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15425 SW 81ST AVENUE i i -- 15425 SW 81ST AVENUE urw"M CERTIFICATE OF-- C111111111111YOFTIGARD Ai�� OCCUPANCY A WYOFTWAND PERMIT Il. . . . . . . a MS['90--oo3j? COMMUNFY DEVELOPMENT D 13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97 "*ON PRIM. PERMIT H. MS'190--0032 DATE-.. IS43UED: 06/19/90 SITE ADDRESS. . . 2 15425 SW 8113T AVL 2S112CB-6900 3WIDIVIIS'10N. . . . : ASHFORD OAKS Ef L 0 CK. . . . . . . . . . a LOT.. . . . . . . . . . . . . mA3 CLASS OF WORK. rNEW TYPE OF USE:.. . . -6F OCCUVIANCY GRP. aka OCCUPANCY LOAD:220 4 TENANT NAME. . . keniark s a JAY MILI-EIR CIO BOX 23291 TIGARD OR 97223 Phone 44n 684--7543 C"ontractor: JAY MILLER PO PDX 23291 TIGARD OR 9'1223 Phonw Na 684-7543 ket.1 ff— C .30109 OCCUpik)-iVy Of the above referenced building is hereby given, and rertifies the compliance with the State Of Oregon Specialty Cadeta for the group, occupancy, and use under which the refsenced permit was inamod. F71RE DEPARTMENT LDING INSPECTOR 1; OFFffIAL. POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — -- — Date Requested___ 6 Time A.M.— P-M' Address �S.lrJ 4� – Permit Owner _ Lot # Builder 2A--�--71 0=�D1 The following Building Code deficiencies are required to be corrected: Presented to __ - Anf'"^ved Insnector _-_____ _ Disapproved Date — - _ ---oma-----r- — CALL �GIR REINSPEC770N L-1 YES ❑ NO � IS It a eI� ear � ear C� INSPECTION NOTICE 7 ' City of Tigard Building Department G' P.U. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requwster' _ ` /S Ijme A.M. P.M. AddressPermit #� - � — Owner -_- -) _�- -----_—� Lot #_ Builder The following Buildinq Code deficiencies are squired = corrected: t -- Presented to Approm Inspector --- _— -- ❑ Disapproved Date. CA L FOR REINSPECTION ❑ YEB ❑ NO I INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 5"Type of Inspection Date Requested Time A.M._ P.M. Address _ �� -- T'---- Permit Owner__— Lot # _ BuilderThe following Building Code deficit:ttcies are required to be corrected: 3 �r ^ .._ - " _�;L_��" �1',t�_ /ter ✓�G��V� 001) 1 G!? />vt Presented to L� F+WP- Inspector _ / f LI Disapproved Date _—.� ' Z J CALL FOR REINSPECTION [] YEAS fLLMO or W1 W1 Wz INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 r Type of Inspection Date Requested_ '5- 7-1! / Time �__. A.M.. p P.M. Address 191— -___-- Permit #1wll'if_ Owner / - --_--..— --___� Lot — BuilderThe following Building Code deficiencies are required to be corrected: - / - "' f - V Presented to Approved Inspector _ ✓ _. Disapproved Date � — CALL FOR REINSPECTION YES ❑ NO INSPECTION NOTICE (/ ' City of Tigard Building Department P O Box 23397 T gard, Oregon 97223 Phone: 639-4175 Type of Inspection r Date Requested `� O 11me A. . P.M. Address ? _�— Permit Lot # Owner � _ _� — Builder The following Building Code deficiencies are requitad to he correGtod: Presented to -- _----_----- Fj'�Jhpproved Inspector -_- — Disapproved Datel CALL FOR REIPISPFCTION ❑ YES 0 NO UMANWIF INSPECTION NOTICE City cit Tigard BUIIding Department P O Box 2337 Tigard, Oregon 9?223 Phone: 639-4175 Type of Inspection —'— Date Requested_�Z1 '~ Time F,.M. P.M• Address —_-- Permit V'/ Owner_ --— __ Lot #_—_-- Builder The following Building Code deficiencies are required to he corrected: Presented to/ Approved Inspector ��—T� ❑ Disepproved Date Ta- CALL FOR REINSPECTION El YES 0 140 rj INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested ' �O/ r� ime x A.M. P.M. Address Permit # Owner Lot # Builder ' The following Building Code deficiencies are required to corrected: All EXC' �aT r x•07 �v cj S -�z �v r� t�b ;1, _ .rQ�'i�tlCVcV A 5 Presented to Approved Inspector � _ [_] Disapproved Date CALL FOR REINSPECTION DYE= ONO INSPECTION NOTICE Oity of Tigard Building Department.