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3980 SW GREENBURG RD
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-11our Inspection Line: 639-4175 Business Line: 639-4171 MET
_
--Date Requested _ R " ?" ( � AM PM BLU
Location 1�T 7 Suite MEC _
Curtact Person_ Ph PL!!9 `
Contractor Ph _ SWR _
UILDIN _) Tenant/Owner 1 El!_C
Retaining Wall ELR
Footing Access: —
Foundation PPS
Ftg Drain -- ---- - -
ISlab Crawl Drain Inspection Notes- i SGN
_ .��_ __----- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear -------------------
Framing
Insulation - - -
Drywall Nailingt -C
FireFirewall - -
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof ------------
Misr,
VUA
iSS SPART FAILMBING —�
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
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 0
Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect-ro access ;
ADA
Approach/Si,_walk
Other Date / -� Inspector ^ - Ext
Final -
PASS PART FAIL DO NOT REMGVE this inspection record from the job site.
1
CITY OF TIGARD -- BUILDING PERMIT
PERMIT#: BUP1999-00393
DEVELOPMENT SERVICES DATE ISSUED: 09/07/1999
�- 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171
PARCF'_: 1S126DC 04600
SITE ADDRESS: 09980 SW GRF_ENBURG RD
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P
BLOCK: LOT: 006 JURISDICTION: TIG
REISSUE: Fl OOR AREAS EXTERIOR WALL CONS7_RUCTION — —1
CLASS OF WORK: DEMFIRST: ` sf� N: S: E: W.
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N• S: E:—^ W:
OCCUPANCY GRP: R3 TOTAL AREA: sf r OOF %,ONST: FIRE RET?
OCCUPANCY LOAD. BASEMENT: sf AREA SEP. R/kTED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: ME7_Z?: RE_QD_SET BACKE REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: `V
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: TMP SURFACE: PRO CORR: PARKING:
VALUE:
Rerrarks: Demo and removal of an existing single family dwelling. Cap Sewer.
Owner: Contractor:
VIP MOTOR INNS INC SUPER ONE INC
29757 SW BOONES FERRY RD 10950 SW .5TH
WILSONVILLE, OR 97070 STE 150
Phone: 50368 ' 284 BVhVon RTR�, 197005
Reg #: LIC 000571
(—
FEES--- REQUIRED INSPECTIONS `__
Type By Date Amount Receipt Cap Sewer Line Insp
PRMT GEO 09/07/199E $2500 99-318141 Final Inspection
5PCT GEO 09/07/199E $1.75 99-3'1814 i ��EROS GEO 09/07,199 $26.00 99-318141 OR� G 1 r �l
ERPC GEO 09/07i199E $8.45 99-318141
(additional fees not listed here)
Total $69.65
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
requites 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.
Pennitee
Signature: �-
i
Issued By:
Call 639-4175 by 7 p.m.foi an inspection the next business day
CITY Or TIGARD Commercial Building Permit Application Plan Check
13125 SW HALL BLVD. grucWaaad.Additions Recd By____
TIGARD,
y _-
TIGARD, OR 97223Date Recd
(503) 639-4171 DSC' �' U� Date to P E._
Date to DST
Print or Type Permit A
Incomplete or illegible appl'cations will not fie accepted Relate l SNR#- -_
11 4• -00041 Called
- -
Name of DevE,opmenUProiec11
Job
S\dV Q 1.ti �ft'N�`Y _ _
\6 —_—. i Existing Buildin _
New Building E]Address Street Address Suite
Q7?U (Pef&Jg�� �� ` Building
Bldg# City/State Z-`p Data
-- _
ITI ckl— Existing Use ofBuilding or Property:
Name V\PS 1A�. \Av\i S \W C..
Property rCU eo-j v' , Jo tkw 5QW -
Owner Mailtig Address aZ 9►�S-7 I "it" -- Proposed Use of Building or Propert
City/state .'.Ip C4 T OZ 6 Phone
No. Of Stories:
�.TSR
Occupant Name Sq. Ft. Of Project:
>L _
N trtme S v P fQ t0N� l [—occupancy Class(es)
Contractor C )U ow tt.�1-? 1 rc� -
Prior to permit Mailing /Address Suite O Q S'� � � Type(s)of Construction
issuance,a copy �� 1,5-C) \-0 O
of all licenses S`.0 17 -
are required if city/State Zip C,rpo Phone Will this project have a Fire Suppression Syst m?
expired in C.O.T.
database gf t _`�"UJ�� C��f (p�(3 S-7o�I _ Yes_[� _No
Oregon Const Cont Board Lic.# - exp Date Americans with Disabilities Act(ALBA)
a Valuation X 25% = $ _ Participation,
1 7 /�L?4n _Complete Accessibility Form
Nartte Project $
Architect _ N Valuation � ' f
Mailing Address Suite
Plans R�q�uired: See Matrix for number of sets to submit
City/State Zip Phone oft back
1
Engineer Name ---- kn -- -- -
9 —� - I hereby acowledge that I have read this application,that the ir.ormation
io given is correct !rat I am the owner or authorized agent of the owner,and
Mailing Address Suite that plans sul•mitted t
e in liance with Oregon Str,te Laws
ig ature of caner Date
City/State --- Zip Phone
Contact
CwPerson Name 1 Pl-,one
Indicate type o1 work New O Addition O Demolition
Accessory Structure O Foundation Only O Alteration O
Repair o Other o _ FOR OFFICE USE ONLY _
nescriplion of work:L-)£vkO e4AAt� 0 I �) - -
Map/'TL# Land Use
FE-Q -s C' S Notes
Parks: Estlmated#of Emplibyees - ---- - -
TIF
If the above figure Is not supplied at the time of applicatiori,the city will
calculate thefee based upon the numbor of parking apacez.
Note: Site Work Permit Application must precedo or accompany 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 electrician 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 & Rescue)
Total # of
TYPE OF SUBMITRAL. Plans KEY:
Submitted
S (Private) 1�� S = Site Work
B (New or Add) 1 i B = Building
F (New or Acid 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 & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*B or B & M
3.........-
NOTES:
'Shaded areas designate ALT Submittals only.
I\dstslformsWatwom doc 10130196