Permit IT �/ BUILDING PERMIT
1 OF TIGARD PERMIT #: BUP2006 -00292
A • DEVELOPMENT . SERVICES DATE ISSUED: 7/13/2006
A I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135CA -90150
SITE ADDRESS: 11150 SW GREENBURG RD 150 ZONING: R - 12
SUBDIVISION: ASH CREEK PARK CONDO LOT: JURISDICTION: TIG
Project Description: Replace wood walls & concrete wll damaged by car impact.
REISSUE: ,( FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: Q r FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 19,000.00
Owner: Contractor:
WILHELM, FREDDIE R LORENTZ BRUUN CO INC
11150 SW GREENBURG RD #150 3636 SE 20TH AVE
TIGARD, OR 97223 PORTLAND, OR 97242
Phone: Contact #: PRI 232 - 7106
Reg #: LIC 33
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/13/2006 $225.70
[TAX] 8% State Surcha 7/13/2006 $18.06
[BUPPLN] Pin Rv 7/13/2006 $146.71
[FLS] FLS Pin Rv 7/13/2006 $90.28
Total $480.75
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 •_
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: J Permittee Signature: Ain` �� �,.
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
i.
- FOR OFFICE USE ONLY
City of Ti and a� u HI' . Received. _ q
g DateB : / I 1 `- Permit No...
13125 SW Hall Blvd., Tigard, OR 972 3 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 40w I ''I Date/B : Other Permit:
Inspection Line: 503.639.4175 11 IL 13 2U I v�e1M11 0 I . L Date Ready /By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us JV Notified/Method: Supplemental Information
vii �, - , \
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❑ New construction il ' ❑ Demolition Permit fees* are based on the value of the work performed.
/ A -I Indicate the value to the nearest dollar) of all
Addition/alteration/replacement Other: `�1' iY I M� a qu ui p ment, matterialsals, , labor, , overhead, , and the profit for the
,,; work in dicated on this application. tv l . '• : wA,,'',: T PP
,'� ,,� ° r ° .a� \ `''_:. .> >., �r�' r” v;:; a< . tF>: '< �... ...�...a�:;::,.�r.:wn:•aw. n >� -� -� - :� ' , �-t•'��- "�=`.>,.,..,..»Iv ._. ,,a
❑ I- and 2- family dwelling ❑ Commercial /industrial %. Valuation: $ l /, Q CQ
�I
❑ Accessory building Multi- family Go pp Number of bedrooms: ! p2 /
❑ Master builder ❑Other: Number of bathrooms:
I
:QB TTE- ,(c . , -,, < s , ^,•. .; Tota l number of floors: /
�.� r.. •� , �`r���W. � -.�� `�, � ;7 F�� tE3G �, �;..,> z . �s;
\�.�\z'< :., , `r�,?:'•.,N ^,'.:,_'„ NNE„' „a\�,.ait',;,: >; M::```F ) t �v.;. ^;a >i#a?'
Job site address: AI `15Q a�•+ v. �t1 4V • zliWor dwelling area: 7gL square feet
City /State /ZIP: t �A ` f7 IZ 'Cr, 22.ZJ Garage /carport area: square feet
Suite/bldg. /apt. no.: I 5 L7 I Project name: A6 Ik K. (rdA1�7!/ porch area:
� Covered
p j ( 0 square feet
Cross street/directions to job site: � 1 4IYj Deck area: /` (I square feet
Other structure area: square feet
.; - = „,.: __._° *.,,, : .; „_:-,=� .: r> :r
y,,. f> :tJIIiED DA Az 11194 , TECICI '.
s9A Gib K- i'� ` DL5t i. gee *a the value o r k p:r. ;::
Subdivision: Lot no.: T Permit fees* are based on the value of the work erformed.
Tax map /parcel no.: ct v ® Indicate the value (rounded to the nearest dollar) of all
a ^T s equipment, materials, labor, overhead, and the profit for the
..R. w rk
T?l IU " U, F°” pltlG ;: =`:_,.:, o indicated on this a lication.
1g+.o A.,E. w o cv WAW 4 lj > arNf. ` Valuation: $ g Q Q 0
WA (.-L._ Pk/IAA Pre t' `AA/314:1"; " Existing building area: 3 square feet —
New building area: S 53 square feet
�`�� ,_;,, ; ` Iio EIiT ' f) R. •F =: -F ; :,t y, . x ..3•'I'EN „ .s::
F..... _ --, ,,, * •;. �. .... . - _ : • °, „ ;y:'. `:;, Number of stories:
.:��:, _ a-= 'at -�- _��a�. <s.,. > -. >.� :.;��,�.,,,,�`,�: - mow: -e:. ✓ �/ /�.�?
Name: 0,4- -rA- j,/ , 2 O7 , /►7 Type of construction: p o p t r � r 7 1/'� 1E+
Address: 11 1 P VI N r {�;� 4' t. Occupancy groups: t' n
�� P Y g P �j �t7Q
City /State /ZIP: TV 0 te.. 3
// -�/j /� I ' Existing:
Phone: (3) CP7o� - /65,.... Fax: ( )
New:
.. .`.. ,s..;k�:•rs as � *::.. >>, �� , en .,r .,,;';3 � ur � lv .k• :: ::Y =..• F._,
?_.-. ? �:L_ .... \. .e> .:-.ms . -..v, 21z,, - �� -... � -�.�. � _.a.�`�,..,s _ � , t T�iT a �� IiS� ` . ��;:° FE'a`:: -> ..
Business name: tt or .':3::�,:. "; �;� .��„u �.�; �. ..,;..:�.� >,.,� .��� �� �:���
6 1g. . ', �/ All contractors and subcontractors are required to be
Contact name: ��"1' N )�/� licensed with the Oregon Construction Contractors Board
0 "' / under ORS 701 and may be required to be licensed in the
Address: 0/ f '2 . irk eit� � , Dtt jurisdiction in which work is being performed. If the
City /State /ZIP: 1-k b1 t d 1 J �Z," '' aa7 / _ applicant is exempt from licensing, the following reasons
6014"..*"
" V .3 (1 apply:
Phone: 9 d� �� ° r 2� 47 Fax:: �)�
E -mail: s r v W'L'�let 'j
kA c L v !A fig+ 1/4 I ki ' tslz.i 14A I Sir Ail
Business name: Li D r. ;�_ U � -. ,,...
Address: _ � >�.:..::�•�a...
s 1 247-z— Please refer to fee schedule.
City /State /ZIP: 136 la L1� �
( ° W 1�- - V�
// Fees due upon application
Phone: (VD ^ t., :n g f / 0 Fax: ( Z 1,114
CCB lic.:
3 f Amount received
Date received:
Authorized signature: / , d V This permit application expires if a permit is not obtained
4- �= - r t e /� within 180 days after it has been accepted as complete. if Print name: / j t far far
Date: .V / r t * Fee methodology set by Tri- County Building Industry
ii Service Board.
i:\ Building \Permits\BUP- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB)
7/15/2008
Case Activity Listing
4.CCEL. Case #: BUP2OO6 -OO292 10:12:13AM
k i1T
!l Jf
A ctrvi • �Desc
tion
ri ate.
... _..,�. ,.., ..P, _..,.:;,,:�,
� � ,�
BUP1010 Application received 7/13/2006 None RECD DER 7/13/2006
DER
BUP1020 Permit created 7/13/2006 None DONE DER 7/13/2006
DER
BUP1050 OTC plan review 7/13/2006 None DONE VSH 7/13/2006
DER
•
BUP1280 Issue permit 7/13/2006 None DONE DER 7/13/2006
DER
BUP2210 Foundation walls 8/4/2006 8/4/2006 8/4/2006 None PASS DAN 8/4/2006 034416 - 01 — 503 - 539 - 7157 — VM -
STI Y
BUP2275 Framing 9/7/2006 9/8/2006 9/8/2006 None PASS DAN 9/8/2006 036219 - 02 -- 503 329 - 4193 — VM -
STI Y
BUP2280 Insulation 9/11/2006 9/12/2006 9/12/2006 None PASS DAN 9/12/2006 036360 - 01 -- 503 329 - 4193 — VM -
STI Y
BUP2299 Final inspection 10/3/2006 10/4/2006 10/4/2006 None PASS DAN 10/4/2006 037650 - 01 — 503 329 - 4193 VM -
STI Y
BUP 1740 Case fmaled 10/4/2006 None DONE DAN 10/4/2006
DAN
Page I of 1 CaseActivity..rpt
CITY,OF TIGARD .. ..
BUILDING DIVISION A • ' PERMIT #: BUP2006-00292
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2006
Phone: (503) 639-4171 gir IIit
Inspection Requests (24 Hrs.): (503) 639-4175 JA - tIL.
