13565 SW 72ND AVENUE ADDRESS:
105 S W 7i.:2. A vj LI
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CITY OF TIGARD BUILDING INSPECTION DIVISION -_.7 4' % —0
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
5-1/&35
f i_ �( .• �.:UP -7— � 36
5 1J h:2>) Date Requested AM PM BLD —`
Location Suite MEC
Contact Person Ph A.7- PLM
Contractor .. . ' j� !n' "A /• -,, ,-)bGSWR — --
��
1"/ iv„ r ¢-
- BUILDIN) Tenant/Owner j--4(/// % t � dt4,1 ELC
—
Retaining Wall ELR —
Footing Access:
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes:
Slab — — SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
• Framing _ —_—
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd CeilliinRoof
�g2 0 —
Fin-
LAC. -
J.1 PART FAIL '�J -
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final -- ----�-�-
"PA-g5 PART FAIL
MECHANICAL
Post&Beam —----- -----
Rough In
Gas tine -- - --- -
Smoke Dampers
Final — -
—
PASS PART FAIL
ELECTRICAL — —
Service -- -- --Rough In
UG/Slab
Low Voltage
_ Fire AlarmFinal
PASS PART FAIL
S^ITE — - --
Backfill/Grading —`—
• Sanitary Sewer
Storm Drain [ I Reinspection fee of a- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ [Please call for reinspection RE: [ I Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector_ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
•
. .
CITY OF TIGARD
?--, DEVELOPMENT SERVICES BUILDING PERMIT
1111 F'E RM I T # • BUF'93-0438
13125 SWHaIIBlvd., Tigard, OR97223(503)639-4171 DATE ISSUED: 10/08/98
PARCEL: 2S 101 DC-00400
SITE ADDRESS. . . : 13565 SW 72ND AVE
• SUBDIVISION -ZONING:C—P
BLOCK LOT • JURISDICTION:TIS;
REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :DEM FIRST • 0 sf N: S: E: W:
TYPE OF USE. . . :SF SECOND. . . : 0 s f PROTECT OPEN I NGS?— -----
TYPE OF CONST. :SN , 0 s f h!: S: E: W:
OCCUPANCY GRP. : R3 TOTAL---- —: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 0
' - Remarks : Demolition of 2380 sq ft. single-family dwelling. Septic must he
pumped, filled, and inspected All debris to be hauled away.
Owner: - — -____-------_.._...-... _____.___..__—_. _.__.__—______.-- FEES
PACIFIC NW PROPERTIES type amount by date recpt
9665 SW ALLEN PRMT $ 25. 00 B 10/08/98 98-309818
• STE 115 5PCT $ 1. 25 B 10/08/98 98-309818
BEAVERTON OR 97005 EROS $ 26. 00 B 10/08/98 98-309818
Phone #: 626-3500 ERPC $ 8. 45 B 10/08/98 98-309818
ERPC $ 8. 45 B 10/08/98 98-309818
Contractor: ----
DAN ONRIST DEMOLITION
6431 SE JENNE RD
PORTLAND OR 97236
Phone #: 667-4042 $ 69. 15 TOTAL
Rey #. . : 001056
--REQUIRED ACTIONS or INSPECTIONS---•_.
(• This permit is issued subject to the regulations contained in thet .AtVt �0
1 Tigard Municipal Code, State of Ore. Specialty Codes and all other L C
applicablelclaws. A11 work will be done in accordance with ? � _ �^
approved plans. This permit will expire if work is not started it I __ DYn
within 180 days of issuance, nr if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the
-- rules adopted by the Oregca Utility Notification Center. Those _
rules are set forth in OAR 952-001-0810 through OAR 952-00101987.
You many obtain a copy of these rules or direct questions to OLNC
by calling (5031246-1987.
Permittee gignatlsi"r : Issued By : ,
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++44
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++a +++++++++++++++++++++++++++++++++++++++++++++++++++++
03/28/98 MON 18:49 FAX 303 393 1900 CITY OF TIGARD '1002P:TY OF TIGARD Permit Application Recd By ��
• 13125 SW HALL BLVD. ----0 _ ,, ' 'fit oata Road Pr-
TIGARD, OR 97223 d- i C/'v 7'' Date to P.E.
(503)639-4171 Date
bP° �)t 3"
Permit«
Print of I ype Related SWR II
Incomplete or illegible applications will not be accepted Called
Name of Dei,A,cnent/Projed Existing Building ❑ New Building 0
' Job 72tid Aver;j in Teardown
Address Street Add"' suite Building
• 13565 SW 72nd Ave. Data
Bag r—' City/State Zip Existing Use of Building or Property.
�Cigard, OR 97223 Vacant
Name
Property Pacific NW Properties, Li' Proposed Use of Building or Property:
Owner -Walling Address Suite DEMOLISH HOUSE
• 9665 SW Alletl 115 No.Of Stories:
City/State ZIP Phone
Beaverton, OR 97005 626-3500 Sq. Ft.Of Project
Occupant Name - 2300 Si. f t.
Vacant Occupancy Class(es)
• Name (;-I' •
Contractor Dan Obris t Excavation, Inc. Type(s)of Construction
•
Prior to permit Mating Address Seta cicliolish hse @ [ /IL; 25101 CC-00400
of Issuance.lcopy 6431 SE Jenne Road
are requin,d If City�h p Phoria f r� �,
expired In C.Q.
• database Portland, OR 97236 667. 1042
Oregon Covet.Cont.Board Llcf1 Exp.Date -
105618 5/2/99 Prtject — $
Name Valuation
Architect N/A Plans Required: it
Mallnp Address Suite
City/State Zip Phone I hereby acknowledge that I have read this application,the!the Information
given Is correct,that I am the owner or authorized agent of the owner,and
true Mans submitted are In compliance with Oregon State Lawn.
Engineer Name
iV/A Sigtature,ef Owner/Agent Date
Marino Address supe , 1 �',';,f1'T,`>A,,r, c„ 10/2/98• —
Intact Person Name � Phone
City/State Zip Phone .I,) ik,cl;e t t 626-3500
11: FOR OFFICE USE ONLY
Indicate type of work: Now 0 Addition 0 Demolition} •
Aeressory Structure 0 Fa,ndatbn Only 0 Attprar!on 0 , ,.,, :i:1;:,,!
l l• t ,. i 1.9n• far. M.
Reoa'r o Oilier C Note9 F — -
Deearlptto►r of work -- 1. ! . ,: '
DEMOLISH HOUSE , ,
i.1COMNEWII.UOC (DS1) 'i9A