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10950 SW 95TH AVENUE ADDRESS: I toq5,0 SZW q5**Av9N(JA n: F— V'1 H H J CO C7 LL; J i:VecordsVnicrullm\tar-gels W uilding.doc TIF CITY OF T IGARD CERIoll.."CUPANCATECOF Y COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . 1YIE31 9 13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)639.4171 DATE ISGUED: 01/14,194 PARCEL: IS135AC-05100 :ATE ADDRESS. . . : 10950 SW 95"1 (WR ZONING:R-12 ''�'UBD I V 16 1 ON. . . . : oLOCK. . . . . . . . . . : L U T. . .. . . . . . . . . . . (-,LASS OF WORK. :NEW 1"Y'PE OF USE. . . :SF f)C('-'(-IPANCY GRP. :R3 f.)CCUPANCY LOAD: 115 4 (T"NANT NAME. . . : RemArks : PATH I need .reet opening permit from engineering P PROV'URTIES 16395 SW BELL RD '-AAERW00D OR 97140 Phone #& -1732 (.'antractorc r." PROPERTIES 16395 SW BELL RD -)HERWOOD OR 97104 Thune 0, 229-1732 Pelu #. . : 191375 c)ccupancy of the above referenced buildinr and certifies j is hereby given, t;hp compliance with the State (If Creclon Specialty Codes f,-jr the group, (;ccuppkncyq and use under which the referenced permit was issued. FIRE DEPARTMENT BV.1)LDING INSPECTOR CC FIOL'J IN L(INSPICIJOUS PLACE APPLICATION – STREET IMPROVEMENT/EXCAVATION _ COPY TO: ORDINANCE NO. 74-14 1 ` ' 170 (WHITE)-FILE ( r, j ® (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) / (PINK)-OTHER AQENCYbl�s `M!1 rl/ ($ (BLUE)-APPLICANT APPROVED }{ APPLICATION NO.: e3+ NOT APPROVED (_' CII l 01' 1IGARD, OREGON FEE AMT.: S— 38.0 PENDING FEE. PMT. ❑ C:I 1 Y 11ALL RECEIPT NO.: — PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BYDATE 1! LSI• l9_� .Y _ — — — — _ — — — — — — PENDING AGENCY "OK" ❑ .Application and ProKress Record PENDING INFORMATION ❑ PAAINTE EQUIn BOND it FON STREET IMPROVEMENT/EXCAVATION As rreauC EB —"-- ANNUAL. PENDING VARIANCE 1..1 EXPIRATrN TE: 'u / PERMIT NO.: = =!Yt�7-_. --__ DATE_ ISSUED: BY: IZ - - -— (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ SIDE (SANITARY) EWER SERVICE LATERAL 1* MAINLINE TAP AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT Strausa Excavating, Inc. 24175 Sw Davis ad. H+llsburo, OR 97123 649-8117_ NAME ADDRESS 6lwd "OR OR g'P• Builder, Al Penne Ladd Hili Rd. Sher97140 625-2225 NAME ADORE CITY V- PHONE -�— PLANS BY - per City Standards & Specifications NAME ADDRESS CIT ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 950.00 DOLLARS FOR OFFIC E ...r_ r-.MIN. (2) EXCAVATION DATA: 0.04 X s_ •� = s 3�•� STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE: REMARKS/TYPE BY TYPE I- =NGTH WIDTH DEPTH ITEM & QUANTITY _ STREET — PENED til fl IVF; t lCtdC 1C�'} INS C- _ R TION E Q s 1.1 - ESTIMATED STREET OPENING DATE:_ � / E ESTIMATED STREET CLOSING DATE: / T ~� D (3) SECURITY NO. SECURITY AMT.: S 950:00. CLOSED SURETY CO.: _ FINAL CHECH CASH U BOND C INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL _ SPECIAL PROVISIONS /CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. 1 I work area }� a See attached Provisions/ 1 conditions a details ( SITE: 10950 SW 95th A ej , _ _ T o Conditions of MLP 92--0010 apply. U URB — — _ Un S. W. 95th AVE _ ---- LO 1 1 N I I ) (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WA I' JURISDI.:TION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AjREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTI'JENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVF HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE _ DATE Special Conditions/Provislons: 1. All work shall conform to City of 1'.gard, Oregon, Standards and Specifications. Note the attached Detail Drawings (U.S.A # 300, 350, 360, and Tigard # S-2) applicable hereto. 2. Notify City Inspector Letha Thomas(#639-4171)24 hours before starting any work. 3 . Removal/replacement work and damage repair work shall be promptly initiated and completed to the City's satisfaction. No work shall be considered complete until it is accepted by the City. The City reserves the right to cause testing and certification of work or repairs to be performed, to the City's satisfaction, at permittee's expense 4. Erosion control shall be provided for by the contractor. 5 . ORS 757.541-571 applies (pre-notification for location of underground facilities, etc.). n• F-- N F- J co CD LL! J � 00 - r 121 o 12 9Z£6 l / I 04£6 0 0 I 2 F=- 9m f N � M r c'J — 5946 oz� 3n _ 97,06 I > u�il S8£6 0006N n n o W 0£06 r� 9006 p o I 0906 o c, Io 0 0 � � o o .o o r• � C CD aD T $ O n O N N P 3 At1LO � y 156- 1 --t .'=I cD ( I I I T ,p — N N \ \ o O to O o gall S9S6 8956 oa56 oezi� I w -_ 509 6 �z\ 0096 9£96 9096 } I � 4996 vC��vm C. \3 6 r-rnr �(n 0£L6 s� \� 5£L6 \' S5L6 i OL L6 581,6• � .y :c • I � 91L6 � - ��, m 09LG n c, \ 0086 -— _ -- - — rL Z096 I 0086 �? }" I W d � e o x X66 0 0266 N O r► w 12 —� �' 48002z Ac. I /c�\ 18 _ + 2700 ../6 Ac A' o26100 q 0 N .43 Ac, 15.t2 — N 2500 • 2400 - 46610 .4.5 Ac. /.ORAc. 1e 1.7 u o 5000 5100 •17Ac .?.OAc. 50, 1 o 1993--0 D 6 N Bt.50S 69°50'OCP W C I S.W. ;33� cHZ .4 4 LONGS AFF 3..4cN. - 44.8 as.,. STREET s.r.: 5o 0 1700 I IOc 7 79 Ac. SEE MAP r d IS I 35CA N �� r.. N► w n ft �� V I H J ccCD • R 22 J 23 SEE MAP JSI -351�C IS 135DB �-- SKETCH: 3 r � 3 1 H 2 a n: F- m M C-7 .l Q =it S r, 1 1 . f I BUILOIN4 SEWER PIPE, _'fZE AS SPECIFIED I I PLANT FABRICATED TEE FIT FING ON SEWERS 18" AND SMALLER. BACKFILL 2X4 FIELD TAI:' ON-EXISTING SEWERS AGAINST PWG M AND NEW SEWERS LARGER THAN I PREVENT PLUG THAN 18. I BLOWOFF 6 SECURE 2X4 IN PLACE WITH TRENCH BACKFILL. SEWER NaN PLAN , OR LATERAL EXTEND AT LEAST GROUND 12"A00VE SURFACF SLrRFAC£ MINIMUM SLOPE FOR , fi' PIPE= 0.010, FOR 4"PIPE = 0.020. -SCRVICE CONNECT10N ilARKE." . MAGNETIC TAPE----5~^ GREEN w/BIACK LETTERS (WASTEWATER) GREEN w/8LA0< LETTERS (STORM CRAM) P LLUG ' r-z 3/4'-0 P1P£ ZONE MATERIAL •Y' SUPPORT TEE WITH AS SPECIFIED BEDDING GRAVEL, ►AtdMUM 2'Cr WIDE Sl DE BUILDING SEWER ch+l n.e 3*w"no AV4,cr Ovwg. No. 300 • • PVC SADDLE (TEE) I STRAP RETAINER RIDGES I I - i ill=-RUBBER GASKET 1 / SEWER PIPE- T \STA:`'!"c SS STEEL STRAP • PVC SADDLE SHALL BE ASTM 3034 SDR 35 • PVC COMPOUNDS SHALL BE ASTM 01784 WITH CELL CLASS OF 12454-8/C OR 12394-C 19, ALL ELASTOMERIC SEALS (ROBBER GASKETS) SHALL BE AST19 F4TT STAINLESS STEEL BANDS StiALL BE 300 SERIES, FULL 9/16" WIDTH RAND, 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. INSERTION HOLE SHALL BE CORE DRILLED. LD PVC GASKETED urww SADDLE strwage DRAWING NO. 35O agency I . COMPLETE RUBBER SLEEVE (ASTM`C-4431 INCLUDES A MOLDED SEGMENT THAT HOLDS IT IN PLACE. 2. STAINLESS STEEL BAND (9/16" SERIES 300) SECURES UPPER HALF OF RU36ER SLEEVE TC THE PVC HUB. 3. PVC FLUB (ASTM 3034 SOR 351 ' DRIVE INTO CENTER OF R')C9ER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 3 I 2 vz ,--CONCRETE PIPE NOTE: ALL INSERTA-TEE HOLES SHALL BE MACHINE DRILLED. I NSER. TA — TEE agency 8�d DRAWING .VO, 360 I MIN. 3" A C IN 2 LIFTS t STREET AREAS I OUT OF STREET AREAS SAW C-dr EXISTING I. SECTION RESURFACING 2"OF 3/4"-D" ' ° r : •• r ,� CLASS A ' • / BACKFI L L o 1— CLASS B - _ z .3/4=O GRANULAR U i BACKFILL h _� O 41 Q --- --r---C �• • o ? cr_ o j4 n�N 'o . •d n c� I ti v o r O O h lu �1' s • O . c PIPE BASS a fi BACKFILL IN STREEZ AREAS N L IFS/W 13 A(WNST CURB, FILL ROC;% TO BACK OF S/W ~ 2.IF 3/W IJ NOT AGAINST CURD, FILL ROCK 2'BACK FROM CURB m - PIPE BEDDING -AND CITYOF T117A ID BACKFILL DETAILS OREGON OE51GN 15Y AI'NFt EO BY r?:rs yu Ey GA ��-F t7,n'tE � CULAI.JiNG No. NT5 8/3o/fig 5-Z INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 6.19-4175 Business Phones 639-4171 Inspections_ Footing P1bg. Undernlab Hoch. Rough-Li Appr/"Wlk Found. Plbg. Top Out Cas Line 1IIfALf� Poet/Beam Struct. San. Rewer Framing -bldg. Post/Beam Hoch. Rain Drain Insulation plumb` Plbg. Underfloor Water Line / Gyp. Rd. -Hach. Date Reques te d: / / 1/ Timet AH PH hddress: l l; t 4 Permit 1f Builder: rJ ( ? Y 4U(�. tM— TBE FOLLOWING CORRECTIONSARE REQUIRED: C3. (Y F-- N y .J U L11 Inspect s Dates APPROVRD DIRAPPROVED APPROVED SuRiNc'T TO ASOVIf i Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 3125 SD Ball Blvd. Tigard, Oregon 97223 Inspection Lino (Roc-O-Phone)s 639-4175 business Phore: 639-4171 Inspection: Footing Plbq. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINALt� Post/Bea,: Struct. San. Sewer FramingLdq. Post/Boam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -NFch. Date Requested. 1 rimes —_PL{ PH Addre:s f ��-�� ``' y 1 � Permit-7i tlZl, THE FOLLOWING CORRECTIONS ARE REQUIRED: i CL' -- F" 1 i N i Y - r1 V w / J Inspectors Dates �( y APPROVED DISAPPROVIM APPROVED SUBJECT TD ABOV2 Qaii for Mla". ' INSPECTION N ICE City of Tigard Building Depaxtmmt 13125 8i, Ba11 Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Hoch. Rough-in Apex/8"lk Pound. Plbg. Top Out Gas Lino P rest/Beam Struct. San. Sewer Framing _) Post/Beam !tech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. 1 1. Date Requested s / 11 L� Times �^ AM _PN Address: Builders �'7 1 ,fr6cl 7 z `7 1-732, T11E FOLLOWING CORR20TICK2 A= MMIRRDs 1 - - -- t - EN 1 \ Ins;.jectorf �._-- .___- Late._ APPAOVID 4 �SAPPROV=D APIIMND SUBMIT TO ABOV2 '� Call For Reinsp. INSPECTION POTICE / City or Tigard Buildizig Departaent / 13125 8w Ball Blvd. Tigard, Oregoo 97223 Inspection Line (Rec-O-PPhhone)s 639-4175 Business Phone: 639-4111 Inspection: Footing Plbq. Dnderelab Hoch. Rough-in „Appr/Sdwlk Pound. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water �fLin* Gyp. Rd. -Meeh. Date Requesteds r- Time: f A t AN (/y_PH Addresses /L��jt�h I Permit RsV'vl�l � lU 2 Bu I lder: �,� 1 C i 2-1 ` ��/2--- TIM ---TIM FOLLOAING ODRRECTIO148 ARE REQUIRED: � r t gzle y J G] C.7 Ir.l J Inspectors ,w 71C APPSMD DISAPPROVED APPROVED BUBJECT To ABOVE Call For Reinsp. It S 'ECTIO NOTICE y City of Tigard Building Departtaant 13125 gW Ball Blvd. ?',yard, Oregon 97223 Inspection Line (Roc-O-Phone)s o39-4175 Business Phone% 639-4171 Inspection: Footing Plbg. Underalab Mach. Rough-in /8drrlk� Found. Plbg. Top Out Gas Lin' FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb.. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requealtedsq f- I�� / C/ Times AM PM Addreas s / /� 7 Permit #3 KA /5 ri3�l b Builder! P7 `� �� w-f , _�__/J 3 TRS fOLL4MING OORRSCTIONS ARE REQUIREDI c V) r, d] C7 LL: Inspectors [ %r� __ Date: •�1_-� APPROVED _ DiSAPPROVSD A*'PROVED SUBJECT TO ADO" _��Call For Reinsp. INSPECTION NOTICE --'! 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 Appr/Sdwlk Found. Plbg. Top Out Gas LiM FINAL: Post/Beam Struat. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater( LinoGyp. Rd. -Hoch. Date Requesteds c) z U z✓ Time: AM PH � r�5D✓ 1 Addreses �I >� I _ Permit �1013; y7 TMF FOLLOWING CORRECT—IONS ARE REQUIRED: M, kt- J C.7 W J Inspectors _ _ hates `/ APPROVLD DISAPPROVED APPROVED SUBJECT TO ABOVE �—` Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbq. Topp Out Das Line FINAL: Post/Bae..: at-uct. CrMM. ANNr Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor .(Water ;! Gyp. Rd. -Hoch. o Data Requested: 1 'r41 Time: AH C 1 pN Address: l/1��) -(��r Permit iJ-1451 Builder: 160 C34&A -SS THE FOLLOWING CORRECTIONS ARE RNMIREDs 1 • '� Inspector: _ Date: ) �- APPROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE P� Call for Rsinap. � � 1 N_ a � �r NI SPECfION NOTICE City of Tigard Building , 13125 BW Hall Blvd. Tigard, Oregon 9U2 AOtwOe,9'OP„ Inspection Line (Rec-o-Phone)= 639-4175 Busines4• o s' 63', -x,'`.';1 Inspection= Footing Plbg. Underalab Mech. Rough-in Appr/s.iHlk Found. P:bg. Top Out Lias Line FINAL. Post/Beam Strvet. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -plumb. Pl.bg. Underfloor Nater Line l -Mach. ( Date Requested= IU Z Time: AM /_PM Acid room=_ `So Z �.�.i�ty r1 Cq 3..o)cl b Builders -�j T 7t t C1 - ! l2- V� eQ THE FOLLOWING CORRECTIONS ARE REQUIRED= rX e.. J 07 C.7 - W J iwInsloctorf _APPROVED DIBAPPAOVED APPROVED SUBJECT To ABOVE Call For Reinop. INBPECTION NOTICE City of Tigard Building Departmwt 7.3125 SW Ball 81M. Tigard, Oregou 97223 Inspection Line (Rec-O-Phone/)t ,6/39-4175 Businaae Phone: 639-4171 Inspections____ Footing Plbg. Underslab Mach. Rough-its Appr/Sdwlk Found. Plbq. Top Out Oat♦ Line FINALt Poet/Beam Struct. San. Sewer -Bldg. Poet/Beam Mach. Rain Drain Insulation -Pliunb. Plbg. Underfloor Water Line 0". ed. -Koch. Date Recptestedt � T1Mt)t AM pN Addreas s I t� y C1 ,i Prrait f t N1 ST Ba i lder s THE FOLLOWING CORRE(.'TIONS ARE PBQUIREDt UatL L, 2 -e k v-N z_ Lo J 2nspectort nater `-' ` 11!lMdVlD DISAPPROVED 17 APpR () 9uRJECT To ABOVt ` ` Call For Reinsp. INSPECTION NC! ICE city of Tigard Building Department 13115 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phons): 639-4175 Business Phones 639-4171 Inspection: � Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk band. Plb(;. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Much. Rain Drain Insulation .-Plumb. Plbg. Underfloor Nater Line Gyp. ed. -Mach. Date Requested: Y/ ��—� Times AN PM Address: 10 45� Permit ie l Builder:__ •4- !