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15051 SW 81ST AVENUE ,W TE S. I ` �4 /. TRAFFICCONTROL SHALL BE PROVIDED FOR BYTHE CONTRACTOR; THE STREET SHALL NOT BE CLOSED AT ANY 7-/ME; ACCFSS TO E-X/STING I , PROPERTIES SHALL BE MA/NTA/NEP Ar4LL. T/MES• ADVANCE WARNING I fj x. ' r SIGNS, CHANNEL14 DEVICES AND FLAGPEHSONS SHALL BE P►40V/DEn k o� I r IN ACCORDANCE WITH PART YL OF THE MANUAL ON 11N/FORM TRAFFIC p CONTROL DEVICES FOR STREETS AND HIGHWAYS, U.S. DEPT. OF TRANSR, c�' r7 t--I c�-T G � '� � oc: OF � rl l . � yc� .� Pu Qs Ic- wATE 'G PT FL OoH i F,N. A,. DEVICES ETC., SHALL B£INPLACE PRIOR TO START OF WORK. 1 x REnntw� � xts�Ir+v " E3U J .i E x-�e-ry 5 I O�A .F., 1 t_ '7 �N S-THt-I- 7._z`/z," I3Er-�P �F R.EG�b• 2. A TEMI�RARY HARD-SURFACE PATCH SHAL L BE PLACED ON THE TRENChL eF ,PA 10 ay x0 INC, AT THE END OF EACH DAYS WO•NK ��`+� R1 C)e- H O C.9 AN -- t-- - 7- a NEw r<s� Ds w.t_ ' O rt sT"I" c�.i. rtE M..s \Hc_\-vUt \ � NEW t�� oc l ,��. ,�P Ate' Ll hf�l `T E R 1.C�} I GAFF _i 4'T. AVS. AS A2T OF -'('1115 too i .(� I N 5 1,1A [� I-.�/ I rd CC�1 N Ca A.C• ow - - ----- ' R • 3. CONTRACTOR SHALL NOTIFY CITY INSPECTOR I No 639-4/71) 24 HOURS - F c 0"5 -T. © _ w•L • _ _ __ __ _ PR/OR TO START' Gocv -t. D.=. L• - - -- - -- - - - -- _ .� - - - - - ---- __ - ---- - -- - -- -�- - -"- - - - - - -.o - --- - 'ApI w JF ANY WORK t F. �0i- - - - - - - -- - - - - - - - ^I `__ -_\ 4. AN AIR TEST AND (BETA) T.V. TE-.ST REPOAT ! REQU/REL1,_ COPIES TORE - __- - - -_- - �,►v - O n - - - - - - - - - - - - _ _ _ _ - - - - - - - - - - - - PROVIDED TO THE CITY FOR REV/E) AND APPRVAL PRIOR TO _ _ _ - _ _ _ _ _ E �'- - - - - - = -- - - - - - - - - - - - - e A �• -N _ - -- _ ` �� �I 3h - 5 OFF- 4 - CONNECTION OF ANY BUILDINGS TO THE SEWER. 5 oFF 46 c� >, , tr \, -- - ---- - �,,, („� { V► 5. ONE AS-BUILT NiYLAR SHOWING Al_L PUBLIC IMPROVEMENTS 5NAL L ---- — - w.N.. SE_ PROVIDED TO THE CITY ALONG WITH AN ENGINEERS (-.ERTIFI- 2 •w a 1 1V N5T_ 5/-\rl • M.H. �_, \ 8" L3.F.V� t- �!i c., ro CATION OF /NS'TAl_LATION COMPLIANCE (FORM), FROM THE PROJECT `0 3 SAN - �-► Iv E N' A. 2 �7-ter = i �C� �LE�„ o�� �c��, G•o. N ENG/NEER. -r^Ry SAN. �tNE. "I3 srH. o+oo. 0 1 1 � � Q E>l 1 E!� u tA N �.E Ir`l E `�•,:( (u c) 0 . C>CD �`TA t� C>A 2 U •n N. � ul O J S-TA�GAR.� M H• 6. CONSTRUCT PUE?L IC •SANITARY SEWERS TO USA AND CITY O.F- TIGARD F R 1-�^^E t ry s f HSL RA I td L t IU STANDARDS AND SPECIFICATIO'VS. moi" c_AY• tnt 5� AI c- V ►n►sT��s , `1" t_HT, I I F N• f�55�)' ? �`��9' �l9� �� ••l 7. CONSTRUCT PUBLIC WATER SYSTEM TO TIGARD WATER DISTRICT STANDORDS W: � ��i p ,�P'�� Ay 1-i C�)G _hl Q A R G e-v- � AND SPECIFICATIONS. _ ' 4��i �4 �yQ 1 a t' o° ®. PATCH EXISTING A.C_ AS REOUIREO 3 CL. C A.C_ON 9 CR. ROCK. s - (SEE' TEMP PATCH NOTE -Note No. 2). 1 > -- W i I 0.1 ' 'cri 9. EXCAVATOR MUST COMPLY WITH ORS 757.541 - 757. 571. . .. WI -c' r 1 CONTRACTOR SHALL NOTIFY ALL UT/L /TY COMPANIES FOR LINE ? `^!"l IyZWS. I ' ,�P- � LOCATIONS, MINIMUM 72 HOURS NOTICE PRIOR TO STAF•T OF ANY W619K. W'M N l0. CONTRACTOR TO FIEL U VERIFY ALL EXISTING UT/L/T-/ES FOR BOTH s QI tt��j l,a�� V► I J tj VERTICAL ELEVATIONS AND HORIZONTAL LOCATIONS PRIOR TO ` SAoo > + r Q I1 START OF ANY WORK. 3 ] a Z CONTRACTOR TO FIELD VERIFY FINISH M.H. RIM ELEVATIONS PRIOR TO Z }' K 3 _ ORDERING OR PLACING. V o v L 3 ' I Z 12. ACCESS TO ROSS STREET SHALL BE PERMITTED TO THE WESTERN- o r' 101 I O S-To R V! M05T LOT ONLY (i.e. LOT N0.2). N _ Fo F�r t� - �v E EZ I O i3. LOCATION OF TREES AND AD✓AGENT PROPERTY L/NE"S PkOV/DED BYC/T � � I LEGE ' v MAPS AND DEVELOPERS DIMENSIONS. ENG/NEER ASSUMES NO RE- _ _ -- — — /� U' 1 ----- '' c..o>\1< Ruc•c S`C�. Cbt�G. SC5 P 1 I � - SPONS/BIL ITV OR LIABILITY FOR TH'/S /NFORMATION SHOWN. FIELD + f' ? t-O Pc�tNT 9 x �p-DEEP 1 �� Z -_ 1�`IS`rP, 2g O. ASSL-y VERIFY LOCATION OF TREES TO PROPERTY LINES PRIOR TO __--- _ __ - -_ _-_ -_- - -- -_ ---- -- I - ---- (c PLACING MATERIALS. R1M'- IdF3 r O1 I I 10 OFF Q Q I (� EXISTING MANHOLE Z ' FIELD C7-ON ST, SAt.I. i I �FRIFY +?- 13p ELEvA7IoN ��' 5-rA• Z+IS •oo I vi � nROPRUSC-• D 1�ANV-IpLE � ! i I cora�'Rp.�-`'cR°- � S-T'P.hIDAKG M.H• � I U � L WATER -11&HT LID I EX1STIr�) G CLLAMaUT U � 0 �ROU1 DG E3 • 4 STUf3-oc�"T WF•5-C J Cv� c�AP. ) I P(ZOPRO S t L BjTTER r L•`( VALVE Ul d; o zC-, 10 \jlj OFF ASS = ,�Af3LV O E ?( ( SCIfJC� Z ?>16W CUFF �4�SEMi'� L'(' Q ' PRoPRD SECS t><) ATE (Z Mt=T� R I I EXISTt ►JG tpCrE OF PAULIV� ENT ! I I I EXIST I1V G c 1-jFZC3 `.-vSHFOF2D aHKS t� •Z _ 0 _ ........._................ .. ....................... ... # !1 Am J = qct- W v Q 0 .4 -WW �� r Z -)Q�U r4- E U ��" wt� � 1 I, C1 Z Z 1 WU R� � - F I ' � 7v W \j to 51N 0 LIJ Lu 4 V) a�GG Z N Q Z co Ni N v vi X-T'6, �- Z u A 0 1 o w. 4 e c Ni E x-r'& —� Ulf} 1l1 - - � \1\ Q I I M v to 0,&-W. L. C.Ra SS I N)C-. 111 t/1 W N G T. ONST. x 3ZS III L I N S,,s.E. 19 2.s y � S A� • - ._.__--___._ __.__ S � U. O Cj of �, `/,c I _ III 1 �O Tr L1 tQ E A'• 7- . E - 19 4.5�/E.. L I N E `A'' S. F• 1 4 Z\ c) I I N F- B f M.E o V � CONST. 2.54Q CohJST, C0NG . G- 1 3 1= cE`a z.E .OUT 185 VER1Fy By Cc-IN•T RAC7OR i —SAN1 —TPA, RY LINE BSAN1 ARY PRaFi�E pRoFI LE Sc�A>~E 1 _ .Sa N• SGAI-E : 1 SCO 17,x+ 3 �Oo z00 ( ion 0+00 r!p� O� 5400 4 -1.00 3 + 00 UO 0400 , ... ..11.•.w .wt� .•. ^+�"`-ar+r•...... 1„ l•• ..._^- •---•.. .a.. , ..- .. 'q ,- .._..-. -,. •x!••. _.... s,•:�,.• ` �'`' � 1 • �'j�lltLli�lli�i I�Illillllr'I'il� III���>!I1111i11I111�111III�I1�i1��I�I ill't�1ll�Iji1I��111�1iI il►�1it1t1I1i1IIIJill II�III�I�IjIt'I�IIIItilJill Jill ltilllilllill`lillril`1Jill IIIIiI{Iir'lilll1t ' . r I 2 3 4 5 6 7 0 9 10 II 12 NOTE: IF THIS MICROFILMED 1 DRAWING 15 LESS CLEAR THAN THIS NOT ICG; IT I5 DUE TO THF QUALITY OF THE ORIGINAI --------- ✓DRAW INIG. OE 62 92 /_2 92 S2 b2 E2 22 IZ 02 61 of LI 91 SI bl EI 21 II 01 6 9 L 9 S b E Z I - 111111Illlllllllllllilll�IIII�IIIIIIIIIIIIItl11111111111111111111111111111�11IIIIIItIf►1111111111►IIIIIIIUIiln11111ulnlrl1111�11111tu1�1111111111u1id2 111n111111IIIIIIIItIIIIIIIIIIIIIIIIIItiilllillllll�1111�ibll�lllillllllllllllllllullnilliiillllll111Wlllllllil�lllllllli�llll{►111IIIliIIWIIiH - JUNF 3 1992 1 I -- 15051 SW 81ST AVENUE W W INSPECTION NOTICE City of Tigard Building [Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection - _ Date Requested .c Time A.M. x P.M. Address 'EZs Permit # j�` �1� Owner_ ______ ___ �_� Lot #_ Builder 2 The following Building Code deficiencies are required to be corrected: � I c.- Presented to y� ___ ❑ Approved Inspector �! 7�,� �lnpproved Date CALL FOR REINSPECTION YES ❑ NO �► I!' � Ill< � e � ! � INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Y=— Date Requested �f , / 71rn� A.M. P.M. Address �S S Permit # Owner _ /J Lot # BuilderThe following Building Code deficiencies are required to be corrected: C kz v Presented to - ❑ Approved Inspector �' `fQ/^ Disapproved Date CALL FOR REINSPECTION (�YE8 [A NO W INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 r Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time _ A.M. P.M. -- S r Permit Address __. Lot Owner_._�-- Builder _ / -� The following Building Code deficiencies are required to be corrected: {' -- `� `7V.e --- — pproved Presented to - Inspector v - Disapproved Date CALL FOR REINSPECTION Q YES 0 NO INSPECTION NOTICE City of Tigard Building Department / P.O. Box 23397 Tigard, Oregon 97223 hone: 639-4175 Type of Inspection Date Requested -G' Time A.M. -P.M.. Address _-_-_ U J_J —__ sem Permit �� Owner__- Lot #-_- BuilderThe following Building Code neficiencies are required to be corrected: Presented to Approved Inspector — _ �_J Disapproved Date — CALL FOR REINSPECTION C.1 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 539-4175 Type of Inspection ""������ ' Date Requested �21L Time A.M. P.M. Address . _,/,�n _ �— Permit Owner, __ Lot #— Yj Builder The following Building Code deficiencies are required to be corrected: 4�It Ar Presented to Approved Inspector ---- ✓ Disapproved Date — CALL FOR REINSPECTION OYES LINO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection1- `�7�--y 5t Date Requeatad / G Time A.M. P.M. Address �� � h � � Permit # Owner_- __ __ Lot # i Builder — Thc. following Building Code deficiencies are required to be corrected- Pr-esented orrected-Presented to ---�-- -- � _ � Approved - Inspector — � _ [] Disapproved Date — CALL FOR REINSPECTION DYES L7 NO CERTIFJuATE OF CITY OF TIGA RDOCCJPANCY CffYOFTMRD !-.,ERMI T #. . . . . . . i MST90­009,4 COMMUNITY DEVELOPMENT DEPARTMENT 0119014 13126 SW HWI Blvd P.O.Box?33g7,Tlg,6t,Omqon 97223(603)630-4175 ")ATE ISSUED 03/29/91 SITE ADDREGS. . . 1 15051 SW 8167 AVE PARCEI-: 29112CB-12300 SUBDIVISION. . . . : ZORI TNr;j 13LOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . It CLASS OF WORK. .NEW TYPE OF USE. . . :3F OCCUPANCY GRP. vP3 OCCUPANCY LOAD: 118 4 TENANT Remarkst Owners DWD CONTRACTORS INC. P 0 BOX 23454 VIGARD OR 97223 lione #P 503-639--6881 r�WD CONTRACTOnS, INC 1-'., 0 BOX 23454 fGARD OR 97c--23 Qhone 0: 639-6881 1teo N. . : 41203 Occupancy of the obove referenced bt.tilding is hereby given, and certifies the compliance with the �3tate Of Oregon Specialty Cedes for the group, ,)ct,upancy, and use under which the referenced Permit wets issued. F*TRE DEPAPTMENT ILDING INSPECTOR BUILD1 3 OFFICIAL POST IN CONSPICUOUS PLACE SNS -NMI-Off-P-MICE w�� City of Tigard Building Department 13125 SW Ball Blvd. itgard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Business Phones 639-4171 Inspection: Footing plbg. Underalab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line (F,�, Poet/Beam Struct. San. Sewer Framing -Bldg.) post/Beam N&ch. Rain Drain Insulation FP_u�✓ Pl.bq. Underfloor Water Line Gyp. Bd. Time: AN pN Date Requested --- — Addrees: �>C' -5L✓ E31 S Permit Builder:--- �- THE FOLLOWING CO:+RECTIONS ARE REQUIRED: Inspector: ---- ----....___—_ Date: U� _ LK+ppoVED DISAPPROVED AppROV-RD SUBJECT TO AROVF. Call For Reinep. CITY OF T167AR AST ..R PERMIT COMMUNITY DEVELOPMENT DEPARTMENT CITY • •• • • • : MST90-0094 13125 SWHeIIBlvd. P.O.Box 23397,T4pud. (�)83D{175 �'R 0 F' 'MIT #. : MST90-00`54 E s' 1 ss ED: 03/19/90 SIIE ADD14.55.. . : 15051 SW 81ST AVE PARCEL: 2S112CB-GAti1 SUBDIVISION. . . . : GOOD ACRES ZONING: BLOCK. . . . . . . . . . . LOT.. . . . . . . .. . .. :1 � .._--------•----------------•------- BUILDING ---___-- ------- _.-------- REISSUE: DWELLING UNITS:1 BASEMENT. .. .. . . . :0 sf CLASS OF WORK. :NE:W BEDRMS:3 BATHS:2 GARAGE. ... . .. . . . :460 sf TYPE OF USE. . . :SF FLOOR AREAS-------- - REQUIRED SETBACKS-­­­­- TYPE OF CONST. :5N FIRST. . . . :1940 sf LEFT— :20 ft RIGHT. :34 ft OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :20 ft REAR.. :21 ft STORIES. . . . . . . :0 THIRD. .. . :0 of HEIGHT. . ... . . . :18 ft TOTAL------:1940 sf SMOKE DETECTORS. :Y ,/ FLOOR LOAD. . . . :40 psf VALUE. . . . .$: 89760 PARKING SPACES. . :O OF Remarks: This permit is only valid for foundation work until the all the condit PLUMBING --- __.__---- SINKS. .. . . . . .. . :1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS.. :@ LAVATORIES. . . .. :3 WATER HEATFRS.. . :100 TRAP'S... ...... . ... . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. .. :1 CATCH BASINS. .. . .. . :0 WATER CLOSETS.. .-2 SEWER LINE (ft). :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :1 WATER LINE (ft). ;100 OTHER FIXTURES. .. . . :0 GARBAGE DISP. .. :1 RAIN DRAIN (ft) . :0 WASHING MACH... :1 SF RAIN DRAINS, . :1 ------ _..__- MECHANICAL __._ _ . _____ ___.-_...._.__.______..__ FEES FUEL TYPES----------- UNIT HTRS. . 7d type amount by date reept /GAS/ / / VENTS . . . . . :b PAYM $ 100.00 JLH 03/08/^'e 107683 MAX INPUTS@ BTU VENT FANS. . :4 BP'RT $ 403.00 FURN ( 100K .. :1 HOODS. . . ... :1 BPLC b 261.95 FURN )=100K . . :0 WOODSTOVES. :O B5PC $ 20. 15 FLOOR FURN. . . . :0 CLO DRYERS. :1 STDC f 600.00 BOIL/CMP ( 3HP:0 OTHER UNITS:O SSDC s 250.00 GAS OUTLETS:l PARK f 250.00 Owner: ----•------------------------------ MPRT f 39.00 DWD CONTRACTORS INC. MPLC f 9.75 P 0 BOX 23454 M5PC f 1.195 PPRT $ 140.00 TIGARD OR 97223 P5PC f 7.00 Phone ff: 503-639-6881 PAYM $ 1882.80 JLH 03/19/90 Contractor: DWD CONTRACTORS INC. P 0 BOX 23454 TIGARD OR 97223 Phone M: 503-639-6881 Reg M. . : 41203 -------------------------------------- $ 1982.80 TOTAL This permit is issued subject to the regulations contained in the --------- REOUIRED Ih SP'FCTT..01qc: ....... ........... Tigard Municipal Code. State of Ore. Specialty Codes and all other F•uot/found Intip Plumb Top Out applicable laws. All work will be done in accordance with approved Wt•r Proofing Bs>m Framing Insp plans. This permit will expire if work is not started within 180' Past/Beam Insp Fireplace Insp days of issuance, or if work is suspended for more than 188 days. Crawl Drain Gas Line Insp < Palm/c.ind slab Insp IrisUlation Insp Permittee Sigiiature: u� ¢( ?/?!1!G�D('S Pl-M/Underf1coy, Gyp Board Insp _ Ftng Drain Bsms t Rain drain Iiisp Issued By: Mechanical Insp Water Line 111sp Call for inspection -- 639_..41•)5 I CITY OF TIFARD a� SE:�!F�: ►dNECT'ION PERM I T' CRYOFTWARD PERMIT #. ,. . . . . . . SWR90-0102 COMMUNFY DEVELOPMENT DEPARTMENT oReoon PRIM. PERMIT #. ; MST90-0094 13125 SW Hell Blvd. P.O.Boz 23397,71pud,Onpai� i75 DATE ISSUED: 03/19/90 SITE::: ADDRESS-- 3.5051 SW EXIST AVE PARCEL: 2S112CH_..tr"A#1 I filJBDIVISION. . . . : GOOD ACRES ZONING-, BI...ICK. . . . . . . . . . s I._OT. . . . . . . . . . . . . : 1 TENANT NAME. . . . . : USA NO. . . . . . . . . . :40619 F f XT'1RE UNITS. . . ; CLASS OF WORN.. . . ;IJE..:W DIJLLL I NQ ON IT TYPE OF USE. . . . . :SF' NO. Or BUILDING S: 1 INSTALL TYPE. . . . :B1JSWR I!*IPIE V SURFACE. . ; :Sf Remarks: OwnE• r .- _.._._....__._.._._.___._.._._._..__..._...._.._.__._._.. _ __._.__... _._.._.__....._._............__ FEES DWD CONTRACTORS INC. type amrJt.snt: by date rreept. F:1 0 BOX 23454 PRMT $ 1.250.00 INSP $ ,:3`:,. 00 TIGARD OR 9.7223 PAYM $ 1.r28'.:i. 00 J•I...Ii 0:3/19/90 V,hone #: 03••-639--6881 Contractor: CONTRACTOR NOT ON FILE Phone #: $ 1285.00 TOTAL Req #. . . _._.._ __.. RE QUIRI:D INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer, :Irsapection of the Unified Sewage Agency. The permit expires 120 days from the date issued. The total amount paid will be forfeited if 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 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. F'ermi.ttee S1gIla ture: c' r Js,t.sed By: Callfior i.nspecticsrr -- 639-4175 CITY JF TIGARD RECETPT OF PAYMENT REC 110: 0010790/0 CHECK AMOUNT ',167.SU NAME !)WD CONTRACTORS INC. CASH AMOUNT e .00 ADDRESS: PO SO), 23454 PAYMENT DATE 03-117f-00 IACARD, OR 97=7 BLOCM NO/ADDR: 15051 SW sisr AVE PURPOSE OF FAYMENT AMOUNT F'AID PURPOSE OF FAVIlENT AMOUNT PAID ------------------------------ _-__-___--_ BUILDING PERMIT (90-0094) 40::.(10 PLUMBING PERMIT 140.00 MECHANICAL PERMIT 1.9.00 STATE BUILD PERMIT TAX (57.) 2qll(j PLAN CHECf FEE 171 .70 SEWER USA t90-C.1102i 1,2!50.CIO SEWER INSPECION 35.00 STREET SVC 600.00 PARKS SYFTEM DEVELOPMENT CH 250.00 GTCPM DRAIN SK 2.50.00 TOTAL AMOUNT PAID '3. 167.80 e eUN R e e e e ■ TIGA R�CITY OF amroFr�.aRn f PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT 1 l� � o / PLAN CHECK N 13125 S.w.K.s 61,d.P.0 Oo■ZMT.rgard�Ores•m STM.(SM)639-4 76 PERMIT N M5> ;16 - o u v, DI)TE ISSUED .40URLGS: .15051 SW 81st Ave . Tigard , OR TAX MAP/LOT ;;UB: _Good Acres _ ; ^T. Parcel • #1 ,_AND USE: VALUAfIO -- ��'�—� 7 OWNER SPECIAL NOTES NAME; _ DWD Contractors , Inc. REISSUE OF: ADDRESS: PO BOX 2 3 454 LAST REISSUE: Tigard, OR 97223 _ FI-000 PLAIN/ SENSIIIVE LAND: PHONE: -6 81 i APPROVALS REQUIRED CONTRACTOR PLANNING• NAME: DWD Contractors , Inc. ENGINEERING: _ ADDRESS: PO Box 23454 FIRE DEPT Tigard., -OR 97223 OTHER PHONE: 6 3 9-6 8 8 1 I7Ef10 RESUIREO BUT i nFPS F30ARD N: 41203 EXF DATE: l /-1/91 _ LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: - t::'" Barclay &_Assoc. Tp!1<s DETAILS _ ADDREsS: 15431 SF 82nd Drive OTHER: Suite D _ Clackamas , UR 97015 PHONE: 656--1988 / COMMENTS: C�iC '�G 1ti�12cs=�`���+�1 i L� SUBCONTRACTORS: PLUMB: MP Plumbing Cpl: >3e _ Heating PLRMTI P ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE _ 10-432 00 Building Permit Fees ✓ [y_ _ - 10-431 00 Plumbing Permit Fees ✓ /t/J _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing 4 y _t/ Mech / ✓ ?I .?� i,,�_ X71 10-433 00 Flans Check FeQ ✓ / � - �.. Building Plumbing Mech 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 3 i _ 3 3 51--448 00 Street System Dev Charge (SOC) a 52-449 00 Parks System Dev Charge (POC) �••!= 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) ,. 10--230 06 (i ra TOTAL REC N Z6 APPLICANT SIGNATURE Received By _ __ _ _-__ Date Received: cn/3587P/18P J 1 CIT*t OF T16)AH) PECEIPT OF F,AYMENT PEC NOt 0010760" DJECV AMOUNT I no.00 NAME- DWD C014TRACTORS CASH AMOUNT .00 ADDRE55% FO BOX 23454 F,4'eMENT DATE i 0.-,—U8-.QO TIGARD. OR 97227. BLOCK NO,lADDR. 15051 SW SIST PLIPPOISE OF PAYMEN'r AMOUNT PAID PURPOSE OF PAYMENT AMOUNT F*Alti PLAN CHEEP FEE 17R 100.00 TOTAL AMOUNT Pi'ilr, 100,00 AL (;IZADIN ('4N'i'ROL iNFORNIATI )N GENERAL.CONTRACTOR NAME& ADDRESS: CASEFILE NO.: PERMIT NO.: -- DWO _Contractors enc . ,ii; arm =�37 — - - APPLICANT NAME AND ADDRESS: _ DWD Contractors, Inc. EXCAVA11ON CONTRACTOR 130 — ,Nr(...fv ADDRESS: L'i g,,3rr3 [1R U777� Paulson Excavation — Rt . 1, Box 1062_ _ UWNER NAME AND ADDRESS: shro, OR 97214 DWD Contrac rs� Ux Tigard, OR 97223 TELEPHONE NUMBERS: PROPERTY DESCRIPTION: APPLICANT: 639-6881 _ STREET ADDRESS AND CROSS STREETA)DCATED OWNER-- 639-6881 15051 SW 81st Ave. Tigard, OR GENERAL CONTRACTOR: 639-6881 - -Cross Street: SW Ross Street EXCAVATIONCONTRACTOR: 645-1011 _ SIIR/IOII- - LEGAL DESCRIPTION: — 24 IIR/AFTFR HOUTAX LOT NO.: RS EMERGENCY CONTACT PERSON.TITLE,TELEPHONE: 1/4 SECTION-Section 12, T."L.5. ,R. l .W. ,W.M. SITE:SIZE XIS 10 153 F'JUare reet _ al C. Wi ins639_5- 4,000 F. - o. an ante .s — 54412 —. - DISTURBEDIWORK AREA,Ate; _ - :.()('nT1nN F_ ADDRFSC WHERv SPOILS LEAVING SITE WILL BE TAKEN SITE RUN01=F DRAINS"TU: (CIRCLE UNE) (NoTF. PERMITS MAYBE REQUIRED) CATCH BASIN DITCH PIPE CREEK ,'None (CIRCLE ONE) PRIVAIE PR PS ERTY PUELIC RIGHT OF WA� R 0NIS 1:rnMFNTATION CONTROL (l 5Cl MEASURES MINIMUM EFC REQUIREMENTS MINIMUM E.SC REQUIREMENTS DITRING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE R'r,MOVE AND RESTORE TEMPORARY ESC: PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CL!:AN AND REMOVE ALL SILT ANT)DEBRIS ENSURE OPERATION OF PERMANT FACILITIES COVER PRACTICES CONSTRUCTION SEQUENCE OTT iER- - _— OTHER_-, -- PI.AN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-. EROSION CONTROL PLAN DRAWING.AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMFRGENCY PHONE PLUMBER. SCHEDULE/STAGING FOR INSTALLATION AND REMDARD OVAL OF EROSION CONTROL MEASURES,AND APPLIC ES 1 IIAVE READ AND WILL COMPLY VATHOE ABOVE AND DLT WILL THE CONSTRUCTION T CT AND I AIN ESC MEASURES AS NECESSARY TO C OWNER SIc;NATLIRE APPLICANT SIGNATURE • • • • • • • • • • • + • • • • • • • • • • • • • • •0�131�.lAl USE ONLY • • • + • • • • • • • • • • • • • • • • • • • • • • • RECEIPT DATE ACC EM1 1) NUMBER RECEIVED BY [ TV — J cam, �,, ��� c' � Z �U�� 1110 3� tun '. uj Lu s� V Q1u N ,ud 2111~ w��w �L'�- �fl. .40 01.3 3 - �W "h 2 �Sq qq� 0 aLL3 �Q � �03QrA W Z &. do 2 � 3 ��D I :z U. Il � Q r I'D H—W 3 ZElu � . 0. Q z N e�o `' � � 0 0� prJulr- . _wu�Z� Q��s ►-a' � 2 ll ' ZN Z � I` Ooh 6ot �2 ►►� ' �I.l� v�r� 4�'Z 7au� _ o lu 771 rue � �tY dr`� irUN W U4 LL fj tu U-1 CL or Z ? z� Q � 3 u F� 1 J\1A) ' J L, 2 r r � 7 p� v �2 - o � d Ul o . . . . . . . �� r � i� c�� o � 5 5 � � ho�a f oo I� 15D51 SIJ SIS` Avenin