Permit •
CITY O F TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00436
A vti 01 DEVELOPMENT SERVICES DATE ISSUED: 11/22/00
•
' r�' ! 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08500 SW SPRUCE ST PARCEL: 1S136C6 -04400
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 1,325 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 1,325.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 12 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 32,000.00
Remarks: Placement of a Modular Classroom
Owner: Contractor:
JAPANESE INTERNATIONAL BAPTIST BILLS QUALITY CONSTUCTION
8500 SW SPRUCE ST PO BOX 3035
TIGARD, OR 97223 NEWBERG, OR 97132
Phone: Phone: 503 - 550 -7744
Reg #: LIC 123980
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Erosion Contol Insp 846 -84
PLCK CTR 10/24/00 $218.27 27200000000 MFG Structure Footing Set
MFG Home Plumbing Set-1
FIRE CTR 10/24/00 $134.32 27200000000 MFG Home Electrical Set -1
PRMT CTR 11/22/00 $335.80 27200000000 Final Inspection
5PCT CTR 11/22/00 $26.86 27200000000
(additional fees not listed here)
Total $1,031.25
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee
Signature:
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
A i Building Permit Application
Date received: /d/Z y/p j Permit no.: a tzio zo Di'7 o 93
1 11 1 1 City of Tigard
" :_. Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By:. I Receipt no.:
Fax: (503) 598 - 1960 -s/ 7--- 0770 - dOO.SO Case file no.: Payment type:
Land use approval: MP 2C7,0-- 13 l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory .'Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
X Addi tion/alteration/replacement ❑ enant improvement ❑ Fire sprinkler /alarm ❑ Other:
• JOB SITE INFORMATION
Job address: : 50O 5 p j .E ,T ; Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.: c 1 `? , C s - 1 4 OD
Project name: . L • S'$ I ," ' h i ' '` l . 1 _,42 ra 2)O pi9't.l s1 U
Description and location of work on premises/special conditions: ADD If 1 . ► �i / Zrs /l
r- .1u0iN M' Y — '_n. ' Si
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
i ►,t M ill _ „ (Floodplain, septic capacity, solar, etc.)
Mailing address: e ,,,, , 5 mu. cr 1 1 & 2 family dwelling:
EZIFIt 'M ZIP: • Valuation of work $
Phone: =Kam Fax: E -mail: No. of bedrooms/baths _
Owner's representative: , i J 1frdnl]eda Total number of floors
• Phone: PEZEITOMMIEMENZ E -mail: New dwelling area (sq. ft.)
APPLICANT • Garage/carport area (sq. ft.)
1�, Covered porch area (sq. ft.)
. - • � I 0 > ay��. �� � Deck area (sq. ft.) Mailing address: . �' r rhil
®B AIl WTeil � I ' ZIP: ANEMIA Other structure area (sq. ft.)
Phone: 505 -5 'J -9 I/J■ E -mail: ' i(?s ;'J . "merciallindustrial /multi - family: Ua[,
,,, • CONTRACTOR Valuation of work
Business name: Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.) 2
City: State: ZIP:
Number of stories I
Type of construction
Phone: Fax: E -mail: Occupancy group(s): Existing: ' I
CCB no.:
New: — I
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: RI 11 ,, 0.- • l L ' 0 • 'WO - ' lijv(Wi : rovisions of ORS 701 and may be required to be licensed in the
Address: N jurisdiction where work is being performed. If the applicant is
��`I7� - � � ZIP. � �� exempt from licensing, the following reason applies:
G Contact person: ► ■ tt IMAM Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: MVP* 04,11411{ . S - iblei . , Contact person: U60100%7 ees due upon application $ "3 .5 , S,
Address: 1' . f 4 Date received:
IZINSII =I ZIP: 'NOME Amount received $
Phone: 503 -74t • . 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 ❑ Visa ❑ MasterCard
work will be complied - with, w• e • er s. • cified herein or not. Credit card number: / /
Expires
Authorized signature/ ,i , Jfi ►1;11.0 Date: I O /Z4/ Name of cardholder as shown on credit card
Print name: - pp, 112 t $
Car dholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o -4613 (6/00/COM)
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OP`TIGARD BUILDING INSPECTION DIVISION
r Inspection tine: 639 -4175 Business Line: 039 -41 •Lti /
121) 2 -G U '(3
Date Requested / Z - // AM PM : LD
Location 85 5t-.' Sk-ie C.( Suite MEC
Contact Person 9; 7 Ph SZ 77y y PLM
Contractor Ph SWR
(BUIL T
DT Tenant/Owner U Qe \Q yQ .ELC
4 .1 K 114 ELR
Foundation n �
Access: l FPS S
Ftg Drain XII
Crawl Drain LAr � Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear 1�S .p 5 �
Framing J ���( --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi. 1
FAIL
B
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 - `T FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain 4 [ ] 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
o 3 1
a Side alk � � � /� `
1A 6 Date t\ G Inspector v (Z` C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CI* OF'TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Une: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /— 0 y AM PM BLD
Location fcv S� Srw C ( Suite MEC
Contact Person Ph 3/2 Z 7 u7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall on
Drywall Nailing to / 4
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
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
EC
ervice C V S (-
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin
AS PART FAIL
S E
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
Approach /Sidewalk r �
Other Date 7 - l „� / Inspecto Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection L:►ie: 639 -4175 Business Line: 639 -4171
(c. BUP 04) y
Date Requested 3 -2.3 AM PM BLD
Location 5 V V $ w S , f ra 5-t_. Suite MEC
Contact Person Ph 53 7-q9 7 PLM
Contractor Ph f5 77 « ( SWR
_ffOTLDINgt■ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
D�
C ppiailing
rew
Fire Sprinkler 0 .Sg
Fire Alarm
Susp'd Ceiling
Roof
Misc: 4 P
Final
PASS PART Al
PLUMBING
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 k A- !L, D�•
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final I S kAa.i. tar MA-Q�.✓) I r+J E ,0 I_ 5rt-►i
PASS PART FAIL
SIT UJ rrl-I , k k
ckfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire s Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
AD
Othe oach /Sidewalk
Date 2 - 212 1 /101 Inspector 09e/A) Ext
Final
PASS ART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITE' OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 2O - ° 0 4 0C
Date Requested /I- AM PM BLD
Location f5 Sc-. Sprig u- 5" Suite MEC
Contact Person 506 Ph 3> 7 7 G O 7 PLM
Contractor Ph 3/3 z7 Y7 Cr( SWR
BUILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT ' - 4000
Post & Beam
Ext Sheath /Shear 1 �
Int Sheath /Shear - r /� / / > > e D
Framing N ix ahGT r .� �Z✓ A-n/D 1 -,�u�D pn, 11
Insulation ,, / // ���
Drywall Nailing iJ j F4 Ree . Afi frtollkv ° 0 ��``-
1,
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
M' c:
Fin
ASS PART FAI
PLUMBING
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.