Permit CITY OF TI GARD BUILDING PERMIT
PERMIT M BUP2004 -00345
DEVELOPMENT R9 639 -4171 ICES DATE ISSUED: 7/26/2004
— 13125 SW B
SITE ADDRESS: 11876 SW ASPEN RIDGE DR PARCEL: 2S110BD 07000
SUBDIVISION: ASPEN RIDGE ZONING: R -4.5
BLOCK: LOT: 042 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 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: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: 1 FRNT: 15 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: 880 square foot deck
Owner: Contractor:
THOMAS TANG JRW CONSTRUCTION INC
11876 SW ASPEN RIDGE DR 16540 SW 72ND AVE., #7
TIGARD, OR 97224 PORTLAND, OR 97224
Phone: 503 - 670 -8311
Phone: 503 - 620 -2333
Reg #: MET 00001175 175
FEES LIC REQ6 D INSPECTIONS
Description Date Amount Footing lnsp
[BUPPLN] Pln Rv 7/16/2004 $121.75 Framing Insp
[BUILD] Permit Fee 7/26/2004 $187.30 Final Inspection
[TAX] 8% State Surchari 7/26/2004 $14.98
[CDCPLN] CDC Pin Re', 7/26/2004 $42.00
Total $366.03
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
952-001-0011 • • OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling a ) 246 -6699 or -800-332-134
Issu: d By: k_ 4L��`
Permitt• - ���
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
4.
I Permit Application v n r� FOR OFFICE USE ONLY .
Cit of TI and 'JUL 1 2O Received / t /
y g DateB 7 m�.�T.� PemvtNo.:� IL ,' �3T
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review CITY OF TiGp�o ���
Phone: 503.639.4171 Fax: 503.598.1960 y4a e >l\ Date/13 Other Permit
Inspection Line: 503.639.4175 BUILDING DIV. ---• Date Ready/By: '� El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: f( . Supplemental Information
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,,�. " �, <�. ,.::. r� = �� OF�WORK�t, �.;, ., � s •; t "�. � , $, :; , s : _ . -:.. , , � .. .,
t .. �� z , , , ,., . s t., „, :, .t <ai`,. REQI ima,r D.�TA .1 A A MII Y DW13 LING.
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�f .i
f ew construction ❑ Demolition Permit fees* are based on the value of the work performed.
`' Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
s c,; 0%. , , t
:% A . ,:.:. „:. :.N -,, v � i � F ;a.. work indicated on this application. ��� �� E:� �.. >, ��. TE � ; F -:� : >.3».� a ��.':::��_:�� r. Y r � o Gated appl
', t k ,-, .. =, '. 2 A GOR = O ,CONS C U ' 9:'�� .,:av ` ,. ,; .r `
' s Valuation: $ / J 7 C� •
/ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: ti
e :?; a�,z ;y ,:.�° 1 .;m: ; -^?;;. _,'., ".r . .. >4 �:'. ;€ _.'" �sr =:.3? s , ^ 3's �3. ' :§�'=`r 'L f=", , AVE/4-€7 , 1M' . ', s,t
. reP ` ,`- J,- MB`r ` SITE INFORN N L OCASAR ' ; " I '' ": Total number of floors:
Job site address: // - gyp c c iii' ,'en 7•57i G /.--.. New dwelling area: square feet l••••-
City/State /ZIP: / ' G 41 —/ C'/ 9 .. Z Garage /carport area: square feet
Suite/bldg. /apt. no.: / l ( Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: ` - K t» square feet ■
' Other structure area: square feet
il R Q1 IRED D ATbCOMM E RCI A ' U E CHECKLIST' '` =
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
f,`,��,T:� NO' - .v,�" =,;:,g:., - w :s.�;�;r >�:': °r�'. �:_? a' . 'xi'ia'l.�'�,'.'a'. `:z.� -�. '- -
� ; tDES C R lpTIO pF OR°= A t r `R' work indicated on this application.
/ • /d G � 7 —
J Valuation: $ ,
//7,-- �-�/ Existing building area: square feet 1
New building area: square feet
a- ° -.: � y, �a = F�.�s».��. `..:��� �;: *�,.. Vi N ,� ; �t;;�..�a r , }_ :. �:°�,,:: % �':�e t° .,, ;;<;
1 ❑ P RO ) ER T�1'7 M�'t'NE �' i :' T E N r�NT s .� -' '� Number of stories:
t., . � . a.,;.a ::,i.,.,_ ',AA.„:e -- „., , ; s c , t ...� v a s..: .. - ,„ », a
Name: /fn u J ---- re-t- i.t 9 Type of construction:
Address: / / g 76 $ /--.-- � , e ' o c ,a-. Occupancy groups:
City /State /ZIP: ie. , Z 0� 9 7 Z 2– Existing:
Phone: (5t>5) 6 g 1 / Fax: ( ) New:
a , 'LI . V: T, :. . , ., ` Wt. : `:r;; ; ONC
CTAT P ` " :' `10 ,x,,. E , ' ,, : R ; , :v 4 , - . q ,
: . .:.� ..:� ::$.' :":r ..e=*.. :=S: '.it,+ �._ _ .. �:1 , .?s * ' ?i >r :. . ..r . -,:� =�. `t ".�”. a "',..k' Sk . .. .., ai.. ="A''�' : '�:'. �K; k am : lV : A1, i . :,..,< �`,-:. •
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
. apply:
Phone: ( ) Fax:: ( )
E -mail:
� , .,ate. r a : ?. ca��c:- ;124 <,..�..�,3.�P�'. � - : - �"�:
Business name: ll �� � 1---- (' i ftf 4- 7; 7� ,��,- a''? qyx ' i aiy „. rfkE- ....,..• • ••
/ . ... . ..:..::. •': BU'ITDIiVG'PERiVIIT .:FEES *✓
Address: / l7 ,� /- e.. -5- G" `� 2 ,9 - :: :.
Please refer to fee schedule.
City/State /ZIP: 7 r f /e, yL,d x/7 z c i/ ^ I .-
Fees due upon application Q t r
Phone: (S bj) � 2 0 — 2. 3 3 3 Fax: ( )
CCB lic.: 5` 7 t( Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
/
Print name: .,-/„........--- Date: ��L U y * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Pernits \BUP- PermitApp.doc 12/03 440- 4613T( I 1/02/COM/WEB)
Building Division
it/tot/lit Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
M- � # °'of Plans
(Includes newad�chtions and a iWt1ons -° � ` Re ate
r i
'" �. _` z 1 � N ;. S
al
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(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.
i:\Building \Forms \COM- P1anSubReq.doc 12/24/03
CITY OF TIGARD 24 -Hour
BUILDING, Inspection Line: (503) 639 -4175
INSPECTION DIVISION Busir2ess L:ne: , :.-- • 9 -4171 MST
BUP -d�3
Received Date Requested .1- AM pM BUP
"r
Location • - j .r e Suite MEC
Contact Person � ( )6 2-6 - - 2 3 33 PLM
Contractor Ph ( )oZ D c T —/b 7f SWR
BUILDING Tenant/twr / ELC
Footing U 7 17 - 8311 ELC
Ftg Drain Access: . _ 7 ELR
Crawl Drain
Slab Inspection Notes: ,� Z SIT
Post & Beam Z� 1
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear r .
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
=M
40103111r RT FAIL
:ING
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 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA > �
Approach /Sidewalk Date � 07 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL