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Permit y+ ■a », CITY OF TI BUILDING PERMIT PERMIT #: BUP2004 -00390 J I I 4 DEVELOPMENT SERVICES DATE ISSUED: 8/16/2004 A SI 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 13500 SW HALL BLVD GAZEBO PARCEL: 2S102DD 00100 SUBDIVISION: EDGEWOOD ZONING: R -12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: 625 sf N: S: E: W: TYPE OF USE: L.OM SECOND: sf PROJECT OPENINGS? ' TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 625 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 41 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 17 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: $ 11,500.00 Remarks: Construction of 25' x 25' gazebo /picnic shelter. Owner: Contractor: CITY OF TIGARD WEST SLOPE ENTERPRISES INC 13125 SW HALL BLVD DBA NATURAL STRUCTURES TIGARD, OR 97223 PO BOX 270 Phone: 503 - 639 -4171 BAKER CITY, OR 97814 Phone: 541 - 523 -0224 Reg #: LIC 105874 FEES REQUIRED INSPECTIONS Description Date Amount Foot/Found Insp [BUILD] Permit Fee 8/16/2004 $158.50 Framing Insp TAX 8% State Surchar 8/16/2004 $12.68 Reinforced concrete final n [TAX] ! Bolts in concrete final repo [BUPPLN] Pln Rv 8/16/2004 $103.03 Structural welding final rep [FLS] FLS Pln Rv 8/16/2004 $63.40 Final Inspection Total $337.61 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: " , Ar I . , A/ Permittee Signature: �_,2,--. \ p ,p 6 Call 639 -4175 by 7 p.m. for an inspection the next business day i bS60 (.33 ii 4--u 1,t_ 1 ' 6A - \ Building Permit Application . F OFFICE U SE ON IC Y ! City of Tigard Date/By: /19 Q Permit No.: allilli + i� 39 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �� 6 Vi 3 51) Phone: 503.639.4171 Fax: 503.598.1960 1q' Nl 1 00 '�f' Date/By: y: I / O Other Permit: Inspection Line: 503.639.4175 Oar Date Ready/By: lures: 0 See Attached Checklist for �g ,• n,F' '~ ~.. Notified/Method: Internet: www.ci.tigard.or.us and or.us le. Supplemental Information DAOD %/ 40413 e 3 . ; -,� "'„• , :$..< ..3„i : ..<,t� =. ;:-' .' .'x- . :°W :' %rc ° 1' . c ,."�},' t wi . , z i a: , _ ` I'l 1 , ' � 2 TYPE.OF. yG'ORK; ° _ ::may = g v; M REQUIRED DATA ''I AND FAMILY D WELLING •,� -�W��� ,', -, �.... «.� � �- "a ^c -�.� . "-+#. � �..�'� s�.�:= ..�. :���.�? * i. �_ _ a��.: �„ tad•� -'. �, . -�� _rat -.-�.. m- FS''�.w�.X�:q,�^}� :- _ _�:>!�FS*'�:c�s;,.;,� y..�..... -.- [Kew construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ;,;, „;. _ }& F ,��.. r ;3. '�� .�, work indicated on this application. �.. t e b „ C `A I'E GOBI ,.,01♦''I t ;� . le '.1fei° , ; py`; �; :���. .. ��. >~��,�a� -�, __., s�.ti � ,�, xs���.�r�,���.�*a��.���,:° ❑ 1- and 2- family dwelling El Commercial /industrial Valuation: $ ,-- ❑ Accessory building El Multi-family Number of bedrooms: t-ii A ❑ Master builder [a'Other fIrK, ispielage.. 604:030 Number of bathrooms: 1,4( A ri m ' `= *tit*. *L ,IIYFORMAT ON AND�LOCATIO1VI >';; ¢ h Total number of floors: l ter. � :< -.� a_z:w�� :tom..��:.� �.aa� • sI'��,� ate• _. , . Job site address: / 3SO0 $4 0h_4. � . New dwelling area: — square feet City/State /ZIP: ‘G, ...]1 11222 Garage /carport area: square feet Suite/bldg. /apt. no.: �AXfhaca Project name: .Fp jpj G K - pAr G Covered porch area: — square feet Cross street/directions to job site: 1o�� t.> cc, 1 ,1e.v..) LYf1' Deck area: — square feet Lt 62.PC4 S1i6 Other structure area:.. :_y square feet .:. _ ° - �. ' r I : s� 12E E1 A TA x COMMERCIA U ar US E'CHFCI fL IST . '�'' uuwa, ., 6. 1 ra P : :s: .-rw Subdivision: 41 J Lot no.: _ Permit fees* are based on the value of the work performed. Tax map /parcel no.: ZS p Z Indicate the value (rounded to the nearest dollar) of all Dn `# c i ( . D o equipment, materials, labor, overhead, and the profit for the 11111•111;:: t , ' 1 * work indicated on this application. .� A, . ... _ * ,E3x���. { : •, ,��r„z�.� frt�r:c��° :x s 4 .,.xm- . , - ¢� �� � p N a,�. Valuation: $ 11 1 4::$0 6 0%6(442 44 11 e, e.1.-- _ Existing building area: �A square feet New building area: `'L‘uare feet • :;.^,: -,aa; "a"z° ° • - _ : a :, > '.' : '`, ;, :•fix '„'° "` '=.„`i t:;a; 4''d %' .i` #.r. � ROErlili' ;:OWN °EB .,I r - Y.. a- T TEN-AN - 't . ': i } Number of stories: 11 '„ ' e ...< ,,,,io,:',r4,..a:. a*;,, .:..v'.,, o - :..4i.',fi �:S'.e^ <t:A - ii 3a «Yp 3.gOiv ' 4. ,'*, '�. tA.'- n':`,+e`�.f�.Y'i�. i Name: G %! -rtc� Type of construction: Address: 1' 2_ C> St,.f qRu, r' t,t4v _ Occupancy groups: At 3 City/State /ZIP: 14/g-t) / OR-- 91 VU _ ' Existing: O Phone: (c76?j) ( M 411 ( Fax: (507) New: , 4 �r1> AT LIGA it Y .�,� / - °C RSQN e �„ '.. ...,;h„ sw �; 3 �., � ,„It3" T;1'E ,r.., . , < ;4 r��2 �' � � � �:� .� ��� g r , _. ,,,e,&,,,45.4 �.... a u =" h6,.,, e..r4 ,4=2 - , _ .:m , ':a, , � , , �:, t . NOTICE .i R, Business name: P - > D All contractors and subcontractors are required to be l Contact name: �A I �� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 t 21 St, 5V \I 4 ALA--- &AI i7. jurisdiction in which work is being performed. If the City/State /ZIP: ' _ © tiZ Z applicant is exempt from licensing, the following reasons f apply: Phone: ( 902 - It 0 — 2 5 1 O Fax: : ( &) — 1 \ 0 - Z.,+.01 E-mail: c14 1@ C �g o✓ u5 '. d .. t , ° ��� .r. tea *- a } ^� 5 ' x a ^t! is §a _ Lek a O N T0 t .� Business name: ,t„-7 /34-ri.u2A-L e_I-q,at Ey`' ''= '_ BTJILDING PERMIT`fEE *' Address: 1Q P X 7() Please refer to fee schedule. City/Sta c, c� q,`�C % 4 due upon application Phone: '+57 `) 5g pa9i..1- Fax: ( ) CCB lic.: C 9 /„ .5 -/,, ,o t Amount received S 7 Date received' Authorized signature: / r % ' T his permit application P ermit a lication ex ires if a permit is not obtained - a/ ~[ � within 180 days after it has been accepted as complete. Print name: rc;;L„, PLC. Date: ( 1 6104_ * Fee methodology set by Tri- County Building Industy Service Board. i:\ Building \Permits \BUP- PcrmitApp doc 12/03 440- 4613T(I 1/02 /COM/WEB) ■ Building Division iiiih . . �iHn , �'"NP 4 � IIj • . • • Plan Submittal Requirement Matrix --' Commercial & Multi - Family - New, Additions or Alterations City of Tigard i TypeofSubmittal # of Plans ' 1 0 _ (In new, additions�and aitera n)tons) t4 Regauired u� � 4 ,, , �� � i :4. S ti t �. u mi xtM1 " � Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (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. i:\ Bui lding\Forms \COM- PlanSubReq.doc 12/24/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP iic' Received Date Requested 0 4 AM PM BUP Location ( 3 (k Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING ELC Footing Foundation , ELC Access: Ftg Drain 1 c• '4104 , ELR Crawl Drain /` � � A �� Slab Inspection otes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall / Ar a Fire Sprinkler Fire Alarm r� ( Vi�� / Susp'd Ceiling Roof 1 • PART FAIL !BINGE . ' - 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 ELECTRIC AL 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 f• reins•ection RE: El Unable to inspect — no access Fire Supply Line 0111 Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL