Permit CITY OF TIGARD PERMIT
PERMIT #: BUP1999 -00276
s .aL'�I�'�
DEVELOPMENT r RR9 2CES 639 -4171 DATE ISSUED: 7/2/99
SITE ADDRESS: 08340 SW ROSS ST PARCEL: 2S112CB -00800
SUBDIVISION: GOOD ACRES ZONING: R -7
BLOCK: LOT: 009 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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 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: Demo existing 1760sq ft residence, garage and shed. House may be moved. Septic or sewer must be capped or
removed.
Owner: Contractor:
LEGEND HOMES, CHARLES M. SCHMIDT EXCAVATING INC
6900 SW HAINES STREET PO BOX 717
PLAZA 2, SUITE 200 NEWBERG, OR 97132
TIonD: qg0WA Phone: 538 -9168
Reg #: LIC 00026178
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap Sewer Line Insp
PRMT GEO 7/2/99 $25.00 5793 Pump /Fill Septic Tank Insp
Final Inspection
5PCT GEO 7/2/99 $1.75 5793
EROS GEO 7/2/99 $26.00 5793
ERPU GEO 7/2/99 $8.45 5793
(additional fees not listed here)
•
Total $69.65
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) 246 -1987.
Permitee
•
Signature:
Issued By: i - ��
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY,OF TIGARD Commercial Building Permit Application Plan Check#
13125 SW HALL BLVD. Tenant Improvement Recd By
TIGARD, OR 97223 rJ Date Recd
(503) 6394171 Date to P.E.
Date to DST
Print or Type Permit #6u0 /ci99f -do o2
Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building ❑ New Building ❑
ELDERBERRY SQUARE -
Job MCDONALD PROPERTY
/, Address Street Address Suite Building
8340 SW ROSS ST. Data
Bldg # City /State Zip Existing Us- of Building or Prope • :
TIGARD, OR 97224
Name .
Pro a Proposed Use of :. ilding • ' • roperty:
P rty MATRIX DEVELOPMENT CORP.
Owner Mailing Address Suite
- 11130 SW BARBUR BLVD . No. Of Stories:
1 .` City /State Zip Phone
PORTLAND, OR 97219 244 -8159 Sq. Ft. Of Pro' - ct:
Occupant Name
Occupan Class(es)
Name 4444 <r
- HOUSE MOVERc
Contractor SCHMIDT EXCAVATING, INC . Ty - (s) of Construction
Prior to permit Mailing Address Suite
,...i issuance, a copy Will this project have a Fire Suppression - em?
of all licenses PO BOX 717 - -"" y- ____ , 0 ❑
are required if City/State Zip Phone
expired in C.O.T. •' 97132 5 3 8 - 916 8 Americans with Disab ' - • • * •
N EWBERG , OR
database Valuation X2 - Partici . . • • •
Oregon Const. Cont. Board Lic.# Exp. Date Compl ccessibili Form
26178 01/23/01 P ode �//
Name V atiolT
Architect Plans Required: S mit
Mai' g Address Suite i pn back _
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with Oregon State Laws.
Engineer Name '
l
Signature of Own. r /Agent / ()ate
Mailing Addre Suite
Larry A. York � P'' 6/29/99
Contact Person Name Phone
City/ . ate Zip Phon- ,/- /./Ar
(Larry A. York 244 -8159 Ext. 208
FOR OFFICE USE ONL
Indicate type of work: New 0 Addition 0 Demolition O Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other 0
Description of work. '� . ` Notes:
I� r - � . Z B 4 C9GF/ o/y
TIF:
DEMO HOUSE, (ARAGE, SHED
/
///111 � / J � L� `}
Note: Site Work Permit Application must precede or accompany Building l / �-` / - - � �v Prmit Application ( � �jil'�S�C Aril- V54-0‘14 .
l:\COMNEWTI.DOC (DST) 5/98 r 4' n ` / 6 . 7
ettti1tART 51C 6/ce (0-! /
r
chofrT)L',
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
application For an &ectrical submittaI the appIuation must ••••"":
. 011616411:1:17 ii$iir:P 9111
:Altti,'P!Oft revew approvI, Plans Examiner will contact the apphcant to request
adthtional plan sets for distnbution purposes (Copy fr Contractor City.
TYPE OF SUBMII JAL Pans KEY:
Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
• •
NOTES:
•
•
I: \dsts Worrnskrnatrxcom.doc 10/30/98
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00276
4 .J4 DEVELOPMENT SERVICES DATE ISSUED: 7/2/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112CB -00800
SITE ADDRESS: 08340 SW ROSS ST
SUBDIVISION: GOOD ACRES ZONING: R -7
BLOCK: LOT: 009 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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 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: Demo existing 1760sq ft residence, garage and shed. House may be moved. Septic or sewer must be capped or
removed.
Owner: Contractor:
CHARLES M. SCHMIDT EXCAVATING INC
PO BOX 717
NEWBERG, OR 97132
Phone: Phone: 538 -9168
-- Reg #: LIC 00026178
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt
PRMT GEO 7/2/99 $25.00 5793
5PCT GEO 7/2/99 $1.75 5793 b i✓}5c.— /j) 5/�L� f7�7t/
EROS GEO 7/2/99 $26.00 5793 I
ERPU GEO 7/2/99 $8.45 5793 ORIGINA
(additional fees not listed here) L.
Total $69.65
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) 246 -1987.
Pe rm itee
Signature: _ / - 7 -
AO Issued By: / I �,,� /2,, _
Call .39 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP oefq- no2'16
Date Requested 0/00 AM PM BLD
Location g 1 2q 0 i2/O Suite MEC
Contact Person Ph PLM
Contr Ph SWR
:UILD = Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain M SGN
Crawl Drain Inspection Notes: Y e , /J-{ -� ty
Slab �l I J SIT
Post & Beam
Ext Sheath /Shear .. /`�
Int Sheath /Shear
Framing ki
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 49 2-z_ !.`Jr1 /I f L O r^ Ii°
Misc:
PART FAIL
6, NG
Post & Beam
Under Slab
Top Out
Water Service
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
Approach /Sidewalk
Other Date (7 (')dinspector f L l `\ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,
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