Permit .�r
41)-- ,r BUILDING PERMIT
C ITY PERMIT #: BUP2003 -00511
11 ®E ` /ELOPMENT SERVICES DATE ISSUED: 8/25/03
A 13125'SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08385 SW DURHAM RD PARCEL: 2S112CC -01200
SUBDIVISION: ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Demolition of 590 sq ft SF residence, all demolition debris is to be removed and the sewer is to be capped. SDC
credits to apply to new construction.
Owner: Contractor:
COLTON FETTIG COMPANY CEDAR MIST CONSTRUCTION
2245 SW CANYON RD PO BOX 8
PORTLAND, OR 97201 MONMOUTH, OR 97361
Phone: 503 - 222 -9617
Phone: 503 - 838 -2229
Reg #: LIC 154481
FEES REQUIRED INSPECTIONS
Description Date Amount Cap Sewer Line lnsp
[BUILD] Permit Fee 8/25/03 $62.50 Final Inspection
[TAX] 8% State Tax 8/25/03 $5.00
[ERPRMT] Erosion 8/25/03 $26.00
[ERPLN] Ero Plck -USA 8/25/03 $8.45
(additional fees not listed here)
Total $110.40
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 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0. 1 I '1 •ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
ca ' g (503) 246-66** or 1- 800 - 332 -2344.
By: l ° `/
Is ed B J\ ' +� 0 < ll�a.��
Permittee
Signature: x ( /4
all 639 -4175 by 7 p.m. for an inspection the next business day
----.L.,
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Buildin P rmjt � j�jlcatio '` . Received a F,dRIOFFI'CE UStiONi. ,, r`,1,.;.L`�, ,?
/ Building
City Date/By: 7 /�So Permit / ?05- e2,57/ City of Tigard l "?" Planning Approval Other
Date/By: No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 ;"'" Post - Review Land Use
Internet: www.ci.tigard.or.us „' Ii-ov i 24. Contact . Case No li�S1Gb 2 for
24 - hour Inspection Request: 503 - 639 - 4175 9
' Contact
Juris.: Su See Page 2 for
Name/Method: Supplemental Information
.r `j MI -. 7 .7-0.-'-**A, ® e W u2-'4+. M%sh%s'7,E +x, k `.tom;? 4 14 q .. .n ��
❑ New construction ❑ Demolition .. , a BDEiL D t . .! f
❑ Addition/alteration/re • lacement ❑ Other: `�° h ` " '
r w"`4 0 f) .p ,,1; : f Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2-Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
essx 'msli im - `d ` ; d 9v: , p s a
No of bedrooms: No of baths:
Job site address: ) , ,K) / u b Total number of floors
'1
Suite #: Bldg. /Apt. #: New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
Pro Name: vL) .w j S d, iu SAIM / - Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
s t a
v r m 1 9 i l;: t h
Subdivision: 1 Lot #: �M.
Tax ma /parcel # Note: Permit fees* are based on the total value of the work erformed. Indicate
✓_ 4 wry D - -Fl) S Ed 9 n :. v @ pic,! '`c'. > p
,,� C' O � �, . , . . the value (rounded to the nearest dollar) of all equipment, materials, labor,
1 € o f % . �, - \ c overhead and profit for the work indicated on this application.
l� C. N
Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
� e ��� Number of stories
' r �V Type of construction
Name: o - f• �lrr. ! t om Occupancy group(s): Existing:
•
Address: v�o?if j Sus ti► % New:
Ci /State /Zi.: i d oP
9 ..
Phone: _% NOTICE: All contractors and subcontractors are required to be
!".111-7.;..- licensed with the Oregon Construction Contractors Board under
14TIA: l� 6 fl L "fi '''''d1=-6 t1 - provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: Fax: T,-„
E -mail: l , o o T �` • k s f `' o° fb;:y a9 f- f _ i+ 0 sit Lm a r - * wg�_ j ,
_ .. - ,.s:._ i a 'i". W > cd _ ..fit ._ . .p ';,:1:
Business Name: *, J `, 1174 , a a) r Fees due upon application $
Address: j 5 /,.,.._- `:'1 i%,. err .
City /State /Zip: "i /, i 02— 970(/ / Amount received $
Phone: C 3) aid - , Fax: Date received:
CCB Lic. #: ,, 4/-/(g
Authorized .�
Signature: ,`e,� _....-/L1-4111 Date: ;G� 25 Notice: This permit application expires if a permit is not obtained within
�L ZZ`_ 180 days after it has been accepted as complete.
• 1 eny l� 7 *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03 ------