Permit CITY OF T I CAA R D BUILDING PERMIT
4 k PERMIT #: BUP2003- 001.30
DEVELOPMENT SERVICES DATE ISSUED: 3/21/03
a ��' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06655 SW HAMPTON ST 110 PARCEL: 2S101AD 00400
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 034 JURISDICTION: TIG
REISSUE: „pd
FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ^U 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: B TOTAL AREA: 0 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: $ 10,145.00
Remarks: TI interior.
Owner: Contractor:
HAMPTON OAKS LLC J BEALS CONSTRUCTION
6665 SW HAMPTON 1635 NE 53RD
2ND FLOOR PORTLAND, OR 97213
TIGARD, OR 97223
Phone:
Phone: 288 - 9023
Reg #: MET 0 0000 03 1531
FEES LIC REQU ?IED3INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 3/21/03 $148.90 Framing Insp
[BUPPLN] Pln Rv 3/21/03 $96 79 Gyp Bon
[FLS] FLS Pln Rv 3/21/03 $59.50 Final Innspsp ectLion
[TAX] 8% State Tax 3/21/03 $11.90
Total $317.09
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: Z� X/� Si n it tee ` Of r n t �
Signature: \ J�
6 Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application • Re�e,� ea • F - OFFICE I1SE ONIY
Building
Date /By �/— 0 Permit No.t�U P 03 —0 i 3a
City f Tigard Planning Approval Other
J Date /By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 • Date /By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 -A i ll't Post - Review Land Use
Internet: www.ci.tigard.or.us e. I Date /By: Case No.
24 -hour Inspection Request: 503- 639 -4175
Contact runs.: Su See Pen I
2 for
P Q Name /Method: Supplemental Information
"TYPE OF, .O = .., ; 2e , r,,;.,.,.. - :: :.
W .RIf;M. ?:,, t , r . . REQUIRED D AT A:
❑ New construction ❑ Demolition 1 &:2 FA:WY DWELLIN,G•. r
[era 10 " ��� `
Addition/
�t`i�eplacement ❑Other:
°CATEGORY, OFCONSTRUCTION ' =?'_:- ' . 1`k`„ Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ` [O erciaU dustrial 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 $
- of baths
'.!';"Z,,!','`:;`;'',•: � ,: -_ JOB,SITE;�INFQRMAT �' �- x `'� ION °''�`� ` �'`' '� No. of bedrooms: No
. � '. <ION�ani:.LOCAT �'.,,�e }.°.
Job site address: 4 fS.S 5(, ,y,r,�v46. Total number of floors
New dwelling area (sq, ft.)
Suite #: //o , Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: Re ,2t10 1/1/1 ■-,s r ral e Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.) •
�� '; +,�.�' .nB- .; =:,.. ;1. a °i�:� a »� "�� se >��'�t,3�'F.�. :'.R�Y:'����ta
i ,,;:,, � ' rs: "i <. i ::': k a . 11) DATA: '� '4 .5 •: c . xa .:.,- ig
y 9
• , R„o-�; , r+�F��.:t�:•;E:�f::a's-* , - ., ° =' .Q. ' � ;x .. - �k:;� :> sit'; L. .a.a- �.z�',,,,,=._�gl"::.:i,
A . COM U SFirCHEGKL I STf �'g t¢ p
Subdivision: Ives/ fod /A,,4/lieri61s Lot #: 3 �. , •:.,� :M�� , . .�� �,
Tax map /parcel #: %BSI o/ 4 D -- &04'Q 0 Note: Permit fees* are based on the total value of the work performed. Indicate
_?` ' . 1 '' - DES RIPTIO O 'W n, £O y `'� ` N the value (rounded to the nearest dollar) of all equipment, i - �= - . C N. Fes, ORIC�� + +- °:�. :�;„�:�.�.�,im`�; materials, labor, ;� q P
overhead and profit for the work indicated on this application.
Te/ro.41-- /-n- veleden P ,7 if 4 too rocp
kW, ,/ /.moo //p , 1, 14 /.. y 64,4 ,r re /i2es Valuation $ "r /`/S
-&i, Art“. 1 Existing building area (sq. ft.)
rnA "Py w /' , k ,v �' � ;44 New building area (sq. ft.)
( �/yt med e!% ,bd1/ /.Y Number of stories 2,
; _fa .ROEERTY= OWNER ° `I' _ ,`i=TENANT "' ` `' a :M ;t = ``r Type of construction 5 AI
Name: 1d-AmtA3,v 674,1es j ji' Occupancy group(s): Existing: B
Address: New. 8
EGGS S w 1610..+ /v�. Svsiir /oov
City /State /Zip: 7 7 .L,./ O q 9223
Phone: S o 3 - 96 3 — i3 // Fax: So3 - 965' 7.7.25 NOTICE: All contractors and subcontractors are required to be
~:' APPLICANTS -fa n' ~° ' ' ~ ` licensed with the Oregon Construction Contractors Board under
;'-r::� ;, 11 ife.01 :TACT'u.PERSONi; „a .M. provisions of ORS 701 and may be required to be licensed in the
Business Name: .7 L 0/s 60,1 -0v7r , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: :T01,1 gee 1 from licensing, the following reason applies:
Address: /635 'Vs 57
City /State /Zip: p..2/ 40re 92/7 ..
Phone:So3- 60- 7o 75 Fax: 5o3- 2g'- 9023 x . :,.4 j ,,, cs ., ::�,; :, :; :_ �:. §,,� E;. . v. . ,i ,. - _...,,.<:,: ,
E- mall: w � Bi * ,
, yay ,: ti° �, .4. ;, :E• IT 44 `" '< Pleas re i to feetschedule , �' t'w
Business Name: .3” D (;7.4, ✓ ,/h4,, . Fees due upon application $
Address: / 3 S A/4:7 s3
City /State /Zip: P /y (�p 922 /3 Amount received $
, Phone: 503 -298- 902 3 Fax: .54,r,Q Date received:
' CCB Lic. #: 323 inel o /S3/ -
Authorized
/J Notice: This permit application expires if a permit is not obtained within
Signature: '1 /J / Date: -)-0-03 1S0 days after it has been accepted as complete.
r
Z o1 nn v ,6 wL *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPetmitApp.doc 01/03
•
tar -20 -2003 06:33am From - Norris Beals & Simpson +503 2730256 T -803 P.002/002 F -626
A .
. Accessibility: ,
. - • � f . *` • 11., - ' • .. Barrier. Removal Improvement Plan
• City of Tigard :.
•
REQUIREMENT:. ®REGION REVISED STATUTE (ORS) 441.241. . ' ... . ,
' (1) Every Project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroorn,
, , telephones •tar!d',drltTking fountains are readily accessible to individuals with disabilities unless •
such alterations are 'disproportionate to the overall alterations in terms of cost and scope.
. ' , (2) Atterations made to the path of travel to an altered area may be deemed disproportionate to
the overall Alteration when the cost exceeds, twenty -five per-cent (26%). .
• VAL of all renovation alteration o modification b eing done' 1 JO 1145 r ,
' ,excluding Painting, .wallpapering. (I $ 2�
rriultip. 25%• Barrier, removal requirement.
6UDaEr'FOR.MRRIER REMOVAL [ $ "Z. eP .
In choosing which accessible elements to provide under this section, priority shall.be given' to those
elements that will proi►ide'the' greatest access. Elements shall be provided in the following order.
• (a) Parking ' $ '
(b) An accessible entrance: • (II) $ 11654
(c) ' An accessible route to the altered area: r $
•
•
. . - CO At least one accessible restroom for S '
each 'sex or a single unisex restroom: .
• (e) Accessible 'telephones: $ —� , --
•
(f) Accessible drinking fountains: and $
(9) Wh en possible, additional accessible ,
' elements such. as, storage' and alarms: $ . '
•
6 ' 1. :. :l. e A 1.•..1.- • • $ ! s�6,, 0 . , ,
„ •
. , t :Awes nnsUoceeeibility.doc'06/07102 .
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business tine: (503) 639 -4171 MST
BUP J � -Q 0 3 0
Received Date Requested ° AM PM %' BUP
Location - - 41114.-d LA AA Suite MEC
Contact Person Cdt-td- Ph ( ) t d 3 / qt ? ^? ? PLM
Contractor Ph SWR
BUILDING Owner ELC
Footing , 4iet ' / Ai- C fie ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath /Shear
In t Shear g / �� �� rO0-
2_ 51 3
l
Insulation
r.. - a
-wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PL ING
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 $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA •
Approach /Sidewalk Date c/0 Inspector Est
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
INSPECTION DIVISION Business Line: (503) 639 -4171 MST 3 BUP -ld /3e)
Received `. Date Requested — � D AM PM _, r BUP
�
Location � • 1-.
Suite // MEC
Contact Person 62 6 SS Ph ( ) PLM
Contractor Ph ( ) 6 7o —311( SWR
BUILDING Tenan wrier A rA.//. ir1 �I L am ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear r
Framing
Insulation
Drywall Nailing ,: �I �� -�j'�� ,
Firewall aff ��dlEFIN
Fire Sprinkler
Fire Alarm 2 , AIWA= n1 0...ffx ,
Susp'd Ceiling
Roof C S I n/ 2 s .�
A PART FAIL
MBING
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 $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA /�j D )
Approach /Sidewalk Date // Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL