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Permit C ITY O F TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00462 , DEVELOPMENT SERVICES DATE ISSUED: 10/3/2006 �,� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 125CA -03800 SITE ADDRESS: 07412 SW CEDARCREST ST ZONING: R -4.5 SUBDIVISION: BOULEVARD HEIGHTS LOT: 016 JURISDICTION: TIG Project Description: Demo 1290 sq.ft. residential dwelling on septic. UPON FINAL, DEMO CREDITS APPLY FOR SDC'S. 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: 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: LAWRENCE RESOURCES INC LAWRENCE RESOURCES INC 6770 SW ALFRED ST 6770 SW ALFRED ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 - 975 -6560 Contact #: PRI 503 - 975 -6560 FAX 503 - 265 -8243 FEES Reg #: LIC 52417 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/3/2006 $62.50 [TAX] 8% State Surcha 10/3/2006 $5.00 [ERPRMT] Erosion Con 10/3/2006 $26.00 [ERPLN] Erosn Pln Rv C 10/3/2006 $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. -- Z Issued By: c_y___, C�Z:� Permittee Signature: / i,w ,fl /2fs 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. Commercial Tenant Improvement g , r g k "' ! +t •n h 4 a s * v 9c. w.N: :h, ; t 2 -^i Building Permit Application ,, ..4�' ��/ FTIRS,Er oNwF„ ?e . :. ,: !, � 't' r - i 1 e .t Tie;. � tf x.% � w.. lr<+: r ti � v +�`h e, . • • City of Tigard _ (A-3'21"—a° ece 0 / D6 Ch Pemrnut No 13125 SW Hall Blvd., Tigard, OR 97223 Pl Re view III Phone: 503.639.4171 Fax 503.598.1960 EC��VE® Received S E P 2006 Date/By: lit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: ' Supplemental Information BUILDING DIVISION TYPE OF. WORK t;;ij'(% ? " ° , ' - ' ILEQUIRED DATA 1 - AND 2- FAMILY DWELLING ❑ 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 v+ > .: r.. ul.c:},: •w:' work indicated on this application. ` CATEGORY: Oi , -: bNSTRUCTIO1;i3O ':_ii�b •;`: -r i'il;;°3, 1- and 2-family dwelling Valuation: S y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: Z / ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE. INFORMATION AND.. LO ". - -, — tp` ^ ..•. ' ! t ' ` ' . Total number of floors. / .ae/sr: Job site address: - 7e- j e/Z-- S w , e4 p ,v,..t. 6 gT ST' 44evr dwelling area: 9 square feet City /State /ZIP: 7L,P...: 1 - , O/2 7Z 0 - Garage /carport area: 3,s® square feet Suite/bldg- /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: •L/ 74-.4 „.„ //. -- Deck area: -- square feet fir` /E___ 15°G4 dr,G/- 7 r Other structure area: square feet ��•= /2*/Z t/ 7747 /43L190se i . I REQUIRED DATA:, COMMERCIAL -USE CHECKLIST Subdivision: j v ,7 ../74 i /,'5 Lot no.: t '1' . /b 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.: /.. / „Z 5 e /e52 3 00 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK.`.•'-;' work indicated on this application. /7�/!-I � /�" .XiS 7'7Nls /`� dr - Valuation: S Lxisting building area: square feet New building area' square feet XPROPERTY OWNER- .. 0 TENANT Number ofstories: Name: "....,., G, ,G,.r...- /,/e. y Type of construction: Address: G 7 s fjz,c,.e 5) Occupancy groups: City /State /ZIP: Ti Gfl a'd7 ,c7TL .. 9 7 • Z 3' Existing: Phone: (lo3) 975 - G 56. a Fax: (5. v - 7G 5 - &'•'/ 3 New: • ANT A PPLIC • - .:.::; - - .:'::"J CO ...:.>. '''..,. NTACT P,ERSON:' - c ' - " ,. NOTICE Business name: );;;'j7G- !i - -.,C...0 ,/7 o 4 • All contractors and subcontractors are required to be Contact name' licensed with the Oregon Construction Contractors Board . ,e, a L "' Faye ~ = . under ORS 701 and may be required to be licensed in the Address: 7 G s, 4.6) , "qL ,c,z 57-- jut isdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons Y TGsa /z r� / ©� . 9 7 Z z 3 apply: Phone: ($03) 9 75 t o 5 i Fax: : :(5)_ g Si 3 E -mail — • : _ -. i CONTRACTOR'S 2,.;..,;;;i:::,..;.',..,•, , .... ±'• , • . Business name: �j-e /Gic_— /- / -,-G 3 .' ! BUILDING PERMIT:FEES* (Please refer to fee schedule) Address: / 77 ., /s/, /7 /fFre t 57 Structural plan review fee (or deposit): City/State/ZIP: --- 7 - T,?2 .7 /2/Z- , cJ 7Z z =j _ / FLS plan review fee 01 - applicable): Phone: (5 �17�'l _, G Fax: (50 4.R do S - S. V3 Total fees due upon application: CCB lie.: � G�/ Amount Ieceived' Authorized signature: /i/ �s,,,,,,,,„`ya..e� • This permit application expires if a permit is not obtained within 180 d.Iys after it has been accepted as complete. Pnnt name: 25,4 4 0 , e . 1 r,F.r L F,/ Date: .'- Z 5 -• ff • fee methodology set by Trl- County Building Industry Service Board I'\Building\Pcmi[s\BUP -Ti -Perm itApp.doc 03/23/06 440- 4613T( I I /02/COM/W'EIi) Building Division Plan Submittal Requirement Matrix TIGARD Commercial & Multi - Family - New, Additions or Alterations • � •Sii inittal�" "�� `= • � ;. ; ;�� " �� = #V of'Plans° " " ii,:t�iN/ :t "7:31,;F1o��y. �r,;,. ::� kk,.:t:i• ! `.'r'.;'(, ' %'u*c.,�.,9 �, ': , ;�� x, {;y'•: � ::�:•.. 1.1:`; " -'+.r: ( Includes ne w ,;additions'and t sRequired at; �:�- S��� a+.*i? „�:,- ,1�i� ":t,,:, +u��ra'��54', a i�:� . �..Y£ "'� ��.:�,.�;. A ,,, . � �'�:, - ., . . �? ,. �� .�,.::...�:, ,w.,.� . s: :,fiur i ....a� � ' �f � . '�:,':� > �= �t.�.: ubmitt S ; a l : ; :;:::..: Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact-the al ,plicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear tht original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:\ Building \Permits \BUP =1l- PermitApp.doc 03/23/06 7 11119 I NJ R.- rz. fa- s T .../--. 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PERMIT #: SUP2006-00462 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006 /oi Phone: (503) 639 -4171 , mra ' i lhuol fil Ins Requests (24 Hrs.): (503) 639-4175 __ INSPECTION WORKSHEET FOR DATE: 11/2812006 TIME: 7 :03AM PAGE: 50 SITE ADDRESS: 07412 SW CEDARCREST ST CLASS OF WORK: SUBDIVISION: BOULEVARD HEIGHTS LOT #: 016 TYPE OF USE: PROJECT NAME: PACIFIC HOMES DESCRIPTION: Demo 1290 sq.ft. residential cfbtrelling can g. UPON FINAL, DEMO CREDITS APPLY FOR ' . SDC'S. (e7a:WA. 4.4.0%AC. OWNER: LAWRENCE RESOURCES INC, PHONE #: 503- 97Er6560 CONTRACTOR: LAWRENCE RESOURCES INC PHONE #: 503 - 975 -8560 Inspection Request Scheduled For: Date: 11/28/2006 6 , itte Pour Time: 14 - Di — Code # Inspection Description Confirm # Contact # Me ge . ( • d/ 299 Final inspection 040283-02 503-975-6560 Y ( Corrections /Comments /Instruct'ons: I ‘\ d1/4-ce.---- - v a `_ . II 1 - i , i C 0� -- 1 , - , .t._. e a. * 1/1/■_, ie--- 17- 13 C-.6._ S.-C___ t-g...-„--...-a—C C%‘/‘ 02_. f e c___Az--k. L) v.--S• . b irs■Aliu_i_ 07 0,-1/L._ '. (--(AA.k-g--, S e.,---- P----; ■ U-1 ....."-\' LA .)/ .5 , ,1 / ✓ / • o I r• j , V " \ - 7 , , , 4. , _ � J �b I PASS 1 'ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS , n FAIL I CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: I ( ector: Date: 0 Phone #: (503) 718- z'1Z �i P � )