Permit Ai.
A CITY OF TIGARD PERMIT
PERMIT #: BUP2001 -00408
�:,� } i DEVELOPMENT SERVICES DATE ISSUED: 11/15/01
s `- .� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00300
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,500.00
Remarks: Relocate 20 sprinklers & add (2) dry pendants
Owner: Contractor:
•
BPP RETAIL LLC A PROFESSIONAL FIRE SYSTEMS
BY BURNHAM PACIFIC PROPERTIES 17273 S STEINER ROAD
ATTN: JOHN WATERS BEAVERCREEK, OR 97004
S-rnouGO, CA 92101 Phone: 632 -4353
Reg #: LUC 41650
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 11/2/01 $72.10 27200100000 Sprinkler Rough -In
Sprinkler Final
5PCT CTR 11/2/01 $5.77 27200100000 .
FIRE CTR 11/2/01 $28.84 27200100000
Total $106.71
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 o -:00- 332 -2344.
Pe rm itte : ` / '
Sign- re: i. ti " / .
i
f
• Issu - d By: 1 ' _44/ ' '
Call 639 -4175 by 7 p.m. for an inspection the next business day
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Building Permit Appticai . II •
City Datereceived4/ Oa"/0) Permit no. :� / -�
{,j,j�� City of Tigard
' Address: 13125 SW Hall Blvd, Tigard, OR 97 Projecr /appl.no.: Expire date:
CiryofTegnrd Phone: (503) 639 -4171 Date issued: By:tJ I Receipt no
Fax: (503) 598-1960 Case file no.: Payment type: . —
• Land use approval: l&2 family: Simple Complex: .
• I TYPE OF PERMIT i '
0 1 & 2 family dwelling or accessory 0 Commercialfindustrial 0 Multi-family 0 New construction Cl Demolition
0 41-Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkle /alarm Cl Other.
.: .. JOB SITE INFORMAT1ON
Job address: I2ZZ_eW S-'. Sc.46r4.5 FE,eQ -r rte. Bldg. no.: Suite no.:
Lot: • , Block: [Subdivision: I Tax map /tax lot/account no.:
Project name: L Ail s c'F Scyet_t_S — 7" a let f=TU -oaY •
Description and location of work on premises/special conditions: 1 ? r E. e c Vi ZO S fghvxLC.sS -- AQ 2 Pe? i va
OWNER FOR SPECI INFORMATION, USE CHECKLIST
Name: llNiF►e p
wes 6. ,eoaers , /,ve_ , ' 1 ( Floodplain , septic capacity, solar,etc.)
Mailing address: e.,,y 33 SE . LA x_e J O , 1 & 2 family dwelling:
r e City: for.-A 0 'Slate: 0,7 ZIP: /722? Valuation of work $
• Phone: So 38;3/e .F 5 Fax: I E -mail: No. of bet rooms/baths
Owner's representative: Total number of floors
Phone: ax: E -mail: New dwelling area (sq. ft.)
Garage/ca Tort area (sq. ft.)
Name: A f'L CFESSto,uA I_ FOE 5YSTEe Go , Covered porch area (sq. ft.)
Mailing address: ( 727 S. STeidoe& I D • Deck area (sq. ft.) •
State: ZIP Other sau•.ture area (sq. ft.)
City. /5eq ✓Eac -EE .. .9P' Y Comerci>aUindtrsMal/molti- family: - •
Phone: So -� 32- yff Fax: E -mail: m
- : 3
CONTRACTOR • Valuation of work $ 62/ s�
Existing bldg. area (sq. ft.)
Business name: h feoressreu4t- Fr be E SYNTC. --s Co . New bldg. area (sq. ft.)
Address: ° ad c Number o : stories
City: mow. State: I ZIP: Type of construction
Phone: I Fax: I E -mail:
b / I o 3 Occupant ✓ group(s): Existing:
CCB no.: q / Ce SO New:
City /metro lit. no.: mo5.5 d.2 / Notice: All contractors and subcontractors are required to be
ARCIIITFCT /DESIGNER licensed with the Oregon Construction Contractors Board under .
Name: provision: of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP:
exempt fruit licensing, the following reason applies:
Contact person:
I Plan no.: -
Phone: Fax: E -mail: -
Name: Contact person: Fees due upon application $
Address: Date received:
City: IState: [ZIP: Amount r•:ceived $
Phone: [Fax: I E -mail: Please refer to fee schedule.
•
I hereby certify I have read and examined this application and the ' Not all juisdictiam accept credit cards, please call jurisdiction for more informaoa►
attached checklist. All provisions of laws and ordinances governing this UViisa Cl MasterCard
work will be complied with whetber whether s. - ified herein or not. Credit cat r number: / /
Expires
Authorized si re: ��
� Date: // / t` amt of cardholder as show on credit card $
Print name: / /L..e C /OP/ Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has Seen accepted as complete. 440 -4613 (6100WCOM) .
. l .0- 0 -g- /D(o.7/
ZOOfjj 011V9IZ 30 I.LIO 096T 96S COS TVA SO:ST fllLL 00 /70 /TT
mi
Y OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST •
BUP oZ&tb I bo4ogi
Received Date Requested 3 Jcf AM PM BUP
Location / - D---b ,.A?" ,, 2 .-C a �11Suite MEC
Contact Person R. t- —
p, Ph ( ) 6 3 Z /3 5 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 2 'Imes - ELC
Footing
ELC
Foundation
A ccess: Pic r-c J� t.-<
Crawl D rain a-/ s G ()A/C_ / K
Slab Inspect s: ELR
Crl D � � SIT
ion o
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire
Susp'd Ceiling
Roof -
Other:
v
V \ •
giV ;PART FAIL
MBING
Post & Beam
Under Slab
Rough -In.
WateService
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
(-: ..... j '\ c
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 Lic Inspe Ext
Other: 1
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL