15310 SW 82ND PLACE PI d
15310 SW 8a&D PLACE
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INSPECTION NOTICE j
City of Tigard Building Department
�) �/ 13125 SW Hall Blvd. Tigard„ Oregon 97223� Inspection Line (Rec-O-Ph.one): 639-4175 �.Bu-siness Phone; 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. "op Out Can Line 1!INAI.:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Wa elr Line Gyp. Rd. --Mach.
I
Date Requested:__j/ ` TUoec _ -AM PH
Moreno: n. 4 Permit
Bu}]de.r:
THE FOL NG CORRECTIONS ARE REQUIRED: �`� ` y �"�•� ����
Inspector: //� Dated//
APPROVED DISAPPROVBD x4P b 8UW1cT Tn ABOVC
Call For Reinsp.
ffIo
MECHANICAL
C".01ATY OF TIGA RPE.R111T
CIITYOFTWAW) f'G::I';I*I IT 0. . . . . . .. .
COPAMU14ITY DEVELOPMENT DEPARTMENT ORNOM F'ERNIT W, 1`111H."C90 0 15
i'.j 125 SW I-WI Blvd. P.O.Box 23391,Tiqmrd,OregDn 9712U )0,?"U8
DATE .1. S U ED. 0', 3 -30
4: (-V/DRESS, 1531.0 SW 82ND PL
1)T 01 V I S 10 N. L A N GTr-',E E E S T(4 T E S ZONING: R---12
LOI.. . . . . . . . .
C;UW3 OF:' WORK. .. :ADD FLOOR 1---'URN. EWIP COOLERS
- 7
T Y P F, U USE:. . .. . :91"' UNIT HVERb. V E NT I PNS. . .
OCCUF-111ACY GRP... R3 VENT S W/0 A v 1--.,IqI S Y ST E vi S.
STORIES. . BOILE'NS/COITIPRESSORG HOODS.
F'(JE*I.. IYVIES— .............. W-3 FI Pl.. . . . I DONI:15. 1.HC;J,N!1
3-1-:15 HP.. COMPIL. INCTN-,
JvI(4 X I N PLIT BTU 15•-30) REPAIR UN1I*t:;-
DqMPERS?. . t 30--`:101 1-1 P WOODSTOVES. .
GAS 504. I-II.D. (,LO DRYERS. . :
NO. (.)F:* AIR HANDLING U hl.*[I'S OTHER UNITS.
FURN \' 1.00K UJ(.I- <= 1.0000 efill- GAS OUTLEIC.
1-:URN ):=J.001' KrU.- > 1.0000 c—fill.-
Remarks: 3 tali Air e(ai-iditic)i-ler
0 W 1`1 e.1, F'EE 13
-it t
JUNE* RONDI EMP11 type A ni()(.t) b y (late
.1-5310 SW 82ND PIL PAYM $ 16. 60 J1.44 07/28/90
PiRrr s J.61. 0 0
T16W.-M OR '97224 5P(]T $ 0. 80
BEI 1. HEATING 114('
151*55M SE PIAZZA AVE:
OR 97015
V11-101-le It:: $ ].('-,. 80 I'MAL
R e p it. . 44'/
REOUIRED KNSr,E(,T:[C)NS
This permit is issued subject to the regulations contained in the Vill'Al 111speeticill
.rige-d Municipal Code, State of Ore. Specialty Codes and all other
..........
applic,. e laws. All work will be dune in accordance with
ipproyed llans. Tkis permit will expire if work is not started
within Ida Bays of issuance, or if work it suspended for more
than 180 day,.
...................
..............
Perniit'.-ery
.............. .......
CAII for inspertioii 639---4175
w lwmmxw
TTY OF T-IBAPLI PECMIPT OF PAYMENT RECEIPT r4u.
C-HECIt:" AIIOIJI'..'T
14AME r i't=LA- HEAT INC: CASH (AMOUNT
ADDPESS 1. .17, E F''I A 7 PAYMENT DATE i t.)7,17.;t,.
SUBT)I V I F41 ON
CUACKAIIAS. Of-" 9/r,t 1 157.'1,") SW (34-ND Pl-
FUP'POSE OF PAYMENT AMOUNT PAID PURPOSE OF Pro'mEwr AMOI..)NI PAID
MECHANICAL
MFC r� o 175 7. 16 0 I"T . PEER
TOTAL AMOUNT PAID
ff Wiwi w
U I Y Ul- 1 MAHL.) MEC HAM AL PE°.RMUT
Descrlptinn
Table 3A Mechanical Code CITY PRICE AMT
City of Tigard
13125 S.W. Hall BA. !) Permit Fee -- 0- '01 10.00
P.O. Box 23397
Tigard, OR 97223 2.) Supplemental Permit - 3.00
639-4175 1) Furnace to 100,000 BTU 6.00
incl.ducts 8 vents
2) Furnace 100,000 BTU { 7.50
incl.ducts 8 vents
Name of Development ---- 3) Floor Furnace — 6.00
incl.vent {
Job Address — Suspended heater,wall heater 600
Address ,� /D 5. [J_fi nd A _ 4) or floor mounted heater _ J
Tax Lot Map No 5) Vent not incl.in 3.00
_ _
L01 Block .',ubdivlsion appliance permit
Name(or name of business 6) Repair of heating,refr ig., 6.00
jr� _ cooling,absorption unit
�"0 N
Mailing Address9n 600 rt'
Owner , • { f��y-��� 7) Boiler or comp to 3 HP absorp.unit to 100,000 BT /j C_ G ` -
�5.3�� S cJ �'~ � G�
City/State Zip 6) Boiler or comp to 3 Hr -15 HP
11.00
7 74 Z3 absorp unit t,ouu,000 BTU _
NaMe� �-�-- -- Boiler or comp 15-30 HP t 5.00
9) absorp.unit 1/2-1 million __
Boiler or comp to 30-50 HP _- -_- ." --
Mailing Address ' Phone 10) 2250
53-Sv 5;7 it .6jz//B'Y absorp.unit 1 -1.75 million _
Contractor City/State zip 11) Boiler or comp to 50 HP 31 50
/kelt C.),1 ywiS' absorp.unit 1,750,000 BTU
Stale Registration No City Bus.Tax No 12) Air handling unit to 4.50
10,000 CFM
Air handling unit 7 50
1 hereby acknowleJge that I have read this application that the Information given Is 13) 10,000 CFM +
correct,that I am the owner or authonzed agent of the owner,that plans submitted are in - — -
compliance with State laws,that 1 am registered with the State Builders'Board,that the 14) Non portable 4.50
number given Is correct (if exempt from State registration please give reason below) evaporate Cooler
15) Vent fan connected 300
to a single duct _
— - - - -------- ----- -- - Ventilation system not
16) 4 50
included in appliance permit _ u
Hood served by - 4,50
mechanical exhaust W _
Signnt'im im+na or awl) _ Date 18) Domestic type 7.50
Describe work EJaddition C1 alteration 0 repair [1 inrineretor
to be done residential Er non-residential Ll 19) Cor.imercial or industrial .�
— _ type Incinerator
00
F.xist'nq use of —
hulldu,q or properly— QS 20) Other I.e.,woodsto�te,water 4 50
hector,solar,clothes dryers,etc.
f'rnlxlsed use of
building or property s 21) Gas piping one to four outlets 200
Type of hiel- oil ❑ natural gas Al LPO (-I electric Cl
----- 22) More than 4•per outlet
NOTICE -- —____ SUB-TOTAL.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- is%SURCHARGE �
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL �G U
Special Conditions
Date Issued _._�_.____-- by
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ Tint —a– o" P.M.
r1Address ---�`�- ��'`' __� Permit
Owner _--- Lot # _
BuilderThe following BU ding otle deficiencies are required to be corrected:
Presented to _ _ _ [] Approved
Inspector _ - �'i biwpproved
Uate -
CALL FOR INSPECTION
ET-YES CJ NO
� IW W W w
INSPECTION NOTICE
City of Tigard Building Department \
P.O Box on 97
97 ` 1\
Tigard, Oregon 97223
Phone: 639-4175
t�
Type of Inspection
Date Requested /I C Time A.M. P.M.
Address ._.1y 83 --- -- _ Permit 1�1 -_�{L4'EL
Owner__.-_-_ —�- Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
resented to Approved
Inspector — Disapproved
Date
CALL FOR REINSPECTION
F--1 YES 0 NO
INSPECTION NOTICE
City of Tigard Bu ding Department
P.O. Bos: 23397
Tigard, Oregon 97223
Phone 639-4175
7'ype of Inspection —
Date Requested_ �r�—�= —_ Time-- A.M.--P.M.
Address l 31n --- _�— Permit -
Owner Lot # _—
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _.._\'' Approved
A
Inspector _—_ U Disapproved
. r7�
Date
CALL FOR REINSPECTION
0 YES ❑ NO
■ ■
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 9722
Phone: 639-4175
Type of Inspection ^— G1
Date Requ3sted— � �/ mr��L7✓`-' .__ P.M.
�/ %U .� ~ Permit
#
Address Pit_ �--�—�-��—
Owner Lot #
Builder
The following 9 Ruildid co' de deficiencies are required to be corrected:
Presented to ! _ Approved
Inspector —S�`^ ❑ Disapproved
Date
CALL F94 kEINSPECTION
C_1 VES ❑ NO
CITY OF TIFA
BUILDING BU891i
RD �,��,, PERMIT NF.l. : BU891901
C, n�aRn
COMMUNITY DEVELOPMENT DEPARTMENT ORFO°" r
TE I a ,UED: 9/20/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 P I M.PMT, N0. 891.901
JOB ADDRESS: 15310 SW =83RD F'L
TAX MAP/LOT 261 12 SUB: ASHFORD OAKS LT:69 BK:
LAND USE: R7PD
LOT SIZE: VALUATION: $ 86,496 SETBACKS
FRONT: 20 REAR: 6
WORK CLASS: NEW DWELL.I.JNITS: 1 LEFT : 5 RIGHT: 28
USE TYPE: SINGLE FAMIL..Y NO.BEDROOMS: 3 EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: 3 N: S: E: W.
OCCIIP.GRP. : R3 PROT.OPENINGS:
OCCUP.LOAD N: S. E: W:
TOTAL AREA: 1930
NO.STORIES: 2 1ST: 101.4 ROOF CONST: C FIRE RET?
HEIGHT: 20 2ND: 916 AREA SEPAR? RATED:
BA£EMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE'? BASEM'T
FLOOR LOAD: 40 GARAGE: 473 FIRE SPRKLR? ALARM?
FLOW(GF'M) DETECT? YES
HEAT TYPE: GAS HDCP.ACCESS'? CORR?
PLAN CHECK BY: rlt
REMARKS:
reiSSUIP Of 891797 REISSUE OF NO. 881172
LAST REISSUE 831197
FEES:
W MILLER JAY PERMIT $394.00
N P.O. BOX 23291 PLAN REVIEW $40.00
R TIGARD OR F"IRE DEPT
STATE TAX $19.70
_ OTHER
C — DEVELOPMEMI CHARGES:
U MILLER JAY SDC(STORM) $250.0:3
N
T JAY MILLER BUILDER SDC(STREET) $600.08
A
P.O. BOX 23291 PDC(02 > $250.00
C TIGARD OR 97223 PREPAID ( $40..00)
T PHONE (503) 684-7543
a REGISTRATION NO. 30169 TOTAL: $1,513.78
This permit is Issued subject to the regulations contained in Title 14 _.__________RECEIPT_NO. CV/()5L/ 5.. J
of the TMC, State of Oregon Specialty Codes, toning 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 R BEAM WATER LINE
covenants Contrartor and subcontractors shall have current city PLB.UNDE!?SLAB CITY APPRCH/SW
business tax permits This permit will expire and become null and
void if work is not started within 190 days,or it work is suspended or SLAB F I NAL.
abandoned for a period of 190 days any time after work has PLP. IOPOI1T
commenced It shall be the responsibility of the p3rmittee to arnure FRAMING
all required inspections are requested and approved F I REPLACE
GAS LINE
INSULATION
�Z�� GYP. BOARD
Permitl igna,ure/J
Issued By �/ FA4-INGFIFIC 104 (+39-4479 - ----
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ffxw -
ala W I 1118
CITY OF TWA RDSEWER
' R PERMIT
clTroF nGaauF MIT NO. . SE891909
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 TE ISSUED: 9/20/89
JOB ADDRESS: 15310 EW &3RD PL USA NUMBER: .39062
TAX MAP/LOT 2S1 12 SUB: ASHFORD OAKS LT:69 BK:
LAND USE: R7PD
LOT SIZE:
SECTION: 12 TWP: cls RNG: lw
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. The permit expires 120 days from the date issued„ The total
amount paid will be forfeited if the permit expires. The A,ency does not guar—
antee the accuracy of the location of the side sewer late •als. 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 e, lateral.
INSTALL. TYPE:: BUILDING SEWER IMPERVIOUS' AREA:
FIXTURE UNITS: TENANT IMPROVEMENT:
DWELLING UNITS: 1
—_—NO. OF BLDGS. : 1___..__.--
U FEES:
N MILLER JAY PERMIT $35.00
E p.o. BOX 23291 CONNECTION CHARGE
R $1,250.00
TIGORD OR LINE TAF, INSTALL.
OTHER
0
N
t MILLER JAY
R JAY MILLER BUILDER
A
C p.o. BOX 2:3291
T TIGARD OR 97223
R PHONE (503) 684-7543
R
R16- sTRATo_• -130iog — TOTALe $1,285.09
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes,toning regulations
and all other applicable codes and ordinances. and It is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and ROUGH—IN
ordinances. The issuance of this permit does 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 it 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 required inspections are requested and approved
1
Permi ignature
Issued 9y: — _ I _
CALL FOR INSPECTION 639-4175 — -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA
RDj�� MI7 NI. : PERMIT
CITYOFTWA� RIT NO. : PL891907
COMMUNITY DEVELOPMEJvT DEPARTMENT TE ISSUED: 9/20/89
13125 S W Hall Blvd..P.O Box 23397,Tigard.Oregon 97223,(503)639-4175
---- -- ------ --- r 1� — ..
JON ADDRESS: 15310 SW -8-ARD F'L
TAX MAP/LOT 2S1 12 SUN: ASHFORD OAKS LT:69 NK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
I
WORK CLASS: NEW WATER CLOSET 3 TRAP
USE TYPE: SINGLE. FAMILY URINAL NKFL.OW PRVNTR
CONST.TYPE: VN LAVORATORY 4 TRAP PRIMER
OCCUP.GRP. : R3 TUB SHOWER 2 GREASE TRAPS
DISHWASHER 1
GARBAGE DISPOSAL 1
NO.STORIES: 2 WASHING MACHINE 1
DWELL.UNITS: 1 LAUNDRY -TRAY I. NLDG.DRAIN (DIA
FLOOR DRAIN
SINK 1 SEWER (FT)
WATER HEATER 1 STORM/RAIN (FT 1
OTHER
REMARKS:
FEES:
W MILLER JAY PERMIT $147.50
N
p.o. BOX 23291
TIGARD OR FIXTURES
STATE. 1 AX $7.38
— --- --— — - --_m... OTHER
c
0
N WATTS KEN
R KEN WATTS PLUMBING
A po BOX 230925
C tigard 97223
T
c) PHONE (503) 684-6626
R REGISTRATION NO. 50878 TOTAL: $154.88
This permit is Issued subject to the regulations contained in Title 14 RECE IPT NO.
of the TMC, State of Oregon Specialty Codes.Zoning regulations "" --------`------
and all other applicable codes and ordinances, and It Is hereby P,EUUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and PLN.UNDERSLAB
specifications and In compliance with all applicable codes and POST & BEAM
ordinances T issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city EATER LINE
business tax permits. This prirmit will expire and become null and F'LN.TOPOUI
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 has FINAL
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
r
Permitte lature
Issued By
CALL FOR INSPECTION 639 411
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIVA RD MECHANICAL Pi 8919
(C11YOFT�icam>�''RMIT NO. : MEa9190A
COMMUNITY DEVELOPMENT DEPARTMENT CEODN
12125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 TE ISSUED: 9/20/89
—IITZ7VZ"--
JOB ADDRESS: 15310 SW-440 PL
TAX MAP/LUT 2S1 12 SUB: ASHFORD OAKS LT:69 BK:
LAND USE: R7PD
LOT SIZE:
ITEM: NO: NO:
WORT. CLASS: NEW FURNACE (100K 1 AIR HANDLR (10
USE TYPE: SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.COOLER
OCCUP.GRP. : R3 HEATER VENT FAN 3
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD 1
NO.STORIES: 2 BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: 1 BLR/COMP 15-30HP INCINERATOR(LOM
FUEL. TYPE GAS BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 58+HP OTHER 2
FIRE DMPRS? GAS PIPING OUTLETS 1 I�
HIGH PRESS?
REMARKS:
O FEES: I
N MILLER JAY PERMIT $io.00
N
E p.o. BOX 23291 PLAN REVIEW $10. 13
R TIGARD OR FIXTURES $30.50
STATE TAX $2.03
C OTHER'O
N
T
R BELL HEATING INC.
C 15550SE PIAZZA AVE
T CLACKAMAS OR 97015
R PHONE (503) 243-1184
tzFr.Tf;T�drrnN..!J11. �4Z-___ TOTALt $52.66
This permit is issued subject to trip regulations contained in Title 14 RECEIPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations -.--___-____---__-____ -�
and all other applicable codes and ordinances, and it Is hereby REDUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS LINE
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive POST R BEAM
covenants Contractor and subcontractors shall have current city ROUGH IN
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 after work has
commenced It shall be the responsibility of the permittee to assure
ail required inspections are requested and approved
Perrnr - ,.rgnature_iJ
Issued By
CALL FOR INSF'FCTION 639-•4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
It
CITY OF T 1 GA� C U./ PLAN CHECK PLAN CHECK APPCAT7� �
PERMIT if
COMMU14TY DEVELOPMENT DEPARTMENT �� 0260M � DATE ISSUEDyf�0/
131258wHdwod P.a@a.zsW 7bK0r@Werm �s
JOB ADD SS: i 1) S.k/•S 1-3 L� TAX MAP/LOT
SUB: J h ofA a A S LOT: Z 77 LAND USE:
VALUATION: 1
OWNER SPECIAL NOTES
NAME: _ REISSUE OF:
ADDRESS: _ LAST REISSUE:
FLOOD PLAIN/
SENSITXVE LAND:
PHONE: -
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: JAY MILLER BUILDER, INC. ENGINEERING: _
ADDRESS: PO BOX 23291 FIRE DEPT
TIGARD, OR 97223 _�_ OTHER:
PHONE: _ 684-7543 ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _
NAME: All CALCULATIONS:
ADDRESS- _ TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PHONE: ---- OTHER:
COMMENTS: �P- 1 SS 4
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. ML. DUE
1!71 10-432 00 Building Permit Fees � � ?
` 10-431 00 Plumbing Permit Fees - —
,S�
10-431 O1 Mechanical Permit Fees y✓ s`_y yU, ""
10-230 01 State Building Tac (5x)
Building
Plumbing
Mach J ✓•� 3
10-433 00 Plans Check Fee A_
Building
Plumbing y
Mech
r f„ 30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80x)
30-444 00 Sewer Inspection
51-448 00 Street System Dov Charge (SOC) r" _
52-449 01 Parks I System Dev Charge (PDC)
52-449 02 Parks II System Dew Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chry (SSDC) 5-0
10-230 09 IRFD (9Sx)
10-435 00 TRFD (5x)
10-230 06 Washington County Fire Nl (95x)
10-435 00 Washington County Fire 01 (5x)
10-220 00 Amart/Medgewodd - �-
n TOTAL ��Y � UO
Rf C N
APPLICANT SI —
� `. R�r•1 e� Arr• � - .