__ P O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection - Date Requested ------- -- Time --_. A.M._--_--P.M. Permit Address #-_.�.------ -- Owner .�. Lot Builder The following Building Code deficiencies are required to be corrected: Presented to _ ❑��Wovw Approved Inspector Datf CALL FOR REINSPECTION J YES ❑ NO CITYOFTIFARD CRYOF>�A R COMMUNITY DEVELOPMENT DEPARTMENT OR'Qobp CTION 13125 SW flail Blvd. P.O.Pox 23397,Tigard,Oregon 97723(503)639-4175 xxxx --- PE IT 639-4171 PERMIT #.... ...: SWR90-0055 PRIM. PERMIT #. : MST90-0032 DATE ISSUED: 02/05/90 SITE ADDRESS. . . : 15425 SW 81ST AVE PARCEL: 2SI12CH-6900 SUBDIVISION. . . . : ASHFORD OAKS ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :83 -------------------------------------------------------------------------------- TENANT WAME. . . . . : USA NO. . . . . . . . . . :39191 FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . :I TYPE OF USE. . . . . :SF NO. OF BUILDINGS:1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf Remarks: Owner: ----•------------------------------ - -------------- FEES -------------- JAY MILLER tfpe amount by date recpt PO BOX 23291 PRMT $ 1250.00 INSP $ 35.00 TIGARD OR 97223 PAYM $ 1285.00 JI.H 02/05/90 Phone N: 684-7543 Contractor: ----------------•-------•-------- JAY MILLER PO BOX 23291 TIGARD OR 97223 ---------------•----------------------- Phone #: 684-7543 $ 1285.00 TOTAL Reg t. . : 30109 -------- REQUIRED INSPECTIONS ------- This Applicant agrees tot comply with all the rules and regulations Sewer Inspection 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 does not guarantee the accuracy of the _ aide sewer 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. Permittee Signature: y'/ley-,��— Issued By: Call for inspection - 639-4175 C17YOFTIFARD cmr PERMIT COMMUNITY DEVELOPMENT DEPARTMENT yIT t 13125 SW Fall Blvd. P.O.Boz 23397,Tigard,Oregon 97223(503)639-4175 F""" f • = MST90-0032 xxxx PRI.{-.- PERM T #. : MST90-0032 — 639-4171 DATE ISSUED: 02/05/90 jSITE ADDRESS. . . : 15425 SW B1ST AVE PARCEL: 2S112CB-6900 SUBDIVISION. . . . : ASHFORD OAKS ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :83 -------------- BUILDING --------------- REISSUE:MST90-0031 DWELLING UNITS:l BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :410 of TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- TYPE OF CONST. :5N FIRST. . . . :864 sf LEFT. . :5 ft RIGHT. :10 ft OCCUPANCY GRP. :R3 SECOND. . . :726 of FRONT. :20 ft REAR. . :40 ft STORiRS. . . . . . . :0 THIRD. . . . :0 sf REQUIRED------------------- HEIGHr. . . . . . . . :20 ft TOTAL------:1590 of SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 pef PARKING SPACES. . :O Remarks: --------------------------------- PLUMBING ------------------------------------ SINKS. . . . . . . . . . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . :100 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :1 WATER LINE (ft) . :100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :1 RAIN DRAIN (ft) - :0 WASHING MACH. . . :1 SF RAIN DRAINS. . :1 --------------- MECHANICAL -------------- ---------- _----- FEES -------------- FUEL TYPES----------- UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . :0 PAYM $ 40.00 JLH 01/17/90 106920 MAX INPUT:O BTU VENT FANS. . :3 PRMT $ 358.00 FURN < 100K . . :1 HOODS. . . . . . :1 PLCK $ 40.00 IFURN >=100K . . :0 WOODSTOVES. :O 5PCT $ 17.90 FLOOR FURN. . . . :0 CLO DRYERS. :1 STDG $ 600.00 ,BOIL/CMP 4: 3HP:0 OTHER UNITS:O SSDC $ 250.00 GAS OUTLETS:1 PARK $ 250.00 Owner: ------------------------------------ PRMT $ 36.00 JAY MILLER PLCK $ 9.00 PO BOX 23291 5PCT $ 1.80 PRMT $ 132.50 TIGARD OR 97223 5PCT $ 6.63 Phone t: 684-7543 PAYM $ 1661.83 JLH 02/05/90 Contractor: ----------------------------- PAYM $ 0.01 JLH 02/05/90 JAY MILLER PO BOX 23291 TIGARD OR 97223 Phone f: 684-7543 Reg V . : 30109 ------------------------------------ $ 1701.83 TOTAL. This permit is issued subject to the regulations contained in the ------- REQUIRED INSPEC Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp B applicable laws. All work will be done in accordance with approved Post/Beam Insp Rain plane. This permit will expire if work is not starL-ed within 180 Plm/undelab Insp Water days of issuance, or if work is suspended for more than 180 days. Mechanical Insp Appr/ Framing Inap Final Inspection Permittee Signature: � !. u� Fireplace Insp — - Gas Line Inap Issued By: Insulation Inap CITY OP TIGARD RECEJFf OF P'AiHENT EIEC NCI: 0010'7231 CHE0, AMOUNT 2q 4 o.a NAME: JAY MILLER CASH AMOUNT a .00 ADDRESS: PAYMENT DAY[.-*. TIGARD. OR 97'22--% PLOCI;' NO/ADDP-. I` 475a S W tSl' AVE. POPHISE. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMLIU14T PAID EUILPING PERMIT f"-0(532) 75e.00 PLUMPING PERMIT MECHANICAL F'EFtll'( 36.00 STATE BUILD PERMIT TAX (5%, PLAN CHECF FEE 9.00 SEWER USA (90-0055) 1. SEWER IN5PECION Sai.00 STREET 50C 600.011 PARKS SrSTEM DFVELOr'IIENT CH 4250.00 STORM DRAIN -,riC 250.00 TOTAL AMOUNT F A I D 946.S CITYOFT167ARDUCaffTYOFn6MRDCOMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK APPLICATION 13125 S.W.Mdl Blvd_P o.Sm 23397, PLAN CHECK p � T+y..d,oro�on s7m,(sa+)s39-1175 ATE ISSUED _ JOB ADDRESS: j S y� 5 S :V�i 6 1 S�a v. 1 AX MAP/LOT S/ - /'� �U' _ ��D U SUB S V, >: �, a S LOT: LAND USE: VALUA CION: ���/ / Gu �' _ OWNER SPECIAL NOTES NAME: _ _ REISSUE OF: ADDRLSS: — LAST REISSUE: -_-- _ FLOOD PLAIN/ SENSIIIVE LAND: PHONE: APPROVALS REQUIRED CONTRACTOR PLANNING: NAME : ,TaMiller nui1de r Tnr- _ ENGINEERING: ADDRESS: 'P_.—O. Box 23291 TIRE DEPT Tigard , Or 9722'; OTHER: PHONE.: 684-7r.43__ � ITEMS REQUIRED BUILDERS BOARD N: 3n iIlqEXP DATE: 1 2_1 R_gA 2ic.• LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENG.INEER CALCULATIONS: NAME : TRUSS DETAILS:-----'---- ADDRESS: OTHER: PHONF . COMMENTS: SUBCONTRACTORS: PLUMB: _Ken Watts Plmh. r3n87B MECH: e11 Heatin OQ447 _ PERMIT N ACCT N DESCRIPTION AMOUNT 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 (5X) 1 Building Plumbing Much 10-433 00 Plans Check Fee _"' Bili!ding J Plumbing jWa d•4- Mech 30-202 00 Sewer Connection �� / j 30-444 00 Sewer Inspection , 5- 51-448 00 Street System Dev Charge (SDC) , - 52-449 00 Parks Systpm Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10--230 06 Fire "�- -----J TOTAL RFC N APPLICANT GjGNARI)Q!• - -- Received By: Date Received: cn/3587P/18P GRADING/EROSION CON'T'ROL, INFORMATI�I GENERAL CONTRACDOR NAME& ADDRESS: CASEI=ILE NO.: j")1 /1,14 PERMITNO.: )''}T ST Cf-U co,j 2. zz_, �— APPLICANTNAME AND ADDRESS: EXCAVATION CON'T'RACTOR - -T, ti NAME&ADDRESS: PcjX L OWNER NAME AND ADDRESS: 12� TELEPHONE NUMBERS: - — - APPLICANT;____ ( PROPERTY DESCRIPTION: OWNER: STREET ADDRESS AND CROSS STREET/LOCATED GENERAL.CONTRACTOR: EXCAVATION CONTRACTOR: S ITE/IOB: LEGAL DESCRIPTION: 24 HR/AFI"ER HOURS EMERGENCY TAX LOT NO.: �_Ii 5hfUrzn c,A, i CONTACT PERSONS TITL '',TELEPHONE: 1/4 SECTION: 7c��.( " i�- �L)S 1- SITE SIZE,ACRES. - - l.'�I-j I I j DISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE) (NOTE:PERMITS MAY BE REQUIRED) CATCH-BASIWDITCH PIPE CREEK (CIRCLE ONE) PRIVATE PROPERTY PUBLIC RIGHT OF WA EROSION/SEDIMENTATION CONTROI.. (ESQ MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE D RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER PLAN FOR EROSION CONTROL.PREPARED AND SUBMIiTL"D IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PIAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. 1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON T'HE CONSTRUCTION SITE. OWNER SIGNATURE APP ANT SIGNATURE OFFICIAL USE ONLY. RECEIPT DATE A('CF.I'1T D NUMBER_ RECEIVED BY