15461 SW 82ND PLACE 1546L SW 82ND PLACE
/ CFRT!rl(.ATF CIF..
CITY 00F TKA' RDOC:C:(JF='ANcY
CIiXOi T11�AW1
COMMUNITY DEIIELOPME14T DEPARTMEW eaeooa -FRMI'f #. . . . . . . . MST90 -10093
13125 8W Holl F.M. P.O.8w 23397,Tgara,OmgDn 9UM 15M)WQ 4175
I TF c'E0DRF_Ss. . . : 15461 SW 82ND ISL PARCEL: cS I i d—R -4(I'S000
,—UBD I V I S I ON. . , . : ASHFORD OAKS 2 ZONING: R- 7
BLOCK. . . . . . . . . . : L(.T. . . . . . . . . . . . . ;64
CLASS OF-WO1 i{. r NEW
TYPE~ OF USE. . . e SF
OCCUPANCY GRN. a R3
OCL_UPANCY LOOD:2 171 4
IC rNANT NAME. . . :
i)9merks :
.1AY (4II..LER
Pa BOX 23291
TIGARD OR 97j'.23
Phone 0- 66-� 7543
Gontractur: _ _...___._.... ___....._....___ . __ ....
JAY MILLER
PC) BOX a 3z,19 i �
MORD OR 97223
:Ihunle #: 684-754,3
30.109
11t:c:1.t�1&1lC:y of the pc .VH rerfnrenced ht.tilclinU .tib hereby yi,ven, and certifies
+ he 4ompli�ancP with the State Of Ot-69011 tiPeCi�altY f Odes fog• the pr-oltp,
(PUL:upeincy, and usp unde►, which the referenced permit wa.a lssuoti.
F IRE' DE" 'AR1 MFP1T BU I LD E N51��E'.f TOR
DU ING OF FICIAL
POST IN CIINSP I C;UCIUS PLAC[i
i
INSPECTION NOTI'�E � I/'� i
city of Tigard Building Repart�ent �`
13125 SB' Ball Blvd. Tigard„ Orogon 9722.;Inspection Line (Rec-o-Phone)t 639-4175 Bueinean Phon 39-4171
Inspect ton: __-� ---- --J --
Footing
Plbq. Underslab Mer.h. Rough-in Appr/Sdwl.k
Found.
Plbq. Top Out Gas Line FINALS
poet/Beam Struct. San.
sewer F::aming -Bldg.
por3t/Beam Mech. Rain Drain
Insulation
*ch.
plbg. Underfloor. dater Line Gyp. Bd.
"]� _f Time: AM —_PN
Date Roque sted: �_..._ > ---- / --
�' P1rmi1.
Address:--.-.- -
01
Builder 1/i__4t.
THE FOLLOWING CORRECTIONS ARE RSQUIREDs
Dater, --+--
Inspector r -----
APPROVED - DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call my Rn nHp.
jj SPt'CTION_NOTICE
City of Tigard Building DePhrtwA t (�'"V
13.1.25 SW hall Blvd. Tigard, Oregon 97 13
Inepection Line (Rec-O-Phone): 639-4175 Busineae Ph : 639-4177
Inspections ------
Footing Plbg. Underelab ech. Rou h n Appr/Sdwi::
Found. Plbg. Top Out \ca�eY � FINAL
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line- Gyp. Bd. -Koch.
Date Requested:, Z_ &� __TLme= _Z_— Ax /SPK
^
Addrees: Permit_��-,fes,.---
r
Builder:___., -THE Fol,LOWING CORRECTIONS ARE REQUIREDs
Inspectors_ Dates �aJ [✓
__ APPROVED IMIAPPROVED APPROVED SUBJECT TO ABOVE
1 For Reinep.
IpSPPCI�TON NOTICE / 1
Bu i-ldinq ^" -�.w�:t. ( /
City of Tigard n 972:)]
13125 fill Ball Blvd- Tigan• ��
4-4171
inspection Lino (Rec-o-phone): 639-4175 Bucine86 Phort
Inspection: -------�-"— i•"�`
ech. Rough-i Appr/Sdwlk
Footing Plbq. Underslab �I
is Line FINAL,
round.
Y1bg. Top Out -/
San. sewer
Framing -Bldg.
Poet/Beam Struct.
Rain Drain
insulation -Plumb.
Post/Beam mech.
Gyp ad -Mecn.
Plbg• underfloor water Line /
�/J D1�_ AN PM
nate Requestedt__� -- Y`----T
hi" Permit It_LGl
A,Idrsss:
Builder:_-��� _THE FOLLOWING CORRECTIONS ARE REQUIRED:
_77-
nate I
inspector:_ __-___ -------
-__APPROVED DIs"PROVED APPROVED SUBJECT TO ftBOVE
Call For Relnsp.
INSPECTION NOTICE
City of Tigard dullding Department
P.O. 0ax 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Renuestod 7-31 — Time —A.M. _P.M.
Address . 15 7 4 — h d Permit # J—110!g 73
Owner__-_ _ _ Lot # _
Builder ---
1
The following Building Code deficiencies are required to be corrected:
Presented to — llf p vad
Inapccror � '
�J Disapproved
Date _
CALL FOR REINSPECTION
❑ YE8 0 NO
INSPECTION NOTICE
City of Tigard Builoing Department
P.O. Box 23397
Tigard, Oregon 97223
i
Phone: 639-4175
—
TYPe of Inspection -
C
f d Time A.M.�� P.M.
Date Requested -
Address ' 1 h -- Permit
Lot #
Owner — — ---
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ [+-Approved
Inspector �_._� ❑ Disapproved
Date.
CALL FOR REINSPECTION
❑ YU ONO
CIT0YOF TIGAI RD
Frf OF TWARD M E R P STE.R VI:(
COMMUNITY DEVELOPMENT DEPARTMENT (C ORE
11SI jo
13125 SW 1-W1 Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)639-4175
(..3: .. 71.7 1-
R C,F 0 5 Q d
ODDRE:*E3'E*).. 15461 (314 82.ND PL. P( _L. 2 S 1.12 C D lC
5 U D D 1 v 1:'31,0 INI WS I.I F 0 1--:D 0 r)1",'13 Z()111 N C.)
BLOCII;/
LUT.. .. ., . . . . , .. . . . .. 4
R 1-:113 S U E MS T 9 El 0118 DWLLL.1NG UNITS: 1 BASEIIENT. . . .. . . . . :0 sf
CIL(NSS CH.- WC)RK., »NEW BF*.'.DRIvI1a.-,3 DOTIAS.3 GOR0GI-.*.1 .1 . :4G7 S f
TYPE: OF UE3E.:'. RE'CW'.1RED
5 F I*
C)F C,0HST. "5N F I RE;T.. -. 1.280 S f I I—FT 6 -f t R1 GH'Y 5 ft
0C,(,UI'0NCY GRI-'. :R 3 SECOND. . . 652 S f, FR 0 NT. n 2 0 ft REPR. . 26 ft:
ST0R1E$*.;. :2 'THIRD, . . . (l S f R EE(TL)1'R I'--D----
1-11 1'.6H T•. . .-E W f t TO 144 L---------- x 21.32 S f SMOKEDE*1E'.C'1*0RS. :Y
FI... NJR LOAD. »40 prif V(4L.(J;:::. $ 979117.00 PORK'ING SI::'ACE:E). :0
PLUNBING ...........
STNKS. . .. .. .. FI 00R DRWENS. . -.0 i4O(,KI::'I._0W PRI:_-'VIq*T'RS, .0
L.0 V OTC)R 1 L*:5 4 W d•'H E R H E.A T L,RG. 1. T'ROl',S.,
'T(JIVSHOWEERS. i.? L 0 U N 1)R y 1.R()y 13. . . -.0 C OT( H D A S 114 9. . 0
WATI::*R (;I USE'TS. 3 SE."WE."R LINE (f '.0 G RE:A5 E. TRAP'S. .,
1)1SHW()SHE:RS. . 1. WA*IE::R LINE:. (ft) , 100 OTHER 1: IXTURCES. . . Il
6 A R B A 6 E D:1 S P., 1 RAIN DROIN (ft) . C 0
WIC101.11NO . 1 SF DRO1*.IqE). . -1
ME:.CJ-I0N1C()L_ FEE_:E3
U hl 11 HT R S. -0 type iAlllc)it.kllt by (J.A t e -r e c.p I;
/(3(11:3// VLNTS :0 PAYITI $ 40. 00 JLH 06/1.9/90 201827
III A X 1:11 f.,UT 0 DT l.1 VI: N'T F:ANS. » »4 K",Ft T $ 4r?7„ 00
V:,(JRI%l < 10014 .1. HOODS. . . . . . . I D F'L.I, $ 40. 00
(4 WOODS1 OVLES. i:0 14 5 F., 15
F:LOUR FURN. . . . 0 CLO DRYERS. . :1 STDC' $ 600. 00
1,41111 /("ITIP < 311P.0 UTHE.R UNY.TS.-O SSDC $ 250. Oil
GAS OUTU"TScl PARK $ 2r,'jR. 00
0 Wri e r ........... .. ................. 11PRT 1, 40. 50
)AY MILL 'R M PL.C $ 1.0. 12
1 ,C) BOX 23291 115PC, 1, c'. fir'.'.
