Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
I� -1 CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00322 Alitk DEVELOPMENT SERVICES DATE ISSUED: 7/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BB -11000 SITE ADDRESS: 14270 SW FANNO CREEK LP ZONING: R -7 SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT: 092 JURISDICTION: TIG Project Description: Deck replacement. 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: 40 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: $ 1,800.00 Owner: Contractor: KEICHER, CHERYL K STEVEN CRAIG SIMMONS 22320 BEAVERCREEK RD DBA: SIMMONS CONSTRUCTION OREGON CITY, OR 97045 9300 SW EDGEWOOD Phone: TIGARD, OR 97223 Phone: 503 - 524 -3488 FEES Reg #: LIC 143567 Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/8/2005 $40.63 [TAX] 8% State Surchari 7/14/2005 $5.00 [BUILD] Permit Fee 7/14/2005 $62.50 Total $108.13 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 Cente . Th a rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rdle o rect questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: _ 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. f Building Permit App FOR OFFICE USE ONLY • City of Tigard " °CUE 4 � Vv E D Received Date/B , U Permit No.. u y j�� 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960) J; //xi ap �i Date/B , —/ 9 (% l 0�/ Other Permit: Inspection Line: 503.639.4175 v 2OQ; `� Date Ready/By: /L/ j � r 10 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: / / / C . � } e t a Supplemental Information ev,e Fy . TYPE OF WORK ; , REQUIRED DATA 11 AND' 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 V 1 Addition /alteratio eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,. 'CATEGORY OF CONSTRUCTION work indicated on this application. tg- V i l l- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ ©D ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' JOB SITE INFORMATION "AND LOCATION - . ' , . Total number of floors: Job site address: PO 7 , Std Pit lk AO t -reee i ' New dwelling area: square feet City /State /ZIP: • /i • © k 7 7„/„AJ Garage /carport area: square feet Suite/bldg. /apt. no.: ' Project name: Covered porch area: square feet Cross street /directions to job site: Deck area: square feet • Other structure area: square feet 'REQUIRED "DATA: COMMERCIAL- =USECHECKLIST • 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 equipment, materials, labor, overhead, and the profit for the -DESCRIPTION OF WORK • • _ , : work indicated on this application. A epkA tCe_me A -4 d �er,? 6uepar..1 pelt,,4- /C Valuation: $ e - � �'�ch �P b� Existing building area: square feet New building area: square feet ` ' IN: PROPERTY OWNER ❑. TENANT Number of stories: . Name: 61� P 7 / /mo e, C F Type of construction: Address: . o 5 ctd e - C k /d Occupancy groups: City /State /ZIP: Cen s C.A t ; 7 700 y Existing: Phone: (503) (j30/ - 8516 Fax: ( ) New: 14 APPLICANT ' ' ❑ CONTACT -PERSON NOTICE . " . , Business name: 5; ..•.,, A5 eciu <u* ell All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: C, Ivo), ., r � IN,. d A s under ORS 701 and may be required to be licensed in the Address: C 3 00 .Si,i rAd e wee'd jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: rt' e' p. f �. O l; ' 7 7 ? 3 apply: Phone: (3-03) 53 ii _39 8 I Fax:: ( ) E -mail: . - CONTRACTOR - Business name: S 4 r r ■ t tv� A S Co : d f'ye BUILDING FPERi1iIT FEES* Address: q a 0 .t,..3 Cc4r,e :...)Cx4` Please refer to fee schedule. City /State /ZIP: 'Tt5e, s d O. '77-9. r23 Fees due upon application Phone: (5-0 ) 5 _ 341 $6, Fax: ( ) Amount received CCB Iic.: 1 1.1356 Date received: Authorized signature: r-"1�/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:S.Ie 0 en e 1 rv� m , 5 Date: 7/ 8/ e S * Fee methodology set by Tri- County Building Industry Service Board. i.\ Building \Permits\FPS- PennitApp,doc 12/03 440-4613T(I1 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information - Describe j work to ;be , done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. 2 Repair Number of sprinkler heads: Additional description of work: Repl/teer& eA 4 04 pea S oc+ es+ h Ld, boa c - _Type 'of System (Complete A, B,,C or D as applicable): - : A.) ;Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ ",B:) Type I Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ `'D.) Residential Sprinkler (Stand, Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: '$ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ Buildin g \Permits\FPS- PermitApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: E3UP2005 00322 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • .7/14/2005 Phone: (503) 639 -4171 /�' 4 - Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/21/2005 TIME: 7 :09AM PAGE: 81 SITE ADDRESS: 14270 SW FANNO CREEK LP CLASS OF WORK: SUBDIVISION: COLONY CREEK ESTATES NO.3 LOT #: 092 TYPE OF USE: PROJECT NAME: KEICHER DESCRIPTION: Deck replacement. OWNER: KEICHER, CHERYL K, PHONE #: CONTRACTOR: STEVEN CRAIG SIMMONS PHONE #: 503 -524 -3488 Inspection Request Scheduled For: Date: 7/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # . Message 276 Framing 011839 -01 503- 708 -8433 Y Corrections /Comments/ Instructions: eI L/ . - • �rEi' C . I / !V 0 g)(/'-77,. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: - - & 7 Phone #: (503) 718 - i t ` CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200S -00322 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/14/2005 Phone: (503) 639 -4171 "" rom -jl, �1 , s" Inspection Requests (24 Hrs.): (503) 639 -4175 '- — INSPECTION WORKSHEET FOR " DATE: 7f19/2005 TIME: 7:08AM PAGE: 8B SITE ADDRESS: 14270 SW FANNO CREEK LP CLASS OF WORK: SUBDIVISION: COLONY CREEK ESTATES NO3 LOT #: 092 TYPE OF USE: PROJECT NAME: DESCRIPTI• Deck replacement. OWNER: PHONE #:' KEICHER, CHERYL K, CONTRACTOR: STEVEN CRAIG SIMMONS PHONE #: 503 -524 -3468 Inspection Request Scheduled For: Date: 7/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 0116 503. 708.8433 N Corrections /Comments/ Instructions: 1 � -1.- > il,C // t SeiC77( &) a C " >7� CA t - '��d� e.5 d, 5i7�1. 7 • El PAS El PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED a Inspector: Date: 7 — d P # : 1T 718 - p ',7 1 