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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00344 L . f i b, DEVELOPMENT SERVICES DATE ISSUED: 7/10/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1106A 08400 SITE ADDRESS: 14170 SW 116TH TERR SUBDIVISION: EVERGREEN SPRINGS ZONING: R -4.5 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: c7fl2 FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: MG1' 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: 40 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,843.20 Remarks: Replace existing deck with new larger deck approx. 352sq. ft. Owner: Contractor: SCOTT FIELD CREATIVE FENCES & DECKS, INC. 14170 SW 116TH TERRACE 14782 SW FERN ST. TIGARD, OR 97224 TIGARD, OR 97223 Phone: Phone: 503 - 969 -8850 Reg #: LIC 147483 FEES REQUIRED INSPECTIONS Description Date Amount Footing Insp [BUPPLN] Pln Rv 6/10/03 $65.59 Framing lnsp [CDCBLD] CDC Bld Re 7/10/03 $20.00 Final Inspection [CDCPLN] CDC Pln Re\ 7/10/03 $20.00 [BUILD] Permit Fee 7/10/03 $100.90 (additional fees not listed here) Total $214.56 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: 64 t/c G „� I Perm ittee 'h Signature: "-e:66, Call 639 -4175 by 7 p.m. for an inspection the next business day . , To : Fr . '7 - 3 - c>.s ' 2003 -00035 Building Permit Application A Clty of Tl and Date received :6 - )J 03 Ig Permit no.: a0 r7a005 -003�f City •� Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: t,1 Receipt no.: Fax: (503) 5984960 Case file no.: Payment t Land use approval: 1 &2 family: Simple Complex: 0 TI PE OF PERMIT 0 0 Lv 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMA I ION U. Job address: tlij "7o 1F.Aw 1Loll Ii �('(',,( . c . „, Bldg. no.: Suite no.: Lot: cy Block: 'Subdivision: Eve rjee,. n . *,,„ 1.3 , I Tax map /tax lot/account no.: 25 - IpaA Viet) Project name: /-• 4t'�• G i t Description and location of work on premises /special con tions: Re�lr,(�. PI s +nt e.k tz (mit, c�oc.k oel rac" e::,4_ st l.. k A dls�.t.HC�. _,r OWNER FOR SPECIAL INFORMATION, USE CHECKLIST (Floodplain, septic capacity, solar, etc.) Name: n : o1ANG. 1t .-� Mailing address: kt.il'le Utz It Li u, a /*J z__ 1 & 2 family dwelling: _ i City: ... t ` r I StateO� ZIP: ell - 22‘i Valuation of work $ ` Phone: (2o - ! ! l'f 'Fax: 'E -mail: No. of bedrooms/baths Owner's representative: Total number of floors h Phone: Fax: E -mail: New dwelling area (sq. ft.) ‘PPLICANC Garage /carport area (sq. ft.) Name: HA,c... Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: ' ZIP: Other structure area (sq. ft.) Phone: Fax: E - mail: Commerciallindustriallmulti family: CONTR ACTOR Valuation of work $ EIMIZOMMICIPPEI Existing bldg. area (sq. ft.) Address: MIS"). .51.„ New bldg. area ( ft.) City: —�‘� .L '1 I I q72,2,3 Number of stories Ci State ZIP: Type of construction Phone: Cie, 4. gtSbI Fax: 624 .9 $'to E -mail: Occupancy group(s): Existing: CCB no.: 1y74SS3 New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: / jurisdiction where work is being performed. If the applicant is City: f State: I ZIP: exempt from licensing, the following reason applies: Contact person: 1 Plan no.: Phone: Fax: E -mail: ENGINEER OFFICE USE ONLY Name: AVA Contact person: Fees due upon application $ Address: Date received: City: State: IZIP: Amount received $ Phone: I Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa O MasterCard work will be complied w' , whether s s ecified herein or not. Credit card number: Expires uthorized signature: I. /I .r �J`1 _ / / : Date: O Name of cardholder as shown on credit card Print name: Nh0'YIb4 E: l(,1' Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days, ftrerA`it has been accepted as complete. 440 (6/00/COM) CITY OF TIGARD = ` ' 24 -Hour BUILDING Inspection Line:•(503) 39 -4175 MST • INSPECTION DIVISION Business Line: (503) 639 -4171 BUR .360 3 q Received Date Requested a 1 AM PM BUP Location I44-1 /i6 Y TZZ2MJ Suite MEC Contact Person Ph ( ) C 6 - 3 3/ PLM Contractor Ph ( ) SWR c B G Tenant/Owner ELC tin ELC undation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / .. / Framing �d7` Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date �' Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD a 24 -Hour BUIL G Inspectt4o i Lime: (503) 639 -4175 INSPECTION DI@I ION Business Line: (503) 639 -4171 MST Received • - g P Date Requested 3 AM M BUP Location I q 1C /16? 4 1- 6 t' Suite MEC Contact Person Ph ( ) -33/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: -1 Q ' SIT Post & Beam CJ`s Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing �✓ `'� ��OLS- ��c?oYt r�� l�Si ✓1.4C/.�r�� Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: _ Fi A ART FAIL P BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA ? _ Q 3 Approach/Sidewalk Date Inspector - Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILD NG Inspection.Line:•(5 -4 75 MS INSPECTION DIVISION Business Line: ( 171 J uP 3 V Received Date Requested — / q AM /l C PM BUP Location / '1 / 7 i 1 / IP - '4� Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing jp 0 — 33/ ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes' ,� _ q 1 / SIT Post & Beam rn (�/�` v Shear Anchors O ,, ,, � � " << -- Ext Sheath/Shear 1 0 // -;:L L ` Int Sheath/Shear 1 Framing 1, \ Insulation VC Na (n.._)2_ } Drywall Nailing Firewall y Fire Sprinkler �`� ��� Fire Alarm R CeilinC� 471..c Othe ��� ,('���� V w■ Other: ligillP PAR FAIL l ^^ PLUMBING Post & Beam -- (r -, r • J i 1 = Under Slab ■ Rough -In - 1 a....x.1.% • g _ Water Service � �C e Sanitary Sewer �f.--e--,- �Y�� Rain Basin Dains (^^._ Catch Basin /Manhole Storm Drain Shower Pan Other: Final kit, PASS PART FAIL w MECHANICAL (,/� Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA �j / \� Approach/Sidewalk Date v/ `�/ �� Inspector - �` Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspectirin•Lin 'e:•(503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST _ ! / BUP -3 3`e t i t Received Date Requested g ` 7 AM PM BUP Location / L i (-7 D `/ ('1'— Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 6 ?,- 6 3 3 / + ELC Foundation Access: Ftg Drain Crawl / C1 / ' r j'r L '�° ELR Crawl Drain ��"� Slab Inspection Notes: SIT Post & Beam l4- / S '' ( X Shear Anchors Ext Sheath/Shear Int Sheath/Shear 'Framin Drywall Nailing 7 /E6-#9- Z- /474-Ai Q 4 r 1 / C / C AV Firewall 3.7 f/t Gt/ ,v y • c " r� A Je .-! 0 . Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: P A PART 0 PLUMBING Ax 5 ,Li Y axA_C /x,% ( Post & Beam p Under Slab �/2 U/2 Qq// AtyvS c Az-", i/ 4. Water /iiD� ,4 0 /7r9�/~C ( 4/ i'3-7 f /e l Water Service Sanitary Sewer Rain Drains g Catch Basin / Manhole ____, Storm Drain Shower Pan 1 I , G 7 �� & /g/c. � ©,e i Other: /'� Final PASS PART FAIL MECHANICAL III & Beam Rough-In Line G Nr as Line Smoke Dampers Final PASS PART FAIL ELECTRICAL \ ‘ Service Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 111 Please call for rein pection RE: 0 Unable to inspect - no access Fire Supply Line 7 Pil Approach/Sidewalk Date r , 5 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspectiontine: •( 4 639 -4175 MST INSPECTION DIVISION Business Line: ( • .9-4171 _6,O3 ll / Received Date Requested 3— Z 0 AM PM = P Location / '1( 6 / / `11 r'- -'t'1 Suite MEC Contact Person Ph ( ) PLM Con . • Ph ( ) SWR = UILDIN r Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: D , £L4l SIT Post & Beam / i iLeyvi_ Shear Anchors 4/v1,4 // Ext Sheath/Shear 6 CC Int her/Shear M � ) ( y rams / ion Drywall Nailing Firewall Fire Sprinkler Fire Alarm t Susp'd Ceiling Roof • 1-r: 'ASS PART FAIL • L =1NG Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • k Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL 7 1/ Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Fiz-d/b3 Inspector � �✓ Est Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL