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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
/ I' I� UP
h
DateRequested
,�sted / ) AM PKI BLD
Location 1-3 &,.J T Z,—J n / Suite � MEC _
Contact Person �c k Ph _ 7— �--PLNI
Contractor �SVSWR
N —
f
� / ELC
BUILDING Tenant/Owner —
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 _—
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _
Fire Alarm
Sus p'd Ceiling —
Roof
M .
C. /n
Fin
PART FAIL - --
PLUMBING _
Post& Beam
Under Slab _
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final +�
15XS5 PART FAIL
MECHANICAL
Post&Beam — -------
Rough In
Sas Line —� — —�
Smoke Dampers
Final ---- - ---- —
PASS PART FAIL
E!ELTRICAL -
Service
Rough In
UG/Slab -
Low Voltage
_ Fire Alarm --
Final
PASS PART FAIL —.—_---_— —
=
SITE
Backfill/Grading --
Sanitary Sewer
Storm Drain I ] Reinspection fee of s required before next inspection. Pay at City Hall, 13125 SW HPII Blvd
Catch Basin
Fire Supply Line I )Please call for reinspection RE'_ � ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector_ Ext
Final
PASS PART FAIL , DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . . . . : BUP19ZI-01+38
13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 DATE ISSUED: 10/08/98
PARCEL: 2SI01DC-00400
T
SITE ADDRESS. . . : 13565 SW '72ND AVE
SUBDIVISION. . . . : 7.ONl1\1G.-C—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIL;
----------------------------------------------
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :DEM FIRST. . . . : 0 sf N: S.. E: W:
'TYPE OF USE. . . :SF SECOND. . . : 0 Sf PROTECT OPENINGS?—.---.--------
TYPE OF CONST. :5N . . . . 0 sf N; S: E: W.
OCCUPANCY GRP. : R3, TOTAL-------; 0 9f ROOF CONST. FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. -. 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BGMT?: MEZZ?- REDD SETBACKS--_--_—_ REG?UIRED---_—.--_---______..._.._.._.
FLOOR
ETBACKS--------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR S,7:,KL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURrACE% 0 PRO CORR: PARKING: 0
VALUE. $ -. 0
Remark!; : Demolition of 2300 sq ft. single-family dwelling. Septic must be
pumped, filled, and inspected All debris to be hauled away.
nwner: FEFS
PACIFIC NW PROPERTIES type amoitrit by date t-ecpt
9665 SW ALLEN PIRMT $ 25. 00 B 10/08/98 98-309818
STE 115
5PCT $ 1. 25 8 10/08/98 98._.,309818
BEAVERTON OR 97005 EROS $ 26. 00 B 10/08/98 98-309818
Phone #: 626-3500 ERPC $ 8. 45 B 10/08/98 98-1'30981.8
ERVIC $ 6. 45 B 10/08/98 98-309818
Contractor: ----__---_—_-----_----_----_
DAN OPPIST DEMOLITION
6431 SE JENNE RD
PORTLAND OR "17236
Phone #: 667-4042' $ 69. 15 TOTAL
Reg #. . : 001056
-
--REQUIRED ACTIONS or INSPECTIONS——-
This permit is issued subject to the regulations contained in the 1 /".1 n
Tigard Municipal Code, State of Ore. 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
oithin 188 days of issuance, nr if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Drpgca Utility Notification Center. Those
rules are set forth in DAR 952-001-0810 through DAR 95244101987.
You many obtain a copy of these rulAs or direct questions to OUNC
by calling (503)246-1987.
V,pi,mittpF� Issi.ted By .
................4......................4.................................4......... ++4
Call 639-4175 by 7:00 p. m. for an inspection needed the next bLisiness day
++++++++++++++++++++++•r-+a ...........4•...............4..............................
09/28/98 MON 18:49 FAX 503 599 1980 CIT/ OP TIGARD 002
.HOMY OF TIGARD B,tt Permit Application Reed By `I,
13125 9W HALL BLVD.
TIGARD,OR 97223 � � 1G t
Dara to P.E.
(603)639.4171 Date to os t 3�
Permit 0
mint orType Related SWR0
Incomplete or ill4►gible applications will not be accepted calied
Namaofl)ov,kNmarkVProJaal — Existing Building ❑ New Building❑
Job 72nd Averur, Teardown
Address se"Addras suite Building
13565 SW 72nd Ave. Data
g O create zip Existing Use of Building or Property:
Tigard, OR 97223 Vacant
Hams
Property Pacific NW Properties, LP Proposed Use of Sullding or Property;
Owner MaDVAddreas Suite DEMOLISH HOUSE
9665 SW Allen 115 No.Of Stories;
city/9tate ZIP Phone
Beaverton, OR 9700_ 626-3500 Sq. Ft.Of Projttd
Occupant Ne01e 2300 sq. f t.
Vacant Occupancy Class(es)
"i
Nam C-P
Contractor Dail Obrist Excavation Inc. Type(s)ofConstruction
Prior to penult Malang Address autta zplish hse 11; 2S101D0-OQ'1 D
'""an"",acopy 6431 SE Jenne Road Will this prejeet 19 Fire
of an Itcxrses
are required If l„ky a
expired In C.O.T.
database Portland OR 97236 667-4042 "ll; Perti6patien
Oregon const,cont.Board LIoA Exp.Dab
105618 5/2/99 Project -- $
Name Valuation
Archltect N/A Plans Required: it
Maling Address auh. on'.-Gk
Ctty"Ststs-- 0 eM 1 hereby acknowledge that I have read this appticatlon,that the Information
ohm is correct,that I am the owner or authorized agent of ft owner,and
Engineer Deme
flu:+nlans submlded am In cotrrpllartas with Oregon State Laws.
iV/\ Sipaturgcf Own rtAgent Date
Maning Address supe ,'• fl IIZA,x 10 2/98
entad Person Name Phone
cityistate zea Phone 1,i I',uc ke t t 626-3500
Indicate type of work. Now o Adedlon o Demolftm}Ig( 1FOR OFFICE USE ONLY
Arxeasory Structure 0 Fek,ndWon Only O AherVon O n. t Lan a �
Fie aIr O Outer O _ „, —
D"ariptlot,ofwo
DF;MOLISH HOUSE
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I:ICOMNEVViI.UOC (DS7) !V98