Permit Q 1
CITY OF TIGARD EXPIRED SITE WORK PERMIT
I 4 ► DEVELOPMENT SERVICES 42.,//0//0 PERMIT #: SIT2006 -00003
e 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 / 1* DATE ISSUED : 5/3/2006
PARCEL : 1S135DD-04200
SITE ADDRESS: 11830 SW GREENBURG RD ZONING : R -12
SUBDIVISION: LOT: JURISDICTION : TIG
Project Description: Driveway and parking area for new duplex.
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: MF GRADING ?: VALUE: 6,490.00 '
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
VICTOR WELSH Description Date Amount
20055 SW PACIFIC HWY [BUPPLN] Pln Rv -Valu 2/14/2006 $71.83
SHERWOOD, OR 97140 [BUILD] Prmt Fee -Valu 5/3/2006 $110.50
[TAX] Valu 8% State Surcha 5/3/2006 $8.84
Phone: [BUPPLN] Pln Rv -Valu 5/3/2006 $71.83
[FLS] FLS Pln Rv 5/3/2006 $44.20
Contractor: [ERPRMT] Erosion Control 5/3/2006 $26.00
[ERPLN] Erosn Pln Rv CWS 5/3/2006 $13.00
GREG SCHROEDER ENTERPRISES [EROSN] Erosn Pln Rv COT 5/3/2006 $13.00
9812 SE WICHITA AVE
MILWAUKIE, OR 97222 Total $359.20
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Contact #: PRI 503 - 654 -4734
REQUIRED ITEMS AND REPORTS
EQoai 00 ,vT720(-
Reg #: LIC 99793
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 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 copies of these
rules or ' t t'questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issu d By: /� Permiftee Signature: Y
il"
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.
Site W ork //o , `� W Gre,ev\bo. ;
Buildin Permit A tran ‘11 C�� FOR OFFICE USE ONLY -
City of Tigard , Date/By. a p i/O ' Zsb Permit No S - 3
13125 SW Hall Blvd., Tigard, OR 97 - Plan Review
Phone 503.639.4171 Fax: 503.598 1 4 A 4 2006 I ' i i Date/By , G Other Permit:
Inspection Line: 503.639.4175 111 „ ■ �: Date Rcad tans �? ®See Page 2 for
Internet: www.ci.tigard.or.us cl('li„d11LL ,J OF -nu , y \ ` i Notified/Method•y C4 ' �(1 Supplemental Information
�T 1 1111 OF l�lin 1 3voNce L4 V") c,)r0
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`' E! F WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
] 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, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 6 ,O)
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: p3 3 o 1't✓ 6 re eA 6 t., /P•. New dwelling area: square feet
City /State /ZIP: r/q a id Q/P Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 4'e %.( 4r / I / /f e4 : MLPZOd5 0000E Covered porch area: square feet
Cross street/directions to job site: 9' 9' 4/ 9` Sj D res A ivy AeS Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 1Z0 rt•f Permit fees* are based on the value of the work performed.