— TBi lOLIwrm CORRECTIONS ARE REQUIRED: rL a — - J 03 M . CD 111 J Inspector:7Z cis a- -_,- - V APPROVED DTSAPPROVED ___ APPROVED SUBJECT TO ABOVE �� _Call For Reinsp. t C INSPECTION NOTICE 1 ---� City of Tigard Building Departsent k 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. UnderelabMach. Rough-i Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing 1 -Bldg. Poet/Beam Mach. Raia Drain Insulation -PLimb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: ` Time: -AM _ PM Address:' OC�SZ) _ _ Permit Builder: ' � ��' THE FOLLOWING CORRECTIONS ARE REQUIRED: H� G"J r Ly ► �A (7.0 5 • yl C ry�l ✓1 e C-A L--C-' -C--� L, -% VQ\AJ Inelector:___ -__-__- V Date: 1 b _APPROVED DISAP�PROVAD APPROVED SUBJECT TO ABOVE x C Alf—, Cali For Reinep. / TNSPECTION NOTICE w City of Tigard Building Depart—t epi 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-•Phone): 639-4175 Business Ynune: 639-4171 Inspection: — Footing Plbg. UnderAlab �ec�i Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sc r (!r:—:in� -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requee(1t)ed: J� y q— 1 _Time: AM __PM Address: v ` Permit Builders THE FOLLOWING CORRECTIONS ARE REQUIREDs Inspector• _ Date. v J 3 APPROVED "' DISAPPROVED APPROVED SUBJECT TO ABOVE \r,,�z Call For Rainsp. INSPECTION NOTICE " City of Tigard Building Departanot 13125 Bw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec.-O-Phons): 639-4175 Business Phones 639-4171 Inspection: ( �� lit Vl 1 I(�. tit-�j• Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. D� Zbp Q{� Gan Line FINAL: Post/Beam Struct. Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloir WaterLineGyp, Rd. -Meoh. Date Requestedsn �� ! J r _ TLme: AM PM AddressslC95-0 1�+� Permit is �151 e13 MVV ) Builders � �, lQ Z�C(_ `15�7C1 THE FOU.,owIMG CORRRCTIONS AAE REQUIRED: �c r O] W Inspector/s bates APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVR Call For Reinap. INSPECTION NOTICE City or Tigard Building Departiaent 131-25 ell Ball Blvd. Tigard, Oregon 97223 Inspection Line (Recc-O-Phons)t 639•-4175 Business Phone: 639-4171 r Inapectiont Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Nech. Date Requestdl ei_ ��`J3 1'imal _ AM 4K ,Address (ce -s c) -l�{� // Permit #t Buildrrt THE FOLLOWING ooRRECTIONS ARE RVQWl s �//iyi/ / S 7T I rt E" t cn c,3 c7 w J -47 Ineyecto[=_�/ Datse APPROVED _�b SAPPROVED APPROVED SUBJECT To ABOVE Call Por Rainsp. INSPECTION NOTICE City of Tigard Dnildinq Department ( / 13125 SM Ball Blvd. Tigard, Oregon 9723 Inspection Line (Rec-O-Phone): 639-4175 Business phone: 639-4171 Inspections Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINALt Poet/Ban- Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requestedss �I -�� _Timet nn �Am 4/1PH Adlreee: 1 M 50 L35T 0_1 Permit [luildert G3 �rC .�,.�1'QS \jca�' 227- THr FOLLOWING CORRECTIONS ARE REQUIREDs i Inepsc/Jkors_ _ Date:_ � � /�-- APP140M DISAPPROVED APPROVED SUBJECT TO ABOVE ✓✓✓ Call For Reinsp. INSPECTION NOT_jCE City of Tigard Bull-.A ng Department: 13125 SA Ball Bled. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 39-4175 Businee `Phones 639-4171 Inspection: __1 " ��LVA �1 4 Footing Plbg. Underslabu Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor !,( Water Line Gyp. Bd. -Hach. Date Requested: v r I�� `3 Timet AM PH Addreest 1015— Permit itk1;( S - Builders C�VW1L_ 0' (OS� //�1 �✓ I _ TtiF FOLLOWING CORRECTIONS ARE REQUIREID: fog-_ 4 a4zll 41 04 a_ rt. H In Y � J O7 CD W J Inspeotort Dates 11pl11dVlD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsr. INSPECTION NOTICE City of Tigard Building Department 1312S ON Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-Phones 639-4175 Business Pnones 639-4171 Inspection:_ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Round. Plbq. Top Out Gas Line lINALt Post/Beam Struct. !gaming -Bldg. Poet/Beam !tech. Drain (/il Insulation! -Plumb. Plbg. Underfloor oyp. Bd. -Hoch. Date R.equestedd�t n / "_�' Times � AM�j PH Address: I�-Is �� y Permit #s Builder: 270-21V 1 '�l(-7 C �L Jya k 155 THE FOLLOWING CORRECTIONS >•s REQUIRED: — 1- sn H J CL] r. C� W J Inspector/s Date: �_3� y 'APPROVE( DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainep. INSPECTION NOTICE City of Tigard Building Department 1312S SH Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rx-O-Phoce)s 639-4175 Business Phone: 639-4171 Inspectionsw-� Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Fnd. i Plbg. Top Out Gas Line FINAL: _7 Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina Gyp. Ed. -Mach. Data Requasted.s L 7 ! NTime, _ AM PM Address:-ZI-0-fyU Z< � �Pb it f Builders ' THE FOLLOWINNGG CORRECr1Ul1 ARE REQUIRED: a�- � s v; F— U' Li! Inspectors APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rainsp. IiSPECTION NOTICE () City of Tigard Building Department 13125 SP Ball Blvd. Tigard, Oregon 97223 J. Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 r to Inspection:_ ftoling Plbg. Cnderslab Hoch. Rough-in Appr/Sdwlk T und. Plbg. Top Out Gas Line FINAL: Past/Beam Struct. San. Sewer Framing -Bldg. ;est/Beam Koch. Rain Drain Insulation. -Plva�. Plbg. Underfloor Nater Line Gyp. Bd. -Hoc'1. 7 Date Requested. `/� Time: -,k—Ax PN Address: i n`15C) Permit r:`�5"�' h�T q3--03//D�r/ Bu i l.der: r'I L Z 1 c/( f / !-7 32'" _ THF. POT.LDWING CORRECTIO ARE REQUIRED: i Of Inspector: �/ ✓� _L �-'�-- --_-- Date: C1 - y APPROVED - DISAPPROVED _— AP.ROVED suWRCT TO ABOVE Call For Roinsp. 1J1. U11BING f='E:.RP1'I 1' CITY OF TIGARD . . COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.Tigard,Oregon 97223.8199 (503)630-4171 i . . . . . . . . . . . . . ,..,b . . . . .61 (,!+Srt.1 NL i4h'1L,1•i. . . . . . . : 1 BACHF-LOW PRE VNO i kEi. . _. ..1K ; l,'.i: ;;I:: _..lPf yrt i:�} dlwt.;w i F7Pl;':j. . . . . . . . . . . i-Ift� a . . . . l .i:L: WHIEN H{E::±II .;{3. . . . . . OASiNS. . . . . . I. Vi ``aF ie.t Pi ,.�,1tr,1 wl . ;'��"'`��. . . . r . . . • � .1 ! I Vi1�.I'�f'.71:. I t�t F1r�J. ♦ . • . . . :4- !.1 l I'1l. 1 U i s( w`. . . . . . it.:WLk WL ( I-`t ) :.I:".t Imo,0.� f t: ) NNER 399 BFSK 111 4,::'.'4 00 J I11 06/e3/93 ._ QIJ f ➢�H��I:{ 1: ttr!I. :rVr Jl•� !ei(;,,/'c�� 14 }-! E�W 'u: ir-r toile iqeivId h l.MiCip&Kl i OQt,/rf:1Lin(� lilt dr^airs G Fr fi £� f°'i' i�l� ?• lipe,, i. ,I.t1/ Cvjdemi ,.ILIA"t11. 1: usL11%kw8,w ,.,'f,r 1,1C:'4 WateeY Lint? i tf r vI };1 :r r1 iaws. X111 wor,f( wil .i bf? ClOrie POSH/Pealli €~hart Nppr-i/5dwZk ivisp 11,'x, .r%glp ove)c; ihia 1-y1irfuticl%iv.:.d 1risp iyitje�harllcal .?,QiJt w1'11 F rsC)-ir N .1 Y' wc.,k i. 5 r'rn i. !;t e.;r t.od r•1_11/Lin der,f I o(Ir" F-'1l..1mb F ir14i hit, HA! iiO,; "i� J' et ;;.Ai i L:I„ or -wok'"i( 1 III ac-hArt ii-:"' ', 1'� >1.: El-t! J.diI'IQ 1 LI1: ^i y x. 171 u III`:1 ! 