Permit r, ,
14 �` ., CITY OF TIGARD
1 . SITE WORK PERMIT
COMMUNITY DEVELOPMENT PERMIT # : SIT2007 - 00032
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 10/9/2007
PARCEL : 1S135AA - 04900
SITE ADDRESS: 10211 SW 87TH AVE ZONING : MUE -1
SUBDIVISION: MAPLE RIDGE ESTATES LOT: 004 JURISDICTION : TIG
PROJECT: PERMIT
Project Description: Addition to existing boulder retaining wall, bringing the wall to approximately 6' in height.
CLASS OF WORK: OTR PAVING ?: RESO. NO:
TYPE OF USE: SF GRADING ?: VALUE: 2,000.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: 15 cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
MATT SIEVERS Description Date Amount
10211 SW 87TH [BUILD] Prmt Fee -Valu 10/8/2007 $62.50
TIGARD, OR 97223 [BUPPLN] Pin Rv -Valu 10/8/2007 $40.63
[TAX] Valu 8% State Surcha 10/8/2007 $5.00
Phone: 971 -409 -9609 Total $108.13
Contractor:
OWNER
Contact #:
REQUIRED ITEMS AND REPORTS
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow 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 copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: D"}7 , Ca.,.
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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.
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Site Work
Blilding Permit Applicati , _;, { -
City m.
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4�, of Tigard I l F,n, � � Receives i 7 --
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IN ...4
13125 SW Hall Blvd., Tigard, OR 97223, plan Roviow
Phone: 503.639.4171 Fax: 503, 59 ; 1960 3 7 nn / a. t ` -,` Other P it
Inspection Line: 503.639.4175 Date Ready/By: r I2J See Page 2 for
itt p � : , ,. . ,� y . r� y `. ,l �n
Internet: www.tigard-Or.gov ` � Pp ( 1 t' ��kk c p a l i � - / t NotifiedNoth 16 I c 1. ) Cr Supplemental Information
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❑ 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
J ,, r+ r work indicated on this application.
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® 1- and 2 - family dwelling ❑ Commercial /industrial Valuation: S v 7 4eilf)
❑ Accessory building ['Multi Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' y ' " ° ` 0 '
4 e > �. i tM li . w i P i1 ld, 4 + .rri y. 1 r Total number of floors:
Job site address: 10211 SW 87 Ave. New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg, /apt, no.: Project name: Matt's Retaining Wall Covered porch area: square feet
Cross street/directions to job site: SW Locust and 87 Ave. Deck area: square feet
Other structure area: square feet
Subdivision: Mapleridge Estates 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
t ; �, equipment, materials, labor, overhead, and the profit for the
r t , o °9a,.,:;w �4 � u ` ' :`a � 1 ••1 tF work indicated on this application.
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Adding roughly 2 -3 feet of camas grey basalt boulders onto an existing rockery Valuation: S
wall/retaining wall that is roughly 3 -4 ft. high, bringing the height up roughly Existing building area: square feet
to 6 feet total; also adding some fill behind wall addition to level property. New building area: square feet
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Alf4 '+> r : : ; „ :...o. , + t. r tr. f �. 11:; .,.t�r�7"tPSf4V, 4q' 4:4Mi s 1" • r .. , '/ ,'k t i i F . ° Number of stories:
Name: Matthew Sievers Type of construction:
Address: 10211 SW 87 Ave, Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: (971)409 -9609 uu Fax: (503)2414566 New:
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Business name: N/A All contractors and subcontractors are required to be
Contact name: Matthew Sievers licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 10211 SW 87 Ave. jurisdiction in which work is being performed. If the
City /State /ZIP: Tigard, OR 97223 applicant is exempt from licensing, the following reasons
WAY:
Phone: (971) 409 -9609 Fax: : (503) 241 -6566
E -mail: meslever@yahoo.com
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Business name: 1
Address: , Ire r ,
k` N r '' or 4 fe) q''.. ',
- Structural plan review fee (or deposit):
City /State/ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lie: Total fees due upon application:
i ' ✓ Amount received: -
Authorized signature:
//7/.4 fir/ ,i IC This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete,
Print name: l 0 • g • fl 7 * Fee methodology set by Tri- County Building Industry
Matt Sleve>"s Service Board.
I:\ Building \Permits1SIT- PetmitApp.doc 06/26/06 440.4613T(11/02/COM/WEB)
CITY OF TIGARD • SITE PLAN REVIEW
BUILDING PERMIT NO.: cT�07 -0 °C3
PLANNING DIVISION:
Required Setbacks: Approved ❑ Not Approved
Side: S reet Side: CITY OF TIGARD - SITE PLAN REVIEW
From. Garage:
A roved Rear: BUILDING PERMIT NO:
Visual Clearance: ,./.._,,d,--, �� � �
pp ❑ Not Approved
v 0 Not Approved
Maximum Building eight feet ❑ Appro
CWS Service vider Let equired: 13 YeS ,Id
Street Trees: ❑ Approved 0 Not Approved Protected Trees: {Tate. ,
/ B B � : Date: ti Notes:
8
ENGINEERING DEPARTMENT:
Actual Slope:.,___% Q Approved 13 Not Approved ��
Site Plan /' ❑ Approved 13 Not Approved ►' !
By: C� - �-s... Date: ! 6 f�,�.. / ,�-�
NO P/J15L_Pc— 131 Notes: 13
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IP 108.06
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CITY OF TIGARD .
BUILDING DIVISION A PERMIT #77 -7"'4`2 31---
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ��11
Phone: (503) 639 -4171 Arid yu� pl' l l MA /07Z-
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / v Zl/ 5
- 11 . � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: /
OWNER: kifq- 3eYe-ie-E PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
.0,41 ---;-/shif-i___ ae re/
Corrections /Comments /Instructions:
O
PASS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
❑ FAIL ❑ L FO' I■ = f ❑ ADDITIONAL FE S ASSESSED
i i,
Inspector: Date: g ii D Phone #: (503) 718