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Permit
• C ITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT PERMIT # : SIT2008 -00014 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 5/30/2008 PARCEL : 1 S133AD -15300 SITE ADDRESS: 11143 SW SUMMER LAKE DR ZONING : R -7 SUBDIVISION: SUMMER LAKE LOT: 034 JURISDICTION : TIG PROJECT: MCNEILL Project Description: Erosion control only. CLASS OF WORK: OTR PAVING ?: RESO. NO: TYPE OF USE: SF GRADING ?: VALUE: EXCV VOLUME: cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: sf Owner: FEES RANDY MCNEILL Description Date Amount 11143 SW SUMMER LAKE DR [ERPRMT] Erosion Control 5/30/2008 $80.00 TIGARD, OR 97223 [ERPLN] Erosn Pin Rv CWS 5/30/2008 $26.00 [EROSN] Erosn PIn Rv COT 5/30/2008 $26.00 Phone: 503 - 684 -3588 Total $132.00 Contractor: Contact #: REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 - 4444 Reg #: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifi - _ - - ter. Th. e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules • .erect questions o 40U C by calling 503.246.6699 or 1.800.332.2344. • Iss ed By: k kV/ Permittee Signature. � .�c� 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. -Banding Permit Application Site Work 10K OFF11':F: USE ONLY City of Tigard n L pD J omit No, '� / S DCbl fl • 13125 SW Hall Blvd.. Tigard. OR 97223 pt••, Review i ' Phone: 503.639.4171 Fax: 503 593.1960 Date/By: • other Permit: r t �: , • iz n Inspection Line: 5()3 Date Read .:7 a See Praae 2 ter Internet: www.tigard- or,gov Notified/Method: r^ � Suptm n • "nP ❑ New construction ❑ Demolition Permit fees* arc based on the value of the work performed. indicate th value (rounded to the nearest dollar) of : 1 ❑ Addition /alteration/replacementhcr• equipment, • erials, labor, overhead, and the . ' for the - .. ,..... -_ ;. ;';. : r: CATEGORY OF CONSTRUC FION ;. ' indicated this application. L- ..and2- family dwelling ❑ Commercial /industrial Valuation: S /❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other. Number of bathrooms: • :'.�' ;' :' JOB. LvFORMATION AND LOCATION : :i; . Total number of floors: lob site address: iI I L , 5k) 3(AN mt'.Ir LA it, t. b (2_ New dwelling are • . -uare foci City /State/ZIP: "Ti 6. A t2,iD OR_ 6? 7 'Z 2 � Garage/carpo • area: sq , • eet Suite/bldg./apt. no.: Project name: 6 Covere • •. • area square feet , Cross street/directions to jab site: Deck area: square feet Other structure area: square feet :: REQV IRBD.bA'IA: C CKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel no.: indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the prof • the ... n work indicated on is application. .� DS9CIt�'110NT :OF:�VO�RIC; �: '. /)�/ p CD I rgo O � C , / Valuation: S e N Existing building area: square feet New building area: square feet .,..V, PROPERIYR . ....; OWNF,A::. ‘.1!: Number of s on Name: N iii G M5_,1 n Type oleo . •traction: Address: Ib < / {) Song S/z t/ I. - Occupan • groups: City/State/ZIP: / // /2-10 Q1 _- 972-33 Existing: Phone: )3) /. tom 3S Fax: ( ) New: • ; ..-.. : :. ::,. r ,•:::••'; 3 5 CONTACT PERSON Ate. . CONT �, • . ;:':NOTICE:`. • : . : ... .: ..:.:. :: •: ••- >.; : : : . ... Business name: All contractors and subcontractors are required to he Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: • lY :: CONTRACTOR`; ,:: :.:.. : Business name: //is T+ . _ ' BUILDING PERMIT FEES' 1_ a,. : : -. Address: tTrass! rdFi iotae feAede4el City/State/ZIP: Structural plan review fee (or deposit): Phone: ( ) F ax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: Amount received: -P /, 1447 Authorized signature: • z_ Q�( �o I�° ` �' ` � t n 11 C fl This permit application expires if a permit is not obtained M " within 180 days after it has been accepted as complete. Print name: A frt.. /37 it 1 L ��l L(_, l Date: --./ 30/6 . Fee methodology set by Tri -County Building Industry l Service Board. I:\ Building \Permits \SIT- PennitApp.doc 12/27/06 440 -4613T(I1 /02 /COM/WEB) . rortianaMaps Vetan xeport Page 1 of 1 -- - r ! J I a! i d i 0 S New Search I Mapping I Advanced I Goble Earth I Help I PortlandOnline 11143 SW SUMMER LAKE DR - TIGARD Explorer I Property I Maps I Crime I Census I Transportation Summary I Assessor I Permits /Cases I Block I Schools I Parks I Businesses I CIPs I Development I Stormwater Incentives I Noise I Storage Tank 11143 SW SUMMER LAKE DR �^ _, =� + i i '> •rt _ ,.---....„2--. �. -- to r I Description ` V . 1 C -III 1— Size 2,984 square feet ! F : _ ��i ir--- ' - -1 Number of Bedrooms Bathrooms ` _ I . 1 Property Map + ./.. i :I 1 /) - . cit 43 -4- :24E: . . ,,,,, -2!'C A Lo ... ,.. , , , 42!2: '24 ' 6 ' Property Value (2007) bNiO (4)/) Market Value $376,980.00 Assessed Value $0.00 l O Taxes () Property Taxes $0.00 n �� Total Taxes $0.00 If YI (�+ Misc Info h� ,1 ,� Year Built 1955 S 13.]� i,o3 Foundation Type Interior Finish / Roof Style f x f O Ve Roof Cover Type Y/ Flooring Type Heating /AC Type City of Portland, Corporate GIS Assessor Data Updated 5/26/2008 THE GIS APPLICATIONS ACCESSED THROUGH THIS WEB SITE PROVIDE A VISUAL DISPLAY OF DATA FOR YOUR CONVENIENCE. EVERY REASONABLE EFFORT HAS BEEN MADE TO ASSURE THE ACCURACY OF THE MAPS AND ASSOCIATED DATA. THE CITY OF PORTLAND MAKES NO WARRANTY, REPRESENTATION OR GUARANTEE AS TO THE CONTENT, SEQUENCE, ACCURACY. TIMELINESS OR COMPLETENESS OF ANY OF THE DATA PROVIDED HEREIN. THE USER OF THESE APPLICATIONS SHOULD NOT RELY ON THE DATA PROVIDED HEREIN FOR ANY REASON. THE CITY OF PORTLAND EXPLICITLY DISCLAIMS ANY REPRESENTATIONS AND WARRANTIES, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY ERRORS, OMISSIONS, OR INACCURACIES IN THE INFORMATION PROVIDED REGARDLESS OF HOW CAUSED THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY DECISIONS MADE OR ACTIONS TAKEN OR NOT TAKEN BY THE USER OF THE APPLICATIONS IN RELIANCE UPON ANY INFORMATION OR DATA FURNISHED HEREUNDER. FOR UPDATED INFORMATION ABOUT THE MAP DATA ON PORTLANDMAPS PLEASE REFER TO CITY'S IG TAL/ATA. FOR QUESTIONS ABOUT ASSESSMENT INFORMATION PLEASE CONTACT THE COUNTY ASSESSORS OFFICE IN YOUR COUNTY. Address I Mapping I Advanced I Goggle Earth I Help I About PortlandMaps © 2008 City of Portland, Oregon http : / /www.portlandmaps. com/detail. cfm ?action= Summary &property id =W2663 73 &state_... 5/30/2008