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9375 SW CORAL ST.
BUILDING PERMIT _
CITY OF T I GA R D , PERMIT fl: BUP2000-00045
DEVELOPMENT SERVICES DATE ISSUED: 2/9/00
13'125 SW Hall Blvd.,Tigard, 1R 97223 (503) 639-4� PARCEL: 1S126DC U37U0
SITE ADDRES& 09375 SVV CORAL ST
SU13DIVISION LEHMANN ACRE TRACT ZONING: R-12
BLOCK: LOT: 002 JURISDICTION: T;G
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_
CLASS
ONSTRUCTION —
CLASS OF WORK: DEM FIRST: sf N: S: E:
TYPE OF LISE: SF SECOND: sf _ PROJECT O_PENINUS_?
TYPE OF CONST: UNK 5f 7, E: A W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
B SMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RG' ft v FIR SPKL: _ SMOK DET:
DWELLING UNITS: FRNT: ft REAk: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Ramarks: Demolition of a 700 square foot garage/shed and a 96 square foot chicken coop. All debris is to be removed from
— the site.
-- '�--
Owner: Contractor: J
KEN RASMUSSEN MODERN BUILDING SYSTEMS INC
603 SW LARKSPUR NUJ BOX 110
SUBLIMITY. OR 97385 9493 PORTER RD
Phone: 749-4949 A��ilonelLl3Cg9;��35
Reg #: Lei; 00004637
_ FEES REQUIRED INSPECTIONS
Typey By Date Amount Receipt Final Inspection
PRMT DEB 2/9/00 $50.00 00-321649
5PCT DEB 2/9/00 $4.00 00-321649
EROS DEB 2/9/00 $26.00 00-321649 i
ERPC DEB 2/9/00 $8.45 00-321649
(additional fees not listed here)
^� Total $86.90
This permit is issued Subject to the regulations contained in the Tigard Municipal G.,de. State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans
This permit will expire if work is not stalled within, 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Fhose rules are set `orth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these ria!es or direct questions to OUNC by calling (503) 246-1987.
Pemmitee i
Signature:
_—
Issued By: __ �t!��✓l 0
Call 639-4175 by 7 p.rn. for an inspection the next busi less day
CITY OF TIGARD Commercial Building Permit Application rtn Check#
13125 SW HALL BLVD. New Construction and Additions Rec�$y
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Date to D T
Print or Type Permit# i
Incomplete or illegible applications will not be accepted Related SWR#
Called
Name of Development/Project
Job 'Mu�S KoFca' Existing Building ❑ New Building ❑
Address Street Address Suite
q.�J5 S 0, (:DML, I Building
Bldg 9 Clty/State Zip Data
�
Name b to xisft__1 seQf_Building or fWoperty:
Property A VA*W%6A
Owner Mailing Address ( Suite Proposed Use ofat►il ng or Property:
City/State Zip Phone hJ '
No. Of ories:
M I t 3i� _ 1-7+1-4-`i 4 q _ /
Occupant Name. —
Name Occ 6incy Class(es)
Contractor W�" `W ILOIOG
i"
Prior to permit Mailing Address Suite
issuance, ype(s)of Construction
of all licenses
nses �.j a copy V X 11
of
are rewired If City/State Zip Phone - Will this projept have a Fire Suppression System?
expired In C.O.T. Yes NO
database f'I�Jlul� g73Ls _
Oregon Const.Cont.Board Uc.# Exp 0 to Americans with Disabilities Act(ADA)
_—�
.4S7 `i'�0 ly�u Valli ion X 25% =$ Participation
Name
Coli tete Accessibility Form _
Project $
Architect -mow
I _ Valuation
Melling A dress
Plans Required, St; Matrix for n ttbej of sets to submit
City/State Zip Phone on back
T
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
cling Address Suite
— that plans submitted are in compliance with Oregon State Laws
SiWVture of or ner/Agent Date
Cll /State Zip Phone
o tact Person Name hone
Indicate type of work New O Addition O Demolltion�@f - t,�SSf►� SU `7"�- 7411
Accessory Structure O Foundation Only O Alteration O
_Repair O Other O FOR OFFICE USE ONLY
Description of work: nn Map/TL# Land Use:
r .. Notes:
s.
Parka: Estimated R of Employees TIF
If the above figure Is not supplied at the_tlrne.ntapptleatlonr�lquetlll
calculate the fee based upon the number 9!Aarking spaces.
Note: Site Work Permit Application must precede or accomF any Building
Permit Application
i:\dsts\forms\comnew doc 5/10/99
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising eiictrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
Additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rei,cue)
Total # of
TYPE OF SUBMITTAL Plans KEY:
_
Submitted
:> (Private) - 1 T S = Site Work
B (New or Add) 1 B = Building
F (WN or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & 1' & E 3 Alt = Alternation tc Existing
(New , Add) Building
*B or B & M (Alt) —_. 1
*B & M & P (Alt) 3
*B & M & F) & E(Alt) 3
*B & M & P & E & F(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only.
I'\ists\forms\matrxcom doc 10/30/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MSFT
�U
.Date Requested AM _PM BLD
Location 61 �. G Suite MEC
Contact Person L;-.iA_ Ph _ ?��'y��f�� PLM ---
Contractor Ph _ SWR
Imo_ Tenant/owner ELC
Fie ifriing Wall ELR
Footing Access:
Foundation C FPS -
Ftg Drain
Crawl Drain Inspection Notes. SGv
Slabr
Post& Beam -- ------ — ----- SIT —_ —.--_
Ext Sheath/Shear
Int Sheath/Shear ------ _---
Framing _- —
Insulation
Drywall Nailing
Firewall -------�.. -____-------_ --.
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ` -__ -- / , /�cI - o�•yrI�LJQ:�
Roof _
Misc
C ART FAIL - -- _ ----
Post& Beam - -- - --
Under Slab
lop Out
Water Service
Sanitary Sewer
Rain Drains
Fina' -----
PA°tS PART FAIL
MECHANICAL
Post&Beam - -
Rough to
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 ( J Reinspection fee of$._ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection R6:.- ( J Unable to inspect no access
ADA 11
Approach/Sidewalk Date -- S CtOr Ext
Other _
Final
PASS PART FAIL_I DO NOT REMOVE this record from the job site