Loading...
Case File• •�- ' 'hl,. - .. a •K�1 I�i rr:,�S` S"Sk.. V d�r t 11�,'IS r.r � • .� ,' � �j:., �.� �. a :'� 1.. i ' �� i ADDRESS: JIOIA SW79orm A w Fmr. . . .. CITY OF T I GARD CF'.RTTF'1CATE OF OCCUPANG V COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0. . . . . . . : MST93-047, T)ATC ISSUED: 06/29/94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PARCEL: IS136CA -07200 ,I iLl 110lb tiW 713TH AVL ,USD IVISION. . 7.ON I NO:R-4. 5 13LOCK. . . . . . . . . . n LOT. . . . . . . ("LASS Of" WORK. -.NEW .rYPE OF' USE. . . zGF :JCCUPANCY C'P. ,R3 OCCUPANCY LOAD z111 5 1 ENnNT NAME. . . : BUILDING 0 DETACHED GARAGE (i?86 50 FT) AND �NS,rPLLINO A MAN Uf7AC_"f URLD 11014E Owner; U-IUIBETH ROOT 1- 1045) SW 70TH ( WARD OR 972,23 ' ,hone #; (:,43-1101 Contractor; PEOENEPATEDS -52S 13L 50TH 'OPTUIiND OR )7206 ,hone #v 771 -8824 ',eu if— i '73129 )ccupancy of the above refrrsrenced building is hereby given, 0111d Let'tifJeS ' lie complijince wish the :ti,he (If Oregon Specialty 1-ocles for th". q_y,L a 4pq tICCUpall]CV, ti-And �.tse inider which the referenced permit was issued. 414* DI INSPECTOR N NFFICIAL Pl.-)! J IN rONSPICUOUS PLA'X cc C-1) INSPECTION NOTICE • City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639 4175 Business Phones 639-4171 Inspection: �C—+�-�-ti�• C ys�4_ �v z r ^r CYSI� Footing Mag. Underslab Koch. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line Post/Beam Struct. San. Sewer Framing -81dq. Post/Beam Mech. Rain Drain Inaulallon Plbq. Underfloor Water Line Gyp. Bd. C CMech��_-- - + C' Date Requesteda _ 1 �P t Times / / AM PM Addreea:�.< < `� _ Permit v Builder: 4,7 THE FOLLOWING CORRECTIONS ARE REQUIRED: AV un Fti J G] U' W J Inspectors APPROVlb nTsAPPRAVRD APPROVED SUBJECT TO ABOVE ` ,. Call For Relnsp. INS.PECTION NOTICE city of rigard Building Department / 13125 Sw Ball Blvd. Tigard, Oregon 97123 Inspections Line (Rec-o-(Phone): 639-4175 Business Phone: 639-4171 Inspections _— Footing Plbg. Dnderslab Nech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Lin* FINAL: Poet/Beam Struct. ( San Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbn. Underfloor w no Gyp. Bd. Me Date Requested: Time: AM Addraut Builders T= POLLONINC OORRECTION3 ARE REQUIRED: a 2 N F- J r-r LO J Inspectors r,_�"-� Datot J,APPR D S OVED APPROVED APPROVED SUBJECT TO ABOVE Call For Rainsp. INSPECTION NOTICE City of Tigard Baildinq Department 13125 SW Hail Blvd. Tigard, Oregon 97223 Inspection Line) (Rec-O-phone): 639-4175 Business Phone: 639-41171 Inspection: — to E)I �� r�V\�_ L�� Jo Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwik Pound. Plbg. Top out Gas Lina FINAL: Poet/Beam struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain ; Insulation -Plumb. Plbg. Underfloor Nater Line9 (� Gyp. Bd. -Hoch. � -Cl 1 Date Requesteds (_ _Tine: ----AM 1 �� pw Addreses Permit Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: 4 7117R7a,--, ,7g:� L C/. I— Inspectors / -..— Dates i .. APPROVED _ DISAPPROVED APPROVRD SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departiment 13125 SM Hall Blvd. Tigard, Oregon 9'223 !,t"ction Line (Rec--o-tPhone)t 639-4175 Business Phone: 639-4171 InsFect:on: _\ IIA-YV V,V) Vj Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Aech. C Rain-Drain Insulation -Plumb. Plbg. Underfloor Nater Una Gyp. Bd. -Nes Date Requested: - I^ 1Y Timet M&0 AM PH Address:. l ld Permit #t � o,/ma(-72--- BuJ.ldert_ THE FOLLOWING CORRECTIONS ARE MUIREDt a a: t/1 J r-a C7 W J Inspector: - Dates _ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Rainsp. INSPECTION NOTICE � . City of Tigard Building ►Iepartmant 13125 SW Ball Blvd. Tigard, Oregon 9723 Inspection Line (Rec-o-PPhone)c 63�9`-4175 Business Phone, 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. l Date Requested: Time: _ AM PM h —1 �7L Address: � (1.' [ 5 L_ � ____- _- _ _ ( P,opr�rtli�t Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Un 21 v- 11. Inspectors j�.��_ Dats: � APPROVED DISAPPROVED ' APPROVED SU&TECT TO ABMT y�� j� _-Call For Reinsp. INSPE-,rrON NOTICE \W City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line I(Rec--,,O..-IIlPhone): 639-4175 Business Phones 639-4171 Inspections \ �[�l� ��7C2„L e'i rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk (IOI1l1Q.�/ Plbg. Top Out Cas Line FINAL: Post/Bpm Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Hoch. Date Requested:_ i J fel Times AN PN Address: //Permit 1: Builder:� THE FOLLOWING CORRECTIONS ARE REQUIRSDr of L _Ir 1 z�� t _ 4 Inspletorr_ � �v Dater APPROVED DISAPPROVED L.--*PPROVRD SUBJECT 74) ABOVE /7 --f7 Call For Rsinsp. INSPECTION NOTICE ( 1 City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639-4175 /Business Phone: 639-4171 Inspection: �NVkA �LtIV'S .__-- ' Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rdin Drain Insulation -Plumb. Plbg. Underfloor Water Line / Gyp. Bd. -Meeh. Date Requesteediq5l PM Address: l '1 t Ilkl` Permit f= 1" T - Builder: THE FOLLOWING WRRECTIONS ARE REQUIRED: 9 3_ O 77- CD Z'CD — U�"PROVED DISAPPROVED - - APPROVED SURJECT TO ABOVE J� Call For Reinap. INSPECTIM NOTICE City of Tigard Building Departesnt 13125 SM Hall Blvd. Tigard, ortmun 97273 Inspection Line (Rec-O-Phrne): 639-4175 Buai,ess Phone: 639-4171 Inspection:- Footing Plbg. Underslab mech. Rou.7h-in Appr/Sdwlk Found. P1bg. Top Out Oat Line FINAL: Post/Beam Strnict. San. Sewer. Grandnq -Bldg. Poet/Beam Mech. Rain Drain Ineul Won -Plumb. Pibg. Underfloor Natter (Line Gyp. Bd. -Meth. Date Requested: /�, J 1 c �`/O Timet �_AM PM Address: ��VPermit MS�t �1 r!5-1z Builder: / 1/ V9 T! THE FOLLOWING CORRECTIONS ARE REQUIRFD: Ln CQ LDs J 4 . LLJ Inspectorr � _..._ Dares APPROVRD DISAPPROVED v APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building DepartAkent l / _ 13125 SK Hall Blvd. Tigard, Oregon 97223 Inupection Line (Rec-O-Phone): 639-4175 Rusineeu Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk, Found. Plbg. Top Out Can Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: 11- 3 - 93 Time: AM ,__PM Address: Sly 7 — 'V Permit 1:_/ J` Q 4 �Z- Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: ox Clk T.- rNv�le. ►�I �-�-,rip�-4r a c Lo W R eeQj �- T Cz J 2- 3 p rw�. l l e. a•w� v7 U l �, k �� ��s w1 Inspector: Date: 3 -L APPROVED DIAAPPROVED APPROVED SUBJECT To ABOVE vel Or Call For Reinep. INSPECTION NOTICE City of Tigard Building Departoent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found, Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Inaul:tion -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: l 1_ - !� Tine: ____-AM - PM Address: — _ Permit t: Builder: — THE FOLLOWING CORRECTIONS ARE REQUIREDs CA "SZ �_ :-AA -- T3Q e.rS OV-LAr FSS 1��,t•l VVN v'j Uj ►� vLc> c_�.s� �1 2. Inspector: ^_ Date: `� _APPROVEu DISAPPROVED APPROVED SUBJECT TO ABOVE ��-� Call For Rainsp. INSPECTION NOTICE City of Tigard Building Department 1_3125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line-(Rec-O-Phone): 6399-4.175 Busieess Phone: 639-4171 Inspections �-"v" Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line PINALs Pont/Beam Struct. San. Sewer Framing --Bldg. Past/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requ\ested: ��, Times AM ____PM Address: 1 1O /`��ty Permit is� T-HE-FOLLOWING CORRECTIONS ARE REQUIRED: to1 Lir s. va rN ck Ck S� ...,�-. Inapector:.� ✓ _ Dater`___. —APPROVED DISAPPROVEL V APPROVED SUBJECT TO ABOVE Call Par Reinsp. INSPECTION NOTICE City of Tigard Building DepartAment 1,3125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phones 639-4175 Business Phone: 639-4171 Inapections ___ -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINALs Post/Beiun Struct. San. Sewer Draming -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor. Mater Line++2 Gyp. Rd. -Koch. Date Requesteds_ / G1 J _Timet 'Lt�P AN+ __PK _`3 Addreae: 1V � �f lad Permit fa"/"���� �d3 Builders -- � ( �` � i' ` ^ 3 Z"Y7L TAE FOLLOWING OORRECTT7NS ARE REQUIREDs Inspector: 1 APPROVED DISAPPROVED APPRo"D SUBJECT To ABDVR --­.—Call For Reinap. INPP&CTION NOTA City of Tigard Building Geparta t 13125 OW Ball Blvd. Tigard, Oregon 17223 Inspection Lina (ROC-O-Phone)e 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater. Line Gyp. Rd. -Mach. q Date Reuested: t �- LU 1 ,) —Time: —PH Addrese: C o I` "" Permit #: 1�11� 3-Q(�72— Builder: � '1(,O.V( YL �G�YlC )( a( THE FOLLOWING OORRECTIONS ARE REQUIRED: 't--_-s rr C'> W Inspector: _ Date: APPROtRO DISAPPROVED APPROVED SUBJECT TO ABOVE n n Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top OntG�Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Dd. -Mech. Date Requested: 1 �(—. r9' Time: _—AN _PH Addrens: 110 1 5 (3 permit #: ` _ 64 LYS Builder: THF. FOLLOWING CORRECTIONS ARE REQUIRED: Cil 41 J Jnepector:�� Dates ( (- 4- " 3 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE YZ�c —_Call For Reinsp. CITY OF TIGARD MASTER PERMIT `y COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ATE r. 1 5UED . 9 M/T9 ili4 71T DATE z,,,:,uED: 1l19/08/)3 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARC:GI_: 1 S 1-36CA-•072x.10 ,.l 11_ HbIURL:.3S. . . : :i i+Z 5 UW IUI H laVIL SUBDIVISION. . . . : ZONING: 0!_CCK. . . . . .. . . . . : LO . . . . . . . . . . . . . ... BUILDING -.____,.___......__. ._. ._.___...____._._.... REISSUE! DWELLING UNITS:0 BASEMENT. . . . . . . . :0 5f CLASS OF WORE , s NEW BEDRMS:0 BATHS:0 GARAGE. . . . . . . . . . :286 S f TYPE OF USE. . . :SF FLOOR AREAS- ._.__..___..- - RL' UU i RI: D TYPE OF CONST. :5N FIRST. . . . «0 s f L.EFT. . :5 ft RI GHT. Q 0. OCCUPANCY GRP. :R3 SE:COND. . . :0 S f F R 0 N T. Vry f L IR EAR. . : 13 f STORIES. . . . . . . : 1 THIRD. . . . -0 s f REQUIRED 111:7I GI 1T. . . . . . . . : 11 f t "I"OTAL-- -- ;0 s f SMO14E. DETECTORS. .' F-!C)OR LOAD. . . . :50 psf VALUE. . . . . $ : 5094 PARKING SPAC:ES. . : 1 N c:marks : BUILDING n DETACHED GARAGE. (286 00 FT) AND INSTALLING A MANUFACTURED i PLUMBING SINKS. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 SACKFLOW PRC VNTRS. . :O LOVATORIES. . . . . :O WATER HEATERS. . . :O TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :O SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (•f=t ) . : 100 OTHER FIX'TURL5. . . . . .0 MRSAGE DISP. . . :0 RAIN DRAIN (ft ) . : 100 KING 110CrA. .. . :21 Sr-` RAIN DRAINS. . .0 MECHANICAL -- ------- ----------------------- FEES ''`JLL TYPES-- _.... _ _.. ..._. (UNIT HTRS. . :0 type amo!_,nt by date recpt VE.NT`_' . . . . . .-0 TIF $ 1.520. 00 PLL. 09/08/93 - h'HX INPUT:O BTU VENT F'ANS. . :O DPRT" $ 56. 50 PLL. 09/08/93 - FURN ( 100K . . :0 HOODS. . . . . . :0 BPLC $ 36. 73 PLL. 09/08/93 -- FI..RN > -100K . . & WOODSTOVEG. sir BSPC 1 2. 83 PLL. 09!08/93 - FL.00R FURN. . . . :0 CLU DRYERS. : 0 SSDC $ 280. 00 FILL 09/08/93 - D01L_/CMC, ( :,I' P:0 OTHER UNITS:O PARK $ 500. 00 PI__I__ 09/08/93 GAS OUTLETS:O MOS $ 105. 00 PLL 09/08/93 - U,Nnr.�r --MFG 1, 15. 2 5 PI-L.. 09/08/93 - ELIZABETH ROOT MFG $ 15. 00 PLL 09/08/93 11045 SW 713TH htFIG $ 0. 75 PLL 09/08/93 - MFG $ 1 . 00 PLL 09/08/93 - T IGARD OR 9720'.", MFG $ 217.1. 00 PLL 09/0(1/93 - Phone #: 643--1 .101 F-"PRT t 35. 00 PLL. 09/08/93 Contractor : ...._... ---- --._- ------------------P5PC $ 1. . 75 PL_I._ 09/08/93 - /RLGE:NE(F'x''ATE S PORTLAND OR 97LO6 n 9e g 4. „ 731c'' ti 2599, 81 81 TOTAL „-' This pereit is issued subject to the regulations contained in the - - -- REDUIRED INSPECTIONS ------- °7 ..iga-d Municipal Code, State of Ore. Specialty Code= and all other Foot/found I n s p aop:icabl a laws. All work will be done in accordance with approved F=reaming I n s pLLJ -' plans. This pereit will expire if world is not started wit in 180 Rain drain Insp dAyt of issuance, or if work is su )ded for sore than 181 days. Water• Line I n s p o Mechanical Final Permittee Fry 1 1_1 m b Final _ _. ._. Building final 11 : }::.r o s i o n L o n t r o 1 Cell ror inspec.tion - 6311-'+1.75 SEWER CONNECTION CITY OF TiGARD PERMIT PERMIT #. . . . . . . : SWR93-0403 COMMUNITY DEVELOPMENT DEPARTMENT DATE 1�33UED: 09/08/93 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)839-4171 PARCEL,, IS136CA-072'00 51 1 E ADORI 11015 SW 78TH AVE SUBDIVISION. . . . . ZONING: BLOCK. . . . . . . LOT.. . . . . . . . . . . . . TENANT NPIE. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. CLASS OF WORK. . . NEW DWELLING UNIT-S. . - 1 1-YPE OF USE:. . . . . :1.73,F NO. OF BUILDINGS: 1 INSTALL TYP'E. — . BUSWR IMPERV SUI' F:'ACE. . . Remark s: BUILDING A DETACHED GARAGE- (e2'86 SCI, F7 ) AND INSTPLA-ING A MONUFACTURED ME 17-LIZABETH ROOT type amok.mt by date recpt 11045 SW 78TH PRMT $ 2200. 00 PLL 09/08,193 1.N SP, $ .15. 00 P'LL 09/08/9--' TIGARD UR 972:12-13 I ,'-ione #- 643-1101 CONITRACT013 NOT ON FILE Phone #: 22:.5. 10 TOTAL Reg #. . -. --------- REOU I RE D INSPECTIONS This Applicant agrees to comply with all the rules and regulations Gewev- Inspect Lon of the Unified Sewage Agency. The permit expires 180 days frop the date issued. 'he total amount paid will be forfeited if the permit expires. The Agenc;' does not guarantee the accuracy of the side server laterals. If the sewer is not located at the measurement giver, the instailer shall prospect 3 feet in all directions fror the distance giYen. If not so locat�ec 0e installer shal' pli-chase "Tai and Side Sewer" Permit and hP gency will in al lateral. t; mittee S i S E, r cl D'�; --------- Call for inspection 639-41735 j 131Z5SW fiau dlv& PLNCK/RECT # D CITY OF TIGA PERMIT � Aliyl�-'� � COMMUNITY D[vELOI'M ENTDEPARTMENT TipatOregon 97M (503)63"171 DATE ISSUED JOB' ADDRESS: +��° � � « - TAX MAP/LUT 7Z- 77- 0 - SUB: _ {rhlZy� f _ LOT: .3 LAND USE: /� _-- VALUATION: d OWNER SPECIAL NOTES NAME: -C << q6<<� r�c��'7` REISSUE OF: -- ADDRESS: J(b�S 5ii J'S LU ;' U (AST REISSUE: FLOOD PLAIN/ PHONE: lY C( /ly l SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED \NAME: r _S PLANNING: _ JADDRESS: Cl?S�Zs� S'r 5��� ENGINEERING: / � 2 polKI?'TC�t} r� FIRE DEPT: _ PHONE: �� r7 Z Y_ (� OTHER: CONTR. BOARD #: 731 Z EX TE: ITEMS RFUQ IRED SUBCONTRACTORS: Pyly�: .�" ;`.�1�1�� ,.- L,l ' LIST/SUBCONTRACTORS: BUS TAX: _-- --- ARCH ENGINCER CALCULATIONS: _ NAME: TRUSS DETAILS: _ ADDRESS: OTHER: !_ PHONE: — PROPOSED BLDG. USE: SETT ,v6` w �t7C wI FC, (-EC2.t1C Oi I A)d l✓//-)U,4L LC!`/ COMMENTS: 3 e-P C-0,zAc1 C APPLICANT SIGNATURE Received Byi/� J — -- Date Received: �` 2 7 -�j� PERMIT k ACCT 6' DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees �'� `�� _ l � ' ':5 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees e ©(r 10--230 01 State Building Tax (5%) fr' Building Plumbing Mechanical 10-433 00 Plans Check Fee 36.73 Building Plumbing Mechanical 10 .230 06 Fire 03 30-202 00 Sewer Connection Z- "' 30-444 00 Sewer Inspection 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 o j � « 25-448-05 Mass Transit TIF Fees � � 0 52-449 00 Parks System Dev Charge (PDC) Sz uv 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) v�d� _ _ v 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) ca '10 IAL 4F3 m F G d-, si J,-1 M r G p/u. nmf 3587p.WPF CITY OF TIGARD — RF'C'FIPT OF PAYMENT RECEIPT NO. :93-243959 CHECK AMOUNT 4834. 81 NAME : REGENERATES CASH AMOUNT s 0. 00 ADDRESS : 6525 SE 50TH PAYMENT DATE « 09/00/93 SUBDIVISION PORTLAND, OR 9-7206— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM MST93-0472 161. 50 PLUMBING PERM 50. 00 MECHANICAL PE 20. 00 ST. BUILD PER 31. 58 PLAN CHECK FE 36. 73 SEWER USA SWR93--0403 2200. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 00 STORM DRAIN SDC 2180. 00 RESIDENTIAL TRAFFIC FEES l4tO. 00 MASS TRANSIT TIF FEEG tio. 00 TOTAL AMOUNT PAID 4834. 