8443 SW LANGTREE STREET i
I
f
R443 SW LANGTR6P? 9 RWr
CITY OF TI ARD ' i� CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT :nYOF TMRD, pr.7- OCC UPCOMMUNITY13126 SW Heil Blvd. P.O.Boot 2J397,71gard,Ori Q=ISM)WRA;75 (C .14MIT #. . . . . . . : MGT')@ -0,1!50
lus!")HE14. 0317tt''11
SITE ADDRESS— ; 1.3443 SW LANGTREE r PARCELS EGlleCL: -- 10100
SUBDIVISION. . . . s LANGTRFE ESTATES ZONINt3i R-1,?
BLOCK. . . . . . . , , . s LOT. . . . . . . . . . . . .
CLASS OF WORK. CNEW
TWE, OF USE. . . 19F
OCCUPANCY GRP. sRa
CL FANCY LOAD IPPO 4
TENANI ;SAME. . . i
Remarksp
Owners
TITAN PROPERI IFS
PID ROX 6635
.6LOHA OR 47007
Phone #: 6456477
Cont rrAct ar i
TITAN PROPERTIEz-
P0 BOX 6635
ALOHA LJJ 97007
Phone #-. 6-,!")6477
Rf+g #- - .30336
OCcups Icy of thip above referenced building is hereby given, and cprtifif-s
the compliance with the 0611tO Of Oregon SPecialty Codes for the gl-UlAp.
occupancy, and use under which the referenced ;:)et,njjt was isst.ted.
FIRE DEPARTMENT LD I NG TOP
POST IN CONSPICIJOUS PLPCE
es aw w st aar e� e� �
IIiSPECfIOM NO�IC�
py' C+'-y or rf.gar:l Building Depe.rtie"t.
13125 AN Bat-i Blvd. Tigard, orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Puniness Phone: 639-4171 S
Inspection: _--- -�—_— ---•"� a)
F,�atang Plbg. Underalab Mech. Rough-in Appr/Ldwl.k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam struct. San. Sewer Framing C_�_B ldg.�
Poet/Beam Mach. Rain Drain Insulation1PP- umb•
Plbg. Underfloor Nater Line Gyp. ad. -Meeh.
Date Requested:_ 7 -�/ _ _Time: / AM PM
Addreesf�L Gf a — Pecmit f:` ��s
Builder. ----
TME FOLLOWING CORRECTIONS ARE REQUIRRDI
a
--t
i
e
Inspector:
APPROVED DISAPPROVID APPROVED SURJVCT TO ABOVE
—C-All For Reinep.
INBPSCTION NOTICE [�
City of Tigard Building Department
13125 Sit Mall BIVIIA'Tigari, Oregon .97223
Inspection Line (Rec-O-Phoney 639-41-71 Businean Phone: 639-4171
Inhoection:,__
Footing Plbg. Unde slab Nech. Rough-in / Appr/Sdwl�
:>
Found. Plbg. Top'*ut Gas Line FINALE
Poet/Beam Struct. San. Sewer Framing -Bldg.
.t/Ream Mech. Rain Drain Ineuletion -Plumb.
!'l.bg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requestedt L e �r Tiatf,t /SAN _} PH
Address: �L�l �,•••r Pe.nit #I
Builder:
THE FOLIAMINO CORP3CTiONS ARF. REQUIRED:
I nspeator: Dat-,O:
APPROVED DISAPPROVRD APPROVED SURJRCT TO A)N)VF
Cell For Reinnp
aa1 air :e¢ ■■ asi t� of t w
JNS PELT F Ojl_NOTICE m
City of Tigard Building Departent ( —�
13125 811 Ball Blvd. *igard, 7ragon 97223
Inspection Line (Rec-O-Phone)t 639-41'75 Business Phone: 639-4171
i napect ion:__ _ — ----
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/neem Struct.. San. sewer Framing -Bldg.
Poet/Ream Meeh. Rain Drain Insulation
Plbg. Underfloor Water Line / Gyp. Bd. Hoch.
Dates Requested: Voes PH
Address: j Permit #t
�/-AP7szJ
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i P
I
Inepector: _ Date:
APPROVEDSAP APPROVED SUBJECT TO ABOVE
L
11 For Relnsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 8111fa11. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection-
Footing
nspection Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk�
Found. Plbg. Top Out Gas Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beans Merl). Rail. Drain 1nouIatian -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
-
Date Requestt�e�ds1 7 lX l' _ Timet TEAM PM
Addreses Permit #1 _
_` t /-
Builders
THE FOLLOWINO JRRlCTIONS ARE REQUIRE':
1
/ 7�
Inspectors � i[ � _—_ Dete:__1.----.�
V _71PPROM `^ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
N''P _ION NCB �' l
Cly, o;: ri.gard Building Depart sent I{
1.3125 BN Bull Blvd. T1711d, Oregon 97223
Inapaction Line (Rec-O-Phone): 539-4175 Busineee Phone: 639-4171
Inspection-
Foot ing
on:Footing Plbg.
Underelah Mach_ Hough-in Aper/SdwIX
Pound. Plbg. Top
Out Gas Line FINAL=
Poet/Bean Btr=:ct. San. sower
Framing -B= ('1.
Pont/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg. Underfl.00r Water T.-I. Gyp. 8d.
-Mach.
Date Requested:_ -
�l//yamPermit
_
Addreea•
:,16 FoLLOWINO cORRECTIONS ARE REWIRED' — —
ej
----------
---- -- l --- Date:
inspector:_ —
APPROVE') DISAPPROVED APPROVED SUBJRr'T TO ABOVE
— ell For l.ainsp.
s � s we aw ase w nII eaD axe
JY9PECPION_NOTICE
City of Tigard Building Departnent
13125 BW Ball Blvd. Tigard, Oregon 97221
Inspection Line (Roc-O-Phsne:: 639-4175 Businene Phone: 639-4171
Inspection:___
Footing Plbg. Underslab Mach. Rough-in ` Appr/Sdwlk
Found. N1'xl. Top Out Gag Line FINAL:
Poet/Ream Struct. San. Bower Framing -Bldg.
Poet/Beam Nsch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line gyp. Rd. -Hoch.
Date Regvestode � � �Tlma►,E ' ' PH
Address:_ L� Permit I:
Bu 1.1 de r: /
THE FOLLOWING CORA.ECCIONS ARE REQUIREDs
Iimr,ector: 7-2
APPROVED DISAPPROVED V__APPF(r`D SUBJECT TO ABOVE
Call For Reinep.
n� BE, �
swr ss�r sw eSt
-N� sPaCT1oli NOTICE ,; (` 4
City of Tigard Building Departmen.- r jjj�f///�"www•^•^•, +++JJJ///LLL--______
13125 Rw Ball Blvd. Tigard, OroWn 97223
Inspection Line (Rt.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Under-lab Mer_h. Rough--in Appr/Sdwlk
Pound. Plbg. Top out Gas Line FINALS
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation _Plumb.
Plbg. Underfloor Nater Line pyp. Bd. _Hoch.
Date Requested:-_ Times _ AN _ PN
Addree-; <
'ee Permit
Builders
THE FOLLOWING CORREC'.'IONS ARE REQUIRED:
Inspector:___
- Dates
-APPROVED DIbNPPROVED A2PROVED SUBJECT TO ABOVE
_,Call Por Reinep.
INSM-710M MOTlCE
City of Tigard BuIldinq DeparfAment
13125 SM Uall nlvd. Tigard, Oregon 97223
Ir.epectlon Line (Rec-O-Phones): 639-4175 Business Phone: 639--4171
Inelection'----- -- -- --- -- ------ --
Footing Plbc,;. Urderelab Mach. Rough-i.n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. 'lan. ':ewer Framing -Bldg.
Post/Beam MAch. Rain Drain Insulation -Pltuab.
Plbg. Underfloor Watery Line Gyp. Bu. �j-Mach.
Date Regviestedt / Timet AM PM
Addrene: Permit f:
Bu i Her: , '
TRE FOLLOWING OORUCTIONS ARE REQUIRED:
Inspector:
—A
PROVED DISAPPROVBD APPROVED SURJECT TO ABOVE
Call For Ruinap.
ew ■et ss, WMKWWA5Wr. as: rew
s
INS ON NOTICI=
City of Tigard Building Department I y \
P.O. Box 23397
Tigard. Oregon 97223
Phone. 639-4175
Type of Inspection - /1
Time JA(— A.M. _P.M.
Gate Requested_
y Permit
Address
Lot
# -- -
Address _ Z
# —
Owner —.-. - -
Builder _ --
PA
�a ' ' cies
The followil,t, Building Code are required to be corPMWI*-�
_1
Presented to
�pproved
� --- —
❑ Disapproved
Inspector
Date --- —
CALL FOR REIN ECTION
❑ YES ❑ NO
M MjAlW s� ewa wr a. w ee
INVrx9_T1ON Na I-q-9
City of Tigard Sai.ldl:bg Departeant /*
13123 BW Ball. Elyd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busl:ieas Phone: 639-4171
Footing Plbq. Dnderalab Mech. Rough-in Appr,'Sdwlk
Found. `/"�Plbg. Top Out Can Line FINALt
Post/Beam Strmvt• Ban. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Inaulation -Plumb.
Plbg. Under 'loor Water�jLine Gyp. Bd. -Mech.
/
Date Recriesteds_ ./L - — 1Y/--- Time= �-fes PM
Address: G�1 L r Porm'_ I t
:uIIder: a_J
THE FOLLOWING CORP:'TIONS ARE REQUIRED:
Z757
Inspector: —
--APPROVED DISSAPPPROVIM APPROVED SUBJECT TO ABOVE
Call for Relnep.
City of Tigard Building Dopartnum-nt
13115 :M hall Bled. Tigard, Jregon 97223 ?-
V.:epection Line (Rec-..r-Phone): 639-4175 Bueineae Phone:'639-4171
Footing P1�39. Underel.ab Mach. Rough-iu Appr/Sdw1k
Found. Plhg. Top Out Gan Line FINAL:
Poet/Beam t'truct. San. Sewer Framing / -81dg.
Pont/Beam Meeh. Rain Drain Ineu7ation -Plumb.
Plbq. Underfloor Water Line Gyp. al. -Meeh.
Uat_ra RequeetodtITime: AM 7 PM
Addreea:— � �a.t�' Permit
JL
Builder: __•_L_a- r•._RL�L_. —
THE FCL OWING CORRECTIONS ARE REQUIRED:
hw sU6')1J' �c��,�P.✓ 5'.►%S,�'�r Vii//E'er �/l �^%6�
CE v ' C!f,-
1 riot'. .ter: Date: _
✓�APPROVED DISAPPROVED A APPROVED SUBJECT TO ABOVE
Call For Reinap.
IHSPECTIUN._NCY��C� � �
City of Tigard Building Department
13125 8W Ball Bless. Tigay.•d, Oregon 97223
Inspection Line (Rec-0-Ph(,jne): 639--4,75 Business Phone: 4171
Inspection:_
Footing P1bg. Underelab 44N-h. Rough-in Appr-/Sdwlk
Found. Plbg. Top Out rGas Jane FINALz
Poet/Beam Struct. San. Sewer :raining -Bldg.
Post/Beam M xh. Rain Drain Insulation -Plumb.
Plhg. Underfloor Wa'7ter Line Gyp. Bd. -Koch.
Date Requrrsteds__�_>� __•_�_�_.+Times �AM PM
Address:__ ���� i Permit it /S
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Dates
_ APPROVED DISAPPROVED APPROVED SUBJECT To us
Y Call For Reinsp.
� as1 sw w w � mz els_+ eBf
INSM-TIMI NOTICZ
City of Tigard Building Department s7 „
13"% 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (R�. O-Phones 639-4175 Business Phone: 639-4171
Inspections
Tooting Plbg. Under lab Nech. Rough-in ApLir/Sdwlk
Found. Plbg. Top Out Gas Line TINALr
pdat/Beam Struct.j San. Sewer Framing -Bldg.
et/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ud. .-Hoch.
Date Requesteds- (�1�: 1 1 Time: AH pN
Address: � �^ t ^ Permit 1:
Builder: t
TNR POT.T.;MING OORRZCTIONS ARE RFQUIRRUs
ins!-ectors Date:
� _APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
_vCall For Reinsp.
IIgard LIOjlding�
City of Tigard Building Departer:ut
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-41;5 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. P1bQ. Top Out Gas Line Fi'.'AL a
Post/Beam Struct. •Bann."-Ssw!F_--' Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Date Requesteds_` ii /R Times __�e _AM PM
Address:, // �r �'i��ryT.e Permit !s n%.z7
Builders
THE FOLLOWING CORRECTIONS ARE REQUIREDs
i
Inspector
,APPROVED DIS)PPROVED _4 APPROVED SUBJECT TO ABOVE
_ _Call For Reinsp.
.. .. ,,. ,.,{.•L fir",'{.k3.
City of Tigard Building Department
1312S NW Ball Bled. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone): 639-4175 Business Phona: 639-4171
Inspection:
Foot:Rq Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. an. Sewer Framing -Bldg.
Post/Beam Mach. RainDrain ) insulation -Plumb.
Plbg. Underfljor {iatar Lin. , Gyp. Sd. -Mach.
Date Requested:_ /�' / Timex l\ AN v, PM
s
Addres �` H f Permit
Builder:
THE FOLLOWING CORRECTIONS ARE
r ,
r
e✓L
f Y _
f '
Inspector:
i
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
^—Call For Roinsp.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectlo' Z2/
Date Requested Z) 71 me A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are requir: o he corrected:
Presented to 44-4—proved
li,spector Disapproved
Date
CALL FOR REINSPECTION
EJ YES IA NO
CITYOFT'FA� MASTER VIERMrr
l"I E R M I T 11S T*9 0 0 P'S 0
COMMUNITY DEVELOPMENT DEPA"ENT OR100H
DOTF ISSIJ[-..D: .10/22/90
13126 SW HWI Blvd. R0.Box 23397,Tlpoxl,Omqon 02Z(603)hJ94176
101.00
I I L 0 1)D 1:i F',; 64 4'3 5 W L()N 6 1 R E.L IS,I PARCELc 2S112FC.
U B 1)1 V I S1 0 N. I OISIOMLE ESTATES ZONINGS
DLOC.,K. . . . .. . . LOT.. -.33
............ BUILDING --------
I.&J SSUE e DWELLING UNITS: I D A S E 11 li.:N T. . . . . . . . ..0 S f
C'LAS:.: OF WORK. NE W BEDRMS:3 BATHS 13 GARAGE. . . . . . . . . . C 400 8f
f Y P F F t I 1:.,i::.:. . . 1.3 F REQUIRED
TYPE. -' CONST. 5N FIRST. . . . 1765 S f LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. -.R3 SECOND. . .. :586 St FRONT. :20 ft REAR. . N;30 ft
BTORIES. . 2 THIRD. . . .. :0*0 si f REOU I RED--
HEIGHT. . . . . . . . ..20 ft; TOTAL, _._.;; 1:31•x1 si f SMOKE DETECTORS. :Y
FLOOR LOAD. . Y . 240 psf VALUE. . . . . As: 63942 PORK I INIG SPACES. . 10
ResysarMt.s x
PLUMPING
1. FLOOR DRAING. . . . :0 BACKFLOW PREVNTRS. . -,0
LAVATORIES. . . . . ..3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0
T'UB/SHOWERS. . . . ..2 LAUNDRY TRAYS. . . 0 CATCH BPS INS. . . .. . .. .. -0
WATER CLOSETS. , 93 SEWER LINE (ft) . 0 GREASE: TRAPS. . . . . . . ..0
Dl SHWASHERS. . . . 9 1 WAT[*:R LINE (ft) ,. OTHER FIXTURES, . . .. .. .-M
BAR14AGE DIST1- : 1. RAIN DRAIN (ft) . :0
WASHING MACH. . . - I gl::' RAIN DROIN(3),, . I
......__ MECHANICAL FEES
FUr:-.:I- TYPES------------ UNIT HTRS. . -.0 type an'101.01t by date r e c.,P t
/GAS/ VENTS . . . . . ..0 PAYM $ 40. 00 JLIA 07/1.0/90
MAX INPUT-.0 [-.4 TU VENT FANS. . -.4 PAY11 $ 250. (10 J!..1-1
FURN < 100K, r. J. HOODS. . . . . . il BPKT 1; 325. 00
FURN >=100K -0 WOODSTOVES. :O BF-11J., $ 40. 00
1`:1.00R TURN. . . . :0 CLO DRYERS. : 1 B5PC 11; :16. 25
BOIL/CMP < 31AP.-O 0 T 1.4 ER UNITSs:0 STIDC $ 600.00
GAS OUTLETSsl SSDC $ 250. 00
0 wri e r s: PARK $ 250.00
T r TON PROPERT1 ES MPRT 14 39. 00
P".) BOX 6835 MPLC 4, 9. 75
115PC $ 1. 95
OLOHA OR 97007 PPRT $ 132. 50
f-'el-ioi-ise 0: 64E647/ P 5 P C $ 6. 63
Cc1n I.,r a(-,t a.r
PAYM $ 1.381.08 JLH 1.0/22/90
TTT*AN PROPERTIES
1,10 BOX 6835
M 01-40 UR 97007
#t 6.45647*7
c 3@558
$ 1671.08 TOTAL
This permit is issued subject to the regulations contained if, th,. -••-••- -- REQUIRED INSPECTIONS
Tir,ard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Mechanical Isis[)
avolicable laws. All wnrk will be done in accordance with approved Wt'r Proofing PSM PlUnib Top Out
plans, This permit will expire if work is not started within 180 Post/Beam StrLtet Frasnivig Iiisp
days of issuance, or if work is suspended for more than 180 days. Por4t/Peam Ilectiari Fireplace Insp
n f I Cllawl Drain Gas Line Insp
rmittee Si-g 'I 'Ir
VIA t Ll'('e Plrn/UlldSlab Insp 111rLklati.01 11 p
PLM/Uriderf loor Gyp Board Insp
F+;i,n n r A i i., B s;sn', c Rain drAiri Tvis;p
Call for iiispec.,tioii 6394175
-11TY OF TICARD PECEirr OF PAYMENT RECEIP'l NO. :W� - 2f)6068
CHECK AMOUNT I*tO 1 . 08
NAME I-ITAN PROPERIXES CASH 'AMni-ANIT r 0. ()(1
ADDRE SS i PAYMENT DATE c 1i:1 2)2'/9(l
SUBDIVISION
AL-OHA, fJP 97007— 844: , L..ANOTREE
PURPnSE Of" PAYMENT AMOUNT I'AID F'1.1RPOS i i NT AMOUNT PAID
_8 FiH.-F-ITIG PERM M9'T90-0256 325.00 i--'LClBINIS Pl.:R11
MECHANICAL. PE 39.00 ST. ESU it..D rFR 24.F13
PLAN CHECtr' FE '7. 7 9,r1?i7F:.,r Tsoc 600.00
PARKS SDC 250.o()
li-4, AMOUNT PAID 1'3111 .OEI
Q� /boo
CITY ,(,7)
, �� .^ � � L4 QF TIGA rp PLAN CHECK APPLICATION-
COMMUNITY DEVELOPMENT DEPARTMENT °� PLAN CHECK =
1 125 S W HAN Blvd..P.O.Box 2M7.Tigard•9ngon 972M.D5W)639.1175 M _
(_ r PERMIT N
DATE ISSUED
JOB l ItESS: r j /` << U TAX MAP/LOT _
SUB: XLOT : _ LAND USE:
VALUAfION: 1
OWNER U _ _ _—�- r---- SPECIAL NOTES Okg S .3 /
NAME: REISSUE OF:
ADDRESS: - LAST
FLOOD RPLAIN/
— 1
SENSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR ') PLANNING:
NAME: _ _z ENGINEERING: _
ADDRESS: FIRE DEPT
OTHER:
PHONE:: _ ITEMS REQUIRED
BUILDERS BOARD M: EXP DATE: LIST/SUBCONTRACTORS: _
BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME : _ TRUSS DETAILS:
ADDRESS: —__ OTHER:
PHONE: -
(:O MENTS:
SUBCONTRACTORi,: PLl1MB: _ —� MECH:
PERMIT N ACCT M DESCRIPTION AMOUN, AMOUNT PD. BAL, DUE
10-432 00 Building Permit Feer
10-431 00 Plumbing Permit Fee►
10--431 01 Mechanical Permit Fees ---�-�-' ��
10-230 01 State Building Tax (5%)
Building '''
Plumbing
Mach /, iJ
10--433 00 Plans Check Fee
Building
Plumbing
Mach y, _
30--202 00 Sewer Connection
30--444 00 Sewer Inspection
51--448 00 Street System Day Charge (SDC)
52-449 00 Parks System Dew Charge (PDCI
31-450 00 Storm Drainage Syst Dew Cb;c_� (SSDC) ._.-
10-230 06 Fire
r
TOTAL ,� ,0
�\ \ REC kY —
APP ICAN 'SIGNATURE
Receivad By: _ Urate Received: _ 2_
cn/3587P/18P
GRA
CASEF-IL[:NO.:—
c;I:NERAI,CONIRAC"1OR NAME& ADDRESS: PERMITNO.:
T
o APPLICANT NAME AND ADDRESS:
EXCAVAITON CONT'RACT'OR
NAME&ADDRESS: A�� �i 11�•11L't-
_,,,�,,, OWNER NAME.AND ADDRESS: i
TE[.EPHONE NUMBERS: PRDESCRIPTION:
ATED
APPLICANTL�+ N - 1 STREET A D �ESS AND CROS STREETAX
OWNER',— l.. I —
GENERAL.CONTRACTOR:
EXCAVATION C:ON'TRACfOR:
SITE/JOB- _ LEGAL DESCRIPTION:
TAX LOT NO.:__ _
24 HR/AFTER HOURS EMERGENCY I/4 SEC:TIONL _ I
CO "ACT I'E �SON- 7LE,TELEPHONE: SITE SIZE,ACRES:____—_— - 11
�- -
_._____— DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WITERE SPOILS SITE RUNOFF DRAINS TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN 'I"CIT BASIN DITCH PIPE CREEK
(NOTH:1'{r]t/MfTS MAY BE REQUIRED)
(CIRCLE ONE) PR1VAW PjtOPERTY
(`PIJ13LIC R1GIIT OF WAY
�
, runt rrcri MEASURES
'R.OS ON/s QIMEMT QN_C, 'wr
IREMENTS MINIMUM ESC REQUIREMENTS
MINIMUM fisc REQU •
FOI.L.OWING CONSTRIJCTION:
DURINGNIMU CONSTRIICfION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZED CONS'TRUMON ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RlINOFF CONTROL FACII.ITIES
('LEAN ANL` REMOVE AEI,SILT AND DEBRIS
CLEARING AND GRADING RESTRICTIONS ENSURE OPERA11011 OF PERM ANT FACILIT'IFS
COVER PRAC-TICES OTTIER
CONSTRUCTION SEQUENCE
OTHER -- ____
ANCE HANDBOOK".
WITH
PIAN FOR EROSION CONTROI•PREPAREDAND
SUB AS PLAN MITTED INACCORDANCE
NOTES ChMPI TE INCDLUI IND EMERGENCY
REQUIRED,
EROSION CONTROL PLAN DRAWING,AS
PHONE NUMBER, SCHEDULE/STAGING FOAL'
APPLICABLE E STANDARREMOVAL
MOVNOTEL OF EROSION CONTROL MEASURES,AND
HAVE RFAD AND WILL COMPLY WITH THE ABOVE AND WILLCONSTRUCT AND MAINTAIN ESC MEASURES AS N"-ESSARY
TO CONTAIN SEDIMENT ON THE CONSTRIICITON SITE.
J� i
IL G - APPLI&&NAOWNER S AT11RE
• • • • • • • • • • • • • • • • • • • • • • • •OFFICIAL USE ONLY, • • • • • • • • • • • • • • • • • • •
DATE ACCEPTED
RECEIPTBY
ER
NUMB ��— RECEIVED
11:E —
E W ER C
ONNECT!ON
CITY OFTIFARD PERMI'T
C11YOFTWND V,ERMIT SWR892367
COMMUNITY DEVELOPMENT DEPARTMENT off*=
13125 SW HmH BNd P.O.Bm 23397,TOM,Or@Wn IM
� q 4")46?Q,4175 T7 DATE ISSUED: 06/P.8/90 e
SITE ADDRESS., 8443 SW LONGTREE ST PARCEL: 2131 12
UBD* VIA" " ON. AeHF-Ghi) -04W� Zse.40-.
-. .1 G ZONING:
L4 I-L)L11/1. . . .. . . . . . .. 2 LOT*. . . . . . . .. . . . . .
a 71
...........
I ENONT NAME.
U G A 110. . . . . . . . . . ..41679 FIXTURE IJNII*S. . . -.
CL(�SS OF WORK. NE W DWE1A.1116 UNITS. . '.
TYPE OF' USE. SF NO. OF BUILDTN(3Sn 1
INSTALL TYPE., -.BUSWR T 11 P E R V 13 U R F AC -.sf
RE: n)a-r k S N
Owvier- ....................... F.E LIS
MORGAN HLEOV t-V1.1e Aniottvit by (late r e c:l)1.
PO BOX 6835 P R MJ* $ MAN
P R 11 T $ 1.250.00 11 A 14
vt I 01-1A OR 00000 0 0 0 Q) POYM $ 1.23"J. 00 J1...1-1 06/28/90
Vlfic)rle #1 000-000 0000
C,orit-ractc)-r:
I ITA N P,R 0 P E R TI E
l)0 r..i 0 X C.)835
o I OHO OR 97007 ------
1-:11-ic)iie #-. 645601 s 1.2135. 00 TOTAL
REOUIRED INSPECTIONS
This Applicant agrees tv sply with all the rules and regulations .......
of the Unified Sewage ocy. The permit expires 120 days from ........
the date issued. The total Amount paid will be foT�eited if the
permit expires. The Agency does not guarantee the accuracy of the ......... .......... ........... ..............
side sever laterals. If the sewer is not located at the measurement ......I---------
qiven, the Installer shall prospect 3 ept in all directions from .......
the distance given. if not so locAted, the installer ihall purchase ............
a "Tau and Side Sewer" Permit and the kiency will install d lateral.
____......._...._.•._............__.....___
................ _._...__•._........._._....
Pf..?-rtnittee Si.grlaturea .......... ......
I S S(.1 P(I P y ............................
C a1 1. f -r i vi s p e c,t i c)ri 639--4175
CITY CSF T16ARD CIRY OF TM ID PIAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK N / -`!
13125 S.W.MSN Blvd..P.O.Boy 2397,rq,Ka ongon 27223,(503)6394175PERMIT N �
D,ATE ISSUED
JOB ADDRESS: Raq _ S-
TAX MnP/LOT
SUB: l AN(hTREE t_Ol : _ 3�- ---.,_ LAND USE: _._..--Y_-----
OWNER SPECIAL NOTES
NAME: TITAN ?f 21)eI P--T REISSUE OF
ADDRESS: 7._P-• r3�k LAST REISSUE: I1� _
FLOOD PLAIN/
- —-- SENS111VL LAND:
PI IONS: 4S7"(a471 _—• -- —
APPROVAL TF@U.IRED
CONTRACTOR PLANNING -- 1 —
NAME: C,/1� I'Y1 ENGINCERINE
NAME:
_ VIRE DEPTADDRESS
OTHER:
PHONE: _ fTEMS U�I
RED
BUILDERS BOARD LIST/SU ONTRA
CTORS:
UTAX-
ARCH/ENGINEER
ARCH/ENGINEER
LCULAFIOItlS: _
NAME: T SS DETAILS:
ADDRESS: _ OTH R: —
PHONE: -
COMMENTS: -- -.
SUBCONTRACTORS: PLUMB: _")AT15 Fwn! i N MECH: —� w s jGT i AJtS
3
PERMIT N ACCT N DESCRIPTION ✓AMOUN AMOUNT PD. BAL.�DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
g 10-431 01 Mechanical Permit Fees �_ 50
10-230 01 State Building Tax (5X) i
Building
Plumbing '
Mech '2./8 v
10-433 00 Plans Check Fae ���
Building !�* ✓
Plumbing —
_ Mech 70 ,
30-202 00 Sewer Connection U S G�
30-444 00 Sewer Inspection 3-5-
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PDC) ,�.S U
31-450 00 Sturm Drainage Syst Dev Chrg (SSDC) --PS0 'a
10-230 06 Fire
TOTAL
RFC N
APPLICANT SI NATURE
Received By: — _ _ Date Received:
cn/3587P/18P
C17YOF TIGARD cm0 PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT n PERM11. .. . . . . . . c M S)T9 0 0250
13126 SW HW(BW, P.O.Sm 23397,TlgaM,Onoon 97223 (SM)63"175
DATE
F-3T.14-:: ADDRESS. 8443 SW LANGTREE ST PARCELi 29112CC -.10100
SUBDIVISION. . . . I LANGTREE E*SlATLS ZONINGo
FILOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . j33
CLASS OF' WORK. . -NEW GARBAGE DISPOSALS— s I MOKLE HOME SPACLS.
TYPE: OF" USE. . . . :SF WAS14ING MACH. . . . . . . 13 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . -5N (1-01`t DRAINS. . . . . . . 0.3 ('RAE'S. . . . . . . . . . . . . . 3
S T*OR I F-S. . . . . . . . 9 R W AT*ER H COT E R G. . . . . . x 7 CATCH BASINS. . . . . . . 240
FIXTURE.------------------------ LAUNDRY 'TRAYS. . . . . . n65 SF' TRAIN DRAINS. . . . . .00
SINKS. . . . . . . . . . 93 URINALS. . . . . . . . . . . . I (jREASF TRAPS. . . . . . . t, 5
i-AVATORIE.G. .. . . . 1 2 OTHER FIXTIJF�ES. . . . . :58
TUD/SHOWER5. . . . :P0 FEWER LINE (ft) . . . . :6
410'TER (A-0SETS. . -, 4 WATER LINE (ft) . . . . P. 0 1.
01 SHWA!3HERS. . -.0 RAIN DRAIN (ftj . . . . .. 3'51
Rema r k s-
OWNERP --
TTTAN PROPERTIES I---,A Y in $ 40.0P JLH 07/10/90
PO BOX 6835 PAYM $ 250. 0 0) J L H
EIPRT 325.00
AL01-40 OR 97007 FPLC 40.00
h a n cA If t: 6456477 E45PC tv 16. 215,
ST 1)C (-100. 00
250. 00
PARK IT, 15(4. NH
N A MOP KIRT $ 39.00
Address: MPLC $ 9. 75
C i I; -S t t,v 1. 95
7 i p h o 11 e 04 1 PPP $ 1321. 50
Reg 04: . . .. Odditional fpe% not shown here. . .
REQUIRED INSPECTIONS
This permit is i%stivld subject to the req ,
tilations contained in the? 'Tigard ML1niCit)A1 VC)CIt/fOUnd Insp Gas Line Insp
Code, State of SpeciAl (;y Codes And a3. 1. Wtr Proofing Posm Insulatioll Insp
other applicable laws. A.11 work will. be done Vost/fleam Sbrt.tct Gyp Board Insp
in Accill-rdance with mppinved plans. This Post/Ream MechAn Rain drain Insp
ppemit will expire if wark is not sta-�- :,@d C-r A w 1 1)-f,,A i n Water Line Insp
Within 1.80 clays C)f iSSUal-We, or if w(3rl..-. is Plm/o.mdql.ab 1wip App-r/9dw1k Insp
sm%pended for more than 180 days. PLM/Under f I nor Mechanical Final
F'tnq Drain Plt.tmb Final
Merhanical, Insp PLAIlding Fina-1
Pl,tmb Top OUt 1,','oj-;1o11
Framing Insp Wt-(, Proofing Psrv,
T I-)vj p Additional. . . . . .
I u t,h c)-(,i z e d F'I Lk M-�4mq ontractor Si q"AtL1-('e
CA1. 1 for inqpection 639 4t 7'3
Contractor Nates
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