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Permit q . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00209 l � DEVELOPMENT SERVICES DATE ISSUED: 5/7/2004 .- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07150 SW SANDBURG ST, PARCEL: 2S101 DC -03900 SUBDIVISION: SALEM FREEWAY SUBDIVISION ZONING: C -P BLOCK: LOT: 004 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B 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: $ 3,000.00 Remarks: TI Owner: Contractor: PROGRESSIVE CASUALTY JOSEPH HUGHES CONSTRUCTION, INC INSURANCE COMPANY 7035 SW HAMPTON ST 6300 WILSON MILLS RD TIGARD, OR 97223 MPhoneLD VI L,IW H474349 Phone: 503 - 624 -7100 Reg #: LIC 45645 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 5/7/2004 $72.10 Electrical Permit Required [TAX] 8% State Surchari 5/7/2004 $5.77 Framing Insp BUPPLN Pln Rv 5/7/2004 $46.87 Gyp Board nsp tion [BUPPLN] Final Inspection [FLS] FLS Pln Rv 5/7/2004 $28.84 Total $153.58 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 OAR 952- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by call 246-6644 1- 800 -332 -2 . , . I s ued By: .1 • � ` ( °1/ S ittee , Si gnature: x Call 639 -4175 by 7 p.m. for an inspection the next business day I. Building Permit Application FOR • City of Tigard RECEIVE �'P Received r g DateB � � � Permit No.• % � it ) - _069.0 9 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503 598 1960 vim 7 ' 24' :VIII' DateB s- 7.04/ / f I Other Permit Inspection Line: 503 639 4175 `vIN+ / n'I I Date Ready/By. ® See Attached Checklist for Internet: www ci.tigard.or us CITY OF TIGARD Notified/Method Supplemental Information . T t OF ILD i ING DIVISIODIVISION, , .. _ , . .. . , , ,, . ' WORK , .. _ ` REQUIRED DATA: I'=•AND 2-FAMILY ❑ New construction El Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all (a Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the : • r work indicated on this application. -.--7''' , • CATEGORY OF 'CONSTRUCTION, s.. ";� r ;�•; ;_•• El 1- and 2- family dwelling VCommercial /industrial Valuation. $ El Accessory building ❑ Multi - family Number of bedrooms ❑ Master builder ❑ Other: Number of bathrooms. I " • JOB SITE INFORMATION AND LOCATION. , ' ; - ' '-' - ' Total number of floors: Job site address: 7 /6v 4 0 i 3/6- ISO 211— /� New dwelling area: square feet City/State/ZIP: 7 f teet 0 2 . 97 213 •! Garage/carport area: square feet Suite/bldg. /apt no.. 1 Project name: P/Z0t_2E 551 ✓C Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED • DATA:'COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the • r'. ., DESCRIPTION OF WORK . f : ' work indicated on this application --1, Valuation. $ J DOp Existing building area: /foot, square feet 7 New building area: //0 square feet 7 ', ❑: PROPERTY OWNER • ' ❑ TENANT ."' Number of stones: Z Name: F12-0(..—/Ze ✓6 SN5 1.4e ,4,,./(._ Type of construction: Address: —7 /sa S 1A) rte,, 3LJ 6- RD• Occupancy groups• City/State/ZIP: / l_,4i n , O 2 9 711 3 Existing: Phone: 0 ~ 776 - if 7 31 Fax: ( ) New: ❑" APPLICA ❑ CONTACT - PERSON _ - „ NOTICE', . . • w. Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax.. ( ) E -mail: _ • - , 1 S; c; -• i.' `CONTRACTOR/ • .- ' `. Business name: •- • .5 oSepI - /I N C 5 (-vs- S i , .' :.:Y.? �' " . - ,.BUILDING PERMIT FEES* Address: /// S S (,r,/. 3/4 R-64.1✓2 /5 1,l1n. City/State/ZIP: Please refer to fee schedule. City/State/ZIP: 7 4 i ) , O ' 72 r c Fees due upon application Phone' (Co ) 6 2 Y -7/00 Fax• (0.9 G f3 N S�9• Amount received CCB lie.: I/5 /5 ' Date received Authorized signature: �i'�(/c This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name / At00 A 5 /t ae Date: 5--7_0 y * Fee methodology set by Tn County Building Industry r Service Board I \Building\Permns \BUP•PermitApp doc 17/03 440- 4613T(1 I /07/COM/WEB) , Building Division Plan Submittal Requirement Matrix °=--� Commercial & Multi - Family - New, Additions or Alterations City of Tigard . Type of Submittal ,, , # of Plans h° (Includes new, ad ditions'and al - -, Required at .�, : Subm ttai , Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* • Fire Protection System 3 ** Mechanical 2 • Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i.\ Building \Forms \COM- PlanSubRe 12/24/03 CITY OF TIGARD 24 -Hour BUILDING , . Inspection Line: (503) 639 -4175 (? _- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP ®f — o/ 49 09 Received Date Requested .-- AM PM BUP ./ Location I i:4. - - Suite MEC Contact Person 7' -eird Ph ( ) ;70 / 237 PLM / t Contractor Ph ) SWR aria / 1 D Tenant/Owner /1/14.a-- v1� J - ' ELC frFAM i Fo � Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear • Int Sheath/Shear Ali I , 1 / vv-, ^j� Framing `�'' - Insulation L {` tit- 00 00 q C ( 5G S Ate..~.) Drywall Nailing /� /'' ` - Firewall (G4) 7/ /p ij' L - v - z o 7, 8 a 3'T 1 Vi, -M -r Fire Sprinkler nn n ����--- Fire Alarm // 79L "l //" C30 ® t ; V- a V boo Susp'd Ceiling rr//±± Roof t k � � W--, �� 4 14 -I`"f - � Q '� o-k ( S.(2,/)4.7g-vs.-45 , f i S Oth: • I 14-(2.- t of - 0 0 024 C r a - ) PART FAIL t� — /� / + f ,_ 1 P u : NG v � -�' V/) 1 " C — © ® D 2-1 C ' `5 —C� c Post & Beam t` 1( II AA t 5 (4e? _ 0 p 2-c ' Under Slab Rough -In Water Service Sanitary Sewer N e ' 1 1 e_,,GN �,__„,(4_ v. :/` , -•.---4 ) -cS , Rain Drains Catch Basin / Manhole as c&ret S � Qs - Q l,,,..,,- Storm Drain Shower Pan • Other: I r Final , \� Q te/ PASS PART FAIL IN f MECHANICAL Vi 5C�S_X „- i) Post & Beam \ Rough -In , Gas Line - \ 1 c Smoke Dampers 1 v. A - ' - f t r ' Final \ f c v U O '. .,¢4 . PASS PART FAIL _ -PIN( C�I� ELECTRICAL 'MA- V `A- 5 ‘A/N4 l S 't' l� ''1�.i 1 L Service / n � �( � : ' I ci Rough -In i/,�5 0 k (.� ll" l ' .- ,R. UG/Slab / Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date . PA/ D 4 Inspector `� Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL