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SITE WORK k"
G'TYOFTIGrARD C
CITY01FTMUD) PERM I T
-COMMUNrTY DEVELOPMENT DEPARTMENT DERMIT #. . . . . . . :
13126 SW FIWI Blvd. P.O.Ba 23397,TigpA,OTepon 97223(500)6N4175
T",,i:�TE ISSUED,
SITE: HDDRESS. . 10995 SW 4f. 44 PARCEL: 15136DA-00200
5L!6DIVISION. . . . : ZONING: C—G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
IYFIE OF WORK:ADD PAVING?. . . . . . . . . .N RESO. NO. :
EXCV VOLUME. : C Y GRADING?. . . . . . . . :N VALUE. . . 11 : 0
F ILL. VOLUME. : 1000 CY LANDSCAPING?. . . . :PJ
ENG FILL". . :N CITE PREP?. . . . . .
500 LS RPT REQD? :Y STORM DRAINS?. . .
IMPERV SURFACE. . : S f
Remarks * deposit l000 ci_j yis of fill per- approved plans and SLR90-0006
Own evr,: FEES
DONALD POLLOCK type amoiint by date vleept
1.0*211 SW BARBUR BLVD SUITE 202—A PRMT 1, 117. 00 JLH 09/23/91
PLC'K $ 22. 50 JLH 09/23/91
I'DORTLAND OR 972.19 5P(""T, $ 5. 85 JLH 09/23/91
1--hone #.- 2453306
''1jr1tr-aC.tot-: -------------------------------
())TRACTOR NOT ON FILE
145. 35 TOTAL
------- REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained inhp Erosion Lcmtrul
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordsacp with
approvtd plans. This pernit will expire if work is not started
within 180 days of issuance, or if work is suspe.ided for vore
than 10 days,
Ile_ of
permittee Signati.it-e :
Issi.ted Byl
La", l fnv inspection 639--4175
l CITY OF T19PRO RECEIPT OF PAYMENT RFCE:IPT N0. �9'l—�?17743
CHECK AMOUNT 145, 35
f NAME.
NORTH HOMf,5, 1VC CASH AMOUNT s 0.00
ADDREBS 1834 SW 58TH AVE SUBD•.NT DATE o 009/23/91I
SUITE 202
UHDVIJION
PORTLAND. OR 97221
KURPLIBE: OF PAYMENT` AMOUNT' PAID PURPOSE OF PAYMENT AMOUNT PHIL) I
BUILDING PERM 117.00 PLAN CHECK FE
ST. 11UILD PER 5.05
I
1.0941 SW 68TH PORKWA`; FILL. PERMIT
TOTAL. AMOUNT PAID — — _ —> 4°'x. 35
APPLICATION - STREET IMPROVEMENVEXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 (YE-LOVI)-INSP.
(PINK)-OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) )BLUE)-APPLICANT
APPLICATION NO
APPROVED C1 01 IIG.ARD, OREGON FEE AMT.: f
NOT APPROVED
PENDING FEE PMT. C3)f Y HAIL RECEIPT NO.: —-- ------_.�_
PENDING SECURITY PUBLIC WORKS DEPARTMENT BY-= DATE-_�_=_L_-___L M
PENDING AGENCY \pplication and Progress Record MAINTENANCE BOND �►__—.____.�___--
FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
PENDING INFORMATION ANNUA-
PENDING VARIANCE I _ EXPIRATION DATE:
-PERMIT NO.: DATE ISSUED: _ Lam.—_--- - BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL)_
pXtf3ion _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
- et> --- #245-2481
APPLICANT Northland Hcxne°: 111C.- 10211 SW Barber. B1Vd. S-202--A Portland, OR 972.1'.1�2,��—
NAME ADORESs CITY F/ZONE
CONTRACTOR - (untutowr) yet) — -- ---•---
NAME ADDRESS CITU rMONE-
FLANS BY. Jaji*s Nims 1536 N.E. 135th AVS:. Vancouver, WA 9863S)NAME ADDRESS
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 11,236.00
DOLLAP. _.-
-. __ FOR OFFICE USES MIN.
(2) EXCAVATION DATA: 0.04 X s 17.,z3ia� = S •�— -----_
�- DESCRIPTION
3 T
PROGRESS & INSPECTION STATUS--
STREET
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE E.Y
_— --
-
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
-- ---- -- REE T
�NED - --- -•—
INSPEC-
43th Par way �_ E TION _ —_-- ---
Q
U —
ESTIMATED STREET OPENING DATE: S — --
ES-i IMATED STREET CLOSING DATE: __ / - E _
STREET
(3) SECURITY NO. SECURITY AMT: S 11,236.W S REE
SURETY CID : __ FINAL
- ---- _ - - -- INSPEC.
CERT I I'IE11 CHEIK CASH n BOND r --
(4) FLOT PLAN. INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES, EXCAVATION LOCATION AND EXTENT. t•) All woCk ahall S:2921Y with
City atanC3uds b 'u c:ifirdti00
1 I i 1 x I J.) t3ot i f y City IrlaEraCtor (p99-4171)
v I
1 I
Lirior to atarttng work.
A.) Conditions of SLR 90-0006
CURB - - - - - � » _ _ - - - �' - -
applg hereto.,
Edtn Parirway _-_ � - q';'�ppp cant tc execute eatxl>�nt
( in favor of City before City
-
- - -- - - - - - - 1 (• - - - 3ccapt8nCk3 of work; also,
to proVi6a an )las-buiit" tO City.
(5) NOTE THE CITY OF TIGARD DOES NOT. HIEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK W'HIIERE
RIGHT-OF-WAY JURISDICTION IS THAT OF' WASHINGTON COUNTY OR -HE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO CG.APLY WITH ALL PERTINENT ).AWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO 1;AVE HARMLESS TH'E CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICh' MAY RkSULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURr: - DATE
CITY OF T11FA RD
OREGON
7-5-90
Mr. Donald Pollack
Northland Homes
110211 SW Barbur Blvd. Suite 202-A
Portland, Ore 97219
Re: Fill permit application for 10995 SW 68th Parkway.
pear Kr. Pollack,
The plane for the above projoct have been reviewed, and are approved subject to
the following:
o The fill permit must be issued simultaneously with the street opening y�'rmipermit
required for the alteration to public store► drain. Please contact iohn
.
Hagman, Engineering Division if you have any questions regarding the street
opening permit.
o Prior to the placement of any fill, all required e•:osion control methods
shall be in place. This includes:
- Installation of a gravel driveway.
- Installation of a silt barrier.
The silt barrier shall remain in place until the
dusL1 aaor other
provided with permanent ground rea Uas been
cover ( �•e. grass,
landscaping). Permanent ground cover shall be installed immediately after
completion of grading.
o The silt barrier shown on the plans, parallels each side of the creek. The
barrier shall extend across the top end rekhesnew Btnfi.11rmaterInlet
p(at then
too of the fill) perpendicular to the e
the top of the storm drain pipe cannot erode into the creek.
o Streets shnll be kept clew of dirt and debris at all times.
o During dry periods, dust control shall be provided.
o No fill shall be placed so as to change direction, block or hinder the
natural drainage from adjacent property.
o The slope of any fill shall not exceed 2 horizontal to 1 vertical.
o In order to place a structure on any fill, a report prepared by a qualified
Individual (i.e, Registered Soil Engineer) , that confirms ;.he soil bearing
capability shall be submitted to the nuilding Division.
13125 SW Nall Blvd.,P O.Box?3397,Tigard.C.Xegon 97223
o The C'tY shall be contacted for an inspection ofa
The erosion control prior to start of fill.
_ The comp
1E'ted fill, after final grading- seeding, ground
- The comp7.eted perman9nt erosion control measures (i.e,
Covering, bs.rkdust, landacari.ng, etc.) -
- As othorw'ise specified.
if ycu have any questions, please call me at 639-4171.
Sincet81Y
Brad ROAst
Building Official
r�
PERMIT
CITY OF TIGA RDh.
CITYAWIM 17JERMIT NO . : S189181.8
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S,11,H.11 Blvd-P.O.Box 13391,Tlgoird,Oregon'17223,(503)6394111 DAI*I;' ISSUFM : G/219/89
-Tn*tT-
r,— X39 T t32E3
JOB ADDPESS : 10995 SW 68TH 13ARKWAY
TAX MAP/LOT ISI 36DA 200 SUB: 1-,*T* :
LAND 1JSI:--: :
WOPK ('A-0%5S : SITEWORK
U 5
SE TYPE : COMMF-MCIAL
(,'IJBIC YAQUS : 1500 VAI-.(J[,-:, :
IMPEWV . APEA:
1=ILI-7 : YES
ENGINEERED FILI-7 : YES
PAVING.'? NO
GRADING'? YE..
LANDSCAP NG7 :
s:rTti: PRE %RATION YE S
'3 TOPM DPA NS'j : YES
0 FEES :
k" Northland Hames P 6
N
E 10P.11 SW Sark)t.ir Ii3lvd , Pin 20P PLAN PFi'VIEW
R Prirtland OR 97217
PHONE (503) Peltif 3306 S FATE TAX $6 . 30
CO IIF:VEL(IF-IME.NT CHARGES :
N
1' NORTHLAND HOME-'..5
R
A 1.0211SW 14APFAMI E31...VD PM 20;:.,
C P n I--t1 uL n d UA 9721.7
T
o PHONE 150:AI 245-3306
JR1 HEGTSTROTION NO. North 111111 30
I his permit is issued Subject to the regulations contained in Title 14 RECEIPT NO.
of the TIVIC. State of Oregon Specialty Codes.zoning regulations
a d all other applicable codes and ordinances. and it is hereby PEQUIPED 'INS Pr("T IONS
a,ireed that the work will be done in accordance with the plans and F'.[NAL
qpp.rilicalions and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontrac,ors shall have current city
husinp9s tax permits. This permit will P.tpire and become null and
void if work is riot started within 180 days or It work is Suspended or
ahnndoned for a period of 180 days any time after work has
commenced It Shall be the responsibility of the permittee to MUM
nil required inspections are requested and appro ed
Pprrilittee, Si atu
Issued 8
IL'
'At,J_
'At,J_ W,1,1 I [(JN 639-1111 i:)
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
"W 111[
CITY OF TIFA RD
OREGON
Au;_tet. 28, 1989
Douglas Pollack
Northland Homes
10211 SW Barbur Blvd., Rm. 202
Portland, OR 97217
Project: Filling and Grading, BP 891818
10995 SW 68th Parkway
Dear Mr. Pollack:
Plans for project were reviewed for conformity with applicable
cones, and approved, subject to inclusion of the following items.
I. The fill may be grated to the existing level of the
drip line of tha cea— tree along Red Rock Creek.
2. A tree removal permit is approved for removing the
deciduous tree within the depression to be filled.
3. The manhole connecting to the 24 inch storm drain
sha1.1. meet City of Tigard SP-A.fications.
If any changes or additions will be made to the scope of the project,
please submit plans showing the cna nges.
You may get the building permit for the project at your c_onvenience.If
you have any queEtions, or if we may be of assistance, please contact
us at any time.
Sincerely,
Jim J a(/
Plan Examiner
13125 SW Hull Blvd.,P.O.Box 23397,71gard,Oregon 97223 (503)639-4171 -
__.