Permit r
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00408
j ib DEVELOPMENT SERVICES DATE ISSUED: 8/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AB -03600
SITE ADDRESS: 12265 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Reroof, no tear -off.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 36,535.00
Owner: Contractor:
JOHNSON, WARREN W + BETTY TRS AN BOB CARLSON INC
JOHNSON, REES C + MARYANNE G PO BOX 63
3112 SW SANTA MONICA ST HILLSBORO, OR 97123
PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 640 -3623
FAX 503 - 640 -4840
FEES Reg #: LIC 5113
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/28/2006 $373.30
[TAX] 8% State Surchan 8/28/2006 $29.86
Total $403.16
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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
r ' esr you o al : , the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
52 -001 -0010 through P- ' • • - - 001 -0100. You may obtain a copy of the - es or direct questions to OUNC by
calling 503 - 246 -669' • 1 : r i 32 -2344. / -
Issued By: ,L /IJ /� d r Permittr Signature: Ri idg , l
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.
O8/2'2g6 O7:4 BOB CARLSON INC 4 5035981960 NO 333 D01
-• , ...P 1 FAX 5035981900
CITY OF TIGARD 40UZ
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Tigard. OR 97223 RECEIVEDA IF•117ifil th / ! I ' i=irt A. .•6-.. fa
onssw Hall Blvd.. Ran Review
Phone: 503.639.4171 Fax 503.598.1960 Otberrengt
Inspection Lina 503.639.4175 AUG 2 8 200, j,k r.III. pea •
Internet vrww.tigat4+31.gov '1 - -- lEr2111.1=.1 M agse
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CITY OF TIGARD
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El New construction D Demolition Pemit fees* are based on the value of the work peribrmed.
- Indicate the value (rounded to the nearest dollar) of all
0 Additiontaiteratiankaplacement ta Other: it/ger.pc' equipment, materials, labor. overhead, and the profit for the
• • - - •• - .,:- , .. . , .. , ., ...... • ...., .. . • work iadicated on tkie aPPlicalinn•
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0 1-and 2-family dwelling jaCommercialtindustrial Vabtatirm: $
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fob sits address: 0 (pg in ft ) Li Naw &veiling area: square feet
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City/Stale/ZIP: _ • LIZ- - . -- Garage/ma area: warn feat
Suite/bldg./apt no.: project name: Coveted porch arca: square feet
Cross street/directions to job site: . — Deck area row feet
Other semi= at Rum feet
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Subdivision: I Lot no.: Permit fees are based on the value of the work performed. •
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment. materials, labor, ovinhcad, and the profs for the
• "e• •• : ' $ ' .....- ? ..:;' ••• • ''', , iiiiiiiiiitiori...0 . * - atic • ..:.:.'• :..:.:: : 4.- . ' work indicated on this application
Valuation: $
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Nam= Type of ea:instruction:
Address: OcalPancY IltouPs;
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City/State/W: Eskitistg: .
Phone: ( ) Fax ( ) Niw:
• Buskers DIM: — AR coatraetor9 and subconiractots are required to be
licensed with the Oregon Construetioo Contractors Board
Contact name: under ORS 101 and may be required to be licensed in the •
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jurisdiction in which work is being pertbrmed. if the
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Address: jri_f„S , Please r* so fee selsedale.
ChylStistalLIP: L LS • - . Fees due upon application yo_3, P.
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--- Amount received
Ms 11c.: S Data =lived: "
AVIllorized egnaturo: To wash appljeadao expires It a peep& is net obtuned
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00408
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2812006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 —.. 1
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:00AM PAGE: G
SITE ADDRESS: 12265 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAM
DESCRIPTION: oo , no tear -off.
OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #:
CONTRACTOR: BOB CARLSON INC PHONE #: 503
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039832-01 503-6443626 N
Corrections /Comments/ Instructions:
Ale 4c.,6-CS
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
aiCE_AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A ii /
Inspector: Date: 1 l o `p / Phone #: (503) 718- 2 (Z.
CITY OFTIGARD ' l - 6 e
BUILDING DIVISION PERMIT #a?DO4, -6 3 4/6,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 eu r
Inspection Requests (24 Hrs.): (503) 639 -4175 � '�V
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 2-Cp S (� Jed CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
•
DESCRIPTION:
OWNER: "VL.D � PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (/— (( •— O (o Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA i FOR INSPECTION El ADDITIONAL FEES ASSESSED
1
Inspector: ! \/ Date: G�: t l: b (9 . Phone #: (503) 718 -
/J
08/25/2006 10:25 BOB CARLSON INC + 5035981960 NO.326 106
(CITY •OF 11GARD •
DG DIO
13125 BUIL SW IN Hall Blvd .,. TiVISIgard NOR 97223 PERMIT #:
Phone: (503) 639 -4171 DATE ISSUED:
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
• SITE ADDRESS: / 2, 5 j ��� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
•
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: � - / 6 _ r' Pour Time:
Code # Inspection Description Confirm # Contact # Message
/V.-AL — —11-11— 4,9 es
LI q 1 4 03
Corrections /Comments /Instructions:
4/
r
•
11
s
. '4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
❑ FAIL CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Date:`✓ t
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Ph one #: (503) 71