12455 SW MAIN STREET 12455 SW MALN STREET
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WASHINGTON BOUNTY,OREGON
October 1, 1991
Loren Obrist, Inc.
10:37 SE 172nd
Bo------'ng, Oregon 97009
De= Sir:
The pity is forwarding the enclosed PGE -billing to you
for payment. This concerns the damaged underground
str_et light cable which occur.incr on August 27 , 1981
during your demolition of building at 12455 SW Alain Street
in Tigard, Oregon.
Sincerely,
Loreen Wilson
Deputy Recorder
LW/pl
i
Enclosure
cc: PGF
12420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-417;
842-315
CLAIMS DEPAr TMENT
TELEPHONE
F CLAIMS DEPARTMENT (503)226-8604
PORTLAND GENERAL ELECT PIC
P O.BOX 4403
PORTLAND,OREGON 972`
INVOICE DATESeptember 16, 1981
F -� -
City o= Tigard
12420 SJ Main
f l_ Tigard, OR 97223 J
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CLAIM NO.. AMOUNT DUE$ Lr,7 �56 _PAYMENT DUE DATE October 14, 198
PLEAS: =?TURN THIS STUB WITH PA*, _•,T
Cost repair our Wig-ent which was damaged when you dug into our
underc73und street light cable with a backhoe at SW Main and Electric
Street, Tigard, on Aug-.stt 27, 1981.
LABOR a 317.14
TRANSPD�TION 31.38
MA'T'ERIAL 9.04
11WXYN'T DUE $ 157.56
I
11.a rt- l
E'F PORTLAND GENERAL ELECTRIC COMPANY,P.O.BOX 4403,PORTLAND, OREGON 1972,94
CUSTOMER COPY
i ,
BUILDING PERMIT APPLICATION TIGARD GATE
Augur t 21 19 31_ 3876
'HE UNDERSIGNED HEREBY At PLIES FOR A PERMIT FOR THE.WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
I.Or Na
OWNER oall x'm `ho ;Pjwj _ JOBADDRESS 12455 SW I-Ain it,
ARCHITECT
ENGINEER
BUILDER ADDREtJS 7392 SW Barber DESIGNER
STRUCTURE ❑ NEW O REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE 3U DEMOLITION
❑ RESIDENCE 09COMM 0 EDUCATIONAL ❑ GOV'T ❑ REI IGIOUS El PATIO ❑ CARPORT D GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY --BL-2-LAND USE ZONE BLDG.TYPE __ 5.1 FIREZONE_ =PLAN CHECK BY_.n HEAT
Winolish 2–story building, —
Reu�c_vs all deb7ri4.
Sot er to be capped Off.
SEWERPERMITM ---- --- - -
OCC.LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE --
Permit1t1"J`� TH13 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
1� Jt? WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
Sub•lotal • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4: .4(i
Total 10.40 SDC- (, j/{, /w. -- —
PDCN AP LICANT OR AGENTI,,',, 7"7
By - - Receipt No. f I .— - 1 I �'�� 6 �� r 7,�--
Approved R. Foos t ADDRE98 PHON
i
DA7E INSP. TYPE INSPECTION
REMARKli PLUMBING DATE
Contractor
" Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
- Gas or Oil
Rough-in
-- Final
- SEWER
- Final
DRIVEWAY
' Final
Storm Drainagr
- (Rain Drain)Final
- Sidewalk
Curb&Street Final _
Approach
SLOG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCr;UPANCY
Landscaping
Zoning Final
�• � r
"'y TIGARD DATEDL—
BUILDING PERMIT APPLICATION OF
THL U4DERSIGNED HERESY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER 1`40N
G1"i AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINERPHOrIE�`�6'��� t
LOT NO—.
�
TNNCP �e� y�� z JOB ADl)RF-5 �? �y'SS_ i '� ARCHITECT
-"
ENGINEER
ADORE:sS J'f 7 ` .��L�/`C^— DESIGNER
�.Z -�1✓
�TAL'�TURE ❑`:E'N _QRE%InDEL ❑AD0ITI0W QAEPAIFi ❑RE^JEwAL ❑FIAED�.'AAGE DE.'.10LITI
CJGOV'T [)RELIGIOUS L_JCAR PORT ❑GARAGE Cl STORAGE❑SLAB ❑FCN
r R@SIDE"I:. COQ"M [:]EDUCATIONAL
c OIOG.TYPE _ IRE ZONE,L� PLAN CHECK BY ! HEA
CCUPA .:_V�z_L.ANO USE ZON' -
EIS E.R �E F r�r T �____----______.._. - ------ ----•-- ---
�c�t,0aplDAD Fl !S�HT ��TARIEs R A iaLUE
;1PLr11`:, DEPA.RT_.IENT SETBACKS FRONT _REAR, LEFT SIDE RIGHT SIDE
r—
_ THIS PERMIT IS ESSUE.D SUBJECT TO THE REGULATIONS CONTAINED IN THF. BUILDING CODE. ZOh
r REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY' AGREED THAT
Haan .t^a�k
WOR h WILL BE DONE IN ACCO RDANCE WITH THE PLANS AN SPECIFICATIONS AND IN COMPLIANCE Y
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WI
j i!) i0idl
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIP
Tax I yv LICENSE. SEPARATE PERMITS REQUIRED FOR SEYYER, PLUMBING AND HEATING.
i .. ,. - SDC _
Total /r� 5s.? PDC#
r _
LApprovpd
APPLCANT ORAGENT
Receipt No. PHONE
_5DC - Z22
PDC -
SEWER CONNEC1 ON $
SEWER INSPrE TION
SEWER SURCHARGE $
Comments:
u �✓ Lf Permit No,
Address
Name of OccupantPermit charge _—
Connection fee___
Paid by -
Date connected --
Type of Building�. ' y1 !.&a Inspection fee
Service Rate O V Paid by Date.__�._.___
Contractor_ _ Assessment___.__. ___,___Paid _
Size of connection------
Address Permit No.-------
Name of Occupant Le Permit charge
Connection fee
Paid by
Date connected
Type of Building Inspection fee---
Service Rate Paid by Date—
Contractor Assessment- ----Paid
Size of connection .......