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16312 SW 108TH AVENUE ADDRESS: H0511 SIA/ 1 o. rr F-- J C.7 li! J i:\recordslmlcrotim\targets\builcing.doc CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW. 0 F11-d.Tigerd,Oregon 97223 8199 (503)839-4171 OCCUPANCY x x x x PERMIT #. . . . . . . : MS'T92--0`42 639- W17i DATE ISSUED: 02/03/93 PARCEL- 2S 1 15AA=09 ?i710 ,3ITF ADDRESS. . . : 16312 SW 108TH AVE: 3UBDI V ISION. . . . : BERKLEY ESTATES 2C.lNINI3: BLOC:K. . . . . . . . . . a LOT. . . . . . . . . . . . . 1024 l_:I_A 5 OF WORK. :NEW TYPE OF USr�. . . a SF OCC.IJPANCY GRP. a R3 (.00CUPANCY LOAD:224 4 I'ErNANT NAME.. . . . Remav,ks3 PATH I Uwner .: - _......_...__..____..____.__._.......___.___._.._.... ... __._._ -rAY MILLER t T1"7-1 f% #: .JAY MILLER PO BOX 230459 I0ARD OR 9'7281 i-'hone #: 684--7543 lt�g #. . : 30109 Occupancy of the above referenced building is hereby given, and certifies `.he compliance with the State Of Oregon Specialty Lodes For the rgrol.lp, Oc-cupancy, and use !.ruder which the referenced per-mit was issued. ~� BUII_DING� 1 hFECTOR ' PUILDIG "F IAl_ a R: N POST IN CON SIS I CUOU5 PLACE f- J cc lil INSPECTION NOTICE City of Tign.-d Building Department `/. 13125 SBall Blvd. Tigard, Oregon 97223 T SW Inspection Line (Rec-G-Phone): 639-4175 Business Phonb: 639-4171 Inspe^tion:,, __ Footing Plbg. Undera.ob Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Can Line FINAL- Post/Beam Struct. San. Sewer Framing Past/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Re(pseated:`_ Time: AM /(__PM Address:_ zl"3-�V 2_ZZ)�� Permit Builder:__ THE POLLOWING CORRECTIONS ARE REQUIRED: n. H Ll7 J Inspectors. _ Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -Call For Reinsp. INSPECTION NOTICE City of Tigard Building Deruirtment � 13125 Lip Sall Blvd. Tigard, Oregen 97223 Inspection Line (Rec-O-Phone): 639-441175, Business Phone: 639-4171 Inspection:_ Footing Plbg. Underblabh. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Ream Stru.:t. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rein Drain Insulation -Plumb. Plbg. Underflcor 'Rater Line Gyp. Bd. -Meeh. Q Date Requeuteds ✓ `/ Times --AM _ PM Permit #i- y,`� / •7— Builders THE Fomxime CORRECTIONS ARE REQUIRED: Inspecto s_ Dates APPROVED DISAPPROVED APPROVED BUBJECT ABOVE ----Call For Reinsp. INSPECTION NOTICE City of Tigard Building DepirtAxent 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 9-4175 Business Phone: 639-4171 Inspectionx Footing Plbg. find ab Mech. Rough-in ltl5pr/�1 Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sevier Framing -bldg. Post/Beam Mach. Rain Drain ?risulation -Plumb. PlLg. underfloor Plater Line Gyp. Bd. -Meeh. Date Requestedr �� 3 725, —Time.- AN PM Address:_ `�-�/y �D� Permit 1: —oma y� Builder: THE FOLK AINO 00RRECTION8 ARE REQUIRED: r� PigrCN slogw/aL14 c rUr✓ T/TA' 14 S�t7�E Z� rbc, PPVt-n7,Fe/ Z /ZEotA C:-eA 1 �,y � ( T/hix 3� EmE,y_� �Pt19c�E. WNE�LC�IAr ,Z �'�Ln _ i SEL i N F 510 E KlpC•k: A rE b E,K MS&-z> . 4 T ��/LsC�E�7' f-IOL (�INLr C.fl�l OF L CCS DINT/LLIL Acc on1 A r s NF/J PeC .._ / � LUL1J _ _ In■ t.or:_ (� � Uate: _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE �" Call For Reinap. INSPECTION N-TICE City of. Tigard Buildlig Department , 13125 SA Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-:175 Business Phone: E39-4171 Inspection: ---- — Footing Plbg. Underslab Hach. Rough-in CAppr/1dwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulat'_on -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: /ate !cT_L 1 ,�—' Time: _AM ----PH Address• Zelz ��1d, �!�" Permit l:� builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector!— � / /111/n .� _.--_ _�_ DatesL.2--f2�_ gd- �ApPROVED —_ DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 ' Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: —— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: 7 I Z�_._` 2 me Ti : —_?„ PM Address: ( Z Il/vlt— Permit s�L a2 — Builder:______ THE FOLLOWING CORRECTIONS ARE REQUIRED: -- ---------- Inspector: _ _ /1AteS_____ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 L Inspection Line (Rec-O-Phone)s 639-4175 Business Phoma: 639-4171 Inspection: Footing Plbg. UnderBlab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain �u lati -Plumb. Plbg. Tlnderfloor Water Line Gyp. Bd. -Mech. Date Requeoted,__1 +Z �-1 TLM PU� w P!f Address: 11 �_ permit #t Lc� Builder: I � ` -11 � I THE FOLLOWING CORRRCTIONr ARE REQUIRED: Inspectors — -- --�- Y Date,` •J APPROVED DISAPPROVRD %PPROVRD 808JECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard k:uilding Department 131.15 Sit Hall Blvd. Tiger.:, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Moc _ -in Appr/Sdwlk Found. Plbg. Top Out Oaa Line FYNALz Foot/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requestedz_ I Zh((- I `� `I Time$ Am [� PM Addrens: I �D I L— 113 Permit #s Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: IIZI A,1 -- -- — Ct: N 1-- d7 111 J inepectorz__ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -call For ReLnsp. INSAIECTION NOTICE City of Tigard Building Depaztaoent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Busineas Phone: 6 , 4171 Inspection• Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Lne.lation) -Plumb. Plbg. Underfloor I Nater Line Gyp. Rd. -Mech. Date Requested: i 2_I D C1 Z- Tieler .. AM PM Address. ��-� Dt� Permit #c Builder• THE FOLLOWING,• CORRECTIONS ARE REQUIRED: z-741il U_ J � -- --- Inspector � _ Dates i '��; i 7a+PROVED D �1'lNDYrd APPROVED SUBJECT TO ABOVE -call br "Lump. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 nspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections i__ Footing Plbg. Underelab Meoh. Rough-in Appr/Sdwlk Found. Plbg. Top Out cam Line FINAL: Post/Beam Struct. San. Sewer : Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Mater Line Gyp. Gyp. Bd. -Mech. ue Date Reqsteds 2 I -7 ! Z _Time: AM PH Address: i �� (Z (Vqi Permit fs X12-[�Z ]Z— Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: InspectS/AV�PROVMU �.. Date/-r DISAPPROVED APPROVED BUBJRM TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4y175 Business Phone: 639-4171 Inspection:__ — i Footing (�b � Underslnb Mech. Rough-in Appr/Sdwlk Found. g. Top Ou Gas Lins FINAL: Post/Beam Struc:t. . er -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:-___, /-- I(S I'(Z _Time: _ AN PM Address! ' �� i :drwit f: Builder: TUF FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: APPROVED DISAPPROVED -- APPROVED SUBJECT TO ABOVE Call For Reinap. CITY OFTIFARD CfrYOFTWARD M( OR COMMUNITY DEVELOPMENT DEPARIMENT ccm 190N YIV)SIER PERMIT 13125 SW HWI Blvd. P.O.Box 23397,TqpW,ovqDn g7223(SM)WO-417G �,_t7 PER11111- #. . . . . . . : MST92-0242 639-4171 DATE ISSUED: 10/26/92 SITE PnDRESS. . . : 16312 SW 108TH AVE PARCEL: 2SI15AA--BE24 SUED IV r S 101\1. . . . : BERKLEV ESTATES ZONINig- BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..24 BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . ..0 sf CLASS OF WORK. :NEW BEDRMS:3 DAII-AS.-3 GARAGE. . . . . . . . . . ..472 sf I YVIE OF USE. . . SF FLOOR REQUIRED SETBACKS----------- TYPE OF CONST. :5N F*I RST. 894 s f LEFT. . :28ft RIGHT-42 ft OCCUPANCY GRP. R3 SECOND. . . :920 sf FRONT. :20 ft REAR. . : 15 ft STO R I ES. . . . . . . :2 TH I RD. . . . :0 s f REQUIRED-------------------- HE I GHT. . . . . . . . .E4 ft TOTAL-------: 11410 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 p s f VALUE. . . . . $ 91756 PARKING SPACES. . : I Remarks : PATH I -----------------•------------------- PLUMBING SINKS. . . . . . . . . . : 1 FLOOR DRP INS, . . . 0 DACE .'LOW PREVNFRS. 0 LAVATORIES. . . . . :4 WATER HEVTERS. . . I TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY IROYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . - I WATER LIIJE (ft ) . : i00 OTHER FIXTURES. . . . . :0 GARBAGE D I SP. . . : I RAIN DRPIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . - I MECHANICAL --------------- FEES FULL TYPES–.- UNIT HTRS. . :0 type amoi-int by date recpt VENTS . . . . . :0 TIF $ 1460. 00 JH 10/26/92 MAX INPUTcO BTU VENT FANS. . :4 BPRT $ 409. 00 JH 10126,e92FUR14 ( 100K . . : I HOOD...;. . . . . . : 1 BPLC $ 265. 815) JLH 09/16/92 231684 TURN ) =100K . . :0 WOOD13TOVES. :0 B5PC $ 20. 45 JH 10/26/92 – FLOOR I URN. . . . :0 CLO DRYERS.: I SSDC $ 260. 00 JH 10/26/92 – BOIL/CMP ( 3HP:0 OTHER UNITS: I PARK $ 500- 00 JH 10/26/92 – GAS OUTLETS: 1 MPRT $ 43. 50 JH 10/26/92 – Owner. MPLC $ 10. aa JH 10/E.6/92 TAY MILLER 115PIC" $ 2. 18 JH 10/;_'6/92 PPRT $ 147. 50 JH 10/26/92 P5PC $ 7. 38 JH 10/26/92 Phone JAY MILLER PO BOX 231291 TIGARD OR 97281 Phone 684-7543 Reg30109 –_---_-_----------------------------- $ 3146. 74 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Gr-e. Spec,alty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved PIC)st/Beam StrLict Gias; Line Insp plans, This permit will expire if work is not starred within 180 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspended for more than IN days. F-Ilm/vi-idslab Insp Gyp Boat(j Insp `_ l PLM/Underfloor Rain drain Sp Permittee Signatl.11-e : l�tAL Mechanical Insp Water Lire Insp Plumb Top Out Appr/5dw I k Insp ISSIAed By ! Framing Insp Mechanical Final --,F—WER CONNECTION TY OF TIGARD ��TWA RD L PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . ; SWR92-0324 IJ126 SW HWI Blvd. P.O.Box 23397,TlgsM,Oregon 97223(503)63"175 71, 639-4171 DATE ISSUED: 10/26/92 SIZE ADDRESS. . . 1631E SW 1061H CAVE PARCEL: LS I 15A0---BEr-.'4 SUBDIVISION. . . . BERKLEY ESTATEc ZONING: BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :24 TENANT NAME. . . . . USP NO. . . . . . . . . . ; FIXTURE UNITS. . . : CLASS OF' WORK. . . .NEW DWELLING UN I TS. . : 1 TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. : Sf Remar-ks : PATH I Owller-: --------------------------------------- FELS --------------- JAY MILLER type aMOLtnt by date r,ecpt PRMT $ 2100. 1-illb JH 10/26/92 — INSP $ 35. 00 JH 10/26/92 — CONTRACTOR NOT ON FILE ----------------------------------------- V-410Tie $ 2135. 00 TOTOL Reg #. . : REQUIRED INSPLL;TIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspectiori of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sp,,,ei 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 a lateral. Permittee 5 i y n a t 1-t V,e- 0- Issl-ied By : Ln Call for, inspection 639--4175 LD C) CITY OF TICARD - RECEIPT OF PAYMENT Rf IF'T Nn. :92-233061 CHECK AMOUNT : 5.X_'41.74 NAME : MILLER, JAY CASH AMOUNT . 4.00 (I ADDRESS PAYMENT DATE : 10/26/92 r SUBDIVISION : PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT DAII� BUILDING PERM 409.00 PLUMBING PERM r 147.50 MECHANICAL PE 43.50 ST. IIUILD PFR 30.01 PLAN CHECK FE 236.73 SEWER USA 2100.00 -;EWER INSPECT 35.00 PARKS SDC 500.00 m STORM DRAIN SDC 280.04) RESIDENTIAL TRAFFIC FEES 1350.00 MASS TRANSIT TIF rF"E S 110,00 J LOT 24 BERKLEY F:STATFS 16312 SW 108TH TOTOL ArIOUN'I PAID _ - -> 5241.7A► CITV OF' TIGARD -- RECEIPT OF PAYMENT RECEIPT NO. :92--231684 CHECK AMOUNT : 40.00 NAME t MILL EP,. Jl4Y CASH AMOUNT . 0.00 ADDRESS t PAYMENT DATE s 09/16/92 SUBDIVISION : PURPOSE 111, PAYMENT AMOUNT PAID PURPOSE OF PPYMUNT AMOUNT PAID LL.AN CHECK FE ._ ..._ _. 4�►.00 .-_____.__ _�..___-- -.._�w.__�_ c." c� L.OT P-4 F3F:r..,I_EY ESTATES TOTAL AMOUNT PAID — - —> 40.00 CITE Off' TIG.A�R1� t3�uswr{anotia. PLNCK/RECT # roBox 23397 PERMIT # 05f-�Z— O 2 q Z COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon97M (563)639. 171 DATE ISSUED JOB ADDRESS: /� /�— S�cJ fD8 ' f? ti< TAX MAP/LOT .?y SUB: &r k Lc o c',,2)to-le ` LOT: %' y LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: jot/ /Y>> 1'(-J . REISSUE OF: A1)DRESS: C f3oA LAST REISSUE: -7/CQ FLOOD PLAIN/ PHONE: W i� `-� i 3 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: TGLtl ✓r Ode r PLANNING: ADDRESS: ENGINEERING: �- FIRE DEPT: PHONE: OTHER: CONTR. BOARD : EXP DATE: ITEMS RFQUIRED SUBCONTRACTORS: PLUMB: _�w c� LIST/SUBCONTRACTORS: _ MECH: �,��'l l _ BUS TAX: RCN ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: pa APPLICIkNT SIGNATURE Received By: 1 ~' Date Received:/O y z PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAS. DUE h �,tY2-().2 2. 10-432 00 Building Permit Fees o�,vC / �/0 ,.c,J 10-431 00 Plumbing Permit Fees I4 7. SO 57) 10-431 01 Mechanical Permit Fees 3 ;l 10-230 01 State Building Tax (5q) 30 ,0 .�D �0 Building 2-- Plumbing Mechanical ✓� 10-433 00 Plans Check Fee a 7J Building �� Plumbing Mechanical _ 10-230 06 Fire 2-0 32 30-202 00 Sewer Connection �/u vI �•� 30-444 00 Sewer Inspection _ -3j 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 13 S 3 S 25-448-05 Mass Transit TIF Fees � I / 0 52-449 00 Parks System Dev Charge (PDC) S a L U v _ 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) -7- 0 y 24 .445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WPF