Permit .-)--CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00478
COMMUNITY DEVELOPMENT DATE ISSUED: 10/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AC-06000
SITE ADDRESS: 10884 SW 109TH AVE ZONING: R - 4.5
SUBDIVISION: HART'S LANDING LOT: 031 JURISDICTION: TIG
PROJECT: WALLACE
Project Description: 65ft fence at back property line.
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: $ 1,625.00
Owner: Contractor:
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WALLACE BEAVERTON FENCE & DECK
1 0884 SW109TH AVE 8028 SW 166 PL.
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 624 -9535
Contact #: PRI 503 - 648 -3717 •
Reg #: LIC 146810
FEES
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Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/10/2007 $62.50
[TAX] 8% State Surcha 9/10/2007 $5.00
[BUPPLN] PIn Rv 9/10/2007 $40.63
[CDCPLN] CDC Pln Re 10/12/2007 $46.00
(additional fees not listed here)
Total $160.13
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty odes 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. 1
Issued By: 4 Permittee Signatur-•
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.
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Building Permit Application
• --y,.. ,) l • t ,� ti _. FO OFFICE USE ONLY
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1, . q City of Tigard Received O n 3� Permit No.:�`Z��l f7
13125 SW Hall Blvd., Tigard, OR 97.* i 2007
Date/By: MVO
1 O an 1 O • p( ^ •O
Phone: 5 0 3 . 6 3 9 : 4 1 7 1 Fax: 5 0 3 . 5 9 8 . 6 . o 1 Date/By: , � Other Permit:
T I G ARD Inspection Line: 503.639.41 y Date Ready /By /n luris ® See Page 2 for
Internet: www.tigard- or.gov 11� 3 lJ 1 � i a►w Notified/Method>'L��7 Supplemental Information
BUTLDING DIVISION 1-V19:1 ore ,r 0
// TYPE OF WORK .REQUIRE ATA: 1- AND 2.FAMILY DWELLING
�'1Vew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION, work indicated on this.application
1 and 2-family dwelling $ Valuation:
_91 1 / (, (
y g ❑C ommercial /industrial / cv " �..i
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master. builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ` • ie Cf S j„) / 0 9 _ New dwelling area: square feet
City /State /ZIP: / T/6 v .p,4 (.l� ! 9 '4 3 • Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: Covered porch.area: square feet
Cross street/directions to job site: X — Ai , t.0 k--a Deck area: square feet
Other structure•area: l4, (
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: `..A : :: Permit fees* are based on the value of :... , vnr - . .. •1.
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.
7 Valuation: $
G 1 Existing building area: square feet
New building area: square feet
- PROPERTY OWNER . ❑ TENANT Number of stories:
Name: in. d e_. p-, zr kg/.14 Gam. Type of construction:
Address: r Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) 6 2_/ z J-7 Fax: ( ) New:
s PPLICANT CONTACT PERSON NOTICE
Business name: C01/1 dfGt e(®1/- ' All contractors and subcontractors are required to.be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR ` ,
Business name: , e U A V_QiQ N / e,y1CR d je_ . BUILDING'PERMIT FEES*
Address: L/ 7 � 8 ,c, 0 . % 6 — `jam , . - (Please refer, to fee schedule)
City /State /ZIP: at-V--y.• 94 9 7 a o7 Structural plan review fee (or deposit): 62.S
Phone: ( ) Yz 3 7/ 7 Fax: ( ) FLS plan review fee (if applicable): k/U• 13
CCB lic.: / [/ fa - / /F V a- / - 019 - e, Total fees due upon application: 5-.0e) .95-.0e) l / G� / Amount received: ' f) r , r '5
Authorized signature: ,/ 1 This permit application expires if a permit is not obtained
������////// � * within 180 days after it has been accepted as complete.
Print name: � 1� /14 Date: / Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I 1/02 /COM/WEB)
1 \
� ,1 Building D i i n
Accessibility: Barrier Remo_ va1•.Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
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I:\ Building \Permits \BUP -COM PermitApp.doc 02/23/07
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1 13125SVVHaUB|vd.. Tigard, ORS7223 D/TE|88UED� 10/12/2007 Phnne(5O3)630'4171 ti
Inspection Requests (24 Hrs.): (503) 839-4175
INSPECTION WORKSHEET FOR DATE: 10/2E/2007 TIME: 7:01Ak8 PAGE: 21
SITE ADDRESS: 10884 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: MART'S LANDING LOT #: 031 TYPE OF USE:
PROJECT NAME: WALLACE
DESCRIPTION: 65ft fence at back property line.
OWNER: WALLACE, PHONE #: 503-624'9535
CONTRACTOR: BEAVERTON FENCE & DECK PHONE #: 503.048'5717
Inspection Request Scheduled For: Date: 10/29V2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 inspection 05855101 503-310'2623 N
Corrections/Comments/Instructions:
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ri PASS 0 PARTIAL APPROVAL y CANCEL NO ACCESS
U FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
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CITY OF TIGARD F V
4) . BUILDING DIVISION , PERMIT #: i3 JP 00710478
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /1?j3o
Phone: (503) 639 -4171 1 / jel
Inspection Requests (24 Hrs.): (503) 639 -4175 A
L--
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7 :01ANi PAGE: 20
SITE ADDRESS: 1084 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: HARTS LANDING LOT #: 031 TYPE OF USE:
PROJECT NAME: WALLACE
DESCRIPTION: 66ft fence at back p<ropcItY line.
OWNER: WALLACE, PHONE #: 503-624 -9535
CONTRACTOR: 0.3EAVERTON FENCE & DECK PHONE #: 583-640.3717
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time: im p 5 C Y'
Code # Inspection Description Confirm # Contact # Me age
299 Final inspection 058534 -01 50;3 - 310~2623 Y �.
Corrections /Comments /Instructions:
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--k–ts c?
L
II P I PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
. FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 Inspector: Date: 1 b $ Phone #: (503) 718- Z
z4
CITY OF TIGARD 1 •
BUILDING DIVISION PERMIT #: I3tJfa2007_00I/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10j-i°2/2007
Phone: (503) 639 -4171 X I .
Inspection Requests, 24 Hrs.): (503) 639 -4175 M '.
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 113
SITE ADDRESS: 10884 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: I HART'S, LANDING LOT #: 031 TYPE OF USE:
PROJECT NAME: WALLACE
DESCRIPTION: 65ft fence at back property line.
OWNER: WALLACE, PHONE #: 503.624 -9535
CONTRACTOR: BEAVERTON FENCE & CHECK PHONE #: 503 -642 -3717
Inspection Request Scheduled For: Date: IW31/20O7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 058646 01 503-310-2623 Y
Corrections /Comments /Instructions:
'/ ., —LL-e - Fid-GS7
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1
❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: At Date: 7d — /—n ? Phone #: (503) 718-
1
CITY OF TIGARD _ ,
BUILDING DIVISION PERMIT #: BUP2007- 00478
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/120007
Phone: (503) 639 -4171 - "It
Inspection Requests (24 Hrs.): (503) 639 -4175 4+`
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7.02AM PAGE: 16
SITE ADDRESS: 101)61 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: HART'S LANDING LOT #: 031 TYPE OF USE:
PROJECT NAME: WALLACE.
DESCRIPTION: EiSft fence at back property line.
OWNER: WALLACE, PHONE #: 503"624 -0535
CONTRACTOR: BEAVERTON FENCE & DECK PHONE #: 503.642 -3717
i
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code # Inspection Description Confirm # Conta # Message
i
209 Final inspection 058819.01 50 10 -2623 Y y
C 1 ti.t
Corrections /Comments /Instructions:
i
f ,
' c - -. . . . - - - - . ' r/H--
' ASS n PA' IAL APPROV L CANCEL ❑ NO ACCESS
❑ FAIL J AL ; C.R SECTION ❑ ADDITIONAL FEE ASSESSED
Inspector: / • Date: IV / 0 hone #: (503) 718-2