Permit i
A CI+Y OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00082
1��.4c DEVELOPMENT SERVICES DATE ISSUED: 5/29/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AA -02900
SITE ADDRESS: 12123 SW 69TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 020 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ACS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE . sf N: S: E: W:
OCCUPANCY GRP: NONE TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 6,600.00
Remarks: Installation of prefab smoking shelters
Owner: Contractor:
TIGARD CORPORATE CENTER ES&A SIGN AND AWNING
LTD PARTNERSHIP 1210 OAKPATCH ROAD
AT��1N: GREG SPRECgH1T0 EUGENE, OR 97402
B Plione T 503' 84-5330 Phone: 541 - 485 -5546
Reg #: LIC 145755
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PLCK CTR 3/8/02 $71.83 27200200000 Final Inspection
FIRE CTR 3/8/02 $44.20 27200200000
PRMT CTR 5/29/02 $110.50 27200200000
5PCT CTR 5/29/02 $8.84 27200200000
Total $235.37
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344
Pe rm ittee
C;X------ ,
Signature:
//
Issued By: ja_c-e4_,
Call 639 -4175 by 7 p.m. for an inspection the next business day
.... • ...,....., 41 002
44 s/ o .
•
‘
A - B i ldingPerimitApplication
,, Dotereceivcd: Permit no.: Z-ddOBZ►
I „ City of Tigard Proje;ct/appl_ no.: Ex ire date
CiryojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 p
Phone: (503) 639 - 4171 Date issued: By: I Receipt no.: •
Fax: (503) 598 -1960 Cssc file no_: Payment type:
Land use approval: I&2family: Simple Complex:
TX PE OF PERMIT IT
•
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family "New construction 0 Demolition
0 Addition /alterauon/rcplacement 0 Tenant improvement 0 Fire sptinkkdalarm • 0 Other
JOB SITE INFORMATION •
Job address: 1 L 123 , • u (err_ S7 r 1 i n , 0 it. 9 1 'z - 2 - 3 Bldg. no.: 4 Suite no.: '
- _ Lot: `Block: 1Subdivisicn: ITax map/tax 1ot/accountno. :Z5101 4l} - 29o 0
Project name: .140 15 E Ifiv ,...0 ('t. e T .SrYi 0 - n1 /> S / 'E.
Description and location of work on premises/special conditions: 11■6JA - 1-4_, fie' X 12. frlo KJAJ65/1"e7 - /N
{ I LTUN !r Lor lo# Su.,2460 ti,-0, Ki t! P407 - - 'J1 fC Ante Pt PS
On NIA FOR SPECIAL INFORMATION. USE CIILCkLIST
Nance: PVt..15E1•I C4LED ir ( l7loodpl: Li ti..cpticcap :icitv, solar, etc.)
Mailing address: 1214 4 S u Ic`t TM 5r 1& 2 family dwelling:
Cary= Tl (s'la'►L,0 tStd7 - IMP: el-72-2-3 Valuation of work.......____..... _. $
Phnne:56 ,(:. 2 t8 Fax: ("42 IC- No. of bedrooms/baths-..--.. __-
Owner's representative: if), 6 FZP_q -1,, i Z . Total number of floors ......_
Phone: moo. t- 6 : ! - E -mail: New dwelling area (sq. ft)
•
Garage carport area (sq. ft.) ._
Name: ES i - A - Si 6 ' thu A..; , Ill &- e& • Covered porch area (sq. L) .........
Mailing address: 1110 0,1'IC Pkr 0--0 Deck area (sq. ft) - .____...... _____
Qty: Gu 6t.7V 0 [state: p 4.4 ZIP: q7 z Other structure area (sg. ft) ___ .___
Phone:,LJj -40 -Sri 46 Fax: 4 5- i i3 E-mail: CcalinereisUmda ailtssmut4- famly: ce
Valuation of Work $ (0600 '
Business name: ES - i - A - S ■L-itl /4-A10 /11Ai x.1. N (r- t'o . Existing bldg. area (sq. ft.) ._ ..................._.
Nc
Address: I D D!�'FL PA-rut- H 17-7) T) w bldg. area (sq. ft.) _.._.__- ..................... 7Z 54 1;
CitY: F1/0- C { S :e12 ( Z Number of stones . - ..... �___ _.__._. /
ZIP: a Type of construction _____.__. _..._._ StEt. / �t.J355
Phone:IA 1- - 594o I Fax: S -SK 13 I E -mail:
CCB no.: -p I y S? S-1,' Occupancy group(s): Existing
• New: • City/ metro no.: no.: Z —
Naive: All contactors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: 14 14 provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: IVY:
exempt from licensing. the following reason applies:
Contact person Plan no_: ,
Phone: Pax: E -mail: •
Name: N 1 A Contact person: Fees due upon application ..,..__._... 3 i I Gs OS
Address: Date received:
City: State: ZIP: Amount received _..._...... __. _ $ I l Io.0
Phone: lFax: IE -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the r« du jurisdictions m., time as joischam for mass idermulaa
attached checklist All provisions of laws and ordinances governing this *me Cl M
work will be con th,' j Cher specified herein or not_ Credit darer 001 9 I /// / d
Authorized si („1.6 X1,/4 i''�'li : 1 "> / 7 k2- /' If m�� a, tae
Print name: ( her i f✓1 .L 1 e? � P D c j� 1 -
-1 s i1 •D
, gleam AmoYOt
Notice: This permit application expires if a permit is not obtained within 180 days attar it has been accepted as complete. 4404613 (643000/ 4)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
I
a)
NSPECTION DIVISION . Business Line: (503) 639 -4171 MST
UP ODZ -aso�T Z
Received Da Requested 7 3' 6 — AM PM BUP
Location / Z- `Pi 7 Su) to f a- Suite MEC
Contact Person Ph ) /V, $ (I" C PLM
Contractor Ph ( ) SWR
4i n Tenant/Owner ELC
g
Foundation' Access: ELC
Ftg Drain r ELR
Crawl Drain �� ",
Slab bV �d Inspection Notes: \ SIT
Post & Beamr, , Q N' �.CX
Shear Anchors �/ / v
Ext Sheath/Shear
Int Sheath/Shear 3 ��� l
Framing wll
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: r
'Anal 1
4 10 PART FAIL
- ING
Post & Beam
Under Slab
Rough -In
C*11
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Z
Approach/Sidewalk Date 7 / 3 / 6 Inspector Ext / Z
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL