15213 SW 98TH AVENUE i
15213 SW 98th Ave _
w INN w N w w I-w I
CERTIFICATE OF
C'TY OF TIGA RDOCCUPANCY
CrIYOFTWARD) r,,F-R!vl
COMMUNrTY DEVELOPMENT DEP, RtMENT ollem IT #. . . . . . » MST90-0267
*
13126 SW HWI Blvd. P.O.8-M97,TlPld,Or-9-9W'J d194"7r' PATE IT)GUED. 915/30—/91 —
GjT'E ADDRES5. . . : 15213 SW 98TH AVE PARCEL9 2GIIICA- 10800
SUBDIVISION. . . . c TAMI PARK I tr ZONING:
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . ..
CLASS OF' WORK. :NEW
TYPE OF USE. . . :SF
OCCUPANCY GRP. cR3
n(-.'CHPANCY LOADiR2040
111'1-14161T NAME. - -
IIEL LEE
I t-,74C, 5 IIATTAN RD
1j;iE(3(3N C I r d OR 97045
'-;036312459
.15746 S HAT TAN RD
OREGON CITY OR 97045
Phone 4,j '5036312459
1aeu #. . . 10968
,lr:c.,upakllc,y of the above refereTIcecl btjij(jijjW it, jjFtv,4?t.)y given, dAnd c-ertifies
ti-1e compliarice with thp State Of nt-egon ")peuialty Codes For the gv(VAP,
--c-upancy, and 1,11je under, which the r#zferenced permit WAS issmed.
FIRE 0CPARTMENT BUILDING INSPECTOR
G }tt_I DING OFFICIAL
POST IN CONSPICUOUS PLACE
M
uPECTION NOTICF_ X
City of Tigard nu`ldfng Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspaction Line (Rec-O-O-) 639-4175 Business Phone: 639-4173
Ins )ection:
Footing Plbg. �nderelab Mech. Rough-in A r/5� Ik
Pound. Plbg. Tnp Out Gas Line FINAL:
Poet/Beam Strur_t. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb,
Plbq. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: [/
/ lei 7 j Tom; AM _PM
Addrens: I ^`" Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED! f
LIP
---%
--- in, '14 m. ':�xl
Inspector:
Datal�
y' APPROVtO D[SAPPROWD APPROVtD NUgj TO A2M
---Call For Reinnp.
�TNSPE.'TION N(YfICE
City of Tigard Buildfoq Depmrtoentf
13125 SK Ball Blvd Tigard, Oregon 97223 � -000,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL&
Post/Beam Struct. San. Sewfr Framing -Bldg.
Poet/Beam Mech. Rain Drain Inuulation -plumb.
Plbq. Underfloor JWater Line Gyp. Bd. -Mech.
Date Requested: aY"�!1 ��`� Time: AM PN
Address: �(J r�r Permit 1:
Ruilders
THE FOLUMING CORRECTIONS ARE REQUIRED:
A,h �r< < % o i!' �✓
-I -
Inspectors 0 to-
APPROVED DI3 PPROVID kPPROVRD nURJECT TO ABOVE
Call Ior Ralnep.
INSPE O,FI MOTICE
City of Tigard Building DeFarttannt
13125 Sit Ball Blvd. Tigard, Oregon 9' 223
Inspection Line (Rec-O-Phowe): 639-41.75 Business Phone: 639-4111
Footinq Plbg. Undere:ab Mech. P.,ugh-in ` Appr/Sdwlk,
Found. Plb,±. Top Out Vs Line FINALS
Post/seam Struct. San. Sewer Framing -Bldg.
Pout/Be&m Mech. Rain Drain insulation -Plumb.
Plbq. Underflocc Plater Line / Gyp. Bd. -Hoch.
Date Requentedt_ — `�� -�jl Timet _�AM 11A
_ ��.- 7
Address: 1,`��3_� _ Permit f:� _Lc!
