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CITY MJF TIGA,RD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13 125 SW Hall Blvd.Tigard,0,agan 97223*8199 (503)639-4171 OCCUPANCY
PERMIT #k. . . . . . . : MST94 0 J Lo
[-,39--4171 DATE' ISSUED: 11 /28/94
PARCEL: c2S I I I B(,",' -01900
TE ADDRESS. 14 7535 SW I 00-T I.-I AVE
SUBDIVISION. . TIGART.)VIL.L.E HEIGHTS Z ON I NG:R-- 3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ::.',O
U-1-ASS OF WORK. .NEW
I Y P E OF' U G E-. . . :f:)'F
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:221 4
TT_Nl)NT NAMR. . . -
Remiiw-k� x PATH I
Owner,:
MIND'-' WILDER
16204 5W 104TN AV'..-
TIGARD OR 97224
PhOTIF 0: 604-2787
WILDER DEVELOPMENT CO
16204 SW 104TH AVE
I I CARD OR 97224
Phone ## 648--2787
q 4. . : 76136'A
cl..tparicy of the above r-eferenced building is hereby qiven, and rev-tifies,
(a compliar.-_,e with the State Of Oregon "ipecialty Codes foo- the group,
rulppmricy, and use under which tho r-efei-encecl permit was issued.
I-DII'46 I ' PECT611
BLI __64— "IAL
POST IN CON aFP ICUOUS P1 ACE
APPLICATION - STREET IMPROVEMENVEXCAVATION `S7te� COPY TO:
% A (WHITE)-FILE
ORDINANCE NO. 74-i4 j `��
� X (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) In/IT�/ (PINK)-OTHER AGENCY bldg
-� (BLUE)-APPLICANT
APPROVE? -- APPLICATION NO.: 49 7
NOT APPROVED ❑ CIIY OI' ACARID OREGON FEE AMT.: _ 13-00
PENDING FEE. PMT. ❑ CI TY ILALL REC��,1,PT, NO.:
PENO!NGSECURITY ❑ PUBLIC WORKS DEPARTMENT BY _�7,V1=- - DATE..
C
PENDING AGENCY "OK" ❑ Application and 1'ro -
Kless Record JJ �((
MA'N rENANCE BOND
PENDING INFORM)kTION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE(Jul
RED ---
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: /
PERMIT NO.: DATE ISSIJFD: I ) —�.`(. 1-1- By, -
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND I1,F90AU ldIL 'N
APPROACH 4 AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
780-0774
APPLICANT _WildeC DeVeICIPIlML Co. 16204 :inn LAth AVIS Tigard, OR 97224
NAME ADDRESS CITY PHONE
CONTRACTOR - SAME — _
NAME ADDRESS CITY -� PHONE'
PLANS 13Y Per City Standards Bred Sta_ ndarda _ _ _
NAME _ ADDRESS �- CITY ►NONE
ESTIMATED IMPROVEMENTTOTAL VALUATION ( COST): $ _325.00
DOLLARS
FOR OFFICE CMIN,
(2) EXCAVATION DATA: 0.04 X S_ •00 _='13.40
STREET _ DESCRIPTION PROGRESS & INSPEC-ION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM TATE REMARKS/TYPE [lY
TYPE LENGTH WIDTH DEPTH ITCM & QUANTITY
STREET
OPENED
S.W. 1UOth WE ,tue attachcd - INSP
_ R TION
E --
Q
—
ESTIMATED STREET OPENING DATE: E S
ESTIMATED STREET CLOSING LATt.: _ _ Lg
I3) SECURITY NO. ._ SECURITY AMT.: $ 325'00 ST REET
--- -- uLOSED
SURETY CO.: _ FINAL —
b lLT7{/f�CHECK CASH ❑ MOND INSP_C.
(4) PLOT PLAN: INDICATE SITE PERT.NE T PH•,SICAL SPECIAL PROVISIONS / CONDITIONS
FEATURES; EXCAVATION LOCPTION AND EXTENT.
I ► z4CURB
-
in - -
S.W. 100th AVENUE -----
L7
i ^work area--A ' —_.—__--- --
SITE' 14535 SW 100thAV I
(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 OREGr_A.
TME APPLICANT AGREES TO DEP031T THE REQUIRED SECURITIES, 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 FROk APPLICANTS ACTIONS,
y % /
APPLICANTS SIGNATURE DATE _- �� -'3(') /
Special CondItlons/ProvisIons:
1. All work shall conform to City of Tigard. Oregon, Standards and Specifications.
Note the attached Detail Drawings.
2. , Notify City Inspector l.etha Thomas (#639-4171) 24 hours before starting any work.
3. Access-to and r,gress-from parcels of land adjacent io the work area shall be
maintained at all times. Traffic and Pedestrian safety shall be provided for by the
contractor at ali times.
4. Remova!,'replacement,,vork and damage repair work shall be p-omptly initiated and
complcied L'o the City's satisfaction. No work shall b,, considered complete until
it ;s accepted by the City. The City reserves the rig:it io 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 (pro-notification for location of underground facilities,
etc.).
7.
It is the sole responsibility of the permit holder to
provide for proper right-of-entry and/or easements
prior to starting work . Proof of right -of-entry or
properly executed easements, shall be provided to +he
City . The City shall in no way be construed to be
liable for the permit holders failure to obta:n or
provide fo:_ proof of right-of-entry or. easements .
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INSPECTION NOTICE
City of Tigard Bulldimq Department
13125 M Hall Blvd. Tigard, Oregon ■17223
Inopection Line (Rec-O-Phone): 639-4175 eusinesa Phoue: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Gdwlk
Found. Plbg. Top Out Gas Line FINAL:
I
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain IneuIatI -Plumb.
Plbg. (snderfloor Water Line �y Gyp. Bd. -Mach..
[late Requested: M-3// � Timet AM ZLPM
A0dre99:J�=� �C-J(� Permit #:— �U
Builder:__ M-) J / 4
THE FOLLOWING CORRECTIONS A" REQUIRED:
-- eft
ai
O]
w
J
Inspector: n:a
Dates ��
__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
/Call For Reinap.
INSPECTION NOTICE /
City of Tigard Huf1ding department /
13125 SM U&I.1 alvd. T.Vgarc '>-egon 97223
Inspection Line (Rec-O-Prone): 639•.4175 Business Phone: -8171
Inalaction: ___
Footing Plbg. Underniab Mach. Rouqh-in Appr/Sdw1k
Found. Gap Line FINAL:
Post/Beam Struct. San, Sewer Framing -Bldg.
Post/Beam Rech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water. L!'nn )� Gyp. Bd. -Hoch.
_ 1 i_ -� t _.
Date Requested: f ��jL` TimA: AM / PN
Addreee: [//�' /'` 'L Permit f:_2G ___c
Builder:— --�-----i,__—_--
TBE FOLLOWING CORRECTIONS ARE REQU?RED:
R
cn
CO
111
J
Inspector: 1— _-_ Date:Jz Z
APPROVED DISAPPROVED — APPROVED SUB.7EC71' To ABOVE
Cell
For Reinnp.
INSPECTI:.N NOTICE
City of Tigard Buildi-9 Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection LLrtp (Rec-O-P one): 9-4175 Business Phone: 639-4171
Inspection:
Tooting Plbg. UnderelabRough- Appr/Sdwlk
round. Plbg. Top Out sae Line FINAL:
Foot/Beam Struct. San. Sewer ramiri -Bldg.
Dost/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: Timet AM PM
Addrsear
7 � _._ Permit �t��Y-T�,7
Buildar:
TTild FOLLOWING CORRECTIONS ARE REQUIRwD:
V)
w
LL:
J -- - - -
C�� 1
inspector: Date:_
A ROVED DISAPPR D APPROVEn SUEORM TO ABOVE
Call Por Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busineus Phone 39-4171
I lepection:_ — _ ---
Footing Plbg. Underslab 4;zR2� Appr/Sdwlk
Found. Plbg. Tol, Out Gas Line FINAL:
Poet/Beam Struct. San. Sewerraining -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: _- Times AM _4_PM
Address:_1 7S/ i( / % �I ermit /:�LU��
Builder: (7 `--F— ------_.—� —
THE FOLLOWING cORREcrIONS ARE REQUIRED:
Inepectors / Dates
- PPROVED _ T DISAPPROVED APPROVED SURj?rT To ABOVE
`_Gail Fas Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ba21 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Pions): 639-4175 Bueinee® Phone: 639-4171
Inspections
Footing Plbg. Underalab Mech. Rough-in --App"pr%Sdwlk j
Found. Plbg. Top cut Gan Line F?NAL:
Poet/seam Struct. San. Sewer Framing -Iidg.
Pont/Beam Meth. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water Line /JG/T Gyp. Bd. -Mech.
r
Date Requnetels l ZS/ / TimesAM � PM
Address-_z L;� >4*x4�e� /TG/C- Permit : Cl?
Builders /7U O
THE FOLLIMING CORRECTIONS ARE REQUIRED:
,S-Tlgz 0/16/1 Wei- CMAI 1T— 15 —
10 C'L r96
i
_ I
r.L
H-
cn
m
Inspectors. ` r _ Dates�1` / 7-
APPROVED Y DISAPPROVhD APPROVED AVR"CT TO ABOV3
—t^ AY—Call For Reinsp.
T SPECTION NOTICE
+ C:_tp of Tigard Building Department
13125 sw (tall Blvd. Tigard, Oregon J722
Inspection Line (Rec-O-Phone): 639-4175 Business Ph n 3 4173
Inspection: _ _ _
Footing Flbg. Underslab Hach. Rough-in Ap,ir/Sdwlk
Found. Plbg. Top Out Gas Line �IN
Poet/Beam Struct. San. Sewer Framing
Poet/Brasil Mech. Rair Drain Insulation -Plumb.'
Plbg. Underfloor water Line Gyp. Bd. 'lp.�Q�
7
nate Requested:_ I )� �1�/"/� Times x P; —PH
/,
Addreee:l—!J 3-5 ` ' v '�-� Permit is
Builders )_�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ��/ O - -- — Dates
ROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
__—Call For Reinap.
INSPECTION NQTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 634-4175 Business "hone: - 1
Inspection'
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg, Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing --Bldg.
Post:/Beam Mech. Rain brain Innssuul--a-tion -Plumb.
Plbg. Underfloor WZtr Line Gyp. 8d� -Mach.
GSI
Date Requested:_ /� hh Timet —4—AmPH
Addrovs: 7 �C.'G' t - Permit y- 41
-7(� �0
Builder: 0
THP: FOLLOWING CORRECTIONS ARE REQUIRP.D:
CY
U1 - - -----
J
rr _
co
LO
111
Inspector: _ Date:
—� ROVtD DISAPP"OVED "PROVEO SUBJECT TO Ago*
_Call For Reinep.
INSPECTION NOTICE
City of Tigard Buildlmq Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 634-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Pibi. Top Out Gas Line FINAL:
Post/Beam S`ruct. Stn. Sewer Framinq -Bldg.
Post/Beam Me F.. Rain Drain
Ins-Iatlo'"c -Plumb.
Plbg. Underfloor Water Line Gyp Bd. -Mech.
Date Requested: vv -_Times AM �PH
/
Addreae: l7) /l ��_ Pern:c
Ru i I de r sTHE FOLLOWING OORRECTIONS ARE REQUIRED:
Z tl �tvo��
Ile
67
-,
10,
Inspecto
APPROVRD _ V DISAPPROVED APPROVED SUBj777"'rTTO-`A13OVVE—
�� Call For Reinsp.
INSPECTION NOTICE %
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard. Oregon 9722)
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Top Out Gas Line FINAL:
post/seam StruCt.`- ' San. Sewer Framing -Bldg.
-�
<Post/seam Meth. Rain Drain Insulation \ Plumb.
Plbg. Underfloor Water Line �j / Gyp. Bd. �tf ech.
Date Requested: / / �/ V_AN _ PM
Addr one:
v ve. PdrMit 1.
5 `7 y
`'t
fluI Iders em _ / O().- 7�L`
TYfF. FOLLOWING CORRECTIONS ARE REQUIRED:
OL
l/7 -
y
J
r-.
r.
0
Lt/
Inspector:- AA
—�Q--
_PROVED DISAPPROVED APPROVED SUBJRCT TO ABOVR
Il _Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Departaeat
39125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINAL:
•t/Beam Strua~ San. Sew-r Framinq -Bldg.
(Pont/Beam Mesh Rain Drain Insulation -Plumb.
Plbg. Underfloor Water LinoG (� Gyp. Bd. -Mech.
Date Requested: R(t �rc77�hh /' % y�n1 T//Lmess AM/� Ip'�-lPK
�yP�DrMa/ ,__L_L
Builder:
THF FOLLOWING CORRECTIONS ARE REQUIRED: \/
IL
3,._SL r' < G✓ Q. mac, ��/'
F--
C) ��
LL) � -
QL
inspectors ./ Date:.. "2--1 —1S 4
APPROVED TI/SAPPROVED APPROVED S1IRJECT TO ABOVE
l _ all For Reinsp.
.., INSPECTION NOTICE `—
City of. Tigard Building Department
13125 &1 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: -- —_ ---
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
pont/Ream Mech. Rain Drain Insulation -Plnmb.
Plbg. Underfloor water Line Gyp. Bd. -Rech.
'z C� -C 0
Date Requested:__ ` —Time: /_ AM !'CPN
Address:O� ` U s I o � Permit #:A'A .`
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED: '� 6
Co
Inspector: UA -._. Date: 4
APPROVED %,bISAPPRO76D APPROVED SUBJErT TO ABOVE
�` Cell For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41755 Business
'Phone: 639-4171
Inspection: 1��� � l �jJl • i )a
Footing `—Plbg. Under.1 Hoch. Rough-in APP r/Sdwlk
Found. Plbg. Top Out Gan Line FINAL-
Post/Roam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor [f�(WWater Line Gyp. Bd. -Hoch.
Date Requested
:�)"^011 v Times / AH PH
Addreses I �/` "l-Me— PrtmlCs
Builders ' Z
TNS FOLLONINO OORRECTIONS 11RN RNMIRRDs
i
i
Ins pector: Date:
APPRUViD DISAPPROVED APPROVED SUBJRrT TO ABOVE
___Call For Reinep.
INSPECTION NGTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Ph : 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/seam Struct. Can. Bower Framing -Bldg.
CS-n.
Poet/beam Mach. L� ra n , Insulat.ion -Plumb.
F1bg. Underfloor � •�Li / Cyp. ed. -Neth.Da`_e Ree,"eeted: LZ�l Time: _ AN IPM
Address: l-�3�/ L%�) /�✓E' . Permi{?Tjc91el"- rwy"/
Builders C'N /�c'r'�' 'V- L.�,.7c�aj1 c 1-7d t10 93 L.6
THE FOL*.OWING CORRECTIONS ARE REQUIRED:
J
J
I
Inspector: — ---- ----- -- Dates_[ /C
APPROVED DISAPPROVED APFROVID SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SN Ball Blvd. Tigard. oregon 97223
inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: ----
rooting Plbg. Underslab Mech. Rough-.in Appr/Sdwlk
Found. P1 . Top Out Gas Line FINAL:
1.l
Post/Beam Struct. r( ) Framing -Bldg.
L _
Post/Beam Mach. Rain Drain ) Insulation -Pl'mab•
Plbg. Underfloor ine Gyp. Bd. -Mach.
< < Times �
Date Requested: l� _
AM _PM
Addresns
Builder: — --�`—`-
THE POLLING CORRECTIONS ARE REQUIRED:
lee-
--�._
J
LL)
/� Dater
Inspecto
APPROVED _ /DISAPPROVED APPROVED SUBJECT To ABOV=
T'" Call For Reinsp.
INSPECTION NOTICE �J
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
(%
Inspection:
/Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
( Quad. Plbq. Top Out Gas Line FINAL:
�Post/Beam Struct. San. Sewer Framing -Bldg.
Post/ream Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. 1�v-Hoch
Date Requested: 6 - 13 2!/ Time: �AM _ PM
Address: permitt fs
Builder: _
THIP, ROLLOWI CORRECTIONS ARE REQUIRED:
;ev
_-,
'� �/ \ ,'__ _ Darn• S—
^---APPROVED DISAPPROVEDPPROVED SUBJECT T7 ABOVE
Call For Reinep.
LNSPECTION NOTICE
City of Tigard Building Department
13125 SII Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections ---
Tooting Plbg. U%ierslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strurt. San. Sewer rraming -=Ary.
Poet/Beam Mech. Rain Drain Insulation --Plumb.
Plbq. Underfloor Water Linne Gyp. Bd. -Mech. r
Date Requeoteds (!^ C4 ���� Time: / PM
r
Address: XA" If . PermiE #: � - 0! V
Builder: // /G(�- t -'fC��
THE FOLLOWING CORRECTIONS ARE REQUIRED: a C/
a
y
J
CD
w
f nnpector.�._ .----- - __._. Date:. 6 •(Q' `�
APPROVED DISAPPROVED V APPROVED SUBJSC'r TO ABOVE
Call For Reinep.
2" CLASS C" A.C.
OF 2" 0" PROPOSED EDGE
4OF SHOULDER
SLOPEPROPOSED EDGE
VARIES " F PAVEMENT
4n 1 EXIST. EDGE '*'�CULVERT
Z Lo I OF LANE
0 1 1 PROP. EDGE
Q Q I I OF PAVEMENT
TYPICAL SECTION
A.C. DRIVEWAY
I I N
I I cr
WIDTH SHOWN 2" 3/4"-0" — PROPOSED EDGE
I I ON PLANS 4" OF 2"-0" OF SHOULDER
I
PROPOSED EDGE
I / VI DISTANCEARIES`OF PAVEMENT -
I ON PLANS SHOWN
CULVERT --
I
EDGE OF CULVERT
I I GRAVEL SHOULDER
TYPICAL SEC11ON
GRAVEL DRIVEWAY �
PROSOOEDD EDGE
TYPICAL PLAN SLOPE OF EE
A.C. OR GRAVEL DRIVEWAY VARIES — 4' OFOPAVEMEDGE
NT
5-10�
CULVERT
cn
TYPICAL SECTION
ALTERNATE
DRIVEWAY DETAILS FOR
NON-CURBED AREAS
\ REFFIiETICE APPROVED 13Y DRAYM e,r
.• 1 WASH. CO. OW-205 (MOD.) CABCITY OF 11 GIRD SCALE DATE DRAWING NO.
cmGm N.T.S. 7-9•-93 DETAILS\NOCR9-0WDWG
ELEV. SAME AS CROWN ELEV.
I I —SHOULDER
I OF ROAD
MIly, SLOP I CROWN
e
3 ROAD SURFACE
o I I
~ I
x
I BOTTOM OF DITCH ELEV. I
MAY BE ADJUSTED BY I
INSPECTOR I
I
NOTE:
I. IF A.C. DRIVEWAY IS TO BE CONSTRUCTED, USE 2- OF CLASS 'C' MIX
ON APPROVED BASE
PRORLE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
PIPE SHALL EXTEND A MIN. OR PLASTIC PIPE
I' PAST TOE OF FILL
SURFACE OF DRIVEWAY
0A M 3/4'-0' ROCK °'q
1. o . 6'
o�— T--- - - - - ----- - -- - - - - - - --
I I - —�
CONCRETE PIPE
PIPE SIZE TO BE DETERMINED OTHER THAN CONCRETE 6.
BY INSPECTOR AT THE JOB PIPE, AS APPROVED
SITE 110' MIN.)
NO fE:
CL'
L' I. PIPE TO BE LAYED AT EXISTING GRADE OF DITCH - NO SLUMPS
CROSS-SECTION
Cil
CD
DRIVEWAY FOR STREETS
WITHOUT CURBS
�Y DRAMRI Wf
CITY T�cAR� ""�'. CM DW-202
SCALE DATE DRANK N0.
OMGM NTS. 7-9-93 I DETAR.SVW—NOCRB D
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GENERAL NOTES
1. 1i"AFFIC SIGNS TO BE 48' X 48'
ROAD ccmslmXTKmO BLACK ON ORANGE.
AMEV
t oo, I 2. NO COLLECTOR STREET LANE CLOSURES
MIN. OR LOCAL STREET CLOSURES DURING
THE FOLLOWING TIME PERIODS:
0000 OW LAW O
~"D 7:30 — 8:30 A.M.
100' 4:30 — 5:30 P.M.
MIN.
FLAGM 3. THE CITYS STANDARD SPECIFICATION
-j O FOR TRAFFIC CONTROL IS "MANUAL
100' ON UNIFORM TRAFFIC CONTROL
MIN. DEVICES FOR STREETS AND HIGIIWAYS',
I U.S. DEPT. OF TRANSPORTATION,
SAG FHUA, 1988 EDI110N.
a
IL� 100' 4. ACTUAL SIGN PLACEMENT TO BE
o MIN. ■ ■ f ADJUSTED IN GELD. DO NOT REDUCE
Z 50 MIN. BELOW MINIMUMS WITHOUT CITY
■— --1 APPROVAL
t 2'
MIN.
■ T— 5. THE CITY RESERVES THE RIGHT TO ADD TO
OR MODIFY TRAFFIC CONTROL REQUIREMENTS
z
I ° MIN. z AS MAY BE NECESSARY TO EFFECTIVELY
■ (n CONTROL TRAFFIC AND TO ENSURE PUBUC
' 0 SAFETY.
- F GER
IA-
6. NO LANE CLOSURES WITHIN 200 FEET OF
i00' R� A TRAFFIC SIGNAL WITHOUT PRIOR CITY
I M4. Z APPROVAL
I O WM- o
100'
MIN. LEGEND
We Lma
O now�o
goo-. Q TRAFFIC SIGN
100'
I MIN. ® CONSTRUCTION ZONE
p 1 weoo�„v, ■ TRAFFIC CONES OR
*ffm APPROPRIATE DELINEATION
DEVICE.
TRAFFIC CONTROL
TICAL DETAIL
REF1r HCE APPROVED DRAW
CITY OF TI GARD cm CAB
S AU OA __ DNR; F&E
OREGON N.T.S. 7 -9-93 ,k DET/MAFCONT-0WG
PLUMDING PERMIT
PERM #. . . . . . .. MS T9 4 0 J 8 0
CITY OF TIGARD DATEIT ISSUED: . 05/19/94
COMMUNITY DEVELOPMENT DEPARTMENT
1131125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 1:4)R C 2SI11BC---01900
1ITE ADDRESS).. .. .. .' 14535 SW 100TH AVE
SUBDIVISION. . . . .. TIGARDVILLE HEIGHTS ZONING: R-3. 5
aLOCK. — . . . . . . . g LUT. . . . . .. . . . .. . ., . I&J
.:A.()SS OF WORK. . »NEW GARBAGE DISPOSALS.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . N1 BA(-,I/,Fl-(:)W i'-',R1-VNTRS. . :0
OCCUPANCY ERP. . :R3 FLOOR DRAINS. . TR A . . . . . . . . . 0
TORIES. . . . . . . . :2 WATER HEATERS. .. . . . . 1 : CO TC H 1.4 ASI NS;. . - - C1
1IXTURES------------- LAUNDRY TRAYb. . . . . . GF RAM DRA I NS- - :: :!
,INKS. . . . . . . . ; I GREASES T R 0 PS. 0
LAUATORIES. . . . . :5 OTHER FIXTURES. . .. .. . 10
' UB/SHOWERS. . . . : SEWER LINE (ft) . 0
WATER CLOSETE. . :3 WATER I I N E (ft) -, I W 0
DISHWASHERS. . . . : I RAIN DRAIN (ft) - - -- - -0
memarksu PATH I -- NEED STREET OPENING PERMIT FOR DRIVEWAY A1---'1::'R00CH.
IWNER: ----------------------------- -----------------FEES------------- --
NANDY WILDER TIF $ 1520.00 SW 05/1.9/94
1.6pi.?04 SW 104TN AVE BPRT $ 525. 50 SW 05/19/94
BPLC $ 341. 58 SW 05/05/94 94 25204;r
TIGARD OR 97224 B5PC $ 26,28 SW 85/19/94 ---
Phone N: 684-2787 SSDC $ 280. 00 SW 05/19/94
PARK $ 500. 00 SW 05/1.9/94
Contra -toy ».._..._.._..v..._.._..__.._.._..._.._--• MPRT $ 45.00 SW 05/19/94
MPLC $ 11. 25 SW 05/19/94
M5PC $ 2, 25 SW 05/19/94
Odd:& ..Ir—..............L-4;;........ PP R T $ 162. 50 SW 05/19/94
�tate : 1::15PC 6 8. 13 SW 05/19/94
"y sot
Reg *W'---.'. !rEN-)$..._..........._
------- REQUIRED INSPECTIONS ---------
(hist permit i5 issued subject to the reg--
uiations contained in tne Tiqa-rd Municipal Foot/fo -tnd Insp Rain drain Insp
(Jode, State of Ore. Speciaity Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechain opp'f,/Sdwlk Insp
in accordance with appPoved plans. This Plm/undslab Insp Merlianical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
I within 180 days of issuance, or if work is Mechanical Insp Building Final
IN suspended for more than 180 days., Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Ln F i r e p l a c o Insp
Gas Line Insp
Insulation Insp
to
�C� Gyp Board Insp
--------------------
cc
Authorized Plumbing Contractor Signature
Call for inspection - G39-4175
-J Contractor
.........................---............ ...............
(..,I FY (IF' TIOAND REC'EIPT OF* POYMENT RE'CEIPT NO. 9 4—P5 r"!0 .*--PI
C,1.4 1,-,.C,K A m 0 1.111 T a P 11,5 P). 0 0
WILD[KR, RANDY CAG"ll AMOUNT a W. 0 W
DVP—LIS p PAYMEN'T DATF n 05/0"i/94
G U H Wl Vi.(i 1 14
OF, f"10Y111:1,11, (411(MAII, VIA TI) PURPOSE.; OF, POID
CL
..........................
on
0
LLJ
UIC.L. OMOLINT' PAID OR
;�, • • all
ci TY m' TIGaww f1F-.Lf,1r"1' t.IF PHYMF-:NT I*:C'F:111-1 NO. s94-
I;lif A AMOUNT t "r►•I, , I
NOMF o WlL.DF.R DEVC.1-O 'MF.NT C1:1 I::W41 AMOUNT a 0. 00
ADDRRF=i4b, a 16P,04 SW J 04T'N AVF. VlAYMF:N1 14.11 E a 0'i/19i 94
T'IC,tlrtl)y
OR 4:il.1NUIV LFIC7N s
PI1F7F'CIG"r_' Of- E:,Ga'VMF:NT AMCAINT PW 1) PURPt7RF Cir PAYME:NT "Mot J141 PH 11)
i
x 1AI.IIi.DING PERM 54.15. 51A 1:'LLIMLAING PF_RM i6p. ';0
ML:(:IIANIC:AI__ FBF_ 45. 00 ST. BUILD rAt:,H :.36. 66
K'1 wN I':MkC:K F E 1{�1:. 81% "I"W R LISA SWR94 0.I '/A 'OVI. 00
;f-1X_W, (Nl-')P CT i;. 00 FORKS SDC 900, 00
f 101`?M DPH I N f-.A)C r"".'NW. 00 Rf=.Si l DF:N T I I4. T Pl if-4•1 t:: F F F 1.411x1. 00
Mf=►�:��c 1'RAN5 11 r IF V4 V:�; 110. 00
10
J
8W t ii)o1 f-1 f Wt.
10141L. AMC.)t1N1 PAID — — •- —> `34Ill 7. 49
MASTER PERMIT'
CITY OF T�GARD P[-.-R 111:T ti.. . . .. .. .. . - N 13 T.),e# 018 0
COMMUNITY DEVELOPMENT DEPARTMgNT DATE* ISSUED: 05/1.9/94
13125 SW H-!l Blvd.Tigard,Oregon 97223e8199 (503)639-4171
PARCEL.- 2S1111-'!C--O:L900
SITE ADDRESS. . . : 14535 SW 100TH AVE
SUBDIVISION. . . . : TIGARDVILLE HEIGHTS ZONING: R-3. 5
BLOCK. . . . . . . . . . A LOT. . . . . . . . . . . . . :20
--------------------------------- BUILDING
REISSUE: DWELLING tJNI*T'S*. l BASEMENT. .. . . . . . . :0 1sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :578 S-f
TYPE OF USE. . . :SF FLOOR AREAS--_------.-- REQUIRED SETBACKS-----._.___....-......
TYPE
ETBACKS----------
TYPE OF CONST. :5N FTRST. . . . : 1592 sf LEFT. . :16 ft RIGHT. : 15 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1152 sf FRONT. :35 ft REAR. . :80 ft
STORIES. . . . . . . :2 *THIRD. . . . :0 5-f RE UU I RED
HEIGHT. . . . . . . . :21 ft TOTAL------:2744 sf SMOKE DI: TECTORS. :Y
FLOOR LOAD. . . . c40 psf VALUL. . . . . $: 136628 PARKING SPACES. . !1
Remarks: PATH I -- NEED STREET OPENING PEP IIT FOR DRIVEWAY APPROACH.
--------------------------------- PLUMBING
SINKS. . . . . . .. : 1 FLOOR DRAINS. . . . :0 BACKFLOW 1"-1REVNTRS. . .-.0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 'TRAPS. . . . . . . . . ., ..
TUB/SHOWERS. . . .:: LAUNDRY TRAYS. . . : 1. CATCH BASINS. . . . . . . 20
WATER CLUSETS. . :3 SEWER LINE (ft) .. :0 GREASE TRAPS. . . . . ,. . 10
DISHWASHERS. . . : I WATER LINE (ft) . : IWW OTHER FIXTURES. . . . - NO
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS- 0.
--------------- MECHANICAL -------------------------------- FEES --------------
FUEL TYPES------------.-.-- UNIT HTRS. . :@ type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1520.. 00 SW 05/19/94 -
MAX INPuTw.o D TU VENT FANS. . .4 BE'R'T $ 555. ".")0 SW 0T;/1.9/94 ---
I URN ( 100K . . .,101 HOODS. . . . . . .. I Bf:1L.0 $ .341. 58 SW 05/05/94 94-252050
: ARN )=10OK . . : 1. WOODSTOVES. -.14 B51:)C $ 26. 28 SW 05/1.9/94
ILOOR FURN. " . . :O CLO DRYERS. : I SSDC $ 280. 00 SW 05/19/94
3HP.-O OTHER UNITS.- I. PARK $ 500. 00 SW 05/1.9/94
GAS OUTLETSill MPRT $ 45. 00 SW 05/19/94
Owner: ----------------------------------MPLC $ 11, 05 SW 105/19/94
HANDY WILDER M5PC $ 2. 25 SW 05/19/94
-
l6204 SW 104TN AVE P r_`R T $ 1.62. 50 13W 0"5/1.9/94
P5PC $ 8. 13 SW Ob/19/94
1*IGARD ON 97224
Phone N: 684-2787
Lontractorm
,ITLDER DEVELOPMENT CO
(',;-10/4 SW 1.04TH AVE
iIGARD OR 97224
-hone ": 648-2787
N. . : 768GO ----------------------------------------
34E2. 49 TOTAL
lis permit is isned suNut to the rqWahws contumd in the -------- REGUIRED INSPECTIONS ------ -
qqard Municipal Coe, State of Ore. Specialty Codes and 91 other Foot/found Insp Fireplace Insp
P.pplicable Ian All work Mill be done in accordance with approved Post/Beani Struct Gas Line Insp
;laps. This permit will expire if work isf"*_�I,rted in LBO Post/Beam Mechavi Insulation Insp
issuaissuance,Ays of issuance, or if work is wlSpelldibd -TT r, to t lY Plm/undslab Insp Gyp Board Insp
PLN/Underfloor Rain drain Insp
lermittee Signature Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
SSIAed By: Framing Insp Mechanical Fivial
Call for inspection 639-4175
E-;EWE-.'R CONNEC'TICIN
P L R 1111'
CITY OF TIGARD PER1114' rw
R94 0 1.7
COMMUNITY DEVELOPMENT DEPARTMENT D01 ISIRP-1): 05/1.9/.)4
13125 SW Hall Blvd,TIgard,Oregon 97223*8199 (503)639.4171
PARCEI-:: 2G1J.:LE4C--,01900
1/t'J35 GW 100fl-I OVr
SUBDIVISION- -- I'l GOR DV I'LL E- 11EIG1-ITS ZOWENG: Fi 3. 5
L0 . . . . . . . . . . . . :20
..................
N 0 N"T 1110 11 E'..
Lis() 110. F.1'X'T*U R E IJ N 1 I'G. . .
C L(4 S':'; OF W R K I III 1:.:W DWEI-A I Iq G U 11114".). . -. J.
T y P F OF U!,)L,. . Si F, N(:1» OF B(J J L.1)1 N 0 S I
.1 H S 1*0 L L *T'Y 1'F'. D Lj'5 W R
Rpn�a-rlf.%:
1-41NDY W11 1)Er R t X Pa, a ni 0 U 1-1 t b y (Ja t-e
.1.6204 '-.iW 1044N �IVL rINIV $ law 05/19/94 1111
j.lq,(;;1-, 11, 1315. 00 sw 05/1.11.)/94
FIGORD OR 97224
F-Iiarie #1.-. (7,84-2787
f:'0INI'rR0C*T'0R NO'T' (IN FILE
Phone 0: 223`5. 00 TO'FAI-
............ R E 0(J 1.R L 1) 1 N 1:3 P C'T*10 IN 9
This Applicant agrees to c..jply with all the rules and regulations ':')Pw(---r J.iii:;Pec.,-(-.ioi-i
of the Unified Sewage Agency. The permit expires 180 days from ................
the date issued. The total amount piid will be forfeited if the ...................
',Iet@it expires. The Agency does not qUaTailtee the accuracy of the
side sewer laterals. If the sewer is not locates at the measurement W_..••,••_•
.........—
given, the installer shall prospect 3 feet in all directio �from
the distance give — If not so located, tka-4;wA Iler sh purchase —--------
�-r— 4I a Ateral.
a "Tap and Side ewer" Permit and �w Agency will I in
............_._..__1111 ...__...__......_.._ ___1111._._.__...........
1:1 in i t-L F—, J.[I)-I ck t t.1-r e
.1 S s;Lt C-�CI P
..........
Call fo-r iiispectiori 639-4175
cn
LO
W
C1 LA
6�-02
� Residential Building Permit Application
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
%%'' Z 4) Office Use Only
� Subdlvlslon:y��,G� Lot� /
�J Planck/Rec#
Valuation: yy� /
Permit # !/IST - D/re,
V Owner: IZV� / �c
Reissue of
�. Address: �l 2 Jv" f�C Map'& TL
L2-1 4 71,2
�/ ���
7 -077/ Approvals Re uq ired
Phone: / d
/ Planning . `
Contractor: �� / � Engineering
/ —
Address: ��2U _� C� ��• __ Other'_
Items Required
Phone:
/ >/D Subcontractors
Contractor's License # l b(y
(attach copy of current Oregon license) Truss Details
Subcontractors: Other_ _
Plumbing: ,
Mechanical: �� ?le��A'1?
(attach copy of cuffeKt OR Contractor's License)
". Architect/EnC'neer: —
R'
Address:
al
J
� Phone: d-
w
� L /
COMMENTS:
Applicant Signature & Phone number
Received by: -- Date Received:
G
Permit # Account Description Amount Amt. Pd. Bal. Due
PrIj f - 018u Bldg. Permit (BUILD) 5'2-5 o S z>', v
Plumb. Fermit (PLUME) S-b
Mech. Permit (MECH) e,y 3-, cel `/
State Tax j A V) 4,. 4-
Bldg:Bldg: a1G �� ✓
Plumb:
Mech: y
Plan Check (PLANCK) 335-2.-9'.3 Z-Oz 8
Bldg:
Plumb:
Mech:
,$wR4V v[Z Sewer Cot toection (SWUSA) .2Aoo �a u
Sewer Insp-ction (SWINSP) J.) 3S,
Parks Dev Charge (PKSOC) Se 0 Sou
Storm Drainage Chg (SDSD(') � _ d-j9v
Residential TIF (TIF-R) / / _ — _ / /a
Mass Transit TIF (TlF-MT) _ //� //U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) —
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
TOTALS: 6aL.