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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00249 a DEVELOPMENT SERVICES DATE ISSUED: 9/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102BA 02000 SITE ADDRESS: 12345 SW GRANT AVE ZONING: R - 4.5 SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT: 045 JURISDICTION: TIG Project Description: DEMO: 900SF house and 699sf garage on sewer. UPON FINAL INSPECTION DEMO CREDITS APPLY. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM 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: ELITE CARE OWNER 2300 SW 103RD PORTLAND, OR 97225 Phone: 971 506 - 0151 Contact #: FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/19/2006 $62.50 [TAX] 8% State Surcha 6/19/2006 $5.00 [ERPRMT] Erosion Con 6/19/2006 $26.00 [ERPLN] Erosn Pln Rv C 6/19/2006 $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(2_� {� Pl�1 Permittee Signature: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that bu = iness 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. IDE h'\0. Building Permit Application A ' FOR OF FICE USE ON City of Tigard C I `HI Received ' Date /B : / / 06 ! A Permit No . / 0(.9— obi 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie , JJ�J'v Phone: 503.639.4171 Fax: 503.598.1969''p i 200 h Date /B : Other Permit: / q�y • Inspection Line: 503.639.4175 i u Date Ready /By: El Se• Page 2 for Internet: www.ci.tigard.or.us t.Jf - t t o TIGARD Notified/Method: . Supplemental Information ,;.,._ - �;a s � r'' ;1L > ..-, - in ` . , - : YPE QF= W � ta .&� r° REQU1RED !1,, rUV F ��'l;��� >�- _� rs� -..,1 . a�:_ as�.� >3 �_m_.,�__• °i_��,— ` ate �, . _,K ;� �i.a� °3 �-� -��: –H r.�P.lza�.a��.�, < -.. �u �- a5 «;�. -. ,�4,z�ss�iaaP;f 5 . XNew 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 lP - _= 'x � ATECsOR,4 `���'x ®F �CONSTRUCTION <t � `7 =c� ; " work indicated on this application. C w � dwelling Valuation: $ ❑ I- and 2-family g ❑Commercial /industrial El Accessory building ,Multi- family Number of bedrooms: r] Master builder ❑ Other: Number of bathrooms: '`eq " JOB S f t∎ITOWr$TIZN A li L OC ATION `�` Total number of floors: t, i `z . , _ �mi llAt. . eta & a .. ove 'i Job site address: z 31/- 5 5 u3 to j2 A /N) 57 New dwelling area: square feet City/State /ZIP: — 2 — / &-,..ca 2.. - 9 7j 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ELI T E CA 2E F'-q C I LF1'f Covered porch area: square feet Cross street/directions to job site: A( G . p 'i\.) t . 5 . ) ( ' e " T Deck area: square feet 017 •C \ 1 I N 76 SC-,- -T I v "'r 1_,-.) I1-IA Other structure area: square feet SON OJS © pi R P O M MERGIAI US Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2 S I 0 Z p p d Indicate the value (rounded to the nearest dollar) of all overhead, and the p equipment, materials, labor , d a e ofit for the r - :: -Y !` , ' - work indicated on this application. '•i: . a.., �». - „:w. D ESCR, IPTI N OF O .a .Nattr anti .t ._ .: :.;.; .C. / 2 (7 2,2 0\-.) e • - Valuation: $ 1 !- t 1 1 / ( i /170 j/ Existing building area: square feet • Of G, . 3 0P--- • New building area: square feet PRORERT -Y OVINERa TENANT Number of stories: <4. ° ,�-, �-, s 3 s»... . 2. F 4 - 1 m � ,. o rs' 41.4 4 , Name: V■.) C e:,:_<: Type of construction: Address: -2-4 / A P■ L-g__ Tce.._ gj,,_t/ b Occupancy groups: City /State /ZIP: :.:P z) 47....."--t- L t---.\'' C g- 9 7 z /--4__. Existing: Phone: (5) Z, ea -- 47,6 5 L Fax: ( ) New: ::,, :._ -, : ._�'�: .�-.'8� .,',�, '� • ����' . �.'�'.. H, 'x ? : "c : °� ,: °. a�� ss�, sm �' , : >�a ., ��z.:""_`3 ':. < < %�:`" AP _.. � - 0_a C O ° � � . _ _ C . � � � _ . �. . -_ -:.. . , <, . 1 , 1” ,',),,t-A-1.4,-1 O �. v t'� Business name: Sid ,`fl e. All contractors and subcontractors are required to be Contact name: *W ■ 1---f_I A :". pS- 1\ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: r jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: //��,, ,�r Phone: �" -) 3Z' 615/ Fax::( ) E -mail: i - a t b r t. ` t COIVTRAC O . : > 'TR r Business name: ' 5H J' f , ';. - -3,q, ffi ti� to , � (BU ILD IGPER M I T FEES - A l�ati .c =sa we fie, 4 �:_, .x b :. x� � R �A Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) Amount received 910. l I CCB lic.: / " Date received: � W' Authorized signature — — This permit appy atio expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: .0 ■� -' Date: * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \SIT - PermitApp doe 12/03 440- 4613T( I I /02 /COM /WEB) t ( f Q C I/ .- 11 r � i 1 2 / EXIST. ARN / \ \-. ` .• / •/ �� / TO REAIN / r r / 12" Si SANITARY MH < % / _ , _ — --- - — TEST PIT � RIM 154.13 -- / I.E. 143.01 ?'N /46 --- / � T.L. 2103 © /• D SO - ...� — — rso 6" PIPE / �K ° ■ ``' ° / NN / WETLAND / 744•1/4. �, , � / • / X i / s` Bit 154.0 ,o / 0 , � , / .' / :- • / c ri, r:� ; ,moo .' NI N ,. 4// -4- EXIST. CATCH BASIN ° ► i� t,/ •' RIM 155.16 // , P' 's: %::.. , , :_ . : . -•? �! c . 26 P � • 8" INV. IN 153.71 (W) i� '� . . : , = ..) t o \/ 8" INV. 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P� k DRAWN BY DATE SUBTITLE JM 7Tiar P NnT1OT1P r CHEF JHH 1 SITE DEMOLI „,.. 6. .........,...., " CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.00249 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639- 4171 ,0u�i � 1 ll Inspection Requests (24 Hrs.): (503) 639 -4175 ,,....„9 `IL INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 9 SITE ADDRESS: 12345 SW GRANT AVE CLASS OF WORK: SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE: PROJECT NAME: GRANT STREET ELITE CARE DESCRIPTION: DEMO: 900SF house and 699sf garage on sewer. UPON FINAL INSPECTION DEMO CREDITS APPLY. OWNER: ELITE CARE, PHONE #: 971 - 506 -0151 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 046556 -01 971 - 506.0105 N Corrections /Comme is /Inst ctions: 6q1-).R_ ---- 60 A •r, PASS /I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n ' IL • ALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: ■ - — — _ Date: ii d Phone #: (503) 718-7--‘