0311 U tJ 1- C r'i'!b a U Il 'C U r!`'ti r 1rrK;�.11�i.intr lrl;�}, �.�� a ,•iJ:• a.rr,,1;-�i::i, 1<�rt •� Ecy'; , ::, .'.. r��; PLUMBING PERM!` w CITY OF TIGARD l"i 1 1y #.. COMMUNITY DEVELOPMENT DEPARTMENT 13128 SW Hall Blvd.Tigard,Onpon 97223.8190 (503)830.4171 ,•i+r......_, . J ;,,,iiii Iv, h'Al'at.EL: :f~JL.k LiARBAGE DIS Or,-PLS. . . WASHINGS MACH, . « , , . i:s» . . • » » Wir;7'£ri r-iLAT'E_liia. . . . . . . I CFiI Li i s Pr;`i 1 W;. . . • . . . . �+ RAIN ulinlNa.. , 1.111-ILJ iI pJf;LIJ. .. . . . .u:1 f3Fi1JW ii.;• . . » SI WE R 1-INE tf t .:.�i'�"Y P'1.51"1 :.It t�• . • • e 1 Ij C�A I��1 U1{/�f 11"1 1".t 1 • . d » :-0 t�-wr-1_:� � r-r-r; �; � =1r�,? , �i"in1;,i: ulyl�rli ;1�� ;��_p.,1{i •t {"rr.:ni �rtgxl-i rm!1" �ria 7'1, 1460. 0";, JH 0 „y > Iv ijELL RI LSI t ? ti rF 1. s ,JH 36L l..'• EY-4 l.,, ')i' '11-1 0 / 'y, rJ',)UL; $ t1(A. 046 J1-1 fir.. e ri+r:J'i ' ,.. i'�� ;}i a• r it.t,, :.�!i1 ,.:J( ir�lE� ,i 10. 13 JH 06 _» 0 3 J' J Vii;*/ 7. b'Ili:l ..1i{ klki/c.ar'r; t--&3i/ rzs.4a+v a ixe�k.J � +J;uF^'1'a.l. i i iJiV,::1 . lCr? :> C.CIf3l:aYrik?ii ]fi 't1tkti 1 ie1Y"C{ 1'+�I.li"7]C1E}r_1.1 r'auLifautiO Insp IAin dY''ao, 1f15p ck'4 i ctppi .;c1.715@ i.awss. til "i. wtjr) i wi l ; be OUI)e I.°u M1:/liitl�m i�k?E t1a� i �1pdwllt J rpt. t. t :w>t` r; 1':it a�i.:y1i" 1,�Ul'ird47tr �J'�� I`lill/41Slf� iL h ,l.1i'.4.N'1 lyJkCl1e i" aL?FA,. { err.el will rr, ,iu"x� If` ww-k is not i-,L*,I/'U;idevfIi)ot^ Iamb F' i.;� a.l a-e1 i31 a a i k ],°: Iti9 fa v::l7 e311 J.c i^ P ei p., bo i i u i 1"!j pWa7'jed fLw aicir-9 luktb Top (){ii `t k� ir�t1 Com. d'i c.l,,, 1Y1 e pri p 5i i.:.,: n 11 61 y , 1LD j • 40 CITY OF TIGARD --- RECEIPT OF PAYMENT RECFIPT NO. :93-241780 CHECK AMOUNT - 5040. 36 NAME AL L. PONS E CONSTRUCTION CASH AMOUNT - 0. 00 ADDRESS e 16395 SW BFAA ROAD PAYMENT DATE Q�61r'9i 93 c ,;HEPWnOD, OR SUBDIVISION 9'1140-- URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID UILDINO PERM MST93-0340 421. 00 PLUMBING PERM 140. 00 Ln ECHANICAL PE 40. 50 ST. BUILD PER 35 0. 0 Fi LAN CHECK FE 33. 76 SEWER L!)A 100. 00 EWER iiqspEc:r 35. 00 PARKS SDC 300. 00 TORM DRAIN E:.,DC 00 RESIDENTIAL TIRAFFIC, FEFS 1;3i50. oql ASS TRANSIT TIF FEES 110. 00 OTAL AMOUNT PAID 5040. 36 CITY OF TIGARD► COMMUNITY DEVELOPMENT DEPARTMENT i LR r L�,H i, j 1312rw SIN Hill Blvd.Tigard,Oregon 97223e8199 (503)639-4171 DATL !,Sf5UE;)# L,1 UN. Z CLJ".4 I NG. R_1,. 1_4.,11. . . . . . . . . . .Is BUILDING U- WURK. 4 L-0 0141b:b 13PI I-i-;.3 6ARC46L. Sf _bLjR ORF'J4' C J'JEULjjtjZb �4j' k�i'T. I. 3i� 5 f LLF'T. . s5 f t t; 1L . . . . . . . .. I Tf 11 RD. . . . D-- f SMOKV DEI'LL-, _—AR +vj pt,i VOLUL Ll 0 E6 PARKlNG I UPL Pet"1114i, f)'OM PLUMSlNU CJ I1 L)f�H 1 0 VAL',KFI_UW Pll'Lvil,4 i it a. 0 �V q L k i 3 W1 (Lk HEA I 1:H 16. . . s1 TRAPS& . . . .. . . . . . . . . . 0 111 ,J.vITLJ�A".a. . . w 0 CATLH TEJ'1 CILL,:iL NS. I';)' St-,WLR LINE: (ft ). o URLA-131" 441,4L.f,'L,. . . j I W 1 i L-R L 1 00 011AL k I I X i l#r<L:':�,. . . . 0 Rb;,46L l)1!; .1. . 1 1,4u m A i lu1" tiol,1,4 I)kV. C N'.:') M"'GHANIC�-L t cj VEWS :0 T L 1460. 00 Jkl 06/c ,:i/93 B I ,1;;,td V i;Al,kicJ, BPR 1 1. 0` J1.1 06 i 1-40ODS. . . . . . . I 8PLC, 7,3. 6.r JLH 05/,::7 l9 3 hill'% r 41 W(AW,. ; -, 0 K�1.. 03' J1 i 0 C, 3, CLU UNLYIPS. I C230. 