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Permit sl • iui� It 'CITY OF TIGARD MASTER PERMIT III PERMIT #: MST2008 - 00142 COMMUNITY DEVELOPMENT DATE ISSUED: 9/15/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CA - 07300 SITE ADDRESS: 15210 SW 100TH AVE ZONING: R - SUBDIVISION: GULF SIDE ESTATES NO. 2 LOT: 017 JURISDICTION: TIG PROJECT: BENHAM Project Description: 192 sf. deck. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: 12 FIRST: 192 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 192 sf 3,621.12 REAR: 15 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: BOIUCMP < 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 HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amplvolt : 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 & 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 BENHAM, SUSAN JEANETTE TIM ALLEN BOETTCHER laws. All work will be done in accordance with approved plans. This 15210 SW 100TH 9900 SW 77TH AVE permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97224 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 503 - 830 - 1415 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 162404 TOTAL FEES: $ 208.00 REQUIRED ITEMS AND REPORTS lit 41/ Issued By : — Je,,,,,,,i, Permiftee Signat re • - 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. • /Y /D `vd 2 Builjing Permit App Residential rte. FOR OFFICE USE ONLY ° 13125 SW Hall Blvd., Tigard, City of Tigard Date/B ��— Permit No.: • ^ QQ � dap g OR 9 �b ;:: 400u Plan Review ^ Other Permit = Phone: 503.639.4171 Fax: 503.59:n'. il 4:1 ti Date/By: S oC Q I Ar' 2i00 8 Inspection Line: 503.639 T A 1 G A RD �_ tV 41,0c 1.te Ready /By: Ian ® See Page 2 for Internet: www.tigard - or.gov C• Q f , t �, `) to • R• 4 e i ...: 6) -WAD r Supplemental Information • TYPE OF,WORI ttO~ REQUIRED DATA: 1 -.AND 2- FAMILY DWELLING ❑ New construction ❑ D�rtin Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement [6ther: '3 e_ C_AC equipment, materials, labor, overheajt and the profit for it3, CATEGORY OF CONSTRUCTION work indicated on this application. 3 6 R f . /A_ 1 Valuation: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi-family Number of bedrooms: ❑ Master builder [ Mi r: ei �Z c r Number of bathrooms: JOB SITE INFORMATION AND LOCATION - Total number of floors: Job site address: ( ' g, ( © to dm A o New dwelling area: square feet City/State /ZIP: 1 ccy d. a Q r2 77 y Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: R E N o j11. � Covered porch area: square feet • Cross street/directions to job site: S Q.. -(y( ,- tr ... ! `� Deck area: 1 • )( (f 3 square feet 1 GI ' ` ` Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: ) .7 Permit fees" are based on the value of the work performed. Tax map /parcel no.: o Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the n 4 DESCRIPTION OF WORK work indicated on this application. a t J. c( ci' t t4.1 c 4) L S i\ (4.2 I b t ( (lv5 Valuation: $ Existing building area: square feet New building area: square feet 1p PROPERTY OWNER I ❑ TENANT Number of stories: Name: 5 S aid , , (a Type of construction: Address: l 6 D (00-4k A U E Occupancy groups: City/State/ZIP: t ! 4 f 0 Q_ '13--(f Existing: Phone: (403) 6 ` l `' 5..< 9 Fax: ( ) New: [R APPLICANT ❑ CONTACT PERSON NOTICE Business name: "'�, w„ 4 B o e f fe 11 , dTo er Co,vi5.ru rJ 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: qfe 0 0 s -71T7 A U jurisdiction in which work is being performed. If the City/State/ZIP: 0 d n I �/ 9 — 7 d_0s'3 applicant is exempt from licensing, the following reasons apply: Phone: (603) 7 3 ©- f w 5 Fax:: ( ) E -mail: CONTRACTOR Business name: BUILDING PERMIT FEES* Address: 50- � � (Please refer to fee schedule) / �. l ' S tructural plan review fee (or deposit): / _ VP/ City/State/ZIP: ) l0 Phone: ( ) Pax: ( ) FLS plan review fee (if applicable): ^� !,� CCB lic.: • l & T Q Total fees due upon application: ( (< ! J 1 ,� j Amount received: ( 1� Authorized signature- wit d e / %'�' /� _ j ' �• 1 rIl' T h is permit application expires if a permit is not obtained / L within 180 days after it has been accepted as complete. Print name: f ff ifY f I l r goe -T�Cll er Date: q ...._( 3 ,-- 0? + Fee methodology set by Tri- County Building Industry Service Board. rA A______------- 1 • !:,2,(:±___________s_..02 - \,,.. C, 1 I . — - a) r, ... , ..,/ RECEIVED .‘ . v ( Co -7 SEP q 213r.'.3 1 0 c f ; a. f; ., ;•.,-.;:. i i .;.;--:.! i ., - .i 1570171YOR TIGARD ..-- - - •'. 3 - --- . -- --- --- - - - --- -----7-113-1111)INGDIVISION k.!...,.. c ..... ) " • 1 ,•• ,,, i • .. ■ . . % L' • "• ' • '. • •• •-• - • '. • • . ••••••••• .•• : t: ':)•": !I : \ 0 7 - al/ , . . . .. . .... ., . ........... : :' ! ! I ' \ i • . . • T. . l/ • .. ,. .. --,------------•••••••• • .- - •-;••.-;.-..:•. ,:,. bo , ,.. i :,.• iil , . . . ;•-•-, ., d , , 1 —,—, (i) : - , .r, i.,/: I .:: (.....,....."b) • 1i : ' --I ---4 , • Ho ti 5 E • , . 1 ri (3 • 0 , f:•: .../..e:.pi. A f.:,! _ ii f.p.;)i %co 'A."1 1 ) i 2? la c ____ __T_ .• ....,. • • . • I ! -. • - . ,____/ . ,.. , • 6 go ,---,,,„••! o i ni • Q5,:x _ . . bEK i . i rr t cl'3„scis . i . -7 1 'Oct I DO i (OV I 6q . _ ' (e F 1 ! i . , i ! 1 ! 1 .... . . I --- o , .. -7 0 A ur i . , . CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.: / . •"— 2 PLANNING DIVISION: DIVISION: Required Setbacks: GKApproveclio 0 Not Approxed Side: _4--. Streer's':ne: i - Fri■nt. _L......_.. ,: ,,. . -) Rear: . V :istia! Clearance: : 4r&;(1 0 Not Approved maximum P: I `rI12.- CWS Service P-,v. i.,..-z -,: ....:.;, , -eirl: 0 Yes allo 0 Keyeived FAN : ,,...........JA-f -1-0 Oate: q bor De ,. ENGINEERING D .,PARTMENT: Actual S ope:_e2__% In Approved 0 Not Approved Site PI : ' .15, Approved 0 'ot . proved .... .... p B,: .1,, • II Date: Plf • eve,— - Nowt,: afpurti(-4-4----- ei.A_..7 , is 5 /(j0 CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO: "fr7 57D,C(153'Cia "1,04 Street Trees: A pot , :. , ,-.: 1 El l'•:ot Aporoved Protected Trees: 1 :- • . Noz i s,rproved N,i1: - • ......_.. _______. II1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9115/2009 Phone: (503) 639-4171 1/* .4 Inspection Requests (24 Hrs.): (503) 639-4175 ........._.0- - - .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 9/23/2008 7:00AM 1 SITE ADDRESS: CLASS OF WORK: 15210 SW 100TH AVE SUBDIVISION: LOT #: TYPE OF USE: GULF SIDE ESTATES NO. 2 017 PROJECT NAME: BENHAM DESCRIPTION: 192 si. deck. OWNER: BENHAM, SUSAN JEAN E I 1E, PHONE #: CONTRACTOR: TIM ALLEN BOETTCHER PHONE #: 5 03,830-1415 Inspection Request Scheduled For: Date: 9123/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message r Z t 299 Final inspection 075813-01 503.830-1415 Y Corrections/Comments/Instructions: _.e., 7erir 4- da le c) 2 SerE3 //o/d dewy( 1 ck 5 (bi- ekri 5 — 0 K C__c, ,5_e fl PARTIAL APPROVAL fl CANCEL El NO ACCESS n FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: '?a Date: .,?3 ---S-T Phone #: (503) 718- '23 , . CITY OF TIGARD . BUILDING DIVISION • PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: MST2008 9/15/2000 Phone: (503) 639-4171 ' ,,V Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE 9/2212008 TIME: 7:00AM PAGE: 2 SITE ADDRESS: , i5210 SW 100TH AVE CLASS OF WORK: SUBDIVISION: GULF SIDE ESTATES NO 2 LOT #: 017 TYPE OF USE: PROJECT NAME: BENHAM DESCRIPTION: 192 sr. deck. OWNER: BENHAM, SUSAN JEANETTE, PHONE #: CONTRACTOR: T ALLEN BOETTCHER PHONE #: 503-B30-1415 Inspection Request Scheduled For: Date ' 9/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Fin61 inspection 075773-02 503-830-1415 N Corrections /Comments/ Instructions: gftsii :' Ai d P '0 44 xer 0 PASS r7 PARTIAL APPROVAL CANCEL 0 NO ACCESS FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 73--S Date: O. St20E- Phone #: (503) 718- 2Y2 ` `' CITY OF TIGARD ���� .. - ��u n m ��n n n�ma�muo�� BUILDING DIVISION � PERMIT ~~~~^~~~~""~~~ ~~^~^~~^~°^~ #: M6;T2008'O0142 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1.5i2008 Phone: (503) 689'4171 lir Inspection Reque�e(24Hne.):(6U3)S3Q'4175 ^J «� �� INSPECTION WORKSHEET FOR DATE: � T|K8E� PAGE: 9$22/2008 TIME: ��Q O AhA � 3 SITE ADDRESS: � CLASS OF WORK: � 15210 AVE SUBDIVISION: LOT #: � TYPE OF USE: � GULF SIDE ESTATES N0. 2 � 017 PROJECT NAME: BENHAM DESCRIPTION: 197 u[. deck. OWNER: � PHONE #: BENHAM, SUSAN JE�NE]7lE, CONTRACTOR: PHONE #: � TIM &LLBM B()�T[�MER � @03'830 Inspection Request Scheduled For: Date: Pour Time: 93�/2UO8 � Code # Inspection Description Confirm # Contact # Message �4« . t, � r ' 275 Framing 075775'01 50383U1415 Y Corrections/Comments/Instructions: ' -- ---' -- -- PASS 7 PARTIAL APPROVAL 7 CANCEL NO ACCESS -- FAIL 7 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED ~�� �� ���� Inspector: � �`� Date: ' ~x� Phone #: (503) 718- °� ' "~�� �.` v `�``�`` . __-_ ' ti a� CITY OF TIGARD . BUILDING DIVISION PERMIT #: MST 00i Cl0142 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/15/2008 Phone: (503) 639 -4171 u 4110,, i u i Inspect Requests (24 Hrs.): (503) 639 -4175 ... INSPECTION WORKSHEET FOR DATE: 9/16/2008 TIME: 7 :01AM PAGE: 21 SITE ADDRESS: 15210 SW 100TH AVE CLASS OF WORK: SUBDIVISION: GULF SIDE ESTATES NO. 2 LOT #: 017 TYPE OF USE: PROJECT NAME: BENHAM DESCRIPTION: 192 sf. deck. OWNER: BENHAM, SUSAN JEANETTE, PHONE #: CONTRACTOR: TIM ALLEN BOE- ETCHER PHONE #: 603-830-14/5 Inspection Request Scheduled For: Date: 9/16/2008 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 075482 -01 503-830-1415 N Corrections /Comments /Instructions: a . Tdree ( - 77e- - c - K - E/L PASS n PARTIAL APPROVAL n CANCEL U NO ACCESS I I FAIL / CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ltto Phone #: (503) 718 -