Permit r .. CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00211
u 41 DEVELO PMENT O
SERVICES 1 639 -4171 DATE ISSUED: 5/18/2004
— 13125 SW Hall
SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA -00100
SUBDIVISION: ZONING: R -4.5
BLOCK: LOT: 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: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 703 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: $ 19,350.00
Remarks: Fire protection. Value: $19,350
Owner: Contractor: ¢, m ' .yV
SCHOOL DISTRICT 23J "I yz)v SE got
6960 SW SANDBURG ST 'lczo 0 /Z �j 7 v /_S
TIGARD, OR 97223
Phone:
Phone: 557 -7180
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 5/18/2004 $235.30 Smoke detector insp
[TAX] 8% State Surcharl 5/18/2004 $18.82 Final Inspection
[FLS] FLS Pln Rv 5/18/2004 $94.12
Total $348.24
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: / r
Permittee • ,� / /
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
APR. 19.2004 5 :10PM TEAM ELECTRIC NO.022 P.2
Fire Protection System
Rtilild Perm itAnulicationg E® •01; 01•1,t I. 1,1 ( )Vl l
Permit No.:R���
City of Tigard
Received
, V D ly y `� T Oo>f
13125 SW Hall Blvd., Tigard, OR 97 PlanRevie
2��� .6. i i* � .54a °t Pmmir p zoo f - 000 8
Phone: 503 ,639A171 Fart S03.S9,8.�1960 , - _ t i t "+ � Dote/15r J "
Inspection Line: 503.639.4175 , 1_, Dec Ready/By; Ana: El see Page 2 for
' Internet: www.ci.tigafd.or.us CITY OF T i G A R D Notifred/NXetbed - Supplement*} Tnfermation
BUILDING DIVISION
pi a, ' : i 0 —
0 New construction 0 Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A ddition /alterationhreplaoetnent 0 Other: equipment, materials, labor, overhead, and the profit for the
t o � a ' `, ,,i . G , � ' 2 work indicated on this application.
0 1- and 2- family dwelling A(Commcrciandustrial Valuation:
Vi
0 Accessory building 0 Multi - family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
' ' ', • ' ' - 40E SUE ol?� T AND lu Total number of floors .
' Job site address: V.00 S i u4.' 4 New dwelling area: square feet
City /State/ZIP: i l Q A Q, b L 0 n' q:1 '7i CIS s C7 Garage/carport area: square feet
Suite/bldg. /apt. no.: � l Project name: A l Q„ t , (J j � u ash_ �1GU Covered porch area: square feet
Cross s t/directions to job site: Deck area: square feet
//
�r �� _ Other structure area: square feet
i1001`' '
-
Subdivision: l 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
Dom. r p w
,� _work indicated on this application.
•
n o r
It 0 C./ L ItH i Ab 1 C.gS Valuation: s 1 q S s ) e�
Existing building area: square feet
New building area: square feet
111 1011PERMy OlakITE4 ' it Tenon; Number of stories:
Name: 'lope of construction: Sajob
Address: , i_ I A -4 u dV Occupancy groups:
■
City/State/ZIP: / Existing;
Phone: ( ) . Fax: ( ) New:
p AikrzatANT • E3' 1 It' • , • , l
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
____ under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP; apply: _
Phone:( ) Fax::( )
- E-mail:
Business name; ,C:CtI ' nt1110111045 1a f
Address: 9,4_00 S 4 (!.4 IQ Please refer to fee schedules
City /State/ZIP: C„LVt✓ /�-.A•IM 4 S P/v � o L �?
(508) 7 11 0 0 C Oq S- 7/32/, Fees due upon application J �� . 2¢
Phone: la x:
Amount received
CCB lie.: 4-73 s 4 -
r
•
Date received:
Authorized signature: �� _ Tlds permit application
n expires l a permit is not obtained
within 180 days after it has been accepted as complete.
Print name` r ., Date: al A ■ Fee methodology set by Tri- County Building Industry
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION - DIVISION Business Line: (503) 639 -4171 MST
q
BUP 0� .0d-G(
Received Date Reques ` AM PM BUP
Location � ®0 �� w �� - ef -4ir( Suite MEC
Contact Person / Ph ( ) A4 q-" l Lea PLM
Contractor _ Ph ( SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain "
Slab Inspection No es: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
•
Insulation —
Drywall Nailing
Firewall •
Fire S nnkler
dire ar Alga
Ceiling f
Roof
Ot, 1■ "
PART FAIL **�, ,
BING 4
Post & Beam �
Under Slab ,j.
Rough -In AM I - 411 111Pw
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 call for reinspection RE: 0 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