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6655 SW Ventu.-a DrtvB _
CF,R T I V J CA TE Of
C'TYOFTIIFARD OCCUP(4NCY
LC"4ARD PFRlvl IT #. . . . . . . 2 M53791-01",
COMMUNITY DEVELOPMENT ')EPA=n
13123 Wi HWI Blvd. P.O.Box 23397,T4pW,OnpW"9,7223
31 TE ADDHL,&,:�. t-A.,655 �'-,W YE1141"URA DR PARC:KL Pli1c,"50D
SUBDIVIbION. . . . n WASH INGIUN S.AAKIRE FSVOTES NCI. t.> Z(,)NINle t R-4,, 75
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .. .171A
CLASS OF WORR. flNIEW
TYPE Of- LMIE*. . . %SF
OCCUPANCY GRP. sR3
OCCUPANCY L0f)Dt,?25 it
T VNI-INT
PemArkq
JVJ
LAYTON
t:,50 Sw IS TE WA R T
Plaine 41 P44-561P
Cont roct or%
T,+(STLE CONS TRUCT ION
L706 SE 43RD ST
PiAOLOND OR 97t?lb
Phter lle 0:
42147/4•
al the Above building is hev eel , Ijiven, mrid
the camplial-Ice With the St'ite, Of 11c,egoll Elpecialty Codes for the Ep-011-101
occupianc.y, and utip under w.siuh thf- I eferenced perml I, was jr-sued.
IRE' DF--PAR7MF141 M.111.1)ING INS
I. CONSPICL:00.19 PLOCS.-.'
INSPECTION NOTICE
City of Tigard Building DepsrtmRnt
� •• 13125 8N Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 619-4175 Buui.neae Phone: 639-4171
Inspection:—_ �� ---_,_-- ----...---
Foot inq Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL' J /
Post/Ream 6truct. San. Sawer Framing -Bldg.
Post/Beam Moch. Rain Dr.ln Insulation -Plumb.
Plbq. Underfloor W
ater L e Gyp. Bd. -Hoch.
nate RequantedtrTimee AM PM�
Address:�1 P.r it' T'L C✓
Builder:
THE FOLLOWING 'roRPEt'TIONS ARE REQUIRED:
Inspectors - - ------- J_ Date; � ���
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Pull-ding Department
13125 BW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Dusi_ness Phone: 639-4171
Inspections _
Footing Plbg. Underslab Mech. Rough-in Appr/adNlk
Found. Plbg. Top Out Gas Linc MALI
Post/Beam Struct. San. Sower Framing eHldq.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Linn Gyp. Bd. ( -Mach.
Date Requested: AM PM
r i1 Ms r
Address:. j'.7�r�7 Via✓ 4�'� �J-r r.:mlt it
Bu i 1 der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
w �
rr3•titiG..-.., L .��.�,.� nV1
+' — TQC' �•..LS-97i
0
Inspa:torl__ 0ates� Z'
4PPROVED 0I2"PROM _&-""PROVED EUB.7ECT TO ABOVE
4-01
—Call rot W.nap.
NOT ICE r�
City of Tigard Building Department.
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
--
Footing Plbg. Underelab Mech. Rough-in Apps/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. 4ewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inaulation -Plumb.
Plbg. Underfloorlater /yLine '7 Gyp. Bd. }/J-Hoch.
Date Requestedt �/i /G� c�G/ _ —Timer's " PN
Address:, t!w l!�`1 /�.1��{�� _ Permit 'It _
Builder: G' �_ �"
THE FOLLONINO CTIONB ARE REQUIREDs
CLQILL
_ n - L. t
3 i - 1-
,- !?
Inspectors Date:
APPROVED DISAPP APPROVED SUBJECT TO ABOVE
Call For VAinsp.
S
i
i
Ar 7
IN6PEr'TION IaOTICE
�srd nul ding De riwent. �\1v
Cltp of ll Blvd" Tig—d, Oregon 97223
13125 SW Rall-O-•
Phone): 635-4175 Business Phone: 639-4171
Inspection Line (Ret
Inspect Ion:
Plbg. Undersiab Mech. Rough-in
Footing FYNALs
Found.
P1b9. Top Ch't ran Line
San. Sewer
Framing -Bldg.
Poet/Beam Strutt. _Plumb•
Insulation
Poet/Beam Mech. Rain Drain
-Neth.
Plbg• Underfloor Water Lite
Gyp. Dd.
7 - PM
Date Requested: .�
Permit !s
Address:_ .e
Bu i lder t_—
THF. FOLLOWING CORRECTIONS ARE REQUIh.:Ct _
l 4—
LI%A Iru C
(j l
LCA --- - --
7
Qatez
Inssp*otor s '
018APPR7 D APPROVED SUBJECT TO ASE
APPROVED f _.—
all For ReinaP•
INSPI M9N NOTICE
city of Tigard Building Departaecnt
13125 SN Hall Blrt. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): ri39-4175 Business Phone: 639 4171
Inspection:
Booting Plbq. Underelab Mech. Rough-in Appr/Sdwlk
Found. P?bq. Top Out Gas Line FINAI.:�
Pont/Bean 3truct. Sen. Sewer Framing -Bldg.
Poet/Beam Mach. Rain nraln Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
l --Date Requested: Timet PH
Adiress: la�S ? A w� Permit 0,
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
lGL1 . -
< l t VV ZU IALLL4.k at Uo" - Zl
'Ll1.- L W hMJs I J�F �t✓�U o C�+
C vt '1 v1
�
� 4214-, 19it .
Inspector: ( LOLL_
APPROVED DISAPPIS rV31D APPROVED SUBJECT TO ABOVE
—1
77"7-0all For Reinsp.
INSPFCTI_ N NOTICE
City of Tigard Bui341119T7223
1.3125 SM Ball. Blvd. Tigard. Oreclo
Inspeatin. Line (Re+c-o-Phone)s 639-4175 duainoas Phone: 639-4171
Inapectica:_ ��_ ------- ------------
looting pig'
Underalah Noch. Rough-in Appr/Sdwlk
P
To OLt Gas Line FINAL"
found. Ping.
Poet/Beam Strut. Sart• Sewer
Framing -Bldg.
Post/t)eam Mach. Rain Drain
Insulation -Plumb.
-Mach.
plb9. Underfloor Water Line Gyp. Bd. e-
Date Requested:
r^
Address: �• Permit
��-
R ii.ldor:- // �
TRE FOLLOWING CORRECOP c RE 'TIRED:
Date i
Inspector -- _
APPROVED DISAPPROVED APPROVED SUBJ°CI' TO ABOVE
call For Rainsp.
�ISP�LON NOTICE
City of Tigard Building Departsient
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusi.ness Phone: 639-4171
Inspect ion: ____
Footing Plbg. Underslab mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out aas Lina FINALt
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Ream Much. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -much.
Date Requestedt e(7, Timm _,X_AA14r /_PM
Address:—L� �1L 'kc', -I1 Permit � -oy4-3
Builders-
TRS FOLLOWING CORRECTIONS APA REQUIRED:
Inspectors
A-11�APPRONBD DISAPPROVED APPROV3D SUEJICT TO ABOVE
Call For Reinap.
4 SRI'
INSPECTION NO"h;E
City of Tigard Building Departaent
13125 SR Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone): 639-4. 75 duHiness Phone: 639-4171
Inspectir)n: -- ------- -- ---- _—
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Be+m Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested:// &31 =.+ Tiare:�—�_AM _, PM
Address:_ 'Gem .5' Gi'&4162 ir�mit I:
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Icepector: ( Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainsp.
INSPECTION NOTA
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6:;S-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Hough-in Appr/Bdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Strucl-. San. Sewer Framing -Bldg.
Post/Brun Hoch_ Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Be. -Neah.
Date Requested: �� �c'�'-" Tim
et AM PM
Address: � S �� pe�it i<�
Builder=
1W FOLLOWING CORRECTIONS ARB MQUIRBD:
Q
Inspectors_ _ Dates__ 1_
APPROVED DISAPPROVED APPROVED SUBJE!'T TO APJVE
Call For Reinsp.
I N S�FCT 1 ON�10T I CE
City of Tigard Building Donmrtaernt
13125 BN Ball Blvd. T1gare, Oregon 97223
Inspection Line (Rer_--O-Phona): 639-4175 Busin"ene Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdslk
Found. Plbg. Top out Gas Lina FINAL:
Poet/Beam Struct. San. Sewer J Framing\ -Bldg.
Post/Beam M•...ti. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. 'Sd. -Meth.
Date Requested: - fe Timet AM pM
Address:
`�s L �� � �s nit �t �L
THE FULuMrNG CORRECTIONS ARE REQUIRED:
--------------
Inspector:___-Z _ Date:
APPROVED -_ DISXPPROVEDy/APPROVP.D SUBJECT To ABOVE
�A Cell For Reinep.
INBPE 1Gn, 'nits
City of Tigard Building DepartL:ent
13125 8O Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
i
Inspection: _ -,vy 'r _!'
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/deam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulatiae -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Req,:Pstedt _ Z J Z' Tim. AH PH
Ada, _y� \�'E.�/1� �� e^ ' , Pwrmit t: M�1- I -C
Bu i l der:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t
1 i �v v ` i
Inspector: Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
V
City of Tigard Building Department
-3115 aw Bell Blvd. Tigard. oregon 97223
Insper-kon Line (Rec-O-Phone)s 639-41.75 HLsiness, Phone: 639-4171
InspP-cions ----- ---
Footing
plbg. Dnderslab Mech. Rough-in Appr/Sdwlk
Found. �.lT�q. 'ibp Osit ) Gao Line FINAI.s
Post/Ream Strutt. San. Saftr Framing Al.dg.
Poet/Heim MHr..h. Rain Dllin
Insulation -Plumb.
Plhg• Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requesteds / O � •_—Timse PM
sr
Addreses _L���� G--��-1 nsit #i
Builder:
THE FOLLOWING CORRECTIONS ARE MWIRRDI
Inspector _._ — Dates��---�-�—
,/-- APPROVRD DISAPPROVED APPROVED SCaJECT TO ABOVE
Call For Reinsp.
US
McLE I D &
SSOC
ASSOCIATES
CONSULTING ENGINEERS
14 18 1 Sundelt of Drive • Lake Oswego , Oregon 97034 • Telephone ( 503 ) 697 - 7330
Douglas K. McLeod, P.E., C. Eng. September 30, 1991
Michael Layton
7650 S.W. Stewart
Portland, OR 97223
Subject: 6655 S.W. Ventura
Foundation Walls
Dear Mr. Layton:
At your request, and as required by the City of Tigard
.Building Department, I have checked the existing excavation and
proposed method of construction.
The lower portion of the excavation behind the north wall
(rear) of the house is in competent rock and should not pose any
problems with stability. The foundation wall , as designed, can
be bacrifilled to a depth of 7 feet. The proposed deck along the
back appears appropriate to cover the remaining space and to
provide access to the back yard. The upper portion of the cut is
In slit/clay soils and must be sloped back at a 2 : 1 slope to
maintain stability.
The upper portion of the excavation along the east side of
the house is in silt/cliiy soils and will not remain stable in a
vertical cut. Proximity to the property line precludes sloping
the cut back for stability, therefore this �a must be
backfilled full height. The $" foundation 1 as designed will
hold the backfill if the mall is braced on t,ie inside within 9 '
of the garage floor. Two braces need to be installed and
connected to the glue-lam beams in the floor framing.
Calculations and sketches are attached.
This information will be sent directly to the city of
Tigard. If you have any questions please give me a call .
Qgcprely yours,
l K. McLe , PE, CF.enq.
cc: City of Tigard Building Dept. •- Brad Roast
Oregon • Washington • Alaska
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Ad
INS ON lIOTICS {
Ci,�y of Tigard Building OuFactz•ent {
3'igard, Oregon 97223
13125 S11 gall Blued.
Inspection Line (Rec-O-Phoney G39-4175 Business Phone: 639-4171 0 1
Inspections ----'--
Plbg• Underslab
mech. Rough-in Appr/Sdwik
C_ Gas Line FINALI
F bg. Top Out
hound. r _81dq.
San. Sewe
Framing
Poet/Beam Strutt. -Plumb.
Ra Ln Drain
Insulation
Poet./Beam Nech. Bd. -Nech.
GYP-
Uriderfloor Natar Line 7
Plbq• /� /�j TLme:C( 1 _ _PM
Date Recr — v� /J
1! Gail/ �_ t�:=��--- Parrott It
Address:._-_
Builder:
THE FOLLOWING CORRRCTIONS ARE RRQUIRRDs _-
Lit
AJ
-------------
--.---- a ,✓
._—.....
—r-
9
Dates
inspector:-----
2�? —--------------
ApPROVRD iiiWICT TO ARDNR
APPROVED DISAPPROVRD
Call For Minnp.
M
CITYrofteft ✓'
�F TI��4� MASTER PERMIT
COMMUNITY DEVELOPMENT ►.rzPAI�TMENT OFTMFD P RMIT #. . . . . . . : MST91. -0143
13126 SW Hrl Blvd. P.O.Box 23397,
Tiprvd,Oregon 603 76
DATE ISSUED: 07/2.6/91
SI'I"Ir ADDRE S. . : 066'--15 5W VI NTURA DR
SUBU I V I S I ON. . . . : WASHINGTON SQUARE: ESTATES N0. 2 PARCEL-. 1 S 1 c'.SDD-rTC�c'r7�i7r
BLOCK. . . . . . ., . . . . ZONING: R-4. 5)RE
REISSUE:
----------------•------------- .._-- ESU I LD.I NG _
REISSUE: IV"EL_L_INf; UNITS: I BASEMENT. . . . . . . . :0_•__._..___st.____._. .
REL.0 I :D
CLASS OF WORK. :NEW BEDRMS:4 SATHSe3 GARAGE. . . . . . . . .yp� . :730 sf
TOF USE. . . :SF FLOOR AREAS -- -------- ► r r _
R
TYPE OF CONS-r. :5N F1 RS T. . . . : 1312 sf LEFT. . :7 ft RIGHT. ; 14 ft
OCCUPANCY GRP. :R- SECOND. . . : 1168 sf FRONT. :20 ft REAR. . :70 ft
STORIES,. . . . . . . :c THIRD. . . . :0 sf
HEIGHT. . . . . . . . :2r ft TOTAL--- --- - :2460 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . , . 4 : 127220 PARKING SPACES. . :0
Remarks :
PLUMBING
NKS. . , . . . . . . . : 1 FI-QOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . .
• • . . . • :0
TUB/S1iOWERS. . . . :c'
_. LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . ;0
WATER CLOSETS. . :; SEWER LINE_(ft ) . :0 GREASE i RAPS. . . . . . . :0
DISHWASHERS. . . . : I WATER L.. INE (ft ) . : 10�,) OTHER F I XTU13ES. . . . . ..0
GARBAGE:: DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS . : 1
MECHANICAL
_._._..__._..._._._.._ ___.._ _._.____ ._. __._..__.._ __._. FEE'S
UES TYPES-- ---_._....___._..._. UNIT HTRS. . :0 type to'-(Tit by date rec t
/GAS/ / / VENTS . . :0 TIF s ..380. 00 JLH 07/2-16/91 - p
MAX INPUT:0 BTU VENT FANS. . :4 BPRT 1 503- 00 ,JI_.I-1 07/26/91 -
:*UPN ( IOOK :0 HOODS. . . . . . : 1 BPLC s 326. 95 JLH 07/14/91 2:15496
FURN >=100K . , ; i WOOD STOVES. :+71 B 5 P C, V, 25. 15 JI__H 07/26/()l •
FLOr']R FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 375. 00 JLH 07/26/91 -
180IL/CMP ( 3 HP-:0 OTHER UNITS- 1 PARK $ 500. 00 JL..A 07/26/91 -
MPRT f 45. 00 JLH 07/26/91 -
CTAS L_ETr'i: l
Owners _------__.....___.. . .. _ _._ _. ....._._0UT..._._______-.---..____ _ MF'LC i• 11. 2' .JI_N 0'7/26/91 --
MICH
LOY-
7650EAL STEWAR M5PC' $ 2. 25 JLH 07/; 6/91 -
t6S0 SW STEWART PPRT 1, 147. 50 JLH 07/26/91
�'ORTLAND OR
E='5PC; $ 7. 38 JLH 07/26/91
972��,., _
Phone #: 244-5612
Contractor:
T-HISTLE CONSTRUCTION
2706 SE 93RD ST
PORTLAND OR 97216
Phone #:
42874
This permit is issued subiect to the regulations contained in the _-____Z REQUIRED
4A TOTAL
Tigard Municipal rode, State of Ore. Specialty Codes and all other Foot/fo+_indalnspD IFit-eplacceclnsp _
applicable laws. All work will be done in accordance with approved Post/Beam Str•uct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Beam Mechan Ins+_rlation Insp
nays of issuance, or if work is suspended for core than 180 days. P1111/Undslab Insp Gyp Board Insp
^ PLM/Underfloor Rain drain InS�r
Permittee Signat+_ire ; r��f Mechanical Insp Watpr- line irlsp
- F+Itrmb Top 0Ut Fappr/,.idw1 k .1nsp
Issued By: _ Fgamin
_....._---.---.__.._-_-_ --.—. .._..._.._.._. g Ins p Me C-1 r,a n +
Call for- inspection - 639-4175
KWURM FiiqmmmV1ALmqjq
CrfCWTIFARD RSEWECONNECTION
CITY PE RM I T
PERMIT #. . . . . . . : SWR91 -0163
COMMUNrtY DEVELOPMENT DEPARTMENT 7
13126 SW HWI Blyd. P.O.Batt 23397,T%pM,Orqgon 97 (600)639-4176
C, j--41 -71
SITE ADDRESS. 06655 SW VENTURA DR PAICEL: 1SI25DD--06200
TUBDIVISION. . . . WASHINGTON SQUARE ESTATES H0. 2 ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..70
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS.
CLASS OF WORK. . . %NEW DWELLING UNITS. I
I YPE OF USE. . . . . -SF NO. OF BUILDINGS: !
INSTALL TYPE. . . . :BUGWR 114PERV SURFACE. . :
Remarks:
Owner,: --------------- FEES
MICHEAL LAYTON type amcil.tnt by date r-ecpt
7650 SW STEWART F,RMT s 1500. 00 JLH 07/26/91.
—
INSP $ 35. 00 JLIA 07/26/91
PORTLAND OR 97223
V:fione #: 244-5612
(.'AJN,rRP.CTOR NOT ON FILE
------------------
1535. 00 TOTAL
REQUIRED INSPECTIONS
This Applicant agrees to compll,- with all the ruies and regulations Sewet, Inspectiori
of the Unified Sewage Agency. The permit expires 120 days from ------
the date issued. rhe total amount paid will be forfeited if the
permit expires, The Agency does not guarantee the accuracy of the
ii,:: 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 Agency will install a lateral.
I e Ill i t t e P S i g T1 a t
1 .reel By :
Call for inspection 639--4175
CITY OF TIC ARD — RECEIPT OF PAYMENT REcETp,r NO. :91-215755
CHECK AMOUNT 4608. 48
N 0 M F--* a THISTLE CONSTRUCTION CASH AMOUNT s 0. 00
ODURESS 2706 SE 93RD f3T PAYMENT DATE z 07/26/9L
PORTLAND, OR 972.16— SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF r,AYMEN'r AMOUNT PAID
BUILDING 1-1.,RM 05031. 00 PLUMBING PERM 147. 50
MECHANICAL- PE 45. 00 ST. BUIL.D PER 34. 78
PLAN CHECK FE H1H. 20-i SEWER USA 1500. 00
SEWER INSPECT 35. 00 RES IDENT IAL. TRAFFIC FEES 1280. 01A
PARKS SDC 500. 1710 STORM DRAIN 379. vlo
MOSS TRANSIT TIF FEEr;z 1O0. 00
91W VENT'URA
'Tfllrk. f)M()1.JNT PAID 4600. 48
�v1`Z,Y
OFTIGARD 11123 SW nlvd.
