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Permit c �i i ' ' / BUILDING PERMIT ` CITY OF T I G A R D PERMIT #: BUP2003 -00021 i1I DEVELOPMENT H PMENa Tigard, 639 -4171 DATE ISSUED: 2/13/03 SITE ADDRESS: 11905 SW 91ST AVE * ** BLDG 1 PARCEL: 1 S135DC 02000 SUBDIVISION: VILLA LA PAZ ZONING: R - BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 3 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: $ 92,000.00 Remarks: B . ) — if ' , • � s r Owner: Contractor: VILLA LA PAZ LIMTED PARTNERSHIP SEABOLD CONSTRUCTION COMPANY BY COMMUNITY PARTNERS FOR 9965 SW ARTIC DR AFFORDABLE HOUSING INC BEAVERTON, OR 97005 TIGARD, OR 97281 Phone: Phone: 503 - 626 -8060 Reg #: 41t3 -3900 48023 FEES 221 E INSPECTIONS Description Date Amount Footing Insp [BUILD] Permit Fee 2/13/03 $700.54 Framing Insp [BUPPLN] Pln Rv 2/13/03 $455.35 Gyp Board Insp Structural welding final reps [TAX] 8% State Tax 2/13/03 $56.04 Structural observ. final repr [FLS] FLS Pln Rv 2/13/03 $280.22 • Final Inspection Total $1,492.15 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- 001)...Aliro.u9h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (5 31 246-669 9 r 1- 800 - 332 -2344. Issued By: /, / t p '/ mi . /st %„eL ,.I S itto / • ° - - Signature: Call 639 -4175 by 7 p.m. for inspection the next business day , l - '' Building Permit A 1 Date received: ( - I 1 -03 Permit no.: go° 3 —00,0i � I I, +� City of Tigard !- ^: � Project/appl. no.: Expire date: CiryofTigard Address: 13125 SW Hall t.4 5 t V•E Phone: (503) 639 -4171 Date issued: By: 1* Receipt no.: Fax: (503) 598 -1960 JAN 13 Case file no.:HH 5.. , Payment type: • Land use approval: 2003 1 &2 family: Simple Complex: CITY OF TIGARD PKS,.. " -ocaa' if r '. u} 3 a% ; s t . " ; s l 4: ;', 'I. _r r',i t 1:l' ' E: PF PERMIT .r ' ❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial 31!f Multi-family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: a+ , ,. . q s , 4wJ' ^ ;JOB;S ITE IN FORMATION s s; . , ` • ` N s. '., y S � RS . , • "d ., iii' a. ., •., • g:n. '. ' .. .. ,.. Job address: o Sin/ S, �((WA'�t', ©1''\ GI-72zj Bldg. no.: Suite no.: Lot: I Block: (Subdivision: Ba- S I — +-{ -1 f2_ Tax map /tax lot/account no.: Project name: 0 Ylie( G'vu2frl O/klwS c-x-r- z(ot2 5'64'►'i2 t2. L- 4C'Ci'i r r Description and location of work on premises /special conditions: re 41- 1 e 5-/-0,4;,4 d s•reee 5{-a 7w 1 * 4 1 11 , ; ¢ F w3 i . {cN ,k ,, OWNER r F . t 4 0' , A f f � - " >FOR SPECIAL INFORMATION USE CHECKLIST - • Name: CoMM1A V .irivW Toil- 7u?/37311C3' N WS/NG1 ; ' # . kr § 4 ' ' (Floodpla sola :) - F-: V Mailing address: P.O, BQX �3 2oG, 1 & 2 family dwelling: City: , It 6M-0 'State: Q( I ZIP: 77 Z 1 Valuation of work $ Phone:(5o3)'1 S -27* I Fax:((.451 8123 E -mail: .ice No. of bedrooms/baths Owner's representative: MAr'RO1;J So l/QV/Ali' . Total number of floors Phone: 911( o Fax: Riff. E -mail: New dwelling area (sq. ft.) :00 yvgl ' x7 6 , ' * , ':•APPLICANTS ' ' 'P „ ` 4'... Garage /carport area (sq. ft.) Name: I....0/4(S GPI l/I I, l/f25 A fit/c. • Covered porch area (sq. ft.) Mailing address: Deck area (sq. f t.) g I �?-( 5W 5,4-�M nl S� l7�/00 1- Cit ( State: D ZIP: Other structure area (sq. ft.) y�r�rzz�? I � ��5 Commercial /industrial /multi - family: Phone L5o3� 22/ I IV Fax�s y 2,214077 E maiL•,Q H iCaQYta �R •newt 9 61 � p Q O r �;t 1,�r mo t' ',4r - CONTRACTOR ` �a x -✓ q `r', .40..4 a.,1 .e+Fw r r a s.i , , Valuation of work $ W Business name: S�A'30I/0 Ga'VS1�un(rro�J Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: om 6 -5 Ste/ / I'►26.7/1 G 021 VG Number of stories City: &�S�14 I State: on,' ZIP: 970 5.4.1-4.://, �.,,, 5. Type of construction Phone: C�3) 6s6 - o I Fax: (S 0 1)6 2 6 - D33/E -mail: / Occupancy group(s): Existing: i- 1 CCB no.: 4 Z' New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be � 1 , ; h , ARCHITECT/DESIGNERfi . r 4, k •„ licensed with the Oregon Construction Contractors Board under Name: e _ ` L/17 -- pr(L'(,C? GYI tUls, /NC, provisions of ORS 701 and may be required to be licensed in the Address: I IZI SW 5A-1,441,w\1 v►r(ts 10° jurisdiction where work is being performed. If the applicant is City: �I t-(t//XNp State:D� I ZIP: el 7,-Ix) +✓j exempt from licensing, the following reason applies: Contact person: I jOelArtl, Ct IA I Plan no.: Phone: 65-)7111 - II'2.I Fax:CO E-mail p„,,,,,--,G evsav4. �.: `. ENGINEER Name: `(m IRI Qpt.* Go N , 1,/6..,. Contact person: p/3 f on/ lvtypoj Fees due upon application $ Address: 707 5W - Fi (L I,,o4 StA, — poO Date received: City: l■ 6p IStateort_ IZIP: 9 7 , 7 ,-- L ,3 Amount received $ Phone: {' 3-3130IFax 643)443.3700 E- mail:461 0 6 ) b l' r J r rK�t, 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 provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with, whether specified herein or not. Credit card number: sX Expires Authorized signature: / Date: 1 /14'/0 - 3 Name of cardholder as shown on credit card Print name: t/ C44 I 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 (6/00 /COM) fJE Commercial Plan Submittal 74 II Requirement Matrix City of Tigard • ' ,, TYPEjO_F SUBMTTAt , # of Plans 1 `� � � �, (Include New, A ddltlons or Alterations) Req � � � � � � a" Ju� m uired at ittal'3. Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 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 applicant to 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 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPEION DIVISION Business Line: (503) 639 -4171 MS UP S' ° -1 Received Date �Requested ,t _ �'�� AM PM BUP /� Location 1 i "b � Suite ' \ MEC Contact Person Ph ( ) PLM Contra Ph ( ) SWR U ' Di . Tenant/Owner ELC F.•' Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: p J - (7 SIT Post & Beam `—►' Shear Anchors Pe"C' _ e Ext Sheath /Shear , 1 0 Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Oth- • 4 5 4 0 PART FAIL ♦ BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer 4; Rain Drains Catch Basin / Manhole Storm Drain Shower Pan _r 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 Anal I I 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 D tO A76; Ins actor �` " ` Ext • Approach /Sidewalk p Other: Final DO NOT REMOVE this inspection record from the job site. • PASS PART FAIL