Permit , r' , " X CITY OF TIGARD BUILDING PERMIT II
PERMIT #: BUP2006 -00496
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103AD-00106
SITE ADDRESS: 10825 SW FONNER ST ZONING: R -4.5
SUBDIVISION: MILESBROOK LOT: 015 JURISDICTION: TIG
Project Description: DEMO 2 Structures 1400sf, 1600sf. on septic. DEMO CREDITS APPLY FOR SDC FEES.
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: UNK 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:
SPECTRUM DEVELOPMENT LLC GVS CONTRACTING
PO BOX 3440 700 N. COLLEGE
WILSONVILLE, OR 97070 NEWBERG, OR 97140
Phone: 503 - 570 -8828 Contact #: PRI 503 - 538 -2998
FEES Reg #: LIC 54340
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/15/L:.")€ $62.50
[TAX] 8% State Surcha 11/15/200€ $5.00
[ERPRMT] Erosion Con 11/15/200€ $26.00
[ERPLN] Erosn Pin Rv C 11/15/200€ $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 CZ Permittee Signature: c,- 6 rr- i a ;�
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 ONLY /y
74 . City of Tigard Received Q permit No. , �D O � y J�
`J Date /B ) 0 1`� d i !J
13125 SW W Hall Blvd., Tigard, OR 972 OCT Plan Revie
- Phone: 503.639.4171 Fax: 503.598.1960 T � j 2006 Date /B / ie 4q O Other Permit.
T I GARD Inspection Line: 503.639 4175 Date Ready /By Jar' RI See Page 2 for
Internet www.tigard - gov CITY OF TIGARD Notified /Method 1 Supplemental Information
BUILDING DM ,Nom
-,- ,: _ _ "T YPE OF WORK _ , - °.REQUIRED'.DATA: AND, ° DWELLING s °:
❑ 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, matenals, labor, overhead, and the profit for the
' "CATEGORY'. OF' CONSTRUCTION.'' , v; -_ work indicated on this application.
Valuation: $
® 1- and 2- family dwelling ❑ Commercial /industrial
-
111 Accessory building El Multi-family Number of bedrooms:
i ❑ Master builder ❑ Other: Number of bathrooms:
*' ' „, ° .
JOB '° -SITE INFORMATION .`AND, "LOCATLON _ = ; -F f. „, Total number of floors:
Job site address: 10825 SW Fonner E New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 -"'(le-_ Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: Milesbrook Subdivision Covered porch area: square feet
Cross street /directions to Job site: Between Fonner and Errol Deck area: square feet
Other structure area: square feet
V` REQUIRED.` DATA :`COMMERCIAL= USIPCHECKLIST°°
Subdivision: New - Milesbrook Subdivision Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S103AD TL 106 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
,. ' "t . DESCRIPTION Orr -WORK i:.'":1,;----.(i. `_ '. work indicated on this application.
Demo existing Structures for neighborhood safety.
Valuation: $
1 10 j (, DUB" Existing building area: square feet
Case No. SUB 2006 -00007 New building area: square feet
,., ®4PROPERTY ' OWNER% r° ' " ° :7,'M TENANT q ° - Number of stories:
Name: Spectrum Development, LLC Type of construction:
Address: PO Box 3440 Occupancy groups:
City/State /ZIP: Wilsonville, OR 97070 Existing:
Phone: (503- )570 -8828 Fax: (503)570 -8869 New:
? `,:°APPLICANT ' , '' ' /'PERSON? - _ a, =°' - .t' -, °;,. " °' +. s ),,,..7.-' ,"4 , . , , _ w -- . - , ,, ; ,.. , , . ,, ,. , -° a wG ;= _ `S -ICE„,
Business name: Same All contractors and subcontractors are required to be
Contact name: Kurt Dalbey licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Same Jurisdiction in which work is being performed. If the
City /State /ZIP: Same applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail: kdalbey @beaconhomesnw.com
- ; < -, ° ,:' s' e s ` :CONTRACTOR „ „ , x - ..- . )-"
Business name: Notyet-seiLTTSB... Ot„,) lrE/ -ok j am. . . ° .„ t a ,.:1 BUILDIN G�PERMIT FEES *. -
Address: ° ^' . - (Please refer' to fee schedule)= '
City /State /ZIP: Structural plan review fee (or deposit):'
Phone: ( ) Alt\\ FLS plan review fee (if applicable):
Fax: ( )
CCB he.: I N Total fees due upon application:
Amount received: / / 0.1'0
Authonzed signature: This permit application expires if a permit is not obtained
` i within 180 days after it has been accepted as complete.
Print name: G, R i l ` q S),1i,. Date: lb (�IO\y * Fee methodology set by Tn- County Building Industry
JJ Service Board
I:\Building\Penmts \SIT- PermitApp.doc 06/26/06 440- 4613T(11/02/COM /WEB)
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SOLD BY, CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT
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RECEIVED BY " "`"'"24. a ..
TOTAL 0 .. 7 --- ;
All claims and returned,doodsMWST, be accompanie y, is bill
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CITY ���� ��U��������
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BUILDING DIVISION PERMIT #: BUp2O06..08458
13125SVVHall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/15/2006
Phone: (503) 639-4171 ''
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2114/2007 TIME: 7:01Ahl PAGE: 8
SITE ADDRESS: 10825 SW FONNER ST CLASS OF WORK:
SUBDIVISION: hA|LESBROQK LOT #: 015 TYPE OF USE:
PROJECT NAME: M)LESBR0{)K0UBD|Y|S{AN
DESCRIPTION: DEMO 2 Structures 148Dmf.16ODsf.*naGmiic. DEMO CREDITS APPLY FOR SDC FEES.
OWNER: SPECTRUM DEVELOPMENT LLC, PHONE #: 5O3
CONTRACTOR: GVS CONTRACTING PHONE #: 508'538-2993
Inspection Request Scheduled For: [)ate: 2/14/2OO7 Pour Time:
Code # Inspection Description Confirm # Contact #
299 Fina|in*pectimn 043407'01 603-209-8169
Corrections/Comments/Instructions:
•
� PASS � PARTIAL NO ACCESS ' | CANCEL �
r - / / / ' /
| | FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: ^mw��� Date: �� u� � Phone #: (503) 718-