-��
Date Requested Time A.M. P.M.
Address
.A Perinit Ogm
Owner Lct #
Builder
The f llo%ting Building Code deficiencies are required to be corrected:
h U
?-j
Presented to FI Approved
Inspect
Disapproved
Date
CALL FOR REINSPECTION
EJ YES 1-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Insoection
Date Requested
TimeX A.M.__ P.M.
Address 15 b?�s -_�-___ _..-
— Fermit #' '
Owner_ __._ —_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �„ a Approved — –
Inspector 5�� ❑ Disapproved
Date ___-- -- –
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City r+' Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested.- � Time ___—_ A.M.
Address - -- _L `� 1�t` fi}`� Permit #
Owner ._ --- Lot -
Bu'der Zya�c -
The following BuddIngj& a deficiencies are required to be corrected:
T
TV
t�
Presented tor^�Tl� r�t�!Nprovad
Inspector _ ( I Disapproved
Date
CALL FOR REINSPECTION
❑ YES 0 NO
M
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - ''-- o_� _
Date Requested ' L� Time A.M._ P.M./—{�—
Address 1� jJ 7C E� L— ------- '-rmit
Owner _ Lot #
Builder --
The following Bui g Code deficiencies are required to be corrected:
Z.
Presented to Approved
Inspector �] Disapproved
Da'e
r f \
CALL FOP REINSPECTION
0 YES 0 NO
■. � ar a .er -n .ir .w ..
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23,197
Tigard, Oregon 97223
Phone: 639-4175
Ai ))
Type of Inspection * -- == -- _ —
Date Requested- �� ,.d / Time__, ._A.M._ P.M.
Address . Z �) �".�1T7 1 Permit •k� ,�i'.�10�7
Owner Lot #—_—_...
Builder
The following Building Code deficiencies are required to he corrected:
G'-C:) L a%<
_ 1 _
Presented to —V Approved
Inspector _ __ [] Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
CITY®F TINA RD I. RMITLNO"G BPERMIT
U892682
cmar�etro
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 972n,(503)6394175 ' TE I g SUED: 1/ 2/90
�
JOB ADDRESS: 15038 SW A9MFBRO ST
TAX MAP/LOT 2S1 12 SUP: ASHFORD OAKS LT198 BK,:
LAND USE: R7
LOT SILEe VAl_IIATION: $ 81,330 SETBACKS
FRONTe 20 REAR: 6
WORK CLASSe NEW DWELL.i1NITS: 1 LEFT: 6 RIIHT: 37
USE TYPE: SINGLE. FAMILY NO.BEDROOMS: 3 EXT.WAL_l. CONST:
CONST.TYPE: VN NO.BATHS: 3 Ne S: E: W:
OCCUP.GRP. I R3 PROT.OPENINGS:
OOCUP.LOAD N: S: E: WI
TOTAL AREA,; 1735
NO.SCORIESI 2 1ST: 1030 ROOF CONST: C FIRE FLET7
HEIGHT: 20 2ND: 705 AREA SEPAR'' RATED:
PASEMENT7 3RD: OCCUP.SEPAR? RATEDI
MEZZANINE? BASEM11
FLOOR LOAD: 40 GARAGE": 470 FIrt: SPRKL.R? ALARM?
FLOW(GPM) DETECT? YES
PLAN CHECK BY: rlt
REMARKSI
re issue 882383 REISSUE OF NO. 882383
LAST REISSUE 892187
0
FEES:
W MILLER JAY PERMIT $379.60
E p.o. BOX 23291 PLAN REVIEW $40.00
R 1IGARD OR FIRE DEPT
STATE TAX $18.97)
- ----- OTHER
C DEVELOPMENT CHAROESI
N MILLER JAY SDC(STORM) $250.00
F1 JAY MILLER BUILDER SDC(STREET) $600.00
A p.o. BOX 23291 PDC(M2 ) $250.0e
T TIGARD u, 9722.1 PREPAID ( $40.00)
T
o PHONE (503) 684-7543
REGISTRATION NO. 30109 _..—� TOTAL: $1.497.95
This permit is issued sub!ect to the regulations contained in Title 14 RECEIPT NO. 1041111$of the TMC. State of G,egon S)ecialty Codes zoning regulations -------- ---- ---- f /,,/ L
and all other applicable codes and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specification9 and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subconiractors shall have current city POST 8 BEAM WATER I.INE
business tax permits This permit will expire and become null and PLD.UNDERSLAB CITY APPRCH/SW
void if work is not started within 180 days.or If work is suspended or SLAB FINAL
abandoned for a period of 190 days any time alter work has PLB.TOPOUT
commenced. It shall be the responsibility of the permittee to assure FRAMING
all required inspections are requested and approved
FIREPLACE
GAS LINE
INSULATICN
-- - -----
Permit gnature GYP. BOARD//
Issued Qy'
—._
CALL FOP INSPECIION 639-4175
SEPARATE PERMITS REQUIRED FOR 1Ai )RK OTHER THAN DESCRIBED ABOVE
CITY
OF T167A RD � MECHANICAL PERMIT
urroin�a� RM17 NO. :: MFH9i?E�'7
COMMUNITY DEVELOPMENT DEPARTMENT °°x°°"
13125 5 W.Hall Blvd_P 0 Box 23397,Tigard,Oregon 97223,(503)639-4175 — TE ISSUED: 1/ 2/99
--------------
�t�'i 7e)h
JOB ADDRESS: 15038 SW 04 W-TM ST
(AX MAP/LOT 2S1 12 SUB: ASHFORD OAKS 1_.!, -.98 BK:
LAND USE: R7
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW FURNACE (100K 1 AIR HANDL.R (10
USE TYPE: SINGLE FAMILY FURNACE 188K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : R3 HEATER VENT FAN 1
VENT VENT.SYSTCM
PLR/COMP (3817' .400D 1
NO.STORIES: 2 PLR/COMP 3-15HP INCINERATOR(DOM
DWE:LL.UNITS: 1 PLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE GAS PLR/COMP 30-56HP REPAIR UNITS
MAX. I04'PUT PLR/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
ADW PRE88? J
REMARKS:
0 FEES:
W MILLER JAY PERMIT $1F1.0w1
E p.d. PDX 23291 PLAN REVIEW
TIGARD OR FIXTURES $24.50
STATE TAX $1. 73
- ----- OTHER
C
0
N
T
R BELL HEATING INC.
A 155508E PIAllA AVE
C
T CLACKAMAq OR 97015
0 PHONE (583) 243-1194
R REGISTRATION NO. 447 TOTAL_: $44.96
This permit Is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC, State of Oregon Specialty Codes, zoning regulatio/1s -------------------- lF
and all other applicable codes and ordinances, and it is hereby rREQUIPFD INSPECTIONS
agreed that the work will be done In..ccordance with the plans and GAS LINE
specifications and In compliance with all applicable codes and POST d, BEAM
ordinances. The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city ROUGH—IN
business tax permits This permit will expire and become null and FINAL
void If work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any Hn1e after work has
commenced. It shall be the responsibility of the permittee to assure
aii required inspections are requested and approved.
Permitte nature
��
Issued ByL C•U
CALL FOR -b 3"=�T7S'
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
f -
C11YOFT11FA
RD N . PERMIT
F'FRMIT MIT NO. :
: PL8926$i
ctrrt>F w
COMMUNITY DEVELOPMENT DEPARTMENT LTESSUED: 1/ 2/90
-3125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 972Z3.(503)639-4175 X 892682 —�
JOB ADDRESS: 15038 SW ST
TAX MAP/LOT 2S1 12 SUB: ASHFORD OAKS LI:98 BK:
LAND USE: R7
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN LAVORATORY 3 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NU: STORIES: 2 WASHING MACHINE 1
DWELL.UNIIS: 1 LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RICIN (FT 1.
OTHER
REMARKS:
r� FEES:
W MILLER JAY PERMIT $132.50
E E p.o. BOX 23291
R1 TIGARD OR FIXTURES
STATE TAX $6.()3
- - - -- OTHER
C
N WATTS KEN
T KEN WATTS PLUMBING
A Po BOX 238925
tigard or 97223
0 PHONE (503) 681-6626
R REGISTRATION NO. 50878 'OTALs $139.13
Thi9 permit Is Issued subject to the regulations contained in (Itle 14 RECEIPT NO. A.) 4-("
of the TMC, State of Oregon Specialty Codes.zoning regulations --- ---___.__._______.— (f
and all other applicable codes and ordinances, and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and PLB.UNDERSLAB
specifications and In compliance with all applicable codes and POST R BEAM
ordinances The Issuance of this permit does not waive restrict 1w, WATER LINE
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and PL B.TOPOUT
void if work is not started within 180 days,or If work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work has FINAL
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved.
Permit nah1
I:sued By
CAL 1IVM'FLT7bFi -6-3'; -4-I"767
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
. I . . r . . ... . . . -. - . n r+w.o W-W.r'+
C17Y
OF
TIVA
RD
SEWER PERMIT
/��!�, FFRMI:T NO. : SE892688
CITY OF TIGAa)
COMMUNITY DEVELOPMENT DEPARTMENT
w.
131:5 S.W Hall Blvd..P.O Box 23397,Tigard,Oregon 97223.15031639-4175 TE ISSUED! I/ P/90
V hl
JOB ADDRESS: 15038 SW RSMII6111 ST LISA NUMBFR: 3915
TAX MAP/LOT 2S1 12 SUBS ASHFORD OAKS [ T-98 BK:
LAND USE: R7
LOT SIZE:
SECTION: 12 TWP: 2s RNG: lw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant aqrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 120 da•/s from the date issued. The total
amount paid will be forfeited if the permit expires. The Aqency does not uuar-
antee the accuracy of the location of the side sewer laterals. If the sewer is
not located at tyle measurement given. the installer shall prospect 3 feet in
all directions from the distance given. If not so located. the installer shall
purchase a Ta7 and Side Sewer" Permit and the Aqency will install a lateral.
INSTALL. TYPE: BUTI.DTNG SEWER iPIPFRVTOOS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNII�;: I
NO. OF BLDG:.-, ]
O FEES:
W MILLER JAY PERMIT $3`':.00
E p.a. BOX, 23291 CONNECTION CHARGE. $1.?50.00
R TIGARD OR LINE TAP INSTALL.
------- - - -- --- ---
OTHER
C
(7
N MILLER JAY
T JAY MILLET' BUILDER
A P.O. BOX 23291
T TIGARD OR 97223
o PHONE (503) 684-7543
R REGISTRATION MJ. 38109 TOTAL-: $1,285.80
This permit is Issued subject to the regulations contained In Title td RECEIPT NO. `4�/_ j,:�,, j
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby REGI)TRED INSPECTIONS
agreed that the work will be done in accordance with the plans and ROUGH—IN
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrict,ve
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or If work Is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
All required inspections are requested and approved
Pitt
.%0
itt ature
A
Ibsued By� _ _. m.-T_.T-rM TNt;TrT'TTw--G, --
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1
CITYOF TIFARD ,o\
CflYCFIKVM PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT",& � °"'°" PLAN _-NECK N
ut25 S.W Hae Blvd_P.O.Sam 2397,TgrA O.pow*rm.(sw)aHt7s PERMIT #
/ "Tt ISSUED
JOB ADDRESS: 1 _710 3 9 5W -v"" 51 TAX MAP/LOT
SUB: {_ +_ CS Q LOT: _ q _ LAND USE:
VALUATION: Y/ 3.36) '
OWNER SPECIAL NOTES
NAME : Z REISSUE OF: �J ,
ADDRLSS LAST REISSUE:
_ FLOOD PLAIN/
SENSIIIVE LAND:
Pl�OlVE.
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME _,7a3j Mi 1 1 r�r nui Went- , Tnr- ENGINEERING:
ADDRESS: P.O. Bo,-; 23291 FIRE DEPT
Tigard, Or 97223 OTHER:
PHONE 684-2543 ITEMS REgUIRED
BUILDERS BOARD M: 3p EXP DATE: _� LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/CNGINEER CALCULATIONS: _
NAW : TRUSS DETAILS:
ADDRESS: OTHER:
PHONE : -
COMMENTS:
SUBCONTRACTORS: PLUMB: Ker. Watts Plmb, 508Z,9 MECH: Bell Heating 0044_
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees _
_ 10-431 OO P1ur,)L.'.ng Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) : l 31
Building Zjf f J,
Plumbing
Mech
10--433 00 Plans Check Fee
Building _ ( C
Plumbing
Mech
30-202 0( Sewer Connection
r r� 30-444 UO Sewer It.spection — _S
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (POC) 5u
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -� v r
14-230 06 Fire
TOTAL
REC N /C 4C=71
APPLICA
Received 4y: Date Received:
cn/31)87P/18P