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14815 SW 79TH AVENUE ADDRESS: d i:\re-olds\ttliciofltn\targets\building.doc l'unstruction Inspection!t:Related Trsts Carlson 'Testing, Inc. P.O. Box 23814 f -7 � Tlgard, Oregon 97223 /y(�� t✓i / -- 1. -k- Phone(503)684.3460 > No QP--64 M A Jun(- 11, 1992 FAX(503)684.0954 REPORT Of IM-PLACE SOIL DENSITY TESTS C I ient._ ,1AMES R HAZE -- Project RAZE MEADOWS Soil Description___131 zOWhl-5-ILTY-CIAY-SAND- _—, --- --- --- ---_- --- -- -- - — — Method of Test AA.SHTO T-99 Max. Dry Density. 101 - I 16s./cu. It, Optimum Moisture 19- 1 _ % Se ial 1" 8079 NUC 3411E [`�� Li�I I, LO IN rLACE DENSITY osrt o[ r[f+ TEST LOCATION oifrum[ IL21./Cu. rT.i ',T. NO. S C.0 YAC lOw Illi MO. W T ast+ F;-11-92 1 f3F'l'WVf-N 101' 1 mu ` i� Remarks cc: ALPHA ENGINEEPING INC ----�__-- GVS CONTRACTING CITY Oc' TIGARD Tested By: C. 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BUP19 1-0 1 639-4171 DATE ISSUED: Q17/29/91 SITE ADDRESS. . . : 14Bi5 SW 79TH AVE PARCEL: 2Sil2BD-02600 SUBDIVISION. ,. . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . .. . . REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :DEIYI FIRST. . . . : sf N: S- E: W: TYPE OF UISE. . . :SF.7 SECGND. . . : sf PROTECT' OP,EI\IINGS?—.----....--.- - IYP,E OF 11-_ONc;T. :5N THIRD. . . . : sf KI: 5: E- W: OCCUP,ANCY GRP'. :R3 TOTAL----_.--: 0 S f ROOF CONST : F1 RE RE_T OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: S TO R. : HT. : ft GARAGE. . . .- sf OCCU SEP,. RATED: BS1Y11 ? : ME Z Z? FREUD SETBACKS—------ REQUIRED---------- - F7LOOR LOAD. . . . : p s f LEFT: ft RGHT: ft FIR SF-,KL: SHOK DE F. . DWELLING U114ITS: FRNT: ft REAR- ft FIR ALRM: HNDICP ACC: BEDRMS-., BATHS: IMP SURFACE: P,RO CORP: PARKING: VALUE. $ - 0 Remarks !. INCORRECT ADDRESS ( 14665 SW 79TH AVE) FOR ORIGINAL DEMO PERMIT. CORREC-- ADDRESS FOR DEMO PIER1)r1IT IS 14815 SW 79TH AVE Dwney-: ----------------------------------------- --------------- FEES ,JIM RAZE type IRMOI.Int by date v,ecpt 16725 14E PACIFIC DRIVE I NLE.4" $ 15. 75 PILL 07/21./91 215613 IDURILAND OR 97230 P't1pne #: Contractor: LONTRACIOR NOT ON FILE Phone # 15. 75 TOTAL Reg -------- REQUIRED INSPECTIONS This persit is issued subject to the regulations contai-ad in the Pl.tmp/Fill Septic Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This persit will expire if wor'� is not started within 188 days of issuance, or if Work is suspended for vore than 180 days. • f-let-mittee Siynati.tv-e : lssl_ied By- Call for- inspection 639-4175 CW I IGARD RECEIPT or r,r)YMUNl' pEuF i P-r NO. l'-I-,IF-(.',K AMOUNT NAME" : RAZE, JIM CASH AMOUNT 00 �IDDRESS : 1672,1:i NE PACAFIC DRIVE" PAYMENT DATE 07/29/91 SUBDIVISION P0PT[jj- jJ, U, doy, 9 712130- 1.413171 c5 W 79TH AVE :,URf:,,OSE OF POYMLN I Amourrr ripli) PURPOSt: OF PAYMENT AMOUNT PAID iUILDING PERM 7-92R Vi. 00 ST. BUILD PER 11 (DFAOL.I I I ON PE RM IT) JOTAl_ AMOUNT PAID - - 15— 75 Olm�m Xwmm CITE'OFTI 'f GARD BUILDING PERM11- CITY�OFTWRD .COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . SUP")1-0 1 A2 CRUM 13126 SW HWI Blvd. P.O.Box 23397,Tigard,Oregon WrZn (603L639.4176 4171. DATE ISSUED: 07/2:'9/91 A/ SITE ADDRESS. . . : -+*t� SW 79TH ()V PARCEL.: 2SIII::'BD@��_Wi SUBDIVISION. . . . : DURHAM ACRES ZON1141-3, R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :61 ------------------------- RE I SSLIE: FLOOR AREAS----- EXTERIOR WALL CONSTRUCTION CLASS OF WOR!�- -+4E%,�-d em FIRST. . . . . sf N- S: E: W. TYPE OF USE. . . :�jF SECOND. . . : sf PROTECT OPIENINGS?--------- -- TYPE OF CONST. :5N THIRD. . . . : s f N: IS: E: W. OCCUPANCY GRP. : R-"- TOTAL---------: 0 s f ROOF CONST: FIRE RET"? : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP,. RATED: sT 0 R. : HT. : ft GARAGE. . . : sf OCCU SEP. RATED: BSMT? - MEZZ? : REOD SETBACKS---- REPUIRED--------------------- FLOiR LOAD. . . . : P S f LEFT: -Ft RGHT: ft FIR SPKL: SMOK DET. . - DWELLING UNITS: FRNT: ft REAR: ft FIR PLRM: HNDICP ACC: BEDRMS: BATHS: IMP, SURFACE: PRO CORR: PARKING: VALUE. $ : 0 Remarks : take down single family t)oryle remove all debris pl-imp and remove septir- tank tank tank Owner.: ------------------------------------ r-EES ,JIM RAZE t y p z: aMO'Arit by date r,ecot 16725 NE PACIFIC DRIVE INSP t5. 75 PILL 07/29/91 C"'15613 PORTLAND OR 97230 PfIDTIL- #: C(3`ITRACTOR NOT ON FILE FIhonp 13. 75 TOTAL Req REOUIRED It,,,3PECTIONS ------- This permit Is issued subject to the regulations contained in the Foot/fo-.ind Insp Appt-/Sd,41k Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/beam Insp Misc. Inspection applicable laws. Hil work will be done in accordance with P'lm/1.tndslFkb Insp Final Inspection approved plans. This permit will eNpire if work is not started Mectianical Insp within 180 days of issuance, or if work is suspended for more F'1 m t ci p—a t..tt Insp than 180 days. Fra minq Insp Gas Line Insci InsI.(latian Insp Gyp Board Insp 5ewev- In,.-,Fl Permittee S)iynatt_tr,e : Rain drain Insp I sr.1 e d D v44Water- Line Insp � Call for inspection 639-4175 J 10643 N.E. Simpson ��` INVOICE Complete Portland,Oregon i�1' industrial Waste 97220 Removal Septic Tank Cleanin Sump Line Cleaning 0111'36 SANITATION N7 e �ltG�C � DBA McInnis L 11 i III c, R E C E I V E D (50,30 253-7587 SEPI 9 1991 Customer P.O. #— _ Date CITY OF RWR1— Billing Name ' T, _ ti C�)FFEr LAidc Address_ n q — 97132 Job Site#_ ,F!!„I:Rr 117 0,7132 City Star, _ _ Zip Code Ordered By � '5 Phone#.. °r��"Irp�� Date x-11-91 i^TIi ItVE (T!""PAD) IWILI RED FLA" EF MOT Joh Location _. TIIFRr. !UGC FROM Ml` ETT,”, ;;. , Servic,Call $ Labor $ Pumping 1�7 gallons _$ Misc ____ _$ a. r� r Conditions of tank/Distribution Box _ TOTAL CHARGES Schulz Sanitation is In no w,.y responsible for damage to the septic tank or lids on the system. TERMS:Net 10 days. 1''7°,b per month will be charged on past due accounts.(18%per annum) Customer's Signature: _ Service Driver's Signature__. _____ __Time Srr! _ Date `C TERMS AND CONDITIONS tb EVERSE SIDE REDEEMABLE IN MULTNOMAH COUNTY.