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Permit F "` c BUILDING PERMIT ITY ®i TIGARD PERMIT #: BUP2002 -00052 �I �� ; . DEVELOPMENT SERVICES DATE ISSUED: 5/2/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114A0 -01500 SITE ADDRESS: 17005 SW 92ND AVENUE SUBDIVISION: ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG ' REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 1,058 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf It S: E: W: OCCUPANCY GRP: B TOTAL AREA: 1,058.00 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: $ 103,895.60 Remarks: Restroom with sports storage - Phase II of Cook Park Master Plan expansion. Owner: Contractor: TIGARD, CITY OF ROBERT GRAY PARTNERS INC 13125 SW HALL PO BOX 1000 TIGARD, OR 97223 SHERWOOD, OR 97140 Phone: Phone: 692 -4675 Reg #: uc 65424 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found lnsp EROS DEB 5/2/02 $64.00 JE # Masonry Insp Masonry lnsp ERPC DEB 5/2/02 $20.80 JE # Masonry lnsp ERP2 DEB 5/2/02 $20.80 JE # Framing lnsp Final Inspection Total $105.60 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 -6699 or 1- 800 - 332 -2344. Pemmittee \ - n Signature: .• ` ,__ - k Issued B.. .4 , l Call 639 -4175 b 7 p.m. for an inspection the next business day SST /ADD a--( • c �/,,P02 5Tc C 23 D z a - ' ding Permit Application : , a Date received: ,2 9 D 9— Permit no.:k4P4000 -06,05A ,4 ,,.„,� ! � . City of Tigard �� Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl. no.: Expire date: City of Tigard D ate issued: By: Receipt no.: Phone: (503) 639 - 4171 y P Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Lu P 7O / 1 &2 family: Simple Complex: " TYPE.OF PERMIT? �, a z { ;:+ + r z e ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: t, - JOB . ITEINFORMATIO . r- : i Job address: -700 .5- 3. W , e-74. 4 VE, Bldg. no.: Suite no.: ' Lot: jBlock: ISubdivisio : (�/ / I Tax map /tax lot/account no.: Project name: i /< I'4k.lC Al v g. Y/i • ,,,,t, f /L 5E _zz- Description and location of work on premises /special condition : y• H (45/Peer 5TOk- o f__ <4 P ": , 0 `; 1.1, :` 4 , FOR INFORMATION,USE CIIECKLIST r �. b :' � �. ' ,.�- OWNER � � � � �" � "' •(i ood lau>se tic ca ac>tt', solar,etc Name: C; pp /, / p P p. y� ) ' Mailing address: ) 3 t .5 4v4) L / / f is I t., C) I & 2 fam ly dwelling: City: `Jj 4 State:( ZIP: y 7 2 Valuation of work $ Phone: ( repres entative: 9541 IFax: Owner's 1E No. of bedrooms/baths representative: - Total number of floors Phone: Fax:(p, - j -mail: New dwelling area (sq. ft.) - ; f x v rj APPLICANT : h 4 . Garage /carport area (sq. ft) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: 'State: 'ZIP: Other structure area (sq. ft.) Phone: Fax: E-mail: Commercial/industrial /multi- family: 3 Valuation of work $ &se 000 ,.� �Ix� _ 4.� � •L ,.� ; SCONTRACTOR . . Existing bldg. area (sq. ft.) 1 ROBERT GRAY PARTNERS New bldg. area (sq. ft.) { jR _ -el' �` �) PO BOX 100 Number of stories 1, / SHERWOOD OR 97140 Type of construction PH: Occupancy group(s): Existing: H: 503- 692 -4675 CCB #: 65424 / New: — Notice: All contractors and subcontractors are required to be . . ARCIHITECT /DESIGNER' .. ' licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: Phone: Fax: E -mail: ENGINEER '.•::.;::. ;n. Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: I Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisio 1 of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied wi wr ther s A fled herein or not. Credit card number: Expires " / J 7 Authorized signature: • • i 4 . A_ Date: Q +/! 42. Name of cardholder as shown on credit card Print name: .---)0 i Rr Cardholder signature Amount Notice: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6ro0/COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Busine §s Line: (503) 639 -4171 MST ^� BUP © J Received ate Reques ed /-3 _p 3 AM PM BUP 02=:(2420_51, Location / 1% 10 ✓ q'2, , " Suite MEC Contact Person Ph ( ) PLM Contra Ph ( ) SWR Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection ection Notes: / r SIT Post & Beam r //� < 0'11 �� 0 Shear Anchors f�► e / 6 1� Ext Sheath/Shear � 'J �9a Int Sheath/Shear Framing Insulation Drywall Nailing Firewall ,QG�S'DZG )vvj 55e'dx — s>Zaz4~6- e Fire Sprinkler Fire Alarm 777-0 U :'L' 1,1.1 /%47 - Cd C / '''"dg-440 Susp'd Ceiling Roof PASS PART FAIL PLUMBING Post & Beam , Under Slab /�� f � '/ Rough In Water Service Sanitary Sewer e /�„ Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL __ /&g4) c•IFi,407 C�:�_ i .c./ • Post & Beam /� Rough -In *ec? C'e l,./ > /17 � '. /°`� r ''' + �Y Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection.RE: LI 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