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Permit 1 e' R A CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00099 �i� DEVELOPMENT SERVICES DATE ISSUED: 3/27/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DD -00800 SITE ADDRESS: 14020 SW 72ND AVE SUBDIVISION: ZONING: I -L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FND FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 0 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: $ 2,800.00 Remarks: Construction of footings to place material dispenser. Owner: Contractor: I S PROPERTIES LP JOHN H. ZUBER CONSTRUCTION PO BOX 87908 9025 SW BURNHAM VANCOUVER, WA 98687 TIGARD, OR 97223 Phone: Phone: 639 -0395 Reg #: LIC 00043016 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required Foot/Found Insp [BUPPLN] Pin Rv 2/28/03 $46.87 Struc Steel Insp [FLS] FLS Pin Rv 2/28/03 $28.84 Reinforced concrete final rE [BUILD] Permit Fee 3/27/03 $72.10 Bolts in concrete final repo' [TAX] 8% State Tax 3/27/03 $5.77 Structural welding final rep' Total Final Inspection $153.58 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (.5035246- 6699,or 1- 800 -332- . o "� , b i - Iss ed By: k_ , e auf,,,,i, Perm .4/ Signature: (-- . d ' Call 639 -4175 by 7 p.m. for an inspection the next business day Building Pe ii • 1 • • g WiEeion FOR OFFICE USE ONLY _ Received ,, Building Date/By: 02 / A� 0 5 'CY-. Permit NO ulfaDD Cl of Tigard Planning Ap o I Other City g FEB 2 8 2003 Date/BY: 0 2iti---' Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD , Permit No.: Phone: 503- 639 -4171 fd, ii 'd kiY; E Post - Review Land Use .� B�B�� ®N ^ �,'� Date/By: Case No. ov Internet: www.ci.tigard.or.us � - Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: ❑ New construction 1 ❑ Demolition 1 & 2 FAMILY DWELLING VI Addition/alteration /replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. E ❑ Accessory Building Multi- Family 0 Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Job site address: h92,1) S w 71? , --Typ2a Total number of floors New dwelling area (sq. ft.) Suite #: 1 Bld /Apt. #: Garage /carport area (sq. ft.) ,fr f4 Project Name: , e ha ) 1 ,-$/ Vs 4 Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: P COMMERCIAL - USE CHECKLIST Subdivision: Lot #: Tax map /parcel #: 2 S 1 )'V '•60 Note: Permit fees* are based on the total value of the work performed. Indicate \ DESCRIPTION OF WO ' the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. /i ZEF Valuation $ 300 : ' Existing building area (sq. ft.) ; . J • New building area (sq. ft.) Number of stories 1f \.../ ❑ PROPERTY OWNER 1 ar TENANT Type of construction p Name: ' / Ii/7r!/•• J a Occupancy group(s): Existng: NA Address: Z �'� l yoao Iry �-- City /State /Zip q,q,Q .., ,977.24- 4, OR �[ Phone: t5b3 — �621r /235 Fax :.D3 - ' 4 .52 T NOTICE: All contractors and subcontractors are required to be El APPLICANT 21 CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: (,1 j � • 5,��r jurisdiction where work is being performed. If the applicant is exempt Contact Name: i / /Ay . /� r� from licensing, the following reason applies: Address: /BOZO SW 7Z lke— - City /State /Zip: T,p,� pie. g72 Zf Phone: 5144/44 I Fax:.-5$ BUILDING PERMIT FEES* E -mail: Please refer to fee schedule. CONTRACTOR Business Name: Fees due upon application $ 7S, 7/ Address: City /State /Zip: Amount received $ Phone: . I Fax: Date received: CCB Lic. #: Authorized . Notice: This permit application expires if a permit is not obtained within Signature: Date: (gy e, 180 days after it has been accepted as complete. "AV 7 :01 6 6i)✓ *Fee methodology set by Tri -County Building Industry Service Board. (Please pent name) i : \Dsts\Permit Forms\BldgPermitApp.doc 01/03 ,�Gt /=' nJ 5i6 .1 ��S Lf F a/oo , g6 ,� c ,--A-- 2s . 7/ . , A l tb Commercial Plan Submittal ilii • Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal 'I Site Work ' 4 • , (must include location of all accessible parking) • Plumbing - Site Utilities 2 Building 1* y 1 Fire Protection System 3 ** ' Mechanical 2 . . Plumbing - Building Fixtures .` 2 Electrical :2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicanko request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians., is \dsts \forms \COM- matrix.doc 9/24/01 0 :- . , . , , - - tea _ : , • / - 6 4 1 - 7: ' - BUILDING PERMIT TY OF f A R PERMIT #: BUP2003 -00099 * *MI A DEVELOPMENT SERVICES DATE ISSUED: 3/27/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DD -00800 SITE ADDRESS: 14020 SW 72ND AVE SUBDIVISION: ZONING: I -L BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FND FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 0 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: $ 2,800.00 Remarks: Construction of footings to place material dispenser. Owner: Contractor: I S PROPERTIES LP JOHN H. ZUBER CONSTRUCTION PO BOX 87908 9025 SW BURNHAM VANCOUVER, WA 98687 TIGARD, OR 97223 Phone: Phone: 639 -0395 Reg #: LIC 00043016 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required Foot/Found Insp [BUPPLN] Pln Rv 2/28/03 $46.87 Struc Steel Insp [FLS] FLS Pln Rv 2/28/03 $28.84 Reinforced concrete final re [BUILD] Permit Fee 3/27/03 $72.10 Bolts in concrete final repot [TAX] 8% State Tax 3/27/03 $5.77 Structural welding final rept (additional fees not listed here) Final Inspection Total $216.08 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 .' : • • • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli • (503) 246 -66 • ' • r 1- 800 - 332 -2344. Iss ed By: / / OW Perm -- //7 Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD 24 -Hour BUILDIkG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP .0 voo Received Date Requested ,� AM PM BUP Location / Y � a d 7a • Suite a MEC Contact Person �iv�� Ph ( ) //3 zg 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler AtiA\ Fire Alarm d Ceiling Roof C,WJ Roof Other: ire PART FAIL k • • BING 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 , Rough -In �� I ■ r / Vii'/ — UG/Slab M, ! — tr ;. S - e' • Low Voltage l Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL