Permit •_
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00346
DEVELOPMENT SERVICES DATE ISSUED: 7/25/2005
'� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -01400
SITE ADDRESS: 07515 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 008 JURISDICTION: TIG
Project Description: Demo 1855 sf. ft. residential dewlling on septic.
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:
MARTIN, GORDON S + ELDER DEMOLITION, INC.
MARTIN, GORDON R - 5635 SE 111TH
12265 SW 72ND AVE PORTLAND, OR 97266
TIGARD, OR 97223
Phone: Phone: 503 - 760 - 6330
Reg #: LIC 121650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/25/2005 $62.50
[TAX] 8% State Surcha 7/25/2005 $5.00
[ERPRMT] Erosion Con 7/25/2005 $26.00
[ERPLN] Erosn Pln Rv C 7/25/2005 $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_mayobtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. –'—`
Issued By: Z .... /L f. Permittee Signature: 7 ,,
/ �.
Call 503- 639 -4175 by 7:00 a.m. for an inspection that butiness day.
This permit card shall be kept in a conspicuous place on the job site until completion f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Ap PgfECii FOR off E IC E USE ONLY
City of Tigard R eceived � f tt Permit No u //
Date/By: � ' ) Z 2 a),S (/ ,? p
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960JUL 2 5 2005 ^ ?t?;lgn ( ' �A Date/By: Other Permit:
Inspection Line: 503.639.4175 J,i , 1 ' Date Ready/By: Juris: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGAR II Notified/Method: 17 V Supplemental Information
BUILDING DIVISION
- _ TYPE OF WORK - REQUIRED DATA 1 AND 21 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.
. - • .` _= CATEGORY OF GONSTRUC I'ION� • - _
❑ 1- and 2- family dwelling ❑ Comercial /industrial Valuation: $5,000
m
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
_ ;JOB' SITE INFORMATION AND -L• O Total number of floors:
Job site address: 7515 S.W. Hermosa way New dwelling area: square feet
City/State /Z1P: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Hermosa House Demolition Covered porch area: square feet
Cross street/directions to job site: 72 st - west on Hermosa Deck area: square feet
Other structure area: square feet
- 'REQUIRED DATA COMMERCIAL-USE :CHECKLIST '
Subdivision: Hermosa Park Lot no.: 8 Permit fees* are based on the value of the work performed.
Fax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' g DESCRIPTION OF WORK. - 1 work indicated on this application.
Demolition of House Valuation: $
Existing building area: i J j tf square feet
New building area: square feet
.PROPERTY OWNER -- _ : - -❑ . ,TENANT _ - _ Number of stories:
Name: Pactrust Realty Associates, LP Type of construction:
Address: 15350 SW Sequoia Pkwy Occupancy groups:
City/State /ZIP: Portland, Oregon 97224 Existing:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
❑, APP.LICANT' ' .® CONTACT `PERSON ° °4
NOTICE ,
Business name: Pactrust Realty Associates, LP All contractors and subcontractors are required to be
Contact name: Eric Sporre licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, Oregon 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -7755
E -mail: EricS @pactrustlp.com
_ CONTRACTOR -
Business name: Elder Demolition
' BUILDING FEES * '
"
Address: 6400 SE 101st
Please refer to fee schedule
City /State /ZIP: Portland, Oregon 97226
Fees due upon application f) e.g 6
Phone: (503) 760 -6330 Fax: (503) 760 -2266
1 Amount received
CCB lic.: 0121650
'� - 9 - z ?
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: Date: Z - O � * Fee methodology set by Tri -County Building Industry
- Service Roar('
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00346
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/25/2005
Phone: (503) 639 -4171 14 ``1t�ak I1I
Inspection Requests (24 Hrs.): (503) 639 -4175 r=:_
INSPECTION WORKSHEET FOR DATE: 9/13/2005 TIME: 7:05AM PAGE: 60
SITE ADDRESS: 07515 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 008 TYPE OF USE:
PROJECT NAME: PACTRUST REALTY ASSOC
DESCRIPTION: Demo 1855 sf. ft. residential devilling on septic.
OWNER: MARTIN, GORDON S +, PHONE #:
CONTRACTOR: ELDER DEMOLITION, INC. PHONE #: 503 - 760.6330
Inspection Request Scheduled For: Date: 9/13/2005 Pour Time:
Code # Inspection Description Confirm # Contac # Message
299 Final inspection 015507 -01 503 - 515.59' 0 N
Corrections /Comments /Instructions: V( P 1 - E
tP 1 P-0 b EP- D ooT1 k
c T t_cp R .r E • Thes t6r
H- Siw b 7 A-rT 4 Sc A I LF / A- TO'lr6
Ta F//u THE 77A-u-, -f-i - cu4 /41 s mov T(
T4 T f R2 E V (Casa) ' = n'eic%E (
Nom ism
r WILL t /'L —. 17 - W 1 2 1 ,14, t- 1017 A- rim F &41 z)
---• -, AI!
i
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
—MO In spector: Date: Phone #: (503) 718 -
P ( )
LOT 4 \
'
FOUND 1 "IP - - \
- - - -_ \
-- `
PER S.N. 24, 995 ` S
HELD FOR LINE --_______I A R j
AND NW CORNER M 0 U j
OF TURNBOW TRACT H S• T R
�� E E j
` BASIS OF BEARI
N88'33'09 "W 70
LOT 5 0 o 5
= a GT O N Co- —`
) �2
Q� 1S1 FOUND 3 -1/4" ALUMINUM DISK
AT NORTH 1/4 CORNER SECTION 1
rn 36 (U. S. B. T. BK. 4, PG. 131)
r 1
DEED DOCUMENT
NO. DEED
2003 - 137058
a C E V E
S'URVEY0R S89'23'58 "E 1342.73'
u-) S89'23'58 "E 793.32' S8923'58"E 1296.71' ' JUL 5 005 c.
I ' CITY OF TI ARD
o BJILDING DIVISION
Q
6 c
W
—J
Q
a DIRT PATHS LEi
° DARTMOUTH AN
------ w O
O rD
d- .
0
z
9 79 S.F. OR 12.51 ACRES
`i Nat
O AREA = 544, SUBJECT PARCEL IS UNIMPROVED, OPEN
O FIELD EXCEPT FOR LOT 8. d- 295.58' -
Cp
LOT 7 TRAILER O
W O
!.0 \\Ill (n
FOUP
N PER
ANIMAL SHELTER // +- ) p
6? ti 1
FOUND 5/8" IR' N8�'S4' "
PER PLAT OF LOT 8 2
MI
HELD w N81 '54
LOT 8 "HERMOSO PARK" 163.26. 798 alIl _es O N8134 20 "W 820.14 (820.2)
O
7 EXISTING HOUSE i i O H O L07 7 LOT 6 LOT 5
I SOUTH LINE OF (APPROXIMATELY 53' X 35') 1 � �\ " H E R M 0 S 0 PARK " LOT
0. 38 GEO. RNO. 38 FOUND 5/8" IR
D.L.C. NO. 38 yy /YPC MARKED DRIVEWAY
7' 18.58'
1 . " ON LAND TECH" N8�'54'20"W
243.91 ' PER 2 7,19 7
BEGINNING 475. a S.N. .N S• W • HE R 0 S 0
'OD W /YELLOW - 277.17' O s� , A y
CAP MARKED N81•,35 " 03k d=90'0000"
-LS 657" PER 5 1 W 521.5 N — R= 75.00' I_
S.N. 20,796 $1' —
—
L. =117. I N813 — — — ----W
_
co Q0 C= S53°05'40 "W
CO
51,. 1 sos.8s' — — —
LOT 21 O
.--\‘-2-'. 106.07' LOT 11
LOT 9 LOT 10 LOT 12
LOT 23
DEED DOCUMENT
NO. 2001 - 124843
N
\0� c0UN 9 8 4 2 S>
LOT 22 Lor 20 v