Permit — CITY OFTIGARD
1,
s �,�.. 11- � DEVELOPMENT SERVICES BUILDING PERMIT
( 'I PERMIT # • BUP98 -0510
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 - 4171 • DATE ISSUED: 02/17/99
PARCEL: 2S101AC -01900
SITE ADDRESS...: 12615 SW 72ND AVE
SUBDIVISION • ZONING:C —G PD
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:DEM FIRST 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:E1 TOTAL . 0 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. $ : 0
Remarks : Demolition permit of a 27,1'.' sq ft Phil Lewis School building, as
identified as building °C° on attached site plan. Two other buildings at this site
will be demolished under separate permits. All debris to be removed, utilities
capped, inspected and approved prior to issuance of new builing permit.
Owner: FEES
EAGLE HARDWARE & GARDEN type amount by date recpt
981 POWELL AVE SW PRMT $ 25.00 DLH 11/20/98 98- 310989
RENTON WA 98055 5PCT $ 1.25 DLH 11/20/98
98- 310989
EROS $ 26.00 DLH 11/20/98 98- 310989
Phone #: 425- 227 -5740 ERPC $ 8.45 DLH 11/20/98 98- 310989
ERPC $ 8.45 DLH 11/20/98 98- 310989
Contractor: PRMT $ 25.00 B 02/17/99 99- 312997
NORTHWEST DEMOLITION /DISMANTLI
BRIAN H SMITH
PO BOX 390
WILSONVILLE OR 97070
Phone #: 638 -6900 $ 94.15 TOTAL
Reg #..: 000482
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other ! ► A '. A , 1
applicable laws. 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 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature. o�� Issued By°
NA XJi41' �
+ + + + + + ++ + + + ++ + + + ++ +++++++++++++++++++++++++++ + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + ++ + + + + + + + + + + + + + + + + ++
TY OF TIGARD Commercial Building Permit Application Recd By
Date Recd da' �� ll��
13125.SW HALL BLVD. Tenant Improvement Date to P.E.
aTIGA►RD, OR 97223
(503) 639 -4171 .) /tI D PEA 7— Pe t s ?� �" �1�
Print or Type �J� Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project •, Existing Building ❑ New Building ❑
Job AG.t.E. '4 p w
,Q,pAtttc. k-GA o€.1
Address Street Address Suite Building •
I2.1 B S.W. ?2- Data
Bldg # City /State zip Existing Use of Building or Property:
Name
Property EAC IrL �,gpDj ,i - / Proposed Use of Building or Property:
Owner Mailing Address Suite
'let fb ,,t. AJJE.,S o, No. Of Stories:
City /State Zip Phone ze
Oi-1 wQ, 55 227 -5 7'o Sq. Ft. Of Project:
Occupant Name
Occupancy Class(es)
Name
Contractor -T Be. sel_e_e -Tt=fl Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy Will this project have a Fire Suppression System?
of all licenses Yes ❑ No ❑
are required if City /State Zip Phone Ameri with Disabilities Act (ADA)
in C.O.T. ( )
database Valuation X 25% = $ Participation _
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form
Project $
Name Valuation
Architect c o 14At -[, mwt ,4` Hf74c' s Plans Required: See Matrix for number of sets to submit
Mailing Addres Suite on back
1(9 - /2 4 41/d Nt/.( /a/
City /State Zip Phone 171'25 I hereby acknowledge that I have read this application, that the information
BEL EIA4c /• / A C � � X3 given is correct, that I am the owner or authorized agent of the owner, and
(� ! that plans submitted are in compliance with Oregon State Laws.
Engineer Name /I ,,
J U. E» 64 ME.EI2.S i9na er Date
Mailing Address Suite ��„ f — 2-o- Y$
S .
MD CLEmu i - I V 2a ( Contact Person Name Phone
City/State Zip Phone 5'07 - jtin a,gyAU-) y vs-323
Y,t w,4 , 33� �B3 -2(4 1 �
FOR OFFICE USE ONLY
Indicate type of work: New O Addition O Demolition' Map/TL# _1 Land Use
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair O - Other 0 Notes = ,
Description of work: 'Ir IF-1A o
kr
2- 1 t ho 5Q FT $C$4occL aL G (c)
Note: Site•Work Permit Application must precede or.accompariy Building -
Permit Application Q u / L../' 25 . e'zJ
in 1.
( 24 . o-z)
1:\COMNEWTI.DOC (DST) 5/98 E25 . PLCk uSR e. 1L5
E7zs, Pcck col 8: ys
69. i5
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
QQ BUP g — OS/0
Date Requested £ '� / / AM PM BLD
Location 1 7i '/C ���� - , ' i-e Suite MEC
l�,r
Contact Person , Ph 1Y !- oqS PLM
Contractor Ph SWR
BUILDING 41 0 owner (i � . Phi I P / s 5th 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / /• / � C
Susp'd Ceiling (/ F U ( e r
Mi c:
Final I C.5 ('
a(
PASS PART FAIL
dittngiBijic
g
Under Slab
Top Out
Water Service
Rain Drains -�
F i
A PART FAIL
ANICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk L —
Other Date 2 J Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.