Permit CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # BJP97 -0372
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DATE ISSUED: 08/01/97
PARCEL: 1S135AA- -00900
SITE ADDRESS...: 08950 SW LOCUST ST
SUBDIVISION • TOWN OF METZGER ZCNING:R -4.5
BLOCK • LOT •4 JURISDICTION!:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:DEM FIRST 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?------- - - - ---
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT?: MEZZ? : REDD SETBACKS--- - - - - -- REQUIRED
FLOOR LOAD ° 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 0
Remarks : Demolish house. Must have all utilities capped.
Own er : - -- - -- FEES •
ELAINE ZEHNTBAUER & JALAN ZEHNTBAUER type amount by date recpt
8055 SW FAIRWAY DR PRMT $ `5.00 JSD 08/01/97 97- 297844
PORTLAND OR 97225 SPCT $ 1.25 JSD 08/01/97 97- 297844
EROS $ 26.00 JSD 08/01/97 97- 297844
Phone #: ERPC $ 8.45 JSD 08/01/97 97- 297844
ERPC $ 8.45 JSD 08/01/97 97- 297844
Contractor: - - -- --
LOREN OBRIST EXCAVATING
17070 SE FORSTER RD
PORTLAND OR 97236
Phone #: 661 -9606 $ 69.15 TOTAL
Reg #.. : 000021
- - REQU RED INSPECTIONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other 467
applicable laws. 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 952-001-10 through OAR 952 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)245 -1987.
Permittee Signature: , Issued P C
+++++++++++++++++++++++++++++++- I-+++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + + + -I- + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ ++ + + + + + + +++ + + + + ++ + + ++
Plan Check #
cp TIGARD ' - Residential Building Permit Application Recd By
.5 SW HALL BLVD. New Construction Additions or Alterations Date Recd O/
. BARD. OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
503 - 6394171 Date to DST
W3-684 -7297 Permit - 3 _z
-_ - - _ _ _ -- _ -Print or Type tailed
Incomplete or illegible applications will not be accepted
_ Name of Project _ - - Name -.
Job
Address Site Address _ -- . - Architect Mailing Address
3150 j�l / 1 ` ` ( City/State . - • Zip Phone
S w e2 Alic)n 7e h n- h9ue r Name
Owner Mailing Address
¶5 t�t S.W. F x r rr, y Dr-
En meer M Add
`�o � �7 a�� I ho 9 �- --
Name City/State Zip Phone
. � erg d b
General /-' r �� Describe work New 0 Addition 0 Alteration 0 Repair 0
contractor . • Marling Address .. - -- - to be done:
Q 7C 5,E, . E : � C � � 7 � p - Additional 0 %. ..on of Work:
/s to - Zip -- .� - Z,� � Phone -- - 6 ..,. �+
Oregon Const Cont. Board Lia Exp. a //
o
tttach Copy of - �02� /5 ---
Current COT Business Tax 'Me 4 / PROJECT
Licenses r i t o VALUATION $ - -
Name
Mechanical — • — -- __ _. , -NEW CONSTRUCTION ONLY: • . • .
Sub- Ma9 Address Sq. Ft. House: Sq. Ft Garage
•
Contractor - - Corner Lot YES NO Flag Lot YES NO
City/State Zip Phone (check one) (check • -.-
Oregon Cont. Cont Board Licit Exp. Date Restricted Audio/Stereo Burglar
a ttaeh Copy of - Energy • ' . - System • - Alarm
Current COT Business Tax or Metro it Exp. Date Installation Garage Door HVAC
ricenses
Name Opener Systems •
(check all that Other.
Plumbing apply)
Sub - -- Mang Address - WII the electrical subcontractor wire for all ' YES NO
;ontractor restricted energy installations?
City/State Zip Phone -- Has the Subdivision Plat recorded? N/A YES NO
Oregon Const Cont. Board Lic.4 I Exp. Date Reissue of MST#. Solar Compliance
atracn Copy of
(Calculation Attached)
Current Plumoing Lic. 4 Exp. Date I hearby acknowledge that I have read this application, that the
Licenses -
COT Business Tax or Metro 4 Exp. Date information given is correct, that I am the owner or authorized
agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
bi re of 0
electrical er/Agent . l y
._4,. in ( Sub- Mailing Address - .. - ct - : ; . n - me #
'ontractor - >•_% .W - Y■R i , fcDI-1 -coq,
City/State Zip ' Phone FOR OFFICE USE ONLY:
Plat #: Map/TLik
Oregon Const Cont. Board Lic.4 Exp. Date
ach Copy of Setbacks: I Zone: Solar.
Current Electrical Lc. 4 I Exp. Date
Licenses Approval: I Planning Approval: TIF:
COT Business Tax or Metro x - Exp. Date 1
MOLDOC (DST) 5/97 L L (�-kj � " ' --
Permit ax Acct. Descritpion COT WACO Amount ��/ Amt. Pd. Bal. Due
��'MST. Permit (BUILD) (UBUILDD ��U " '
, �� Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
ELC/ELR Permit = - (ELPRMT) - ( UELPMT) . .
State Tax - _- ._ _ -- (TAX) 7 . (UTAX) -- ((2 ( -- - - •- - - -
BLDG: -- - - -- - - .
PLUMB:
MECH: . .
- -- - - - ELCIELR: - . _ . . _ t _ .
Plan Check - - .- _ __ . -- -- -
MST , ( BUPPLN) (UBUPLN) - - „ .
Plumb: (PLUMB) (UPLUMB) ..
Mech: -
_(MECPLN) .. ( UMEPLN) - -- - - -- -- .- -- - -- - - -- :— = V
CDC Review (BUILD) (CDCBLD) _' ' (UCDC) -
_ _- CDC Review (PLN) , 't.. (CDCPLN) ' . N/A .
Sewer Connon (SWUSA) (USWUSA)
_ - Reimbur_ District ( _ ) : ( )
Sewer Inspection - (SWINSP) (USWINS) -- .
Parks Dev Charge � (P_KSDC) N/A - -- -
Residential TIF - - (TIF -R)- -- (UTIF -R) -- - - - -
_ - Mass Transit TIF -- - (TIF -MT) - - (UTIF -M) . .. - - -
Water Quality (WQUAL) (UWQUAL) -
Water Quantity - (WQUANT) (UWQANT) - - -
Erosion Control Prmt (ERPRMT) (UERPMT) ` C,
Erosion Planck/USA (ERPLN) (UERPLN)j) 7"S ,
Erosion Planck/COT (EROSN) (UEROSN)
Fire Life Safety (FLS) (UFLS) /
TOTALS: -
I:SFREMDLDOC (DST) 6/97
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0372
ELAINE ZEHNTBAUER & JALAN ZEHNTBAUER
08950 SW LOCUST ST
02/24/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
-- -- - -- -- - - - - -- - --
BUPA005 Application received / / / / 08/01/97 PASS JSD 08/01/97 JD
BUPA010 Permit created / / / / 08/01/97 PASS JSD 08/01/97 JD
BUPA020 Check for prcl. restrict. / / / / 08/01/97 PASS JSD 08/01/97 JD
BUPA075 (F) Ready to issue / / / / 08/01/97 Need contractor's CCB info. jed PASS JSD 08/01/97 JD
BUPA085 (F) Issue building permit / / / / 08/01/97 PASS JSD 08/01/97 JD
BUPA800 Misc. Inspection 08/01/97 / / / / 08/01/97 JD
BUPA870 Final Inspection / / / / 08/15/97 - APP GS 08/18/97 GES
BUPA950 Case Finaled / / / / 08/18/97 APP GS 08/18/97 GES
BUPC960 Case Finaled / / / / 08/18/97 APP GS 08/18/97 GES
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CITY OF TIGARD
Approved �
Conditionally Approved I 3
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For only the wor as r din•
PERMIT NO. 7 2 t
See Letter to. ollow [ 1 „p
Job Address: A
B y' Date:i
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