Permit t ,r'5 CITY O`F 'T IGARD MASTER PERMIT
PERMIT D : 8/25/2 MST2008-00123
COMMUNITY DEVELOPMENT
DATE ISSUED: 8/25/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 BA - 00128
SITE ADDRESS: 12045 SW 116TH AVE ZONING: R -4.5
SUBDIVISION: LERON HEIGHTS NO. 2 LOT: 042 JURISDICTION: T1G
PROJECT: BROWN
Project Description: 300 sq. ft. patio cover.
BUILDING
REISSUE: !fi STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK:.0, 1 HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT:
VALUE:
OCCUPANCY GRP: BDRM: BATH: TOTAL: 0 sf .j/��. REAR:
PLUMBING -• 10 , DO6 6 .00
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 AMYL INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: WSVC OR RJR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp 201 - 400 amp 151 WA SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 -600 amp EA ADDL BR CR. SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 camps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC 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: LANDSCAPEJIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 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
BROWN, STEPHEN P + JULENE M BLUE RIBBON EXTERIORS INC laws. All work will be done in accordance with approved plans. This
12045 SW 116TH 6715 NE 63RD ST SUITE 257 permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 VANCOUVER, WA 98661 if the work is suspended for more than 180 days. ATTENT1ON•
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: Contact #: PRI 503 869 - 7710 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #: LIC 153615
TOTAL FEES: $ 315.98
REQUIRED ITEMS AND REPORTS
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Iss d By : J 11111-41111 7.,..-- ,- -- .-%L.��j • Permittee Signature
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Call 503.639.4175 by 7:00 a.m. for an inspection th t busi / :--s d.y.
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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Cuainmercial . Received
�'' : `..- . =r,M F OR OFFICE USE ONLY
`
City of Tigard a Date /B : , �� "am Permit No.: = • ...‹...,0) ° 13125 SW Hall Blvd., Tigard, OR 97221, ®�� Pl. Re 1-
` Phone: 503.639.4171 Fax: 503.598,;64 k 14 1 D e/By. Other Permit:
T l G AR D Inspection Line: 503.639.4175 � \ . p p2�l � ; a Ready /By: Juris. ® See Page 2 for
Internet: www.tigard-or.gov P4` V o tified/Method: EA Aug �� Supplemental Information
TYPE OF WORK CPc���. REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demett n Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
_•kddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
ccessory building ❑ Multi - family
Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /)GJ"» � (.A. ) /)(f1/- ,gyZ. New dwelling area: square feet
City /State /ZIP: ..17G ) r n Co /�? Z Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: -- 0 Covered porch area: square feet
Cross street/directions to job site: Deck area: L D square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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 ap lication CV Valuation: P$ 1 1 "J
g aiie.l -tom L1 g,/.a La. ( g - T7c) C'ov1.4.. gri
Existing building area: square feet
New building area: square feet
. -0- PROPERTY OWNER ❑ TENANT Number of stories:
Name: SrZ --6 C •-tick, 0 Type of construction:
Address: \ (.q � \`0 AVg Occupancy groups:
City /State /ZIP: - 1 ) 01. 9:7- Existing:
Phone: (57 3) 59 v _ 479 Fax: ( ) New:
] APPLICANT . ❑ CONTACT PERSON • ' NOTICE
•
Business name: l/14: 4 s) 62o/u t.15/1.55 r I A)C All contractors and subcontractors are required to be
Contact name: IA\ . 1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: \ 9_0(y C 5 i.„0 i,i ( P 'O vg . jurisdiction in which work is being performed. If the
City /State /ZIP: k ' ' -) 02 < 7i22 kg applicant is exempt from licensing, the following reasons
` apply: ` `l C tl
Phone: ( 31°0 ) - 1770 Fax: : v ) S . Lr4Fi o,
/
1 7 . q V
E -mail: 34.a6 t ?:i)•J C -t (7T °- am r- `?
CONTRACTOR
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Business name: P .t c g
, g � ?aJc4tRS e . J�C BUILDIIVGPERMIT FEES*
Address: 1 ,j 5, ) 6 -rh I (Please refer to fee schedule)
City /State /ZIP: ` 771 i t a e �7�� Structural plan review fee (or deposit): .cfK
r FLS plan review fee (if applicable):
Phone: ( -9 Fax: ao) 5
CCB lie.: /S3G /S !44.'14 /34- (46/26.1°)?,P� Total fees due upon application: ,_
C Amount received: 4/(p , R I-I
Authorized si tore: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: G�1j�i S�o2� Date: �- /� _ �� ■ Fee methodology set by Tri -County Building Industry
f Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
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1 . 111 q Building Division
Accessibility: Barrier Removal 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): $
]: Building \Pcrmits \BUY -COM PcrmitApp.doc 10/30/07
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' AUG 1221'18
CITY F TIGARD ARD 0 G
I BIJILtwIC DIVISION
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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 1 57 U -- /2-7 / 7--
PLANNING DIVISION:
Required Sett Cks: IT Approved ❑ Not Approved
Side: 5 Street Side: S
Front. Garage: Rear: 15
Visual Clearance: L 11:oroved ❑ Not Approved
Msxiroeim Building Heigh v "eet
CWS Service Provider Leiter t'.. gunge :: ❑ Yes ❑ No
Received
B flare: ct-foe
ENGINEERING EPAk FMENT:
A N S pe: % A pproved ❑ Not Approved
:rat. Approve N A pprove d _Date: e D
Q ucd faw
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO: X(A��'7 99:it= —
Street Trees: Approved ❑ Not Approved
f r� f Approved N Approved
Mom
- - - .
CITY OF TIGARD � `
BUILDING ING DUVUSUON PERMIT #: 23
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (5V8)83S-4171 ^
Inspection Requests �4Hmj: (503 639-4175 ~�J�� n��� ^
INSPECTION WORKSHEET FOR DATE: 9/3/2000 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 12045 SVV116TMAVE CLASS OF WORK:
SUBDIVISION: LERON HEIGHTS NO. 2 LOT #: 042 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: 300 sq. ft. patio cover.
OWNER: BROWN, STEPHEN P + JULENE M, PHONE #:
CONTRACTOR: BLUE RIBI3ON EXTERIORS INC PHONE #: 603-869-7710
Inspection Request Scheduled For: Date: 9/3/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 074996-01 503-724-6602 N
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Corrections/Comments/Instructions:
.
^
. / | PARTIAL APPROVAL n CANCEL | I NO ACCESS
FAIL | | CALL FOR INSPECTION | I ADDITIONAL FEES ASSESSED
Inspector: 4 Date: —`0 Phone #: (503) 718-
, -
. ^ -_
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MI3T2008-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/26/2008 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 12045 SW 116TH AVE CLASS OF WORK:
SUBDIVISION: LERON HEIGHTS NO. 2 LOT #: 042 TYPE OF USE:
PROJECT NAME: BROM
DESCRIPTION: 300 sq. ft. patio cover.
OWNER: BROWN, STEPHEN P JULENE M, PHONE #:
CONTRACTOR: BLUE RIBBON EXTERIORS INC PHONE #: 503-869-7710
Inspection Request Scheduled For: Date: 8/26/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 074638-01 503-724-6602
Corrections/Comments/Instructions:
46 i- N-5
*ve,/
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El PARTIAL APPROVAL CANCEL El NO ACCESS
FAIL [7 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 13s Date: ogEluCP, Phone #: (503) 718- 2/23
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00393
` 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2008
Phone: (503) 639 -4171 // 11fia lliIi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE 8/11/2008 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 12045 SW 1167E_1 AVE CLASS OF WORK:
SUBDIVISION: LEIRON HEIGHTS NO. 2 LOT #: 0,42 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Replace air conditioner.
OWNER: BROWN, STEVE PHONE #:
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503.657 -2120
Inspection Request Scheduled For: Date 8/11/2008 ' " 'f''''' Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 073994 -01 503 -657 -2220 N
Corrections /Comments /Instructions: •
CAT c i--. L ` �,J
U
PASS ri. PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ bey, Date: ' 1 k \ ` ra Phone #: (503) 718-