Permit A / ---7
r a - CITY F TWA RD .- . .. .1,1_-•1.1.] s J
:',.ARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT N' ' n MASTER - E Rho 1 1 - #.......: MST91 -011 i
13125 SW Hall Blvd. P.O. Bax_23397, Tipaid, O►eOon 97223 (503)839 4176 i ,, �, /iir, ;l
SITE ADDRESS 2 09740 SW TIGARD ST PARCEL: 2S 102BA- 0050 1.
SUBDIVISION--; NO. TIGARDVILLE ADDITION AMEND. ZONING: I-P
BLOCK, : LOT . ........... . : 60
BUILDING - - -•-
RE I SSUE y //OP DWELLING UN'I TS : 1 BASE:MENT........: 0 sf
CLASS OF WORK. a4 ".: BEDRMS a 0 BATHS : 1 GARAGE..... .....:0 sf'
TYPE OF USE... : SF • FLOOR AREAS - -- REQUIRED SETBACKS - - - - -•-
TYPE OF CONST. o5N FIRST.... x672 sf LEFT.. a5 ft RIGHT.:5 ft
OCCUPANCY SRP.: R3 SECOND... a 247 sf FRONT. : 0 ft REAR-215 ft
STORIES....... e2 THIRD.... :0 sf REQUIRED- - HE I GHT........: 20 ft TOTAL------2919 sf SMOKE DETECTORS.: Y
FLOOR LOAD 40 psf VALUE.....$: 31705 PARKING SPACES..:0
Remarks: addition
.___._. PLUMBING
SINKS..... :0 FLOOR - DRAINS.... :0 .BACKFLOW P'REVNTRSC . al',
LAVATORIES 01 WATER HEATERS...a0 TRAPS .0
TUB /SHOWERS . -1 LAUNDRY TRAYS.... : 0 CATCH ERAS I NS :0
WATER CLOSETS..:1 SEWER LINE (ft) .:0 GREASE TRAPS :0
DISHWASHERS.... :0 WATER LINE (ft).:0 OTHER FIXTURES :0
GARBAGE DISP... „0 RAIN DRAIN (ft).:0
WASHING MfCH.:. , :0 SF RAIN DRAINS.. s0
- - MECHANICAL. __..___.._._._______._ -•_ -- -- FEES
FUEL TYPES•- • - ---- UNIT HTRS.. :0 type amount by date recpt
/ELE/ / / VENTS -0 BPRT $ 202.00 JLH 06/20/91 -
MAX INPUT:0 BTU VENT FANS.. a 1 BPLC $ 131.30 JLH 06/20/91 _
FURN < 100K ..:0 HOODS......:0 B5PC $ 10.10 JLH 06/20/91 -
FURN :=1.00K ..:0 WOODS'f OVE'S.:0 MPRT $ 13.00 JLH 06/20/91 -
FLOOR FURN.... :0 CLO DRYERS.: 0 MPLC $ 3.25 JLH 06/20/91 -
BOIL /C'+1P < 3HP:0 OTHER UNITS:0 MSPC $ 0.65 JLH 06 /20/91 --
GAS OUTLETS:0 PPRT $ 25.00 JLH 06/20/91 -
Owner. _-- _ -_- -._ _ PSPC $ 1.25 JLH 06/ 20/91 -
SUE SNYDER
9740 SW- TIGARD ST
TIGARD OR 97223
Phone #: 6:9- -3908 '
Contractor: • -- ..-
SAS BUILDING & LANDSCAPING
9740 SW TIGARD ST
TIGARD OR 97223
Phone 4o
Reg #.. : 56500 _____-- ___ -
- 366. 55 FOIL --IL
This pereit is issued subject to the regulations contained in the REQUIRED INSPECTIONS -------
Tigard Municipal Code State of Ore. Specialty Codes and all other Foot /found Insp Building Final
applicable laws. All Fork will be done in accordance with approved Plm /undslab Insp Erosion Control
plans. This percit will expire if work is not started withii l80 ' Pl. umb Top Out
days of issuance, or if work is suspended,' nore ti' n I &'$ ays. i Framing Insp
Insulation Insp
Permittee SiL7nature��► -d_ - /- -- ,�' /
a - -/ Gyp Board Insp
Rain drain Insp
Issued By: Plumb Final ,
Call for inspection - 639 -4175 '
/
1 3125 SW Hall BF' • PLNCK /RECT #
C : _ 11 OF TIG� PO Ilex 23397 • PERMIT # ra5t
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
(503) 639 -4171 DATE, ISSUED
JOB ADDRESS: q7 S G( 4 5/ TAX MAP /LOT 2SI °2 OA S o
SUB:11,6 t7r1 VI llo a lb � /,v tOT: G LAND USE:
VALUATION: /) 7 O
OWNER SPECIAL NOTES
NAME: 14 ��� REISSUE OF:
ADDRESS: 9 7540, ' J r' ige LAST REISSUE:
FLOOD PLAIN/
PHONE: 6.99f-39ded LAND:
(
CONTRACTOR APPROVALS REQUIRED
NAME: ', S h ,a4RGriw PLANNING: oe
ADDRESS: 4 1 7 ti Sr c) Tis4 r d ENGINEERING:
�� SG cL FIRE DEPT:
PHONE: OTHER: NO 7r' 4 = -
C O N T R . BOARD #: 5 5 - 6b EXP DATE: 1 -y 2-
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE: /1G
P1 C
PROPOSED BLDG. USE: /J2 / // i)pe/ 77 - � �' Ar"
COMMENTS: 4, / / n t` � , , ' & J x,014.. G.. /,41 s-e jL' /-tie /
/J
u21-41 (1.4414 14,1 V ifili- r erxA , /tl/L /L�� „ � ' tv45.7
.IJT/b
'.* %?-'s -dA. r r 1/ 4 n4,f -te-gf -1.471 c+n t,C
APPLICANT SIGNATURE
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. O E
IgsH-fl-a /1) 10 -432 00 Building Permit Fees ; a --
10 -431 00 Plumbing Permit Fees / '1.r , o 0
10 -431 01 Mechanical Permit Fees 3 ►ed 13
10 -230 01 State Building Tax (5 %) /3,4)0 /&.
Building /U,, J
Plumbing
Mechanical . 6k s
10 -433 00 Plans Check Fee ) 3 g. S C ) 3 q °'
Building /3/
3 /•3a /
Plumbing
/
Mechanical ‘
3
10 -230 06 Fire
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 . Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL aL o
nm /3587P.WPF
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q/ /1
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 9c" 00A f
Date Requested 13 .- . / ` AM K PM BLD
Location q1 1 /0 5 i) 7-2-( Suite 'MEC g 5.- 0 0
6
Contact Person Ph PLM
Contractor Ph SWR
- BUILDING- Tenant/Owner ELC
Retaining Wall _.. ELR
Footing '-; r -'." r y ;',-,, V 1- " r' f C :Xi (Pi e1 .�, r A V o •. ': .. i3O � .- • _.. u.. ;,'. , � ' t
:, .,,-_,--..0, ' ` A 1 -" 1 L — ll � � ��± f 'T 'CA V • r'jt: :::(:3 Foundation ,r � + y . Vi, 7. ;Acr .� fix:, :7 -` ; > 'e °. l...' .•: �ti_ :Al FPS
Ftg Drain �_ 't L." R Q -- T. ?�y :��'1�3�.:.f�� ;,��c�'��
Crawl Drain Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath/Shear „, e 5 c` ”
Framing � -�� / 41 � SOB � a �j �`II / i is /%
Insulation �� < n } VI I
Drywall Nailing � o // f =i` r Ae��r -e ms 5 �G
Fire wall ../Y 4p 7 1 / -5-ii" 4`e, ° �^�:''"L,�."4
Fire Sprinkler ,.•°�
Fire Alarm
Susp'd Ceiling 1
Roof z y
Misc: 0,017/ If - / t (
P I
A R ' �' ` /t c ' 1
�PA PAT FAIL �� �
( � �' ' •��' ��� � �
P L UMBING � - '
Post & Beam
0
Under Slab
Top Out
Water Service �{
Sanitary Sewer / /� ! /
Rain Drains 0& — 5 i/,'�� ' / $ / / e4 - is-/ -z T if .C�� ? G '-' /� `� ��o �'a j! f
Final s •
PASS PART FAIL ViljCe /17I, v i 4/ o /// >._,,&._„a / ' � , f � / `
MEC1=IAWICA 9 . :7 4 5% , Alf 464- G / / , Y
PosTBeam
Rough In
Gas Line
Smote Dampers
1- gal
,r PASS iPART FAIL
� ; ELECJ'RICAL
Service
Rough_In
UG /Slab
Low Voltage Q
Fire Alarm 3 gin , 7 0 A t4 ATO T IIO InA 4,
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: n [ ] Unable to inspect no access
ADA
Other oach /Sidewalk Date s BOO Inspector L E
Final 0
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.