9950 SW LANDAU PLACE 15
SAN. SEWER '�
f.ASEME/VT � o
FEC_NO. 90-379/9 O
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cV _ S 89°25'5/ "E - 47/. 2/ ' Meos. 8 C.S. 23,592
(BASIS OF BEAR/NG - C. S. 2 3,592 )
DEDICA r1oN - A CKNO W EDGEMENKN0 W A L L PEOPL E B Y THESE PRESENTS THAT Ro$&A7" L T
,�4#wgS3 /S THE 0 WNER OF THE L A NO REPRESEN TED ON STATE O F OREGON
THE ANNEXED MAP, MORE PAR Tlcf)LARL Y DESCRIBED COUNTY OF WASHINGTON ) SS
IN THE ACCOMPANY/NG SURVEYORS CERTIFICATE, AND
HAVE CAUSED THE SAME TO BE PART/TIONED AND /01/)W AL L TNF.SE PEOPLE BY THESE PRESENTS, on this
SURVEYED INTO PARCELS AS SHOWN ON THE ANNEXED LO14A dayof_AV&,t:Lr, /99.2, before ane a notary public in ondfor
MAP. sold State and County, personally oppeoredRoWi rAjVAv
THERE ARE NO WA TE who bel�g duly sworn, did soy that he is the identical person
R R/GHT APPERTENANT TO named M the foregoing instrument, and that said instrument
TH/S PRpPERT Y was executed on behalf of SL AVO SKORO, and that he execut-
ed said instrument freely and voluntarily.
Ro6�iCT B. ,E3vRN�"SS
OFFICIAL SERI
DANIEL T. BURT(
otary Public for State of Oregon �� ' NOTARY PU13LIC• OR
APPROVO L � COMMISSION N0.20
�� GJ� MY COMMISSION EXPIRES JULY
APPROVED T /S DAY OF /99 My Commission Expires
i
Washington County Surveyor
S TATE OF OREGON Director of Assessment and Taxotion ExOfficio
S 'S Cheif Deputy County Clerk
COUNTY OF WASHINGTON) E
B '
i
y
/ do hereby certify that the attached Partition Plot was received Deputy
for record on the day of _1199—
at
oc/ock M. and recorded as P rtition Plot Na
Washington County Records.
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NOTE : IF THIS MICROFILMED ,
DRAWING IS LESS CLEAR THAN '°"�►
THIS NOT IQ&-`TT IS DUE TO
TME -QUALITY OF THE ORIGINAL
." DRAWING.
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9950 SW Landau P1.. —
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CITYOFTIGFARD
ccR7 Ir- 1c(a,re: OF
CAY Rp OCCUPANCY
COMMUNITY DEVELOPMENT DEPAMENT atneott PERM1 T #. . . . . . . t MST90--0261
M26 8W FWI Blvd.P.O.B=23W,T1p W,r yW 0Mp!�� 76
1 TE ADDRESS. . . t 9950 SW LANDAU 5T PARCEL: 1 S 125CD -0 5800
SUDDIVISION. . . . t PARTITION PLAT 1990-51 ZONINGi P-4. 5
BLOCK. . . . . . , « . . t LOT. . . . . . . . . . « « . #2
CLASS OF WORK. t NEW
TYPE OI" USE. . . t 9F
OCCUPANCY GRP. tR3
C)CC.;UPANCY LOAD:t 1 16 4
1 E:NANT NAME. . . t
npmatrkat
SLAVO SKORD
.=1155 BE CURTIS RD
CLACKAMAS OR 97015
Phone #t 658- 34.18
Cunt ract ur t
SLAVO SKOR0
21155 SC CURTIS RD
CLACKAMAS OR 97015
Ghur►e #t 6'56•-:3419
Reg #. . t 4.3690
UCt:upanCY of the above referenced building is her-•eby given, and mertifies
the compliance with the Stant! Of Oregon pecialty C"tatJpg for 'chr gr(vtp,
uc::c�Apancy, and c.cue under which the referenced permit was isvgt1d.
FIRE DEGARTMENTl_DING z N rn�?
L+U 11.U I NG F=I I Ai
POST IN CONSPICUOIJS PL.Ar.r-'
i
IMIM/F�MQTI" (`
:Citi of Tigard Building Department
1-41-15 9M Ball. Blvd. Tigard, orngon 97223
Inspection Lig (Roc-O•-Phones 639-4175 Busir.ess Phone- 639-4171
Inspections ------
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. P1bq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer FramingI -Bldg.
t
Post/Deem Mech. Rain Drain Insulation -Pi
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ Time: 1W PM
Addreee-_ �_ t _��• :St Per
Builder: --
THE FOLSAJWING CORRECTIONS ARE REQUIRED:
Inspectoor�ss — Date: 4 `//
v APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
I SPICTLOXiMLO
city of Tigard ssilding Department
13125 SII Fall Blvd. Tigard, Oregon 97223
Inspection Line (R -0- one)- 639-4175 Business Phone: 639-4171
Inspections t -- —
Footing Plb Underelab Hoch. Rough-in �Appr/Sdwl j
Pound. Plhg. Top Out Gae Line FINALS
Poet/Beam Struct. Sen. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. --Mooch.
i -�/� —"7Time: AN
Date Aequaetede+ 7l� �4 PN
/
Address: ( ,J-D Perml.t to
Builders /rZ.
TE� lOLI.OIfING CORRECTIONS ARE REQUIREDs
Lot �fi VA
r Sys elU 4'µm
cY or7,�,�
tnepectors_ �(� /.y' —-- -- bate: S -2L
—.---APPROVED _ _ DISAPPRO D t/�J APPROVED SUB.JECf TO AROVZ
-__Call For RVeinsp.
from ground level. STAFF CONTACT: Vi Goodwin, Planning
Division, 639-4171.
9. Prior to occupancy of any of the three parcels created by the
partition (and excluding the house on tax lot 4103) the access
easement shall be paved. The width of the paved area shall be 24
feet. The length of the paved area shall be such that, as a
minimum, it extends !:o the north side of the driveway that serves
the northernmost lot created by the minor land partition. The
easement shall be at least 30 feet- wide and extend to the
northernmost boundary of tax lot 4103. STAFF CONTACT: Brad Roast,
Building Division, 639-4171.
NOTICE OF DECISION - MLp 89-2U/M 89-27 - BURNESS PAGE 5
-
INEPECTIOB FMI
City of Tigard Beildfrg Department
13125 80 Ball Bled. Tigard, Oregon 97223
Inspection Lire (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections,_
Footing Plbg. Underslab Mach. Rough-in AQpr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation �-Pl�-
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Raqussteds_ _`I Times td.L_AM _PH
Address: L(,L,�C ( P� Permit is��� ��V ed,
Builders":)Uojr � SC'U t� _�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G
Inspectors Datasr
y _APPROVED —� DISAPPROVED APPROVED SUBJ$CT TO ABOVR
__Call For Reinap.
INSPECTION NOTICE
City of Ties rd Nuildiag Department
13125 ON Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top out Gas Line FINALS
Poet/Beam Struct. San. Bever Framing -Bldg.
Post/Beam !loch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. --Hoch.
Date Requeated s_, _�/�_ Times AM-
Addreses -�� G l 7 i� Permit
Builder _
THE FOLLONTNG CORRECTIONS ARE REQUIRED:
�CLA
<< 'zU J
inspectorsl �L ��'• ( .L — Dates_�_ �
APPROVED DISAPPJ VED PPROVED SUBJECT TO ABOVR
Call For Reinsp.
INSPECTION NOT_jcs
City of Tigard Building Department
13125 911 Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)s 639-4175 Business Phones 639-4171
Inspections,
Footing Pibg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Llne FINALS
Post/Seam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation L-P
umb. �)
PIN. Underfloor water Line Gyp. Bd. -Hech.
Date Requested s_ J /C TL�dS M PN
Address: L�zl/�� �_ Pdrnly�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector: Dates / ? �
APPROVED DISAPPROVED APPROVSD SUBJECT TO ABOVE
_Call Far Roinsp.
1NSFSCTIQN NOTICE
City of Tigard Building- Departwent
13125 BW Ball Blvd. Tigard, Oragon 97223
Inspvct+:n Lina (Rer,-O-Phone)z 639-4175 Gusiness Phone: 639--417
Inspection•.,
Foc,Li..g Plb94 Underelab Me . Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALx
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor hater Line Gyp. Bd. -Koch.
Date Requested: Timet AM
Address: C- LQQ.r f�drrmmi�t �__�(/
BuLlder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Date
APPROVED �— DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I1pSCT.Aop NOTICE _
City of Tigard Building Department !!!
1312S BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-41 J
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top out Gas Line FINALE
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Much. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Llns Gyp.-—) --Hoch.
Date Requestedt ( _ -7 —t Time:
Addreas: in A NI DAU Permit `: C.D(
Builder: `'k'U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
APPROVED DI"APPROVED ("--- PPROVED SUBJECT TO AAOvir
Call For Reinep.
IiS�Ei�TZ4!l�S�
City of 'Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-IPhone)s 6/39-4175 Business Phone: 639-41
Inspect ions ---
Footinq Plbg. Underelab Mach. Ii ugh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
?oat/seem lttruct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino ech.
Date Requeeted:_— ( �_ _ Time: _. _PM
Address.-- Permit f: �_�ICF'
Builder:THE FOLLOWING CORRECTIONS M49 REQUIRED: t
On!'
E"✓Z72-4 K_)u S i:L C
Inspector: 1 .�Lt ,- --- -- -- Date:
��T _—
-_APPROVED V"�ISAPPROVED —_- APPROVED SUBJISCT TO ABOVE
""Tse Far Reinap.
INiPECTION NOTICE
City of Tigard Building Deparfasest \�`
13125 BW Bell Blvd, Tigard, Oregon 97223 y J
Inspection Line (Roc-o-Phono): 639-4175 Business Phones 639-4171
Inspections _ 1
Footing Plbq. Underelab /Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out. /` (Sas LLL J FINAL:
Peet/P►am Struct. Sen. Sewer C�Fra-min,g.,� -Bldg.
Post/Beam Mach. Rein Drain C Inoula�lon)
Plumb.
Plby. Underrloor Water Line Gyp. Bd. -Mach.
Date Requesteds_1 �y` fQ _Time!
Address: Permit
Bui.ldrir: L
THE FOLLOWING CORRECTIONS ARR REQUIRED:
Inapaalorc�_ Date
APPROVED DISAPPROVED `--"-APPR"D SUBJRCT TO ABOVp
Call For Rainep.
L�ffiIQM NOTICE
City of Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Pho")t 639-4175 Business Phone: 639-4
Inspection:
Tooting Plbg. pndersl.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Linn rINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. _Hach.
Date Requestedt
Address: `� ' "1 Permit /: C�� Q (y�
Bulldert
THE FOLL011IN0 OORRL'CTIOKS ARE REQUIRED:
Inspectors /
--_ _--- -------- Date:
____ APPROVED DISAPPROVED -COVED SUBJECT TO ABOVE
Cal] For RPlnap.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 '
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection -� Jr/� ��0
Data Requested 11/�Gr��d Time A.m._ P.M.
Address — g�� 1,/aND•/JC' �L Permit * - O Z
Owner--_-___-- _ Lot #---
Builder
The following Bu Iding Code deficiencies are required to be corrected:
n
Presented to
--"— 'R +4pgroved
Inspector
Disapproved
Date
CALL rOR REINSPECTION
0 YEa ❑ 140
INun=iea.10,91 �' �...
City of Tigard Build ng DepartWhent
13125 Blit Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona)+ 639-4175 Business Phones 639-4171
Inspections— —
Footing Plbg. Underal.ab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Btruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain train Insulation -Plumb.
Plbg. Underfloor .st7 er' Line l gyp. Bd. -Mach.
Date Requestadt 79- ---Timet _AM PM
Permit
Address: —
i
Builders—
THE
uildersTHE FOLLOWING ::ORRECTIOBS ARE REQUIRED:
Inspector: Dates
"_APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Rainep.
115FECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Undersl.ab Hoch. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sews framing -Bldg.
Poet/Beast' Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water_Line Gyp. Bd. -Hoch.
Date Requesteds �� Cls �G/ / __Time: _)<�'_AH PH
Address: < , /Jl�i. _ Permit h
Builder: ?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
7napeckor:-��
_�
APPROVED DISAPPROVED — APPROVED SURJBCT TO ABOVE
---Call_Call Far Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 '
Phone: 639-4175
Type of Inspection
Date Requested A.M. P.M.
/ S
AddressPermit
Owner _ — Lot # _
Builder C 7
The following Building Code deficiencies are required to he corrected:
Presented to -f f Approved
Inspector J Disapproved
Date /D- 2- 3 ,. 7ti
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE I
City of Tigard Building Department
P.O. Box ?3397
Tigard. Oregon 97223 i
f iione 639-4175 ,
Type of Inspection �`,G„c�, —/�1 �,,f�iSii�/�C• _
Date Requested /, ,,
TI no A.M._ P.M.
Pe
n�it
Address `f 7J`h c' i #�
_�-
Owner Lot #t
Builder
The following Building Code deficiencies are required to be corrected:
I
Presented to
PProved
Inspector _ ❑ Disapproved
Date
CALL FOR REINSPECTION
YES I—J NO
INSPECTION NOTICE �L
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _—
Date Request"__ U __ Time A.M. _P.M.
Address w ��+ Permit
Owner .. --- — ------- -- Lot #
Builder Z
The following Building Code deficiencies are required to be corrected:
Presented to I ��Approved
/ —
Inspector h _ Disapproved
Date ____
GALL FOR REINSPECTION
C.) YES U NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 f
Phone: 639-4175
Type of Inspection
Date Requested7�— Time r_� A.M. P.M.
Address `�f
Permit #-Z
Owner Lot
The following Building Code deficiencies are required to be corrected:
Sjja :.:.. HAS, ---
_ �,:.ir,�� k''wt 01r_Q,��1 G cc.�•�'�� L"�,',,/sHc"� �c vc!L
/4 -s
Presented to _ �4 Approved
Inspector Disapproved
Date �� g
CALL FOR REINSPECTION
=1 YES I] NO
.. sss► ss• sis sst ew �. sw
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223 }
Phone 639-4175
Type of Inspection X71[ l
Date Requested. 9 Time
Address
� �r'A Permit
Owner _ _ Lot #
Builder [ -
The following Building Code deficiencies are required to be corrected:
/� rj✓u,. �i..�fT 77.rz�/W / t�c�v __�T./, /`-%�.✓t9.,zs rr
�L�.L Svc �(�i�✓ ---
m
Presented to - '�'— Approved
Inspector ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES (:] NO
s w w w w w w w w
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested— �2 Time_X A.M. P.M.
Address
Permit **
Owner 56C)i-,
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ Approved
InspectorDisapproved
Date
CALL FOR REINSPECTION
F--1 YES OCJ NO
CITYOFTIGARD MASTER PERMIT
WYOFTWIlD I'E.RMI T N« . . . . . . : MST90--02 61.
COMMUNITY DEVELOPMENT DEPARTMENT 00114001 (.'RIM. r.'ERMIT tt. : MST90•-&2E;1
13126 SW HrI Blvd. P.O.Ba 23307,TOW,OWw 97#p(603)pp./1 76 DAVE ISSUE.D» 09/25/90
; J. ADDRESS- -. 9950 SW LANDAU ST PARCEL: 1S125CD--
;;t.JDV 1.V.T. ION. « . .. » ME:F1GE:R ACRf4 S TRACT ZONING: R
141 0 C11.. . . . . . . . 0 . 4 LU i . . . . . . . . . . . . . .. I
_................._......_....._ .._»_... . ...�._. _ .._..........._ ....
BUILDING -........._._._........_. _.... _.._....._.._._._._.._....-._._.._................................ ..... ..
I I9,L3UEU DWELLING UNITS: 1 BASEMENT. . . . . . . . r0 sf
CiS:iS OF WORK. -NEW RE:DRMSi::3 BATHS:2 GARAGE. . . . . . . . . . .. 440 sf•
rl'r::: OF' USE. . . :SF' FLOOC< AkEA> _.... ....._..__ .__ REQUIRED SE:TRACKS-.........__.._.--....
T Yr'E OF C(:1NST. -.5N F'IRST. .. . ,. 1:307 S I...E'.FJ. . : 11. ft; RIGHT. : 1r3 ft,
OCII.A.44411CY GRP. -R3 SE:COND. .. . :0 S FRONT« :20 ft RE:AR. . :4:3 -r t,
FORTES. « . . : 1 THIRD. . . . »0 sf RE
:1 'l�l)I:RNR- _-___...._-....._-......_........
H1.::1.( HT. . . ., . a : 1E, f•t: T0T0L..•_------•••••••: :1307 sf SMOKE DETE'CTURS. :Y
1=1...00R I...OAD. . « . »40 p<sf VALUE:. . . . . $: 62814 PARKING SiPACF".S. . :O
Pe rnilrP..s:
_._.._._...._._.._._......_....,- ..._._...._.._.._.__..._.. PLUMBING
i I IKS::. « « « « « . . « « . 1 FLOOR DRAINS. . . . .0 BACKFLOW I-REVNTR" . . »0
I.AVATORIES. . , « « :3 WATER HEATERS. . . : 1 TRAPIS. . . . . . . . . . . . . . :0
f UP/SHOWERS. . . . ..2 LAUNDRY T'RAYS. . . :O CATCH BASINS. . . . . . . :0
WATF_R CLOSETS. . :2 ESE:.WF::R LINE: (fl ) . -.0 GREASE TRAVIS. . . . . . .. :0
D19HWAS314E:RS. . . . : 1. WATER OTHER F'IXTI.JRI:::S. . . « . :0
GARBAGE DISP. . . : 1. RAIN DRAIN (f :) . »0
WASHING MACH. . . : i. SFRAIN DRAIN! . . - 1
MECHANICAL -.._._.-._._.........._..........._. _..... _ -_-__._ -_ F'E:ES -._._..___._._-.._.... ....... ..
i. l TYPE.S--- ._.._...._..._._......... UNIT HTRS.. . :0 type amcoi.int by (late rec,pt.
/ .;OG/ / / VENTS . . . . . :0 PAYM '$ 100. 00 JI_H 07/225/90
NOX INPUT:B PTU VENT FANG. . »3 14PRT $ 322. 00 /
r t.JR11 < 100K . . : l HOODS. . . . . . . I $PLC '$ 209. 30
r URN )=100K . . e0 WOODSTOVES. :O H rl-'C $ 1.6. 1.0
1 1..(:JOR TURN. . . . e0 CLO DRYERS. : 1 STDG $ 600. 00
FO)TL/CMP ( 3HP:E1 OTHER UNITS:O SSDC $ 375.00
GAS OUTLETS: 1 PARK $ 250. 00 ! /
_..._,_. ._._.........__......_..__.._.._........_._._._...._._ MPI.:T $ 36. 00 !
,I...AVO S.SKORO MPLC '$ 9. 00
SSE: CURT I S RD MVjPC $ 1.. 80
PPRT $ 125. 00
I i;UKOMAS3 OR '370'L5 P5PC '$ 6. 25 / !
.r.rne H» 65A-3418 PAYM $ 1.6"-•i0. 45 JLH 09/25/90 �
(WO SKORO
11.ljo GE CURTIS RI)
LLAC;KAI'IAS OR 97015
1'1.1 rorle fl.. 658-341.8
it. . . 43650 ___.._________. ....______....__.__.__........___ _.............._.. .
$ 1.950. 45 TOTAL..
This permit is issued subiect to the regulations contained in the --- -- -- REQUIRED INSPECTIONS - - -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOLMd Irrsp Me0lanical Ins;p
applicable lawn . All work will he done in accordance with approved Wt-r P•roofirlg Dsm Pli.imb T•c;p put
plans. This permit still expire if work is na ed within IV— Post/Re+arn St•rl.lrt F'raiming Irrsp
days of issuance, or if work is suspen or ■or than 188 d s. I Post/F+p<am Mer. ttan Fireplace Irrsp
"raw 1. 1)•rai.1-1 Gas Line Irisp
1-c rnlitte!e. S3ignatt.trce» !..m/i.iridsl.ab Irit p I1'115t.(lation Trlrif
` - 'LM/Unde•rfloci•r Gyp Board Irrsp
T i s 1.i e-d F.+Y :�_..__._ F't r i g D'r al i.r) H 5 m! t R a i.n drain Ins p
Call for inspection - 639--;175
SLWER CONNECTION
PERMIT
CITYOFTIFARD My L np P'ER11IT 0. .'. . . . . : SWR90--0314
COMMUNITY DEVELOPMENT DEPARTMENT 011HM P'RIM. P'Pi"ANYT 0. 4 1T1GT90--02(.-,2
`13125 8W HrA Blvd. P.O.Bom 23397,Tl mrd,Ongm 9?W'*~1.75 DATE' ISSUED& 09/2 /90
Fi ITE ADDRLS3. -4444 !jW I f.)jqDI:atJ i I VIARCELs ...F."89
Z.)UDDIVIISION. . . . ..9q30 ZONINGi
BL C)(1-K. . . . . . . . . . r I..CIT. . . . . . . . . .. . .. .. .
I........... ..........
TENANT NAM.
USA NCI. . . . . . . .. ., . «4x:390 F'IMURE UNITS. . .
CA OSS OF WORK,— «NF'W DW LL I NG UNITS. . « 1
TYPE OF USE. .. . . . t SF NO. OF' BUILDINGSsl
1:1*)1 A I L TYPE:. . . . CEIUSWR IMPERV SU1RFAC1:-*. . ::
R P III a-r P.E;.
