10755 SW TIGARD STREET-1 I
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10755 SW 'Tigard St.
INSPECTION NC)TICE
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City of Tigard Building Department
P O Box 23397
Tiga•d, Oregon 97223
Phone: 639-4175
i
Type of Inspection
Date Pequested=� L� C Time�/A.M._ P.M.
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Addr,s ,,fid 2— Permit
Owner — "— - - -- Lot
BuildFr . -- ---- - ---- - — —_
The following Building Code deficiencies are required to be corrected:
Presented to _ _ Approved
Inspector _�y `_ .-__ _ ___ ——_—_ [_� isepproved
Date - — —= ----
CALL FOR REINSPECTION
❑ YES ,:�] NO
a
WYATT FIRE PROTECTION INC.
INGTALLATir J AND MAINTENANCE
9095 S.V;.BURNHAM
TIGARD,OR 97223
OFF:503 684-2928
RES:503684-3439 GENE WY/-TT
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APPLICATION -- STREET IMPROVEMENVEXCAVATION _ COPY TO;
ORDINANCE NO, 74- 14 r� .(WHITEI
ff _.ter VF_LLOW)-INN
SP.
(INSTRUCTIONS ON SEPARATE SHEEN) /c1 (PINK)-OTHER AGENCY
(BLUE)-APPLICANT
APPROVED APPLIION IN 0.
NOT APPROVED CI I�� "
OF 1'IGARU, ORI',:;1)N (( 7 —i—
❑ FEE AMT.
PENDING FEE. PMT. ❑ CITY IIAI,I, R EC E I Pir rAID.:
PENDING SECURITY ❑ PUBLICWORKS DEPARTMENT BY= LYIJ = DATE </
PENDING AGENCY "OK" ❑ APPlication and Progress Record
MAINTENANCE BONA
PENDING INFORMATION ❑
FOR STREET IMPROVEMENT/EXCAVATION AS REOUTAED
A N.-J UAL ._
PENDING VARIANCE (] E.
'IRATION DATE:
PERMIT NO.: 4&VA �' DATE ISSUED: " !l�llJtilil� BY:
-
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL!_ "-
24 AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT { ISL ( .AMt i( 1 —AbDRE59 1 ,a I� ._c Tw I� - PHONE
CONTRACTOR— 1 !?tl1'—. '�r 5 i r X C ' " I 1 QJ
I�AIYIt ADD_" ----..- ---"--CITY
PLANS BY---I � �►—i �USP. "J C c b
ADDRESSI CITvPHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): _- _
___ -- -- DOLLARS
FOR OFFICE Y.SEt— MIN
(2) EXCAVATION DATA: 0.04 X 0
STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS__
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
1113vu 1 T
STREE
PENED
R TPI ON —
/i.r i as Nf!C? i9 Q1
S
ESTIMATED STREET OPENING DATE;
t O Ci —
ESTIMATED STREET CLOSING DATE: / / T �—
.� E
' � =
(3) SECURITY NO. SECURITY AMT STREET
� _ �-��� � REE _
SURETY CO.: - __ _ _ FINAL - —
CERTIFIED CHECK �l CASHC_ MOND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SP 'CIAL PROVISIONS / CONDITI NS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
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(S) NOTE THL CITY OF TIGARD 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 I'D SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY CIR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
,, ..lyJ, 1
APPLICANTS SIGNATURE �✓ '��'►�+ A-k` (,:•' /� T-t
----T— DATE -�__�� ! ! ��O
CITYOFTIIFARD SEWER PERMIT
PERMIT NO. : 13E892117
cmQF nCARD
COMML'AI Y DEVELOPMENT DEPARTMENT °��°�" TE ISSUED: 10/26/9:1
13125 S.w Hall Blvd.P.O.Box 23397,Tigard.Oregon 97223,(503)639-4175 I M.RMT.NO. 892117
JOB ADDRESSif 10755 SW TIGARD ST USA NUMBER: 39101
TAX MAR/LOT 1S134D3500 SUBS LTB BKs
LAND USES
LOT SIZES
SECTIONS 34 TWPs s RNGi w
WORK CLASSe ALTERATION
USE TYPES SINGLE FAMILY
The applicant agrees to comply with all rules and requlations of the Unified
Sewerage Agency. The permit expires 1.2.0 days from the date issued. The total
amount paid will be for.eited if the permit expires. The Aqency does not quar-
antee the accuracy of the location of the side sewer laterals. If the sewer ir,
not located at the measurement given, the installer shall prospect 3 feet in
all directions from the distance given. If not so located, the installer shall
purchase a "Tap and Side Sev-ar" Permit and the Agency will install a lateral.
INSTALL. TYPES BUILDING SEWER IMPERVIOUS AREA: -
FIXTURE UNITSe TENANT IMPROVEMENT: NO
DWELLING UNITSe 1
NO. OF RLJGS. a 1
FEES:
W Wyatt Gene PERMIT $35.00
N 10755 sw Tigard St CONNECTION CHARGE $300.00
Tigard Or 97223 LINE TAR INSTALL.
PHONE 694-2929
OTHER
G
N
T
P
A
C
T
H I TOTAL: $335.00
I
chis permit is issued subject to a regulations contained in TiNRECEIPT NO.
4 14 ____________________
of the TMC, State of Oregon Specialty Codes,zoning regulations REOUIRF,D INSPECTIONS
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be dono in accordance with the pians and SEWER
specifications and in compliance with all applicable code: and OTHER*
ordinances The issuance of this permit does not waive restrictiv:
covenants Contractor and subcontractors shall have current city
busines%tax permits. This permit will expire and become null and
void If work is not started within 180 days,or if 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
_-c
W
Permittee Signature
septic fill
Issued By 1NQP9CT1nu 649 417 ___
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIEiED ABOVE
T r;i9.�D� dry 97�d�
Agreement to Pay Sewer Assessment
in Installments
This agreement i.s entered into this _11r,0 day of October 1989, by and hatween
the City of Tigard, Oregon ("City") , G--ne Wyatt.
Reci tals
1. Gene Wyatt, is the owner in fee simple of certain rea? property located
at 10755 S.W. Tigard St_"eet, Tigard, Oregon and as more particularly
described by the Washington County Tax Assessor as 1S1 34DD 00300.
1. The city has determined that Mr. Wyatt must pay a $3,000 sewer
asse^-,meet fee. Mr. Wyatt has requested to pay such fee in
irk:tallmen♦-;.
Agreement
Now, therefore, the parties hereto agree as follows:
1. Mr. Wyatt agrees to pay the balance due of $3,000 over a period of five
yoaLs at nine percent interest to the City. Such amortization results
ir. monthly pay e-ut:s of $62.27. The first such payment will be due on
do v. A� 989•, and each subsec4pent payment will be due on the
v
y ollowing month. �
2. A late charge of $5 will be charged on all payments not paid within 10
days of the due date. In the event that any payment becomes more than
30 days past due, the entire unpaid balance will becxm due and payable,
and will be collected in the following manner.
The unpaid portion of the assessment and arrf intexest aa=►ed thereon
will be collected thr.xigh procedures for delingient a,sessments under
ORS 223.505 and following.
In such event, City shall be entitled to an award of reasonable attorney
f,-, and collection costs, even if nc, suit or action is filed herein.
In the event a suit or action is filed, the imiunt of such reasonable
attorney fees snal.i be fixed by the court, or courts in which the suit
or action, including any appeal therein, is tried, heard, or decided.
4. All parties hereto have read, understand, and represent that they
voluntarily enter into this agreement arra that this agreement, and any
documents referred to herein, constitute the entire agrEtmrte"nt between
the parties.
City of Tigard, Oregon --
By. -
Wayne �;% u�an birec.-tor Gene Wyatt
Ala
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EAR.L.IYUK.-o PEPM1.T
CITY OF TIFA RD k---4L PEPMIT NO B0890"58
CITYOFTMID
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd,P.O.Box 23397.Tigard,Oregon 97223.150316394175
P P I M. r--1M t .NO 2 9
5 S 0 f"J.'.1', 15W I l'C-,AlQD l!:J I
IAX MAP/1 04, 51JU:
I AND 0GE. Wl . ti
1.01 VALI)ATION 41 1. 500 Si E:*Tr-4 A K 5
FRONT : PEAP :
W(JPl< ("I AY5 : ADLYLIJON DWIE.L.L. . UNIT5 : I F:F T : PT(..H*r :
ll'yG* IYPE : riING'LL FAKILY NCI OLD1400t,15 : E:X*T .WALL CONSO
ONGT , TYFIE : V?4 NO . VA I+Hl : N: G : E : W:
G14" , P3 P RUT .0 F:'I:::NT NGS.s
OGGII]FI . L(JAD N 5 W
1'(:)'1'(11_ A P E A
N(:) . S 1'0 P T FG :L ST GOWYT : FJ PE: PET?
N D APEA SEPAW? PATEM:
IilAfiiEiall .N T'? D 0M."UP 15FEIDAW? PA'TED:
Ml;;*17ZANJ1 NE. RN:4-H.M 11
F L00 P 1 001:31 : GAP(1KA;% :
1111A ll UE-1 E-KC1"?
Hli-,.0 V T'YjJi;. FlucV, ALCLS5V A
Pl -AN (,l-W;:LK 14Y
HKISSU14 NO.
0 'i :( V W.2500
W WYA I V GENP !M
N I 07bb SW '11 11-PA141.) �-.)T I 1::,W ro 1 011 . 2.5
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723
1-1-10NE (503) 6811 29 VH ':VI A 11. I AX $ 2'15
0 FHEA.-I
C DFIMENI CHAM31ii.15 :
F,-AY PA 91)(11 t `54134M 1
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A
C PPE-PAID < >
T I 1101JI (!-503) 6.39-61P'�'
R 1,1i 1- 11:ill-01-111IN NO 101 Al. . /I ".i0
This permit Is issued subject to the regulations contained in Title 14 ............... .....1.215:(.:1:1 1::.'I.- N.0 Af)
of the TMC State of Oregon Specialty Codes.zoning regulations
and nil other applicable codes And ordinances, and it is hereby 1:4 1---(A I IT 1:11-:!'.) T N!5 P EP I Ul N I'i
agreed that the work will be done in acrordance with the plans and I 001-1.,W.,
specifications and In compliance with all applicable codes and I. PAM1.1 1G,
ordinances The Issuance of this permit does not waive restrictive NAL.
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire:and become null and
void If work is not started Within 160 da is.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibil,ty of the permittee to assure
all required inspections are requested and apprr)ved
LJ L4
Permittee Signature i
Issued By J.N31- L ,
T—
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C11YOF
TWA RD � PLAN CHECK APPLICATION
�\b ����� PLAN CHECK H
COMMUNITY DEVELOPMENT DEPARTMENT' ,it \ � � PERMIT H
1312sS.W.jw(Jfnf_P'_o.Box 23197jignat0mgon9T223.(W3)4)94175 V� DATE ISSUED
JOB ADDRESS: ) S �) ��� ��� --- i AX MAP/LOT _
SUB: LOT: _ LAND USE: _-
---_-- VALUATION: l�UU
OWNER SPECIAL NOTES
NAME: �aPr��. (�t/C17� r___� REISSUE: OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
-` — SENSITIVE LAND: -
PHONE: _ - 2,ct z 4C
APPROVALS RE(LqIREO
CONTRACTOR PLANNING:_ _
NAME: T rt_�.�.� _ _ F-NGINEERING:
ADDRESS: _ FIRE DEPT
_.
OWER: ---- —_ -
PHONE: ITEMS REQUIRED
�— LIST/SUBCONTRACTORS:
ARCII/ENGINEER BUS TAX:
NAME: CALCULATIONS: ,-_-�_--
ADDRESS:� TRUSS DETAILS:
— PARKING PLAN:
---' - LANDSCAPE PLAN:
PHQNE: OTHER:
COMMENTS: L 1 l Com___ —� -
PERMIT H ACCT H DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees ___-_- "5 o
10-431 00 Plumbing Permit Fees _
_ 10-431 01 Mechanical Permit: Fees -
10-230 01 State Building Tax (5X)
Building
Plumbing
Mech
10-433 00 Plans ='-
Ajilding
Plumbino
Mech
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
51-440 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (POC) -
31-450 00 Storm Drainage Syst Dev Chrg (SSUC)
10-230 09 TRFO -
10-230 06 Washington County Fire N1 (95x)
10-220 00 Amart/Wedgewood
To,'11t
RF.0 N ----- --
APPLICANT SIGNATURE y� 1
Received By: C%VMt LJ Date Received:
cr1/3587P/18P
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eon s5 �u1 rcc7rAao T.
T �gr%mo cl a. °11-.23
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APPROVED FOR CONSTRUCTION
CITE n, ry
s C.1 31rv_ �R�
-
� Ir !. DATE '!
L.
WASHINGTON
OREGON
= Oars-
43 p9r s-
m
April 4. 1989 '�%o3 .�c
Gene Wyatt PkA-,.e ro -i�i _'7
1.0755 S.W. Tigard Strett
Tigard, Oregon 97223
RE: 60-Sewage and/or waste water
on the surface of the ground
10755 S.W. Tigard Street
151-34D-TL 3500
Dear Mr. Wyatt:
It has come to the attention of the Washington County Department of Puhlic
Health that sewage and/or waste water is discharging on the surface of the
ground because of a malfunctioning of the sewege disposal system at the
above noted address. This is in violation of Oregon Public Health Laws
and regulations governing the disposal of domestic sewage anI other
household wastes.
Gerhard Matheis, Sanitarian conducted an investigation and substantiated
the violation referred to above on March 29, 1989.
You are respectfully requested to correct chis public health hazard by
establishing, hook-up to the public sewer zvailable to this residence. For
information on sewer hook-up, contact City of Tigard 639-4171.
Since the above is a safety hazard as well as a Pubic Health Violation.
we must request correction within 30 days from the date of this letter.
Please call or write the Department of Public Health as :soon as correction
has been accomplished.
If a satisfactory correction has not been completed in the time allotted,
we will have no choice but to refer this problem to the Department of
Environmental Quality for enforcement.
If you have an; questions regarding this problem, please feel free to
contact this office.
Very truly yours.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Alice McCartor, Director
Gerhard Matheis, Sanitarian
Environmental Health and Sanitation
,;M:aat
Deoartment of Health 8 Human Services
265 Southeast Oak Street Hillsboro,Oregon 97123 Phone:503/646-888 1
I
MIN. 5" .4 C !N 2 LIFT5 - -
sAw cur------- ,
STREET AREAS I OUT OF STREET AREAS
�" —
EXIS'TING I
sEcrrON RESURFACING
`r 6•
' °• : CLASS A
BACKFILL
O I•
• r
CLASS B / V
GRANULAR
BACKFILL 0 ,�- • / O
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Zn�
e J • 1 C . �
Z co f . o ' o. ° '' �
N •e C o o" WQ
W -�.
0. ---_--- `�c
4Q_N •o • � • • o
LT�° a' .
41
o o
W v e •,
0
PIPE BASF
_BACKFILL IN STREET AREAS
1. IFS/W 13 AGAINST CURB, FILL ROC„ TO
BACK OF 3/W
2.IF 3/W IS NOT AGAINST CURB, FILL -OCK
2•BACK FROM CURB
PIPE BEDDING AND
CITYOFT167ARD BACK_ FILL DETAILS
OR�G�� O 5IGN isY A\PP<(T/Ep 13Y 1)W'4 JN P�
GA R�
�C1�J_F C��aTE Dt2Al,liNG NO.
NTS 6/30/88 S-2
LONG RADIUS j 4,�� �►
BENDS NOT - - .� LONG RADIUS SERVICE
GREATER THAN 450 // BENDS A5 CCNNECTION
REQUIRED r PIPE
20°MIN.
PREFER 300 ��
TRUNK, MAIN, OR
LATERAL SEWER \ WIRE SERVICE TO
TRENCH WALL 1 CONTINUOUS 4.4"
OR 2"K 6" TEE FRAME.
MUST EXTEND FROM
p4Et'`f SEWER TO UNDISTURBEl
S
QIP EARTH.
OLd"r 4" BRACE
—20° TO TO° GR
BACKFILLED TO UNDISTURBED
EARTH, MINIMUM 2'-0" WIDE
MAIN, TRUNK, OR (A ) MAIN, TRUNK OR LATERAL_
LATERAL SEWER �B
USE ONLY WHEN WORKING AREA
PROHIBITS USING (A)
COMPACTED GRAV'A- UNDER 12',
COMPACTED GRAVEL OR CONCRETE
ENCASEMENT BETWEEN 12' AMD 16',*
DEPENDING ON SOIL CONDITION
CONCRETE ENCASEMENT OVER 16'.
OVER 12' USE CAST IRON AND
COMPACTED GRAVEL IN LIEU OF
CONCRETE ENCASEMENT.
*MAY GO TO 24' DEPTH IF THE
TRENCH ABOVE THE PIPE IS
LIMITED TO 30" ACCORDING TO :r• COMPLETE
BAt'F!LL CALCULATIONS. ' --CONCRETE
;L ENCASEMENT
VERTICAL POUR BASE FULL.
(CONCRETE 'r= k`'�'; �1 /WIDTH OF TRENCH
ENCASEMENT)
TO BE USED ONLY
WITH PRIOR AUENCY r
APPROVAL.
SIDE SEWER
CONNECTIONS Uf
UnIfI*A Sawors"Agency
r SEWER PERMIT Na 89k / / 7
Unified SewerageAgwncy CITY OF 1 OA"TE
of Washington County _
OWNER: —_ ��- ��„_� L'. rf PHONE:
s.r�
OWNER'S ADDRESS:--- / r'
TYPE OF INSTALLATION:
❑a'BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ '_INE TAP
TYPE OF OCCUPANCY:
Elr„W CJ EXISTING ElSINGLE FAMILY ❑ COMMERCIAL
❑ MULT? RES. ❑ INDUSTRIAL
r
FIXTURE UNITS DWELLING UNITS _ _
ADDRESS OF STRUCTURE : -� S `"'� L �-'"•_ — -
Permit Conditions: The applicant agrees to comply with all rules and regulations of thr Unified
Sewerage Agency. When calling for an inspection, please refer to the Permit Nw;ber. The Permit
e•.pires one hundred twenty (170) days from the date of issuance. The `vital amount pard (permit
fee. connection charge. line tap fee and/or other charge) will be fcrfe.ted it the permit expires.
n
The Agency does not guarantee the accuracy of the• locatiun of side sewer laterals. if the sewer
is not located at the mwasurement given, the installer shall prospect three feet in all directions
from the distance given. If not so located, the installer shall purchase a "rap a, ' Side Sewer"
Permit at the current charge and the Agency will install a lateral.
FFES:
PERMIT FEE
CONNECTION CHARGE
LINE TAP INS"EALLAT:UN ISSUED BY
OTHER
-OTAL DATE OF ISSU7�NCE
-- A0PICANT DATE OF EXPIRATION
SEINER PERMIT
ADDRESS ')F STRUCTURE -- - -- --
QUARTER
TAX M'1P 'TAX LOT _— __ __ _— SECTION — -- —
LOT BLOCK — OF —__—__-- -- —
APPROVED BY DATE ISSUED BY DATE OF ISSUANCE
D.U. ' S REMARKS