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15378 SW 82ND PLACE w w �► #1' ► ►del I 15378 SW 82ND PLACE _.T CERTIFICATE OF OCCUPAN ITY"OF TIFAW) (r 1 yA io;�FTiWA R D c-,,ERmrT 0. . . . . . . ICY MST9@-OIL*3 COMMUNrTY DEVELOPMENT DEPARWENT OR160" 13126 SW Hal!Blvd. P.J Box 23,197,Tigard,Oregon 97223(503)839-4175 DAIL ISSUE Ds 08/93/90 SITE ADDRESS. . . 15378 SW 82ND PL PARCELs 2S112CP -05900 SUBDIVISION. . . . t ASHFORD OAKS ZONINGi BLOCK. . . . . . . . . . >k LOT. . . . . . . . .. . . . . .. .73 ---------- CLASS OF WORK. xNEW TYPL OF' USE. . . iSF OCCUP,INCY 6RP. vR3 OCCUPAN"Y LOAD c220 4 T17NANT NAME. . . JAY MILLER PO BOX 23291 TIOARD OR 9722.3 Phone Ot 684-?543 Contractors JAY MILLER PO BOX 23291 TIGARD OR 97223 Phone "t 684---7543 Reg #. . 1 30189 occupaiicy of the above referenced blillding is hereby given, And certifies the complianc .g with hies state Of Oregon Specialty (oda% for the group, 0CCUP^TjPyq and use under whivh the rpieurenced . perMit, W411114 FIRE UE:F"ARJ'ME.lil' 8 ILDIA INSPECTOR /04tLDING OFFICIAL POST IN rnt4SpjCUoUq PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time _. A.M._____P.M. Address /53 7 is _ 9,L� d�� __`___�— Permit Owner __�_. Lot # Builder —JA _ — --- - j The following Building Code definiencies are required to be corrected: Presented to &Approved Inspector — —._ L_i Disapproved Date, ---._ i---- CALL FOR REINSPECTION El YES 0 NO HISTORY: VIEW UPDATE DEIETF. ESC View comments for selected item UMASTER PERtITaAgARaA3A`a�3&�AAAb�€xAS�a&�A`ahA6J�A���F�aa�afiAfiA55AAAA3�AaAA4AG • :MST90-0123: PROJF.CT:ASHFORD OAKS STATUS:F : UPD:08/03/90: :GES: ' • PERMI'rTEE:JAY MILLER PRIM. . :MST90-0123: " ' SITE ADDRESS:15378 SW 82ND PL QA CAISE li'sTORY iihfiAitiLAti4%5a3.a5AhAaSA&iSReq/SentiSchd/DueAEnd/DoneAABySStatAAaC A717 PLM/Un(?erfloor 04/16/90 MS POAS ' A720 M.-chanical Insp 06/08/90 TLP PASS ' A722 Plumb Top Out 06/01/90 PAS MS " A725 Framing Insp 06/15/90 PAS SLP A730 Fireplace Insp 06/26/90 Tr'- PASS A735 Gas Line Inep 06/08/90 TLP PASS A740 Insulation Inep 06/19/90 TLP PAS£ " X745 Gyp Voard Insp 06/22/90 TLP PASS ' A755 Rain drain Insp 04/11/90 MS APP A760 Water Line Insp 04/11/90 MS APP A765 Appr/Sdwlk Insp A795 Mechanical Final 08/03/90 TLP PASS A797 Plumb Final 08/03/90 TLP PASS ' A799 Building Final 08/03/90 TLP PASS ' A9':0 case Fieal.ed 08/03/90 TLP PASS �3�SAASAASSSASAAAgS'x6151�t�SSASSASSASAASAASASAASSaaaaASA`�ASASAAAASSSSASASS`�AAS'�AA3i 1p J 17 — (. EL'tG''f��•�v!. i 1. f r J, ._;�' r , �rv� sss� INSPECTION NOTICE -� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time A.M. P.M. Addr�ss Permit Owner / Lot # Builder (� — The following Building Code deficiencies are required to he corrected: Presented to — i � _( Approved Inspector �� Disapproved Rata -- C 1 CALL FOR REINSPECTION I_..I YES NO aw ■ INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection Date Requested !f _ Time A.M._._P.M. Address �._1►� �--__�? ---- Permit # � Owner Lot # _. Builder _._. �i •1% -. -- _..�--_.