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9875 SW GARRETT STREET
STi�IiDARD AGREEMENT TO PAY SEWER ASSESSMENT
IN INSTALLMENTS
This agreement it entered :into -thisZ410�-day of -5—; ,�AfA-rr -- _
1991, by and between the City of Tigard, Oregon ( "City" , Owner.
RECITALS
1. Jeanie A. Spickelmier is owner in fee simple of certain real property
located at 9875 S.W. Garrett, Tigard, Oregon and as more particularly
described by the Wdshi.ngton County Tait Assessor as 251.02CD-01700.
2. The City has determined that the owner must pay a $3,000 sewer
asse--6nent fee. The owner has requested to pay such fee in
installments.
AGREEMENTS
Now, therefore, the parties hereto agree as follows:
1. Owner agrees to Lay the balance due of $3 ,000 over a period of five
years at 8 .5 per cent interest to the City. The first payment. of
$61 .55 will be due on October 15, 1991 and each subsequent payment will
be due on the 15th day of each following month.
2. A .late charge of $5.00 will be charged on all payments not paid within
ten days of the due date. In the event that any payment becomes more
than 30 days past due, the entire unpaid balance will become due and
payable , and be collected in the following manner.
The unpaid portion, of the assessment and any interest accrued thereon
will be collected through procedures for delinquent assessments under
ORS 223 . 505 and following.
In such event, City shall_ be entitled to an award of reasonable attorney
fees and collection costs, even if no suit or action is filed herein.
In the event a suit or action is riled, the amount of such reasonable
attorney fees shall be fixed by the court, or courts in which the suit
or action, including any appeal therein, is tried, heard, or decided.
3 . All parties hereto have read, understand, and represent that they
volunarily enter into this agreement and that this agreement, and any
document referred to herein, constitute the entire agreement between the
parties.
City of Tigard, oregc.n
By:- — ---- /_
Vay L ry, 11A11
ante Director � anie A. Spic lmier
Subscri ed and sworn to before me this day of
19� _
otary Pub . of 0 on) i
h:BHCe\surinstl.agr My Commission expires:_ / _
v
4w
j.NSPIM4N NOT7,CB
City of Tigard Belldinq Dopartsm-ut
131255 BW Ball Blvd. Tigard, Oreton 97223
Inspection Line (Rea--O-Phone): 639-4175 Business Phrnte: 639-4171
Inspection,_ -- ------ -� —
Footing Plbg. Underelab Much. Rough-in 6ppr/Sdwlk
Fount'.. Plbg. Top Out Gas Line FINALS
Pont/Beam Struct, San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Meth.
Date Requested: r�/ _ \ _Tlatet AM
Addreai: F / - - �' �[,S Permit �_-----------.
Bu I Ider ------�-.------._-- -- ---
TAG FOL OWING CORRRCTIONS ARE REQUIRED:
Inspector: �_---- --- - — Cates
��_P.PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
M- - U
ACTIVE
S� 7",4 Sevace
WALTER LAWSON
11055 S.W. Clay • Sherwood, OR 97140
Phone 682-0233
Date
Service for ;,,:;;
Address :S ' r
City
For Cleaning Septic Tank _- _---,___---_----------___--- �,
For Cleaning Drain Line
For Cleaning Grease Trap
For Extra Labor
TOTAL —
Amount
OTAL .-Amount Paid Balance Du,�
Due Date
Signature -------` -,---_-_ -- _ _ _
Please make check out to present driver
Three percent per month interest charcled on bills if not paid in 30 days
`!' Not responsible for septic tank, drain held,curbing or driveway damage
n COPY TO:
APPLICATION - S�_REETIMPROVEMENT/EXCAVATION -�J {� -� (WHITF)•FILE
OF,D,r,iANCE NO 74-14 (YELLOW)-INSP. 6`\
(PINK)-OTHER AGENCY" Vtl
(INSTRUCTIONS ON SEPARATE SHEET) ` i� (BLUE)-APPPLICAAj7NT
APPLICATICN NO.. -_—! IC_-i ---
APPROVED
NOT APPRON CD ❑ CITY I)I IIGARD, OREGON FEC AM'T.. f h431I _ .917"q
PENDING FEE. PMT. ❑
CITY HALL, RECEIP N ti' ---- �1�--
BY __� _ DATE__...- _L�1-�+-
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT - _ - - - - - - _
PENDING AGENCY ''OK" ❑ Ap7lication and Progress Record MAINTENANCE BOND >:. ---- -
FOR STREET IMPROVEMENT/EXCAVATION As L1AL c"
PENDING INFORMATION ❑ ANNUAL
Li
EXPIRATION DATE:
PENDING VARIANCE ❑ � � - 'i
PERMIT NO. DATE ISSUED. _�I__L_—L—.��- . BY. --
��—�-ate
(1) APPLICATION IS HEREBY MADE T:,
EXCAVATE FOR AND INSTALL
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
AJAPJW
owM 1 kE H D l.l.A►N�' - -___ _�L''- ,u�1 _'Irt'ST1 �_�I G�T'V
f�� �w •� ADDRESS �7 1 a+� .�� �(,J
�I r`+w`�/�► NAME I, �f?� �ir� IA 0-100 , Aa_-.Lll�o__.- M
ms
CONTRACT R _ �-1. `aUl�l 1T ►J '- —civ
AooREss
PLANS BY -- t� 5T1ri.�b^i1DS 'F -IR\�. CITY..- PHONE-�
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S ------ooLiARs MIN
--
-� `----`---- FOC OFFICE U! 'Cow
�
(2) EXCAVATION DAT 0.04 X
DESCRIPTION PROGRESS & INSPECTION STATUS
STREET ITEM DATE REMARKS/TYPE BY
NAME
SURFACE
CUT CUT CUT LENGTH WIDTH DEPTH M TEM IApIGUANIITDY -_
_ STREET OPEN D
INS•TP C_
�sf�k I:CIO' , .„. R
ION
EQ
_ u
E
ESTIMATED STREET OPENING T
/ / E
ESTIMATED STREET CLOSING: DATE: D --
--
- STREET
(3) SECURITY NO. ._ _______- _ SECURITY AMT.: $ —��_-.- CLOSED —
FINAL
SURETY CO.. ®OND
- INSPEC.
-- CHECK 1[ C:ASH ❑-_-__ -.-_-
(4) PLOT PLAN: IND ICA-r F_ .SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. J 1 244- Ai I-
x CITY -sT�NLx'J.CGu ,Tf' CSF
'M75'S4104A.W� 1 Q I Foz C'A710AJS
(URB - . _ _ _ _ _ _ _ ._ _. _ . r _ "A�E' .3 771riE 7?AJ
X �Pr<i:��"t” -- -- 1 / 'S 757►sf'-,S7/ f>7tTL,,lCS_o' Ae ':
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CON,�+� t
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I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CO ,UCt !MURK WH
ERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
QUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
THE APPLICANT AGREES TO DEPOSIT THE RE
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJ)dR� OR AMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
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A�SIGNATURE ��_ 1, DATE -
CITY OFTIFARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT RD PE RM I T
13125 BW HIM Blvd. P.O.Bax 23397,TipM,Om9on 97223(503)639-4175 PERMIT #. . . . . . . .. SWR91-0093
- 4-k 7 1 DATE ISSUED: 06/221/1)l
9 (TE ADDRESS. . . : 9875 SW BARRETT ST PARCEL: 26102CD-01700
")IJ
. L 4D I V I S I ON. FREW I N615 ORCHARD TRACTS ZONING- rx--4. 5
. . . . . . . . . . LOT. . . . . . . . . . . . . .
TIFNANT NAME. . . . . :
(JSq NO. . . . . . . . . . : FIX"fURE UNITS. . .
CLASS OF WORN, . . :NEW DWELL I 1\10 UN I TS. . :
TYPE OF USE. . . . . CE."F NO. OF' BUILDINGS:
INSTALL TYPE. I�LJISWH IMPERV Si[JI(RFACE. : Sf
Hewar,ks:
Owner: FEES
MICHAEL HOLLAND/JEANIE SPIC14EL.MIER t vr)e <-wmol.tnt by date
9875 SW GARRETT ST MISC $ 3000. 00 JLH 06/21/91
PRMT 4 1501A. 00 -JI-H 06/21/91
FICARD OR 97223 INSP $ 35. 00 JLH 06/21/1) 1
Ptione #-
Cr)ntractcir:
Phcir)e #:
Reg
REQUIRED INSPECTIONS)
This Applicant agrees to comply with all the rules and regulations Sp.-4er Irispection
of the Unified Sewage Agency, The permit expires 120 days frog ......
the date issued. The tots) aeount Paid will be forf.ited if the
permit expires, The Agency does not guarantpt the accuracy of thq
side sewer laterals. If tht Sewer is not located at the measurement
giver., the instaAer shall vrosvect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tao And Side Sewer" Permit and the Agerev will install a lateral.
le'sk.ted BVI
AOLI
I for i n r, rect i o n h39-4175
CITYOFTIVARD CI?YOr"'.•7RD
COMMUNITY DEVELOPMENT DEPARTMENT � oReoaa
13126 SWFWIBled. P.O.Box 23307,TOW.Oropon 07223(503)639A175
--_ -__--. PLUMBING PERMIT
PERMIT �. . . . . . . r PLMri 1...10
F+�;�3 4171 DATE ISSUED: 06/21/91
rT.E ADDRESS, . . : 987tj SW GARRETT ST F-"AIRCEI-t
DIVISION. . . . : F'REWING ORCHARD TRACTS ZONING: R-4. ;)
�7C1t. . . . . . . . . . . LOT. . . . . . . . . . . . . . 16
,,'LASS OF: WORK. . :NEW GARBACE: DISPOSALS- . : MOBILE- HOME SFJACES.
?'YV'E OF- USE. . . . :SF' WASHING MACH. . . . . . . . RACKFLOW PRE=VNTRS. . :
1CCUPANCY GRP. ..,JR3 r=L()OR DRAINS. . . . . . . : 1 RAF's. . . . . . . . . ., . . . .
aTORIES. . . . . i . . : WATER HEA'rE:RS. . . . . . : CATCH BASINS. . . . . . .
IXTURES- -__._ .._.._._ _._ LAUNDRY TRAYS. . . . . . : 1r RAIN DRAINS. . . . .
iI NM'.S. . . . . . . . . . URINALS. . . . . . . . . . . . • GREASES TRAPS. . . . . . . ..
i_AVATORIES. . . , . : 0THGR I-I X T'UIiE::^s. . . . . ..
(US/SHE.IWE:RS. . . . : SEWER LINE (ft ) . . . . : 100
WATER CLOSR r`.3. . WATER LINE (ft ) . - - - :
()ISHWASHERS. . . . s FRAIN DRAIN (ft ) . . . . :
iRemsar^Itr, : REVERSE PLUMBING UNDER HOUSE. TO CONNECT TO SEWER
Owner,. __..__________________._____._______._ FEES ...._...__._.___.. .... .
h1ICHAE I- HOL!_AND/JE�ANIE GPICK'El—IhIER ty�Ie amo+.rnt by date r r�ci '
9s15 SW GARRE 7'r ST PRMT E .stn. NO JLJ1 Oh -
F'( I ! 1. 50 ,JLH 06/21/91
T IGARD OR ')7223
Phone #:
(::ante^�artor, ••--•____..._.___._....._._._._____.___.___..._
OWNER
$ 31. 50 TOTAL
Reg #.
-----_-- PE:QUI REry INSPECTIONS •-
This permit is issued subject to the regulations cantalned to the Top-out In sp � �' ..... ___.
Tigard MEmicipal Code, State of Ore. Specialty Cas
dts and all other Final Inper,t i on ........... ..
Applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started -- ---
within IN days of issuance, or if work is ;usoended for tore
than 190 dans.
permittee h,,ona+t ur.F, F�UI
Issued By :
/ Call for i r.=) 4 r, t. i an - 63.9-41'75
I
a•
Y OF TIGMZD t3tuswtlxut3lvd. PLNCK/RECT #I 1 PO Box 23397
C'rr' PERMIT # -
COMMUNIiTDE-VELOPMENTI)EPARTMENT 7igard,Oregon 972V — _
(503)639-4171 DATE ISSUED
JOB ADDRESS: rr'_ –TA,ti MAP/LOT
SUB: -- LOT: _—_ LAND USE: -- - --
VALUATION: —
OWNER SPECIAL NOTES
NAME: REISSUE OF:
ADDRESS: CI S S U) LAST REISSUE_ — _
a FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS_RESUIRED
NAME: — PLANNING:
ADDRESS: ENGINEERING: —
—-- FIRE DEPT:
PHONE: —_ _ — OTHER: -------
CONTK. BOARD #: EXP DATE: —_-- ----_— ---
ITEMS RUNUP
SLIRCONTRACT�QRS: PLUMB: _A LIST/SUBCONTRACTORS:
MECH: -----.—..—_----._.. ----- BUS TAX: ___--------
ARCH ENGINEER CALCULATIONS: --
---- --------..—�
NAME: _ -- TRUSS DETAILS:
ADDRESS: -----__ --- OTHER: —_.-----------__------
PHONE:
PROPOSFD BLDG. USE:
COMMENTS: —
o c _.
U
APPLICANT SIGNATURE
Received By: Date Received:
PERM i: i # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00
Plumbing Permit Fees
10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Buildina
Plumbing
Mechanical
10-230 06 [-ire
w % 30-202 00 Sewer Connection
�1 -p0 30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448--04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _-
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) _
Aw
TOTAL
nm/3587P.WPF
CITY Of TIGARD RECEIPT OF PAYMENT RECE IPP NO. c'31--c' 1461r?
CHECK AMOUNT 1966. `S0
N A M r-,-' SPICKELMICR, JEAN IE CASH OMOLJNT 0. oll
ADDRESS g 9875 SW GARRETT PAYMENT DATE a (A6/2,1 91.
I-'
I'loARD, op q7z..a3- SUBD I V I G I ON
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PA I n
150121. 00 SEWER INSPECT 3-01. 00
1.
P(.-(JMBII\((.3 PERM S' . BUILD PER 1. 50
TOTAL AMOUNT PAID 6. riet
I-P
CITY ®F TICA RD HUIL.011SIG PEPM1T
"RID PKI-MiT NO . : 8111.1131901.53
COMMUNITY DEVELOPMENT DEPARTMENT onrcowC
13125 S.W.Hall Blvd.P.O.Box 13397.Tigard,Oregon 97223.(503)63941175 DATE ISSUED: J./'3 0/H
.114 (ADOPESS : 9875 GW GAPPETT '51'
1AX W-43/kA T' PGJ. KA) 1.700 LA
1. AND USIE. :
V Al..UAT1 ON 6, 667 5E'TBAC.,KG
F,PON I* :
WORK (,",LASS) : AOIXIAJON WE L.L. .UNTA'S
!:i.I.'NGLA:: FAMIA.-Y ND. F)EMPOOMil : EXT . WALL C,ONS'l
CONST *TYPE' : VN NO . EIATI-11*5 : N li : W
i'.)(A"1.)11) V-1PUT 0IA:-N:I:W;5 :
(A'.1-111:1 .I OAD N 15 : G W
TOTAL. AREA :
NO - STOPIEG ; 1 JAill : POOF (:ONST : lt� F1RE. PET'?
6 D APEA SEPAR7 P A'I*E,0
1'.4 A L5 K.M FK 3 N T"? 1. RL) : Ult:111:1UP . SEADAW?
MI:;:7Z0NTNI:;:? BA54-I'M' T
1:1-0011 (3APAGE FUPE.� �WPKL.1141? Al ARM?
F L.[)1611 G P M I I.A::*1*LJ::T'?
(-JIAN (1-1ECK E)Y :
t m I lin 4.1 in k)I, W. OF-' NO .
I. MT Pr-.,TSSIJE
0I r *62 50
VV 110I.A.-AND
t"
9 li;V 1 1.15 !:1W
q$d,10 6.3
E
R (.,APD \c)R 9 v 5
V)HONK ( .503) 639----114 1136 1 L. TAX 3 3
C I I I II 11 I I'Mr-.*N V LA--I A 1:4 G,1;_;:t-i
O
N
T
R
A
C r N r-_:P A. 111 <
T
0
R TOTAL 1.0 6
This permit is issued subject W the regulations c,intained in Title 14 PF:X,LA:P*T NO 4/06
of the T4C, Strte of Oregon Specialty Codes ,r.-ing regulations ............
and all ow applicable codes and niclinances. and it is hereby
agreed thL# ie work will be done it accordance with the plans and F CIO f 1:W.,
specification: and in compliancri with all applicable codes and
ordinances. 7nt issuance of IN,,permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and 1A.11 AT 10N
void if work is not started within 180 days,or it work is suspended or F, , F.
abandoned for a period of 180 days any time after work has I NAL.
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
Permittee Signature
Issued By:
CALI . 1:17114 I.NSPEFUTJON 639-Al J"5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Pk-AN CHECK APPLIrGATIO�
CITPLAN CHECK ellCf�OFTt�AYOFIWARD
PERMIT 0
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13125 SW Hall Blvd. P.O.Bw 23397,TVWd.a*9O1 97223 1531 6394175 DATE ISSUED ,�---
JOB ADDRESS:
L -S W ,A r'r�� TAX MAF/LOT -S� ���
SUB: _ _
__ LOT: LAND USE:
_ S_pECIAL NOTES
OWNER REISSUE OF: - -
NAME: r �� j- G 1Q �> ---- LAST REISSUE
ADDRESS: FLOOD PLAIN/
7-�- -- SENSITIVE LAND: ,
PHONE --(6c�.L_ � --- __- -.-,
APPROVALS REQUIRED
PLANiv.I.NG: _.
CONTRACTORCl ENGINEERING:
WME: FIRE DEPT -----
AD)RESS: .-_ OTHER:
RE UIRED
PHOW: _ - LIST/CtIBCONTRACTORS: _
BUS TAX: --
P.rtCH/ENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: - PARKINP -'.AN:
-.- L.ANDSCt ` ' nF_AN -
- OTHER: _
PHONE:
COM ENTS
wAl�•)
i
1,as
AMOUNT AMOUNT PD DUE
PERMIT # ACCT N DESCRIPTION
3 10-432 00 Building Permit Fees -�
10-•431 00 Plumbing Permit Fees
--_—� 10--431 01 Mechanical Permit- Fees - - `-
- 10-230 01 State Building Tax (5%) __�� ------------Building
Plumbing
Mech -
10--433 00 Plans Check Fee
Building
Plumbing
McCh
Sewer Connection
30-444
30--202 00 '- --
30--444 00 Sewer Inspection - "-
51-448 00 Street system Dev Charge (SDC) -
52--449 01 Parks I System Dev Charge (PDC) __ ---- -
52--449 02 Parks II System Dev Charge (PDC) --
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ _.— --
10--230 09 TRFD -
10-230 06 Washington County Fire M1 (95X)
10-220 00 Amar•t-./Wedgewood TOTAL -----
%� REC H __-• _
APPLICANT SIGNATURE at
Received By: _...._____� �-� _ - Date Received: __
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