Permit CITY OF TIGARD
�a 1, DEVELOPMENT SERVICES BUILDING PERMIT
13125SWHallBlvd .,Tigard,OR97223(503)639.4171 PERMIT # • BUP98 - 0452
DATE ISSUED: 10/20/98
PARCEL: 25102CB -02000
SITE ADDRESS...: 13340 SW PACIFIC HWY
SUBDIVISION ZONING:C —G
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:DEM FIRST 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL • 0 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 : Demolition permit for 11',1 sq. ft. single family residence. All debris
to be removed. Property is on city sewer - no septic to be pumped.
Owner: FEES
JOHN W SETNIKER type amount by date recpt
13320 SW PACIFIC HWY PRMT $ 25.00 DLH 10/20/98 98- 310149
TIGARD OR 97223 SPCT $ 1.25 DLH 10/20/98
98- 310149 EXPIRE
G r'( EROS $ 26.00 DLH 10/20/98 98- 310149
Phone #: 639 -3588 ERPC $ 8.45 DLH 10/20/98 98- 310149
ERPC $ 8.45 DLH 10/20/98 98- 310149
Contractor:
ENDICOTT WOODS ENTERPRISES INC
PO BOX 1537
TUALATIN OR 97062
Phone #: 625 -3525 $ 69.15 TOTAL
Reg #..: 94954
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the 11i/Se. //1I.S/r7704
Tigard Municipal Code, State of Ore. Specialty Codes and all other ? I�SPEe 7,9
applicable laws. 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- 001-8010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature tt // _ � Issued By: /
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
-- Of-i-40 L /Tio K.)
CITY OF TIGARD Pe rmit Application Rec'd By
13125 SW HALL BLVD. Date Recd /D /2o/ ,,f--
Date to P.E.
TIGARD, OR 97223 Date to DST
(503) 639 -4171 r .- 1 6.- Permit # E3 LIP 9', -4 95
Print or Type / Related SWR #
Incomplete or illegible applications will not be acc p� ted Called
V 77Vkc
Name of veto ent/Pr ' ct /
Job �� Existing Building New Building ❑
Address Street Address uitee /
/ J 4 r S # " i Building
Bldg # City! _ Zip Data
0f '; Existing Use of Bu , • - or Property:
Name Ap7/0 - �� Property / V Ic
Owner / ailing Addres , Pioppsed Us: of Building or P • •erty:
✓/ � `` '1 � / , — � + ®y, e re
City/S7 '3 Zip Pho !, •
/ d t i f Stories:
�' if
• cupa Name/ /.' �� Sq. Ft. Of Project:
4
// �
Name D cupancy Class(es)
Contractor � , e � �% � 1, f
Prior to permit ai Addr r Suite Type(s) o - • s .. • n
��� issuance, a copy >< i
of all licenses t )
are required if Cityrte p �� Pho Will this proje�� ave a Fire Suppression System?
expired in C.O.T. / .9 f 4 > Yes ❑ NoX
database ' Americans Disabilities Act (ADA)
Oregon Const. Ct. Board Lic.# Exp. Date
Y ',% EXPp � l � Complete Accessibility For
N me
Project
Architect Valuation
Mailing - .dress Suite
Plans Required: m er o se
City/State Zip • hone "" eek
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Addr s e that plans submitted are in compliance with Oregon State Laws.
Sign- ure, Owner /Ag - t Date
• /State Zip Phone e ./ —IX /2 • ' J — y — F
onta on Name Phone
Indicate type of work: New 0 Addition 0 Demolition 5ci�/ '' . /st J
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 FOR OFFICE USE ONLY
Description of work:
Map/TL# Land Use:
- �DEHoL� na,J or -6,tJ6� 61-0411...V sioace -oa
!1 t_ 7bE f_ , Notes:
P
TIF:
calculate the fee- bacedup ^ +tip ^�mher of park spaces
. Note: Site Work Permit Application must precede or accompany Building •
Permit Application
I: \COMNEW.DOC (DST) 5/98 .
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review 00§Ktoiftlitotiotipqmp0601:ANpagippmeOgimwg
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wiobjp6tolipotitiOiToolopaigolloyspitggii40googgylionginiglintii::figagigai
Total # of
:111xygeggy$0gmprrAmil:::::::g Plans 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
11:1611gomorkRogoigmgrakii::::::::::::910010.11"
NOTES:
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
// V Spipate Requested ////.3- q/ AM X PM
BUP W 0 5 ���
Location /3350 3W Paz e_. y. Suite MEC
Contact Person r i"I.Gi Ph eO 9 <-,W, 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: I/ shr_it1w
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall 79 )�
Fire Sprinkler /// '7
Fire Alarm 7)4 5.77 �s���i� e
Roof
Susp'd Ceiling q C• /�/`""
��J
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
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
Other oach /Sidewalk j /,, //„_ 78 p
D l ! (Y Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.