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W7Ll� (BLUE)-APPLICANT APPROVED ® APPLICATION NO.: -7 1 Z NOT APPROVED ❑ (.1 I Y (3I' I IGARD, OREGON FEE AMT.: S 16.00 PENDING FEE PMT. ❑ CIIY ITALL RECEIPTi O(; 15- 7-4v2-3C4 PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE / z 4 _ - - - - - - - - - - PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND FOR STREET IMPROVEMENT/EXCAVATION AS REOU,RED PENDING INFORMATION ❑ ANNUAL _ PENDING VARIANCE Cl EXPIRATION DATE: PERMIT NO.: �'�'7- 9 Z Zg 9 + - DATE ISSUED: .___--_ , BY: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL A _ _. «iVL;;NAY APRON __ _�__ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT Alicia J. Tuillasi 9L.1i AV):: iijaco, :4111. _-452-9334 A - ADDRESS CITY PHONE CONTRACTOR (unknown) NAME ADDIIIINGS CIT PHONE PLAN LY _-_----_(er City Standarr'Iy Specifications NAME AODPIK65 CITYPHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 400•(X1 DOLLARS 01 (2) EXCAVATION DATA: 0. 4OFFICE us[, rMIN _ 0.04 x s;VY).00 _ ; 16.00 STREET CESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT I MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM 6 QUANTITY STREET OPENED S.W. 70th VP-. Ott._,. i INSPEC- R TION E Q E ESTIMATED STREET OPENING DATE: S _ ESTIMATED STREET CLOSING DATE: E D ! (3) SECURITY NO. T. _ SECURITY AM ' S CX).QO STREET CLOSED _ SURETY CO.: . FINAL CHECK CASH ❑ BOND^ 1NSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. _ see attached 1 I 1 1 - 1 I 1 1 1 CURB -'J' - S W 717TH AVENUE -+ 1 work area LD 1 SITE: 9445 SW 70th AVj. 1 11: (S) NOTE THE 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 TO SAVE HARMLESS THE CITY AND EMPLOYEE-, AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE. DATE ��_ CERTIFICATE OF" CITY O F T IGARDOCCUPANCY - PERMIT #. . . . . . . : MST94-0371--) COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/22/95 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL,: 1 r3125DA 10`500 ITE ADDRESI:-;P. . . : 09445 SW 70TI-4 AVE OBD I V I S I ON. . . . : MLP 94-121000 ZONING:R-4. 5 i-OCK. . . . . . . . . . c LOT. . . . . . . . . . . . . 102 C'LASS OF WORK. :NEW 1YPE OF USE. . . :SF C)CCUPANCY GRP. tR3 OCCLIPPNCY L.OAD:229 rl-:--.N(4N'l NAME. . . F�emarks : PATH I Owner: TOMAGI '4445 SW 70TH iiGwRD oR 97223 Phone #: 684-6415 Cont ract ore --- ..JIM FI-YNN 8355 SW DURHAM RD #3 TIGARD OR 97224 Phone.hone #o 968--7109 ','ey #. . c 45406 this Certificatp certifies that the above referenced building or portion i.herecif has been Inspected for c-,umpliance with the Tigard Building Code for the group and division of oc-cupeincy and use for which the above �'#fev'ellc.ed permit was issmed, and occupancy is hereby granted. 11UILDING INSPECTOR ibip6 OF $-',03T IN CON15PICUOUS PI-ACE CITY OF TIGARD 9UILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 63,E-4175 Business Phone: 639-4171 Inspection: , Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fiieplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line T5BI g. T__ Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. -Flect. Date Requested:,{ Q" 22 _1C11S Time:_ _AM PM Address: Builder: ` �[_\Z;, •� _Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: r� F- �J J - Inspector. ` �`.r Date: 7 �i �I11HcwEn _^DISAPPROVFD APPROVED SUBJECT TO ABOVE ,Call For Reinsp. ' \ 11 ( _,� --CITY OF TIGARD COMMUMITY DEVELOPMENT DEPARTMENT MAS'T'ER PERMIT' 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PERI1,1I T Fi. . . . . . . : ms­r94.-0 375) Tl ATE I SSU:_D. :10/07/94 PARCEL: 1S 12 l)A -KRU0,2' SITE. ADDRESS. . . : 00445 SW 70TF-I AVE: SUBDIVISION. . . . : MLP 94-0008 ZONING: R-1. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :012: BUILDING REISSUE: DWELLING UIV I Ts: 1 DASE11EN'T. . . ,. . « . . :0 5 f CLASS OF WORK. :NEW BEDRMS: PATHS:E: GARAGE. . . . . . . . . . :441 S TYPE: OF USE. . . :5F* FLUOR PREAS•••-••-_-_--_.___...._ REULJIREI) TYI`'E: OF CONS'T. :5N F3.RST. . . . :798 S LEFT. . :40 ft RIGHT- 15 ft OCCUPANCY GRP. :R3 SECOND. . . :722 s f FRONT. :S7 ft RE=AR. . :E:1 f STORIES. . . . . . . :2 F I NBSMENT:0 s f REQUIRED--------------------- HE I GHT. . . . . . . . .29 ft TOTAL__._._._.._.._; 1 'Ii O s f SMOKE:: DEJE.C'TORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . 105458 PARKING SPACES. . : 1 Remarks : PA'TI-i I FLUMDIN[i SINKS. . . . . . .. . . . : 1 FLOOR DRAINS,, . . . :0 5ACKFLOW PRE- VNTRS. . : 1 LAVATORIES. . . . . :-2 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0 TUE+/SHOWERS. . . . : 1. LAUNDRY TRAYF3. . . :171 CATCH BASINS . . . . . . . :0 WATER CLOSETS. . :2 SEWER LINE= (ft ) . :0 GREASE T'RAPc3. . . . « . . .10 DISHWASHERS. . . . . 1 WATER LINE: (ft ) . : 3,00 OTHER FIXTURES. . . . . .0 GARBAGE: DISE'. . . : 1 RAIN DRAIN (ft ) . :0 WASH ING MACH. . . : 1 5F RAIN DRAINS. . . 1 --------------- MECHANICAL _________..._________-_______._.____ FEES FULL 1Y1'ES- --_._ ._._._.___.... UNIT 1-1TRG. . :0 type amaunt by date recpI: /GAS/ / / VENTS . . . . . %@ 7*1F $ 1.550. KS 10/07/94 - MAX INPUT:V_1 B'TU VENT FANS. . :3 NPRT $ 441 . 00 1!S 1.0/07/94 - FURN ( 100K . . : 1 HOODS. . . . . . : 1 HPLC $ 291. 20 KAR 10/1'1.14/94 94-12`5748w' i`'URN ) -100K . « :N WOOD`3TOVES. :0 B5PC; $ L_:l='. 140 KS 10/111x /'34 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 KS 10/07/94 - DOIL/CMF' ( 31-1P.0 OTHE=R UNITE;: t PAI-41, $ 500. 00 KS 10/07/94 _ GAS OU'FLE::TS: i MF'RT * 410. 50 KS 1171/07/94 - Owner: _..__ _.._.._._..--___._._..._ ----.---.._-. __-_...---..-._---..-......__-Ih1='LI.; $ 117.1. 13 KS 10/07/911 ALICIA TOMASI M5PC $ 2. 03 KS 10/07/94 - ':)44b SW 70TH 2BT`H $ 195. 00 KS 1.0/01/94 E'iRC $ 9. 75 K5 10/07/94 - 1 I(3PRD OR 9 7 '23 EROS $ 64. 00 KS 10/1217/94 Phone #1: 664-6415 ERF'[ % 20. KS 10/07/94 C;vntl'actar: _.._ __..-• C'Rf"'C $ 20. 80 KS 10/07/94 JIM FLYNN 0355 SW DURHAM RD 03 TIGARD OR 972024 f?hune r' Reg it— . 45,409, 8 34`,4. 61 1"11J1'AI_ This rertit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS --- --- cc Tigrrd Munitipal Code, state of Ore. specialty Codes and all other Foot/fol.tnd Insp Ir15l.tlation Insp applicable laws. All work will be done in accordance with approved post/Beam 5truct Gyp Board Insp plana, This pereit will expire if work is not started within 182 Post/Beam Mechan Rain drain Insp days of issuance, or if work is suspend for acre than 1 2 days. PLM/Underfloor Water Line Insp lfier.tranical Insp Appr"/`:idwlk Insp rtrmittee ��1.gnatr_�re : __ _.__..... Plumb Top 01.1t Mer_tiar.ir_al F-irlal Framing Insp Plr.lmb Final T-­10d py , L3as Line Insp anti lding Final CITY OF TIGARD SE:WE.R CONNECTION COMMUNITY DEVELOPMENT DEPARTMENTSWR94-0336'L.F�IYII F Ph RM I T #. . . „ . . . : 13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (5C3)830-4171 IDATE ISSUED: 10/07/94 PARCEL: 1 S I25DA--KRUOc i I L ADDRESS. . . : 09445 SW 70TIA AVL ':BUND I V I S I ON. . . . : MLP 94-0008 ZONING: R--4. 5 hLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :02 TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNIT'-). . . . CLASS OF WORK. . . :NEW DWELLING UNITS— : 1 TYPE OF USE. . . . . :SF NO, OF BU I LD I.NGS: 1 INSTALL TYPE. . . . :SUSWR IMF--'ERV S-iURFn,*.E.. . : : sf: Remarks : PATH I !:Jwner,: _. _____.__..._..__.._.____.__._..________._._._______.____.___._. FEES -_.--•--._____.._..___.. ALICIA TO10A5I type amol.�nt by date reupt '.3445 SW 70TH PRMT $ 2200- 00 KS 10/07/94 INSP $ 35. 00 KSS 10/0 7/94 - T IGARD UR 97223 Phone #: &84-6415 Contractor= -_._. _ . .._.___..___ ________ --____-• G:ONTRACTUR NOT ON FILE i cl n e it. $ 22-35. 00 TOTAL - ---- - REQUIRED INSPECTIONS 'his Applicant agrees to comply with all the rules and regulations Sewer, Inspectj.on __.__„ J the llnilied Sewage Agency. The permit expires 160 days from :he date issued. The total amount paid will be forfeited if the perrit expires. The Agency does not guarantee the accuracy of the gide sewer laterals. If the sewer is not located at the measurement eiven.. the installer shall prospect .1 feet in all directions from :he distance given. If not so located, the installer shall ,,urchase "Tap and Side Sewer" permit and the ency wi 1 instal' a lateral. lar mittee t;1.l r_ced By Call for^ inspection - 639-4173 U. rl 14 F+- J Ii^ Residential Building Permit Application City of Tigard 13125 SW Nall Blvd. Tigard, OR 97223 dLk(503) 639-4171 Jobsite Address: Subl�/< - Office Use Only Subdivision:ion: 1jjL J C�uu � Lot� PlancklRec # Valuation: � /D 5 ,/S�: '` — Permit# /J,)" V 2, D 0 7 Corner Lot? Y N Reissue of Flag Lot? OY N Map & TL#_L1;,, p k[('k d Z Owner: "' '',,,, '�' Approvals Required Address: ��7� r�r� �(J r/7 Planning /G/�,�'� ,,U� •/ Engineering Phone. � - Other Contractor: � Items Required Address: O J�J Subcontractors / G ) 1 Truss Details Phone: C) 7xo 7 Other ` Contractor's i..icense # (attach copy of current Oregon license) Contact Name & Phone: ., 7 moi,•�i Subcontractors: ArchitecttEngineer: Plumbing /4 Address. Address. Mechanical: � _ (attach copy of curont OR Contractor's License) Phone: JOB DESCFQIPTION: _ Applicant Signature & Phone number Received `'V — Date Received. _ N MORMCOMMARESAPP Permit# Account Description Amount Arm. Pd. Bal. Due i o •3 1 Bldg. Permit (BUILD) 40 ' y� ' r Plumb. Permit (PLUMB) Mech. Permit (MECH) )v State Tax (TAX) _3 ►b' ?g . 5 Bldg: No Plumb: 217)- V Mech: a L)3 Plan Check (PLANCK) ��� 3s `' -51. 33 Bldg: `�/ Z c Plumb: v Mech: /c i 3 �C,24 q_u 3 3 b1 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) j '/ _ 3 Parks Dev Charge (PKSDC) S 0`) S `� Storm Drainage Chg (SDSDC) FV Residential TIF (TIF-R) q.3 d 3� Mass Transit TIF (TIF-MT) / 24) 2-<) � Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) _ Office TIF (TIF-O) s Water Quality 1,WQUAL) a: v~i Water Quantity (WQUANT) ~ Fire District (FIRE) J °7 Erosion Cntrl Permit (ERPRMT) 6 �O / Erosion Planck/USA (ERPLAN) �i' '� ti If,J Erosion Planck/COT (EROSN) 7e".bL & �,. 5 . l/ 2V I- 3 f tl TOTALS: v` �fi .S,a,�l �� 4 c /00. 00 I ' � w /00. 00 O J? �► er �CS2R12.? i i 3". � 277. 46 ! `'� ( ?73 . 7) 7 I i Lot .�,77,, Lot i 1� S v� n L, `S' ............ to C3, �-�• v U, J • r ;i � .,a i ral ■ 4� WON Ali IMP F VAN po