Builder: � -1
THE FOLLOWING CORRECTIONS ARr RZQUIRED1
,V �
Inapecto�/re, ----____ --- Datet 'e__ GC /
APPROVZD nISAPPRomi APVROVF.D SUB.JRCT TO ABOVIP
Call For Reinnp.
rw
�NSPEC 19_q NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97723 �r
Inspection Line (Rec-O-phone): 639-4175 h:Uekne9E Phone: 6 4 1
Inspection:
Footing Pl.bo. Underelab Mach. Rough-.in 9 Appr/Sdwlk
Found. Plbg. Top out Uas Line
FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line / =8d
-Mach.
Date Requested: __i �/ - _Tom' A_-
AM��y PM
PC--A- rr ^-)
--�--- Permit G/ 7
Builder:
THE FOLLoW,b'G CORRICTIOMS An REQUIRED:
Inspector:
_ Patea�--'� TT_
APPROVED DISAPPROVRD APPROVt:n SUBJECT TO AEMM
Call For Relnep.
a�
1NSPgMICN NOTICE rr�
City or Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Buaineas Phone: 39-4171
Inspection:—
Footing
nspection: _—. —_ Footing Plbg. Undorelab Ne. .. Rough-in Appr/Sdwlk 1
Found. Pl.bg. '.Cop Oct Gas Line +INAi s
Post/Beam Strurt. San. Seder Framing B�dg•
pol /Beam Mech. Rain Drain insulation .) -Pitunb•
Plbg. Underfloor Water Line Gyp. Bd. -Neoh.
/1�Z L��; Time: _ AM PM
'gate Pequeeted: _
� —,-- '
I / / �— — — Permit.
Address:� ` .
TIM FOLLOWING CORRECTIONS ARE RICQUIRED:
3
y
;r.
In:alector:—_— __ Dacs-/ 1- --L.L---
y APPROVED DISAPPROVED APPROVED 6UDJRCT To ABOVE
T cell For aeinsp.
INSPECTION NO'TfICE
City of Tigard Building Departme-f
13125 IM %%II Blvd. Tigard, Oregon 97223
-nupe.:tion Line (Ree-O-Phone): 639-4175 Business Phone: 6;9-4171
Inspection:_
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sevar Framing -Bldg.
Poet/Beam Mech. Rain Drair Insulation -Plumb.
Plbg. Underfloor )Nates Lina Gyp. ed. -Mesh.
Date RequeetadsI /l �/U Times _ AM PM
�
Address:L Z elf"' Wirmit 1s
Huildnrs__t' ll' �l 1'-Yc� [f� - �Ll l
THE FOLL0WIMG CORRECTIOMs ARE RRQUIREDs
ljo
I��/— r Date s L�7_
OVED DIZP'107D� APnROVEU SURJECT TO ABOVEall For Relnep.
R
INS?BGTION_NOTIrE �� I
City of Tigard Build;ng Department �
!3125 SN Hall Bled. Tigard. Oregon 97223
In pection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
InrpectLon:
__��__..--_ _ _---
Footin4 Plbq. Under/lab nisch. Rough-in Appr./Sdwlk
Found. Plbq. Tc,-,- Out Cas Lina FINAL:
Poet/Beam Strict. San. Sewer Framing -Bldg.
Poet/Beam b"ch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Mech.
Date Reg.aeeted: 1� �/ 7 Q Time: �AM PM
Address:- Permit is(�F 7
Builder: �., rL i - ------ -----THE FOLLOWING rJORRECTIONS ARE RRQ ,'XD:
�1 aQ #1 �., 'wry/r s
Inspector S Dates j
APPROVED nlBAPPROVRD JIPPROVBD RURJRCT TO ABOVR
-�•n
--
Call For Reinup.
r
A.
IIfsPBC TjOt NGTICE
City of Tigard Building Departime*•t
1312 SN Ball Blvd. Tigard, Oreqon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Pltr . underelab Mech. .ough-in Appr/Sdwlk
Found. Plbq. Top Out Gau Line FINAL:
Poet/Beam Strutt. San. Bawer Frnming -Bldg.
Poet/Beam Mach. (lain Drain Insulation -Plumb.
Plbg. Underfloor 'Nater /Line Gyp. Bd. -Mach.
DLte Requested: L-� -�1 Timet ,t AMS PM
AdOreas:_ �5�� ( �J �s c Permit /: //Y Zl- ,i 7
Builder: OwAwZ
THE FOLLOWING COR=CTI ARE REQUIRED:
1 neEwct_nr/� Date:/!
APPROVED DISAPPROVED APPROVRD SIIRJECT Ttl ABM
Call For Rol nsp.
�r w w w w w w i■r
INS^ECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigw.,d, Oregon 9722
Inspection Line (Rec-O-I$ione): 639-4175 Rusinens Phonet 9-41
Inspection:_ ✓' �__ __�
Footing P1 Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Stru=t. San. Sewer- Framing -Bldg.
Post/Beam Hoch. Rain Drain insulntion -Plumb.
Plbg. Underfloor ))Nater Line 17yp. Ed. -Mach.
Date Requested: /.r< �1 Time: _X�._AK PH
AddresP: f f� Permit #t
Builder• _
THE FOLLOWINZ CORRECTIONS :JM REQUIRED:
t
7
InspectorsDate:_ !� Z)
APPROVED DISAPPROVED APPROVED SUBJECT TO 11E0VE
Call For Reinep.
W�Ww
INSPECTION I;OTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
i
Phone: 839-4175
Type of Inspection �i^P� /f --- ,–�/ T� .
Date Requested �l/�7 'Q �G/ T.ne _.A.M. P.M.
Address /.'� � " �-� Permit
Owner . Lot #
Builder �_ .C� J !3w F.–
The following Building Code deficiencies are required t3 be corrected:
Presented to Approved
Inspector Oil ( � Disapproved
Date -
4 CALL FOR REINSPECTION
[-] YES [A NO
IRi !• WININ
INSPECTION NOTICE
City of Tigard Building Department
F.O. Box 23397
Tigard. Oregon 97223
Phone: 639-4175 !�
Type of Inspection f vi—
Data Requestedy �Q Time _ A.M. P.M.
Address .__ Permit
1
Ownnr Lot #_
i
Builder
The following Building Code deficiencies are required to be corrected:
Presented to �'I`}—Approved
Inspector --_ _-_ ❑ Oher+plOwd
Date - - —
CALL FOR REINSPECTION
0 YES ❑ NO
i
WIRMEK
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
r
Type of Inspection
Cate Requested Time________ A,M,_ P.M.
Address Permit
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
i
-
Presented to
-- _ Fr Approved--
Inspector
—- --. ❑ Diapp►owd
Date
CALL FOR REINSPECTION
P YES ❑ NO
WM
I
INSPECTION NOTICE 1
City of Tigard Building Department
P.O Box 13397
Tigard Oregon 97223
Phone 639-4175
Type of Inspection —_—
Date Requestrsd Time_i:: A.M. P.M.
Address i�5 ��— __ LL.._�r Permit
Owner --_ ----- Lot #
BuilderThe following Building Code deficiencies are required to be co acted:
42 A
Presented to Approved
Inspector Disapproved
Date —
CALL FOR REINSPhCTION
E_] YES 0 NO
11AST'ER F)ERMIT r/
C11YOFTIGARDPERMIJ ti. . . . . . . a 11ST 90-•01'8'7
COMMUNITY DEVELOPMENT DEPARTMENT
CMOFTWARD PRIM. PERMIT 44. a i'IST90••-k1287
13125 SW Melt Blvd. P.O.Box;,3397, 031
33g7,TkpM,Oregon 97M(5829.4175 = DATE ISSUED: 09/11/90
�3I1 - ADDRESS. ,. . u 1 +213 SW SW 98T'H AVL: F'f1FoCE.I_a i'S11 :LC:A- :LC�I'�C%1F3
SUBDIVISION. . . .: i AMI f="ARK I..Cllr I[-,IG
BI._(:ICK. . . . . . . . . . .. LOT. . . . . . .. .. ., . . . . : 15
_._....._. ._.._.__...__._...._._.._.._._...____._._ __.._._..___. BUII...DING - ..._._._
REISSUE: DWELLING UNITsai r:rASEIIENT. . . . . . . . a0 sf
C:I..ASS OF WORK. :NEW DEDRMS:3 BATHS a 3 GARAGE » „ . . . . . . . ;4i?0 s f
TYPE OF USE:. . . aSF F"LOOK REQUIRED
TYPE: OF' CONST. g5N F"IRST. . . » : 1.0713 s4 LEFT .. . :5 ft RIGHT. aFP ft
OCCUPANCY GRP. a R3 SECOND. . . a 9 74 s f F*FONT.. a 20 -ft REAR. . a 25 ft
F.-VTORIE1:i. . . . . . . ..r THIRD. . . . -0 ssf REQU:CRI:T.D... __._._._.__ .__._____...._..._._._..
F•IE:IGHT. . . . . . . . a c 0 ft TOTAL•-•-••---....-•.--- :r 0 5 2 !:s SMOKE: DETECTORS. a Y
F'L..00R LOAD,, .. . . :400psf VAL.UE. . . . . 1h 101.` 5 PARK ING 51='AC:ES. . a0
lyb?111r.1'rF'.5"
__._.._.._._..._.___.._._._.___.._.___..._. .._._._.._._............._...._ PLUMBING
S:INKG). . . . . . . . . .. . 1. 1-1.(:0R DR01NS. . . . -.0 EIACKFI.-OW PREVNTRS. .. a0
LAVATORIES— . . . --5 WP'TE:R HEAT'F_RS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
a;.i I._AUNDRY TRAYS. . . a0 CATCH BA'SINS. . . . . . . 90
WOTER (:.LOSETS. . r,3 SEWER LINE (ft) . a0 GREASE TRAPS. . . . . . . a0
I)1'.SHWASWE:RS. . . . .. I WATI. R I...INE ( ft) . : 100 0T1IER FIXTURES. . . . . 00
(:3ARBAGE DISP. . . ai RAIN DRAIN (ft) . a0
WASHINC.3 MACH . . . a 1. E34' RAIN DRAINS. . a :1.
_,...__._._....._..__ . I*IEUHANIC:AL ........._......_._.._.._......_._.._._.._ _._.. _........ - _ F'E:Efi .._ ._.__.... _............._..__..
UNIT I•ITR13. . :0 type amoL(lit by date rec,lit
/GAS/ ! / VENTS » . . . .. -.0 PAY11 $ 100. 00 :JL.H 08/20/90 203880
MAX INPUTaO BTU VENT F'ANS. . :4 DPRT $ 438. 00 / l
F'URN < 1.00K . . a 0 F ODDS. . . . . . : 1 BPLC $ 284. 70 /
F'URN )`:100K . . a 1 WUODS TOVEG. :0 p5F,C $ 21. 90 /
F'I._OOR FURN. . . . a0 CLU DRYERS. a I STDC $ 600. 00
BOJ:I_/CMP < 31-•IP a O OTHER IJN I'TS a 0 913DC $ 3 75. 00 !
GAS OUT LET S a 1 T,ARK $ 250. 00
Owr1e•r,x _._.........._•__-._.._.._._........._......_.._...............__........._......_._._. ._.. MPRT $ 40. 50 i
11 EL I._EE MPL.(; $ 1.0. 1:3
157 4 6 1S I•IAT'TAN RD 115PC: $ 2..03 /
PPRT $ 155. 00 / !
OREGON CITY OR 97045 1-'5I'1,' 1. 15 / !
Phone Na 5036312459 PnYM i:'08!5. N1. ;JL..H 09/09/90
(',ont•rac-tor• -- _.__....__._..__.. .__._._.-_........_.._._._.._.___
I'IEL LEE
115746 G Hfa'T'TAN RD
nRE(:3ON CITY OR 97045
1�:,h cln e H a 50::36.512459
Req #. . 1 10968
$ c 1.85. 01. TOTAL.
