Permit CITY OF TIGARD BUILDING PERMIT
• PERMIT #: BUP2001 -00324
4 Ali DEVELOPMENT SERVICES DATE ISSUED: 10/4/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S136DD 01400
SITE ADDRESS: 06855 SW BAYLOR ST
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 2,892 sf N: S: E: W:
TYPE OF USE: COM SECOND: 2,892 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 5,784.00 sf ROOF CONST: B FIRE RET?
OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 28 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE ?3 7 3 7 /,o
Remarks: Construct new 5,000 square foot building. TIF DEFERRED
Owner: Contractor:
ESLINGER BUILDERS ESLINGER BUILDERS INC
11575 SW PACIFIC HWY 11575 SW PACIFIC HWY
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 503 - 849 - 4653
Reg #: uC 62363
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Susp Ceilng Insp
PLCK CTR 9/10/01 $1,074.26 27200100000 Electrical Permit Required Appr /sdwlk Insp
Plumbing Permit Required Final Inspection
FIRE CTR 9/10/01 $661.08 27200100000 Foot/Found Insp
PRMT CTR 10/4/01 $1,856.75 27200100000 Slab Insp
5PCT CTR 10/4/01 $148.54 27200100000 Framing Insp
Roof nailng Insp
(additional fees not listed here) Insulation Insp
Shear Wall Insp
Total $4,446.79
Gyp Board Insp
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- 699 or 1- 800 - 332 -2344.
1
Pe rm ittee
Signature: )( C ' t
Issued By: ' / ,��h
Call 639 -4175 by 7 p.m. for an inspection the next business day
r • + ID(
Buil Permit Application
A. Date received: f "/o /V Permit no.: bti i oa3
+ ri,Ti Ci ty o f Ti gard ■
^:... Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.: ()J
Fax: (503) 5984960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex: t
TYPE OF PERMIT
01& 2 family dwelling or accessory Commercial/industrial Cl Multi-family Cl New construction ❑ Demolition
❑ Addition/alteration/replacement ❑``Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 6 - 13 Bldg. no.: Suite no.:
Lot: ('3- 18 Block: y Subdivision: L R t . i IME Tax map /tax lot/account no.: ,;„,,,p > " j •
Project name: Z r 1 £).q' • - iT� I . te_. p, ( - .
AIMA c A\
Description and location of work on premises/special conditions: 4 i /.._..
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
i •
Z . M M �, (Floodplain, septic capacity, solar, etc.)
Mailing address: - 6 5 ` '.� C ' L '"' / 1 & 2 family dwelling:
EMI / Stater J ZIP: , Valuation of work $
Phone:, :,, • c 5 , . A ' No. of bedrooms/baths
Owner's representative: ,(` J F�
__ L1 � Total number of floors .............. �.��. ..
- Phone: , J,t(' ,) Fax: New dwelling area (sq. ft.) ( '
APPLICANT Garage/carport area (sq. ft.) l
1 Covered porch area (sq. ft.) k't -
Z%
Mailing address: c (4) 'm . pias lea) Deck area (sq. ft.) 13 2153 51 g
zip ,." 7 Other structure area (sq. ft.)
Phone: , ,� / E-mail: ��/ ► Commercial/industriallmulti- family: J .
CONTRACTOR Valuation of work .0 $ _
Business name: '1 _ F _ ' �` Existing bldg. area (sq. ft.)
- New bldg. area (sq. ft.) 0
Address: 3 , lam` Ifs% ta...i" Number of stories Z.
`T EMIEM WM ZIP: 7W -3
Phone: F 4, Type of construction &ad LdAR-
�� �� - �� Occupancy group(s): Existing:
:no.: i _ p-3 r3
New:
City /metro lic. no.: 6i, Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 0--(^ 4 provisions of ORS 701 and may be required to be licensed in the
Address: •mr 4 ' oil �7♦ jurisdiction where work is being performed. If the applicant is
imi . TARE= exempt from licensing, the following reason applies:
+
/1i / ZP:
Contact person: 0 ♦ 1,844-&&44 Plan no.: j n /
Phone: i 2 t.- ovo MOUNIM E-mail: •
ENGINEER .
Name:,r rag/1 e6 •'er3o 1 Contact person: -1. 2" - 5 Fees due upon application $ '
Address: al - s♦ l IL Date received:
In AKIN'iMnilliMil State: ®R. ZIP: 40 ', / Amount received $
Phone:- 74- j, ye, 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 provisiaIfs o 0, s and o rdinances governing this O Visa ❑ MasterCard
work will be complied ' ' , t h l t i i +I h ere i n or no / J 6 g ait card numb r / l
/, ;� l l � � P i (5 7 Expires
Authorized SI atu ' : ` . �i �� � 1 Date: ! Name of cardholder as shown on credit card
Print name: Li _ ? ;11 ►L�i�$ a $
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 (6NX)
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101 . MX. 14440 ,ems. -76' / ' 1L/fg /.
35* i o � ft , ge Zt&74, '>
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
•
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # Hof
TYPE OF °SUBMITTAL ; Plans KEY:
_'Su bm`itted •
S = Sita.Work (must include
S (New, Add or Alt) . 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical°
New = New Building
Add = Addition
Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
I: \dsts \forms \matrxcom.doc 10/27/00
..11 Y Vr 1.111.71-V ECU
13125 SW Hall Blvd. -------
/A4i*� l Ai i,\ Tigard, Oregon 97223 / z) i /y /" ;A:.
on. (503) 639 -4171
Receipt #: 27200400000000003051 J � �u 7` cJ /�1e E
'" �
Date: 07/14/2004 u < G2) l
Line Items: O
Case No Tran Code Description Revenue Account No Amount Paid
BUP2001 -00324 [TIF -O] TIF - Office 210 - 0000 - 448003 21,336.00
BUP2001 -00324 [TIF -MT] TIF Mass Tr 210- 0000 - 448005 1,880.00
Line Item Total: $23,216.00
Payments:
•
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check MALCOLM & SHARON DEB 2352 In Person 23,216.00
ESLINGER LLC
Payment Total: $23,216.00
•
Page 1 of 1 cReceipt
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUli r / Oo 3. ( -f
Received Date Res uested 7 8 AM PM BUP
Location _ IP ' L Suite MEC
Contact Person 0-4d
--P T Ph ( ) c 5( 7 - 6' ge PLM
Contractor Ph r Ph () L7 G'i' SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access
g t � r 9( C t DrDr t 0
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 AWN
Cal us 'd MAW*
Roof
Other:
•ASS *ART FAIL
PLU 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 Ali
Service
Rough -In . r` WNW 1 .
/ L w Votage ����. -/� I�` 17 •
Fire Alarm Mar'
Final Reinspection fee of $ required before next inspection. 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