Permit •
BUILDING PERMIT
CITY OF TI ��~� � nw�m��' nu����mw�
DATE ISSUED: 02/12/96
•COMMUNITYDEVELOPMENT DEPARTMENT
1o1o5mW Hall owm Tigard, Oregon 97223.8199 �oo mom���n
� ' PARCEL: 2S111BD 02200
SITE ADDRECS...: 09735 3W PEMBROOK ST
SUBDIVISION....: CLOUD CAP ZUNING:R-3.5
��
LOT . ~4
-------- ---------------------------------------------------
REISSUE: FLOOR AREAS------'--- EXTERIOR WALL CONSTRUCTION•
CLASS OF WORK.:REP FIRST ^ 0 S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf T OPENINGS?--------'—
TYPE OF CONST.:5-1HR ...: 0 sf N�� S: E: W:
OCCUPANCY 6RP. TOTAL------: 0 sf ROOF CONST:AFIRE PET?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RA7ED:
6TOR.: 8 H[: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS-------- REQUIRED-------------------
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: 0
Remarks: TRUSS & ROOF SHEATHING REPAIR, REPLACE TRUSS COMPONENTS AS NEEDED,
FRAMING, RAFTER TAILS, DRYWALL AND INSULATION MAY NEED REPAIR.
Owner: -------------------------------------------------- FEES --------------
JAMES SCHUCK type amount by date recpt
3625 45TH AVENUE, NE PRMT $ 0.00 JMH 02/12/96 FUND 12
SALEM OR 97305
Phone #: 503-363-2156
Contractor: - '''---- -- '--' ----'------
J W SCHUCK J W BUILDING & SUPPLY COMPANY
9735 SW PEM8RUUK STREET
TIGARD OR 97224 ------------------------------------
Phone #: 503-363-2156 $ 0.00 TOTAL
Reg #..: 59959
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the reulations contained in the Post/Beam Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Framing Insp
approved plans. This permit will expire if work is not started Insulation Insp °
within 180 bays of issuance, or if work is suspended for more Gyp Board Insp/77attkil
than 180 days. Rain drain Insp
—
' '------'o� -----------
Final Inspection
� -_---_'_------_--_-_ --__----_--'--_'----'_
��) '- ------------
Peru�ittee 6ig ' .... _
�� ___-_-_-__-'----_--- -_--'----_'-_'- Issued By: - --_--_----_-_-___-_' --__ _--_----_-_- -
mr Call for inspection - 639-4175
au - ��~[_� � x � ^
'
. Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: 77 is 51,-,d / I try ,. k 1.
Office Use Only
Subdivision: Lot #
Valuation: tl l / U Contact Date / / Initials
i Result
New Construction Only: (Square Footage) Planck/Rec #
Permit #
House: Garage: Reissue of
Map &TL#
Corner Lot? Y N Flag Lot? Y N Zone
Owner: 1./n1 to S E e Plat #
Address: 9 7 3 S '-P, , Approvals Required
4
-�" Planning Setbacks Solar
/ A i r f 1 M 8 4 - , ' « ' 7 l • Engineering
Phone: ( -, 3 ) ( )' q , -> _ 1 7
Other
Contractor: 6 - . 1 " . • 1. • A ,,. ,' ! / A) / �. �4 a Items Required.
3 �- „.. Subcontractors
Address: --� /t/
T russ Details . .
Other
Phone: ( 3 (+ 3 - / S Notes
,.
Contractor's License # 5 q .5 4 9P
(attach copy of current Oregon license)
Contact Name: .7,4 -M: 5 w • S"e / e 4-
Contact Phone: (.S03) . 4_3 - /..
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical: /
(attach copy of current OR Contractor's License)
Phone: ( ))
JOB DESCRIPTION: / -c�t.- 0.) ,i ... or,.-r. oe.-
i
/ Ailfte.-r y- /4f- 4.. .o ' . '.4-, (53) &37'73i7
Applicant Signature Applicant Phone number 64..
"10 Received by: Date Received: 3
XibgvndhtsUesapp
Permit $ Account Descsipdon Amount Amt Pd. Bal. Due
Bldg. Permit (BUILD) , -
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
4
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-1S)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
4/24/00 Activities for Case #: BUP96 -00071
5:22:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA007 Application received 2/12/96 JMH RECD J'H 2/12/96
BUPA008 Permit created J *H 2/12/96
B UPA710 Post/Beam lnsp • J'H 2/12/96
BUPA720 Mechanical Insp J *H 2/12/96
BUPA725 Framing lnsp 2/14/96 KS DIS • TLP 2/16/96 #-1- roof truss not installed at '
this time: call for inspection
• when completed
BUPA740 Insulation lnsp J *H 2/12/96
BUPA745 Gyp Board Insp J *H 2/12/96
B UPA755 Rain drain lnsp J *H 2/12/96
BUPA799 Final Inspection J'H 2/12/96
BUPA090 (F) Issue building permit 2/12/96 JMH PASS J *H 2/12/96
BUPA080 (F) Ready to issue 2/12/96 JMH PASS J *H 2/12/96
BUPA090 (F) Issue building permit 2/12/96 JMH PASS J *H 2/12/96
BUPA726 Framing <REINSP> 2/16/96 2/15/96 TLP PASS TLP 2/16/96
• BUPA150 Expired by limitation 4/12/00 HAP DONE No Hold AKJ 4/12/00
•
Page 1 of 1
•