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Permit A . CITY OF TIGARD PERMIT PERMIT #: BUP1999 -00213 �r DEVELOPMENT SERVICES DATE ISSUED: 5/2 r�' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4 SITE ADDRESS: 11875 SW LYNN ST PARCEL: 2S103BA -00142 SUBDIVISION: LERON HEIGHTS NO. 2 ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: 312 sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 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: $ 16,000.00 Remarks: In ground swimming pool. Owner: Contractor: ALAJMI, ABDULHADI M + MARCIA M AMAN ENTERPRISES INC 11875 SW LYNN ST PO BOX 230849 TIGARD, OR 97223 TIGARD, OR 97281 • Phone: Phone: 968 -7596 Reg #: LIC 0101803 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT BON 5/24/99 $116.50 99- 315624 Final Inspection PLCK BON 5/24/99 $75.73 99- 315624 SPOT BON 5/24/99 $5.83 99- 315624 ORIGINAL Total $198.06 • • 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 obt -' -copy of these rules or direct questions to OUNC by calling (503) 246 -1987. � � f k q Permitee i � O � Signature: N Issued By: I // ■., • Call 639 -4175 by 7 p.m. for an inspection the next business day • 5 - S�C. CITY OF TIGARD Commercial Building Permit Application Rec'd By i 13125 SW HALL BLVD. New Construction and Additions Date Recd 5 — Z , TIGARD, OR 97223 Date to P.E. � ' (503) 639 -4171 Date to Ds nn T '' ,, �' s i Permit # �lJ rt a- � 3 Print or Type rr Related SWR # Incomplete or illegible applications will not a Called t)(tit) (' • Name of Development/Project Job Existing Building ❑ New Building ❑ Address Street Address Suite 1 t61* 1-‘104.) Building Bldg # City /State Zip Data Co#447 or-. 1727:2) Existing Use of Building or Property: Name r -Rv-L1 Property t1L-W Ot 41 /4rL,A'4 �A I. Owner Mailing Address Suite Proposed Use of Building or Property: 11S15 40 1,(L)v 'sr City /State Zip Phone 11(.07 qZ aZ2Z3 'S2 I I Zcf No. Of Stories: I Occupant Name . L . Sq. Ft. Of Project: / 9 -1- µA A-- AL .1 ki Name Occupancy Class(es) Contractor ,&M4* . 't Rl:.ty s� I LOO Prior to permit Mailing Address Suite yp ( ) issuance, a copy I i � o f (3 C tc-+.1.1 �..,. T e S of Construction of all licenses `"�' are required If City /State Zip Phone Will this project have a Fire Suppression System? expired In C.O.T. -Tr es A tzto cg, Gilt G24:74534 Yes ❑ No database Americans with Disabilities Act (ADA) Oregon Const. Cont. Board Lic.# Exp. Date Valuation X 25% = $ Participation 1- 3 _SIZS/n.o Complete Accessibility Form Name Project $ Architect 1-4 1/ . ' Valuation /` , ODD 1 Mailing Address Suite Plans Required: See Matrix for number of sets to submit City /State Zip Phone on back Engineer Name 4IA■ I hereby acknowledge that I have read this application, that the information • iven is correct, that I am the own - r or authorized agent of the owner, and Mailing Address Suite Ili submitted are in compf : nce with Oregon State Laws. 7l17 � � Date City /State Zip 4 Phone y I I 4 / ,,, o I c; 1 J Contact Pers•n Name Phone -=1- Indicate type of work: New 0 Addition 0 Demolition 0 . /`�� G �� 1 Accessory Structure 0 Foundation Only 0 Alteration O Repair 0 0the - 0, fmkM) „? i rt ;� FOR OFFICE USE ONLY Description of work: Map/TL# Land Use: I / H I), ��0 t,, ' Notes: Parks: Estimated # of Employees TIF: If the above gure?s trot anpplle o application, the city will calculate the fee b e number of oe pa s_ ... �_ Note: Site Work Permit Application must precede or accompany Building Permit Application I: \COMNEW.DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL • REQUIREMENT MATRIX > :pl cat oa F ' e lectrical submi ttal the a hc ation m ist ntarn the he : s peervtsrng electrrcrart before plan review will be cond tided .. ............................. �: r:� €�.....::�t...t::c►vn�#:�e >a additional Ian ets f ° ° r >dis#ll •` ' : ::. :; : •;: :.: :::. ;:...::;::':: >: > « > < > > : <. ><it KEY: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2• Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building ...:......:::.........: :.::..:::.... :.:.; .. :....:. �::::.:::::::::::: v: :.::::: �v: 4.A:•: ::::::::: ::;. ...:.:.:: n � i� ' :::i ;:::: �' ;::: .':::: ' :•'• S �: :.::: i:::::;::; i.;:;:: i::: :i:::::::i::::i::i::::i':::i <:> ;; <;i::i::i::ii;G:.' '.:i::i:>:i:::y:;:;;:i: ' ::i i�.is4:vi:�i:ii:: :? i�: '+ii:•i:v:iiiiiii:i�i::iiiiiii: �iiiiiiiiiiiii:�iii iiiJ::': ii iiiiiii 4::.i':.iJi ?i:'+ . iii }iii iiiiiii:�vi:: ii:•i'4:•:'iviiiiiiiii:�: ��•j�.1Y��(.�.:....:ii ..:...:i �::::: ..:y�� ..v J��:: .' iii::i::i::i::::i::i:: iyj ii::iii, .:ii ?i <:;:i ?iiSiji ::•:� :....::.::.�..::.� ::. i::�RR�:::::: .�::i'��::::i ...: i' :::: ...' .i' �.'.: i:::: :: i:<4jj::ij ::::::::::::::::i::: :iii:�.'ii': }:!:: F�iji::ii: : •��j(py] ::TVF::: ::: . :::.�{y.M.::::: ' i:i .: + . ?;:i: {pi::::::II i ? ? ? ?i ?ii ?:54. ' i:::<:Ytt: .11 • iv: i:+' �• � •�' +:•�'.�: ���::i:::iiiiiiiiii: �iiiiiii :ii:i4.ii:i:yvi }i:.i:J NOTES: .............. ............................... ..................................................................................... ............................... hdsts\forms matrxcom.doc 10/30/98 11/05/03 11:54 FAX 5038463525 CLEAN WATER SERVICES Z001 -v AUG 0 1 2003 File Number 3� CleanWate Services B Our c ommitment i� clear. By • Pre - Screening Site Assessment Jurisdiction d / Date 4 opt S i O / Map & Tax Lot 2.5 0 38.1 oo r y 2. Owner / qn1 461174 / Site Address Contact '4 /E Q A'S /. Proposed Activity Adcd ;r ;oy ro $ FA 5,P& E'' .yozo vE 5q(s.$10•7zfi0 ©o= ` cC- Phone Official use only below this line Y N NA Y N NA I ❑ ❑ Sensitive Area Composite Map ❑ ❑ t� Stormwater Infrastructure map: Map # Z.s1 wA ' QS # 1'3 / � r - I ❑ pori Locally adopted studies or maps ❑ Other lJ Specify Spe ify..'COCA Based on a review of the above information and the requirements of Clean Water Services Design and Construction Standards Resolution and Order No. 03 -11: ❑ Sensitive -areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER OR STORMWATER CONNECTION PERMIT. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. ri Sensitive areas do not appear to exist on site or within 200' of the site. This pre- screening site assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered on your property. NO FURTHER SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. THIS FORM WILL SERVE AS AUTHORIZATION TO ISSUE A STORMWATER CONNECTION PERMIT. ❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Comments: Reviewed By: / Date: tr /i, /o3 ' Post -it" Fax Note 7671 pate /OM All / _ Returned to Applicant TO .fp+esxlFt/ dravre '" /.r k 13*•./4a.11„,. Mail _ F X Counter_ co ept. Co. .5 Date — Vigo 3 , By au/ Memo* Phone n a b 3 _ $ q6 Fax 0 1 - s1 .p. 3 17 Fax a ,fd' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q BUP lggq- 002,1 3 Date Requested R _ _ '9 / AM PM BLD Location ( < q. S L{/)V1 In S# Suite MEC t9q 3 Contact Person bill 7W-2S96 Ph PLM Contractor Ph SWR ILD1140) Tenant/Owner _ ELC Re g Wall ELR Footing Foundation Access: x ( ( )1 - FPS Ftg Drain I SGN Slab Crawl Drain Inspection Notes: KII J ( I& CV 345 11 � Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing 66 / ;" 77 0A-e-5 rf et o . Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 'AS ) PART FAIL • • I MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL CHANIC Post eam Rough In Gas Line S • .e Dampers WY_1 C` PART FAIL TRICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA (� Approach /Sidewalk Other D J J ?5VInspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.