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11202 SW NORTH DAKOTA STREET Al ''�' �` ��.iy 4 �� irk- t{4i ��^ a •,�. .� 1 r Y� ADDRESS: y S4 �1 1 is\reronis\microfilm\targets\building.doc i i 9: i 'l^'''l t v: r,.., i.;..., -.,.,, ,r .":n s, C, .-,.- rt {M•i.t trr.yt');`xSY1ff �I11e1C.7r.� � .. i�.�,. t CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 '= RT I - OF' t�CL I;:uIIANCANr.�,r PERMIT MGT94-0 1 11719 " ' c DATE' I SSUCD e i i/08,196 PARCE.I..a ISA134DD•-06200 'SITE ADDRESS. . . . 1. 1202 SW NORTH DAKOTP ST � SUBDIV_STON. . . . s MLP94- 0005 7ONI1�1�-,sR.-4, 5 � BLOCK ^_.._.. . . . . . . . . . .._ i._...._.... ...___LOT•____......___...._.__.a2.___.____.__.,__.__�___�...___.___._._.__.___...... ..... . I CLASS OF WORK. s NEW TYPE 4F USE. . . s SF 1 TYPE. OF C:ONSTR a 5N OCCUPAN( GRP. :R3 0C-(-UP?4NC'Y LOAD a i rm,; +� i • i Ramat-ks s PATI•i I I 1 Ownel-a TOM I«NYON ::' U B,7 X 11:0 l(1 LAKE GROVE OR 97035 Phone bks 697-3156 Contract or s - _ ._..._. w....__._..,._,...._.___._. ._ _...... ... Y OUN I QUE HOMES TOM KFNYUN SW 1140RI'H DAKOTA T I GARD OR 97a23 Phone #a 6�!4-5716 Reg iii. , s 5!5#633 'Chis Certificatp gr,er•,•t% ovvktpancy of they ribove r•wfe.r,enc.t%H bi.t.i. lriintg or portion that•eoF and confirmvi that the building ham been i,ritaprtcted +'ar° c-ampliance wall, the ctartn of C:Ir egan 5pari.Y.].ty C;acleS fol thte UPOUF), ac'eupar�Cy, Arid use rnr.ita, which the r•e fer(A c:Pd pel,mit war it s,.ted. � i)UILEIINI'J INSPECTOR BUILDiNa ppF'?C'IAL 1 Pos, 1,14 CONSPICUOUS PLACE i t I t i i , -.-. - _-_ +win.wwe�i.Muw.M..n.+WtuxrMV'MiCMPII'NMi�°:4..W.^N7Mn.A^y,..r...c,rxrrywaMr.uRaNY..nW✓�R�./ww!_, I .r.. {{ Worm ^. ".�.' y, A r 00 R *01141, rM C p rt, CITY OF TIGARD BUILDING INSPECTION NOTICE �f Inspection Line: 639-4175 Business Phone: 639-4171 " a '' d' Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. l +60�'tST�S ty Post/Bear.. Mach. Shear/Sheath Framing -Mach. `(` a' ° Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mach, Rough-in Gyp. Bd, Id ;� 1 si � " , ��r'�+It�� Wyk fih • � � San. Sewer Gas Line Appr/Sdwlk Reins. ' ;l tis � � �� ��1 � ` �,`' � ,�e�y(��� '.�'" 1. ■ Other. Y1 r Date: A.M. P M. Entry: i — Address: _2�\ ' n��� ; nl$+, i AS t j 0741 X , , , (l,t n Tenant: Ste: MST: _. _ r xt ext BLIP: 44 s �� Con/Own: M — MEC J'k ,� Ir`. (6 L1�ltyryh{,�'i^'ll ti��'y a`:.. 'fid i ff �Y1�t is M�♦ri�'�n� r ��e u THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ,1 xr ' s r{ I e no i t t II _ — — _ — I 1 I �( �t�t•W"� 4 Inspecto Date: APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO t f t . f I e}vvU j 'yit J !� r • 6 I Y 5AA5` M1M d` '1I � Y �f t��.S,y�' a 6A�y '•Wo�!{ j� wa �;�r;r Ji 4M1+vt }IW1IbLR M: �..et pd it i s'G MP'kr t7�Fl A �•� ��lP(t ("Fr 1 A 2 5 If 1 y , t �:•}� 4. J 4 i0' �r�,3+ a� �+ , t�- - • ��..�,��`* p�if+A(r� ��,a�p�„a,.f,a - � . .. ..;,..� .,.....,.....w..,.r,. - w.aN'n.emav+e• ,I,'(•.n,, +. a , CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 y�ttys ' Footing Rain Drain Cover/Service FINAL: Foundation Water Line Calling Plum , e Post/Beam Mech. Shear/Sheath Framing ech. i df t�tic ars' e f 4 Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. 41 Post/Beam Struct, Mech. Rough-in G Bd. Bdl Clan. w Gas Line Appr/Sdwlk Reins. 1� i+a+�k' ” c.l'•I�I4u*I,tA,P d� Other: Date: Z- A.M._P.M. Ent _ I 4.�' dt t' ' Address: q el Tenant: -- Ste: MST: BUP: :!t Con/Own: _ MEC: _ PLM: — I ELC: !,} THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 5 uAl 5, __ LN ,¢.- �.t Via^ I {, , 1•�,S: I f I ,'x , Ins actor: _ Date: '�% P — ----- --- _ s —APPROVED —DISAPPROVED/ LL FOR REINS CF CO ,+�I I { +Ayha4 Ut � hS�)l�Y+�t�b�� It1iQl�•�1 I I �V r -Alt $w 4R. 7 i"i'i } - , , 1 t�ty ,,Iy, ,• 4j I: I A. 5 x r�/g •F j1 tiy'�+ t q I P4 i I yr 1 ��IWlNfilAtrMMYII\�.nn��..MVbtWM[I!U'f4�•M1'iN.t!'v'�y1Nhr41Y+Uwr+\+\'•.w-!•e•i.r.+.n�4...,.: .._.,. .. -.. "�...i .. �.�. ✓wrYvwls.M 5 �r4 �,.��i1 h�V:�j�k CITY OF TIGARD BUILDING INSPECTION NOTICE I '` Inspection Line: 639-4175 Business Phone639 4171 P Footing Rain Drain Cover/Service CFINAL: Foundation Water Line Ceiling mb. aPost/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr!Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg r r, San. Sewer Gas Line Appr/Sdwlk Reins. I DateAt S " �l�o A.M. P.M. Entry: Address: Tenant: _ Ste: MST: d 3 CongOwr� &A) �Q/I�C� �a4-/-`13U:Z MEC: — �L// PLM: ELC: i I THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. L1��r enc. Cb.�nP.4craa.� ,9RL Grr EL�c �C� -- i N i�/JS Tts d 6773i�[ E�..�'c-IRt4�t.�irtL.s i r' Ttc..� 1'k, f' In r: /.L _ Date: PP OVED DISAPPROVED/CALL FOR REINSP. CF CO _-- I 111f � Y�'I�N•t��fk , f 1111 f Y t� p` I Ji lyq tt >3 i t .zv,, n �Irivh`�i its tl F y!1 F 1 4 �1�11V�A1� qi�lq��G�I ` �!' � �� f�W ry�'I`���,�r7v'��'d�i��k"3•�t� ,:1U'�ai';� n. I. y� R'� 1 �' t INSPECTION NOTICE City of Tigard Building Departsent 13125 sw Hail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:­___ Foo .ing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line lINAL� Post/Beam Strvct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requesteds_ l_�� \�S Time: _AM PM r Address Builders 11 T Gam ) 11M FOLIOWING CORRECTIONS ARE REQUIREDs (� —Gy Q v r i- I Z Z61 ' n ;Z i G71 h �.M L �•, 1. � �ra' f�$r .'" � 710- pa '? Inspector! - 1 Dates APPROVED DISAPPROVED APPROVED BUBJRCT TO Aswe Call For Reinsp. S :y5' Aa, 1p i c: i I v # a,4..17A�n r..!f.�±'he-+rt a y. ,.. .., ,.... .. _ M°✓ +r*tlP'n�tlt�Md , • INGPECTION NOTICE n city of Tigard Building Departaent 1 v 13125 BW Hall Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171 Inspections Tooting Plbg. Underelab Hoch. Rough-.in Appr/Sdwlk Pound. Plbg. Top Out Gan Line lINAL Poet/Beam Strict. Gan. Sewer lrnming Bld� toej Post/Beam Hoch. Rain Drain Insulation -Plumb. e�k� Plbg. Underfloor Nater Line -Gyp. Ed. Date Requested: \'1/lX Times AN PH E Address: 1 1 �� ? ,�.0 ` Z� _ Permit is Builder: FOLLOWING CORRECTICNS ARE RISQUIRED: u Inspector: v _ y �-- Daterr ` ' APPROVED ,1�DTSAPPR0VED Ap,.;-WED SUBJECT TO ABOVE �) T Call For Reinep. \LSC. A!S 3�S rt i d a ,: w �NSPF TION NOTICES City of Tigard Building Dopart—t 1.3125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone= 639-4171 Inspections - Footing Plbg. Underslab Hoch. Rough-in %ppr/Sdwlk Found, Plbg. Top Out Gas Line d Nle Post/Beam Struct. San. Sewer Framing 81 / •4. 1 Post/Beam Hoch. Rain Drain/ Insulation Plumb. Plbg. Underfloor Fater Linsk/ Gyp. Bd. -NeRh .00r W \ <75J pM + Date Rsquestedr Timet AN, Address, r �� IV"r- LIt L1'17� ' Permit Builder: t( '. ,TFJI�-IOI,I,OWINr CORRSt''TIONS ARE RFQtlIREU: I ��, � `� U�✓ � - G C. lw �r j A � I Inspector- Dater �4 APPROVED V ISAPPROVED APPROVED 9U ECT TO ABOVE (" Call Nor Reinep. V. r., i }t 7 }h INSPECTION NOTICE City of Tigard Building Departnvr nt 1312S SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639-41.75 Business Phone: 63q-4171 Inspection:--------- -------- --- -- - Footing P1bg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line tNA�LY Post/Beam Struct, San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -P1 Plbg. Underfloor Water Line Gyp. Rd. -Hoch. �— Time: Ah _" Date Reques te d : Addrees:I ( L U Z.- (.�1, ILMI "-La4 Permit #t D Icy / Builder:-1 n / 1 TBE FOLLOWING ODRRECPIONS ARE REQUIRED: t T 09 / �/ _ -Jam- yf4 p•M1'�P 4i1 �A. l t� ., Inspector: Dates +) ° APPROVED ----_ n 1 SI)PPROVED APPROVED SU.'Trrl' TO ABOVE — Call For Pelnsp. ly �� •�....,.-'__R_.._.'' _._.., .....-. -_----m --"'T�T7Ri r r-o••+w1' it ... a', "I^.`""T."'vl'..-.�'.`� ..- 1' COPY TO: APPLICATION - STREET IMPROVEMENT/EXCAVATION (WHITE) FILE ORDINANCE NO. 74 14 v Z r ,) 1j (YELLOW)-INSP. � � �' ' '' (PINK)-OTHER AGENCYb1 .i (INSTF UCTIONS ON SEPARATE SHEET) I (BLUE)-APPLICANT APPLICATION NO.: __12-- APPROVED 48.00 ] CI Y OF TIGARD, OREGON Fjf;C AMT.! S NOT APPROVED C:I'fti' IiAl,l, RECEIPT NO.: _. _' `y A 7 3 O ( PENDING FEE. PMT. L! By DATE-J.;—L1 / `a _ / - _ .Lala PENDING SECURITY ! ; PUBL IC WORKS DEPA R TMEN T _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PENDING AGENCY "OK \ppli(ation and Progress Record MAINTENANCE BOND it_------- IFOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED 1 PENDING INFORMATION L� ANNUAL PENDING VARIANCE L] EXPIRATION DATE: ---. 1— PERMIT NO.: -ice .__ _._I -_.----- . DATE ISSUED: __..�.,`_.L---'-_� ___ _� BY: SEW. SIDE__SERYIC SAN. J PiR E I (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ — - EXIST. 5114. DITCH, D/W APPROArA DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. n -577 APPLICANT ..._ t'QIn Kenyon { 09 younique 1'1wies) 112W S"w NOCth Dakota 3t. 'I'iyard, Or_ ._ 9Jzz3 PA NE-- NAME ADDRESS CITU (Sante) CONTRACTOR —' CITU � NAME ADDRESS1 per City standards & `�[*icY f i(-'bti unS --_ PLANS BY. ---------- ADDRESS CIT FH"—DN s� NAME ESTIMATED IMPROVEMEN T TOTAL VALUATION ( COST): E 1,200.00 OLLARS FOR OFFIC U 00 (2) EXCAVATION DATA: 0.04 X S ' � -= - 48.00 -- DESCRIPTION PROGRESS & INSPECTION STATUS J STREET I NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY 1 _ H ITEM & QUANTITY TYPE LENGTH WIDTH DEPT STREET N - — INSP - - t4o_th Dakut St. (olLm att c:VItAl)) R TION E Q E S ESTIMATED STREET OPENING DATE —"— — T ESTIMATED STREET LOSING DATE: �-- ED � STREET (3) SECURITY NO. ---- SECURITYAfAT.: 1 1,200.00 '2�. 0 CLOSED SURETY CO., Y — -_ FINAL ��i i ASN D 00ND r INSPEC. _ CEFTIFIED CHECK -� _ - (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS CONDITIONS: I FEATURES; EXCAVATION L LICATION AND EXTENT. ., N - Tae attached - — - . SA--0005 applies CURE - �.w. X NCX2PH DAKarA Silt C. Cute - • - - - + WpEtK 1 ------- 1 1 [IlLrE: 11230 sw — I North Dakota St ---- (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY JURISDICTION IS TI+AT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO D,*'OSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIOt,6 PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CIT'. AND EMPLOYEES AGAINST ANY IN URY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. , i' DATE APPLICANTS SIGNATURE — — I / i A I Special Conditions/Provislons: 1. All work shall conform to City of Tigard, Oregon, Standards and Specifications. Note the attached Detail Drawings . 2. . Notify City Inspector Letha Thomas (11639-4171) 24 hours before starting any work. 1 3. Access-to and egress-from parcels of land adjacent to the work area shall be maintained at all times. Traffic and Pedestrian safety shall be provided for by the contractor at all times. 1 ' 4. Removal/replacement work and damage repair work shall be promptly initiated and completed to the City's satisfaction. No work shall be considered complete until I it is accepted by the City. The City reserves the right to cause testing and certification of work or repairs to be performed, to the City's satisfaction, at permittee's expense. II be provided for b the contractor, 5. Erosion control sha p y I ' 6. ORS 757.541-571 applies (pre-notification for location of underground facilities, d etc.). tf 1 1 1 1 t 1 �� W �N4.cto� pU-v+�►•�- ►b rr-c{��1►-e.d �O be v�o1-z. hecf -7. A t17� c��1F-FZGG p��C-� �5 �"���11►'C� 2�r ��G e,vd nt Gzc-In tl�S 8 wen-k al V,"p v I I I e i i i I r �1 i, I 1 1 w -i ti _ ---1 -�--�_ � �� I 'n ,n u) .D O+ N •3/\d �L I W) in I H4601 Ms y4 6 O 1 — . 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I LLI C :•1, ^`, p W I I ' _ I 1c. _ 1500 90: 1 - n 600 I •� n d 1- 1500 -� t_L., 700 l Ll � IJC I` I � •:I I 1700 I - I /7 A, �� y zt. �..� •4: 1:f'OF F TERN T�— T T I 1 CF T99F Uf 144 109.41 b 1pB.6, I 01 2300 '400 2500 ,�t4 66,7 e3.75 zs1 280 1801 � � n f . 61 AC � � a� ;�'nxcc 6100.25 Ac. � 5200 .23AC..42 4: o 11 4 \I R. n - i 1 `e 1800 To`v n 39 Ar. �I 1° -� 1Y j n L 1 ° r 2' 20 � m 2(.'0 �^ 173 sB - o 6 200 w r wB sB — -� ° 1 o4AC. 2s Zr 1900 I °^ n r. ?,AC 1 .N d c 5. n 2000 53000 \ -. ,, 20 Ac `I 1 22 AC r, `^ \ �) 2 i 2 N3 U1 ` 1.1 J 193 I , 2100 AC 21 ° )1 n 5400 2900 148 se / ^^ _ .29 Ac \ � .59 k 173-30 I 'a o \ o.34 AC I 69'4 1'39-W 144 1104 411 23 I ".'0 Id 3 29: CH I 4U i SEE MAF q , i� Il; I �< 14 h I• c13L:�/l�7'LS/Y�J��a �8 QL11 ' a i Yj t R. 7 r\ 3 ROOF 3 �*bA fCl I L-354 f I ;{ 1 1 I f I I i LQ ;t i e y y a S I a 1 BUILDING SEWER PIPE, 512E AS SPECIFIED I x 9 PLANT FABRICATED TEE FITTING 4 ON SEWERS IB" AND SMALLER. BACKFILL ZX4 n ? FIELD TAP ON EXISTING SEWERS AGAINST PLUG TO AND NEW SEWERS LARGER THAN I PREVENT PWG " I BLOWOFF S SECURE 1' THAN 16. a TRENCH BACKFILLZX4 IN PLACE WITH SEWER MAIN PLAN •N OR LATERAL 1 'a i•. EXTEND AT LEAST GROUND �12"ABOVE SURFACE SURFACE MINIMUM SLOPE FOR 6" PIPE a 0.010, FOR 4 PIPE: 0.020, CONNECTION MARKER : x MAGNETIC TAPE GREEN a/BLACK LETTERS (WASTEWATER) GREEN■/BLACK LE17M (STORM DUA) PLIA O 4 • • E/4•-0 PIPE ZONE MATERIAL SUPPORT TEE WITH AS SPECIFIED BEDDING GRAVEL., WOMUM 2*0" WIDE Sl DE BUILDING SEWER V t Of vftw"""COW" Dn. No. 340 M r . 7•� ;�, "tl�' �'�•+prq,4,!ryv°�y 'y' r, .:gfF•i R'"'P4R?N. ""�!M,+`.sQIY�AYC.,` pN'y'�.'•htm..• -:�K. . S JAT•^ • r e I PVC SADDLE (TEE) I I STRAP RETAINER RIDGES I I —RUBBER GASKET I SEWER P I PE I Va i r'. STA:`'L_SS STEEL STRAP 5; I ■ PVC SADDLE SHALL BE ASM 3034 SDR 35 PVC CGMPOUNDS SHALL BE ASTM D1784 WITH CELL CLASS OF 12454—B/C OR 12364—C i ■ ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477 ' ■ STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16" WIDTH BAND, 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. ■ INSERTION HOLE SHALL BE CORE DRILLED. i 1 i PVC GASKETED unlW SADDLE UfA DRAWING NO. 350 i d 9 11 LI Lilt 1111-0-011 IMPOSE', I • I . COMPLETE RUBBER SLEEVE (ASTM C-443) INCLUDES A MOLDED SEGMENT THAT HOLDS 17 IN PLACE. ) 2. STAINLESS STEEL BAND (9/16" SERIES 300) ry c— SECURES UPPER HALF OF RUBBER SLEEVE TC ;HE PVC HUB. ,a 3. PVC HUB (ASTM 3034 SDR 35) DRIVE INTO CENTER OF RUBBER x SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 3 I 2 i I CONCRETE PIPE i, NOTE: ALL INSERTA—TEE HOLES SHALL BE MACHINE DRILLED. j' I Unified �, r-- UJA se�wer�i# INH ,, E- RTA - TEE DRAW I_6 140. 360 .ypw?A. �k �" ' y0��'n. ��,•,'brpe,a'�'•R�a�.�"r.lr��w •'A■r„w,,,�'" IN�" �r+,� M'�NN;tI�' .i: ry� 'PAAAMM' i MIN. 3' A.C. IN 2 LIFTS I I STREET AREAS OUT OF STREET AREAS d SAW CUT 6' 00STING SECTION,,"_ RESURFACING 20 OF / . / ••O0 •p • 0 .p OO • p Op 0 •O• • p • • °• O O 00 OO O • ° e Op e e j / e O / " CLASS B O e BACKFILL ° (SSS A 2' — 0' • e ° • BACKFILL 0 0 0 • O O p p 0 e O GRANULAR BACKFILL ° °° o' • ° p p ti W • • • r 2 •• • • • • • • •• W (V •• .• • ■ • . • . • t PIPE BASE BACKFILL IN STREET AREAS 1. IF S/W IS AGAINST CURB, FILL ROCK TO BACK OF S/W. 2. IF S/W IS NOT AGAINST CURB. FILL ROCK 2' BACK FROM CURB. PIPE BEDDING AND , BACKFILL DETAILS APPROVED BY DRAMN BY CITY OF HARD M-406 (MOD.) CAD OFM ' SCALE DAIS WM�E N.T.S. 7-0-93 ,R DETALS\PM:BmAMIC I d 1 c 1 .s...,rr....:uau.G....u__...�..L.,..rJ.�.a�w.raw.irwwrud.+rrwa...4w.u.wwM..Mi.ra..,.....-,-...�..,.« ....... .. . .,., ,. ...,...•....,..,..._.. -. .._ ..,.... .. i 2" CLASS "C" 4" OF 2`-0" PHOPOSED ERGE OF SHOULDX�C E PROPOS 0 GE ' SLOPE VARIES �F PAV�ME • y I EXIST. EDGE CULVERT = 1 OF LANE o I I PROP. EDGE �N I OF PAVEMENT TYPICAL SECTION 1 w Q I IA.C. DRIVEWAY WIDTH SHOWN 2" 3/4" ON PLANS 4' OF 2"-O" OOF S OGE ULD �R IPROPOSED EDGE I I SLOPE "F PAVEMENT VARIES I I DISTANCE SHOWN i ON PLANS I - CULVERT I I I `--�0GE OF CULVERT I I GF'AVEL SHDULDER TYPICAL SECTION GRAVEL DRIVEWAY PROPOSED RGE OF SHOULDIF TYPICAL PLAN SLOPE VARIES 4' PROpOSD pGE A.C. OR GRAVEL DRIVEWAY �r �OF AV MET �--CULVERT e TYPICAL SECTION ALTERNATE DRIVEWAY DETAILS FOR NON-CURBED AREAS loomAfvR0%M B,r mm BY CITY OF 11GARD wAst�. as Dw-zOs (MOM) cm9CJ1LF DATE DRAWIM N0. OFE" NJS 7-9-93 1 i i x�1 si' .t ,.. ) ELEV. SAME AS CROWN ELEV. I ER CROWN MIN. SLOP I CROWN EI `= .,Zx ROAD SURFACE ;I 3 p I I I BOTTOM OF DITCH ELEV. I IMAY BE ADJUSTED BY I I y INSPECTOR I f NOTE• 1 I. IF A.C. DRIVEWAY IS TO BE CONSTRUCTED, USE 2' OF CLASS 'C' MIX ON APPROVED BASE } ,f PROFILE CONCRETE HEADWALL REQUIRED WHEN USING CORRUGATED METAL ,(! PIPE SHALL EXTEND A MIN. OR PLASTIC PIPE I' PAST TOE OF FILL i a SURFACE OF DRIVEWAY 6" y o-,— 3/4'-0' ROCK 6, 88aa 6' i 1 T CONCRETE PIPE PIPE SIZE TO BE DETERMINED OTHER THAN CONCRETE 6. BY INSPECTOR AT THE JOB PIPE. AS APPROVED SITE (10' MIN.) NOTE: I. PIPE TO BE LAYED AT EXIS nNG GRADE OF DITCH - NO SLUMPS } CROW—SEC'nO i I IIDRIVEWAY FOR STREETS WITHOUT CURBS 4 REFERER E APPROVED BY DRAM BY CITY OF TIGARD '""g+. °a °M`� CAB E SCALE DATE Dm"m NO. MGM K.T.S. 7-9-23 a DETM" ;Y t -.KgcV;.` rYy ,,:•; . :�„-,. �� ��:,� :.{,.. :�:.�.,,. . .. ... ,.. ,. .,.. '.,,.r, n 'ti•-.. Y"` .,. - w.., �,.x;!• rgr`b�.pni,; W W Z ' W N Q O m ujz-,cU @;j = a 933 X Q X UO(.) o ' 2 cr. mCL Af O , M?�< 2 K t• nn a � Q. s ; W2 U CL ^vv i US Q o � ! W cr. � ,•o ff,. Z3 Ow- < i - i CLLAJ 00 oz a� n. wW _ Wj co W za �0 inn. CLW _J � cr � rr y 3a ow oN az L�7z j cc co o 1 cr. 0: W m =o 3cr a n°d 1 'k 1,A t} kl51 5 01 A s ......................«.wwglW.«.,..,...,.-,. .......... ._�..........-_' ... .., ..if, �r GENERAL NOTES 1. TRAFFIC SIGNS TO BE 48' X 480 '` _ BLACK ON ORANGE. , r. �" �T O I 2 NO COLLECTOR STREET LANE CLOSURES 100' ",I OR LOCAL STREET CLOSURES DURING r,7 MIN. I THE FOLLOWING TIMF PERIODS: oc urc N"AHM 7:30 - 8:30 A.M. 100' 4:30 - 5:30 P.M. MIN. y' f f I I 3. THE CITYS STANDARD SPECIFICATION J , FOR TRAFFIC CONTROL IS 'MANUAL H 4 ( ON UNIFORM TRAFFIC CONTROL 100 DEVICES FOR STREETS AND HIGHWAYS', MIN. I U.S. DEPT. OF TRANSPORTATION, FLAGGER FHUA, 1988 EDITION. 4 4. ACTUAL SIGN PLACEMENT TO 9E 1 QO' ` FIELD.■ ADJUSTED IN FIE . DO NOT REDUCE z I ■■ 50' MIN. BELOW MINIMUMS WITHOUT CITY ._ I APPROVAL 12' MIN. ■ 5. THE CITY RESERVES THE RIGHT TO ADD TO OR MODIFY TRAFFIC CON IROL REOUIREMENTS ■■ MIN. 0 AS MAY BE NECESSARY TO EFFECTIVELY I ■ vs CONTROL TRAFFIC AND TO ENSURE PUBUC - FIAGGER ■ L) SAFETY. 100' 6. CLOSURES A TRAFFIC SIGNNAL WITHOUT PRIOR COF Y I MN. � Z APPROVAL I p wAoquo �7A 100' I MIN. LEGEND I Q uc we t _ 90-:uA Q TRAFFIC SIGN I 100' MIN. ® CONSTRUCTION ZONE p 1 ■ TRAFFIC CONES OR Ago APPROPRIATE DELINEATION DEVICE- TRAFFIC EVICETRAFFIC CONTROL TYPICAL DETAIL R"oofm APPROVO eY atvm By CITY OF TI G A R D � DATE DWG OREGON KTs 7-9-93 a cET,irnf+ooi+t Wl: i 1 i r f y p y;' I Y . rte 9Y9 :''r z f K r S NSPE SON NOTICE � I�11pw i+ k i + City of Tigard Building Department 4 T 13125 BW Sall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 t !I4 Inspection: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk M Found. Pl.bg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. �s�< , Plbg. Underfloor water Line <Gyp. Bd. -Mech. Date Requested:_ r�C/ TiLm)1es SS 1N PH li • � _Permit Builder: ! QYY? f � ) CO c� fir- s / •a��_' / 0_S�J �I THE FOLLOWING CORRECTIONS ARE REQUIRED: j C - - NJ Inspector:_y�.—`——i -ce_ v Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ,Call For Reinep. i f ' -; 1� .' 141,+ '�}•` ' -sf',tx�- ,/��5 }{. .:Tit{, -"',�.,_.. k� 1.,� �',.' V ,r. ` INSPECTION NOTICE city of Tigard Building Departiwsnt 13125 811 Ball Blvd. Tigard, Oregon 97223 639-4171 Inspection Line (Roc-,o.-Phone): 639-4175 Business PhonR: k ;1 Inspection: -- I Footing ech. Rough-in Appc/Sdwlk Plbg. Undorelab ty4� � Pound. plbg. Top Out Gas Line. /�e PINALs ti 1 ppa post/Boam Struct. San. Sewer C`Framinc—`�/ s�C -Bldg. U 9 -Plumb. U Insuletion� r Pout/Beam Mach. Rain Drain k __ Plbq. Underfloor Plater Lino OYp• �• -Mach. AM 1 Time:Date Requesteds__ _-tel pM t Address: a�J c� 57— / M 1' Builder:__ —7 uy THE FOLLOWING CORRECTIONS ARE REQUIRED: 2le � � �>� � L D \�_•mac �S2_. 1.1-1 —•--• -94 inspector: — ' {�}M - _APPROVED DISAPPROVED PPROVED 3UBJE�JT TO ABOVL M � ���til ^_Call For Reinep. E ikl+ 4' ��IryYLt p��G' 1 YI a '- INSPECTION NOTICE city of Tigard Building Depart--t 13125 SW Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 {II Inspection:_ Footing Plbg. Underslab Meoh. Rough-in Appr/Sdwlk 111E i Found. Plbg. Top Out Gas L nw FINAL: Post/Beam Struct. Sen. Sewer Crra-ing'-- -Bldg. `4 Post/Beam Mech. Pain Drain Insulation -Plumb. i. [� Plbg. Underfloor Waster Line Gyp. ed. -Hoch. e ■ 4 kud. t Time: AM PM ins Date Raqueeteds 1 I_ /,, {irmit // Address: I ���� K 4)�<<—Pl 1: (1 7 O�L d, Builder:-4)' )—1k ( / 1 La)— THE a THE FOLLOWING CORRECTIONS ARIL REQUIRED: L.u�r ►-�.�r_ _� ILAM,. - -- -_- - Nr Date:.-40-2— � inspector: — APPROVED ✓DIS/APPROVED APPROVED SUBJECT TO ABOVE For Reinsp. 7 },s , t q1 011 11 INAII '�,•..,,. ,".'�W`_"_.• ,� `.",,' 'i", ,,�„ 4' l�;l!L�Jk.'Mfrs ,- y*F"G° %'!r,1l�s a2JM1-. +. y , INSPECTION NOTICE 4 i City of Tigard Building Departemt art 13125 BM Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Aec-O-Phone)s 639-4175 Business Phone: 639-4171 ti1h�, Inepe, ion: k a Footing plbg. underslab Hoch. Rough-in Appr/Sdwlk ¢ }�, Lound. plbg. Top Out Cas Line FINAL: s � R'1M �, r Post/euam Struct. San. Sewer Framing -Bldg. ' d Poet/Beam Hach. Rain Drain Insulrtion -plumb. Bd. -Hoch. Plbg. Underfloor Water Line Gyp. . O Time: AH PH I Date Requested: - �Address: Permit j Builder: THE p0LLnWINO CORRECTIONS ARE REQUIRED: , 7- 2—'m I Y' \ � TDCL Inspector:_ I APPROVED DTSAPPROVED APPROVED SUBJECT TO ABOVE Y -✓ball For Reinsp. ?1q Klr.�l, iCrt I! nth i l i �:a,`�{ � 4•R gra , , jl �' e r, INSPECTION NOTICE - City of Tigard Building Department 13125 dw Ball Blvd.. Tigard, oregon 97223 Inspection Ls.ne (Roc-O-Phone): 639-4175 Business Phones 639-4171 Inspections — i Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk M � • �',. Found. Plbq. Top Out Oas Lin PINALs r Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. ' Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. - / ■ Date Raquostads ' / � � �11M PH Times Ad dr t -C Permit s Buildert - THE FOLLOWING OORRECTIONS ARE REQUIRED: : dip Inspector: -- Date:, APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE k Cell For Reinsp. rp y 1 b� 1 INSPECTION NOTICE Cii.y of Tigard Wilding Departaent 1312S SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: - Pooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk ir. Found. Plbg. Top Out Gas Line FINAL: d Post/Beam Struct. San. Sewer Framino -Bldg. (Post/Beam Hoch. ) Rain Drain Insulation -plumb. 1 Plbq. Underfloor Water Line Gyp. Bd. -Mach. `t4 1 Date Requested:_ `J�r- Time: AN __PN itsAddress:.I I� 1'lur� h .1 (�--_ P-Ait Builder: -7D►'n ������ _6 9 7 - 3/�Cd __ _- THE FOLLOWINGG CORRECTIONS ARS REQUIRED: PC Inspector:_ _!/ L -- — Date:--S— --�-y APPROVED DISAPPROVED ;""ROVED SUBJECT TO ABOVE Cell For Reinsp. I j I r INSPECTION NOTICE 1 City of Tigard Building Departwnt 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rae-O-Phons)t 639-4175 Business Phone: 639-4171 Inspection: — Footing, Plbg. Underelab Hoch. Rough-in Appr/Sdwlk bund. Plbg. Top Out Gas Line FINALt Post/Beata Struat. San. Sever Framing -11ldg. ! Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. 6L� -11ech. Date Requested: Timet _AN PM t Address: Bullders� � ' �' y l�/ r THE FOLLOW NC CORRECTIXNS ARE REQUIRED: C car - , j -- i Inspecto s — —_ Date:yZ_ � V/APPROVED DISAFPRO'JED APPROVED SUBJEC•" TO ABOVE 1 Call For Rainsp. ,p ',' J} i ° uw ., be µ { i I 77q PLUM CITY OF TIGARD PLHMITN#.PERMIT. . . . .. . `'ERMIT + MST94-0109 COMMUNITY DEVELOPMENT DEPARTMENT DATE': ISSUED: 05/11/94 13126 BW Hall Blvd.Tigard,Oregon 07223.6199 (603)630-4171 PARCEL: 1 S 134DB---02T00 � SITE ADDRESS. . . : 112,02' SW NORTH DAKOTA ST SUBDIVISION. . . . : MLP94-0005 ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .2 .-.------------------._-------------------------.------------_-- i.;LASS OF WORK. . :NEW GARBAGE D 131"USALS. . : 1 'r YPEE OF USE.. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNTRS. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 F=IXTORES- ---- -__•--_._.._._ LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0 TUB/SHOWE:RS. . . . : SEWER LINE (ft ) . . . . :N 'I WATER CLOSETS. . :S WATCH LINE D I SHWA`3HE:RS. . . . : 1 Hf I N DRAIN (f t ) . . . . -'0 b' Remarks : PATH I OWNER: -------.------.---__-----_------- TOM KF_NYON TIF $ 1520. 00 SW 05/11/94 - P 0 BOX 201E BPRT $ 553. 00 SW 05/11/94 - al BPLC $ :359. 4`; JLH 03/10/94 94--249933 + l_.HKE. GROVE. OR ')70;=•5 B5E='C $ c 1. bt5 sW 05/ 1. 1/94 - Phone #: 697-3156 SSDC $ 280. 00 SW 05/11/94 - id PARK $ j00. 00 SW 05/11/94 - - MPRT $ 42. 00 SW 05/1 1/94• - r'1c_cmbing Contractor: ----.._.-.___._.__._..._.. , cn� 1 MP'-C $ 10. 50 ;SW 05/11 /94 - Name• _. �!u1._ �____ M5PC $ "'. 10 SW 05/11/94 nddres : 154 Sup ���MZ _ F'PRT $ 140. 00 SW 05/11/94 - City : p1��RPi_ State: )'S1 C 6 7. 00 SW 05/11/94 - Z i p: q-119 '1 __P h o n e#: Rey ,r REGIU I RE:D IN13PLC f IONS Thi ; permit: is issued subject to the reg._ -___-•___-_ ( t _kla'tlons contained in the Tigard municipal Foot/found Insp Rain drain Insp Code. State of Ore. Specialty Codec, and Lill. Post/17pam Struct Water" Line Insp other applicable laws. All work will be clone Post/Beam Mechan Appr-/Sdwlk Insp in accordance with approved plan-- fhi, Plm/undslab Insp Mechanical final permit will expire if wor••N is not started PLM/Uri derfIr)or Plumb Final + within 1.80 days of issuance, or if work is Mec:hani.cal. Insp Bc_ 11ding F i.nal sc_tsrlended for more than 180 days. Plumb Top Out Erosion Control Frraming Tnsp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp Gyp Board Insp V)uthorized Plumbing Contractor Signature Ca 11 for inspection - 63,13-4 175 r"ont;r,ar..t:ar- Notes• n ill Tali MIIA ..r•.w++w,M.r•wwrwaw...-.+.,.....K, ,n EL4., r � Y.N.w...iM'M....,....... M1r4•„ rn ,..,.. .. .._.-w.wn4w....-.,e.w Mw. . .. .n..{..n�w.,.u... w. .`.:.i_:.,.1..:_.:.wU CITY OF TIGARD MASTER PEPMIT dr COMMUNITY DEVELOPMENT DEPARTMENT PERM 1 T #. . . . . . . : MS'T94- 1 09 DATE ISSUED: 05/11/94 13126 SW HNI Blvd.Tigard,Orpon 97223•Bi0l.=±(4103{iBlp4f71 PARCEL: 1S134DB-02700 SITE ADDRESS. . . : 11202 SW NORTH DAKOTA ST SUBDIVISION. . . . : MLF=194-0005 ZONING: R-4. 5 Ill-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . -------------------------- BUILDING -.______________.-•------.-_--------._._____. REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . :'-2'000 sf TYPE OF USE. . . :SF FLUOR ARE:AS--__.___._...__.... __ REUtIlRED SETBAL:KS-----___---__ TYPE OF CONST. :5N FIRST. . . . :2420 sf LEFT. . : 10 ft RIGHT. : 10 ft OCCUPANCY GRF'. :R3 SLCOND. . . :0 sf FRONT. :50 ft REPR. . :99 ft STORIES. . . . . . . : 1 TH I RD. . . . :0 s f REDU I RED----- HE ED----HE I GHT. . . . . . . . :21 ft TOTAL._--__-_-.------.:2420 s f SMOKE: DET ECTORI;. :Y FLOOR LOAD. . . . :40 osf VALUE. . . . . t: 1473FZVI PARKING SPACES. . : 1 Remarks: PATH I _.__.__.___.____._____....__.._._.._..-.._._.... ..__.___._.... PLUMBING SINKS. . . . . . . . . . . 1 FLOOR DRAINS. . . . :0 BACKFLOW F'REVN1 R5. . :0 LAVATORIES. . . . . .3 WATER HE:AT-E:RS. . . : 1. TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : 3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :2 SEWER LTNE (ft ) . :0 GREASE TRAP'S. . . . . . . :0 DISHWASHE:RS. . . . : I WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 �} GARBAGE DISP. . . - 1 RAIN DRAIN (ft ) . :0 WASH I NG MACH. „ . : 1 SF RAIN DRAINS. . : 1. MECHANICAL FUEL, TYPES------------- UNIT-HTRS. . :0 type amount by dirte recpt r /GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 SW 05/11/94 - MAX INPUT:O BTI.1 PUNT FnN13. . :3 BPRT $ 553. 00 SW 05/1 1/94 - FURN < 100K . . :0 HOODS. . . . . . : 1 BPLC $ 559. 45 JLH 04/10/94 94--249933 FURN > :-100K . . : .1 WOODSTOVES. :0 B5F'C $ 27. 65 SW 05/1. 1/94 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 SW O�1/1 1/94 - BOIL/CMF' ( 3HP:0 01'1 1E R UN 1.1-15 1 P(IRI' 9 500. 00 5W 05/11/94 - GAS [OUTLETS: 1 MPRT $ 42. 00 SW 05/11/94 ` f:Jwner: __-__._________._ ___._.____.____._._..-•---_.__._MI='LC $ 10. 50 SW 0Mr/1 1 /94 - r TOM KENYON M5PC $ 10 SW 0!l/1 1/94 - F-, 0 BOX 2,016 PPRT $ 140, 00 SW 05/11/94 P5F'C $ 7. 00 SW 05/11/94 - LAP,�E GROVE OR 97035 w F'hane #: 69.7--3156 Contractor: YOUNIOUE HOMES bt IOM KEF:YON WU BOX 2'016 LAKE. 6R•7VE: OR 9/035 Phone #: E7124 5766, Reg #. . : 55633 _._____._._.__.___._____.____.__.---•-__------___ _..._ $ 3441. 70 TOTAL This permit is issued subject to the regul ion!-c r rned lr the - - - REQUIRED INSPECTIONS - - - � Tigard Municipal Code, State of Ore. Sp alty (,c a and all of Fuot/fo�_�nd Insp Fir,epl.ace Insp applicable laws. All work will be da in actor a e with a roved Post/Beam Stv-uct (aas Line Insp plans. This permit will expire if rk is n.,t .t in 100 Post/Beam Mpcharn Insulation Insp days of issuance, or if work is suspended far o than 8 days. F11m/unds17b Insp Gyp Beard Insp PLM/Undei•floar, Rain drain Insp Permittee Siynatut.ei ,,._ ___. Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued B Fs Ami.ng Insp Merhar7ic,zAl FirlAi 1 C, I l far int;pert; i.ois - F39•-•4J.75 i ......�.r—wr•.... �.1�rr.M�MFI.'K�..M.K...NI.IIMY111u9AiMY..WTR.4.lIH�4n.....,..,...... ......_......e....... I CITY OF TIGARD SEWER CONNECTION PERMIT ' COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR94-0115 13125 BW Hail Blvd.Tigard,Orpon 972230811110 ,MNs ft"71 DATE ISSUED: 05/11/94 PARCEL: 1S134DB-02700 SITE ADDRESS. . . : 11-C'02 SW NORTH DAKOTA ST SUBDIVISION. . . . : Ml-P94-0005 ZONING. R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 --- - ---------- ------ ----- --_---------------------__-..__--_----_-_----.---.---------- . TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . .- CLASS NITS. . . :CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF` NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :NUSWFR IMPERV SURFACE. : : af Remarks: PATH I Owner-: --------------.------------_-_---._-_-_---yPe-_ - TOM KENYON - `amount +-bFFEy p rp datec t +' P 0 BOX 2016 PRMT t 2200. 00 SW 05/11/94 - INSP $ 35. 00 SW 05/11/94 LAKE GROVE OR 970,35 Phone #: 69.7_3156 Contractor: __.___.________._._._._______---•--.___. CONTRACTOR NOT ON FILE $ 2235. 00 TOTAL _.._..__. REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection !_ of the Unified Sewage Agency. The permit expires 180 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 locate a measurement given, the installer shall prospect 3 feet i all actions from _ _the distance given. If not so located, t nst r shall pur ase _• ____� __.�� _.r --- '' a "Tap and Side Sewer" Permit and the ncy install lateral. Permittee �-3i.yn,:atl.tr•e: Call for inspection - 639-•4175 35 7 .7 rt. •w.anrr�+uwa'-, - x`kW.F9kKM#1}9e'x7�'�ek+�S � 11i':��kRd4.R"(d1PrcnwrnWlAhtNiawr++www,.w.w+..«...........�r.nv�n"•xvw Residential Building Permit pplication City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 i Jobsite Address:1��� - '��' y�'Ci Office Use Only Subdivision: L '2 - 0005- Lot # Plandc/Rec#�- Valuation:_ /-0j,, ,n Permit # N Owner: `r� /� �t��mi'] , i�,r.-��r3 ll6Y►tF Reissue of Address: ` ' c,�`'. � /L. -- Map &TL LSZL; 7 7 v 7 5 L C�IZ. pAC7`ry Approvals Reguired Planning7i1{Z'� Contractor: C Engineering Address: Other Items Required Phone: „�fi -31 Subcontractors. Contractor's License # _:;(attach copy of current O on /i se) Truss Details i Subcontractors: �41her V Plumbing: Mechanical:1`) v �� DC-( _UDE�S l (attach copy of current OR Contractor's License) rl Architect/Engineer: C �'/'J� v1 DZ�5 Address: T /U S�✓ C�rCS7 d✓ver „r- , „� Phone. L� COMMENTS: �Ic gigppt&4 & Phone number Received by: ' ��L� �� Date Received: , eyw........m.,..,,Al. MAMMAoil is i ',�.. i•,. 'c, .r..,..,.,.. j Permit # Account Description Amount Amt. Pd. Bal. Due �c 5 f!/ •d d Bldg. Permit (BUILD) SS�_&U _ — Plumb. Permit (PLUMB) —b-1 _ U Mech. Permit (MECH) —q-2 -! State Tax (TAX) Bldg: a2-15-- 4 4 Plumb: CA) Mech: -/ D Plan Check (PLANCK) Bldg: U r : Plumb: y( Mech: 10 �� �li, UI s Sewer Connection (SWUSA) ��uJ Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) S� S Storm Drainage Chg (SDSDC) _ Residential TIF (TIF-R) 141V d Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) i Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quatity (WQUAQ _ I Water Quantity (WOUANT) i Fire District (FIRE) TOTALS: � %,2 (4&2U� _ - l t t r STATE OF OREGON Registered as: No.[ S 5 6 S 3 16EN CONTR/RESIDENTIAL [EXEMPT [INQIVIAUAL Explres[ 10/30/94 a [YOUNIQUE HOMES [TOO KE'NY4N [PO BOX 2016 [LANCE GROVE qR 97035-aaoo, :.y M a Y i I t 1 r i d s S 'i 1 4 1 '.I .r-+..+.aau_....--_-....-..rca.wr..r.ri..._ -�.^+.... .... ..,,...... ....r...w..r..0-.. r ry CITY OF TIGORD RF'C;E:IF'T OF' PAYME NT (�HF.".t';EU J fllh'111Ni A P'f N0- )4�i4C?i25c 70 :r faME- u KFNYCIN, TOMCAf�N faMOUNT n 0«00 pIU ai)DRE::B;:} a F'� 14 41'Fi F'AYMF'N T UA VE: r (4.5/11/94 LAKE 0SWE"00, OR 4�I.IHf.t;'f,ON a "'U11E'Cihk: OF" F'AYMl;:hl1' (1 hl()lJhl'i' I!A:f 1) PURVIOSF Of; K'AYI*IE:N'i flMlil.1M'i PAJD W_ .. ..__.... __ __ . _ .....__.._.. ._....w_....................__.._,._.__ _......... ...... 140.(�to u7tMvtl�a F'F'Fthl ':)4-N1:1`:# Ram�:x«Mel F'I,.I.1MPINt7 K'FRM ;3fa«'7"r gF:[~NAN:Ct;fll_ E'Fi: 42.AP1 ST. F.AJ[I._X) PER !KCH N:EC,()I_ F'F:: 119.95 EiF-'Wi:* LISA bWk94 kt:l 1 HP.' W. MP) EWE �:I:NS ECT `i«me 4:(IRKS SI)C: `ill')•WW G• c"'.(3k1.L1tA Rf:',:::f 1'tF�NTIAI.. 1'FifaF F� F'F"F�.f� 14111«Nt�l "IORP'I DROIN DC LL_ . 'IGlsti 'i'RANSI T TIF FF-E.831 0.00 i. .1.ir?0P 4 W NORTH DAKC1T A n OTAL AMOUNT PAID - ) 5426. '70 Y,