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Permit y CITY OF TIGARD BUILDING PERMIT _ COMMUNITY DEVELOPMENT Permit#: BUP2014-00205 T t GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2014 Parcel: 2S109AA01000 Jurisdiction: Tigard Site address: 14465 SW 125TH AVE Project: Sandford Subdivision: VALLEY VIEW Lot: E Project Description: Demo of(1)1,416 sq ft residence,(1)2,100 sq ft outbuilding&(1)875 sq ft outbuilding. Property is connected to sewer service. Upon final inspection SDC credits will apply for TDT,Parks&Sewer. Contractor: KEYSTONE CONTRACTING Owner: JUSTIN&TRACY SANDFORD 417 NW 209TH SSTREET 13604 SW ASCENSION DR RIDGEFIELD,WA 98642 TIGARD, OR 97223 PHONE: 360-887-8157 PHONE: 503-341-1858 FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 09/04/2014 $225.80 Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Permit-Eng 09/04/2014 $75.00 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $10,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $300.80 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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 the 180 days. A ' •': :'-gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-1.1-0010 through OA' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I sued By: i` / f / Permittee Signature: '.- -E. - Ara Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. E.Aia Site Plan 14465 SW 125th Avenue • 1 ,_ N. ',cf,912.1.hrgi,''./ ) �� ♦ , t air Or' %/ / : : \ •. ` � ` lj _ ,! :: i �r / / li � .. : ' Mt ;f ,�► ' r t 2100 sq , rilifr+ , s :: � F : -s /1 rr1�i Jrr / / r 1 t'.'"--+` ` . t y% st:.r_: . 110 ii�r y!/r5///ir jr / r /:;s �__\ . ' Al ilt Fetid r•hi'ilF�irr rrf rr� Silt F?nce 1 ► ":: i) mix 1011000 :,' �•'+. t t , ' ::' r r !!,t r S L.;. ash � t {: ' f+rrrr rr J A. .. rt r r ,, ! ..c _ ti s it ilrrlrlfr 1 :.� F r: `..:�..� 1 s�c--�t E �1 �.,.4", %il I I • - - - '-- . .. N ,,,, , , ........-.. , ... ; , , 1 1. t ./. ,, -r 11 AIM \ 875sgft 1 ,ice sww.• t 11 F:1 % ,r/ - N mink C-3i7or.1 .r. , I i t I 51-!::..:.:12,1 ' J 1 /e • f 1 lii�:��i LOS'f WT tf `� ' f i ►1� ! tit 1 um soar u'l ori C o c o n ,I o rr1 se) IV I''c Building Permit Applica '\IED Residential FOR OFFICE 1 sl•:ONLY 2 2014 City of Tigard SEP ede7„lily / Permit No.: r . gyp/ -b0 5� III13125 SW Hall Blvd.,Tigard,OR f Plan Revi Phone: 503.718.2439 Fax: 503.�Lnn `D DatelBy: Other Permit: T I G A R D Inspection Line: 503.639.4175 BUIL j 11S1O Date Ready/By: /'.5 /9.� 'iris. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING • ❑New construction ®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 work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: 00 \ ❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: '...P Master builder ❑Outer: Number of bathrooms: TE AND LOCATION Total number of floors: Job site address: 14465 SW JOB 125SI ` Ave INFORMATION New dwelling area: square feet City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet F... ■ .Suite/bldg./apt.no.: l Project name: 601 fj(%c)2 Covered porch area: square feet Gross street/directions to job site:SW 125' Ave and Bull Mt Road 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 performed. ax map/parcel no.:2S109AA01000 Indicate the value(rounded to the nearest ar)of all equipment,mai. 'als,labor,overlie..' . d the profit for the ' DESCRIPTION OF WORK work indicated o this applicatio House Demolition c,/ �h �t-t 'l t— Valuation: $ v / Existing building : square feet New building ar•.: square feet VEl PROPERTY OWNER 0 TENANT Number of 'ries: ' . V Name:Justin and Tracy Sandford Type of instruction: ~Address:13604 SW Ascension Dr Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)341-1858 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* IC:3Z Business name:Justin and Tracy Sandford (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Justin Sandford FLS plan review fee(if applicable): Address:13604 SW Ascension Dr Total fees due upon application: City/State/ZIP:Tigard,OR 97223 Amount received: 4 Phone:(503)341-1858 l Fax::( ) E-mail:Justin.Sandford @yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* \.. — Commercial 1 residential prescriptive installation of \ CONTRACTOR roof-top mounte s 'hotoVoltaic Solar Panel System. Business name: Keystone Contracting Submit two(2)sets r roof plan w. . -. I ection details and fire department ac - , . :with the 2010 Oregon Address:417 NW 209th Street Solar Installation Spec' t ode checklist. Permit Fee udes pl: eview City/State/ZIP:Ridgefield,WA 98642 administrative $180.00 Phone:(360)887-8157 I ( ) State sure 1...:• °a of permit fee): $21.60 CCB lic.:64144 .t/ 41// Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit i of obtained within 180 days after it has been accepted as complete. I Print name:Justin Sandford I Date:8/28/2014 I *Fee methodology set by Tri-County Building Industry .1) •.• IN — _• e - I V ∎ SECT/ON/0;Ti c4, f —� . AI' ! ‘' rs `'•� .i0,O/9° h V h ri OF BE6/NN/NG CI h0 I W ,Storm Dro�noge `°o o� '� \ �� 2/ ,o n 2 I h Ease-inenf o :5 33,5. 8°' b /,HEREBY CERT/Fy 7 `T,°o 7 I O 8 ° k Q o' rpJ Q. (`V yaa° N ., IS ATRUE AAt Er, ti O ,1 a•. 440/3°' I o % i 44047°. 0,047 0.q, 30,007 ti p ,,3, ►� Of TNEPLAT OF II as 1N Oti ya `, 0 O C) 1 I CO O f , rP 00. 2sr,�j�(R J f//9R oY1 j bI•!3 .3eca 23.// 43 `'0 5 . DEU/C4//cih • /4 .7a /97 a. KNOW ALL MEN BY ��j 6 �� h� /3.62 h h ©!e'S o y 20 .4N0 DECLARE T//E SAJ7ti 222.09 h - S•0• ao,00,./°' ¢i C. °• AfF/DAN/T ATRL �,,� '`n c.534( C�RyLUS COURT:, 0 111.54 CO cro 44,B92 /N THE LOCAT/O/l S0,2 Tory (pi R " /3.62 • -6600 / 60.s2 °� ^) W°,r_ % AND EASEMENTS Easement o6„ ,q9 49 // / Z3• so ao•. e��� s 'rr b / c� ��� 7 I° ZI 29i o_ / � v `� ti 44 V / N 4/,643 S747E Of ORESON 1 .1� �y- 3-9,8S2° op �� 442 4° n Q 4/,666° ti® ® CYIUNTYOFNAS/1/N6; hl 1.• ti et O WEST /25.00 pl Son.for.¢wafer 5 p./2 ti 00 • TINS CERT/F/ES ,W ti; Easement /ypfer ,SfO�in ME PERSONALLY —1 I+s• / / Easement 0 29.7/ PERSONALLY KNOB /65.00 i / /55.00 n v AMES/3 PRES/D !'NEST .320.00 • NO/°`f5��9 4' :o 3/4-lei'. k SB6°02"00�� /7'`�•'B'7 DE!/ELOPMENT/ti • • /37.,36. o h .44 NBB°/4'20"E o WAS J/6NE0 /N Be M IQ /633/ n O BO.4.9D Of D/REC Ck ACICNON/LE06E O � a V ZO 3 N ") a Q II ° 0 BOOK //07/GAGE 6/7 fN Vt h sk N p ~• `3 L4 O 2 O w ti a ro p 4/,/7$° ti p ti 4/,9/S°� k)03 o I i i 14441 --- -- f J 111111 ! 11395 IP tiao,... IP ILI > • Q 9�`///y _ SS 100004 - - . �_ _ P-� il'tt4_.� CORY US CT 14505 .j! � ,fin J J / , i ,0 08003 145 12350 14545 ~ 1 `._ 4 Feet C 12` I ? I Ufn SEWER PERMIT Unified Sewerage Agency •- - it of Washington County CITY OF DATtd'� OWNER: �� ,z�l.�s n PHONE: OWNER 'S ADDRESS: /9/-/G-1-3 TYPE OF INSTALLATION: SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINE TAP TYPE OF OCCUPANCY: ❑ NEW ❑ EXISTING ® SINGLE FAMILY ❑ COMMERCIAL ❑ EXIST. (PRIOR TO 7-1-70) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS ADDRESS OF STRUCTURE: AlpC'L e. PenoIt Conditions: The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency, When calling for inspection,please refer to the Permit Number. The Application expires In one hundred twenty(120) days. The amount paid will be forfeited should expiration occur. The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect three feet in all directions from the distance and depth given. If not so located, the Installer shall purchase a 'Tap and Side Sewer' Permit at the current charge and the Agency will install a lateral at the location specified by the installer. FEES: PERMIT FEE 62,-L. o•) s 3D CONNECTION CHARGE WOO LINE TAP INSTALLATION e� ' OTHER �—� ISSUED BY TOTAL s 3 33' APPLICANT DATE SEWS ,PERMIT ADDRESS OF STRUCTURE TAX MAP 2 s /— '), TAX LOT SYSTEM LOT BLOCK OF :Su; /D-u- BL APPROVED BY DATE ISSUE Y l DATE *-, rM. pt' F 3 ira T She 0.U. S REMARKS •