Permit L f.^ 1
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00445
+L � ' � l DEVELOPMENT SERVICES DATE ISSUED: 10/14/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC 02400
SITE ADDRESS: 11565 SW DURHAM RD
SUBDIVISION: SDR1999 -00022 WILLOWBROOK II ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 5,787 sf N: NR S: NR E: NR W: NR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: N S: N E: N W: N
OCCUPANCY GRP: M TOTAL AREA: 5,787 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 28 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: 20 ft RGHT: 20 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: ft FIR ALRM : HNDICP ACC:U
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 394,094.00 '
Remarks: New 5,700 square foot office building.
•
Owner: Contractor:
DOUG FRY CARPENTER HOMES INC
2423 REMINGTON CT 4719 SW LAKEVIEW BLVD
WEST LINN, OR 97068 LAKE OSWEGO, OR 97035
Phone: 503 - 348 -2237
Phone: 636 -0381
Reg #: LIC 72307
FEES REQUIRED INSPECTIONS
Description Date Amount Erosion Control lnsp 846 -8 Roof nailng Insp
[BUPPLN] Pln Rv 7/24/03 $964.15 Mechanical Permit Require Insulation Insp
Electrical Permit Required Shear Wall Insp
[FLS] FLS Pln Rv 7/24/03 $593.32 Plumbing Permit Required Gyp Board Insp
[BUILD] Permit Fee 10/14/03 $1,887.55 Foot/Found Insp Susp Ceilng Insp
[TAX] 8% State Tax 10/14/03 $151.00 Struc Steel Insp Reinforced concrete final re
(additional fees not listed here) Reinf Steel Insp Bolts in concrete final repot
Slab lnsp Structural welding final repr
Total $4,528.08 Masonry lnsp Final Inspection
Framing Insp
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: Z___.-- Ze.
Snn ittee �'!� /� ,
Siignature: , ��
Call 639 -4175 by 7 p.m. for an inspection the next business day
/ s6s SGo puR W1 0 61) A
Building PermitPApp .; r , OFFIC U ONLY
tt IuL , 1_ Y b
t City of Tigard q Date received: 1/ /0, Permit no.: ,9 , yy
� ,lj{
Address: 13125 SW Hall Blvd, Tiga O R � 9: 7 2 23 2003 Project/appi. no.: Expire date:
City of Tigard Phone: (503) 639 -4171
CITY OF TIGARD Date issued: R Receipt no.:
Fax: (503) 598 - 1960
BUILDING DIVISION Case file no.: Payment type: ��
Land use approval: eDif..- 3 ' 1 &2 family: Simple Complex:
TYPE OF.,PERMIT .
❑ I & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family pNew construction ❑ Demolition
❑ Addition /alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
- JOB SI TE INFORMATION
Job address: it 5 ( t7 i2-f f? Bldg. no.: Suite no.: 3.
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: Lkit (Cowwu0 LA at,' l eL r °i�
Description and location of wo k on premises /special conditions: , 5 ,1 (no S Al c(-.'
lIP
_ OWNER - FOR SPECIAL INFORMATION, USE CHECKLIST
Name:l- ' . (Floodplain, septic capacity, solar, etc.)
Mailing address: 25: h- -3 (7,..eht_ip4 1 e2, CI 1 & 2 family dwelling:
City: (A cl-- U LLA, s State: cp. I ZIP: ' 7 . .), Valuation of work, $
Phone: 3 2 • zts? Fax:4- - n - G,&74E -mail: No. of bedrooms/baths ---Ck
Owner's representative: P }- L ( Total number of floors
Phone:(, 1, - 2- 4 Fax:Co3$ - •' ' E -mail: New dwelling area (sq. ft.)
- . APPLICANT _ , - , Garage /carport area (sq. ft.)
Name: `( t - 1, O-c- a -- - c r cs_a Covered porch area (sq. ft.)
g - 1,.- < .,(a_,,_,( She (2_0 Deck area (sq. ft.)
Mailing address: �( Sc So
- -- City: e? cy/k State: p(Ll ZIP: 9- 77 y3 Other structure area (sq. ft.) .
Phone:2Q a$CZ. Fax: ,.-° ,, 4(7 E- mail:{x 2 p,�( Commercial /industrial /multi - family: 3 % O `J y , 74
CONTRACTOR aluation of work $ `2.-q O, cz-.p
Business name: q-K o � � Existing bldg. area (sq. ft.)
�' New bldg. area (sq. ft.) c 7 $7
Address: 7/./b =IM.) �44f i Et .rM Number of stories
City: ,L.. p, State:D ZIP: 99v.3. J
Type of construction NIN
/
Phone: r ,46 .- 038/ I Fax: I E -mail:
CCB no.: 7A 307 Occupancy group(s): Existing: R7
New:
City /metro lie. no.: Notice: All contractors and subcontractors are required to be
,' . , ' ." ARCHITECT/DESIGNER .. licensed with the Oregon Construction Contractors Board under
Name: p Li e l provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
. , " ENGINEER , . . ,.' ..; •, . r.', ,, OFFICE USE ONLY
Name:. L..a.,,._. GcJt. Contact person: -I-a Fees due upon application $
Address: G ? (9-1 ., a- .,
1, f -- S' b Date received:
`"
City: T (O I State:0(L IZ Z�
IP: .17'L2- Amount received $
Phone: ( - 7 Fax: E -mail: 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. I
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: / /
IA-3 - Expires
Authorized signature Ges�datc: 1 2 - Name of cardholder as shown on credit card
Print name: �, L F ft-1 G �i'l-ep 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 (6t00ICOM)
4 4 9(pLI ,r v 4„is5.
593. 16 "
,
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP ���"O
Received pp Date Requested AM PM BUP
Location t' " (dam '50-) 0 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Roof d Ce'ling rvI!A
•
Other: t ri _ — '•
PAS, PART FAIL
PL & B e
• st Beam
&B eam n
Under Slab
Water Water Service v _a/
Sanitary Sewer \ -��
Rain Drains
Catch Basin / Manhole \ yi
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 Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El 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