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12015 SW GAARDE STREET-1 12015 SW GAARDE STREET I 'i E� N N rtJ 3 �n 0 cv I INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 1 igard, Oregon 97223 Phone 639-4175 Type of Inspection __''�,�� —_---- - --------_---.____.--- _ TD Data Requested-- —_�,r_�� U— Time 4 Address — U L-T— _v Permit # �� Owner_ e / --- — -- Lot # ----� Builder ----- The following Building Code deficiencies are required to be corrected- Presented to --_.__ _ Approved I Disapproved Date =_��o � CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone. 539-1175 Type of Inspection ��—�----- -- - Date Requested_.._ L _ ` — � � Time/11_''A.M. P.IM. Address Perc:it Ownr __ Lot #_ Builder -- 'rhe following Building Code deficiencies are required to be corrected: Presented to _ _ Approved Inspector _ ❑ Disapproved Date ` U CALL FOR REINSPECTION O YEi ONO �L 16 CONSENT TO ANNZX TO THE CITY OF TIGARD ;�� P L ' AND WAIVER OF RIGHT TO REMONSTRATE C7 WHEREAS, the undersigned, _1Anr_\a,S M' J U►� C S 1 -i t>►J n �i ( Owner ) O warrants that (sem) (they) ( eto (a•:•e) tho. sole owners) of res I Oa property in Washington County, Oregon, outside the corporate limits of the City of Tigard (but within the City's urban planning area) , described as follows: Gx+l.v►V tAL_ V1k5-W StS�_ 3 T7.S 1216+x`1 W.N1. T4z;�"7 cO\.spaT `i• and; WHEREAS, the Owner has applied to Tigard for permission to connect the improvement on said property to the sewer system owned and operated by the Unified Sewerage Agency of Washington County; NOW, THEREFORE, i.n consideration of the City of Tigard granting permission tc connect to the USA sewer system, the undersigned Owner has executed this agreement of consent for annexation of the above-described property to the City of Tigard pursuant to the provisions of ORS Chapters 222. and 1.99 upon the following terms and conditions: 1. The Owner and his, her or their successors consent(s) to the annexation of the above-described property to the City of Tigard, and waive(s) any statutory time limit on t:1e effectiveness of this agreement. 2. This agreement may be recorded and accepted by the City of Tigard as a petition by the Owner and his, her or their successors requesting annexation to the City of Tigard. 3 . As owner of the above-described property, the Owner and his, her or their successors waive(s) any right to remonstrate against the annexation of the pruperLy incu the City of Tigard. 41 . This agreement shall run with the land and shall be recorded in the Deed Records of the County of Washington and all terms and conditions contained herein shall be binding on all heirs, executors, administrators, assiuns, and other successors- in-i.ntercct to the above-described property. Failure to record this ar,reement may result in the City of Tigard withdrawing its consent to connect to the USA se, ir system. 5. If any provision of this document is held to be invalid or unconstitutional by any court of competent jurisdiction or preempted by federal or state regulations or law, such provision shall be deemed separate and independent of the document and such holding or preemption shall riot affect the validity of the remaining provisions. RETURN RECORDED DOCIJMENT TO: CITY RECORDER, TIGARD P 0 BOX 2.3397 TIGARD OR 97223 6. If suit or action is instituted to enforce or interpret this agreement, the prevailing party shall. be entitled to recover, in addition to costs, such sum as the court may adjudge reasonable as attorney fees and, in the event of appeal, as allowed by the appellate court. DATED this ; day of , 19 �D `rlid ownerf L Mailing Address: C4 � r�,�� 'ZtC1 A0c-> Telephone No. ��' 41e 1 b STATE OF OREGON ) ss: Washington County ) The foregoing instrument was acknowledged before m this 71 th Dig I EA� r otary Public Ore tin' z My commission expires: A CEPTED BY: APP OVED AS TO O�: City Recorder City Attorney City of Tigard City of Tigard AFTER RECORDING REmURP TO: STATE OF OREGON SS —�-' County of washington e; Or — !i� CL ^ 1,Dort, W Mason Director of Assessment ^� and Tax oon and Excuiiicio Recorder of Con- veyances for said county, do hereby certify that the within instrument of writing was received and recorded in book of records of said county. /G� �:r✓ OGr �I7�r �-� loneld WI:'Mason, Difecaor o1 Assessment and 'taxation, Ex. Officio County Clerk rind\t l gsrd\smexccn.f rs w.. 1V� r! "r Doc 90032049 Rect: 351.22 18.00 06/20/1990 01: 45: 03PM SEWER CONNECTION CIT1(C��' TI64...�9PERMIT OFTWIM 1::1ER111T SWR90-01.64 COMMUNITY DEVELOPMENT DEPARTMENT aefooN I..'R11M. PE-:-RM1.*T SWR90-01.64 13126 SW Hall Blvd. P.U.Box 23397,Tigard,Oregon 97M1,75 DATE 'ISSUED: 05/09/90 SI I P 1)D R 1.2015 SW GAARD�'% ST PARCE i L: SUBDIVISION. COLONIAL VIEW ZONING: R--6 BLOCKS. . . . . . . . . ............. ............. 11:AAANT NAME. . . . . . USA NO. . . . . . . . . . ..40670 FIXTURE UNITS. . . CLASS OF' WOF-*,,K. NEW DWELLING UNITS. . : :I. i,y r:,E: (Ir u s E.,. . . S F' NO. (IF' BUILDINGS. I lq STO L L T Y P E. . . . ..BUSWR IMPERV SURFACE- -.- -.St Renia-f,ks: Coriiiert existiriq SF"D to sewer, Septic? tank MUSt be pt.imped and filled C)wrip,r: ................. 1111 IS H F L T 0 N type AnIOUnt by date rec pt 1201.5, SW GOARDE IST F,R M T $ 1250.00 INSP $ ;35.00 TTC-)ARD OR 97223 F-1 A Y M $ 4285. 00 JLH 05/09/90 1:1 h a vi e 44 P R MY $ 3000. 00 0 W N R/CJ)NT R A CT 0 R P 1-1 c:11 e #s 4285.00 TOTAL Reg C OW1,11. I.: REQUIRED INSCIECTIONS This Applicant aorep-i to comply with all the rules and rejulations Sewer Irvipectiall ......................................... of the Unified Sewaqe Agency. The permit expi7es 128 r1dys from ....... the date issued. The total amount paid will be forteited if the ......... ........... permit vpirps. The Agency does not qoardnteP the accuracy of the .................. side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance niven. If not so located, the installer shall purchase ................... a "Tip j0 Side Sewer" Perait and the Agency will install A lateral. ....... vo-t ................. ......................... tt-r e c*-� ....... ......* Fle-rnii.ttee Gigii,�,it 1'.S s k.1 e d B y ......................... ......... ................. .............. G 1 .1. f(:)r i ri pe!( t i.c)vi C',3 9 41.75 CITY t)f::' TICAkf) RECEIPT OF PAYMENT PEC LIPT r1o. o 90--:?(M7650 CIHECf;:. 0MOU14 T p 4".,e,5t. nn SHELTON. CAbH AMOUNT m 0. 00 A 1)r PE S S t 01Z SW GAAF.,DE ST FA Y I'l 17 NT FATE O'j/C)9/4-Pr) T'IGARD, OR, 1;72.;"7� PUPTOSE' OF PAfMENT AMOUNT PA I D PUFf"'OSE OF F'AYMENT AMOUNT F-A.TD SEWEP USA SWP90-0164 12.50. 00 SEWED INSPE(IT 71'tN.00 MISCE-ti-ANFOUS IN LIEU SE 3000.00 TOTt'4. AMOUNT PAM i i CITYOF T104, tD ORE�sOM May 16, 1989 Hr. Jim Shelton 12015 SW Gaarde St. Tigard, Ore 97223 Dear Hr. Shelton,, This letter is in answer to your inquiry of May 15, 1989 on the cost for a permit to connect your home to the public sanitary sewer system. There are two fees that your property will be subject to: 1. A $3000.00 Facilities Development Charge. (This is charged to all properties that have not participated in the cost of construction of a public main line sanitary sewer. ) You may request to pay the "Facilities Development Charge" over a period of time. 2. The connection permit fee, which is presently $1135.00 1 have also included the application for annexaticn of your property into the City. If you have any questions please call me at 639-4171 Sincerely Brad Roast Building r- icial �I 13125 SW Hall Blvd.,P.O.Box 23397,11gard.Oregon 47223