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Permit . a,, " ' BUILDING PERMIT 7 CITY OF TIGARD PERMIT #: BUP2007 -00018 COMMUNITY DEVELOPMENT DATE ISSUED: 1/17/2007 'TIdAl .q 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 CD - 07300 SITE ADDRESS: 15740 SW SERENA CT ZONING: R - 4.5 SUBDIVISION: KERWOOD ESTATES LOT: 013 JURISDICTION: TIG Project Description: Roof truss repair due to storm /tree damage. 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 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: $ 5,000.00 Owner: Contractor: BARBARA BALL OHI CONSTRUCTION 15740 SW SERENA CT 17255 PILKINGTON TIGARD, OR 97224 LAKE OSWEGO, OR 97035 Phone: 503 - 806 -1917 Contact #: PRI 503 - 635 -6248 FAX 503 - 636 -7183 FEES Reg #: LIC 34908 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/17/2007 $91.30 [TAX] 8% State Surcha 1/17/2007 $7.30 [BUPPLN] Pln Rv 1/17/2007 $59.35 Total $157.95 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 r - • :' ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued : y: ) / / /4/1/14/ Permittee Signature: ( C) . 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. Building Permit Application I . ! I oa o Fl Ic! iSE o I! 1-, L ,.' J/ i 1 wa r"',r „i ;',1.: :i r �'? rl f +x . . ; ..I 1 Received a City of Tigard Date /B Bid an, Permit No.: r1 !�i� ��� II 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Revie . ('j ,1 ;1 Phone: 503.639.4171 Fax: 503.598.1960 Date /B : " 1' -7 , U tM' Other Permit. d 1 G R p; Inspection Line: 503.639.4175 Date Ready /By: ® See Attached Checklist for „,,,.u.,a,r;:..,.,i Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all K Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION 5 Y3 work indicated on this application. ..--- K 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ / El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION . Total number of floors: Job site address: 15 '/40 \,..) Sere.,v\ a c.. New dwelling area: square feet City/State /ZIP: Ti yei C31. 1 0 qi 224 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ' l I ' -e - .c. e Covered porch area: square feet Cross street/directions to job site: Deck area: square feet \n1 1>ur lnavv■ . S c A c t. yv dt K),,,,-4--L, © Other structure area: square feet $ w S ■ i G REQUIRED DATA: COMMERCIAL -USE CHECIQ.IST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. '.__ (' S Y � a.■ r A r \ ` ; ^ � Valuation: $ .�r.e-e_ TDB Existing building area: square feet New building area: square feet Iii PROPERTY OWNER- I ❑ TENANT Number of stories: Name: V- v b I/-,, 1( / C aro ( yin Type of construction: Address: 15140 SZ►\) S - O∎ C.-k, Occupancy groups: City/State /ZIP: -� c3 cm A 1 0 -!Q C1 12.4 Existing: Phone: ( ). ) 8O( - 1 Gi n Fax: ( ) New: E APPLICANT . ❑ CONTACT PERSON ' . NOTICE Business name: 7 (1/4-A pf)t / LAO 1A. 1k� ri g All contractors and subcontractors are required to be Contact name: �A ) �r�l� (� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 (OSO SW �eve-\0.V1 S-- StA l it 1 OO jurisdiction in which work is being performed. If the j \ applicant is exempt from licensing, the following reasons 1 City/State /ZIP: 1 � G, r CV t o g_ q 122., ,{ apply: Phone: ) 4. d �1 2 > _ 'Sq 00 Fax: { : � (C �) ,e44 > — S-10 O E -mail: Yux vi bct(A ” C* 4 VIA t f \D ` C - W 1 CONTRACTOR Business name: O N T C rt S4 tA.c.A BUILDING PERMIT FEES* Address: I, 255 ?I \ ki , Amyl 1�- (gad (Please "e e or fee schedule) ): Structural plan review fee (or d City/State /ZIP: Lex. Oj O1. q j v_ t FL S plan review fee (if applicable): Phone: (t �3 ) (0 S ' t0a `Eg Fax: ( g)3 ) lfl ` ig72 CCB lic.: 3 q Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained ` _�' within 180 days after it has been accepted as complete. Print name: - t ✓I \� r h a� Date: , - - 07 * Fee methodology set by Tri- County Building Industry (0 Service Board. h \ Building \ Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(11 /02iCOM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007•00018 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 sAl INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7 :18Alvi PAGE: 54 SITE ADDRESS: 15740 SW SERENA CT CLASS OF WORK: SUBDIVISION: KERWOOD ESTATES LOT #: 013 TYPE OF USE: PROJECT NAME: FALL DESCRIPTION: Roof truss repair due to storm /tree damage. OWNER: BALL, BARBARA PHONE #: 503 -808 -1817 CONTRACTOR: OH CONSTRUCTION PHONE #: 503 - 535- 5249 Inspection Request Scheduled For: Date: 3/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 044448 -01 503:5x49879 ¥ Corrections /Comments/ Instructions: G'PASS n PARTIAL APPROVAL n CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: Date: Y - 7 Phone #: (503) 718 - Z53-44;