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Permit c . CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00604 I& DEVELOPMENT SERVICES DATE ISSUED: 12/28/2004 ��' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 • SITE ADDRESS: 10215 SW HALL BLVD SITE 1S135AA -01400 SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N BLOCK: LOT: 037 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: r T J 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: B 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: $ 2,500.00 Remarks: Add (2) heads and relocate (7). Owner: Contractor: INTEGUMEND DELTA FIRE INC 10215 SW HALL BLVD 14795 SW 72ND AVE TIGARD, OR 97223 PORTLAND, OR 97224 Phone: 503 - 245 -2415 Phone: 620 -4020 Reg #: LIC 64174 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Final [BUILD] Permit Fee 12/28/2004 $72.10 [TAX] 8% State Surchaq 12/28/2004 $5.77 Total $77.87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: LL /1 /i>'ia.,/,d___ . Permittee Signature: X / Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protect' s.. , - I 20 Mr BuN1dhn? Pe °� �'il • h o i FOR OFFICE USE ONLY ' /, City of Tigard iI n(�r[r(� el Date d t I (, ��oy ?}� Permit > l, ' Po 00 4 _a0�0�/ 13125 SW Hall Blvd., Tigard J&497n38 2004 Plan Review 1 III / „ A , Phone: 503.639.4171 Fax: 503.598.1960 . Date /By: Other Permit: Inspection Line: 503.6� „,,,...44I I. - Date Ready/By: s ® See Page 2 for Internet: www.ci.tigard`6t OF TIGAIZD Notified/Method: //G Supplemental Information BUILDING DIVISION 2'.=d ,., i -- , - f ,:, 4 .�.:. \`�: ., ;u, y. ,y �ww- ;�;�i;;': ;,;.- >�,:F. Cffi” `'�V�"��:'$.;>.�+m .ka ` >-, rc�:� ".3 �' „'3^:�'� k$�1\Ca:W _^ . , , ” I AIRED °ll' fit1,6 =A.L . W e 4% . A 14 I YDV1EIliI1VG , :- f : �, Wi n. v„ . x'; ' �..,,,. � was, w 3:.. -. ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all %Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ;< '; „: _: ' ":: ,,P -z,7 - ,, work indicated on this application. u •CAT TZ 0 000:10:14 < i ti mes , .. . '?ter : >_ .��� >.. �., °.... .. °:,;,.- <s;.,': �,,.;,,, .... ,�,�;e_sT ``° ”' Valuation: $ ❑ 1- and 2- family dwelling A Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ,f., *( � "' s 30S;�SIT»�dN�Ci' � �'IO >AN D;`IOCATI(1 . - ^ -; Total number of floor Job site address: IQ l s S VV 14 pti, 13 LOD New dwelling area: square feet City /State /ZIP: ¶1 6.1A- D 1 012_ 011 g.4 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1 Ofe,67 U AA D L 3- Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet r9TA �AT': C `C147 Rt IAT}=USE CFIECI I:IS`i != e` +,,�. :• "� >- i',k'Rl::R\\ \� \ \ \O- � \ \: \ \ \;.�� .. :.:,,i '.:,fir <43¥!...� ....,. .. 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 t4 "o mN ° " equipment, materials, labor, overhead, and the profit for the r•' , p ` I %`h-,- e . work indicated on this a `DESG'1, t�lF"iiW RAC f`' --b ;- application. tz,�`. i';: : , ,..., °�:' -.,.,, ., . ,. , . , . :.�� k ..aaW'��as,.,,<�2� ., ,r';;`. = - ,ate',..: ��`ry - , , ,. ,., r�. R n IU WO S (J {�, ` mo o Valuation: ~$ �5W4OD � r i v 91 Existing building area: square feet New building area: square feet e9YNETi` ik ri:.M% __ ,1:0.-44117E-4,',.: ; -` Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: a - APPL)C�. N: ❑ >C(7NTAC S N" ' . ..;;:.: ,: "may x . . Business name: Dp,1. - - 1I rz, 1 ' 06 All contractors and subcontractors are required to be I Contact name: AA ,/ ( f v licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14-10, s � J 7 - nor f jurisdiction in which work is being performed. If the City /State /ZIP: I 6/peep , F ' ax:: (� I/ ) All (1 l �Sd /' g 4 applicant is exempt from licensing, the following reasons �/� (�g� � `,fin apply Phone: (503) L0- 40W J�y 7. io E -mail: 77 �r�u� � fi`.. � p �;"(�lnv` �•��. ':t., ��z; \. :x .gSfv.:1:w:�:: ,::., Business name: LI /,l �., >, ":: r >N -;, ;:. ,= a :i' /L�y 1 ,� f h , ' i\s �'3�= '= ;.`:v�.�;, .- .- e:...3���'r': »..,,r;.v.n <,a �?���� �;s,''; %`' Address: 1 `i l 9 c f,0 -7 2 0 el Please f f ee schedule P lease re er to e. Cit /State /ZIP: Grigg-4 r� � • � I � I / Fees due upon application Phone: (503) - L�GV _ Fax: ( 1e �.D `. Amount received CCB lic.: ( Date received: Authorized signature: a i L � �_ This permit application expires if a permit is not obtained _ ,<fD • • within 180 days after it has been accepted as complete. Print name: Date: 9-- S * Fee methodology set by Tri- County Building Industry Service Board. i \Building \Permits \FPS- PermitAppdec 12/03 440- 4613T(11 /02(COM/WEB) CITY OF TIGARD BUILDING' DIVISION PERMIT #: �()F 0060A--; 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 1 1 111 �iip� %��1l Inspection Requests (24 Hrs.): (503) 639 -4175 ' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: (6 Z( �`"� tt—� CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: (li-T ea 01/k PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: � •,11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL fI CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CII-Y ( 0F TIGARD 24 -Hour BUILDING... Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST !/ BUP Received Date Requested °? • AM PM BUP Location /0 -1 Suite MEC • Contact Person Ph ( ) J �� PLM Contractor Ph ( )(O ■ A49 SWR BUILDING Tenant/Owner _ I '.'����IiL =.�_/ ELC Footing Foundation ELC Ft Access: c 2 g Drain -0'0 61 L c _' ` E L R Crawl Drain Slab Inspection Notes: /rid / SIT Post & Beam • Shear Anchors �2 / � i Ext Sheath/Shear J / Int Sheath /Shear Framing Insulation • Drywall Nailing ,^ Firewall Fire Alarm J �l D' Lo t> u • Susp'd Ceiling — Roof Other: �, � Final �/ PE F - V" \ S PASS PAR FAIL PLUMBING_ Post & Beam Under Slab Rough -In • Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 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 $ requ' •e • re next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL ari— SITE � 111 Please c- 'for re* spection RE: ` II► � Unable to inspect - no access Fire Supply Line 11110 ADA Approach /Sidewalk Date - Inspecto lirMhY Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING ' Inspection Line: (503) 639 -4175 MST INSPECTION I VISION Business Line: (503) 639 -4171 BUP c 71 - 00 Cf — Do ‘O T Received Date Reques ed ` AM PM BUP Location /v a—( Suite MEC Contact Person Ph ( ) 4' o r PLM Contractor Ph ( ) SWR • BUILDING Tenant/Owner . .I_�� � ' 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 P l al ' M Pi E Drywall Nailing Firewall ((ire Sprinkle Firelarm —° i t I , I __� Susp'd Ceiling Roof � r s :7 ���� Other: - Final PASS PART FAIL PLUMBING Post & Beam Under Slab i �. Rough -In r ra WM. Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 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 befo next inspectio . Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ` _ Please ca I or rei - pection R -. 4 ' Unable to inspect - no access Fire Supply Line / .� i . ADA V vim/ Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITYF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -417 MST INSPECTION DIVISION Business Line: (503) 639 -4171 .,poz — 00027 Received Date Requested AM PM 0 -- Location / . _I 5 / / ar v"o( / .2 P ?e MEC Contact Person Ph ( ) — 2-57 PLM C on actor Ph ( ) SWR BUILDING Tenant/Owner f--A/ 7G L! e 17 4 ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Y Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation ` �/ �1�1 ��,L ei�L Drywall Nailing �s Firewall . 1� `.Er I•.t. Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof O r: Fi v' final • PASS PART 'FAIL, PLUMBING ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole 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 $ require. • • re ne.' inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL rr SITE . ❑ Please call or reinspe• ion RE: I� :_ El Unable to inspect – no access Fire Supply Line ADA / / r ,/ � �'� I / Approach/Sidewalk Date Inspector Oct _ Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL c gado2cog . --: 0 6 .O 1 . � 1 1 1 1 ' 4 . ; Mi M i , - .-i< p 0 -- -- ; - -- — —1 N cO 4 -52 4 ' o i • — Nt- l)t A 4 I ; > l Ex i - 1 .9I - Ij1 . i co I -- r���r . i i � -� I c 1 ill -- I . V j N j ' 1 •.I • S • - I- r • Q �0 • I : 3 C �► �n { I _ _ „ 1 C.4- I Q 1 EX15T- 1- t lGt--- - -- N lu ! Q z >L . _ 5-x‘sr,u4 6,L5 � � 1 v . J 1 vl I ` _ _ _ _ _ _ - .L —_V -- _ - -- - - - - -- — � x u T_[_ =,4 R =D_ =_ - _- p - a- E-7674,7.1.-.II: -_ --- - - - - -- . -- _ 1 W 1 • Delta Fire, itia:.. 10 - ' '- 2 -12-F 2E-- L Mot�E I- ci sscr -5.12A 14795 S.W. 72nd Ave. 4— - 't _ -__' 2 ►=10 SF - 1 /1.-51 - =L =U. HS_yd.__ 132p,5 • Portland, OR 97214 1 1 CCB# 64174 i .