Permit A CITY OF T BUILDING PERMIT
PERMIT #: BUP2001 -00115
� , � DEVELOPMENT SERVICES DATE ISSUED: 4/3/01
13125 SW Hall Blvd.. Tigard. OR 97223 (5031 639 -4171 PARCEL: 2S101AC -01900
SITE ADDRESS: 12615 SW 72ND AVE
SUBDIVISION: LOWE'S HIW, INC ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 27,000.00
Remarks: Construct rockery wall and concrete pad for emergency back -up generator. Location is north of existing building at
rear loading dock.
Owner: Contractor:
LOWE'S HIW, INC BAUGH CONSTRUCTION OREGON INC
HWY 268 EAST PO BOX 14135
NORTH WILKESBORO, NC 28659 SEATTLE, WA 98114 -0135
Phone: Phone: 641 -2500
Reg #: LIC 62877
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT CTR 4/3/01 $298.30 27200100000 Foot/Found Insp
Struc Steel Insp
5PCT CTR 4/3/01 $23.86 27200100000 Final Inspection
PLCK CTR 4/3/01 $193.90 27200100000
FIRE CTR 4/3/01 $119.32 27200100000
Total $635.38
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.
Pe rm itee
7-2
Signature:
..
Issued By: - 4 '�'j il 1=
CaII 639 -4175 by 7 p.m. for an inspection the next business day
VJ'L / LVV1 14•YV r nia JVJVO41 LJI 1.114 vi 11btlt IEIJUU1 /UUl
A Building Permit Application /�
Date received: .�S%/ Permit no.:,8u y ct' //�
r Cpl of Ti and r.
Tigard Projecghppl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd; Tigard, OR 97223 `
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment typo:
Land use approval: _ laafamily: Simple Complex: _
11 OF PLl1■11T w t ' 4
0 1 & 2 family dwelling or accessory $Commercial/industrial 0 Multi - family )(New construction 0 Demolition ■ O
O Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other b
• JOB SITE 1NF01:NIA - LION �
Job address: 2 /s S. 0.) . _ E Bldg. no.: Suite no.: ' Al
Lot: Block: Subdivision: Tax map /tax lot/account no.:
1 0•01 1 .1 wAL i D �
Description and location of wort .n premises/special conditions: eo-/ i ue CO 4JC. . 14 .12 MME " =' �'"
C. -LA. -.. ' - - . M0 Li 1f o 0 .s7 C00144. BUd'6- ' -_:' s / - �,
A
OWNER E 1011 SPECIAL 1NFORM1AT1ON, vSE CHECKLIST
Name: ®(,{) Is . C. ( Fioodplain . septic capacity. solar, etc.) p
Mailing address: 5 _ _ Z • _ 1 & 2 family dwelling: l
City: _ • _ = .. fl . ZIP: ' 0. 13 Valuation of work $ 14410 • % N
C 76 ;� Phone: - 5 - - Fax E-mail: No. of bedrooms/baths C
- Owner's representative: JIM v, i ' i, . • Total number of floors
Phone: .. _ &rnaril: New dwelling arca (sq. fr.)
APPLICANT Garage/carport area (sq. R)
Covered porch area (sq. R) F.
Mailing address: _
• • Deck area (sq. ft-) ( ��j
State:ia A z�: - - -s
Other structure area ( • • ft.)
(112 Phone: sr- 32 °3 =MEM E Cocorsercialfindostrialhoultl v f \
(ONTRAC1 OR Valuation of work $ \1
Existing bldg. area (sq. ft)
Business name: - tAar .' . ! -- = New bldg area (sq. ft) - --
_.:._eh l- ii_lInt&3'3=s 3• Number of stories ._ e
City: SEAVE � ZIP S Type of construction - �`
0 ,31 Phone $ - Fax: - , marl: Occupancy group(s): Existing.
/ • : no - :. .:ti.tr . F/0 New:
City /me ro lie, no.: • Notice All contractors and subcontractors are requited to be
AucI l IT1 (I inLsl (:N I it licensed with the Oregon Construction Contractors Board under
•
.. ♦ -"M-1011111 provisions of ORS 701 and may be required to be licensed in the
jurisdiction where worst is being perfoaned. If the applicant is �;
Address: jurisdiction
from Licensing, the following reason applies:
City: State: ZIP:
Contact person: Plan no.: \ I
Phone: Fax: E-mail: • (?I
EN61:\1:Fli
r _ Contact • on: ■ . 1 Fees due upon application $
Address: O E . Date received: C
411— TIMIMMIM State10.4 ZIP:: - 20 Z Amount received $
6 11)- , ' - ' fEk ,� Fax: - Vol E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the o t an W o� wcepI Puma for attached checklist. A]1 provisions of laws and ordinances governing this men in/amnion.
work will be complied wi r specified herein or not. II / east eau number:
Authorized si f� Data '7 2 8 / D/ Nam or �adcr as mown on aoau card
Print name: J f nA SWAN / ((„ Cardmrder sign= s
Aaro= y
Notice: This permit applicati expires if a permit is not obtained within 180 days after it has been accepted as complete. 440463 (6■0CCOn0
Cell') y 5 - 6- v -2s9oz tic 3 0 • g 6 Cis -38
M R -27 -2001 14 :23 5036847297 l'6k °'i'� P.
/ -