__—�. ___--_— \ The followiny Building Code deficiencies are required to be corrected: Presenter) to Approved Inspector / _- -_— Disapproved Date — _— — CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: U24175 Type of Inspection ._ ___ Sewer Date Requested._- 4-11-90 T�mu ` xx A.M. ---P.M. Address __ 15378 82nd P1. Permit # 90-0123 - "" Owner _" Jay Miller Lot # _ Builder Ken Watt Thi following Building Code deficiencies are required to be corrected: -7 /Z 41", Presented to ) ILl Approved Inspector /`'/ Disapproved D••to ��-----�v-- — CALL FOR REINSPECTION YES ❑ NO CITYC1F TICae4RD E. MASTER PRMI T CcTTYAFTl6. RD F.:,R 111 T #. . . .. . . . : MST90--0123 COMMUNITY DEVELOPMENT DEPARTMENT OR10CM 7 V.RTM. P1::'RMIT M. : MST90 0 12,-3 13125 SW Nall Stvd. P.O.Box 23397,Tigard,Oregon 97e 319 11 T* -D- 03/26/90 .,q L: ISSUI S11 E ADDRESS. . . : 15378 SW 82ND FIL PARCEL: 2611 ?CB-••05900 SUDDIVISION— . .. .' ASHFORD OAKS ZONING-. PLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..73 BUILDING REISSUE sMST90­0111 DWELL-ING UNITS: 1 BASEMENT. . . .. . . . . :0 sf CLASS OF WORK. :NEW BF.:'DBMS.-4 BATHS:3 GARAGE. . . . . . . . . :638 sf TYPE OF' USE. . . .SF FLOOR REQUJRED TYPE OF CONST. .'5N F I R S T. . . . : 1.028 sf L E F'T. . !5 ft RIGHT. :5 f OCCUPANCY GRP. :R3 SECOND. . . ! 1138 s): FRONT. a20 ft REAR. . o29 ft STORIES. . . . . . . ::0 TNT.RD. . . . 40 sf REQU I 14 E I G HT. . . . . . . . ..20 ft TOTAL-- -:2166 sf SMOKE DETECTORS. cY FLJOR LOAD. . . . :40 psf VAI UE. . . . . $: 102456 PARKING SP0CES. . :0 R ge III a r k.s: PLUMBING SINKS. . . . . . . . . . .. 1. FLOOR DRAINS. . . . :0 BACKFLOW PREVNTR3. . :0 LAVATORIES. . . . . ..4 WATER HEATERS. . . .' 100 TRAF'S. . . . . . . . .. .. -, . .. . "0 TUB/SHOWERS. . . . C3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . .— :0 WATER CLOSLTS. . :3 SEWER LINE (ft) . :O GRFt)SE-- TRAPS. . . . . . . ..0 DISHWASHER'S. . . . : 1 WATER LINE (ft) . : 1.00 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :1 RAIN DRAIN (ft) . a0 WASHING MAUH. . . tl SF RAIN DRAINS. . : 1 ...­.......... MECHANICi-"L. FEES FUEL Ui4IT HTRS. . :0 type anlot.tnt by date recpt /GAS/ VENTS . . . . . ..0 PAYM $ 40. 00 JLH 03/i:13/90 108002 MAX INT-`UT:0 BTU VENT FANS. . :4 BPRT 1, 440. 50 F*URN < 100K . . 10 HOODS. . . . . . : I BPLC $ 40.00 F:'URN )=:100K . . al WOODSTOVES. :O B5PC $ 22. 02 FLOOR FURN. . . . a0 CLO DRYERS. cl STDC $ 600.00 BOIL/CMP < 3FIP-.0 OTHER UNITS::0 SSDC $ 250. 00 GqG (JUTLETS: 1 PARK $ 250.00 Owner ----- MPRT $ 40. 50 JAY t:ILLER 11 r."L C $ 10. 12 F10 BOY 23291 M51-IC $ 0.02 PPR T' $ 147. `:;0 IICARD OR 97223 P5PC $ 7. 37 Phone #: 684-7543 PAYM $ 1770.03 JLH 03/26/130 Contractore JAY MILLER PO BOX P3291 TIGARD OR 972e3 Phone #o 684-7543 Req M. . o 30109 ...... $ 1810.1. 