Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00484
i & DEVELOPMENT SERVICES DATE ISSUED: 12/7/00
---- -- AY I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08200 SW HUNZIKER ST PARCEL: 2S10100 -00700
SUBDIVISION: FOUNDRY INDUSTRIAL PARK ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR 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: U2 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: $ 1,500.00
Remarks: Sign
Owner: Contractor:
SMITH GERIG WESTERN PROPERTIES HIGHLIGHT SIGN
PO BOX 930 8200 SW HUNZIKER
WILSONVILLE, OR 97070 TIGARD, OR 97223
Phone: Phone: 503 - 620 -8205
Reg #: LIC 00104599
SUP SIG517
ELE 26 -888CL
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PRMT CTR 11/29/00 $62.50 27200000000 Framing Insp
Final Inspection
5PCT CTR 11/29/00 $5.00 27200000000
PLCK CTR 11/29/00 $40.63 27200000000
Total $108.13
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 -1987.
Permitee /
Signature: 74 g iv
Issued By: wzfie
Call 639 -4175 by 7 p.m. for an inspection the next business day
4 :3 1 4r N ///-36/0 P `;a .00
Building Permit App
4�F n Date received: m Permit no �,� i a� -
• `���� City of Tigard
°= Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 0 0 p —(gyp / '7_5 Case file no.: Payment type:
^ j a : Af" /j•//% i a. l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ► ommercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm Other: Ci /COl' •
JOB SITE INFORMATION
Job address: WOQ _ 1JXk I',/_i2.- Bldg. no.: Suite no.:
Lot: I Block: (Subdivision: Tax map /tax lot/account no.:
Project name: -rAr,. ,(J(7/
Description and location of work on premises/special conditions: I u i t 'L'V / v / / v 1 4 4 (ILI ireg.6 S/joAV •
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: p; WI y/6 -I •f / pv r (Floodplain, septic capacity, solar, etc.)
Mailing address: g,ZcO 9_1). �j,tf .1 MG/4, I & 2 family dwelling: ■ �� )
City: -1 &A-44 (State: ' 3' IZIP: Valuation of work �, ✓t^�Il/ $ l C V
4 le ,- O I 1
Phone: Fax: 7X /- SS O -mail: No. of bedrooms/baths
Owner's representative: ,!i / , , � ` Total number of floors
• Phone: - .: r E -mail: Ncw dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Jr_ !---A-L(Jfi</ck..) Covered porch area (sq. ft.)
Mailing address: gp l ,(,tt/NU rCy0---t Deck area (sq. ft.)
City: ...1-7 1p4tie-l7 State:&,[. I ZIP: 97 OA 3 Other structure area (sq. ft.)
Phone: , ■ E' , , Fax:6•Atf. 7,9) -mail: Commerciallindustrial/multi- family:
CONTRACTOR Valuation of work $
Business name: /.}/6��c-46, ,c/6, A./ G'Qp Existing bldg. area ( t.) ft.)
Address: g o ruji mix `C/z1 • New bldg. area (sq. ft.)
City: //( 2n I State:04 I ZIP: Q7a a 3 Number of stories
Type of construction
Phone: 4 , 0 , ail Fax: - E -mail: Occupancy group(s): Existing:
CCB no.: /t74' Sg`r New:
City /metro lic. no.: 3 A 76' I 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: ZIP: exempt from licensing, the following reason applies:
Contact per • , Plan no.:
Phon . Fax: E -mail:
ENGINEER
Name: _ • • .; • • rson: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: 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 provisio • s of law. and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied wilPe er • • - . ed he n or not Credit card number: / J
1/ / Expires
Au thorized signature ://1% �,! ,, i, L Date: / Name of cardholder as shown on credit card
Print name: 41 ST►•iv/U ti !4y~- $
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 (6Jt10/COM)
PkoTi f Ol e. I923,p6o0 - co 7e00
.CITYOF TIGARD BUILDING INSPECTION DIVISION MST •
VI-Hour-Inspection Line: 639 -4175 Business Line: 63 171
Date Requested -/ AM PM 2.41,& -00'-le
�Q!J Sw�flvi'� �ri ._�
Location $` � � ��l � Suite MEC
Contact Person Ph 6 Zo ir2 & s PLM
Contractor / / Ph SWR
/
Tenant/Owner - �`" w/` l[ AL '''" ELC
Wall ELR
d _-ctn. Access:
. : ation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing / , -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
• PART FAIL
PL I BING
Post & Beam ���
Under Slab la4
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ^�
Approach/Sidewalk Date -e//y/o/ T / Inspector okil Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.