15345 SW 82ND PLACE I
__._ 15345 SW 82ND PLACE _
CERTIFICATE: OF
CITYOFTIFARD OCCUPANCY
CITY
OFT16ARD V,L RMIT M. . . . . . . a MST90--0117
COMMUNITY DEVELOPMENT DE 7 �� + FRIM. PERMIT 0. : MST'90--011
,►,a sw►wiANd. �c.n�2ase�,r�.d,o.oyo„s� ) 14115 DATE ISSUED# 07/27/90__
SITE ADDRESS. . . : 15345 SW 82ND PL PARCE.L..a 25112CN-•03300
SUBDIVISION. . . . a ASHFORD OAKS ZONINGA i
BLOCK. . . . . . . . . . o LOT. . . . . . . . . . . . . eE,7
CLA5:3wOF^WORK. aNkW —__—____._.___.._____.____._.___________..__,_..—_.______
TYPE OF USE:. . . a SF
OL",UPANCY GRP. eR:3
OCCOPANCY LOADa220 4
TENANT HAME. . . a
Owl'lere — ... _.._ _.__ _.._. _. ._... . . _... ..._. ......
JAY MILLER
PO BOX 23291.
TIOARD OR 9-1"22:3
Phone On 684•-'7543
Contractore -__..._..._._.__.....___...._._.,_—.__.._.____...__..._._..__..
JAY MILLER
PO BOX 23291
TIGARD OR 97223
Phone On 684-7543
Rep #. . e 3010'
Occupancy of the above r&ferenced .,uildinp is hereby givewi, avid ce!rtifivs
the compliance with the State Of Or-egon Specialty Codes for the grcal.lp,
aCCupancy, and I.lae under which the refervviced permit was fa;sued.
� 1
FIRE DEPARTMENT � jFltli� Il ?NSPCC
� ,19UILDIN
'FF',
FFX
POST IN CONSPICUOUB PLACE
1!f
mBK-
INSPECTION NOTICE
L City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection le-
�_
=--- - --- ---- —
Date Requested_.. ? Time — A.M.—P.M.
Address %=a 3!Z a ii J _ Permit
Owner_ __ ..�.—
Lot # __
Builder
The following Building Code deficiencies are required to be corrected:
2 ALL
Presented to Approved
Inspector _ _..� —- u Oimpproved
Date -- / �L' I
CALL FOR REINSPECTION
❑ YH• ONO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested_2�3= Time-----A.M.�.M.
Address %.5 3115 Permit Y�8 7
Owner y� Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to / / Gam-- " f-y
t•7 Approved
Inspector /
- -��--16 ❑ Disapproved
Date .-
CALL FOR REINSPECTION
❑ YE8 L=I NO
i
INSPECTION NOTICE
City of Tigard Building Departme,it G 1
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
Type of Inspection _ Sewer
Date Requested 4-11-90 Time xx A.M. ?.M.
Addrrss -- 15345 82nd P1 . Permit #.._. 90-0117
Owner JayMi l ler
dot #�_------
Builder —_ Ken Watts Plbg.
The following Building Code deficiencies are requi ed to be corrected:
Presented to 1L/I Approve!
Inspector U Disapproved
Date
CALL FOR REINSPECTION
E-� YES El NO
+� � w w w � w ■►
SEWER CONNECTION
C ITY�►. TIVA RD PERMIT
CtTYOFTI6ARD HERMIT 0. . . . . . . : SWF:90 0125
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PRIM. PERMIT 14. : MST T0µ'0 1.1 /
131125 SWHall Blvd. P.G Box 73197,Tigard,Orejon97 03k8 76 DATE ISSUED: 0.3/06/90
S i T L ADDRL.SS. . . : J.534"::) SW 82ND PL FARCE:'_: 2S 112C i--05300
SUBDIV1,(31 :)N. . . . : ASHFORD OAKS TONY JGc
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . :67
TENANT NAME . ., . . .
USA NO. . . . . . . . . . ..40626 FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . ..SF NO. OF BUILDINGS:1
INIes'rALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :s f
Renia-rks;
9wrier: _.._____._,_._. _.__...w_ _.__._ _._.._. ... _.._..._. _.__....__...__________— FEES ._..._......_
.TAY MILLER type amount by date reept
I'U BOX 2.3291 PRNIT $ :1.250. 00
.I NSP $ .35. 00
T T CARD OR 9722:3 PAYM $ 1285. 00 JLH 03/26/90
Phone N: 684-7543
C:oritr,ar..to-r:
CONTRACTOR NOT ON FILE
T hcane N: i 48 j. 00 TOTAL
_.._.__..__....
REQUIRED 114SPEX..JIONS _.�_.__._....
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 128 dayti from
the date issued. The total amount paid w+,il be forfeited of the
permit expires. The Agency foes not guarantee th, accuracy of the
side sewer laterals. If the sews. is not located at the measurement
gwen, the installer shall prospect 3 feet in all directions from _
the distance given. It not so located, the installer shall purchase
a "Tap ind Side Sewer" Pervt and the Agency will irstal l a lateral. _„_... _......
1c,erm1 t-,teye ISigna{,vr
l:ssst.ted 1�y:
Call for irispection 639-4175
I
ff BRAND
CITYCSF TIGA RD PIASTER PERMIT
ClTYC)FnsCOMMUNr"t DEVELOPMENT DEPARTMENT ORFOON ARD PERMIT #. . . . . . . .. msTgo-oiv?
25 SW Hidl Blvd. P.O.Box 23397,'rigaid,Oregon 97M j 97176
PRIM. PERMIT #. : MST90-011';1
n . DAT.-' ISSUED: 03/26/90
SITE-- ADDRESS. . ., 1. ,:i4`S SW 82ND PL PARCEL-.
SUBDIVISION. . . . : ZONING:
BLOCK.. . . . . . . . . . : LOT . . . . . . . . . . . . .
------ BUILDING ......
REISSUE: DWELLING UNITS: 1 DASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. cNEW BEDRMS:3 BATHS-3 GARAGE. . . . . . . . . . ..441 Sf
TYPE OF' USE. . . s SF FLOOR REQUIRED SE*'rBACKS--------------...
TYPE OF CONST. .-5N FIRST. . . . .. 1004 .if LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . :796 Sf FRONT. :20 ft REAR. . :20 ft
STORIES. . . . . . . ..0 THIRD. . . . ..0 -if REQUIRED
HEIGHT. . . . . . . . ..20 ft S f SMOKE DETECTORS. 1Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 8135.38 PARKING SPACES. . :0
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. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . 0
DISHWASHERS. . . . : 1. WATER LINE (ft) . : 100 OTHER F I X"")RES. 0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . -. 1 SF RA114 DRAINS. . : 1
MECHANICAL FEES
FUF-,:L UNIT HTRS. . :0 type amount by date reept
/GAS/ VENTS . . . . . :0 PAYM $ 100.00 JLH 03/21/90
MAX INPUT:0 PTU VENT FANS. . s4 BPRT $ 385.00
F'URN ( 100K . . .- I HOODS. . . . . . .. I B PL C $ 250.25
FURN )=1.00K . . -0 WOODSTOVES. -.0 B5PC $ 19. 25
FLOOR TURN. . . . .(3 CLO DRYERS. cl STDC $ 600.00
HOJ.I-/CMP C 131AP.0 OTHER UNITS:0 SSDC $ 250. 00
GAS OUTLETStl PARK $ 250. 00
Owner: MPRT 11 1119. 00
,JAY MILLER MPLC $ 9. 75
F,0 BOX 23291 MEPC $ 1.95
PPR T $ 1,40. 00
TICORD OR 97223 1-15PC $ 7.00
Phone #.- .;84--7543 PAYM $ 1852. 20 JLH 03/26/90
Contractor-
JAY MILLER
PO BOX 23291
T .CARD 0 R, 9*7 a 23
Phone fit 684 7543
Reg #. . : 30109
1952. 20 TOTAL.
This permit is issued subject
iect to the regulations contained it the REOUIRE'D !NSF,ECT 'T:JNS .............---
Tigard Municipal Code. State of Ore. Specialty Codes and all other F00t/fOUnd Insp Plumb Top Out
Applicable laws. All work will be done in accordance with approved Wtr Proofing Fisini Framing Insp
plans. This permit will expire if work is not started within 160 Flost/Beani Insp Fireplatee Insp
days of issuance, or if work is suspended for more than 180 days. Crawl Drain Gas Line Insp
Plm/undg;lab Insp Insulation Il'isp
Permittee Signature: ............. PLM/Undprf lon-c Gyp Board Insp
Issued By: Ftng Drain Psnot Rain drair, Insp
Merhanical Insp Wate-r Line Insp
Call for inspection 639-4175
CIT'y OF TIGAPD RECEIPT OF F,AYMENT REC NO: 001UH025
CHECK AMOUNT 7137.20
IIAME: JAY MILLER CA10 r'!OUNT .DO
ADDRESS; vekNT DATE 1 03-26-90
TIGARD, OR 9 7.7 2 7, BLU!, E; NO/ADDR:
1517,15 SW 82140 PL
FURPOSE OF ':'AYMENT ANDUNT F*f-'tlD PUFF OSE Or: PAYMENT AMOUNT PA I Il
-----------
KUILDIN( PERMIT t90-0117) 185.00 PLUMBING PERMIT 140.00
MECHANICAL PERMIT 39.00 STATE BUILD PF-FiMIT TAX (1W 28.20
PLAN CHECT... FEE 160.00 SEWER USA (90-01415) 1,250.00
SEWEP INSPECION 75.00 STREET GDC 600100
PWS SYSTEM DEVFLOPMENT CH 250.00 STORM DRAIN SDC 250.00
TOTAL AMOUNT FAID 7 171. 20
M o' wW N7'
CITYOFTIGAR®
! �/ PLAN CMECK APPLICATION
�COMMLN rry DEVELOPMENT
DEPARTMENT- PLM d1EOc •
uus a hv.►M Mhd-P.O.s..mon.T%Pmk Owsao snort pga►+ns PERMIT /
42 5 %)-.,0//
DATE ISSUEDr
JOB ADDRESS: .5-�_ J,s w' $a L TAX HAP/LOT
sue., y C r LOT: LAND USE:
vALunraoN:
OWNER SPECIAL MOTES
NAME: REISSUE car
ADDRESS: LAST REISSUE:
FLOW PLAIN/
SENSITIVE LAUD:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING: -
NAME: Tay Mil ter Buil-der, Inc. ENGINEERING:
ADDRESS: PO Box 2 3 2 9 1 FIRE DEPT -� I
`Pinard. OR 27223 OTHER:
PHONE: 6 4.1 -1 9 9 2 1/46, , ITEMS REQUIRED I
BUILDERS BOARD /: X 9 6 6 7 EW DATE: 3/11 /91 LIST/SUBOOMTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETRILS:
AD'. GESS: OTHER:
PW*1
COMMENTS:
SUBCONTRACTORS: PLUMB: gQn Wattc 5IIR7R MM_CH: Rp11 HaatinT nndd7
PERMIT 0 ACCT / DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE.
#
I17 10-432 00 Building Pe►nit Fess ?o j
1(x-431 00 Plumbing Penult Fees 0 Iqu
10-431 01 Mechanical Fermit Fees ,3f -
10-230 01 State Building Tam (Si) Abr 2. ab Lu
Building
Plumbing 7.
Mach ---'
10-433 00 Plans Chock Fee
Building ,5u• 1 2 `—
Plumbing
Mech _
30-202 00 Sewer Connection U 25 u
30-444 00 Sever Inspection
51-44. 00 Street System Dov Charge (SAC) a �.
52-449 00 Parks System Dew Charge (PDC) v 1 v
31-450 00 Storm Drainage Syst Dew Ch►q (SSOC) -';I�)L) r3 u`
10-230 Os Fre
TOTAL
Y/A-
C REC 0 / 7 9Ta
APPLICANT 8 -- --
c� _
Received By Date Noneived:
cn/3587P/1M —7—
MWINIE 1.1 � WW ■
GB,ADiN(;/EROSION CONTk01_, FORMALM
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
Av Miller Builder, Inc. PERMITNO.:
nrPgpn 4 7 2 2-A APPLICANT NAME AND ADDRESS:
EXCAVATION CON TRACTOR JRV MillerBili l der T n r
NAME&ADDRESS: — po _ 23291 —
_Jim Paulson Excavating
Tiaard Or a7221
o� ute 1_ fox 1062--- OWNER NAME AND ADDRESS:
Hillsboro, Oregon 97124
TELEPHONE NZWERS:
APPLICANT: f2 8 4 7 5 4 3 PROPERTY DE:iCRIPTION:
8 4
7543 STREET ADDRESS AND CRO S 7E TAf_)CATED
GENERAL CONTRACTOR: 6 8 4_ 3 /�3,2
Irl.
EXCA'v ATiON CONTRACTOR:6 4 5-101 1 "1 la 0 /.1-_4
STTE/JOII
LEGAL.DESCRIPTION:
24 HWAFTER HOURS EMERGENCY .AX LOT NO.: —
COILTAICT PERSON,TITLE,-P LEPHONE: 1/4 SECTION:
fie Eickhoff _ SITE SIZE,ACRES: _
b39-7798 DISTURBEDIWORK AREA,ACRES_
LOCATION&ADDRESS WHERE SPOILS
LEAVING SiTE NVILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:PERMiTS MAY BE RE.QU1RM- ) JCATCH-BASiNj DITCH PIPE CREEK
Stumps & brush to 1 i s enrpd _
_fill area. Dirt to licensed
dump site. (CIRCLE UNE) PRIVATE PROPERTY
TICcA2D nPWI) � (,,F-AVEL UBLICRIGHTOFWA
EROSION/SEDIMENTATION CONTROL [E50 MASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIiv1ENTATiON FACILITIES STABILIZE EXPOSED SURFACE
STABiLU ED CON 31 RUCTION ENTRANCE RET.'OVE AND RESTORE TEMPORARY ESC
PERIMETER RI '-I'FF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SiLT AND DEBRIS
COVER PRACiICL.: ENSURE OPERATION OF TEKMANT FACILITIES
CONSIRU- TION SEQUENCE OTHER_` _
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMTTTED iN ACI.'ORDANCF.WiPH"TECHNCAL GUIDANCE HANDBOOK-.
EW'SiON CONTROL PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION NCTiE•S COMPLETE.INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULE/STAGING POR INSTALLATION ANI RE1.40VAL OF EROSION CONTROL MEASORES,AND
APPLICABLE STANDARD NO'TItS.
i HAVE READ AND WTI.COMPLY WTiII THE ABOVE AND WTLLCONSTRUCT AND MAINTAIN ESMEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCT] F tTL.
SiGNA RF SI(, L. �-
OFFiCIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY