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15698 SW 82ND AVENUE I� ht R A!f i f i Aprmw I 1 15698 SW 82ND AVENUE ..,. CITYOFT167ARD CE:RTIFIrATE OF CCTYOFTWARD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT _ MGM PI-P1n I T #. . . . . . . : 149T90 -W99 131253W FW!Blvd. P.O.Bac 2W97,T)p",Onpcm 9=,J5WA6,19-4175 --- — DATE -T TSuF D: 03/ .tl l91 SITE ADDRES:a. . . a 15698 W (1.'ND AVE:: PARCEL : r_S I 1 CC—12100 SURD I V I S!nN. . . . a L ANr-jTPEE CS TPTES' ZONING: R-12 BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . 153 CL.AGG OF WORK. :NEI-! T'YV'f_ OF USE. . . c SF (:)CCLIF,AIVC Y GRP. a R3 OCCUPANCY I_.OAD: 1 18 4 TENANT NAME. . . a Fie m trk 5 : REAR STEPS TO LIVING ROOM SLIDER TO BE COMPLETED BY i_)WNIFIR Owner : TITAN PROPERT I EE.? PO Box 6835 OL-OWN OR 97007 Phone #: 643#6477 cunt:raat<tor. TITAN PrtOPERTIES PJJ BOX 68,3a5 0L.014A OR 97007 Phone #a 6456477 Occupancy of the Pbove referenr. ed bi..tilciing ie hereby given, and certifies the (_omplianc-W with the State Of Oregon SpeciAlt,y Codes for the group, ocCupancy, and ose under which the t-Pferenc.-Pd pe.r mit WAS i55uoC.I. 07 FIRE DEPARTMENT fa IT-7ING 1NSt''F—C:TOR or DUTL' IC,!AL. POST IN CONSPICUOUS PL.AC E IN PEC.'TION_NO'fICF City of Tigard Building Department 1.3125 Sit Ball Blvd. Tigard, Oreqon 97223 Inspection Line (Rec-O-Phone): 6.39-4175 Buwineen Phone: 639-4171 Inspection:_ Footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk t Found Plbg. Top Chit Gas Line FINALt Poet/Beam St:ruct. San. Lewer Framing Post/Beam Wwh. Rain Drain Insulation �V Plumb. Plbg. Underf;.--, Water Lina lyp. Bd. h. Date Regn,_atodt �c� --Timet Addreee:_.�/_/!� /1Cr_ Permit ♦i Builder THL: FOLU:NiNQ OCIRRBCTIONE ARC REQUIRED:VIP "^�...-.. W/57 LA Y ---r- LIZ f e. M Inspect.ort _-_ Data: LOL_ APPROVED DICAPPPAMM APPROVED SUBJECT TO RRM Call Por lhinsp. i City of Tigard Buildfnq Date t:oent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone, G.9-4171 Inspection:-- -- Footing Plbg. Underslab Mech. Rough-in APpr./S_ ilk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -181',dg, Poet/Beam Mech. Rain Drain Insulation —YIUmb.) ?lhg. Underfloor Water Line Gyp. Bd. h. /� -�/ Date Requested: � Time: AM PM Address:_ h Permit : tJ� 1 guilder: THE FOLLOWING CORR'.CTIONR ARE REQUIRED: Inspector: Date: APPROVED DI8APP,"5VED — - 4PPROVEn SUB.IRCP TO ABOVE Call For Peinnp. INSPECTION NOTICE /fes_ City a! Tigard Building Department 1312S = Blab s1vd. Tigard. Oregon 97223 inspection Line (Roc-0-P nsjt 639-4.175 Suni.neds Phone: 639-4171 Innpection:�_ - - F oting P1 Underslab s Mech. Rough-in Appr/Sdwlk, Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor W+ter Ling Gyp. Bd. -Mech. Date it, Addreeo: �,J 101 --- Permit : s� Builder: TF[E FOLLOWING ODRRSCTT.oNS ARE REQUIRED: S -Z- C, Lf� - Inspectort "PRpy=D DIShPPROVED i'/APPROVRD SUR.7E^T 74] ABOVE Call For Reinap. INSPECTION NqILIC City of Tigard Building Department 7 13125 ON Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-J-Phone): 639-4175 Business Phone: 639-4171 Inspect ion:.— — -----_----___—. — Fcotinq Plbg. Underalab Mech. Rough-'u Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: PoW ,'Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line (� Gyp. Bd. -Mach. Date Requested: ) U�� —�--- Times � �AM —PH Address: j2 e57 Permit #: Builder: __— THS FOLLOWING COi(RBCTIOHS ARB RIQUIRBD: 09 Inspect. r IiPPROVRD DISAPPROVED API'RtWFr) 3UBJlCT TD ABM Call For Reinsp. INSPE-_`T ON NOTICE City of Tigard 1juilding Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone: 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Mach. Roug'a-in inppr/Sdwl.k Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. S- . Sewer Framing -Bldg. PosttP.eam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meth. Date Requests.-A: , a —11`„/ — Times AM PH Address. !C /d C) y Permit 0: Bu i l der:-------_-- THE FOLLOWING CORRECTIONS \RE RSQUIREDs 7 Inspector: /� I Dai e s APP DISAPPP.om APPROVtD SUBJRC- TO ADM . 9 ( Y Call For Rainsp. i .7(SPECTION N7CICE City of Tigard Building Department 1�I� 13125 SO Rall Blvd_ Tigard, Oregon 97223 � 1 Inspection Line (Rec-O-Phone): 639-4175 Rusinese Phones 39-4171 Footing Plbg. Underslab !tech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation N -Plumb. P'.g. Underfloor Water Line Gyp. Bd. -Mech. nate Requeste'i:— 7 Time= AM - ,PM Address:—___1,`i7 Permit i:_ �i Builder:— ;62"L - -- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector, ___ Datet Z_- / APPROVED DISAPPROVED Y APPRoVRD SUBJECT TO ABOVE Call For Reinep. l INSPECTION NOTICE City of Tigard 131-ilding Departmeht! % P O. Box 23397f/t..i Tigard, Oregon 97223 Phone: 639-4175 ' ! lype e of Inspection _.-___- � c�1__�/Q'S,_ _ Date Requested '�_� // ime_— A P.M. Address Permit # Owner _ Lot Builder. ,— The following Building Code deficiencies are required to be corrected: Presented to Evpproved Inspector OlUpproved Date CALL FOR REINSPECTION C7 YF8 O NO RNA1W !_ Rel W i W-A-11-1 jAP6CTI0N NOTICF- city of Tigard Building Department: 13125 SN Ball Blvd. Tigard. oregon 97223 Inspection LLne (Rec-O-Phone): 639-4175 Business Phone: 639-41.11 inspection:_------­--- plbg. Underslab ech. Rough-in Appr/Sdwlk -- Footing Found. Plbg. Top Out Gas Lin � FINAL: Framing -Bldg. Poet/Beam Struct. San. Sewer Post/Ream Mect:. Rain Drain Insulation -Plumb. Plby. Underfloor Wetor Line Gyp. Bd. -Mech. Time: ��1U4 PN Date Requeeted: Addrean:, /`] (O _ Permit 1:_a__S1J1_ Builder THE FOII.OWI CTIONS ARE REQUIRED: _ VCS Inspectors ____ ------- Date= �pEpVEp 018AFFWVED APPROVED s"WICT TO ABOVE —ka11 For lleinep. INSPECTION NOTICE City of Tigard Building Department 13125 Sil Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businens P .n16'3'tt4171 Inspection: Footing Plbg. Unders'.ab Hoch. Rough-in Appr/Sdwlk Found. �Plbq. Top Out Gas Line FINAL: Post/Beam Struct. Ban. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Innulation -Plumb. Plbg. Underfloor water Line Gyp. Bd. -Hoch. Date Requoated: Timet �LAH PH Address: —,r, e-1 '� �r s __ � Permit ft r�- i rr 9 Huilder• / � Tom.+. `_ THE FOLLOWING CORRECTIONS ARE REQUIRED- Inspector: EQUIRED:tnspector•��� Dates APPROVED A DISAPPROVRD APPROVED SUBJECT TO ABOVE Call For Reinsp. INS PEC'r_ONNOT City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 635-41-,5 Business Phone: 539-4171 Inspection: _ — ------- --- Footing Plbg. Underelab Mech. Rough-in Appv/Sd41k Found. Plbg. Top Out Gas Line FINALt i Post/Beam Struct. San. Sewor Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -P 411 Plbg. Underfloor Water Line Gyp. Bd. 46och. Data Rekr.eeted s �!/ �✓d - C ----.__-----._T ime:Addreau: _AN PM Permit 1 /!a Builder:__ THE 'FOLLOWING CORRECTIONS ARE REQUIRED' Inspector:_��L APPROVED -DISAPPROVED APPROVED SUBJECT TO Awn Call For Reinep. U1ff-AW-M INSPECTION NOTICE City of Tigard Cuilding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 —` —� Type of Inspection —�— Date Requested------ /� _�s---- Time__ - A.M.-. �� P.M. AddressZ� d — Permit #.71�__�? Owner Lot # — BuilderThe following Building Code deficiencies are required to be corrected: /�1d � �� ,r ?� 1.`1"'7 Presented to __ _— �"pprnved Inspector -_ � Disapproved -/G Date. CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 839-4175 Type of Inspection --- Date Requested - 9d Tune A.M. P.M. Address _ l.5 d',� h __ Permit #1� Owner Lot # v Builder The following Building Code deficiencies are required to be corrected: - 1-7 r Presented to - - — •�App►oved Inspector _ ,____ ❑ Disapproved /C, '�'; Date - CALL FOR REINSPECTION' ❑ YEt ❑ NO 4F W INSPECTION NOTICE City of Tigard Building Department P.O. Box 22:197 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested �� �� Time .M. P.M. Address G _.. Permit Owner_..__-- Lot #t Builder f The following Building Code deficiencies are required to be corrected: /77 Presented to _ Approved Inspector Disapproved Date d� _ CALL FOR REINSPECTION ❑ YES (_] NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 l Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection P — Date Requested Time A.M. P.M. Address �� / [ Permit Owner. _ Lot # __ Builder ) The The following Building Code deficiencies are required to be corrected: Pre!Pnted to Approved Inspe.tor _� '�� � �____�. ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES Cl NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 839-4175 Type of Inspection Date Requested. "l� — Time__ A.M. P` P.M. Address Permit # Owner _T Lot # Builder The following Building Code deficiencies are required to be corrected: Presented toX Approved Inspector Disapproved ____ Date CALL FOR REINSPECTION YES 0 NO N NW FV�W -TXRS W, W CI7Y OF TIGA RD CITY IID MAS rE.R P E R M IT COMMUNITY DEVELOPMENT DEPARTMENT �wn F"EFINIT 0- 11ST90 0199 13 125 SW Hall Blvd. P.0 Box 23397,Tiglud,Oregon 97223(503)6394175 F'ERNIT 0, Irl ST90-0199 7.1 DAIL. ISSUED: 07/03/9 )-1T1-:! ADDRESS. 15i98 '3W 82ND AVE PARCEL: 2SI12C U D 1)1 V I 1 310 N. . . . L A 0 T R LE ZO1,,11NG.- C 1-C)(..K. . . . . . . . . . .. L UT', . . . . . » . . . . . . :53 ............... I-,A::J.13 S U E /GA DWELLING UMITSn '.13 EIASENENT. . . . . . . . (d 3 Sf (A ASS OF* WORK. .NEW BEDR111S-2 wriis- 1.2 GnRn(31:-- '740 5 S f TYPE OF USE. . . MSF FLOOR REOUI RED SE TY1'-`E OF CONST. 15N F1:RS 1'. 4 S f L E FT. . .52 ft RIGHT. -02 -f I-, 0 C'I C,'U P A N C Y 6 RP. *.R 3 SE(,OND. . . :0 1i-f FRONT. 34Y ft REAR. . : ft ST JR I E S. . . . . . . .. 1. THIRD. . . . .0 12 sf REQUIRED............- Ff L IGHT. . . 1E3 ft TOTAL .74 S f SMOKE DETECTORS. : I' l ()OR LOAD. . . . -.40 p f VOLUE-1. . . - 60240 1-"'A R K I N G S Fl A(,E S. . e ni a r l.".S- PLUMEIING ................ IN K S. . . . . . . . . .. ..2 FLOOR DRAINS. . .. . -0 DACKFLOW PREVNTRS. . .- V OTO R I E13. 2 1 WATER FIEATE'RG. . . - I TRAVIS. . . . . . . . . . . . . . I UP/SHOWERS. . . 11 LAUNDRY TRAYS. . . :i 0 0 ATC H BASINS. . , . . . . WATER CLUSETS- :0 SEWER LINE (ft) . .00 GREASE TRAPS. . . . . . . . 1)ISHWO'SHIH:RS.. . . . -. 10 WATER LINE ( ft) . -.0 0 OTHER F'ixTURES. . . . . .0 GARBAGE DISP. . . -.0 RAIN DRAIN (ft) . - 1.0 WOSIAING MACH. . . SF RAIN DRAINS. . - ME.CHAMICAL ....................... FEES UNIT HTRS). -0 type anioLklit by date r e c-,p t VENTS -.31 PAYM 100. 00 JLH 05/31/90 201271 NOX INPUT.-010F) D T U V E N*I' F A N 13. -.01. ri r:,RT $ ;31c,» 00 I URN < 100K . .. .0 140ODS. . . . . . ..0 D PL C $ 205. 40 F U R N )=-1.00K . .. .0 WOODSTOVES. . B51-'C- $ 1 15. 80 1-1 0 0 R F,1.)R N'. . . C:L.0 DRYERS. . 1 STDC: $ 600. 00 1401L./CMP < 31AP" OTHER LINITS: 1 SSDC 1i 250. 00 GAS OUTLETS-.2 PARK * 250. 00 Owrierc M P R T $ 136. 00 T 1 'r AN PR 0 V1 E RTI E S MPL.0 $ 9. 00 DOX 6835 M5PC $ 1. 80 117. 50 11 1.1 A OR 9*700 7 P5PC $ 5. 88 IIic)v)p N. 6456477 PAYM $ 250. 00 JLH 06/2E/q6 (,orltractcir.. PA Y 11 $ 145'/. 38 J I H 07101--lip-, I I ION FIROPE.RT I E S PO BOX 681*35 ALOHA OR 9'7007 11-lorie N. C6456477 J 807. 38 TOTAL This permit it issued subject to the regulations contained in the REOUIRED INSPECTIONS Tigard Municipal Code. State of Ore. Specialty Codes and all other VoOt/fOUrld Irisp Mechanical 1115p Applicable laws. All work will be done in accordance with approved Wtr Proafiriq 14sni PiLimb 'Top Ot.tt plans. This permit will expire if wore is not started within 189 Post/Beanl 11-isp F'raniiriq Irisp day: of issuance, or if work is sus�peded fo ore than 80 days. Crawl 1),I,A . i 11 Fireplace Insp Psin t 6 1.a b Gas L-014- .II-)S p PCa'('111itt0e P I ni t.t ri d e r s 1.a b i.ii Iiist,kiaticivi &ore t I 41a n PILM/Under f I oar Gyp Board li-isp F*triq Drain Bsml t Rairi draii-i J:114--p .............. ................. UA.1.1 Tor i.iispec.,ttars JAL 7-ITY OF' TIGARD RECEIPT OF rrivictrT F-,'['CETPT NO. 9 f)--21i)2 29 CHEC.*lt:' AMOUNT a 17-57. 36 11, ME z TVAN PROPEPTIES CASH AMOUNT PAYMENT DATE SUED 1:V 151 ON ALOHA. OP 15698 `SW 82NE PUR*POSE 13F N) MENT AMOUNT PAID PURPOSE OF P(4YMCTlT AMOUNT F."AID FTTfi7DfNL; FlE ,-M M13T 9 1:)— 1919 f)() PLUM01 NG FERM IIEC.HANICAL PE -36. ST. BUILD PER 27. 48 LAN CHECIh. FE 14. 4 C ',5TREET SEK VIARKS SN'll 25C). ()s,� tlit-10UNT RAID t 7. S A SEWER CONNECTION CITYOFTIGARD V)ERMIT cn RD I..,E:R MIT ##. . . . . . . s SIJR90---0214 COMMUNITY DEVELOPMENT DEPARTME11.7oReooN VoIRIM. FI1::RIT11T it. : MST91.9 0� 0. 9 13125 SW Hall Blvd. P.O.Box 23397,Tom,Orggon gF2 p°q)46 175 71 DATE" ISSUEDv 06/2t,./90 11 E: ADDRE.SS. SW 82ND AVE r.1 A R C E L-. 2 S 112 C C 1.EI.J.001 ::;LJf4I)IVJ.'Cj1ON-, - ., - * LANGTREL ZONING: LOI... . . . . . . . . . . . . ..53 I EH A N'T NAME. . . . . s LJ S)A N0. . . . . . . . . . :4:1685 FIXTURE UNITS. . . CLASS OF WORK. . . -NEW DWE'LLING UNITS. . -. 1 T'Y P'E OFF' USE:. . . . . s SF NO. OF BUILDINGS cl ENST01 L `fP'E. . . . :RUSWR IMP'ERV SURFACE'. . c. ssf ;,:e ni a r k -- c 'ITTAN P'RUPERTIES type 1.k ni(:)t.t ii t by date -r e c.,1-.)-t 1:,0 BOX 6835 F:IRVIT $ 1250. 00 I N S P, $ 35. 00 Gil 01-10 OR 97007 1"'AYM $ 1.285.00 JLH 06/28/90 H-ic)rie Oc 6456477 (.','01ATRACTOR NOT (IN FILE 1.)C)1.1 e #V 9 12 K.'). 00 TOTAL Rell REQUIRED JNSPIECTIONS This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 129 days from ............... the date issued. The total amount paid will be forfeited if the Melt expires. The Agency does not guarantee the Accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral, ............. ...... 1"e-rolittee ............................... I...-iscled By: CAIN f c)'r i"I si P e e t I a ri 6:39-••4175 Jam"-7 7/� S• 3/ "�/' CITY OF TIGA RD 4 � 57� 0 1,?q C ranaxRD FLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT `"�"� PLAN CHECK N 6 - ��,C'- 13125 S W.Hall Blvd-!`.0 Bu■7!397,TlgTnl,Oregon97m,(503)639 175 PERMIT N _ DATE ISSUED Y,JOB l 4tESS: < ?� ) � TAX MAP/LOT l SUB: . _�XLOT : __ _'� LAND USE: ALUAfION: — OWNER l SPECIAL NOTES NAME: REISSUE OF: ADDRESS; LAST REISSUE: _ FLOOD PLAIN/ - -�� SENSI1IVE LAND: APPROVALS REQUIRED CONTRACTOR PLANNING: _ NAME : ENGINEERING: ADDRESS: FIRE DEPT _! —� OTHER: PHONE: ITEMS REQUIRED BUILDERS BOARD N: __ EXP DATE LIST/SUBCONTRACTORS: BUS TAX: ARCh/ENGINEER CALCULATIONS: TRUSS DETAILS: ADDRESS: — OTHER: COMME-NTS: a SUBCONTRACTORS: PLUMB: _ CH: PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 1C•-432 00 Building Permit Fees 10-431 00 Plumbing Permit: Fees 10--431 01 Mechanical Permit Fees _ 10-230 01 State Building -fax (5%) Building Plumbing Mech 1%%-433 00 Plans Check Building Plumbing Mech _ _ 30-202 00 SaWO P Connection 30--444 00 Sewer Inspection 51--448 00 Street System Dev Charge (SDC) 52- 449 00 Parks System Dev Charge (PDC) _ 31 -450 00 Storm Drainage Syst Dev Chr•g (SSDC) _ 10--230 06 F ire _ y l TOTAL _ / � Lj _ --- ---- REr N APP ICAN SIGNATURE Received By: _-._. Date Received: cn/3587P/18P CITY OF TIGARD RECEIPT CIF= F.,AYMF*tl'f' RECEIPT No. : 90--2`012 CHECK AMOUNT 221 .CJO TITAN PROPERTIES C',,Al:N AMOUNT 0. Oo ('J4 J:t-:, PAYMENT PATE Ot-V311, 140 f SUBDIVISION- BEAVE,VJON, OR '7700-,-- I UV,FATA-'. 0F"' F"A Y ME N T L AMOUril P� I Ti F-IliPf"LISE 0fy F-A Y 11 ANDIRAT PAID FU-'&I CHF-Cf; FE '19R 1.:1 6*6 CHECK FE w5. 7 1F, 100.00 II TOI-' L. AMOUNT F-AID 2 1 0 Q C17YOF TIFARD �o►ncoW PLAN CHECK A COMMUNITY DEVELOPMENT DEPARTMENT "�"°"" / PLAN CIIEC 13125`S W Hall Blvd..P.O Box 23397,Tigard,Oregon 97223,(503)6394175 / PERMIT DATE ISS Y JOB .[ RESS: _ TAX MAP/LOT LAND _ / ��C. G 1g2100 SUB: _XE.01 : _ S� USE: VALUA_I TON: _� � OWNER � _ — SPECIAL NOTES NAME: _ REISSUE OF: ADDRESS: LAST REISSUE: — ~-- 'r� FLOOD PLAIN/ _ SENSITIVE LAND: ` PI LONE: -- Zi APPROVALS EQUIRED 1 CONTRACTOR _ ' ,, PLANNING NAME: - - — IRE GINEERIIIIG; _ ADDRESS: v V_ DEPT %T11ER:PHONE: MS RE UIRE6 BUILDERS BOARD #: _ _— EXP DAT LIS /SUBCONTRA TORS: — BUS AX: ARCH/ENGINEER CALCULATIONS: NAME :_ _ TRUSS DETAILS: _ ADDRESS: -- — —` — —+ OTHER: PI ION[ SUBCONTRACTORS: PLUMB: MECH: .. >`t T:2c� PERMIT ACCT M DESCRIPTION ' AMOUNT AMOUNT PD. BAL. DUE 10- 432 00 Building Permit Fees �.ov 10-431 00 Plumbing Permit Fees ` 10 431 01 Mechanical Permit Fees 10--230 01 State Building Tax (5%) r Building a Plumbing Mac - 10-433 00 Plans Check Fee p;t J Building _ 24, c1�" - Plumbing Mech - 0 ol01 30-202 00 Sewer, Co— nnection 0 I 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) 52-449 00 Parks System Dev Charge (PUC) 31-450 00 StO-m Drainage Syst Dev Chrg (SSDC) 10--230 05 Fire ` \ i � TOTAL RFC M !d 7:26 'S APP ,TCAN SIGNATURE Rareived By: _�� - - Dare Received: CITYOFTIGrARD CH Mow�w PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT % PLAN CHECK N 131S.W. 35 all Blvd., Bo.23397,1'igartl Oregon 97223,(50.7)6391175 PE RMI F N A !. a o DATE ISSUED � Q JOB IN KESS: I rJ u U TAX MAP/LOT - /•-2('G /-1/00 , SUB: ,�) - XL0 i : _ -- LAND USE: /VALUAFION: OWNER /� I ` �— �— SPECIAL NOTES NAME: _ _ REISSUE OF: _ ADDRESS: LAST REISSUE- 7 FLOOD PLAIN/ SENSII IVE LAND: PHONE: APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: M�_ _ ENGINEERING: ADDRESS: FIRE DEPT OTHER: PHONE. _ - ITEMS REQUIRED BUILDERS BOAP"i N: EXP DATE: (3s LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: _ NAME : TRUSS DETAILS: _ ADDRESS: OTHER: PHONE.: --- --- - -- _ CuMMENTS: SUBCONTRACTORS: PLUMB: �(L___ �. y/ MECH: PERMIT M ACCT Al DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10- 432 OO Building Permit Fees =�314 � f 10-431 00 Plumbing Permit Fees - )V 10-431 01 Mechanical Permit Fees v ' , u 3(0 - 10-230 01 State Building Tax (5%) Building $Ptll " t- Plumbing Mech 10--433 00 Plans Check Fee M2/ 4 0 7o Building � 4' q u �Z Plumbing l /� Mech `77", .1 ,tu/2 JO (1a2Acr 30---202 00 Sewer Connection 1 S 0 /L 30-444 00 Sewer Inspection J 51--448 00 Street System Dov Charge (SDC) ✓ 400 • u 52--449 00 Parks System Dev Charge (PDC) a 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) aSU 2 r "L I' 10-230 06 Fire TOTAL R[C M API-h CAN SIGNATURE 'S Received By: - - _ _--- - -- - ---- Date Received: cn/3587P/18P _ ■I i i i i i i i 1�5 3 GRADIN(;/EROSION CO,ITLZ L INFORMATION . GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.: cjltj�j PERMITNO.: I Am 7 APPLICANT NAME AND ADDRESS: EXCAVATION CON"IRAC'I'OR T17An1 PRC,) ' fl 1:ll� NAME& ADDRESS: Rox-� 13T OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT: c 1 1 PROPERTY DESCRIPTION: OWNER` E . _ STRFET A SS D CRO2 TEST TED GENERAL CON"IRAC'1UR: 4 . 1 `1 LuI EXCAVATION CON'1'RACTOR: ' (1 SITE/)013: LEGAL DESCRIPTION: 7.4 1!R/AFI'F7.R HOURS EMEi'GENCY TAX LOT NO.: Co ACiC PERSON,-4'IH.E,1.',E.EPIIONE: 1/4 SECTION: TCt� SHL:SIZE,ACRES: DISTURBEDIWOIRK AREA,ACRFS.— LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL HE TAKEN SIZE RUNQI-F DRAINS TO: (CIRCLE ONE) (NOTE:PERMITS MAY BI:RE"OUIRED) 1'CA'TCIf-BASIN D1TCEi PIPE CREEK (CIRCLE ONE) FgLMD PROPERTY CfiUHLIC RIGf1T OF WAY J.R05 O J EI)1MENTAT1QN CONTROL (ESC) MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DI IRING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRl1CTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUN011T CONTROL FACILITIES CLEARING AND GRADING RI S'IRIC'I IONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OIIIER 0'111 ER __--_"-----._--" PIAN FOR EROSION CONTROL PREPARED AND SUBMTED IN ACCORDANCE WITH"TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION 140TES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCIIEDULFISTAGING[-)R INS'1'AI.I.ATION AND REMOVAL OF EROSION CONTROL.MEASURES,AND APPLICABLE STANDARD NOTES. 1 HAVE RUAD AND WILL COMI'LY WITH THE ABOV` SND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TOCONTAINS .n MENTONTHECONSTRUCTIONSTTE. _fir OWNERS ATTIRE APPI.I A NATURE OFFICIAL USE ONLY. RECEIPT DATE 11:E NUMBER RECEIVED BY R v GiZADINGIFIt SION CON'rg0l, INFORMATION GENE-RAI.CONTRACTOR NAME& ADDRIISS: CASEFILE NO., PERMIT NO.: APPLICANT NAME AND ADDPESS: EXC'AVAT'ION('ONl'RAC'T'OR r11Apj_ PftuPZk NAME& ADDI'.ESS: - O DO '1 OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT: I " 1 PROPERTY DESCRIP'T'ION: OWNERS _ 1sl-REP'ADD �$iS AND CROSS STREET/L ORATED GENERAL CONTRACTOR: j' EXCAVATION CONTRACTOR: 11-2 (Z— - — S IT I:/1013: LEGAL DESCRIPTION: 24 tIF/AF-I LR HOURS EMERGENCY TAX LOT NO.: CO ACT P "ERSON, T'1'LE,'TELEPHONE: - 1/4 SECTION: C� E v SITZ.SIZE,ACRES: _ VHS' `j DISTURBED/WORK AREA,ACRES: LOCATION& ADDRESS WHERE SPOILS LEAVING SITE WILL BETAKEN SITE_.RQN FF CkAINS TO:(CIRCLE ONE) (NOTE.PERMITS MAY BI:RI:Ql11RI:1)) �A.jg BASIN DITCH PIPE CREEK (CIRCLE ONE) PajyAjL PROPERTY 01 5 ;C RIGHT OF WAY EROSION/ ES QJMENTATION CONIR01, ISO MEASUM MINIMI IM ESC RL'QUIREMFiNT'S MINIMUM ESC REQUIREMENTS DI JRING CONSTRUC ION: FOLLOWING CONSTRUCT10'is SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRIK'1'I0N ENTRANCE REMOVE AND RESTCRE TEMPORARY ESC PERIMETER RUNOIT CON'11t01. FACILITIES CLEARING AND GRADING RESTRIC'T'IONS CLEAN AND REMOVE ALL,SILT AND DEBRIS COVT:R I'RAC-FICES ENSURE OPERATION OF PERMANF Ft\CILITIES CONSTRUCTION SEQUENCE OTHER___ anwit Tilt PLAN FOR EROSION CONTROL PREPARED AND Sl1BMITTED IN ACCORDANCE WITH-TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCIIF.DULGSTAGING Foil,INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE:STANDARD NOTES. 1 HAVE READ AND WILL COMM Y WTI'il THI:ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SL•DIMENTON THE CONSTRUCTION SITE. _lOWNFR S1 ATTIRE A PPI It Allrj ,NATURE 01 1CIAL USE ONLY. RT C111'1' DATE ACCEPTED n.1. NI!WWII It RECEIVED BY