8381 SW LANGTREE STREET �j
I:
8 381 SW L'1NGTREE STREET _
s � ss>a es ass rw aAr � �
N [j
SPECfION NOTICE 0CI6
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone): 139-4175 Business Phone: Z4
Inspecticn:
Footing Plbg. UnderslabNeth. Agugh-in, Appr/S:' lk
Found. Plbg. Top Out. Gas ' no PINALt
Post/Beam Struct. San. Serer yrs Lng -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plba. Underfloor Nater Lind Gyp. Bd. -Nech.
Date Rryuesteds_. Timer L24 PN
Addreuc : Permit �s
— -4'
Builder-
,=;i
THE
f
THE lOLLOWING OORRECfIONA AAE REQUIREI's
Inspectors - _— - Date:
APPROVPz DISAPPROVED —_ 'PPROVRD SUBJECT Tn A
_Call
For Rsinap.
CERTIFICA"(E OF
CITY OF TIFARD OCCUPANCY
CITY0FICAND -
COMMUNITY DEVELOPMENT DEPARTMENT 0 em M. MGT9,a-01P8
13125 SW Hell Blvd. p.O.Fkw 23397,TIU&M,Oregon 97220 161X1)W94175
SITE ADDRESS— s 838j. SW LANGTRLE 5T PARCELI 25112CC-10400
SLIAD I V T S I ON. . . . 9 LANGTREE F:STATESZONINGa R-1%?
BLOCK. . . . . . . . . . 3 LOT.. . . . . . . . . . . . . 136
-------------
CLASS OF WORK. sNEW
TYPE OF UGE.. . . sSF
OCCUPANCY GPP. AR3
(IC'CUPANCY LOAD1220 4
ANT NAME. . . i
F'.e m a r k F., .
uwf,er:
TITAN Pri.9PEN111ES
Po PDX 683!',
ALnHA OR 97007
r-*Ihovip #1 6415477
!,ontractoru
I'ITAN PROPEITIL'S)
1.10 BOX 6835
(IL.DHA OR 971307
Phone # a 6456477
j?eg 4F. . 1 30'558
Urcmpancy of the above v-,Pfer-enced building is hereby given, and r-el'tifieti
I:he compliance with the State Of Oregon Specialty Code's far, the gV-01AP,
clevupmlic, -J-i the referenced permit waft isRUPd.
y, unci use under whic
7
rjR 4�u 1 Ln S IN, 'EU i
FIRE DEPARTMENT
SUILD11Z TF
POST IN CONSPICUOUS PLACE
INBPCCTIO ,.
City of Tigard Building Depaissent
13125 SW Ball Blvd. Tigard. Oregon 97223
In"eti.on Line (Rac•-O-Phona)s 639-4175 Duaineas Phoney -4171
Inspection:
Footing I?lbg. Underslab Mech. Rouqh-in Appr/Sdwlk
Found., Plbq. Top Out Gas Tine FINALS
t
Poe'-/Neem Strutt. Ban. Sewer Framing
Pout/Beam Mach. Rain Drain i.enl'lntiun 1 Plumb
Plb7. Jh&. rfloor Water Line Gyp. ad.
Date 1':vq "teds_�I'll_-Al-q1- --Times AM _ Pk
Address 1 Permit is�j
Builders J
TRE FOLLOWING CORRECTIONS ARE REQUIRED-,
_ e
Inspectors Data:
APPROVED _ DIS'kPPROVED APPROVED SUBJECT TO ABOVE
C.11 For Reinap.
I
Me OWN Me .w o. ME low ws
IjIBFscrl NOTIt:E �L'
City of Tigard suildiag Department
13125 SQA Sall Blsda Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)/ 639-4175 Business Phone: 639-4171
Plbg. Ungbtnlab Mech. Rough-in Appr/Sdwlk
� c
Found Plbq. Top Out Gas Line FINALS
Post/team Strutt. San. Sewer Framing -Bldg.
Post/loam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
Data Requoat e�s— /V ____Time: ----AM PM
Address: Permit #s r?_
Builders
THE FOLLOWING CORRECTIONS ARF REQUIRED!
