Permit A, it' BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2004 -00283
�, ��I DEVELOPMENT SERVICES DATE ISSUED: 6/17/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136DD-01300
SITE ADDRESS: 06855 SW BAYLOR ST
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: - FIRE RET?
OCCUPANCY LOAD: 57 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 95,000.00
Remarks: TI, new walls for occupancy.
Owner: Contractor:
MALCOLM ESLINGER ESLINGER BUILDERS INC
11575 SW PACIFIC HWY 11575 SW PACIFIC HWY
TIGARD, OR 97223 PMB 160
Phone: 503 - 620 -9515 TIGARD, OR 97223
Phone: 503 - 849 -4653 (Malcol
Reg #: 5Q3- 849 -46 (( 1Ch CC ad)
FEES 503 - REt UIRED
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 6/17/2004 $716.95 Electrical Permit Required
[TAX] 8% State Surchari 6/17/2004 $57.36 F I Permit Required
BUPPLN Pln Rv 6 /17/2004 $466.02 Framing dsp
[BUPPLN] Gyp Board Insp
[FLS] FLS Pln Rv 6/17/2004 $286.78 Final Inspection
Total $1,527.11
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (50 - 6•9 or 1- 800 - 332 -2344.
i
Issue By: 'a -- ilk
Permitte k
Signature: L� / -
Call 639 -4175 by p.m. for an inspection the next business day
Building Permit App toa;tti an® FOR OFFICE USE ONLY .
'� N / Permit No.:
1312 of Tigard SW Hall Blvd., Tigard, OR 97223 e Date /B : , MO ,
Cit I'� si ' 3
g * Plan Review.
Phone: 503.639.4171 Fax: 503,59.81960 0 I Date /By: p�I "O /fog, Other Permit:
Inspection Line: 503.639.4175 `-' ` 1GPC` 'f I Date Ready /By: tuns: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us , \ O F � w1S,o Notified Met ---7 /co-. Supplemental Information
s -- =F�" , i f;rE OF •WO RK., : - :ir +' i, � +` � ' lik6Iii ED DATA: II =; A ND ''2- FA
,` LLINC"''
, : -, ,._ti ;;_,,, - ,4?- - fi ..:' . - __ - . ., . .,:. ids" . . .. . ,g.- _s - . ,... m , 1 :,,. , . , ;..W,i a4s.',:.::o» :1 : x.'` =r' ,,,, ,,
❑ New 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
41 7,7,75 n 7777777 '" 7 " 7 7 77 '' ' 7 , �- "
CATE / 'r' work indicated on this application.
GORY OF` H : - A
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
CI Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
� _� --
JOB -SITE INFORMATLON AND LOCATION 4 Total number of floors:
Job site address: 6855 SW Baylor St. New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Tillamook Food Sales, Inc. Covered porch area: square feet
Cross street/directions to job site: SW 69th Ave and SW Baylor St. Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMRCIA= ,USPCHECLIST- i
Subdivision: Lot no.: 1400 & 1300 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1S136DD 01300 Indicate the value (rounded to the nearest dollar) of all
>' ' , „ p:. _ , . .... - ..:,. -.; :.:,. ,'' —u ,:;s: ' "I :-� I .� t - ° -�> - a and the profit for the
equipment, materials, labor, overhead, a e r
D SCRIP rION OF WORK work indicated on this application.
New interior partitions, doors, relites, sink, casework. Electrical, mechanical, and fire Valuation: $$95,000.00
systems by others.
Existing building area: 5587 square feet
New building area: 5587 square feet
- Vim . y a p pry Number of stories: 2
: r p ly i1 ROPERTy OWN k re l t . M;; -• T N 'r, ' . :--. €:
Name: Malcolm Eslinger Type of construction: V -N
Address: 11575 SW Pacific Highway, PMB 160 Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing: B
Phone: (503) 997 -8478 Fax: (503) 620 -9475 New: B
. APPLI NT 1 . lam r'r ,!� CONTACT„ R -Ti S i lfsiMk .
Business name: WGS Design, Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Roberta Pennington under ORS 701 and may be required to be licensed in the
Address: 4525 SW Condor Ave. jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland, OR 97239 apply:
Phone: (503) 241 -7758 Fax: : (503) 241 -0948
E -mail: robertap @wgsdesign.com
',E, ` 3 CONTRACTOR l
Business name: Eslinger Builders ! .. 1 .', . BULLDING.PERMITFEES* WE
Address: 11575 SW Pacific Highway, PMB 160 Please refer to fee schedule.
City /State /ZIP: Tigard, OR 97223 Fees due upon application
Phone: (503) 997 -8479 Fax: (503) 620 -9475
Amount received
CCB lie.: 62363
j _ Date received:
Authorized signature: / 7 Jt This permit application expires if a permit is not obtained
56� within 180 days after it has been accepted as complete.
Print name: Malcolm Eslinger Date: 17 June 2004 * Fee methodology set by Tri- County Building Industry
. Service Board.
i \ Building \ Permits \BUP- PermitApp doe 12/03 440- 4613T(I I /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BU�LD''F •G Inspection Line: (503) 639 -4175 MST
INSPECTIOIVISION Business Line: (503) 639 - 4171 p 3
BUP c 7` ' a'R1
Received Date Requested /L. / AM PM BUP
Location ' • S S 0. . Suite gig_Mo (
Contact Person Ph ( ) 5)( — & PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation�:
Ft Drain Access: e �- �\) ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler .4:421:4•Ii
Fire Alarm /
Susp'd Ceiling
Ot of d�
•ASS PART FAIL
BING
Post &Beam yawl
Under Slab t ilAk A I f ��•
Rough -In /���-
Water Service gir
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke
Also
• PART FAIL
'�TRICAL
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: 111 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