Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00368
�i� DEVELOPMENT SERVICES DATE ISSUED: 9/23/2005
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AA-03800
SITE ADDRESS: 08875 SW OAK ST ZONING: R -4.5
SUBDIVISION: ASHBROOK FARM LOT: 012 JURISDICTION: TIG
Project Description: Demo of 2000 sq. ft. residential dwelling, on sewer. 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: 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:
LASHAWAY, JULIE A RUTAN CONSTRUCTION
c/o FINCK, DALE M + IDA LIFE E 21515 NW CHERRY LANE
8875 SW OAK HILLSBORO, OR 97214
TIGARD, OR 97223
one: Phone: 503 - 643 -3737
FEES Reg #: LIC 40085
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/23/2005 $62.50
[TAX] 8% State Surchari 9/23/2005 $5.00
[ERPRMT] Erosion Coni 9/23/2005 $26.00
[ERPLN] Erosn Pin Rv C 9/23/2005 $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 flans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more th. - " 80 • :ys. ATTENTION: Oregon law
requires • • follow the rules adopted by the Oregon Utility Notification ' enter. These rules are set f. h in OAR
95 X01 -0010 thr... . • 52- 001 -0100. You may obtain a copy oft'ese rules or direct question to 'IUNC by
• .Ili ng 503 - 246 -669 s . r .00-332-2344.
/
sued By: l ' Ll 1, r Permittee Signatur : ! /7 / ' L
r 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.
_ - 2oJJ o00 dam'"
w il d ing Permit Application `� FOR OFFICE USE ONLY
City of Tigard RECEIVE Date/By: If - 3 O -1 ' t�3(AeZ
P ermit No.. 0Q 3p
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 I, I �7 � a" '� Date/By: Other Permit:
Inspection Line: 503.639.4175 JUL 7 20 I _�7 a I Date Ready /By: Jurir ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method ' 3 4y't�'� -. < fr Supplemental Information
CITY OF TIGARD 1 •e.\-A"sic>► r mar✓
T PE OF WORT REQUIRED DATA: l- AND 2- FAMILY DWELLING
❑ New construction lif 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 OF CONSTRUCTION
work indicated on this application.
12:1 I- and 2- family dwelling ❑ Commercial/industrial Valuation: $ O � )
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: I , 5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: es-76 c 0AK. S'r New dwelling area: ZOpc.9 square feet
City/State/ZIP: - 6#1-12D, O 9-72 Garage /carport area: 250 square feet
Suite/bldg. /apt. no.: Project name: syr e 4I ' ,it ur s Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
5 kAi 87 411 ME.. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 5 13 SA 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.
Deyviovi loN1 of e'xIST'INI& - Type" 3-NR 2 - / 4 aluation: $
RI tt +C-E AND I T,CNCD & E. P tDE
Existing building area: square feet
PIPPRDX . 22XX SF, G/ GE ,Wp( 2430 s -. New building area: square feet
Igi PROPERTY OWNER ❑ TENANT Number of stories:
Name: CAL $T. CONDOM I Nit units / LLC Type of construction:
Address: I 7_61,-1 p 5W (pb/41 • Alb . / 5-rE, • 400 Occupancy groups:
City/State /ZIP: G A i Ole_ Q -77_23 Existing:
Phone: 6o3) ( , 3104 Fax: (503) 5913 - 908 I New:
g APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (Cpl J H (16 /'P(.A- 1.1/4IN , (NC , All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: (� (_ G���(L IG.{ under ORS 701 and may be required to be licensed in the
Address:q125 3A,I in/ NI -141(.151;01...‘ 1-t(A)y , • 2O1 E jurisdiction in which work is being performed. If the
City/State /ZIP: !,/� 7 applicant is exempt from licensing, the following reasons
r iAV GF� b J , OI ° I 7oz 5 apply:
Phone: (93•5 ) (-4. .1 CAI I Fax: : ( ) (petit • - 70( 0 9
E -mail: dare - IGGYIa+'C.I/It+t_C°C cam •
CONTRACTOR
Business name: -'rp €56„. T T 2 I MED BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City/State /ZIP: Fees due upon application
Phone: ( ) Fax: ( ) •
Amount received
CCB lic.: .
0 0 Date received:
Authorized signature: / This permit application expires if a permit is not obtained
d within 180 days after it has been accepted as complete.
Print name: Too L.... P PD ai OH{ Date: 1. 21.65 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ BuildingWermits 'BtJP- PermitApp.doc 12/03 440-4613T( I I/02/COM/WEB)
f
CITY OF TIGARD
i BUILDING DIVISION PERMIT #: BliP2(1t)b- 003(-0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23120W)
Phone: (503) 639 -4171 /ii+ z4 "�
Inspection Requests (24 Hrs.): (503) 639 -4175 L. gl
INSPECTION WORKSHEET FOR DATE: 405/21106 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 081376 SW OAK Sl CLASS OF WORK:
SUBDIVISION: ASHF3PUt'K FARM LOT #: 012 TYPE OF USE:
PROJECT NAME: OAK S1 R1:.L I CONDOS (REV)
DESCRIPTION: Demo of 2000 sq. ft. residential &wiling, on stover. DEMO CREDF S AF'i'LY FOR SDC;. FEES,
OWNER: 1 ASHAWAY, JULIE A, PHONE #:
CONTRACTOR: RUTAN CONSFRUCI ION PHONE #: 603 6&13 373'1
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 02860501 503-639 -3104 N
Corrections/Comments/Instructions:
4 .&—t CZ__ C,6 .
c .,.._. .75■._ '
V I,J ,Ii i -
1
.PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: /
Date: � `/ 1
P hone #: (503) 718-
.
•.
/ J / i if - h�j ` - -
C. REVISIONS
`sy TOPOGRAPHIC SURVEY , (/ P? Vv ,�4104414 !• „ � � ' , ..� •, y r ,,,/� t ` FOR: 21I1N5 RESUB. LAND ARR.
Ili .
LEGEND: - C` 1 `' WESTLAND INDUSTRIES, INC.
■ FOUND SURVEY YONLDlENT
LA WCW ROD 1` U 1 BEING A PORTION OF LOT 12,
III LP. IRON PM � ' 1 "ASHBROOK FARMS"
+ .71%11,0
AP APPLE • Tt ?pp T /�n,y 1 � IN THE NE 1/4 SEC. 35, T.1S. R1W., W.Mr
CA ASH A
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4300 4400 '1303' 1302 1301 1200
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Approved.? /'f ' . Omen
F REGISTERED ' Condi lonalIy Approved 1BMr�wsNas
1 - PROFESSIONAL For only the war :•3S described in: s� `
LAND SURVEYOR
PERMIT NO 31��. 4 a� oa 3� $ -°
GRAPHIC SCALE 2/W39g1 • See Letter to: Follow _DOTE 341 DES:
e a .s _ i w ,!e HAROL $ALA Attach • - - Aiii146 Dm:*
• • E7P : JUNE 30. 2008
. JOB:0442B CHK:
FE= SURVEYED BY: Address: •
' 1 Inch . 30 R - 7 AN D PA FERRY AND ASSOCIATES, Job Addre ,� •
- LAKE oswEGD, OREGON 97035 �Y• Y i 1�{C Date:& -�
.. PH: 503- 636 -3341 p 04,43
. - - ORA
ORAMN OH14JlP1.ONC { H .
T7ER' 160 97604 r'
. I . • . . oP 10 •