Permit s
"4" 0 BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00532
i . DEVELOPMENT PMENT O
SERVICES DATE ISSUED: 10/6/2005
13125 SW
PARCEL: 1S136DD
SITE ADDRESS: 06835 SW CLINTON ST ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 009 JURISDICTION: TIG
Project Description: Demo 2,564 sq. ft. residential dwelling, on septic. DEMO CREDITS APPLY FOR SDC FEES.
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:
SPECHT DEVELOPMENT, INC. COFFMAN EXCAVATION LLC
15400 SW MILLIKAN WAY PO BOX 687
BEAVERTON, OR 97006 OREGON CITY, OR 97045
Phone: 503 - 646 -2202 Phone: 503 - 656 -7000
Reg #: LIC 146689
. FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/6/2005 $62.50
[TAX] 8% State Surcha 10/6/2005 $5.00
[ERPRMT] Erosion Con 10/6/2005 $26.00
[ERPLN] Erosn Pin Rv C 10/6/2005 $8.45
(additional fees not listed here)
Total $110.40
I
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: s 2 Permittee Signature: T \v (,
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.
Building Permit Applic ' i C IV ! FOR OFFICE USE ONLY
City Of Tigard OC 6 200 ' \ Other Permit:
Date/By: /6/61. j Permit No. ,t s C.j f3�,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /NINA w�
I v
Phone: 503.639.4171 Fax: 503.598.1960 � t�+ l Date/By:
Inspection Line: 503.639.4175 CITY OF TIGA i ell Date ReadyBy: I ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING MI I • N Notified/Method: J / (( , Supplemental Information
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�D �IN
<�: ` <�RE ° UIRED DATA. 1. AND 2 »FA IL.
=F��: sTYPE YOF'FVO K =;�;:`<a, :. r
_
:,
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❑ 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
�_.; -�� <- �`- �.��F ai`� »� "� �'" :_�_>: �iR work indicated on this application.
�'� : � ' >CPi"I`EG�URY� .d COPIST CT 1V �.,; • �.
�: .� _�,,;� „` :".� <,: .����'<; : °.; :.�.... .. . :..,...�. ;. °- :,_- - �a...�.,.• :�,�; :`�., ar : »; e . �< V 1 uation: $ 0000
® 1- and 2- family dwelling ❑Commercial /industrial a 2,5
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
: LOGATIONZ R ' > , ` ”' <° Total number of floors:
, '' ; -y JOB - -a; TI'E INFORMA ,AND WS
Job site address: 6835 S. W. Clinton New dwelling area: square feet
City /State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Specht Dartmouth Site Covered porch area: square feet
Cross street/directions to job site: S. W. 67 and Clinton Deck area: square feet
Other structure area: square feet
= REQUIRE> DATA aiMI14Elida iISE CFIECK '
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 3001 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
<' :y . work indicated on this app
lication.
, DESCRIP' T 10N;;OF 4 K` ,; ; Y ,,, i 'K-�'
.. �. � . _- ,. :�,,,r.,, . - : �... �; >..: *,;<_F�r...T., : » :,, :,, .- :. , , si�sur��. ,,,,, ,; ... .. -r - - -- . �.: `�, . ��..�u1, - s r� s �i�.^
Demolish existing single family residence and accessory building i.e \\ Valuation: $
.�.T \ C.
LL `1 ?` — Existing building area: square feet
— New building area: square feet
"\ . :tea � -�: =�:�r;- ��;n:;:: _, �_,• .� " : ; \ `�',� �'
\ Number of stories:
11 ..-,�.^« ®`;"PROPERT�XQ Pii i TENANT,`' :
Name: Specht Development, Inc. Type of construction:
Address: 15400 S. W. Millikan Way Occupancy groups:
City /State /ZIP: Beaverton, Oregon 97006 Existing:
Phone: (503)646 -2202 Fax: (503)626 -8903 New:
► �"NTACT-<: PERSON `. t
APPLICANT -. � O ,
� 3r �,. :,.,y sae :: „� ,:�..
�, , y, . , - . .. � ��s�, - • .., . ,. , t.:, ' NOTIC E m,
Business name: Specht Development, Inc. All contractors and subcontractors are required to be
Contact name: Joe Curran licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: As above jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP:
apply:
Phone: ( ) Fax:: ( )
E -mail: JCurran @spechtprop.com
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<.. <sCON fRAC < #:
Business name :400+ eOfP/1048i1/ °f"J+Ct!.,i V4 T/ CIS/ !
.<° :�`' „�'��, ��Bt) IIDING�P�ERIV IIT FEES����`;` :`•�� :,
Address: /? O, adX tarp- /7o /$ C< PV4 °R 2)
/ Please refer to fee schedule.
City/State /ZIP: C 9 0,Ai C 7y, GR 97-0 VS
Fees due upon application $110.40
Phone: (6b ) ess 7 Fax: (5 a SZa. cCe A(a.
Amount received
CCB lic.: /yawn Ceu” ITS C T 04EKE, ,61f441.15
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: Joe Curra Date: October 5, 2005 * Fee methodology set by Tri- County Building Industry
Service Board.
i \ Building\ Permits \ BUP-PermitApp.doc 12/03 440- 4613T( 1 1/02 /COM /WEB)
. 10/0912006 15:31 5036560686 COFFMAN EXCAVATION PAGE 02/02
- .r
ALOHA SANITARY SERVICE
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 10 6 5 6
503 - 644 -2797 * 503 - 648-6254 * 503 -639 -5188
NAME:
ADDRESS: P. 'tr' DeIib Vi' OAP "4 i1 ' a - 1 S
CITY: STATE: Zip:
HOME: --
WORK: `
(� CELL: - -7yd , 0 q4-5 JOB SITE: I L� / f a 1 Wi 4 0 01 1 1 P.0.#: f' 72
PAID BY CHARG , . , 6 CHECK ❑ CASH ❑ CREDIT CARD ❑
DATE ,_,,U -d..a Z 0G6, DRIVER �7 1jarii AMOUNT
L�!" PUMP SEPTIC TANK ` n
d w1�f : P, 17c - 40,(x', , 7116 Tao
❑ INSPECTION FEE
❑ SERVICE CALL
❑ ' LABOR, LOCATING DIGGING, BACKF1LL
i
4131 Geri A
'TOTAL $ 7
- - THIS IS NOT A SEPTIC SYSTEM INSPECTION REPORT -
11 j10 -- REMARKS- -
TYPE OF TANK: __STEEL ❑ CONCRETE C3 PLASTIC w HOMEMADE ❑
- ' ! HORI 6 ` TAL ❑ VERTICAL ❑ RE • GLE ❑ ❑ OTHER
SIZE OF TANK: 350 ❑ I , ■ 750 ❑ ;10 ❑ 1250 ❑ 1500 ❑ 2000' 3000 ❑
LID LOCATION: INLET ❑ Ou Pt MIDDLE ❑ ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ F • - ❑ ! •,, R ❑
FITTINGS: BAFFLES ❑ C ONCRETt -❑ li
I A' 'P - • Al f11C 01 RETA.f;,..:,ii W
NEEDS NEW LID? YES • SILE'..... «_..;....,.a..- - ... -- �_ ... M ,.
GROUND COVER Ov ANK ! 41� / 6 Q' i C C"
~
C MMENTS ONDITION OF DRAINFIELD ET is ,;, ti ; � Pl) e 4 _ - --,,, ,;, ..,_.. ..,w... 1 i ' " N ...
_ z,
SIGNED B lo 1 in DATE q %
. l 7
,.. . ,
CITY OF TIGARD
5'..
BUILDING DIVISION ERMIT #: BUP2006-00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '10/6/2005
Phone: (503) 639-4171 IAA
o n - 1140iit"
Inspection Requests (24 Hrs.): (503) 639-4175 ,,_,10' 11.,
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7:02AM PAGE: 55
SITE ADDRESS: 06635 SW CLINTON ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 009 TYPE OF USE:
PROJECT NAME: SPECHT DARTMOUTH
DESCRIPTION: Demo 2,564 sq. ft. residential dwelling, on septic. DEMO CREDITS APPLY FOR SDC FEES.
OWNER: SPECHT DEVELOPMENT, INC., PHONE #: 603-646-2202 '
CONTRACTOR: COFFMAN EXCAVATION LLC PHONE #: 503-656-7000 '-
Inspection Request Scheduled For: Date: 1011112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 037974-03 503-718-2423 N
Corrections/Comments/Instructions:
7 a
l a . ASS PARTIAL APPROVAL El CANCEL fl NO ACCESS
l I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: L4j(1 Date: L 6 A c/d Phone #: (503) 718-2—