Permit �` i )1
pr CITY OF TIGARD BUILDING PERMIT
PERMIT #: UP2006 -00563
COMMUNITY DEVELOPMENT DATE ISSUED: 11/27/2006
.TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 10A D -90033
SITE ADDRESS: 14900 SW 109TH AVE ZONING: R -12
SUBDIVISION: CANTERBURY WOODS CONDOMINIUM LOT: 033 JURISDICTION: TIG
Project Description: Replace decks and handrails for units: 14900, 14902, 14904, 14906, 14908, 14910, 14912 & 14914.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 54 sf N: S: E: W:
OCCUPANCY GRP: .2.1 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: $ 18,000.00
Owner: Contractor:
HALL, AUDREY M J & R MAINTENANCE & PAINTING INC
48 EAGLE CREST 1 -E 14845 SW MURRY SCHOLLS DR #110
LAKE OSWEGO, OR 97035 PMB 306
BEAVERTON, OR 97007
Phone: Contact #: PRI 503 - 579 - 6564
FAX 503 - 579 -5234
FEES Reg #: LIC 165104
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/27/200( $216.10
[TAX] 8% State Surcha 11/27/200€ $17.29
[BUPPLN] Pln Rv 11/27/200€ $140.47
[FLS] FLS Pin Rv 11/27/200€ $86.44
Total $460.30
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 th e- rules- or_dir_ ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
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ssued By: k / 4 _( ,,,,4J? Permittee Sig
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.
iiii
BuildingrPerrnit Application FOR:OFF Icc USE'. ON Y
Received J ,
City of Tigard Demers : ; Mk
,46. IN Permit No.: 0 / A9D 0 ,.... h ;
1111
" 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
8 " Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Permit:
T I GA K'D Inspection Line: 503.639.4175 Date Ready/By: BM RI See Attached Checklist for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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"11'PE OE�WOR - ' t° � - - '' RE UIItED;D:ATA; :I= AN1)2= FAMILYD.WEhLING' �'
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
gAddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
:> ., ::; _; ,• :{ '. :'ti„ -,_ ' ,:7:, ;,,,,,- ;,, . work rk indicat d on this application.
An'. .: a 4 . ..;'
, �e ,CATEGO RY OF CON STRUCTION , _ w o e is pp n.
o
❑ 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ jre/z
❑ Accessory building Multi - family
Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms:
-" - - ' i d INFORMATION AND' ` kCATION a x x', Total number of floors:
x.:,_a. - .im:. mss. ._- _.- oPio..t� :_v,. > =, -vt r(•e °s.,,• _, -z3 N' <, - - :rw„ .+".e ,..r,- > -.'.0
Job site address: e43 r <."9 New New dwelling area: square feet
City /State /ZIP: /-- ✓ .< c, y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:'y ',,,, ote Covered porch area: square feet
Cross street /directions to job site: p Deck area: square feet
,/, 1 i' fi,c�4 /5 % 2 / y9� / �f �Z / %r7 Other structure area: square feet
%/ d / 5'9 /z / 5/ 9/ / s REQUIItEI? DATA COMM E1tC =iJ E E K LI
Subdivision: Lot no.: Permit fees* are based on the value of the wo L d.
performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
D ESCR IPT ION QF.WORIC, � A r '' , work indicated on this application.
t /, ,.d�� "/ Valuation: $
��?_,O�.�C � °. .�.t' end t '�.,y
d Existing building area: square feet
New building area: square feet
< Ell 'PROPERTY`• O,WNER4 0 , x z„ t•1 . , ..a 3 0 $,fi , , Number of stories: /
Name: G c -.c /� /. ors "I' - r`�'// ; C'/ Type of construction: /
Address: °' ,5f' `i ZA./iv , Occupancy groups:
City /State/ZIP: f -7/ /,l ,,,,e t-) l / Existing:
Phone: ( e...3) /ys- / Z Z- z- Fax: ( ) New:
. �... '.. ._. It ": ,� '
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. . - °. '° PL'ICANT� � , , � CT�zP
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Business name: .7 ,,./2�����z_ p � / �, l / : All contractors and subcontractors are required to be
Contact name: 7 '�" ` licensed with the Oregon Construction Contractors Board
!.' rr "��/ `•d " under ORS 701 and may be required to be licensed in the
Address: i` Va+y'SS` J . ,7��, - J,,i /�)� s- f/! f E ,0,k4 jurisdiction in which work is being performed. If the •
applicant is exempt from licensing,, the following reasons
City /State /ZIP: ry/'Yf =s du e._ 'lee mil . .
apply:
Phone: (S) .:� 79 6.:;;74 cJ Fax: (6 c� ) 6 ' .?-;"..,..5P Ci
6 �.
E -mail:
/4 ?' ' .CON 2 -
Business name: / 146 �.isk-e- a_ 3/- lee'. r. E;: :;% B :..,.
/.u� ,.,;- - ..� UIIDING:PERMIT;FEES” ,a = :; ,_,.
- tk ? t- � �:rm ^, „ (Ple a neJ e r,to l e e seh .
Address: ,' yj X5 - � > i 5-4,7,- '�I 44 3) r 57+ ,i//J ?ife36 Structural plan review fee (or deposit):
City /State /ZIP: , ✓• � e �� , � JC' 97412' /
FLS plan review fee (if applicable):
Phone:..) I e, e/ Fax: }) 7,. .5-0. 3 y
CCB lic.: 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:
-�-'� ' ��� _ Date. ,j /� �� * Fee methodology set by Tri County Building Industry
Service Board.
I:\ Building \Permits \BUP- RES- Perm itApp.doe 03 9 6 440- 4613T(11/02/COM/WEE)
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: BUP2006-00563
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006
Phone: (503) 639-4171 401
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/9/2007 TIME: 7:03AM PAGE: 14
SITE ADDRESS: 14900 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 033 TYPE OF USE:
PROJECT NAME: CANTERBURY WOODS CONDOS
DESCRIPTION: tritIrdmikVarktifaadrailtkillaiffiti.. 14900, 14902, 14904, 14906, 14906, 14910, 14912 & 14914
OWNER: HALL, AUDREY M, PHONE #:
CONTRACTOR: J & R MAINTENANCE & PAINTING INC PHONE #: 503-579-6564
Inspection Request Scheduled For: Date: 1/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 041928-01 503-579-6564
Corrections/Comments/Instructions:
1111ThEitratlrair
r - —
PASS I PARTIAL APPROVAL CANCEL NO ACCESS
i I FAIL__ fl CALL FO INSPECTION ADDITI NAL EE ASSESSED
16.
Inspector: Date: ( Phone #: (503) 718-
1E1 .
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