03 TOTAL This permit is issued subject to the requlations contained in the REQUIRED INSPECTIONS Tiqard Municipal Code, State of Ore. Soecialty Codes and all other F D 0 t/f 0 Ll n d .1 n s p Plumb Top Ot.tt applicable laws. All work will be done in acenrilarce with approved Wtr Prcofinq Bsm Framing !nsp plans. This permit will expire if work is not started within 188 Post/Beans Tnsp Fireplace Iiisp days of issuance, or if work is suspended for more th& 188 days. Crawl Drain Gas Line Insp Plm/undslab Ivisr) IVISUI&tiOn 11-ISP Vlerntittep S14natt.t-re: FILM/Underfloor Gyp Board Insp Ftnq Drain Psivilt Rain drain Insp lsst.ted By: Mec,tiAnical 11-1sp Water Line Insp Call for inspection ­ 639.--4175 SEWER CONNECTION CITYOFTIFARD r-"E R 11111 $1.TWARD PER1111' c3WR90--0130 COMMUNFTY DEVELOPMENT DEPARTMENT OREOF GON r:'R I M. 13125 SW Hell Blvd. P.O.Box 23397,Tigaid,O"Wn 97223")50�,��41175 PL*RNTA N. M.090 0123 (.-I J I / DA*T*E: :[`�SLJEDo "-] (-%,DDRF-:"3S. 1.53PL 78 SW 8PND PMCEL: 2SI1.2C3 A5900 EMBDIVISION. . . . . ()SHFORD OAKS ZONING: B I L.01.. . . . . . . . . . . . :'73 ............. ................ N A N'F NAME. . . . . : L)SA NO. . . . . . . . . . :44( 628 F 1X1'L)RF-" UNI*TS. CLASS OF:' WORK. . . '.N F--W DWELIANC, L)N]'T!3. . - 1 'TYPE' OF L)SE.I. . . . ..E3 F' NO. (IF' F41-111-DINGS-. 1. INSIALl TYPE::. . . . ..BL)SWR IMPERV StAF-ACE. :Sf R e ni a-v P.9 (3wi-le.r., FE'ES JAY MILLF-R type aniGUI-It by datee c,p-L PO D 0 X 23291 PRM T, 'k 1250.00 INSP 4, 35. 00 1'1GARD C.)R 9*7223 PA Y M $ 1285. 00 JLH 03/26/90 Phorie 14: 684--75,43 C(:)riti,acta-r-. CIONTR(7,CTOR N07' ON F'ILE I c,1-1( it: $ 1-2835. 00 TOTAL. e RE 0U I R E:1) INSPEC11ONS This Applicant Agrees to co&pl'y with All the rules and regulations Sewer Trispectiori 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 Agencv does not quarantee the accuracy of the side sewer liferals. 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 -114teiAl. J� Pe-t�niittee .............. ISSUP(I By.- Cal.1 fc)f' ii-isper-tioli 639-4175 C17Y OF TIGARD RECEIPT OF PAYMENT REC NOt 00108026 CHER AMOUNT 3055.'0'3 NAMES JAY MILLER CISH AMOUNT s .00 AWRESSi PAYMENI* DATE q '-26-90 TIGARD, UP ?7224'j. 8L OCk NO/ADDRt 15778 SW 92ND RL. PURP03-1- OF PAYMENT AMOUNT PAIL, PUPPOSF [IF PAYMENT AMOUNTPAID SUII-DING PIERMIT X90—CI127) 440.50 PLUMBING PERMI7 MECHANICAL PERMIT 40.'!jO STATE BUILD PEFMIT TAX (5%) .',.1 .41 F'[..AN CHECK 17EE 10. 12 SEWER USA 1yo-0130) j 250.00 SEWEF INSPECION �5.00 STREET '3 DC ('00,00 F'AR 'S SYSTEM DEVEL.OPMENT CH :'50.00 STORM DRAIN SL)c 20,10.00 TOTAL, AMOUNT PAI[i 1.0`5 0 C11YOFTIVARD PLAN CHECK APPLICATION COMMUWY DEVELOPMENT DEPARTMENT PLOW CHECK / _ � -,7 /2 UM&W.Mo eba,r a ow mw,Tows*j@gm so=psV#CW4ms PERMIT / J ` DOE ISSUED _ JOA ADDRESS: !S�� 7 �� �/J CJ L TAX MAP/LOT / % /j �5 `J 00 sue: TIA T 6 75 LOF: V -72 LAND USE: VALUATION: OWNER SPECIAL NOTES Nom: REISSUE OF:— ADDRESS: LAST REISSUE: - - - FLOOD PLAIN/ .� SEfNSITIVE LAND: PHONE: -- - - APPROVALS RE• WIRED CONTRACTOR PLANNING: NAME: Jay_Miller Builder, Inc. ENGINEERING: ADDRESS: PQ Pox 23291 `L FIRE DEPT I'i and OR 97223 OTHER. PHONE: (, 1 L 19 9 2 (�8 ^ '1543 ITEM R_qUUIRED BUILDERS BOARD /: 59667 EJP DATE: 3 2 3 1/9 1 LIST/SUBCONTRACTORS: BUS TAX: A"JENGINEER CALCULATIONS: NAME: TRUSS TRUSS DETAILS:�� ADDRESS: OTHER: PHONE: y� OOMMENTS: l��' �� 1° ��r /� (J SUBOOAf f RACTOR$: PLUM: .EPn_fila is s MECH: BP-11 HFat i n g n D A I T PERMIT 0 ACCT / DESCRIPTION AMOUNT AMOUNT PD. eAL. DUE 10-432 00 Building Permit Fess Si�L �� 10--431 00 Plumbing Permit Fsss 6-- /417- 10-431 4 10-481 01 Mechanical Permit Fees _- _ 10-230 01 State Building Tax (5i) Building Plumbing '> i Mach _ 2 10-432 00 Plans Check Fee Z 7 ! Building _�— Plumbing Mach _ 30--202 O0 Sower Connectives - 1:0•-444 00 Sewer inspection - 51--449 00 Street Systen Dov Charge (SDC) 52-449 00 Parks System Dov Charge (PDC) ' s 31-450 00 Storw Drainage Sxst Dow Chrg (SSPIC) �� � 5 LO 10-220 06 Fire TOTAL / REC 1 Z,-4, APPLICANFVI w� Received By: rr�� Oats ReeetYed: eN3SB»�1a t CITY OF TIRARD RECEIPT OF PAYMENT R'F.0 NOt 0010,9002 CHECK AMOUNT 1 140.011 NAME. JAY MILLER CASH AMOUNT a .00 ADDRESS: PAYMENT DATE TIGARD. OR 9 72 2 NO/AbDR: POPPOSE OF PAYMENT AMOUNT PAID PURPOSE OC PAiMENT AMOUN f F H.1 D PLAN CFIF`.Ck FEE 7.-'70P 100.110 PLAN CHECR FEE (--71PI 40.00 TOTAL AMOUNT PAID 140.D0 i 1E� F I� S,RADING/EROSION CONTROL INFORMATION GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO._ JaK Miller Builder. , Inc._ PERMITNO.: —Maar zeynn 9 7 2 2 3, _ APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR - �329 1 NAME&ADDRESS: ---p� --- Jim Paulson Ex ayatingTigard Or 97223 - oute 1 Box 106-2 OWNER NAME AND ADDRESS: Hillsboro, Oregon 97114 TELEPHONE NUMBERS: - APPLICANT: 6 8 4_7 5 4 3 _ PROPERTY DESCRIPTION: OWNER: 684 7543 _ STREET ADDRESS AND CROSS STREET/OCATED GENERAL CONTRACTOR: 684 'i543 ^- EXCAVATION CONTRACTOR:6 4 5-101 1 — SITUIOB. — LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: — COILTAICT PERSON,TTi7_L,TELEPHONE: 1/4 SF_CTION: _ a e Eickhoff SITE SIZE,ACRES:__ _ Jeriatendant _ — 77 8 -ISTURBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE) (NOTE:PERMM MAY BE REQUIRED) CATCH-BASIN I DITCH PIPE CREEK _ stumps & brush to 1 i -,c nrpci fill area. Dirt to licensed dump site. _ (CIRCLE.ONE) PRIVAI E PROPERTY TIGARD 15P,"D UBLIC RIGHT OF WAY) EROSION5EDIMEN'rA110N CONTROL. (ESC) MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENT'S DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENIRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER R- 4OFF CONTROL FACILITIES CLEARING AND GRACING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHLR OTIILR PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK-. EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER. SC_.HEDULFJST•AGiNG POR INSTALLATION AND REMOVALOF EROSION CONTROL MEASURES,AND P""LICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILLCONSTRUCT AND MAINTAIN FSC MEASURES AS NECEiSARY TOCONTAINSEDIMENI'ONTHE CONSTRUCTIO SITE. II�� SIGNARr. SIGId7CtT1 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • f�i • • • • • • • • • • • • • • • • • • • • • OFFICIAL USE ONLY, RECEIPT DATE ACC'�1'11 D FEE NUMBER RECEIVED BY