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15640 SW GREENLEAF COURT
CITY OF TIGARD EJILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 635-:'171 ;jC
BIUP
_Date Requested_ C, AMJ�L_PM _. BLD
Locatia Suite _ h'EC
Contact Person — Ph _ PLM
Contractor Ph SWR
[IfUILDI�VG Tenant— -� -_— EI_C
Rei taming Nall ELR
Footino
Founrimion AGG@SSFPS _
Ftg Dmin - --• -- SIGN
Crawl Crain Inspection Notes
Slab - _----- --- ----- - - -- ------ - --- --- SIT
Post& Beam -
E,:,Sheath/Shear _ ---__�-------- ---------__--
int Sheath/Shear
Framing
Insulation
Drywall Ndiring
Firewall
Fire Sprinkler
Fire Alarm _
Susp'd CF g --- --- -- -- -- - -
Roof
Misr. _ _- ------ ---- ------- ---_-
Tn
4SS PART FAIL --- ---- -- ---- ._-..---- -- - _ - -- - - _
ING
Post BBeam --
Under Slab
Top Out _-
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam - - -— — —
Rough In
Gas Line --- --- _ - - -
Smoke Dampen:
Final
PASS PART FAIL.
EL ECTRICAL
Service
Rough In
Low Voltage
Fire Alarm I --
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 Hal Blvd
Cath Basin [ I Please call for reinspection RF [ J Unable to Inspect-no access
Fire Supply Line
ADA I C
Approach/Sidewalk 1
Other nate Inspector V&
Ext +
Final
PASS PART f AI : 00 NOT REMOVE this inspection recon+ Irrom the job site.
A, EUILDING PERMIT
CITY OF T IGARD ORIGINAI
PERMIT#: BUP1999-On38DEVELOPMENT SERVICES tTA,rE ISSUED: 9/21/99
13125 SW Hall Blvd., Tioard. OR 91223 1503) 1339-4171 PARCEL: 26111CC-20600
SITE ADDRESS: 15640 SVS' GRFENLEAF C1
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: 263 JURISDICTION. TIG
REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP i 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: NT- ft GARAGE: sf OCCU SEP. RATED:
BSM1'?: MEZZ?: REQ'J_SETBACKS _ _REQUIRED_
FLOOR LOAD: psf LEFT: - i`. RGHT: V—ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ftREAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,00000
Remarks: Exterior structural repairs - Permit fees cover (2)two individual ,nspections. Additional inspections subiect to
re-inspection fee of$50.00 each. No C of O requited.
Owner: Contractor:
METCALF, IAURENCE R + K CONSTRUCTION INC
JANET A CO-TRUSTEE,? PO BOX 34
15640 SW GREENLEAF ,T NEWPORT, OR 97365
Tl ofne! OR 97224 Phone: 541-764-3858
Req #: LIC "7820
FEES _—� �-I REQUIRED INSPECTIONS
Type By Date—� Amount Receipt Misc. Inspection -
PRMT DEB 9/2/99 $100.00 P0.318092 Final Inspection Inspection
Final Inspection
Total $100.00 - -
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 hermit will expire if work is not started within 180 days of issuance, cr if work is suspended for nn-)(e
than 130 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1907 You
may obtain a copy of these rul s,or direct questions to OUNC by calling (503) 246-1987.
Pe nn it ce t'
Signature: / j
Issned"Hy.
Call 639-4175 by 7 p.m for an Inspection the next business day
I
CITY OF TIGARD Commercial Building Permit Applicaticn Recd I,
13+25 SW HALL BLVD. New 3onstr, toDate to P.E.
lction and Additions Date P
TIGARD, OR 97223 Date to D
(503) 6:i9-4171 Permit*!^'�
Print or Tyke Related SWR#
Incomplete or illegible applications will not be accepted Called__ = _
Na-Tame of DevelopmenVProject —
E
Job _4'�1Jl� ' Existing Building 5� New Building
Address Street Address Stifle
Building
Bldg M City State Zip Data
�('/,' a� y 74Z > Existing Use of Building or Property:
Name
Property
Owner Mailing Address 6r c["�' Suite Proposed Use of Building or Property:
City/State Zip Phone — -
, No. Of Stories:
�-� � -_
ox 97�
Occupant Name Sq. Ft. Of Project:
- - Name Occupancy Class(es)
Contractor n,e.57,,£'uc7/b,tv >�� jl
_
Prior to permit Mailing Address suite Type(s)of Construction
Isansa,a copy
of
of all licenses
are required If city/stale Zip Phone 5y� Will this project have a Fire Suppression System?
expired In C.O T 0 � —�--
database � "u-✓o,('T O� �1 tic:4 7G _3 s8 _ Yes __No A
Oregon Const.Cont Board Llc.# Exp.Date Americans with Ursa•jilities Ac+(ADA)
Valuation X 25% = $ Participatio,i
Complete Accessibirity Form
— Name Pf0)era � $
Architect Valuation (,(
Mailing Address Suite — v
Plans Required: See Matrix for number of sets to submit _
ceyisiat-� zip Phone on back
Engineer Name 1 hereby acknowledge that I have read this application,that the information
giver is correct,that I am the owner or authorized agent of the owner,and
Mailing Address v Suite that plans submitted are in compliance with Oregon State Laws
Signatu f wneNdT nt Dete J
City/State Zip e)/I?- /l 4
_- Contact Person Name Phone
V-
7 '
Indicate tyre of work: New O Addition O Demolition O
Accessory Structure O Four.Jetion Only O Alteration O
Repair o Other o _ FOR OFFICE USE ONLY _
Descrlptlon of work: Map(TL# _ - ,T Land Use:
I
Notes:
Parks: Estimated a of Employees —---- ----- --
Tt
If the above figure Is not supplied at the tlrne of application,the city will
calculate the fee based upon the number of aP rking spaces.
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I,COMNEW DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COIAPLETED
application. For an electrical submittal, the application mu.:t contain the
signature of the supervising electrician tefore 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,
Wa;,hington County, Tualatin Valley Fire & Rescue)
Total # of
TYPE OF SUBMITTAL Plans KEY.-
Submitted
S (Private) 1 S = Site Work
B (New or Add) --- - _ B = P'ailding
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 F, = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) Y2 New = New Building
E (New, Add, or Alt) _ 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*Borg & M (Alt) 1
*B & M & P (Alt) 3 µ
*B & M & P & E(Ait) 3
'B & M & P & E & F(Alt) � 3---_
NOTES:
*Shaded areas designak'e ALT submittals on'y.
1\dsls\forms\matrxcom doc 10/30/98