Permit i
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2002 -00493
" A DEVELOPMENT SERVICES DATE ISSUED: 12/9/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14655 SW 72ND AVE PARCEL: 2S112AC -02400
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: 200 sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: S2 TOTAL AREA: 200 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: 250 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,000.00
Remarks: Addition of mezzanine.
Owner: Contractor:
ALPHA LIMITED PARTNERSHIP
14725 SW 72ND
TIGARD, OR 97224
Phone:
Phone: 254 -0110
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 12/9/02 $129.70 Sprinkler Permit Required
Framing Insp
[TAX] 8% State Tax 12/9/02 $10.38 Bolts in concrete final repot
[BUPPLN] Pln Rv 12/9/02 $84.31 Structural welding final reps
[FLS] FLS Pln Rv 12/9/02 $51.88
Total $276.27
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
calli9g 246- 6699vr 1- 800 - 332 - 344.
1
I L_" --- Is ued By: /. '
Penn —.or (
Signature: I1' CALL----
Call 639 -4175 by 7 p. f r an inspection the next business day
Pr . . • , . •
So
B�ding'Perm it Application
Alt Date received: // ®o i,•y ` . C £ Of Rl'd , �,.. . �
City of i'igen1
Address: 13125 SW Hall Blvd. Tigard, OR 97223 Prolat/appl "° —""�
Phone: (503) 639.4171 Dote issued: ice% 'Receipt no.:
Fax: (503) 598- 1960 Case file no.: Payment type:
Land use approval: 1&2 fatttily: Simple Complex:
f)'1'1i, Ul' 1'1;11]t1'l'
O 1 & 2 family dwelling or accessory 0�6 /industrial 0 Multi -family 0 New construction 0 Demolition ,-
i
O'Additiod 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other. - 1 '= � - rr�r� - re •
q Job address: /4- G S'S $ IA) 7 2 t'' A V'>c P0TzA o r� Bldg. no.: Suite no.: -
a lot: Block :. ubdivision: � Tax map/tax logic-count no.:
Project name: k1EZZA1,a -'t r ,- I) oJ71clfJ
Description and l ocation of work on premises/special conditions: / tJ 5 r> C b'k / 7 7 Ai 4 f3 v l i_ D //.1 (- • `� .
� - A, ___ F'- T AN A <, e. 3>
O Nli 1 OI+; SI 1 (.1.1I. I11.1114 \1A1 JON, tl.'l; (:111::C1tl,151
- .Name: f'c TC./7..n - 7... , e. 6: 4�.C- c•-pi 0 '(1,, ( I• Iondplain ,scpticcapncitt•;solsir;etc.)
Mailing address: / 2 / u.1 'SAL L. M n = .Trwaz 6 T' 1 & 2 fatally dwelling: -----q
City: P a R r . e' lState: VC, ZIP: y 7 2. 0 5 Valuation of work $
i G i Phone: 503 14 $ n• Fax :f4L44 :. -mail: No. of bedrooms/baths
Owner's representative: a=re E. ,, Zi' (IA i. LL va, > . Total number of floors
Phone: 5 3z5'Fo I a pax: 5o1 7.50 tz . mail: New dwelling arca (sq. ft.)
.- L ., A 1•1'1.I CAIN J Garage /carport area (sq. ft.) .
Name: "F Rt7p , Z ht - ',A L. e-%v- z Covered porch arca (sq. ft.)
Mailing address: =1-; : � n../ C : 1_2_ P+ c.:._. •. Deck area (sq. ft.)
. 1 ` City: '1 (27 a-r -ts State :. c...', ZAP: 7 2.,3 o Other structure area (sq. ft.)
Phone: 5o3 Z s ss o // c Fax : ma il : tltttriall�lya
00 (1
r_a T 0 FOR
Valuation of work nd �$ M
1
�� — 0o
Existing bldg. area (sq. ft.) e �` (1
Business name E - — 0 (�J� / 2 New bldg. area (sq. ft) Zo scat �-
Addtess - � / � l 5' V Ski Aril,/ Sr . 1.1 £ 2-Z Al-it >J t✓ f t.
V s t City; 17 D 1 StatcC j ZTP: t:) 70� Number of stories .. ..... ........._... -r`1 r
4- a,1> - f//7'F�i 4.611Z1-- : J E -mail: Tree of cy grootn E n rz Jr
V CCB no.: Occupancy group( lio l sk }�--4 Existing: R P Gl''2r� t£
/ D 3l� - 4-... `� Nev: s 2 R r' i
• City /metro lie. no.: Notices MI contractors and subcontractors are required to be
` �, lltC11171 C t',7)rS1CNF_ l icensed with the Oregon Construction Contractors Board under
A , 41 .. Name: N , provisions of ORS 701 and may be required to be licensed in the
4 ., Address: • jurisdiction where work is being performed. If the applicant is
C y: State: I ZIP: exempt from licensing, the following reason applies:
Contactperson: • ' 1'• t. ; s(' 0 * . : v o , Plan no.: — .
Phone: • Fax: E -mail:
Name: C, T-n'e'p) -: Ff k{ .f, =:� Contact person: Fe-Po 2 hrlikti„ Pees due upon application $
Address: ¢11 N' 122 a vt sv i T. 2.-t, 7 - Date received:
City: o /:.T 1....s. , 4 State: a ((VP: 9 7 c-1 Amount tuxivcd $
Phone: 5D3 2 . G, . -pall E -mail: Please refer to fee schedule.
I hereby certify 1 have read and examined this appllcadon and the Not an Jurisdictions mond credit ems,, prase WI jurisdiction for more Intonation.
attached checklist. All provisions of laws and ordinances governing this o Viaa o Waam:Card
worts will be oomph -, with, wh Ailed herein or not. Cled1t csa f° -- ill
Authorized sign /• - ' : � e: N4 ) • 1 0'z-
r Name of oeedholdcr re shown on credit card — $
v
` r .
Print name: _ . . ` - _ _ Grandam Amore AMOM ,
Notice: Th' . - • itapdti.iE stet ...... t is not obtained within 180 days after it has been accepted as complete. 44c.4eIS (6/00VCOM)
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