PPRT $ 140. 00
I WORD OR 97221*3 $ /.00
0h(:)rie #,., 684-7543 POYM $ 1.'147. '• 9 JLH 06/29/90
VOY II11LLJ:.R
1,(:l BOX P3291.
1 LGAND OR 97223
Plic)iie #i Co84 7543
.30109
['187- 99 TO FAL
This permit is issued subject to the rejulations contained in the RFOWIRLD INSPLCTIONS
liqaTd Municipal Code, State of Ure. Specialty Codes and all other F:oc)t/f0LMd Iiisp Mecharii-:::1 Iiisp
applicable laws. All work will be done in accordance with apploveii Wt,r Proofirig Psni V-11%.tivib Top Ot.tt
plans. This permit will expire if work is nct started within 180 VIL)st/Dvani St-rLtct Fr a ni.J.ii q I-n s p
ray, of issuance, or if work is suspended for VTP than 188 ;Y-. PC)i;t/Peani MeichAri Fireplace Iiisap
C,r a W 1 1)-r 4-A-, )I Ga s Livip lvisLp
P13.nl/t.tvWss1ab Iii-ip 11-ist.11ati.oll Tlisp
PLPI/Uii(ifrf lao-r Gyp Board Itis p
By: ....................._............... .............. Ftliij D-ra.ili Bsnilt Rait) &raili llisr.)
.1 f 0 r 11-1 S p e c.,t i(:)I I (.i:1 9-41. 1 S
SEWER CONNECTION
CITYOF TIFA RD FIERMIT
tCrT(OF TWW-A RD 1-1 E R V1 I'T SWR90-0254
COMMUNWrY DEVELOPMENT DEPARTMENT 0HOON11,G190 0093
13125 SW HM Btvd. P.O.Box 23397,Tigord,Oragp..m 9�2 175 71
SSUED.- 06/2 9/90
D A 1'E .1
S 1. F E ()D 1)R L.t3 S. I,.j it 6 1 Ij W 82ND F'L. FIORCEL: 2S1A2GB---05)L400
1:M1?D3'V:I5.1'ON. ., . — ASHFOND ()AKS ZON:ENG-.
b 1 0 Cl 111'�. . . I . . . .. . . 3 1 O*T*. C 4
...................
N 0 N'T N j')ITI E
(Jt-)O NO.. . . . . . . . . :42,303 F1 x'r 11 R E U N i r s.
C I ASf:) ()F' WORK. . . NEW DWE'LLING UNII'''.;. . . 1
I NO. (Jr' E(U1LD*r.NC7S,- :L
TYPIE OF E.'r-"
INSTALL_ 'TYPq:'. :JWSWR 11Y11-,E.RV StJRF`ACE.. .
R e ni.i-r P.s
R4 Y 1111 L E-R ;Ype 'A M C)k.t 1-1 t by date -r e c.,1:)1:
V,C) BOX 23291 P,R 1111' $ 3.250. 00
111 S V, if; ;:35.00
1*1G(4RI) OR 972R3 F., Y11 1; J.285.00 H 0G 2':)/90
r1fic)rie 0.- 684---'/5413
Cc)I'l t-r 4A C t(3 v.. —...,——..............___.__........_._w__._.._._._...____.._._. i
C 0 N*T R A C 1'()R N O'T Ohl F T L E
F.,1-10 1-1 e #1 1285.00 TOTAL..
R 0
RE-OL)IRED INSV,ECTIONc.)
This Applicant agrees to comply with all the rules and regulations Sewer Ines pec:ti.ori
of the Unified Sewage Agency. the permit expires 128 days from
the date issued. The total amoint paie, will be forfeited if the
peTait expires. The Agency does not juarintee the accuracy of the .................
side sewer lateral,. 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 ourchase .......
a "Tap and Side Sewer" Permit and the Agency will install a lateral. .........
...............
'J,
✓
TSSUed Ely C
............. ....................—
-i a,V)e c,tjoi-i
C A f :i i 639-4175
:I`TY OF '41G RD RE('F-.*IPI' OF PAYMENT REU IPP NO. C90-20"�
CASH AMOUNT
AL)DRESS PAYMEN'T DATE
S)UBD I v I s 10114
(3p '7'':7 SW P- ND
PUPPOSE OF PAYMENT A11131-44T F'ATfl PUPPOSE OF PAYMENT AMOUNT PA 1)
V
112 7.
P(_UMEIING PERM
MECHANICAL PE ST . PUILD Pf'.-P
PLArl !"HiP-', FE 121 SEwEP U'-)A 1 ; 5r'
25 1)
SEWR INSPECT ("'.) S,'TREE1* 5-,,DC
PAPl, S 3DI- 250. ()(1 STORM DPAIN SDC.
rd - I ffwm
CITYOFT167ARD
(047w) PLCHECK APPLI Or
COMMU MM DEVELOP'MEW DEPARTIN:'1�fT M PIAN CHECK
ass s sr.w s�►a es.moa.*1�,t ow„w sno<pgo ns PERIQT / -
.�
DATE ISSUED
J08 ADD c u > �' 4 ,1 TAX MAP/Lor v25 / G/3
SUB: S o�c f L01<• LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAPE: REISSUE OF: '/�/
ADDRESS: — -- LAST REISSUE:
-- FLOOD PLAIN/
SENSITIVE LAND:
PHONE.
APPROVALS R£OUIRM
CONTRACTOR PLANNING:
NAME: Jay Miller Builder, Inc. ENGINEERING: _
ADORESS: -PO Box 23221 FIG£ DEPT
Tigard, OR ;
:TTY OF TIGARD PECEIPT OF PAVIENT RECEIPT 1,40.
CHECV: AMOUNT p A 0
[LAME t MILLER. JAY CASH AMOUNT u (1,
ADDRESS PA',t,MENT DATE t 06/117/91)
S U b D I V I S J 0 14 r
T I GARD, OR 9'?""'. 1546]. SW 8.2141) PL
PiJF;,F05,E OF r,-AYMENT c-'AMOIJNT F44 U I"URPOSE Or' PA',IMENT MIOUNT PAID
FLAN CHEC',K F U c,---45P
10TAL AMOUNT PAID
C,jZiA )iN /FR SAN CQNTROI, INFORMATION
GENERAL CONTRACTOR NAkiL- &ADDRESS' CASEFILE NO.: _
.lav Mil I p r Bui .;Ter, Inc. PERMIT NO.:
�O$ 2 291 .
n-5-^L2-23- APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR Jav_�� b ill pr—Hui-1 ric r T^c,
NAME&ADDRESS: 0 2 i 2 S 1 __
Jim Paulson Exg�ating '�'iaard Or 97223 _-
_.
Route 1 Box _ OWNER NAME AND ADDRESS:
Hillsboro, Oregon 97124 --
TELEPHONE NUMBERS:
APPLICANT: 6 8 4 7543 PROPERTY DESCRIPTION:
OWNER; 684 7543 STREET ADDRESS AND CROSS STREET/LOCATED
OCATED
GENERAL CONTRACTOR: 6 8 4 7 5 4 3 15-
5 y E j s'w g.1 � L
EXCAVATION CONTRACTOR:6 4 5-10'1 1 _ - a ,Ay
cl
SIIWJOB: _ _
LEGAL DESCRIPTION: ) -�
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: �- A� S/� i 4✓C`� _
COI ffiyC 'PERSON,TITLE,TELEPHONE: 1/4 SECTION:
a e Eickhoff SITE SIZE,ACRES: _
�_�� C:rint-endant, --_
7 1 — DIS�.!RBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE)
(NOTE:PERMrM MAY BE REQUIRED) l CATCH-BASIN DITCH PIPE CREEK
Stumps & bruSb tQ l i G -r-nred
fill area. Dirt to licensed
dump s).te. (CIRCLE ONE) PRIVATE PROPERTY
PUBLIC RIGHT OF WA
RQS10j1$E1?IMENTAj10N CONAL SQ MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRA,4CE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE,ALL Sri T AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
O'riER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION N(nT_S COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULFJSI'AG1NG WR 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 THE CONSTRUC110 SITE.
E1(SIGNA RF`�y "SIG
OETICIAL USE ONLY.
RECEIPT DATE AL-CEM-D
FEE NUMBER RECEIVED BY