Permit C ITY OF T BUILDING PERMIT
PERMIT #: BUP2002 -00083 SSUED: 5/29/02
� DEVELOPMENT SERVICES DATE I
r�' II 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 12259 SW 69TH AVE PARCEL: 2S101AA -03800
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 021 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ACS 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: NONE 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: $ 6,600.00
Remarks: Installation of a prefab smoking shelter
Owner: Contractor:
TIGARD CORPORATE CENTER ES&A SIGN AND AWNING
LTD PARTNERSHIP 1210 OAKPATCH ROAD
ATTN: GREG S�PREC�HTT EUGENE, OR 97402
B Pfione T 503'-684-5336 06 Phone: 541 - 485 -5546
Reg #: LIC 145755
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PLCK CTR 3/8/02 $71.83 27200200000 Final Inspection
FIRE CTR 3/8/02 $44.20 27200200000
PRMT CTR 5/29/02 $110.50 27200200000
5PCT CTR 5/29/02 $8.84 27200200000
Total $235.37
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 -6699 or 1- 800 - 332 -2344.
Pe mn ittee
Signature: t
Issued By: � Lx..........,, 6 l t....A.),
Call 639 -4175 by 7 p.m. for an inspection the next business day
- -- -- - ., 4 00 2
s /,3/ .
Belding Permit Application •
City ® Tigard received: - � 4,
1 • Panic ne.: t7 7.
- '
City ofTigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl. no.: Expire date:
•
Phone: (503) 639 -4171 Date issued: • By: Receiptno.: •
•
Fax: (503) 598 -1960 Cssc file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex: .
TYPE OF. PERMIT
• O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family Xi New construction 0 Demolition •
O Addition/aiteration/rcpIacement 0 Tenant improvement 0 Fire sprinklerislarrn 0 Other:
. JOB SITE INFORMATION
Job address: j LZ 5Cj 5t,t Z to ci Si -- T (L.-A-404 oQ. ( 11Z - Bldg. no.: a Suite no.: -
_ Lot: 1 Block: ]Subdivision: ,Tax map/tax lot/account no.7 $10 IAA – bp
Project name: 11)I•t50•4kln 0..R.E71r S1y1Dl(-(N 5I t`L.TE .
Description and Iodation of work on premises/special conditions: N5 17 ..1... 6' i 12- e �/1 id& Strk Z � i ti!
___. ..n -t_�, n2 ; ft! pI. azz) /'cwt' ,i Pt PER.5
FOR SPECIAL INFORMA l ION, I :SE C1lECKLIST
• co (Floodplaiu. .optic capacity. solar, etc.)
k Sr 1& 2 family dwelling:
te0P- IZIP: 92-2-3 • Valuation of work $ _ .
Z} E -mail: No. of bedrooms/baths _- __- _- .............. . -____ /
2_ _______
Total number of floors ....__ -... .......... ... I
0.00 + % E-mail: New dwelling area (sq. ft)
119.34 x Garage carport area (sq. ft.) ..
3 • _ +J (7-- Covered porch area (sq. ft.) .... __ •
42 / 7 26-11 * ED Deck area (sq. ft) .. .____ .. _
atez Q.( ZIP: etepiv i Other structure area (sq. ft.) .. --
• i3 E-mail: Commerdal!mdttstthllm dti- family:
Valuation of avork.._..— . r..__ ................_ $ _ ( 44901)
.
Existing bldg. area (aq. ft) -
119 • ) .�W ,L' : rJ �- .— __
34 x New bldg. area (sq. ft.) __._ ..................... / 7/0 1 Qi Fr
• - Number of stories . l
p 358 . 02 ) ; r E- tna �
`� Type of construction .... - __ H 074146141 5S
CtZa f GL.L - Occupancy grooms): Existing:
• New:
• Notice All contractors and subcontractors are required to be
sit': N t _ R licensed with the Oregon Construction Contactors Board under
provisions of ORS 701 and may be required to be licensed in the
. jurisdiction where work is being performed- If the applicant is
City: Statc'�ZIT� exempt from licensing, the following reason applies:
Contact person I Plan no.: .
Phone: Fax: E -mail: •
Name: ti j /a • Contact person: Fees due upon application S 1 •
po appli .......
Address: Date received:
City: 'State: }ZIP: Amount received
Phone: (Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Nat au jurisdictions R aada ands, sem ea 1ud+d¢ ban far ZOOM information.
attached checklist All provisions of laws and ordinances governing this 0 vsa 0 MastaCaed
work will be complied with. whether sped herein or nor_ Ccoott cacti c F 12O 0010 ( 324 - 5 // / 3GY 0,2-
/� 't df d' .i 7 All' K2/ _ Zl1
Authorised si � a
_G 1 mod.' : 2[ N ocftw a6oro m and
?riot name: l �+14?v i r1 ..2.7c. i1e?. , �— Pi�� �: e. i ,�v t/ i- adb-' • $ ! I b •U I
PO°� SON= A
Notice: Ibis permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete, 4404613 (6433C0M)
CITY OF TIGARD 24 -Hour -
BUILDIiIG Inspection Line:. (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171
0m413.biaszeoz.60.43
Received Date Requested 7-3- ° AM PM BUP
Location 12 4'1 7 efw 6 Suite MEC
Contact Person gbiA s ( %o 1c CAL d i Ph ( y 1 ) N G PLM
Contractor Ph ( ) At+ /v Y SWR
C olt Tenant/Owner ELC
Foundation �R l ELC
Ftg Drain ' , Access: ELR
Crawl Drain .
Slab 0 , Inspection Notes: (? \ ( SIT
P & Beam 1 `� •
Shear Anchors4
Ext Sheath/Shear
Int Sheath/Shear l /
Framing CIL tx
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
4 PART FAIL
P I = ING
Post & Beam
Under Slab -
Rough -In !�)
Water Service r
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA /
Approach/Sidewalk Date .-2
Inspector \/ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL