Permit '• CITY OF TIGARD BUILDING PERMIT
II ' COMMUNITY DEVELOPMENT PERMIT #: 00501
DATE ISSUED: 9/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 10 D D -90571
SITE ADDRESS: 10840 SW MEADOWBROOK DR 57 ZONING: R -7
SUBDIVISION: SUMMERFIELD BROOKSIDE CONDO LOT: 057 JURISDICTION: TIG
PROJECT: JAMISON
Project Description: Window replacements.
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: $ 4,200.00
Owner: Contractor:
CHET JAMISON PORTLAND WINDOW AND DOOR INC
6503 SW ORCHID ST 6425 NE SKIDMORE
PORTLAND, OR 97223 PORTLAND, OR 97218
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Phone: 503 - 720 -4934 Contact #: PRI 503- 421 -6951
FAX 503 - 282 -5772
Reg #: LIC 175922
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/25/2007 $83.95
[TAX] 8% State Surcha 9/25/2007 $6.72
[BUPPLN] Pin Rv 9/25/2007 $54.57
Total $145.24
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Sp cialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requiry you to fo ow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu• % • - 952 -0' -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 B Permittee Signature. fr►
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.
•
09/25/2007 09:23 FAX
1081/0 Sh' X002
I-
Bl� ilding Permit Application_
City of Tigard RECEIVE_ `
13125 SW Hall Blvd., Tigard, OR 97223 _ +►1 >��w�� ,4
m wit No.: 4 u ?� Jt�
'� Phone; 503,639.4171 Fax: 503.598.1960 `; E P 2 ti � '' other
I -, A I. I , Inspection Line; 503.639.4175
I
" � . P ZUU 7 ds r�� . � � / ., ^ r:
Internet: www.tigard-or.gov Date Ready y' L I ® See Attached checklist for
CITY OF TIGAR B Natited/Mdhod /I� . Supplemental tofermatloa
BUILDING DIVICION S f e.L- LA) L fthLlNG
TYPE OF WORK REQUIRED DATA: It AD
0 New construction ❑ Demolition Permit fees' are based on the value of the work performed.
® Addilion/alteretion/tt placement Other: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated
on this application.
❑ I- and 2- thmily dwelling ❑ Commercial/industrial Valuation: S -
Accessory building ® Mtelti- fatuity Number of bedrooms:
, q Master burldcr ❑ Other,
— _ Number of bathrooms:
JOB SLTIC INFORMATION AND LOCATION Total number of floors:
Job site address; 10840 SW Meadow Brook Drive #57 New dwelling area:
square feet
City /State/ZIP: Tigard, Oregon 97224 —
Garage%uport area: square feet
TSuiteJbldgJapt nano; no.: 57 Project o; Jemiaon Rental
Covered porch arcs square feet
Cross greet/directions to job site:
Deck area square feet
Other structure area: square feet
Subdivision: .
REQUIRED DATA: COMMERC1AIrUSE CHECKLIST
Lot no.: Permit fees* are bused on th l to of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax mop /parcel no.: _
D1;SCRIPTION OF WORK — equipment, materials, labor, overhead, and the profit for the
_ work indicated on this application.
Replace 1 existing alu same size Vinyl replacement door Valuation: $54,200.00
Replace 1 existing slump. garden window with same size Vinyl repl, Grdn. window
Existing building area: square feet
Replace 3 existing alum. sliding windows with same sized vinyl replacement win Ncw building area; feet
NAN.I Number of stories; 2
El PROPERTY OWNER 0 TE
Name; Chet Jamison _
Type of construction: wlndw replaceme .
Address: 6503 SW Orchid Street Occupancy groups:
City/State/ZIP: Portland, Oregon 97223
Existing:
Phone: (503 )720 -4934 I Fax. ( )
New:
® APPLICANT' ❑ CONTACT PERSON NOTICE
Business name: Portland Window and Door Inc. All contractors and su are requ to be
Contact name: Randall Horner/Larry Webber licensed with the Oregon Construction Contractors Board
Address: 6425 NF. Skidmore
� _ under ORS 701 and may be required to be licensed in the
—
jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, Oregon 97218 w applicant is exempt from licensing, the following reasons
Phone: (503)2!12 -5772 — — _ apply:
I Fax::(503)252 -5772
. E -mail: rahorner2Qmsn.com
CONTRACTOR
Business name: Portland Window and Door Inc, BUILDIN PERMIT FETES*
Address: 6425 NE Skidmore (Akarerr�4rroLescMO, e
Lit /State2JP: Portland O �-- Structural plan review fee (or deposit):
Y , rcgon 97218 _
Phone: (503) 421 -6951 FLS plan review fee (if applicable):
Fax: 60) -S1 -5772
CCB tic.: 17.5 ! I — Total fees due upon application:
Autho ' Amount received: Iff
r e.: I s►gn8ture, ` /
This permit application expires If a permit is nut obtained
Print name: Randall S. Horner within 180 days after it has been accepted as complete,
_ � • Fee methodology set by Tri{ aunty Building Industry
r:ue� sae Service Board.
�App.da OJRI/O6 4404613tjI1/02JCOMMTn)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I3UP2.007.00501
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2007
Phone: (503) 639 -4171 / amu gy t? In
Inspection Requests (24 Hrs.): (503) 639 -4175 G'I �..
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7 : 02AM PAGE: 16
SITE ADDRESS: 10840 SW MEADOW 3ROOK DR 57 CLASS OF WORK:
SUBDIVISION: SUMMERFIELD BROOKSIDE CONDO LOT #: 057 TYPE OF USE:
PROJECT NAME: JAMISON
DESCRIPTION: Window replacements.
OWNER: JAMISON, CHET PHONE #: 603.120 -4934
CONTRACTOR: PORTLAND WINDOW AND DOOR INC PHONE #: 503-421 -6951
Inspection Request Scheduled For: Date: 10/3/2007 Pour Time:
Code # Inspection Description Confirm # ontact # Message
299 Final inspection 056884 -01 503-421-M61 Y e � °_°
Corrections /Comments /Instructions:
C . ):-."/7.-
f
PASS ❑ P. - TIAL APPRO L ❑ CANCEL ❑ NO ACCESS
FAIL �/ A - a' 11•. CTION ❑ ADDITION FEE ASSESSED d_2_
v
Inspector: / Date: / 3 0 Phone #: (503) 71