(7W14Lrr: F*F.'*ES
SLOW) SKORO type AnKILkIlt by d,-kt--c- -r e t)
;211,55, SE CURTIS RD FIRMT $ 1500. 00
INSP $ 35. 00
C1 ACKAMAS OR 9*7815 FAYM 15,35.00 JLH 09/25/90
14- 658---3418
(,ONTRACTOR NOT ON FILE
1-1 o 1.)P tt. $ 1.535. 00 TOTAL.
REOUIRED INSFILCTIONS
This Applicant agrees to comply with all the rules and regulations St-wer Iiispection
of the Unified Sewage Agency. the permit expires 120 days from
the date issued. the total amount paid will be forfeited if the
Permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the Serer is not located at the measurement
given. the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the inStilleT shall purch ......
A "Tap and Side Sewer" Permit and th —vi insta atera ........ .........
............ ..............................
ni j. e ea S i.ij ri-
... ......... ..... ......... ...........
.1 s t.t(-d Py
....................
I I f :i P f 'ti oi 639-4175
I
I�
I
CI'"Y OF TIGArdD RLCUIPT OF PAYMENT RECEIPT NO. 190-205149
NAME Ok C RU, SLAVO GHE-CK AMOUNT : 1050.4Z
ADDRESS . CASH AMOUNT a 0.00
PAYMENT DAT : C►'�i.?.��;9tl
CL.ACKAMAS, OR, 9 01!'i.- `SUBDIVIE ION �
950 SW t...ANDAU
I P%Pr.)SE OF PAYMENT AMOUNT PAID PURPOSE: OF F''AYMENT AMOUNT PAID
BUTLDIN6 FERM. MM S9T 0--0261•.....-..-.7,MECHANic-AL PE '122.00 } •- _ I
F LUPERM MPING PM `125.00 "
F'I.-AN CHECK; FE 118.30 STF14::E�T SDC 600.()o
F,ARk;S SDC 600.0'
250.0{► STREET SDC
I
1
I
AMOUNT PAID _. _.. 1850.45 I
i
INSPECTION NOTICE
,ity of Tigard Building Department
P O Box 23397 /f
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection _(��__�_� /�,��°�t✓ —L/--- - -.-�� , B —
Date Requested___-_.1_ _- `� Time __ A.Nf � 41 •�•
Address __.. - - —`.____ Permit #_
Owner l 7✓ _ __,- __------- Lot
BuildersThe following Building Code deficiencies are required to be corrected:
7
Presented to ___ — Approved
Inspec..,r _ r �__ Disapproved
Date
CALL FOR RF,INSPECTION
YES ❑ NO
CITY OFTIFARD Wy
COMMUNITY DEVELOPMENT DEPARTMENT MW
13125 SW HWI 8W. P.O.Sm 23397.TOW,OregOn 97223(503)6W41 75
wk ;
(x;3`:1- 41 /4. IWTE IS SULD9 09/11/90
ODDRESS. — : 9950 SW LANDAU PL PARCEL.a 1S125CD -041W(,`1
SUDDIVISION. . . . r ZONINGn
PI-OCK. LOT. . . . . . . . . . . . . :
................
(J ASS OF' WORK. . aNEW GARBAGE DISPOSAL!*:). . n MOBILE HOME SPACES. 4
T Y r-',E. 0F7 U S L'. . . . a S1. WOSHIND MACH- BA(,KF*I-.OW FIREVNTRS. . i
OCCILIPANCY GRP. . «R"i F'LUOR DRAINS. TRAPS. . N . . . . . . . . .. . ..
0 R I F-.- Wf)l'r-.'R HEOTERS. CATCH BASINS. . . . .,
F I XT 1.)R F.,:) .......... LAUNDRY TRAYs. SU" RAIN DR4ING.
............
SINKS. GREASE TRAPS
I AVATORIES. . 0THER F'IXTURES. . . .. .
TUB/SHOWERS. . . . .. SEWER LINE (ft) . .. . . : 100
1A A T'E R C-I OSETS. . : WATER LINE. (ft) . . . . ..
0 1 G)H W A S H E R,S. . . . .. RAIN DRAIN (ft) . .. . - '-
Install private !;,unitary sewer line to lacAtic-)n c)-f p-roposed bUild:11-11J.-
I: ri.vrttc eatsenlent -req'ld. fc)-r J.ine to c-ross pa-reel 3 (13900 SW 1-andaLt Pl. )
Uwner.- FEES
ROD BURNESS type amot.111t by date recpv
SW LANDAU ST PRM T $ 30. 00
5PCT $ 1.. 50
T 1A)ARD OR 9-11223 PLCK $ 7.
hnrte+ !f P-461 0406, PAYM $ :39. 00 JLH 09/09/90
(')WNF.'R/CONTRAC TOR
Pbone 0. $ 39. 00 TOT AL-
OWNER
REQUIRED INSPECTIONS
This permit is issued subject to the requiations contained in the Gewp-r Inspection
linard Municipal Code, State of Ore. Sopcialty Codes and all other F'irial Inspeetion
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if worth is not started .......
within 180 days of issuance, or if wcrk is suspended for more .......
than 180 days.
-------- .......
..........
...........
dP y .... ......... ...............
Call fo-r insper.,tion 6;39 41.75
R&MULORM
1 '
"fTY OF TIGARD PECET.PT OF PAYMENT RECEIPT NO, 90-204607
CHECK AMOUNT a 39. 00
SURNESS, LSC:S CASH AMOUNT t 0.00
A L).1.)F."F s IS) a PAYMEN' DATE e 09/11/90
SUBDIVII13ION
TIGARD, OR
FURPOSE OF rAYMENT AMOLIN r' PA.I D PURPOSE OF PAYMENT AMOUNT PAID
I " I-IMPING PERM PLM90-0103 30.00 PLAN CHECK FE
t . BU I L D I-*,r.R 1 .50
950 2W LANDAU PL
rOTAL. AMOUNT PATD 19.CIO
CITY OF TIGARD
PIA IM III N( ; ITIR M �` 13125 SW HALL BLVD.
P. O. BOX 23397
A,pplir-ants must {told OwRo n Registration to condtxt a plumbing T I GARD, OR 97223
business tx must be peoltcdy ow w_-f/oprrahx not hiring outside-help.
-----
Name doevatotxnon/-- ------_ (503)639-4175
Plumbing Permit No.t`t/_/
Addr i Onscnptwxr -
T
Job 011Sns 1314 2 t-0 10_ ----- - DUAN. PRICE- AMT.
x Ld Map.No.
Address /7/ �� S zS C FIXTURE-S _
Lot Block SL6dM'jlo0 -- - -- - --- -
Sink 7.50 -
_
--- yams or MnMgibusiriess) ----- --__ _ 7.50
2ZllflV- -Trt -
or T,i rshower Comb. - 7.50
.3/ � (/D'([/ S� sharer Only
------Iff- _ 7.50
Owner / ZIP - Nater Closet - 7.50
/ ' ', Tvp_ ��� /r � ( IAshwasher - - - 7.50
---- ~G�� Garbage0isposal _ --- - 7.50 _
Nano Washing Machine _ 750 - -
Floo(Orain 7.50
Tdailin ress Phone --- Water Healer -- -._-- - 7.50 -
Laundry Room Tray 7.50
Occupant City/Statezip � ---
Urinal ---•- 7.50
Other Fadures(Specify) 7.50
1� 7.50
&Sdren Phone 7.50
f:onirrxlor [�Sv -/ate ZIP
7.50
/St _.
• .9 Q 1(2 25N MISCELLANEOUS
(�//�� Orly[�tte Tex No, Sews(1s1 100- ^--- �% 30-00
State t/ --3let-r�kxnbers�uS.Tx. 0I Sews(ea.Addii.100 ---- 15.00(Residential) I I Water Service 1 st 100 20.E
I hn(ehy eri rwrMotsge tt•.et I have road If is appRcatlon•that the inlormaticn Water SeMoe ea.Addit 200' 15.01
gtvrxt is cxvtrx t,Ntat 1 am regiciwed%ith the State Builder's 6au'd.and also Storm&Rein Oram 1 st.100 30.00 -
t,,&" e Stag 1`kwntrktg accrue that the nurilters given are aorrxk that all - --
trtrx V wV wwcxk twill,re donne in accordance with appliceble provic;.xu of Ore- Storm 6 P 7n 0rnin Addd.t 00' 15.00
gon R.rvisyt Stn4Aes Ctmptera 447 and 693•turd applicable 00des artd that Mobile Horne Spero, 25.01
rvr help wM tww mnpkryrd wV4m Iloeneed(under ORS 691(It eKempt from ---- ------
Str(tw rer,istrstf(xt,phase give reason bswsw). Batik Flow Pnryention
DerAce
1 V)Mf:CM?,lU ttS 1 txxehrey( My dud I Ant Cer d M ownthe property du «Anti f'dkrlan peviut 750 -
« wx1
*Nw".a1 wf4ch location 1 prapm"to nuke a 0AT6 ng kw"AK&lore for Any Trap or Wasse Not
my cto itsn revs this rxyX w(ty 6 tnol twAV ccwtj ttjcW la sols.45ase or rent- Connected to a Fixture 7.50 -
Catch Ba-*, - 7.50
- ---- --- - - ---- - - kup.of C33M.P"a irnp-- 40.00Pcw Hr.
------- - - ---- - - ---- - SpeciaRY iieQuestud l•nspsttlons -- - 40.00 Pe(H(.
Pain main, - ---- ---- - ----
-��- single cera. Dvlq. 15.01
T a 0 1, --
r _
Describe wok new V3 nddrtkm n ekerntion Q repair C] -- -�
tq be(tone _residentiS!L' non-resklentiel _]
tom' tp use of HINIHUH PERMIT FEE 25.00
txAldktp or jxolwrty- _-- --___--� SUB-TOTAL p
F ""of 5% SURCHARGE T
Ix rxptVixstty _ -,--_ _ ---_ 25% PLAN REVIEW �{
---
Thh gem*bwtomos nu and woad 1 work«o xastructbrt wUno(lred V nt>i corm TOTAL 3 �'
n na(xted vAd*-%100 deyu far Ir oxfnatnrcom or vwodc M stwpsnded«simrdoned for --
e rr�.kw1(,1 IM i1w"ef any env wfM(-swag*14 rnommonosd-
r
Date le.,'„"j - - by
� s � w � � �
_S�'?� ._.c_
�' � �� I
�' -�J
_____. _ -
-., ;.. (�
� �� �'
, _
-_--_ � 1
_.__. I
��
� ' �__�i _ _ .L_._, ___.
____ ...
���
CITY
OF
TIFA
1J125.FA) F PLAN C3IEQC APPLSCATiON --
P.O.EUM 23J97 o7 PLAN QCK
RD ID
Moro,awm 97223
PEMWr
lel 619-41711 -
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED _
JOB ADDRESS: f� `i 1 •(/ TAX MAP/If)T fes/ 1 D —
SUB: LW: _ _l / I�1AID USE: —
VALAATION: --
C SPECIAL N=3
NAME: _ REISSUE. OF:
ADDRESS: _��L � � LAST REISSUE: --
^_ , ) FIAOD PLAIN/
SENSrI'IVE LAND: -
F4iONE: _ �- APpRCMALS REQUIRE)
NAME: a�L!9/.%� c �° C� -•-
ADDRESS: FIRE DEPT _a*77 mm: ---
PEiUNE: _ - �'1'EI4;S-RDQUII2ID
BUIIDFRS BOARD 1: _ S r 7 EXP DATE: LIST/ : -
BUS TAX: -- - --
AI2C7IlII1C7ITiF R CAILUIJMONS:
NAME: �J/S _ "/ �� -l 'I41>`5.S DETAILS:
ADDRESS: 004m: -
Pi IONS:
OJ 4rN'TS: - - -----
SUBCOUrRACIORS: Plum: �/ �; l -dd� ����,. t. �' MECH:
PFRM T I AOCT if DESCRIPTION AM31W AW INT PD. BAL. DUE
i� 10-432 00 Building Permit Fees ,�Z _ Z•b`'
10-431 00 Plumbing Permit Fees
_ 10-431 Ol Mechanical Permit Fees _,}fes_. _
�. 10-230 01 State Building Tax (5%) _ 2 I _
Building
Plumbing
lei
10-433 00 Plans Check Fee
Building —
Plumbing _
Nfedt _
Connection 00 Sewer Connectionon /�7�G' /f�G V
30-444 00 r Inspection >•_
51-448 00 Street System DIV Charge (SDC) o u r u
52-449 00 Parks System rev Charge (PDC) �S G 23 u
31-450 00 Storm Dra i nag a Syst Dev (J" (SSDC) -3 ,73-
3.0-230
1S`3.0-230 06 Fire -
REC
APPI,`CAW SIGNATURE
Pteceiv(A By: _ Date Rrceived:
of/3587P.WPF
AFFIDAVIT OF MAILING
STATE OF OREGON )
County of Wanhington ) Be.
City of Tigard )
X, &8VI'ke 1 `CLIA. VV, , being first duly sworn/affirm, on oath
depose and say: (Please print)
((
That I am a n� 4 &j)f-42. J �, for
The City of Tigard, Oregon.
That I served NOTICE OF PUBLIC HEARING FOR:'
That I served NOTICE OF DECISION FOR:
U,-'-City of Tigard Planning Director
Tigard Planning Commission
Tigard Hearings Officer
Tigard City Council
A copy (Public Hearing Notice/Notice of Decision) of which is attached (Marked
Exhibit. "A") was mailed to each named reons at thel address shown on the
attached list marked exhibit "B" on the day of �kt-V1 l i 7� :9 _,
said notice NOTICE OF DEC�SION as he eto attached, was posted on a appropriate
bulletin board on the UVJ �day of keQ- 19 and deposited
In the United States Mai] on the day 19_fh(L,
postage prepaid.
Signature Person who posted on Bulletin Board
(For. Decision only)
-- —Oje'ro,n who delivered to POST OFFICE
Subscribed and sworn/affirm to me on the _ ( der of
19
NOTARY PUBLIC OF OREGON
My Commission Expires:
bk.n/AFFTDAV.RCM
3. Adequate public facilities are available to serve the
proposal;
4. All proposed lots conform to the size and dimensional
requirements of this title; and
S. All proposed improvements meet City and applicable agency
standards.
The proposal conforms with the City 's Comprehensive Plan. it
complies with all statutory and ordinance requirements and
regulations except as noted below. Adequate public facilities are
available to serve the proposal. The lots conform to the size and
dimensional requirements of the R-4.5 zoning district. Proposed
I-vrovements meet City and applicable agency standards.
Existing Buildings
Two existing buildings, a shed and the burnt ho,sse, will be in
violation of thesetback requirements if they are allowed to remain
on the property. The applicant has indicated on the site plan that
he intends to remove both structures. The Building Division
indicates that a demolition permit has been issued for this
purpose. Approval of the minor land partition shall be subject to
the condition that these buildings be removed prior to recording
the partition with Washington County.
Tree Removal
The applicant must apply for a tree removal permit prior to
removing any trees with a six inch diameter or greater at four feet
above ground level. Staff encourages the applicant to preserve the
assortment of trees established on the subject parcel.
C. DECISION
The Planning Director's designee for the City of Tigard approves NLP 89-
20 and M 89-27 subject to the following conditions:
1. A partition survey plat clearly showing all newly created parcels
as well as the adjusted lot line and an outb,.)und description shall
be submitted to the Engineering Division before recording. The
plat shall. clearly show:
a. The accrRa easement as well as ownership and maintenance
responsibilities, and
b. A permanent exclusive 15-foot wide public sanitary
casement extending across Parcel "B". The easement shall
be executed and recorded on forms provided by the
Engineering Division, referenced on and becoming part of
all applicable parce, deeds, and approved by the
NOTICE OF CECISION - MLP 89-20/M 89-27 - 13URNESS PAGE 4
Engineering Division beforo recording. STAFF CONTACT:
Jon Feigion, Engineering Division, 639-4171.
2. An agreement shall be executed by the applicant, on forms provided
by the City, which waives the property owner's right to oppose or
remonstrate against a future local improvement district formed to
improvq SW Landau Street. STIXF CONTACT: Jon Feigion, Engineering
Division, 639-4171.
3. An agreement shall be executed by the applicant, on forms provided
by Washington County, which waives the property ovners right to
oppose or remonstrate ay .inst a future local Improvement district
formed to improve SW Landau Street. WASHINGTON COUNTY CONTACT:
Cliff Hamby, 648-8761.
4. An interim 24 foot wide asphaltic concrete pa,►ement shall be
installed along the S.W. Landau Street frontage a'.: grades and
alignment approved by the Engineering Division. The street
section shall comprise a 6 inch thick crushed rock base with 2-1/2
inches of asphaltic concrete. Construction shall not commence
until the applicant has executed a Street Opening Permit. STAFF
CONTACT: John Hagman, Engineering Division, 639-4171.
5. The applicant shall obtain a facilities permit from the Department
of Land Use and Transportation of Washington County, to perform
work within the right-of-way of S.W. Landau Street ( CONTACT: Cliff
Hamby, 648-8761) . A copy shall be provided to the City Engineering
Division prior to issuance of a Street Opening Permit. STAFF
CONTACT: John Hagman, Engineering Division, 630-4171.
6. Utilities shall be located and easements provided where they cross
property lines. STAFF CONTACT: Brad Roast, Building Division,
639-4171.
7. The shed and the remains of the burnt house and attached garage
shall be removed from the site. STAFF CONTACT: Brad Roast,
Building Division, 639-4171.
8. A tree removPl permit shall be obtained prior to the removal of any
trees with a diameter six inches or greater at a height of four
feet from ground level. STAFF CONTACT: Vi Goodwin, Planning
Division, 639-4171.
9. Prior to occupancy of any of the three parcels created by the
partition (and excluding the house on tax lot 4103) the access
easement s:call be paved. The width of the paved area shall be 24
feet. The length -if the paved area shall be such that, as a
minimum, it extends to the north side of the driveway that serves
the northernmost lot created by the minor land partition. The
easement shall be at least 30 feet wide and extend to the
northernmost boundary of tax lot 4103. STAFF CONTACT: Brad Roast,
Building Division, 639-4171.
NOTICE OF DECISION - MLP 89-20/M 89-27 - BURNESS PAGE 5
1
THIS APPROVAL IS VALID IF EXERCISED WITHIN 18 MONTHS OF THE FINAL
DECISION DATE INDICATED BELOW.
D. PROCECURF
1. Noti- •: :•-)tice was posted at City Hall and mailed tot
XX The applicant and owners
XX_ Owners of record within the required distance
_XXX The affected Neighborhood Planning Organisation
_X Affected government agencies
2• lift Decision: THE DECISION SHALL ON FINAL ON 2/9/90 UNLSSS AN
APPEAL IS FILED. ,
3. ADDeal1 Any party to the decision may appeal this decision in
accordance with Section 18.32.290(A) and Section 18.32.370 of the
Community Development Code which provides that a written appeal
must be filed with the City Recorder within 10 days after notice is
given and sent. Appeal fee schedule and forms are available at
Tigard City Hall, 13125 SW Hall Blvd, , Tigard, Oregon.
The deadline for filing of an appeal is 3130 p.m. 2/9/90
4• Questione: If you have questions, please call City of Tigard
Planning Department, City of Tigard City Hall, 13125 SW Hall
Blvd. , Tigard, Oregon.
PREPARED BY: Viola R. Goodwin DATE
[eve pment Review Planner
APPROVED BY: .Reith S. Liden
Senior Planner DATE
NOTICE OF DECISION - MLP 89-20/M 89-27 - BURNESS PAGE 6
GRADING/ ROSION C'ONTRnL INFORMATION
GENERAL CONTRA(PO�AIAMF� A DRESS: CASEFILE NO.:
PERMIT NO.:
IA
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME 4 ADDRESS:
r — OWNER NAME AND ADDRESS:
TELEPHONE NUMBERA
APPi.ICAJVT: PROPERTY DESCRIPTION:
OWNER- STREET ADDRESS AND CROSS STREETADCATED
GENERAL.COf'tTRAC TOR:
EXCAVATION CONTRACPOR: --`
STIFIJOB- LEGAL DESCRIPTION:
24 HR/AFTER HOURS EMERGENCY TAX LOT NO.:. -
CONTACT PERSON,TITLE,TELEPHONE: 114 SECTION
SITE SIZE,ACRES'
DISTURBED/WORK AREA,ACRES:
LOCATION do ADDRESS WHERE SPOILS DRAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKENTi R
(NOTE:PEIUAM MAY BE REQUIRED) CATCH BASiIV DITCH PIPE CREEK
-- (CIRCLE ONE PRLQAjt-PROPERTY- '
`—' PUBLIC RIGHffUF WAY
rROSION/SEDIMENTATION CONTROL (ESCLMEASUR�_S
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION 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 PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER _
OTHER —
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH`TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES.AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CgIQ�TRUC'/J"R,ITE•
l
OWNER SIGNATURE A LICANT SIGNATURE
4 Ltl
OFFICIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY
CITY OF TIGARD
PLUMBING PET M IT P.
SW HALL BLVD.
P. O. FOX 23397
Applicants must Ixuld Oregon Registration to conduct a plumbing T I GARD, OR 97223
(wurx-+s cx must Ix-protx�rty osvt►er/operalrx exit hiring outside Iselp.
---- Named(h►velolxnent _ (5173)63 9--41 7.5 -,
Plumbing Pcn»il No.
y�/�l / A) IMsu)pbon - -
J S'�v �� l/' L) I L ORS 814-21-010 DUAN. PRICE MAT.
Jot) 14001 Int M No. -- -- --T - ---
Address /cry S -2 5-L
__-y_ fIKTUHES _
I of Black Subdivision --FIXTURES__-- --- -- 7.50
Sink _ _ _
-- FTarne-Tor name of bu ut'siss t.evatrxy -- -_- _ 7.50- ---
��
ice)
,/� / }� Tub or TutuShowcr Comb. 7.50Mailing Address
—
�J C v /�' ( /i-l/ l/ -S Shower only 7.S0 --
Water closet 7.50
Owner GN/$tele � C � _-- --- - - -
^l L 7� "shwasher. 7.50
Phone Garbago Oisposal 7.50
Name Washing Madwse
Fbor Ocain 7-50
ti7a�i inq-mess- — P1wne� Wal"Nater ------ --- 7.50
_ Laundry Room Tray 7.50
Occupant (:ity/State Zp -- ._--a---- --
Urinal 7.50_
--- - ar Phone Other Fn rA)res(Specity) -_ 7.50
_ �� C_ .S• 7.50
LCO.) '_ em's Phoria 7.50
r G S
Contractor /State � ZIP 7.50
2- ✓ MISCELLANEOUS ---
�/ l•� /C ory n(m Tax No- Sewer 1 st 100• / ,,) 30.00 _
t le tele s s o, -Sewer-ea-Addit.100_ 15.00
(Residential) Water Service 1 sl 100' _- - - 20.00
I Ixueby ac_ mwAedge that 1 have reed Cris applicatlort"the k*xmation Water Secvioe ea.Addil"' --- - 15.00
given is coact dial 1 am rw)Wered`*ith the State Bu(ldef s Board.and also Storm 6,Rein Orain 1 s*100' 30.00
have a State PkxnbkV license Curt the numbem given are ax*eot.Cse an ---
pkxnbirq work win be done in amordsnoe with appkable pcmn-fts of Ire- Skim 6 Pen Grein AddA.100-- - ISM -
gon Revised Statutes C:hWem 447 and 6S3 and appk*i hie codes and(hat Mobile Mon"Spsm 25.00
no tselp will be empbyed un4o"Noru+sed under ORS 60 (It ex*av-r hom —-- -- -- --
State regisVetk3n.please give reason be". Bad(Flow Prevention
I KWF.OWNERS-1 hereby oergy the 1 am the owner of the property do- Device or Mti Pontrion Oevico _- 750
scribed above,at wt*i h beaWn 1 propose to make a pkxnbing k.._"Mon for I Any Trap or W aste Net' --
my own use end tMs propocty Is not being ooroErucled Ion 046.144"or ren* Connected to a Rr%re - 7.50
Cald(liailn 7.50
40.W Per Nr,
kup.d Fidel PkNrt np --- --- --- -
------
Specialty fteQuecktedlnspadkxks '40.00 Pec Nr.
Rain Drain,
_— —_—_._---__.__---- ---_---- ------ -- Single Fake. [h)1q. 15.00
•AUTNOM7l0 SIGNAMPE ----- - -- -----'- - -- Oe to
.-msclibe wod( novwC3- orddition Q etteration❑ ""It O
!_tQ be dotal tosiderttinl�" non-maidenfial ] -- - --- --
MINIMUM PERMIT FEE ?.5.00 --
f><kIk-ig or Q tr i3 SUIt-TOTAL
I'mOf7peed uQe
of �- -�5% SURCHARGE.
tat wria«M°p"rty-- --------- ---- ------ 25% PLAN REVIEW
This peonit beoomee nun and void tt work of oonatrudion euthod:ed Is not Goner TOTAL V V
+mmnoed wtthln 1•o days^*oerwlrurylan c
jr wodt ire elwperded or condoned 1a
a p4~*,3 of 190 do"a1 any errw•else Mcxk u ocxnr>�xwc1.
�---- -_--
Oate it-lrhxl --- - by - -_
t
I_ � - -.___
�-/�
�-- _ -_-.
__ __..._
�'� Y�
T` -1-}
.. � 1�__� � r.
_____
,. _ __ __ �
'�
��� �,,
� �� �
i
)( OF TIGARD MECHANICAL PEEIMIT
o�ipaoa — --
T.h"3A Kecfw"C44c mT PRIM ^"T
rte 1) PemxtFee o o- ,om
3W t{au Blvd_
nc73397 23 �L�c 300
,OR 97723 - ---
7s - L;,nTa�ebtow000L3nt 600
1) ind.dudS&vcn t
23 FiomaxlooiWomI t 750
inddids&vecft
tvaeMacoewcop�«4 _ � i[FIMCvr+ti-u�aaiDe ti�AO
tabI�een.et ScrspandeQhQaLeLvraBllcaiAx f 6Ao
or6oacaau,6edt,ea�x
+dness - _
r�tac u oe� vwvc al&vMM 3.00
Lac appaMoepma
Kaw�Iawr�at6rwnes� (� PAV*d •ccfiS- �aAO
c�ooGcg,a3lsocptioaun�
ws��e„.m - �� � t3o3eracooapb3L�' 6�0
*Off absocp.ual�bt00p00ETiU -
BbiGxorooacpb3EQ'-tSfIP 1100
Was" _ � �_.�dlsocp.unittaS00�000E37i1
colerorwarts "P
,o) Bo3etat•ooacpto30-0W"P 22M
atuocp.wall175ad[ m
zo 11) Lla3exoraoa+ptraSOHP 3150
a2�socp.un�L 4,751D A00 BT1J
Aarhand�icgunitb
nr.d...riw W.W 1%aw,owd.uR opppfo f t W"..waw -�a,;.".it t0M(W+ Iso
—
..re.«N.sw Vv��.tla.a wpiWn.d•.isa f..9rrN!!r> f6ee.dfut f.t 14) wnpodsw 450
«.Q:..a:Las...a.(r....�plaia.suw«ymtr+ianotoasop.awasst6tbwl- CY:1�f0��1'QDOtOf
_-- -- ,— 1� VdcttanaocTcxxtred 300
b a si�ledrel
--- - 1G) mVentRaGsystemnot 450
indcdedin: epemat
17) 6;oodserve by 450 f
_ medaacticile�sacts!
Goo tt) Oomescoc" 750
Ora"" k Q ad&dio�� 0 aftecaGon Cl cepak 0 mo�alor""(k
done cesidentW Q non4esiden" a`] Commeeoialorindusu.aL
19 ,000
rXig--- — — typeinoicxsator
use
liv P - — A OQxxi�e,vwo�nre,vrater 450 .�
of --� heaw saw do1��Gid[]I�l7fS etc-
201
rnsed use of
fa! ofpmp" -- - 211 Gasppkgc" bfowoutws 2-00 '2
R d tud— of O nabxal vM [_1 ur O exec uic O — -
--- 7n $Aore1han4-perocA d
NOTICE - - - SUB-TOTAL
S P(3*IIT BECOMES NUI1 AND VOW IF V40W OR OON-
LUCTTON AUT110RMD tS MCT 0064 SK M) VATWN 180 S'X SURCHARGE
eS.OR IF CONSTRUCMON OR WORK IS SUSPFN0E0 OR PU1N REVWW 25%OF SU13-TOTAL. CJ � C'
{NOON®R)R A PETMOO OF 180 I1AYS AT ANY TIME AFT FR
ARK tS COMMENCED-
TOTAL
_� r
b n
Cln"OFTIGARD- PLAN gtF.(3C APPLICATION
COMMUNITY L`EVEI_OPMENT DEPARTMENT oe[oa1 PLAIT PERMITTO
1317SL1M"ABIV L PA-s::xa.T*0 Aa+0a+V=PM)C0417S / _
DATE ISSUED
fOB ADraPSS: I TAX MAPAOT
;UB: - - - SAT: LAND USE.
-
fALUATION: �` —SETBACKS: FRONT REAR: - LEFTS RICHT:
VORK CIA S: P HEIGHT: TOTAL AREA:
USE TYPE: ) - FLOOR IAAD: :,^ 1ST:
CONSTA TYPE: HEAT TYPE: 2ND:
OOCUP CROUP: - DWELWUNITS: � 3RD:
OCCUP LOAD: — NO BEDROOMS:— RASEMENTs
NO STORIES: �� NO BATHS: GARAGE: 3 U
IMP SURFACE: -
APPROVALS RZQ'D SPECIAL NOTES ITSNS�UIRED
PANG: REISSUE OF: LIST/SUBCONTRACTORS.-
ENGINEERING:
IST/S sENGINEERING: LAST•2ESSOE: BUS TAX:
Fagg DEPT.: FLOOD PLAIN/ CALCUTATIC>NS:
pT'm; SEN IND.: TRUSS RETAILS:
PARKING PLAIT:
LANDSCAPE PLAIT:
PLAN CHECK BY: OTMI P:
("JIMENTS: '
PERMIT 0 ACCT R DESCRIPTION AMOUNT AMOUNT PO M. 0K
10-432 00 Building Permit Fees ,r,,�1„f✓: o� ._ .r�1_S
_ 10--431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees ,36.
10-230 01 State Building Tax (5x)
Building
Plumbing
Mech _ —,-;r V
10--433 00 Plans Check Fee
Building50
Plumbing T___�-�
Mech ---- /
_
_ 30-202 00 Sewer Connection /�
30-444 00 Sewer Inspection — 3 S
51--448 00 Street System Dev Charge (SDC) v U
52-449 00 Parks System Dev Charge (PD(;) _ Ste'
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10--230 09 TRFO -
10-230 06 Washington County Fire M1 (95X) _
10-220 00 Amart/Wedgewood
lOTAI_
REC ff
APPI__ICANT SIGNATURE _—
Received By: _ _ Oate Received:
cn/3587P/18P
CITY OF TIGARD
13125 SW HALL BLVD.
PIJ_1MBING PERMIT P. O. BOX 23397
Alii ane,must hold OfrVn Regktration to coodud a plumbing T I GIRD, OR 97223
"ixi ss or must be p mp"owner/operator not h'a'ng outside hap. (5 0 3)639-4175
f4en"d lMvabt• -b"A Plumbing,Permit No.
Ilddress --- OesoriPtion
ORS814-21$10 WAN. PRICE AIAT
Job Tax l.M Map.No. -- --
Address FlXTURE S
1o1 Efbd[ StAKSASIon Sade --- - 7.50 Z,L
lavatory 1' 750
NziWUCK tmns�ne�
Tub or Tub/Shower Cornb. 7.S0 f r
ess Sfo—ONY730
— 7 r
-------• WabrClosd
Ownef CIIy/Stats zip 7.50 5 u
Dishwasher. _
Pfor+e Gar"@Disposal _ _ Iso
Wastwry Madrne
Name fbor Otain 730
phoWabttiester 750 .51.,.51.,ne
Laundry R/mmTray - 7.50
_
.Occupant C7tyf5tate _ Zip Urinal _ 7-50
Other Foe sss(specify) _ 730
ame 7S0
7. --
7ZIP
50
COtitfeClOf Clfy/Stats
MISCELLANEOUS _
— City Errs.Tax hJo. Sewer t a 100' 30.00
_ Sewer-ea.AddiL 100 15.00
20.00 C
(Resk%nfial) Water Service 1 s1 100'
_ Wafer Semios ea./1rldi 2m, 15.00
1 hereby arlaowledps Ihd l haw reed dins sppacakwk du1 de&*K"U fron - 30.00 -
given is correct,dtet I am regjsj0r0d%#M the Stale&radees Bond.and alsn Sean 6 Rein 0rsin 131.100• —
tums•Stale PkonbkV rcenss deaf de numbem*mn we corr*M dratol 15.00
p km,birq work wet be done in sooadence with gVksbls pm WOWS 0(0"11-
sf«tn p''e+Drain/talo-100'
p7p^Revised Statutes 0"PWs 447 and 1393.rd sppElatrle codes and drat Mobile t+oroe Space 25.00
no Help wA be ernptoyW Unless&wooed Under OILS 603.(a ozenopl Ovarn Back flow Prwnreon
Stab tepistre6orXP�fo9n1e �n�O� 0eviceorAn6Po&Aion0*%ios 7-50
HCWEOWNE RS-I hereby oerifY God I am to ownst of tee property de-
sorbed above.at wtich Iocsdon 1 p m KNWs b mals a pkm"rq kwdmU m Ior Any Top or Wssb Not 7.50
nvy own use and 143 property M nd►wk cotntvclsd for sale.laass or font Corrssded b•FaAus, --
Calla Basin 7.50
40.00 Per K -
SpedaQy Requested Inspedlorts _--- --40.00 Per W -
Rain Dcatn, 15.00
Single Fas. Dvlg. —
/UlT11OFn7F0 SKiNATl1RE Dele - -" -
Desonbe wotic now❑ addition Q of amfic rl❑ repok❑ _.
tQ tae done__ residetAieel(7 non reekltetttieffj_ —
HINIHUlt PERMIT FEE 25.00
6dom use of SUB—TOTAL
buQ*V or�xoperty
— — S% SURCHARGE
8- y
boujo of
otp0petty 25% PLAN RFVIEW
TOTAL
This Pam*baoon""Al c nd wld M work or oonaruodon eu 'lewd is not 00rn- -
vowmed**W ISo dey►-Ar Z eendni000n or work Is oemperded or abertdored for
a p»rlod d 190 deys aI any 6"%-tw Uort Is comr*Arwsd.
Date bevel __-_e_.__�_._-- by --- ----------._
NOTE:
THIS TYPE OF MANHOLE SHALL
9E USED ONLY FOR PIPE SIZE
Of 24" OR LE9S.
LOCATE MANHOLE COVET'
9 FRAME UPSTREAM OF
MAIN SEWER LINE FLOW
AS SHOWN_ 1
STEPS
� r
MAIN SEWER LINE
CAST IRON COVER /MATCH FINISHED GRADE OF STREET
• S FRAME
(See Standard Plan )
SET FRAME �-RISfR RIfICS VARIABLE O"
IN MORTAR
(MaMatunl I )
ECCENTRIC MANHOLE TOP.
PREFORMED PLASTIC GASKET
STANDARD 48"
MANHOLE RISERS ,
48 FOR PIPE 24 <<� _•�. .,�• COMPACTED CLEAN
OR LESS3/4'-0
+ WELL.-GRADED
m 60" FOR PIPE 2T� `� �•;�': CRUSHED ROCK
o OR LAAOER 1. •1 ••a,.�
' MAX n � '..4 j�-UNDtSTURQED EARTH
• r--.•---r---.-
_ �•.:'0: �:: '� __ �: SET IN FRESH
'INSIDE DROP: o z' - •o ,• o o a -�_ CONCRETE ti
cn. _ o • o P GROUT.
MAXIMUM 2'0' _ Co �a o o O o
VERTICAL CiSTANCE.r _ •610" 12" LAYER IMPORTED
INVERT TO INVERT MIN. BASE MATERIAL(3/4-01
STANDARD MANHOLE4
UfS�wff14�AtNncp