Permit 1, '-'.1 C ITY, a P TIGARD
R® BUILDING PERMIT
H PERMIT #: BUP2006 -00497
°. - COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103AD - 00200
SITE ADDRESS: 10840 SW ERROL ST ZONING: R - 4.5
SUBDIVISION: MILESBROOK LOT: 014 JURISDICTION: TIG
Project Description: DEMO (2) STRUCTURES, 1475SF, 600SF ON SEPTIC. OTHER SDC CREDITS APPLY.
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: UNK 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:
SPECTRUM DEVELOPMENT, LLC GVS CONTRACTING
PO BOX 3440 700 N. COLLEGE
WILSONVILLE, OR 97070 NEWBERG, OR 97140
Phone: 503 - 570 -8828 Contact #: PRI 503- 538 -2998
FEES Reg #: LIC 54340
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/15/200€ $62.50
[TAX] 8% State Surcha 11/15/200€ $5.00
[ERPRMT] Erosion Con 11/15/200€ $26.00
[ERPLN] Erosn Pln Rv C 11/15/200€ $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: 2eQL44p Permittee Signature: < . A-e-crA..:a2.4..
/
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. .
'S e-- Work- T.D.-171 0
Bu ---,
City of Tigard Received ildil g Permit Application ��� r FOR OFFICE USE ONLY
Received Permit No. 0 p il. — O 0 (I 97
U
eiv : l 10 / . 7
1 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
OCT
Phone: 503.639.4171 Fax: 503.598.1960 9 1 .) 200 Other Permit:
Date /B
T I`GARD Inspection Line: 503 U Date Ready /By: H See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information
1i,���` DIVISION
TYPE OF WO - ' - - REQUIRED,^ 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
' work indicated on this application.
_ r �T `CATEGORY. OF CONSTRUCTION - -
Valuation: $
® 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
l number ffl i t, - --= JOB- SITE'INFORMATION AND' LOCATION - T ota num er o floors:
Job site address: .]L - . ^ _ 1O . 0 E si New dwelling area: square feet
City/State /ZIP: Ttgaru, v,. , 1 & Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Milesbrooksion Covered porch area: square feet
Cross street /directions to job site: Between Fonner and Errol Deck area: • square feet
S -±72.4 • Other structure area: square feet
4 79 • 10 d REQUIRED'DATA:;COMMERCIAL -USE CHECKLIST
Subdivision: New - Milesbrook Subdivision Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S103AD TL 200 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
" DESCRIPTION iOF'WORI{ p _ work indicated on this application.
Demo existing Structures for neighborhood safety.
Valuation: $
Existing building area: square feet
Case No. SUB 2006 -00007 . New building area: square feet
Z P-ROPERT.Y - OWNER' : _. ❑ 'TENANT . , - , Number of stories:
Name: Spectrum Development, LLC Type of construction:
Address: PO Box 3440 Occupancy groups:
City/State /ZIP: Wilsonville, OR 97070 Existing:
Phone: (503- )570 -8828 Fax: (503)570 -8869 New:
® :APPLICANT . _ ❑, CONTACT P ERSON o e , ° NOTICE
Business name: Same All contractors and subcontractors are required to be
Contact name: Kurt Dalbey licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Same jurisdiction in which work is being performed. If the
City/State/ZIP: Same applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( )
E -mail: kdalbey @beaconhomesnw.com
° . CONTRACTOR ,
Business name: Not yet lected... BUILDING PERMIT FEES*
(Please- refer. to feesehedule)
Address:
Structural plan review fee (or deposit):
City/State /ZIP: 'I
Phone: ( ) 1\ \ Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: Total fees due upon application:
Amount received:
Authorized si g na ture This permit application expires if a permit is not obtained
1 , t 1 within 180 days after it has been accepted as complete.
Print name: v���t Date: �� * Fee methodology set by Tri County Building Industry
Service Board.
I: \Building\Permits \SIT - PermitApp.doc 06/26/06 440 4613T(11/02/COM /WEB)
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Septic Service L.L.C. roposal
1)EQ #37918 (503)-682-1929 CCB #158246
P.O. BOX 1130 • WILSONVILLE, OR 97070
Date:
Name/Company el V S C 0 ncAinr Job Address:
Street 7 4 0 C oky, S4. I o'gq St4 gvrol s+.
City 146A)bty State OF-- Zip 911- llavoi, 0 tf-.
Phone (H) (W) C,
DESCRIPTION UNIT PRICE TOTAL
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Balance is due by the 10th of the following month, Service charge of 1.5%,
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00497
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639-4171 18100
Inspection Requests (24 Hrs.): (503) 639-4175 ..„4111-'
INSPECTION WORKSHEET FOR DATE: 2/2012007 TIME: 7:09AM PAGE: 79
SITE ADDRESS: 1 0840 SW ERROL ST CLASS OF WORK:
SUBDIVISION: MILESBROOK LOT #: 014 TYPE OF USE:
PROJECT NAME: MILESBROOK SUBDIVISION
DESCRIPTION: DEMO (2) STRUCTURES, 14753F, 600SF ON SEPTIC. OTHER SDC CREDITS APPLY.
OWNER: SPECTRUIVI DEVELOPMENT, LLC, PHONE #: 503-570
CONTRACTOR: GVS CONTRACTING PHONE #: 503-638-2998
Inspection Request Scheduled For: Date: 2120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043561101 503-209-8169
Corrections/Comments/Instructions:
/Avg • 0, Y rz-e. -rA4-e.4
er- P4%5755 (27/..a. y)
I PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-