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10544 SW TITAN LANE w i ADDRESS: IOS'- 4 i Arecords\microflm\targets\building.doc CER71FICATf- F CITY OF T I GARD O%-CUPAN1. COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 01. . . . . . . • Pliz f 96--0 y73 15125 SW Hall Blvd Tigard.Oregon 9722308109 (503)"-4171 DATi7 ISSUED: 08/20/93 PARCEL: 2S115AA-07800 SITE ADDRESS. . . : 10544 SW TITAN LN SUBDIVISION. . . . I BERKLEY ESTATES ZONINGe BLOCK. . . . . . . . . . I LJT. . . . . . . . . CLASS OF WORK. ,NEW T'11PE OF USE. . - - 3F OCCUPANCY GRP. IR3 OCCUPANCY LOAD S224 4 TENANT NAME. . . : Rosmarkst PATH I Owner JAY MILLER Phony 0i; Cont rest or- fOY MILLF-f"i V10 BOX 23e9i ITOARD OR (hone #t 684-7543 eq # 3,111109 of t;hL- above referenced t .iibjinw is hereby giver', and certifiL- ! he c.-omp) iance with the State )f (:31,-ego . Specialty Cocjc,-, fc)v^ the group, ,c-cupancy, and use L1111der which the referenced permit WAS i6riLled. BU ING I ECTOR FIRE DEPARTMENT L I AL PUST IN CONSPICUOUS �L-ACE INSPECTION NOTICE -- City of Tigard Building Departaent 13125 811 Ball. Blvd. Tigard, Oregon 97223 Inspection Line (Rec•-O-Phones 639-4175 Business Phones 639-4171 !nepaction:.____ Footing 111bg. Underrlab Mech. Rough-in Appy/adwlk Found. Plbg. Top Out Cas Line Post/Beam St-uct. San. Sewer Framing —aldq.� Post/Beam Mec!_ Rain Drain Insulation -Plinub. Plb*i. Underfloor Nater Line Gyp. Bd. -Koch. Dais Requestads // %f l�V �/J- Tlaa: � Q 11M 7 PM Address: I K 11^ I �' (- 1lL1 [Lt_�. P_e�rmit 1: Builders `JDA-tiir �•SdJ. l� _ �y�LAtl TmIl COMMUMS AM REQUIRED OWIneFector Datef% _?� -- "PFOVED DISAPPROVED APPRM,:D SUBJECT TO ABOVR _Call For Reinsp. Page No. 1 CASE HISTORY FOR CASE NO.: MST93-0275 JAY MILLER 10544 SW TITAN LN 09/09/98 Action Oescription Req/ Schd/ End/ Action Notes Disp P; Update Upd C,.Je Sent Done Done Dai.,, By MSTA007 Application received ! / / / 05/12/93 PASS JLH 05/24/93 BLT MSTA010 Plan check deposit paid / / / / 05/12/93 PASS JLH 05/24/93 PLT MSTA020 Plan check by 05/24/93 / / 05/24/93 PASS RT 05/24/93 BLT MSTA030 Check for prcl. restrict. / / 05/24/93 05/24/93 PASS RT 05/24/91 BLT MSTAn92 (F) Issue combination permit / / / / 05/27/93 PASS JLH 05/27/9? JF MSTA097 Issue plumbing signature form / / / / 05/27/93 PASS JLH 05/27/93 JF MSTA705 Foot/found Insp / / / / 06/01/93 PASS TLP 06/02/93 TLP MSTA710 Poet/Beam Structural / / / / 06/08/93 PASS TLP 06/09/73 TLP MSTA711 Poet/Beam Mechanical / / / / 06/08/93 PASS TLP 06/09/93 TLP MSTA717 PLM/-nderfloor / / / / 06/08/93 PASS TLP 08/.25/93 TLP MSTA720 Mechanical Inep / / / / 07/08/93 PASS TLP 07/1.2/93 TLP MSTA722 Plumb Top Out / / / / 07/01/93 TWO LEAKS CHECK AT INSULATION PART TLP 07/13/93 11,P Ml,A722 Plumb Top Out / / / 07/12/93 PASS TLP 07/13/93 tLP MSTA725 Framing Insp / / / / 07/08/93 PASS TLP 07/12/93 ';LP MSTA735 Gda Line Inap / / / / 07/08/93 GAS LINE NOT INSTALLED FP.II. TLP 07/12/93 TLP MS-VA735 Cas Line lydp / / / / 07!09/93 PASS TLP 07/12/93 TLP MSTA740 lnsu.dtion Insp / / / 07/13/93 PASS TLP 07/13/93 TLP MSTA745 Gyp Board Inep / ! / / 07/19/93 no green board around bath tub FAIL TLP 07/20/93 TLP no clearance around furnace vent MSTA755 Rain drain Inep / / / / 06/07/93 PASS TLP 06/09/93 TLP MSTA760 'tater Line Insp / / / / 06/07/93 PASS TLP 06/09/93 TLP MSTA765 Appr/Sdwlk Insp / / / / J7/27/93 1. Be prepared to protect finish. PEND LT 08/05/93 NL MSTA795 Mechanical Final / / / / 08/20/93 PASS TLP 08/25/93 TL? MSTA797 Plumb Final / / / / 08/20/93 PASS TLP 08/25/93 TLP 14STA799 Building Final / / / / 08/20/93 PASS TLP 08/25/93 TLP A960 (F) Issue Cert. of Occupancy / / / 08/20/93 JF 09/14/93 JF CITY OF T I CARD COMMUNITY t1EVELOPMENT DEPARTMENT 13125 SW Hall Blve Tigard,Oregon 97223.8109 (503)030-4171 SEWER CUNNEG-; FITY OF T �irta PLRMIT ''INITY DEVELOPMENT DEPARTMENT . . . . . . . SWR93,-0L`I SW h Blvd.Tigard.Orogon 97223@8199 (503)639-4171 UL I.,-. PARLEL. ADDRL. L ', -,�'NANT NAMI-i:- SANO. . . . . . . . . . YPIC OF L18L.. t by date 100. 00 IF W, 9Z] A, Ca r Apf',cint jgv�ees t: collply mtt- ail the rvies and requlatiams o W fs t- 1:1 t I.C,I-, the Unifitd 544age ;prcy, The. pe:-ip;t ehprts A dayi frog ,tif date isv0d. 1*4 tut�,'' nt �A,,o 011i of forfeited if tF,e pti-sit expires. rhe Agonc) does not y,aran*,## the accuracy of to 'ice sewer latp,-aA. if the sititr is not located at the aeasves�v( tl,,t jnstai,jer snali prospect .4 feet i; ail directions frog the djstjr,e given. If -.,ot so located, the InstaJOr 1,114' purchase I'ap and 916 Sewer' Oersit ant tFrp AnYnt�v wi i. llkstml i r :-.4t r. A* La I I for i n 5,v-,rm aii `913125 SW Han Ds& PLNCK/RECT #CITY O TI GA RD r�,�a orc�vru� PERM I T COMMUNITY DEVELOPMENT DEPARTMENT (503)63"171 DATE ISSUED JOB ADDRESS: a--- l-. . _ _ TAX MAP/LOT _2 1 /5%9A 07ADD SUB: P)I LOT: IQ LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: `4J _ �l. '-O. lclr J..nc REISSU.,- OF: ADDRESS: Bcx 2329 1 _ LAST REISSUE: _ '-1!�QAd4-Lk _� 1 FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: 0-kk cLIR- PLANNING: ADDRESS: - ` ENCiN RING: I !RE DEPT: PHONE: _ _ _ _ OTHER: .ZZf" CONTR. BOARD #: I(�� EXP DATE: Lj(MS. REQUIREp SUBCONTRACTORS: PLUMB: 1�'n V�(cr�r;U-D (ct•E� • _ LIST/SUBCONTRACTORS: MECH: _5C.'Ll BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: _ _ OTHER: PHGNE: PROPOSED BLDG_ USE: COMMENTS: ha - ► 1 ��, rnrn I(o MI-1 /'S P��t3 SA�II�.w►c 1rSn, r.' A.e zzz t-i&vf /5 STOrti►'I A/A) P s rvi t Ale CO'lt. APPLICANJSIGNATURE Received By: _ ` ,_ Date Received: -� �� X71• \, rA PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit. Fees Com/ c,2 10-431 00 Plumbing Permit Fees 10-431 01 Mechanicai Permit Fees _.Y .av V/ 10-230 01 State Building Tax (5%) 21� Building ala . Plumbing - Mechanical 10-433 00 Plans Chick Fee Z Building _4 U PI umb i rig Mechanical 10-230 06 Fire 0)3 30-2.02. 00 Sewer Connection 30-4r4 00 Sewer Inspection 3 3 ,- 25-448-02 Conunercial TII Fees 25-448-01 Industrial TIF Fees 25-448-06 Institutional TIF Fees 2.5-448-03 Offi -e TIF Fees 25-448-01 Residential Traffic Fees 2.5-448-05 Mass Transit TIF Fees f f U /r j 52-449 00 Parks System Dev Charge (PL'C) Sc�✓�� __ 31-450 00 Storm Drairage Syst Dev Chrq (SSDC) .'4-445-01 Water Quality (Fee in iinu of') 24-445-02 Water Quantity (Fee in lieu ;if) 10TAL_ j7�j,'r /403 ,5% nm/'3587P.WPF