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15660 SW GREENLEAF COURT
/\ CITY OF TIGAR.D - BUILDING PERMIT _
PERMii#! BLJP1999-00390
DEVELOPI"�I�:NT SERVICES` DATE ISSUE/@:. 9/3/99
�Mn 13125 SW Hall Blvd.,Tigard, OR 97223 15031 639l4�
""� PAP.CEL: 2S111CC 20701
SITE 1DDFcES5: 15660 SW(�REFNLEAF CT � �
SUBDIVISION: SUMMERFIELD JO.5 4 ZONING: R-12
BLOCK: LOT: 265 JURISDICTION: TIG
REISSUE: _ FLOOR A, _,.0EXTERIOR WALL_CONSTRUCTION
CLASS OF WORK: REP FIRST: sf N: F. i_: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS? _
TYPE OFF CONST: `iN sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOW HT: ft GARAGE: sf OCCU SEP. RATED:
BSM'r?: MEZZ.? REQD SETBACKS _REQUIRED _
FLOOR LOAD: prf I_EFT:� ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR- ft FIR ALRM : HNDICP ACC:
BLDRMS: BATHS: IMP St2RFACE: PRO CORR: PARKING:
VALUE- $ 1,000.00 I
Remarks: Lxterior structural repairs - Permit fees ever (2)two individual inspections. Additional inspections subject to
e-inspection fee of$50.00 P )ch. No C of O required_
Owner: Contractor:
KEY TRUST COOPANY TRUSI EE K CONSTRUCTION INC:
PO BOX 12907 PO BOX 34
SEATTLE, WA 93111 NEWPC< 1 , UR 47365
Phone: Phone: 541-764-38F8
Reg #: LIC 97820
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PWAT DE" 9l3/99 $100.00 99-318093 Misc Inspection
FinallnspectiL,n
Total $100.00
This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more
than 180 days. ATTENTION: Oregon law require-, yuu to follow the rules adopted by the Oregon Utility
Notification Center Those rules are set fortli in AJAR 952-001-0010 t'-.rough OAR 952-001-1987. You
may obtain i cope of these rules or direct questions to OUNC by calling (503) 2/46-1P87.
Pennitee ( A--
Signature: .
B � ,r(►�,�
Issued �1
.all 639-4175 by 7 p.r,, for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Appl;catiori Re-'d'Oy.�
13125 SW BALL BLVD. New Construction and Additions Date Recd
TIGARD, OR 97223 Date to P.E. —
(503) 639-4171 Date to DST _
Permit t�C{F
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted (,ailed_A__�" —_
Name of DevelopmenYProlect -
Job Ii - __— _
Addres s Stree?Address ^, r ,,,1e Existing Building� New E3uilding p
�jx C C �
lC-�c 0 _`� Building
Bldg A city state zip Data
T/ 72Z 3 L,:isting Use of Building or Property:
Namp
Property I f"' k 5
Owner Mailing Address G� rt/'c�A� Suite— Proposed Use of BOloing or Property:
City/State Zip Phone -
- No. Of Stories:
Occupant Name Sq. Ft. Of Project. -
- --- ------ Nan N -- —-- O,;cupancy Class(es) -
Contractor /, c —} rib,v j /-,( f I
Prior to permit Mailing Address Suite Types)r,��.0 nstrUctior'
issuance,a copy
of all lic4nses Cir o,0 X �� _ �) ~
are required If City/state zip Phune y/ Will this project have a Fire Suppression System?
expired in C 0
database 76y-3ysj __Yes p _— ___ _NO
(5nigon Const.Cont Board Lic O Exp. ate Americans with Disabilities Act(AICA)
Valuation X 25% =$ Participation
---------- - Complete F :r;essi ilityForm
NAme Project $ --- ------
A;chitect _ _ __ Valuation
Mailing Address — ^' guile — -- — — —
Plans Required: See Matrix for number of sets to submit
'it, 7.p Phone , on back
--- I ~!`) 1- ---- -- ---
Enpineer Name I hereby 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
Mailing Address Suite -- that pians submitted are in compliance with Oregon State Laws
--- Sig of Own$rMl er}Y ' Date ----
Cit ;State Zi Phone
Contact P _
_ _ -- -__-- ----- a Person Name Phone i 4'f 1
Indicate type of work New C Addition O Demolition o fe-'R<7 N 7
Accessory Structure O Foundation Only O Alteration o
Repairo �� Other o __ FOR OFFICE USE ONLY _
Description of w rk: AAap/TL# / (��t(� �� pnd Use: — --
_ __ Notes: — --- -----
Parks Estimated t of Employees — TIF: �— -- —1
It the above figure Is not supplied at the time of application,the city will
calculate the fee based upon the number of parkln4 spaces,
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I COMNEV:DOC (DST) 5198
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 distributic„ purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
'T'otal# 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 = l=ire Protection Systen,
M (New or Add or Alt) 1 M - Mechanical
B & M (New or l ,dd) 1 P = Plumbing
P (New, Add, or Alt) 2 _ E = Electrical
B & M & P (New or Add) 2 New = New Building
(New, Add, or Alt)- - 2 _ Add = Addition
B & F & M & P & ER 3 T Alt = Alterna'Jon to Existing
(New , Add) - Building
*B or B & M (Alt) 1-
*bµ9M & P Alt) 3
*BSM & P & C & F(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only.
I\dsfs\formsVnatrxcom doc 10/30/98
CITYOF T I G A R D _ BUILDING PERMIT
PERMIT#: 6UP1999-00390
DEVELOPMENT SERVICES DATE ISSUED: r ),'03/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL _S111CC-20701
SITE ADDRESS: 15660 SW GREENLEAF CT
SUBDIVISION: SUMMERFiELD N0.5 ZONING: R-12
BLOCK: LOT: 265 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXT=RIOR WALL CONSTRUCTION
--LASS OF WORK: REP 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: fl GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: R_E_QD SETBACKS _ REQUIREC►_
FLOOR LOAD: psf LEFT: ft RGHT: — ft — FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRNi : HNDICP ACC:
BEDRMS: BATHS: IMP SUR,-oCF: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Exterior structural repairs - Permit fees cover (2.)two individual inspection.. Additional inspections su'-ject to
re-inspection fee of$50.00 each. No C of O required.
Owner Contractor:
KEY i FUST COMPANY TRUSTEE_ K CONSTRUCTION INC
PO BOX 12907 PO BCX 34
SEATTLE, WA 98111 NEWPORT. OR 97365
Phone: Phone: 541-764-3858
Reg#: LIC 97820
_ s FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT DEB 09/03/199f $100.00 99-318093 Misc, Inspection
Final Inspection
-Total $100.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State .if OR.
Specialty Codes and all other applicable law All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. -1 hose rules are set forth in OAR 952-001-0010 through OFR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 2'46-1987.
Pe nn itee
Signature: ----;'-- " hL--1L--� --- --- —
I
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next bil;,iness day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _
24-Hour inspection Line: S39 1775 Business Line: 639-41717T* _ r' •��f�1
—_ Date Rerue.,ted_ AM PM _ BLD
Lucation �kr--� 1 Qom- SuitE � ' MEC
Contact Person Ph PLM
Contract Ph _ SWR
LDIN Tenant/Owner ELC _—
et'arning Wall ELR
Footing
Access FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes' TSS -r--� - --
Slab -- - _ - ..Y 1"1 SIT _
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear I �_
Framing 1 `_1� �- �-5 ]��._�. � _�" - ---- -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- --
Roof,.
Mi4, - -- ------ -
M%6-B
PART FAIL
-
Post&Beam
Under Slab _
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAfL _ ___--
MEC 14ANICAL
Post& Beam ---
Rough In
Gas Line -
Smoke Dampers
Final -- ---- --�—__ - --- --- -
PASS PART FAIL_
ELECTRICAL -- - - --- ---
Service
Rough In
UG/Slab --- -- ------ --
Low Voltage
Fire Alarm --
Final
PASS PART FAIL _
SITE
Backfill/C-ading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ requirfid before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE' [ ]Unable to inspect no access
ADA __>
Approach/Sidewalk
C.
Other .�Date / ?__ Inspectory Ext t' !
Final —
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.