Permit BUILDING PERMIT
CItY O TIGARD PERMIT #: BUP2002 -00084
��u7 DEVELOPMENT SERVICES DATE ISSUED: 5/29/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12447 SW 69TH AVE PARCEL: 2S101AA -09100
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOC 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 LP ES&A SIGN AND AWNING
15400 SW MILLIKAN WAY 1210 OAKPATCH ROAD
BEAVERTON, OR 97006 EUGENE, OR 97402
Phone: 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 $235.37
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe mi ittee
Signature: -----
I #
Issued By: f ` / A(Z
Call 639 -4175 by 7 p.m. for an inspection the next business day
,.. yr 11trynL `goo2
•
5//3/o 2_ CI
B g Peru Ap
D Permit no ` _O O 85
. `';.. :i'l ' City of Tigard '
Ciry of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl_no.: Expire dam: •
•
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1&2 family: Simple Complex:
TYPE OF PERMIT
•
0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi-family di(New construction 0 Demolition •
O Addition/alterstion/rcplacemeat O Tenant improvement 0 Fire sprinkler/alarm • 0 Other_
JOII SITE INFORMATION •
Job address: l2 441 64 (A I'K 5r. - ri rpr2a• I oft_ G - 7 - 2.- - 7-3 Bldg. no.: Suite no.: '
Lot: Block: Subdivision: • Tax maphax lodaccount no.:2$ a //A_ pct 1 „
Project name: Imo, i . p t 1 •64N A A Es ',a .2 _ _
Description and location of work on premises/special conditions: INS TA (o' Y 1 Z 5 /,hOK_./ AS&- Sit -a i f"-, /&J
)' 4 -iG ti C; Lo 7 W r nt Sti Z. e .1A:13/A16— ?/l,4rr�rl a �v,r.r P AR
OWNF•ti • FOR SPECIAL INEORM. rtON. USE C1I1.CKLIST
Name: 14q,/Se. 1.1s 1 ' 1 ) r • ( floodplaiu .ccptic capacity, solar. etc.)
Mailing address: " 2 q >k r. 1 & 2 family dwelling:
City: -p {) State:0 P 6 "7"2,2.. Valuation of work....... _.... _. 5
Phone: -i0:y -(¢a - Fax: ( -20et E -mail: No. of bedrooms/baths _ - -__ _.. ___
Owner's representative: 0 A i. `L . Total number of floors ...__-
Phone: • ', P„„ .. _r - (pg , 7) E -mail: New dwelling area (sq. ft.) - ........... .. . ..
APP LIC ANT Garage/carport area (sq. ft.) . - -
•
• Name: =-1 • A- S (1.:rX i 1.1-N/12_33.4.)/4 1 i f4..-- Covered porch area (sq. ft.) ...____
Mailing address: 1 v G • '11 r it ;.r Deck area (sq. ft.) - _
City: State: ZIP;.j Other structure area (... ft)
Phones, i . t - Fax: S 5 - S$( E-mail: Co materdallmdustrfsimulti- family:
CONTRACTOR Valuation of Work...._ _ ._ - - -_... ._ $ 00
Business name:- =s - 4 - sl &.J A J) ,>a-1 cf du; n.1 C— Existing bldg. area (sq. ft) _.
No
Address: 124 0 0A 104--17.41-1- (L-t� w bldg. area (sq. ft) ....__�....... ... r7� S4 Pr
City:(, j L' j E I State: 0/1. ZI to l �Jti"L Number of stories __ ......_.....__._.. ...
Type of construction - __ /Nt JGG�
719t i
Phone:t1l -il €15 --W4G I F -5 ,14 E- mail: ___.___-. .._ group(s): Existing:
Ca no.: 1µS7 • New
City /metro lie. no.: 1-5 • Notice: All contractors and subcontractors are required to be
V t C 11 t "f ECT/ D ES' C ER licensed with the Oregon Construction Contractors Board under
Name be 1 /a- 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 Z1P: exempt from licensing, the following reason applies:
Contact person: _ Plan no.:
Phone: Fax: E -mail: •
FNGIN1
• Name: 1, Contact person: Fees due upon application _. _. -___. $ i 1 in , o "3
Address: Dam received:
City: 'State: IMP: Amount roceived _...__..,.. _.___ $ MO b . 03
Phone: J Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not .u; mew mom a++.t ea jeeiseeocin far moos iattrmanao.
artached checklist. All provisions of laws and ordinances governing this Visa Q Masn,Cate
worst will be complied with. whether specified herein or not_ , cgs, c iu `� ;3 Lv 0018 92z-1 11 / 3q o'er
Authorized sigaanu ei. '..Z4 4 .1..a1 -14ipl ie -Date: 2 17 /D 1 ^ K 4e� 1 0-a l•�� ea cats 016-03
Print name: • ( 1/!t? r, ; M r i i i ev-- t- _:�� rf:t I omen Amman
Notice: This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 440.4613 (6t00/C0M)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 -
INSPECTION DIVISION ' Business Line: (503) 639 -4171 M T
UP g Y
Received Date Requested 7 3 ' ?� AM PM BUP
Location / 2 `/ `f 7 w G Suite MEC
Contact Person /1-0 le AG11 C%u. f Ph ( ..qL u I'S t/C PLM
Contractor Ph ( ) P(/ /0 8 SWR
IjAalt Tenant/Owner ELC
ing i ELC
Foundation
Ftg Drain ' Qi)O Access: ELR
Crawl Drain '"
Slab C0 Inspection Notes: (� SIT i g c Post & Beam J C- `�` --ice v
Shear Anchors L 1! "
Ext Sheath/Shear I
Int Sheath/Shear
C-d•4
Framing L_Q-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
•)..r:
PART FAIL
t
RING
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
-- 2(7/°
Approach/Sidewalk Date Inspector Ext 2 f Z V
Other:
Final - 0OT REMOVE this inspection record from the Job site.
PASS PART FAIL 1
/ 1 _