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12450 SW NORTH DAKOTA STREET •w1iYWs+rInW�GMWiM�M4M .y..rw�.".ww..+l+fMwaa+J' .w+wu+rM.+ rwrrwWWaP++W..:rw+mwrawwsr�.wrM+:w.w.i..wnYe.+p»vtlw�wrww�wwWKM+Y i 1 1 _.L5 _._ 12450 SW NORTH DAKO`T'A STREET __ F-7- CkRT1F'1CATL OF CfTY OCCUPANCY OFTI R- D PERMIT It. . . . . . . a MST90--@P,,-*)8 1 r AWJ PRIM. PERMIT M. r MST90­61498 COMMUP MY DEVELOPMENT DEPA' T DATE ISSUEDs 09/10/90 113125 SW Hall S.A. P.O.Box 23397.llqarrl,Orogm 97223(6W)M-41175 911E. AVDRV5'i. . . s I j-5.47W-SV--9T1T7TT_7AVUT_A__T) SUBDIVISION. . . . t ANION PARK ZONING: R-7 BLOCK. . . . . . . . . . o LOT. . * . . . . . CLASS OF." WORK. tNEW TYPE OF USE. . . tS'F OCCUPANCY GRP. eF3 OCCUPANCY LOADIV20 4 TENANT NAME. . . t Romarkst Owner ------------------------------------- AQUA-MARINE CONSTRUCTORS INC P.O. BOX 69195 PORTLAND OR 97201 Phone O 503-241-8358 Contractors AQUA-MARINE CONSTRUCTORS INC ' P.O. BOX 69195 VORTLAND OR 97291 Phone Na r;03-241-6358 R#nq 14. . s 41115 (jc,cuparwy of the above refetenced bLkildir)4 Is hereby given, and certiftes the compliance with the !3)tAte Of Oregon Specialty Codes foo the 4TOLIP, occupancy, and use itndpr which the refe-(,"riced permit was is%Lo.ed. FIRE DEPARTMENT BUILDING 11HUR'61- 111-F BL:f�4 N 113 POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 /Phone: 639-4175 Type of Inspection =S�'f.1L� Date Requested — / Time A.M. P.M. ZZ Address f lc �i� Permit 'y Owner _ _ Lot #_ BuilderThe following B ding Code deficiencies are required to be corrected: �G Presented to __ —. ___ l-Approved Inspector Disapproved Date — — CALL FOR RFINSPF,CTIOP' C1 YES � O INSPECTION NOTICE 7 City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection n =_- 7 =' E e Requasted_ �l� — Time A.M. P.M. ��qq Aodress _.. _��5� _ Permit Owner�717 _ _ Lot # Builder ! 'r The folly Building Code deficiencies are required to be corrected: Ac r:r� ('19 ('o krrn C7—– 00 1t4 V1 AJ Presented to "Approyed Inspector �/ a U Disapprovers Date _ v CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phone 6639-4175 Type of Inspection Date Requested--/ ime_ A.M. P.M.. Address Z Permit Owner_ _ - _ - Lot #_ BuilderThe following Build "g ode deficiencies are required to be corrected: Presented to Approved InspectorAisapproved Date _.+-7 _ CALL POR REINSPECTION YES ❑ NO HISTORY: VIEW UPDATE DELETE ESC Delete selected item 6AMASTER (a & • :MST90-0098: PROJECT:ANTON PARK STATUS:I UPD:08/07/° PERMITTEE:AQUA-MARINE CONSTRUCTORS INC PRIM. . :MST• SITE ADDRESS:12450 SW NORTH DAKOTA ST � T���RD bA CASE HISTORY AA$$$A$AAAAAAA$$$$$$$$$$Req/SentfiSchd/Due$End/Done$$ 1;A707 Wtr Proofing Bsm't Walls / / EGON A710 Post/Beam Insp 04/12/90 KA710 Post/Beam Insp 04/16/90 KA713 Crawl DrainA717 PLM/Underfloor 04/10/90 M A718 Ftng Drain Bsm't Walls A720 Mechanical Insp 05/24/90 TLP APP A722 Plumb Top Out 05/21/90 MS FAIL o ° A722 Plumb Top Out 05/23/90 MS PASS ° A725 Framing Insp 05/21/90 TLP FAIL ° A726 Framing <REINSP> 05/24/90 TLP APP ° A730 Fireplace Insp A735 Gas Line Insp 05/24/90 TLP APP A740 Insulation Insp 05/29/90 KS APP ° A740 Insulation Insp 05/25/90 GS DIS ° AAAAAAfi$$$$$$A$$$A$A$a$AA5fi5fi$Afifin$AAAAAAAAfififiA$AAAaAAfififiA$b$AAAAAAA$$AAAfiAA$Ai HISTORY: VIEW UPDATE DFLETE ESC Delete selected .item 6AMASTER FERMITA$AAAA$A5A5AAAfiA$fiA$AAiAA$AAAAAAAAAAAAAAAASAAAA$fiAfifibAAAAAA.�Afififi ° :MST90-0098: PROJECT:ANTON PARK STATUS:I : UPD:08/07/90: :JLH: ° ° PERMITTEE:AQUA-MARINE CONSTRUCTORS INC PRIM. . :MST90-0098: ° SITE ADDRESS:12450 SW NORTH DAKOTA ST ° OA CASE HISTORY AAAAA&bAAAAAAAAAfifiA$AGAAReq/Sent$Schd/DL1efiEnd/DonehARyfiStat$5AC ° A707 Wtr Proofing Bsm't Walls A710 Post/Beam Insp 04/12/90 r:S UIS ° A710 Post/Beam Insp 04/16/90 KS APP ° A'113 Crawl Drain ° A717 PLM/Underfloor 04/10/90 MS PASS ° A718 Ftng Drain Bsm't Walls A720 Mechanical_ Insp 05/,' 1/90 TLP APP ° A722 PlsmU Top Out 0r,; 11/90 MS FAIL A722 Plumb Top Out 05/23/90 MS PASS A725 Framing Insp 05/21/90 TLP FAIL ° A726 Framing <REINSP> 05/24/90 TLP APP ° A730 Fireplace Insp A735 Gar. Line Insp 05/24/90 TLP APP ° A740 Insulation Insp 05/29/90 KS APP A740 Insulation Inep 05/25/90 GS DIS ° bAbAAAAAAAfi$$$$AA$$A$$AbAAA.AAAAAA$AAAfi$$$$AEl$sSAAAAAAAAfifiAAfi$$AAAAAAAAAAAfififiAAbi HISTORY: VIEW ►IPDATE DELETE ESC Delete selected item b$MASTF.R PERMITAAAAAAAASAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAA5AAAAAAAAfiAAAAAAC • :MST90-0098: PROJECT:ANTON PARK STATUS- 1 : UPD:08/07/90,- :JLH: ° • PERMITiEE:AQUA-MARINE CONSTRUCTORS INC PRIM. . :MST90-0098: • SITE ADDRESS: 12450 SW NORTH DAXOTA ST bA CASE HISTORY A$3AAAAAAAAAS66AAAA:iAAAARec;/SentASchd/Due&End/DoneiiByAStatA$AC Ai9'Y2�S�VI�Ih1t�BpGb?� t►s ?P934�,4igarc� i regon97223 (503)639-4171/--.----- ---- HISTORY: VIEW UPDATE DELETE ESC Delete selected item 6&MASTER PERMIT&&&&&=+�.AAA&&AAA&&&&&AA&AAAA&&&&&&&&AAAA&AAA&&&AAA&&&AAAA AAAAC :MST90-0098: PRUJECT:ANTON PARK STATUS:I : UPD:08/07/90:JLH: ° PERMITTEE:AQUA-MARINE CONSTRUCTORS INC PRIM. . :MST(APP SITE ADDRESS:1245J SW NORTH DAKOTA ST 6A CASE HISTORY Abdh&hdhA&&&&A&A&&&AAAA&Req/Sent&Srhd/DueSEnd/Done&& A722 Plumb Tor, Out 05/21/90 M Q"OFTIVARD A722 Plumb 'iup Out 05/23/90 M A725 Framing Insp 05/21/90 TREGt�N A726 Framing <REINSP> 05/24/90 T A730 Fireplace Insp A735 Gas Line Inep 05/24/90 TA740 Insulation Insp 05/29/90 K _� A740 Insulation Inep 05/25/90 GS DIS ° A745 Gyp Board Insp 06/05/90 KS APP ° A755 Rain drain Inep 04/11/90 MS PASS ° A760 Water L.ne Inep 07/20/90 MS PASS A"165 Appr/Sdw1k Insp A795 Mechanical Final A797 Plumb Final 08/09/90 MS PASS ° A799 Building Final &SAA&&&AASSAAAAA&&&&&A&AAA&ASSASSSSSSSAASSASSSSSAA&AAA&AS&&AAA&AAAASSA&ASA&SSSi HISTORY: VIEW UPDATE DELETE ESC Delete selected item 64MASTER PER NIT&AA&AASASA&SAAAAAAAAAAAA&AASASAAASA&&&&AAAA&&AAAAAS&SAS&SSAAAAAG :MST90-00'18: PROJECT:ANTON PARK STATUS:1 UPD:08/07/90: :JLH: PERMITTL,E:AQIJA-MARINE CONSTRUCTORS INC PRIM. . :MST90-0098: SITE ADDRESS:12450 SW NORTH DAKOTA ST ° Cis CASE HISTORY AAA&SSSAa&AAS.ii&&h&&&AA&Req/Sent&Schd/Due&End/DoneS&ByAStataSaG A722 Plumb Tap Out 05/21/90 MS FAIL, ° A722 Plumb Top Out 05/23/90 MS PASS ° A72.5 Framinq Insp 05/21/90 TLP FAIL A726 Framing <REINSP> 05/24/90 TLP APP ° A730 Fireplace Insp A735 Gas Line Insp 05/24/90 TLP APP A740 Insulation Inep 05/29/90 KS AFP ° A740 Insulation Inep 05/25/90 GS DIS ° A745 Gyp Board Insp 06/05/90 KS APP A755 Rain drain Insp 04/11/90 MS PASS ° A760 Water Line Insp 07/20/90 MS PASS " A765 Appr/Sdw.lk Insp A795 Mechanical Final A797 Plumb Final 08/09/90 MS PASS A799 Building Final ASSSSSAA&AA&&&&&&&!4&AA&&ASSF�Ab55SAAASAAASA5555ASS&StiAAAAAAAA&AAA&&AAS&AAaSAASSi HISTORY: VIEW UPDATE DELETE ESC Delete selected item 64MASTER PERMITSAAAAAASAS&AAA&AASAAAAAAAAAAASa555555aSSSSAAAAAAAAAAaSSASAAAAAAC :MST90--0098: PROJECT:ANTON PARK STATIIS:I : UPD:08/07/90: :JLH: PERMITTEE:AQIIA-MARINE CONSTRUCTORS INC PRIM. . :NST90-0098: ° SITE ADDRESS:12450 SW NORTH DAKOTA ST ° 6A CASE HISTORY 3bSAAAAAAAAAAAAAAAAAASAbReq/Sent&Schd/Due&End/Done&&By&Stati6AC A722. Plumb Top Out 05/21/90 MS FAIL A122. Plumb Top Out 05/23/90 MS PASS ° AI��+PIP'c Sox 23397,Tigard,Oregon 97223 (503)63v1.'A1/98 'FEP-SII --� --- INSPECTION NOTICE ✓ City of Tigard Building Department j ! / P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection UL Date Requested — e — lJ Time _ AN,--4 P.M. Permit #` Address 7, -e-1)I� Owner__.. Lot # _�— The following Building Code deficiencies are required to tiq corrected: _ 1 Presented to _ Approved Inspector 4�z- l El Disapproved Date =Zs�- CALL FOR REINSPECTION 1 YES 0 NO INSPECTION NOTICE City of Tigard Building Department moi' P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ._........_..._ Drywall Nailing Date Requested - 6/5/90 Time XX A.M. P.M. Address — 12450 North Dakota _ Permit # 90-0098 Owner_ Aqua Marine Const i _ Lot # Builder --- The following Building Code deficiencies are required to be corrected: vam Presented to Approved Inspector Disapproved Date & CALL FOR REINSPECTION YES ❑ NO INSPECTION NOTICE ._ City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 839-4175 Type of Inspection —�l C "? '; Date Requested _�_+��`f—7lJ-� Time A.W,, / , Address �a_V, Q *__. l�A Permit Owner . __ _ _ Lot -- Builder _� ���-�1 z• The followin Zlding Code deficiencies are required to be. corrected: Presented to -__ _ Approved Inspector _. �_� Disapproved Date CALL FOR REINSPECTION El YES L-1 NO INSPECTION NOTICE - City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Ret, iested s.—� -- Time A.M.__X P.M. Address f _LL_ v --5.�=-- _—_.. Permit Owner - — --- - ---- --- _ Lot # Builder --- The following Building Code deficiencies are required to be corrected: Presented to / � __ -- _— Approved Inspector " G� —.-_ -__—^_ isapproved Date. -- CALL F�ORK�REINSPECTION IP'rE3 Ll NO INSPECTION NOTICE City of Tigard Building Department R.O. Box 23397 Tigard, Oregon 97223 hone: 6394175 u Type of Inspection Date RequestedTime__— A.M. —,Q/y—P.M. r/ Address L --,! —� Permit Own _ _—_ _ Lot The following Building Code deficiencies are required to be corrected: i Presented to __ XApproved Inspector _ —_ —-- - Ll Disapproved De•e --- CALL FOR REINSPECTION 0 YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of InspectionJ �L�, ---- Date Requested_1�y _. Time. A.M. P.M. Address --yja. �-L'I Permit # Z_ Owner _ —_ —__—__— Lot # — i � Builder _The following Buildin Code deficiencies are required to be corrected: ir► - - ------ ---- Presented to _----.- - --- --------- Approved Inspector Disapproved Date u L -2 CALL FOR REINSPECTION 0 YES El NO I �3Sa P J i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone! 639-4175 1/9� Type of Inspection 4-1 Tim Date Requested. 7- Time A.M. P.M. Address Permit _�� -- Lot # -- Owner Builder �� —,�-F. -- The following Building Code deficiencies are required to he corrected: I I Presented to �q,Approved .—_---_ - - --'— v i-:J Disapproved Date -- CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 ' Phone. 639-4175 Type of Inspection I -4�L ` Date Requested Z/ 3 �� TimN(`r -A.M. P.M. / � 7 Address 12 Permit Permit Dwner Builder The, foil owi Building Code deficiencies are required fo be corrected: Presented to —_ I Approved i Inspector i - - ,__ J Disapproved Date — CALL FOR REINSPECTION CJ YES �_7 NO CITYOFTIFARD MASTER PERMIT G1Y 11AIRD PERMIT q, . . . . .. . : MST90....0098 COMMUNITY DEVELOPMENT DEPARTMENT offlem PRIM. PERMIT t1. : MST9O•-OO98 ( } i /� 13125 BW FWI Blvd. P.O.Box 23307,TOM,Oipon n7M IE SITE AI)DF:I::I:i' . . , : 124`)0 SW NORTH DAKOIA ST PARCEL: 1S].34CB--O("j100 SUBDI:V.ISION. ANTON PARK ZUNINCi: R7 BLOCK. . . . . . . . . . : LOT. . . . . . . . , . . .. . ..2;3 _.._.._....._._.._......_..._..._..._....._ ....._............._.............._. BUI1 DING __..__.._. _.....___ RE ISSI.)E: DWELLING UN11 S: 1. B0 .*iE::ME:N'T . . . . . . . , :0 sf CLASS OF WORK. :NEW BEDRMS:3 CiAI'H5:3 GARAGE:. . , . . , . • • • :500 i '' _.. $ RE_I:4UIRF.D SE::TBA(:;1'. TYPE: OF USE. . :SF FLOOR AREAS-9.38 -.._ � fi r�T(iWT. :5 f TYPE OF CONST. :5N FIRST'. . . . «93sf LcFT. . « , ,., l, OCCUPANCY 6RT'. :R3 SECOND. :'103 sf FRONT'. :2O ft PEAR. . :34 ft THIRD. , , , :0 <.: f REQUIRED.-•._._...._..___._.__...__.__. STORIES. . . . . . . :0 SMOKE DETEC'T()RS. :Y HEIGHT. . . . . . . . :20 ft TOTAL..-. _....._._...._, 1641. 15f' FLOOR LOAD. . . . «40 psif VALUF: 7192.2 PARKING SPACES- 20 Remarks:------------- _____.. _.... PLUMBING SINKS. . . . . . . . . . .. iFLOOR- DRAINS. . . . ..0 BACKFLOW PRr'VNTRG. .. :0 WATER HEATE.RS. . . : 100 'TRAPS. . . . . . . ., .0 LAVATORIES. . , . . :3 TUB/SHOWERS. . . - :2 LAUNDRY 'TRAYS. , . : 1 CATCH BASINS. . WATER CLOEiE T'ca. . : 3 SEWER LINE (ft) . :0 GREASE TRAPS. . DISHWASHERS. . . . .. 1 WATER LINE" (ft) . : 1.00 OT1-4f:R F'IXTLJRF,S. 0 GARBAGE DISP- 111 RAIN DRAIN WASHING MACH. . . : 1 SF RAIN DRAINS- 0. 1;.E.:E.S �__........_..... MECHANICAL -~_---__._.__....__.__.. _...._._...__..__.._.______._....... FUEL_ TYPES-------------- UNIT- HTRS. . :O type amot.tnt by date reept /GAS/ / / VENTS . . . . . :0 F'AYM !F 100. CdO ;ILH N3/1O/9O :10777:1 MAX INPUT:O B'T'U VEW1 FANS. . :3 BPR1 $ :3(:;7.00 c BPI_(:: � 23 8. 5 FURN < ].001'. . . : l HCIC)Da. . . . . ,. « 1 FURN >-1.00K . . :0 WOODSTOVES. :O HSPC `h 1.8. ''35 FL..O(:)R F'URN. , . . :H CLO DRYERS. : 1. STDC $ (,00. 00 BO 1:1.../C;MP < 31.41=1:0 OTHER UNITS:O '3SI)C: `K 2'.50.00 GAS OUTLE::TS: 1 PARK $ 250. 00 Owner: _.._ _'RT $ 36.OO AC4UA.••MARINE CONSTRUCTORS INC MSPC $ 1. 80 1=' 6 4i.9�, �_ F f R T t 1.40. 00 F''5E'(11 $ 1. 00 PORTLAND OR 97201. MPI...0 $ 9. 00 Phone tl: `jO3.-241-•$35$ PAYM $ 1817. '7O :TI._F•1 O3/20/9O Contractor: _.__.._ _......___..__........._._...__.._.._._____...__._ ALIUH- MARINE CONSTRUCTORS INC P.O. BOX 691.95 PORTLAND OR 97201 T'hor,e 0: 503-241 $35$ Req N. . a 471115 $ 1917. 70 TOTAL This permit is issued yublect to the regulations contained in the REOUIRED INSPECI IONS Tigard Municipal Code, State of OPP. SPecialtr Codes and all other Foot/found Ins,p Plumb Top Oi-tt APPI)cable laws. All wort will be done in accordance with approved Wtr Proofing Bsm F'raminq ITlsp plans. This permit will. Prpire if work is not started within 16@ Post/Beam Insp Fi.re)p:Lace 11-ISP days of issuanre, or if wor1f i5 suspended for 1)Ore than 188 days. Crawl ncD1'al dh 1 ny3n Tnst)lAteonl1ps>p I'ermitt:ec ign4�ture: PLM/Underfloor Gyp Br.,ard Insp Ftnq Drain Bs;m' t Rain drain :L1 15sued By: Mechanical Insp Water I._i.ne Insp C, 11 fc)�r inspection - 639••-4175 _ SEWER CONNECTION PERMIT _RMIT SWR90 0106CITYOFTIGARD CfOFTrAD I'E COMMUNITY DEVELOPMENT DEPARTMENT owooN I PRIM. PERMIT a. : MST90-••00913 13125 SW HIM Blvd. P.O.Bax 23397,Tigard,Oregon 97M IW 175 DATE ISSUED: 03/`0/90 SITE: ADDRESS. . . » 12450 SW NORTH U11K(:1'rfl T PARCEL: iSI.34CF.4 •06100 SUBDIVISION. . . . a ANTON E'AR11 Lf.1NIN(a: C� 7 BLOCK. . . . . . . a LOT. . . . . . . .. .. ., . . . :23 _ _....__._........ TENANT NAME:. . . . . a USA NCJ. . . . . . . . . . :40620 DWELLING UNITS. . . CLASS OF WgF�I;. . . :Nf:_W DWELLING IIIJZTf:i,. . : l. TYPE OF' UST. . . . . nSE• NO. OF F.+UILDTNGSa1 INSTALL T'YI'k_. . . . :BUSWf; IMF'E.F:V ialJF1FA(:I=:. . : 'f. Remarks: Ow rt a•r: _._.._..__.._._._._._._.._........._._..._.._. AQUA--MARINE CONSTRUCTORS INC tyke <Amot.trtt: by d�Ate recpt: p. O. BOX 69195 PRM'T $ 1250.00 INSP $ 35. 00 PORTLAND OR 97201 pAYM $ Ii:?85. U0 J1 03/2Oi P.10 11h(:)rte a» 50.3-.241 8358 ( t:)t•tt•racto•r; _._........_......__....__..__.___-__. (::ON'TRIACTOR NOT ON F"ILE. ('ht3nte tt W $ 1R85.00 T'OTAL.. Req a. . .: ._...._,._...._._ F:E Ci l.J I R E:I) INSPECTIONS -..-••..........-.._ This Applicant agrees to comply with all the rules and regulations Seaoe•r Tnsp e tion __„. __._..._.._._...____._........ __ _. of the Unified Sewage Agency. The permit expires 120 days from _.._.__.....__......_............ ......._...._._. the date issued. The total amount paid will be forfeited if the __...... „.__.._.__..-.__..___.._..._._....__. _ _..-.-•-.�•••-_- ••••••- ---••- permit expires. The Agency does not guarantee the accurart of the -•--••-•--_--- -- --- - side seller laterals. If the sewer is not located at the measurement ____. __..._._.....__.__......__...._....__._ given, the installer shall prosppct J feet in all directions 'roa __..-___ _�._._.____.._ ._._...._... the distance liven. If not so located, the installer shall purchase __•_-__. .................... ___..___.....__........_._.___. a "Tap and Side Sewer” permit and the Agency will install a lateral. --- •---••••••• .... -- -„ -- T'a•(•rat i.t t e e S i.q t7,t is t a r e .................._....__.____._..._.....__. _......__. ____..___..__.._.....__.__....__._._......_..... I S S tat e d B y tt __..._. ............ _._......___._....._._.... ._................. _-..__..__.._......„._._..._.._... Cat11 fc)r ir►spect:ion f.,:: 9 417'5 I I I CITY OF TIBARD — RECEIPT OF PAYMENT REC N01 00107910 CHECF: AMOUNT a '146. _'1 UJ ME a AQUA MARINI: CONSTRUCTORS CASH AMOUNT s .011 i:,D1jFE St PO BOX 69195 PAYMENT DATE a 0'—'.0--90 PORTLAND. OR 97201 Ell_UCI N0;ADDR: 12450 SW NORTH Di4i.OTA PURPOSE OF PAYMENT --._—_ (AMOUNT PAID PURPOSE OF PAYMENT--_.______ AMOUNT PAII1 HUILCJIPJ(v PERMIT i90-0098) 362.00 PLUMBING PERMIT 140.00 ?6.00 �JATE SUILD PgPMIT TAX (5%) ,:", 1C I MECHANICAL PERMIT �,,_ FLAN CHECF.: FEE 147.'5 SEWER USA (90-0106) 1.4 0.00 SEWER INSPE:CTON ?5. 70 STREET SDC 250.00 i:-ARKS SvSTEM DEVELOPMENT CH 250.00 STORM DF�AIN 'SDC 2��C1.0 I TOTAL Cill0tiNT PAID _ 7.'�. 146.2t CITYOFT167ARD w PLAN CHLCK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT J PLAN CHECK N 11125 S.W.Hall Blvd..P.O.Bow 23.197,Tigard,Oregon 97223,(SM)639.417s PERMIT N DATE ISSUED JOB ADDRESS: /� `� U_ ,.) NaIM L A"TA TAX MAP/LOT SUB: &MPLJ fp#04, --- L071 : 23 - -- LAND USE: -- - VALUAfION: - OWNER SPECIAL NOTES NAME: � - REISSUE OF: ADDRESS: LAST REISSUE: - FLOOD PLAIN/ - - -�- SENSITIVE LAND: PHONE: _.____. - _ _ APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: A-=AA �'I��P1a� IA)� -_ ENGINEE=RING: _ >G 1IRE DEPT ADDRESS: ��✓ - - - �1 AA Q r 6Z I OTHER: PHONE- •��' _ - ITEMS REQUIRED BUILDERS BOARD N: 4116-,I EXP DATE: ILI t4tZf 0 LIST/SUBCONTRACTORS: _ BUS TAX: - ARCH/ENGINEER CALCULAI"IONS: _-- _- NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: COMMENTS: -_-- -- -SUBCONTRACTORS: PLUMB: U,)*.FC 1►1GOAKXL�'%f MECH: 1 AcjT,r 8z&nzl46, r PERMIT N ACCT N DESCRIPTION �` AMOUNT AMOUNT PD. BAL. DUE_ 10-432 00 Building Permit Fees _ 10-431 00 Plumbing Permit Fees L' 10-431 01 Mechanical Permit Fees �'--- 10-230 01 State Buildina Tax (5%) Building !,5, 3'� ✓" Plumbing ? Mech 10-433 00 Plans Check Fee 3 y, Building Plumbing Mecil 4 30-202 00 Sewer Connections 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) G-0 GL' 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage vyst Dev Chrg (SSDC) X3.5y "rz 10-230 06 Fire TOTAL REC N ' APPLICANT SIGNATURE Received By: Date Received: cn/3591P/19" QlZn1)11_�Si I�'ROSIQN CON"1'K�)I, INTOIZMA'1'IOP1 GENERAL CONTR ACTOR NAME& ADDRESS: CASEI-11.1NO-:_� PERMIT NO.: jaww's.is L-- APPLICANT NAME AND ADDRESS: EXCAVATION CONT"RACE-OR NA�^M``E& ADDRESS: _i`QUGrA�R�I L lul��IATIt - OWN R NAME:AND DRL-'SS: IT:L.EPHONE NUMBERS: APPLICANT__HbMJF12 2 "t _3c> PROPERTY DESCRIPTION: OWNEK�_ li STREET L. L3 ADDRESS AND�"*�1L CROSS �YLQ�LOCATED ---- GENERAL CONTRACTOR:� EXCAVATION CONTRACTOR: - SIIWJOB: NIA LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: SITE SIZE,ACRES'-----.— I CRES: — .— op _ DISTURBED/WORK AREA,ACRES: _ LOCATION&ADDRESS WHERE SPOILS RAINS 1'O:(CIRCLE ONE) LEAVING SITE WILL BE TAKEN (NOTE:PFRMTTS MAY BF.REQUIRED) CAT'Cfi IIASI DITCH PIPE CREEK u l►fp ftgb _ — ATE PRO L(CIRCLE ONE) P R7 PUBLIC RIGHT OF WAY ER SION/SEDIMENTATION CONTROL 1E'iQ MEMA ES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY GSC PERIMETER RUNOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHEK _ OTHER___ PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WTTH'TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULFtSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WLL.L,CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. OWNF IGNATURE Al !CANT SIGNATURE OITICIAL USE ONLY. RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED BY i i CITY OF TIUAF'D — RECEIPT OF F'A's'MENT PEC NOt 00107777. CHER AMOUNT : 100.00 AQUA MARINE CONSTRUCTORS CASH AMOUNI' t .00 ol) '1PESSt PO BOX 69195 PAYMENT' GATE t 0,.:..12"0 P'OR'TLAND, OR 97201 BLOCK NO%ADDFtt 1 LOT 23 ANTON FARM• I F'i_if POST OF PAYMENT AMOUNT PAID PUE,'t-'U5F OF PAYMENT AMOUNT PAID i i_=atJ CHER FEE (7-28R) 100.00 i i i i TOTAL AMOUN1' PAID - '1 110.00 /00 Au ev a ✓� �- r"t LA- -e ..I. ' � .—��•.. � S I'l DW► iti .,,, '.0�r� (�L�,�•.cr.f� ^t� � I -'.i ,'YI RNEL I USS, OREGuN I A' U-6-0. 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