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Permit Er • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00212 COMMUNITY DEVELOPMENT DATE ISSUED: 7/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135CD -02701 SITE ADDRESS: 11735 SW 95TH AVE ZONING: R - 4.5 SUBDIVISION: BOETCHERS ADDITION LOT: 006 JURISDICTION: TIG PROJECT: LAWRENCE Project Description: Duplex. Add roof trusses to flat roof and reroof I REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR 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: 0 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: $ 9,500.00 Owner: Contractor: LAWRENCE, JUSTIN DONALDSON DEVELOPMENT 9403 NE 41ST AVE PO BOX 765 VANCOUVER, WA 98665 AURORA, OR 97002 Contact #: PRI 503 - 898 - 8628 Phone: 360 448 - 7401 Reg #: LIC 167798 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/18/2007 $139.30 [BUPPLN] Pln Rv 4/18/2007 $90.55 [TAX] 8% State Surcha 4/18/2007 $11.14 [FLS] FLS Pln Rv 4/18/2007 $55.72 Total $296.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ■ Issued By: -Al...` l ' � C i�2� Iv, /� / � . r Permittee Signature: 7 Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • 11736'5o.1 .7 Building Permit Apji1tcati E(V! FOR OFFICE USE ONLY r .. Low Received City of Tigard Date/B : . /A4 A. PermitNo. it 4 � I G13 • 13125 SW Hall Blvd., Ti ard, 223_ /$ 45J (j g 916 Q 2 007 Plan Received 2/ M /� • erPerm Phone: 503.639.4171 Fax:S .5 I QJ Datdg Y TIGARD Inspection Line: 503.63y.4l77, , Date Ready y: / Luria: 0 See Attached Checklist for Internet: www.tigard- ott1fo (A 11(j ) Notified/Method: 1p /21 d� S Supplemental Information 1k. r I►. a a � .. . 4) /it 5 . ►1 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 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. [-11- and 2- family dwelling ❑ Commercial/industrial Valuation: $ q SpQ ❑ Accessory building El Multi-family Number of bedrooms: (t ❑ Master builder 0 Other: Number of bathrooms: .3 f 7 ' JOB SITE INFORMATION AND LOCATION D t " Total number of floors: g. Job site address: 4,4,4ES , w. 9 S t+ s t New dwelling area: 0 square feet City/State/ZIP: I l yrn,t) o A.. Garage/carport area: 0 D square feet Suite/bldg. /apt. no.: I Project name: D Dip Kr , Covered porch area: (--) square`'feet Cross street/directions to job site: c_,,,,,. 14 b IA IA / / l' - Q < - 0414 r� Deck area: ,,,Q,,.,. . ,,, , re WA -- • Sp, 4 tin a bust t a h / f7C. t S v 0.i title / ri rt t Other structure area: a square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST $,ubdivision: 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. ' lid (o F , ` » ' - iA . f e tb E roof f cc- o(-, {- Valuation: $ i 500 f v Existing building area: (f 0 Q square feet New building area: 0 square feet [ PROPERTY OWNER TENAN Number of stories: a— Name: ,S } bi n L k U,, eel (G V 1, The of construction: t.,,iI Address: T'f 0 3 Al. E /f i ii Occupancy groups: City/ State/ZIP: v CAA Cott. e / _ I U l ' /9 CI 6 � Existing: Phone: (3o) 4 1 - 7110 I Fax: ( ) New: . APPLICANT g CONTACT PERSON, ,, NOTICE . ... + ^+ :, '. Business name: � - 4 J 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 followin leasons apply: Phone: ( ) I Fax :: ( ) E -mail: CONTRACTOR / Business name: D ,,, , Q � • iD� BUILDING PERMIT FEES* Address: i 6 p 7� 6o n -7 V - (Please refer to fee schedule City/State/ZIP: Q j/ . (f 6 k- r D / 9 ?fib v , /�/►) Structural plan review fee (or deposit): h �j FLS plan review fee (if applicable): Phone: ( ) Fax ( ) ✓ gS CCB lie.: \ V1 16) I 70 1 4(iY Total fees due upon application: ....