8363 SW LANGTREE STREET 8363 SW angtree Street
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City of Tigard Building lepartment
1.3125 SM Bell Blvd. Tigard, Oregon 97
fnepection Line (Rec-O-Phone): 639-4175 husinuss hones 639-4:71
.nepect ion s
V+ ,oting Plbg. Undersla:, Mach. Ruugh-' Appr/Sdwlk
Foun.f. Plbg. Top Oast f; Lines. FINALS
Post/Beam Struct. San. Sewer Framing -L dg.
Post/Beam Moch. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requesteds— .=2�2tel_ _—_.-,-__Time: Ali --,PM
Aldreee: y� .� '. l.-�•�a_` Per-wit �t V' ✓ V
Lr,p7�.
Builder:__
THE FOLLOWING -ORRECTIONS ARE UMIRM.
- 7
APPROVED DISAPPROVED APPROVED SUB.IE(T TO ABOVE
Call For Reinsp.
CERTIFICATE OF'
CITY OF BOARD OCC1.1PANCY
clly RD Fl 'RMIT #. . . . . . . i MST90-035`
ff iTwil
COMMUNITY DEVELOPMENn DqP-,
13125 SW HWI Blvd. P.O.Box.,IkW,TloaM,Or"m=15own D"Tt., ISSUED:
-ilTE ADDRESS. . . : 6363 SW L.ANOTME ST PARCELt 26, 1aCC-1050",
;(J8DJVISI0N. . . . s LANGTREF ESTATES ZONINGr R-12
I-ALOCK. . . . . . LOT. . . . . . . . . . . . . c37
"LASS OF WORK. tNEW
TYPE OF USE. . . vSF
OCCUPANCY GRP. t R3
�)CGLIPANCY LLAD o220 4
VENA. 411E. . . I
Remmrks4
Owner
TITAN PROPERTIES
i'n BOX 68315
OLOVIA OR 97007
''home #% 6455477
1";IAN PROPEPTIES
P0 BOX 6835
OLOHA OR 97007
Phone #v 6456477
140,1 *. . 1 30538
Occupancy of the above rpferenc,od building it; hereby given, A-nd cert if ic—
thee complianre with the State Of Oregon Sppcialty Codes for the group,
occupency, and ustr under which the roforenced p,rmit was issued.
FlnE DEPARTMENT BLl.jJlD I NG II ECTOR
DIN FF ICTAL
POST IN CONGPICUOU3 PLACE
ew ea, aia ■.s .. .. ssa � asr
lysPECTION NOTICE /
city of Tigard B.uiidioq 0PPar.nent
13125 SIN Ball Blvd- Ti.gari,. Oregon 97223
Inspe�ctio:. Line (Rec-o-Phone;: 635-4175 Business Phore: 639-4171
Im9pections
_,._.____ - ---
11,00ting Plhy. Undere. h Hoch. Rough-in Appr/Bdwl.k
Found. P1bg. Top Out Gas Lino FINALz
----
Bldg.
Poet/Beam Struv'-. San. Sewer '�`' -
Post/Beam Mac Rein Drain
Innulation
Underfloor Wat.nr Line cyP. 5d• S� Nach.
P 1 bq. `tier,-,rt•�
._ _AM PH
Date Requested:_ - -
Addreasz Permit
Builders—:
719 FOLLOWING CORRECTIONS ARE RRUDIRBD:
'-ffreo /trove
Inspector: -----..._� Dater-
PPROVED DISAPPROVED APPROVED SUBJECT '_^O AEM
Call Cor Reinsp.
JNSPSCTION NOTICE
City of Tigard Building Departannt
13125 B^ Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rel.-J-Phone)s/639•-4175 Bus ;sae Phc nes 639-4171
Footing Plbg. Underab Mech. Rough-in 1-1Appr./70wlk
Pound. Plbq. Top Out Cee Line FINALZ
Poet/Beam Struct. Sen. Seu._t Framing -Bldg.
Post/Beam Mech. Rein Drain Insulation
Plbg. Underfloor Water
/r Line Gyp. Bd. -Hach.
Date Requested:_ � & Times _ — _ PH
Address: Permit �)
Builders
THE FOLLOWING CORRECTIONS ARE RRQUIREDs
)nepertcrs
APPROVZL) —i DISAPPROVED `_ APPROVED SUBJECT TO '\BOYS
Call For Roinsp.
t� nw as t� s tt�r W w
INAPjMC.Y N *CE
City of Tigard Building Department
13125 HK Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Buviness Pho 639-4171
Inspecti.on:_
Footing Plbq. Underalah Hoch. Rough In Appr/adwlk
Found. Plbg. Top Out Gas Line 1INALt
Post/Beam Struct. San. Sewer Framing .old4•
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad.
Date Requested: � Timet AM pN
Address- Permit �s
Rulldor:
THE FOLLOWING CORRECTIONS ARE REQUIF.D:
PST112 4 - W.74) Ale TCc wr(�tv�i�
e'!c c P &toId;e 1< /
wpm
Inapecto •. Date:
APPROVEDISAP ROVED APPROVED SUD.TF.CT TO ABOVE
__ (,`:a1.1 For Reinep_
ew twr � +.r �ttr �.. arts sa
TPSPECTION NMO
city of. Tigard Building Dspsr4feat
13:25 SW Nall Blvd. Tigard, Oregon 97223
inspectlo:. LinP (ROc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection _... ------ -- -- ��--
Footing Flbg. Underslab Mach. Rough in �A�r/8dalk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Seam 9trur..t. San. Sewer Framing -Bldg.
Post./Beam Meeh, Rain Drain
insulation -plumb.
Plbq. underfloor Neter Line GYP• tl6•
-Koch.
Timet �071+�n PH
Date Requeel.eds
Adareae: �� 3
Permit If
Builder:_
THE F0LI.011IN0 CORRECTIONS ARE PEQUIRED:
r
InepIlatort— ff-LT! `l Date: 'ZIP
WNW= DISAPPRCVED -L— iPPROVED SUBJECT TO ASOVE
call. For Relnsp.
wWAWA= W
MM
City of Tigard Is9:11—e9 DeperCaW
131,25 811 Hall Blvd. Tigard, Oregon 77223
?
Insaction Line (Roc-o-Phone): 639-4175 Rust.uess Phone ' 639-4171
/nsp0ct ion: ._.----------------.---'__—
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Fouad.
Plbg. Top Out Gas Line FINAL:
Poet/Beam 9truct. San -Bldg.sewer Framing g•
Poet/Beam Mech. Rain Drain
Insulation -Plumb.
1
Plbg. Undacl.loor Water Line Gyp. -Hoch./
r Z G1` Timae _AM _ PM
Date Recniested:
Permit
Ads rase: —
Builuur:
THE FOLLOWING UORRECTIOBB ARE REQUIRED:
c
I
Iuep*±ctnr:------ ---_-_--- ----- Date: L2 ~�
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
J
1p8PECTlON N01ICE
City 3f Tigard Buildlag D-partaient
13125 SN Hall Blvd. Tigard, ::regon 972231
Inspection Line (Rec-O-Phone): 639-4175 Business Phone
{ 171
Inspection:
:opting Plbg. Underelab Mech. n Hou h-i
4 Appr/Sriwlk
Found. Plbg. Top out Can I.1ne
FINAL$
Puktt/Berm Struct. San. Sewer Framing _Bid
g.
P"nt/Ream Mer_h. Rein Drain �IneulationN
-Plumb.
tlbg. Underfloor
Water Line Gyp. -Mach.
Date Aequestsd$
—Times
AH
Address$ !J -
Permit #3�-'
Buildert
THE FOLLOWING CORREC-IONS ARE REQUIRED: �—
i
�t-T
In"etort_ _ L
--/ Date$ 7
APPROVED - DISAPPROVED `Y _ APPROVEDSUBJECT ^
tt►►"�� ABOVE
_—Call For Reinap.
i
tl78PE9T1-0N NOTICE r,
city of Tigard 1•iildi.eg Dapartaent
13125 SW Ball Blvd. ':tgard, C-ogon 97223 /
Inspection Line pec-O-Phone): 634-4175 Bueiaesa Phone: 639.4171
Inspections -- — -- -- -�-- ----
Footing Plbg. Unders)-5 Mech. Pough-in Appr/Sdwlk
Found. AOu
lba. Tnp t Gas Line FINAL:
Poet/Beam Struct. San. Sewer framing -Bldg.
Poet/Ream Hoch. Rain Drain C Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Drte Requentedt__ C,;2 cy L _--Timet - 2�—AM PN
\ Z14
Address: 1`ermit
Builder: n
THE FOLLOWING CORRECTIONS ARE REQUIRED:
+
a�-1,t '-�
-_.-��''✓ S SCE" _ cc_ Ss _ '�,� _--
Z", v
zz
Inspectors_ _ Date t
IBJ APPROVED DISAPPR D �/ APPROVED SUBJECT To ASOVE
i1/]� Call For Reinap.
,SNS !�C�faON NOTICE �
Cikp of ?i7ard Building Departaant j�
3'r12S SR Rall Blvd. Tigard, Oregon 97223
9 e9'o
Inspection Li:.'4 (Rec-O-Phone): 639-4175 Business Pk,ine: 639-4171
1nspection i_Y�_
Footing Plbg. Underslab ('J Meoh. Rough-in Appr/sdwlk
Found. Plbq. Top Out Gas Line FINALS
Poet:/Beam Struct. San. --carer Framing -Bldg. 4
Poat/Beam Mach. Rain Drain Tnsnlation -Plumb. !
i
Plbg. Unlerfloor Nater Lige Gyp. Rd. -Mech.
Date Requeuteds Timet , �AM _--PM
Address e ...�4�� "7 Permit #: .
THE FOLUMINO CORRECTIONS ARE REQUIRED:
HUGE'y
Inspectors% C7!1_ Dates - --- --- -
APPROVED __DISAAPPROVRD APPROVED SUBJECT To ABOVE
(T� L/�Ca11 For Reinep.
MM&MRWRM
tNSgEcrJOI�nOTICE
City of Tigard dullding Departinent '
13125 811 Hall pled. Tiga>d, Oregon 97223 I�f
Im pection Line (Rec-O-Phone): 639-4175 Busireas Phone: 639-4171
Inapactions��`—_ --------_ — ----- --- _._— _,
Footing Plbg. Underslab Hoch. Rough-1n Appr/Sdwik
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struot') San. Sewer Framing -Rldg.
et/Mam Mech. Rain Drain Ineulaf-Lon -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requueteds Lr- ` / T'met __Ari __L!�_PN
Address:__. 1c �Permit
� J
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
VAJ
L
Inspeur: — Dates��_�t/
�VED DISAPPROVED —-- APpkOVED SUBJECT To ABOVR
Call For Reinsp.
to tri er ■w ew +� ..r t.a�
City of Tigacd Bulldiaq DePartaent '
13125 SR Hall Blot- Tigard, Orogon 97223
Inspection Line (Rec-O-Phones 639-1175 Dusineue Phone: 639-4171
Inspection:_.__,_._____ — -----
Footing P"-wg. Underelab Mech. Rough--in Appr/Sdwlk
Found.
Plbg. Top Out Cas Line FINAL:
Past/Beaus Struct. San. Sewor Framing -Bldg.
Pont/Beam !tech. Rain Drain Inauletion
-Plumb.
�. Tjnd-rfloo$ Hater Line Gyp. Bd. -Meeh.
/ e Time: I'M -PH
Date Requeete+ds_____L_ �
Addr9as:_ ::
THN FOLL_)WING CORRECTIONS ARE REQUIP M:
Icsepectors�� ___
,1 "PROIRD DISAPPROVED APP';GVRD SUBJECT TO ABOVE
Call For Reiner,
I
1 �
1N8PBCrIoK_ ng 0 f
City of Tigard Building Department ( li
131125 SM Hall Blvd. Tigazd, Oregon 97223
Inspection Line (Rec-o-Phone 1 639-4175 Business Phone. 639-4171
Inspection: —_—
Footing Plbg. Underalab Met:u. Rough-ln Appr/So.,lk
Pound. Plbq. Top Out Gas Line PIVAL:
Post/Beam Struct. San. ;Drai
Framing -BI03.
Pont/Beam Mach. in Insulation -Plumb.
Plbg. Underfloor Nater Gyp. Rd. -mech.
Date Requested:
� 1
Adri-ess: remit #t�
Ru[lder:
THE POLIA'')NING CORRRCTIONS ARE REQt)IRF,D:
1 na{Mrl ne Date!
AI'PIVIVF.D DISAPPROVED APPROVED RUB.IECT To ABOVE
Call For Reinsp.
PLUMBING PERMIT
C17YOFTIFARD C Crffl Y�AiO'FT L R D PERMIT 0. . . . . . . e MST90-0355
COMMUNITY DEVELOW3MENT DEPARTMENT mock DATE ISSUED 11/2G/90
13126 SIN 141I Blvd.P.O.Box 23397,TipM,Ompon 97 (603)60.4176
71. 1 F ADD FFEgg.--. .^ 0-rT-- Pf-iRCELs PS112CC-10'Yj00
1-;UDDIVISION. . . . r ZONINGS
3:11-(SCK. . . . . . . . . . . LOT. . . . . . . . . . . . . e 3'7
CLASS OF 6ORK. . :NEW GARBAGE T)ISPOSALS. . a I
TYPE GP USL. . . . 19F WASHING MACH. . . . . . . 1. BACKFLOW PREVNI RS. . 10
O('-,CUr`ANCY GRD'. . SR3 FLOOR DRAING. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . 40
STORIES. . . . . . . . of WATER HEA TERS. . . � . . : 1 CATCH BASINS. . . . . . . so
F IXTURES------------- LAUNDRY TRAYS. . . . . . PO SF RAIN DRAINS. „ . . . e
91 NK 8. . . . . . . . . . it GREASE TRAPS. . . . . . . to
LAVATORIES. . . . . 13 OTHER FIXTURES. . . . .. .0
TUB/SHOWERS. . . . i SEWER LINE (ft) . — ro
WATER CLOSETS. . a3 WATER LINE (ft) . . . . . 100
I)TSHWASHERS. . . . ol FAIN D <AIN (ft) . . tO
Remarkso
OWNERs ...... F E E Si
11TAN PROPERYIES PAYM $ 40. 00 JL.H 11/08/90 20664".)
PO BOX 6835 B P RIT $ 349., 00
PPLC $ 40. 00
01.0140 OR 97007 E15PC $ 1 /. 45
Phone 14c 6455477 BPL.0 $ 15. 013
11
1:3 S D Cl $ 25H.00
PIL(mbinq PARK $ P50.00 I
MUIRT $ 36. 00
Name"Ken Watts A. 11PL.C ffi 9. 00
Addre - po 4i= M 5 P C, $ 1 80
I-"I.t y rX j'+3rd,-L.C*............. t a t I PPRI $ J."11P. 50
P n e 10 P5VC $ 6. 63
q Add i ti onA I fees not shown tie re. . .
RVOL)IkED 4-71F.CTI ONS
This permit is issued subject t(-) the reg--
ulAtions contained in the Tigard MM-liCipAl F:OC)t/f(-)Lkrid Insp Rain drair I n 7.p
r)(IL. , State of 0"P. Specialty Codes and All Post/PeAm Struct Water 1--isle I r)F;p
ether applicable laws. All worif, wil. l. be done Post/Beam Meehan App-c/Sdwl!.. I visp
iii Aceardance with approved plans. This Pl.m/i.ondslab Insp Mech a i.-'::a I Fi no 1.
permit will expi , p if wnrk is not mtArteci PLM/Under f I oor Plimb Final
within 180 dAys (.)f issitance, or if wo-rp. i.4A mechAnic—ll Insp Building F.j.nal
-;uspended for more, than 180 days. Plimb 'TOP Out Erosion cant-val
'' naming Insp ........
i 1,e P 1 .1 C e 11'1 s p
()"As Linp Insp
Inost.ilation Insp
Gyp fWard Insp
Atlthotized Plumhing Contractor STqnAkt'L'('r e
Call fur invpectium 639-4175
Cent-ran_tor Not*%i
a� ria s ■i � i• a
CITYOF TIGARD
MASTER PERMIT
CfTYOFT 4RD PERMIT 0» . . . . . . a I1ST•'40 0::3'--55
COMMUNITY DEVELOPMENT DEPARTMENT 000N
13126 SW FWI Blvd. P.O.Box 23307,Tlgwd,Oregon 07423(603)6 4176
.,. . 1. ---- D A T F' 1 S S U C D• 1 1/c''•..6/'J 0
:iI T'E ADDRE:.S'3 , . z 8367 SW LANGTRE-»Ic: 137 [)AFiC.HLe 2S11.2(,(,•••1050(
SUBDIVISION. . . . tt LANGTREE: ZONING:
........_.__.____._....___...___..._..._...___....__.._..._._. BUILDING -.__._.._-.._._....._ .___ .____. __......_.....__._..
REE-ISSUE-.90 0008/ DWELLING UNITS. 1 BASEME:NT. . . . . . . . a0 S1
(',LASS OFF WORK. :NEW BEDRMS::3 RATHS-3 GARAGE. . . . . . . . . . :400 sf
TYI.",E OF IJS F.::. . » -SF FLOOR AREAS•-•-•••••••-- -._._._. IREOUIRE D
TYPE (':FF (::ONST. :5N FIRST. . :751 1;f 1._E:F T. . A5 ft RIGHT» :.,5 ft
C)CCUPANCY GRP. '.R3 SE::C;OND. . . :640 13 f FRONT. a 20 ft REAR. . -31 f l:
°3'T'ORIE:.S. . . . . . . :2 THIRD. . . . :0 sf RE .4L)I
HE::IG1+1.. . . . . . . .. .20 ft •T'OTA L..---.......---: 1391 s f SMOKE_ DETECTORS.ORS. a Y
F:.l.00R LOAD. . . » :40 psf VALUE. . . . . $tt •71186; PARK INO SPACES. . :0
Remarks z
PLUMBING •_.__..__....______..__._.........____._•.._____...._........._._.._..____.._._..._......
!3.INKS. . . . . . .. . . . . 1. FFI...OUR DRAINS. » . . ..0 BACKFI_OW PREVNTRS. .• -,14
LOVAT•ORIES. . . . . ..3 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . ,. .. . ,. .0
'TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. .. . :0 CATCH BAS INS» .• - ., ., •. ., :Nl
WATER CLOSETS. . 13 SEWER LINE: (ft) . :0 GREASE TRAPS.. . . . , » » a0
Dl:SHWASHERS. . . . -, 1. WATE:R LIN 1.:: (ft) . : 1.00 OTHER FIXTI.IRE S.. ., . .. » aid
GARBAGE 1)1ST'. ,. . : 1 RAIN DRAIN (ft) . :0
WOSHING NAL:H. ,. . a I SF RAIN DR(1TN5. . : I
_....__..•...__..._.-........ ._._._. ME:CHANIC;AI_ _...._........_. _.........._._. __._._......_.._._....._.._ FEES
1"UEL TYPE::':i UhI1 T M'T'Rf3. » :0 type amaii111; lav date r(eC la t;
/GAS// // / VENTS . . . . .. :0 PAYM 40. 00 JL.H 11/08/90 206645
MAX I NPI.I T.0 B T U VI':NT' FANS. . a 7 BPRT :34':). 90 / !
IFURN ( 100K ' I: 1. HOODS. ., . . . :1 BPLC 40. 610
1=URN )=-1.00K . . :0 WOCIDSTO)ES. 0 B5PC $ 1.7. 4`E5
(FLOOR 1"URN., . . . :0 CLO DRYERS. : 1 BPLC $ 15. 00
1:1011_./CMI"' < 3FIT';,F..1 OTHER I.3hITs:O SSDC: $ 1 ';0. 00
0706 OUTLF•TSa1 PARK $ 2°50. 00
Owner: _._.._._.........,_............. .........___....._.____._.__.._....__..._.____._..... 1*1IJRT $ :361. 00 1 /
f'I1'(1N PROPERTIES MF•'I...0 $ 9. 00
1-10 BOX 6835 1115 1--, .. `F 1. 80
PF'R•T• $ 132. 50
01 OHO OR 9•700 7 1"115171(" $ 6.613
GIhone+ N: 6455477 TIF $ 1350. 00 /
C,antrar"tc•ra ____..__ ..._. ._.._.._...._._..._....__._._._._.__.._..._._.._ PAYM $ R50. 00 JL.H ! !
•T'1 TAN PR0PFRT IES PAYM $ 2167. 78 JLM 1.1/26/90
►'c) BOX (,835
F11._01-IA OR 97007
1'1-i arse ff: (,4561477
F:eq 0. . . ;:30558
1; P457. 38 TOTAL
1� peTeit is issued subject to the rejulations contained in the - - -- - REOUIRE:D INSPECTIONS - -
irard Municipal Code. State of Ore. Specialty Codes and all other Enot/f (And Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Vlost/Beazm StrUct Gas Lane Insp
r'_ans. This persit will expire if work is not started within 181 Post/Beam Mechan I1'1sUlati0n Insp
dare of iesuance, or if work is suspended forr� 1 days. Plm/miidslab Insp Gyp Board Insp
F-'I..M/Unn derf lnar Raidra; n. I"
rm:ittee s.3agnatU•res _........_.-._. Mer.harlar..,�1. Intip Water I...i.ne: lr
Plumb Top OUt Appr/S3dwl.�r Insp
B Y a _ ___.._._.._.....___.__......__...._..............._......_..._...__.._._.__....._.__ F r A m i n g I n s p N e C.,h A r1:L(•.-,a l F a rt a.[
C:AII f irlspec tiorl - 639-417 J
CIT-1 OF TICAFE D RECEIPT OF PAYMENT RECEIPT NO. %90-207100.
C!AECK AMOUNT t 211-7. 38
!'4AME. a TITAN PROPERTIES CASH AMOUNT a
0ODF"'ESS e PAYMENT DATE t 11/26 W,
SUBDIVISION
Al..0HA, OR ?7t)C?7-- 8362 SW L.ANGTREE
PURPOSE OF F"AYMENT AMOUNT PAID PURPOSE OF rAYMENT AMOUNT PAID
BUIL-DING PEPM M3T90-03V5 '-349. t)(1) Pl-LJME41N(3 PERM I !7-o
MECHANICAL, PE .1
..6.f)0 ST. SNJILU PER ..ri.E18
Fl-AN CHECK. FE 24.(W) RE91VENTIAL. 'rRAFFIC FEE5 1.
SDC 250. u()
r0lAt- AMOUNT PAID 167. 30
INURCTION NOTICE
City of Tigard Building Departa�snt
13125 BE Ball Blvd. Tigard, Oreg . 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phonoi 39-4171 F
Inspeotiont` --- —--- —
inq Plbg. Underelab Mach. Rough-in Appr/Sdwlk
nd. ,; Plbg. Top Out Jan Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bleig.
Post/Beam Mech. Rain Drain Insulation -Ilumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requestedt ! _ 7 Time: AM PN
Address:_ r _ Permit 1t_1�� =�
Builder:!, --- ---`—.—
TME FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector- ---------'- �_-- -- Date.. Z� ( —
-e -
�} APPROVED - DISAP:KO.'ED APPROVED SUBJECT TO ABOVE
—
—Call For Reinep.
CITY OF TTBARD RELEIPT OF PAYMENT' RECEIPT NO. d 9(".)-.206645
CHECK. AMOUNT a 40.6(.)
NAME n I I (*AN PROPERTIES CASH AMOUNT m 6.00
ADDRESS PAYMENT DATE 11/(.18/90
SUBf)I V 18 1 ON
03673 314 LANOTREE
PURPOSE OF PAYME--.Nl- AMOUNT PAID PURPOSE OF PAYMENT AMOUNT POW
F-il: —C-C K FE'_ 11--13R 4o.00
r0TAL AMOUNT PAID 40. 00
CITYOFTIFARD � c.:ifrWFi:k (:;C1NNE:C;'TIC1N 1:'L R111 T'
WYOFTWARD F'E.RPII T D. . . . . . . . SwR90 -0c?63
COMMUNITY DEVELOPMENT DEPARTMENT allow PRIIII. F'I RMI1'
19126 SW FWI Blvd. P.O.Banc 23397,Tipmd,Orep n JWP.0030"76 D A 1'F: ISSUED: 0 /2H/' 0
S17'E ADDRLSS. . . 01::163 15W I..ANGTR'EE 431 FIAR('.IEL: 21,31.1.P.CC:
SUBDIVISION-- LAN TREE. E:S7'ATES ZONING: Fi—•12
BLOC:K. . . . . . . . . .. ;1 L.O. . . . . . . . . « . . . « ..3'7
TENANT NCirll• . . . . «
USA NCI. . . . . . . :41692 FIXTURE UNIT
C:I_ASfi) OF WM , . . »HE.W DWELLING UNIJ1.7). . - I
'T Yf,E CIF' USE:. . .. . . :SF NO. OF: BUILDINGS:
INSTALL TYP;E. . . . ..BUSWR IMF'ERV 4ilJt;FACF.::. . : »sf
Fiemarb%s»
TI FAN I1ROF'IERTIES type amount 1),v mute -recpl,
Pl() BOX 68:.3`5 f'AYN $ 1.295«00 :ILH 06/28/90
FIR1111* 14, 1250. 00
01_.(7HA OR 97007 1NSf' 3 35. 00
I.Iticirle+ H» 6456477
Cori•t:rat:tcir: _.....__ .___.__...._._....._._ .. ..... ...
71144N f-'IFOPER*11I'71S
PO BOX 6835
AI.-OHA OR 97007
I1tlane N: 64:56-477 $ 1285. 00
Req
_......_...._.......... REQUIRED 'Y 11SF'F.:C:7'I014d .. _...____.
!his Applicant 04TPPS to comply with all the rules and regulations Sewer Irlspectiovi
n1 the Unified Sewage Agency. The permit expires 128 days from
the date issued. the total amount paid sill be forfeited if the
;,ermit expires. The Agency does not guarantee the accuracy of the
<ide sewer laterals. !f the sewer is not located at the measurement
given, the installer shall prospect 3 fert in all directions fro+
the distance given. If not so loratea, the installer shal: purchase
a "lap and Side Sewer" Permit and the Agcnry will install a lateral.
1 r: rm1 t:1;ee 43 i.yrlatt.tre:
l S S Lt e d Li X»
Ball fa-r inspection 639-••4175
ITY CSF T HA RD P.O.�,9 P1m aim
P.o��� PIAN CfiDac I
p"639 AIA
OMMUNITY DEVELOPMENT DEPARTMENT DATE 11ZLIM _- —
JOB ADDRESS: _ `f �2.�- TAX MAP/Wr
SUB: LAPID LEE:
OWN M VAUPMONi: -- NU113S
I ME: ?IsALCRESS �� OF:
IAST .'S<IF.:
: _ FDOOD PUUN/ ----
SENSITIVF LAIC:
PEJONE: � ID
O!)I1iR11iC.'1VR PZAi`II`iI:B1G:
NAME: - ENGINE RIM:
ADDRESS: FM DM '.
PEiONE.: _ IZ'FI'�S D
WnDFRS BOARD : - -- - M OUE:
BW M:
ATiC1i/QJGINEIR offic L&TMIS: _
NAME: DSS:
ADDPE:SS: O►,IiFR: - -
PE TONE:
PILM:
PERMIT f A!OLT if DE9CRIMCH ANDURr AM7[NP PD. BAL. iUE
_ 10-432 00 Building Permit Fees - -
10-431 00 Plumbing Permit Fees - -
10-431 Ol Mechanical Permit Fees -
--` 10-230 Ol State Building Tax (5%)
Building
Plumbing -
Mech
10-433 00 Platte Check Fee - --
Building _—
Plumbing
ME-Kh
30-202 00 Sewer Ownectian ---- -L
--- - 30-444 00 Sewer InsPecticn -- -
51-448 00 Street System Dev Charge (SDC) - -
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 St Orm Drainage Spst Dev Chug (SSUC) --
10-230 06 Fire ---- --
--
Rfr
APPLICWr SIGMA'P[EItE
Rror_ved By: — Gate Piweived:
ff/3587P.WPF
-dS ^9d- L
r 13125 SW I fall Blvd.
CITY OF T I GARD 1'O[lox 23397
COMMUNITY Tigard,Oregon 972D PLNCK/RECT #
(503)639-4171 PERMIT # &>t
�. DATE ISSUED
JOB ADDRESS: (c � '=` TAX MAP/LOT 0251—2.2 c< 0 3uy--
SUB: ,►e�. _ LOT: 7 LAND USE:
VALUATION:
OWNER +- SPECIAL NOTES
NAME: � ' _ REISSUE OF: {", s b
ADDRESS: � �� �,,`,, _ LAST REISSUE:
C -7 C:C � _ _ FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR < APPROVALS REQUIRED
NAME: PLANNING: _
ADDRESS: ENGINEERING: _
_ FIRE DEPT: _
PHONE: _ OTHER:
CONTR. BOARD #: EXP DATE: - mac,_ 1-ii
1 REQUIRED
SUBCONTRACTORS: PLUMB: C(�+% '' ' (o `ll _ LIST/SUBCONTkACTORS:
MECH: of I BUS TAX: _
ARCH ENGINEER CALCULATIONS: _
NAME: _ TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: _
COMMENTS:
PERMIT # ACCT Al DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
�r ffk-0355 10-432 00 Building Permit Fees ...3,/9 ;y >,< ,
10-431 00 Plumbing Permit Fees /-12,5 o _ 2, u
10-431 01 Mechanical Permit Fees .36•�'�
10-23_0 Ol State Building Tax (5%)
Bldg _/1 Plumb 4,G3_, Mech AFO
10-433 00 Plans Check Fee -(�c� 01 y Bldg _.5_ Plumb Mech _ ,,o v
10-237 06 Fire
30-202 00 Sewer Connection /y.3U /250 —
30-444 00 Sewer Inspe-tion 3Z _ j Y. —
25-448-01 Traffic Impact (TIF) 5yv _/j
52-449 00 Parks System Dev Charge (PDC) o7,50 Ate_ _ �tS'o
31-450 00 Storm Drainage Syst Dev Chrg —
(SSDC) .25 cr
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
TOTAL _3 7qZ 3WS oyp 7. 3F�
APPLICANT SI ATURE
Received By: Date Received:
nm/3587P.WPI
I
GRADIN :/LROSION CONTROL INFORMATION
GENERAL.CONIRACTOR NAME& t,DDRESS: CASEFILE NO.:
rlTAjJ PERMIT NO.:
APPLICANT NAME AND ADDRESS:
EXCA J AIION CONTR AC"I'OR —r-T'q&) PIZ i rll� —
NAME is ADDRESS: 'P O• (10x _
h- 01 —
�1ctiL y �ti:sL..•T��
a '�_.7 _ OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS:
APPLICANT N•;- 1';'i PROPERTY DESCRIPTION:
OWNER I 1" STREET ADDRESS AND C OSS STREET/1-OCATED
GENERAL CONTRACTOR: rr _ '/ "' _ ,f r.•_ }{
EXCAV AITON CON TR ACTOR: /,r - -.i ti ) 4� – Y` '� I k�
i
SITE/JOB
LEGAI.DESCRIPTION:
24 HR/AFTER HOURS i:MERGENCY TAX LOT NO.:
-CO CT PERS TTL T1:LEPIIONE: 1/4 SECTION:
Q`l i. � e alk _— SITE SIZE,ACRES-
-- -- DISTURBED/WORK AREA,ACRES_
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUTIOFF DRAINS TO:(CIRCLE ONE)
(NOTE:PI]tMITS MAY Br REQUTALD) (fOC—H-BASD DITCH PIPE CREEK
_ (CIRCLE ONE)_EKWAILELOPERTY
PUBLIC RIGHT OF WAY
EROSION/ ].MENTA"l'1()N CON1BQL_(ESCIMEASURES
MINIMUM ESC REQUIREMENT'S MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTA'T'ION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONST RUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOIF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALI.SILTAND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMFITED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER. SCIIEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL.CONSTRUCT'AND MAINTAIN ESC MEASURES AS NE(:aa5ARY
T7 TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
-0AZh=1 A U164 A
OWNER slriqATuRE rAPPLJ ,NA-nJRE
• • • • • • • • • • • • • • • • • • . . . . . . . . . . . .
• • • • • • e • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
OITICIAL USE ONLY.
RECEIPT DATE AC'CEPIED
I1:E
NUMBER RECEIVED BY