Permit •
CITY OF TIGARD BUILDING PERMIT
•
COMMUNITY DEVELOPMENT Permit #: BUP2009 00043
`T.IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/12/2009
Parcel: 1S 136 DB02300
Jurisdiction: Tigard
Site address: SW_74TH.AVE,
Subdivision: WHITE OAK VILLAGE Lot: 0
Project: Dalton a �
Project Description: Demo SFR. ( /� 3 / 7
Owner: FEES
WHITE OAK VILLAGE LLC Description Date Amount
7955 SW HALL BLVD Permit Fee - COM 03/12/2009 $62.50
BEAVERTON, OR 97008 Erosion Control 03/12/2009 $26.00
PHONE: 503 - 209 -8869 Erosion Plan Review CWS 03/12/2009 $8.45
Erosion Plan Review COT 03/12/2009 $8.45
Contractor:
THE LF DALTON GANG LLC
7955 SW HALL BLVD
BEAVERTON, OR 97008
PHONE: 503- 209 -8869
FAX: 503 - 626 -8485
Specifics:
Type of Use:
Class of Work:
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $105.40
Required: Required Items and Reports (Conditions)
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 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 the 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 ro h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 800.332.2344.
Issued By: ,, n Perm ittee Signature: �Y�` n 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
_Building Permit Application
Residential
R E CE I VEn . Received I oR orH rcE
- City of Tigard Permit No.:
114 q DateB
13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 2 2009 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
T 1 G A R D. Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: tuns: 61 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK - REQUIRED DATA: 1- AND 2= FAMILY'DWELLING
❑ New construction ® 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
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ 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: 11030 SW 74 Ave. New dwelling area: square feet
City / State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: South of Spruce St, at end of 74 Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: l S136DB - 02300 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demolition of existing single family residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: White Oak Village, LLC Type of construction:
Address: 7955 SW Hall Blvd Occupancy groups:
City /State/ZIP: Beaverton, OR 97008 Existing:
Phone: (503)209 -8869 Fax: (503)626 -8485 New:
® APPLICANT ❑ CONTACT "PERSON NOTICE
Business name: White Oak Village, LLC All contractors and subcontractors are required to be
Contact name: Len Dalton licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7955 SW Hall Blvd jurisdiction in which work is being performed. If the
City/State /ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 209 -8869 Fax: : (503) 626 -8485
E -mail: Ifdalton @thedaltonco.com
CONTRACTOR
Business name: Dalton Gang Homes BUILDING PERMIT FEES*
Address: 7955 SW Hall Blvd
(Please refer to fee schedu[e�
Structural plan review fee (or deposit):
City/State/ZIP: Beaverton, OR 97008
Phone: (503) 209 -8869 Fax: (503) 626 -8485 FLS plan review fee (if applicable):
CCB lic.: 166410 Total fees due upon application:
Amount received:
Authorized signature: Le -. ` ( `� _ _ This permit application expires if a permit is not obtained
lam- within 180 days after it has been accepted as complete.
Print name: Len F. Dalton Date: 3/12/2009 * Fee methodology set by Tri -County Building Industry
Service Board.
: ECE J V EI
,1...
MAR 1 2 2009
CITY OF T IGARD
BUILDING DIVISION!
Temporary Tree .` :` :- :- :'.
Protection Zones .
\ with Fencing
, ':_ :_ :`.' :` ` -
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(typical) . . . . . -
1 1030 SW h Av° = : : - : -
1 S136DB -02 o ( :- :- := : = : = : =:
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1
Gap Sewer Stub ` • ' • ` • '23` 0 " . . . •
OWNER:
White Oak Village, LLC ` I - `
-
1 9555Y`lHallBlvd .`.'.`.` ` . ` .
Beaverton, OR 008 I - - - - - - -
' • 9'i
Contact: Len Dalton
505- 209 -8869 Existing House �' -
505- 626 -8485 Fax to be j - - : - : - - - - - -
demolished • - -`-`-- -- - -•`•`
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