Permit .. • l
CITY TIGAO BUILDING PERMIT
PERMIT #: BUP2006 -00356
DATE ISSUED: 8/7/2006
*A\ DEVELOPMENT SERVICES ^£� �.il 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103BA -00900
SITE ADDRESS: 12330 SW 121ST AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Deck replacement.
•
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: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 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: $ 3,000.00
Owner: Contractor:
MARY ANN ANDERSON AMERICAN CLASSIC DECKS & FENCES
12330 SW 121ST AVE 14997 SW TUALATIN SHERWOOD RD.
TIGARD, OR 97223 #102 •
SHERWOOD, OR 97140
Phone: 503 - 579 -5760 Contact #: PRI 503 - 925 -9530
Reg #: LIC 153783
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 7/26/2006 $46.87
[BUILD] Permit Fee 8/7/2006 $72.10
[TAX] 8% State Surcha 8/7/2006 $5.77
[CDCPLN] CDC Pln Re 8/7/2006 $45.00
(additional fees not listed here)
Total $175.74
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 Permittee Signature: ' / ,
By:
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.
i .. i
Building Permit Application - FOR OFFICE. USE CiNLY' •
Received / Permit N..:
City of Tigard � ��� DateB : % _ 6 6 j j Get -- 0 " ■
13125 SW Hall Blvd., Tigard, OR 9722B13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960
Jul_ 2 6 200 nG '
11"1 Date/B : 9 V 5'/ - O Permit: ( k
Inspection Line: 503.639.4175 Date Ready/By: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us TIGA Notified/Method: Supplemental Information
CITYING DIVISION O
-.9 !rt . r,t . pti .ax fit' . a r `� 1k �. iux . N . � �4,'�:;: a s - 7.- '�r.,5 :�+,=�s,
`s ��` �i" g 2 ,d,' ° .e `� 1 � ' � �, ',R 4 � .. 4� i' .� v" �. • � .r � v�y V ' �'". t �,�... � . �� ` e G
' - t: s -x , ? , 7TY O F WORK , .. -e r, REQUIRED �1:,.. A ND 2 FAMILY DWEELYLING,
,- �,.° A: a. �a?��.. Se, F.- .,x,.- s_ <��ww:a^�'s^tiaa�.; >a ..- �', K „�"...f� ��ias.�a�.,z'�el'>?.a����,^"% ,. ar awzwre,_ U' r�';:' �'/ A�#` �: h� .dii.s.rz.es��.« H::, a...
Permit fees* are based on the value of the work performed. ❑ New construction ❑Demolition P
Igt Indicate the value (rounded to the nearest dollar) of all G
Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
" ` -,'g 4 ',, C A`TEGORY /F CO STR[T : + 'l X k s work indicated on this application.
.._ . ffs .,2'. gam. ».. e =,,,r„ ,tv, . .p er > °a1._6. i � 401 _ 1,` c'`_ '
.
Valuation: $
1- and 2- family dwelling ❑Commercial /industrial . � J r
❑ Accessory building ❑ Multi - family Number of bedrooms:
1=1 Master builder ['Other: Number of bathrooms M.
1. JOBSITEINF `ANDOCA
y'; ,. y: ..,,,as,:#;,.a_,�.� �: r� ?...r:� °;,;.� .. Lw,,;..�a T IQN =.e ' n °cty5 Total number of floors:
£ _ Ne. Job site address: 113 SW 17,.♦,S New dwelling area: square feet
City /State /ZIP: T i( RD OP-- q�tiZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet .�`
Cross street/directions to job site: Deck area: tl_.o .5r- square feet C.70.
Other structure area: square feet
RE ' UIRED) ,COMM USE CHECKLIST`'
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
a r sx equipment, materials, labor, overhead, and the profit for the
. .
s $„ _DESCRIP y OF� WOR x r°�t / work indicated on this application.
bE ZE �t l A LC � .- Valuation: $
Existing building area: square feet
New building area: square feet
;am - p r r , � . :�p. - c sa�,atWfi ,
i P- ROPERTY UWNER C ae 4 ®t iN b y Number of stories:
�„p: "r.�x's.�eXs.�t .._�x°h..� ^zxsga �t. ,*���,.a4 „.,��'(;� a(- :�o..,5' 4 _ �7F. �' rr* t' a „w?,«s..2�.�,,.�'7`, �;`�,�
Name: mpoi ikok PmbfEctSvh Type of construction:
Address: kl,171.00 SW 12MS} Occupancy groups:
City /State /ZIP: ' ( >1kRA) � gl1,Z:S. Existing:
Phone: (507 — 5 Fax: ( ) New:
� : - M ' F?zta'14 +�.:h� ass; , �r,t A ' - ,, ; Z 'i ''' w , ,e. fi .w r�€; + a . ' if ' ^ ice `'�; < -.
1. a - ,� APPI ICANT . ', ®:CONT`AGI' t ✓: d R A y r y, . �, a;,. ,sr_ 1 , .
,F . x.. . S = _ � _ :m , . � a .. R. u �� r . � �� s oTlcE .`, , ` 6
Business name: POMERACihrA COW C. DEL4.S 4 ci \L. I ( t ^L . All contractors and subcontractors are required to be
Contact name: AA, G Pohm licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PA 'T ���� J P h_ S` w00b P"`>
Ow ' 10 I jurisdiction in which work is being performed. If the
S%j Q»JOO t1 � Cie+140 applicant is exempt from licensing, the following reasons
City/State/ZIP: F-„' '7tJ
apply:
Phone: (503 ) oils - I2(y D$ Fax:: ( )
E -mail: C en - fr ^ 1 i S1
} ,x , s 4 x C . �. Wi t _ of .: i
Business name: ire” ” 1 "- , , is a w ,� :l .z . ,, xi * , ,; . ° s.
x : ,, , $CIILDI P FRiVtI T -' a R x :,,,
Address: Please refer to fee schedule.
City /State /Z[P: Fees due upon application c/‘ 1 7
Phone: ( ) Fax: ( )
Amount received
CCB hc.: 1533
D _ ' ( 6
ate received:
Authorized signature: ����� 6' — 4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: I \% L l I l_ I J f (Lc Date: IlITI(7( * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building\Permits\BUP- PermitApp doc 12/03 440- 4613T(11/02/COM/WEB)
. • -
t.. - .
CITY OF ifIGARD
BUILDING DIVISION
PERMIT #: BUP2006-00356
13125 SW Hall Blvd., Tigard, OR 97223 DATE IS 8/7/2006
Phone: (503) 639-4171 i'vliPitAl ill\
Inspection Requests (24 Hrs.): (503) 639-4175
—
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7:01AM
PAGE: 62 '
SITE ADDRESS: 12330 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Deck replacement.
OWNER: ANDERSON, MARY ANN PHONE #: 503.579-5760
CONTRACTOR: AMERICAN CLASSIC DECKS & FENCES PHONE #: 603-925-9530
Inspection Request Scheduled For: Date: 9na2go6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036645-02 503-925-1288 N
Corrections/Comments/Instructions:
169'Peo•/i17 4,0 ,,s " 5* Ilit r?--
q k ,i4.0„.„„y__..„
.,....
I I PASS ... .....„----ffPARTIAL APPROVAL 0 CANCEL I NO ACCESS
-----
CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: .0'2 Date: '9 Phone #: (503) 718-
CITY OF T-IGARD -
BUILDING DIVISION PERMIT #: 8UP2006 00356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 ,��4 l
Inspection Requests (24 Hrs.): (503) 639 -4175 r _..
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7 : 01AM PAGE: 63
SITE ADDRESS: 12330 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Deck replacement.
OWNER: ANDERSON, MARY ANN PHONE #: 603 - 679-5760
CONTRACTOR: AMERICAN CLASSIC DECKS & FENCES PHONE #: 503 - 925 -9530
Inspection Request Scheduled For: Date: 9/18/2oos Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 036646-01 503-926 -1288 N
Corrections /Comments /Instructions:
•
PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL l C LL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: V — lf% ----ei6 Phone #: (503) 718- 2-_.
, , ,./....
CITY OF TIGARD . -
BUILDING DIVISION PERMIT #: DP2006-00356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639-4171 AA
, . lillI
Inspection Requests (24 Hrs.): (503) 639-4175 & ! V ., •
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6:59AM PAGE: 37
SITE ADDRESS: 12330 SW 121ST AVE • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANDERSON
DESCRIPTION: Deck replacement.
OWNER: ANDERSON, MARY ANN PHONE #: 503-579-5760
CONTRACTOR: AMERICAN CLASSIC DECKS & FENCES PHONE #: 503-925-9530
Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 035487-01 503-519-3319 N
Corrections/Comments/Instructions:
- .---- : , , . 4 AIS 4L. "g5'- ,---,. __Ai...._
,---------
1 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
I I FAIL 71 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
t.
Inspector: -
4 Date: g-24---e Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 817f2006
Phone: (503) 639 -4171 A �i �
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' -_..
INSPECTION WORKSHEET FOR • DATE: 9/29/2006 TIME: 7 :06AM PAGE: 70
SITE ADDRESS: 12330 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ANDERSON I
DESCRIPTION: Deck replacement_
OWNER: ANDERSON, MARY ANN PHONE #: 503 -579 -5760
CONTRACTOR: AMERICAN CLASSIC DECKS & FENCES PHONE #: 503. 925.9530
Inspection Request Scheduled For: Date: 9/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 037372 -01 503- 519-3319 N
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
] FAIL / / CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED .
Inspector: Date: 9 - 9--- ill Phone #: (503) 718-