Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00340
*wittipDEVELOPMENT SERVICES DATE ISSUED: 8/15/02
`"-• 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171
SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC -02700
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5
BLOCK: LOT: 037 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: sf N: S: E: W:
TYPE OF USE: coal SECOND: sf PROJECT OPENINGS?
r
TYPE OF CONST: NONE : sf N: S: E: W:
OCCUPANCY GRP: El 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: $ 8,000.00
Remarks: Modular classroom set up.
Owner: Contractor:
TIGARD TUALATIN SCHOOL DIST 23 WILLIAM SCOTSMAN INC
6960 SW SANDBURG RD 6107 N MARINE DRIVE #3
TIGARD, OR 97223 PORTLAND, OR 97203
Phone: Phone: 503 - 285 -6165
Reg #: LIC 145907
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt MFG Structure Footing Set
PRMT CTR 8/15/02 $120.10 27200200000 Framing Insp
MFG Structure Set -Up FinE
5PCT CTR 8/15/02 $9.61 27200200000
PLCK CTR 8/15/02 $78.07 27200200000
FIRE CTR 8/15/02 $48.04 27200200000
Total $255.82
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.
Pe rm ittee '
Signat re: `I / d ' -7t/ /
lssu d By: k (' oi.� h r _ i
\--__________--- ) C all 639=475 by 7 p.m. for an inspection the next business day
-k'� _ 7,p -_- 'i' � . ►• OFFICE USE ONLY •
ermit Application Date received! (,, Permit no.:: (,) c ;.OW -$05
' `i ; _ ; Pr 4 o e ct/a 1 no.: Expire date: oQ
Ail- -4it City of Tigard pp ' P
City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 ,,/ Date issued: By: ` 'f j Receipt no.:
Phone: (503) 639 -4171, Fax: (503) 598 - 1960x/ / / 7 / Case file no.: Payment type: 0
Q
Internet address• ww}v ci.tigard.or.us
# 1Hv _ c. 9 1„
c 1_ Wealth dept.: DEQ:
Land use approval: 1 u ; . : ' ;
....a`i'r 1 t Y t .d.�i -.. - - 7
TYPE OF PERMIT
0 Owner installed -' Contractor installed 0 Repair
ew 0 Addition/alteration 0 Replacement: Same location U Yes 0 No
JOB SITE INFORMATION
Job address: ! L,., 6 i-. t y /L../ c Sb .s '1 7 rR jg v i Space no.:
Manufactured dwelling park:: Address:
City: -FT 6 4/D State: U ZIP:
Tax map /tax lot no. /account no.: Lot I Block: Subdivision:
Base flood elevation: Elevation certificate:
Description of work on premises: - .7 AS r ,9 (. ( p'1() L) (/. /f C L. f q SS i D 0 (1 �—
OWNER MANUFACTURED HOME INFORMATION
Name: ITC,/9f 0 tt, C4 17 SttfouL P
Address: 6 et ( , S s--4,a V 6 R n Concrete stringers /slab under home: 0 Yes No
City: 7 6 / 9 n o I State:C ZIPi 7 .)- 2-3 ❑ Single Double 0 Triple
Phone: s -- - 0, N I/ Y 000 I Fax: c( y02.0 I E- mail:1 x6/1 0
Owner representative: /j/1/9 "1 /� - 6��� Valuation $ Square feet ./ 7
Phone: 1 131 HO 1 1 t 6 Fax:93i 4, E -mail: (dwelling and set up only, does not include other permits)
SET UP/INSTALLATION CONTRACTOR ADDITIONAL, PERMITS (if required) #'
Name: III/I /J//Yl A c9,vispigrri
0 Mechanical i t ' Permit no.:
Address: (/ )( M h . 3
✓ b 0 Plumbing Permit no.:
City: Bpi if d Stater , Z jp i ,/
Phone.oaVgy/Q/ . . ,` M E -mail: taw , im/ /il E nsi O Electrical Permit no.:
CCB license no.: /L f S 1 D7 City/Metro license no.: o [iii ( 9.2._ ❑ Foundation Permit no.:
MDI license no.: 0 Garage Permit no.:
SKIRTING CONTRACTOR ,,
0 Carport Permit no.:
Name: A) &,bkk -e..
Address: 0 Cabana Permit no.:
City: I State: I ZIP: 0 Ramada Permit no.:
Contact person: I Phone: 0 Awning Permit no.:
CCB license no.: City/Metro license no.: ❑ Alterations Permit no.:
Skirting license no.: MDI/LSI license no.:
APPLICANT 1,
0 Other Permit no.:
Name: ( i(1.1- b d A,0 ./
Address: Notice: Manufactured dwelling installers must have an Oregon
City: State: ZIT: MDI and Construction Contractors Board license under provi-
sions of ORS 701 and may be required to be licensed in the
Phone: Fax: E -mail: jurisdiction where work is being performed, or the appliant is
I hereby certify I have read and examined this application and know the same exempt from licensing for the following reason:
to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied • 'th whether specified herein or not.
d /)1
Applic•nt's signa are Date <n Set up fee $
///__\_ \ State surcharge $
Notice: This permit application expires if a permit is not obtained within b) State fee $
180 days after it has been accepted as complete. ' 0 TOTAL $
n , 440 -4624 (8 /00 /COM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION . = Business Line: (503) 639 -4171 MST
BUP - -00 3 S/ U
Received Date Requested / Z' v Z' AM PM BUP
Location /T 57 56., 9 7 - 4 -i Suite MEC
Contact Person Ph ( 57'5 ) -I .31 — ct o l i t PLM
Contractor Ph ( ) SWR
CBI ILDING) 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
v'� L"- S . �iZ R &/C
Fire Sprinkler
Fire Alarm
Susp'd Ceiling Q
Roof
Other: n w I G 5.3
(
f •ART FAIL
PL MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
/N<
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
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 Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA /0 /45'6
Approach /Sidewalk Date ■laspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
` CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (50 1 MST
- era 3'fO
Received Date Requested t'= BUP
Location / 6 SO 9 7 op4A, 4 v- - ui e MEC
Contact Person Ph ( ) 7- 3 ' O PLM
Contra Ph ( ) SWR
BUILDING Tenant/Owner �[ ___• it .AWOL _ �i j ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation �� S `'� V,/�
-�
Drywall Nailing `�^
,rr�
Firewall 9 ° �� c l / t , 1 �' / � t (
Fire Sprinkler
Fire Alarm • vz� t Z 7,0 6 .Z
Susp'd Ceiling - , •
Roof : , ° 6
O `�
mal
S PART
PLUMBING •
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
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 Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA -
Approach/Sidewalk
Date 7 / l 1 D Inspector `"� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDI ., Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171
MST
BUP`
Received Date Requested 21.; AM PM --.- BUP 0 03 9 D
Location ! `7 0 �O 9 7 Suite MEC
Contact Person Ph ( ) ni — L /5 5 50 PLM
Contractor Ph ( ) SWR
B DING Tenant/Owner .-..A. � _ ` �1 ... _ �� ELC
ootin •
"pp - `, � ELC
-M• natio 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 f
Fire Alarm /
Susp'd Ceiling f
Roof q� �nn
Othe • I r `-e' / _ J
�4 ART FAIL 1
• r�.! :ING
Post & Beam
Under Slab
Rough -In
Water Service
I X
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL _
MECHANICAL
I Post & Beam
Rough -In -
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
1 UG /Slab
i Low Voltage
•
Fire Alarm
Final 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Date ` " 2 3 Inspector Ext
Approach /Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL