10825 SW NORTH DAKOTA STREET 10825 SW NORTH DAKOTA STREET _
CEPTiFICATE OF
CITY OF TIOA RD cnyOC(.,Ur-,ANt..'Y 14qT916--0247
COMMUNrTY DEVELOPMENT DEPARTcmMENI L40ON ► #. , . . . . .
13126 SW Hell Blvd. P.O.Box 23307,TigaM,Oregon 07T239 t6031609 4176
ITE ADDRESS). . . 1 1.04325 SW NORTH DAKOTA ST PAPCEL-. V;1.34DA-01900
1:3)USDIVISION. . . . a ZONINC-3; P---4. 5
VALOCK. . . . . . . . . . : LOT. . . . . . . .
--l-ASS OF WORK. vNEW
TYPE OF LISE. . . :SF
OCCUPANCY GRP. cR3
c".r .1
.UPAIACY LOAT)i,7:00 4
TENANT NAME. . . :
Remarks .-, Rear dour to r-eglikill blor.kecl %ho.tt until deck flas bee"
Own 0 r g --------
TODLI & KAT WOODS
10375 SW NORTH DAKOTA ST
TIGnRD OR 97223-0000
503-639 71037
ARAVE LOIASTRUCTIO14 CO
12270 SW SUMMFRCREST
T103ARD OR 97223
Phone #: 503--639--7380
C)C::CkIp&VIeV of the A rem-ed builclin�l
t)ClVe r-lefF.1 is hereby gjivPll, alld c-Ot-tififS
the cull pliance with the State Of Oregon Specialty Codes for- thff Uv-01.kP-
acc,upenry, and uie under which thf- v,flfPv-"acrd Permit WiPs iss"ed.
EAJ
HI.1I1..Q1 Ci bFF IC. L
P13ST M CONSPICUOUS PLACE
VOLUNTARY COMPLIANCE AGREEMENT
We, `c-,�? and � j[�/ C `L lclagree to provide
Todd Wood Kathie Wood
a paved driveway to serve the residence located at 10825 SW North
Dakota no later than March 31, 1991 . We acknowledge that 1) the
temporary occupancy permit issued by the City of Tigard will expire
on March 31, 1991, 2 ) we must apply for a street opening permit
prior to installing the paved surface, and 3) failure to comply
with this agreement constitutes a Class 1 Civil Infraction which
may carry a fine of up to $250 per day for every day the infraction
continues to occur after the above date.
i F
Todd Wood Date
T(At. ie Wood D&te
-zv
Vi Goodwin Date
Code Enforcement Officer
Iff"A ION NOTICE
City of Tigard Building Department
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)= 639-4175 Rusi.nens Phone: 639--4171
Inspections
Footing Plbq. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet 3m Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water
Line Gyp. Bd. -Mach.
Date Requested=�_L`I�
Permit
Address- �� V1 V � Q
Builder= G�p,pclr 1 \� CL�I�4
THE FOLI.Ol1ING CORRECTIONS MM REQUIRED:
7�`-C'✓�.� 1�AT1 d r'1.�c��� � $o �Tx'70�v� ,<j�, b�-�.i�r�
n.l i s 14 r'7 AL->i ni o !,!m r e�D�/c ,e?'T" i T i r '_
f7 ��
Inspectors _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Roinsp.
Y
-I- X990
It ry)o 1- . C csy1C e-V'Y1 ,) -
v 4-h e-- C key Di -T 90, ra
Y
and. 4 aoA e_ �000C� , she,
C)wr)Aers a� Iana5 S. W
der' v e�v0.�II wi 4.e e x t n
r
oa d, axld v\. -e- w I-u Ivl5+0�
his why► -� ihe k phew i5 Oder av)O�
-t1-\ e. WQ.0.A�je v— pe y--m�j 4S L6 +!--) CSO
j:::)lR. ksc - Cho n64 Ise Sc� u-+e-, 1-v ca-vl
a.t X39- r7
r
Y n C Ute'1�21•''Y 1 .
i
�J
Q O ckal �
e
INSPEC' gN NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-0-Phone): 539-4175 Busineen Phone+: 639-4171
Inspections
Footing Plbg. Underslab Me^h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plamb.
Plbg. Underfloor (Water// !Line Gyp. Rd. -Meeh.
Date Requesteds �/ r/CO- 0 Tleieki
�l� _PM
r 7
Address:. .� S Q.�,- Fermf i d "L1,2.Y_Z
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V �
Inepector: - -_ Dates1/
APPROVED DISAPPb`OVED APPROVED SDB"CT TO ABOV2 I
Call For Reinep.
i
INSPECTION NOTICE ,
City of Tigard Building Department 1� y
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _ ----�
--�/�__, Time A.M.— P.M.
Date Requested_—[--==�— / Permit #�&Ufy =-
c 1
Address rz
/D .� A/� � 17Q kv��. .�•`5
Lot #..
Owner
Builder _ ----
The following Building Code deficiencies are required to be corrected.
---------------
i
I
y6"
- - -- _ ppioved
Presented to
I Disapproved
Inspector
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 6.39-4175
Type of Inspection
Date Requested me , A.M. P.M.
Address .-;Mit # Q �
Owner _ Lot #
Builder
The following Building Code deficiencies are required to he corrected:
Presented to Approved
Inspector `4 ❑ Disapproved
Date
CALL POR REINSPEO�10N
0 YEA D NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested_ Q _ C� me _ A.I� ��_P.M.
Address —S � � %-
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to __ _ _<JApproved
Inspector` _ Disapproved
\�Date
CALL FOR REINSPECTION
❑ YES C NO
FARM
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 972.23
Phone 639-4175 1
.-�. � �l r t/ .1
Type of Inspection �-� � , ,
P.M.
Date Reyuosted
_ it a 7
�y
Address Z e" cd, -22 Perm
Owner LM #
Builder wzl�u�ct ---
The following Building Code deficiencies are required to be corrected:
A;.' IS i _T G a�l 144 Z tr2 L= "-✓. t�
7llv�7_f�,�ye�hL e-
-Fe, sti n U M _-VT_Kprs
✓'�L-L- D,r� [J N/Jtj
�
Prespnted to *Approved
Inspector �' r� Diwpproved
Date
CALL FOR REINSPECTION
Q YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested
Address Permit #
AC
Owner Lot
Builder
The following Building Code deficiencies are required to be corrcated:
Presented to Approved
Inspector isapproup(l
Date
CALL FOR REINSPECTION
ED YES F-1 No
i
INSPECTION NOTICE
City of Tigard Building Department }
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —Y
Date Requested__�Q:—3'�9v Time_ _A.M._ _P.M.
Address Permit
Owner __ �_- _— Lot #
Builder .. —� —
The following Building Code deficiencies are required to be corrected:
of -ra 0!150
L`fl'? e�LAG✓ c i7"
C
i
1
Presented to 'Cilzoproved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
[a YES ❑ NO
CITY OF T167A RD 111 A S7 E R P L R Irl I T
�"CIITYOFTWARD P-E R 111 T' # 11'3 T'9 0 0 ii�-i'7
COMMUNITY DEVELOPMENT DEPARTMENT ORE
13125 SW rWi B". P.O.Box 23397,Ti OreWr; 97223 (503)639-4175 V,RI P1 PE R I"I I'T 11 S 0 9 0 0c'47
0//*;24/90
G 0 D 1)R C.
SW NUi-61--i PARCEL' IS134DA 01')00
C,
1)1.1 E'l DIv T 11310 N ZONING.- R--4. 5
BLOC,'K. LOT. . .
BUII DING ... ......... ................
