Permit BUILDING PERMIT
CITY TIGARD PERMIT #: BUP1999 -00188
1 DEVELOPMENT SERVICES DATE ISSUED: 5/12/99
13125 SW Hall Blvd.. Tigard. OR 97223 (503)639 -417 f 19, PARCEL: 2S101AA -09100
SITE ADDRESS: 12259 SW 69TH AVE � #1/
SUBDIVISION: WEST PORTLAND HEIGHTS �� ZONING: MUE
BLOCK: LOT: 030 JUI( DICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 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:
Remarks: Demolition of single family detached residence, approximately 1100 square feet, 2 outbuildings totaling
approximately 100 square feet. All debris is to be removed. Septic tank is to be pumped, filled and inspected.
Owner: Contractor:
SPECHT PROPERTIES INC BAUGH CONSTRUCTION OREGON INC
15400 SW MILLIKAN WAY PO BOX 14135
BEAVERTON, OR 97006 SEATTLE, WA 98114 -0135
Phone: Phone: 641 -2500
Reg #: LAC 000628
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Erosion Control Insp 844 -8•
PRMT DRA 5/12/99 $25.00 99- 315320 Pump /Fill Septic Tnk
Final Inspection
5PCT DRA 5/12/99 $1.25 99- 315320
EROS DRA 5/12/99 $26.00 99- 315320
ERPU DRA 5/12/99 $8.45 99- 315320
(additional fees not listed here)
Total $69.15
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 ,
Sign ure: �L i ✓, _ 14A,__
di Issu By: lik,
CaII 639 -4175 by 7 p.m. for an inspection the next business day
CITX OF TIGARD Commercial Building Permit Application Rec By
13125 SW HALL BLVD. New Construction and Additions Date Re 'd 5-1 9--9 9
Date to P.E.
TIGARD, OR 97223
(503) 639 -4171 P ere to Ds
Pem,lt* �P t4 9 y'cnl$4'
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Called
•
Name of Development/Project
Job T I &aiv1) 1)2.l (n lX�O Existing Building ❑ New Building ❑
Address Street Address , . '" Suite
r 21 5 iav 0""' Building
Z5gDt k C iia g
Bldg it City/State Zip Data NIA-
T1 b� 0 97/ Existing Use of Building or Property:
Name
Property �n
Owner Mai ing� Address Suite Proposed Use of Building or Property:
if469 KiIlik
City/State Zip Phone
ejea4tOkyl 00 VI ii No. Of Stories:
Occupant Name Sq. Ft. Of Project:
Name Occupancy Class(es)
Contractor 6 .0 �l�l
l0/1M --
Prior to permit Mailing Ad ss Suite Type(s) of Construction
issuance, answer f�
of all licenses v' 0( 7 (01
are required if City/State Zip Phone Will this project have a Fire Suppression System? +�
expired in C.O.T. r, av Q
database e G -70., t�/ , ` j r, � Yes ❑ No ❑ ) v
/ � Americans with Disabilities Act (ADA)
Oregon Const. Cont. Board Uc.# Exp. Date
Valuation X 25% = $ Participation /‘.) / _
(o 2 -1i •3l g/nrD Complete Accessibility Form /
Name Project $
Architect (-RS Valuation
Mailing Address / Suite
1 1 l `a 1'1) SO.t i r1MVA I tJ Plans Required: See Matrix for number of sets to submit
City/State Zip Phone on back
RIZ / 224 41 LI .
Engineer Name I hereby acknowledge that I have read this application, that the information
V vY► `
L given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
5 4) ' b 51.0 lid I4 Signature of Owner /Agent vg«+k Date
C" /State Zip q 2� `
i Phone u , j ,(` _ G 1 4
V i Q Vy e o�g -` �* 3 Con erson Na Phone
Indicate type of work: New 0 Addition 0 Demolition al 6/5 O S — C ` 3€e4L14- (#0 - Z7.1)1 - 761-q795
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair0 Other 0 FOR OFFICE USE ONLY
Description ofyror 110444 ,::.:1/0410 1 $ k Map/TL# I Land Use:
1 to rp- 15heoe & per, 2,000 Notes:
Parks: Estimated # of Employees A)) k TIF:
If the above figure Is not supplied at the time of application, the city will
calculate the fee based upon the number of park sg spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:\COMNEW.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
PIan Review is dependent upon submittal f BOTH othiiimatiitt5mitatattli
application. for ameleettidalAtibillittatthappittatiatt must con1an the
signaturoiotthe:::supervistnwelectrletartbeforeplarvrettlit will be coducted.
ttOtT)ONYgrgVt811PITr41.iiii:PAngiig*AMIFVF:::YititigetItAct the applioant to requet
adthtional plan sets or distnbution purposes (Copy Ibr Contrac
TYPE OF SUBMtITAL Plans ..................... .........
KEY:
Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2* Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
0r40.tianaeMitYMMINfiligf:11114111,
......................................................................................................................
.....................................................................................................................
. . . . . .
NOTES:
itigli.H
I:\dstsVormslrnatrxcom.doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
C � - —1 BAP lR •:� r 88
Date Requested �"1 AM PM BLD
Location 12 S ( (Q 4 Suite MEC APAI
� C�C. � Ph 1,Zej- -73 �1
Contact Person � 1 PLM
Contractor Ph SWR
�OiCb�II�G Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation n
Drywall Nailing �✓ �� �
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
46m. aunt)
Oft PART FAIL
PLUMBING
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 reinspe ion RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date • Z Inspector Ext
Other
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.