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131'66 SW Leah Terrace
CITY OF TIGARD 24-Hour
BUILDING Inspection Line• 0 9-4175
INSPECTION DIVISION Business line: 9-4171 MST
BUP __-_--
Received .._____ ^._�__ Date Requested______ __ AM __ PM
Location __1.J7 _L -t.%✓. __--Suite - MEC
Contact Person ;A^^ Ph PL05— ,17 6 PLM
Contractor — ------- - -------- Ph(— --) --- SWH _
BUIL ING _ Tenant/Owner
ELC
ootl g��-" ELC
Foundation ?� - ----- - -
Fig Drain ACCPSS: ✓� Cj �� -•y 1e
FLR
Crawl Drain
Slab Inspection Notes: L� �� SIT
Post& Beam -_--_ -- ----� ' ." -`- ��
Sheat Anchors A.-2 CA
Ext Sheath/Shear
Int Sheath/Shear
Framin, - - -- --- - �-�-- >- -- --
Insulation
Drywall Nailing 1 v �y✓' 1W`_�-1
Firewall C -
Fire Sprinkler _� �— "�"�- e 1� ���"1��-`-`r_. �_• ti'L�
Fire Alarm ( C t 1
Susp'd Ceiling ---` —
Roof
Other,--'-
Final
ther'--'-Finat - -- (1, r CPASS, PART FAIL � �5 _
BING
Post& Beam
Under Slab - _-
Rough-in
Water Service -
Sanitary Sewer
1 Rain Drains - --- -- - - - - -•-
r Catch Basin/Manhole
;.`orm Drain ---
Shower Pan
Other-
Final
ther Final
PASS_ PART FAIL
MECHAWCAL
Post& Bearn - -
Rough-In -- - -
G?.,S i_ine
Smoke Dampers ----- - - - —-
Final
_PASS PART FAIL - - -- -- - -- - - -- -
ELECTRICAL
Service -- -- -- --- -
Rough-In _
UG/Slab - --.-
Low Voltage
Fig.^• Alariir - - --
Final Reinspection tee of$— required before next inspertio.r. Pay at City Hall. 13125 SW Hall Blvd.
PASS PART FAIL
SITE __-- �� Please call for reinspection RE:_ __ �� Unable to inspect-no access
Fire Supply Line
ADA
Approach'Sidewalk Date -- - Inspector - Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
S�-N�o'o3 - av � yW
CITYOF TIGARD BUILDING PERMIT
PERMIT#. BIJP2003-00667
DEVELOPMENT SERV;CES DATE ISSUED: 11,25/03
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S109BA-07500
SITE ADDRESS: t A766 SW LEAI ERR
SUBDIVISION: DAFFODIL. HILL ZONING: R-7
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
OSMT?: MEZZ?: __ REQD_SFT.BACKS _ REQUIRED
FLOOR LOAD: Ps€ LEFT: it RGHT: Yft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
V 41LUE: $ 100 00
Re,�arlts: 4X8 FREE STANDING SIGN
No Plan Review required per BO
Owner: Contractor:
GEORGE MARSHALL HEIGHTS CONSTRUCTION LLC
PO BOX 91249 PO BOX 91249
PORTLAND, OR 97291 PORTLAND, OR 97291
Phone:
Phone: 503-291-2550
Reg #: LIC 133745
FEES REQUIRED INSPECTIONS
Description Date Amount Fooling Insp
IBUILU1 I'enml Fee 11/25/03 $62.50
ITAX) 9""o State Surchart 11/25/03 $5.00
Total $67.50
This pr.rmit is issued subject to the regu!ations 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 jw
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 952-001-0100. You may obtain a ropy of these rules or direct questions to OUNC by
calling (503)2•:6-6699 or 1-800-332-2344
Issued By:
Permittee /
Signature:
Call 639-4175 by 7 p.m. for an inspection the nt-xt business day
Buildin J Permit AptAication '
-- ---- Received Nu,ld,ng
Date/By: I /' Permit Nu }Jv�Cz� a�tnL
City of Tigard PlanningAppro a Other
Date/By: Permit No.:
13125 SW Hall I3h'd• Plan Review Other
Tigard,Oregon 9722:3 Date/B _ Permit No.;
Phone: 503-639-4171 Fax: 503-598-1960 '`� Post-Review — Land Use
Big/By. Case No.
D
Internet: www.ci.tigard.or.us a -- --
Contact Juris.: See fake 2 for
24-hour Inspection Request: 503-639-4175 Name/Method Su,�lerrav,tal),u,noa,•o„
_ TYPE OF WORK _ REQUIRED DATA:
New construction I &2 FAMILY DWELLING
Addition/alteration/re placement
1 ❑Other:
CATEGORY OF CONSTRUCTION Note. Per, . based on the total value of the Hork performed Indicate
I &2-Family dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
— - overhead and profit for the work indicae:d on this application.
Accessory Buildip_g ___ Multi-Family
Master Builder Other: Valuation.................•.................•.................... S _
JOB SITE IN FORMAT ON and LOCATION No.of bedrooms: No.of baths:
Job site address: I S W Total number of floors....................... ..�.
New dwelling area(sq.ft.).............................
Suite#: /3 " ( /
� � Bld�./A Lp #; .� Garage/carport area(sq.ft.)..•.............. ..
Project Name: LDA,t:ft0tL I& _ - Covered porch area(sq.ft.)....................... ..
Cross street/Directions to job site: Deck at^a(sq.ft.)............
,4(�INE._-TFRRA,r�.Er Other structure area(sq.ft).. ........................
.
RI QUIRED DATA:
— COMMERCIAL-USE CHEF.KLIST
5,. +�t iston: j�11•FF+:-yi L ' f.� Lot#:
-lax map/parcel #: - Note Permit fees"are based on the total value of the w irk performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment materials,labor,
,4�s9' PR6�CSS( 1 overhead and profit for the work indicated on this application
tt��.LCJG�r flSftitRff T11£_ O I�bSTS /N AI Valuation......................................................... S. /&P, r D
Existing building area(sq.ft.).........................
--- ---- New building area(sq. ft.)............................... --_
Number of stories............................................ — --�
PROPERTY OWNER
TENANT Type of constnfcnon.......................................
Name: ! _ Occupancy group(s): Existing:
New:
C)
Address: __-i-,_ l2 � _ ------
City/State/Zip: 96tth"0 72z?/ --
, �p Z Fax:gp;•Sas} •g-,2•(� NOTICE: All contractors and subcontractors are requited to be
Photte:Q •S
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Boarc,under
C�,� -- provisions of ORS 701 and may be required to be licensed fit the
Business Name: 1� jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing,the following reason applic-
Address:
City!State/Zip: 0__.-Dt 17 7Z 1 —
Phone: 'ax: _ ----E-mail: — BUILDING PF'2M1T FEES•
-- - Please refer to fee schedule.
CONTRACTOR �y
Business Name: E/ OL' ?A LLC_ Fees due upon application. $
7
Address: P i --I V 9 - _ /
Cit /State/Zi ?00q 71/ Amount received.... .. . ......... .................... .. S (.^ �• SZ'
Phone: Fax: Date received:_ I I_ J_5-_C
CCB Lic. #: 3'14 — ---- - - -- ---- - - --
AUthOrl d ^� � Notice: This permit application tspire^it a permit i,no,obtained.•ilhin
Signatur Date:J1_-� -_t�, IAO da.s after It bas been accepted as cumptetc.
•Fee nH•thudofog; tit by Tri-fourth Bulldinp tn,lustry Service Board.
(Please print name)
",
TQsIsTermit Forms:BldgPcrm,IApp.doc 01103 ,
Plan Submittal Requirement Matrix
Commercial & Multi-Fa:n 1v
001()fngard New, Additions or Alterations
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3** !,
Mechanical 2
Fill it +hinq - Building Fixtures 2
Electrical 2.
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of pions for distribution purposes (for Contractor, City of Tigard.
Washinqton County, at,d Tualatin Valley Fire & Rescue).
*For over-the-counter commercial tenant improvements. submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i 1Building\Forms\P1anSubMatnx doc 0403
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