9765 SW OAKS LANE .�..4r�ww+Ww�a«w,r�ke�.w:.rb,w�..r�.rw�.rww�YMWkw�.�.wsr�r�rw�.uwrcv,LM��Yu:cd�+4WV'rr�ukwr�rsie�NY�I�W�:4 'A. iF:i�; fi�p(t�� ..
i
t
9765 SW OAKS LANE
INSPECTION NOTICE
U
t1
„I L� City of Tigard Building Department 4vC I� /
P.O. Box 23397 C/
Tigard,
Tigard, Oregon 97223
Phone: 639-4175 0 ,�2 �,0
Type of Inspection —
Date Requested -��� �—� 9 -- Time � � A.M.— _P.M.
Address .w�` ySLt� Chi_ i _ /�Q— — Permit
Owner__. _ — Lot —
Builder — 61
The followinq Buildinq Cede deficiencies are required to be corrected:
Al4r(l-� �d 5 i t S 5 �,•fi ,b �� E-- -- --
Presented to _ _� -- �� APgroved
Inspector —_ I(,��i.pproved
Date -------,-- _
CALL FOR REINSPECTION
CJ YES El NO
t
CITY OF TIGARD
OREGON
December 5, 1991
r-
Royal Oaks Development
9541 SW Inez Street
Tigard, OR 97223
Re: 5765 SW Oaks Dane Permit MST 90-0302
Dear. Sirs:
The last inspection conducted on the above project was a gypsum
board inspection on 3/2.0/91. The next required inspection will be
a final inspection.
Please advise the Building Division of t:ha status of this project
as soon as possible so the file may be kept current.
Please note that any permit.,without activity for over 180 days
becomes voted. If you need additional time to complete the project,
please contact this department so that an extension can be
discussed.
Sincerely,
R.L. Thompson
Building Inspector
Notice.A
13125-,W Hall Bbd.P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -------------------
1NBP=ION N.OTI.CE
City of Tigard Building Departaont
13175 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bucinesn Phones 63171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. P.lbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam !tech. Rain Drain Insulation -Plunk.
Plbg. Underfloor Water Line
EYP• 9d• -Mach.
Data Requestad/t �l TLOet n 11M PM
Addresn:____`I� �L `jam [ Permit Ot
Builder:_-
THS FOLLOWING CORRECTIONS ARF REQUIREDt
Inspector:_ Date:j U
V APPROVED --` - DISAPPROVED `- APPRow?n SUBJECT TO ABOVE
—_.-Call For Ralnap.
Nu^PECTLON NOTICE
ny
City of Tigard BvildiDepartmeot`��
13125 8ft Bail Bird_ Tigard, Oregon 9722
Inspection Gine (Ree-O-Phone): 639-4175 Bueines� Phon s 639-417].
Inspection:
Footing Plbg. Undersla Nech. Rough- —!fpr/sdwlk
Found. Plbg. Top out -"Gas Line FINAL-
Post/Beam Struct. San. Sewer t=aming -Bldg.
Poe:/Beam Hrach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
gyp. Bd. -Meeh.
Date Requ.sted:_ '-1
PM
Addreset �? Il�� (_ "lt�(/<S L l�- '� Permit #i d ��j Z�o
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
le4 / LC7
Inepecfor: �
-------- bate r
-APPROVED DISAPPROVED APPROVED BUBJECT TO ABOVE--�---
-Call For Rein.:p.
JNSPEar ION NOTICE D
City of Tigard Building Department �
13125 SN Ball Blvd. Tigard, Oregon97223
InspecLion Line (Rec•-O-Phone): 639-4175 Buei.nean Phone: 639-4171
Innoections -- -- -�
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out t/ Gas Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plur&.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: �. _— _`Tin►es _ AM _ PM
Address: permit
7GS
—� �� ,
Builders
TBE FOILOWIMO CORRECTIONS ARE REQUIRED:
4
Inspectors __ v Date: _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
■ar �r sw mer +apt ws *ee � •�
INSPECTION EMIGE
t [{r
city of Tigard Building D➢epartawnt !A!
1311:. 914 Ball. Blvd_ Tigard, Oregon 97223 f
lnepection Line (Her-o-Phone): 639-4175 Business Phone: 4*19--4171
Inspection:`-- ----
Footing Plbg. Underulab Mech. Rough-in Appr/Sdwlk
Found. Plbq. TOP Out Can 'Line FINALt
.
Post/Berm Strutt. Ban. .war Framing -Bldg.
Poet/Beam Hoch. in Drain Insulation -plumb.
Pl.bg. Underfloor ator Lin Gyp. Rd. -Koch.
Date Requested.
Tiat —.)-4—AM PM
Address:__._
Permit 1t
A
Builder:
THE FOLLOWING 0ORPAt IONS ARE RIWIREDt
Le
In• tor,_ bate
_ --- --- --
_-APPROVED e DISAPPROVED s_— APPROVED SUBJECT TO ABOVE
C
Call For Reinsp.
V
1NSQECTION—NOTICE
city of Tigard Building DePartasenl
13125 b11 Ball lvd. Tigard. Oregon 97223
Inspection Line (Rec-O-P e)t 639-4175 Business Phone: 639-4171
Inspection: --
rooting Plbg. nderalab Nech. Rough-in Appr/Sdwlk
Found.
Pl.bg. Top Out Gas Line FINAL:
Poet/Beam Struc^t, San. Sewer Framing -Bldg.
-Plumb.
Post/Beam Hwch. Rain Drain Insulation ii
Gyp. Bd. -Nech-
Plbg. Underfloor. Water Line
_a _Time: AN --1-- P14Date Requested: 7
Permit
Address:_ ki
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
�/
/ '4 7
Inspector: -54- Z Date:
_JAPPROVRD DISAPPROVFD APPROVED SUBJECT TO ABOVE
Call For Re i.nap.
a
INSPECTION WYr1gN
City of Tigard Building Departaien+._
13125 861 HallBled. Tigard, Oregon 4723
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
1:nopect ion:
Footing Plbg. Underslab Mach. Rough-in A
9 ppr/Sdwlk
Found. Plbg. Top Ouc Oaa Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Hech.
Date RequestedeJ �>
�! � Timet _ AM PM
Address:_ �2,�, — Perm t #t ) 1
/i)
Builders
THE FOLLONING OORRECTIONS ARE REQUIRED,
7v
Inspector-____
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
M
J1 E�C'f ON NOTICE J
City C,; Tigard Building Departaent
)l125 Rft Ball Blued. Tigard, Oregon 97223 %/t>�✓�
Inspection L.i:.;e (R c-O-Phone)s 639-4175 Business Phonet.r9-4171
Inspections_--_��.- --�-- _--- --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out :;as Line FINALS
at/Beam etruct San. Sewer Framing -Bldg.
at/ebam Mech. Rain Drain Insulation -Piumb.
Plbg. Underfloor Water nLine Gyp. Bd. -Mach.
Date Aaqueated:_�- `" Time: _AM PM
Address: 4' Permit is
Buildor: �� --_-_—
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
]nnpn t o - -- -------- Dat
ei 31l -71
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Deparfnent
13125 SO Bell Blvd. Tigard, Oregon 97223 k
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 39-4171
Inspections_ _- ^��-- --- -- -
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas line FINALS
Post/Beam Struct.. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
D_0-rWater/ Line gyp. Bd. -Mach.
Data Aeq�-w�
1t_L -330 -42I -- Times AM PM
.
/ �o--C_.3t�
Address: Permit �t
00,
Builder:
THE FOLUOWTNG CORRECTIONS ARE REQUIRED:
Inspector:
� PPROVED _ D4SAPPROIED APPROVtD SURJiSCT TO ABOVE
' Y� Call For Reinsp.
INSPECT101H NOTICE ;�
City of Tigard Building pa
13125 SW Hall Blvd. Tigard. Oregon 97223 �(`T
Inspection Line (Rec-O-Phone): 639-4175 Buninena Phone: 6-41-4171
Inspection: --
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. ) Plbg. Top Out Cas Line PIl1AL:
Po3t/Beam Strict. San. Sewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meth.
QV
Dat.® R�g<sesteds Time.
AM �_PM
res /
Adds sae: .L_
V /P�armit : )
Builders --—--
THE FOLLOWING
YXCTIONS ARE REQUIRED:
Inspector: Date:.
'APPROVED t�T'�A{'�'FT?'�F.1? APPROVED5 UBJECT TO ABOVE
Ce U For Relnep.
INNgPECTION NOTICE
City of Tigard EAsilding IDepartJORnt �✓\ i,
1]125 BA 6x11 Blvd. Ttgard, Oregon 97223
Inspection Tine (Rec-O-Phone): 639-4175 Business Phone: 6 4171
Inspections—
�Fo-o-t-i-ngg Plbg. Underelab Much. Rough-in Appr/Sdwlk
Fri nand. Plbg. Top Out Gas Line FINAT.,
Poet/Beam Struct. San.. Sewer Framing -B6dg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Koch.
Date Recluesteedds _Times
Addresserm #s_�� ' [J
BuildersTHE FOLLOWING CTIONS ARE REQUIRED:
«_ L-
Inspector:___ I ,/ _ Date: _
APPROVED IDISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
MASTER PERMIT
CITY OF TIGA RDI::'C�Fti`!'fCff 0FTLARDT' MS
#.,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED, 01/09/9-1
13125 SW hall Blvd. P.O.Box 23.197,Tigard,Oregon 97223 (So-,i)6394175
P A R C E I PS 1.1..1.C., 8 f
ZONING: R-7 PD
OT. . . . . . . . . .
B U I L D I N G
Ltil SSUF: DWIE LI ING UNITS.- J. POSEN[:NT. . . . . . . .. .0 f
t',U)S5 C)F' WORK. "NEW VEDRMS:4 PATHS:3 GARAGE. . . . . . . . . . ..430
TYPE: Or-' USE. . . "SF F-A.-OOR ARF,-*fl�:)--''-"----' --."--"""-- REQ11IRED
YPE OF (,UNST. -.511 FIRST. . . . -948 S f LEF"T. ., "5 ft RIGHT. : 18
ICCUPANCY GRP. ".R3 SE-COND. . . "88P Sf F'RONT'., ".R0 ft R1_AR. 30 f
i U f REC4U I
..;T o R I F:s. . .. . . . . I H f
TO 14)L. 1.8 3 0 f ',3MOKF.-.: !Y
IE 1671.41, "20 f t-. 9:1.920 PARKINP, SPArES. . tO
A.-OOR I OAD. . :40 psf VALUE. . . . . $
Remo r 1-•si:
PLUMBING ...................... ...........
0(: R 1)R A 1141.3 . ..0 D A C'K F'I_0 W PR L,V 11TR
L..A V A
WATER HEATERS- -. 1
TO RU E S., 4 TROPS. . . . . . . . . . . . . . to
IA 0 W E'R S 1 A 1.)N 1)R Y TR A Y G 0 CA 1*(*,IA B AS IN E3., - -, - - , - :0
W()I*r..F;., CLOSETS. » 93 SEWER L.1NE (ft.) . :0 GREASE' 'TRAV:'S. . . . . . . .0
D I'SHWASHERS. . . . .. I WATER L.1:N E (ft:) - ' 100 0 11.1 E R FIXTURE G.
(4 A R P 0(3 E 1)1 S P. . . o :1 RAIN DRATA-4 (ft) .
WASHING Mf)(.,H. . . *- I RAIN DRAINS,, - I-_`EES ................
• NECHANICIIAL t,y p 0 anlcmmt byciate r(-.r c:11)
L)11 T T H T R 13- �. ",(a
rinym $ 100. 00 31-1.4 10/09/90 20559,�,
G A 9) VENTS -.0
IMAX 1111*11JI !:01 141 U klE N T F'()NS- - :3 R T 1, 409. 0(8
ru,RiA < 100K HOODS. L 265,, 8`7
F*UP.I,l ) -!100K 0 W 0 0 r)s1'0 V I.:-,C; a0 P51:1(', C'_(8. 4 15
F:'LOOR FURN. '0 CA-0 DRYERS- a I STD(' 600. 00
POIL./cmi", < 31AP
GPS OUT LEJE39 :1. PARK d~ 500. 00
ITIPRT 911 3(,. 00
ROYAL.. OAKS DEV- (,0-- 11 P L CI 11 9. 00
9''i41. S W 1 N E 7 ST MSP(' 4i 1.. 80
P P R T 1i 1.47. 50
OR 971.224 P5 7. 38
if: 639--4869 POYM f 2.27 1. 98 JLH 01/09/91.
C,0 1.11,r i,k C,A;(Ir
F.,OYAL. OAI,',S DEVELOPIlf-i'N'T
r1741, SW INEZ STPUl"J
IJUARD OR 97224
e q 0 67 111
TOTAL
This persit is issued subject to the regulations contained in the R EQ U I R E D INSPECTIONF.-)
Tigard Municipal Code, State of Ore. Specialty Codei and all Other F'c)at/fr.)Lmd '[lisp Ilechalli.t.!A] 11-15P
applicable laws. All work will be done in accordance with approved Wt-r P-rcmf irig LASM PILti-.!b Top ()(.t-t
plans. This persit will expire if w00 is not started within 184 post/Ream Strt.tet FriAmi-Y19 111SP
days of issuance, or if work is suspend 40 for more than 189 ays, v,ai4t/Peam Mec.Ji.-Ari Firep.lace rrm
C,-I,a W 1 1)'r wA 7.1'1 G a(i 1...1.1.1 c., 1.1'1 ti r)
-P7_ P1n)/L1V1VS1.,Rb Tnsp I ri si t, I i4 t;i 0 1) 1 1)
o r m i t.-I t t-I FA P L M/U ii d e-r f 1 o o r Gyp Fjcja'rd Tiisp
P
's
D.raiii 14smIt Rain (1-rr.4ivi
S4 v�fl
C;,..Al 1. illspertiaii -- 639 4175
SEWER CONNLCT10H
E N 11.1. T
CITYOF TIGARD 4ER11.11' ##. . . . . . . a SWR90-0378
C"�ceveoN
COMMUNITY DEVELOPMENT DEPARTMENTT
13125 SW HvJI 8W. P.O.Box 23397,Tigoud,Orern 97223(603)909x175
31'VE ADDRESS. . . 9765 SW OAKS L.N PARCEL: 2S111CA—SF'4#3
SUDDIVISION. . . . z z 0 14 1 N G) R 3. 5
PLOCK. . . . . . . . . . a LO'T.. . . . . . . . . . . . .
1'ENAN,r
L)GA -43141 FIXI'URE UNT*TS. . . C
CLA(Ss C,)F!* WORV. — N E W DWV] L J*I-I Ci t]N T*r S. . n 1.
'T'YPE C)F' (J S E. . . .. . SF NO. OF:' [IIJILD.'INGS.- I
1N S T A L I TYPE. ::FS(J!3WR IMr,'ERV S(.JRF--OCE. .
F"e III a r k s
)wrier.- F:'EES .............
R(JYAL OAKS DEV. CC). type 11100.(1-11 lay date r e a p t
'':1!`.14:1. SW I N E Z S T F.,R M'T' $ 1.500. 00
TNSF, $ 3r.'j. 00
"r:r C-j()R D 972 t?4 PAYM $ 1. 35. ('10 fl..H 01 (!9 19 1
f41t:)rie 0., 639-4
Ccl
)vtrat c.,tor.- ,
CON1*RAC1'OR NO'T ON F'1LE
t"'11 r-I 1-)(2 0 $ 1.5315. 00 1,01,AL
...............--- RECIL)IRED INSVIEC"'110145
This Applicant agrees to comply with all the rules and regulations Sewer Irispectiaii
of the Unified Sewage Agency. The permit expires 128 days from
the date issued. The total amount paid will be forfeited if the ..........
peripit expires. The Agency
y does not guarantee the accuratheY of th
side sever laterals. If the sr is not located at the measurement
given, the ins,aller shall prn 1- 3 feet in all directions from
the distance given. If not so I ited., the i�istaller shall purchase
a "Tap and Side Sever" Permit and the Agency will install a lateral.
........... ...... ...........
1:.f-r III!i t t e e 9 i.q n a t.t r e
I SSLted By. ...... ....... ------
I -far itspectiort 639-4175
LIF* JACARD RECLIIPT OF PAYMENT RECEIPT 1,10. f 91 -2084r
CHECK AMOLIN'T
NAME a ROYAL OAKS DEVEI-OPMENT GAbIA AMOUNT
ADDRESS a 9541 �.3W INCL PAYMENT DA UE
BUDD I V 1 09 1.ON
T I UARD, OR 97 724-- 9765 SO) 0Ak.8 LN
PIARNISE OF PAYMENT AMOUNT FA I D VURPOSE OF PAYMENT AMOUNT PAI(I
7E -- —9 14 7.5 o
FJU17D-i N G FW4 P�-,T 0-032 4-69. PLUMBING PERM
ME C.,HArIJ CAL PE 0,6. ST. BUILD PF'P
PLAN CHECK FE 1,7 4. 85 SE U3A (X)
SEWER INSPECT -.75.00 STREET SDC 600.' 0
PARKS SDC STORM DRAIN SDC :7.75.
IDTAL. AMOUNT PArD 3R06.98
CoRYOFTWARWn
"M&w.►aa ewd PINC7C/I?FJCT #
P.O.Sac 21397
rmjaa ate«,oma PETd4IIT � /.�J 57' leu
COMMUNITY DEVELOPME1 IT DEPARTMENT" Iso3lo39�m
DATE ISSUED
JOB ADDP.ESS: �/�S �ri�(� l__ _ TAX MAP/Wr CA J/- //Che 3
IE3: _;,lf •i( L`,r2 eA4q ( 117T: 1AM USE:
VALUATION:
OAINE P SPECIAL NOTF-S
NAME: ') rf ► K OF V CI_(4")tUy r _ REISSUE OF:
ADDRESS:-1 .`��l 1— S.�. 1/y�7 57-- 7/9##er4 0Q T1,ST RELa`'gM --
_ _-- 9 2-111 _ FLOOD PLAIN/
SENSITIVE MND:
111ONE: .1 60
—- APPROVALS LZWUT M
CON"IRAMUTZ' PLANING: _
NAME: .J r 1 �+ ENGINEERING: _
ADDRESS: v F312E DEPT
--- ODIFI2: �_ e
PHONE: ITEMS EgnmM_
BU)IDEP-S HOARD 1: _" r= EXP LATE: " '7' LIST/SUB0,KTRACTIORS:
n _ BUS M%X: —
ARCTi/ENGTNEIE2 / c- / ) CAT CULMIMS:
NATE: MUSS DEMIS:
ADDRESS: OUMIZ: --
PHONE: -
CCM*-VTS:
MAMMS. —PLUM: ME.H: 1 (4 1 C [,L' V 7 'I
PEI UT I MOLT # DS9CItIPIIcu AMOUNT AMOUNT PD. AAL. DUE
/►►51 u-Lj;tv 10-432 00 Building Permit Fees -, _ ,c v
10-431 00 Plumbing Permit Fees Y y J, 5 v /d 7. �,-v
10--431 Ol Mecbanical Permit Fees v,.' do,
10-22-0 Ol State Building Tax (5%)
Building • V s- v "
Plumbing 7, -3,r
10-433 00 Plans Check Fee ✓ � M •7g! i'
Building es"
Plumbing
Medi
()31830-202
()31830-202 00 Sevxs OLTmecti_On 1? u /310
30-444 00 Six Inspe Cti-an )--_ 3>.
51-446 00 Street System Dev Charge (SDC) toy u v L'
52--449 00 Parks Stem Dev Ci>axge (PDC) 02-150 :iilr` Zz'
31-450 00 Storm Drainage Syst Dev Clu_g (S'SDC'j� 3
10-230 06 Fire
� /�'�" 3fi`G �?
APPL.TMW SIGMAIUtE
Received By: -�_ _ Date Received:
..e:f/3587P WPF
GRADIN :/EROSION CONTROL INEORMA'1'I�1
GE AL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
1 ` 11 " P ln5.✓T PERMIT NO.:
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR tri r�C `r C!t i'.•� �• i1 L
NAME& ADDRESS:
OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS:
APPLICANT'__ c'-J`/ - y L, `j PROPERTY DESCRIPTION:
OWNER` 19�9 i -g & STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR-
EXCAVATION
ONTRAC TOR:EXCAVATION CONTRACTOR:( 'j `--�/ _ --
SITE/JOB:
LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,IITI..E,TEE.IiPHONE: I/4 SECTION:
SITE SIZE,ACRES:
LOCATION&ADDRESS WHERE SPOILS DISTURBED/WORK AREA,ACRES_
-
LEAVING SITE WILL BE SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTr-:PMmrm MAY BE REQUIRED) CATCH-BASIN DITCH PIPE CREEK
7,17 _
(CIRCLE ONE) PRIVATE PROPERTY
TUBLIC.RIGHT OF WAY
EROSION/SEDIMENTATION C)MRMEMMEANIRES
MINIMUM ESC REQUIRE-MENT'S MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RLINOITCONTROI., FACILITIES
CLEARING AND(.TRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL.PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVF AND WILLCONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SF[,PIMFNT ON THE CONSTRUCTION SIl'Iv.
OWNER SIGNATURE APPLICANT Sl(,NATURF
OFFICIAL USE ONLY.
RFCEII'T
NUMBER
ITT, ACCEPTED
- ---_- RECEIVED BY
--- —
i
:Iry OF TIWD - RECEIPT OF PAYMENT RECEIPT 40. .94-W594 I"
CHECY WMT ; 140.00
NAME s ROYAL OAF; [,FV ELOPIIENT Iii MOMT 0.04 i
pnDaE55 ; PAMENT DATE : 10/lei/R0
SUDDIVISIDN s I'
TIQARD, OP 87;2:4- LOT ' SATTLEM, PARK
PIMPOK OF PAMNT AMDUNI PAID PURPOSE OF- F'AK.NT AMOUNT PAID
ptCHECK FE 10-12R - 1+14.QQ ._...._..._ -....�
i
t
TQ1Al AMQUNT PAID - — IM400