Permit A CITY OF TIGARD
� � BUILDING PERMIT
PERMIT #: BUP2006 -00424
--- � DEVELOPMENT SERVICES DATE ISSUED: 9/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102CD -02500
SITE ADDRESS: 09555 SW MCDONALD ST ZONING: R -4.5
SUBDIVISION: EDGEWOOD LOT: 019 JURISDICTION: TIG
Project Description: Demo 2,204 sq ft residential dwelling on septic. UPON FINAL, DEMO CREDITS FOR TIF, PARKS,
WATER QUALITY AND WATER QUANTITY APPLY.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Owner: Contractor:
ROUNDSTONE DEVELOPMENT HEWITT CONSTRUCTION LLC
9550 SW BEAVERTON - HILLSDALE HW PO BOX 2212
BEAVERTON, OR 97005 HILLSBORO, OR 97123
Phone: 503 - 709 -2277 Contact #: FAX 503 - 629 -0196
PRI 971- 246 -0501
FEES Reg #: LIC 166497
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/5/2006 $62.50 Ersn Cntrl 681 -4444
[TAX] 8% State Surchari 9/5/2006 $5.00
[ERPRMT] Erosion Cony 9/5/2006 $26.00
[ERPLN] Erosn Pln Rv C 9/5/2006 $8.45
(additional fees not listed here)
Total $110.40
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 i I I 5ugh 0 4 R 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli m 503 - 246 -66• • • :0, 32 -2344. .
Issue • By: t , / , Permittee Signature: , l �e
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.
C/55 3 6, ).--/e` k J C -
Buildin2 Permit ApplicationREDEIVED 1.-0R oi. vici.: rsi.: ()Nix
City of Tigard Received GE j p Permit No.: ° ti 1940b -oc 2
131 Hall Blvd., Tigard, OR 97223 AUG 3 2006 Plan Review L'!J
: • . Phone: 503.639.4171 Fax: 503.598.1968 OF TIGARD DateB . Other Permit:
Inspection Line: 503.639 �+ Date ReadyBy. 65 See Attached Checldist for
T I G n 1: D
Internet: www.tigard or.gov BUILDING DIVISION N o tif ed/Method , I �, Supplemental Information
TYPE OF WORK REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
El L�J New construction Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
E 1- and 2 -family dwelling El Commercial /industrial Valuation: $
•
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7735 syt/i MA)AK -i S7 New dwelling area: square feet
. City /State/ZIP: / 15 0, v/L 9 72 23 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: fl rt.bte✓ GJoodc Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
q i ThA4,7 C 0 wA-C. t Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: f'l_, e ,/ W ooe's I Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2 S I Z G t) T II L c T Zb 0 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
O �- t� P 0 Valuation: $
7 Existing building area: square feet
. •
New building area: square feet
I ' ROPERTY OWNER I ❑ TENANT Number of stories:
Name: I200 N Q scrovv e- r�e Litt. ko„ e..e.,,),- Type of construction:
* Address: 'sD $ a./ g - 1 - 1 //' /1S t)G 1e )-w y Occupancy groups:
o City /State/ZIP: v4-o,-r.. WC, et 70DS Existing:
Phone: (9 709 - 274-71 Fax: ( ) New:
ErAPPLICANT ❑ CONTACT PERSON NOTICE
Business name: A e -weiT Co All contractors and subcontractors are required to be
Contact name: S l7 • !
C to � t /ems � - 7 7 --- licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 7 PO / - jurisdiction in which work is being performed. If the
i ....
City / State/ZIP: gab J f Oa- 97/Z 3 applicant is exempt from licensing, the fc� lowing reasons
/ a
Phone: FJ7,) Z�(o " 0 �0 I Fax:: ( ) . ` •
E -mail: ' //e h ewe cal %ivocirt�► -t . Ctfl�7 t tL n �,
CONTRACTOR
1
Business name: /1El e /F7T co NSTQ I )GTro AJ 1 ILDING PERMIT FEES*
v Address: I> Re K 221 Z (Please refer w fee schedule)
e
Structural plan review fee (or deposit):
City / State/ZIP: dl b 0,z, 7(03 FLSplan review fee (if applicable):
i &-OS-t'I 1 Fax: (Sp3) ,z - /f �i
�/� Total fees due upon application:
Amount received:
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: C e. , 77 . - f ,a e---i7 I Date: S/ ?p O`i • Fee methodology set by Tri -County Building Industry
Service Board.
1: 1Building \Permib\BUP- RFS- PemiitApp.doc 0321/06 440.4613T(11/02JCOMAVEB)
One- and Two - Family Dwelling ;1
Building Permit Application Checklist r(li OFFICE USE ONLY
City of Tigard Permit No.:
l a 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960
f I C n 1: I� 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑Mechanical
Internet: www.tigard- or.gov ❑ Other.
1 Laud use actions corn leted. See 'urisdiction cri f or concurrent reviews.
1 I' 1 1 1 1 1 1 11 1 1- J 1 1 1 1 1
Verification of approved plat/lot. ❑ ❑
4 Fire 1 I 1 1 1 1. ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ 0 ❑
there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, wafer heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing -member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards. •
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 . Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be licable to the ro'ect under review.
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17".
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. 0 ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
• 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ 0 ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I: Building \Pamits\BUP- RES- PamitApp.doc 0321/06
- Abler aromas 19 Good High crown t•r1 � NgTfT(IEr ` �N. CLEEIPoNO. {►Np N07�S
Abks grandls 17 Good
Pinus 20 Fair Sap flows 2' apart up trunk from • - 1. ALL 0958 ESC MEASURES (NO.ET PROTECRON. PERIMETER SED9a)R COIIROL. GRAVEL
sap suckers ONSTRUCTON ENTRANCES ETD._ )- Mt1ST BEM CONSTRUCTION DI IN AN
Abler grand 22 Good ,� DOIIAL INSPECTION. PRIOR TO
equotadendr ri,:
on 41 OF TIGARD • 1 SEDIMENT BARRIERS APPROVED FOR USE MC= Sc'DDENr FENCE, sows celsraUCIFD
Pseudotsuga [ �1 APPROVED MULCH. OR OTHER SUITABLE MAMMAL STRAW WATTLES. OR OINER
59 Good Off p Mature '
m udo t tsu
Pseudozaga Fair O
above ground butt Swell bud 7 ;,INlall.;0 ±•lacy Approve
l d _. . i [ ] s °1LEAR DELINEATED TO, 1RES, WILMS, AND OMAN menz CONSTRUCTION FENCING
4z0 above gr level- side 0 f OFIII lie W I( , , d ( f 7 ! � 1 1 b i / y 1 OR CHANT MOT FENCM° M A M A N N E R THAT IS CLEARLY VISIBLE TO ANYONE M TIE AREA
Pseudorsupti rte' Good Mature, behind hedges f n� i VO- U � "��`' �" NO ACIDITIES ARE PERMITTED TO OCGNL BEYOND THE CONSTRUCRON BARRIEti•
m udat s0 4. CONSTRUCTION ENTRANCES SWILL BE INSTALLED AT THE BE490m10 OF CONSTRUCTION AND
A e motes ga 21 Gana Not on ...von L t i P r t0: Follow - [ ] NOT m SWEEPING. ING. AND VACUM S O, WA B TO INSURE INCLUDING. Tw
menglan P ! ALL PAVED AREAS ARE KEPT CLEAN FOR TIE DURATION OF ME PROJECT. •
Segu
Attics gran6s 21 Goan Not an tree report MM,,,
S n
m ths 22 Good Not on vac report A ��.� -47
'" ; ' Jr 0. G M L E M RACE Alm MCRNMO R 10
Alan Brame 12 Good _Not an tree rsporl a ti , (7 7: (X bosuns mum DO S(OPE owes ,-.T`•---1r,4,- Fl
' PRIO
I SEDIMo CE - ROLMEP". AND BMOC ; ACE
r � � �� MX* P/L Tt'PId1l
I . " '' • ED(14T1NG FENCE AUG 3 U 2006
REh,OVE/REPIACE •
, r I 098090 .089 f ' • / ` • — CITY Of TIGARD ` i ..y.-10 • 09 : ;+- . . , 5 + ," ' 4 • - -102$1 9 ICI N
_ y{ � .� 05 � ;� { ' 1 fig.. - o8S •t:2 -TOO-- EtO MN GROUND CONTOUR (TOFU)
OB'� , '100 a •", 08 7 , t1 -IO2- F0�8D GRIM CONTOUR (20) 10 7 w .0,-,., : , "`tt9 CWS D ENT -1 6E -400- FII�IFD GRADE CONTOUR (TOED
on) 1 9 ;: 09 ' ALCM P/L 79 e EDOSIIIG 118E (m E SAVED)
• 113" " 104 - - - - v ON , ° 109 ' y 09S _.!GRAIN FIELD
,r 1.4 . egos
093 - DEMO PERMR REO'0 _ - X17. ,.
103 102 ' - - - - _ _ ` SEE" STRUCTURE NOTES - '
. 115 _ — SEDIMENT FENCE (PRE GRADING)
• 114 ' 12 479 _ ._ _ . - - • 246. , — 0 - SEDIME UCIIOti (PO
118 121 w " o7e -- -e° - - -. -
` , . ; .124 118 '' CONTRACTOR: •
�, ' 4,'.4_, 119 -DE140 PERMIT REO'D
� '. t2a • ', sEE STRUCTURE NOTES EXISTING STRUCTURE NOTES;
. :2 t Ti‘ '' _ ti EXISTING SEPTIC TANK AND
DISTRIBUTION SYSTEM SHALL BE •
; r 40 40 ft• , 7 r REMOVEo BY CONTRACTOR.
. 127 - _ Ni�.'9. i -I 5s , CONTRACTOR TO PROVIDE COPY OF
*CONEROL ,. , 4133 - - I' T^ 8 . .5 f ti ' ' TANK PUMPING RECEIPT TO q1Y
TRAY �':C, i ' INSPECTOR AND ENGINEER.
7 0_259.57 . 40
t I rk ? 135 - - 13_Q _ 129 I. " ; 4nt 4 i • i ` ' y — T ` . i 4 � NO WELLS ORSIME WERE FOUND TO BE
137 I m SPLR RNL FENCE PERMITTED IN THE STATE •
4 1,,,.... --
39‘. Q 131 � i - _ I � ' WATERMASTER WELL LOG REPORT. • ''N , , IF A WELL IS DISCOVERED ONSTE
138. 140 t, j _ _ - 078 ' 0 75I - DURING CONSTRUCTION. THE
7 CONTRACTOR SHALL ABANDON THE •
RIG F � y� I • 188 we- S `_, , t. WET. USING A CERTIFIED WELL
. 45�J t - T' F 1�4 DRILLING CONTRACTOR. WELL DRILLER
11+142 TO PROVIDE COPIES OF NESSARY
48 tiiiLl ! 'j 1 ; 1
y 1 48 PAPERWORK TO OTY AND STATE
_ — — — '1 , I i' 074 2y8�I - 153 WATERMASTER PER OREGON STATUTES •
1 X 148 - - - ".! i COSRNG STRUCTURES ARE TO BE
•��vv- DEMOUSHED AS SHOWN. CONTRACTOR
: S 1ST 072 • REMOVE COSTING- I� SHALL BE RESPONSIBLE FOR
'�-� \ M
ASPHALT', CVAYS OBTAINING NECESSARY DEMOLITION
VICE POLES • V , -�� 073 - AND RETAINING WALLS M_ PERMIT(S).
IE REIGNED 008 , e5? s r 07 1 070 . •
11014 FENCE - 080 �` '` 068 N
D P/L mtg. ! 007 / 022 035,. � " 4^ . - .
-� ' ,C' . 1: p0 x.°35 -� 0590
1 D/W ACCESS '' i - - o ' \,\ y . \ - I F1lTCHER •WOODS coma'. POINTS
I BE REMOVED • I `003 ,5( . .021 O0024`^'�. - " • 047 - a ' - Number Northing Fasting Elevation Dew
- >\ 1 • 4884.9143 2710.8071 244.87 TRAVNAIL
E3CATEG % 110 1 \ - I 087 ' 2 4852.8225 3101.5001 229.89 TRAVNAIL
RELOCATED — • �' 6 048 049
- 1' ?A- 06
- 1 • ?, ' - 7 4840. 8401 2783.2605 259.57 TRAVNA
'G OER LINES K' , i ' lie': itt 5 . 9 ,
-" 050
' \ I I
IDERGROUND )tom' / 012 ' :/# { a a +} '027 vY 058 - 151 b •
066
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a. t .. tif. • 4P ' N 44., • _ E]OStULG D AC ,S -
WL Is • . n y� "! 17 _037 E REMOVED ti 'c7 i • •
y � #Y _
J .
sr
,. s . 4 OT S . 6 030 12 ' 2 7: 6 - [.f , .
— �."'-� � ..
MISTING TO RELDGTID EY Z' SS -- -.....
( pg BE Pei" �' � AS N BY PGE - 11 -- ----
u
_ E' -O O_WER_UNES• • }--4 ._ - - --
— -_ 20 a _. _- -- _ - -`--- - -- -- W -- -OVERH BE_ M WF,9 UNDERGROU - --- -' -5 H ...4,L--....---
_ _..I,,.. I Vr —
-- - ;. - -- f(- - - - 1 Cs PNT EL229.89
• Lx L• t, -- SW McDONALD ST. t
__ T T
- -T -- -- I - -- I I L,��;: •COPY
1 .
0 30 .
SCALE: 1 " =30' "
• ` FROe - ° ROUNDSTONE DEVELOPMENT INC. FLETCHER WOODS AS SHOWN
• / 0�0 4 � °' ' Ot �� DRAFTED RKW
9550 BEAN RrON, OR 1 87005 """- SW McDONALD STREET. ONG. NAME
(�' . 503- 709 -2277 2.ExisrcoN
RKW
CHECKED HARRIS- McMONAGLE ASSOCIATES, INC. EXISTING CONDITIONS SHEET 2
%ENGINEERS- SURVEYORS
DATE JOH „r RD, OR'> ei CLEARING AND DEMOLITION Of 14
WIRES JUNE DOA Eder , 4/20/06 I PHONE (803) 539-3453
•
CITY OF TIGARD - ,.
BUILDING DIVISION PERMIT #: BUP2006 00424
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2006
Phone: (503) 639 - 4171� A II
Inspection Requests (24 Hrs.): (503) 639 -4175 ,'!�i °__
INSPECTION WORKSHEET FOR DATE: 10/55/2Q06 TIME: 7:00AM PAGE: 73
SITE ADDRESS: 09555 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: EDGEWOOD LOT #: 019 TYPE OF USE:
PROJECT NAME: FLETCHER WOODS SUBDIVISION
DESCRIPTION: Demo 2,204 sq ft residential dwelling on septic. UPON FINAL, DEMO CREDITS FOR TIF, PARKS,
WATER QUALITY AND WATER QUANTITY APPLY.
OWNER: ROUNDSTONE DEVELOPMENT, PHONE #: 503 - 709.2277
CONTRACTOR: HEWITT CONSTRUCTION LLC PHONE #: 971 - 245 - 0501
Inspection Request Scheduled For: Date: 10/5/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 037666 -01 971 N
Correct'ons /Comments /Instructions:
CfA(' ( Ai/er)
L '2.1 ` T
vip
•
, / ,t v 4---
�
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: 4:) Date: 1 ( e Phone #: (503) 718- _
CITY OF TIGARD - -- . rkeZo d _ a Lizt(
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 1. 0/l / 6 Co TIME: PAGE:
SITE ADDRESS: 55 V\Ac�2v1.A a' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:`I��1 1-246 - 05O I
CONTRACTOR: <1 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Ir�pection Description , Confirm # Contact # Message
J eL"\
Corrections /Comments/ Instructions:
A A 40 f % (Ze
l
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
r FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ✓�` Date: 1, b t ( Phone #: (503) 718- 7i"I
•
Scheduled 10/13/06 • T Date 10/13/06
Work Order # W046861
d.� River City Inc. Complete Industrial
P.O. Box 30087 503 - 252 -6144 Waste Removal
Portland, Oregon Septic Tank Cleaning
97294 OR CCB# 147355 WA CCB# RIVERCR981 BT Sump
Line Cleaning
Scott Dahme Construction - • - Site Information
PO Box 1389 PO#
Sherwood, OR 97140
503 - 784 -6943 SW Mcdonald St., Tigard
Description Units Amount
Septic Service @ L / `
Septage Overage
Fuel Surcharge
Instructions: Driver Notes
Tigard. SW McDonald St. between SW 97th & SW
93rd. brand new subdivision construction. Pump
for decomission. Contact Scott 503 - 784 -4909 or
971 - 246 -0501
River City Environmental, Inc. is in no way responsible for damage to the septic tank or lids on the system.
Terms: Net 10 days. 1.5% per month will be charged on past due accounts. (18% per annum).
Terms and Conditions The Right to Lien
The customer agrees to pay all invoices arising out of pumping services, and any other special services herein within 10 days.
The customer agrees to pay such extra and overtime charges as may be invoiced from time to time for services rendered, over and above the
normal servicing schedule, on behalf of to customer.
The customer agrees to assume responsibility damage to customer's real or personal property arising from pumping services which take place
on customer's premises, where the drivers and vehicles of River City Environmental have been instructed to enter.
This includes, but is not limited to driveways, trees, power lines or poles and building structures.
If River City Environmental, Inc. finds it necessary to add liquid to the tank on jobsite, customer will be charged for the additional gallonage resulting
from these condidtions.
Customer agrees to reimburse River City Environmental, Inc. for all reasonable attorneys fees court costs and other expense incurred by said
company to enforce collection or to serve their rights under this agreement.
Customer agrees to the above conditions. Redeemable in Multnomah County
Work Authorized by Date /°/ / 6 O
Driver Signature 1,1 / a ref l/l Date /0 /3 Time
0 i Sf+ _ * WII��F 4~r