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Permit �� D ctO CITY TI GA D BUILDING PERMIT i���1A" DEVELOPMENT SERVICES DATE ISSUED: 9/29/2004 c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10915 SW HALL BLVD 18 PARCEL: 1S135AD-02300 SUBDIVISION: METZGER ACRE TRACTS ZONING: R -12 BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: Cj'Z 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: R1 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: $ 5,000.00 Remarks: Attic /roof addition. Owner: Contractor: LEE, VANCE R OWNER 13500 SW HALL BLVD #499 r TIGARD, OR 97223 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp [BUPPLN] Pin Rv 9/10/2004 $59.35 Insulation Insp [BUILD] Permit Fee 9/29/2004 $91.30 GyShear Board Wall Insp TAX 8% State Surchar 9 /29/2004 $7.30 Bolts Board Insp [TAX] � Bolts in concrete final repo [BUILD] Investigation F 9/29/2004 $91.30 Final Inspection Total' $249.25 • 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: _��'� v Permittee Signature: In nt.d_0,. Call 639 -4175 by 7 p.m. for an inspection the next business day 10915 “ti HA1LL Building Permit Application . FOR OFFICE USE ONLY City of Tig Q,/ lE ' Date /B d J 1 (J `, ' ermitNo'.� � � o 9 1— '00 � 6 13125 SW Hall Blvd., t Phone: 503.639.4171 503.598.1' , " ` ` '"!-°"'�«� D Plan teB �e 4.0* I l Other Permit: Inspection Line: 503.6415 : �•/ �( , Date / Ready/By: �/n d` / nit ® See Attached Checklist for Internet: www.ci.ti ard. , Notifi . ethod: T Sup .leme tai Information CITY OF 1 `?11!t t�._,_A .' \¢ ' ❑ � 3 ,'' , r ®' \‘'Y',4;%-','L REQU DA : I- AND 2- FAMILY DWELLING New construction ❑ Demolition Permit fees* are base7 on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ' Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY' OF CONSTRUCTION work indicated on this application. ' 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 5, PC � ..�• ❑ Accessory building ❑ Multi - family Number of bedrooms: l ❑ Master builder ❑ Other: Number of bathrooms: I - 1 ._ Total number of floors: I Job site address: 1 061 1 CJ 5.14. 4Au. bt,V c). dwelling area: El(jy square feet 1502 Cit /State /ZIP: -r, 60C �b c) it 9 -7 ti Z 3 Garage/carport area: square feet Suite/bldg. /apt. no.: 1 S Project name: gelipp A Doi T10 N Covered porch area: square feet Cross street/directions to job site: HALL. 61, a PA -T M EKry Deck area: square feet Natzn t »-t Hall. - C-124‘,5 DV E.12. 2.11 ^ PA Other structure area: square feet P FFL- ecrr 100 't» 4, j`' f' FT REQUIRED DATA: COMMERCIAL -USE CIIECKI ISM Subdivision: I Lot no.: Permit fees* are based on the value of the work perforr e,1 Tax map /parcel no.: ' �j 3 5 �, 8 - 2 b d Indicate the value (rounded to the nearest dollar) of all i . equipment, materials, labor, overhead, and the profit for the � 6 � y , �_ DESCRIPTION OF WORK ' work indicated on this application. 1 „ ,,.' 7 ',.`1'. ` lIzu crut2AL. t:2-1/4/1P W .�i [ OP Valuation: $ r-XI sr I N 1,1 ATrL4/r2,P AN not-I µ G P l 1 M Existing building area: square feet Jour prh Ir 'a'b t—V New building area: square feet !�'� '8 OWNER: 'TENANT +'.; °, Number of stories: . Name: P'h M taSNE,N Type of construction: 111‘) Address: ' 0 411 s [ � 14 . 4A w BIN a .. 'Awl I g Occupancy groups: g-..- - .- 1 • City/State/ZIP: ” P: t „, 4 t „ i .� i ¢ Li 11 4 1123 Existing: Phone: (503) 020 "2.15l Fax: (509 e 64..613 z 3 New: 2 APPLICANT 0" CONTACT PERSON Business name: 141 64 e F . 4601 , 4ee t zt N4% j , )4 G, All contractors and subcontractors are required to be Contact name: J 1,M 0C wl ,2 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: I • COX 23'7 e. 4 jurisdiction in which work is being performed. If the City /State /ZIP: "r' ) Op 91 2, I applicant is exempt from licensing, the following reasons apply: Phone: 6 ) (020 ' ( e,6, Fax: : (503) cos -34,5 40 E-mail: J arl-k bf?- 4.ie e f't ICGU F— 60. r-1 121 L-+e-i . GO M ', .. .4x� . ., CONTRACTOR Business name: 4 ./i F ,A .r BUILDING PERMIT FEES* Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax:( ) CCB lic.: Amount received Date received: Authorized signatures -F This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: J 1 M µbp Date: 9 .1 ,/ . * Fee methodology set by Tri -County Building Industry "' �� Service Board. yq? is \ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(I I /02/COM/WEB) IZQ,1 Tt -Q.6 1 C° o n e - (w Q s S a . S i p \ =Yon., q. ad 11c. 5e, C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00436 COMMUNITY DEVELOPMENT DATE ISSUED: 9/29/2004 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AD -02300 SITE ADDRESS: 10915 SW HALL BLVD 18 ZONING: R -12 SUBDIVISION: METZGER ACRE TRACTS LOT: 002 JURISDICTION: TIG PROJECT: LEE Project Description: Attic /roof addition. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR 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: R1 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: $ 5,000.00 Owner: Contractor: PAM BENSON OWNER 10915 SW HALL Phone: Contact #: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 9/10/2004 $59.35 [BUILD] Permit Fee 9/29/2004 $91.30 [TAX] 8% State Surcha 9/29/2004 $7.30 [BUILD] Investigation F 9/29/2004 $91.30 • Total $249.25 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: 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. 1 5 I , A: CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00436 v o r , 1 DEVELOPMENT SERVICES DATE ISSUED: 9/29/2004 „ Ai. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AD -02300 SITE ADDRESS: 10915 SW HALL BLVD ZONING: R - SUBDIVISION: METZGER ACRE TRACTS LOT: 002 JURISDICTION: TIG Project Description: Single family residential - Attic /roof addition (Hall Street Apartment Complex) REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR 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: R1 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: $ 5,000.00 Owner: Contractor: PAM BENSON OWNER 10915 SW HALL Phone: Contact #: FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 9/10/2004 $59.35 I� [BUILD] Permit Fee 9/29/2004 $91.30 [TAX] 8% State Surcha 9/29/2004 $7.30 [BUILD] Investigation F 9/29/2004 $91.30 Total $249.25 Q 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. -- t Issued By: Permittee Signature: P 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. • C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00436 4,4 , ,� (A DEVELOPMENT SERVICES DATE ISSUED: 9/29/2004 _`' �-- 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S 135AD -02300 SITE ADDRESS: 10915 SW HALL BLVD ZONING: R -12 SUBDIVISION: METZGER ACRE TRACTS LOT: 002 JURISDICTION: TIG Project Description: Single family residential - Attic /roof addition (Hall Street Apartment Complex) Sbc9, / REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR 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: R1 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: $ 5,000.00 Owner: Contractor: PAM BENSON OWNER 10915 SW HALL Phone: Contact #: FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 9/10/2004 $59.35 [BUILD] Permit Fee 9/29/2004 $91.30 [TAX] 8% State Surcha 9/29/2004 $7.30 [BUILD] Investigation F 9/29/2004 $91.30 Total $249.25 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: 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. CITY OF TIGARD ... , - • A .- BUILDING DIVISION PERMIT #: BUP2004-00436 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 9/29/2004 Phone: (503) 639-4171 *IN 4E. ,, - Inspection Requests (24 Hrs.): (503) 639-4175 ...JJ, .. INSPECTION WORKSHEET FOR , DATE: 3/5/2007 TIME: 7:00AM PAGE: 45 SITE ADDRESS: i0915 SW HALL BLVD CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS. LOT #: 002 TYPE OF USE: PROJECT NAME: LEE DESCRIPTION: Single family residential - Attic/root addition (located on Hall Street Apartment Comple) OWNER: LEE, VANCE R, PHONE #: CONTRACTOR: BMW!, PAM PHONE #: Inspection Request Scheduled For: Date: 3/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 239 Final inspection 044307-01 503-3142 ,, Y Corrections/Comments/Instructions: PASS PA FAIL PASS - r AL APP : 6 AL fl CANCEL I I NO ACCESS or In :i "AM .' - to , I / 4110 El ADDITIO AL FEES ASSESSED Inspector: Date: Phone #: (503) 71e? CITY OF TIGARD „ . BUILDING DIVISION A PERMIT #: BUP2004-00436 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2004 Phone: (503) 639-4171 . Afifo l lt i Inspection Requests (24 Hrs.): (503) 639-4175 ,„1.11- 11- INSPECTION WORKSHEET FOR DATE: 2/5/2007 TIME: 7:05AM PAGE: 17 SITE ADDRESS: 10915 SW HALL BLVD CLASS OF WORK: SUBDIVISION: IvIETZGER ACRE TRACTS LOT #: 002 — TYPE OF USE: PROJECT NAME: LEE DESCRIPTION: Single family residential - Attic/roof addition (located on Hall Street Apartment Complex) OWNER: LEE, VANCE R, OGOA ' P/1 / 1 " / .A°17- PHONE #: CONTRACTOR: eit,Ii:' ex , PAM '5" - . 's /...../ - 29 s -3 -- PHONE #: Inspection Request Scheduled For: Date: 7J512007 Pour Tim : Code # Inspection Description Confirm # Contact # sage 225 Post/beam structural . 042971-03 503-710-2426 V ------- Y orrections/Comments/ Instructions: 0/ I f 74/N5'74 ‘ r 1 Ale _ - -4 . / "' Wit, '__. Aou ° '6 ( j f-ili,AMP r VAIMI F ., / fi Go p%-o 4,-- dX-A 4 Ce-ievae ' i X A - ss 0 pa -TIAL APPROVAL fl CANCEL NO ACCESS I FAIL C( AL FOR I . "ECTION ADDITIONAL F ES ASSESSED il 4 /Alk Inspector: r Ar AM' Date: 07' Phone #: (503) ,friow CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP2004-00436 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2912004 Phone: (503) 639-4171 afoolip Inspection Requests (24 Hrs.): (503) 639-4175 AL INSPECTION WORKSHEET FOR DATE: 2/212007 TIME: 7:03AM PAGE: 75 SITE ADDRESS: 10015 SW HALL BLVD CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 002 TYPE OF USE: PROJECT NAME: LEE DESCRIPTION: Single family residential - Attic/root addition (located on Hall Street Apartment Complex) OWNER: LEE, VANCE R, PHONE #: CONTRACTOR: BallatiV, PAM PHONE #: Inspection Request Scheduled For: Date: 21212007 Pour Time: Code # Inspection Description Confirm • Contact # '-• Message 225 Post/beam structural 042.40-01 503-314-2955 4ntoNee- Th3t1 , Corrections /Comments/ Instructions: m 'Ai I t < 0 I I PASS 7 PARTIAL APPROVAL ANCEL 0 NO ACCESS 0 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED • Inspector: Date: Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line; .(503) INSPECTION DIVISION Busi -si Lin: ' (503) 639 -4171 MST BUP02610 °- Oa 3 . ° Received Date Requested / // e...., M , PM BUP Location (® '� 5 L72 �' ' ✓ A MEC Contact Person Air ii i P" (:1 6 3 t 7 2 i ��PLM Cont Ph ( ) SWR UILDI , • nt/Owner ELC Footing Foundation Access: ,ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear I _ • Shear Ute. - I - r cf ,, ltiL Zet41.44 i IliS/ G;gt • Insu ation Drywall Nailing Firewall ®V p e v`-- -/A /AA' Fire Sprinkler p Fire Alarm 1 e) eoi /1 i, .. ����'J�� Susp'd Ceiling (------- � • Roof D S "1 ----. ,___ J ij ' /A4 G C Final / 7; 7 !. /1 P 4---2 i am/ 1"i e-i etet ,r, PASS PART FAIL PLUMBING Post & Slab a- 1.<__ � G. !�-�. �c� � C��C Rough-In Se - J4 'e- �e }v,' (....2--- Water Service ��� �t Sanitary Sewer r GLLC ep ®t — S) Z Rain Drains �' ` Catch Basin / Manhole Storm Drain ��i't L .! tg � Shower Pan V C2- LL e) D s / !.� ) 1&L 7 Other: /� _ Final CtiLC c.1 ®!�— c5 L _g / )4 €j.-"t ! G evL PASS PART FAIL MECHANICAL VcD �7 V-ec--e a • Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL C , - ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next insp:. ion. Pay at Ci • 13125 SW Hall Blvd. PASS PART FAIL SITE Please call •r reins. ction RE: pp,- • - • e to inspec • acc -:s Fire Supply Line ` �� Approach/Sidewalk Date / /6 i I Inspector U� %' PP Other: Final 0 O NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD ' . . . ., A BUILDING DIVISION PERMI ,,a _, ,; L� I a ,� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE r ' i ' r. 6 Phone: (503) 639 -4171 Pll Inspection Requests (24 Hrs.): (503) 639 -4175 c._ INSPECTION WORKSHEET FOR DATE: / O TIME: • PAGE: SITE ADDRESS: / O e7/ S ( 51-1/ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message CP•-1 S MO/W-6_ 0 .,3 2_ 49 s' Corrections /Comments / Instructions: ■ r ,ArO 4 .1_ g ©ili ° ; t7 - /- bi , ' l'• � gem ✓ v ke A7& P1, S / `LL r�G/V/1 4 . 4 • / ` ;;,,/ips--e-i{ fir of t s 1, 1 ie ' - el /92/2- ®A/ /cSlD C.I< 1 X e/K2-e_ALL____ r,0 t4 z,i 4 is 2?/ FEJr /V;tv e_,t,s_c_rre/e,f-e___kvorp;/ pi,..9-p41(4) ref-c-,606-tooc04-) .Low&eye \ Zef 12 , n PASS 4 PART ' L APPROVAL n CANCEL n NO ACCESS n FAIL n '% LL Fs R PE ION _ ' 10 1 ITION f L FEES ASSESS , . Inspector: r / Date: / 0 C/ — Phone #: (503) 7112