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Permit Mit-- ` �C ITY OF TIGARD tk 4 i' BUILDING PERMIT 1 PERMIT #: BUP2007 -00378 COMMUNITY DEVELOPMENT DATE ISSUED: 7/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 133CA -00300 SITE ADDRESS: 11115 SW 135TH AVE ZONING: R - SUBDIVISION: VILLAGE AT SUMMER CREEK LOT: JURISDICTION: TIG PROJECT: VILLAGE AT SUMMER CREEK Project Description: DEMO: 1560 SF resdential dwelling on septic. SEPTIC SYSTEM TO BE PUMPED AND FILLED OR REMOVED. UPON FINAL INSPECTION TIF CREDIT MAY APPLY. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: Owner: Contractor: INTEGRITY DEVELOPMENT GROUP MOORE EXCAVATION, INC 16505 NW BETHANY CT. #120 PO BOX 30569 BEAVERTON, OR 97006 PORTLAND, OR 97230 Phone: 503 - 629 0455 Contact #: PRI 503 - 252 -1180 FAX 503 - 252 - 1730 Reg #: LIC 28397 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/17/2007 $62.50 Ersn Cntrl 681 - 4444 [TAX] 8% State Surcha 7/17/2007 $5.00 [ERPRMT] Erosion Con 7/17/2007 $26.00 [ERPLN] Erosn Pin Rv C 7/17/2007 $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. i Issued By: A p _ / �� �. 47 Permittee Signature: /r 1 _____-, 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 comple on of the project. Approved plans are required on the job site at the time of each inspection. Y 'S y t C ., S. i BU11ChYl Permit Applicati o n r r .i�] C , F OR OFFICE USE oNVY t - / Plan Revi w City of Tigard , � Date /B : Recei ye. ,, j Peri of ;.o a . "OD 4 9 13125 SW Hall Blvd.. Tigard. OR 97223 1007 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permi . pl NO (p. U^ 1 r JUL 1 Inspection Line: 503. 639.4175 x � 'E r gA o- Date Read /B Jmis. T C A 1 $ A4_J ! ` y o 0 See Attached Checklist for Internet: www.tigard or.gov otified/Method: Supplemental Information BUILDING DIVISION Via' . ' '"u' `x� +:.7. aaa;+;r','S'p rt:::?`.:'aC- i `�• "�. �',�''v +. \ �',z "`tee G •�! - �`w .d ; -' °, ,s;. 5a f� °`TYPE OF= WORKS = ,.,,: 4. : 3.: r . , > - � � -z:� u,:�,:a= ,t,: ° RE UIRED3DAT.41, ,�,,;�. �`asrr_ .11;d.; .'`'.,... .� x,•- ��,,: Q �. = "A'NDa2- FA11%IIIYDWEIIIIVG4.; "� . �:. ., .. �.� .--- :4�n`'.�r.?Sh ta...r ., - W�run+k, x�. ,�,�..cr�;.,�.,r..- ra,;«':�,. r, �'.. ..,«.,.. .. M���i�""��� �z7 ., ... . ', ..'u., �*t ❑ 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 i:`ahi ?:; g : : ^ #a r Yi C TE : g z °= "�, e : w :`Kea," wag,: . £r . §` 9 °; work V. ,z s :: o k indicated on thi application. lication. a � _ # CATEGORY O CONSTRIJCTION '' 'A �l €'*. 1 P _._.,. ,�. "'� �,*,'s. _�.� .fix „d.?. ��:.� - k�•. _ : +,:..�.�.�.� .t wx.�.�"�' .. c. °�=,ea .�' �1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 1 ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: Z ° '” 'zip:.. w,+ i:YGS ":� xir !x.. ' aw . ,; : a r s ,,.;. . af1 -,, mk �;t - 4;' ,:5* .., - :,g". " "t'�K ;; , l.. * ,JOB SITEy W)rORM A TIO N,A ND4LOC ATION v..L: , 00 F � ,k Total number of floors: / Job site address: t 1 t t S S� l 3 J -1-1- ' ,4U . : 761-4 L_, square feet 1 5 o City /State /ZIP: � rf A QD 02 al X223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: tiE LA.e -,E Q SIMMER C.Q- -eft Covered porch area: square feet Cross street/directions to job site: ‹ ,c, cliS .EQRy _4 - Deck area: square feet I?. L '' AJ t Other structure area: square feet LSt33C- A -O03ov REQi) IREDDi1 GOMK %IERCIAL'=USE3CiIE <;+; u. ;3'Ca- .,,,... ,,,, 7w: ...4 Act' - '4'49, ^:IS%4:14 0 ,.., . „ }.i _ ._,, - -rita.- ': .- _. , 4 . - Subdivision: VILLA XT }. -v-A. Cv., Lcz.c , Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel n Indicate the value (rounded to the nearest dollar) of all °Tl5 I W se 3 ACA TL . s too,200 - t o no equipment. materials, labor, overhead. and the profit for the ba =tA li f DESCRIPTION O WORK ' _ , * * ra -1 work indicated on this application. D6MO b C— f`c �S 4A -)G f -tbuE Valuation: $ tj et- MIA Existing building area: square feet New building area: square feet „$' }- : -�. z a+aas * ;�.. s s'. t,sa , z .;. ras� \ K - r ,, . a' -.: x a a ) ;.x ▪ ' „_ . P)20PERT �, xi � 4 , x TENAN Number of stories: Name: 1N1> =6 FLIT,/ 0EliEL, ME&fI 6 (Loop Type of construction: Address: (sa,S-- 't,,i Lk) v,1=.A.A.11 c E sa1I+= t 20 Occupancy groups: City /State/ZIP: SEA t € .1'bA z a R G'..ppc. Existing: Phone: (Sa3 ) r, 29 - o -ST- Fax: (S3 ) <- /G6 - 2 22 3 New: ;.x,'rr,�, kc �' -r u. -.,.r .x •a 2auw ,z K a : ; , .,,.s° - „ s..„; r�;• -:n;.. ,.. xv. s^ - '- , . 9i - Amtrcl T °' t m ,CONTA Tom: . e .N . , ; ,.. , ., .,5 .� ,.:0$#� , ,„ ` � .. I'ERSQN € r..;.'r't , *. a '��-.< 1 t F " ,... + - J S >su .a'. ,x --t art= ' rs '.�a€ .'ten s .a as, 'Y :. " u,^ '< `1 ....�. r .:,,• 73+ ,;,a n s - *�; �5..,, a NQTICE - . f. f^ -±s't � t5 Business name: SAM . AS A gatrt: All contractors and subcontractors are required to be Contact name: ...stic-50/k-t C,43,�— licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: S,4,,,,c.A c ' ' jurisdiction in which work is being performed. If the City /State /ZIP: S,/ applicant is exempt from licensing. the following reasons apply: Phone: (Sb3) C. 2"i - 04 SS Fax: : (Sb3) y,reto -2223 E-mail: StS0A1 t' 1Ail e,KTT7 totZ/ 62ou? COti\ � _ ��v CON'I +� s x Y • : • L•%1' X4 ` . ���" .''�.^a+' 4 A : :.' X144 ,412 ws;..,�a....w.`1444 , 12 -'u ' g • .r..: , ;..54. . E,'„ IR:a ." Ji ,� - _'a< Business name „_. •�ota�c E x «O 4,77 a� �; ��- �«=,° �; z�.r ii<°R BL7II; DllVGjPER1viIT =FESt- >s:;:�: .sai I °';f53 (Pleirse`refe o: fees . S r..?.' Address:?b Za)4 - .36s. Structural plan review fee (or deposit): City /State /ZIP: P A S, o t,, elm- Z. y _ 3 9 FLS plan review fee (if applicable): Phone: (S, ) 2S - it 3 Fax: (b3 ) 2SZ I - 4-30 Z83�3 Total fees due upon application: CCB lic.: - � Amount received: Authorized sigma ire This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:, J A. -0A) C grRDJ,J Date: //4 * Fee methodology set by Tri- County Building Industry Service Board. I:AbuildingV Permits \BUP- I'crmitApp.doc 03/21/06 445 4613T( 1 1/02 /COM/WI :6) VlLag - at Summer Cc eek Si bC kf sion. = ol " `'i ? 1 B e tha ny Stewart �' �—:. , aq City of Tigard H Sv62006-'1000'1 ��,� k ill m ( Development Engineering gip 'y. ®� `., 13125 SW Hall Blvd E ? ; ,.f ! :, ' a Tigard, OR 97223 Parent Parcel(s): ov-‘' ' ` • "(� \y, ®, direct 503 - 718 -2459 44 ,SCN I v I • a rd '; ;t' � .,..� ?� 'IS'I'13CA 00100 ��� s ` . > . ` ` ,,,:,; bethany@tigard-or.gov �ni - �� 'V S'B 13CA 00200 ' 's��_ i;,, 1 TO f=,fE RETIRED ,r DDRESSES ISII3CA - 00300 � 0,_ , ... 1 SII3CA - 01000 8 - ��03 SIN �3t1� ?�e i u i SW 135th Ave — Zip Code: 97223 0, NEVV ADDRESSES Lot 1 - 13568 SW Rosemary Lane Lot 45 -10907 SW Sage Terrace • i Lot 2 - 13572 SW Rosemary Lane Lot 46 - 10903 SW Sage Terrace i Lot 3 - 13580 SW Rosemary Lane Lot 47 - 10914 SW Sage Terrace Lot 4 - 13596 SW Rosemary Lane Lot 48 - 10922 SW Sage Terrace Lot 5 - 13602 SW Rosemary Lane Lot 49 10926 SW Sage Terrace Lou 6 13618 SW Rosemary Lane Lot 50 - 10938 SW Sage Terrace Lot 7 - 13620 SW Rosemary Lane Lot 51 - 10940 SW Sage Terrace Lot 8 13634 SW Rosemary Lane Lot 52 - 10944 SW Sage Terrace Lot 9 - 13646 SW Rosemary Lane Lot 53 - 10976 SW Sage Terrace ' Lot 10 - 13652 SW Rosemary Lane Lot 54 - 10988 SW Sage Terrace Lot 11 •• 13658 SW Rosemary Lane Lot 55 - 10994 SW Sage Terrace Lot 12 - 13660 SW Rosemary Lane Lot 56 - 11002 SW Sage Terrace Lot 13 - 13664 SW Rosemary Lane Lot 57 - 11010 SW Sage Terrace Lot 14 - 13676 SW Rosemary Lane Lot 58 - 11024 SW Sage Terrace Lot 15 - 13682 SW Rosemary Lane Lot 59 - 11036 SW Sage Terrace Lot 16 -13688 SW Rosemary Lane Lot 60 -11044 SW Sage Terrace Lot 17 - 11095 SW Sage Terrace Lot 61 - 11052 SW Sage Terrace Lot 18 -11091 SW Sage Terrace Lot 62 - 11060 SW Sage Terrace Lot 19 -11083 SW Sage Terrace Lot 63 - 11074 SW Sage Terrace I Lot 20 - 11081 SW Sage Terrace Lot 64 - 11078 SW Sage Terrace Lot 21 - 11075 SW Sage Terrace Lot 65 11082 SW Sage Terrace Lot 22 - 11069 SW Sage Terrace Lot 66 - 11088 SW Sage Terrace Lot 23 -11057 SW Sage Terrace Lot 67 - 11090 SW Sage Terrace i Lot 24 - 11041 SW Sage Terrace Lot 68 - 11096 SW Sage Terrace Lot 25 -11039 SW Sage Terrace Lot 69 - 11086 SW Mallow Terrace Lot 26 -11023 SW Sage Terrace Lot 70 - 11084 SW Mallow Terrace Lot 27 - 11015 SW Sage Terrace Lot 71 - 11070 SW Mallow Terrace Lot 28 - 11007 SW Sage Terrace Lot 72 - 11066 SW Mallow Terrace Lot 29 - 10999 SW Sage Terrace Lot 73 - 11062 SW Mallow Terrace Lot 30 -10993 SW Sage Terrace Lot 74 - 11050 SW Mallow Terrace Lot 31 -10987 SW Sage Terrace Lot 75 - 11048 SW Mallow Terrace Lot 32 - 10981 SW Sage Terrace Lot 76 - 11042 SW Mallow Terrace Lot 33 - 10975 SW Sage Terrace Lot 77 - 11030 SW Mallow Terrace Lot 34 - 10973 SW Sage Terrace Lot 78 - 11026 SW Mallow Terrace Lot 35 - 10967 SW Sage Terrace Lot 79 - 11022 SW Mallow Terrace i Lot 36 - 10961 SW Sage Terrace Lot 80 - 11018 SW Mallow Terrace 1 Lot 37 - 10959 SW Sage Terrace Lot 81 - 11016 SW Mallow Terrace i Lot 38 - 10951 SW Sage Terrace Lot 82 - 11008 SW Mallow Terrace 1 Lot 39 - 10943 SW Sage Terrace Lot 83 - 11098 SW Mallow Terrace Lot 40 - 10937 SW Sage Terrace Lot 84 - 13565 SW Rosemary Lane 1 Lot 41 - 10935 SW Sage Terrace Lot 85 - 13559 SW Rosemary Lane Lot 42 - 10923 SW Sage Terrace Lot 86 - 13543 SW Rosemary Lane u Lot 43 - 10919 SW Sage Terrace Lot 87 - 13537 SW Rosemary Lane Lot 44 - 10911 SW Sage Terrace Lot 88 - 13531 SW Rosemary Lane CITY OF TIGARD `Jy{) i BUILDING DIVISION PERMI #: 13125 SW Hall Blvd., Tigard, OR 97223 iii DATE ISSUED: Phone: (503) 639 -4171 /iwNll yp�w61 L tl Inspection Requests (24 Hrs.): (503) 639 -4175 „j' J =AI. INSPECTION WORKSHEET FOR DATE: yt Q / 'r 0,, TIME: PAGE: SITE ADDRESS: 1 l ) LC. 4 1 5 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message . IA i Corrections /Com ents/lnstructions: • / ' . % lt - 1 - 7( liAr ! AA vrn4�� • ‹t 1 : . 11 \ 1.-\\ ,c,...1..... i . , / / yg -, SS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS n FAIL H CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r' 0/1--- % Inspector: �" '" Dater I °/ Phone #: (503) 718 - 2 4 Zil Al'K - U 1 - ?UU8 MUM U4 :1 U FM MUURE EXCAVATION 1 NC ' • FAX NO. 5032521730 P. 03 .' tr f,;' , •:Ile 06 2octs 2'3 :31. F_-11 tt 5032883658 RI1, CkTZ . 111111181111111111111111 clarcc fI2ti.) Contract Services 6`he�luied 07127107 Work Order # 1AI0f;;l0 , 3 • River city Environmental, Inc, 503- 252 -6144 Complete lndusiriai P.O. Box 30087 Salem 503 - 363 -2464 Vancouver 360 - 8965256 WetgGg i� °Irr,:'rv,iti Septic Tan!; t,lei:inmg Portland, OR 97294 www.rivercityusa.com Sump Line Cleaning OR CCB# 147355 WA CCB#F RIVERCR9810T i. More Excavation 1 5 Moore Excavation t P.O. Box 30569 \ � 11035 SW 135th Ave, Portland, OR 97294 -3569 \ 1 Contact: - __..__ .,.,• • ._.._.,. 503••25 2-1180 PO# • R @ �,-. • Sttvtce Se b.6eruce';� - r. �tS,'':' , -,,,. ' . Service e fa e e ''; ' � _,E ice S p... , 9 . ,, :511.. 1 mss. ' ... .... - �..1 -.� ,....I.: { � r . MB ' } i� a � ) r) ° ,. e; 'r ,'nl i.1 ,: r , `.. ti',I•' i7' tPJN1i , ,.rl R 1,i, ' t ll I I r�rl � o. • , / ,I tti;l . r,, ,1 7r �r I7 (,. f,. ii1 t :CO , u r :}r) .- ).'!.,,' .1 l 5 ti D /�1 1 r t N1l. f ,' l f J • . ' . �' � -- [LotI Charges � »'") ��' . Rivar City Environmental, Inc. Is in no way !expansible for damage to any vehicles, personal or real property, Terms' Net 10 days. 1.5% per month will be charged on past due accounts (18% per annum). Terms and Conditions ' The Right to Lien '; r G Cuotorner egrae910 pay nil invoioos orlsing out of services, and any nthor o peclal servicae herein within 10 days Toe customer agrees to pay such extra And overtime ohar'tes as may be Invoiced from time to limo for serviees rerldered, over and above the normal servicing schedule, on behalf of the customer. Thu cuctomtir agrees to assume responsibility damnoc to customer's real or personal pmpnrty arising from servlcee which take place on euvtomer'u premises, where the drivers and vehicles of River city Environmental hove teen Instructed to enter. ''rhos includes, but Is not ilmltan to drtuawaye, trues. power lines or poles and building structures. II diver City Environmental, Inc. fines It heceseaty to add liquid to the lank on lobsita, customer will be charged for the additional gallonage rcatJlting from these cundldvorin ' Cuotorner agrees to reimburse River City Environmental, Inc. for all ruanonabla enorney'd Ines Court costs end other expense Incurred by sold company to enti''[.o •'.ol or to serve their rights under this agreemont. If thlr• wnri: aroer la not eontegtad In writing within 10 days the full amount Is considered ono ono payable. customer agrees to the above condltlnns, A fax on ten work order IS considered an original. Redeemable In Multnomah Coung C heck # , Visa i • Amex Card # Exp Date Vc :'I.IF.',_ ___ „. i J s .. Work Authorized by —`. .�•J ' •�� ' Date / J _ ., tF � ; ��rr Service Tech #2 Date / C.; Time ! ( Service Tech #1 i"�!�� � Z)- � ..-- ._., - " g e r. 1 t Y ` Vl t I '' i 'I ;' t 1� f+ liB5 1 1. a 1 t ,... . `+1• APR -07 - 2008 MON 04:19 PM MOORE EXCAVATIOhl,,'NC. FAX NO 5032521730 P. 02 ... '_ 1#0, , ' / ti� d s" itti,--.A--, I .. E ©ORE I kIk'S'l ©T, aaito ill '1,.,11_,. { - Office: (503) 2521180 • Fax: (503) 252 -1730 A _ • Mailing: P.O. Box 30569, Portland, OR 97294 • Office: 17090 N.B. San Rafael r14i... -` 4 ' OR CC13# 28397 • WA ##MOORE1.166BR • NM #86330 2 008 April 7, � 3 77-� -. / /// 5 �' / To Whom It May Concern: I, _ jeri,q c cc / , excavated down to and collapsed into small pieces the two existing concrete septic tanks on the Village at Summer Creek project, located at 11035 SW 135 Avenue, Tigard, OR. O Signature: Date: 7 - 7 oa aie vv .,. / ...„,, ._... Project PM: / Y l /// G' i / Date: CITY OF TIGARD BUILDING DIVISION PERMIT #: L3UP2007.00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7//712007 Phone: (503) 639 -4171 / d M. ;I Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR . DATE: 3/2012008 TIME: 7:02AM PAGE: 60 SITE ADDRESS: 11115 SW 135TH AVE CLASS OF WORK: . SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: DE 1S6QSF resdentiai dwelling on septic::. FSEPTIC SYSTEM TO BE PUMPED AND FILLED/ O R REMQVED. X JPON FINAL. INSPECTION T UPT- ETM ? APPLY. OWNER: I T - DE ELOPMENT GROUP, PHONE #: 503-629-0455 CONTRACTOR: MOORE EXCAVATION, INC PHONE #: 503 -252 -1180 . Inspection Request Scheduled For: Date: 31201008 Pour Time: Code # Inspection Description Confirm # Contact # Message , 238 Final inspection 066988-02 503 1453 N Corrections /Corr nts /Instructions: ,,,ke-t - I rlA VI/ \ e c \e„. C.0 0 : 3 ‘It°--614 -e - c j o . 4 5 • rm , . . . n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 74 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSE SED Inspector: v (.i /�� Date: "3 /74 U Phone #: (503) 718 - 2.)b I _ _ - .I