Permit v i e
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00239
,� DEVELOPMENT SERVICES DATE ISSUED: 6/14/99
�"` � — 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 42555 69TH AVE PARCEL: 2S101AA -09108
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: 0a35 LOT: 030 JURISDICTION: TIG
REISSUE: // FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: 800 sf N: S: E: W:
TYPE OF USE: SF SECOND: 0 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 0 sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 800.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 BASEMENT: 0 sf AREA SEP. RATED:
STOR: 0 HT: 0 ft GARAGE: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM : HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE:
Remarks: Demolition permit for fire damaged residence. All debris to be removed. Septic tank to be pumped, filled &
inspected. TIF credits to be applied once finaled.
Owner: Contractor:
R & D PROPERTY DEVELOPMENT LLC JOSEPH HUGHES CONSTRUCTION
7990 SW MOHAWK 7035 SW HAMPTON
TUALATIN, OR 97062 TIGARD, OR 97223
Phone: Phone: 620 -8134
Reg #: LIC 00045645
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pump /Fill Septic Tank Insp
PRMT BON 6/14/99 $25.00 99- 316090 Final Inspection
5PCT BON 6/14/99 $1.25 99- 316090
EROS BON 6/14/99 $26.00 99- 316090
ERPU BON 6/14/99 $8.45 99- 316090 ORtGINA
(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.
Permitee f /�
Signature: ���. ,Q�
Issued By: r(1 t
AR jalia*
1-----__,-.
Call 639 -4175 by 7 p.m. for an inspection the next business day
ITY OF TIGARD Commercial Building Permit Application Recd By IDJ
13125 SW HALL BLVD. New Construction and Additions Date Recd lig -- .
Date to P.E. Tx
TIGARD, OR 97223 Date to DST
(503) 639 -4171 Permit# r>tde ri
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Called
•
Name of Development/Project
Job ) Existing Building ❑ New Building ❑
Address Street Address Suite
(us-s-5- S w 6 ? Building
Bldg # City /State Zip Data
r 5 / O✓- Existing Use of Building or Property:
Name -4
Property R #P P.,,,,t, 1)._,,,s4.41-- CSC,
Owner Mailing Address Suite Proposed Use of Building or Property:
,L/
.. K ` Zip Phone No. Of Stories: I
Occupant Name Sq. Ft. Of Project:
JUAA.1 - 'Con rb
Name Occupancy Class(es)
Contractor . j ash(' f r 1, S (
Prior to permit Mailing Address , / e �. Suite Type(s) of Construction
issuance, a copy ?0 2 5 ce ( / /'/
of all licenses 1
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. 4 J U f 2.23 2 (p2Y -7 t V o Yes ❑ No El database C
Oregon Cionst. Cont. Board Lic.# Exp. Date Americans with Disabilities Act (ADA)
Valuation X 25% = $ Participation
yc4.9c Complete Accessibility Form
Name - Project $
Architect Valuation
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City/State Zip Phone On back
Engineer Name I hereby acknowledge that I have read this application, that the information
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.
igna re of Ow r /Agen Date /
City/State Zi p Phone (Q ` 7 1
C tact Pe on Name Phone
BAInd icate type of work: New 0 Addition 0 Demolition 0
�� /` L �� w O 'v .)--/
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair o Other 0 FOR OFFICE USE ONLY
Description of work: Map/T11# Land Use:
" /" r Itcl-t4.--4--- Notes:
Parks: Estimated IS of Employees
TIF:
If the above figure is not supplied at the time of application, the city will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
moNom.goofitiiefititipistisiiittatimonfoliiiiiANII"ar"."cometur
additianI plan sets fo dllstnbutian purposes. (Copy for Contractr, Cdy.
Washington girogin6iagmessunfissimiglemegsil
11111.11111111:1111:11111111Iiinti
WPE OF SUBMLTML Plans KEY:
Submifted
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
•
NOTES:
lAdstsVorms\matrxcom.doc 10/30/98
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP - 00 2 3,
Date Requested � ` r AM PM BLD
Location (7 S LA 4 Suite MEC
Contact Person 0011 Ph (o 22 -WOO PLM
Contractor Ph SWR
ITEB119 Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: , SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation o
Drywall Nailing �Cr �^�L.t/`�
Firewall I � — • �/
Fire Sprinkler 410 "' /��� r��- - r•�l�
Fire Alarm
Susp'd Ceiling
/
Roof A all
•ASS PART FAIL
PLUMBING
Post & Beam
Under Slab P t ai P
Top Out / ^ /
Water Service (ratite -r fr .Qi� ,A �� I�)
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
BackfilUGrading
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 LY� 97 Inspector . Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.... r-- - ------- .
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TOPOGRAPHIC SURVEY ... •
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THE E. 9.5' LOTS 17 , 18 & 22 AND ALL OF LOTS 23 THROUGH 28
BLOCK 30, "WEST PORTLAND HEIGHTS"
I I' J I
LOCATED IN THE N.E. QUARTERS OF SECTION 1
TOWNSHIP 2 SOUTH, RANGE 1 WEST, •
WILLAMETTE MERIDIAN, CITY OF TIGARD, . ,
WASHINGTON COUNTY, OREGON - 30' ,,
30'
SCALE: 1" = 20' MARCH 11, 1997
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