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8245 SW LANGTREE STREET I u r/ 8245 SW LANG-TREE STREET __ IM8?I�,ION NOTICE - %� City of Tic d Building Departeemt 13125 SW Bal! lyd. Tigard, Oregon 97223 Inspection Line/(Rec-O-Ph :e): 639-4175 Bullinesa Phone: 639-4171 Inspection:_ iffe 6 -- looting Plbg. Ind, slab Mach. Rough-in Appr/sdwlk Round. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Sewer Framing Post/Ream Mech. Rain Di0 a Insulation -Plumb. 1 Plbq. Underfloor / Water Line Gyp. 8d. -Meeh. Date Requec4a-d:_ !G 7-12 Time: [� AM PM Address: 4/5 Permit I: 1 Builder.• � THE FOLLOWING CORRECTIONS ARE REQUIRED: t — i Inspector:., ^6' Dater APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call war Reinsp. 4. CITY OF TI A RA PLUMBING PERMIT 4-- CrFYCO)F MD #. . . . . . . .. PLM' I COMMUNITY DEVELOPMENT DEPARTMENT MOM 13126 SW HffJ1 Blvd, P.O.Box M, 97,Tlgwd,Oregon 97223 (603)W44175 ter.AL5 SW LANG TREE. S1 PAR�'EL. : 22SI12CC- 07—;," SUBDIVISION. . . . I LANGTREE ESTATES ZONING: R-1c'.` LOT. . . . . . . . . . . — :4 CLA".)G OF WORK. , 'NEW GARBAGE DISPP 5ALS. . I MOLD IL.E HOME SPACES. TYPE OF' USE. WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. OCCUPANa ! GRP— R3 FLOOR DRAINS. . . . . . . . TRAPr3. . .. . . . . . . . S 10HILb. . . . . . . . WATER HEATERS. . . . . . : CA"rVH EAOS :NS. . . . . . . . F I XTU R E.9 LAUNDRY TRAYS. . . . . . r SF R0 N4 DRA I N�3. SINKS. . . . . . . . . . : URINALS. . GRE PSE TF,APS. . . . . . . . LAVATORTEq. . . . . OTHER FIXTUPF"). . . . . TUS/SHOWERS. . . . .. SEWER LINE (ft ) . . . . WATER CLOSETS. . : WATER LINE (ft ) . . . . DI SHWASHERS. . . . - RAIN DRAIN (ft ) . . . . remarks : SPRINKLER SYSTEM Uwner: FEES MICHAEL NEWMAN type amol-tnt by date '-,ecpt A1245 SW LANGTREE PRMT $ 15. 00 JLH 06/06/91 5PCT s 0. '75 JL.H 06/06/91 i IGARD OR ()72�124 Phone #: 624-8179 ContrAr,tvri OWNER ---------------- I ri n n e I UT HL Req #. REOUIRED INSPEC-.LONS This nervit is issued sub"Wt to the regulations contained in the Final inspection Tigary Municipal Code, State of 0rt. Specialty Codes and all other suclicable laws. All work will be done it, accordance with aDproved plans, This pereit will expire if work is not started within 181 days of issuance. or if work i.; susuended for tore than 18@ days. Ppr,mittpe it Iss'-led syg Call f:or- inspection 639-4175 i r '«• 'I TY CIF' TIC-iARU —� RE�C:E I��f r,)F C��IY MErN'f kECE I t=,T NO. 191.1-2114162, �� I CHECK AMOUNT c CASH AMOUNT c 1',L). 75 p! NAME c NF WMAN, 111CHAEL PAYMENT DATE 06/ft, 91 � 4 ur)REScti a SUBDIVISION 4 � f 17F 1�`AYMEiVT AMOUNT PAIDPURP03F OF ^AYMENT AMOUNT PAID PURPOSE; Pl_UMBIN('i PER H 45, FW i_ANGTREE. TOTAL otyloLINT PAID — — � esti CERTIFICATE OF CITY OF T'GAPJD , OCCUPANCY MYOF7WARD PERMIT #. . . . . . . i MSTI)0-0104 COMMUNRY DEVELOPMENT DEPARTkIENT I'll 26 SW HWI BW. P.O.Box M97,TlgaM,Otigm 97223(603)839-4175 I)ATF ISSUFI)i 02/i?7/91 SITE ADDRL.,'.j--.,. 8243 SW LANGI"REE ST PARCEL: PSI 12CC I 11,00 SUBD I v 10)1 ON. . . . s LANSTREF ESTATES ZONINGi R--12 BLOCK. . . . . . . . . . c OT. . . . . . . . . . . . . e43 CLASS r1F f :NEW TYPE or L Isr OCC'UPONCY GRP. c R3 OCCUPANCY LOAD i 12'01 4 Ti.*'.NANT NAME. . . Remorkis I TITAN PROPERTIES PO BOX 6835 ,ALOHA OP 97007 Phone #t 6455477 Contractor: TITAN PROPERTIES P0 BOX LIA35 ALOHA Of? 97007 Phone #-. 6456477 Reg #. . s 30558 Occupartry of the above vvferton�ed building it hereby given, and cortifies the comt,liance with the State Of Ovogon Specialty Codes for the group, oct:mpancy, mnd isp under which the referenced permit wala- issued. FIRF DEPARTMENT -fL-Ivy. N17 TN S!P!E�Cy R ct� P(3GT IN CON t)PICUOUS PLACE f� �t pEC'pION Li0'�10E City of Tigard aallding Depwrt—nt: 13125 BM Bell B'rd. T(Bard, Orr,gon 97223 Inspection Line (Rec-o�-Phone): 639-4175 Business Phone: f,39-417] it pection:___-____. _— _-- P 1 tx]. Unders]ab Footing Mech. Rough-in Agpr/sdwlk G, n tine Found. FINALt Plby. Top cn,t Post/Beam Struct. San. SewerFramtng iLpm Post/Beam Mech. Rain CrainIneulat.lonPlby. Underfloor Nater Line Gyp. Bd. -�� 7- C1 f -_ Timet Date Requeetedt__ — Permit Addreen:_� fHE FOLLOWI14(i CORRECT]JNS ARE REQUIREDt _-- f J Dates` L� Inspector:_ - --�—� PPROVED DISAPPROVED APPROmIRD SUBJECT TO ABOVE call For Reinep. ! ! ! ! ! e>s mH ! ear elty of Tigard Building Departaent 13125 S11 Hall Blvd. Tigard, oregon 97223 Inspection Line (Rec-O-Ptydhe)f 639-4175 Business Phone: 639-4171 inspection: - �''� ------ — -- Footing P1 . Underslab Mech. Rough-in Appr/Sdwlk i Found. Plbg. Top Out Gas Line FINALS Poet/n,am Struct. San. Sewer Framing -Bldg. PostfBeam Mech. Rain Drain Insulation .-Plumb. Plbg. Underfloor Natgr ilne Gyp. Ed. -Hoch.7 Date Requesteds� / _Time: AM _ PN Address: S 4 Permit #t Bu'_Eder s THE FOLLOWING C43RRECTIONS ARE REQUIRED1 f -eHA—1e I3+-- -- Inspector: /' �_ �� J Datety_;� ^� _ APPROVED V DISAPPROVED ^-- APPROVED SUBJS"T TO ABOVE ✓Call For Reinap. Man MLWAW aw a era arr ■w Tigard �n Ncrr�cE !J B TU City of Tigard Building Department 1312S BM Ball Blvd. Tigard, Oregon 97223 1f Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 Inspect ion:_----- --------- ---- — --_ Footing Plbg, Underalab Mech. Rough--i:. Appr/Sdwlk Found. P`.bg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina <Loyp. Bd.D -Mach. Date Requested:— Times Time __AM Address: t� �f --- ermit f% --- ------ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:- APPROVED -_^ DISAPPROVED APPROVED SUBJECT TO ABOVE For Reinsp. MHOCTION NO1'ICg City of Ti-gard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone 39-4171 Inspect:ion:_ �.-- Footing Plbg. Undeislab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out ras Line FINALS Post/Beam Struct. San. Sewer Frdming -Bldg. Post/Beam Mach. Rain Drain Ineulatiun -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Regsseeteds_J� �� 7 - `7� Times _', AN _ / PM Addrear.s ��/ ice"' Permit f s_ -� Builders_ TNR FOLLOWING CORRECTIONS ARE REQUIRED: Iney"ctor:a -_�--__-- _---— m -- Dates --- hPPROVEL - _ DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. ■tr wn +� ass ..r aw ea � � IMV9§719 NPT1CF. City o f Tigard su 1.1d ing cepa' s -tnnt X�(,/tom 13125 9M Nall Blvd. Tigard, oreaon 97223�% Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171, Inspection:_ _-r-__-___-_ --- -- Footing Plbg. Underslab h. Rough-in Appr/sdwlk Pound. Plbg. Top Out Ore Lint i FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Mech. Rain Drain Insulation -plumb. Plbg. 7nderfloor Water Line 7 Gyp. ad. -Koch. Date Rraquested- �L�✓ -Time: ",_�1M _> /_��� Perm Address• it f:_ ' / -_ '— THE Ft1I.I"AING CoRRECTIONs ARE REQUIRED: ML�,.. / -7 7 Inspector:_ ---.-.---- ---------------_..._e-___ ._ Date:f�_�!_ - -- 1�"PPROVF.D _ nisAPPROVRD _ APPP.OVED SUBJECT TO ABOVE. Call For Relnep. ao � aa�r awr ow aw sir as salt INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 ,p Phone: 839-4175 Type of Inspb tion ----- Date Requested ` J Time _ A.M._— P.M. Address Z y S L AM C% —. Permit � #_ Owner Lot_ _ / -- Builder _.__..____� �-/ A� —The following BuildingZo3e- iciencies are required to be corrected: Pm.gnted to Approved Inspector _-__ _ U Disapproved rate - -- / '/==1�------ CALL FOR REINSPECTION [] YEr, E-] NO ssr sr ss w s. w .is soe U�r City of xNiq.ra Building Department I�eG�NI�C, 13125 611 Gall Blued. Tigard, Ore7on 97 r So Inspection Line (Rec-o-Phone): 639-4175 Busi Pone: 639-4171 Inspect Footing P1bg. Underalab Mach. Rough-in Appr/Sdw1F Prnind. Plbg. T,p out Gas Line FINALt Post/Beam 9truct. San. Sewer F/rsminq -Bldg. Post/Beam Hf..h. Rain Drain Insulation -plumb. plbl. L)nderflocr Aster Line Gyp. Bd. -Koch. Date Requested:, _ __._—.Ti.: __2� _AH PK yam. Permit AdGre?A• f+1 Buildert_ — --- TFFE FOLLOWING CORRECTIONS ARE REQUIRED: Ivesled VOOF�, Aoo'fell_ 61 -- C-el -- Inspector: — _ Dates� A; APPROVEDA PP G APPROVED SUBJECT TO ABOVE all. For Aeinsp. rs an si: ra si: � .er .w w INSPECTION NOTICE City of Tigard Building Departmen P.O. Box 23M Tigard, Oregon 97223 Phone: 639-41_75 T 1'•,';.e of Inspection Date Requested _� 4/���I 11 A.M. P.M. Address ._. _._: —� Owner Lot #_ BuilderThe following Building Code defici®ncies are required to he corrected: Presented to _ --_�_—._ ___ ;� Approved Inspectnr / lf�( � _ Disapproved Date CALL FOR REINSPWTION YES ❑ NO swr w w w w swr ss as w nM INSPECTION NOTICE o City of Tigard Building Del,artment P.O. Box 97: 97 Tigard, Oregonon 9722? Phone639-417j' Type of Inspection ---- Date Requested Ti r '��G ,! Time_._� A.M.-----P.M. Address _ ,,�..;/ .e - Permit #�V'fi/1��� Owner _ __. Lot # Builder The following Building Code deficiencies are required to be corrected: 6 Presented to 7 ❑ Approved Inspecto Date ---�_ CALL FOR RFUMVECTION ❑ YES U NO INSPECTION NOTICE City of Tigard Building Department F.O. Box 23397 Tigard. Oregon 97223 r Phon, 639-4175 / Type of Inspection . t7L=,�d - / Date Requested 11 me X_ A.M. P.M. i Address .. ^�� ` � '-- -' Permit #� � Owner ' �. _ Lot #— Builder The following Building Code deficiencies are required to be corrected: Presented to ___L _ — _ Approved Inspector _---_-_ -_� 'Disapproved All Date -- �'AI, , P ) REINSPECTION I i YES 1 -1 NO INSPECTION NOTICE moi, City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionDate Requested Requested___ Time A.M. P.M. Address �� 't Permit 0� 1V:1 Owner-- Lot�� # Builder ^'� ..