Permit 7t.. .
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00414
DEVELOPMENT rd R 9 ICES 639 -4171 DATE ISSUED: 9/1/2004
-- 13125 SW 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: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: A2.1 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: $ 11,923.00
Remarks: Fire alarm
•
Owner: Contractor:
TIGARD TUALATIN SCHOOL DISTRICT ATLAS ELECTRICAL CONTRACTORS
6960 SW SANDBURG ST 4403 SE ROETHE RD
TIGARD, OR 97223 MILWAUKIE, OR 96267
Phone:
Phone: 659 -2212
Reg #: LIC 1532
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 8/26/2004 $158.50 Smoke detector insp
[TAX] 8% State Surchari 8/26/2004 $12.68 Final Inspection
[FLS] FLS Pln Rv 8/26/2004 $63.40
Total $234.58
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 -00 I • ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin. 03) 246 -6.'• or 1- 800 - 332 -2344.
Iss ed By: ; I , 11JJ (LJY&JJk(
Permi - - — 41/
Signature: AC& C .
Call 6 T' -4175 by 7 p.m. for an inspection the next business day
36/02/2003 14:42 - - FAX 5035981960 -- • . CITY OF TIGARD -I 002/005 .7s• -r_
i' • Protection System • • _
\Building Permit Application ry FOR 01 f ►cE USL o i_ai
RE
!/ `' 3 "` y ' 6 e-+/� P n ermi t t NO. UTc DD9 — 9 1 /
Cl< of Tigard CE o � rrr���(((��� ,a
Y• Permit No.: _ \
13125 SW Hall Blvd. plat, Revie other W
Tigard, Oregon 97223 I AU G 4 U ' O4 2� Date/B ; :3 s o Permit xo -:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 l'' ' ° ,r 1'`'` Post - Review Land Use
Internet: www.ci.tigard.or.us CI I Y U I I!r , c l _1! • Date/By: Case No_
Contact ace Pag for •
24 -hour Inspection Request SOfhG DI 0 Name/Method: / supplemental Information
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New construct .I i "il:::a •:' e' ' 1 :in ]`:ro 'Si. :" 9 ^ I 'i.` ti ,.. , -a ga liilr.':' 1 •
■Dem olition `; ; ` � a. � ;' � . I ! '•. �. �,,: �,
Ell Addition/alteration/replacemen ...... 7.11r. . ..._ .. ,. I� ' lU ..1 . "
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t � Other:
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%,y "„ "! i ! l i'tE(i ; ':rgti} h �', i 1 ; `m 0:: No te: Permit fe ar e based on the total value of the work performed. Indicate
�'�`.: � :
� 0 1 & 2- Family dwelling M Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Accessory Building Q Multi - Family
Master Builder ❑ Other: Valuation $
:,.ai;'• ',WE:i ; `:..4B:'NTrE3NBU AT' t 1l iliiGle(ir. CiKlU011! ': , , .. , .- No. of bedrooms: No. of baths:
Job site address: I Lt L 5 LO 9-14..h I f(n(, Total number of floors
New dwelling area (sq. ft.)
Suite #: I BldgJA t. #: Garage/carport area (sq. ft.) \
Project Name: 1 ,okOk j . , .t' 4uJ Covered porch area (sq. ft.)
Cross strcet/birections to jo site: Deck area (sq. ft.)
Other structure area (sq. ft.)
i:: ,. : , _;:',!,! . t! I , h i rW . t ft� 6JI P : Y l ..i t4 " !' 7F , . kt .i; i
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I ,.,:, � ..l I 'Nip � :
Subdivision: I Lot t I ... ,.•+� k. x . P, ,r,., , Ilt.. ,; - „ /
Tax map/parcel #: Note: Permit fees* are based on the total value of the
� l t:,, r, I work performed. Indicate
I
lW t!ia°x. ,tN ;ru zi'.!•'• �� "•i1:B .11. .._. R : : c _ . : ;�i,E„CO. '' '�1lytQ TM ” ' " " j':!iT,E;;71∎1i+,dlij '' the value (rounded to the nearest dollar) of all equipment, materials, labor,
L' 11111 r � overhead and profit for the work indicated on this a plication.
V al uation....(... :..� $ 1 I IG 23
Existing building area (sq_ R) a
- New building area (sq. ft.)
Number of stories
r '71 F ..L7 �•. 4,g; %r77, ,t. 'i I I. (:0nr ligial l h 11 ::. Type of construction.
Name: Occupancy group(s): Existing;
Address: New:
City /State /Zip: 'i
Phone: ' Fax NOTICE: All contractors and subcontractors are required to be
!1F:a`:` _s :'. , ' 'I' cr u : ,:E '. v‘1 licensed with the Oregon Construction Contractors Board under
" ' I ° "1' f' provisions of ORS 701 and maybe required to be licensed in the
B
•
usiness Name: yy�� 1 —', '
Pr � � A eke( y I jurisdiction where work is being performed. If the applicant is exempt
Contact Name: _L 4 1 _ , from licensing, the following reason applies:
Address: •� E. . ne '
Ci /State /Zip_ yyv, l 1 _ 4 ) K ; e 0- '72L7
Phone:( b)b ap).212 Fax(5by(- ,SC),14 - -
7 SC' :1 I ,.� < li „' (�a i - o 4 - _ { L ,' �,� •.` �;�,�' �,1�!' it"
E -mail. ��Illl 1 jl il : . -1; :l i t �Ct fi -f 1 , .,0 vT(1 1: ^M_Fl. l 1 } l1h ;
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�+ •'�'' . .p� . ;l' • � ` 7 .1 .i{I1 lM. i J•1 � � ,� r ; 11 '�
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Business Name: _ - •.• ife• b ' - Fees due upon application . . $ o l'i 59
•
Address: r
City /State/Zip: rn, \ t )< i q-7 Amount received $ •
Phone: ( 03) f, c'7 -2 ax: ') &s - 44 I L Date received:
CCB Lin. #: ,, I _
Signature:
Authorized /, %0ff 1;�/./ t / t Date: "I i b I bU Notice: Thus permit application expires if a permit is not obtained within
(1 180 days alter it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i : \Dsts\Perrnit Forms1ElldgPermitApp.doc 01/03
ITY OF TIGARD 24 -Hour
DING Inspection Line: (503) 639 -4175
INS DIVISION Business Line: (503) 639 -4171 MST
r BUP
(6
Received Date Requested / AM rV PM BUP - 06 k
Location t kC:3 0 Suite MEC
Contact Person G Ph ( ) PLM
Contractor / 6 T - r -
Ph ( ) SWR
BUILDING ELC
Footing
Foundation ELC
Access: 7 ` co APR, � „ ^ , '�
Ftg Drain ( � - CJLJ ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
dismwF. us. • eiling •
Roof
• rte ' � I' Va�I_
CO PART FAIL A I' -� r
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
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 E Please c- for rein-pection RE: ❑ Unable to inspect— no access
Fire Supply Line �1
ADA • e
Approach /Sidewalk Date I nspect �� Ext
Other:
Final DO NOT REMOVE this inspect on record from the Job site.
PASS PART FAIL
TY OF TIGARD 24 -Hour •
NG Inspection Line: (503) 639 -4175
IN DIVISION Busine s Line' (503) 639 -4171 MST
BUP
Received Date Requested A PM BUP ` °1 ' 4 14 —
Location " ( S ( 9 Suitg MEC
Contact Person G � Ph ( ) ( b337 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
Nailing r � 't' "� `� �
Firewall 2-44
Fire Sprinkler
1 �1
Susp'd Ceiling - (^�
Roof7 l R l l
PASS PART
PLUMBING
Post & Beam
Under Slab •
Rough -In
Water Service
Sanitary Sewer
IIMMTPre
/A��l�
Rain Drains • II — —
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 0 Please call f• r reinsp: tion RE: Unable to inspect – no access
Fire Supply Line
ADA Date v 11 Inspector air r Ext
Approach/Sidewalk
Other:
Final DO NO REMOVE this inspe ion record from the job site.
PASS PART FAIL
OF TIGARD 24 -Hour
NG Inspection Line: (503) 639 -4175
IN DIVISION Business Line: (503) 639 -4171 MST
BUP� ���t�
Received Date Re uested � Z l ` (° kMq PM BUP
G5 Location (4 t�5 - 'C l ( Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner T750 k TY 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 bo U)0(424Q Insulati 0 6- Drywall Nailing r t o
Firewall � l
Fire kler
Susp'd Ceiling L' j��
Roof l e. S y �j' .� /1:) [� - ic i
O�
PASS 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 einspec on RE: PIMP Unable to inspect no access
Fire Supply Line ,1k
ADA /
Approach/Sidewalk Date. (a Inspector l Ext
Other:
Final DO NOT REMOVE this inspection record from the. Job site.
PASS PART FAIL