Permit ii'l) CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00090
�� DEVELOPMENT SERVICES DATE ISSUED: 3/3/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14800 SW SEQUOIA PKWY PARCEL: 2S112AD -00900
SUBDIVISION: ZONING: I -P
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 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: $ 5,281.00
Remarks: Fire suppression system
Owner: Contractor:
HOME DEPOT USA INC FIRE SYSTEMS WEST INC
370 CORPORATE DRIVE 600 SE MARITIME AVE #300
TUKWILA, WA 98188 VANCOUVER, WA 98661
Phone: 1- 206 - 574 -3567
Phone: 360- 693 -9906
Reg #: LIC 49732
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 2/21/03 $100.90 Sprinkler Final
[TAX] 8% State Tax 2/21/03 $8.07 •
[FLS] FLS Pln Rv 2/21/03 $40.36
Total $149.33
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.
n
Issued By: ,62 yj,,,v d,,te/A
S nn it e A Cl � a� J ��
Signature: (J y �
Call 639 -4175 by 7 p.m. for an inspection the next business day
t
r D _ -), /2., 1, 0 .-.). (... 1....
. ., ' ding Pernut Application
'11 ` City of Tigard Date received{- U -03 . Permit no.: -Bu P.9005 -OUP/ V
Address: 13125 SW Hall Blvd, tg 1rY , Project/appl. no.: Expire date:
®
CiCity ojTigard Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 FEB . Case file no.: Payment type:
Cay n �n� . � l &2 family: Simple . . Complex:
Land use approval: Ott � i
'Ft' P14 OF PERM11T \ '\
0 1 & 2 family dwelling or accessory ,Commercial/industrial 0 Multi-family 0 New construction 0 Demolition
Addition/alteration /replacement 0 Tenant improvement: ,ire sprinkler /ate 0 Other.
- JOB SITE INFORMATION
Job address: 1 4 8cAs=. Sc.-) S •E'G1 i i A ' K+-•-) -r Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: 'Tax map/tax lot/account no.: •
. 'Project name: I- 1-n 1%n pr. rP .T 'Tao L., - r i L_ G.9 •
. • Description and location of work on premises/special conditions: I 'ISTih --t— . 571 i b•-1 1c Ltd) I ti • N e— ' T c.)'- - - '
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: (Floodplain, septic capacity, solar, etc.) 'h
Mailing address: 1 & 2 family dwelling: -
City: I State: I ZIP: Valuation of work - $
Phone: 'Fax: I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
. Phone: Fax: E -mail: New dwelling area (sq. ft.) .
APPLICANT Garage/carport area (sq. ft.)
•
Covered porch area (sq. ft.) •
Name: F l la-6 5 r{5 7Z9 - -1 5 W 'T
- Mailing address: Coo 56 ts/3 rp 1,...-r3 A, o - Deck area (sq. ft.)'
City: V C e . ) - 4 V C S C I State: I ZIP: g el 66 / Other structure area (sq. ft.). .
Phone Commercial/industrial/multi- family: G0
36c�- GR3 -ys L
o Fax: E -mail:
CONTRACTOR Valuation of work $ S AS 1 .
Existing bldg. area (sq. ft.) -
Business name: •
.r1 ¢ S x 'S -"ftcy s w tss>' New bldg. area (sq. ft.) •
' " Address:
City: I State: I ZIP: Number of stories
Type of construction _
Phone: ' I Fax: I E-mail: Existing:
Occupancy group(s): g:
CCB no.: �}c 7 3 2. New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: (`jt�sl I o, Cc... L'j1 �lGi provisions of ORS 701 and may be required to be licensed in the
. jurisdiction where work is being performed. If the applicant is
Address: 3o I I leT r� ve NIX
City: i3EZ�EVLI 6 I State: , 4 1✓ -1 I ZIP: le0'0
exempt from licensing, the following reason applies:
• Contact person: ' Plan no.: -
Phone:lii . (,32. 336ti Fax: E -mail:
ENGINEER
• Name: ' Contact person: Fees due upon application . - ' $
•- . Address: - Date received:
- City: . 'State: 'ZIP: Amount received $
Phone: I Fax: I 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 O Visa 0 MasterCard
:\_ work will •be complied with, whether specified herein or not. Credit card number
' / cyrr
Authorized signature J=—. -- �,�, Date: 7-: V' ° 3 Name of cardholder as shown on credit card $
Print name: ---SP cl-)' 54r P -J r C2111:144: • -_ ,
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6 OlCOM),
CITY OF TIGARD 24 -Hour
BUILDING Inspection tine: (803) 474 "74 75 MST
INSPECTION DIVISION Business Line: (5O3'.
BUP " 0 j O
Received Date Requested - c s AM PM BUP
Location g Suite MEC
Contact Person g;. , . A Ph (3(on ) 6 3 - 97 PLM
Contractor Ph ( nn SWR
BUILDING Tenant/Owner ddYlitg 0.O ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT •
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
r wSprink er
iF re Alarm
Susp'd Ceiling
Roof
Other:
PART FAIL
BING s
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer j
Rain Drains -
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL