Permit CITY OF TIGARD T �,�_- T
BUILDING PERMIT
.
1424 4-1 II' DEVELOPMENT SERVICES PERMIT I #.......; BUP9S --0368
_14 o - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 09/21/98
PARCEL: 15133AD -12 200
SITE ADDRESS ..: 11329 SW SUMMER LAKE DR
BUBDIVISICN. .. : SUMMER LAKE ZONING:R --7
BLOCK..........: LOT -003 JURISDICTION:TIE
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.: REP FIRST • 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 =_f PROTECT OPENINGS ? - - -- --
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL 0 sf ROOF CONST: FIRE_ RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOP.: 1 HT: 15 ft GARAGE...: 0 sf CCCLJ SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED --
FLOOR LOAD 0 psf LEFT: 0 ft PfHT : 0 ft FIR SPKL : SMOK DET.. :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.: 33000
Remarks: Ssith /Cadell fire repair - replace burned roof trusses on garage &
resheet
Owner : - - - - -- - - -- - - -- - - - -- FEES - --
R SMITH & S CADELL type amount by date recpt
11329 SW SUMMERLAKE RD PLCK $ 134.23 JSD 09/15/ 98 98- 309156
TIGARD OR PRMf $ 206.50 DI_H 09/21/98
98-3 09315
5PCT $ 10.33 DLH 09/21 /98 98- 309315
Phone #:
Contractor: ---- --- - - - - -- -. - --
PREMIER RESTORATION
15865 SE 114TH
STE 0
CLACKMAS OR 97 -- - - - - -- - - - -- --
Ph on e # : 655-0815 $ 351.06 TOTAL
Reg #.. : 000893
-- REQUIRED ACTIONS or INSPECTIONS---- -
This pereit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This pervit will expire if work is not started _
within 180 days of issuance, or if work is suspended for sore — _
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 - 00101987. __ _
You 'any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987. - ___
P2rmittee Signature ' I' rxhi- Issued By: _ _
+ + + ++ + + ++ + + ++ + + + + + +- •+++++++++++++- h±++++++• i-++ + + ++++ +++++++ ++ + +++ ++ + +± + + + ++++
Call 639 -4175 by - -!0 p.m. for an inspection needed the next business day
+ ++++++++++++++++++++++++++++++ ++ + + + + + + + + + ++-+• + + ++ + + + +++ + ++•h H + + ++ ++ + + + + ++ + + + + ++
i, � yf(gr g71---3.
CITY OF TIQARD Residential Building Permit Application Plan Check
13125 SW HALL BLVD. Alteration - Interior Remodel Only Recd By "I'llt
Date Rec'd a S I
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 0 9 / 899`
V 503 - 639 -4171 Date to DST
F 503 - 684 -7297 Permit #LA, Rg' /1-1- 1
Print or Type Called • —I l do v
4`\ "��� Incomplete or illegible applications will not be accepted
Name of Project Name
Job 4# Q s -- 41 -3
Address Site Address Architect Mailing Address
1 t 12 R S. t i. S u tM vu m n. L A L.z I o1, , City /State Zip Phone
Name
R. S14n%TN # S . t ...AD'a Lt_ Name
Owner Mailing Address
tt'AZR S .V.1. Svanrcn. LAiL+2 o ,
Engineer Mailing Address
City /State Zip I Phone • g
'rt Or 042 tD City/State Zip Phone
General Name �
Contractor 1 ' vw 1 tt 017 t 9Tp rt. IA T Describe work New 0 Addition 0 Alteration 0 Repair
Mailing Address to be done:
Prior to permit %SS Co 5 S • •S • 1 14 Sv t r+2 t Additional Description of Work: "Xis v3 L.v4e..,z (=3 v,e 9
issuance, a copy City/State Zip Phone en', tts — (Zti, @ vra. t%rt) (tiAri.A C.c. 1 12.0 S1 e r -
of all licenses CL«tCK1gy4,t tq s Olt e t 70 1 c ( S b 0 B S
are required if Oregon Const. Cont. Board Exp. D to ROJEC ��
expired in COT Lic.# 8 3 i 8 0 -� tql ALUATION $ 3 ®`--
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit -- Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms •
expired in COT Lic.# • Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot . YES NO Flag Lot YES NO
•
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy Solar Compliance •
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.#
expired in COT I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State aws.
Name ' 'Signatur:. i .: - n Date
Electrical ` .�11L//% m art; 4 , 9/7) Sub- Mailing Address , -ct 'erson Nam- Phone #
(JD /1 iZ 0 1 -Li>t) G3 3 023'1
Contractor FOR OFF E USE ONLY:
City/State Zip Phone Plat #: / V Map/TL #: ^ 7 (
Prior to permit /' l - 33/4 - b - 1 av""
issuance, a copy Setback Zone: Solar:
of all licenses are Oregon Const. Cont. Board Exp. Date p 1 A
required if Lic. # / v N / -1�
expired in COT Engin Approval: Plan mg Approval: TIF:
database Electrical Lic. # Exp. Date
I:SFREM2.DOC (DST) 8/11/98
•
03/03/2000 Activities for Case #: BUP98 -00368 .
•
8:12:01 AM
.
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA005 Application received 09/15/1998 JSD PASS JSD 09/15/1998
BUPA010 Permit created 09/15/1998 JSD PASS JSD 09/15/1998
BUPA030 Plans routed to Plans Examiner 09/15/1998 JSD PASS JSD 09/15/1998
BUPA045 Plans approved by CPE 09/17/1998 RT PASS BT2 09/17/1998
BUPA050 Approved plans routed to DSTs 09/17/1998 • RT PASS BT2 09/17/1998
BUPA055 DST Post - Review Completed • 09/17/1998 B DONE BON 09/17(1998
BUPA700 Framing lnsp . 10/22/1998 KS FAIL KBS 10/23/1998 #-1- truss manufacturer needs
to indicate tile roof covering •
BUPA730 Insulation lnsp 10/28/1998 KS PASS J'H 10/28/1998 Remove insulation at b -vent.
BUPA740 Gyp Board Insp 11/04/1998 RB PASS J *H 11/04/1998 includes firewall
• BUPA870 Final Inspection 02/28/2000 TLP PASS AKJ 02/29/2000
BUPA075 (F) Ready to issue 09/17/1998 B PASS BON 09/17/1998
BUPA085 (F) Issue building permit 09/21/1998 DLH DONE DST 09/21/1998
BUPA700 Framing Insp 10/28/1998 KS PASS J'H 10/28/1998
BUPA865 Request inspection research 02/07/2000 ST DONE No Hold ST 02/07/2000
BUPA950 Case Finaled 02/29/2000 AKJ DONE No Hold AKJ 02/29/2000
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