Permit IN F „ CITY OF TIGARD MASTER PERMIT
.. "COMMUNITY DEVELOPMENT DATE S SU I ED: 7/ 00087
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 110 DA -08500
SITE ADDRESS: 15087 SW 107TH TERR ZONING: R -3.5
SUBDIVISION: ERICKSON HEIGHTS LOT: 046 JURISDICTION: TIG
PROJECT: MILLER
Project Description: 301 sq. ft. deck addition and adding steps.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5
VALUE: 10,000 00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf REAR: 15
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN >=100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC/FDR> =225 A.: > 600 V NOMINAL: CLS ARENSPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL S SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
MITCH & MELISSA MILLER ALL NATURES CONSTRUCTION INC laws. All work will be done in accordance with approved plans. This
15087 SW 107TH TERRACE 9222 SE PINE ST permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97224 PORTLAND, OR 97216 if the work is suspended for more than 180 days. ATTENTION.
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through 952- 001 -0080. You may obtain copies of these rules or direct
Phone: 503 686 - 4623 Contact #: PRI 503 422 - 9066 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503 - 261 -1836
Reg #: LIC 8480 LCB
TOTAL FEES: $ 365.98
REQUIRED ITEMS AND REPORTS
. _ ... (" ------ j" 2
n
Issued By : Permittee Signature : .. -z A
,.....t
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 , .. �4
Residential FOR.OFFICE USE ONLI
CI o Tigard Received
}� Z �. Permit No.: --,
`J' g � � `L� •Date /B i ♦ J/ Aar � I t/���
13125 SW Hall Blvd., Tigard, OR 972.3 V �
- v I Other Permit:
Inspection Line: 50 Fax: 503.598.19 0° \ � 1
'i C c`, ig: Ready �. �.
ection Lne: 503.639.4175 J By:
TIGARD Internet: www.tigard- or.gov p ��` pate 7 D'
6 O cr Notifies • hod: S 61 See Page 2 for
� __ ' Supplemental Information
e. TYPE OF WORK �,y /
�N ' , QUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolit 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Lb t- and 2 -family dwelling ❑ Commercial /industrial Valuation: S /j, ��Q
❑ 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: ; D e tcl 5.k.0 s \ n T�.,2czA New dwelling area: 3 ( square feet
City /State /ZIP: e 0, ` - 00 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: k L� \ � - Covered porch area: square feet
Cross street /directions to job site: \ 01 c. ,,, r2 __ I L r MAR, ON '(Z Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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.
Valuation: S
ArG,- .i_0e \.J G b N �1(.1 1 N G '{' A
1 - F( `V---0..e._ -4— S�.F -PS Existing building area: square feet
J New building area: square feet
1i2 PROPERTY OWNER ❑ TENANT Number of stories:
Name: P CTC * 1 S C .A ‘1\kkw _ Type of construction:
Address: `R bC SA t b1 F�� s Occupancy groups:
City/State /ZIP:" -\ (; , l r....,9__ 7 "1 7, Existing:
Phone: ( 503) koFS(0... 4102- Fax: ( ) New:
Vi APPLICANT ❑ CONTACT PERSON NOTICE
Business name: x� 1 r s (p% cs , 2.t) 1.x n All contractors and subcontractors are required to be
Contact name: �d/ME > . �N licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8222 5 , p ‘1 ,._ jurisdiction in which work is being performed. If the
City /State /ZIPP:: - C -��;] ` <•_ 9 f apply: pl ant s exempt from licensing, the following reasons
Phone: ( .`7l� ) "122,' u 1 o k.P(P J I Fax .. ( ` . -C a V 4 l £(.S ( & - Li
E -mail: 42_,aA'Cs.h/ Q.l`">� ( -Lf ‘ (
I
CONTRACTOR
Business name: p\-.1_,L, NAT V (,i": (p1 5' i,) c 7 O IQ 1 SU L BUILDING PERMIT FEES*
(Please refer to fee schedule) p
Address: 2:2:1_ S •� - 1 N � � Structural plan review fee (or deposit): 4 (2 . -1 K
City /State /ZIP: ��� ->..,}C.)' 6 \12-t 1Q
_ ----- t G1 b � t \ r --�� 7 FLS plan review fee (if applicable):
lor Phone: (SD3 ) `1Z� - e (0, Ka Fa x: ( 5-S - Lo -- -�' -
CCB lic.: ��� 81.-t 0
Total fees due upon application: � 6 .R if
Amount received: `l _ �
Authorized signature:
/ / / This permit application expires if a permit is not obtained
b within 180 days after it has been accepted as complete.
Print name: ELr�,e4s, `) Date: ( 10 0 D * Fee methodology set by Tri- County Building Industry
Service Board.
_
CITY OF TIGARD
BUILDING DIVISION
A, PERMIT #:
MST2008.00087
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
7/23/2008
Phone: (503) 639-4171 --Siviitt it
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: TIME: PAGE:
1W10/2008 7:00AM 1 1
1
SITE ADDRESS: CLASS OF WORK:
15087 SW 107TH TERR
SUBDIVISION: LOT #: TYPE OF USE:
ERICKSON HEIGHTS 046
PROJECT NAME: MILLER
DESCRIPTION: 301 sq. ft. deck addition and adding steps.
OWNER: PHONE #:
MILLER, MITCH & MELISSA 503-686-4623
CONTRACTOR: ALL NATURES CONSTRUCTION INC PHONE #: 503-02-9066
Inspection Request Scheduled For: Date: 10/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 076563-01 503-422-9066 Y
Corrections /Comments/ Instructions:
•
•
_.---
---.
•
PASS 0 PARTIAL APPROVAL D CANCEL fl NO ACCESS
0 FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: / .-,
Date: /a — & S Phone #: (503) 718-
-7‘ •
- CITY OF TIGARD
1 BUILDING DIVISION
allii. PERMIT #: MST2000-00087
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712312008
Phone: (503) 639-4171 ,4111111t1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 912/2008 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 15087 SW 107TH TERR CLASS OF WORK:
SUBDIVISION: ERICKSON HEIGHTS LOT #: 046 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: 301 sq. ft. deck addition and adding steps.
OWNER: MILLER, MITCH & MELISSA PHONE #: 503-686-4623
CONTRACTOR: ALL NATURES CONSTRUCTION INC PHONE #: 50422-9066
Inspection Request Scheduled For: Date: 9/212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 074930-01 503-422-9066 Y
Corrections/Comments/Instructions:
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A <_\ 1 \ \ \co \ , '' b ci
e, 1 --- 3" 5c."-- ' i ...),
_ ., /, , • ) `PA- .-.4" h
i
)
Il r>ss 7T-K APPROVAL fl CANCEL El NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 73—S Date: 0.7-5p 4 006 Phone #: (503) 718-