Permit CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
tl- I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 A
D PERMIT # BUP97 -0316
DATE ISSUED: 06/25/97
PARCEL: 2S101BC -01000
SITE ADDRESS...: 08485 SW HUNZIKER ST
SUBDIVISION KNOLL ACRES ZONING:R -4.5
BLOCK - LOT •5 JURISDICTION :TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:DEM FIRST 462 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? .... 0 sf N: S: E: W:
OCCUPANCY GRP.:? TOTAL 462 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 0
Remarks: Removal of 462 sq ft garage
Owner: FEES
ROBERT CLICKENER type amount by date recpt
AND PATRICIA CLICKENER PRMT $ 25.00 JSD 06/25/97 97- 296389
13855 SW PACIFIC HWY 5PCT $ 1.25 JSD 06/25/97 97- 296389
TIGARD OR 97223
Phone #: 639 -1289
Contractor:
OWNER
Phone #: $ 26.25 TOTAL
Reg #...
REQUIRED INSPECTIONS -- - -_. --
This permit is issued subject to the regulations contained in the ESN
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 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- 881 -8818 through OAR 952- 88181987.
You many obtain a copy of these rules or direct questions to OINC
by calling (503)246-1987.
n .�
Permittee Signature: 0, ed By: A'
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
-- Commercial Building Permit Application
City of Tigard 13125 SW Hall 81vd. Tigard. OR 97 =3
(503)639 -4171
�
Jobsite Address: e q-51-4v,N �r>vc -7z S T OFFICE USE ONLY
"enant --1 �P1 Sc *001-- Suite # Planck/Rec. f!
Valuation: Permit*
4 • < ;seo� r. fit ; s c \
Map & TL# k: <
Owner:70 1 . 2 --"t"
Address: ( -- 5g S 5\/\/ � r� I4w Approvals Reaytred
Planning
OK 9
Engineering "'` ' •
Telephone: 52 .1`3 — 1 z.A1
Other • '
,:ontractor. OWK/
Address:
Type of constr:
.1Iephone: Occupancy Class:
•
.ontractor's License # Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft Of Project
ontact name & telephone:
Story (1st, 2nd, etc.):
rchitect & Engineer:
Proposed Use:
ddress:
Previous use:
Note: Plumbing & mechanical plans must
ltephone: be submitted at time of building permit
application.
JB DESCRIPTION: t�Ern o Cr P-e - ) `P p v6- L-o ) o
v_712._0(.% Cr Lo c o tNi 7Z) / -ze c<
1‹. 5 S'd3 6 3 q -
(Applicant Signature & Telephone Number)
?Cg
ceived by / —J �
Date Received:
sm_ccc ;CS 10/5
'ER Tx Account Description
Am ur�t Amt Pd. Balance Due
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb.
Mech.
Plan Check ,
(PLANCK) ' •
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential T1F (TIF -R)
Mass Transit T1F (T1F-MT)
Commercial T1F (T1F..C)
Industrial T!F (TIF -1)
Institutional TIF (TIF -IS)
Office T1F (TIF-0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)
rosion Cntrl Permit (ERPR,MT)
-S
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: --? L
CMm.CCC (CST) 10/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP q 7 -(Y) /
Date Requested AM PM BLD
V-1 Location � gS i-Ku Z4 OA, Suite MEC
Contact Person Ph PLM q7
Gel e r r or 9 i Palo -a& GIS dadler Ph 4037- /Zg SWR
CpUILDIN Tenant/Owner `nil- Deuj zkwZ-)1 ELC
Retaining Wall ELR
Footing
Foundation AZeg �r..Q fC 9 FPS
Ftg Drain 3 Dc 1 - rSiill I C
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler " CA-( 1/l S /
Fire Alarm �
Susp'd Ceiling �, �' ‘/„2/)//2(,)
Roof
Misc:
PART FAIL
(L )
oP s c / _
Under Slab , /.� tea/ a ' .. _ i/ ! � . 4 _ _A1
Top Out
Water Service
Sanitary Sewer
Rain Drains
agStri
PART FAIL / A-LALZ4.
HANICAL / /
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
Other Date / /�/ Inspector /c �1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.