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INSPECTION NOTICE
,ity of Tigard Building Department
P.O. Box 97
97
Tigard, Oregonon 97223 —
`�' Phone: 639-4175
Type of inspection
Date Requested
3 GT Time A.M. �1 P.M.
Address rl - Permit
Owner Lot # —
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _---.--- --•— io4.-Approved
Inspector L.1 Disapproved
Date �•
CALL 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
Ct � —
Date Requested �� -�U C/ TimM._ P.M.
Address —_� _�__! ---Q 1 `5+ ---_--- Permit
Owner — — ------� �- . ------ __ Lot #
BuilderThe following Bring Code deficiencies are required to be cr.rected:
le al—
Prevented to _ LI wphroved
/C�Insprctor _ _, 1� J /,�/_ �� Disapproved
Date
CALL FOR REINSPECTION
❑ YEa [!-TNO
INSPECTION NOTICE
1 City of Tigsrd Building Department
I I P.O. Box 23397
/ Tigard, Oregon 97223
Phone 639-4175
Type of inspection --
Date Requested �;/__� Ti�ma�s�4_uM. P.M.
Address ,��h 411, 7 / Sfi 4L�1—�— l! Permit
Owner Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to — __.� Approved
Inspector r ❑ Disapproved
Data
CALL FOR REINSPECTION
0 YEa ❑ NO
CITYOFTIFA RDS ( MIT NO. : PERMIT
C11Y�OF rSARD
COMMUNITY DEVELOPMENT DEPARTMENT oxrW)w F ISSUED: 11/ 3/89
13125 S.W.Hell Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 P14 I M.PM r.N0. 892122
JOB ADDRESS: 1.5467 SW 81ST AVE
TAX MAP/LOT SUB: ASHFORD OAKS 0:81 BY,:
LAND USE: R7
LOT SIZE: VALUATION: $ 71,450 SETBACKS
FRONT: 28 REAR: 5
WORK CLASS: NEW DWELL.UNITS: 1 LEFT: 10 RIGHT: 40
USE TYPE: SINGLE FAMILY NO.BEDROOMS: 3 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 3 N: S: E: W:
OCCUP.GRP. : R3 PROT.OPENINGS:
OCCUP.i.OAD N: S: E: We
TOTAL AREA: 1590
NO.STORIES: 2 1ST: 864 ROOF CONST: C FIRE RET?
HEIGHT: 20 (!ND: 726 AREA SEPAR? RATED:
BASEMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: 40 GARAGE: 400 FIRE SPRKLR? ALARM?
FLOW(GPM) DETECT? YES
HEAT TYPE: GAS HDCP.ACCESS? CORR?
PLAN CHECK BYe rlt
REMARKS:
re-issue Of 892163 REISSUE OF NO. 886629
LAST REISSUE 892103
FEES:
o MILLER JAY PERMIT $349.00
N p.o. BOX 23291 PLAN REVIEW $40.00
R TIGARD OR FIRE DEPT
R
STATE TAX $17.415
OTHER
C _ DEVELOPMENT CHAROESe
O MILLER JAY SDC(STORM) $250.00
T JAY MILLER BUILDER SDC(STREET) $600.00
T
R p.a. BOX 23291 PDC(02 > $?50.00
� TIGARD OR 97223 PREPAID ! $40.00)
T PHONE (503) 684-7543
R REGISTRATION NO. 36169 TOTAL: $1,506.45
RECEIPT NO. Io
This permit is issued subject to the regulations contained in 1 itle 14
of the TMC. State of Oregon Specialty Codes, zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and FOOTING SEWER
specifications and in compliance with all applicable codes and FOUNDATION WALL RAIN DRAINS
ordinances The issuance of this permit does not waive restrictive POST 8 BEAM WATER LINE
covenants Contractor and subcontractors shall have current city PLB.UNDERSLAB CITY APPRCH/SW
business tax permits This permit will expire and become null and
void It work is not started within 180 days,or if work is suspended or SLAB FINAL
abandoned for a period of 180 days any time after work has PLB.TOPOUT
commenced It shall be the responsibility of the permiltee to assure FRAMING
all required Inspections are requested and approved FIREPLACE
GAS LINE
ACL� INSULATION
��_��-\+tD GYP. BOARD
Permittee Signature i{
Issued By UUU --
SEPAnATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
SEWER PERMIT
CITY OF TIGA RDm4, PERMIT NO. : SE892171
crly 11fn4ItD
COMMUNITY DEVELOPMENT DEPARTMENT °ar'°"
TE ISSUED: 11/ 3/89
13125 S W.Hall Blvd.,P.O.Box 23397,Tlgaru,Onegun 97223,(503)639-4175 P 'I M.P M T.NO. 892122
JOB ADDRESS: 15467 SW 81ST AVE USA NUMBER: 39111
TAX MAP/LOT SUP: ASHFORD OAKS LT:81 BK:
LAND USE: R7
LOT SIZE:
SECTION: 12 TWP: 2s RNG: 1w
WORK CLASS: NEW
USE TYPE: SINGLE FOMILY
The applicant agrees to comply with all rules acid regUlatI011s of the Unified
Sewerape Agency. The permit expires 120 days from the date issued. The total
amoatnt paid will be forfeited if the permit expires. The Agency does not guar-
antee the accuracy of the location of the side 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 nat 4o located. the installer shall
purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral.
INSTALL. TYPE: BUILDI40 SEWER IMPERVIOUS AREA:
FIXTURE UNITS: TENANT IMPROVEMENT: i
DWELLING UNITS: 1 I
NO. OF BLDGS. : 1
O FEES:
W MILLER JA'. PERMIT $35.00
E P.D. BOX 23291 CONNECTION CHARGE $1,2250.00
Fa TIGARD OR LIME TAP INSTALL.
OTHER
r.
N FALLER JAY
T JAY MILLER BUILDER
A p.o. BOX 23291
�- TIGARD OR 97223
PHONE (503) 684-7543
11 REGISTRATION NO. 30109 TOTAL: $1,285.00
This permit Is Issued subloct to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oreg,3n Specialty Codes,zoning regulations ..--_ — —
and all other applicable cl des and ordinances, and it is hereby REQUIRED INSPECTIONS
agreed that the work will be dune In accordance with the plans and ROUGH-IN
specifications and in compliance with alt applicable codes and
ordinances The Issuance of this permit dr,Hs not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all reouired inc^ectinns are requested and approved
1 ermlttee Sign e
Issued By �/'1 'CA' -4F4*-4N6PFG IPM 439-4>17§ ---...—�
SEPARATE PERWUS REOUIRED FOR WORK 01 HER THAN DESCRIBED ABOVE
PLU
PERMIT
CITYCT TIGA� M►��; PERMiTMNOMG FL892169
'C�C2�ARD
COMMUNITY UEV�:LQPMENT UEPANTMENT
13125 SMHall Blvd P U Bo) 27397.Tigard.Orngon 97223.(503)5394175 TE ISf UED: 11/ 3/89
P IM.PMT.NO. 8921.22
)Olt ADDRESS: 15467 SW 81ST AVE
TAX MAP/LUT SUES: ASHFORD OAKS LT:81 BY,:
LAND USE: R7
LOT SIZE:
ITEM: NO: NO:
WORM, CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE FAMILY URINAL BKFLOW PRVNTR
CONST.TYPE: VN L.AVORATORY 3 TRAP PRIMER
OCCUP.GRP. : R3 'TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1.
GARBA,SE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE t
DWELL.UNITS: I LAUNDRY TRAY BLDG.DRAIN (DIA
FLOOR DRAIN
SINK I SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKSk
O FEES:
W MILLER JAY PERMIT $132.50
E P.D. BOX 23291
TIGARD OR FIXTURES
STATE TAX $6.63
-- -._._. -- --- ------- OTHER
C
N WATTS KEN
T KEN WATTS PLUMBING
A Po BOX 238925
G tigard or 97223
T
0 PHONE (583) 684-6626
H REGISTRATION NO. 50878 TOTALe $139.13
This permit is issued subject to the regulations contained in title 14 RECEIPT-N0.
of the TMC. State of Oregon Specialty Codes,zoning regulations
-----------------
end all other apphceble codes and ordinances. and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done In accordance with the plans and PLB.UNDERSLAB
specificatic ns and In compliance with all applicable codes and POST A BEAM
ordinances The issuance of this permit does not waive restrictive WATER LINE
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null andPL.B. TOPOUT
void if work is not started within 180 days.or if work is suspended or RAIN DRAINS
abandoned for a period of 180 days any time after work hes FINAL
commenced It shell be the responsibility of the permittee to assure
all required inspections are requested and approved
�K-ice^�.,t'�`(,\ - L _
Permittee Signature V
Issued By / - efttt FOR
efilflht $132
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
T i
CITY OF TIVA' RD / MECHANICAL PERMIT
�,.�� PtrRMIT NO. : ME89217a
CITY OF TI6ARD
COMMUNITY DEVELOPMENT DEPARTMENT "`rGOM
TE 155UED: 11/ 3/89
13125 S.W Hall Blvd..P O.Box 23397.Tigard.Oregon 97223.(503)639-4175
�- t-' IM.PMT.N0._--892122
JOB ADDRESS: 15461 SW 81ST AVE
'TAX MAP/LOT SUB: ASHFORD OAKS L.T:81 BK:
LAND USE: R7
LOT SIZE:
ITEM: NO: NCI:
WORD: CLASS: NEW FLIRNACE <100K 1 AIR HANDL.R <10
USE: TYPE: SINGLE F;',MILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE- VN FLOOR FURNACE EMAP.000L.E'r'
OCCUP.GRP. : R3 HEATER VENT FAN 4
VENT VENT.SYSTEM
BLR/COMP <3HP HOOD 1
NO.STORIES: 2 BLR/CrMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATGR(COM
FUEL TYPE GAS BLR/COMP 30--50HP REPAIR UNITS
MAX. INPUT 73LR/COMP 50+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1
HIGH PRESS?
