Permit . 4
Ir CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00068
COMMUNITY DEVELOPMENT DATE ISSUED: 2/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 B D -00100
SITE ADDRESS: 07520 SW BONITA RD ZONING: R -12
SUBDIVISION: BONITA VILLA APARTMENTS LOT: 065 JURISDICTION: TIG
Project Description: Fire damage repair ,units 5,9,10,11,& 12. Insulation, drywall, flooring.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 - HR : 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: $ 62,000.00
Owner: Contractor:
WASHINGTON CO. HOUSING AUTHORITY HORIZON RESTORATION SYSTEMS
111 NE LINCOLN ST 7301 SW KABLE LANE
#200 -L, MS63 SUITE 100
HILLSBORO, OR 97124 -3082 PORTLAND, OR 97224
Phone: 503 - 846 -4794 Contact #: PRI 503 - 620 -2215
FAX 503 - 624 -0523
•
FEES Reg #: LIC 160672
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/2/2007 $536.44
[TAX] 8% State Surcha 2/2/2007 $42.92
[BUPPLN] Pln Rv 2/2/2007 $348.69
[FLS] FLS Pln Rv 2/2/2007 $214.58
Total $1,142.63
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.
4 00" / ----
Issued By: f Aft., � Permittee Signature: ` irc,
i
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.
i
s kf ,I
Building Permit Application FOR OFFICE USE, ONLY .
F it. J.
City g REC. '�! of Tigard j r� , 1 Received Date /B n �! ��
_ Permit No.: •�0 �, 6O 1 , � - q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review J
Phone: 503.639.4171 Fax: 503.598.1960 Date /B' /: Other Permit:
TIGARD Inspection Line: 503.639.4175 FEB - 2 2007 Date Ready/By: Jars. RI S ee Attached Checklist for
Internet: www.tigard- or.gov Notified /Method: Supplemental Information
CITY Cr I k MAD .
milli rip, tiCt('sAi
} ` TYP ' �VO'" t 1- ,I S t*a- u°K ^ _ .,. r t
- : °_ _ . , : �_. REQ.WREODAIA:1 ANDt2 FAMILY.DWI?~LliiNG
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
11.4dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
',' �a CATEG OF ••I C O N' ST RtC T tON � .0t it - r work indicated on this application. •
❑ I- and 2- family dwelling ❑ Coo mercial /industrial Valuation: $
El ®
Accessory building 'Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
-?, _'' , }..z :.- i.- fi t
.
': t J OB . SITE�YINFORMATIONAND. LOCATION ° ^` — — Total number of floors:
Job site address: '� • .1 a • ( UP New dwelling area: square feet
City /State /ZIP: 1 �-r Oe G 7 2:2 Garage/carport area: square feet
•
Suite /bldg. /-pt. no. G Project name: 4 g . • • • - A / Covered porch area: square feet •
Cross street /directions to job site: '7 • 0 I i'il.' • Deck area: square feet
7 �j 2c' S t l / wt.ti e / , Other structure area: square feet
• REQUIREI5 DAI.A''COMMERCIAL, USE CHEGOIST iw
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
t" ' - -, , J F , -,. ,- --4 ,,, •-i , ' - - ,'::"', . fi � DESCRIPTIOI OF AWORk:• ' _ " fit; - ' work indicated on this application.
f ✓C'/ w/ C�i^'�II JP .� �
J � i� 0/ KE'�/4C�4 CO Valuation:
$ 6,:;,21 (�dO `�
< / ,�" + -50 L )ry t/et (1 i r / t' — t N5' (YreViAlY / Existing building area: square feet
)J�JJJ New building area: • square feet
r. ! ' f PROP.ERTVO% NER f • � / * " ' ❑ TENANT t'''-. Number of stories:
Name: 1lia_ s)i I el i".., I7 C6 ?C. I -F Type of construction:
•
Address:1 t,i'jtJ 1. 1 ,iC44%.?1Si.!r e2GL�.. j t),.. (o. Occupancy groups: •
City /State /ZIP: �. i
/ [ l e . 7 1 2
_ Existing:
�� X 11 L! / C
Phone: (S03) ?A/6_40,9 Fax: .�) O 71J New:
t I ® P
APLICAN, '' : " . i T / ACT PER ., , a ?:. , . ,.. "tom
Business name: / c' v- 'z 0;4_ ilteeS yike 1 0.1 All contractors and subcontractors are required to be
Contact name: � JJe ls '-_- G A. y i • gS� - licensed with the Oregon Construction Contractors Board
,, under ORS 701 and may be required to be licensed in the
Address: 730 7 S• IA 1'�xj l a . i .- 1
Seta /� 1(91 jurisdiction in which work is being performed. If the .
City /State /ZIP: Po. r * f kta-- ®i y 7 .2 Z 4 applicant is exempt from licensing, the following reasons
/ ..os- apply:
(tj()5
Phone: ) 6:z.0 ` a2 J . Fax: : ) ! ; � ., -a
E -mail: V "
., m' cc CON ., ,, ,,, s -,, r a „' u
Business n ame: v •° `-: LL z_ : BUILDINGP .ERMITt`FXES *�,,�?.A,t 4. i .2 ,'''
„,..‘.,,,..c,,,.. : .:(Please refer to fee'schedille r i° °: w ' ..
Address: M$ ,46 ,(�
City/State /ZIP: �' Structural plan review fee (or deposit):
Phone:.( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lice" I /�0�7� • Total fees due upon application:
v 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: G ir1,5 j S5 j Date: .,-''�° 0 7 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building Tennits \BUP- PerrnnApp.doc 03/21/06 440- 4613T( I I /02 /COM/WEB)