Permit :IN n CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2009 -00078
COMMUNITY DEVELOPMENT DATE ISSUED: 2/10/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CB
SITE ADDRESS: 11084 SW 81ST AVE ZONING: R -4.5
SUBDIVISION: HERB + PEGGY'S PLACE LOT: 026 JURISDICTION: TIG
PROJECT: DEES
Project Description: Construct 162 sq. ft. deck.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 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: BOILJCMP < 3HP: 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 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO & 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 # 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
DANIEL & SHIRLEY DEES AARON SAHNOW CONTRACTING LLC laws. All work will be done in accordance with approved plans. This
11084 SW 81ST 2025 ELM ST UNIT 1F permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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: Contact #: PRI 971 - 235 - 6214 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 185023
TOTAL FEES: $ 148.96
REQUIRED ITEMS AND REPORTS
i
Issued By : \ di , , RD *1 ' (/ i ik Permittee Signature : . .
Call 503.639.4175 by 7:00 a.m. for an inspection that busines ,g`
This permit card shall be kept in a conspicuous place on the job site until comp etion of tf - . .:r oject.
Approved plans are required on the job site at the time of each insp:ction.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2009-00078
13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: 2/10/2009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,..4.4■
INSPECTION] WORKSHEET FOR DATE: 212 109 TIME: 7:00AM PAGE:
/1 0.14 •
SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: HERB 4- PEG GY 'S PLACE LOT #: 026 TYPE OF USE:
PROJECT NAME: DEES
DESCRIPTION: Construct 162 sq. ft. deck.
OWNER:. DEES, DANIEL & SHIRLEY PHONE #:
CONTRACTOR: AARON SAHNOW CONTRACTING LLC PHONE #: 971-235-6214
Inspection Request Scheduled For Date: 2/2412009 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
299 Final inspection 080769-02 971- 23.r. 6214
Corrections/Comments/Instructions:
•
•
pA3s7 PARTIAL APPROVAL CANCEL NO ACCESS
FAIL Ir LL FOR INSPECTION El ADDITIONAL FEES ASSESSED
474_1/ 2-(OW
Inspector: Date: 0 Phone #: (503) 718-
•
• r
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MST2009.00078
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 2/1012009
Phone: (503) 639 - 4171 �µ 1 ,N 1if� l
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/24/2009 TIME: -7 :00AM PAGE: 26
SITE ADDRESS: 11084 SW 81ST AVE CLASS OF WORK:
SUBDIVISION: HERB + PEGGY'S PLACE LOT #: 026 TYPE OF USE:
PROJECT NAME: DEES
DESCRIPTION: Construct 162 sq..ft. deck;
OWNER: DEES. DANIEL & SHIRLEY PHONE #:
CONTRACTOR: AARON SPHNOW CONTRACTING LLC PHONE #: 971
Inspection Request Scheduled For: Date: 2/24/2009 Pour Time:
Code # • Inspection Description Confirm # Contact # Message �-
271 Framing 080769-01 971 - 2356214 N °
• �
Corrections /Comments /Instructions:
RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n 'ADDITIONAL FEES ASSESSED
Inspector: Date: ` 1 4
4 Phone #: (503) 718 - Z--1/
T Building Permit Application
Residential RECEIVED FOR , 01 Fl(I i 5 O ��,�
City of Tigard Received �
DateB $` Permit Na. V - 0 . COCta
13125 SW Hall Blvd., Tigard, OR 9722 E 1: 0 2009 Plan Review ►
2 ' Phone: 503.639.4171 Fax: 503.598.1960. DateB : r Other Permit:
TIG A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Read I - H See Page 2 for
Internet: www.tigard-or.gov
BUILDING DIVISION Notified/Method: , Supplemental Information
TYPE OF WORK • 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
El ddition /alteration /replacement
El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY" OF "CONSTR_UCTION ' work indicated on this application. /
,[� 1- and 2 -family dwelling ❑ Commercial /industrial
Valuation: s 5 , Ao6 •
El Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB . SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /i j � 5, 8 1 s a o New dwelling area: square feet
City /State /Z1P: ! 7,-,. / A pc/ ' C Garage /carport area: square feet
Suite/bldg: /apt. no.: Project name: Der S Covered porch area: square feet
Cross street/directions to job site: Deck area: I tQr quare feet
Other structure area: square feet
REQUIRED DATA': COMMERCIAL -USE CHECKLIS • . '
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
DE OF "WORK work indicated on this application.
A/114) r / Valuation: S
( Existing building area: square feet
New building area: square feet
gtt,11201 OWNER ❑ TENANT Number of stories:
•
Name: O44 Vee Type of construction:
Address: (lob 5-.60 6/ Sf Qve • Occupancy groups:
City/State /ZIP: i i afdi t OK Existing:
I _
Phone: ( (1 ) 2 Pax ( )
°5 'CJ V� New: • APPLICANT ' . CONTACT PERSON NOTI
Business name: t p y G G1It1'O � l (`ifvt,_ All contractors and subcontractors are required to be
Contact name: C / licensed with the Oregon Construction Contractors Board
l f�Gt�1 q n $ e under ORS 701 and may be required to be licensed in the
Address: el :/- 7025 E j7 / p jurisdiction in which work is being performed. If the
1 p / l0 applicant is exempt from licensing, the following reasons
City/State/ZIP: P:
�o;tPSl Odat1l> / f (71 apply:
Phone: ( q 7 i t ) 2 -62 i !! ] Fax:: ( )
E-mail: SC S e ,5,e I op l ► i - of 1'►vk
•. CONTRACTOR. :,..
Business name: a� Cry( C BUILDING RERMIT FEES
nt ✓arilA) rryl lent(` i
Address: �� ��Yyl S} j (Pl "
by r 1 Structural plan review fee (or deposit):
City/State /ZIP:
P4_ �YVt/P 0/7 ' 711 co
t FLS plan review fee (if applicable):
Phone: ( 971 ) •� 3r�, G2 1 ci Fax: ( )
CCB lic.: ('50 23 Total fees due upon application:
Amount received: Y • 9 0
Authorized signature: // . / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: .„ . Sea, p .{ Date: Z f 10 f �c f * Fee methodology set by Tri- County Building Industry
l � ' � I r Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I 1/02 /COM/WEB)