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Permit C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2009 -00006 ° COMMUNITY DEVELOPMENT DATE ISSUED: 1/23/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 101 AA - 08700 SITE ADDRESS: 12511 SW 68TH AVE ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 029 JURISDICTION: TIG PROJECT: H P NORTHWEST Project Description: TI. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 1,500.00 Owner: Contractor: BEVELAND BUILDING LLC HORIZON RESTORATION 4740 SW LOWELL CT 7235 SW BONITA ROAD PORTLAND, OR 97221 TIGARD, OR 97224 Phone: 503 - 597 -1625 Contact #: PRI 503 -620 -2215 FAX 503 - 624 -0523 Reg #: LIC 160672 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 1/8/2009 $40.63 [FLS] FLS Pln Rv 1/8/2009 $25.00 [BUILD] Permit Fee 1/23/2009 $62.50 [TAX] 12% State Surch 1/23/2009 $7.50 Total $135.63 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: O' i_N n Q 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 Commercial FOR OFF ICI USE • CI of TI d FECElVED Recei • t Permit No.: City Tigard Date /B . • ' w fa II_ ! • 1, 13125 SW Hall Blvd., Tigard, OR 97223 . I Phone: 503.639.4171 Fax: 503.598.1960 JAN 0 8.20e9 Plan Review Date /B : ' AA f' ©O ... Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready—:y: tic, ® See Page 2 for Internet: www.tigard - or.gov CITY OFFTICARD No 1. 1.Oq Supplemental Information TYPE OF WOAK ING DIVISION l c 1 Jj c'Q a t Z c. d- ft Pn�rkh losA- • L L. - REQUIRED DATA: 1- 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 ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ El 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: 12511 SW 68 Avenue New dwelling area: square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: SW 68 & Beveland Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 08700 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 2Sl lAA Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ' DESCRIPTION OF WORK . work indicated on this application. Merge two adjacent rooms: remove interior wall that separates them; remove two Valuation: $$1,500.00 interior doors and windows; add new interior entry way to room. Existing building area: square feet . New building area: 0 square feet P • ® PROPERTY OWNER I ❑ TENANT Number of stories: 2 l •' Name: Edward H. Heintzberger, Beveland Building, LLC Type of construction: Address: 12511 SW 68th Avenue Occupancy groups: City/State /ZIP: Tigard, OR 97223 Existing: B (office) Phone: (503)597 -1625 Fax: (503)597 -1649 New: ❑; APPLICANT ® CONTACT PERSON • NOTICE , , .. Business name: HPnorthwest All contractors and subcontractors are required to be Contact name: Fred Payne licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12511 SW 68 Avenue jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 597 -1621 I Fax: : (503) 597-1649 E -mail: fredp @hpnorthwest.com CONTRACTOR Business name: Horizon Restoration BUILDING PERMIT FEES* • Address: 7235 SW Bonita Rd. (Please refer to fee schedule) Structural plan review fee (or deposit): 40 (0 City/State /ZIP: Portland, OR 97224 Phone: (503) 620 -2215 Fax: (503) 624 -0523 FLS plan review fee (if applicable): CCB lic.: 160672 Total fees due upon application: 25 00 Amount received: ( 5 , 63 Authorized signature: I ^ p f Al ti:".., - This permit application expires if a permit is not obtained - within 180 days after it has been accepted as complete. Print name: Edward H. Heintzberger /�j� ger Date: 1/7/2009 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /02 /COM /WEB) CITY OF TIGARD _ss BUILDING DIVISION PERMIT #. SUP2009-00006 13125 SW Hall Blvd., Tigard, OR 97223 1 , A 5 , j DATE ISSUED: ' 1/ 4 - et, 1/23/2009 Phone: (503) 639-4171 , F ,Agt.ifili Inspection Requests (24 Hrs.): (503) 639-4175' 1 4 INSPECTION WORKSHEET FOR DATE: 3/2/2009 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12511 SW 60TH AVE CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: H P NORTHWEST DESCRIPTION: TI. OWNER: BEVELAND BUILDING LLC, PHONE #: 603-597-1626 CONTRACTOR: HORIZON RESTORATION PHONE #: 603-620-2215 Inspection Request Scheduled For: Date: 3/212009 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 080950-01 503-920-0116 N Corrections/Comments/Instructions: fl PASS El PARTIAL APPROVAL 111 CANCEL 0 NO ACCESS ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED \h ( A_________ t)-pf Inspector: Date:/ Phone #: (503) 718- CITY OF TIGARD ASA . BUILDING DIVISION PERMIT #: BUP200 00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13/2009 Phone: (503) 639 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 - ° INSPECTION WORKSHEET FOR DATE: 2/5.12009 TIME: 7:00AN1 PAGE: 11 SITE ADDRESS: 17-;11 SW Gf;TH AVE CLASS OF WORK: SUBDIVISION: 1, 1A:ST PORTLAND HEIGHTS LOT #: 029 TYPE OF USE: PROJECT NAME: I FP' l IORTHIM ST DESCRIPTION: TI, OWNER: BEVELAND BUILDING LLC, PHONE #: 503.5971526 CONTRACTOR: HORIZON RESTORATION PHONE #: 503- G20.2216 Inspection Request Scheduled For: Date: 216/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing' 080321 -01 50392€3 -0416 N .. Corrections /Comments /Instructions: l ^ ,j P °RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL // ALL FOR INSPECTION ❑ ADDITIONAL F, ES ASSESSED �� I f' nspector: ■.- / Date: 0 Phone #: (503) 718- Illo