10618 SW GARDEN PARK PLACE-1 Sol
ADDRESS:
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CITY OF TIGARD ClrR`f ncuPCUPAN OFF �
ANrY '
COMMUNITY DEVELOPMENT DEPARTMENT DL.PERMIT I SULD . . . a M6T'30 >�0c 1
13125 SW Hall Blvd.Tigard,Oregon 97223•819g (503)634-4171 DATE_. I SSUCC)1 06/16/94
PARCEL 1 2SI031)D--64012,
1i T"1"4 FiC)ARESS. . . : i�'�(,18 SW G(ARIFiEfJ PARK PL
SUBDIVISION. . . . a ZONING%
F3L1]Ci4. . . . . . . . . . a l.4)T.. . . . . . . . . . . . . a
CLAMS OF WORK. 1 NEW �
TYPE OF USE. . . ;SF
OCCUPANCY GRP. 1 R.3
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OCCUPANCY LOAD 122,0 4,
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TENANT NAME. . . t
Remat,krea
Owner n
DAVID LEARY i
10080 SW JOHNSON
T I GARD OR 97223
Phone #F1 639--6255
DAVID LE'.ARY CONST CO.
t OO2 0 SW JOHNSON ST
TIGARD OR 97223
Phune #F1 539-•6255
Reg t#. . 1 47223
r3ccupanr_y of the above+ •v Ferenvod but ldirnq i l«• hereby gi ver,, and cet-t if ter;
the compliance a,.ith the Gtate Of Or-egon Specialty Cores for, the group,
occupancy, and usF undev— which the r,eferenr,eci per^mit NlAfS issued.
At-
POST IN CONSPICUOUS PLACE
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INS?BCTION NOTICE
City of T'.ga: 3 Building Depar-ske+t
13125 SK Hvll Blvd. Tigard, Oregon 47223
Inspection Line (Rec-O-Phone): 639-4175 Busin,ass Phone: 639-4171
Inspection:
Footing ilbg. Underslab Mech. Rough-in ?ppi/Sdwlk
Found. Plbg. Top Out Gao Line FINALS
Post/Beam Struct. San. Sower Framing -Bldg. ,
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Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd.
Date Requested: ��yJ/ I// —Time: �j' )AM y_. QPM
Address: ` ycz"I de!7 t�uAke,rtr�:_SL��LL�
Builder: t 'CZ.-t e
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins— Y.or: ` --".�'l. ---- _—mate:
APPROVED �_ iSAPPROVED _ APPROVED SUBJECT TO AIKIVE
'�� rcall For Rei.nep. p
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INSPECTION NOTICE l�
City of Tigard Ruildl.ig Department.
13125 ON Rall Blvd. Tigard, Oregw.n 97223
Inspection Lino (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_._____
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk '
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Found. Flbg. Top Out Can Line C PINALs I
Post/Beam Scruct. San. Sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd.
Date Requested:___---co- � � ____Timet _AM PM
Address: 1 ( 'ic ?� �_1- j ` _ Permit It q
Builder:
THE FOLLOWING CORRECTIONS ARS REQUIRED:
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Inspector: l� ��- ,J ---- --�- Date. ` `P `
RPPROVXD ---- DISAPPROVEfI APPROVEb BUBJFc'T TO ABOtR
For Reinsp.
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I INSPECTION NOTICE
City of Tigard Buili_i,ng Department 1
1312S 811 Ball Blvd. Tigard, Oregon 47223
Inspection Lire (Roe-O-Phone)s 639-4175 Bueinesn Phone, 639-4171
Inspect ios,s_
Footing Plbg. Underslab Hoch. Rough-in Appr/3dwlk •
Found. Plbg. Top Out Gas Line FINALS
Oost/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Ra'_n Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
— `
Data Fequestede �_� Time: ` "
Address Q 2 G h iL' Pe�rm ��
;f Builder:'
THE FOLLOWING OORRECTIONS ARE REQUIREDs
Iaspecter:L/ �(`j� `�---�
Date:
APPROVT.D DISAPPROVED APPROVED SUBJECT TO ABOVE
____C%l1 For Reinep.
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INSPECTION NOTICE
city of Tigard Building DeP8rt=snt
13125 SW Hall Blvd. Tigard, Oregon 97223 '
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 634-4171
Inspection:--,------ -- -- --
Footing Plbg. Underelat: Mech. Rough-in Appr/Sdwlk
Pound. P1`• To Out Gas Line
, P
Poet/Beam Struct San. Sewer Framing -Bldg. ! •
Post/Beam Mech. [lain Drain Insulation -P].umb. I '
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: 1 / __ Time: AM PM
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Address: V (p � __��ZL�I.,Q'r �� Permit
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Builder: y !}L�_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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y _ call For Reinsp.
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JNSPECTION NOT14-E _..m
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-ll-Phone): 639-•4175 Business Phone: 639-4171 i
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Inspection:—__—_.--- ---- - - _. -.----- ---
Footing Plbg. Undersiab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FIN),L: t�
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Post/Beam Struct. San. Sewer. Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation --P1L.mb. }�
Plbg. Underfloor Water Lin Gyp. Bd. -Mach.
Data Requested: / Time: J-`—AM PM
Addresb: \/ 0�1� l p/ i��C,6r7 /,Perm tsr: �
Builder: �[/�.C�'Q L C 7dy'-
TRE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / - _ Dater,
APPROVED DISAPPRO'/BU APPROVED SUaMrT 741 ABOVE
Call Foz Reinep.
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aNSPECTION NOTICE
City of Tigard Building Departrent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)i 09-4175 Buoinoaa Phones 539-4171
Inspections --- -- -----
Footing plbq. Underslab Hoch. Rough-in Apl,r/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. I`
Post/Beam Hoch. / Rain Drain / Insulation -Plumb. k
Plbg. Underfloor Water Line Gyp. Pd. -mech.
Data Requested: -3 �Z/ _ _T1mas _AM =PM
Jddress:. uCU/ C r "(4j /L-i•t/ rmi!��/��� ( /(_, /
Builders C{:`(_. Lf'ct,-Z _ /t�U "
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inepecltoc: G' Datee_ -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
___Call For Reinsp.
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APPLICATION -..««..S—TREET IMPROVEF'ENT/EXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 r (YELLOW)-INSP.
1 �L (PINK)-OTHER AGENCYbldg.
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
APPROVED APPLICAT'QN NO.:
(:ITT 01' I IGARDOREGON,
NOT APPROVED ❑ FEC: AMT.: f __ 12000 I
t.I I ti 1{ALL RECEIPT NO.:
PENDING FEE. PMT. C3
PENDING SECURITY ❑ PURL IC WO R KS DEPA R TMEN 7' BY_1. w DATE
PENDING AGENCY ''OK" I r
❑ \p(IliCalion and Progress Record !
MAINTENANCE BOND
PENDING INFORMATION ❑
FOR STREET IMPROVEMENT/EXCAVATION As NEau1HED -
ANNUAL I_; '
PENDING VARIANCE ❑ EXPIRATION DATE:
- DATE ISSUED --- 1 .1 ��_._ BY:
PERMIT NO.: /
{ (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL41j;
(7(C' ONNSCT RAINDRAINS)T__ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
1 APPLICANT _ ayid ILL_Ii@sl�J� 1�2�,) S.W• John on Sr.. Tilaarci, �, �-1,223-- _63 -�i25i— 1 ■
NAME ADDRESS CITY PHONE
CONTRACTOR Glen Stearns Backhoe Service P.O. Bux 34F )3eav rtC�e,;K 97005 __- _
NAM[ ADDRESS CITY PHONE
PLANS BY _
(see attached) —�
NAME - ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E _ 3W•00
DOLLARS
FOR OFFICE _ C-MIN.
(2) EXCAVATION DATA: 0.04 x S. •� = f 12.00
STREET+ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT I MATERIAL INSTALLED ITEM DATE PEMARKS/T'YPE 13Y
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
OPFNED —e
�y INSPEC-
C*3Cden Park Palce (see i'.ttach ) R TION
E --
Q J ---
E
ESTIMATED STREET OPENING DATE:—/ S
ESTIMATED STREET CLOSING DATE: E
--.. --. —�— ------ D
EET
(3) SECURITY NO. _ SECURITY AMT,: $ 300• CLOSED
SURE IY CO.: _— _ FINAL
_ CERTIFIED CHECK CICASH ❑ BOND !" INSPEC. _
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL' SPECIAL PROVISIONS/CONDITIONS:
FEA-.'URES; EXCAVATION LO::ATION AND EXTENT. I.. Notify -Inspector Letha ThouAs )
(#1539--4171) 24 hrs. before
1i work area4I startirq work. r
All work shall conform to Cit
1 SITE: 10618 SW Garden Pakk lace 2• Y
cuAb Standards and Speciticationy. j
GARDEN PARK PLACE 3. OILS 757..541 - .571 (Utility Co.
pre-notification, etc. ) applies.
4. Erosion control (must be
k4.�- I --__._. -) 1� provided for by contractoc
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECII"ICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
1
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS,
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APPLICANTS SIGNATURE DATE
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1 I BUILDING SEWER PIPE, SIZE AS SPEC(FIEO
PLANT FARRICATED TEE FITTING
ON SEWERS 18" ANO SMALLER,
�pACXFILL 2X4
FIELD TAP ON CXISTING SEWERS AGAINST PWG TO
AND NEW SEWERS LARGER THAN ) PREVENT PLUG
THAN 18". I BLOWOFF & SECURE
2X4 IN PLACE WITH
_ TRENCH BACKFILL.
SEWER MOJN PLAN
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-0R LATERAL
I a
FXTENO AT LEAST
GROUN0 12"A&-)W SiVRFACE
SURFACE
MINIMUM SI_OF'E FOR d
G" PIPE: 0.010, FOR
4"PIPE - 0.020. .--S(7WCE CONNEC TTON �1
WwIKER i"a
MAGNETIC TAPE
GREEN .IdL.ACX LETTERS (WASTEWATF-R)
GREEN./BLACK LETTERS (STORM CRA1H)
--PLUG
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:1/4"-0 PIPE ZONE MATERIAL r
SUPPORT TEE WITH A`3 SPECIFIED
04MOING GRAVEL.,
MFMWt►M
2'0' WIDE Sl
DE �
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BUILDING SEWER
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unlfkw s '
of Wi+ll' aftn C0•wnt r I
Neg. NO. 300
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• PVC SADDLE (TEE)
STRAP RETAINER RIDGES
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RUBBER GASKET
1 -- - - - - ��- _ � _ - - r
SEWER PIPE y
- - - - - - - - - - - - - - - - - -
�;-• s4;, I;
STAINLESS STEEL STRAP `
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PVC SADDLE SHALL BE ASTM 3034 SDR 35
PVC COMPOUNDS SHALL EE ASTM D1784 WITH CELL CLASS OF 12454-B/C
OR 12364-C
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CALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477
■ STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/I6- WIDTH BAND.
{ 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED.
{ CARBON STEEL.
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INSERTION HOLE SHALL BE CORE DRILLED.
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PVC GAS�KETED
.` ur9fad
SADDLE
DRAWING NO. 350 "enc
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MIN. ,3'• A C IN 2 LIFT5
1 STREET AREAS I OUT OF STREET AREAS
51AW wr
EXISTING
■
i SECTION RESURFACING
CLASS A °
• " ' BACXFILL
0
CLASS B - ° F'
314'!-0 GRANULAR . ' • V
BACKFILL 0• • ' '
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PIPE BASE
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BACKFILL IN 3TRE AR[_A3
k IF"13 AQAIN3T CURET• FILL ROC;% TO
BACK OF 3/W
2.IIf 3/W 13 NOT AGAINST'CURB, FILL ROCK
2 BACK FROM CURB
CITY•OF'TIG PIPE B EDDI N G �AIV D
BACKFILL DETAILS
OREGON DE51GN Pay A4PPRIOVEG By DIZALJLI by
GA IZ FS
SLE D DRAWING NO,
NTS 8/30/ S_2
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INSPECTION NOTICE C'
City or Tigard Building Department
33125 BW Ball Bled. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line lINALt
Post/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb. .
Plbg. Underfloor Nater Lina =C;ypBd-O -Hoch,
Data Requested: q-/2 !/�y TUse::� �] AH PH
Address: Jo� aaA6i-e-fl ,imiC?:ily- �ya� ■
Builder: Lem
TRE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspector�APPP.OVRD
v Date:
DISAPPROVED APPROVED SU"CT To ABoyE
Call For Rsinep.
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INSPECTION NOTICE
City of Tigard Building Deparlaent
„9 13125 BR hall Blvd. Tigard, Oregon 97223
” Inspection Line (Rec-O.-Phone)s 639-4175 Business Phones 6:19-4171
i
' Inspections 4
Footing Plbg. Dnderslab tech. Rough-in Appy/Sdwlk
Pound. Plbg. Top Out Gas-LIG-6 ` � FINRLs
Post/Beam Struct. San. Sewer 0Framing. -Blclg, .
Post/Beam Mach. Rain Drain Insulatlon� -Plcsmb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech. �
Date ReWesteds Lf /I/ ` �l -Times AM
Address. l� `- &O K4ermit�ls (XJ
Builders��LLC�
TIM FOLLOWING CORRECTIONS ARB REQUIREDt j
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Insper;tors Dates �l`/'
___APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
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INSPECTION NOTICE �' �`
City of Tigard Building Depart>aot
13125 611 B:a_11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 63/9,-4175 Business Phone: 639-4171
Inspection:.
looting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
found. o J) Gas Line ANAL:
Post/Beam Struct. San. Sewer Preening -Bldg. /
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
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Date Requested: / �_i�Time: AM PH
Addresa:�0 6 � !) CULA�2". _L_�ermit#�-,_y__�� _ h
Builder: In�C�. �rLZ/�(� 77.10 _4V
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THE FOLLOWING OORRECTIVNS ARE REQUIRED:
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' Inspector _ -- Date:
j —APPROVED _-Y DISAPPROVED APPROVED SUB.IECr TO ABOVE
_Cal] For Reinsp.
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x3u2p Ra! P9411 Blvd. Tigard. Oregm
inspection Line (Rec-O-Ph.n-)s 639-4175 Business Phones 639-4171
Inspections _ _..
Footing Plbg. DnderslI'Hoch. Rough-in 1 Appr/Sdwlk
Found. Plbg. Top Out Gas T FINAL:
1 Post/Beam Struct. San. Sewer Yraeing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lie Gyp. Bd. r -Koch.
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Date Reesteds Timis_ AN ' l PM
Addresses. /f) G Permit D — `I
Builders. J
Thi FOLLOWING OORRi IONS ARS REQVIRSDs
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APPROVED DIBAPPROVRD APPROVED BDBJECT TO ABOVE
Call For Reinep.
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ON
INBPSCTION NOTICE
City at Tigard Building Department 1
13125 ON! Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phone& 639-4111
Inspection& —•--
footing Plbg. Dnderslab Mach. Rough-in Aper/Bdwlk
Found. Plbq. Top Out Can Line FINAL&
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Post/Beam Struct. Ban. Bower Framing -Bldg.
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Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Oyp. Rd. -Koch.
Date Requested: / (1 Times AK I Flt
Address: (�Ln r� C)AA A 6 \ k.'•°V � ( Permit
Builders �"V" J1 (� _(_ ?�(0•�
THS FOLLOWING CORRECTIONS ARIL REQUIRED:
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Call For Reinsp.
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CITY O T I BARD - RE C[:.I PT' OF- PAYMENT REC.:F:I ."T NO. 03-246080 �
CHECK AMOUNT o 950. 00
NAME o DAV I,., LE.ARY CON'GI Ruc f l ON CASH AMOUNT s 0. 00
ADDRE a 100PO SW JOHNSON ST PAYMENT DO TV a I 1/19/93
T I GARD, OR SURD I V I S I ON ■
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P(JRP(),c.1 OF' PAYMENT AMOLIN1MIND F"'URPOSE (IF PAYMENT 11r) Il,
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faEwF:.R L181a ;3Wk'i;3 -x+49'/ 9L50. 00
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ICOM_ AMOUNT PAID — __ _.> 950. 00
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SEWER CONNECTION
F TIGARD PERMIT
� (CITY O PERMIT #. . . . . . . : SWR93-0497
COMMUNITY DEVELOPMENT D9$ M*IT DATE ISSUED: 11/10/93
13{25 SW Hall Blvd.Tigard,Oregon 07223.8109 (503)830-4171
PARCEL: 2S103DD-6400
SITE ADDRESS. . . : 10618 SW GARDEN PARK PL
r SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . :
-------------------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . FIXTURE UNITS. . . .
CLASS OF WORK DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS:
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
i Remarks : $1285 fees paid fo,, sewer permit #90-0020 (expired) applied to this
permit ($1250 for USA and $35 insp fae) .
Owner: -------------------------------------------------------- FEES --------------
DAVID LEARY type amount by date recpt
10020 SW JOHNSON PRMT $ 950. 00 JH 11 /10/93 —
TIGARD OR 97223
Phone #: 639-6255
Contractor: --- - -_____----.-----•---___---___---
CONTRACTOR NOT ON FILE
-------------------------------------
Phone #: $ 950. 00 TOTAL
Reg #. . :
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 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 sewer 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 ins ler shall purchase _
a "Tap and Bide Sewer" Permit and the Agency insta a lat al. _
Permittee Signature :
Issued By:
I
Call for inspection — 639-4175
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INSPECTION NOTICE
Cit? of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
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Inspection:--
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looting Plbg. Undarelab Mech. Rough-in Appr/Sdwlk y
Found. Plbg. Top Out Cas Line FINALS
■
Post/Beam Struct. San. Sewer Framin5 -Bldg.
Post/Beam !tech. Rain Drain Insulation -Plumb. y�
Plbg. Underfloor tinter Line Gyp. Bd. -Hoch. ■
Date Rewest.cds �] /1'(,� Times —X—AH PH
Address [3_� 1w</ /w`'1 �Y i - Permit i s ee
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
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Inspectors_ Dates
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APPROVED DISAPPROVED MOVED SUBJECT TO ABOVE
_Call For Reinsp.
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November 26, 1990 ?,
CITY OF TIGARD
OREGON
David Leary
10020 SW Johnson St.
5'
Tigard,
Tigard, OR. 97223
PAI 10618 BW Garden Pk. Pl. Permit # MST90-0021
i
Dear Mr. Leary,
On June 29, 1990, a perm.t•. was issued for the above project. As of this date,
there is no record of any inspection having been recorded.
Please advise the Building Division of the status of this project as soon as
possible so that the file may be kept current. 4
Please note that any permit without activity for over 180 days becomes void.
If you need additional time to complete the project, please contact this
department so an extension can be discussed.
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Sincerely,
Brad Roast
Building Official
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13125 SW Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 —
I.
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CITYOFTIFARD
CITY 0. .. .. , , . . . E>W R`•J(%). GJ 4i 21(J
t COMMUNITY DEVELOPMENT DEPARTME VT oin�a+ L:r; r►�I. I E::r,I'!'I:'T #. I'I ti3'r`•')@ 0(d 21.
13126 BWrWIBlvd P.O.Box 23397,Tipud,Oregon 97,"1ftK+Af"t j 5 D(a r 05/29/90
i —
s S1111faI)OF�E:S:3, . ., 1.0E,18 '.3W (:/(1F I;E:F1 I:(ll;J. I I,.. 1-JnRCE-1..:: i 51.03UD E:,400
# S(JI':+I)TVI610N, . . ,. : VOREN Vlf-WK I(:lhl:I:h((i;
BLOCK. . . . . . . .. ., . ::
........._..........
'VE:Nf)N'T' N0l*IE::..
U30 NU. . . .. . . . . . . ..40,688 I'1X'r'L)RE' IJN2'rf:i., . . ..
C:LrSC; OF W(JRK. . . .NEW DWE.LI...ING UNITS. . » 1
I'Yf E: OF UaE_. . .. .. C.),F NO. OF:* Is(.1:E I«.D:I:NG£;: 1.
.NSTOLL TYP'I . .. .. . 01.)'13WR 111V,E RV Cil.lR17ACP'.. . :: ( e
Owrie•r» -.__.__.._.._.._._......._._.........._....._._._................__._._.._.....-....___......._ _.__......__. FEES
D(WID L EO RY i.:yl)e aill cac.cnl; 13y dat(-' rcrc.,1:)l:
1.0020 SW J(JIANGUN FIFtP11, $ :lc'.'5P1.. 00
'T'1:(3ARD UFS 97i?i:';.3 r)(MI 9> 1.285. 00 31..11 0""''i/%_'E,/90
V`11c3r1e N» 6,:39—(ac'55
� (:;carr l:r�:�.c:t:r�'r. �_.._...._.............._...._.._........«_.__....._......._...._._.........«.._...__.....
D(1V:1:1) LLORY
100c.2 l '.:3W J01.11,1130N
1 :1:G(1RI) OR 97223 _._....__._._._.._.____.. _.___.._._.._.__.._.. __....._._.......... ..__ ...__..__.
!� r1hCJllo #» $ j.285
. 00 TC1TraL
R H.. . » 4/x'2.:1
_...._..._..... F:f:QUIRE:D 1Nsr:1EC.TICINS ____._._..... I
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The peTnit expires 120 days from
.........._.__..._._._..._..........__.._. ..._........_....._.._.___._�...�.__..___.-__
the date issued. The total amount paid will be forfeited if the _•__.•,•••__•�«__—•__•____,_•• 4:
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. if the sewer is not locin allated at the meass from urement a _ss: theedistancethengiven. Ifhnot soolor.ated,`thp installerrshallr,purchase
a "Tap and Side Sewer" Permit and the Agency will 'n al a lateral.
r, J ........... ............. ......._..._........_«....._........_....._....._._.......�...«
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Ca:1 .1 f r 639--41
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III0,C Tll�*R PIERMIT
CITY®FTIGARD IIIST90 002 1
COMMUNITY DEVELOPMENT DEPARTMENT oMeoN PRI'll. PER111''T #0 a MST90--002:1
1=5 SW Hell Blvd. P.O.BOK 23397.TOW,Orsg-07M#WIM.go,41.75 DATE ISSUL..t. . 35/29/90
10618 SW GARDEN l1(1RK PL. PARCEL-: 2S.103DD--6400
SUBDIV].510N., KAREN V'ARK ZONING:
III OCK. . . .. . . . . . . A L.OT . . . . .. . . . . . . . .o4
DUIL..DING BASEMEN'T.- 0 S f
RLV3SLJE: DWEL-L.ING UNITS: 1 -720 S-f
C,L(�13) 3) 0 F W 0 1:�I W 1.'.i E 1)R 11 S-.3 BATIAS:3 GARAGE. . . . . . . . .
FL-OOR REQUIRED
T Y V,E 0 F IJ G L- Sl:: f t R I GIAT f i-1.
T Y P F.: 0 F C 0 N ST 5N I::'I R S T „907 S f I-I-F 1'. 2
C)CCOVIANCIly (310-D.. SECOND. Sf FRONT. a 20 f,L REAR. :26 ft
STORIES. ::0 THIRD. . . . "O -r R EJ1 IJ 1:R E D--
HE*.[(.-jH T. 2 0 Ft. 10 T A L :1702 f SNOKE DETECTORS. I Y
FLOOR I-A)AD. 40 1.) 81G0:5 PARKING SI-'ACES. . 10
Reniarks".
PL.UMBING
GINKSS. . . . F )UR
L..t. DRAINS. . . . a0 14 A C K F-11-0 W PRC. Y NTR S 0
f..A Y Al 0 RI WATER HEATERS, 1 TRAPS. . . . . . . . . . . . . ..0
L.AUNDRY TRAYS. CATCH BASINS.. . . . - - 0
WATER CIA)SE VS. . '3 SEWER LINE (ft) . .:0 GREASE TRAPS. - - - 0
D1.S Fl W(A S 1-11::*R S. J. WATER I-INE. (ft) - 1 OTHER FIXTURE, 0
(3 n R B AGE:: D*11.3 P. RAIN DR()I M (ft) - :0
WOSIAING NOCI-1. SF RAIN DRAINS. .
.......... .........
UNIT HTRS. 0 1.:.y p e AMC)C)U 1-1t by (JI a t P -r e c,I:)
EJ VENTS *0 PA y i 1 100. 00 JL-H 01/12/90 10685*7
r. IYI()X 11I%lPIYT*::0 BTU VENT FANS. . -.4 r,r�mT s 379. 00
r-uRN < 1OOK -0 HOODS. . . . . . : 1 ID I-C K $ 2 4 6. .3 5
FURN >wILOOK 0 WOODSTOVES. -0 ;5P'(.:?'
FL-0OR F.URN. . . .. .0 CLO DRYERS. : 1 STDC $ (100. 00
S S D C $ P ;0. 00
1-Co :I.../CMI' 3 H V, 0 OTHER, UNITS-.0
GAS250. 00
OUTLETS.0 P,mK $ f., I.'
PRIVII 11" 31.. 00
Owrlp,ru
DOYID LEARY P I-C 111% $ 7. 75
.1 00(?o SW J*(JIAN'1-)[*I 5PCT $ 1. 55
PRI'll $ 1:32. 50
11C.-jARD OR 97223 15 P,C T $ 6. 63
thane 639--6255 P A Y III $ 1.8 2,".4. 7;`3 JLH 005/26/90
tor. - -------------------
c)ri t ra c
1)(WID LEARY
1,(a
0 W JOHNSON
1 'rGORD OR 97223
pbo) e
-i Ha- 63'3 6255 f.
Reg O. . s 4*7223 $ 1.9c"' 13., 73 TOT A I.-
This permit is isfued subject to the regulations contained in the REOUIRED INSPEC"ITIONS .. ...............
