Permit CITY OF TIGARD
DEVELOPMENT SERVICES BTI#DING PERMIT
PERM PERMIT # • PUP97 -0087
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 06/06/97
PARCEL: 1S134DC -03000
SITE ADDRESS...: 11130 SW TIGARD ST
SUBDIVISION • CHERRY HILL ACRE TRACTS ZONING:R -4.5
BLOCK • LOT :1 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FND FIRST • 1792 sf N: S: E: W:
TYPE OF USE...:CMS SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:E1 TOTAL 1792 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 66 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 50 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 19900
Remarks : To place a modular 2 classroom structure on a foundation. Site work
will be done by a different contractor who will be responsible for - permitting.
Owner: FEES
TIGARD — TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 140.50 DRA 02/19/97 97- 290575
TIGARD OR 97223 PLCK $ 91.33 DRA 02/19/97 97- 290575
FIRE $ 56.20 DRA 02/19/97 97- 290575
Phone #: 684 -2235 SPCT $ 7.03 DRA 02/19/97 97- 290575
TIF $ 1082.00 B 04/14/97 97- 293212
Contractor: --
MODERN BUILDING SYSTEMS INC
PO BOX 110
9493 PORTER RD
AUMSVILLE OR 97325
Phone #: 503 -749 -4949 $ 1377.06 TOTAL
Reg #..: 000046
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foundation Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other MFG Home Footing
applicable laws. All work will be done in accordance with MFG Home Plumbin
approved plans. This permit will expire if work is not started MFG Home Electri
within 188 days of issuance, or if work is suspen ed for more Rain drain Insp
than 180 days. / Water Line Insp
L / Appr /Sdwlk Insp
/e Misc. Inspection
e; MFG Home Set —Up
Permittee Signature: Gam°' -'r'�—
Issued •-•
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
• Commercial Building Permit Application *
Ci y of Tigard 13125 SW Hall Blvd. Tigard. Q 6
97 23 ^ ��" '
(503) 639 -4171 PA ,U L, - s l . ■ `
Jobsite Address: 11130 SW Ti St OFFICE USE ONE
Tenant: Suite # Planck/Rec. # '-'
Valuation: $19,900 Permit Ju q - 7 - CY 0
Map & TL # ' 11341)0.....- - D30O0
Owner: Tigard- Tualatin School District
13137 SW Pacific Hwy
Approvals Required . . ,
Address: ..
Planning 4 .
Tigard, OR 97223 '
Engineering .. • • .. :....: . . ' .
Telephone: (503) 684 -2235
:Other . -. . • . :
Contractor: Modern Building Systems, Inc A n � �c ����d
GoAl -r Poi I'
Address: PO Box 110 - 9493 Porter Rd 2 , 1 ,,....,3
60 � ��
Aumsville, OR 97325 Type of constr: (�
Telephone: (503) 749 -4949 Occupancy Class: E I
Contractor's License # 46 7 6 01" Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft Of Project: 11 - 1 2
Contact name & telephone: Jim Standard., ( 03) 749 -4949
Story (1st, 2nd, etc.): 1
Architect & Engineer: Modern Building Systems, Inc ,,I,
Kenneth Rasmussen P.E. , Proposed Use: �u00 <--
Address: Project Engineer
PO Box 110/9493 Porter Rd Previous use:
Aumsville, OR 97325
(5�3) 749 -4949 Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
JOB DESCRIPTION: Te place a meiular twe classroom structure on a foundation. Site
work will be acce.= 'shed by a different contractor who will be responsible for permitting.
// f / -
684 2 Z3 s (.?
(Applicant Signature & Telephone Number)
Ronald R. Hudson, Project Manager (503) 684 -2235
n
Received by: Date Received: , / -q 7
P v/A-11
7D-Lti
2.0
E6 .c3z2 370.
gLc 33
9 • 33 9l
\ o5 7
y
Tenant Name: • A, • _ I I SC tIoDIAccumulative Sewer Tally This SWR #:
Address: t IMM i/r This PLM #: R(AP?7 - ,7f1K7
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1 1
Eye Wash 1
Floor Drain /sink - 2 inch 2
- 3 inch 5
- 4 inch 6
- Car Wash Drain 6
•
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
- Ind lover 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1 •
- Stall 2
Sink - Bar /Lavatory 2 j
- Bradley _ 5 I -•
- Commercial 3 1 3
- Service 3
Swimming Pool Filter 1
Washer, Clothes 6
Water Extractor 6
Water Closet. Toilet 8 I •
Urinal 6
•
TOTALS Fz,
Total fixture values: 1'2_ divided by 16 = a EDU - 1 Rl
HISTORY
API 11 . EDU# I SWR# 07 PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
uoonuuna,.wnu.a -
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 z y Business Line: 639 -4171
C� BUP T7- /92g7
Date Requested U (" AM PM BLD
Location // 0 7 -- ; 4114 / 1
Suite MEC
Contact Person Zk L Ph gLS ea-173g PLM
Contractor Ph SWR
UILD Tenant/Owner �, � `7!/f/1 � / ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain S
Crawl Drain Inspection Notes:
Slab S
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mis
FART 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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
P S PART FAIL
SIT
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 " L
r n 97 Inspector Ext
'3 PART FAIL DO NOT REMOVE this inspection record from the job site.
(�
^j CITY OF TIGARD BUILDING INSPECTION DIVISION
�/ MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 al) �\�� � �7, 00
/
:ate Requested AM PM BLD
Location / / /3 V SG() l I -, - � Suite MEC
Contact Person 0 Ph `i xp 97- 0d 3S
Contrac Ph SWR
)3411ED NG Tenant/Owner ELC
e g all (EL) / - 23/4
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ 006 (IT CZ
Post & Beam
Ext Sheath /Shear
Ina Sheath/Shear
Framing Shea 1 1/� , p q L_ 0641 - • r - • Z q 7 '
Insulation 1 .n C 1 _ O . I / 7/99
Drywall Nailing r`_ /f7/
Firewall O �s / Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi
anal
S ART FAIL
Post & Beam
Under Slab
Top Out f•Ii
Water Service `"��
Sanitary Sewer
Rain Drains
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P S P T FAIL
..ELECTRICA
Service v
Rough In \
UG /Slab aL'��
Low Voltage
Fire Alarm
(inaj
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
0th - Date Inspector Ext
�• PART FAIL DO NOT REMOVE this inspection record from the job site.
g t CIT \.or rIGARD BUILDING INSPECTION DIVISION _
`7( 06 47
4 uested "l 24 -Ho r Inspection Line: 639 -4175 Business Line: 639 -4171 UP' g7- 06 ? 7
keWAI Date Requested 9 �� j AM PM BLD
Location t l t 30 ' 1 \ GS-.rck Suite MEC
Contact Person Ph - '9 2- 0„23S
Contractor Ph
�`'' � i 7 —O35'�
dap
$UILD rZ Tenant/Owner E LC
Retaining Wall 40, q 7 "
Footing Access:
FPS
Foundation CA
Ftg Drain SGN
Crawl Drain Inspection Notes: /
Slab 6
IT 7 Q 06
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ) \ �7
Framing 1 � �� G OL , C� /� �i��
Drywall Nailing Insulation 1 � � (]
Drywal � IA) lil � (`� � Q aL g •
Firewall
Fire Sprinkler
Fire Alarm > 1 (1� ��
Susp'd Ceiling / JC
Roof
Mis
Anal
PASS RT FAIL
Post & Beam
Under Slab Va
Top Out
✓ Water Service /
' Sanitary Sewer
✓ Rain Drains S
(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
PAS PART EAIL
•
ITE
acTcfll /G d ing
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
vh/S a Date L(./q Inspector Ext
ma1� w o"vl �
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
Dater /(1-
0 _
N. CITY OF TIGARD
OREGON
Address J Permit #
To Whom It May Concern: RESEARCH IPADA 1, J Gf C' CR311&
The permit listed above is currently inactive in our file and apparently went un- noticed,
either by never being inspected or it failed and was never re- checked by one of our
inspectors. Whether or not this be another attempt to make the required inspection, or the
first attempt, {or} creating a new permit, it is the responsibility of the owner to make the
necessary arrangements to obtain compliance and complete the inspection process.
Therefore, you are hereby advised to make these arrangements as early as possible, but no
later than 10- working days. I would be most please to assist you in any way that I can,
but you must contact me to do so. You may reach me at 639 -4171 ext. 319 between the
hours of 08:00 through 09:00 and at 3:00 through 4:00. If an emergency should arise you
may page me at 955 -5665 during the remaining hours. /
Issue Date: /t4 /ti 7 Original Notice Date: 7/ (See Inspection Card)
Theme following procedure shall apply: This is your -
VFirst Notice- Make the necessary arrangements as mentioned above; Call 639 -4175 or
for work without a permit(s) call 639 -4171 Ext. 310 (Jeanne). •
_ Second Notice- Without consideration to the contents of the first notice, a
re- nspection fee shall be assessed in the amount of $ , AND an investigation
" 1 a fee shall be assessed in the amount of $ . The investigation fee shall be
\ 100% of the permit fee. All fees shall be thereafter doubled.
TOTAL DUE: $
_Third Notice - All fees mentioned above are payable before any inspection can be
made. If arrangements are not made within 10- working days from the day of this notice,
the City of Tigard Code Enforcement Agency will be notified and a Civil Infraction
notification will be delivered to the principles in ownership of the above noted address.
All prior fees shall be carried over and doubled and not withstanding any fees assessed by
the Civil Infraction Notice.
2 NOTICE: DUE $ (2) = TOTAL DUE $
It is with my deepest appreciation, that you help in any way that you can to bring closure
to this permit {or} lack of. If you wish to speak with me, please do not hesitate to call.
Thank you for your patience and pro attention regarding this matter.
Rick Bolen
City of Tigard Inspector II
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