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Permit
CITY OF T I CAA R D BUILDING PERMIT PERMIT #: BUP2005 -00381 DEVELOPMENT SERVICES DATE ISSU 9/9/2005 AI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DC -01700 SITE ADDRESS: 15945 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 464 JURISDICTION: TIG Project Description: Patio room on concrete slab. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: 150 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: 150 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 17,522.00 Owner: Contractor: WYNNE, ELAINE CHAMPION WINDOW CO OF PORTLAND, LLC 15945 SW ALDERBROOK CIR 13009 NE DAVID CIR TIGARD, OR 97224 PORTLAND, OR 97230 Phone: 503 - 598 -0181 Phone: 503 - 624 -2678 FEES Reg #: LIC 158326 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 8/8/2005 $140.47 [TAX] 8% State Surchari 9/9/2005 $17.29 [CDCPLN] CDC Pln Re` 9/9/2005 $42.00 [LRPF] LR Planning Sur 9/9/2005 $6.00 (additional fees not listed here) Total $421.87 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:'",2 �� Permittee Signature: • 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. Building Permit Application FOR OFFICE USE ONLY City g PFCEOVED Receives- Date /B : � / of Tl and � � — }(L � 12 it,,. L' • — � � ' Permit No.. QO 13125 SW Hall Blvd., Tigard, OR 97 23, Plan Review ` Other Permit. Phone: 503.639.4171 Fax: 503.598.1960 /1 �'I Inspection Line: 503.639.4175 G l � Date Read /B See Attached Checklist for Internet: www.ci.tigard.or.us t'� ®� 1U0� '' I N otified /Method: t� _ �` /T i )' � ® ' Supplemental Information „_ ., ,.. .. ... ,. - . »���xxx�. ;.� i„ \�:, [fE,� \ I�a " ^:� > °, �'3N333•:.:`:�.:c:':.!:i:, �,:( i :: E Y i�; �,. .;��; �.., >..�. \:5� „� o s%tla rx ::.� � Gib :: > - ;rx,.;:...::v5 „ », -,. x .. . .�.. x } MILiX_IDWELLIN r.. , s3 .. r. E € .,. t . ,,s.... <_.:...:,.: t, x,- ,- �:tl.ti� -x;:.. ,,,:� .�,� N D< .�;�3:E �:�€E ;.. - <, ; ,.. .. ",,,..�,. .....,,;;,,,3,,, . ,., . -, ....�,' r �J ,x.' €x.:..u.... ....,�, , x.,:�i .....�,kEEa�Er- ..�.., IRED� �.. .. �" ,- �., » „sE, „,x` < ».,,: .., � t � '��: x� � � 3,;, DATA. 1 ,. ��„,,. �.�. ,...�. . }.:e = },.�- -, � � ,�. : ��; =rte= . ' _ _::..- ; � _ ��: ❑ 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 ��, y� Other: � ,„„,,-.1 equipment, materials, labor, overhead, and the profit for the ,�. g' N :' '' , ;, ;_:• >;: wor i o n this application. ':,,',; € r , t 46c..ATEG :11- CTI : �, ,;u. 4 .a Valuation: $ / ® and 2- family dwelling C1 Commercial /industrial f � / Number of bedrooms: ❑ Accessory building ❑ Multi- family 111 Master builder Number of bathrooms: ® Other: per- f • o oo i"- :,:,__,, ”" e l " - ,1;' JOB�SI'TE � >:INE;PRRRR�41A'I?ION ,'AND LOCATION; ; �, ; �; ; j,,; , r Total number of floors: Job site address: / S 9 '/,S 5),/ o7klPc.- to d'oa i- c/ •,.-c. /e New dwelling area: square feet City /State /ZIP: t •✓ � .4 p e7 7-3A y Garage /carport area: square feet / Suite/bldg. /apt. no.: ✓ Project name: YVr 4 P Covered porch area: square feet Cross street /directions to job site: j Deck area: square feet Other structure area: square feet RU RED DATA.° CQQMMERC[Ali -ITS' GHEGIZL',IS1 Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all "Fax map /parcel no.: equipment, materials, labor, overhead, and the profit for the _„ '” € r,, };.; `i, work indicated on this application. ..x = -3, ,. , , ,. ,; ,:.. � „a ES SIP - � Y„ -,- �s`'�' <r =`` �:�,��i'�, ., Nit " TIOIV, : «' .� ,:...'rx''., Valuation: $ !'O A /.5 1), --fr'0 t/'0dv' -► on cov![✓-elC S/A44 / Existing building area: square feet l/ V! n cti `1 e'i New building area: square feet .., r -a.' .:7 . .:. : 3 ., y : ;r ;3, l ,,«,u<. ...:s; r3; I"' 33. �;� , ,} r� _. �- £ ":. = ° . ;�' Number of stories: fi':. .! EROPEIt'I'X ,O -,W DER x .! :y 3 , ,.:''°i3 , ' " '0.":::::;4:;,: �.. -. �. , s , y pra3& „fir, , »..� s: °��ss�a tar. ,'n; ?� , ,h.. 3r'„ � „r�"�x'�:. - -a ^ -,. , �'.�1,1..<......... .... Name: E /, t xi;,t C l..1 yfritI e Type of construction: Address: Is- 9 y5 S I,,.J, ipley- i 1 . , to Occupancy groups: City /State /ZIP: c e , 0 ,, d j / 7,;3 V Existing: Phone: OZ7J ) f '- 0/ f/ Fax: ( ) New: ,. ; ,, ..,�...' ,.,x..:�...,. -;, ,:.: ., a , ,,<>,,:E.,, X33:= !;� . ',. y. 3 Co T�iCT� ,PER = ';E •, "::' ;>:, PLI - ANT °'�- Lv €;, 4;. ' �.. , .,. E,. .:: ,a :;?�. ya� , €';: a n ».,,. , e,, x 1;.•: �}�, . ��� . . . �? © `I3 C- ", " ._ . A Business name: C f-7 CL v”- 1 /9/0i-1 („J /`,..1 de e../f All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: .e v. t _ b' 1 i- L under ORS 701 and may be required to be licensed in the Address: / 3>Ja 9 /A= , 1.//W C 1/C . jurisdiction in which work is being performed. if the applicant is exempt from licensing, the following reasons City /State /ZIP: Pe v --- f f 0 . y d ( 0 IZ, f 7 5G apply: Phone: (50y) G q ? :.-- C 7.8' Fax:: (y7 ) E - mail: - .S y . / (..-it- 0 c0 t/`j j✓f'ot4 l.,✓ /t✓tdor,9 • Cam ._ , y ., NTRA . T'; R' ”' ' .i`` al,gi: ; '.;: ` . Business name: , . .i : . , : = x. .... „ , S t e cti o �e ,. 3 - srlt uritG�P R Ii S ; i EE r ' f: ..,.- �< Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application / ye t/ Phone: ( ) Fax: ( ) Amount received CCBlic.: /Ss(3 e,\.6f. 1 - 1, - 06 Date received: Authorized signature: . t 1 This permit application expires if a permit is not obtained _ / ` within 180 days after it has been accepted as complete. Print name: - , i " N y e, , S 1'1 L Date: jiff 05 * Fee methodology set by Tri County Building Industry / Service Board. i.\ BuildingWennits \ BUP- PermIApp.doc 1 2/03 440- 4613T(I I/02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00381 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005 Phone: (503) 639 -4171 A ]�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/11/2006 TIME: 7:08AM PAGE: 91 du SITE ADDRESS: 16945 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 464 TYPE OF USE: PROJECT NAME: WYNNE DESCRIPTION: Patio room on concrete. slab. OWNER: YVYNNE, ELAINE, _ PHONE #: 503 -698 -0181 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 624 - 2678 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 017896 -02 503-572-3242 N Corrections /Comments /Instructions: ht I ® 3 S s 73 4fp • W PASS • 'a RTIAL APPROVAL (l CANCEL n NO ACCESS FAIL /r OR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / Date: 4 Phone #: (503) 718 - CITY OF TI ARD C G BUILDING DIVISION PERMIT #: BUP200E -00381 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9/2005 Phone: (503) 639 -4171 ' iII�6'�I Inspection Requests (24 Hrs.): (503) 639 -4175 aw INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 92 SITE ADDRESS: 15945 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 464 TYPE OF USE: PROJECT NAME: WYNNE DESCRIPTION: Patio room on concrete slab. OWNER: WYNNE, ELAINE, PHONE #: 503 598 -0181 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503- 624 -2678 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017896 -01 503.572 -3242 N Corrections /Comments/ Instructions: • PASS I PARTIAL APPROVAL ❑ CANCEL NO ACCESS t C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ` _� • Date: /OW' 0 Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION . / PERMIT #: 9/9/2005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP2D05-00381 Phone: (503) 639-4171 :Olt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE 9/27/2005 7:05AM 66 SITE ADDRESS: CLASS OF WORK: 15945 SW ALDERBROOK C1R LOT #: SUBDIVISION: TYPE OF USE: SUMMERFIELD NO.8 46e1 PROJECT NAME: WYNNE DESCRIPTION: Patio room on concrete slab. OWNER: PHONE #: WYNNE, ELAINE, 503-598-0181 CONTRACTOR: PHONE #: CHAMPION WINDOW CO OF PORTLAND, LLC 503-624-2678 Inspection Request Scheduled For: Date: 9127/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors 016712-01 503-572-3242 Y Corrections /Comments/ Instructions: .---- .—/--• PASS 11] PARTIAL APPROVAL CANCEL NO ACCESS n FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED 4 ./' Inspector: ,1 ALL 9 Phone #: (503) 718- CITY OF TIGARD - `` -. BUILDING DII I'SN PERMIT #: 13LlP2005-00381 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 919100 Phone: (503) 639 -4171 iiv Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 9/23/�00� TIME: 7:07AM PAGE SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 15945 SW ALDERI3ROOK CIR SUMMERFIELD NO.8 LOT #: 464 TYPE OF USE: PROJECT NAME: WYNNE DESCRIPTION: Patio room on concrete slab. OWNER: WYNNE, ELAINE, PHONE #: 503-598-0181 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 -624 -2678 Inspection Request Scheduled For: Date: 9123/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 Shear walls/anchors O16483 -01 503- 5713242 . N Corrections /Comments /Instructions: ti n-/ • • • PASS,...--- I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 9 -27 — Phone #: (503) 718- CITY OF TIGARD BUILDING DI1 SIGN PERMIT #: BUP7005 -00381 13125 SW Hall Blvd., Tigard, OR 97223 ' ° DATE ISSUED: 9/9/2005 Phone: (503) 639-4171 n 4lmypi��(° I\ Inspection Requests (24 Hrs.): (503) 639 -4175 . '�� °''I_L INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7:09AM PAGE: 101 SITE ADDRESS: 16945 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 464 TYPE OF USE: PROJECT NAME: WYNNE DESCRIPTION: Patio room on concrete slab. OWNER: WYNNE, ELAINE PHONE #: 503-698-0181 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503624 -2678 Inspection Request Scheduled For: Date: 9/14/2005 Pour Time: 2 Code # Inspection Description Confirm # /Contact # Message 205 Footing 015553 -01 '/ 3- 572 -3242 N Corrections /Comments /Instructions: _ . _ , t / . i ' i / e r d ------- 7-keelye VI-47Zr 1 4.1// 4 ,04 . G, frl e\/` a P 1/ )44 eQe.- / fre - ---- -- y eN- Q 94 1 2, ��- e �`--- t' • PASS ❑ PAR IAL APPROVAL fl CANCEL n NO ACCESS FAIL • ILL FOR IN CTION n ADDITIONAL FEES ASSESSED Inspector: Zd Date: / A/ 1- � Phone #: (503) 718- • . ,Inspections Regiired for: BUP2005 -00381 v ' • �4u' ,,:�,.� -. ...�. N. ., _.yu-._ -u -, *.. .. ....: '.� .,. �e . " - - _ z�his e, +> - ..�. •e -.; ....:: :.Xi,. v,, '�.. e -n . ✓ C _ 3,40ecti i lD, escription . ., , Pr1SS'Dafe By ? <, WY: „, Code" > t0ii.Ofion,D u, , ,, ;,, 4 > ,..EASSRD . Ro'y . h ``. BUP - Building Permit ELC - Electrical Permit _ . 7405 Excavation 105 _ Underground/slab cover . 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service >° 205 Footing / .4 /05 i 120 Electrical rough -in !.:'.P /805 MFG- Structure grading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage _ X 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool ' 230 Underfloor insulation 195 Misc. inspection: X 235 Shear walls /anchors 9- 27 --65 A 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofmg basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. ins __ 265 Masonry 199 Electrical fmal . • 270 Reinforcing steel (rebar) _ • X 275 Framing • 810 MFG Structure set-up - MEC - Mechanical Pe 280 Insulation 605 I Post/beam mechanical _j 285 Drywall nailing _ 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in F 295 Misc. inspection: 620 Hydronic piping -- • 899 MFG Structure fmal 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood _ 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab __ PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in - 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in . 998 Alarm fmal 325 RP/backflow preventer 999 Sprinkler final 330 Water service _ 335 Rain drain 340 Storm drain • SIT_ Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin _ 410 Fill 350 Septic tank • • 415 Grading 395 Misc. inspection: - 205 Footing _ 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines _ SWR - Sewer Permit 495 Misc, inspection: 505 Sanitary sewer 498 Grading final _ 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \IVR \InspCard- AOP.doc 06/17/2005 ' CITY OF TIGARD • , BUILDING PERMIT P ERMIT #: BUP2005 -00381 � y l DEVELOPMENT SERVICES DATE ISSUED: 9/9/2005 ` "" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25111 DC -01700 SITE ADDRESS: 15945 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 464 JURISDICTION: TIG Project Description: Patio room on concrete slab. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: 150 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: 150 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 12 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 17,522.00 Owner: Contractor: WYNNE, ELAINE CHAMPION WINDOW CO OF PORTLAND, LLC 15945 SW ALDERBROOK CIR 13009 NE DAVID CIR TIGARD, OR 97224 PORTLAND, OR 97230 Phone: 503 -598 -0181 Z Phone: 503 - 624 -2678 t y FEES Reg #: LIC 158326 1" Description Date Amount REQUIRED ITEMS AND REPORTS 0 [BUPPLN] Pln Rv 8/8/2005 $140.47 CPI [TAX] 8% State Surchari 9/9/2005 $17.29 o [CDCPLN] CDC Pln Re` 9/9/2005 $42.00 O [LRPF] LR Planning Sur 9/9/2005 $6.00 (additional fees not listed here) Total $421.87 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. k Issued By:' ; ;-";/ ,. ,;;E - 4: - Permittee Signature: 4 --• �"- `'"-1� . 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.