Tax map /parcel no.: JE I of fin X I 1'ectf•A 1.5 ToroerLio /love/ /feye / 4e4' Indicate the value (rounded to the nearest dollar) of all
�f 1 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,ri L., C1. >~ / t
a •.. irk Q l o/' r e 4 T /teal dip /ex Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: V1 &for 4164/4 hider HOAef IMa, Type of construction:
Address: Z ODss f w a Nf''e Hi7 / jui /e /oS Occupancy groups:
City/State /ZIP: f4eAfwoeI 0/P 97/40 Existing:
Phone: (Son ) 6 LS - 9 f5f Fax: (SO1) (o Z 5 - 9/51 New:
❑ APPLICANT g CONTACT PERSON NOTICE
Business name: CO/l, f ff f yf ,fe !o 4 r( I ..ef C. All contractors and subcontractors are required to be
Contact name: /� / C licensed with the Oregon Construction Contractors Board
/t p t f ei 6,"r y under ORS 701 and may be required to be licensed in the
Address: Z t 96 0 NE Xa t e, y / p. jurisdiction in which work is being performed. If the
City /State/ZIP: , if s lee Q/P '97/15 applicant is exempt from licensing, the following reasons
apply:
Phone: (SOT ) 7&o - e J 5/ Fax: : (SOT) 537- 4927
E -mail: r a /1A ? /y. fiea ComGaff. ac
CONTRACTOR -- -- ...__... ... ._ ....-.-.---..-- --
Business name: at + _ �t £ z ' " "¢�P4 ,�ci 141 , BUILDING PERMIT FEES*
Address: 9g /9_, O'p. 0,0/.0-6,, /3Q Please refer to fee schedule
City/State/ZIP: )1 I L WAtt C, I S 612 Cj'1 - 2 -
9 I Fax: ( )
Fees upon application
Phone: ( 5 ,)\ ,5(/_. 1J "7
p—t J
Amount due received
CCB Tic.: 9 / 1 ` / ii/ /6/ - 7
Date received:
Authorized signature: T his ithin permi application expires if a permit is not obtained
w 0 days after it has been accepted as co mplete.
Print name: arc Tv,4 (ice L 5 /5 1 I Date: 0 ,26f , 6 Q • Fee methodology set by Tri-County Building Industry
Service Board.
Consulting Resources, Inc.
22960 NE Hagey Road
7:' ;. 1. EC E Y E D Dundee, OR 97115
t Phone: 503 - 537 -4927
Fax: 503 -537 -4927
■� FEB 14 2006 Mobile: 503- 780 -8351
randylytle@comcast.net
CITY OF TiiimedL
BUILDING DIRT - SIOT
LETTER OF TRANSMITTAL
TO: City of Tigard Building Department Date: February 14, 2006
13125 SW Hall Boulevard
Tigard, OR 97223
FROM: Randy Lytle Job No. 0132 -0001
/ i .0 6. - D 0 00
RE: 11830 SW Greenburg Road- Site Work Submittal Package
We are sending you:
2 - Sets of the Site Development Plans
1 - Site Work Application
1 - Engineers Cost estimate
1 - Check for Submittal for $71.83
Sincerely,
Consulting Resources, Inc.
Randolph A. Lytle, P.E.
Principal
xc: Victor Welsh - w/l - set of plans
Development Services • Engineering • Project Management
Val Henze/ - Re: 11830 SW Greenburg Page 1
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From: Susan Ross
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To: Val Henzel
Date: 4/25/2006 11:06:24 AM
Subject: Re: 11830 SW Greenburg
Yes, the case note is on SDR2005 -00003
»> Val Henze/ 04/25 10:54 AM »>
Dose that mean that the site permit can be issued? No case not stating that
»> Susan Ross 04/25 10:33 AM »>
HI..Mike White has released this for issuance of site work and site utilities.
»> Val Henze/ 03/22 9:24 AM »>
Thank you, please let me know when this can be issued.
Val Henze/
Senior Plans Examiner
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 718 -2436
valctidard.or.gov
»> Susan Ross 03/22 9:22 AM »>
Welsh Partition has not completed their PFI work, nor submitted bonding and assurances. Engineering
says no to any site permit issuance at this time. Thanks.
Val Henzel - Re: 11830 SW Greenburg Page 1
From: Val Henzel
To: Ross, Susan
Date: 3/22/2006 9:24:08 AM
Subject: Re: 11830 SW Greenburg
Thank you, please let me know when this can be issued.
Val Henzel
Senior Plans Examiner
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 718 -2436
val @tigard.or.gov
»> Susan Ross 03/22 9:22 AM »>
Welsh Partition has not completed their PFI work, nor submitted bonding and assurances. Engineering
says no to any site permit issuance at this time. Thanks.
7/47/ 3/242,A6
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