Loading...
12225 SW LANSDOWNE LANE 12225 SW LAbOOX hI[gE [,ANE CITYOFT167ARD � CERTIFICATE:: OF' CMOFTMRD COMMUNITY DEVELOPMENT DEPARTMEW 00200" OCCUPANCY 13125 SW 144I Blvd. P.C.BCW 23397,TOW,Oregon 97 (603)dSO4175 PERM I r . . . . . . i MST90-0385 DATE ISSUED: 07/03/91 SITE ADDRESS. . . i IL225 SW LANGDOI)NE LN PARCEL eSIM38C-13*7800 SUBDIVISION. — i FYRES'rONE ZONINGs R-4. 5 BLOCK. . . . . . . . . . i LOTs . . . . . P . a . . . . i rLASS OF WORK. :NEW TYPE OF USE. . . iSF icrUPANCY GRP. rR3 0CLIMANCY LOAD#220 4 TENANT NAME. . . Remark s$ rJwnwre bi Z C014STRUCTION CO 18585 SW ROLA RD ALOHA OR 97007 Phone Na 649-55e7 Contractor i M Z CONSTRUCTION CO 161585 SW ROSA RIJ ALL.W4. OR 47007 Phone #t 649-53P'7 Pet -". - 64124 Oct opency of tht- above referenced building i % hereby E!{ .en, and c,-,rtlfiv4 the compliance with the State Of Oregon Specialty Codes for the g:--oun, occupancy, and 1.tsv under which the referenced ppt-mit was issued. FIRE DEPARTMENT BU I P I NG jtl 'ECTOR SUIL NO i F ICIAL. POST 114 CONSPICUOUS PLACE I j City of Tigard Building Department r 13125 FM Hall Blvd. Tigard, Oregon 97223 Tdepection Line (Rec-O--Phone): 639-•41.75 Business Phone 639-41'71 Inapecticnt ___ �_ —. __ ------- --- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk \ auund. rlbq. Top Out Gas Line CINALt� Piet/Beam etruct. San. Rewe?: Framing Pont/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line GYP• Bd. Date Requeetgdt - 3 `41 1 Time: Addreee: �._ Z- ,_Z_ u S L?Q_w`� Permit 1:�' + Builder:___THE MIJA3WING CORRECTIONS ARE RRQUIREDt r- i I r Date: — �1C I nePector: Lt- APPROVED DISAPPROVED APPROVES dUBJECT TO ABOVE all For Reinap. r IK@P`CTIJN 'ICE /� City of Tigard Building Department 13125 BN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone,: 639-4175 Business Phone: 639-41171 Inspection:_ Footing Plbg. Underalat, Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Linr FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. lain Drai:, Insulation Plumb- 11bg. Underfloor Nater Line Gyp. Bd. -Hoch. its Requeetedf 1 � l +__T Lme: AH PM hddrese:_ 7 PgFlnit fit_ �S Builder: THE FOLLOWING CO ONS ARE RAQUIP�D. i —✓ /. Inspector, APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ���---fff--- Call For Rein9p. ae sss. sa ssas aer s� s se .es ea INSP�CTtOh ��ICE. �,K City of Tigard 9eilding Department 13125 SN Hall Tigard, Oregon 97223 Tnepection Line (Rec-O-Phq ): 639-4175 Business Phc tet 639-4171 Inspections_— 1 Ing Plbg./g6de"lab Aech. Rough-in Appr/Sdwlk f Found. Plbg. Top Out Gas Line FINALS Post/Beam Ftruct. San. Sewer Fr.:TlnC -Bldg. Poet/Ber.n Hoch. Rain Drain Insulation -Plumb. Plb(,. Underfloor water Line Gyp. Rd. och• Dal . Pequostads -� _''-'ime: —_—_.AN PM Addreos s ����� �i11,, � AI Lt�jrs►tt /:_� __L!. � BuiIda ':--�— --- _ — THh FOI.I.ONING CORRECTIONS ARE P^;rvIRBDI J � � Inspector: �.��_L� 1� �L Deta:� APPROVED D13APPAOVfd� MPPROVED SUBJECT TO ABOVE Call For Reinsp. s� w� ■s tt� .. � +r �. I Mrar Mmoccum VOTICE tt_ity of Tigard Building D"rtareut 13125 Sw 11all Blvd. Tigard, Oregon 97223 Inepection Line (Rec-o-Phones 639-4175 Business Phones 639-4171 i Inspections_, '— Footing Plbg. Undmrslab Moch. Rough-JAI ` Appr.•L$dwlk Pound. Plbg. Top out. Gan Line FINALS Post/Beam Struct. San. Sewer. Framing -Bldg- Post/Beam Meth, Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Use Gyp. Bd. -Mech. - L/� Times AN PM Date Requesteds 7- _ Addrede• __.�_ � YlLsslt �s`� i`,�c7 Builders^__,221_ _ THE FOLLOWING fMRRECTI1*B ARE REnUIREDs _ Y— i ..�t-ls ei.,11��UCL L. ;�1ri � Crtiy� 1 G tC ��� Dates � f Inspectors j� �� �- _ "PROVED DIBAPPROVED PPROVED SUBJECT TO ABOVE call ►or Reirsep. ILIS G-TION 1N NOTT,;G City of Tigard Building D"rtatent. 13125 SW Hall Blvd. Tigwrd, Oregon 97223 Inspection Lina (Roc-G-Phone;: 639-4175 Bueineeb Phone: 639-4171 Inspectiont P(,c.ttnq Plbg. Underelab Mach. Rough-in Appr/8dwlk Pound. Plbg. Tor Out One Line EINALt Poet/Beam 3truct. San. Sewer Framing -Bldg. Poet/Ream Vach. Rain Drain Insulation -Plumb. Plbg. Underfloor tlater Line Gyp.. Bd. -Hoch. 7 _ i Sete Requested: _ __-Timet _'X—AM PH Address:_(7 permit C-a.N-.. U Q C 1 Builder:^''1 "G. C `�! /- rUT FOLLOWING CI IARECPIONS ARP. REM IjUli —_ 1Jd cL 1 1 -ie%p Jt vtj r L i LC _ IMl j I l.,� .✓ Cit' l, ��" �t' �^ Ql Inspectors. APPRriIlD DISAPPRO D ��NAPPROVED SUBJECT TO ABOVE Call Fo•: Reinap. se � ns � iw ew s► ssI ss► ew I P CTJON NPPI�E 1 City of of Tigard Building Department 131.25 BA Ball Bled. Tigard, Oregon 972:!3 1 Inspection Line (Rea-O-Phons): 639-4175 Buninean Phone: 639-41iA Inspection: Footing Plbg. Under..?ab Rech. Rough.-In Appri'Sdwlk Found. Plbq Top Ott can Line FINAL: Pont/Ream Slru.-t San. Sewer Framinq -Bldg. Post/Bram Hoch. Rain Drain Innulation -Plumb. Plbg. Underfloor Nater Line G-1). Rd. -Hoch. Date Requenr_eds �"! !�/ Time: AM PM Address: L,LLsrmit #0�0 :---- - Builder: THE FOLLOWING CTIOds ARI RRMIRID: ( 1 � e0vVt 11 CIL:- Inspectors ------- -.- ---.- nate:��/�— APPROVID DISAPPROVRD _— APPROVED SUBJECT To ABOVE For Reinsp. so ... J.IWS xION N 19 city of T1,jard Building Dmpart�nt 13125 OR Ball Blvd. Tigard, Oregon 97223 Inspection Gine (Rec-O-Phones 639-4175 Business Phone: 639-4171 Inspection: Footinq Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbq Top Out Gas Line FINAL: Poet/Beam St.ruct. San. Sewer Framing -Bldg. Poet./Beam Mech. Rai:: Drain naulatlon ) -Plumb. P1Cq. Underfloor Nater Line Gyp. Bd. -Mach. Date Requeateds r!� Times _. AN _ _PM Address: -Permit Builder:_ THE FOLLOMINGO IONS ARR RRQUIRED: Irspectorl.... ,i - Date: APPROH=D DISAPPROVED APPROWD SUBJECT TO AROVF. Call For Ralnap. INSPICTION NOTICE 1 City of Tigard Building Departxent 13125 ON Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found_ Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer / minq -Bldg. Poet/Beav llech. Rain Grein Inn:lation -plumb. Plhg. Underfloor slater Line Gyp. Bd. Date Requeuted:_—_1t,42�yyT L. PM Adureas: � ✓��'�4� 1� /l / Permit f: . Builder:_ 2 THL' FOLLOWING CORRtCTI,6NS ARE REQUIRED: y14 P l b�.s Ccs ST'T1 r 2 / r S fz 3 o u�.�e�r��� ✓��.,ry-c cr✓ _ZZM cmc IVA IV Inspector: --------.__.—_._ Date:_ � �� APP}`OVED DISAPPROVED / APPROVED SUBJE(`T TO ABOVE Call For Reinep. we t. er •a, s. +� 1�1s twr � ttw �s 1�' City ©- Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregun 97223 Inskwcti.on Line (Rec-O-Phone): 639-40:i Businees Phone: 639-41 Inspection: Footing Pl.bq. Unddrelab '•ircl.n � Appr/Sdwlk Found_ olbg. Top Out Gae Line -y FINAL: Pont/Beam Struct.. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg Underfloor /Water Line Gyp. Bd. -Hoch. Date Date Requestedt- c? - ` _Timet r 11M AAdre ,t: �� �9t1�GLG?��Il�2ifmit #lyL' Rvilder'.- THE POLIAMING CORREC-ZIONS ARP. REQU I RED: •-i7 SCJ F'Ft)1zr" ails F', InspPctort --- _._..-------- - Dntet _—APPIIOM AISAPPROV/D 'APPROVED SUBJECT TO ABOVE QBll for Aoinrp. ...A NOTICE City of Tigard Baildinq Departaent ° 13125 am Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 634 4175 Business Phone: 639-A171 Inspections ------- Footing P4. Underslab Mech. Rough in�, Appr/Sdwl.k Found. Plbq. Top Out Gas Line FINAL,s Poet/Beam Struct.. San. Sewer Framing -Bldg. Poet/Beam Mech. Rein Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Requested: -!:;9 Timet _jA AN PHf Address: � Z/2!&_ ?omit Builders_��� 3 __ TBR FOLUMINC, 'CORPECTIONS ARE R13QU1RED: Inspectors =/ -- -- Date: Z APPROVFD _T DTSAPPRMET) APPROVED SUBJECT TO ATIOVE C+sll For Reinsp. �v wr �� wr wf ew ncr w �q l■ jNSPBOIQR NOTI_E City of Tigard building Depaartaent 131:5 871 Hall Blvd. Tigard, Oregon 97223 Innpectfon Line (Rec-o-Phone): 639-4175 BBuusyiness Phones 639-4171 T neper_t ion s -Z/-- __ rooting P Und•4r� Hoch. Rough-in Appr/Sdwlk Focnd. Plbg. Tcg Out Gas Lina FINAL- Post/Beam Struct. San. Sewer. Framing -Bldg. Poet/Ream Hoch. Ra.ln drain Innulation -Plumh. Plbg. Underfloor Water Line Gyp. Bd. -Neth. Date Requs.etede '" - h TLoe: _AM PM Addreee-- /cA� RuIIderi__ -- --- -- T141 FOLLOWING OOR"CTIONS ARE REt,JIRM -_--__11�LL��_51�•�n�rZ. �s�a.t.d r� i''�=I[.�c.lam-'( Ir.apectort- Dater�^�!%• APPROVED DTSAFPRMEb /�isPPPA3VED SUBJECT TO ABAVE Cal; For Reinap. �1 jq¢PECTI00 NOTICE f City of Tigard Building Department 13125 ST Ball Blvd. Tigard, Oregon 97'023 IneFection Lina (Rec•-O.-Ptyn�e): 639-1175 husineue Phone: 639-4171 Inspect ions_ �f} �,E�- ,�✓��-c t !�-,w• — Footing P1 7, Underslab ttech. Ioigh-in Appr/Sdwlk L Found. Plbg. Top Out ,e9 Lin, FINAL: Poet/Beam Struct. San. Sewer Framtng -Bldg. Poet/Beam Mach. Rain Drain Ineu!at'_on -Plumb. Plbg. Undwrfloor. Nater Line Gyp. Bd. --Meeh. Date Requeeteds__Z __Tb%he: _ AMQ—J/Z.� Address:_ Builders— /n n THE FOLLOWING CORRECTIONS ARE REQUIRED: lnactor: _- APPROVED _ D1SJ1PPRoVFD hPPROVF.D SUBJECT To 30VF c•811 For Relnnp. sw es w les �a w w +� et w INIPM10H NOTICE —� City of Tigard Building Department 13125 ON Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171 I nspect..,ss s_ Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALe Poet/B"am St.ruct. �- � ean. eewar, Framing -Bldg. Post/Beam Hoch. Rain Drai Insulation -Plumb. Plbg. Underfloor ateile; Gyp. Bd. -mech. Date Requeuted: % y� 7 ��� JTimes 7 y_ AM _ pN Address:—_,/, .tea) plait t:��Q Builder. THE FOLLOWING CORRECTIONS ARE REQUIREDs lnepoctnc:— Data: i ,J—APPROVED DISAPPROVED APPROVED 7,UBJEcT TO ABOVE i _Call For Reinsp. wr MM M = NFMr-� W_ .� =Al �M_ - M w i pw INSPZCTION NOTICE City of Tigard Building Deps-.caent 13125 811 Ball Blvd. Tig.ra:, aregon 97223 Inspection Line (Rae-O-PLone): 639-4175 Business Phones 639-41 Inspections_ Footing Plbg. Underelab Nech. Rough-in Appr/Sdwlk Foun_d_.______ Plbg. Tcp out Gas Line FINALS et/Beam Struct. ) Ban. Sewer Framing -Bldg. \ ■t/Bees: Hoch Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Cate Requeateds�/�_ 1 U Times / AM PH Address s� ? '^�- fiJt=� �/'7L�" ➢drmit Builder.: TSw rmumING b6PMCTIONS ARE REQUIRED: i Inspector:_ —__ -. --- Date- APPROVED - DISAPPW.RD -S_APPROVED SUB-TELT TO ABOVE I _!_Call For. Rsinep. s w � ne w er e� an i '■ t INSPECTIOti NOTICE �L/ �✓/ City of Tigard Building Department 13125 sill Ball Bled. Tigard, Oregon 97223 Inspaction Line (Rec-O-Phones 639 -4175 Business Phones 639k1771)1'� Inspections_ Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk d. n / Plbg. Top Out Gas Line PINALs Cionn Post/Boom Struct. San. Sewer framing -Bldg. Post/Ream Nech. Rain Drann Insulation -Plumb. Plbg. Underfloar Mater Line Gyp. Gyp. Bd- -Hoch. A rete Requested: ^, L T T Times _ANk Addresec Permit 1s 7 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors �f Date: �_APPROVED —_ DISAPPROVED e.LROVED SIIRJECT Tt, .tBOV9 __Call For Reinsp. -, I��scrlGN NOTICB V City of Tigard wmenilding Departt 13125 811 Ball Blvd. Tigard, Oregon 9722' spection Line (Rec-O-Phone): 639-4175 Business Phone: 6.9 Inspection: FootLny Plbg. Underslab Mech. Rough-in '.Ppr./Sdwlk Found. Plbg. Top Out Gas Line FINAL& Past/Beam Struct. San. Sewer Framing -Bldg. Post./Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor atter Line Gyp. Bd. -Mach. Date Requested: V 4"/ Time: __2S,_AM PM G Permit Is!2z" Builder: ,A TNR FOLLOWING CMUU96TIOMB .\RE REQUIRED: 421VIL 7292 In9paLcors _ Date: APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE _—Call For Reinap. C11Y OF TIGA RD MASTEK PE.RMIT RD J'117RMIT 0. . . . 11 ST9 0 032'5 0410001 COMMUNITY DEVELOPMENT DEPARTMENT 41 13125 sw HWI Blvd. P.O.Box 2.1307,TII;piud,Orogon (¢Wj�,8?0-4 J 75 DATE ISSUED: 10/29/90 I TI' ADDRESS. 12225 SW I ANDSDOWNE LN PARCEL: UDDIVISION. . . . v FYRE.STONE ZONING: 1+1 OLK. . . . . . . . . . I LOI . . . . . . . . . . . . . .. 17 BUILDING REJSSUES DWELLING UNITS- 1 BASEME NT. . . - . - 10 s CLASS OF WORK. :NEW BEDRMS:13 BATHS:3 GARAGE. . . . . . . .. . . :518 Sf TYr-"E (IF USE. . . FLOOR REQUIRED SETBACKS------------ -- 'I'YPE OF rUNST. c5N FI R S T. . . . : 1244 S f LE-Fl . .. 29 fit RIGHT. c 25 ft OCCUPANCY GRP. -R3 SECOND. . . -. 1-381. ..,f FRONT. 20 ft REAR. . -24 f1: f`)TO R I ES. . . . . . . ..2 THIRD. . . . SO of REOU I RED----------­­---- HEIGI+1.. . . . . . . . ..20 ft T0*rAL-­-­---- 2G25 S f SI1GKE DETECTORS. :Y FLOOR L(JAD. . . . -40 pst VAL.UE". 130074 PARKING SPACES. . sO e In a r I-t S I PLUMPING I NKS. . . . . . ot— s- 1 FLOOR DRAINS,, . . . -.0 SnCKFLOW r'REVNTR,5,, 10 LAVATORIES. . . . . 05 WATER HEATERS. . . : 1 TRAP"13. . . . . . . . . . . .. . .. .0 111 B/SHOWERS. . . . 93 LAUNDRY TRAYS. . . : I CATCH BASINS. . . :0 WA I"ER CLOSETS. . 13 SEWER LINE (f+) . :0 GREASE DISHWASHERS. . . . : 1 WATER LINE (ft) . .* 100 OTHE:,-! FIX"T'L1kF.:5_, __ ::0 GARBAGE DISP. . . 11 RAIN DRAIN (ft') . cO WASHING MACH. . . : 1 SF RAIN DRAINS. : 1 .............__._._.w_........_._ ME.%'.rIANICAL --­­----­­----- FEES F-1JEL UNIT HTRS. . .-0 type -A11)c)tt)-)t by (late reer t /GAS/ VENTS . . . . . .-0 F:,AyIq q, 1.00. 00 JLH 10/16/90 20`,6613 MAX INPUT-0 EITU VENT FANS. . -4 PPRT '510. 50 F"'I.)R N < 10 0 K . . :0 HOODS. . . . . . r I PPLC 3;31., 8 3 FURN )=400K . . - J. WOODSTOVES-0 El 5 PC 25. 53 FL OOR FURN. . . '0 CLO' DRYERS. - I STDC 600. 00 14 F.)I I C M P < 3 H Pr(1) OTHER UNTTS:0 SSDC $ 375.00 GAS OUTLETS: 1 PARK q; 250. 00 Owile.r. MPRJ 4 40. 50 1`1 Z CONSTRUCTION GO MPLC $ 10. 1.3 ! 8!585 SW ROSA RD 1451."Icl $ 2. 0,_k PPRT $ 162. 50 0 0HPi OR 97007 P5P(.' $ 8. 1.3 r,lic.)rie #.- 649-5527 PAYM $ 2i 1.E;. J.5 JLH 10/29/90 111.rac,tor c -- - CONSTRUCTION CO 18585 SW ROSA RD e-)I. OHA OR 97807 F-Iini-ie #: 649-5527 Reg #. . : 641e4 231`- 1.5 TOTAL This permit is issued subject to the rejulations contained in the ;­.rE't'iUIRED INSPECTIONS Ticard Municipal Code, State of Ore. Specialty Y Codes and all other Foot/fot.tod Irsp Mechanical Insp�Vcl?cable laws. All work will be done in accordance with approved Wtr Proofing Psm PlLtmb Top Ot.tt -.tans, This permit Pill expire if work is not started within 186 Post/Beam StrUct Framinq Ivisp dans of issuance, or if work is suspended'fpr mor n aye Plovt/Beam Ilec.,haii Fireplimee Insp Drainp Ins Sigila t e P I M/t.tri d 9 1 a b I ii-,p CC FILM/1-Inderf loar Gyp Board Insp Jr;s;Lled Byt Vtiiq Draiii Bsni I is Ft i. Insp Uall for irlspec-tiori 639---4175 M—W CITY C)FTIFARD SEWER CONNEC,'TJON Im V,E R ITI I*T COMMUNITY DEVELOPMENT DEPARTMENT I.`E R M IT !f. . . . . . . .. GVR90 0;31:14 , 13125 SW Hall Blvd. P.O.Box 23397,Tiprep d,On 97223(503)6394175 7F S31 TL. ADDRESS. . . 1 12225 SW LANDSDOWNE LN PARCEI....- 2SI.03EIC--0-1800 SUBDIVISION. . . . t F-YRESTONr ZONING-. BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ¢ 1.7 TENANT L)SA N0— . . . .. . . . . .-43109 F:'IXTURE UNITS. . . CLASS Y- WORN.. . . :NE W DWELLING UNITS. . 1. TYPE OF-- USE. . . . . sSF NO. OF:' BUILDINGS.- I INSTALL 'T'YP'E:. . . . nPUSWR I HF F RV SURF'ACE. . - -Sf Remarks I Owrie-rn Ill Z CONSTRIJr.'TT(*)N CO tvp(a arn(3ullf.. 1>v nate -r e c 1.8585 SW ROSA RD $ 1500. 00 $ 3C5 00 ALOHA OR 97007 PAYM 9 1.5.";:1. 00 JLH 1.0/29/90 Phavica #.- 6,49 ";r,-J2'7 Ill Z CONSTRUCTION CO 18585 SW ROSA RD ALOHA OR 97007 #s 649--5527 1535. 00 TOTAL Req #. . o 64124 REQUIRED INSPECTIONS This Applicant agrees to comply y with all the rules and reaLlations -)eswe-r Irislatection ....... of the Unified Sewage Agency. The permit expires 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 SPOeT is not located at the measurement given, the installer shall prospect 3 feet in all directi�,ns from the distance given. It' not so located, the installer shall purchase a "Tao and SiJe Sever" Permit anG the Agency oilstip-"ter 1. Vle rni i ttee Si I.SSUed Hyp ....................... ...... Ca11. fc)-(' 0.1spectioti 639-41.'75 CITY OF TYUARD — RECEIF1 OF PAYMENT RECEIPT NO. t 90-2106314 CHECK r.MOLINT A 3751 . t', NAME c MZ CONSTRUCTION CASH A.-i:jL ,T a 0.o ., ADDRESS : IF3505 SW ROSA R,-) PAYMENT DACE IQ/29/90 SUBDIVISION v ALOHA. OR '77(.07- 12225 LANSDOWNE PURPOSE OF PAYMENT PMOUNT PAID PURPOr-3E OF PAYMENT AMOUNT PAID BUILDING PERM MST'90--C-12F 51.Vii. 150 ; PLUMB ING PERM 162. 50 ME'CHANICAL PE 40.2)o '31 . BUILD PEP' 35.69 PLAN CHECk.,", FE 241 .96 'XWEER I ISA 1500.m S17WER INSPECT :35.04) s"rREET SDC; 6(.,)().00 PARKS SOC CIO STORM DRAIN SDC 3-75. 00 TOTAL AMOUNT PAID 3751 . 05 CITY OF TWAuP.0 S���ro.eo.7uv7 rVord Oregon 47723 PFfdOT T^ C-OMMUNITY D_VELOPMENT DEPARTMENT (5001639-4171 / DATE ISS(JID ' JOB ADDRESS: �v�"�-.S` � e.qAy1---15 &,,,-J ivG .'AJB: � _ GrV� L11M) tJ�SE Ior: 1 7 vAun�Ttort: _ ---.---- cxaNE7t SPFML NWE„_, oAl Tk v L r/O tiJ CO, _ RLZS✓1k.' OF: ADDRESS: /f�5SS Sc✓ .2u54 ,�j I:r+a'r E2EiSSiJE: — SEASITIVl; I11ND: HIONE: — --- OPlIItI►C'II�Et -i APPrVMT.S MIRED d NAME: _ PIANAmJG: _— -- �,4y►t F _ ENGMIEE 2 .- ADDRESS: _- FIRE DEBT -- - -- E3UIIDIR3 BOAIRD J. EXP DATE: BUS TAX: CAiMImot S: NAME: TRUSS DErAlIS: _ ADDRESS: _/.fir �� Com: - -ej t /O "K)NE: PTx1�IDs _ .�/d��lSYt�E �v��.yFr ?few: ��/t�'r PERrnrr I A�JCT � /?1 ON A_M33UNr ANDD lr PD. BAL. DUE?10-432 00 Building Permit Fees vl `.5 c G, 10-431 00 Plumbing Permit Feesp /� s 10-43101 YANAlanical Permit Fees �_ ,S U 10-230 01 State Building Tax (5t) „ 55 . Building , =� ?, Plumbing Mech > 10-433 00 Plans Check Fee Plumbing ' Medi 30-202 00 SSeWr CbMr a td 1 /5vo 30--444 00 51-448 00 street System DevDev Charge (SDC) 52--449 00 Pam System Dv Charge (PUG) 31-450 00 Storm Dminage Syst Dev a" (SSa(-'j 10-230 OG Fire RPPISCMNT SI(TQ1T(1E2E -- Eaeoeived. By: -- Date .f orcved: of/3587P"WP1 - _ , ' 2 n1 G/EROSION CONTROL INF'ORMA'I'1ON � GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.: UN572ir /UnJ C`U PERMIT NO.: "14 ply_ 4,700? APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR -- NAME& ADDRESS: , �_l//1? i��E•E'I�/E� AUC .Ji/H 5 C'rlSlZ�lti [,S'UK.r) -- OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT: 5_�-w.E PROPERTY DESCRIPTION: OWNER; STREET ADDRESS AND CROSS STREETADCATED GENERAL CONTRACTOR: - EXCAVATION CONTRACTOR: SYPVJOB: -- LEGAL DESCRIPTION: 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: CONTACT PERSON,TITLE,TELEPHONE: 1/4 SECTION: SUE SIZE,ACRES: DISTURBED/WORK AREA,ACRES: LOCATION&ADI' WHERE SPOILS LEAVING SITE AKEN -J SlTE4VJNGFF_ RAINS TO:(CIRCLE CNE) (NOTE-PERMT' .RED) (_CATCH- ASIN DITCH PIPE CREEK (CIRCLE ONE)(PRIVATE PROPERTY PUBLIC RIGHT OF WAY EROS] /SEDIMENTATION CONTROL (ESCI MEA51IMS MINIML- ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER Ri NOFF CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER OTIIER PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK. EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY PHONE NUMBER, SCHEDULFJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEAS(JRES,AND APPLICABLE STANDARD NOTES. 1 HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. _41 O SIGNATURF. APPLICANT SIGNATURE 01TICIAL lJSE ONLY RECEIPT DATE ACCEPTED I1.0 NUMBER RECEIVED BY CITY OF TIC-oARD RECEIPT OF PAYMENT RECEIPT NO. :90 205863 CHECK AMOUNT t 100.00 J �dr`!Ilw a MZ CONSTRUCTION CASH AMOUNT 0.0(0 I ADDRESS a SW ROSA RD PAYMENT DATE z 10/16/9() SUDDIVIGION ALOHA, OR 97007— 124'25 L AiNGDOWNE LN PURPOSE OF' PAYMENT AMOUNT PAID PURPOGE OF PAYMENT AMOUNT PAID Cf.IECP,. FE 10-245P Tol-AL AMOUNT PAIr,