15624 SW 82ND AVENUE-1 15624 SW 82nd A--a.
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C1OFT11FACEPTIricriTE OF
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CrOfOFTkIM OCCUPANCY
ou
COMMUNITY DEVELOPMENT DEPARTMENT 17710M PlERMIT #. . . . . . . : tIST90-0327
13126 SW Hall Blvd. P.O.Box 23397,Tqwd,OmVon 9=(SWI(1094176
SITE ADDRESS— i 15624 SW 02NO AVE PARCEL.; 25IIaCC-11600
SUBDIVISION. . . . I L.ANGTREE ESTATE) 7ONING- R-12
1.3 L.OF,K. . . . . . . . . . I LOT. . « « . . . . . . . . . s48
GLASS OF WORK. :NEW
TYPE OF USE, . . :SF
OCCUPANCY GRP. :R3
0C(`UPANCY LOAD-i220 4
TENANT NAME.
Remarks
ownpr:
TITAN PPOPERTIES
1'-' 0 BOX 6835
AL�.MA OR 9/007
Phone fit;
Contrar-tort
TAN PROPERTIES
FSU Bay 6635
1111-01-1A OR 97007
Phone 645(0-77
R tag #. 3113,3".
Occupancy of the Abnvp rpferenved buildirin is hereby givon, and certifies
the compliance with the State OF 0�,egon Specialty Codtis I'm- the group,
UC-LUr)&nCy9 eki-Icl us,-, iji-Idev, whic-h tt-ip rf-forenced permit was isquod.
rTRr DEPARTMENT T.AU11-0 NG ECTOR
POST' IN CONSPICUOUS r-IL.PkCF
INSPECTION 1I ICE
i
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone-19-4171
Inspection:__—_-- '--
Mech. Rough-in Appr/Sdwlk
Footing Plbg. Underslab
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -
Bldg.
Post/Beam Mech. Rain Drain Insulation �flumb.
Plbg. Underfloor Water Line GYP. Bd. "
Date Requested: 7 —�f Time:
Address: c-1'...4 ! r� .� Permit
Builder: ,� 4, /A&
THE FOLLOWING CORRECTIONS ARE REQUIRED:
'_ Sri � � ✓'
Inspe -f,
{
z
_ - Dateis- l�� ---
/L APPUtVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Rainsp.
I,—NSPECTION NOTICE L'
City of Ti.gard Building Department r {''
53125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree--O-Phone): 639-4175 Business Phone: 6::9-4171
l
Inspect lon:� --�--� -- —`
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation
Plba Underfloor Water Line Gyp. Rd. �----�
Date Requested: i� Times Q A AN PM
Address:
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— 5 7 cC E xi' /� 1 HiQ!V d � �4/E✓7 �'�pG'7 G
Cci
Inspector: Date: -•� /Z
APPROVED DISAPPROVED APPROVED SUBJECT 'r0 ABOVE
Call for Rei.nsp.
- - L
rw
kj[S_pZCT I QjL NOTICE
City of Tigard Huilding Department
13125 BW Hal l Hl.vd.{Tigard, petxJ:2ei 97223
I.)spection Line (Rec-4)-Pbone)t 4119-4175 Dusineas Phone: 639-4171
Inapection:__�
rooting Ylby. Undlab Mech. Rough-in 11pp
R SOwlk
Found. Plbg. Top Out Can Line FINAL:
Yost/Plasm Struct. Sen. Sewer Framing -8141 g•
Poet/beam Neth. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Dd.
-Rech.
Dote Requested: Permit
Address• �
builders
THE FOLLOWING COMMONS ARE REQUIRED:
i
instvartorl
G l Datet
APPROVED -DISAPPROVED APPROVED SURJEL-r TO ABOVE
rail For Reinap.
NNSPEL'fION NOTIGc f
City of Tigard Building Department.
13125 SW Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business phone: 639-4171
Inspection:—
Footing
Plbg. Underslab Hoch. Rough-in A'ppr/Sdwlk
Found.
Plbg. Top Out —gns Line F1'NAL:
d
pest/Beam Struct. San. Sewer Framing -Bldg.
poet/Ream Meeh. Rain Drain
Insulation -plumb.
plbq. Underfloor Water Line Gyp. Bd.
-Neth.
Time: AM P1,
Date Requested:— [
4ddreds �permit 1:
Builders "— —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date: _—
Inspectors
APPROVED DISAPPROVED AppROVED SUBJECT T3 AW NE
Call For Reinap.
f
INSPBCTION NOTICEa
Ct.ty of Tigard Bui.ldi-nq Departwent. 6 -rte
13125 SW Ball Blvd. Tigard, Ort�Qon 97223
Inspection Line (Rec-o-Phone): 639-4175 Businesx phone: 639-4171
Itaepection: �-
Footing
Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Plbq. Top out Can Line FINAL:
Found.
Poet/Beam Strutt. San. Sewer Framing
-Bldg.
Poet/Roam Mech. Rain Drain
Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd.
-Hoch.
Time: Ail _PH
Drte Requested:
Permit i:T -�'� —7
Address:
:::zBuilder: `-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l
Inspector: Dates
_APP RD J DISAPPiOVED t.PPROVED SUBJECT TO AROVF.
\ Call For Reinep.
INSPECTT (N NQTICE
city of Tigard Building Den+artnent. 1
1.3125 SW Ball Blvd. Tigard, Oregon 97223`
Inspection Line (Rec-o•-Phone): 639-4175 Business Phone: 639-4171
Inspection:-
Footing
Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Gas Line FINAL:
Fond. Ploy• Top Out
d
post/Beam Struct. San. Sewor Franiny -Bldg.
post/Beam Hoch. Rain Drain Insul
�._ ation -Plumb._
Plbg. Underfloor Water Line 4 Gyp. ad
• -Koch.
` Gf/ —�_,TLae: AMPN
Dacca Roquosted: d
uilder: _/- —
Addrese:.. -""—
Permit I:_
IN
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ --- Date:
Inspector:_,—
APPROVED f)1SAPphOVED APPR(WjD SUBJECT TO ABOVE
Call For Reinap.
w �► w w mgr e� w w iw
INSPECTION NOT:iCE 4/
City of Tigard Building Departs—t
13125 Slit Ball R1rd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Bv7iness Phone: 639-41'11
Inspection:
Footing Plbg. Underalab Mach. Rough-inAppr/Sdwlk
Found. Plbq. Top Out Gde Line FINAL:
Pogt:/Beam Struct. San. Sower Framing -Bldg.
Poet:/Beam Mech. Rain Drain Insulation -Plumb.
Pltyj. Underfloor Wator Line Gyp. Bd. -March.
Oetie Requested: Time: AMn PM
Add;-(ees: / ` « _ Permit #:�� C/_7Z
THE FOLLOWING CORR=CTIONS AREARS�REQUIRED:
--
44
l —
_ ,vim E'tc. tl _— ---
Ins ctor: Datet i
APPROWD T)TRAPPWMI" ��-APPR(WRD 8UWMCf TO ABOW
tall For Relnsp.
1_NspqCTI0N N0_g10E
City of Tigard Building Depairtswunt
13125 BW Bali Blvd. Tiger+', OrFigon 47223
Inspection Line (Rec-o-•Pho:.T): 634-4375 Busineas Phone: 639-4171
Inspections _ /' ----
Footing Plbg. Underslab MP,Ch. Rough-in C 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 Water Line
Gyp. fid. -Hoch.
Date Request
��� - • / Time://J`r' -AH + PM
Address � ,� h _ �_ Permit #
Builder: --
THF. FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors._ ,, f Dater S ' }r' _
APPROVED ✓ DLHAPPAOVlD APPPOVED SU"Cf To ABOVE
_� Call /oe Aelnrp.
INSPECTION NOTICE ?
City of Tigard Building Departaent /' r
13125 5V Ball Blvd_ Tigard, Oregon 97323
Inspection Line (Rec-O-Phone): 639--4175 Business Phone 9-4171
Inspection:
Footing Plbg. Underaiab Mach. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
p at/Beam Mach. Rain Drain Insulation -Plumb.
�_Z
Plbg. Underfloor Water Line l� Gyp. Bd. -Koch.
Date Requested.
t / Times AM e�PM
C
Address: -J � _e Permit #s _ ! _t
c
Builder:
THE FOLLOWING COj"CTIONS ARE REQUIRED:
Imo% -
LIC
Inspectors _ _ _v Oates
APPROV3D DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPEC"1I4N NOTICE
city of Tigard Building Dspartsaent
13125 SW Ball Blvd. Tigard, Oregon 97223 ,-
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-
Inspection:_
Footing Plbg. Underelab Mach. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam St-ruct. San. Sewer1framing -Bldg.
I
Peet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requestedt �7 �i� Times AN PM
d / 22
Address: f f1 _ Permit #:�D '/�J'n7_
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Dates_ f vi
APPROVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call For Relnsp.
INSPECTION_NOTICE
city of Tigard Buildi.ay Dei aramt
i
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639--•4175 Business Phone: 639-4177.
Inapection: ---- —
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdw.k
Found. Plbg. TOP Out J Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Nosh. Rain Drain insulation -plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Hoch.
PN
Date Requented:_
Address:_ nPermit
c✓
Address:_,_-
,�L
Builder:__--'--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date: -
APPROVED DISAPPROVED _f APPROVED SUBJECT T. ARM!
Call For Relnap.
�NSPRCTLON NOTICE
city of Tigard BuildLLn9 DeParteent
13125 SA Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O--Phone): 639-4175 Buninesn Phone:� 639-4171
t
Inspections ---
i
Footing Plbg. tlnderalab Mech. Rough-in Appr/Sdrlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
lbq Underfloor Mater Line Gyp. Bd. -Mach.
Date Request:ed:__, / ! Times AM PM
Addrees:� ,�AL1_—� PermA ji�� 7
Builder:—
THE FOLLOWING CORRECTIONS ARE 'aQVIREDi
_ C
Date: 7�
A +ROM) n I SAPPRnvry _ APPROVED SUBJE(9' TO ABOVE
Call For Reinap. +
W 1! 1!► f
MMINMI
INSPECTION NOTICE
City of Tigard Building DepartaentJ�.
13125 BW Ball Blvd_ Tigard, Oregon 97223 � /
g • ' { '?1
Inspection Lin® (Rer_-O-Phone: 639-4175 Business Phone; 6
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet�P t/Beam Struat. San. Sewed Framing -Bldg.
ech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. ed. -Mech.
Date Requested: �� �L_ Timet AM _PM
Addreess �� . _ ` � permit 1t
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4
I I'ST-1 of
DISAPPROVED APPROVED SUBJECT TO ABOVE
^all For Reinrp.
r
pNSPECTIONNoTI-c-E
City of Tigard Building Departs ant
13125 BW Ball Bled. Tigard, 0. n 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business P".0
Inspection•,
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
i
Freund. Plbg. Top Out Cas Line FINAL+
Poet/Beam Struct. `San. Sewer
Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -.Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Date Requested:_ 45 -2_6 Times __„,LAN PN
Addreeas 1 `� L��L� � h Permit fo1li �� 7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t
i
i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVF.
_Call For Reinsp.
MEM �Jw
CITY OFTIFARD rl()STER
TWARD� 1----EkMTT It. . . . . . .. :: lyl ST9 0--0 3 27
COMMUNITY DEVELOPMENT DEPARTMENT cow"GON
13125 SV,AM 6% P.O.Bow 23397,TOM.OW.97223 4603�.��-4�76 C*-W- 71 DATE ISSUED: 11 /29/90
SI VL ADDRESS. 1,562-4 SW 82ND AVE V,A F,C F 1 1. t .).C C-1.1 E,0 0,
SUBDIVISION. . Lni,iGTREE ZONING:
1-.4 L,0 C'K. . . . . . . . . . a L.0 T. . . . . . . . —1 -1 -48
--------------...-....-------------- BUILDING .......-
CISSUE:MST90-0109 DWELLING UNITS: ]. BASEMENT. .. . . . . . . :0 u;f
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . ,. . . .. . . c387 sf
TYPE OF USE. . . zS10 FLOOR REQUIRED SETBACKS-------------
TYPE OF CONST. :5N F I RST. . . . :972 s f LEFT. . :5 ft Ricur. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 776 sof FRONT. :20 ft REAR. . g2l ft
TORIES. .. . .. . , . & 'THIRD. . . :N sf REQUIRED---------------------
HEIGHT. . . . . . . . :20 ft TOTAL------: 1748 sf SMOKE DETECTORS. :Y
FLOOR LuAr. . . . v48 psf VALUE. . . . . 87374 PARKING SPACES. . &
Remarks:
---------------------- PLUMBING
SINKS. . . . . . . . . . n1 FLOOR DRAINS. . . . nN B A C 1<F L.0 W 1::1r eF:V NTR S. . -.0
LAVATOR: ES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
fUD/SHOWERS. . . . :3 LAUNDRY TRAYS- 0 CATCH
4 A T'F*:R C I 0.3ETS, . -3 SLWE'R LINE (ft) . .0 GREASE TRAVIS. . . . . . .. ..0
DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 0 TH F R F1 X T 1.)R ES. . . . . :0
GARBAGE DISC'. . . : i RAIN DRAIN (ft) . :O
WASHING MACH. . . : I SF RAIN DROINS. . : 1.
--------------- MECHANICAL -------------- ---------------- FEES ----------------
FUEL TYPES----------- UNIT HTRS. . :0 type a fit(I u n t' t)y date r 0 C P t.
/GAS// // / VENTS . . . . . n@ PAYM $ 40. 0M JLH 10/17/90 205968
MAX INPUT;0 BTU VENT FANS. . r4 SPI-,J $ 397. 00 ✓
FURN ( 100K . . : I HOODS. . . . . . : 1 PPLC $ 40. 00
FURN )-100K . . RM WOODSTOVES. :0 14 5 P C $ 114. 85
FLOOR FURN. . . . & CLU DRYERS. s I BPR7 $ 15. 00
BOIL/CMP ( 3HP:0 OTHER UNITSv0 STDG $ (100. 00
GAS OUTLETS: 1 L39D(.: $ 250. 00
Owner: -...„.»-.....-....-•_..-..._........................_..-............_m._......_...._._-., PARK 1 25W.0W
TITAN PROPERTIES MPRT $ 39. 00
P 0 BOX 6835 MPLC $ 9. 75
115PC $ t. 95
ALOHA OR 97007 P P R T' $ 1.40.00
Phone N: V15VIC $ 7. 00 ✓
Contractorn - ------------------ ---------- PAYM $ F250. 00 31 H 06/28/90
K F N WATTS)' r,L u m B I N ci PAYM 1i1.4*19. 5 I'S JLH 11/29/90
Pn BOX 23092'.'')
T16ARD OR 97223
Phone He 5036846626
Rep N. . : 50876 ---------
1 1769. 55 TOTAL.
This vermit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Mechanical Insp
applicable 1"c All work will be done in accordance with approved Wtr Proofing Psm Plumb Top Out
clans. This permit will expire if work. is not started within 188 Porn t/14ram Strutt F'r a m i n g Insp
days of issuance, or if worP, is sus Inde for more Post/Beam Meehan Fireplace Insp
Crawl Drain Gari Line Insr,
r ir,i ta r,e S i to not, I > Plm/undmlab Insp InanlAtion Till
FILM/Underfloor Gyp Board Insp
Issued By- Ftnq Drain PsmIt Rain drain Insp
Call frar inspoet:ion 639-4175
CITYOFTIFAD
PLUMPING PET
RMI
1 0. . . . . . . . 1113T90-0327
-TM
P VR M T
COMMUNITY DEVELOPMENT DEPA TMRD PATE' ISSUED- :11 /29/90
13125 SW Hall Blvd. P O.Box 23397,Tigord,Oregon 97223(1503)639417
STfE:.' ADDRESS— : 15624 SW 82ND AVL 25112CC-11600
SUBDIVISIUM. . . . « LONGIREE Z014ING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..48
CLASS OF-' WORK. . ANEW GARBAGE DISPOSALS. . x1.
TYPE OF USE. . . . :SP' WASHING MACH. . . . . . . :1 BACKFLOW PRE'.VNTRS. . a0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . a0
STORIES. . . . . . . . 92 WATER HLATERS. . . . . . : 1, CATCH BASINS. . . . . . . :0
LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAIN!.7). — . . : 1
SINKS. . . . . . . . . . ol GREASE' TRAPi. . . . . — :0
LAVATORIES. . . . . A3 OTHER F'IXTURES. . . . . ..(a
TUB/SHOWLRS. . . . SEWER LINE (ft) . . . . .�O
WATER CLOSETS. . :3 WATER LINE
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks I
OWNER:
I I FAN PROPERTIES PAYm s 40.00 JL11 1.0/17/90 205968
P 0 BOX 6835 RPRT $ 3':i%. 00
BPLF. $ 40. 00
ALOHA OR 97007 B51--1C t 113. 815
Phone #a BPRT $ 15.00
STDC $ 600. 00
P 1.u m b i n q Co n t r a c t a r n---------- SSDC t 250. 00
PARK $ 250. 00
N,A 11)e 2 MPRT 115 :39. 00
()rJd-(,e%%z--_P0..,.BOX 230925 MPLC 9. 751
.........
M5PC F 1 . 95
Z P
C)1-1 e 00 PPRT F 140, 00
. . . Additional fees not shown here. . .
REOUIRED INSPECT TONS
This permit fS issued subject to the rag
ulations contained in the Tigard Municipal Foot/found Insp Gas Line Insp
t,pec i Alty codes aced g Bsm Insulation 111sp-id a] I Wtr Proofing Crede, State of Ore. Strutt GYP Baa rd lnsp
other app, able
laws. (41 , work will be tj
onto Post/Ream 9
fit pc)st/De.Am Mechon Rain drain Insp
in accardaiic*e with appi�avad plans. Chis
rted Crawl w 1 D ra i n Water Line Insp
permit will, expire if work is not ota Insp
within 180 days of issuance, or if work is Plm/undslab Insp Appr/!3dwl
k.It -1 180 days. PLM/Und"rfloor Mechanical Final
,,us for more than F'tng Draiv, Psmvt Plumb Final
Mechanical Insp Building Final
Plc�mb lop Out Erosion Control
Framing Insp Wtr Proofing 11sm
x Fireplace Inst) Additional.. . . . . .
Puthorized Plumbing Contractor Signature
Call for in%pection 639-4175
Contractor Notes
CITY OF 'TIGARD RC.C.Eivr OF." F-AYMENT RECEIPT NO, 90-207236
CHECK AMOUNT 1479.
CASH AMOUNT
N A
1,1;.)ME BLEAK, STEPHE PAYMENT DATE .1 l .'29/9.)
Al.)ORV.1SE J89:7%5 SW HEIGHIVIEW (.,.,r jjlj8DIVIS1ON
BEAVERTON, OR 97007
PUP,POSE OF PAYMENT AMOUNT PAID of PAYMENT AMOUNT' PAID
74 57 To-
i_59. 61-1 PLUMBING PERM 28.8(.')
MFC-HANICAL PE .0() S'T. BUILD PEP
F"LAIN CHECK FE: 24. 75 STREET SDC
250.00
PARKS S'Dc
PIJILDING PERMIT 648 106,24 ',-,W G'-?NU
-WIAL. (010UNI- PAID
t T
LIM
IIISPLCTIpN 1!4'[S�
city of Tigard ■wilding DePart—nt2� .
13125 6w Hall Blvd. Tigard. n
Inspection Line (Rec-o-Phone)s 639-4176` Business Ph s&9-4
Inspection: -
tooting
Plbg. Underslab Mech. Rough-in Aispr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL:
Moet/Beam Struct. San. Sewer
Framing -Bldg.
Poet/Beam Mech. Rain Drain
Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Mach.
Times PM
Uate Requested:
11M
r
/r/ S 1' Permit s
Address:_JL-5, 'q----
Builder: T�T�_
THE FOLLOWING CORRECTIONS ARE REQUIREDs
r
inspecto�:_ ----
Oates
APPROVED DISAPPROVED _— AFMM 1U&MCP TO ABOVE
/��� call For Reinsp.
w �w ■r � �r � w ■r '� �
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0SIQN QjNlRQL INEORMATION
GENERAL CONTRA M. R NAME & ADDRESS: CASEFILE NO.:
PURMIT NO.:
-
APPLICP.NT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME do ADDRESS: ,r
,.DDRIjSS:
OWNER NAME AND
TELEMONE NUMBERS: PROPERTY DESCRIPTION; -
APPLICANT' X11•"
OWNER I ___.� 511 "'I'ADI ESS b CR S?RE$T/L4CA'I'FD _
GENFRAI-CONTRACTOR:_._1_ _�
Lf L�,
EXCAVATION C AC TOR: fj.7 - ZaaO_
srmjoB• LEGAL DESCRIPTION:
24 KR/AFiER HOUMS EMERGENCY TAX 1CTNO.:_____ - —
CQ CT PERS PTL. ,'I'ELEP1{ONE l/4 SECTION;_ _
SITE SIZE,ACRFS;
DISTURBEDIWORK AREA,ACRES
LOCATION do ADDRESS W14ERE SKALS Sl RAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN •BASIN DITCH PIPE CREFK
(NO'TB:PERMITS MAY BP REQUIRED)
(CIRCLE ONE) PERTY
QE W-A
EL�SI /��DiMEI�1TAT1_ON.�TI�S2L�"� �
MINIMUM ESC REQLIIREMF.N'1'S MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION;
SEDIMEWATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED C'ONSTRUCFION ENTRANCE REMOVE AND RESTORE nMPORARY ESC
PERIMETE K RUNOFF CONTROL
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILL"AND DEBRIS
COVER PRACFICF-S ENSURE OPERATION OF PI:KMANT FACILITIES
CONSTRUCTION SEQUENuft Q1T ------
UTHER_r__^. ------------ -
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL 01JIDANCE HANDBOOK
EROSION CONTROL.PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION N(YT'ES COMPLETE,INCLUDFNO F.MERGMCY
PHONE NUMBER. SCHEDULE/STAGING FOR INSTALLATION AND RFMOALOF EROSION CONTROI-MEASORES.AND� DN
I
HAVE R5kD AND WILL COMPLY WITH THEAN SEDIMENT ON TION CONSTRUCTION SI NSTRUCT AND TAIN ER,MEASURES AS NUTSSARY
TO CONTAIN O
OWNNR S AT - AP NA'IVRE
OFFICIAL USE ONLY.
REC.F.IN 1 DATE ACCEP'IE1)
FFE NI IMBI.R RECEIVRD RY
zod L��O t'n : cl k, f - i. l -� 661
CITY OF TIGARD - RECEIPT OF F'AYMENT RECEIPf NO. x W''1 18
-2u596
CHECK' AMOUNT 40.00
NAME BLEAK. STEPHEN & ELLAZ'N CASH AMOUNT r 0.00
ADDRESS x 189,-:.5 SW HEIStHTVIEW r'T,, PAYMENT DATE 10/17/90
'SURD I V 17 I ON
BEAVERTON, OR 15624 SW 82ND AVE
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE Or PAYMENT AMOUNT PAID
_.L r__,N C H E G K', FE 10-31R
i.
RE--ISSUE
TOTAt_ AMOUNT PAID 00
SEWER CONNECTION
CITYOF TIGARD PERMIT
WYOFTWA J*,LF<11IT #. . . . . . . .. SWR90-0267
ORIGON
COMMUNITY DEVELOPMENT DEPARTMENT 4 �,1.I'l G:'I:::RN IT S W R 9 0-02 G 7
13126 SW Hall Blvd. P.O.Box 23397,TIOWd.Or*90n 97223 J39�4.175 C71 .I.'E
G IWI)46 D( ISSUED* 061P
"624 SW 82ND AVE 1-:'AF CJ"-*L.- 2S)J.12CC--
(:MBDIVISION. ., « . : LAN TREE= ESTATES ZONIH(3: R-12
DLOCK. — LOT. . . . . . . . . .48
TENANT N01111.
USO NO. .. . . . . . . . . : 4:1698 FIXTURE UNITS. .. .
C -.
LASS S S 0 r-. WORV,. —, :NEW DWELLING UNITS. . .
'TYP'E.: 0 F (J S E. ,. :SF NO. OF BUILDINGS:
I Iq G TA L L I Y B U S W R 'F.1117'ERV SURFACE.
Remarks
Owile-en FEES
'TITAN PROPERTIES type amount by date re(7pt
[:,o BOX 6835 PAYM $ 1285.00 JLH 06/28/90
PRMT $ 1250. 00
01-OHA OR 970OX INSP $ 35.00
F-1horie #:: 6456477
Cc)ntractorc
.TITAN PROPERTIES
1:1.) BOX 6835
01-01AA OR 97007
IDI-iorie 0: (.*,4564'77 $ 1285.00 TOTAL
REQUIRED 'INGf:,LC'I*IONS
!his Applicant agrees to comply with all the rules and regulations Sewer Irispectioll
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
Y of the ..........
side sever 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 Sever" Perm,-. and the Agency will install a lateral. ------
Pl e'(1 111 i t t e C? S.1 1.4 10 Lk T E? ....... .......
S S U e d B ........
CAI.1 f c)r i ri s p e r t i o ri 6 39 41'75
A
"ft 03
OF
16;
ulzs2 In am CHFXX APF'L.ICATION
P.O.RD .s�aa3v� PI1,N c1iF]CIl"
Tiparcl ore°°"97223 p
(503)639-4171
OMMUNITY DEVELOPMENT DEPARTMENT DATE LSSSUFD
JOB ADDRESS: %5 (r.��/ �u�, ) 'IBX MAP/IM
SUB: y.�,,2 ._.. — IOT: rArro USE:
.� s�L rro►rFs
REISSUE OF:
IAST REIS!=:
FLOOD PIAM/
SENSITIVE IAM:
PHONE: AWP�§ 3
p7KIRA�G'Idit F�
NOME: IZ�I�G:
UFI'r
ADCWHSS: FIItg
OTEM
BUIIDURS BOARD if: EXP DATE: ?.I.ST/ _BUS 7m:
7174[= DEDUI-ex:
ADDRClIIIFR:
MS:
PiiCONE:- -
Pm7 ffT f AOCT f DF5C42TPTION AMOUNT AMOUNr PD. BNL. DUE
10-432 00 Building Permit Fct-,- —
_..— 10-431 00 Plumbing Permit Fees -
- 10-431 01 Mechanical Permit Fees -
- 10-2.30 Ol Stag Building Tax (5%) — - —
Buildi g
Plumbing —
Mech
10--433 M Plant' Check Fee
Bu.j lding
PlU13i-A g _
meds
_ 30-202 00 Sc-#A---%r
30-444 00 Sewns InsPectiOn
51-448 00 Street SyStem Dev M"tW (SDC-) —
52-449 00 Parks OYStm Dav Charge (PDC)
31-450 00 StOrm Drainage SySt Dev Chrg (SDC)
10-230 06 Fine --
'IC717U.
RfJC' f
APPLICAHr SIGNAIURE
powived By: -- __ Dane Rweived: _
of/3587P.WPF
CITY OF T167A RD �
a YOFTIMM PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT «~°" PLAN CHECK N -
13125 S.W.Hao Blvd.,P. .Boa 23397,Tlya4 OnIgm 97223,15031639-4175
PERMIT to /_i ,ter o- c J . 1 7
DATE ISSUED
YJOE t RESS: ' 1E �) L� TAX MAP/LOT 1- .2 CC
SUET: ftn� xt-01 : LAND USE:
OWNER I t SPECIAL NOTES
NAME: �_ REISSUE OF:
ADDRESS: _ LAST REISSUE: _
FLOOD PLAIN/
PHONE:
SENS111VE. LAND: _
-JT ,.�—_ �c -�------
�l APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME: _ ENGINEERING: _
ADDRESS _ — VIRE DEPT _
—� � OTHER:
PHONE: �— ITEMS REQUIRED
BUILDERS BOARD #: _ EXP DATE: LIST/SUBCONTRACTORS: _
BUS TAX:
ARCH/ENGINEEF. CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS; _ — OTHER;
PHONE
COMMENTS:
I
SUBCONTRACTORS: PLUMB: - T .7 MECH: czz
PERMIT N ACCT k DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
`/D-(;341 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 Ol Mechanical Permit Fees JIt jy
10-230 01 State Building Tax (5%) aL
Building
Plumbing J ''
Mech
1U-433 00 Plans Check Fee 4 U 2 y. ?�
Hui lding
Plumbing _
�r Mech
v 30-202 00 Sewer Connection / 0 rjLi
30 444 00 Sewer Inspection
L4S> 15 51 448 00 Street: S,,stem Dev Charge 'SOC) 4 : C c'-c•G,
51-449 00 Parks System Dev Charge (Ph(:) JZ
31 450 00 Storm Drainage Syst Dev Chig (SSDC) _ SL'
10 -230 06 Fire
TOTAL
REC j?
APP 1CAN1 SIGNATURE
Received By: -�- Date Received:
cn/3587P/18P