15038 SW 81ST AVENUE-1 — 15033 SM 81st Avenue
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CITY®F TIARD CERTTFICATE OF
CrIYOFIWAW OCCUPAW."Y
COMMUNITY DEVELOPMENT DEPARTMENT 1;7 RM IT 0:. . . . . . ..
1 13125 SW HWI Blvd. P.O.Box 23397,Tqwd,Oregon 97223(603)07'9.4176
SITE ADDRESS. . . ; 15036 SW 815T AVE PARCELS 2Gl12CB--BAR
SURD I V 191014. . . . t PART vrl('JN PLAT MLP 90-14 Z0NIl,,lGt R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . it
CLASS OF WORK. .'NCW
TYPE OF LISF'. . . .SF
OCCUPANCY ORP. :R12
.j
Ctlt.':I`UPANCY LOADtIlS 4
-ILNONT NAME. . .
F,p ma r k S
Owners
(FRANK AND CHARLOTTE ANZnL.OPJE
153'-58 SW 131ST AVE
TIGAPD OR 9i2,1-'4
Phone #1 620-3765
Contractorl
D14D CONTRALTOR3, INC
I - () BOX 23464
TIGARD OR 97223
Phu,'iP Of 639-6881
RwU 0. . 1 41203
Orcupancy of the above referpnc-orl building i$ het-L-by given, and uortifiv%
the COMPI iance with the State Of ()v,ej (,n gp#..Ci<y C0fjqq for- t�j �e gr,o
.9 'API
omLlpanCy, .And m4e undpr which thP referenced permit ioi&s iSSUPd.
FIRE DEPARTMENT G INSPF.'(.,T* l
B a.---e4z;;-
POG'T IN CONSPICUOUS PI-ACE,
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MKIMM
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IN,PECPI0p1 NOTICE
City of. Tigard s',ellding Department
13125 SW Ball Bl-.d- Tigard, Oregon 9722.1
Inspection Lina (Pec-O-Phone): 639-4175 Buoiness Phene: 639-4171
Inspections --_---
i
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strutt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Ineulati m Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Net J
f.:ate Requeetec+: J —j/7-4 L Time:
n
Addreaes_ 1..' "UrL- Permit f: � J�
Builder:
IWE FOLLOWING CORRECTIGNS ARE REQUIREDs
(
.T
Inapectocs �._._.— Dates�._� '.
OVED DISAPPROM) APPROVED SUB.INCI' To ABOVE
--Call For Reinyp.
t
INSPECTION NOTICE
City of Tigard Building Departmemt A
13125 SW Hall Blvd. Tigard, Or4agoi 97223
Inspection Line (Rec-O-Phone): 4139-4175• Busineas Phone: 639-4171
Inspection:__
i
Footing Plbg. Uri /relab Mach. Rough-in Appr/8dwlk )
Found. Plbg. Top Out Gag Line FINJ1Lt sem_
Poot/Beam Struct. San. Sower Framing -Bldg.
Poet/Beim Mach. Rain D-ain Tneulation -Plumb.
Plbq. Underfloor Water Lire Gyp. Bd. Mach.
Date Priquested: ��- Time: � —AN PM
Address: /��2V 12-
t Permit
------
i
Builder:
TNS FOLLOWING CORRECTIONS ARE REQTJIRED:
Inspector:
�!►PPROVED DISAPPROVED APPROVED SUr1jRCf TO ABOVE
__Call for Reinap.
A
INSPECTION NOTICE
City of Tigrrd Building Depe,-+-.wnt
13125 SM Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rer.-O-Phc .a)1 639-4175 Business Phone: 39-4171
Inspection: �._ --------- --
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line l2NAL1
Poet/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation /�-Plumb.
Plln. Underfloor Water Line Gyp. Bd. l
Date Requested: � / ' Tisls� _ PM
Address:
Builder: )/tjo
THE FOLL.WING CORRECTIONS ARE REQUIRED:
Inspectors -- hata: 7 r� 'rte
APPROVRD DISAPPROVRU -' APPROVEll SUBJECT To ABOV1+.
Li
Call For Reinsp.
W- T 1 W �!
xNSPECTION NOTICE
City of Tigard Building Dnpgrtment. „�,,►
137.25 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phc•:e): 639-4175 Hun inese Phone: 6 4171
Inspection:_____.._— __ _ ---- -._--- --
Footing Plbg. Underslab Mech. Rough--in hppr/Sdwl.k
Found. PIN). Tcp Out Gas Line FINAL-
Pont/Beam Strurt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation / Plumb.
Flbg. Underfloor Water Line Gyp. Bd.
Date Requestedt Q / Times AN PN
Address: _ ��(�'�d� �f _ iti.-ric �t�D 0
THF. )"LLOWINr, ODMISCTIONS APS RAQUIREDt
Inspector:_ — Date 5- 7/
PROVED DISAPPROVED — -- APPROVED SUBJECT TO—A 7RONE—
Call For Retnsp.
INSPEL'TION NOTICE
City of Tigard Buildino ner r-i�oent
13125 SW Ball Blvd. Tigard, oragon 97223
Inspection Line (Rec-o-Phone)! 639-4175 Bue:.ness Phon c 63
Inspection:
Footing Plbg. Underelab Hoch. Rough-in AFpr/Sdw1M
Found. Plbg. Top out Gar :.!na FINAL:
Post;Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain _ I/nsulation -Plumb.
P'bg. Underfloor. Nater Line C Gw.� -Rech.
Date Requested: Timos ✓_ �AH _iPH
Add:ese:— � f:�Y �t Permit
i
Builder:_ ( /l>I_4 ) ("-) T�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector c nate:. =� -el
APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
jNSP6CTION NIPPICE
City of Tigard Building nepart++ent
13125 S:1 Ball Blvd. Tigard, Oregon 972
Inspect.ior Line (Rec-A-Phone): 639-4175 Buninene Pho 9-4171
Inspection:_--_—_
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer. Framing -Lldg•
Poet/Beam Meeh. Rein Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Meeh.
Date Requested:. r / Time: AN �� PN
Addrenes /'-ZL .� �! y� Permit is �� 1611
Builder:— lL�- ,l1AO _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inipeectors `�_..--_---- _ _. Dates_ i Z
(.hFPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
call For Reinsp.
i
INSPEITIIONNt'TICE
City of Tigard :Tvildiuq Department
13375 SM Hall Blvd. Tigard, Oregon 9722.3
Tnepection Lino (Ree-O-Phonw): 639-4175 Business Phone 639-4171
Inspection:_ _
Footing Plbg. Onderslab Mech. Rough-in Appr/SCwlk
Found. Pl.b, ron out Gas Line FINAL:
Poet/Beam Struct. San. Sewr.r Framing -Bldg
Poet/Beam Mech. Rain rraln Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. -Mech.
Date Requested: ��� - �I Times AN 19LL//_//Pt1
Address:_ /S^G�J�" ��'st Permit#
Builder:__.
THE FOLLOWING CORRECTIONS ARE REQUIRE.):
v
Inspectors Date: 91-
APPWNRD DItAlIIIOIItD APPYArM $VMJM TO RDW!
Qall Por Dainsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223 {
I.:apection Line (Rec-O-Phone): 639-4175 Buainess Phoiet b -.171
inspection:_
Footing Plbg. Underslab Mech. Rough- .n Appr/Sdw`.k i
5t
Found. Plbg. Top Oqt Gan Line FINAL:
Poet/Beam Struct. San. Sewer _ Framing -Bldg.
Post/Beam Mech. Rain Dain InNulation -Plumb.
Plbg. Underfloor hater Line Gyp. ad. -INOh.
Date Requested:
Address: L .'S ✓ / PoraLt # _
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors —. -------- — Datw✓�� - --- ._.
APPRO)VF.D DTSAPPROVEn APPROVED SUBJECT TO ABOVR
_Call For Reinsp.
INSPECTXON NOTICE
City of Tigard Building Departamt /
13125 SW Ball Blvd. Tigard, Oregon 97223 l
Inspection Line (Rec-O-Phone): 63'.-4175 Business Fhone: b3 171.
Inspection:_
wooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. (Plb�g. Top Out Clan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Tech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water L14e Gyp. Bd. -Mech.
Date Requested: ��)) 1Timet _AN PM
Address: l`�LJ3 U �l ` Permit I o?i� 4r,CIO
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
a w,�rxrt ['QST a ,.s'.�S7Koo �
APPROVED _- DISAPPROV APPROVED SUBJECT TO ABOVE
all For :letnnp.
A
INSPECTION NOTICE (/
City of Tigard Building Department
13125 SO' Ball Blvd. Tigard, oreVon 97223
Inspection Line (Roc Phone): 639-4175 Business Phoae: 639-4171
i
i
Inspection: --
v
Footing bg. Une.erslab Hach. Rough-in Appr/Sdwl.k
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struet. San. Sewer Framing -Bldg.
Poet/Ream Mach. Rain Drain Insulation -Plumb.
Plixl. Underfloor Water Line Gyp. Bd. -Hoch.
Date• Requested:
Addreea:— 'v5 V
x-1,3 S� _ Permit i: �L
Builders ulD
THE FOLLOWING OORRECTIONS ARE REQUIREL:
Instmctor: ----- --- —__— Date: 3
APPROVED DISAPPROV6n APPnovan SUBJECT TO ARM
Call For Reinap.
NWwr w► ►
I N_S PECT ION_NOTICE
City of T;gard Building Department
13125 Sit Pall Blvd. Tigard, Oregon 97123
Inapection Line (Rec-o-Phone): 639-4175 Dusinens Phone: 639-4171
Inspection._ _...... —_
Footing Plbg. Underslab �- Mech. Rough-in Appr/Sdwlk
T
Found. Plbq. Top Out Gas Lino !IlU1Lt
Poet/Beam Struct� San. Sewer Framing -Bldg.
Post/Roam Mech_ Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. Linin Cyp. Bd. -Nech.
Date Requested:_ _3 _ Times AM PM
!7,�Cl S t �I- !�
Addreen:_Z'cc�� L'/'�.�_/�L'S � Permit # L
Builder: „(�W,f) _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
---- -
APPROVRD 7ISAP^ROVRD APPROVED SUBJECT TO ABOVE
Call For Refnsp.
INSPECTION N-'TICE
City of Tigard Building Departaent
13125 SR Ball Blvd. Tigard. Oregon 97223
Inspection Line (Ree-o-Phone): 63?-41'75 Business Phones 639_4171
Inspection: ------ —
Footing Plbg. Unders'ab mech. Hough-in Appr/Sdwlk
Found. Plbg. Top MAt Cas Line FINALS
st/Beam Struct. San. Sewer Framing -dldg.
ost/Beam No R Rain Drain Insulation ..Plumb.
Plbq. Undmrfloo •+ater Line Gyp. Rd. -:'4ech.
Date Requested: 5 I --—Time: N PN
Builders_ _-
TRE FOLLUMING CORRECTIONS ARE REQUIRED:
C7
.J
Inspectors___ ____ bates T4
�APPROVUD DTHAPPROVED •PPROVED BU"CI' TD ABOVE
Call For Reinsp.
O �
MSf'FgION NOTICE
City of Tigard Building Dspsrt—t
13125 90 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 63755 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk
�
Found. P1 . Top Out Gas Line FINAL:
-bldg.
Poet/Beam Struct. San. Sewer Framing g
'i J Insulation -Plumb.
Poet/Beet: Neck. Relin;Drain
Plbg. Underfloor Water Line Gyp. Bd.
-Mech.
Date Requsstsd:
Time: AM N
Address:
Builder:__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector __ Dates
PPROVRD _ _ DISAPPRO% 1V APPROVED SUBJECT TOAB
Call For Re`
0 ! 11 PSMON NOTICE /
% City of Tigard Doilding Department
I�p� '13125 SN Ball Bltd.. Tigard, Oregon 97223
t16n Line (Rec-O-Phona)s 639-4175 Business Phone: 63�-4171
Inspection:
Dating ) Plbg. Underslah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line // Gyp. 9d. A 2�}�. -Mech.
Date Requested: Z—!l Time:.P Se+o+ _ PN
Addross:___ 5 _ Permit f:
__—�-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Iw4peci or:. —------- — —. Dote: Z
p� APhROVF.D i DISAPPROVED APPROVED SURJECT TO ABOVE
For Reinsp.
CITYOF TIGARD MASTER PERMIT
CITYOFTMRD PERMIT #. . . . . . . : MST90-0346
COMMUNITY DEVELOPMENT DEPARTMENT 01114WON
13126 SW Holl BW. P.O.Box 23397,TOW.OmW 97,?'50(SM)63"175
I -- DATE ISSUED* 02/OA/9-1
SITE ADDRESS. . . : 15038 SW GIST AVE PARCEL: 2SI12CB--BAR
SUBDIVISION. . . . : PARTITION PLAT MLP 90-14 ZONING: R-7
BLOCK. . . . . . . . . . i LOT. . . . * * . . . . — : 1
--------------------------------- --- BUILDING ---__._-._._---__.----__—_--------_-.._____
REISSUE: DWELLING UNITS- 1 BASEMENT. . . . .. . . . :0 sf-
CLASS OF WORK. :NEW BEDRMS:3 BATHS:2 GARAGE. . . . . . . . . . ..677 sf
TYPE OF USE. . . -SF FLOOR REQUIRED SETBf)CKS------------
TYPE OF CONS'r. :5N FIRST. . . . : 1772 sf LEFT. . : 17 ft RIGHT. :5 ft
OCCUPANCY GRE-.,. :R3 SECOND. . . :0 sf FRONT. -LIO ft REAR. . .-72 ft
STORIES. . . . . . . : 1 THIRD. . . . -.0 Sf REQUIRED---_________________
HEIGHT
EQUIRED-------------------
HEIGHT. . . . . . . . .. 18 ft TOTAL----------cl772 sf SMOKE DETECT ORS,. :Y
PLOOR LOAD. . . . :40 psf VALUE. . . . . 93696 PARKING SPACES. . e0
R e Ina V-k
PLUMBING -----------------------------------------
I NKS. . . . . . . . . . : 1 FLOOR DRAINS. -0 BACKFLOW PREVNTR3. . :0
LAVATORIES. . . . . ..3 WATER HEATERS. . . : 1 TRAPS. . �. . . . . . . . . . :0
TUB/,GHOWERS. . . . -3 LAUNDRY TRAYS. . . - 1 CATCH B Si NS. . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE (ft ) . -O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . - 1 WATER LINE ( ft ) . : 100 01-HER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 f;F RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL UNIT HTRS. . :0 type anl0f.Ant by data t^ec.-Dt
/GAS/ VENTS . . . . . ..0 PAYM 1; 100. 00 JLH 10/19/90 EQ16039
MAX INPIJT:O BTU VENT FANS. . :4 BPRT $ 41.5. 00
TURN ( 100K . . .- I HOODS. . . . . . : 1 BPLC $ 269. 75
TURN ) =100K . . -0 WOODST OVES. :0 01---PC $ 20. 75
FLOOR FURN. . . . :0 CLO DRYERS. e I STDC $ 600. 00
BOIL/CMP ( 3HPt0 OTHER UNITS:O GSDC $ 375. 00
GAS OUTLETSsI PARK $ 500. 00
Ownev-.- MPRT $ 39. 00
FRANK AND CHARLOTTE: ANZALONE MPLC $ 9. 75
15358 SW 81ST AVE MEPC $ .1. 95
PPRT $ 140. 00
TICARD OR 97224 P5PC $ 7. 00
Phone #- 620-3765 PAYM $ 2278. 20 JLH 02/04/91
Contractor ,.
DWD CONTRACTORS, INC
T'' I'l P11Y 2 ?,054
liui-IPL) LIN. `) i�123
Phone #: 639--6881
Peg #. . - 41203 ---...___...-----------------------------_
$ 2378. 20 TOTAL
This permit is issued subject to the regulations contained in the REUUIRED INSPECTIONS
Tigard Municipal Lade, State of Ore, Specialty Codes and all other Foot/found Insp Mechanical Insp
applicable lows. All work will be done in accordance with approved Wtt- Pt-onf inq B%m P11jmb Top Ot.it
clans. This Permit will expire if work is not started within 180 Post/Peam ritr-Ltct Framing Insp
days of issuance, or if work is suspended 4v more than 189 days, Post/Seam Meehan ritleplare Inen
AUCrawl Drain b-ns Li.tneiInsp
F'ptmittpe r"Im/1-indslab Insp Is -ilaon
PLM/Underfloor Gyp Board Insp
I' s 1.i e d P- Ftnq Drain Bsm1f Raj.r drain Insp
Call for inspection - 639--4175
1W Wiwi IIA is
PLUMBING PERMIT
CITY OF TIVA RD PERMIT #. . . . . . . .. MST90-0346
CrTYOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 0111190"
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 972M(503)639-4175 DATE ISSUED: 02/04/91
SITE ADDRESS. . . . 15036 SW 81ST AVE PARCEL: 2SI12CB-.BAR
SUBDIVISION. . . . : PARTITION PLAT MLP 90- 1.4 ZONING: R--7
BLOCK. . . . . . . . . . . LO T. . . . . . . . . . . . . : 1
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0
STORIES. . . . . . . . il WATER HLATERS. . . . . . cl CATCH BASINS. . . . . . . :0
F I X') LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . .. I GREASE TRAPS. . . . . . . :0
l-kVATORIES). . . . . :3 OTHER FIXTURES. . . . . C 0
TUB/SHOWERS. . . . : SLWER LINE (ft ) . . . . :0
WATER CLOGETS. . :2 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . . :0
Remarks :
OWNER:
FRANK AND CHARLOTTE ANZALONE PAYM $ 100. 00 JLIA 10/19/90 206039
15358 SW 81ST' AVE BPRT $ 415. 00
BPLC R ='69. 75
'11GARD OR 97224 B5PC $ 21 15
Phone #: 62'0-3765 STDC $ 600. 00
FJ9DC $ 375. 140
Plumbing PARK $ 500. 00
MPRT $ 39. 00
Name MPLC $ 9. -75
Addr P s s M5PC $ 1. 95
City :_ Staten— PPRT 140. 00
Zips Phone#s r-15pu 7. 00
Reg #: PAYM t 2278. 20 JLH 02/04/91
REQUIRED INSPECTIONS
This pet-mit is issued subject to the ritg
ulations contained in the Tigard Municipal Foot/found Insp Gas Line Inisp
Code, State of Dre. Specialty Code% and all Wtv, Proofing Bsm Insulation liirp
other applicable laws. All work will be done Post/Beam Str,.ict Gyp Board Insp
in accordance with approved plans. Thii Post/Beam Meclan Rain drain In s p
permit will expire if work is not starred Crawl Drain Water- Line Insp
within 180 days Of iSSIAance, or if way-1! is Plm/undslab Insp Appt,,/Sdwlk In%p
suspended for more char 180 days. PLM/Undevfloor Mechanical Final
Ftng Drain Ssm' t Plumb Final
Mechanical Insp Building Final
Plumb Top Ouf Erosion Control
Framing Insp Wtr Proofing Nam
Fireplace Insp Additional. . . . . .
Authorized PlUmbino Contractor Signr,tury
Cal ) for inspection — 639-4175
Contractor NoteF- -
!• ml'
SEWER CONNECTION
RDPERMIT
CITY OF TI�� 'ERM I T #. . . . . . . . SWR90-0404
CIiYOF T16�ia1RD
COMMUNITY DEVELOPMENT DEPARTMENT Oemoot4
13126 SWHrlBW. P.O.Bar23397,TOW,Orogon47223(6 604175 DATE ISSUED: 0i2/04/91
SITE ADDRESS. . . : 150XX SW 91S•f AVE PARCEL : 2S112CB—MLP14
SUBDIVISION. . . . : ASHFORD OAKS ZONING:
RI_OCK. . . . . . . . . . r� LOT. . . . . . . . . . . . . .. 124
'TENANT NAME. . . . . :
USA NO. . . . . . . . . . :43165 FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITE. . : 1
TYPE OF' USE. . . . . :SF NO. OF BU I LD I NGC s 1
INSTALL TY0E. . . . :BUSWR IMPERV SURFACE. . : asf
Remarks :
Owner-: -----________._..___..-.._.�----------_____— --_._.__._____.____ FEES --------------
FIRANI; AND CHARLOTTE ANZALONE type anlo�_rnt by date recpt
15.358 SW 81ST AVE PRMT $ 1500. 00
I NSP $ 35. 00 J /
TIGARD OR 97224 PnYM $ 1535. 00 JLH 02/04/91
Phone #: 620-3765
Contract or: -------------------------_.--____
CONTRACTOR NOT ON 1 ILE
Phone #: $ 1535. 00 TOTAL.
Reg #. .
--- ---- REUU I RED INSPECTIONS
--This Applicant agrees to comply with all the ruses and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 121 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does ret guarantee the accuracv of the
side sewer laterals. If the sewer is not located at the measurement
given, the installe- shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall ourchase
a
"Tap and Side Sewer" Permit and the Agency will install attral. _• _�_ _,___
mittee Signaturf
,
.ted p
r . y
Call for inspection — C,39-4175
tl► t• a 1. i i t•
I
I
CITY OF 1 1 CORD - RErF I PT Of'.' PAYM 'N7 RECEIPT NO. :91-20934-4
C HECK AMOUNT 381.3. 20
NOME OWD CONTRACTORS CASH AMOUNT 0. 00
ODDRFSS PAYMENT DATE. : 02/04/91
SUBDIVISInN a
15038 SW 81ST AVE
iMJRPOSF OF PAYMENT A01OUNT Pf1ID PURPOSE OF PAYMENT nMI")l1N'C E:,AIL1
BUILDING PERM ^MST90 0346 r� 4t5. 00 PLUMBING PERM 1.40. 00
MECHANICAL_ NE 3111. OCA ST. BUILD PER 29. 0
PLAN CHECK FF_ 179. 5k7 9EWER USA 1500. 00 i
9E.Wk:R INSPECT 35. 00 GTREET SDC 600. 00
1--'ARKS SDC ``010. 00 STORM DRAIN SDC 375. 00
I
i
I
Tr. TAL_ AMOUNT FSA I p - -> 3813. 20
7,rry OF TIGARD RECEIPT OF PAYMENT RE--CElr,T* NO. :9t_)--I 060 39
CHECK, AMOUNT t 00.
DWD CONTRACTORS CASH AMOUNT
PAYMENT DATE t 10/ 19/90
SUBDIVISTON
TIGAR'D. OR 9"."A"2',3
V"*LJF*4POSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
I Cl,:).CIO
TOTAL. AMOUNT PATV 1 CSC,.00
AL
CiTY0' FT16;AwRD , e WYOFWARD PLAN CHECK APPLICATION
COMMUN"t DEVELOPMENT DEPARTMENT PLAN CHECK N //)
1312SHal
rzs s.w. ,�e+va_P.O.rto.zaavr.Tlganr o'ryon Mn,(sail c»�ns PERMIT N ��2/`7,.C.
"80'x155' lot to be divided off of NW corner of DAT[ ISSUED
property located at 15038 SW 81st Ave. , Tigard.
l 5".j 1 )w, 5 r F.
JOB ADDRESS: Still being surveyed & will qo�to County ASAP TAX MAP/LOT
SUB: LOT: L-AND USE: _
-- VALUAFION:
OWNER 7.� SPE_CIAL NOTES
NAME: Frank & Charlotte Anzal.one REISSUE OF: _
ADDRESS: 15358 SW 81st Ave. LAST REISSUE:
Tigard, OR 97224 FLOOD PLAIN/
_ SENSITIVE LAND:
PHONE: 620-3765
APPROVALS RE UQ 1RE0
CONTRACTOR PLANNING: _
NAME: D1,M Contractors, Tnc. ENGINEERING:
ADDRESS: PO Box 23454 I`IR'' DEPT
Tigard, OR 97223 OTHER:
PHONE: 630-6881 ITEMS REQUIRED
BUILDERS BOARD N: 41203 EXP DATE: 01/0-1/91 LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER / CALCULATIONS:
NAME: Larry Taft Designers TRUSS DETAILS: _
ADDRESS: 2700 NW 185th, Suite 2094 OTHER:
Portland, OR 97229
PHONE: 645-0202 —
COMMENTS: Due to a flood in the Architects office, he was unable to give us the final
plan. The final plan will have a few revisions in the interior, will be about 60 S.F.
larger, and will have a 3-car garage. A revised, final Man will be given to you A.S.A.P.
SUBCONTRACTORS: PLUMB: 1�I
I ' PILI k n 4- � MECH: 14- N/TL r'n Y /r' ')CI. "Ll -
PERMIT N ACCT N DESCRIPTION (L! AMOUNT AMOUNT PD. BAL. DUE
ro:s> f�- DIY( 10--432 00 Building Permit Fees �,�� _
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees T_ —
10-230 01 State Building Tax (5%)
Building
Plumbing
Mech
10--433 00 Plans Check Fee �4'�
Building --
Plumbing _
Mach 1S_
30-707 00 Sewer Connection /
30-444 00 Sewer Inspection
51-448 00 St-reat System Oev Cb►arge (SDC) t".�
52-449 00 Parks System Oev Charge (PDC) KL 'zi�-d 5Uc
31-450 00 Storm Drainage Syst Dev Chrg (SSDC.
)
10-230 06 Fire
IOIAI-
7 RFc N 3 8'/ 3.azv
Jrc
P1,TCANT s GNAT U RE
Received By - /ll Date Received: -;+-�Q
cn/3587P/181, TT``
1111' � IIID � Illy IIII, 1111 1111 � IIID
A>71N('./FR(_LStON�'ONTROI_,JNFC>R111-AT10N
GENERAL CON"MACTOR NAME& ADDRESS: PERMITCASEFIN .:
DI�tiD Contractors Inc . PERMIT NO.:
PO X S� _
1aar. APPLICANT NAME AND ADDRESS:
Ixti'D Contractors, Inc.
EXCAVATION CONTRACTOR �- '� �.g54
NAME& ADDRESS: �i —o< 3.R
Paulson Excavation
Rt . Box 1062 OWNER NAME AND ADDRESS:
Hillsboro, OR 714 Fran; S Charlotte Anzalone
15358 Std 9,st
Tigard, OR 97234.
TELEPHONE NUMBERS:
PPLIT': 639'6881 PROPERTY DESCRIPTION:APPLICANI; _-_.639-6881 _ STREET ADDRESS AND CROSS STREETA,0CATED
OWNEGENERAI_CONTRACTOR: 639-6881 801x]50' lot divided off of NW corner of
EXCAVATION CONTRACTOR. 645-1011 property located at 15070 SW 81st Ave. , Tigard
SITEPOB:�
LEGAL DESCRIPi'ION:
24 WAFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 114 SECTION:
SITE SIZE,ACRES: 12,000 S.F.
�aT- .. Wi dins F '9-57 4
-- T an Dame s 3t3-_ i_ _ 71STURBEDIWORKAREA.ACRES_6,Qu�� S.F.
LOCATION& ADDRESS WHERE SPOILS SITE RUNOFF DRAINS TO:(CIRCLE F
LE-:AVING SITE WP_L.t3E TAKEN
(NATE:POLMMTS MAY BE 1MQUME1)) CATCH-h s.SIN <gqt� PIPE CREEK
None _
�— (CIRCLE ONE�,PRIVATE PROPERTY_)
PUBLIC RIGHT OF WAY
R Z FUIMENTA7'ION CONTROL (ESCI M1FASUR,S
MINIMUM ESC REQUIREMENTS MIMMUM ESC REQUIREMENTS
DUkING CONSTRUCTION: FOLIDWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
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 SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK'.
EROSION CONTROL PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL ME.ASORES.AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE
Ow'NER SIGNATURE L---� APPLICANT SIGNATURE
• • • • • • • • • • • • • • • • • • • • • • • • • • • + • • • • • • • • • • • • • • • • • • • • • • • • • I • • • • • • • • • • •
OFFICIAL USE ONLY.
RECEIPT DATE ACCEPTED
F1 i NUMBER R FCE1VEU BY
Ae i er eer t ler
GRA1)1NNCIFR05IONCONTROL TNFM1—Ml Q0'V
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.: _
DWD Contractors , Inc . PERIwTNO.:
!3ar9 i22i APPLICANT NAME AND ADDRESS
EXCAVATION CONTRACTOR DWD Contractors, Inc.
NAME& ADDRESS: __PO _ox 23454 ---
Paulson Excavation Tigard,ng 97')?l
Rt.. '_, Box 1062 OWNER NAME AND ADDRESS:
Hillsboro, OR 9721..1 Frank & Charlotte An-alone
- — 15358 Sh 81st Ave.
Tigard, OR 97224
TELEPHONE NUMBERS:
APPLICANT: 639-6881 PROPERTY DESCRIPTION:
OWNER- 639-6881STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR: 639-688180'x150' lot divided off of NW corner of
EXCAVATION CONTRACTOR: 645-1011 property located at 15070 SW 81st Ave. , Tigard
SITFJ]OB:.
LEGAL.DESCRIP'i10N:
24 TWAFTER HOURS EMERGENCY TAX LOT NO.:
CONTACT PERSON,TITLE,TELEPHONE: 114 SECTION:
SITE SIZE,ACRES: 12,000 S.F.
__ al W1 ins 639-57 _
--R-oI an: anT e s -54 DISTURBED/WORK ARFA,ACRES: 6,000 S.F.
LOCATION g ADDRESS WHERE.SPOILS
LGAVLNG SITE WILL dE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE F
a OTE:P[RtMITS MAY BE REQUMM) CATCH-BASIN ITCH PIPE CREEK
None f1O
(CIRCLE ONE(_PRIVATE PROPERTY
-"-- PUBLIC RIGHT OF WAY
EROSION/SEDIMENTATION CONTROL (ESC) MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION.
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STAAILIZ.ED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
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 -
OTI{F-It _
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL 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.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
i TO CONTAIN SEDIMENT ON THEyDNNS!T,R`UCTI-ON SITE, 2 L
/_ x'17,.✓ �lY rvrc /ff i, 7,M i/:,jnkn�y�/7L
OWNER SIGNATURF ` "J APPLICANT SIGNATURE
OFFICIAL USE ONLY,
RECEIPT DATE ACCEPTED
Il f NUMBER RECEIVED _ BY
ZAl
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