Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00237
r DEVELOPMENT SERVICES DATE ISSUED: 6/22/00
Ali .,� �! 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 12105 SW 72ND AVE PARCEL: 2S101 BA -00300
SUBDIVISION: ZONING: C -G
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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 foundation for potential relocation of the existing duplex on this lot. If new location is not obtained the
duplex will also be demolished. All demolition debris is to be removed from the site and the septic tank is to be
Owner: Contractor:
MARTIN, GORDON RICHARD E LEE ROBINSON CONSTRUCTION
PO BOX 740 21360 NW AMBERWOOD DR
GLENEDEN BEACH, OR 97388 HILLSBORO, OR 97124 -9321
Phone: Phone: 503 - 645 -8531
Reg #: LIC 00063147
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT DEB 6/22/00 $50.00 0003210 Pump /Fill Septic Tank lnsp
Final Inspection
5PCT DEB 6/22/00 $4.00 0003210
EROS DEB 6/22/00 $26.00 0003210
ERPC DEB 6/22/00 $8.45 0003210
(additional fees not listed here)
Total $96.90
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 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe rm itee
:::u;: A°
Lei- � �1 . ada- 144-12- 4 /
�
Call 639 -417 y 7 p.m. for an inspec n the next business day
CITY OF TIGARD , BUILDING PERMIT
PERMIT #: BUP2000 -00237
;� DEVELOPMENT SERVICES DATE ISSUED: 6/22/00
All- ' �' I " 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 12105 SW 72ND AVE PARCEL: 2S101 BA -00300
SUBDIVISION: ZONING: C -G
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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 foundation for potential relocation of the existing duplex on this lot. If new location is not obtained the
duplex will also be demolished. All demolition debris is to be removed from the site and the septic tank is to be
Owner: Contractor:
MARTIN, GORDON RICHARD VIKING DEVELOPMENT LLC
PO BOX 740 7150 SW HAMPTON
GLENEDEN BEACH, OR 97388 STTE R g
Phone: 598 -1866 P Phone N��18677223
Reg #: LIC 130332
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT DEB 6/22/00 $50.00 0003210 Pump /Fill Septic Tank Insp
Final Inspection
5PCT DEB 6/22/00 $4.00 0003210
EROS DEB 6/22/00 $26.00 0003210
ERPC DEB 6/22/00 $8.45 0003210
(additional fees not listed here)
Total $96.90
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 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemiitee ....i7
Signature: 4 ..�_4__
Issued = y: �i% l _ . `�Z� :c� ' ✓r/
Call 639 -4175 by 7 p.m. for an inspection the next business day
ARD •` , Commercial Building Permit Application Plan Ch n; ----
'—
13 HALL BLVD.. New Construction and Additions Recd B ;0 � ,�
Date Rec'd // - J
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171 Date to DS
Print or Type Permit# uP,90^0 Gb137
Incomplete or illegible applications will not be accepted Related SWR#
Called
Name of Development/Project
Job Rt - eisv rr ' C tc Existing Building ❑ New Building ❑
Address Street Address
SW 7Z D f Building
Bldg # City /State Zip Data
'TjptRD g g7223 Existing ■ e of Buil•' g or Property:
Name e xateptio 4 K. M mir•1 a,j
Property (ytsgp61.3 S. /lime.-n.1 Proposed Us o = uildin or Property:
Owner Mailing Address Suite P 9
IZ2425 Sw 72Aso
City/State Zip Phone
No.O tones:
Occupant Name co z. 'a S• . Ft. Of Project:
Name Occupancy Class(es)
Contractor V t KlMG CILT's' 17-.UCTia'o■
Prior to permit Mailing Address Suite Type(s) of Construction
issu all licenses ance, a copy 7(Sb
of P3iM St 4 ' ZZ / -
f �P
are required if City/State Zip Phone Will is project have a Fire Suppression - - .
expired in C.O.T. -�-•+ - s ❑ • •
database ! viatko OPT 47=3 6913 igah X /Z Americans with • •ilities Ac • BA)
Oregon Const. Cont. Board Lic.# Exp. Date
Valuation X 25% = $ Participation
13O3'3 Z 266-2..— Complete Accessibili • orm
- me Project
Architect Valuation
Mailin ! • ddress Suite
Plans - equired: See Matrix for number of sets to submit
City /State Zip 'hone on back 5 fa Q 4 5
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Addre Suite that plans submitted are in compliance with Oregon State Laws.
Signature of ewner/Ag Date
Cit tate Zip Phone 6/61.40
. ,
Contact Pe on ame Phone
Indicate type of work: New 0 Addition 0 Demolition KP
CO41S7P 9� 5 !s-64 x 1Z
Accessory Structure 0 Foundation Only 0 Alteratio O
Repairs Other 0 FOR OFFICE USE ONLY
f Description of Fe ! c ( 0 1 R Map/TL# /Q/ n .03 0-
VD Land Use:
V e. 7 f�gd F $ J T7 msie5 1A 7�TtC A ajflJ . Notes:
,(j
Parks: Estlm ed# of E mployees progagaSieg.r. TIF:
etC.sc.
If the above figure is no at the time of application, the city will
calculate the fee b upon the nu parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
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