Permit 1 CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00428
Azo 014 DEVELOPMENT SERVICES DATE ISSUED: 10/17/00
`�'�' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12600 SW 68TH AVE PARCEL: 2S101AD -GONZ
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 033 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 4,500.00
Remarks: Frame for two new office areas
Owner: Contractor:
EQUITY GROUP INC. JOSEPH HUGHES CONSTRUCTION
7065 SW HAMPTON 7035 SW HAMPTON
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 620 -8134
Reg #: LIC 45645
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT CTR 10/16/00 $91.30 27200000000 Framing Insp
Gyp Board Insp
5PCT CTR 10/16/00 $7.30 27200000000 Final Inspection
PLCK CTR 10/16/00 $59.35 27200000000
FIRE CTR 10/16/00 $36.52 27200000000
Total $194.47
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 OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
\
Pemiitee
Signature: L //, / i.../44(
Issue • : y: 1_ , L l ' LL'iliL., ll
Call 639 -4175 by 7 p.m. for an inspection the next business day
Pr ( 7C exicLes. tesialioRP
. Building Permit Application
• Datereceived: /d04 da Permitno. :,djoOn .-00`11
, °_ �y« City of Tigard
- ^ Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receiptno.:
Fax: (503) 598 -1960 a /'99 - OD 03 5 Case file no.: Payment type:
Land use approval: l&2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration/replacement NI Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: 12 4 3 ` J 4 9 Ash : Bldg. no.: Suite no.:
Lot: 11,94, I Block:. (Subdivision: I Tax map /tax lot/account no.: 7 5/ f 4 a
Project name: 6& of fi
Description and location of work on premises/special conditions: Tuft r ?OAT OF oP dt% c-E ARE..4
I KTO 1 TWo OF-A c.f.i.
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Ciao r,t II ttwe . N 4 (Floodplain, septic capacity, solar, etc.)
Mailing address: Ay. /ow AI). ffereAP T NJ 1 & 2 family dwelling:
City: T 4 4410 IState: p t (ZIP: Valuation of work $
Phone: IFax: (E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: So5CAAF itu4N�NBS �kisT. Covered porch area (sq. ft )
Mailing address: 7o3S St.) 144 AP1vr4 Deck area (sq. ft.)
City: 71,60 I State: I ZIP: Other structure area (sq. ft.)
Phone: 6 7,4 7(40 Fax: . a sag E-mail: 146.cb•.e.lveb t,.,, . CCOmmerciallindustrial/multi- family:
CONTRACTOR Valuation of work $ H SOD
Business name: sq,h,,a An JN /Lvt...na rT Existing bldg. area (sq. ft.) I ),A o
Address: _ New bldg. area (sq. ft.) tY/
City: I State: I ZIP: Number of stories I
Type of construction U-t-I
Phone: I Fax: I E -mail:
Occupancy group(s): Existing: s
CCB no.: y d; & el t New: OA
City /metro lic. no.- I q 1 Notice: All contractors and subcontractors are required to be
ARCI IITELT /DESIGNER licensed with the Oregon Construction Contractors Boaid under
Name: /,d provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: A. Contact person: Fees due upon application $
Address: Date received:
City: State: IZ1P: Amount received $
Phone: IFax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard
work will be complied with, whether spec' ed herein or not. Credit card number E:
Expires
Authorized signature: Date: / 610/ Z-'^- Name of cardholder as shown on credit card
Print name: D tJ d.MS GH-tft.So Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/COM)
(at \ i n Ac e 62 / l o t3 QuFP�,../ S9, ?S /::f 9,,:.r_. 9i 3v
(. dt -f tr d � z._s 3G 5' 7R x 7. sa T2M
1 9s , a9 7 f- W.40 . /Y/7
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 o 0 UZi
BUP 0 `
Date Requested /z AM PM BLD
• Location f z CO G Sw Suite MEC
Contact Person Ph 5 ga " Y3 PLM
Contractor Ph SWR
431JILDIN ,› Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: 4 d �
Post & Beam G �� 2 SIT
Ext Sheath /Shear 7 t €7'4 '&9 e2 5 ( /- 412
Int Sheath/Shear
Framing
Insulation d - se - 2 4
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
t�� PART F
t- 1 = ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date / 7` U 0 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.