Permit •
i• 1L r
CITY T I G® D SITE WORK PERMIT
' ��'A DEVELOPMENT SERVICES PERMIT # : SIT2005 -00008
o�I� DATE ISSUED : 5/9/2005
- -� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL : 25101 BC -02501
SITE ADDRESS: 08100 SW HUNZIKER RD ZONING : I -L
SUBDIVISION: LOT: JURISDICTION : TIG
Project Description: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
CLASS OF WORK: FPS PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 54,500.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner:
FEES
PALMER G LEWIS COMPANY Description Date Amount
PO BOX 1041 [BUILD] Prmt Fee -Valu 3/29/2005 $498.15
CHESTERFIELD, MO 63006 [TAX] Valu 8% State Surcha 3/29/2005 $39.85
[FLS] FLS Pln Rv 3/29/2005 $199.26
Phone: Total $737.26
Contractor:
KEN LEAHY CONSTRUCTION INC
PO BOX 489
CORNELIUS, OR 97113
Phone: 503 - 357 -2193
REQUIRED ITEMS AND REPORTS
Reg #: L I C 44159
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: 5 Permittee Signature: _.L2x. A
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.
,4 04 5& 0A.1;/ r
Site W rrk
Building Permit Applicat r , -- k 1 A r _,> FOR OFFICE USE ONLY
City Of Tigard Date /B V J i C Permit No.. _- - -_ _ .
13125 SW Hall Blvd., Tigard, OR 97223 P lan Rev
Phone: 503.639.4171 Fax: 503.598.1%0 . � � �trI .3 ! Other Permit: � � drf4
t Date/By:
Inspection Line: 503.639.4175 " •. o Date Ready/By: p - El See Page 2 for
Internet: www.ci.tigard.or.us ,, . o . -:`�ty Notified/Method: 7 � 0) �l 1 Supplemental Information
7 /
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING rt
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. ?_
Indicate the value (rounded to the nearest dollar) of all T
❑ Addition /alteration /replacement Other: equipment, materials, labor, overhead, and the profit for the q
CATEGORY OF CONSTRUCTION work indicated on this application 1.
El 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: �'
JOB SITE INFORMATION AND LOCATION Total number of floors:
el
Job site address: t t 6(_, .Nt it/ 1,,66.1,... - i-- '( New dwelling area: square feet
City /State /ZIP: (j - 1 6 1 , r -12.' Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job sie: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: U....r �{ // 1 ` Lot no.: Permit fees* are based on the value of the work performe
- 7 a (? - ,- % Indicate the value (rounded to the nearest dollar) of all
fax map /parcel no.: A ,„,... �. 1"? 2, ( equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
, - � Valuation: $ :' ((j
i , .
- Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: E ,,,-. 7 Type of construction:
Address: �� 6‹._., 4 1 ---' ',—�
City/State/ Z11/ � 111 Occupancy groups:
� ��� ( StbliVri.4
� - Exist ing:
Phone: ( ) Fax: ( ) New:
APPLICANT CONTACT PERSON NOTICE
f(� Business name: ` , (( `' All contractors and subcontractors are required to be
Contact name: iVi t )(4,,, VIA v9 ,, licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: a -I ,ry), VA V.,;12( (_t,4 jurisdiction in which work is being performed. If the
l , y / 1 - applicant is exempt from licensing, the following reasons
City /State /ZIP: i.� - t ej -�- { e C , 6 1 - 7 y apply:
Phone (L /5) * V1/2.- .L -/ ' Fax:: c;Q,:7) /' CF (j. 3
E -mail:
CONTRACTOR
Business name: .cL
'� , \
v, ` C C� ■h��C `� � .L
BUILDING PERMIT FEES*
Address: I !7. ---. 0 fx y
t Please refer er to fee schedule.
City /State /ZIP: C 0 T i ` `� q 711
S Fees due upon application
Phone: ( ) Fax:( )
p Amount received
CCBlic.: c��//55 e,..• ) - , - U
,� V .:C Date received:
Authorized signature: _, t 11, 7 „..._ This permit application expires if a permit is not obtained
" within 180 days after it has been accepted as complete.
Print nam e! /I ;i " ,_ j,',/, (-4,./..-j (-4,./..-j Date: r (� �-- * Fee methodology set by Tri- County Building Industry
I Service Board.
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i:\Building\PermitS \SIT- PermitApp,doc 12/03 440-4613T(1 1 /02/COM/WEB)
CITY OF TIGARD
BUILDING 'DIVISION PERMIT #: SIT2005- 00008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2005
Phone: (503) 639 -4171 4740,1
Inspection Requests (24 Hrs.): (503) 639 -4175 .414-
INSPECTION WORKSHEET FOR DATE: 6/2402005 TIME: 7:09AM PAGE: 9
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak
OWNER: PALMER G LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN • . PHONE #: 503357-2193
Inspection Request Scheduled For: Date: 6/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply Tines 010121 -01 503 - 519 -4652 Y
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Corrections /Comments /Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OW Date: ,2- hone #: (503) 718-
CITY OF TIGARD
BUILD' PERMIT #: sIT2005 170008
13125 SW • II Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005
Phone: (503 .639 -4171 :
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Inspection Requests (24 Hrs.): (503) 639 -4175 �..��!+�. - _.':.:�,
INSPECTION WORKSHEET FOR DATE: 6/23 /2005 TIME: 7:10AM PAGE: 9
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER G L_VIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503 -357 -2183
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 01000&.01 503-5144652 Y
Corrections /Comments /Instructions: WIEW/X+1—
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❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIS.NAL F ES ASSESSED
1 �' 1 -
Inspector: 41_ Date: r (9 Phone #: (503) 718-
CITY OF TIGARD
BUILDING 'DIVISION PERMIT #: SIT2005.00008
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/9/2006
Phone: (503) 639 -4171 * i iI I � +
Inspection Requests (24 Hrs.): (503) 639 -4175 ,`:_..
INSPECTION WORKSHEET FOR DATE: 6/22/2005 TIME: 7:28AM PAGE: 81
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIt,ARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER (3 LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503 -357 -2193
Inspection Request Scheduled For: Date: 6/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 009849.01 503.5194652 N
Corrections /Comments/ Instructions:
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❑ PASS F PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
— FAIL El CALL FOR INSPECTION ❑ ADDITIONA EES SSESSED
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Inspector: Date: t one #: (503) 718-
CITY. OF TIGARD
BUIL®ING ®NISI ®IV PERMIT #: SIT2005- 00001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005
Phone: (503) 639 -4171 Avq t
Inspection Requests (24 Hrs.): (503) 639 -4175 I �
INSPECTION WORKSHEET FOR DATE: 5/25/2005 TIME: 7 :12AM PAGE: 19
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER G LEWS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503-357-2193
Inspection Request Scheduled For: Date: 5/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 SprinWer supply lines 007713-01 503-519-4652 Y
Corrections /Comments /Instructions: (Y
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i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIO■ AL FE' ASSESSED
Inspector: Date: 05 #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 31T2005- 0001)8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005
Phone: (503) 639 -4171 Ati
iiy
Inspection Requests (24 Hrs.): (503) 639 -4175 �..'!0: >_:�'
INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :O13AM PAGE: 26
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replac :es BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER G LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503 -357 -2193
Inspection Request Scheduled For: Date: 5/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.420 Sprinkler supply lines 007502 -01 503. 619.4552 N
Corrections /Comments/ Instructions:
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n PASS T4RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: Date t✓ D Phone #: (503) 718-
CJTYQF.TIGARD .
BUILDING DIVISION PERMIT #: SIT2005 OOOt)8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005
Phone: (503) 639 -4171 .a ill
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!+� �'I
INSPECTION WORKSHEET FOR DATE: 5/17/20 TIME: 7:11AM PAGE: 9
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005"00121. Replace existing fire water line due to leak.
OWNER: PALMER G LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503-357-2193
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 007055 -01 503 - 518.4552 N
Corrections /Comments/ Instructions:
1
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■
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 )
Inspector: M an Date :S t Phone #: (503) 718 -
II
CI, OF TIGARD
BUILDING DIVISION PERMIT #: 1T2005 0000 8
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/9/0005
Phone: (503) 639 -4171 ������
Inspection Requests (24 Hrs.): (503) 639 -4175 __' R__..
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7 :09AM PAGE: 14
SITE ADDRESS: 08100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER G LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503.357 -2193
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 006956 -01 503 - 519 -4652 Y
Corrections /Comments /Instructions: ( Y iktu E( C
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-- e(u_te
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PASS Et--f APPROVAL 0 CANCEL D NO ACCESS
_ FAIL 11 CALL FO ^ INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ark " Date: `� C :''—..-..-- f ---3 hone #: (503) 718-
CITY._QE.TIGARD
BUILDING DIVISION. PERMIT #: SIT2005 -00008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2005
Phone: (503) 639 -4171 Alk
� � Inspection Requests (24 Hrs.): (503) 639 -4175 'ill..
INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7 :08AM PAGE: B3
SITE ADDRESS: 09100 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD DISTRIBUTION CENTER
DESCRIPTION: Replaces BUP2005- 00121. Replace existing fire water line due to leak.
OWNER: PALMER G LEWIS COMPANY, PHONE #:
CONTRACTOR: LEAHY CONSTRUCTION INC, KEN PHONE #: 503-357-2193
Inspection Request Scheduled For: Date: 5/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 006683 -01 503.519-4652 N
Corrections /Comments /Instructions:
-1F,. / A NO -s4 V, ■ ∎ lr :A.d®.'
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
IA f �
Inspector: 0 i v Date:S7 Phone #: (503) 718-