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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00037 N {M 4, DEVELOPMENT SERVICES DATE ISSUED: 3/14/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BA -00800 SITE ADDRESS: 12155 SW GRANT AVE A SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: I -P BLOCK: LOT: 059 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: REP FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: F2 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 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: $ 256,000.00 Remarks: Fire restoration. Owner: Contractor: SEE -ZER PROPERTIES COOPER CONSTRUCTION CO 26785 SW NEILL RD 2305 SE 9TH NEWBERG, OR 97132 PORTLAND, OR 97412 Phone: Phone: 232 -3121 Reg #: LIC 00008587 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 3/14/01 $1,352.40 27200100000 Electrical Permit Required Plumbing Permit Required 5PCT CTR 3/14/01 $108.19 27200100000 Framing Insp PLCK CTR 3/14/01 $879.06 27200100000 Roof nailng Insp FIRE CTR 3/14/01 $540.96 27200100000 Gyp Board Insp Final Inspection Total $2,880.61 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signature: Issued By: ■ 4004, 6 , 6 7 Call 6 175 by 7 p.m. for an inspection the next business day CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00037 A k DEVELOPMENT SERVICES DATE ISSUED: 3/14/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BA - 00800 SITE ADDRESS: 12155 SW GRANT AVE D SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: I -P BLOCK: LOT: 059 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: REP FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: F2 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 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: $ 256,000.00 Remarks: Fire restoration. Owner: Contractor: SEE -ZER PROPERTIES COOPER CONSTRUCTION CO 26785 SW NEILL RD 2305 SE 9TH NEWBERG, OR 97132 PORTLAND, OR 97412 Phone: 503 - 521 -9933 Phone: 232 -3121 Reg #: LIC 00008587 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 3/14/01 $1,352.40 27200100000 Electrical Permit Required Plumbing Permit Required 5PCT CTR 3/14/01 $108.19 27200100000 Framing Insp PLCK CTR 3/14/01 $879.06 27200100000 Gyp Board Insp FIRE CTR 3/14/01 $540.96 27200100000 Final Inspection Total $2,880.61 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Perm ite- • . - Sig • ure: Iss ed By: : i 4 1 0 -_ . Call 6 • -4175 by 7 p.m. for an inspection the next business day J -itz- 1,1., g - / -5 --)1"17v9 -s-5 I --c i Buil i ng Pi j ed: /-,/5 P ermit no.: u SDI OD03 • �.� lit City of Tigar. ^: _.. -, -. ,.,.,....ppl. no.. Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: - TYPE OF PERMIT . • ❑ 1 & 2 family dwelling or accessory $Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ,Other: 'fl RE Q'�ltl 2 JOB SITE INFORMATION Job address: ISS S,v . Grnl■r 51.7 1 t (L,Y2 Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: H1 21= (2 EJlLO — r #- MEE NG. .. OWNER WNER - FOR SPECIAL INFORMATION, USE CHECKLIST Name: � E.�- rG' 116 nn - 1 E. ' TI `LS (Floodplain, septic capacity, solar, etc.) , Mailin. address: , , — % _ _ ,, 1 & 2 family dwelling: ��77� �, r Stafe:O ZIP: C j7I 33— Valuation of work $�.9e Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) Sd � `" APPLICANT . Garage/carport area (sq. ft) �3,� Name: *ZT E'NC1N po-V5 — 1201 501.11a1 Covered porch area (sq. ft.) O _IFTIi1iT MtR EGrt•r„1 :. t AVE. Deck area (sq. ft.) Other structure area (sq. ft.) I , � iL _ 1._ State:. ZIP:17 Phone: Spa 2 -gj�5 Fax:22� E -mail: -T P T ►� , o mercialliudustriallmulti- family: 'CONTRACTOR aluation of work $ Existing bldg. area (sq. ft.) Business name: pop - *A.0,1L. ph Co •:• A ddress: a , - - V 10,1f., New bldg. area (sq. ft.) • --- State: o{ ZIP: �r Number of stories Phone: V �i Fax: 2324 Ii E- mail: Type of construction CCB no.: Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under 1)0 IfIEMM-- M", r2ZVIMIIIIIIIIIIIIIIII provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is as. t from licensing, the following reason applies: � �11AR�V1_ exempt : ZIP: P g g PP -- j" Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER . fk IIM Contact person: i a - A Fe es due upon application $ Address: i ■ U(�. Date received: IZIFEED= ZIP• a Amount received $ Phone: 6C3 23c.8795 Fax:503 - l y , r , a, 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. attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard work will be complied with, whether specified herein or not. Credit card number / / Expires Authorized signature: 1 b SElit1.4716 Date: 01/401 Name of cardholder as shown on credit card Print name: uAL f) { 5e4 lufet 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 (6100 /COM) i�'i I pi)'r>� f r . ■ CITY OF TIGARD BUILDING INSPECTION DIVISION ' MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171. - BUP .ZG / - vG 3 7 Date'Requested 5 3 I AM PM BLD Location / Z J .Scs, J Suite A MEC Contact Person Ph J37 6 7 / C) PLM Contractor Ph SWR DIN . Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insul. • irewall Fire Sprinkler Fire•Alarm • Susp'd Ceiling Roof Mi f PASS PART FAIL ING , as Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please c I for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk In actor Ext Other Date p Final PASS PART FAIL DO NOT REMOVE this inspection 'record from the job site /ZP CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171' BUP 0e4/- 6 . 6) ° 3 7 Date' Requested S Z AM PM BLD Location /7 r57 Suite MEC Contact Person 5,71 Ph 7 3 7 G 7 PLM Contractor Ph SWR UILD ' Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • • SIT x Post & Beam Ext Sheath /Shear IntS�-- •/Shear Drywall Naili • `* A` F l 0 • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final • PASS PAR FAIL PLUM IN Post & Beam Under Slab Top Out Water Service • Sanitary Sewer Rain Drains • 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 • PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITYOF TIGAFD BUILDING INSPECTION DIVISION 24 =Hour inspection Line: 639 -4175 Business Line: 639417 MST 1 /.s3' Date Requested BLD Location 6r1 r� � S te MEC Contact Person / 1 /4,,A/ Ph . 13fJ 67/6 PLM Contractor (� Ph 1 SWR Lt1(LDING) Tenant/Owner `tea,) -ems �� � ELC Retaining Wall ELR Footing Access: Foundation FPS Cr l Drain j CAN ` SGN Crawl Drain Inspection Notes: � 1 Slab t SIT Post & Beam Ext Sheath /Shear 1 Ina Framing Fra 7 1 ,1 ming / U Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Sus .'d ! eili g J o Misc: _mil_ • Fina • SS PART FAIL P BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �{ �] Approach /Sidewalk Date )/ ( Inspector Ext C Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • i cal= v CITY OF TIGARD BUILDING INSPECTION DIVISION MST OW 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested .7 1 .3 AM PM BLD Location / 2 / S 6<./ Suite MEC Contact Person Ph .7.-2Q-0'2/0 PLM Contractor Ph SWR BUILDING • ;�, Tenant/Owner ELC • Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear Framing Insulation d// Drywall Nailing Firewall Fire Sprinkler S1016/0 1' oiget, • Fire Alarm Susp'd Ceiling Roof nal SS PART FAIL _ PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE >�t Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: ] Unable to inspect - no access ADA / Approach /Sidewalk Other 2 Date ! 3 /6 Inspector ‘; Ext Final PASS PART FAIL DO OT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0 • 24- HourJnspection Line: 639 -4175 Business Line: 639 -4171, BUP ; o ire Date Requested 17/1 AM PM BLD Location 5 ,,b1 -1.v Suite MEC Contact Person Ph .7..?g- 07/® PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing. Insulation �/ [( ` ^ Drywall Nailing (� l� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof nal SS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 • PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line' [ ] Please call for reinspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk • Other Date 2 //3/k)( Inspector Ext Final PASS PART FAIL DO N OT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION .� 24 -Hour Inspection Lure: 639 -4175 Business Line: 639 -4171 MST �) BUP 2vr'J --' o) 7 Date Requested 1 /0 AM PM BLD Location /24 ST 1 4) d t--e Suite X" MEC O Contact Person Ph t3 � 7 ( PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear �,� c , • Framing ! Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: I Fi / _PART FAIL 1 I MBING Post & Beam Under Slab , Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE, , z . _ Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk V / C/0 / /�'�` Other Date ( Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.