Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00073
a 44,01 ' DEVELOPMENT SERVICES DATE ISSUED: 03/17/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134AB 03300
SITE ADDRESS: 10330 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 0 sf N: S: E: W:
TYPE OF USE: COM SECOND: 0 sf PROJECT OPENINGS?
TYPE OF CONST: : 0 sf N: S: E: W:
OCCUPANCY GRP: E2 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: $ 1,500.00 .
Remarks: ADA ramp
Owner: Contractor:
MUSLIM EDUCATION TRUST ISLAMIC NORTHWEST PYRAMID CO INC
PO BOX 283 PO BOX 825 ORIGINAL
PORTLAND, OR 97207 PORTLAND, OR 97207
Phone: Phone: 503 - 579 -8251
Reg #: LIC 125664
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK BON 03/01/200C $32.50 0000357 Final Inspection
PRMT KJP 03/17/200C $50.00 0000759
5PCT KJP 03/17/200C $4.00 0000759
FIRE KJP 03/17/200C $20.00 0000759
Total $106.50
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: X _ _ ,„ '�_ •
Issued By: , . I ' •
Call 639 -4175 by 7 p.m. for an inspection the next business day
1,
CITY OF TIGARD Commercial Building Permit Application Plan Check# 1-.2- e
13125 SW*-IALL BLVD. New Construction and Additions Recd By X 3-P
Date Recd 3 --/ - 00
TIGARD, OR 97223 Date to P.E. 2tVO
(503) 639 -4171 Date to DST 3 moo kr
Print or Type Permit # 13v 7-010-6
M c Incomplete or illegible applications will not be accepted Related SWR#
I• aGt 1 rn G 1 CIMi tI -^ (r:Ask ° Called 2 j- q - iwO
Name of Development/Project
Job PI E 7 Existing Building Q New Building ❑
Address Street Address Suite
1 0330 s. w �� Sic u Building
Bldg # City/State Zip Data
TOcwc( /OR Existing Use of Building or Property:
Name �J
Property 07 E 7
Owner Mailing Address suite Proposed Use of Building or Property:
)0 330 Sty Cc hot j)
City /State Zip Phone
... y 004 I 9 � a 7? / af No. Of Stories: '
Occupant Name . Sq. Ft. Of Project:
Name Occupancy Class(es)
Contractor isic,)-k ,.....“1 iy�o_i &
Prior to permit Mailing Address e. , am,, Suite Type(s) of Construction i,,: I °`gi
issuance, a copy �yg,. ii y C ���
of all licenses RA
IT-
required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T U `, � 10� 0� 2c7 7 k �c Yes ❑ No ❑
database V o 1 � / Americans with Disabilities Act (ADA)
Oregon Const. Cont. Board Lic.# Exp. Date
1.9-5 017 / Valuation X 25% _ $ Participation
0 Complete Accessibility Form
Name Project $ /�.� 6 i
Architect Valuation
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
S'g ature o Owner /Agent Date •
City /State Zip Phone ' -
' _�' - ` V/ / C76
Conta •erson Name Phone
a.& —
Indicate type of work: New 1 :9 Addition dt, Demolition 0
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other .0 FOR OFFICE USE ONLY
Description of work: g � i Map/TL# Land Use:
H 0-0....42.,_ .t. Notes:
Parks: Estimated # of Employees
TIE:
If the above figure is not supplied at the time of application, the city will •
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building 5 L
Permit Application
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CITY OF TIGARD BUILDING INSPECTION DIVISION —
24 -Hour Inspection Line: 639 -4175 Business Line: 639-41 i MST
uP • 1000 —0 0073
Date Requested AM -� - . LD
Location a i1 _ /l uite MEC
Contact Person Ph PLM
Co r Ph SWR
UILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Drain /�� SGN
Cr /�
Crawl Drain Inspection Notes: G-�
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi •
o• ' PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL n
MECHANICAL p
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 �� J�0 �� '
Other Date Inspector ■� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection 'record from the gob site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 oo ,DOO�2
Date Requested ��1 �v AM CO t:11L1J BLD
Location ` b 3D S ,a i S Suite MEC
Contact Person `) l.t i eirrZ t In A Ph ?O�' 30 0 O PLM
Contractor J� Ph SWR
UILD Tenant/Owner t/i.,S ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain - __ Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear /�
Ina Sheath /Shear, (] t c ( �\ 3...Q. Framing ( "Z Insulation * 2 x �` zJ w 1 \ Drywall Nailing [ \ '
Firewall s n 1 //
Fire Sprinkler �►` Ail/ c�.� C� "k +- Q
Fire Alarm <A-- // 7c. rQ- l-6 A-{ /_ ,� _Q
Susp'd Ceiling Roof ( cj L9 °/ ] ` ' �'^' T �
r`/, _ ru , C. ( v S "� aiCS
Kam,.. lY�`', .
Final
PASS PART (fir• "A � 3 Z M L fl.. ' W ( j , CA,% CAL �\ ')
PLUMBING /
Post & er Slab U l 1 W � [ _ ,,
ndlab 6, �'(�L� r1,._:`, 'C — �.��f 5 �/�/�2vL`1K „e__Jc., 9 .
Top Out
Water Service /� �I vim+ ;
Sanitary Sewer y r f, �µs .c _ y 1 2 4/
Rain Drains 7� .� — Q L h 6 ,. � Q
F PASS PART FAIL IC* v'�ZJ �� 1/ / `^'
MECHANICAL 4-4-0....,( + r �� �
A os``
Post & Beam
Rough In
Gas Line
Smoke Dampers P 1 A D S fi( - \ e -u.,,,, J
Final 1
PASS PART FAIL — ; AFL S 1 S ,Q X ) -
ELECTRICAL .}�'
Service c1 /ln S t./1e) c *'2L.A1 CS n/V4) r t . L
Rough In
UG /Slab /6. �4-..r l.3 ` = L.C.-k..,
■
Fire Alarm m
Low Voltage ? •
Final
PASS PART FAIL /-)....
SITE IC O Ck I � b 6 CaAA-< 4- 5 S
V /� ri
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 /2i c) v 0 Inspector Ext; 7 9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.