Permit A . J CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00196
,V�I DEVELOPMENT SERVICES DATE ISSUED: 5/20/99
13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -41 ORIGIN AFERCEL: 1 S125DD -08200
SITE ADDRESS: 09735 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R -4.5
BLOCK: LOT: 090 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 6 ft GARAGE: sf OCCU SEP. RATED: •
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 60 psf LEFT: 10 ft RGHT: 12 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: 49 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,775.00
Remarks: Replace an existing deck.
Owner: Contractor:
JACK HURT RICK'S CUSTOM FENCING
9735 SW VENTURA 4543 SW TV HIGHWAY
HILLSBORO, OR 97123
Phone: Phone: 640 -5434
• Reg #: LIC 50088
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PLCK GEO 5/17/99 $44.53 99- 315343 Framing Insp
Final Inspection
CDCP DST 5/20/99 $20.00 99- 315545
PRMT DST 5/20/99 $68.50 99- 315545
5PCT DST 5/20/99 $3.43 99- 315545
Total $136.46
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Se rm it u � / / /-
Sig n atu r re:
Issued By: / -----
Call 639 -4 by 7 p.m. for an inspection the next business day
ci - CITY OF TIGARD Residential Building Permit Application c
G, 13125 SW HALL BLVD. Additions or Alterations Date Recd 5-31 R—
A-
! TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. S / 7 -`r
V 503 - 639 -4171 Date to DST .5 / 7 19ag
F 503 - 684 -7297 Permit #eRpi _ fr' /ft,
Print or Type Called S' I ` b
Incomplete or illegible applications will not be accepted
Name of Project Name
1 �, p _�,�� 14 Job �]�J Pio," f '— Dec- C ' ' """" Ma ss
Address S�ig Address r Archite
1735 Sk) VEN t (1 City/State Zip Phone
Name MC IC ItUrt Name
Owner Mailing Address �+y p A-
"t 73 5 sw t/e�v U c' a Mailing Address
C /State Zip �`93hone Engineer - -• g
1 l fej Ok x, ZyS `192. - . City/State Zip . Phone_
General Naam
Contractor Ri ks (i/,m lee f peek Describe work Newyl Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit I /5 4 /3 SE 7 i, thy-Ai-dote/ Additional Description of Work: 1
issuance, a copy Ci /State Zip hone R"& !) e e FX % + n 5 -€ C
of all licen /7Lsb,ro 04 W) —5 3 Y
are required if Oregon Const. Cont. Board Exp. Date . PROJECT ,.� _
expired in COT Lic.# 5 88 VALUATION $ 7775
�
database
Mechanical Name CONSTRUCTION ONLY:
Sub - /U .. Sq. Ft. House: Sq. Ft. Garage
Contractor Mailin 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 v (check all that Other:
Sub - /OM- apply)
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat_recorded? N/A YES NO
POortovennit , Gib/State Zip Phone ---
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# I hearby acknowledge that I have read this application, that the
expired in COT
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 laws.
Name - Si J n turg of Owner /Age /� Datj /
Electrical - -Vi/t . - r 5- o �^ C _ 5 / / / / `�J
Sub- Mailing Address o act Person Name Pon #
Contractor ' `� e � __ 6q ray
City /State Zip Phone -
Prior to permit
• issuance, a copy FOR OFFICE USE ONLY:
. of all licenses are Oregon Const. Cont. Board - Exp. Date .
Plat #: M[ g/T
. � 6 �
r equired if Lic.# .)/ dc''
expired in COT
database Electrical Lic. # Exp. Date Setbacks: Zone: R q. ` Sola/
•
•
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
PP ) '91(.5.3 is \dsts \forms\sfaddalt.doc 4/20/99