Permit CITY OFTIGARD
is # il \ DEVELOPMENT SERVICES BU ILDING PERMIT
�p�Nfti�il� PERMIT • # BUP97 -0259
__ 13125 SW Hall Blvd., Tigard, 0R 97223 (503) 639 -4171 DATE ISSUED: 05/22/97
PARCEL: 15126DC -05203
SITE ADDRESS...: 09275 SW LOCUST ST
SUBDIVISION • MLP96 -0014 ZONING:
BLOCK • LOT 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.:SN ...: 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 ?: REQD 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 : Demolition permit of a 780 sq. ft. single family unit. Sewer must be
capped and inspected. All debris to be removed.
Owner: FEES
LUNDMARK HOMES type amount by date recpt
3381 COEUR D' ALENE PL PRMT $ 25.00 B 05/20/97 97- 294776
WEST LINN OR 97068 SPCT $ 1.25 B 05/20/97 97- 294776
EROS $ 26.00 B 05/20/97 97- 294776
Phone #: 655 -8004 ERPC $ 8.45 B 05/20/97 97- 294776
ERPC $ 8.45 B 05/20/97 97- 294776
Contract or:
LUNDMARK CONSTRUCT ION
ALBERT C LUNDMARK
3381 COEUR D'ALENE DR
WEST LINN OR 97068
Phone #: 655 -8004 $ 69.15 TOTAL
Reg #..: 001203
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the ' el.0Q t f ile
Tigard Municipal Code, State of Ore. Specialty Codes and all other
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.
Permittee Signature: Q IkC1r x r- eJc
Issued By:Z Wadelk"-
Call for inspection - 639 -4175
e uu111j1• LUs1_I • I • t! 1 • • • •
City of Tigard t317.5 SW Mail 3iwd. Tigard. OR 97223
(503) 639.4171
G
Jobsite Address: I Z. - J k-aoc-LA .m . OFFICE USE ONLY
Tenant: /1/4J /A- Suite # Planck/R
ec.#
Valuation: - C •
Permit* '
P‘17
Owner: � w De11, 6-f L.
Map&TL#
A Required
Address: A\S �gt._ brE khr u
Planning 1, .�
Engineering r. «� �
Telephone: ` a-
Other
Contractor. LL) "1b✓14,- 0L1`,tt
Address: 33� I 'Catir-eArz.. ' x
k)t- ��T' L. i" N , i' Z q a6o Type of constr:
Telephone: &3 ' * P_CC+ N &ASTa X ���
�, Occupancy Class: � — 3
D
Contractor's License # 1 -2 - D ?v j - � Sprinkler? Yes c
(attach copy of current Oregon license) � �4 lilt
-el Sq. Ft Of Project "76Z)
Contact name & telephone: J'svvz, 4
Sto nd, etc.):
Architect & Engineer:
Address:
Proposed Use: 5t 0 .
Previous use: 0
Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
0B DESCRIPTION: DwItie7 X ' -ai' \\
7
(Applicant Signature & Telephone Number)
:ceived by: Date Received: —/'1
;csf •aim
'ERMIT3 Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD) z.5, .
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) /, 2 �
Bldg.
Plumb.
Mech.
Plan Check (PLANCK)
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential T1F (TIF-R)
Mass Transit TIF (T1F-MT)
Commercial TIF (T1F -C)
Industrial TIF (TIF -1)
Institutional TIF (T1F -IS)
Office TIF (T1F-0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion P!anckJCOT (EROSN) %; `
TOTALS: Or
L.ccri n.DCC (CST) 1C196
TAX LOT 4000 TAX LOT 4001
90.30
i'
1
0
a ' ` ° b
. PARCEL 3
'0 ,,,, :
AREA 6.200 S.F. 0 0
4
O�
+ \.,
N
M 10 •
cn
cn al
op
N 706 �•i
ei r) •
N
1) \
M PARCEL 2 � Z
o AREA 6,200 S.F. �_ TW 0'L Z
Ei CaE/v it.t 1 hti
O
Kalt iure. &-e4s.rvi4-) r •P
Y i 127 plc...., 6x8 -54-6.11 J
°, N �
O -S 72.29' L 3.00' � g."..'''
CITY OF TIG RD �• P
Approved .4
Conditionally Approved [ ) R-* n.6 b hti °
For only the v.5 as desc bed in s1.4 A 6 o o o�
P ERMIT NO. 15of' �- o ZShc P EL 1 � - -- N ,� �
See Letter to: f cllow o � �--
Attach m ARE 61200 S.F. �'
-- 20' ACCESS EASEMENT
d
Job res : 75" 1 LII)aJ* �., a o - r L.
By: , nItaL c:,,, _54:11.14‘ .* t
t4' G tigi 0
>
72.29' 15.00' y*.'_.' W A- R- MEWL-
. 1....
j 2ci EQ_ (24::, le --�. I � 87.30' �••
- S . W. LOCUST STREET - — 8" s`"'=2-1"‘11– _ — _
PLOT PLAN ) CASE NO.
EXHIB I Lundmark Minor
IT MAP f Land Partition
MLP 96 -0014
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: e• 67/6/9 7 A.M. P.M. MST:
Location: qa.175 ,_5(.,O BUP: 97-62457
Tenant: Suite: Bldg: MEC:
.1 , ,
Contractor: it...A.A. ,,,dj_k/Agi Al , J ....1 / 4 Phone: /;953 $V( PLM:
PLM:
Owner: Phone: ELC:
- ,
./ 1'. nt(1.: - 60 A- 5/17 .57ta-C&I.A_e■ELR:
ale .
I
' SIT:
BUILDING : LDG ' et) PLUMBING MECHANICAL ELECTRICAL SITE
Site Po r • eam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing To • Out Gas Line Rough-In UG Sprinkler
Foundation Insulation il° Hood/Duct Reconnect Vault
Bsmt Damp Drywall • I. Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved ( CrEi) Approved Approved Approved
Appr/Sdwlk
.. ;ed Not Approved Not Approved Not Approved
FINAL FINAL d FINAL FINAL FINAL
.....// r
0 Call for reinspection 0 Reinspection fee of $ requ befo next inspection 0 Unable to inspect
Inspector: irnLd Date: ..‘ I 1 Page / of 2_
___