REISSUE: DWELLING UNITS: 1 F4 A S E M L`N 1'.. 0 f
C"LASS (JF WORK. .IgL::W F4[.1)R 11 G. 3 EA A T'l 4,(.3 3 GARAGE:. . . ." 484 5f
T'Y PE OF' USE.. S F FLOOR REQUIRED 5 E'T Ef A C K S---------
T*Y v
.IE C]OIA'31'. SN F I PSI'. :G92 S f I EF1 ft R 1 G FIT'. 7
0C'1C,UPAN(,Y GNP. U SECOND. 936 f F R 0 N 1'. »65 ft R C.'A R :67
S
I'U RJA:.S., ::2 1'IA I R D 0 f F-4-U 1.)1 RE D- .....................
E- G H'T :20 -F t ISMOKE:-
S f D E'VE UFO R S Y
F,1 0 0 R L 0 1) ::40 ps f VAI U 1.`*.*. 77088 F'()R K IN 6 `A C,E S. 0
R oil)r%-r,P.%;;
_............................... PL U 11 B I N G ................................
5INK'S. . . . . . . . ., .. :: 1. FL C)0 R 1)F AI N3. . . . -.0 DOC.M.-LOW PREVN,ms. » c4
I 0V(VT'C)RIES. . .4 WAU,R HL'ATERS. . . -I J'RAPS. 0
111IVSHOWERS. » » » -2 1 AUHDRY ::0 (-)'T'C H YA AS I N S 0
WATE..R 13 ISEWER LINE (fit) -0 G R E 0 S E-:.' J'R A P S.,
WATER L..I: ft") 1.00 0'1*H E R F I X T U R ES 0
GI(IRBAGE D ISP. RAIN DRAIN f t) -0
WASHING IIACH. f.31'_` RAIN DROINE.), I.
MEcHANICAL FIEV."S
1.)1,1 IT, H*T R G -0 t Y P C2 aniot.trit 1)), fl,A t e
' 0. 00 JLAA 0-?/1.0/90
VENTS P A Y Irl 0
!1IAX I III P,U I .0 D111 V1-:N V FANS). 13 D P R T 9 367. 00
FURN < 100K HOODS. . . . . I B P L C 23A. '55
F"URIq >=!100K W D 0 1)"31,0 V;::'S -0 1431=' 8. ,:3,5
F'LOOR FURN. . . . 0 CLO DRYERS. M PRT' $ 36. 00
1.101L/CIMP O'THER UNI,rs-o 11 P L C $ 9. 00
GAS OUTLETS: 1. 1115 P U $ J . 80
Owile.r.. 1.4f)» 00
TODD & 1<01' WOODS P 5 P C, 00
1(%875 (3 W 14 0 R I H D 0 K 07 A G'T P A Y M JI.Ji 07122190
FIGARD OR 97223-14000
CA.11.1t r'!Actc),r .......................................
PROVE Uffiq',;T'RU 1,110 N ("0
1G'270 S W S U M M E R C R E'S T
UR 9*7223
Phc)vir 0.-. 503 639--7380
RE-P ................
817. '70 T*OTAi
This permit is issued subject to the regulations contained in the R EU 1.11 R EU I N S P E C,1*10 N S
Tigard Municipal Code. State of Ore. Specialty Codes and all other Foot/fOUrid Ivisp Meefiariir-ovI 111sp
applicable laws. Ali work will be done in accordance with approved Wt-r P-rc:)c)fj.l1q Fisill F.qLtnq) 'T'Op Out
plans. This permit will expire if wort; is nct started within 188 PUst./PeAni Strout.(Ct V -riini:i.vig Ilisp
days of issuance, or if work is suspended for more than 1JP days. POSt/ElPall) I'lonchAii Fi-replire .111sp
C:-r,a W I
11.1 s 1.11. Tvisp
I SS U P(1 14 PL M PU 1-1 d ey r f I c)cl-r GYP JHOA-rd 11.1sp
Ftiiq D-VAivi Psnilt Rairi d-rai.vi Irlsp
CaIJ fc)-r ills-Pecti.(ill 63'.':.•••41'7":i
w mutm
I TY
OF TIGARD PECEIPT OF F-WfMENT RECEIPT NO. 3 0-.2
CHECV AMOUNT : "1717.
AF AVE CONSTRUCTTON CO CNASH AMOLINT t ().C)0
J'270 SW GLJMt-lEPCREsT PAYMENT DATE i Q'7/24,!070
SUBD I V I f3 1 CIN
T1 CARD, OR 97.-f-'2- -41,:.Ol A
'.'.I'-;E OF F-AYMEN T AMOUNT PAID PURPOSE OF PA AMOUNT PAID
I.1. D I HO TERM MSTC,10-02471 16 7. (li) PLUMPING PERM 140.00
11;4lTFAL FS Z6. (W.) ST. 1.41JILD PEP
HEC'ft: FE .147. 55
,11,10LIIAT PAID 71 17.70
HISTORY: VIEW UPDATE DELETE ESC
Delete selected item
6AMASTER PERMIT`AAAAAAAAAAAAaAaaaaaaaaaaaAAAAaAAAAAAaaAAAAaAAAAaaaaaaAAaAaaaaAAC
:MST90-0247: PROJECT:WOOD STATUS:I : UPD:07/22/90: :JLH: °
PERMITTEE:TODD & KAT WOODS PRIM. . :MST90-0247: °
SITE ADDRESS:10825 SW NORTH DAKOTA ST °
66 CASE HISTORY AAAAAAA&Ah&h&&Agh&AAAAAAReq/SentASchd/DueaFnd/Doiie&&By&Stataaat
A705 Foot/found Insp 08/03/90 KS APP °
A707 Wtr Proofing Bsm,t Walls
° A710 Post/Beam Structural 08/10/90 KS APP °
" A711 Post/Beam Mechanical 08/10/90 KS N/A '
° A713 Crawl Drain
A717 PLM/Underfloor. 08/09/90 MS PASS °
A718 Ftng Drain Bsm't Walls
A720 Mechanical Insp
° A722 Plumb Top Out 09/05/90 MS PASS °
° A725 Framing Insp 09/11/90 KS DIS °
° A726 Framing <REINSP> 09/13/90 KS APP °
° A730 Fireplace Insp 09/13/90 KS N/A °
A735 Gas Line Insp
A740 Insulation Insp 09/13/90 KS APP °
A745 Gyp Board Insp 09/21/50 KS APP
aAaaaaaaAAaAAAAAAAAAAaAAAAAAAAAaaAAaAAaaaAAaaaaaAaAaaAAaAAAaAAAAaAAAaaAaaaaaaai
HISTORY: VIEW UPDATE DELETE ESC
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66MASTER PERMITaaAAAaAAAAAaAAAAAAAAAAaAAAAaAAaAaAAaaAAAAAAaAAAAAAAAAAaAAAaAAAAd
:MST90-0247: PROJECT:WOOD STATUS:I UPD:07/22/90: :JLH: °
° PERMITTEE:TODD & KAT WOODS PRIM. . :MST90-0247:
o SITE ADDRESS:10825 SW NORTH DAKOTA ST °
6A CASE HISTORY AAAAAAAAAAAAAAAAAAAAAAAAReq/SentASchd/DueAEnd/DoneAhByAStatAAab
A705 Foot/found Insp 08/03/90 KS APP °
A707 Wtr Proofing Bsm,t Walls
A710 Post/Beam Structural 08/10/90 KS APP °
A711. Post/Beam Mechanical 08/10/90 KS N/A
A713 Crawl Drain
A71'1 PLM/Underfloor 08/09,/90 MS PASS °
A718 Ftng Drain Bsm1t Walls
A720 Mechanical Insp
A722 Plumb Top Out 09/05/90 MS PASS °
A725 Framing Insp 09/11/90 KS DIS °
A726 Framing <REINSP> 09/13/90 KS APP
A730 Fireplace Insp 09/13/90 KS N/A °
A"735 Gas Line Insp
A740 Insulation Insp 09/13/90 KS APP °
A745 Gyp Board Insp 09/21/90 KS APP
iA&A&AAA AS AAAAAAh AAA AAAAAA9j&&AAAAAAA AAA AA AA&AAhAA AAA AAA ASA AAA AfkAAASSAA AA&&A 1
HISTORY: VIEW UPDATE DELETE ESC
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6AMASTER PERMITAAAAAAAAAAAAAAAa7AaaaAAAA AAAAAAAAAAAASAAAAhAAAAAAAAAAAAAAAAAAAC
:MST90-0247: PROJECT:WOOD STATUS:I : UPD:07/22/90: :JI,H:
PERMITTEE:TODD & KAT WOODS PRTM. . :MST90-0247: "
SITE ADDRESS:10825 SW NORTH DAKOTA ST ^
66 CASE HISTORY AAAAAAAAAAAAAAAAAAAAAAAAReq/SentASchd/DueAEnd/DoneAAeyaStatAAAC
A755 Rain drain Insp / / °
r�
A799 Building Final 11/30/90 KS DIS
s
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6AMASTER
:MST90-0247: PROJECT:WOOD 3TATUS:I UPD:07/22/90: :JLH:
PERMITTEE:TODD & KAT WOODS PRIM. . :MST90-0247:
SITE ADDRESS:10825 SW NORTH DAKOTA ST
Cha CASE HISTORY $fi$$$$$$$$$$$$$$$$$$$$$$Req/Sent$Schd/Due$End/Done&&By$stat$$$C
A755 Rain drain Inep
A760 Water Line Insp
A765 Appr/Sdwlk Inep
A795 Mechanical Final
A'797 Plumb Final 11/16/90 MS PASS
A799 Building Final 11/30/90 KS DIS
W W1 WX W
CITYOFTIGARD
BUILDING F'EII*I7:r
CY TA
T0PERMIT N. . . . . . . B J F"9 0 % i )1:l
COMMUNITY DEVELOPMENT DEPARTMENT -•0198FFxpl. FER* IT 3
11126 SW Hvl Blvd. P.O.Box 23197,Tipud,Onpon 97223 (603)W" .. �
71. DATE ISSUED: 07/11/90
0
9J.''TE: 0D DRESS. . . « 10825 SW NORTH DAKOTA ST F'ARC:EL« 1S134DA--01900
SUBDIVISION» . . . : ZONING: R--4 `:;
BLOCK* . . . . . . . . r A LOT'. . . . . . . . . . . .. . „
REISSUE« FLOOR pREAa-- - -- - -- EXTERIOR WALL CONS'T'RUCTION__
CLASS OF WORK. :DEM F IRST. „ ., ., : sf N: S: E« W«
TYPE OF USE. . . :SF SE:C:OND., ,. . sf PROTECT OPENING:"'TYPE OF'OF' CONST. :5N THIRD. . „ .. r Sf N« Sa E W'
C)CCUPANCY GRP. :R3 1'01 A1...- -_.._._ « 0 sf ROOF CONST: FI RE RET?
OCCUPANCY LOAD:: BASEMEN'T. : of AREA 3EF'. hA'T1:1)^
STOR. a FIT. . ft; GAF<AGE. . . : sf OCCU SET'. RATED:
BSIIT?: 11EI:Z'7« REQD
I-'LOOK LOAD„ . . . a ps>f LETT,. ft RGHT: ft FIR SPKL: SMOK DE.T. . :
DWELLING UNITS: F"RNT« ft; RE AR: ft; FIR AL..RIIIa HNDICP ACC:
BE:DRr15x BATHS: IMP SURFACE: I'RCl CC)RI,; PARKING:
VALUE::. $« 0
Rema-rks: Sewer to be eapperlw All debris to be -removed.
O w i•i a•r:
TC)DD ti KATHY WOOD type anIOU11t by date recpt
1087r.5 SW NORTH DAKOTA i."RMT $ 15. 00
5PCT $ 0. 75
TIGARD OR 97223 PAYIII b 15. 75 J'I._H 07/1.0/90
Phone N«
Curit•raicto'r .. _..._._.____.._.__.__..._.._..........................-
(:)WNE:R/CON'T'RA(:TOR
one to $ 15. 75 TOTAL_
Req N. „ OWISIla:r
................ REQUIRE-1) INSPECTIONS _... .__...._
This permit is issued subject to the regulations contained in the Foot/fot.trid InF>p Water Line :Comp
Tigard Municipal Code, State of Ore. Specialty Codes and all ether Post/Peam Insip Appr/Sdw:tk. Ii•isp
applicable laws. All work Mill be done in accordance with PIM/t.tnds;lab Insp Final Tvispeetiori
approved plans. This permit will expire if work is not started Mectianieal Ii•isp ...........__....._,,,-_..............................
within 198 days of issuance, or if work is suspended for more f'lni top•-ot.tt 111sli .........._......
than 188 days. F•r a m i n e I ri s p -.__._.-.._..._......_.__....._.._...._.......
i•r e r!i a e e T.n s p _. .. _._._.
Gats Line Insp
1:i1 s t.(l a t:i.U i1 I n S I:) ...._.....------_--------_..................
_
r>ea-r m i.t t ea P +.S i.q i1 S t u•r e: ��...... Gyp B o a•r d Insp ....._........._..........._..._.._..._—.._...........
Sewer :rasp
T s s t.t er d Ely: _....__ .._.- R a i.n d r a i ri Iris p
C.;all fo-r insper..ti.on 639 4175
WEI
:IT''Y OF TIGARD RECEIPT OF PAYMENT RECEIPT MO.
[JAECt-. AMOUNT
I.TAME~ s DOOR. KATHERINE E CASH AMOUNT s 0.0
ADRESS 10875 SW NOPTH DAi--,'O'TA STRL".ET PAYMENT DATE s 1) 7/ 11/90
SUBDIVISION
T " fiD. Fjp 9'7227---
PUPPOSE OF PAYMENT Amoutir PAit) PURPOSE OF PAYMENT! AMOUNT r-`PiI0
BUTLDING PERM t5.0)
I.
I II
sUP90-01W!
T(DTAL AMOUNT PAID E`;. 01)
W W.1 WX lw IW sir ia► e[
CITY OF TIG;A RD PLAN cuD AI'PISC�YTION
13125 S.W.11x11 Blvd
P.o.Boy.23397 PLAN ;.1 ilxic ,� � ._ �
�/ mord,orepon 97223 PEWLICT # _m:!"�� ' y 1 Y 7
COMMUNITY DEVELOPMENT DEPARTMENT (.503)639-4171 DATE ISSUED
JOB ADDRESS: If�;�_ 5!:j, iUf_LI.ji_�� — -,%x MAP/Lor ',I
SUB: _ Lor: -, __ LAND USE: —
VALZIAZZON: `" �7y rYf� _�.�--
C R SPOCLAL NOTES
a O REIS:IE OF:
NAME:
Arf)RE.'SS: _ io S 7�- CTS KoT LAST REISSUE:
FIMD PLAIN/
SE9SITIVE LAND:
PPF{o M RFJ k RFD
PLAMM C;: --
NAME: /4 VAC CC>A)S 7—edfTT0 j C(n A-1 U-I ENGINEERIM: --
ADDRESS: _/22-7n .S u/ �`u�, Etc r�ST �- FIRE DEPT
T/6��1Z- v�ecr�n g 7223 cqum:
P1'DNE: 7 3 8 0 ITEMS RN7�)f IIRED
—
BUIIDERS BOM 1: EXP DATE: — T=/ • — —-
BUS TAX: _ --
i� CADCU ATIONS: --- ----
_. NAME• cn�'l R^C-T O X _ 111W DLMU r S: --
ADDRfSS: _ OTHER:
PHONE:
SUBOON`MCPORS: PTJ": Iry ili -�; ME)CM: AMDUNr BAL. DUE
V1�2MI'r �' ACCrAMdP �
10-432.. 00 Building Permit Fees �-
_ 10-431 00 Plumbing Permit Fees _1_lo
10-431 Ol Mechanical Permit Fees
10-2.30 01 State Building Tax (5%) ! - —
Building 19,35 -
Plumbing
$, 35 -Plumbing 1, U O
Mech _ / S-()
10-433 00 Plans C W?ck Fee q I. �-' -S
Building
Plumbing
Meat
30-202 00 Sewer C61nection
30--444 00 Sewer IrnPectiOn I r
51-448 00 Street System, Dev Charge (SDC) - t`t+-
52-449 00 Parks System Dev Charge (PDC) .s v
31-450 00 Storm Dra i llage Syst Dev C" (SSDC) .3 ,75
10-2.30 06 Fire
/ REC
_ -
kCW�rSiGwai!w;
Rexx--ived By: =-
Date Received:
ef/3587P.WPF
1
T11A"i
GRADING/EROSION CONTRQl, INFO R -A- TION
GENERAL_CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
/f/1.r4 Llc Co pus-rCo . PERMIT NO.: _ -
/:Z? 70 SA �, rk-i jpoc_or_S7- -
- 7-1 r,A a . D R, 172-23, - APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME&ADDRESS:
S4 nr- -
OWNER NAME AND ADDRESS:
TFIEPHONE NUMBERS:
APPLICANT: C 3 % - :2 �_ PROPERTY DESCRIPTION:
OWNER; r"3 2-- 5_n � '7 _ STREET ADDRESS AND CROSS STREETAIACATED
GENERAL CONTRACTOR: 69-R2- 7-110 ---
EXCAVATION CONTRACTOR:
SITEAOB;
LEGAL DESCRIPTION:
24 HRAAH'TER HOURS EMERGENCY TAX LAT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION__
SITE SIZE,ACRFSL- -N_-
_ W — DISTURBED/WORK AREA,ACL.'_:..
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:PFRMITS MAY BE REQUIRED) CATCH-BASIN DITCH PIPER $?
+` (CIRCLE ONE) I TE PROPER
PUBLL T OF WAY
ERMON/SEDIMENTAIJON CONTROL (FSQ MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACLL.TTIES
CONSTRUCTION SEQUENCE OTHER _
OTHER_ _
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH-MCHNICAL GUIDANCE HANDBOOK
EROSION CONTRO!,PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE INCLUDING EMERGENCY
PHONE.NUMBER, SCHEDIJLEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE S7 ANDARD NOTES.
I HAVE READ AND WILL COiAPLY WITH THE ABOVE AND WILL CONSTRUCT ANI)MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUk'TION SITE.
c .
OWNER SIGNATURE APP ICANT SIGNATURE
OFFICIAL USE ONLY,
RECEIPT DATE ACCEPTED
F-1V NUMBER RECEIVED BY
C17YOF TII ARD
June 12, 1.987 OREGON
25 Years of Service
1961-1986
Harry Randall
c/o Hank Dobbie
10775 SW North Dakota St.
Tigard, Or 97223
RE: Issuance of building permit tax lot 1S1 34DA lot 1901
Dear Mr. Randall. :
The Planning and Engineering Division have approved your
request to construct one single family residence on Tax Lot
1901 ( see attached map) . In order to prevent the establishment
of the house that would preclude future development options
for this property and those immediately east , the City will
require approval of its location.
The house location should not prevent any of the following :
extension of a private drive
cul-de-sac at the end of SW 108th Ave.
extension of. SW 108th to the properties to the east.
On the attached map, I have illustrated the area which is
not suitable for a residence at this time.
If you have any questions please contact me.
Since r ly,
Keith S. Liden
Senior Planner
c: Randy Clarno
Brad Roast ,/
file
dmj
13125 SW Nall Blvd.,P.O Box 23397,Tigard,Oregon 97223 (503)639-4171 ------ — - -
Install Gib L. r .
12" Conc. Sa2.90
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Approach for Tax TA LOT
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• Dedicate 10 ' FAX
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co Extend Existing Sew r
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T u MPORARY CERTIFIC(ATE
Of"r", 0 C(.:U V,A N C'Y .90
IIYOFTIGrARD CITYOFTWARDI PERMI T' #. . . . . . . V'(31 .-024*/
COMMUNITY DEVELOPMENT DEPARTMENrl
13125 SW FIAJI Blvd. P.O.Box 23397,Tigard,OMM g7pm(W3)6394176
I IS 13 4 D 0 0 W
CC,
SW NOk DOI" "S I
Z ON 1".N(3 R-4. 5
LOT. . . . . . . . . . . . . .
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R3
r 1.00D 2C-J4 4
OCCUPANCY FOR DAY'S FR011 DA11'.. OF
T S, U A N C E.
..........
11111 'T I I
ST
1223-0000 7
foi-, fl'UtCl TON CO
oA 1380
t;tie above referenced buildil"IR is hereby qiven, and certifies
t iix t 0 0 1 0 can r cS p F3(.1
jA,;y co(jes forthL- [I COUP!,
ttle f pre nced pe-rilli -t wtAs isst.ied,
rider Which
and use Lt
t I R
AISPE I
"(jf:TMENT
dc=--Cv.
DUT: J "4(3 o
p(jj;j' Im CONSPTC:UOUS PLAU
PL
^� / 13125 S.w Hon Blv� AN C'[U]C1C API'L1 C�T1
N-01 I T ®F T IFA RD P.O Boy 23391 PLAN CHBCX
tqa< )639-4m regm 91223 PEI3�'II,r �
�su3)a39-n
COMMUNITY DEVELOPMENT DEPARTMENT DATE I.S,cJ.M
JOB ADDRESS: /O a-2-S" S--d - 1012 e 7!H- L01<0724 —- M MAP/LOr —
SUB: L(7r: _ LAND USE: -------- ----
VALIIIMON:
OWNER SPECIAL NUrES
NAME: 7-0,D n SAT Y:4 W 0 0 p REIS� OF: _ --
ADDRESS: SCJ 6'7S'- if/Q 27-t A4)Co7-A LAST RELSSUE-: - -
___ F j00D PIAIN/
SENSITIVE LAND: ___-_----
PfJONE: -. - APPROVALS
0Qt1TVACMR PLANNING;: --- -
NAME: ---- p C- 1✓ 4 2 .
ADDRESS: --- - FIRE DEPT --
-- C1►17�iP1<: ----- ---
P11WE: --- ITEMS
BUILDERS BQARD I: -- _-- EXP DATE: LISr/SL8oW1RAC1WS:
BUS TAX:
21f2CI{/F�iGINUER CALOXATIONS:
NAME: __ _— TRUSS DETAILS: --_
ADDRESS: CMIER: - ----
cX7N`R�IENTS• --',�7��"�> � _ -L,,. ,��-t/ C" -_��"��-mss�-. --
IMOOMPACAM:• PLiMB: MDCIWH ----- ---- -
i'H7�MIT $ ACC'r I DE13l TLON AMaW AM7UN r PD. BAL. DUE,
_ 10-432 00 Building Permit Fees
10-431 00 Plumbing Pei-nit Fees --_-- _ —_
10-431 01. Mee-coni cal Permit Few __-------
10-230 01. State Building Tax (5$)
Building
Plumbing
Moch
10-433 00 Plans Check Few
Bui-lding --___---
Plumbing -_--
Mech _
30-202 00 Sewer oxu)ect ion
30-444 00 Sewer Inspection - � __--- ---
51-448 00 Street System De<7 Charge (:.MC) ----- _ -_- --.
52-449 00 Parks System Dev Ctorge (PDC)
31.-450 00 Storm Drainage SY-St Dev Ciirg (SSDC)
10-230 06 Fire _ --
RDC f
APPLICAUr SIQW11IRE
12eceivod By: --__-_-- Date Reoeived:
of/3587P.WPF