Permit i roc* ci
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CITY OF TIGARD BUILDING PERMIT
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111 '' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00085
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/28/2009
Parcel: 1S135CA90149
Jurisdiction: Tigard
Site address: 11150 SW GREENBURG RD 254
Subdivision: Lot: 0
Project: Ash Creek Condominiums G, / _ r ���
Project Description: Repair existing decks. L,3 �� cJ �Cl
Owner: FEES
NEE, JOHN P Description Date Amount
11150 SW GREENBURG RD #149 Permit Fee - COM 05/28/2009 $91.10
TIGARD, OR 97223 Plan Review 05/18/2009 $59.22
PHONE: Plan Review - Fire Life Safety 05/18/2009 $36.44
Tax - 12% State Surcharge 05/28/2009 $10.93
Contractor:
BWI CONSTRUCTION INC
333 S STATE ST, SUITE V354
LAKE OSWEGO, OR 97034
PHONE: 503 - 234 -8888
FAX: 503- 236 -4444
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine' 0
Total $197.69
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations: •
Accessible Parking: 0
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 the 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 the rules or direct questions to OUNC by calling 503.246.6699 or 1.800332
L ' LL Issued By: Permittee Signature: C� (' p
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.
CITY OF TIGARD BUILDING PERMIT
`` COMMUNITY DEVELOPMENT Permit #: BUP2009-00085
Date Issued: 05/28/2009
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S135CA90149
Jurisdiction: Tigard
Site address: 11150 SW GREENBURG RDA a 5 1 -1-
Subdivision: Lot: 0
Project: Ash Creek Condominiums
Project Description: Repair existing decks.
Owner: FEES
NEE, JOHN P Description Date Amount
11150 SW GREENBURG RD #149 Permit Fee - COM 05/28/2009 $91.10
TIGARD, OR 97223 Plan Review 05/18/2009 $59.22
PHONE: Plan Review - Fire Life Safety 05/18/2009 $36.44
Tax - 12% State Surcharge 05/28/2009 $10.93
Contractor:
BWI CONSTRUCTION INC
333 S STATE ST, SUITE V354
LAKE OSWEGO, OR 97034
PHONE: 503 - 234 -8888
FAX: 503 - 236 -4444
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $197.69
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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
the 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 -0 through AR 952- 09�0n10 may obtain a _ copy of the rules or direct questions to OUNC by- calUL�• 503.246.66
Issued y: ( — � — � C v �' Permittee Signature::
Call 503.639.4175 by 7:00 a.m. for an inspection that business • a rr `�
This permit card shall be kept in a conspicuous place on the job site until co •letion of the project.
Approved plans are required on the job site at the time of each inspection.
GR FI ? 6 VOA
Building Permit Application
,,, --rig:Rom! , ,F,Tragor , " REcaneb . . :... . .._ . - . ,....: .,,,.._, , ,. - ,-
,cOm- >C11erClal � � , � ' Received FOR.OFFICE:USE-ONLY ,F -� ' , °' ��i
• ' >. ° Cit of Tigard MAY 18 200 , � 6 • iYt � + u e20 ,0
} .t Permit No.:
:0 , . Date /B
' � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie . % KAr
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGARD Date/By: dP 1r ) rI 'Other Permit:
_ Juris: El See Page 2 for
Inspection Line: 503.639.4175 Date ReadyB g
TIGARD BUILDING DIVISION Supplemental Information
Internet: www.tigard- or.gov S IO Noti6 /Merod:,7 �7 I7 Z
5 r/09 5,S w
TYPE: OF WORK a' REQUIRED DATA 1 AN 2 FAMILY DWE LI ° ; „i
❑ New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ® Other: repair equipment, materials, labor, overhead, and the profit for the
it§�� plc A work indicated on this application.
, . ,..r. _. . CATEG OFD CONSTRUCTION..-. ... 4, 1i,t.... ” ,..... ',.,..,
dwelling Valuation: $6000
❑ 1- and 2-family g ❑Commercial /industrial
iii Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
s , , JO,B SITE INFORMATION AND LOCATION :, . Total number of floors:
. ...igi >... ;:y.,y.,..gi. S. ..1 ., ,.....:: -,
Job site address: 11150 Greenberg Rd ( New dwelling area: square feet
City /State /ZIP: Tigard, Or. 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: below Project name: Covered porch area: square feet
Cross street/directions to job site: /n1 �" Deck area: 120 ' square feet
.0W 0) ' [P& Other structure area: square feet
REQUIRED DATA COMMERCIAL USE CHECKLIST
Subdivision: 1 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 a application.
r x�
work indicated on this a hcation.
Repair existing decks Valuation: $
Existing building area: square feet
New building area: square feet
`' PROPERTY OWN TENANT i - Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
k .t :_ ® Ha
APPLICANT s CONTACT PERSON ffs t ' ' % n" 3 NOT ..
Business name: B W I Construction, Inc All contractors and subcontractors are required to be
Contact name: Frank Revard licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 333 S. State St Suite V 354 jurisdiction in which work is being performed. If the
City /State /ZIP: Lake Oswego .Or. 97034 applicant is exempt from licensing, the following reasons
apply:
•
Phone: (503) 234 -8888 Fax: : (503) 236 -4444
E -mail: frankrevard.bwi @gmail.com
-:, .� . lgagii,d I .,. COI\TRACTOR. W ...i! .,r g... _ ". _. _.
Business name: Above ' - r BUILDINGPERNIIT FEESr
� s 4 -
. fit; . ,..1 ) ,.
Address: . : Pleas refer, to f ee- herl
' s ca l e ) , ,., , „. ., . :;
City /State /ZIP: Structural plan review fee (or deposit):
• FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lic.: 186443 qral (I Total fees due upon application:
_ Amount received:
Authorized signa�
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[print name: Frank Revard Date: 5-I5-09 * Fee methodology set by Tri- County Building Industry
• Service Board.
l:1Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) 1