14268 SW 134TH DRIVE 14258 SW 134th briuc
CITYOFTIFARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT oow OCCUPANCY
13126 BW HDU Blvd.P.O.BOR 23947.TIWW.Onpon 07323(5W601W75 75 ✓''ERIrlIT #. . . . . . . . Irl S T 9 1 -it)1602
16;(6- 4474 -
DATE ISSUED: 04/2.3/92
;ITE ADDRESS. . . : 14268 SW 1-iiTH DR PARCEL: 2SI09AB-04600
SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: k--7
BLOCK. . . . . . . . . . : Ltl1-. . . . . . . . . . . .. . :39
---------------------------------------------------------------------
:LASS OF WORK. :NEW
l YPE: OF' USE. . . :SF
OCCUPANCY ORP. :R3
JCCUPANCY LOAD:222 4
TENANT NAME. . . :
Remarks: Construct new SFD
Owner:
BUD SPEZZA
SW BARBUR BLVD
-'URTLAMD OR 97129
1'-Thome 0: 246--5489
Gontrac:tor,; --_.--_.,._________.____________-_
ACALL I STE R CONSTR. CO.
1530 NW H I LLCREST DR
!.,ORVALLIS OR 973.317
Phone #: 644-3677
R e q #. ,. 41?1 1.5
(Jr_cupancy of the above referenced building is hereby given, xanH :ertifies
the compliance with the State Of Oregon SpeciiAlty Coj8v. fo:� tliE group,
occupancy, and use under- which the referenced permit wAs issued.
FIRE DEPARTMENT J I L D I SFJ C-F
BUILD L•: OFF=ICIAL
POST IN CONSPICUOUS PLACE.
INSPBCTION-NOTICE
City of Tigard BuildkOg Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phc :.'�: 639-4171
Inspection: _ -
Footing Plbg. Underslab Mach. Rough-ln Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg
Post/Beam Mach. Rain Drain Insulatic,n -Ply•
/l
Plbg. Underfloor Water Line Gyp. Bd. l -Hoch.
Date Requested: �-1
.Z Tom= `/� PM
Address:_ �7 �"G �3 � Permit #
�'00,� �, 2 2-
`5 l� D� 7
Builder:
THE FOLLOWING CORRECTIONS ARE RSQUIREDt
Date: S/- Z,3 y Z-
Inspector:
/ APPRtri7.D DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Retnap.
INSp8CPION NOTICE
(1 J City of Tigard Building Departs'-
13125 SN Bal Blvd. Tigaad, Oregon 97223
Inspection Line �Rec-O-P one): 639-43' 7: Business Phone: 639-4171
Inspection: --
P1 Underslah Mach. Rough-in ( Appr/Sdwl.k
Foot Lnq
Found.
P1 Top Out Gaa Lina FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldq•
Poet/Beam Meeh. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mach.
Timet AM PM
Date Requested:
Address:
Builders
i
THE FALLOWING CORRECTIONS ARE REQUIREDs
�Tec Er- i- ,-EL"
ve
Inspectors L'• >2 Dates LL-23:2.Z-
_:
.�--23:`t Z- _
APPROVED DISAP ll APPROVED SUBJECT TO ABOVE
Coll For Reinsp.
EWA vwx
INSPECTION NOTICE
City Of Tigard Building Departaeat
1317.5 SW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--phone): 639-9175 Business Phone: 639-4171
Inspection
Footing Plbg. Undernlab Mech. Rough-in -
9 Appr/Sdwlk
Found. Plby. Top Out Can Line
FINAL:
Poet/Beam Struct. Jan. Sewer Framing B d \
1
Powt/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloar Water Line
Gyp. Bd. - elf ch. - ,
1 �Date Requested: AM —
7PM
7►JdreeA: /!1 .� % � Z Permit
THN FOLLOWING CORRgLTIONS ARE REQUIRED:
- _ a
000,
CILy ram•-�'
— DrrP:
* � ,DISAPPROVED APPROVED -q"B.76C7r TO ABOVE
Call For Reinnp.
oAINSPECTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (R Phone): 639-4175 Business Phone: 639-4171
Inspectiont --
/
Footing / �lbg. Underelab Mach. Rough-in < Appr/Sdwlk
Found. Plbg. Top Out Gas Linn FINAL:
Poet-/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Pain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested: i —� Times /AK PK
Address:,j��/f Lf'd � Permit #r
Buildort
THE FOLLOWING CORRECTIONS ARE REQUIREDt
i
InspecttK.-„ •s�.'E' Dater
l �VS� APPROVOD 018"P
^_ APPROVED SUBJECT TO ABOVE
���"'--- _Call For Reinap.
MWL&MMUMMNMIM��
IN&PE ION NOTICE
- fi Lp^y
City of Tigard Building Department
131.15 STI 11 Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Undecelab
Mach. Rough-in Appr/Sdwlk
Pound. P11 Top P put Gas Line FINAL=
Post/Beam Struct. San. Sewer
Framing -bldg.
Poet/Beam Hoch. Rain Drain
Insulation _plumb.
Plbg. Underfloor Nater Lina
pyp. Bd. -Hoch.
nate Requested: L
t Timet AM PM
Addrees:�l
Permit
Builder:
THE POIJAVINO CORRECTIONS ARE REQUIRED:
rrr
Inspectorr
--- -- ----_—___-- Date: 1 -c;--L
_A PROV1Rp
DISAPPROVED APPROVED SUBJNCT TO ABOVE
Call For Reinep.
1 W_K IT,L-Mw� q�Wqi
�SP�CTION_NOTICE �
City of Tigard Buildiing Department l
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Suaineas Phone: 639-4171
Inspections
looting Plbg. Underalab Hach. Rough-in Appr/adwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam St.ruct. San. Sewer rraming -Bldg.
Post/Beam Hoch. Rain Drain Inaulation --Plumb.
Plbg. Underflecr Nater Line Gyp. Bd. -Hoch,
Date Requested: `� —LD_7�. T1mBt lUI PM
Address: iZ r.(�. / % Peralt #t
Builder:--7'I ��l' .�''�/`. ,-�t�✓�j b� .�
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
el . 0 ���+c Luct � , rig . S�C�r
` t 0.
" I
-. ti V cc iyC_
�- 1
APPNdVfD DYSAPP D APPROVED SUBJECT To ABOVE
j;1 �.
Call For poinnp.
INuPEI'TIQN NOTICE K. 7
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Busineua Phone: 639-4171
Inspection:_ �_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Gine FINAL:
I
Post/Beam Struck;. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lina ) -Mech.
o=- Bd
Date Requested:, +�-�� Time: #N PM
Address: ! 4XV4 fI Z, Permit #:
Builder:
THS POLL40WIMO CORRECTIONS ARE REQUIRED:
1
Inspector: _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinnp.
i
&'ZCTION NOTICE
City of Tigard Pnilding D,,partnent
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-4171
Inspectiont_� _
Footino Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Froming -Bldg.
Pont/Beam N`+ch. Rain Drain I16
n --Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hech.
Date Requeeteds - 2d - u _Time= 71— AN
/ pM
Addreen t / ��(�dA - - �`'�7 l L hermit !t
Builders ����Y,( �tQS /�..
f
THE FOLLOWING CORRECTIONS ARE REQUIpRED:
I
I
Inspectors Z
Dates /
APPROVED DISAPPROVED APPROVED BUSJWT To ABM
i
_Call for neinap.
f
I
I
E
INSPECTION NOTSCg_
Cite of Tigard Building Dapart,..t
13125 SM Hall Blvd. Tigard,
OregonInspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underelab ^� Y
Mach. Rough-in Appr/Sdwlk
Found.
Plbq. Top out Can Lina
PINAL:
Poet/Beam Struct. San. Sewer ��
e`minq -Bldg.
Poet/Beam Mech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Nater Lira
Gyp. Bd. -Mach.
Date Requested.—__z f�a —�
L—. Time; AM PX
Addreaas % "��/�
Permit •z` - �y„�_
Builders_
THE M►.-.OWING CORRECTIOMB AM MMIRED:
Or .00t ----
i
f
i
i
InnPwtorl
Datat__�'
APPROM DIdAPPROVRD
APPROVED SUBJECT TO ABOVE
Call For Ralnap.
INSPECTION NO,(ICE ~
City of Tigard Building Department
13125 SW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:____�
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out / Gas; Line FINAL:
.t.
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulrtion -Plumb.
Plbg. Underfloor Water Line Gyp, Bd. -Mach.
Date Re enteds
9u 1S _T ia:e s AM PM
Address:-- Permit 0:
Builder: , `
THE VOLLOWIK61COkRECTIONS ARE RIRZ UIRED:
i
Inspector s -- Dates I —
APPROVED DISAPPROVED !` APPROVED SUB,7F.CT To ANM -!
_Call For Reinsp.
INSPEC
City of Tigard Buil. .l Departsrent
j.125 an Ball Blvd. Tigard, Oregon 97223
Inspection ILne (Rec�-^O-Phone)r 639-4175 Business Phone: 639-4171
Inspections___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALS
Poet/Beam Str,act. San. Sewer lnael-i .-Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg., Underfloor. Water Line GYP. sd. -Mach.
Date Requested:_ 14 1Z Times
Address: [ a 2 ty A(-E. -.b1v -1pr-1. Permit #: 4 ( Z
Buildersc7 o o L'
THE FOLLOWING CORRECTIONS ARE REQUIRED: / y�
00,
a.
J
r
�L y
tnsVwte,.e_ Date:.
Atter �`/ DISAPPROVED APPROVED SUBJECT TO ASM
I., Call For Rainap.
INS PECT IdI:_N-07I CE
City of Tigard Building Depart 06"t
13125 BM Ball Blvd. Tigard. 0r,7on 97223
Inspp:Lion Line (Rec/-,fo-Phone)s 639-4175 Business Phone: 639-4171
Inapec'ion:
Plbg. Underelab Hach. Rough-in
Appr/Sdwlk
Footing
Found.
Plbg. Top Out Cas Line FINAL:
1
Poet/Beam Strutt. San. Sewer
Framing -Bldg.
Poet/Deem !tech. Rain Drain
Insulation -Plumb.
Plbg. Underfloor water
Line Gyp. Ad.
-Mach.
T ims4� VM
Date Requeateds
Permtt Is�� / Z►
Address:
Pu i lder s^��(
TB$ FOLLOWING CORRECtIONS ARE REQUIRL'D!
Date f1/' /—
Inapector: —
11 APPROVED DISAPPROVED APPROVE^ SUBJECT TO ABOVE
call For Relnsp.
3
INSPECTION NOTICE �r
City of Tigard Building beparteent
13125 BE Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
.111 7
Footing /bg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer FLuning -Bldg.
Poet/''seam Hoch. Rain Drain Insulation -Plumb.
P11--g. Underfloor water Line�/ Gyp. Bd. -Mach.
Date Request
ed
: // 7 1L Time: _X„AM !M
Address: /H —_-1 �7 � Permit #.,I�/ ew,
Builder:
THE FOLLOWING CORMS S ARE REQUIRED:
i
Inspector: Date: —
APPROVED ^— DISAPPROVED APPROVED SUB�JRCTT 710 ABOVE
Call For Rsinep.
INSPECTION NOTICE
City of Tigard BULMLaq Dapartmmt
1312!5 811 Ball Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection: -
Footing Plbg. Underslab Mach. Rough-in Appr/Gdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. an. Sawar Framing -Bldg.
Post/Beam Mach. ain Draln Insulation -Plumb.
Plbg. Underfloor later Llne �_ / Gyp. Bd. -Mach. V
Date Requeated: �� -�[ TIM: /-
Address: �y / Permit is `7 L Z"
Builder:
THE VoLLOWING CORRECTIONS ARE REQU1.41):
Dates`-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
.r�..Jidi.Hc'_.H¢....a ..<......,................... ..........,..,.....,.wn.uu4,w..u:i iLWIiMF::,
INSPECTION NOTICE (/
(1.t7 of Tigard Building DeparbMDOt
3.31'5 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Aec-O-Phones 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Hoch.
Date AequestaGs//� p�V '� �7! Time: _�_AM
Addresst /Iva C.aD � .� � �1 Permit #:`
,i r
q el
t0 Z
Builder: Y1LG�LDw 7wIla
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Lelkoe
Inepectort __ _ Vatet
PPROVE13 DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
71w..
INSPECTION NO1'I -
"tp of Tig" su N
Inspection Line SW IWI Blvd. Tigard, t
SW
: 639-8175 �n 97223
Inspections Business Phone: 639-4171 i
Pmt ings �
Plbg. Undarelab -----
Pound. Mech. Rough-in
APpr/Sdwlk
Plbg. Top Out Gas Line
Poet/Beam gtruct. FINAL:
San. Sewer
Pra,,linq
Post/Beam Mach. Rein -Bldg,
Drain Inso,ilation
Plbq. Underfloor W -Plumb.
Water Lina
Date Requested, 0 _L+ GYP.
Rd. -Neth.
Addrsses )+ry Timet
Builder: 1 /1 H1 Permit
THR FOLLOWING CORRECTIONB
E REQUIRED:
Inapsctors__'--
APPROVED 0����. /
DISAPPROVED '/
v APPROVRD SUBJECT TO A
,call For Rei ��
nep•
C17YOFTIFARD
MASTER PERMIT
C� 1=Rp PERMIT #. . . . . ,. . : MST91-O 162
COMMUNITY DEVELOPMENT DEPARTMENT oeeevoee
13126 SW Holl DidP.O.Bax 23347,Tiplyd.Oregon 9?M t4GMk�,G"4176 DATE ISSUED: 10/ 8/91
SITE ADDRESS. . . : 14268 SW 1.341H DR PARCEL: 2SIO9AB-0+600
SUBDIVISION. . . . . THREE MOUNTAIN ESTATES ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :39
---------- BUILDING -------•--------.--_-_---_-___-._._.___-__--.
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :923 sF
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :704 sf
TYPE OF USE. . . :SF FLOOR AREAS ------ - -- REQUIRED
TYPE OF' CONST. :5N FIPST. . . . : 1662 S LEFT. . : 1O ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SELOND. . . :444 sf FRONT. :,:-'0 Ft REAR. . : 1.5 ft
S F OR I ES. . . . . . . :a THIRD. . . . ..0 s f REQUIRED----------------------
HE
EQU1RED--------•---------•---
HE I GH1'. . . . . . . . :121 2 ft TOTAL--------:3029 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . � : 152006 PARK I NG SPACES. . : 1
Remarks: Constr1-lct new SFD
PLUMBING ---------------------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY 1-RAYS. . . : 1 CATCH BASINS. . . . . . . :Q1
WATER CLOSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . .0
DISHWASHERS. . . . : 1 WATF R LINE (f} ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1. SF RAIN DRAINS. . : 1
MECHANICAL -- _____._______ ---_._____._____-_-.- FEES
FUEL TYPES-----•-------- UNIT HTRS. . :0 type amal.lnt by date r^ecpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 10/08/91 -
MAX INPUT:O BTU VENT FANS. . : 4 1APRT $ 565. 50 JLH 1O/Oe/91 -
FURN < 1O0K . . :0 HOODS. . . . . . : 1 BPl_C 4 367. 58 JLH 10/08/91
FURN ) =100K . . : I WOOD STOVES. :0 BSPC E 28. 4:8 JLH 10/08/91
FLOOR FURN. . . . :0 CLU DRYERS. ? 1 SSDC $ 375. 00 JLH 10/08/91 -
BOIL/CMP ( 3HP:0 OTHER UNITS:O PARK $ 500. 00 JLH 1O/08/91
GAS OUTLETS: 1 MPRT t 40. 50 JLH 10/08/91 -
Owner: __.__.__.---__.__._____.______._.--.----_.._._______ M'15PL t `. 03 JLH 10/08/91 -
BUD SPF-ZZA PPRT $ 170. 00 JLH 10/08/91 -
10211 SW BARBUR BLVD PSPC i 8. 50 JLH 10/08/91 -
MPLC $ 10. 13 JLH 10/08/91 -
PORTLAND OR 97129
Phone #: 246-5489
Cont i^actor,: ----___--.__________________..__
MCALLISTER CONSTR. CO.
1-530 NW HILLCREST DR
C. ORVAL.LIS OR 97330
Ffhane #.- 644-3677
49115 --------------------------------------
$ 3447. 5.2, TOTAL
This permit is issued subject to the regulations contained in the -- ----- REQUIRED INSPECTIONS - -- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fottnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans, This permit will expire if work is not started within 180 Post/Beam Mechan Insulation Insp
days of issuance, or if Mork is suspendco for mar. than 1 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
i-,e�•mittee Sign�t�_1rP : � J < __,__ _ lvlec11anicaI Insp Water Line TTisp
PlLtmb Top Ott Appr/Sdwlk Insp
ley,-ked Bye _ F►~aminra Insp Mechanical F 01:11
Call for inspection - 639-4175
—� SEWER CONNECTION
PERMIT
CITYOFTIFARD CI„ OFTIM PE=RMIT #. . . . . . . : SWR91-0187
COMMUNITY DEVELOPMENT DEPARTMENT O1'O°" I DATE ISSUED: 10/08/91
13126 8W Hell Bbd.P.O.Bac 23307,TOW.On.Oon 9$M 1603~175
SITE ADDRESS. . . 14268 14268 SW 134TH DR ='ARCEL: 2S 109AB---04600
SUBDIVISION. . . . : THREE MOUNTAIN ESIATF_S ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .39
-----------------------------------------------------------
TENANT NAME. . . . . :
UFIXTURE UNITS. . . :
SANO. . . . . . . . . . :
CLPSS OF WORK. . . :NEW DWELLING UNITG. . : 1
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR I MPERV SURFACE:. . : : s
Hemarks : Costruct new SFD
-------------- —yp-------------- FEES --------------
BUD SPEZZA type amount by date r,ecpt
1q)211 SW BARBUR BLVD F'RMT t 1900. 00 JLH 10/08/91 —
INSP $ 35. 00 JLH 10/08/91 —
rDORTLAND OR 97129
Phone #: 246-5489
Contractor-: ------------.-------- ---------
MCALLISTER CONSTR. CO.
1530 NW HILLCREST DR
C:ORVALLIS OR 97330 -----
Phone #: 644-33677 1935. 00 TOTAL
Rey #. . : 49115
------- REQUIRED INSF'ECI•ION5
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewagr Agency. The permit expires 120 days fromthe date issued. The total .mount paid will be forfeited if the _ ---
oereit expires. The Agency does not guarantee the accuracy of theside setter 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 installer shall purchase ------ -
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
P e r m i t t e e
ed B v
Call for inspection — 639-4175
APPLICATION -- STREET IMPROVEMtNT/EXCAVATION ) (COPY TO:
ORDINANCE NO. 74-14 / (� (WHIT FILE
YELL W)-INSP.
INSTRUCTIONS OIJ SEPARATE SHEET -- 1 (PINK)•OTHER AGENCY bldg( I ( I (BL_UE)-APPLICANT
APPROVED APPLICATION NO.: �( _
NOT APPROVED ; J C.I I Y OF TIGARD, OREGON FEE AMT.: S—3,5.60
PENDING FEE. PMT. CITY IIALL RECEIPT NQ.: --
PENDING SECURITYP(/BUCWORk 'DEPARTMENT BY I '� — DATE__—/C� /
—
PENDING AGENCY ''OK^ ❑ Application and Progress Record MAINTENANCE BOND
FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
PENDING INFORMATION ] ANNUAL
PENDING VARIANCE EXPIRATION DATE.
PERMIT NO.: - _L� GATE ISSUED: --d-LL C _ BY:
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ CMC'rQ pwalk_andiprm
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT MCAllinter Const. Co. 1530 P4W Ilillcrest Corvallis OR 97330 644-3677
NAME ADDRESS CITY PHONE
CONTRACTOR _ SAME Craig Harris mgbile_ 25Q705�2________
NAME ADDRESS CITY PHONE
PLANS BY_ Per City Standards & Specificatioms
NAMEADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ -__.890.00
DOLLARS
fOR OFFICE USE: MIN,
(2) EXCAVATION DATA: 0.04 X s H90•0_O_,= $ X5.60
STREET DESCRIPTION PROGRESS 41: INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREEI
OPENE
1345th A" (See it achad INSPE .-
R TION
— E
Q
U
E
ESTIMATED STREET OPENING DATE ( / S
ESTIMATED STREET CLOSING DATE: / / E
---- ---" �_ ---------
(3) SECURITY NO. STREET
SECURITY T - .
CLOSED
SURETY CO.: _ __._. _ FINAL
013st3oM CHECK 3CASH_ a SIOND INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL � 'Ski f SPECIAL PROVISIONS/CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT. It I. Notify City Inspector Carl
work area viewey (#634-4171) 24 hrs. pr.io
-
t i z�}- r to starting work
1 S.1{`IE: -14���� / r 1 2.. CRS 757.541 - .571 aplies
(re: utility/ prelocation, etc.)
Re -I- ... - - - - - - - - - —
3. Traffic cont:ronring
T -_ --S.W. 134th AVE _-,- cxxistruction to be provided for
3 / by contractor.
.\ 7
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF-WAV 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
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE DATE /
CITY OF TiGARo RECEIPT OF PAYMENT RECE I PT NO. s 91—8.18357
C HECK AMOUNT s 5132. 52.
NAME a MCALLISTER CONSTRUCTION CASH AMOUNT s 0. 00
1530 NW HILLCREST DR PAYMENT DATE-, s I
COPVALL.JS, OR 973,30—
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT r,Ait) PURPOSE OF PAYMENT' AMOUNT PAID
BUILDINS PERM 565. 50 PLUMBING PERM 170. 00
MCC HANICAL PF 40. 50 ST. BUILD PER 38. 61
FAL. '1N CHECK FE 127. 71 SEWER USA 1900. 00
SE'AER INSPECT 39. 00 PARKS SOC 500. 00
ST'IRM DRAIN SDC 375. 00 RESIDENTIAL TFqAr:F'IC FEES I Pilo. 00
MASS TRANSIT Tlr= FEES 100. 00
14P6a BW 134TH DR
TOTAL AMOUN*r PmD 5132. 52
RAMENSEARMLM
•
CITY or 'TIGARD RECEIPT OF PAYMENT RECE I C$T NO. C91-215202
HIGHLAND ENT[TRPRIqEs CHECK AMOUNT 250. 00
PUD SPE ZZA - CARMEN SPEVA CASH AMOUNT Q1. OL71
14735 SW SUNRfSE LANE PAYMENT DATE o7
TIGARD, OR q7224- S(JBDIVfSrON /10/91
�-"-JRPOSE OF POYMENT AMOUNT PAID 14268 SW 134TH AVE:.
P(JRI'-*'fJSr-' OF PAYMENT
6R
AMOUNT pr.111)
FE 7-1
omn(JNT PAID
,14