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12407 SW 133RD AVENUE i z G P. l' i tF 1 I i I T 12407 SW 133RD AVENUE -� CITY OF TIGARD OREGON March 15, 1991 Mr. O'Neill --- 12407 SW 133rd ,Ave Tigard, Or 97223 Dear Mr. O'Neill, This letter is to se-ve as a record of an inspection that was conducted today on your property. The purpose of the inspection was to determine the cause of settlement of the ground underneath your entry sidewalk. It is my opinion, that the settlement is the result of improper compaction of the trench that was excavated f :r connection of the building to the sanitary sewer. This is further substantiated by the alignment of your building sewer cleanout, the locati.-)n of the public service lateral connect on and the settlement. If the situation i:. not corrected it could cause damage to your sidewalk. If you have any que3tions please do not hesitate to call me at 639- 4171. Sincerely Brad Roast Building Official 13125 SW Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223 (503)63Q-4171 I i I i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 r Tigard, Oregon 97223 Phone: 639-4175 A ( Type of Inspedn .- R Date Requested Time_ A.M. P.M. J'� �__r /J 7 L�r Permit Address V Owner Lot # Builder _„L�!yl"d�"� n lee The following Building Code deficiencies are required to be corrected: t Presented to _ _ &proved Inspector _ _ �_� Disapproved Date CALL FOR REINSPECTION [I YES (NO CER71FICATE OF CITYOF TIFAIWx OCCUPANCY COMMUNITY DEVELOPMENT DEPARTUM CffyOFTWA PERMIT Of. . . . . . . I MST90-0075 OREGON 13125 SW HWI Blvd. P.O.Box 23397,TlgaM.Ornm 97223 t6W)630-4176 DATE ISSUED: 08/22/90 SITE ADDRESS. . . t 1.2407 SW 133RD AVE PARCELs 2Sl@4AD--13700 SUBDIVISION. . . . i MORNINDHILL 07 ZONINGe BLOCK. . . . . . . . . . e LOT. . . . . . . . . me . . 1165 CLASS OF WORK. sNEW TYPE OF USE'. . . xSF OCCUPANCY ORP. sR3 OCCUPANCY LOAD% 118 4 TENANT NAME.. . . g Rom jk rks s Owner D ANDERSON 9363 SW BEAVERTON HIGHWAY BEAVER TON OR 97005 Phone! As 297--/666 OWNLR/CONTRACTUR Phone #1 Reg ". . 8 OWNER Occupancy of th-i above referenced building Is hereby Riven, and certifies the compliance with the State Of Oregon Specialty Codes for the group, occupancy, And use under which the referenced permit was Issued. at FIRE DEPARTMENT AILDINO IN IM TOR BUILDCi 1.AL OF POST IN CONSPICUOUS PLACE F fm 9W INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone! 639-4175 Type of Inspection Date Requested "mei Time-- A.M. P.M. Address Permit Owner-- Lot Builder e rk�, The following Building Code deficiencies are required to be corrected: —.0001f Presented to "F"proved Inspector — I Disapproved Date CALL FOR REINSPECTION I INSPECTION NOTICE f ,. City of Tigard Building Department I� t" P.O. Box 23397 Tigard, Oregon 97223 ✓✓�` °� p✓ Phone: 639-4175, Type of Inspection '✓ ------ �� C Time -- A.M. P.M. Date Request/ed —�- Address _(- �d 7 f 3 !"gid Permit #L Owner_ _) Lo/t`' Builder -- T The following Building Code deficiencies are required to be corrected: Presented . Approved Inspector _ _____- Disapproved Date — CALL FOR REINSPECT IOA' 0 YES f J NO i i } I IN VECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date RequestedTime A.M. P.M. Address 1 2 ell—) 7 1 -33 r—� _ _ Permit # Owner / Lot y� # Builder - _J J z e111Q'rNIZ.-2-00 The following Building Code deficienries are required to be corrected: 6i� - 60'rll l PIC u-Z Z/ C.YTZ--ui:J C.c/1 'i.3'ry�a j� t I. I Presented to "-�Tdpproved Inspector Disapproved Date ZC CALL FOR REINSPECTION YE• EI NO E' � � i � ilk �► I� � INSPECTION NOTICE City of Tigard Building Department P.O. Box 23357 Tigard, Oregon 97223 ! Phone: 639-4175 Type of Inspection Date Requested Tirv% P.M. Address _�� --"' Permit Owner Lot # rf 1 Builder The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector _� _ -� Disapproved Date - - AR CALL FOR REINSPECTION C� YES fNO INSPECTION NOTICE City of Tigard Building Department P.O, Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of inspection I Date Requested Time 21, m P.M. Address Permit *a 7F Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to 'Approved Inspector ❑ Disapproved Date CALL FOR REINSPECTION ED YES EJ 140 i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23:97 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection -- Date RequestedL! �� /�G�' / C' _ Time� A.M.---P.M. Address Ac 4/4 2- _ Permit Owner_ _ Lot # Builder � � The following Building Code deficiencies are required to be corrected: Presented to ( Approved � T Inspector [ i Disapproved ' 7 Date 4 A CALL FOR REINSPECTION n YE& Li NO 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 Building Code deficiencies are required to he corrected: Presented to Approved Inspector � �•- --- _� U Disapproved Date CALL FOR REINSPECTION YES U NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 'hone: 639-4175 E Type of Inspection Date Requested-�` _ ei Time I's Ar A.M. P.M. Address Per t # Owner Lot # Builder _Vll1 C P 170 u—'�Tc'G1JC The following Building Code dP'iciencies are required to be corrected: Presented to ;' ,Approved Inspector ❑ Disapproved Date _-- 2- 76 CALL FOR REINSPECTION ❑ YEt ❑ NO CITY OF TIGARD RECEIPT OF FAY!"ENT PEC NO: 00108118 CHECK AMOUNT '300-3.53 NAME: DAN ANDEROON CASH AMOUNT s .00 ADOPESSi PAiMENT DATE 03-30-90 BEAVERTON, GR 9.7005 FILOCK NO/Ai)r)p.t 12407 SW 137PI) AVE PURPOSE CIF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMU,"IT PAID --------------------------- ------------ BUILDINO PERMIT (90-0075) 41:.00 PLUMBINC-3 PERMIT 1'32.50 MECHANICAL PERMIT 36.130 STATE BUILD PERMIT TAX 05%) 29.01 PLAN CHECK. FEE q.00 SEWER USA (90-0083) 11250.00 SEWER INSPEC ION 35.00 STPEE'r sr-c 600.00 PARKS% CSY57EII DEVELOPMENT CH 250.UU STORM DRAIN SDC 2150.CIO TOTAL AMOUNT PAID 001.571 CITYOFTIOARD TWAFTIM 11 A G)TER P...hl,, 'l I I rry F1 E-i",R III T It. . . . . . . . MST90 00,75 COMMUNITY DEVELOPMENT DEPARTMENT OR10" 13126 SW Hell Blvd. P.O.Box 23197,Tigard,Oregor 97223(603)6394175 P'R I M. 1-:'E P 'I F 0. . N Si T 9 0 0 07 5 L.39 Af I/I - I)14Tr-" Tr�'-.OFD 1A_A/_1fA/r4(A SITE ADDRESS— .- 12407 SW 1.3 RD AVE.. PARCEL,-. 2,13104AB--.13/ SUBDIVISION. . . . ; MORNINGHILL 07 Z 0 14 114 G BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .. 165 BUILDING F:EISSUE: DWELLING UNI TS.. 1 BASEMENT . . . . . . . . :0 Sf CLASS OF WORK. :NEW BEDRMS:3 BATIAS-2 GARAGE. . . . . . . . . :596 s TYPE OF: USE. F FLUOR REQUIRED SETBACKS------ TYPE OF' CONST. 51,1 FIRST. 1946 S f .5 ft RIGHT. -. 10 ft OCCUPANCY GRP. R.3 SECOND. . . 0 S f F RONT., :20 ft REAR— c- 1.5 -f I, STORIES. . . . . . . :0 T FI I R 1). . . . :0 5 f R 1::*.Q U I R E D--- HEIGHT. . . . . . . . .. 18 ft TO 1946 S f .;MOKL' DETECTORS. Y F1-OUR LOAD. . . . -40 pi -f V A L U E:.. . . . . 92460 PARKING SPACE'S. 0 Reniarks o ...... PLUMBING ........... SINKS. . . . . . . . . . al FLOUR DRAINS. . . . :( BACKF_L.OW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 100 T RA P S. . . . . . . . . . . .. . . ..0 TUB/SHOWERS. . . . c3 I AUNDRY TRAYS. . . :0 CATCH BASINS. . . . „ . . :0 WATER CLOSETS. . 12 SLWER LINE. (-ft) . :0 GREASE TRAPS. . . 0 DISHWASHERS. . . . : 1 WATI-.'::K' LINE: I ft) . -. 100 OT 1-4 E*R FIXTURE:S. 0 GARBAGE DISP. . . al RAIN DRAIN (-ft) . PO WASHING MACH. . . .- 1 Gl;:' RAIN DRAINS. . -. 1 MECHANICAL. FELS FUEL U 11 IT HTRS. . CO type aniOtAllt by date recpt /GAS/ VENTS . . . . . :0 PRMT 1i 412. 00 MAX INPUT."O BTU VENT FANS. . :3 PLCK 40.00 TURN < 1011 ( HOODS. . . . . . ill SPICT 20. 60 TURN )=100K . . .0 WOOD STOVES. .0 STDG q� 600.00 FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 250.00 BOIL/CMP ( 3H[:Ic0 OTHER UNITSzO PARK $ 250.00 GAS OUTLETSol PRMT $ 36. 00 Owners 1--ILCK $ 9. 00 D ANDERSON SPICT 1. 80 9363 SW BEAVERTON HJ:(3HWAY 1---'R M T 1.3x3. 50 5PCT $ 6.6 a BEAVERTON OR 97005 PAYM $ 40. 00 JL4 02/21/90 Ptic)vie On 297--'7666 PAYM $ 1.'71(3. 5;3 JLL43/30/90 * OWNER/CONTRACTOR I-Dficine #c Reg #. . : OWNF`.k $ 1758. 5;3 TOTAL this permit is issued subject to the regulations contained in the « REQUIRED INSPECTIONS I itlard Municipal Code, State of Ore. SPecialt'Y Codes and all other F00t/fintlid Insp Fireplace Ivisp Applicable laws. All work will be done in accordance with alpr,)Ad Pust/Deam .111sp Gas Line Insp plans. This permit will eypire i rk n ted within Crawl Drain II1sL11 ' iciii Insp days of issuance, or if work 15 0 ,111� b Insp Gyp PLArd Iii%p PI M/mider l.raryr RAivi drativi Insp Permittee Siqiii.itt.tres Mechanical Insp Water Li.ne Insp ISSLIed Byt —r"lumb Top Out Appr/SdwIP, Insp .._«....r««_............ ............... F-raming 11, 3P Mechanical Final SL CONNECTION C17YOFTIFAS RD CITYOFTWARD FIERMIT COMMUNITY DEVELOPMENT DEPARTMENT (OREGON PERMIT 0. . . . . . . : SWR90--0083 13126 SW Holl Blvd. P.O.Box 23397,Tigard,Oregon 97M (50:3)6394175 r-"RIM. r:'F-.'RMII* 0. . MST 90 PJ 07 5 4 t 21 SITE ADDRESS. . . : 12467 SW 133RD OVc. F,ARCEL-. 2S104AB-13700 SUBDIVISION. . . . : MORN I NGFI1 LL 07 ZONING: BLOCK. . . . . . . . . . L(,.),T. . . . 'TENANT NAME. . .. . . . USA NO. . . . . . . . . . ..40637 FIXTURE UNITS. . . ('.,I-.ASS OF WORK. . . :NEW DWELLING UNITS. . : 1 T'YF'E OF USE. . . . . :SF: NO. OF BUILDINGSul INSTALL TYP'E. . . . :BUSWR IMI--'ERV SURFACE. . : -.sf R e ni a-(,I-f.s Owne-r: FEES D ANDERSON type amount by Y date vecpt 911363 SW BEAVERTON HIGHWAY P,RMT $ 1250.00 1:N S I-', $ 35. 00 BEAVERTON OR 97005 F'AYM $ J.285.00 JLIA 03/.30/90 P,fione Os 297---'766(.*, RACTOR 1-i a ri e # 1.285.00 TOTAL Reg #. . - OWNER R E C U I R E D INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection(if the Unified Sewage Agency. The permit expires 120 days from the date issued. The tutal amount paid will be forfeited J the permit expires. The Agency does not guarantee the accuracy of the ................. side sewer laterals. If the sewer is not located at the measurement given. the installer shall prospect J feet in all directions from the distance given. If not so located,,$he i er sh I pirch e ........... a "Tap and Side Sewer" Permit an t,tee Sigiiatt.tcc— V —.1.......... ........... ...... ......................... Call far inspectiaii 639-4175 CilYOFTIGARD cmoFtw.aRn PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK N 2- 13125SW."H1•d_P.o.ooiZnT,Tagantoreg0n9TM.(san)63%4175 PERMIT !1 YYIa1 � � �,.. : 7 �J D(1TE ISSUED JOB DRESS: �� -, �� a� _ 1-AX MAP,/LOT ?5��_ .4R SUB -- - l_O� _ LAND USE: _-- V ATION: OWNER SPECIAL NOTES NNi REISSUE OF: _ ADDRESS: C.�- LAST RCISSUE: FLOOD PLAIN/ --- SENSITIVE LAND: 0.1 APPROVALS REQUIRED CONTRACTOR PLkNNING: NAME: ENGINEERING:op ADDRESS: -_ �! FIRE DEPT OTHER: PHONE: ITEMS REQUIRED BUILDERS BOARD i EXP DATE: //'�1�, LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: ADDRESS: —__�- — _ �` OTHER: PHONE: COMMEN I S: SUBCONTRACTORS: PLUMB: L�- �'/' _ MUCH: PERMIT N ACCT b DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees ' f .Z•3 1 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building -2U,69 Plumbing .to ✓ Mech 10-433 00 Plans Check Fee ' Dui]ding �G7 �� _ Plumbing Mech y�u o v' Z� �� j(U 0-t1u8j 30-202 00 Sewer Connection /22.10 30-444 00 Sewer Inspection / 3.5 3S_ 51-448 00 Street System Dev Charge (SDC) 0 600 52--449 00 Parks System Dev Charge (PDC) 2, 31-450 00 Storm Drainage Syst Dev Chrg (SSOC) 10-230 OG Fire -�-- � -y �1 TOTAL REC M C APPLICANT SIGNATURE G U Received By: - Date Received: cn/3587P/18P .R DIN . ,HOSION CONTROL PVFORMATION GENERAL CONTRACTOR NAME h ADDRESS: CASEF LE N04 D. L. ANDERSON, INC. PERMITNO.: � a2(,� Ciel R.a�vor+nn—ni l l claln H .r i APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR s am NAIL A ADDRESS: unknown OWNER NAME AND ADDRESS: ;rmr, 'TELEPHONE NUMBERS: APPLIC, l 17-7 6 6 6 PROPERTY DESCRIPTION: O�VAIEx.- sa me DRF,SS OSS S - _ /WC�►TfiD GMERAL CONTRACTOR• ZXCAVATTON CONTRACTOR: StIFJJOB• LEGAL DES ON: 24 HR/AFIF.R HOURS EMERGENCY TAX LAT NO4 CONTACT PERSON.TITLE,TELEPHONE1/4 SECTION: SITE SIZE.ACRES: 2 4'i- r,R 116 DISTURBED/WORK AREA.ACRES;__ LOCATION A ADDRESS WHERE SPOQS LEAVING SITE WU.L BE TAKEN SITE RUN4ff DRAINS TO:(CIRCLE ONE) QVM-FERhM MAY BE REQUMM) ATCH-BASIN DITCH PIPE CREEK none (CIRCLE ONE) PRIVATU C PUBLIC RIGHT OF WA E$O,SIMUSEDIMENTATION CONTROL (ESCI MEASURES IrmYTMUM ESC REQUIREMENTS MINIMUM ESC;REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES X STABILIZE EXPOSED SURFACE X STABn ZED CONSTRUCTIOrI ENTRANCE REMOVE.AND RESTORE"TEMPORARY ESC X PERIMETER RUNOFF CONTROL FACILIT i X CLEARING AND GRADING RESTRICTIONS x CLEAN AND REMOVE ALL SLLT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER PLAN FOR EROSION CONTROL PREPARED AND SUBM TTED IN ACCORDANCE WrTH-TECHNICAL GUIDANCE HANDBOOK". E>ROSR)N C orMOL PLAN DRAWING.AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY PHONE NUMBER. SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WIIl COMPLY WITH THE ABOVE AND Will CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. Il. I;lf/iNIWJ , INC . ( PRL;SIDLNT) OWNER SIGNATURE APPLICANT SIGNATURE C OFFICIAL USE ONLY RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED BY