Permit /647 -, - t �o-- -
1, CITY OF TIGARD BUILDING PERMIT
Ili r PERMIT #: BUP2006 -00285
COMMUNITY DEVELOPMENT DATE ISSUED: 10/4/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109AC -02000
SITE ADDRESS: 13210 SW BULL MOUNTAIN RD ZONING: R -7
SUBDIVISION: WILSON RIDGE NO. 2 LOT: JURISDICTION: TIG
PROJECT: WILSON RIDGE NO. 2
Project Description: Demolition. 3/15/07 corrected description: demolition of 1500 sq ft shop only. No SDC credits.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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:
VENTURE PROPERTIES NORTHWEST EARTHMOVERS INC
4230 GALEWOOD ST SUITE 100 PO BOX 1467
LAKE OSWEGO, OR 97035 TUALATIN, OR 97062
Phone: 503-387-7600 Contact #: PRI 503 - 624 -0363
FAX 503 - 639 -1634
Reg #: LIC 62761
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/4/2006 $62.50
[TAX] 8% State Surcha 10/4/2006 $5.00
[ERPRMT] Erosion Con 10/4/2006 $26.00
[ERPLN] Erosn Pin Rv C 10/4/2006 $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.
Issued : i �✓ _ / I Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspectio 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.
. :,
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00285
DEVELOPMENT SERVICES DATE ISSUED: 10/4/2006
� � ^VIII 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109AC - 02000
SITE ADDRESS: 13210 SW BULL MOUNTAIN RD ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Demolition of 1500 sq ft residence on septic. SDC credits for TIF, Parks, Water Quality and Water
Quantity available upon final inspection.
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: 5N 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:
VENTURE PROPERTIES NORTHWEST EARTHMOVERS INC
4230 GALEWOOD ST SUITE 100 PO BOX 1467
LAKE OSWEGO, OR 97035 TUALATIN, OR 97062
Phone: 503 - 387 - 7600 Contact #: PRI 503 - 624 - 0363
FAX 503 - 639 -1634
FEES Reg #: LIC 62761
Description Date Amount REQUIRED ITEMS AND REPORTS
[ERPLN] Erosn Pln Rv C 10/4/2006 $8.45
[EROSN] Erosn Pln Rv ( 10/4/2006 $8.45
[BUILD] Permit Fee 10/4/2006 $62.50
[TAX] 8% State Surcha 10/4/2006 $5.00
(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.
Issued By: - r�`% C1��"7, Permittee Signature: y _l
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.
I tom L.L. m)
- &Gt) iStd kJ,
Building Permit Application
FOR OFFICE USE ONLY y
City of Tigard E iew4 j 131SW Hall BlvdTigard, OR 97223 } �� ��q
Phone: 503.639.4171 Fax: 503.598.196q ^" \� 1 44 IW�I "�Ili.: 1 Date/B Other Permit.
Inspection Line: 503.639.4175 ' PP Internet. www.ci.tigJ i,- : ` Date Ready/By: • ® See Attached Checklist for
azd.or.us
6u-''
, ` -�� NG Q‘ Notified/Method: j Supplemental Information
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. ��., _„ ,� € -': �: �..:;�: _. �, _:;,�z.. -, . .ray � �... �:�; � �, it?x� Q D: DATA:.�7- �`.'ND''�Z�FA:MIL�X: ➢W LI:77� �
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El 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
'ter ,� - ,- .� „ :�; ,'� "s ° � < °t.'.a�t -:.�r .; - ,:�;.ax -- rv�'�v�';,s.;�x - "z = =-
.
�: '�-,,;..<,�L,:�n'�. ,� , work indicate tl
4 CATEGORY OI~ ' t?NS,t "U: , ;: < ...''a' "` don this aPF l;
:..��:�,y =; "_.. -,, <�s �_...:s��� =., - -�- J?. CTIOlY'�'c.:�:�';,; O. > - : r.� . ratin
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation:
El Accessory building ❑ Multi - family Number of bedrooms:
El Master builder 1:1 Other:
Number of bathrooms:
; ;«�',. ��"�::� -:Lz.3 ti;€zi„ ,`'W a,:,� ,.p,`�� u �;� .x,�,e.,�.'�f -"' 4.' r'd1:'a� �,'z:�. .,,�� =a a
, . :_-ems 1 , +.,-,,;.. -'S .,..,c: .=. . s EZ%Y`: - F „ ,'�a', _
PJQB,SITE`; IN .OItIYImiTIpI1l" ' ,D LC}CA ° &. F" &- . ° �: _ Total number of floors: _
Job site address:i3PJO SW Bull Mountain Road New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: Wilson Ridge 2 Covered porch area: square feet
Cross street/directions to job site: SW 133 Avenue '1 Deck area: square feet
Other structure area: square feet
• >, •,r = .: ,mss ` ., .,.
Subdivision:
re&'''REI), DAB A -;`G G CL`I ST � ;
,,0 :� , .. ;'. :....:.. ... ::..�,m ∎ ',.- <..•' ;, - _..,,� .1•.r.
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.:: ( )
,;,. s; s ;,, :. :. - x9g equipment, materials, labor, overhead, and the profit for
3„%.g: ? al•' r „ . `: , �i , , 7 1 - , ,... ; ..,..,;:.:,,t - , -. ^ ._x ii the
A y ;. w ' r . ; €'MDI SCR ' 7 Q1� QF °4 =I C '' ; l'..� - ._ . = work Indic
�:� �' ,�,.. � indicated on this application.
.r : � ,r ,.�,.s�,���:�a�.��' ..- .����.,,�,. ��� . �;: �' � ���:��,,�� , s app cation.
Demolition of existin /000 _r _ ^ Valuation: S
� Existing building area: square feet
;i`D New building area: square feet
a , , ® ROE?EtT OWPI.R :, o ev.,:.g ; Q TENA c ' ` Number of stories:
Name: Venture Properties Type of construction:
Address: 4230 Galewood St., Suite 100 Occupancy groups:
City /State /ZIP: Lake Oswego, Oregon 97035 Existing:
Phone: (503)387 -7600 Fax: (503)387 -7617
�_, a. °fix a,� ";e:,, '° ;,:a,;s:.::,,m,,.* New:
v , . ..: . APPI ;= I CAIV T — , .,'.
� �,.,.: ., x. � ,n.., ® .,, ._ .,. ��'�,< a kC 4 � °.r: � �a�� a e��...�a -x >, .
` OT�IC � ;.t '� , ? '
: Business name: Venture Properties ix � � eye
`'' e t`i_`��> n- .h;:..
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
Az
Address: 4230 Galewood St., Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Lake Oswego, Oregon 97035 applicant is exempt from licensing, the following reasons
•
apply:
Phone: (503) 387 -7600 Fax: : (503) 387 -7617
E -mail: jimd @donmorissettehomes.com
�ai °,.. \`sue ..'a..s:A.<: > :<: R•� :�- ������ .�- .�;�;.: -4 .;:,.!
Business name: Northwest Earthmovers Inc.
?„ s ” "n µ T1ILT3IlYC5r'``°PL'` °I ,FEE`S1 =z; ;° 111
Address: 16850 SW Upper Boones Ferry Road, Suite A ' "� �''''` ' `�� �' •=° "'�'�1=
Please refer to fee schedule.
City/State /ZIP: Tigard, Oregon 97224
- Fees due upon application
Phone: (503) 624 -0363 Fax: (503) 639 -1634
CCB lic.: 627661 /–
Amount received
- 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: Jitil1elmore L Date: 6/16/06 * Fee methodology set by Tri -County Building Industry
Service Board.
i.\Building\Permits\BUP- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB)
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STATE OF OREGON WAill 64870 WELL ID # L None
WATER SUPPLY WELL REPORT S KYLES DRILLING, INC
(as required by ORS 537.765) 503- 656 -2683 START CARD # WI000300
Instructions for completing this report are on the last page of this form
(1) OWNER: Well Number: 91 - (9) LOCATION OF WELL by legal description:
County Washington Latitude Longitude
Name _ NEI / Wilson Ridge.II_P_roject _____ - _ __ ___ Township 2SOUTH Nor S. Range 1 WEST E or W. of WM.
Address P Q Box 1467 __ Section
09AC _ _SW 1/4 _NE __ 1/4
City Tualatin _ _ Slate OR zip 97962 Tax lot Lot Block Subdivicinn
- - - - -- — - - - -- - - - -- -
(2) TYPE OF WORK: Street A rp ^feu r n -rP address) 1 3 210 SW Bull Mountain .
i New Well ❑Deepening LlAlteration (repair /recondition) ['Abandonment Rd., Tigard, OR _
(3) DRILL METHOD: (10) STATIC WATER LEVEL:
25 ft. below land surface. Date 1112012006
Rotary Air _ I Rotary Mud Li Cable ❑ Auger Artesian pressure lb. per square inch. Date
:X Other Poured -
. - (11) WATER BEARING ZONES:
(4) PROPOSED USE: Depth at which water was first found N/A
XDomestic [Commun'
fly ❑Industrial ❑Irrigation
Thermal i Injection ❑ Livestock El Other F From r To Estimated Flow Rate SWL _i
(5) BORE HOLE CONSTRUCTION: I - + -- — -
i
Special Construction approval !]Yes MNo Depth of Completed Well o -_ - - ft. '
Explosives used ' ' No Type .
Yes L YPe Amount - -- -- — i ..... -- - --
HOLE SEAL Amount
Diameter From To I Material From To sacks or pounds (12) WELL LOG:
6.5 _ -. — i . Bentonite__, _ ._- - J _ 26 _ 5 11 Sacks Ground elevation
'Cement
— 1 5 0 2 Sacks Material I From To
i F T I_SWL _ i
1— -- - - - -- - - - - Abandonment Only.
- �
• - 1169 Molalla Ave. - 1
How was seal placed: Method ❑A ❑ B 1 ]G ❑ D ❑ E Ore • on Ci OR 97045 �
X_Other Poured ___ _ - .__ -_ 503 656 -2683 ' OPY ,
Backfill placed from ft. to ft. Material _
Gravel placed from ft. to ft- Size of gravel , ,
(6) CASING/LINER: _
Diameter From To Gauge Steel Plastic Welded Threaded
Casing: Remove - -. -- :___ - -: I ❑ ❑ ❑ L rt I
n Li ❑ ❑ - -,.
—.
Liner. None I — - --{ - - - -- L] Li ❑ ❑ OEt 5 .._..
❑ ❑ ❑ ❑
Drive Store used "Inside I ❑Outside ❑None — ;
= Final location of shoe(s) 1 -
N fA - - - - - G .
(7) PERFORATIONS /SCREENS:
Perforations Method
Screens Type Material 7
Slot Tele/pipe i
From To size Number Diameter size Casing Liner I {
None .. 1 1 CI i
❑ - ... . .
I
D ate started Completed
-_ _-- - -- , L 1112 0/2006 p 11/20/2006
1_. - _ ... t (unbonded) Water Well Constructor Certification:
____L I — Li ❑ I certify that the work I performed on the construction, alteration, or abandon-
ment of this well is in co pliance with Oregon water supply well construction
(8) WELL TESTS: Minimum testing time is 1 hour standards. Materials us d -nd information reported above are true to the best of my
1 Pump 1_] Bailer ❑ Air [I Flowing Artesian knowledge and belie/ /
WWC Nu r 1601_ ..
Yield gal /min Drawdown Drill stem at Time Signed Date • — — — Drilling, . N/A i _ Skyles
nc.
I - (bonded) Water Well Constructor Certification:
- _ l _ - . - __ - - I - _ — -_ I accept responsibility for the construction, alteration, or abandonment work
L _ �_ — performed on this well during the construction dates reported above. All work
Temperature of Water _ Depth Artesian Flow found performed during this time is in compliance with Oregon water supply well
Was a water analysis done? ❑Yes By whom _ construction standards. This report is true to the best of my knowledge and belief.
Did any strata contain water not suitable for intended use? ❑ Too little Number 1_502 __
_; Salt L Muddy ! Odor ❑ Colored Li Other Signed L 6t+c at' - W
- -- Date /i/2 viz re 6 _
Depth of strata: Skyles Drilling, Inc. l
ORIGINAL - WATER RESOURCES DEPARTMENT FIRST COPY - CONSTRUCTOR SECOND COPY - CUSTOMER
CITY OF TIGARD . ..
BUILDING DIVISION PERMIT #: BUP2006-00285
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639-4171 . l
Inspection Requests (24 Hrs.): (503) 639-4175
,_,.. .....
INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 72
SITE ADDRESS: 13210 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: WILSON RIDGE NO. 2 LOT #: TYPE OF USE:
PROJECT NAME: WILSON RIDGE NO. 2
DESCRIPTION: Demolition of 1500 sq ft residence on septic. SDC credits for TIF, Parks, Water Quality and Water
Quantity available: upon final inspection.
OWNER: VENTURE PROPERTIES, PHONE #: 503-307-7600
CONTRACTOR: NORTHWEST EARTHIV1OVERS INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 044920.02 506-866-4839 N
Corrections/Comments/Instructions:
•
c ,..._ .......
•
K PASS 1 1 PARTIAL APPROVAL 0 CANCEL 1] NO ACCESS
1 I FAIL I I C LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
CI
Inspector: ,/ bp Date: -?(( I ° I Phone #: (503) 718-