10440 SW GREENLEAF TERRACE i
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10440 SW GREENLEAF TERR
\ CITY OF T I G A R DBUILDING PERMI
PERMi l'#: BUP1999-00259
DEVELGPMENr SERVICES DATE ISSUED: 6/24/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 pARCEI : 2S111CC-23200
SITE ADDRESS: 1 1,40 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIEt_D NO.5 ZONING: R-12
BLOCK: LOT: 290 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP FIRST: sf M: S: E: W:
TYPE OF USE: MF -wD: sf _ _ PROJECT JECT OPENINGS?
TYPE OF CONST: 5N sf N' _ S: E: W:
OCCUPANCY GRP: 421 TOTAL AREA: sf POOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: f. GARAGE: sf OCCU SEP. RATED:
BSMT?: M'I-ZZ?: REQD SETBACKS REQUIRED
FLOOR. LOAD: psf LEFT: ft RGHT: ft FIP SPKL: SMOK DET:
DWELL114G UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING.
VALUE:
Remarks: Exterior structural repairs. Permit fees cover (,)two individual inspections. Additional inspections subject to
re-inspection fee of$50.00 each. No C of O required.
Owner: Contractor:
EBIV EYER, BETi Y IRVl NE K CrNSTRUCTION INC
1n140 SW GREENLEAF TERRACE PO BOX A
TIGAPD, OR 97224 NEWPORT, OR 97365
Phone: Phone: 541-764-3858
Reg #: '-1c 97620
FEES T _ `IF- REQUIRED INSPECTIONS —u
I
Type By Date Amount Receipt Misc. lnspec5on
INSP— BON 6/24/99 Y $100 00 99-316395 Final nf.p ecio n
Final In�.pection
Total $100.00
This permit is issued subject to the regulations contained in the T Bard Winicipal Code, State of OR.
Specialty Codes and all other applicable law. All �-.ork 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. ATTFNITION Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Centei'. Those rules are sect forth in OAR 952_-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or diract questions to OUNC by calling (503) 246-1987.
1'e rrri itee
Issued By: L--
Call 639-4175 by 7 p.m. for an Inspection the next business day
CITY OF TIGARD Commercial BWiding Permit Application Recd by
13125 SW HALL BLVD. 'Tenant Imrrovement Date Recd li
Date to F.E._
TIGARD, OR 97223 Date to DS
(503).639-4171 Permit r)
Prht or Typr; Related SWR e
Incomplete or illegible applications will not be accepted called
_ -- Name of DevelopmenL"n(oject -- i Existing Building QQ New Building --�
Job
Address St f�¢.rp)s 6,,C��%vc s�lte Building
-a (7 - 1"�at'rE' Data _
Bldg# City/State zip Existing Use of Building or Property:
727 17
Name — — -
Property , f'���� I,. � t Proposed Use of Building or Property.
Ovmer Mailing Address ti<l fpL11r,# nae � 0r �
No. Of Stories:
Cly/State Zip Phone _
•r lG� ,<f,O,K Sq. Ft. Of Project: �� ^
Occupant Name
5 M yam- Occupancy Class(es)
Name /
Contractor <; c el N y�� V CT,'o y,w� , fype(s) of Const tion
Prior to permit Mailing Address Suite r!
Issuance,a copy (� -, E f Will this project have a Fire Suppression System?
of all licenses 1 C �_~�(`__L.I�
are required If Ciry/Stato Zip Phone Sy/ Yes s`
expired h _I
Americars with Disabilities Act(ADA)
database )-g"'P°!t' 7911 41 -'3 k Valuatir•n X 25% $---- Participation
Oregon Const.Cont.Board Lic# Exp. Date Comtete Accessibili Form
`1/& Project g
---- Name Valuation___
ArcWtect Plans Required See Matrix for number of sets to submit
Melling Address Suite on back
City/State Zip Phone i r hereby acknowledge that I have read this application,that the information
given is correct,that I am the owner or authorized agent o,the owner,and
_ that plans submitted are in compliance with Oregrn State Laws.
Eng!�r�►er Name
Sign ur orlA t — Gate
Mailing Address — Suite CN4J
Contact Person Name Phone !!-4/
CitylState
ZIT) Phone 7d;t'l I� D L N ��-� -7 1/-
---
/_- FOR OFFICE USE_ ONLY --�
Indicate type of work New O Addition O Demolition G MaprrL* Land Use: r
Accessory Structure O Foundation Only O Alteration 0
Repair O Other ONotes: -
Description of wort:
Noto. Site Work Permit Application must pr,,jcode or accompany Building
Permit Application
I\COMNEWTI DOC (UST) 5/98
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 & RescUc)
TOM# of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S (Private) _ 1 _ S = Site Work
B (New or Add) 1 B = 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) i 2 Add = Addition
3 Alt = Alternation to Existing
(New , Add) Building
*8 or B & M (Alt) 1
*B & M & F 'Ait) �r $
*b& M & P & E(Alt) 3
*B & M & P ,3 E & 1=(Alt)
NOTES:
*Shaded areas designate ALT submittals only.
I Wsts\formsVnatrxcom doc 10/30/98
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