Permit BUILDING PERMIT
Ip
,:' . , 1 iTY OF TIGARD
PERMIT #: BUP2007 -00483
-;. COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2007
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CA -02200
SITE ADDRESS: 15477 SW SUMMERFIELD LN ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.7 LOT: 331 JURISDICTION: TIG
PROJECT: CASSELLINI
Project Description: Install new patio room enclosure.
REISSUE: CUSTOM FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: 288 sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 288 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: $ 27,000.00
Owner: Contractor:
NICK CASSELINI PATIO INNOVATIONS, INC.
15477 SW SUMMERFIELD LANE 5220 NE COLUMBIA BLVD
TIGARD, OR 97224 PORTLAND, OR 97218
Phone: 503 Contact #: FAX 503 - 282 -1426
PRI 503 - 282 - 0140
Reg #: LIC 127345
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/12/2007 $213.20
[BUILD] Permit Fee 10/3/2007 $328.00
[TAX] 8% State Surcha 10/3/2007 $26.24
[CDCPLN] CDC Pln Re 10/3/2007 $46.00
(additional fees not listed here)
Total $619.44
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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: M Permittee Signature: a
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.
1P
{ `4 i S I y } �. t9 F 4 �.
Building Permit Applicatio 'r t^i.t,Ifii" s.1xd� ''?_FOR OFFICE USE O NLI wrrrtz s ' , tR w e
��, .0 g.. t s : ..... <_:f 1172' , ti_ n ,ri 'i�_ _ . n, y '
� < ° a Received I. Peri No.: 0
IN } , Cit of Ti 9 O. 0 7 V et, •
* " a Date/By t. t : i . 3125 SW Hall Blvd., Tigard, OR 97223 E P 1 2 ZOO/ Plan Review
i Phone: 503.639.4171 Fax: 503.598.19 0 Date/By 10. a . alp Other Permit:
TIGARD' Inspection Line: 503.639.4175 CI 6 [(GAM Y�� `� Da e Ready /By: / , 1�1 � r Jun 121 See Attached Checklist for
h ,�_ . Internet www.tigard- or.gov BUVLDI�4 ; ' ,, ill diMet od: G D � JI Supplemental Information
t F DIVISION Aim( w:nipx -. _- �
TYPE OF WORK ,. / REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value oldie work performed.
Indicate the value (rounded to the nearest dollar) of all
f Addition /alteration/replacement ❑ Other: equipment. materials. labor. overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
4 I_ and 2-family dwelling Valuation: S
} g ❑ Commercial /industrial a Doc)
❑ Accessory building ❑ Multi - fancily Number of bedrooms:
❑ Master builder ED Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 5 LA 7 7 New dwelling area: Q�'j square feet
5� . rct,.) j fi �t l _(
City /State /ZIP: - ' � CD cA r Q 72 -Z.1_1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: C AS s T €..1.-t-- T Covered porch area: square feet
Cross street/directions to job site: 3,,..--,- ev-Icr c', 1 `--- Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 3LA 1.-- ,n- ,c -Q 4c 7 I Lotno.: 3 Permit fees* are based on the value of the work performed.
p a 5 \ \ C . � 0 . ZZ _ DC> Indicate the value (rounded to the nearest dollar) of all
Tax ma / p arcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION. OF WORK .. work indicated on this application.
ty Valuation: $
'---- c - ---,0 _ -e_)( `3+q n , c Q- . -,, -) p-:,--1 . ; O Ca■tc -r' arL
' " - e•. 1 v v7e - ;- - a re)Otn e.,(l c r..t r\ n Existing building area: square feet
._x • i St C.cir re� -` C, , i,f,n Jar he Lf Se. , f CAL 4n15 New building area: square feet
t PROPERTY OWNER . . ❑ TENANT Number of stories:
}
Name: 1\ v ` C c s ,t - a l 1 t Type of construction:
Address: t_171 J 5 �' ' ,
\ f
J 5 U r.-, me t c= 6Q L,--, • Occupancy groups:
- 7 : ,
City /S / ZIP: c�P3tr , C l 8 72- 2 ` 7 Existing:
Phone: (5D3) (7't-- - 13`? Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: ��
G.J ‘a t,ti ✓c,i�J i ,� C. Co. - All contractors and subcontractors are required to be
\� �'1 licensed with the Oregon Construction Contractors Board
^' Z'c' G under ORS 701 and may be required to be licensed in the
7 Contact name: Address: 5 D. a(o 3 ,,- _ cal U; ,v-, 6, . jurisdiction in which work is being performed. if the
City /State /ZIP: '--17.0f ' f ) applicant is exem from licensing, the following reasons
�IG� i l� ( q 72 ( Z! apply: 3a • C)p
Phone: ( e , C 5 ) 227 - ct ti n I Fax: : (50.3 ) 2 - f q
E- mail: re0.yctwt -, ; �eN 61 r-,--, C -C'rv-, /� 6- ()(1
` I I CONTRACTOR � �(
+ Business name: L 3`�.. AS PIP P Lt C ,� ,J i.,
B UILDING PERMIT FEES*
(Please refer to fee schedule)
Address: -
Structural plan review fee (or deposit): 5(
Cit /State /ZI I':
Phone: ( ) Fax: ( )
FLS plan review fee (if applicable): ...:.-0
l fees due upon application:
CCB lie.: �'7 � '7-A 6 ��� ,
, Amount received: . 9-6
Authorized signature: This permit application expires if a permit is not obtained
L Print name: �^ ' within 180 days after it has been accepted as complete.
�,.� � // Date:�� � �� * Fee methodology set by Tri- County Building Industry
Service Board.
' I nc \Permits\BUI'- Permim App .doc 03/21/06 440- 4613T111 /02 /COM/WER)
� CITY OF IGARD
BUILDING DIVISION PERMIT #:" 8U007-004(33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: loom"
Phone: (503) 639 -4171 -- / , rv '� UI��Itl��11
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7 :02AM PAGE: 16
SITE ADDRESS: 16477 SW SUMME FIELD LN CLASS OF WORK:
SUBDIVISION: S4 UMI ERI :IELD N0.7 LOT #: 331 TYPE OF USE:
PROJECT NAME: CASSELLINI
DESCRIPTION: Install new patio room enclosure.
OWNER: CASSELINI, NICK PHONE #: 503.684 -1326
CONTRACTOR: PA mOVATIOWS, INC. PHONE #: 683-282-0140
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
208 Final inspection 069832 -01 503 - 719.3014 Y
Corrections /Comments /Instructions:
m �� /V 1-6C -7721 G9-L �i dv,A —,�
n PASS ❑ PARTIAL APPROVAL CANCEL NO ACCESS
AIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: i Date: /d —_7‘,--o 7 Phone #: (503) 718- ___
CITY OF TIGARD
-,‘
BUILDING DIVISION PERMIT #: BUP2007-00403
13125 SW Hall Blvd., Tigard, OR 97223 * - DATE ISSUED: 10/3/2007
Phone: (503) 639-4171 kopp
Inspection Requests (24 Hrs.): (503) 639-4175 ,T43 Alm
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 PAGE: 24
SITE ADDRESS: 1&177 SW SUMtvIERFIELD LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD N0.7 LOT #: 331 TYPE OF USE:
PROJECT NAME: CASSELLINI
DESCRIPTION: Install new patio room enclosure.
OWNER: CASSELINI, NICK PHONE #: 503-684-132G
CONTRACTOR: PATIO INNOVATIONS, INC. PHONE #: 6o3-2824)140
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time: 10:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 067213 603:789-3014 N
Corrections/Comments/ Instructions:
" / ■ j i(- CWr
. _
)4ASS 1 1 PARTI , L APPROVAL 0 CANCEL fl NO ACCESS
Ll FAIL 1 1 ;,/ FO""P TIO - IN ' II DITIONAL FEES ASSESSED
_ -
' 4/ 4 1111111 r
Inspector: .4 W Date: I 0 - hone #: (503) 404-