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Permit t CITY OF TIGARD BUILDING PERMIT • PERMIT #: BUP2004 -00362 "4I1I DEVE PMENT r S o ERV ACES t 639 -4171 DATE ISSUED: 7/26/2004 13125 SITE ADDRESS: 09450 SW CORAL ST PARCEL: 1 S126DC 04400 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P BLOCK: LOT: 007 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: / 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: U2 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: 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: $ 3,750.00 Remarks: Sign Footing. Owner: Contractor: . RENAISSANCE DEVELOPMENT MEYER SIGN CO OF OREGON INC 1672 WILLAMETTE FALLS DR 15205 SW 74TH WEST LINN, OR 97068 TIGARD, OR 97223 Phone: Phone: 620 -8200 Reg #: LIC 64014 • FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 7/26/2004 $81.70 Framing Insp [TAX] 8% State Surcharl 7/26/2004 $6.54 Final Inspection [BUPPLN] Pln Rv 7/26/2004 $53.11 Total $141.35 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: 'AV i' Permittee - Signature: A 4 .." , � -_ - _ _ _ Call 639 , 175 • 7 p.m. for an inspection the next business day • l' Building Permit Appl � � y*:n,'x " «.` F 7 �, 9r.F 'f*,� 4' a C �.r • 01 W R, t ,, iNgOFFICE tTSErONLY,, ; �r,.tOti*it ication Received Building p Date/By: Permit No.: 2 Y 6 City of Tigard Planning Approval Other Date /By: Permit No.: 13125 SW Hall Blvd. Plan Revie� Other Tigard, Oregon 97223 Date/By: — 26 I 11.W Permit No.: toil/ Phone: 503- 639 -4171 Fax: 503 - 598 -1960 , y e ll _,. Post- Review Land Use if 6T r � ; Date/By: Case No. Internet: www.ci.tigard.or.us �^ °- ' > °�W"' Contact Juris.: ® See Page 2 for • 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information ) c_. ar , c // 40/0 O r �. :�. . ,� , ..� � ,. -m . . �.. ., _._- a >��`. + ` �` .<RE�. ,.�,.g ,:� C'f, • °s= -' " rP.' �: ° . ,l. _ . '�;" <5 - .s�..• w ,,- t;�?s : .. Demolition °_<,r -; -, :° ,, & -2 FAIYIIL�Y�°D TM , New construct n ': - : ::6 ..W, .. uq t..-.N<, ,^,; ❑ Addition/alteration/replacement 8 Other: 44.,V " Ir CATEGORY OF CONSTRUCTION ; Z' ``:;': `' ,, .' ;° Note: Permit fees* are based on the total of the work performed. Indicate ❑ I & 2- Family dwelling [ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family ❑ Master Builder ❑ Other: Valuation $ , JOB INFO LOCATION mow';; e No of bedrooms: No. of baths: �' °= °'' -"'� '� � Total number of floors Job site address: • q ( Cp L-', New dwelling area (sq. ft.) Suite #: i Bldg. /Apt. #: Garage /carport area (sq. ft.) • Project Name: /lt- Ala/7A/ ,4f U 7 - • Covered porch area (sq. ft.) • Cross stred /Directions to job site: Deck area (sq. ft.) i n�h (L ( L I • c� Z7 /r( �`ti r� Other structure area (sq. ft) ( . _ ,.;_; nzN 5 §; ,,w ; sue''' , <'` , ti :r" _.:,, ae_'.; i ,,a; : - ; t - '� ✓L�G� Gt L� �S 4 S� d 7� 1 1 l � a . 4W ED DATA A� r fi s ( ke... . A A; - ' C 0 11� RC USE C HEC - w sT 3 ; , Subdivision: Lot #: Tax map /parcel #: • ., Noe: Permit fees* are based on the total value of the work performed. Indicate icate a d a. >,v • > ,:^tMr:: -' x'04K value (rounded to the nearest dollar) of all equipment, materials, labor r :DESCRIPTIONOFWORK u.'' overhead the and p for the work indicated o this application, • Valuation $ � 7S2 - • • �� Existing building area (sq. ft.) New building area (sq. ft.) • - Number of stories �` �� - � -��'i �' "� ` `� "'� }' � �"`° Type of construction ;PROPERTY O\',S'NER°��', � � } • a „TENANT:�r �� ; � , �.� .:,� .. , .. Name: ' i v / g -/ iE-N a -, +I - Occupancy group(s): Existing: /, - - -_ New: Address: /472., WI p7 ?a11.§ -• . . City /State /Zip:. KLes I 14,11,0 0 , cy 7o(0g ; NOTICE: All contractor's and subcontractors are required to be 2 Phone: S�3 5 2 5 Fax _ ” • 7� - licensed with the Oregon Construction Contractors Board under Aar ,_ -, ' :�._~,,a t , - °1NTAC °T :FsRSQN i M .,. �P�L,;hC'�11��'1'<'. "' = ,,n,��'� ���: � ® - -` -^ �� -'` _ -_ =�°� =- provisions of ORS 701 and may be required to be licensed in the Business Name:CSa/y/ a>0.- R pp ' jurisdiction where work is being performed. If the applicant is exempt Contact Name: (57-y,-- A,(,• %L? from licensing, the following reason .. applies: Address: . City /State /Zip: Phone: _ .-- . - Fax: ' . _ w,� l� e BUII7DINGTPERMITFEES � ', ` i " E -mail: - _ • • �� � ' � ' .- 41 .. toffee scLed Ie. a ✓,.: °ss'* ;..� -. '* •:c "' :,.t�'s5'±C%'S -" "^" =' r.''':'? k ' a �a`c .."' `- ;K6'- ':r-`'� - gk�' � &:' '' s .,-r - tr_ i • .. 'c. ra � a-_ - «,:.ai?-t.'d't�..'.U,,, � . ` Ta...S,-�t fe 0 - 2 :a, : % - .:.- .};���: ` 4�'. - CONTRALTO „R� -: > �,,k� . 3 - ` , ;rc.�,.. -w ..� '`4�'�u.^c.YrzSx �.'- .'r..'i- :�..' -. `. Y, Y,: �-.. z>.. >E- �."C�c.�3isi±'"�.,' ^t.«..Y.. "1?-,uss #ate; .. "'. :.'V '. . Business Name: /4i( (&2 . 6 0P- Ac , Fees due upon application • • $ Address: /gZo,c ,S/v 7 , City/State/Zip: c Amount received $ Y p �� - q i z.z �{ ' Phone: Clog zp-$2� Fax: C- 7)) 6 2D - 707 / Date received: CCB Lic. #: (4O 14 . Authorized / / r / Noti This permit application expires if a permit is not obtained within Signature: , > 517—A\41:. r,..., A`• Date: ' 7 - 20.0 u- 180 days a it has been accepted as complete. V )/1-14- ” P *Fee methodology set by Tri -County Building Industry Service Board. - ( ase print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION' 61VISION Business Line: (503) 639 -4171 MST I ? -- 1 D 0 BUP 4 6 c) �- a o.a- Received Date equested 7 - °Z AM PM BUP q Location / y� Suite MEC Contact Person Ph ( ) lea v - ea©d PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Sot' -Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: r SIT Post & Beam _ ¢.[ Shear Anchors / `� ). U Ext Sheath/Shear ° I, / e� 1 C [, - dt/Z�¢ -� Int Sheath /Shear I Framing / /'' i Insulation Drywall Nailing ( / ( Fire Sp rinkler - - Fire - r�� ai_ Sprinkler Fire Alarm Susp'd Ceiling Roof r Other: - in VPAS PART FAIL ' PLU BING & Beam / ikt\rn—L-F__ � 3 S', (G 6■--\ .1 Under Slab Rough -In ge± .____________ Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL 'MECHANICAL t . t.� Post & Beam gRough -In . w— Gas Line 1� 1 Smoke Dampers Final PASS PART FAIL ELECTRICAL Service -I�4 / Rough In ��_, I UG /Slab A mtalivm mu �� ',1 M�_ Low Voltage Fire Alarm Final ❑ Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ 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