6930 SW DARTMOUTH STREET-1 6930 SW DARTMOUTH ST
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 6394175 Bpusiiness Line: 639-41711 BUP !=L LL
9-7 11
_Date Requested AM _—PM
Location
M
_ Suite MEC
Contact Person C� Ph -�.2 �-�- PLM _
Contractor Ph SWR
Tenant/Owner ELC — V
Retaining Wall ELR
Footing Access' �^ ---- — -
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes SGM -- ---
Slab _- --_-- SIT
Post&Beam ---------- _._—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation �// yr�ih
Drywall Nailing _ G GCJf�Iz' Ac C � Ile, _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Calling
Roof
s"c�
motes i PART FAIL - --- —
P 131NG
Post& Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post F 'oeam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Servicu
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 Nall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:_ C ( ]Unabl.,to inspect-no access
ADA a
Approach/Sidewalk Z 'i
Other Date (nspectjr _
_ ���^ _Ext
Final i
PASS PART FAIL DO NOT REMOVE this inspection recrird from <he jots site.
r
RIVER CIT'.' PHONE N0. : 288+7218 Jun. 17 1999 03:21.Plh P1
FROM
V v U Wly t✓
8980
rl
WORK ORDER
,n(� P.O. Box 30087 Complete
Vv Portland, Oregon
97294 F movu�
Septic e
n Sump_�J Unaa Cleanirq
�Z'►aLITiI.`L
(503) 252-6144
Customer P.O.#t __- Date --
Billing Name
Address
Job Site
City_ _ _ State-- — Zip Code — - --
c
Ordered 1316C0 t Phone s __ pate —1
Job Location t Zl ie S'"" T- •1��1 UU/T� .
Service Call —
Labor_ --.. ----$ —
Pumping gallons
1.•lI'y'V tj, Y-0 ' IVB/ �(i� ��i��j v�v' 1�r
Y Conditions of tankIDI*t'lUutfuf I Bvx
TOTAL CHARGES
Rlver City EnvironmentAl Inc.is IA no WAV resoonsIble for dllmmoo In the conffr f.nL r r 11A1 nn the cyclenb
TERMS: Net 10 days. i'A% oer month will no rharnarl nn .,2.9 a— ^"^'' '""' �" ' —►
1
Cuslomer's Signature'
Service Driver's Signature_�� Time - --Date
TERMS AND CONDITIONS ON REVERSE SIDE REDEEMABLE Ir: ;U!1NOM+N COUNTY.
�\ � ������� 0)91G,
BUILDING PERMITCITY O PERMIT #: BUP,999-00187
DEVELOPMENT SERVICEv � E ISSUED: 5/12/99
13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S101 AA '2800
SITE ADDRESS: 06930 SW DARTMOUTH ST dd ArZONING: MUE
SUBDIVISION. WEST PORTLAND HEIGHTS
BLOCK: LOT: 0')0 JURISDICTION: TIG
REISSUE FLOOR AREASEXTERIOR WALL CONST_RUCTION_,
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
1,,YPE OF USE: SF SECOND- Sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: AW:
OCCUPANCY kiRP: R3 TOTAL. AREA. sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft REQUIRED _
BSMT?: MEZZ?: _ R_EQD SETBACKS _ ___ -- --
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 single family detached residence, approximately 2100 square feet. All debris to be removed. Septic
tank to be pumped,filled & inspected. _
Owner: Contractor:
SPECHT PROPERTIES INC BAUGH, CONSTRUCTION OREGON INC
15400 SW MILLIKAN WAY PO BOX 14135
BEAVERTON, OR 97006 SEATTLE,WA 98114-0135
Phone: Phone: 641-2500
Reg #: LIC 000628
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Erosion Control Insp 844-8
Pump/Fill Septic Tnk
PRMT DRA 5/12/99 $25.00 99-315319 Final Inspection
5PCT DRA 5/12/99 $1.25 99-315319
EROS DRA 5/12/99 $26.00 99-315319
ERPU DRA 5/12/99 $8.45 99-315319
(additional fees not listed here)
Total $69.15
This permit is issued subject to the regulations contained in the Tigard Municipal Cone, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires yuu to follow the rules adopted by the C regon Utility
Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
Pe nri itee
Signatuye.
Issue6 By:
Call 639-4175 by 7 p.m.for %n inspection the next biminess day
C;i'Y OF TIGARD Commercial Building Permit Application Ree'd y ;
13125 SW HALL. BLVD. New Construction and Additions DateRee'd --7o'L-15
TIGARD, OR 97223 Date to P.E. -
(503) 629-4171 Date to D T
Permit* 1d_ 12� L�7
Print or Type Rented SWR>K
Incomplete or illegib;e applications will not be accepted called �~
Name of Devv,-,,,,nent/Pro)ect
Job lCarD 72/2rl t:_, 1.1,1,11 --- - -----
Address Street Address(,,qac)���, *uile Existing Building❑ New Building p
L5I0; I 20CC Building �J
Bldg* Clty/State zip Data
f r0, Li,d �%2123 Existing Use of Building or Property:
Name
Property r T tta. l
Owner Ma Ing Address Suite Proposed Use of Building or Property:
r,t )50L,>mrr�►kIT►%
City/State zip Phone No. Of Stories:
Occupant Name Sq. Ft. Of Project:
h C`titi�
- --- Name Occupancy Class(es)
Contractor �t�'tC01Z'r
Prior to permit Mailing A ress Suite Type(s)of Construction
issuance,a copy � ) rJC
of all licensee
are required If City/State zip Phone Will this project have a Fire Suppression System?
expired In C.O.T. 1 JYes Q No
database 6131`6 �-,L �_� /
Oregon Const.Cont Board Llc.# Exp.Date Americans with Disabilities Act(ADA)
Val.-3tion X 25%=$ Participation A
Complete Accessibili Form
Name Project $
Architect Val lation
Mailing Address l Suite
112 1 F J St(fw Plans Required: See Matrix for number of sets to submit
City/State Zlp,�j.7 LU' Phone on back
f2l'��1� -
Englneer Name I hereby acknowledge that I have read this application,that the information
V1- ►1�1 L > Q r S given is correct,that I am the owner or authorized agent of the owner,and
1 Mailing Address Suite that plans submitted are In compliance with Oregon State Laws,
I ' �
�) t: � L Signature of OwnerlAgentv� Date
t.•.k
City/Stare Zip C1 Phone r I Z C
_ 222-+4y EA c�
'7C- KGt'� S 3 Contact Perstfn Name Phone �1
Indicate type of work: New O Addition O Demolition 0l✓n C ��^' 1 ��� 1�`�
Accessory Structure O Foundation Only O Alteration O
Repair o other o FOR OFFICE USE ONLY
Description of work: —
10ua ;1 I ZUO Qn A(. CtrLriL,- MaprrLa Lan .use:
c 7 r Z t1,v Jit I " a u C_ dotes:
Parks: Estimated/of Employees TIF;
If the above figure is not supplIod at the time of ap pli atlon,the city will
calculate the fee based r, on the number of arkln s aces.
Note: Site Work Permit Applic atlon mist precode or accompany Building
Permit Application
1:1COMNEW.DOC (DST) 5/98
COMMERCIAL_ PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review Is dependent upon submittal of BOTH plans AND a COMPLETED
application. FoI- an electrical submittal, the application must contain the
signature of ,ie supervising electric before plan review will he conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County. Tualatin Valley Fire & Rescue)
j
TotaTYPE OF SUBMITTALPlans KEY:
Submitted
S (Private) W 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 (Ne'n► or Add) ? New = New Building
-E (New, f�dd, or Alt) 2 Add = Addition
B & F S PJI & P 8� E � 3 Alt = Alternation to Existing
(New , Add) Building
*8 or B
J- 3
Alt) _& At
*B8 -M&P (Alt)& E & F(A
NOTES:
Shaded areas designate ALT submittals only.
IMstsvormswatmom.doc 10/30/98