13984 SW FANNO CREEK DRIVE ADDRESS:
s n ri o Creek
i:`recordslmicrvrlmltargetslbuilding.doc
CITY OF TIG' ARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTI F I C 47E OF
13125 9W HaN 81vd.T;gmrd,tkegon 97223•6199 (503)$39-4171 OCCUPANCY
PERMIT 0. . . . . . . 1 MST94.. 0 X06
639-1,171 DATE ISSUED% 10/2, /94
SITE ADDRESS— s. s 13984 SW f-ANNO CREEK DR
fi3l.lBD(V I S I ON. . . . i F I NL.F.Y 'PARK +p !.ON 11•iw�t R- i
AL.00.k.. . . • . . . . • r 40 1 • . • • • • • • • . • • r s la 19
CLASG rl� WORK. n NEW
TYPE CIF USE. . . s 5F
OCCUPIANCY GPP. s R3
OCCUPANCY LOAD.-2P6 4
TJ7NANT NPME:. . .
RemAr,ks t POT14 T
TAY MILLER
P (', BOX 23C'91.
T 1 OPPI) OR 97281
Phcrre #: 694-7543
1 JAY MILLET'
Pr.) Prix 17,3P91
1 ttil-4RU IJR 13le6l
,'hone #1 084--7543
I.;C;CIIr:C1TlC:V of the above t-f't + el)G:P[i !.'^.Jl16 ler,
khe compliance with the :tate OP Or•egun Specialty Codes for the gror_ip,
(�ccupmncy, and ueF under which th-i rs!fierenced ,ger Mit war, istArirci.
IL, IQ .. I>>FrTnp
P ) IPTG ICIAl..
P ;T IN CONSPICUOUS PLACE
City of Tiger Building J223
13125 SW Ball al+d. Tigard, Oregon
Inspection Line (Roc-O-phOne)t 634-4175 easiness Phone: 9- 1
Inepectinnr_-- -- -
Underslab mech. Rough-in �ppr/3dwlk
Looting y 1�• �
Flbq. Top Out
Gas Line
Found.
traming lid
goat/Beam av
Strutt, Son. beer E .
y..•�r:/Beam Mech.
Rain Drain
Insulation Y1
-Mach.
Plbs. Underfloor water Line Gyp. Bd'
Date 0 /_
/ j j�' TJ r► /1 ( � Permit
-----------------
Builder:_
TBE IPOLLOMIIIO r�op"CTIONS ARE "MUIRED:
jc��) d CGG
/��� 6✓c>FE� Cl L --
--------------
Dates
Inspector: ------
DT311PPROVED hppROVED BJ
BtlRCT TO 11BOVE
APPROVED -—-
Call For Reinep.
GI T Y OF 1 1 GARD - RE.i:.R IPT OF PAYMENT RF-CF-191 NO. r'44- P5738I
a4C1'K AMC1UN I' a Ia. W0
NAME. r JAY M I I-L.F 1? SLIM GASH AMOUNT e i 15. ola
ADDRESS PAYMENT DATE a 09/30/94
StIBDIVII31ON r
1
PURPOSE OF PAYMEr'NY AMOUNT PAID PLIRP09 Or E--lAYMF..NT WMi JIM PH t W
M I E31'oXL.L ANE 1:)L!S 15. 00
w '
pF!ANiaF'LGF ION FEE FOR
VY,�984 V*ANNO CREEK
Cif:y of T K ECPLpN NOT ICS
Ineltion Line2S wr(ReNa11ABlvd-'lilgaiy. �partae�t
Phone): 639-4175n 97223
Inepectton r�-_�- Business Phone: 639-4171
Footing
Plty. Underslab Hoch. Rough-in
]Pound. APPr/Sdw1k
Pll,g. Top put aas Lina
Post/B-,Mr Struct FINAL:
Sen. Bawer
Poe t/Beam Framingye`'h' Rain Drain -Bldg.
Insulation
Plbg- Underfloor " -Plumb.
ator line -
Date Requested
r ,�D 6 -Neth.
Address:1 �a `~_ _.Timer ___AN
_PN
Builders` ` — Permit of n /
THE FOLLOWING *70RRE ---- -- — — �v�
CZ'IONS AAE REQUIRgD: _ _--�-"--
�--+SIS .� ------_ _
Inspector:
_. APPROVRD -- Date: �30
�ISApj OVBD ---
�
APPR
OVED SUR TI►r'T 7O ABOVIS
—
Call Po- Relnep,
w+w�.
-- - ---'ter/
ENSpECTI;G>� NIITICS
city or Tigard Building Departeeut
13125 BW Ball Blvd. Tigard, Oregon 97223
Ineper_tion Line (Rec-O-Phone)s 639-4175 Business Phono: 639-4171
Inspection:
Poo anq Plbg. Underalnb '--- ��_--
Mach. Re,igh-in Appr/edwlk
Pound.
Flbq. Top Out Gas Line
lINALt
Poet/Beam -%ruct. I 1i San. Serror
,F Preming -Bldg.
ff �
Post/Beam Mech.r/✓ Rain Drain
Insulation _plumb.
Plhg. Underfloor Nader Line
G -Meeh.
Data Reyueateds �
AM
Addreses ! �r �y
- Permit
Builders
THE FOLLOWING CORRECTIONS ARM REQUIRED:
4-t t.�C
-e-
�`.-eC
i
4
Inspectors_
Dates_
--"PROVED 6rs"pROVepLLL��
APPROVtls. DUB,7ECT Tp /.BOyM
_ �Ca)I For Reinap.
INSPeL''1'IO_MN(?TICE
City of Tigard Building Drpartmnnt
13125 BN gall Blvd. Tigard, Oregoe 97223
Inspection Line MOC-O-phone), 639-4175 Bueineos Phone: 4 71
Inspection,
Footing Plhq. Underslab Rough-iq-,) ApprAdwlk
Pound. ~----'-- -J
Plbq. Top Out Gas Line
FINALr
Post/Ream Struct. San. Sewer
Framing -Bldg,
Post/Beam Mach. Rain Drain
su ati h� -Plumb.
Plbg. Underfloor Nater Line,/,,L
13d,/_ 7 -Hoch.
Data RegirestedlTims�
_ 2(p//CJ rL
AM --_pH
�ry
Address i / 9`�_C �� // V
Permit 1, 2 ,,T - -0 3o b t
BulldertY�YI�
1 POLLOWINC L-ORRRCTION.S ARE REQUIRED,
Inspector:
Data,
APPROVED --- - DISAPPROVED —� APPROVRD SUWR(`T To ABOVE
__Call For Reinsp.
NS AQUON NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41" Business Phor,e: 639 4171
Inspection:
Footing Plbg. Under•lab 7.5 Rough)n Appr/3dwlk
Found. P1:39. Top out • Lln FINAL:
Poet/Beam Struct. San. Sewer Framing -nld
4•
Post/Beam Hach. Rain Drain Insulation -plumb,
Plbo. Underfloor Water Line/ >> / Gyp. Rd. -Hoch.
Date Requested,_- _ �/ 1 L f� �— Timet _AM — PM
Address:_1-3!�L /j'/,411!4
rA.______._ Permit
Builder:� i
THE FOLLOWING OORRECTIONS ARE REQUIRED:
—1� �� 101 65��4
--�_.
jo
Inspector
Date: C1' ct
____APPROVED - pISAPi 1.,,•IED APPROVED 8UWNCP TO ABOVE
�1
CA
C ll For Aeinap.
LMSMTT off+.-NOTICE 1 1
City of Tigard Baildinq Department
13125 Sq Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phoney 639-4171
Inspections
Footing Plbg. Underslab 120
11gh-in- 4Appr/Sdwlk
Found. Plbq. Top Out Gas Line rINAL:
Poet/Bea:. strurt. San. Se-•4r rramin� 1Z _Bl"dq,
lost/Beam Mach. Raln Drain Insulation -Plumb.
11bg. Underfloor Mater Line G Rd. -Hoch.
Date Requested: � ^`"/ �" v Times AM _PH
Address:� � � }�� (. ��— Permit
Builder:
THE FOLL(MING CORRECTIONS ARE REQUIRED:
L-'
r ��1 ) °I /(e- /(3 4 0 4-rez lM
—7 C
C
Inspector: Date:_(_ ) —
APPROVED _ ISAPPP1JOM APPROVED SUBJECT To ABOVE
✓ Call For Rotnsp.
INgQ c�_on_ NCITICS ,r�v.�f
City of Tlgard Building Delirtraent
.13125 OW FU 11 Bled. Tigard, Oro.gon 97223
Inspection Line tnec-O-.Phoneys 639-4175 Business Phones 639-4171
Inspections• ------ -------------
looting Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Fou rid. g�p� _� ,ao Line FINAL—
Post/Beam Strurt. Sen. Sewer Framing -Bldg.
Post/Beam He'll,. Rain Drain Insulation -Plumb_
Plbg. Underfloor Water Li n Gyp. Bd. -Hoch.
Date Requesl;ed, /� _TLme=
16 Permit
Builders_[
TFIN FOLLOWING CORRECTIONS ARE REQUIRED,
i
i
Inspector: --—� -- — ---- / �-, toe
—.— —. Dates
��APPROVED DISAPPROVED APPROVED SUBJECT TO ABMR
_--call For Retnnp.
I1 SP6CTION NM179
City of Tigard BUildiul liapartaent
13125 SW Hall Blvd. Tigarr'. Oregon 97223
Inspection Lina (Rec-)-Ph,'nel: 639-417, Rueinaea Phone: 639-4171
Inspection:— -----
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
T-
Found. Cplbg. .To L Gas Line FINAL:
poet/Beam Struri. Ban. Sewer Framing -Bldg.
Poet/Beam l:ech. Rain Drain Inuulatlon -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. ..Mach.
cCLL-� —T ima AM _ PM
Dat® Requeeteds_ --'
A:idceue:—/ cz. ` � • Permit t: LC�._---�' 1
Buildar:
TNF FOLLOWING CORRECTIONS ARB REQUIREDS
Inspector: --- — — -- ---.- Dat. 7
----.-",APPROVED ISAPPROVRD _ APPROVED SUBaBCT TO ABOVE
(I/--Call For Reinap.
INs cTION NOTICP
City of T14iard Building ,,partmnnt
13125 s11 Ball Blvd. Tigard, Oregon 97223
Inapoction Line (Rec-O-phone): 639-1175 Business Phone: 639-4171
Inspection:
Footing plbq. Underalab (! Rou h-1� �— a—
'ech. 9 � Appr/sdwlk
Pound. Plbq. Top Out Gas Line
FINAL:
et/Beam St t. Ban. Bower Framing -Bldg.
j N�h.• _. Rain Drain Ineulatlon _plums.
t.—Underfloor Water Line Gyp. Bd
^ -Mach.
Date Requested: � LTime:
AM _PN
Addreeo:Wl , Permit 1:
TBE FOLLOWING COR"(---IONS ARL REQUIRED: —_
ame"—,4
-
3ITL-_
-- ---- --- - —--`= Data:
11PPR04Eb ---L�p?SAPPROVED APPROVED SUBJECT TO ABMM —
v J Call For Reinep,
N_Sj%c_T1Ot1 NmICa
City of. Tigard Building Departmwmt
1312S OW Ball Bled. Tigard, Orsgoo 97223
Inspection Line (Rec-O-.Phone): 639-4175 Business Phone: 639 -4171
Insp-wtion:
Footing Plbg. UnderslabR�h-in Appr/Sdwlk
Round. P113g. Top Out Gas Line FINALt
Post/Bram Struct. San. Sowerraminq -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Fater Line Gyp. Rd. -Nech.
Date Requeatedt-_ _ Timet _, AN PN
Addrena: 1
l D Permit t t �_ U,3 0
TBE FOLLOMINe. 0ORRRcfION3 ARE REQUIRED%
N
-tee --
(_APPROVED _ —DI3APPROVIln APPROVED St1BJECT TO ABOVR
/� alt For Reinsp.
IRBPECTTIOff NOTIO,
City of Tigard building Department
13125 SO ball blvd. Tigard, Oregoo 97223
Inspection Line (Roe-o-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIMALs
Pott/Ream Struct. Bar. Sewer Framing -Bldg.
Post/Brim Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Unto Requesteds Tlmee AM PM
Addresst _ Permit #A4— n V
Builder: —
THE FOLLoWINO CORRECTIONS ARE RRQUIRBDs
i
In"ct3r:_ " ' �� Dates
_,APPROVED APPROVED APPROVED SUBJECT To ABOVR
For Reinsp.
■
INSPscrION NOTICZ
City of Tigard Building Depertasnt
13125 Bw Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone*63MI71
Inspection:__
Footing f Plbg. Undsrslab Mach. Rough-in Appr/Sdwlk
Found. 1/ 'plbg. Top Out ou Line FINAL:
,l6et/Bear: Stru San. Sewer Framing -Bldg.
`l6et Beam`�ysoR; �,�RaIn Drain Insulation -Plumb,
lbg. Undert1 eVn I Nater Line
GYP• Bd. -Hoch.
Data Reque/sted:_�(� Timp2 AH PN
Address: �_yjC� U 1 .YLyJJ
Permit is
Builder:
T8! FOLLOWING OORRBCTIONS ARE REQUIRED:
Inspector:
_„_APPROVED SAPPROVED APPROVED SUBJECT TO A
_, Call
For Reinsp.
INSPECTION NOTICE
City or Tigard sall4ing Departs sat
13125 sw Nall Blvd. Tigard, oregos 97223
Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639- 71
Inspections
Footing Plbq. Underelab Nech. R mgh-in Appr/Sdwlk
Found. Plbg. Top out Cas Line FINALe
Pett/Beam Strutt. C—S-Z1Sew4r)
Framing -Bldg.
Post/Beam Hoch. jA Insulation -Plumb.
Plbg. Urderrloo: k` Gyp. Bd. _ h
Date Requestede � / /�
Times AN pN
Addresee -1-- ( � r 7 Permit #e (f__1 -3 (p
Builders — —
THEE FOLLOWING CORRECTIONS ARE RRQUIREDs
/�� S�✓,C �4SSc�e/rF 6/'vt Dw y 5, o rcTT ', a
COO O u CrMiJ O f G✓0�'f_//v C P// PC
Inspector: /—
Data
_
D _ DISAPPROVED APPROVED SUBJECP TO
__ "all For Reinsp.
INSPECTION 110TICB
Cit? Of Tigard Building Department
13128 Bw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rac-40-Phone)s 639-4175 Business Phonal 639-4171
Inspections _
Plbg. Dnderslab Mach. Rough-in Apl+rredwlk —�
oued. / Plbg. Top Out Gas Line FINALS
Post/Seas Struat. San. Bawer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nate. a Rd. -
Data RequestedsTimu:Z 061%1'
pM
Address:-a�atl e- �
�1 Permit �� Si -T o 3"
Builders 3 3 _
THE^FOLLOWING OORAECTIONB ARE AEQDIAEDs a-/
In 1.0
vv
Inspectors � � L —ci 4
Data:
APPROVED DISAPPROVED 'APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
�nsrsc�rio��+oT_i�.s �
City of Tigard Building Department
13125 911 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ -- — ---
Pope Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineC, Gyp- ad. -Mh•
Date Requested. Uf / Tom= i#Q AM PM
Address: ��l;() c �f� ��L�l� Permit tt_7
4/ f; J
Builder:- 1 „�(�;c_�_—.--z�1- / a
TRE FOLLOMTNG CORRECTIONS ARE REQUIRED:
Inspect -- Date: �O
1/ APPROVED DISAPPROVED APPROVED SURJRrT TO ABOVE
Call For Reinsp.
NS RCPION NOTII
city or Tigard Building Deparlawnt
13125 8w Ball Blvd, Tigard, Oregon 972
Inspection Lina (Rec-o-Phone): 639-4175 Busineos Phone: 639-4171
Inspections --
F ting ) Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
ound,i Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Lin r ' /Gyp. Bd. -Koch.
ct
Date Requweted:,,_,/,
�� Time, 1xe^ PK
Address i 3 f '1 y[,• e-j14% ) . P j. Permit /,,_�.
Builder: -3 1 25 ---
THE FOLLOWING CORRECTIONS RE I D
C �
Inspector-v V _—_ nate
�f
PPROVED I3APPRROOV/RD/� APPROVED SUBJECT TO ABOVE
rt_ �/ aC 11 Pcr Relnnp.
