Permit H ' CITY OF T I G R D BUILDING PERMIT
PERMIT #: BUP2002 -00129
• DEVELOPMENT SERVICES DATE ISSUED: 4/1.9/02
A sir 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 BD -00300
SITE ADDRESS: 08015 SW HUNZIKER ST
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: S1 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: $ 20,000.00
Remarks: construct a 24'x41' tool room and storage loft
Owner: Contractor:
PERFORMANCE CONTRACTING INC OWNER
8015 SW HUNZIKER RD
TIGARD, OR 97223
Phone: Phone:
Reg #:
. FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK CTR 4/11/02 $152.95, 27200200000 Foot/Found Insp
Framing Insp
FIRE CTR 4/11/02 $94.12 27200200000 Final Inspection
PRMT CTR 4/19/02 $235.30 27200200000
•
5PCT CTR 4/19/02 $18.82 27200200000
Total $501.19
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.
r
Pe rm ittee (1)
Signature:
Issued By: _ii! ! . -_,_—
ffirr
Call 6 9 -4175 by 7 p.m. for an inspection the next business day
�� 5) Q • /
it .. 'L Building Permit Application /
x Tigard Date received: / Permit no : 1�'uPQ00.� -Lb /,,i
� �l , y, City of
^ __ Project/appl. no.: - - date:
City ofTigard Address.` 13125 SW Hall Blvd Tigard, OR 97223 -
Phone: (503) 639 -4171 Date issued: By. ! AP Receipt no.:
Fax: (503) 598 -1960 Case file no.: ' ayment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF.PERMIT •
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
.,. JOB SITE INFORMATION
Job address: r o/s. /s 3 f,) /- 1./ z (<ae7 / 774 tt?D 97223 Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: D,e.Aifr J & CC,J7 % /Rfl, rAlc •---- 52 /rt - c7tJZY SHED ge/t-'foDeC--
Description and location of work on premises /special conditions: iDU - t2Ll gS /AJ b) E/ /r9U56 i Id e'ee
,e (rwc ernA/c 5A762)L5 std D a Ode Fii ef"uh i/mz 1 70- ef'Dsr/ g - ,JZ .
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Pegazam e. eptu 467/,1.)4 r a-I,C, (Floodpla in, septic capacity, solar, etc.)
Mailing address: g- 5 0 kitlAJZ(6e5E 1 & 2 family dwelling:
City: 77&+-D I State: CR IZIP: g772 Valuation of work $
Phone: `7�� 3 I Fax: I E -mail: No. of bedrooms/baths
Owner's representative: / K R4/0ZA . Total number of floors
Phone:63 "- 553 Fax: E -mail: New dwelling area (sq. ft.)
,, APPLICANT Garage /carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
•
Phone: Fax: E -mail: Commerciallindustriallmulti - family:
CONTRACTOR
Valuation of work $ A.00
Business name: () oo iJ �I2. - - Existing bldg. area (sq. ft.)
Address: � ,e)/.5" 5/J ff GllA) j(e-7z New bldg. area (sq ft.)
Number of stories
City: 7` /0+,4 I State: Og, [ZIP: 97223 Type of construction
Phone: 6,$c. f 33I Fax: I E - mail:
Occupancy group(s): Existing:
CCB no.: 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: f f / , J / V jR / D e & I AP-Cr/ 7, y 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: 1 %) i‘71 State: og I ZIP: exempt from licensing, the following reason applies:
Contact person: HA/2X /24 Plan no.:
Phone: Fax: E -mail:
Name: 8u4/1/411 71 '.- Contact person:1 e 6/46/j/ Fees due upon application $
Address: Date received:
City: ES7*CA f State: 6? ZIP: Amount received $
Phone: I 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 er S r - cified herein or not Credit card number: Expires
Authorized signature: ( Date: CVl //0 2_ Name of cardholder as shown on credit card
Print name: 0/ 63 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 (6/00 /COM)
911,/a 0- 4 �V 7. o
Commercial Plan Submittal
87Il Requirement Matrix
City of Tigard
TYPEO SUBMITTAL # Pl ans
ir ') l e at 5 _� S'ub mittal_
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