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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00394 . , �i� DEVELOPMENT SERVICES DATE ISSUED: 8/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA - 02100 SITE ADDRESS: 12455 SW BEEF BEND RD ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: DEMO 1552SF RESIDENCE. ON SEPTIC. TIF CREDITS APPLY. 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: UNK : 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: MATRIX DEVELOPMENT CORP KEN LEAHY CONSTRUCTION INC 12755 SW 69TH AVE. PO BOX 489 SUITE 100 CORNELIUS, OR 97113 PORTLAND, OR 97223 Phone: Contact #: PRI 503 - 357 - 2193 FAX 503 - 357 -3649 Reg #: LIC 44159 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/21/2006 $62.50 Ersn Cntrl 681 -4444 [TAX] 8% State Surcha 8/21/2006 $5.00 [ERPRMT] Erosion Con 8/21/2006 $26.00 [ERPLN] Erosn Pln Rv ( 8/21/2006 $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. 4 / Issued By: ../. _ _ iv, ,/� 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. _it pe ___,,,,-.•10E049 3 -0002 2 Building Permit Applicati ECEIVED 1:012 Oh OFFICE USE ONLY Ci of Ti and Received , 11, .. *J g Date/B . l,� told I Permit No.: + Alt ,0t,— 00 13125 SW Hall Blvd., Tigard, OR 972{2 r 1 8 2006 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.59 b' 8 2006 Date /By. T l C A R q Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: Juris: ® See Attached Checklist for Internet: www.tigard- or. BUILDING DIVISION � Notified/Meth S upplemental Information tT'1� _ " "Jk �S TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY D LING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ 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: _ ` �r� /1j.D New dwelling area: square feet City /State /ZIP: ;770,9}, 9.? „,7,,,_ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: 0�, ,,ies �/ � Deck area: square feet ��f.kig Gy�Vt /� — ` y Other structure area: square feet REQUIRED DATA:. COMMERCIAL - USE CHECKLIST Subdivision N �,,5 4 ,0,� Lot no.: Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.:.� -2,4Q4a .,� equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. �� l7 � GL Valuation: $ I5 Z. o u Se Existing building area: square feet L New building area: square feet • 1 PROPERTY OWNER ❑ TENANT Number of stories: Name:Z y . .-Z � '-- Type of construction: Address: r `i . , 1t , Occupancy groups: City /State /ZIP:��ic�� al or."� i �.....97„,,, Existing: Phone:) ./ ,�i i Fax: t j :- r ";=%Neff New: APPLICANT ,tONTACT PERSON `NOTICE Business D name> — � DE�� � L D , All contractors and subcontractors are required to be Contact name: J�'I G � � 1e, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ii ` . °' ,.0 - jurisdiction in which work is being performed. If the City /State /ZIP, 9,...7,2_. ap ant is exempt from licensing, the following reasons Phone i3) ,`'� � Fax: : (t-e.-.3 g E -ma 7 U'�� ' 4,::::72.� CONTRACTOR Business name: ��,� / C� BUILDING PE RMIT'FEES* QQ ! "l7' ' (Please refer to fee schedule) Address:T,�571�����G�� ��jz�i3C ,r 2, Q / 97/ Structural plan review fee (or deposit): 2 � GL / �� City /State /ZIP: Phone:lG3j 3s -r 3 Fax: 2 ' 3.5� 5' FLS plan review fee (if applicable): CCB lic.: / Total fees due upon application: Amount received: Authorized signatur- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / Date: �c�c '/ �/ Fee methodology set by Tri- County Building Industry Service Board. 1:\ Building \Permits \BUP- RES- PermitApp.doc 03 /21/06 440- 4613T( I 1 /02/COM/WEB) One- and Two - Family Dwelling Building Permit Application Checklist FOR OFFICE JCL USE ON.LI' City of Tigard Received Permit No.: Date/By. 'I 13125 SW Hall Blvd., Tigard, OR 97223 1 ' ; Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: TIGARD 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑Mechanical - Internet: www.tigard- or.gov ❑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 ❑ plan ❑ 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 . i • , 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 gr is greater tha f font 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 U. • ❑ ❑ 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 ❑ -0 ❑ 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 ❑ 0 0 architect licensed in Ore_on and shall be shown to be . , Ilicable to the tro'ect under review. ,IURISDIC"IIONAL 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 \PermitABUP- RES- PermitApp.doc 03/21/06 • m .i Appr .... OFfld" conditionally lateee•Apizvectawassaysesiormoseref -1" .. i I 1 . 1 A : F i e 0 . I I, � ' \ \ s \ \ \\ I N.. 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' / ' / / ` ti / zz O 1 1 \ I 1 1 I l l l 1 1 1 . Ir' 4 I ' .''' t EXISTING : / // // // / y // �i % /�/ 1 I / I I 1 l� I r '�� s ' .. HOUSE / / / .�'i /' / / / / / / /' / 3 / 1 1 l 9 s » : 4 " \//� /// / /�/ / / ,' / / / / / / / , , / � I I' / i / / // 1 11 t / `, / V f / / , /// / ,tIS,T� /�l'1� 1 � I / / �� / / // ///),/// ± / 11 I I /� � s,�\ r�. / / j / a / /// ., / II !OH G / / —` G- / 1 1 I ,. _ -_- -, 0 / / / ,;'' �' Ill / J J / / 'r ? l j / / /// / , ll I 1 1 1 I r I : _ __ � / / / / / / I 1 I J — / , / / / 1 I / ,y I ,� �' �, / �� // j 1 1 1 �" – �� / I I i 1 � — �/ / I I I �/ / , \ , >I- l iA, 7 Al , _ .. 1 ______, ---.......-/ ss „•:, __ _ ____. _ , 0 /_ , _.,, i ......___. .. • MAR-27-2007 15:43 FROM- 5033579910 T -304 P.002/006 F -756 c AR-22•2007 06:19 FROM- 5093679910 T -269 P.001/005 F-747 Construction, Inc. 114R ? r; /� 14 PQ Bar 489 • 915 5 12th Ave • Corn . C` . - i `43o3) 357.21 3 • MX (503) 357.3649 - ., DI(//Sio/ March 21, 2007 RECEWED Washington County Dept. of Health & Human services MAR 2 2 2001 Septic Systems/Sanitation Fax #503 -846 -4490 Dept. of Health & Human Services Environmental Health Attn: Yvonne This fax is sent to confirm that the pre - existing septic systems serving the following (separate) addresses have both been fully excavated and removed during the course of demolishing the houses_ All excavations were also fully backfilledwith granular uaterial. The work was completed last August. 1.) Residence at 2455 SW Beef Bend Rd., Tigard, OR (ref. attached Tigard Demo 2.) Residence at 175 SW 74 Beef Bend Rd., Tigard, OR (ref attached Tigard Demo PeriiiitA 200E100393).» Prior to removing the septic tanks, we had the conteUte pumped out and properly disposed of by River Ciry Environmental, Inc. (ref. attached work tickets). By: Please sign here to acknowledge receipt of this confirmation and fax back to; 503 -357 -9910. Thank you - Phil Carlson Project Manager 503. 3574193 Encl. A d(verslrtea excavation, utility. siren and site development ro»tatany MAR -27 -2007 15:43 FROM- 5033579910 T -304 P.003 /006 F -756 ScF.�eduled • 08/23/0 ~ Date 08/22/06 Work Order # W044021 • River City Environmental, Inc. Complete Industrial P.O. Box 30087 503- 252 -6144 Waste Removal Portland, Oregon Septic Tank Cleaning 97294 OR CCB# 147355 VElir IVERCR981 BT Sump �, `��° ` Line Cleaning • • Ken Leahy Construction tAW ri 110 Site Site Information P.O. Cornelius, OR 97113 GIcY I , p v sketO# sUlLO 503 - 357 -2193 12455 SW Beef Bend Rd., Tigard Description Units Amount Septic Service Septage Overage @ /0620 / Instructions: Driver Notes - Tigard. Pump for decomission. Call Brad when on way 503 - 519 -4108 • River City Environmental, Inc. is in no way responsible for damage to the septic tank or lids on the system. 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 The customer agrees to pay all invoices arising out of pumping services, and any other special services herein within 10 days. The customer agrees to pay such extra and overtime charges as may be invoiced from time to time for services rendered, over and above the normal servicing schedule, on behalf of to customer. The customer agrees to assume responsibility damage to customer's real or personal property arising from pumping services which take place on customer's premises, where the drivers and vehicles of River City Environmental have been instructed to enter. This includes, but is not limited to driveways, trees, power lines or poles and building structures. - If River City Environmental, Inc. finds it necessary to add liquid to the tank on jobsite, customer will be charged for the additional gallonage resulting from these condidtions. Customer agrees to reimburse River City Environmental, Inc. (or an reasonable attorney's fees court costs and other expense incurred by said company to enforce collection or to serve their rights under this agreement, Customer agrees to the above conditions. Redeemable in Multnomah County Work Authorized by ems) .e-//e e - Date Driver Signature /� � C ( Date / I C ��> Tim . JC - - - - .� _ �t = a:w t OW4.L i.L 77 •••!t. i • ,r 6f '•�� • o' .,r, • � ,41. .• • arla`t�kr�r; .3', ti -t �lr '>y0 � ' y +� r . CITY OF TIGARD , 4. BUILDING DIVISION PERMIT #: BUP2006- 003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2006 Phone: (503) 639 -4171 w��i � A Inspection Requests (24 Hrs.): (503) 639 -4175 CJW 112. INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 61 SITE ADDRESS: 12455 SW BEEF BEND RD CLASS OF WORK: SUBDIVISION: ARLINGTON HEIGHTS NO. 3 LOT #: TYPE OF USE: PROJECT NAME: ARLINGTON HEIGHTS NO. 3 SUB. DESCRIPTION: DEMO 1652SF RESIDENCE. ON SEPTIC. TIF CREDITS APPLY. OWNER: MATRIX DEVELOPMENT CORP, PHONE #: CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 50335:7 - 2193 Inspection Request Scheduled For: - Date: 3/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 045607 -01 503-718 -2433 Y Corrections /Comments/ Instructions: iii PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ( ►�y ' Date: >4.4 Phone #: (503) 718-