Permit ' CITY OF TIGAR® BUILDING PERMIT
PERMIT #: BUP2004 -00588
DEVELOPMENT SERVICES DATE ISSUED: 12/20/2004 •
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 07320 SW BONITA RD PARCEL: 2S112AC -02600
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 ZONING: I -L
BLOCK: LOT: 001 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: S4 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 20 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N 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: $ 35,000.00
Remarks: T.I.: wall & roof framing replacement due to fire damage.
Owner: Contractor:
MOORE, ROD A ET AL OHI CONSTRUCTION
c/o EMPIRE BATTERIES INC 17255 PILKINGTON
P 0 BOX 23962 LAKE OSWEGO, OR 97035
TIGARD, OR 97223
one
Phone: 503 - 635 -6248
Reg #: LIC 34908
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 12/20/2004 $358.30 Final Inspection
[TAX] 8% State Surchari 12/20/2004 $28.66
[BUPPLN] Pln Rv 12/20/2004 $232.90
[FLS] FLS Pin Rv 12/20/2004 $143.32
Total $763.18
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 (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: / A Or
Permittee -
Signature: /IL\ `� _
1 all 639 -417 , by 7 p.m. for an inspection the next business day
070--
Building•Permit Application . FOR OFFICE USE ONLY' 1 '
Received /�
City of Tigard DateBy:� } Permit No.: / — I 3.t
13125 SW Hall Blvd., Tigard, •l`' " -' " " ' Plan Review r U
AN
Phone: 503.639.4171 Fax: 51` .5 = :. ' . 40,0141 I � \ DateB : 1 r / Other Permit:
Inspection Line: 503.639.4175 di I' Date Ready/By: Juris' Q See Attached Checklist for
Internet: www.ci.tigard.or.us 1 DEC 20 2004 Notified/Method: T I kr Supplemental Information
y`? , . .. �. .'s .'�'`.'t�:l. a 4 ' "t r•- ,sz°.' s "" . :.
t* s a , `' ;.' F. '� ,..,q 0 :1 ' ,Yr ^- k u . ;E . ,IN : t,, : k k 'TtE V . S , 1 ' ,, :1' AND 2 AAZILI',' . •
�r^: °,,.,�, �:.. x�...'-.��"': - ��:�v+` "e ' .',� "�8's ^"�`1.=�:.i.' : � , ' � ,.:'�;�...r�,k�''�s �..,.. ... _ s;; ti.' a' '; �. �;"ar>"..'.•<�:�o-aFzmK:�.e4-..� ,.' s:, '�,:�P:T,ss.s.;�M w?.2: ^u °� . � .....�. .. ...
❑ New construction �ppT� I�TqT 11G ISIi iN Permit fees* are based on the value of the work performed.
ldV1 � Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
, CAT GOBI' -0 $CONS II CTION " �, s=:�£. '� i work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling [7 Commercial/industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. � 'sz „�5: :� > ' £ ; ���.: �,_:,�zy > ,•#;i3:�••, _'.��', ; � "� n:� �"r+i�� ; 'c� �s -� r�s _. � a ��,�;�:,'�= - -, � .�,;a; s °.& 3 ` �t
i . r `' : ' tJ ,A.ND, LO C ATI O N 1 a ° ; ' p Total number of floors:
Job site address: 1.7,1Q cA) Doo rrisv New dwelling area: square feet
City/State /ZIP: —ri (4 ka„.D ' oe 41-4-22- '7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
1 Other structure area: square feet
ith6 R1 iri ATr', COlV7'1VIERCI °AT ,.i1SE 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
At KR N µ u x % „ , equipment, materials, labor, overhead, and the profit for the
n fj,y : D rSCRIPTIO OF WOR•I{' � 1 work indicated on this application.
Valuation: $ ''ficrOPO.�
' kt -f e f , `J A � I _ Existing building area: square feet
4Y-C J //V r ( t~t 4 A. J,1( New building area: square feet
"rt.': £ "a's'k ` •r, °x : ", ^s 0,. , 5': � C-1.. —, 5ar,n' . ; € , `x,,. L- ,k ", h 1=w1.;.Via'= .. ,.
;: e i ° R: t i WNER' 0 ; `>, . ` ,=)•• r, :.t..i . T T -ENAN IRa i5 " h'�'' Number of stories: '
,,:: k5.>ti -.•. =ss: .�.. <.;;� .,,.,5'•:, ,.�a�s.,: >ia;. ,. _,��;xa,s #,
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax:
�"-�”` x . r�:. �,�,. .. r�r °s,�Y .,ka�..�:x�`. �:' �rm`•,e, �, ?�s�'�.��t�'a�na�` :;s€s -:. "s'§Yk.:: .� a =. ='.'�''�
New:
L IrAYP�TGANT, •. . ; r,„' CONTACT' F,ERSON i, +� r `,N104r'' r te, :
� ;i' Oyu '.: t '• �i,`..a a n> ,. Y . ' 0.. .e -fix.. s; =af, :... ».. .. ' NOTiICF3 I h
Business name: (N1Q0C/- All contractors and subcontractors are required to be
Contact name: ,,,..149/4 � � licensed with the Oregon Construction Contractors Board • �( under ORS 701 and may be required to be licensed in the
Address: )Z2 - 1� t i i I so ' jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: tll
��Pi-t'ti'tu , Ot 41-7.0 9 apply:
Phone: (5) 22?j . oil t 2 Fax: : (<03) -Z'2..3 - 6,12 3
E -mail:
d ? _ ,. i _ CONTTi ACTOR y �x s 'f`i ' I
t. ; - _ , � _� is . � .
Business name: 014. (0
:; >'
�; �
i NBUIIip,IN,G,PERM'TT' TEES'''
Address: 7 s � F �, u4 _ p Please refer to fee schedule.
City/State /ZIP: (( � 6 :7 ((. l" n
`-4'
�- �CFe.� � � ) Ca, q r 1 ��'� Fees due upon application
t_
Phone: (Z) 69 3 � i x Fax: ( co 3) ' ' . -I. 12 3 Amount received
CCB lie.: 3h 1 0 f)
Date received:
Authorized signatur . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: — '^ A / Date: 12 . * Fee methodology set by Tn - County Building Industry
"C �!`'' d�--- Service Board.
i \Building\Permits \BUP- PermitApp doe 12/03 440- 4613T(11/02 /COM/WEB)
Building Division
„„,„ "'m!ollt Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard ,
" m o Type of� � p # tfvi s
(Include new, add><tionsand alterations )� . P Required at` i
. `.. ..� .. ��� . . � �: �'_ k ubmLLta,V ,_ l
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- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #:g 0333 J
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �u�jl i° t
Inspection Requests (24 Hrs.): (503) 639 -4175 u°u' f''IL.
INSPECTION WORKSHEET FOR DATE: 11(I (TlME: PAGE:
SITE ADDRESS: `j -2 - ZU 130-0,-) li' c "N-- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ':tit,
DESCRIPTION: �
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
.v F IPV----
Corrections /Comments/ Instructions:
.,.■---- '''' ( '' I/1 7 '
----- ,4 1 ......_ 1 , -} (
j r — ( \ g /
I PASS H PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
'I
FAIL CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
) 7, \ .
Inspector: / Date: hone #: (503) 718-
— 11 (JG
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
.._
BUP a110_ r1os"P9'
Received Date Req sted 3 _ ( AM PM BUP
Location -- "2-6 �y� _ C J Suite MEC
Contact Person ) Y l 60.\ Ph PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access
Ftg Drain r D ELR
Crawl Drain l�
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation J C �1l S Vv k b\.JG C�
Drywall Nailing l
Firewall
Fire Sprinkler —�—
Fire Alarm
Susp'd Ceiling
Roof
Other:
PASS PART FAIL
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
40'
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before nex inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL f
SITE Please c I for r ' nspection RE: I , Unable to inspect – no access
Fire Supply Line
Approach/Sidewalk Date Inspector r Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CIT _OF TIG,ARD 24 -Hour
<gUItDING . ;� Inspection Line: (503) 639 -4175
$Rte7taN ` D I Business Line' (503) 639 -4171 MST
{ �y
f BUP Ob
i
Received Date Re ested ' it AM PM BUP
Location 7 ,3 2 0 Lt- -. Suite MEC
Contact Person Ph ( q7% ) c l — 1E5 7 PLM
Contractor Ph ( ) lit_ �! _ if rte
BUILDING Tenant/Owner Amu Al _ _ ELC
Footing d
Foundation ELC
Access:
Ftg Drain / ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulati
all Nailin — t f �
Firewa L (L ( cN C_ Sprinkler \- e ,
Fire Alarm
Susp'd Ceiling i
Roof
F al
PA PART FAIL
• L :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 fed of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call f• reinsper ion RE: . ❑ Unable to inspect — no access
Fire Supply Line - -
ADA
Approach /Sidewalk Date _ 4 inspector Ext
Other:
Final DO OT REMOVE this inspection record from the Job site.
PASS PART FAIL
CI`TY•OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DI VISION Business Line:. (503) 639 -4171 MST
BUP 00 . ?g
Received Dat Requested AM PM BUP
Location 32%) � � Suite MEC
Contact Person Ph (5_71) ( / r 7 PLM
Contractor c Ph ( ) SWR
BUILDING Tenant/Owner C'1 C�k/ ELC
Footing
Foundation ELC
Access
Ftg Drain -
Crawl Drain ( � � ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
nt heath/' ar,
Fra ' i • •41 .. ■ i f
Drywall Nailing �
Firewall ■ / .
Fire Sprinkler -1107 -
Fire Alarm
Susp'd Ceiling V
Roof __ '
PASS PART FAIL
I PL ING
ost & 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 bef'. re next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please cal or rei pection RE: Unable to inspect — no access
Fire Supply Line j
ADA ' 'j
Approach/Sidewalk Date � Inspe or �1-. I + _ Ext
Other:
Final DO NOT REMOVE this inspe on on record from the Job site.
