Permit , ,. • ,., 7P : '-t-;-.--' 6 t-i-4 ,
CITY OF'TFGARD BUILDING PERMIT
PERMIT #: BUP2006 -00257
� - DEVELOPMENT SERVICES DATE ISSUED: 6/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DB -09500
SITE ADDRESS: 11175 SW 93RD AVE ZONING: R - 4.5
SUBDIVISION: REEL ACRES LOT: 001 JURISDICTION: TIG
Project Description: 1 hour inspection for upper floor above garage.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
• TYPE OF CONST: : 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:
Owner: Contractor:
LACAN, MANUEL OWNER
11175 SW 93RD.
Phone: 503 - 913 - 6319 Contact #:
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[HRBLD] Hourly Buil 6/23/2006 $57.87
[HRTAX] Hourly 8% St 6/23/2006 $4.63
Total $62.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
i
Issued By: `f J / Permittee Signature: cc.70/21L041/ ill
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
v 7� 2006
Building Permit Annlicatilo ` ' l t)lt o Ft. ICE USE ()Nu);
City of Tigard N kJ 1. W" 1 R eceived / i 1l,, // 2
a , , � Dawn ;14/' C rJ '' ,- 0 j Penult No. 0 0�(� 00 /
1
13 sW Ball Bivd., Tigard, Olt 97223 g0G Ravi Phone: 503.639.4171 Fax: 503.59$_196Qt1(G � , .•,.�l�,i >, Mita Other Permit:
Inspection Lino: 503.639,4175 •;r,., _ ...A Data Really/By; J,. Rpm el See Attached ChoeWlet for
Internet: www.ai,tigard,orus Notified/Method: supplementallntermatian
Ri! Its 3�n '
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❑ New construction ❑ Demolition Permit fees" we based on the value of the work performed ,
Indicate the value (rounded to the nearest dollar) of all
:4 . ditionfalteretion/rep1acement ❑ Other;
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^/ - and 2- fam dwelling ❑ Commercial/Industrial v s
r
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathroom:
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E� B.u�. �! �!i!i I is to L;.i..�..rtir�i,,i iitl�lYe ,, lur. 7 iu' H1"; rtfurhrcr,' ni�5�rftr.�;�;s'���illlli„Lhl �i���� �ry1, I� Total number or. .
New dwelling area: square (feet
City/State/rife r eek _ Garage %rport area: square feet
Suitearldg.lept. no.: Project name: Covered porch axe' square feet
Crass street/diretxions to job site: Deck area: square feet
`I Otherstructure n are r a: • square feet
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Subdivis iota; 'g e e C Lt Z e 5 1 Lot no.: p o / 'emit fees* arc based on the value of the work performed,
Tax map/parcel no.: Indicate the value (minded to the nearest dollar) of all
�,: y ; r equipment, �riale, labor, overhead, end the profit for the
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��� I� Valuatio dicated ;
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t ,% 1 7_ . A �/� i �' J ! Bxisting building area square feet
1 New building area: square feet
I iIR�UIf uiAV�fl1'j1:;�t1 , ttRlifltl.y f #. , U y , ! I >,art ^u i �EJ �tI ' 1 I
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Name: l/ i /' r , 44 Type of construction:
Address: it/ 7 $ 3 ° S'T OccnPancy gram:
City/State/2D: 7 s -se _ Existing:
Phone: ( , ". . - �3/ Fax: ( )
yrza •�;�; I :am , t !}lU Iilfl' {I ' ll ' II}t'tl}l t t a •i ! , ;rm , r i _ New:
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i � f 1 e, l r r ni E i' r A,� l 'lr`7 ; ;1''117i[�1 �i1'I�II i. II,l i f J; �i., tiaT e•� r Eillr llf (� 1 �if 1: p I i , .. ;I ' 1 , . i . l r a i li ° !I{. 1 TE;41 rli i o!'t
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Btleivees name: c7) /AL;, - ` All emit:moors and subcontractors are required to be
Contact name: .... - h 1 . . G licensed with the Oregon Construction Contractors Board
under ORS 701 and may berequired to be licensed in the
Address: d O D 41 +t) 5f7/c % P L 1 / '!7
J jurisdiction in which work is being performed. if the
City/State/71P: • f/5 /s applicant is exempt from licensing, the following reasons
apply:
Phone: (- ) 4V ce - t' I Fax: : ( )
E -mail:
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SUES �S'.� lJ..iFk i.trFrl ! 1111111 MG' I IF'siitS�f'll. ttlrl� tl!7i�l��tl1 lii ,1:IR![cF , yq BERIIfi}llY1�SII :L- . , ft
Business name qn'r, a • rr. -y t{I, nil l {' 1 ! ." , I 7 m
It. i�a r ll Ilr ra•c j1 ,,, 1 luT a� I i , fl 1 r:
Address: 1 . siSf. {! _ k�41fi1 tfi�e¢ttttftwTi�liCu�rs ISal�in, i1�1 I t ifl Pr : E
Please rifer to fee schedule
City /State/ZIP: -- —
( ) Fees due upon application
Phone: ( ) Fax:
Amount received
CCB tic.: 1 .
Dn received:
Authorized signature:
This permit application expires If a permit is not obtained
t � { • --- ----
Date: within I80 deyls after it has been accepted its complete.
e
Print aarrte: �`, , L� Fee methodology set by Tri -County Building Industry
• Service I3oatd.
iMuddinglPe mItABITP.Permit . ' ,doe • 1 440-46137(11/02/COW NEB)
T00I1 P417211 ,LO S1TO LB7,LvRswnC YV Sin: TT Stnnzior,gn
CITY OF TIGARD
BUILDING DIVISION #: BUP2006-00257
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2311006
Phone: (503) 639-4171 ih
Inspection Requests (24 Hrs.): (503) 639-4175 A- AL
INSPECTION WORKSHEET FOR DATE: 1/5/2007 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 11175 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: REEL ACRES LOT #: 001 TYPE OF USE:
PROJECT NAME: LACAN
DESCRIPTION: I hour inspection for upper floor above garage. See BUP92-00206, MST2001-00535,
MST2005-00138, MST2005-00181, PLM2006-00301 for history.
OWNER: LACAN, MANUEL, PHONE #: 503-9'136319
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/5/2007 Pour Tim
Code # Inspection Description Confirm # Contact # -ssage e45
1
299 Final inspection 041765-0 503-968-2895 V titP21
Corrections/Comments/Instructions:
_ ....
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X A Ss n PARTIAL APPROVA pi CANC I I NO ACCESS
I I FAIL I JALL FaR ITSP,: IN fl ADDITIONAL FE S ASSESSED
4110 , i / r a 7
Inspector: Date: Phone #: (503) 7-t?
Inspections Required for: BUP2006- 00257"
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
X 299 Final inspection 635 Smoke detector shutdown
#7, 640 Exhaust hood
695 Misc. inspection:
699 Mechanical fmal
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test
• 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit _ 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading _ 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading fmal 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005
/\ CITY OF TI AR _ BUILDING PERMIT
PERMIT #: i3Ul-'2005 -00257
1--,, DEVELOPMENT SERVICES DATE ISSUED: 6/23/2006
+j `-> 13125 SW Hall Blvd., Ti
� '�""°" 13 � g ard, OR 97223 503 - 639 -4171 PARCEL: 1S135DB-09500
SITE ADDRESS: 11175 SW 93RD AVE ZONING: R..4.5
SUBDIVISION: REEL ACRES LOT: 001 JURISDICTION: TIG
Project Description: 1 hour inspection for upper floor above garage.
• REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION �, I
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: IN:
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 _ I
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: _J
Owner: Contractor:
LACAN, MANUEL OWNER
11175 SW 93RD.
0
Phone: 503 913 - 6319 Contact #:
0
0
Reg #: et
FEES i
Description Date Amount REQUIRED ITEMS AND REPORTS CO
[HRBLD] Hourly Buil 6/23/2006 $57.87
[HRTAX] Hourly 8% St 6/23/2006 $4.63 I
Total $62.50 14
_
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 Utiiity 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: ,_ 4:a Permittee Signature: (7), �0 "t „,,,.4 ,
17
Call 503 -639 -4175 by 7:00 a.m. for an inspection that businesa 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.
1/5/2007
- - •
CITY OF TIGARD
„--0
111 Tigard, OR 97223
.. T .•
Activity Listing
: 10:03:31AM
;,., 13125 SW Hall Blvd.
'''. • 503.639.4171
TIGARD,
Case #: BUP2006-00257
Primary Name: LACAN, MANUEL
Project Name: LACAN
,:,:.:::,:,:,:,:„„, ;„ ,, ,,1„,,taw ;:,,,,!;-,-,;,„ r,'5,0V43f,,Ziiiit,:,w%AttcP:S•Ii-:,: AI:',414011411,77":”.7*M"' ''',T,MM:':iii:‘,;-',.;'14.4:
Site Address: 1117SYVPAVE ,, . .:,;;,..4illtiillai:f ,1,10",rt t1_,,qr::'t,,Zikailk:1114;f:NAI;:ZMIre:;,,tif=';--14;,;"1
okwstv,g!F':,t': 35,4tiaiiiiiitila:gtpAT-gi),.::::4-1-5.iiiiii-314'h,,,g - bi*o_SY: : ':,:,..7 - N,y,T§', -, :g04 , 4400•0Aft : .-A ii ,--.,,..-t... i ,. ; '
ij:iw,w iiI&6If:(kIi-Y14.h.'--', t"1'114;5;:'I: '''-,V"i'745,461111AS;rtk, O' U-'.7,i-1.,:LI-","t;:fi--, '''' ''' - - 'I " ' '
,,.,TTE :: ,,,, , ,,,,,,, A0K ,,,,-.„ 4:: :,, ,,„, ,,, fm, ,,, ,,,: ,, ,..,,,;,, , ,,, , „,„,,„:,,,„,,,,„, : . , .,...,...: . .
2.:: Final 1/5/2 ' PA — AMS 041765-01 — 503-968-2895 — VM - Y
740 Case finaled 1/5/2007 DONE AMS
010 Application received 6/23/2006 RECD FAX
020 Permit created 6/23/2006 DONE BB
030 Check for parcel tags/CWS 6/23/2006 DONE BB
270 Ready to issue permit 6/23/2006 REDY BB
280 Issue permit 6/23/2006 DONE BB
Page 1 of 1
CaseActivityShortFonn.rpt