Permit ....._,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00656
'' / Ii DEVE H O B r MENTSERVICES ) 639-4171
SITE DATE ISSUED: 11/18/03
SITE ADDRESS: 09430 SW CORAL ST 150 PARCEL: 1S126DC-04400
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P
BLOCK: LOT: 007 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 28,000.00
Remarks: TI
Owner: Contractor:
RENAISSANCE DEVELOPMENT RENAISSANCE CUSTOM HOMES
1672 SW WILLAMETTE FALLS DR. 1672 SW WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 503 - 557 -8000
Phone: 503 - 557 -8000
Reg #: 553 -8000 130449
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 11/18/03 $305.80 Electrical Permit Required
Plumbing Permit Required
[TAX] 8% State Surcharl 11/18/03 $24.46 Framing Insp
[BUPPLN] Pln Rv 11/18/03 $198.77 Gyp Board Insp
[FLS] FLS Pln Rv 11/18/03 $122.32 Susp Ceilng Insp
Total $651.35 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
• 7 /
Issued By: (� / t j (.4)
Peg Signature: Si ��/ '�C ,_
nur �(
\ Call 639 -4175 by 7 p.m. for an inspection the next business day
4
BM1 ing Permit Application
it • FOR OFFICE USE ONLY ;�•:.: U.
Received Building ..) �,
Date /By: Permit No.:) 7 7CJO 3 . t ° v 5 . r
City of Tigard Planning Approval Other
y g Date /By: Pem»t No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date /By: /1/9d3/13$, Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 ✓mar 1 Post- Review Land Use
Internet: www.ci.tigard.or.us „ . 1 , . I Date /By: Case No.
Inspection Request: 503- 639 -4175
Contact Juris.: Su See Page l Information
24 -hour Ins
p Q Name /Method: Supplementallnformation
'i, ' �,;•,. TYP,.E OF`WORI : h. , 3 REQU IRE D DAT fi', :t / .:Pf 1 t i
❑ New construction Demolition ', t i � :I & 2 FAMILY DWELLING , '°
❑ Addition /alteration/replacement 0 Other: 17,1
- i= : CATEGORYtOF C O . TRUCTION :; `.:' Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling V Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation S
s=';. J. OB °SITEINFORIVIATIONandLOCATION = r No of bedrooms: No of baths:
Job site address: q 91 O 5 1 1 / C ®(2.4L Total number of floors
Suite Bld A t. #: New dwelling area (sq. ft.)
uite #:
/ 3 0 I g / p Garage /carport area (sq. ft.)
Project Name: /' 4,&77 y i3 tx 6 Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
m� .� , a. .,, ,. , ;;•as- '. " xz*.,5' • a;'.�: � :.
i' ri,,, ,. ,. i, " Q ` i' ttR r +Y ,s,',, + s- -,
r t t ? � •RE UIREDDATA� �; ,
� � -'
r
'': ' > * ZCOMMERCIAL� I USE- CHECKLIST4-� ' ,
Subdivision: I Lot #: z. . U', ..c R, �: .�._ . ._ ., - _ •q ,,
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
"r ` -SY:`.; 4: - :1 DES'CRIPTION±'OF WORK':'1 =. a":`;t ' „ ,• the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
7 /1/4/7 /M/9/L0t/(j/4LJN f V aluation $ as voc.)
/ Existing building area (sq. ft.) / 7 r 3/2
New building area (sq. ft.) / xi
Number of stories
' ' ; ;,: :' , "`i ` ` '" ,9'n/
® "EROPERTY'OWNER�°fi �`:1.4;��: •�,® %TENANT;. ' • <.�,;��. ",�: �- :.• .:'. " Type of construction .
Name: /2/.- AA/CC J , /.'4L 7p,� kA/7- Occupancy group(s): Existing: 43 , /.3
New: /3 .A_ 6
Address: )g* "1 2 sw bc,,a4Mt• h Awl/ 02
City /State /Zip: LtyL T L /iv'
Phons03 -,5-ci ,gaoU 4 -'s6- /60) NOTICE: act
Fax: licensed with All the Ore ors Con struction subcontractors Contractors are Board required under to be
r" ® TTLI'CANT ' ` < r `` . T. =PERSON
C,ONTAC provisions of ORS 701 and may be required to be licensed in the
Business Name: r t v.: ,,„ ftrisdiction where work is being performed. If the applicant is exempt
Contact Name: 1.36-A.,./1•75 /14 c G/Z.G.Q from licensing, the following reason applies: •
Address: )C 7,2_ .'s ti% .v/ ie /-:4-Q$ D/Z
City /State /Zip: wg� / — tirvN •
Phone: 3 5S7 9acx/ Fax: Qi3 656 - ''Q( e : . ,,,.�,;. 1 ;..O,,_ _E: t . p.F y.7, , ;
yz . , . �u� ,��,' `: r.�.°a., mss,. .�:
1 , F � -, ABUILDING PERMIT= FE " y fir t 't
E-mail: '' ;� � �� �
# . & _ , > �' i ii 4 ` =Plea re t o fee sc y � w
_,:. .1 ....'tV- .=;CONTRACTORS . `,, •_ -_ . '- �`.. -, . , . , ;. < 7 . r 1 . ,,", l ` . � R
Business Name: y am- 4y/ /- /15 .46e ✓L- Fees due upon application $
Address:
City /State /Zip: Amount received S
Phone: Fax: Date received:
-CCB Lic. #:• /3,2,4/
uthorized
'Signature: �� p/Yles/9 (1 Date: // x 0 Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forms\BldgPermitApp.doc 01/03
. \
t
+� Plan Submittal Requirement Matrix
,l l i Commercial & Multi- Family
City of Tigard New, Additions or Alterations
irtis;, �� v: ' irC �?' : , „�,::�:.�. �n�9c'ii'i��s'�:� "��;�:i"c' ,�'��'r;«l�r��?�� e�,�' �3Fk: >. £;��,�, °;�.., :s�,'`Eh� .: �', >,ai.
.r.CEw
' _ x'' TkYPE OF' ', SUBMITtTAILA k # Plan
_ (lnclude"s'New; ' :Addition s or Alterations) ' Re "� qu ir e d at - ,�t;¢9.i ,�.">,� -5 t t° �'r� ��µ '�:�` ry �} x _ :- cs°°sda�r,
�� � tt, ..E Su bm ittal`
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - 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 plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and 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.
is \Building \Forms \PlanSubMatrix.doc 04/03
CITY OF TIGARD 24 -Hour -.
BUILDING Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION • Business Line: (503) 639-4171 MST
3 - 0 D CO
Received -7` Date Requested / %(lam - 10 ( 7/ - 10 ( 7/ AM PM BUP
Location 9z/lo a_ ai Suite / 5 0 MEC
Contact Person AM,/.4- Ph (_52Z) ---- / (7 PLM
Contractor 4 . � 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 j/V C& ■tofZ• 5-k' T// y6.-a /S /( •
S
/
usp'd Ceiling
Roof � l�t ` �1 T Lt. A 5 g(..7 / re_E' •
V PART FAIL
PL I ' :ING
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 • _ ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA "� "l ,r40/
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL