Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00088
Date Issued: 05/28/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135CA90149
Jurisdiction: Tigard
Site address: 11044 SW GREENBURG RD 102
Subdivision: Lot: 0
Project: Ash Creek Condominiums
Project Description: Repair existing decks for units: 218 & 322.
Owner: FEES
NEE, JOHN P Description Date Amount
11150 SW GREENBURG RD #149 Permit Fee - COM 05/28/2009 $91.10
TIGARD, OR 97223 Plan Review 05/18/2009 $59.22
PHONE: Plan Review - Fire Life Safety 05/18/2009 $36.44
Tax - 12% State Surcharge 05/28/2009 $10.93
Contractor:
BWI CONSTRUCTION INC
333 S STATE ST, SUITE V354
LAKE OSWEGO, OR 97034
PHONE: 503 - 234 -8888
FAX: 503 - 236 -4444
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $197.69
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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
the 180 da . AT TION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 10 through AR4 2- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 — 0� 3 2'. 344.
Issued By. Permittee Signature: NK
Call 503.639.4175 by 7:00 a.m. for an inspection that business da / 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.
Building Permit Application
u a1 RECEIVED
�`�OI111YleCCla1 -- FUR,,OFFICE USE ONLY •- : . K=
City of Tigard D at /B Rev ea `•'� , Pennit No = ' •.Il �
13125 SW Hall Blvd., Tigard, OR 97223 MAY 1 8 2009 �
Plan
' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: 171 � 5 /w Other Permit.
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: l et] d Noti Juris. RI See Page 2 for
fie M / 0 2 / / � ' -' A Supplemental www.tigard- or.gov G DIVISION �( � `-7 S PP lemental Information
BUILDIN .c - , n ,(. d
`; TYPE 7 OF & WORK.:: -< -- -., a.,- REQUIRE DATA 1 AND 2- FAMILY DWELLING
� � smear � ,� -. . ..
❑ 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: repair equipment, materials, labor, overhead, and the profit for the
_: CATEGORY;OF CONSTRUCTION : `h,work indicated on this application.
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $6000
❑ Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
T o ta l number of floors:
; 4 V 7 "JOB F SITE.SINFORMTON AND49cATI9.1, _ _ , ' num er o
- ._ k��p1... ..s,...,, ., ° ar'�^".°.�:su;: : �- .. #c:' -AI
.._ e : . .. . "�. � -...� - ; ai.,:g i - g � �
Job site address: 11044 Greenberg Rd New dwelling area: square feet
City /State /ZIP: Tigard, Or. 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: below Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: 120 square feet
Condo 4 218 , 322 Other structure area: square feet
<REQUIRED5DATA COMMERCIAL5USE-CHECKLISTz •
Subdivision: 1 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
• x : -,. a.. , .•:., ,;.. y ;u and the profit for the
equipment, materials, labor, overhead, a e r
? '" ', 'v DES - OF -2 x= °C; work indicated on this application.
Repair existing decks Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY FOWNER ,, ®`TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
. _ ® A
.:'PPL T n;:2:74 ® CONTACT PERSON, P
Business name: B W I Construction, Inc All contractors and subcontractors are required to be
Contact name: Frank Revard licensed with the Oregon Constntction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 333 S. State St Suite V 354 jurisdiction in which work is being performed. If the
City /State /ZIP: Lake Oswego .Or. 97034 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 234 -8888 Fax: : (503) 236 -4444
E -mail: frankrevard.bwi @gmail.com
- :' . 2 CONR
TAC C OR _
Business name: Above * �gi 5, .5
.BUILDING PERn4IT FEES
.o ,. wo
. ., _, xc H
Address: _ ,' easere ertol'je - "� „.,.
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 186443 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: Frank Revard Date: 5 -15 -09 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)