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Permit CITY OF TIGARb BUILDING PERMIT PERMIT #: BUP2005 -00519 z41 DEVELOPMENT SERVICES DATE ISSUED: 10/20/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1106C -10000 SITE ADDRESS: 12494 SW WINTERVIEW DR ZONING: R -7 SUBDIVISION: THORNWOOD PARTITION LOT: 001 JURISDICTION: TIG Project Description: 108sf deck REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: L/1 FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : 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: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Owner: Contractor: ISSAC BACKLUNG RICK'S CUSTOM FENCING 12494 SW WINTERGREEN DR. 4543 SW TV HIGHWAY • TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: 503 - 921 -1762 Phone: 640 -5434 FEES Reg #: LIC 50088 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/3/2005 $62.50 [TAX] 8% State Surchari 10/3/2005 $5.00 [BUPPLN] Pin Rv 10/3/2005 $40.63 Total $108.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul-,•:re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or dir • - tions to OUNC by calling 503 -246 9 1- 800 - 332 -2344. • Issued By: Permittee Signature`1/ ^ / Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. j Building Permit AD l TersR t !VE® t FOR OFFICE USE ONLY City of Tigard Received No 13125 SW Hall Blvd., Tigard, OR 97223 CT 0 4 2005 Plan R ev le V " O � 66, ,O 005-y? Phone: 503.639.4171 Fax: 503.598.196 / ' ../ I `�• Date 1 �R'� 0...-I$ ^D� Other Permit: Inspection Line: 503.639.4175 _ii ' ! Date Ready/By �`� / . El See Attached Checldist for CITY Internet: www.ci.tigard.or.us Y OF TIGARD "- . � /o /Pa 5 Supplemental Information BUILDING DIVISION E ' "'/ � J t TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY LLING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. faro �- and 2-family dwelling Valuation: S 0 6 y g ❑Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 19.2-1? 5-w (Ni✓v7%2 vrsitay.. OR, New dwelling area: square feet City /State/ZIP: :pi, k y o Q 6117z-7 y Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street /directions to job site: (- 5 h- Deck area: square feet /0 B Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. AO 5 4 A ."1 (c,,,Itn..? Valuation: $ Existing building area: square feet New building area: square feet JELPROPERTY OWNER I ❑ TENANT Number of stories• Name: tc>c7A_ L ackfvi. Type of construction: Address: Occupancy groups: City /State/ZIP: 7 61- 0 4 e Existing: Phone: (Cfp fit — I 94 Z Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: apply: Phone:( ) Fax::( ) E -mail: CONTRACTOR A. r Business name: (C. K 5 BUILDING PERMIT FEES* Address: Y5 3 S Eli, Please refer to fee schedule. City /State/ZIP: 1+:1 4 0 k 7 / L) Fees due upon application Phone: ( ) 6 ( — 5Z,t 3 y Fax: ( ) y Amount received CCB lic.: y0008 /� Date received: Authorized signature: !!!/// C This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name: I Date: * Fee methodology set by Tri-County Building Industry Service Board. i \ Building \Permits\BUP- TI- PetmitApp.doc 12/03 440- 4613T(11 /02/COM/WIB) Building Division " " I `111'1 Plan Submittal Requirement Matrix ,L -I Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at 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 3 ** 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 \Pennits \BUP- TI- PermilApp doc 12/03 4404613T(I 1 /02/COM/WEB) , CITY OF TIGARD ,_, ' " BUILDING DIVISION - PERMIT #: BUP2005 -00519 13125 SW Hall Blvd., Tigard, OR 97223 DAT ISSUED: 10/20/2005 Phone: (503) 639 -4171 hm 4 -'( f ib Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10A PAGE: 77 SITE ADDRESS: 12494 SW WINTERVIEW DR CLASS OF WORK: SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE: PROJECT NAME: BACKLUNG DESCRIPTION: 108sf deck OWNER: BACKLUNG, ISSAC PHONE #: 503 -921 -1762 CONTRACTOR: RICK'S CUSTOM FENCING PHONE #: 640 -5434 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 019172 -02 503 - 539 -4242 N Corrections/Comments/Instructions: 0 0 ' ---- - Lf - L---.t■_ ' _S -- "\.,...? A.._-rL_g_____k_ 4-- ------- 4. 1 ( 1 I, ( c „, di - 44 Q eat-e , OPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: k/0 Date: V Zqo < Phone #: (503) 718-