13440 SW HOWARD DRIVE-1 4
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13440 S.W. Howard Drive _ �_
INSP IOII Nc„Y�ICEs
City of. Tigard Building Department
13125 BN IMII Blvd. Tigard, Oregnn 97223
Inspection Line (Rec-O-Phones 639-4175 Busirwas Phonet 639-4171
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Inspection. -_ ----- ------
Footing Plbq. Underslab Mach.. Rough-in Appr/SdwlL
Found. Mg. Top Out Gas Line FINALt
Poet/Beam Struct. Saar. Sewer Frami -Bldg.
Poet/Ream Mech, Rain Drain Insulation -Plujnb. f
Plhg. Underfloor Water Line Gyp. Bd. -Fach•
Data Requented:.._ TT.imet�+1 G� AH / PM
Address:----7— .z
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Builder:
THE FOLLOWING CORRECTI S ARE REQUIRF.Dt
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Inspector: l Luras
APPROVED �— DISAPPROVED APPROVED SUBJECT TO AROVF
Call. For Relnep.
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APPLICATION - STREET IMPROVEMENT/EXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP.
�. (PINK)-OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
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APPROVED ❑ APPLICATION NO.:
NOT APPROVED ❑ CITY 01' 7'IGARD, OREGON FEE AMT.: S --
PENDING FEE. PMT, ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBL,CWORKS DEPARTMcNT BY _ _ DATE r Ly� L +-i--
PENDING AGENCY "OK" ❑ application and Progress Record
MAINTENANCE BOND M
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RFOUIRF.0
ANNUAL
PENDING VARIANCE 1 !- EXPIRATION DATE: - —
PERMIT NO t ;, I _- _. DATE ISSUED: __�, L 5, _L_` + _ BY
(1) APPLICATION IS HEREBY MADE. TO EXCAVATE FOR AND INSTALL
r� AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT {J _ �• I~ ��,(� J i� C�_• e? '� _Q �f
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At DRUMS CI
CONTRACTOF? _
A – – ! � •_ 9 "'i�'
PLANS BY 14AME LIC.• ` n `ADREB! -~-- -
C-ITS- T�HOTV E---"--
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ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ �r� ` 7
DOLLAR! _ __---.__. ;'-'=-.�-
.._, _-_ss_I c _ _--
- -__ - --- ---- FO- R OFFIC[, f[' !..MIN.
(2) EXCAVATION DATA: _ _0.04 ---
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE- LENGTH WIDTH DEPTH —ITEM & QUANTITY --
-� _ STREET
_ N D
INSPEC-
R TION _
Q
ESTIMATED STREET OPENING DATE: - - -- T
ESTIMATED STREET CLOSING DATE: ED
- STREET
(3) SECURITY NO. ----- SECURITY AMT. S ._— CLOSED _
SURETY CO. _ __ -. FINAL
CEA- CHECK i;K---y�---- CASN ❑ boNr, INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS
FEATURES; EXCAVATION LOCATION AND EXTENT.
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(S) NOTE THL 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 OREGON
THE APPLICANT AGREES TO DEPOSIT 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 T1 JURY O DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTSSIGNATURE,` — DATE ! �� 1
3E:WER CONNECTION
C17YOFT167ARDr,E RM I T
CITYOF116'4R� PERMIT #. . . . . . . : SWR91-01.64
COMMUNITY DEVELOPMENT DEPARTMENT OmlmooN
13126 5W 1 WI Blvd. P.O.Bax 23397,Toed,OregDn 97M (603 636-4176
'J rt Jl. -- DATE ISSUED: 07/x.:3/91
SITE ADDRESS. . . : 13440 SW HOWARD PARCEL: 2S 1.03CA--01701"11
SUBDIVISION. . . . : WOODC REST ZONING: R--6
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :4
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK., . . :NEW DWELLING UN I T C3. . : 1
TYPE OF USE. . . . . :SF NO. OF PU I LD I NC S: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks :
Owner: -_________._____.__.__ _._...__._._.__________. FEES —•-------- ---
NICK-KIA DRAJAVICH type amol.tnt by date r^ecpt
13440 SW HOWARD PRMT $ 1504. 00 JLH 07/23/91 215617
INSP $ 35. 00 JLH 0'7/23/91 215617
TIGARD OR 97223
Phone #:
Contractor:
CONTRACTOR NOT ON FILE
1-1hone #: $ 1535. 0171 TOTAL_
Req #. .
_._._ REQUIRED INSPECTIONS ---.____...._ ...
This Applicant agrees to comply with all the rules and regulations Setyer Inspection
of the Unified Sewage Agency. The permit exoires 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 laterals, If the sewer is riot located at the eeasurement _
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agen, y will ins,all a lateral.
Per^mlttee Siynatl_tre:
I sa is 1_t a cd D Y __ __....s.. _...._.
Call for inspection — 639-4175
CITY OF 71GARD RECEIPT OF PAYMENT REr[-"tp,r NO. :91--:?156 17
CHECV' AMOUNT 1535. LAO
NAME : BRA JAVV:14, 141A 8 NICK CAST-1 AMOUNT 0. 00
: 134,140 SW HOWARD PAYMENI" DATE 07 c7'3 1
SUFAD I V 181 nlq
Tmf-lpr), OR
PURPOSE OF PAYMEN'r 0MOUNT PA T.D PURPOSE OF PAYMENT AMOUNT
-------------- 0--0--
S FW E.R-P E P M t 7 6�'
TOTAL AMOUNI' PAID
7
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CITY OF TIGARD
July 8, 1991 OREGON
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Ms. Kia Brajavich
13440 SW Howard Dr.
Tigard, Or 97223
Dear Ms. Br-ajavic ,,
This letter is in answer to your question of what needs to be done
in order to connect your home to the public sanitary sewer system.
Your first step will be to contact the adjoining property owner(s) ,
to see if they will to willing to grant- you an easement to extend
the sewer to your property. The easement documents and legal
descriptions will need to be submitted to the city :or approval,
prior to recordation with Washington County .
If the easement(s) will be granted, you will need to have your
property be annexed into the city. You may .initiate the process by
writing a letter to the city requesting annexation, because of a
failed septic system, and the need to connect to the city sewer.
system. If you have further questions regarding annexation, you may
contact John Acker (City Planning Di-vision) at 639-4'_71..
The existin�j public sewer will need to be extended westerly II
approximately 30 feet. You will need to hire a registered
professional engineer to design the public sewer, and submit the
plans to the city engineering division fcr approval . The engineer
may be able to assist you in preparing the proper easement
documents and other issues involved in the sewer construction. If
you have further questions regarding the construction of the public
sewer, you may contact Greg Berry (City Engineering Division) at
639-4171.
After the public -line is constructed and approved, you will need to
obtain a sewer connection permit, in order to connect your home to
the sewer. After your septic tanks is abandoned, it will need to be
pumped out and filled with sand or gravel . The permit fee is
$1535.00 (effective August 1 , 1991, it will increase to $1.935.00) . I
If you have any questions, please call mcg at 639-4171 .
S,ncgt;7 e I y
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Brad Roast
Building Official
13125 SW Nall Blvd.,P.O.Box 23397,Tigard,Oregc,n 97223 (503)639-4171 -- -----