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13112 SW KATHERINE STREET-1 r •.��°r .�a. { j�: ��nP LiIW';7� ir ��l: Oil f 'o z f r 1 I iK -1 ,f'j91 fl Y !1 y� A 1 Jam' M (,� � n+/k«•Yuvi.,..a.ir5.+r� ��.+� a„y�' ��::�rtl °�+�•I��'� a x n UOV NOTICE City of Tigard Building IDepart—nt �••r 13125 90 Ball Blvd. Tigard, Oregon 97223 Inspec-cioa Line ;Rac-O--Phf 639-�1'IS"Bua se Phone; 639-4171 Inspections �C. 4 wlooting Plbg. Underslab Mach_ Rough-in Appr/BdWlk Found. ibq. Top Out Gas Line FINALt Post/Beam Struct. San. Bawer Framing -Bldg. +Post/Bpdm Hoch. Rain Dratn Insulation -Plumb. Plbg. Underfloor Nater Llne Gyp. Bd. -Mach. f Date Requested: Time: --- n1 - Addreee: V I'�ll!Y I V�'{� Permit /:I��✓ f Builder: _-- THE FOLLOWING CXORRECTIONS ARE REQUIREL , - ----- t `v a 4 i, j. f Inspectorskl4-) -- // APPIOVSn _— DISAPPROVED APPROVED r,,&MCT TO AROV6 Call For Reinsp. pm" 5 t SSS - Hyl 'yAI yr ! ��! y� p�� M Thr {�.•, 9 4 f INSPECTION NOTICE city or Tigard Building Department 13415 Sw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-o-(Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undorslab Hoch. Rough-in Appr/Sdwlk Found. P1'q. Top out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -,lldg. Post/Roam Koch. Rain Drain Insulation -Flumb. • Plbg. Underfloor Nater Line Gyp. Bd. -Hech• ' Date Requested: Times Alf _ PH _�� h Address 1 . �`,'t _ Permit #e�,1 ,! Builders IQ• Ju /�y�� ■ THE FOLLOWING CORRECTIONS ARE REQUIRED: l ✓_auxPs �I Ab VAA Inspactor• � �) Date: VTAPPROV11D DISAPPROVED APPROVED SUBJECT TO ABOVE -Call For Reinsp. 71r al 1­111,1111 �e• -,� ira,+ 4l 4y a p i \ C17Y OF TIGARD �( COMMUNITY DEVELOPMENT DEPARTMENT 13120•W HaH btvd.Tl$*rd,®r"on 07223W" (003)030.4171 CERTIFICATE Ov OCCUPANCY XX X X PERMIT M. . . . . . . s MST92--0313 639--4171 DATE ISSUEDs 07/01/93 PARCEL L 1 29)04AE1_..0 7700 S I TE ADDRESS. . . a 13 112 SW KATHEF41 Nle ST SUBDIVISION. . . . i MO ?NINO 111 LL Nf_). 4 ZONINOiR--4. 5 I c BLOCK. . . . . . . . . . a LOT. . & . . . . . . . . . . s1ft CLASS OF W©RK. s NEW TYPE OF USS". . . i CF OC'CLIPANC:Y GRP. s lie i OCCUPANCY F_C1AD a 226 4 a T ENAN1 NAME_ : r Rc marks a kATH I NEED STREET OPENING PERMIT T f Owners DENNIS WILDERMUTH i 123715 SW 128TH AVE TIGARD OR 97223 Phone Ma 671--i 66 MICHAEL FIND CO. P 0 BOX 23008 i LGAND OR 137281 f(e q iF. . a 6'Pti 7`l Occl_tpanvy of the above refer^ericed building is hereby given, and certiFiet the rumpliance with tha State Of Oregon Spec_ialty C:adea for- the gr-oup, orcupancy, znd use under which the r-eferericgd permit F,)aas isauecj. FIRE DEPARTMENT ,*Jil DI IN' VVfTOR L 1 I "IAL POST IN CONSPICUOUS vll.NC'E: I II City of Tigard Building Department 13125 uw Bal). Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineas Fhona: 639-4171 Insraction: Footing Plbg. Undorslab Mach. Rough-in Appr/Sdwlk Round. Plbg. Top Out Can Line FINAL: Post/Ream Strutt. Ban. Sewer Framing -Bldg. Post/Beam k--,! Rain Drain Insulattu.: { -Plumb. 1 . Plbg. Underfloor Nater Line oyp. nd. -Koch. Data RequestedtTimes AM _PM Addresor_/ _. ,/f liL1719Ld / Pe im rT Builder: THE FOLIIYAINo CORRECTIONS ARE REQUIRED: /�I'� / ,• �.r.�� - .tel � la � / G I ,1 —__— In /may—���>_-- eperaor Date:_ APPROVED DISAPPRO`/ED �� APPROVED SUBJRGT TO ABOVE Call For Rsinsp. i l f�:"' '1t �'0•••`•x•••^•"�`+,y,rwVmrxmvl:rv.en'as:.nx'a•�i..a.w.Dir...waw-.t1�MrvHro'swp+l.oaten+roatl@F-wr+mpebiNF:4ast�gM/Mg6r a �._J i J INSPEC'T'ION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspe, tioc Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ f Footing Plbg. Underelab Mech. Rough-in Sdwlk i Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Snn. Sewer Fraaing -Bldg. Poet/Beam Mech. Rain Drain Insulation --Plumb. ; • Plbg. Undorfloor Water Line Gyp. Bd. -Mech. Date Requested::- �D " Time: AMM PM Address: ) / ��!f�I�lhlf_ _ Permit #: Builder: 1 THE FOLLOWING CORRECTIONS ARP REQUIRED: j 1 ccilz13 TO 11 GtJ/9G% 64614 76)7 4q) y k I J ••aapp,, -- /`fit. 7 � Inspector: v�- � APPROVED DISAPPROVED ._._�.ZAPPROVED SUBJECT TO ABOVE y� -----.-,Call :or Reinep. 9 p AR+' 'Vj#,. �g:yW�1Kry.'gqugyY,pM}'aexrww.J-.,- -.:;uFfi y' 1 — i n 1 .. yy - .,.....-..---r....-...-rw•....� ,.�„tt.r..._.w.-,�.........Y�"R.1AY"M'�1`"""qP"".pnYl"'.S"i',77/'�y7R'r"'.M„"""MI/M✓i,`- r%..,.,J{' •_�. w g,,�.:r',Nrj'RS'I'4[�'�V•`w;1Yr�.."i - I APPLICATION – STREET IMPROVEMENVEXCAV,MON �. J :1 COPY TO: (WHITE)-FILE ORDINANCE NO. 74-14 1 YELLOW)-INSP. I ' (INSTRUCTIONS ON SEPARATE SHEPINK)-OTHER AGENCYbldg. ET) (BLUE)-APPLICANT APPROVED APPLICATION NO.: I NOT APPROVED (:1'I'1' OF 'CIGARD, OREGON 27. I U FEF: AMT.: f 00 PEP 'NG FEE PMT. ❑ CII FIALI, RECEIPT NO.: I PENDI ;G SECURITI' ❑ PUBLICWORKS DEPARTMENT BY = D•1TE'-�_L- PENDING AGENCY ''OK" ❑ Application and Progress Record , PENDING INFORMATI.7N ❑ MAINTENANCE BOND FOR STREET IMPROVEMENT/EXCAVATION As REQUIRED ANNUAL �- ANNUAL __-- PENDING VARIANCE ❑ EXPIRATION DATE: .__. � PERMIT NO.: / r -----�_-1-3_--------_. DATE ISSUED. _�_L1� , BY: (1) APPLICATION IS HEREBY MADE T- VATE FOR AND INSTALL WCRElrE SID&gAr.K & E)RIVE- WAY APRT_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT Dennis Wildermuth 1535 SW 57th Ave. Portland, OR 97221 227-5776, 1571-1266(wk; � NAME _ ADDRESS CITY PHONE -- CONTRACTOR Heath Constructilxl — _ _--_ 590-4000 NAME ADDRESS CITY (PHONE - PLANS BY fir City standards & Specificati.om.-3 __ NAME ADDRESS i �CITV-_��---_ PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ _r1'15.00 DOLLARS (2) EXCAVATION DATA: FOR OFFICE USE: ' C MiN. I _ 0.04 x s s STREET _ DESCRIPTION PROGRESS & INSPEC i ION STATUS_ NAME SURFACE CUT CUT I CUT MATERIAL INSTALLED ITEM DATE REMAFKi/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY STREET Katherine St. (see ttach a :an. rds) INSPEC- R TION Q - U ESTIMATED STREET OPENING DATE: / / E 3 ESTIMATED STREET CLOSING DATE: / / E I -_- -- --- ----- _ - D I. SECURITY AMT' 7`).(1U SLOgFT (3) SECURITY NO. .�______ �.LO�Fo SURETY CO.: , _ NAL CER'rI PIED CHECK Ci CASH ❑ FfONU L INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS: FEATURES; EXCAVATION .00AT'ON AND EXTENT. N See at'cached 1 11 ! I 1 --`Vx` i.tM. 1<,= tI erfi)" Street I - •-1 I ---- —__ work are a v 1 SITE: 13112 S.w. Katherine St. ml — (5) NOTE THE CIT" OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE NIGHT-OF�WAY JURISDICTION IS THAT OF WASHINGTON C')UNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTF41JCTION SPCCIFICATIONS PERTINENT 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. . t - �- �- •'i/f( �J�r �I� { DATE 1, i II � i f Special Conditions/Provisions: Ii '4kv i All w�-k shall 1 conform to City c.; Tigard, Oregon, Standards and Specifications. Note th. attached Detail Drawings (U' Co. DW-200, CS-305, CS-301, Tigard 71- A-212) applicable hereto. 2. Notify City Inspectur Letha Thomas(#639-4171)24 hours before starting any work. 3. The attached Traffic Control General Requirements applicable hereto. Also, access-to and egress -from parcels vf land adjacent to the work ,area shall be ■ maintained at all times. Pedestrian safety shall be provided for by the contractor at all times. 4. Removal/replacement work and damage repair work shall be promptly initiated and completed to the City's satisfaction. No work shall Ge con.i;jerad complete until it is accepted by the City. The City reserves the Ognt to cause testing and certification of work or repa!rs to be performed, to tfile City's satisfaction, at permittee's expense. 5. Erosion control shall be provided for by the contractor. E 6. ORS 757.541-571 applies (pre-notification for Ic tion of underground facilities, etc.). i i, H MVd0ftm 0m'*Per.-cm.mst '+Ay. c t _ N A ..) r ul a I • N N N O tJ N .: in -i 3/1b N V N ~ ,V �: Y r;;!cli 7,1 5'oZl in 10bE 3AV 41 E I Sb6Zl 1.1) N 7 to '`'•7,t Vtl) i t t r r to � i ZOV t4 O NCD v <o ao a N I O NCAD gt/Of( N N N N N N N V N p- L90ft 3AV r `�' N N I P 1sIEI N N 9ZO21 16410 \ 0) rrtN �•, OI M'C.86 4: N — N cli N O v � IL£Z11\ - i21121 £01£1 -- - M IZt�! MCI in N N 101£1 . 90bZ1 W W N N - N" II 1 - `LL ti I £I£I yZl£I N i kmv Z 9£1£1 cn 091£1 II �Ny Rt N � — 9bl£1 Lb1£I ' w _N =t S81£�I Z Z61£I Z� W r N �c'i l� rJU .SQ z w F N I� M.s, � x 9L1£I 691£1 L 2L1 I ^ 1 `! N N a LZ ?£1- N, I ct - kn - �, N N 1n n _ h qr NOL 9 01 y £97£1 uj r 1 _ _. _� OL •,� �q sNIN�IOt�:� �236� My 0 ' e9?pl •� r \ 1 J2T�1 Cl tv N TqN 13300 O N 4D R — � r ( I �•[F F. yl+£1 rNn �' Z4E�IN N N r+ �� t:2 I M - °f pirr_q, M'S �L v r 11 to 1: C7 - N N y N - r4 OL£ £I _ _ C• SO y�•I \ --� � a d y � �s_ : 3Av 411"21to kA _ �n a � m I � M 4� • to I _ — 1 N N• \ � J L O � �•� / � � ttl of ' CD n Koo W rf� W Wog rta. J f tpp W = f intC GG tj• 0969 n a r t4d. I O 69 1 OL -- CL ,ot 1 (O 11 oL A ~ cli In CD 01 O0 O� - O O O O tD J OIL oL •�' 0, `l In n 031 N.7AV b fY'ILI a �c� � ,rry•�t5T � 0Go ch W In 00 °iAO O o oQ tp a ti fi'Ot IZ'G91 O wi 0, • ,o " VN a to 1069 °�° ~ ('— to •aG'oG c7 m �—' Lr•ool (n es.3e 3 0 119.74 n0 o O CY, -^" e O m G 901—� -- 0t- 0 le O W i f 00 LL P{ o N A R t G4'o01 F.. n 00 O n O - A O O XQ G9,901 r N UJ U t� 101u: n C7 O a) z 0 w U9e.2s 26'601 u O —L� I. f z01 d U N — `" 1.9 e01 vn n O u Go pY'901 N d. N ` n �" 6 G'101 9.38 z N Q O O i L9 Z y v -so G9 O fo 8 01 pZ- Z 6 t d 1�dN1 a O 3 u1 Z $ O N D n '^ In00 to n ,n 0 N CD 7" 1 _ N o L w CD 66 L6 /--+N U)ZvjG N o- G9 ZOZ91 /c�'h f SI d 19LL " uj 0 Y9K6 .�? / 1 p, IG V ,. „ai cc Qp669 Q'o 0Y " 96'99 CC Y U Y� r' t`I N ' LU N F- 11 o to �. N ti .y 1 O -CDO Z / O — � � b^ o ` —`l 0 � Uo m o w o L�' t •Q n" Ilan, .. , r • . I FACE OF CURB DRAINAGE BLACKOUT I WIDTH Of STREET 3" I.D. PLASTIC PIPE IMITII COUPLING I" R I ROAD 1O • • ', Iii, _ ! ■ MAX. o° J BASE COURSE o •e • Q N A 4 L FOR DESI%lN SPEEDn GREATER THAN 40 '1P" THE EMERGENCY MOUNTABLE t CURB C3-300 SHALL BE USED. I 2 CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 P&L AFTER 28 DAYS, FWPANSION JOINTS. A. TO BE PROVIDED 0 AT EACH POINT OF TANGENCY OF THE CURB . J 2) AT EACH COLD JOINT. 33 Al EACH SIOE OF INLET STRUCTURES. 4) AT EACH ENJ OF DRIVEWAYS . S) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET . w S. MATERIAL TO BE PRE - MOLDED,ASPHALT IMPREGNATED, NON—EXTRUDING, WITH A THICKNESS OF 1/2 INCH. J 3 CONTRACTION JOINTS . A. SPACING TO BE NOT MORE THAN IS FEET . B. THE DEPTH OF THE JOINT SPALL BE AT LEAST II/i INCHES . 4. BASE ROCK -L"-O , 93%a COMPACTION. BASE ROCK SPALL BE: TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH, WHICHEVeR IS GREATER . 5. DRAINAGE BLOCKOUT - 3" DIA. PLASTY PIPE . A. 1.D. PLASTIC PIPE WITH COUPLING. B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OR CURB SAW CUT VERTICALLY 18" EACH SIDE OF DRAIN 8 REPOURED TO FV!L DEPTH OF CURB. � WASHINGTON COUNTY CURB NON - MOUNTABLE WDEPARTMENT OF LAND USE AND TRANSPORTATION FOR USE ON MEDIANS DATE CIVIL ENGINEER DRAWN APWA NO. WASK COUNTY N0. / /7/a� ..- IZLS bL5 18 ( MOD.) CS- 301 n i n� i • j j R/W �5' MIN.- CURS IN-CURB JOINT SEE NOTE 5 V ` 2 ROAD r •T R ' Iry• I 1 \2" of 3/4"-o COMPACTED SUBGRADE SIDEWALK ADJACENT TO CURB R/W 5' MI N. 6• 1 i ROAD -�- 2 % .. T III _ - = • � SEE NOTE 5 I 2" OF v4=0 I COMPACTED SUBGRADE SIDEINALK AWAY FROM CURB NOTES : I. CONCRETE SHALL BE 3000 •PS.I. AT 28 DAYS , 6 SACK MIX , SLUMP RANGE ' OF I V'2" TO 3" `p 2. Fi NELS TO BE 5 FEET LONG j 3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES , UTILITY VAULTS.WHEELCHAIR RAMPS, A AT SPACING NOT TO -XCEED 45 FT. i 4. FOR SIDEWALKS ADJACENT TO THE CURB & POURED AT THE SAME TIME AS THE CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN. 1/2"RADIUS. i 1 5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE (:URB IS USED OR IF SIDEWALK IS IIITENOED AS PORTION OF DRIVEWAY . OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES . 6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED TO BACK OF SIDEWALK WITH 3"DIA. PLASTIC PIPE AT 2 % SLOPE CONTRACTION JOINT TO BE PLACED OVER PIPE. WASHINGTON COUNTY WWDEPARTMENT OF LAND USE CONCRETE SIDEWALK AND TRANSPORTATION DATE CIVIL ENGINEER DRAWN APWA NO. WASH. COUNTY NQ !h-7,&(p— A94 1,4W NONE CS - 305 i 3a` to, 1 0" MAX. ' 0" MIN. DRIVEWAY R/W LINE A j W CONTRACTION JOINT 6" `r gIDEWALK LOCATION NAL EWALK B B SIDEWALK EXPANSION J�'1NT EXPANSION JOINT CURB JOINT ` 6 f 3I-0" "0" MIN. 's-0" MAX. 5' - 0" MIN. 0"MAX. 1 -01 4 FACE OF CURB / SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB PLAN I-V2" EXPOSURE USE EXISTING EXPANSION ,pp JOINT OR SAWCUT AND ELEVATION 13-6 E COLD JOINT. EEPLACDWO, NO. CS-306. STREET 6�. COMPACTED SUUBGRADE 2" OF 3/4" MINUS SECTION A-A ti r NOTES 1. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 P.S.I. AFTER 28 DAYS , 6 SACK MIX. 2. CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. 3. EXPANSION JOINTS SHALL BE 1/2" PREMOLDED ASPHALT IMPREGNATED MATERIAL OR EQUAL, EXTENDING FROM SUBGRADE TO FINtSNED GRADE . j 4, SEE DWG. NQ CS->e< AND NO. CS-305. I 301 WASHINGTON COUNT( D EPA.RTMENT OF !ANn USE RESIDENTIAL DRIVEWAY AND ,TRANSPORTATION DATE CIVIL EtAPINEER DRAWN APWA NO. WASH. COUNTY NO. ACA 6.05 NONE DW-- 200 l w of zw � i. N • 4 wI-- l- 0 1 w (n x Q F. 3 w q o Z UJ z _ w Q � w Io W cUi rl 14) cr M/8 o < n a � o z CO cn M a W 2 W V � W Z o }. o a I F- Yn I I Qu M I CO t � mcr I ! Zw ` N cr D wa w z a- o ( 3 -� W < > z a W n �r F- ww II � I mW �, 3� 1 z W wcn o m o I i u' a i Z Q 1 n IJ I U w cr-- - 0 I w F- I z W O 1- ' � I Om II Q' fn U I ~ LL U O (� O i F0 i J O 1 i u TRAFFIC CONTROL 4 GENERAL REQUIREMENTS 1. The City's stanr.:-Lrd specification for traffic control is "Manual oi, Uniform Trall is Cartrol 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 all ' time during work prosecution. No work shall be permitted during the hours of darkness, nor between darkness to 8:30 J a.m., nor 4 :00 p.m. to da,:kness . � � 3. Traffic control devices, i'lagpersons (etc. ) shall be in place I prior to initiation of construction work and shall, at all � times, be effectively maintained. 4 . The roadway 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. i 5. The City Inspector shall be notified 24 hours prior to initiation of work ($ 639-4171) . a+ 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. w 9. The 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 i, action shall not relieve the contractor of responsibility. I1 d;i/engdoc\mestets\tcgr.mst i ALil �I f y .. 4 4 0wi,mi AL I � " To I GFNERAL NOTES ►K I 1. TRAFFIC SIGNS TO BE 48" X 48" iro ROM t A p BLACK ON ORANGE. RWW-` 2. NO ROAD ^LOSURES DURING THE- WKI FOLLCWING TIME PERIODS: SE'£' ( I. nACM ANMD p I MGNTS WM-7A WL 3. THE CITY'S STANDARD SPECIFICATION FOR TRAFFIC CONTROL IS "MANUAL ON UNIFORM TRAFFIC CONTROL I DEVICES FOR STREETS AND HIGHWAYS", U.S. DEPT. OF TRANSPORTATION, F.H.A., 1988 EDITION. I ■ ■— 4. ACTUAL SIGN PLACEMENT TO BE ADJUSTED IN FIELD. DO NOT REDUCE ■ BELOW MINIMUMS WITHOUT CITY ( ■ APPROVAL. I ■ UK ■ 5. THE CITY RESERVES THE RIGHT TO ADD TO a OR MODIFY TRAFFIC CONTROL REQUIREMENTS I AS MAY BE NECESSARY TO EFFECTIVELY I CONTROL TRAFFIC AND TO ASSURE PUBLIC SAFETY fLAOM MEAD M]6-7A Ilow LEGEND MN I p oNc uNc V TRAFFIC SIGN ROAD ANDD loa 4 12 CONSTRUCTION ZONE MH. o TRAFFIC CONES OR I APPROPRIATE DELINEATION p w `°""""°"°" DEVICE. • e1 TRAFFIC CONTROL TYPICAL DETAIL DESIGN BY APPROVED BY DRAWN BY i CAB CITY OF TIGARD SCALE DATE DRANING N0. OREGON N.T.S. 4-6--92 t i INSPECTION NOTICE City of Tigard building Departmats 1� 13125 8O ball Blvd. Tigard, Oregon 97223 Enepection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171 ! Inspections E - Footing Plbg. Gaderslab Mach. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Gas Line FINALt 1 Post/Ream Struct. Ban. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line _SO -Meeh. Date Rapeateds �� �I-� 1 � —Times Addresa s��7� Z ( ' V`r r 1�.(� Permit 9: Nl!"( 1112-elJ I J ■ Builders THE FOLLOWING CORRECTIONS ARE RBWIR6D: e Inspect ) ' Dates _APPROVED DISAPPROVED APPROVED SUBJNCT TO ABOVE Call For Reineip. � J 00, 10 IRNPEC1iON NOTICE City of Tigard Badding Department 13125 aO Hall Blvd. Tigard, Oregon 97223 inspection Line (Roc-O-Phone)s 639-4175 Business Phones 639-4171 Inspections r, Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Strutt. Ban. Sewer Framing \ -Bldg. at/Beam Mach. Rain Draln , Po �-Insulation 1 -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Koch, Data Requested: l Times /-Am PH / ��� YY715� Ci Address s�.f-Z �.//.�,a_ _� lsecmit #I � builders/(0i 7 22LM_1l 1 • THE FOLLONING OL-!*REC-.'IONP ARE REQUIRED, lie 44 i Inspector: Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. V i14 A N 4 A, Y I, �1 INSPECTION NOTICE I City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections *ooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewerrra�l�:y 1 -Bldg. ' Port/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. /' Data Requested: > �� / , Times AM �PM / 2 Addrsss:� 1/ #. i,;? e". /.:i 1 M Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: r -• ri wCY L�It-i9�L. Al vk 4,r --�--" c � i - - Inspectors -�� -- Date: _ APPROVED DISAPPROVPD APPROVED PJBJECT TO ABOVE Call For teinsp. hAMltlYt/41i-. 4. 1 i INSPECTION NOTICE a, City of Tigard Building Depart»ent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Meeh. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gns Line FINAL: i Post/Beam Struct. San. Bawer Framing -Bldg. Pout/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Requested: me Date _Ti : AN _PX LC, Addre = Y ssPPirmit to Builc;nr: 'PBZ FOLLOWING CORRECTIOWB ARE REQUIRED: t h Inspector:' ' ` Date: Z__ APPROVED 028"MOVED APPROVED SUBJECT TO ABOVE Call For Rainmp. q *`oF�-.,p, �� � , p .9a 4t 4". fit r� I4tE vio� 'rr of „ ii b 9 �(, any : ` �'J�flp�� Ari. mf th 1 fi,� At !! t ri ✓y� ro A4 t i INSPECTION NOTICE City of Tigard Building Department Y 1.3125 SW Ball Bivd. Tigard, Oregon 97223 :.SAT Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• looting Plbg. Underelab Hech. Roug -in Appr/Sdwlk Found. Plbg. To Gas Line FINAL: I Post,deam ::truct. San. Sewer Framing -Bldg. v � Post/Beam Hoch. Rain Drain Insulation -Flvmb. Plbg. Underfloor Nater Line Gyp. Bd. -Nech. 6 Date Requested: C Time: AN PN i Addreeas / /1� �c Permit r � Builder: _ C THE FOLLOWING CORRECTIONS ARE REQUIRED: oe V v— Ayy1 y lInspec tor: -----�— � Date- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 1 d � I INSPECTION NOTICE City of Tigard PA:i.lding Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection• Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk 1 Found. Plbg. Top Out Gas Line FINAL: ", tr"am Struct% San. Sewer Framing -Bldg. Pt/Beam Hoch: Rain Drain Insulation -Plumb. , Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: r� j Times AN PM Address: P ermit /s Builders ' S. THE FOLLOWING CORRECTIONS ARE REQUIRED: } 't. 1' I h - - A 1. Inspectors_ / _--- Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ; I � Call Fir Rainsp. l " 4'Y: Cyt' 1 ., ,e.tRx yp..e r�l, ,rr, +,;r'�Rl ;+4r, w'tfrN,"�t';I,�r t�1�a'> „y�>X .:.r,:,, r -➢.,_ ' a. r�,• M' >,ar..<,r^#it tgi' .nikllr "M.1•, tilt, t+n yr . •,•. ,Gya : t �� r { ;fir• n+ '�' i (rir •pK',PFUL INSPECTION NOTICE City of Tigard Building Department 4'?� 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 business Phone: 639-4171 Inspections — Footing �ner Mach. Rough-in Appr/Sdwlk j Found. Plbg. Top out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/BCAM Hoch. Rain Drain Insulation -Plumb. p "Plbg. under floo?-r WAtur Line Gyp. ed. -Mach. Date Requested: �-� _Nimes __AM —_PM AddreaesI2 Permit #!E- .- Builders .`HL► FOLLOWING CORRECTIONS ARE REQUIRED: I dv l of r K r)` Inspector• i' Date: 2Z' �/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE l//"' --Call For RErinep. 4 r IctVi1[#M�1dGJIf4iW:VaY✓.+`n-:•n.e..:r.r .,r...•...•••.••.• ••a..:..w.... .,, ..._..r..:w. fHllt•MM'JYM_"vH',a+yFk".•yM,.uyk4v.wmwr.,.--_._. t. it ti ra INSPECTION NOTICE City of Tigard Building Department -2 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 635-4171 Inspection:— _ Foot Lng Plbg. Underslab M Rough-in� ).ppr/Sdwlk Found. Plbg. Top Out Gas Line 1INALc t.. Post/Beam Struct. San. Sower Framing -i'ldg. Post/Beam Mach. Rain Drain Insuiati.on -P1:.•mb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:_ Times AM PM i Address: �� ,r�. 6� L�%u-� Permit i3�74? ���4-�/ ■ Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: ■ — -- �/ Inspector:_ Dates Y---APPROVEn DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. l� � I 77'777� ' .M I INSPECTION NOTICE ' yl City of Tigard Building Department 13125 ON Ball Blvd. Tigard,g . Or egon 97223 Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inepecttonc - y, ' Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk , Found. Plbg. Top Out Gas Line FINAL: 'Lw Poet/Beam Struct. 18an Sewer Framing -Bldg. Poet/Ream Hoch. Rain Drain Inorlation -Plumb. Plbg. Underfloor '' Neater Lin -a-� Gyp. Bd. -Hech. Date Requested: -�� !13 Time: AM PN Addreaa• ���.� ;" /�iJ Permit Builder: — THE FOLLOWING CORRECTIONS ARE RsQUIRED: 1 1 — J� I i Inspector: --- _ DateJ APPROVED DISAPPROVED APPROVED ,SUBJECT TO ABOVE —_Call For Reinsp. f INSPECTION NOTICE City of TigarA Building Department 13125 SW Hal]'. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O- none): 639-4175 Busineee Phone: 639-4171 i Ins ons } Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk j I � I Found. Plbg. Top Out Gas Line FINAL: J Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. , Plbg. Underfloor Water Line Gyp. ed. -Mech. Date Requested: Time 7� PM � Addreeae �� � �'Z' � /!L!�'.J permit f: `~(J �� Builder:— ■ THE FOLLOWING CORRECTIONS ARE REQUIRED: -- it _ I I � y / c :nepector: Dates L APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reinsp. I, as pME- AND PERMIT l. . . . . . . iiiT94 �,3 1 3-- .Irf OF TIFARD PLUMBING FEklyllT I. COMMUNITY DEVELOPMENT DEPARTMENT oftoo« 13126 BWFWIBlvd.P.O.Bak 23397,rigal.Orpw+Y7229(603)630••4175 DATE ISSUED: 12/29/92 SITE. ADDRESS. . . : 13112 SW KA rVIER I NE ST FDARCEI_: 2_S 1 Vi4AB-•111"1-700 SUBDIVISION. . . , MMRNINC7 HILL NO. 4 ZONING: R-4. 5 BLUCK. . . . . . . . . . . LO . . . . . . . . . . . . . . l V16 T CLASS OF WORK. NEW GARBAGE: DIST OSALS. . : l TYPE OF USE. . . . :SF WASHING MAC:H. . . . . . . : 1 BACKFLOW PREVNTRS. . :CA � OCCUPANCY GNP. . :R FLOOR DRAINS. . . . . . . ..III TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : I CATCH BASINS. . . . . . . :0 FIX"CURES-'-__...--_.____.__._.._ LAUNDRY 'TRAYS. . . . . . :11.1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . ..0 ■ LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . .0 i!IB/SHOW`RGi. . . . SEWER LINE (ft ) . . . :0 f WF11ER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 � DISHWASHE.RS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 I Remarks : F'A•TH I NEED 5T14.ET OPENING; I ERI1II OWNER: --------------------------------- -•-- ---..__...__..___ _._-_-•_I.1 ES---_._.._----__--_-- DENNIS WIL.DERMUTH T•IF' s .146171. 00 JH 12/29/92 - 1x_;375 SW ic_'8TH AVE: BPR1 $ 458. 00 JH 12/29/92 - BPLC $ 29 7. 7171 JLH 1;'72/15/92 92•-234689 4 TIGARD UR 97L :3, B5PC $ 22. 90 1H 10.1/29/92 - fj Phone #: 671-12'66 SSDC $ 280. 00 JH 12/29/92 - ! F,ARK $ 500. 00 JH 12/29/92 Plumbing MP Contractor : --- -- - --_ -- - MPRT $ 45. VIO JI-I 12/29/92 - MPLC $ 11. 25 JH 12/29/92 - N,Ame : 1N15PC $ 4W. 4 5 JH li2/29/92 - Acid 1-a ._ P P R T f 141 . 1710 JH 12/29/92 _ City : CC_ s tate . _. _____ F.jF-L $ 1. 00 .J11 12/29/92 - zip:_ _ . __ F,h o n e#: Reg # .............._...... � __._---- REMIRF_D INSPECTIONS This per-mit is issued subject to the 'reg-- ulations contained in the Tigard Municipal Foot/found Insp Rain dr^ain Insp Code, State of Ure. Specialty Codes and all Post/Beam Str-uc:t Weter Line Insp other applicable laws. All wor-•k will be done Post/Beam Mechan Oppr/5dwlk Insp in accordance with approved plans. Chis Plm/undslab Insp Idechanical final permit will expir^e if' wor^k is not started PLIh/Underfloor PlUmb Final within 180 days of or if work is Mechanical Insp Building Final si!spende.d for more than J80 days. PlUmb Top Out Ev-osion Control ! Framing [lisp Crawl Drain Fireplace Insp Gas Line Insp InsUlati.on 1-osp xw_?srs�a€� .! _ _ Gyp Board Insp _-._,..___ - 1t;hlor i erJ 11�.1mt. 'hg Contrar=+;or EiiatL1r e Call for inspection 639-4175 Contrar_tor, Notes : f I I I CITYOFTIFARD., MASTER PERMITMY TWRD ✓ %OMMUNrrY DEVELOPMENT DEPARTMENT 'ER1117 #. . . . , . . : MST9 -031 13f25 SW Hrt BlvdP.O.Baur 23M.Tlpad.Or*pon or")4"p /7 D F1 T E ISSUED: 1 2 i c 4 /9 2 t SITE ADDRESS. . . : 1311:: SW KATHERINE ST FIARCEL: 2S104AB-07700 SUHDIV15ION. . . . : 11ORNING HILL NO. 4 ZONING: R- 4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 106 BUILDING REISSUE.: DWELLING UNITS: 1 BASEMEN T. . . . . . . . ..0 5 f � CLASS OF WORK. :NEW BEDRNS:3 BATHS:3 GARI+GE. . . . . . . . . . :550 s f TYPE OF' USF'. . . :SF FLOOR AREAS­­­­ RE UU I RED SETBACKS------------- 'T'Yf-''E OF CONST. :51\1 FIRST. . . . .. 1245 sf LEFT. . : 14 ft RIGHT. - 13 ft , I' OCCUPANCY GRP. :R3 SECOND. . . :91 sf FRONT. :20 Ft REAR. . :33 ft S"TORIES. . . . . . . :2 'T'H I RD. . . . :0 s f REGIU I HEIGHT. . . . . . . . :26 ft 'T'OT'AL•_--____;2157 5f SMOKE DE.TEC TORS. :Y �I FLOOR LOAD. . . . :4111 ps f VALUE. . . . . 10912 : PARKING SPACES. . : 1 Remarks: PATH I NEED 5-f REET OPENING PERMIT � _._..._-_.........._......_.._..__.........___-__ ._.__._.._......___..._____._....-._._ PLUItBING SINKS. . . . . . . . . . : I FLOOR DRAINS. . . . :0 BACKF'L.OW PREVNT'RS. . :0 LAVATORIES. . . . . WATER HEATERS. . . : 1 TROPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :_3 Li-'IUIVI.)RY TRAYS. . . -.0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHE'RS. . . . : 1 WATER LINE ( ft ) . : 100 O'FHE.R FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :tlt i WASHING MACH. . . : :l SF RAIN DRAINS. . : 1 MECHANICAL ____._......._...._...__.._-___...._..__.______..__._.__.__._.__._____ FEES _______--•--___.. FUEL TYPE:S--_.__.___.____ UNIT HTRS�. . -.0 type amount by date rec.pt /GAS/ / / VENTS + . . . :0 TIf= $ .1460. 00 JH 12/29/92 - MAX INPUT :0 BT'U VENT FANS. . :4 BF'RT $ 458. 00 .TH 12/29/92 TURN ( 100K . . :0 HOODS. . . . . . : .l BPLC 'E 297. 70 JLH 12/15/92 92­234689 FUR14 > =100K . . . I WOODSTOVES. :0 B5PC -2. 90 JH 12/29/92 FLUOR FURIA. . . . :0 CL.0 DR YER5'. : 1 .':SDC: h 260. 00 JH 12/29/9 2 BOIL/CMN' OTHER UNITS: 1 [''ARI'. 4 500. 00 JH 12/2,9/92 - GAS OUTLETS: 1 IhIPRT" b 45. 00 JH 12/29/92 - C)wne► : --..__.___.._____.._.___._...___.__._.________.__.._.___...___...._- MF'l.0 q. 11. 25 JH 12/29/9 - ^. DENNIS WILDER1,1I11TH 115P,cl 7 c'.. c �' _5 JH 12/29/92 - 137 5 SW 128TH AVU1. PPRT $ 140. 00 JH 12/29/92 - r='5PC $ 7. 00 IPI 12/x:9/92 - t 'TIGARD OR 97x:23 Phone #: 671-1266 MICHAEL AND CO. P O BOX 23008 TIGARD OR 97281 Phone #: Reg #. . : 67877 $ 3224. 10 COTHL This permit is issued subiect to the regulations contained in the - - - --- REQUIRED INSPECTIONS --- -- ' Tigard Municipal Code, State of Ore. Specialty Codes and all other f-oat/fottnd Insp Fi eplac a Insp ; applicable laws. All cork will be done in accordance with approved ['ost/Beam Strt.tct GaE Line l.r;_F plans. This permit will expire if work is not started within 180 Post/Beaar Mechan Insk.tlation Insp days of issuance, or if work is suspendydl fur more than 180 days. Fl l m/Ltnd s l a b I rr a p Gyp Board Ins p `J �"'-' 4 1._.I�I/lJncier floor Rain drain Insp f F'er m:ittee 5iyn8tI_tr e : 1 , u ly; � )s.CtZ hler_hanit_a1 Insp Wetter tine Insp V`l ttmb Fop Ol.tt Appr-/Sdw.l k Ir►sp ISs'.ted By . _ Fr,aniiny Insp 1'1eIIicaI F ill a1 1 Call for irrs>pec2t i vn - 6:39­4175 t All V CIIYOFTIFARD SEWER CE]IVIyECT I ON � CfYY no F!ERhi I'T COMMUNITY DEVELOPMENT DEPARTMENT MOM FERMI r #. . . . . . . : SWR92--0394 r 11125 BW Mdl BW P.O.Ba 23307,TOM,OrWn 97 (500)680.4175 - �r`atJE= 73 79 2 _ D 272. SITE )DDRESS. . . : 13112 SW KATHE:RIIVE ST PARCEL: 2SI04AB-07700 ' SUBDIVISION. MORNING HILL NO. 4 ZON.ENG: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 106 , TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE- OF USE. . . . . ..SF NO. OF- BUILD 1 NGS: 1 INSTALL TYPE. . . . :BLJSWF7 IMF'ERV SURFACE. . : : sf Remarks: PATH I NEED STREET OI!ENING F,L-,.RMIT ■ Owner-. __._.__.-__...___.______..__._______...________._._._______.__.________ F=EES DENNIS Wll_DERMUT'H type amount by date recpt 12375 SW 128TH AVE: PRM1 2100. 00 JH 12/29/92 j INSP t :35. 00 JH 12/29/92 — T'I CARD 013 97223 Flhone #F: 671-1266 I CONTRACTOR NOT ON FILE E'4'ione #: b c:1:35. 00 TOTNL Rey #. . . 4 REDUIRLD INSPECTIONS This Applicant agrees to comply with all the rules and regulations Eaewer Inspection of the Unified Sewage Agency. The permit expires 160 days from the date issued. The total amount paid will be forfeited if the permit expires. The Arency 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 installer shall purchase a "Tap and Side Sewer" Permit and the A cy will install a lateral, F'er,mittee 5ignati_rre : _`�r< ��Jv�s I s s i.r e d B y Call for- inspection - 639--4175 35/� L -- .. .,..�..w.M� 4AI+Ok[;?I'^wk1t$'!AM!'^°, :Y.i'.�?''.�ad�dM4. �.4�"'�m•»...-...,.........a.aaa.�m+a=vt-nvrt✓«.;.. .... x+,w+F�v+,a�,..........a...•,., .,,...eMr,.„....,w,ry:.r.. Hrr n .........._ PLNCK�RECT # r,; cirry OF TIGARD 131?SSWF1a��[llvd. ! COMMUNITY DEVELOPMENT DEPARTMENT Tigard,ercgon97223 PERMIT # 1!z-U /`3 (503)639-1171 DATE ISSUED JOB ADDRESS: /3//-2 S ,��.. TAX MAP/LOT SUB: 1-✓ 7 LOT: /aG _ _ LAND USE: VALUATION: I OWNERnn SPECIAL NO !. TES NAME: ''c'i7r� /2 tL �� Clef' hAc (f lr REISSUE OF: ADDRESS: . `. .0 LAST REISSUE• _��.. f,Lc%n (), C�"� FLOOD PLAIN/ PHONE: ��' ' 7 4-61 "G, SENSITIVE LAND: CUNRT ACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _Lek.u.el -{ LIST/SUBCONTRACTORS: _ MECH: C'n r u 3r Q BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: ( j APPLICANT SIGNATURE I ` 1�jr Received By: ` � _ Date Received: r i�1pl 1 • t I PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE Mst9l-0.313 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical "emit Fees -4a 10-230 01 State Buildino Tax (5%) �5,z•r� 3?.i; Building 22..yv i Plumbing 7, Mechanical �•L �f N 10-433 00 Plans Check Fee r� / -v — sem.f, Building 0 r' { Plumbing Mechanical ��•Z� 10-230 06 Fire SCK z-o-3 S 30-202 00 Sewer Connection uv a o0 30-444 00 Sewer Inspection 33 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees _ 25-448-01 Residential Traffic Fees 135-o / r a 35 o 25-448-05 Mass Transit TIF Fees //y 52-449 00 Parks System Dev Charge (PDC) Soo � Suri 31-450 00 Storm Drainage Syst Dev Chrg f(SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL 2—YD SIOLLO � I nm/3587P.WPF a';r3.'&.N".kPe..k?.i3!+._:'R:Jr.iT:i..u.7YlAiid#1i ,RiM11C�4l�IYL7MS ;•;"• �- Permit No: 1'h 57 3/, Address: sli �' uF► '. 'z I3sued by: Date: L OR OFFICE USE: ONLY STATEMENT: INFORMATION NOTICE Tv PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be Issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. N in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313: �' ---- L l I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.Ll My general contractor Contractor registration number_ _ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. 3. 1 will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board I and I will immediately notify the office issuing this building permit of the name of the contractor. n I hereby certify that the above information Is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Signature of Permit Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT �J l INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES ° NOTE. This Information Notice co Property Owners About Construction Responsibilities 1 y was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an � existing structure, you can prevent many problems by being aware of the following responsibilities and areas �A of concern. EMPLOYER RESPONSIBILITIES: a If you hire persons riot registered with the Construction Contractors Board to do labor in constructing or assisting f j in the construction or improvement of a residential structure, you will, in most instances, be ruled to be art employer" and the people you hire will be ''employees". As the employer, YOU must comply with the following Oregon's Withholding Tax-Laws As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax,payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. s Unemployment Insurance Tax_ As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of ycu,- o employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434. }t U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. Y&6 will be liable for the tax payment even if you didn't actually withhold the tax, For more information, call the Internal Revenue Service at 2.21-3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this project, you are responsible.for resolving any failure to meet ' code requirements that may be brought to your attention through inspections. t Liability and Property Damage Insurance. Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as tailing tools, paint overspray, water damage from pipe punc- lures, fire, or work that must be re-done. Time to Supervise Employees: Make sure you have �;..`.,,ient time to supervise your ernployees. Y Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rougn-in and finish trades, and to notify building officials at the appropriate times so they can perform } the required inspections. i If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244J 10/24189 Y.1G.}w': , . .l'Ywa{gs}Ij�.yR♦i+.,igryl��+:'�,>1 °.. ::f`'�h11 ,�'Y., f CITY OF TI GARD - RECEIPT OF PAYMENT Ir CEE I PT NO. :92-235106 CHECK AMOUNT a a117.119. 10 NAME a WILDERMUTH, DENNISCASH (AMOUNT 0. 00 ' IiUDF2E:5W PFiYlvlE"•'NT DATE- t 12/1 '9/9P s SUBDIVISION x 4 PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID ITE—LD LD I NG PErRM -,- 458. 00 PLUMBING PERM 4D MECHANICAL PE 45. 00 ST. BUILD PER 30% 15 PLAN CHECK FE 50A. 9) SE=WER USA 121100. 00 SEWER INSPECT 0115. 0Qi PARKS SDC •`,00. 00 STORM DRAIN SDC ?80,. 00 RCS S I DE NT I AL TRAFFIC FEES i350. 00 � 14ARS TRANSIT T"I F" FEES l 10. Q10 4+ dr LOT 106 MORNING HILL #4 13112 SW KATHF-..RINE= ST t. TOT11-- ()MOUNT PAID fi ,I ! 3 i CITY OF T I GARD RF'CvF:I r,T Dr- PnY•ME NT RECEIPT NO. �92--P34689 89 ` CHECK AMOUNT a P-750. 00 NAME;: x W I LDE^RMI.i'L H, OFNN I S D. CASH AMOUNT a 1;j. q ADDRESS s 12375 OW t-r.'8TH AVEC PAYMENT DATE: i 1211`5/9 j 1"I L AF2D, On SUBDIVISION c 9722'3 1 PL.IRPOSF OF' PAYME•N T AMOUNT PAID PURPOSE OF PFaYME'NT AMOUNT PF1I n t�LGaN CHECK E: F-E 1 4c:R ��.';i0. Q10 13112 SW KATHERINE, 1-01- ift TO•TAI. nMnUN'T PAID 00 j ,a.