Permit ~ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00154
.�d��( DEVELOPMENT SERVICES DATE ISSUED: 4/30/02
'.-... 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15205 SW 74TH AVE PARCEL: 2S112DB 00600
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: 014 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: 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 1070 square foot outbuilding. Not a residence, not connected to sewer or utilities. All demolition
debris is to be removed.
Owner: Contractor:
DENNY MEYER OWNER
7340 SW LANDMARK LANE
TIGARD, OR 97224
Phone: 503 - 620 -8200 Phone: 503 - 306 -1292
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final lnspection
5PCT CTR 4/30/02 $5.00 27200200000
PRMT CTR 4/30/02 $62.50 27200200000
EROS CTR 4/30/02 $26.00 27200200000
ERPC CTR 4/30/02 $8.45 27200200000
(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- 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 42 6 66 or 1- 800 - 3-2 -2344.
Pe rm ittee i
Signature: l� l ` �, i� 1 ` I !
Issued By: )(j ,'∎ ft 1 ? krc-V\
Call 639 -4175 by 7 p.m. for an inspection the next business day
wry •
Building Permit Application w / k 2 f 2
Date received: 7 e.9-- Permit no.: 14,46410 -d0/6-y
,, „,,� City of Tigard
• Project/appl. no.: Ex , ire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 — ��
Phone: (503) 639 -4171 Date issued: 'By J '1 Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: Sb1Z ^1cC 1- 0001S 1 &2 family: Simple Complex:
,k. 41, y, 9 ,, -. ;', TYPE OF PERM 2 d - ,�; • '':,•;': , rv , 3, .
r
❑ I & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ New construction Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
, . : .i c'- :: _ JOB SITE INFORMATION , •, ',' V. .E - --
Job address: ( • .. 4'10 V Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.: 251 1.1 3 ; ik rt ,
Project name: :U1t.P1-N . ''U?b0H a hi r le ' 5161 t 0
Description and location of work on premises/special conditions: !DEMO e glEFWDye_ Flap M 611 E a 4
d 1`t 0 I S. TiG iii ■_,. - sP. v'GCT �.*
'411.,:.. ' • ; - K r_ OWNER ‘• •,. ,. ` -. FOR SPECIAL' INFORMATION, USE CHECKLIST •
s
s`., (Flood plain, septic capacity, solar etc.) . '
Mailing address: 40 _ DMA f2 . 1 & 2 family dwelling:
113 State: e ZIP: Valuation of work $
Phone:co3. , 2.41 Fax: E - mail: No. of bedrooms/baths
Owner's representative: t3 u �� i p L, _ e. , : , r Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
,` Garage /carport area (sq. ft)
r _ Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: • State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commerciallindustrial/multi- family:
s CONTRACTOR Valuation of work $ 2 O
i SO
Existing bldg. area (sq. ft.) 1, 010
0
Business name: r , ,.
New bldg. area (sq. ft.)
Address: 1
Number of stories
City: State: ZIP:
Type of construction \i r-1
Phone: Fax: E -mail:
Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Era ,,Contact person: r ` . L , due upon application -- $
Address: ■ • ; 237vjq' Date received:
ED . .-- in State:0 ,, ZIP: - -1 2 q 1 Amount received $
Phone gyp, , tt.::rM E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether specified herein or not 1� of C redit card number:
4114 Al31l.1t' Expires
Aut oflZed st e: 2-g ' 0 2 Name of cardholder as shown on credit card
• $
Print name: 1 A N D2444 c.. Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/O0 /COM)
oH Commercial Plan Submittal
Requirement Matrix
City of Tigard
`a' €, ` s °e r' ,- r ax, s. '°;° saAE'
TYPE SUBMITTi4L # of Plans
(I ncludeskNew Additions orAlterations) Requed at
ubmittal.
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts\forms \COM- matrix.doc 9/24/01
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IX1ILDRG
15205 SW 74th AVE
S 1/2 LOT 13 I Tigard, Oregon
�'u i CLIENT:
DENNEY MEYER
NORTH / 7340 SW LANDMARK LANE
Y TIGARD, OREGON 97224
PROJECT INFORMATION VICINITY MAP CD SITE PLAN - DEMOLITION PLAN
1
TIGARD
Date: AS NOTED
®
Scale: AS NOTED
5 10 20 Drawn by. DI
DENNY MEYER NICOLI ENGINEERING INC. eo dTA ROAD
7340 5W LANDt14/ ( LANE 9025 5U.1 CENTER ST. Checked by. JDA
TIGARD, OREGON 97224 TIGARD, OREGON 97223
Job No.: 02 -0217
(503) 620 - 2086 P Drawing No.: DEl10,pLAN
SITE INFORMATION s tet
LAW—USE /
ADDRESS: 15205 Sell 74 w AVE '`' € DEMOLITION NOTES PERLITEk
VAR1 1999-00022
T
6IDRI P999-0005
igard Oregon
ClA NT ZONING: !P PLANNED INW RJ
STRIAL 1 M DEMOLITION CONTRACTOR IS TO COORDINATE DECOM 11'1 2001-0002 zmm m
DURHAM Dy ROAD Of ANY UTILITIES TO 714£ STRUCTURE. I FMJ'4 7001 OGIO?4
CURRENT 115E= vACANT LOT / STORAGE $° 2) ALL DEMOLITION MATERIAL 5HALL 13E DISPOSED OF C SITE
V •'A`� AND M A LEGAL MANNER
PROPOSED USE= OFFICE, ELIRENOUSE MANIA �,
SPACE FOR MEYER SIGNS
LEGAL DESCRIPTION: TAX MAP: 25111313N DEMOLITION PLAN
Td)! 1 ?DT. A.6)e l