Permit �r. CITY � OF TIGARD BUILDING PERMIT
PERMIT #. BUP2006 -10035
�i�l DEVELOPMENT SERVICES DATE ISSUED: 3/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 104 DA - 21300
SITE ADDRESS: 12978 SW PRINCETON LN ZONING: R -4.5
SUBDIVISION: QUAIL HOLLOW - SOUTH LOT: 039 JURISDICTION: TIG
Project Description: REPLACE 2 STANDARD AND 1 GIRDER TRUSS.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 3,000.00
Owner: Contractor:
MIKE /HEATH MIADICH • ALLIANCE CORP .
12978 SW PRICETON LN. 8145 SW NIMBUS AVE.
TOGARD, OR 97223 BEAVERTON, OR 97008
Phone: 503 - 372 -8200 Contact #: FAX 503 - 671 -0324
PRI 503 - 246 -7030
. FEES Reg #:
Description Date - Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4`16/2006 $72.09
[TAX] 8% State Surcha • 4/6/2006 $5.77
[BUPPLN] Pin Rv 4/6/2006 $46.87 .
Total $124.73
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 -2344.
Issued By:
Z �� Permittee Signature: � /� �� C. z. Z-_
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.
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GTO ‘0,;-‘2/ - � 't
� � TIC�> Building Permit Application
��
3 �.4 -Washington-Gm-Rol Phone: 503 - 846 -3470, Fax: 503 - 846 -3993, Inspection Request: 503 - 846 -3699
155 N. 1s AV, Suite 350 -12, Hillsboro, OR 97124 www.co.washington.or.us
OREGoN Land Use Approval: Project # Permit # 3 ,G, 07
TYPE OF WORK REQUIRED DATA: 1- AND 2 -F ILY D LLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work erformed.
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.
Valuation
%I - and 2- family dwelling ❑ Commercial /industrial
Number. of bedrooms:
❑ Accessory building ❑ Multi- family
Number of bathrooms: a
❑ Master builder ❑ Other:
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: l QC 7 ' Sv3 I (\ C e -I- o r Lan P New dwelling area: square feet
City/State/ZIP: T qa A OR_ q1 3 Garage/carport area: square feet
l
^ Covered porch area: square feet
Suite/bldg. /apt. no.: �— I Project name: `(1'l \‘ 1 C pl
Deck area: square feet
Cross street/directions to job site:
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Permit fees* are based on the value of the work performed.
Plan No. Reissue: Yes [ ] No [ ] Indicate the value (rounded to the nearest dollar) of all
Subdivision: I Lot no.: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
Tax map /parcel no.: Valuation 3 003 °°
DESCRIPTION OF WORK Existing building area: `352 square feet
2t "1" �\QQ _ ( - QJl 4-(C) C 7l J r ASS' . New building area: square feet
Number of stories: 3
Type of construction: ?_ —
Occupancy groups:
ca PROPERTY OWNER I ❑ TENANT Existing:
Name: 1 1 \ + t.4e1L-0,N c NA t at Or) New:
Address: ' a(fl ?' SUS P flCe7rv, Lane- NOTICE
City/State/ZIP:"T i 0,4 r at Cu On :3 All contractors and subcontractors are required to be
Phone: (Fjp ?j"� — 4 2_0 Q Fax: ( ) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Cir APPUCANT ❑ CONTACT PERSON jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
Business name: M °Ace apply:
Contact name: 5i..€ + L Lw ] S
(�
Address: c t4S 7W i 1My �S k
Cit Q( e ,vi- b y Q 2 C7 g BUILDING PERMIT FEES*
Phone: (C fl t ) 2 I Fax: : (5b3) 11- 03')- Li- Please refer to fee schedule -9,„.
•
E -mail: Fees due upon application W■/ - $ 4.87
CONTRACTOR Amount received Tx $ 5.37
Business name: Same a 5 ( 0, cd id" Date received: « 4's 73
Address: v
This permit application expires
City/State/ZIP: if a permit is not obtained within 180 days
Phone: ( ) I Fax: ( ) after it has been accepted as complete
CCB lic.: G S t Ca
- • Fee methodology set by Tri-County Building
Authorized
Industry Service Board
signature: „ao y�.
Print name: 1� ' C I Date: j ' 29 10(e 440 -4613T (7/03 /COM/WEB)
CITY OF TIGARD , •
BUILDING DIVISION PERMIT #: C3UP2Q0 .10(YES
13125 SW Hall Blvd.,'Tigard, OR 97223 DATE ISSUED: 3.49/200
i
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,t
INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 179713 SW PRINCETON LN CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW SOUTH LOT #: 039 TYPE OF USE:
PROJECT NAME: MIADICI I
DESCRIPTION: RI 2 STANDARD AND 1 GIRDER TRUSS.
OWNER: MI ADICH, MIKE/HEATHER PHONE #: 503 - 372 -8200
CONTRACTOR: ALLIANCE CORP PHONE #: 503 7030
Inspection Request Scheduled For: Date: Pour Time:
p q 5/2/2006
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 029102.01 9/ 1 246.7030 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: ' "rit Date:.S — Z o Phone #: (503) 718- 244-5--
eITY OF TIGARD -
BUILDING DIVISION PERMIT #: t311P`1..00E 10035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2006
Phone: (503) 639 -4171 Aa ut9O
Inspection Requests (24 Hrs.): (503) 639 - 4175,- 'I k-
INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 1:07AM PAGE: 77
SITE ADDRESS: 12.876 SW PRINCETON LN CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW SOUTH LOT #: 039 TYPE OF USE:
PROJECT NAME: MIADICFI
DESCRIPTION: REPLACE 2 STANDARD AND 1 GIRDER TRUSS.
OWNER: MIADICH, MIKE/HEATHER PHONE #: 503- 372 -0200
CONTRACTOR: ALLIANCE CORP PHONE #: 503-246.7030
Inspection Request Scheduled For: Date: 4/14 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 028024 - 01 503 - 664 - 6192 N
Corrections/Comments/Instructions:
6p G- 1. 1V- 6 .a-L)FEli —D
i
A. 1) !,i►�1�MW
_W� ' Li- A l
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 4 o
Inspector: Date: (O Phone #: (503) 718 24