14169 SW 134TH DRIVE i
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14169 134TH DRIVE
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DEPARTMENT OF LAND U..E & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#350-12
f�1
COUNTY, PHONE:
NORTH FIRST, HILLSBORO, OR 97124
PHONE: 5031640.3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4
(1!1011-4660 I'rr) 7r?r 1 tt Ta ,**.ptat#.A�e Hf,PN0VkD Page .1 oI-
15,5ued a 09/24/90 F_gpirr e. e 04/212/91 UaIuationa 0 03/0491 p;' s
kFSF.LEC
I l'rrrmit: Titles e `TINGLE FAMILY kf-S1DENLf:./ELFC
De-#-ripcion e
i Job Arldre=_.�-• a 14169 SW 1341H AV [IF
Parcel Number e
Owner Name e
Applicant Name a CANCY ELE.urk1C
Opplicant Addr e 790 S IVY
I CANEtY. OR 9/01.3
Phone number e 766--7078
Location t ill
NOT APPROVE.0 APPROU(: U STOP WORK UNTIL
I [Repair a I_ i r 11J ( Construr,tion Nav Proceed) ------
rAnd Re- 1nipect. However Note Fie Inu . . . . j
Inspect inn Reque-.teole
+► Final Electrical
03/01/91 RI V
03/04/91 k1 Kr
rets-pection Hit%torV Stimmarve
*,,.Cover A Serwice
1()/1//90 AP r P ' i k!I l rf: 17Nt Y- CIONT* couLR I I i I I
10/1R/90 AP FII,
10/24/90 AP H!,
WIND RIVER PROPERTIES
Residential d Commercial Developers
inr;perctnr Comrnr-rits.e Dean F. Richards
Preeldenl
P O.Box 29033 • Portland,OR 97210 • (503)892-8248
.__....._.�.__...._..... _,.....,...,._.._. _._ .__�_.____. _.. ........ . __._.
-ol __. ..._.._.__..._...._... Dete l {
CERTIFICATE CJF'
�'�OF71FARD Ai� OCCUPANCY'
COMMUNITY DEVELOPMENT DXA CnYOFIMD PERMIT 4 . . . . . . . : MST90-0 155.
M26 SW Hell Did P.O.BrA 2XW,TOW,Onwn 5m)db"0% Oi--ITF ISSUED: 03/01,191
SITE ADDRESS. . . : 14169 SW 134TH DR PORCEI.— 881090A. 00500
SUBDIVISION. . . . ; THREE MOUNTAIN ESTATEZONING: R-7
BLOCK. . . . . . . . . . 1 LOT. o . . . . . . & . . . . : J3
CLASS OF WORK. tNEW
ryPE OF'. USE. . . :GF:
OCCUPANCY GRP. :R::
OCCUPANCY LOAD 1225 4
TENANT NAME. . . .
Remerks i
Owner.:
DEAN RICHARDS
,!-15635 SW WALSBORN AVE
F111-L.SDOR0 OR 97123
626--3400
WIND RIVER PROPETIES
r'n BOX 29033
i-JRTI-AND OR 97210
PhOrle #: 62S-34440
R e g #. . : 56:346
Occupancy of the above referenced bmildinW is hereby given, And certifies
the complianco with the 1-itate Of 01,@.goll Spq(-
_jAlty Codes for the group,
oc(--upancy, and use under which the referpnt-.�ed permit was issued.
ALILI)MG INSPFC,rC)R
_F 7 C
POST IN CONSPICUOUS PLACE
i
�, INSPECTION NQT�
J� city of Tigard BuildingP
13125 OR Ball Blued. Tigard. Oregon 97223
75 Business Phone: 639-4171
Inspection Line (Roc-O-Phone)e 639-41
Inspect ions
Mech. Rou h-in Appr/Sdwlk
looting
Plbg. Underelab g
Gas Line riNALs
Found. Plbg. Top Out
post/Beam Struct. San. Sewer
Framing -Bldg.
Insulation —plumb.
Poet/Beam Mach. Rain Drain _
Gyp. Bd. Hoch.
Plbq. Underfloor Water Line '
Times AM pN
__
Dates Requesteds _
1lddrese=
lT��( 1 �.2�L/ � permit
fluilder s_ _._.-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ f e
-----------
Dates =3
inspectors_
✓APPROVED t)lshpPROVED _` APPROVED SUBJECT TO ABOVE
call For Reinap.
w w
INSPECTION NOTICE
City of Tigard Building Departmmt
13125 SN Bas. *112- Tigard, Oregon 97223
Inspection Line (Rec-O-"*%W e)s 639-4175 Business Phones 639-4171
Inspections
Footing PlIt/Underalab Mach. Rough-in Appr/Sdwlk�
Found. Plbg. Top Out Gas Line FINALS
Post/Beam 3truat. San. Sewer Framing -Bldg.
Post/deam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Ed. .-Mech.
Date Regvestods_ } —T AM PM
Address: �/e �L�r-` Permit ♦s
Builder:-=pfd-/6f���'S�slil J —
TRE FOLLOWING CORRECTIONS ARE REQUIRED: i
I L 1. 4 — I .
LS OJ
Inspectors � `\. (E"�`� Dates_
T \PPROVSD DISAPPROVED _— APPROVRD SUBJECT TO ABOVE
Call For Rdinsp.
INSRXMION NOTICE
City of Tigard Building D,partment
13125 BW Ball B1Vd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewcir Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb
Plbg. Underfloor /Water Line Gyp. Bd. -Mec
Date Requeat''ed:: ` 0 —�1� T1": AMM �__PM
Address:. ��1�Ll� ,L! Permit 1:
Builders f�!_�L?iiG�C► /k-�� _
(T�jB72 FOLLOWING CORREG'PIONS ARE REQUIRED:
�dL`'�� ` � ��"tial►-C.VL �'i.+��"L- �1
P
4.
InspectOri ( Dates
APPROVED DISAPPROVED APPRnVED SUBJECT 71O ABOVI
!Call For Rainep. c
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INSPECTION NOTIx
City of Tigard Building oepartasat y
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171,
Inspections
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdw).k
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Req::eseed: 7-e?l Time: AN PN
Address: �l��VlI,,- 1 ;3, I '1 Permit #a
Builders
TNR FOLLOWING CORRECTIONS ARE REOUIRED:
— -— -------
Inspector:_ s_ Date:
APPROVED DIBAPPROVED APPROVED SUBJNCT TO ABOVE
Call For Reinsp.
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�ISp&CT}ON TICE
City of Tigard Buildiig Depart —t
t 13125 Sw Ball Blvd. Tiger•", Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections .�`� � /2t.v ✓T� --
i
Footing Plbg. Underelib Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
a
Post/Beata Struct. San. Bower ?"aing -Bldg.
Poet/Beam Hoch. Rain Drain Insu ation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Mach.
Date Requested: rL� Timet
Addreest !�17 -` Permit t:
—
Builders —
THE FOLLOWING CORRECTIONS ARE REQUIREDt
_ — 1
inspectnr:--- - -- -- ... `•r Date:_; -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGA RD PLUMS ING PERMIT
C"OFTIM F1!:---PMIT #. . . . . . . . PL M)I—0 lb 2'9
COMMUNrrY DEVELOPMENT DEPARTMENT offem
13125 SW HWI Blvd P.O.Box 23397,n9jud,Oregon 97223(SW)M4175
I C—'7- DATE ISSUED: 02/19/91
'01TE ADDRESS. . . : 14169 SW 134TH DR f-.'ARCEL: 2SI019PA-00571,
GUBDI V I SI ON. . . . : THREE NOUNTAIN ES"ATES ZONING: R-7
BLOCK. LO'T„ . . . . . . . . . . . . . 1
CLASS OF WORK. . :NEW GARBAGE. DISPOSALS. . : MC381LE HOME SPACES. :
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : l
(JCCUPnNCY CRF'. . :R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . :2 WATER HEAVERS. . . . . . . CATCh BASINS. . . . . . .
LAUNDITY TFRf).YG. . . . . . . 3F Rn I ' DRAINS. . .
SINKS. . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . :
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE
WAIER CLOSETS. . : WATER LINE (ft ) . . . . :
DI SHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Rpmarks' - Sprinkler Permit
Owner: ------------------ FEES
DEAN RICHARDS type amol.int by date r e?—Ll t
2'5635 SW WALSSURN AVE PAYM is 15. 75 JLH OE/19/91
PIRMT f 15. 00
HILLSBORO OR 97123 5PCT 4 0. 75
Pti,.)ne #: 626-3400
(contractor:
WIND RIVER PROPETJLS
PO BOX 29033
PORTLAND OR 97210
Pharle #:
TUTAI—
Reg 56308
REQUIRED I NISPECTI ONS ------
This pt,vit is iisued subject to the riquiations contained in the Top—ol.it Inst)
Tigard Mqniripai Code. State of Ore. Spec Codes and all other F-inal Inspection
aorlica6le laws. All wv-A will be dcre i, ri with
approved plans. This permit will expire if wai Jot Started
within 180 days of issuance. or if work is 5u7- ;nr
than 160 days. part
17'ermit 'l-ev rjipnAtl,r,re . v `�'� ��v
Call for insript2tion 639--4175
CITY OF 'T I GNRD - RECE.I VIT OF PAYME=NT RE".LE:.I PT NO. :91 -209843
CHECK AMOUNT 15. '75
VAMC z MARE' C,ADWELL LANDSCAPING CAl,'H AMnUNT 0. ow.,
ADDPE.SS F'AYME-NT i)n rE w/1'3/g1.
SUBDI V ISlON
14169 SW 134TH
I
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' F'AYMN:NT 0MOUN'T PAID
I F>LUMB I NG U)rr PM V5. ON !,)"r. BUILD PER 0. 75
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TOTAL AMOUNT PAID ..... _ _. ,...1 15. 75
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INSPECTION NOTICE
City of Tigard Building Department
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4417_.5, Business Phone: 639-4171
inspection• _,
INSPECTION NOTICE
City of Tigard Building Depaklsmt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �`l\Ire- (et-" j2 --
Q
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strcc`_. San. Sewer Framing -Bldg.
Poet/Bcnm Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mech.
Date Requesteds Time. X AM PM
Address: 4 , 1) : Per/mit#s I( � I
Builder: zy 4 _ d(D : (0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Dates
�PR01RDD18APPROVBD I APPROVED SUBJECT TO 180VE
Call For Reinsp.
r
INSPECTION NOTICE /
City of Tigard Building Depritsent f
13125 SM Ball Blvd. Tigard, O%agon 97223
Inspection Line (Rec--O-Phone)t 639-41'75 Bustness Phone: 639-4171
Inspectiun:_ ---
Footing
rooting Plbg. Undetalab Mech. Pough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -•Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp_dd. -Hoch.
/lh- %�/ AH�PN
Date Requested: T ime t/ //�/�
Address: Permit tt e_ y/ �i `l �� LJ /j7 L —zv5'5
Builders���
THs FOLLOWING OORRSCfIONS ARF REQUIRED:
'.� s /l/ / /_ �/Q Al["L [ W �V l,�il!/1 C_V
Inspectors — Dates /
APPROVED DISAPPROVED ` --4P�D CUBJECT TO ABOVE
Call For Reinsp.
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INS ION NCTI('t l''.
City of Tigard Build'_�.g Department
13125 SM Hall Olyd. T'.,ard, Oregon 47223
i
Inspection Line (Rec-O-Phone); ,,.:4. 4175 Business Ph.)ne: 639-4171
Inspections —
A r
Footing Plbg. Underelab PP /Sdwlk
Found. Plbg. Top Out Gas Lins FINAL:
Post/Be::m Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line�1 Gyp. Rd. -Heecch.
Date Requested: �� ! _% [J// Timetf5/; --AM PN
Addi eset 14126 -11-
/ //6 1- 1, 73 4 _ Permit i:�l�
Builder:
THE FOLLOWINGCORRECTIONSARE REQUIRED:
/i tet!/n;.7L. _
Inspectors Dates,
�^APSD DIBAPPROVED APPRCVED SUBJECT TO ABOVE
Call For Itc,
INa![.TION NOTICE
City of Tigard Building Departs t
13125 all nail Blvd. Tigard, Oregon 97223 c
Inspection Line (Rac-O-Phone): 639-4175 Bossiness Phones 639- 171
Inspection: _
Footing Plbg. Underslab Hoch. Rough-in Appt/Bdwlk
round. Plbg. Top Out Gas Line FINAL.:
Post/Beam Struct. Ban. Sewer / lr� -Bldg.
Post/Beam Mach. Rain Drain `1nsulation. -Plumb.
Plbg. Underfloor /Neater Line oyp. ed. -Mech.
Data Requestedt �L/ ' 3 %L% Times AM PM
Address s %�� Permit #s
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
(/,'9/)
Inspectors _ Date:_ ' :7 `P t _
PROVED DISAPPROVFD,----N<-APPROVED SUBJECT TO ABOVE
mall For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspec'`on
Date Requested ��~ -`�� - Time_,1(,—A.M._ P.M.
Address �! g / 7 — Permit #
Owner — Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to ___ (VApproved
Inspector ___ \( ( Disapproved
Date --
CALL FOR REINSPECTION
❑ YES ❑ NO
II{
t
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 1
Tigard, Oregon 97223
Phone: 639-4175 #
r, t
Type of Inspection
Date Requested_ 'f �l� f�lTime A.M. P.M.
Address _ G 1��_� 4� � Permit *9z
Owner // ff Lot #
Builder
The following Building Code deficiencies are required to be corrected:
"'�- �✓6�'r�L. N�ers fl:u.�pcaci-c.�
Presented to __� _ pproved
Inspector . r �_� Disapproved
s
Date �' / �c _
CALL POR REINSPF,C?YON
[I YES 1_�1 NO
IIV- INSPECTION NOTICE
gCity 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 I Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Z-4,proved
Inspector I I Disapproved
Date
CALL FOR REINSPECTION
D YES [A No
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �� 7 '1 U Time—,�A.M. Q P.M.
Address __ ./7 � Permit # a
awner Lot #
Builder 1G'/1./ ,Ie,�
The following Building Code deficiencies are required to be corrected:
4�7 •
• _ t
I
Presented to _ VApproved��
Inspector �/ Disapproved
Date — —_
CALL FOR REINSPECTION
Cl YES ❑ NO
C
it
I
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— D G rmA P.M.
Address _
Permits-�l� s
Owner
_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
r ^�
Presented to _— Approved
Inspector [_� Disapproved
Date
CALL FOR REINSPECTION
C7 YES ❑ NO
INSPECTION NOTICE `�!�`�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P#ione: 639-4175
Type of Inspection
Date Requested Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �,'1 Approved
Inspector F rm— Disapproved
Date
CALL FOR REINSPECT16V
1-1 YES F-1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requeste Til A.M. X P.M. /140
Address Permit * —to
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
I'1 Approved
Inspector U Olapproved
Date
CALL FOR REINSPECTION
D YES 0 NO
CITY®ETIOVARDMOSTER PIEERMIJ
MY TIMOMM U. . . - :: IYIST90-01,255
COMMUNITY DEVELOPMENT DEPARTMENT
P,ERM11'
13125 SW HdI Blvd. P.O.Box 23397,TOwd,OnIgon V=(503)6?0.4176
1.) (4(J/I f;/'J0
0 011. 1 S U E.D
7;
1)D R E S 5 141.69 SW 1.;341 H DR 11 EL 2 S 10 9 D A 0 05 0 0
USI)IV 1.f3 ION. . . . : TI-I R F:E 1110 U H T If)N 5 ZOIAIN(;
1:(.. OUK. . .. . . . . . . . g . . . . . . . . . .
13
BUILDING
1::.l SSUE, DWE,L.L I NG U N' 115. I P()SEI1EN1 0 S f
1.4)S'S OF WORK. :NEW D E D R M: 14t 111c; 3 GARAGE- F,V5 I
( YF',E OF USE. . . :SFF-L.00R AREfIS......---- R E 0 LIT R E"D s t.:,r D A C K S-------------- ----
,4)r:. OF' CON1:1)'T .. u 5 N 1.730 Sf L I'---F T. . : J.2 f t RIGHT. A 10 fi
GRP,. cR3 S EC 0 N D. . . t 15,,2 S f 1::*RONT. ".20 -Ft RE.'CIR. . 18 f
I OR IES. t 0 T 1-41RD. 0 S f
F:.i ci i-t r. .. .25 ft I UTAL....... 3282 S f SMOKE DETLCTORS. -,,,Y
L(J!J R' L.0 f) .. . 4(a -f V(I L(Y--,. . . . . $a 14999 4 r'(.)K I IA 0 (-344)UE S 0
P'LUMBING
F 1,1 K . . . . . . .. . . . .. I I"L 0 0 R D R A I NS., . .. .. :0 B 11 K I"L 0 W r.R E V N TR S 0
()VAT ORIF S. . . . . :5 WATER HEATERS. . . : 1. '1 RAP'S. . . . . . . . . . . . . . ..0
1 UL/ SHOWERS. . . . ..4 I.J.)UNDRY I R(IYS. . . 1. Cf-)I'(.'H B05111AS. . . . . . . ..0
JO TF. CLUSETS. . -.3 SE.WER' LINE (-ft ) - C4 GREASE TRAPS. . . . . „ . :0
I .�HWOSHERS. . . . t I WATER 1-11-411 ( ft) . 100 OT!*'R F I XTUREES. . . 0
DTSP. . . ci RAIN DR'OIN kft) . .0
dl,;1111,16 MACH. . . : 1 S k0IN DR(1111S. . I
MECHnMICAL. r-"ELS
I Y PL S U 14 1,I HTRIS. 0 type AnIaLtrit L)y date -r e e pt
lb! VENT'S . . . . . c0 FIAYM $ 100. 00 JL.H 05/10/90 200671
INF:ILJT:@ DTLJ V E-H I F�11 NS. . `1 P T $ 558. 00
11-:1N1 < 100K . . -.0 HOODS. . . . . . .. 1 9 r'L C. $ 366. 70
) --1,001", . . -. 1, W 0(1 T) 0 V L S. ;0 P5PC I;, v?. 90
1- URN. . . . C 0 CLU DRYERS. : 1 ST D C $ 600. 00
1`3- 11
C,III P, ( ;3H1`1..0 OTI I E.R UN 1 .0 SSDC 250.00
GAS OUTLUT - 1 PARK q, 25(d. 00
........... m v,vr s 43. "50
4.iIN RIL"HARDS 11 P,L.C $ 10. 88
5W WAL.;.vDORN AVE: t
PIPIR r 1 /kj. 110
:)I-.'ORL) OR 971213 PSPL; 41 8. 1150
#.- 66!8-3400 P,0 YM $ 218:3. 66 JLH 06/17/90
Aractay': ...............
'A) N!? RIVER UIRI)r-'ILTILS
Dox 29033
J11* 11-AND OR 97210
628 -3400
56300
$ i,1283. 66 TOTAL
'his pewit is issued subject to the rejulatiois contained in the RLUUIRED IN"3t)E(11ONS
I igird Municipal Code, State of ore. Specialty Codes and all other F'oot/fuurid Ivisp mectiarlical 11v I)
applicable laws. All VOTF will be done in accordance with ap;ruvtd Wt'(- EfsPI F-IlLtmb [(:)p 00
pla;,% This pewit will expire if wort- is not started within 18e �1(1�v.t/Eieam 111sp F`rAnli)-14 11-IsP
days rif issuance, or if work is susper5ed i7rp than Iff days. Cravil Drr.%in f7j-f.epja(.:e 11,1Sp
PFm" t �il.ab Gar, Line tiirjl
�lm,/Lmde s 41 �Ab J ii
1'ecmitterj P I
r1LJ1/Ui1de(,f lour Gyp Ficiard Jiv-.
1 SULt4d b,, Ftilq Dy-kiii lism" t R.Aiii dv;Aii-i
Gl--�WER CONNECTION
CITYOFTIFARD I',ER11 IT
CITYTIM6 IND I"ERNIT 0. . . . . . . .. GWR90----0172
COMMUNITY DEVELOPMENT DEPARTMENT 0MI00H 1:.,R111. PIERNIT It. : ITIST90 01.55
13125 SW HWI Blvd. P.O.Bow 23297,TIpM,Ongm 97=,(W),639 4176
1.,JDATE ISSUED. 06/18/90
i1 Tr A 1)D R E SS. . . : 141.69 SW 134T1•i OR 2S1.09130-0050(.•
'A-)I?D1.V1S1ON. . . . 1HREE MOUNTIANS ZONTNG.
LOT. . . . . . . . . . . . . .. 13
........... .......... ...... ............... ........
Y'li-W,INT NAME-. .. . ..
US- () NO. . . . . . . . . 41 G 1 4 FIXTURE UN,f TS. . .
!'LASS OF:' WORK. . . NEW DWELLING. UN1TS. . - J.
f Y1::1E OF USE. . . . . C!")F:* 1,1(:1. 01--' BLVILDINGS.- II
INGTOLL 11.11 ERV SURF-ACE. ..
........ FEES
01,IOH 1,"�1CHC)RDS type ailICKtIlt by date rec.,p
SW WALSDORN AVE. F.,RMT 9t 1250. 00
.1
1,1.1 L I S D 0 R 0 0R ''x'71.2;3 1-,0 Y tyl 11i 1285. VO JLH 0(--',/.'L7/90
( (.)H1Rt:-)CT'0R NOT ON r--TLE
....... ................
1.(285. 00 J'OTAL
v,r.1
..........
-his
Applicant agrees to comply with all the rules and TeqUlatl(InS Se.,v)e-r Iri,.npectiaii
cf the Unified Sewage Agency. The permit expires 128 days from .......... ......
'he date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the . .......
-lide sewer laterals. It the sewer is not located at the measurement
uiven, the installer shall prospect 3 feet i,.-, all directions from ......... ....................
Ile distance given. If not so located, the installer shall purchase
"Tap and Side Sever" Permit and the AjeN will install a lateral.
r ni j. L t,e e G i, r),.i t t.t o e
DY I ........... ............ ..................................
Ca I I f a-r irispeetiori 639-4175
ITY OF TIGARD reE(.-',Fj.Pr OF' PAYMENT RECEIP" NO. a 9 Cl-2L 0 1
CI-4ECi.:. AMOUNT x 3468. 66
WIND RIVER PROPERTIES CASH AMOUNT 1)()
t4K)PESS Po BOX .'9*19033 PAYMENT DATE a 06/1 91)
SUBDIVISION
PORTLAND, OR 972"1+:1- 1.41b9 SW 1341H VI;
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
OUIL.DINI-5 PE R'M `3r3+7 Pt I-JtllBTtJG r-'ERM I-,( 1 00
MECHANICAL PE 47,.5() ST. BUILD FER :;a.58
PLAtl CHEC"it. FE "271.58 SEWER USA SWR90-01 72 1,250.00
SEWEP INSPECT 35.+:++;,) STREET SDC ClOo.(10
F'AF,J:'.'S Sr.)C Z50.00 STORM DRAIN GDC '2150. 0()
7CII AL_ AMOUNT PAID 7460.66
r
TYOF TIOAPD 13125 S.W.Box 23397 PIAN CHECK
PLAN � z�
�°`° `
csM° ',�' PER=
COMMUNITY DEVELOPMENT DE"ARTMENT DATE ISSUED _
JOA ADDRESS: _�' G` %—• Cc 3Y nc ��r TAX WP/LOT 72-
SUB: uyr= `'��3 LAND USE: —
VALUMON: _
NAME: L�/ REISSUE OF:
-
�a
ADDRESS' /lrZ"iF LAST RELSSUE: - —
h��.'/c FIAOD PLAIN/
_ l���•� liS� �vr� 'o ref.:-t,'�s SENSITIVE LAND:
PHONE:
_---- �►PPROPAT.S RDQ[JIIZED
00N1RACIPR PIANNIM: ---
NAME: all ENGINEERING:
ADCRESS: <' �'x .Z i 6 "i FII-.: DEPT
OTH R:
PHONE: <' -j ia'!" `/ 7 I'I'EItiSJ2F1r1 RM—
K=ERS BOARD f: es 3 'd" EXP DATE: o �, LUST/ _
Hi)5 TAX: —�
AI VENGINEER CAdiQIIATIONS:
NAME: `f a.' tCc����F��G� �_ TRUSS DETAILS:
ADDRESS: ,1 _1'", • ✓ CIIHER:
r �]
P110NE: 2 7 5 _ i/ d /
OCNI'S: C-j of
�ayaXfI AC1URS PLUM: MDQi: L�
PFfdr rr 0 AOLT if DESCRIMCN AMxNT AKXW PD. BAL.
I�1 st yu c-'1-5= 30-432 00 Building Permit Fees
10-431 00 Pltmbinq Pezm.Lt Fees
10-431 Ol Mechwllcal Permit Fees
10-2.30 01 State Building Tax (5%)
Building
Plunbing
Me 21../ Y
10-433 00 Plans (hack Fer± 3 73,-4 clf � 5
Building
Pitmbing —
Medt /&X
30-202 00 Serer 0MInactio►'1 —_
30-444 00 Sc--WPr InsPCC'tian —_
51-448 00 Street System ileo Charge (SCO
52-449 00 ParkS Sysuao Lev C]kugn (PDC) -
31-450 00 Storm Drainage SYSt D--V Chrg (SSDC) —
10-230 06 Fire _— —
APPLICANT SIGNAWRE
Received By: __. Date- Received:
of/3587P.WPF
CITY OF TIGARD PECEIPT OF r::'Aym(-".N"r Rl-CEIPT NO. :IM-2006 71
CHEMP" AMOUPIT u 100. 00
PJAME RICCARDS, DEAN CASH AMOUNI, 0. 00
Ar,DRESS WIND RIVER PROFEK'TIES PA, E
(MNT DATE e 0 5/I U.,, Y" 0
P10 BOX al_BD I V I S I ON
PORTL.Arw. OR 97210- 14t69 SW 17-',4rH DR
PURPOSE OF PAYMENT AMOUNT PATD PURPOSE OF PAYMENT AMOUNT PAID
CHEU' FEE. 5-.2'6R 100. 00
AMOUNT PAID 100.00
GRADING I-IMSION CONFRQI INFOR TALL QN
RECEIVED
GENERAL CONTRACTOR NAME& ADDRI:SS: CASEFILE NO.: AlAY 2 1 19
PERMIT NO.: --
�� zx
COMMUNITY DEVELOPIK Nfi
1-n Q rLa-a 0 00, `I'Q I O - -- APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR VL "jD I i P32DPtIrl S __
NAME:& ADDRESS: LJ»1',
— - OWNER NAME AND ADDRESS:
ICi`>;S SI LEL errf tw rt1 = _ 15I I�r�rHl�: 21cLIH�t>>
1 �r ��R+►J - ----
VvJl.11'-3oe►.J
F-� t l LS l,ocr c•� S1, ��t l I Z =�
TI:I_LPI PONE NUMBERS:
APPLICANT_ ' 340 t` PROPERTY DESCRIPTION:
Ov.-NER " STREET ADDRESS AND CROSS STREET/L ATED
GENERAL CONTRACTOR: (g 1 a -1 `� �n Y c�Z A�"f L0� ► (3�'t 1-- '�� �'`'r t�_
EXCAVATION CONTRACTOR: G :��
SITE/JOB: Kl e"
LEGAL DE`;CRfPF1UN:
24 HR/AFTER HOURS EMERGENCY TAX LO.1'NO.: 13 (14 "P9
P9 S l�• t 3i SKI���
C )NTACI'PERSON,"TITLE,TELEPHONE: 1/4 SECTION:. IV_L•�'��'_W• yy Se(.- "I
�.�Iz` ►_�nr�p� SITES'.: E,ACRF_S: gisr 30 be wlw�9vx r
�• 11.1h; _.3A DISTURBED/WORK AREA,ACRES: -�
LOCATION&ADDRESS WHERE SPOILS - RUNOFF DRAWS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN
(NOTE{:PF3thtilS MAY III:RI'QUIRF:D) CA FCH-B- AS__ DITCH PIPE= CREEK
--- - _ (CIRCLE ONE) PRIVA 1E PROffRDL.
-- JBLiC RIGIfiF OP WAY'
EROSIO_ EDITSENTA7'I N CONTROL (ESCI MEASURE,
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSIRIICHON: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE RF.MOVF AND RESTORE TEMPORARY FSC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER__
OTHER -----
PLAN FOR EROSION CONTROL PREPARED AND SUnMTiTED IN ACCORDANCE wall-TECHNICAL GUIDANCE HANDBOOK".
FROSION CONTROL PIAN DRAWING,AS REQUIRED.HAS PIAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULFISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTFS.
IIIAVE•READ ANDA ILL COMPLY WITH TIIE.ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAl1J SEDIMI:N 'ON THE CONSTRUCTION SITE.
ti
�ez-e'- -- - — - 50m r_ - --
OWNER SIGNATURE APPLICANT SrNATIJRF
OM- CIAL USE ONLY
Kr.C1 I1'T DATE ACCEPTI=1 I
FEE NUMBER - RECEIVED — BY--- --