Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00147
,; �, DEVELOPMENT SERVICES DATE ISSUED: 4/7/03
,.� I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11308 SW 68TH PKWY PARCEL: 1S136DA -00100
SUBDIVISION: ZONING: MUE
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE : sf N: S: E: W:
OCCUPANCY GRP: B 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: 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: $ 2,495.00
Remarks: Alteration to existing fire alarm system.
Owner: Contractor:
BENSON CAPITAL OREGON ELECTIC CONSTRUCTION
1708 3RD AVENUE 1010 SE 11TH
NEW YORK, NY 10017 PORTLAND, OR 97214
Phone:
Phone: 503 - 234 -9900
Reg #: LIC 203
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 4/7/03 $72.10 Fire Alarm Insp
[TAX] 8% State Tax 4/7/03 $5.77 Final Inspection
[FLS] FLS Pln Rv 4/7/03 $28.84
Total $106.71
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 -0 10 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
cal ' g (503) 246 -6699. r 1- 800 - 332 - 344.
y, /�
L
ssued By: Dy U/
S tee
Signature: � ��n,_ -et/421P
Call 639 -4175 by 7 p.m. for an inspection the next business day
113 g347-2 0 03 014#11 " FROM-OREGON f
ZEGON E ESTIMATING +5032313587 T-019 P.002/002 F-998
tire Protection System , i
. wilding Permit RIFAlitikn 1-(11Z
Buildnig A a
• . 65 Permit No.! War e, -00 4/
City of Tigard • MAR 27 2003 Plaguing Approval
Ft No.
13125 SW MU Blvd.
CITY OF TIGA o Plan Review Other
Tigard, Oregon 97223 ING DV - • Dato/11 . . Permit Pio.:
= SOS-639-4171 Fax: 560)1R1960 ' 'l ' ,‘ . 1 i ' Post-Review LW Usb
www.cialgantorms --I' !II' - --- Cn=
24-hour Inspaction Request S03-6394175 Narneftdctbod:
Maahrtiffiffrani7t7==i4.' .: ; . !IP' 3 .1 1 t / A:54,J31 & ZygOvi:i.t
1111 New construction I M Demolition (SA. )1 1, : - ;., , , ,,,, f ' ``1 : , '' ; • leigi 41'
ret • .:....... ,% ' .;'.. .,..• I .... ,-.." '..'... ILI 1 tar lialtrOZI.;,:;
I Pl Addition/alterati- - • lecement ill Other
Er Nolo, Parmit tem* ere bawd an the Total value Grille work performed. lndiceto
11 & 2-Fenul dwe I. : iel-Commeroisandustrial dlo value Oculist's( to the =eat Mk* of all Itquipment. batorielk Mot,'
• • :
overhead and profit for the walk indicated on ids application.
I Access° : • ' • IIMI ulti-F , • •
ill Master Builder 11 Other ..... ----------.- $
gralawmitcurliii779 7. j,vs i. No of bedrutnas; No of bathic_
Job site address: Arli _ ,, - 7, Total number of floors... .......... ........------
New dwelling area OR ft)
Suite #: !wrii Bld , ./Apt.#: Garagricsrpart area (sq. ft.) ..........
Pro'cON •• -: 1 - - --- ed." Jr F- 'LI i " ,-, ' Covered porch area (sq. 1 . —....
' Doss areet/Directions to job site: Neu area (q. It).
Other structure area (sq. ft.).
k . ,
f 4 ,t , w.,!• , -.- . - t .. j : i ,,
.... - ...1 1 ,%1. --- , :. - -,-.. " -1',
Subdivision: Lot it:
tax ma ...j • , • #: New Pond( fees* =based all the total value of dm worlcperformcd. Indiana
anggi:141- : 7 7=7.7::; the v alo Oclooded T° 63 umwdollod doll eqdpnwnI. =sena% labor;
overhead and profit for de work hulk :sled On ais apitlioadon-
jgraZir '7
.;° at .Y4/7/144 Valuation-- 2 7 N e- d )()---.
