Permit CITY OF TIGARD BUILDING PERMIT
'> COMMUNITY DEVELOPMENT
BUILDING
BUP2018-00292
7113125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2018
T[ a 1 EZ•L9 Parcel: 2S112BD90131
Jurisdiction: Tigard
Site address: 14655 SW 76TH AVE 13
Project: Timbercrest Condos Subdivision: TIMBERCREST CONDO Lot: 13
Project Description: Fire damage repair: Replacing trusses,roofing,attic insulation,and drywall.
Contractor: KENNEDY RESTORATION Owner: SCHWARTZ, KIMBERLY A
315 SE 7TH AVE 14655 SW 76TH AVE#46
PORTLAND, OR 97214 TIGARD, OR 97224
PHONE: 503-234-0509 PHONE:
FAX: 503-234-4479
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/25/2018 $301.85
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 10/25/2018 $36.22
Dwelling Units: 0 Plan Review 10/23/2018 $196.20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/25/2018 $120.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 10/25/2018 $12.50
Value: $14,754 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $667.51
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
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co s or direct questions to OUNC by cal' • 03. 1987 or 1.800.332.2344.
Issued By: Permittee Signature:
v x(66
03.639.4175 by 7:00 a.m.for the next available inspection date.
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
IOR()1I1( 1 1 '} 0\1 %
11111 City of Tigard _ ;r C . , f
4 13125 SW Hall Blvd.,Tigard,OR 97 b !� fr_� a/ I /. r
g "Y5" Plan Review;
: II Phone: 503.718.2439 Fax: 503.598.1 tiate/B ; ®— v Other Permit:
Inspection Line: 503.639.4175 2� k 1 E ��
I 1 c.,A K 1) Date Ready/By: 0 See Page 2 for
Internet: www.tigard or.gov OCT 23
2018
Q18 Notified/Method: PIM Supplemental Information
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0 New construction V jilt” ll. , s 1 ,, Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other Restoration
;5- -44%4444-
., ,. V !� � r h equipment,materials,labor,overhead,and the profit for the
14:t„ 4 -.4e,7„.-4 r t rtrrvI r work indicated on this application.
I-and2-famil dwellingValuation: S
® Y 0 Commercial/industrial 1�1 7 y0on
0 Accessory building 0 Multi-family Number of bedrooms: _,
❑Master builder 0 Other: Number of bathrooms: A
rx ;',--`` )R:, .+ `.`� �„t ' ' e°s';, ;, z44 Total number of floors:
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Job site address:14655 SW 76th Ave#13 New dwelling area: ..,. square feet
City/State/ZIP:Portland,Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 13 I Project name:Timber Crest 41.j./r i, Covered porch area: square feet
Cross street/directions to job site:Bonita Rd `'� Deck area: square feet
!!gyp 1^C- it.‘raorr mfri.e.isii
IC_ Other structure area: square feet
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