_ PO FSna 13 LJJ97
cOti+N!fli�f7Y1)LVF.LOI'�11?Ni'DI;PAR'TMf?NT TBard,Oregon97d21 PLNCK/RECT
(503)639-4171 PERMIT #
DATE ISSUED _--
JOB ADDRESS: 6655 SW Ventura Drive _ TAX MAP/LOT
SUI;: Washington Square Es aLs AO 2- �__ LAND USE:VALUATION:
01414ER ' I SPECIAL NOTE`
NAME: Mi on _ REISSUE OF:
ADDRESS: 7650 SW Stewart LAST REISSUE:
P L 97223 ___ FLOOD PLAIN/
PHONE: ( --� SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: mhistlg ConGtrLLCr on PLANNING: � G —
ADDRESS: 2706 SE 91rd st ENGINEERING:
Portland Oregon 9721 6 FIRE DEPT : —
PHONE_ ( 503)_ 775-0444 OTHER:
CJNTR. BOARD #: 42847 EXP DATE: J
ITEMS RE UQ IRED
SUBCONTRACTORS: PLUMB: _ Jac_.c LISI%SUBCON I RNC IUKS:
BUS TAX:
MFCH: : -�+ t: � �� CALCULATIONS:
AR0!ZLNLG NE LR
NAME: Scott Hent n & ss r i at�G -- TRUSS DETAILS:
ADDRESS: 205 9QYent11 St OTHER:
-- sni1 Crpgon 97045
PHONE: ( SU i ) 6501
PROPOSED BLDG. USE: Residential
COMMENTS: AA&S -ST VEt 0?,WA& y6- PA9efffL — --
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
tn _ �_ 10-432 00 Building Permit Fees � 1 -- S.,2
_ 10-431 00 Plumbing Permit Fees q 1,,`� --- --97
10-431 01 Mechanical Permit. Fees �� � )
10-230 01 State Building Tax (5%) " —
Bldg Plumb 3g Mech
v 10-433 00 Plans Check Fee p , G
Bldg - Plumb _ _ Mech )/III
I0--230 06 Fire
3U-2Ui UU Sewer Connection -- --- - �
30-444 00 Sewer Inspection
25-448-01 Traffic Impact (TIF)
52--449 00 Parks System Dev Charge (PDC) —
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) ✓
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
APPLICANT SIGNATURE
Received By: Date Received:
nm/3587P.WPF
- ----- --- ---- III
-
CITY OF TlGnRl) RECEIPT OF v-,AYMENT REp"r NO.
CHECK AMOUNT ; 00
CAT,ti AMOUNT 2 LA. 00
NAME' I-AYTON, MICHAEL
PAYMENT DATE : 07/ 18/91
0 1)P R E 9S 7690 SW f_iTFWAPT cjtjAr)I V I S I ON
PORTLAND, OR 9722-3-
-urpoSE OF PAYMENT AMOUNT PA I P r-URPOSE OF V'PYMFN-f AMOLIN'r PAID
—7,3R 2,50. 00
L ON CHF-CK FE 7
sW VENTURA DR
jcjAi.- AMCIUNT PAID Z. Jo. 00
Iar
COPY TO:
r•_ATION STREE r IMPROVEMENT/EXCAVATION .......
(WHITE)•FILE
V (YELLOW)-INSP.
ORDINANCE NO. 7414 �, 4 "a (PINI.•).')THER AGENCY b1d9
(INSTRUCTIONS ON SEPARATE SHEET) L— ,
(BLUE)-APPLICANT
APPLICATION NO.: ._�•s-•�—
APPROVED L
NOT APPROVED U (:II�Y OE' TIGARD, OREGON FILE: AMT.: s_ qtw -.,z�
C:I iI.�I.�. RECEIPTP2• t0 / 1-1 / -�Z
PENDING FEE. PMT. ❑ PUBLIC WORKS DEPARTMENT BY �)" DATE
—_ _ _ _ _ - - - -» - -
I
PENDING SECURITY ❑ ('I' —
PENDING AGENCY "OK" ❑ %pplicalion and Progress Record MAINTENANCE BUNDFOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
PENDING INFORMATION A ANNUAL
EXPIRATI N DATE: ---1--
PENDING VARIANCE ❑ +�.-----»
a + �DA�TE ISSUED:
PERMIT NO 1 L CCyNRT
EWA APPROACH_
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL —____— ----# � 1ENTS.
AND I DEWALK F'
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY R
-- MICHAEL R. LAYTON 5655 S.W. vl'MIURA DR. -TIGARD, OR `17223PHOONENE
- # 297- 7
APPLICANT C1—v
NAME MA%WAURIE OR 97222
1 ON TRACTOR HIBLFR CONCRETE ADDRESS CITv` __-._-_—P�IONE
NAME
__`PER CITY STANDARDS
PLANS BY - _
NAME ADr�RESS� /�
JW.W
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ DOLLARS
- --
s�•� =— . - MIN.
_.- - --`---��:_--s- - --- FOR OFF 1 C E,LLif..'Woo
JVII 7V 2U•�
(2) EXCAVATION DATA: 0.04 X s -- s ---- -----
DESCRIPTION PROGRESS & INSPECTION STATUS II
STREET - ITEM DATE REMARKS/TYPE BY
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED —
T t PE LENGTH WIDTH DEPTH ITEM QUANTITY STREET
PENED —
_ INSPEC
VI.fJ'I't)I�P+ I){+ Ui. - SEE i'IACIIt: --- ETION —
Q
I-
S
ESTIMATED STREET OFENING DATE: –.---1. "—
T
ESTIMATED STREET CLOSING DATE:: D
560.00 STREET
(3) SECURITY NO. SECURITY AMT.: $ __ -- CLOSED
FINAL
SURETY CO.: ---- cAsr+-; eoaa INSPEC.
ru"TIFIEOCHELM -_)
SPECIAL PROVISIONS /CONDITIONS:
(4) PLOT PLAN: INDICATE .SITE PERTINENT PHYSICAL 1, Notify City Inspector Carl I
FEATURES: EXCAVATION LOCATION AND EXTENT. Vieweg (#639-4171) 24 hrs. be►forti
1 I $ite: I I I N startIng WQrK-
7ig 6655 S.W. I ' 2. All work shall conform to City
1 I Ventur-aaDr 1
— Standards 6 Specifications
i. nRS 757.541 - .571 appl iea
Ventura Ct. Ventura Drive - _ (re: Ut lity CO. 19 pre-
notifi.cation, etc.) -
II 1 1 I I 1
1 >�
' NOTE THE CITE 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
HAALL RMSENT LFAWY AND
S AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND TO SA
FMPLOYFES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANT', ACTIONS
DATE
APPLICANTS SIGNATURE
S.RnnrNG/r?ttOSr�y�?�z(�r, INr4rtMn'r�K
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILF_NO.: —
Thistle Construction PERMIT NO.:Z7 3 RD
HiE
- - -
97216 -- APPLICANT NAME.'ND ADDRESS:
EXCAVATION CONTRACTOR
NAME & ADDRESS: `-
Timberlin Developement —
Gladstone, Oregon OWNER NAME AND ADDRESS:
___L503 ) 656-•8253 -
TELEPHONE NUMBERS: - _
APPL[CAN'T: _ PROPERTY DESCRIPT'fON:
OWNER;_ STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:
EXCAVATION CONTRACTOR:
SITE/JOB:
LEGAL DESCRIPTION:
24 E{k/AF��i tkRRHOppURS EivTcRGGE�N�CpY TAX I OT NO.
MicliGpa.lSLaytH , -Own ONE: 1/4 SITESIZ SECTION:
_--
_
-- DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITZ RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:M3-tMITS MAY BE REQUIRFll) CATCH-BASIN DITCH PIPE CREEK
N/A —
- (CIRCLE ONE) PRIVATE PROPERTY
_� — --- -� PUBLIC RIGHT OF WAY
&I�SIQN5T-,Q1MEN1A1I0N CONTROL (ESC) ML=ASURFj�
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIML•:NTATTON FACILITIES STABIL17-F EXPOSED SURFACE
ST.RILI7Rn CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN ANT)REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
i.0113TRUC i Ivir SEQU-'-4cE OTT IF.R
OTHER -_--
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PIAN DRAWING.AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING;EMERGENCY
PHONE NUMBER, SCHEDULE/STAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES.AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPI.Y WITH THE ABOVE AND WILL CONSTRUCT ANI)MAIN'T'AIN ESC MEASURES AS NFCI_SSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SETT.
OWNER SIGNATURE APPLICANT SIGNATURE
OFIICIAL USE ONLY
R I:CF I PT DATE ACC EPTE D
I 1-1 NUMBER RECEIVED----- BY