11670 SW 67TH AVENUE-1 i
AAV HR9 MS OL91 T
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CITY
��� �� ������ BUILDING PERMIT
PERMIT#: BLIP2001-nn016
DEVELOPMENT SERVICES DATE ISSUED: 1/11/01
13',?5 SVV/ Hall Blvd.,Tiqard, OR 97223 (503) E39-4171 PARCEL: 1S136DD-0 3900
SITE ADDRESS: 116rt; SW 67TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZON'.RG: MUE
BLOCK: LOT: 007 JURISDICTION: TIG
REISSUE: _FLOOR AREAS _ EXTERIOR WALL C(JNSTRUCTIO
CLASS OF WORK: DEM FIRST: sf N: S: E W
TYPE OF USE: CUM SECOND. sf PROJECT OPENINGS?
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.56 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
S-i OR: HT: ft
BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Demolition of a 1200 square fool cunverted office building, All demolition debris must be removed from the site
and the sewer capped and inspected.
Owner: Contractor:
SOURCE ONE NETWORK OWNER
11650 SW 67TH AVE
TIGARD, OR 97223
Phone: 503-624-6020 Phone: 579.9125
Reg#:
FEES REOUIRi-D INSPECTIONS
Type By Date Amount Receipt Cap sewer line
5PCT CTR+ 1/11101 $5.00 27200100000
Final Inspection
EROS CTR 1/11/01 $26.00 27200100000
ERPC CTR 1111101 $8.45 27200100000
ERP2 CTR 1111/01 $8.45 27200100000
(additional fees not listed here)
Total $110.40
This permit is issued subiect to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and a!I 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. ATTEN T ICN: Oregon law requires you to follow the rules adopted 3y the 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.
Permitee 17Signature: y (� 4(Akic-
�iy-',11Y141PAIA X
�r
Call 639-4175 by 7 p.m. for an inspection the next business day
Building?ermit Application
.-
7W, :Ived: f- -Q Pctmitnn: -�City of TigardAddress: 13125 SW Hall Blvd,Tigard,OR 97223 ppl.no.: Expiredate.
City nfTigard Phone: (503) 639-4171 D3teisated: By: Reccip,no.:
Fax: (503)598-1960 1 El
no.: Payment type:
Land use approval: S VR?-00y--000(A ily:Simple Cu�nplex:
❑ 1 &2 farruly dwc,iing .1r accessrn y U Commercial/indastnai U Multi-fp roily U New construction A Demolition
U Addition/alteration/replacement U Tenant unprovement U Fire spnnkicr/dams U Other:-TION I
t
Jobaddress• 111,paQ� A1_ 0 -- - __ I Bldg.nn.. Suite e1;,.:_ F
Lot: Block: Subdivision: _ — Tax map/tax lot/account no..:
Proiect name: Sri tj= 617-�.�-1 wayL, ---------- ----- — ----..
Description and location of work on prem-uses/special conditions:_._
Name: Soml-ce, Q otkxlYk pIMUr (9JQ�� w (Flood plain. ,
Mailing address: J j(prt RIA,) toLkf, 1 &2 family dwelling:
City: State: oµ. 71P: 2.2�__ Valuation of work....................................... $
Phone: - ,0 Fax' Z E-mail: - No.of bedr wms/baths.................................
Ow'ner's representative: Total numbs of floors.................................
Phone: ' 4 Fax: ti -.r E-mail: New dwelli ig area(sq.ft.) .......................... --
Garuge/caryoort arca(sq.ft.).........................
Covered po-ch arca(sq.ft.) ...I..................
�M,iling addmss: .C ,1 Deck area(lq.ft.) ........................................ - --
City: j p( State ZIP: (1` 7 Other structure area(sq.ft.)........................ _ -
Phone: Fax: &mail: Camraerclr UindustriaUmuUi•famlly:
Valuation of work........................................ $ 12- oo
Existing bit g.arca(sq.ft.) ..........................
Business name: r
New bldg.:ria(sq.ft.)................................ _
Address: _
State: ZIP: Number of)torics........................................ Y^
Type of cot st•uctinn .................... -N
Rhone: Vax: E-mail: Occupancy Existing:_ -- -- - -- -- upancy group(r,)� g: Nla _
CCB no.: _ New: _
City/metro 1'c.no.: Notice:All cor 'actors i ad subcontr tars are required to be
licensed ,vi It ine Oregon Constructio.i Co.-aractota Boaf d under
Name provisions d URS 701 and may be required to be licensed in the
Address: UJ (p f y £ - jurisdiction when work is being peffor-ned.If the applicant is
CU . pry State. Zlp. Q exempt fruin licensing.the following reason applies:
Contact person: [APlan no.: -� --'
Phone. 2,,0G_ Fax:ll.b-IWO I E-mail: (�
Name: CA DA. "r. _ �'ontata pe son: 1 ' Fees due ulion application........................... $ _.-
Address: -'�( (�1 t14A 6 a hate received:
City: _ Mate: ZIP: , 20 Amount received ......................... .............. $
Phone:2 Fex:2 - -7 d E-mail: ,Com. Please refer to iee schedule.
I hereby certify 1 have read and examined thi,•application and the Not all lurtidktions accept uedit earth please call luriad+ Aw Int mon:lefomWon.
attached checklist.All provisions of laws anu ordinances governing this ❑Visa U MaatecCrfd
work will he complied with,wh cher specified herein u.not Cnmi card romher: _-_ -/-
1 p
Authorized signature: Due: I� `c r- ( --�me of caidhMder as.Hewn on emdh card
t1.IrP ►l� -h�( _
$
Rant name: —' cardholder alSndwe Amount
Nutice:This permit application expires if a permit is.rot obtained within 180 days after it has b m i acce ted asc_ �omplete._ 410•utt1(WrroM)
L4 utwtvi C4V►Vl�t 1 f a
sem'.
Sun AA rrvtrr.. . in , , ... nun♦ ...... ...... ..... ....... .... .w ..... ,...
G e-and Two-Family Dwelling
Building Permit A,pplieatlon Chect:list Reference no.:
Associated permits:
Ciiy ofTigard City of Tigard
O Electrical 0 Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-4171
'rax: (501) 599-1960
1 Land use adlotu completed.Sec jurisdiction criteria for concurrent reviews.
2 Zoninr.Flood plain,solar_balance points,seismic soils designation,historic distri a,etc.
3 Veriffcatlen of approved platflot.
4 Flre district approval required.
5 Se tic system permit or authorization for remodel.Exi-ting s)@tem capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stump and signature on file or with application.
!) Erosion control J plan U permit required.Inclu-dr-drainagf lay protection,silt -.gce design and location of
catch-basin protection,etc. 7:�15 _5"ZIO -
3 Complete sets of legible plaTis.Must be drawn to scale,showing conformircc to applicable local and state
building codes Lateral design details and cent.u.tions must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and detai,s Plan review cannot 1: •completed
f copyright violations exist.
11 ltelplot plan derwn to @colt.The plan must show lot and building setback dimensioaa;prorcay con:�r elevations(if
there is more than a 4-ft.elevation differential,plan must show contour!iris at 2-fL intrvais);Inrntion of casements and
driveway;footprint of structure(including decks):location of wellatseptic systems;uti ay locations;direction indicator;lot
area;building coverage arca;percentage of coverage-.ig mperyious area;existing strum.res n site:and surface druina8e. _
12 Foundation plan.Show dimensions,anchor bolts,any hold downs and reinforcing pads,connection details,vent
sire and location.
13 Floor plan@.Sho,v all dimensions,room identification,window size,location of s noke detectors,water heater,
_ furnace,ventilation fans,plarnbing fixtures,balconies and decks 30 inches above ;rade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as Poor besims,headers,joists,sub-floor,
wall construction,:nof con!,auction.Mom that.oae cross section;; •he required-clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,:.ling mate ial,footings and foundation,stairs,
fir 'ace construction, thermal insulation,etc.
15_Elevation views. Provide-levations for new construction;minimum of two elevations for additions and remodel%.
Exterior elevations must reflect the actual grade,if the change in grade is greater tl tait four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references ar.acceptable.
16 Wall bracing(prescrlplive path)and/or lateral analysis plans.Must indicate&W!s and locations;for
non-prescriptive path analysisrp ovide specificatiuns and calculations to^ngineerijg standards.
17 Floorfroof framing.Provide plans for all floors/roof aasc.nblies,indicating member sizing,spacing,and bearing
_ !u-.ations.Show attic ventilation.
18 Bair-menl and retaining walls.Pnivide cross sections and details showing placentent of rebar. For engineered
systems,see hent 22,"Engineer's calculations." _
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beant/joist carryu g a non-uniform load.
20 Manufactured Loori'roof truss uLAgn details. _
7.1 Energy Code compliance.Identify the prescriptive path or prod�le cplculations.,1 ges-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When required or provided,(i.e.,shear wall,too:
CIT`! GIF TIGARD BUILDING INSPECTION DIVIaION M31
24-Hour inspection Line: 639-0175 Business Line: 639-4171 DUP �� 'G60/
_ Date Requested--- `5r U._ AM PM _--- BLD
Location� fG 7U 5�.�7 Y=t .Q�� __--- -- Suite MEC ----_—�
Contact Person __— QG r" Ph �•� �G �' PLM
Contractor _ _ _ Ph — SWR —
ELC
BUILDING Tenant/Owner - — —
Retaining Wall a — --- _ EL.R
Footing I Access: L `L: i ' FPS —._---
Foundation
Ftg Drain - SIGN _ ----
Crawl Drain I Inspection Notes:
Slab SIT —
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing — — -- -- — ----- --
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler ---`�-�'� Cie--1 fc��
Fire Alarm ---
Srisp'd Ceiling ------------ -- —
Roof —
IM,Isc
Final --r--.--
P PART FAIL -- --- —"—"— -- --
--- .� 8 Beam --- -- —
Under Slab _ — — -- -----`---
Top Out
t,Sanita Sewer f7l_orainsl
S PART FAIL
ANICAL
Post 8 Beam _--
Rough In _ �—
Gas Line -...----- -- ---
Smoke Dampers _---
Final --- ------------
PA.SS PARS' FAIL — — _ -- --- __.--
FLECTRICAL
Service --
Rough In — —
UG/Slab
L4.,.,Voltage
Fire Alarm - — —
Final --.
PASS PART FAIL __—___® ----------- —
SITE _______ — ---- -- —-- ----- -- --
Backfill/Grading
Sanitary Sewer
c';orm Drain ( ] Reinspec!ion fee of? _required before next inspection. Pay at City Hall, 13125 SW Hall blvd
Gatch Basin I ]Please c all for reinspection RE _ ^___._._- [ j Unable to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk. pate S ?n i Inspector�r � 1 ��fw� • —_Ext _
Other _
Final
PASS PART — FAIL Dol NOT REMOVE this instre-rticn record from the job site.