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10995 SW NORTH DAKOTA STREET m PAVEMENT RETURN DATA N0. SYMBOL DELTA ELEV V (D OCR 00000'00' 201.63 0 BCR 00'00'00' 198.67 1/4 22'30'00" 201.43 1/4 22-26'39" 198.73 z . 1/2 45000'00" 201.24 1/2 4w'a3'1 E` 198.55 3/4 67'30'00" 201.04 3/4 67'19'56' 198.26 ECR 90000'00" 200.87 ECR 90'00'00" 197.97 r, 2U BCR 00100'00" 200.27 �� BCR 00000'00" 19b.31 PAVEMENT RETURN TABLE' 1/4 22'30'00" 200.44 1/4 22''33'•21" 198.6444 z I V 1/2 45'00'00" 200.64 " 1/2 45 06 43 199.06 v � pool 3/4 67'30'00' 200.83 » DELTA RADIUS LENGTH ECR 900000' 201.03 3/4 67.40.04» 199.62 199.43 ' ' a rte+' y" •• n ECR 90 00 OU 'V 90' 25' 39.27' 3O BCR 00'00.00' 195.52 7 BCR 00'00'00' 199.20 .] Ito" - 25, min 1 4 22'33'19" 195.94 02'43'09* 199.38 •• 2� 90 25 39.?_7 / 8 1/2 05'26 105 99.7 cyee� fNt syn .► 1'- . Growl _ 1/2 45'06'39" 196.36 �- / � ' suer.&. Ata 30 90'13'170 25' 39.37' 3/4 67'39'58" 196.73 3/4 02'43'08' 200.04 0ee/detAc o. 44uked Depth' Provide Full width of ECR 90'00'00" 197.0? ECR 05'26'15' 200.2.2 Ingress/Egre" Oreo• ® 90' 25' 39.27' BCR 00100'00" 197.82 T 20' Min. for Single Family and Duplex kesiotntiol � �s9'46 35» 25 38.17 1/4 22'30'00" 197.651/2 45'00'00" 197.62 � TWORARY GRAVE. CONSTRUCTION ENTRANCE 90'13'250 25' 39.37' 3/4 67'30'00" 197.73 "' 9000'00 197.99 r n.t,s. ECR m Q 5'13'25" 222.23' 21.09' U 5'13'25" 222.23' 21.09' Swale or Ditch tt 0 U, AT;,H tsm-10 Ep RIM 177.66 Z� IE 1 C," 175.06 CTnRra laANHGLE N "tet SANITARY MANHOLE �'�` HIM 179.32IE Ira 10" 172.22 w saw Hey a SVow 1 12' on Center EI n IN7b68 3% Lr- , IE jUT 172.02 IE do IN 168.37 IE ti' OUT 16tt.17 CATCH bA,;IN NOTES: I �n ( RIM lo2.31 • Lmbed Nolea 4 to 6 inches in ground 0 IE 10. 179.31 F' Q • Drive Stakes( Minimum of 12" into Ground 5urtoco. I I �- FRONT CATCH BASINS PI-AN " ! I WITH STRAW BALES (TYP.) o I I z 2- 2"x2"x.3' Nea9 Loch Bale rt Ht!ITAnNt! Y ttH( LL_ RIM 1,ac.2d +� I IE 8" OUT 1&2.44 (11) -INSTALL SEDIMENT FENCE uvrigp Sao# I ► � AkFh JkAIN \ �� RIM 178.35 n r+I r. \ IE it;" Ira 17E,E4 ( W Sk 146 `l'� -- J IE 18' OUT 175.41 t�N) Q Q Q W Show bide 5rdi+nent blorriers �. �»� In Ditch" a Swalw ettw � n , STRAW BALE SEDYAW T SARMER I I -----_ 1e0 8 3--4EROSION/SEDIMENT CONTROL (ESC) L. T \\ I g o r'1.t.5. N0 11CrS: I i I a m p z N r I .�.._..,,_,".92 _ _ '� - ` 1. z � � � 1. THS. IMPLEMENTATION OF THESE ESC PIANS AND THE CONSTRUCTION I �"�'� �� L� 2 L� T 1 �,, `( 5 d a Z �0 o Q � � V) j Fyler hbrtc n,ar.rta .)r,- witl. rolls. MAINTENANCE, IlEPL.AC,E!l.�ENT, At+lO UPGRADING Of THESE ESC FACILITIES � _ -� ---- -- � --1 I 196 \� � ....� UM choles or war• rkW to attach 2" by 2" by 14 go. woo IS THE RESPONSIBILITY OF THE CONTRACTOR UNTIL ALL PUBLIC WORKS + 'ti't' '*' to1►ric or equiv. CONSTRUCTION IS CGMPLETED AND APPROVED. THE OWNER WILL, ASSUME ` RESPONSIBILITY SUBSEQUENT TO TV4E PUBLIC WORKS CONSTRUCTION. o r \ - - �, t . FACILITIES SHOWN ON THIS PIAN MUST BE CONSTRUCTED IN MLA _ _ I INSTALL STRAW BALE tit CONJUNCTION WITH ALL CLEARING AND GRADING ACTIVITIES. AND IN SUCH 2THE ESC FACI M.414NER AS TO INSURE THAT SEDIMENT CEN WATER DOES NOT ENTER INE o '- " " - SEDIMENT BARRIERS (TYP.) � sr� I ' r�lr 1x rt► DRAINAGE SYSTEM OR VIOLATE APPLICABLE WATER STANDARDS. 3. THE ESC FACILITIES SHOWN ON THIS PLAIT ARE THE MINIMUM 1190 2" by `_ w*W p-4-- •t°"dATED SITE CONDITIONS, DURING THE of rl.rw�ts �brM I I >� 'J T CONSTRUCTION PERIOD, THESE ESC FACILITIES SHALL BE UPGRADED AS cp ecR z+ez.56 �-� �' ��� NOTE: auttr oorrou or Fu.rER uArrRlAi_ NEEDED FOR UNEXPECTEp STORM EVENTS ANp TO ENSURE THAT SEDIMENT r INSTALL GRAVEL CONSTRUCTION �+ a• sr ,z• TnIHN(ti LADEN WATER DOES NOT LEAVE THE SITE. _�T I ECR 4+s�.60 ' I ENTRANCE Flllr t.i,.ic _--_--- r._-- r nr 4• b# 14 r 4. THE ESC FACILITIES SHALL BE INSPECTED DAILY BY THE CONTRACT;)R AND STATION 3+24.40 111th 8 O STATION 4+99.64 GENEVA 'SAN " - WN ++� . .•�o• � MAINTAINED AS NECESSARY 1'0 ENSURE;. THEIR .;ONTINUED FUNCTIONING. �� � - "�' ITAkY MniaHC LE S.W. GENEVA STREET _ ^� M 1 bb.57 - i _ ��_ f>iCR 3 1.40 - - -- -- N 89'37'24" E '' 1 IEl W 1 A2.22 -- 5. THE ESC FACILITIES ON INACTIVE SITES SHALL BE INSPECTED AND T _ _ '+ MAINTAINED A MINIMUM OF ONCE A MONTH OR WITHIN THE 48 HOURS 99.6" 4+00 3+00 z+oo 18 ,+oo +•-� I FOLLOWING A STORM EVENT. I 7 I+ t•w - �S 6. CATCH BASINS SHAH BE KEPT CLAN OF ACCUMULATED SEDIMENTATION I ''''' `'�':�=�" � _ - _ � „ - _ _..._` __ _.,. _..._..,,_��� _ _ • SE WENT FENCE DETAILS ��...`` ,.. Hetes. BUILD UP. ALL CATCH BASINS AND CONVEYANCE LINES SHALL BE CLEANED '--,T 9 .I LJ N 00'35'53" W PRIOR TO PAVING. THE CLEANING OPERATION SHALL NOT FLUSH SEDIMENT ECA 3+7 s4 N LCR 3+.75.s+ STa� +5 .51 G NEVA 42.14 r ^ Ur , LADEN WATER INTO THE DOWNSTREAM SYSTEM. S STA. 0+00 110th' \J J z �; t I O = 15.20'22" � -- 7. STABILIZED CONSTRUCTION ENTRANCES SHALL BE INSTALLED AT THE o R - 100.00 ...,. _. _ .�..� �. .� 0 I Q ' ` �• BEGINNING OF CONSTRUCTION AND MAINTAINED FOR THE DURATION OF THE � )T 15 L a 26.77' _ � < � PROJECT. ADDITIONAL MEASURES MAY BE REQUIRED TO INSURE THAT' ALL "' 8 U+ I I - .I '_l T 1 / h.' i D a 15'20'22" PAVED AREAS ARE KEPT CLEAN FOR THE DURATION OF THE PROJECT. � - R - 100.00' L - 26.77' 8. DUST CONTROL BY THE CONTRACTOR SHALL BE MAINTAINED TO MITIGATE r 1 ' ° e THE AFFECT ON ADJACENT OWNERSHIPS. +R 4+38.751 H r) 197.45 15! O z 2 SEEDING 1�tULCHING NOTES: -64.5- '- T 109' 201.17 t I 0 / 25' ,�©�3 198.26 4 u�t_4 �'� 1-"-- 1. ALL AREAS DISTURBED DURING CONSTRUCTION TO BE GRADED TO DRAIN 20Z 42 201.42 LuT 18 - 'E 40 o +o � z AND COMPACTED TO A MINIMUM OF WS OF AASHTO. TOO IMMEDIATELY ? ECR 1172.09AFTER INSTALLATION OF UTILITIES OR GRADING OF RIOHT-OF-WAY. ( �.� i SCALE w FEET 0 - --- - - + 197.70 T/C (TYP.) (-7 2. RECOMMENDED SEED MIXTURE: � 198.,50 Li TYPE PER CENT BY WEIGHT l 'I1 LuT 12 I 1 8' WIDE PATH�1� �, 0 EL KA DWARF PERENNIAL RYEG+IRASS so ( ' 1 2" AC ON 4" 1 CREEPING RED FESCUE l T 1 v �u T 1. "- - 20 LuT 14 1 I COMPACTED AGGREGATE i � O :I.Y Op 7-i ----- - l ....... .. .. . I .. ...(�!'• APPLICATION RATE: 100 POUNDS MINIMUM PER ACRE / \, r 3. FERTILIZER SHALL BE 12-16-6 WITH 50X OF THE NITROGEN DERIVED FROM UAEA-F0ALDfJdYGE, AMMO APPU�D AT A RATE OF 400 POADS PER ACRE. •••,• -.•• .�••• .,..� �•• 1M1 A 4. SEED AND MULCH AT A RATE OF 2.000 LA/A.C. 1MTN HEAVY BONDING AGENT OR ME77WG AND .M10 40015, MULCH SHALL 0E A WOOD CELLULOSE FIBER w � �-•� OR OTFIER MAWAIAL SUITABLE FOR HYDROMULC,i•1401. \\ �► l l �� O T --- ...___•- -...._ ._ .,.�..._--..._..w� ._. � .Z.��� .\ In PROJECT JEFFREY ESTATES 10995 SW North Dakota Street iofl � i � _ NO. - 267-007 1 TYPE CONSTRUCTION-PLAANS_) ......,.,..>":,�:_ :sur ,a1 ,�, ,+ •.:,w~.� ..,w. M'M10�rT*m!no-.aer+eN�rt. .. .. ,, 1eeMANan-r,�cne+. rw.,.,..w...r.•"..•=,Mv�•'!`,,,»,..,«..o«.»..........._._.-- .,.,...-.w,.�it:+CNirsr. ...,T;...,.. ' ....__ ...__.._.«,..: .. ,..,:,.•xw.wp.r+r. r•.tMr"I!r'��n9Fw+a+e.MM•a+!pRJlwiMawNelu��r•mn...-"wp.......,,,........,.s�...w,r+wn If this notice appears Clearer (It'll] the document, the document is of marginal qua':ty. 24X_#•.tl�l� � �� .#�.��411►11 . A IS II N1f Iltl} r IIII HII�III1t111��lllllililllnlllllll!!i! !IIIb+nl(Inliifl IIIljtill IIIljIIIIIIIIIIIllllilllllllllllllllnl Irnliii flllllll 11,' tk . A ltr,3a'^M�•. �m ,�P^�Mrr�� :v„.,.:, c� rt ,.. ®RO!, ADDRESS: ! 1099S7 ab ) LnV46ty '41 w t i r f w I f i i t 4 1 i i r } i r II i t iArecords\microfIm\targets\building.doc �,4 a 1',44' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 �a '+ Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINA Post/Beam Mach. San. Sewer Gas Lina -Bldg. Plbg. Underfloor Rain Drain Framing -Plurnb. Alarm Water Line Insulation -Mech. Underfir. Insul. Shear Wall C, Gyp. Bd. -Elect. Date Requested: l l � / Time: AM� PM Builder: Permit : . ITC THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: ,SIA Date: 4,10PROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. I 1 I 1. �R i 1 t i CITY OF TIGARD September 8, 1994 OREGON ! , J. Niemeyer i coo Roger Edwards 4500 SW Kruse Way, #180 Lake Oswego, OR 97034 10995 SW NORTH DAKOTA ST., SITE PERMIT #SIT93-0019 The last inspection conducted on this project was an excavation inspection on 9-22-93. We have no record of any subsequent or final inspections for this project. Please advise the R-jilding Division as to the status of this project within 15 days from the date of this letter. At that time, you may schedule the next required inspection. Please note that permits become void if there has not been an inspection performed for over 180 days. In that case, the Building Division may require a new application and fees to continue the work. Also, a notice of non- compliance against the property may be recorded by the City. If you need additional time to complete the project, please contact the Building Division so that an extension can be discussed. l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — — - ----- ----- d J J� Il INSP$GTION NOTICE �! F City of Tigard Building Departments 13125 SII Bail Blvd. Tigard, Oregon 97223 rx Inspection Line (Roc-O-Phane): 639-4175 Busine s Phones 639-4171 r Inspection: rootirg Flbg. UnderslabMeeh. Rough-in v A r$dalk ;✓�,j acvt a n x� round. Plbg. Toy Out Gas Line 1INAI•s �v`ii Post/Bean. Struct. San. Sewer Framing P'3st, Dean Mech. Rain Drain Insulation -Plumb. :; Fad•` �'P: Plx. Underfloor Water Lina Gyp. Bd. -Rech. �' y t ti Date• Requested$ Time: 11N PM _ Address:_ rmi $ L Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_______ Date:_ 1- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 1y ) a � iIT ..W_..,. } ��.; - A. 7�i..,t�k .t...+: ..._ ....,....;.e4i...r•.,,.,.....rhrvArwnrw..wwxd CITY OF TIGARD BUIT_DING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP94••-00 ,5 ' e 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE ISSUED: 02/03/94 639--4171 PARCEL: 1 S 1 34AC-02'500 SITE ADDRESS. . . . 10995 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . . REISSUE: FLOOR AREAS--- -- - -- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :DEM FIRST. . . . : sf N: S: E: W: TYPE OF USE. . . -ACS SECOND. . . : sf PROTECT (.)PENINGS?.-._________. TYPE OF' CONST. :5N THIRD. . . . . sf N: S: E: W: OCCUPANCY GRP. : R3 0 sf ROOF L;ONST: FIRE RET? : OCCUPANCY LOAD: BASEMENT. . sf AREA SEP. RATED: STOR. : HT. : ft GARAGE. . . : sf OCCU SEP. RATED: SSM F?: MEZ Z?: REVD SETBACKS------------ REQUIRED----------------------- 1=LOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . : DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC: BEDRIdS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE:. 'F : 0 Remarks : DEMOLITION OF ACCESSORY STRUCTURES (SHEDS) . NO CONNECTIONS TO SEPTIC N SON1 FARY. ALL DE=:BRIS MUST BE REMOVED. Owner: -- ______._._- —•---.__..________________.____ FEES ..----.--.___-- J. NIEMEYER type amol_rnt by date recpt C/O ROGER EDWARDS PRMT $ 21. 00 JH 02/03/94 — G500 SW KRUSE WAY #180 5PCT $ 1. JH 02/03/94 — I-AKE OSWEGO OR 97034 Phone #: Contractor,: MICHAEL KEMP, CONS TRUCT I ON, INC. 2409 DOUGLAS AVE NEWBERG OR 97132 _...__.._._____.__.__.__...._--------------------- Phone __—._—_______.__--_— Phone #: 538--42:80 $ 26. 25 TOTAL Reg #. . .- 91469 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the F=ina.l Inspection Tigar� Municipal Code, State of Ore. Specialty Codes and all other applicable laws. AH 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 suspended for mare than lee days. We ' �_ lssi-ted By. Call for- inspection 6:39-4175 I ..». Residential Building Permit Application • city o` Tigard ---- 13125 SW Hall Blvd. ' Tigard, OR 97223 (503) 639-4171 Jobsite Address: C Tti i q VeL-- Office Use Only Subdivision: 1�ur c. �_ Lot# Planck/Rec# Valuation: Owner: 111 4drrt`' -Ir , 77` A Reissue of Address: 1=_1L4� Map 8 TL#— A 4-3Cs ho (,jIos LACSSylgl-b 0�'_I lD) I Approvals Required_ Phone: 4�" :i -2-4-(n n Planning Contractor: �'�l�+tiCG� l�drl IS�n)f? �31JEngineering Address: =`T-` r�<�'t�?�Q`' AV,-- Other _ L s1 items Required Phone: _ Subcontractors k, Contractor's License # (attach copy of current Oregon license) Truss Details Subcontractors: Other _ Plumbing: Mechanical: _ (attach copy of current OR Contractor's License) Architect/Engineer: Address: Phone: I COMMENTS: 4 Applicant Signature & Phone number Received by: _ _ Date Received: Ill�fir' Permit tt Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: _ Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) r Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ _ _ �_ ___•. _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) TOTALS: P. II r` C I 1 1' 1 it 1 I C�Eii<i) Flt i 'I D-11 I Cll 110YMEN 1 kF-(:F 11 T NU. a 94-248.4bVI I.AAEC:K HM()(JN T a '6. i?`r r {SME: 1 KF.Mf' C:t W;I Fi(lC T.101V C:f-�`�I! t=1DI(11.1N T Ali» V11� a()1�Fi[=fit3 PHYh'IF:t`1 I t. N I F a 0i.-I 03194 a o, 901':1)(V l'.:a I ON Pr' (JFiP1:JEiE: OF-' FNYMF:N F' FaMI:)I..1NT- F=tall:) F1tiF11_,F I.,F= t taYMENT AM(:1l.JtJ'I" 1-ta(1) 1.111. OTNGa PERM '.`.;. IAO 91 SO(t-.)) F•'-FA t. 25 i A i i 1 r t-:M(11.t'1.taN E,It.�:>3n1t't' 0995 f;W N0101-1 DI)K(11 t-1 + (.)7'AL AM(?UN 1" PAID 1 S' { ,y 11' d! +S' e SN_&�E�CTION_NO'f ICE City of Tigard Building Department 13125 SW Bail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 Inspection: 1 I �/' "Atj- w D _ Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas 14ne FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undorfloor Water LLine Gyp. Bd. -Hoch. Date Roquesttyedt�. A �l., + f ITimes ___AM PH w Address: ,ll 1� 1�L't 1�. -1�� �� Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED$ Inspector: ✓ Dates. APPROVED DISAPPROVED APPROVED SUBJECT TO Pjwra call For Reinsp. L �_. j INSPECTION NcrPICR City or Tigard Building IDepartsmat 1312S 811 Hall Blvd. Tigard, Oregon 97223 ti • • Inspection L.I.ne (Rec-O-Phones 639-4175 Business Phone: 639-4171 -j I nspect i on:_ �, T y\ i IV t Footir..g Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALt Poet/Beaim Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water�(Line 7 Gyp. Bd. -Mech. Date Reque9ted: r'� —41 / Timet AM PM (I i�� \�l Permit #t Addroee: ; _ Builder: TME FOLLOWING GC)RRRCTIO!+S ARE REQUIRED% (f I e s —aczi l Inspectors �__ _^ Dates_ APPROVED DIF.APPROVED _Z APPROVED SUBJECT TO ABOVE n _ Call For Relnep. 'j o+'nt;,t�twp,t„Ny i PHi�t ,A CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,0•9pon 97223.8199 (503)839-4171 la lob r I, r �__ ..j � ..�. .b Ys4��1rCe�A� y • n '.TYTw.w..e.t I I 0 i PLNCK RLCfD »,�sW����,��2 T CIIN Or TIGAR / COMMUNI'T'Y DE:VELOI MENT DEI ARTMEN"I' r��,���97223 PERMIT � T503>439-4171 PATE: ISSUED JOB ADDRESS: `;�-� s�f/ ���Lr� �' -- TAX MAP/LUT _Zs-1 2</ !1/.3 TL AGO SUB: LOT: _ LAND USE:VALUATION: _ OWNER SPECIAL NOTES NAME: U', ,�/i � — REISSUE OF: _ c/v �'a;e< cc/��•���i ,�� LAST REISSUE. ` ADDRESS: _�;s'i_�p s"av�14[le�'J�r,�. �— Lure G'.rFLOOD PLAIN/ PHONE: _�.�5 Z�C � _ _ SErdSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: ,1!2, • / _1 �1tr %�'-�>���''"off/ — PLANNING: — - -- ADDRESS: _� _�1; ss ,c� ENGINEERING: A& FIRE FIRE DEPT: PHONE: 'e/2160OTHER: _ CONTR. BOARD #: ���� ��� EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECH: _—--- BUS TAX: ARCH GINEER CALCULATIONS: I`N NAME: _ Alklre TRUSS DETAILS: c/. q/� a ���` H� ADDRESS: 5dov ,U OTHER: -- /o�►��C�r�� PHONE: I PROPOSED BLDG. USE: — -- _-- --- COMMENTS: --ld�— 7C ef X �r \1 4o wgyp; Q�.laro(� . C_nva.���ov, yt.� 'E- '�� Y ��,•; �� 'tra �.���� "j�..lS.N� APPLICANT SIGNATURE Received By Date Received: i .1'Q,,,Y„w,inr.w.�+,.w.....,..a,....r,..,...,,... ....,...._....,...,,....w.n.r.wwo., •......,..,, PERMIT 1r ACCT # DESCRIPTION All'OUNT AMOUNT PD. BA!_. DOE 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 P1 unibi ng Mechanical 10-433 00 Plans Check fee - — - Building _ Plumbing Mechanical 10-230 Oo Fire ------ 30-202. 00 Sewer Connection ----- --- 30-444 00 Sewer Inspection ---- - ---i- 25-448-02 Commercial TIF Fees --- --- - - 25-448-04 Industr-tal 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 1 ieu of) -__-___ --- --- ---- 24-445-02. Water Quantity (Fee in lieu of) - TOTAL_ --- __-- - - nm/3587P.WPf ■ , 9". Mk{!.:: 4J, S` va ,r�r ,. .. rvq'' r�ar+p:.. ..�,.o 'r .. a r.; 4^ •vla�•. ;a a •r sr 'P 'L ':f h FF`b'a ° P �a;k r yy 'rY,? g Yf � tit ".=�1+r��y� tj{�J kn ° w aa'�a'�'p`,a•}'y�y a�zu5'y �jt f� ��, 4 ,:`�'.,`t_F.J.j3'.«+.rsa. 1.�YVai. _tl•.r. ' � ..� ,i. r a F i •f• r I CITY OF T I BARD — RECEIPT OF PAYMENT RECEIPT NO. :93-243651 CHECK AMOUNT s 123. 30 4AME s ALPHA ENGINEERING CASH AMOUNT s 0. 00 IDDRE:SS : 9600 SW OAK, SUITE 230 PAYMENT DATE: s 08/27/93 SUBDIVISION s 4 TIGARD, OR PURPOSE: OF PAYMENT AMOUNT F'ft I I) PURPOSE OF PAYMENT AMOUNT POI D HU I LD I NO PERM 96. 00 PLAN CHECK FE... 2 • 50 (:'J. BUILD PER 4. 80 I fiRADING PERMIT — JEFFRE=Y ESTATES 1.0995 SW NORTH DAKOTA T0'rAL AMOUNT PAID - — —> 1 30 r 1 { /�Sr Vry R p