Permit n CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 00655
COMMUNITY DEVELOPMENT DATE ISSUED: 12/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 B D - 00700
SITE ADDRESS: 12660 SW 136TH CT ZONING: R -
SUBDIVISION: OBRS HEIGHTS LOT: 009 JURISDICTION: TIG
PROJECT: JENSEN
Project Description: Repair tree strike damage.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: 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: $ 10,000.00
Owner: Contractor:
NORMAN && JUDY JENSEN ALLIANCE CORP
12660 SW 136TH CT 8180 SW NIMBUS AVE.
TIGARD, OR 97223 BEAVERTON, OR 97008
Phone:
Contact #: PRI 503 - 246 -7030
FAX 503 - 671 -0324
Reg #: LIC
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 12/28/2007 $96.94
[BUILD] Permit Fee 12/28/2007 $149.14
[TAX] 8% State Surcha 12/28/2007 $11.93
Total $258.01
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 rutes ect que Lions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: . j . /114,4 4 / i / Permittee Signature: 4L`/
Call 503.639.4175 by 7:00 a.m. for an inspection tha •usiness 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.
a j t•
Building Permit Application ; FOR OFFICE USE ONLY
,
City of Tigard D ate /By' �� Permit No.: � �,
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /B : Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: El See Attached Checklist for
Internet: www.tigard - or.gov 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
Addition /alteration/replacement Other: ,>0/T' equipment, materials, labor. overhead, and the profit for the
• , CATEGORY OF CONSTRUCTION work indicated on this application.
M I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ / Q / CYO a
❑ Accessory building ❑ Multi- family Number of bedrooms: • ❑ Master builder ❑ Other: Numb. of bathrooms: ,--'-
JOB SITE. INFORMATION AND LOCATION • Total num,. of floors: C,414 -
Job site address: 1 • 66 a s' 1 344• Ca Kh.4 New dwelling are . square feet
City /State /ZIP: Tr V q p pat_, '1'3-22-3 Garage /carport ar-.. square feet
Suite /bldg. /apt. no.: Project name: Covered p. it area: square feet
Cross street /directions to job site: Dec, , rea: squ - feet
:ther structure area: square fee
REQUIRED DATA: COMMERCIAL -.USE CHECKLIST
Subdivision: 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
equi . • nt. materials, labor, overhead, and the profit for t• .
DESCRIPTION OF WORK work •dicatcd on this application.
,F_ ,0/97 Gyuvc(r /41,441 /,‘)G Z I. 0- Valuation. $
/ l')tr1 S / - 0//00C„, le o o,,, N. Existing but : ng area: s ., re feet
17461 .�.7h ( /GK. 04- 4-6. ,_ New building are, . square feet
X. PROPERTY OWNER ,,1 ❑ TENANT • Number of stories:
Name: /v MA( Z J Nd0 'i .J ,A)$ aft) Type of construe ' n:
Address: �jr gC V zei5 / r. Occupancy 9 oups:
City /State /ZIP: Exi. ng:
2 0
Phone: (q 1/ G 7 g - Z 7 q 9 Fax: ( ) . ew:
ga APPLICANT ❑ CONTACT PERSON NOTICE -
Business name: j i b Corps r pD' (- 5/ c > All contractors and subcontractors are required to be
Contact name: J L._ ,,.� t S' . licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to he licensed in the
.j'
Address: - p S4 & �� '7
/ , gl 0 O jurisdiction in which work is being performed. If the
City /State /ZIP: P Bi,�/ l �2p Z applicant is exempt from licensing, the following reasons
apply:
Phone: b ) Z j- s Li Fax:: ( 5b 3 Z . - 5" �7Z 2..
\
E -mail: e w e ., �c,4 re. , GO i+•.
J CONTRACTOR
Business name: /2}..64 4,) 6.4:: 6f. s...7-0-4,..9.77 . BUILDING PERMIT FEES*
Address: g p O S� ,1M13x•1, e ,A.�f (Please referro fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: y a., 4€,. 1 , / mil 0 2 1 . 3 0 o
Phone: (• : 0 3 ) 6 7/ - O 3 Z s- Fax S-O G 7/ _ b ?7�j FLS plan review fee (if applicable):
CCB lie.: / 9 2 3 (p /0 �" ' [ / v J Total fees due upon application: �/ /L
Amount received: �A /4 .9
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: •(y(' i (....6.- 7/ g Date: iZ /Z .7- * Fee methodology set by Tri- County Building Industry
/ Service Board.
I:A nuilding A Permits \ttUP- t'ermitApp.dec 03/21/06 440- 4613T( 1 1/02 /COM/WI ?B)
CITY OF TIGARD
. .
_ 'P -
BUILDING DIVISION PERMIT #: 6UP2007•00655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2812007
Phone: (503) 639-4171 4 z 7 ildWi I
Inspection Requests (24 Hrs.): (503) 639-4175 -
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:03AM PAGE: 24
SITE ADDRESS: 12660 SW 136TH CT CLASS OF WORK:
SUBDIVISION: OBRS HEIGHTS LOT #: 009 TYPE OF USE:
PROJECT NAME: JENSEN
DESCRIPTION: Repair tree strike damage.
OWNER: JENSEN, NORMAN && JUDY PHONE #: 971-678-2949
CONTRACTOR: ALLIANCE CORP PHONE #: 503-24&7030
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description • Confirm Contact # NMssage
299 Final inspection 065898-01 971-246-7038
Corrections/Comments/Instructions: fYvi
•
n
X PASS El PARTIAL APPROVAL CANCEL [1] NO ACCESS
FAIL El CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: N Date: xsike Oi) Phone #: (503) 718- IA*
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BUILDING DIVISION `
PERMIT #: BUp�U�O�S
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/20/2007
Phone: (503) 639-4171
Inspection Roquoa�C24Hm�:U508 639-4175 x44- « ��..
INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7: 0001 PAGE: 11
SITE ADDRESS: 12660 SW 136TH CT CLASS OF WORK:
SUBDIVISION: OBRS ME3GHTS LOT #: 009 TYPE OF USE:
PROJECT NAME: J[NSEN
DESCRIPTION: Repair tree strike damage;
OWNER: JENSEN. NORMAN && JUDY PHONE #: 971'678-2949
CONTRACTOR: ALLIANCE CORP PHONE #: 603-246-7030
Inspection Request Scheduled For: Date: 1133/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 063751'01 371'246-7038 N
Corrections/Comments/Instructions:
PASS
fl PARTIAL APPROVAL lij CANCEL IINOACCESS
ri FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
� �
Inspector: ' � �� Date: /—' 7 e Phone #: (503) 718-
,~ ^`
CITY OF TIGARD
BUILDING DIVISION , ` PERMIT #: DlJP2007- O0655
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/28/2007
Phone: (503) 639 -4171 440 110110"
Inspection Requests (24 Hrs.): (503) 639 -4175 0__..
INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: 7:02AM PAGE: 56
SITE ADDRESS: 12660 SW 136TH CT CLASS OF WORK:
SUBDIVISION: OBRS HEIGHTS LOT #: 009 TYPE OF USE:
PROJECT NAME: JENSEN .
DESCRIPTION: Repair tree strike damage.
OWNER: JENSEN, NORMAN && JUDY PHONE #: 971 - 678 -2949
CONTRACTOR: ALLIANCE C ORP PHONE #: 503-246 -7030
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Confirm # ntact # Message 0 j IV,. Lid'
275 Framing 063493-01 971 - 246 -7038 Y V " / ••
.--------
Corrections /Comments /Instructions:
0 ' ASS ❑ P' 'TIAL APPRO - ❑ CANCEL n NO ACCESS
• FAIL w ALL Fe .P - ION ❑ ADDITIONAL FEES ASSESSED
Inspector: / A)Ir Date: / Phone #: (503) 718 - _Z__/...