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Permit I CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00416 ZolIAr DEVELOPMENT SERVICES • DATE ISSUED: 10/5/00 �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S11360 -00300 SITE ADDRESS: 08048 SW SHAFFER LN NEW DURHAM SUBDIVISION: 6OREIAM ELEMENTARY SCHOOL ZONING: R -12 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK : sf N: S: E: W: OCCUPANCY GRP: El 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Install one hour door and frame into rated corridor from classroom. Owner: Contractor: SCHOOL DISTRICT NO 23J OWNER 13137 SW PACIFIC HWY TIGARD, OR 97123 Phone: Phone: 579 -9125 Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 10/5/00 $62.50 27200000000 Final Inspection 5PCT CTR 10/5/00 $5.00 27200000000 PLCK CTR 10/5/00 $40.63 27200000000 FIRE CTR 10/5/00 $25.00 27200000000 Total $133.13 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 -1987. Permitee Signatur•• «' _ • Issue By: l t`A , � � a�.t ,l1 12 • Call 639 -4175 by 7 p.m. for an inspection the next business day • Building Permit Application Date received: /0-5 - 0 0 Permit no.:/5u)D _/l ,b.,'; � '1y'i Tigard ° City of Td / ' .mil it ^ - Projecl/appl. no.: Ex ire date: CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: (0_} -pp B3�_ Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT & 2 family dwelling or accessory ommercial/industrial ❑ Multi - family O New construction ❑ Demolition • Addition/alteration/replacement Tenant improvement ❑ Fire sprinkler/alarm ❑ Other: JOB SITE INFORMATION Job address: R04& 5,J 6i4,4 -- F,--7 L,J, Bldg. no.: Suite no.: Lot: I Block: (Subdivision: I Tax map /tax lot/account no.: Project name: ARY t7 Ca012_ Description and location of work on premises/special conditions: /N - bA-' #o L 'a- DOO.2. '4'^^1 f .", r - b - 1 2 ± ,--- -is. Cam -r1 Sivrt 6,/..../t5( 21=0..1 OWNER FOR SPECIAL INFORMATION, USE CHECKLIST • Name: '( l C 11,7) _ oAtim Sci/%oo z— D-1,5w+Gr (Floodplain, septic capacity, solar, etc.) Mailing address: 131 •1•7 ..S ) - PACI It I.(L✓`1 1 & 2 family dwelling: City: 1 (ANA I State: 072_ I ZIP: ) 7 Z Z 3 Valuation of work $ v f 0)0 Phone: Sb3 43l 4' /IIFax: $3 43 -mail: No. of bedrooms/baths Owner's representative: T2o'■.) •1- Total number of floors • Phone: .4 31 — 4016 Fax: i ° 1 --WO E New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: S f} nI----,. Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: CONTRACTOR Valuation of work $ Business name: Existing bldg. area (sq. ft.) `�, - New bldg. area (sq. ft.) Address: City: I State: I ZIP: Number of stories Phone: I Fax: I E -mail Type of construction CCB no.: Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be • ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: No„i,f provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: I State: I ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: o r J d Contact person: Fees due upon application $ /- , / Address: Date received: City: (State: IZIP: Amount received $ 433. i3 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 la . s ordinances governing this 0 Visa 0 MasterCard work will be complied h e r ed herein or not. Credit card number: / / � Expires Authorized signature: Date: / 4/DD Name of cardholder as shown on credit card $ , -� 1 1 Print name: �a^/4 L r. rr 1W a..) Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o-46is (6t00/COM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Ins'tion Line: 639 -4175 Business Line: 639 -4171 BUP .Ziw - at ) yy 1 Date Requested 11 -/ AM PM BLD Location 90 c , 5 w �. t ic ( ' L, Suite c� MEC Contact Person{ e c./.‘ C k 6 Ph ,53 0 P °yJ PLM Contractor �� Ph SWR BUILD Tenant/Owner 12/1- 12/1- cal 4 J.t 14 7 -C ELC Retaining Wall ELR Footing Access: 0 Foundation ; /�,' A - �' FPS U Ftg Drain 0 , � V SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear In s -ath /Shear Af ,roeN p M ,� i v Fire Sprinkler d �Gl L_ v T_ 01 e Fire Alarm Susp'd Ceiling (0 bti ✓ra) Pa c/2 Roof Misc: ASS ART FAIL PL BING 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 7 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 [ ] Please call for reinspection RE: [ I Unable to inspect - no access Fire Supply Line ADA // �--y� or Approach /Sidewalk Date / ( 5 ' 2 DInspect Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. / a • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 .12 / BUP Date Requested 23 AM PM BLD v Location U b 4 Su/ S4‘ 4-e,t, Suite MEC Contact Person o1..•' Ci -f L Ph PLM V Contractor C' G- Ph S /q/3 SWR Tenant/Owner 3 ELC Retaining Wall ELR Foong Foundation Access: ic � ./ FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab , SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear NN Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm S C G V L Susp'd Ceiling � Roof M • to PART FAIL • 6 - • = ING 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 poach /Sidewalk Date Yri, G' Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.