Inspectors dY 1 nutes_�._�_
APPROM DIBAPPAOVED APPROVED 4UBJECT TO ABOVE
Call For Reinep.
XMjSpECTION NOTICE
City of Tigard Buildi-nq Depa+'terssst
13125 SU Ball Blvd. :iq&rd, Oregon 97223
Inspects-on Line (Rec--O-Phone): 639-4175 Buainess phone: 639-4171
Inspections ------- — -------
Foot i.tin Plbg. Under-alab Mach. Rough-inr/SdwIk
Round. Plbg. Top Out C—o Line RINALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet-/Beam Meeh. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. ad. -Rech.
Date Requeeted:_.�_
—� Times iAM PM
Address:_ ---�, Permit. -
Builders _THE FOLLOWING OORREC;. SNS ARE REQUIRED:
inp,sector:_ _ Dates_ �L•� /
APPRC IED DISAPPROVED APPROVRD SUBJRc"1' TO ABOVE
G11 For Reinap.
INSPtcTIOsI NQLICE "
City of Tigard w1ldtng Department
13125 SW Rall Blvd. Tigard, Oregon 97223 {
Itimpectioti Line (Rec-o-Phone)t 639-4175 Business Phonoi/ �39-4T4Y I
I
inepectiont--- ,_._--- --.-------.----
Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FIntI
Poet/Beam St:ruct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line O' Bd. j -Mach.
�_��-,
Data Requee.ted: Time: AM __PM
Address: rJ Perriit
Builder:
TNF. FOLLOWING m:tRSCTIONC ARE REQUIREDt
Or
Inspector: ---,_---_-.- --_-__.-- Date s—� (— -
DISIkPPROVRD -- APPROVED SUBJECT TO ABOVE
Call. For Rel tep.
�I FK ,I_ON NIYTICE
city of Tigard Buildi.no nepartiment
13125 SW Hall Blued. Oregon 97223
Inspection Lino (Rec-O-Phone): 639-4175 Clusineas Phonei 39-4171
Footing Plbg. Underelab Hach. Rctgh-in Appr/sdw1k
Found. Plbg. Top Out Gas Line FINALS
Post/Beam struct. Sari. Sewer Framing -Bldg.
--�
Poet/Ream Hech. Rain Drain Insulation -Pl,unb.
Pli.;. Underfloor Water Line Gyp. Bd. -Mech.
Date Requeetedt _.AM
Address:
Permit is
Builder:
THE FOLLOWING WAR"C'PIONS ARE REQUIRED:
Inspector•: `- -__-------_--_-_— Date -
1-1-l►PPROVED DISAPPROVED -_ APPROVED SUBJECT TO ABOVE
Call For Reinep.
>� 7eA � �■) a117 �J � Al'
1"11910h IPT ICE
City of Tigard RulldiAg Depart w-tst .�
13125 Sw Hall Blue_ Tigard, Oregon 97223
Inepection Line (Ree-o-Phones 539-4175 Businena Phone: ,39-417.1
Inepection:
Footing Plbg. Underelab Me-h. Rough-in Appr/Sdwlk
Found. Plbn. Top Out as Line FINAL:
Poet/Beam :tract. San. Sewer Framing -Bldg.
Post./Beam Mach. Rain Drain InsulatLon -Plumb.
Plbg Underfloor Hater Line Gyp.
Gyp. Ed. -Meeh.
Date Reyuestedc e Z/ /�-7� Times AM __PH
Addresses !S / / Permit 1 s
Builders G
THE FOLLOWING CORRECTIONS ARE n1QUIREDt
Inspectors Dates._.
k__NPPROVRD DISAPPROVED APPROVF,D SUWFCf To ARM -t
Call For Relnsp.
f
INSPECTION NOTICE r}
:.)ic;, of Tigard Building Department
P.U. Box 23397
Tigard, Oregon 97223
Phone: 633-4175 /
Type of Inspection —. ` ✓�(%` �__ � v_.�.^— _
Date Requested_ 1='��. � ��—y� Time �_ A.M. P.M.
Address ._ q1 w ��[���� _ Permit #l�L U/ Z
Owner / _ _ Lot
Builder �—
The following Building Code deficiencies are require] to he corrected:
Presented to _ I�I -Approved
Inspector — Disapproved
Date
CALL FOR REINSPECTION
❑ YES EJ NO
tssr �sr Elm
wA`
A" TJON NOTICE //�1
Cit of Tigard Building Department
13125 BW Hall Bird_ Tigard, Oregon 97221 �J
Inspection Line (Rec-O-Phone): 639-4175 Business Phare: 639-4171
Inspect ion i v, l
Footing PPllbbg. Underslab Mach. Pough-!n Appr/Sdwlk
',und. plpg. Top�Oµ�! Gas Lin. FINALt
Poet/Beam et:ruct. San. Rawer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
IDate Requested:— �' �.� Tlme: `—► AM
Addrena:, �3 1r/ — ���rr,l +�,-,_ Permit
Builders
THE FOLLOWING comcTIONB ARE REQUIRED:
i
Inspectors v' /—
Dates_�_Z-`�
APPROVED �— ISAP�AQVED APPROVED SUBJECT To ABOVE
`.Call For Reinsp.
INSPECTION NCTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �rL,-�e—/L d- 1 i
Date Requested- -3 -'�; ' Time_ -X A.M. /��P.M.
Address _ � 9--' ____ Permit *Zile-
Owner_ Lot #
Builder
The following Building Code defic encies are required to be corre�-ted:
— r
i
Presented to
--------- iK Approved
Insn�:;ror ---
-- IJ Disapproved
Date
CALL FOR REINSPECTION
E--1 YES FJ NO
.or �w w air w +e# +s9r ar �a
INSPECTION NOTICE
City of Tigard Building Cepartment J
P rl. Box 23397
Tigard, Oregon 97223
Phone: 6-'q-4175
Type -4 Inspection —_—_-_�.--
Date Requested_ v _ ma_ -P•M•
Address �� � L-'�==-- Permit # �d yU/
Owner —.--—.----- _-- Lot #
Builder _— -- — - ---
The following Building Code deficiencies are required to be corrected:
Presented to _—.-- —/OApprovod
Inspector __ Pisapproved
Date �1 (
CALL FOR REINSPECTION
❑ Y18 ❑ NO
1
i
INSPECTION NOTICE
city of Tigard Building Department y
P.O. Box ?3397
Tigard, Oregon 97223
Phc 9: 639-4175
e i
Typ, of Inspection
Date Requested Time.------ H.M. P.M,
, 1 �r.Aw
Address ? 11.L.� --� Permit # qn-01 Z-O
Owner J Lot #
Builder ---
The following Building Code deficiencies are required to be corrected:
„A-
Presented to n Approved
Inspector — '1 Disaprttoved
Date
CALL FOR IPEINSPECTION
A_XES ❑ NO
{
i
f
i
5
I
7ITY OF T1CARD RECEIPT OF F"-AYMEN7 RECEIPT rdn,. 09+ 204675 I
CHECk: AMOUNT : 25.00 {
'h I"i I AN PROPERTIES CASH AMOUNT 7 0.04) I�
PAYMENI DATE s 09/12/90 I,
SUBDIVISION t �,
AL.OHA, OR 9-7007_
I`
(.IF:- PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
f 1 I "al`Ir=C7U 3
'25.0(')
I
II
f'n
f'
i
H7.01 LANOTREE: Rr::rn SPECT I ON PEE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
'type of Inspect
Date Requested— 1—�� `> Time_ — A.M. + P.M.
Address d ^` Cyts1 Permit
Owner // Lot #
Builder -_,�L LT�'z 4—j
The following Building Code deficiencies are required to be corrected:
Ale
Presented to _
— --- ..— '��1 rAppi wed
Inspector _—_ _- I�CDisapproved
Date -- -----.-.__...---- —
CALL F'QR REINSPECTION
NO
INSPECTION NOTICE
City of Tigard Building Departmen
P.U. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time __--- A.M.---P.M.
Address Permit
0-qner
Lot
Builder
The following Builuing Code deficiencies are required to be corrected:
7
Presented to Approved
Inspectorsapproved
Date PIP
CALL AWRE'INSPECTION
) T" S 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -
Date Requested-_ -nno--_-_ A.M. P.M.
AdC:ess —
�� - _ Permit
Owner_ - Lot # _
Builder
The following Building Code deficiencies are required to be -orrected:
Presented to __ --- - i
Approved
Inspector '��Qlsapproved
Date --- ---- — ---
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Departmen
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection --
Date Requested�—�_,[ Time A.M. P.M.
Address 1 s - O Permit U�- ----`�
Owner_ _ Lot #
BuilderThe following Building Code deficiencies are required to be ,-orrected:
,o��'-2 _
Presented to _ 11 _ — �� Approved '
Inspector Disapproved
Date _.-----_—__._--
CALL FOR REINSPECTION
RYES ❑ NO
i
;NSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Irspection =�� ^E?—
Date Requested"��� —� Time A.M._ P.M.
Address Permit
Owner Lot #_
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ _ �eApproved
Inspector _ _ Disapproved
Date —
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box zS297
Tigaro, Oregon 97223
Phone: 639-4175
Type of Inspection ___ � o � 1,11_�I /C 'r%
Date Requested = ..= �D l _ Time -. � A.M.---P.M.
Address _ssS. ._�4 ------L . __ ________ Permit # 9'G U/at Ft"
Owner / Lot
L/An Builder _ An
The following Building Code deficiencies arr, required to be corrected:
Presented to �� Approved
Inspector Disapproved
Date —
CALL FOR REINSPECTION
C_] YES C; NO
MASTER PLRMI'T
CITYOFTIrARD
CITY TMRD) I*-"E R hi I I it. . . . . . . z MILT90-0108
COMMUNITY DEVELOPMENT DEPARTMENT also" r'RIM. I-*%:'RM1'T' !t. : MSF9001.28
13126 SW FW1 8tvd. P.O.Sm 23397,Tig",Or W223(51316?9�J75
DATE ISSUEDc 07/24/90
ADDRESS. 6.381 SW LANCYTREE. ST PARCEL: 26112CC-10400
IVI',")ION. . I,_()NGTRF1'.' ZONING
DI C)C 14.. . . . .. . . . . . LOT.. . . . . . . . . . .. .. . ..36
.......... ................ BUILDING ------
f�E 1'.S S U E-.9 0--0 10 8 G A DWELLING UMITSi13 BASE=MENT.. . . . . . . . 10 3 sf
C'LASS OF WORK. -.NEW B 1*-_,:D R III S.13 BnTHS:9 GARAGE.. . . . . . . . . . ..530 5 sf
TYPE OF USE. . . .-SF FLOOR REQUIRED
TYPE OF:' CONST. '.5N FIRST. . . . .50 6 li-f L�.'A"1 — :52 ft RIGHT. :03 f I
(.')(',C(.JP'ANCY GRP. :R3 SPCOND. . . ."98 sf FRONT. i 3Y ft REAR. . eMS ft
STORIES. . . . . . . ...2 TH I R D. . . . -.0 1.6 41f R E 0 U IR E D
H I-':16 HT. . . . . . . . j 2O f t TU TA L» »................ s f SMOKE T)F,,Y,r"CTORS. e T
F'L 0 0 R L 0 0 D. . . . :40 ps-f VALUE: $. 75570 PARK).+0
R e in a r k s i
PLUMBING
!?.1.N K S. r2 FLOOR DRAINS. . . . ^0 BACKFLOW PRE'VNTRS. .. -.
OVATORIES. . . .. .. .-31 WATER HEATERS— I T R A P S. . . . . . . . . . .
I UB/SHOWERS. . - 11 LAUNDRY 'IrRoys_ . o CATCH
WATER CLOSET'S. . -0 SEWER 1_1 NE (f t) . 00 0 R EO S)E TR A P S. . . . . . .
1"ISHWASHERS. 10 WATER R LI.NE (f t) 0 0 OTHER FIXTURES. . 0
CIORBAGE DISP. . . t 0 RAIN DRAIN (ft) . -. 10
W A S HI 14 G 11 A C 1-4. . . SF RAIN DRAINS. .
MECHANICAL FEES
FUEL UNIT HIRS). 0 type arnomit by date r e c.,p-t-
VENTS. . . . . . :41. PAYM $ 40.00 JLH 03/29/80
NAX INPUT.-0100 D T(.I VENT FANS. . BFIRT $ 361. 00
FURN ( 100K . c@ HOODS. . . . . . :0 B P L(11 1; 40. 00
F:URN )-I OOK . "0 WOODSTOVES. : B51-1C 41 18. 05
1::L 0 1)P FU R N. . . . e ','LO DRYE71RS. : 1 STDC $ 600. 00
I-.?OTI_/CMP ( 31AP: OTHER UNITS: 1 GSDC $ LJO.00
GAS OUTLETS:3 ;:,ARK $ 2501. 00
Owner: MF,IR T $ 39. 00)
I ETPN PROPERTIES 11 P L C 1i 9. .,5
1,0 BOX 6835 MEPC q, 1. 95
PPRT $ 132. 50
OLOHA CJR 9700*7 r,wc s 6. 63
1-fioiie #n 6455477 PAYM $ 250. 00 JLH 06/28/90
(,antraeto-ri PAYM $ 1.418. 88 ILH 07/22/90
I ITON PROPERTIES
-(') BOX 6835
(',LOHA UP 97007
(,41-56477
30558
1*708. 88 TOTAL
This permit is issued sub'jert to the regulations contained in the ........................ REQUIRED IhSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and al! other Font/found Insp Pltirnb Top Out
applicable laws. All woO will be done in accordance with approved Wt-r P-voefing Psm Framing Insp
plans. This permit will Pxpire if work is not started within 189 Post/Beam Insp FFi-replAee Insp
days of issuance, or if worP, is suspended for more Var 180 days. Crawl Drain Gas Line Insp
PIm/t.olds1ab Insp Insulation Insp
1.-e-rrniftee Signatmre: � 1::,1...M/U n d e r f 1.o(:)-r Gyp Board Insp
Ok � Ftnq Drain Bsm' t Rain drain Insp
IssiLted By ....... _....._1.....1_1_1.
...........*-'-' Mechanjx�al. Insp Water Line Insi:i
r s
Call foinpection 6 3 9-4 17 5
:ITY OF 'TIOAP D PECEIPT OF PAYMENT RECEIPT No. 90-2C 30
CIAECt:.. AMOUNT a 1418.88
NAME TIT ISP.) PROPEP.TTESS CASH AMOUNT r Q.4.*)k:)
ADDRESS e PAYMENT DATE e t)-7/24/90
SUPDIVISION
AL,.OHA, OP 970t)7- 8381 SW I-ANB'rF-,'EE
VNJPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAyMENr AMOUNT PAtD
Blill-DING PERM MSTgo-ot 7-bF"'Cl-TRiTN—G" PEF-�M 171 21.50
M['CHAN I CAL. PE ST. 'E-,UlL0 FSP 6-7.
PLAN CHeC , FE 9. 75 GTREEY SDC
PAPKS SK,
7()li-'4L AMOl.Jr,lT PAID t 418. E?(q
CI1YOF TiGrARDA "EWER CONNECTION
P'Er.MI'r
CTYOFTWNND P,I:::RInI'T' it« . . « ., ,. . » SWR90-0138
COMMUNITY DEVELOPMENT DEPARTMENT ,
13125 BW FWI Blvd. P.O.Bow 23397,TOM,Oregon 97223,(6o3)4�4175 I"Ti!T IYl. F'E:R Ili IT It » hl::i'T 9 0---01.2 8
-- — DATE ISSUEDs 06/28/90
S 1'TF. 0I)DRESS. „ . » 8381. SW I_ANGTT~E:'E: ST PARCEL: 2SI-12C""C: 1.040(1)
fal.lkc1)1:V:T.S10N. . . . n LANGTREE: ZONING:!
lal...C)(:I:„ ,. .. . . . . . . .
n
T'I:hIf1hIT NAME::.
1.11aA NO. . . . . . „ „ a416�G F IXT(..II:"F`: UNITS. . .
CLASS OF WORK,. „ „ nNE:W DWE:I._I._ING UNITS. . : 1
I'YP'E 0F USE. . .. . aSF NO. OF PUILDTNGS» .l
T:IJ13T01...11- 7YT'E:.. „ „ . n DUSWIR 11TIP hV 4 LJRF'ACC-::. ., . »�f
1�;�:a m tt•r Ec,:�1 a
0wne • .. .........__._ _,._._......_.._.._....._..._. ___. . ._.„___.__.. __..,.__...__.__.__._......_.. S
P' _.._._
I ITAN 'R01.,F.- iT1E S type aMC)Ullt by (hate •recpt
1:13 D0X G8:35 PRM T !b 12 X10. H0
1:NSF, $ ;3`:;. 0{%)
01 OHO OR97007PAY11 $ 1285. 01?) JI...F4 FJf.;/28/SJ0
I11-1c»•ra On 6455477
C:car1f;—(r actrar» -..._...._-....__.....__"_......"_....._.._.._......__-_.._____..___.._...._..
(::(JNTFtf�CTCIR NOT (JN FT1_.E
i 'ltt:lne) 1t n >!; 1285. 00 Y'T'(JTAL._._...____._.,.__.__._._._....
This Applicart agrees to comply with Ali the rules —d regulations Sewer Jr1!:,peeti.gn
of the Unified Sewage Agency. The permit expires 126 days from ...._......
"_._.._..._....._.__ .. _ ”. .._. .__._...__.__.....
the date issued. The total amount paid will be forfeited if the -------_...... _......
__..W_._. ._..._.."__.____.____....,...... ___..___.__..._.___. _.._. _.... ....
nerviexpires. The Agency does not guarantee the accuracy of thN
___.._..__.._.__...__..._ _...._. _ .__..._"...._._.__... _ .._..._"......
side sewer laterals. ?f the sewer is not located at the Measurement .__._...._
_.
given, ? installer shall prospect 3 feet 1n all directions from ......__.._....
_
e distance elven. if not eo located, the install .__...._
installer shall purchase . ..._..d Side Sewer" Permit and the Agency will install A lateral. """"'"�
___......... _..._._. .__......._........_........ _..._ ._....._. .....
e r nt a.'t;t:w r:�+ S i. lana(;�.�r r,�: .....__.._........._...._._..._
11 f'r.1r :i.)1sspeCtia11 639..-4175
I
CITYOFT167ARD j�L low
PLAN CHCCK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMEN't PLAN CHECK N Q� _
13125 S W Hall Blvd..PPO.Box 23397,Tigard,Oregon 97223,(5031839-4175 PERMIT N
DATE ISSUED
'-/'Jou 1 NESS: 3 0 - - TAX MAP/LOT 51- / e e O w
LAND USE:
VALUAFiON:
(K4NE R SPECIAL NOTES (o I 0
NAME: REISSUE OF: Q 3 1 0
ADDRESS: LAST REISSUE:
FLOOD PLAIN/ -
�- SENSITIVE LAND:
CONTRACTOR
APPROVALS_ xEQUIRED
PLANNING:
NAME : �� - _-_ ENGINEERING: _
ADDRESS: - _J LIRE DEPT
OTHER:
PItONt :- _ ITEMS RE%.TIRED
BUII DERS BOARD N: -_ —_ EXP DATE: 3� 3�- _ LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME : _ M- - -- TRUSS DETAILS:
ADDRESS: -_-_- -_--- OTHER:
PHONE.'
COMMENTS:
SUBCONI RACTORS: PLUMB: '�- i�
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 1 U,so -7,
3
10-431 01 Mechanical Permit Fees f' _
10-230 01 State Building Tax (5%)
Building ---
Plumbing �. G ! ,
Mech
10-433 00 Plans Check Fee y q, ?�" 2!2L >�
Building
Plumbing
Mech -
�
fa-A151 30-202 00 Sewer, Connection ,•Z,3 v 12 So
30-444 00 Sewer Inspection 3�" 3
51-448 00 Street System Dov Charge (SDC) c� U
52-449 00 Parks System Dew Charge (PDC) Z Su S v
31-450 00 Storm Drainage Syst Dew Chrg (SSDC) tsd ���, ;
10 -230 06 F e i r -
TO)AL
APP 1iCAN SIGNATURE
� I1
Received By: Date Received:
cn/3581P/18P
=maw
WiAI)IN(ILIOSION CON1 RQL INFORMATION
GENERA!.CONIRACT'OR NAME & ADDRESS: CASEFILE NO.:
lAhl =T.. L. , _ PERMIT NO.:
— APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR —S!TAtj PRv= v,,
NAME:& ADDRESS: •—
'P r'
li t?Il4 ��i �;•i�,� y, � 1�. — OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS: — —
APPLICANT: LI 7• c. �l ''� PROPERTY DESCRIPTION:
OWNER-, .. I _ - , I' `' STf EET AD ESS A ROSS_STREET ATED
GENERAL CONTRACI' 1C � l I ^
EXCAVATION CONTRACTOR:
S1-IE/JOB.-
LEGAL.DESCRIPTION:
24 LIR/AFTER HOI.IRS EMERGENCY TAX LOT NO.:
('OV*J'A(`FPERSON,' ITLE,TELEPHONE:---- 1/4 SECTION:
1 � Y' STIT.SIZE,ACRES:
DISTURBED/WORK AREA,ACRES:
LOCATION& ADDRESS WHERE.SPOILS
LEAVING SITE WILL EE TAKEN S11*g.AjNOFF DRAINS TO:(CIRCLE ONE)
(NOIT:PERMITS MAY HL REQl11RIM) (CAT BAaIN DITCH PIPE CREEK
�— (CIRCLE ONE) PRIVATE PROPERTI'
--._`— -_— — -- cpU@i.IC RIGHT OF WAY
EROSION/SI:DINII:N'1'ATIO_N CONUOL (ESO MEASURES
MINIMUM ESC REQUIREMENTS t!INIMUM ESC REQUIREMENTS
DI IRIN(;CONSTRIK"TION: I-OLLOWING CONSTRUCTION:
SEDIMENTATION FACILIT'IF.S STABILIZE EXPOSED SURFACE
STACILI7.ED CONSTRIICI'ION ENTRANCE REMOVE AND RESTORE TEMPORARY FSC
PERIMETER RUNOFF CONTROL, FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALT.SILT AND DEBRIS
COVER PRA(110ES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OMER
OTHER
PIAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCOkDANCE WTTH'TECHNICAL GUIDANCE HANDBOOK".
FRGSION CONTROL PLAN DRAWING,AS RFQUIRED,HAS PLAN CONST".'L—"ON NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCIIEDl11.E/STAGING FOR INSTALLATION AND 1 AOVAL,OF EROSION CONTROL MEASORES,AND
APPLICABLE S'T'ANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH"!'FIE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC 10EASURES AS NECESSARY
TO CONTAIN SEDIMFiNT ON THE CONSTRUCTION SITE.
OWNER S MATURF. APPLI NATURE
• • • • • • • • • • • • • • • • • • • • • i. • • • • • • • • r • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
0M—- CI Al.US's ONLY.
RI7('FIPT DATE ACCEPMD
IT:(. NUMBF.R RECEIVED BY
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95.00
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w TITAN PROPERTIES CORP.
BOX 6835 ALOHA, OR 97007-6835
0 645-6477
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LOT 36 LANGTREE O I
8381 S.W. LANGTREE STREET 0
�- T I13APD, OREGON
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WASHINGTON COUNTY
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