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Permit CITY OF TIGARD PERMIT PERMIT #: BUP2006 -00443 4 I � . DEVELOPMENT SERVICES DATE ISSUED: 9/19/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 25101 AC -00900 SITE ADDRESS: 07128 SW GONZAGA ST 230 ZONING: MUE SUBDIVISION: PAHLISCH /GONZAGA PROFESSIONAL LOT: 015 JURISDICTION: TIG Project Description: TI - walls (1,030 sq ft) REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 14 BASEMENT: sf AREA SEP. RATED: STOR: 2 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: $ 6,000.00 Owner: Contractor: PHIL GENTEMANN CENTURION HOMES INC 7128 SW GONZAGA SUITE 100 7128 SW GONZAGA ST SUITE 100 TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503 - 620 -2047 Contact #: PRI 503 - 620 -2047 FAX 503 - 620 -2287 FEES Reg #: LIC 28427 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/19/2006 $100.90 [TAX] 8% State Surcharl 9/19/2006 $8.07 [BUPPLN] Pln Rv 9/19/2006 $65.59 [FLS] FLS Pln Rv 9/19/2006 $40.36 Total $214.92 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 952-0s :: : rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli g 503 - 246 -66. 9 o -8 0- 332 -2344. Issu:d By: . e Permittee Signature: A . P le---- 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 Application FOR OFFICE USE ONLY l� 7 - HIVED Received A City of Tigard I `i(/ DateB ` I _ i "p PermitNo.: A�1 lg. 5 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev Phone: 503.639.4171 Fax: 503.598.79) 2006 f4yi i� I Date/B :I/� / Other Permit Inspection Line: 503.639.4175 sAtar 1J. Date Ready :y: f�ur' See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified /Method: -71C.6 Supplemental Information BUILDING DIVISION •� „ , «. -.� „y: «� .,,,,, . . �,,.. �... . ,..: ....,; ,.;', , e ", x .....:;., �, , ,, <,3 3,33 : �' 7,,�,. Y 33 -� .,<.3,�� :, "�:- „_ -;;, ”. . �s s: 3> .3.., J' -:tom" it 33. 3 K " -61: -FAM Y' ELL �rx u. TYP OF;�WO „!v' ' ^ -RE i3IItEDDAT 2, IL DW , Q.- �,....» "�. �.. � aim a �„_ ,�»,.c��. , -„- .,:....< ' .. �li,,,,3u.�•.,., "f�;_„ "�rxx� -. �� "� >r_ -��z �_ tiau�3 »33'33si� r'> �- _',,....t�° '-. x.<...- , ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. - Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,i�' 3',a� , i :,•:= 3 egbi' 31 •E A °°�'= ` >" work indicated on this application. i CATEGORY:`QF:;C()NS1RT7CTI N% n;,~t/ dwelling Valuation: $ a 00U , ®D ❑ 1 - and 2-family g ® Commercial /industrial t ❑ Accessory building ❑ Multi - family Number of bedrooms: — ❑ Master builder ❑ Other: Number of bathrooms: --. ,,, ;i;';„ ,;; 3 ';3 �, : , `ihtliI't*FOI2 FIA1VN AND 001#51N...;1::: ,:;r�;�.; .n:,N�3;3,; ,_ �,» 6,3` ,,, ".: ,., ,�xti. ,.,,,3a:3.313�f _ 41 Total number of floors: Job site address: 7128 SW Gonzaga St. New dwelling area: square feet City /State /ZIP: Portland, Oregon, 97223 Garage /carport area: square feet Suite/bldg. /apt. no . 4 and WEL Project name: Gettig E, qg/ Covered porch area: square feet Cross street/directions to job site: SW 72 " Ave , � Deck area: square feet Other structure area: square feet REQUJIREDDATAOI IMERCI�=USE•CFIEGKLIS'T' �.,..a: 9st r`a'• m3g37 "tii73ttn -" �?i` 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 ,4::_ :, „r3 :'E33,3 "33 d th p fit for the .e.��;. �. �., .� -;> ,..�..- ..;.:'.:'.<.», ,; ,. c< �,,,, 3.�..,;.3;:aax3;.t;: =�� °fe.::q. >� �r3�;3•':33v ff :'s . s <x , -1 , 5 #iE3x ' I %•,.,3 �;,�,,:,,- _.� "� E :...�.s. :'�F` °; �' �:.DESGRIP,�'1Q1V':`AF WQRK t, 3 :, work indicated on this application. _ Valuation: $ b, dvv, ,r Existing building area;d square feet New building area: square feet 3i F3., 1#, ;' ':`. . ' ':"3', £a ,' R +`�3i 3'k'3 " ?,_., y_ 13 e, :. LI ,. .1 , jxi 3 x \ . u3 "` :,.,., l , s..;E ` S '.. :x ®: O WN ER < 33' ,, TENA NTS f E,;`, Number of stories: 2 s, . ,. ,,,.' . , -.. s ,. _,,,, -- � --, .. F xis s: : £ d , _ ..._,, � Y � . � -� r _ � .: A N ,,: �- - .-- , ..�. »3 Y3�I s ....,. ,,,, .,,, .s „ Name: Phil Gentemann Type of construction: 56 Address: 7128 SW Gonzaga St., Suite 100 Occupancy groups: 'c. City /State /ZIP: Portland, Oregon 97223 Existing: � dC Phone: (503)620 -2047 Fax: (503)620 -2287 ,.::. .. ;., .. >�;• -i: N�. :a =; " , , .3 , . , � , , � �_« ,. t'3� 1xs^3gx',,; � �r },.; ;i- :s,i;•.:M,. a. A NTS . N: A • "� IY �' = -� a . APPL " C('1 T T:PERSU ,�,_ „_'. ..' �t . �� ,,sxl�...,�, 3fsr„sx...., sv »3,3,,,,, ...e.�:x�: ,93,.1 _„ ,,,,-”, . ,.3f•3': „ . ,,.,, , ,, ». `' 1:1QTIGE � »..s >„ .t'��x, ', >a,:_ „ -- c.:��oY .I7': s q s .: : " , 9,' ,,,, -- - -` , K Business name: Centurion Homes, Inc. All contractors and subcontractors are required to be • Contact name: Alana Barakat licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 7128 SW Gonzaga St., Suite 100 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, Oregon 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -2047 Fax: : (503) 620 -2287 E -mail: alana @centurionhomes.net 0 x.,•, .�,�. -xad '::^',. �g:1:s je',:''':;`';, 3'” � *diia3 "":� .... ... � _ .... - < '.:�ay.":ii;jl3'xs''3flS";F :..;".:R; "r;::;'.': � �� ,3!'�, q 5.,3•' +'�::h',„,3 ".= 'e7•��>... a.. ..,,' Business name: Centurion Homes, Inc. r '.`- R X33 s' "" b' :' "'E '3'? `" ?i '' ` I t fi11YG `'PERIVIIT F ' s 'f' k ; +',',- . t Address: 7128 SW Gonzaga St., Suite 100 �E -:,, - " "� �� W Please refer to fee schedule. City /State /ZIP: Portland, Oregon 97223 Fees due upon application Phone: (503) 620 -2047 Fax: (503) 620 -2287 CCB lie.: „,)___?...(4 Amount received Date received: Authorized signature: /V This permit application expires if a permit is not obtained V within 180 days after it has been accepted as complete. Print name: Phil Genteman Date: 9/19 /Coc * Fee methodology set by Tri- County Building Industry r I j Service Board. i \Building\Permits \BUP- PermitApp doc 12/03 440- 4613T(I 1 /02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION • PERMIT #: BUP2006.00443 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006 Phone: (503) 639 -4171 400110/1# Inspection Requests (24 Hrs.): (503) 639 -4175 -�} - :_.. INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7 :04AM PAGE: 15 SITE ADDRESS: 07128 SW GONZAGA ST 230 CLASS OF WORK: SUBDIVISION: PAHLISCH /UONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: EMPLOYEE BENEFITS DESCRIPTION: TI -walls X1,0130 sq ft OWNER: GENTEMANN, PHIL PHONE #: 503 -620 -2047 CONTRACTOR: CENTURION HOMES INC PHONE #: 503-620-2047 • Inspection Request Scheduled For: Date: 10/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 14A 299 Final inspection • 038885 -02 503 -751 -6001 Y Corrections /Comments /Instructions: ' 0 At 1 Iri.fir _, W. T r C "'"---- , PASS ❑ PARTIAL APPROVAL I CANCEL ❑ NO ACCESS 1 I FAIL \ CALL FIR INSPECTION I l ADDITI�oNAL FE S ASSESSED lli , '1 Inspector: 1� , Date: ti a' / ' Phone #: (503) 718 - s - - ' i CITY:OF:TIGARD ) BUILDING DIVISION AP11) PERMIT #: BUP2006-00443 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006 Phone: (503) 639-4171 hodryildi Inspection Requests (24 Hrs.): (503) 639-4175 A. 11. INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE: 27 SITE ADDRESS: 07128 SW GONZAGA ST 230 CLASS OF WORK: SUBDIVISION: pAHLISCH/GONZAGA PROFESSIONAL LOT #: 015 TYPE OF USE: PROJECT NAME: EMPLOYEE BENEFITS DESCRIPTION: Ti - walls (1,030 sq ft) OWNER: GENTEMANN, PHIL • PHONE #: 503-620-2047 CONTRACTOR: CENTURION HOMES INC PHONE #: 503-620-2047 Inspection Request Scheduled For: Date: . 10/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 037862-02 503-754-6001 Y • . Corrections/Comments/Instructions: L t , Ill ,k 1 Ai* / • 1 ■1•11). ..1 , w - ir l a. . ' rap f mi . wr a.........._ - PASS I I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED N i s , Inspector: i lk --,,,,, Date: 0 X Phone #: (503) 718- 2,F2_ . . , . .. CITY,PF7IGARD BUILDING DIVISION PERMIT #: BUP2006-00443 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9019n006 ' Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7:06AM PAGE: 65 SITE ADDRESS: 07128 SW GONZAGA ST 230 CLASS OF WORK: SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL LOT #: 016 . TYPE OF USE: PROJECT NAME: EMPLOYEE BENEFITS DESCRIPTION: TI . wa ll s (1.030 sq ft) OWNER: GENTEMANN, PHIL PHONE #: 503-620-2047 CONTRACTOR: CFNTURION HOMES INC PHONE #: 503-620.2047 • - Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 037375-03 503-754-6001 Corrections/Comments/Instructions: a w e 1111.■ ivr I PASS pi PARTIAL APPROVAL 1 CANCEL 1 NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIO L FEES ASSESSED Inspector: rr Date: r #: (503) 718- •