81 -------------- APPLICATION - STREETIMPROVEMENT/EXCAVATION Z' �,� COPY TO: / (� (WHITE)-FILE ORDINANCE NO. 74-14 r -+' (YFLLOW) -INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY bldg (RI (BLUE)-APPLICANT G APPROVED IAPPLICATION NO,: r✓'c NOT APPROVED 11 CI Il' OF I IGARU, OREGON FEC AMT.: E—_ Rn-nn _ PENDING FEE. PMT. ❑ CI7Y 11ALL RECEIPT NO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE PENDING AGENCY ''OK'' ❑ Application and Progress Record — PENDING INFORMATION ❑ MAINTENANCE BOND +r FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: / PERMIT NO.' -- L - . DATE ISSUED L_. l._!.. � BY: 'li ----- (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL NIDE 5: SEWER' ERYICE LATERAL &_MAINLINE AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. ------------------- 1 HeskAR Ienerat s for: APPLICANT El iaabeth Rout_ 6785 S.W. Dale Beaverton, OR 97005 kA3-1101 NAME ADDRESS — CITYPHONE CONTRACTOR Regenerates/Russell Hess 6525 SE 50th Ave. Portland, OR 97206 771-8824 NAMEADDRESS CITY PHONE PLANS BY per City Standards & Specifications NAME — ADDRESS CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ _' b I,Wo.QQ DOLLARS - - ICE $E: ' - (2) EXCAVATION DATA: FOR OFFMIN._ 0.04 X STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEMS AI QUANTITY STREET P N D 79th AVefl a INSP C- R TION E —' U ESTIMATED STREET OPENING DATE:. / E S ESTIMATED STREET CLOSING DATE: 1 / T E D (3) SECURITY NO. SECURITY AMT.: S�_ CLOSED SURETY CO : FINAL CERTIFIED CHECKS _CASH ❑ 8014D_17 INSPEC. (4) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. /, SEE ATTACHED 1 ( SITE: 11015 Sw 78th Av I I 1 I 1 I 1 work arra -- I 1 rL CURB - _ _ X;(— ft — Ln 78th Avenue - J I IA' (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 SECURIrIES. TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS 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 1/ 1, C- �. APPLICANTS SIGN .IURE DATE -- / / Special Conditions/Provisions: 1. All work shall conform to City of Tigard, Oregon, Standards and Specifications. Note the attached Detail Drawings (U.S.A. # 300, 350, 360, Tigard # S-2) applicable hereto. 2. Notify City Inspector 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 of 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 be considered complete until it is accepted by the City. The City reserves the right to cause testing and certification of work or repairs to be performed, to the City's satisfaction, at permittee's expense. 5. Erosion control shall be provided for by the contractor. 6. ORS 757.541-571 applies (pre-notification for location of underground facilities, etc.). 7. A Sanitary sewer connection permit is required to be obtained from the City's Building Division before connecting to the City's sanitary sewer system. A harc4• sHr4ace Futc_n r-eIullre� -Mt 4�e tHd o� eack dvn.W 4 F-- N H J G] C.J LL! J Ids., •(0 p 108ti0 0 m m m ! 10@65 ��� to IG905 ! 10895 w ORN ST ;0680 ( • 1089G Q 1 10900 I In _ I IC-925 r w 0 N 10710 m I0 ,4S — Z 10950 I. 35 I095v 10955 c o 0 0 I 10960. J965 w G � 75 wI0985 _ - s N V) an --- 1 c 9 d o m IO,,;p n I 10 9 90 10995 , _ _ 10980 STEVE. L1' T/1�� IJO5 I 1� IIUGF; -- 110t I 11020 0 N v 8120065 1105- Ilo�u i � r � 11050 1 10 70 11051 11 O'♦5 c 11065 I i 11(158 (1085 11070 1 I 110E70 m I 1)0 80 11071 11 1 0 U 11064 11095 11110 —m- /171-10 —` 111103 11110 1 2 5 ! 1 1 1 5 I 111fJ0 uj 11140 11129 I ,1120 11140 11125 ! I 11136 1' I I Q 111 70 11170I111Uv 11115 W 11162 ! 11160 — Illdl C II :�- Q � 11200 11190 G15 11165 1 'il 11190 _ co 11190 IN IIL07 11230 11 til 11216 ! IIc50 Q � 2! r I °D 1 1235 C L __ I 1220 f 11260 121. I 11220 �r 11242 — 11260 U� -1250 N CO11250 0) 11268 11 2'J O I Ili 5 1 11250 I I li i Is; � _ Ir:,o:. 112e5 11280 N 3 I m In � 11 S() 0 N r `- t1 �lSTREET w � I O �' N -• 1 1 3 0 0 o l tO o 0% v ! o t, p !� m N co ---- ti � rc - N Ix 19 1`71[ ti ( •r. 46 Q0 20; 2 1 0 2 4500 O � h r. W^ N 69° 49' E 2 io 500 1n O 3 n 137.79 0 ° 206 7200 r N n Z 1505 4400 S. •J I 0 7.79C� ; Be ac " p^• n 7300 o p = a Us 7 y r 137.79 2 r' 600 1 37.79 b ° 4300 N 199° 49 E ml 49 00 b ^ " b n So , 420/1 4 20 1 � a 6 ,.,,.,1.37.8 ° 206 702 -- [[ " 5000 138.27 n1 u /BAC. N 104 V N W " 9Ac. 'D 4100 IT /♦ n 132.69 - n ° N ^ LLl 11 .7.%. N: — 125.60 _ N c° '^ o . � In - r F.iil SALE m 23—f 7 400G 700 L .29Ac. „ In ° "L 8 0 0 g o a f" 23 Ac. 5900 (CS 1 6561 - 00 o r. m m 1503 W 5201 •90 Ac. _ o " c .24 Ac. ° 900 ° ° ° ?J Ac. _ 1800 ,s n Y 5300 fu - _ _ _ 44 Ac 1000 *./I 700 ?3 Ac. 1616 S I3M'17 ° m 110 96 r _ 1502 ~` 1501 1 1 0 0 S3AC. �/ .7 7.4 c. 300 5702 c 0 ?J Ac. N o u - 0' 0 — e e S89-49 00 [-242 5401 0 0 0 12 00 " e 1601 .174c. _ - 23A o 5400 05 0 _o W 46 Ac. :;r1400 1300 •?B Ac. 0 .4 c. (CSN N _ z f o n,s30) b N n N n f 114 3R Ne BeS e•k, 7f 6Fc••17'C a4-,ai§�-'-- or,0J fOril' 00'i It C R 9 7!, 2 5.6114.5 PFA F F L E - - - - _ 121 161.11 SAS°17'1' --- "713 UNIIC 10291202 ---- _.____--- - S T k E E T 'r. SEE MAP -- G IS I lrrn r�`` 1 BUILDING SEWER PIPE. SIZE AS SPECIFIED PLANT FABRICATED TEE FITTING ON SEWERS 18" AND SMALLER. BACKFILL 2 X 4 FIELD TAP 04-EXISTING SEWERS AGAINST PWG TO AND NEW SEWERS LARGER THAN I PREVENT PLUG THAN 18". 1 BLOWOFF 6 SECURE ZX4 IN PLACE WITH I TRENCH BACKFILL. SEWER MAIN APLAN k LATERAL I EXTEND AT LEAST GROUND 12"A30YE SURFACE SURFACE MINIMUM SLOPE FOR 6" PIPE= 0.010, FOR 4 PIPE = 0.020. ---SYR ICE CONNECTION MARKER MAGNETIC TAPE---�—� GREEN w/BLACK LETTERS (WASTEWATER) GREEN./BLACK L.ETTI M (STORM GRAIN) PLUG o • 3/4,-0 PIPE ZONE MATERIAL SUPPORT TEE WITH AS SPECIFIED BEWNG GRAVEL, mm"UM 2,0" WI Inc Sl DE a BU I L D I NG SEWER J G7 W _ .J U Uf�iflad s1 , VM� A Of wat11{f19I'p nn 300f� r • • ,� PVC SADDLE (TEE) I I STRAP RETAINER RIDGES 1 I __� - 1 1 RUBBER GASKET r SEWER P I PE STA:` .S5 STEEL STRAW • PVC SADDLE SHALL BE ASTM 3034 SDR 35 x PVC COMPOUNDS SHALL BE ASTM 01784 WITH CELL CLASS OF 12454-6/C OR 12364-C x, ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F4TT STAINLESS STEEL Bt-NDS SHALL 13E 300 SERIES, FULL 9/16" WIDTH BAND, 5/16' SHOULDERED HCX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. INSERTION HOLE SHALL BE CORE DRILLED. PVC GASKETED un9W SADDLE stmerage DRAWING NO. 35o YfA ageficy I . COMPLETE RUBBER SLEEVE (ASTM'*C-443) INCLUDES A MOLDED SEGMENT THAT HOLDS 11' IN PLACE. 2. STAINLESS STEEL BAND (9/16" SERIES 3001 SECURES UPPER HALF OF RUBBER SLEEVE TC THE PVC HUB. 3. PVC HUB (ASTM 3034 SOR 35) DRIVE INTO CENTER OF RUBBER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 3 1 7_ CONCRETE PIPE R NOTE: ALL INSERTA-TEE HOLES SHALL BE MACHINE DRILLED. J [O r. LL1 J INSERTA - TEE Qofigency $tea DRAWING NO. 360 MIN. ,3" A G IN 2 LIFT-5 fkAw car STREET AREAS OUT OF STREET AREAS.. FXI ST I NG _ L S£CTJON RESURFACING - =KKSJF - b ' o CLAss a314'1-0 GRANULAR - V BACKFILL 0 w °.• / s V Q • / • z V 1 O liJ •O 1 � d '.d /1.... W 0 Z 6. . •4 o e` m ,y . a • • o PIIsE BAS-E r RACKFILL IN STREET AREAS Fn t.IF3/tiY FS AGAINST CURB, FILL ROCa TO N BACK OF 3/W a 2-IF 3/W 13 NOT'*UIN3T CURD I jI_L ROCK ^'RACK FROM CURa PIPE BEDDING �AfVD C1TYOF TIIFAR� BACKFILL DETAILS OREGON "EGA 6Y ,Af'r'FZC,VEp QY [7R., 6Y NTS 5-2 i jam: TRAFFIC CONTROL GENERAL REQUIREMENTS 1 . The City' s , standard specification for traffic control ? s "Manual on - Uniform Traffic Control Devices for Streets and Highways", U.S . Department of Transportation, F.H.A., 1988 Ed. 2 . Traffic control shall be provided for, as illustrated, at all time during work prosecution. No work shall be permitted6 l�erox�, during the hours of darkness, nor between darkness to 8 :30 a.m. , nor 4 :30 p.m. to darkness. 3 . Traffic control devices, fl,agpersons (etc.) shall be in place 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 service; (fire, police, etc . ) , School District, and Tri-Met 72 hours (minimum) to initiation of construction work. Advance warningrlor of imminent traffic disruption shall be provided to the general motoring public by placement of an advance notification sign at each end of the construction area 72 hours (minimum) before initiation of construction work. 5. The City Inspector shall be notified 24 hours prior to initiation of work (t 639-417,1) . 6• The work area shall be maintained in a clean condition, free from obstructions and hazards. Effective erosion control measures shall be provided for. 7 . A temporary hard-surface patch shall be placed on all trenches within the roadway at the end of each days work. 8 . Minimum travel-lane width shall be twelve (121 ) feet; pedestrian travel shall also be provided for. 9• The City reserves the right to restrict construction c` activities during holidays and periods of high traffic levels.. - The City reserves the right to add to or modify these N requirements as may effectively control traffic nai d to assure ubecessary to aicVsafetor o more ~ p y; such action shall not relieve the contractor of responsibility. - o LD �j dj/engdoc\mesters\tcgr.m%; i µACd+S7RUCTIM O GENERAL NOTES �K 1. TRAFFIC SIGNS TO BE 48" X 48" � KAa O I BLACK ON ORANGE. K20-4 u 2. NO ROAD CLOSURES. 2AC:" M2O-7A 100' I uiN, 3. THE CITY'S STANDARD SPECIFICATION FOR TRAFFIC CONTROL IS "MANUAL fLACGEFt ON UNIFORM TRAFFIC CONTROL DEVICES FOR STREETS AND HIGHWAYS", Uri. I U.S. DEPT. OF TRANSPORTATION. a ° -T F.H.A ., 1988 EDITION. I ■ } m_ 4. ACTUAL SIGN PLACEMENT-TO BE ADJUSTED IN FIELD. DO NOT REDUCE l� BELOW MINIMUMS W11-LOUT CITY I o APPROVAL. I n ,oe ■ ut ■ 5. THE CITY RESERVES THE RIGHT TO ADD TO OR MODIFY TRAFFIC CONTROL REQUIREMENTS AS MAY BE NECESSARY TO EFFECTIVELY I CONTROL TRAFFIC AND TO ASSURE PUBLIC f SAFETY. O nAo"AHEAD M70-7A I K LEGEND I O a,c w,c O TRAFFIC SIGN I Ro.o+ww, ,ar ® CONSTRUCTION ZONE WK r rt ° TRAFFIC CONES OR APPROPRIATE DELINEATION vi Q 1 NWA °°"I�wcna+ EAT10 """D DEVICE. N J w TRAFFIC CONTROL TYPICAL DETAIL DESIGN BY APPROVED BY CITY OF TIGARD DRAW. BY OREGON SCALE _CAB NTOAl1 N.T.S. 4-6-92 DRAWING.N0. --