CITY OF TIGARD PERMITN #. PERMIT.. MST94-030
COMMUNITY DEVELOPMENT DEPARTMENT DATr' ISSUED: 08/05/94
13196 BW Hall Blvd.Tigard,Oregon 97223•6199 (503)$39.4171
PARCEL: 2S102DD• 03500
51TE ADDRESS. . . : 1:3984 SW FANNO CREEK DR
'3UBUJVI6IUN. . . . : FINLEY PARK 7.ONING: R-7
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
CLASS OF WORK—NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . s SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNT•RS. . r 1
OCC( cANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATFRS. . . . . . : 1 CATCH BASIN'.. . . . . . . .0
FIXTURES•---------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . : 4 OT14ER FIXTURES. . . . . ..0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 1410
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I
OWNERa ------------•----------------•-- - -------- --_--- ---FEES----------------
JAY MILLER TIF E 1550. 00 JF 08/05/94 •-
P 0 BOX 23291 BPRT $ 530. 50 JF 06/05/94 -
BPLC t 344. 83 JF 07/25/94 94•-254870
TIGARD OR 97281 B5PC $ 26. 53 JF 08/05/94 -
Phone #: 684-7543 SSDC $ 280. 00 JF 08/05/94 -
PARK f 500. 00 JF 08/05/94 -
Plumbing Contractor: ___._...._.---a_____.__.__- MPRT $ 45. 00 JF 08/05/94
MPI_C $ 11. 25 JF 08/05/94
Name : AL rr1_r-NT 1W-y-)k i nN �Yl:� M5PC $ 2. 25 JF 08/05/94 -
Address : - 1 _ 36TH $ 225. 00 JF 08/05/94 -
L:i t y : _`3t at e :�u P5PC $ 11. 25 JF 08/0.15/94 -
7i-p:_ Phone#. EROS 4 64. 00 JF 08/05/94 -
Rr'g Additional f�_es not shown here. . . . . . . . .
------- REQUIRED INSPECTIONS - - ---This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Fuot/found Insp Rain drain Insp
Cr,de, State of Ors. Specialty Codes and all Post/Scam 5truct Water Line Insp
ether applicable yaws. All work will be don- Post/;beam Meehan Appr/Sdwlk Insp
iT•, acrordance with approved plans. This PIm/r_tndsl.ab lnsp Mechanical Final
permit will expire ; f work is not started PLM/Underfloor Plumb Final
within 180 days of issl_ranr_e, or if work is Mechanical Insp Building Final
suspended for mo*,e man 184 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp _
Gas I-Ants Insp
Insulation Insp _
x Gyp Board Insp
Author-iced Plumbing Contractor Signature
Call for inspection - 639-4175
Contractor Notes:
-"d' iTY CSF TIGARD MASTER PERMIT
COMMUNITY DEVEL'OWNT DEPARTMENT PERMIT #. . . . . . . : MST94-0306
13125 SW Hall Blvd.Tigard,Orogon 97223•81963$N"ITA171 DATE ISSUED: 08/05/94
PARCEL: 2S102DD-03500
SITE ADDRESS. . . : 13984 SW F'ANNO 17REEK DR
SUBDIVISION. . . . : FINLEY PARK ZONING: R-7
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
--___ ----------------- BUILDING ----- --------------------------- ------
REISSUE: DWELLING UNI'TS: 1 BASEMENT. . . . . . . . s0 sf
CLASS OF WORK. tNEW BEDRMS:3 BATHSs3 GARAGE. . . . . . . . . . 1484 sf
TYPE OF USE. . . :SF FLOOR ARE AS------ - --- REQUIRED SETBACKS'-----------
TYPE OF CONST. :5N FIRST. . . . :885 sf LEFT. . s 11 ft RIGHT. s24 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1134 a f FRONT. t 20 ft REAR. . a 15 ft
STORIES. . . . . . . :2 THIRD. . . . s0 sf REQUIRED---------------.---.-
HEIGHT. . . . . . . . :26 ft TGTAL-------:2019 sf SMOKE DETECTORS. sY
FLOOR LOAD. . . . :40 psf VALUE. . . . . l: 138424 PARKING SPACES. . sl
Remat^ks s PATH i
--- - ------------------ ------------ PLUMBING ---------------------------------------
SINKS. . . . . . . . . . : i
--------.------.-------_----- --.------
SINKS. . . . . . . . . . : i FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : l
LAVATORIFS. . . . . #4 WATER HEATERS. . . el TRAPS. . . . . . . . . . . . . . :0
ruB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . si CATCH BASINS. . . . . . . :0
WATER C!_OSETS. . :3 SEWER LINE (ft ) . eO GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . - 1 WATER LINE (ft) . a100 OTHER FIXTURES. . . . . 10
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
------------- MECHANICAL ____---______.______.__.._.-----__.- .___.____. FEES
f7 UEL TYPES-----•----•--- UNIT HTRS. . -0 type amol_mt by date recpt
/GAS/ / / VENTS . . . . . :0 TIF ! 1550. 00 JF 08/05/94 -
MAX INPUTs0 BTU VENT FANS. . :4 BPRT $ 530. 50 JF 08/05/94 -
FURN ( 10014 . . :0 HOODS. . . . . . : 1 BPLC ! 344. 83 JF 07/25/94 94-254870
F-URN )=100K . . : l WOODSTOVES. :(A B5PC ! 26. 53 JF 08/05/94 -
F'LOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC 4 230. 00 JF 08/05/94 -
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK 1 500. 00 JF 08/05/94 -
GAS OUTLETS31 MPRT $ 45. 00 JF 08/05/94 -
Owner-: --•-____________._..____._..__._._._______ __.._._ _MPEG $ 11. 25 JF 08/05/94 -
JAY MILLER M5PC f 2. 25 JF 08/05/94 -
r' 0 BOX 23291 38TH ! 225. 00 JF 08/05/94 -
P5PC t 11. 25 ,JF 08/05,'94 -
TIGARD OR 97281 EROS ! 64. 00 JF 08/05/94 -
Phone #: 684-7543 ERPC $ 20. 80 JF 08/05/94 -
t._'ontractor : ----------------------------------ERPC $ 20. 80 JF 08/05/94
jOY MILLER
PO BOX, P-3291
TIGARD OR 97281
Phone #t 684-7543
?P g #. . s 30109 --------------------------------------------
S 3632. 21 TOTAL
This pereit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS ---•----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fo�ind Insp Fireplace Jnsp
applicable laws. All wor4 rill be done in accordance with approved Past/B@asa Str-uct Gas Line Insp
plans. This persit will expire if work is not Started within 180 lost/Beam Mechan Insulation Insp
days of issuance, or if work is suspend for so a than 180 days. Plm/Lindslab Insp Gyp Boar-d Insp
rr
PL.M/Undefloor- Rain drain Insp
f3igriature : yA_ � tMechanical Insp Water Line Insp
Pl�_�mb To OU A r /5adwlk Ing ..
� P P P f,
Ley : _ Framing Insp Mer_hanir_al Final
Call for inspection - 639-4175
'CITY
OF TIGARD
SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR94..0478
13125 BW Mam Blvd.Tlowd,Onmon 07223•ll9t,WP3)4*-A171 DATE ISSUED: 08/05/94
PARCEL: 2S 102DD-03500
SITE ADDRESS. . . : 13984 SW FANNO CREEK DR
SUBDIVISION. . . . : FINLEY PARK ZONING: R-•7
BLOCK. , . . . . . . . . . LOT. . . . . . . . . . . . . :019
TENANT NAME. . . . . 1
USA NO. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS OF WORK. . . ;NEW DWELLING UNITS— : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGSi1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks: PATH I
Owners -_______________._______------__.____---------._____ FEES
Jt'-)Y MILLER type amount by date recpt
P 0 BDX 23291 PRMT f 2200. 00 JF 08/05/94 -
IN3P $ 35. 00 JF 08/05/94 -
TIGARD OR 97281
Phone #: 684--7543
Contractor:
CONTRACTOR NOT ON FILE
1=hone
: 2235. 00 TOTAL
Reg
---- --- REQUIRED INSPECTIONS -•------
This Applicant &grits to comply with all the rules and rvgulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 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 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 a lateral. _—
F'; "mi.ttee Signature . _ � 144.
..~
U Call for inspection - 639-417'--
CITY OF TIGARD — Rf-..CF.JPl OF PAYMENT 10--UF AP I NO.
UHE(.';K 14MIJI IN 1 8 5617. P.t
NHmI-- a J14Y MILLER 0011-0FR CASH M%^JVJN C 1 0. lAla
AL)DRt SS f UJAYMEN I DA I F, a IA 94
►lf-A)l v I HION
P1 IRPI,j3E OF PAYMENT tIMCIUNT PAID PURPOSE. (.')F P()YMF.,NT AMOUNI PAID
530. 5e PLUMBING PF RM Rpli. 00
MI-11HANICAF- VI F 4'5. 00 13T. B1.111-1) Pf"R 40. IA.,
PLAN CHECK FE 1186.08 SEWER 1-19- A pp-01A. 00
SEWER INSPFCT 35. 00 PARKS BBC 500. 00
STORIA DRATN snc aqo. lala RF'..91DUNflAt.. TRAFFIC t430. 00
MASS' fRANSIT TIF FFES jP0. 00 FRUITION CONTROL 64, 00
rRU1910N ("ONTROL PLAN CK 20. file 170X�41()N VC)NIROL ".0. fio
t 'viViii SW FANNO C.,RVEK DR. FINLEY LOT 19
VIM01.1141 5617. 21
• CT-
Residential juilding Permit AoPlicallon �- kl,
City of Tigard
13125 SW Hall Blvd.
Tlgard, OR 97223
(503) 039-4171
Jobslte Addraw: SW I (A"YIb Gr&L �?w
ofte use Only
Subdivislon: _ ,�(k Lot N
valuation: 1-3-Yo Z 3• _
Comer Let? N
Flag Lot? Y Reissue of
Owner: Aotfroyals Rr1wUlmd
Address: �- f�.
Planning �,.�
�„ I V,
r _ Engineering t
Pnone: (��`1 �rJ�� tither
Contractor: Items R9aulred
Addross: 5ubcontracwfs
Truss Details
Phone:
Other
Contractor's License #_
(attach copy of current Oregon license)
Contact Name & Phone:
1
Subcontractors: Archltect/Englnoer:�1 F I W
1I `
./ lumbing: 1_ IV( Address:ITN
T nQ
Mechanical:
1
(attach copy of current O ontrartor's License)
Phone:
JOB DESCRIPTION: F ,
(-114 -�
Applicant Signature & Phone number
Received by: Date Received:
N VWORO COM MYNSAPP
Permit N Account Description Amount Amt. Pd. Bal. Due
Mt q u 30 Bldg. Permit (BUILD) 30• R) 53o,3-V ✓.
Plumb. Permit (PLUMB) .2.2i•�✓ �L 5"-- /
Mech. Permit (MECH) �✓ ��.
State Tax (TAX)) •u 3 o.u ✓
Bldg: oZ F�• S?' ✓
Plumb: _ �/ ,
Mach: 2> J
Plan Check (PLANCK) S�_�� �� /6) OKI
Bldp: 3c/y• s-,3 ✓
Plumt;.
Mach: / -' i�
Sok 4 •U ��' Sewer Connection (SWUSA) 1 du 2"
Sewer Inspection (SWINSP) 3�� _ 3 ✓
Parks Dev Charge (PKSDC) 514
Storm Drainage Chg (SDSDC) _ IZ5v �V/
Residential TIF (TIF-R) / 3V f ��o, w ✓
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) —
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity CINQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) y-
Erosion Planck/USA (ERPLAN) pv. 2Q _
Erosion Planck/COT (EROSN) gy�YU_ v
TOTALS: (c 2y SSI
I
I
cil'Y or T'ieAtin Rf [:t- wr (1( r�Av14t N'i Ftr.CEIPT NO. 04 ? 546?0
[,HECK AMOUNT 00
NOW- a JAY M L l_L R BUILDERS (;ASH 0MOONT (A0
(aY►I�{tF��'.i o PO BOX 132191 PAYMHNI IMTV. s W"? 94
T[ ARU, t:lw.(4014 BUDD f V t ti LOW is
97r:fAI
PLIRr,OSE OF PAYMLNT AM(:)()N( Phil) PURPOSE OF (-HYMEN1 AW)UNT PAID
{
t3984 SW FANNO CREEK
LI.:IT' 19/ INFt.Y PARK
T Ill i4L. ltMOUNT PAIL) 00
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