Permit •
C IT µ 'OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00135
TIGARD 13125_SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2008
PARCEL: 1S135CC-03100
ii Si'TEs DDRESS: 10085 SW KATHERINE ST ZONING: R -4.5
SUBDIVISION: KRASAUK LOT: JURISDICTION: TIG
PROJECT: KTM PROPERTIES
Project Description: Installing new rain drain and storm sewer for existing house.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 1
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 0
TUB /SHOWERS: SEWER LINE: 200 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
KTM PROPERTIES
13880 SW PACIFIC HWY Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/2/2008 $166.65
[TAX] 12% State Surch 4/2/2008 $20.00
Phone : 503- 641 -9444 Total $186.65
Contractor:
WESTSIDE UNDERGROUND UTILITIES INC
30585 NW EVERGREEN RD
HILLSBORO, OR 97124 -1855 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 969 -4631
FAX 503- 681 -8045
Reg #: LIC 110690
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �- - / rmittee Signature: Q , Grort n 0/l/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IDE UNDERGROUND FAX NO. r P Apr. 01 2008 01:12PM P2
________________ cation �� f-
Build ing Fixtures r -�� , L �p
e It l'OI Ol l lc li t:st: UNI a •
City Of Tigard . ctved Pamir No.: S
7
+- 13 125 SW Hall Blvd„ Tigard, OR 97223 p �`� .
11 ' Phone: 503.639.4171 Fax: 503.598.1960 ' y Other Permit No N.
`� A � 1`D a te R _
_ . Inspection Line; 503,039.4175 � ® ii Date Rcady/By. Iurix: H Rec Pone 2 for
I l �' nu U• lntemet: www.tigard -or.gov Ci ' ��� Notificd/Mothod: Supp
mental Information
TYPE OF WORK ila F•EE* SCHEDULE
~ T�
0 New construction ❑ Demolition For s inform are use checkldsl.
• - — Description Oty. L a, Tot
{l Addition /alteration/replacement ❑ Other: New 1- 2-family. dwellings (includes 100 ft. for each utility connec
CATEGORY OF CONSTRUCTION SFR (1)bath _ 249,20
❑ 1- and 2- family dwelling ❑ Commercialfiudustrial SFR (2) bath 350.00
❑Accessory building 0 Multi family SFR (3) bath 399.00
~- - Each additional bath/kitchen 45.00
0 Master builder ❑ Other: -
- Fire sprinkler (_ sq. ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities —
Job site address: 10085 SW Katerine St Catch basin or area drain 16,60
M
City/State/ZIP: Tigard Or Drywell, leach line, or trench drain 16.60
Suitc/bldg./apt_ no.: 1 Project name; Ktrrt Properties Footing drain (no. linear a: ) Page 2 —
Manufactured home utilities 110,00
Cross street/directions to job site: Tigard St and Katherine St — -`
-•.- -• Manholes _ 16,60
Rain drain connector x 16.60
Sanitary sewer (no. linear ft.: ,,,,_,_,) Page 2
Storm sewer (no. linear ft.: MD 2 Page 2 101.40
Subdivision: Lot n4_: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map/parcel no,: -
Absorption valve 16,60
DESCRIPTION OF WORK l3ackflow preventer Page 2
New Rain drains and storm sewer for existing house Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
PROPERTY OWNER 1 ® TENANT
Ejectors/sump 16.60
Name: KIM Properties . -- Expansion tank 16.60
Address: 13880 SW Pacific Hwy Fixturelsewer cap 16.60_
City / State/ZIP: Tigard Or 97223 Floor drain/floor sink/hub 16.60
Phone: (503)64I -9444 � Fax: (503)968-2496 Crar
2496 Garbage disposal 16.60 ,
ISi APPLICANT ® CONTACT PERSON Hose bib 16 -60
- - -. -- ice maker 16,60
Business name: Westside Undreground Utilities Inc. interceptor /grease trap 16,60
Contact name; Mike Thurman Medical gas (value: $ ) Page 2
Address: 30585 NW Evergreen Rd. Primer 16.60
City/State/ZIP: Hillsboro, Or 97124 Roof drain (commercial) - 16.60
Phone: (503) 969 - 4631 I Fax :: (503) 681 -8045 Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E-mail: M
Urinal 16.60
CONTRACTOR Water closet 16.60
----- Business name: Westside Underground Utilities Inc. Water h 16.60
Addres : 30585 NW Evergreen Rd. Oth . SF Rain rain I 65,25 65.25
City / State/ZIP: Hillsboro, Or 97124 _ Subtotal 166.65
Minimum permit fee: $72.50
Phone: (503) 969 -4631 Fax: (503) 681-8045 Rmddentiel backflow minimum permit fee: $36.25
CCB Lie.: 110690 Plumbing Lic. no.: 34 -478PB P1mm review (25% of permit fee)
State surcharge (12% of permit fee) a.)
Authorized signature: - - -
/�i( � TOTAL PERMIT ! 5.
Print name: Mike Thurman Date: 03 - 31 - 08 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Pee methodology set by Tri- County Building Industry Service Board.
1,mu2ktinal.44—.4 Pt-nit-'- Permi 12/27/06 4443- 4626T {10/02/COM/Wmm)
t)
After Recording Return To:
Paul Krasausk
P.O Box 5931
Beaverton, OR 97007
Easement — Private Storm Sewer
Bret Swopes and Linda S. Swopes, husband and wife and Paul Krasausk, Joe Macharg, Jr. and
Carol E. Totorica, hereinafter called the Grantors, grant and convey unto Paul Krasausk, Joe
Macharg, Jr. and Carol E. Totorica, each as to an undivided interest, as tenants in common,
hereinafter called the Grantees, a perpetual easement for constructing, reconstructing, operating,
maintaining, inspecting, and repairing of an underground storm drainage line and appurtenances,
together with the rights to remove, as necessary, vegetation, foliage, trees, and other obstructions
on the parcel of land described in Exhibit "A" and shown in Exhibit "B ", situated in the City of
Tigard, Washington County, State of Oregon.
This is a private storm easement to benefit document no. 2006 - 146313.
THE TRUE CONSIDERATION for this conveyance is. $ -0- (no dollars and no cents). (Here
comply with requirements of OR.S. 93.030)
IT IS EXPRESSLY UNDERSTOOD that this easement does not convey any right, title, or
interest except those expressly stated in this easement, nor otherwise prevent Grantors from the
full use and domain thereover; provided, however, that such use shall not interfere with the uses
and purposes of the intent of the easement.
IN CONSIDERATION of the premises, Grantees agrees that if said Grantees, its successors or
assigns should cause said easement to be vacated, the right of the Grantees in the above -
described easement will be forfeited and shall immediately revert to the Grantors, their
successors, and assigns in the case of such event.
TO HAVE AND TO HOLD the above - described and granted premises unto said Grantee, its
successors, and assigns forever.
IN WITNESS WHEREOF, I hereunto set my hand on this day of C) C* . , 2007.
Bret Swopes, owner Lot 4, Krast Park Linda S. Swopes, owner Lot 4,ark
• I•
STATE OF OREGON )
) ss.
County of Washington )
This instrument was acknowledged before me on this \ day of OCr1 , 2007, by Bret
Swopes and Linda S. Swopes, husband and wife as owners of Lot 4, Krast Park.
�
OFFICIAL SEAL ( � Notary's of Oregon
l �'•�
a"'-1- PAMELA R OTTO )
t/1 '' NOTARY PUBLIC - OREGON () My Commission Expires: J>Q C 7, ?..C.1'0 �
(. ;;; COMMISSION NO. 387487
MY COMMISSION EXPIRES DEC. 7, 2008 g
•L�l
IN WITNESS WHEREOF, I hereunto set my hand on this S day of NOV o' f\'_
, 2007.
atAV
Paul Krasausk, owner Lot 5, Krast Park
STATE OF OREGON )
) ss.
County of Washington )
This instrument was acknowledged before me on this day of N C t!Ch1bC/Y , 2007,
by Paul Krasausk as owner of Lot 5, Krast Park.
011 7
�l .(74 , ` 1 .(A1-(1.4 Q /
Notary's of Oregon
) fi> O FFIAL SEAL ( )
1 ) ' > MARGUERITE H. ROBERSON ( My Commission Expires: C l � ' c)U L*0
() sy NOTAR PUBLIC - ORE (
1 ( COMMISSION NO.384909 )
MY COMMISSION EXPIRES SEPT. 20, 2008 ()
t •
r 1.
I ( / 7 1
IN WITNESS WHEREOF, I hereunto set my hand on this day of , 2007.
Jo acharg, Jr., ow r e5 ast Park Carol E. Totorica, owner Lot 5, Krast Park
STATE OF �► \J3 )
) ss.
County of WW \O )
This instrument was acknowledged before me on this a.1 day of ( 0,4 ! , , 2007,
by Joe Macharg, Jr. and Carol E. Totorica as owners of Lot 5, Krast Park.
NISAKORN JAYANKURA
1-101,71*; �' Notary Public - State of Nevada
'f A Notary's of'�d�.tA ∎ l �
,/t LA./ � Appointment Reco rded in Washoe C ount y rY' QJ
• = No: 97. 0588 -2 - Expires August 9, 2009 My Commission Expires: � �C6--O6-,A—ca-0CA
CenterMone Concepts, Bnc_
EXHIBIT "A"
October 8, 2007
KTM Properties
Part of Lots 4 and 5, "Krast Park", in the SW 1/4 of Section 35, T.1 S., R.1 W., W.M., City of
Tigard, Washington County, Oregon, being more particularly described as follows:
BEGINNING at the SE corner of said Lot 4; thence N88°24'09 "W on the south line of
said Lot 4, a distance of 74.28 feet to a point; thence N01 °35'48 "E leaving said south line a
distance of 10.00 feet to a point being a perpendicular distance of 10.00 feet north of the
south line of said Lot 4; thence S88°24'09 "E parallel to said south line and the south line of
said Lot 5, a distance of 99.00 feet to a point; thence S01 °35'48W a distance of 10.00 feet to
the south Iine of said Lot 5; thence N88°24'09 "W on said south line a distance of 24.72 feet
to the POINT OF BEGINNING.
Said tract of land contains 990 square feet more of less.
Subject to easements of record.
REGISTERED
PROFESSIONAL
LAND : _ -VEYOR
na kautull
OREGON
JULY 16.1 587
WADE G. DONOVAN III
Q :\LGLDESC\KTM Properties storm legal.doc
700 Molalla Avenue Oregon City. Oregon 97045
503 650-0188 fax 503 650 -0189
I 10.00' WIDE
KRAST PARK STORM DRAINAGE EASEMENT
990 S.F.
LOT 4
LOT 5
�o
4n o
rn c:5
S 88'24'09" E 99.00' o
I ��
24.72'
N 88'24'09" W 74.28'
w - N88'24'09 ° W
°, d- ° o 15.00'
in o S.E. CORNER
t') o LOT 4,
o ^ "KRAST PARK" IkO•
z G>,I \ b,b 1 )
O 1 O. 00 06 .
O , '1,
EXHIBIT "B"
S.W. 1/4 SEC. 35, T.1 S., R.1 W., W.M.
V LOT "5 "KRAST PARK"
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
SIGNED ON: 10 -11 -07 OCTOBER 10, 2007
REGISTERED DRAWN: MSG CHECKED: WGDIII
LPAROFESSIONAL SCALE 1 " =20' ACCOUNT # -5616
lit �, M: \BEDS \ \LSKRAST
• , _ LL ..:
..
OREGON
JULY 16. 1987
WADE G. DONOVAN III Centerline Concepts Inc_
2276 J
VALID THROUGH DECEMBER 31, 2007 700 MOLALLA AVE., OREGON CITY, OREGON 97045
PHONE 503.650.0188 FAX 503.650.0189
CITY OF TIGARD
BUILDING DIVISION r
PERMIT #: PL.M2008-00135
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2008
Phone: (503) 639-4171
_a14.
Inspection Requests (24 639=4175
INSPECTION WORKSHEET FOR DATE: 417/2000 TIME: 7:01AM PAGE: 14
SITE ADDRESS: 10085 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: KRASAUK LOT #: TYPE OF USE:
•
PROJECT NAME: KTM PROPERTIES
DESCRIPTION: hIsialting new rain drain and storm sewer for existing house.
OWNER: K PROPERTIES, PHONE #: 503-641-9444
CONTRACTOR: VV1':STS1DE UNDERGROUND UTILITIES INC PHONE #: EX/3
Inspection Request Scheduled For: Date: 417/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 ;3torm drain 067985-02 503.-969-4631
Corrections /Comments/ Instructions:
c Lt c
XPASS PARTIAL APPROVAL CANCEL pi NO ACCESS
FAIL Ei CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
—
Inspector: C11\f‘4,...\ \\f; Date: yr-Vo7) Phone #: (503) 718-
CITY �����~���������
��nw m OF mn����mm�� * .
BUILDING DIVISION PERMIT #: PiM2008-00135
13126 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/212008
Phone: (503) 639-4171
|nopo��ionReques�(24Hm.�(5O3)G30�175 .��� ^� -- — -----
INSPECTION WORKSHEET FOR DATE: 4/792003 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 10C)r35 SW KATHERINE aT CLASS OF WORK:
SUBDIVISION: KRASAUK LOT #: TYPE OF USE:
PROJECT NAME: KTKVPROPERTIES
DESCRIPTION: I nstalling new riin diin and storm sewer for existing houe.
OWNER: KTM PROPERTIES, PHONE #: 503-041'9444
CONTRACTOR: MSTSIDE UNDERGROUND UTILITIES INC PHONE #: 603
Inspection Request Scheduled For: Date: 4V7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
335 Rain drain 067986-01 503-909-4631 Y
Corrections/Comments/Instructions:
�� PASS _PARTIAL CANCEL [— NO ACCESS
�»� �_^ �—
E FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�� U��l�`�
Inspector: ��~«��~���v`��^�~� Date: _7r ��'^�-' Phone #: (503) 718-