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Permit CITY OF TIGARD BUILDING PERMIT r ) � COMMUNITY DEVELOPMENT Permit #: BUP2009 -00133 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/17/2009 TIGARL� Parcel: 2S103BC07000 Jurisdiction: Tigard Site address: 12244 SW LANSDOWNE LN Subdivision: Lot: 0 Project: Millcallef Project Description: Demo roof over garage, front and rear garage walls. Owner: FEES MICALLEF, VINCENT A & DEBORAH D Description Date Amount 12244 SW LANSDOWNE LN Permit Fee - COM 07/17/2009 $62.50 TIGARD, OR 97223 12% State Surcharge - Building 07/17/2009 $7.50 PHONE: Contractor: MARK DAWSON CONSTRUCTION LLC 41290 SW SANDSTROM RD GASTON, OR 97119 PHONE: 503 - 805 -0814 FAX: 503- 357 -9590 Specifics: Type of Use: SF Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $2,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $70.00 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: • Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: 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 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 the rules or direct questions to OUNC by calling 5033 .2 224466..6699 0 . 00 332.2344. Issued By: ,J ^ 1Tt �� f ( r A i 1_,/ U � Perm ittee Signature: '.LL.{ ( \ 1 11 1 V �\ Call 503::63:4175 - 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 ., RECEIVED . a Resi FOR OFFICE USE ONLY City of Tigard JUL 1 7 2009 Received r o l l 7 Date/By: ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review '_:r Phone: 503.639.4171 Fax: 503.598.196 OF TIGARD Date/By: Other Permit: TI GA 12 D Inspection Line: 503.639.4175 Date Ready/By: 1uris. ® See Page 2 for Internet: www.tigard or.gov BUILDING DIUISI0 1 Notified/Method: J ( Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY-DWELLING 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: equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRUCTION work indicated on this application. ® t- and 2- family dwelling ❑ CommerciaUindustrial Valuation: �1� 2- G O U • °© 1:1 Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12244 SW Lansdowne Ln New dwelling area: square feet City/State /ZIP: Tigard, Oregon Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: 121" Tippitt Lansdowne 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 DESCRIPTION OF WORK work indicated on this application. Removal of roof over garage, front and rear garage walls Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ' . ❑ TENANT Number of stories: . Name: Vince and Deb Micallef Type of construction: Address: 12244 SW Landsdowne Ln Occupancy groups: City/State /ZIP: Tigard, Oregon Existing: Phone: (503)887 -3456 Fax: ( ) New: ® APPLICANT - . ❑ CONTACT PERSON ' ' . NOTICE - • Business name: Mark Dawson Construction LLC All contractors and subcontractors are required to be Contact name: Mark 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 applicant is exempt from licensing, the following reasons City/State/ZIP: apply: Phone: ( ) Fax:: ( ) E -mail: sbdawson @att.net ' . . CONTRACTOR . Business name: Mark Dawson Construction LLC BUILDING :PERMIT FEES* .. Address: 41290 SW Sandstrom Rd (Pledse'refer'm feeschedule) Structural plan review fee (or deposit): City/State/ZIP: Gaston, Or 97119 Phone: (503) 8 -5-0814 Fax: (503) 357 -9590 FLS plan review fee (if applicable): CCB lic.: 187209 Total fees due upon application: Amount received: 7 Q . CDO Authorized. signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Mark Dawson Date: 7 -16-09 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02/COM/WEB)