Permit III a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00035
COMMUNITY DEVELOPMENT DATE ISSUED: 2/13/2007
TIGARD 13125 SW Hall'Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103DA - 03300
SITE ADDRESS: 10685 SW PARK ST ZONING: R - 3.5
SUBDIVISION: DERRY DELL PLAT 2 LOT: 036 JURISDICTION: TIG
PROJECT: FURRER
Project Description: 360 sq ft carport addition.
REISSUE: CUSTOM FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AIDE b FIRST: 0 sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: U1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: 360 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,976.00
Owner: Contractor:
ROSEMARY FURRER COMSTOCK DEVELOPMENT LLC
10685 SW PARK 12020 SW 118TH
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 639 -5628 Contact #: PRI 503- 579 -5772
FAX 503 - 579 -5529
FEES Reg #: LIC 124376
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/24/2007 $100.90
[CDCPLN] CDC Pln Re 1/24/2007 $45.00
[LRPF] LR Planning Su 1/24/2007 $6.00
[BUPPLN] Pin Rv 1/24/2007 $65.59
(additional fees not listed here)
Total $225.56
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 1.800.332.234
Issued By:
4 ji 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.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Received ► �t oo� t
` 5 g Date/By: Al 7 Permi[No. p� �.
11 4
° 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JAN 4 2007 Date/By: •
_ .1.0.1 C403 Other Permit:
Inspection Line: 503.639.4175 Date Read /B 3uris
T I G A RD
Ready /By: , l See Attached Checklist for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Methoda'' a 1:Xfit Supplemental Information
BUILDING DIVISION l- V - U 1•‘ c,u k„a'.\ �dv Jd -el
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
P1 Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit foZ the
CATEGORY OF CONSTRUCTION work indicated on this application. �� �
Valuation: $ q
aI- and 2- family dwelling ❑ Commercial /industrial � 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: +O( % Sti-* Pr+ILk New dwelling area: square feet
City /State /ZIP: - ri ry gt>.a 02. 41'121.3, Garage /carport area: 3 cz square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job ste: S V..d N iNQi• 3j- -}o Deck area: square feet
\.• �' 11 ■l - ,,ie_. to $.r+ Pro.k Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
yr CM,, CIaiL %ltd Valuation: $
Existing building area: square feet
• New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: QoSLpr1W \L1I p r'Ug.i;. cLg. Type of construction:
Address: 104,g S 5' ,,,,, 1�1:1i.1e Occupancy groups:
City /State /ZIP: 'T 1 , 9 AIto a41 9 1.1.3 Existing: •
Phone: (sO; ) Oci - v Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
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: CA, riNst Horner- BUILDING PERMIT FEES*
Address: IZ>J 7 S t... f % .0... (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: -Tie/ A RAD gZ 11 Z,Z /-
Phone: (43i) 5 S$ j Fax: (SO) S e7 • 87')'1,• FLS plan review fee (if applicable):
CCB lic.: i 2 Total fees due upon application:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
— TO E Co j^n%‘teLX1. Date: I' LZ. oti( * Fee methodology set by Tri- County Building Industry
Service Board.
I: \ Building \ Permits \BUP•PermitApp.doc 03/21/06 440- 4613T(II /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00035
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/13/2007
Phone: (503) 639 -4171 �l
Inspection Requests (24 Hrs.): (503) 639 -4175 "IJ�
INSPECTION WORKSHEET FOR DATE: 5131/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10685 SW PARK ST CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: FURRER
DESCRIPTION: 360 sq ft carport addition.
OWNER: FURRER, ROSEMARY PHONE #: 503- 639 -5628
CONTRACTOR: COMSTOCK DEVELOPMENT LLC PHONE #: 503- 5735772
Inspection Request Scheduled For: Date: 5/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 049286.01 503- 318.7444 Y
Corrections /Comments /Instructions:
r�/PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3/ 07 Phone #: (503) 718 - 294-r-
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -QQ035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2113/2007
Phone: (503) 639 -4171 a p , iw f�
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. P- i
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 10685 SW PARK ST CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: FURRER
DESCRIPTION: 360 sq ft carport addition.
OWNER: FURRER, ROSEMARY PHONE #: 503 - 639-5628
CONTRACTOR: COMSTOCK DEVELOPMENT LLC PHONE #: 503.579 -5772
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 044526 -01 503-318 -7444 N
Corrections /Comments /Instructions:
V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A6 /
Inspector: Date: l'i Phone #: (503) 718-
1
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP1_00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13/2007
Phone: (503) 639- 4171 V14111‘
Inspection Requests (24 Hrs.): (503) 639 -4175 —
INSPECTION WORKSHEET FOR DATE: 3/712007 TIME: 7 :00AM PAGE: 73
SITE ADDRESS: 10685 SW PARK ST CLASS OF WORK:
SUBDIVISION: DERRY DELL PLAT 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: FURRER
DESCRIPTION: 360 sq ft carport addition
OWNER: FURRER, ROSEMARY PHONE #: 503-€395528
CONTRACTOR: COMSTOCK DEVELOPMENT LLC PHONE #: 503`573 -5772
Inspection Request Scheduled For: Date: 3/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 Framing 044464 -01 503-3/8-7444 N
Corrections/Comments/Instructions:
0 AAJO .flei-,7
❑ P S [I PARTIAL APPROVAL ❑CANCEL El NO ACCESS
FAIL
CI CALL FOR INSPECTION
III ADDITIONAL FEES ASSESSED
Inspector: Date: 2 — 7— cl 7 Phone #: (503) 718- Z.4--e-i-
_
CITY OF IGARD • 7 _'z
BUILDING DIVISION PERMIT #: BUP2007 00035
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 2/13/2007
Phone: (503) 639 -4171 ° J� � i
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I L ..
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7 :Q0AM PAGE: 32
SITE ADDRESS: 10685 SW PARK ST CLASS OF WORK:
' SUBDIVISION: DERRY DELL PLAT 2 LOT #: 036 TYPE OF USE:
PROJECT NAME: FURRER
DESCRIPTION: 360 sq ft carport addition.
OWNER: FURRER, ROSEMARY PHONE #: 503.6:35, 5628
CONTRACTOR: COMSTOCK DEVELOPMENT LLC PHONE #: 503.579.5772
Inspection Request Scheduled For: Date: 2/26/2007 Pour Time: 10 :00
Code # Inspection Description Confirm # Contact # Message
205 Footing 043888 -01 03 -318 -6 Y
Corrections/Comments/Instructions:
4/ 45 ✓/y ` e -,4 S , x____ /L�o -fz)r /44 it , i-,r 3 4. L • iC
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: --(y) Phone #: (503) 718 - 24-2-5---