15650 Bull Mountain Road 15650 BULL MOUNTAIN ROAD 1 OF 1 FILMED 2004
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15650 SW Bull Mountain Road
I
CITY OF TIGARD — BUILDING PERMIT
PERMIT#: B1102000 00384
DEVELOPMENT SERVICES DATE ISSUED: 9/14/00
'"�'� �• 13125 SW Hall Blvd.,Tiaari, OR 97223 (503) 639-4171
PARCEL: 7`;108t3D-00300
SITE ADDRESS: 15650 SW BULL MNT RD
SUBDIVISION: ZONING: R-7
BLOCK: LOT JURISDICTION: URB
REISSUE _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CL. SS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S. E: W:
OC':UPANCY 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?: READ SETBACKS REQUIRED
FLOOR
FLOOR LOAD: psf LEFT: ft RGHT: It FIR SPKL: SMOK DET,
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC.
BEORMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE.
Remarks: Demolition of existing 3000 square foot residence and 1200 square foot barn. Erosion control will be done at the
subdivision level. All demolition debris is to be removed from the site and the septic tank is to be pumped, filled
Own ar: Contractor:
GARDNER, ROBERT L /KAREN G BRENTWOOD HOMES
15650 SW BULL MTN RD 14912 SW SUMMERVIEW
TIGARD, OR 97224 TIGARD, OR 97223
Flione: Phone: 503-624-4663
Reg#: LIC 00018115
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pump/Fill Septic Tank Insp
513C2 CTR 9/14/00 $5.00 27200000000 Final Inspection
PRM4 CTR 9/14/00 $62.50 27200000000
Total $67.50
______________ - ] -..
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 Oregon Utility
Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
oe /
SI Z-'7 —
Signature: (�
Issued 9y _
Call 639-4175 by 7 p m. for an inspection ttw next business day
0
:ITY OF TIGARD erettnillaidi Building Permit Application Plan C I
;3125 SW HALL BLVD. ittt Recd y —
Dale Recd -/ -0
TIGARD, OR 97223 Date to P E.
503) 639-4171 r I 1 Date to DST ---
Print or Type Permit s iC.l4 0-003gV
Related SWR IS ---
,�/ Incomplete or illegible applications will not be accepted Called =-------
/C.hsi.. 7--.. s... ?h•..tc ar _
r Name of Development/Protect 7 Existing Building New Building fa
IJob isE O 5 i 3✓l/ rvT �c) . 5.0;s► .. 43,,.,a... Dtf.pr•,.� 3,wo rr
Address( Street Address Suite Building 1 J
Data a,,.) vr3: &a.,_ Afoot," /me, -5r4 r,.
-Bldg a — City'Slate
Zip— r Existing/ Use of Building or Property:
Tj73...) O T•) l JZ Z y /�1n I' a- )s{/v // Le. ?/c.....1,-to.cr 5.t ✓ >t.•-4_
- Name taiP clic M441,411'4C, r✓..:, o,„ tc.).(,)e.-tie
)/3 a -. /> J Proposed s of Building or Property:
r {r
Property � , ,� /'Uc.ff2 �
Owner ailing Address Suite
i ---
1/ f/2 5 w an.)..,e,.i e...di? NoOf Stories:
City/State Zip Phone ..
�y 4r�) c'IZ 772 2 Y f�25l-`/66 3 Sq. Ft. Of Project:
•Occiant Name 3,c.ov h.,
\` _ Nv et C,e,+-�T Occupancy�tass(es)
Name
r'
contract bType(s)of Construction
�c,,,r.,�,00d .���
Prior to permit Mailing Address Suite
issuance,a copy WII this project have a uppression System?
of all licensee )1//L 5 wS.„w.,•r0 4,ti L Z. _ Yes�_ No
are required If City/State Zip Phone
expired inC0T Americans with Disabili ct(ADA)
datahasP /,e a•r� GAIL 772 Z y (2Y '/- 6 Valuation X 25% = $ Participation
O �jonrs
Const.Cort Board tic" Exp.Date Complete Accessibility o
S00/5 Pro;t $ — -- —
Name Val ion
Arc liSect Plans Required. See Ma rix for number of sets to submit
Mailing Address - Suite on back
'--City/Slate Zip Phone I hereby acknowledge that I have read this application.that the information
given is correct.that I am the owner or authorized agent of the owner.and
----- that plans submitted are in compliance with Oregon State Laws
Engler Name __—
Sig lure of Owner/Agen/ Date
C., 2';
Address Suite V C-f' / .3 C.)
Contact Person KiZme ' Phone
City'State Zip Phone--
- - -- FOR OFFICE USE ONLY
!mown.type ofepurerk New 0 Ad0 Demolition 0 Map/TL!
Land Use,
Accessory Structure O Foundation Only 0 Alteration 0 _ 1
Rair o Other 0 �;h 1� n _ ---iiiNote : KlA+ .
Description of wet < Liss�
ITIF
Nota Sita Worts Permit Application must precede or accompany Building
Permit Application ` `.flaS
/ 1 .s c..., IT ,j.k c t.v /74.�&. C- �-
W
11COMNLTI DOC (DST) 5/98 1
L107 //0l /moo /c
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review ;s dependent upon submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S (Private) 1 S = Site Work
B (New or Add) ` 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
' B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) _ Building
'"BorB & M (Alt) 1
8 & M & P(Aft) 3
& ME(Alt) 3
'F3 & M & P & E & F(Alt) — 3
NOTES:
'Shaded areas designate ALT submittals only
I VistaformsVn•tncom doc 10/30/99
rl SEE 35MM
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