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TSWIS G IVNOCIZY-J MS 0669
C.;1 cOF T I CPAI-,f) FA-CUIPT (IF PAYM�Mj J. :
P11CILANIT i
A CASH AMOUNT c 0. (ftl
(FiW F"1,..OFd:.NC,F LANE PAYMCNI DATE a 01 1
SLITAT)I V I�-T Of I
I-Di)PTLAND, 01? 7::' -- -
P1 11-4 1 TO SV OF Pi�Ylslf`.N'T AMOUNT P,rIIU PURPOUP CIF' PAYME-MT AMOUNT PAT )
HME.P DFPO ;1 T MCDONAL D
I'll-TIONW-0 ',aT SEWER A19SESSMEN t'
V.,:jW SW MCDONALD
1111111 91MUM11 PFI lD 5A300. 24
CITY OF TIGARD
January 14, 1.993 OREGON
Sandy Lee
7104 SW Florence Lane
Portland, OR 97223
RE: 8990 SW McDonald Street '
Dear Sandy:
This letter is intended to document our agreement regarding your payment of
$3,800.24 for the connection charge in the McDonald Street Sanitary Sewer
Reimbursement District.
You have elected to pay your connection charge in January 1993 to avoid the
accumulation of interest charges as specified in Resolution 92-11. This payment i as
been made even though you are not intending to connect to the sewer at this tan.e. Ii
The City will ;-,gree to refund your payment of$3,800.24 in the event the sewer is not
operational within the ten-year term of the District or the term of the District is not;
extended.
Sincerely,
O
Wayne Lowry
Finance Director
/W.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 - -- --
CITYOFTIFARDSITE WORE;
CRyOf"MRO PERMIT
COMMUNITY DEVE=LOPMENT DEPARTMENT oRmoas PERMIT #. . . . . . . .. S I T91-0007
13126 SW FWI OW. P.O.Vox 23307,T4 ud,Oregon 07223(603)83ID-4176
SITE ADDRESS. . . : 08990 SW MCDONAI_D ST PARCEL: 2SI11AS-00101
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
TYPE OF WORK:ADD PAVING?. . . . . . . . . :N RESO. NO. :
EXCV VOLUME. : cy GF.ADING?. . . . . . . . :N VALUE. . . $ s 0
FILL VOLUME. : 100 c y LANDSCAPING?. . . . :N
ENG FILL?. . . . . . :N SITE PREP?. . . . . . :N
SOILS RPT RF_QD?eN STORM DRAINS?. . . :N
IMPERV SURFACE. . : sf
Remarks: deposit approx 100 cu yds of fill +/ No sensitve lEinds involved. no
surface dr•airage can be blocked.
i
FEES
SANDRA LEE type amount by date recpt
8990 SW MCDONALD ST PRMT f 15. 00 BCR 07/17/91 0
5PCT $ 0. 75 BCR 07/17/91 0
TIGARD OR 97223
Phone #:
Contractor: -------------------•–•-•---------
CONTRACTOR NOT ON FILE
Phone #: $ 15. 75 TOTAL
Rey ff. .:
------- REQUIRED INSPECTIONS --------
This permit is issued subject to the regulations contained in the Fill Inspection —
Tigard Municipal lode, State of Ore. Specialty Cl d!s and all other Final Inspection _—
applicable laws. Allwork will be done in accorteice with _ _^
approved plans. This permit will expire if work is not started
within IN days of issuanca, or if work is suspended for more
than IN days.
Permittee Signatures
Issl.led By .
Call for inspection – 639-4175
CITY OF T16ARD REGEIPI' OF PAYMENT RECEIPT NO. :91-215449
CHECK AMOUNT 0. 011171
NAME r SANDRA LEE CASH AMOUNT 15. 75
ADDRESS a 6990 SW MC DONALD PAYMENT DATE 07/17/91
OR SUBDIVISION
PURPOSE OF' r-`AYMENT AMOUNT PAID PURPOSE, OF PAYMENT AMOUNT PAID
BUILD1Na PERM 15. 00 ST. BUILD PER 0. 75
FILL PERMIT
TOTAL AMOt INT PAID 15. 75
C11YOFTIGA
RD
fill I DING F'ERhI1 T
cm�'"'�. 1. kPt l 1 NO. : BU892665
oa nsaw
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SM Hell Blvd.P.O Box 2339'7,Tigard,Oregon 97223.(503)639-4175 TE I SSUED: 12/14/89
_.--- -- 1992666 ----------�
TOB ADDRESS: 8990 SW MCDONALD ST
TAX MAF'/LOT SUB: I...T- Dr.:
LAND USE:
LOT SIZE: VALUATION: S 11000 SL "RACKS
FRi NT: REAR:
WORK CLASS: REPAIR DWELL.I.INITS: LI ' T: RIGHT:
USE TYPE: SINGLE FAMILY NO.BEDROOMS: EKT.WAI_L CL IST:
CONS'I.,TYF'E: VN NO.BATHS: N: St E: W:
OCCUF'.GRP. : PROT.OPFNINt It
OCCUP.LOAll N: S: E: W:
TOTAL_ AREA:
NO.STORIES: 1ST: ROOF CONST: FIRE RET"
HEIGHT: 2NL: AREA SEPAR? RATED:
BASLMENT? 3RD: OCCUP.SEPAR? RATED:
MEZZANINE? BASEM'T
FLOOR LOAD: GARAGE: FIRE SPRKLR? ALARM?
FLOW(GPM) DETECT?
kIDr 41CCE.r''F..L—s rnRR.2
PLAN CHECK BY:
REMARKS:
fire restoration REISSUE OF NO.
LAST REISSUE:
O FEES:
W ervin 8 k.a-f en bsrlow PERMIT bt 7.513
N
E 8990 sw McDonald st PLAN REVIEW
R Tigard Or 97224 F1:RE DEPT
(503) STATE TAY $.11!?
-- - -- -- ---- - OTHER
C (DEVELOPMENT CHARGES:
N PKP ENTERPRISES INC I SDC(STORM)
N
T HORIZON RESTORATION SDC(STREFI)
IA 16176SW 72ND PDC(# )
T portland or 97224 PREPAID <
pPHONE (503) 620-2215
R REGISTRATION NO. 46081 r TOTAL: !18. 38
This permit is issued subject to the regulations contained In Title 14 RECE T PT NO.
of the TMC, State of Oregon Specialty Codes,toning regulations -- -•-------------------
and all other an- .cable codes and ordinances. and it is hereby REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and GYP. BOARD
specifications and In compliance with all applicable codes and FINAL
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business lax permits. This permit will expire and become null and
void if work is not started within 180 days.or if work Is suspended or
aband for a period of 180 days any time after work has
co enc d It shall be the responsibility of the permittee to assure
ai equire inspections are requested and approved
Pw mi tee Sign
Issued y�C — t- .r._ ----� .
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOFTIFARD
L
OFIROD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT ��` PLAN CHECK N
13125 S.W.HaM Blvd..P.O.Box 23397,T19mck Ofegon grM.(503)639-4175 PERMIT N
DATE ISSUED _
JOB ADDRESS:
,�l
G�.�
nn s'L 12 TAX MAP/LOT
:.NUB: 5. : : LOT: LAND USL:
VALUATION: _ -fs1s•'. /� C u --- -----
OWNER SPECIAL NOTES
NAME: Z.0 J", , 41 /�L'r�I,� [�A,f'G Out _ REISSUE OF:
ADDRESS: �,y9v _ iti/ it[c TJcv��o LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE: _ ----- ---
APPROVALS REQUIRED
CONTRACTOR p,r,� G".v��t,ne;s 7v c_ PLANNING:
NAME: ENGINEERING: _
ADDRESS: l6,'JG S.L) ;V v v _ FIRE DEPT
%�vR>lrtG,GYz �J f/
OTHER:
PHONE: �� � l�j v ITEMS REQUIRED
BUILDERS BOARD M: ' r_ EXP DATE: LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS: _NAME: —_— �_��L' TRUSS DETAILS: —_
ADDRESS: OTHER:
PHONE---- - v �—
COMMEN TS: ---
SUBCONTRACTORS: PLUMB: MECH:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees , L� �;
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing v
Me.:h _
10-433 00 Plans Check Fee _
Building' ___
Plumbing
Mech _
30-202 00 Sewer COn4ction
30--444 00 Sewer, Inspection
51-44a 00 Street System Dev Charge (SDC)
52-449 00 ;'arks System Dev Charge (PUC)
31--450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 OG Fire
TOTAL
N �.�2( �-4
_ dLl Inti: �-l-S1ZY_io.J
APPLICANT SIGNATURE
Received By: Date Received:
cn/3587P/18P
CITY OF TIGARD MECHANICAL PERMIT Receipt# J
Permit#
Description
Table 3A Mechanical Code - OTY PRICE AMT
City of Tigard
13125 S.W. Hall Blvd. 1) Permit Fee -0 -0- 10.00
P.O. Box 23,197
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU I 6.00
incl.ducts&vents _
Furnace 100,000 BTU l
2) incl.ducts&vents 7.50
Name of Development —1 3) Floor Furnace 6.00
incl.vent
,Job Address _-- Suspended heater,wall heater
Address F ("/"J' ,,/I t�'h< 4) or floor mounted heater 6.00
Tax Lot "1�nna'p No. 5) Vent not incl.in _ 3.00
Lot Block Subdivision _ appliance permit
Name(or name of business) 6) Repair
p coolnig,f heating,
eatiin,r uiri9 6.00
/ _ -- - - --- --
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner absorp,unit to 100,000 BTU
City,State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name Boiler or comp 15-30 HP
9) absorp.unit 1,12.1 million_ 15.00 ` -
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor c;ty state Zip 11- ) Boiler or comp to 50 HP
absorp.unit 1,750,000 BTU 31.50
State Registration No. City Bus,Tax No t 2) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have.aad this application that the information given is 13) Air handling unit 7.50
^ 10,000 CFM +
orrect,that I am the owner or authorized agent of the owner,that plans submitted are in -- - --__--
compliance with State laws,that I am i gistered with the State Builders'Board,that the Non portable
number given is correct.(If exempt from State registration,please give reason below), 14) evaporate cooler 4.50
15) Vent far connected
to a single duct 3.00
- ----- --- � Ventilation system not
t 6) included in appliance permit 4.50
Hood served by
17 mechanical exhaust 4.50
Signature(owner or agent) T Date ) Domestic type 7.50
Describe work ❑ addition Ll alteration CI repair Cl t 8 Incinerator
to be done residential ❑ non-residential LJ 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly _ _. 20) Other i.e.,woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
--
ouilding or propbrty _ 21) Gas piping one to four outlets 2.00
Type of fuel•- oil [I natural gas 171 LPG electric [ l
— 22) More than 4-per outlet
NOTICE --
SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- - - - —
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 250,1n OF SUB-TOTAL
ABANDCNED FUN A PERIOD OF 180 DAYS Al ANY TIME AFTER -- --- -
WORK IS COMMENCED. TOTAL
Special Conditions
Date Issued - --- -_- by
INSPECTION N01 ICE
i
City of Tigard Building Department
12420 S.W.Main St. '
Tigard,Oregon 97223
Phone: 639-4171
J
1
C 7
Type of Inspection / 1 L�r`
J /1 r
Date Requested ` t ( Time A.M.—_N.M.
Address _ �, Permit
Owner — t ' S / - Lot
Builder
The following Building Code deficiencies are required to be corrected:
Tit
` r
Presented to �__ Approved
Inspector _ _ Disapproved
Date
CALL FOR REINSPECTION
l ❑ YES 0 NO
i
CITY OF TIGARD (�aap �i�q Permit No. 3-4 nY Ii
Building Department
� Com►�ercial
Residential ❑
Date
JL-
New Installation Replace Addition tq Alteration
Licensed 2z&-f��
/ .,__ Owner
Plumber a ���' ob AddressAddress �-Z— --- Applicant ��i'�i Cit
_
CITY BUSINESS LICENSE REQUIRED FUR ALL CONTRACTORS AND SUES CONT RAO
O FEE TOTAL
- _. NO. FE,E TOTAL ITEM ---
ITEM 30.00 R
7.50
Sewer:First 100h. 15.00 1
Fixtures-Traps Each Addit.100 ft.
7.50 �_--.--_---------""" 7.50
Dishwasher �E�ector pLlmmp 20 —
7.50 •� 20.00
Garbage DiSPOSal Nater:First 1001t.
7.50 _ -- - 15.00
water Heater Each Addit.200 tt. --
--_- 7.50 --
Backflow Preventer 30.00
Storm&Rain Drain:First t 001t. 15.0_0
Each Addit.200 tt. 25.00
Mobile Home Space - -- 15,00
C _
all Drain-Single F_am•Dwelling__
Other(Specify): - -
Comments: --------
PERMIT FEE Issued By:__------ --- --
STATE k- % �' Receipt No. Apaticant nature
1--'i TOTAL
J
For Plumbing Inspection Phone 639.4171 ,
1
r
INSPECTION NOTICE
City of Tigard Building Department
1 P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 , 1
Type oflnspectionDate Requested Requested Time �� A.M. P.M.
Address _ j � Z?C _ Permit ��
Qwnev------
Lot #
Builder ---
The following Building Code deficiencies are required to be corre,ted:
1�
Presented to _. _- — — I roved
Inspector -- Disapproved
Date
CALL FOR REINSPECTION
El YES ONO
CITY OF TIGARD 13125 SW k
1.11 Z3397vd. PLNCK/RECT # _
PO Box 73397
COMMUNITY DEVELOPMENT DEPARTMENT Tigard,Oregon977L1 PERMIT #
(`03)639-4171 DATE ISSUED
JOB ADDRESS: `g ;��� _? ,. ,•^!, ;,� TAX MAP/LOT _
SUB: LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: REISSJE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: _ �:, = � '�I _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING: _
ADDRESS: — _ ENGINEERING:
FIRE DEPT:
PHONE: _ —_ OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: _
MECH: BUS TAX:
ARUVENGINEER CALCULATIONS:
NAME: _ TRUSS DETAILS:
ADDRESS: __ OTHER: —
PHONE:
PROPOSED BLDG. USE:
COMMcNTS:
NPFLICANT SIGNATURE
Received By: __ Date Received:
8.9 201,3 IR. N0. 112
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