Existing budding ates (sq ft.)
New building area (sq. ft.)— ...."
Number of stories. -
i ri 1 . 7 F a i:r..] 2 Ll rd■j:'' 1 -{' (1 ' .. TN* of cansiturdan- ••••••■••• ..... •••••••••
Name: 0 / / r'r '=L7r1 " occufancY8roulgs):
- v :
Address: / - .... : New
4 6SI 'Air /AA
.---
CiV/ ,; i Zip: oo,..
Male: Fax: NcrucE; All eeeitsaetors and subconmictora are required to be
oriiblieemed the Omen Constzuction Ceensastors Board under
i171.:T:-1,-,,i_4%{1;%111.!1..71!;!rt-TiTi-33-'■.1:1-.7:,7_,:1,5,7L5-YrRj orprovisions ORS 701 and brely be requited to be hccond in the
Business Naine:04t jurisdiction where work is king peefisrsoad. Wee applicant is exempt
c ontac t N ame: - ,1 Pr agr from licensing, the following reason applies:
Address: 0 0 _,..il5Wg..e22111.11N=
Ci Ataterii • : iit-ffi/TA 0 I WA I OriMr2 I -
p - "
ilu±v ' ,...,, " • T : ...-)
••• r r:[ ;\ 'l el 1 , L.i i _,_.',, r7_,rr c i i. V r:, mii) 1 ■ ...4. r e
na+ . e. , 11.7.:e a rn'grc.11173:REIFIN V . . .r■ .." • ., 1 !.:4: Ltkilaikt4■ .. . ' .II.‘ t Aal 1 ,,.
Business Ngmierei • tk/SaReMOMM Fees duc upon application. /ak7 sl
Address: i • - ffs'iVfe /0 - ,
Ciy/Statealp: 4 J 1 c a 9?-./ ........ived. .... #
_ . pax. -AL1 --A. ---A__ Data received: -- 0 7/.3
cc Lir. ;MEG'S_ _ ,
•
Authorized frit / ce Nodes Mk permit apnrutadon expires lie pond, le uot obtained vdtbin
sigma= . 1 .......g.a....r......_ . Dego' 180 days alter It bas been ageoptod ;a =MOM
- 7 -
i.r /i ii / / . *Tee methodology so by Tr142nouty Buikfing Industry Service Board.
(Please print nsinb)
MusWerrnit P'orrnsedgrantitApiulos 01/03
CITY OF TIGARD ` 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP '1003 -C90 / 1
Received ` I " 1 Date Requested ( v � AM PM BUP
Location j 3 S 69 -L,)4 Suite MEC
Contact Person jO k Ph ( ) 'f 21t 7 PLM
Contrac • e `C.. Ph ( ) SWR
= UILDI Tenant/Owner ELC
rooting
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing pp
Insulation 14ovv/ 4--yo P + t S - € as r O 7'
Drywall Nailing
Fir all r V l a 5 ea Or ( , a o r
� �J
it J
Susp'd Ceiling
Roof
Other:
PART FAIL
= ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line 1/ Date f v - t0 3 Inspector 4v Z.-4 e xt
Approach/Sidewalk y �
Other: /
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVIS IO_N Business Line: (503) 639 -4171 BUP ' _
—7 00 7
Received ►1 30 A. Date Reques d � tte p d �" � / '� /� AM • PM BUP
Location / (3 Dg' G ' Suite MEC
Contact Person - In.t,"34e Ph ( ) 57/ PLM
Contractor —� Ph' ) SWR
BUILDING Tenant/Owner ' • / ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing /°9l
Firewall
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
O =•
PART FAIL
' " �l''- ING
Post & Beam
Under Slab •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA D Z t 1 3 Inspector Ext
Approach/Sidewalk �
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL