Permit j / . • t,
II v CITY OF TIGARD - BUILDING PERMIT
PERMIT #: BUP2006 -00596
COMMUNITY DEVELOPMENT DATE ISSUED: 12/21/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104CA -05100
SITE ADDRESS: 13668 SW MICHELLE CT ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 051 JURISDICTION: TIG
Project Description: Repair damage from fallen tree.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: 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: $ 15,000.00
Owner: Contractor:
MARK H. SMITH OWNER
13668 SW MICHELLE CT .
TIGARD, OR 97223
Phone: 503 - 806 - 1594 Contact #:
- FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/21/200€ $187.30
[TAX] 8% State Surcha 12/21/200€ $14.98
[BUPPLN] Pln Rv 12/21/200( $121.75
Total $324.03
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.
I' / f
Issued By: / Pe rmittee Signature: J , � + ,
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.
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Building Permit ,
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Building
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as City of Tigard DateB , L Permit N.. l Al It CVO
® 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �nn� DEC 2 1 Date/B Other Permit.
,1--; f :6---A R-D' Inspection Line: 503.639.4175 E , _ Date Ready/By. H See Attached Checklist for
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-- Internet: www.tigard- or.gov CITY OF AHO Notified/Method: Supplemental Information
BUILDING DiViS!OF
4,; <, 3 " ':TYPE: OF =WORK' .: �; ° REQUIRED DATA:,! AND 2= 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
❑ Addition/alteration/replacement ® Other: Storm Damage equipment, materials, labor, overhead, and the profit for the
CATEGORY. OF',CONSTRUCTION •- - work indicated on this application.
Valuation: $
►1 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
}ti" . ` JOB" SITE INFORMATION AND LOCATION' - • Total number of floors:
Job site address: 13668 SW Michelle Ct New dwelling area: square feet
City/State /ZIP: Tigarg, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 135 and Walnut Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST.
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
j F DESCRIPTION' OF WO " , , work indicated on this application.
Repair as required - damage from fallen tree Valuation: $
Existing building area: square feet
New building area: square feet
s o® PROPERTY' OWNER .f " ❑ TENANT , - Number of stories:
Name: Mark H. Smith Type of construction:
Address: 13668 SW Michelle Ct Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)806 -1594 Fax: ( ) New:
®' APPLICANT - ® CONTACT PERSON NOTICE =.-E
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:
- • - CONTRACTOR " =, _
Business name: ` - ' BUILDING PERMIT FEES* _ • '
Address: - ` : (Please refer to fee sciedule) _ ° •,' T :
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB tic.: Total fees due upon application:
r � f / Amount received: 39 , O,3
Authorized signature: ifigW/Fir � This permit application expires if permit is not obtained
- - within 180 days after it has been accepted as complete.
Print name: Mark FL Smith Date: 12/21/2006 * Fee methodology set by Tri -County Building Industry
CITY OF TIGARD ( .
BUILDING DIVISION .. • PERMIT #: BUP2006-00596
0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/91/2006
Phone: (503) 639-4171 a
,.,:1B i lk■ .
Inspection Requests (24 Hrs.): (503) 639-4175 I
■7
INSPECTION WORKSVULT FOR DATE: 1/7612007 TIME: 7:00AM PAGE: 24
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SITE ADDRESS: 13668 SW ICHELLE CT CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 051 TYPE OF USE:
PROJECT NAME: SMITH
DESCRIPTION: Repair damage from fallen tree.
OWNER: SMITH, MARK PHONE #: 503-806-1594
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1126/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me -
250 Roof nailing - 042578-01 5034306-1594
Corrections/Comments/Instructions: Z :cc,
2.K F- tKi &-.(
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111j; -ASS pi PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
1 ) ,
Inspector: (?,)-1-1 0 Date: I / t-- G" /el Phone #: (503) 718- 2 6 7
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