Permit ci
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00167
DEVELOPMENT SERVICES DATE ISSUED: 5/23/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08485 SW HUNZIKER ST PARCEL: 2S101 BC -01000
SUBDIVISION: KNOLL ACRES ZONING: R -4.5
BLOCK: LOT: 005 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: E3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 19 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: $ 10,000.00
Remarks: Interior alterations, enclosure of the existing porch and the creation of a infant toddler space with sink.
Owner: Contractor:
CLICKENER, ROBERT R + PATRICIA OWNER
13855 SW PACIFIC HWY
TIGARD, OR 97223
Phone: 503 - 590 -3255 Phone: 503 - 306 -1292
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 5/7/02 $90.55 27200200000 Framing Insp
Final Inspection
FIRE CTR 5/7/02 $55.72 27200200000
PRMT CTR 5/23/02 $139.30 27200200000
PRM3 CTR 5/23/02 $139.30 27200200000
(additional fees not listed here)
Total $436.01
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:
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Alh, Building Permit Application
f
Date received: 5 7 02 •
Permit no. t,P `49
1 11, City of Tigard •
r: Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl.no.. Ex iredate:
City of Tigard Phone: (503) 639 - 4171 Date issued: ' eceipt no.: Lf
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: l&2 family: Simple Complex:
'. TYPE OF'•PERMIT .
❑ 1 & 2 family dwelling or accessory W Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm • ❑ Other:
:. • • JOB SITE INFORMATION - •
Job address: c e5 SV..I l54- u..1,3 "- Bldg. no.: Suite no.:
Lot: 5 I Block: I Subdivision: K ° ,r_ , - I Tax map /tax lot/account no.: 5; 1 O ( ,g; O 1 oc oo
Project name: -- - z - -rn; k�tj LE JC- ?cam -- 17 - Le 5(j €i L
t
Description and location of work on premises /special conditions: 7ZE1' or — . .t .e a/ _ C i FJ u Se-
b
• _ - OWNER, - ,' . ' • FOR SPECIAL INFORMATION, USE CHECKLIST
Name: �, :�z,�;l- `�.f - - C.- i�.%nJC (Flood'plain septic capacity solar, etc,),-
Mailing address: ( Li c! i-j > 7 , t J' E - 7"r - `• ,4u 1 & 2 family dwelling:
City: - 7 r > I State: p(Z_IZIP: `1 7? ma c/ Valuation of work $_..�',
Phone52i i S2.(_06'•C,IFax5 1G 4- ;E- mail:,„cit.i.r•zri'c4 -/. s Vo. 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: 0 sal r) ?�. 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: Commercial/industrial /multi- family:
1 1 ,v,. - t ,. . Valuation of work $ j' l'.D
Existing bldg. area (sq. ft.) /2.F $'
Business name: QM\i �•
New bldg. area (sq. ft.) o? 0?s
Address:
Number of stories
City: I State: I ZIP:
Type of construction f�A1(1
Phone: I Fax: I E -mail: F3
Occupancy group(s): Existing:
CCB no.: New: nano."
City /metro he. no.: Notice: All contractors and subcontractors are required to be
R Y ' 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
�--" exempt from licensing, the following reason applies:
City: State: I ZIP:
Contact person: Plan no.:
Phone:
Fax: E-mail:
`
Name: Contact person: Fees due upon application - $
A;. v'l Address: Date received:
' City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
\.iij
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
C redit card number:
work will be complied w th, whether spelif e�d; he�re�in or not. Ex ires
`` tea �r�t{ 5-07 p
Authorized signatur r e: —c Nam of cardholder as shown on credircard
Print name:1 olg e 1Zfr K ■ C. L- ie--1C. Ne-& Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within ISO days af it has been accepted as complete. 440-4613 (tnxucoM)
/ 0 ' i g3 06?-7
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 : MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP
Received — Date Requested 7 // 6 AM PM BUP " 00/6
Location _ ' L i 3 s l .1 - /f."4"A_ J Suite MEC
Contact Person Ph ( ) �d c9' 9d- ( PLM •
Contractor Ph ( ) _ SWR
BUILDING Tenant/Owner ELC
g
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain SIT
Slab Inspection Notes:
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ~,
Fire Alarm
Susp'd Ceiling
Roof
Other:.
• PART, FAIL
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 �1
ADA Date ( i� I 0 ' Inspector
Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL