9680 SW MCDONALD STREET 9680 SW MCDONALD STREET
i
4
b
b
C
0
0
U
3
O
00
CERTIFICATION Or LUSTING
SYS.fEM ABANDONt4ENT
-FWER
lUMM PERMIT N0. 34505
9860 S .W. McDonald St.
I, _(fary Nichols for Timberline Development hereby certify that
the e6sting steel septic^tank was property and duly
abandoned by having the sewage contents removed by �Ryer 's
Septic Tank Service _ a licensed sewage Bumping service, and
was they, backfilled with )VkKJO( . sand and the building sewer permanently
caged in accordance with the requirc"ents of the Department of Environ-
nental Quality rules for subsurface and alternative sewage disposal ,
Timberlin evel pment Co. , Inc.
by = October 2 , 1987
ig atore ►Ite -
President
" Attach a copy of the pumping receipt.
DAYS,► CHARGE'S AND CREDITS BAI_AWE
656-8233 BALANCE FORWARD
9-24 Joh t 9860 Sly McDonald
7'cink pumping -----
140. 00
U
ORVALL T. CARE IrJ/tG1IX� r-�6lll
S'(ER'$ SEPTIC TANK SERVICE `
�m�e.
Uf4SEWER PERMIT �4ro5
n icy CITY OF Ti.aa - _ DATE September 15
of Washington county , 198
OWNER, Arlie b Irene MawhjrteX — PHONE : 639-6645
OWNER' S ADDRESS:� 14265 _SW 80th ?_,__Tigard URg..721
TYPE OF INSTALLATION,
D BUILDING SEWER ❑ LINE TAP AND BUILDING SEWER ❑ LINE TAP
FYPE OF OCCUPANCY ,
❑ NEW ® EXISTING ❑ SINGLE FAMILY ❑ COMMERCIAL
❑� MIJLT , RES. ❑ IriDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
OF STRUCTURFt 9680 SWMcDonald St . 97224
Permit Conditions: The applicant agrees to comply with all rules and regulations of the Unified
Sewerage Agency. When calling for an inspection, please refer to the Permit Number. The Permit
expires one hundred twenty (120) days from the date of issuance. The total amount paid (permit
fee, connection charge, line tap fee and/or other charge) will N forfeited if the permit expires.
Tire Agency dues not guarantee the accuracy of the location of side sewer laterals. If the sewer
is not located at the me.,urement given, the installer shall prospect three feet in all directions
from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit at the current charge and the Agency will install a lateral.
FEES :
PERMIT FEE
CONNECTION CHARGE 1 , 100 .00
LINE Tf.P INSTALLATION d L�
OTHER V
�SSUED BY
TOTAL. s 1 , 111 . 10� —
-- DATE OF ISSUANCP
a.PPLICANT DATE OF EXPIRATION
SEWER PERMIT
ADDRESS OF STRUCTURE 9680 SW McDonald St .
TAX MAP 2S1-11BA TAX LOT 6100QUARTER
E C T 10 N
LOT BLOCK OF
RT 9-15-87
APPROVED BY DATE _710,FP BY DATE OF IS,SUANCC
D , U ' S lA REMARKS 4" sewer line regd . l;ept,ic tank to be pumped
and filled, and inspected by city ,
BUILDING PERMIT APPLICATION TIGAR DATF !`11—y -_1 is 5472
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE (►39—J645_�
OWNER JOBADDRESS 9"180 Sk' McDonald LOT NO. 500
_ csj L.Cta:iSli _
ARCHITECT
Sam ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE 11 NEW ❑ REMODEL i] ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑ COMM E7 EDUCATIONAL 0 GOVT EJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ® STORAGE Cl SLAB❑ FENCE
OCCUPANCY —M-1 -LAND USE ZONE 11-Vi•5 BLDG.TYPE - A_N FIREZONE—.__PLAN CHECK BY _- HEAT----.--.
Construct 24 X 36 pole erma8es building herr appro'Irad plans --_- - -_----
see V 12-85
SEWER PERMIT k
OCC.LOAD FLOOR LOAD HEIGHT 13 NO.STORIES I AREA 864 NO BEDROOMS VALUE 2 UUO-
BUILDING DEPARTMENT SET BACKS FRONT REAR 1il LEFT SIDE RIGHT SIDE 52
Permit _ 32.50_— 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 _ 2 1.13 WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 53.63 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1.30 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Siete Tax
SDC--
Total 54.93
-- ---- PDCq APPLICANT Qb AOENT�' - _---
By CZ
Receipt Na --------- -- -
Approved $CR ADDRESS PHONE
I
DATr INSP.1 TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough ill
HEATING
Contractor
Permit No,
Gas w Uil
Frani
SEWER
/AY
r
.;',k)rm Ur3ir.VP
1,41n Dain)Filial
Sidevallo
C-irb&Str"t Flr.jl
App onch
9LDG. DEPT. FINAL TEMPORARY— CERTIFICATE COCCILWPIP Final
Ir-ERTIFICATE OCCUPANCY
Landscaping
Zoning Final