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11467 SW TWIN PARK PLACE I I 1 I 7 11467 SW TWIN PARK PLACE - INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 / Phone: 639-4175 Type of Inspection _ Date Requested/ d � Time. A.M. Address Owner -- Lot #_ Builder The following Building Code deficiencies are required to be corrected: �' ��C'r�J,.L'. l4'IzdUl.l L� _K•✓•1uOGL.✓�-�' �•�G._�l•Q/ _! 110 A Presented to _ % _f�— ---_— �pproved Inspector _=^ �•__--- -------- Okapproved /A T CALL X'INSPEC770A' CJ Yet O NO P CERTIFICATE OF CITYOFTIRDC-, OCCUPANCY CITY OFTWARD PERMIT N. . . . . . . a MST98-8113 COMMUNITY DEVELOPMENT DEP,#AR4W OR100+ PRIM. PERMIT Ii. r MST`0 -811:3 13125 SW Hell Blvd. P.O.Bow 233L?,Tigard,Oragxi 97223(503)839.4176 / DATE ISSUED[ 08/22/98 S I 1 L ADLORL6S. . . a 11-1,67 SW TWIN MARK PI. FARCE.[.a 18134DC-08900 SUDDIVISION. . . . a TlUkRD PARK ZONINGe NL.UCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 15 CLASS OF WORK. eNEW TYPE OF USE:. . . t SF OCCUPANCY ORP. 03 OCCUPANCY LOADa220 4 TENANT NAME. . . a Rom arif.a a Owner _,_._---_—..____..—________~___..____ DON MORIS13EITE St.DE.RS9 INC. P 0 BOX 19524 PORTLAND OR 9721`.) Phone Ho "'o03-24A-9314 Contractors DON MORISSETTE BL.DERS, INC. P 0 BOX 19524 PORTLAND OR 97219 Phone #i :°0 3-6E'®-75.38 Ren #. . 1 35533 Occupancy of the Mbove refers iced building is hereby given, and rertifiew the compliance with the State Of Oregon ("ipeci.alty Cadets for thop group, l occupancy, and use under which the reft+rpnr_ed permit was i.1 stied. 4/1r FIRE DEPARTMENTlILDINCl INf3PE .TOR r BU I L.I) 0 t3F�f"'174r ._ . POST IN CONSPICUOUS PLACE k i i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-417.5 Type of Inspection I. �. `.---Date Requested Requested _Lt_ 2 L— 90- ,t-2— Time___. A.M. p_P.M. Ae,dress ___//%r�� Permit # Jwner �t—may ��—— p-----— Lot # Builder ---- -__-_ ----._--__— —_.-- The following Building ^:ode deficiencies are required to he corrected: i Presented to _ __ _ Approved Inspector _ _ Disapproved Date _ 2 CALL FOR REINSPECTION ED YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 039-4175 Type of Inspection _ 'S ` V - --- -- -- Date Requested -..;10 `q(/ Time Address /��D 7 --� !n ,�.v Permit Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to proved Inspector _ Diapprovprt Date C?-o CALL FOR REINSPECTION 0 YES 1200 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 Owner Lot Builder The following Ruilding Code deficiencies are required to be corrected: -4 CIA Presented to Approved Inspector Date CjP1 CALL, F01? REINSPECTION NO INSPECTION NOTICE �. City.of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Ir..pection "-` �" "� 1LC�>✓i I Date Requested__. ,1 /—`� - _ Time - A.M._ 75_P.M. Address Permit #� —ell Owner Lot # Builder The following Building Code deficiencies are requirri to be corrected: Presented to Approved Inspector ElDisapproved Date dS �G - CALL FOR REINSPF'C770N l ] YES U NO I INSPECTION NOTICE City of Tigard Building Department ! P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection r t Date Requested ' O ��y �� Time A.M.. P.M. Address _-- ���� 7 a c Permit A( Owner_—_ _- Lot # _-- Builder. The following Basiidinji Code deficiencies are required to rected: �-Z� � _ - Presented to Approved Inspector -�� _._ •,U Disapproved Date CALL FOR REINSPECTION YE8 ❑ NO INSPECTION NOTICE ( 1 City of Tigard Building Department P.O. Box 2;3397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — Date Requested__.CSL_ Time A.M.--P.M. Address __ —L✓ f�1�/t-� Permit #1CL— Owner _—� Lot # Builder The following Building !;ode deficiencies are required to Be corrected: 1,1—A Presented a�~Z11ry7� _. Presented to k4pproved Inspector _ e _ ❑ Dlsepproved Date --- CALL FOR REINSPECTION O YES 1 NO INSPECTION NOTICE f City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4115 p Type of Inspection _ ` �� ,�a✓ �/ Date Requested Time me_A A.M. P.M. � Address l (ILL -' Permit #4& - a//t-� Owner Lot # Builder The following Building Code deficiencies are required to be corrected: /il/ OU L&& Aj Present,M to _— pproved K2 Inspector I Disapproved Date CALL FOR REINSPECTION ❑ YES L 10 INSPECTION NOTICE - City ut Tigard Building Department �f P.O. Box 23397 / Tigard, Oregon 97223 Phore: 639-4175 Type of Inspection ._s--~ �101.� _ Date Requested - �� Time— A.M.--P.M. Address ------ Permit dk_ i = > Owner _�j ---- Lot # _ The following Building Code deficiencies are required to he corrected: Presented to — - -------- V Approved Inspector --- ` Disapproved Date CALL FOR REINSPECTION O YEs ❑ No INSPECTION NOTICE City of Tigard Building Depertmem P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested_.___.. _ Time__-— A. ._ P.M. Address _ / —�� -✓ _ Permit /L Owner Lot #--- Builder __BuilderThe following Building Code deficiencies are required to be corrected: Presented to Inspector/ (� _ Disapproved Date --- CALL FOR REINSPECTION C] YES ❑ NO INSPECTION NOTICE City of Tigard Guilding Department P O Box 23397 Tigard, Oregon 97223 Phone: 639-41755 type of Inspection Date Requr,sted_�SQ '`dC �J Time X A.M. P.lz M'. // Address /L� — ..Permit J& -L3 Owner Lot #rt BuilderThe follr,viog Building Code deficiencies are required to be corrected: Presented to _ _.. proved Inspector _ __ — ❑ Disapproved Date CALL FOR REINSPECTION 0 YE8 ❑ NO INSPECTION NOTICE City of Tigard Building Department P.Q. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection . Sewer Date Requested xxxxxx 6/6/90 — Time 9:00 A.M.__.._P.M. Address____ 11467 Twin Park P 1. — Permit #.90-0113 Owner - — ---- Lot # -- Builder -_.-__-�-- The following Building Code deficiencies are required to be corrected: Presented to _.- _ Approved Inspector [..� Disapproved Date C CALL FOR REINSPECTION 0 YES 0 NO INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 7223 (hone: 833-411 7.5 L� Type of Inspection Date Requested /� T e A.M._ —P.M. /address 1—le e/' - Permit #qc _Ldyo Owner - Lot #_�____ Builder The following Building Code deficimicles are required to he corrected: CCG' Presented to ❑ Approved Inspector __ [] Dimpproved Date CALI, FOR REINSPECTION El YES Cl NO CI°YOF71firARD MASTER PERMIT CIiY OF RD� F E R 111 T #. . . . . . . .. 11 S T 9 0--0 1.1 COMMUNITY DEVELOPMENT DEPARTMENT 011111190N 3 13126 SW Hall Blvd. P.O.Box 21397,Tigard,O"Pgon 97R A"146?" 1::'RTM. F-`ERMI'T 1.4. 11ST90-0113 j7h T)OTF ISSUED: 0 /1.5/90 JIM I-IDDRLSS. - --' 1.1461 ;:IW IWIN POR14. III PARCEL: IS134DC--0890L) IS 10111.. .. . . - 'T'I GORD F,ARK ZON I NG.- f.'i L U C,K. . . . . .. . . . . L.0 T. . . . . . . . . . . . . ....5 BUILDING REISSUE: DWELLING UNITS: 1 BA S EM 0 S f CLASS OF WORK. -.NEW F.4 E DR I IS 15 BATHS a 2 GARAGE:.. . . . . . . . . . :440 w f TY I-*'E 0 F USE:. . . S F FLOOR ARE RE QUIRL'I'l SF:T TYI::'E or (.;ONST. '5 1%1 FI R S T. . . . : 1.216 1;f LEI,' r. . :5 ft RIGHT. a 14 ft OCCUPANCY RP. »R3 SECOND. . . :600 Sf F R 0 N'T. 12 0 ft REAR. . 177 ft S T OR I L-S. . . . . . . »H THT.RD. . . . -0 Sf R F.H1 1.)1 1--�E D- 14 E:r G HT. . . . . . . . ..i?0 -f t T OT A I- : .1.8.1.6 Sf 911OKL DETECTORS. ly FLOOR LOW). a4O ps f V A 1.-U 1:-: « « 'b» 84192 F'ORK 1116 SPACES. « »0 h f.-?III a-r P.S. ............................... .......... PLUMBING 1.N KS). .. . . . . . . . . at F I OOR DRO 11413. . . . -0 14A(:KFL..OW PREVNTRS. . »H I...0VAI OR I E S. . . . . P.2 WAT'E'R HEATERS. . . » I f RAPS. . . . . . . . . . . . . . ..0 I I.WSHOWERS. . . . ..2 LAUNDRY 'TRAYS. . . 0 COTCH BASINS. . . . . . . »0 W PTE R C L 0 S E'TS. . :2 SEWER LINE (ft) . .10 GREASE 'TRAVIS. . . . . . . cO 1)1'.9 H W AS)1-4 E R S. . . . ; I WATFR LINE (ft) . : 100 OTHER FIXTURES. . . . . ..0 GARBOGI-i" DISP. . . » I RAIN DRAIN (f t) . :0 WASHING MACH. . . » 1 SF RAIN DRAING. . - 1. MEC,HANIGAL. __-•.__...._._._.._.....__.__._.... F.LLS ............................................ FUE1 UNIT HTRS. . sO type amount by date I,e c p I-, /UAS/ VENTS . . . . . 10 FIAYM $ 100. 00 JL.H 03/16/90 1078/4 MAX 1N1::IL)Tn0 BTU V LN T FANS;. . -R BPIRT $ 388. 00 11)RN ( 100K . . .- I HOODS. . . . . . it BFIL.C, 1; 252. 20 F'URN )-.1.00K . . -P) WOODSTOVES. -0 B5PC $ 1.9. 40 I LOOK FORN. . . . 10 ULO DRYERS. tl STDC $ 600. 00 I'MIL/CMP ( 31-11::1:0 OTHE R UNITS:@ 13SDCI $ 250.1 (40 GAS OUTLETS: I PARK I; 250. 00 0wrier". MPRT 1; 33. 00 I'ON M(:)RISSLTTF-. 1(LDERS, INC. MPLC $ 8. 25 0 BOX 195P4 115pc 1; 1. 65 PIFIRT 117. 50 113RILAND OR 97219 F,51''(:: A 5. 88 Pfic)rie #n 503 244---.9314 FIAYM $ 1825. 88 JLM 05/13/90 1)(7N MORISSETTE BLDERS, INC.. I f) DOX 1.9524 PORTLAND OR 97219 111-iarie #.* 503-244-9314 Req c 3.5533 .............--- ............... ........ $ .1925.88 HITAL This permit is issued subject to the regulations contaitmi in the ..........I................ REQUIRED INSPECTIONS Tigard hunicipal Code, State of Ore. Specialty Codes and all other Fc)at/fOUrid Insp Pl.t-tnib Top Ot.it applicable Ian. All work will be done in accordance with approved Wt-r V-roofirig Psin F'rAniii-ig Insp plans. This permit will expire if worl, is not started within 181 Post/peaftl Insp Fi-replaee II-ISP days of issuance, or if work is suspLd for mor; 1,n IN days. Crawl Dramin 1-iiie Insp P 1.m/t.t ii d 4.4 1.a b I ii Itsr.) , PILM/Widerf Icic)-rc)a-r d Insp Gyp I Ftng Draj.ri Bsnilt- Rain drain Trisp Isst.ted Bi ........... 11-ISI) --r Li.vie Irisp ........... Meel I Watf Call for irispe(ztiari 639 4 175 ---- SEWER CONNECI'ION C17YOFTIGARD F)ERM I I' CITY TWARD I::,E RM! T N. . . . . . . I SWR90 0121 COMMUNITY DEVELOPMENT DEPARTMENT � onem [")RIM. PERMIT 14. : MST90­011.;3 13126,9W Hall Blvd. P.O.8=2"3397,Tigard,Oregon �g7 76 DATE ISSUED: 05/15/90 sill Ill)I)Fili:'3fi. „ „ 11.4(:,/ SW TWIN PARK, H'L. G'ARCE:L.I 1.S1,34DC--08900 'TIGARD FIARK ZONING: HI_O(�I<. » . . . . . . . . : L_O'r. . . . . . . . . . . . . I5 T'Ei:N Fl lel T' N0111"'. . . . . LISA NO. . . . .. . . . . . ..40675 FIXTURE: UNITS. . . 9 CLASS OF WORK. . . INEW DWELLING UNYTG. . I :I. I YF'E: OF' USE:. . . . . I SF NO. OF' BUILDINGS- 1 1.115 TO I..L. I YN•'E:. . . . I BUSWR IMF'ERV SURFACE- -. - !B f Reniar1'.s:. ETON MORISSEI'Tf:: DI...DE RS, INC:. typte .amot.trlt by dAtr-.. reepl, F' O BOX 19524 F'RM'T $ 1250. 00 INSP $ 35. 001 PORTLAND OR 9721.9 F'AYM $ 1.e85r, E70 ]'I._II 05/1.:3/90 Phone #n 5@3-244--9,314 Cant-rcaC.,ta•r. _._..__._.._........_.._._.... ___....___.._......._._...__..... CONTRACTOR NO'T ON FILE” i?I1ane N: 1c?Cl'i. F1 El T'OrAI _____._.... RE0UIRED INSPE:C:110Nca This Applicant agrees to comply with all the rules and regulations Sewer :lnspec:tion . of the Unified Sewage Agency. The permit explrP- 128 days from the date issued. Tho total amount paid will he forfeited if the permit expires. The Aqency does not guarantee the arc-lracy of the side sever laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the instdller shall purchase A "Tap and Side Sewer" Permit and the Agency will install a lateral. Vlei,nvi.t tee Si.Iltyattt.tvel A,,, ` 1 Ca11. fa•r i.iispeeticin 639-41! CITY OF' TIGARD Rr,.CF.-,,7F'1" OF FAYMENT F E C F- I CHU.J. AMILWIT I 10 198 14 A m I.'- MOR IS133ET'TE.. DON CASH AMOUR F O.on PAY11IF'N'1 DAri SUBD I V I S I ON PORTLAND, OP 21 9 I-llf-F'0,'-,E CIF F44flIEW AMOIJNT FAIL, F*I.;PF'(.),*-.)E (.-JF' FAYMFEENT HMolJN,r FAID .......... ------- PU I' F EPM MST90-01 1. :388.00 PLAMPING PERM 117.50 MECHANI(,-F�L PE or-1 ST. PI ILD PER 26.9? F"LAN GHE(J- FE 160. 455 SEWE"R USA 1230. 00 3EWER Q) ',33TREE-1 SK 600. 00 F'ORKS SIX 250.Oil STORM DRA!N SIX. x.513. 00 I'OTAL APIOUNI PAID - '1 .10. 80 III-STORY: VIEW UPDATE DELETE ESC Delete selected item 6AMASTER PERMITAAAg�k�fi ����fififi 5fiAfi6��ea�aSa�Aal��fia€�fiafifiafi�a fi€�afiaa� afiaaSf��AG :MST90-0113: PROJECT:TIGARD PARK STATUS:I UPD:05/13/90: :JLH: ° PERMITTEE:EON MORISSETTE BLDERS, INC. PRIM. . :MST90-01.13: ° SITE ADDRES^•11467 SW TWIN PARK PL ° 05 CASE HISTORY AAAAASSA&6&Ab6AAIi5A&a&ASP.eq/Sent&Schd/DueAEnd/Done6AByAStatAbfiC A722 Plumb Top Out 06/15/90 MS PASS ° A725 Framing Insp 06/29/90 TLP FAIL ° A726 Framing <REINSP> 07/11/90 KS APP ° ° A730 Fireplace Insp A735 Gas Line Inap 06/22/90 KS DIS ° A735 Gas Line Inap 06/11/90 KS APP A735 Gas Line Insp 08/15/90 KS APP ° A740 Insulation Insp 07/09/90 KS APP ° A740 Insulation Insp 07/09/90 KS APP ° A745 Gyp Board Insp 07/11/90 KE APP A755 Rai, drain Insp 06/06/90 MS PASS ° A76C Water Line Insp 06/06/90 MS PATS ° A765 Appr/Sdwlk Insp A'795 Mechanical Final A797 Plumb Final 08/14/90 MS PASS a,4AaSSaaAA€iAA3AAAAAAASAtlaAAAAAAAAASAAAaAAAAAASAAAAaAASAAAAAAAAAAAfiAAAAAASAAAAAi MT13TORY: VIEW UPDATE DELETE ESC Delete selected item OAMASTER PERM[TAAAAAAAAAAAAAAAAAAAAAAAAAAAAtiSSAAAAAAAAAAAAAAAAgSAAAAAAASSSASAAC :MSI'90-0113: PROJECT:TIGARD PARK STATUS:I UPD:05/1,3/90: :.71,H: PERMITTEE:EON MORISSETTE BLDERS, INC. PRIM. . :MST90-0113: ° SITE ADDRESS:1.1467 SW TWIN PARK PL ° oa CASE HISTORY 6&AAAAAAAAAAAAAAAAAAAAAAReq/SentASchd/DueAEnd/DoneAAByAStatAAAC A72:2 Plumb Top Out 06/15/90 MS PASS ° A725 Framing Insp 06/29/90 TLP FAIL A726 Framing <REINSP> 07/11/90 KS APP ° A'730 Fireplace Insp ° A735 Gas Line Insp 06/22/90 KS DIS ° A735 Gas Line Insp 06/11/90 KS APP ° A735 Gas Line Insp 09/15/90 KS APP ° A740 Insulation Insp 07/09/90 KS APP ° A740 Insulation Insp 07/09/90 KS APP ° A745 Gyp Board Insp 07/11/90 KS APP ° A755 Rain drain Insp 06/06/90 MS PASS ° A760 Water Line Insp 06/06/90 MS PASS ° A765 Appr/Sdwlk Insp A795 Mechanical. Final ° A797 Plumb Final 08/14/90 MS PASS ° a55AAAAAASAAASAaAAAAAAAAaSAAAAS{�AaAAAAAASAASASAAAaAAAAAAAAaAAAAAAAA5AA�15.�AaaAAi HISTORY: VIEW UPDATE DELETE ESC Delete selected item oAMASTER PERMITAAASaSAAAAfifiASAAAAAI�S(�AAaSSA3Afibf�baAAAAASfiaASaSSAAASAAA��ASaSaSAC :MST90-0113: PROJECT:TIGARD PARK STATUS:I UPD:05/13/90: :JLH: ° PERMITTEE:EON MORISSETTE BLDERS, INC. PRTM. , :MST90-0113: ° SITE ADDRESS:1146'7 SW TWIN PARK PL ° OA CASE HISTORY AAAAAAAAAAAAAAAAASAAAASAReq/SentASchd/DueAEnd/DoneAAByAStatAAAC A722 Plumb Top Out 06/15/90 MS PASS ° ° A'735 Gas Line Insp 06/11/90 KS APP ° A735 Gas Line Insp 08/15/90 KS APP ° A740 Insulation Insp 07/09/90 KS APP ° ° A740 Insulation Insp 07/09/90 KS APP ° A745 Gyp Board Inep 07/11/90 KS APP ° A755 Rain drain Insp 06/06/90 MS PASS ° A760 Water Line Inep 06/06/90 MS PASS ° ° A765 Appr/Sdwlk Insp ° A795 Mechanical Final ° A797 Plumb Final 08/14/90 MS PASS ° HISTORY: VIEW UPDATE DELETE ESC Delete selected item O$MASTER • :MST90-0113: PROJECT:TIGARD PARK STATUS:I : UPD:05/13/90: :JLH: ° • PERMITTEE:EON MORISSETTE BLDERS, INC. PRIM. . :MST90-07.1.3: ° SITE ADDRESS:11467 SW TWIN PARK PL ° O$ CASE HISTORY $$$$$$$$$$$$$$$$3$a$$$$$Req/Sent$Schd/Due$End/Done$$By$Stat$$$C A007 Application received 03/16/90 JLH PASS ° A010 Plan check deposit paid 03/1.6/90 JLH PASS ° A020 Plan check by / / 03/21/90 RT PASS ° H A030 Check for prcl. restrict. 03/21/90 03/21/90 RT PASS ° A092 (F) Issue combination permit 05/15/90 JLH PASS ° ° A705 Foot/found Insp 05/24/90 KS APP ° A707 Wtr Proofing Bsm't Walls A'710 Post/Beam Insp 06/08/90 KS APP " ° A713 Crawl Drain ° A717 PLM/Underfloor 06/07/90 MS PASS ° ° A718 Ftng Drain Bsm't Walls A720 Mechanical Inep A722 Plumb Top Out 06/15/90 MS PASS ° A725 Framing Inep 06/29/90 TLP FAIL ° A726 Framing <REINSP> 07/11/90 KS APP H i!TORY: VIEW UPDATE DELETE ESC Delete selected item 66MASTER PERMIT$$$b$$$$$$$a$$a$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$G :MST90-01.13: PROJEC'T':TIGARD PARK STATUS:I : UPD:05/13/90: :JLH: ° PERMITTEF.:EON MORISSETTE BLDERS, INC. PRTM. . :MST90-0113: ° SITE ADDRESS:11467 SW TWIN PARK PL ° ti$ CASE HISTORY $$$$$$$$$$$$$$$$$$$$$$$$Req/Sent$Schd/Due$End/Done$$By$Stat$$$C A007 Application received 03/16/90 JLH PASS ° A010 Plan check deposit paid 03/16/90 JLH PASS A020 Plan check by / / 03/21/90 RT PASS ° ° H A030 Check for prcl. restrict. 03/2.1/90 03/21/90 RT PASS A092 (F) Issue combination permit 05/15/90 JLH PASS ° A705 Foot/found Insp 05/24/90 KS APP ° A707 Wtr Proofing Bsm't Walls A710 Post/Beam Insp Ob/08/90 KS APP ° A713 Crawl Drain A717 PLM/Underfl.00r 06/07/90 MS PASS ° A718 Ftng Drain Bem't Walls A720 Mechanical Insp A722 Plumb Top Out 06/15/90 MS PASS ° A725 Framing Insp 06/29/90 TLP FAIL ° A726 Framing <REINSP> 07/11/90 KS APP ° W 111111111A111111111XIM CITYOF TWA' RD PLAN C11ECiC APPLICATION 7 ano�n�•W PLAN 01ECK 9 - �C CAMMUNITY DEVELOPMENT DEPARTMENT ...�. PERn'L1 B f1 D - //.3 s�ixssw.w�etia.v�o_e►o.zass.�«do.cva.+�m.(swl �n DATE ISSUED '` / / l �f7j 4J ..I /J 1�1 1�F a�r V TAX LANOUSEMAP/LOT ��i--�— Gr U Y Jr, f ADDRESS: L .., LOT: � — VALUATION: SPECIAL NOTES OWVER REISSUE OF: LAST REISSUE: _ ADDRESS: (� q 5 FLOOD PLAIN/ SENSITIVE LAND: Pi1oNE: 244-X31 —- APPROVALS REQUIRED PLANNING: OONTRACTOR ENGINEERING: NAME: _ --- FIRE DEPT - ADDRESS: - OTHER: PHONE: __ _ nq!S REQUIRED LIST/SUBOON'TRACTORS: ARCH/ENGINEER BUS TAX: NAME: �IZ_L�1 T --1 --��- -- CALCULATIONS: — TRUSS DETAILS: ADDRESS: -- PARKING PLAN: --- �- — _ LANDSCAPE PLAN: -- PHONE: --- OTHER: t- r COP I4ENT s: PERMIT 11 ACCT.P DESCRIPTION AMOUNT AMOUNT PD. Bat.. DUE OU 10--432 00 Building Permit Fees , -- 10--431 00 Plumbing Permit Fees ; - �f _ 10-431 01 tiechani.cal Permit Fees 10-230 01 State Building Tax (5X) Building _— Plumbing ^�r Mech 10--433 00 Plans Check Fee Building _ 2-5�� 7►0 Plumbing nech 9• >cN C/L 30-.202 00 Sewer Connection S 30-044 00 Sewer Inspection Ctreet S stem Dev Chap a (' )OC /a( G 51-448 00 Y — 52-449 00 Parks System Dev Charge (POC) 31-450 (X) Ct:o", Drainage Syst Oev 0-9 ('SOC) PL Sd 10-2.30 09 TPFO -- 10--230 OG Washinclten County Fire PI 10-220 00 Amart/Wedgewood lUlnl_ �� APPLICANT SI- nTURE --- Received By: _� Vats Received: f CTTt OF T15ARD RECEIPT OF F-AiMENT REZ- NW O0107e'74 ► CHECY AMOUNT 140.00 PW4ME I DON MURISSETTE CASH AMOLINI no ",ODRFS9- riAYMENT PATE 0"-16-91J POPTLAND, OR R72-1q EMAICK NO/AT)DRI ► PURPOSE OF PAYMENT AMOUNT FAID VURPOSE OF PAYMENT APIOUN t PA T,D FLAN CHECJ, FEE tOO.00 PLAN CHECK FEE ► ► TOTAl. AMOLIN't 140.'"111 U DING/EROSION CONTROL INF RMA 1 ION GrNERAL CONTRACTOR NAME& ADDRESS: CASEFR.E NO.: 1 - PERMIT NO.: -- APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR ` )(_)o ` -- NAME& ADDRESS: H Wy QLA ) _ OW NAME AND ADDRESS: _ c c 'IEL.EPHONE NUMBERS: APPLICANT: i J hrl Ulf I�a`C"iTF Cal S ..5 . PROPERTY DESCRIPTION: OWNERS—A.&\L''1 C�('-1S`.��T1E E'aL�(�'� STREET ADDRESS AND CROSS STREEI%LOCATED GENERAL CONRACTOR:-C�Dt� MULV�'f T n-E (We __1!''_ + i V EXCAVATION CONTRACTOR:i-- Lt_r_ � 1-�1k W T SITEJIOB_� LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:. CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: SITE SIZE,P ORES: DISIIIRBED/WORK AREA,ACRES: LOCATION&ADDRESS WHERE SPOILS Y— A LEAVING SITE WILL BETAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE) (NOTE:FERATB MAY BE REQUIRED) A?t'ETFASIN DITCH PIPE CREEK (CIRCLE ONE) PR Vj ATE PROPERTY UBLIC RIGHT OF WAY EROSION/SEDIMENTATION COPTIROL (ESCI MEASUU,.S MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIRFMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE- EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY E.SC PERIMETER RUNOFF CONTROL. FACILTI'IES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PER MANT FACILITIES CONSTRUCTION SEQUENCE OTHER _ OTHER PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK-. ERASION CONTROL PLAN DRAWING„AS REQUIRED,HAS PIAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. 1 HAVE READ AND WILL COMPLY WITTI THE ABOVE AND WILL.CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TC)CONTAIN SEDIMENT ON THE CONSTRUCTION SrM. OWNER SIGNATURE APPLICANT SIGNATURE • • * foe • • • • • • • • • • • • • • • O • • • • • • • • • f • • O • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 0MCIAL USE ONLY RECEIPT DATE ACCEP MD fl E NUMBER RFCEIVED BY b.,r4 s N 1 N C��pN Cavi�7� 1 OF(195'2'4 S.l./ • Tlxl N Portland,OR 97219 Pay— Pt. (503)244-9314 The Foundation ForAHordable Homes A (o1 r' .y . /00 PL.�N# D2l V� I�orNT Au- S 1.0 s N l CST M9 MS L 22' qo� 1810 a 3&vko w, 30' 76 047 N CID boo 4D, C G•'i t/IV l S v r-pe i o 3 I 4r' ti PwT I & I �q 9 I1 Z C07 E/Za 44Sq D' 00 r