15800 UPPER BOONES FERRY ROAD-1 i
• Sto t►�n+1 l X11..I:" � �'�' f 3'r�' �.. �"•�"
1QD
QUMirT IPS 6
ttw.IEI. . 17 1 ► OAT_
.1---�..�.,� ..r._ .�..Y•....._... b.w..,...�...._ ...,..,.,. .... ..n............ ..,.�_� w Y..➢t�u i tom._._....... ._._..._. ............•.. ..�......r '; �'
low-
• r I ro-M
----_L) (7 ' 6'
P R I NIT fE D
Cop
r�MW.�M..'.AN'M.MM•�.r+.•,.Fx.wsM./...h+..r..•,►,.._.�wr•.,�•wYwr.r.Mw�a .
� +r,...�y,.'"n/r"" ,,..r.,. .•..w.ti".+w..Y.,•.w. +, .s.•.�,,..,� , "-"w'•+••+.xy .. .,. ...x... �. �
APR 8 1Q80 �
�r r PRELIMINARY
10,
3•
CPN . PERMIT Nr, . ? 8--80
1 i� ' Q.
'M� s i• -* - *�` ••� w r
wom
Ap
VnW
-
.. $01110. . �
V' � _ "+. _. �, '-r. ,� __...!7r• .r,-'.-.... _ ___+�r . .--+.... --`�-_w'-•- v: a..a:.=''' -�M;1-` .- ....,,, --*►..._ ._•'�-_." 'H".1.�.^ - _
M � � 1 � 1 �' r� I i �t • 1' I l i l r ►`i I� I t '� I t �i 'r i t 1 �� t �i r I `Irl „.,1 t I t 1 1 t ��
� ,I I ! 11 1 III III III + 1 1 I I -� l � Y rl i t Ili III , 1 1 1 1 1 1 I , I III III III 1 1 1 III f I t l l 1 1 t l l l l l , .,,,,
I 2 4 _ 5 8 7 8 9 10 I i 12 .,
NOTE : IF THIS MICROFILMED
DRAWING IS LESS CLEAR THAN
THIS NOTICE;"IT IS DUE TO
'DR
HE QUALITY OF THE ORIGINAL _
DRAW I NG
- '" OE 62 BZ LZ 9Z SZ dZ EZ �Z? tZ 0? 6t el LI 91 91 bl EI zt 11 01 6 9 L 9 S b E Z I �""
I��III11111111111111IIII IIIIIlrrrlillIII11JIIIdill I 11141111111IllmlIIII'lI t1111111111III)11t1III111tt1111111 11111 11111111111114. 11,' L1111 ; 1111111iIIIII 11uIIIIdifIIII III
M A ItIIIitIII�I�i1� ttl�liiI11111ttttltttt�ttltll1111Hl1t111�1u�JJlllllticuttlltllllt)I��IIII
Rc,%WOIAH � q�
FILE NO.
UPPER BOONES FERRY RD.- 15800
f ,
CITY OF TIGARD--12420 S.W.MAIN--TIGARD,OREGON 97223
,� RECEIPT
DATE. �"7/ J _—_AMOUNT: S
v LLARS
NAME: 0.t �''�^O�� CASH: ; , ItC r'
ADDRESS: c3�.S S ki ' �DCI. ~�y
f
_ ZZZ M.O.:
• OF
FOR: ACCT. 0 PERMITS SURCHARGE AMOUNT
Sr_'W"R oiLLINGS 40-364
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332
MECHANICAL PERMIT 05-3:32
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363
SEWER INSPECTION 40.365
SYSTEM DFV CHARGE 25-366
PARK DEV. CHARGE #1 30-367
PARK DEV. CHARGE *2 30-366
ZONING ADJUSTMENTS 05-362
C -
l� L y0J _ ---- --- — - -- --
_— —.—� TOTALS- ---- S ------S20- "-
46
PRRECEIVED BY.
PERMIT NUMBERS ASSIGNED: A
Number Amount Number Amount Number Amount
-RECEIPT M 5609 , �e
APPLICATION - STREET IMPR :MENT/EXCAVATION COPY TO:
( ; (WHITE.) - FILE
ORDINANCE NO. 74-14 ❑ (BLUE)-INSP.
�I (YELLOW) .OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) n (PINK) APPLICANT
APPROVED APPLICArION NO.:
NOT APPROVED JJJ❑��� CI Y OF TIGARD, OREGON FEE AMT.: S Re, �r�
PENDING FEE, PMT. ❑ CITY HALL. RECEIPT NO.: '54'Ly 9
PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY�,� DATE— 41
PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND
PENDING INFORMATION INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ❑
ANNUAL U
PENDING VARIANCE EXPIRATION DATE:
PERMIT NO.: DATE ISSUED: BY: 1� �'� "'�`'
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
— AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT __ Ken Hood 1-6740 S.E. vineyard Ave. MilwAukie 654-8584
A - ADDREO CITY HP ONI-
CONTR.ACTOR Ken Hood 4onstruction 16740 sF. VinevArd Ave, Mi1waukie Ori _ 654-8584
ADDR Sti ITV -��10 IE-
PLANS BY ---- --
NAME - ADORE S CITY
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1.020.00
DOL%Ars
FOR OFFICE USE -_- d 4 MIN.
(2) EXCAVATION DATA: o.oz x s�.--_-- =i
STREET DESCRIPTION PROGRESS & INSPECTION STATUS—
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE @Y
lJpp TYPE LENGTH INIDTII DEPTH ITEM & QUANTITY
Booneq Ferry STgREEU —
_ = TION
Q ---_ _
u
ESTIMATED STREET OPENING DATE:_ I' 1Q Z 3 S
T --
ESTIMATED STREET CLOSING DATE: ._ 5 2 SO ED
-- --- — STREET
(3) SECURITY NO. _ SECURITYAMT: SCLOSE
SURETY CO.: _ ___ )NAL G,,, -/-�(i•
_ CERTIFICDCHKCK I, CASH 11a0w C
(4) PLOT FLAN: INDICATE SITE PERTINENT PHYSICAL z SPECIAL. PROVISIONS j CONDITIONS.
FEATURES; EXCAVATION LOCATION AND EXTENT.
Ll
1 ( 1 1
1 I
(S) NOTE THE CITY OF TIGARD DOES NC,T, NERERY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDICTION IS THr.T OF WASHINGTON COUNTY OR THE STATE OF OREGON
THE APPLICANT AGRLES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPL: WITH ALL PERIINENT I AWS AND
CONSTF -CTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THF CI I-Y .AIJD
EMPLOYEES AGAINST ANY INJ(.)13Y OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGN ATIJRE DATE _ ��
S car 159�Sg � 1ST INi
t it .
lo
---------
.x:
_-
W
0 > �` `-�
m Q z
w >
r), W a I�-,�I n
111_JJ
lY _�
t V U co
L-
O w Q
U) U
0
0 ~ � z
'- Q o
w raj O O
z - I w z U
JN Z Q
r W
►- U ] Z U
X w O
LL.' W J <
CL 0 --
0 YQ U
cl W \ / U U
U O U
cr 0 W
Y ' W O V)
J U) /1 !r
a
7) C
cr
� U
W (-) Q
o U
c O u a w
a
I
_
w e Rt
W f) 7 Irl
LY OD
z N " �J
0 0 , / a
c) 0 o
11 y .li N _o Qo � N
Ljj m ►— x 0U z
° w �
Q —w
w F_ 2i (f) Er H
Op ~O cr) Q
I— L` 1 O
W w
e 1/ w W J 0 W Y U)
W
CL It (D a ll-
�`0:
} Z I a � 0
a U) o 2 Lri 0
d tU U O
zz
o' ,A z W rn
w _ cr xQ- Q 0wm
_ I (nit In. W U)
/ w
F
O
Z
I
I
I
and
_3 o^�
v ~lp
a z Q
O
w >_�
w
a w Yd t71 v _
J
0 1oO Q
L
~ o Z C) J
w Z a w cr <I
� _ d
� �
CL � - ---- - � N O` Z U
N -N U L
y
/ 9t
M
CO
\I W
= In I
o i n
z
— o i
[LI— - - o
>
ou
Z W — _
pa m
cr a o- �- Ir d'
LL d.,
O } • .
v.
ui
U d
11 Q S: G
IL<L A I. LLJ ODF
9.' > L N
cr LLJ
z
b ►- r
p (n U-
<a w '�; Q d
a a x (�
V1 p �1 U Z -_
Z
Y M J cr) 0 w a
r Z Ir O
I- pO ;( W m p
W IY p
CL Q 0 0 z IL
Q c J V:,a n. a U :F C)Lu
I
T o
a �
x