Permit ~ BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2003 -00093
J ill DEVELOPMENT SERVICES DATE ISSUED: 4/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11505 SW HALL BLVD PARCEL: 1 S135DA 01400
SUBDIVISION: ZONING: C -
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: A3 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: $ 9,000.00
Remarks: TEMPLE - Fire alarm installation
Owner: Contractor:
BRAHMAPREMANANDA ASHRAM/TEMPLE
1151'5 SW HALL BLVD
TIGARD, OR 97223
Phone:
Phone: 255 - 9488
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 4/16/03 $129.70 Fire Alarm Insp
[TAX] 8% State Tax 4/16/03 $10.38 Final Inspection
[FLS] FLS Pln Rv 4/16/03 $51.88
Total $191.96
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 • e -• s OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (50 46 -6699 0 1- 800 -332 - 44.
■ Issued y: k t �'� : i ! It `/ i /
Penn ittee
Signature: I W 6.
•
Call 639 -4175 by 7 p.m. for an inspection the next business day
filar .fw H%LL 51
/-IP PAN C 6A /AA) 19ALOC. oc_ £ - /y -V
Building Pere tit Application OFFICE USE ONLY - ' ,
Date received: 5 Permit no.:; a Q
, �Q 4 ,$ - F
A, Ali - City of Tigard Project/appl. no.: ire date:
CITY OF TIGARD Address: 13125 SW Hall Blvd ei °e"
® Date issued: 1 Receipt no.:
Phone: (503) 639 -4171 Case file no.: Payment type:
Fax : (503) 598 -1960 FEB 2 5 2003 1 & 2 family: Simple Complex:
• Land use approval: CITY OF TIGARD
6U POUr — MCC'?
RING DIVISION
TYPE OF PERMIT' • .
❑ 1 & 2 family dwelling or accessory • Commercial/industrial ❑ Multi- family ❑ New Construction ❑ Demolition
❑ Addition/alteration/replacement El Tenant improvement • Fire alarm ❑ Other
JOB SITE INFORMATION -
Job address: i / , ®5" SW HALL BLVD Bldg. No.: Suite no.:
Lot: Block: N/A Subdivision: ITax map /tax lot/account no.:
Project name: BRAHMA PREMAND EMPLI `` A RAM —
Description and location of work on premises /special conditions: I `FIRE ALARM SYSTEM IN NEW BUILDING
' OWNER FOR SPECIAL INFORMATION, USE CHECKLIST '
A , , (Floodplain, septic capacity, solar, etc.
Mailing address: 1 & 2 family dwelling:
Ci : State: I Zip: Valuation of work $
Phone: Fax: — 'E -mail: No. of bedrooms/baths
Owners representative: Total number of floors
Phone: 'Fax: IE -mail New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
APPLICANT Covered Porch area (sq. ft.)
Name: DAN WILSON, CAPITOL ELECTRIC CO., INC. Deck area (sq. ft.)
Mailing address: SEE CONTRACTOR INF. BELOW Other structure area (sq. ft.)
City: I State: I Zip:
Phone: Fax: IE - mail: Commercial/industrial /multi - family
Valuation of work $ 9,000.00
CONTRACTOR Existing bldg. Area (sq. ft.)
Business name: CAPITOL ELECTRIC CO., INC. New bldg. Area (sq. ft.)
Address 11401 NE MARX STREET Number of stories
Ci : PORTLAND 'State: OR Zi : 97220 Type of construction A./ _
Phone: 503 - 255 - 9488 IFax: 503- 255 -1966 E -mail: Occupancy group(s): Existing: /t- -3
CCB no.: 48748 'Oregon License No.: 26 - 496C New:
City/metro lic. no.: 4542 (metro)
Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Mailing 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: IE -mail:
. ENGINEER OFFICE USE ONLY
Name: Contact person: Fees due upon application $
Mailing address: Date received:
Ci : State: . Amount received
Phone: Fax: E -mail:
I hereby certify I have read and examined this application and the
attached checklist. All provisions of laws and ordinances governing this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
work will be complied , whether spe fled herein or not. ❑ Visa El MasterCard
Credit card number:
Authorized signature: Date: 2/18/03 Expires
Name of cardholder as shown on credit card
Print name: DAN WILSON
l $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained with 180 days after it has been accepted as complete.
_ CITY OF TIGARD 24 -Hour X
BUILDING Inspection Line: (50 639 -4175
MST
INSPECTION D %V�1ON Business Line: �.- • 9 -4171 �-
UP - OvG 13
Received Date Requested G iJi r — 4- 0 6 0 i 6
Location ---. ,. /- 1 Suite MEC
Contact Person G ,) 'x'L-i . Ph ( 6 7 7( ). 5 -- 30 7a_ PLM
Contractor t Ph ( ) SWR
BUILDING Tenant/Owner <-8,--1/147,61.--' ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain .
Slab . Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath /Shear
Int Sheath/Shear '�� -, /--- 2_,:r
Framing _-
Insulation /O.' c / V : rJ /
Drywall Nailing
Firewall -
F R er �� r
usp
Roof 10 • O 7 / j L1
Other -
PART FAIL grOffil L -c_ -G 2,,,L
- BING . A►1
Post & Beam //� > C� n / / �S
J 0 r/
Under Slab / V
Rough -In /
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan •
Other: 9:./4/.....>5
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE I I Please call for reinspection RE: . Unable to inspect — no access
Fire Supply Line
ADA 1 I /c70, J pp Sidewalk A roach/ i Date Inspector _ Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART. FAIL