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Report 4. .tau /°., 20/7--Doisy2018 - DEC STATE OF OREGON jtGP LL ID#L WATER SUPPLY WELL REPORT I O� r \flS� ____None___(as required by ORS 537.765) SKYLES DRI L_ •; ,t I;` �. START CARD# WI 037847 Instructions for completing this report are on the last page of this form (1)OWNER: Well Number:.02 _ (9),,LOCA ION OF WELL by legal description: Name /polvaon County Washington _Latitude Longitude United Excavators,Int•, Township N S. Range 1 pSj E or W.of W Address 4B04 NW Bethany Blvd,Ste 1-2 PMB 3 — 0TH or W t t Section 082 SW tS SE va City Portland State OR ziP 97229 Tax lot 00100 Lot Block_ Subdivision _ (2)TYPE OF WORK: Street Address of Well(or nearest address) 15685 SW_1seth_ vs, _ New Well -=Deepening :]Atteration(repair/recondition) ®Abandonment Tigard,OR _,• (3)DRILL METHOD: (10)STATIC WATER LEVEL: X RotaryAir 2316. f.below land surface. Date y j,6/2018 _ ❑Rotary Mud `I Cable ❑Auger Artesian pressure lb.per square Inch. Date Other (11)WATER BEARING ZONES: (4)PROPOSED USE: Depth at which water was first found J1/A___- XDomestic Community -❑lndtistrial Ili Irrigation Thermal r_2 Injection ❑Livestock ❑Other - From To , Estimated Flew Rate_ _ SWL_- (5)BORE HOLE CONSTRUCTION: _ - -- — Special Construction approval Oyes ®No Depth of Completed Well 0 ft. I I Explosives used ❑Yes [)S,INo TypeAmount HOLE SEAL Amount (12)WELL LOG: Diameter From To Material From To 1 sacks or pounds Ground elevation ..___Li 1 Certs w/5%bent 312113.5 .112 Sacks _ ' I CalculatedI 44 Sacks __ _ —r _-- Material.`__ From_• To SWL I Bentonite 113,5- 0 6 Sacks `Abandonmeny,_ i Calculated-—j i 4 Sacks - • How was seal placed: Method ❑A pe Dc El t❑E r _ _ _._ .XlOther P_iilmpsst.athottom;Poured baritttnite i Backfill placed from ft.to ft. Material Gravel placed from ft.to__ ft. Size of gravel -' U C ,.-tNCa-- _.1___1_-___.— (6)CASING/LINER: - r; r� -_� _. _—. _.,._ Diameter From To Gauge . Steel Plastic Welded Threaded I.- --- --—..._ Casing: . -- 6 -- 0 20- It PP; ❑ i— _----�-_-_^— ---- -- Existng � I C L ❑ --- - - --- -- ------- - ❑ ❑ ❑ ❑ IL- r 0 0 Liner: None 1 f ❑ i'R 0 ❑ - , 1__ - 1 ❑ ❑ 0 ❑ Drive Shoe used ❑Inside ❑Outside ❑None Final location of shoe(a) N/A - 1111__ (7)PERFORATIONS/SCREENS: )(Perforations Method Air Perforator .__Screens Type_ Material Slot Tele/pipe From To size Number Diameter size Casing Liner Ii 0 ! 20_11/8x1 1--300 ' 1 E ❑ �— �_ ----... - _ - Date started 2116/2018-_—_ Completed 2121/2018 - (unbonded)Water Well Constructor Certification: _. I cerdfy that the work I performed on the construction,alteration,or abandon- ment of this well is in compliance with Oregon water supply well construction (B)WELL TESTS:Minimum testing time is 1 hour standards.Materials used and Information reported above are true to the best of my __Pump ❑Bailer Air Li Flowing Artesian knowledge and belief. WWC Number 1884 Yield gal/min Drawdown Drill stem et Time Signed Date 2/2112.018_----_-- —N/A. 1 �___ _ Skyles Drilling,Inc. (bonded)Water Well Constructor Certification: -- - _ laccept responsibility for the construction. alteration, orabandonmentwork I performed on this well during the construction dates reported above, All work Temperature of Water Depth Artesian Flow found_ performed during this time is in compliance with Oregon water supply well Was a water analysis done? U Yes By whom _ construction standards. This report Is true to the best of my knowledge and belief. Did any strata contain water not suitable for intended use? [Too little WWC Number 1988 LI Salty El Muddy ❑Odor Li Colored i Other Signed 4�.' Date 2/21/2018 Depth of abate: Inc. Skyles Drilling,Inc. ORIGINAL-WATER RESOURCES DEPARTMENT FIRST COPY-CONSTRUCTOR SECOND COPY-CUSTOMER CITY OF TIGARD SITE COPY BUILDING PERMIT 71 r COMMUNITY DEVELOPMENT Permit ft: BUP2017-00155 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2017 T[G\R DParcel: 2S108DC01400 Jurisdiction: Tigard Site address: 15685 SW 150TH AVE Project:River Terrace Crossing 1 Subdivision: None Lot: None Project Description: Demo(1)1,603 of dwelling on septic and(12)accessory buildings.UPON FINAL INSPECTION,SDC CREDITS MAY APPLY. Contractor: NORTHWEST EARTHMOVERS INC Owner: NEIDERS,RELINE I&GUNARS K PO BOX 1609 14517 SE 178TH PL SHERWOOD,OR 97140 RENTON,WA 98058 PHONE: 503-625-3100 PHONE: FAX:503-625-3108 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee•Additions,Alterations, 07/13/2017 $564.15 Demolition Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/13/2017 $0.50 Dwelling Units: 1 11x17) Stories: Height: ft Erosion Controlw/Development 07/13/2017 $107.60 Bedrooms: Bathrooms: Value: $34,700 Floor Areas: Total Area: Accessory Struct: Basement: Carport Covered Porch: Deck: Garage: Mezzanine: Total $672.25 Required: Required items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR,Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.This permit will expire if work is not started within 190 days of Issuance,or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth 8 OAR 952-001-0010 through OAR 952-0001-000090,You may obtain a copy of the rules or direct questions Io OUNC by calling 503.232,1987 or 1.800,332.2344. Issued By: �` `�// •/ ♦ oe. PermidSignature: St-Y_ .. /l*.cnQ/? ��KK��.. Call 603.639.4176 by 7:00 e.m,for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plane are required on the Job site at the time of each Inspection, Inspections Required for F nit No.: aeja,,2C/'- IVR Code Type Permit Description IVR Code Type Permit Description 01 BUP Building—structural 07 SIT Site Work 02 ELC Electrical 08 SWR Sewer Connection 03 ELR Restricted Energy 09 FPS Fire Protection 04 MEC Mechanical 10 RER Re-Roof 05 MST Master—residential combination 11 CMS Commercial Manufuct.Structure 06 PLM Plumbing 12 SFM Single-Family Manufact.Structure I Req'd Code I Inspection Description J Req'd Code J Inspection Description Building(structural)Inspections Electrical Inspections 205 Footing 105 Underground/slab cover 210 Foundation walls 110 Temporary electrical service 215 Footing drain 115 Electrical service 220 Slab 120 Electrical rough-in 225 Post/beam structural 125 Wall cover 230 Underfloor insulation 130 Ceiling cover 240 Exterior shearwall 135 Low voltage rough-in 242 Interior shearwall 140 Sign installation 245 Firewall 145 A/C or heating unit circuit 250 Roof nailing 150 Hot tub/spa/pool 255 Wtr proofing basement walls 195 Misc.inspection 260 Tilt-up panel 198 Low voltage final 265 Masonry 199 Electrical.final 270 Reinforcing steel(rebar) 275 Framing Mecbanical Inspections 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough-in 289 Approach/sidewalk 620 Hydronic piping 295 Misc.inspection 625 Duct work `jeD 299 Final inspection 630 Fire damper 635 Smoke detector shutdown Fire Protection System Inspections 640 Exhaust hood 901 Sprinkler supply lines 645 Grease duct test 905 Sprinkler underfloor/slab 695 Misc.inspection 906 Flush test 699 Mechanical final 907 Sprinkler hydro test 910 Sprinkler rough-in/test Plumbing Inspections 915 Fire alann rough-in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc.inspection 312 Backwater valve 998 Alarm final 315 Post/beam plumbing 999 Sprinkler final 320 Plumbing rough-in 322 Shower pan Site Work Inspections 330 Water service 405 Excavation 335 Rain drain 410 Fill 340 Storm sewer 415 Grading 345 Culvert/catch basin 495 Misc Inspection 350 Septic tank 499 Final Inspection 395 Misc.inspection 399 Plumbing final Sanitary Sewer Inspections 505 Sanitary sewer Erosion Control Inspections 585 Misc.inspection ,5" .' 750 Initial erosion control 599 Final inspection 752 LIDA on-site facility inspection 755 Regular erosion control Manufactured Structure Inspections 797 Final LIDA inspection 810 MFG-Structure set-up �—^ 798 Final erosion control 899 MFG-Structure final 1:\Building\Forms\Inspection Cards\AOP Imp Card By Case\1nspCardllll_031816.docx f ��L.,,,, , j } i / L 1 ( 111 ,./7„/„.://, v 1v A rAum:INx / A / / I ; F XL 1 _../(4.7 / \ \ rx�.x—z.�x—x—X—Xx='x-BIZ` x—x—x—x —X — ° \ 1 /j /r/ / I 1 1 /{/%✓ L 1 `R V E%KMNGI/a05i sTR Y _� / B 1 / I / , t i Imo/ /C // `� ,` y ro RE RFnovFO �'. / , % , 1 1 /� / / / \ ,';',•;"!,/,. 1/ `\ \`I I\\T �� SEEM T IBS SF STRUCTURE `'f E[.TIIiG UFRRY PJE / IL it ! / \\ 1\ 7 .4.:. r• I\ \ \ \ / TO Bf RfRwVro rGBIRIATE0 ,o I / / - B i al 1 �A / i \ `\. i` 10 \,� r•.. 1 \.. 11 — I'.I � Cve 1CxIVt.l.LCLA. ,/, / / / / I 1 E , : i1 _- / >, VI TO RE RFO/y / /.-� TORFMAWr. sI/ // / L / `XL, 'b. i1 ::z :Ii,STRUETME _ 111 / 1.. ' ENrxu-�\•1 {/ A /'G� TM PROTECTION iFM:F // / f „� \ x IO BER — -, ♦ ,� ""- ;/ // '\M STfAMRI1FffR / \ / / a`i�/,` \�\ \`B,.` \I% \ F%ISTIR41iSOfM1C0E Lex - 1\`. l �I� / / / • �� }\ \TAxLOT:IHoo`/ ` 1 eusnlw/musraurnaE --I Emsllw.so sf smlu ou / I R/ ♦� // r B E/ // A�� \ \\ t / ` roBE RNADVEB POLYGON NW COMPANY X^ /♦ / r/` / / \ %/// > a. - \ "4+-' / ExISTTmc s:ous,RLX:TURE ei ro BE RErovw / ( �"-; ►\,v aBERN�w �1. il'11` NSI // / ` 1 / '.// /" Y EXSTING ORIHINE RISIIAL SfDREM fFNCE KE / .._./ P.'` I / I f N.// / I f 1 `_\ / EXISTING HOSE STRUCTURE f%RN VSYSTT/' / ,' / ( 1 1 / 'f/ I ! ` 1 L 10 BE Ruwvw EXISTING 1.603 SF iTxucnmE_ Pacific l /� /♦~ / / I i 9/ a� '\ \ `+r. ` fxlmrwamusrRucTuu'� ,r ".IsTO eERuwvEo Community J _, / r // // // 1/. // // °// %// .c�7/I II(6``\\\ EI �\� I ` - TORE REMOVED — c. .I\ DesiA�n / / /' /� /� / s �/ iy,�\r//,�j/l .\. ,3• ♦ ` ,'fix_` x 5 5` \// .� / X _.I .o l.♦`' ./ I {/'♦"(/,�,+`•� `�I{ 1 '\ xx—1EXrsTNG GRAVES MITT GEODES.,INC J/ I /.EE\/ J /Y f / V//T \ ♦/l _ -�..... `.— TO BE REMOVED iRl EXISTING FENCE 1 L / :J/\/\ KJ� // // \ / \ S OUTING as SF STROCTwY/� ���"` `�REAWVEO REVISIONS / l �/ / / EN, f77�( hP4 ;J� /. / Tl \ T08f 0.ENOSFG "- UTE UESCRIPTI°/� r -�< � °� \ / tt _ UNTlxcrou EORME— O O 1 / INSTALL S[UWION FENCE EXISTING RIGIETOMWAY�.yf p I < % .+/ .% /9•♦. y/ 'J , .1. __ _. ♦. _._i( 111 i7 ,ir, 4,1i LEGEND I I SIDEWALK Fw— STORM NWN NNE > GUY WIRE 0 TELEPNOIE RISER //'}J,�/ �/a ,.E� D PAVFWFHr —0— WATER NNE m SANITARY SEWER MANNOLE 10 or.INLET %'K��' 'ti'/ "'IDIS 1--1 ,... —w— METRIC LMf e STORM ORAIN MANHOLE 9 VERNON ELECTRICAL BOX RA-- _ MEMO.LINE .:r ME HWxNNT 0 IRRIOATION<ONTROL VALVE [ ITT BIRLNNG —RA— META s SIGN ® MINTY RISER Z7.. ., WETLMOS di, © STRRIM —°— TRUPROTECTION FENCE R WATER METER N OAS VALVE SITE COPY —%—%—FENCE 'r' UNIFY POLE • WATER VALVE limn now MIECTION A. —W—OVENIRb WES O LIGHT POLE 0 CURB NRET X TREE TO BF REMOVED _ _M_swRTAn,sewER IRE ® ELECTRICAL RISER ® MAILBOX • River Terrace isa«,WT Crossing I Construction Documents E w.,7M. I AN VIM �" EROSION AND SEDIMENT e ''�/' CONTROL PLAN A CITY OF TIGARD "'j` �_ _�� TAX LOT 1400 Approve, \/Pkksnning PNOFIF Date: 4)/12/1/ BNPLRR p 4 ;t I g MS<TYM LWX rtKKMG . BEL .TTNEOUfER x. z. Initials: �b rre, 0 Nr.ry I _ ® MEE SHALL 1000.11 gSfFM NMIOSTs }•,•{;�'��I,I•��\•ryPREroTE'ETECRNICAL RDNT V1FW 4a" JAIME CESSOTUM A4/25/2017` SEE TREE PROTECTION N.ASEDIMENT FENCE aBrwN oY:a a �g TREE PROTECTION DETAIL cwncuRom00//I DNA s T P^+s m INOT TU SCAILI i00f PROTECTED6) *-15695 50 \5c Ave SCALE 1 GO0 ' ELEVATION DATUM:NGVD 29