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Permit .,. ._ CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00512 �.II DEVELOPMENT SERVICES DATE ISSUED: 12/03/1999 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S125DB 04001 SITE ADDRESS: 09601 SW 74TH AVE SUBDIVISION: BOULEVARD HEIGHTS ZONING: R -4.5 BLOCK: LOT: 027 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: TOTAL AREA: 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 a 1,150 sq ft single family unit. Sewer is already capped. All debris to be removed Owner: Contractor: DAHME, KENNETH W + LISA A OWNER 10125 SW 72ND AVE OWNER RESPONS FORM SIGNED TIGARD, OR 97223 Phone: 503 - 245 -4168 Phone: OR GINAL Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT KJP 12/03/199c. $50.00 99- 320153 5PCT KJP 12/03/199c, $4.00 99- 320153 EROS KJP 12/03/199. $26.00 99- 320153 ERPC KJP 12/03/199, $8.45 99- 320153 (additional fees not listed here) Total $96.90 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe Signattur e: �, / �/ Z9 a l t _________—. Issued By:( .11 639 -4175 by 7 . for an inspection the next business day CITY OF TIGARD Residential Building Permit Application Plan Check 13125 SW HALL BLVD. Pdtteratioi--- Interior-Remodel- O.n.ly� Recd By �S � Single Family Detached or Attached (Duplex) Date Recd J L13 /y� TIGARD, OR 97223 Sin 9 Y P Date to P.E. V 503 - 639 -4171 Date to DST F 503 - 684 -7297 Permit #daP1949'v05 /Z Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job A-, _ Architect Mailing dress' S i Address 5. Address l 6a, te/. 7� � 4 nve, , -, 0 3 ?7t City /Sta e Zip Phon Name 1� / / - S �I/ L #m.t. X•fie / Owner Mailing Ad ress /a /.S 5 741 4 Engineer ! Mailing Address qty /Slat ' Zip Phone g / 6 h o/, e n 3 So3'2$/SY /6� Ci tat Zip Phone General Name Contractor avn tr. Describe work New 0 Addition 0 Alteration 0 Repair 0 Mailing Addreeo�s A to be done: Prior to permit , G j � Additional Description of Work: _ M�j E76- ..,2 issuance, a copy City /State Zip Phone bb of all licenses are required if Oregon Const. Cont. Board Exp. Date • PROJECT Q( - expired in COT Lic.# VALUATION $ database Mechanical d ame • NEW CONSTRUCTION ONLY: Sub- q. Ft. House: /' Sq. Ft. Garage / Contractor Mai Address / / Indira the restricted energy installatio y the electrical Prior to permit issuance, a copy City /Stitee Zip Phone / subcontractor in the following areas J of all licenses Restricted V Audio /Stereo are required if Oregon Co st. Cont. Board p. Date Energy System' • �/ \ Alarms • expired in COT Lic.# stallatio Vacuum/ ' \Irrigation database \ System System Plumbing Name / \ / \ (the- all that 'Opel:: \ / Sub- ,I mly)� Comer Lo 2,,S" NO ' Flag k Lt one YES \ 'NO • Contractor ' Mailing:Address - -- - - - - -- / / \ / ( check one (chec) H as the Subdivisio , Plat recorded? . -- N/Al YES , NO Prior to permit City /State Zi Phone • / Z ■ issuance, a copy / Sola ompliance of all licenses -are ' gan Cont. Cont. Boars' Exp. Date / . p , alculation Attached) NN, ./V7 required if /Lic. # expired in COT r /\ 1 hearby acknowledge that I have read this application, that the database Plumbing Lic. # \ Exp. Date information given is correct, that I am the owner or authorized agent \ / \ of the owner, and that plans submitted are in compliance with / Oregon State laws. Name \ / \ /7 Sign of Owner /Agent Date Electrical \ x / - al -91 Cont Perso N me Phone # S Mailing Address J � 50 .1 8 - / Contractor \ FOR OFFICE USE ONLY: City /State Zipp /ne\ Plat #: Map/TL #: Prior to permit / i 41 Zrj goo( issuance, a copy Setbacks: Zone: t Solar: of all licenses are Oreg n Const. Cont. Board / Exp. Date required if Lic. expired in COT Engineering Approval: Planning Approval: TIF: database E ctrical Lic. # 7 N_ xp. Date \ I:SFREM2.DOC (DST) 8/11/98 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP 199q Date Requested (// 7-. ©0 AM PM BLD Location fif'.j�`' q(0 l -7 Suite �n MEC Contact Person �(�� r v� �. Ph 2- — '2S q PLM o Contractor Ph SWR 9D (0t7 S `UILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Sprinkler Fire Sprinkler /�j Fire Alarm Susp'd Ceiling Roof Misc: S S ' ART FAIL MBING - Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL r ELECTRICAL ! r\. Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA /� Approach /Sidewalk Date /// <�C/ Inspector 6 } Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Scale 1 "=40' _ 2r0 100/ 30. u Loccelyd ;-, a pa✓ifr. of l 27 Tr#ci / li &GL /4VU'S 116'41 :" w 0I r CZ H (,L1 37 /A� 31 ��\ , I -$ 1 ;46- iv` a Ut /, l 5ea,,,f 3 S 1 T4 x Zoi. I A" 1 ' t 1 : h . I 1 t `1 '' .Sank E Nev cv.N.f3,y" 1 38' 1 F ,,,„.i...- hM A p c . Pld- oaf, 5 W. 7y Ave-, Tax id- `1 ow, /o Is1 .7506 (4, Co„ or. 96o1 s w 7Y ' Ar- 7; ,rg 0" 9722 3 1444e t4 t!/, Q,'a4me.... Gh y 503.2.71.706 7 . E✓.. 503 • 241 yi6 r