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Permit III ti CITY OF TIGARD MASTER PERMIT - COMMUNITY DEVELOPMENT P ermit #: MST2010 00208 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/01/2010 Parcel: 2S104CD10000 Jurisdiction: Tigard Site address: 13652 SW TRACY PL Subdivision: HILLSHIRE ESTATES NO. 2 Lot: 99 Project: LaFortune Project Description: Replace existing deck. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: No Total: 0 sf Value: $10,240.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 0 Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/0 Svc /Fdr: 0 Mid Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R -3 0 Owner: Contractor: LAFORTUNE, MARIO A LORDS CONSTRUCTION LLC Required Items and Reports (Conditions) 13652 SW TRACY PL PO BOX 969 TIGARD, OR 97223 TUALATIN, OR 97062 PHONE: PHONE: 503- 638 -5777 FAX: 503- 638 -5770 Total Fees: $426.59 This .- 1 is issue. .. ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will b= done in accordance with • • plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Orego - re• .ire$ you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OA' 952 -0_i -0 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332.234 ssued By: /' // / li Permittee Signature: \ ■ CaII 503.639.4175 by 7:00 a.m. for the next available inspection date 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 L , F ,,. e , /a 4' - - i Residential FOR O FFICE USE ONLY _ RECEIVED Phone: 503.639.4171 Fax: 503.598196 O V 3 ® 2 Q 1 U Date Received `/ pO M �/ City of Tigard Date /B : 3 PermitNo.: r 5 1 O/o 2'8' 11 1111 ® 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Date/By: • u l ! !c' Other Permit-. TIGARD Inspection Line: 503.639.4175 Date Ready :y: / Ions. See Page 2for .. , Internet: www.tigard or.gov CITY OF TiGARD Notified/Method: 12/1' //a k Supplemental upplemental Information 1t w TYPE OF lQIIvU DIVISION 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 A ddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION • work indicated on this application. al- and 2- family dwelling El Commercial /industrial Valuation: $ �Q 90 DO ❑ 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: J - £ e 5 w 'r icy P L New dwelling area: square feet City /State /ZIP: G AO © 12 r -1 1_23 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: ot v TO 1.015726 Tae Deck area: 5 p p square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 / arcel no,: j /Fj 9 / - L ' /0000 equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. S�' ]P LI Ce ) X /6o/tie /'L C.k�' Valuation: $ Existing building area: square feet New building area: square feet ;�: PROPERTY OWNER ❑ TENANT Number of stories: Name: IN1 Me-1 Z lI` Fo2TU A.)Cr. Type of construction: Address: / % 6 'L 5‘,/ / 'T C y ,PL Occupancy groups: City/State /ZIP: JGA t26 i o't 7 7 223 Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT g CONTACT PERSON . NOTICE Business name: L0 AD5 c O /vS ri.v c r GG C All contractors and subcontractors are required to be Contact name: L O �l licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: P(, g 96 jurisdiction in which work is being performed. If the City/State/ZIP: � eve- g 7 C �r applicant is exempt from licensing, the following reasons ‘39-.5 . J apply: I Phone: 6 j ) 7 7 7 Fax:: ( ) E -mail: ' L ort coov6 . G©p+'- CONTRACTOR • Business name: i... 00 5 C ofv S ,f/L V G r7e if/ [—C-C BUILDING PERMIT FEES* Address: P C' 76, f.' (Please refer to fee schedule) City /State /ZIP: -7 , 0� 9 - 66 Z Structural plan review fee (or deposit): f FLS plan review fee (if applicable): Phone: (563) 635 5717 Fax: (503) 63 - - 5 CCB lie.: l . 50 Total fees due upon application: i Amount received: 7 g6, '57 Authorized signature: �,r / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri-County Building Industry Service Board. I: \Building\Permits \BUP -RES PermitApp.doc 1 0/01/09 440- 4613T(I1 /02 /COM/WEB)