Permit CITY OF TIGARD BUILDING PERMIT
is COMMUNITY DEVELOPMENT Permit #: BUP2009 -00033
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/06/2009
Parcel: 1 S 135CA90321
Jurisdiction: Tigard
Site address: 11044 SW GREENBURG RD 309
Subdivision: Lot: 0
Project: Ash Creek Condos
Project Description: Repair decks on Units 309, 312, 321 & 323.
Owner: . FEES
MURALT, KIMBERLY ANN Description Date Amount
7054 SW LOCUST ST Permit Fee - COM 03/06/2009 $91.10
TIGARD, OR 97223 Tax - 12% State Surcharge 03/06/2009 $10.93
PHONE: Plan Review 03/06/2009 $59.22
Contractor:
ABNEY REVARD INC
9375 SW COMMERCE CIR STE 7
WILSONVILLE, OR 97070
PHONE:
FAX:
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $161.25
Requir Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet: No
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 0
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 the 180
days. NTION: on law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth •AR
952- 1 -0010 through OA 9y2 -d 1 -0 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6.•! . • 4.
Iss ed By: / / i _/ • Permittee Signat re:
— Call 503.639.4175 by 7:00 a.m. for an inspection that business .
This permit card shall be kept in a conspicuous place on the job site until pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Ir l °r:00, ,L'� *`•pis' - ,
C ' O J IIl @IIl'eI?Cla ° l I '` FOR OFFICE USE ONLY iiii ECE Received q City of Tigard f Date /By: d ( r r Permit No.: . 001.0519..
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13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
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N. Phone: 503.639.4171 Fax: 503.598.19M 0 3 2009 Date /By: ;TAO 3Isic Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: Juris' 0 See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: ( 0 t 1 1(Z Supplemental Information
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�r•,” con °' ❑ ' Demoliti Permit � ":- ermit fees* are based on the value �� t
❑ New construction Demolition � of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement Other: Z. a p equipment, materials, labor, overhead, and the profit for the
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❑ I- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building 0 Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
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,t ,§r} , S , 5 "i .•, , ;1'1', .,.Bb" ,, T , INFORMATION�i AND i L,OCATIO =:• 4' ,,..:'r'.i ,, ' tit".•; : " >
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Job site address: 1 I b j t11 ,I1 New dwelling area: square feet
City /State /ZIP: �t/VI / Pg.- " on Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
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Cross street/directions to job site: Deck area: 100 square feet
Other structure area: square feet
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Subdivision: a 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.: equipment, materials, labor, overhead, and the profit for the
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c_ c1. Valuation: $
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Existing building area: square feet
New building area: square feet
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Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( Fax: ) New:
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Business name: of I ) •) All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
z � J SW C_ - �� �� under ORS 701 be required be licensed in the
.
Address: jurisdiction in which work is work s being performed. If the
City /State /ZIP: WASMAAI, l/ (1 applicant is exempt from licensing, the following reasons
q f apply:
Phone: ( )) I DI —SL Fax:: ( ) (o --V) C ¢ � ( P In
E -mail: - - &VL l , aJ l rcvi -` cejyt,l.
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� � "'' t � BUII:DING,PERMIT FEES " ` ,,`
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/� . p „a . ?d- / _.,,(.c ":` "(Plese refer w jle schdule) ...
Address: ci 595 , eyeo oivd (' 4 ! Structural plan review fee (or deposit):
City /State /ZIP: \A J tg m l (, biz_ q - 7 070
/ FLS plan review fee (if applicable):
Phone: (03 ) l -- 8> 8',?'3 Fax: (55-03 ( - ul,. (
CCB lie.: I 0 7 (4.0q Total fees due upon application:
' m� Amount received:
Authorized si • - to e: « ,•__ � This permit application expires if a permit is not obtained
��� - within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp doc 2/23/07 440- 4613T(11/02 /COM/WEB) Rz 1 . ZS