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10530 SW TITAN LANE ADDRESS: � �% -;�-a_n r L rev l hrocords\microfirnVargetstuilding.dc:. I ccRA - OF CITY SF TIGARD oCCUPANC-Y COMMUNITY DEVILOPMENT DIlPARTMBNT PERMIT #. . . . . . . : 5l X33_02 ` 13128•W Mall INCTVA-OnMn fa7ttrt•�1N (i0�1V11u��t DATE I SSU'ZD: 07/1:5.'`)3 A _.�171 PARCEL a 2s 115AA-0 7")00 I 17E ADDRESS. . . a 1.k'��i.:.v9 SW TITAN LN 7..0N 1 N0: U'31)1vISIpN. . . 4lERKLEY FSTATF S . ..____ . . I_U r__._,.._._ _.. 1.1LOCK• . .. A. 1. •.-.-• _r.._. M_.._ _____. _»_.._w____- _ _ . __..... ..,LASS' nF" VIORK. s NEW TYPE Or-' U£3E. . . :C3F. UC'CUPANCY GPFr. :R 3 uCC:UPANCY LOAD► It() 4 J CNANT NOME. . . : Remark%! PATHOwner A 1 ,JAY MILLER BUILDER INC 4?. U. BOX 23291 11UARD OR 97261 f Onr. N: 6194-7543 JAY MILLER PC) BOX 23291 ?'IC3Ap,D CIR 97261 Phone #t 664--'7"i43 Reg *. . 1 301.0" Orc:�.ip�+nr y t)f thr+ ,�t�cve r^efiar-en�'ed building i� f•rpreby ;�iveny ,unci r_ertif�iNP the compliance withr der �which('thCpr �o;fear^enc-dan�'►'mitI- the Co�v+a5f�ia3aue i. �rou ., acr:�.�parrcy, and USE �t DI / NSPECTOR —r 1 RF, DEPARTMENT AL. pob T' 11,4 CONSPICUOUS PLACE BPECTION NOTICE City of Tigard B+uildinqr �../ 13125 611 Hall Blvd. Tigard, n�regan Inspuctlon L4.1.t (Sec-D-Phone)t 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk round. Plbq. Top Out Gas Line FINALi Post/Seam Struct. San. Sewer Framing Bld ^D Post/Beam Mach. Rain Drain Insulation ply) Plbg. Undcrfloor Nater Line Gyp. Rd. Nech� Date Roquesteds I?j Iq 3 TLost pN r Address t permit #t Builders THS MLLONINC CORRECTIONS ARE RXQUIREDt Inspector:Y- --- rates APPROVRD DISAPPROVED �-- APPROVED 9UBJE('r T1) ABOVE / _—Call For Reinsp. Page No. I CASE HISTORY FOR CASE NO.: MST93-0227 JAY MILLFR BUILDER INC 10530 SW TITAN LN 09/09/98 Action Description Req/ Schd/ End/ Action Nctes Disp By Ur,iate Upd Code Sent Done Done Date By ---- -- MSTA007 Application received / / / / 04/12/93 PASS JLH 06/02/93 TLP MSTA010 Plan check deposit paid / / / / 04/12/93 PASS JLH 04/29/93 BLT MSTA020 Plan check by 04/28/93 / / 04/28/93 PASS RT 04/28/93 BLT M13TA030 Check for prcl. restrict. / / 04/28/93 04/28/93 PASS RT 04/28/93 ALT M.STA092 (F) Issue combination permit / / / / 04/29/93 PASS RT 04/29/93 JH MSTA097 Issue plumbing signature form / / / / 04/29/93 PASS RT 04/29/93 JH MSTA705 Foot/found Innp / / / / 05/03/93 PASS TLP 05/05/93 TLP MSTA710 Poet/Beam Structural / / / / 05/10/93 PASS TLP 05/10/93 TLP MSTA711 Pobt/Beam Mechanical / / / / 05/10/93 PAP, TLP 05/10/93 TLP MSTA717 PLM/Underfloor / / / / 05/10/93 PASS TLP 05/10/93 TLP MSTA720 Mechanical Inep / / / / 06/08/93 PASS TLP 06/09/93 TLP MSTA"e2 Plumb Top Out / / / / 05/18/93 no water test on system FAIL. TLP 05/19/93 TLP MSTA722 Plumb Top Out / / / 05/18/93 PASS TLP 65/19/93 TLP MSTA725 Framing Inep / / / 05/25/93 WOOD TO CLOSE TO HEATII.AT9R VENT PIPE PART TLP 05/27/93 TLP ADD SUPPORT TO HIP RAFTER DOUBLE ROOF SUPPORTS MSTA735 Gas Line Insp / / / / 06/01/32 FAIL TLP 06/02/93 TLP MSTA735 Gas Ling Insp / / / / 06/09/93 PASS TLP 06/09/03 TLP MSTA740 Insulation Inep / / / / 05/28/93 PASS TLP 06/02/93 TLP MSTA745 Gyp Board Inep / / / / 06/01/93 PASS TLP 06/02/93 TLP MEC'A755 Rain drain ]nap / / / / 05/05/93 PASS TLP 05/07/93 TLP MSTA750 Water Line Insp / / / / 05/05/93 PASS TLP 05/07/93 TLP MSTA765 Appr/Sdwlk Insp / / / / 06/03/93 PASS LT 06/29/93 NL MSTA765 Appr%Sdwlk Inep / / / / 07/13/93 PASS 111' 07/23/93 NL. t4s'TA795 K, chanical Final / / / / 07/13/S3 PASS TLP 07/13/93 TLP MP "7 Plumo Final / / / / 07/13/93 PASS TLP 07/13/93 TLP MS't Building Final / / / / 07/13/93 PASS TLP 07/13/93 TLP M.STA,,,a (F) Issue Cert. of Occupancy / / / / 07/13/9.3 Jr 08/10/93 JF MSTA970 Case Finaled / / / / 07/13/93 PASS TLP C /13/93 TLP CITY SOF TIGARD COMMUNITY DEV.;:LOPMENT DEPARTMENT 13125 SW Hall Blvd.Tiger,,O;ogon 97223.8IN (503)$30-4171 M CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 16126 SW Hall Blvd.Tigard,Oregon 07223.6199 (603)630-4171 c h jc r �T ,• wu oNaCI 1 PLNCK/RECT >I�( i3i�s sw 1 Of' 1 1(-1AJ ,,,DPERMIT COMMUNITY DEVELOPMENT DEPARCMErrr rb+-a.orc9,413 (503)639-4171171 GATE I S iUED JOU ADDRESS: /U`>3 U � %i 67 Yl 1 /1 TAX MAP/LOT �S/ / AA — a79yU SUB: t;t-(.,Jv LOT: / LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: JY 1 J ) l�c Y ��/�y REISSUE OF: - - ADDRESS: � iGX J (J J LAST REISSUE: FLOOD PLAIN/ P'IONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NANZ r 1 1 i � ) i I r PLANNING: ADDRESS: _i _ ENGINEERING,: _ FIRE DEPT: PHONE: `y� OTHER: CONTR. BOARD #: _ EXP DATE: _ ITEMS REQUIRED SUBCONTRACTORS_: PLUMB: i'I IVO t) LIST/SUBCONTRACTORS: MECI(: BUS TAX: . ARCN ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: _ — -- ADDRESS: _ OTHERS PHONE: � PROPOSED BLDG. USE: ! _COMMENTS: — --- APPLICANT SIGNATURL� Received By: __ Date Received: PERMIT # ,ACCT # DESCRIPTION AMOUNT j AMOUNT PD. BAL. DUE Ms/ v12y�- Building <7 IC-432 00 Permit fees ,� 7 ,w 10-431 00 Plumbing Permit Fees ILL-- 10- 431 L10- 431 01 Mechanical Kermit Fees 10--230 01 State Building Tax (5%) fie , /111' _ fir., y`; Building PIunit)ing Mechanical • v.3 10-433 00 Plans Check 1--e Building Yu ' Plumbing !,lechanical 104 10-230 OG Fire e30-202 On Sewer Connection 2/e, d l –1/6u 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 2.5-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees _ 25-448-01 Residential Traffic fees S u l� So 2-5-448--05 Mass Transit TIF Fees // 1/ u 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev -'-hry j 2.4-44;-01 Water Quality (Fee in lieu ot') _ 24-445--02 Water quantity (Fee in lieu ot') TOTAL_ ��� �,-S-6 --fes— rJ 5'77; nm/3587P-WI'F I