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Permit CITY TI GAR® BUILDING PERMIT PE RMIT #: BUP2001 -00134 SSUED: 5/29/01 �.�I� DEVELOPMENT SERV DATE I ° =-" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14865 SW 74TH AVE 270 PARCEL: 2S112AC -01200 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P BLOCK: LOT: 020 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12,626.00 Remarks: Fire Supression System Owner: Contractor: KNHS DEVELOPMENT CO CRISCO PRODUCTS, INC 26262 S MERIDIAN RD PO BOX 605 AURORA, OR . 97002 OREGON CITY, OR 97045 Phone: Phone: 656 -1890 Reg #: LIC 72829 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 5/29/01 $72.10 27200100000 Sprinkler Permit Required Sprinkler Rough -In 5PCT CTR 5/29/01 $5.77 27200100000 Sprinkler Final FIRE CTR 5/29/01 $28.84 27200100000 Total $106.71 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. Signattu a re i' �� f �f ignau: S% ��� Signature: (�f - / Issued By: % � L, 4, Call 639 -4175 by 7 p.m. for an inspection the next business day • 5 a ) h i 4/7 • i Building Permit i , I' ` e/ Permit .: ,2 ©D /.— 0 0/34 (�I City of Tigard _ _.. Expire date: Address: 13125 SW Hall Blvd, Tiga r City ofTigard Date i ssued: By: Recei t no.: Phone: (503) 639 -4171 y P Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT ' ❑ 1 & 2 family dwelling or accessory ,Zommercial /industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: • JOB SITE INFORMATION Job address: v , S ' .ice $ Bldg. no.: Suite no.: , 0 Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: - ,/-- 1.--6,11 . . . .,/ - Description and location of work on premises /special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST M E / 7, . i / . (Flood plain, septic capacity, solar, etc.) . Mailing address: / 04 I_ i ��. ,� 1 & 2 family dwelling: Er� A� y M ZIP• �__ Valuation of work $ r Phone: ' Fax: E- mail:# No. of bedrooms/baths Owner's representative: , , , ' - • Total number of floors Phone: - cf' - g EMZEBEE-mail: New dwelling area (sq. ft.) ' APPLICANT Garage /carport area (sq. ft.) 151 d .MffiM„ 11=1111. Covered porch area (sq. ft.) Mailing address: / ,, , S Deck area (sq. ft.)' . /t ZIP: q'Z Other structure area (sq. ft.) Phone: ` . —777 , Fax: E -mail: Commerciallindustrial /multi- family: CONTRACTOR Valuation of work s �A. 6.72.0 e ', i.. �9%' �� Existing bldg. area (sq. ft.) l 3 • -ire Business name: CA ('g t fO 1: �t New bldg. area (sq. ft.) !VIA Address: /1 (1 � '�r-- Number of stories " r EIMMBINZAMMIIIEEM ZIP: Type of construction t P . S.. a -' ( . / Phone: _S ". —( c) Fax: k3 - _ 0' BOWNEMMIIII Occupa ncy group(s): Existing: CCB no.: 4' 0 SIM ' I tfrIkelir St`ISk t , New: _ 1A. City /metro ltc. no.: 14'Th Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER! licensed with the Oregon Construction Contractors Board under Name: 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: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied with, whether specified ' in or no Credit card number: / / Expires Authorized s nature: /. ;(d . .4r�si i /L 1,e Date: 2 20 Name of cardholder as shown on credit card r /' I' $ Print name: Cl J/ �n!%t l �Gl4 4 Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /00/COM) Fire Protection Permit Check List A.) )2Klew ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: SS/�, / 6 oc� w; s thi-k- Q-io ) L., L30c0 2 - i ,w..o 1-e. u cl M Type of System (Complete A or B as applicable): W, A.) Sprinkler Wet ❑ Dry ❑ Standpipes • Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ , B.) Fire Alarm / 0 - Submittal shall Battery Calculations Yes Li include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A & B): $ Permit fee based on valuation (see chart): _ $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ • is \dsts\forms \FPScheckiist.doc 10/04/00 2� ze CITY ONIGARD BUILDING INSPECTION DIVISION = MST 24 -Hour 'Impaction Line: 639 -4175 Business Line: 639 -4171 BUP -2o6)/-60/3 t Date Requested 5— 3 r/ AM PM BLD Location pt G 71/1 ,4v.P Suite 7 MEC Contact Person Ph �,J l i ' l j9 b PLM Contractor Ph SWR BUILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation [/ 1-- Drywall Nailing C4 C_Q._ Firewall .rr'� • 7th Fire Alarm Susp'd Ceiling Roof Misc: • Fi AS PART FAIL 6 • Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICA' 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 /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required 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 Date 0I Inspector Ext Other z Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.