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Permit
A, CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00369 A-141 A DEVELOPMENT SERVICES DATE ISSUED: 9/23/2005 �=-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AA-03901 SITE ADDRESS: 08911 SW OAK ST ZONING: R -4.5 SUBDIVISION: ASHBROOK FARM LOT: 011 JURISDICTION: TIG Project Description: Demo 1800 sq. ft. residential dwelling garage & shop, on sewer. DEMO CREDITS APPLY FOR SDC FEES. 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: LASHAWAY, JULIE A RUTAN CONSTRUCTION c/o FINCK, DALE M + IDA LIFE E 21515 NW CHERRY LANE 8875 SW OAK HILLSBORO, OR 97214 TIGARD, OR 97223 one: Phone: 503 - 643 -3737 FEES Reg #: LIC 40085 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/23/2005 $62.50 [TAX] 8% State Surcharl 9/23/2005 $5.00 [ERPRMT] Erosion Coni 9/23/2005 $26.00 [ERPLN] Erosn Pln Rv C 9/23/2005 $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 pl.... . his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than :0 days. ' TTENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification C- ter. Those r les are set forth • O,' R 952 -00 010 thr h 0 • - 952 - 001 -0100. You may obtain a copy of the •e rules .r dire. questions to •, N by callin 503 - 246 -669 0.1 -:I0 .32- 2344. / // Issue By: # d / Permittee Signature , ` i / / / ' 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. B Pe `emi t:..6.8(V . .ED FOR OFFICE USE ONLY City of Tigard Received ' 3 to jZ Permit Nona Ag 5" GD3M 9 13125 SW Hall Blvd., Tigard, OR 97/1' [[ Plan Revie Phone: 503.639.4171 Fax: 503.59811 b0. 2 7 2005 �eav;ala � t?� j li� Date/By: Other Permit: Inspection Line: 503.639.4175 „ a ... Date Ready/By: ions ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD - Notified/Method: O - , 3 5 1 i . r Supplemental Information BUILDING DIVISION - 1.5ca e" — ,r------- TYPE OF WORK RrQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction Cgr 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 ' CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 0 C/r( /IL�NT�� 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: Z ❑ Master builder ❑ Other: Number of bathrooms: I JOB SITE INFORMATION AND LOCATION Total number of floors: i Job site address: $ G} I I S N O v sr New dwelling area: I g 00 square feet City/State/ZIP: I 'GiV 012. 9'1223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: CA-5i Cp<D0Jv1J N 1 14.1)15 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 5 \N " A4f • Other structure area: 40-0 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: 3Cf0 ( Permit fees* are based on the value of the work performed. Tax map /parcel no.: I rj t 3 5 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ tam LrnaA of xi - nnIG -rye MZ / I -STimy I rs I � w ,-., 1 . 4 �� (�. SHOP Existing building area: square feet QCs I Va"� e . 1 g Appac oo si (46 4� &,p ' / r .. • .! ` , New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: oAt' - 1 — . Cf) N?ap1Vl (M t L,(,YV15, L.LC- Type of construction: Address: ( 2(/70 SW ( �1� , S-E, ila, Occupancy groups: City/State /ZIP: — f1GAQ7 ) o 2 9 -72-23 Existing: Phone: D3) Co 3 • 310} Fax: (3) 595 •908 I New: Of APPLICANT ❑ CONTACT PERSON NOTICE • Business name: I Co& ,c-t rr r /Pi J.tJ � . I J C , All contractors and subcontractors are required to be Contact name: TA N Ls_. G— vcD1e .ic ( licensed with the Oregon Construction Contractors Board � � / under ORS 701 and may be required to be licensed in the Address: C) 25 � f p iG1� V bA f-i lU-S o,,,, f H SIG . 240e jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: N C 7� / apply: Phone: ) e o 4 4 . 1 ( p ( e I I , , F Fax:: ( 'jJ) (o4 7(d l E -mail: /j a4 `I covial'Ci'1s f C Coni CONTRACTOR Business name: ---Ib 136 DC— BUILDING PERMIT FEES* Address: Please refer to fee schedule. City/State /ZIP: Fees due upon application Phone: ( ) Fax:( ) Amount received CCB lic.: 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: 'OA 3 L, Dpcpt Date: t"?• 2:7. D 5 * Fee methodology set by Tri-County Building Industry Service Board. i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) • 11111nnnInnl11A111 114 1A111g9I I II ' • J MI Cazi •40 IV 1■M=5■1 1 111 NOM v. a: 37VOS011-idb710 gam /Sl/Z 2,.2 I II • • • • I srarnsln3a • 0 1 111 I 133d1S >1t/O MS ` ----if — — — Os-ma arraYM � all MN m tut L7 71� ev1_ 1 aepl tAirQl®S %iW L41 FOAMS 81Y=AAr1f1rIT1YO9M0 ti.' Pi 0 0 AB03/NDSOd9041531V',001 09mO0011319.01TIV n V SI dnO • e .b WS m, .v1 • g) g _ H 9 le 9tLNMMYrlQ3Mt38 m,100dt3d Von num OS3li t• tag) 0703 • y 0 = YRy101i RrL1YNRgi71aY1iMTfdB Ammo N0l0MDSYAL O () 001100011. 1't WMAV3O. LI dOMOI1VA9'B MY 6YMIW•OL71LGS my 0113 9'°R 0 g B & iSWIM A3/0/15,090. 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I . -... _ ® . -., .. _ , ... ._pOprtlYSf t " Sl. .. 9r.owmeon 161.0d MO OOBCYdSCi St ta At 10'IXY.1 KIAIreal OW N - 'V "' O gl wmu °IeurAay m . 7eo+.w • e 1 .o1e.IO� I u _ .u1 /rYU il l -' 10.01000 �0� IS A evut Wen Md1LG8BS ac 9001sn me. - .a— Lb 1010113002371 000m0 — �/e •. {�,{}� MX �� nut I I tp Mw tt9uvavrm /'� z O y snow War Ala III p • MEW, OOSSAMS t St 209•YY1T 1 Sl 511 r 10l XVL 10, XY1 CS e II II 9 W • CITY OF TICa,�1R® - i A pproved.B:.:.A.J - 0 C Ill onditionally Approved [ [ For only the work as described in: 10/ - If- 3 1100100 PERMIT NO. ( 3:11.01 gVZ 1 See Letter to: Follow [ ] a w 003 a0 9 1 Attach [ ] aoAanans oM^ I \'1'1 _ \ . Jab Address: i4O> I mmo=w ' 1 (7) By 4 r/.e. Date:V -©5 tam n .0 n \ ill o . 6 Zs non, nom - dna . , y) n0' Cio(:=.,/n CITY OF TIGARD - - BUILDING DIVISION PERMIT #: LIJP2f0 r003(e9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2_(X) Phone: (503) 639 -4171 /crm i Inspection Requests (24 Hrs.): (503) 639 -4175 ' - P_ ., INSPECTION WORKSHEET FOR DATE: 4/22006 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 08911 SW OAK ST CLASS OF WORK: SUBDIVISION: ASI-IF3RO(.)K FARM LOT #: 011 TYPE OF USE: PROJECT NAME: OAK STREET CONDOS (REV) DESCRIPTION: F3omo 1000 sq. ft. residential dwelling garage & shop, on senor. DEMO CREDITS APPLY FOR 55tr EES. OWNER: LA;WHAWAY, JULIE A, PHONE #: CONTRACTOR: RUTAN CONSTRUCTION PHONE #: 503. 643.313/ Inspection Request Scheduled For: Date: 4/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 F =irm! inspection 028605.02 E03-639 -31011 N Corr ctions /Comments /Instructions: ` • A , 4.„, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V iL i Inspector: CJ' "V Date: "l / c) (O Phone #: (503) 718 - T 2/