Permit { CITY OF TIGARD
A, DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 PERMIT # BUF�98 -0274
DATE ISSUED: 08/ 24/98
PARCEL: 25114AD -00100
SITE ADDRESS...: 16575 SW 85TH AVE
SUBDIVISION ZONING:R -4.5
BLOCK • LOT • JURISDICTION:URB
REISSUE: FLOOR AREAS - - -- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:DEM FIRST • 0 sf N: S: E: W:
TYPE OF USE...:? SECOND...: 0 sf PROTECT OPENINGS? - --
TYPE OF CONST.:? .... 0 sf N: S: E: W:
OCCUPANCY GRP. :? TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 50700
Remarks : Demolition of 10,200 sq. ft. barn. All debris to be removed.
Owner: -• FEES
UNIFIED SEWERAGE AGENCY type amount by date recpt
2132 SE RIVER RD PRMT $ 25.00 B 07/10/98 98- 307252
HILLSBORO OR 97123 5PCT $ 1.25 B 07/10/98 98- 307252
EROS $ 26.00 B 07/10/98 98- 307252
Phone #: 681 -5224 ERPC $ 8. 45 B 07/10/98 98- 307252
ERPC $ 8.45 B 07/10/98 98- 307252
Contract or:
KEN LEAHY CONSTRUCTION INC
PO BOX 489
CORNELIUS OR 97113
Phone #: 357 -2193 $ 69.15 TOTAL
Reg it..: 000004
-- REQUIRED ACTIONS or INSPECTIONS-- -
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1:'. 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 - 081-0010 through OAR 952 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
P Si gnat : 15 ' Issued B
Permittee m i t t e e S g e Y d.4./ / /0* ��7 p8
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check # r I e
C:?Y OF- TIGARD Residential Building Permit Application Recd By
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd -- tb '
TIGAR.7, ■ OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. . '
V 503- 639 -4171 Date to D T
F 503 - 684 -7297 Permit # •
7-1) Print or Type Called "
Incomplete or illegible applications will not be accepted
. Name of Project Name
Job 1 - 1 - k omf■S Pilo P En_T•( 6�MOLI Ti Oru
Address Site Address
Architect Mailing Address
IC, 5 SW SST'' Ave, T.9isn.o,orl
Name
City /State Zip Phone
UrJIFIEt7 SEWefLAtoC I}GeiU,Y Name
Owner Mailing Address I♦OQ JGINeet_ttit, , T& c
31A5 SE QtVEll Rogo
Engineer Mailing Address
City/State Zip te Phone g
1C ity/St te rto OQ 47123 Phone 2�y 10300 sw 6rlren.8�tc, Rd S�.Te SOq
City/State Zip Phone
General Name P O& 9742.3 769 - 3700
Contractor Describe work New 0 Addition 0 Alteration 0 Repair 0
Mailing Address to be done: VGA4 0ja, t, Ong
Prior to permit Additional Description of Work:
issuance, a copy City/State Zip Phone Ute oQT. vE i3gn,q) S'rv.+...CT�•4,e
of all licenses
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# VALUATION $ 50 700 00
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 4AA L � t4t Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State Zip Phone (Check one) (Check one)
of all licenses Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm
expired in COT Lic.#
database Installation Garage Door HVAC
Plumbing Name Opener Systems
Sub (check all that Other:
Contractor Mailing Address apply)
Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? ' N/A YES NO
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical Signature of Own r /Agent t ' Date
Sub Mailing Address 1
Contractor Contact Person Name Phone #
City/State Zip i Phone
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Plat # 1 wee ?�j Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date �,� �° 164 )7-
required if Lic.# Setb Zone / Solar:
expired in COT NA
database Electrical Lic. # Exp. Date ngi
Eneering Approval: Plano_ ing .Approval: TIF:
I:SFREM.DOC (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 �+ /, B r u si siness Line: 639 -4171 q ��) 7S *
CIO Date Requested D/ (.C.� AM PM; C ig - 00 2 - 74 de
Location /69S S 40 Suite MEC i 1
Contact Person Ph PLM Al MR ,
V
Contractor Ph SWR
BUILDING � 4 Tenant/Owner
14 /T ELC , der
Retaining Wall ELR
Footing
Foundation AC i es �i�� FPS
Ftg Drain 1 SGN
Crawl Drain Inspection Notes: ,/
Slab Y .S" `� J
-k SIT q g - COO
Post & Beam *) 1 _ _ „
Ext Sheath /Shear ham" / �(/'
Ina Sheath /Shear A li gq - 000690 St-77/ DI _ CO y^ AC l � I/ C / �,� / �
Framing vl I --
Insulation g �� � Ak w\ / / Q ; ( � � I - S um" Firewall Drywall Nailing 1� � /,, Fire Sprinkler _/ k� VIA S 4 -"! %."------,
Fire Alarm
Susp'd Ceiling .c v�
v ■ % / GI. t r.
Roof �j 1T a .eoo -s �� C.5\ To)
M'sc 4111) 1‘,1-e /� � ( (� �,,J
i_y PART FAIL `��' " moo. --1 4 (.�� ) 10 24� i " ' 1
ING ;ice CV ^ 0 z S Cid) o d -t Q-3 vY c�
Post & Beam
Under Slab
Top Out
Water Service ,, ..._..i 1 ■■...1 ■ - II "1--61/l
Sanitary Sewer 4--- Rain Drains ,r/` I_ + •
,
Final
PART FAIL 7 ' �� 1 r 1 ` C5W ,/�,C PI
CAL /� 1 . '
MECHANICAL , � � � ���,. ` •
Post & Beam - L •
"
Rough In t� f o+ 1 tAA , , ' `-r- - , �i
Gas Line
Smoke Dampers Ot-vN 9., vw(A) a # A\ 5 b 1.-ex `n
Final
PASS PART FAIL i
ELECTRICA C i w` ' 1 ‘/
� 1
Service 'V 1 � D 1/1^, 6 cQ_ C_.f/f - ?J\ ' C-2 Q
Rough In `� _ O + 6 7 lT C I T ' ' � 3 C ' 7:4• UG /Slab 7 `
Low Voltage
ire Alarm n y 0 51 4,1
m J( v ,
Final o
�_ S PART FAIL
tID
Bac fill /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: [ I Unable to inspect - no access
ADA
Approach /Sidewalk /J l
d i
er Date 1/ 0 Inspector 1)% Ext�
PASS PART DO REMOVE this inspection record from the job site.
L__