15665 SW 82ND AVENUE-1 t
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-15665 SW 82ND AVENUE _
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CERTIFICATE OF
01T11FARDOFOCCUPANCY
WOFYTWARD) iDERMIT #. . . . . . . i MST90--0226
0
COMMUNITY DEVELOPMENT DEPARTMENT Ream
1312E SW Hall Blvd P.O.Box 23307,T19mml,Or"m 9=(603)M-4175 DATE ISSUED. 03104/91
'SITE ADDRCSS. 15665 SW SLND AVE RS112CC-08301VA
')UPEOVISIG4. . . . . LANGTREE ESTATES, ZONINGa R- 12
I
JALOCK. . . . . . . . . . p i,-.(3T. . . . . . . . . . . . . .. 1. ,
i-LASS OF WORK. :NEW
TWE OF USE. . . :SF
OCCUPANCY GRP. iR3
(JC0JP-`A1q('-'Y LOAD. 120
*FENmq r rif-vic. . . :
:0.eni.x(-ksv OWNER TO COMP,k.,r--TE REAR DECK
Owit er 1
r1TVIN PROPERTIES
PO '.',OX 6835
OLOhfi OR 97007
GNinne! #e h4 54'77
TITAN PROPERTIES
t,'.,O BOX ('835
ALOHA OR 97007
Phone #c 6456477
fiery 30358
Of-cupotticy of thv alcove referenced building is hereby piven, and certifies
the compliance with the State Of Oregon G,)@cialtv Codes for the gr-n-'Apl
(30cupancy, and vse undev, which the referoo-iced permit Was issued.
FIRE DEPARTMENT QFD,41 - IN '1 CTOR
0,000,
FkU4. 1-Di G IC IAl_
POST IN CONSPICUOUS PLACE
INS ETCT IONA7OT I CE "41-1
City of Tigard Bulldiaq Depart=Oot
133.25 SN pall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- hone): L39-4175 Buoineas Phone: 639-4171
Inspection:—— /—
Footing Underelab Mech. Rough-in Appr/Sdwlk -
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbo. Unuorfloor Water
Line Gyp. Bd. -Mech.
Date Requested:_y� Ti7De: _--AM PN
Permit #:
Addreast
- `�Guilders _---
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
_ Dates 1'__ -L .
Inepaeior s
C
eA;PP;R;O;V;M�D DISAPPROVED APPROVID SUBJMCT TO ABOVE
Call /br Reinep.
lIXOMMA
INSpBCTION NOTICE
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Jregon 97223
Inspection Lin (Rec-0-Phone)z 639-4175 Busiineou Phone: 6339-4171
Inspections LC // / �/t `liT�C /C Tom'
Footing Plbg. Underslab Noah. Rough-in Appr/8dn k
Found. Plbg. Top Out Pias Lite FINALt
Pont/Beam Struct. San. Sewer Framing *-K*ch.
Poet/Beam Much. Rain Drain Insulation r1bg. Underfloor WaterLine Gyp. Bd.
Date Requested:_ ! / Timet AN �� PH
Tddrenn: [ �� Permit #t
r
Bu 1.1 det' r_, �. ►.�
THF FOLIA)MI1N(b-MRREC.IONS NRZ RFQUIRBD: r /
lAfGLt' r
car f �c =
_L� rU c7 M74
=� /2c�szz_
1
1nspectort__ -_ Datat__ �
I
APPROVED 018APPROVEO APPROVED SUBJECT TO ABOVE
^111 For. pinep.
INSPECTION NO�iICE
City of Tigard Building D(-wiitaent
13125 SR Bell Blvd. Tigard, Oregon 97223
Inspection Line. (Rec-o-Phone): 639-4175 Bueinean Phone: 639-4171
Inspection:_,�
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
/ Gyp. Bd. -Mech.
Date RAguenteds [ [ Times _ _AM PN
Addresa: / -5��/,� c
'-L.rLifL�5 (�•+�h� Permit #:�r n
Builder: %
THE FOLLOWING CORRE'TIONS ARE REQUIRED:
nb
T.L r
Inspector Date:
APPROVED _! DISAPPROVED - APPROVED SUBJLCT To ABOVg.
_ Csli For ReLnep.
IN^PP TLON NOT__�CF
City of Tigard Building L._ •artment ✓ �'
13125 Sa Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec->-Phone), 639-4175 Buoineen Phone: 639-4171
Inspection:__ ------------�_�_ - -
Footing plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ciao Line FINAL:
Erst/Beam Struct:. San. Sewer Framing -Bldg.
Poet/Beam Mech. Actin Drain
Insulation -Plumb.
Plbq.
Underfloor Water Line ` aYP• 8d. -Mech.
Q/ Time: -AM
Date Requopted.
`'57 hJ Permit t: �-L _
Address: ---
Builder:
I,FIE FOLLOWING CORRECT70NS ARE REQUIRSD•
Inspector: --
oats:
APPROVED DISAPPROVED APPROVER SUBJECT TO A90VE
Call "or Reinsp.
. I '
iN,¢g�CTION NOTICE
City of Tigard Building Department
1312S Sr Ball Blvd. Tiqard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busi.ners Phone: 639-4171
Inspec' 'on:
Footing Plbq. Underelab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Roam Merh. Rain Drain Insulation -Plumb..
Plbg. Dndorfloor Water Line Gyp. Bd. -Koch.
Datta Req:sated: / :%��=� " /_ —_�2{.me: � AN PH
Addc:aes:_... �ti5 G5 O n -- -- Pe-mit /:
Bu.lder:
THE FOT.I.OWING CORRECTIONS AIS REQUIRED:
:nnpector:_ L1 _-- natal
_ APPROVSD DISAPPROVED 1__�xPPROVKD SUB.IECT TO ABOVE
Call For Rwinep.
INSPECTION NOT.ICF.
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223 ��.
Inspection Line (Rec-O-Phone): 639-4175 Business PhonA• h9-41
Inspection•
Footing Plbq. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain DrainIneulati! Plurab.
)
Plbq. Underfloor WaterLine Gyp. Bd. -Meeh.
Date Requestedt � � &—e/y Times — AM /PM
Address: _ Permit #t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
Inspectors— n�Cy� - --- --- Dates—L��
_^'PROVED DISAPPROVED _ — APPROVED SU&'ECT To ABOVE
Call For Reinsp.
INSPECTION NOTIAE 1
City of Tiglard Building Depart—t
13125 Rif Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Suninese Phots 639-4171
7napection: --
Footing Plbg. Underelab Mech. Rough-in App,/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
post/Beam Struct. San. Sewer �^ �iraminq -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor. Water Line Gyp. Bd. --Mech.
Date Requested:_, / f/ Times _�_AM PH
Address_/ '4; ,L h Permit
Rullders --
THE FOLLOWING CORRECTIONS ARE RRQUIRRDs
Inspectors
nJ APPROVED DISAPPWVED APPROVEV1 SUBJECT TO PBOVF
��C Call For Noinsp.
I SP CT ON NOTICL
City of Tigard Building DeP8rt—nt223
1.3125 SW Ball Blvd- Tigard, Oregon
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
inspection:--
A r/Sdwlk
Footing VA
Ch.Underalab oh. Aough-in PP
To Out aas Line FINAL=
Found. Plbg' P
l p ,ming -Bldg.
Post/Beam Struct. San. Sewer
Post/Roam Heck. Rain Drain nbulation -Plumb. ;
t
Plbg. Underfloor Water Line Oyp. Bd.
-Mach.
Time: —AM
Date Req-tested:_
Permit
Address:__,____
Build#r:-___-.__:
THE FOLLOWIN(; CORRECTIONS ARE REQUIRED:
Date:.
i nspesttor:Y_2y�,
-----
APPP.OVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
i
INSEIcL Nt?TI(E
City of Tigard Building Depart-ent
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-d-Phone): 639-4175 Bueineas Phone: 639-4171
Inspection: -,-- - --
�r
Footing Pibq. Underelabh. Rough-in Appr/adwlk
Found. Plbg. Top Out Qas LFIMALt
Poet/Beam Struct. sail. Sewer Framing -Bldg.
poet/Beam Mach. Rain brain insulation -Plumb.
plbq. Underfloor Nater Line 4680h.
Date Requested: c! -2-�;r Timet �__AII __PM
Address:
AJ CO S dPermit P-y
Buildert
TRIS FOjj.MVQ Ca1ABCTIO148 ARE REQUIRED:
k
Inspector:�_ L ____---�- _ _ Oatet��T���✓
APPAMIM) DIBAPPROVBD APPROVBD SUBJBCT TO ABOVE
Call For MOinsp.
rN
INSPECTIONN!YrICE /
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)i 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ) Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Uneerfloor Water Line Gyp. Bd. -Mach.
r
C"te !requested: / /ZZ'—l/ ``L imes __�/_AHPM
Address:- z el _ � Permit 1s / ✓V"
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: /' //: _ Date:
14LAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rolnep.
DL01-9-01014 NOT1rF
City of Tigard Building Departaeent 1
13125 SK Hall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
i
Footing Plbg. Undersl.ab Nech. Rough-in Appr/Sdwlk
Fcund. Plbg. Top out Gas Line FINAL:
Lrb'of/Beam StruCt.\\, San. Sewer Framing -Bldg.
,Robst/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requestedt_ �_ GIC ^TLme: �AM PM
Address: LAW-, Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
.A
G
' 1inspectors_ � Date: /
APPROVED /DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
INSPE4'TION NOTICE
City of Tigard Building Department ( �•�'�
13125 SW Ball Blvd. Tigard, Cwegon 97223
Inapec,on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections__ ----
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out .an Line FINAL:
L � _
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain inau'.ation -Plumb.
/*1bg. ORdorll Water Line Gyp. Bd. -Hoch.
`Date Requested:__ —, !& _—_ Time: AH PH
Address � -'��_ �~� Permit t:
r
Hsa.11der:
THE FOLLOWING CGRRECTIONS ARE REQUIREDs
Inepect.or N``—' - F, Date:
1 PROVED DISAPPROVND -- APPROVED SUBJECT TO ABOVE
Call For Reinsp.
W Iff [WANUPWA
INSPECTION -N 0 T!CE.
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 *5z
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
we-60-52
Presented to �pproved
Inspector Disapproved
Date
CALL FOR REINSPECUON
Fl YES 1 -1 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P�hore: 639-4175
Type of Inspection
Date Requested 1 !� Time k- A.M. P.M.
Address ___ 1 h d _� Permit
Owner __. Lot #
BuilderThe following Buildi g Code deficiencies are required to be corrected:
CJA ---
Presented to __ ❑ Approved
Inspector ^iupproved
Date - �_� ---- /
CALL FOR REINSPECTION
S 1-1 NO
A
INSPECTION NOTICE r/
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 ___ fie '�7 � Qr - Permit
Owner. Lot # _
BuilderThe following Building Code deficiencies are required to be corrected
Presented to Approved
Inspector Disapproved
Dote
CALL FOR REINSPECTION
P YES ❑ NO
CITYOFITIFARD I*TASTER F'ERhI1 T
CffYOFTWA R ITI 1:T 0. . . . . . .
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW HWI Blvd. P.O.Box 2M97,T4;wd,Oregon 97,223(SMOM"175 OREGON RIII., PERMIT
DATE ISSUED: 06/08/)o
ADDRESS. . . : 15665 SW 82ND AVE' PARCEL: 2SI12CC-08500
SUBDIVISION. .. .. .. .- LONGTREE ZONING:
DLOCK. . . . . . . . . . ..
BUILDING
REISSUE:MST900110 DWELLING UNITS:1 BASEMENT. . . . . . . . 30 sf
.(",LASS OF WORK. :NEW DEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :340 sf
TYPE OF FLOOR AREAS------------------- REQUIRED SETBACKS-
TYPE OF CONST. '5N FIRST. . . . : 1510 sf I EFT. . :5 ft RIGHT. :6 ft
OCCUPANCY GRF1. :R3 SECOND. . . :0 sf FRONT. :20 ft REAR. . :32�32 ft
STORIES. . . . . . . .. I THIRD. . . .. ..0 sf R E 0 U I R E D
HEIGHT... . . . . . . . :20 ft TOTAL—... ... - 151H sf SMOKE DETECTORS. »Y
l::LOOR LOAD. . . . :40 sf VALUE. . . .. . $,. 6':);540 PARKING SPACES. . :O
tri level lionie
............. ------------ PLUMBING
STNKS. . . . . . . . . . .. I FLOOR DRAINS. . . . no BAC111-"LOW PREVNTRS. . 0
1_0VATORIES. . . . .. -3 WATER HEATERS. . . :1 TRAPS. . . . . . . . . . . . . ..
TUB/SHOWERS. . . . :2 -o
LAUNDRY TRAYS. . . no CATCH BASINs. . . _ .. . .0
WATER CLOSETS. . :3 SEWER LINE-: (ft) . *.@ GREASE TRAPS. . . . . . ., .0
D I SHWASHk.._RS,. . . . WATLER LINE (ft) . ., loo OTHER FIXTURES. . . . . :(%)
GARBAGE D I SP,. . . RAIN DRAIN (ft) . :o
WASHING MACH. . . - 1 SF RAIN DRAINS. . 111
MECHANICAL FEES
11JEL TYPES-.... UNIT HTRS. . .-O type cAnIOUVIt by date recpt
/GAS/ VENTS . . . . . :9 PAYM $ 40. 00 JLH 06/14/90
MAX INPUT:0 BTU VENT FANS. . :4 PPRT $ 343. 00
FURN < 100K . . - I HOODS. . . . . . : I BPLC $ 40.100
TURN )-100K . .. .-,o WOODSTOVES. :0 P5PC $ 1.'7. 1.115
FLOOR FURN. . . . .0 CLO DRYERS. .- I EIVILC $ 143.05
BOIL/CMP OTHER UNITSnO s),r D C $ 600. 00
GAS OUTLETS:1 SSDC $ 250. 00
Owrier: PARK $ 250. 00
T'IT'AN PROPERTIES MISC $ 15. 00
PO BOX 6835 MPRT $ 39.00
OL014A OR 9'700'7 11PLC $ 9. 75
Phorie #c 6455477 I15PC $ 1. 95
Contractor: P P R T $ 132. 50
TITAN PROPERTIES $ 6. 63
PO BOX 6835 PAYM
$ 250. 00 JI LH 06/23/99
PAYM $ 1;556. 03 JA H 08/08/90
AI...OHA OR 97007
[JI-10iie 645647'7 I
Reg #. . .- 30558
1.848.0.3 TOTAL
this permit is issutd subject to the regulations COrtdAned in tie REQUIRED INSVIECTIO14S
;ijard Municipal Code, State of Ore. Specialty Codes and 411 other Foot/fot.tnd Insp Mechartical Insp
applicable laws. All work will be done in accordance with ,.approved Wtr roofing f4sm
PlUnib 'Top Out
Plans. This Permit will expire if work is not started within 188 Post/Beam Strutt Framing Irlsp
da.vs of issuances or if work is suspended for more th 180 dare. P'Ost/Peaflh Mectian FireplAcp 111cip
I:,e(-nij.t1;ee Signature: Crawl Drain Gas 1-ille Insp
J,/�4'e`- PIPI/Ltridslab Trisp I115Ltlatj.(.JJ1 Irlsp
ISSUed By: PLM/Underfloor Gyp Board Insp
Ftrig Drain Bsmlt Rai,ii drAi.ii 111sp
Call for inspevtion 639-4175
OF' TIGART RECEIPT OF PAYMENT F-!E(:;IZir-'T NO.
DAM., Amoull"I"r m z55s.07
TITAN PROPEP.TIES C-A%4 Atlout-4T
PAYMENT DATE
0 1)P C
ALOHA, OR 970077- SuEtri I V I S 1 ON
PUPPOGE." OF PAY MENT AMOUNT PAI D OF PAYMENT AMOUNT P-IfV,,
DU I Lr?I IAG P'EPM M G Tl,)-0226 3.00 PLUME-ilt,16 PERM 1. 2,. 5()
MECHANICAL r-`E 3.9. 04) ST. PUILD PFF: 2�..7'-..
PLAN CIAM. FE 167,90 STREET '30C
SDC, 250.00
5M 82ND AV.�l
CITYOFTIGA ::3EWk.Fi ERMITCT'ION
P'l::F;Mx�'
C(iRD Y T16►ARD F-1:::RMIT #. . . . . . . » 13WR90--OP-41
COMMUNITY DEVELOPMENT DEPARTMENT ORICMM71
pIRIM. F1.'R1Y1I T• #. » VIST90-0226
13125 SW FW I Blvd. P.O.Box 23397,119ard,Oregon 97223(603)839-4175 DATE ISSUED: 0 / /` 0
G I Tf.: 01)1)1iE.r•SS. . . :: 15665 SW 82111) (WE'. POIRCEL» 211112CC-08,500
SUDDIVISION. . . . » LANGTRE:E. ION.ING»
Is►...f.)(::I'.., . . . . . . . . . x LOT. . . . . . . .. .. . ., .. . ; 17
11::IAW,11, ISIAMI . .
(.1faA ILIO. . . .. . . . .. . . »41672 FIXTURE. UNITS. . . »
CLOGS OF:' WURK. ., ,. »NE:W DWELLING UNITS— .-» 1
T'YP'E-- OF' USE'. . . „ . »SF' NO. OF' DUILDINGSe 1
I:113'141 LL 'r F'E:. . ,. » »1.4USWR I MV'ERV SURFACE. » »s f
kenia-rk.ss 1 tr:i level. home
C.)wrle.r.» _._.._....___......_..-.._.._._.._..._.__.....____...._.___.._._..-.. ....._ _.._....__...._.._......__ _...__.._........ FEES -
TI TAN 1-*)ROPIERTIES type amOLlnt by date •reecpt
1:NSP' $ :35.00
0L.0H() 0 R 9700'7 f1AY11 $ 1285.00 JLF•I 06/28/90
611-1ar1e It: 64554'7'7
C:ca r1'trrar.�to�r» ... M-••••__...___.___..__...�..__._..______..._..._....__..._._......
[:Ola'TROCTOR NOT ON F-11-E
1'll arle1 ff» $ 1285. 00 TOTAL
___.__.........
REQUIRED INSPE(::TIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 128 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
qiven, 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.
Si.q 11 a t•;t.1•r e» _.___..._ .......... _..W.__. _._ .._.___._.,...._.................._......_.......
Gall for irls;raect;d.on 6:3'9-••4175
CITY OF TIGA RD CIT
Vor
PLAN CHECK APPL] ATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK k
13125 S.W.HSI Blvd..RL Box 23397,Tigard,Ont9w 97223,15031 639-44175
PERMIT N - u��G
(- C DATE ISSUED
�
X JOB [ ItESS: !r,� n / fJ 'w l.V� TAX MAP/LOT Z �/ -/2- cC - �ZL/"
SUB, t. _ _ XLOT : _ _ LAND USE:
/VALUATION: —
OWNER ( r _ SPECIAL NOTES
NAME: REISSUE OF:
ADDR[SS: �o $ LAST REISSUE: r ` _C
FLOOD PLAIN/
SENSITIVE LAND:
PHONE
APPROVALS REQUIRED_
CONTRACTOR PLANNING: _
NAME ENGINEERING:
ADDRESS: _ FIRE DEPT _
OTHER:
PHONE: __ _ ITEMS REQUIRED
BUII-DERS BOARo N: EXP DATE: �LLIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS: _
NAML : _ TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
COMMENTS:
SUBCONTRACTORS: PLUMB: Z , — (,, -7 i MECH: '!;;71
PERMIT M ACCT M DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
2 l(<- 10- 432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees " 4 3 L 5L
1l;- 431 01 Mechanical Permit Fees - 3
10 230 01 State Building Tax (5X)
Building 17•IS"
Plumbing (r G :5
Mech
10-433 00 Plans Check Fee, 1 ✓/k'rA �,,,, �� /(C 1 �SG�
Building c ! i) �</. ✓ C/��
Plumbing .l. /'/3 u�� / it
Mech y 1 ►n�t9�_ 'o_
,c1 30-202 00 Sewer Connection r /1 V
30-444 00 Sewer Inspection / J 3
51-448 00 Street System Dev Charge (SDC) ✓ fig u —T �C
5; 449 00 Parks System Dev Charge (PDC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC) 2 f-Z
10--230 06 Fire
TOTAL -:,3
RUC N
APP ICAN SICNATORE ---�
Received By: Date Received:
cn/3587P/18P _
UUNUff-LM
GRADINGj1?R )STUN CON'1'1 1, INFORMATION .
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.:
0.- PERMIT NO.:
2 APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR TITAtJ �Rvlk l 1
NAME& ADDRESS: TO Rejx
OWNER NAME AND ADDRESS:
TEI.EPIIONE NUMBERS-
APPLICANT: c I I' '� PROPERTY DESCRIPTION:
OWNER. _f STREETADD�ESSA D CRASS STREETA OCATED
GENERAL CONTRACTOR: t •/ L tl ' r
EXCAVATION C'ONT'RAC_`TOR:_61,f - -iij?0 .-� 1 _
SI IE/JOB;_
LEGAI.DESCRIPTION:
24 HR/AF'IL•R HOURS EMERGENCY TAX I.,OTNO.:
CO ACI'IFRS tTN,' H'l.1:,TELEPHONE: 1/4 SECTION:
E' Y' SITE SIZE,ACRES:
DISTURBED/WORK AREA,ACRES:
LOCATION& ADDRESS WI E'RE SPOILS
LEAVING SITE.WILL BETAKEN SITE RIJNOFFDRAINS TO:(CIRCLE ONE)
(Nt1TE:PERMITS MAY HEREQUIRED, (CA1'Cll-BASIN DITCII PIPE CREEK
(CIRCLE.ONE) PRIVATE Pi JPERTY
-- _UHL�C R:GETT OF WAY
F tR(( S1Q��E131M NTA ION CQNTROI, (E�SCI MEASURES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
Di IR I NG CONST RUC11ON: FOH1 OW ING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION E-'N•IRANC'E REMOVE AND RESTORE TEMPORARY ESC
PI:RIMF•IER RUT;"II F CONTROL FACILITIES
CLEAIONu AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERM ANTFACILITIES
CONSTRUCTION SEQUENCE OTHER _
O•r11ER _
PIAN FOR EROSION CONTROL PREPARED AND StIBMIITEI)IN ACCORDANCE WITH'TECEIMCAL GUIDANCE HANDBOOK
EROSION CONI-Rot,PLAN DRAWING,AS R[QIIIRED,HAS PIAN CONSTRIJCTION NOTES COMPLFTF,INCLUDING EMERGENCY
PHONE NUMBER, SCIIHA1I.FaSTAGING TOR INS'T'ALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APH ICARIT STANDARD NOTES.
I HAVE READ AND WILL COMPLY WIT'll THF ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MIASURES AS NECESSARY
TO CONTAIN SH)IMFN'I.ON THE CONSTRUCTION SITE.
OWNER STMe AT ORI: APPLItw,VATURE
OFFICIAL USE ONLY,
RECEIPT DATE ACCEPTED
III. NUMBER RECEIVED BY
CITY OF TIGARD
Gm10 1 PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT " '" PLAN CHECK N
13125 S W.Hall Blvd..P O.Boa 23397,T{qatd,Omgw 97223.(50.7(639.4175
PERMIT H 111.E V7A D 1
DATE ISSUED
-/JOB [ RESS: I ��p5 j�Wai/" �_1 TAX MAP/LOT —
SUIi LAND USE: _
AL 5
OWNER /� - SPECIAL NOTES _ (O 3 - �1
NAME. �Jt REISSUE OF: _/S�0 yS
ADDRESS:7 �p_ _, — LAST REISSUE:
FLOOD PLAIN/
SENSY1.(VE LAND:
PHONE: —
APPROVALS REf�U1RED
CONTRACTOR PLANNING: —
NAME: _ '� _ ENGINEERING:
ADDRESS: _ FAIRE DEPT
- -- -- — OTHER: _ — --
PHONE; - ITEMS REQUIRED
BUILDERS BOARD M: — EXP DAT O- 1 LIST/SUBCONTRACTORS: _
BUS TAX:
ARCH/ENGINEER CALCULAfIONS:
NAME: TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
COMMENTS:
SUBCONTRACTORS: PLUMB:G MFC—H:�0 i A)
PERMIT N ACCT M DE)uildog
RIPTION AMOUNT AMOUNT PD. BAL. DUE
alit c l 5
10- 432 OO BuiIdiPermit ees -
-_ 10--431 00 PlumbiPermi Fees
10- 431 01 Mechanal Pe mit Fe �•� 34,
10-230 01 State Tax %) _�•Sy —_ � /
Building ! �4 5�
Plumbing_— .5•
Mech _ YU
10-433 00 Plans Check F ole I 11)! A�'� _ /
B:ji1ding
Plumbing
Mech
/ P111- 30-202 00 Sewer Connection
30 444 00 Sewer Inspection _ �3L
51- 448 00 Street System Dov Charge (SDC) er, (�t•�•
52-449 00 Parks System Dev Charge (PUC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 1 ire _
�\
/ TOTAL RIC N 7 cri+3 �•7
APP
,TCAN SIGNATURE
B
Received _ _ hate Received:
- y� __ gi _._
cn/3587P/18P -_.._.
F, FFI
GRADIN(;/F,ROSION CONTR )1, INFORMATION
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.:
I — PERMIT N..
AF'E'LICAIr�I'NAME AND ADDRESS:
EXCAVATIONCONI•RACTOR TITAN PRuA-f,rI 1-.
NAME& ADDRESS: S1ejX c'B3S
n c_c..r N,11�� 9100 -1
OWNER NAME AND ADDRESS:
7L'I.EPIIONE NUMBERS: —
APPLICANT: I I PROPERTY DESCRIPTION:
OWNER: _ • i 1 STREET ADDRESS AND C OSS STR) ET ATED
GENE'RAL.CON'IRACFOR: —
EXCAVATION CONI'RA(7FoWW;
LEGAL.DESCRIPTION:
24 FIR/AI-IFR HOURS EMERGE'NC'Y TAX LOT NO.:
CO ' 'A(--F PE:RSo N,'l`FI.E,TGLEPIfONI:: 1/4 SECTION:
J-N SFIT?SIZE,ACRES: _
----- —-- DISTURBED/WORK AREA,ACRES: _
LOCATION&ADDRESS WHF.RF.SPOILS
LEAVING SITE- WILL BE TAKEN SI'IE RUNOFF DRAINS TO:(CIRCLE ONE)
(NOTE:PERMITS MAY BE REQUIRED) LCAT_CH-BASIN DITCH PIPE CREEK
(CIRCLE ONE) P3" P OPERTY
cFvRu RIGFIT OF WAY
}I OSIQN/SI I)IMI;N'I'A'I'I NTR L (ESCI MEASu$ES
MINIMUM F:SC RI:QI)IREMI.NTS MINIMUM ESC REQUIREMENT'S
DI JR IN(i CONSTRI JCC 1()N: FOI.I.OWING CONSTRUCTION:
SEDIMiiNTAT'ION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONS I"RIJCTION ENT'RANC'E REMOVE AND RESTORE TEMPORARY F-NC
PI-RlMI:T1-'R RIJNOIT CONTROL FACILITIES
CLEARING AND GRADING RESTRIC'TTONS CLEAN AND REMOVE ALL SILT AND DEBRIS
(:OVER I'RACI'ICES ENSURE OPERATION OF PERM AN'FACILITIES
CONST'RI ICTION SEQUENCE OTIIER
()TT I ER
PIAN FOR EROSION CONTROL PREPARED AND S(JHMIITED IN ACCORDANCE WITH'TECHMCAL GUIDANCE HANDBOOK".
EROSION CONFROL PIAN DRAWING.AS RLQUIRED• IIAS PLAN('()NSTRU('TION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE N11h18ER• SCHEDULNISTAGING H)R INS I-ALLATION AND REMOVALOF EROSION CONTROL MEASURES,AND
APPLIC'AI)LE STANDARD NOTES.
1 HAVE RFi)AD AND WILL COMPLY WCI'H THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SHAMINT ON THE CONSTRUCTION SITE.
OWNER 5 o ATARI: AF'PLI A ,NATURE
• • • • • • • • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0111CIAL USE ONLY.
hl ('I II'I DATT ACCEPTED
I1.1. NII�IIII R RECEIVED BY
t C1 1-71
GTE Northwest Incorporated
12,160 SW %lain St
P 0 Box 2:3416
March 7 , 1990 Tigard, Orerlon 97223-0062
Dear GTE Subscriber:
As an ongoing effort tc, provide high quality service to our
telephone subscribers, GTE Northwest Incorporated requests that
home builders provide the following for all new homes:
- Place a continuous length of PVC (minimum of 111 , sched-
ule 40) from the property line at or near the telephone
pedestal to the residence at a location where the prewire
is accessible (please see diagram "A") . Also provide a
pull string for use by GTE to install service wire.
- Because security is a concert, for many home owners, a
metal rainproof utility box cz.,n be either surface or
Plush mounted (please see diagram "B") .
- Separation requirements for utilities being placed
underground are shown in diagram "C" .
GTE Northwest is concerned about the installation and mainte-
nance of your telephone service wire. We feel that once the
added protection of. PVC is placed and our service wire is in-
side, the possibility of damage will be minimized and will lin-
able the replacement of the service wire without disrupting toe
landscape.
If, in the event the PVC is not available at the time of instal-
lation, GTE will deny service until a trench is provided or PVC
is placed.
GTE Northwest Incorporated is available for any questions or
conic rns you may have in this matter.
Tigard, Scholls, Sherwood, Stafford, Newberg, McMinnville, Amity
and west Lake Oswego subscribers may call 639-0712 for assis-
tance.
Sincerely,
Gregg J. Leonetti
District Manager - Tigard
An Equal Opportunity Employer
A part of GTE Corporation
•ti.
GTE AORTWEST PAVAPOWED
STANDARD NETWORK INTERFACE
TO BE PLACED SY GTE
TELEPHONE PREWIRE FOR = `
SINGLE FAMILY RESIDENCE
1 SEE ATTACHMENT FOR
r (, ADOITIONAL REQUIREMENTS
TELEPHONE INSULATED
INSIDE WIRE W10 COPPER
GROUND WIRE
TYPICA L�EXTERIOR- Loo
SIDING
F I NAI GRADE
II
II
II
II MINIMUM IR"
MINIMUM 6" RADIUS II
MAXIMUM 900 SENO �� II
OL40W •A'
11189
� ar e� � � s t ■r
OrE AofirNWEST IM1rawvRvED
IEIEPHONE PRUIECIOR DOX FOR ~` 1 Fr— 1 Ell— ----1 6,L-1 7
SINGLE FAM11Y RESIDENCE
II I 1" X I1' X 4' MINIMUM 10 ACCOMODATE (.SNI )
STANDARD NETWORK
r n INTERFACE PLACF0
BY GTE
SEE ATTACHMENT FOR
r ADDITIONAL. REQUIREMENTS
INSULATED
PIILI TR1NG — X10 COFFER
GROUNO WIRE
Of TO MULIINFUTRAL GROUND
Q
II
MINIMUM G•• RADIUS. II i MINIMUM 18'
MAXIMUM 90 RENO ° —, j
,
aASWV
11/8.9
GT'E M'>t�r WEST uVC NV RAYED
UNDERGROUND SPECIFICATIONS
JAO OR U1ILI_TY "-"---- -�- --- - -- -�—
RIGHT OF WAY e �
LINE I i PROPERTY LINE-
BUILDING i
A
UTILITY
i
TRENCH-.,,,",,
3-+ TEL PHpoNE ACCESS TOI
UTILITY POLE I r _ OWER CO. GROUNOo
OR--
PEDESTAL _— --- ----�_ —�—
HORIZONTAL _ CA) VERTICAL
S lk s
i4p_
- z
yr .
c'� r,AeLE ry -_� V�11" CABLE ry
TELEPHONE-- ----
TELEPHONE
PUWER ' 2" ,- POWER POWEROK — 1
DI-ICT GREY PVC DUCT DUCT GREY PVC
km IMP"
RACCKFILL INNATIVE
SOIL/ROCK NO
LARGER THAN 3"
r- UTILITY POLE
RUIL01NG —
NYLON 40"MIN:
_
-'� PULL THINE 08
�`
+-61STu8 _
'1 2"GREY PVC ' ®� _30"M
IN. —
36°RAO IA
6"CLEARANCE
POWE
co R 0 ��
NY L0N rPD
rwNE � ` 16`MTtJ. _ —+ POWER
R A D I A 1. - CO P A D
6"STuF CLFARANCE
36" DUC POWER Dtlrl
co
RA 0
mi / —
_ + C'ARBzLE AAooDUAACT
--�
OD EA
� R1�RCE — —
£NCIN£E RIAC WORMATRa14 TELEPHONE D
FoR£s7 (;Rwr /5oJ/J9-7JOJ 4 G R E Y PVC 2"GRE Y P V C
BEAV£RfON f,5oJ4SIJO376
r/GAV (50JA 5199 'xAQRMI
GRESMAM (50JA567-9;77 �� 10 BUILDING N!89
CITY OF TIGA RD
OREGON
ATTENTION C0NTRAC''TOR
The residence you are about to construct, alter or modify is subject to the
erosion control rules that went into effect January 1, 1990. The State
Environmental Quality Commission has mandated that the City enforce these
rules.
the following is be the minimum required for construction on single family
residences:
o An approve:i erosion control barrier must be in place prior to any excavation
or land :AlteratLon. Note, the barrier must be installed no the bottom Of the
barrier in a minLml-,m of 6 inches below the original ground and anchored
(see figure 3-3 or 3-4A of the technical guide book for erosion control) .
o A gravel driveway must be placed immediately after the initial excavation is
completed. Figure 3-2 of the guide book describes the gravel driveway. The
note which calls for a subgrade reinforcement (filter fabric) will only be
required in severe cases (were silt has worked its way through the gravel) .
o During the period of Oct. 1 - Apr. 30, the disturbed area of the property
sf•all be covered with a mulch (i.e, hay, straw or bark chips, etc) with a
minimum 2 inch depth, or 6 mil visqueen anchored to the ground. This cover
must be installed within one week of the excavation of the property.
o Catch basin inlets must be protected from erosion run off or silt that is
tracked onto the street.
No inspections will be approved without the erosion control in place at the
appropriate time. Any excavation without the proper erosion control will result
in issuance of a stop work order, and possible citation.
Developers may submit an area wide erosion plan to cover an entire subdivinion.
This plan must be designed by an architect or engineer, and meet the design
of the SCS Univernal Soil Loss Equation.
If you do not have a copy of the "Technical Guide Book for Erosion Control",
please contact the City.
Thank you for your cooperation in this matter.
Since7r ly
Brad Roast
Building Official
13125 SW Hull Blvd.,P.O.Box 23397,11gard,Oregon 91223 (503)639-4171 -------