Permit BUILDING PERMIT
CI OF TIGARD
P ERMIT #: BUP2004 -00363
i � DEVELOPMENT SERVICES DATE ISSUED: 8/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 460
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 147 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD 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: $ 24,600.00
Remarks: TI
Owner: Contractor:
ROBINSON, ROY R & H CONSTRUCTION
2655 SEELY AVE. 1530 SW TAYLOR
SAN JOSE, CA 95134 PORTLAND, OR 97219
Phone: 408 - 943 -1234
Phone: 408 - 943 -1234
Reg #: 503- 228 - 738304
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 7/26/2004 $283.30 Electrical Permit Required
TAX 8% State Surchari 7/26/2004 $22.66
Sprinkler Permit Required
[TAX] ! Plumbing Permit Required
[BUPPLN] Pin Rv 7/26/2004 $184.15 Framing lnsp
[FLS] FLS Pin Rv 7/26/2004 $113.32 Firewall Insp
Total Gyp Board lnsp
otal $603.43
Susp Ceilng lnsp
Final Inspection
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
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 copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: !` / it�, ,411P Z
Permittee
Signature: AI
C : 11 639 -4175 by 7 p.m. for an inspection the next business day
132.11 5 14 CB" , Pwar
Au...7 PA '1.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED A Received .. Permit No.:
13125 SW Hall Blvd., Ti ard, OR 97223 Date/By: t D tp d 0 0,94_ ,3c 2
g Plan Revie „
Phone: 503.639.4171 Fax: 503.598.1960 oo -- I + Date/By: ""'l ' BS Other Fermi :
Inspection Line: 503.639.4175 j 2 6 --a+ -... Date Ready/By: 0 , ,� ® See Attached Checklist for
Internet: www.ci.tigard.or.us ified/Me od: 0/' GY 1' IGt Supplemental Information
OF
CITY T!CARB (/L( cvf�ra -c�
t3 CITY
1'�'P'l;`011` §Ol 0 . REQU16 DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling Valuation: $
® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13221 SW 68 PARKWAY New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 460 Project name: AUCTIONPAY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Tenant Improvement Valuation: $$24,600.00
• Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: ROY ROBINSON Type of construction:
Address: 2655 SEELY AVE Occupancy groups:
City/State/ZIP: SAN JOSE, CA 75134 Existing:
Phone: (408)943 -1234 Fax: ( ) New:
® APPLICANT CONTACT PERSON NOTICE
Business name: Group McKenzie - 11 1 -(‹A Ot1)1.5 All contractors and subcontractors are required to be
Contact name: PETER ALTO licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 69039 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97201 applicant is exempt from licensing, the following reasons
apply: i . Q- 3 , 30
Phone: (503) 224 -9560 Fax: : (503) 228-1285
6, 18y. l/ a
E -mail: TX A , ZDG
CONTRACTOR //__,��
Business name: R &H CONSTRUCTION l 3 D7. lLT/3� �3
BUILDING PERMIT FEES*
Address: 1530 SW TAYLOR STREET
- Please refer to fee schedule.
City/State/ZIP: PORTLAND, OR 97205
Fees due upon application $603.43
Phone: (503) 228 -7177 Fa • 503) 224 -3638
Amount recei
CCB lic.: 38304
` Date _� recei:
Authorized signature: - FeA - fdb-t at This permit application expires if a permit is not obtained
2 within 180 days after it has been accepted as complete.
Print name: PETER A O Date: 07 -23-04 • Fee methodology set by Tri-County Building Industry
Serv ice Board.
i/ Building \Permits \BUP- PermitApp.doc 12/03 440- 46I3T(1 I /02/COM /WEB)
APPEAL SUMMARY
STATUS:
Appeal ID: 853 Type: Plumbing Project: residential Appellant Name: Mike Cade Hearing Date : 6t
Project Address: 0106 SW Ridge Dr Case No: P -005 Phone: 503- 654 -9701
Stories: 2 Occ: R3 Const Type: sfr Plan Examiner/Inspector: Wes Cooke
Building/Business Name:
LUR/Permit/App: Preliminary Plan Submitted Option: mail Payment Option: n
Appeal Involves: Simplex lift station Date Submitted: 6/16/2004 11:29:50 AM
CODE SECTION: P3009.1; P3010.3 Appeal 1D# 853 Date: 6/14/2004 8:05:18 AM i
REQUIRES:
Whenever practicable all plumbing fixtures to drain by gravity to a public or private sewage system. When dra
serving fixture is below the crown level of the sewer, an approved sump and discharged to the public or privat
PROPOSED DESIGN:
To connect to existing sewer. (See pages 3 -7)
REASON FOR ALTERNATIVE:
Not applicable.
The Administrative Staff reviewed the appeal and the following decision was reached
1. Sewage ejector pump: Granted provided 2" vent terminating above the roof level of the residence is installer
the pump.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP a eD0 6 6, 3.3
Received Date Requested ( r _ / P— AM 11,3M BUP
Location / 3 Suite 7e d MEC
Contact Person h Ph ( ) 'd-S S 49 D PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
A 1
Susp'd Ceiling • �Roof �,� - �
•
•ART FAIL
G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please . II for rei . pection RE: 0 Unable to inspect – no access
Fire Supply Line
ADA f
Approach/Sidewalk Date ` Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL