Plans • 09122/2011 12:23 Konell Construction & Demo TAX) P.001/006
Concrete & AC Crushing Wood & Brush Grinding P L � , 8 ' „ 1
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ll ', Vt MON COO' SEP 2 2 2011
Demolition & Site Preparation — Undorground Utilities CITY OF TIGARD
ouILD?kG DIVISION
FAN TPanswittal
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To: `Cl ektY1O3 Date: C I 19/
@ C (Pr CO-6 Fax #: 6, '.11 r (CO
Re: :10'011 r . i pxylp
Page (s) sent including this cover sheet: ( 8 G(L _ co f
Original sent via mall? ElYes No O ?%/e 1 " 1 " / Q
El Urgent FiFor your review Reply requested Per your req est
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36000 S.E. Industrial Way • Sandy, Oregon 97065
Office (503) 668.3516 CCB #0122459 FAX (503) 668 -3518
0912212011 12:23 Konell Construction & Demo TAX) P.0021006
Concrete a Ac r ding Wood & Brush Grinding
KONELL CONST. & DEMOLITION CORP.
Demolition & Site Preparation I V UndergroUnd utilities
Date
CHARGE 7O / ' "
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ADDRESS
art
DATE PLACE TYPE OF WORK HOURS
1 rx..ol saved l2cy
TOTAL HOURS
inside City Unite - Mark One Received By ' This
❑ Yes No
NS) 27621 Operator
36000 SE industrial Way • Sam OR 57055 •Office 503408451E • Fax 5034684518
' 09/2212011 12:24 Konell Construction & Demo TAX) P.0031006
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0912212011 12:29 Konell Construction & Demo TAX) P.005/006
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DI 4927 NW Rout kite.
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9 . ''‘,.= „..... . iNG, Portland, OR 97219
r... Phone: (563) 41 d98(10. Plant Receiving Mittifeat
Fax: (51A) 261
Hours eft Operation: mday - Fliday B10 AM - 7.00 PM Certificate of DiVeaal
Sathrillay by AVeld1rnecd
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Proffie # We PAVADMI GilEALVIY Unit This farm to be newieterk by lbe Hailer of
ID -', ... _ ,-, 1 - PicVhazardous wastes:Wm! .... . . ....In: form
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NOTE: Ni3N-CORTFORII WASTE MOMIALS 146T COITSWIthWYgtH E PROFILE MAY INCOR ADDITIONAL
FEIStqUOIIRG FEES- • .
Company Name I Address I °ere th11111N PPV, Inc.
• Wornit 14.42,ted on 4927 NW Front Ave.
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09/22/2011 12:35 Konell Construction & Demo TAX) P.006/006
BERGEN CONSTRUCTION, INC. 4 Invoice
Vacuum Jet Cleaning & Manhole Services
7488 Acorn Hill Ct S.E. DATE INVOICE #
Salem, OR 97317
503363 -1510 Office/Fax 9/7/2011 10557
E mad:
Bergenconstruction@gmail.com
WWW. BERGCONINC,COM
BILL TO:
KONELL CONSTRUCTION & DEMOLITION
36000 INDUSTRIAL WAY
SANDY, OREGON 97055
P.O. NO, TERMS PROJECT
211310 Net 30 8980 SW OAK ST TIG...
QTY DESCRIPTION RATE PROJECT AMOUNT
1 VACTOR TRUCK MINIMUM CHARGE TO 450.00 8980 SW OAK ... 450.00
VACUUM CLEAN SEPTIC TANK AND
TRANSPORT TO OFF SITE FACILITY
MOBILIZATION CHARGE FOR VACTOR 95.00 8980 SW OAK ... 95.00
TRUCK ON 9/01/11
1 OFF SITE DUMP FEE AT ACCEPTABLE 148.19 8980 SW OAK ... 148.19
FACILITY WITH CONTAMINATED WASTE,
EXCELLENT SERVICE AND PRODUCTS ARE OUR GOALS,
THANK YOU FOR YOUR BUSINESS.SINCERELY, KARL( Total $693.19
Finance charges will accrue at a rate of 9% yearly on all over due balances past 30 Balance Due $693.19
days,
FROM BECKLEY X - TERRAFIRMA (TMU)SEP 22 2011 13:01 /ST. 13:001No. 7526568251 P 1
SFA Design Group. u c
sfa STRUCTURAL CIVIL i LAND USE PLANNING
9020 SW Washington Square Dc • Sun 350 • Padald, Oregon 97223
Project No. 11 -094
Address 7410 SW Cherry Dr., Tigard, Oregon 97223
Permit No. MST2011 -00150
Bldg Dept. City of Tigard
Owner Jolly Residence
Architect NA
Engineer SFA Design Group LLC
Contractor TerraFirma Foundation Systems
Date 09 -21 -2011
Weather Mostly Cloudy
Inspection (8) FSI 288 push piers with 36" extensions
Observed the installation of (8) FSI 288 push piers at (5) locations along the south foundation and
(3) locations along the east foundation of the residence at the above address. Anchors were
placed per permit documents approved by the City of Tigard.
Non- Compliance Items:
None
Inspector: Christian Van Riper
Reviewed by:
Jeff Fitch, P.E.
Principal
14etto g 4 N°fF o
844 1560221
Moping - -Ki5 c00,‘
p re pare -khe permit for OREGON
+h e f n o1/4 inspec g.
EXPIRES: 2 - 11
hitia 1d.O,ms
Terra Pi rrrta FbUfl.k 1C
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