9570 SW MILLEN DRIVE 9570 SW MILLEN DRIVE
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C1316Ti9mrd ITY OF TIGARD PLUMBING CR TM3
Applkm* nom hb4d Om" Re$Wgion to Candtx+ s Pimy""S PERMIT 63941*75
busirim m mug be Vmpe"owmioW ator not 1!!l outside help.
00VOW mko"I lPlumbing Permit No. 3
D"orlpfon PRICE AMT
QRS 1114-21-610 OUAK
Job Tax Lot m*i4o,
Address FIXTURES
8ibovision0 - Skik 7.50
7.50
T—C
R-fam mmyte of bojW ii I
Cl'\" Tub cwTubfShow@tCo,�-------(A.-.--
eta
Sli�Only I-- 7,SC
W'16,C
.1'" 7.50
Owner Z�Iie-
Digmashe,
150
PtHxe I 50
Garbage DSPOS81
7,LZ
floor Drain7,
H.W.,
IPW�Wass —fil—0me 7.
Latxv*vRoom Tray -
Occupant 7W/-Stj-jj----- zip Urinal 7so
O0wFWum(SPf0fy) 7,50
7,50
QS Phone ?SO
750
Comfector CoymblieZip
C MISMIANEOUS
Sum Tax No Sewer 1 M 900 -300o-
CI-
Sewer-es.Adds 100 is-00
State TWMR—Wi" Lic P40
Water Sol vim 10 100 . 20VO-
W&W SemAm".Addit;LWq 15-00
i hereby KIV Kpf*odgo OW I hm raid thioappilcolim, bftmG*-
QNW is correct.,#W I nn nqWgW wo#*State 9L** 'u Board.and Woo stoma Rain Drain let tOO*
twtv a Shft PkNnbh linertra#W ft nuntws gluon are correct.lhal fM StormaPpinDrsinAddh 100' 1500
Omt*V work will be done In wmtdwm vAth Of Cv*- 2500
gon Reviset!SlaftAm CtuWWs 447 and 093 00 mrod MOW Write Speoll
no had vA be envioyed unless tloanaed under ORS OM (N sm- Back Fbw Prever0on
State mostralkw%Oases qWs mew below). Cseld*ollulimowno. ?111)
MM-CW04M-1 hereby cantly that 1 am 1W OVA W 01 to proWly do-
, 0 1 sbmqKv1vA0d 'm r am 1p com lowdM60vit"blaimSmeonfor AnyTrrf4vWWftW 7.10
my own we and rMs papaily b no W"or,.-jead to We.We"OF rem Donne td to a Ffto
Catch 9main
PwrtA*v 40.00 PON 1*
40,00
16.00 f*vn
woo fm
AUTHOPAM,SKMATUM
delling
f6
11
15.00 6socribe wowatt7tZtedd 4111101116001 C1 pair C7
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E 110 19 Use 01
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_— Fq =Sze- ' Time A.M.fie_P.M.
Adds .., �--.~ -,�4✓s � r i _ Permit #�3 Y
Uwn of #
Build - ---- - --The f lowinq Building Code deficiencies are required to be corre
................
I`reser;tr•d ta�� � I-_ Approved
Inspector (- --__— _ __ Il Disapproved
(late
C14LL FOR REINSPECTION
❑ YE$ ❑ NO
silr �
Building Permit No. h 26
Location _ `� 70
Date -2
Statement of Exemption
From Builders Board
Registration
A
� I 2.0 C1 am personally exempt from n_gistration
with the Builders Board for the following reasons:
I am performing work on property I own, « residence that I reside in,
and/or a residence that I will reside in. I will be my own general
contractor and will hire subcontractors who are registered with the
Builders Board.
I own, reside in, and/or will reside in the completed dwelling.
My general contractor is:
Name
Builders Board Registration Number
Registration Expiration Date
All subcontractors who work on this dwelling will Ce registered with
the Builders Board.
Signature
i
78
BUILDING PERMIT A,'PLICATION DATE� � .19---' 48
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE x>~
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON � �-
L �i N0.
OWNER JOB ADDRESS
r'icrles mizuo 9570 sW MMillenMillen Driw- �1 & ,c, op� er Crck.
_ _
ARCHITECT
S ENGINEER 4 wj er
ame
BUILDER ADDRESS DESIGNER
STRUCTURE LNIEW ❑ REMODEL_ ❑ ADDITION ❑ REPAIR_ ❑ RENEWAL 1 ] FIRE DAMAGE ❑ DEMOLITION
(3 RESIDENCE 17 COMM C7 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY LAND USE ZONE _ _ BLDG.TYPE _ '� ZONE—`___ PLAN CHECK BY _— HEATS`
Construct si.rz(-Ile family dwalli.ng w/gti:tachgd garage1,)er. pprowed LLGirs,_.
Subjoc'-t to 85 codo.
SEWEIIPERMITM 34t� 3( ldta) 3 k�atta�s 122c.ra�� �cc�i1J� area 462
0 20 3 ba 2 '193 3 9G°735
UCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA _ NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT /' REAR /-Ar LEFT SIDE RIGHT SIDE /CP
Permit 424.00 _ _ THIS PERMIT IS ISSUED SUBJECT TO TIE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
- REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 275• (3>I WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS. CONT PACTOR AND SUB CONYRACTORS TO HAVE CURRENT CITY BUSINESS
2 1 .?� LICENSE.SEF ABATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax a. ' ' ' ` ._
SDC-- 600.01)
Total 120.80
PDCti if A LIC NT OAGENI'�
,
By 1917,(1t1 T 150.
Receipt No. 4
Approved I '7►Due€BB PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE.
Com actor
411
Z `-' �� Qugh•in
Fixture ^
Final
.. . • HEATING (,
Contractor yc�
C �- $ �jN� _, ��• Permit No. y p
`' T` Gas or Oil
142 Rough-in
� , s
Final
-/� .SEWER
t_ _ 11. _ 7 V,� 7�^� Final
DRIVEWAY
Final —
Storm Drainage
IFtain Drain)FS,aI
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
i
Z
i
f 11
CITY OF TIGARD MECHANICAL PERMIT Permit#r 4k .) 2_
DescT"3A Mechanical Code OTY PME AMT
Table
City of Figard 1) Perrnit Fee -0- -n- 10.00
13125 SW Hall Blvd. -- — —
P.O Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 — - -
639-4175 1) Furnace to 100,000 BTU--A_ r 6.00 (o.uu
_ incl.ducts&vents 1
`) Furnace 100,000 BTU + 750
incl.ducts&vents
Name of Devebpnent 3) Floor Furnace 600
incl.vent _
U = �� Suspended heater,wail heater or ticor mounted heater
Job Addraas r 4) 6.00
Address f 70 �w l Y r -
-1-�"� Vent not incl in
Tax Lot Map No. C e�'�. 5) 3.00
appliance pef mit
Lot:J'14 rr Z Bloc* Su Milion C4.1( 9 ---
Repair of heating, u it
" Name(or name of bvtune��; a� 4111 W 6) cooling, unit 6.00
G�39-H97yG - - -- - - ____
Malang Ad+ .a - Ph" 7) Boiler or cutup to 3 HP 6.00
Owner absorp.unit to 100,000 BTU -
chyistate -� zip e) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU _
- --- NameBoiler or comp 15-30 HP 15.06
absorp.unit 1F2-1 million - —__-
p » Boiler or comp to 10-SO HP "50
M.arq 10) absorp.unit 1-1.75 million _
(:or'..a.lar �y f -stme ZIP 11) Beller or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU —_
Slate Re"tration No City Bae.Tax No, 12) Air handling unit to 4.50
-
10,000 CFM ---,-.. _ .— _ --
13) Air handling unit 750
I hereby acknowledge eml I have read tMs ar>f+"tion that the worrrratlon given Is 10,000CFM +
ax»d,thatI am the owner or autt oozed ag9nt of the owner,that plans submitted are M ----- ----- ". ----
axnpflance with State Iowa,that I am reglatenfd with the Stale Flultders'Elomd.that the 14) Non portable 4.50
nttr'rrbw given is rorred.(N exempt from State registration please gave reason Mrbw) evaporate cooler
Vent fan connected v A'4K f``
- 3.00
15) i IW�A it...• [�
_ to_a single duct
- -- Ventilation system not 4.50
16) included in appliance permit
Hood served by / 4.50 S
mechanicAl exhaust
or seem) - Dna 18) Domestic type 7.50 -
Desadbe work ❑ addition ❑ alteraJon l❑ repair ❑ Incinerator
to be done residential O non-residential ❑ 19) Commercial or Industrial 30.00
- Incinerator
Existing use of
building or propedy 2t)) Other i.e.,woodstove,water 4.50
heater,solve,clothes dryers,etc.
Proposed use of
building or property _. --- 21) Gas piping one to four outlets 2.00
Type of fuel- oil F] natural bias ❑ LPG ❑ electric ❑ -
- - — 22) More then 4-per outlet
NOTICE - _--- SUB-TOTAL 3 Sr
THIS PERMIT BECOMES NULL AND VOID IF WORK 011 :.ON - SURCHARGE /A
STRUC:TION AUTHORIZED IS NOT COMMENCED WITHIN IRO - _—
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 28%OF BUS-TOTAL
ABANDONED FOR A PERIOD OF 180 DAY-AT ANY TIME AFTER --'
TOTAL
WORK IS COMMENCED •�
Special Conditions
I
_ - ------- - - __, ate issuod `7I �_I&q-by
-..
Wor-ksI?F'c'� PLAN CHLOR NO. o
for inspections call 639•44175
PEk.HiT NO. �
CITY OF 1JARD639.4171 DATE
BUMMING PERMIT
P.O. Box 23397, Tigard OR 9,7,2,2a A"`,'
/3 / TAX LOT NO. —SUGoWIS1ON
OWNF.R_ u =1.�I/2L t�:,,( �/ / . JOB ADDRESS
BUILDER n STA.F EXP,DATE
REG.NO. �_ —
OUILDER•S PHONE ' 2 K ' al
ARCHITECT—-- PHONE _ __ OTHER _.
—
STRUCTURE ❑ NEW ❑ REM_O_DEL__ ❑ ADDITION ❑ REPAIR ❑ MOVE O OTHER Cl DEMOLITION
)(3'fiESIDENCE C) COMM. ❑ EDUCATION ❑ IND ❑ REUGIOUS" ❑ACCESSORY Q GARAGE U OTHER CIFENCE
OCCUPANCY i I..AND USE ZONE BLDG.TYPE „� ,' FIRE Z1JNF PU1N CHf_CK BY
Construct single family_
-.qub4k cc t t o 85 code,
(j t,9 ?, •(ldubathss claraae a[�a /�-
SEWER f E R ti 1 T I _ � baths ` •--— • --'- qo
OCC.LOAD FLOOR LOAD HEIGHT-_ NO.STORIES AREA NO.BEDROOMS 3 _VRLUE
BUILDING DEPARTMENT SET BACKS FRONT REAR I.EFT SIDE RIGHT SIDt
Pecmlt u THIS PERMIT IS ISSUED SUBJECT -O THE REGULATIONS CONTAINED IN THE JUILDING COLE, ZONING
REQULAnONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAI THE
PtanC;twk vU W011K WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAVIONS AND IN COMPLIANCE
WITH ALI. APPLtCABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck•FW RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS I'D HAVE CURRENT CITY BUSINESS
TAX PERMITS_SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING
Slate Tax 55
SDC_ _ _____
'OUI APPi1CAMTORiGENI -" - -
Prepd — ADDRESS
Rocelpt No
131.Due
- - la.ued ey — - ---Approved L
ssoc C)
SOC — q-Q' '-= RECEIPT #
Poc DATE PD.
c.<' AMOUNT PD.
SEWER CONNECTION 5 /J
SEWER INSPECT ION 5_
SEWER SURCHARGE. S _ __.. ��,'c(c„t �7I�,/,an,cj �
wr
CITY OF TIGARD BUILDING DEPEV.RrMENT PIAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED:
P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: �� d
This is to certify that the attached _ sets of plans have been submitted for plan
check pursuant to the Oregon Structural,Code and Fire & Life Safety Code, yam" edition.
PROPERTY OWNER: .`/cam" ��G-�rLLIQOWNERS ADDRESS:
c9-a.c n,4 TELEPHONE:
f r � 28 3 t/rr/ - /G j �� 79 G
CONTRACTOR:
.TOB ADDRESS: 7b 1,gGpp''
u) {'yLc.L.• 1 I.01' NO. & MAP: Cr( rV=fQ'
DESCRIPTION OF WORK: -CI ✓�
, P ovals Required nn aa SPECIAL VOTES
Planning Dept.F (�..�"��`n::r. O Reissue
0
OEngineering Dept. 0 Flood Plan/Sensitive Lands
0 Fire District O Sewer Availability
0 Other 0 Other
Items Required
(O List of subcontractors Je Cdr �1
OBusiness Tax
0 Calculations
OTruss Details
O Parking Plan
OLands-ape Plan
0 Other
COMMENTS: —
City of ig9rrd Building Department
BY:
i M
WMPA N DCC - STAT(FMWY FIDW
(INDIVIDUAL, or O:7Ft 40PATION) 67022965
IiANTM 0MIMAT I ON, A DFLFAW, CORPONAT I ON
Grantor, conveys anti watrant6 to
0-IM,ES KI ZUO
Grantee, the following described real property free of encumbrances except as
specifically set forth herein:
Lots 81 and 82, mPP£R (34M STAG£ 3, Washington County, Oregon
This instrument will not allow use of the property described in this instrument in
violation of applicable lard use laws and regulations. Before signing or accepting
this instrument, tM person acquiring fee title to the property should check with the
a14)ropriate city or county planning department to verify approved uses.
F.NCI KVAANCIS:
d '
THE P misEs Hlrmm I1rscpIBED ARE SUBJwr TO THE M."IEI) 5EWERAGF AGEWY OF WASHINUMN
03NN; ODVF24AM AND RESTRICTIONS AS INDICATED BY FEE NUMEIE,R 82020892, AMEMM BY FEE
NI LS 82028702, 8203231Q, AND 640023091 BY-tMS, RM)RUEI) M FEE N MER 82025168;
EASFROM AS DEI.DIATM GN THE: REXk)EtI.AM PIAT; ALL DEM RECTXifk� OF WASHIWMN OCIWN,
J OpmM.
The true consioieration for this conveyance, is $31,000.00.
Dated this ' 5th day of nMy, tg87 r if a corporate grantor, it has caused its
name to be s ted by order of its board of directors.
P41,if
HMUfIdE�►� RAT1t7Nr A DF1.11lAPc AJRICITtATION
Nov brown, Vice president
•
0
�- l3rATE' OF OREf3Q3, WW"
= County of Mu I t nona h )88. IKAt Pokv"rr rmAAI*IR MO
iL
Ri M1D MIT:
Personally appeared -
Nov grown
who being My sworn, each for himself
and not for the other, did say that the
foster is the vice President and that. the
latter is the Secretary of the
HAYDM COWORATION, A DELFMP.E
ODRPORATION , a corporation, and that
said instrument was signed in behalf of
said corporation by authority of its
board of directorsr and each of thin
acknowledged said instrument to be its
voluntary act {unci deed.
Before mr;
SYAtE OF OAEOON 1 9g
tary Public for 0regoxt tour weehMator
Noi
Fly ctim.,iss' ' aW.i tes t 8!.'N/99 Onnekl W Menta tib�q�nnr.3,.1 F. ,mom
�,et Yassw ent oft
vrvent"Id fent fou� n wr s ec ,
After recording return tot ,,,,,,n,mrr
CHARLES KI ZUOaA,er,xna ss"
cnuMC
_
Assekl * e"n Yt��N'o"aF�
Jrl�c►.IIt<.11�._.�.1.�.._._� p,p,,,n Co a+h G+e�
Until a change is requested all tax
statements shall be sent to the following
address:
Escrow W. 53F 2963 KI - Title No. 35722.
M¢AFECQ
Washington County
Department of Cartography
Ref: Lots 81 and 82 Copper Creek N 3, Tigard, Oregon
I woul� like to have these two adjbining lots combined into a
single lot . The lot line to be vacated is noted as N 79° 44'
56" N - 101.80.
1 thank you very much for your time.
Sincerely
lam, l
Charles M. Mizuo
14000 S.W. 112th Avenue N 84
Tigard, Oregon 97224
�r
Washington County
Tax Assessment
Ref : Lots 81 and 82 Copper Creek X 3, Tigard, Oregon
I wou ►c' like to have these two adjoining lots combined into a
single lot . The lot line Zr, be vacated is noted as N 79° 44'
56'' N - 101 .80.
I thank you very much for your time.
Sincerely
Charles M. Mizuo
14000 S .W. 112th Avenue k 84
Tigard, Oregon 97224
E
rbZUUl
127 1 � _- S ie etl 13600 .
s 7900 Wig. . 5 f,�` •�
5
00 19 4 p 16300 �` ' \ 101
Jed ° ,/ •2s ;; I
56 128 ;, 16400 1.22 q� \
8000 v 16500rs \•�,� `e
')a ,,.3 2.?4 2C
7ct0°� 129 130
200 tiro
°,
_
57 ' ° 8100 ; ' �J _r r1 C ,e°�1 r �2\ z E gyp°
b` 21
ae°" Js• i„ 1� 12400
4 ry O
8200 89 ,f
Sal L
22
p4°
`°58 �
`' 8300": , �\ �1''`ilr , X12500 '9r
10500 r Q �`'`►�� /� �►h� 1a�� ((/
.{ IIS 37 23 cl
PI'�is / 9r 4 n�
10600 {� �� '' e9'y �" • 12600 L y^m O`
59 Ltl 08400 °b lii' ' 91 2300
a!s-T tP
� 10700 11400 a� ��' 24 88
� : � S °012700 111
qb
do 60 LLQ 67 , P a 8500�l r TRACT ACO"< I2800 111 .12200�.1r1 mss`
P l /
�r e0
103 28 ,N, p� ?5 m 93 �� `� 1 J 2
R 10800 g 11300 90.21 �� ��4 8 Z"
ti 12100.
e 61 -..� 00 66 $ 90.00 • C� e'' y R'2O1 `wry 86
99 LL"4 95 n 8600 12900
10900 11200 R 26 1-1: i 94
al 90 >> •1's a
65 '° 0 , ' , 'w MILLEN
62 D •
94.67E 94.67 8700E 13000 11700) so
0
in.O 11100 2 es0 95 I I 11900 12000.
63 64 88 6 I
y° �'•� $ .�~ry ter° •�' 28 1, ,�, 13100 11600
�•a n'03ty
'-' 84 85
8919 t/�� 96 � • 1 -83
9000 rt4 r2 13200
9 300 �. D �� 30 6 1 #7 11500so
469100 '6 .10 80
>?
'
loses m - 31 COMMON 13300 103
AREA
� 9200 a so
N MATCH eb dp
45 = UN,
r4 R aor • R Al �e
ao
This plat Is for your aid In
to"tirg your lard wft?I Iola wal
to str"ts And otfierparCbMS
Wh14 ttin plat a MI•eo k1
be cot rmt. the ocxrrper�y assnwnea
no hability tot any lova oawi�
by ren-,or d riurow
map 4 3�5114�A
Wfou Tina ca~
Ktt i S w nvrr.#k qn Wm