( '6 Amount received: Authorized signature: This permit application expires if a permit is not obtained i � i within 180 days after it has been accepted as complete. Print name: J 4 S t r/1 L 4vv to Date: i 1 i b 1 * Fee methodology set by Tri-County Building Industry Service Board. I:\ Building \Permita\BLJP- PermitApp.doc 03/21/06 440 4613T(I1 /02/COM/WEB) • 1 . !y. CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 11736 SW 95TH AVE CLASS OF WORK: SUBDIVISION: BOETCHERS ADDITION LOT #: 006 TYPE OF USE: PROJECT NAME: LAWRENCE DESCRIPTION: Duplex. Add roof trusses to flat roof and retool OWNER: LAWRENCE, JUSTIN, PHONE #: 360-448-7401 CONTRACTOR: DONALDSON DEVELOPMENT PHONE #: 503-898 -8628 Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 060014 -02 503. 602 -6390 N Corrections /Comments /Instructions: CC PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED it (16/6 - Inspector: Date: Phone #: (503) 718 CITY OF TIGARD 5 � 5 U / � `gi 9 � BUILDING DIVISION 0_ P ' • PERMIT #: 1UP2Q07 -00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/&2007 Phone: (503) 639 -4171 aroSIC I l ' Inspection Requests (24 Hrs.): (503) 639 -4175 4 i.. INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 11735 SW 96TH AVE CLASS OF WORK: SUBDIVISION: F3OETCHERS ADDITION LOT #: 006 TYPE OF USE: I PROJECT NAME: LAWRENCE DESCRIPTION: Duplex. Add roof trusses to flat roof and retool OWNER: LAWRENCE, JUSTIN, PHONE #: 360.44E -7401 CONTRACTOR: DONALDSON DEVELOPMENT PHONE #: 503-890 - 8628 Inspection Request Scheduled For: Date: 11/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 245 Fireman 06001401 503-602-6390 Y eia 11 fr �� Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' li t( I 7 0 7 Inspector: e Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 aaala 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I /512007 Phone: (503) 639 -4171 ��'"P ii01I1h Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 8 SITE ADDRESS: 11735 SW 95TH AVE CLASS OF WORK: SUBDIVISION: DOE CHERS ADDITION LOT #: 006 TYPE OF USE: PROJECT NAME: LAWRENCE DESCRIPTION: Duplex. Add roof trusses to flat roof and reroof OWNER: t AWRENCE, JUSTIN, PHONE #: 360440 -7401 CONTRACTOR: DONALDSON DEVELOPMENT PHONE #: 503-898-8628 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Framing 059545 -01 503-602-6390 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / /— /3 —07 Phone #: (503) 718 Z CITY OF TIGARD , , BUILDING DIVISION PERMIT #: BUP2007 -00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71512007 • Phone: (503) 639 -4171 / /rir�dp��,� � Inspection Requests (24 Hrs.): (503) 639 -4175 —4- IL INSPECTION WORKSHEET FOR DATE: 11f9/2007 TIME: 7 :00Am PAGE: 5 SITE ADDRESS: 11735 SW 95TH AVE CLASS OF WORK: SUBDIVISION: ( ETCHERS ADDITION LOT #: 006 TYPE OF USE: PROJECT NAME: LAWRENCE DESCRIPTION: Duplex. Add roof trusses to flat roof and reroof OWNER: LAWRENCE, JUSTIN, PHONE #: 360-448-7401 CONTRACTOR: DONALDSON DEVELOPMENT PHONE #: 5038998628 Inspection Request Scheduled For: Date: 11/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 209 Final inspection 059411 -01 503-602 -6390 Y Corrections /Comments/ Instructions: P e42. L )/t tR2at viti.,c - i Ad c Arca srrti ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1)— 4— 6? Phone #: (503) 718- ' xtrzc---