Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00417
DEVELOPMENT SERVICES DATE ISSUED: 8/29/2006
,... 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BD-02700
SITE ADDRESS: 14725 SW 79TH AVE ZONING: R -4.5
SUBDIVISION: DURHAM ACRES LOT: 056 JURISDICTION: TIG
Project Description: Demo 2934 sq. ft. residential dwelling on septic. UPON FINAL DEMO CREDITS APPLY FOR SDC
FEES.
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 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:
Owner: Contractor:
KERR CONTRACTORS
PO BOX 1060
WOODBURN, OR 97071
Phone: Contact #: PRI 971 216 - 0050
Reg #: LIC 72599
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/29/2006 $62.50
[TAX] 8% State Surcha 8/29/2006 $5.00
[ERPRMT] Erosion Con 8/29/2006 $26.00 .
[ERPLN] Erosn Pin Rv ( 8/29/2006 $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 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: ��
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 , ‘ , :Foli OFFICE "USCONL1, 1,
City of Tigard Received
II DatDate/By: _ `7 /1 -oK ? /= Permit Nd 1 r ) 1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
; Phone: 503.639.4171 Fax: 503.598.1960 Date /By Other Permit:
C
T dARD Inspection Line: 503.639.4175 Date Ready/By: 0 See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF W � ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction emolition 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: $
El 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: /47;25' ?;25' C .0 79)1-4, New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: {�`q lay i�� Covered porch area: square feet
Cross street /directions to job site: 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.: • Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
. .. 4 • DESCRIPTION OF WORK . work indicated on this application.
:Phoe itee ,a be l/ ii /Qli/II Valuation: $
.p h
I 5 TT 7 2 9 5 � �\ L/ Existing building area: square feet
New building area: square feet
•
❑ PROPERTY .OWNER - . ❑ TENANT . ... • .. Number of stories:
Name: e ..- .P, r 6 - A-' ALc- Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
. . 0 APPLICANT .. • .:0 ;CONTACT PERSON _ . •
NOTICE ...
Business name: �- ' » _ y'- C ? -- All contractors and subcontractors are required to be
Contact name: /- 6 licensed with the Oregon Construction Contractors Board
"?�i =T „,4 l� '�' -fl�� under ORS 701 and may be required to be licensed in the
Address: / jurisdiction in which work is being performed. If the
City /State /ZIP: Won& hl��f/ applicant is exempt from licensing, the following reasons
6 apply:
Phone: ( All / WI) Fax:: ( )
E -mail:
CONTRACTOR
Business name: Ce-69 BUILDING PERMIT FEES* '
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: ��� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: F G t f 3 Ak L . : - ) 4 - - / 4 Date: f3/2,-; ,/ye * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits\BUP -RES -Penn itApp.doc 03/21 /06 440- 4613T(11 /02/COM/WEB)
CITY
BUILDING DIVISION PERMIT #: BUP2006 -00417
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8129/2006
Phone: (503) 639 -4171 441 +I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 61/8/2007 TIME: 7 :04AM PAGE: 40
SITE ADDRESS: 14725 SW 79TH AVE CLASS OF WORK:
SUBDIVISION: BRITTANY MEADOWS LOT #: 056 TYPE OF USE:
PROJECT NAME: BRITTANY MEADOWS SUBDIVISION
DESCRIPTION: Demo 2934 sq. ft. residential dwelling on septic. UPON FINAL DEMO CREDITS APPLY FOR SDC
FEES.
OWNER: PHONE #:
CONTRACTOR: KERR CONTRACTORS PHONE #: 971 -216 -0050
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 0 -01 971 - 2355022 Y
Corrections /Comments /Instructions:
(l PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
(l FAIL n CALL FOR INSPECTION ( ADDITIONAL FEES ASSESSED
Inspector: Date: 6-/g Phone #: (503) 718- Z4-��
' CITY 9E T.IGARD
i BUILDING DIVISION PERMIT #: BUP2006-00427
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8131/2006
Phone: (503) 639-4171 Ak
A ...,, • it ti I A )
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 14840 SW 79TH AVE CLASS OF WORK:
1 SUBDIVISION: BRITTANY MEADOWS LOT #: 050 TYPE OF USE:
1
1 PROJECT NAME: BRITTANY MEADOWS SUBDIVISION
DESCRIPTION: Demo 2200 sq. ft. residential dwelling on septic. UPON FINAL, DEMO CREDITS APPLY FOR SDC
FEES.
OWNER: PHONE #:
CONTRACTOR: KERR CONTRACTORS PHONE #: 971-216.0050
Inspection Request Scheduled For: Date: 6/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 05016403 971-235-6022 N
Corrections/Comments/Instructions: .
-1:r-co
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l.....1 a ' /I--
k_
,
El PASS --Ti PARTIAL APPROVAL fl CANCEL fl NO ACCESS
AIL A CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1 Inspector: --' d Date: C— /4-6> Phone #: (503) 718-
1
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