Tigard Municipal Code, State of Ore. Specialty Codes and all other F00t/f0Lk1-1(J 11-ISP Gyp Board
applicable laws. All wort, will be done in accordance with approved
Vlos;t/Beani Irisp Fain d r Ai.ii I ri s p
plans. This permit will f spire if wort is not started within 180 Plin/i.inds1kb Iiisp Wate-f, I iiie Tvisp
days Of iSjUanre, Or if WOO is suspended Pr more than 480 days. Me(71-iaiiical Irii.;p 0pP-r/B(JWlk J.11sp
F' ranlirlq 11-1 :;p Fi.1-1al 111sipc-:Lti.011
e!-r nt j.t t P e S i g vi a t t -4 V i-replac ..
e Insp .............. ...........
All C Gas Line Irisp
yI-)S t.k 1.a-t i C)1.1 Inc;p .........
............. .............
Call f(.)-r Ji.rispee-tior) 639-4175
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C I'C`Y OF TIGAFD — RECEIPT OF FAYME~N'I' FEC:E:IP 1 NO. :90-201 14-Ts
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CHECK K AMOUNT a "3100. "77r
NAME a L.EARY. DAVID CASH AMOUNT'
ADDRESS ! 117020 SW JOHN a0N F,F)YME:N f DATE a Cl moi:.
wL11�L1IVIIS 1011 M
T I GARU, OR 1 Clh 19 WARDEN N P API,(' F'{_
PL(F:POSE: OF F'A YME N T GMOI.INT PAID PURPOSE (JF PAYMEN I' AHOUNT F'A X D
r 811:11-DING PE'Ptl ...._MST cOO-(:1CJ2 1.. _. 371�.01) F='I_UMP I NO PERM 1"-2.. 0
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MECHANICAL PE„' :i 1 .00 ,S T. BUILD PER 2 I„ 1. ,
PL )N C,HF C P-:. F=ED 154. 10 SEWLP USA SWRW-1-^11020 1250. 00
E'EMEaR INSPECT T' i'i. CIO S'TRf:ET 5DL' 600. C)Ci (I
PAR'K'S SDC 2513. 00 's-rorJ M bl�iA T N SOC
250. C)Cl 1
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C17YOF7167ARD )1 - A
OFnG4FM PI.F N CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT r" AN CHECK b
u125 SM.HO Blvd.P.O.Box 2339I•ThWck Omqm 91 .(50)6"4175
PERMIT y V
„\ DATC ISSUED
JOB ADDRESS: b j► 6,Qfzjj-IV tVA?j-' g`t7�t TAX MAP/LOT ,l jl - 3 '90 6 oU
$UB: KAAlE eg& LOT: [,i LAND USE:
VALUATION:b ---
OWNER SPECIAL NOTES
NAME: /i~/JI//Q /}AlI) �11� � _ REISSUE OF:
ADDRESS: /0020 SW ,-7k/48aAl LAST REISSUE:
-ZfC;,Q,.a1b F1-000 PLAIN/
SENSITIVE LAND:
PHONE: �,2_SS�"' _
APPROVALS REQUIRED
CONTRACTOR PLANNING: j
NAME: DAY//) L • O. ENGINEERING:
ADDRESS: /JC?1 5W a�r:�N SonJ FIRE DEPT
OTHER:
PHONE: Z.�`S" ITEMS REQUIRED
BUILDERS BOARD q: _i177Z3— EXP DATE: S'fjetr /f'YO LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: N�� TRUSS DETAILS: _
ADDRESS: OTHER:
PHONE:
COMMENTS:
SUBCONTRACTORS: PLUMB: AALIAM_AIS �'L eA1,61 d6 _ MEC": ?�/p��7/J�J/1/S .N�AfY/✓�
PERMIT y ACCT N DESCRIPIION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees .3,7rj u �-, ".
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees ,�_ &
10-230 01 State Building Tax (5X) , 13 �
Building /��•9 , t
Plumbing (.63
Mech A
10--433 00 Plans Check Fee 15
Building
Plumbing
Mech -7
15W q fi-6 10 30-202 00 Sewer Connection /:1 S o 2 5 U
30-444 00 Sewer Inspection 3
51-448 00 Street System Dev Charge (SOC) ✓_ ��v ��U
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSOC)
10-230 06 Fire
17 TOTAL
REC b ) 7.
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