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Permit
410 CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00244 DEVELOPMENT SERVICES DATE ISSUED: 6/22/2006 „a"21111' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S125DA-04000 SITE ADDRESS: 06704 SW WALNUT TERR ZONING: R -4.5 SUBDIVISION: KINGS VIEW LOT: 025 JURISDICTION: TIG Project Description: Addition: patio room. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 158 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: 158 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: 12 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 50 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 23,777.00 Owner: Contractor: HOFFMAN, WILLIAM A + SHARAN CHAMPION WINDOW CO OF PORTLAND, LLC 6704 SW WALNUT TERRACE 13009 NE DAVID CIR TIGARD, OR 97223 PORTLAND, OR 97230 Phone: 503 - 244 -6861 Contact #: pRI 503 - 624 -2678 FAX 971 - 634 -2678 Reg #: LIC 158326 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 6/9/2006 $177.91 [BUILD] Permit Fee 6/22/2006 $273.70 [TAX] 8% State Surcha 6/22/2006 $21.90 [CDCBLD] CDC Bld Re 6/22/2006 $43.00 (additional fees not listed here) Total $522.51 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: ` i t 4 4 Permittee Signature Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. GTOIN G 1 // j �r� l% 0 0 7 �G - - H� t � e , � lication , 'r d g_' P Y' i0 * -c P e S 84$ - 3 4 70, Fax: 503- 846 -3993, aspection Request: 503- 846 -3699 155 N. 1 AV, Suite 350 -12, Hillsboro, OR 97124 www.co.washington.or.us °REG& Land Use Approval: ., Prdy # Permit # TYPE OF WORK ly i:.hli REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ De- Q1W117, -" Yf -' ' / ,r P (f F,1 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all \ .ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the cJ CATEGORY OF CONSTRUCTION work indicated on this application. co-, Valuation 7 3, 7 7• ?I‘ I- and 2- family dwelling ❑ Commercial /industrial Accessory building Number. of bedrooms: LA ❑ ry g ❑ Multi- family o0 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: r - , New dwelling area: square feet (Ls' tJ� S. w t , `.� /4 L l�1 �d i ' j ?Li Garage/carport area: square feet City/State/ZIP: pl? Project name: Covered porch area: square feet Suite/bldg. /apt. no �1= AA d 0 Cross street/directions to job site: Deck area: square feet Other structure area: square feet 9 5-8 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 equipment, materials, labor, overhead, and the profit for the work indicated on this application. 9 Tax map /parcel no.: Valuation 1 DESCRIPTION OF WORK Existing building area: square feet G 'pA ri to roe, L,(•k ,4,e" New building area: square feet Number of stories: Type of construction: Occupancy groups: PROPERTY OWNER I ❑ TENANT Existing: r Name: E.; h' a-'�. E- '®Y-F M k J New: Address: fo - o 1- c, . u 3 . ( L /l J it-r- i cl -1?C - NOTICE City/State/ZIP: All contractors and subcontractors are required to be ( ) 744 � I ( ) - licensed with the Oregon Construction Contractors Board Phone: Fax: under ORS 701 and may be required to be licensed in the IN APPLICANT ❑ CONTACT PERSON jurisdiction in which work is being performed. If the _ applicant is exempt from licensing, the following reasons J , n Business name: C - .4 g-' f CA t_A-) I'�e apply: Contact name: ®T8 4 P \ W?II,...S / Ie,Q 7- - ry t—C H l ,A A,1 Address: i aDI') p • . :P.AViD ai City/State/ZIP: ' m.-6. N� ©Z _ BUILDING PERMIT FEES* Phone: (71;) 6 24 _ - 210 -78 I Fax: : (97 j) 4 -- z6, 7� Please refer to fee schedule E- mail: izzxj_a Ll ,(.] b.) L4-.), , Fees due upon application $ /12 q/ CONTRACTOR Amount received $ I /1 CV/ Business name: .,41,/ta J; ,N. ` As �0,■ Date received: t9Mb Address: 7P71 97 5 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.: / 3 8,301. - , Authonzed * Fee methodology set by Tri- County Building Industry Service Board signatr Print name: -, /n ' €) C0-1 (-5 E- Date: to � — f) ( 4404613T (7/03 /COM/WEB) 06/21/2006 12:44 FAX 9716342678 CHAMPION WIN 421002 �� Ju o n.19. 2006 1:32PM WATER SERVICES 503 � 681 tt 4439 No,3276 P 1 002 . t RECEIVED M JUN 2 1 2006 Hd JUN 12 2006 , CITY OF TIGARD BUILDING DIVISION S $y IF le Nurnb:3r 1-06- O0 . 7 • Clean,�late cr cs Ctdr Cal tfriltPnQlll. I)1 ctanr• Sonar/lye Area Pre - Screening Site Assessment .lvrisdlotion 1/6 ' "o Date • ‘ f 0'6• Map & Tax Lot / _MEP - a . Oi7 Owner c '/' - e - h -- — Appftcant 4" c.. i F, Site Address 6 743 ce S lJ�nvr Ten Company ez, Pori'(c t. 49P. g7 a )3 Add ress /J 't N Ate. v ,- . ' - Proposed Activity m Q, 4,1 >t /i ',Alio City State Zip p o,. .-.,,2: Gi. 9_,W..349 y,aor-i fio r -eG.v- e•# Phone • (fix y� 6 7r By submitting this form ® f e Fax (V / 63 — 4 �7r 8 the owner', or Owner's authorized Beat or representative, acknowledges and agrees that employees: of Clean Water Services have authority to enter the project site at ail reasonable time for tho purpose of Inspocling project site conditions and Information related to the prgjmat *Ito. Official use only Wow this lino . tag only below erns Uao Official use only " a ow Li no - Y N NA Y N NA ® ^ Sensitive. Area Composite Map Stormwater Infrastructure reaps I ` n Map# 1 5/ cu. O ❑ ❑ IN CS # , L#oZ A, El {-7 i ,� t Locally adopted studies of maps , Other I Specify Ira ❑ ❑ Specify .4*. - 54 pio o Based on a review of the above information and the requirements of Clean Water Services • Design•and Construction Standards Resolution and Order No. 04-9: ❑ Sensitive areas potentially exist on site or within' 200' or the site. THE APPLICANT MUST PERFORM A SITE CrRTIFICATION PRIOR TO ISSUANCE OF A SERVICE ,PROVIDER. If SetusitiVea,Al'ooiC extrit on the site ear Within 200 feet on adjacent properties, a Natural • Resources Assessment Report may also be required. Ll. Sensitive areas do not appear to exist on site or Within 200' of the'elte. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality • sensitive areas If they are subsequently discovered. This document will serve as your service Provider letter as required by Resolution and Order 04 Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, • state, and federal law. 0 The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. - Reviewer Comments: ,b -- ec✓ a a ' w es Tx e a ertr. I Oho Fes 4 - __ . ea / w. fl £ P '1� 3rr� a■ T/v ly+ /4 , %wL e+ s•ri a //y __ .e r � y 1evs.>-: are steel" ,...� >M 1°4 t.,- .' ._,.. Reviewed By! ��j� fete: 6 �� /f, / o ' Post-it" Fax Not 7571 Date 61/Vat htS; ► / I Official use only 406 �1u / Reamed to Applicant To From CoiDept c°- Dare / � Caunter Phone # Phone #5. 1. Jj el Fax # y Pi 6 'Y• zfc Mfg Fox l, . - p re r;.s a cm-4e ?al • g b 4`', - fQ.tl.a^d r' .ei CITY OF TIGARD i--1- OK W I-- Gcra -�^t�� B 00 l G -00244 BUILDING DIVISION PERMIT #: 6/22/2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,• fl�.. 7/21/2006 7 :01 AM 36 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 06704 SW WALNUT TERR SITE ADDRESS: KINGS VIEW 025 CLASS OF WORK: SUBDIVISION: HOFFMAN LO TYPE OF USE: PROJECT NAME: Addition: patio room. DESCRIPTION: HOFFMAN, WILLIAM A + SHARAN, 503 - 244 -6861 OWNER: CHAMPION WINDOW CO OF PORTLAND, LLG PHONE #: 503-624 -267t3 CONTRACTOR: PHONE #: 7/21/2006 Inspection Request Scheduled For: Date: Pour Time: Co, # 'Inman Description siir # 15G9 Mes Corrections /Comments /Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑� FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: 7 Phone #: (503) 718 - CITY OF,TI,GARD BUILDING DI PERMIT #: BUP2006 -002'14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6122/)006 ' Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/1812006 TIME: 7:03AM PAGE: 31 SITE ADDRESS: 06704 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 025 TYPE OF USE: PROJECT NAME: HOFFMAN DESCRIPTION: Addition: patio room. OWNER: HOFFMAN, WILLIAM A + SHARAN PHONE #: 503 - 2446861 . CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 624.2.678 Inspection Request Scheduled For: Date: 7/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 033244 -01 503. 710.2569 N Corrections /Comments /Instructions: 1 �lDaie 31 . L w r✓ • • ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSP TION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7- aA -6 Phone #: (503) 718 - � -� • • i r CITY OF TIGARD BUILDING D IVISION • PERMIT #: 6UP2006-0°244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2006 Phone: (503) 639 -4171 y Inspection Requests (24 Hrs.): (503) 639 -4175 :.' I I.. INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:16AM PAGE: 19 SITE ADDRESS: 06 SW WALNUT TERR • CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 025 TYPE OF USE: PROJECT NAME: HOFFMAN DESCRIPTION: Addition: patio room. OWNER: HOFFMAN, WILLIAM A + SHARAN, PHONE #: 503.244 -61361 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 - 624 -2676 Inspection Request Scheduled For: Date: 7/14/2006. Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 033122 -01 503-572-1375 N Corrections/Comments/Instructions: eT> 'N4-5 ��vv� Ihe s. �7 o /���g--- . tnesr ee.d - • • PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS, ❑ FAIL C LL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector:.' ,,,i. Date: 7 /. Phone #: (503) 718 - 2--41'45 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-002/14 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2006 Phone: (503) 639- 4171Nii ' Inspection Requests (24 Hrs.): (503) 639 -4175 s•_. F�I INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:16AM PAGE: , B SITE ADDRESS: 06704 /WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 025 TYPE OF USE: PROJECT NAME: HOFFMAN DESCRIPTION: Addition: patio room. OWNER: HOFFMAN, WILLIAM A + SHARAN PHON #: 5 -6861 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503 6242679 • Inspection Request Scheduled For: Date: 7/1412006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 033123-01 503-572-1375 N Corrections/Comments/Instructions: - ivy • • ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: f Date: 7 ,1/4 - /6 Phone #: (503) 718 - n 5 • 4 ' CITY OF TIGARD - A BUILDING DIVISION PERMIT #: BUP2006.00244 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 6/2212006 Phone: (503) 639 -4171 j111 Inspection Requests (24 Hrs.): (503) 639 -4175 ^__.. INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7:03AM PAGE: 23 SITE ADDRESS: 06704 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: KINGS VIEW LOT #: 026 TYPE OF USE: PROJECT NAME: HOFFMAN DESCRIPTION: Addition: patio room. OWNER: HOFFMAN, WILLIAM A + SHARAN, PHONE #: 503. 244.6861 CONTRACTOR: CHAMPION WINDOW CO OF PORTLAND, LLC PHONE #: 503-6242670 Inspection Request Scheduled For: Date: 8/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 035384 -01 503- 572 -1375 N Corrections /Comments /Instructions: "1 Q.- A • VV\ Uvi LeL,L•ei. r • j • A ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Z/CA / // -- Date: l 0 T Phone #: (503) 718 2 1