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Permit CITY OF TIGARD • SITE WORK PERMIT i DEVELOPMENT SERVICES PERMIT # : SIT2004 -00001 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 5/14/2004 SITE ADDRESS: 07865 SW BONITA RD PARCEL : 2S1126A -00500 SUBDIVISION: ZONING : R -12 BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: 15,000.00 EXCV VOLUME: 0 cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: sf Remarks: 4 retaining walls NO NEW IMPERVIOUS Owner: FEES DEREK L BROWN & ASSOCIATES INC 9500 SW BARBUR BLVD #220 Description Date Amount PORTLAND, OR 97219 -5466 [BUPPLN]P1nCk - Valu 1/12/2004 $121.75 [BUILD] Prmt Fee -Valu 5/14/2004 $187.30 [TAX] Valu 8% State Sui 5/14/2004 $14.98 Phone: [ERPRMT] Erosion Cntl 5/14/2004 $80.00 Contractor: [ERPLN] Ersn Plck - USA 5/14/2004 $26.00 DEREK L BROWN & ASSOCIATES INC [EROSN] Ersn Pick 5/14/2004 $26.00 4949 SW MEADOWS RD SUITE 400 Total $456.03 LAKE OSWEGO, OR 97035 Phone: 971 - 233 -0075 Reg #: LIC 58699 Required Inspections Ersn Cntrl 681 -4444 Retaining Wall /Footing Final Report Eng'd Grading Final Inspection 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. i fi Issued By: 4 � Permittee Signature: ../C • Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day r RECEIVED Site Work 'JAN 12 2004 Building Permit Applica ion FOR OFFICE USE ONLY City of Tigard CITY OF TiGARD Date /By: / , D �A Permit No.: , . t r aQ4o� 13125 SW Hall Blvd., Tigard, OR 97223BUILDING DIVISIO Plan Review f� Phone: 503.639.4171 Fax: 503.598.1960 U 6��6'O li Date /By: 3 - / D ',0 5,5 Other Permit: - , ° ,� 1 Inspection Line: 503.639.4175 I. ,. Date Ready /By: 1u. • nn-- ✓ See Page 2 for g a oo - a000`d Internet: www.ci.tigard.or.us Notified /Method: /(p Suplemental Information TYPE OF WORK "'� � EDD ` AN17; 2= �'A MII, ?V t�I LC� IAIG° fl ® 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. Valuation: $ 15,000 ❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ® Other: 53 Lot Subdivision Number of bathrooms: To t al number of floors: - "i;- '� � '`��' 1�' " :� '•'r`� `7()B;SITI *INFQI21Y *Re 4.01id 1 Job site address: 7865 a SW Bonita Road New dwelling area: square feet City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Bonita Townhomes Covered porch area: . square feet i. Cross street/directions to job site: Site is located NE of Bonita and Fanno Creek Drive Deck area: square feet intersection and adjacent to Bonita and Fanno Creek Drive. Other structure square feet 1 i - REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 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 2S112BA 00500 and 00600 overhead, and the ofit for the »=DESCRIPWT'ION:'.IJfF�WOR,K``; rv:: wo indica ted on this application. ;,,� . »,, „�, � � , _ ,;,:. ,� >: - .rte. ... .,; ' .. � :... � � Four retaining walls approximately 4 -6 feet in height. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: • Derek L. Brown & Associates, Inc. Type of construction: Address: I14 Spa PA Sdt'+fc L( Occupancy groups: City/State /ZIP: L Oa/�_ • Existing: Phone: (393') .8.92-8-7-5-8 Q71)23-0 -ic Fax- ( 403) 892 -8'841 W /-�.33* 1 I New: „s -� �a-c :� -.r .. .��;s'. � ti p.:: m,� ..s.u,,:.., .; — ".,�. ittli I.T -`NTni �: �� ='�« •;,��:.:.; n= >�� CO , ti�+C= ERSON' '' . �. „ "Q �,»» ;`` {s` a.n,. � �.�e <-��, � %% NOTICE name: SR Design LLC All contractors subcontractors are required to be Contact name: Todd Miller, PE • J licensed with the Oregon Construction Contractors Board V under ORS 701 and may be required to be licensed in the Address: 8196 SW Hall Blvd., Suite 232 (, jurisdiction in which work is being performed. If the 0 applicant is exempt from licensing, the following reasons City/State /ZIP: Beaverton, OR 97008 apply: — . — - - - ---- - -- - - -'__ Phone: ( 503) 469 -1213 3 Fax: ( 503 ) 469 -8553 r - r: pa 4 4� ,L)-6 - • 0 -• -- E-mail: toddm @srdllc -com � L' 0 Business name: � Spy � ASS _ � , .� k�C la BUILDING PERMIT FEES* Address: 1 ©n�,, ,� ]� S W � I Please refer to fee schedule. City/State/ZIP: 1/l`' QSyCOj � O ?5 / j I Fees due upon application # /A/' 76-- �a1 Phone: pa L ) 7i31 - a -is Fax: 4 'l ) 2 ...33,—001 1 Amount received C CB lic.: _a ta q �� Date received: Authorized signatur .� J � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: /144,44e �y 4 e i G �Q',J Date: `f �'Z /e * Fee methodology set by Tri- County Building Industry Service Board. is \Building \Pemits \SIT- Pe- itApp -doc 12/03 440- 4613T(I 1 /02ICOMAVEB) .CITY OF TIGARD BUILDING DIVISION PERMIT #: j(T'70O4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: la $ W 1CI.J (T1r CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: r[1 -^ trIC t t -t <-. DESCRIPTION: OWNER: PHONE #: CONTRACTOR: g_ta! grjP3 PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message C FtC K_ /77‘3 —o Corrections /Comments /Instructions: m (T9'/ (Re. 11c I V PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS (l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2) 0� Inspector: mil► Date: Phone #: (503) 718- .