Permit r a
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 00107
`T R
FGRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/28/2010
Parcel: 2S109AA00800
Jurisdiction: Tigard
Site address: 14335 SW 125TH AVE
Subdivision: Lot: 0
Project: Oelke
Project Description: Demolition of SF home with attached garage, 2465 sq ft. Septic to remain for replacement house.
Upon final inspection demo credits to be applied to new construction.
Owner: FEES
OELKE, CHRISTIAN & APRIL Description Date Amount
14335 SW 125TH AVE Permit Fee - Additions, Alterations, 05/28/2010 $225.80
TIGARD, OR 97224 Demolition
PHONE: 12% State Surcharge - Building 05/28/2010 $27.10
Erosion Control 05/28/2010 $26.00
Erosion Plan Review CWS 05/28/2010 $8.45
Contractor: Erosion Plan Review COT 05/28/2010 $8.45
RIDGECREST CONSTRUCTION CO INC
6600 SW 92ND AVE SUITE 100
PORTLAND, OR 97223
PHONE: 503 - 246 -8808
FAX:
Specifics:
Type of Use:
Class of Work:
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $295.80
Required: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 - 4444
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 don ccorda = with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more a 180
day . ATTENTION: Oreg• law re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OA' 9 - 001 -010. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332. 4.
Iss d By: I, / 11 I Permittee Signature: "
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completi • of the pro''ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application H `Tc?o(O - 600 g 7
r_,f1
Received
City of Tigard Date/By: 5 0"l f / Permit No.: ` a P�w -06 (0
• 13125 SW Hall Blvd., Tigard OR 972 ^ Plan Review /
Phone: 503.639.4171 Fax: 503.598. lI 2010 Date/By: 0410% (Pt iel V^ other Permit:
I I Li A It 1) Inspection Line: 503.639.4175 Date Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard- or.gov /( ; Cr '. { Notified/Method b�Ot7 / ��' Supplemental Information
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ri f tj\ U, ' x'; `r 4)iYLLd_(�'e_"`
TYRE OF WORK '!` REQUIRED DATA: 1 AND:2FAMILY DWELLING
❑ New construction )0 -Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
`` Y CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ (-25.1-- '1- and 2- family dwelling ❑ Commercial /industrial ( � /O
)2r1-
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION , AND ' LOCATION Total number of floors:
Job site address: ! y.) 335 W ` �5 New dwelling area: square feet
City/State /ZIP: &tWi 0 41 7 z-4- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED'DATA 'COMMERCIAL -USE CIIECKLISf-
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCR :OF WORK work indicated on this application.
Pe vv► 8 Ce) S r� Valuation: $
Existing building area: square feet
New building area: square feet
❑ .PROPERTY OWN ❑,TENANT � ` Number of stories:
Name: {(e - 1 (- 4 Ca-'- kz..1 ST(4k-v_J (J) -r-- Type of construction:
Address: 143 3 S 5",_) \ 7.--S Occupancy groups:
City /State /ZIP: -1-tCp9 p 9 ZZ4- Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON ` 's
y NOTIC $
Business name: 1,i-12_ e t-t" All contractors and subcontractors are required to be
Contact name: v.JL \ i & 7 �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
I Address: ep L � - jurisdiction in which work is being performed. If the
City/State/ZIP: lOy,1 � Z
applicant is exempt from licensing the following reasons
�- a 1
Phone: ( 130 - 5 Fax: : 6 7 74o' Z0- E- mail: 1..."--x t6- Levi FR S'f0,1ZV p e'(z.itA crj & v1..
CONTRACTOR
: Business name: „ h
�ik 0���' 1Z�i }'icur+PS +. BCJILDINGPERMIT�'EE3 �
Address: (picO O C W � N f (ease'ir�ju'To es acAre rla)
City/State /ZIP: t� luV 1-3 D 1 - Z-� Structural plan review fee (or deposit):
I Fax: FLS plan review fee (if applicable):
Phone:
(�3) 2 I D ( ) Total fees due upon application:
CCB lic.: > �e.i , 7 ? to
Amount received: —e
Authorized signature: /f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ,� 1 i 1 --- elk.- Date: z 1 /(r) * Fee methodology set by Tri -County Building Industry
�� Service Board. (,D
I: \Building\Perm 5 ,, 1J its\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(11 /02/COM/WEB) n