Permit CITY OF T I G A R D BUILDING PERMIT
PERMIT #: BUP2002 -00130
,I' DEVELOPMENT SERVICES DATE ISSUED: 4/12/02
"= -"` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07895 SW HUNZIKER ST PARCEL: 2S101BD -00103
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 0 FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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: ft ( ;Z ,
Remarks: Occupancy Review 1 hour inspection.
Owner: Contractor:
HGMCO
BY NORRIS BEGGS + SIMPSON
ATTN: BLAKE HERING
PORTLAND, OR 97204
one: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
HOUR CTR 4/12/02 $58.41 27200200000
HRTX CTR 4/12/02 $4.09 27200200000
Total $62.50
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 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee
Signature: lt,t-ifotkA.,. ti Oka.
Issued By: ZCI..t..JA--‘0t,t-e,c—
//
Call 639 -4175 by 7 p.m. for an inspection the next business day
�=� w Building Permit Ap plication
Datereceived: 7 f Z 0 ._ Permit no.: - hp _ t oo /3
ljyl City of Tigard
„__� Project/appl. no.: Expire date:
City gfTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: BW Receiptno,:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: I &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 21' Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
• JOB SITE INFORMATION
Job address: E S (.4) /c)AJZI 0. o ,60,. Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: Tax map /tax lot/account no.:
Project nam 5SF •1 1 STi�EL-- .
•
Description and location of work on premises /special conditions: ec,,,,t . p 4 ) -(p .rJ . Lg.,...) OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: (Floodplain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: .I State: IZIP: Valuation of work $
Phone: I Fax: I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
. APPLICANT Garage /carport area (sq. ft.)
Name: 5 Aq STE,�` P20602-15 (`Mc Covered porch area (sq. ft.)
Mailing address: (30X ? 301 13 Deck area (sq. ft.)
City: j ,&AQ. I State: C')t . ZIPq ze I Other structure area (sq. ft.)
Phone:E3,, 0-1So0 Fax:(, -t 4-0 o E -mails . oat tJ®S,4Fto t.. o rcial/industriallmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.) '
Address:
City: I State: IZIP: Number of stories
Type of construction
Phone: I Fax: I E -mail:
CCB no.: Occupancy group(s): Existing:
New:
City /metro lic. no.: 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
Address: jurisdiction where work is being performed. If the applicant is
City: State: IZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: !State: IZIP: Amount ,received $
Phone: Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied w , whe r specified herein or not Credit card number: / /
t
Authorized signature: J q ,, L Date: IZ/ DZ Name of cardholder as shown on credit card Expires
•
Print name: STP.. OA t.) Wic Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/)OICOtrt)
r wi_ R avt 5v
Commercial Plan Submittal
.•l, Requirement Matrix
City of Tigard
!TYPEO■FSU z #'of Plans
' '.,� '� '
(lncludes New, Addit ons or Alterations) Required at
;4. Zii .. ", 7 x _ , -' ;ki Subme�ttal_ �W�
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/24/01