13685 SW BIGLEAF DRIVE Fm*IrONCi mr Fm 6
I. 51TE UTILITY INFORMATION WA5 OBTAINED FROf'I PLA] OR 5URVEY DATED 5/23/Iggq BY CE51 INC. �7 WATER 11FTEF' l_OCATICN
' ► I�Q ".�'Ef .;7' .M i4 1'.. >>>w. f1;Y�++I I+ I +� ar, �J, , `o _
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CONTRACTOR 15 RE5PON51BLE FOR VERIFYING UTILITY LOCATIONS PRIOR TO BIDDING AND
BEFORE BEGINNING CON5TPUCTION, CATCH BAS+N LOCATION
F-x1.7• ', ' 7-- 2, GRADING INFOR?I1ATION WA5 OBTAINED FROf'1 PLAT OP 5URVEY DATED 3/31/Mq BY CE5, INC.
CONTRACTOR 15 RE5PON5IBLE FOR VERIFYING GRADE') PRIOR TO BIDDING AND BEFORE
• "; "" ., j� _, , 1' { WATER LINE DIRECTION It LOCATION
""i, BEGINNING CONSTRUCTION, MINIMUM 5LOf E AHAY FROM FOUNDATI N 15 6 1�11TNIN FIR5T
I SUITE 321 ROOSEVELT BLDG
�` _ 10 OR TO PROPERTY LINE, IF CLOSER.
_ .. __,,. .... �' ... ' J — -- G)ANITARY LATERAL 9370 SW GREENBURG ROAD
_ 3, PROPERTY DE5CRIPTION WA5 OBTAINED FROM LAT OR 5URVEY DATED 3/31/iggq BY CE5, INC. PoRr;Ar,O,oRE 3.29 97223
_ � �.__- - 503.29 .16d4
r :�q, •"' ' CONTRACTOR 15 RE5PON5IBLE FOR VERIFYING LOCATION OF PROPERTY CORNERS BEFORE
fax 503-293-1681
IJ
BEGINN, CON5TRUCTION. — Gs-- STOF'i1 LATERAL AftGOARCHITECI�ATT.NET
4 X A ROOF AND FOOTING DRAINS TO 5TROil LATERAL A5 REQUIRED PER CITY/COUNTY,»...�.�.� .,� �.tir. •fir J I , EXTEND ALL
A1�►li fY YN, w!�` ,� — I IN5 1, 0 CODE, ,
I 1 LL T i' FINI5N ELEVATION
S, IN5TAlL SEWER CONNECTION IN ACCORDANCE I�ITH DEO, GOVERNMENTAL AND MUNICIPAL /*, 711 X {,(V;,,,r,J I,,,'
`*'�'1`•,►� Sr, �c X l REGULATION5. CONTRACTOR H^c, 50' E RE5PCN51BILITY FOR LOCATION LAYOUT AND
' 5EDIMENT FENCE
COI'IPLIANCE WITI4 CITY/COUNT� REGULATIONS.
6. SCORE CONCPETE PATIO 5LAB !NTO EQUAL AREAS.
, -------- WATER LINE
!� 7s � ? �.• r, r ru' r� 7 n » j ; . 7. EXPOSED AGGREGATE CONCRETE DRIVE, 5COR' IN FCA. N EQUAL 5EGMENT5.
_.. .. : .. 1 : ` .....�.....,_. +. ►�� r, a� M
� LANDININr WITHIN I' OF THRESHOLD.
———— EXISTING MAJOR CONTOURnT
"41 .� '" , ; q. EXP05ED AGGREGATE CONCRETE WALK, 5CORF IN EQUAL 5EGMENT5.
10, INSTALL PRESSURE REDUCER VALVE AND T c� METER FOR IRRIGATION 5Y5TEM,
— EX15TING MINOR CONTOUR CC80OR107408
II. IN5TALI. Q DIAMETER PVC 5LEEVE UNDER DRIVEWAY (t 51DFWALK WHERE READ) FOR IRRIGATION,
9375swConRCEcrRCtEa,
��--.• �H '� " ' �" .i' ;r � Y t I —�--�"--~'�' N SCARE PIAN BY CE5 TREE�>> SPACINI TO MEET CITY CODE P,EQUIREMENTS, NEW CONTOUR wasoNvnc�,oR 9707v
;•;V, �•1. �,.a+ y -_ 1�= ,.,I� 12. STREET TPEE'� PER TYP. LAD a I
'� 303.682,8813
< FAX 503,682.3867
c AUTUMN HILL
CN.� ; 0 4 PLAN S1 (12)
N ,S _ `'' � `,'' LOT: 11
--_.___ — -- -• - I Iuc) 99100,11
>.,- `1 ,/i (ADDRESS 13685)
SW BLUE SPRUCE COURT
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13685 SW Bigleaf Drive
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EK PLUMBING
PO BOX 1898
BATTLEGROUND, WA 98604
Plumbing Signature Form
Permit #: MST2000-00233
Date Issued: 814100
Parcel: 2S116BA-AH011
Site Address: 13685 SW BLUE SPRUCE CT
Subdivision: AUTUMN HILL
Block: I nt: 011
Jurisdiction: URB
Zoning: R-7
Remarks: SIF PATH
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BEEF [SEND ROAD LLC EK PLUMBING
9375 SW COMMERCE CIRCLE PO BOX 1898
#7 BATTLEGROUND, 'JlA 98604
WILSONVILLE OR 97070
Phone #: 503-662-8823 Phone #: 360.687-4648
Reg #: I Ir 129363
PI M 37-43OPE
AN INK SIGNATURE IS REQUIRED Ofd T IS FORM
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
P O BOX 389
DONALD, OR 97020
Electrical Signature Form
Permit #: MST2000-00233
Date Issued 8/4/00
Parcel: 2S1 16BA-AH01 1
Site Address: 13685 SW BLUE SPRUCE CT
Subdivision: AUTUMN HILL
Block: Lot: 011
Jurisdiction: URB
Zoning: R-7
Remarks- S/F PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed Form is received
OWNER: ELECTRICAL CONTRACTOR:
BEEF BEND ROAD LLC BEAR ELECTRIC
9375 SW COMMERCE CIRCLE P O BOX 389
#7 DONALD, OR 97020
RLSONVILL ?R 7070
one 5 L 8813 Phone #: 503-678-1355
Req #: LIC 20919
ELE 24-107C
SUP 3162-S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
It you have any questions, please call (503) 639-41 7/ 1, ext. # 310
i
DAM Y FIELD REPORT FILE
O�
REDMOND & ASSOCIATES DATE JOB NO
P.U. BOX 301545 1 September 19 2000 439.002.0
PORTLAND, OREGON 97294 PROJECT
Tel: (503) 764-1060 Autumn Hill Subdivision
FAX: (503) 760-1372 LOCATION
Report # 84 SW Beef Bend Road Tigard
CONTIGCTOR OWNER
TO_ Abney Reva_rd, Inc. Heintz
WEA MER TEM►
Sunny_ 70's
PREstNT @ sRE
Z`x
7HE FOLLOWING
WAS NOTED:
As r- ested_by Mark, stopped by jobsite today to check the placement of a drain pipe
system on Lot 11 . At this time, due to ground water seepage into the crawl space of the
foundation area, the contractor has constructed a drain pipe near the SW corner of the
house which will drain water to the exterior side of the perimeter footing and into the
roof drain system Due to location of roof drain system adjacent to the perimeter footings
on the west side of structure, contractor was requested to place and compact structural
fill over pipe to support sides of foundation bearing area.
COPIES TO: City, Architect, F3�lgi .r
SIGNED Daniel Rpdmond
CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST �K��- .� ��33
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested -'Z ' �� AM PM BLD
Locatit)n /_3�i ��� S 4f !�/c�,��d'rN u Suite MEC
Contact Person Ph ��-lj S"�� PLM
Contractor Jr`% Ph SWR
BUILDING Tenant/Owner _ _ ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ----- --
Slab - - SIT _
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing --
In.ulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _—__—_------------
Roof
Final
PASS PART FAIL --- — ----
PLUMBING _
Post&Beam — -
Under Slab
Top Out
Water Service
Sanitary Sewer ------.._._—
Rain Drains
Final -- ---- — -----_____---
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line -
Smoke Dampers
Final _ _—_ —._ ---------- -_—__._ _—_ --
EAla.PART FAIL
Service
Rough In
UG/Slab -
Low Voltage
aAlarrn ---- -- --- --- ---
F
fsAss )PART FAIL
Backfill/Grading —
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk DateInspector Ext
Other /___ --
Final _.
PASS PART FAIL I DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 5
24-Hour Inspection Line: 639-4175 Business Line: 639-41 —
BUP
Date Requested,_��� AM P BLD
Location l ? S� Suite MEC
Contact Person Ph PLM
Contractor_ Ph SWR
BUILDING Tenant/Owner _ _ _ ELC _ _—
Retaining Wall — ELR _
Footing Access-
Foundation FPS
Ft9 Drain — —
Crawl Drain Inspection Notes: SGN �—
Slab __---- ----- ---.—.---- --------- SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing L _••-- s-- •• ��Y\.c� c .3-�
Insulation ----
Drywall Nailing A-...e l _ 2=xz --
Firewall ---
Fire Sprinkler
Fire Alarm
Susp'd Ceiling \ _ v^V'�/ 1 f kl, ---
Roof
Misc: ?�
Final
P PART FAIL
PLU
Post&Beam
Under Slab
Top Out —
Water Service
—
Sanitary Sewer
Rain ins
5 PART FAIL
ANICA_L
Post&Beam —— --
Rough In
Gas Line -------- - ----- — ---
Smoke Dampers
Final --- --- --- ----
PASS PART FAIL
ELECTRICAL ----_------_-_ -_.—
Service
Rough In -----
UG/Slab _
Low Voltage —
Fire Alarm
Final ---
PASS PART FAIL
SITE
Backfill/Grading — — ------
Sanitary Sewer
Storm Drain I ]Reinspection fee of E required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ]Please call for reins action RE: Unable to inspect-no access
Fire Supply Lind – ] R
ADA
Approach/Sidewalk CJ 1 y'Z t — —
Other Date Inspector " �/' Ex
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
Ci FY OF TIGARD BUILDING INSPECTION 0VISION MST 2,,v` �G> � 33
I.4-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM BLD _
Location- 3 ��,�5 jl�� Suite MEC
Contact Person gl
u{ oe.'u Ck- Ph _ PLM
Contractor SWR
Tenant/OwnerELC _
Retaining Wall — — ELR
Footing Access:
Foundation FPS
Ftg Drain ---
Crawl Drain Inspection Notes: SGN --
Slab _—_—_ _-- - SST
Post&Beam —�— -- -----
Ext Sheath/Shear
Int Sheath/Shear ,�i -- - ---
Framin �}i ' '-774
Insulation
Drywall Nailing %'Fs /
Firewall
Fire Sprinkler r?vod v. 5y
Fire Alarm '/
Susp'd Ceiling S�r f�oitT- 111�4T` 2-e'r-% �� Lei;t„,.jL
Roof
Misc: �� Cay�t2 VArsi� �A/IrLE/� �i S C�42,5-
incl ----
SS PART FAIL. � `'" a c/4 w ud i7 /?'6 K7 t S a 0-j?.'ILc�J(�
PLUMBING
Post& Bearn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final /
P. 8 PARI . FAI -
Post& Beam —
Rough In
Gas Line — ----— ---
rnQke Dampers
PASS PART FAIL
ELECTRICAL
Service,
Rough In -- —
UG/Slab —
Low Voltage
Fire Alarm
Final ---
PASS PART r•AIL _
SITE - - -- --
Backfill/Grading -- —
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Halt Blvd
Catch Basin [ ]Please call for reinspection RE:
Fire Supply Line ? [ ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date '-�"'C'/ Inspector _Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the joke site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
P _
Date Requested �� AM �PM BUBU
Location / 3�,(�S �GIJ / �l�:cl.�c' �_�- Suite MEC _—
Contact Person Ph � � � � PLM
Contractor _ Ph SWR
UI — Tenant/Owner ELC
Retaining Wall ELR
Footing � -------—
Foundation �u1.@33 FPS
Ftg Drain --- --
Crawl Drain Inspection Notes SGN _
Slab —
Post& Beam I --------- - - ----_ ----- SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ----------- ------- -- --- ---- ---- ---- -
Drywall Nailing
Firewall - — — ------- --- --_-..
Fire Sprinkler —__-
Fire Alarm
Susp'd Ceiling - -------� --------..._,
Roof - ------_�_—_ _
Mis
ASS PART FAIL
PLUMBING -- --__.— - -----
Post& Beam ------- - --- ------ - -- --- --- --
Under Slab
Top Out -------- ---—- —-- — -- -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL - --
Post& Beall) ---- -. ...
Rough In _ - -------- I
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In _ --
UG/Slab -
Low Voltage
Fire Alarm
Final
PASS PART FAIL _
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain ( Reinspection fee of E _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: ( Unable to inspect-no•.1mess
ADA
Approach/Sidewalk
Other Date _ _ Inspector Er.t _
Final
PASS PART FAIL j 00 NOT REMOVE this inspection 1cord from the jots site.
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CITY OF 1 IGARD - MASTER PERMIT
PERMIT#: MST2000-00233
DEVELOPMENT SERVICES DATE ISSUED: 8/4/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13685 SW BLUE SPRUCE CT PARCEL: 2S116BA-AH011
SUBDIVISION: AUTUMN HILL ZONING: R-7
BLOCK: LOT: 011 JURISDICTION: URB
REMARKS: S/F PATH I
BUILDING
REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK: NEW HEIGHT: 2a FIRST: 698 of BASEMENT: sl LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 4❑ SECOND: 658 e1 GARAGE: 34n of FRONT: 71 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 13
VALUE: $ 101,178 46
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,35600 or REAR: 14
PLUMBING _
SINKS: I WATER CLOSETS: 3 WASHING MACH I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES. 4 DISHWASHERS: I FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWER5: 1 GARBAGE DISP: I WATER HEATERS: I WATER LINES. Ino BCKFLW PREVNTR: 1 GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: 1 BOIL/CMP c 3HP: VENT FANS: 4 CLOTHES DRYER: 1
ins FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: blu FLOOR FURNANCES: VENTS: I WOOOSTOVES GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDE o TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp. W/SVC OR FDR. PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF. 201 400 amp: 201 400 amp: 1st WIO SVCIFDRSIGN/OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 600 amp EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: 601.amps-1000v: MINOR LABEL:
1000-amplvolt:
PLAN REVIEW SECTION
Reconnect only:
—4 RES UNITS SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM AUDIO 8 STEREO: FIRE ALARM: INIERCOM/PAGING: OUTDOOR LNDSC LI:
BURGLI.R ALARM: 0TH: BOILER HVACr. LANDSCAPEIIRRIG: PROTECTIVE SIGNL'.
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
MVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS.
Owner: Contractor:
TOTAL FEES. $ 4,072.17
BEEF BEND ROAD LLC ABNEY REVARD, INC This permit Is subject to the regulations contained in the
75 SW COMMERCE CIRCLE 9375 SW COMMERCE CIR Tigard Municipal Code.State of OR Specialty Codes and
93
93SUITE 7 all other applicable laws All work will be dcne in
WII_SONVILLE,OR 97070 WILSONVILLE,OR 97070 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phorw Phoria 0legon law requires YOU to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep N. I IC 10?4n8 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OILING by calling(503)246-1987
REQUIRED INSPECTIONS
Grading Inspection Post/Beam Structural Crawl Drain/Backwater Mechanical Insp Shear Wall Insp Insulation Insp
Sewer Inspection Post/Beam Mechanical Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins[ Rain drain Insp
Footing Insp Post/Bearn Mechanical Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp
Foundation Insp Underfloor insulation PLM/Underfloor Electrical Rough In Gas Line Insp Sprinkler Final
Post/Beam Structural Underfloor insulation Mechanical Insp Framing Insp Gas,F4iepi_ace ApprlSdwlk Insp
Issued By,: ���C� C�t� ` Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
d :{.c. -pofk. �..Nq•N.';'ri•gs Jn.1•:'iF+' o _
CITY OF TIGARD Re: )iication Pian Check# 1
13125 SW HALL BLVD. ) Rec'd By .' —
TIGAcRD, OR 97223 Sil Duplex) Date Recd
ate to P.E.
V 503-639-4171 ' A Date to DST + 2 t
F 503-684-7297 V` Permit#t- 000 -
Print
00 -Print or Type ' called
Incomplete or illegible applications will not be accepted /'lw614 Nobie
Name of Project Name
Job AUTUMN HILL ARCO A,:ciLects -
Address 15—dress - Architect Mailing p-dress
3685 SW Blue Spruce Ct_( L1 ) Cityis9_37��W-fir zip PPnhiir hone p-
Name
BEEF BEND ROAD, LLC, Ptld _ 97223 293-1644
i me Na
Owner Mailing Address a
9375 SW Commer-e Mailing Address
Cir 1 -- -- -
CES
-�--
City/state Zip _ Phone 5 3 Engineer
_Wilsonville 97070 682-8823 -52562�6 NW City/Stale Zip Phone c
General -
Name _ vtn 97006 169n_9
Contractor ABNEY RE_V_ARD,_INC_. —__ Describe wort: New(XX Addition Alteration Repair
Mailing Address to be done:
Prior to permit 9375 SW Commerce_ Cir #7 Additional Description of Work:
issuance,a copy City/State Zip Phone _____ _---
of all licenses Wilsonville 9707 682-99h
are required If Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT Lic.# VALUA TION $ 103, 785
database 10-7408 �0 7,/01 — - _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Advanced_Air Systems Sq. Ft.House: Sq.Ft.Garage
1 Contractor Mailing Address _ l r 3`'�� 340
Prior to permit PO Box 61 569 '"dicate the restricted energy installation by the electrical
issuance,a copy City/State - Zip Phone3 6 p subcontractor in the followin areas _
of all licenses Va nc 98666 6 9 3-1 7 5 7 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Z Energy System__ _ Alarms
expired in COT HC# Installations Vacuum Irrigation
database 12 9 3 4 3 5/19/t1'9, System
Plumbing Name (check all that Other:
Sub- Perkins & Son Plumbing, Inc apply) - -
Contractor Mailing Address Comer Lot YES No Flag Lot YES NO
14060 SW 98th Ave (check one) XX I - check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit EGjtylState Olt 9 7 1 2 4 ��ne 5 x XX
issuance,a copy tt 11 dd — — ---of all licenses are Oregon Const.Cont.Board Exp.Date
required tf Llc.#3 7-3 91 PB 10/31 0 li
expired in COT �� / I hearty acknowledge that I have read this application,that the
database Plum ing L" is-� . aj ee information given is correct,that I am the owner or authorized agent
3 9 9 4 J P /01 /00 of the owner,and that plans submitted are in compliance with
Oregon State 1�s. _
-- Name — -_--- - Signature,of Owne,F/ a Date
Electrical Bear Electric, Inc.
�
Sub- Malting Address + �1�� Mark Cann ?�9czKOcg4c
Contractor PO Box 389 ---
_ 849-2149
City/State zip rp8Q e
Prior topennit r�onald OR 97020 E,78-1355
Issuance,a copy _ FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date
required K Lia# Plat#: MaplfL#:
expired in COT 20919 2/20/2002 A5" "% '6'4 - 9#o1/
database Electri�ccaal U Exp.D to Setbacks: Zone: Solar,
Z9— �7C 10/0l /00 /� ?_ _
Electrical Supervisor LIc.# Exp.Date Engineering Approval: Planning Approval: TIF:
27345 10/01 /01
I:\dsts\forms\sfaddaft.doc 9/8199
1
unified
-
sewerage SANITARY• o
agency
Ut55 N. f=irst Ave., Suite 270, Hillsboro, Or.,97124 SURFACE WATER S
503 648-8621
CONNE:C 1 IUM PFRh J T
ISSUE DATE 070700 EXPIRATION DATE 010301 FC EXP DATE 070702 PERMIT 119074
STRUCTURE ADDRF'3S 13685 PROJFCT 6216
STRUCTURE: STREET SW BLUE" SPRUCE CT
LOT 1.i BLOCK
TYPE: CONNECTION- NEW OF AIYJUMN HILL SUBD4 PHASE T
TYPE: INSTALLATION- ( 19 ) P1It SWR/E'RO CON/SDC
TYPE OCCUPANCY— ( 1 ) 911401-E FAMILY PARCEL 251. ?CD 4500
QTR SFC 4715 MH 27319
OWNER BEEF BE=ND RD I..I-C
ADDRESS 9375 SW COMMERCE CIRCL.F TRE:ATMFNI PLANT DURHAM
WILSONVILLE OR 97070
PHONE 682-8823 WATER DISIRIC:T TISARD
FIXTURE E01.11VALE':NT DWFt.I..ING RES I 1IFNT IAL
UNI T8 SERVICES UNITS 040 UNITS I. SERVICE UNITS 1
CONNECTION FEES SURFACE: WATER DFVFI.(:)PME'N'1 F'FES
SEWER CONNECTION 6':300 . 00 WATER QUALITY 210 .00
LESS CREDIT 21.0.00 ,
WA'TFR OUANTITY 290.00
LESS CREDI1' 290.00,:
EROSION CONTROL.
INSPECTION 64 .00
PLAN CHECK 41 .60
SUBI Of At. 2300 . 00 SUE{T01 A'- 105.60
1'CfTAL 405.60
APPL NAME DEBBIE PHONE, ...._ . ..___._.____._
AFFILLIATION REP
REMARKS AUTUMN HILL LOT #1� PROJ 8216
#24 HOUR NOT ioo CCINTROL INSPECTIONS REQUIRED
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#>flrk>«# Nuber yf 1N_E�PE5TTON---844--9444 ###*# k
SIGNAIURE / S$11D BY CHAPMANM
Permit Conditions The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.Including those regarding erosion control.
A 24-hour notice is required for erosion control Inspections.The Inspection request number Is 844.8444.When calling for an inspection,plesse refer to
the permit,project and lot numbers.
The permit expires one hundred eighty(180)days from the date of issuance The Agency does not guarantee the accuracy of the location of side sewer lateral.
7/93 WHITE - USA, BLUE - Accountinq, GREEN -Inspection, YELLOW - Customer
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NJIR ,0P/I NST At LF,
, 1 t
rwl of FIFE OI AME I t R OF PIPE
Inspector, Please sket.c.h below ,r attach the following information:
I `)'trcf�t N nt�are.st cross street
toration of :,truc'ture being served
3 +'oute of ,servile line from structure tQ proF,ee'ty J,ine whf:�re it
covi ut <; to the service lateral . 1.gc.Iude length & diameter
of s&r.vicE, line,., depth at thr� structure $ property ! ine.
ditilinn oris r0fp'rencinq tine to 5tr+acture, property lines
and/or corners, et.c.
1 North arrow
I
I
CITY OF TIGARD
OR 7
INTENT TO HAUL EXCAVATION
(LOTS STEEPER THAN 20%)
IABNEY REVARD, INC. _ (print name), hereby certify that ALL excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand
that failure to remove the excavation material will result in the requirement to remove
the material or obtain a grading permit by submitting grading plans prepared by a
licensed engineer accompanied by a geo-technical report regarding the placement of
the excavation material as fill.
further understand that my footing inspection will be denied if that inspection
reveals that excavated material has not been hauled, and that work will be
stopned and no further inspections conducted until the City has received and
approved a plan and report from a geo-technical engineer regarding placement of
the fill material.
Signature Date
Permit #:
Job Address: 13685 SW BLUE SPRUCE CT
Subdivision. AUTUMN HILL Lot: 11
I haul doc(DST)7/98
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 —
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