�.L�- �The following Building Code deficiencies are required to be corrected: ------ ----- Piesented to _ Approved Inspector I Disapproved Date - CALL FOR REINSPECTION C] YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection -e Date P,,quested Time A.M. P.M. 2r L"I —zl Z/ Address Permit Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION YES NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 i Type of Inspection Date Requested. �— Tlma A.M. P.M. Address -_ G Permit # �� Owner _ _ Lot # RuilderThe fr.11owing Building Code deficiencies are required to be corrected: - - _ f Presented to Apilrt red Inspector __ J/ ,sap roved Date CALL FOR EINSPECTION YES ❑ NO 7AN Istr RtfA � � � A INSPECTION NOTICE (, City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phona: 639-4175 Type of Inspection Date RequestedC-� ^� 1�� Time A.M. // P.M. Address _.. .1L-�s�, t/ Permit Owner Lot # _ BuilderThe following Building Code deficiencies are required to be corrected: Presented to — Approved Inspector Disapproved Date _ CALL FOR REINSPECTION C7 YEs (j NO 1 INSPECTION NOTICE —� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639•4175 Type of Inspection _ '� Date Requested Ti AJVI. Permit Address (y. ��� Owner Lot # Builder The following Building Code deficiencies are required to be corrected: Presented to�! —- _ -- ---- Approved Inspector _Y__� _� Disapproved Date - CALL FOR REINSPECTION CJ YES (_] NO CITYOFTIFARD ® MASTER PERMIT CrIYOFTW4RD FIER111IT 0 1 o-14 COMMUNITY DEVELOPMENT DEPARTMENT OR100H IDRIM. PERMIT 0. : 111ST90-0104 13 126 SW Hall B lvd. P.O.Box 23397,Tigard,Orepn 99)"Me?afl.15 DATE. ISSUED: 01/20/90 ADDRESS. . . g 8245 SW L-ANGTREE ST PARCEL-' 2S112CC-11- 10('+ I VI SION. . . . I LANGTREE.' ZONING-. 1.,0 C K.. . . . . . . . . . a LOT. . . . « 43 DUIL-DING 14:J.SE-;UE.C90--OO54/GA DWEL.LING UNITS::13 BASEMENT :0 3 sf 1,1-OSS OF:' WORK. :NE_W BEDRMS.-3 BATHS: 15 5 sf T Y Pl:' OF:' USE:. . . SF' F'LOOR E RE T*yr:,[:. OF' CONST. 5N FIRST. .. . . 1.0 sf LE"F"T. . -.52 ft RIGHT. 903 ft (K.'CUPANCY BRP. :R3 SE'COhD. 0 s-f F*RON1 . : 1Y ft RE'AR. . I MS ft I , 1.)R 1:E G. . . .. . . . s: 1. TH I R 0 0 15 sf F-,E Q U I R E D Ili sf SMOKE DE'TE'CTORS. IT 11 00R L-OOD. . . . ...40 r) V01..UE- . . . 69540 PARKING SPACES. . I R,ni a r it.s r. ..................... P001BING 1.NKS. -.2 r---L.G 0 R 1)R A 1 N F3 .0 BOCKFI 0 W PR E:V Iq T R":') I ()V ATO R I E'S -31 WA'ff.R HEATERS. I TRAPS. . . . . . . . . . . .. . . .. TUB/SHOWERS.. !: 1.1. L.W.WDRY 'TRAYS. 0 CATCH BASINS. .. .. - .. . .. 6 140TE'R CL..OSET6. -.0 '.)EWE-'.F% l...INE (ft) -. 00 GREASEE'. TRAPS. . - . -' D T!-3)HWASHERS. . . :: J.P) WATIH.:R L.INL'. (ft) . -0 0 OTHER F:'IXTURF:-'S. . . . . .0 G 0 R B A G E D.l.*S P. . --0 RAIN DRAIN (ft) . : 10 WASHING MACH. SFRAIN DRAINS. MECHANICAL. F:-EE'S I UE.1- UNIT* HTRS. . .0 type a ni c.)Lt 11 t- 13y (i a t e rec p1, VE NTS . . . . . :41 VIAYM $ 40. 00 JL..H 03/12/90 1,07716 111(.)X 114PUT.0100 BTU VE 1T F:'A N S. 0 1. BPRT $ 34:3. 00 I URN < :LOOK :0 HOODS. . . . . .. ..0 BVIL-C $ 40. 00 I 1.1RN )=.LOOK -.0 WOODSTOVES. -. B 5 PC $ 1. 7. 15 I L.0 0 R F U R N. . . . I CLO DRYERS. : 1 5 I'D C; $ 600. 00 P0.1L-/C'1MP < 3HP.- OTHER UNITS" I SSDC 1, (.250.00 GAS 00TLE.'TS93 PARK $ 2501. 00 11 P F:T $ 39. 00 I 'l T*ON PROPERTIES MPLC $ 9. 75 1,0 EQ.)X 6835 11b)r-"C $ 1. 9115 PPIRT 1; 1~32. 50 (A.-C)HA OR 97007 P15FIU $ G. 63 1-1-1c11ie #v 6459477 PAYM q, 250.00 JLH 06/28/90 1 01 tr av t-,ar PAY11 1399.98 JI.-H 07/PO/90 1 .1 T AN PR U PE RT I E S N) BOX 6835 01-OHA OR 97007 14)c)nt- It: 64564"77 $ 1689. 98 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Fc)at/taLind Insp f Limb Top Ot.tt applicable laws. All work will be done in accordance with approved W-tr Proc)f ing Bsni Framing Insp plans. This permit will eypire If Work is not started within 181 Post/Beam Insp F"i-replace Insp days of issuance, or if word is stjsqend for than 188 ays. Crawl Drain Gas 1-ine Insp PlIm/t.tn(Islab ]'lisp Insialation Insp e 1,ni j.t L.e e 15J I I I a e F11 M/Und er f I clo''(1 Cyr) Board Insp .4 ....................... F:'tng Drain Bsmlt Rain c1rain Insp lsstat e(i Byl ....................... Mec�hanical Insp W,%.ktp.(, I- ine Insp /77/ Call for inspertion 639 4175 CITY 13F TIGAPr) RECF"[PT OF' PAYMENT F,,E('ElF,T NO. 70--202,946 CHECIt AMOUNT i799 7�e I wi PIE 71YON FIRIOPEPTIES CA19+4 AMOUNT (:J:(1(1 ("'P(MESS a Pll ROY 681!5 PIA"vMENT DATE i t' SUPD T V I S I ON v ALOHA. OP. 17'71)-)-7- r;W LANGTREP. FAJPFIXSE OF F'A*Y'MF.NT AMOUNT PAID PURPOSE OF PAYMENT 0,1MOUN T PA I D f.'.;1!TL.DlNr7 PERM rlSTl)(:)—(.)l .;)11 PLUMBIJAG F1 F tl t.7". 50 MECHANICAL FS SUILL) FF.. .p 25. 77 f-A #-44 CHCC( FE 7!n STREET 'MC lf:*,,f.S, SIX 2!50 VllrAl.. AtlnUNT PATD SEWER CUNMECTION CITYOFTIFARD R 11 IT ;CffY'OF TIM E'R M IT #. . . . . . . .. .SWR90--o" '[3 WRD COMMUNITY DEVELOPMENT DEPARTMENT 00"N 75 13125 SW Hidl Blvd. P.O.am 23397.Tipmi,Oregon WM.003k4pdo RIM PEHIIJ I' #- '. IIST90-0104 DATE 15SUEDA 06/28/90 C)IJU. AIWRESS. . . e 8245 SW LANGTREE sT0 R C E,L n 2 i1.12CC 1. 1 1 rel() LANGTREE ZONINGa 1-.'i I Ct.,K. . . . . . LOT. . . . . . . . . . . . . .43 ............. TENANT (.1':)'A NO. .. . . . . . . . . .4:1694 FJ XT U R F: UNITS. . . C11.44513 (IF WORK. .. NEW DWELL-ING UNI'T'S... I yf-'I-­ OF USE. . .. . <-J NO- OF BUILDINGS; ]. '[11":)TA L I TY F-1 E. E'l U S W R 11`11--'ERV SURFACE— R C..?III a-r k S (:iWI-Ir..'r... FEES 11:44411 1="ROP'F.'RT1ES type anlot.111t by dak t e ret F:'(') FJ 0X C,835 V'RMT $ 1250.00 W-01-4) CW `:3700'7INSP' $ 35.00 0-, 6455477 1--'A Y M 1285. 00 JLH 06/28/90 CONTROCTOR NOT ON FILL .............—............. F,h c)11 e Nn 1.285. 00 TOTAL_ Req 0. REQUJRE.D INSVIECT'CONS This Applicant agrees to comply with all the rules and regulations Sewer li-ispertic)ii of the Unified Sewage Agency. The permit expires 10@ days from the date issued. The total amount paid will be forfeited if the ......... ............ permit expires. The Agency does not quar,ntee the accuracy of the side sewer laterals. If the sewer is not located at the measurement ....... piven, the installer shall prospect 3 feet in all directions from the distance liven. If not so located, the installer shall purchase ........ a "Tao and Side Sewer" Permit and the Agency will install a lateral. ........... ............ 1:1 e-r III j.t t P ............. -------- ........................ ................................ .................. ............. C a 11 fc)-r j.visF)ec.,tiori 6,39-4175 aw a. w �► CITY OF TI17AR!) ' � PLAN CIIECK APP COMMUNITY DEVELOPMENT DEPARTMENT �� LIGATION 13125 5 W Hall Blvd.,P 0 Box 23391,Tigard,on CHECK N i l9 Qon 97223,15031 639-11 75 PLAN C PERMIT N _ 1` DATE ISSUED YJOD 1 RESS: TAX MAP/LOT 1Z t - (//b`, _ f>IlD: ` LAND USC: VALUA f ION: - CXw1NCR SPECIAL NOT NAME: _ —g- REISSUE. -0F,;:---- 0_ ADDRESS: � �_V LAST REISSU17 - -- - --- 7 —� FLOOD PLAIN/ ` _— SENSITIVE LAND: _ PI{ONE: �71.. S _ �c.� '— - APPROVALS REQUIRED C�NTf2ACl:OR PLANNING: NAME : �� ENGINEERING: _ ADDRESS: FIRE DEPT _ — _., — — ---- —_— OTHER: PHONE: ~ — ITEMS REQUIRED BO11 DERS BOARD q; �� EXP DATE: _'gp- e LIST/SUBCONTRACTORS: _ ARCH BUS TAX: ENGINEER CALCULATIONS: NAM[ :: _ TRUSS DETAILS: ADDRESS: _ OTHER: PHONE : - COMMENTS: Sll(3 -ONT RACTORS: PLUMB: �( �--WECH PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE A fjt u-u/uq 10 432 00 Building Permit Fees 10-431 OO Plumbing Permit Fees L �� 3 10- 431 01 Mechanical Permit Fees �3y __ �- 10-230 01 State Building Tax (5%) Building — .Z jjs Plumbing _ (� G-3 �-s �j Mech - 10-433 00 Plans Check Feed' Building _ O Plumbing Mech �. J7 30-202 00 Sewer Connection 30-444 00 zQ;2i Sewer Inspection 3�- 51-448 OU Street System Dev Charge (SDC) "---Ifo - p 6, vv 52-449 00 Parks System Dev Charge (PDC) / G — su 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10-230 06 Fire TOTAL ' RFC N APP .TCAN SIGNATURE Received B X11 By :� �— 0a•e Received: cn/358/P/18P --- -- -- Z ) N' 1?IION CONTROL INFORMATION GENERAL,CONTRACTOR NAME& ADDRESS: CASEFILE NO.: PERMITNO.: ---- APPLICANT NAME AND ADDRESS: EXCAVATION C091'RACfOR --riLfld T'Ru �' NAME& ADDRLSS: -�— � OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: —— APPLICANT: { �.�i`r'.� — PROPERTY DESCRIPTION: OWNFR: STREE ' DRESS AND SS S EET/UQCATED GENERAL.CONTRACTOR:---, i - EXCAVATIONCONTRACTOR: 6-9z 2 (1y -- Sf1Ep08: — LEGAL DESCRIPTION: 24 IIR/AFTER HOURS EMERGENCY TAX LOT NO.: ('O 'JPERSON,''I'fLE,T'FiLEPHONE: -- 1/4 SECTION: SI'LT:SIZE,ACRES: —. DISTURBED/WORN.AREA,ACRES: LOCATION&ADDRESS WHERE:SPOILS LEAVING SITE WILT.BETAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE) (NOTE:PERMITS M.',Y HE REQUIRED) ACH BASIN DITCH PIPE CREEK i - - -`-- (CIRCLE ONE) P�VAT'F P OPEF TTY —� — �PUHLI_ C RIGLIT OI'WAY :RC) 1$1 >1 EDl FNLAM 1��'ONTROL IESC)MEASURES MIN11,111M ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSIRUC11ON: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILI'1'I1:S STABILIZE EXPOSED SURFACE STABILIZED CONSTRl1C'TION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF CONTROL_ FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PER MANT FACILITIES CONSTRUCTION SEQUENCE OTHER___ G HER_ _ PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH"TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED, ►iAS PLAN CONSTRUCTION NOTES COMPLFrF_INCLUDING EMERGENCY 1111ONE NUMBER. SCHI;Dl11.EJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL.COMPLY WITH T LIE ABOVE AND WILL CONSTRUCT AND MAINTAIN ES^.MEASURES AS NECESSARY To CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. OWNFCR SR'7NAl'llRF. � -� � APPI.I A �,NATl1RE� c)I1ICIAL USE ONLY. DATE ACCEPTED 111: NUMBER RECEIVED BY +w' ear s aser we s s CITY OF TIGARD PLOMBING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing T I GARD a OR 97223 twsOwss or must be property owner/operator not hiring outside help. -- NaPwdOer'eapnwti (503)639-4175 Plumbing Permit No. Address r �. OosaipUon OIIS 814-21610 DUAN. PRICE AMT. Job Tax Lot Map.No. Address FIXTURES w [flock Subdvlslon - — Sink 7.50 Dime Dir name 61 business) Lavatory 7.50 - � c'`� ' � C A/-JTubor TublSlwwer Comb. J 7.50 Address 7.50 Owner c, �I - ��. � c T Wa�''1 er� 7.50 Uwner Clly/ to -- << `17 2 Z�j. Dishwasher 7.50 Phots Garbage Disposal 7.50 Name -,25119 Washing Machine -- - 7.50 --- Floor On., 7.50 Mat irgAddress Phone Water Healer 7.50 Laundry Room Tray 7.50 Occupant /State - zip Urinal 7.50 Dime Phone Other Feckrres(Specify) 7.50 C_-1 W N 4� -- 7.50 Mailing A6drm Phone -- 7.50 Contractor City/State -- 23p --- - 7.50 MISCELLANEOUS City Bus.Tax No. sewer 1 s11GO' _ 10.00 tale s.Board NO. —Stat- -Bus.Lic.No. Sewer-ea.Addrt 100__ _ 15 JO -— (Resdential) Water Service 1st 100' 20.00 I hereby acknowledge that i have read this apliicatlon.that tit Iicrmalion Water Servioe ea..44M 2M' 15.00 given is correct.stat I am regislered with the State Ouildees Board,and also Storm 6 Rain Drain t st.100' 30.00 he"a State Pkard*V license that the numbers given are correct.tins(Dip 1 V cork will be done in accordance with applicable prowak-of Ore- Storm b P ran[rain Addit.100" 15.00 -- gon Revised Statutes Chapters '!sP J 890 and applicable nldes and Owlt Mobile any space 25.00 no help will be enpbyed unless go"ed under ORS Ga(IlAxemp!krm -- Stale registration,pies"give reosnn t:ebur). Back Flow Prevention 140MEOWNEFtS-1 hereby omtity the I am the owner of the property de- Device or Mti Pblhrlion Device - `A arxtred above.at which location 1 propose to maks a pl•,s;brig Installation for Any Trap or W eels Not my own use and this properly fs not being t onstruciv.,for$ok.base or rent. Connected to■Fb*jm_._- -- 7.50 Catch Basin - -- 750 - —---`--. .-_ kwof FAM.PkrPbesg -.---- ---- - 10.00 Per Hr. _----- --- ^_ Specialty Requested Inspecd-, 40.00 Per Hr. -_---- - -— After.of Pkxribing within --- -- - - — an Fxis1lrng Bldg 15.00 min. AlITf10RIZED S40NAlURE -------- _ Ogle New Bldg.or Build.Addition _ 25.00 min. R�irf [c"d,csijrWe farttl_y Describe work new❑ addition(] s3terabon❑ rep&[I dAt_11lr�-- 35.00 be clone residential non-maidorltiel Inds"use of t-mAk*V-proporty-- $25.00 minimum SUBTOTAL Nqpoewl unit of 58 SURCHARGE 1AAahwjorpix*axty - -- - --- -- -- 25% PLAN REVIEW Thk Permit beomies null rarnd void K work or oonstrixy{on wAllodirod M not corn TOTAL rnonoad within 1110 riayu w Ifoenrrlrucllon orwo&M stopendod or abarvIonad for •-•••�•• a perkdl M 180 days d any Gow~work to oomrrA d»d Date issued .__ - by ----