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9225 SW Hurriham Street
A\ CITY
I T_Y I O", TIGARD
IGARD __-- BUILDING PERMIT
/ �•• PERMIT#: BUP2002-00245
DEVELOPMENT SERVICES DA,'E ISSUED: 6/19/02
13125 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 PARCEL: 2S102AB-05000
SITE ADDRESS: 092 , SW BURN-iAM '_Il
SUBDIVISION: ZONING,: CBD
BLOCK' LOT: JUWSDICTION: TIG --�
_ REISSUE: _ FLOOR AREAS _ EXTERIOR 1NALL CONSTRU_C'TION i
CLASS OF WORK: DEM --- FIRST•. ---�_.�sf N: S. E
TYPE OF USE: SF SECOND: sf _ _ PRO.IECT OPENINGS?
TYPE OF CONST: N:' q: E: _ W:
OCCUPANCY GRP: TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEG'. RATED:
STOR: H1r: tt GARAGE: sf OCCU S` P. RAVED:
BSMT MEZZ`r: _ READ SETBACKS — _ REQUIRED _
FLOOR LOAD: ps'r LEFT: ft RGHT: `ft FIR SPKL: SMCK GET':
DWELLING UNITS: F'RNT: fit REAR: ft FIR ALRM : FINDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING,:
VALUE:
Remarks: Demolition of 925 square foot house and 280 square foot gargage. All demol'tion debris is to be removes, the
sewer line is to be capped. _ J
Owner: Contractor:
CITY OF TIGARD OWNER
13125 SW HALL BLVD
TIGARD, OR 9722.3
Phone: Phone:
Reg #.
REQUIRED INSPECTIONS
Type By Date— Amount Receipt Cap ,ewer Line Insp
ERPC DEB 6/19/02 $8.45 JE# Final Inspection
EROS DEB 6/19/02 $26.00 JE#
ERP2 DEB 6/19/02 $8.45 JE#
- --� --� Total --- $42.90 ---
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 d:ys 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
952-001-001n through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC, by
calling (503) 246-6699 or 1-800-332-2344.
Permittee 1 1
Signature:
Issued By:
"all 639-4175 by 7 p.m. for an I• pection the next business day
Building Permit Application
Date received: / 5 Permit no.: �
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no: Ex ' edate:
Crr�n/Tigard Phone: (503) 639-4171 Date issued: _ A Receipt no.:
Fax: (503) 598-1960 Case file no.. Payment type:
Land use approval: _ 1&2 fr..,.ily:Simple Complex:
U I &2 family dwelling or accessory U Commrrcial/industrial U Multi-family U New construction emolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: _ _ _-
Job address: e 0 D a -' Bldg.no.: Suite no.:
Lot: ax map/tax lot/account no.: jVe%;3,,96 C _
Protect name: _
Description and tationof work on prem* s/s cja conditions:
NUR FOR SPECIAL a
,USE 111ECKLIST" 1111111
,
Mailing address: I r .s ,r` y( 7 ,-- - I .& 2 family drselli!ig:
-cif,,:� Valuation of work....... ..................... ......... $--
Phone: Fax: E-mail: No.of bedrooms/baths.................................
Owner'S represenUitivc: r,/(-1 k001F_ _ Total number of n(,om.................................
e:: -
Phone: Fax: E-mail: New dwelling araa(sq. ft.) .......................... -.-
Garage/carport area(sq.ft.).........................
Name: Covered porch area(sq, ft.) ......................... -
--- ---
Deck wren(sq. t.) —�
Mailing address: .......................•................
City; _ State: 7,iP: Other stricture area(sq. .)......................... _
Phone: Fax: E-mail: CommerciaUindustrial/multi••family:
Valuation of work.............................. ......... $
Business 7an;c;
Address: L) Existing bldg.area(sq.R.) ............. ......
-- --._ New bldg.area(sq.ft.)...............................
_- -
City: I State: ZIP: - Number of stories........................................
----- - Type of construction -
Phone: - _� Fax: ....................................
- E-mail: ._.—
CCB no.: -- Occupancy group(s): Existing:
-- New:
City/ructro lie.no.., Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: _ - jurisdiction whey:work is being performed.If the applicant is
City: State: ZIP: - exempt from licenbirg the following reason%pplies:
Contact person: Pian no.: —` — —
Phone: Fax: E-mail: - -
re: _ _ _ Contact person: Fees due upon application ........................... $-
ress: - -- - T- _ Date recei%ed:
y: State: ZIP: - _ Amount rcceived ......................................... $
Phone: - - Fstx: _y- F.•mail_- - Please refer to fee schedule.
hereby certify I have read and examined this application and the Nor all jutWicticns accept credit cards,please call judxdicaon For more information
attached checklist.All provisions of laws and ordinances governing this Uviss U MssterCai J
work will be compliedith,whether s ified herein or not. Credit cad number: _ _._ __-1—L_
Expire$
Authorized signatuh: TVDate: �' j r C v Nuix d cudlroldeerr as shoe n rin credit card
Print name: A i �� �� L } 1 Il cJ z_ANy --- --_- C.rdnolder Sian.ure- � $ Amount--
Notice:This permit application expires if a permit is not obtained within 180 dny,ager it has been uccepted as complete. 44"613(b WOM)
(42
Cul`,
e L
CITY OF TS i,ARD 24-Hour
BUILDING Inspection Line: ;503)639-4175
MST -------
INSPECTION DIVISION Business Line: (a03)639-•.171 136P
i
Received Date Requested _- '� _ AM ____ ._., FM 80P : Z),42 '71°
Location —__ _`.zt4__Suite
Contac' Person .--. _ __ _. Ph( _—) PI.M
Ph SWIR
f,PUILDIN0r TenanVOwner _--__--• _ .___ -- EL.0
1 ..�� Et.0
Foundation Access:
Ftg Drain EL.R ------__-,
Crawl Drain
Slab Inspection Notes: � �� SIT
Post&Roam
;hear AnchorsV-
Ext Sheath/Shear ��•�vI -_�- __ —__
Int Sheath/Shear
, naming -- --- - __----_ —�-.— _ -
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler - -- - - -- ------ --
Fire Alarm
Susp'd Ceiling
Root
m
S PART FAIL
_ _ BING --
Post&Beam \
I Indar Slab - ---------= - �- ---- -
Rough-In
Water Ser/ice -- ---- --- — - - -- 9
Sanitary;ewer
Rain Drains
Catch Basin/Manhole --�
Storm Drain --- - - - --
Shower Pan
Other: - ---- - -- --- -
Final
PASS FART FAIL -- — — -- Y
MECHANICAL _-
Post& Beam -
Rough-In _----------_--_. __ _ -_— ---
Gas Line
Smoke Dampers ---------- -- ------- -- --
Final i
PASS PART FAIL -_ --- —" ----- -
ELECTRICAL -
Rough.In
UG/Slat)
Low Voltage
Fire Alarm
Final Reinspection fee of$__ — required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call far reirwpection FIE: -_ _._ _ -- Unable to inspect-no sccess
Fire Supply Line /
ADA
Approach/Sidewalk D
Ext
Other:
Final - -_--._�_-- - 00 NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL