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15298 SW KENTON DRIVE 15298 SW KENTON DRIVE � ^ CERTIFIC'A'.: OF' CITYOFTIFARPmiOCCUPANCY CITY OF TI6AItD taE.RMIT 0. . . . . . . c MSPT'30--026E) COMMUNrri DEVELOPMENT DEP.JAtAT4�I T eReoer'e 13125 SW FWI Blvd. P.O Box 23397,TiWM,Oregon 97223(603)133941!75 DATE I SSUF 9 e 12/28/90 i I TE ADDRESS. . . 1 15ti1 SW KEN VON UP PARCEL- �'ra 1 12C 8—')wf300 SURD I V I t;I ON. . . . 1 pr;1 UH1',5 Z ON I NC e BL.00K. . . . . . . . . . r LOT. . . . . . . . . . . . r 112 CLASS OF WORK. r NEW T'(PE OF USE:. . . a SF OCCUPANCY GRP. eR3 OCC;UPANf.,Y LOAD a 220 4 14"NAN'T NAME. . . Re mArks 1(.e MILLER Ulf BOX L3291 T I OAPI) OR 97223 Phone #t 684-7543 Contractors —_.---------------..----..--__-- .JAY MILLER F117 E'OX 023291 T I t;"IRD OR 97223 Phone Nr 68, _7543 Reg #. . t 30, 59 Occupancy of the above referenced but Wing i e her,Pby y i ven, and cert i f i c the compliance with the State Of Oregon Specialty t od"ti for the 91-0o1n, occ!.Ipancy. .na use Linder which the referenced permit was issued.. X-OW _(1)� FIRE DEPARTMENT UIL_DING INSPECTOR IJILDING OFFICIA1, POST IN CON '')I CUOUS PLACE MJJ'W est r.s .a M MR .t we esr 1 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone, 639-4175 11 Type of Inspection Date Requested_ �a J Time_ A.M._._ P.M. Address /�� p e;..'; 7 -�-- 9' `S G�.� ���`�IT�„_1 Permit #_�1G� Owner _-__-- /. Lot # BuilderThe following following Building Code deficiencies are required to be corrected: - - Presented to - - -__._.-- Approved Inspector — _- -_ Disapproved Date CALL FOR REINSPECTION El YES C) NO Mm t� sew ssr w ses + snr w IN¢_PEG'IION NOT:LC4 {1 City of Tigard Building Departsient- 13125 SW Hsl Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-P`gona)s 639-4175 Business Phone: 639-4.171 Inspections---- i a -----_._---- Footing Plb Underslab Mech. Hough-in 11ppr/8dglk Found. Plbg. Top Out Cas Line rlKRLs Poet/Ream Struct. San. Sewer Framing -Bldg. Poet/Ream Hoch. Rain Drain Inei:lation -Piumb. PIbg. Underfloor Water Line nyp. Bd. -Mach. Requested:- _� Z_f��_-----�-Time: AM PH Mo._f:eaes I �`-Y k Permit Builders THM FOLtA3WINQ CORRECTION(: ARE REQUIRED: Loa C--- 7 Inspectors / // ,��'%�1� ___ bate:�4 � O J_—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. t i �\ Ir 1 i City or Tigard Building Department rJ 1 L- 13125 SW Hall Blvd. Tigard, Oregon 97223 ` l� Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 looting Plbg. Undorelab Mech. Rough-in Appr/Sdwlk Found. Plbq. Tamp Out Can Line FINALS Post/Beam Struct. flan. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain InsulationI- !Plumb. Plbq. Underfloor Water Line Gyp. Bd.. -Mac_y> Date Requested: Time: _ _��AM PM Addreses���Le �1C1�.�- Permit is TfsE FpAAMING CORRECTIONS ARE REQUIRED: Ae s /c'S /�I'i �' r OXY �/� 7nnrecto Dates " ✓ �� rZ —APPROVED DISAPPROVED APPROVED BUBJECT TO ABOVE Call For Reinsp. City of Tigard R+rilding Depart-Ment V 13125 SN ball Blvd. Tigard, Oregon 97223 Inapection Line (Rec-4-Phane): 639-4175 Business Phone: 639-4171 lnspecti .�-- — ----- --- —._. ' Footing Plbq. Underelab Mach. Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Ream Struct. San. Sewer Framing -Bldg. Post,/Beam Mach. Rain Drain Insulation F'lbg. Underfloor Water Line Gyp. Bd. -Hoch. �yJ-�/ � Timet __�L_AM PK Date Requeateds Address: fy„ -�c1� l�E 7 A-G' -c J Permit is �� G � y Builder:_ GGL�GLL_� TIIE FOL A)WIIN'GG OORAECPIONS ARE REQUIRED: Inspector: Date:_ APPROVED DI.4APPP.OVRD -� APPROVED SUBJECT TO ABOVE call For Relnsp. INCPBCTION NOTICE City of Tigard Building Department ��� 13125 Sri Hail Blvd. Ti.gar,l, ore'.Jon 97223 YV Inspection Line (pec-&-Phoney: 639-4175 Business Phones 639-4171 Inspections _.._ - _ Tooting Plbg. Unders)ab h. Rough-in Appr/Sdwlk Found. llbg. Top Out Gases FINAL: Post/Ream Struct. San. Sewer lr=Lng -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor water Line Gyp. Bd. -Meth. l�—� -f7 G� �- PM Date Requeet:edt --Time: AM Adclroset �� ' — - Permit qu i.tder t THR FOLLOWING CORRECTIONS ARE REQUIRED: L eM innrector `,_ _ Date: G� ATPPGVSD DISAPPAOVRD APPROVED SU&7ECT TO ABOV2 Cs11 For Reinap. INSPBCT?QN NO: CB City of Tigani Building Departaeat 13125 SU Hall B1•.d. Tigard, Oregon 97223 Ineneati.on Line (Rec-O-Phone): 539-4175 Business n s J9-4171 Inspections Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. rop Out Bae Line FINALS Post!B�sam Struc::. San. Sewer Framing -Bldg. Poet/Roam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line C pyp. 8d. -Mach. tate Requested: i�G/// ftmet __2L_AM PM Address: 9 .n�� ftroLt #i � rY Builder:__ q THE FOLLOWING OORRECTIONB ARE REQUIREDi i 1 Inspector:_— — [o -1�- 7) U i; ._APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVt; Call For Reinsp. Alk t r� �7S.PECc�ON_1�-�E City of Tigard Building Department 13125 Bid Hall Blvd_ Tigard, Pregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspect ion: _--- ----- - Footing Plbg. Underelab Mech. Rough-in Aplar/Sdwll Found. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Klug. Poet/Beam Bach. Rain Drptn In ulation -Plumb. Plbg. Underfloor Na/ter Line Gyk.. Bd. -Nech. Date RequenY.ed:lqq �1�iP�_- __ ______Time: SAM ----PM 51 i` O-_ �7 ��' Permit Addresns Builders- -7`� � -- - - -- THE FOLLOWING CORRECTIONS ART REQUIRED: Inspectors --// A 1 Date zz JGr� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. aar a� q. rata � a. «an as aMlr .*HCTION NOTICE City of Tigard building Departs nt 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing T Plbg. Underalab Mech. Rough-in Appr/Sdwllc Found. Plbg. Top Out res Line FINAL: Poet/Beam Struct. San. Sewer Frening -Bldg. Poet/Beam Mech. Rain Drain neula`i— i Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:_ f���_�j�) .__Time' _ _AM - / `PM Addr_eea:___ Permit �:_��,,��_�.�ti'dc . Hui.Ider: THE FOLLOWING CORRBCTIONS ARE REQUIRED: Inspector:__ �/`► -- ._..._ Datat --�—APP'JOVRD _ DISAPPROVED -_ APPROVF,D SUBJtCT In ABOVE For Reinsp. I �aspacTlog_ncrric_r: City of Tigard Building DepartAJ6"t 13125 SN Rall Blvd. Tigard, orrogon 97223 Inspection Line (Rec-O-Phcne): 639-4175 Business Phone: 639--4171 Inspections ­- I— Footing Plbq. Underalab Hoch. Rough-in Appr/Sdwl'A Found. (Plbq Top OuY/ Gas Line FINALS Moet/Beam Struct. San. Sower Framing -Bldg. post/Beam Koch. Rain Drain Insulation -Plumb. .,lbg. Underfloor water Line Gyp. bd• -Hoch. Date Requested:— PH Address.- � e� �. 5'r� �iYT•.^ .'ermi-t Builder:-- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors��, _ APPROVari DISAPPROLBD APPROVED SUBJRCT TO AR NE Call For Reinsp. City of Tigard Buil J Departatent ' f� 13125 SN Ball Blvd. Tigard, Oregon 97723 lf�/ Inspection Line (Rec-•o-Phone): 639-4175 Buainnpa Phone4_ Inspection: --- tooting Pltg. Underrlat Mach. Roui;h-in Appr/Sdwlk Found. Plbg. Top Out Cas Line tINA.T.: Poet/Beam Strutt.. San. Sewerreq -Bldg. G_ Post/Bean Mach. Rain Drain Insulation --Plumb. Plbq. Underfloor Nater Line ^ Gyp. ad. -Meeh. Date Requesteds �t✓ y�� TiAles 7`� AM - PN Addreas:� �� �4Fd Z Ct!51� Peralit S: Builder: THE FOLIA-MING OORRECTIONS ARB REQUIREDs To Ctic'c uiv -�i T �i`-S1/ c Q kT R -9 7-c 13Ap k rM w / � 4L /v 9'f ,q 7- , v Inspector:_-- -� Date:4)Z�v APPROVED DISAPPROVED APPRCNRD SUWNCT TO AHOY= Call Por Reinsp. INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 r Tigard, Oregon 97223 Phone 639-4175 Type of I nspectio►i Az z, �,�e- . L -c i �j�' a Date Requested TI r In A.M. P.M. Address r_;� �'1 � iti� Permit Owner _ Lo' # Builder_ 222.1 _-- The following Building Corre deficiencies are req.tired to H corrected: - Pr---..,(ed to _—__ � Approved Inspector Disapproved Date CALL FOR RFINSPF,CTION L..7 YES ❑ NO INSPECTION NOTICE 3, / City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested _. "�^ Time�; A.M. --_ P.M. - Address � / Permit Owner Lot # Builder _-?��-�f.�. _ The following Building Code deficiencies are required to be corrected: - --�" - _ i Presented to SCI Approved Inspector `e� '!'� /// "` Disapproved Date ("ALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone,639-4175 Type of Inspection Date Requested_ /� � '� � Time 1.M:'�M. -1 Address1 __ Permit Owner _ Lot Builder_—4�--&-/ 1 _-- The following Building Code deficiencies are required to be corrected: Presented to ------ ---- —._ L�pproved Inspector �'" I 1 Disapproved ---- pproved Date CALL POR REINSPECTION rl YES Cr1 NO s w w w w w INSPECTION NOTICE Gity of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested — -_ 9d Time_ A.M. P.M. Address � _ i��—_ —� Permit #�—,— Owner _ _ Lot #-----�--- Builder The following Buil ing Code deficiencies are required to be corrected: Presented to ___. [ Approved Inspector __ __ _ ❑ Disapproved Date k CALL POR RkASPECTION ❑ YES lA NO _ INSPECTION NOTICE ' City of Tigard Building Department P.O. Box 23397 l 3� Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ �_ ;6� ; �. l ! ' Date Requested--i �Tim� .M.--- P.M. Address _�`S ,�`�/,�' .��s Permit #�'__._._L OwnerLot #-_ Builder The following Building Code deficiencies are required to be corrected: Presented to _....... Approved Inspector —__ ( Disapproved Date 9h CALL FOR REINSPECTION C i YES 1J NO CITYOFT167ARDIIIA:STLR CrTyOFTWA7 COMMUNITY DEVELOPMENT DEPARTMENT 0"Q*N a. . . . . . . : MS 190 0 2(-:,8 13125 SW Hall Blvd. P.O.Boot 23397,TOW,Oregon 97223(603)639-4175 PR I M. PE R M I T 0. -. 11 G'r 9 0 0268 6i;9 4i-4 f,99HE.On ODDRE 15298 SW KENTON Df%' PARCEL. 2S1121,B-09800 fiLJPDIVISION— . — ASI-If"ORD UAKS ZONING: 1.4 1.-0 CK. . . . . . . . . . .. BUILDING Rf;:ISSUEA DWELLING UNITSil BASEMENT. . . . . . . . CO Sf (.11--I:1SS OF WORI,',. -.IIEW BEDRMS 1,3 F,AT i-i s.3 GARO GE. . . . . . . . . . ..420 S f l'Yl:.,E OF." USE. . . i SP FLOOR REUUIRED SETBACKS------------- 'T'Yl'-"E OF CONST. -.5N F:*IRST. :970 S f LEFT. . .5) ft RIGHT. :5 ft ()C C U PA N C Y GRP. I R3 SECOND. . . :864 5f F:'RONI*. -20 ft REAR. 28 ft G T(')RIES. . . . . . . ..2 TH IRD. . . . -0 S f R E QU I R ED–––– 1 .7 . - 834 Sf SMOKE DETECTORS. :Y II:.J GHT. . :20 f t T 0 TA L. . 1 V-L 0(.')R L.0 A 1). . . . n40 psf VALUE. . . . . (14;'88 PORK ING SPACE'(3. 0 PLUMBING 1'.N K 13.. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR5. . 0 i AVATORIES. . . . . ..4 WATER HEATERS. . . '. I TRAPS. . . . . . . . . . . . . . :H I'D 1.4/9 H 0 W E R S. . . . ..3 LAUNDRY TRAYS. . . : 1.� 1 CATCH BASINS. . . .. . ., . :0 WATER CLOSETS. . 9 3 SEWER L.TNE (ft) . .0 GREASE TRAPS. . » . . . . .0 D T GHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . ,. :0 GORBAGE DISP. - . N I RAIN DRAIN (ft) . 0 W051ATNG MACIA-7 - 31. 13r-: RAIN DRAINS. .. : :I. MECHANICAL FLES ............. --- I UNIT HTRS. . -0 type a ni c)t.t ri t 1i ly date -re pt; G 03 VENTS . . . . . ..0 PAYM $ 100. 00 JLH 08/02/90 20,33.14 HOX INPUT".0 BTU VENT' FA NIS. . -.3 SPIRT $ 138(3. 00 , 1)1-�N ( 1OOK HOODS. . . . . . :I HPLC $ 252. 20 I URN ):--:I.00K . . .-0 WOODSTOVES. v B-Ijf)c $ 19. 40 ( I (JOR FURN. . . . :0 CLO DRYERS. : 1 STDs s 600. 00 ):'0 1 L./C'M P 11 P L-0 OTHER (JNI*rs.*(d SSDC $ :3.75. 00 GAS OUTLETSsl PARK $ 2501100 1)W 1-1 e-r MPRT 1, 36.00 10Y MILLER MPLC $ 9.00 I,() BOX 23291 115PC $ 1. 80 PPRT $ 1551100 I I(:1ORD OR 97223 1-'51:11" $ 7. 75 1 Iic)i-ie #-. 684--*7543 PAYM $ 1.994. 15 HCR 08/06/90 I)traeto-ri iii)' MILLER i,o 1.'30X 2,3291. 1 IiARD OR 9*7223 1,I)orie 41 684-7543 #. . t 301.09 c'.094. 1.5 TOTAL This permit is issued subject to the regulations contained in the RE OUIRED INSPECTIONS Tigard Municipal Code, Stil-e of Ore. Specialty Codes and al! other F00t/fOUnd Insp Meefiati-ticAl lr),sp Applicable laws. All work will be done in accordance with approved Wt-r P-roafing F'sm r1l.t.trnb 'TOP FJLtt plans. This permit will expire if work is not started within 188 Post/Beam St-fto.et F-ratniriq Insp. days of issuance, or if work is suspended for more than 160 days. Plt)st/Beam Meetiari Fireplace Iri-,p Crawl I)-rAi.ri Gas LJ.iie PLM/Unde-rf loo-r Gyp Boa-rd Ivisp I !it I e d By z Drair) f.'Isnilt RAi)i (1-(,Ai -Ir It 'P Lal fa-P ----–------------ OMNE TI ON E'W E'R C CITY OF TIVA RD CffY0FTWRD V,11 R 111 T 3 COMMUNITY DEVELOPMENT DEPARTMENT MOON #. . . . . . . .. SWR90­--0': V) 13125 SW jjWj Blvd. P.O.Box 23397,Tigiud,Oregon 97223(503)639-4175 R 1.N. V,1:..R lyl 11' 0 01 1 L. ADDRESS. 15298 SW KE-'A F011 DR ZI-)NING: 7 7RID 1*:i1.JBI)J'V* SION. . . . I ASHFORD OAKS BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . .. . .. ............ 11"N A N T 11 A ITI C.' U150 NO. 42350 FIXTURE UNITS. . . DWE.L.LING UNITS-0. CLOSS OF WORK. . . '-NEW NO. OF BUILDINGS.1 TYPE OF USE:.. . . . . ..SF INSTALL TYI**'E. . . . cBUSWR 111VAERV SURFACE. . Renii-rks: Owvle-rg FEES 'JOY MILLER type AnioLtvit I)y flAte reel:0. i::,o BOX 23291 V,R M T 1500. 00 I N S P 1, 35.00 VIGARD OR 97223 P,0 Y M 1; 1.535-00 BCR 08/06/90 684-7543 GONTROCTGR NOT ON FILL #x 1.5351.00 TOTAL REOUIRED INSVIECTIONS .......... Disr)eeti-011 This Applicant agrees to omplywithalith rules and r ulations Sewe-r permit e 1 p )i o of the Unified sewage Agen The. permit e fres 12 .ys,from ....... ttie date issued. The total (Ount paid will be fo-feited if the .......... - b '0 permit expires. The Agency M4 not quar ep the &CCUTAC.Y Of the not located side sewer laterals. If the sewer not located at the reasurement ­­................... .......... 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 Ale cy will instal� a lateral. ...... I-IA t,t,t rex ........... e r n) t t e ....................--- SS U e(I T*j .................................... .......... fc).(, .1.1.1tipectiaii 639-4:175 ,,,, T'Y' OF TMARD FRUTElr-"T OF PAYMENT RE(A--'TPT MJ, AMOUNT NAME MILLEP? BLEIR. INC. CASH AMOUNT f:-Ay'MENT Vi*-iTt' i A D D R E G5 BOY 27,2.9 1 1 I-I G�ApD, OP 9-7 j3IFAmijUt4T F-AID Atio'.JNT PAID PAMENT 7o FTFjiM-r-�iTr E i-�1'1-1- _w__,_ 1,"i5pciii .7 . BUILD PER MECHANICAL PE 28.9t, F=•[AN CHECv FE t 61 . 2(l USA 0- SEWER lrjS)!',E.CT 7�5. S'TPEF,.T SVC. F,`I, S SOC jT'f:jF'%'tj DRAIN SDC EDW (I.Er,1TON PRIVE LOT 11-91' TOTAL AMOUNT PAID ITY OF 'T'CC3f1RD PE:C"FIP'T Of." PAYMU-.NT REC'E.IFT NO. e` (1 .e0)7. 14 ; NAME; a M l I.I...ER, JAY BLDS'. ]NC:. C A%i AMOUNT t►f► ADDF;I*ESG P. 0. BOX 2329:1 PAY'MEN'T DAT y 68/c.►2d170 SUP*IYI SIGN t F'IJPPOSE: OF F'AWIFNT AMOUNT PA ID PURPCOSI:: or PAYMENT AMOUNT T PAI D � I:'L„F,dN Ghl[:.IW <<f�..._....�..._ ._..._._...._�r'ji'►,���,i -__.._..w..._.._._._......._._.,_.,....._,__.w_.,r.,.,,,,. .... - .._._...�... � Ii lI I W I: F:N r'Ot l DRI ,T s (R-4 P, LOT Ile—, $V.00.06 0474 ';W ASHFORD 8T, r, st .."F', LOT 51. . �1�'�;i,t'.it.► f CITAL. APIOI_INT 00 CITYOFTIFARD PLM CHEOI< APPLI COMMUM"T OVOELOPMEMT DEPART ENT % '�"' PLM CHE(X - 1� a+sa�r.nrai.�/Ae�..mtr t��e•�a� qe Mail T N I) , y� DOME ISSUM JOY ADD": TRX MAP/LOT 3 Fee 0 sue: ��S►1yy C2 _S LOF: // LAM USE: VALUATION: OWNER SPECIAL EM NAME: _ REISSUE OF: ADDRESS: LAST REISSUE:- - FLOOD PLAW PHONE: SENSITIVE LAND: - - APPROVALS REQUIRED CONTRACTOR PLAMIING: NAME: _12.y Miller Builder, Inc. EMUMEERM: ADDRESS: PO Box 23291 FIRE DEPT Tigard. OR 97223 OTTER: PHONE: 641-1992 K M g%gREO BUILDERS BOARD /: 59667 Ela DATE: 3 f'117 7LIsT/959comwTOR!: Ws TAX: ARCH ENG2MEER CM.CULATIOBS: Nom: TRUSS DETAILS: ADDREUS: OT?ER: PHOIMF OOMMEN M: SUBCONTRACTORS: PLUMB: zeD Katte %na7a yam„ IE04: nial i poAtin9 nnsA7 PERMIT / ACCT 0 DESCRIPTION AMOUNT AFWMT PD. BAIL. OW L 10-422 00 Building Permit Feet 11 10-431 00 Plumbing Permit Fees �_�_5 _ 3 10-421 Ol Mechanical Permit Fees - 3 10-22001 stats Building Tarn (ss) ; `(,J _ '. Building r Plumbing Mach 10-422 00 Plans Check FNzk�v Building , Plumbing Mach W-202 00 sewer Connection - -`- 20-444 00 •freer Inspection 51-440 00 Street s stem Dov y Gram (�) S2--449 00 Parks systme Det CIM" (PDC) 21-45000 stores Drainage syst Bot awl (SW) 10-23006 Fire TOTAL 4- 7.k� � KCC •APPLICANT 'lRaceived By aV25Y7►/1N �. orate Beeelted: ; , 1 CITYOFTIFARD SEWER CONNECTION A P,E R III IT ' cny 1W 1WRD 1:IER11117' SWR 90--0286 COMMUNITY DEVELOPMENT DEPARTMENT I::1 R 114. P,E 1-0,1111' It.. SWR 9 0 0 c�8 13125 SW Hall Blvd. P.O.Bac 2'.1347.TOW,Or"m 9",4 03)16?", 171 1)(4TE 06/29/90 152.98 SW KENTON DRCF.4- 2S11.2 ASHFORD OAKS .ZONINUP: PD 1-3 L(]C I'll LUJ.. . . . . . . . . . . . ILAW I ;I- ............ ...... TENANT NAME::. . . . USP NO. . . « . . . . . ..4 E?-3 2E FIXTURE UNITS. . . 9 C L,0 S G 0F W 0 R K.. 11 E W DWELLING UNITS— -. 1 1 Y V,1::' 0F" USF-''. .. , S F NO. OF' BUILDINGS1 1'N('.')T0I I T Y I:'L.. Li U W I 11VERV GURFACL. f F.-`III�.l-f,k S ............--- FEES JAY MILLER type anloulit by date -(,eCp*I; F'0 BOX 23291. r-44YM $ 1285. 00 '11-H 07/01/90 TI(:T(IRD OR 97(223 TAISP 4> .3'.`:i. 00 JOY MILLER IT) PDX 23291 T :H3f4RD (.')R 97223 .......- --- 1.11-ic)rie #-. 684---154,3 $ 1.285. 0 0 T OTA L Rc-!q 0. 30109 REOUIRED INSF'ECT7ONS !his Applicant agrees to comply with all the ruler, and regulations ',viewer 111sne+r.tilan of the Unified Sewage Agency. The permit expires 120 days from the date issued. The total amount paid will be forfeited if the ....... permit expires. The Agency dOPS nOt guarantee the 8CCUTaCy Of the ........ ...... side sever 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 Agency will install a lateral. ............................. ......... r III i.I..L e P Si A.;t.k-r t e cl P y Ca.11 fo-r irispect:lon 639 41.'75 CITY OF TIFA 13125 S.W.Nall Blvd. PLAN PLAN CHECK APPLICATION RD P.O.Boz 23397 PLAN CHECK Tigard,Oregon 97223 IST COMMUNITY DEVELOPMENT DEPARTMENT (503)639-4111 DATE ISSUED _ JOB ADDRESS: / .'7 J ��t fi / ' < ___ TAX MAP/10r _ SUB: _ Lar: 11-2 _ LAND USE: VALUATION: OWNER SPECIAL NAME: _ REISSUE OF: ADDRESS: LAST REISSUE: F CID PLAIN/ _ SE N131TIVE LAND: Pt10NE: " R IRED CX?t CTOR PLANNING: NAME: EIJGINEERIM: ADDRESS: FIRE UFF�TT - CUIHER: _ PHONE: �_ I7'kkFS RFJQ(JIRED B[JILDERS BOARD 0: EX? DATE: LEST/SUBOWIRACIURS: _ BUS TAX: ARC3i,[_ENGINID2 CAIOXA ONS: NAME: TRUSS DETAILS: ADDRESS: 001m: : PHONE: COMMENTS: �. --- SUBCONTRACTORS: PIIM: MECH: : - PERMTT A' ACCT # DESCRIPTION ANDUNT AMOUNT PD. BAL. DUE _— 10-432 00 Building Permit Fees — 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) -- Building Plumbing _ Mech 10-433 00 Plans Check Fee Building Plumbing Mech 30-202 00 Sewer Connection -J-- 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PUC) 31-450 00 Storm Drainage Syst Dev Chnl (SSDC) 10-230 06 Fire MAL REC ---- _ - APPLICANT' SIGNATURE ----- ------------ Received By: -. _—___.--.-------.-___--- Date Received: of/3587P.WPF rw w w w w w w GgADING/EROSiQN CONTROL INFORMATION GENERAL CONTRACTOR NAME&ADDRESS. CASEFILE NO.: .Inv Miller Builder, Inc. PERMITNO.- P nn 97221 APPLICANT NAME AND ADDRESS: EXCAVATIOI`'CONTRACTOR NAME& ADDRESS: 0 1 Jim Paulson Excavating Tigard Qr 97223 oute 1 OWNER NAME AND ADDRESS: Hillsboro, Oregon 97124 TELEPHONE NUMBERS: APPLICANT,;�$4 7 5 Q 3 PROPERTY DESCRIP►'10N: OWNER` 6 8 4 7543 STREET ADDS CROSS /LAC TED GENERAL CONTRACTOR:_6 8 4 75 4 4 '� �~ EXCAVATION CONTRACTOR:6 4 5-1011 � SITEpOB LEGAL DESCRIPTION: -\ 24 HR/AFTER HOURS EMERGENCY TAX L C'''NO.: L.o CO'L'Oa e N PERSON,TITLE,TELEPHONE: 1/4 SECTION: _ Eickhoff SITE SIZE,ACRES;_ SSn `Tab—S i ntend�-�. � � DISTURBED/WORK AREA,ACRF,S: 3c0a LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAW TO:(CIRCLE ONE) (NOTE:PO Mrt. MAYBE REQUIRED) CATCH-BASIN I DTICH PIPE CREEK _ Stumps & brush to l iScf-nrprl fill area. Dirt to licenses_ PRIVATE PROPERTY (CIRCLE ONE) P dump site. UBLICRIGHTOFWA EROSTONISEDMENT .TION CONTROL (ESC)MEASUREJS,,. MINIMUM ESC REQUIREMENTS MIMMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEIAPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPF-RA71ON OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER OTHER PLAN FOR EROSION CONTROL PREPARED AND SUBMITIED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK% EROSION CONTROL PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING GMERGENCY PHONE NUMBER, SCHEDULE/STAGING POR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. 1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSIRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTIO STfE. I / CM OFFICIAL USE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED _ BY