LOW PRESS?
REMARKS:
FEES:
iv MILLER JAY PERMIT (10.00
E P.O. BOX 83291 PIAN REVIEW $10.88
H TIGARD OR FIXTURES $33.50
STATE TAX $2. 18
3THER
C
O
N
T BELL HEATING INC.
A 15550SE PIAllA AVE
C CLACKAMAS OR 97015
T PHONE (503) 243-1184
R REGISTRATION NO. 447 TOTALS $56.56
This C-ermlt is Issued subject to the regulations contained in T! in 14 RFOE 1 PT–NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances and It Is hereby REQUIRED INSPECTIONS
agreed that the work will be dons in accordance with the pans and GAS LINE
specifications and In compliance with all applicable codes and POST R BEAM
ordinances The Issuance of this permit does not waive revtrictive ROUGH–IN
covenants Contractor and subcontractors shall have curinnt city
business tax permits This permit will expire and become null and FINAL
void if work is not started within 180 days.or if work Is suspended or
abandoned for a period of 180 days any time aftnr wo•k has
commenced It shall be the responsibility of the permittee to assure
Fill required Inspections are requested and approved
--,J�L --d (—,)rFT-'
Permittee Signature
issued by e. CALL-Ff* T f6;39 4 i n
r
SEPARATE PERMITS REQUIRED FOR 1NORK OTHER THAN DESCRIBED ABOVE
I
elf
rPLAN CHECK APPLICATION
CITYOFTIGARD'.
PLAN CHECK it , /L
RD PERMIT N ``� I,) _
COMMUNITY DEVELOPMENT DEPARTMENT �ommm . DATE 13SUED
UQSsw►WaW P.O.§w=97.?bwt0mgnn pr»rola"7S
JOB ADDR !-� 6 7 .S.w• $
I STa v t 308 ADDR� TAX MAI)/LOT o2,5/- 12
SUB: vSS: I LOT: g 1 LAND UaE: S/- ,— P 12
VALUATION:
OWNER SPECIAL. NOTES
NAME: REISSUE; OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
SENSIT)VE LAND:
PHONE:
APPROVPLS REQUIRED
CONTRACTOR PLANNING: _
NAME: JAY MILLER BUILDER, INC. ENGINEERING:
ADDRESS: PO BOX 23291 FIRE DEPT
TIGARD, OR 97223 OTHER:
PHONE: 684-7543 ITEM REQUIRED
LIST/SUBCGNTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: — CALCULATIONS:
ADDRESS: TRUSS DcTAILS:
PARKING PLAN:
LANDSCAPE PLAN: _
PHONE: _ OTHER:
COMMENTS: r- I S
---
+; PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE
10-432 00 Building Permit Foes -,�' '
10-431 00 Plumbing Permit Fees5 4
!_212 10-431 01 Mechanical Permit Feesy j
10--230 01 State Building Tax (51) .9
Building
Plumbing
MQch
10-433 00 Plans Check FH
Building 4,4( ✓
Plumbing _
Mach _ t
30-443 00 Sewer Connection (201)
, 171 30-202 00 Sewer Connection (601)
30-444 00 Sewer Inspection 3
51-448 00 Street System Dev Charge (SDC) ia� u
52-449 01 Parks I System Dov Charlie (PDI)
52-449 02 Parks II System Dov Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) _..Z.� IL
10-230 09 1RFO (95%)
10-435 00 TRFD (51) '-
10-230 06 Washington County Fire 01 (95x)
10-435 Oft Washington County Fire /1 (51)
10-220 00 Amart/Wedgewood — "-
TOTAL
NEC N ' ? 7
APPLICANT SIGNAtUtf