This permit is issued subject to the regulations contained in the --- - --- REQUIRED INSPE:CJIONS - -- - --
Tigard Municipal Code, $tate of Ore, Spec.alty Codes and all other Foot/found Insp Mechanical Insp
applicable lams. All Mork will be acre in accordance with approved Wtr Proofing Bssm Plumb Trap Clc.ct
plans. This permit will expire if worF is not started within 10 Past/Beapi Struat F'ran►ing Insp
days of issuance, or if Mork as suspended for snore than IM days. Post/Beam Mecham Fireplace Insp
(:trawl Drain Gams Line 7r1sp
fermi ttee Si.gnal':►ir +: lrti .__.. ,�, 4 .. ... Pim/undsslab Insp T11SUIat::i.On l:n p
PL.M/Under f 1 oar Gyp Board Insp
Issued ByeF'tng Drain Bsm' t Rain drain ]:lisp
Cal.1. fele inspection -- 639-4175
SEWL'k C.UNNECHON
P 1-::.'R 11 IT'
CITYOFTIGARD RD r IT11 1 4" SWR90--.OJ44
COMMUNITY DEVELOPMENT DEPARTMENT r.
JR111. Pri.-Rill'T
13126 SIN HWI BW. P-0,Box 23397,Tgeud,ON90n 9='(W3Y6iIW4t76 DATE ISSUED: 09/11/90
SIJE ODDRLP'.GS— . - 1.521-3 13W SW OW: PARCEL: rr^.S111( A '10(300
OWTVISION. . .. . . 'TANI PARK ZONING.
L'fl..0 C K. . . . . . .. .. L.O'T.. . . . . .. . . . . .. .
USA HO. « » .423*77 1"1 X'I'L I R L.' UNITS. .
. -.
CL.ASS OF WORK, Nr::W 1)W E L.L I N C UNIT, 1
PUTLDINGS. 1
'TYPE:: OF:' USE. — ., .- .SF No. OF"
1,1131141 L. 1*Y PE. . 13 U>W R S(.JRF()CT.*. . n nsf
TEES
IIEL LEE' type a ni 0 U 11 t by date -reept
V,--j7A'-') 6 WIT—TON RD P R M'T' $ 1500. 00
INSP $ 35. 00
OREGON CITY OR `x'704" G>AY11 $1 1,';:35. 00 JL.H 09/09/90
1:11-iorie 0., 50363124r.59
( ON'TRAC'MR NOT' ON FILE
T�'lyctne tin 9; 1'x;3;`,. 00
R e a 14.
REOUTRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer IriviDecticj)i
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 accuracy of the
side sewer lateral,;. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance liven. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Aceicy will install a lateral.
ni:1 t t e e G j.q I I a t e .......
I
<:;.::1.1e(1 B X
639-41*75
C',YTY OF TIGARD RECI.'.IF"T Or-' PAYMENT PECEIPT NO.
NAME- L.EE. MEL. CHECK AMOUNT' (,Q
ADDRESS CASH AMOUNT 17).(-,)o
PAYMENT DOTE (09/11/9C)
ORE00N C."I OR 97045- SUBDIVISION
FUPr'OSE OF PAYMENT t)Pln(,INT PAID PURP09E OF: PAYMENT' AMOUNT PAID
BUH-DING PERM M,9T9CI-028-7 478. 00 FLAIMBING PERM 155.00
Mr-THANICAL PE 40. 5C) ST . IBUTIJ) PER 31 .60
PL.i)N CHECK FE 194. E33 SEWER USA 1500.00
Sf'Wr--P INGPECT 33.00 STREET' SDC 600.00
PARKS SDC 1,9250.00 STORM Df-";ATN SDC "75.00
1521:.:� SW 98'TH AVE
TOTAL AMOUNT PAID ... ... 3620.01
pff
CITE` OF TKA RD r,131'25&W.Hafl Btwl
�a�,M3 Pix/� #
(503)639.4171 PER3KIT
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED
n
Jos ADDRESS: 'I S Z/ � s.� 7 f� - TAX MAP/LM � a,/ ~1/ C� -le)J'00'
SUES: — i e( kc, _ LC7r: LAND TISE:
VA11WI'ION:
OWNER SPFCTAL_NOTES
NAME: �� C t' - REISSUE OF: —
ADDRESS: L 5 NNiri 1) IA.Sr R : _
�-- — — FLOOD PLAIN/
_
SENSITIVE Y.AND:
APPROVALS RjMJ1RED_
NAW:V_- L- t .t J. ti — . --
ADDRESS: FIRE DEPT
OnIER:
Arm: _ _ FrEKS RDC�LTIR�
BUILDERS BAND #: EKP DATE: _�t,( �. . r LLSr/ .