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04Aivi PAGE:
SITE ADDRESS: 11150 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: ASH CREEK PARK CONDO LOT #: TYPE OF USE:
PROJECT NAME: ASH CREEK CONDOS
DESCRIPTION: Replace wood walls & concrete wil damaged by car impact.
OWNER: WILHELM, FREDDIE R, . PHONE #:
CONTRACTOR: NtONDMENtWatta) INC PHONE #: 232-7106
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 034416-01 503-539-7157 Y
Corrections/Comments/Instructions: pE1-1(mo +
1
AVI ,
, .
it_ Aa _ ' ‘ Wiwi/
41; iff *IJIP 1 ■ / ■ ‘ ■ i
•
— ASS El PARTIAL APPROVAL n CANCEL n NO ACCESS
I i FAIL • ' LL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
11 A 0) L. _
i
Inspector: 4 r Date: 1 " 0 41. Phone #: (503) 718-
CITY. OF TIGARD
' BUILDING DIVISION PERMIT #: 13UP200 00292
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7113/2006
Phone: (503) 639 -4171 /o� � i e +� �
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1 �!
INSPECTION WORKSHEET FOR DATE: 9/W2006 TIME: 7 :00AM PAGE: 55
SITE ADDRESS: 1 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: 'ASH CREEK PARK CONDO LOT #: TYPE OF USE:
PROJECT NAME: ASH CREEK CONDOS
DESCRIPTION: Replace wood walls & concrete WI damaged by car impact.
OWNER: WILHELM, FREDDIE R, PHONE #:
CONTRACTOR: "ati+0 INC PHONE #: 232
Inspection Request Scheduled For: Date: 9/8/20Q5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 036219-02 503.34193 V
Corrections /Comments /Instructions:
'IPA*, t U acr •
r,
--(4,4 Tt itO
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
9
FAIL CALL FOR I SPECTION I I ADDITI NAL EES ASSESSED
.A...
Inspector: 01) Date. g 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00292
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/'2006
Phone: (503) 639 -4171 ./.
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' . ,f 1l
INSPECTION WORKSHEET FOR DATE: 9/1212006 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 11150 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: ASH CREEK PARK CONDO LOT #: TYPE OF USE:
PROJECT NAME: ASH CREEK CONDOS •
DESCRIPTION: Replace wood walls & concrete wit damaged by car impact.
OWNER: WILHELM, FREDDIE R, PHONE #:
CONTRACTOR: ( 1. y >.t' tit, ) INC PHONE #: 232 - 7106
Inspection Request Scheduled For: Date: 99/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 036360-01 503 - 3294193 Y
Corrections /Comments /Instructions: T r
1
1 -' t A il
�I r • -•.• • � .�;_ 1-'.A .1 L��1•
/,,
;i _
(
Lit
PASS I I PARTIAL APPROVAL ❑ CANCEL pi NO ACCESS
n FAIL _ C; L FOR INSPECTION n ADDITI • AL F: ES ASSESSED \\ ,
Inspector: I � �L , D ate: ' Phone #: (503) 718- d
CITY OF TIGARD
• a
BUILDING DIVISION PERMIT #: BUP200G -00292
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 7/13/2005
Phone: (503) 639 -4171 . limptilii
. Inspection Requests (24 Hrs.): (503) 639 -4175 „JJ— ' ...!..
INSPECTION WORKSHEET FOR DATE: 10/4/2006 TIME: 7 :02A ,y PAGE: 25
SITE ADDRESS: 11"150 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: ASH CREEK PARK CONDO LOT #: TYPE OF USE:
PROJECT NAME: ASH CREEK CONDOS
DESCRIPTION: R wood walls & concrete WI damaged by car impact.
OWNER: WILHELiM, FREDDIE R, PHONE #:
CONTRACTOR: MMORIEVIWROD INC PHONE #: 232 - 7106
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
209 Final inspection 037650.01 503 - 329-4193 Y
Corrections /Comments /Instructions: TGo -'
i ✓ 4
a climiul ---,,,..4„,/r.,.._
,,, „,,,, .
tz...............1 ____
------
7
PASS ❑ PARTIAL APPROVAL I CANCEL ❑ NO ACCESS
❑ FAIL IN CALL FOR INSPECTION n ADDITIO""AL FEES ASSESSED
IF I )
0: ' 0
Inspector: i ii V \-, Date: . Phone #: (503) 718 -