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Permit At- CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00232 14 DEVELOPMENT SERVICES DATE ISSUED: 6/15/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136C6 -01000 SITE ADDRESS: 08395 SW PFAFFLE ST SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: TIG 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: 0.00 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 1144 sq. ft. house and 704 sq. ft. out building. All debris to be removed. Septic tank to be removed, or pumped, filled and inspected, or sewer to be capped and inspected. Owner: Contractor: ESLINGER BUILDERS INC 11575 SW PACIFIC HWY TIGARD, OR 97223 Phone: Phone: 503 - 849 -4653 Reg #: LIC 62363 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt CFap Sewer Line ln PRMT CTR 6/15/01 $62.50 27200100000 Final Inspection 5PCT CTR 6/15/01 $5.00 27200100000 EROS ': CTR 6/15/01 . $26.00 27200100000 ERPC CTR 6/15/01 $8.45 27200100000 (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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 24• •.699 or 1- 800 - 332 -2344. Pe rrn ittee� J / I r u Signature: ® 0 - Issued By: ,r�jJ� Ad& • Call 639 -4175 by 7 p.m. for an inspection the next business day • Building Permit Application / , . Date received: �/ / 5/0 / Permit no.: �u(p�0, , 0 , �.,,.z�y City of Citf Td 111 I -- Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Site X000 —151.00.047 1 &2 family: Simple Complex: ' TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction .Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: .1011 SITE INFORMATION Job address: Sy(s sc,,J Q • . Bldg. no.: -- Suite no.: Lot: — Block: — Subdivision: — Tax map /tax lot/account no.: S I0 C 00 Project name: ( to • w41. — t,bi l '•.! 0 1 • • . ■ CktCRL e. ausi S MPINPE Description and location of work on premises/special conditions: If' .`• A kA wt. • 6► 0 K 01 ' .. // ' o zar OWNER FOR SPECIAL INFORMATION, USE CHECKLIST IESTIVIMMIL (Floodplain, septic capacity, solar, etc.) Mailing address: 1( 7 Ly glip, I& 2 family dwelling: liggi State: o C4 ZIP: q 72.2,'3 Valuation of work .. Phone:(01TEINAI E -mail: — No. of bedrooms/baths Owner's representative: ..' E ' — Total number of floors . Phone: ( , — - S-1 E -mail: — New dwelling are q. ft.) APPLICANT - Garage/carpo. area (sq. ft.) Name: q v.„.•_ i Covered . arch area (sq. ft.) Mailing address: Dec . • a (sq. ft.) City: State: ZIP: • t er structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial/multi - family: CONTRACTOR Valuation of work Existing bldg. area (sq. ft.) .... s �- '�'` New bldg. area (sq. ft. Address: City: State: ZIP: Number of stori - : Phone: Fax: E -mail: Type of co ction CCB no.: Occ :. cy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIIT FCT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If thb applicant is State: ZIP: exempt from licensing, the following reason applies: Contact ,:- Plan no.: . P' one: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ I 10 , 4 O Address: Date received: ' State: ZIP: Amount received $ f 0 . 4n P one: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All p 'visions of laws and ordinances governing this 0 Visa U MasterCard work will be complied 4 , w - f pecified herein or no). Credit card number: / / / ` Expires K Authorized sif attar a f ; # - � _ Date: (Q ! /f� I Name of c ardholder as shown on credit card • K Print name: LINO �b I ', •3 Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6J110/COM) f i COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3 ** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition .Alt = Alteration to existing building *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. • I: \dsts \forms\matrxcom.doc 10/27/00 • ' EXISTING 5' SIDEWALK (TYP) . v. N 3 N rn EXISTING BUILDING -] ' :id �� s / • TO REMAIN � ,•t r t e e • 1 3 m � � — � --� ° � a , 4 o 1p Z .. - � 44 ' ! � Ir d \ 4 N Obi - 09 1416 15 . m \ . 12 • o7 N • 6.% CO gr— ;F. \ \ \ 61 b •,:,‘ lib 3 4 23 ... -1, 0 • , ,\ 10 , DI N ` 1 2 \ I 2.1 18 1 ),$) 1 - - EXIS NG "S IP AHEA SIGH \ I ' J Ili ' TO B RELOhATED EKISTING E / C f ) J _ H (� I \ I T REMOVE / I r / I co •;i � : j k\ I I 0 _ r :- i a -: / N 1� I t '' , TO N E REMOVED ` ` \ 1 6\ t L 4 i I I 1 r o o o • ` 33 ) p li .j \ \ APP&IMATE LOCATION 0 32 / l I I I I 31 I I I I I ES NG BUIL�NG '0 -ti . �2 rP I / 36 v TO B� REMOVEID 1 l UI 11 4 p \. ) 35 34 I 0 C)1 \ I • . 434 $ \ \3 \. ' I I g I \ \ ,%L .. IP :: 1 \ 2' C/C) v - t — \ ... -. 28 I 17 \ j I I , , . ' ; -r- N ) , \, I . 1 i • C To $ • I, CITY OF TIGARD BUILDING INSPECTION DIVISION C MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 41D od. ;32- Date Requested 2- d / AM PM BLD ?3c Location . > s- FP /A— Suite MEC Contact Person Ph PLM Contractor Ph SWR UILDI — Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear l/ � Framing C�Y /7� Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof c S 4, S S /•ART FAIL - ' ' BING Post & Beam Under Slab Top Out Water Service err Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers 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 0:7/tr the /Sidewalk Date I Inspector t AN Ext -3 O Final . PASS PART FAIL DO NOT REMOVE this inspection record from the job site. AUG-24-2001 03:12 PM IKE SONS CONSTRUCT ION 503 649 7153 P.02 IKE & SONS CONSTRUCTION INC. ALOHA „ 01-; 0•. 6-0)-41 ';'; 08/24/2001 City of Tigard Building Inspection Division: To Whom it May Concern, In regards to the septic tank located at Ash Creek Meadows, it has been decommissioned and removed by our company. Sirc t, otri6 gr,,Iod 1 --- ?— Lisa Wastg LC2A1 . CITY OF TIGARD BUILDING INSPECTION DIVISIO 24 -Hour Inspection Line: 639 -4175 Business Line: 6 -4171 MST P o?/19,el ©DA32-- Date Requested / - _0 / AM PM BLD Location �7 A r / �l Suite MEC Contact Person eX 7�/l4/Ier Ph of 445 3 PLM Contractor Ph SWR UILbINC�� Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation -370744/0 gp FPS Ftg Drain SGN Crawl Drain Inspection Notes: e Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing e Drywall Nailing Insulation \ /r `J Drywal � Firewall Fire Sprinkler _ Fire Alarm Lt• Y/3 Pee-14474a- ` ; / v i Susp'd Ceiling ��° /G /� ) Roof Misc: /� ^/ PASS ‹f�r FAIL — �f fida -s/) [ / i a l l� PLUMBING S t Post & Beam � � Under Slab t r j— _'i '`— - Top Out Water Service Sanitary Sewer �/ , d D - O00 V 3 (fL Rain Drains (/r � Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers 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 I Q le-AN 1 Approach /Sidewalk o ther Date ti /Z' I�/d Inspector • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.