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Permit
BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2004 -00162 Ail DEVELOPMENT SERVICES DATE ISSUED: 5/11/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07125 SW HAMPTON ST PARCEL: 2S101AC -01400 SUBDIVISION: BEVELAND NO. 2 ZONING: MUE BLOCK: LOT: 020 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: 5N : 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: $ 3,950.00 Remarks: Fire protection. • Owner: Contractor: SPECIAL DISTRICTS ASSOCIATION OF OR TEAM ELECTRIC 727 CENTER STREET, NE #208 20 9400 SE CLACKAMAS RD. SALEM, OR 97301 CLACKMAS, OR 97015 Phone: 503 - 371 -8667 Phone: 503 - 557 -7180 Reg #: LIC 47336 FEES REQUIRED INSPECTIONS Description Date Amount Smoke detector insp [BUILD] Permit Fee 4/12/2004 $81.70 Final Inspection [TAX] 8% State Surcharl 4/12/2004 $6.54 [FLS] FLS Pln Rv 4/12/2004 $32.68 Total $120.92 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: yo Pe rm ittee • Signature: J ) Call 639 -4175 by 7 p.m. for an inspection the next business day y i2-: 51A N/;APro/ Fire Protection System Building Permit c ® FOR OFFICE USE ONLY Received ` Q� f City of Tigard Date/By: / O Permit No.: (� � Zi% 6� 13125 SW Hall Blvd., Tigard, OR 972232D 2004 Plan Revie{, � y Phone: 503.639.4171 Fax: 503.598'196011 � I DDate/By: s i t / T S Other Permit` Inspect Line: 503.639.4175 CITY ' 4 - Date Ready/By: H � See Page 2 for Internet: www.ci.tigard.or.us OF T IGA RD N otified/Method: ' Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all K Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: S ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other; Number of bathrooms: JOB SITE INFORMATION AND y L � OCATION Total number of floors: Job site address: I ( 7 £ S l � ) /` WI p T tri l New dwelling area: square feet I City/State /ZIP: ' 190 l2- ID ©r q-7 Z Z3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Spte.�At . I�lsre j of bi Covered porch area: square feet Cross street/directions to job site: `7 L Ai p K) Yii T- VIA Deck area: square feet V )) Other structure area: square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. ,/ n / /� E E , O 7 Valuation: S !'1 ��/ CSC V [ IC . Existing building area: square feet New building area: square feet , ❑ PROPERTY OWNER TENANT Number of stories: Z. Name: SPGC fit- b( 5 T p c-rs 6f 0 (s Type of construction: V -N Address: 7 2,--7 ce/u s7 Occupancy groups: 8 City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: - ew: . ❑ APPLICANT ❑ CONTACT PERSON . NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ' jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR Business name: - 7 - . . . . . 1 4 1 4 , 1 i t J C.Z t C ��ff � BUILDING PERMIT FEES* Address: q4a, U t C CLA � / Q /� $ b Please refer to fee schedule City/State /ZIP: � c4 g. 41.,O (J)Z g7 6 1 ►� -/'''� 9 5 Fees due upon application L1✓ 1 2 Phone: (6.3) s',S --) 7 / p Fax: (5b3) SS? ;aQc I Amount received CCB lic.: 4:-7 33 p 3_ 5_ 0 7 T Date received: Authorized signature: This permit application expires if a permit is not obtained // .within 180 days after it has been accepted as complete. Print name: f e....44 4 6 L itexsAie mei Date: ilq O4. * Fee methodology set by Tri- County Building Industry CITY OF TIGARD 24 -Hour BUILDING __ . Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST p � BUP AD Received Date Requested / 0 AM PM —CIO I C;F— Location Suite MEC Contact Person Ph ( ) 5/x"1 - 87 PLM Contractor SWR BUILDING Tenan er ELC Footing Foundation ' ELC Ftg Drain Access: f(A ELR Crawl Drain Slab Ins • . ' • I Notes: r � ' � ; 1 SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire nkler I ' 1 Fire Alarm Susp'd Ceiling �� R oof �' - ASS PART FAIL \` -• =NG 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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for r: spec ' • RE: t inspect - no access Fire Supply Line , �� ,� ADA Approach/Sidewalk Date v J Yaps "Alf � Other: Final DO NOT REMOVE this inspe ion record from the Job site. PASS PART FAIL