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Permit . ID pi /95 I 7 , , CITY OF TIGAR BUILDING ERMIT P ERMIT #: BUP2005 -00041 i` DEVEL -639 -4171 DATE ISSUED: 2/4/2005 PARCEL: 2S 110AA -01500 SITE ADDRESS: 10575 SW CANTERBURY LN ZONING: R -12 SUBDIVISION: CANTERBURY PLACE LOT: 010 JURISDICTION: TIG Project Description: Demo 20,000sf building. Sewer to be capped. DEMO CREDITS FOR TIF, PARKS AND SEWER. 10/18/05 Reinstated for -30 days. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: 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: CANTERBURY CREST NURSING SERVICES I BONES CONSTRUCTION CO INC 10575 SW CANTERBURY LN 3508 S 209TH AVE TIGARD, OR 97223 ALOHA, OR 97009 Phone: Phone: 503 - 649 -5682 FEES Reg #: LIC 734 0 Description Date Amount REQUIRED ITEMS AND REPORTS [HRBLD] Hourly Buildit 10/18/200: $58.41 Ersn Cntrl 681 - 4444 [HRTAX] Hourly 7% St 10/18/200E. $4.09 [BUILD] Permit Fee 2/4/2005 $62.50 [TAX] 8% State Surcharl `2/4/2005 $5.00 (additional fees not listed here) • Total $172.90 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 503-24 6699 or 1- 800 -33 -2344. Issued By I 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. • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00041 • DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005 a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10575 SW CANTERBURY LN PARCEL: 2S110AA -01500 SUBDIVISION: CANTERBURY PLACE ZONING: R -12 BLOCK: LOT: 010 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: 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: Demo 20,000sf building. Sewer to be capped. DEMO CREDITS FOR TIF, PARKS AND SEWER. Owner: Contractor: CANTERBURY CREST NURSING SERVICES I BONES CONSTRUCTION CO INC 10575 SW CANTERBURY LN 3508 S 209TH AVE TIGARD, OR 97223 ALOHA, OR 97009 Phone: Phone: 649 -5682 Reg #: LIC 734 FEES REQUIRED INSPECTIONS Description Date Amount Final inspection [BUILD] Permit Fee 2/4/2005 $62.50 , East0 iU vT1 S 3' (c81 1`N9 [TAX] 8% State Surcharl 2/4/2005 $5.00 [ERPRMT] Erosion 2/4/2005 $26.00 [ERPLN] Ero Plck -CWS 2/4/2005 $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 By: Permittee Signature: CO/Of Call 639 -4175 by 7 p.m. for an inspection the next business day ...6 I 0 ' . r r //0 . 40 Building Permit App! . Oir!TOEIVED ..::.,..: .:,: :.„ ,.. • ,FOROFFICE,VSE .. , City of Tigard Received..., • --) Permit No • / . Date/Byz. ar # • - IP 13125 SW Hall Blvd., Tigard, OR 97223 FEB 0 4 2005 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 uI I L T D Y INOGF D TIAA s R IO ; ' ''' 7 8,,...t I A\ Date/B : Other Permit:5/X ,,20:) -ace C -a , Inspection Line: 503.639.4175 A Date Ready/By: El See Attached Checklist for a D Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information Fa: VRKPWAVZ&N%ffq • nral3i44 ilak:W:iikbeiaj 40Agle. fsekilitig :• iltiMmcca>2.. • . 0 New construction kiDemolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Eil Addition/alteration/replacement 0 Other: \ equipment, materials, labor, overhead, and the profit for the reasplowo livitaiwarromairaidwAmagimowA work indicated on this application. 04,a-lowt=4641 Valuation: $ El 1- and 2-family dwelling D Commercial/industrial Number of bedrooms: 0 Accessory building Et El Master builder 0 Other: . Number of bathrooms: W tiagg:: 1Ii rdOVAINgiloW '..-,. Total number of floors: i),KrACLQ:QYaii.?th-:'.iji Job site address: / OS 75 3 W Ca rbterb or L.q.7 4- New dwelling area: square feet City/State/ZIP: 1/9 e r r d 0P f 7 2 _2 A . Garage/carport area: square feet Suite/bldg./apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 1 /141y 9 f (4_,-7 0 ki C.4otd_rb or-/ L qv 1 e_ 4-r2 Other structure area: square feet adire-‘7 - 1,11, ViNEVAVA,..coic44Eiccr4Etuatentdcp$1 . ,P,i,;,F4triee.V.Z. ,1',;',: -„-. Subdivision: i■bil)--, I 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.: equipment, materials, labor, overhead, and the profit for the FirkiMAYIBIAMIMWAYNTaWa work indicated on this application. geSc4,41 w..+.; , ga , -,,a, 44#23 , Al ' D e./2 oit-tv on 0.1 tz--,c iST i t7i ko 0 i ted / E1 1 -i ()V 0 _ .:1\, Valuation: $ C'.' , N, - \.4.....3 S•' A.., Al C i3 .....\-....4 x.; .- \ 1\r— New building area: - W% ''‘I. 47 Existing building area: square feet square feet • i ,7SgVi% r VITSInCiArIMP Number of stories: !' '.g: .1`44„,tk-a M.:1-: Name: C' Ury P 1g c._ L. L. c_ . Type of construction: Address: /0 1 E q .5+. I 3 -. Strig-e---fr Occupancy groups: City/State/ZIP: vgne_0(tve_.r- Wk 1 b Existing: / Phone: (565) 2_-%-? - i cfA e) Fax: (5(4) (p -11.4„9) New: ITAFIAVINEM iswitir twzor'riti=veggO7gfAfa'kgrpF ,-- latayin ..:,,,,::,.. :.:,: Business name: PO i‘t 5 0 n W pf..1 (4) 4 _. 3 -- (Li C 7 11 contractors and subcontractors are required to be Contact name: c ryi r . t 31 . _ I. Il Ail licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: I Oq E 2...cf. (:S SI-. * ‘60'.3 4 -q00Z jurisdiction in which work is being performed. If the City/State/ZIP: VC/ fle Wier I J . g S411. 0 applicant is exempt from licensing, the following reasons apply: Phone: ( 5 0 3 (3 - Cc) (363 Fax: : (7 0 - 14-4 E-mail: czi ,76 u e ..... 0 , .c., . 4 _ ,.. Pa.:T:r,FV lACt,; --W•i. 4 Business name: name: r) 0 n ,... 5 1 ri .,, S c. ,,,11 ..- .44 0 / enut Address: 50 S 5 4 , c 4, r q ty f Th. -- 5 - -010 / Please refer to fee schedule. City/State/ZIP: 1CI- /Ph 4: oe r700 7 Fees due upon application Phone: (503) G c/9 .. i, g. 2 ..._ Fax: (5 lot. _ / 7 ( 7 Amount received CCB lie.: - 7 Date received: Authorized signature: • _; eer This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: C. i 5 () Liz Date: 0 2._- Q 1 - 0 5 * Fee methodology set by Tri-County Building Industry Service Board. i \Building \Per■nits \ BUP-PermitApp. doe 12/03 440-4613T(11/02/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: Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 ANI00\/ 24 Hour Inspection Line: 503.639.4175 01 . ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.ci.tigard.or.us °' ❑ Other: • THE FOLLOWING ITEMS ARE - REQUIRED. FOR'PLAN:REVIEW 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.ldcal 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 poitray' - 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 plabement 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 Ore! on and shall be shown to be a..licable to the project under review. r JURISDICTIONAL: SPECIFICS 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11 " or 1.1" 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 1 / ( . i3 ( FAIRHAVEN it6 \---- Il GARDEN PARK PL 411\1 Ammo ., ' I I I Q • HILL VIEW ST I ___-----L Z C?) di , , r1.7.mri f 4 L III I McD_OLVAL c� UI z o ri (,., a o __, ivArw — �� • L m / m %p - TERR— \<4/ '. ----...:----_____ 0 / IIIW _NM. 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NURSING HOME BUILDING , , j 1 12 4 FI ! 0 � . � X0 79 : / a = r ,/ 1� P "PINEI ` EX AC PATH -A "" / / EX STORM _ / ' EX BE RE SPIGOT R � / i : i ., ! 7p BE REMOVED TO BE REMOVE6 ., � • - ANA S / K• „ • / . 330 .1 " a 051 - 0 , EEEEEE XXXXXX . +� 1 z P ih• n� I `' U TO BE R °iEp , � : •AVE ENT )4- • \ \ \��,��� � i.1. Pw E / - ' i J 742 $ +: r • Z'A "; /, " EX AREA DRAIN ,r TO BE R •VED • a �� `� ' I `•'� f •> TUNKNO " o / ; TO BE REMOVE2 y�5 j A .�, - � f$'A "� 3 o s3 " EX �URI�D i •742 IRNJ , � . 5 � `�' / / /i � r / _ `* C 1 / i 3"cah ER • \ o -I .3084 % / .?m. ', • /" 3 3 / , 2B UEODARI • • 1' • . ' < t / �' j / / Qf INE / 19 "PINES / 1 t ]< A 4.k , % ,;, • \ EX .WAL / / 17 3x0 '' TO/BE ,REMOVED, x '•. 1,3- / T • ' � � _ / 0 O ' i / / /t ' 4i1 3D APl� 04 .. .a '' �\ Y l,. / / // � a L , -,2 - 027 CEDAR EXISTING , 7 4/ ` � \ . 18 / / hx I. , 7� Of , DAR E� P p 1 P I. I': /, y ... '"" ".a 44 y , D A •, . 30 EA ' '� 1 ) CONDITIONS/ � � ,t� ° 0 , S EX BURIED 3O / 3 '03 . e'4 ?s ' =mss / ?- y , ` - a , 1 / IDRN,AmEmTAL a / ,65.9:; : POWER LIN >>;20 /?d' C a � ' , �. r a -- .;,- ", / 1 .-' / 31 "FI Z y q EX FENCE c ' j' RNa'1;tE:Ta�O REMOVE 000nR " ,'y " " / ��;x , ' I - ' " ,: - DEMOLT1ON PLAN • TO BE REMOVED , '9 - '� ,/ ° ' 'r:, . 16os = ; ''' '°" = ' : F�'• � `I - '- ' �� / oo ORNL \' , , •-,:" £ ° .= ' . > A K - 3D 11" i �f� G • q ' 'I EX tlUKI c- RD° A;s A, EX SIDEWALK 1 '� b x � t>. ,,� UNKNOWN '�. �, - :1 $� 4 - :; • -RAWER J.FNE cool 3 z4 • TO BE REMOVED � '' fla o / t,1_ '�� s S � - TO _BE REMOVEq.;' 33 3 yrNOftwAY • ?e C / P y • ....< ED /1, / / sr$ ; `[� 4Y��'aP° • 'i 32/ T a ' 33'.!R SPRUCE v / j v ` fio7 GP I y ` 3331 �'� a o EX WATER VW \� q; . 1 / , t -, : n ,' G 1 3 SEQUOIA \ � _. ' / > ' 1 3 " 3'C�ERRY / : "x CL e- A /' ,, , „ » / 9'; '4� ` ;•' • • : EX C.RB= AND , n,, 61)"6 x ' / 333 c , �y 332 - T . A; REMAIN 1 • • EX VERTICAL ( •4 .. 4 2'PNE �G•-- ; - PR r�, '..` �2B "FIR 1 1 CURB TO REMAIN ° V� ' ' > 36 OVEDI �TYP J 't -.;: - / D / 0 / 3732.6:1/ 43325 / I - 5 � . ' ' A 30 .. / 35 "SEOU61 .. \ . _.. • . r y 3608 I ' - 9 r , }333 "i "F _ ` \ /�4 .'t._'s - 1'7 }5- °EEDAR G / 3 ANT � T P b 7 tt -- i ' � ' ° -.`.56 iG S OIIQ SE QUOIA 329 25 • DOUGLAS' - __:1E4 U NP • � - - x _09 —_ — _ / _ 3336 _ „j>l7'FIR _ FIR __ ` �� / 6 1125 " BIRCH - J i 589'35 ' E 575.91 _ "E EX CA _ N 1 p -- •\ _ X 53_ __ _�� _- _ r _ 55X ELECTRICAL EX CONCRETE DRIVEWAY u - RISER,70 REMAIN- UTILITIES -TO • ` -/ �,. EX' GAS LINE EX WATER LINE i TO REMAIN EX TELEPHONE n - TO BE REMOVED EX SIGN 1 REMAIN y RISER TO REMAIN } TYPE: CONSTRUCTION • `REMAIN - PROJECT NO.: 328 - 024 • ---S TO BE REMOVED / DATE: • �' : , SCALE Cz / • 40 0 20 40 80 III • MO IIMMINI -116 1 IN = 40 FT N1p 329 024TAMg1ENGINEERING132424EXC Deg - SHEET 27,3e Feb 04, 2005 - 115aam pea � ' ' 1: ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: P2c�n�- OC 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 4/ "1 00044 13125 11 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: �, ]-/ TIME: PAGE: SITE ADDRESS: (05 s/,) C f (1e-te CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION:itVt6 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: /M MMIWittTLW.ra ArinallW AIIMBIElg I PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: l `" Phone #: (503) 718- 1 9 "/ CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP200.6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/412005 Phone: (503) 639-4171 . Dmitliti Inspection Requests (24 Hrs.): (503) 639-4175 IL INSPECTION WORKSHEET FOR DATE: 11/18/2006 TIME: 7:17AM PAGE: 58 SITE ADDRESS: 10575 SW CANTERBURY LN CLASS OF WORK: SUBDIVISION: CANTERBURY PLACE LOT #: 010 TYPE OF USE: . PROJECT NAME: CANTERBURY CREST CONDO/TOWNHME DESCRIPTION: Demo 20,000st building. Sewer to be capped. DEMO CREDITS FOR TIF, PARKS AND SEWER. 10/18/05 Reinstated for 30 days. OWNER: CANTERBURY CREST NURSING SERVICES I, PHONE #: CONTRACTOR: BONES CONSTRUCTION CO INC PHONE #: 649-5682 Inspection Request Scheduled For: Date: 11/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021864-01 603-572-6799 N Corrections/Comments/Instructions: 7" 4f, Z-1 ,/ • _ 7 ./.- L ki C e : 1 . 1\ ) . I I PASS 0 PARTIAL APPROVAL 0 CANCEL NO ACCESS fl FAIL , CA L FO INSPECTION ADDITIONAL FEES ASSESSED dr ) fl ,,,i, Inspector: Date: Phone #: (503) 718- . 9 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00041 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2006 Phone: (503) 639 -4171 401 f TI Inspection Requests (24 Hrs.): (503) 639 -4175 .:- - :_.. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:03AM PAGE: 13 SITE ADDRESS: 10675 SW CANTERBURY LN CLASS OF WORK: SUBDIVISION: CANTERBURY PLACE LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST CONDO/TOW41-HME • DESCRIPTION: Demo 20,000sf building. Sewer to be capped. DEMO CREDITS FOR TIF, PARKS AND SEWER. 10/18/05 Reinstated for 30 days. OWNER: CANTERBURY CREST NURSING SERVICES I, PHONE #: CONTRACTOR: BONES CONSTRUCTION CO INC PHONE #: 649 -5682 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 018726 -02 603 - 221 -0170 Y Corrections /Comments /Instructions: i 6.-1/1 PASS P RTIAL APPROVAL n CANCEL ❑ NO ACCESS 'A FAIL ,BALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �_� Date: / /� �� Phone #: (503) 718 - ,CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005- 00041 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005 Phone: (503) 639 -4171 i/M Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 14 `71 7 6) 6,4-e4P65 SITE ADDRESS: 10575 SW CANTERBURY LN CLASS OF WORK: SUBDIVISION: CANTERBURY PLACE LOT #: 010 TYPE OF USE: PROJECT NAME: CANTERBURY CREST CONDOFT'OWNHME DESCRIPTION: Demo 20,000sf building. Sewer to be capped. DEMO CREDITS FOR TIF, PARKS AND SEWER. 10/18/05 Reinstated for 30 days. OWNER: CANTERBURY CREST NURSING SERVICES I, PHONE #: CONTRACTOR: BONES CONSTRUCTION CO INC PHONE #: 649 -5682 Inspection Request Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 018725 -01 503-579-3002 N Corrections/Comments /Instructions: 71- 7t/ C 7/ • ❑ PASS P' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 4P2 FAIL • ; LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspecto . Date: /'/i Phone #: (503) 718 -