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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00468 AEANIO DEVELOPMENT SERVICES DATE ISSUED: 12/21/00 c ' � 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09540 SW TIGARD ST PARCEL: 2S1026A -01000 SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: I -P BLOCK: LOT: 057 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: U2 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: $ 1,200.00 Remarks: Construct a 9' by 8' freestanding sign. Owner: Contractor: • GREEN VALLEY DEVELOPMENT MULTI LIGHT BROADWAY SIGN CO 10585 SW WALNUT ST 3255 NE BROADWAY TIGARD, OR 97222 PORTLAND, OR 97232 Phone: Phone: 281 -3083 Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp - PRMT CTR 11/15/00 $62.50 27200000000 Final Inspection 5PCT CTR 11/15/00 $5.00 27200000000 PLCK CTR 11/15/00 $40.63 27200000000 FIRE CTR ' 11/15/00 $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. Pe rm itee Signature: , ��� / Issued Bye ■ Call 639 -4175 by 7 p.m. for an inspection the next business day 0►4 bt441. too • OTC - . Building Permit Application Datereceived: #.-13 Permit no.: (O ' .��_ I'' City of Tigard ^:_ .. Project/appl.no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: B ryy Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT • ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi-family ❑ New construction ❑ Demolition 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE.INFO NATION • Job address: - ; ,, i t Ipf4 /e tr ►f 0 Anymmlifi, Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: ' el ..tr ;I i a' !�.. Description and location of work on premises/special conditions: • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST CET `' V1' - 0t JE.Lo h M f kyr (Floodplain, septic capacity, solar, etc.) Mailing address: :c.5 1 -A 3 ¢L-00 tk ': 1 & 2 family dwelling: City: / / _. States ZIP: 773 Valuation of work $ // 200 Phone: Fax: 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.) FEEMMIIIMIMIMIIIIIMIE Covered porch area (sq. ft.) Mailing address: , .2 'T. ,ti f ipadi YL Deck area (sq. ft.) IZIWA n ZIP: ° _ Other structure area (sq. ft.) • Phone: ink -1ig Fax: E -mail: Commercial/industriallmulti- family: CONTRACTOR . Valuation of work $ Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: .. City: State: ZIP: Number of stories Phone: Fax: E -mail: Type of construction Occupancy group(s): Existing: CCB no.: (p /D 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: 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: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E - mail: ENGINEER • Name: Contact person: Fees due upon application ir Address: Date received: City: State: ZIP: Amount received $ Phone: 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, whether s cifi rein or not. Credit card number: I / Expires Authorized signature: '—► ate: I (' 0 C-) Name of cardholder as shown on credit card $ Print name: �(Z� ` C ntwr Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6r03/COM) 6 o: as 3 ' � /33 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour knspection Line: 639 -4175 Business Line: 639 - 4171 C -- BOP -cry V( J Date Requested / Z ' 2 v AM PM BLD Location q- V 5 Gv y 1, v L s / � Suite MEC IS Contact Person / S /4 Ph . 503 -2��- 3613 PLM Contractor Ti°/r7 C<.( Ph , n3 - 3/f - / 4 f O SWR BUILD , Tenant/Owner ELC Re amt ing Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing •--� Firewall Fire Sprinkler /4 ; / Fire Alarm Susp'd Ceiling Roof Misc: ..5 Fi f . "PASS P RT FAIL e,9_56 4'6? L-- PLUMBING C'14 '� 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 / Approach /Sidewalk Date 1 Uv Inspec Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.