15630 SW GREENS WAY-1 1
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15630 SW GK3ENSWAY
CITY OF TIGARDORIGINA
L,UIL.DINGPERMITLk kTE
PERMIT#: BUP1999-00388
DEVELOPMENT SERVICES ISSUED: 9/2/99
13125 SW Hail Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL.: 2S 111 CC-20400
SITE ADDRESS: 15630 SW GREENS V% 1
SUBDI\11s'10N: SUMMERFIELD NO.5 ZONING: R-12
BLOCK. LOT: 262 JURISDICTION: TIG
REISSUE: ----FLOOR AREA_a_ EXTERIOR WALL CONSTRUCTION
CLAS` OF WORK: REP FIRST: sFv 7L� S W:
TYPE OF USE: MF SECOND: st _ PROJECT OPENINGS?
TYPE_ OF CONST: 5N sf N_ S: — �_: J W:
OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GAkAGE: sf OCCU SEP, RATED:
B'S MT?: MEZZ?: REQD SETBACKS _ REQUIRED__
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SNiOK DET:
—
I DWELLING ')NITS: FRNT: ft REAR: 'rt FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Exterior structural repairs, permit tees cover(2)two n-Aividual inn pec'ions. Additional inspec`.ions subject to
reinspeci;n s fee of$50.00 each. No C of O required.
Owner: Contractor:
HILL, RALPH P + MAURINE F TRS K CONSTRUCTION INC
1563') SW GREENS WAY PG BOX 34
TIGARD, OR 97224 NEWPORT, OR 91365
Phone: Phone: 541-764-305°
Reg #: LIC 97820
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. lnspectioi i
sc
PRMT DEB 9/2/99` F
� $100.00 99-318091 ina Inspection
FinaInspection
v� Total $100,00
This permit is issuad subject to the regulations containE:d in the Tigard Municipal Code, State of 0R. Sp-n-'";Codes
and all other applicable law All work will be done in accordance with apprc-ved flans. This permit will expire if'Alork is
not 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 thy- 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. ,
Pe nn!tee
Signature.
�� Call 639-4175 by 7 p.m. for an Inspection the next businFss day
CITII' OF TIGARD Commercial Building Permit Appiiication Rer'd Jy-��,
13125 SW HALL BLVD. Nr,w Construction and Additions Dal,Recd -r1 !
TIGAIt,R, OR 97223 Da.e to P E.
► Date to r)ST
(503) 539-4171 Permit*. &-N77? -(:71939?
Print . Type Related SWR
Incomplete or illegible applications will not be accepted Called–__
—- Name of LkivelopmenUProject ��--
Job , t- Existinn Building M New Building E] –
Address Street Address�,< r'A,Lt*O*- Suite
L5' 6 -5G ' ' Budding
Bldg 0 City/State Zip Data
_ I"i/0a.T -ox 'r,�7? Existing Use of Building or Property:
— ---- Name
Property
Owner Mailing Aidress L CAK suite Proposed Uce of Building or Property:
City/State Zip Phonle
e
?223 —
No. Uf Stories:
a,� � __.._
Occupant Name Sq Ft. Of Project —_..
-- — Name Occupancy Class(es)
Contractor
Prior to permit Mailing Address - Suite Type(s) of Construction
issuance,a ropy � / r d "� ►
of all licenses f �/ 05�/` 7 __ _ __ _—.—
am required If City/State Zip Phone- ..,, Will this project have a Fire Sudpressior' System?
expired In UO T
database N,-� IV � 9 ) jt. i ?6Y-3,F _ Yes ❑ _No
Oregon Const.Cont.Board Lic.! Exp.Date a Americans with Disabilities Act(ADA)
Valuation X 25% = $— Participation
c 7 ,10
''1/�' Complete AccesE ibility Form
Name PfOfe.Ct — — $ ----^--- —
Architect Valuation �
Mailing Address Suite 1 C 00
flans !?equired: S,,e Matrix for number of sets to submitY�
CitylState Zip Phone — on back
Engineer frame I hereuy 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
that plans submitted are In ;.orr diance with Oregon State Laws
Malling AJ
ddress Suite —�— —
Si of Cir/!{ger, Date /
City/Stale-- Lip Phone
Contact er-an Name Phone
Indicate type of wo,'k t lew O Addition O Demolition O
Accessory SUuctwe O Foundation Only 7 Alteration O
Pepair 0 Other o —_ FOR OFFICE USE ONLY
Description if work: Mepfrlik —ice d Use:
C t�`9 /,� Notes:
Parks: Estimated 11 of Ernplo;,es TIF: —
If the above figure Is not supplied at the time of application,the city III �I
calculate the feo based upon the number of arkln a aces.
Niro: Site Work Permit Application roust f ecede or accompany Building
Permit Application
I\COMNEW DOC (DST) 5/1?d
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH pians 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, flans 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 SUBMITTAL Plans KEY:
Submitted
S (Private_)-.._ 1 S = Site Work
B (New or Add) 1 B = Euilding
_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 Add - Addition
3 Alt = Alternation to Existing
(New , Add) building
*B cr B & M (Alt) 1
*B & M & P (Alt) 3
*B & M & P & E(Alt) 3
& F(Alt) 3
NO T t_=S:
*Shaded areas designate ALT submittals only.
I\dsts\formsVnatrxcoin doc 10/30198
CITY OF TIGARr '"UILDING INSPECTION DIVISION Ms,r
24-Hour Inspection Line: 639Y-415 1 Business Line: 639-4171 Q . �U
Date Requested._ C ' �Y < � A�M�) F'M zp
'
_—. q A _ BLD
Location •5' ? -' �'-jC l �— IJIEC
Contact Person Ph PLM
Contr,jctor Ph SWR —
ILGING Tenant/Owner ELC
f�etarning Wall — ELR
Footing Access: - —
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes —
Slab -- ___-- --- SIT
Post& Beam
Ext Sheath/Shear
jjjt Sheath/Shear
—ram rr >
Insua ion y- '
Drywall Nailtrg
Firewall rE �� e,
Fire Sprirkler _-- _ _
Fire Alarm
Susp'd Ceiling --
Roof
Misc: -- -- ------ ----- —
S,S. PART FAIL -- - -- --- ---- ---
PLUMBING
Post& Mair —
Under Slab
Top Out __ --- -- - ---------____--
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
NIECHANiCAL
Post&Beam --
Rough In
Gas Line - - -- --.-
Smoke Dampers
-- _.—
PASS PART FAIL
ELECTRICAL - _ __ ------- -- --
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final ----_^
PASS PART FAIL - -------_ -- _ _
SITE
Backfill/Grading --- -- ___--- — — - —
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ _ _required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line l 1 Please c�tll�for rein pectfon RE: _ [ J Unatle to inspect-no access
ADA J --
Approach/Sidewalk ���
Other DateInspector [ __ Ext
Final `
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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