Permit Fr ,CITY OF TIGARD BUILDING PERMIT
PERMIT #: =0
COMMUNITY DEVELOPMENT DATE ISSUED:
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104AD -04500
SITE ADDRESS: 12585 SW WALNUT ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TUALATIN VALLEY FIRE AND RESCU
Project Description: Demo single famliy residence, carport, shed, chicken coop & barn. Septic system is to be pumped and
filled.
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:
TUALATIN VALLEY FIRE AND RESCUE TED RIEHL EXCAVATION & TRUCKING
20665 SW BLANTON ST 5858 S REDLAND RD
ALOHA, OR 97007 OREGON CITY, OR 97045
Phone: 503 - 649 - 8577 Contact #: PRI 504 - 631 - 7634
Reg #: LIC 133234
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/30/2007 $62.50 floSioA) dodL
[TAX] 8% State Surcha 4/30/2007 $5.00
[ERPRMT] Erosion Con 4/30/2007 $26.00
[ERPLN] Erosn Pln Rv C 4/30/2007 $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
Ore• • • • 1 I y 1 • .tion Ce - •. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of ese rules or direct • e- ions t• iUNC by calling 503.246.6699 or 1.800.332.2344.
I .ued By: / It if / / / Permittee Signature a fA
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.
Building Permit Application
Commerclal FOR OFFICE USE ONLY y • City of Tigard Date/B e a ��/ / Permit No • • ' Q1GV lrd,�/
lig 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review "` ---���
° Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit
TI G A It D Inspection Line 503 639 4175 Date ReadyBy Jun See Page 2 for
Internet. www ttgard- or .gov Notified/Method. Supplemental Info
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction R 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.
A l- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I a 5`�S ) ( `,�ct I A) i� S New dwelling area: square feet
City /State /ZIP: TI 5 u 0 � 3
1 `7 f Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: S-I—c'l i , o A. S' C) Covered porch area: square feet
Cross street/directions to job site: V ackr t° Si_ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work p;,rforme: '
Tax map /parcel no.: 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.
�(,w_r e\ g LA.; ) � J tva9 / n Yl a iD eb r i Valuation: $
Co IAC. r e,Jf F. :/ 1 eP Con4Pa� Existing building area: square feet
?IA l/1/1? c� ; I s e? ; New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: MO( l at; v\ 1/0 fie y 7 ,'r e d- 2 � S Lu e Type of construction:
Address: t� 6 6 S 5 1 GI.'It'_' in s 4- Occupancy groups:
City /State /ZIP: /3) h / Or 9 `7 0 0 7 Existing:
Phone: 663) 69 q 9 — �S 7 7 Fax: ( ,-0 3 ) 4, ya - ys--/y New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
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:
CONTRACTOR
Business name: 7 t e ] I F 0u /a.T i� 4-Tr 1.,4 � BUILDING PERMIT FEES*
Address: 5 - Ff 5 n P I r �.�� a vi /t (Please refer ro fee schedule
City /State /ZIP: �j / �-7 Structural plan review fee (or deposit):
/ f e �� // t b / f ( O ! t � FLS plan review fee (if applicable):
Phone: ($63) (O ! j � 7 ( .3 ! F : (56 Co 3 / - 7 5 �S
CCB lic.: / 3 3a 3 4( / / 7 Total fees due upon application:
,
/ a A / Amount received: a H ob(�
Authorized signa c A{'�(v,1/ i
This permit application expires if a permit i � t obtained
within 180 days after it has been accepted as complete.
Print name: )^ ( v i . f l e4 r i Date: Ly —30 — 07 * Fee methodology set by Tri -County Building Industry
Service Board.
I \Bwldmg \Permits \BUP -COM PermitApp doc 2/23/07 440- 4613T(11/02 /COM/WEB)
., y
0
_ u Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1• \ Building \ Permits \BUP -COM PermitApp doc 02/23/07
. ..
I
1
1
1 I 12565
� I
/ I
I JACK PARK 12605
SUBJECT PROPERTY
--
1
I
KREUGER CREEK EJ
12625 -
I F
I pQ4' {�L- TRAILER
0 3
4 5112 .. - STACKED WOOD ----.
12675
I
I BARN I
r�1 I cr
\ I CHICKEN t �I 1 GARDEN I
COOP —/ � J a am o WELL
12705
II ` ` CARPORT . /
12705 -- SEPTIC
• HODS
-
I PAD MOUNTED
TRANSFORMER
SW WALNUT STREET �/
I
T 12490 I
I I - - I
I I 12630 I I I CITY OFITIG 1 64
I I
I I
I 12600 I 12570 pppr0Va ....125.213.. «.•• M -• [�
Conditionally Appved [ a
4 ti
See Lett to: Follow
S he .. � /\ Permit Null; • ?,Gb- re i L
I ■ �riau: ���
y;
a
f.
4 OFFICE COPY
a
g SCALE 1° .100.
I Prepared for; TUALATIN VALLEY FIRE RESCUE
.....
8 �� Project ii:
I 18345 -000 PROJECT AREA FIGURE
PBS
Date:
1 � 2006 12585 SW WALNUT STREET
TIGARD, OREGON 2
I
CITY OF TIGARD ` .
. :. t � �
BUILDING DIVISION PERMIT #: rUP2007- 002:39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .— `'I I..
INSPECTION WORKSHEET FOR DATE: 12/14/2007 TME: 7 :01AM PAGE: 59
•
SITE ADDRESS: 12 585 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Demo single fam liy residence, carport, shed, chicken coop & barn. Septic sy;44.em is to be pumped
and filled. SDC FEES TO'APPLY TO NEW CONSTRUCTION.
OWNER: TUALATIN VALLEY FIRE AND RESCUE, PHONE #: 50 3-649 -8577
CONTRACTOR: TED RIEHL EXCAVATION & TRUCKING PHONE #: 504 531 - 7634
ft
v k e
Inspection Request Scheduled For: Date: 12/14/2007 1/)Pour Time: 60 5$1:
Code # Inspection Description Confirm # Contact # Me - - • - sQ•
299 Final inspection 061516-01 503.936.5733 `
aire
Corrections/Comments/I `ln A
� structions:
1/.r- Q
..5.LeiL 1
,...,54,),e_iLit. (---''tc)‘--- d■SL4--+ (2
.=:L_____ ' 5"---C... kra-_sN- ->. AL
ci i
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�/ r
Inspector: \ Date: 2 /� a Phone #: (503) 718- u1
614 Pg4 -602-2•
ALOHA SANITARY SERVICE
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 . 1210,
503 - 644 -2797 * 503 - 648 -6254 * 503 - 639 -5188
NAME: / / C / / T F
ADDRESS:
CITY: STATE: ZIP: (,a,9 Af )
HOME: ) ,- WORK: CELL: ?d 9- 7 p7
JOB SITE: / �J S s .T -u/. L(//i�i4/a J //;91.P'fi> .t) P.0.#:
PAID BY CHARGE,^ CHECK ❑ CASH ❑ CREDIT CARD ❑
DATE ' - 1 7 DRIVER DA, a: 7444 Zf al AMOUNT
qr PUMP SEPTIC TANK
❑ LINE OPENING
❑ INSPECTION FEE
❑ SERVICE CALL �n
LABOR, LOCATING, DIGGING, BACKFILL
❑ MATERIAL
o
-- THIS IS NOT A SEPTIC SYSTEM INSPECTION REPORT - -
I TOTAL $ ci .r a
- - REMARKS - -
TYPE OF TANK: STEEL ❑ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑
HORIZONTAL ❑ VERTICAL ❑ RECTANGLE ❑ ❑ OTHER
SIZE OF TANK: 350 ❑ 500 ❑ 750 ❑ 1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑
LID LOCATION: INLET ❑ OUTLET ❑ MIDDLE ❑ ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ FAIR ❑ POOR ❑
FITTINGS: BAFFLES ❑ CONCRETE ❑ CAST IRON ❑ PLASTIC ❑
NEEDS NEW LID? YES ❑ SIZE
GROUND COVER OVER TANK .
COMMENTS ON CONDITION OF DRAINFIELD ETC.
6r E ffa cr? / 5,
SIGNED , AIIP ' �. DATE Jd D