Permit A, CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00405
fin DEVELOPMENT SERVICES DATE ISSUED: 10/12/00
-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07145 SW VENTURA DR PARCEL: 1S125DC -01500
SUBDIVISION: WASHINGTON SQUARE ESTATES ZONING: R -4.5
BLOCK: LOT: 005 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: 0.00 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: 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: $ 3,584.00
Remarks: Replace existing deck with new deck.
Owner: Contractor:
CORY GONDEK OWNER
7145 SW VENTURA DR
TIGARD, OR 97223 -
Phone: Phone: 579 -9125
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PLCK CTR 9/26/00 $48.14 27200000000 Framing Insp
Final Inspection
PRMT CTR 10/12/00 $85.62 27200000000
5PCT CTR 10/12/00 $6.85 27200000000
PLC2 CTR 10/12/00 $13.51 27200000000 EXPIRED
(additional fees not listed here)
Total $174.12
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.
Pe rm itee /
Signature: -/I
or r
Issued By:
Ca 1 639 -4175 by 7 p.m. for an inspection the next business day
MI
CITY OF TIGARD Residential Building Permit Application PlanCheck#
Recd By / - le, 13125 SW HALL BLVD. Additions or Alterations
Date Recd 111. AlalWir
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ''AVY/ii
V'503-639-4171 Date to DST /U ? vu
F 503 - 684 -7297 -<1(J' Permit # P - aoroos-
Print or Type Called (.40 v ,
Incomplete or illegible applications will not be accepted /042 -.7‹./ G
Name yf Project ( Name
Job Coll ,6� Mailing Address
Address Site Address Architect g
7 /qS SiAl Ve.4& - 1 ra Dv-- City /State Zip Phone
Name(90 l..7iZrYt e/
Name
Owner Mailing Address �
7P-15 SW tie4•-' "/ ice' Pr
CO/ State Zip Phone Engineer Mailing Address
I. 94wc1 g 9 7 223 AC- -867/ City /State Zip Phone
General Name
Contractor Describe work New 0 Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit Additional Description of Work:
issuance, a copy City /State Zip Phone
of all licenses 35-514
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# VALUATION $ =Q
database
Mechanical Name NEW CONSTRUCTION ONLY: 3.So
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
of all licenses are Oregon Const. Cont. Board Exp. Date
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 laws. ,
Name Si7fiire of 0 . er/ • • • nt Dat
Electrical ilr► —v - - g � d
Sub Mailing Address Cont *�- op Name ' # g � 7
Contractor 1\/ �( /
City /State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Pl #: Map /TL #:
required if Lic.# , , �
expired in COT 0' / 7 _ /5/ 2 j b C /5bC
database Electrical Lic. # Exp. Date Setbacks: / Zone: n Solar:
Electrical Supervisor Lic. # Exp. Date Engin�ng Approval: Planning Approval: TIF: _�
1 10 ' / Y - 31A PQ , \ is \dsts \forms \sfaddalt.doc 11/20/98
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