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�YIeCTIO�dOT� &t/ --.171 city of Tigard Building DOPwrtaant
13125 B11hall Blvd. Tigard, Oregon 97223Inspection Line (Rec•-O--Phona): 639-4175 Business Pho
Inspections -- -- — --'�
Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gail .ins
LF—IN
Post/Beam Struct. San. Sewer 5raming Bldg• 1
Pcrst/Beam Hoch. Rain Drain Insulation -Plumb.
Plb7. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested:_L_�q_!''._-,_ T4-me: - AN
Address:v l S 1 L__!C�_�=---- `ermit
Builder:
THE FOT.I.OWING CORRECTIONS ARE REQUIRED:
Tneoector•�__A_
-APPROVED DISAPPROVED APPROVFD SUBJECT rO ABOVE
Call For Rel-.imp.
INSPECTION NOTICE (/
City of Tigard Building Department
13122 an Hall Blvd. Tigard, Oregon 97223
Inspection Line (k"c-O-Pha:ie): 639-4175 Business Phone: 639-4171
Inspections _ _ _�—
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found, Plbg. Top out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -B'dg.
Post/Beam Mech. Rein Drain Insulation '�'_-Plumb,
Plug. Underfloor Water Line :,yp_ Rd. -Mach.)
Date Requested:— f �,'�',c�� Time: AM PM
Address:_ /�? /� ��� Ll�f ]]l.Z - Permit 1: _ CIO
Builder:
.'NE POI.I.OWING CORRECTIONS ARE REQUIRED:
I
Inopector: — Date
_ APPROVED DISAPPROVED APPROVED SUBJECT 110 ABOVE
call For Reinap.
ter � st � � � sn s• aw
IKaPB IOII NG'tIc
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 9722.3 �
Inspection Line (Rec-O-Ph ne)s 6339-4175 Business Phones 639-4171
Inspections
footing P,b4. Underslab Mach. Rough-in lllppr/Sdwlk
found. Plbg. Top Out Gas Line FINALS
Post/Beam Struat. San. Sower Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
G! PM
Date Requesteds_ L� -•--- _Timet /'
Addrese s1'�J ,�__��__ �`L(e Permit s
Builders --
THE FOLLOWING CORRECTIONS ARE REQUIREDt
0 VLt
C O ✓ ��� --
C�
Inspector: Dates_�• -_l„-.�
APPROVED I P VED APPROVED SUBJECT TO RBOVF
all For Reinsp.
INSPECTION NOTICE
city of Tigard Building Department
13175 BW Ball Blvd. Tigard, Oregon 9721E
Inspection Line (Rec-O-Phuns)s 639-4175 Business Phones 639-4171
Inspections_ _---
rooting Plbg. Underslab Mach. Rouqh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor dater Line Gyp. Bd. -Mach.
r
Date Requested:-7_ 7� �� 7 Time,(4X �_PM
Address: �J Z / .122c Permit 1==/ �
Builders3!5 1,5 s,-5
THE FOLLOWIKG CORRECTIONS ARE REQUIRED:
Date s
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call. For Reinap.
IM/FICTION NOTICB
r_
City of Tigard Building Department r
13125 M Ball Blvd. Tigard, Oregon 9727 k63941
Inspection Lina (Roc-O-Phone)s 639-4175 Business Phon ►
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/edwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain -'Insulation -Plumb.
Plbg. Underfloor Nater Lina -Mach.
Date Requested t_ _Time 1 ,�AM/� PM
Addreas: �Z� �) Permit t: �/ -D
Builder: 7.f
THE POLLONING CORRECTIONS ARE REQUIRED:
i
P
Inspector:__, `�----_--
APPROVED DISAPPROVED APPROVED SU&MCT TO ABOVE
„`Call For- Reinap.
manCTION
City of Tigard Building Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phonelt 639-4175 Businoar Phones 639-4171
Inspections_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Can Line FINALS
Post/Beam Struct. San. Sewer �,.,,Framing -Bldg.
Post/Beam Koch. Rain Drain ation -Plumb.
Plbg. Underfloor Water Line Cyr. Bd. -Mach.
Date Requeste
d: -
t._ b2 -� l/ _Timet AM47 /\ PM
Addreses75`ry7_ � 2 222 lry��ermit ts�-4011 2
Builders — / _
TNR FOLLOWING OORRBCTIONS ARE REQUIRED:
Tnepectors
APPROVED ii DISAPPROVED — APPROVED SUBJECT TO ABOVE
f
_ cell For Reinap.
t
r y
i
I
�ePscTlG>t NGTIca
City of. Tigard Building Dep—taant
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o--fPhone): 639-417 Business Phones 639-4171
Inspections ` --- I
Footing
"--
Tooting Plbg. Underslab Mach. Rough-iso Appr/Sdwlk
round. Plbg. Top Out Gas Line TINALs
Post/Beam Strvct. San. Souor rraming / -Bldg.
Poet/Bemm Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Hoch.
Date RwE ` .-Times _ PM
AddresasNesteds---
7 C' Permit
Builder: � -
THE TOLL MING cORRECTIONS ARE REQUIRED:
Arltele
Inspectors --_� Date:_-_
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call
For Reinep.
I1lBPtCTIQ`I NOTICS
Citt of Tigard Building Departmn!
13125 M Ball Blvd. Tigard, Oregon 971123
Inspection Lina (Reo-O-Ph e)t 639-4175 Business lhonet 639-4171
Inspectiont
Footing PlbV nderslab 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 GWater Line Gyp. Bd. -Hoch.
`
Data Requested/t� --_Times
Addrese:� Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED,
Inapt -to s i
------ Dater
_APPROVED DISAPPRO'vRD APPROVED SUBJECT TO ABOVE
1
-_ call Por Reinnp. j
i
INsr�4�'3�il.!l2T�.�
//// City of Tigard Building Department
v 13125 ell Hall dlvd. Tigard. Oregon 97223
�_.I pection Line (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections
Yooting Plbg. Underelab /Mech. Rough-in Appr/edwlk
Pound. Plbg. Top Out Gas Line PINALs
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Mech. Rain Drain Sneulation -Plumb.
L
Plbg. Underfloor Water
Line Gyp. Bd. -Mech.
Date Requostedr
_Times
Addresses ' 7J1c Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspectors,_ �� Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
MIP2010M MICK / Yf
Clty o! TLyard Building Department
1.31.25 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
inspections
Footing Plbg. Underalab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/seam sttuct. San. Sewer Framing -Bldg.
Post/Beal Mech. Rain Drain Inaulation -Plumb.
Qndeslloor Nate/r-�Line Gyp. Bd. -Mech.
Da_te_yRequuesteds �7(�- 91 Time:
Address: 0` 1 / C
zz-el Permit is ��!✓��I
Builder:
THE FOLLOWING cORRECTIONB ARE REQUIRED:
i
Inspert.or:_L//% _.----- Date.
�L APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--_call For Rainap.
INYPECTION NOTIO x
City of Tigard Buil.ding Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171
Inspections —
Footing Plbg. Undar+lab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALS
_
�t/Beam Z.uct. San. Sewer Framing -Bldg.
st/Beasn Mech.) Rain Drain Insulation -plumb.
-...._._
Plbg. Underfloor ) Water Line Gyp. Bd. -Hoch.
Date Requestede >� ��/// -Time: AM PN
Addresss_st/ J -721 C � — Permit fs
Builder:___— -- ----
THE FOLIA)WING CORRECTIONS AM REQUIRED:
LZ
Tnepector: Data: `� I —
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
aasr eB �r s �r w a• as �
INBP=CTIQN NOTICE
City of Tigard Building Departaant '
13125 SM Ball Blvd. Tigard, Oregon 97223 ( `. +�
Inspection Tine (Rea-O-Phone)s 639-4175 Business PhoL 639-4171
Inspections
footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Round. ,) Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requesteds
Address 7s 7 —,/ �i C'�li7tt2Le ifetmit 1s � �
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector i
EQUIRED-Inspectors v _. Dates_ 7 ,
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVr
-___—Call For Reinap.
CITYOFTIFARD �'
CnY&--IF64 MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT o6600n ERM IT #. . .. . . . . .. MST91 0119
13125 BW Hidl Blvd.P.O.Boot 23307.Ti"d,OrWn UM(503)0304175
PDORESS. 975*7 SW MCDONALD r3 T PARCEL: 2S102CD--0201,"I't
t�I,IVJSION. . . . s TWALi,ry HILL 70NING: R-4. 5
Al- . . . . . . . . . .. .. . . . . . . . .
BUILDING
T)WEL-1-1 NG IJINJ I TS: I BASEMENT. . . . . . . . :0 15 f-
CIF WORK. :NEW BEDRMS:3 B A THS:21 GARAGE. . . . . . . . . . :440 Sf
!-E OF' USE. . . .5F FLOOR AREAS REQUIRED SETBACKS
YI 'i UP CONST. -.5N FIRST. . . . : 1116 Sf LEFT. . s70 ft RIGHT. slO ft
�..'.j'PANCY GRP. :R3 5ECOND. . . :0 S f FRONT. :35 f't IREAP. . :69 ft
1 ,H]EL;. . . . . . . : 1 TH I RD. . . . s %f REOU'l RED--
T1411.. . . . . . . . :20 ft TOTAL-: 1116 s SMOKE DElEC:TOR S. ;Y
(AAR LOAD. . . . :40 psf VALUE". . . . . $s 59E156 PARKING SPACES. . 10
Ira S,
------------------------------- PLUMBING ------------------------------------------
. . . . . . . . . . 11 FLOOR DROINS. — -0 BACKI-LO14 PREVNTRS. . -.0
.1041 DRIES. . . . . :2 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . a . 30
1[+ IL31 1OWE RS. . . . :a LAUNDRY 'TRAYS. . . :0 (..(4TCH BASVt 3. . . . . . . 10
Ii.) I f 14 CLOSETS. . *2 SEWER LINE (ft) . :0 GREASC TRAPS. . . . . . . :0
I :,HWAGHE'RS. . . . a. 1 WATER LINE (ft ) . - 100 CITHE"R FIXTURES. . . . . ..0
( ,f)RPIAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
01 ''011NG MACH. . . : 1 SF RAIN DRAINS. . : 1
MECk.'INICAL FEES
I TVPES------- UNIT H TRS. . :0 z ype amoi.Ant ti y date racpt
VENTS . . . . . 10 1 11E 1,350. LAO JL.H 01/11/91
I N!`PUT:0 PTU '.ENT FANS. . : : PPPT 313. 00 JLH 07/11/91 --
i`.N ( 100K . 11 HOODS. . . . . . : 1 BPL.0 .x'03. 45 JL.H 06/21 /91 214625
1'N ) =IQAOK tOj
WOODSTOVES. :0 65PC is 15. 65 JLH 07/11/91 —
i F)R FURN. . . . :0 CLO DRYERS. : I SSDC 375. 00 JLH 07/11 /91 —
C"mP ( 3HP-0 OTHER UNITS.- I PARK t '500. 00 JL H 07/11/91
UHS UU[LL11j: l PIPR ( % 40. bVi JL.H @'//A 1/91
MPI-tl 4, 1 V). 1_; JI.-H 01/ 11/41
JOHNSON M5PC $ 2. 03 JLH 07/11/91
1.14 MCDONALD ST E=LI IRT $ 1 17. 90 J L H 01111,*91
p5pc $ 5. 88 JLH 07/11/91
Clf?f) OR 972,'3
a('t ors
[. I UAN HER I TACE HOMES
IiOX 14e
OR 97010
682--8846
0. 70270
'I'#3 3. 14 TOTAL
Derlit is issued !ub)ect to the rigulations contained in the REPUIRED INSPECTTONS
----
I oa-d Municipal Code, State of Ore. Specialty Codes and all other Foot/foltrid Insp Gas Line Insp
i0olicable laws. All work will be done in accordance wit� approved Post/Ream qtrmct ItisLilAtion Insp
ri,ins. This persit will expire if work is not itT41- thin 18@ Post/Beam Meehan Gyp Board Insp
_,ays of issuance, or if worts is r1m,'ed for sore han le VILM/Underf I oor Rain drain Insp
mechanical Insp Water Line Insp
rh"PE PO.tmb icip LRlt 0ppr/1,-rAWl1.( Insp
Ft-timing Insp Mechanical Final
L4y : Firerla(_,e. Insp I 1.t m b Final
Call for it); Pct intl F,39-4175
CITY OF TIBARD RECEIPT OF r,A'iIMENT RECEIPT NO. 01-215a3A
CHECK AMOUNT s 2683. 14
AMERICAN HERITAGE HOMES CASH AMOUNT s 0. 00
+F. PO BOX 742 PAYMENT DATE a 07/11/91
SUBDIVISION
Wil-PZONVILLE, OR 97070--
I ,lJI,N ,IvJ- OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA I D
0111 1- INt"I PERM 313. 00 PLUMBING VIERM _.W-. ..117.:50
'll I 110MICT11- PE 411A. 0,50 ST. BUILD PER 03. 56
' 'I Oki I HVI-K FE --56. 42' RESIDENTIAL TRAFFIC FEES 1250. 00
imiwivr TIF rj:rs 100. 017 STORM DRAIN SDC 375. 00
00
,W MrONOLD
f I 1 it 1)111 lljNT PAI D > P683. 14
CITY OF TIBARD PEcl-4-11- OF PAYMENT RECEIPT NO. ,9 1 -i?14625
CHECK AMOUNT 3 17A5. 00
AMP RICAN HERITAGE HOMF-..8 CASH AMOUNT a 0. 00
FIrl BOX 742 P4YMEN'r DA,rE x 06/21/91
SUBDIVISION
WILq0NIVILLE, OR 9707QA,---
" .1 (IF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID
( �Jlf' v i'F 6-384 250. eel SEWER LISA 1500► 00
4-1 MC DONALD
Ilisil ,iMIR4T PAID 1785. 00
31!l�PESTIOH NOTICE "7'�
City of rigezd Building n.partae„t ' �J
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post%beam &tract. i' #An. sower Framing -Bldg.
Post./Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line ' Gyp. Bd. -Hoch. x/
Data RequastedfTime: _ AH , ` PH
Address: 7
Permit
Builder=_-- /` �t-��Z�t/
THE FOLLOWING CIORRECTIONS ARE REQUIRED:
— _ z
/ Dater
APPROVED DISAPPROVED APPROV?D SUBJECT TO ABOVE
For Reinap.
AF'Pt_tCATION - STFIEET IMPROVEMENT/EXCAVATION Y;ltzc ~r-- COPY TO:
ORDINANCE NO, 74-14 S (WHITE)•FILE
(YELLOW).INSP.
(PINK)•OTHER AGENCY I3LIX
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE) - THEANT
GE
APPROVED 2 APPLICATION NO.: _-04L7-r
NO"r APPROVED 11 CI IY O IIGARD, OREGON FEE AMT.: f 12.00_
PFNDING FEE. PMT. (] CI Y TIAL L RECFIP !y 0,: ._
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY _�� DATE � L I ��
PEMbING AGENCY "OK" ❑ Application and Progress Record
FOR STREET IMPROVEMENT/EXCAVATION
MAINTENANCE OND �r _
PFNC)ING INFORMATION ❑ �+
ANNUAL
PONDING VARIANCE ❑ EXPIRATION DATE.
PERMIT NO.: 4.1,' — _ _ DATE ISSUED: BY: '"^ •^-----
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL DRIVE` AX APk0
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ At1r8I:iCar1 Heritage Homes P.O. fk.)x 742 wilaonville, OR 9701/0 1 682-0846
NAME CITY�'- ----- --WPHOME --�
CONTRACTOR ('same)
- _-- - _-._.�_�.._CITY ..-.^.PHONE _
NAME
ADDR[SS
PLANS BY _-_-pg[ City Standa & S wifications
NAME ADDRESS --- ---CITY,--
ESTIMATED
ITV -ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1 t
DOLLARS
FOR OFFIf_ .... ..-_�- _-
(2) EXCAVATION DATA: 0.04 x f. •0o =f_ 12.00
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY
S R ET
ots W.'Donal St. (see attached) INSP ---
E TION
U
ESTIMATED STREET OPENING DATE: � �_ 5
ESTIMATED STREET CLOSING DATE:__ / J r E
_ D
(3) SF(-11RITY NO. __.. SECURITY AMT: S � •� _- CLOSED
SURETY CO. _ FINAL
- C-MEC K CASH 11 BOND
(4) PLOT PLAN: INDICATE SITE PERTINENT' PHYSICAL SPECIAL PROVISIONS/CONDITIONS
FEATURES, EXCAVATION LOCATION AND EXTENT. .1. *jtify City Inspector Carl
SITE: 9'15.7 5W Mr_[xAw 3 St• Vieweg (1539-4171) 24 hrs.
11 work area prior to starting work.
1 L ( I 2. ORS 757.541-.571 applies
UPS ' F" , _ _ x _ _ _ _ _ _ _ ,�- F-T-
- (re: utility agencies
0 Elrewtificaticxl before dige:ing,
----- - McDONALD SI'. ._. .. - - -- _. etc .
)
provided for by cntractor
( I I N 4. Replace existing pavelllent
warkir a
ly /buttons.
NOTE THE CITY OF T1G1=
ARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
i-ONSrRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOY -ES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
G i
APPLICANTS SIGNATURE C �,._� DATE
- W r N _
IQ, 40'691 i M 00691
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95-42669 1'189 99
3.1I I oto s
�' - `9.16 I J NN
w w w w w w w w
PROPOSED EDGE
2 CLA§S " C' A.C.
OF SHOULDER
4•• 2«_0 PROPOSED EDGE
SLOPE V OF PNf
m >
0
LL
02
Z W W AL
0 .1 o
4L a.
W.IL 0M TYPICAL SECTION
s
A.C. DRIVEWAY
i
iz
00
» » PROPOSED EDGE
" 2» 3-4 -0 OF SHOULDER
PROPOSED EDGE
1 I i i SLOPE VARIES
F PAVEMENT
PAL7
z i r oTYPICAL SECTION
W I � M Z & GRAVEL DRIVEWAY
I ! tiz
301 0
PROPOSED EDGE
TYPICAL� PLAN OF SHOUILVER
PROPOSED EDGE
A.C. OR GRAVEL DRIVEWAYOF PAVEMENT
SLOPE VARIES 41
*UNLESS OTHERWISE NOTED GR
e u
SEE DWG. NO. OW-202
TYPICAL SECTION
ALTERNATE
[$*WASHINGTON COUNTY DRIVEWAY DETAILS FOR
DEPARTMENT OF LAND USE
AND TRANSPORTATION NON — CURBED AREAS
EOATS CIVIL ENOMEER I�WN APWA NO. WAAL COUNTY N0.
LaiLiLft � -� �% NONE DW- 205
n� _
3) SAME AS ELEV. I SHOULDER CROWN
� CROWN
� OF ROAD
MIN a ROAD SURFAC
$LOE
�1 I
rcl BOTTOM OF DITCH ELEV. I I
MAY BE ADJUSTED BY INSPECTOR
NOTES:
I
.SEE DWG. NO. 205 FOR ALTERNATIVE
P.IF AC DRIVEWAY IS TO BE CONSTRUCTED,USE 2"OF CLASS"C"MIX
ON APPROVED BASE
PROFILE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
OR PLASTIC PIPE
PIPE SHALL EXTENO A MIN.
I' PAST TOE OF FILL
FA F DRVIEWAY ,'/
3A%0 ROCK k
I '
iG
i
tr�lll-1�=p1� X111 JII ;1112M13 - 6
III M14
CONCRETE PIPE i OTHER THAN CONCRETE _5 ■�
PIPE SIZE TO BE DETERMINED PIPE' AS APPROVED
BY INSPECTOR AT THE JOB
SITE ( 10" MIN.)
PIPE TO BE LAYED AT EXISTING GRADE OF DITCH - NO ::LUMPS
CROSS - SECTION
WASHINGTON COUNTY DRIVEWAY FOR STREETS
%WDEPARTMENT OF LAND USE
AND TRANSPORTATION WITHOUT CURBS
DATE CIVIL ENGMEER G"w" APWA NG WASK COUNTY NQ
b D5 NONE DW - 202
- 37 -
SEWER CONNECTION
CITY OFTIFARD ji 6W PEQMIT
CrIYOFTWORD
COMMUNrTY DEVELOPMENT DEPARTMENT one" ERM17 0. . . . . . . : SWR91-01E9
13125 SW H01 6W. P.O.Sco 23397,T4wd,Or*gDn 97 (6W)$30-4176
—.— g�, —4 11 1
5TTE ADDRESS. . . 9757 SW MCDONPLD 57 PARCEL 25102CD-CV?610
3U13D J V I S.1 ON. TWAL 1,TY HILI-. ZONINr� P-14,, '
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 10
TENANT NAME. . . . . S
IDSA NO. . . . . . . . . . . F I XTURE UNITS.
1,LASS OF WORK. . . 9 NEW DWELL I NG UN I TS. I
I Yl--L- OF USE. . . . . I SF NO. OF SUILDINGS: 1
IN5'TALL TYPE. . . . i SLJSWR IMPERV SURFPCE.
Remarks :
0wrier" FEES
17DITH JOHNSON i:w1,t r)e A In 0 1-�T!t by date reept
9757 SW MCDONALD ST PIRMT $ 1500. 00 JLH 06/21/91 21.46iF"'
1 N131m, i ?'5. 00 JLJ4 06/21/91 2146
23"
TI14ARD OR 97223
1jN-1RfACJ0R NOT ON FILE
t 153X3. 00 TOTAL
LQUIRED INSPECTIONS
-nis Applicant agrees to comply with all the rules and regulations Sewer lris,cieetir)T)
if the Unified Sewage Agency. The permit expires ILI days from
the date issued. The total amount paid will be forfeited if the
atreit excires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not iocated fit the measurement
given, the installer shall prospect 3 feet in all directions from
the distance Oven. V not so 1=ated, the installer shall ourchase
a "Tao and Side Sewer" Permit and the Agency will install a lateral.
I.Ir—'171ittee
$ Y - ......
Call for inspection 639-417`i
5
44'
yP
.rx'Ic;
4'I
i� 4t,
CITY
`113125 Sw Hau BMd PLNCK/RECT #
OF TIGAR 11O Box D397 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tgard.0rcEon9w
(503)63"171 DATE ISSUED
JOB ADDRE,S: l 75 -/ [' � /` �� ! TAX MAP/LOT ZS I
SUB: .T�Lp ti,-ITY H 1 '—L- LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: - )LIz N _ REISSUE OF: _
ADDRESS: Cl) ) - LAST REISSUE_ --
�� FLG )D PLAIN/
PHONE: _ SENSITIVE LAND: _
1
CONTRACTOR APPROVALS REQUIRED
n C_
NAME: t-t-MEA I C A PlJ 1- EAZ G rA r—y— PLANNING: —
ADDRESS: C _ _�2q-Z ENGINEERING:
702 0 FIRE DEPT:
PHONE: `UB Z-SS-4(�, _ OTHER:
CONTR. BOAPD #: 7b L7 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: (PLUMB. C-)efgco,) Mik-'C(4F iLAL LIST/SUBCONTRACTORS:
t MECH: BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: - --t-- Assep. TRUSS DETAILS:
ADDRESS: � ?+� ST. OTHER:
—
7
PHONE: �5��
PROPOSED BLDG. USE: kA-)
COMMENTS:
AK'tICANT
Received By: -� — Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1)tif Ly 10-432 00 Building Permit Fees 313 -
10-431 00 Plumbing Permit Fees f 30. -P
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) (� �
Building /-5.Gs"
Plumbing ✓
Mechanical
10-433 00 Plans Check Fee ALL5'Y
Building i ✓
Plumbing _
Mechanical --LO.,-13
10-230 06 Fire _ —
5�1; �-vl2 j 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TZF Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees —
25-448-01 Residential Traffic Fees D.oa 1.2-50
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) 0
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) 31,
24-445-01 Water, Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
I
1/3587P.WPF
i
}
Building Permit No.
COUN'T'YWIDE
TRAFFIC IMPACT FEE Planning File No.
r
PAYMENT OPTION FORM
Tax Map&Lot No.
Uate -
Project Name -
realize that I must make a decision on payment of the Traffic Impact Fee(TIF) at this time. Therefore I
request the following (Choose whichever option or options are applicable):
Cash or Check
Credit Voucher
i
Bancroft or Installment Payments
and/or
The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit it the
L--J TIF is greater than$5,000.00. If the TIF meets this requirement.I also request this option. I under
stand the TIF must be paid prior to issuance of an otx;upancy permit I also understand that the TIF
will be recalculated based on the prevailing rates at time of payment Please be advised that TIF rates
i
may increase up to six percent each July 1 st. This rate increase is not subject to appeal.
-AP YCA -- �� OWNER/APPLICANT
I
j
Ruilding Pernfd File
payment option Notebook form 1402