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ORIGINAL DOCUMENT 9I I
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12400 SW Bull Mountain Road
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NU .Sb'( I�kJJ LC�HA . NITAR ' SERV'I
CE
INvolce NO.
8600•SW Hillsboro Hwy., Hillsboro, OR 97123
303.644-2797 * 503-648-6254 503-639-5188 .6710
NAME:
ADOREss: 7exo ,
CITY:- STATE: ZIP:
r —
HOME: _ �Z�/- 0.33 WORK: CELL.
Joa Srm: P.O. :
PAID BY CHARGFv� CHECK O CASH LJ CREDIT CARD Ll -
DATE DRIVER
744" / AMOUNT
PUMP SEPTIC TANK
❑ LINE OPENING
❑ INSPECTION FEE
❑ _ SERVICE CALL
❑ LABOR, LOCATINu, DIOGINO, BACKFILL
O MATERIAL `
--
- - Tf+is Is Nor A SEPTIC SY EM INSPECTION REPORT - - TOTAL
__-- ._�_
- - REMARKS - -
TYPE
_ REMARKS - - - ----
TYPE OF TANK: STE LJ C NCRETE ❑ P
lAS]'1C O HOMEMADE ❑
HO IZONTAL ❑ VER CAL ❑ CTANGLE D ❑ OTHER
SIZE OF TANK: 3SQ ❑ �QQ ❑ 7 ❑ Q ❑ 120 ❑ 15CQ ❑ 2000 ❑ 3000 ❑
Lit) LOCAT1oN: INLET ❑ OUTLET MIDDLE O ENTIRE TOP ❑
TANK CONOMON: GOOD ❑ FAIR ❑ POOR ❑
Fn-nNGS: BAFFLES O CONC CAST IRON ❑ PLASTIC ❑
NEEDS NEw Lit)? YES O Si _
GROUND COVER OVER TANK - - -
COMMEMTS ON CfINDmoN OF DRAT an ETC.
DATF
u o
' BUILDING PERMIT _
' CITY OF TIGARD PERMIT#: BUP2002-00430
DEVELOPMENT SERVICES DATE ISSUED: 10/2/02
13125 SW Hall Blvd.,Tiaard,OR 97223 (503)639-4171 PARCEL: 2S110BC-01000
SITE ADDRESS: 12400 SW BULL MOUNTAIN RD
SUBDIVISION: THORNWOOD ZONING: R-7
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DFM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS_?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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:
Remarks: Demolition of 4,480 sq ft SF residence. All demolition debris is to be removed, septic tank will be removed. SDC
credits to apply to future construction.
Owner: Contractor:
VENTURE PROPERTIES INC NORTHWEST EARTHMOVERS INC
4230 SW GALEWOOD #100 PO BOX 1467
LAKE OSWEGO, OR 97035 TUALATIN, OR 97062
Phone: 503-387-7600
Phone:
Reg#: LIC 00062761
FEES REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 046-8�/; y
1BUILD] Permit Fee 10/2/02 $62.50 Pump/Fill Septic Tank Insp
Final Inspection
1I311ILDj Permit Fee 10/2/02 $0.00
rrAXj 8%,State Tax 10/2/02 $5.00
1'rAXj 8%State"rax 10/2/02 $0.00
(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 wi l expire if work is
not started within 180 nays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. 'Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling((503)246-6699 or 1-800-332-2344.
l { ,
Issued By: ►� 'Jl.k_ , L�e Gy�� 71/l _
Permittee
Signature: ----
li all 639-4175 by 7 p.m. for an Inspection the next business day
wilding Permit Application
7Datermeceiv"ed: ... 2- Permitno.: ' ,Ca/?,)City of Tigard —
Address: 13125 SW Hall Blvd,Tigard,OR 97223 pl.no.: Expiredntc:
City n�Tigard —'-—
Phone: (503) '.139-0171 Date issued: By: Receipt no.:
Fax: (503) 598-!960 Cuse file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction XDcmolition
U Addition/alteration/replacement U Te,ant improvement U Fire sprinkler/alarm U Other•
INFORMATION
Job address: D f Bldg.no.: Suite nv.:
Lot: I Block: Subdivision: _ Tax mapltax lot/account no.:
Project name: /r,fz rU LJ LrY�D _:fLl -1 --
Description and location of work on premises/special conditions:
1 ' SPEQAL INFORMATION, USE, CHECKLIST
Name: �
rrsolar,
Mailing address: ,tlZ J =� DgaF• 1&2 family dwelling:
"IlaiC: ZIP: e)' _ Valuation of work........................................ Y
Phone: Sc3-3F7_;U)d Fax: Email: No.of bedrooms/baths................................. -
Owner's representative: . Total number of floors................................. _
Phone: =- Fax: F-mail: New dwelling area(sq.ft.) ..........................
Garage/carport arca(sq.ft.).........................
---------------- -
Name: Covered porch area(sq. ft.) ......................... ---
---------- - -
Mailing address: Deck area(sq. ft.) ........................................ _
— -�- --- Other structure areas .ft.
City: State: _ 'T.IP: (. )......................... --
Phone: I a., E-mail: CommerelaVindavtrial/multi-family:
Valuation of work........................................ $
Existing bldg.area(sq.ft.) .......................... --_
Business name: :-,7 ��K=• New bldg.area(sq.ft.)................................
Address: �� � --
City: State• ZIP: O!o Z. Number of stories........................................ ------_- --
Phone; _ �.A Fax: # A3y E-mail
Type of construction.................................... -
--- Occupancy group(s): Existing:
CCB no.: 6Z 7G,_(------ --
- ------ - --- -- New:
City/metro lie.no.: Notice:All contractors and subcontractors are required to be
ftmmlicensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he required to he licensed in the
Address:
- - --- -- - - -------- jurisdiction where work is being performed. If the applicant is
- —F-sp
— exempt from licensing,the following reason applies:
City: : ZIP:Contact person: no.: - —
Phone: Fax: is-mail: - ---- -
Name:/AVAJ5 fk MCSN ASC�L -1 Contact person: �� t Fees due upon application ........................... $ _.
Address: 6KY Ik) jIZ,v G. — Date received:
City: T _ state: jJ> IZIR jJZZ.3 Amount received ............... $
Phone: Fax: I E-mail:_ I'lease refer to fee schedule.
I hereby certify I have read and examined!his ap lication and the Not all Jurisdictions accept credit cants,please call Jurisdiction rot more information.
attached checklist. All provisions `A and inances governing this U Visa U MasterCard
work will he complied with ci herein or not. /,/f Credit card number
e
/
Expir
Authorized signaGt ate: l_i- Name of carrarolder as shown on credit card
01
S
Print namr:_---._ '_ ! 14_ *�=J ('ardbd kr siRnatum _-- — Amount
Notice 'htis permit application expires it a permir k not ohtained withiti 190 days afler it has been accepted as complete 440-4611(6AXWont)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.: _
Associated pernuts.
City of Tigard City of Tigard U Electrical U Plumbing 'J Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U ether:
Phone. (503) 639-4171
Fax: (503) 598-1960
REQUIRED FOR PLAN�REVIEW Yes No N/A
I Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 zoning.I loo(;plain,solar halance points,seismic soils designation,historic district,etc. -
3 Verification of approved plat/lot.
4 Fire district—_—_approval required.
S Septic vystem permit or authorization for remodel.Existing system capacity
6 Sewer permit._ _
7 Water district approval.
_
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc. _._
I0 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state +�
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.Plan review cannot he completed
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if
there is more dean a 4-11.elevation differential,plan must show contour lines at 24 intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations,direction indicator;lot
area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may he required to clearly portray constriction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. f
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable. _
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non- rescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing.and hearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details s'iowing placement of rebar.For engineered
systems,see item 22,"Engineer's calculations." _
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over Ill feet long and/or any beam joist carrying a non-uniform load,
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.identify file prescriptive path or provide calculations.A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in Oregon and shall be shown to he applicable to the project under re\iew.
23 Five(5)site plans are required for item I 1 above. Site plans must be 8-1/2" x I I"or I I" x 17". _
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 4404614MXWOMt
SEE 35MM
ROLL #2 0
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received Date R nSuite MEGested—2 _`__--- AM._ PM — BUP
_ _ _
Location _ aG� __ _ -�jr—�- - -
Contact Person Ph PLM
Contractor _ _ Ph( _) _ — SWR
_" DIN Tenant/Owner — ELC
g ELC
Foundation Access:
Ftg Drain ELR -- -- - -
Crawl Drain SIT
Slab Inspection Notes: ---------
Post&Beam - - --- --- ---- --_-_-
Shear Anchors -
Ext Sheath/Shear --- - -- ----
Int Sheath/Shear
Framing --- _ ------ ------- - __----- -----
Insulation
Drywall Nailing -- -- ----- ----- ---- _.---- ----
Firewall
Fire Sprinkler --- -�--- ---"--�- -_-- -��
Fire Alarm
Susp'd Ceiling ----....___ ------------------ --- -__- �.._ -...---
Roof - - ------ -- _ - -----
Other:
Vsi_
PART FAIL
eam
l oder Slab - -- --- --------------- - ------ - ... ---
Rough-In
Vilater Service ---- — - - - --- -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain -------- ---- --_ _---.. --- ---_-
Shower Pan
Other: --- ------------._.._ -----------------------.__-- -- - ___ --
-----------
Final
PASS PART FAIL
MECHANICAL - -
Post&Beam
Rough-In -- -- - - -- ---- -...------ . - -
Gas Line
Smoke Dampers --- ------- - -- - -- -- -- -- --- - - -
Final
PASS PART _FAIL ---- ---- -- --_-- - - --- ----- -.-.. -_
ELECTRICAL
Service ----- --- -- --- ------- ---_--
Rough-In _ ____ ----- --- -- ---- --
UG/Slab --
Low Voltage --_ _------ -- - - ---- - -- -
Fire Alarm
Final L7 Reinspection fee o1$_._ - __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PA33 PART FAIL Unable to inspect- no access
SITE -- �� Please call for reinspection RE: _ __--- P
Fire Supply Line _
ADA Dab _ 1L - -- Inspector_. - Ext -
Approach/Sidewalk - ----- -
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL