Permit A_
CITY OF TIGARD PERMIT
PERMIT #: BUP2000 -00425
DEVELOPMENT SERVICES DATE ISSUED: 10/12/00
'�I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12730 SW WATKINS AVE PARCEL: 2S102BC -04200
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK: LOT: 031 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 350 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: 350.00 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: -4;>'
Remarks: Demolish 350 sq.ft. shed. All debris to be removed.
Owner: Contractor:
ERICKSON, KENNETH.W OWNER
12730 SW WATKINS AVE
TIGARD, OR 97223
Phone: Phone: 579 -9125
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT CTR 10/12/00 $62.50 27200000000
5PCT CTR 10/12/00 $5.00 27200000000
Total $67.50
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.
Pennitee
J JLJ
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Q Date received: /Q~ /? D() Permit no. 2p0 —
t ��y1 City of Tigard
. ^: -.. Proje,ct/appl. no.: Expire date:
City ojTigard 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: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial O Multi - family 0 New construction Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm U Other:
JOB SITE INFORMATION
Job address:` . , 72 a 60) / / r - Bldg. no.: Suite.no.:
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: 7,3A,./.07:0.4„..20 d .cA'� - g e_ 5' / Id-
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 64 A4 /4L A Ord L 7 " --- -,. (Floodplain, septic capacity, solar, etc.)
' Mailing address 1d d,r „ Q )., 1 & 2 family dwelling:
City: 77 .= A 'State: 64, 'ZIP: Q 7 1 s 3 Valuation of work $
Phone- 1s,, 4 • // Fd 6F4.‘ - E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: /yy „P Covered porch area (sq. ft.)
Mailing a'
or Deck area (sq. ft) t
City: I State: I ZIP: Other structure area (sq. ft.) .t,5f1
Phone: Fax: E -mail: Commercial/industriallmulti- family:
CONTRACTOR Valuation of work $
Business name: Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address:
City: 'State: I ZIP: Number of stories
Type of construction
Phone: 'Fax: ' E -mail: Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/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 the applicant is
City: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: 'State: IZIP: Amount received $
Phone: I Fax: I 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 provisions of laws and ordinances governing this 0 Visa CI MasterCard
work will be compli • m wow, whe fi r , - ' ed herein or not. Credit card number: Expi s res
Authorized signatur • v //v /^ /� Date: /P / e D Name of cardholder as shown on credit card
Print name: 54 ti //,l- A �D A 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 (6A10/COM)
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*:./ � 1 � 4" o � �q • ok Fg o �j o ` 2" APPLE PROPOSED PRIVATE ACCESS &
*Q" ° •N, s SPUCE ��' �f� 3. A PUBUC UTILITY EASEMENT
80'52 26 E �,
4 Sr 7.07' 4k\ 5" APPLE
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7 / p� • WM CONCRETE �/ POND o� IN o %; ,,_ 5" CHERRY
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' 20" SPRUCE 12 � i, ■ I
8 C -•
o % sr PARCEL 1 J UNIPER F NN ./ s S•
/ � / 12,384 sq•ft• • ,
/ EXISTING CO P 0 4 `T2 0 2
40 WILLOW HOUSE 1'9 14 ' INE 2 .›.
4 . • p �.
7 * �� GRAVEL DRIVEWAY =`�% I&
• b,' • . TO BE REMOVED 24" APPLE. c � q /N (/
•
' N c ! ,,� 12" APPLE %��= �, •
O� 0• 20" PLUM � O 2 190 PARCEL 2 s cF Ns%
,��� 14" APPLE
& ;�� -St., 5,412 sq.ft. '
ifr
4),(1141 i.
\ 3 y A N. 36" CHERRY //
N. � � 4 .h, 24" CHERRY ;,�» /
0 4 , • v '.? a`' �� PARCEL 3 •
/ 2 • 4/4, O� • „ 8.989 "'ft. �'�'. 6.9 ��� 10" PLUM O43
� QF ' � � 1' 4?
N 19 v z
• _ 4 TAX LOTTED 01
' /SP
43 MAP 2S 1 2CE
NEIGHBORS ' S 9 8 , •h
SHED 0.3' - ; y 4:6 i
CITY OF. TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP Z dt
j -
/
Date Requested / 9 – A AM PM BLD •
Location / Vi 3O icy 4 1( " S 5 r Suite MEC
Contact Person , j i G� r ?— Ph 6 3 f //// PLM
Contractor Ph SWR
BUILDING 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 .
Framing 421 s. = _ = � ,_
Insulation
Drywall Nailing ✓L a 12 CD r=-* Sd7Z-
Firewall
Fire Sprinkler •
Fire Alarm •
Susp'd Ceiling •
Roo
isc: Pb1
Fina
RT FAIL
ING
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 o f.$ 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 !/1—Z6- Inspector Ext
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.