Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00510
I DEVELOPMENT SERVICES DATE ISSUED: 8/25/03
. ,� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08465 SW DURHAM RD PARCEL: 2S112CC 01200
SUBDIVISION: ZONING: R -
BLOCK: LOT: JURISDICTION: TIG
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: 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:
Remarks: Demolition of 655 sq ft SF residence, all demolition debris is to be removed and the sewer capped. SDC credits to
apply to new construction.
Owner: Contractor:
COLTON FETTIG COMPANY CEDAR MIST CONSTRUCTION
2245 SW CANYON RD PO BOX 8
PORTLAND, OR 97201 MONMOUTH, OR 97361
Phone: 503 - 222 -9617
Phone: 503 - 838 -2229
Reg #: LIC 154481
FEES REQUIRED INSPECTIONS
Description Date Amount Cap Sewer Line lnsp
[BUILD] Permit Fee 8/25/03 $62.50 Final Inspection
[TAX] 8% State Tax 8/25/03 $5.00
[ERPRMT] Erosion 8/25/03 $26.00
[ERPLN] Ero Plck -USA 8/25/03 $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 (50 - 2 - 4 - 6 7 6699 or 1- 800 - 332 - 2344.
Issued y: �.� % (
Pe tm ittee • J
Signature: x (
Call 639 -4175 by 7 p.m. for an inspection the next business day
I
Building Permit Application .
, FOR OFFIC'E USE ONLY
Received a R.6 .- 4 ., Building A / _ e:205 7 o
Date/By 0 Permit No W '
City • of Tigard
A i A Planning Approval
. Other
Date/By
Permit No
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By- Permit No :
Phone: 503-639:4171 Fax: 503-598-1960 litIlli' Post-Review Land Use
Internet: www.ci.tigard.or.us Algt*" =II, ' Date/By- Case No. to X ne 0 0 0 9
Contact Tuns.. Et See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method. Supplemental Information
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4.1%.,,A-, ,.. ' :., - zopit Ate4; ', -4= ..) OP k "0 • D.A.,e ',A ',:',I'f " 4-4 '...A: ''
III New construction 0 Demolition
4".44-,,,Y
0 Addition/alteration/replacement El Other:
inklef '': ii , 45' "j) Note: Permit fees* are based on the total value of the work performed. Indicate
0 1 & 2-Family dwelling El Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
0 Accessory Building Fil Multi-Family
lil Master Builder 0 Other: Valuation $
i , 4 , - 7 .1.-N,7-4 1 „.i: r,:7 - 4 , ?4 , ,n7.4 No of bedrooms: No of baths:
Job site address: eq II, 5" bi..0 7)1.4 0479-- A-1 jeD Total number of floors
New dwelling area (sq. ft.)
Suite #: I Bldg./Apt.#: - Garage/carport area (sq. ft.)
Project Name: Oplatilockiin Ow S Si--66 Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
- ;Ir.,..,--1k .: 'c,-";*1? ",. '''?-:Te;. -' i r
el.,..A,A1F,L.: !„.,--- ', 12 .0.. . ',,', :.,'' f' 4'44'
' -""'S .a ' NpE' : FM '''' - .ZS''a,-` F n k ' C 4 ,- ' P' ,?..iitit:' RA
Subdivision: Lot #: - _z ‘ .1.±:: .•., , 4,...0,0 ,, L _,-.ff-z: - ;1,' 4.,
Tax mai/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
Vi4 ,-';', ) -;, e 4 the value (rounded to the nearest dollar) of all equipment materials, labor,
1, E H ■ P f.6 -1)D E 0 ef- overhead and profit for the work indicated on this application.
Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
,0:,,,•'1,977:i_,.,4:*44.4.',Ii ■27 ii; Type of construction
Name: On ) 2 - P- 11 C e,i4, Occupancy group(s): Existing:
New:
Address: R Szt5 e
City IStatel Zip: R,f-l ,e _ 9 1
I
Phone: -it , -,,/ Fax NOTICE: All contractors and subcontractors are required to be
:,; FA liworm- . x.7,;14 sw 6 . -,.. giT licensed with the Oregon Construction Contractors licensed under
provisions of ORS 701 and may be required to be licensed in the
Business Name:
jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City/State/Zip:
Phone: Fax:
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Business Name: MoyA., Viii4,t 3,1, LA.r,rx-- Fees due upon application $
Address: ;2 5 Degge04_- kiwi,
Ci /State/Zia: 'e /, . . 6 Amount received. s
Phone: CEz>3) an-- -,2z2c Fax: Date received:
CCB Lic. #: az
Authorized
Notice: This permit application expires if a permit is not obtained within
Signature: 0e....., ....dr -.I'LL/hid Date:5
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
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1425EAsF i i, irt‘ CATCH
INLET
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INLET PROTECTION
TAIL 4-24
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14 13 ' SW DURHAM RD (CR 23)
,....i
CITY OF TIO 24 -Hour %t
BI�1LDII0 Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
tit, 3 —OD SICK
Received ,/ Date Requested /l — Z 3 AM PM BUP
Location 0 8�` 5 1� - n - �z- �-Liti� �G� Suite MEC
Contact Person 1 - _ -�1- Ph 7 PLM
Contractor 0..e- d- A.A.vl t,! � �0.2 -�(/ P -h_(. )_ SWR
1 B3UILDII■' Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam .‘ .• ���4
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -K ` Ca PY O F 0:Zle/1'1 /m4 7---w v""I AL -4 i fl Il i air
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
he
l' in.,
d . ASS PART FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer •
Y/
Rain Drains ,C7
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA /‘0•3 /o
Approach /Sidewalk D a t e / Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL