Permit J. "a -*
CITY OF TIGARD /'� BUILDING PERMIT
(./ PERMIT #: BUP2000 -00108
• r DEVELOPMENT SERVICES DATE ISSUED: 4/6/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 /n
SITE ADDRESS: 13515 SW 72ND AVE / PARCEL: 2S101 DC -00300
SUBDIVISION: 4 ZONING: C -P
BLOCK: LOT: 9 RISDICTION: TIG
REISSUE: FLOOR AREAS TERIOR WALL CONSTRUCTION
CLASS 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:
OCCUPANCY GRP: R3 TOTAL AREA: 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 single family residence. All debris to be removed, septic tank must be pumped, filled and inspected.
Owner: Contractor:
PACIFIC NW PROPERTIES LP DAN OBRIST DEMOLITION
9950 SW ARCTIC DR 6431 SE JENNE RD
BEAVERTON, OR 97005 PORTLAND, OR 97236
Phone: Phone: 667 -4042
Reg #: LIC 00105618
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pump /Fill Septic Tank lnsp
PRMT DEB 4/6/00 $50.00 0001233 Final Inspection
5PCT DEB 4/6/00 $4.00 0001233
EROS DEB 4/6/00 $26.00 0001233
ERPC DEB 4/6/00 $8.45 0001233
(additional fees not listed here)
Total $96.90
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.
Permitee / _ /
Signature: 41; / f/
■7 4. a.,/n / Qi
Issued : : ■ r .I ; .I . ' ilk cd '
Call 639 •175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Permit Application Fec'' ' `r) •
134?..5 M HALL BLVD. ---D Date Reed V--6 n o 0
TIGARD, OR 97223 EDL.1 l /G Date to P.E.
(503) 639 X171 Date to
Perm' :0 V —CO05(
Print or Type Related swRa
Incomplete or illegible applications will not be accepted cater - -- • •
Name of Development/Project Existing Building 0 New Building 0
. Job 72nd Aver no Teardown
Address SCaet Address Site Building .
13515 SW 72nd Ave. Data
Bag • - City/State Lp Existing Use of Building or Property:
• Tigard, OR 97223 Vacant
• Name
Property Pacific NW Properties, LP Proposed Use of Building or Property: .
Owner Mating Address Suite DFtii IOLISH HOUSE
9665 SW Allen 115 No. Of Stories:
City/State . Zip Phone
Beaverton, OR 9700` 626 -3500 Sq. Ft. Of Proje¢
Occupant Name • 2300 sq. ft'.
Occupancy Class(es)
Vacant
Name • , C - P
Contractor Dan Obrist Inc. Type(s) of Construction 00300
Prior to permit Mang Address suite • • da - roL sit hse @ Map/ILO 2S101DG .
tsau". a copy 6431 SE Jenne Road
of all Iles .
are required if City /State .Zp Phone
expired In C.O.T.
database Portland, OR 97236 667 -4:42 4 Perticipatien
Oregon Conat. Coot ecerd Liar Exp. Date
105618 X99 Project $
Name .- a :--0 f . Valuation
Architect N/A Plans Required: it
Mabinp Address Suite A .c..
' Ctty /State ZIP Phone 1 hereby acknowledge that I have read this application, that the Information
• given Is Correa, that 1 am the owner or authorized agent of the owner, and
. - that plans submitted are In corrfliance with Oregon State Laws.
Engineer Name
N/A • atu -. of Owr, r /Age . Date
• Mang Address • suite , 1 r�r, " t • . 7'' 6 00
'' ontact Person Name it e i tor, Phone
City/State Zip Phone Jo Beckett ' 626 -3500
FOR OFFICE USE ONLY .
Indicate type of work: New 0 Adduon 0 Demolition ( . _° 5 - --- '- t ' : i
.,•z— 7,; = �;:9iidlJ�e � i'
Accessary Structure 0 Foundation Only 0 Alteration 0 t----,..41:.,- �.: - . r .. z _ xsz ., : _ ;; ,_ =�-_ � . - .� ._ _
Reoa :r 0 Other 0 (Notes ..:..6 : — -. • __ 5: ,.:. .
..,.��;33n _. ��' } : >j- :�., 'r ,�•t. °i.r� ,
DEMOLISH HOUSE ;,
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9
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 2-UCO - 001O2
Date Requested S/Z 3/03 AM PM BLD
Location I 5( 5 - 2211A , -( -L Suite MEC
Contact Person Ph (.Q? -p r 3.S Do PLM
Contractor °— j9aY) — Ph (,P( 7'WY (BUIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab • SIT
Post & Beam / e�
Ext Sheath /Shear S'��� ,_ . .
Int Sheath /Shear
Framing
Insulation ( /
Drywall Nailing t( C,6�.r��
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roo `
SC: 10110LeMV
,4j1 PART FAIL
PLUMBING
Post & Beam �f
Under Slab r ! ` ' Z//
Top Out
Water Service
Sanitary Drains Sewer
Rain l i( / T c
in Dr �/ C�
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In q // LC Co 0-1,4:-..fr s Fw eVZ_
Gas Line
Smoke Dampers C //Lie ��; ! �j) )
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk Other D /1 7 /L/' Inspector Ext
///
Final
PASS PART FAIL DO NOT REMOVE this inspection record from th job site.