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10345 SW GREENLEAF TERRACE -�
CITY OF TIGARD BUILDING !NSPECTION DIVISION MST _
24-Hour Inspection Line: 639.4175 Business Line: 639-4171 BLIP
f -Date Requested ~f �'7 ( � AM_ _PM BLD
S �� G '
Location—__--LI ���. sT quite _ --- MEC — —
('ontact Person _ Ph PLM __—
Contractor -- __— Ph _ SWR - —
)R' Tenant/Owner _ ---__ __ ELC
Retaining Nall ELR
Foolinq �Ac ress. FPS
Foundation ----- -
Fig Diain _ ----- -- Sr3N
Crawl Drain Ir;cpeclion Notes: ---
Slab — --- - -- - -- — — — ------- SIT ----- —
Post R Beam
Ext Sheath/Shear ___ -.� - --------- -- -_--
I ath/Shear
raminv,
on
Drywa!I Nailing ----
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- IcE� - -- -----
Roof
ULM—
.S% PAi T FAIL -
L ABING
Post Beam
Under
Slab
Top Out
Water Service
Sanitary Sewer - �
Rain Drains � L �- � ---___-_- --------- --
Final
PASS PART FAIL ---.----------
MECHANICAL
Post R Bean', - - -- ---- - ---— - - --
Rough In
Gas Line - ----- -- — —
Smoke Dampers
Final ---
PASS PART FAIL
ELECTRICAL
Service --
Rough In
UG/Slab ------._ _ ---
Low Voltage
Fire Alarm — - -- -- — -------- — -- -
Fioal I /
PASS PART FAIL —�_ ------ - -- —
FJTIE
lackfill/Grading —
;ar tary Sewer
:item Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection.RE: ( ] Unab to inspect-no access
Fire Supply Line r --
ADA � `J � �C`�n
Approach/Sidewalk Date ( Insp --
Other -- -
F incl
PASS PART FAIL DO NOT REMnVE this in esti n roco from the job site.
CITE OF TtGARD BUILDING PERMIT
PERMIT M BUP1999-00296
DEVELOPMENT SIERVICES DATE ISSUED: 7i14/99
13125 SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-1fl 00
SITE ADDRESS: 10345 SW GREENLEAF TERR
SUBDIVISION: SUMMF-RFIELD NO..5 ZONING: R-12
BLOCK: LOT: 250 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: RUP FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: — E: W:
OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT? MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGNT: ft iFIR SPKL: SMOK DET:
DWELLING KNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE. PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Exterior structural repairs - Permit fees cover (2)two individual inspections. Additional inspection; subject to
re-inspection fee of$50.G0 each. No C of O required.
Owner: Contractor:
AGOSTINO, RA D TRUSTEE K CONSTRUCTION INC
7582 VIA DE LA 131ES1A PO PJX 34
SCOTTSDALE, AZ 85258 NES JPORT, OR 97365
Phone: Phone: 541-764-3858
Reg #: LIG �7e213
FEES —^� —_� I _ _ REQUIRED INSPECTIONS _
Type By Date Amount Recwpt Misc. Inspection
INSP DEB 7/12/99 $100.00 99-'16783 _ Misc Inspection
___ _ Final Inspection
Total $100.00 ORIGINAL
I
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 dune in accordance with approved plans.
This permit will expire if work is riot started 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. These rules are set forth in OAR 952-001 -0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct (;wt ons to OUNC by calliiig (503) 24C--1987.
Pe nn itee
Signature: ,)c —
Issued B
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Re.'d By��,�-,--
13125 f W HALL BLVD. New Construction and Additions Date toed.
Date to F.E. _
T(LARD, OR 97223 Date to DST _
(503) 639-4171 - Permit# 1�.r Pt444-0D���o
Print or Tyae Related SW 2#_
Incomplete or illegible applications will not be accepted cal,�d 7-!3-` �C)
Name of Development/Project
Job _ - --- Existing Building New BuWln(l (�--�
C]
Address Street Address 444o j.I,AF Suite
/"'3 y5 •feoeBuilding
Bldg# City,State Zip - Data _
I `Q eYrq?7?? F_xistir; i Ise ,,r Building or Property. --
Name I
Property
Owner Mailing Address 7�c� mune t Proposed U•,e of Eluiiding of Property:
City/State 21p f'hro,r, --- -- —
_ No Of Stur0sS
_11GrAdl,t7 PX q71-2�,
Occupant Name Sq. Ft. 01' Protect
—---�— Name Occupancy Class(es) _
Contractor C- le)Al Dvc _ ;If 1__
Prior to permit Mailing Address Suite Type(s)of Construction
issuance,a ropy r y
of all licenses // �/
are required if City/State Zip Phone S 0411 Ihi+ project have a l=ire Sl ppression System?
expired in C O't. /jt �O o r of �o., 74 y.,3G Yes _ NO
database h o _—_._-- _ �. _A______
Oregon Const.Cont Board Lic# Exp.Daie Americans with Disabilities A,.t
Valui tion X 25% = $ Participation
Complete Accessibility Form__
Name Project $
Architect Valuation
Mailing Address Salle / C•�Ci�.�
Plans Required:-� See Matrix for number of sets to submit
Cily/State Zip — Phone Lon back
Engineer Name
g I hereby acknowledge that I have rears this aapli�ation,ghat the inrormation I
given is cored,that I am the owner of authorized agent of the owner, and
Mailing Address Suite that plars submitted are in compliance with Oregon State!ews
SignAttx f Owner/ rd — Dale
City/Sta.e Zip Phone �,Z T
_ 7
Contact: Narne Phone l� �(
Inttlr,de type of wort New O Addition O Demolition O eel �- K-0 e-t�-/TZ _ ��� —�� / �✓ �ef
Accessory Structure ") Foundatiol,Only U Alteration O
Repair G Other O _____ FOR_OFFICE_USE ONLY
Description of work: ,�^ r MaprTL# — Land Use:
Notes:
Parks: Estimated#of Employees TIF _
If the above figure Is not supplieo at the time of application,the clay will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must pmcede or accompany Building
Permit Application
I\COMNEW DOC (DST) 5/98
C(,')MIERCIAL PLAN SUBMITTAL
RE-Q1.�IREMENT MATRIX
Plar1 Review is dependent tenon submittal of BOTH plans AND a COMPLETED
applicnii)n. For an electrical submittal, the at.plication must contain the
si(,nature of the supervising electrician before plan review will be conducted.
F.;tj:r pl3,, icwiew approval, Flans Examiner will contact the applicant to request
ad6litional plan sets for di-itribution purposes. (Copy for Contractor, City,
Washinciton County, Tua'atin Valley Fire & Rescue)
Total #
of
-
TYPE OF SUBMITTAL Plans KEY:
Submitted
(Pr S ( vate) _ 1 S = Site Work
B (New or Add; J - 1 8 = Building
F (New 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 Arid = Addition
B —& F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*B or B & M (Alt)
*13 & M & P (Alt) 3
*B & M & P & ERF(Ait)� 3
NOTES.
*Shaded areas designate ALT submittals only.
I\dsts\i0rms\maUxcom doc 10;30'98