Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00368
1411 DEVELOPMENT Tigard, OR 9 SERVICES DATE ISSUED: 8/2/2004
13125 SW Hall Blvd.,
SITE ADDRESS: 12345 SW HALL BLVD 001 PARCEL: 2S102AA 03301
SUBDIVISION: TIGARD TERRACE APT. ZONING: CBD
BLOCK: LOT: JURISDICTION: TIG
REISSUE: tf lic FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf P ROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R1 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: $ 500.00
Remarks: 500sf. deck repair. Units 1 & 2.
Owner: Contractor:
TIGARD TERRACE HOLDINGS LLC OWNER
420 SW 109TH BLVD.
BEAVERTON, OR 97005
Phone: 503 - 350 -1500
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 8/2/2004 $62.50 Final Inspection
[TAX] 8% State Surchar1 8/2/2004 $5.00 •
[BUPPLN] Pln Rv 8/2/2004 $25.00
Total $92.50
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 -0011 hrough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling .113) 246 -6. °9 or 1- 800 - 332 -2344.
- '
Issu -d By: I /
Perm ittee
Signature
Call 639 -4175 by 7 p.m. for an inspection the next business day
U / LJ/ LUU4 _LO .11 l'etA JUJU04lL7 la Cy OI '116aru lgJUUL
p /
ed ,
Building Permit Application boROFFICE.USE ONLY - . . —•'
City of Tigard R« Dat By: Y d / .,..-7 O a , / Permit No.: „ 0 p.)..004—.* p.)..004—.* I,'I - ;, 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.634.4171 Faxr503.598.1960 �_ /yr rj ' f s : r.
Other Penn
Inspection Line: 503.639 - 4175 r F Date/B t' Date Ready/By: • El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Mahod: Supplementallnformation
I
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Permit fees* are based on the value of the work performed
❑ Ne • construction ❑Demolition
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
, x' 1- �t Y 4 \ 1 work indicated on this application
t ! - . `.. '+ t - iY et t er� 1 } i . 1h EPIai <l'te" '''''' ''',
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial ; 6 .7.
❑ Accessory building Number of bedrooms: ulti- family �11 I .. .. — iis'^"
El Other: Number of bathrooms
❑ Master builder a.
I .
;F:;R,. '>i.'G,,�1,{ y y s_ ... � _
.�:'S'�?k• v "cF o .� ^CY. "' �� /,
` - „,,. e ' ,' � t� [ 1, ' yr '. t
. �� a Total number of floors:
L.G .. ^¢ — „ . ,_, - 41 , ,�n `,I,, l ll � 5 :k 1. v . � ..4 .•.,
Job site address: Z - 7 y ,5” i ' // j J - , • 1- New dwelling area: square feet
City/ State/ZIP: e ms, r � • ! . 7 z ' ? Garage/carport area: square feet
Suite/bldg./apt no.: j;-4);' .°� ct name: Covered porch area: - square feet
Cross street/directions to job site: ` - 7/ Deck area: square feet
Other structure area: square feet
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 equipment, materials, labor, overhead, and the profit for the
a A � �� y t�_� • work indicated this application.
n ; ' �i' . �} :. , F l'�; x x v�:•„ worne on
n • 9' 1 S 3 sj 1 l:1- t- .,.,p a ' d •r r47"- 15-4�K �' 3 lT ° F0 y . y `hr : r it B ? /
e : := �.cia�.n.�:,�i �t.. Fu- $tl,�.��;�1..� .d t_r ,��v�:,e. r._ d:l� md:Eur� ;r�!3tr��.u,. _\//
Valuation: $
Existing building are
New building area: �tytie feet
F t,h s7i .,1:11f' ys YI?ot)�1i '-r� .lt, � �1c,,{ y si ' 1 Number of stories:
...,:_ . ..:. : :t`.? � ...d.. -,.._•— �" e ..,��- � a. , -a k � r ..yx, u Kl': - _�...� � . &, U; o�i�'.'E1�
Name: - 7 5- -�� p��/ Q/• Type of construction: 7 (eyc - e-L
Address: q7 e i 5-1. t ��,k � / / - Occupancy groups: / s . /9(/ , 7
City/ State/ZIP: `t } ' ' v /+
J Fax t�( / Fy ei 7O a j- Existing: �O t�J /� 9f���
Phone: ( ) O � �� � c � 1 3 0 d New: •
11 F }r t J �s.� r 11"�'j-Iti'1.�. i e w 1• i�'i ' r 7 74. t'r kr - I:s' ,-# `�':1 , , � '" itr' :' Jn •�•-- - .3 - f`a. ;t - f
i it-VV
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Business n • e: AIL contractors and subcontractors are required to be
•
Contact name: r licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ( ..1 > _ jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) ( Fax: : ( )
E - I. •il:
.h: :..�1e:r- , �,�Y: tS�wl,` -+�' - .r� ' . kt.- } ';43�. iiq' ,..i_...rr, yi.. „o .�'. Ife,:k
Business name: - : - .d;'-7 r- 7 ,e
i'[�N ;�,� r ; p _ lY ",: - r;N �c e� _ rti 7. ',� '.-
. .
Address: w
Please refer to fee schedule.
City /State/ZIP: -
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lie.:
/ Date received:
Authorized signature: This permit application expires if a permit is not obtained
4 _ within 180 days after it has been accepted as complete.
Print name: Date: ' ' ' Fee methodology set by Tn - County Building Industry
Service Board.
I:\ Building \Permits \nUP•Pe,mitApp.doc 12/03 440- 4613T(I1 /09KOM/WEB)
/7
1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 5
i MST
INSPECTION DIVISION Business Line: (503) 63 --V ;4 4 _,
. , - I q -
Received Date Requested (` - AM --, ' BUP
Location % `� =-=-. Suite- ' _ MEC
_ ,.. - 1
i ,
Contact Person �-� Ph ( ) • ---� - � -- /S() PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner li rL�'. �2 ELC ,
Footing ,
Foundation 4.4„► , it . 1 , + 1. �y!�'y}���•�..�.,, ELC
Ftg Drain .. 4, � ' ',:l.:1.,....,, s * `p„�,� 4y� -. - )k,.1 :..� x . � i ' ,t,_ ELR
Crawl Drain ,`t- .4 U5..3 1 . „ 4K A:.
- . k n c,r4i? j �i 'l r 5 '.� # ii
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear .
Int Sheath /Shear
Framing
Insulation
0 A (-_. t,- Drywall Nailing C b R- V---E, CT \ Lr\M P-E PO R-
Firewall N I+ O. S (1.1 O� C 0 M pt. l �.a ” 1" C Fire Sprinkler 9 °'
Fire Alarm
t , : ' - T -
' Susp'd Ceiling
Other: c - t) �. E � f''� I i - G u /� b -A( \i I 1� 1 I
� ina ` t ; �. -1C-! P �- g. ? L P, i
i PART FAIL
P BING
Post & Beam
Under Slab C A L L k" tj \.._ i I J Py~ C_ 1 (e)/ 1
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain `°
Shower Pan .,
Other:
Fini,
''" PART - FAIL
CHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage`'
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D- _ Please call for reinspection RE: _ Un ble to inspect -,Qo access
- ' ' Fire Supply Line h ! (4
A roach /Sidewalk Da te Inspecto AL &.1,6g' Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL