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9785 SW SHADY LANE-1 Y i 1 4 C tLr 1 I I' Orecords'+microfh Atargets\buiIding.doc I 1 (ENGINEERING PERMIT ?SATE ISSUED: 02/1.9/97 By. ----- PERMIT 4. . . . . . . : ENG97 .0005 PRIM. PERMIT #• : ENG97--0005 PARCEL: 1S135BD-00 00 SITE ADDRESS. . . : 09785 SW SHADY LN ZONING:C -G SUBDIVISION, . . . : BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . __..-------------- - ----- --- ---------------------------- -- -- -- - - ------- --- - -- ----- ---- -- PERMIT TYPE. . : SOP PUBLIC IMPRV QUANT. (LIN FT) VALUE AGREEMENT DATE: / / GRAD/EROS -'`** - $ ASSURANCE; EXPIRATION--- STREET _ " $ �J ' PERFORMANCE- / / SAN SEW $ MAINTENANCE: / / STM SEW —__ " $ PATHWAYS " $ i ALL. OTHER _ *' - $ TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ Remarks : STREET OPENING, TO INSTALL ONE GROUNDWATER MONITORING TEST-WELL. Permittee : --------- ---- ---- FEES ------- ---- ----- ' HART CR.OWSER, INC. type amount by date recpt 5 CENTERPOINT DR. , SUITE #240 OPEN $ 6 . 00 BJ 02/1.9/97 97-290541 MISD $ 15G . 00 b 02/19/97 97-290541 LAKE OSWEGO OR. 9703') Phone # : #620 -7284 Engineer: GEO'I'ECH EXPLORATIOiNS 19700 S .W. TETON e- 156 . 00 TOTAL TUALATIN OR 9706 Phone 4 : #692-6400 ---- -- -- REQUIRED ItISPECTIONS - ------- i Permittee/Agent Signature : ---STORM SEWER--" ---- - -S'T'REET-- -- - _ M.H. & C.B. CRB LINE & GRADE f 1 PIPE LN & GRD SUBGFADE I, BC1.F�,I T L & CMPCT BASE ROCK � ATR & TV TEST LEV'3T. COURSE I j City of Tigaid, Oregon WEARING COURSE: I 13125 S.W. Hall Blvd. ---SA.N. SEWER--- 'P AFF & PED CONT P.O. Box 23397 M.H. & C.O. MONUMENTATION Tigard, Oregon 97223 PIPE LN & GRD STREETLIGH'TING Phone # : 639 -4171 BCKFLL & CMPCT ttiALK/APRON/RAMF AIR & TV TEST 1 FOR INSPECTION, CONTACT: ---- -GRADING-- - - - (, Letha Thomas #639-4171 (office) - -RL-PR' S/ALJ, S-- CONTOURS #780-2647 (mobil+.) DRAINAGE --- -PATHWAYS---- EROSION CNTL. SLiffinow W119 '�,(Y �' x-.RNY71r ,../.-, '.`'7-r u! Vy�n r 4�G•+{� yn ��j �t�7N�'' 3 �*+�V � ' �^' �' , `�� r�' 1 �If r FEB 13 '97 T1: R 503' 620 6918 P.3/3 d Monitoring g Woii Locations Former .Shell Service Station (PAN4c0 No. 30) 9755 SW Shady Lane, Tigard, Oregon • ®plenter Station Building 3 = ; Pump Islands ; 1. Planter Entrance . _j.. Entrance .• __ e SW Shady Lane rirly U)e.Ll Laca�ion Note vawc irep prepared from an Applied Oeotechnnlogy Inc.Site Plan,(fated 111211987. 0 i5 30 60 Legend: -- approximate Scale in Feet S� (li r I{/.MCROW.SER J-5546 1.2/96 t9 Proposed Monitoring Weill Location Figure 6 CAST HISTORY FOR CASE NO.: ENG97 Pnge No. 1 0005 1 HART rROWSER, INC. d 09785 3W SHADY LN 05/04/98 Action Description Req/ Schd! End/ ActDat Acton Notes Disp 1y et! Upd Code Sent Done Done Dat! 9y !1 F_NGA010 APPLICATION RECIEVED / / / / 02/14/9/ JSH 02/18/97 JSH ENGA040 Review initiated / / / / 02/18/97 JSH 02.118/97 JSH ENGA060 Constr docu prep initiated / / / / 02/18/97 HAND OUT PACKET 8 TIDEMAP'K CASE JSH 02/18/97 JSH ENGA062 Constr docu prep conVtete / / / / 02/18/97 JSH 02/18/97 JSH ENGA072 Applicant notified / / / / 02/18/97 NOTIiIED "APPLICANT", VIA TELEPHONE, JSH 02/16/97 JSH THAT .HE PERMIT IS READY AND THAT IT MAY BE OBTIINED AT THE FRONT COUNTER UPON REMITTAL OF THE REQUIRED FEE AND ASSURANCC DEPOSIT. ENGA096 Fee;Depesit rmitte-d / / 07./18/97 02/19/97 REQUIRED FFE: $6.00 ("PUBIPP" ACCT.) RECD 8 02/19/97 BON REQUIRED ASSURANCE: $150.00 ("DEPOS" ACCT.) i ENGA110 (F) PERMIT ISSUED / / / / 02/19/ 7 B 02/19/97 JSH j ENGA170 CONSIR COMPL IL SATISFACTOR` / / 04/16/97 Cr#/16/97 PI 06/26i9T PI l ENGA180 Assurance released i / / / 06/26/97 JSH 1)6/30/97 JSH ENGA'190 RECORD CLOSED ! / / / 06/30/97 FILE ROUTED TO "RECORDS", FOR STORAGE. JSH 06/30/97 JSH i i r ._-w....«,n+l.r.w,eie•,rrM•R•1ka.tr+/Ma'ir!'S*.i11M!:'�%MN�1PWt•H.WrM+.u.kOMa••",.w" wrw...wn,..-..,.«......w..n...rrw.:wHw+w.r. F F'NGINEERING PERMIT DATE ISSUED: 11/01/96 By: PERMIT # . . . . . . . . ENG96-0061 PARCEL: 1S135BD-00200 PRIM. PERMIT # . : ENG96-00.6.1- -"-DLN SITE ADDRESS . . . :� 09785 SW SHADY ZONING:C-G SUBDIVISION. . . . : -- I BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .- ------------ ------ -----_ ------- -- --- ---------- # PERMIT TYPE_ : SOP PUBLIC IMPRV (QUANT. (LIN FT) VALUE AGREEMENT DATE: / / GRAD/EROS * - $ ASSURANCE EXPIRATION--- STREET _ � $ PERFORMANCE: / / SAN SEW _- r $ MAINTENANCE: / / STM SEW — _ $ PATHWAYS $ _***_ ALL OTHER $ TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ! I , Remarks : STREET OPENING, TO OBTAIN THREE SUBSURFACE SOIL SAMPLES FROM WITHIN THE ROAD (2" DIA. , EACH HOLE) . � .. M Permittee . - ----- ------- --- - FEES ---------------- - HAR.T CROWSER, INC. typ•2 amount by date recpt 5 CENTERPOINT DRIVE, STE #240 OPEN $ 12 . 00 B 11/01/96 96-286022 viLSD $ 300 . 00 B 11/01/96 96-286022 LAKE OSWEGO OR 97035 Phone # : 620-7284 k. Engineer: I' i $ 312 . 00 TOTAL Phone 4 : - - -- -- REQUIRED INSPECTIONS --- -- --- - Permittee/Agent Signature : - --STORM SEWER-- -- ---STREET---- -- M.H. & C.B. CRB LINE & GRADE j PIPE LN & GRD SUBCRADE BCKFLL & CMPCT BASE ROCK AIR & TV TEST LEVEL COURSE City of Tigard, Oregon WEARING COURSE 13125 S.W. Hall Blvd. - - -SAN. SEWER- - - TRAFF & PED C011T P.O. Box 23397 M.H. & C.O. MONUMENTATION Tigard, Oregon 97?23 PIPE LN & GRD STREETLIGHTINC, Phone # : 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP AIR & TV TEST FOR INSPECTION, CONTACT: --- -GRADING-- --- Letha Thomas #639-4171 (office) --REPR' S/ADJ, S- - CONTOURS #780-2647 (mobile` DRAINAGE -- --PATHWAYS-- - - ERDSION CNTL. N 19F'M HART CROW`'ER c[M 621 691H P• -ed Exploration Plea Shell Service Station (PANOCO No. 30) 1 SW Shady Lane, Tigard, Oregon F ormer Used- c1o� Oil UST �►` /• __�_ � �_Printer® 4 ® Former Vent /® ines Ranter , , Station Building I 'il till 1 Existing Heating i ® SB-4(3 Oil UST f•�— 3a1 Former�1STs SS-5 Pump Islands 2 Planter 30-3 • 30-20 •.ofantn ...• ,• •• r .• .. r •• r be •• r •• r •• r •• r • 1�1 r u r •• �i �.� Entrance tntranoa Note: Base map prepared from an Applied Oeotechnology Inc. She Plan,dated 1/12/1087. 0 15 10 60 FM ---- Legend: Approximate Scale In Feet 0 Previous boring Location (ATEC, 1996) _ r ® Previous Boring Location (AGI, 1986) Proposed Ueoprobe Exploration M • J-5546 40/96 Figure 3 7 Ade 1,in.fi�'Y'1d1 �1 { .l+ i � • I Pape No. I CASE HISTORY FOR CASE NO ENG96-0061 E HART CROWSER, iNC. {fi{ 04785 SW SHADY LN 05/04/98 i Action Description Req/ Schd/ End' Action Nates Disp By Update Upd Code Sent Cone Done Date By ------- ----------- --- -----------••-- -------- ------- -------- -------------- -----•- ---------- --- -------- --- I , IGAir10 APPLICATION RELIEVED / / / / 10/25/96 JSH 10/30/96 JSH ENr,AO40 Review initiated / / / / 10/29/96 JSN 10/30/96 JSH ENGA060 C ,Iatr docu prep initinted / / 1 / 10/30/96 JSH 10/30/96 JSH E.NGA062 Constr docu prep complete / / / / 10/30/96 JSH 10/30/96 JSH ENGA072 Applicant notified / / / / 10/30/96 INFORMED APPLICANT, VIA PHONE, THAT THE JSN 10/30/96 JSH PERMIT IS AVAILABLE VIA "DST'S AT THE FRONT COUNTER". ENGA094 Fee/Deposit remitted / / 10/30/95 11/01/96 $12.00 FEE REQUIRED ("PUBIMP" ACCT.); B 11/04/96 JSH $300.00 ASSURANCE REQUIRED ("DEPOS"' ACCT.). I ENGA110 (F) PERMIT ISSUED / / / / 11/01/96 B 11/04/96 JSH ENGA130 Initial insp performed / / i / 11/09/96 PI 12/11/96 PI ENGA170 CONSTR COMPL d SATISFACTORY 1 / 12/11/06 12/11/96 holes dug and filled PI 12/11/96 PI ENGA18(1 Assurenre released / / / / 12/13/96 JSH 12/13/96 JSH ENGA190 RECORD CLOSED 12/13/96 FILE ROUTED TC "RECORDS", FOR STORAGE. JSH 11/13/96 JSH V POW I I a Ei I i `