7021 SW BAYLOR STREET ADDRESS:
DAli
i \record;\micrDflm\targets\huilding.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4174,
1 /
Inspection: r
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FIIN
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Uno.rlir. Insul. Shear W II Gyp. Bd. Elect.
Date Requested:_ Ct Time: AM PM
Address:_" c) `7 /�
Builder: (0 Z �S �Z� ,Permit #: 2-6 �--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins; ctor: — Gate:
APPROVED _DISAPPROVED __APPROVED SUBJ T TO ABOVE
_Call For Reinsp.
3�1P&C'1'ZON NOTiCI
City of Tigard Building Department
13125 Sr Hall Blvd. Tigard, Oregon 97223
Lnspection Line (Rec•o-Phone)s 639-4175 Business Phone: 639-4171
Inspect lone
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk `
Pound. Plbq. Tcp Out. Gas Line (�IINALt
Post/Beam Btruct.. San. Sewer Framing �1
Post/Beam Mach. Rain Drain Insulation ..Ply.
Plbq. Undertloor Nater Lina Gyp_ Rd. /
C.
Date itoguostadt c7'� � Times AN pN
Address ` 1 a'��L Permit
Builders
TBI FOLLOWING ODRRICTIONS APE RRUUIRED:
Inepector s_�_ Dates_ a> /
� PROVRD DISAPPROVRD -- APPROVED SUBJECT TO ABOVE
---Call For Reinnp.
Ill�4�tON Naric�
City or Yigard Duilding Department K
1312S 811 Hall Blvd. Tigard. Oregon 97223
Inspection Ll n (Ree-O--Phon t 639-4175 Dusin ss Phonal 63^.-� 31
Inspection.--),.,-_ ,GN--1/A Q �_O��
Footing Plbq. Undetelab Hoch. Rough-in Jlpps/Sdwlk
Round. Plbg. Top Out Gas Linn FIID►I,J
Post/Beam Strurt. ban. " vrar r-aming
Post/ROAM Mach. Rain r. An Insulation -Plumb.
Plbq. Underrloor Nater ne Gyp. Fd.
Data Requested �_-- Tlmet AM PM
Addresst_� 2- ,_ Permit 1t ( 2--(o
du.tldert � '
THE FOLLOWING CORRECTIONS AAE REQUIRSDt 1 ,
CY
51- rk-
�- 1 LInspectorsDates
V APPROVED DISAPPROWD APPROVED SUBJECT To AM"
/11� / Call Par Rain-.
i
I—N ffM ON NOTICE
City of. Tigard Rulldlag Departmeent.
131.25 SR Hall L'tlwd_ Tigard, orogen 97223
Inspection Line (Rec-O-Phons): 639-4175 Business Phone: 639-4171
Footing Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line � 3(INAIy)
Post/Beam Struct. San. Sewer Framing tmd- Y�
Poat/Seem Mach. Rain Drain Insulation -plumb.- -
Plbg. Underfloor water Lida Gyp. Rd.
Data Requestedt,_ _Time t AN _pM
Addresst� 1 Permit ft
3ullder:
TNM FOLLONING COI MCTZONS ARE RMQUZRMDt
VIAA
��11�-r'P l � 1A e✓\ �-�_ ' r�-'�-rn*-,/ ..l C C„P.SS`.
z- � z
Inspector: -- _ natal �C-�--+-
_—APPROVED __\,,d-TSAPPROVED APPROVED SUWMCP TO ABOVE
' �/` � _� Cal l For Reinep.
)11HP6CTIQj� NJTICL --
City of Tigard Building Depsr.tawaft
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono)t 639-4175 Business Phone: 539-4171
Inspectloni_ - ---_------__-- _----..__---.
rooting Plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Found. Plbq, Top Out Gas Line <EfpALI l
P•10t/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Meeh. Rein Drain Insulation P1U44 ,
Plbp. Underfloor water Line Gyp. Rd. -Hoch.
Date RaIJ
quertedt ��Z �- 7 7 Timac AM --PH
_-L41 l /�A,, ^
Add.csel Permit #v
Sulldurt_ 7- os
TM FOLLOWING OIMRSCTIORs AM RNMIUD,
Inspectors _ _ _ Data,
APPROVID DISIIPPROW.D APPP.OVRD SUBJECT TO ABOVI
Call For Reinap.
NS ECTION NOTICE
City of Tigard Building ►Wpartment
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Pibg. Underelab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out (tae Line
Poet/Beam Struct. San. Sewer Praming -Bldg.
Poet/Beam Hoch. Rain Drain Insulation ,-Plumb_)
Plbg. Underfloor Nater Line (yp. Rd. -Hoch. I
Date Requested: Y— _ Time: AH PH
Address: z Permit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: 7y
Data: �
APPROVED DIs"rROVEn ArPROVED SUBJECT To ABOVE
4Cal.1 For Relnep.
LILSPE�IION NOTICE
City of Tigard Building Departaaent
13125 80 Hall Blvd. Tigard, Oroyon 97223
Inspection Line (Rec-6-Phone): 639-4175 Business Phone: 639•-4171
Inspection:_
Footing PLbg. Underslab Hoch. Rough-in Appr/SdwLk
Pound. Plbg. Top out Gas Line
Poet/Ream Struct. San. Sewer framing -Bldg.
Post/Ream Mech. Rain Drain Insulation ( �
Plbg. Underfloor Nater Lino Gyp. Bd. -Hoch.
Date Regvestedt_, Time: AH
7' pN
Address:-_.�6�a_L— Permit /:����
Bu i I der sTHE FOLLOWING CORRECTIONS ARK RVQUIRKD:
Inspector:.__
-V_ DatesL
,�APPIMOVtD ��
DISAPPROVED �APVRoVPn stIRJKCT TO ApOVE
/ CAII for ReInsp,
,1
1NSFgCT�ON N(�T10E @1A City of Tigard Bulldinq Department
Department
13125 AA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roe•4-Phone)r 639-4175 Business Phone: 639-41'71
Inspectionr
Footing Plbg. Underelab Mach. rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas LinaINAT:;>
Post/bsam Strvct. Sen. Sewer Framing 691,dg.)
Post/Beam ilech. Rain Drain Tnoulation -Plumb.
Plbg. UnderV oor Nater Line
Gyp. Bd.
Date Requestedr� IL11 /9f l ��✓
Time: —Am _PM
Address: G�lo��_ l ✓1 Amy �� Permit t s
Builoerr� C)���//-`
THE FOLLONING CORRECTIONS ARE RZWIREDr
Lqcp
Inspector:
Dates
_.___APPROVED DI7.01",
D APPROVED SURJECI TO AAOVE
k, For Reinep.
N_4PX(710M NMT CB
City of Tigard Building Department
13125 X01 Ball Blvd. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone)t 639-4175 Business Phones 639-4171
K--'
Inspection:
Footing Plbg. Undernlab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out 4C.—L1n7 Ale FINAL:
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drein Insulation _Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Data Requested:_ /o4 Tim: AN 1PN
Addreen s _ Permit #i t
builder:
TRE MLI.ONING COR",,CT'ONS ARK REQUIRED:
,1 L- .tail ,'�`�"'h�/�...�.,��/�G.- �,�.�5f�.i�iro�✓
Inspector/i Date: �O- e`
DISAPPROVEll APPROWND SUB.7ECT To AnO,/F.
_Call For ReJnep.
t
iNSPZ 0jl NOT cE
City of Tigard Building Departsisnt
13125 60 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone(: 639-4175 BCusinena Phone: 639 71
Inopection:__________
Tooting Plbg. Undorslah Hoch. Rough-in App�r/Sdwwl"k
Found. Plbg. Top Out �Gaa Line FINAL:
Post/Beam struct. flan. Bower Framing -.BldSI.
Post/R-am Hach. Rain nrain Insulation -Plumb.
Plbg. Underrloor Nater Line Gyp. Bd. -Hoch.
Date Requestedr ty -2,6 — TLaof �►^ AH PH
Addreaa: * 7021 _ � / Permit #sM'5T'W-6Z4Z
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
+S
I
Inspectors .
APPROVED L DISLPPROVRD ,.- APPROVED SURJRr'T TO Awwr.
C Call For Ralnap.
I�ECTIQN NO�'.�.�
%:ity of Tigard Building Depert-Aont
13125 SW pall Blvd. Tigard, Oregon 97223
In pection Linm (Rac-O-Phoneys 639-4175 Business Phones 639-
_.
Inspections_ ,t
Fr_ot1:..4 Plba. Underslab Hoch. Rough-in Appr/Sdwlk
�oued• Plb Top Outi Li'"—nom.. FINALS
Post/Beam Struct. fan. Sewer Framing -Bldg.
Post .'Beem Nech. Rain Drain Insulation -Plumb.
Pi',,-!. Underfloor Nater Line Gyp. Ed. -Hoch.
Data Aaquaetedt— ,&) �_—_ �_�Q_� �--
' t ' ,,L Times '�'".." PM
Address s__-///?/ �1 Permit 1s— o (�---
Buildert /�-... DL -_—
TRE FOLLOWING CORRECTIONS ARE RNQUIREDs
Inspector:— / r
_ Dabs2. /� / _
APPROVED DISAPPROVED �- APPROVED 8DSJECf To ABOVE
�� ]1 For Reinep.
INSPECTION NOTICE
Citt of 2'ty.d Building Dnpart.nent
13125 SO Ball 81%4- Tigard. oregon 47223
In.poction Line (ROC-O-Phone)t 639-4175 Bueineas Phone: 639-4171
Inspections
Footing P bq. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL&
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. underfloor Water Lin Gyp. Bd. -Hoch.
Date Requestedt�_�� _ Time- //yy�� AM PM
Addreeas =4J� ( Permit f t/l1.7 J I
Builder:
TRE FOLLOWING OORRECTIONS ARF REpUTREDs
Inspectors � ' Data /' 7
APPROVED DI8"PRROVtD APPWNRD SUBJECT TO ABOVE
! !'all For Reinap.
r f
INFUCTiON NOTQE
C.ty of Tigard Building Departamt
13125 B11 Hall Blvd. Tigard, Oregon 97223
Inspection Line !Rac-O-Phone)t 6339--4175 Busin`eser Phones 639-4171 �
Inspection:��[
Footing Plbg. Underelab Anch. Rough-in Appr/Sdwlk
Found. Plhg. Top Out Can Line FINALt
Post/Beam Struct. -Sinj framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor A! LifYa,? Gyp. Rd. -Meeh.
Date Rer,au edt_ /V1�/Z ---� ---Timet ____AM __PM
Address: _ ) -� / Permit 1V!il�� Y'f `C),_(s' L
Builder:
TRR P"LLONINO (MRRECTIONS ARE REQUIREDt
It
oe
Inspector �l/�/� _ _ -- --- Dates�C✓ / (/
_/ APPROVED DLSAPPROVtD APPROVED SURJECT TO ABbV!
__ __Call for Rvinsp.
IKBPECTI +N r ` "
city or Tigard Building Dep%rtmmt
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phono)t 639-4175 Business Phone: 639-4171
Inspection t__._—_-_--- -- -------_--
Tooting Plbg. Underelab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Roam mech. Rain Drain /Insulation -Plumb.
Plbg- Underfloor L�Nate�r Line �ppp, •d, ' h,
Date Requasteds K7,v� —`1—1r _ �T1M1 AMQ -PH
Address:_ ' ��I (�Ct L1I/'S1' Permit ft Mq 1y`6?J(4?_-THE TOLL,ONING CORRECTIONS ARE REQUIRED: /
Inspect
A APPNOVED DISAPPROVJ APYIRCV D SURJECT TO ABCWE
_-Call Call For 7elnap.
Y
INSPECTION NOTICE ��" �-'
C1tT of Tigard Buildi.rg Departerat
LUSS SII Ball Blvd. Tigard, Oregon 97223
...spection Line (Rec-O-Phone)t 639-1175 B.isiness Phones :,39-4171
Inspecttonr
Footing Plbg. Undermlab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gan Line RINALt
Post,/Beam Struct. San Sewer Teaming -Bldg.
Pont/Beam Mach. Rain Drain Tnsulation -Plumb.
Plbg. Underfloor Nater Llre tdYp, Ba;. -Hoch.
Date Requested e
Addressa �- c
�Z ti] t _ Permit 1t�J( Ll
Bu
Builder t, ") LI_ ) ` __
TFM FOLLOWING OORRECTIONS ARE REQUIRXDt
_)
Inspector _ DateG ,
^APPROVED _ DISAPPROVED _- APPROVED SUBJECT TO ABOVE
V/ Call Por Relnap.
1
IgSP;CTION "2TIC4 C�
C1.ty of Tigard Puilding Departaaest
13125 SW Hall Blvd. Tigard, Oragom 97223
Inapection Line (Roc-O-Phono)t 639-4175 Dusinein Phones 639-4171
Inspoet kont
Tooting Plbg. Underelab Koch. Rough-in Ap;pr/Sdwlk
Pound. Plbg. Top Out Gas Line FIIIhLt
et/Seem Struct.J San. Sewer. Framing -R:ldg.
Post/Seem Hoch. Rain Drain 4n■ is ation -Plumb.
Plbg. Undorfloor Mater Line ' Gyp. Rd. -Nesch.
Date Requestedt Y/ /Z S 11! Timet _LX\/ 11MPH
Address t U ! "L Permit i t/n ST /C� -da�Z
Sulldert_A� .(j 6, .�,
THE FOLLOWING CORRECT:ONS ARY. RRQUIRED:
Inapscto s� bates�'�_�--
APPROVED DISAPPROVEDAPPROVED SUBJECT TO ABOVE
Call For Reinep.
1NBERCClon NQUO ,
City of Tigard Nuildin9 DsPerta,aat
'_�
1312S Aw Ball Blvd. Tigard,
Oragre 97221
Inspection Line (Rec-o-Phonr)1 639-1175 Business Phonal 39-4171
i
- ,ae�fi'
InspectLo,t—�:_r J
1,
Footing Plbg. Dndarslab Nach. Rnugh-in I►Ppr/9dwlk`
Found.
Plbg. Top Out Gas Line FINALt
_
r[ming-) -Bldg.
Post/Beam Btn,ct . Ban. Bawer
Post/Baan Mach. Pain Drain Insulation
-Plumb.
Plbq. Underfloor Nater Line L._.� GYP•
Bd.
7 Times . PM
Data Requested,_
Address s�/V.�•�
�jf -a _'L / `.7f Permit #41-azil
®uil.der,
TFM FOLLOWING CORRECTIONS ARE REQUIRED,
Inapecto ,,
Dafe, —�7
APPR�IVED DIHAPPROVRD APPROVRD SUBJECT TO ABOVL
Call For Relnnp.
INSPECTION NOTICE
City of Tigard Building Department
1312S WE Ball Blvd. Tigard, Oregon 97233
Inspection Line (Roc-O-Phons)i 639-417S Business Phon 639 71
Inspections fICL�,�yl —
looting Plbg. Undsrslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL:
Post/Beat, Struct. San. Sewer (---ft
-? arn-I -Bldg.
Post/Beam Meeh. Na1tI DCA Insulation -Plumb.
PlUg. Underfloor Nat*r Lin Oyp. Rd. -Merh.
Date Requosteds / S. q� _Times AM PM
7
Addrssse Permit f�.
Builders
TBE FOLLOMINr: CORArcTIONS ARE R1•QUIRE02
Inslwctor:_ - y�-�� --- Date v
DIBAPPROVRD APPROVRD SUBJECT To ABOVR
,__Call For Rsinsp.
voe�cG
City of Tigard Bail ing Depertaent
13125 SR Hall Blvd- Tigard, Oregon 972::3
Inspection Line (Rec-O-Phone): 639-4175 Business Phonw: 639-4171
Inspection:— JI '..
I`
Footing Plbg. Underslab Hoch. Rough-in ppc/Sdwlk
` ound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. > San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Lin /f Oyp. Ed. -!Hoch,
Date R V
a��eated: L Tlmss AM pM
Address.-._______ ) -�� Permit fe
LI �7 �T dab z
Builder: -_
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
Inspector
—A'-- Date:
---APPROVED — v DISAPPROVED APPROVED SUBJECT TD ABOVE
____Cell For Aeinep.
CITY OF TI014RD - RECEIPT OF VgYMVNT t1F(.;EIFlT NO. v94--254684
C 14FCK AMOUNT 117. 03
NAME: a I.E I SER, ANN CASH AMOUNT s 0. of
ADDRESS a c.009 SW PENDLE.TON CT PAYMENTDA1 F. 3 07/PO/94
PORTLAND, ORF--BCIN SURD I V 113 1 UN a
97F, 1—
PUFTF!CI>+E OF PAYMF NT AWILINT" PAID PURPLISV OF' PAYMENT s)MUIJN1 PAI T)
BIJ J I T)J NG PERM MgT94..-Oi
wAPPLICATION - STREET IMPROVEMENVEXCAVATION \J COPY TO:
J X (WHITE)-FILE:
ORDINANCE NO. 74-14 / ) '
/ �( �- 1. -.,`. X (PIN Low)-(NSP.
)INSTRUCTIONS ON SEPARATE SHEET) (BLUE)APPLCANTNC�Yd�.
• ' 1� APPLICATION NO.:
APPROVED � (\ y_,
NOT APPROVED [_) �.I I�r�)F 7I(i/1lt.i), OREGON ` FEE AMT.: t
PENDING FEE. PMT. () CI"TY BALL R6CUIPT O.: ___._'�.+
PENDING SECURITY [,1 PURL/C WORKS OE'PARTMf_.NT Bk ___ DATE___
PENDING AGENCY "OK" [] Application and Progress Record
MAINTENANCE BOND •_—M_�___.__
PENDING INFORMATION I] FOR STREET IMPROVEMENT/EXCAVAT(ON AS REQUIRED 1-'
ANNUAL O
PENDING VARI.INCE U EXPIRATIONOAT E:
PERMIT NO.: DATE ISSUED: .----. ._I �_�4�. _ . BY: ---.- .
A NON-C ISD DItI �+Y A�1 71ACl1
r)) APPI ;�:ATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
AS (DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
ALiFOrJS► :3W Pestd]eton Ct Polrtlerrd 97221 . _ 24I-0847
APPLICANT Of
AME AOD0<T6CITY
CONTRACTOR_(P�!Viofit• 00• �3FI
A " 151G7^ 41st Ave. T!_ eC�d C; 97224 bZ4-(?5 2
P-------
PLANS BY per City Standards & Specifications -
__-N_-A.M_._-__._...-- - DDTf.�.�-�
ESTIMATED IMPROVEMENT TOTAL VALUATION j COST): Y M. 6W.04 _
(2) EXCAVATION DATA: hO.�004
N MIN.
�•� 26.44.;TREET _ DESCRIPTION ESS & INSPEC'TION STATUS
NAME SURf A''[i CUT CUT CUT MATERIAL INSTR.LLDATE REMARKS/TYPE BY
TYPE LENGTH WIDTH :DEPTH ITEM A QUANTI
ory, ED --
'tlti for Street (ate ��C R TION
-E!eTIMATED STREET' OPENING
ESTIMATED STRUE T CLOSING DATLT: _..—___ _ / / E -
-- _ __ . . .
- - . , D
—._.
SECURITY
STREET
�3} N(.�. ___— ..__ SECURITY AMT: $ _ !� CLOSE
�
SURETY CO. _-.___.lQ -CHECK FINAL
�-� CA11M a �on�-r. IwSFEa.
(4) PLOT PLAN: INDICATE. SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
4 see attachwi (details, etc.)
I I SITE: 7021 .914I3r�yloc ��.) 1 h ...______.+. _ _
I I work area 1 1
(sae - '�
! I !
(5) NOTE THE Cn ; Of TIGARD DOES NOT, HtOtflY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHIRR
RIGHT-OF-WAY JUKISDICTION IS THAT OF' WAS.IINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTANENT LAWS AND
CONSTRUCTION SPLCCIFICATIONS PERTIN'-NT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE DATE
AM LEISER
Spacial Conditions
/Provisions:
1. All work shall conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Detail Drawings.
2. , Notify City Inspector Letha Thomas (#639-4171) 24 hours before starting any work.
3. Access-to and egress-from parcels of land adjacent to the work area shall be
maintained at all times. Traffic and Pedestrian safety shall be provided for by the
contractor at all times.
4. Removal/roplacorriont work and damag9 repair work shall be promp,ly Initiated and
completed to the City's satisfaction. NO work shall be considered complete until
It is accepted by the City. The City reserves the right to cause testing and
certification of work or repairs to be performed, to the City's satisfaction, at
permittee's expenso.
5. E-osion control shall be provided for by the contractor.
6. ORS 757.541-571 applies (pre-notification for location of underground facilities,
etc.).
4 SECTGION 36 TIS RIW
W iA S I I 36 D C
✓ASHINGTON COUNTY OREGON
SCALE I 100'
CANCELLED TAX LOTS
S E E MAP 3505, 3511,3502,3503,7504,
4401,TOO THROUGH 2400,
IS 1 36 DA 2 401,goo,2501,
H w Con w
—PORT 1 NO HEIGHTS
551.66
140 12 5
101 100 A
IV
95 Ac. 16 .72 Ac. — -- --- --
-- J\1
00 rt.
6At 17 •(' Lli
– — -- — - - -- — – Z plcnCl- -
1 r--' r� .i W EXIST,
CULO
- --- - 5 6 2.46
YLFe ;. R 1522 STREET
o
E 562.2 .-., ME OR L.or !o ---�
Ti T� To •o acs` 1
2400 2800 P70 12701 2600 y
a
I
'1 0
IN 5 4 3 2 I
i
1�1 L SEE MAP
IS I 360D
I[ On A1NA(, V EASE ME NT _ `\
I I I ~I
3500
' s
SKETCH:
I
I, �I
1
i
—
qqt � I
& CL,LU, Loc,
Nom Cvc✓, 7v aw--C/,- b
A�� cum✓. @ 69e1j-Ar4&
-�x�:Y:i^!...�,.,.+,.�,......�«.+.,..�...�y.�5..:�_ ' .�.��..•-... .. ._•.�w,��• •.FAY Kf .f al��•,r. ,
+'+.•.ti: ! .� .. .w� t� ...YI � ..Y ter. . . r ..F�..
._/ �L'. t:..:dt• ^.�ry..q� ':.`.C"•, !'?< %!1 .:,fRf:;7« i'1�41;,i �J�.1� is _i�i:!:lr ',
t ;40) 'p<
Y 1.
PROPOSED EDGE
2"CLASS CA.C. F SH
4 2w-0 PROPOSEU EDGE
J SLOPE VARIES OF PAVE NEM
IL
W d
d /
Z , w U. 9 -..
C < O J a
iL
0. 0 W TYPICAL SECTION
<d A.C. DRIVEWAY
"^ 1
az
�� on
Iw w PROPOSED EDGE
I I / 2 w 3�4 -0
4 2n- OF SHOULDER
--PROPOSED EDGE
SLOPE VARIES F PAVEMENT
I .I
c,
Z TYPICAL SECTION
ac = a
W _ji �J s a GRAVEL DRIVEWAY
i 13 310� a -
PROPOSED EDGE
TYPICAL PLAN OF SHOULDER
PROPOSED EDGE
A.C. OR GRAVEL DRIVEWAY OF PAVEMENT
SLOPE VARIES 4'
*FINLESS OTHERWISE NOTED OR 10 �O
O U
SEE DWG. NO. OW-20P
TYPICAL SECTION
ALTERNATE
WASHINGTON COUNTY DRI VEVA/ AY DETAILS FOP
WDEPARTMENT OF LAND USE
AND TRANSPORTATION NON — CURBED AREAS
DATE CIVIL IVOINEER MAWN APWA NO. WAWL COUNTY NCI.
v
--jr NONE DW- 2C,5
I
EL V. SAME AS E CROWN ELEV. I SHOULDER CROWN—
Of ROAD
MIN. SIOhI'� o I ROAD SURFACE
ISRI BOT-OM OF DITCH ELEV. -�
MAY BE ADJUSTED BY INSPECTOR
NOTES:
I.SEF. DWO. NO. 205 FOR ALTERNATIVE
2 If AC DRIVEWAY IS TO BE CONSTRUCTED,USE 2"OF CLASS°C''MIX
ON APPROVED BASE
PROFILE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
OR PLASTIC PIPE
PIPE SHALL EXTCND A MIN.
V PAST TOE OF FILL
+-1 UIWACLt OF
WAY
3A-0 ROCK
ir
1�i41N�lunu.� 3111 Axl �ill?ml� =Ro;
e
CONCRETE PIPE1 OTHER THAN ONCRETE
~ PIPE, AS APPROVED
PIPE SIZE TO BE 'wW11nIM� I
BY INSPECTOR AT THE 408
SITE ''}t TG 1-wl"A
GllLtf.'T. U►STo-""
!.ev 4-!-,/ EA'YLOR
PIPE TO BE LAYED AT EXISTING GRADES Of OF%H — NO SLUMPS
CROSS - SECTION
WASHINGTON COUNTY DRIVEWAY FOR STREETS
DEPA�.l HENT OF LAND USE
AND TRANSPORTATION WITHOUT CURDS
DATE CIVIL. 614GONEER DRAAIN APWA NO, WASFL COUNTY NO.
NONE DW y- 202
37 -
TRAFFIC CONTROL
GENERAL REQUIREMENTS
1 . The City' s standard specification For traffic control is
"Manual on Uniform 'traffic Control Devices for Streets and
Highways", U. S . Department of Transportation, F.H .A. , 1988 Ed.
2 . Traffic control shall be provided for , as illustrated, at alp
tin,? during work prosecution . No ;cork shall be permitted6V% 4�c good)
during the hours of darkness, nor between darkness to 8 : 30
a .m. , nor 4 :00 p.m. to darkness .
3 . Traffic control devices, flagpersons (etc . ) shall be in place
prior to initiation of construction work and shall, at all
times, be effectively maintained.
4 . The roadwz�y shall not be closed to through traffic . The
contractor shall notify emergency services (fire, police,
etc . ) , School District, and Tri-Met 72 hours (minimum) prior
to initiation of construction work. Advance warning of
imminent traffic disruption shall be provided to the general
motoring public by placement of an advance notification sign
at each end of the construction area 72 hours (minimum) before
initiation of construction work .
5 . The City Inspector shall be notified 24 hour, prior to
initiation of work (# 639-4171) .
6 . The work area shall be maintained in a clean condition, free
from obstructions and hazards . Effective erosion control
measures shall be provided for .
7 . A temporary hard-surface patch shall be placed on all trenches
within the roadway at the end of each days work .
8 . Minimum travel-lane width shall be twelve (121 ) feet;
pedestrian travel shall also be provided for .
9 . Vie City reserves the right to restrict construction
activities during holidays and periods of high traffic levels..
The City reserves the right to add to or modify these
requirements as may be necessary to endeavor to more
effectively control traffic and to assure public safety; such
action shall not relieve the contractor of responsibility.
dj/engdoc\masters\tcgr.mst
ROACONSTRUC71ON T 0
1 GENERAL NOTES
Ian
IAN.
1. TRAFFIC SIGNS TO BE 48" X 48"
ONE LANE - O BLACK ON ORANGE.
ROAD AIrAD
W20-4
100, 2. NO ROAD CLOSURES.
UI N.
ILACCEA AHEAD O
W20-7A
100
WIN.
3. THE CITY'S STANDARD SPECIFICATION
FOR TRAFFIC CONTROL IS "MANUAL
F�ArcER I ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIGHWAYS",
100 U.S. DEPT. OF TRANSPORTATION,
o —{' F.H.A., 1988 EDITION.
S •r
p .iN.
°— 4. ACTUAL SIGN PLACEMENT TO BE
EllADJUSTED IN FIELD. DO NOT REDUCE
Cal BELOW MINIMUMS WITHOUT CITY
o APPROVAL.
N.
"p 5. THE CITY RESERVES THE RIGHT TO ADD TO
FUCCER OR MODIFY TRAFFIC CONTROL REQUIREMENTS
AS MAY BE NECESSARY TO EFFECTIVELY
CONTROL TRAFFIC AND TO ASSURE PUBLIC
WIN.
SAFETY.
n IUOOM AHEAD
W20-7A
100 LEGEND
4N. — -
ONE INIE C TRAFFIC SIGN
R0A0 AHEAD
W20 ® CONSTRUCTION ZONE
100•
uN
o TRAFFIC CONES OR
APPROPRIATE DELINEATION
O MEAD rRUcnoN DEVICE.
TRAFFIC CONTROL_
_ TYPICAL DETAIL__ _
DESIGN BY APPROVED BY — DRAWN BY
CITY CF TIGARG ---- __ _ CAB
SCALE DATE DRAWING NO.
OREGON N.T.S. 4-6-92
r
CITY OF TIGARD MASTERPERM'T
Pt=R1�1 + rMST94- 02
62
COMMUNITY DEVELOPMENT D T4Mr&kIT DATE ISSUED: 07/19/94
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (603)638-4171
PARCEL: 1.5.136DC-00.100
SITE ADDRESS. . . : 070: 1 SW BAYLOR ST'
SUBDIVISION. . . . : FRUITLAND ACRES ZONING: R-3. 5
1r.LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 16
BUILDING ___.._._.--------____.__---•--.-_---------•___._.._.__
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WOP.K. :ADD BEDRMS:2 BATHS:@ GARAGE. . . . . . . . . . :0 sf
TYPE OF USE. . . :SF FLOOR ARENS— -- --_-- - - REQUIRED SETBACKS-------------
TYPE OF CONST. :5N F I RST. . . . : 144 sf LEFT. . :40 ft RIGHT. :30 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :20 ft RF_AR. . :99 ft
STORIES. . . . . . . : '1 THIRD. . . . e0 sf REQUIRED---.-•----____.----_---
HEIGHT. . . . . . . . : 12 ft TOTAL-•------: 144 sf SMOKE DETEC:TORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 9311 PARKING SPACES. . : 1
Remarks: NEED STREET OPENING PERMIT FOR DRIVEWAY ?PPROACH.
----------------------------------- PLUMBING __._._-------------------____—_______�__
SINKS. . . . . . . . . . .0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :0 WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0
TUR/SHOWERS. . . . ..0 LAUNDRY TRAYS. . . :0 CATCH SASINS. . . . . . . CO
WATER CLOSETS. . :O SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :fit
WASHING MACH. . . :O SF RAIN DRAINS. . : 1
MECHANICAL --_..----------------- --------------- FEES
FUEL TYPES--•---------•-• UNIT HTRS. . :O type amount by date recpt
VENTS . . . . . .. BPRT $ 80. 50 JG 07/19/94 —
MAX INPUT:O BTU VENT FANS. . :0 --4BPLC $ 52. 33 SWB 07/07/94 94-2542313
FURN ( 100K . . :0 HOODS. . . . . . ..0 B5PC $ 4. 03 JG 07/19/94 —
FURN ) =100K . . -0 WOODSTOVES. :0 MPRT $ 25. 00 JG 07/19/94 —
FLOOR FURN. . . . :0 CLO DRYERS. : 0 MPLC $ 6. 22E JO 07/19/94 —
BOIL/CMP ( 3HP:0 OTHER UNITS:O M5PC i• 1. 25 JG 07/19/94 —
GAS OUTLETS: 1
Owner:
ANNA LEISER
6009 SW PENDLETON CRT'
iDoR tL.AND OR 9722221
Phone #: 245--0847
Contractor: --------- --------___.____.______
ETCHEBERRY CONST
15107 SW 91ST AVE
TIGARD OR 97224
Phone #: 624--0582
91109 ------------------__------ --.----- -__—_--_—
$ 169. 36 TOTAL
'ibis permit is issuki subject to the regulation% contained in the ------- REQUIRED INSPECTIONS ---- --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foUnd Insp Gyp Board Insp
applicable laws. All work will be done in acconlance Witt, approved Post/Beam Stir-ur_t Rain drain Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan Mechanical Final
days of issuance, or if work is :usp?nded for more than 180 days. PLM/Underfloor Plumb Final
�j � � Mechanical Insp Building Final
Pet•mittee Si.gnatur-e : P/Y� Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Insulation Insp
Call for inspection - 639-4175
21
Residential Building-PermitApplication
City o/ Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 p A T CJLI U
(503) 639-4171
Jobsite Address. >' •' _ sz-j l3y-�
Subdivision: �&I l I Z-4f"J G(r•s Lot M Z110 Office Use OnI
�1 —� F Ianc*/Rec it
Valuation• �� r ._..�_..—_
Permit # 1.:..1`d��_G�c.+��p °�•
Owner: A N N ( F , [�
Reissue of
Address Cl SW Pa w,Y)I IU 7-A C K 7 -.._...__.j.
Map& TL M '.'` R --.Let l tJ 0
06rLT"Aw,_) c►2
w
Phone: 2 `i S .- Approvals ii�ulred
Planning �-
Contractor: _F7c1`1 Gf9E -rt+� c.aw4S j. _ Engineerings "
Address: s u s�✓ Y/, r Gi,.f, , Other
Phone: 4 1 y/- o s e L Items R—1.- -
Gontractol's License # 1 1 I o 9 SubrAntractors
(attach copy of current Oregon license) Truss Details _
Contact name & phone: A'J, iCN f G?y oSF. z
Subcontractor's:
MUM
Plug: / 1r rislcL 4 cam•
Mechanical: ' A404,
_ � � g5 / C
(attach copy of cxln-ent R tractor's Ucense) '
Archit N/A
ect/Enpltteer:_
Address:
Phonw
JOB QE800Nif TION: /�•�t /qte[uc4 tra*t . ArTg2 Ifcwt8 f ► Th�1� NChn 6 'c,niro 1!�Y'>
uriuTl[.4h )wSuLAn64% SM/kill CtMCkirE.
Applicant Signature d, Phone nurri6er
Ramlved by.- Date Received: ` 7-
Permit # Account Description Amount Amt. Pd. Baal. Due
Z Bldg. Permit (BUILD)
Plumb. Permit (PLUMES) —
_ M soh. Permit (MECH)Or
Or State Tax (TAX)
r Bldgu_Y /
Plumb: _
r
MPch: t --
Plan Check (PLANCK) s� •S8 S--- '3� 1)�
Bldg. S Z-J 3
Plumb:
Mech: G ' ✓/
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Chg (SDSDC) _
r
Residential TIF (TIF-R) _
Miss Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industria)Tlf (TIF-1)
Institutional TIF ;"SIF-IS)
Office TI1 (TIF-0)
Water Quality ; VQUAL) _
Water Quantity (WQMM
Fire District (FIRE)
Erosion Cr#d Pem* (ERPRMT) _
Erosion Planck/USA (ERPIAN)
Eiosion Manc4c/t`,OT (EROSN) .^
TOTALS: 16 f,3 j .� ✓ /+n3
G��' +b fl r•
CITY OF 'T I GARD - RLCF"1 P'1� (JV PAYMEN'1 FdFi;ul .I F'';' NO. t 44 -0 54%2 39
CHECK AMQUN f 52. 33
1VF)hiF' a r'-FCaHFbFRRY, )F.f4NNF'T'i'1-- CA13H AM!'IUNT o 01. ow
ADORERS PAYMFN'( I)(4 1 I 07/0?/94
SUBDIVISION c
F71)PP()11t OP PAYME.NI AMOUNT PATI) PURPOSE. OF P$)YMk:_NI' AMI)ONT PAID
C:NEEK^1=F 15r'. 313
J
i
FINN L.E I AE R
loo- 1 qW SAYI OR
'1 0 1141 AM01 IN T PAID > ;5P. 3:3
i
r
1NSpRGTIOj1 NO�'ICR � ��'
City or Tigard suilding Dep•.rAmont. `.-
13125 " Hall Blvd. Tigard, Oregon 97223
Tnsper-tion Line (RearO-Phone)t 639-4175 Business Phones 639-4171
In.pections_ ANI _c��� - a C P
Pootilmr Plbg. Underslab Hoch. Rough-in Apps/Sdwlk
l/- Plbq. Tod. Out Gas Line PINAL9
Post/sea■ Struct. San. Sewer lramin7 -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater CLine[� Oyp. Rd. -Hoch.
Date Requestede ` G�1r5 '~`l��^ __—Times_--Timet _ AN --Ph
Addreaes Permit f
--- ---
Bu i ldier s—_--y
TF�f�0—!.LOOWIIF; CORRELT�IONB ARE REQtITREDs
1
- -L ,2_ss -✓� Zj k� 1
Inspectors_— AYkk — .._. Dater_
APPROVED �L/15TSAPPROVED APPROVED SUBJEr T TO ABOVE
LL 1 1 1/Call For Reinsp.
i
I MICTION NOTICE ?
city or Tigard Build"q Dwpartmont
131.25 Bw Ball Blvd. Tigard, Ororvon 97223
Inspection Line (Roc-O-Phone): 639-4175 %u.:nsms Phones 639-4171
Inspection:______
Footing Plbq. Underelab Mo-h. R.wgh-in Appr/Sdwlk
/Found. > Plbg. Top Out Gas Line FINAL:
Pnet/Beam Struct. San. Sower Fruaing --Bldg.
Poet/Ream Mach. Rain Grain Iieulation -Plumb.
P1tg. Underfloor Nater line Gyp. ed. -Hoch.
Date Requestode q _ -__Time:S FH ,—PM
Address:
THE FOUAMING CORRRCTIONS ARE REQUIRED:
Dates
APPROVED _v DISAPPROVEDAPPROVED SUBJECT "O ABOVE
J Call For Reinnp.
_It.•'"
u
r;
r.
i
City of Tigard Building Deperteient
13125 6N Rall Blvd. Tigard. t&eyoe 97223
Inspection Line (Rea-O-Phona)t 639-4175 Buoineo■ Phonar e]9-4171
yj /paling Plbq. Underolab Hoch. Rough-in Appr/sdwl..
(end, P1hg. Top Out Gas Line FIKAL%
I
Piet/Beam Struut. San. Bower Framing -Bldg.
Pos"/Beam Hoch. Rain Drain Insulation -Plumb.
P1bq th0er:loor Nater Line (/ Gyp. Bd. -Koch-
Date Requested$__ L �Tie�r AN --PH
Address' -< C1 PerLm1ir.5 IIV
�
THE FOLLOWING CORRECTIONS ARE REQUIRED'
Chl-
Inspectors Dates
APPROVRD nTSAPPROVED APPROVED SUM71trT Tn AROVE
-Cal l Nor Roinap.
MASTER PERMIT 44-
CITY OF TIGARD PERMIT #. . . . . . . : MST94 .0175'
COMMUNITY DEVELOPMENT D&'ARUINT DATE ISSUED: 05/06/94
13125 SW Hall Blvd.Tigard,Oregon 97223•8199 (503)539-4171
PARCEL:: 1.S 1:'s6UC'00).00
SITE ADDRE3G. . . : 07021 SW BAYLOR ST
SUBDIV1C31ON. . . . : FRUITLAND ACRES ZONING: R--3. 5
BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . : 16
BUILDING --_ ___.___._-----.__.____________-•-__-.__
REISSUE: DWELLING UNITS:O BASEMENT. . . . . . . . :0 Sf
GLASS OF WURK. :MOV BEDRMS:0 BATHS:O GARAGE. . . . . . . . . . :O sf
TYPE OF USE. . . :SF FLOOR AREAS------------ RE:QUIRED SE'rBACKS•-------•--•-----
TYPE OF CONST. :5N FIRST'. . . . :0 sf LEFT. . :40 ft RIGHT. :30 ft
OCCUPANCY GRP. s R3 SECOND. . . :O 5f FRONT. -20 ft REAR. . :9'3 ft
STORIES. . . . . . . : 1 THIRD. . . . %0 sf REQUIRED--___---__-------_._
HE 1 GH T. . . . . . . . .. 0 ft TU'TAL---------:0 sf SMOKE DETECTORS. 1 Y
FLUOR LOAD. . . . 10 psf VALUE. . . . . f: 2750 P?4RKINS SPACES. . s l
Remarks : FOUNDATION FOR HOUSE THAI IS BEIM..; hLUVLD 1N -- NEED bTREET OPLNINU PL:_Fl
--------------------------------------- PLUMBING - ---- -------------__.__.__---._______
SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 ."1ACKFLOW PREVNTR5. . :0
LAVATORIES. . . . . :VA WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0
TUE}/SHOWERS. . . . :0 LAUNDRY l RAYS. . . :0 CATCH BASING. . . . . . . :0
WADER CLOSLIVii. . :N SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 '.CATER LINE (ft ) . : 100 OTHER F iXT11RES. . . . . :0
OAHBAGL DISP. . . :10 RAIN DRAIN (ft ) . :O
WASHING MOCH. . . :O SI- RAIN DRA 1 NS. . : 1
-.-------._------ MECHANICAL -._._____..____.__________-----_.__.____._.. FEES
_ -- - - - --
I
FI-IFI-.. TYPES----- UNIT HTRS. . :0 type amui.aint by iiaLe r°®r_Pt
/GAS/ / / VENTS . . . . . ..0 TIF 4 1520. 00 .J13 05/06/94 -
MAX INPUT :O BTU VENT FANS- 110 BPRT t :38. 50 JG 05/06/94 -
FURN ( 100K . . :O HOODS. ., . . . . :O BPLC 1 25. 03 SW 1114/28/94 94-251791
TURN ) -100K . . :0 WOODSTOVES. :O B5PU $ 1. 93 JG 05/06/94 -
FLOOR FURN. . . . :O CLO DRYERS. : 0 SSOC $ 200. 00 JG 05/06/94 -
BOIL/CMP ( 3HP:O OTHER UNITS:O [_'ARF( f 500. 00 .JG 05/06/94 -
GAS OUTLETS: 1 MGRT f 25. 00 .7G 05/06/94 -
Owner: ---_.___________________.____.___.___.____MEPC 8 1. 25 JG 05/06/94
ANNA LFTSER PPRT f 25. 00 JG 05/06/94 -
6009 13W PL-NDL.ETON GRI P50C E 1. 25 JG 05/06/9'r -
PORTLAND OR 97221
Rhone #: 245- 0847
Coni;ract or s -____---_._------..._----_._-------
EMMERT INTERNATIONAL_
1. 1(. 1 1 SE HWY 212
LLACKAMAS OR 97015
i Phone
� Req #. . 00605 -----_.______._-______-___.___________
f `41 7. 96 TOTAL
--- � •
chis permit is issued subject to the regulations contained in the _-- REQUIRED INSPECTIONS -
Tigard Municipal rode, State ut lire. Specialty Codes and all other Foot/fotInd Insp Plt.lmb Final
applicable laws. All Morn will he done in accordance with approved Post/Seam Striact Building Final
plans. This permit will expire if work is not started within 188 Post/Seam Mec,hatn Erosion Control
days of issuance, or if work is suspended f r @ore than 188 days. PLM/Underfloor Craw). Drain
Ta Cis Line Insp
f'ermitt,cr, `3inaat�_irP: ._ /a�i4 _ Rain drain 1,1-,p _
_ Water Line Insp
_.
lssijeci By Mechanical I inal �. . .---_----
Call for- inspection - 639-4175
CITY OF TIGARD
OREGON
PERFORMANCE ASSURANCE AGREEMENT
Re: 7021 SW Baylor -- :Moving house onto lot
I,Anne Leiser, deposit the sum of$2,750.00 with the City of Tigard, for the purpose
of a guarantee of performance (to the satisfaction of the City) of the following work
on the above referenced property:
Compliance with TMC 14.20.070, placing house moved onto the lot on an approved
foundatioli system.
The above shall be completed by August 6, 1994. Failure to complete the work on the
specified date shall constitute forfeiture of the cash deposit, and authorizes the City
to expend the cash deposit for the purpose of'hiring a competent person(s)to complete
the described work, or remove the structure as permitted by TMC 14,20.070.
1 understand that the cash deposit will be refunded in full upon
satisfactory completion of the described work.
Signature of Owner
This instrument was acknowledged by Anne. Leiser before me on 5/6/94.
=N0TARVPU*F3Lj
lfIKgOn,,9,7 Notary
mnvblg.bnd
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -
(::I T'Y "JF" T I GARD RFCC I F>'T OF:' F'AYME:N TRE'C:F::t T'1 1'l ). 194-252107
CHECK AMOUNT a 514P. 93
A1f;: o I...E 7S3F:Fiy ANNE CASH AMOUNT a 0. 00
DT)1 f::SB p 6009 SW PF..*NDI...V'j,OM C:'f PAYMENT DA'T'E:. z 05/06/`4
SUDDIV18tON .
PORTLAND, CM 9-1221
,I.1kF'OSE Of:' F'AYME:N'T AMOUN1 PAID F'1.)kPORE: (1F' F'AYMF'NT (-)Mo ON'T' PAID
U11 DING PPkM 38. 50 t''i.,.1.IMHINO PF:*RM i,"`i„ 140
F C:MANIC.;A1. f''F:' 215.00 531 . 1ilJI1...1) PER 4. 43
'ARKS SUS 1500. Opt f;T'(,1kM DRAIN +(}9. H)(;'
;USI OMF:k OF:f'(J P 150.00— RE.t7.11)I NI't AI... T ROV F T.[: F T'ls 141.0.00
'1RANS.F.. T '1 IF' F'ETS 110. 08
UlJSiF:. MOVE - UTRMI'T'1.:3 A I ETUNDAHI.E WIND
OPI FiW BAYI..OR
i-O T 01 AMOUNT PAID ) 51 40. 9:3
/y1/eh
PLAN CHECK FEES LIST
PLAN CHECK # s 7 PERMIT # DATE / -5
JOBADDRESS �6 Sw f�c.v rrJ / TAX/MAP/LOT
SUBDIVISIONWrl %LOT # LAND use
VALUALATIONU SETBACKFRONT U REAR K f LEFTr 0 RIGHT .. ,:3
WORK CLASS HEIGET'T TOTAL ARE"I
USE TYPE__ FLOOR LOAD _1( 0
CONST TYPE _ HEAT TYPE y.a_s ?.ND
OCCUP GROUP_O DWELL/UNITS
OCCUP/LOAD # BED 1R0014S BASEMENT --
# STORIES # BATHS GARAGE
LIST SUBCONTRACTORS 'TRUSS DETAIL OTHER
PERMIT # DESCRIPTION AMOUNT ,AMOUNT PD BAL DUE
BUILC PERMIT FEES J 3
PLUMB PERMIT FEES
MECH PERMIT FEES 7 �
STATE BUILD. TALC 5%) r ,e12 1
BUILDING_
PLUMBING 1 , 1 ,
ME^_HIANICAL i . .T
PLAN CHECK FEES
BUILDING
PLUMBING__
MECHINICAL +�
SEWER CONNZCTION
SEWER INSPECTION 3
STREET SYSTEM DEV I5 .:)u /S 2.-d
STORM DRAINAGE SYS ,?g v -18 J
PARK6 SYSTEM DEV Suoy
qV,
TOTAL o� a s o o?
Residential Building Pervi t A lication
City of T!gard
13125 SIS' Hall Blvd.
Tigard, OR 97223
(503) 639-4171
,
Jobsite Address:
/ Offico Use Oniy
Subdlvlsio _ Lot aM 1,0
. �� Plandc/Rec l0
Valuation: �' �,0o rttf "✓!�i
llDD Perrph # _
Owner: Ll-gc-Air-c '�-t°� Reissue of—
Address: /" tjo:z ,W &�r Map& TL #
� � � r. Approvals Required
Phone.
Planning
Contractor' Engineering
Address: Other � �u .,
Items (inquired
Phone:
Contractor's License #
(attach copy ofcurrent Oregon. license) Truss Details
Subcontractors: rather
Plumbing: - --- r— a ;., �►. �
Mechanical:
(attach copy of current OR Contractor's License)
PrchitectIEngineer:
Address:
Phone:
COMMENTS:� �
Iicant Signature 6 Phone number
Received by;�G / pate Recolved: ----
c •
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) - ".5 0 3
Plumb. Permit (PLUMB) 4 S. _ _ a 5
r /
Mech. Permit (MECH) ZSR _
State Tax (TAX) u A2-�I—
Bldg: ?.3 `
Mech: I /
�3
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connectidn (SWUSA)
Sewer Irrpec, _.i (SWINSP) ff—
Parks Dev Charge (PKSDC) OU _ UV
Storm Drainage Chg (SDSDC) r v
Residential TIF (TIF-R) / t U
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quardy (WQUAL)
Water Quantity (WQUANM
Fire DisUict (FIRE)
TOTALS: L
�j�
iinn) Rrcvj:t,i OV PAY11FAI RIECV. I PIT NO. %94---251791
CMECK MICKINT P.5.00
C1349H AMOUNT 0. 013
1)1)R F,S 8 a PAYIIt:N I DATI, (A4/P-8/94
811141)1.V1.S ION r.
iNt-ICISE OF PAY141".14.1. AMOUN V PO 1.1) t.,I.WPOSE UF PAYMENT 0111AINT POI
............. ............................. .......... .. ........
-',I.(114 CHECK FF.
/01.*-!l aw "AYLUIR
10Vf:* JN HOIISF UNTO LOI
MI MI. (11101INI 1-101 ) ... ... ... ....
r"•.f, ' 02J'� 'Property Line
v
IS
- j-_/oo
Owner: P.nne Leiser
6009 S.W. Pendleton CL.
Portland, Oreton 9721-1
1000 gyral. septic tank ►a j
300 lineal feet of drain lines� o
* 24"-30" min/max trench depth
Public water ft M C+
y * Drop box systdb 0
Scale: 1"=25" o ° r
w
� sem, / Y9 N o
O r' o
r o T
f+• o �r'r
a r
CD
Vo
Cot
o o d o
i
av 'I" - i
I � ;
�
9 t ? oo 0
� rvwJtt6.0 N nil, U'r.��ur•
00 1/f ip
.ocatton, pth, arrangement of dl Part'
of tile vidual a tic task system (Includ!n. �/ f
distribution box subsurface lines) wH'
conform to details shown on this plot plan
Any deviation from plan is hers shown must On
be approved h the onnty Health Department p )
In writing In adva�ce of installation. Failure n Q 0 1
on the part of the builder or ownw to
comply with thea requirements voids any
"gation for Heaph Depmtrnent fappollY 40 .S �
�k-
w ANsk qy��l� ( f.
� '
Idtir end/or Dwnw
y
, r
401A r0.„�
j � �C'o.--� �s('�.•��~�\� r'e moi. .
I `
7021 SW F3aylor Street
1 of 3
08/19/96
I!IIIII� IIIIIIIII�IIIII�lIIII I i!I!I!IIIJIJ 1 I1I!IJill!I!111 1!I!I!iliIIJI I IIIIllIIIIIII I IIIIIII1IIIll I i11I1111111I1 I I!I !i!l+l!I111 Ill 111111I!i!ijl�lll!I! '
INCH MADE IN CHINA
Ili lh!iliniiliii1fl:IIllll!" li� if Ilillllillllillllliiillllllllilllllllllltlllllllllllllllillllllllililillilliiilllilllilllulililulliilliililllliliililiiiilliiiiiiilliiiiiiiilliiill�iiliiiiliiiiliiii iililiiiillii�!�Ililinillinlluillililiinliniliui!nnliiiilini►iiiiliiiil�n�lniiln
i
4S.0 00"
. - -•Q
vi rm
f i ti../
o�^ LIJ
F--
/ZS " /.1 2Y,,_30,.
p o Z p ink:
aj S _ io
lyeP-C ^^ �
� .
.l- y Q r'"
4 "V
0 -2
CL
c c
ao _ 0
r
Z _
- — E M
PC �� ......
O 1'04 ST SET
GII� �7
m
' O
LAJLai
C,a
08/19/96
�;J ► jljl � ► { � { iJi � � � { � jlll { � { 111 IJI { i { I � t { I { � I i { I { Ijl � � { � { ► jl I { IJP { i � 11111 i 11Will1111191111111111111 ! i 1111111111 11 i 11111 , 1111111 1 IJIJIJI + I { IJI { I I ( JiJI ` iJIJIJI i { IJI �i � 1JiJl ��'
INCH ' MADE IN CHINA
cm gg t d 1o 7-11 it 15 11 11 18 I 2z 3
`NII�IIi11111111f llllll(11111i1f 11111(li(Ill�lllllli(I!(iil�ll !II I '
(( iltllillll(II((ill111111.III(Iill((IIl1lii�ill(�IIIIIIIII�(IIIII(II�IIIII(I(IIl11111111�IIIIIIIIl11111i1IlII(I(III(I�+(IlII((I(11111111if 1111(IIIiIII(!I(IIlJIIIlX1111111(IIIIIIJIlIlIIl11111IIIIIIIIII111111l�!!IlIIIIlJIIIIIIIIIJ111lh
___._• T♦'�"M ,.._.�„ µr. .•.rte..-...•.+....r.rwa�+•+ _ .' - - - .. _ - r�i:s ,i _ ". �•Ly. t _ '_ ,. e• T -
n .y� •`
•
, y
--
• A.J
'r
A y
K .-•p. .. ,, :, . •. '> - >�
PP
110
At
r :,.•
t
M
, r
1 , '
i 4
3
J
Y
F
�f.
L• y�(
J
l�
i
_y L
_
,
Yli "'i- .�.5. >F .r, f'. _. •- •i''xr,. � ti•" n ''r. t' ''k' .. - •i
:.L
k ` _ , tea,.a•:.�.. .M,i...
r. '1., r' -- - . ... - � a ( _ ,]Y•' , - •iii •ti 1 ,
N9
- ♦ - , a,.- ip� • �- �� �� �� �� moi. ._ . ,-J. .. - •*. 1 '•+
+1 4
_
.J-
1
• I r. - �- d L "` .� _ Y+,- �' - 1 •. 1 ' r 'Y�'+aY ♦ r_;y/ - + �e �, L{, F
,
ci VE?
Od
------------
CO
CD
! I RAT SLAB - . ` �_ , - L:,._ cam.
-- - LOW---- --- _ F-- �, U)
UJ
Cb
I I f ►. L- .4 4. A1LU
.c
VOOL, LL
ca
I ,: � ! I � > `' 1 �� •F_l�E p L A G aE ` '� I ��' � a'_. �'� --j CS � �� (� `�I
El
I I - CL
CL f I
op
I
t ► '' __-_ 30,♦ --Y_ERT(cAL_-CRAwL,_. .fa€ y► �R_ J_uISTS I 2 1
CA
I
I I I 14, 7
t
W Baylor Street i
?p2� S
.3013 0
Jul-
1
08/19/96
11111i III Jill 1 � 1 � Ili � ilili i 1111111111111� I - illllilillllil1111l111ir1111will I 1111111 11 1 ili11111111i. 1 111 � 111 � 11111 i ' 1111111 � 11111 1 IIIIIII � IIIIII � i ( Ili � l111111 11111 �yI � Ilili � '�
INCH ' MADE IN CHINA I r
"" 1 1 3 i Ir �t
`II11�111111111�111111111 Z 111lllIIIII!IIIIII111111111111111111lillllllllll{lIII�IIIIIIi111111lIIIlllill111lIIIIIII{llillllll{IIIIIIII ill!!I11 ILII Iill ! ! 1111 1! IIIIl1111111IIIl111111111lIIlilllilllll!!llliltlllllllllll!111�!!1lIIIII�!!!1111111l111111I1i!!1llllllili1111111i1l111l111iillilf ► ` -
I
�L'