Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00530
}� DEVELOPMENT SERVICES DATE ISSUED: 1/6/03
A:11
I� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13101 SW ST. JAMES LN PARCEL: 2S109AB -07300
SUBDIVISION: RAVEN RIDGE ZONING: R -7
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: 1,535 sf N: S: E: W:
TYPE OF USE: SF SECOND: 1,018 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 2,553 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 15 ft GARAGE: 420 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 1 FRNT: 20 ft REAR: 62 ft FIR ALRM : N HNDICP ACC:N
BEDRMS: a BATHS: 3 IMP SURFACE: PRO CORR: N PARKING: 2
VALUE: 3/ fV
Remarks: Fire sprinkler (stand alone) system for new SF dwelling.
Owner: Contractor:
DECAL CUSTOM HOMES CENTRAL PACIFIC FIRE SPRINKLER
2345 6TH ST. PO BOX 676
COLUMBIA CITY, OR 97018 CATHLAMET, WA 98612
Phone: 503- 366 -0797
Phone: 503 - 366 -0797
Reg #: e6 - 849 - 4$08059
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 1/6/03 $232.50 Sprinkler Final
[TAX] 8% State Tax 1/6/03 $18.60
Total $251.10
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: '<< .. , F ._. _
PemtRtee
Signature:
- -
Call 639 -4175 by 7 p.m. for an inspection the next business day
, 3-- 00 -62.---
1 is -raoa...2 — Do (4
Building Permit Application ;
A Date received: /2 /D O Z Permit no.` uPaooa- oS30
jyl City of Tigard
"= Project/appl. no.: Expire date:
City nfTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 ' / Date issued: : M Receipt no.:
Fax: (503) 598 I(-9 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
. TYPE OF PERMIT
•
y g-1 & 2 family dwelling or accessory ❑ Commercial /industrial O Multi - family ❑ New construction O Demolition
D Addition/alteration /replacement O Tenant improvement ?:)Fire sprinkler /alarm ❑ Other:
' : ' '; . . . JOB SITE INFORMATION • ' • .' _
Job address: /3/0/ SW 3.7 S"- ES Bldg. no.: Suite no.:
Lot: c ,2_, Block: Subdivision: Li %/t/ //� E Tax map /tax lot/account no.:
Project name:
Description and location of work on premises /special conditions: //�E ,S7 6- ,�'
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 6.c euSTdM // �• ( Floodplain ,septiccapacity,solar,etc.) ,'
Mailing address: ..Z3 yS ( S7 I & 2 family dwelling:
City: C0/. /3//9 e. Statt 1, . ZIP: 9 7e/e Valuation of work $
Phone..? 366'D1q 7 Fax: E -mail: No. of bedrooms /baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.) a S53
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi - family:
. . . ` • CONTRACTOR Valuation of work $
Business name: EA/7 L Existing bldg. area (sq. ft.)
�'� _Why New bldg. area (sq. ft.)
Address: . 0 , Ae , 6 Number of stories
City: 6,, 4- L1 ET State:449- ZIP: gF"6 /.,Z, Type of construction
Phone3,, _899— y.3/ Fax: E -mail:
CCB no.: /4,190 Occupancy group(s): Existing:
New:
City /metro lic. no.:
Notice: All contractors and subcontractors are required to he
ARCHITECTIDESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he 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 person: Plan no.:
Phone: Fax: E -mail:
• . ENGINEER
Name: Contact person: 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 provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied with, whether specified herein or not. Credit card number: / I _
Expires
Authorized signature: Date: Name of cardholder as shown on credit card
5
Print name: 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 (6/00/CO )
- -
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 63&4175
MST . .,
INSPECTION DIVISION Business Line: (50 1 4.: Jri 2 — eloci3o
•
Received Date Requested 6/ 5 AM PM BUP
Location / o/ 5,1 . 74-1,..L.t_e S Suite MEC
Contact Person Ph ( ) 4c? — Ce PLM
Con,,Gtn5 Ph ( ) SWR
(UILDIN Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain S ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear 414
Int Sheath/Shear \ t r
Framing __.
..- - ■!;=-;.■_-_.. .
Insulation ill ...AllgggllfllblPOPIIIIhb
-
Drywall Nailing ■Ir . a _ .
— .._, . rd._ _ ....• _ _ ■_ • . L.-N....
Firew,
ire Sprinkler
ire ' arm
Susp'd Ceiling di -....._
Roof
Other
Fi ,
PAS R FAIL
kUM • Ai —
Post & Beam V V /
-
Under Slab Alm: CL/\ C.... Q...-Vr •
Rough-
• ...
In
41 . _.A_■ •-• 1.4-.# A--ro --- 6' IP
Water Service
Sanitary Sewer
N
Rain Drains
Catch Basin / Manhole
aIIIIIIIIIP 4 As
Storm Drain W M VI1 1 i fif
Shower Pan
Other:
Final 1111 111111L . P Lel---C—Q-- ■
PASS PART FAIL
MECHANICAL u
-_ k r — IL--ti
Post & Beam
Rough-In
■,,,
Gas Line -
Smoke Dampers
Final 0 S (
PASS PART FAIL .
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
El
PASS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Ei Please call for reinspection RE: El Unable to inspect - no access
Fire Supply Line
ADA Lo i ..q zsf5 \‘)?—____
Approach/Sidewalk Date Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL