15089 SW KENTON DRIVE I
15089 Siv NLNT")N DRIVE _
CE1IOF'
C'� TfrA� OCCUPANCY
COMMUNITY DEVELbPMENf DEg,4t71W C17Y0FTWP9 PERMIT M. . . . . . . t MST90-0122
oa>teoM PRIM- PERMI'i H. z 1 yT90-01i2L
13125 SW Hail Blvd. P.0 Box 2?-17,Tip to,Uagon 9=1(5W)6*4175 DA FE ISL•i -Da Wi'/25/90
!31 FF:: AD DRESS. . . 1 15489 SW KENTON DR PIIQCEL 1 OS 112.;D -0 7900
SUBDIVIR'C'N. . . I ASHFORD OAKS 7:ONI�i01
EILOCY.. . . . . . . . . . a LOT. . . . . . . . . . . . v93
------ -------------
CLASS OF W( RK. a NEV
'TYPE OF USS. . . 1$F
OC rUVANCY EWR. 1R3
OCCUPANCY IOAD111'5 4
+ %'NANT NAME'. . . '
pen)Arh.sa
C.1wnRr a _._...._.__-_____._._..__... .._._- _.-_.._._.__.__...,_.--
JAY MILLER
!:'.O. BUX 23291.
1'I1:3ARD 014 97223
Phone tl a 684 75Q
KEN WATT'S PLUMBINO
P"1 BOX eU925
TIOARD OR 97223
Phone N a 703E 8A 662t>
Reg M. . 1 50878
uvr.up&nr,y of the &4iovo referenced bu: ;uir►a is heroby given, abd verb fies
thu compi. e-oce with the 13t,ate Of Oregnn VI oci.slty [:.cic eta for the group,
oc.:cuplcnt^y, and use cinder which the rw-fer(bnc.-d permit w;4% imsurd.
FIRE DEPARTMENT DkFTt INQ INSPECT
OR F I ,._..~�
i
POST IN C.;ON9PICUOUy
fI
I
�f INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard. Oregon 97223
Phone: 639-4175
i
fr y
Type of Inspection
Date Requested .—7- y�� Time—_ A.M.__h P.M.
E 1dress _�. �'' .cr...-—Kms.__....._-.- Permit
Owner_ _ ..._ Lot #TBuilder
he following Building Coyle deficiencies are required to be corrected:
i
Presented to — ----- - ---- - — Y' Approved
Inspector r -_ Disapproved
Date 7 2 S
CALL FOR REINSPECTION
Cl YES L_J NO
sssi rwr sssr ws# sssr sss� .w sm ws
t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2.3397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested— _ Time—A.M. P.M.
Address � ��'�--� Permit 4A2
Owner Lo: #
Builder '�"��
—rte ---
The following Building Code deficiencies are required to he corrected:
~ f 11AU r r le--
yam.
d
Presented to - Approved
Inspector ❑ Disapproved
Date /
CALL FOR REINSPECTION
r-1YetLS!1- f
i
s
INSPECTION NO'l ,'CE
City of Tigard auilding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone- 639-4175
Type of Inspection 17-
eL
01' ' �V
Date Requested__42d Time //— A.M. P.M.
Address P"rmit
Owner Lot
The following Building Code deficiencies are required to be corrected:
&Rot -e 61
0
Vr I-elell,
L ❑
Presented to Approved
Inspector 1111111-6 14-15-1sapproved
Date Ar'` '!) —0
CALL FOR INSPECTION
Fr'YES El NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1 igard, Oregan 97223
Phone: 639-4175
Type of Inspection
Date Requested _ ��/ _ Time A.M._ ` P.M.
Address �(,� � Tf�}c J Permit
Owner_.._. Lot #.
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �__.� _ Approved --
Inspector �' / _ _ Y �) Disapproved
Date ( L
CALL FOR REINSPECTION
0 YES LU NO
INSPECTION NOTICE
City of Tigard Building DepartmNnl �'` �
P.O Box 23397
Tigard, Oregon 97223
P one: 639-4175
Type of Inspection I L2VC��: :� —
Date Requestede __—� Time./Z___ _ A.M._ P.M.
Address !fx �?r _ —�'t +� _ Permit
Owner __ _ Lot #
i
Builder
The following Buildhg Code deficiencies tAre required to be corrected:
Presented to Approved
Inspector '
Pe `� __--_-_— [ � Disapproved
Date
CALL FOR REINSPECTION
U. YES C7 NO
asv � sssr rsac a.r r� oe• � �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
f
Type of Inspection _ �1
Date Requested
c Ti
Address
Owner
_ Lot #
Builder -�—
The following Building Code deficiencies are required to be corrected:
Presented to
�Approverl
Inspector
- ❑ Disapproved
Date _ �—' �— �'C�
CALL FOR REINSPECTION
UJ YES ❑ NO
Q A R 1� 'Mii q � 1111
CRYOFTIGARD
MASTED F'E:RrII'r
11f.413D PERMIT #. . . . . . . z MST90 -0122
COMMUNITY DEVELOPMENT DEPARTMENT 09190" I-'RIM. F:'ERMIT• #. : MST90-0122
13126 SW Fi,l I B Nd. P.O.Bax 2334/,Tipad,Or.Don 9/ . �� DATE ISSUED: 04/04/90
SITE: ADDRESS. . . z 15089 SW KE NTON DR F'ARCEI...z 2S112CP--07' 00
S(.lBDI:VISION. . . . . AGHF'ORD OAKS ZONING:
LOT'. . . . . . . . . . . . . . 93
_...._......._.._....._... ... ............__.._.............._.__�_._. - ....._... HUII_DIN(3 ._................ _ __._.... _ ......_._._.........__....._ ....._.._.._.._.._ ._.
REISSUE:: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF' WORK. INEW BEDRMS:3 BATH13:2 GARAGE. . . . . . .. . . . :42(4 S
TYPE: OF USE. . . a SF" FLOOR AFtE'AS-_._._______._.._ REQUIRED
TYF'E OF CONST. z511 I-IRST. . . . a 1470 sf LEFT. . :5 ft RIGHT. z 1.0 ft:
OCCUPANCY GRIP'. I R3 SECOND. . . :0 Sf VRONT. :20 fit REAR. . s 23 ft
t ST'ORIES. . . . „ ., . :0 THIRD. , . . :0 9f RI..0UIRED.-. - _.....__...........
_.
'! II E::1(3HI.. . . . . . . .. z15 ft TCITAL_._.._.....__..» 14'70 s-f '.SMOKE DETECTORS. IY
FA-00R L0AD. . . . .40 psi' VALUE.. . . . . $z 69300 F'AF'KING SF!ACFES. . :O
RemarF�sa
_._.. ..._....._ ......_....._.._._.__._._......__...___,_..___.____.. F'L.UMBINC3 - -_......._._..__....._....___ .__._.._._. .._._.__ .__....________......._,_._..._...
SINKS. . . . . . . . . . .. 1. FLOOR DRAINS. . . . z0 BACKF-LOW PREVN1fk3. . :0
LAVATORIES— .. - »2 WATER HEATERS. . . : 100 TRAP'S. . . . . . . . . . . . . . .0
T'UB/SHUWE:RS. . . .. »2 LAUNDRY TRAY,. . . z I CATCH BASINS. . . . .. .. ., »0
WATEE'R CL..OSETS. . »2 SEWER LINE: (ft) . 90 GRfE:ASE. TRAP'S. . . . . . .. .0
DI SHWASHERq. . . . : I WATE::F' LINE (ft) . z 100 OTHER F'IXTURES. . . . . ::0
UARBAGE DISE'. . . z :1 RAIN DRAIN (ft) . 10
WAS,i'IN(3 MACM- . . : 1 5F" RAIN DRAINS- 21.
____........__., ....__._.__.
MECHANICAL FEES _..........................._......_._....._.
FUEL T'YF'ES•---•.-............ ........ .. UNIT HTRS. . a0 type amaunt b) date •recpt
VENTS . . . . . ..0 F'AYM $ 100. 00 JLH 03/23/90 108002
MAX INPUT z E; B'T"J VENT FANS. . :2 BPRT $ 343.00
F'URN ( 100K . . z i HOODS. . . . . . z 1. BF'L.0 $ C11 22. 95
F'URN )---LOOK . . -.0 WOODSTOVE S. »0 B5t='C $ 17. 15 /
VLOOR FURN. . . . z0 CLO DRYERS. I1 STDG $ 600. 00
BOIL./('MF' ( 3HF'-0 OTHER UNITS:O SSDC $ 250. 00
GAS OUTLETS i l F'ARK $ 250. 00
(:Iwner a _._._..........__-..._ _..__...._....__......__.._____......_._._._.._......_....._ _. 11F'R1 11, 33.00
JAY MILLER ME'L(:: $ 8. 25
I.'. O. BOX 23291 M5P'L 1.65
P,F'RT $ 1.25.00
TIGARD OR 9722.3 1-.15PC 9, 6. 25
Phone #: 684-75413 F'AYM 4 1757.25 JL.H 04/04/90
tW'ant•rac:to•rz ___.._.__....__..__.______...._..._.._.__._........._._..._..____
KEN WATTS PLUMBING
PO BOX r230921:5
T I UARD OR 9/223
FIfinrie #c 5036846626
Reg #. . a 5PS78 ..._...._____._..._...____�_._..,.__.w....______....__.__....__.._......
'1; 1857.25 TOTAL
This permit is issued subject to the regulations contained in 'me ----- ---- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Font/faund Insp Plr.tmb Top Out
applicable laws All work will be done in accordance with appruved Wtr F''roafinq Bsm Framinq Insp
plans. This permit will expire if work is not started within 190 Fast/Beam Insp Fireplace Insp
days of issuance, or if work is suspended for more thap. 1R0 days, Crawl Drain Gals Line Insp
PI.m/uridsl.ab Insp Insulation Insp
N'(ermi.ttee Si.gr�atur�te �2,oPl_M/Underfloor Gyp Board Insp
F'tnq Drain Bsm' t Rain drain Insp
l::s s u e d B v » ___ ._ Mechanical Insp Water Line Insp
Call for inspection - 639-41.70;
C'TYOFTIGrARD SEWER CONNECTION
PERMIT
C17YOF T #.. . . . . . . s SWK90-0129
%�ON PERM
COMWUNITY DEVELOPMENT DEPARTMENT OR200N V'RIM. P E R M I T 0. -. 11 ISJ 9 0 01.22
RI :
13125 SW F611 Blvd. P.O.Box 21,197,Tigard,Oregon 5
97 ).Mef"?F DATE ISSUED: 04/04/',.)0
I-)I'T*CL*' ADDRESS. . . s 15089 QW KENTON DR PARCEL: PS112CD 07900
SUBDIVISION. . . . : ASHFORD OAKS ZONING:
BLOCK. . . . . . . . . . LOT. . . .. . . . . . . . . . 93
TENANT NAME. . . . . ..
USA NO. . . . . . . . . . ..40643 F 'XTURE UNITS. . .
CLASS OF' WORK. . . :NEW Dt ELI.-ING UNITS—
TYPE OF USE. . . . . SF* NO. OF BUILDINGS: 1
INSTALL TYPE. . . . a 141JSWR TMPERV SURFACE.
R e ni a-r P.s c
Owrie•rn FEES
JAY MILLER type amount by 1ate -re(cPt;
P. O. BOX 23291 PRMT $ 1250. 00
111 G F, qi 35. 00
TIGARD OR 97223 F.,A Y VI 1. 1.285.00 JI.-FI 04/04/90
Vltiurie 0: 684-7543
Coiltracto-vt ..........................——
CONTRACTOR NOT' ON FILE
. ..........
F,P)c)I-)(,! 0 11 .285. 00 TOTAL
R(-q It. ..
REOUIRE'D INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sew,--r Iviiapec.�tior)
of ',he Unified Sewage Agency. The permit expires L28 days from ......
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sever is not located at thp measurement
given, the installer shall prospect 3 feet in all directions from ...........
the distance given. If not so located, the installer shall Purchase
a 'lap and Side Sewei" Permit and the Agency will install a lateral.
P -r ni i.t is(-e S j..t vi a t,t.t-r e;1 -( ...� .......*...._.__._ -....._ __
....................
S t.k cl BY
Cal.1 fc)-r inspection 639 41*75
nar UW W w ewe �r awr w� we
CITYOFTIGARD
'�1�►� ) PLOW CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPAPM ENT ./ PLM CiECR 0 T 3'- ,
us,w.Ni Md.Po.Ow ma.TWWA OMW sem,plp+ms_"N PERMIT 0 c -
DATt ISSUE' —+
JOB ADDRESS: 15 T11X MAP/LOT 4,-)l-/Z C_ fJ -U
SLOB: ✓ _ LCI: / 3 LAW USE:
VALUATION: _
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: _ LAST REISSUE:
-- _ - - FLOOO PLAIV
SENSITIVE Lel:
PHONE:
r APPROVALS REQUIRED
TO
CONTRACR PLANNING:
NAME: �1 a�--C�i 11_e r 3 u i l d e r , l ri c, E IGINEERIS:
ADDRESS: PO Qox 23291FIRE OEOT
—, _Tigard, OR 97223 OTE*: _
PHONE: t„S,A - 7 rfl.. ITEP" RE—W1%
BUILDERS BOARD •: 59667 EXP DATE: .—j l LIST/SUBCO". ACTORS: ,
BUS TAX:
ARCH ENMNEER CAU'XIIATIONS:
NAME: TRUSS DETAILS: --
ADDRESS: 07mR;
COMMENTS:
SUBUONTRAL'TORS: PLUMB: xpn Watte S0B7g _ MECH: Bell Naatinti n 1Ajj7 +,
PERMIT 0 ACCT 0 DESCRIP;:OW NqW NOJWT P0. BAL. OW
a 10--432 00 Building Pfrsit Fues
10-431 00 Plumbing Persit Fees 3 ,c
101- 01 Mechanical Pervit Foos c --
10-2.. 01 Stwto Building Tax (51L, S __
Building %5
Plumbing 1s
Mach
10-433 00 Plans Clwck Fee r - �' M—
Building _ �" 1 ' '>
Plumbing
Mach _
y
30-202 00 Sir Gxvrctlan ! L)
2"44 00 Satyr Inspection 3• -
51--4411 00 Straist System Dew CharW (SDC) '"' z 71,
52•-449 00 Parks System Dew Charge (PDC) S c
31-450 00 Storm Dralnmge cyst Dev ChM (ssOC)
14-230 06 Firm
TOTAL 2,
REC 0
APPLICANT SIGMA -,
Received my., pate ftceived: _7 ; i'�
en/3507P/ISP --�
GRADIN(;/EROS ION CONTROL INT P-MATION
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
ja
M� 11 91 pi- Builder, Inc. PERMIT NO.: _
PAK
Tigard, Orpqon _U,221 APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR Tay 1 r A i i i 1 r1 a r T n r
NAME&ADDRESS: p * 11,-
-291
—
Jim Paulson Excayatina __ T.igara Or 97223
Route 1 BQx 1062 OWNER NAME AND ADDRESS:
Hillsboro, Oregon 97124 —_
TELEPHONE NUMBERS:
/►PPLICANTS$A- 7 5 4 3 _ — PROPERTY VESC'RWnON:
OWNER- 684 7543 STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR: 6 8 4 7 5 4 3 — -----
EXCAVATION CONTRACTOR:6 4 5-101 1 — ——-- - --
SITEpOB: _
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:
CO�A,CT PERSON,TITLE,TELEPHONE: 1/4 SECTION:
D(I 1 e E i c_}J1 o f f SITE SIZE,ACRES:_
Jon
DISTURP';D/WORK AREA.ACRES: _
LOCATION&ADDRESS WHERE SPOILS —
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE
(NOTE:PERMITS MAY BE RF.QUI, ED) CATCH-BASIN I DITCH PIPE- CREEK
Stuffs & bri.tah to 1 ; s - _nci rl _ --
fill area . Dirt to licensed
dump site. (CIRCLE ONE) PRIVATE OFWATEPROPERTY
BLICRIGH
TIfoARD `SANU LRAVLL VUT
R.11SION/SEDIMENTATION CONTROL (ESC)WASLJ
MINIMI)M ESC REQUIREMENTS MIr TIMUM ESC REQUIREMENTS
DURING CONSTRUCTION- FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILMED CONSTRUCTION ENTRANC:7. REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RIJNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRA('ITCFS ENSURE.OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OT HER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE hANDBOOK'.
EROSIC"CONTROL PLAN DRAWING AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE.NUMBER. SCHEDULE!:('AGING POR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES.AND
APPLICABLE STANDARD NOT.S.
!HAVE READ AND WILL COMPLY WATT THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASUkZS AS NECESS/.RY
TO CONTAIN SEDIMENT ON THE CONSTRUCTO SfIE:.
EI(SIGNA R .
• • • • • • • • • • • • • • i • • • • ••• • • • • • • • • u • • • • • wi• 0006006000 * • • • 4, •• • • •
OFFICIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEF NUMBER RECEIVED BY
Ii
RECE'.IPT OF FAYMEw RECEIPT NO. :90 0 .00.14 1
CHI-ZC 1-,: AMOUNT % ".!.042. 25
JAY MILLER CASH AMOUNT 0. 00
A ts 11 R E E:,S x PO BOX 21'91 PAYMENT ['BATF : 04/04/90
SLJ14D I V 1,,]:CIF 9
1-10APD. OF-, "7 15001? +-.M F F-ITT011 UP
OF PAfMENT I,'%MOUN T PA f D PUPPU,3E OF F"A'i MENT AMOUN T F'i i
fis1.1'R.DING PERMIT PFRMIT 130
WE'CHAIAICAL PERMIT -1 ' EAJILD PERMIT 25.05
f:'t (--ol cm.:a, FEE I SEWVI,..P thfk 1.21�j 0 J. 0 1)
',tFIF=R INSPECTION 715.CIO STI' EC 51r 600. i 10
T50.00 STnRM DRAIN SIA" 250. oil
TOTAL AP1001111 PAID