Permit } `CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00530
�, DEVELOPMENT SERVICES DATE ISSUED: 10/6/2005
s=` , ,m 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S136DD -03100
SITE ADDRESS: 11800 SW 69TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 009 JURISDICTION: TIG
Project Description: Demo 840 sq. ft. residential dwelling, on septic.
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:
SPECHT DEVELOPMENT, INC. COFFMAN EXCAVATION LLC
15400 SW MILLIKAN WAY PO BOX 687
BEAVERTON, OR 97006 OREGON CITY, OR 97045
Phone: 503 - 646 -2202 Phone: 503 - 656 -7000
Reg #: LIC 146689
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/6/2005 $62.50
[TAX] 8% State Surcha 10/6/2005 $5.00
[ERPRMT] Erosion Con 10/6/2005 $26.00
[ERPLN] Erosn Pln Rv C 10/6/2005 $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
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.
Issued By: Permittee Signature: el
i �I�I
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 FOR OFFICE USE Gi\'I..\
City of Tigard - DateB : Received I v • I / Permit No.: A oo fie
®® ""
13125 SW Hall Blvd., Tigard, OR 97223 �� E'� r ^,; r Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 7 }j' ,, i . ' i s Date/By: Other Permit:
Inspection Line: 503.639.4175 6 ! L 'I I Date Ready/By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us OCT 0 6 . I I Notified/Method: lG Supplemental Information
TYPEOIntIGARD REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction b UI f $ o N 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.
® m
1- and 2- family dwelling ❑ Comercial /industrial Valuation: $2,500.00
❑ 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: 11800 S. W.51iktun K 4) .— New dwelling area: square feet
City/ State/ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Specht Dartmouth Site Covered porch area: square feet
Cross street/directions to job ste: S. W. 67 and Clinton 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.
Tax map /parcel no.: T. L. 3100 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.
Demolish existing single family residence and accessory building S JLI Nt \ CJ Valuation: $
WO S a Y
)r , Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Specht Development, Inc. Type of construction:
Address: 15400 S. W. Millikan Way Occupancy groups:
City/State/ZIP: Beaverton, Oregon 97006 Existing:
Phone: (503)646 -2202 Fax: (503)626 -8903 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Specht Development, Inc. All contractors and subcontractors are required to be
Contact name: Joe Curran licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: As above jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: ( ) Fax:: ( )
E -mail: JCurran @spechtprop.com
CONTRACTOR
Business name:-TBl3 C' 7 yA/ .1 Coq Yi97 0/\/ BUILDING PERMIT FEES*
Address: ?. e, goat,' dp877 /3o /Y CL4LKcOw7AJ' � 1479_ ,a2 / ✓�
i Please refer to fee schedule.
City/State /ZIP: Z 4 a"/ c, Ty, 6Q g VS"
Fees due upon application $110.40
Phone: (fox) 6 Cn. Fac, a Fax: (S'OJ) ex s'LL. O !1, 862
Amount received
CCB lic.: /4/ (d'e&; CaMg cT - ,/,04. 0yJ Any 1
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Joe Curran Date: October 5, 2005 • Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Pmnits \BUP- PemntApp.doc 12/03 j //�ijl,1, eed Ar i/!i 440- 46]}T91/0L )OM/WEB) :4-2-4- $' / 7-7--/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S -00 i30
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/612005
Phone: (503) 639 -4171 A u�e�,ir ,..l�lla
Inspection Requests (24 Hrs.): (503) 639 -4175 ? '—
INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7 :02AM PAGE: 56
SITE ADDRESS: 11800 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: QQ9 TYPE OF USE:
PROJECT NAME: SPECHT DARTMOUTH
DESCRIPTION: Demo 840 sq. ft. residential dwelling, on septic. DEMO CREDITS APPLY FOR SDC FEES.
OWNER: SPECHT DEVELOPMENT, INC., PHONE #: 503 - 646.2202
CONTRACTOR: COFFMAN EXCAVATION LLC PHONE #: 503_656.7000
Inspection Request Scheduled For: Date: 10/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 037974 -02 603 - 718.2423 N
Corrections /Comments /Instructions:
r c
4C' ....
i , /1
0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: Date: 1 OA 0 co Phone #: (503) 718 - Z 7 z
`10/ 15:31 5036560686 COFFMAN EXCAVATION PAGE 02/02
ALOHA SANITARY SERVICE
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 10 6 5 6
503 -644 -2797 * 503 - 648 -6254. 503 -639 -5188
NAME:
ADDRESS: ? I gr, .± Q IYX9 ii f OAP °-''' 4 i. a 1 S
CITY: STATE: Zip:
HOME: WORK:
//�� __ • - CELL: "7IQ o qL-5
JOB SITE: i g I / eN Pa , Y" i I Ci! >`.le-r 1 P Q. #: �G! G
Ar
PAID BY CHARG = 0 CHECK ❑ CASH ❑ CREW* CARD ❑
DATE IJ -O.� Z 006, DRIVER 74441 i! I AMOUNT
PUMP SEPTIC TANK , ., I 0 . / - . 1 _ /Lid 4 Al
❑ INSPECTION FEE ,
❑ SERVICE CALL
❑ ' LABOR, LOCATING, DIGGING, BACKRLL
.
TOTAL $ u1
- - THIS Is NOT A SEPTIC SYSTEM INSPECTION REPORT - -
if/ , u - REMARKS - -
TYPE OF TANK: f . TEEL CI CONCRETE CI PLASTIC • HOMEMADE CI ' ' H oiu • , AL ❑ VERTICAL Q RE •• GLE ❑ ❑ OTHER
SIZE OF TANK: 350 ❑ • , ■ 750 ❑ c I I ❑ 1250 ❑ 1500 ❑ . 2000' d 3000 ❑
LID LOCATION: INLET ❑ OU 11 . MIDDLE ❑ ENnRE ToP U
TANK CoNDmoN: GOOD ❑ F ❑ _ , •.• R ❑
FITTINGS: BAFFLES ❑ NCREri:_❑ 1 VasTeliZ A-I RAWITC ❑ 2ETA ?1 "- —.
P►l'I',: :
NEEDS NEW LID? YES • SrZE —1' _ .. .
GROUND COVER DV • ANK \ 0. /b .. ��„±..._._ �, `. ...,,..„.
IP MMENTS • • • NDmoN of DRAINFIELD ETV .,..ti • - 1 .� ,. ; F;lt. �s ¢ '' .):, ». 4, ~ r ' =
SIGNED I j 'O� - -- DATE V • +.I :O ..
Pr