Permit w CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00069
COMMUNITY DEVELOPMENT DATE ISSUED: 3/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134DB-06900
SITE ADDRESS: 11102 SW TORLAND ST ZONING: R -4.5
SUBDIVISION: TORLAND ESTATES LOT: 007 JURISDICTION: TIG
PROJECT: DOVER
Project Description: Repair tree damage.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 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: 0 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: $ 10,000.00
Owner: Contractor:
DANIEL DOVER SUBURBAN HOMES
11102 SW TORLAND ST 6415 SW 213TH AVE
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: Contact #: PRI 503 - 642 -7970
Reg #: LIC 79632
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
I l3UILDI Permit Fee 3/12/2008 $149.14
(TAXI 12% State Surch 3/12/2008 $17.90
I[3U1'PLN] Pln 12v 3/12/2008 $96.94
Total $263.98
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 : I - ough 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. 32.2344.
Issued By.'1,- /, _sue Permittee Signature:
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
Residential FOR OFFICE USE ONLY
eived �� A
1 • Q I
City of Tigard
Received Permit No.: •
13125 SW Hall Blvd., Tigard, OR 97 3 5 Plan Review
C . Phone: 503.639.4171 Fax: 503.598.1960 \\ A Al t 9. t \' DateB : Other Permit:
TI G A R D Inspection Line: 503.639.4175 A�� Date Ready /By: luris: ® See Page 2 for
Internet: www.tigard or.gov G (). 1I R Notified/Method: Supplemental Information
eDitSO
TYPE OF WOK,. REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ef Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I- and 2- family dwelling ❑ Commercial /industrial Valuation: t U i 06 b . 2.4 0466 , 1f96
❑ Accessory building ❑ Multi- family Number.of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 1 \ n 2 S 0 a LA4-k ST- New dwelling area: square feet
City /State /ZIP: a (0A -2.. Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 1 \ -Llj .+ NvisT �� }K Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: i a /� 6 q 6 indicate the value (rounded to the nearest dollar) of all
v equipment, materials, labor, overhead, and the profit for the
(�
DESCRIPTION OF WORK work indicated on this application.
fti'�t� > n — r Y— lDA.N'1 - b- l Valuation: $
Existing building area: square feet
New building area: square feet
2 PROPERTY OWNER ❑ TENANT Number of stories:
Name: i- DA}- )y ()V Type of construction:
Address: I \ ( 0? SC) 7 d2 Occupancy groups:
City /State /ZIP: j 1 6 ,00.4,2t) ()Z Ol') 2ZZ - 3(01 Existing:
Phone: (YU) "20`1`) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name:
licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E-mail:
CONTRACTOR
Business name: LA p U 1.4... � � ( BUILDING PERMIT FEES*
Address: iS Sci \2 }? AUF (Please refer to fee schedule)
City /State/ZIP: �� -j-O OZ., Cc /,i,� Structural � ctural plan review fee (or deposit): q�f
Phone: [JV FLS plan review fee (if applicable): Y '
(.Sn `31 `�-' t-IS �'2 Fax: U l73) ��f 9 d'2
Total fees due upon application: ,) G3 04
CC E1 Iic.: --)o 4,3 2 �t (c) ` l
Amount received:
Authorized signaler This permit application expires if a permit is not obtained
a within 180 days after it has been accepted as complete.
Print name: t. „6 2 L � � Date: 2 i ); / 6 () • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1/02/COM /WEB)
AIL
CITYcDF TIGARD
BUILDING DIVISION PERMIT #: I;UP2008 -00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2008
Phone: (503) 639 -4171 •� ?�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 11102 SW TORLAND ST CLASS OF WORK:
SUBDIVISION: TORLAND ESTATES LOT #: 007 TYPE OF USE:
PROJECT NAME: DOVER
DESCRIPTION: Repair tree damage.
OWNER: DOVER, DANIEL PHONE #:
CONTRACTOR: SUBURBAN HOMES PHONE #: 503. 642 -f9 /0
Inspection Request Scheduled For: Date: 3/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
?80 Insulation 066800-01 503.312 -4562 Y
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Corrections /Comments /Instructions:
•
_ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑. FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - 1/ D g Phone #: (503) 718 - -7---`6
CITY OF TIGARD
BUrLf G DIVISION PERMIT #: Bt11 ?008.00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1212008
Phone: (503) 639 -4171 414,11110
Inspection Requests (24 Hrs.): (503) 639 -4175 .'..
INSPECTION WORKSHEET FOR DATE: 3113/2008 TIME: 7:02AM PAGE: 10
- SITE ADDRESS: 11102 SW TORLAND ST • CLASS OF WORK:
SUBDIVISION: TORLAWD ESTATES LOT #: 007 TYPE OF USE:
PROJECT NAME: DOVER
DESCRIPTION:. Repair treo .damage.
OWNER: DOVER, DANIEL PHONE #:
CONTRACTOR: �S11BURBAN HOMES PHONE #: 503 - 642 - 7970
Inspection Request Scheduled For: Date: 3/1 3/2008 • Pour Time:
Code # Inspection Description - Confirm # Contact # Message
275 Framing 066659 -01 503.313 -455 ' Y -
Corrections /Comments /Instructions: 7
Igi
/i PASS ❑ PARTIAL APPROVAL fl CANCEL ❑ NO ACCESS
❑ FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector: D ate: 3 1� 6� Pho ne #: (503) 718 -�
P
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