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Permit I0 1 CITY OF TIGARD , 4 BUILDING PERMIT PERMIT #: BUP2007 00377 COMMUNITY DEVELOPMENT DATE ISSUED: 7/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133CA-00200 SITE ADDRESS: 11035 SW 135TH AVE ZONING: R -25 SUBDIVISION: VILLAGE AT SUMMER CREEK LOT: JURISDICTION: TIG PROJECT: VILLAGE AT SUMMER CREEK Project Description: Demo: 1480sf residential dwelling on septic. UPON FINAL INSPECTION DEMO CREDITS MAY APPLY FOR SDC FEES. d 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: R3 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: INTEGRITY DEVELOPMENT GROUP MOORE EXCAVATION, INC 16505 NW BETHANY CT. PO BOX 30569 BEAVERTON, OR 97006 PORTLAND, OR 97230 Phone: 503 - 629 0455 Contact #: PRI 503 - 252 - 1180 FAX 503 - 252 -1730 Reg #: LIC 28397 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 7/17/2007 $62.50 Ersn Cntrl 681 [TAX] 8% State Surcha 7/17/2007 $5.00 [ERPRMT] Erosion Con 7/17/2007 $26.00 [ERPLN] Erosn Pln Rv ( 7/17/2007 $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. At I Issued By: A i 1 _ it Permittee Signature: . l y _-_,, Call 503.639.4175 by 7:00 a.m. for an inspection that business t . This permit card shall be kept in a conspicuous place on the job site until • d etion of the project. Approved plans are required on the job site at the time of 3 . inspection. Building Permit Applicatio a + s ;r e FOR OFFICE' JSE ONLY fi' , "�: Receive Tigard Of Ti City g Permit N _, n*' � r`+ Date /B l 7 D ► '1P _ • •_ j _(7o 3 13125 SW Hall Blvd., Tigard, OR 97223 JUL 1 i 200 Plan Revi w ti Phone: 503.639.4171 Fax: 503.598.1960 Date /B Other Permit TIGARD Inspection Line: 503.639.4175 CITY OF p It l '9 UAR(;,ate Ready /By p See Attached Checklist for Internet: www.tigard or.gov B otiBed /Method: Supplemental Information BIJiT.1DIN DIVISI tj. , L' W R � H. `� x F�,✓'x i4 ait sTYPE'OF WORKS "" "- '' , REQU1REDtDATA:`1 IANFAMILYDWEL�L1NG�; ❑ New construction Demolition 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"OFCOIVSTJ2UION y*� work indicated on this application. I and 2- family dwelling Valuation: $ ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: Z JOB SITJINFORIVIATIONANDLOCATi01!1 �`' Total number of floors: Job site address: I 1 p '« Su � S uE rsO' '"' 'i 7 � square feet Pt $ p City /State/ZIP: - flh.4(� 02 q�223 Garage /carport area: square feet Suite /bldg. /apt. no.: Project name: Vt& l-a6E ca. Sep - A Z. C2EE IC Covered porch area: square feet Cross street/directions to job site: SLyuS t=b' fLIZ� g,. -r- Deck area: square feet \ S "" AL) Other structure area: square feet �,fREQiIIRED DATA . y COMMERCIAI(`USE CHECKLIST;,x Subdivision: \/ILLAE�E Ar Lot no.: Permit fees` are based on the value of the work performed. `J I L t w StrL Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no 33G 1 t' S Ic7o o� - 3 po 5 O equipment, materials, labor, overhead, and the profit for the work indicated on this application Valuation: $ Q�Mo or— E��NG Hflu,� Existing building area: square feet 1�//lL ,-t C'?1 _ �' New building area: square feet '"''a �TENAN�T�^� a � -� Number of stories: Name: Tj 1 tb RT'E`y 6 R� Type of construction: Address: (��r Mtn AJ) (T Sc.iT'E t 2 Occupancy groups: City /State /ZIP: & } t/E1tTb . a R on Co Existing: Phone: (5a3 ) 62.9 - D tf SS- Fax: (,S 3 ) ` - 72/23 New: Business name: A1td AS A gavt All contractors and subcontractors are required lobe Contact name: C '....rE1T'E' licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: SflM c jurisdiction in which work is being performed. If the City /State /ZIP: SAS t applicant is exempt from licensing, the following reasons apply. y Phone: ('b) c' - Fax:: (Sv3) 4C6 - 222 3 E mall , i5o.v L 1M>;6ttrTy De1o+M Air C�Rc�u? COQ a �+ s F � a� �.„� .a CONTRACTORa Business name:�.t 5 t X C A V A ��1� 1 � n� BUILDINGPERIVII'I' FEES* � �a a a. ,' �(Flea se" efer to fee +schedule) ) �a,'v. ' Address.? �pX 3as Structural plan review fee (or deposit): City /State /ZIP: o ( 2 c_ 3 9 Phone: (S ) 2'2_ t0 Fax: (,b3 ) FLS plan review fee (if applicable): 252. I�� Total tees due upon application: CCs lie.: 2839 ". / O f, t9�t� V Amount 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 C+4 POnJ t � �� Date: �7 * Fee methodology set by Tr-County Building Industry Service Board. l:\ nuildine \Pcrmits\BUP- PermitApp.doc 03/21/1)6 440- 46I3'r(I l /02 /C0M/WPn) V age at Summer Crrk-ek Sub rilv s o ol 0 Y, t' r.. ' • ,, Bethany Stewart a' SUB2006 -10001 o r I 4 up City of Tigard N ' ., = "., �-i m Q� Development Engineering N ti '9 ,Y !i.. ©09$- 13125 SW Hall Blvd f� - : Tigar d, OR 97223 Parent Parcel(s): - v.kot) ', iiI___,.,..,,i , �D direct 503 - 718 -2459 1S113CA 00100 '. s° _, � bethany @tigard- or.gov 5�, 1m' I 1 un I ' - :, 1 S113CA - 00200 " !- r l TO LrtE RETIRED ADDRESSES 1 S113CA - 00300 �o i'a 03 SW 'd 35th Ave 1 S113CA - 01000 s' 1 11115 SW 135th Ave Zap Code: 97223 - y ii .- ..�.._.�me- u,- ...,armo._..., oa.e... :,.�,a...., 0„x4.,_.....,..,_ , i NEW ADDRESSES t Lot 1 - 13568 SW Rosemary Lane Lot 45 - 10907 SW Sage Terrace Lot 2 - 13572 SW Rosemary Lane Lot 46 - 10903 SW Sage Terrace P Lot 3 - 13580 SW Rosemary Lane Lot 47 - 10914 SW Sage Terrace Lot 4 • 13596 SW Rosemary Lane Lot 48 - 10922 SW Sage Terrace Lot 5 - 13602 SW Rosemary Lane Lot 49 - 10926 SW Sage Terrace Lot 6 - 13618 SW Rosemary Lane Lot 50 - 10938 SW Sage Terrace Lot 7 - 13620 SW Rosemary Lane Lot 51 - 10940 SW Sage Terrace Lot 8 - 13634 SW Rosemary Lane Lot 52 -10944 SW Sage Terrace Lot 9 - 13646 SW Rosemary Lane Lot 53 10976 SW Sage Terrace Lot 10 13652 SW Rosemary Lane Lot 54 - 10988 SW Sage Terrace Lot 11 - 13658 SW Rosemary Lane Lot 55 - 10994 SW Sage Terrace Lot 12 - 13660 SW Rosemary Lane Lot 56 - 11002 SW Sage Terrace Lot 13 - 13664 SW Rosemary Lane Lot 57 - 11010 SW Sage Terrace Lot 14 - 13676 SW Rosemary Lane Lot 58 - 11024 SW Sage Terrace Lot 15 - 13682 SW Rosemary Lane Lot 59 - 11036 SW Sage Terrace Lot 16 - 13688 SW Rosemary Lane Lot 60 -11044 SW Sage Terrace Lot 17 - 11095 SW Sage Terrace Lot 61 - 11052 SW Sage Terrace Lot 18 - 11091 SW Sage Terrace Lot 62 - 11060 SW Sage Terrace 1 Lot 19 - 11083 SW Sage Terrace Lot 63 - 11074 SW Sage Terrace Lot 20 - 11081 SW Sage Terrace Lot 64 - 11078 SW Sage Terrace Lot 21 - 11075 SW Sage Terrace Lot 65 - 11082 SW Sage Terrace Lot 22 - 11069 SW Sage Terrace Lot 66 - 11088 SW Sage Terrace Lot 23 -11057 SW Sage Terrace Lot 67 - 11090 SW Sage Terrace Lot 24 - 11041 SW Sage Terrace Lot 68 - 11096 SW Sage Terrace 1 Lot 25 - 11039 SW Sage Terrace Lot 69 11086 SW Mallow Terrace Lot 26 - 11023 SW Sage Terrace Lot 70 - 11084 SW Mallow Terrace Lot 27 - 11015 SW Sage Terrace Lot 71 - 11070 SW Mallow Terrace Lot 28 - 11007 SW Sage Terrace Lot 72 - 11066 SW Mallow Terrace Lot 29 - 10999 SW Sage Terrace Lot 73 - 11062 SW Mallow Terrace , Lot 30 - 10993 SW Sage Terrace Lot 74 - 11050 SW Mallow Terrace : Lot 31 - 10987 SW Sage Terrace Lot '75 "• 11048 SW Mallow Terrace Lot 32 - 10981 SW Sage Terrace Lot 76 - 11042 SW Mallow Terrace S Lot 33 - 10975 SW Sage Terrace Lot 77 - 11030 SW Mallow Terrace Lot 34 - 10973 SW Sage Terrace Lot 78 - 11026 SW Mallow Terrace Lot 35 - 10967 SW Sage Terrace Lot 79 - 11022 SW Mallow Terrace Lot 36 - 10961 SW Sage Terrace Lot 80 - 11018 SW Mallow Terrace Lot 37 10959 SW Sage Terrace Lot 81 - 11016 SW Mallow Terrace i Lot 38 - 10951 SW Sage Terrace Lot 82 - 11008 SW Mallow Terrace Lot 39 - 10943 SW Sage Terrace Lot 83 - 11098 SW Mallow Terrace Lot 40 - 10937 SW Sage Terrace Lot 84 - 13565 SW Rosemary Lane Lot 41 - 10935 SW Sage Terrace Lot 85 - 13559 SW Rosemary Lane Lot 42 - 10923 SW Sage Terrace Lot 86 - 13543 SW Rosemary Lane Lot 43 - 10919 SW Sage Terrace Lot 87 - 13537 SW Rosemary Lane 1 Lot 44 - 10911 SW Sage Terrace Lot 88 - 13531 SW Rosemary Lane CITY OF TIGARD Q�'� d'� - 0 ���� BUILDING DIVISION BU G PERMIT #: (a" 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /�4���jp1 lh Inspection Requests (24 Hrs.): (503) 639 -4175 °:_.. INSPECTION WORKSHEET FOR DATE: 4/ 0/t7 TIME: PAGE: SITE ADDRESS: t t 0 3 5 1S‹ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 7.44 Corrections /Comments /Instructions: _ . C v jj vt".4.0-eJk-/ o -b-t cam., s : '‘CLA - ci - - t • N ,. r TA.R.A,ss ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Z(,;(1-L---- Date: 4/, 0/ b Phone #: (503) 718 - --Z.4 24 P ! ) HPK U1-2UU3 f1UN U4:1y P11 WOKE EXCAVATION 1NQ..- - FAX NO. 5032521730 P. 02 Its iii - IA ,,,,,., 1 k3ktrJ© � tv ii! 41, l ,, i' .'� o Office: (503) 252-1180 •Fax: (503) 252 -1730 ^'�1 ■ _. : ? .._:4 Mailing: P.O. Box 30569, Portland. OR 97291 • Office: 17090 N.B. San Rafael -'!= ' �= OR CCB# 28397 • WA #iMO0RE1.166BR • NM #86330 811 ° N � � 7 April 7, 2008 //O &I f C 7 To Whom It May Concern: L _, excavated down to and collapsed into small pieces the two existing concrete septic tanks on the Village at Summer Creek project, located at 11035 SW 135 Avenue, Tigard, OR. Signature: Date: 7 - 7 - QC ,:,,,,, _ r f, G. Date: / 7 Project PM: v i � _ APR-07-2008 MON 04:19 PM MOORE EXCAVATION. INC FAX NO 5032521730 P. 03 . .....- • ..... ralo 23;31 FAX 5032883658 RIUgx CITY , itilNIIIND • Dale 07/26/07 .,-e - Scheduled 07/27/07 Contract Services Work Order # W0773 • Itiver City Environmental, Inc.. 603-252-6144 Complete Industrial Wsige Reirriovill P.O. Box 30087 Salem 503-363-2464 Vancouver 360-896-5256 Septic 'Tank Clerhning Portland, OR 97294 www.rivercityusa.conl Sump Line Cleaning OR CCB# 1473,85 WA CCB# RIVERCR981BT '' r gill Moore Excavation Moore Excavation P.O. Box 2,0569 11035 SW 135th Ave, Portiand, OR 97294-3569 Contact: 503-252-1180 PO# I 11 , • . • , ' ;, ‘ ::: 11' . ': , '.. ■ rr' ,r 1 . 1 P :" ' ',.. ' ' - ' . .". ''n'irA'11,;:l.i...1...'11110:. . , ‘ Se rViCe . '1 ,. ... •: ' s §iptip:sEINIce .,.. , .. ' .:. . .. .. - .... " • .; , . .. • ." • :,. •,, ...,:: ,.. :.. ,,„.•, . .,::-::.,.:,:: •.• .',.•. ., ., service SOPOOe dive.rgige . . ,.. . • • ... . . .. . • . . , . . , .... . . . Y..: - -.:. '.• ••• ... . . .1: ,..J : 1‘. Y1 , ' : "• 4 '. .:' ..:11. . :, 1 :• . '11. : :' 1 : 1 ' '': :'• ••• . . ' 1 1 '.' . '1 :.% ', 1, ' I ;1 . .. '••• :: '1•"!' : r'• 0 . •1 : .': . '.. ':'••: '•-.1.:.' • ••• ; ' i ; '','",;, ' 4: •1‘7' ■!.• • •.' i '.... ? 1 ' . il ' r;1' ,}ri/ 71; ; iti:. IF:, (3)7, , ! , ' , r ; 4; I I I . 4,11 , :;'. ..; : j'.;' • ' - fi i ;:g.'7: i -i, ...'• . . .• . . . . . . . . . • . .. . . . . . , . . . '• • • . 4 lilLS ‘ • ' . ' CI: , L;5' • • . ..—:' •''• ;.:• T .". ' l'..'' ::'.'-' '•'.---.'' ':';:.*:.''.•''::?.'. :: :•.'"...] '• "•:':. '•• .... . 1 , — c)0 • ..': • : '. ....!::. :.•"••.:' ., ,'::'...•''.i!'":.'''..'''',-. .. . . •• .......: ...,. . ... ,. .. ‘ t2, i , f • ,....,....• .,.,.... , '_ ,.. ,,,,.. ,• , . • •••-•_•,• - " • , — ' ' -_-_,-----..-, • . .66) ts-2- '.,-,- .. • ., : . . - I Totai Charges ,2,,,,n, el-1, • " - • .. • ••,... .• . River City Environmental, Inc. is In no way rcaponsible for damage to any vehicles, personal or real propeq, Terms 2 Net 10 days, 1.5% per month will be charged on past due accounts (18% per annum). Terms and Conditions ' The Right to Lien 7rie customer agrees to Pew nil invoices drisIng out of services, any any otIVr opeclal services herein within 10 days. Tile stistsxner agrees to pay wen extra roe overtime charges as may be Invoiced from time to time for serviette rendered, over and above the normal servicing ocnodule, on behalf of the customer. Ti u customer agf NS to kiimume responsIblEty oarneue to Custamer's rub or personal property arising from services which take elm on CLagornor11 premises, where the drivers and vehicles of River city Environmental have been Instructed to enter. "I'M includes, but is not limIteo to driveways, trees, power lines or poles and building sgueturas. Ii' iRlver City Environmental, 00.1410511 necessary to add liquid to the ISO on Iobsita, customer will be charged for tee additional gallonage resulting from them: ondidt.)n:5 customer agrees to reimburse River City Environmental, Int, for all reasonable attorneya fees coat costs and other expanse Inclined by sale, company to anfe'itri c:onection or to serve their rights under tie agre..enioni. It 1111r, work steer le not conteeted In writing within 10 days the fell amount Is considered No one payable. customer agrees to me above condition*. A fax en Inn wore order iv considered an ortflinal Redoomable In Multnomah coon), heck ;', _ Visa a • Amex Card # Exp Date ____ ______ Work Authorized by —, ., ..1.t4i . ' NAL-tX. Date -3- /_ / ( 0 - i , :6 Service: Tech #1 !Mil Service Tech *2 I 7 - -5 cl' ciate/ 7) C 1l171•12 _ ' ' .. ., • ..I r 'lli . ' ... ...._, , &E:. .,:1 -..-. , ii. •;:-.. — 1504913 CITY OF TIGARD . BUILDING DIVISION PERMIT #: LUP2007- 00377 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007 Phone: (503) 639 -4171 ZOO F Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 3/20/2008 TIME: 7:02AM PAGE: 61 I SITE ADDRESS: 11035 SW 135TH AVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: Demo: 14800 residential dwelling on septic. 4t.P AL INSPi C'I`IC ICI DEMO C� a J Yl PPL # - a, 13e ES. OWNER: f EVE±' 1 1 T GROUP, PHONE #: 503-629-0455 CONTRACTOR: MOORE EXCAVATION, INC PHONE #: 503 - 252-1180 Inspection Request Scheduled For: Date: 3/20/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 239 Final inspection 016888 -01 503969- 1453 N Corrections /Comment t , , , v.. --, F -\---; ci - 1. (i p 1 Instructions: u17 \( 5 /e--e-- r ■ \ ,r le- _ „---) i \ ..,, i — — 1 i • • E n PASS ❑ PARTIAL APPROVAL ❑ CANCEL Ill NO ACCESS I! FAIL ❑ CALL FOR INSPECTION - ❑ ADDITIONAL FEES A SESSED Inspector: Date: 37 Phone #: (503) 718 -V Z' 1