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Permit CITY OF TIGARD BUILDING PERMIT • PERMIT #: BUP2005 -00396 lik DEVELOPMENT SERVICES DATE ISSUED: 11/30/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BA-05900 SITE ADDRESS: 14058 SW MILTON CT ZONING: I -L SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 007 JURISDICTION: TIG Project Description: Addition of interior door. 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: 3N : 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: Owner: Contractor: GOODHEAD, DAVID + JAN M OWNER 14058 SW M ILTON COURT TIGARD, OR 97224 Phone: 503- 598 -8700 Phone: - Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/30/200E $62.50 [TAX] 8% State Surchan 11/30/200f. $5.00 [BUPPLN] Pin Rv 11/30/200E $40.63 [FLS] FLS Pln Rv 11/30/200E $25.00 Total $133.13 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 rul s or direct questions to OUNC by calling 503 -246 699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: 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. ' . B Permit Applicatio \ FO OFFICE: USE ONLY City of Tigard \,J 01 Receive — �O / Permit No.:� ��� O. ' ■ 13125 SW Hall Blvd., Tigard, OR 972 �� Dateiv : • Phone: 503.639.4171 Fax: 503.598.1 60 G , M "� i Date/B Review fV I i ` `\ 1 k A . Other Permit: Inspection L 503.639.4175 p,U "( \ — ' ^' 1 I Date Ready /By: ® See Attached Checklist for Internet: www.ci.tigard.or.us ,t V' n Notified/Method: Supplemental Information Cl TYPE i�F W K REQUIRED DATA: 1- 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: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling RCommercialIindustrial Valuation: $ El Accessory building ❑ Multi- family Num ber of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 14096 cam) m t `,6, G New dwelling area: square feet City/State /ZIP: T Garage /carport area: square feet I Suite/bldg. /apt. no.: roject name: \. Covered porch area: square feet Cross street/directions to job site: s + 12 „ : „. 1 .,..6,_ 1 .c i Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. /� Valuation: $ dO AgaM r yb erc VIP t._) In1e qtr ma''rt ' ri m — Existing building area: 11 square feet New building area: square feet Pg PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: L turt . c k [ k d Type of construction: Address: \L oSR �� M _ ` Occupancy groups: City/State /ZIP: � c k of_ 4\722 -Lk Existing: Phone: (SD'')) g 4 gi ?C� Fax: (tb3 ) 5 , 45 New: A APPLICANT A CONTACT PERSON NOTICE Business name: , l nq I r,r All contractors and subcontractors are required to be 'Qea -t�hJl licensed with the Oregon Construction Contractors Board Contact name: � ''�' `f under ORS 701 and may be required to be licensed in the Address: LI �{t{(' ‘LL) �.dJ . - a vd, 54e . f eo jurisdiction in which work is being performed. If the City/State /ZIP: ^ applicant is exempt from licensing, the following reasons �n, Lund, I r)2- 1 23°1 apply: Phone: (e3) ra, 12.65 Fax: : (5a3) 2 1( E -mail: �.hh 6e_ C.t_cla.tric. •coM CONTRACTOR Business name: e� �/ BUILDING PERMIT FEES* , Address: , J Plea refer to fee hedule g// City/State /ZIP: Fees due upon application .>I ' 22 . /3 P ) Fax:( ) Amount received CCB lic.: - �/1 Date received: Authorized signatun / 1 , d r ) 8i f v, This permit application expires if a permit is not obtained / `� " LL within 180 days after it has been accepted as complete. Print name: �'t/r►'rl lfT�e Date: 8h/05 I • Fee methodology set by Tri- County Building Industry w Service Board. i:\ Building \Pennits\BUP- PermitApp.doc 12/03 440- 4613T(II /02 /COM/WEB) CITY • OF TIGARD �3u BUILDING DIVISION PERMIT #:� 34:1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 a�gW� l�l Inspection Requests (24 Hrs.): (503) 639 -4175 ': _.. INSPECTION WORKSHEET FOR DATE: AV( / TIME: PAGE: SITE ADDRESS: /4459'Sl3 MU—TOO CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: .. ,�� OWNER: (u 1 nJ PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: 1 I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 1 5 CAL,FOR INSP: TION ❑ ADDITI NAL ES ASSESSED P• ip Inspector: A ∎ ■ Date: 3 © Phone #: (503) 718- 4 •