Permit _, ,'' BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2003 -00630
41/;� DEVELOPMENT SERVICES DATE ISSUED: 10/27/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AD -00400
SITE ADDRESS: 08610 SW SCOFFINS ST (L) BLDG OFF SCOFFIN
SUBDIVISION: MANCHESTER APARTMENTS ZONING: CBD
BLOCK: LOT: 018 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: _ : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
•
VALUE: $ 7,780.00
Remarks: Reroof, tear -off and replace with 3 -tab shingles.
Owner: Contractor:
THOMPSON, J RONALD + COLUMBIA CONSTRUCTION SERVICE
CECILIA I TRS 28395 SW BOBERG RD
8610 SW SCOFFINS #26 WILSONVILL, OR 97070 -6769
TIGARD, OR 97223
Phone:
Phone: . 503 - 684 -9123
Reg #: LIC 116607
FEES REQUIRED INSPECTIONS
Description Date Amount Dryrot after tear -off
[BUILD] Permit Fee 10/27/03 $120.10 Final Inspection
[TAX] 8% State Surchart 10/27/03 $9.61
Total $129.71
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 -! : i ro • - •AR 952 - 001 -01 e : You may obtain a copy of these rules or direct questions to OUNC by
calli - (503) 246 -6699 or - 800 -332
Is ued By: I ;!Ar / � � ' /.� 2
Perm
Signature: A _1 . _ / .Ic` _ _
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
.AJ Ur11UI1.t g 1 CI 11111, ty}1p1It Il,1V iLL Received 2 Building D --- /2
Date/By: /0/7 Permit No.:t} -QJO
C of Tigard Planning Approval Other
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other -
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960
Alili'4, i L h)s�! ill;- Post - Review Land Use
.
Internet: www.ci.tigard.or.us �"" ( E 1 Date/By: Case No.
� Contact mss.: ® See Page 2 for
24 -hour Inspection Request: 503- 6394175 Name /Method: / /e0 . Supplemental Information
TYPE OF WORK • . . .. : • REQUIRED:DATA:..
❑ New construction ❑ Demolition I &'2 •FA 11 :Y DWELLING. .
❑ Addition/alteration/replacement ❑ Other:
'CATEGORY OF'CONSTRUCTION -' Note: Permit fees' are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ® Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor.
overhead and profit for the work indicated on this application.
❑ Accessory Building ►:1 Multi- Family
❑ Master Builder ❑ Other: Valuation $
• JOB-SITE INFORMATION and LOCATION• . No. of bedrooms: No. of baths:
Job site address: $(p1O SW, SGoFt' -WB ST. Total number of floors
New dwelling area (sq. ft.)
Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: lyl IA4 C4 p�5rl . AP>Aitl lugs 1S Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
�` Other structure area (sq. ft.)
t`6 1
;.;.: . 0 iR0klED DATA .
COMMERCIAL ' USE'C HECI&IST ,
Subdivision: l Lot #: .
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
• • • • • DESCRIPTION - OF WORK . ' . - - . the value (rounded to the nearest dollar) of all equipment, materials, labor,
_ overhead and profit for the work indicated on this application.
- 11 1s1l• F (1 S u e4r4 Si -111A - - ,
V $ 7 �e e>5 roc- t� -�hco ola�y W +4 1•35 1
f�,l � 1 S CI.. i 3 - -rous 25 •he Existing building area (sq. ft.) �OOO g
New building area (sq. ft.) "er
SHtw1GtUreS TO t. A'Tt. - Crit},Gd et...04N Number of stories Z
$1 PROPERTY OWNER' • . I ❑. TENANT- :r: Type of construction Woo0
Name: C tt. % A "144ot-A Ps 01J Occupancy group(s): Existing:
New:
Address: $( SW. sce•F >tw1S "Err , irk 2(0
City /State /Zip: -r 01,¢. 01-1 22 3
Phonei5o3) G39 - 3064, Fax:($e1) 4$`7 3 +DsiD NOTICE: All contractors and subcontractors are required to be
licensed w the Oregon Construction Contractors Board under
gi ` APPLICANT ' - • • '.: . ®- CONTACT'PERSON... - ' rovisions of ORS 701 and may be required to be licensed in the
d
Business NameGt..v I A. CDMS't��u0AI O�,�GVtLFA trisdiction where work is being performed. If the applicant is exempt
Contact Name: PA S . Gpr GI-LZe-44 from licensing, the following reason applies:
Address: 2f3316 tA.). 8o8,s0..0 -, ar.
City/State/Zip :Wu. ei,..wtu. Oweip t ° I7trLO
Phone&os)GS -9/ t3 Fax(503) 4.94-14-6g
. T.° D> fJII# DINGFERMIT�,FF *'.`;5,
E -mail: �) e �+e^ n oe�' ow. C.o1✓t . „' .schedule::'.. • `.': 7 • ..
CONTRACTOR.
Business Name :C u ..t a.roms-tewc , ( R e es due upon application $
Address: Zp g795 ). St`e4 CO
City /State /Zip: 1/ bubo tviu, - Oa.- q")070 Amount received $
Phone 6(s4...q(23 Fax' / 4 - J4 Date received:
j CCB Lic. #: 6e,,... 7 • , - -At
t � Authorized Notice: This permit application expires if a permit is not obtained within
Signature: „/ r .. , i Date: �'7 180 days after it has been accepted as complete.
P Iqt L 5 • 64I4 v ` *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:1Dsts\Permit Forms\BldgPermitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUi�CDIN Inspection LIn -• K 639 -4175 _
• INSPECTION DIVISION Business Li e: �r • .9-4171 9 -4171 MST
4 a, 7- 60 6 30
Received Date Requ PM BUP
Location �i t p S c.---0 suit?, � / MEC
Contact Person L �.�:�J�, Ph Y w '- / b 6 PLM
Con P ( ) \ ) SWR
Tenant/Owner , A c ' `rte J 14-C-4.- ELC
Footing .
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
/ 0 riej a 3 4'2— Framing
Insulation
i
Drywall Nailing OP '
Firewall
Fire Sprinkler
Fire Alarm L (J
//3 6=-E-(
Fire
.'d Ceiling / /
Oth: •
Final 2 � "x i S r, /^ • PART FAIL • I MBIN t Ct �,�cL -C S A) a -- 7/-1.-?e---■t ! a - 2 , 127‘ 4 . S
Post & Beam
Under Slab
Rough -In o C //
Water Service -
Sanitary Sewer
Rain Drains /
Catch Basin / Manhole `/
Storm Drain
Shower Pan l_. 0 Cr'---- _
/, ��_
Other: �
Final /l-) d /it L �C�,/ S� ,
PASS PART FAIL � C
MECHANICAL l'
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL 9 cl- - '
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 D a t e " ` /C/ b� Ins actor V-(...; Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL