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INSPECTION NOTICE
City of 'Tigard Building Department
P.0. Box 23397
Tigard Oregon 97223
Phrne: 639-4175
Type of inspection _ -- --- - --- ----�
Date Requested_ Time A.M.__ P.M.
Address _ S`S' ����a +�-" Permit #_
Owner ___-__ Lot
Builderere --
The following Building Code def icienci s required to be corrected: ,t
/v ! mss '
Y-i�-
P
Presented to - Approvila
Inspector __ ❑ Dieepproved
Date.
CALL FOR REIN.."►PECTION
YES ❑ NO
t
f
APPI,.ICATION - STREET IMPROVEMENVEXCAVATION -J , COPY TO:
ORDINANCE NO. 74-14 I 1
(WH
ORDINANCE
(PINK)-OTHER AGENCY b)'Clg
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
APPROVED APPLICATION NO.:
'-7 /
NOT APPROVED ❑ CIIY O1' l'IGARD, OREGON T-E AMT.: f -Z-4 �_' —
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.: 7 7,S
PENDING SECURITY ❑ PUBL IC WO R KS DEPA R TMEN T R` �
'I , —4
— — — — — — — —
PENDING AGENCY ''OK'' ❑ Application and Progress Record ;lU4,
MAINTENANCE BOND --
PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION❑ AS REULJ HEu
ANNUAL_ LV
PENDING VARIANCE L1 EXPIRATION DATE:
— y ) n�Ct101 --�~—..
PERMIT NO ' i _-. DATE ISSUED. II _�- BY:
( 1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL(_
DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT AC`'" !y Holnes -- /IJOU SW `Eieavorton,OR 97005 226-390:.
- ---�—V !-- 'ADDRESS CITY PHONE
CONTRACTOR - 131 L1 Cook 40132 6.E. Skaw i'11_, kd. EstaCada, OR 63&-500
A ADDRESS CITY HH– ONi&—
PLANS BY __ Per city standards and Spec
if i.cati.ons
_NAME ADDRESS CITY
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ (3W-2O
DOLLARS
(2) EXCAVATION DATA: FOR OFF1 )u5C', 29 00 MIN
_ 0.04 X f
STREET DESCRIPTION PROGRESS &_ INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL, INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE_ LENGTH WIDTH DEPTH ITUM & QUANTITY
A )r.'A . STREET --
-_^ ^_ PEN D —_--_
INSPEC-
R TION
(a
C
ESTIMATED STREET OPENING DATE:
ESTIMATED STREET CLOSING DATE: / E
_ D
--- bOU.uU St REET
(3) SECURITY NO. SEC.JRITY AMT: $ CLOSED
SURETY COFIN
_ -
' AL
CERTIFIEDCHECK '.I �• ROND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/ CONDITIONS:
rEATURES. EXCAVATION LOCATION AND EXTENT. 1, CLGy Ill:' .')C
Ir v.., MtrLs 1
comMenciny work
( 1 I I 1
All shall conform to
S.W. North Dakota 11.3.A. , and
-r --- ---- v..— Code requirgment::
3) _,ojj,_L: ;r sivill provide for
W11tcut per the M311t.131
I 0IAkI( I \ On Uniform Traffic control Devices.
(5) NOTE THE Y Or TIGARD DOES NOT, HEREBY, GRANT PERMV SION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY -JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPIN/T THE RIFOU/RED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS l'HL CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICPNTS ACTIONS.
I
APPLICANTS SIGNATURE / DATE _. /
i
/00 •
T LIMITS
Sol
501
203 204 2600
300
400 201 200 - --- ----- - -
2603 260/
500 __----�-- — -
3G'I 302 i 202
m - T ms e'
Lr m- m co 0 p DI" ' tip coo
,. .008 a �6 � 8" .018411370 8' .014
8"STUB DAKOTA 8"STUB
OD
D1
?I a 30O 4200 2300 2200
t,!
t/U
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� 4
MIN. 3" .4C IN Z LIFT, ---
STREET AREAS OUT OF STREET AREAS
sAw cur
EXISTING _
SECTION � RESURFACING
' °•: •• : 0 CLASS A
♦. �/ BACKFILL
o •
CLASS 0 _
3/'4!-0 GRANULAR • V
BACKFILL 0• v
4-3
T.. __ a •• t1 .' p n
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Q
a• e � 1 •(a , � � m
►V � p e 4 Q
CL Q. .,,_ . a �0\ND •J
CO_ y . 0 •• o
PIPE BASF
_FA KFILL IN STREET AREAS
I IFS/W ISAGAINSTCURB, FILL ROCt, TO
BACK OF S/W
2.IF S/W IS NOT AGAINST CURB, FILL ROCK
T'BACX FROM CURB
PIPE BEDDING AND
CITYOFTIOARD EACKPILL DETAILS
OREGON DE5I6N by AF"ZCyVEO LiY OIZAI.JN f3Y
GA
5CAI_E TATE DRAWING No,
NT5 8/50/,C
0%C S_2
1
._BUILDING SEWER PIPE, SIZE AS SPECIFIED I
PLANT FABRICATED TEE FITTING
ON SEWERS 18" AND SMALLER. � BACKFILL ZXA
FIELD TAP ON EXISTING SEWERS AGAINST PUIG TO
AND NEW SEWERS LARGER THAN I PREVENT PLUG
-- THAN le". 1 BLOWOFF a SECURE
2X4 IN PLACE WITH
— I TRENCH BACKFILL.
�-SEWER MAIN
OR LATERAL PLAN Y ,
EXTEND AT LEAST
/-GROUND 12"ABOVE SURFACE
/ SURFACE
MINIMUM SLOPE FOR o�
G"PIPE= 0,010, FOR
4"PIPE= 0.02.0. SERVICE CONNECTION
MARKEN:
WRAP 12-IG GAUGE.
GME•N LOCATORkili".
--WIRE AROUND 2X4
3/4"-0 PIPE ZONE MATERIAL
AS
•�� .r SUPPORT TEE WITH SPECIFIED
M)UNG GRAVER
MINIMUM 2V WiDE I DE
BUILDING SEWER
Uf
i' Unified Sewerage Agefwy
of Washington CcAmty
i
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INSPECTION NOTICE /
City of Tigard Building Department C��l
P.O. Box 97
Tigord, Oregon
97223
Phone: 639-4175
Type of Inspection
Date Requested _f„Q -�% `c7 Time __ A.M.. P.M.
Address �1J_.r 1,• _ Permit # yv ;!f[)
Owner _ Lot #_
3uilder
The following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector -14/-z --- ___..---.-------- � Disapproved
r
Date � _:�y�_ _
CALL FOR REINSPECTION
L7 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department ��
P.O. Box 23397
Tigard, Oregon 97223
�y Phone: 639-4175
Type of Inspection L—_. CS',�—`
Date Requested __ /__ Tlme A.M.__ P.M.
Address ��> T � _..—_ Permit #St y
Owner _ __ Lot of 0
BuilderThe following Building Code de'fTciencies are required to be corrected:
r
Presented to - Approved
Inspector __!__— __._ ❑ Dlapproved
Date
CALL FOR REINSPECTION
0 Yt8 O NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r -y
Type of Inspection _— `'L `k--
Date Requested
� j Time H.M. P.M.
Address __11�i— ' �� ,-��:tLC*k Perrnit #J--L--L,1=��
Owner_ + Lot
Builder f_ "Y\ _� l 4.- G L I
The followin f Building Code deficiencies are required to be corrected:
Presented to —___ __ ❑ Approved
l Inspector _s ---__._—_ Disapprove
Date r /
CALL FOR REI
NSP
OYES �IF
INSPECTION NOTICE „.
City of Tigard Building Department ny
CrP.O. Box 23397
Tigard, Oregon 97223 y
Phone: 6339-4175 r
Type of Inspection l^L L 77 i `� 6e t��t(-i,e �l Ce 6
Date Requ
este
d
_ l) o / Tuna A.M. P.M.
Address i[_1sLJ ��� 7>'�) c �C� permit tet✓
Owner (� Lot
Builder L' - ) � )
The following Building Code deficiencies are required to be corrected:
i j'..�. .elm s7 wa.l y r-1 t w.-i..:y /! ..�►�,
P;esented to
_�� ❑ Approved
Inspector _ q
u Disapproved
Date 3,-- 2 y
CALL ,FOR REINSPECTION
,
�ORyll C7 No
� t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4,11,75
Type of Inspecticn -�-
Date Requested S�l�^� A0/ / — Time A.M.
�
r Permit
Address —
Owner __ Lot # xx
Builder . ' "'m�-s
The following Building Code deficiencies are required to be corrected:
Presented to 'LI Approved
Inspector �1! _- ❑ Disapproved
Date
CALL FOR REINSPECTION
El VES 0 NC
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 9
Owner _- _ t.ot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ �Approved ------^
Inspector
- J Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Jmt --
Date Requested7 - Time_ A.M. �— `� P.M.
Address Permit # oaq C)
Owner `] Lot #
Builder _ Lt cjY,
The following Building Code deficiencies are required to be corrected:
Lj
I
Presented to /;'�'- _ ❑�A'pproved
Inspector f - — f7 Ulsapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
i
APPLICATION — STREET IMPROVEMENT/EXCAVATION COPY TO:
ORDINANCE NO. 7414 Ij ('+YULLOWFILE
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-O'Mi['T<Aen1y/
r(BLUE)•APPLICANT
.i
APPROVED SK APPLICATION NO.:
NOT APPROVED ❑ CI I Y O I IGARU, OREGON FEC AMT.: S 1 `
PENDING FEE PMT. ❑ CI Y 1EALL RECEIPT NO.:
PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY _ DATE_— / /
PENDING AGENCY "OK" ❑ \pp)icaljon and PrcRres: Record — — — — — — — — — — — — — — —
MAINTENANCE BOND 0
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED C
ANNUAL_ D��� ,�► ��, f
PENDING VARIANCE ❑ EXPIRATION DATE: _
r
PERMIT NO.: Z z___= 1 DATE ISSUED: BY
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL!_
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ ,,L'k /
NN-ANC - ---- --� ._------ --- -----
ADORE45 CITU PHONE
CONTRACTOR _ /
NAME - ._ -.__._._.-_.__.____ ____T__V
ADDRESS �:ITv PNDLVE
PLANS BY
ADDRESS CITY hHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST:
_. ---- — -.-. DOLLARS
f
(2) EXCAVATION DATA: FOR OFFICE USE: MIN._ _ _ 0.04 X s___
STREET Di.5CRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE OY
TYPE LENGTH_ WIDTH DEPTH ITEM A QUANTITY
j STREET
I NSP C-
R TION
E —
Q
U
ESTIMATED STREET OPENING DATE:
'�_`_'---ter------- T.
ESTIMATED STREET CLOSING DATE:
-- --- - --- - --- -- D
STREET
(3) SECURITY NO. SECURITY AMT'.: � cLoseD
SURETY CO.: _ FINAL
CERtI PIED CHECK a CASH U eoNo —.!!!SPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/I;ONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
k
I I
N f d'
,k,- .ill r all da
I I I I I
(S) N07E THE CITY OF TI
GARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK. WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR L'AMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE DATE /
1:41AA-DI.NG I-`EAKUT
CITY OF T1GA RD v4orm PE.AKET NO. : GU890290
CITymnam
COMMUNITY DEVELOPMENT DEPARTMENT "Room Df),TE, T.F.-iSUIED: ZI/1.2/89
13125 S.W.Hall Blvd..P 0 Box 23397.Tigard,Oregon 97223,(503)639-4175 V11:41M . F,MT.NO. 090,_�90
Ail. 0DDI:*,,1`-'*S5 . 9155 tiW NOPTIA DAK01A ST
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FPON 11' : 3�.'2 PEAP: 1.0
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01 I)l Alda'. : :1./159
f,J I I lel!59 14001' CONST : ('.11 FA:Alil:
11 1 (,.A.Tf 1'13 SEPA147 PATEM :
NO 0CX,11.4). 1:
1*.*2A FED:
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F1.0W((,.;V1M)
i y U)1:" (31 A 5
('01 ( Ill-Alk IRY: bcr-
PL:J.S!;i(*:: UF NO.
0 Vil-AAFN I 1 1 $33,(1. 00
W
N I !'16`ff3 51:.;* 1:46TA1A:4 AVE: III I!1 t,JII...W $2217 :1.0
R E I NA(AMS 0G7 Y7 0 T!5
( �50*3) 9705 U1. I AX ilif 7 0
1 10MVEN'T
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0 1111 P.5 0 . 00
N $600 . 00
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C I ON PNF:A�WLD < 111100 . 00)
T ( vW31i E.126-3901
R 1 IN)I TON NO 101 A- L. : $1. 567 .E10
101
NO
This permit Is Issued subject to the regulations contained in Title 14 .................................
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and 1'01[111 '1 N(", SI,.;.WF:.P
spe^Ifications and in compliance with all applicable codes and V OWNE)ATTON WAL.L. P1DPA
0N TWI
—Ainances The Issuance of this permit does not waive restrictive 1:41::.AM WO TE.P 1 1'.IN I."
covenants Contractor and Subcontractors shall have current city '
hiiqiness lax permits. This permit will expir- and become null and 1. El UNDl;:A*VJsI_AB AI:,PP(:3_l1GW
void if work is not started within 180 days,or if work is suspended or I I.1"I F J:NAL
abandoned for a period of 180 days any time after work has 1A r< IP171.11,
commenced, It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
(IS 1...1:NL::
P S i g r I a t u
Issued By
t H 'FTMI4 elm vp211
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
W W
—C4111D I 111413IG, PENPMJ: ICITY OF TIGA RDI:lT:PM 'T* NO : IN C
COMMUNITY DEVELOPMENT DEPARTMENT DAW ISSUEA) ; "I/J.2/139
13125SW Hal!Blvd..P O.Box 23397,Tigard,Oregon 97223,(503)6394175 F"1:41:M . PM T' , NO . 090i'2190
93.5"1 15W NOPCTIA DAKOTA 51*
1.S1 ".55 1)E:S 2 0 0 15111J.
NO:
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13KPLOW 1:44VNIA.4
I AVOWAII)IF-ly IPAVI PW:):MI;::P
1-)-5 TAA.3 SI-40WE14 ('3PEASE., TPAI-Irl
I 11:l I:A) Wr)51-4111`1('=, MAU-11NE.
I Al.)NORY 1 -466
I'LOOP DWAIN
ST N K !:if::.Wf::,0 IVA,)
:1, SIORM/PAIN (F- T :1.00
(.11111 1!
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This permit is issued subject to the regulations contained in Title 14 NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby I,l:AAIJ11-!i 1:1,45 PEE C,TT.00 C3
agreed that the work will be done In accordance with the plans and P1 1-3 r 1?4[W R 51 o Gy
specifications and in compliance with all applicable codes and V*.,(')t.,'Y* 9 DRAM
ordinances The issuance of this permit does not waive restrictive 1 1:N E.
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work Is riot started within 180 days,or if work Issuspended or 1.)11!A T N!i
,abandoned for a period of 180 days any time after work he.,;
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are Sequested and approved
Permitte;gnatti
C/
2
Issued By -- -I"-------------.-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ME.GI--1AN!lXAI Pl`nM
CITY" O
F TIOARD Nn. ME.89032
clyfo—r�r' RDRD
0
COMMUNITY DEVELOPMENT DEPARTMENT 1111 .4,4 89
13125 S.W.Hall Blvd_P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 PP,r.M j::,m'T' . NO f3190 i2.9
5W N(:)I'-*,`T*l--I I)AKOVA. !:it, UK :
pzj !i
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3:T E:M AX 1�� 1--IANDI 1:4 <10
NFEW Ft.)PNACE' <1001K I.
I-IANVAP 1.0K
CTNULE" FAMIL-Y ul-MA.C,11: 1.001<
1:::VAP .0001 E.1:4
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11101ill. ( 503) 655-y7+V5
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NO
This permit is issued subject to the regulations contained in Title W ................. .................................
of the TMC. State of Oregon Specialty Codes,zoning regulations (JI,j:Pl;J,1 1WiPh.-C,'I 'I.0Wi
and all other applicable codes and ordinances, and it Is hereby I
agreed that the work will be done in accordance with the plans and GA1.1
specifications and in compliance with all applicable codes and 1:�,051 N l."iLAM
ordinances. The issuance of this permit does not waive restrictive it it*I I. 1N
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
PermitteeSig store
Issued By F._L;I I Urr-6-7
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
- A
Elwin.
!M..!:Wl::P I.,l VMIT
C17YOFTIGARD CIT44OF—TWA PE.J.1111T Na . : 1, -90324
COMMUNITY DEVELOPMENT DEPARTMENT 09101014 UATE 1qS(.JI;KU: 41/1.P 139
13125 S.W.Hall Blvd..P.O Box 23397.Tigard,Oregon 97223,f503)639-4175 P1411"I. P"MT .NO. 13 9 0 k*i 9
91.5!5 StAl N01:411.1 DAK(TIA 5T 11.11�- NUM011KA 0,•71.'713
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if) 35 TUP : %
N!*.:'W
Si NGI.Ii.: FAM IA..Y
WJ. 0) iiii.A.I. rmletii likilcl Elf tlile Urli-pied
P
permit expil-cilta 1.20 (141L�415 fruln (JaLt.cp ilfifl;l.ted . T,11" It.cl t 110
If br-? The Ailaporlcj cluoilq; I'lut
ti-im tid.de isewer- Iiii.A.el-11111% . 14' A.lie ii;r:?�wer im
(34, 01(o I.c1c,441.1t. c)
ial, 010.oe 3 feet J.11
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WL11F.I.P11 NO. 1031-
This permit is issued subject to the regulations contained in Title 14 ..................•.......• ............
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby INEiPI:f I I
agreed that the work will be done in accordance with the plans and 1:101I.K.A-1 :1:N
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 cloys any time after work has
commenced.It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permittee Sign Lure
I 1 1 1 rZ,
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
IR �
C17Y OF TIGA RDPLAN CHECK APPLICATION
utrOvrWRIM PLAN CHECK b c� /I?COMMUNITY DEVELOPMENT DEPARTMENT ��' PERMIT #
�3125Sw.HABtvd_P.O.Box 23397,Tgod.o-"m9?9�.(SM)6394175 DATE ISSUED
JOB ADDRESS: A �� LiAX MAP/LOT
SUlllir �IL1L:Lt�'r LOT: _ _ LAND USE: /. S
VALUATT
OWNER SPECIAL NO-FES
NAME: /
���`_ REISSUE OF:
�/� (E• �- �.C�.1�- � —
ADDRESS: i L,y 5 _ ��;= 4/�J;ik7i �J LAST REISSUE:
(�1C'tcic /�Yr� CJ�'� �:�/�% % IC!/ FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REEUIRED
CONTRACTOR PLANNING:
NAME: 4 Ly C) n C, 8 rA E '. ENGINEERING: _—
ADDRESS: ,O �+ L �' 4 FIRE DEPT
i �.► r4al,-�� C l 1�d OTHER:
PHONC:
2aL2 -� 1 EI I ITEMS REQUIRED
!._IST/SUBCONTRACTORS:
ARCH/ENGINEERBUS TAX:
NAW : _ WU«-%.e/�- IJ `. I Y� CALCULATIONS.
ADDRESS: / TRUSS DETAILS:
I2""t- 1 PARKING PLAN:
LANDSCAPE PLAN:
PHONE: OTHER:
COMMENTS,.
PiRMIT N ACCT 0 DESCRIPTION AMOLINI AMOUN1 PD. RAL. DUE
1.0-432 00 Building Permit Fees
10--431 00 Plumbing Permit Fees
_
;Z 'S 10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (576)
Building
P l umb i ng
Me c h /, �,:�, °f� 43
10-433 00 Plans Check Fee ; :� is 1$ /00.-
Building
Plumbing
Mech
;3 ;1
30-202 00 Sewer Connection /✓dv ..
30--444 00 Sewer Inspection
51--•448 00 Street System Dev Charge (SDC)
52.-449 00 Parks System Dev Charge (PD(.)
31-450 00 Storm Drainage Syst Dev Chr•g (.:SDC) _.___�_ �_...--•--�.-- --2.� _.
10-230 09 TRFD ...._.�_ _ -----.....-
10--230 OG Washington County Fire N1 (9'.)76)
10-220 00 Amar•t/Wrdgewaod
101 Al
REE' H c
APPLICANT SIGNATURE c
Received By : __...__ _�- Date Received:
cn/358713/181)
6
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TransaMeFI08
TNie Insurance Services
II
Description:
A portion of Lot 25 , A5HBROOK FARM, in the City of Tigard, County of
Washington and State of Oregon, described as follows: `
OOK
SH
Beginning at an iron pipe at the Southeast corner of LothenceAR
North
FARM, in the County of Washington and State of Othence North 0° 10'
899 0' East 300 feet tothe point of gtheiNortherly line of that
West 271 .95 feet to a point which is onDeed recorded April 6, 1978 ,
tract of land conveyed to iozsef Sandor by 31 , 1978 , Recorder' s
Recorder' s Fee No. ?8015960 and myre- Records ;May
North 890 00' East
thence
Fee No. 78024389 , Washington County
along the North line of said
Eastdlineor roftsaid iSandor Tract aedistance
South 0° 10' East along parallel with the
of 71 .95 feet to a point; thence South 89° s Wee of 70 feet to a P point ;
North line of S.W. North
Dakota
Street theiWestGline of said Sando
thence South 0 10 parallel
Tract a distance of 200 feet to the outh lanst a of DanceCof.h15 feett on
Land Claim No . 52 , thence
to the r^int of beginning.
the public by Deed recorded March
EXCEPT that portion dedicated to
15 , 1983 , Recorder' s Fee No. 83008660 .
I
I
2622260
2 ;
Dated October 18, 1988 Page y
on•+uo
i
Transamerica SKETCH OF PROPERTY SE OUi
To assist in locating the premises. It i. not I
IIII assumes no liability for variations if an
9
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loo zoo. _ - .s gas
8600 8400 '�O°s I 8200 im 7800.+--
37 ac BO 4c ` 1 � 11
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8100 7900
el AC_ 20
2113 - 64
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ww'. nH410124 00
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