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MEMORANDUM
CITY OF `1'IGARD
To: Finance
From: Brad toast, Building OfflA&E�-f
Date: Aur(ust 28, 1.991
Subject: Refund of attached performance asr3urance deposit.
Please refund the $2000.00 performance assurance deposit to:
Davin Leary Construction
10020 'W Johnson St
Tigard, 97213
All conditions have teen satisfied.
CITY OF TIGN D CERT IFICATF OF'
My TM a
Mi 10 OCCUPANCY
COMMUNTY DEVELOPMEW DEPARTMENT #. . . . . . . 9 MST90-0,`:OL':--
13126 SW Hell Blvd. P.O.So 23M.Tig-d,Oreg-11 12, 6 176
/2,3/91
SITE ADDRESS. . . 1 10000 SW JOHNSON ST PARCF-L:
SUBDIVISION. . . . I ZONING:
BLOCK. . . . . . . . . . a LOT. . . . . . o . . . . . .
CLASS OF WORK. vNEW
TYPE OF LISE. . . iSF
OCCIA-'ANCY GRP. I R3
OCCUPANCY LOADt2jL0 is
TENANT NAME. . . l;
Remarks :
Ownere
DAV LD LEARY CONST CO.
le,-A20 F'P JOHNSON ST
TIGAnD OR 97ZE3
Phone #a 639-6255
Cur,trakc-torc
DPVI&,) LEARY CONST CO.
10CM0 .'31W JOHNSON ST
T-IGARD OR 97;223
0hune #1 (-39-6255
lieg #. . - 47223
circupatic,y of the above refry -Pncvd buildinp is hereby given, and certifjp,
#-he compliance wit'-i the State (If Ovegork SPeci--AltY Co des for the group,
(IL.'C'Upancy, and t.tse- under which the referencF6 permit wcs iFamod.
FIRF DEPAPTWNT Tol-L-MING W"ACT6R
BU F Z�
CIAL
POST IN CONSPTCHOUS PLACE
FAMimM
"X
1140P8.rIm NOTICE
City or Tigard Boildiag Department
13125 BW Ball. Blvd_ Tigard, Oregon 97223 t
Inspectinn Line (Rec-O-f,hon*): 639-4175 Bueinese Phone: 639-4171
Inspection:
Footing -- --- —� --
Yl.bg. Undecslab Hoch. Rough-in Appr/Gdwlk
jj
Foy•-1. Plhg. Top Out ;aa Line <_WFIIO l
Post/Beam .,truct. San. Sewer. Framing '
Poet/Beam mech. Rain Drain Insulatior -Plumb.
Plbg. Underfloor Water Line Gyp. 9d•
�^ PM
Date Requested: _- Times _ AH
Address: /� UOCJ Joy-+`��'•v — Permit 1s�.d
BuIlderT
THE FOLLOWING coRRRCTIONS ARS REQU-RRD:
i
Inspector: y _—_ Dates_s��- _-- -_-- --.--
/APPPOVED DISAPPROVED APPR(ri/RD Cl1BJRCT TO ABOVE
Call For Reinap.
-•,-•.r-_„-----nirc...-•v.•,.pw',C,...w.,wp, �..�.�......�.R.�qr•,�,,,..�,......: ,.}w......-..w..�..-.m-,...,a,..,-.....
APPLICATION - STREET IMPROVEMENT/EXCAVATIONCOPY TO;
_ r (� (WHITE)-FILE
ORDINANCE. NO. 74 14 >r� I ® (YE.LLOW)-INSP.
(INSTRIJCTIONS ON SEPARATE$:-IEE7) �•� I (PINK)-OTHER AGENCY'-b],(g
1 14 (BLUE)-APPLICANT
APPROVED ® \\� -AiiPLICATION NO.; .4
NOr APPROVED 11 CITY OF LIGAWo, OREGON FEE AMT.: S- .12.00
F rNDINC: FEE, PMT, ❑ CITY IIALL RECEIPT
, I Z7�7.'
PENDING SECURITY ❑ PUBLIC WOR KSDEPARTMENT BY=_ DATE-_w1_ Lam_ _
PENDING AGENCY ''OK'' ❑ Application and ProRTrss Record
PENDING INFORMATION ❑ I BAND M
FOR STREET IMPROVEMENT/EXCAVATION As REQUIRED !L -'-
ANNUAL ❑
DEEDING VARIANCE ❑ EXPIRATION DATE: OnE3i3C ___
PERMIT NO, - --1- - DATE ISSUED: ----- --� -�- = -- BY: --- -= -- -
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ W1VO4AY APPROACH _
AS DESCRIBED HEREIN, IN FULL ACCORUi,NCE KITH CITY REQUIREMENTS.
APPLICANT L14.vld L. I'mary CorlstructianQtu. IW20 SW Joh,-son St. Tigard, OR 97223 #639--5255
NAME ADDRES i-- CITE— PHONE
CONTRACTOR ,
NAME ADDRESS - i C1�Y-- _ PHONE
PLANS BY -' SEF NrrAC[-]F:D -
- ---
NAMEADDRESSCITY hHON EE--- -
ESTIMATED IMPROVEMENT TOTAL V.NLUATION ( COST): S _ 725'W
DOLLARS
FOR OFFICE USE: CMIN.
(2) EXCAVATION DATA: Q 04 X S ZZ .pu s_x,9.00
STREET _DESCRIPTION PROGRESS & INSPECTI'C)N STATUS
NAME SURFACE CUT CUT CUT MATERIAL IMSTPLLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM At Q%JANTITY
STREET -
_ P N "D
uOhf180n $1 - :_4eE? c3tt Checl INSPEC-
ETI N - -- -
Q
-- u ---
ESTIMATED STREET OPENING DATE: E L � 9
ES'IMATEDSTREErCI.OSIN(. DATE: IE —`
D
STREET
(3) SECURITY NO. �-- -,ECURITYAMT.: S725•0) CLOSED
SURETY CO,: FINAL
__ — - —
MIA.. CHECK X-� CASH I7 SON13 r INSPEC.
(4) PLOT PLAN: INWCAYE SITE PER Z ANENT PHYSICAL SPECIAL PROVISIONS/ CONOITIONS
FEATUR92; EXCAVATION LOCATION AND EXTENT. 1. notify City Inapectot; Mr. Curl
Vi!cn (g X639-✓171) 24 hrs. prior
to initiariN work.
Traffic control to oe provided
for, at all times,by contractor
3. ) All work shall conform to City
JC.�!'IN.50N --
— _9'T. - -. _-- - staixiards/specificat..ons and to
dos _ ,� _ _ _lx _. _ _ - _ _ _ the attached plan.
E. `` -- `I• ) Excavator must c cxnrJly with
�' ) I MS 757.541 - .1)71 (Pcelocate
I (1001 S.W. 7 1 I
' Johnacxl St.� ' utilities, etc. )
(5) NOTE THE CITY OF T;,;ARD DOES NOT, HEREBY, GRANT PERMISSION 7'O APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF-WAY JURISDICTION 15 THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT SHE REQUIRr.D SECURITIES, TO CONPLY WITH ALL PERTINE14T LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, Al� D TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM AP61LICANTS ACTIONS.
APPLICANTS SIGNATURE • - DATE
1111111►
MEMORANDUM
CITY OF TIGARD
To: File
From: Brad Roast, Building Official>-4-v<<
Date: 3-.'.5-91
Subject: 10000 SW Johnson St Permit #MST90-0202
The attached receipt #91.-210712 for a deposit of $2000.00, is a
guarantee of completion of a paved driveway for the above project .
The $2000 .00 is to r: refunded. in full upon completion of the
driveway.
re ot
G'L ri Lti W
AMEA.4 "
/C-)d DO S.
t-Gt-1�t- Le
/ G
c7
�03 9-
4,.-L a^S Afne-
CITY nF TICARD RECEIPT OF PAYMENT RECEAP,r i\in.
CHECK AMOUNT z 000. 00
NAME : DAVIT) LEARY CONSTRUCT ION CASH AMOUNT 0. Clio
A 1 10 D R F S S : 10020 SW JOHNSON !3T PAYMENT DATE a 03/15/91
SLJBD(V I S I ON
TUARD, JR 97223-
PURPOSE OF PAYMENT AMOU:4T r-,A i D PURPOSE OF PAYMENT AMOUNT PAID
CUSTOMEk DFPQ 2000-. @0
1,0000 AND SW JOHNSON DRIVEWAY IMPR(3VEmL-.NT
Ulffll- AMnl.JNT F)AID ele
TEMPORARY CERTIFICATE
OF OCCUPANCY
CI7YOFT11FARD CffYOFTMRD PERMIT N. . . . . . . i MEIT90.
WOT offum
COMMUNITY DEVELOPMENT DEP", (471
13126 SW Hmn Blvd. p.o.BM MU7,Tjq@M,O"MW 91 (SM)OW175 oA rE ISSUED v 2./ 14/91
F
ITE ADDRESS. . , v l0000 SW Tn1-1NS'01\1 3T PARCEL& 0� l 021313
Z ON I NO:
OLOC'A. . . . . . . . . . I . . . . . . . . . . . . .
CLASS OF WORK. i NEW
T Y P F.- OE"- 1.J . , . v SF
OCCUPANCY GRP. 03
OCCUPANCY LOAD tP20 4
TENANT NAME. . . i
Rqm*j-+% g TEMPORARY OCCUPANLY FUR DAYS 1-,tq0M DATE OF ISSUANCF.
i.)AVID LEARY CONST CO.
jOO20 SW J13HNSON GT
FIGARD OR 97223 ►
Rhone 0- 639-6235
contractors
oAVID LEARY CONST CO.
100P0 5W JOHNSON ST
rIOARD OR 97223
phone 041 639-6255
Rey #. . s 47223
(jcuupancy of the above referenced buildinro is hereby rlivP", and cortifi.er,
tile (-,ompliance with the State Of Or*90n SPec"Ity Co"es for ths, group,
occupmney, and use under whiril the referenced permit was iss�.ted.
FIRE DEPARTMENT
ICTAL
-6]NG
P09T IN CONSPICUOUS PLACE
s e� w al• w w wi aR w
InsPECfION NOTICE
City of Tigard Building Del>artssumt
13125 OW Hall Blvd. Tigerd, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171.
Inspection:__
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line `+ FINIAL
Poet/Ream Struct. San. Sewer Framing C.,
Poet/Beam Mac' . Rain Drain Insulation -Plumb.
Plbg. Underfloor Water/Line Gyp. Bd.
Date Requested:
_ �f=�-� Times A_—AM PM
Addreees U �9(�i \�f� 1�50� Permit #:
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C'LJu PA C_
Inspector:_ � -----------�..__-- _ ��----/-/-�^-----
--------� Dates�i
— -APPROVED DISAPPRnVRD F1PPROVED SUBJECT TO ABOVE
_Call For Retnnp.
06P6C_ION NOTICE
city of 2igard Building Department
13125 SW Ball Blvs:. Tigard, Oregon 47223
Inspection Line (Roc-O-P dne): 6i9-4175 Business Phone: 639-4171
Inspection:.
Footing Plb t)nderslab Hoch. Rough-in Appr/SdwLk )
Found. P).bg. Top Out Gas Line FINAL:
Poet%Beam Struct.. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain. Drain Tneulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Hoch.
Date Requested: ( _ �_ _�___Tlme: AN PH
Address: Permit f: W
Builder:
THE FOLLOWING W OMS ARE REQUIRED:
Inspector:( Data:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
C411 ftr Re'nap.
INSPECTION NOTICE
City of Tigard Buildinq Department
13125 SN Ball Blvd. Tigard, Oregon 17223
Inspw:tion Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inspection:_, �-�� �_~"'� -^ _
Footilly Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gag Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
P1bg. Underfloor water Line Gyp. Bd. -Hoch.
Data Aequent.edt_6 �-� Times: AM PM
Address: ��/ Permit ft_C� �� c�T T✓
HuIIder...
THF. FOLLOWING OORARl9lIONS ARE REIC,',IREDt
Inspectors -- Dal er
�APPRM tD DISAPPROVED �- APPROVED SUBJECT TO ABOVt
Call for Reinsp.
w aBT a s � � sus w. tar
INSPECTION NOTICE
City of Tigard Building Departatent 1,7
13125 SM Ball Blvd. Tiqard. Urego'•t 97223 l
Inspection Line (Rec-o-Phone): 639-41/75 Business Phone: 639-4171
Inspection:_ __ - --
Footing Plbgg. /Und'er�sl'ab Mech. Rough-.in Appr/Ildwlk
Found. Plbg. T(,t, Out Gas Line FINALt
Poet:/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Hoch. Rain Drain Innulation .-Plumb.
Plbg. Underfloor Water Line GYP• Rd. -mech.
PK 1
Date
Addrese:�
Rul Ider: ..._ t -e.
TNR F0I.14)WING OORRECT S ARE RXQUIRED:
Dat 22- c
4,APPROVED DISAPPROVED APProvaD SUBJECT TO ABOVF.
Call for Reinsp.
jNSP6CTION NOTICE $//
City of Tigard Building Depart.�ent
1312 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi.neew Phonet 639-4171
Inspection:_—_
Focating Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beata Struct. San. Sewer Framing -Bldg.
Poeit/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor water wine Gyp. Bd. -Mech. '
Date Requested: �-L Time% AM Z�tPM
Address: J 0 �~ t;'17'Z�Z�lk►k J Permit I �,�L
Builder:
TBE FOLLOWING CORRRC'll NS ARE RiQQUIRF:D: —
Inspector: __.. Da'.-t �W_r
___ _-_A PROVED -m D29APPROVED APPROVE; SUB.JRCT TO ABO
Call For Reinep.
11im Tmaa NOTICS
CitT of -ftprd Building Dep-tsu+et
13125 SII Ball Blvd. Tigrrd, Oregon 97223
' .epoction Line (Rec-O--Pho,ne): 639-4175 Business Phones 639-4171
Inspection:_
Tooting Plbg. Und4%relab Hoch. Rough-in Appr/Sdwlk
Found. Pity Tor, Out Gas Line FINAL%
Post/Beam Struct. Ban. S`� Framing -Bldg.
Poet/Beam Rech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Fater Lire Gyp. Bd. -Hoch.
el�yTit AN1//--L/—PM
Dnte Requested%_
C�C�C� �./ri�. ,�L.-' Pa it
Addreee: � —
Suildegi
THE FOLLOWING CORRECTIONS ARE IIEQUIRED:
Date:! -� —
Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinsp.
r
IIWWKWKWAM t w = w
INSPECTION-NOTICE
I City of Tigard Building Department
13125 on Ball Blvd. Tigard, Oregon 9722.3
�Inepection Lina (Roo11-Phone)s 639-4175 Business one: 639-4171
Inspections._ 'L ` _ `�
Footing lbq. Underalab Much. Roues-in Appr/8dwlk
Found. ( Plbg. Top Out Gas Lino FINAL:
Post/Beam Btruct. Ban. Bawer Framing -Bldg.
Post/o:-yr Mech. Rai:s nrain Insulation -Plumb.
Plbg. Underfloor Plater LlrieGyp. Bd. -.Mech.
Date Requested: i_� —Times AM �__PM
Address: jAl �, t. Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i n
Irspectors i _� — �— Dates
L/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call
For Reinsp.
INSPECTION NOTICE
0ty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested ��� C� fi G Time^_ A.M. P.M.
Address __1� Peri.iit # Z c Z
Owner.--.---,_ Lot #
Builder
The following Building Code deficiencies are required to i corrected:
'��,�� �•/ �,t___� _ iii/r�T�S
Presented to
Inspector _ [ � Disappro red
Date _—
CALL FOR REINSPECTION
F] YES ❑ NO
INSPECTION NOTICE
�. City of Tigard Building Department
13125 SB Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phonae 639-4171
Inspections
Footing Plbg. Underelab Hach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line^ PINALs
Post/Beam Struct. San. Sewer Framing ng 1 -Bldg.
Post/Been Mach. Ratin Drain I tlna latioB -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requenteds__4 `_u� �� .r� Times AN PM
Address s _j_. 1ti Permit #t
Builders -- _ --
/THE FOLLOWING CORRECTIONS ARE REQUtREDs
Inspector:_ —^-�-- ----- Dates
__—_-11PPROVED _- DISAPPROVED _-_ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-417M
Type of Inspection
Date Requested Time--A.M.—P.M.
Address
Permit *-V,4
Owner Lot
Builder A
The following Build agllCode deficiencies are required to be cnrrected:
N,
Presented to ------\��'Approved
Inspector Disapproved
Date 12
CALL FOR REINSPECTION
P YES C1 NO
an r• est sss
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phol 3. 639-4175
Type of Inspection
Date, Requested �. _ Time `A.M._ P.M.
i
Address ����. L� _;1�1f'�-3 �(� �� Permit
Owner_ _ Lot
Builder
The following Building 66de deficiencies are required to be corrected:
Ay If f
3J i2.vCr1�,L
Presented to __� ppraved
Inspector ___ _ Disapprover!
Date
MALI, FOR REINSPE,(710N
f I YES 1 1 NO
sso aw ser w, at ss w• ssv a�
INSPECTION NOTICE
C:ty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phor;e: 639-4175
Type of Inspection —
Date riequestedTime l A.M. _P.M.
Addr,jss �� '� Permit #_
Owner Lot # _
1
Builder
The following Building Code deficiencies are required to be corrected:
-----
-4—
Presented
4Presented to _ _ Approved
Inspector ---------- - _! Disapproved
Date — -
CALL FOR REINSPECTION
L) YES 171 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection � _
Date Requested—i-- Ci rl lJ Time_ A.M.
P.M.
AddressPermit #_ l'�Uc� 12.
Owner Lot #_
The following Building Cb a deficiencies are r9quired to be enrrected:
G/ra A-147 iAas;'09c t'd-TjJ,4 r
_ b�tsa /L LL
Presented to —_ -\�+Rpproved
Inspector Disapproved
Date v
CALL FOR REINSPECTION
YES IA NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ,JlrApprovad
inspector Disapproved
Date
CALL FOR REINSPECTION
El YES IJ NO
wt ssr sew ss a
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date RequestedC' Time. A.M.__P.M.
Address
I '�(` �� '` Permitx-
- _.L.—L� —
Owner �� --_ Lot
Builder —The following Building Code deficiencies are required to be corrected:
Presented to —._ rT Approved
Inspector —_ I Disapproved
Data
CALL FOR REINSPECTION
YES 0 NO
CITYOFTIGARD4IYIA'5 TER PE:.R121I T
CIiYOF "M 1 I: RIr1i T �,i. . . . . » » » rlST 30�•-0202
COD�IMUNITY DEVELOPMENT DEPARTMENT ORwoll r:'F.I1I, r'E:R1*IIT a» » MST90_0202
13125 SW Hell Blvd. P.O.Boos 23397.'.7gaod,Oregon 91?�3,(ao3),ePw176 DATE ISSUED» 07/1.8/90
S:i:C'TC ADDRESS3« . « a 10000 E,W JUI••IhISON ET PARCELS 2SI02BB 1 :302
SUBDIVISION Q ZONT.t!( »
DI...00K. . . . . . . . . . e LOT. . . . . . . . . . . . . ..
BUIL-DING _ __._._..__...__.. _.__....... ._.._._...._......._..._....... ..
REISiiSUEa DWELLING UNITS11 BASEME"NT. . . . . . . . »0 Sf
(::LASS OF' WORK. -.NEW DE:DRMS 13 BATHS.-4 GAC<AGI . . . . . . . . . »5:176
'T'Yf'F:: OF USE.. . . »cS'F FLUOR I�E:L4I.JIRE'D GETHACKS-----.__._..._._.__._..
TYPE. 0F' CONST. -5N FIRST. . « . » 1.412 Sf I...FF"T. . » 13 f'e RIGHT» »25 f't':
OCCUPAN(.,Y 17RP.. »R.:3 SE:CUND. . .. » 170`3 Sf F'RONT. :20 ft REAR» . »22 f t
STORIES.. » . ., ,. ., . ::2 TFT I:RD.. . . . »0 Sf F<EQUIRF..--D_._____._..___._._.._._..._.....__._....
ItE:I0HI.. . . . . . . . .i.:'.0 'f't T()TOL __...__.._.....;.3121 Sf SMC'WE DETECTORS. t
FA (]OR LOAD. . - -.40 I:r<:c f V(4LUE:. . . . . $: 1.41450 1"ARK 114 Sf'AC F.S. » »id
Rema.0"S C
PLUMBING
S1NKS3. . . , » » . •. ,. ., ;: :I FA.00R DRAINS. . . . 90 BACKF-LOW PREVNTRS. ., s0
L-OVATOR:IES. » . ., » '5 WATER HEATERS. . . » 1 TRAP'S. . . . . . . . » .. . .. . .. »0
TUB/SHOWERS. . . . »'i LAUNDRY TRAYS. . . 11 CATCH BASINS. . ,. .. „ . ., W
WATER C1...OSE'TS. . »3 GE:WE.R LINE:: (ft) . 10 GREASE TRAPS. » .. .. „ ,. ,. 0
1)I'S HWAS1-4E:RS. . . . 91 WAJ*1.'.:R L.1NE: (ft) . S1.00 0 0THER r IXTURF::S>., ., „ ., .. r 0
GORBOGE: DISP. . . » 1 RAIN DRAIN (ft) . »0
WASHING MACH. . . » 1. SF' RAIN DRAINS. . » :I.
MECHANICAL •_.... . _.__.._,_._.__._.....__ _.._... _...__.___,_....._. F'E.ES
FUE-1. TYF'fi:S--.w_•----••--._ UNIT HTRS. . »0 type amount by riatce 'rerp•t
/(.)AS/ / / VENTS . . . . . ..0 F'AYM $ 100. 00 JL.H 06/01/90 201280
I*IAX INPUT»0 BTU VE:-.N'T' F'ANS. . -.4 BE'R'G $ 538. 00
I URN ( J.OOK . . »0 HOODS. . . . . . . 1 BPLC $ 349. 70
I URN )=1.00K . . a I WOODSTOVES. »0 B5rlC $ 26. 90 1 /
F*L.00R F UFiN. . . . SO (A.0 DRYERS. » 1 STDG $ 600. 00
130:1:1.../CMI' ( 3HP 0 OTHER UTAl:Tc;.0 SSDC 1, :3'75.=,. 00
6 A 0U T'LE:TS» 1 PARK $ 250. 00
Ow1'1e r» _........._........___-_____. .-......._--_....._............__._........._...__.-.---- MPRT $ 40. 50
DAVID L_E:ARY CUNST CO. MPL.C: $ :10. 1:3
.1,0020 SW JOHNSON ST 115PC d+ 2. 03
F•'P'RT $ 170. 00
IIGARD OR 97223 P5 PC: $ 8. 50
t'hone H: 639-6255 POYM $ 2270. 76 JLH 07/1.8/90
DAVID L_E'ARY CUNST CO.
10020 SW JOHNSON ST
TIGORD OR 972E3
Phone a» 6,39 6255
Reya. . e 47223 __..___......._......._.._...._..__ . ,________._____.._....._..__..__..
$ 2370. 76 I'OTA I-.
This persit is issued subject to the regulations contained in the -- -- REPUIRE:D INSPEC'T'IONS - -
Tigard Municipal Lode: State of Ore. Specialty Codes and all other Foot/founts Ins;p Plt.tntb Top Ot.tt
applicable laws. All work will be done in accordance with approved Wtr F•roofinq N:sm Framing Insp
plans. This permit will expire if work is not started within 160 Post+/Ream In!sp F-i.•rF,nlace Insp
days of issuance, or if work is suspended for more than IAA days. Crawl Drain Gas I.-ince Insr
J n P'I.m/t.tndslab In!ap 1115UI ati(.)n Int,p
F:'e•rmittee S:r.Ilna'tt.tre» �w 4 t
._....._ PL..M/Llnde•rflcro'r Gyp Boa-rd InspU F'tng Dr'•ai,n 19niI t Rain d-rain Insp
I s;r3 u e d H y» _.......... .. ... _-___...._........._.___...-------......_................_ M e c h a n i.r a 1. Insp W w,*ter L.i n e T.n!s p
I
Call fr:r•r invspeet:i.on -- 639-••4:1.71;
!3E: CONNECTION
CITYOFTIFARD �,ERM IT ftt-�
CITY TWIND VIERMIT #. . . . . . . .. SWR 90---0217
-
COMMUNITY DEVELOPMENT DEPARTMENT oftem I-1RIPI. F,V--'RIIIT W. : 11ST90-0202
13126 SW 1-10 Blvd. P.Q.Boot.WQ7,TOW,Omgon or
E4-irE ISSUED: 07/18/90
.1. 1 E. ADDRESS. . . : 10000 SW JC.)HH`0H I' I
SUBDIVISION. . . . s ZONING:
DLOCK. . . . . . . . . . C
TENANT NAME. . . .. .
USA NO. . . . . . . . . . x 421343 F- IVTURE UNITS. . . ..
I
C I ASS OF WORK. 14 E W DWELLING LINITS. . - I
T'YV:'1':.' OF USE. . . . . vSF NO. OF PUILDINGS- 1
HASTA1. 1. TYPL. .. . . .-F.A.)SWR I N V.,E R V S U F�F()C I-*-'. !Sf
R e ni A-r e.S r
Owrle-rr FEES
T)OVID LEARY CONST CO. t Y 13 e- an)(m.kilt by date -r e c,r)t
.1.0020 SW JOHNSON ST V,R 11'T $ :1500. 00
INSF' $ 35. 00
TIC)ARI) OR 972.23- V-,0Y11 1535-. 00 J1...11 07/1.8/90
1'�Iic)i-ie #-. 639-4,255
DAVID LE.ARY CONST CO.
1.e)020 SW JOHNSON ST
VIGARD OR 97223
Vllioiie #: 639-6255 1535. 00 TOTAL
N. . : 47223
—......- R E14 U I R ED INSPECTIONS
Phis Applicant agrees to comply With all the rules and regulations 9ewe-r Ivis pect.ioii ...................
of the Unified Sewage Agency. The permit expires 121 days from .......
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the —----- —------------.........
side sewer laterals. If the sewer is not located at the measurement
niven, the installer shall prospect 3 feet in all directions from ....... ............
the distance given. if not su located, the install@r shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. ...............
.4741awL/
Call fo-r :Lrispectiari 639 4.L75
LITY OF Tttil-PD RECEIPT OF' PAYMENT RECEIPT NO. 4 -1906
CHECII,- AMOUNT t 3805. 7e,
PJAME & i(RAMIEN. DED'PIE CASH "AMOLINT I Q.il)(�
ADDRESS : 5714 SE 15 1 S T PAYMENT owm I (1*17110/90
SLIEiX)IVIsION
PORTLAND. OF SW JOHNSON ST
P'UPPOGE OF PAYME.NT i4MOUNT PAID PURPOSE OF PAYMENT Amour-IT, F11.1,ID
Ftt IT,T 0-IT-1 F-3—P—E PM M--—,T, e)-i'+2:+':' T)7E).k)() PLUMPING PERM ! 'I (I
1(iNICAL_ Pr-- 40.5�1 ST. SUILD r 71
PL, 11 FE ::1"19.8 SEWER USA
-1"< INSFECT - 5.(Y) STREET SDC
F,1-'d SOC Gf) STORM DRAIN SOC
I'C+I AL. AMOUNT Pf)I D 1:1.
II
ci,rY OF TIGARD RECEIPT OF PAYMEN1 f-LU'.-*,!F'l IJU. U-2 U I..'i-SU
CHECK AMOUNT t i on.on
N A m E DAVID LEARf CONs'rRLJC'rION CASH AMOUNT a 0.CJcl
ODDRESS 10020 :�—;W JOHNSON Sr P ) MENT DATE a Oe.., r 1 90
GLIHD 11)1 S I ON
T 1.GARD, OR' 97223- KRAMI EN
F'UPPOSE OF F"AMENT AMOUNT PAID PURf'OSE OF PAYME"ENT OLMOUNr PAID
.1w
ITT
P Uk FE -1_F
100. 011 .......
7CIT Al- AM-11—IM' fI
100. 00