Permit A M
' BUILDING PERMIT
''', CITY OF TI GARD PERMIT #: BUP2006 -00279
I 4 , DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
- II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135CA-02302
SITE ADDRESS: 11490 SW GREENBURG RD ZONING: R -12
SUBDIVISION: BOETCHERS ADDITION LOT: 003 JURISDICTION: TIG
Project Description: Demolition of 3,200 sq ft house and 500 sq ft shed. Sewer to be capped. SDC credits available for
future construction after final inspection.
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:
Owner: Contractor:
SOLERA LLC REVCON INC
9600 SW OAK ST SUITE 230 16655 SW IVY GLENN ST
PORTLAND, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 452 -8003 Contact #: PRI 503- 848 -7300
FEES Reg #: LIC 160417
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/7/2006 $62.50 Ersn Cntrl 681 -4444
[TAX] 8% State Surchaq 7/7/2006 $5.00
[ERPRMT] Erosion Cont 7/7/2006 $26.00
[ERPLN] Erosn Pln Rv C 7/7/2006 $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
requirsyou toA)Ilow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR C 952 01 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules, or direct questions to OUNC by
cal i ng 503 - 246 -66� r 1- 332 -2344
/� - �
Is ued By: _ �2,� "�-/ P ermittee Signaturre`:C � 2e _ / , �
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.
Buildilig Permit A,111111 .. I ti: . FOR OFFICE USE ONLY
City of Tigard Dale Red Permit No A 79
13125 SW Hall Blvd., Tigard, OR 97223 0 46 Plan Review
7 /
Phone: 503.639.4171 Fax: 503.598.196 tU'„ 0 � _ I 'i Date /B . Other Permit:
Inspection Line: 503.639.4175 I . _ ".t1 6' I I Date Ready /By Juris ® See Attached Checklist for
Internet: www.ci.tigard.or.us c ., (ikt . jI! :,, Notified/Method: Go Supplemental Information
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',..- :� t F- W 'Y OR K V V`Aha �, , �. ' a �RE 1r'AND 2 FAMILY;DWE> Is ING
❑ 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
: _ @ R <T . - r work indicated on this application.
" ' CATEGORY OF CONSTRUCTION � t - ,:, ` ,, pp
Valuation: $10 000
® I - and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms: 5
❑ Master builder ❑ Other: Number of bathrooms: 5
�
- : JOB 1TE. INEORMATIO$ A ND LOCATION- ,: Total number of floors: 2
Job site address: 11490 SW GREENBURG RD New dwelling area: square feet
City /State /ZIP: Portland OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Solera Covered porch area: square feet
Cross street/directions to job site: SW Greenburg Rd and SW 95 Deck area: square feet
Other structure area: square feet
..�xs
,REQUIRED�DATA COMMERCIALUSE +CHECKLIST ;
Subdivision: Boetcher's Add Lot no.: 2302 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 S -1 W -35CA, parcel R0274367 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
u, a, "`$ ° t 'DESCRIPTION OF 4 W6RR ^ a ` * �.r ` fir,, work indicated on this application.
Demolition of the existing residence upon development process SUB 2005 -00023 Valuation: $
Asbestos removal DONE prior to demolition, no trees need to be protected (see demo Existing building area: square feet
plan).
Site New building area: square feet
ite is on public sewer system
y :,,,7 ,, ' r PROPERT�$O,,.,;, ,�, ° ® *_- -<, , ..- :� M..- ..,.� :��..: ^.,:,, r x ' -. „ ® iT ENA�NT .; � - : ^,:�s ;:..,ti.. � � . �t v. s� Number of stories:
WN ER o s ;�`
Name: Solera, LLC Type of construction:
Address: 9600 SW Oak St Ste 230 Occupancy groups:
•
City /State /ZIP: Portalnd OR 97223 Existing:
Phone: (503)452 -8003 Fax: (503)452 -8043 New:
® APPLICANT , r ®. CO \P .1 ,, .. " - ,, - ..V,t , 3 , . � NO,TIC :P .. ; : " t
' r ., , , , � :*; . � , Ja i Via., . ° . � t,.- ,�kx, � . a .ms .,, .
Business name: Alpha Community Development All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Jeff Vanderdasson under ORS 701 and may be required to be licensed in the
Address: 9600 SW Oak St, Ste 230 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: Portland, OR 97223 apply:
Phone: (503) 452 -8003 Fax: : (503) 452-8043
E -mail: jav @alphacommunity.com
' ' g`CONTRACTOR ':.'` - =0- tsi
Business name: RevCon, Inc j � ` � T .�� *: :-
t >- BUILDIIVG�PERIVII FEES* � ?
Address: 16655 SW IVY GLENN ST Please refer to fee schedule
City /State /ZIP: Beaverton OR 97007 Fees due upon application $110.40
Phone: (503) 848 -7300 Fax: ( ) Amount received
CCB lie.: 160417 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: Jerry M. Palm r Date: 7/7/06 * Fee methodology set by Tri- County Building Industry
Service Board.
iU 3mldmg\J'ermits \BUP- PermuApp.doe 12/03 440- 4613T(II/02 /COM/WEB)
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #/ BUP2006-00279
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: ;(112/2006
Phone: (503) 639-4171 Aik
l 1 / / '
Inspection Requests (24 Hrs.): (503) 639-4175 ,_, a l ,
INSPECTION WORKSHEET FOR DATE: 11/912006 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 11490 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: SOLERA LOT #: 003 TYPE OF USE:
PROJECT NAME: SOLERA SUBDIVISION
DESCRIPTION: Demolition of 3,200 sq ft house and 500 sq ft shed. Sewer to be capped. MC credits available for
future construction after final inspection. .
OWNER: SOLERA LLC, PHONE #: 503-452-8003
CONTRACTOR: REVCON INC PHONE #: 503-48-7300
Inspection Request Scheduled For: Date: 11/912006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039532-01 503-936-2577 Y
Corrections/Comments/Instructions:
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Igi-i i'e , - --- 1-14-ale-a - 9 /
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El PASS - PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
1 I FAIL 0 CALL FOR INSPECTION L ADDITIONAL FEES ASSESSED
A'
Inspector: Date: il— f.--,9,e, Phone #: (503) 718-
, _ •