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Permit • CITY TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00203 � DEVELOPMENT SERVICES DATE ISSUED: 5/16/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101A6 01501 SITE ADDRESS: 07555 SW HERMOSO WAY 120 ZONING: MUE SUBDIVISION: HERMOSO PARK LOT: 021 JURISDICTION: TIG Project Description: TI, walls REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft 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: q3 /c 0 — t , Owner: Contractor: JOENS, JOHN D MARJORIE A OSWEGO DRYWALL INSTALLERS, INC 7545 SW HERMOSO WAY PO BOX 230283 TIGARD, OR 97223 TIGARD, OR 97281 -0283 Phone: Phone: 639 -8694 Reg #: LIC 2141 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 5/16/2005 $139.30 [TAX] 8% State Surcha 5/16/2005 $11.14 [BUPPLN] Pln Rv 5/16/2005 $90.55 [FLS] FLS Pln Rv 5/16/2005 $55.72 Total $296.71 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: 7: ic, P ermittee Signature: c i _ 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. l A Building Pex�mit`Application F OROFFICEUSEO LY -. , i City of Tigard Received 6 y� Permit . /y� Y g DateBy: 6 Kl I �V a 13125 SW Hall Blvd., Tigard, OR 97223 Plan DateB Review _ /�Yfidld .� (l� 6 - ©.3 V S Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 P ! Inspection Line: 503.639.4175 ° ° . L • �;/ "- Date Ready/By: H See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 1 , (105 i le. �?� gar <tz ,'; > §";,. !: �. . ,. s - � � . ? �a'.I e: _„ i i . -. ; - _.:�� , 7,,. h w A r w. O , �VORT C f,,.. , t '.. _ , ' -. wREt nn §DATA.mY dt & vIZ ILiY W ELLING , ��,�"^" at . -': �m� �. �. �. ���^. �� ;�.a"a.,. «�s-�::��'.�.��.�,n:� � �..� - .'��s�<:�s �� . � : �i:<: . a! �:: �%< r�;' ar: �' f�:- . ��. �s::=.' �aa .r °:a�r.u»e�„e,,., °� - *° _ ❑ New construction city aEaiigmu Permit fees* are based on the value of the work performed. G DIVISION Indicate the value (rounded to the nearest dollar) of all El Addition/alteration/replacement ��� er : equipment, materials, labor, overhead, and the profit for the e 4 -' { "` s s CAiTE CORX^`'C) x CONST' C� I O C '' * t work indicated on this application. . ,t €€ ' . s ,kwz a , , _a a rte- e " k F � n pP ❑ 1- and 2- family dwelling Valuation: $ ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: URIP A' � ' '� J SI kt g w l e rgm * 014 ANDr OmATION 4� �e -, Total number of floors: Job site address: 7 s. ta. ", 1(.60_ ovi y New dwelling area: square feet City/State /ZIP: 17 G e fivt b 1 OR q 9 a 3 Garage/carport area: square feet Suite/bldg. /apt. no.: / a() Project name: piasf g4, eJ j,4. j M -6 A G. Covered porch area: square feet Cross street/directions to job site: .7 a Nu) ,- 9 `fie v0 Lit c iv Deck area: square feet RE %A L4.4.44 /{EOfuafa /Z, ow /36) tOfe) i / sT- Dfa (1/E 1 M f' Other structure area: square feet AM tE SEE el i u tl' rr1A A ICY / cc6 Qu D DA, e O IV R C I u s c Frei z- , e u:' 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 rz. -, - nom. : �`a r ".�e;;'m:' ;:xF=°t,fi i,` s=;.#'.� " €s� # a °:1,'.' 'x= era : z a:. „ "��, �s f "��'' � " ";� �3 - DESC r N {' ORK ��'_' a - F cif ` :'�,`� a: � work indicated on this application. New - T VWk ,? _'A 1,$ ` ,::i . 4.1, *- !rs 4– I4A;t ` . Valuation: $ 3 f r Dl 'Vf J E )Ito) cowAt r. G . ;; �°�4 -CE .t7[T z7 e-FFIC is _ 4, (AX C � J - - f ' - s y � o ck L / Existing building area: 77o square feet / ` k _� WG `1 - M-( �N ( "� New building area: f�� square feet me 1'ROPER3T OWNER z 4 ® E �/ Number of stories: - S . w "�. „ ^rah _ 3 .� � � :a : ,� b sr , •_ i S t2. Name: kioNet LL. e (/ u /44v / j & ii Type of construction: 5 Address: 75--s-75-- ,f' (4 / 5g ctib L1 y e SQL I -T-E- 6' 0 Occupancy groups: B City/State/ZIP: 776 q /) a a Existing: Phone: (5o9) 6 .R 0..... 6 OaO Fax: ($ 6 aZ +o- ssc 3 New: II '���? " ..�1PPIiTCA1V T , �K`�`r ;; "�� k� t � "q, EON��AC"�T F.tRSON � ` 4 �....;%,,,,,,g„. z �.c.. +, �� «� =sk, ,��,.�,�i ," z' = ' a .� ,- , s �:z;�a- , E t: r'� ". : l ' `��$ .�' . r *. , > , M;,M�`` ,..„ , f " g : N `° z , , �. rd ., t �Y a , r Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: �w. < ^� � ":�. ,�� � t�2a . � P.. 1. _ ���(x�.� ?i;�z �.,� ��:� k4 , w,,, . ,: , -: " Business name: , m-05., g 101ILDING ; ,^ PERNI _ 'TT�'FEES ?' • Address: / • Q, 6 c ( 07 ?O a �! Please refer to fee schedule. City/State /ZIP: 7764,40 A . i i, 4 el - 0 ag3 j Fees due upon application Phone: (�3) 6 3 7- ' 6 ?1_ Fax: ( ) 6p ry �, ¥ - G -2 ! Amount received , `�1 CCB lic.: f [{ / / — Date received: Authorized signature: / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: R 0►7 EAr C, "'At j I e t s -o ■/ Date: 7/ AA 70s-- * Fee methodology set by Tri- County Building Industry Service Board. is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(1 l /02 /COM/WEB) Building Division i om �i'lhj� Plan Submittal Requirement Matrix "---� Commercial & Multi- Family - New, Additions or Alterations City of Tigard naTypeoffSubmtttailr �ans V - 4 � � � � M'LtV ry :i, l ' , §' x '3 nc udes evv, addat .ion�siandfalterations Required at Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 • Building 1* • Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD BUILDING-DIVISION PERMIT #: BUP200S -00203 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2005 Phone: (503) 639 -4171 N4 @tkyilit Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 6/14/2005 TIME: 7:10AM PAGE: 83 SITE ADDRESS: 07555 SW HERMOSO WAY 120 CLASS OF WORK: SUBDIVISION: HERMOSO PARK LOT #: 021 TYPE OF USE: PROJECT NAME: PRESIDENTIAL MORTGAGE DESCRIPTION: TI, walls OWNER: JOENS, JOHN D MARJORIE A, PHONE #: CONTRACTOR: OSWEGO DRYWALL INSTALLERS, INC PHONE #: 639-8694 Inspection Request Scheduled For: Date: 6/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 009123-01 503- 620 -5203 N Corrections /Comments /Instructions: i el 0 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED , iiriA ( Inspector: Date: `� Phone #: (503) 718-