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13040 SW FALCON RISE DRIVE-1 ADDRESS: l 3� 510 sw G/coo, i:`,records\microflm\targets\building.doc CERTIFICATE OF C17Y OF TIGARD OCCUPANCY COMMUNITY DEVELOPMENT DEPA"ENT PEVMIT #. . . . . . . .. MSTj, 3-0007 13125 SW H&V Blvd.n9wd,Or4Von 972234160DATE ISSUED: 07/06/95 PARCEL IGMDC-00600 -ITE ADDRESS. t304O SW FALCON RISE DR SUBDIVISION. . ASH VALLEY TROCT 70N.Tt,46i R-4.gLUCIt . . . . . . . . . . e LOT. . . . . . . . . . . . . to CLA3S OF WORK. sNEW TYPE OF USE. . . :SF OCCUPANCY GFT. vR3 OCCUPANCY LOAD 32,24 4 I'ENAN T 14AME. . . a Pamarkst PATH I ,JOHN KLEIN 51550 !7%W F46TVI (.)k)E' 11.,010"LAND OR 91 Phone #f 298-5056 Contractors JOHN P",LEIN 5350 SW 813TIl AVE PORTLAND OR 97 Phone #v 29P -505t'" Peg #. . s 77306 This Certificate certifier that the above referanc-ed building or portion thereof has been insperted for complianco� with the Tigard Building Godf, for the PrOUP MMJ Hivision of ovel.ipfinc.-y and usp for which the above referenced permit was issued, and occupancy is hereby granted. X 1111I1. -W-e, -F LDI 4n 7 - WI POST IN LUNSPICU001; PLACE CITY or TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Pho,-ie): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. T,op Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line dg. Plbg. Underfloor Rain Dr,-,.i Framing as Alarm :"-' . Line Insulation Underflr. Insul. Shear Wall / Gyp. Bd. -Elect. Date Requested: -7 t �l Time: AM PM Address: -1 Permit : Builder:THE FOLLOWING CORRECTIONS .ARE REQUIRED: Insprxtor: Date: PROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 Inspection:— e/ Fc-)ting Susp. Ceiling Sprink. Rough-in q— ppr/Sdwlk Foundation Plbg. Unddrslab Mech. Rough-in Fireplace Post/Beam 3truci. Plhg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line plbg. Underfloor Rain Drain Framirng lum Alarm Watar Line Insulation ech j Underflr. Insul. Shear Wall / GVP• Bd. -Elect. Date Requested: �, ,, / q C� Time: AM rn^ --- PM Address: Permit #: ` THE FOLLOWING CORRECTIONS ARE REQUIRED: ----------- Inspector:-- Date. nspector:— Date_ _APPROVED _DISAPPROVED _APPROVED SUBJECT TO ,tBOVE —Call For `9einsp. INSPfiCTIO N I 4 ,-,7 / City of Tigard Building Departamnt 13125 Bw Pall Blvd. Tigard Oregon 97223 Inspection Line (ROC-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Rooting Plbg. Underelab Mech. Rough-in APF r/Sdwlk — Round. Plbg. Top Out Gas Line Ri;zl Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulatlon Plbg. Underfloor Nater Line Gyp, Bd. -Hoch. Date Requeetedz—_ - L2----/--Time: AM PM Addrees: U 4 �Q� ✓'` C Permit 1': (9 lJ Builders TRE POLLONINO COPIW TIONS ARE REQUIREDt ff -� ool — LJc. In.pectoi :^ _ y ' _ Date: npPROVED DISAPPROVE'1 --- •--.� IIPPROVRD 14UBJECT TO Ag" -.Z-� Cell For P.einsp. APPLICATION -- STREE i IMPROVEMENT/EXCAVATIONCOPY TO: �/- - ORDINANCE NO. 74-14 F. �_ pJ� (WHITFILE (YELLOWIE) -INSP. ` (INSTRUCTIONS ON SEPARATC SHLKT) L- 1 (PINK)•OTHER AGENCYbldg (BLUE).APPLICANT APPROVED 2 AP'PLICAT'ION NO,: _��---- NO'T APPROVED 0 CITY OF TIGARD, OREGON FEE AMT.: S y�20.00 - PENDING FEE. PLAIT. 13 CITY Y HALL RECEIPjjT�,�J��Q.: PENDING SECURITY FjPUHLICWORKS DEPARTMENT BYDATE_' .z—v_.1_. ' PENDING AGENCY -OK" r] Application and Progress Record '•�� MAINTENANCE BOND ��-- PENDING INFORMATION U FOR STREET IMPROVEMENT./EXCAVATION AS REQUIRED -- ANNUAL PENDING VARIANCE ❑ ---! — -_- XPIRA ION DATE - _- /_�-__moi PERMIT NO.: __. 0-7'" l '_-- . [DATE ISSUED: BY -- �- _ .. (1) APPLICATION IS HEREBY MADE: TO EXCAVATE FOR AND INSTALL _-'UCi1:'T ' '..All .. _ PRIVE AY APPROACH, EZ I.O('.A'1'E_ STREFTLIGHIkS DESCRIBED HEREIN, IN FULL ACCORDANCE_ WITH CITY REOUIREMEVTS. APPLICANT __. John H. Klein 5350 Sw 88th AveAlue Portland, OR 97225 A 292-5135_6_ CONTRACTOR NAME PLANS BY_-__ -fir Cit; Standards A Specifications NAME� .ADDRESS ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S .__ 500•0 DOLLARS (2) EXCAVATION DATA: FOR OFFICE USE: CMIN, 0.04 X s—50Q---W—= f �— STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURF ACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY — -_-_ TYPE t_ENGTH WIDTH DEPTH ITEM AI QUANTITY STR E Falcon Rise Dcivd 1,see attar edj INSP - E TION Q ESTIMATED STREET OPENING DATE:_�_� S ESTIMATED STREET CLOSING DATE: _ T ------ -- (3) SECURITY NO, SECURITY AMT: S ._•` ._-- CLOSED SURETY CO.: _ _ FINAL — _ CHECK 0-- - 1NSPEC. CAS. O BOND r (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL - -:_ SPECIAL PROVISIONS /CONDITIONS: FEATURES; EXCAVI -ION LOCATIAN'AND F,XT�NT. See AttachwJ - —+ ) I I I I 1 1 1 �4`"'- ! til I ----- ------- - ,e e 1 ' 1 - - - - - - - - _ - - - - - _ ------ — Crk area 1 I ' I I SITE: 1.3040 914 Felloon 1 I Rise Drive k (5) NOTE THE Cir Y O O AOC�N9r-1i£REB Ir GRANT PERMISSION TO APPLICANTS TO CONDI)CT WORK WHERE RIGHT-CF-WAY JURISDICTIC'tQ-T'-t N T OF WASHINGTON COUNTY OR THE STkTE OF OREGON, THE APPLICANT AGREES TO 'EPOSIT 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 FROM APPLICANTS ACTIONS, APPLICANTS SIGNATURE DATE I Speclai Conditlons/Provlslons: 1. All work shall conform to City of Tigard, Oregon, Standards and Specifications. Note the attached Detail Drawings(Ws. Co. DW-200,CS-305, CS-301,Tigard 71- A-212) applicable hereto. 2. Notify City Inspector L.etha Thomas(#639-4171)24 hours before starting any work 3. The attached Traffic Control General ReqUrements applicable hereto. Also, access-to and egress-from parous of Im w a ijac ent to the work area shall be maintained at all times. Pedestrian safety shall be provided for by the contractor at all times. 4. Ramoval/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 (Ay 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 contracKor. 6. ORS 757.541-571 applies (pro-notification for Iccation of underground facilities, etc.). '7. ... RC.ot.AT1e1.1 OF �c�Sttwx� �riRtstu4N4 OS Nr+r���wn� RNeu�un H. 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I I` 43 4 42 = 41 " . 403 39 38 37 o 361= 3 1cr 1 � 1 50.07 0032 t et stxLCi st.05 et.2f ! ICON ORIS 4IN '� i RISE 5 113.)7 30.01�5 a 40.51 36('0 °° 55.07 75.04 f°.7� TR fn a FOR ASSESSMENT 3eoo " " 3700 4100 x �Q 29 8 3900 4000 N 34 6F0�". 100.57 - I PURPOSES O'IL.Y. � f 30 0 31 32 i; A 0 .1 oe 6 AIc DO NOT RELY ON _ 33 9 I FOR ANY OTHER USE. e= 1•a is ps''o5•M 11ff•fo'I I"rr se.f1 I e 'r L J N 1' SEE MAP T IGARD RINE 2S 14AB T ,, �IS I Z3DC . • 3f3` Io' 0" MAX. .-.0- MIN.. DRIVEWAY w R/W LINE 6. CONTRACTION JOINT OPTIONAL SIDEWALK d LOCATION 6 SIDEWALK EXPANSION JOINT B EXPANSION JOINT JR8 JO'NT �sl A I5' §-�-O" MIN. 'O" MAX. 0" MIN. -0"MAX. 3 -0" FACE OF CURB SIDEWALK ADJACENT TO CURB q SIDEWALK AWAY FROM CURB PLAN -t-V?" EXPOSURE USE EXISTING EXP%N" JOINT OR SAWCUT AND ELEVATION B—B EcQ�NO. JOINT 6. STREET , .— COMPACTEDSUBGRADE` 2" OF 3/4" MINUS SECTION A--A NOTES : 1. CONCRETE SHALL HAVE A IUM BREAKING STRENGTH OF 3000 PS-1. AFTER LS DAYS . 6 SACK 2 CURB JO+NI SHAD. SE A TROWELED 4 INT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. 3. EXPANSION JOINTS SHALL 8E 1/2~ PREMOLDED ASPHALT IMPREGNATEn MATERIAL OR EQUAL, EXTENDING FRAM SUBORAOE TO FINtSHEB GRADE . 4. SEE OWS. NQ CS--I3Q AND NQ CS-303. ' 3c� WASHINGTON COUNT' -�"DEPARTIAENT OF LAND USE RESIDENTIAL DRIVEWAY AND TRANSPORTATION OATS CIVIL f{N RIEgI tmwm APWA NO. WAM COUNTY 'iQ AEA &-I" NONE DW-200 R/W S' MIN. ` CURB JOINT SEE NOTE S .�._ 2% ROAD _.. .. ,• •• •�; � ?"OF 3/4"-0 COMPACTED SUBGRAOE SIDEWALK ADJACENT TO CURB R/W 2 •: •• III LSEE NOTE 'S 2" OF 3/4-O ' i COMPACTED SUBGRADE SIDEWALK AWAY FROM CURB _ NOTES I. CONCRETE SHALL BE 3000 P.SJ- AT 26 DAYS , 6 SACK MIX , SLUMP RANGE OF I V2" TO 3" 2. PANELS TO BE S FEET LONG 3. EXPANSION JOINTS TO BE PLACED Af SIC-ES OF DRIVEWAY APPROACHES , UTILITY VAULTS.WHEELCHAIR RAMPS, S AT SPACING NOT TO EXCEED 43 FT. 4. FOR SIDEWALKS ADJACENT i0 THE CURB A POURED AT THE SAME TIME AS THE CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN. I/!"RADIUS. 5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY OTHERWISE SIOEWAI'_K SHALL HAVi_ A MINIMUM THICKNESS OF 4 INCHES. 6 DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED TO BACK OF SIDEWALK WITH 3"DIA. PLASTIC, PIPE AT 2% SLOPE CONTRACTION jQINT TO BE PLAC70 OVER PIPE. � WASHINCTGN COUNTY .- . .,�DEPARTMENT OF LAND USE CONCRL I SIDEWALK AND TRANSPORTATION DATE CML ENfiINEEA IMAM APWA NO. WA8K COUNTY No. q AFA AM NONE CS— 305 FACE Of Culls DRAINAGE 3LDCKOUT v�nim OF STREET 3" LD.PLASTIC PIPE WITH COUPLING 1/2" R 1 ROAD �° • 1 . • - MIAX. t . s BASE COURSE �• s 9~ 1• FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE CURB CS—300 SHALL BE USED. 2. CONCRETE TO HAVE A DREAKING STRENGTH OF 3000 P&L AFTER 20 DAYS. EXPANSION JOINTS. A. TO BE PROVIDED , 0 AT EACH POINT OF TANGENCY OF THE CURB . 2) AT EACH C01.0 JOINT. :2 AT EACH SIDE OF INLET STRUCTURES. 4) AT EACH END OF DRI'.'EWAYS. 9 AT LOCATIONS NECESSARY TO LIMIT SPACING TO 43 FEET. IL MATERIAL TO Pc PRE - MOLDED.ASPHALT IMPREGNATED,NON—EXTRUDING, WITH A THICKNESS OF 1/2 INCH. 3 CONTRACTION JOINTS - A. SPACING TO BE NOT MORE THAN 13 FEET . B. THE DEPTH OF THE JOIN•f SHALL BE AT LEAST i yZ INCHES. 4. BASF ROCK -2'-0:00 3/V-& . 93% COMPACTION. BASE ROCK SHALL BE TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH. WHICHEVER IS GREATER . S. DRAINAGE BLOCKOIIT - 3" OIA PLASTIC PIPE. A. I.O. PLASTIC PIPE WITH COUPLING. B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OP!Cut48 SAW CUT VERTICALLY 16"EACH SIDE OF DRAIN a QF_POURED TO FULL DEPTH OF CURB. WASHINGTON COUNTY CURB NON - MOUNTABLE f,,.,.,,,DEPARTMENT OF LAND USE FOR USE ON MEDIANS AND TRANSPORTATION DATE CIVIL £HOINEER DRAWN APWA NO. WASH. COUNTY NO. •��e4 ��� xLy 16•0 I8 (MOD.) CS- 301 1 W N. i. zac } .. W N M 7 G = Q I 3U CL W • = 1 W 2 0 s o W o o I � ( �U' W O M = crQ Miacr 20 I I c � cr U a 0 M M y W QW I U (— c _ _z o �.. I WW U U � I a l a a LLI O Y M `= COk 1 r I mcr W W Q cr W I W z D a 3 D z W0. w ?' W co UJWW 3 I 0 1 cc CO z I ( too_ :o Icr MU I o U W i crU- 57 co a- i W � I 7 W0 m � F• t I O m icr (n0 00 Im O I U J 0 O 3 R ta cr i_ (r U jr I I TRAFFIC CO1 TWL GENERAL REQUIRENRZITTS 1. The City's standard specification for traffic control is "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 permitted during the hours of darkness, nor between darkness to 8:30 a.m., nor 4:00 p.m. to darkness. 3. Traffic control devices, flabpersons (etc.) shall be inn place prior to initiation of coi,struction work and shall, at all times, be effectively mair.! dined. 4. The roadway shall not be :losed to through traffic. The contractor shall notify emergency services (fire, police, etc.) , School District, and Tri-Met 72 hours (minimum) prior to initiation of construction work. Advance warning 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 (# 639-4171) . 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 placedon all trenches within the roadway at the end of each days work. B. Minimum travel-lane width shall be twelve 0.21 ) feet; pedestrian travel shall also be INrovided for. 9. The City reserves the right to restrict construction activiti, s during holidays and periods of high traffic levels. The City reserves the right to add to or mcdify these requirements as may be necessary to endeavor to more effectively control traffic and to assure public safety; such action shall not relieve the contractor of responsibility. 1 dj/engdoe\ysters\tegr.mst I ' WomsmucrAm O I GENERAL NOTES I 1. TRAFFIC SIGNS TO BE 48" A 48' 06 00" o %o- O ( BLACK ON ORANGE. . 2. NO ROAD CLOSURES DURING THE- I: I FOLLOWING TIME PERIODS: 45GE" RAG=ww.n I KC-14M. 1�-7A W I 3. THE CITY'S STANDARD SPECIFICATION FOR TRAFFIC CONTROL IS "MANUAL Wil) ON UNIFORM TRAFFIC CONTROL DEVICES FOR STREETS AND HIGHWAYS", U.S. DEPT. OF TRANSPORTATION, W& ■ F.H.A., 1988 EDITION. ■ '— 4. ACTUAL SIGN PLACEMENT TO BE ADJUSTED IN FIELD. DO NOT REDUCE BELOW MINIMUMS WITHOUT CITY (ow APPROVAL * ,ar • 5. THE CITY RESERVES THE RIGHT TO ADD TO ovum OR MODIFY TRAFFIC CONTROL REQUIREMENTS AS MAY BE NECESSARY TO EFFECIIVELY CONTROL TRAFFIC AND TO ASSURE PUBLIC :L SAFETY. I pn Aom Awn •1A ` o UM-7A LEGEND WL ON LAX Q TRAFFIC SIGN a"Awm I IOf WW-4 ® CONSTRUCTION ZONE "L ® TRAFFIC CONES OR APPROPRIATE DELINEATION DEVICE. TRAFFIC, CONTROL TYPICAL DETAIL OFSM BY APPROVER BY DRAWN BY CAB CITY OF TI G A R D ScAll - DATE DRAWNG NO. OREGON __ N.T.S. 4-6-92 IKBPSCTIOK KOTICS City of Tigard Building Department 13125 ell Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Roo-O-Phone)s 639-4175 Business Phones 639-4171 Inspect ion s—_ _�'�(�( 6-- -coo"D Footing Plbg. Underslab Meeh. Rough-in Appv/8dwlk Found. Plbg. Top Out gas Line FIKALs Poet/Beam struct. Ban. sewer Framing -Bldg. i Post/Beam Mach. ,-RRain Drain Insulation -Plumb. Plbg. Underfloor �`-Jl� yiaa�' gyp. Rd. -Koch. Date Requested: Times Addreas s ?��i �� [?Y� s 11�P Permit �, ��l�\ 3 Builder, TBS FOLLOMIKg CORRECTIONS ARE RBQUIRBDs Inspectors _ Dates "2 Z APPROVED DIBAPPP^'s^,D ' APPRPVRD BUBJBCT To ABOVE C.i1 For Reinsp. INSPECTION NOTICE City of Tigard Nclldlog Department 13125 KR Kell Mrd. Tigard. oregm 97223 Inap•ction Lino (Mo-0--Ph01108 639-4175 eu.in•.. Phone 639•-4 .71 Inspections looting Plbg. Und•r.lab Hoch. Rough-in Atvr/Sdwlk Found. Plbg. TOP Out Gas Lin FINALS Post/Bene Struct. ARD. Sewex Framing -Bldg. Post/Beam Mach. Insulation -Plumb. PL Ho Mg. . Dndorlloor / ater L j Gyp. Ed. - ch. Date R•qu•et•ds 77 -Z f Times _AM u 1N Addresses R7014t)D � _ Permit Builders _ b��'�{ SNS FOIJ"IRG CORRECTIONS ARE RIWIREDs In73!AP r Dates PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPlCTIO_�„i�s Citi Of Tigard roil 13115 = Ball skid. T ding� Dirt e t 97223 Inspection Line (ROC-0-Phones 639��� Business s phone: 639-4171 Inspections Footing Found. Plbg, Undersiab Mech, Rough-in I APPr/Sdwlk Plbq, Top out Gas Line Post/Beam Struct. FINAL$ San. Beller Framing Post/Seam Meth. R -Bldg. Rain Drain Insulation �D9d -Plumb. Plbg, Underfloor Nater Line �- Dateodi �0j- -Neth. Address, �`�V �J1( Jl/l f` ` 1 Time AN PN > Builders ,/ Permit #1 3te ' THE roL[p IZNO CORUCTIONS AA! RNQUIRRO: — 1 CAN I L rc- I,v��� okc Ql LU L _ -- Inspector: —APProWRD DISAPPRONID _ ^PPROVID SU"CT 10 ARM.2 C c ___Call For Reinep, INSPECTION NOTICR CitT of Tigard Building Department \v'/ 13125 ON Ball Blvd. Tigard, CW69on 97223 Inspection Lina (Rec-o-Phono)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. tlnder.slab Hoch. X411-iR Appr/Sdwlk Found. Plbq. Top out Ou Line FINAL( Post/Boas Struct. Ban. sewer _1 9• Post/Beam Mech. Rain Drain < —_—_~ Insulatios / _ply. Plbq. tlnderl -jr Mater Line Gyp. Bd. -Meeh. Data R"esteds Z --Z Z_—'I / _Tiswi AdOCrv\ � _r Permit # 4 3-Ocv- Builder: (l Vt41 KQ���� ���% S_(0 THE FOLLOWING ODRRECTIoNif 1►RE REQtlIREDs 7T_11l ,�,�, n 7� ZI Inn U Inspectort� t�—' Date: � 21 1 4, PPROVRD DISAPPROVRD kPPR("D StlBJECP TO ABOyB Y/ Call For Reinsp. INSPECTiew NOTICE (� Citi of TL9ard building Departmcmt 13125 SR Ball Blvd. riga:d, Oregon 97223 Inspection Line (Roc-O-Phono): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbq. Ursderslab Meeh. Rough-i A found. ppr/Sdwlk Plbg. Top out Can Line lINAL: Poet/Beam Sty ict. San. Sewer ; , �)r�vingY� � -Bldg. Post/Beam Hoch. Rain Drain Insulation _ply Plbq. Underfloor Mater Line Oyp. Bd. �: 1 -Meeh. Date Requested: 1 _ 7, --Time, AM ____PN Addrese:__I �D' �(` (- C(71'1 �`�`:'4 11 , 1 I _ Permit Builder: .112 TEM l—OLLOM—INNG OOORRECTIONS ARE REQUIRED: -- C.N.-\V\_ -�-- -_--" - Q / e,' — -- 1 VNL �s Inspector: ----___ Date: ___APPROVED DISAPPROVED �L APPROVED SUBJECT To ABOVE �� ____—Call !or Reinsp. ss•esasr■�. -- INSPECTICE HOTICR Cit? Of Ti9aXd XMILIdim9 Department 13125 BA Hall Blvd. Tiyrrd, Oregon 97233 Inspection Line (Roc-40-Phone): 639-4175 Business Phones 639-4171. Inspections Footing Plbg. Underelab Mach. nnugh-in Appr/Sdwlk end• FlSg To Ou ,i Gas Line FINALS frost/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line gyp. Bd. -Nwh. Date Requestods Time: AM PM Addreees1_�p YG �2�teu /L!�•-1 Permit /s Builders—_. TBE FOL1.00MING t"MICTIONS ARM RMQUIRMDt Inspector:_ Z - I� APPROVED _ DI8APPPcW" APPROVED BUB.IECT TO ABOVE -----Call For Reinep. iNsPECTION NOTICE Cit? of Tigard Building Department 13125 aR Ball Blvd. Tigard, Oregon 97223 Inapection Lina (Rea-O-Phone)s 639-4175 Ousines■ Phones 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Appr/adwlk Found, Plbg. Top Out Can Line FINAL: Post/Deas Struct. Bart. Sewer Framing -Bldg. Poet/Bean Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line oyp. Bd. -Mach. Date Requested: Times AN 1Mt Address: I' ' C ���C�� ` `� Permit #s MIA 6r 3 tloo Builders, TM FOLLOWING CO^RRCTIONS ARE RRQUIREDs J Inspectors Dates APPROVED DIBAP.PROVED APPROVED SUBJECT TO ABOVE v! � Call For ReLnep. 9T.iS� cit,, oil rigarddiM 06Pa-- l7ss7 1212S OW Bell Blvd. Tigard. Insulation Line (*sO..o_7hane), 639-4175 Business Phonon 639-4171 Inspections p,=gh_in pppr/Sdwlk pig. IIndorslab �h' looting IINJkL I Plbq. TOP Out - pas Line bond. '^ -Bldg. Post/seas Struot. Ban. sones framing -plumb. Insulation I in Drain � Post/sea* Noah. Ag _�h. Line Mates gyp. �• Plbg• IIndorilOOC An .,,_,__PN ry 7) _ TLNt ested, L 1 (� -r Date 1teq�1 `, 1 7 �Q 1 _ Permit to IO f Sc alder Tug IOLtonw pelt ,"rIONs 1►RI sIQOIRM, -`�- rte.---- ------------- ��_ �•�� Tnsp%Ctor:r— — \/ IPPRpVED SOB?RCl TO "IC" DISAPPROVID Call For Reinap•. INBPSC.RIOI1 NOTICS Cit! of Tigard Bu!_ldlft Depsita mftt 13325 M Ball Blvd. Tiom , Ocaspon 97223 rnspection Line (Rea-0-Phone)t 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk found. Plbg. Top out ab Line /\ FINALs Poet/Beam 8truct. Ban. sewer Framing -Bldg. Post/Beam Meeh. Rein Drain Insulation -Plumb. Plbg. ossderVo-w Nater Line Cyp. Rd. -Koch. Data Requesteds �t f� �� ` 9'imas AM PM Address ,�l7`� V 4VA �� _ Pa.,,.. �s��� vOO Builders TBS FOLLOWING CORRSCT70N8 ARB R8poIR6Ds Z �- vvY' S rc Inspectors l/ _ Dates_ 11PPAOVSDAz A Rl7VSD "PROVSD Bowser To ABONB 7 ✓Cwll For Relnfn. INSPSCTION NOTICS City of Tigard Building Daparlaent V 13u5 M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Pao-O-.Phone)t 639-4175 Business Phonal 639-4171 Inspections footing Plbg. Onderelab Hach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Ons Line 1 /f FIMS Poet/Bean Struct. San. Sewer framing -Bldg. O Post/Bear Nec'1. Rain Drain Insulrtion -Plumb. Plbg. Ondoriloor Nater Lino gyp. ad. -!tech. Date Requesteds s 1 '(� L� !Timet AM P^H Address >�l�_�(� t �< \� C\l( _ Permit 6:, ��J ��3" / Builders (10 TB= FOLLOWING CORRECTIONS ARS RSQDIRSD: 1 Inspector: Dates_ (I APPRCri/SD DISAPPROVED APPROVED SDBJSCT TO ABOVZ /� • all for Peinsp. INSPIGTION ICs City of Tigard Building tapart—t 1312S sw Ball Blvd. Tigard, Oregon 97423 Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171 Inspections tooting Plbg. Underalab Xwk. RmghAn Appr/Sdwlk round. Plbg. Top Out Oa/ L!M FINALt poet/Beam Struct. San. sewer rraBing -Bldq. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. underfloor Nater Line oyp. ad. -Noah. Data RaWastedt ,1-2t A Y �y Timet Addreees =',h�f L� -�d CDY� 1�i �N , Perm it 9to Builder:_ )Vv\ THE FOLLCMIMO OORRSCTIO"3 ARE REQUT.REDt inspectors � — y. Dates �L� --APPROVED _T PJIOVBn _ RPPROVED SUBJECT TO ABOVE `/,Call For Reinmp. IMSPACTIOM IWTICE City of Tigard Building Department 13115 dw Ball BlVd. Tigard, Oregon 97223 Inspection Line (Rac-O-Phone)+ 639-4175 Business Phones 639-4171 Inspections — looting Plbg. Underslab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FIMALs Post/Bean Strutt.eas Mach. r San. Sower truing -Bldg. Post/Seas ' Rain Dain Insulation -Plumb. f Plbg. Underfloor Nater Line Gyp. Rd. -Mach. ` Date Requesteds (2 'Z3 r Times F'Cc t PM Address s 1?x7`fU TQC Cr1'\1�l`�F _ Permit ,s Builders_, _ TIE roI.IAMIRII cORRMCTIOMS ARE IIXWIREDs - Inspectors_ Dates ' L ri=2 APPP.O"D DI9APPRO"M APPROVED SUBJECT TO ABOVE Call rnr Reinsp. INBYBCTION lIDTIf� �'�J City of Tigard Building X223 1312E A Nall Blvd. Tigard. oregom Inspection Line (Roc-O-PhoM)s 639-4175 Business Phones 639-4171 Inspections footing Plbq. Dnderslab Mach. Rough-in Appr/Bdwlk found. Plbq. Top out Gas Line FIRl.Lt Yost/Beam structs Ban. sewer framing -Bldg. post/Beim Rech. Agin Drain Insulation -Plumb' _Hoch. `bg. Underfloor Nater Line oYY• ad. �---�� ei Timet Date ROquAAL . _ Yermi #; �Du IWases+t TSM VOLLCWIRO CoRABCTIOIIe ARB RBQOIRBDt Dates Inspectort_ �ApppOyBp DIBAPPRt7VBD APPROVBD 808.7ECT TO ABOVB call For Reinsp. as*�ma� APPLICATION - STREET IMPROVEMENT/EXCAII,,'A7ION COPY TO: )-,Y.T 1 Wi4ITE)-FILE I ORDINANCE NO. 74-14 i YFLLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGE ::Vb]ft. APPROVED PQ APPLICATION NO.: _--�?�_ NOT APPROVED [) CI TY 01 FIGARD, ORECON FEF AMT.. S-_16.00 PENDING FEE. PMT. [--j CITY IIAI_L. RECEIPT PENDING SECURITY CI PUBLIC WORKS DEPARTMENT BY --_ _. DATE—_ PENDING AGENCY "OK" (] application and Progress Record MAINTENANCE BOND It� PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS r.EQu,�Eo ANNUAL Cl PENDING VARIANCE L EXPIRATION DATE: -�_-1 ' PERMIT NO.: -__a-7�r2--jZ_,­ LATE ISSUED: BY; (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL - 3A[ItI'PASS AS DESCRIBED HEREIN, IN FL!I I' ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _John e• Klein 5350_ S.W., 88th AV&51Ue Partl"-O OR 97225 292_-_5_O`.=: _ —' I-JAMIE ADDRESS CITY PKOME� CONTRACTOR p&____thy Y­CoMtrUCtion 122.40 NW Ws_etlawn � Portland, OR 97229 --- 789-1480 NAM[ AOD-1R-[fu T i_,ITY v �PHONE PLANS BY Per City StasirUrdisI & SpecificAt,ions - NAME —ADDI7E SS -- CITY ►NONE ESTIMATED IMPROVEMENT TOTAL. VALUATION ( COST): S 400•00 _r 00L.LARs - (2) EXCAVATION DATA: �t-- F OFFICE E: CIMIN— _ s. _49Q'_ STREET DESCRIPTION—� _ GRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM A QUAN ---- �-_ T - _ rrN&D -- Falcon RimDrive (9" attachRd) N NESTIMATED STREET OPENING DATE: LESTIMATED STREET CLOSING DATE: ED.ET (3) SECURITY NO. SECURITYAMT.: t ' •� E SURETY CO.: L _ __CHECK CNSM ❑ 5014D C INSPEC. ._ (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL - SPFCIAL PROVISIONS J CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. $ITE: 13040 S.W. FAL -- 8ee Xtta&ied - 1 1 1 1 I --- I RISE DRI 1 I I work arTX -- At4 I _ ■rte' _ - ` —.w_.,z _— (5) NOTE THE. CITY of TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY JURISDICTION IS YHAT OF WASHINGTON COUNTY OR 'IHE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT 'SHE REQUIRED SECURITIII;S, TO COMPLY WITH ALL. PERTINENT LAWS ANn CONSTRUCTION SPECIFICATIONS PERTIAENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY 00 DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE: DATE - J Speclal Conditions/Provlstons: 1. All work shall conform to City of Tigard, Oregon, Standards and Specifications. Note the attached Detail Drawings (U.S.A # 300, 350, 360, and 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 connect'an permit Is required to be obtained from the City's Building Division before connecting to the City's sanitary sewer system. dVgw-con.sW 3570 / 13579 13580 IBC9 1197C t.�' 13F ,. 11884 x --- +1677It885 F ti4 `• v � _ - _ Iacilcnu,�iltnul�--((—u+v, 11892 P �� t: v v v V �; O—NWa010�CnpVv 13500 1 0 - o o I _ CD 0 11905 11900 J'YB6Is 4 c I = 13495 � t 11915 119 13478 13�013400 0 13475 o N v m 13445 I 13455 S W 13434 ,c 13423 11925 11920 13435 0� U680 X3412 � 13401 >,+ 1935 11930 z 13387 : ���J =�s ' L "— \,5A20 ol 01 �• � tr -'1 V � v � �' C Ln w o w / cn cr �o otiw 11975 13300 Ir9a5 'ys� 19sc W °o 0 o o p 9�: 132bC 4yw °D J, �' Cv 0 w. -ZqS. 0 13335 13265 13292 ►�+ bti ` \3 5 /�S �" 'vkwnl �? 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' o 900 1' ::zN 129 p _ V 12934 11ti14 (O cow 4 3 12925 v �" 12932 12912 V p A _ N 12912 rn ap m F 12903 12921 12 910 i CDN / 12 885 = 12890 0 12887 �, � �i 11885 v w 1Cb c� ` 2e78 12esn t I — 1287 K I~ U D 12865 12876 S.W. _ 1z8az x 00 Q n N a N 1179 8 AVS 1D 4 ` 1280 1174(- z co p0id N �. r ,011 'Vy 3* "006 ,09 o C) O $ O N p0 ° _ / 1° o O O o O N O -/ CC) _ N 62 Ip ��/.� e� 009 i v co 06 � Ll Uri QN N 0 C'j N�0 00 N w r N n69.0� n / • _ . cn - O v _ coop 4 ti di / .09 40 y It.276 a�5�5r� / a9 60.26 ,09 09 Cr Cl �ykr 665 ,09 0d i Ar z nnm ` y01, "40 M o 8e 0 o 1 O — N _QpQ NN ' = {� W oo 01 00 r j •_ 1 06.09 06.09 'sz6Cv ~0— :2ia �os6 — ~ 9 atz l u' O 90.91 „ 06 6 0 In i ,09 ,01 y2 up r/os w c x6 9 1 � c ( I 'eVao/ e r M O N p (D o cli on 0 0 U) / ob O }^ 60 N C O �'N 1 �+ p 0 ►ti A t-co `t I V _ (D In r Q 4 '� ID 6 Q. 464 Q 0 ,���!z o6' N d n7 0 ` g 0 0 ►1 so, o r ,Od r r 0 N � � M 9091, P��1 '' II 001 IM a) W yr>6Z� v� a _r.. 1 e 46,10, 4 VOID()) (� �' 0 / (n •6 r` 'N 8 _ � prF a4 v 0 / H wo 1,J 1 la 11 �1F9�a� fl£'201 NWO Q i+0 CD o M �ii NI s; k o 0 0 c to N U') .�O 1. S t t0 N (0 a) I 0 0 0!0 O) 7 ��► - 1 0 N F rL-iD 101 1<1111NI 09 ,sc zc'6u g 1,r 1,s ^_ a• J ,1,WR FLAW 6 91,'66 60.611 -1 cl/al 00 1 06Elko S m $ O m r O `e E tlt►xh1 �h O N tee`' V� F=' 001 �" 60 m I 1,a 16 p► AFL 0 cv!\ Yp xsI{i _ g�= 4� O 905 H co , p ►a'ct 6 r. XD �T 6 zo ^ N vr r r�/ �.� N 108 " rv o b c o O 9p.d n g O {90 {0 N 0 O0M 4 UZO w ••�_ d (D 011 cl{ d0 Salol uszl zz•ch : tt mo to ~ �; CO N o M NO S 1,n ,R" NN ^ L � 0 U Tqt�_ O 91,001 c6i:I a :onl 148 v uJ 'Ar O Cn (D N _ M n N n (OD W 99 Y=I cn D p0O Ng O Q QQ Seto[ ,L 'o i Q o N n N 61121tn � ►At V C -� M C0 / 6 w , �. ` n( 19V!!1 o M 00 x 6s'6n Iszol fi OO M //, n N R O M ti� 7) \00 - ,fir ' !fc•In � _ - p tog O N „ z ^ 0 001 -- `Op 0 CE) C\j0 J o d O t O LI `i1,601 U M Z O N 90 f • ~ M +r+ 0 co an _1n �? R 1 I� • ' I I l ` BUILDING SEWER PIPE, SIZE AS SPECIFIED E_-_ I :]Tt3 PLANT FABRICATED TEE FITTING ON SEWERS 18" AND SMALLER. BACKFILL 2X4 �. FIELD TAP 04-EXISTING SEWERS AGAINST PWG TO AND NEW SEWERS LARGER THAN ( PREVENT PLUG THAN 18': 1 BLOWOFF s SECURE 2X4 IN PLACE WITH I SEWER MAIN /TRENCH BACKFILL.4H LATERAL PLAN , EXTEND AT LEAST GROUND 12" %AOYE SURFACE SURFACE MINIMUN SLOPE FOR G" PIPE= 0.010, FOR 4"PIPE = 0.020. CONNECTION MARKER ; MAGNETIC TAPE , GREEN a/BLACK LETTERS (WASTEWATER) I GREEN w/BLACK LETTERS (STORM DRAIN) PWG o 3/•4"-0 PIPE ZONE MATERIAL AS SPECIFIED —SUPPORT TEE WITH BEDOING GRAVEL, mmmuM 2'0" wires Sl DE BUILDING SEWER Uf untn*d S*Vfw 1 of wealuvton Co"'jy r Dwg. No. 300 I • •/ PvC SADDLE (TEE( I 1 STRAP RETAINER RIDGES I I - I 1 I jr _ RUBBER GASKET - - - - - _= a -4= -- - - _-: SEWER PIPE STA':N! ;SS STEEL STRAP x PVC SADDLE SHALL BE ASTM 3034 SDR 3S • PVC COMPOUNDS SHALL BE ASTM( 01784 WITH CELL CLASS OF 12454-8/C OR 12364-C *. ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477 = STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16" WIDTH BAND, 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. • INSERTION HOLE SHALL B', SORE DRILLED. PVC GASKETED u, ifled SADDLE UfA DRAWING NO. 350 I . COMPLETE RUBBER SLEEVE (ASTM"C-443) INCLUDES A MOLDED SEGMENT THAT HOLDS IT IN PLACE. 2. STAINLESS STEE! BAND (9/16" SERIES 300) r- '°"" SECURES UPPER HALF OF RUBBER SLEEVE 7C ;HE PVC HUB. 3. PVC HUB (ASTM 3034 SDR 35) DRIVE INTO CENTER OF RUBBER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 2 CONCRETE PIPE NOTE! ALL INSERTA-TEE HOLES SHALL BE MACHINE DRILLED. I NSER.TA — TEE 8�rage a DRAWING N0, 360 agency a Naft 1 I MIN. ,5•• A C IN 2 LIFTS STREET A?EAS I OUT OF STREET Af?EAS �w c,�T rr EXISTING 1 SECTION RESURFACING 2 of a/W-0" •• _. S CLASS A • . SACKFI L L o � v \ CLAss O - o r 3/4t-0 GRANULAR• . ' ' . U OACKFILL 0• ° •'s p O ui J • N C o °•4 Q •o Q o n o •aa c� 40, • '( a •Q o o' o a � a •a • o T •a PIPE BASS BACKFILL IN STREE] AREAS 1.IFS/W 13 ACAINST CURB, FILL ROC;% TO BACK OF S/W 2.IF S/W IS NOT AGAINST CURB, FILL ,ROCK 2'BACK FROM CURB C) PIPE 6 EDDI N G �AN D TYOFTIGARip BACKFILL DETAILS OREGON 0051GN PAY AF't'FZOVEO BY ORAWN 6Y GA R� �C4LE DATE 012-AWING NO. NT5 / � S-2 w. r TRAFFIC CONTROL GENERAL REQUIREMENTS 1 . The City' s' standard specification for traffic control is "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 pzovided for, as illustrated, at all time during work prosecution. No work shall be permitted6n4le. pcvJ� during the hours of darkness, nor between darkness to 8 :30 a.m. , nor 4 :30 p.m. to darkness . 3 . Traffic control devices, flagpersons (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 services (fire, police, etc . ) , School District, and Tri-Met 72 hours (minimum) prior to initiation of construction work. Advance warning 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 (M 639-4171) . 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 activities during holidays and periods of high traffic levels.. The City reserves the right to add to or modify these requirements as may be necessary to endeavor to more effectively control traffic and to assure public safety; such action shall not relieve the contractor of responsibility. dj/engdoc\Teeters\tcgr.mwt µRW CO+sTRUCTM O I GENERAL NOTES ,oD MK I 1. TRAFFIC SIGNS TO BE 48" X 48" a,c LME p i BLACK ON ORANGE. ROAD AWAO MD-4 2. NO ROAD CLOSURES. MN. R.ACM Amm MRD-7A 100' I MI"' 3. THE CITY'S STANDARD SPECIFICATION FOR TRAFFIC CONTROL IS "MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES FOR STREETS AND HIGHWAYS", I U.S. DEPT. OF TRANSPORTATION, F,H.A., 1988 EDITION. s Ift o� 4. ACTUAL SIGN PLACEMENT-TO BE ADJUSTED IN FIELD. DO NOT REDUCE to �{ BELOW MINIMUMS WITHOUT CITY n I APPROVAL. Itoir MK 5. THE CITY RESERVES THE RIGHT TO ADD TO I FLAGGER OR MODIFY TRAFFIC CONTROL REQUIREMENTS AS MAY BE NECESSARY TO EFFECTIVELY I CONTROL TRAFFIC AND TO ASSURE PUBLIC war SAFETY. W20-7A I LEGEND wK I pcNc tmc 0 TRAFFIC SIGN I ROAD MW ,or ® CONSTRUCTION Zk',NE UK D TRAFFIC CONES OR O APPROPRIATE DELINEATION MEAD ruTRucnai DEVICE. TRAFFIC CONTROL Jim— CA__TYPICAL [DETAIL DESIGN BY APPROVED BY DRAWJE3 CITY OF TIGARD _ OREGON SCALE DATE TDRAVANG, N.T.S. 4-6-92 i i city of ligard *ALUM" Department 13125 w Rall Blvd. Tigard, oregan 7223 Inspection Line (Roc-o-Phonal 639-4175 suniness Phones 639-4171 Inspsetiont ,--Pooting 1 Plbg. Underelab Nech. Rough-in Appr/Bdwlk Pound. Plbq. Top Out Gas Line FIRALc Post/seam Struct. Ban. BeAer Framing -Bldg. Post/Beam Hoch. Rain Drain insulation -Plumb. ` Plbg. Underfloor )later Line Gyp. Bd. -Hoch./ ` Data l;= / ? Timet AN PM Addres■ - , - Permit #:e Builders �OINSAVA T9R POLLOIIING CORIREDt I -- Ue2. ems. -v✓ S 7�wee_ k4� VS Inspectors z Date$ _ _ _" APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE --Call For Reinep. I PLUMBING PERMIT C'TYOFTIGARD PERMIT 0. . . . . . . : M5T93--0007 COMMUNITY DEVELOPMENT DEPARTMENT oMON 13i05WHd9"P.0.9=2W,T"W,0rWv1 (ON)ON4175 DATE ISSUED: 01/07/93 SITE ADDRESS. . . : J-3040 SW FALCON RISE DR PARCEL: 16133DC-00600 SUBDIVISION. . . . : ASH VALLEY TRAL; 70114INGs R-4. 5 PLOCK. . . . . . . . . . 2 LOT. . . . . . . . . . . . . :8 ------------------------------- CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . .' l TYPE OF USE. . . . :SF WASHING MACH. . . . . . . . I BACKFLOW PREVNIRS. . :O OCCUPANCY GRP. . -R3 FLOOR DRAINS. . . . . . . 20 TRAPS. . . . . . . . . . . . . . 90 STORIES. . . . . . . . a 2 WAIER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 90 FIXTURES----------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 S I NKS. . . . . . . . . . .. I GREASE TRAPS. . . . . . . .0 LAVATORIES. . . . . :3 OTHER FI-TURES. . . . . :0 IUB/SHOWERS. . . . -. SEWER LINE (ft) . . . . :0 WATER CLOSETS. . :2 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . 90 Remarks : PATH I OWNER: ------------------------------ ------------------ JOHN KLEIN TIF $ 1460. 00 JH 01/07/93 - 5350 SW 88TH AVE BPRI $ 340. 00 JH 01/07/93 - BPLC $ 00 JLH 12/18/92 92-234819 PORTLAND OR 97 B5PC $ 17. 00 JH 01/0'7/93 -- Phone #1 292-5056 SSDC $ 280. 00 JH 01/07/93 PARK $ 500. 00 JH 01/07/93 Plumbing Cant ract at-.- MPR i $ 40. 50 JH 01/07/93 . k 10 MrALL * lei. 13 JH 01/07/93 Name P-A "".,a 015PC $ 2. 03 JH 01/07/93 Address s" TL PPRT $ 117. 50 JH 01/07/93 - City: State : off—.— P5P(*1 f 5. 88 JH x)1/07/93 zipt Phone#t (PY'9-1 v79 Reg #e -------- REUUI RED 119SPECIIONS This permit is issued subject to the reg- Ulations contained in the Tigard Municipal Foot/found Insp Rain drain lyisp Lode, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslah Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp BUilding Final suspended for more than 180 days. PlUmb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp x Gyp Board Insp AU7j�_0,ri_zed­ Plumbing Contractor Signature Call for, inspection 639-4175 Contractor Notes: CITYOFTIFARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPAW MENT 011119MIV PERMIT #. . . . . . . : MST93-0007 13126 BW HSN BW P.O Ba 23M,TWwd,Oregon B7?Z7(SM)638-1176 — 63!i j►,LZl _ q rccr� T@1 �(A7�9a SITE ADDRESS. . . 1 13040 SW FALCON RISE DR PARCEL: 1S133DC-00600 SUBDIVISION. . . . : ASH VALLEY TRACT ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8 --------•--__..____.__._.______._____._.....__-- BUILDING REISSUES DWELLING UNITSil BASEMENT. . . . . . . . :@ - sf--- CLASS OF WORK. :NEW BEDRMS: 1 BATHS12 GARAGE. . . . . . . . . . :4113 sf TYPE OF USE. . . :SF FLOOR AREAS----- --- - REQUIRED SETBACKS---------- TYPE OF' CONST. :5N FI RST. . . . : 1330 sf LEFT. . :5 ft RIGHT. S 5 ft OCCUPANCY GRP. :R3 SECOND. . . :@ sf FRONT. :20 ft REAR. . .- 15 ft STORIES. . . . . . . 12 THIRD. . . . s 0 sf REUU I RED------••-------------- HEIGHT. . . . . . . - :24 ft TOTAL------: 1330 sf SMOKE DETECTORS. sY FLOOR LOAD. . . . :40 psf VALUE. . . . . $a 68704 PARKING SPACES. . : 1 Remarkss PATH I ---------------------------------- PLUMBING -------------------------------------- 3INKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . 13 WATER HEATERS. . . it TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :O WATER CLOSETS. . .-2 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft) . : 1O0 OTHER FIXTURES. . . . . ..@ GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . - 1 Sr RAIN DRAINS. . : 1 -----------­­ MECHANICAL ----- - __________.___.___-------.--___..-- FEES --- ----_-__-___ . FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt /GAS/ / / VENTS . . . . . s0 TIF $ 1460. 00 JH 01/07/93 - MAX INPUT:O BTU VENT FANS. . :3 BPRT $ 340. 00 JH 01/07/9:3 - FURN ( 1O0K . . : I HOODS. . . . . . . 1 BPLG $ 221. 00 JLH 12/18/92 92-234819 FURN ` -100x. . . :0 WOODSTOVES. :0 BSPC $ 17. 00 JH 0.1. /07/93 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280, 00 JH 01/07/93 - BOII_/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 01/07/93 - GAS OUTLETS: 1 MPRT $ 4O. 50 JH 01/07/93 - Owners -_..____..________._........_._______.._____._.___._.__-_--._M?LC $ 10. 13 JH 01/07/93 - JOHN KLEIN MSPG $ 2. 03 JH 01/07/93 5350 SW 88TH AVE PPRT $ 117. 50 .J11 01/0.7/9:: - PSPC $ 5. 88 JH 01/07/93 - PORTLAND OR 97 Phone #: 292-5056 Contractors ------------- -------------------- JOHN ------• ---- -------------------_JOHN KLEIN 5350 SW 88TH AVE P'ORT'LAND OR 97 Phone #s 292-CO56 Reg #. . t 77308 $ 2994. 04 TOTAL This permit is issued subject to the regulations .ontained in the -------- REUU I FLED INSPECTIONS -- Tigard Municipal Code, State of Ore. Specialty Dides and all other Foot/found Insp Fireplace Insp applicable laws. All Mork will be (lone in accordance with appr!wed Post/Beam Str-Lict Gas Line Insp plans. This permit will expire if Mork is not started within 188 Post/Beam Meehan InsUlat ion Insp lays of issuance, or if work is saspen d for more than 188 days. Plm/Undslab Insp Gyp Board Insp PLM/Under-71 oat- Rain drain Insp Permittee Signat'-1re : _ � _ Mechanical Insp Water Line Insp Pli.tmb Top OUt Appr/Sdwll< Insp ISSUed By : —� - _--_—� _ Framing Insp Mechanical Find Call for inspection - 639-4175 C17YOFTIFARDMy SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT ommeoee PERMIT 13108WHONOWP.O.8==W.Tigod,0nponV (600`!04176 PERMIT #. . . . . . . : SWR93-0006 I 639-4171 DHTE ISSUED: 01/07/9; SITE ADDRESS. . . : 13040 SW FALCON RISE DR PARCELa 16133DC-00600 SUBDIVISION. . . . , ASH VALLEY T RAC IZONING: R--4. 5 BLOCK. . . . . . . . . . . LOl... . . . . . . . . . . . . :8 TENANT NAME. . . . , IDSA NO. . . . . . . . . . : FIXTURE UNITS. . . a CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BU I LD I NGS: 1 INSTALL TYPE. . . . :HUSWR IMPERV SURFACE. . : : Sf Remarks: PATH I Owner: ----- ---____ ---- ------------- —___— -- -- ---_------- FEES — ---—____ ---- - JOHN KLEIN type amotint by date recpt 5350 SW 88TH AVE F'RMT $ 2100- 00 JH 01/07/9,3 •- INSP f 35. 00 JH 01/07/93 — t'ORTLAND OR 97 Pione #: 292-5056 Contractor: -----------------.----•-------- CJNTRACTOR NO'T' ON FILE ----------------------------------------- Plione if: $ 2135. 00 TOTAL Reg #. . . -- ----- REQUIRED INSPECTIONS --This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 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 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 to located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lat al. i Permittee Siynati_ire : Issmed By : Call for inspection - 639--4175 CITY Or TIGARD RECEIPT OF FIAYMFNT RECEIPT NO. CHECK AMOUNT n 487`1. 04 KLEIN, JOHN CASH AMOUNT s IA. 00 PAYMENT DATE n 1211 /07/93 c f 'LIRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUTI-DING PERM 340. 00 PLUMBING PERM 117. 0150 MECHANICAL PE 40. : LA ST. BUILD PER 2'4. 91. PLAN CHECK FE —18. 87 SEWER USA 21.00. oill SEWER INSPECT 35. 00 P"kKc sDr 500. 00 STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 1350. 1010 MASS TRANSIT TIF FEES 110. 00 13040 SW FALCON RISE DR T("(('IL AMOUNT PATr) 4879. 04 J r 13113 SW Hall 0 /'PLNCK/RECT CITY. OF TIGARD PERMIT a 915191-12207 COMMUNITY DEVELOPMENT DEPARTMENT T'd"d.Oreg 9WJ (503)639-x171 DATE ISSUED 130'x' JOB ADDRESS: 13Q4 0� "i (,o A)/-/!5 l7/C TAX MAP/LOT SUB: 46(- LOT: iT7.f�G�l LAND USE: -` VALUATION: 7U OWNER / SPECIAL NOTES NAME: c/ ( /iI j� � REISSUE OF: ADDRESS: � 2'�6 Zq LAST REISSUE: FLOOD PLAIN/ PHONE: 2 9Z ty SZ SENSITIVE LAND: CONTRACTORPPA ROVALS REQUIRED MGAf-f 09( NAME: PLANNING: 0/2- 7CL ADDRESS: ENGINEERING: FIRE DENS• PHONE: _ OTHER: ylF CONTR. BOARD 0: 7-730k EXP DATE: � � ITEMS REQUIRED SUBCO 0 S: PLUMB: /�S t"1 LIST/SUBCONTRACTORS: MECH: _/��! .� SF�� �• ✓ BUS TAX: ARCHIENGINEER CALCULATIONS: NAME: _ d76U / -g TRUSS DETAILS: _ ADDRESS: _ OTHER: _— PHONE: PROPOSED BLDG. USE: 1if/ _, COMMENTS: _tom ' tAk 44t5• 10ft� B ,i! c��r Ft�r.�d�l�f� Do�vN�4 Ay wp• Cu, UFc.F�� ADPL ANT SIGNATURE �1 Rece ved By: Date Received: ` Z- PERMIT # ACC # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE ► j-~110-432 00 Building Permit Fees 1' • `�' _ 10-431 00 Plumbing Permit Fees v 117, so // 10-431 01 Mechanical Permit Fees ,� 10-230 01 State Building Tax (5%) ! C2 el, Building Plumbing S'8rr Mechanical .0 10-433 00 Plans Check Fee X23�. ! 'S Building 1.21- 00 Plumbing Mechanical 10,13 10-230 06 Fire _ w V-pao(30-202 00 Sewer Connection " ��� d1l.00 _ 30-444 00 Sewer Inspection 33 25-448-02 Commercial TIF Fees �. 25-448-04 Industrial TIF Fees _ 25-448-06 Institutional TIF Fces 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 43 S 0 _ 1,3.50 ,---15-448-05- Mass Transit TIF Fees //0 /1U 52-449 00 Parks System Dev Charge (PDC) .fvo �Soy 31-450 00 Storm Drainage Syst Dev Chrg (SSOC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL td- U nm/3587P.WPF CITY OF TIGARD RE3CI 1 PT OF PAYMENT RECEIPT NO. 192­2114819 NAME KLEIN, JOHN CHE=CK AMOUNT 250. 00 CASH AMOUNT r 0. 00 ADDRESS 5350 SW 88TH PAYMENT DATE a 1211A1192 PORTLAND, OR SUBD I V I G I ON 9 7 c'r'.5— PURF109F OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLAN FEW F7Fli2—_94R —0" SW FALCON RISE* DRIVE TOTAL.. AMOUNT PAID 25m. do