Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00144
_LILL 11i DEVELO BMENT SERVICES 503-639-4171
DATE ISSUED: 4/29/2005
13125 SW Hall
PARCEL: 2 S 103 B D -097 00
SITE ADDRESS: 12957 SW 116TH PL ZONING: R -4.5
SUBDIVISION: HUNTER'S WOODLAND LOT: 009 JURISDICTION: TIG
Project Description: Deck replacement.
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: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,700.00
Owner: Contractor:
THOREN, TED & KIM CREATIVE FENCES & DECKS, INC.
12957 SW 116TH PL 14782 SW FERN ST.
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 579 -0768
Phone: 503 - 969 -8850
FEES Reg #: LIC 147483
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/29/2005 $100.90
[TAX] 8% State Surchari 4/29/2005 $8.07
[BUPPLN] Pln Rv 4/29/2005 $65.59
[CDCPLN] CDC Pln Re) 4/29/2005 $42.00
(additional fees not listed here)
Total $222.56
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.
Issued By: - Permittee Signature: Win \z��
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 Ap
l� I E ® F OFI ICE USE ONLY •
City of Tigard �1 .t� ./(� Permit No.:
`J g DaDate/By: y V OR VEIL — iZI13 5---a0/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ts
q D(] A /Gatµ ,' Other Permit: 503.639.4171 Fax: 503.598.196 0 4 2005 "911(i Date/By:
Line: 503.639.4175 Date Ready/By: Juris: ® See Attached Checklist for Cs
Internet: www.ci.tigard.or.us CITY OF TIGARD Notitied/Method: 'o ( Supplemental Information u\
HI III DING DIVISION
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑Demolition Permit fees* are based on the value of the work performed.
I Indicate the value (rounded to the nearest dollar) of all
\Addition /alterationkplaceme ❑ Other: equipment, materials, labor, overhead, and the profit for the
; ) CATEGORY OF CONSTRUCTION
work indicated on this application.
1 -and 2-family dwelling Valuation: SQ 5 0 0
y g ❑ Commercial /industrial
1=1 Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: " 129 5 1 Se' I I Oh PL. New dwelling area: square feet
City/State /ZIP: �' Im c. Q.- ct. or. 9 12:2 Garage /carport area: square feet
`'
Suite/bldg. /apt. no.: J Project name: Covered porch area: square feet
Cross street/directions to job site: fr On n ( fir Deck area: 3 Lf Li square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1-1J 1'1 -i;. rs . o a I eA n A Lot no.: 9 Permit fees* are based on the value of the work performed.
ax 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.
r_ep\ C\(Q., 01 0\ a 1/..0 AN. Valuation: $
Existing building area: square feet
New building area: square feet
X PROPERTY OWNER • ❑ TENANT Number of stories:
Name: ' } 4 .4-- 1.4 t - 1 \r\ Or � rv Type of construction:
Address: 12 . ( 1 6 SW I I L ' e L Occupancy groups:
City/State /ZIP: '`k ci o.r 0 l c - 7•2 - 2-7 Existing:
Phone: (5tt3) 5 _ 01 W g Fax: ( ) New:
'APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: —1-ca. r K '` p ( Qr licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i G '.. r "I s i' ( -1-'• .r t L jurisdiction in which work is being performed. If the
'� applicant is exempt from licensing, the following reasons
City/State/ZIP: � i � O t /� `. c1 7213 apply:
Phone: ( e3,) 5 1G' )- 0 C.:,3 Fax:: ( )
E -mail:
CONTRACTOR .
Business name: C ec .1- t J e_ Vt' h C e.S ' i' b'+..C, BUILDING PERMIT FEES* ./ .
Address: P-1 is 2. s vv S4" /
S vv Please refer to fee schedule.
City /State /ZIP: 11 a d_ l'' OR.... 9 �3
Fees due upon application
Phone: (Sng) p _ g �s O Fax: (Sea )S 2i , or g q 6 Amount received
CCB lic.: JJ J Ii 14 R 3 "Q_,.)C t/ i / - U Date received:
Authorized signature: ' KJ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: \• (■(\ \ p r QY\ Date: Lilly i Os * Fee methodology set by Tri -County Building Industry
Service Rnard
RECEIVED
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r t. CITY OF TIGARD SITE l'LA1REVIE�JV � ; I 1
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BUILDING PERMIT :NO. S3l.AR 24i..1" tie ` -- - -` - --
� _ C l
PLANNING DIVISION: - 2 + 2
Required de: Setbacks:' .�� re�.App App 0 Not Aoort ' ed
t ��
A Ci:1r�:1.t 241_, `i ii• ( •
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Front. �- �' �
Visual Clearance: ta Approved 0 Nr . . \ 1 I .
Maximum Building Height !,feet y
1 x
CWS Service bvtder Leti° €�c ��•1•�� t , ..- j
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1 1 � - I
ENGI E fZ1NG EPART MLN 1 : v-09`;
p o Approved Not Ap roved Z �ee� '�
Actual Slope: /o ( ox – _
Site P , Approved, 0 Not App oved . '
7—" Date: y- ,?7 -e5" ,
Notes:
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2006
Phone: (503) 639 -4171 �i�xw;��Nlmypi�u ** (j
Inspection Requests (24 Hrs.): (503) 639 -4175 Agr
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7 :08AM PAGE: 104
SITE ADDRESS: 12957 SW 116TH PL CLASS OF WORK:
SUBDIVISION: HUNTER'S WOODLAND LOT #: 009 TYPE OF USE:
PROJECT NAME: THOREN
DESCRIPTION: Deck replacement.
OWNER: THOREN, TED & KIM, PHONE #: 603- 679 -0768
CONTRACTOR: CREATIVE FENCES & DECKS, INC. PHONE #: 503- 969 -8850
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 007453 -02 603- 579.0768 N
Corrections /Comments /Instructions:
r te' VI/ ,u2/ /r r w 1 ,. • mod►
Ct./ ,ems ` '�i tA•al h t' AL iC
O
P ASS PARTIAL APPROVAL CANCEL NO ACCESS
❑ FAIL in CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: S ��— O #: (503) 718-