—T ESUS TAX:
ARCN/FNGINEFIt CAIfXff- CtLS:
NAME: .—_ T _ 114TSS DETALTS: -
AD[X2E1,S: onm:
PRONE: - - — - --
PERMIT # ACCT ` DFS(RIPrION U(,j-71 D AMOUNT AM UNr PD. SAL. DUE
10-432 00 Building Permit Fees - � �'� ,"
10-431 00 Plumbing Permit Fees 5 5- 6
10-431 Ol WxAkmical. Permit Fees 4lu 52� u s U
10-230 01 State Building Tax (51)
Building ;[ 0 "
Plumbing
Medi w,,c, 3 _
10--433 00 Plans (lxrk Fee aN 93 _
Building ;2 yq 7 0
Plumbing
Mete
,P d -0,34 Y 30-202 00 Sewer (txviection ev
30-444 00 Sewer Inspection � _ -?.s-
51-448 00 Stmt System Dev Charge ;SEX:) cTG� _ C-o
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chug (5.14)C)
10-230 OG Fire!
TOTAL
Al".ICA14T SI(m"JR13 - -
Received By: /�- Date Received: � YG
of/3587P.WF'F - 7 —
_-- __
A
WWI
GRADING/EROSION CONTROL, INFORMATION
GMRAI_CON1R/ETOR NAME&ADDRESS: CASEFILE NO.:
GMRAI-
NO.:
t _ APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR —
NA 'c4� ADDRES ,G
--- —
'1, AD �~2� '4G2rc
OWNER NAME AND ADDRESS:
TELEPHONE NUMBERS: --
APPLICANT: _ PROPERTY DESCRIPTION:
OWNER- _ _ STREET ADDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:
EXCAVATION CONTRACTOR: �5
SI'I'E/JOB: _ _
LEGAL,DESCRIPTION:
2414WAF-MR HOURS EMERGENCY TAX LOT NO.: —
CONTACT PERSON,TITLE,'IEI.EPHONE: 1/4 SECTION:
SITE SIZE,ACRES:
DISTURBED/WORK AREA,ACRES!
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:PE7RMITS MAY BE REQUIRED) CATCH-BASRV Dri cii PIPE CREEK
�— (CIRCLE�ONE) PRIVATE PROPERTY
PUBLIC RIGHT OF WAY
aOSION/SEDIMENTATION CONTROL (ESQ 1 MPSUMS
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
';1JRING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTIiER
OTHER
PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED M ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK".
FROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUC"11ON NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULFISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
1 HAVE READ AND WII!COMPLY WITH THE ABOVE..AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
C TO CONTAIN SEDIMENT ON THE CONSTRUCTION Sfl'E.
OWNER SIGNAn'RE APPLICANT SIGNATURE
0I11CIAL USE ONLY.
RECEIPT DATE ACCEPTED
FEE NUMBER RECEIVED BY
UUUU UUUU
:ITY Of.. TIGARD RECEIPT OF PAYMENT r.,,ECEIPT NO.
Cl,AEC+' AMOUNT
—' EE. MEL.. C-'AG1-4 AMOUNT
r..U,P E SS F."AYMENr DATE".
SuPD I ,,,I S I circ
TAM I PARk:
i'l-IRPOSE OF: PAYMENT AMOUNT PAID PURPOSE OF f:'AYMENT AMOUNT x'441 L)
I'l- AN CHEC1% FE: R-4i)P
1.5,217 SW ';OTH W,,E L.OT 15
101AL AMOUNT PAID
x12 Pitch Order, Est., Uel,Date: _._,. Noa•
O. h PI r Det. City 11-5 1ljGnl
Top Chord Directions:
Bottom Chord
19� O/C Spacing
Bearing Size
_ 11Ai PSF Total Load
P�►EC:�sr' ! � � TRUSSES, INC.
j 11SLO S. E. Jennifer Street
ClackarT as, Oregon 57015
38 9' Tcle one: 656.2983
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