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BUILDING PERMIT APPLICATION TIGARD DATE September 6 1984 5006
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FoR THE WORK HEREIN INDICATED BUILDER PHONE � 9-53014_--
OR AS SHOWN AND APPROVED IN T'-1E ACCOMPANYING PLANS AND SPECIFICATIONS. O vNER PHONE
OWNER lira, Uauaex �JOB ADDREQ _ LOTNO.^__
ARCHITECT "+ —
BU'LDEFIENGINEER
ADDRESS _ DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR _ ❑ RENEWAL _ ❑ F:AE DAMAGIE El DEMOLITION
❑ RESIDENCE ❑ COMM C) EDUCATIONAL El GOVT [., RELIGIOUS C] PATIO CARPORT ❑_GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUP'NCY LAND USE ZONE _ BLDG.TYPE _— FIRE ZONE PLAN CHECK BY _____ HEAT__
Land Pill Permit Back Yard — approx. 12 u) 20 Truck Loads - etpprox. 200 cu. yards*
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES
BUILDING DEPARTMENT AREA--- NO.BEDROOMS A VALUE
-—
—
-- —
SETBACKS FRONT REAR LEFT SIDE _RIGHT SIDE
Permit_ 22.wu THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Subtotal 22.uO WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- _ RESTRICTIVE COVENANTS. CONTRACrOR AND SUB CONTRACTORS TO HAVE CURP'YNT CITY BUSINESS
State Tax .86 LICENSE.SEPARATE PERMITS REOUIREP FOR SEWER,PLUMBING AND HEATING.
Tota! 22.88 SDC—
By CL
PDC# APPLICANT ORAUEn' --
_
Approved —1�11i -- Receipt No. ---.___--
__ ADDpEBS PHONE
DATE �INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
�— Rou h in
Fixture
Final
HEATING
Contractor
Permit No
Gas or Oil
Rnvgh•in
Final
------ — -- SEWER ---
Final —_-
DRIVEWAY
Final
Storm Uralnage
(Rein Drain)Final
Sidewalk
Curb&Street Final
----
'Approach
rtL,ACi. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final '
CERTIt'ICAT f.OCCUPANCY _--_�
Lendscaplcg
2uninp F nal
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BUILDING PERMIT APPLICATION TIGARD DATE_ 15 /
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME,,.ORK HEREIN INDICATED BUILDER PHON
OR AS SHOW(v AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEP.PRONE _
LOT NO.
or�NER 4 /J�QsJ� t ; JOBADDREss �c^r
-�—ARCHIrEcr
ENGINEER
BUILDER --- ADDRESS DESIGNER
STRI'-TORE ❑ NEW _❑ REMODEL _❑ ADDITION ❑ REPAIR ❑ RENEWAL Cl FIRE DAMAGE_ ❑ DEMOLITIO"
❑ RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS Cl PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE Cl SLAB❑ FENGt
,�•� _. - —_--- � -Tom_---- --- -- --�_� -- -
Oi.C,iiPAMCY _ LANO USE ZONE _BLDG.TYPE^� _FIRE ZONE—PLAN CHf 1:;1;BY HEAT -
I f�
SEWER PERMIT K ---� ---OCC.LOAD FLOOR LOAD HEIGHT T7D�TOA(ES`- 71TiEA-'--'__-fVU t3Et7Rt70hTS- --Vl�tUr
L_ BUILDING DEPARTMENT SET BACKS FRONT____— R"R_ LEFT SInF r------
rmit ✓ THIS PERMIT IS ISSUED SU19JECT TO THE REGULATIONS CONTAINED IN THE EUILDINB CGDE,ZOWN.
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERESY AGREED THAT 1H
PlanCheckWORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIO145 AND IN COMPLIANC
WITH ALL ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV
SU100tal � � C� RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax L -`-
- SDC—
Total ------- --- -- -----
PDC>< APPLICANT OFi—AGENT---BY
Receipt No. - ------ -------------_.------- ---- - _
Approved ADDRESS PHONE
O
SDC - --
P 0 C -,#I'
SEWER CONNECTION 5
SEWER INSPECTION S
SEWER SURCHARGE S _
�ztltaomaa3z �o�saa.tiy Oresoss
To —
Date
WHILE YOU WERE OUT
M
Phone —_ �J Sad
TELEPHONED ` PLEASE CALL
RETURNED YOUR CALL WILL CALL AGAIN
WANTS rO SEE YOJ RUSH
Message L
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To
Date L J eell Time
WHILE YOU WIR o �
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Phone �� _-,' - 7:1'In
TELEPHONED V- PLEASE CALL
RETURNED YOUR CALL WILL CALL AGAIN
'.ANTS TO SEE YOU nUSH
M Feels like you are trying to avoid
h"t�La� a ser you promisedt
a erer advising
hsr huw much a permit mould cor4t , and
giving her the information on how to go about
4E' t f
arra requested an appointment to see you.
fold Ber I would talk to you first_, and
.could .•41.1 hot hark with Some answers.
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WASHINGTON COUNTY,OREGON
May 14, 1984
Mr. Kramer
13585 SW 110th Avenue
Tigarc , OR 97223
Dear Mr. Kramer•:
A,"::er reviewing the nature and extei.t of the earth fill that has been places
on your property with the Engineering Division and Building Inspection Office,
it was determined that a Sensitive Lands Permit will be required. Because of
the nature of the case, an administrative review can be conducted by the
Plarning Department and Engineering Division.
I have enclosed copies of the information you wi:i need to pr pare the
application. I would suggest that you and Mr. Garrett submit one together.
No additional fill should be placed on your property until this issue is
resolved. If you have any questions or need assistance preparing the
application, please contact me.
Sincerely,
Keith S. Liden
Associate Planner
(KSL:pm/0442P)
Enclosures
CC: Frank Currie
Ed Walden
------- 12755 SW ASH PO BOX 23397 TIGARD, OREGON 97223 PH 639-4171
MEMORANDUM
CTTY OF TIGARU
TO: bob Jean, City Administrat,.,r
FROM: Ed T. Walden, Bnild'_::b a .ficial
SUBJECT: Placement of .ill material at 13625 h 1350'5 SW 110th Avenue, Tigard .
On about April 17, 1984, 1 notified Mr. Garrett at 13625 3W 110th Avenue that he had
to secure a Fill Permit before any further material could be placed on his property.
At that time approximately 50 cu. yards had been placed.
About May 3, 1984, it was noted that more fill had been placed on hio lot and also
on his neighbors lot and on a piece of Public Land. I notified Mr. Frank Currie
and we inspected the fill and Frank suggested that the fill was being placed on
sensitive land area and all without a permit. We posted the area with a Stop Work
Order and I notified Bill Monahan of the problem. He had Mr. Keith Liden talk to
Mr. Garrett and informed him of the City'j requirements for such fills and also
wrote the letter of May 14, 1984 . (Copy Enclosed) .
1!
AddreLls �' rm.t No.
(rimer
F'aid by c:rsiaxi_i..
Type of building Residence Date connected
Service rate 3.00 per month Inspect-ion fee _._,.25
Contractor .a_._.._.�. Paid by �grnun Walker_ Date
lize of connection ^ 4" Assessment y.� _. ..,_�. �..._._. Fail �._..
ce U
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BUILDING FERMI
CITYOFT167A� PERMIT NO. :
cm twl0
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEU:
1312S S.W.He*Blvd,P.O.Bov MOT,Tlpsn�k Ongo-1 yrm,(U")t,n417S PRIM.PMT.NO. :
.;OB ADI 'SS: _/• 7 24---)
TAX MAI?/LOT S/- -3 D2�C'C' SUB:__ --- ---_- _--
LAND USE: _- - --
LOT SIZE: _ _- VALUATION: _--_—__ SETBACKS
FRONT: _ REAR:
WGRK CLASS: DWELL/UNITS: LEFT: RIGHT:
USE TYPE: NO.BEDROOM.^:
CONST.TYPE: NO.BATHS:
OCCUP.GRP.: — -
OCCUP.LOAD: -- --. --
TOTAL AREA:
NO.STORIES: _ IST: _ROOF CONST: FIRE RET:
HEIGHT: 2ND: AREA SEPAR:— - ---
BASEMENT: 3RD: OCCUP.SEPAR:
MEZZANINE: BASEM•T
FLOOR LOAD: GARAGE: ---— FIRE SPRKLR:
FLOW (GPM): — --- DETECT: --
HEAx TYPE: HDCP.ACCESS: CORR: •--_----_ ---
PLAN CHEr,K BY:
REMARKS:- i : r 1A_ AY
'AZ&I A.A, REISSUE OF NO.
�a
SEWER PERMIT: n' ` -- LAST REISSUE
Names-- _
0
N Address s -; - , FEES:
E PERMIT
R PLAN REVIEW - -
P_..hgnq: - FIRE DEPT
STATE TAX
o Name: - _ OTHER -
T Address:s a s DEVELOPMENT CHARD ns:
R ----- - SDC (STORM)
A SDC (STREET) - -- - - - - -
- ---- --- PDC -41V
o Phone: REPAID
— -- -
- - -P
R -
- TOTAL
RECEIPT NO.
REQUIRED INSPECTIONS
FOOTING SEWER
FOUNDATION WALL RAIN DRAINS
POST 6 BEAM WATER LINE
PLB. UNDERSLAB CITY APPROCl1/SW
SLAB FINAL
PLB.TOPOUT
FRAMING
FIREPLACE
GAS LINE
x8y.
Signature INSULATION
GYP.BOARD
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