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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00260 e . i l� DEVELOPMENT SERVICES DATE ISSUED: 6/4/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109DB 01000 SITE ADDRESS: 15160 SW 133RD AVE SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: URB 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: R3 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: Remarks: Demolition of 4600 square foot residence. Septic tank to be pumped & filled. SDC credits to apply to future construction. Owner: Contractor: VENTURE PROPERTIES NORTHWEST EARTHMOVERS INC 4230 SW GALEWOOD ST. PO BOX 1467 SUITE 100 � TUALATIN, OR 97062 L o OSWEG = n 387 Phone: Reg #: LIC 62761 FEES REQUIRED INSPECTIONS Description Date Amount Ersn Cntrl 681 -4444 [UBUILD] Permit Fee 6/4/2004 $62.50 Pump /Fill Septic Tank Insp [UTAX] 8% State Surchi 6/4/2004 $5.00 Final Inspection Total $67.50 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 1 •u• h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling : 246-669' sr 1- 800 - 332 -2344. 1 ' Issu - d By: �' OP 4 ■ ' Permi Signature: 40,4 Call 639 -4175 by 7 p.m. for an inspection the next business day • A '' Building Permit Application .FOR O FFICE, USE ONLY ' '. J ' ;` City of Tigard Rec eBy d ( i ©' a _ I Permit No.: � '�`� —co No 13 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 " H /M! "IN t Date/By: Inspection Line: 503.639.4175 C' I' Date Ready/By: / ra ee Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: ,/ptementallnt'ormation ,. �, . >„ • �. - „, _, rz� � 4�'sYt': ��_ ..a, e.a =a r.� -;�, ^> u � -,�_._ - •r - :. ra �:�' > „ ' `:�.f.. € 4� . -T YP O� gk e T z I ” ? : IRED`'.bATA. 1:' t1t1N - 2`= RAMILI' DWEI;LING ;?,'s:`,�s��r€ 3 ,�'.�lit: °. � S". �` aa�s;-. �'��.,.'...': °:sa»�s:�::.:n>�.a � s'! e�, ,ku'ab:,. = °�x� n, � , ."� �: �'aa:eb"�� :^: �. ... - .. ... ❑ New construction a 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 m'-` i % 4 4, CATEGORY OF CON T i3CT O _ ' p " e S ` ' work indicated on this application. _,, 1 _: .,, ze al �,a, =,.� -,_;: _,se . , :k ,: OP,4 .. y . , . ,., _..,, -., . . ZC'1 a S Valuation: $ ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: ?� "i '°�:`;':�•'}a'� :« y,�,c;r "? :e:,, �" 'o�� "s }�;�:b: r:'3 "n;s- =';' € %�.[ °.'K.a =�.e „��i�'� �.r:� .., 3 JOB»SITE �Nt FORM T1�0N- A ND`` L OCATION: .''--':= Total number of floors: r .;." ? ;, , , .-., .� 1„ , °;sac -� ,.s�.,,.,..k .r..... > .�,:.,_e; s .>r, ,ta," - 9 :Ma Job site address: �G 1 te0 vt al- ' lin area: 1(,4;0 square feet City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: _ Project name: Summit Ridge Covered porch area: square feet Cross street/directions to job site: West on Bull Mountain South Deck area: square feet on 133rd East at Southern end of 133rd Other structure area: square feet • _.q �ewi - ^._• r.. n.s...�. �» ., :.. _ > .,. tie _ . .. , iir6 IREDi'D'ATA { C,OIVIIVIE RC AL- IUS'E,CH'E; LIST Subdivision: N / A Lot no.: Permit fees* are based on the value of the work performed. j W ^ Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 1 EG G Ion ° Ig AK L,/ i000 equipment, materials, labor, overhead, and the profit for the r4 74e.. ;.� ;ae = f i ":�r�` » `:::;�M:�;"�`.�'�;,;t�i ��.tx: c +v,3a'8.;�u��x:;" "4- �'��a �, ^ ^ atrill #•; �3 RIP QN;,yrOF; ;. ,7 3 work indicated on this application. ' �,, n Valuation: $ Removal of house �' �`'1'' (c, Existing building area: square feet New building area: square feet r•^ - k' F • » ' c r l!F,c sn tda"s :n '€F" ' :^A : .sue" „'s ^''S`.s '� , : :;; - . _ ra.,!a:,:; :. s ^ ' .'u s °, � ❑ PROPERT E : €� , k i® 'I;EIVAN `�, "`” Number of stories: i' ''4-- , >e w::r ; t,wo r » faqir ».'+` . 5fri <-° .«'s.,.uwl:tir3`:. VI„,x.� ,x,. ,. » -. - - i ' ae Name: Venture Properties Type of construction: Address: 4230 Ga l ewood , Suite 100 Occupancy groups: City/State /ZIP: Lake Oswego, OR 97035 Existing: Phone: ( ) 503 - 387 -7600 Fax: ( ) 503-387-7617 New: _. : P PLICANT:.. a � .4 CON : AGT , P ER S ON , {' = ` i ;2 0' el A 3•° --:' :z: :;�>. °. mob > ,. t: tkfi:M.,..k --n.. ai e, 14< . -,. ^ -^ ,» .. ..a:,.r_cti �s. . ..,., " % € g— Rly - � ; v�" ;a s �, r.` sA li 3 Business name: Same as Above All contractors and subcontractors are required to be Contact name: Jim Delmore licensed with the Oregon Construction Contractors Board 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: applicant is exempt from licensing, the following reasons apply: Phone: ( ) 503 - 866 -4839. Fax:: ( ) E -mail: jimd@donmorissettehomes.com r .Ate _ ��.0 : � _ � ovi b:Aai , k,.. e ..,i . :AO Business name: NEI <: ;..o!:w . rte:- ,....,;>a�:•W: .;��:x..��:'f,.� r � : aBULUDIN.G :P FEES* Address: 16850 SW Boones Ferry Please refer to fee schedule. City/State /ZIP: Tualatin, OR 97062 Fees due upon application Phone:( ) 503 - 624 -0363 Fax:( ) 503 - 639 -1634 Amount received CCBlic.: 6276 Date 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: Jim Delmore Date: 3 June 04 * Fee methodology set by Tri-County Building Industry Service Board. iABuilding \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I l /02 /COM/WEB) One- and Two - Family Dwelling - ; Building Permit Application Checklist • FOR OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: Assossociated permits: Phone: 503.639.4171 Fax: 503.598.1960 % ,O'mh �j Ca Electrical ❑Plumbing Mechanical 24- Hour Inspection Line: 503.639.4175 L. Internet: www.ci.tigard.or.us ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: ❑ ❑ ❑ 5 •Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control El plan El permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size; location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray . construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. i:\Building\Permits \One - Two - FamilyChecklist.doc 12/03 ' ________ I • '''' — r _ _ _ ...---- 11 — .■1 1 I V•-■ —‘ i LAP! filk - ..-ZNIII i• - o .• • 'TLAIIVII■.....41115rllim. . . .011.. 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CITY OF TIGARD 24 -Hour BUII_DING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Requested Z AM PM BUP p Location (57 60 • 7 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof oh o O SS PART FAIL PL =ING • Post & Beam J Under Slab Rough -In Water Service Sanitary Sewer Rain Drains. Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRIC A L Service Rough -In UG /Slab Low Voltage Fire Alarm Anal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please cal or reinspection RE: Unable to inspect — no access Fire Supply Line ADA f � i Approach/Sidewalk Date " Inspector a � � PP Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL 11/22/2004 11:25 NORTHWEST EARTHMOVERS 5036243681 NO.136 D01 fax transmission NORTHWEST EARTHMOVERS, INC. PO BOX 1467 ��, i ' 01„ TUALATIN, OR 8 "' 7062 J"°"' "" 1 "0l° J • Phone: (503) 624.0363 �r Q • ° Fax: (503) 639-1634 Date: 11/22/2004 Time: 11:24 AM TO: City of Tigard FROM: Attn: Dan Nelson Jeff Dickson Fax #: 503 -624 -3681 Project: Summit Ridge a of Pages (Including this four) : 4 message: • Demo Permits: BUP 2004 - 00260 BUP 2004 - 00261 BUP 2004 - 00262 Attached are the documents provided by Aloha Sanitary Service for the cleaning of the septic tanks for the above referenced demo permits. After the tanks were cleaned they were removed and battled to an approved dumpsite. If you have any further questions or need any other documentation please let we know. Thanks, Jeff Dickson CC: File Bard Copy To Follow By Mail : Yea No 11/19/2004 08:59 NORTHWEST EARTHMOVERS -> 5036243681 NO.130 D03 Nov 03 04 0 2: 1 9p Kelt 1. Morn 5 03 44-7 5 8 8 P - 3 - — – - • . .. . ,. INVOICE NO 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 .• ....: 503-644-2797 • 503-648-6254 . 503-639-5188 . . . . . . NAME: jil , V, ;e-,4 ii-'14 m 6: ie.,-z i .. _.._... .. ._.. : I ADDRESS: S. . - CITY: STATE: ZIP: Hon: z.i._ WORK: CELL! JOB SITE: 3 O V _CL45 . . PAID By CHARG CHECK 0 CASH 0 CREDIT CARD 121 ,,, 1 DATE czy_ZI-Z,6 DRIVER ( _c , •••••..,.. .. ..•.:..:..;,,,' AMOUNT 1 g.S PUMP SEPTIC TANK le) . a 1 .. 1J INSPECTION FEE . I 3 SERVICE CALL \I .. 0 LABOR, LOCATING, DIGGING, BACKFII-I- 1 _.;AIMMAIP2111 ekri i ,,. , TOTAL s ' ' • - '.•:' ..' '. ::-- . ,. •I: . - ...,..?..--:-.:...: ••.,,-;:,.= 77 ., 7 " •.' . - :;.:,, -. , • .. ." REMARKS - - . TYPE OF TANK: STEEL 0 CONCRETE 0 PLASTIC HOMEMADE LI HORIZONTAL 0 VERTICAL LI REC 0 0 OTHER SIZE OF TANK: ,,--.50 C3 500 0 750 0 10 CI 1250 CI 1500 0 2000 Cl 3000 0 LID LOCATION: INLET 0 OUTLET 0 MIDDLE 0 ENTIRE TOP 0 TANK CONDITION: Go." El FAIR POOR Cl i FITTINGS: BAFFLE • r EiFRETE 0 CAST IRON LI PLASTIC 0 ! NEEDS NEW LID? YES CI SIZE 5. I GROUND COVER LAM( COMMENTS ON CONDITION OF DRAINFIELD ETC. "--....,., 1 — -- - , —...... — • . _ • ... _____ . . I . StGlkitO BY DATE • • -