Permit �~ CITY OFTIGARD BUILDING PERMIT
PERMIT #: BUP2006 00100
I DEVELOPMENT SERVICES DATE ISSUED: 2/17/2006
°- I- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110DD -11400
SITE ADDRESS: 10875 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.13 LOT: 684 JURISDICTION: TIG
Project Description: Replace window w /bay window.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: 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: $ 1,500.00
Owner: Contractor:
GENEVIEVE ROBB IN YOUR HOME
10875 SW HIGHLAND DR 16869 SW 65TH AVE #332
TIGARD, OR 97224 LAKE OSWEGO, OR 97224
Phone: 503 - 636 -0910 Contact #: PRI 503- 819 -0245
FAX 503 - 598 -7790
FEES Reg #: LIC 157737
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/17/2006 $62.50
[TAX] 8% State Surcharl 2/17/2006 $5.00
[BUPPLN] Pln Rv 2/17/2006 $40.63
Total $108.13
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 0 A e
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questio is to OU by
calling 503 - 246 -6699 or 1- 800 - 332 -2344. / • I '-
Issued By %a , � �� Permittee Signatur : UU
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.
•
Buioldink Permit p • $ t E �} FOR OFFICE USE ONLY
City of Tigard Dat /B d , 1�(6 Permit No.: k „zed 6 ad) d b'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re I rv/
Phone: 503.639.4171 Fax: 503.598.1({0 B 11 2006 iii it °? y Date/B . Other Permit:
Inspection Line: 503.639.4175 !J,� " Date Ready/By: M See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
CITY Uk II"
T �RiC SI ' ' REQUIRED DATA: 1 - AND 2- FAMILY DWELLING. _
El New construction CI 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION, work indicated on this application.
,o
,..42 and 2 -family dwelling CI Commercial /industrial Valuation: $ i 5b0 , ° r
ID Accessory building CI Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J 0 g1 S •t..J E-1--1 yt,..l,et-w,9- New dwelling area: square feet
City /State /ZIP: - 1The,. (p 2 9 i 22`f Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Cot l210Il, Covered porch area: square feet
Cross street /directions to job site: 5v1, ,e.., -F, I �- ■
� v l , ., . Deck area: 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 application.
R e�'La-c�e_ q )(. 6 1.1.) (k� Duo t,,, 1 ` A. u I.L_R_ y{r-e- Valuation: $
0
1 al �� K � Existing building area: square fee •
� New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: a. P_.1 e�VQ_ p tp(p . Type of construction:
Address: (5 1 1 W add Lo. -•oi Tetrtr Occupancy groups:
City /State /Z[P: L ( =s -vJ.e 3,b 001,2 X 1 "7 0 3 y Existing:
Phone: (rO?j) 4:, to -. eq (D Fax: ( ) New:
PLICANT .- 9 PERSON NOTICE
Business name: �t.d■ \-1190V 't r.. All contractors and subcontractors are required to be
Contact name: V t Q q�- �-�,�0 I p e licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / (p (o9 svi [,p s-1J- /A-1.).e_ 3 3 'L jurisdiction in which work is being performed. If the
City /State /ZIP: 1„6-� Q5- u.)-e �,p [42_ 9 -7p�js applicant is exempt from licensing, the following reasons
apply:
Phone: (51 3) 811 0 :, L - D 2y .- Fax:: (SO3) .i S —1 1 \.
E -mail: -Jlrl rfvl 1 I i h. ID l-
CONTRACTOR
Business name: - : yDVtr- II OM t°� BUILDING PERMIT FEES* '
Address: g"o- ` Q
Please refer to fee schedule.
City /State /ZIP: Fees due upon application //) 0 >3
Phone: ( ) Fax: ( ) .
Amount received
CCBlic.: I S1 -51
Date received:
Authorized signature: . This permit application expires if a permit is not obtained
p within 180 days after it has been accepted as complete.
Print name Q 1 " Q . I � � ' Date: y-) ( 7/6 / 6 y, * Fee methodology set by Tri County Building Industry
GGG Service Board.
I: \Building \Permits \BUP- T1- PeimitApp.doc 12/30/05 440 -4613T(I I /02/COM /WEB)
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1
Building Division
i'; ,7/1'y,"4f+ Plan Submittal Requirement Matrix
° � � U --� Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
. .Type of Submittal ' _ , ofPlans
(Includes new, additions and alterations.) " - � ' 'Required :
• - ' Submittal �'
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
•
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. •
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I:\ Building \Permits \BUP- TI- PermitApp.doc 12/30/05 440 -4613T(I I /02/COM/WEB)
' CITY OF TIG1&RD
BUILDING DIVISION PERMIT #: BUP2006 -00100
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1712006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4118/2006 TIME: 7 :05AM PAGE: Eo-
SITE ADDRESS: 10875 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD N0.13 LOT #: 684 TYPE OF USE:
PROJECT NAME: ROI3I
DESCRIPTION: Replace window wlbay window.
OWNER: ROBS, GENEVIEVE PHONE #: 603.636 -0910
CONTRACTOR: IN YOUR HOME PHONE #: 503 - 019.0245
Inspection Request Scheduled For: Date: 41/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 028202 -0'1 503.463.2997 N
Corrections /Comments /Instructions:
!/PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: < Date: 4-18- Phone #: (503) 718 - Z-4415—
- - t--
CITY OF TIGARD
. k.,
BUILDING DIVISION PERMIT #: Bup3806.00100
ISSUED:
13125 SW Hall Blvd., Tigard, OR 97223 DATE rlin(106
Phone: (503) 639-4171 4.7,110,0 i #
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:81Am PAGE: 79
SITE ADDRESS: 10875 SW HIGHLAND DR CLASS OF WORK:
SUBDIVISION: SUM1v1ERFIELD N013 LOT*: 684 TYPE OF USE: -
PROJECT NAME: Nom
PHONE #: 503-636-0910
DESCRIPTION: Replace window Win!" window.
OWNER: ROBB, GENEVIEVE
503-819-0245
1 CONTRACTOR: IN YOUR HOME PHONE #:
Inspection Request Scheduled For: Date: 2/27/2006 Pour Time:
.
Code # Inspection Description Confirm # Contact # Message
275 Framing 027595.01 503.453-2997 N
Corrections/Comments/Instructions:
,kl PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Date: •
1-x.4
Date: ./2 - / /0 ' , f',' Phone #: (503) 718- '
Inspector: ,
CITY OF TIGARD - 6 (4 P
BUILDING DIVISION PERMIT #: aOd -- OC / 0 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 awoop,iittljil VIZ/ 1.
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
/1_,Zediti_ez4,/d SITE ADDRESS: /0 b 7 s "" CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: ti■-_
Inspection Request Scheduled For: Date:3 / — 0 Raur e ' tr.
Code # Inspection Description Confirm # Contact # Message
Z , i yS3 —aRci 7
Corrections /Comments/ Instructions:
7./0-1.ei _azee.-442-64›,ezi (2 e i _., , -
P•
-h, Y 4 A , 0 - - .r 7
/7",i e e a,L' a- eoe
c'` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
(../,,
Inspector: ���� Date: 5 ` Phone #: (503) 718- --71Q,C