Permit • yn, S ' CITY O I MASTER PERMIT
PERMIT #: MST2008 -00122
COMMUNITY DEVELOPMENT DATE ISSUED: 8/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136AD -01901
SITE ADDRESS: 06910 SW OAK ST ZONING: R -4.5
SUBDIVISION: VILLA RIDGE LOT: 001 JURISDICTION: TIG
PROJECT: MILLER
Project Description: Repair vehicle impact damage.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: st - BASEMENT: 51 LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: 51 GARAGE: st FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: Two st RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf - :06' REAR:
PLUMBING S0UV •UU
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILJCMP < SHP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 any: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 600SF: 201 - 400 amp 201 • 400 amp 1st WOSVCFDR SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp EA ADDL BR CR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601aamps- 1000v: MINOR LABEL:
1000. amp /voR :
PLAN REVIEW SECTION
Reconnect only:
5 =4 RES UNITS: SVC /FDR> =226 A.: > 600 V NOMINAL: CLS ARENSPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
OVIE MILLER WILLAMETTE RESTORATION SERVICES INC laws. All work will be done in accordance with approved plans. This
6910 SW OAK PO BOX 2679 permit will expire if work is not started within 180 days of issuance, or
PORTLAND, OR 97223 OREGON CITY, OR 97045 if the 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 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: 503 789 - 5744 Contact #: PRI 503 656 - 2867 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 - 656 -4284
TOTAL FEES: $ 168.13 Reg #: LIC 158552
REQUIRED ITEMS AND REPORTS
Issued s : L- 1,„,a6; ,1_4/11—, j,, Permittee Signature :��4111'�ilrgrilw
CaII 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.
r" ry CITY O F T r A R D MASTER PERMIT
9 l
COMMUNITY DEVELOPMENT PERMIT #: MST2008 00122
DATE ISSUED: 8/12/2008
T 'ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-01901
SITE ADDRESS: 06910 SW OAK ST ZONING: R -4.5
SUBDIVISION: VILLA RIDGE LOT: 001 JURISDICTION: TIG
PROJECT: MILLER
Project Description: Repair vehicle impact. damage.
BUILDING
REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE SF FLOOR LOAD: SECOND: sf GARAGE: s1 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: T 14 RO. s1 RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 0.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < ]HP: VENT FANS: CLOTHES DRYER:
FURN 0=100K: UNIT HEATERS. HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS AMYL INSPECTIONS
3. 1000 SF OR LESS: 0 • 200 anp: 0 - 200 ally: WSVC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L S00SF: 201 - 400 amp 201 - 400 amp 1st WO SVCFDR. SIGN /OUT LIN LT: PER HOUR: c ,. . . n. , ,
LIMITED ENERGY: 401. 600 amp: 401 • 600 amp EA ADDL BR CR, SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 60t - 1000 amp: 601•0mps -100W: MINOR LABEL:
1000. amp /volt : Q
PLAN REVIEW SECTION O
Reconnect only: s_
> =4 RES UNITS: SVC /FOR> =220 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: [ M � /
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL
B. COMMERCIAL h
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: �/
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRR /G: PROTECTIVE SIGNL: 1 ♦
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: O+
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
OVIE MILLER WILLAMETTE RESTORATION SERVICES INC laws. All work will be done in accordance with approved plans. This
6910 SW OAK PO BOX 2679 permit will expire if work is not started within 180 days of issuance, or
PORTLAND, OR 97223 OREGON CITY, OR 97045 if the 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 952- 001 -0080. You may obtain copies of these rules or direct
Phone: 503- 789 -5744 Contact #: PRI 503 656 - 2867 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 656 -4284
Reg #: LIC 158552
TOTAL FEES: $ 168.13
REQUIRED ITEMS AND REPORTS
Issued �� 1 , j 71/ � r Permittee Signature :�7i� ■� •
k _
• 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.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard (�` L { 'l ,\ � oaeIB Y f 0� i Permit No.: fr.2 g`' o0l� - ►
11 4
• 13125 SW Hall Blvd., Tigard, r220 ))'I - _ -...11 A' - - Plan ReviewQ
C : Phone: 503.639.4171 Fax: 3._ 48.1960 DateB : U ' 2 • CA Other Permit:
T 1 G A R D Inspection Line: 503.639 n I I c� � � I t Date Ready/By: ® See Attached Checklist for
Internet: www.tigard or.gov
AUG A u Notified/Method: Supplemental lnformation
TYPE `Q({ {4'O111( ; n 0. s „0' a` REQUIRED DATA: 1- AND 2- FAMILY DWELLING
tP Permit fees* are based on the value of the work performed.
❑ New construction ❑ Demolition p
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement la Other: IIn/I(MC -r EgP/9 // 7 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
7g 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 9:7 0
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Nu tber of bathrooms: ./-'-
JOB JOB SITE INFORMATION AND LOCATION Total mber of floors: Atti G C
GA(
LO, site address: to 91 0 S t,) Q /er S r New dwelli ; , rea: squar feet
City /State /ZIP: 11 GAD d 2 p ! 4 Z,3 Garage /carport are . square feet
Suite /bldg. /apt. no.: Project name: Covered po • area: square feet
Cross street/directions to job site: Deck ea: square feet
III er structure area: are feet
REQUIRED DATA: COMMERCIAL -USE - ' CKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
- Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor. overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ie P/ 1.1 4- OP I - L - ii (MP / C r - 04 ,Y6 V ation: $
G - _4 -1-14 I r . G 0r n.16/1 p F Exis sc.! building area: square feet
art-4\4 C. New huildi - area: square feet
(PROPERTY OWNER ❑ TENANT Number of stor' ..
