Permit •
i`.q ., CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00192
COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S125DB-03200
SITE ADDRESS: 09340 SW 74TH AVE ZONING: R - 4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT: 015 JURISDICTION: TIG
PROJECT: DENNY
Project Description: Demo existing 1068 sq ft residence, on sewer. Garage to remain. SDC credits for sewer, TIF, Parks &
Water Quality & Quantity available for future construction.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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:
Owner: Contractor:
TOM & MAUREEN DENNY TIMBERLAND HOMES INC
9340 SW 74TH AVE 12670 SW 68TH AVE STE 300
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 Contact #: PRI 503 - 620 - 8860
Reg #: LIC 141715
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/5/2008 $62.50 Ersn Cntrl 681 - 4444
[ERPRMT] Erosion Con 6/5/2008 $26.00
[ERPLN] Erosn Pln Rv C 6/5/2008 $8.45
[EROSN] Erosn Pln Rv ( 6/5/2008 $8.45
(additional fees not listed here)
Total $112.90
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 B , � � ‘ 4.1!I 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.
Bul lin Perm e Applicat ion
Residential RECEIVED ED FOR:oFr1CF USE ONLY
Re
IIII City of Tigard _llll ��AA�� Date/B : . Permit No.:
v 13125 SW Hall Blvd., Tigar OR 97)d13V O 2008 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /B : Other Perms
TI GA RD Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready /By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: J- 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: $
❑ 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: 9340 SW 74 Ave. New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Denny Covered porch area: square feet
Cross street/directions to job site: Cedarcrest Deck area: square feet
Hall to Locust, Locust to 80th. Other structure area: square feet
Right on Cedarcrest to 74t. REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tom and Maureen Denny Type of construction:
Address: 9340 SW 74 Ave. Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing:
Phone: (503)544 -4733 Fax: (503)598 -9081 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: Timberland Homes, Inc. BUILDING PERMIT FEES*
Address: 12670 SW 68 Ave, Suite 300 (Please.refer to fee schedule
Structural plan review fee (or deposit):
City/State /ZIP: Tigard. OR 97223
Phone: (503) 620 -8860 Fax: (503) 598 -9081
FLS plan review fee (if applicable):
CCB lic.: 141715 Total fees due upon application:
/� Amount received:
Authorized signature �/
—.� This permit application expires if a permit is not obtained
within 180 days after it has Tri -C been
ounty accepted as complete.
Print name: v �( e 11 —, Date: G/ 3 - 4. *Fee methodology set by Building Industry
Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB)
•
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m.�u o m-"*.�n� TIGARD
BUILDING ��U��U�K����
�°~°"~~~�""~�" ~�"""~~"~~"° PERMIT #: BUP2008'00192
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 615P008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A~ 11.
INSPECTION WORKSHEET FOR DATE: 0/191200M TIME: 7:0OAM PAGE: 20
SITE ADDRESS: 09340 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 015 TYPE OF USE:
PROJECT NAME: DENNY
DESCRIPTION: • Demo existing iO6Baqflresidence, on. sewer. Garage to romain. SDC credits for sewer, TlF.Pm1ks
& Water OuaUty & Quantity available tor future consLruction.
OWNER: DENNY, TOM & MAUREEN PHONE #: 603-544-4753
CONTRACTOR: TIMI3ERLAND HOMES INC PHONE #: 503-520-8860
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 071576-01 503-544'4733 N
Corrections/Comments/Instructions:
.
•
•
| PARTIAL APPROVAL E CANCEL n NO ACCESS
| | FAIL I | CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: A Date: 6 -1 7-- g Phone #: (503) 718- ___Z,