PASS PART FAIL
CITY OF TIG,ARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line:- (503) 639 -4171 BUP 06 6108
Received Date Re•uested r 3) AM PM BUP
Location ' a Suite MEC
-
Contact Person Ph ( ?7/ ) - 1 FS 7 PLM
Contractor Ph ( ) SWR
6
BUILDING Tenant/Owner —4414 A"' I !, ' 11_. . ELC
Footing 1 ELC
Foundation Access:L6
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
ra_ i
Drywall Nailing , �s f tJ
Dywall N 1 ` 6C�
Firewall i _ '► c i
Fire �--
Sprinkler �° —
Fire Alarm
Susp'd Ceiling
Roof T � ' .
Other:
Final 4i —7jt
PASS FAIL
PLUMB!
Post & Beam j [�
Under Slab f e_
Rough -In v `� �
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
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspec ion fee of required 'efor- —xt pection. Pay •v City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE E Please all for rein- pection RE: � ` Unable to inspect — no access
Fire Supply Line �'\
ADA ,�-
Approach /Sidewalk Date �/ Inspector Ext
Other:
Final DO NOT REMOVE this inspectio record from the Job site.
PASS PART FAIL
, 9
'!_
BUP - Building Permit _ . ELC - Electrical Permit _
iI Inspection Description Date Passed By Aid Inspection Description _ Date Passed BvI
Footing /Setback Underground cover 1
Foundation walls Wall cover
Footing drain - Ceiling cover
Waterproof bsmt walls Electrical rough -in _
Slab _ _ _ Electrical service __ __
Crawl drain Electrical final
Underfloor insulation
T Post /beam structural _ — —
She walls /anchors ELR - Restricted Ener Permit
Roof nailing --
- t, - - -- _ \_ Inspection Description Date Passed By
Firewall _ Low voltage _
Tilt -up panel Electrical final
i`vlasonry /Reinforcement -- —
Framing
MFG- Structure set-up MEC - Mechanical Permit
Insulation -- —
.Drywall nailing Ai Inspection Description Date Passed By , —
Suspended ceiling Post /beam mechanical
—
Engineered soils _ Gas line
Welding Lab Final — Mechanical rough in
Concrete Lab Final Fire damper — _ --
Bolting Lab Final Duct work
Structural observation Smoke detector
Fireproofing Lab Final Mechanical final 1
—
Final inspection — —1 --
PLM - Plumbing Permit
r. BUP – Fire Protection System Permit Inspection Description Date Passed By
- - - - --- Plumbing underslab r —
Inspection Description Date Passed By Crawl drain
— Sprinkler underfloor /slab —
Sprinkler rough -in — Post/beam plumbing
— Plumbing top -out _
Sprinkler final RP /backflow preventer
Fire alarm final
Rain drain •
Storm drain IIA
Water service
ti SIT - Site Permit . —
Sanitary sewer
x - -Ni I nspection Description _ Date Passed By — Culvert/catch basin _ _
Footings Pump /fill septic tank _
__ Foundation walls Plumbing final
Sprinkler supply lines _ — _
Sprinkler underfloor /slab
Catch basin /Manhole _ SWR - Sewer Permit •
Engineered soils •
Engineering acceptance — Inspection Description Date Passed By
Sanitary sewer • _
Final inspection Final inspection _
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/OI
A CITY , _ BUILDING PERMIT , .
PERMIT #: BUP2004 -00588
t ,, DEVELOPMENT SERVICES DATE ISSUED: 12/20/2004
` • °'` 6; 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07320 SW BONITA RD SITE 2S112AC 02600
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 ZONING: I -L
BLOCK: LOT: 001 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: 5: E: W:
OCCUPANCY GRP: S4 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 20 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N 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: $ 35,000.00
Remarks: T.I.: wall & roof framing replacement due to fire damage.
Owner: Contractor:
MOORE, ROD A ET AL OHI CONSTRUCTION
do EMPIRE BATTERIES INC 17255 PILKINGTON
P 0 BOX 23962 LAKE OSWEGO, OR 97035
TILAone. RDt OR 97223
Phone: 503- 635 -6248
Reg #: LIC 34908
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 12/20/2004 $358.30 Final Inspection
[TAX] 8% State Surchari 12/20!2004 $28.66
[BUPPLN] Pln Rv 12/20/2004 $232.90
[FLS] FLS Pln Rv 12/20/2004 $143.32
Total $763.18 'Q
1
VI 1
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes M
and all other applicable law. Al! work will be done in accordance with approved plans. This permit will expire if work is e t
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 (503) 246 -6699 or 1 -800 -332 -2344.
—'
Issued By. r f�. ..� � P
Permittee i 1 )1
Signature: ..�� '"�`
all 639- 41 7 p.m. for an inspection the next business day
V