Name: O V 1 E MIL t - 6 4... Type of -s struction:
Address: r 6r.:.. ,..10 s 1 'ray Oc • . ancy groups:
City /State /ZIP: 5 ).413r L,,1/413 COA1.i a ii '.L) Existing:
Phone: ( 533) ? .r Z ! 0 3 Fax: ( ) New:
$[ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1.,..)6,e.jr Co A5:1/4 Fc._ -.. 45 /`5 All contractors and subcontractors are required to he
Contact name: 3 r. F(..-_ 1...6....A.71./ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to he licensed in the
Address: 3 ZD S S ( ' d t A✓/ tao jurisdiction in which work is being performed. If the
o O � } Z applicant is exempt from licensing, the following reasons
City /State/ZIP: / p ...1.44J p apply:
Phone: (5-93) 1, 3i .r. S j Fax:: (s�3) 2?i2 ti ? 1-2_
E -mail: J c c.' ei t..x') G-Rirc, C.e•
CONTRACTOR �
Business name: 14...- �•r 75-4: /LAS -r► ,A'no d - ti . ' rj BUILDING PERIVIIT FEES*
Address: P D a0 K z (p j' / /J e (Please refer to fee schedule)
y n � Go / f OA. Of C i1 Structural plan review fee (or deposit):
City/State/ZIP: /State /ZIP: � � C- '[
Phone: (-) C ) ( 5 - Z. Co �' Fax: ('753) G 5-I, - q. FLS plan review fee (if applicable):
CCB lic.: /5 g 5 S Z- 9„bdio Total fees due upon application:
6 T + Amount received:
Authorized signature: j67:-( V6) 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 0 Date: 7 O
l / 0 ir Fee methodology set by Tri- County Building Industry
Service Board.
I:\nuilding \Permits\BUP -1 4 p.doc 113/21/06 44)1- 4613T(1I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M57700E3 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 811212009
Phone: (503) 639 - 4171 �a
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.. F ---.
INSPECTION WORKSHEET FOR DATE: 8/18/2008 TIME: 7:OOAM PAGE: 1
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE 001 #: 001 TYPE OF USE:
PROJECT NAME: MILLER ER
DESCRIPTION: Repair vehicle impact damage.
OWNER: MILLER, OVIE_ PHONE #: f03 789 - 5744
CONTRACTOR: WILLAMETTE RESTORATION SERVICES INC PHONE #: 503666 X867
Inspection Request Scheduled For: Date: 8/1872008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
?80 Insulation 074303 -02 503 - 720.3369 N
Corrections /Comments / Instructions:
•
( TS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /01,_ . Date: 8- /3 -I Phone #: (503) 718- , 9--4- "�
. f
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MS"12001.00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/2008
Phone: (503) 639 -4171 / �n, 'r� �icili'�I!
Inspection Requests (24 Hrs.): (503) 639 -4175 _: "..
INSPECTION WORKSHEET FOR DATE: 8/18/2008 TIME: 7:00AM PAGE:
SITE ADDRESS: 06910 SW OAK 51 CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 00 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Repair vehicle impact damage.
OWNER: MILLER, OVIE PHONE #: 503. 789.5744
CONTRACTOR: WI LAMETTE RESTORATION SERVICES INC PHONE #: 50 656-2867
Inspection Request Scheduled For: Date 8/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 074303 -01 503 - 720-3369 Y
Corrections /Comments /Instructions:
ASS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, z/ Inspector: Date: !1 /A -il P> Phone #: (503) 718- Z-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST200f3 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8111/2008
Phone: (503) 639-4171 � I �
Inspection Requests (24 Hrs.): (503) 639 -4175 ._..
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:OOAM PAGE: 6
SITE ADDRESS: 06910 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE 001 #: 00 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Repair vehicle impact. damage.
OWNER: MILLER, OVIE PHONE # : 503- 789 -5744
CONTRACTOR: WILLAMETTE RESTORATION SERVICES INC PHONE #: 503- 656-1867
:Inspection Request Scheduled For: Date: 8f151 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
X00 Insulation 074241 -02 503.720 -3369 Y
Corrections /Comments/ Instructions:
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. Date: g Phone #: (503) 718- 294/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: -.;,OU 00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Vti Inspection Requests (24 Hrs.): (503) 639 -4175 �.....
:- INSPECTION WORKSHEET FOR DATE: 8/15/2008 TIME: 7 :tlOAM PAGE: 7
SITE ADDRESS: ; 0€ 10 SW OAK ST CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #:
001 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: Repair vehicle impact damage.
OWNER: MILLER, OVIE PHONE #:
503-789-5744
CONTRACTOR: WILLAMETTE RESTORATION SERVICES INC PHONE. #: 503.'656.2867
Inspection Request Scheduled For: Date: 88
Code Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 074241 -01 503-720-3369 Y
Corrections /Comments/ Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL O ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: o° /-' Phone #: (503) 718-