00 ri u w i 1 5 04�: . 0 lo J I I kP v: A Lm;L 0A3 R"1 40. ':M JVI W6/c:3/,9_ M? �. 0,3 JI'l 0" /P.. 140, . 0Z POtt� C 7. 0 J'r 1 0 L% rt CIO 1 315`:{. 0 1!_J T,AL C-0 101', Lu;;twed in the RLOU I Ri 1) 1 NISPE L;r I UNI.:; ul __j s N.Ai CIPAi COV,, 0tv odes au all other, V cic)t/fol.ind Insp j.r_P PA' A.:Ablit lac, f�_ 0j" jar.cf wicl; app,ovcj POit/BeSM 1_ 01f? This perpit iv;il txp,;,# tC wirk is not sttanted ov-A'Viv 1A.9 p f?".A m 1 c-c h 4,1 In t i r ri In rk is of :Ic, 181 doy- V!i m i.A ri d s a L, I i I p A t L tit A I I .,.;op Out 2;ijw.k k In A;iical 1: L CIN OF TIGARD GLati.r< cat4i�� F�ERMI COMMUNITY DEVELOPMENT DEPARTMENT 1312g 3W HIM Bbd.Tigard,Oregon 07223.6199 (503)639.4171 ANING. R—'12 ... .....:G., . o . . » L...' , , . . . . . . . . . . . . . +..,., . . . . . , r P I X'f URL UNITSw . , nwk.i..t.1��IG UNT , :a. . '. N[.1. u`,. 81UIi_DJ1'djf-.? ; I yj�j r•.i...l.. �.:1., .. i:'+.J�)Wi. i.14.1 Rl.' 3L.tR1"k L_l'... . w F'i2C]F'l::fsTIrS typ1'� cnlrrl.rr'1# i,y date.:, r t ;W BELL RD PRW 2100. 00 JH 06l,_:3/93 66 3H04Wt.O D OR fres sF litiM: ay,,e:es to Coli, s+itf- all the rules and regula.iur,i ;>ewcr' 1r•�,4pecf; .i.r_,-i 'the Urllfted sewage Apricy. Ttic perpit expires ;60 days fror ANN We tissued. T.ie fatal aaoutit paid wi4i be faefeited if thr _ :+irrK:t'exutres. the igency races no� guar'antee the 9CC,,Oacy of thl, ,tr° laterslt.. IF the s ++er i5 hot locates; At the Reasurerrent the installer tl,al pr�spect feet rri a,l directions frce ;ie d;stance giver. i t rot sa located, vie t,ista.ler shall purrh:.Pe "ap end 5idt Stwero .=trw ane:' tht Agency wil: install a lattrai, ,, rH'ttoe Sfg'iet't.4A1'Q CA1i f'L;r- i.rltiC.rec.tiair 639 41v5 n: J cc LD LL) J Cjr[TV13121 SW Hsu R1rd PLNCK/RECT # �/3 .?sio L3_ 1 1 O1 TIGARD r PERMIT N S� �- 03q ' COMMUNITY DEVELOPMENT DEPARTMENT Bank Oregon 97223 (503)63"17' DATE ISSUED 54— )D JOB ADDRESS: 10 y5 o Scc-) y.5'Z< '� _ TAX MAP/LOT,, s1 3 SUB: - UD/y LUT: LAND USE: VALUATION: 9s v_Z 'J OWNER �-� CA S4PITZ111 SPECIAL NOTES NAME:�1� �Erc,$ 0 REISSUE 04:: _ ADDRESS: .� LG �� LAST REISSUE: •� uJe� � l2 7 1 (7zQ- FLOOD PLAIN/ PHONE: 2SJ2,L 2-Y - SENSITIVE LAND: _ CONTRACTOR APPROVALS RODU I RED NAME: � �JZ P-- _ PLANNING: ADDRESS: ENGINFERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: �. �5�~ EXP DATE:,:5--,Z ITEMS REQUIRED SUBCONTRACTORS: PLUMB: wAyu pzalwl/S"W LIST/SUBCONTRACTORS: MECH: -t= 0224 BUS TAX: ARCfI_ ENGINSR CALCULATIONS: _ NAME: vo� ��" _ TRUSS DETAILS: — _ — ADDRESS �"' _, i%6i'� - OTHER: _ r N PHONE: ca PROPOSED BLDG. USE: COMMENTS: a -- APPLiCANI SIGNATURE Received BY: _ ^_ , _ Date Received: PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 3-v .3 C' 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees L U _ _ /u v 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing Mechanical "a3 10-433 00 Plans Check Fee Building 273• Plumbing Mechanical _ 10 ,( 3 10-230 06 Fire 5wR �h 30-202 00 Sewer Connection0 r 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 0,'fice TIF Fees 25-448-01 Residential Traffic Fees i:35 J /3:U 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SS►JC) 24-445-01 WaterQuality (Fee in lieu of) 24-445-02. Water Quantity (Fee in lieu of) TOTAL U,3lr 2.5 U_ j U�0,36 nm,'3587P.WPF