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CUPANCY
CITY OF TIGARD PERMIT #. .00. . . . . c )[1ST93-0426
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/27/94
13125 SW Hall Blvd.Tign"(1,Oregon 9722398199 (503)639-4171
PARCEL; ES115AA-08700
t11 ADDRESS3. 16326 SW 107TH CT
3UBDIVISION. . . . BERVNI-EY ESTATES 2 ON I NG:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 8015
':'LASS OF WORK. -NEW
1'YPE OF USE. . . .SV
3CCUPANCY GRP. %R3
XCUPHNCY LOAD 1201 4
rFNON1 NAME. . . :
PATH I
Owner:
JAY MILLER BUILDER
P 0 BOX 23291
1'1: OR 972131
Ohont #: 640-7543
,TAY MILLER
PO SOX a:3211�1
-10ArD OR 47281
Vlhontp #: 684---7543
Reg ik. . 1 30109
Occupancy of toe obovc referemed building is hereby given, and certifies
1:he compliance with the State Of Oregon Specialty C:jcjves for the group,
c.,ccupancy, alld 03SO LIVIdet' WhiCh thP CefP-t'eTIL�-e4 pe:-ma was issued.
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INSPECTION NOTICE /
City of Tigard Building Department
X3125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busin:es Phone: 6 -4171
Inspections C- �M `C
1 —
rooting Plbg. Underslab Hach. Rough-in wppr/Sdwlk
Found. Plbg. Top Out Gas Line lINAT..
Post/Beam Strsact. San. Sewer Framing -B
Post/Beam Mech. Rain Drain InsulationPlumb
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: Q( )D - I��� -I _Ti�mess AN��/ /PM
Addrnss:b(� 10 } ` �� \T Pe"rmitl: � �`
Builder: L IC Gla_ 1 1 l LQ --m L_ —1-I
TI1R FOLLOWI"iG CORRECTION+S A.9b REQUIRED: }ti
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Inspector: Dates
�•�- APPROVED DIs"rROVEO APPROVED BJECT To
call !or Rains.,.
INSPECTIaN NOTICE
City of Tigard Bss:Llding Departamt
1312S 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rar-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underslab Mach. Rough-in r/8dMlk
Found. Plbg. Top Out Gas Line PINALe
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater CLino Cyp. Rd. \-,Me-.h.
Date Requested: I u 7 (J Tim$ _ L`qAM PK
Address: (1P3�^_0�' 1((� ,, Cj Q Paroit 1:
Builderr_�Gc_i� \"`"�l N �.LWt T? -7e)31
T= FOLLOWING (nRRECTIOM6 ARE REQUIRED:
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Inspectors i / /Z !�? _ Date:10
--APPROVED DISAPPROVED V7APPROVRV 8USJRM TO ABOV=
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Dnpartwent
13125 811 Hall Blvd. Tigard, O.mgon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:_ V
Footing Plbg. Underelab Mech. Rcagh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIIg1L�
Post/Beam Struct. San. Sewer Framing ,
Post/Beam Mech- Rain Drain Insulation Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requesteds ( �f Tit
Addresel f_`�� I P �t lT Permit #t
-(�21 Ut-
Builderf- LG�-�-:
TNM POLUMNo ooRRSCTIOws ARE REQUIRED:
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Inspector: Date r
APPNOVND DISAP ROVED APPROVED SUBJECT To AB6VE
Call For Reinsp.
INSP4grjON NOTICE
City of Tigard rMilding Department
I3125 SA Ball. Blued. Tigard, Oregon 9722
Inspection Line (Rec--O-Phone): 639-4175 Business Pho : 639-4171
Inspections
Footing Plbg. Underslab /�Machh.. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oaf a Lin FINAL:
Post/Beam Strum. San. flower Framing -Bldg.
Post/Beam Mach. Rain Drasin Insulation -Plumb.
Pibg. Underfloor Mater Lina Gyp. Bd. -Hoch.
Date Requestszzt`` 1 V l� _Time: AM PM
Address: >L-�(� I C7 " _ Permit #I
Builders
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Date:`_ —_
_—APPROVED DI$APP D APPROVED SUBJECT To ABOVE
all For Reinap.
IMECTIOM NOTICE
City of Tigard Building Departsmt l\\moi
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Buainess Phone: 639-4171
Inspection:__
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIMAL:
Post/Beam Slruct. San. sewer baring -Bldg.
Post/Beam Mach. Rain Drain insulati*on / -Plumb.
Plbg. Underfloor Nat , \ /ter Line Qyp. b -Hoch.
Date Request* V
�d: `Z L -'13 Tlr.t SAH PH
Addreasi. ( lIJZC�' ++fD 7 PNL•rit �t
Builders, ��� � `.Q.k�
THE FOLLOWING OCIIlR><CTIons AAE RRQUIREr,i
y.
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Inspector: Dare: - L J
APPNOVSD DISAPPROVED APPROVED SUBJECT TO ABDM1►E
Call for Reinsp.
INSPECTION NOTICE
city or Tigard Building Department_
13125 SN Ball Blvd. Tigard, Oregon 9722_
Inspection Line (Rec-O-Phone)s 639-4175 Business Phon 63 I
Inspections --
looting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out ( OaLine '. FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Oyp. Bd. --Hech.
Date Requested: / 2� _Time: AM I'N
Addre , .L�) Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: --_-__--- —�------_--- Date:
ROVED — DISAPPROVED AFPROVED SUBJECT TO ABOVL'
Call For Reinsp.
INSPEgirlm.NOTICE \
City or Tigard Bullding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Cnapection Line (Rec-O-Phons)s 639--4175 Business Phon -
Inspections
Footing Plbg. Underslah Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oae Line FINALS
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain cnal
lation � -Plumb.
Plbg. Undcrrloor Mater Line Gyp. ed. -Neck.
Date Requested: (V - 1 2 3 R T1Mt AM M
Addreess1Le�Z� �d��/.- �.� _ Pe^tfC��it ft ` HCl<`F
Builder:
THE POLLOWINO CORRECTIONS ARS REQUIRED:
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Inspectors Date_:) s
APPROVED DISAPPROVED APPROVED an TO ADME
Call For Aeinap.
INSPECTION NOTIC_R /
City or Tigard Building Department \
13125 SW Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec--a-Phons)t 639-4175 Business Pho : 9-e171.
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Inspection: C ��/�t✓��� _ _
Footing Plbq. Undo Neoh. Aouq � Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIN'L:
Post/Beam Struct. San. Sewer ,`Framing\) -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underllcor Mater LinGyp. Bd. -Mach.
Date Requestedt,` A _( y -%-613�(l Time: q Ati PM
Address: D�1 kP �. V� '
Permit 1lt
Builder:
THE FOLLOWING CORRECTIONS ARE RMUIRECt
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Inspectors _ Data$
PROVED DISAPPROVED APPROVED StTILTRCT TO ABOVR
Call For Reinsp.
rt Ecr�rort No�c�E
City of Tigard Building Department
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phones 639-4175 Business Pho9- 171
Inspection:
Footing Mg. Qnderelab Koch. Rough-in Appr/Sdwlk
Found. Plbq. TOp Out Gas Line FINAL:
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Seam Koch. Rain Drain Insulation .-Plumb.
Pibg. underfloor Water Lino Gyp. Rd. -Koch.
Date Requ/eJst�ed% ++ 4-1-7- j TLsas (__A,{K / - PN
Address Llp1 /r. 1 Plsalit E% I �_'7L�'7 Z_ 4
Builders, i
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THE FOLLOWING ODRREC I(MS ARE REQVIRRD:
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Inspectors Date 9/
APPROVED DISAPPROVED APPROVED AUBJECT TO ABOVE
Call For Reinsp.
INSPECTION MUCK
City of Tigard Building Department
13125 SIX Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ren-O-Phone): 639-4178 Business Phone: 639-4171
inspect ion: �_ _�)�(�l;Nt,�• �> `C {"yeK �4^
Footing Plbg. Qnderslab Yeah. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Stract. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Unde-floor J Wafter Line Gyp. Rd. -Hach.
Date Request•id: "C �T� Time: Ax PN
Address: :' 'r7� (�_. C—"1a ' Permit ♦1 7
Builder: __ k:-� `�_ / ( "
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: '
Dater
/A--APPROVSD -�_ DISRPPROVRD APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departrnnt
13125 BW Hall Blvd. Tigard, Oregon 97222v, _�_�
Inspection Line (Roc-o-Phone)s 6JS-4175 Busineon Phones 639-4171
Inspection:
1OOtiQ� Plbg. Underslab Hoch. Rovgh-in Appr/Sdwlk
1Nttld. Plbg. Top Out Gas Line FINAL:
Post/Beam Struck. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line C� Gyp. Bd. -Hoch.
Date Requested: �• / c Times, PH
Address: /[L'-50-cJ`L' 4 ,7
Permit i i I Zu cx b
Builder:_
TN! FOLLOWING OORRECTIONS ARE REQUIPEDt
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Dat
APPROVED OISAPPROVED APPROVED SU To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Dap-irtawt
131125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-G-Phone): 639-4175 Business Phone: 619-4171
Inspection:
Footing Plbg. Underelab Hech. Rough-in Appr/sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Bgam.Atru� San. Hewer Framing -Bldg.
�LfBeam Meo�h.� Rain Drain Insulation -Plumb.
P1Lq. Underfloor Water Line Gyp. Bd. -Hach.
Date Requestedt T' �-� /� Times AN PH
Addroess_ `� ` Permit #s930 VI
Duildert
9 L cf(S
TTIX FOI.AWTNG�M=1098 ARE REQUIRED: /
Inspector: Dates r30—��
A."Pr.MW DISAPPROVEDy APPROVED SUBJECT TO ABUVE
Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.809 (503)639-4171
BiPRT $ 41.c',. 00 .IFI 08/1719.
Lb' l 'l $ L::o. Llte'l JI-1
E�W1�l, 'IM
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Wid.Tigard,Oregon 97223.8189 (503 630-4171
. CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 9W Mall Blvd.Tigard,Oregon 97229.8199 (503)0394171
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CITY OF T10ARD — RECEIPT OF PAYMENT RECEIPT NO. a93-242658
CHECK AMOUNT s 250. 00
NAME s MILLER, JAY CASH AMOUNT s 0. 00
ADDRESS s PAYMENT DATE s 07/28/93
SUBDIVISION c
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PLAN CHECK FF- 250. 00
OT 9 BERKLEY EST
1 QsS6a SW TITAN LN
TOTAL,. AMOUNT PAID E.5o. o2i
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :93-243312
CHECK AMOUNT : 5188. 96
NAME a MILLER, JAY CASH AMOUNT % 0. 00
ADDRESS a PAYMENT DATE 08/17/93
SUBD I V I S I ON
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILDING PERM 412. 00 PLUMBING PERM 141a. 00
MECHANICAL PE 43. 50 E'Fr. BUILD PER 29. 78
PLAN CHECK FE 28. 68 SEWER USA i-21200. 00
SEW'--R INSPECT 35. Oel PARKS SDC 50O. 00
c- STORM DRAIN SDC 280. 00 R[--.'SIDENT IAL TRAFFIC FEES 1410. 00
MASS TRANSIT TIF FEES 110. 00
OT 19 BERKLEY ESTATES /Al
16326 SW 107TH CT
TOTAL AMOUNT PAID 5188. 96
13125 Sw Hall Dtie. PLNCK/RECT #CITY OF TIGARD PERMIT 0 3 - DoZlO
COMMUNITY UEZ'ELOPMENT DEPARTMENT Tigu40reson97223
(S03)63"171 DATE ISSUED
l C� 3.,2 s w 10 '7 C� `
JOB ADDRESS: }ii ,� 11// y� TAX MAP/LOT = �r �==? _
SUB: 17 �' v'LI C.4 LOT: =� T� ICI LAND USE:
VALUATION:
OWNER SPECIAL NOTES
Nfl4E; ��L �YYI i l.<_' L' I?��� 1 CSI c�y- REISSUE OF:
ADDRESS: LAST REISSUE: ._
) C j ]i FLOOD PLAIN/
PHONE: `I — ` T 5 �l SENSITIVE LAND:
CONTRACTOR ` APPROVALS REQUIRED
NAME: . � C��-,j ti"Y� I 2 �- `�L .!!� C'� "i ► ... PLANNING: -'�446 —
ADDRESS: �''U 1 ���! U� �+��1 �' ENGINEERING:
61 al I FIRE DEPT:
PHONE: C c �� - '`15 Y _ _ OTHER:CONTR. BOARD #: �C:' Il'� EXP DATE: l"I �_
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ n L�-)Ck ,C\ V"S�" LIST/SUBCONTRACTORS:
MECH: k (Ck ly1C�V_ _ . BUS TAX: --
ARCH GIGINFCR CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: _�� (?ifs �tL=,�. �.wc, _
!1PPLICANT SIGNATURE
Received By: /� Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
h1.>f _ 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit fees - —
10-431 01 Mechanical Permit Fees 0 3 SZ
10-230 01 State Building Tax (5%) — —
Building -) 0, 40
Plumbing 7• c'�'
Mechanical
1
10-433 00 Plans Check Fee
Building U /
Plumbing
Mechanical
10-230 06 Fire — —
3 GD 30-202 00 Sewer Connection 0 _e?2 00 '
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF fees - -
25-448-03 Office TIF Fees —
25-448-01 Residential Traffic fees )110
25-448-05 Mass Transit TIF Fees — ----
52-449 00 Parks System Dev Charge (PDC) S GU Sam
31-450 00 Storm Drainage Syst Dev Chrg
L
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)LLJ
J
TOTAL
ni.,05871).WPI